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8-K - FORM 8-K - Paratek Pharmaceuticals, Inc.d313745d8k.htm
March 2012
March 2012
A specialty pharmaceutical company focused on the development
and commercialization of proprietary products to address important
therapeutic needs in the field of neuroscience
Exhibit 99.1


Forward
looking
statements
Forward
looking
statements
2
This presentation contains forward-looking statements that involve substantial risks and uncertainties. All
statements, other than statements of historical facts, included in this presentation are forward-looking statements.
Examples
of
such
statements
include
our
expectation
regarding
the
potential
market
for
Intermezzo
®
and
the
potential market size for a middle of the night sleep aid; our expectations regarding an ideal therapeutic; the
average value of a branded insomnia prescription and the resulting revenue for each 1% of market share; Purdue
plans to hire 275 sales representatives to exclusively promote Intermezzo; Purdue plans to invest approximately
$100 million to support sales and marketing over the first 12 months of commercialization of Intermezzo in the
U.S.; the expected timing for and the success of the commercial launch of Intermezzo by Purdue in the U.S.; the
receipt of royalty and milestone payments from Purdue pursuant to our Collaboration Agreement; anticipated
reimbursement coverage; intellectual property protection being obtained and maintained; plans for the Phase 2
study of TO-2061, including the expected timing of clinical trial results; and our expectations regarding the
potential market size for TO-2061 as augmentation treatment for patients with OCD. All of these forward-looking
statements are based on estimates and assumptions by our management that, although we believe to be
reasonable, are inherently uncertain. Forward-looking statements involve risks and uncertainties, including, but
not limited to, achieving acceptance of Intermezzo by physicians, patients and third-party payors; supplying
sufficient quantities of Intermezzo from third-party manufacturers and suppliers to meet anticipated market
demand; the impact of competitive products and the market for Intermezzo generally; our dependence on
Purdue’s
commercialization
efforts
and
our
Collaboration
Agreement
with
Purdue;
obtaining,
maintaining
and
protecting regulatory exclusivity and intellectual property protection for Intermezzo; competitive product
commercialization; manufacturing and supply risks for TO-2061; adverse patent decisions at the USPTO or in
court; and variability in the business of Transcept generally. These and other risks are described in greater detail
in the "Risk Factors" section of Transcept periodic reports filed with the Securities and Exchange Commission.
Forward-looking statements do not reflect the potential impact of any future in-licensing, collaborations,
acquisitions, mergers, dispositions, joint ventures, or investments Transcept may enter into or make. Transcept
does not assume any obligation to update any forward-looking statements, except as may be required by law.


Therapeutic focus
Large markets,
unmet needs
Commercial
platform
U.S. primary care partnership: Purdue Pharma
Option
to
co-promote
Intermezzo
®
1
yr
post
launch
9/30/11: ~$54 M cash, equivalents & investments
$10M
milestone
payment
from
Purdue:
Q4
2011
No debt
Neuroscience / psychiatry
Intermezzo: middle of the night awakenings
: treatment resistant OCD
Transcept: preparing for Intermezzo
®
commercialization
Transcept: preparing for Intermezzo
®
commercialization
3
Strong balance
sheet
Intermezzo product launch: early April 2012
Phase
2
results:
estimated
Q1
2013
Near term
catalysts
TO-2061
TO-2061


Intermezzo
®
(zolpidem tartrate) sublingual tablet C-IV
Intermezzo
®
(zolpidem tartrate) sublingual tablet C-IV
4


Intermezzo: the first and only prescription sleep aid
approved for middle-of-the-night dosing
Intermezzo: the first and only prescription sleep aid
approved for middle-of-the-night dosing
Indication statement as approved by FDA:
Intermezzo
is indicated for use as needed for the
treatment of insomnia when a middle-of-the-night
awakening is followed by difficulty returning to sleep.
Intermezzo
is not indicated for the treatment of middle-
of-the-night insomnia when the patient has fewer than 4
hours of bedtime remaining before the planned time of
waking.
5


Intermezzo: the first and only prescription sleep aid
approved for middle-of-the-night dosing
Intermezzo: the first and only prescription sleep aid
approved for middle-of-the-night dosing
6


Middle of the night (MOTN) awakening:
a major unmet medical need in the insomnia category
Middle of the night (MOTN) awakening:
a major unmet medical need in the insomnia category
Large U.S. insomnia market
79
million
new
and
refill
prescriptions
(1)
Insomnia is an under-treated condition
(2)
11
million
patients
receive
Rx
(3)
4x
to
6x
more
are
not
diagnosed
or
treated
by
a
physician
(3)
MOTN awakening: the most common insomnia symptom
(4)
35%
of
Americans
suffer
from
MOTN
awakenings
at
least
3x
/
week
(4)
>90% report awakenings persist more than six months;
50%
report
awakenings
persist
more
than
five
years
(5)
7
(1)
IMS
Oct
2010
to
Sep
2011;
(2)
Institutes
of
Medicine
-
Sleep
disorders
and
sleep
deprivation
Apr.
2006;
(3)
BluePrint
Research
Group;
(4) Ohayon,
Nocturnal awakenings and comorbid disorders in the American general population. J of Psych Research (2009); (5) Ohayon, Difficulty
in
resuming
or
inability
to
resume
sleep
and
the
links
to
daytime
impairment,
J
of
Psych
Research
(2009).


Commonly prescribed sleep aids are indicated
only for bedtime use
Commonly prescribed sleep aids are indicated
only for bedtime use
MOTN awakenings typically do not occur every night
7-8 hr sleep aids (Ambien
®
, Ambien CR
®
, Lunesta
®
) require
bedtime prophylactic dosing to prevent awakenings
An ideal therapeutic would:
Be used only at the time patients need help returning to sleep,
not every night in advance of a problem that may not occur
Return patients to sleep rapidly
Be effective despite the low dose necessary to avoid next day
residual effects when used in the middle of the night
8


Intermezzo: the first and only sleep aid approved for
middle-of-the night dosing
Intermezzo: the first and only sleep aid approved for
middle-of-the night dosing
Novel zolpidem formulation
Sublingual tablet
Bicarbonate-carbonate buffers
Approved dose
1.75 mg in women & patients > 65 years
3.5 mg in non-elderly men
Rapidly absorbed in both men and women
Effective vs. placebo in sleep laboratory & outpatient studies
Instructions to patients
Take Intermezzo “while in bed”
“When you wake up in the morning, be sure that at least 4 hours have passed
since you have taken Intermezzo
and you feel fully awake before driving. Do
not do dangerous activities until you know how Intermezzo
affects you.”
9



Significant Rx insomnia market opportunity:
each
1%
share
$130M
at
branded
prices
Significant Rx insomnia market opportunity:
each
1%
share
$130M
at
branded
prices
11
U.S. insomnia market
Hypothetical market
(1) IMS Health, National Prescription Audit, Sept 2011; (2) Wolters Kluwer WAC pricing (branded) Jan 2011, $5.05
to
$5.67
(products
evaluated:
Ambien
®
,
Ambien
CR
®
,
Lunesta
®
,
Silenor
®
;
Ambien
®
and
Ambien
CR
®
are
currently
available
in
generic
form;
Lunesta
®
WAC
pricing
was
$6.13);
(3)
Transcept
estimate
based
on
IMS
Health,
National Prescription Audit, Sept 2011.
Branded pricing
penetration
Average
Rx
value:
$165
30
tablets
per
Rx
3
~$5
to
$6
per
tablet
2
79
million
TRx
per
year
1
1% Intermezzo share
790,000 TRx, approx $130M sales


Initial shipments and physician                              
promotion planned for early April 2012
Purdue plans to invest ~$100M during                           
first 12 months of Intermezzo launch
~275 field representatives in new national                     
sales force devoted exclusively to the promotion of
Intermezzo to highest insomnia prescribers
Purdue began contacting drug wholesaler, retailer and
managed care decision makers in early 2012
Intermezzo launch plans
Intermezzo launch plans
12


Purdue commercialization agreement:
key Transcept benefits
Purdue commercialization agreement:
key Transcept benefits
Co-promote option: foundation for a commercial future
Transcept option: co-promote to psychiatrists can begin as early as     
1 year and as late as 4.5 years after Purdue launch
Royalty structure
Base royalty: mid-teens up to mid 20% level on net sales
Co-promote royalty:
22% to 40% on psychiatrist Rx net sales, based on timing of opt-in
Net revenue qualifying for this additional co-promote royalty is
capped at 15% of total Intermezzo annual net U.S. sales
Milestone payments
$10M
for
first
formulation
patent
listed
in
Orange
Book,
paid
in
Q4
2011
Up to $80M additional upon the achievement of certain patent
milestones and net sales targets
13


Intermezzo managed markets advisory board with
decision makers covering >170M lives
Intermezzo managed markets advisory board with
decision makers covering >170M lives
Broad formulary access expected
Unmet medical need generally recognized by payers
Unique insomnia indication
Low dose used less often
Rapidly absorbed
Tier 3 formulary placement anticipated by most plans
Utilization management criteria consistent with other brands
Intermezzo
brand parity pricing not viewed as a major barrier
with managed markets
14


Intermezzo:
intellectual property
Intermezzo:
intellectual property


Two U.S. patents issued, additional patent
applications pending
Two U.S. patents issued, additional patent
applications pending
Two issued U.S. patents -
7,682,628 and 7,658,945
16
Claims are not limited to use of buffers
Compositions and methods of treating middle of the night
awakenings
Any patents issuing from these applications would expire no sooner
than February 2025
Patent applications pending
Buffered formulations
Compositions and methods of treating insomnia
Claims require absorption of zolpidem across the oral mucosa
Patents expire no sooner than February 2025


TO-2061
(low dose ondansetron)
TO-2061
(low dose ondansetron)
17
Proposed indication: adjunctive therapy in adult patients
with obsessive compulsive disorder (OCD) not adequately
responsive to currently approved OCD medication


Significant unmet medical need: OCD patients not
responding adequately to approved medication
Significant unmet medical need: OCD patients not
responding adequately to approved medication
Obsessive Compulsive Disorder
Intrusive thoughts and repetitive actions to reduce distress
Affects 1% to 2% of U.S. adult population, 40% to 50% seek treatment
Significantly impacts everyday life activities of patients and their families
40% to 60% of OCD patients do not respond adequately to approved
medications,
which
include
the
SSRIs
Prozac
®
,
Luvox
®
,
Paxil
®
,
Zoloft
®
Atypical antipsychotics are often used off-label to augment approved
medications
~68% of treatment resistant OCD patients do not respond
Frequently reported adverse events: weight gain, metabolic disorder
18
No FDA approved medication for treatment resistant
OCD


Pilot Study B:
Improvement  measured as % decrease below baseline
Pilot Study B:
Improvement  measured as % decrease below baseline
19
All Patients: n=21
26.3% improvement at 12 weeks
Responders: n=12 of 21 (57%)
44.3% improvement at 12 weeks
Pilot Study B, n=21
Week
2
Week
4
Week
6
Week
8
Week
10
Week
12
50%
40%
30%
20%
10%
0%
All patients
Week
2
Week
4
Week
6
Week
8
Week
10
Week
12
50%
40%
30%
20%
10%
0%
Responders
Non-responders


:
development
overview
:
development
overview
505b2 NDA pathway
Phase
2
double
blind,
placebo
controlled
study,
n
150,
complete enrollment est. Fall 2012, top line data est. Q1 2013
Intellectual property
Method of use patent application filed, priority date May 19, 2009
Ondansetron, up to ~1.5 mg/day
Pending claims for treating SSRI resistant OCD with ondansetron augmentation
Strategic fit: psychiatry
~87% of patient visits for OCD were to psychiatrists in 2009
*
Complementary to Intermezzo
psychiatry co-promote option with Purdue
20
* SDI Physician Drug and Diagnosis Audit
TO-2061
Managed care survey (~108M lives): unmet medical need
acknowledged, Tier 3 formulary placement expected


Financial overview
Financial overview


Financial position –
Q4 2011 release and
teleconference on 3/14/12 at 1:30 PM PT
Financial position –
Q4 2011 release and
teleconference on 3/14/12 at 1:30 PM PT
9/30/11
22
*During Q3 2011, Transcept paid severance of approximately $1.0 million to former
employees whose positions were eliminated in the July 15, 2011 reduction in force.
Excluding this severance payout, cash use during the quarter averaged approximately
$1.5 million per month.
Milestone payment recvd (12/21/11):    
$10.0 M
Shares outstanding:
13.9 M
Options / warrants / other:
3.6
Total:
17.5 M
Employees:
2/1/12 update
Cash & investments:
$54.1 M
Q3 2011 cash burn rate*:
$  1.9 M / month
18


Intermezzo
®
is a registered trademark of Transcept Pharmaceuticals, Inc.
Ambien
®
and Ambien CR
®
are registered trademarks of sanofi-aventis
Lunesta
®
is a registered trademark of Sunovion Pharmaceuticals Inc.
Zofran
®
and Paxil
®
are registered trademarks of The GlaxoSmithKline Group of Companies
Prozac
®
is a registered trademark of Eli Lilly & Co.
Luvox
®
is a registered trademark of Solvay Pharmaceuticals, Inc.
Zoloft
®
is a registered trademark of Pfizer Inc.