EX-99.1 2 d615477dex991.htm EX-99.1 EX-99.1
Company Overview
Investor Presentation
October 2018
Exhibit 99.1


2
Important Information
For Investor Use
The information in this presentation does not contain all of the information that a potential investor should review before investing in Aerie shares. The descriptions of Aerie
Pharmaceuticals, Inc. (the Company or Aerie) in this presentation are qualified in their entirety by reference to reports filed with the SEC. Certain information in this
presentation has been obtained from outside sources or anecdotal in nature. While such information is believed to be reliable for the purposes used herein, no representations
are made as to the accuracy or completeness thereof and we take no responsibility for such information.
Any discussion of the potential use or expected success of Rhopressa
®
(netarsudil ophthalmic solution) 0.02%, with respect to foreign approval or additional indications, and our
current or any future product candidates is subject to regulatory approval. In addition, any discussion of U.S. Food and Drug Administration (FDA) approval of Rhopressa
®
does
not guarantee successful commercialization of Rhopressa
®
or FDA approval of Roclatan
TM
. For more information on Rhopressa
®
, including prescribing information, refer to the full
Rhopressa
®
product label at  www.rhopressa.com.
The information in this presentation is current only as of its date and may have changed or may change in the future. We undertake no obligation to update this information in
light of new information, future events or otherwise. We are not making any representation or warranty that the information in this presentation is accurate or complete.
Certain statements in this presentation, including any guidance or timelines presented herein, are forward-looking statements within the meaning of the federal securities
laws. Words such as may, will, should, would, could, believe, expects, anticipates, plans, intends, estimates, targets, projects, potential or similar
expressions are intended to identify these forward-looking statements. These statements are based on the Companys current plans and expectations. Known and unknown
risks, uncertainties and other factors could cause actual results to differ materially from those contemplated by the statements. In evaluating these statements, you should
specifically consider various factors that may cause our actual results to differ materially from any forward-looking statements. In particular, FDA approval of Rhopressa
®
does
not constitute approval of Roclatan, and there can be no assurance that we will receive FDA approval for Roclatan or any future product candidates. Any top line data
presented herein is preliminary and based solely on information available to us as of the date of this presentation and additional information about the results may be disclosed
at any time. In particular, FDA approval of Rhopressa
®
does not constitute FDA approval of Roclatan, and there can be no assurance that we will receive FDA approval for
Roclatan or any future product candidates. FDA approval of Rhopressa
®
also does not constitute regulatory approval of Rhopressa
®
in jurisdictions outside the United States
and there can be no assurance that we will receive regulatory approval for Rhopressa
®
in jurisdictions outside the United States. Our receipt of a Prescription Drug User Fee Act
(PDUFA) goal date notification for Roclatan does not constitute FDA approval of the Roclatan New Drug Application (NDA), and there can be no assurance that the FDA
will complete its review by the PDUFA goal date of March 14, 2019, that the FDA will not require changes or additional data that must be made or received before it will approve
the NDA, if ever, or that the FDA will approve the NDA.  In addition, the preclinical research discussed in this presentation including, without limitation, the development efforts
stemming from Aeries collaboration with DSM for the treatment of age-related macular degeneration or other ophthalmic uses, is preliminary and the outcome of such
preclinical studies may not be predictive of the outcome of later trials. Any future clinical trial results may not demonstrate safety and efficacy sufficient to obtain regulatory
approval related to the preclinical research findings discussed in this presentation. These risks and uncertainties are described more fully in the quarterly and annual reports
that we file with the SEC, particularly in the sections titled Risk Factors and Managements Discussion and Analysis of Financial Condition and Results of Operations. Such
forward-looking statements only speak as of the date they are made. We undertake no obligation to publicly update or revise any forward-looking statements, whether because
of new information, future events or otherwise, except as otherwise required by law.


3
Aerie IOP–Reducing Products (IP 2030+)
Pipeline Activities
Rhopressa
®
24-hour IOP reduction, normal tension glaucoma, etc.
Retina
Program
AR-13503
and
AR-1105
implants
Sustained Release / Implant Manufacturing Platform
Beyond
Ophthalmology
potential
for
Aerie-owned
molecules
Rhopressa
®
(netarsudil ophthalmic solution) 0.02%
Successfully launched in U.S. April 30, 2018
Roclatan™ (netarsudil / latanoprost ophthalmic solution) 0.02% / 0.005%
U.S. NDA accepted, PDUFA set for March 14, 2019
Aerie Overview
Data on file
For Investor Use
Globalization
Plan
Under
Way
Europe
and
Japan


Rhopressa
®
: Market Perspective
Refer
to
the
full
Rhopressa
®
product
label
at
www.rhopressa.com
For Investor Use
-
~$3B Market, 37M TRx, 61M bottles
-
Half of volume first-line (PGAs)
-
Half of volume 2-3X/Day Adjuncts
-
New drug class per drug databases
-
Once-daily
dosing
directed
at
site
of
pathology,
the
trabecular
meshwork
-
Consistent
IOP
reduction
over
12
months
and
across
all
IOPs
tested,
as  
demonstrated in clinical trials     
2017 U.S. Glaucoma Market
Rhopressa
®
: HCP’s Positioning as Concomitant Therapy
Graph
Source:
IQVIA
TRx
Data
CAI: Carbonic Anhydrase Inhibitor
AA: Alpha Agonist
BB: Beta Blocker
Lumigan
8%
Travatan
7%
Latanoprost
37%
BB 13%
Fixed
Combo
15%
AA
10%
CAI
10%
4


5
5
Rhopressa
®
Formulary Coverage Increasing
For Investor Use
25%
40%
12%
40%
55%
45%
Preferred Tier
Non-preferred Tier
As of 10/01/18:
~85% of Commercial Lives Covered
~40% Medicare Part D Lives Covered
------------Commercial-------------
-----------Medicare Part D---------
9/01/18                    10/01/18                    9/01/18                  10/01/18


6
Rhopressa
®
U.S. Launch Update
Weekly IQVIA Total Rx’s and Extended Units:
For Investor Use
Week 24: 9/21/18
*Holiday Weeks
**Actual
bottles
dispensed
exceed
TRx’s
due
to
extended
supply
plans
(e.g.,
90
days’
supply)
Rhopressa
®
has not been approved by any regulatory authority other than the FDA.
Week Ending 9/30/18:
Wholesaler Shipments
to Pharmacies = 5,876


7
7
Early
Rhopressa
®
Feedback
Physician Examples:
End-stage glaucoma patient at brink of needing surgery. Patient on
maximal medical therapy (PGA/Combo/CAI) with IOP of 18 mmHg.
Added Rhopressa
®
and IOP dropped to 13 mmHg, avoiding surgery.
Patient on maximal drug therapy and inadequately controlled at 16
mmHg, with patient requiring surgery as next step. Patient IOP reduced
to 12 mmHg with Rhopressa
®
and surgery canceled.
Physician added Rhopressa
®
to a patient on two medications, and
Rhopressa
®
reduced IOP from 42 mmHg to 9 mmHg.
Patient on first-line and adjunct, physician replaced previous adjunct with
Rhopressa
®
and reduced IOP from 24 mmHg to 15 mmHg.
For Investor Use
Observations on file are anecdotal, do not reflect the results of clinical trials, and are not necessarily
indicative of the entire population


8
Active Engagement at Key Conferences
American Glaucoma
Society (AGS)
March 2018
American Society of
Cataract and Refractive
Surgeons (ASCRS)                  
April 2018
Association of
Research in Vision
and Ophthalmology
(ARVO)              
April 2018
European Glaucoma
Society (EGS)
Florence, May 2018
&
European Society of
Cataract and Refractive
Surgeons
(ESCRS)
Vienna, September
2018
For Investor Use


Roclatan
TM
(netarsudil / latanoprost ophthalmic solution) 0.02% / 0.005%
Positioning as First Line Therapy:
Benefits
of
Rhopressa
®
while
also
targeting
the
secondary
drain
Achieved statistical superiority to market-leading latanoprost
-
At each of nine time points in each of the two Phase 3 trials
We
believe
it
may
have
the
potential
to
become
the
most
efficacious
IOP-reducing
medication
for
glaucoma
or
ocular
hypertension,
if
approved
Roclatan
TM
Combination
Product
Candidate
For Investor Use
PDUFA Date Set for March 14, 2019
9
Data
on
file
Roclatan
has
not
been
approved
by
the
FDA


10
Roclatan
Efficacy and Safety
Efficacy:
Roclatan
demonstrated statistical superiority over its components (market-
leading PGA latanoprost and Rhopressa
®
) in Mercury 1 and 2 Phase 3 trials, at
all measured time points
Consistent incremental IOP-reduction over latanoprost and Rhopressa
®
in the
range of 1 to 3 mmHg
Safety:
No treatment-related serious adverse events and minimal evidence of
treatment-related systemic effects. The most common adverse event is
conjunctival hyperemia with ~60% incidence, majority mild and sporadic and
present in 20% of subjects at baseline
Other ocular AEs occurring in ~5-15% of subjects receiving Roclatan
included: cornea verticillata, conjunctival hemorrhage, eye pruritus, lacrimation
increased, visual acuity reduced, blepharitis and punctate keratitis 
Data on file                                                                                                                  
For Investor Use
TM
TM
TM


11
Roclatan
Phase 3 Month 12 Responder Analysis:
Goal is to Achieve Lowest IOP Possible
At Month 12:  % of Patients
with IOP Reduced to 18 mmHg or Lower
*p<0.05, **p<0.01, ***p<0.0001
++
Data on File
Based on Mercury 1 Interim Analysis 2
For Investor Use
TM


12
Roclatan™ Next Steps
Roclatan
NDA submission accepted, with March 14, 2019
PDUFA
Current U.S. sales force will be trained on Roclatan
in  
advance of PDUFA
Commercial formulary access expected to be finalized
post-approval
Medicare Part D formulary submission to payers expected
in April 2019
For Investor Use
TM
TM


13
Expanding Aerie Franchise: Europe and Japan
Europe (2017 Europe “Big 5” Glaucoma Market: 91M units per year, 1.5X U.S.
units)
Expect to file MAA for Rhopressa
®
in 2018
Current clinical plan expected to satisfy European regulatory requirements
(including Rocket 4 for Rhopressa
®
and Mercury 3 for Roclatan
)
Mercury 3: 6-month safety and 90-day efficacy registration trial comparing
Roclatan
for non-inferiority to a fixed-dose combo in Europe (Ganfort
®
)
Construction of Ireland Plant in process to support worldwide commercial
supply
Japan (2017 Glaucoma Market: 54M units per year)
Advancing clinical development on our own, establishing branch office in Tokyo
Phase 1 completed and Phase 2 under way in the U.S. on Japanese and
Japanese-Americans; additional Phase 2 to commence in Japan
Phase 3 trials expected to be conducted in Japan
For Investor Use
TM
TM


Europe Glaucoma Market:
Aerie Expects to Commercialize on Its Own (if approved)
“Big
5”
Europe
Glaucoma
Market
2017
$1.0B; 91M TRx*, Market Share in TRx
PGA: Prostaglandin Analogue; BB: Beta Blocker; AA: Alpha Agonist; CAI: Carbonic Anhydrase Inhibitor
Sources:
IQVIA
Analytics
Link
at
ex-manufacturer
price
level.
*TRx
calculated
from
IQVIA
unit
data
(1
month
=
1
TRx)
Non-PGA Market (47%)
PGA Market (53%)
Bimatoprost
Travoprost
Latanoprost
Tafluprost
1%
PGA Fixed
Combo
BB
Non-PGA
Fixed Combo
AA
CAI
17%
11%
13%
4%
19%
10%
5%
2 -
4 Times Daily
Once Daily
17%
Others
2%
For Investor Use
14


Japan Glaucoma Market:
Aerie Expects to Partner for Commercialization (if approved)
PGA: Prostaglandin Analogue; BB: Beta Blocker; AA: Alpha Agonist; CAI: Carbonic Anhydrase Inhibitor
Sources:
IQVIA
Analytics
Link
at
ex-manufacturer
price
level.
*TRx
calculated
from
IQVIA
unit
data
(1
month
=
1
TRx)
Non-PGA Market (48%)
PGA Market (52%)
Unoprostone
Bimatoprost
Travoprost
Latanoprost
Tafluprost
PGA Fixed
Combo
BB
Non-PGA
Fixed Combo
AA
CAI
ROCK
Inhibitors
Others
13%
9%
9%
12%
19%
6%
5%
2 -
4 Times Daily
Once Daily
(Unoprostone
is bid)
11%
Japan
Glaucoma
Market
2017
$0.8B; 54M TRx*, Market Share in TRx
8%
4%
2%
For Investor Use
15


16
Advancing the Pipeline
AR-13503 and AR-1105 are preclinical stage molecules and have not been approved by the FDA
Additional
potential
Rhopressa
®
indications
are
being
considered
for
further
study
and
are
not
labeled
indications.
Rhopressa
®
Research Targets
24-hour IOP reduction
Potential in normal tension glaucoma
Aqueous
humor
dynamics
(trabecular
outflow,
episcleral
venous
pressure)
Pseudoexfoliative
glaucoma
Corneal healing
Retina Program Opportunities:
AR-1105 (dexamethasone steroid) potentially for DME
AR-13503 (ROCK/PKC inhibitor) potentially for AMD and DME
Drug Delivery Platform
Focused on ophthalmic sustained release                         
technologies
(DSM
/
PRINT
®
)
For Investor Use


17
17
Retinal Eye Diseases –
Aerie’s Next Chapter
The retinal disease market is twice that of glaucoma with $4.9 billion in
the U.S. and $9 billion worldwide per IQVIA
Current treatments lose efficacy over time, some have very serious
side effects and there are limited surgical options
The majority of current treatments require repeated injections into the
patient’s eye
Aerie has two preclinical molecules for the treatment of retinal disease:
-
AR-1105 (dexamethasone steroid) for DME
-
AR-13503 (ROCK/PKC Inhibitor) for AMD/DME
Aerie also has implant and associated manufacturing platform
technologies
For Investor Use
AR-1105 and AR-13503 are preclinical stage molecules and have not been approved by the FDA


18
18
2017 U.S. Retinal Disease Market
For Investor Use
2017 Sales: $5.3B
Unit Sales: 6.8M
Sources: Mix of public information, IQVIA and estimates         
Eylea,
$3.70
Avastin,
$0.02
Lucentis,
$1.44
steroids,
$0.15
others,
$0.02
Eylea,
2.61
Avastin,
3.03
Lucentis,
0.86
steroids,
0.23
others,
0.11


19
19
AR-1105: Dexamethasone Implant
Target indications
Macular edema due to diabetic retinopathy (DME)
Macular edema due to retinal vein occlusion (RVO)
Unmet need
First line anti-VEGF agents often not sufficient even with monthly intravitreal
(IVT) injections
Current second-line steroid treatments have limitations due to side effects
and/or injection frequency
For Investor Use
Data on File
AR-1105 may have the potential to lower treatment burden
and improve outcomes
2x sustained efficacy: injections every 6 months vs. every 3 months
Safety: Better control of drug elution, lower exposure of non-target
tissues
Improved IVT delivery: applicator has smaller needle (25G)
AR-1105 is a preclinical stage molecule and has not been approved by the FDA


20
AR-13503: A First-in-Class ROCK/PKC Inhibitor for the
Treatment of Wet AMD and DME
Active metabolite of netarsudil
Potential to improve outcomes by targeting multiple
disease processes
Monotherapy shows strong efficacy in preclinical models
Effective as adjunct to anti-VEGF therapy in preclinical
models
Expect durable treatment effect with injection frequency
of
once
every
4
6
months
For Investor Use
AR-13503 is a preclinical stage molecule and has not been approved by the FDA


21
Oxygen-induced retinopathy (OIR) mouse model -
PDR
Administration: Intraperitoneal QD
For Investor Use
Preclinical
AR-13503
Provides
Efficacy
Similar
to
Eylea
®
in a Proliferative Diabetic Retinopathy Model
Vehicle
(n=14)
1.25 mg/kg AR-13503
(n=16)
1 mg/kg Eylea
(n=14)
Data on File
For
more
information
on
Eylea®
please
see
the
product
webpage
https://www.eylea.us/
21


22
AR-13503
Synergistic
to
Eylea
®
in
Mouse
Model
of
Proliferative Diabetic Retinopathy
Oxygen-induced
retinopathy
(OIR)
mouse
model
-
PDR
0%
5%
10%
15%
20%
25%
30%
35%
Vehicle
n=12
Eylea (sub-
optimal dose)
n=12
AR-13503 (sub-
optimal dose)
n=14
Combination
n=8
-40%
***
*
Administration: Intraperitoneal QD
* :    p<0.01
*** : p<0.0001
For Investor Use
-60%
Data on File
Sub-optimal dose levels selected in the study to provide less than maximal efficacy
For
more
information
on
Eylea®
please
see
the
product
webpage
https://www.eylea.us/
Neovascular Area (+SEM)


23
DSM
Collaboration
Implant
Delivery
Technology
Bio-erodible implant technology
Aerie now has a worldwide exclusive license for all ophthalmic indications
Broad sustained release platform for treatment of Wet AMD and DME, as well
as glaucoma
Promising results from ongoing feasibility study
Evaluating AR-13503 (ROCK/PKC inhibitor) and related Aerie compounds
Linear sustained elution rates over several months
Achieved target retinal drug concentrations
Aerie also has access to DSM’s preclinical stage latanoprost implant for
glaucoma
For Investor Use
Data on File


24
PRINT
®
Technology for Ophthalmology
Micropatterned
Template
Mold formation
Mold Filling
(e.g. drug/polymer)
Particle Array
PRINT= Particle Replication In Non-wetting Templates
Aerie has the rights to use this technology for ophthalmic applications
Proprietary technology capable of creating precisely engineered sustained-release
products using fully scalable manufacturing processes
Expected to accelerate development of Aerie’s retinal disease program, including
pre-clinical AR-13503 and AR-1105, and other ophthalmic indications
For Investor Use
Excellent Control Over Particle Size, Shape and Formulation:
Aerie’s Ophthalmic Implant Manufacturing Platform


25
Evaluating Aerie’s 3,500+ Owned Molecules
Commencing screening for
additional indications beyond
ophthalmology
ROCK inhibition should have
potential in:
Pulmonary health,
including pulmonary
fibrosis and bronchial
asthma
Dermatology indications
Cancer
Others
Relationship tree of human kinases.  TK, TKL, STE, CK1, AGC, CAMK, CMGC, Other: Kinase superfamilies
For Investor Use
Aerie molecules inhibit
both ROCK1
and ROCK2
ROCK


26
Summary
Key Priorities
Rhopressa
®
:  Successful launch execution
Roclatan
:   U.S. PDUFA set for March 14, 2019                                                              
Globalization Strategy
Europe/Japan clinical path and commercialization strategy
Ireland Manufacturing Facility
Research Initiatives
Rhopressa
®
24-hour IOP reduction, normal tension glaucoma,
aqueous humor dynamics, pseudoexfoliative
glaucoma, corneal healing    
Retina Program:
-
File IND for AR-1105 in 4Q 2018 and AR-13503 in 1H 2019, enter clinic in 2019
Broad sustained release ophthalmic implant and manufacturing platform
Evaluating Aerie’s ROCK inhibitors beyond ophthalmology
Well-Financed
$286M cash/investments at 6/30/18; $100M undrawn credit facility
For Investor Use
TM