FWP 1 d859826dfwp.htm FWP FWP
Issuer Free Writing Prospectus
Filed Pursuant to Rule 433
Registration No. 333-201731
January 28, 2015
Opexa Therapeutics, Inc.
NASDAQ: OPXA
January 2015
The Woodlands, TX
Precision Immunotherapy
®


2
Free Writing Prospectus Statement
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3
Forward-Looking Statements
All
statements
in
this
presentation
other
than
those
of
historical
fact,
including
statements
regarding
our
preclinical
and
clinical
development
plans
for
Tcelna®
and
OPX-212,
our
research
and
other
development
programs,
our
ability
to
undertake
certain
activities
and
accomplish
certain
goals,
projected
timelines
for
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research
and
development
activities
and
possible
regulatory
approvals,
if
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expectations
regarding
the
relative
benefits
of
our
product
candidates
versus
competitive
therapies,
our
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parties
regarding
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product
candidates
or
research,
and
our
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and
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The
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“believe,”
“may,”
“will,”
“estimate,”
“continue,”
“anticipate,”
“design,”
“intend,”
“expect,”
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Actual
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without
limitation,
risks
associated
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of
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and
commercializing
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and
effective
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use
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human
therapeutics
and
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inherent
in
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business
around
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drugs.
Although
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believe
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expectations
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way
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level
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activity,
performance
or
achievements.
In
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Our
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S-1
initially
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10-K,
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and
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Reports
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web
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4
Opexa Investment Highlights
PIPELINE
Tcelna
®
: Phase 2b for secondary progressive multiple sclerosis (SPMS), limited
competition, $7BN overall market potential, encouraging prior trials (Phase IIb RRMS,
Phase I/II SPMS)
OPX-212: Pre-IND for neuromyelitis optica (NMO), no approved therapies, orphan
indication
TECHNOLOGY
VALIDATION
Precision immunotherapy for T-cell-mediated autoimmune diseases
Proprietary Platform: potential to yield multiple candidates personalized to each patient
Company owned and scalable cGMP manufacturing facility
Strong patent estate (98 domestic and international)
Option
agreement
secured
with
Merck
Serono
for
Tcelna
strong
potential
partner
FDA Fast Track designation for Tcelna in SPMS
Esteemed Scientific Advisory Board


5
Offering Summary
Issuer
Exchange/Ticker
Structure
Offering size
Subscription Price
Warrant structure
Oversubscription privilege
Use of proceeds
Co-managers
Opexa Therapeutics, Inc.
NASDAQ / OPXA
Rights Offering
Up to 28,776,419 Units
Each Unit composed of one share of common stock and one warrant
TBD
Range expected $0.65-$0.75
Exercise price: $0.50 per share from issuance through June 30, 2016; $1.50 per share from
July 1, 2016 through 3-year expiration
Redeemable for $0.01 per share upon certain conditions
Exercisable for cash unless no effective registration statement
Allocated pro rata up to available Units not purchased by other
holders, subject to limitations
Funding of ongoing Phase IIb Abili-T study in SPMS patients
Funding of preclinical and/or clinical development for OPX-212 in NMO
For general corporate purposes and operational purposes
Maxim Group
National Securities Corp.


6
Opexa Investment Thesis
Why a Rights Offering?
A successful rights offering would give Opexa sufficient capital
to fund operations through 2016.
Complete
the
ongoing
Phase
2b
clinical
trial
in
SPMS
and
release
data
Potentially initiate a Phase 1/2 trial with OPX-212 in neuromyelitis optica (NMO)
Background
Opexa has previously raised over $90 million, with most being invested in its T-cell immunotherapy platform.
Opexa has conducted two Phase 1 trials and is currently conducting its second Phase 2 trial having treated both RRMS
and SPMS patients with Tcelna. Over 400 individuals in total have been enrolled in Opexa’s clinical trials for Tcelna,
including the ongoing Phase 2b SPMS trial.
Current Phase 2b trial is designed to show whether Tcelna could improve clinical outcomes -
data expected in 2H 2016.
Enrollment of 190 patients in a randomized, placebo-controlled trial completed
The Company may apply for accelerated approval and breakthrough designation with the FDA following the completion of the
current
Phase
2b
trial
in
the
event
of
positive
results
(primary
endpoint-whole
brain
atrophy;
secondary-progression)
Fast Track Designation obtained from the U.S. FDA for Tcelna in SPMS.
In addition, the Company has further leveraged its platform to move into neuromyelitis optica (NMO), an orphan (rare)
disease with no FDA-approved treatments. This program is in the pre-IND stage.
Immunotherapy approaches have been validated and are increasingly being applied in oncology.
Opexa has been refining its approach for over a decade focusing on autoimmune diseases, specifically, Tcelna for MS.
Based, in part, on
data generated in prior MS trials, Merck Serono, a leading pharma company in MS, entered into an
option and license agreement with Opexa to potentially license Tcelna for MS, worldwide, excluding Japan. Should
Merck Serono exercise its option, they would fund any future Phase III studies and commercial activities with potential
milestone payments and royalties coming to Opexa upon success of
the program.


HOW DOES TCELNA WORK?
7


8
The Root Cause of Multiple Sclerosis
Adapted by permission from Macmillan Publishers Ltd:  NATURE REVIEWS
IMMUNOLOGY 3, 483-492 (June 2003), copyright (2003)
Cytokines
Damage
Damage
MS is an inflammatory disease in which the
insulating cover of the nerve fibers (the
myelin sheath) in the brain are damaged by
the body’s own immune system. There is no
cure for MS.
In MS patients, the faulty immune system is
unable to prevent the attack of myelin
reactive T-cells (MRTC)
MRTC cross the blood brain barrier, enter
the brain leading to a two pronged attack
through:
1.
Destruction of myelin sheath, the protective
coating of nerve fibers
2.
Destruction of oligodendroglial cells, which
are responsible for producing myelin
Myelin peptide
Activated T-
cells degrade Myelin and
Damage Myelin Producing  Cells


9
Tcelna Could Address the Root Cause of Multiple Sclerosis by
Preventing Demyelination and Enabling Remyelination
Adapted by permission from Macmillan Publishers Ltd:  NATURE REVIEWS
IMMUNOLOGY 3, 483-492 (June 2003), copyright (2003)
Opexa’s Strategy
Tcelna programs the immune system to
specifically
recognize only the damaging T-
cells (MRTC), thereby inhibiting further
destruction of the myelin sheath and
potentially enabling remyelination
Immune cells, including Tregs, have been
primed, or sensitized to specifically target
the pathogenic MRTC for elimination or
regulation
Elimination of harmful MRTC may lead to:
o
Stabilization of disease by preventing
further destruction of myelin
o
Improvement in condition by allowing
Oligondendroglial cells to remyelinate
axons (neuroprotection)


RESULTS AND EXPLANATION OF RRMS &
RESULTS AND EXPLANATION OF RRMS &
SPMS CLINICAL TRIALS
SPMS CLINICAL TRIALS
10


11
Business Strategy and Rationale for Pursuing
Secondary Progressive MS (SPMS)
Opexa
completed
a
Phase
2b
clinical
study
in
RRMS
patients
Although the primary MRI endpoint was not met, the clinical signal was encouraging
In a subset of more active RRMS subjects, patients treated with Tcelna saw a statistically
significant improvement in disability, and the therapy was safe and well tolerated
Opexa completed formal End of Phase 2 meetings with the FDA and obtained support to move
into Phase 3 studies in RRMS
In
separate
Phase
I/II
trials
in
SPMS
patients,
35
subjects
treated
with
Tcelna showed encouraging results
80% of patients showed no disease progression following two years of treatment
Substantial reduction in relapse rate following two years of treatment
One relapse observed in 21 years of cumulative patient follow up
No worsening in physical or psychological condition following two years of treatment
Well tolerated, no Serious Adverse Events
Strong interest from Key Opinion Leaders, clinical investigators, patients
and potential partners to advance in SPMS
Substantial unmet medical need in SPMS
Only one product currently approved for SPMS indication with limited use due to cardio toxicity
Novel, personalized T-cell approach differentiates Opexa from competition


12
Phase 2b RRMS prior clinical trial
Tcelna showed 37% improvement over placebo (mITT)
(secondary endpoint measurement, primary MRI endpoint measure not met)
n=94
n=48
37%
Total mITT population
n=142
0.214
0.339
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
37% Reduction in Annualized Relapse Rate (ARR)
Tcelna
Placebo


13
Phase 2b RRMS Prior Clinical Trial
Reversal of Disability in Prospective Analysis in More Active Patients
Sub-population of patients (n=50) with more progressed/active disease
profile (baseline ARR >1)
Statistically Significant
Improvement in Disability (p=0.045)
55% Reduction in ARR
Change in Disability (EDSS)
at Week 52
Annualized Relapse Rate (ARR) at week 52
2.4
2.23
2.2
2.39
2.10
2.15
2.20
2.25
2.30
2.35
2.40
2.45
Baseline                             Week 52
Tcelna
Placebo
(p=0.045)
0.28
0.63
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
Tcelna
Placebo
55%


14
Phase I/II SPMS Prior Clinical Trials
Tcelna Stabilizes Disease in SPMS at 2 Years
80%
of
patients
showed
no
further
disease
progression
by
EDSS
at
2
years
Historical Disease
Progression
Tcelna Open Label
(n=35)
*A small percentage of patients in pooled analysis showed an
improvement (i.e. decrease in progression)
**Historical control: ESIMS Study,
published Hommes Lancet 2004
80%
20%
40%
0%
20%
40%
60%
80%
100%
Stabilization vs. Historical Progression
Stable
Progressed


15
Tcelna in Secondary Progressive MS
Secondary Progressive MS market
potential in North America could
exceed $7 billion (for all therapies)
Roughly 150,000 SPMS patients in
North America
Only one drug approved for SPMS in
U.S. (none in EU or Asia)
-
Drug not suitable for chronic use
due to severe side effects
Tcelna being developed to be a
potential therapy of choice in SPMS
SPMS
450,000 Individuals in North America diagnosed with MS;
30-45 % potentially have an SPMS diagnosis
Market Size:
$7 Billion (est.)
Relapsing Remitting MS;
Clinically Isolated Syndrome;
Primary Progressive MS


16
Tcelna
Lead Program Targeting Secondary Progressive MS patients
Fast Track Designation by FDA
Phase 2b trial is fully enrolled: 190 patients with SPMS
Top line data expected in 2H 2016
Design
Double-blind, 1:1 randomized, placebo-controlled
35 clinical sites in USA and Canada
Two annual courses of personalized therapy
Efficacy Endpoints: Primary-Whole Brain Atrophy, Secondary-Disease
Progression
Immune Monitoring being conducted in parallel
Comprehensive biomarker analysis


17
Merck Serono Agreement
Agreement signed 2013; strong potential partner
Option and License Agreement for worldwide rights to all Multiple
Sclerosis indications, excluding Japan
If Merck Serono exercises option:
Merck Serono to fund any Phase 3, pre-commercial and commercial activities
Merck Serono obtains rights to develop Tcelna for all MS indications
Worldwide rights excluding Japan
Opexa received $5 million upfront option fee at signing
Opexa
has
potential
to
receive
additional
$220
million
in
option
exercise and milestone             
payments
Opexa has potential to receive royalties ranging from 8% to 15% of annual net sales, with
step-ups occurring if net sales exceed $500 million, $1 B & $2 B
Opexa maintains key rights
Development and commercialization rights to Tcelna in Japan
Certain manufacturing rights
Co-development funding option in exchange for increased royalties
Rights to all other disease indications


OPX-212:
NEUROMYELITIS OPTICA (NMO)
18


NMO: A Rare Disease with High Unmet Need and 
Significant Market Potential
Neuromyelitis optica (NMO) is a rare or orphan autoimmune
disease, affecting the optic nerves and the spinal cord
There are no FDA-approved therapies for NMO
Any therapy that could achieve tolerization of the AQP-4
reactive T-cells may offer a cure for NMO
Opexa retains world wide rights to OPX-212.  Product has
potential to generate $300-$500 million in peak sales, subject
to successful clinical development
IND filing expected in Mid 2015
Open label Phase I/II clinical trials expected to start in 2H
2015 (subject to IND acceptance and financing)
An orphan disease with no FDA-approved therapy
Image reprinted with permission from MultiView, Inc.
19


20
Recent and Upcoming Expected Milestones
2016
2017
2014
2015
1H
2017:
Top
line
results
expected from Phase I/II trial
with OPX-212 in NMO (subject
to IND acceptance and financing)
Mid-2015:
File
IND/CTA with US FDA
and/or Canadian health
authorities
2016/17:
Apply for orphan
and fast track designation for
OPX-212 in NMO
1H 2014:
Complete
enrollment in Phase
IIb SPMS study
2H 2014:
Initiate
second disease
indication: NMO
2H 2015:
Initiate Phase I/II
clinical study with OPX-212 in
NMO (subject to IND
acceptance and financing)
2H
2016:
Results
from
Immune Monitoring
(biomarker) program
expected
2H
2016:
Top
Line
results expected in
Phase IIb SPMS trial
20


21
Experienced Management Team and Board of Directors
Neil Warma, President & CEO, Director
19+ years international healthcare experience with large Pharma and emerging
biotechnology companies
Former Senior Management, Novartis Pharmaceuticals, Basel, Switzerland
Former CEO, Viron Therapeutics, Inc.
Co-founder and President of MedExact Inc., a company subsequently acquired
Karthik Radhakrishnan, Chief Financial Officer
10+ years of health care capital markets experience
Formerly, Vice President at ING Investment Management
MBA, MS in Engineering, CFA charter holder
Don Healey, Ph.D., Chief Scientific Officer
25+ years of experience in cellular immunology and immune regulation
Former Director of Immunology, Argos Therapeutics
Donna Rill, Chief Development Officer
30 years in cell and gene therapy research and clinical application
Designed and validated cGMP Cell & Gene Therapy Laboratories, Vector
Production facilities, and Translational Research Labs
Kenny Frazier, VP of Clinical Dev. and Regulatory
Affairs
25+ years of extensive clinical and regulatory experience
Formerly, Head of Clinical Operations, Lexicon Pharmaceuticals and Tanox,
Inc.
Board of Directors
Timothy Barabe
Board member of Arqule, Inc.; Former
CFO of Affymetrix, Human Genome
Sciences, Inc., Regent Medical UK and
Sandoz  GmbH
Dr. Hans-Peter Hartung
Chair of Neurology at Heinrich-Heine
University, Germany; Executive Board
member of ECTRIMS
Gail J. Maderis
CEO, BayBio, Former CEO of Five
Prime Therapeutics, Founder of
Genzyme Molecular Oncology
Michael S. Richman
CEO, Amplimmune
Scott B. Seaman
Executive Director,
Alkek Foundation
Neil K. Warma
President & CEO, Opexa


22
SPMS Scientific Advisory Board
Dawn McGuire, M.D., FAAN (Chair)
Advisory Council of the Gill Heart Institute
Former Vice President of Clinical Research at Elan Pharmaceuticals
Hans-Peter Hartung, M.D
Chair of Neurology at Heinrich-Heine University, Düsseldorf
Executive Board member of ECTRIMS, World Health Organization Advisory Board on MS
Mark S. Freedman, M.D.
Director of the Multiple Sclerosis Research Unit at Ottawa Hospital
Multiple Sclerosis Society of Canada, National MS Society (USA)
ACTRIMS committee member
Clyde Markowitz, M.D.
Director of MS Center at the University of Pennsylvania
Doug Arnold, M.D.
James McGill Professor Neurology and Neurosurgery at the Montreal Neurological Institute
Edward Fox, M.D., Ph.D.
Director of Multiple Sclerosis Clinic of Central Texas
Advisory Committee, Lone Star Chapter of the National Multiple Sclerosis Society


APPENDIX
APPENDIX
23


IMMPATH
:
PROPRIETARY DRUG DEVELOPMENT PLATFORM
24
®


25
Personalized T-cell vaccines
Consisting of Attenuated Antigen Specific T-cell Clones
Opexa identifies the exact T-cell
responsible for T-cell-mediated
autoimmune damage, expands the T-cells
in cGMP facility
Therapeutic dose of attenuated T-cell
clones is injected subcutaneously
Immune system recognizes the large
volume of cells (30-45 million) under the
skin as potential foreign pathogens
Attenuated T-cells believed to trigger an
immune response specifically targeting
circulating pathogenic reactive T-cells
Tcelna: lead product candidate in Phase 2b
trial for secondary-progressive multiple
sclerosis
Tcelna
®
Personalized T-cell Vaccine


26
Business Differentiator: Manufacturing Process
Designed for commercialization, Owned and managed by Opexa
Cryopreservation
Formulation/
Irradiation of each
dose as required
Administration: 5
subcutaneous
injections/year
Manufacturing and QC
Dispensation
35 days
Epitope Profiling
1 day
14 days
-
Red Cross
-
Blood Group Alliance
Epitope Profiling
Expansion of antigen specific T-cells
Annual
course
of
treatment
is
5
doses
manufactured
from
a
single
procurement


27
Comprehensive Process to Determine Optimal Additional
Indications Beyond Secondary-Progressive MS
Evaluation Criteria
Short List of
Diseases
Potential Disease
Targets off Platform
First Disease Target
NMO
Unmet medical need
Competitive landscape
Disease incidence
Single antigen immunity
Multiple antigen immunity
Likely duration of Phase 1/2 clinical trial
Likely cost of Phase 1/2 clinical trial
Clinical endpoint
Efficacy biomarker known
Animal model available
Addison’s disease
Autoimmune hemolytic anemia
Celiac  Disease
Goodpasture’s syndrome
Grave’s Disease
Hashimoto’s thyroiditis
Idiotypic thrombocytopenic purpura
Myasthenia Gravis
Neuromyelitis Optica (NMO)
Pemphigus vulgaris/foliaceus
Primary Biliary Cirrhosis
Rheumatic heart disease
Systemic lupus erythematosus
Sjögren’s syndrome
Type 1 Diabetes