2019 Interim Results Delivering insights in neuroscience - 22 May 2019 - IXICO

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2019 Interim Results Delivering insights in neuroscience - 22 May 2019 - IXICO
Delivering insights
                            in neuroscience

      2019 Interim Results

      22 May 2019

BUSINESS USE ONLY © IXICO plc 2019
                                                  0
2019 Interim Results Delivering insights in neuroscience - 22 May 2019 - IXICO
Disclaimer
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BUSINESS USE ONLY © IXICO plc 2019
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2019 Interim Results Delivering insights in neuroscience - 22 May 2019 - IXICO
Delivering insights
                            in neuroscience

      Delivering on our
      strategic goals
      Giulio Cerroni, CEO

BUSINESS USE ONLY © IXICO plc 2019
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2019 Interim Results Delivering insights in neuroscience - 22 May 2019 - IXICO
Next generation biomarker services for neuroscience drug development

▪ Collecting and extracting data from brain scans to detect and measure imaging biomarkers
▪ Applying our data analytics expertise to develop and validate complementary digital biomarkers
▪ Accurate biomarker assessment can reduce the
  risk associated with clinical research studies by                  e.g. MRI - Huntington’s disease
  supporting:
        ▪ identification of patients who are more likely to
          respond
        ▪ early detection of drug safety issues
        ▪ objective assessment of drug efficacy

                                                                       Tissue loss   Δvol over 6 months = 0.8%

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2019 Interim Results Delivering insights in neuroscience - 22 May 2019 - IXICO
Next generation biomarker services for neuroscience drug development

 Medial Temporal Lobe                     Striatum                               Cerebellum                  Brainstem
                                                                      SPINO-                   PROGRESSIVE
                            ALZHEIMER’S              HUNTINGTON’S   CEREBELLAR
                                                       DISEASE                                SUPRANUCLEAR
                              DISEASE                                 ATAXIA
                                                         (HD)                                     PALSY
                                (AD)                                   (SCA)                       (PSP)

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2019 Interim Results Delivering insights in neuroscience - 22 May 2019 - IXICO
5 point growth strategy

         ①        Focus on delivering scale and operational excellence

         ②        Accelerate penetration of clinical trials market; diversify into new indications

         ③        Target early phase to grow into later clinical phases

         ④        Innovate: AI machine-learning data analytics

         ⑤        Enhance organic growth through selective M&A

                    ….to deliver sustained double-digit revenue growth, targeting profitability

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2019 Interim Results Delivering insights in neuroscience - 22 May 2019 - IXICO
Strengthened leadership

                          Giulio Cerroni (Feb ‘17)      Alison Howie (Jun ‘18)     Grant Nash (April ‘19)       Marcus Thornton (Jun ‘18)
                          CEO                           CCO                        CFO                          COO

                           Robin Wolz (Mar ‘14)         Amanda Wooding (Jul ‘18)    John Hall (May ‘08)         John Green (Jun ‘18)
                           SVP Research & Development   HR Director                 SVP Corporate Development   SVP Quality, Compliance &
                                                                                                                Regulatory Affairs
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2019 Interim Results Delivering insights in neuroscience - 22 May 2019 - IXICO
Delivering insights
                            in neuroscience

      Commercial traction in an
      attractive growth market
      Alison Howie, CCO

BUSINESS USE ONLY © IXICO plc 2019
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2019 Interim Results Delivering insights in neuroscience - 22 May 2019 - IXICO
Our AI data analytics accelerate biopharma innovation & enable productivity
            Eligibility / Stratification                 Safety - Side effects                               Efficacy

          PET - Alzheimer’s disease                      MRI - Immunotherapy                   MRI - Huntington’s disease

   Accurately measure the absence/presence of           Detect adverse drug reactions       Accurately measure biomarkers that track
    disease biomarkers (Amyloid) to ensure the        (bleeds/fluid accumulation) early –   disease progression providing evidence of
     right patients are enrolled in clinical trails   preventing serious harm to patients        treatment response and disease
                                                                                                           modification

                                                                                               Tissue loss   Δvol over 6 months = 0.8%
    Healthy             Healthy       Alzheimer’s
   Amyloid -ve         Amyloid +ve    Amyloid +ve         Baseline           Week 19

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2019 Interim Results Delivering insights in neuroscience - 22 May 2019 - IXICO
Four pillars of strength for accelerated growth

            Launching innovative           Leveraging our               Building scale in               Continuously enhancing
               new products               expertise into new              high growth                      our client value
                                             indications                    markets                           proposition

                 Algorithms to            Unrivalled domain               Established                    A decade of delivery
                measure disease              knowledge                  operational reach
                  biomarkers
                Validated IXICO AI          Understand the value of     Network of sites trained           Proven, trusted partner
                technology to measure       different disease           and qualified by IXICO to          with robust and regulatory
                specific biomarkers in      biomarkers is specific      ensure they can collect            compliant operations.
                therapeutic areas being     therapeutic areas           data (which is not standard        All phases of clinical trials
                targeted by biopharma       Understand the challenges   of care) to the high level of
                                            of deploying different      quality required for               Springboard for new client
                                            biomarkers in specific      Automated AI analytics             acquisition
                                            populations                 tools.

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Market drivers - innovation with clients, collaborations and partners

                                        Investment                 New                                                  Patient
         Ageing                                                                               Earlier
                                           in rare              therapeutic                                            reported
       population                                                                          intervention
                                          diseases              approaches                                             outcomes

                                                         New and better biomarkers
   Translational science

                              Partnering with Academia                                 First Mover Advantage
                                in Major Government                                       via Public-Private
                                 Funded AI Initiatives          AI-Driven                    Partnerships
                                                                  Data
 ▪ Access to well-characterised clinical data
                                                                Analytics            ▪ Diversification into new indications
 ▪ In-licencing opportunities                                                        ▪ Development and validation of IXICO algorithms
 ▪ Access to clinical and technical expertise                                        ▪ Build track record and expertise
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Long term client relationships; good revenue visibility
 ▪ Generating high quality earnings growth from repeat                                   Reported revenue growth (£m)
   business
        • Expanding scope                                                                                               3.4
        • Multiple projects
                                                                                                     2.3
                                                                                                              2.8
                                                                                                                                    22%
 ▪ Reaching new biotechs to expand franchise to new
   therapeutic areas                                                                        1.5
                                                                                                                               ▪   H1-18 +25%
 ▪ Working with earlier-stage assets creates long term                                                                         ▪   H1-17 +51%
   opportunities
                                                                                           H1-16 H1-17 H1-18 H1-19             Comparatives reflect adoption of IFRS15

             Wearable                  New PSP            2 study           Scope
             biosensors                Imaging         expansions in      expansion           Phase III             New contract         New HD
               £0.5M                    $2.7M            AD +24%            £0.6M           Study £9.1M             in HD £0.5M        study £2.3M

  £12.7M                                                                                                                                                    £21.1M
   Order                                                                                                                                                     Order
   Book                                                                                                                                                      Book
             Sept 17                                                                              Sept 18
   Sept 17                                                                                                                                                   Mar 19
                          Wearable                 Scope           New HD               Scope                 Scope               New
                          biosensors             expansion        Study £1M           expansion             expansion         Therapeutic
                           £0.75M                 £0.75M                                €0.5M                 $2.4M            Area study
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                                                                                                                                start up                   11
Winning in current markets + reaching into new markets

           • Exploratory outcome                        • 2° & 1°
                                                                           • Patient outcomes in     • Supporting
             measures                                     outcomes
                                                                             the real world            therapeutic decisions
           • Translational science                        measures

               Phase I, II & III (sub-study)              PhII & III              Phase IV                  On Market
                                                                                                        Digital and imaging
                                                                             Digital biomarkers       biomarkers to monitor
               Imaging services de-risking outcomes: better                  providing objective       disease progression
            insights to changes to brain structure and function              measures of patient         and therapeutic
                                                                                 outcomes                    response

                           £150 - £500k                  £1m - £10m             £200k - £2m                    £££

                                                 Typical Value Per Study                                Recurring revenue

                                     Current Markets                                          New Markets
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Delivering insights
                            in neuroscience

      Financial Review
      Grant Nash, CFO

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                                                  13
H1 2019: Revenue, Gross Margin & EBITDA
Reported revenue growth (£m)                                                     Gross Margin (%)
                                                                                                                    66
                                                                                               61

                                       22%
                                                                                                          60
                                                                                                                          +610bps
                                3.4
                       2.8                                                          47
              2.3
                                      ▪       H1-18 +25%                                                                  ▪   Operating leverage & product mix
     1.5
                                      ▪       H1-17 +51%

                                      Comparatives reflect adoption of IFRS15

   H1-16 H1-17 H1-18 H1-19                                                        H1-16 H1-17 H1-18 H1-19

      EBITDA (£m)                                                                Income per head (£k)
        H1-16 H1-17 H1-18 H1-19
                           0.1
                                          Break-even                                                           113       Efficiency gains
                                                                                                     95
                                          ▪    Progressive growth towards                                                ▪    Productivity continues to increase
                                                                                          78
                                               profitability.
                             -0.1
                                                                                  55
                                          ▪    Investments in H2 will increase
                    -0.4                       expenditure.                                                              Average headcount in period at bottom of bar
                                                                                                                         chart
                                          ▪    H1-18 excludes £0.3m May 2018
                                                                                   69     61         63        66
                                               placing costs.
           -1.1                                                                  FY16    FY17       FY18 H1-19
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H1 2019: Order Book & Cash
Order book growth (£m)                                                                     H1 2019 order book analysis (£m)
                                                              ▪   Roche PIII contract £0.9m
                         19.3
                                  21.2      £21.2m                paid in FY-18 with services
                                                                  provided across FY-19
                                                                                                       5.2         3.3

                                                                                                                                  ▪   £5.2m contracts won in H1-19
                                            ▪   Sep-18 order book increase
             12.7
                                                included £9.1m PIII contract                                                      ▪   Revenue excludes £0.1m fx
    9.9                                                                                      19.3     19.3         21.2   21.2
                                            ▪   10% growth in order book in H1-19
                                                                                                                                          Confidential, IXICO plc 2019

                                                                                           Opening    New    Revenue Closing
 Sep-16 Sep-17 Sep-18 Mar-19                                                                          Wins    (ex fx)

      Operating cashflows (£m)                                                    Cash position (£m)
          FY16   FY17      FY18 H1-19
                                             £0.2m
                                                                                                             7.5
                                                                                                                           £4.8m
                           -0.1
                                     -0.3
                                            ▪   Phasing of customer payments                                              ▪   Oversubscribed £5.5m in May
                                                negatively impact H1-19                                                       2018 (net £5.2m)
                                                                                     3.2
                                                cashflows.                                  2.8      2.7
                  -1.2

          -2.0
                                                                                    H1-16 H1-17 H1-18 H1-19
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H1 2019: Working Capital and Investment
Working Capital Growth (£m)                                                           Capital Investment (£k)
                       7.2     7.4
                                          £7.4m                                                                    102
                                                                                                                         Accelerate investment
                                                                                                             75
                                      ▪       Cash balance underpins                                                     ▪    Number of years of low capital
     3.3                                      strengthened WC position.                            49                         investment.
              2.5
                                      ▪       Strong position from which to drive                                        ▪    Investment to redress balance.
                                              growth                                     24
                                                                                                                         ▪    Investment to underpin and
                                                                                                                              accelerate growth.
   FY16     FY17     FY18     H1-19                                                    FY16   FY17      FY18 H1-19

 R&D Investment (£k)                                                                  S&M Investment (£k)
                                                                                       400                        406
     776
              697
                      582              21%                                                   335       322               26%
                               458        ▪    Refocus of R&D resources on                                                ▪   Investing in S&M team
     380      370
                                               driving commercial growth.                                                 ▪   Investing in Marketing initiatives
                      232      227
                                          ▪    Refocus and expand R&D                                                     ▪   Investing in PR
                                               investments to strategic priorities.
                                                                                       69     61        63        66
                                          Grant income – function of R&D spend
    H1-16 H1-17 H1-18 H1-19                                                           H1-16 H1-17 H1-18 H1-19
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H1-19 Summary Income Statement:
Revenue growth, margin accretion and breakeven
 Income Statement                                  H1-19       H1-18*        H1-17*       FY-18      FY-17* Revenue growth
                                               (unaudited)   (unaudited)   (unaudited)   (audited)   (audited)
                                                                                                               • Broadening range of neurological disease areas
                                                     £’000         £’000         £’000       £’000      £’000
                                                                                                                •   Across all phases of clinical development
 Revenues                                          3,426         2,817         2,255       5,394      4,100
                                                                                                                •   With leading biopharmaceutical companies
 YoY% Growth                                          22%           25%           51%        32%        34%

 Gross Profit                                      2,271         1,697         1,375       3,173      2,314     Strengthening gross margin
 Gross Margin %                                       66%           60%           61%        59%        56%     •   Operational leverage & service mix

 Other Income                                        303           300           441         562        643
                                                                                                                OPEX
 R&D                                                  458           582           697       1,033      1,256    •   Increased Opex - investment in building scale &
 S&M                                                  406           322           335         754        823        capabilities to drive growth
 G&A                                                1,574         1,201         1,037       2,593      2,117
 Non-recurring                                           -          332           112            -       165    Overview
 Total Opex (ex Depreciation)                      2,438         2,437         2,181       4,380      4,361     •   Strong position from which to deliver FY-19
                                                                                                                    market expectations
 EBIDTA                                              136         (440)         (365)       (645)     (1,404)
 Operating Profit/(Loss)                             105          (513)         (791)      (797)     (1,912)
 Net Profit/(Loss)                                   215          (419)         (681)      (668)     (1,537)
*Figures adjusted to reflect adoption of IFRS 15
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H1-19 Summary Cashflow: Capitalised to fund growth
 Cashflow                                             H1-19        H1-18*        H1-17*       FY-18      FY-17*      Closing cash
                                                   (unaudited)   (unaudited)   (unaudited)   (audited)   (audited)
                                                                                                                     •   £7.5m, increase on H1-18 due to £5.5m
                                                         £’000         £’000         £’000       £’000       £’000
                                                                                                                         gross placing in May 2018
 Cashflow from operating                               (305)           331         (281)         363       (644)
 activities
                                                                                                                     Operating cash flows
 Cashflow from investing                                (103)          (47)          (14)        (79)        (49)    •   £0.3m outflows H1-19 vs £0.3m inflows H1-
 activities
                                                                                                                         18m - due to phasing of project advance
                                                                                                                         payments in FY18
 Cashflow from financing                                     -             -             -     5,164             -
 activities
                                                                                                                     Investing cash flows
 Movement in cash and                                   (408)          284          (295)      5,448       (693)     •   Initiating investment in building scale &
 cash equivalents
                                                                                                                         capabilities to drive growth & address prior
 Opening cash and cash                                 7,861         2,414         3,120       2,414       3,120         years’ under-investment
 equivalents
 Effect of exchange rate                                     -            1           (25)         (1)        (13)
 fluctuations

 Closing cash and cash                                 7,453         2,699         2,800       7,861       2,414
 equivalents
*Figures adjusted to reflect adoption of IFRS 15

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Delivering insights
                            in neuroscience

      Operational scale for
      success
      Marcus Thornton, COO

BUSINESS USE ONLY © IXICO plc 2019
                                                  19
Investing to scale
                                                                          CLINICAL TRIALS
                                                                          Imaging Site Selection and qualification

                                                                          Fast and selective enrolment drives down study
                                                                          duration and cost

                                      IMAGING                             Safety Monitoring
       IMAGE DATA
                                        DATA
                                     PLATFORM                AI LAYER

                                                                          WEARABLES IN CLINICAL TRIALS

                                                                          Patient selection and stratification
                                                 DATA LAKE
                                                                          Objective biomarkers & endpoints

                                                                          Real world data sources
    BIOSENSOR DATA                   BIOSENSOR
                                        DATA                 PUBLISHING
                                     PLATFORM                  LAYER      POST MARKETING
                                                                          Early and accurate diagnosis

                                                                          Therapeutic recommendations tailored to the
                                                 3 RD
                                                    PARTY                 individual
                                                 DATA SETS
                                                                          Early identification and monitoring of side
                                                                          effects and disease progression

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Focus on delivering process improvement and scale efficiencies
                                                             Gross Margin (%)
                                                                                   66
  Key programmes delivering efficiencies:                             61     60
                                                                                          +610bps
      • Site qualification                                     47
      • Site management system                                                           ▪ Operating leverage &
      • New reporting platform                                                             product mix

  Impact:
                                                              H1-16 H1-17 H1-18 H1-19
      • Speed and quality of site start-up
      • Efficiency improvements                              Income per head (£k)
      • Enhanced responsiveness to stakeholders                                          Efficiency gains
                                                                                  113
      • Build knowledge base                                                 95
                                                                                         ▪ Productivity continues
      • Enhance trusted partner and supplier relationships            78
                                                                                           to increase
                                                               55

                                                                                         Average headcount in
                                                               69     61     63   66     period at bottom of bar
                                                                                         chart
                                                              FY16   FY17   FY18 H1-19

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Delivering insights
                            in neuroscience

      Summary & Outlook
      Giulio Cerroni, CEO

BUSINESS USE ONLY © IXICO plc 2019
                                                  22
Delivering on our financial commitments

       ▪ Fifth consecutive reporting period reporting +20% revenue growth

       ▪ Expanding franchise with blue-chip biopharma client base, driving quality earnings

       ▪ Visibility to future revenues from large contracted order book & strong pipeline

       ▪ Delivering operational gearing and executing operational efficiencies

       ▪ Break-even & debt free; continued progress on path to profitability

                      Inflection point in the transformation of the business

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