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Annual Report 2012.pdf - Karo Bio

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CEO commentary<br />

Greater flexibility<br />

For greater flexibility and financial stability, we conducted a<br />

rights issue at the end of the year, which raised 28.3 million<br />

SEK for <strong>Karo</strong> <strong>Bio</strong>. A stronger financing benefits our business<br />

and helps us to act commercially. A good signal to shareholders<br />

was that the Board increased its ownership in the<br />

company in conjunction with the rights issue.<br />

Better risk management<br />

Finally, I want to highlight another key component of our<br />

strategy and that is the right risk management. Today we<br />

look carefully at the risks associated with the projects we<br />

start. We still take risks, but we have better awareness of<br />

them, we value them and we share them with others. Before<br />

we start a project we analyze a number of factors that affect<br />

the risk profile, such as the knowledge base regarding the<br />

specific receptor, the competitive situation for the indication,<br />

any regulatory issues, the clinical development path, and if<br />

there is any type of clinical validation such as evidence that<br />

the mechanism in question actually affects the disease. This<br />

approach helps us prioritize the right projects, and in later<br />

stages create business opportunities.<br />

Good development in projects<br />

Through the transformation of <strong>Karo</strong> <strong>Bio</strong>, our projects continued<br />

to perform well, apart from eprotirome which we shut<br />

down at the beginning of 2012 as I described extensively in<br />

the previous annual report. The RORgamma project where<br />

we collaborate with Pfizer progressed at the expected rate and<br />

the collaboration went very well. With continued success, the<br />

project’s licensing revenue will contribute to financing <strong>Karo</strong><br />

<strong>Bio</strong>. RORgamma is a relatively new field where studies with<br />

antibodies in patients have demonstrated the importance of<br />

the mechanism, creating an attractive risk profile of a small<br />

molecule project focused on the RORgamma receptor.<br />

We worked for years to develop this project for ERbeta<br />

that is focused on MS. There is evidence to suggest that<br />

ERbeta can protect and maybe even repair the enclosures,<br />

myelin sheaths, surrounding nerve fibers in the brain, and<br />

which lack of function underlies many of the symptoms in<br />

MS patients. In that case it would be a groundbreaking type<br />

of treatment, since current therapy is intent on reducing<br />

inflammation.<br />

Great interest for early projects<br />

We continued to develop the project in GR inflammation inhouse<br />

after completing the work we were doing along with<br />

our Indian partner, Zydus Cadila. We have again achieved<br />

some progress in this case, and encounter plenty of interest<br />

when we showcase the project to potential partners. The<br />

work started this year for the NURR1 receptor also appears<br />

to have the potential to quickly become commercially<br />

attractive. NURR1 is a receptor that regulates the amount of<br />

so called regulatory T-cells. There are both different types of<br />

animal experiments as well as tests on humans with antibodies,<br />

showing that it can affect activity in autoimmune diseases<br />

by altering the number of regulatory T-cells. We are looking<br />

at developing a small molecule, which of course provides<br />

a more cost-effective medication that is more comfortable<br />

for the patient. Several major pharmaceutical companies are<br />

showing interest in the work we are doing here.<br />

If I sum up the past year, we have reformed <strong>Karo</strong> <strong>Bio</strong> into<br />

a more dynamic and business oriented champion. Today we<br />

are more cost effective and have the potential to, in time,<br />

reach a neutral cash flow. My ambition for 2013 is that we<br />

will generate enough new revenue to continue to build value<br />

in our projects, which will also benefit our shareholders.<br />

Huddinge in April 2013<br />

Per Bengtsson<br />

CEO<br />

KARO BIO <strong>Annual</strong> <strong>Report</strong> 2012 7

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