Unassociated Document


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 

 
FORM 8-K
 

 
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
 
Date of report (Date of earliest event reported): June 4, 2009
 

 
ZIOPHARM Oncology, Inc.
(Exact Name of Registrant as Specified in Charter)
 
Delaware
 
0-32353
 
84-1475672
(State or Other Jurisdiction
of Incorporation)
 
(Commission File Number)
 
(IRS Employer
Identification No.)
 
1180 Avenue of the Americas
19th Floor
New York, NY
 
10036
(Address of Principal Executive Offices)
 
(Zip Code)
 
(646) 214-0700
(Registrant’s telephone number, including area code)
 
Not applicable
(Former Name or Former Address, if Changed Since Last Report)
 

 
Check the appropriate box below if the Form 8-K is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
 
o                      Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425).
 
 
o                      Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12).
 
 
o                      Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)).
 
 
o                      Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)).
 
 
 
 



 
 
 

Item 8.01
Other Events

On June 4, 2009, ZIOPHARM Oncology, Inc. (the “Company”) held its annual shareholder meeting where the Company provided shareholders with the presentation attached hereto as Exhibit 99.1, which is incorporated herein by reference.  The presentation was also made available via real-time webcast on the Company’s website, www.ziopharm.com, and will remain available on the Company’s website for 90 days, until September 2, 2009.

 
Financial Statements and Exhibits
       
    (d)
Exhibits
   
       
 
Exhibit No.
 
Description
       
 
99.1
 
ZIOPHARM Oncology, Inc. shareholder presentation dated June 2009

 
 
2

 
 
SIGNATURES
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
 
 
 
ZIOPHARM Oncology, Inc.
   
   
 
By:
/s/ Richard Bagley
Date: June 4, 2009
 
Name: Richard Bagley
   
Title: President, Chief Operating Officer and Chief Financial Officer
 
 
3

 
 
INDEX OF EXHIBITS
 
 
Exhibit No.
 
Description
     
99.1
 
ZIOPHARM Oncology, Inc. shareholder presentation dated June 2009

 
 
 
 
4


 
Unassociated Document
  Exhibit 99.1
 
 
 
 
 
 
Jonathan Lewis, MD, PhD
 
 
 
 
FORWARD-LOOKING STATEMENTS
 
Some of the statements made in this presentation are
forward-looking statements. These forward-looking
statements are based upon our current expectations and
projections about future events and generally relate to our
plans, objectives and expectations for the development of
and commercialization of in-licensed cancer drugs. Although  
management believes that the plans and objectives reflected
in or suggested by these forward-looking statements are
reasonable, all forward-looking statements involve risks and
uncertainties and actual future results may be materially
different from the plans, objectives and expectations
expressed in this presentation.
 
 
 
 
ZIOPHARM Mission and Strategy
 
Better cancer medicine.
 
Low cost small molecules.
 
Oral and global.
 
Improved quality of life.
 
 
 
 
Portfolio of Mid-Stage Development Candidates
 
Focus of current resources:
 
ZymafosTM (palifosfamide), novel DNA-alkylating molecule in  
randomized phase II expected to define registration trial  1H 2010;
oral form at IND stage
 
To follow:
 
ZybulinTM (indibulin), novel oral tubulin-binding molecule in phase
I trials  expected to enter phase I/II breast cancer trial 2H 2009 with
mathematically-derived dosing schedule (Dr. Norton); nanoparticle
formulation (for oral, IV) in preclinical evaluation
 
ZinaparTM (darinaparsin), novel IV mitochondrial-targeted
molecule
in phase II trials with the potential for registration trial in
1H 2010; oral form in phase I
 
        
 
 
 
 
ZYMAFOSTM
(palifosfamide)
 
 
 
 
Palifosfamide
 
Novel alkylating molecule; patent applications U.S. and internationally
 
Anticipated low cost to manufacture
 
IV form in randomized phase II and oral developed for IND
 
Target indication of soft-tissue sarcoma (front/second-line setting)
 
Orphan Drug Designation (soft-tissue sarcoma) in U.S. and Europe
 
 
 
 
Palifosfamide Opportunity
 
Palifosfamide, novel DNA alkylating agent, related to ifosfamide
and cyclophosphamide family
 
Active preclinically in diverse cancers including ifosfamide and
cyclophosphamide resistant tumors
 
Development premise:  less toxic, more efficacious, enhanced
quality of life, easier to administer than related drugs, cost-effective
 
Niche market development for soft-tissue sarcoma with estimated
sales potential in the front- and second-line setting of
$250 MM
 
Replacing ifosfamide in lymphoma $400 MM, and with use in other
solid tumors
(for ifosfamide/cyclophosphamide) including breast,
ovarian and prostate,
significant further potential
 
 
 
 
Palifosfamide Development Leading to ASCO
 
Active in Phase I with anticipated toxicity profile
 
Active in Phase II advanced sarcoma
 
Synergistic with doxorubicin in preclinical study
 
US and EU experts recommend randomized phase II (front-/second-
line setting, palifosfamide +/- doxorubicin) in
soft-tissue sarcoma
(PICASSO); trial
actively enrolling with initial drug study safety
monitoring committee meeting
concluding completing trial as planned,
possibly enrolling less patients.
 
Phase I palifosfamide/doxorubicin combination data presented at
ASCO 2009
 
                                    Select ASCO data:
 
 
 
 
A Phase I Study of Palifosfamide
in Combination with Doxorubicin:
Safety and Preliminary Efficacy

 
Luis H. Camacho1, Sant Chawla2, Victoria Chua2, Giovanni Abbadessa3,
Philip Komarnitsky
3, Barbara Wallner3, Jan Stevens3, Jonathan Lewis3
 
1Oncology Consultants; 2Sarcoma Oncology Center, Santa Monica, CA;
3ZIOPHARM Oncology, Inc., Boston, MA
 
 
 
 
Preliminary Exposure and
Efficacy
 
Exposure
 
13 treated; 0 ongoing
 
Best Response
 
SD or better in 42% of 12 evaluated patients
 
3 PR: STS (2) and SCLC (1)
 
SD or better in 75% of STS patients
 
Patients age =65 (n=4): 2 SD (50%), 1 PR (25%)
 
 
 
 
Soft-Tissue Sarcomas:
 
Best Response (N=8)
 
0
 
2
 
0
 
LMS (2)
 
0
 
1
 
0
 
MPNS Tumor
 
25
 
1
 
0
 
1
 
0
 
PD
 
0
 
0
 
Angiosarcoma
 
0
 
2
 
Rhabdomyosarcoma (2)
 
50
 
25
 
% of STS patients:
 
0
 
0
 
Pleomorphic Sarcoma
 
1
 
0
 
Endometrial Stromal Cell Sarcoma
 
SD
 
PR
 
75 % SD or better
 
 
 
 
Adverse events primarily mild to moderate in severity
 
No encephalopathy, no hemorrhagic cystitis, no renal
toxicity
 
Most common adverse events include:
 
Neutropenia  6 (46%)
 
Thrombocytopenia  6 (46%)
 
Micro Hematuria  5 (38%)
 
Anemia  5 (38%)
 
Nausea  4 (31%)
 
Vomiting  4 (31%)
 
Adverse Events
 
 
 
 
Conclusions
 
Palifosfamide 150 mg/m2 , 3 times per week combined with
doxorubicin 75 mg/m
2  once every 3 weeks is a very well tolerated
outpatient regimen.
 
There has been no encephalopathy, no hemorrhagic cystitis, no
renal toxicity
.  Adverse events are primarily hematologic and easy to
manage.
 
Preliminary efficacy:
 
3/12 PRs
 
2/8 PRs in STS    4/8 SD in STS
 
Ease of administration, favorable toxicity profile, and preliminary
efficacy support further evaluation of this agent in sarcoma. A
randomized, controlled Phase II study in STS comparing
palifosfamide 150 mg/m
2 plus doxorubicin 75 mg/m2  vs. doxorubicin
75 mg/m
2 alone is in full progress.
 
 
 
 
Palifosfamide Registration Strategy
 
    Palifosfamide / doxorubicin vs. doxorubicin in front- and
second-line patients with unresectable or metastatic soft-
tissue sarcoma:
 
Phase II randomized trial helps shape registration trial
 
Single registration trial powered for PFS and survival
 
 
 
 
(indibulin)
 
ZybulinTM
 
 
 
 
Indibulin
 
Novel oral tubulin binding agent; issued patents and
applications
 
Anticipated low cost to manufacture
 
Targets cell mitosis and movement
 
Expected low toxicity (no neurotoxicity)
 
Target indication of subset of breast cancer
 
 
 
 
Indibulin Opportunity
 
Taxanes widely used and a more efficacious/less toxic
oral treatment
expected to have billion dollar sales
potential
 
Distinct mechanism and
 
Oral dosing
 
Lack of neurotoxicity
 
Potential efficacy in tumors with MDR
 
Treatment approaches, initially in breast cancer:
 
Norton dose density
 
Combination therapy
 
 
 
 
Indibulin Development Leading to ASCO
 
Single agent activity in phase I  in multiple tumor types;
confirmatory activity in
phase I PET data; DLT not
reached, minimal toxicity and
no neurotoxicity
 
Highly synergistic in preclinical study
 
Phase I oral capecitabine with oral indibulin presented at
ASCO 2009
 
Preclinical evaluation (Dr. Norton) evaluating dose
density schedule
presented at ASCO 2009
 
           Select ASCO presented data:
 
 
 
 
Indibulin, a Novel Tubulin
Targeting-agent, in
Combination with
Capecitabine, is Suitable for
Mathematically-Optimized
Dose-Scheduling
 
Jonathan J. Lewis 1, Matthew D. Galsky 2,6, Luis H. Camacho 3, David
M. Loesch
4,6, Philip B. Komarnitsky 1, Barbara Wallner 1, Jan Stevens
Larry Norton 5
 
1 ZIOPHARM Oncology, New York, NY; 2 Comprehensive Cancer Centers of
Nevada, Las Vegas, NV; 3 Oncology Consultants P.A., Houston, TX; 4 Central
Indiana Cancer Centers, Indianapolis, IN; 5 Harmon
Hill, New York, NY, 6 US
Oncology, Translational Oncology Program, Houston, TX
 
 
 
 
Preliminary Clinical Activity
 
Median SD 6 Cycles
 
Breast and colon cancer SD for 6 Cycles
 
Bladder cancer SD for 9 Cycles
 
Prostate cancer SD for 9 Cycles
 
Breast and Colon Cancer 6 Cycles
 
        Bladder and Prostate Cancer 9 Cycles
 
 
 
 
Preliminary Safety
 
AEs that are Related and occurred in
 
2
 
or more pts
 
(
 
=
 
29
 
%)
 
Frequency, %
 
Grade 1/2 AEs that were related
 
 
Fatigue                                                        
 
4 (57)
 
 
Anorexia                                         
 
2 (29)
 
 
Dyspnea                                         
 
2 (29)
 
 
Hand Foot Syndrome                  
 
2 (29)
 
 
Mucositis                                   
 
2 (29)
 
 
Vomiting                                    
 
2 (29)
 
Grade 3/4 AEs that were related
 
 
Hypophosphatemia                        
 
1 (14)
 
 
 
 
Indibulin:  Optimization of
Dosing Schedules
 
 
 
 
Days of Growth
 
Therapy Starts
(Day 8)
 
MX-1 Xenograft
 
0
 
500
 
1000
 
1500
 
2000
 
2500
 
0
 
5
 
10
 
15
 
20
 
25
 
30
 
35
 
Vehicle Control
daily                                                 
                      
Indibulin 22 mg/kg
daily                                                 
                 
Indibulin 29 mg/kg 5 days on, 5
days off
 
Indibulin:  Optimization of
Dosing Schedules
 
 
 
 
Conclusions
 
Oral indibulin in combination with capecitabine is very
well tolerated with no neurotoxicity. Early activity in
breast, colon, bladder, and prostate cancers.
 
Formal analyses of preclinical data utilizing Norton-
Simon Modeling reveals that the major effect of therapy
occurs in five days of exposure, which is not
manifest on gross inspection until one week thereafter.
Hence, an intermittent schedule based on five days of
drug administration preserves full activity while
minimizing toxicity.  This may also
minimize acquired
resistance.
 
A Phase I-II study in breast cancer using this novel
scheduling strategy is in development.
 
 
 
 
(darinaparsin)
 
ZinaparTM
 
 
 
 
Darinaparsin
 
Novel mitochondrial-targeted agent (organic arsenic);
first in a new class of molecules
 
IV formulation in multiple phase I/II studies with
confirmed activity in lymphoma
 
Oral form ongoing in Phase I
 
Families of compounds covered by issued patents with
further applications pending in U.S. and internationally
 
Anticipated low cost to manufacture
 
Target indication of refractory peripheral T-cell  
lymphoma / lymphoma,
potential sales of $250 million,
with other lymphoma use, $400 million; with oral form,
significant additional potential
 
 
 
 
Darinaparsin Opportunity
 
Inorganic arsenic use limited by cardiotoxcity (“Black
Box” warning)
 
IV darinaparsin (organic arsenic) in several phase I/II
studies with
no cardiotoxicity, well tolerated; MTD not
yet reached with oral form
 
IV phase II data in hematological malignancies
presented at ASCO 2009 -- advisors believe data can
support
potential registration trial
 
                Select ASCO Symposium Data:
 
 
 
 
Novel Organic Arsenic
Molecule
Darinaparsin:
Development of IV and Oral
Forms

 
I. S. Lossos1, M. D. Craig2, M. S. Tallman3, R. V. Boccia4,
 
P. R. Conkling5, C. Becerra6, P. B. Komarnitsky7, B. Wallner7,
 
J.J.Lewis7, W. H. Miller8
 
1 Miller School Of Medicine, University of Miami, Miami, FL; 2 West Virginia University Hospitals, Morgantown,
WV; 3 Northwestern University Medical School, Chicago, IL; 4 Associates In Oncology/Hematology,
Bethesda, MD; 5 Virginia Oncology Associates, Norfolk, VA; 6 Baylor University Medical Center,
Dallas, TX; 7 ZIOPHARM Oncology, Inc., Boston, MA; 8 McGill University Jewish General Hospital,
Montreal, QC
 
 
 
 
IV Darinaparsin Efficacy
 
Complete Responses: 3
 
66 year old female, PTCL (3 + months*)
 
3 prior treatment regimens: CHOP x 6, ICE and
EPOCH x 2
 
Patient taken off study for autologous BMT
 
73 year old female, PTCL + senile EBV-associated, B-cell
lymphoproliferative disorder (5 + months)
 
6 prior regimens: ABVD x 3, ICE, autologous bone
marrow transplant, gemzar and radiation
 
65 year old male, DLBCL (6 months)
 
4 prior regimens:  RCHOP, EPOCH, transplant, gemzar
 
 
 
 
IV Darinaparsin Efficacy
 
  
 
1 Marginal Zone Non-Hodgkin Lymphoma transformed to DLBCL (14 +
months)
*
 
5 prior treatment regimens: chlorambucil, RCHOPx5, RICEx3, RT
and BMT
 
1 Marginal Zone Non-Hodgkin Lymphoma (3 months)
 
Rituximab x 8, RCVP x 1, and gemcitabine x 1
 
1 PTCL (4 months)
 
EPOCH x 2, dox, cytoxan
 
1 Hodgkin’s Nodular Sclerosis (8 months)
 
ICE x 1, CBV x 1, gemcitabine + MDX x 6
 
1 PTCL, 2 Hodgkin's, 1 B-cell (3 – 9+ months)
 
Prolonged Stable Disease: 4
 
Partial Responses: 4
 
 
 
 
IV Darinaparsin Related Adverse
Events
 
Events that were
 
 
grade 3
 
N
 
%
 
Fatigue
 
1
 
3
 
Alk. Phos Increased
 
1
 
3
 
Events that were considered SAEs
 
N
 
%
 
Fall
 
1
 
3
 
Neutropenic Fever
 
1
 
3
 
      
 
No
 
QT prolongation
 
 
 
 
Oral Efficacy
 
MTD not reached
 
1 PR (H&N) duration 5+ months
 
15 prolonged SD (H&N, lymphoma,
colon, pancreas)
 
Duration 3 – 6+ months
 
 
 
 
Summary
 
IV Lymphoma
 
7 / 19 objective responses (3 CRs, 4 PRs)
 
3 / 5 objective responses PTCL (2 CRs, 1 PR)
 
4 prolonged SD
 
PO All comers
 
not yet at MTD
 
1 PR, 15 prolonged SD
 
 
 
 
Portfolio Highlights
 
Palifosfamide pivotal trial design expected from IV
phase II randomized study to initiate as early as 1H 2010
and
focus of current resources
 
Indibulin phase I and dose scheduling oral data
highlight potential benefit over widely used tubulin
targeted agents with phase I/II novel dose schedule in
breast expected 2H 2009
 
Darinaparsin phase II lymphoma data highly
encouraging for possible registration trial 1H 2010
 
 
 
 
NASDAQ:ZIOP