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Phage-Biotech Ltd. was incorporated in March 2000, as a new player in the emerging field of Phage Therapy. The Company’s mission is to develop proprietary Phage-based anti-infective therapeutics to combat the increasing number of antibiotic-resistant infections worldwide. The Company has two short-term strategic objectives:

¨          To identify and formulate proprietary topical Phage preparations from discovery through pre-clinical trials, with an initial focus on anti-Pseudomonas therapeutics, and

¨          To develop and out-license proprietary reagents and buffers to promote Phage stability, adsorption, and infectivity of phage-based therapeutics.

The Opportunity. Antibiotic resistant infectious diseases impose a significant burden on society, and surpass $30 billion in annual direct treatment costs in the U.S. alone. The high cost stems from several key factors: (1) Individuals infected with drug resistant organisms usually have a poor prognosis and are more likely to require hospitalization and (2) drug-resistant infections acquired in hospitals nearly triple the cost of hospital stays. The cost of antibiotic resistance is expected to grow larger as medical experts anticipate record increases of antibacterial resistance in the next decade.

Two factors emphasize the urgent need to continue research and development into new and innovative drugs for infectious diseases:

¨           Today’s escalating antibiotic crisis is the direct result of large scale and indiscriminant over-use of anti-infective drugs. Both the FDA and the CDC recognize that even if all antibiotic use were indeed to become appropriate, a mission almost impossible to achieve, resistance would not disappear.

¨           Pharmaceutical companies have exhausted the arsenal of known antibiotic classes. Currently, the launch of new antibacterial products usually includes stronger dose formulations of old antibiotic classes. This results in the development of more antibiotic resistant strains and increased resistance of current strains. New classes of antibiotics are desperately needed.

Phage Therapy. Phage Therapy offers a new effective weapon to combat infectious diseases, for both resistant and sensitive bacteria strains. In Eastern Europe, Phage Therapy has been routinely used to treat a wide range of bacterial infections for over 70 years, with high efficacy and minimal side effects.

Studies have demonstrated that commercial phage mixtures can achieve bacterial elimination in up to 80% or higher of clinical strains, a very high success rate compared to currently used new generation antibiotics, which typically reach only 60% success.

Today, as the spread of antibiotic resistance reaches a crisis point, the window of opportunity for Phage Therapy is re-opened in the West.

Addressable Market. According to Frost & Sullivan, pharmaceutical companies are striving to capture lucrative rewards of the anti-infective market by developing a wealth of new therapeutic products that will combat resistant strains of infectious pathogens. The annual worldwide market for bacterial infection therapeutic products is expected to reach $26 billion during 2002. The U.S. market share for new generation antibiotics alone is anticipated to reach approximately $10 billion this year. With an expected 4.2% compound annual growth rate, the market is expected to surpass $32 billion by 2007.

Anti-infectives were the second leading revenue-generating category in 2000. Collectively, anti-infective drugs that were listed among the leading 500 prescription drugs, reached sales of more than $20 billion. The biggest-selling anti-infective drug on the market is GlaxoSmithKline’s beta-lactamase inhibitor line, Augmentin, that generated sales of $1.85 billion. Augmentin is indicated for the treatment of Acute Otitis Media (middle ear infection) among other indications.

Pseudomonas aeruginosa. According to Drug Discovery Today, there is an urgent need for the development of more-effective anti-Pseudomonas therapeutics. P. aeruginosa has the capacity to produce very diverse, often overwhelming, infections due to its battery of virulence factors: Individuals suffering from cystic fibrosis, severe burns, cancer, and those requiring extensive stays in intensive care units are particularly at risk of diseases resulting from P. aeruginosa infection. Since P. aeruginosa has an intrinsic resistance to a wide array of existing antibiotics, its infections are difficult to eradicate, resulting in high treatment costs and high mortality rates.

Intellectual Property. Phage-Biotech holds an exclusive license agreement from Immunopreparat Ufa, part of the Russian Federation Republic of Bashkortostan. Immunopreparat Ufa is one of the most prominent Phage Therapy leaders globally. Through this agreement, Phage-Biotech has licensed all Immunopreparat Ufa’s intellectual property and know-how, which includes extensive phage collections. In addition, the Company is currently engaged in the process of filing several more patent applications regarding:

¨          Anti-Pseudomonal phage preparations for the treatment of Keratitis, Otitis, infected burns and surgical scars and  Urinary tract infections.

¨          Phage based decontaminants for pre-treatment of contact lenses, catheters and other invasive medical devices.

¨          Advanced buffer ingredients for enhanced phage adsorption to bacteria in infected host tissues.

¨          High titer production process.

 

Short term Value Proposition. The Company is currently engaged in the development of topical Phage preparations for the treatment of Keratitis (severe eye infection), and for the treatment of Chronic Otitis Media (ear infection):

Keratitis. Pseudomonas aeruginosa can cause devastating infections in the human eye and is one of the most common causes of bacterial Keratitis. Due to its potential to permanently impair vision or perforate the eye, bacterial Keratitis is considered an ophthalmologic emergency. Increased use of soft contact lenses in recent years has led to a dramatic rise in the occurrence of bacterial Keratitis, particularly due to P. aeruginosa.

è      The addressable market for Phage-Biotech’s anti-Pseudomonas Keratitis applications includes around 23,000 cases annually, in the U.S. alone.

Keratitis treatment includes hospitalization with frequent antibiotic application to the infected eye, approximately once every 15 to 30 minutes. This frequent treatment necessitates hospitalization with 24 hour monitoring.

è      The Company’s Phage-based eye drops are expected to provide a significantly simpler treatment protocol, decreasing treatment to only 3 times a day. The treatment is expected to have clear pharmacoeconomic value and lead to shorter hospitalization periods.

 

Chronic Otitis Media. 5% to 20% of children suffer from Recurrent Acute Otitis Media and Chronic Otitis Media. Within the adult population, it is estimated that 1.5% has active Chronic Otitis Media.

è      The addressable market for Phage-Biotech’s anti-Pseudomonas Chronic Otitis Media application includes 4.5 million patients in the U.S. alone each year.

At one end of the spectrum, over-reliance on antibiotics is the main cause for the antibiotic resistance problem in Chronic Otitis Media. At the other end of the spectrum, surgery for the insertion of ventilation tubes is used for the most chronic cases, with limited efficacy in the long run. This leaves the vast majority of patients with moderate yet persistent problems with no appropriate treatment.

ü       Phage-Biotech’s anti-Pseudomonal eardrop formulations are intended to eradicate Pseudomonas aeruginosa Recurrent Acute and Chronic Otitis Media infections. These preparations are expected to replace antibiotic use and to prevent the need for surgery, providing a viable solution to all patient groups.

Enhancing Phage Killing.  Phage-Biotech foresees its proprietary reagents and buffers as a mid-term revenue-generating channel, via out-licensing agreements with other Phage Therapy players in the industry.

Long term Value Proposition. Phage-Biotech’s core competencies include its R&D expertise in formulating topical Phage preparations from discovery through pre-clinical trials. The Company relies on strategic partners’ capabilities to promote clinical trials, marketing, large-scale manufacturing and commercialization.

Potential Strategic Partners. Phage-Biotech is continuously seeking strategic partnerships for co-development, out-licensing and commercialization of its Phage-based proprietary solutions, to combat antibiotic-sensitive and antibiotic-resistant pathogenic infections. Potential fields of collaborations include:

¨          Topical Pseudomonas solutions for treatment of infected burns, wound infections and bacteremia.

¨          Non-topical Pseudomonas treatment.

¨          Phage-based solutions to treat other antibiotic- resistant pathogenic bacteria.

 
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