Changing the way we think about Probiotics: Alimentary Health s story

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Changing the way we think about Probiotics: Alimentary Health s story SME Regional innovation March 2016 Jennifer Roper

About Alimentary Health: An innovative Irish healthcare company A global pioneer in discovery, development and commercialisation of proprietary probiotic and pharmabiotic treatments. Vision: To unlock the promise of probiotics Mission: To develop clinically supported probiotic healthcare and nutritional products that health professionals can believe in and feel confident to recommend. Structure PharmaBiotics R&D IP generator AH Brands Commercial

Company Overview Located in Cork, Ireland. Founded in 1999 Spin-out from University College Cork Pioneering group of early innovators 23 years of research >100 peer reviewed scientific publications Strong patent portfolio in multiple territories 21 people in the company 7 PHD s in the Sciences Cork Large network of external expertise Licensed technology to P&G _ OTC probiotic supplement in the US and Canada Launched ALFLOREX in IE in Feb 2014. Pioneering the science needed to bring the most effective probiotic products to market that healthcare professionals and consumers will believe in.

State support providing the leverage for an SME to engage in real technological innovation

The effect of using University Resources and State funding Leveraging scarce cash and resources to allow a little company to think Big Science Helping to move into new areas of competence With state support you can afford to do a proper job and answer some of the big strategic questions up front - before they trip you up later.

Product value all built on built on Science: Costly infrastructure and resources required Harvest from Healthy Selection of strains Conduct In vitro studies Clinical Trials Conduct Gene array studies Select Candidate culture Screen in Animal trials

AH leveraged State Supports to Innovate: Research SFI funding Commercial partner in the APC microbiome institute Involved from the start Foundation partner Iteration 1, 2 and 3 Outcomes Patent applications and mechanism of action data supporting key pipeline strains, new strains, new licencing opportunities, internal expertise generated. EI funding Innovation Partnership - again allowing us to build the data around our core strains. EU Funding FP 4,5,6,7 - now looking at Horizon 2020 Outcomes Patent applications and clinical data supporting key pipeline strains

Leveraging infrastructure Bio-innovation centre Networking Boardroom Video-conferencing facilities Laboratory space Keep cash for data generation and commercial spend rather than capital expenditure on infrastructure Equipment available on Campus Access to equipment worth hundred of thousands and the expertise to run it

Research: AH has had active collaborations with multiple APC scientists and clinicians Gastroenterology, Gut immunology, IBD, IBS Professor Fergus Shanahan, Professor Eamonn Quigley Psychiatry, Food & Mood, Cognition, Stress Professor Ted Dinan Pharmacy, Neuroscience Professor John Cryan Paediatrics, Infant health/nutrition - Professor Tony Ryan, Professor Jonathan Hourihane, Professor Paul Ross, Dr. Catherine Stanton, Gerontology, Elderly nutrition Dr. Aoife Ryan, Dr. Paul O Toole Imaging Professor Michael Maher Cardiology, metabolic diseases Professor David Kerins Microbiology (Food, Gut), Molecular Biology, Bioinformatics Professor Colin Hill, Professor Paul Ross, Professor Douwe van Sinderen, Professor Mike Prentice Professor Gerald Fitzgerald, Dr. Paul O Toole, Dr. Comac Gahan, Dr. David Clarke

Expertise networks now extend globally London Ontario, Canada Cognitive function Anxiety/ Stress/ Mood Los Angeles, US HIV Gut Health Hong Kong, China Chinese Culture Collection Pittsburgh, US Obesity and Metabolic Syndrome Davos, Switzerland Allergy, Immunity Cork, Ireland Gut Health, Immunity and Infection

Management of the project is key The granting process can be time-consuming Learning how to write for success Reporting Management of external parties is critical Regular meetings with academic collaborators Relationship management Learning to talk the same language. Understanding academic drivers very different commercial drivers Having/building an expertise internally or having a commercially minded academic collaborator (or preferably both)

State support must ALWAYS align with the companies strategic goals Data driven projects can easily shoot off in interesting but not commercially relevant directions A project that is not core will get pushed down the priority list leading to less than satisfying outcomes for the company. An internal project champion and minder is required. Understand the intellectual property rules associated with the project they are reasonably rigid. Don t be slow about highlighting issues/changes during the project If successful then getting involved has multiple benefits Expertise, IP, Cost effective results and competitive advantage in the national and international marketplace

35624 culture: Landmark science in applied probiotics Most cited paper in GI in 2005 from APC Microbiome Institute B.infantis 35624 has shown efficacy for improvement of IBS symptoms. No other probiotic showed significant improvements in IBS symptoms in an appropriately designed study. Meta-analysis from Brenner et. al. March 2009 American Journal of Gastroenterology O Mahony et. al. March 2005, Gastroenterology

It is not just about research State support can also provide the leverage for an SME to engage in real marketing innovation and international expansion - if you can do a proper job understanding the market access dynamics; you will save a lot on expensive mistakes you might have had to learn incrementally...

The Human Microbiota is a hot topic

AH required new Expertise and Capability Alimentary Health Bifidobacteria, Production and Manufacture, Supply chain, Nutrition, Patents, Market analysis, Product concepts, Commercial positioning, Trademarks, Regulatory. Branding, Marketing, Sales Marketing and Branding specialists Strain Isolation, Probiotic Characterisation, Genomics, Gut immunology, Allergy, Nutrition & Metabolism, Gastroenterology, Women s health, Psychiatry, Cognition, Stress, Paediatrics, Infant health/nutrition, Elderly nutrition, Cardiology, Obesity and metabolic diseases etc. Academic collaborators

Alimentary Health launches Alflorex with the 35624 culture in Ireland Feb 2014 Alflorex food supplement is a proprietary brand containing 35624 Route to market via distributors The top selling supplement in the probiotic category in Ireland in 2015 (IMS data) ALFLOREX won best Irish Pharmacy product at the Irish Pharmacy News (IPN) awards 2015 Just won Best GI Product and Best Natural Product in the 2016 IPN awards I used to have to plan my journeys so carefully, so as not to get caught out Alflorex has given me my freedom back.. Testimonial

Flexibility in Company staff important an R&D company became a Marketing company - how does that work!!!! All of a sudden SFI grant writers have to become experts in writing websites and marketing literature Carmel, our clinical manager who now also runs our careline and logistics Maeve a dietician in charge of packaging and answering regulatory questions Eileen, a scientist managing brand vision Myself, a scientist setting up an e-commerce capability All of this required external expertise and upskilling

State support can help you get the right expert and lower the financial risk EI funding Presently running a Market Access grant Outcomes key resource (consultancy) and market data being generated in new markets outside of Ireland. AH money concentrated on building up the brand and sales capability to leverage this info. Now looking at grants focussed on improving our digital presence Intertrade Ireland (linked to EI) Acumen grant to look at cross-border market opportunities via a NI consultancy Outcome: Excellent report on the market opportunity in the North, saving the company significant time and resource

The company ecosystem involved is also valuable Networking to find like-minded collaborators EI lists of possible expertise to use Asking those who have done it before.. Don t be afraid to suggest your own experts Other networks e.g. IIBN Irish International Business Network UK US And others..

Key learnings from 15 years of accessing state supports

Key learnings from 15 years of accessing state supports Write it as it says on the tin The granting guidelines are accurate Tick all the boxes Use your Academic collaborators/ei supports to help craft the proposal If you are not getting the help you need at this stage you are with the wrong collaborator. Alignment with company goals Even cheap money is expensive if it is being spent on the wrong thing. If not core by the time the project starts there will be a better use for the money and the project will not get the support it needs The projects will/should use internal personell resources Internal Champion Time flies!!! Projects easily de-rail if communication stalls Critical commercial expertise must be brought to the table at the right time Careful management Talk to companies that have worked with Universities to understand the dynamics and drivers Never expect that a university collaborator will know what a company needs from the data you are the experts in the commercial requirement and need to articulate what you need again & again

The effect of successfully accessing State funding, University Resources and Expert networks Leveraging scarce cash and resources to allow a little company to think Big Science Helping to move into new areas of competence With state support you can afford to do a proper job and answer some of the big strategic questions up front - before they trip you up later.