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TRANSCRIPT
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The Future of Radiotherapy is MR Guided TM
Aurora-RTTM Linac-MR
Magnettc Oncology Solutions
June 27, 2017
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Problem in Radiotherapy (RT)
Radiation kills both cancerous & healthy cells
Poor visual guidance during treatment
Patient planned days prior to treatment
Tumours move during treatment
Treating with margin of error damages healthy tissue
Sub-optimal RT doses to limit side-effects are given to tumour requiring
many extra RT treatments
Decreases chance of cure
Increases chance of harm
margin of error
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The Solution – Image WHILE Treating Tumours are BEST seen with MRI
Combine an MRI and a radiation treatment unit (“Linac”) to
concurrently image and treat
• locate and continuously monitor tumour
• confine dose to tumour only
Considered to be impossible due to machine interferences
We were the first to do it (2008 and 2014):
2 “Linac-MR” prototypes at Cross Cancer Institute (CCI) & University of
Alberta (U of A).
Significantly improves the chance of cure
minimizes side effects
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Example 1: Problem in targeting - Prostate -- Cannot clearly see what to treat --
Our 0.5 T MR: - Real-time: Before, During & After Tx
kV Cone Beam CT: - Only Before & After Tx
Current imaging MRI from Aurora-RT prototype
Requires 40 treatment visits Estimate 1 to 5 treatment visits
Tumour
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Example 2 : Problem with tissue movement - Cervix -- Organs can move during treatment (eg., body processes, breathing)
Outline drawn around organ
Currently Treat the Outline
In minutes organ moves significantly
NEEDS IMAGING DURING TREATMENT
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Current Magnettc Team Gino Fallone, CEO, CSO & Co-Founder
Academic & clinical director of the Medical Physics Department at CCI and U of A. Leader of Linac-MR program since 2002. Co-inventor of the Aurora-RT, international leader in medical physics innovation.
Brad Murray, President, COO & Co-Founder
Engineering & Medical Physics degrees with twenty five years of clinical radiation therapy and medical physics experience. Previous start-up experience. Co-inventor of the Aurora-RT.
Jason Ding, Executive Advisor – Finance
Life science technology start-up executive with licensing and financing expertise. Experience with multiple start-ups. Previously VP & Director with Deloitte Corporate Finance. CPA, CA and CBV.
Thomas Rhea, Executive Advisor – Business Development
40 years in radiotherapy equipment sales, including Varian for North America, and start-up experience.
Kerry Toll, Executive Advisor – Corporate Affairs
Experienced health planner and senior healthcare administrator with speciality in cancer services.
Regulatory: Bob Morton
Legal Counsel: Sustrik Law
Accounting & Tax: Cameron & Hankinson PC
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Full Body Prototype (2014)
The team with commercial prototype
About 50 peer-reviewed
scientific articles.
10 patent families- over 20
issued and others pending.
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The “Aurora-RT”
commercial version
In construction at the Cross Cancer Institute
– first patient to be treated in 2018
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Size of the business opportunity
Significant markets worldwide
1 in 3 people will develop cancer
50% of them treated with linac
Growing at ~5% per year; now >11,000 clinical linacs
Replacement Market ~10-12 years at replacement cost
of USD $3-6M/linac equals >$4 B per year
Magnettcforecast
revenues of $103 M USD in 2021
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Business CASE for more precise RT
Decreased # of treatment sessions (visits)
Eg. Prostate (35 to 5 sessions),>$14k USD /patient
• direct savings $250 M USD /year
• direct savings in time savings from work, transportation (Hodges et al, J Oncol Practice, 2014)
In ADDITION:
• Reduction (eg., 1/7) in number of linacs required
Fewer side effects with more precise RT
Eg. Gynecologic cancer
• Significant cost savings (Chen et al, Gyne Oncol, 136, 2015)
Aurora-RT provides much more precise RT
with further costs savings
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Competition
RefleXion
PET-Linac ViewRay MRIdian
MR-Linac
Elekta Unity
MR-Linac
Our advantages
ACCURACY - Optimized Magnetic Field strength & orientation
ACCURACY - Effectively treat peripheral tumours (e.g. breast)
ACCURACY - No radioactive sources used
COST/SAFETY - No cryogen/liquid-helium required
COST/EFFICIENCY - Ease of installation and maintenance
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Business Model
Revenue Sources: • Aurora-RTTM sales
o Distribution with partners
o Software upgrades
• Service & maintenance contracts
• Consulting / training contracts
• Licensing for other technology products (e.g. proton therapy)
• R&D on new products using licensed intellectual property
On-Site Assembly minimizes manufacturing facility requirements
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Milestones
Recently completed
Over $30 M non-dilutive grants world’s first proof of concept (2 working prototypes)
commercial version in progress
Exclusive license agreement negotiated 2016
Quotations prepared for several hospitals at their requests
In Q3 2017
Supplier agreements: already well advanced negotiations
Regulatory submissions: US FDA (510K – uses predicate devices),
complete ISO13485 Certification for Canada & EU
In 2017/18
Regulatory clearance: US FDA 510K, Health Canada & CE Mark
Product launch & first sale
Clinical studies: Cross Cancer Institute
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Financial Projections
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Financing needs
Current Needs & Requests
Develop corporate space, add
linac vault, Aurora-RTTM
Staffing, Sales, other SG&A
Product Development &
Regulatory
Installation & Maintenance
Working Capital
IP portfolio
$6.5M
$10.1M
$0.4M
$4.9M
$6.5M
$3.6M
$32M required to reach self-sustainability / break even
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Financing needs
Current Needs & Requests
Build-out of commercial space,
linac vault, Aurora-RTTM
Staffing, Sales, other SG&A
IP portfolio
Product Development &
Regulatory
Installation & Maintenance
Working Capital
$6.5M
$10.3M
$0.2M
$4.9M
$6.5M
$3.6M
$32M required to reach self-sustainability / break even
Seeking $12.0M in our financing round
Recruit dedicated key leadership staff
Complete Aurora-RT commercial version
Secure regulatory clearance in 2017/18
First commercial sale in 2018
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Highlights
Breakthrough Radiation Therapy Treatment Device
Hybrid Linac combined with MR imaging
Leading management team
Technology design extensively de-risked
proof-of-principle 2008
full human scale working prototype 2014
~$30M of non-dilutive research grants
Unique design superior to the competition
Raising first round of $12M USD investment