cowen research report

66
Pharmaceuticals/Specialty Ohr Pharmaceutical Equity Research Initiating Coverage www.cowen.com Please see addendum of this report for important disclosures. March 2, 2015 Price: $7.69 (02/27/2015) Price Target: $25.00 OUTPERFORM (1) Initiation: OHR-102 Success In Wet AMD Likely To Create Tremendous Value Tyler Van Buren, M.Sc. 646.562.1338 [email protected] Ken Cacciatore 646.562.1305 [email protected] Sal Rais, M.D. 646.562.1420 [email protected] Key Data Symbol NASDAQ: OHRP 52-Week Range: $20.00 - 6.01 Market Cap (MM): $195.3 Net Debt (MM): $(13.2) Cash/Share: $0.52 Dil. Shares Out (MM): 33.5 Enterprise Value (MM): $184.8 ROIC: NA ROE (LTM): NA BV/Share: $0.90 Dividend: NA FY (Sep) 2014A 2015E 2016E Earnings Per Share Year $(0.41) $(1.00) $(1.85) P/E NM NM NM Revenue (MM) Year $0.0 $0.0 $0.0 The Cowen Insight We are initiating on Ohr with an Outperform and $25 PT. Our rating is predicated on the potential for OHR-102 to be successfully developed in wet AMD. If it has a competitive efficacy profile and is ultimately approved, our consultants suggest that the vast majority of treated wet AMD patients will be on OHR-102 therapy as it has a superior product profile relative to other development candidates. OHR-102 Could Become The First Eye Drop For The Treatment Of Wet AMD The Company’s lead program is OHR-102, which is a first-in-class anti-angiogenic compound that inhibits growth factors VEGF, PDGF, and bFGF, and is being developed as a combination therapy with anti-VEGFs for wet AMD. OHR-102 is currently in a Phase II clinical development program, which has already reported positive interim visual acuity data, and final data is expected to readout by mid-to-late March. If the final data are positive – which we and our consultants believe has a good probability of occurring – Ohr plans to move OHR-102 into Phase III clinical trials in Q2:2015. Ultimately, our consultants suggest that the vast majority of treated AMD patients will want better visual acuity and therefore go on PDGF treatment. Consultants Believe Early Visual Acuity Data Are “Surprising” And “Intriguing” The ongoing Phase II IMPACT study has enrolled 142 patients and is designed to measure the impact of twice-daily OHR-102 on visual acuity in combination with PRN Lucentis injections versus placebo drops plus PRN Lucentis. At interim (n=62), the mean change in visual acuity at the end of 9 months for OHR-102 eye drops plus Lucentis PRN was +10.4 letters versus +6.3 letters for placebo plus Lucentis PRN – a mean +4.1 letter improvement in visual acuity (p=0.18). Additionally, 48.3% of OHR-102-treated patients showed BCVA gains of >3 lines (Phase III primary endpoint confirmed with the FDA) compared with 21.2% in the placebo arm, which was statistically significant (p=0.025). This result simply needs to be repeated to be successful. Overall, our consultants suggest that the visual acuity results “look very much like Ophthotech's” and “the curves and outcomes look remarkably similar.” A Risk/Reward Play Skewed Towards The Upside We assume a potential US OHR-102 approval and launch in early 2019 with a peak penetration of treated wet AMD patients eligible for anti-PDGF treatment just above 35% by year 7, which assumes other PDGF competition. This results in a peak US sales potential of $1B+. Ex-US, we assume an early 2020 launch and an ultimate peak penetration of 25% by year 6-7 factoring in other PDGF competition. This results in a peak Ex-US sales potential of $750MM+. Providing a necessary high discount rate given the still early stage of development to these estimates yields an equity value of $800MM+ or $25 per fully-diluted share, which is the basis of our price target. If the final Phase II data are successful, our discount rate would correspondingly decrease resulting in a higher equity value. Worth noting, our valuation does not give any credit to OHR-102’s follow-on indications of RVO, PVR, and DME, or the Alcon-partnered sustained-release programs. This report is intended for [email protected]. Unauthorized redistribution of this report is prohibited.

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  • Pharmaceuticals/Specialty

    Ohr Pharmaceutical

    Equity Research Initiating Coverage

    www.cowen.com Please see addendum of this report for important disclosures.

    March 2, 2015

    Price: $7.69 (02/27/2015)Price Target: $25.00

    OUTPERFORM (1)

    Initiation: OHR-102 Success In WetAMD Likely To Create Tremendous Value

    Tyler Van Buren, [email protected]

    Ken [email protected]

    Sal Rais, [email protected]

    Key DataSymbol NASDAQ: OHRP52-Week Range: $20.00 - 6.01Market Cap (MM): $195.3Net Debt (MM): $(13.2)Cash/Share: $0.52Dil. Shares Out (MM): 33.5Enterprise Value (MM): $184.8ROIC: NAROE (LTM): NABV/Share: $0.90Dividend: NA

    FY (Sep) 2014A 2015E 2016EEarnings Per ShareYear $(0.41) $(1.00) $(1.85)P/E NM NM NM

    Revenue (MM)Year $0.0 $0.0 $0.0

    The Cowen InsightWe are initiating on Ohr with an Outperform and $25 PT. Our rating is predicatedon the potential for OHR-102 to be successfully developed in wet AMD. If it has acompetitive efficacy profile and is ultimately approved, our consultants suggest thatthe vast majority of treated wet AMD patients will be on OHR-102 therapy as it has asuperior product profile relative to other development candidates.

    OHR-102 Could Become The First Eye Drop For The Treatment Of Wet AMD

    The Companys lead program is OHR-102, which is a first-in-class anti-angiogeniccompound that inhibits growth factors VEGF, PDGF, and bFGF, and is being developedas a combination therapy with anti-VEGFs for wet AMD. OHR-102 is currently in aPhase II clinical development program, which has already reported positive interimvisual acuity data, and final data is expected to readout by mid-to-late March. If thefinal data are positive which we and our consultants believe has a good probabilityof occurring Ohr plans to move OHR-102 into Phase III clinical trials in Q2:2015.Ultimately, our consultants suggest that the vast majority of treated AMD patients willwant better visual acuity and therefore go on PDGF treatment.

    Consultants Believe Early Visual Acuity Data Are Surprising And Intriguing

    The ongoing Phase II IMPACT study has enrolled 142 patients and is designed tomeasure the impact of twice-daily OHR-102 on visual acuity in combination withPRN Lucentis injections versus placebo drops plus PRN Lucentis. At interim (n=62),the mean change in visual acuity at the end of 9 months for OHR-102 eye dropsplus Lucentis PRN was +10.4 letters versus +6.3 letters for placebo plus LucentisPRN a mean +4.1 letter improvement in visual acuity (p=0.18). Additionally, 48.3%of OHR-102-treated patients showed BCVA gains of >3 lines (Phase III primaryendpoint confirmed with the FDA) compared with 21.2% in the placebo arm, whichwas statistically significant (p=0.025). This result simply needs to be repeated to besuccessful. Overall, our consultants suggest that the visual acuity results look verymuch like Ophthotech's and the curves and outcomes look remarkably similar.

    A Risk/Reward Play Skewed Towards The Upside

    We assume a potential US OHR-102 approval and launch in early 2019 with a peakpenetration of treated wet AMD patients eligible for anti-PDGF treatment just above35% by year 7, which assumes other PDGF competition. This results in a peak USsales potential of $1B+. Ex-US, we assume an early 2020 launch and an ultimate peakpenetration of 25% by year 6-7 factoring in other PDGF competition. This results ina peak Ex-US sales potential of $750MM+. Providing a necessary high discount rategiven the still early stage of development to these estimates yields an equity value of$800MM+ or $25 per fully-diluted share, which is the basis of our price target. If thefinal Phase II data are successful, our discount rate would correspondingly decreaseresulting in a higher equity value. Worth noting, our valuation does not give any creditto OHR-102s follow-on indications of RVO, PVR, and DME, or the Alcon-partneredsustained-release programs.

    This report is intended for world-cowen-morningnotesdistribution@

    cowen.com. Unauthorized redistribution of this report is prohibited.

  • At A GlanceOur Investment Thesis

    We assume a potential US OHR-102 approval and launch in early 2019 with a peakpenetration of treated wet AMD patients eligible for anti-PDGF treatment just above35% by year 7, which assumes other PDGF competition. This results in a peak USsales potential of $1B+. Ex-US, we assume an early 2020 launch and an ultimate peakpenetration of 25% by year 6-7 factoring in other PDGF competition. This results ina peak Ex-US sales potential of $750MM+. Providing a necessary high discount rategiven the still early stage of development to these estimates yields an equity value of$800MM+ or $25 per fully-diluted share, which is the basis of our price target. If thefinal Phase II data are successful, our discount rate would correspondingly decreaseresulting in a higher equity value. Worth noting, our valuation does not give any creditto OHR-102s follow-on indications of RVO, PVR, and DME, or the Alcon-partneredsustained-release programs.

    Forthcoming Catalysts

    Mid-to-late March Final toplinedata readout of the OHR-102 Phase IIIMPACT study for wet AMD

    Q2:2015 Potential Phase III globalprogram initiation for OHR-102 in wetAMD

    H1:2015 Potential IND filing for oneof four sustained-release programspartnered with Alcon

    2015 (potentially by the end of H1) OHR-102 RVO and PVR data readouts

    Base Case Assumptions

    $25 on positive OHR-102 Phase IIIMPACT data

    Upside Scenario

    $40 on better than expected IMPACTdata and potential buyout or licensingdeal

    Downside Scenario

    $2-3 on Phase II IMPACT failure

    Price Performance

    Feb-15Nov-14Aug-14May-14

    $20

    18

    16

    14

    12

    10

    8

    6

    Source: Bloomberg

    Company Description

    Ohr Pharma is a development-stage specialty pharmaceutical company with multipleprograms in development for various ophthalmic indications. The Companys leadprogram is OHR-102, which is in Phase II and being developed as a combinationtherapy with anti-VEGFs for wet AMD.

    Analyst Top Picks

    Ticker Price (02/27/2015) Price Target RatingOhr Pharmaceutical OHRP $7.69 $25.00 Outperform

    www.cowen.com2

    Cowen and CompanyEquity Research

    Ohr PharmaceuticalMarch 2, 2015

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  • Investment Thesis: OHR-102 Success In Wet AMD Likely To Create Tremendous Value

    Ohr Pharma is a development-stage specialty pharmaceutical company with multiple

    programs in development for various ophthalmic indications. The Companys lead

    program is OHR-102, which is being developed as a combination therapy with anti-

    VEGFs for wet AMD. OHR-102 is currently in a Phase II clinical development program,

    which has already reported positive interim visual acuity data, and final data is

    expected to readout by mid-to-late March. If the final data are positive, which we and

    our consultants believe has a good probability of occurring, Ohr plans to move OHR-

    102 into Phase III clinical trials in Q2:2015. Follow-on indications of PVR, RVO, and

    DME are anticipated next for OHR-102 and the approach appears logical given the

    success of on-market wet AMD treatments in these areas. For RVO and PVR, OHR-

    102 is being tested in investigator-sponsored studies with Phase II data to readout

    later this year potentially by the end of H1:2015. For DME, the Company is running

    its own Phase II study with a final data to readout around mid-2016. OHR-102 has a

    composition of matter patent on OHR-102 lactate salt to 2029 and an additional

    broad-base formulation patent to 2030 that is still pending. A couple new filings are

    expected and we would also note that these expirations do not consider any potential

    extensions from Hatch-Waxman. Nonetheless, OHR-102 appears to be a long-duration

    drug. Additionally, the Company has a research agreement with Alcon a Novartis

    company which is one of the largest ophthalmology players in the world with over

    $10B in annual revenues. Clearly, this provides a source of validation for Ohrs

    programs and expertise in ophthalmology. This collaboration is testing Ohrs

    sustained-release hydrogel platform technology and encompasses four active

    research programs in glaucoma, steroid-induced glaucoma, eye allergy, and retinal

    disease. Depending on the outcome of these early programs with partner Alcon, Ohr

    anticipates potentially filing an IND for one program by the end of H1:2015. Finally, we

    believe Ohr has assembled an impressive management team and group of experts.

    Both Dr. Jason Slakter, the CMO, and Dr. Peter Kaiser, the SVP of product

    development, are world-renowned retinal specialists. Dr. Avner Ingerman, another

    accomplished ophthalmologist who ran the Eylea clinical development program at

    Regeneron, just joined as the Companys Chief Clinical Officer. Ohr also has several

    other thought leaders involved and consulting on the program including Dr. David

    Boyer who presented the recent abicipar pegol/DARPin data and Dr. Jeff Heier, who

    has presented PDGF data from the Regeneron and Ophthotech programs, among

    others. Needless to say, this is an impressive group of individuals.

    One consultant believes that despite previous topical failed programs for wet AMD, it

    will only be a matter of time before an eye drop potent enough is found with the right

    dosage that reaches the retina. We believe Ohrs OHR-102 (squalamine) might be the

    one. OHR-102 is a first-in-class anti-angiogenic compound that inhibits multiple

    growth factors: vascular endothelial growth factor (VEGF), platelet-derived growth

    factor (PDGF), and basic fibroblast growth factor (bFGF). VEGFs have revolutionized

    the treatment of wet AMD, but they produce most of their improvement in about 4

    months and then there is a plateau in efficacy. Moreover, patients must be

    continuously dosed with frequent anti-VEGF to maintain the plateau; data from several

    large trials were shown to suggest that switching from monthly dosing to PRN results

    in a loss of efficacy. The biological explanation for this may be that anti-VEGFs cause

    regression of tip cells at the distal end of neovascularization, but the bulk of the

    vessel outgrowths are protected from the anti-VEGF by a lining of pericytes. Anti-

    PDGF agents, in combination with the anti-VEGFs, denude the overgrown vessels of

    pericytes and cause regression of the outgrowth. Current development of anti-VEGF

    agents is aimed at extending the duration of treatment thereby allowing for a fewer

    OHR-102 is currently in Phase II development,

    which has already reported positive interim data,

    and final data is expected to readout by mid-to-

    late March. If the final data are positive, which

    we and our consultants believe has a good

    probability of occurring, Ohr plans to move OHR-

    102 into Phase III clinical trials in Q2:2015.

    OHR-102 has a composition of matter patent on

    OHR-102 lactate salt to 2029 and an additional

    broad-base formulation patent to 2030 that is still

    pending. A couple new filings are expected and

    we would also note that these expirations do not

    consider any potential extensions from Hatch-

    Waxman. Nonetheless, OHR-102 appears to be a

    long-duration drug.

    OHR-102 is a first-in-class anti-angiogenic

    compound that inhibits multiple growth factors:

    vascular endothelial growth factor (VEGF),

    platelet-derived growth factor (PDGF), and basic

    fibroblast growth factor (bFGF).

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  • number of injections a year, or better compliance as recent agents have largely failed

    to meaningfully increase visual acuity in long-term studies. However, this dogma

    appears to be changing with advent of anti-PDGF agents. PDGF agents in the case

    of OHR-102 and Fovista have demonstrated significant visual acuity gains on top of

    anti-VEGF treatments when used in combination. We would remind investors that for

    wet AMD, a disease where patients ultimately lose their vision, increased visual acuity

    is paramount. Ultimately, our consultants suggest that the vast majority of treated

    AMD patients (2/3 and up) will want better visual acuity and therefore go on PDGF

    treatment. Lastly, our consultants note that as many as 10-20% of their patients are

    not adequately managed by the current anti-VEGF options, and therefore there is also

    a need for more potent alternatives to help better manage the disease in refractory

    patients

    Consultants Believe Early OHR-102 Visual Acuity Data Are Surprising And

    Intriguing; Final Phase II Data Due Mid-to-Late March

    In June 2014, Ohr announced positive interim topline clinical results of a Phase II

    study in wet AMD. Prior to the positive data release, few had any expectations for the

    program much less an observed visual acuity benefit. However, since the data

    which produced significant visual acuity benefits and our consultants believe is very

    surprising and intriguing that perception has changed and we now approach the

    final Phase II data readout in mid-to-late March with the expectation of a visual acuity

    benefit. While there is still substantial risk to any wet AMD data readout, OHR-102

    appears to have a strong possibility of repeating the interim data. If this occurs, not

    only would the perception of the program be strengthened even more, but it would be

    significantly de-risked as its head into Phase III with the exact same clinical endpoint.

    The ongoing Phase II IMPACT study has enrolled 142 patients (completed in April

    2014) and is designed to measure the impact of twice-daily OHR-102 on visual acuity

    in combination with PRN (as needed) Lucentis versus placebo drops plus PRN

    Lucentis. Per the study plan, a pre-specified interim analysis was conducted with

    ~50% of the planned total patient enrollment completing the study protocol. 62

    patients 29 and 33 in the OHR-102 and placebo arms, respectively completed the 9

    month treatment period at interim. Not surprisingly, the primary endpoint, the

    difference in the frequency of Lucentis injections, did not meet statistical significance

    at interim. Given our knowledge of PRN studies (no difference in year 2 of the VIEW

    studies with Eylea/Lucentis) and the fact that no study has shown the ability to reduce

    Lucentis injections including Ophthotechs Phase II program we were not

    surprised by this result. Furthermore, the panelists at our March 2014 Health Care

    Conference stated that a fewer injections endpoint largely isnt clinically relevant.

    Thus, based on the data (6.2 Lucentis injections for the OHR-102 arm and 6.4 for the

    placebo arm), we find it improbable that this endpoint will meet statistical significance

    in the final data set nor do we care. Sure a reduction in injections would be an

    improvement but ultimately what matters to clinicians is improving visual acuity.

    However, when analysis was conducted on the more clinically relevant visual acuity

    endpoints, the data suggested a strong visual acuity benefit across the two most

    common endpoints mean visual acuity and the proportion of >3 line gainers. The

    mean change in visual acuity at the end of 9 months for OHR-102 eye drops plus

    Lucentis PRN was +10.4 letters versus +6.3 letters for placebo plus Lucentis PRN a

    mean +4.1 letter improvement in visual acuity. Our consultants note that this 65%

    visual acuity benefit is impressive, especially considering the potential ceiling effect for

    enrolling a good amount of patients with relatively mild disease. However, it was not

    statistically significant (p=0.18) given the small study size. With that in mind, our

    However, this dogma appears to be changing

    with advent of anti-PDGF agents. PDGF agents

    in the case of OHR-102 and Fovista have

    demonstrated significant visual acuity gains on

    top of anti-VEGF treatments when used in

    combination. We would remind investors that for

    wet AMD, a disease where patients ultimately

    lose their vision, increased visual acuity is

    paramount. Ultimately, our consultants suggest

    that the vast majority of treated AMD patients

    (2/3 and up) will want better visual acuity and

    therefore go on PDGF treatment.

    While there is still substantial risk to any wet

    AMD data readout, OHR-102 appears to have a

    strong possibility of repeating the interim data. If

    this occurs, not only would the perception of the

    program be strengthened even more, but it

    would be significantly de-risked as its head into

    Phase III with the same exact clinical endpoint.

    However, when analysis was conducted on the

    more clinically relevant visual acuity endpoints,

    the data suggested a strong visual acuity benefit

    across the two most common endpoints, mean

    visual acuity and the proportion of >3 line

    gainers. The mean change in visual acuity at the

    end of 9 months for OHR-102 eye drops plus

    Lucentis PRN was +10.4 letters versus +6.3

    letters for placebo plus Lucentis PRN a mean

    +4.1 letter improvement in visual acuity. Our

    consultants note that this 65% visual acuity

    benefit is impressive, especially considering the

    potential ceiling effect for enrolling a good

    amount of patients with relatively mild disease.

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  • consultants note that it is still too early and in too few patients to believe that

    OHR-102 wont reach statistical significance on visual acuity once the final data reads

    out. Additionally, 48.3% of OHR-102-treated patients showed BCVA gains of >3 lines

    (>15 letters) on a standard ETDRS eye chart compared with 21.2% in the placebo arm

    (p=0.025) a statistically significant observation. Our consultants view both the mean

    visual acuity and >3 line gain results as impressive particularly if they hold up when

    the final data reads out in the second half of March.

    Since the interim readout, Ohr has met with the FDA and received confirmation that

    the Phase III endpoint will be the proportion of patients with >3 line visual acuity

    gains, which was the exact secondary endpoint that hit statistical significance at the

    interim readout per above in only 62 patients. Moreover, our consultants suggest that

    this endpoint also has a good chance of reaching statistical significance when the

    larger, final 142-patient Phase II data set reads out by the end of March 2015 as the

    data in 62 patients gives us a good feel for OHR-102s efficacy. One consultant

    remarked that it would be shocking if the final data showed no visual acuity benefit

    as the first 62 patients are very typical looking and he would put the odds of success

    on the >3 line gainers endpoint pretty high. If it does, our consultants would also

    consider the final Phase III program employing the exact same endpoint to be

    significantly de-risked. In fact, they believe that upon a successful readout, OHR-102

    would have the same probability of success in Phase III as Ophthotech which per

    previous physician surveys has been pegged at around 75%. One consultant

    believes that successful Phase II wet AMD results tend to have an 80% chance of

    translating to Phase III. At the very least, we believe the early interim results suggest

    that OHR-102 treats the back of the eye and may cause a significant increase in visual

    acuity in wet AMD patients. Overall, our consultants suggest that the mean change in

    visual acuity and >3 line gainer results look very much like Ophthotechs and the

    curves and outcomes look remarkably similar. While some skepticism will always

    remain through the final Phase III data, consultants appear to be looking at the

    program very differently now following the interim data.

    As we head towards the final results, it is also important to consider that while 62

    patients wasnt enough to hit on the mean visual acuity endpoint, 142 patients with

    the observed +4.1 letter increase in visual acuity is just reaching the boundary

    where there might be enough powering to reach statistical significance, per our

    consultants. Of course, a 300-400 patient study would be ideally powered, but the

    potential to hit statistical significance on mean visual acuity in the final dataset is a

    source of additional upside and would further help to dispel any skeptics. However, it

    is important to keep in mind that even if mean visual acuity doesnt hit which could

    be a perceived negative all that matters is that the >3 line gainers Phase III endpoint

    hits.

    Upon potential successful final Phase II data, Ohr has stated that they would be able

    to initiate the Phase III program by the end of Q2:2015. We estimate that the time to

    topline data could be 2-2.5 years accounting for 12-18 months of enrollment and the 9

    month primary endpoint. 2.5 years would put the topline data readout at late 2017.

    Since OHR-102 has Fast Track status, it could begin filing a rolling NDA submission

    during the trial and then submit the final topline 9 month primary endpoint data last in

    early 2018. In essence, Ohr could receive approval even before the ultimate 2 year

    study time point just like Eylea. This would allow for a potential approval and launch

    by early 2019. Lastly, we would note that this timeline could potentially be conservative

    by 6 months.

    For Europe, Ohr plans to meet with regulators soon to nail down the requirements for

    the Phase III program. However, we would note that Ohr will be measuring the primary

    Our consultants suggest that this endpoint is also

    has a good chance of reaching statistical

    significance when the larger, final 142-patient

    Phase II data set reads out by the end of March

    2015 as the data in 62 patients gives us a good

    feel for OHR-102s efficacy. One consultant

    remarked that it would be shocking if the final

    data showed no visual acuity benefit as the first

    62 patients are very typical looking and he

    would put the odds of success on the >3 line

    gainers endpoint pretty high.

    Additionally, 48.3% of OHR-102-treated patients

    showed BCVA gains of >3 lines (>15 letters) on

    a standard ETDRS eye chart compared with

    21.2% in the placebo arm (p=0.025) a

    statistically significant observation. Overall, our

    consultants view both the mean visual acuity and

    >3 line gain results as impressive particularly if

    they hold up when the final data reads out in the

    second half of March.

    Upon potential successful final Phase II data, Ohr

    has stated that they would be able to initiate the

    Phase III program by the end of Q2:2015. We

    estimate that the time to topline data could be 2-

    2.5 years accounting for 12-18 months of

    enrollment and the 9 month primary endpoint.

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  • endpoint out to 12 months in Phase III in case they require the standard 12 month

    endpoint. Additionally, it will be a global trial with clinical sites in the US and EU. It is

    quite possible that the EU submission could come shortly after the US submission, but

    we conservatively assume a year delay in the European launch.

    Anticipated Upcoming Milestones For Ohr Pharma Are:

    2015

    Mid-to-late March Final topline data readout of the OHR-102 Phase II IMPACT study for wet AMD

    Q2:2015 Potential Phase III global program initiation for OHR-102 in wet AMD

    H1:2015 Potential IND filing for one of four sustained-release programs partnered with Alcon

    2015 (potentially by the end of H1) OHR-102 RVO and PVR data readouts from investigator-sponsored studies

    2016

    Mid-2016 OHR-102 Phase II DME study readout

    2017

    Late 2017 Potential OHR-102 Phase III program data readout

    2018

    Early 2018 Potential OHR-102 NDA filing for wet AMD

    2019

    Early 2019 Potential approval of OHR-102 for wet AMD

    Valuation Analysis: A Risk/Reward Play Skewed Towards The Upside

    For our OHR-102 global market build, we assume that 2/3 of treated wet AMD

    patients will be eligible for anti-PDGF combination treatment, which will most likely

    prove to be conservative per our consultants. In the US, we assume a per bottle net

    price for OHR-102 of $750, which could also be conservative considering that branded

    wet AMD agents command just under $2,000 per injection over either one or two

    months. We are pricing OHR-102 to capture significant market uptake and to

    potentially be used prophylactically, or in the larger patient population, since it is an

    eye drop vs. an injection. We assume a potential US approval and launch in early 2019

    with a peak penetration of eligible patients just above 35% by year 7, which assumes

    other PDGF competition. This results in a peak US sales potential of $1B+. Ex-US, we

    assume an early 2020 launch. We were generally more conservative for the EU and

    assume a net price of $500 with an ultimate peak penetration of 25% by year 6-7 this

    too assumes other PDGF competition. This results in a peak Ex-US sales potential of

    $750MM+.

    On the following pages, we provide our US and Ex-US wet AMD market models for

    OHR-102.

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  • Figure 1 US Wet AMD Market Model

    Source: Cowen and Company; PriceRx

    2013A 2014A 2015E 2016E 2017E 2018E 2019E 2020E 2021E 2022E 2023E 2024E 2025E 5Y CGR Comments

    U.S. Wet AMD

    Prevalence of moderate-advanced wet AMD pt.s ('000) 454 476 500 525 552 579 608 632 658 684 711 740 769

    % diagnosed 80% 80% 80% 80% 80% 80% 80% 80% 80% 80% 80% 80% 80%

    # diagnosed patients ('000) 361 381 400 420 441 463 486 506 526 547 569 592 615

    % of diagnosed pt.s Tx with anti-VEGFs 95% 96% 96% 96% 96% 96% 96% 96% 96% 96% 96% 96% 96%

    # treated patients ('000) 343 364 384 403 424 445 467 486 505 525 546 568 591

    % growth +6% +6% +6% +5% +5% +5% +5% +4% +4% +4% +4% +4% +4%

    Avastin

    % Avastin patient penetration 26% 33% 37% 40% 40% 41% 42% 42% 42% 42% 42% 42% 42% - 4 week treatment duration; 5-6 weeks in practice

    # patients receiving Avastin each year ('000) 89 120 142 161 169 182 196 204 212 221 229 239 248 - Increased payor pressure to drive growth

    Average # vials per patient per year 5.6 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5

    Avastin price per dose $50 $50 $50 $50 $50 $50 $50 $50 $50 $50 $50 $50 $50 - Low cost due to compounding

    U.S. Avast in Sa les In Wet AMD ($MM) $25 $35 $40 $45 $45 $50 $55 $55 $60 $60 $65 $65 $70 +7% - Recognized by compounders

    % growth +757% +40% +14% +13% +0% +11% +10% +0% +9% +0% +8% +0% +8%

    Lucentis

    % Lucentis patient penetration 35% 23% 17% 16% 15% 15% 15% 15% 15% 15% 15% 15% 15% - 4 week treatment duration; 6-7 weeks in practice

    # patients receiving Lucentis each year ('000) 120 84 65 65 64 67 70 73 76 79 82 85 89

    Average # vials per patient per year 5.6 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5

    Lucentis price per dose $1,950 $1,950 $1,950 $1,950 $1,950 $1,950 $1,950 $1,950 $1,950 $1,950 $1,950 $1,950 $1,950

    U.S. Lucentis Sa les In Wet AMD ($MM) $1 ,310 $900 $700 $690 $680 $715 $750 $780 $815 $845 $880 $915 $950 +2%

    % growth +4% -31% -22% -1% -1% +5% +5% +4% +4% +4% +4% +4% +4%

    Eylea

    % Eylea patient penetration 39% 44% 46% 45% 45% 44% 43% 43% 43% 43% 43% 43% 43% - 8 week treatment duration

    % penetration of non-Avastin market 53% 66% 73% 74% 75% 75% 72% 66% 59% 53% 50% 48% 46% - Very rapid uptake upon launch

    # patients receiving Eylea each year ('000) 134 160 177 182 191 196 201 209 217 226 235 244 254

    Average # vials per patient per year 5.4 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2

    Eylea price per dose $1,850 $1,850 $1,850 $1,850 $1,850 $1,850 $1,850 $1,850 $1,850 $1,850 $1,850 $1,850 $1,850

    U.S. Ey lea Sa les In Wet AMD ($MM) $1 ,334 $1 ,540 $1 ,700 $1 ,745 $1 ,835 $1 ,880 $1 ,930 $2 ,010 $2 ,090 $2 ,175 $2 ,260 $2 ,350 $2 ,445 +3% - Market leader

    % growth +64% +15% +10% +3% +5% +2% +3% +4% +4% +4% +4% +4% +4%

    OHR-102

    % treated patients eligible for anti-PDGF treatment 66% 66% 66% 66% 66% 66% 66% 66% 66% 66% 66% 66% 66% - Per consultants; most will want better vision

    # treated patients eligible for anti-PDGF treatment ('000) 226 240 254 266 280 294 308 321 333 347 361 375 390 - Potential launch in early 2019

    % OHR-102 patient penetration 2% 8% 15% 23% 28% 32% 36% - Assumes PDGF competition

    # patients receiving OHR-102 each year ('000) 6 24 50 78 99 120 140 - Assumes 2.5 years from start-finish for PIII

    Average # bottles per patient per year 11.0 10.7 10.5 10.3 10.0 10.0 10.0 - Assume it stabilizes around 10 bottles per year

    OHR-102 price per dose $750 $750 $750 $750 $750 $750 $750 - Priced between $500-$1,000 for market uptake

    U.S. OHR-102 Sa les In Wet AMD ($MM) $50 $195 $395 $600 $745 $900 $1 ,055 +78% - Should exper ience rapid uptake

    % gr ow th +290% +103% +52% +24% +21% +17%

    U.S. Wet AMD

    Lucentis Sales ($MM) $1,310 $900 $700 $690 $680 $715 $750 $780 $815 $845 $880 $915 $950 +2%

    % growth +4% -31% -22% -1% -1% +5% +5% +4% +4% +4% +4% +4% +4%

    Eylea Sales ($MM) $1,334 $1,540 $1,700 $1,745 $1,835 $1,880 $1,930 $2,010 $2,090 $2,175 $2,260 $2,350 $2,445 +3%

    % growth +64% +15% +10% +3% +5% +2% +3% +4% +4% +4% +4% +4% +4%

    OHR-102 Sales ($MM) $50 $195 $395 $600 $745 $900 $1,055 +78% - Assumes PDGF competition

    % growth +290% +103% +52% +24% +21% +17%

    TOTAL U.S. WET AMD SALES ($MM) $2 ,644 $2 ,440 $2 ,400 $2 ,435 $2 ,515 $2 ,595 $2 ,730 $2 ,985 $3 ,300 $3 ,620 $3 ,885 $4 ,165 $4 ,450 +4%

    % gr ow th +27% -8% -2% +1% +3% +3% +5% +9% +11% +10% +7% +7% +7%

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  • Figure 2 Ex-US Wet AMD Market Model

    Source: Cowen and Company; PriceRx

    For our DCF valuation, we included the peak sales potentials from above and assumed

    gross margins of 90%+. We also assumed the Phase III program will cost $75MM and

    include SG&A expense within the range of normal industry standards. We expect that

    Ohr will begin hiring commercial employees in mid-2016 and hire an initial OHR-102

    US sales force of 50 reps upon approval, which will be later expanded. Similar

    assumptions are made for an EU launch, although we suspect that Ohr may look to

    partner Ex-US, similarly to the Fovista/Novartis deal, which resulted in ~$1B in

    potential milestones and royalties on Ex-US sales. Providing a necessary high discount

    rate given the still early stage of development to these estimates yields in an equity

    value of $800MM+ or $25 per fully-diluted share, which is the basis of our price

    target. If the final Phase II data are successful, our discount rate would

    correspondingly decrease resulting in a higher equity value. Additionally, OHR-102 is

    the only late-stage, unpartnered anti-PDGF program and we expect it to receive a lot

    of interest from large ophthalmology players if the results are successful in March. Put

    simply, as OHR-102 moves through the clinic, we expect the valuation gap between

    OHRP and OPHT (~$1.6B currently) will narrow. We also note that our valuation does

    not give any credit to OHR-102s follow-on indications of RVO, PVR, or DME or the

    Alcon-partnered sustained-release programs.

    2013A 2014E 2015E 2016E 2017E 2018E 2019E 2020E 2021E 2022E 2023E 2024E 2025E 5Y CGR Comments

    Ex-U.S. Wet AMD

    Prevalence of moderate-advanced wet AMD pt.s ('000) 681 715 750 788 827 869 912 949 986 1,026 1,067 1,110 1,154 - We estimate 50% larger than U.S.

    % diagnosed 80% 80% 80% 80% 80% 80% 80% 80% 80% 80% 80% 80% 80%

    # diagnosed patients ('000) 541 572 600 630 662 695 730 759 789 821 854 888 923

    % of diagnosed pt.s Tx with anti-VEGFs 95% 96% 96% 96% 96% 96% 96% 96% 96% 96% 96% 96% 96%

    # treated patients ('000) 514 546 576 605 635 667 700 728 758 788 819 852 886

    % growth +6% +6% +6% +5% +5% +5% +5% +4% +4% +4% +4% +4% +4%

    Avastin

    % Avastin patient penetration 55% 48% 44% 43% 43% 43% 43% 43% 43% 43% 43% 43% 43% - 4 week treatment duration; 5-6 weeks in practice

    # patients receiving Avastin each year ('000) 282 262 254 260 273 287 301 313 326 339 352 366 381 - Increased payor pressure to drive growth

    Average # vials per patient per year 5.6 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5

    Avastin price per dose $50 $50 $50 $50 $50 $50 $50 $50 $50 $50 $50 $50 $50 - Low cost due to compounding

    Ex-U.S. Avast in Sa les In Wet AMD ($MM) $79 $70 $70 $70 $75 $80 $85 $85 $90 $95 $95 $100 $105 +4% - Recognized by compounders

    % growth -11% -11% +0% +0% +7% +7% +6% +0% +6% +6% +0% +5% +5%

    Lucentis

    % Lucentis patient penetration 38% 36% 34% 32% 30% 29% 28% 27% 26% 25% 24% 23% 22% - 4 week treatment duration; 6-7 weeks in practice

    # patients receiving Lucentis each year ('000) 195 197 196 194 191 193 196 197 197 197 197 196 195

    Average # vials per patient per year 5.6 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5 5.5

    Lucentis price per dose $1,950 $1,950 $1,950 $1,950 $1,950 $1,950 $1,950 $1,950 $1,950 $1,950 $1,950 $1,950 $1,950

    Ex-U.S. Lucentis Sa les In Wet AMD ($MM) $2 ,133 $2 ,110 $2 ,100 $2 ,075 $2 ,045 $2 ,075 $2 ,105 $2 ,110 $2 ,115 $2 ,115 $2 ,110 $2 ,100 $2 ,090 +0% - Market leader

    % growth +10% -1% -0% -1% -1% +1% +1% +0% +0% +0% -0% -0% -0%

    Eylea

    % Eylea patient penetration 7% 16% 22% 25% 27% 28% 29% 30% 31% 32% 33% 34% 35% - 8 week treatment duration

    % penetration of non-Avastin market 16% 31% 39% 44% 47% 49% 51% 52% 49% 46% 44% 43% 43% - Rapid uptake, but less so than the U.S.

    # patients receiving Eylea each year ('000) 37 87 127 151 172 187 203 219 235 252 270 290 310

    Average # vials per patient per year 5.4 4.7 4.3 4.3 4.3 4.3 4.3 4.3 4.3 4.3 4.3 4.3 4.3

    Eylea price per dose $1,850 $1,850 $1,850 $1,850 $1,850 $1,850 $1,850 $1,850 $1,850 $1,850 $1,850 $1,850 $1,850

    Ex-U.S. Ey lea Sa les In Wet AMD ($MM) $370 $760 $1 ,010 $1 ,205 $1 ,365 $1 ,485 $1 ,615 $1 ,740 $1 ,870 $2 ,005 $2 ,150 $2 ,305 $2 ,470 +11%

    % growth +1847% +105% +33% +19% +13% +9% +9% +8% +7% +7% +7% +7% +7%

    OHR-102

    % treated patients eligible for anti-PDGF treatment 66% 66% 66% 66% 66% 66% 66% 66% 66% 66% 66% 66% 66% - Per consultants; most will want better vision

    # treated patients eligible for anti-PDGF treatment ('000) 339 360 380 399 419 440 462 481 500 520 541 562 585 - Potential launch in early 2020; could be conserv.

    % OHR-102 patient penetration 1% 6% 13% 18% 22% 25% - Assumes PDGF competition

    # patients receiving OHR-102 each year ('000) 5 30 65 97 124 146 - Assumes 2.5 years from start-finish for PIII

    Average # bottles per patient per year 11.0 10.8 10.5 10.3 10.0 10.0 - Assume it stabilizes around 10 bottles per year

    OHR-102 price per dose $500 $500 $500 $500 $500 $500 - Assume price 2/3 of U.S.

    Ex-U.S.OHR-102 Sa les In Wet AMD ($MM) $25 $160 $340 $500 $620 $730 +96% - Quick uptake , but s lower than U.S.

    % gr ow th +540% +113% +47% +24% +18%

    Ex-U.S. Wet AMD

    Lucentis Sales ($MM) $2,133 $2,110 $2,100 $2,075 $2,045 $2,075 $2,105 $2,110 $2,115 $2,115 $2,110 $2,100 $2,090 +0%

    % growth +10% -1% -0% -1% -1% +1% +1% +0% +0% +0% -0% -0% -0%

    Eylea Sales ($MM) $370 $760 $1,010 $1,205 $1,365 $1,485 $1,615 $1,740 $1,870 $2,005 $2,150 $2,305 $2,470 +11%

    % growth +1847% +105% +33% +19% +13% +9% +9% +8% +7% +7% +7% +7% +7%

    OHR-102 Sales ($MM) $25 $160 $340 $500 $620 $730 +96% - Assumes PDGF competition

    % growth +540% +113% +47% +24% +18%

    TOTAL Ex-U.S. WET AMD SALES ($MM) $2 ,503 $2 ,870 $3 ,110 $3 ,280 $3 ,410 $3 ,560 $3 ,720 $3 ,875 $4 ,145 $4 ,460 $4 ,760 $5 ,025 $5 ,290 +4%

    % gr ow th +27% +15% +8% +5% +4% +4% +4% +4% +7% +8% +7% +6% +5%

    W.W. Wet AMD

    Lucentis Sales ($MM) $3,443 $3,010 $2,800 $2,765 $2,725 $2,790 $2,855 $2,890 $2,930 $2,960 $2,990 $3,015 $3,040 +1%

    % growth +7% -13% -7% -1% -1% +2% +2% +1% +1% +1% +1% +1% +1%

    Eylea Sales ($MM) $1,704 $2,300 $2,710 $2,950 $3,200 $3,365 $3,545 $3,750 $3,960 $4,180 $4,410 $4,655 $4,915 +7%

    % growth +105% +35% +18% +9% +8% +5% +5% +6% +6% +6% +6% +6% +6%

    OHR-102 Sales ($MM) $50 $220 $555 $940 $1,245 $1,520 $1,785 +98% - Assumes PDGF competition

    % growth +340% +152% +69% +32% +22% +17%

    TOTAL W.W. WET AMD SALES ($MM) $5 ,147 $5 ,310 $5 ,510 $5 ,715 $5 ,925 $6 ,155 $6 ,450 $6 ,860 $7 ,445 $8 ,080 $8 ,645 $9 ,190 $9 ,740 +4%

    % gr ow th +27% +3% +4% +4% +4% +4% +5% +6% +9% +9% +7% +6% +6%

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  • On the following pages, we provide our Ohr Pharma annual P&L and DCF.

    Figure 3 Ohr Pharma Annual P&L

    Source: Cowen and Company

    Fiscal Year E nded September 30 2014 2015E 2016E 2017E 2018E 2019E 2020E 2021E 2022E 2023E 2024E 2025E 5YR C GR C omments

    O HR-102

    U.S. Wet AMD Sales ($MM) $50.0 $195.0 $395.0 $600.0 $745.0 $900.0 $1,055.0 +78% - Topical anti-angiogenic eye drop for wet AMD

    % Growth +290% +103% +52% +24% +21% +17% - Currently being tested in other retina disorders

    Ex-U.S. Wet AMD Sales ($MM) $25.0 $160.0 $340.0 $500.0 $620.0 $730.0 +96% - COM patent to 2029; formulation to 2030

    % Growth +540% +113% +47% +24% +18% - Final Phase II data by end of March; Potential Q2:2015 Phase III start

    Total O hr Rev enues $0.0 $0.0 $0.0 $0.0 $0.0 $50.0 $220.0 $555.0 $940.0 $1,245.0 $1,520.0 $1,785.0 +98% - Rapid uptake ex pected; assumes PDGF compet it ion

    % Growth NM NM NM NM NM +340% +152% +69% +32% +22% +17%

    Cost of Goods $0.0 $0.0 $0.0 $0.0 $0.0 $5.0 $22.0 $50.0 $84.6 $99.6 $121.6 $125.0

    Gross Profit $0.0 $0.0 $0.0 $0.0 $0.0 $45.0 $198.0 $505.1 $855.4 $1,145.4 $1,398.4 $1,660.1

    Gross Margin NM NM NM NM NM 90.0% 90.0% 91.0% 91.0% 92.0% 92.0% 93.0% - 90%+ margins; easy to manufacture

    SG&A $5.1 $7.5 $15.0 $20.0 $25.0 $50.0 $90.0 $150.0 $240.0 $290.0 $340.0 $390.0 +64% - Assumes an initial sales force of 50 reps

    % of Revs NM NM NM NM NM 100.0% 40.9% 27.0% 25.5% 23.3% 22.4% 21.8% - Commercial hiring to begin in mid-2016

    R&D $4.0 $20.0 $40.0 $30.0 $20.0 $15.0 $15.0 $10.0 $10.0 $10.0 $10.0 $10.0 -6% - Phase III wet AMD program expected to cost $75MM; bell curve-like

    % of Revs NM NM NM NM NM 30.0% 6.8% 1.8% 1.1% 0.8% 0.7% 0.6%

    Operating Expenses $9.1 $27.5 $55.0 $50.0 $45.0 $65.0 $105.0 $160.0 $250.0 $300.0 $350.0 $400.0 +31%

    % of Revs NM NM NM NM NM 130.0% 47.7% 28.8% 26.6% 24.1% 23.0% 22.4%

    Operating Income ($9.1) ($27.5) ($55.0) ($50.0) ($45.0) ($20.0) $93.0 $345.1 $605.4 $845.4 $1,048.4 $1,260.1 NM

    % Operating Margin NM NM NM NM NM NM 42.3% 62.2% 64.4% 67.9% 69.0% 70.6%

    Non-Operating Income

    Interest Income $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0

    Interest Expense (0.0) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

    Other Income (0.0) (2.0) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

    Non-Operating Income ($0.0) ($2.0) $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0

    Pretax Income ($9.1) ($29.5) ($55.0) ($50.0) ($45.0) ($20.0) $93.0 $345.1 $605.4 $845.4 $1,048.4 $1,260.1 NM

    % of Revs NM NM NM NM NM NM 42.3% 62.2% 64.4% 67.9% 69.0% 70.6%

    Income Taxes $32.6 $120.8 $211.9 $295.9 $366.9 $441.0 NM - Assumes no NOLs

    Income Tax Rate 35.0% 35.0% 35.0% 35.0% 35.0% 35.0% - Standard U.S. corporate tax rate

    Net Income - Operations ($9.1) ($29.5) ($55.0) ($50.0) ($45.0) ($20.0) $60.5 $224.3 $393.5 $549.5 $681.5 $819.0 NM

    % Net Margin NM NM NM NM NM NM 27.5% 40.4% 41.9% 44.1% 44.8% 45.9%

    Extraordinary Items

    Adjusted Net Income ($9.1) ($29.5) ($55.0) ($50.0) ($45.0) ($20.0) $60.5 $224.3 $393.5 $549.5 $681.5 $819.0 NM

    Interest Add-Back $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0

    E PS (Non-GAAP) - B efore E x . It ems ($0.41) ($1.00) ($1.85) ($1.60) ($1.40) ($0.60) $1.80 $6.40 $10.95 $14.85 $17.95 $21.00 NM - True prof it abilit y reached in 2020

    % Growth NM NM NM NM NM NM NM +256% +71% 36% 21% 17%

    EPS - Extraordinary Items $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

    EPS - Adjusted ($0.41) ($1.00) ($1.85) ($1.60) ($1.40) ($0.60) $1.80 $6.40 $10.95 $14.85 $17.95 $21.00 NM

    Shares Outstanding (MM) 22.1 29.0 30.0 31.0 32.0 33.0 34.0 35.0 36.0 37.0 38.0 39.0 +3% - Aassuming some onward dilution from options

    OHR PHARMA - 2015-2025 EST IMATED ANNUAL EPS BUILDUP ($MM)

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  • Figure 4 Ohr Pharma DCF Suggests $25 Per Share

    Source: Cowen and Company

    Assumptions: Output:

    Increase in WC 5.0% Equity Value $829.1

    Discount Rate 19.5% Est. Sha re Pr i ce $25 .0

    Fully Diluted Shares 33.5 Debt $0.0 Notes:

    Cash $35.0 Netted $26-27MM from Feb 11 offering

    Enterprise Value $794.1 Burned ~$2.8MM Q1; expected to be higher in Q2

    2014 2015E 2016E 2017E 2018E 2019E 2020E 2021E 2022E 2023E 2024E 2025E 2026E 2027E 2028E 2029E 2030E 2031E 2032E 2033E 2034E 2035E

    Total Revenues $0.0 $0.0 $0.0 $0.0 $0.0 $50.0 $220.0 $555.0 $940.0 $1,245.0 $1,520.0 $1,785.0 $2,040.0 $2,275.0 $2,500.0 $2,140.0 $1,250.0 $550.0 $200.0 $100.0 $100.0 $100.0

    % Change NM NM NM NM NM NM +340% +152% +69% +32% +22% +17% +14% +12% +10% -14% -42% -56% -64% -50% +0% +0%

    Cost of Goods $0.0 $0.0 $0.0 $0.0 $0.0 $5.0 $22.0 $50.0 $84.6 $99.6 $121.6 $125.0 $142.8 $159.3 $175.0 $149.8 $87.5 $38.5 $14.0 $7.0 $7.0 $7.0

    Gross Profit $0.0 $0.0 $0.0 $0.0 $0.0 $45.0 $198.0 $505.1 $855.4 $1,145.4 $1,398.4 $1,660.1 $1,897.2 $2,115.8 $2,325.0 $1,990.2 $1,162.5 $511.5 $186.0 $93.0 $93.0 $93.0

    Gross Margin - Total NM NM NM NM NM 90.0% 90.0% 91.0% 91.0% 92.0% 92.0% 93.0% 93.0% 93.0% 93.0% 93.0% 93.0% 93.0% 93.0% 93.0% 93.0% 93.0%

    SG&A $5.1 $7.5 $15.0 $20.0 $25.0 $50.0 $90.0 $150.0 $240.0 $290.0 $340.0 $390.0 $430.0 $475.0 $500.0 $450.0 $250.0 $125.0 $50.0 $25.0 $20.0 $20.0

    % of Revs NM NM NM NM NM 100.0% 40.9% 27.0% 25.5% 23.3% 22.4% 21.8% 21.1% 20.9% 20.0% 21.0% 20.0% 22.7% 25.0% 25.0% 20.0% 20.0%

    R&D $4.0 $20.0 $40.0 $30.0 $20.0 $15.0 $15.0 $10.0 $10.0 $10.0 $10.0 $10.0 $10.0 $10.0 $10.0 $10.0 $10.0 $7.5 $5.0 $5.0 $5.0 $5.0

    % of Revs NM NM NM NM NM 30.0% 6.8% 1.8% 1.1% 0.8% 0.7% 0.6% 0.5% 0.4% 0.4% 0.5% 0.8% 1.4% 2.5% 5.0% 5.0% 5.0%

    Operating Expenses $9.1 $27.5 $55.0 $50.0 $45.0 $65.0 $105.0 $160.0 $250.0 $300.0 $350.0 $400.0 $440.0 $485.0 $510.0 $460.0 $260.0 $132.5 $55.0 $30.0 $25.0 $25.0

    % of Revenues NM NM NM NM NM 130.0% 47.7% 28.8% 26.6% 24.1% 23.0% 22.4% 21.6% 21.3% 20.4% 21.5% 20.8% 24.1% 27.5% 30.0% 25.0% 25.0%

    Operating Income ($9.1) ($27.5) ($55.0) ($50.0) ($45.0) ($20.0) $93.0 $345.1 $605.4 $845.4 $1,048.4 $1,260.1 $1,457.2 $1,630.8 $1,815.0 $1,530.2 $902.5 $379.0 $131.0 $63.0 $68.0 $68.0

    % Operating Margin NM NM NM NM NM NM 42.3% 62.2% 64.4% 67.9% 69.0% 70.6% 71.4% 71.7% 72.6% 71.5% 72.2% 68.9% 65.5% 63.0% 68.0% 68.0%

    Other Income (0.0) (2.0) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

    Adjusted EBIT ($9.1) ($29.5) ($55.0) ($50.0) ($45.0) ($20.0) $93.0 $345.1 $605.4 $845.4 $1,048.4 $1,260.1 $1,457.2 $1,630.8 $1,815.0 $1,530.2 $902.5 $379.0 $131.0 $63.0 $68.0 $68.0

    % of Revs NM NM NM NM NM NM 42.3% 62.2% 64.4% 67.9% 69.0% 70.6% 71.4% 71.7% 72.6% 71.5% 72.2% 68.9% 65.5% 63.0% 68.0% 68.0%

    Taxes $32.6 $120.8 $211.9 $295.9 $366.9 $441.0 $510.0 $570.8 $635.3 $535.6 $315.9 $132.7 $45.9 $22.1 $23.8 $23.8

    Income Tax Rate 35.0% 35.0% 35.0% 35.0% 35.0% 35.0% 35.0% 35.0% 35.0% 35.0% 35.0% 35.0% 35.0% 35.0% 35.0% 35.0%

    NOPAT ($9.1) ($29.5) ($55.0) ($50.0) ($45.0) ($20.0) $60.5 $224.3 $393.5 $549.5 $681.5 $819.0 $947.2 $1,060.0 $1,179.8 $994.6 $586.6 $246.4 $85.2 $41.0 $44.2 $44.2

    Adjustments: Terminal

    Capex ($0.1) ($0.3) ($0.5) ($1.0) ($2.0) ($3.0) ($3.0) ($3.0) ($3.0) ($3.0) ($3.0) ($3.0) ($3.0) ($3.0) ($3.0) ($3.0) ($3.0) ($3.0) ($3.0) ($3.0) ($3.0) ($3.0)

    Depreciation & Amortization ($0.5) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0) ($1.0)

    Change In Working Capital $3.4 $5.0 $2.5 $0.0 ($5.0) ($10.0) ($10.5) ($11.0) ($11.6) ($12.2) ($12.8) ($13.4) ($14.1) ($14.8) ($15.5) ($16.3) ($17.1) ($18.0) ($18.9) ($19.8) ($20.8) ($21.8)

    Free Cash Flow ($6.3) ($25.8) ($54.0) ($52.0) ($53.0) ($34.0) $46.0 $209.3 $377.9 $533.4 $664.7 $801.6 $929.1 $1,041.2 $1,160.2 $974.3 $565.5 $224.4 $62.3 $17.2 $19.4 $18.4 $94.21

    OHR PHARMA DCF

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  • Ohr Pharma Is Going All In On Ophthalmology

    The Companys lead program is OHR-102, which is being developed as a combination

    therapy with anti-VEGFs for wet AMD. OHR-102 is currently in a Phase II clinical

    development program, which has already reported positive interim data, and final data

    is expected to readout by mid-to-late March. If the final data is positive, which we and

    our consultants believe has a good probability of occurring, Ohr plans to move OHR-

    102 into Phase III clinical trials in Q2:2015. Worth noting, Ohr has already met with the

    FDA and confirmed potential Phase III plans for the program. Follow-on indications of

    PVR, RVO, and DME are anticipated next for OHR-102 and the approach appears

    logical given the success of on-market wet AMD treatments in these areas. For RVO

    and PVR, OHR-102 is being tested in investigator-sponsored studies with Phase II data

    to readout later this year, potentially by the end of H1:2015. For DME, the Company is

    running its own Phase II study with a final data to readout around mid-2016.

    Additionally, the Company has a research agreement with Alcon a Novartis company

    which is one of the largest ophthalmology players in the world with over $10B in

    annual revenues. Clearly, this provides a source of validation for Ohrs programs and

    expertise in ophthalmology. This collaboration is testing Ohrs sustained-release

    hydrogel platform technology and encompasses four active research programs in

    glaucoma, steroid-induced glaucoma, eye allergy, and retinal disease. Depending on

    the outcome of these early programs with partner Alcon, Ohr anticipates potentially

    filing an IND for one program by the end of H1:2015.

    Figure 5 Ohr Pharmaceuticals Clinical Development Pipeline

    Source: Ohr Pharma

    OHR-102 Has The Potential To Be The First Topical Eye Drop For Retinal Disease

    Our consultants believe that despite previous topical failed programs for wet AMD, it

    will only be a matter of time before an eye drop potent enough is found with the right

    dosage that reaches the retina. We believe Ohrs OHR-102 (squalamine) might be the

    one. OHR-102 is a first-in-class molecule anti-angiogenic compound that inhibits

    multiple growth factors: vascular endothelial growth factor (VEGF), platelet-derived

    growth factor (PDGF), and basic fibroblast growth factor (bFGF). VEGF is a signaling

    If the final data is positive, which we and our

    consultants believe has a good probability of

    occurring, Ohr plans to move OHR-102 into

    Phase III clinical trials in Q2:2015. Worth noting,

    Ohr has already met with the FDA and confirmed

    potential Phase III plans for the program.

    Our consultants believe that despite previous

    topical failed programs for wet AMD, it will only

    be a matter of time before a drop potent enough

    is found with the right dosage that reaches the

    retina. We believe Ohrs OHR-102 (squalamine)

    might be the one.

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  • protein that stimulates vasculogenesis and angiogenesis. In other words, VEGF

    promotes the growth and formation of blood vessels. PDGF has a similar function in

    blood vessel formation as it helps regulate cell growth and division. bFGF is present in

    basement membranes and in the subendothelial extracellular matrix of blood vessels

    and when activated, it is thought to also aid in the formation of new blood vessels.

    Thus, OHR-102 has a three-pronged anti-angiogenic approach/mechanism. Inhibiting

    VEGF has been well-validated by the market leading treatments for retinal disease,

    Eylea, Lucentis, and Avastin. Targeting PDGF has largely gained credibility over the

    past few years as Ophthotech and now Ohr has reported significant visual acuity

    benefits in Phase II. Also, several large players in the ophthalmology space, such as

    Regeneron and Allergan have early PDGF programs earlier in clinical development.

    Interestingly, elevated bFGF has been implicated in the pathophysiology of

    proliferative diabetic retinopathy (PVR) and retinal vein occlusions (RVO). Additionally,

    Eylea, Lucentis, Avastin, and Fovista are all large biologic molecules (recombinant

    proteins; monoclonal antibodies; aptamers) and are therefore too large to enter the

    cell. They remain in the extracellular space and work by neutralizing freely diffusible

    proteins. Alternatively, OHR-102 is a small molecule and it therefore is able to enter

    the intracellular space of vascular endothelial cells. Our consultants note that steroids

    work by an intracellular mechanism and are of course, very effective. Not only do

    intracellular drugs tend to work well, but our consultants note that they also tend to

    have a longer duration of effect well beyond what the kinetics suggest.

    Figure 6 Mechanism Comparison Of Wet AMD Agents

    Source: Ohr Pharma

    The OHR-102 eye drop formulation 0.2% squalamine lactate has emollient

    properties to soothe the ocular surface, which results in increased comfort for

    Alternatively, OHR-102 is a small molecule and it

    therefore is able to enter the intracellular space

    of vascular endothelial cells. Our consultants

    note that steroids work by an intracellular

    mechanism and are of course, very effective. Not

    only do intracellular drugs tend to work well, but

    our consultants note that they also tend to have a

    longer duration of effect well beyond what the

    kinetics suggest.

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  • patients, particularly in the elderly patient population which is the vast majority of wet

    AMD patients. Moreover, OHR-102 has been shown to have improved residence time

    on the ocular surface along with minimized uptake into the aqueous humor.

    Additionally, OHR-102 has demonstrated trans-scleral permeability into the choroid

    with increased retention time in the posterior sclera/choroid. The sclera is known as

    the white of the eye and it is the opaque, fibrous, protective outer layer of the eye. Just

    inside that is the choroid, which is the vascular layer of the eye, contains connective

    tissue, and lies between the retina and the sclera. Hence, OHR-102 has been shown

    penetrate the tissue immediate to the retina, which is the primary target of treatment

    for wet AMD and other retinal diseases.

    Figure 7 OHR-102 Reaches The Posterior

    Sclera/Choroid

    Source: Ohr Pharma

    Per below and as presented at ARVO 2012, a preclinical single-dose biodistribution

    study was conducted by administering OHR-102 to the front of the eye in Dutch

    belted rabbits. We would note that all the large ophthalmology players depend on

    these standardized preclinical models and our consultants believe results in these

    models to be fairly predictive of drug effects in the human eye. In this study, OHR-102

    was shown to achieve supratherapeutic levels of ~90ng/g in sclera/choroid tissue. Of

    note, Ohr estimates that approximate levels of 12ng/g in the sclera/chroid tissue are

    the threshold drug concentration required to inhibit neovascularization. Interestingly,

    these supratherapeutic levels of OHR-102 are reached rapidly in 15 minutes after

    administration and maintained up to 24 hours resulting in significant residence time.

    We would note that this is just a single dose, not the BID dosing regimen that is being

    tested in clinical trials. Therefore, BID dosing of OHR-102 appears to deliver more than

    sufficient drug levels to the eye.

    OHR-102 has been shown to have improved

    residence time on the ocular surface along with

    minimized uptake into the aqueous humor.

    Additionally, OHR-102 has demonstrated trans-

    scleral permeability into the choroid with

    increased retention time in the posterior

    sclera/choroid.

    Interestingly, these supratherapeutic levels of

    OHR-102 are reached rapidly in 15 minutes after

    administration and maintained up to 24 hours

    resulting in significant residence time.

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  • Figure 8 Single Dose Biodistribution: OHR-102 Concentrations In The

    Sclera/Choroid

    Source: Ohr Pharma

    Ohr also measured multi-dose biodistribution of OHR-102 in rabbit posterior

    sclera/choroid tissue. Trough level drug concentrations of OHR-102 were measured

    over 14 days and the data was presented at ARVO 2012. Both once-daily and twice-

    daily dosing regimens were employed. At day 7, supratherapeutic and statistically

    significant (p

  • We acknowledge that despite this data, many are still skeptical on the ability for drops

    to get to the back of the eye. We believe this is largely because previous topical wet

    AMD eye drop programs including GSKs pazopanib or Votrient have failed.

    Additionally, there was an old IV formulation of squalamine that was terminated in wet

    AMD, but this was due to its short half-life, which didnt provide adequate coverage

    when dosed weekly, and the systemic dosing, which led to subtherapeutic drug levels

    in the eye and systemic safety concerns. With that said, the IV formulation did show a

    dose response and positive visual and anatomical benefits. Per the data above, OHR-

    102 is clearly not systemic and certainly has an adequate coverage of 24 hours.

    Whether or not investors believe eye drops can reach the back of the eye, the clinical

    data with OHR-102 should ultimately win out and put this controversy to bed and we

    believe that the interim data was a solid start in the right direction.

    AMD Is The Leading Cause Of Blindness In People Over 55

    Age-related Macular Degeneration (AMD) is the leading cause of blindness in people

    over the age of 55. Legal blindness is defined as a person who is only able to see

    20/200 or less with glasses. According to the National Eye Institute, more than 1MM

    people are diagnosed with AMD annually and the incidence is expected to grow as

    the population ages. Approximately 15M people in the U.S. have macular

    degeneration, of which 10-15% have active blood vessel growth and leakage (wet

    AMD). The medical literature suggests there are approximately 1.5M people with wet

    AMD in the U.S., although Roche/Genentech estimates the size of the treatable

    market is at least a third of that. We estimate the U.S. AMD market opportunity at

    $3B+, with a similar opportunity ex-U.S. The market opportunity for AMD drugs may

    be further expanded by penetration into other back-of-the-eye conditions such as

    retinal vein occlusion or diabetic retinopathy and adjuncts/improvement to existing

    therapies such as the new PDGF drugs in development.

    What Is AMD?

    AMD is subdivided into wet lesions (characterized by excessive new blood vessel

    formation in the retina and fluid buildup) and dry AMD (a precursor of the wet form;

    thinning of the macular tissues and disturbances in its pigmentation). AMD gradually

    destroys a persons central vision function. The early stages of the disease may be

    barely noticeable to some, but symptoms can vary. Sometimes only one eye loses

    vision and the other maintains good vision for many years. Some patients have milder

    symptoms in both eyes that may not impair vision significantly for many years. Other

    frequent symptoms include distortion, or when straight lines look wavy, such as the

    lines on an Amsler grid (an ophthalmic diagnostic tool in the picture below) or if a

    doorframe or blinds look bent. Sometimes colors don't look quite right or there may be

    a purple or gray spot in the center vision. (See picture below.)

    According to the National Eye Institute, more

    than 1MM people are diagnosed with AMD

    annually and the incidence is expected to grow

    as the population ages. Approximately 15M

    people in the U.S. have macular degeneration, of

    which 10-15% have active blood vessel growth

    and leakage (wet AMD). The medical literature

    suggests there are approximately 1.5M people

    with wet AMD in the U.S., although

    Roche/Genentech estimates the size of the

    treatable market is at least a third of that.

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  • Figure 10 AMD & Amsler Grid Diagnostic Tool

    Source: Cowen and Company; Macular Degeneration Foundation

    Upon onset of macular degeneration, many people have trouble adjusting quickly

    between bright sunlight or dim light or shadows. This may be especially dangerous

    when driving in bright sunlight and then entering the shade or vice versa. Whereas a

    normal retina takes 3-5 minutes to adjust from bright light to dim (when entering a

    movie theater, for example), a person with macular degeneration may take 8-12

    minutes or longer.

    Figure 11 The Progression Of Wet AMD

    Source: Molecular Partners

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  • Etiology Of AMD Not Well Understood, But VEGF Is Clearly An Important Player

    Any number of factors, including genetics, age, race, gender, menopause, nutrition,

    smoking, and exposure to sunlight, may cause AMD. Based on the original striking

    results from pan-VEGF inhibition therapy with Roches Lucentis, it is clear that VEGF is

    an important driver of new blood vessel formation in the retina and conversion from

    dry to wet AMD. Research is ongoing to identify additional molecules that drive the

    wet AMD process and to better understand the pathophysiologic processes that result

    in VEGF overexpression.

    There Are Three Categories Of Wet AMD: Occult, Minimally Classic, and Classic

    Based on the appearance of the blood vessels at the back of the eye when visualized

    using fluorescein angiography, wet AMD can be subdivided into predominantly classic

    (25%), minimally classic (35%) and occult (40%). In predominantly classic choroidal

    neovascularization (CNV), greater than 50% of the neovascular AMD lesions can be

    clearly defined, and this is generally regarded as the most aggressive subtype. In

    minimally classic choroidal neovascularization, 1% to 50% of the neovascular AMD

    lesions can be clearly defined, and this is generally regarded as the intermediate

    subtype in terms of progression. In occult choroidal neovascularization, none of the

    neovascular lesions can be clearly defined, and this is generally regarded as being the

    least aggressive subtype. It is helpful to think of the AMD lesion as an expanding

    vascular membrane which penetrates into an area underneath the retina. Angiography

    lights up the blood vessels in this membrane, and physicians use the angiogram to

    discern the outline of the membrane. However, leakage of dye from these blood

    vessels can obscure a physicians ability to clearly see the membrane, and the extent

    to which this visibility is obscured determines its classification. While it is important to

    identify lesion subtypes to determine potential eligibility for photodynamic therapy

    with Visudyne, the intra-vitreous anti-VEGF therapies have utility across wet AMD

    subtypes, making differentiation less critical.

    The Wet AMD Treatment Paradigm Has And Is Expected To Continue To Evolve

    Rapidly

    Current treatment methodologies for wet AMD include three options: anti-VEGF

    therapy, photodynamic therapy (PDT), and laser photocoagulation. Retina specialists

    are quick to adopt new therapies, often before they have undergone rigorous clinical

    testing or have received FDA approval. The wet AMD treatment paradigm therefore

    evolves rapidly and sometimes unexpectedly.

    The First Wave Of AMD Treatment Used Lasers

    Until March 2000, the only primary treatment for neovascular wet AMD was laser

    coagulation. This technique involves the use of a strong light source targeted on

    extrafoveal and juxtafoveal CNV lesions to coagulate the diseased tissue. The laser

    produces a thermal effect within the lesion that causes necrosis of its cellular

    components. In the 1980s, the National Eye Institute conducted the Macular

    Degeneration Photocoagulation Studies (MPS), and the results demonstrated that

    photocoagulation of well-demarcated CNV membranes effectively prevented large

    decreases in visual acuity compared with observation for CNV. However, the thermal

    effect of the laser can damage viable photoreceptor cells, resulting in retinal scarring

    and loss of visual acuity. As such, use of laser coagulation in the current practice

    setting is rare, as superior treatment options discussed below have emerged.

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  • Visudyne: An Outdated Procedure For Wet AMD

    Visudyne was originally approved in 2000 and was most recently acquired by Valeant

    (from QLT) in September 2012 for $125MM suggesting that its use is very limited.

    Visudyne is a photosensitizer that attaches to lipoproteins, which tend to accumulate

    in rapidly proliferating cells. Visudyne traps energy from light and converts oxygen in

    cells to a highly energized state that results in cell death. Visudyne therefore must be

    activated at the site of desired effect by light. Photodynamic therapy (PDT) with

    Visudyne consists of administering the light-activated drug by intravenous infusion

    and then shining a light to the back of the eye to activate Visudyne in the retina.

    Clinicians must therefore purchase the machinery to administer the light (up to $40K

    in fixed costs), and hire personnel to administer the intravenous infusion. Therapy is

    repeated every three months if patients continue to have active lesions, and our

    consultants estimate that, on average, patients receive three to four treatments before

    the CNV lesion is converted to a quiescent scar. Side effects of Visudyne include

    transient skin sensitivity to bright light, acute onset and transient back pain, and

    rarely, acute visual deterioration, which may not be reversible. Successful pan-VEGF

    therapies Lucentis, Avastin, and Eylea have since significantly eroded Visudynes

    commercial presence.

    Anti-Angiogenesis Treatments Dominate The Wet AMD Market

    Eyetechs Macugen, the first anti-VEGF therapy, was approved for wet AMD in 2004

    and rapidly gained widespread adoption with an outstanding commercial launch.

    Macugen is an aptamer that binds to and inhibits activity of the VEGF165 isoform and

    was shown to decrease the rate of visual acuity loss in wet AMD patients versus

    placebo in the Phase II/III VISION trials. Macugen revenue plummeted in 2005-2007 as

    pan-VEGF antibodies emerged as a superior treatment option for preserving or

    restoring vision of wet AMD patients. Roches/Novartiss Lucentis is a monoclonal

    antibody fragment targeting all VEGF isoforms and has set a new bar for wet AMD

    therapies. Data from the Phase II/III MARINA trial of Lucentis demonstrated an

    impressive ability to improve visual acuity in wet AMD patients, a goal never before

    achieved in advanced clinical trials for this indication. Lucentis secured U.S. approval

    in June 2006 and EMEA approval in January 2007. The drugs U.S. launch was very

    impressive (Roche/Genentech estimated that Lucentis achieved 55% penetration of

    the wet AMD market just 6 months after FDA approval), relegating Macugen and

    photodynamic therapy to niche market roles. While waiting for Lucentis to reach the

    market, retina specialists began to use off-label, compounded intravitreous Avastin, a

    cheap and commercially available anti-VEGF option. Even before there was Phase III

    data to support its use, intravitreous Avastin nonetheless captured the majority of the

    remaining (non-Lucentis treated) market and is the most commonly used anti-VEGF

    for the treatment of wet AMD.

    In June 2011, the FDAs Dermatologic and Ophthalmic Drugs Advisory Committee

    voted unanimously in favor of approving Eylea for wet AMD at a dose of 2mg Q8W,

    following three initial doses given monthly. The panel was benign with no real points

    of contention. After a minor hiccup in which the PDUFA date was pushed back due to

    clarifying questions from the FDA regarding the CMC section, Eylea was FDA

    approved in November 2011. In line with the panels conclusions, Eyleas

    recommended dose is 2mg Q8W, following three initial loading doses given monthly.

    In turn, the growth of Regenerons Eylea is the most recent example of the rapid

    market transformation in this market and has expanded upon advances made by the

    earlier agents by offering a less frequent injection schedule (every 8 weeks vs. every 4

    weeks). Following the success of anti-VEGF therapies Lucentis, Eylea, and Avastin, the

    most effective treatment for wet AMD is acknowledged to be angiogenesis inhibition.

    Given its vascular and progressive nature, AMD thrives on new blood vessel growth.

    In turn, the growth of Regenerons Eylea is the

    most recent example of the rapid market

    transformation in this market and has expanded

    upon advances made by the earlier agents by

    offering a less frequent injection schedule (every

    8 weeks vs. every 4 weeks).

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  • By blocking the development of new blood vessels, supply of oxygen and nutrients is

    cut off and, therefore, the diseases proliferation throughout the back of the eye.

    Over the past 1-2 years, surveyed physicians believe that the number of wet AMD

    patients in their practice has grown modestly by 5-10% and that approximately 50% of

    patients are treated with Roches Avastin. The physician panelists believe that the slow

    increase in wet AMD patients is due to the chronic nature of the disease. Additionally,

    the amount of Avastin use depends on the size of the practice as larger groups are

    more familiar with billing and will therefore use more Avastin (perhaps more than

    50%), while smaller private groups may be closer to using Avastin in 25% of patients.

    Avastin substitution has and continues to be a barrier to Lucentiss commercial

    success in the U.S. Compounding pharmacies reconstitute the significantly cheaper

    Avastin ($50 versus just under $2000 a dose) for intraocular injection despite its lack

    of FDA approval for AMD. However, the current main competition is from Eylea, which

    our Biotech team estimates will reach approximately $2.2B and $2.8B in 2015 and 2019

    U.S. sales, respectively. In the U.S., our Pharma team estimates Lucentis sales of $1.7B

    in 2015, decreasing to $1.5B in 2019 due to increased competition and as U.S. patents

    begin to expire. Our Pharma team estimates ex-U.S. Lucentis sales of $2.5B in 2015,

    declining to $1.8B in 2019 as the ex-US patents expire and competition continues to

    increase.

    Combination Therapy With Anti-PDGFs To Come Next For Retinal Disease

    Fovista, an anti-PDGF aptamer, is the PDGF program that is furthest along in clinical

    development. It is used in combination with anti-VEGF therapy (rather than in place of

    it). OHR-102 due to potentially enter Phase III by the end of H1:2015 upon successful

    final Phase II data is the second drug furthest along in clinical development and is

    catching up to Fovista quickly. Allergan/Molecular Partners and Regeneron also have

    PDGF programs, but they are much earlier-stage than Fovista and OHR-102. Anti-

    VEGFs have revolutionized the treatment of wet AMD, but they produce most of their

    improvement in about 4 months and then there is a plateau in efficacy. Moreover,

    patients must be continuously dosed with frequent anti-VEGF to maintain the plateau;

    data from several large trials were shown to suggest that switching from monthly

    dosing to PRN results in a loss of efficacy. The biological explanation for this may be

    that anti-VEGFs cause regression of tip cells at the distal end of neovascularization,

    but the bulk of the vessel outgrowths are protected from the anti-VEGF by a lining of

    pericytes. Anti-PDGF agents, in combination with the anti-VEGFs, denude the

    overgrown vessels of pericytes and cause regression of the outgrowth. Current

    development of anti-VEGF agents is aimed at extending the duration of treatment

    thereby allowing for a fewer number of injections a year, or better compliance as

    recent agents have largely failed to meaningfully increase visual acuity in long-term

    studies. However, this dogma appears to be changing with advent of anti-PDGF

    agents. PDGF agents in the case of Fovista and OHR-102 have demonstrated

    significant visual acuity gains on top of anti-VEGF treatments when used in

    combination. For wet AMD, a disease where patients ultimately lose their vision,

    increased visual acuity is paramount. Ultimately, our consultants suggest that the vast

    majority of treated AMD patients (2/3 and up) will want better visual acuity and

    therefore go on PDGF treatment. Lastly, our consultants note that as many as 10-20%

    of their patients are not adequately managed by the current anti-VEGF options, and

    therefore there is also a need for more potent alternatives to help better manage the

    disease in refractory patients.

    Over the past 1-2 years, surveyed physicians

    believe that the number of wet AMD patients in

    their practice has grown modestly by 5-10% and

    that approximately 50% of patients are treated

    with Roches Avastin. The physician panelists

    believe that the slow increase in wet AMD

    patients is due to the chronic nature of the

    disease.

    For wet AMD, a disease where patients ultimately

    lose their vision, increased visual acuity is

    paramount. Ultimately, our consultants suggest

    that the vast majority of treated AMD patients

    (2/3 and up) will want better visual acuity and

    therefore go on PDGF treatment. Lastly, our

    consultants note that as many as 10-20% of their

    patients are not adequately managed by the

    current anti-VEGF options, and therefore there is

    also a need for more potent alternatives to help

    better manage the disease in refractory patients

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  • Consultants Believe Early OHR-102 Visual Acuity Data Are Surprising And Intriguing; Final Phase II Data Due Mid-to-Late March

    In June 2014, Ohr announced positive interim topline clinical results of a Phase II

    study in wet AMD. Prior to the positive data release, few had any expectations for the

    program much less an observed visual acuity benefit. However, since the data

    which produced significant visual acuity benefits and our consultants believe is very

    surprising and intriguing that perception has changed and we now approach the

    final Phase II data readout in mid-to-late March with expectations of a visual acuity

    benefit. While there is still substantial risk to any wet AMD data readout, OHR-102

    appears to have a strong possibility of repeating the interim data. If this occurs, not

    only would the perception of the program be strengthened even more, but it would be

    significantly de-risked as it heads into Phase III with the same exact clinical endpoint.

    Upon potential successful final Phase II data, Ohr has stated that they would be able

    to initiate the Phase III program by the end of Q2:2015. We estimate that the time to

    topline data could be 2-2.5 years accounting for 12-18 months of enrollment and the 9

    month primary endpoint. 2.5 years would put the topline data readout at late 2017.

    Since Ohr has Fast Track status, it could begin filing a rolling NDA submission during

    the trial and then submit the final topline 9 month primary endpoint data in early 2018.

    In essence, Ohr could receive approval even before the final 2-year study time point

    just like Eylea. This would allow for a potential approval and launch by early 2019.

    Lastly, we would note that this timeline could potentially be conservative by 6 months.

    For Europe, Ohr plans to meet with regulators soon to nail down the requirements for

    the Phase III program. However, we would note that Ohr will be measuring the primary

    endpoint out to 12 months in case they require the standard 12 month endpoint.

    Additionally, it will be a global program with clinical sites in the US and EU. It is quite

    possible that the EU submission could come shortly after the US submission, but we

    conservatively assume a year delay in the European launch.

    The ongoing Phase II IMPACT study has enrolled 142 patients (completed in April

    2014) and is designed to measure the impact of twice-daily OHR-102 on visual acuity

    in combination with PRN (as needed) Lucentis versus placebo drops plus PRN

    Lucentis. Lucentis retreatment is mandated if any of the following present on SD-OCT:

    retinal cystic changes, retinal fluid, subretinal fluid, or meaningful RPE elevation. The

    primary endpoint was the reduction in frequency of Lucentis injections at 9 months.

    Secondary visual acuity endpoints included mean visual acuity and the proportion of

    patients gaining >3 lines (>15 letters; >3 line gainers) of vision acuity at 9 months.

    The study was randomized, double-masked, and placebo controlled and enrolled

    patients at 23 sites across the US. Enrollment criteria allowed for treatment nave wet

    AMD patients with all lesion compositions (classic and occult),

  • strip pericytes, which can cause serious health consequences. We wonder if Ohrs

    topical formulation as opposed to Ophthotechs intravitreal injection may have a

    less destructive effect on pericytes and ultimately be safer for diabetic patients. This

    could have significant implications for the DME indication for which Ohr has a Phase

    II program ongoing and is arguably the largest follow-on indication.

    Figure 12 Phase II IMPACT Study Design

    Source: Ohr Pharma

    The baseline demographics for the IMPACT study were consistent with the enrollment

    criteria described above, which called for enrollment of a wide swath of patients with

    varying disease severity mild, moderate, and severe patients. Most importantly, the

    mean baseline vision of the overall study patient population was 7-10 letters better

    than most other wet AMD programs, including the Fovista Phase II program. In

    general, this means that Ohr enrolled relatively healthier patients with better vision.

    Again, this could have provided a ceiling effect. Similarly, 47% of patients had occult

    CNV, which is more moderate disease, while Ophthotechs Phase II studies enrolled

    patients with only classic CNV or more aggressive disease. Average lesion size was

    also on the larger end of the spectrum for the population and 16% of patients were

    diabetic.

    Most importantly, the mean baseline vision of the

    overall study patient population was 7-10 letters

    better than most other wet AMD programs,

    including the Fovista Phase II program. In

    general, this means that Ohr enrolled relatively

    healthier patients with better vision. Again, this

    could have provided a ceiling effect.

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  • Figure 13 Baseline Demographics Of Phase II Impact Study

    Source: Ohr Pharma; modified by Cowen and Company

    The Reduction Of Lucentis Injection Frequency Endpoint Is Not A Point Of Focus For

    Us

    Per the study plan, a pre-specified interim analysis was conducted with ~50% of the

    planned total patient enrollment completing the study protocol. 62 patients 29 and

    33 in the OHR-102 and placebo arms, respectively completed the 9 month treatment

    period at interim. Not surprisingly, the primary endpoint, the difference in the

    frequency of Lucentis injections, did not meet statistical significance at interim. Given

    our knowledge of PRN studies (no difference in year 2 of the VIEW studies with

    Eylea/Lucentis) and the fact that no study has shown the ability to reduce Lucentis

    injections including Ophthotechs Phase II program we were not surprised by this

    result. Furthermore, our panelists at our March 2014 Health Care Conference stated

    that a fewer injections endpoint largely isnt clinically relevant. Thus, based on the

    data (6.2 Lucentis injections for the OHR-102 arm and 6.4 for the placebo arm), we

    find it improbable that this endpoint will meet statistical significance in the final data

    set nor do we care. Sure a reduction in injections would be a positive outcome, but

    ultimately what matters to clinicians is improving visual acuity. To Ohrs defense, this

    primary endpoint was picked almost 4 years ago, where the role of anti-PDGFs in wet

    AMD was significantly less defined. This will not be the primary endpoint in Phase III.

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  • Visual Acuity Endpoints Are All That Matter

    When analysis was conducted on secondary, more clinically relevant visual acuity

    endpoints, the data suggested a strong visual acuity benefit across the two most

    common endpoints, mean visual acuity and the proportion of >3 line gainers. The

    mean change in visual acuity at the end of 9 months for OHR-102 eye drops plus

    Lucentis PRN was +10.4 letters versus +6.3 letters for placebo plus Lucentis PRN a

    mean +4.1 letter improvement in visual acuity. Our consultants note that this 65%

    visual acuity benefit is impressive, especially considering the potential ceiling effect,

    described previously. However, it was not statistically significant (p=0.18) given the

    small study size. With that in mind, our consultants note that it is too early and in too

    few patients to believe that OHR-102 wont reach statistical significance on visual

    acuity once the final data reads out. Ohr notes that meaningful visual acuity

    improvements were seen as early as four weeks and the relative difference in visual

    acuity appeared to increase throughout the study as depicted by the figure below. At

    all times points evaluated from 4 to 38 weeks, visual acuity gains in the OHR-102

    group relative to placebo were observed.

    Figure 14 Mean Change In Visual Acuity For OHR-102 +Lucentis vs. Placebo + Lucentis

    Source: Ohr Pharma

    OHR-102 Hit On The Planned Phase III Primary Endpoint In Few Patients

    Additionally, 48.3% of OHR-102-treated patients showed BCVA gains of >3 lines (>15

    letters) on a standard ETDRS eye chart compared with 21.2% in the placebo arm

    (p=0.025) a statistically significant observation. Additionally, the effect was

    sustained throughout the end of the study with no saw tooth-like effects that can be

    observed with anti-VEGF agent like Lucentis. Overall, our consultants view both the

    mean visual acuity and >3 line gain results as impressive particularly if they hold up

    when the final data reads out in the second half of March. Since the interim readout,

    Ohr has met with the FDA and received confirmation that the Phase III endpoint will

    be the proportion of patients with >3 line visual acuity gains, which was the exact

    secondary endpoint that hit statistical significance at the interim readout per above in

    The mean change in visual acuity at the end of 9

    months for OHR-102 eye drops plus Lucentis

    PRN was +10.4 letters versus +6.3 letters for

    placebo plus Lucentis PRN a mean +4.1 letter

    improvement in visual acuity. Our consultants

    note that this 65% visual acuity benefit is

    impressive, especially considering the potential

    ceiling effect, described previously.

    Additionally, 48.3% of OHR-102-treated patients

    showed BCVA gains of >3 lines (>15 letters) on

    a standard ETDRS eye chart compared with

    21.2% in the placebo arm (p=0.025) a

    statistically significant observation. Additionally,

    the effect was sustained throughout the end of

    the study with no saw tooth-like effects that

    can be observed with anti-VEGF agent like

    Lucentis. Overall, our consultants view both the

    mean visual acuity and >3 line gain results as

    impressive particularly if they hold up when the

    final data reads out in the second half of March.

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  • only 62 patients. Moreover, our consultants suggest that this endpoint also has a good

    chance of reaching statistical significance when the larger, final 142-patient Phase II

    data set reads out by the end of March 2015 as the data in 62 patients gives us a

    good feel for OHR-102s efficacy. One consultant remarked that it would be

    shocking if the final data showed no visual acuity benefit as the first 62 patients are

    very typical looking and he would put the odds of success on the >3 line gainers

    endpoint pretty high. If it does, our consultants would also consider the final Phase

    III program employing the exact same endpoint and study design to be

    significantly de-risked. In fact, they believe that upon a successful readout, OHR-102

    would have the same probability of success in Phase III as Ophthotech which per

    previous physician surveys has been pegged at around 75%. One consultant