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Overview of Services
  and Value Propositions



2010
Q: Besides Being Blockbuster Products,
   What Do These Have in Common?


                       $4.4B*                        $1.5B*
                                     Drug-eluting
                                    coronary stent



                           $3.8B*
                                                      $3.6B*



 A: Before they could be sold, approval was required
    by the Food and Drug Administration or
    associated regulatory agency outside the U.S.

 * 2008 annual sales
Biologics Consulting Group:
         17+ Years of Expertise in Helping Companies
            Move Technology into the Marketplace

    Facilitates and accelerates product development by:
•    Deep understanding of FDA regulations
•    Identification, design, and review of the key steps required for testing in man
•    Anticipation of land-mines in the road to commercialization
•    Practical advice and solutions tailored to a company’s product development plans



               Alexandria (Headquarters)         Beijing     Boston
                        Raleigh     San Francisco      Tokyo
BCG Offers Comprehensive
         Regulatory Strategic Planning
 Industries                        Services
 Biologics                       Audits and Inspections
 Combination Products            Clinical Development
 Devices                         Pharmacology/Toxicology
 Diagnostics                     Process validation
 Drugs                           Product Development
                                  Program Management
                                  Regulatory Support
All Major Markets, incl:          Training programs
 Autoimmunity/Transplantation    U.S. Agent
 Cancer
 Cardiac disease
 Diabetes/Metabolic disease
 Infectious disease
 Inflammatory disease
 Neurological disease
 Orthopedics
Regulatory Affairs Impact
 Key Early Development Milestones
                 Lead ID                     Proof-of-concept                               IND



         Basic
        Research        Development                            Preclinical




                                        • Pre-IND support
• Line development                      • Pre-clinical plan               Pre-IND meeting with FDA
• CMO selection                         • Clinical synopsis
• Method development                    • CRO selection

                   • Gap analysis
                   • Development plan               • Pre-IND Follow-up
                                                    • Protocol Preparation
                                                    • CMO/CRO Mgmt
                                                    • Quality Systems Implementation
                                                    • Method Qualification
Regulatory Affairs Impact
Key Clinical Development Milestones
                        1st-in-human                   P1               P2                 BLA/NDA


                                  Clinical Development                               FDA Filing,
           Preclinical                                                               Approval &
                              Phase 1          Phase 2             Phase 3           Launch



                Initial IND                       End of Phase 2               Market         Safety
                submission                          meeting                  Application      update
                                                                             submission
• IND preparation           • Ongoing submission
• Clinical site selection   • IND support
                            • Clinical trial support        Pre-BLA or -NDA meeting
How big can we make our role?

        A Poor Regulatory Strategy Has a
      Significant, Negative Financial Impact

         CAUSE                              EFFECT
           ▼    Clinical Hold                Private company:
           ▼    Refusal to file               Bridge financing may be needed
           ▼    Complete Response Letter
                                              Down round may occur
                                              Flat round may occur
           ▼    Warning Letter
                                              IPO/M&A unlikely
           ▼    Bridging Studies
           ▼    New product Designation      Public company:
                                              Decreased market cap
           ▼    Comparability Studies
                                              Secondary offering unlikely
           ▼    Clinical Supply Shortages
                                              Loss of confidence by
           ▼    Non-approval                   public markets
BCG Consultants Possess
Extensive Regulatory Affairs Experience
BCG Consultants Represent
Both FDA and Industry Experience
BCG: Continual Increase in Clients Served
                                 (2000-2008)


 Most projects come from:                                                               439

      • Word-of-mouth                                                             397

      • Referrals
      • Repeat business
                                                                            312

                                                                      265
 Continual growth and increased                                 218
 revenues for 16 straight years,                          186
 despite:                                           160

     • No marketing department                115
     • No sales department               77
     • No business development
          department
BCG Has Extensive, Successful
     Submission Experience (2002-2007)

 To sell a drug , the FDA must approve a:
     • Biologics License Application (BLA), or
      • New Drug Application (NDA)                   Paper Submissions
 To sell a device, the FDA must approve a:          INDs (non-CTD and CTD)                   60
      • 510k, or                                     BLAs/NDAs/PMAs                           1
      • Pre-Marketing Approval (PMA)

To test a product in humans, the FDA                Electronic Submissions
 must allow an:                                      eINDs and related Amendments (non-CTD)   9
      • Investigational New Drug (IND) Application
                                                     eINDs and related Amendments (CTD)       14
 In 2009, FDA issued a guideline                    eBLAs/NDAs                               4
  (Guidance Document) for Common
  Technical Documents (CTDs)
      • CTDs are standards used by U.S., Japan,
       and Europe to expedite human studies

 FDA and other world bodies are rapidly moving towards electronic submissions –
  and away from paper
Commercial Sector:
                           Project Examples
Client                                     Project Summary

                                           On-site biologics training regarding vaccine manufacturing
Top-5 Public Pharmaceutical Firm (U.S.)
                                           technologies and regulatory compliance.
                                           Due diligence for strategic partnership. Evaluated raw material
                                           control, manufacturing, in-process control, specifications and
Top-5 Public Pharmaceutical Firm (Japan)
                                           analytical methods, cell bank status, and development and
                                           commercialization strategy. Alliance executed.

Top-5 Public Biotechnology Firm            Review and gap analysis of commercial stability programs.

Top-5 Public Biotechnology Firm            Process Validation Master Plan for pandemic flu.

                                           Developed a strategy and plan for writing a BLA for an assay to
Top-5 Drug Development Contract            screen injectable drugs, biologics, medical devices, and raw
Research Organization                      materials for the presence of bacterial endotoxin. Application
                                           received FDA approval. Assay currently marketed.

                                           Electronic publishing of their IVIG BLA in eCTD format for
Large, Private Device Firm
                                           submission to CBER, FDA.
                                           Craft Product Development Plan (PDP), including: (1) scale-up
Small, Private, Infectious Disease
                                           and validation, and (2) qualification/validation of the test
Biotechnology Firm
                                           methods for product characterization, and potency evaluation.
Government and Public Sector:
               Project Examples
Client                                      Project Summary

                                            Audit blood product manufacturing facility.
American Red Cross                          Assess current level of compliance with – and corrective actions
                                            regarding – applicable US regulatory requirements for licensure,

                                            Assess capabilities and needs for various clinical programs and
Major, World-wide Infectious Disease
                                            manufacturing facilities related to producing treatments for key
Foundation
                                            developing-world diseases.
                                            Regulatory support leading to the filing of an Investigation New
State of Texas’ University Research
                                            Drug (IND) application with the FDA for a phase 1 clinical trial of
System
                                            a virus-based treatment for Cystic Fibrosis.

National Institutes of Health’s Grand       Pre-clinical and clinical development support for medical
Program in Global Health                    investigators, to get promising research to human studies.

                                            Determine appropriate levels of quality systems for various
St. Jude Children’s Research Hospital       tissue-based therapies, and whether they adhere to FDA
                                            mandates.

Pan-Provincial Vaccine                      Product development support for initiatives involving several
Enterprise/University of British Columbia   potentially pandemic diseases.
BCG has Extensive, Comprehensive
      Consulting Expertise
        Consulting Areas:
  AUDITS AND INSPECTIONS                                                 PHARMACOLOGY/TOXICOLOGY
      •   Inspection of manufacturing facilities                            •   Program planning to support clinical
      •   Audit of system/process validation studies                            product development
      •   Evaluation of company Quality System                              •   Writing of the pharm/tox section of INDs,
                                                                                BLAs, NDAs
      •   Evaluation of company procedures
                                                                            •   Review and interpretation of toxicology
      •   Good Laboratory Practices (GLP) Audits                                study data with respect to potential risk
      •   Quality Systems Audits                                            •   Participation in due diligence programs for
                                                                                perspective new products
    CLINICAL DEVELOPMENT                                                   •   GLP audits
      •   Assistance in responding to questions                             •   Development of comparability protocol
          from FDA:                                                         •   Writing of product label
             »   Center for Biologics Evaluation and Research (CBER)
             »   Center for Drug Evaluation and Research (CDER)
                                                                            •   Recommendation/interface with toxicology
             »   Center for Devices and Radiological Health (CDRH)              Contract Research Organizations (CROs)
      •   Biostatistics                                                     •   Participation in FDA meetings
      •   Case Report Form (CRF) design
      •   Clinical Development Plan
      •   Clinical Development Support
      •   Investigator’s Brochure (IB) preparation
      •   Medical writing, grant preparation
      •   Phase I/II study design
      •   Protocol design and preparation
      •   Phase I study site selection
BCG has Extensive, Comprehensive
      Consulting Expertise
    PROCESS VALIDATION                                 •   Preclinical
      •   Evaluate process validation status            •   Regulatory
      •   Identifying critical process parameters and   •   Clinical Development
          designing appropriate validation studies      •   An integrated stand-alone document tying
      •   Apply statistical methods to the evaluation       all the four main areas of product
          of process validation data                        development with budgets, tasks, and
                                                            timelines through Phase 1 or beyond
      •   Assist in preparing process validation
          related submissions to CBER/CDER/CDRH
                                                        Why Develop a Product Development Plan?
      •    Validation Master Plan
                                                        • Planning is crucial at every stage of
      •   Facility Validation
                                                          development, particularly at the outset
             o   Equipment Validation
                                                        • Provides a concise detailed analysis of
             o   Utilities Validation                     your product and the roadmap to market
             o   Cleaning Validation
                                                        • Clearly states developmental objectives
                                                          and crucial milestones
    PRODUCT DEVELOPMENT                                • Presents a single (or multiple, if desired)
      •   A "roadmap" for your product's                  focused regulatory strategy for presenting
          development                                     your product to the FDA
      •   A concise, product-focused, strategic         • Presents strategies for dealing with
          document laying out the path to market          potential roadblocks and hurdles in the
          approval or licensure                           product development process
      •   A detailed analysis of your product status    • Lays out accurate and realistic budgets and
          and developmental requirements, including       timelines through clinical development
          the four primary aspects of product
          development:
      •   Manufacturing
BCG has Extensive, Comprehensive
      Consulting Expertise
    PROGRAM MANAGEMENT                              TRAINING PROGRAMS
       •   Prepare Product Development Plan
                                                            • Develop specific seminars and workshops
       •   Prepare Project Timeline
                                                            • BCG has offered courses such as:
       •   Provide oversight and ongoing quality
                                                                 o "The Biologics Approval Process”
           review and adjustment of project
                                                                 o “Systems Approach to Process
       •   Identify external contractors
                                                                     Validation”
       •   Pre-clinical, Clinical, and CMC coordination
                                                                 o “Clinical Study Documents –
       •   Central liaison with contractors and                      Regulatory Requirements and
           sponsor                                                   Review.”
       •   Monitoring of project resources, tasks
           and timeline
                                                         U.S. AGENT
       •   Preparation and management of budget
                                                            • U.S. Agent for filing INDs
       •   Provide project updates/reports
                                                            • U.S. Agent for Foreign Establishment
                                                               Registration and Listing
      REGULATORY SUPPORT
       •   Pre-IND and IND support
       •   BLA/NDA support
       •   Device support
       •   Electronic submissions
       •   Request for Orphan Drug designation
       •   Preparation of Drug Master Files
Summary

 Highly experienced experts from bench to market/patient

 FDA/Industry experience provides best of both perspectives

 Expertise covering a wide range all aspects of numerous major
  markets, including:
   –   Biologics
   –   Pharmaceuticals
   –   Medical devices
   –   Combination products
BCG Contacts


James G. Kenimer, PhD   Ronald A. Marchesani
CEO                     Head, West Coast Operations
jkenimer@bcg-usa.com    rmarchesani@bcg-usa.com



Corporate Office        West Coast Office
1317 King Street        1840 Gateway Drive,
Alexandria, VA 22134    Suite 200
www.bcg-usa.com         www.bcg-usa.com
P: 800-485-0106         P: 650-378-1303
   703-739-5695

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BCG Overview Of Services And Value Propositions 2010

  • 1. Overview of Services and Value Propositions 2010
  • 2. Q: Besides Being Blockbuster Products, What Do These Have in Common? $4.4B* $1.5B* Drug-eluting coronary stent $3.8B* $3.6B* A: Before they could be sold, approval was required by the Food and Drug Administration or associated regulatory agency outside the U.S. * 2008 annual sales
  • 3. Biologics Consulting Group: 17+ Years of Expertise in Helping Companies Move Technology into the Marketplace Facilitates and accelerates product development by: • Deep understanding of FDA regulations • Identification, design, and review of the key steps required for testing in man • Anticipation of land-mines in the road to commercialization • Practical advice and solutions tailored to a company’s product development plans Alexandria (Headquarters) Beijing Boston Raleigh San Francisco Tokyo
  • 4. BCG Offers Comprehensive Regulatory Strategic Planning Industries Services  Biologics  Audits and Inspections  Combination Products  Clinical Development  Devices  Pharmacology/Toxicology  Diagnostics  Process validation  Drugs  Product Development  Program Management  Regulatory Support All Major Markets, incl:  Training programs  Autoimmunity/Transplantation  U.S. Agent  Cancer  Cardiac disease  Diabetes/Metabolic disease  Infectious disease  Inflammatory disease  Neurological disease  Orthopedics
  • 5. Regulatory Affairs Impact Key Early Development Milestones Lead ID Proof-of-concept IND Basic Research Development Preclinical • Pre-IND support • Line development • Pre-clinical plan Pre-IND meeting with FDA • CMO selection • Clinical synopsis • Method development • CRO selection • Gap analysis • Development plan • Pre-IND Follow-up • Protocol Preparation • CMO/CRO Mgmt • Quality Systems Implementation • Method Qualification
  • 6. Regulatory Affairs Impact Key Clinical Development Milestones 1st-in-human P1 P2 BLA/NDA Clinical Development FDA Filing, Preclinical Approval & Phase 1 Phase 2 Phase 3 Launch Initial IND End of Phase 2 Market Safety submission meeting Application update submission • IND preparation • Ongoing submission • Clinical site selection • IND support • Clinical trial support Pre-BLA or -NDA meeting
  • 7. How big can we make our role? A Poor Regulatory Strategy Has a Significant, Negative Financial Impact CAUSE EFFECT ▼ Clinical Hold Private company: ▼ Refusal to file  Bridge financing may be needed ▼ Complete Response Letter  Down round may occur  Flat round may occur ▼ Warning Letter  IPO/M&A unlikely ▼ Bridging Studies ▼ New product Designation Public company:  Decreased market cap ▼ Comparability Studies  Secondary offering unlikely ▼ Clinical Supply Shortages  Loss of confidence by ▼ Non-approval public markets
  • 8. BCG Consultants Possess Extensive Regulatory Affairs Experience
  • 9. BCG Consultants Represent Both FDA and Industry Experience
  • 10. BCG: Continual Increase in Clients Served (2000-2008) Most projects come from: 439 • Word-of-mouth 397 • Referrals • Repeat business 312 265 Continual growth and increased 218 revenues for 16 straight years, 186 despite: 160 • No marketing department 115 • No sales department 77 • No business development department
  • 11. BCG Has Extensive, Successful Submission Experience (2002-2007)  To sell a drug , the FDA must approve a: • Biologics License Application (BLA), or • New Drug Application (NDA) Paper Submissions  To sell a device, the FDA must approve a: INDs (non-CTD and CTD) 60 • 510k, or BLAs/NDAs/PMAs 1 • Pre-Marketing Approval (PMA) To test a product in humans, the FDA Electronic Submissions must allow an: eINDs and related Amendments (non-CTD) 9 • Investigational New Drug (IND) Application eINDs and related Amendments (CTD) 14  In 2009, FDA issued a guideline eBLAs/NDAs 4 (Guidance Document) for Common Technical Documents (CTDs) • CTDs are standards used by U.S., Japan, and Europe to expedite human studies  FDA and other world bodies are rapidly moving towards electronic submissions – and away from paper
  • 12. Commercial Sector: Project Examples Client Project Summary On-site biologics training regarding vaccine manufacturing Top-5 Public Pharmaceutical Firm (U.S.) technologies and regulatory compliance. Due diligence for strategic partnership. Evaluated raw material control, manufacturing, in-process control, specifications and Top-5 Public Pharmaceutical Firm (Japan) analytical methods, cell bank status, and development and commercialization strategy. Alliance executed. Top-5 Public Biotechnology Firm Review and gap analysis of commercial stability programs. Top-5 Public Biotechnology Firm Process Validation Master Plan for pandemic flu. Developed a strategy and plan for writing a BLA for an assay to Top-5 Drug Development Contract screen injectable drugs, biologics, medical devices, and raw Research Organization materials for the presence of bacterial endotoxin. Application received FDA approval. Assay currently marketed. Electronic publishing of their IVIG BLA in eCTD format for Large, Private Device Firm submission to CBER, FDA. Craft Product Development Plan (PDP), including: (1) scale-up Small, Private, Infectious Disease and validation, and (2) qualification/validation of the test Biotechnology Firm methods for product characterization, and potency evaluation.
  • 13. Government and Public Sector: Project Examples Client Project Summary Audit blood product manufacturing facility. American Red Cross Assess current level of compliance with – and corrective actions regarding – applicable US regulatory requirements for licensure, Assess capabilities and needs for various clinical programs and Major, World-wide Infectious Disease manufacturing facilities related to producing treatments for key Foundation developing-world diseases. Regulatory support leading to the filing of an Investigation New State of Texas’ University Research Drug (IND) application with the FDA for a phase 1 clinical trial of System a virus-based treatment for Cystic Fibrosis. National Institutes of Health’s Grand Pre-clinical and clinical development support for medical Program in Global Health investigators, to get promising research to human studies. Determine appropriate levels of quality systems for various St. Jude Children’s Research Hospital tissue-based therapies, and whether they adhere to FDA mandates. Pan-Provincial Vaccine Product development support for initiatives involving several Enterprise/University of British Columbia potentially pandemic diseases.
  • 14. BCG has Extensive, Comprehensive Consulting Expertise Consulting Areas:  AUDITS AND INSPECTIONS  PHARMACOLOGY/TOXICOLOGY • Inspection of manufacturing facilities • Program planning to support clinical • Audit of system/process validation studies product development • Evaluation of company Quality System • Writing of the pharm/tox section of INDs, BLAs, NDAs • Evaluation of company procedures • Review and interpretation of toxicology • Good Laboratory Practices (GLP) Audits study data with respect to potential risk • Quality Systems Audits • Participation in due diligence programs for perspective new products  CLINICAL DEVELOPMENT • GLP audits • Assistance in responding to questions • Development of comparability protocol from FDA: • Writing of product label » Center for Biologics Evaluation and Research (CBER) » Center for Drug Evaluation and Research (CDER) • Recommendation/interface with toxicology » Center for Devices and Radiological Health (CDRH) Contract Research Organizations (CROs) • Biostatistics • Participation in FDA meetings • Case Report Form (CRF) design • Clinical Development Plan • Clinical Development Support • Investigator’s Brochure (IB) preparation • Medical writing, grant preparation • Phase I/II study design • Protocol design and preparation • Phase I study site selection
  • 15. BCG has Extensive, Comprehensive Consulting Expertise  PROCESS VALIDATION • Preclinical • Evaluate process validation status • Regulatory • Identifying critical process parameters and • Clinical Development designing appropriate validation studies • An integrated stand-alone document tying • Apply statistical methods to the evaluation all the four main areas of product of process validation data development with budgets, tasks, and timelines through Phase 1 or beyond • Assist in preparing process validation related submissions to CBER/CDER/CDRH Why Develop a Product Development Plan? • Validation Master Plan • Planning is crucial at every stage of • Facility Validation development, particularly at the outset o Equipment Validation • Provides a concise detailed analysis of o Utilities Validation your product and the roadmap to market o Cleaning Validation • Clearly states developmental objectives and crucial milestones  PRODUCT DEVELOPMENT • Presents a single (or multiple, if desired) • A "roadmap" for your product's focused regulatory strategy for presenting development your product to the FDA • A concise, product-focused, strategic • Presents strategies for dealing with document laying out the path to market potential roadblocks and hurdles in the approval or licensure product development process • A detailed analysis of your product status • Lays out accurate and realistic budgets and and developmental requirements, including timelines through clinical development the four primary aspects of product development: • Manufacturing
  • 16. BCG has Extensive, Comprehensive Consulting Expertise  PROGRAM MANAGEMENT  TRAINING PROGRAMS • Prepare Product Development Plan • Develop specific seminars and workshops • Prepare Project Timeline • BCG has offered courses such as: • Provide oversight and ongoing quality o "The Biologics Approval Process” review and adjustment of project o “Systems Approach to Process • Identify external contractors Validation” • Pre-clinical, Clinical, and CMC coordination o “Clinical Study Documents – • Central liaison with contractors and Regulatory Requirements and sponsor Review.” • Monitoring of project resources, tasks and timeline  U.S. AGENT • Preparation and management of budget • U.S. Agent for filing INDs • Provide project updates/reports • U.S. Agent for Foreign Establishment Registration and Listing  REGULATORY SUPPORT • Pre-IND and IND support • BLA/NDA support • Device support • Electronic submissions • Request for Orphan Drug designation • Preparation of Drug Master Files
  • 17. Summary  Highly experienced experts from bench to market/patient  FDA/Industry experience provides best of both perspectives  Expertise covering a wide range all aspects of numerous major markets, including: – Biologics – Pharmaceuticals – Medical devices – Combination products
  • 18. BCG Contacts James G. Kenimer, PhD Ronald A. Marchesani CEO Head, West Coast Operations jkenimer@bcg-usa.com rmarchesani@bcg-usa.com Corporate Office West Coast Office 1317 King Street 1840 Gateway Drive, Alexandria, VA 22134 Suite 200 www.bcg-usa.com www.bcg-usa.com P: 800-485-0106 P: 650-378-1303 703-739-5695