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8-K - CURRENT REPORT ON FORM 8-K - Paratek Pharmaceuticals, Inc.d379540d8k.htm
July 2012
July 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


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
expectations
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; 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 success of the commercial
launch of Intermezzo by Purdue in the U.S., including continued growth in the number of Intermezzo prescriptions;
improvement in the Intermezzo adoption curve; our eligibility for and the receipt and size 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 completion of
enrollment and receipt of clinical trial results; our expectations regarding the potential market size for TO-2061 as
augmentation treatment for patients with OCD; and our strategy to build a specialty sales and marketing organization, in-
license or acquire additional product candidates, and determine the future development path for TO-2061. 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; the impact of competitive products and
the market for Intermezzo generally; our dependence on Purdue’s commercialization efforts, including our reliance on Purdue
to set the future pricing of Intermezzo and our Collaboration Agreement with Purdue; obtaining, maintaining and protecting
marketing and other regulatory exclusivity and intellectual property protection for Intermezzo and TO-2061, as well as
protection from generic versions of our products; competitive product commercialization; manufacturing and supply risks for
Intermezzo and TO-2061; adverse patent decisions at the USPTO or in court; our intent and ability to carry out plans to
promote
Intermezzo
to
psychiatrists
in
the
United
States
through
our
co-promotion
option;
our
intent
and
ability
to
successfully in-license or acquire additional product candidates; 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.
2
Forward looking statements


3
Therapeutic focus
Large markets,
unmet needs
Commercial
platform
U.S.
primary
care
partnership:
Purdue
Pharma
Option
to
co-promote
Intermezzo
to
psychiatrists
3/31/12: ~$59M cash, equivalents & investments
5/1/12: ~$38M in net proceeds from public offering
Neuroscience / psychiatry
Strong balance
sheet
Transcept corporate overview
Intermezzo:
first
FDA
approval
for
middle
of
the
night awakening
TO-2061
treatment resistant
:
OCD,
Ph2
data
Q1-13


Work with Purdue to maximize Intermezzo adoption
In-license or acquire marketed and/or late-stage products that
complement psychiatry focus
Begin next phase of TO-2061 development assuming
successful completion of Phase 2 trial in Q1 2013
Build specialty sales/marketing capability                     
XDecision driven by:
Intermezzo Rx growth and expectation that co-promote royalty will
support sales/marketing expense
Success in acquiring additional products that complement psychiatry
focus
4
Key strategic goals


5
Intermezzo: national product launch April 2012


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.
6
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
7


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
(2,3)
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)
8
(1)
IMS
Oct
2010
to
Sep
2011;
(2)
Institute
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).


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
9
Commonly prescribed sleep aids are indicated
only for bedtime use
®


Novel zolpidem formulation
Sublingual tablet
Bicarbonate-carbonate buffers
Approved dose
1.75 mg in women & patients > 65 years
3.5 mg in men < 65 years
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.”
10
Intermezzo: the first and only sleep aid approved for
middle-of-the night dosing


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
Presentations to drug wholesaler, retailer and managed
care decision makers began in early 2012
Presentations to physicians began April 2012
Purdue Pharma: Intermezzo launch underway
11


Purdue commercialization agreement:
key Transcept benefits
Remaining potential milestone payments
$10M
when
patent
app.
11/439,874
is
issued
&
published
in
Orange
Book
Up to $70M upon the achievement of certain net sales targets
Base royalty
Base royalty: mid-teens up to mid 20% level on net sales
Co-promote option: foundation for a commercial future
Option to exercise co-promote extends through August 2015 
After option exercise, Transcept must wait 8 to 15 months to begin
promotion, depending on when in the calendar year the exercise is made
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
12


Intermezzo weekly Rx
13
Source: Wolters Kluwer Pharmaceutical Audit Suite


Intermezzo launch update
Substantial managed care coverage achieved
Improvement in adoption curve expected over time
Newly hired sales force calling on new physician targets
Physician audience unaccustomed to differentiating
middle of the night insomnia
Requires a different interaction with the patient
Sales force focused on educating prescribers to
identify appropriate Intermezzo patient candidates
14


Intermezzo:
intellectual property
Intermezzo:
intellectual property


Two issued U.S. patents: 7,682,628 and 7,658,945
16
Buffered dosage forms
Claims require absorption of zolpidem across the oral mucosa
Patent coverage through at least 2025
Notice of allowance: July 2012
Methods of treating middle of the night insomnia No. 11/439,874
Claims cover a broad range of dosage forms
Once patent issues, coverage through at least 2026
After patent issues and is listed in the Orange Book, TSPT will be
eligible for a $10M milestone payment from Purdue
Intermezzo patent protection


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


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
®
18
No FDA approved medication for treatment resistant OCD
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
Significant unmet medical need: OCD patients not
responding adequately to approved medication


19
All Patients: n=21
26.4% improvement at 12 weeks
Responders: n=12 of 21 (57%)
44.0% improvement at 12 weeks
Pilot Study, n=21
Pilot Study: patients showed mean 26% improvement at 12
wks on the Yale Brown Obsessive Compulsive Disorder Scale


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
20
* SDI Physician Drug and Diagnosis Audit
Managed care survey (~108M lives): unmet medical need
acknowledged, Tier 3 formulary placement expected
Strategic fit: psychiatry
~87% of patient visits for OCD were to psychiatrists in 2009
*
Complements Transcept psychiatry focus
TO-2061
:
development
overview


Financial overview
Financial overview


3/31/2012
22
Employees:
22 M
18
Total:
Options / warrants / other:
3 M
Shares outstanding
19 M
Net proceeds from public offering:
$38 M
5/1/2012 update
Cash, equivalents & investments:
$59 M
Financial position


Intermezzo launched April 2012
First approval for middle of the night awakening
Large potential market
Significant royalty and co-promote opportunities
Increasing patent protection
TO-2061 Phase 2 OCD data Q1 2013
Strong balance sheet
23
Key investment highlights


Intermezzo
®
is a registered trademark of Purdue Pharmaceuticals L.P.
Ambien
®
and
Ambien
CR
®
are
registered
trademarks
of
sanofi-aventis
Lunesta
®
is a registered trademark of Sunovion Pharmaceuticals Inc.
Paxil
®
is a registered trademark 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.