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Safe harbor
This presentation and our remarks based upon it, including responses to questions made during and following the presentation, may include forward-looking statements. Such statements are subject to the risks and uncertainties we discuss in detail in our reports filed with the Securities & Exchange Commission, including in our quarterly report on Form 10-Q filed November 8, 2012. We expressly disclaim any obligation to release publicly any updates to forward-looking statements made during the course of this presentation.
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Two late stage clinical programs
• Enobosarm (Ostarine; GTx-024), a SARM, for the prevention and treatment of muscle wasting in patients with non-small cell lung cancer: Eight clinical trials completed to date involving approximately 600
subjects
Granted fast track status January 2013
Enrollment completed 4Q 2012 for two pivotal Phase III clinical trials with approximately 650 non-small cell lung cancer (NSCLC) patients – top line results expected summer 2013
DSMB reviewed safety data in October 2012 and agreed trial could continue as planned
• Capesaris (GTx-758), an oral selective ER alpha agonist, for combination primary ADT & secondary hormonal treatment of advanced prostate cancer: Eight clinical trials conducted to date involving approximately 500
subjects
Phase II 712 clinical trial evaluating Capesaris® (GTx-758) for secondary hormonal treatment in men with metastatic castration resistant prostate cancer currently enrolling
Selective Androgen Receptor Modulator (SARM)for the prevention and treatment of muscle wasting
in patients with lung cancer
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• At diagnosis, nearly 50% of advanced NSCLC patients have severe muscle loss and approximately 70% of NSCLC patients will lose muscle 88% have lower body functional limitations including the ability to
climb stairs, lift and carry 10 lbs, walk ¼ mile, and stoop, crouch or kneel
• Performance status is a predictor of a patient’s ability to tolerate chemotherapy, and poor performance status is a primary reason patients are not offered treatment
Performance status also predicts the likelihood of hospitalization, ability to maintain independence, and survival
Muscle wasting is an important cancer related symptom in patients with advanced NSCLC
Baracos VE, et al. Am J Clin Nutr. 2010 Apr;91(4):1133S-1137S. Baracos VE. 2011 data on file. Bruera E. BMJ. 1997;315(7117)1219-22. Schootman M, et al. Cancer. 2009 Nov 15;115(22):5329-38. Braithwaite D, et al. J Natl Cancer Inst. 2010;102(191):1468-77. Prado CMM, et al. The Lancet Oncology 2008;9(7):629-35.
Phase IIb clinical trial in cancer patients:Enobosarm increased lean body mass & improved physical function in NSCLC
Subset analysis: 61 NSCLC patients•Mean weight loss at entry was 9.7%•Enobosarm treated patients had a mean 18% improvement in stair climb power from baseline and 1.1 kg improvement in LBM •No statistically significant improvements in physical function or LBM in placebo group
• Reported incidence of tumor progression similar across groups
• The most common AEs were fatigue, anemia, nausea and diarrhea
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Endpoint Placebo Enobosarm
Physical Function 19% 42%
Lean Body Mass 24% 42%
Ad Hoc Phase IIb Responders Analysis – NSCLC*Ad Hoc Phase IIb Responders Analysis – NSCLC*
Safety- NSCLCSafety- NSCLC
*Based on ITT including 30% drop out rate
International pivotal Phase III clinical trials: POWER 1 and 2
Input from FDA, MHRA (England) and MPA (Sweden) on Phase III clinical development plans and Fast Track granted 1/13
150 patients
150 patients
150 patients
Other endpoints•QoL – FAACT, FACIT fatigue scales•Healthcare resource
utilization•Adherence to chemo plans•Tolerance to chemo
Co-primary endpoints•Lean body mass •Physical function SCP @ 3 months
Placebo
Enobosarm3 mg
Enobosarm 3 mg
Secondary endpoints•Durability of effect @ 5 months•Overall survival
Placebo
platinum + taxane
150 patients
platinum + non taxane
Indication: Prevention and treatment of muscle loss in patients with NSCLC• Stage III/IV NSCLC patients initiating 1st line chemotherapy
• Co-primary endpoints (responders analysis): (1) no loss of lean body mass (LBM) by DEXA; (2) at least 10% improvement in Stair Climb Power (SCP)
• Each endpoint α=0.05, power >93%
• Assumes 30% drop out rate by 3 months
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EnobosarmAnticipated clinical development plan
Phase III-POWER 1Enobosarm 3 mg vs placebo in 300 pts
with NSCLC receiving platinum + taxane chemotherapy (5 month study)
Phase III-POWER 2Enobosarm 3 mg vs placebo in 300 pts
with NSCLC receiving platinum + non taxane chemotherapy (5 month study)
NDA
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First patient enrolled
Last patient out
EnobosarmLarge market opportunity
United States
Source: Datamonitor 2011; projected market size in 2012, US and EU Qualitative market research
Stage III-IV NSCLC is the majority of NSCLC diagnosed and, based on perceptions of oncologists, at least 50% of these patients have muscle wasting
hyperK+ Rates
NSCLC207 K
Stage III-IVNSCLC
161 K (78%)
Muscle Wasting 81K (~50%)
5 EU
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hyperK+ Rates
NSCLC186 K
Stage III-IVNSCLC
148 K (79%)
Muscle Wasting 74K (~50%)
EnobosarmLarge market opportunity- US Payors’ perspective*
• Improvement in physical function and increase in muscle mass were considered the
two most favorable clinical attributes of enobosarm
• All economic endpoints being evaluated are acceptable by the majority of Payors
Hospitalizations, ER visits, mobility devices, home health services, and hospice
• 80% of Payors would cover enobosarm with or without restriction
• At a monthly WAC of $1500 - $3000 the majority of Payors would cover enobosarm as a Tier 3 with a prior authorization
• Currently, several drugs treating cancer related symptoms are priced between $30 and $50 per day
Xgeva (CTIBL and SRE) $55 per day
Zometa (CTIBL and SRE) $40 per day
Neulasta (neutropenia) $5600 per dose
• GTx estimates muscle wasting indication in patients with NSCLCcould be a $750 million opportunity in US alone
10*Based on US Managed Healthcare Landscape and Assessment of Enobosarm, Managed Solutions, LLC April 2012
EnobosarmIntellectual property
• 79 enobosarm composition of matter and method of use patent applications issued, approved, or pending in U.S. and rest of world with expiration dates in 2024. Includes issued composition of matter and method patents in US and Japan
• As a new chemical entity, issued patents should be eligible for patent term extension of up to 5 years (2029)
• GTx has 350 patents issued, approved or pending worldwide for all SARMs including enobosarm
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Selective ERα agonist for the treatment of advanced prostate cancer
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HormoneSensitive
FirstSecondaryHormone Tx
CapesarisEnzalutamide
Second Secondary Hormone Tx
CapesarisEnzalutamide
ThirdSecondary Hormone Tx
Abiraterone + PrednisoneCapesaris
Chemotherapy
DocetaxelPostChemotherapy
EnzalutamideAbiraterone/PrednisoneCabazitaxel
Castration Resistant Prostate Cancer (CRPC)
Advanced Prostate Cancer
750,000patients
80,000patients
36,000patients Market
Evolving treatment options for advanced prostate cancer
=approved
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Multiple potential mechanisms of action for a selective ERα agonist to treat prostate cancer
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Higher SHBG reduces available free (unbound) T
Adapted from Dunn JF et al. (1981) J Clin Endo and Metabolism, 53:58-68
Phase II studies in men with advanced prostate cancer confirms the mechanism of action*• Phase II open label loading dose finding 705 clinical study in
advanced prostate cancer comparing1500mg BID and 1000mg BID loading doses followed by 1000mg or 2000mg maintenance doses (n=55)
• Castration rate greater than 90% for both arms• Capesaris increased SHBG and decreased free T
• Phase II open label maintenance dose finding 710 clinical study in advanced prostate cancer comparing Lupron, Capesaris 1000mg PO qd and Capesaris 2000mg PO qd (n=164) 2000mg Capesaris and Lupron arms
• Maintained castration by Kaplan-Meier estimates >95.5%• Similar testosterone escapes• Capesaris increased SHBG and decreased free T• Improvement in hot flashes, bone turnover markers and insulin
resistance
• Safety- VTE incidence rate increased for Capesaris16*Studies terminated prior to completion
Phase II, open label, 712 clinical study of secondary hormonal treatment in men with metastatic CRPCstarted 3Q 2012
Subjects•mCRPC•Maintain ADT
Primary Endpoint:•Serum PSA response
Secondary Endpoints:•PSA progression•Progression free survival•Free T/SHBG•Adrenal (DHEA&DHEAS)•Estrogen deficiency side effects•SRE
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Day 90
25 patients
25 patients
25 patients
GTx-758 250 mg
GTx-758 500 mg
GTx-758 125 mg
Day 0
30 d
30 d
Capesaris Steering Committee
• Medical oncology Evan Yu* (U Washington) Johann DeBono* (Royal Marsden) Dan Petrylak* (Columbia/ Yale) Chuck Ryan* (UCSF) Phil Kantoff* (Dana Farber Harvard) Thomas Flaig* (U Colorado)
• Urology Badri Konety (U Minnesota)
• Advocacy group Tom Kirk (Us TOO)
* Confirmed participation18
Phase IIb705 clinical study
Maintenance dose finding
Phase II710 clinical study
Loading dose finding
CapesarisAnticipated clinical development plan
Phase II712 clinical study
Secondary hormonal therapy in mCRPC patients (lower doses)*
Phase II707 clinical study
Secondary hormonal therapy in CRPC patients
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*Estimated based on projected enrollment
CapesarisIntellectual Property
• Approximately 43 composition of matter and method of use patent applications and patents, which are either issued, allowed or pending in the US and rest of world with expiration dates of January 2029 in the US (issued) and November 2026 in the ROW
• As a chemical entity, issued US patent should be eligible for additional patent term extension of up to 5 years (for a maximum term of November 2034), as may be determined following FDA approval of Capesaris
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Financial summary
• Shares outstanding: 62.8 M
• Cash, cash equivalents and short-term investments at December 31, 2012: $56.1M
• No debt, no warrants
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