On the right track to providing a new treatment for the millions
already infected with HPV.
To our shareholders:
2006 was a year of significant achievement at
Nventa. As a result of encouraging preclinical
data on our lead program, positive discussions
with the U.S. Food and Drug Administration (FDA)
clarifying the development pathway of HspE7,
and successful fundraising, we are now on the
right track and poised to advance our lead
candidate, HspE7, into clinical development.
Product pipeline advancement
Nventa’s core technology focuses on the creation
of therapeutic (not preventative) vaccines,
otherwise known as immunotherapeutics. Using
our proprietary technology (developed at the
Massachusetts Institute of Technology), we create
novel CoVal™ fusions that trigger the immune
system to respond to specifi c diseases. Throughout
2006, we made significant progress with our lead
candidate, HspE7, a therapeutic drug candidate
that targets serious diseases caused by the human
papillomavirus (HPV).
While we had initially advanced the original
formulation of HspE7 into multiple Phase 2 clinical
trials, we discovered that by incorporating an
adjuvant — a chemical compound which boosts the
overall effect of our vaccine — we could achieve
dramatically greater potency. As a result, during
2006, we announced our intention to pursue
clinical development of a new formulation of HspE7,
manufactured with a commercially viable process,
which incorporates the adjuvant, Poly-ICLC.
Importantly, throughout 2006 and into early 2007,
we continued to announce very encouraging clinical
data around our original formulation of HspE7,
demonstrating efficacy in patients with genital
warts, cervical dysplasia and in patients co-infected
with the HPV and HIV viruses.
In late November, we concluded a series of
interactions with the FDA on our preclinical
and clinical development plans around our
new formulation of HspE7. We received very
positive feedback from these meetings and
subsequently announced that we are preparing
an amendment to our original Investigational
New Drug application (IND) to recommence
clinical development of HspE7.
We are preparing an amendment
to our original IND to recommence
clinical development of HspE7.
Our first HspE7 Phase 1 trial is being designed to
test its safety in patients with cervical dysplasia
(CIN). As background, CIN is the abnormal growth
of pre-cancerous cells that can lead to cervical
cancer. Globally, approximately 400,000 cases of
cervical cancer are identified each year. In addition,
an estimated 1.2 million women each year are
diagnosed with low grade cervical dysplasia in
the U.S., with another estimated 300,000 with
high grade cervical dysplasia. There are no FDA-
approved drug therapies for CIN, and market
research indicates that physicians are eagerly
looking for an alternative to the current treatment,
a type of surgery called LEEP (loop electrosurgical
excision procedure), which does not treat the
underlying HPV infection.
Over the past year, there has been much media
attention paid to HPV as a result of the approval of
the first preventative vaccine for the types of HPV
that cause CIN. What this attention highlights, for
those carefully watching the field, is that roughly
630 million people worldwide are already infected
with HPV and many are in need of treatment rather
than prevention. None of the new vaccines treats More recently, we received notice from the U.S.
this infected population, nor do any address the various HPV-related diseases that result.
With our Phase 1 trial in CIN expected to finish
by the end of 2007, we are planning to begin
several Phase 2 studies in other HPV-related
diseases in 2008. These disease areas will likely
include effi cacy trials in CIN, recurrent respiratory
papillomatosis (RRP), benign tumors located in
the larynx and airways primarily of young children
(an indication for which we received both Orphan
Drug designation and Fast Track status from the
FDA), and potentially genital warts. We are working
to determine if pursuit of the RRP indication could
be our most effi cient route to regulatory approval
of our new formulation of HspE7.
630 million people worldwide are
already infected with HPV and many are in need of treatment rather than prevention.
Stronger patent estate
Several patent issuances have significantly
strengthened our portfolio over the past year. In
mid-2006, we received notice of two European
patents covering certain composition and uses of
HspE7 in the treatment of HPV-related diseases.
More recently, we received notice from the U.S.
Patent and Trademark Office once and for all
defeating the patent challenges we had received.
Two key patents were issued with minor changes,
broadly covering the use of heat shock proteins
fused with viral- or cancer-associated antigens
and their use as immunotherapeutics.
Also in 2006, we were granted a European
patent covering our CoVal™ fusion proteins to treat influenza.
Corporate and financial achievements
Throughout the year, we accomplished a great
number of initiatives that not only strengthened
our balance sheet, but also our senior management
team, Board of Directors and corporate image.
In early 2006, we received approximately C$9.0
million after completion of a non-dilutive corporate
transaction. Following that, we completed a C$16.2
million financing in January of 2007. Along with
further cost-cutting initiatives, these additional
funds have enabled Nventa to get its lead clinical
program on the right track and we are now poised
to restart clinical development of our HspE7
candidate. Together, these events have successfully
and significantly enhanced our investment profile.
April of 2006 brought positive changes to our
senior management team and our Board of
Directors. Peter Emtage, Ph.D. joined the Company
from Biomira, Inc. to serve as our Vice President of
Research and Development. Already, Dr. Emtage’s
experience and extensive knowledge of virology
and immunology and the regulatory process have
proven invaluable in restarting our clinical program.
In addition, we were privileged to welcome Robert
Rieder, Chairman and Chief Executive Officer of
Cardiome Pharma Corp to our Board of Directors,
and to appoint Jay M. Short, Ph.D., already an
Nventa Board Member, as Chairman. Both bring
tremendous scientific and business acumen to
our Board and continue to play key roles in guiding
our strategic path forward.
Lastly, in mid-2006, we created a new corporate
identity, coinciding with our updated corporate
vision and clinical strategy. Our new tagline
from “insight to impact™” reflects our mission
to apply scientific insight to discover novel
biopharmaceuticals that have the potential to
directly impact patients suffering from difficult-to-
treat diseases with unmet medical needs.
Summary
Within Nventa, there is renewed excitement as we steer the Company on the right track. Going forward, we expect that our enthusiasm will continue to be reflected in our accomplishments and will ultimately translate into growing shareholder enthusiasm for our work. We have both you, our dedicated shareholders, and our employees to thank for your support in enabling the restart and continued development of our HspE7 program. If all of our corporate and clinical initiatives continue to progress well, 2007 promises to be a year that should build significant shareholder value.
Sincerely,
Gregory M. McKee President and Chief Executive Officer May 3, 2007
The facts about Human Papillomavirus (HPV)
HPV infection is a sexually transmitted disease that
is caused by the human papillomavirus. Most people
with HPV have no symptoms, are unaware that they are
infected, and can transmit the virus to their sex partner
unknowingly, even in cases where condoms are used.
Population with HPV is large and growing
Approximately 20 million people in the U.S. are currently
infected with HPV, and nearly 630 million worldwide.
At least 75 percent of sexually active men and women
will acquire a genital HPV infection at some point in their
lives. About 6.2 million Americans get a new genital
HPV infection each year.
High-risk types of HPV can be serious
The “high-risk” types of HPV may cause abnormal Pap tests and lead to cancer, including cervical and/or anal
cancer. The “low-risk” types may cause genital warts or
cervical dysplasia, diagnosed as mild Pap abnormalities.
Pregnant women can pass HPV to their babies during vaginal delivery, causing warts to develop in the infant’s
larynx and airways. Although rare, death can occur from
airway obstruction.
Need for a drug that treats HPV
The prophylactic vaccine recently introduced and others to follow do not work on the population already exposed
to HPV. In addition, market research indicates that physicians are eagerly awaiting alternatives to surgery,
which is currently the only HPV treatment for most HPV sufferers. Surgery can be painful, intrusive, expensive
and does not eliminate the infection.
The Nventa solution
Nventa is one of a few companies working on a treatment for those already infected with HPV. The Company believes its focus on the development of innovative therapeutic vaccines, also known as immunotherapies, may someday treat patients suffering from a broad spectrum of HPV-related diseases.
Nventa Pipeline
The Company plans to conduct a Phase 1 trial testing the
safety of HspE7 plus adjuvant in patients with cervical
dysplasia (CIN), which it expects to begin mid-2007.
Once completed, Nventa is planning a Phase 2 efficacy
trial in CIN patients; if enrollment goes as expected,
this Phase 2 trial could be completed rather quickly and
could provide the fastest path to data. In addition to the
CIN Phase 2 trial, Nventa is planning additional effi cacy
trials in other HPV-related indications, such as HIV
positive women with LSIL* CIN, genital warts and recurrent
respiratory papillomatosis (RRP). With orphan drug
designation and fast-track status from the U.S. Food
and Drug Administration, conducting a pivotal trial in
RRP patients may be the fastest route to market.
*Dysplasias refer to precancerous lesions. The dysplasias caused
by HPV infection are graded into two main categories, Low Grade
Squamous Intraepithelial Lesions (“LSIL”) and High Grade Squamous
Intraepithelial Lesions (“HSIL”), with HSIL being a later progression
of the disease relative to LSIL.
2006 and recent Nventa achievements
Corporate and financial
01/07
Raised C$16.2 million in additional capital
12/06
Decreased overall spend by over 62 percent as a result of
corporate restructuring and implementation of refocused product
development strategy
06/06 Created new corporate identity coinciding with new corporate
vision and clinical strategy
04/06 Strengthened Board of Directors, adding Robert Rieder and electing Dr. Jay Short as Chairman
04/06 Hired Peter Emtage, Ph.D. as new head of Research and Development
03/06 Received C$9 million in non-dilutive capital
Lead candidate HspE7
03/07
Announced data from NCI-sponsored trial in cervical dysplasia (CIN)
showing 78 percent of patients achieved complete response or
reduction of lesion size by more than fi fty percent
11/06
Provided clinical development strategy update and positive outcomes
from interactions with the U.S. Food and Drug Administration (FDA)
09/06 Presented preclinical data demonstrating greater potency and specifi c
activation of the immune response with HspE7 plus adjuvant
09/06 Announced data in clinical trial showing complete response or marked improvement in 81 percent of genital warts patients treated with HspE7
08/06 Signed Supply Agreement for Poly-ICLC adjuvant
06/06 Announced positive HspE7 data published in the journal AIDS in patients co-infected with HPV and HIV
04/06 Presented twelve-month development strategy for new formulation:
HspE7 plus adjuvant
Intellectual property portfolio
03/07 Won challenge to U.S. patents; U.S. PTO reissued composition
of matter and methods of use for the Company’s CoVal™ fusions
01/07 Granted European patent covering CoVal™ fusion proteins to
treat influenza
06/06 Granted two European patents covering HspE7 for HPV-related diseases
Key goals for HspE7 in 2007
•
File preclinical update with FDA
• Submit Phase 1 clinical trial protocol to FDA
• Obtain IRB approvals for Phase 1 clinical trial
•
Initiate sites for Phase 1 clinical trial
•
Start and complete Phase 1 clinical trial in CIN patients
•
Prepare for Phase 2 CIN clinical trial
•
Prepare for Phase 2 HIV-positive LSIL CIN clinical trial