 2007 Bone Medical Ltd. CONFIDENTIAL Paul Hopper Executive Chairman March 2007.

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Presentation transcript:

 2007 Bone Medical Ltd. CONFIDENTIAL Paul Hopper Executive Chairman March 2007

 2007 Bone Medical Ltd. CONFIDENTIAL 2 This presentation contains forward-looking statements that involve risks and uncertainties. These forward- looking statements are not guarantees of Bone Medical Limited’s future performance and involve a number of risks and uncertainties that may cause actual results to differ materially from the results discussed in these statements. Factors that might cause the Company’s results to differ materially from those expressed or implied by such forward-looking statements include but are not limited to, development and commercialisation of the Company’s product portfolio; development or acquisition of additional products; and other risks and uncertainties. Bone Medical Limited undertakes no duty to update any of these forward-looking statements to confirm them to actual results. Safe Harbour Statement

 2007 Bone Medical Ltd. CONFIDENTIAL 3 Corporate Overview Founded December listed on Australian Stock Exchange (ASX:BNE) Novel, proprietary oral drug delivery technology for musculoskeletal disease Phase I / 2a clinical trial for oral calcitonin- Capsitonin  - completed Phase I clinical study for oral parathyroid hormone- Perthoxal  completed Market Cap (March 2007): A$ 23 million (33 cents per share) Shares Outstanding: 70,894,433 (Ordinary); 9,999,204 (Preferred C); 7,264,041 (Options) Over A$7.5 million invested to date developing two core compounds Approximately A$0.4 million cash on-hand

 2007 Bone Medical Ltd. CONFIDENTIAL 4 Successful 2006 Raised $1.8m Nov 2006; Submitted Phase 2 oral sCT clinical trial protocol for Ethics approval in Qld; Submitted two Phase 1& 2 Study protocols for sCT & Perthoxal (PTH) for Ethics approval in Brazil; Research report by CCZ; Advanced pre-clinical animal studies on promising TNF down-regulator for rheumatoid arthritis in Germany & UK; Strengthened Board & management; Receipt of Australian Govt grants totaling A$791K Growing focus on UK & Europe;

 2007 Bone Medical Ltd. CONFIDENTIAL 5 Sources: International Osteoporosis Foundation, CDC, Mayo Clinic, NIAMS, National Center for Chronic Disease Prevention and Health Promotion Osteoporosis - sCT & PTH  Approximately 200 million women worldwide  Incidence is expected to “double” in the next 50 years  Estimated US$40 billion spent in USA and Europe Osteoarthritis - sCT & TNF  Over 20 million people in the U.S. alone  Most common form of arthritis, approximately 5-10% of population will develop Market Opportunity

 2007 Bone Medical Ltd. CONFIDENTIAL 6 Competitor Drugs PRODUCTFORMULATONTHERAPEUTIC CLASS SALES -US$ 2005 MARKETER MiacalcinInhaledCalcitonin$275mNovartis ForteoSQ InjectionParathyroid Hormone $402mEli Lilly FosamaxOral TabletBisphosphonate$2,075mMerck ActonelOral TabletBisphosphonate$1,058mP&G EvistaOral TabletEstrogen Modulator $709mEli Lilly

 2007 Bone Medical Ltd. CONFIDENTIAL 7 BNE’S Advantage Oral forms of injectable drugs using proprietary delivery without changing the drug

 2007 Bone Medical Ltd. CONFIDENTIAL 8 Formulated as a dry powder in an enteric coated capsule – simple and cheap to manufacture Capsule protects therapeutic peptides (sCT and PTH) from gastric degradation Capsule contents released in the jejunum in an area with neutral pH Technology utilizes existing approved substances – no NCE involvement Opportunity for rapid 505(b)(2) NDA submission Formulated as a dry powder in an enteric coated capsule – simple and cheap to manufacture Capsule protects therapeutic peptides (sCT and PTH) from gastric degradation Capsule contents released in the jejunum in an area with neutral pH Technology utilizes existing approved substances – no NCE involvement Opportunity for rapid 505(b)(2) NDA submission Proprietary oral drug delivery technology Novel Oral Formulation Enteric coating to protect against stomach acids Capsule Contents: Drug, stabilizer, solubilizer, (GRAS pharmaceutical excipients) Surface of intestine ● ● ● ● ● ● ● ●● ● ● ●● ● ● ● ● ● ● ●●●● ●● ● ● ● ● ● ● Capsule contents Improved transcellular absorption

 2007 Bone Medical Ltd. CONFIDENTIAL 9 Lead Compound-sCT Mechanism of Action:  Calcitonin aids in the maintenance of bone structure by interfering with osteoclast activity. Current Route of Administration  Nasal spray or injectible Use/Indication:  Osteoporosis Side Effects:  Mild joint ache, headache Capsitonin  Oral Capsule (synthetic salmon calcitonin peptide) Synthetic peptide of salmon calcitonin “Calcitonin has been used safely as a treatment for osteoporosis for over 30 years!”- currently approved as an injection or nasal spray

 2007 Bone Medical Ltd. CONFIDENTIAL 10 Pre-IND minutes received Feb 2005 Meeting focused on sCT as treatment for osteoporosis Bioequivalence development path and 505(b)(2) regulatory review process discussed Current Phase 2 trial will compare oral sCT with nasal spray (to demonstrate bioequivalence) Complete dose-ranging study & toxicology study FDA- Capsitonin Meeting

 2007 Bone Medical Ltd. CONFIDENTIAL 11 This route permits companies to obtain FDA approval of new drug applications (NDAs) by relying, in part, on the FDA’s findings for a previously approved drug; Examples of drugs which would fall under 505(b)(2) include changes in route of administration such as Bone’s sCT & PTH, dosage & formulation, modified active ingredient, or new indication for previously approved drugs; Drugs appropriate for the 505(b)(2) pathway avoid lengthy, costly and in many cases, repetitive preclinical and clinical trials The 505(b)(2) - an NDA that Saves Time & Money

 2007 Bone Medical Ltd. CONFIDENTIAL 12 BACHEM - reliable, high quality sCT vendor Established dedicated to peptides since formation World’s largest peptide producer Six locations: three FDA approved cGMP manufacturing sites (one in USA, two in Switzerland) 575 employees

 2007 Bone Medical Ltd. CONFIDENTIAL 13 Lead Compound-PTH Perthoxal  Oral Capsule (synthetic parathyroid hormone peptide) Synthetic peptide of the human hormone Mechanism of Action:  A controlling agent for maintaining normal calcium levels in the blood for strong formation of new bone. Route of Administration:  Injectible Use/Indication:  Osteoporosis Side Effects:  Some leg cramps, mild headache “The bone forming effects of parathyroid hormone have been known for 70 years!”

 2007 Bone Medical Ltd. CONFIDENTIAL 14 UK company using the Axcess oral peptide delivery technology Oral formulation of another peptide Same delivery formulation as Capsitonin Enteric coated capsules Repeat dose Phase 2 study in 16 patients underway After 12 day repeat dose and clamp study data” Trial costing in excess of A$600,000 Soon to announce results exceeding pre trial expectations Axcess Progress – Increases confidence in BML current repeat dose Capsitonin Study

 2007 Bone Medical Ltd. CONFIDENTIAL 15 Upcoming Clinical Trials Capsitonin – Currently enrolling for Phase 2 repeat-dose, dose-ranging study in 35 subjects– Q-Pharm, Queensland Capsitonin – Ethics approval expected shortly for single-dose formulation & dosing study in 8 subjects; Q – Brazil Perthoxal – Ethics approval expected shortly for single-dose formulation & dosing study in 8 subjects; Q – Brazil

 2007 Bone Medical Ltd. CONFIDENTIAL 16 Potential treatment for rheumatoid arthritis (RA) – over-expression of TNF can destroy cartilage in RA Oligopeptide structured using a patented peptide scaffold Recent experiments carried out in Germany with BNE collaborator, Synovo, demonstrated ability to inhibit production of TNF in rat model, confirming earlier Australian results New collaboration announced with Kennedy Institute in London world leaders in anti TNF blockade TNF Down-Regulator- BN006

 2007 Bone Medical Ltd. CONFIDENTIAL 17 Bone Medical has been granted exclusive worldwide rights to oral drug delivery technology in the field of musculoskeletal disease under three patent pending applications for each product: the use of aromatic alcohols to enhance the uptake of peptides across the small intestine; pharmaceutical compositions containing certain proportions of aromatic alcohols; and methods of solubilisation. Intellectual Property

 2007 Bone Medical Ltd. CONFIDENTIAL 18 Non-Executive Director Barry Walker M.D. Key Management International BD Director Tim Earle VP Clinical & Regulatory Tony Lockett, M.D. Board of Directors R&D, formulation, product development Proxima Concepts, Cortecs, Biocompatibles Capitalization, governance, business development Vaccinoma Inc, Innovate Oncology, AustCancer Finance, accounting, corporate administration Retail, manufacturing, biotech Business development and corporate finance Biorex R&D, VIMRx Pharmaceuticals, PA R&D, clinical development, regulatory Covance, Parke-Davis Non-Executive Director Troels Jordansen Director & Corp Sec Gabriel Chiappini Australian Director Corporate Finance, Investment Banking

 2007 Bone Medical Ltd. CONFIDENTIAL 19 Business Strategy Minimal infrastructure cost and savings Corporate / management focus Rapidity to market and market up-take Minimize infrastructure build & capital needs Broaden drug pipeline and product offerings Increase revenues and corporate growth “Hybrid” distribution & promotion 2 2 Partner Capsitonin & Perthoxal (out-license and/or co-promotion) “Hybrid” distribution & promotion 2 1 Outsource clinical development & manufacturing Selectively develop analogs & acquire oncology compounds “Hybrid” distribution & promotion 2 3 Selectively develop and out-license compounds in pipeline

 2007 Bone Medical Ltd. CONFIDENTIAL 20 No molecule risk for sCt & PTH -FDA APPROVED DRUGS Two products in clinical trials: Rapid regulatory process: potential bioequivalence &/or 505(b)(2) NDA submissions Multi-billion dollar market opportunity(s) Unique oral formulation technology with no NCE involvement Balanced portfolio between lower-risk drug delivery programs and potential breakthrough future treatments Experienced management driving low-cost business model Why Bone Medical?

 2007 Bone Medical Ltd. CONFIDENTIAL 21 USA Nasdaq - Biotechs CompanyLead Clinical Phase Market Cap (US$) A($)m EmisphereII150m210m UnigeneII200m278m NPS Pharmaceuticals II-III200m278m NastechIII285m358m Mean Value A$300m

 2007 Bone Medical Ltd. CONFIDENTIAL 22 Complete Qld & Brazil trials for sCT End-of-Phase 2 meeting with FDA for sCT Complete Brazil trial for PTH Develop out-licensing discussions Submit further Govt grant applications Enhance SAC & management TNF down-regulator results from Kennedy institute, London (Imperial College) Appointment of Australian broker -CCZ- & build relationships with institutional investment community Value opportunity against US comparisons Year Ahead – Value Drivers

 2007 Bone Medical Ltd. CONFIDENTIAL 23 Proxima Concepts 61.4% Hall Phoenix 11.6% Piruniw Trustee 4.1% Top 20 shareholders own 88.74% Share Register

 2007 Bone Medical Ltd. CONFIDENTIAL 24 Paul Hopper Executive Chairman Cell: (San Diego, CA) Office: (San Diego, CA) Mble: (Australia) Contact

 2007 Bone Medical Ltd. CONFIDENTIAL 25 Contact Leon Ivory Director Mobile: (Western Australia) Ed Daquino Chief Financial Officer Head Office Suite 2, 1 Sarich Way Technology Park, Bentley Western Australia 6102 Ph: Fax:

 2007 Bone Medical Ltd. CONFIDENTIAL 26 Abridged Data Pack March 2007

 2007 Bone Medical Ltd. CONFIDENTIAL 27 Capsitonin  - Phase 1/2a Study Objective and Location  Phase 1/2a open label safety & tolerability and preliminary efficacy / activity  Undertaken at St. Georges Hospital, London in 2004 Study Design  12 post-menopausal, female volunteers; 6-hour study period  Sequential, cross-over design 1.Positive control (Miacalcin  Nasal) – active comparator iu Capsitonin  iu Capsitonin   Measurement of key biomarkers: serum calcitonin, serum CTX, and blood calcium

 2007 Bone Medical Ltd. CONFIDENTIAL nasal 200iuoral 1250iuoral 2500iu Percent fall in plasma calcium Time (hours) 0 12 Falls in Plasma Calcium at Time 12 hours after Administration of Capsitonin 

 2007 Bone Medical Ltd. CONFIDENTIAL 29 Mean Falls Over Time in CTX Bone-Turnover Marker in Subjects Receiving Capsitonin  oral 1250 oral 2500 threshold from literature for untreated subjects time after administration (minutes) Percent reduction in collagen telopeptide

 2007 Bone Medical Ltd. CONFIDENTIAL 30 Capsitonin safe and well-tolerated in study volunteers The study has clearly demonstrated oral delivery of biologically active calcitonin Changes in serum CTX levels were statistically significant compared to historical controls Pharmacodynamic trend seen in calcium reductions at 12-hour measurement Capsitonin  Phase 1/2a Conclusions

 2007 Bone Medical Ltd. CONFIDENTIAL 31 Perthoxal  - Phase 1 Study Objective  Phase 1 open label safety & tolerability study and preliminary pharmacodynamic effects Study Design  18 post-menopausal, female volunteers  Sequential, cross-over design (12 of 18 patients only) of two different formulations of Perthoxal  1.Positive control (s.c. injected PTH) – active comparator 2.Formulation (1) 400ug Perthoxal  3.Formulation (2) 400ug Perthoxal   Measurement of key biomarker: serum calcium concentration

 2007 Bone Medical Ltd. CONFIDENTIAL 32 Mean Changes in Calcium Relative to Placebo in 8 Subjects Receiving Forteo or Axcess Plasma calcium (mmol/l) Time (minutes) Independent means t-test on AUCs: p = 0.03 Bayesian analysis: significant effect with 94% confidence limits

 2007 Bone Medical Ltd. CONFIDENTIAL 33 Study Results / Outcomes  The study showed that Perthoxal  was able to be delivered safely and that measurable amounts of calcium were able to be detected in serum One Perthoxal  formulation showed increased levels of measurable calcium  Both Perthoxal  formulations were shown to be safe and well tolerated

 2007 Bone Medical Ltd. CONFIDENTIAL 34 BN006 – TNF Down-Regulators Rheumatoid arthritis – auto-immune destruction of soft tissue lining the joints TNF-α – multifunctional cytokine with major role in inflammation Use of antibodies to reduce TNF levels has been an effective therapy, but  very expensive  problematic chronic effects of TNF ablation Bone’s in-licensed Mozaic technology used to:  discover novel combinations of amino acids that bind to cell surface receptors to down-regulate TNF-α production Bone’s in-licensed Lexcicon technology used to:  convert these entities into structured oligopeptides Result is a family of new therapeutic entities

 2007 Bone Medical Ltd. CONFIDENTIAL 35 BN006 – Preclinical Studies An in vivo study in rats has shown:  Markedly reduced levels of TNF  no signs of pathology arising from the use of the novel oligopeptide  lower peritoneal leukocyte numbers in treated animals An in vitro study of the mechanism of action showed a suppression in mRNA levels likely to lead to suppression of genes required for TNF-α production

 2007 Bone Medical Ltd. CONFIDENTIAL 36 TNF levels in LPS-stimulated Rats: Reduction after Administration of BN006 Lead Molecule VehicleLexicon 2.6 Error bars = s.e.m. Student t test: p = Plasma TNF (pg/ml)

 2007 Bone Medical Ltd. CONFIDENTIAL Con Control TNF in supernatant of cultured T cells (pg/ml) TNF in supernatant of J774 macrophages (pg/ml) Concentration of Lead Molecule in wells (ug/ml) No inhibition of TNF secretion from stimulated T cells observed TNF secretion from macrophages inhibited in dose-related manner Lead Candidate Acts on Macrophages, but not T cells: Functioning of Immune System Unimpaired