Investor Presentation – September 2014
Optimising mental capital through life
Makes Sense
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Interim Results - Financial Highlights
6 months to June 2014
6 months to June 2013
Year to Dec 2013
£’000 £’000 £’000
Sales
Clinical 1,588 1,277 2,497
Academic 874 592 1,493
Healthcare 32 149 158
2,494 2,018 4,148
Adjusted EBITDA* (391) (1,044) (1,955)
Loss before Tax (473) (1,493) (2,990)
Loss per share (pence) 2.9 14.4 21.3
Closing Cash Balance 1,593 3,320 2,261
* Adjusted for share-based payments and one-off H1 2013 IPO expenses
Confidential
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Cambridge Cognition
§ New therapeutic data § New biomarkers § Technology combinations § New opportunities
§ Clinical development solutions § Profiling of candidate drugs § Manage patient enrolment
§ New Healthcare solutions § Drug/Diagnostic combinations § Early disease identification § Community and domestic care
Managing Brain function & health for all age groups
Confidential
Cambridge Cognition: 1. Plays a leading role in the development of next
generation healthcare solutions for neuroscience and mental health
2. Develops world leading technology based products that serve to maximise the potential therapeutic benefit of treatment, enhance patient quality of life and, in so doing, reduce the burden on families and healthcare services.
3. Ensures the best possible practices and deliver the required quality of data
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A leading global provider of cognitive assessment software for use in:
• Academic Research – Promoting products for use in Academic Research since 2002 • Clinical Drug Trials - GCP compliant product for use in clinical trials since 2004
Quantifying cognitive function and optimizing mental health through research, treatment and diagnosis.
Confidential
Core Business
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The new 2014 plans are delivering success
Academic Business Unit
• Year on Year sales up 47%
• Digital marketing programs to drive new leads
implemented. 550 new bibliography registrations
in past 3 months
• 54% of the 2014 sales have been delivered via
sales within the world’s top 200 universities. 50%
higher average revenue from these sales
• Direct contact to customers has significantly
increased during the last 6 months to 1,100 direct
contact by month
Clinical Trials Business Unit
• Year on year sales increased by 25%
• Single contract for £1.6M signed on June 1st
• Cantab Connect launched on June 3rd with two products
focused on product safety
• Securing leadership position in Abuse & Liability studies
with 7 won YTD and 13 in the pipeline
• 2 Phase II studies secured with pharma companies
• Focus on building key account management function
• Developing channel partnerships with CROs
Core Business
Healthcare Technology • 10,000 + Cantab Mobile assessments completed to date
• Over 260 GP surgeries have used Cantab Mobile
• 1 in 4 Patients identified with signs of Mild Cognitive Impairment
• 500% increase in assessments conducted between August 2013 and August 2014
• 30 CCGs with who have purchased or running pilots and another 10 in discussion
Confidential
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Commercial strategy
● Combining proven cognitive science with the
latest hosted solutions that enables
customers to access high value solutions
with simplicity
● Create demand and value proposition for
cognitive testing into new markets and
settings
● Delivering products through multiple
customer channels and potential for new
acquisitions with scale and efficiency
● Capitalize on the shifting trend from
traditional pen and paper-based assessment
to hosted tools is acting as a driver for the
growth of the Cognitive assessment market
● Growth in aging population and increase in
global research investment will act as major
drivers for the continual growth in market
size and commercial opportunity
Commercial Rules
1. Academic drives clinical sales.
2. Academic + Clinical lead to Healthcare
3. Sales can only be achieved from approved products
4. Prioritise sales through partners
5. Dedicated companion DX program a high priority
Confidential
Business Unit Route to Market
Academic Direct, e-commerce and partners
Clinical Direct and Partners
Healthcare Partners
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Cambridge Cognition Key account Marketing Programme
KEY STAGE 1 KEY STAGE 3 KEY STAGE 2
Value creation
Establish the need Development Production
Com
mer
cial
Opportunity Strategy Launch plan
1. Market opportunity 2. Unique sales drivers 3. Competitive position 4. Pricing options 5. Product lifetime
1. Product description 2. Launch plan 3. Route to market 4. Promotion 5. Tactical plan
1. New products 2. Line extensions 3. New range 4. New service 5. Brand enhancement
Tech
nic
al
Performance Application Product
1. Type of Brain Dx test 2. Standard test or custom 3. Degree of fit to customer 4. Key Issues 5. Development cost
1. Final specification 2. Quality requirements 3. Custom definition 4. Customer signoff 5. Reproducibility
1. Test format 2. Format required 3. Quality test 4. Performance 5. Time to market
• Research proposal • Material transfer
agreement
• Supply agreement • Contract terms • Technology Access Fee • Royalties
• 2-way NDA • SCOPE • Technical presentation • Evaluation • Timings • Commercial proposal
Tool
s
Create one multi-disciplinary team
Establish a new Final Product team
Establish all relevant contacts in both parties
Team
s
Partnership
Confidential
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Business Development Channels
• Products sold direct to Academic research and via digital marketing • Data from Academic channel supports CT business unit • Products sold direct to industry in CT unit • CT unit provides direction for healthcare and e-health business - targets
clinical indication and diagnostic opportunities • Healthcare and e-health business opportunities commercialised via partners
Healthcare and e-health
applications
Phase I Phase II
Phase III
Phase IV
Abuse Liability & Safety testing
CNS efficacy testing
Academic CNS characterisation & efficacy testing
CNS Clinical Research
Preclinical Research
CNS Research
Pharma/Biotech R&D
Research
Confidential
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Cantab Mobile 2014
“ The Dementia Challenge is huge, but there is hope in the extraordinary work of Cambridge Cognition, working to develop new tests for Alzheimer’s disease.”
Prime Minister David Cameron, Speaking at the G8 Dementia Summit
“Cantab Mobile is accurate, easy to use and quick to administer. The automatic scoring and instant reports give peace of mind to patients, their family and carers.” Joanne Liversidge, Dementia Nurse
Dr Miles Langdon, Dementia Lead, South Lincolnshire CCG
“We now have a tool that detects the earliest signs of dementia. This frees up capacity in the memory service and reduces stress for patients and their families.” Gary McFegan, Associate Director, NHS Commissioning Support
“The test was simple and reassuring. I would recommend it to anyone who is worried about their memory.” Patient in Walsall
“With more usage of Cantab Mobile, this memory test will become part of the norm – just like having a blood pressure check.”
Impact: Awareness and Advocacy
Confidential
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Impact: Adoption and Engagement
260+ GP Surgeries testing patients
Across 30 Healthcare Authorities
with interest
from 10 more
10,000+ patients received high quality cognitive assessment
500% increase in last 12 months
Detecting dementia
earlier
Saving NHS Time & Cost
Memory impairment detected in 25% of
patients
Early access to support
75% patients reassured avoiding referrals and costs
to the NHS
“ Our Dementia diagnosis rate has improved from 39% to 46.4%. Cantab Mobile has raised awareness of mild cognitive impairment and actively encouraged practices to assess patients earlier ” Havering NHS Clinical Commissioning Group
Cantab Mobile 2014
Confidential
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Since launching Cantab Mobile in the NHS, a range of international healthcare organisations have requested access to the technology. These include:
• Pharmaceutical companies
• Retail pharmacies
• Patient registry services
• Private healthcare providers
• Care homes
• Clinical research organisations
• Employee health programmes
• Healthcare provisioning specialists
• Hospital systems
• International research centres
These opportunities are analysed by the new corporate business development team.
Cantab Healthcare 2014
Impact: Beyond the NHS
The experience gained during the NHS pilot has reduced critical uncertainties. We now better understand the drivers and barriers to adoption and know that users will adopt and engage with the technology.
Confidential
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Value Creation
Research Clinical Phase 1 Clinical Phase 2 Clinical Phase 3 Healthcare Clinical Phase 4
Cambridge Cognition: Generates sales and profits from academic trials. Data supports future applications. Pharma exploits apps from Research. New science supports Camcog Business. Camcog science open to educate graduates
Phase 1 trials can open the door to phase 2 + if successful.
Cambridge Cognition: Phase 2 trials are profitable and secures Supporting data. Successful trials lead to phase 3 and further sales opportunities. Working with Pharma and Biotech further enhances the companies commercial relationships
Cambridge Cognition: New products coming out of clinical trials and available to patients can also lead to companion diagnostics and health management opportunities
Cambridge Cognition: Products which can be used in the management of health drive the highest value. The ultimate aim of the company is for their products to be used directly in managing the welfare of patients requiring cognition based testing
At all stages of evolution Cognition based testing can help the enrolment of patients for trials.
+ + > 3
Confidential
Cambridge Cognition's products will become commonly used as pivotal endpoints in phase III registration studies (to CONFIRM the properties of the drug). Late phase use will drive later adoption of the tests in clinical practice
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Leverage Cambridge Cognition technology and expertise to develop and commercialise sensitive, easy to
use assessments detecting the earliest signs of core disorders and syndromes for use in clinical and/or
home environments
• Cambridge Cognition’s technology can de-centralise cognitive testing to identify treatment options for patients sooner and improve overall patient care.
• The Technology Business unit should design and commercialise cognitive tests and medical software to measure: Presence of cognitive impairment arising from core diseases and syndromes. Detection can be used to screen potential patient populations in the community to accelerate treatment and care Impact of specific treatments - is a drug having the required effect? Is the drug having an adverse effect? Progression of a specific condition monitoring change over time. • Products should be designed to run off a variety of hand held hardware platforms
The Healthcare Technology Business Unit
The Technology Business Unit will identify and exploit opportunities for tools to assess cognition in
pharmaceutical and healthcare settings beyond the formalised structure of the clinical trial and will access
these opportunities through commercial and technology partnerships
Cambridge Cognition will develop content and product concepts in two key areas of focus:
• OEM/custom products for pharmaceutical companies identified through the Cambridge Cognition Clinical trials business
• Healthcare applications for clinics and home use
Confidential
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Key Principles of the Technology Unit
Pharmaceutical partners
Healthcare opportunities The technology business unit will advance
partnered projects sourced via the Clinical Trials
business or from organic Healthcare
opportunities.
• Identify and scope projects
• Run pilot studies
• Expect project attrition at scoping and pilot
stage
• Focus on limited projects with near term
revenue
• Align with technology and commercial partners
to pull product through
Revenue will be generated from milestone
payment and sales on product royalties
Pilot Studies
Technology and channel partners
Confidential
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Product selection and delivery
Stage of life Disease Management Cognitive Function Test Delivery
Children and Adolescents ADHD
Autism
Downs syndrome
Mid Life Depression
Schizophrenia
Traumatic Brain Injury
Cardiovascular disease
Oncology
Multiple sclerosis
Huntington's disease
Substance abuse
Older Adults Alzheimer's disease
Mild cognitive impairment
Parkinson's disease
Stroke
Memory
Attention
Executive Function
Decision Making
Social
Cloud Based solutions
iPads and tablets
Desktop computers
Smartphones
Embedded computing
Other
Confidential
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Healthcare Technology Unit Drives Growth of Corporate Value
Academic Research
Pharmaceutical CT
Healthcare technology
Direct Product Sales
Channel Partners/Licensees Enterprise
Value
Patient Population
Technology Advancement
Confidential
Makes Sense
© Cambridge Cognition 2014. All rights reserved.