Conference Call Presentation July 18, 2019 - SEOVF
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Forward Looking Statement This presentation may contain forward looking statements. Forward-looking statements address future events and conditions and therefore involve inherent risks and uncertainties. Actual results may differ materially from those currently anticipated in such statements. The information does not constitute any advice, promise or obligation of Sernova Corp. and does not necessarily represent the most current source of company information. Sernova Corp. cannot, and does not, guarantee or ensure either the accuracy, completeness, or authenticity of this presentation’s contents and may make changes and revisions to the information on this presentation at any time and without notice. The information is presented and stored on an "as is" basis and the use of the presentation to collect information is completely at your own risk. This presentation contains information about third-parties merely as a convenience. The inclusion of such information does not imply that Sernova Corp. endorses or accepts any responsibility for the content or use of such information. For more information on Sernova Corp, investors should review filings available at www.sedar.com. 2
Our Mission Sernova is a clinical stage regenerative medicine therapeutics company developing a Cell Pouch implantable device with therapeutic cells. Our primary focus is development of treatments for patients with insulin-dependent diabetes (T1), hemophilia A and thyroid disease Sernova is currently conducting a U.S. Phase I/II clinical trial targeting an indication of high risk type 1 diabetes with an unmet need called hypoglycemia unawareness as a first approach for our therapeutic Cell Pouch technologies
Sernova Share Structure Sernova Corp Founded in 2006 Common Shares 172,237,348 Current Price 0.22 Market Cap 37,9 M 52 Week Range $0.145-$0.27 Transfer Agent AST Trust Company 4
Management Team Dr. Philip Toleikis PRESIDENT AND CEO >20 years experience. Joined Sernova 2009. Previous Angiotech VP R&D (achieved $2.0B market cap; Product Revenue $200M/yr, drug/device Board of Directors combination products). • Frank Holler • Jeffrey Bacha • James Parsons Sean Hodgins • Deborah Brown CA-CPA, CFO >20 years experience in biotech industry. Joined Sernova in 2018. US and Canada experience with both Nasdaq and TSX experience. 5
Sernova’s Approach Cell Pouch™ Therapeutic Cells A Total Regenerative 28% Medicine Solution for the 40% Therapeutic Treatment of Chronic Diseases 32% Immune Protection Cell Pouch Top Notch Doctors Therapeutic Cells Immune Protection An implantable To inspire hopemedical device and contribute to Cells that produce and release Technologies to protect health and well-being by providing which the provides a vascularized best care to every patient missing (or needed) proteins or therapeutic cells from immune environment for therapeutic cells hormones into the bloodstream system attack 6
Sernova Pipeline CELL POUCH PRE- DEVELOPMENT CANDIDATE CLINICAL PHASE I PHASE II PHASE III STAGE INDICATION TYPE 1 DIABETES HUMAN DONOR ISLETS, P H A S E I / I I I N I T I AT E D HYPOGLYCEMIA SYSTEMIC IMMUNE DEC 2018 UNAWARENESS PROTECTION MICROENCAPSULATED A N T I C I PAT E D 2 ND ISLETS HYPOGLYCEMIA A P P R O VA L F O R UNAWARENESS DIABETES MICROENCAPSULATED A N T I C I PAT E D 3 RD ALL INSULIN STEM CELL DERIVED A P P R O VA L F O R DEPENDENT DIABETIC CELLS DIABETES PATIENTS HEMOPHILIA A SEVERE HEMOPHILIA A CORRECTED PATIENT PRECLINICAL PATIENTS CELLS ALLOGRAFT IMMUNE EARLY BROADER HEMOPHILIA PROTECTED CELLS DEVELOPMENT A PATIENTS THYROID DISEASE THYROIDECTOMY THYROID CELLS PRE-CLINICAL PATIENTS FOLLOWING HYPERTHYROIDISM 7
Type 1 Diabetes: 1st Clinical Indication “Hypoglycemia unawareness” affects about 10% of Type 1 Diabetes patients or about 125k patients in the US • Clinically defined as a complication of diabetes in which the patient is unaware of a deep drop in blood sugar levels • Failure to trigger secretion of epinephrine a/k/a the symptoms of hypoglycemia (Palpitations, Anxiety, Excessive Sweating, Light Headedness) • Patients live in constant fear of their next diabetic episode 9
Type 1 Diabetes : First-in-Human Study Study Design 2015 • Diabetes subjects with hypoglycemia unawareness • Open-label; single-arm • Donor islet transplantation 2-24 weeks post Cell Pouch™ implantation • Primary endpoint • Safety post Cell Pouch™ implantation and 1 month post islet transplantation Cell Pouch™ and Islet Safety Met • Safety successfully met for the Cell Pouch™ • Cell Pouch™ histology assessed by independent pathologists blinded to the treatment • Islets housed within a natural tissue matrix • Islets are well-vascularized • Islet safety successfully met • Islets show evidence of insulin, somatostatin, & glucagon • Cell Pouch™ and islet biocompatibility met • Proof of islet protection from immune system attack 10
Type 1 Diabetes : First-in-Human Study 11
Chicago Phase I/II Study
Phase I/II U.S. FDA Cleared Study Safety, Tolerability and Efficacy Study of Sernova’s Cell Pouch™ for Clinical Islet Transplantation Study design: A open-label, single-arm study of Sernova Cell Pouch implanted with islets. Islets are transplanted into the Cell Pouch after implantation and stable antirejection medication activity Primary Objective: To demonstrate the safety and tolerability of islet transplantation into the Cell Pouch for the treatment of TID in subject with hypoglycemia unawareness and a history of severe hypoglycemic episodes. Secondary Objectives: To establish islet release criteria that accurately characterize the islet product and are predictive of clinical transplant outcomes into the Cell Pouch, which will be demonstrated through defined efficacy measures • Survival of endocrine tissue in the Cell Pouch • Proportion of subjects with a reduction in severe hypoglycemic events • Proportion of subjects with a reduction in HbA1c >1mg% • Over 20 additional endpoint analyses will occur Status: US IND Cleared by FDA and IRB and patient enrolment initiated; Medtronic Minimed, Northridge, CA CGM is supplying patients in Sernova’s U.S. regenerative medicine clinical trial of its Cell Pouch ; Next step: Interim safety and efficacy results 13
Phase I/II Timeline Secondary Endpoints: Immuno Survival of Endocrine Tissue & Identification of Hormones Suppression Reduction in hypoglycemic events Introduced Small Reduction in HbA1c (sentinel) Pouches Cell Removed 1st Islet Dose Pouch™ Transplant Implantation Day 0 Day180 Day365 90 Days 90 Days 3-4 weeks 3weeks Cell Pouch Vascularization Immunosuppression Stabilized Additional Safety Assessments Feb 2019 Completed Days 30, 60, 270 Apr 2020 Post-Transplant Day0 Day180 Day365 90 Days 90 Days Primary Endpoint: 2nd Islet Nov 2020 Initial Topline Safety Readout Transplant (increase dose) Safety Efficacy 14
Case Report of the First Treated Patient
Primary Endpoint- Safety Measures Patient Number 1: Interim Findings Safety- incidence and severity of adverse events determined to be probable or highly probable to the Cell Pouch™ 1. No incidences of AEs, determined to be probable or highly probable to the Cell Pouch™ 2. Cell Pouch™ well-tolerated and safe during the implant and the time of transplant 3. No reactions to the Cell Pouch™ implant 4. Cell Pouch™ was well-incorporated with vascularized tissue and deemed suitable to receive the islet transplant These interim safety data meet the first measure of the primary endpoint
Secondary Objectives/ Endpoints To establish islet release criteria that: 1. accurately characterize the islet product and 2. are predictive of clinical transplant outcomes into the Cell Pouch™, which will be demonstrated through defined efficacy measures Survival of endocrine tissue in the Cell Pouch™ Proportion of subjects with a reduction in severe hypoglycemic events Proportion of subjects with a reduction in HbA1c >1mg% Over 20 additional endpoint analyses
First Patient Initial Efficacy Results P R E IS L ET 3 MO N T HS 90 Day Post-Transplant TRANSPLANT POST Glucose Tolerance Test TRANSPLANT BO DYW EIGHT 83KG 73KG Patient is given a high sugar drink. C-peptide and insulin response is measured over HEMO G L O BIN 6.5 5.6* several hours A 1C DA IL Y U S E O F 14 U 8 U* • Showed increase in blood L O N G A C T IN G levels of C-Peptide IN S U L IN T R ES IBA • Showed increase in blood levels of Insulin and a DA IL Y U S E O F 15-16 14-15* typical insulin response SHO RT A C T IN G • Conclusion: Definitive IN S U L IN proof that the Cell Pouch islets are surviving and S EVER E 6-9/ 3months 1 / 3m on t h s * able to respond to high HYP O GL Y C EMIC levels of sugar by EVEN T S releasing insulin 18 * Showed improvement with transplanted Cell Pouch
CONTINUOUS GLUCOSE MONITOR: IMPROVEMENT IN ALL GLUCOSE Comparison between baseline and post transplant parameters PARAMETERS SEEN POST TRANSPLANT Parameter Baseline Post Transplant Performance Highest Sensor Glucose Value (mg/dL) 285 231 Cell Pouch™ for Lowest Sensor Glucose Value (mg/dL) 50 66 Islet Usability # Glucose Excursions 15 3 Transplantation # High Excursions 7 2 # Low Excursions 8 1 Standard Deviation (Variability) 37 31 Time above 180 mg/dL Time in Range of 70-180 mg/dL Time below 70 mg/dL CGM POST CELL POUCH BASELINE CGM ISLET TRANSPLANT More excursions, hyper/hypo events Less excursions, hyper/hypo events Less time in range More time in range
Summary Transplanted Cell Pouch Showed the Following Improvements Relative to Baseline • 90-day improvement in Hemoglobin HbA1c • 90-day reduction in use of daily long acting insulin • Continuous Glucose Monitor Assessment Improvement in all glucose control parameters measured by continuous glucose monitoring Reduction in severe hypoglycemic events 87.5% reduction in overall hypoglycemic events Time below 70mg/dL: 12% control versus 1% post-Cell Pouch Islets • 90-day Glucose Tolerance Test Showed typical insulin release curve Showed C-Peptide blood levels Conclusion: Cell Pouch with islets is producing blood levels of insulin and showing the ability to have blood sugar control in initial assessments 20
Future Developments / Additional Programs
Hemophilia Program Patient Population Sernova’s Cell Pouch™ with Factor VIII • Hemophilia A ≈ 20,000 NA/EU ($15B Orphan Indication) releasing cells: Hemophilia Therapy • Reduce/eliminate Factor VIII infusions • Factor VIII Gene corrected cells within Cell Pouch – produce constant therapeutic Factor VIII levels • Maintain constant blood levels of o Patient corrected cells (autologous) Factor VIII o Stem cell derived technology and local immune protection (allograft) • Reduce joint bleeds Therapeutic Goals: • Improved efficacy with prophylactic treatment reduced cost; improved • Improve long-term efficacy patient QOL; reduction of disease side effects • Improve QOL Sernova’s Product Approach • Corrected own patient cells into the Cell Pouch (Horizon 2020 Grant) o Status: Corrected patient cells survive and produce Factor VIII in hemophilia model • Treatment for all patients o Stem cell releasing Factor VIII product o Status: in development 22
Thyroid Disease Program Estimated Market Sernova’s Cell Pouch™ Thyroid $2,2 Billion releasing cells: Thyroid Therapy (Current Standard of Care) • Reduce/eliminate daily life long thyroid Oral – Intravenous – Others medications Targeted Thyroid Disorders (Thyroidectomy) • Recover natural feedback loop of • Grave’s disease thyroid hormones • Thyroid Nodules (Hyperthyroidism) • Hashimoto disease • Reduce side effects from low thyroid hormone levels Therapeutic Goals: Improved efficacy with prophylactic treatment reduced cost; improved patient • Improve long-term efficacy QOL; reduction of disease side effects • Improve QOL Sernova’s Product Approach • Thyroidectomy patient cells transplanted into the Cell Pouch o Status: Preclinical assessment: Corrected patient cells survive and produce thyroid hormone 23
Collaborations 24
President and CEO Dr. Philip Toleikis 1-519-858-5126 Info@Sernova.com Investor Relations Danny Matthews dmatthews@soleburytrout.com Corporate Communications SEOVF Dominic Gray TRADED ON 1-519-858-5126 Dominic.Gray@Sernova.com
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