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Rebuck Consulting Intro Presentation

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REBUCK CONSULTING : REBUCK CONSULTING Navigating the Asian Pharmaceutical and Academic Labyrinths in Clinical Trials & Drug Development

Who Am I? : Who Am I? Tony Rebuck Born: England Educated: Australia Academic career: Canada Pharmaceutical industry: Toronto, Philadelphia and Singapore Private consulting

Background : Background Medical Degree: Sydney University Research Thesis: Pulmonary Physiology Clinical Practice: Respiratory Medicine Academic Practice: Professor of Medicine THE BIG MERGER

“Opportunity Knocks”The Headhunters : “Opportunity Knocks”The Headhunters Searle ? Monsanto ? Pharmacia ? Pfizer ICI ? Zeneca ? Astra Zeneca SmithKlineBeecham ? GSK

Avandia : Avandia Phase 2 and 3 Monotherapy, SUs, Metformin, Insulin BID, OD FDA EMEA ASIA/PACIFIC R&D

Regulatory & Government Experience : Regulatory & Government Experience Australia New Zealand India Pakistan China Korea Japan Malaysia Singapore Thailand Philippines

Pfizer Singapore (2005-2008) : Pfizer Singapore (2005-2008) Medical Director Pfizer Clinical Research Unit Singapore General Hospital Successful FDA inspection with no findings Executive Director Pfizer Phase I Unit Raffles Hospital, Singapore Managed expansion of Research Unit to 48 beds focusing on “First in Human” studies.

Consulting : Consulting Clinical Trials: Australia Phase 1: Singapore/ Hong Kong Drug Development Programs: Japan/USA Biotech: Singapore/Melbourne

Expertise In : Expertise In Evaluating Clinical Research Programs Review of documents Second opinion Analysis of Safety Data from Pre-clinical and Phase 1 Evaluation of surrogate end-points and proof-of-concept from Phase 2 Assessment of efficacy from Phase 3

Assessing Clinical Data & Gap Analysis : Assessing Clinical Data & Gap Analysis Are we missing anything? Is there a safety “signal”? Is this the best efficacy end-point? Do we need more pre-clinical tox studies? The golden rule: Are we going into phase 3 with the correct dose?

Evaluation of Emerging Safety & Efficacy : Evaluation of Emerging Safety & Efficacy Have we the best design for the ISS? Does the ISE present our data in the best light? Can we make a provisional risk/benefit analysis in light of our competitors? Is there a commercial and/or medical unmet need for our compound?

Leveraging Therapeutic Areas of Expertise : Leveraging Therapeutic Areas of Expertise Oncology Lung specialist in diagnosis and management of lung cancer Clinical drug development supervision for Casodex, Zoladex, Arimidex, and Tamoxifen Diabetes Clinical Development, Regulatory Affairs, Safety and Efficacy of drugs for type II Diabetes Pulmonary Academic research in Asthma, COPD, Pulmonary Fibrosis, HIV, Sarcoidosis, Transplantation CNS Supervisory manager of clinical development teams for Seroquel and Paxil

Spokesman For Media : Spokesman For Media Media trained Presentation of data Multi-national Regulatory experience Opinion leader development

Contact Me : Contact Me tammy@rebuckconsulting.com +65-9800-8606 THANK YOU!

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