Company Presentation – January 2017...This presentation contains express or implied...
Transcript of Company Presentation – January 2017...This presentation contains express or implied...
Company Presentation – January 2017
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This presentation contains express or implied forward-looking statements within the Private Securities Litigation Reform Act of 1995 and other U.S. Federalsecurities laws. For example, we are using forward-looking statements when we discuss the expected timing of obtaining regulatory approval for our variouspatient trials and clinical data readout, proposed trials that may occur in the future, the timing and implementation of our collaborations with various partnersand the execution of definitive agreements relating to such collaborations and the potential benefits and impact our products could have on improving patienthealth care. These forward-looking statements and their implications are based on the current expectations of our management only, and are subject to anumber of factors and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements. The followingfactors, among others, could cause actual results to differ materially from those described in the forward-looking statements: changes in technology and marketrequirements; we may encounter delays or obstacles in launching and/or successfully completing our clinical trials; our products may not be approved byregulatory agencies, our technology may not be validated as we progress further and our methods may not be accepted by the scientific community; we may beunable to retain or attract key employees whose knowledge is essential to the development of our products; unforeseen scientific difficulties may develop withour process; our products may wind up being more expensive than we anticipate; results in the laboratory may not translate to equally good results in real clinicalsettings; results of preclinical studies may not correlate with the results of human clinical trials; our patents may not be sufficient; our products may harmrecipients; changes in legislation; inability to timely develop and introduce new technologies, products and applications; loss of market share and pressure onpricing resulting from competition, which could cause our actual results or performance to differ materially from those contemplated in such forward-lookingstatements. Except as otherwise required by law, we undertake no obligation to publicly release any revisions to these forward-looking statements to reflectevents or circumstances after the date hereof or to reflect the occurrence of unanticipated events. For a more detailed description of the risks and uncertaintiesaffecting us, reference is made to our reports filed from time to time with the Securities and Exchange Commission
Forward looking Statement
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• Cell therapy company entering late-stage trials in 3 indications
• Multifactorial cell therapy releasing a range of therapeutic proteins in responseto signals from the patient's body
• No tissue matching or immunosuppression is required to administer our placenta-derived cell products
• First in class 3D cell culturing technology allowing for efficient, controlledproduction of different cell products in commercial quantities
Pluristem corporate overview
• Regulatory approval for clinical trials in US, EU, Japan, South Korea, Australia and Israel
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• Cell therapy (Bio-therapy) company using off-the-shelf, placental-expanded cells to achieve
local and systemic therapeutic effects
Pluristem corporate overview
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Japan - Accelerated Pathway for Regenerative Medicine
Europe - Adaptive Pathways pilot project
Change in the Regulatory Environment
European initiative intended to grant earlier access to drugs meant to treat debilitatingand life-threatening diseases with unmet medical needEarlier entry to a multi-billion dollar market
New Japanese regulations to accelerate development of drugs in the field ofregenerative therapy
Conditional approval for marketing and reimbursement upon proof of safety and asignal of effectiveness
Pluristem’s PLX-PAD program was selected for both pathways5
USA- 21st Century Cures Act
Change in the Regulatory Environment
Expedited approval pathway for regenerative advanced therapies Allows shorter time frames for marketing approval Creating medical and economic benefits for the healthcare system and reduce costs
of development facilitate early patient access to therapies with proven efficacy
The 21ST century cure act is an extremely significant healthcarelegislation that may have a direct and beneficial impact onPluristem’s clinical development programs and progress towardsapproval for our cell therapies
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• Public company, Traded on:
• Market Cap: ~ $125 million
• Cash and marketable securities: $29 million (as of September 30, 2016)
Term sheet signed with Innovative Medical/ZSVC for $30 million investment
Binding term sheet with Sosei who will invest $11 million in a JV in Japan
During 2016 we received $12 million in grants approved
(Horizon 2020- ~$8m, Israeli Government ~$3m, Bird foundation ~$1m)
• No debt
• 170 employees (18 PhD, 5 MD)
• IP Ownership: over 85 granted patents and ~120 pending applications
PSTI PSTI/ PLTR
Financial Glance
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Indication
Critical Limb Ischemia (CLI)*
Hip Fracture**
Acute Radiation Syndrome (ARS)
Location
U.S.Europe
Japan
U.S./ Europe
U.S.
Pivotal pre-marketing trials
Company Pipeline
Pre-Clinical Phase 2Phase 1 Phase 3 MarketProduct
PLX-PAD
PLX- PAD
PLX- R18
Conditional Approval Pathway
* One Multinational trial- U.S- phase 3, Europe- via adaptive pathway allowing early marketing approval** Pending FDA/EMA approval
Pivotal study via FDA Animal Rule
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PLX-PAD
Critical Limb Ischemia (CLI)Hip Fracture
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• 5-6 million people in U.S and Europe suffer from CLI
• Estimated cost for treating CLI is $25 billion per year
• Obstruction of arteries in the leg
• High mortality
• High amputation rates
• Poor treatment options
CLI & Market Size
Source: Lifecells LLC
Source: Sage group
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• Amputation Free Survival at 6 months:
• US (total n=12) - 100%
• Germany (total n=15) - 93%
• Comparison to published data on no-option CLI:‒ TASC II: 20% death and 40% major amputations in 6m
‒ TAMARIS (n=259 control pts.): 76% AFS in 6m (196/259)
‒ Meta-analyses (Benoit 2011, Weems 2015): 67%-77% AFS at 6m
‒ The majority of events usually occur in the first 6m
Early Clinical Studies Support Design of Pivotal Phase 3 Trial
Pre-Treatment
8 Weeks After Treatment
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• Amputation Free Survival at 12 months:
• US (total n=12) - 100%
• Germany (total n=15) - 73%
• Comparison to published data on
no-option CLI:‒ TASC II - (all CLI): 45% AFS, 30% MA &
25% death at 1y‒ Reinecke 2015 - (all CLI): 68% AFS at 1y
R4+R5
Early Clinical Studies Support Design of Pivotal Phase 3 Trial
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Targeting marketing approval in both U.S. and Europe using data from asingle pivotal Phase III trial in 250 patients
Awarded $8 Million Grant from Europe’s Horizon 2020 Program
75-patient study design was agreed upon with Japanese PMDA. This singlestudy may lead to early conditional marketing approval and earlyreimbursement
Binding term sheet with Sosei for the establishment of JV for theclinical development and commercialization of PLX-PAD for CLI in Japan
CLI Clinical Development Towards Marketing
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• Primary endpoint is time to event (amputation or death)
Allows for collection of more data during the trial thereby significantly
reducing the number of patients needed
• Other methods of efficacy include: AFS, Quality of life, TcPO2, Pain Score
• Dosing regimen: two doses of 300 million cells, two months apart
• No HLA matching or immunosuppression required
Study Design for U.S. Pivotal Phase 3 Trial (N=250)
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Phase III study cleared by the FDA
PLX-PAD program in CLI selected for EU EMAadaptive pathways pilot project
PLX-PAD program in CLI selected for JapanesePMDA conditional approval pathway forRegenerative Medicine
Binding term sheet with Sosei for the establishmentof JV for the clinical development andcommercialization of CLI in Japan
Phase III study cleared by UK Regulatory Agency(MHRA)
Phase III study cleared by German PEI (Paul EhrlichInstitute)
CLI Study Wins $8 Million Grant from Europe’sHorizon 2020 Program
U.S /Europe phase III study initiation- Q1/2017
Japan pivotal study initiation – H2 2017
Closing on JV deal with Sosei- Q1/2017
Data from IC phase multinational phase II study,N=172 - early 2018
Interim result from Europe phase III (viaadaptive pathway)- H2 2018/H1 2019
Recent Events Expected MilestonesCritical Limb Ischemia (CLI)
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Indication
Critical Limb Ischemia (CLI)*
Hip Fracture**
Acute Radiation Syndrome (ARS)
Location
U.S.Europe
Japan
U.S./ Europe
U.S.
Pivotal pre-marketing trials
Company Pipeline
Pre-Clinical Phase 2Phase 1 Phase 3 MarketProduct
PLX-PAD
PLX- PAD
PLX- R18
Conditional Approval Pathway
* One Multinational trial- U.S- phase 3, Europe- via adaptive pathway allowing early marketing approval** Pending FDA/EMA approval
Pivotal study via FDA Animal Rule
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Muscle Injury following Total Hip Replacement (N=20)
Improvement of 500%
P=0.0067
Change at week 26 in Mean (±SE) Gluteus Medius
MVIC from Day 0 (mITT)
MVIC = Maximum Voluntary Isometric Construction
Orthopedic – Strong Clinical Data
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Muscle Injury following Total Hip Replacement (N=20)
Change in Volume from Day 0
Orthopedic – Strong Clinical Data
Improvement of 300%
P=0.004
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Muscle Injury following Total Hip Replacement (N=20)
Injured (operated) Contralateral(non–operated)
Orthopedic – Strong Clinical Data
Improvement of 4000%
P=0.012
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Hip Fracture PLX-PAD program in hip fracture might be eligible for Breakthrough
Therapy designation and benefit from the 21st Century Cures Act aswell as the EMA’s Adaptive Pathways pilot project
Pluristem intends to conduct a Phase III trial assessing PLX-PAD cellsin recovery following surgery for femoral neck fracture
Femoral neck fracture is the most common form of hip fracture Annual treatment costs in the U.S. are estimated to be between $10
to $15 billion, and are expected to rise due to the aging population,with mortality rates of up to 36%*
Previous studies have shown that PLX-PAD stimulates repair ofdamaged muscle and can play a critical role in improving theoutcomes of the growing number of surgeries for femoral neckfracture
*
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PLX-R18
Acute Radiation Syndrome (ARS)Hematopoietic Cell Transplantation Failure
Support for Hematopoietic Cell Transplantation
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Indication
Critical Limb Ischemia (CLI)*
Hip Fracture**
Acute Radiation Syndrome (ARS)
Location
U.S.Europe
Japan
U.S./ Europe
U.S.
Pivotal pre-marketing trials
Company Pipeline
Pre-Clinical Phase 2Phase 1 Phase 3 MarketProduct
PLX-PAD
PLX- PAD
PLX- R18
Conditional Approval Pathway
* One Multinational trial- U.S- phase 3, Europe- via adaptive pathway allowing early marketing approval** Pending FDA/EMA approval
Pivotal study via FDA Animal Rule
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Collaboration for ARS with U.S. Government U.S. National Institutes of Health to Support Development of Pluristem's PLX-R18
Collaboration with Fukushima Medical University and Science Center to developPLX-R18 cells for the treatment of other component of ARS (GI, Lung and Skin),
and for morbidities following radiotherapy in cancer patients23
PLX-R18 Treated Mice Exhibit IncreasedWeight and Survival Rate
* p value < 0.05** p value < 0.01*** p value < 0.001
68 %
30/31
p va
lue
< 0.
0001
9/31irradiated + vehicle
irradiated + PLX-R18
******
***
**
irradiated + vehicle
irradiated + PLX-R18
Survival Weight
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Wang and Wagers. 2011. Nat Rev MCB 12:643
Maintenance ofHematopoietic niche
Mobilization of differentiated cells into peripheral blood and
chemoattractants
Renewal, Differentiation and mobilization of Hematopoietic cells
EpoG-CSF (CSF3)GM-CSF (CSF2) SCF (KITLG)IL-2GRO-β (CXCL2)
MCP-1 (CCL2)MCP-3 (CCL7)SDF1α(CXCL12)SCF (KITLG)IL-8GCP2/CXCL6GRO-β (CXCL2)
SCF (KITLG)GRO-β (CXCL2)PGE-2SDF1α(CXCL12)ANGPT1VEGF
IL-3LIFMIFIL-6VEGF
Mechanism of Action
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FDA approval of Phase I study for the treatment of insufficient hematopoietic recovery following hematopoietic cell transplant− N=30, U.S. clinical sites− open-label trial allows for interim data analysis
Collaboration with New York Blood Center to evaluate PLX-R18 as an adjuvant therapy to umbilical cord blood transplantation− Grant of $900,000 from Israel-U.S. Binational Industrial Research and
Development Foundation (BIRD)− 3rd potential hematologic indication for PLX-R18
PLX-R18 Additional Hematologic Indications
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FDA clearance of phase I trial for the treatmentof insufficient hematopoietic recoveryfollowing Bone Marrow Transplant
NIH advancing to second cohort of doseselection study in ARS- FDA animal rulepathway
Collaboration with New York Blood Center inevaluating PLX-R18 as an adjuvant therapy toumbilical cord blood transplantation
Grant of $900,000 from Israel - U.S. BinationalIndustrial Research and DevelopmentFoundation (BIRD)
MOU for Collaboration with FukushimaMedical University to Study PLX-R18 in ARS
Data readout dose selection studies ARS-H1/2017
Contract with U.S. government for ARS –H2/2017
Initiation of pivotal study ARS NHP-H2/2017
Data readout phase I open label HCT-H2/2017
Preclinical data Fukushima- H1/2017
Preclinical data NYBC- H1/2017
Recent Events Expected MilestonesPLX-R18
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Indication
Intermittent Claudication (IC)
Support for Hematopoietic Cell Transplantation
Hematopoietic Cell Transplantation failure
Additional Clinical Trials
Company Pipeline
Pre-Clinical Phase 2Phase 1 Phase 3 MarketProduct
PLX-PAD
PLX-R18
PLX- R18
Cleared for U.S. FDA phase 1 study
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• Rich & Diverse• Highly potent
• pro-angiogenic• immunoregulatory
• Young donors• Unlimited source• Easy to collect• Ethically accepted• Over 20,000 Doses of 300
million cells per placenta
The NIH Placenta ProjectLaunched by the U.S. NationalInstitutes of Health (NIH) toFurther explore the role of theplacenta in health and disease.
Placenta derived cells
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Culture conditions
PLX-R18Hematological
PLX-PADAngiogenesis
Culture conditions
PLX-CNSNeuronal
PLX-IMMUNEImmunological
Each PLX Product Secretes a Different Range of Proteins to Address Different Varieties of Indications
Culture conditions
Culture conditions
Human placenta- a platform for cell products
Stimulates regeneration of damaged bone marrow to produce blood cells (white, red and platelets)
Reduces inflammation Stimulates growth of collateral blood
vessels Stimulates repair of damaged muscle30
3D Manufacturing, in-house cell production150,000 doses annually
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CMC & Manufacturing Facility for PLX-PAD approved by FDA,
German, EU, South Korean, Japanese &
Israeli Regulatory Agencies for 3D
culturing for Phase II, III trials and marketing
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1. Out-licensing commercialization deals with partners.
2. Direct sales of our ‘R18’ product for Acute Radiation Syndrome
3. Direct sales of indications with small patients population, & high price
Commercialization Strategy
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CollaborationsPartner Indication Deal structure
IC, CLISouth Korea only
Joint Venture following marketing authorization bythe South Korean authorities
Acute Radiation Syndrome
U.S. National Institutes of Health (NIH) to SupportDevelopment of PLX-R18
Acute Radiation Syndrome
Pluristem will contribute cells and scientificknowledge, FMU will conduct the studies andprovide the required resources.
Acute Radiation Syndrome
Conducting trials to test PLX-R18 cells in thetreatment of ARS and understanding of MOA
CLI, Immunology,Cardiovascular,
Orthopedic
Research to test the unique immunology of theplacenta and cells MOA
Umbilical Cord Blood
Transplantation
Evaluating PLX-R18 as an Adjuvant Therapy toUmbilical Cord Blood Transplantation
Pluristem keeps IP and manufacturing
rights in all collaborations
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Initiate advanced pivotal (pre-marketing) clinical trials:• Critical Limb Ischemia (CLI) – U.S., EU, Japan
• Hip fracture – U.S., EU
• ARS
Clinical data readout
• Intermittent Claudication (IC)
• ARS- U.S. NIH dose selection trial
• Incomplete engraftment of hematopoietic cell transplantation – open label
Business development
• Japan- close the Sosei deal and form a JV
• U.S. – negotiating contract with government for ARS
• China- licensing/JV with Chinese partner
Upcoming Milestones – 12 Months
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Advanced Pipeline • Cleared to begin a multinational Phase 3 trial in CLI in U.S., U.K. and Germany
• Potential for early conditional approval in Europe• Preparing multinational Phase 3 trial in recovery after hip fracture• U.S. NIH conducting dose-selection trial in ARS
Commercial-grade Manufacturing
• In-house CMC manufacturing with certified batch-to-batch consistency
• Production technology for PLX-PAD approved by U.S. and EU regulators through commercialization
• Patented 3D culturing technology is easily scalable and extremely efficient/cost effective
Unique products that are
convenient to use
• Two distinct cell products in clinical trials – each customized for different indications
• No matching required prior to administration – off-the-shelf with low immunogenicity confirmed
• IM administration designed for use in most clinical settings
Investment Proposition
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Zami AbermanChairman & CEO
Efrat Livne-Hadass VP Human Resources
Racheli Ofir, Ph.D.VP Research & Intellectual Property
Sagi MoranVP Operations
Erez Egozi VP Finance
Karine Kleinhaus, M.D., MPHDivisional VP, North America
Esther Lukasiewicz Hagai, M.D., Ph.D. VP Clinical & Medical Affairs
Lior RavivVP Development
Hillit Mannor Shachar, M.D., M.B.A.VP Business Development
Yaky YanayPresident & COO
Orly AmiranVP Quality Assurance
Management team
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Thank you!
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