We’re at BIO-Europe in Stockholm 🇸🇪 with Gunilla Osswalld, the CEO of BioArctic, the inventor of one of the only drugs that have worked for Alzheimer’s.
We talked about the science and business behind Leqembi. We also talked about the Alzheimer’s field at large and transitioning from big pharma to biotech.
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Thank you to today’s sponsor, Turbine, who is organizing a free Techbio event at JPM25 and is inviting you to join. Click the link to RSVP and secure one of the limited spots: https://www.turbine.ai/jpm25-event-registration
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⭐️ ABOUT THE SPEAKER
Gunilla joined BioArctic in 2013 after many successful years in executive positions at Astra/AstraZeneca, including Vice President for the product portfolio of neurodegenerative diseases. Since joining BioArctic, the largest Swedish biotech, Leqembi, one of the only successful drugs for Alzheimer’s was approved. This was an invention of BioArctic that Eisai and Biogen have commercialized. This is a particularly impressive feat considering 98% of Alzheimer’s drugs fail.
🔗 LINKS MENTIONED
- The CEO of BioArctic talks Leqembi and what’s next in Alzheimer’s, Parkinson’s, ALS, and more: https://www.biotechtv.com/post/bioarctic-gunilla-osswald-september-21-2024
- Roche sees rapid amyloid clearing in Alzheimer’s study, adjusts protocol after patient death: https://www.fiercebiotech.com/biotech/roche-sees-rapid-amyloid-clearing-early-alzheimers-study
- Edwin Moses | How to build large biotech platforms | E13: https://flot.bio/episode/edwin-moses-biotech-platforms/
Transcript
[00:00:00] Intro
Gunilla Osswald: We are pioneering with a completely new kind of treatment. It’s an earlier patient population. So we are building a new patient segment, if you will, with the earlier stages of the disease before you have the normal dementia diagnosis. How
Philip Hemme: did you manage to make it work with basically everyone else?
There
Gunilla Osswald: has been many failures. I think what the beauty of what BioArctic is doing is the Swedish mutation and then the Arctic mutation of
Philip Hemme: Alzheimer’s disease. That’s where the name comes from.
Gunilla Osswald: That’s where the BioArctic name comes from. I’m really grateful for all the time I was trained and raised by Astra and AstraZeneca, but I really enjoy working in the small farm.
It’s so agile, you can focus on the right things and not a lot of bureaucracy. You can really focus on the projects.
Philip Hemme: Bienvenue to a new episode. I’m your host Philippe and on this show I’m interviewing the best Europeans in biotech to help you grow. 98 percent of all new Alzheimer’s drugs failed. One of the only drugs that worked recently is Lekembi, which was approved last year in 2023. What most people don’t know is that the Kenbee was developed and invented by the largest Swedish biotech company, Bioarctic, and is commercialized with Azai and Biogen.
So while I was in Stockholm at BioEurope, I met with the CEO, Gunilla Oswald. I didn’t know Gunilla personally, but she was highly recommended by one of my listeners, Bertrand. We talked about the science and business behind Le Camby. We also talked about Alzheimer’s field at large and transitioning from big pharma to biotech.
So here’s my conversation with Gunilla and if you’re enjoying it please hit the like and follow button.
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Welcome to the show, Gunilla.
Gunilla Osswald: Thank you so much.
Philip Hemme: It’s great to be here, super excited with the discussion.
[00:02:24] Leqembi and BioArctic
Philip Hemme: And I want to start with Bioarctic and Lake Wembley. Actually I just, I just met someone who knew more the Biogen and the Isar part, knew less about Bioarctic. I knew less that the technology came from basically from Sweden, from Uppsala.
And that you brought the first disease modifying drug for Alzheimer’s on the market last year. So maybe just, if you can tell, like, yeah, how do you feel about it, like, in general?
Gunilla Osswald: Yeah. No, I think it’s amazing to be a part of the company who has where the originator of Lecanumab or Lecambi, it’s sold under that name.
And I mean, I really want to help patients and we knew Innovative Treatments, so And then Lekembe is the first disease modifying treatment for Alzheimer’s disease. And that is fully approved in the US, Japan, and many other parts of the world. Not yet Europe though. Really hope that it also will be coming to Europe, but so far US, Japan, China, and so far.
Philip Hemme: And the UK as well.
Gunilla Osswald: And UK. Great.
Philip Hemme: That’s great. And I’ve seen that, yeah, you, as I mentioned, the partnership, I’m curious if you can elaborate a bit more on the commercial structure or the deal structure. I think Asai came very early on. Very
Gunilla Osswald: early on. Yeah. Already 2005 started to collaborate with BioArctic and then led to a license deal 2007.
And then A Sci has really been driving Lecanumab in the clinical stages and so forth and into the regulation now in the commercial part. And Biogen came on board as A Sci’s collaborator for sharing development costs and also commercialization. By Arctic, we have arrived to milestones and royalties. So we have 9 percent royalties on global sales.
And we have the right to the Nordic region where we are preparing, hopefully, to sell together with, with ASI. And we also still own other indications outside of Alzheimer’s disease. But it’s a great collaboration.
Philip Hemme: It’s amazing that you managed to retain I mean, 9 percent is, is good, but it’s very good, especially for something signed so early.
Yeah. Yeah. I was wondering if it was disclosed the exact percentage, because I saw also from the commercial that the global drug sales, I think for Q2 was around 40 million in dollars, at least. And I think your revenues were 5 million. So it’s basically translate to the around, around the 9 percent plus some revenues.
Yeah. And then I saw the forecast is, is really like this. A lot of potential as well. Can you talk more about the We can just say, I
Gunilla Osswald: mean, it has, of course, huge potential, and we are targeting mild Alzheimer’s disease and the stage before, which is called mild cognitive impairment due to Alzheimer’s pathology.
And no one really knows exactly how big that patient population is because there are no such drugs previously. So we are building a new population and building a new market. And then pioneering helping this kind of patients. And what we see is that if we start to treat early, it seems like we can have an even better effect for the patients.
So it’s really important to be able to diagnose patients at an early stage and to initiate treatment at an early stage.
Philip Hemme: And how do you diagnose at such early stage like that’s,
Gunilla Osswald: yeah. So the good news is not blood based biomarkers are also being evolving now and a lot of progress is happening there as well today.
I mean, it’s really, I mean, of course a clinical diagnosis, but also with either, CSF, like a lumbar puncture and CSF sample where you can see the protein structure. It tells you that you can has Alzheimer’s disease or doing a PET scan to visualize and seeing that you have amyloid deposits and plaques in your brain.
But the blood based biomarkers, which is really progressing well now, and it was last week a big Alzheimer’s Congress in Madrid, in Spain. And there we could really learn how much, the blood based biomarkers has evolved. So I think in a, in a year’s time or so, it will be more broadly used. Now it could be used more on the pilot scale and, and people are trying at different places, but I think in not long time we will see it being utilized broader, but it should be when you start to have symptoms.
Philip Hemme: And then you already, I guess you have a clinical trial as well on the, on these patient population Combined with the biomarker, I guess.
Gunilla Osswald: Yes. So, I mean, when the Kempe is approved then in Japan, for example, in U. S. and, and China and, and Great Britain, that is then for when you have symptoms and you have the Alzheimer’s pathology.
There is also another big phase three study ongoing, which is on individuals before you have symptoms, but you have Alzheimer’s pathology. And since the pathology comes 10, 20 years before you have the symptoms, that is an idea then to think about what if we start to treat patients at that early stage, maybe then we can help to postpone the time to when you get symptoms considerably further.
Philip Hemme: Yeah, and especially what’s the onset for the like mild, not for the mild, for the, for the real symptoms, I guess it’s 60 plus, I guess, or what’s the? Yeah,
Gunilla Osswald: it’s, it’s normally it’s, it’s more than 60 years unless you have some kind of, of more, there are different genetic circumstances why you can have it earlier.
So it could be much earlier if you have some genetic mutations. And the most, I mean, important risk factor is age. The older you get, the higher risk it
Philip Hemme: is. It’s similar to oncology, I guess.
Gunilla Osswald: But here it’s very clear that in older age you, you get much higher risk, but there is also some clear genetic risk factors as well.
So if you have one common gene which we talk about is called APOE4. And if you have two alleles of ApoE4, you can get Alzheimer’s disease maybe about 10 years earlier. And if you have one of them, maybe five years earlier than, than otherwise. So it’s so it’s but, but age is definitely the, the older we get, the higher is the risk.
Philip Hemme: And to stay on the commercial, I also heard just as a conversation with the As a previous CBO for BioNTech anyway, he said, said that Biogen, there was some pretty high expectation on the commercialization and that’s maybe didn’t go or they, they have some challenges to on the commercialization plan, but like, are you personally true?
What do you have to say to it? Yeah, no, but I
Gunilla Osswald: think what we have to realize is that we are pioneering with a completely new kind of treatment. As I said, it’s an earlier patient population. So we’re building a new patient segment, if you will, with the earlier stages of the Before you have the normal dementia diagnosis also with the mild cognitive impairment.
And also it’s a new kind of treatment. It’s disease modifying treatment. It’s not, I mean, it’s affecting the underlying disease. So that’s also a new thing. And it comes with some infrastructure requirements. It’s an ID infusion.
Philip Hemme: Yeah. And twice once a year, bi weekly.
Gunilla Osswald: To start with, and we’re trying to see if we can give it a bit more seldom during maintenance phase, for example, and in the future, also subcutaneous injection that will make it so much more convenient.
So I think that part, and also in order to make sure there are some side effects that we need to be careful about, especially for six months. And that requires some MRI measurements. So, so there are some infrastructure that needs to be built up. And that has taken a bit more time in the U. S. and we, we’re hoping to see initially, but it goes also very well in, in Japan and in China as well to start it off in a really good way.
So. I think, but it’s, it’s, we are helping more and more patients.
Philip Hemme: Yeah, fingers crossed more and more patients can access it.
[00:10:40] Side effects of Leqembi for Alzheimer’s treatment
Philip Hemme: On the, I saw actually talking about the also MRI, I guess also one of the main side effects is, is a potential strokes. So it’s
Gunilla Osswald: really some kind of brain edema.
Philip Hemme: Okay.
Gunilla Osswald: So, so like about 12, 13 percent get something called area E, which is that you can have some.
Some edema in the brain, less than 3 percent seem to have any symptoms. So it’s mainly something you see on MRI during the first six months. It’s transient for the most patients and comes quite early and, and goes away. So, and when it’s gone away, then you can start treatment again. And if you have a very mild, then you can treat all the time.
But if you have a bit more, then you do an interruption until it has result.
Philip Hemme: Okay.
Gunilla Osswald: So, but, but less than 3 percent seem to have any symptoms and then it’s like headache or dizziness mainly. It’s
Philip Hemme: pretty low. It’s, it’s pretty low. Yeah. Because I saw the news I read over the weekend was from the Alzheimer’s week, I think it was WASH, the clinical trial.
was also an amyloid, if I’m correct, and then there was, I think one patient died from a stroke. So I was wondering also if it’s connected or if it’s, or what do you think about it? Yeah, I
Gunilla Osswald: mean, there are some, some things you should be careful about when you look at the patient, if they are eligible for this kind of treatment.
And we have learned that there are some risk factors when, then it’s better than those patients should not have this. And I think that Josh presented last week what they had found one of those risk factors for those patients. They should not have it. So they changed the protocol.
Philip Hemme: I guess that’s,
Gunilla Osswald: it’s important to find the right patients.
Those that can have the most benefit from it with, with a reasonable risk profile. I mean, all drugs comes with some risk, but it’s important to have a good benefit risk balance.
Philip Hemme: Yeah, that’s good. And I guess if, because I remember, I mean, covering. Alzheimer’s for the last whatever decade, or I’ve been in the media and I remember it was like a lot of setbacks.
I think it was, didn’t work. So like, so I mean, little better what, what hypothesis will work. So I guess for you guys, how, basically, how did you manage to make it work West? Yeah. And , everyone else didn’t make it.
Gunilla Osswald: I’ve been working in this area for a long, long time. I mean, I devoted my career to, to brain disorders.
And I’ve been working with Alzheimer’s disease for many, many years. And there has been many failures. I think what, but the beauty of what BioArctic is doing is that it’s based on Professor Lars Landfelt and his research and his discoveries first with the Swedish mutation and then the Arctic mutation of Alzheimer’s disease.
And what he saw That’s where the name comes from. That’s where a bioarctic name comes from. When he saw that in this Arctic mutation family, they had increased level of soluble aggregated forms of amyloid beta that he calls protofibrils. And they are very neurotoxic. So his idea was, what if we make an antibody that selectively binds to those toxic species?
While we spare the monomers, which we have in, in the all cells in the body, which have physiological meaning. So we should not bind to those. We should wind to the aggregates, the soluble aggregated forms, which is neurotoxic. So that’s what’s his idea. And then he started at Uppsala University. Then he, he and pa force founded biotic and biotic generated band 24 1 or Embi Kinumab.
And that does exactly that. It binds and eliminates those soluble, aggregated forms of amyloid beta while it spares the monomers, the physiological form. So that’s, that’s the, and, but I, the way I’m trained from my 28 years at AstroNASTA Seneca is that, I mean, if you have a clear genetic link, then you have a a higher chance of success.
And that’s exactly what we have at BioArctic. It’s very clearly linked to genetics and it’s very solid science that it’s built on.
Philip Hemme: We’ll talk about your career at AstroSeneca a bit after, But now it also makes sense. I watched the interview you did on Biotech TV to prepare a bit as well and when you talked about the science you were saying we are very good at being selective.
On the misfolded protein and being able to target. So I guess now it, I mean it makes sense you’re Yeah. Able to target the, the aggregate, but not the monome Exactly. Very selectively. Yeah.
Gunilla Osswald: So I think, I mean, biotic we have two very strong pillars. One is to do very selective antibodies towards those misfolded aggregating forms.
A beta for Alzheimer’s disease, alpha synuclein for Parkinson’s disease, TDP 43 for ALS, for example. The other part where we also are among world leaders is a brain transporter technology that can help antibodies, for example, and biological drugs to come better into the brain to go through the blood brain barrier.
So that’s another part where I’m really excited.
Philip Hemme: We will talk about this as well. And the, I’m curious, how do you make it so selective? I, because It’s still antibodies. I mean, how, yeah, how do you make it? No,
Gunilla Osswald: I mean, it’s part of, of how we generate the, the antibodies is to do then the trick is to do very, selective and specific antigens when you then produce your antibodies.
And then to be, be clear to select antibodies that are very selective and specific and that spares the monomers. So that’s the whole idea between several of our, our projects.
Philip Hemme: Okay. But there’s no, okay. But there’s no like completely different way of. generating antibodies or like, it’s, it’s a combination of antigen database.
But
Gunilla Osswald: also engineering, of course. I mean, we have really skilled scientists working at, at Bioarctic.
Philip Hemme: Yeah. Sounds very good.
[00:17:03] Passing the blood-brain barrier for better Alzheimer’s treatments
Philip Hemme: And maybe on the blood brain barrier on the technology you have, I saw you signed another deal with Asia again. I guess you know them really well. Yeah. How, like, how do you What I was wondering, I saw there was also Abdi that bought another company, Aliada, how do you pronounce it?
1. 4 billion dollars, and I think that’s one of the main players in the field. So how do you differentiate on these technologies? And I think a lot of you will promise, oh, we are crossing the world over, but how, like.
Gunilla Osswald: So I think that’s what I think the next generation for, for the biological treatment is to have different ways to come better into the brain.
So I think there is a lot of enthusiasm and energy in the whole field of seeing how can we do this. And there are some different ways you can do it. What we do and, some others do is to utilize transferrin receptor, which is one of the body’s own active transport systems to, to in that case get iron better into, into the brain and so forth.
And, and then we utilize that technology to help us to get the antibodies better into the brain, but we also have also combine it with enzymes, for example, to see enzyme replacement therapy, to see, so it could be utilized for, for different kinds of biological treatments. And when
Philip Hemme: you say better, what’s, Quantitatively, like how much better is it?
I
Gunilla Osswald: mean, you can I mean, what we see now, for example Roche had some really nice presentations of Trump Tinderman now in, in Madrid last week. And what we see is that they can have. Doses, which is two to four milligrams per kilogram, which is considerably lower. So, I mean, we see that we get several folds, much more into the brain.
So, so, I mean, we can talk about 20, 60, 80 fold, but what does it mean really when it comes, if we can have 10 times lower, if we can have 20 times lower, we, we don’t know yet. We’ll, we’ll see, but considerably. And it’s not only that we have a lower. What we see is that we get a very rapid distribution, or perhaps quickly into the brain, broadly and deeply.
So we also trust to, yeah, so it really goes in and distributes in, in the brain in another way than the naked antibodies. So when we see this, my thinking is that it could potentially have even better effect. We can have less side effects because it goes in another way into the brain and a considerably lower dose.
And a lower dose.
Philip Hemme: the lower dose, I guess, as well. And
Gunilla Osswald: then less side effects also from that perspective. And then that we want to give it subcutaneously also. So we’re in lower doses. So I think that’s really, I think the next generation now I’m really happy for Leucandamab and that generation of treatments.
I think the next one will be the brain transporter linked antibodies.
Philip Hemme: And how, but I saw on the programs, I mean, Like Rambi was really advanced and then secure one in Parkinson’s, but then the rest is in preclinical.
Gunilla Osswald: Yeah. So we are in preclinical stage, but, the, and the, the whole platform, and then we have several projects and we have two in Alzheimer’s disease, one together with ASIA and one which has generated a lot of interest.
Where we also will be meeting different companies here at this Congress, also for that and for the brain transporter technology platform, but also from our Parkinson’s program and so forth. So this is, has generated a lot of interest. So I think that’s, that’s really what’s evolving. And I’ve been excited about this for several years, but now we have data that we can present and show, and then it’s much more tangible.
It’s
Philip Hemme: always better with data. Absolutely.
Gunilla Osswald: Absolutely.
[00:21:00] Market access for Leqembi in Europe
Philip Hemme: And maybe a quick word on the, on the, on your, on the conversation in Europe and the negative opinion from the CHNP, I think you’re appealing it, but can you tell a bit how you, how you feel about it? I mean, I guess, possibly, yeah.
Gunilla Osswald: No one knows.
And we think it will be at CHMP next week. And then of course we, we hope that it will be a positive opinion.
Philip Hemme: Yeah.
So next week they are disclosing.
Gunilla Osswald: So we think it will be, we don’t know yet. We think it will be on the agenda next week. So maybe at the end of next week we know what the, the re examination, what kind of decision they came up with.
And I really hope for the sake of, of patients and some of the patients in Europe that they should be able to have access. to this treatment, because I mean, we have shown everything that was expected to show. We have shown that we have a good efficacy, 27 percent slowing of decline for the whole population.
Philip Hemme: It’s pretty significant.
Gunilla Osswald: That is significant. I mean, you save a bit more than five months out of 18 months for when the patients stay in the early stages when they are functioning quite well. And if you look at how many patients that comes to the next stage of the disease. More than 30 percent of the patients do not come into the next stage of the disease during those 18 months.
And that could mean going from being. independent to being dependent on different aspects. And that is definitely clinically meaningful. And then of course, as I said, it comes with some risks for side effects as, as all treatments does. And I’m convinced that for me, that the risk benefit is definitely the positive side with, with more benefits.
But that’s what they will be discussing next week. And, and I really, really hope that European patients also have access just as they do in, in the U S Japan, China and Great Britain.
Philip Hemme: That’s a crazy thing. I mean, if it’s approved, basically everywhere else and every main market. That’s a surprise. So Great
Gunilla Osswald: Britain, they selected then a slightly different patient population.
They took out the. a segment of patients where there is a little bit higher risk for, for the side effects. So that’s could be an alternative approach. We don’t know yet. So it remains to be seen. I just hope that patients will have access. I want each patient together with their physician to have a, an informed discussion to see if it’s good for them or not.
Philip Hemme: When the recording will be out, the decision will be out then. We’ll see. That’s, that’s, let’s say maybe on the, on, on that, on that topic as well. I mean, I feel like, and we had some guests on the show already mentioned that, that just the access to innovative drug in Europe is, let’s say, not optimal slash not on par to for sure the US, but even some other, some other countries, like what’s your take on the, maybe on the more global, global view
Gunilla Osswald: No, but I think, I mean, different regions, they have their own processes and, and I’ve been thinking that in the U S they really want a good efficacy.
Japan, they really want to have safe treatments and Europe wants a bit of both. And I think us has approved and Japan has approved. So it should be also, but in Europe as well, I think we’ll see.
Philip Hemme: But maybe if you can expand on, not just on bioarctic, maybe on your view on drug reimbursements. at large of whatever oncology drugs or other, other drugs.
How do you feel about it? Like, yeah,
Gunilla Osswald: I mean, it’s also different. I mean, each payer has their own part and this very different also us, Japan, China, different parts of Europe. Europe is not one. It’s so many different countries and each and every one. So when you have an approval in Europe, I mean, you can start to, to sell in, for example, Germany and Austria.
Awesome. But no, but I think Germany and Austria, you can start very early on, then some other countries, you need to go into more reimbursement discussions before you can start to sell. So it’s different in, in different parts. So we just have, and we hope to be able to sell in the Nordic region. Then there will be of course, reimbursement and pricing discussions that our part race, I will do with, with the, the different, each Nordic country per region.
Philip Hemme: Okay. But even in the Nordics, you don’t, you, you’re not planning to commercialize yourself. It’s
Gunilla Osswald: yes. Yes. Together with ASI. Yeah. But, but ASI is responsible for setting the price. So price negotiations, it’s ASI, but then commercializing, it will be Biotic and ASI in the Nordics and Biotic and, will then rely on, on ASI and Biogen for other parts of the world.
Philip Hemme: Okay. Yeah. I mean, it’s crazy when you think that the drug is invented, basically, let’s say between Uppsala and Stockholm and that patients in the country cannot access it. That’s
Gunilla Osswald: really, really, I really, really
Philip Hemme: feel so.
Gunilla Osswald: Yeah.
Philip Hemme: Yeah. At least that they can, they could access it.
Gunilla Osswald: Yeah. It’s not because they should at least the patients have the possibility to make their own decision.
Philip Hemme: And
Gunilla Osswald: we know several patients. Who are on the treatment.
Philip Hemme: And they were on the trials.
Gunilla Osswald: Yeah. Who were on the trials. And if you were on the trial, you are still on, on open-label extension treatment. Yeah. And we hear several of those patients who are so satisfied with the treatment and really worried if they’re not allowed to have it in the long run.
So I’m crossing my fingers. We’ll see.
Philip Hemme: Fingers crossed there.
[00:27:03] Gunilla Osswald’s commitment to patients
Philip Hemme: Maybe that’s, that’s a good good segue also and a bit more personal, like the personal side of, and more your personal career like. You sound very, very committed to patients, like truly deep down, like, can you talk about that of where or when you developed or had this?
Yeah.
Gunilla Osswald: No, my background, I’m a pharmacist and I’m committed to, I want to help patients. And then I’ve devoted my career to brain disorders and I have a PhD in clinical pharmacology, helping to set the right doses and so forth for the patients. And then I I’ve been trained and raised by Astra and AstraZeneca where I spent 28 years and 20 years in clinical drug development.
And the last eight years I was responsible for Alzheimer’s and Parkinson’s treatments. On a global level, small and large molecules. And then 12 years ago then I came to Biotic. Wow. And I’ve been the CEO of Biotic now for about 11 years. And, and I think Biotic is such a fantastic company. I mean, we’re about 120 peoples and we are among the world leaders in two different areas.
One is then, as I said, doing the, the very selective antibodies, targeting those neurotoxic species while sparing the physiological forms and the other part, the brain transporter technology. So it’s, it’s so cool what we can do in a small company, but we need to work together with the CROs, for example, and academia, of course, but also with big pharma.
And I’ve been there, so I know what they need. And well, how they can contribute. And I know now what a small company can do and contribute with. So it’s really about finding the
Philip Hemme: partners. But they cannot do that. They don’t want you.
Gunilla Osswald: Yeah, but we are so, I mean, a small company, we can be very agile. We can be very, I mean, focused on the things that we, we are good at.
And then we, we need to find good partners. So that’s why I’m here today. the thinking about the rest of our portfolio. And we have a huge interest, which I’m really grateful for. Big pharma that needs us and we need them. So, I mean, it’s really to find the right collaboration.
Philip Hemme: I mean, it’s, it’s amazing in biotech how collaborative, I mean, that’s why Partnering events like this exist as well, but it’s collaboration is so, so, so important, but yeah,
Gunilla Osswald: it’s needed from, from all ends.
Philip Hemme: Can you give another example? Maybe, I mean, except Azae maybe, I mean, you, you talk, we talk about that, another example you have of like
Gunilla Osswald: yeah, I mean, we had a collaboration with Abvi for several years, which also was a very good collaboration and they said that we were their best collaborators. So that was, we wrote different articles and things about that.
So that was a very good collaboration. Eventually they decided that that program did not fit their strategy anymore. So we got it back and we’re happy for that because we are driving it forward ourselves now.
Philip Hemme: And that’s the Parkinson’s. It’s
Gunilla Osswald: a Parkinson’s program. It looks really good as well.
And we’re now progressing into phase two and starting in the phase two trial in Parkinson’s disease later this year. So, and that’s the most selective antibody, which we know about for, for those, for those toxic forms of alpha synuclein. So that program looks really, really good. Nice. And we got 130 million US dollars from, from AbbVie.
So we are grateful for those. That’s good. Yeah.
Philip Hemme: I like that. I mean, I, I, I like the, how you look at it as all of the, cause I always feel that when the farmer Vagner walks away, it’s always like looked at the very, as a very negative.
Gunilla Osswald: But you know, I’ve been, I’ve been there as well. I’ve been in their pharma when I was responsible for some programs.
And then there was a change in strategy at that big pharma as well. So it doesn’t have to be any flaws with the program. If you get it back, it can be, but it doesn’t have to. So in our case. It’s no flaws at all. I mean, phase one data looks really good as well, which, which I’ve regenerated. And now we got it back when grateful for the, all the money.
I’m grateful for the program. It looks really good. And then we have also initiated ourselves after that. And alpha synuclein antibody combined with our brain transporter technology, which I also think as a, a lot of opportunities for the future.
Philip Hemme: Reminds me with the drug coming back of, We talked about Ono and Galapagos and how on one of the episodes was, was Edwin Moses from Ablinks.
And he said it was, he was impressed by how, like, I think they got the back, the drug back three times. The same drug on three Pharma partners. At the end, they brought it to the market and made it with it. So we’ll see, we’ll see, we’ll see. But it looks very good.
[00:31:55] Leaving AstraZeneca, transitioning to biotech
Philip Hemme: Can you, can you talk about the, the decision to leave the company?
I mean, When you was the same company, 27, 8 or 28 years, I mean, they must have a tremendous amount of attachment. The last part
Gunilla Osswald: was actually not my decision because the whole r and d site was closed.
Philip Hemme: Okay. So RD site was around at
Gunilla Osswald: AstraZeneca. It was in , outside of stock coms. So the last thing I had to do for them was I was asked to, to what you say dismantle, I mean, to close the site.
To close the site. So I took on that. So I, I helped to close the site with 1,351. employees and 80 drug projects that should be going to different places. So I did that for about a year. And then after that, I came to Biotic and so much more fun to build than to close. Yeah.
Philip Hemme: And imagine, because I was wondering what, what was behind the decision?
And can you tell the story of how you, how you got in touch with Biotic?
Gunilla Osswald: I mean, of course I’ve, I have been following Biotic for quite some time because I was working at. AstraZeneca with the Alzheimer’s, but yeah, so of course I was, but ASI was faster at that time point when they, they took the license very early on.
Philip Hemme: I took all risk in a way.
Gunilla Osswald: Yeah, yeah. Exactly. So I, I followed the program and what that was there were actually two different programs that I was looking at when I was at AstraZeneca that I was really interested in and, both of those targets are doing well. So we’ll see. We’ll see.
Philip Hemme: And how did, then how, how did it happen?
The CEO position? I mean, it’s also.
Gunilla Osswald: No, I was, I was hired started as a deputy CEO with the intention of becoming the, the CEO for, for the company. So within a year I was then the CEO for, for Baywatch.
Philip Hemme: And how was it for you to be CEO of a smaller organization? Like, I guess you had some lessons or so.
I
Gunilla Osswald: mean, there are, of course, a lot of new things for me. I mean, coming from a big pharma. Yeah. And and that was a very small company. We were about 20 people at that time. Today we’re about 120 at that time. We also, I mean, we’re thinking about how can we afford different things. So it was, when I started, it was only scientists.
And, and myself and the, and the former CEO and the two founders. But then now we have built, now we have a really, really strong company with very good scientists. The majority of the people working for Biotic are still, I mean, highly skilled scientists, mainly PhD level. And then we have a small but, development drug development organization with vast experience.
Many from Big Pharma. And then we are building a commercial organization now, stepwise for, for the Nordic. Hopefully then commercialization on Lakembi. And then we have a small, but very, very experienced corporate support organization also.
Philip Hemme: Okay. And what were some of the personal lessons you learned?
Because, I mean, I think the, quite a lot of people in the audience as well are in Big Pharma and are thinking about going into biotech. You hear a lot of good stories as well, and it looks maybe a bit more fun and more nimble, but I think there are also some
Gunilla Osswald: Yes!
Philip Hemme: Some
Gunilla Osswald: people, I think they belong better in a big organization and some people belong better in a small organization.
I can really see pros and cons with both. And I am really grateful for all the time I was trained and raised by Astronauts for Seneca, got a fantastic education, but I really enjoy working in the small farm. It’s so agile. You can focus on the right things. And not a lot of bureaucracy and things like that.
You can really focus on the projects because I mean, and the, the leadership, we can build it the way we want. I mean, it’s so much easier to have a small organization and, and to drive things and focus on the projects in order to help patients, but we need to work with big pharma. So I think that’s a really good benefit of, of seeing Both sides.
Philip Hemme: Yeah. And how did you manage to adapt? I mean, if you fitted well in, in a big organization and you fit well in a smaller one, I mean, yeah. What did you need to change? Like
Gunilla Osswald: I can see I was the worst role I had at Biotic was, that’s what you say, switchboard telephone. I had kids get too many phone calls out of them.
Because I was not so good at that, but for the rest, I have been able to manage quite well. But if you, if you should like it in a small company, you need to be able to pick up all different kinds of, of roles. I mean, some roles that you know, and some roles that you don’t know, and you learn and train and ask and make sure that you take in help when you really need help.
So I think sometimes you feel that the, the, The jacket is very big and sometimes it’s your size, but I think it’s a beauty in that that you race to the challenge and race to the the possibilities. I really enjoy it.
Philip Hemme: That’s cool. Yeah. I think that’s also, I mean, I’ve seen it’s quite a trend as well in for.
It’s I think quite recent in a few, in the few last years, especially in the US, especially with funds, let’s say flagship, but the first that comes to mind where they, they love to take high level executives from pharma. And to transition more towards biotech, at least that seems to be quite a trend. But it seems to work.
Gunilla Osswald: Yeah. I mean, I enjoy it a lot. And then also I’ve had the, the luxury situation of being able to build a really good organization with a fantastic management structure and, and really, I think one of my best skills is to bring in great people.
Philip Hemme: Yeah. So we
Gunilla Osswald: have a fantastic group of people working at Biotic.
Philip Hemme: Yeah. Nice. That reminds me of, yeah, reminds me of, well, first of all, I mean, biotech, I mean, there’s science, but it’s about people, people, people. It’s
Gunilla Osswald: people. I mean, what I think, I mean, great science, great projects, great people. It’s all being done by the great people. So that’s why I also think leadership is so important.
I really want, when you are at work, You should be able to, to have a great working place. So you focus on the right things. And so I, we focus quite a lot on leadership and on, on company values and to really help to make sure that we, we have a good working climate and so forth.
[00:38:42] Unique culture at BioArctic
Philip Hemme: Can you expand on it, on the culture at Bioarctic and how.
What, what makes it unique?
Gunilla Osswald: Yeah, no, I mean, we talk a lot about three different leadership styles where the most important one is self leadership. I mean, everyone is a leader for themselves and that’s the most important one.
Philip Hemme: Manage yourself.
Gunilla Osswald: Yes. And then it’s, I mean, project leadership. Of course, we are there for the projects to help to come to patients and then the line management or the individual based leadership.
And then we, we have four very strong values at the company that we really work according to, and that’s in Swedish, we call it resa. So if I try to translate that, that would be then respect, engagement or commitment, collaboration, and responsibility. So, so that’s, and, and then we really work according to that.
And, and then we have realized that we are great at collaborating. So then we have also described what kind of collaboration principles are we working according to. So these are things that, I mean, I’m grateful that we have them. It doesn’t come by itself. It doesn’t stay by itself. So you need to continue to work with it.
And we do that. And I’m convinced that that helps to, to deliver more, better things to, to patients.
Philip Hemme: I like that. I like, can you, can you talk a bit on the, I like the, usually the, the Nordic say Nordic and especially Swedish way of working is. Has some like uniqueness and can you talk on how far you think your culture is at the Swedish versus you took the best from the best of Europe, the best of us, the best of global like.
Gunilla Osswald: I think, I mean, of course you, you need to realize that there are some cultural differences. And that I think the more you, you’re open and try to understand, we have more than 20 different cultures or people coming from different cultures working on bioethics. So, so I think it’s important to understand where we have different strengths and to help each other.
And, and also, I mean, diversity and the most important in diversity, I think is diversity in mind that you help to think in different ways. in order to get a better outcome.
Philip Hemme: I like that. I like that. Yeah. And how does it come through when it comes to gender diversity or ethnic diversity? How?
Gunilla Osswald: I mean, all of it is important, of course.
So and, and there’s a lot of focus on, on the gender differences and, and I mean, it’s, to me, it’s important that you have the right competency and that you think about things in different ways.
So, yeah, Bioarctic is a really great company in many ways.
Philip Hemme: Nice. And, I think, I mean, you’ve been, yeah, as you said, 12 years, what’s, what’s your, Okay, so what’s your plan for the next 12, plan for the next 12 years?
Gunilla Osswald: Well, I really hope that we can help for Alzheimer’s patients to start with, and then other patients with different kind of neurodegenerative disorders, because there is such a huge unmet medical need in this arena. And I also think the brain transporter link programs will really help to get more of the biological treatments into the brain.
So I think that it’s fun to be in this area now because science is breaking. So I think we will see a lot of progress in the coming years. So I’m happy to be part of this. Yeah,
Philip Hemme: that’s cool.
[00:42:26] Alzheimer’s field in Europe and at large
Philip Hemme: And can we talk a bit about especially the European biotech companies active in the space? I mean, the two that comes to my mind was AC Immune and Torarex and I think AC Immune in Switzerland, Torarex in, in the UK, I guess you know them also.
Well how do you, like, I don’t know, like, how do you see them? How do you interact with them? Like yeah.
Gunilla Osswald: No, of course. I mean, we meet each other at different Congresses of course, we met, in, in Madrid last week. So and I think, I mean, I’m, I’m really happy for when there is progress for, for any company because it helps the patients.
And I think it’s great if there are more companies that can, can help in different ways. I like that.
Philip Hemme: Okay. I think Climatics, they had a positive phase two results, I think, if I’m correct. Recently, or not too recently, but that’s also good news. Like, Oh, just, and what did you think about the, I mean, I guess you were in Madrid, what did you think about the conference?
Some of the like,
Gunilla Osswald: No, no, you was a very good Alzheimer’s Congress again. There are three bigger ones every year and CTAD or clinical trials in Alzheimer’s disease is one of them. So next one we’re looking forward to now is Alzheimer’s and Parkinson’s Congress in beginning of April next year in, in Vienna, I think it is next time.
So it’s great to see the progress in the field and there was a lot of discussions about Leukanoma,
Philip Hemme: BLEKENBI. Yeah.
Gunilla Osswald: And what we see is that the theme there was a couple of things. The earlier we start to treat, the more benefit patients seem to have, and also continued treatment that you should continue to take away those toxic soluble aggregates.
Even when you’re taking away the plaques from the brain, it’s important to take away the toxic species, even though you can probably give it less frequent, maybe once a month or so after that. And then long term data to see that, the, the benefit stays. And also I think it to me was very reassuring to hear the real world evidence data that was presented to see that when it’s being utilized in a broader setting than in other clinical trials, for example, both from the U.
S. and from Japan the side effect profile were potentially better. Okay. So because normally when you give it wider into a broader patient segment, there is a risk that you have more new side effects and more side effects. And that was, not the case. So it was a very reassuring, I think, to hear both Japan and, and the US with their experience from now when they have, have used LeCamby.
For their patients for quite some time. So I think that was really good.
Philip Hemme: That’s good. And how does it look like the long term data? Because I mean, let’s say on a five year plan. So
Gunilla Osswald: there were three year data now being presented and we saw that the continued benefit for those who had been in the trial for a longer time.
they had even more benefit for those who had placebo during the, the core study. Then they got the candomab after their 18 months treatment, and then they could also get some benefit. They will never catch up, like if they have got it from the beginning, but they also could then when they call it delayed start, which also is of benefit for patients.
So I think that was also reassuring to see.
Philip Hemme: That’s good. It’s good. It’s really good to see good news in the, in the field, I think. Yeah. So must be super satisfying.
Gunilla Osswald: And also we see that there are some other companies who also are coming with new, very interesting things. And there was also a lot of discussion about combination therapies, where you start with the Lakembi or, or that kind of treatment, and then you can add on something.
So it’s, there is a need for, for more treatments in different ways. And then the brain transporter linked antibodies. I think that’s also what, what would be very, very interesting for the future.
Philip Hemme: That’s amazing. I’m reading one thing I was curious also is on the on the finance side from, from bioarctic like you.
You are listed in, on the NASDAQ, Stockholm NASDAQ, but you never double listed in the U S didn’t want to.
Gunilla Osswald: No, I think, I mean, biotic we have a solid financial situation. We
Philip Hemme: like a bit under a hundred million for end of Q2 or
Gunilla Osswald: something like that. So we have the IPO back in 2017. And that’s the only time where we have been.
Doing some equity race from the market. So that’s quite unusual in how BioArctic has been built as it’s really been built on collaboration research collaborations and, and licensed deals. And also some soft money grants from Swedish Vinnova and from European Horizon 2020, where we have got at least five different grants shows also the high quality science that is being done by BioArctic.
And, and now. When we are selling, we are getting royalties. So we’re getting into a bit more stable financially revenues coming into the company together with hopeful future milestones and hopefully new deals in the future. We’ll see.
Philip Hemme: So I guess you don’t need to raise more money. So double listing doesn’t make much sense.
Okay. Yeah. So you’re, you’re planning to be profitable, I think from next year or next year,
we’ll see how the sales go, I guess. Great.
[00:48:20] Quickfire
Philip Hemme: And. But to finish with, usually I finish with a quick fire, which is like just simple question. If you can answer like one sentence or, or, or sometimes yes, no some, some are more like light questions, some are different questions. One is what’s on the top of your mind at the moment?
Gunilla Osswald: I’m really looking forward to the partnering events. Oh, we have a lot of great meetings. So I’m really looking forward to the coming days now.
Philip Hemme: So you have one in 14 minutes.
Gunilla Osswald: Reunite.
Philip Hemme: But he will be there. It
Gunilla Osswald: went really back to back, so I’m really looking forward. It’s great to see, I mean, the, the, the big enthusiasm in the neuroscience field now again.
I’m really happy for that and for the brain transporter technology.
Philip Hemme: What’s the most impressive drug on the market at the moment? Except,
except, another one?
Gunilla Osswald: There is a lot of very important treatments for many patients. Salmonella is a specific one, but there are many.
Philip Hemme: Okay. Your favorite biotech book? I
Gunilla Osswald: don’t actually
Philip Hemme: know
Gunilla Osswald: it off the top of my head.
Philip Hemme: Maybe there will be one about biotech.
One mistake you made in the past 12 months.
Gunilla Osswald: Oops, that’s a tough one. Oh, it’s completely blank. But of course I make mistakes every day. Everyone does mistakes. But at the moment it’s completely blank.
Philip Hemme: It’s okay. You can skip also. Blank is good. What’s the best biotech hub in biotech cluster in Europe?
Gunilla Osswald: There are many good clusters, of course, I have to say the Nordic, but of course there are many good clusters.
Philip Hemme: What do you, what’s your take on the Stockholm cluster like?
Gunilla Osswald: No, I think it’s really, I mean, I think I’m happy to see that there are many companies coming out of, of of Sweden.
And if you think about I think Denmark is. A country which I’ve been watching for quite some time because they have a really good way how they have built the Danish companies. Sometimes I wish that Sweden had had that kind of thinking coming from one of those big companies where big parts has been sold out.
AstraZeneca still have important parts in Sweden, but it’s not the same as it were. Pharmacia isn’t there anymore as it used to be. But the beauty is that there is a lot of small startups and a lot of really good new companies that are evolving. And there is, so many people working in life science in Sweden at the moment.
So I saw some numbers, which is, is, I think it was more than 50, 000 people working in, in life science in Sweden, which I think is amazing. And
Philip Hemme: Especially for 8 million people.
Gunilla Osswald: Oh, yes. 9, 10, or wherever we are. But I think, I mean, and the beauty, I think what I really like also with, with Biotic and the founders of Biotic and the board, they have the ambition of building a new Swedish successful biotech company or bioforma company.
And I think that really resonates well with me that we really want to build a new successful company, for the long run.
Philip Hemme: Sounds like you’re set up like, so good, good luck with that. The, How much do you sleep per night?
Gunilla Osswald: I wish sometimes I could sleep a bit more, but sleep is important. So I really try to get my sleep.
Philip Hemme: That’s good. And last one, one of your biotech heroes, if they were European.
Gunilla Osswald: Oh, there are many heroes, many who have, I think is inspiring to watch. And I think, I mean, the way I’ve been looking at role models is that I don’t think there is one. I think that you look at different and you try to take something from different people and then build your own.
Yeah. So that’s the way I’m trying to do. I like
Philip Hemme: that. Can you name a few? I
Gunilla Osswald: better not.
Philip Hemme: Yeah. And maybe just finish on the, on the next. I mean, we talked a bit, but some, maybe some you on, yeah, on the next steps for, for Bionic Tech, something you haven’t mentioned. Yeah.
Gunilla Osswald: No, but I think, I mean, we’re really, looking forward now to seeing Lakembi and how this is being commercialized more and more.
In different parts of the world, of course, we hope for the European approval as well. So we can start to sell in the Nordics, but then also in Parkinson’s disease now to come into phase two, we are driving the phase two program that can help the health patients. And then the brain transporter link programs where we have Alzheimer’s, Parkinson’s, ALS, angiosperm disease.
With the brain transporter. And we are looking forward interacting with other companies who want to utilize this technology for their own assets as well. So I think we have some busy days here when we’re really looking forward to discussing our programs and potential collaborations.
Philip Hemme: Very exciting.
[00:53:42] Thanks for listening
Philip Hemme: Great. Thank you for coming on the show again. Thank you so
Gunilla Osswald: much.
Philip Hemme: I’m impressed by the achievements of Grunilla and her team at Bioarctic. I’m also impressed by Grunilla’s excitement for what’s coming next, balanced with her Swedish humility. If you’ve also enjoyed this episode, please hit the like, follow, review button. Any of these actions would help a lot to get more people to the show.
If you want to see similar videos, please subscribe. Check our channel where we have many more. I would also be curious to hear what you think. So if you could leave a comment wherever you are or shoot me an email at philip at float. bio. All right, thanks for watching to the end and catch you in the next episode.