TLSA: January 2020 - Tiziana Life Sciences
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TLSA : TILS: An Innovative Platform in Oral and Nasal Antibody Administration A Novel Approach for Treatment of Hepatocellular Carcinoma January 2020
DISCLAIMER AND FORWARD LOOKING STATEMENTS The content of this presentation has been prepared for the purpose of providing general information about, and an overview of, the Company and its business. It is not intended to be a complete review of all matters concerning the Company and nor has it been independently verified . Whilst the presentation has been prepared in good faith and the Company has taken all reasonable care to ensure the information and facts contained in this presentation are accurate and up-to-date, it does not make any representation or warranty, express or implied, as to the accuracy or completeness of any information included in this presentation . Neither the Company nor any of its directors, officers, employees or agents shall be liable for any loss arising directly or indirectly from the use of or reliance upon this presentation or in relation to the adequacy, accuracy, completeness or reasonableness of the information it contains. All and any such liability is expressly excluded to the fullest extent permitted by law. The information in this presentation is subject to updating, completion, revision, further verification and amendment without notice . This presentation does not constitute or form part of any offer for sale or solicitation of any offer to buy or subscribe for any securities including ordinary shares in the Company nor does it constitute an invitation or inducement to engage in investment activity in relation to any securities, including the ordinary shares of the Company . It does not purport to contain information that shall form the basis of or be relied upon in making such investment decisions. If you require any advice, please consult with a professional financial adviser. All investments are subject to risk. The value of securities may go down as well as up. Past performance cannot be relied on as a guide for future performance . This presentation may contain certain forward -looking statements concerning the financial condition, results of operations and businesses of the Company . All statements other than statements of historical fact are, or may be deemed to be, forward -looking statements . Forward -looking statements are statements of future expectations that are based on management’s curre nt e xp e ctations and assum p tions and involve known and unknown risks and unce rtaintie s that could cause actual re sults, p e rform ance or e ve nts to d iffe r m ate rially from those e xp re sse d or im p lie d in the se state m e nts. All forward -looking state m e nts containe d in this p re se ntation are e xp re ssly q ualifie d in the ir e ntire ty b y the cautionary state m e nts containe d or re fe rre d to in this se ction. You should not p lace und ue re liance on forward -looking state m e nts. Each forward - looking state m e nt sp e aks only as of the d ate of this p re se ntation. The Com p any d oe s not und e rtake any ob lig ation to p ub licly up d ate or re vise any forward -looking state m e nt as a re sult of ne w inform ation, future e ve nts or othe r inform ation. In lig ht of the se risks, re sults could d iffe r m ate rially from those state d , im p lie d or infe rre d from the forward -looking state m e nts containe d in this p re se ntation. In the UK, this p re se ntation has not b e e n ap p rove d b y an authorise d p e rson and is be ing d istrib ute d on the b asis that e ach pe rson in the UK to whom it is issue d is re asonab ly b e lie ve d to b e such a p e rson as is d e scribe d in Article 19 (inve stm e nt p rofe ssionals) or Article 49 (hig h ne t worth com p anie s, unincorp orate d associations e tc.) of the Financial Se rvice s and Marke ts Act 20 0 0 (Financial Prom otion) Ord e r 20 0 5 (SI 20 0 5/ 1529) or are p e rsons to whom an invitation or ind uce m e nt to e ng ag e in inve stm e nt activity (within the m e aning of se ction 21 of the Financial Se rvice s and Marke ts Act 20 0 0 ) in conne ction with the issue or sale of any se curitie s m ay othe rwise lawfully b e com m unicate d or cause d to b e com m unicate d . Pe rsons who d o not fall within such d e scrip tions m ay not act up on the inform ation containe d in this p re se ntation. 2
EXECUTIVE TEAM Kunwar Shailubhai PhD, MBA Tiziano Lazzaretti Gabriele Cerrone CEO & CSO Chief Financial Officer Executive Chairman Co-founder , EVP & CSO of Synergy Previously Group Finance Director at Prove n track re cord & e xp e rie nce in Pharmaceuticals, NASDAQ: SGYP Pharmentis –Teva Ratiopharm spin off financing b iote chnolog y com p anie s The pioneer of GC-C agonist Executive Director at Alliance Boots, Se rve d as chairm an of 2 b iote ch technology Snia, Accenture and FIAT Group com p anie s with m arke t cap ove r $ 2Bn Inventor of TRULANCE® approved for MBA, Bocconi University, Milan Inhib ite x sale $ 2.5Bn Chronic constipation and IBS -C Corporate Finance, London Business Syne rg y / Trovag e ne / Ge nsig nia / VP, Callisto Pharmaceuticals School. BSc Accounting and Finance Rasna / Contravir / Sig a Te chnolog ie s Group Leader, Monsanto Co. MBA, Ste rn School of Busine ss, NY, USA Key Strengths of the Management Team Successful credentials in entrepreneurship Strong history in biotechnology deals Proven ‘Bench to market’ record Strong credentials in Science and Business 3
SCIENTIFIC ADVISORY COMMITTEE Howard Weiner, MD Angelo Sangiovanni , MD Professor of Neurology at Harvard Med Adjunct Professor of Gastroenterology at the University of Milan Director and Founder of the Partners MS Center and Co -Director of the Ann Romney Center for Neurologic Diseases Leader in liver disease and gastroenterology Pioneered investigation of the mucosal immune system for the Awarded Best Scientific Publication in clinical Hepatology in Italy treatment of autoimmune and other diseases Kevin Herold, MD Professor of Immunobiology and Medicine and Deputy Director, Fabio Piscaglia , MD Yale Center for Clinical Investigation Director of the Yale Diabetes Center and Director of the TrialNet Associate Professor, Medical and Surgical Sciences at the Center at Yale University of Bologna Expert in autoimmune diseases and anti -CD3 monoclonal Leader in liver diseases and transplantation antibody therapies 2017 Winner of a National Institute of Health (NIH) of United States of America grant Arun Sanyal MD Charles Caravati Distinguished Professor and Chair, Division of Erica Villa, MD Gastroenterology, Hepatology and Nutrition at Virginia Commonwealth University School of Medicine Professor and Chief GI Unit Leader in the field of liver diseases Chairman of the Department of Internal Medicine Universitaria di Modena, Policlinico , Modena, Italy Leader in Clinical Hepatology and Translational Medicine Napoleone Ferrara MD Inventor of Avastin® ($6.67Bn/ yr)*; 2010 Lasker Award Senior Deputy Director Basic Sciences, Moores Cancer Center, UC San Diego Distinguished Prof of Pathology, School of Medicine, UC San Diego
INVESTMENT HIGHLIGHTS Innovative platform technology for oral and nasal formulations can transform the administration of Monoclonal Antibodies (‘mAbs’) Nasal Trial: Phase 2 starting shortly. Two de -risked assets in clinical evaluation that target the root causes of Phase 1 trial completed autoimmune/inflammatory diseases and cancer Data - August 2019 Milciclib has received ‘Orphan Drug Designation’ in US and EU for treatment Oral Trial: FDA approved IND. Phase of thymic carcinoma/thymoma (TC/T) 1 oral trial to begin shortly Assets for unmet needs in a multi billion -dollar addressable market NASH - $35 billion Crohn’s Disease - $10 billion/year by 2025 Liver cancer - $1.5 billion/year by 2022 Strong intellectual property Orphan Drug Designation 255 patents approved and 30 pending Met primary and secondary Covers composition of matter, process and disease indications endpoints in 2 separate Phase 2 Oral formulation technology applicable to other mAbs therapeutics trials in TC/T. Experienced and successful biotech management team Phase 2a in sorafenib -resistant patients completed A leverageable biotechnology platform for use in additional therapeutics Well -tolerated topline data reported July 2019 5 5
Market potential for our technologies BIG PHARMA INTEREST Foralumab Nasal administration for Neurodegenerative diseases: Recent clinical data indicates that foralumab was safe and produced an anti -inflammatory effect. A phase 2 trial in Oral: patients with progressive multiple sclerosis will commence shortly • Crohn’s Disease Oral administration for digestive diseases (Crohn’s Disease and NASH) • Celiac Disease Our IND was approved by the FDA. A phase 1 trial in healthy volunteers will be completed by 4Q • NASH 2019. Nasal: • Pro-MS Milciclib • Neurodegenerative Hepatocellular carcinoma: Clinical data from a recently completed phase 2a in sorafenib -resistant advanced cases of HCC suggests that milciclib • Autoimmune is outperforming the existing therapies Cholangiocarcinoma: Milciclib has the potential to treat this orphan cancer indication for which no treatment options are available. Our IP covers this disease indication. • HCC • Cholangiocarcinoma 6
A REVOLUTIONARY PLATFORM SWITCH ANTIBODY ADMINSTRATION FROM INTRAVENOUS PATIENT & PROVIDER BENEFITS TO ORAL AND NASAL ROUTES Ease of use Superior compliance TODAY’S ANTIBODY ADMINISTRATION Topical action in gut OPTIONS ARE MOSTLY I.V. Minimized toxicity Take home Rx No costly infusion Antibodies (mAbs) reformulated for oral administration THE LARGE MARKET OPPORTUNITY platform enables… Ma rke t op p ortunity for m Ab the ra p e utic s is Costly Infusion Center greater than Poor patient compliance Higher toxicity 86 Systemic treatment to affect whole body $ Infusion related side effects BILLIO N Antibodies (mAbs) reformulated for nasal administration ROUTE OF ORAL OR NASAL ADMINISTRATION DEPENDS ON DISEASES 7 7
THE MULTI BILLION DOLLAR MARKET FOR LIVER DISEASES AND CROHN’S DISEASE EXCESSIVE FAT DEPOSITS LEAD TO LIVER INFLAMMATION INFLAMMATORY AND FIBROTIC PROCESSES LEAD TO MALIGNANCY HEALTHY LIVER NON-ALCOHOLIC FATTY LIVER DISEASE NAFLD NON-ALCOHOLIC STEATOHEPATITIS NASH CIRRHOSIS HEPATOCELLULAR CANCER 25-30% of Population 3- 5% of Population 20% Over 10 Years X Generally Asymptomatic Reversible Reversible Irreversible Liver Damage Immune cells HBV/ infiltration HCV Foralumab (Anti -CD3) for NASH and Crohn’s Disease Milciclib for Liver Cancer NASH global market ~ $35 B/year HCC ($ 1.5B / ye ar b y 20 22): Me d ic al ne e d to have a safe r and Crohn’s Disease market: $10B /year by 2025 e ffe c tive d rug with hig he r re s p ond e r rate s Oral/nasal delivery is a novel, completely differentiated approach Milc ic lib : An oral d rug with c om p le te ly d iffe re ntiate d MOA with Strong IP on the ‘Revolutionary’ approach with significant market long -te rm safe ty potential Sup e rior s afe ty p rofile 8
DEVELOPMENT PIPELINE BEGINNING PHASE 2 Nasal Trial LEAD DISCOVERY PRE-CLINICAL IND PHASE 1 PHASE 2 PHASE 3 Pro-MS OPTIMIZATION Intranasal formulation for Neurodegenerative disease Nasal Administration BEGINNING PHASE 2 Oral Enteric coated capsules * Crohn’s Oral Administration Crohn’s disease I.V. Administration – Conducted by Novimmune TWO PHASE 2 TRIALS COMPLETED TC / T Oral Thymic Carcinoma / Thymoma Orphan Drug Designation in U.S. and E.U Milciclib + Gemcitabine in refractory solid tumors Potential Adjuvant Treatment HCC monotherapy PHASE 2a Sorafenib Resistant Patient COMPLETED HCC Oral HCC combination with a Tyrosine Kinase Inhibitor Monotherapy Potentially for synergism 9 9
NASAL ADMINISTRATION PLATFORM TECHOLOGIES Phase 1 trial completed for related neurodegenerative diseases such as Progressive Multiple Sclerosis (Pro -MS) . Phase 2 trial in Pro-MS to start shortly A BIOTECHNOLOGY PLATFORM ENABLING ORAL AND NASAL ADMINISTRATION OF FORALUMAB AND ORAL ADMINISTRATION OTHER MONOCLONAL ANTIBODIES FDA has allowed initiation of clinical studies with enteric coated capsule for oral administration with Foralumab. Phase 1 completed December, 2019. 10 10
THE ONLY FULLY HUMAN ANTI-CD3 MAB CD3-SPECIFIC MONOCLONAL ANTIBODIES IN CLINICAL DEVELOPMENT OKT3 CHAGLYCD3 NUVION HOKT31(ALA- Oral and Nasal Administration MUROMONAB OTELIXIZUMAB VISILIZUMAB ALA) TEPLIZUMAB FORALUMAB Market Opportunities IgG2a IgG1 IgG2 IgG2 IgG1 *Agly *AA *AA *AE Fully Mouse Chimeric & Humanized Humanized Fully Human Humanized Approved by the FDA for solid organ transplantation immuno-suppression Tiziana’s platform of oral and nasal mAbs administration potentially enhances efficacy and reduces toxicity Foralumab is unique: functionally equivalent to OKT3 with minimal immune reactions when administered IV 11
HOW DOES OUR PLATFORM TECHNOLOGY WORK? NOVEL APPROACH FOR SITE -TARGETED IMMUNOMODULATION Gut Lumen PANETH CELL M CELL INTESTINAL EPITHELIAL CELLS Intraepithelial Lamnia Propria Lymphoid lymphocytes follicle Dendritic cells Mesenteric lymph node Treg cell NKT cells induction Macrophages Site-targeted Immunomodulation INNATE IMMUNE SYSTEM 12
ORAL AND NASAL FORMULATION PATENTS PENDING Nasal administration of Patent covers and other mAbs Proof -of-concept demonstrated in ANTI - CD 3 ANTIBODY FORMULATIONS Applicant(s): Tiziana Life Sciences PLC animal studies Inventor(s): SHAILUBHAI,Kunwar Phase 1 study for US Non-Provisional Patent Application neurodegenerative diseases at No.:62/ 380,652 , filed August 29, 2016 Brigham and Women’s Hospital, PCT Application PCT/US 2017/ 049211, filed, Aug 29, 2017 Harvard Medical School; completed and well -tolerated up to 250 µg Patent estate Positive Top line data received Exclusive license for August 2019, CSR in preparation composition of matter Composition of matter patent for oral formulation In-licensed nasal delivery technology from Brigham and Additional patent applications pending Women’s Hospital, Harvard Medical Oral formulation technology applicable to School other mAbs 13
Foralumab Enteric Capsules Safety Study Phase 1 Trial Conducted at Brigham and Women’s Hospital Com p le te d De ce m b e r 20 19 Sing le Asce nd ing Dose , d oub le -b lind , p lace b o-controlle d stud y in he althy sub je cts Foralum ab ad m iniste re d at 1.25, 2.5 and 5.0 m g / d ose as stab ilize d p owd e r form ulation in e nte ric-coate d cap sule s KEY FINDINGS 1. Well -tolerated at all doses tested 2. No drug -related safety issues observed 14
FINDINGS SUPPORT TIZIANA’S ORAL PLATFORM THIRD PARTY RESEARCHERS IN PEER-REVIEW ED, CROHN’S & COLITIS 360* Determined the immunologic effects and safety of orally delivered anti -CD3 antib od y in p atie nts with m od e rate -to-se ve re ulce rative colitis (UC) Six sub je cts re ce ive d oral OKT3 KEY FINDINGS 1. The biologic response to treatment with oral anti-CD3 were increased proliferation and anti-inflammatory gene expression profile in peripheral blood mononuclear cells 2. 3 of 6 patients had a clinical response including one patient in clinical remission 3. Treatment was well-tolerated with no serious treatment-related adverse events * Boden, E. K., Canavan, J. B., Moran, C. J., McCann, K., Dunn, W. A.,Farraye, F. A.,Ananthakrishnan , A. N.,Yajnik, V., Gandhi, R., Nguyen, D. D.,Bhan, A. K., Weiner, H. L.,Korzenik , J. R., Snapper, S. B. Immunologic alterations associated with oral delivery of anti -CD3 (OKT3) monoclonal antibodies in patients with moderate -to-severe ulcerative colitis. Crohn's & Colitis 360 (2019). 183: 240-246. 15
PROOF-OF-CONCEPT IN NASH PATIENTS ORAL TREATMENT WITH MURINE ANTI-CD3 (OKT3) EFFECTIVE IN A PHASE 2 TRIAL WITH NASH 1 STUDY DESIGN SAFETY IMMUNOLOGICAL EFFICACY BIOMARKERS 36 subjects with NASH and type II Well tolerated by all patients in all Increases in Treg markers Positive trends, some of which diabetes groups consistent with induction of Tregs were statistically significant Randomized, single-blinded, No systemic drug-related adverse Anti-inflammatory markers ↑ AST ↓ – liver enzyme indicating placebo-controlled events reduced liver inflammation 9 per group, not powered for No changes in vital signs, serum CD4+CD25+LAP+ Treg cells, statistical significance biochemistry and hematological TGFβ↑ Glucose ↓ – favorable for subjects parameters during treatment or with type-2 diabetes 0.2, 1.0, 5.0 mg or placebo daily follow-up periods (30-days post- for 30 days Insulin ↓ – favorable for subjects treatment) with type-2 diabetes Primary endpoints: safety and No changes in lymphocyte and trends in immunomodulation CD+ cell counts Secondary endpoint: indication or No changes in weight or BMI or trend of efficacy through HbA1C lipid GLP-1, or CRP levels Sources: 1) Lalazar, G., Mizrahi, M.,Turgeman , I., Adar, T.,Ya’Acov, A. B.,Shabat, Y., . . . Ilan, Y. (2015). Oral Administration of biomarkers in any of the groups OKT3 MAb to Patients with NASH, Promotes Regulatory T -cell Induction, and Alleviates Insulin Resistance: Results of a Phase IIa Blinded Placebo -Controlled Trial. Journal of Clinical Immunology, 35(4), 399 -407. Follow up: Days 0, 14, 30, 60 Hadassah Medical Center, Jerusalem Israel OKT3, a murine mAb, was withdrawn from the market due to severe side effects Foralumab is a fully human anti-CD3 mAb with minimal side effects 16
FORALUMAB IS FUNCTIONALLY EQUIVALENT TO OKT3 Oral Treatment prevents skin xenograft rejection in mice with human immune systems Mineko Ogura, Songyan Deng, Paula Preston -Hurlburt, Hideki Ogura, Kunwar Shailubhai, Chantal Kuhn, Howard L Weiner, and Kevan C. Herold Clinical Immunol, 2017. 183: 240 -246 KEY FINDINGS 1. Foralumab is as potent as OKT3 2. Treatment is effective in humanized mice studies 3. Mechanism of action is via activation of Tregs that systemically circulate to elicit targeted immunomodulation 17
Anti -CD3 Monoclonal Antibodies Induce Regulatory T Cell (T reg) for the Treatment of Autoimmune and Inflammatory Diseases Potential for treatment of Type 1 diabetes is well established Preservation/protection of β-c e lls is d e m onstrate d in p re -c linic al stud ie s Im p rove d insulin re sistanc e and g luc ose tole ranc e in Typ e 2 d iab e te s b y ind uc tion of T re g s Anti-CD3’s show p ote ntial in p re ve nting g raft ve rsus host d ise ase (GvHD) in he m atop oie tic ste m c e ll transp lantation (HSCT) via ind uc tion of T re g s Patie nts with re nal allog raft re je c tion d ose d IV with foralum ab , d e laye d g raft re je c tion and im p rove d re nal func tion Foralumab shows promise for successful stem cell/CAR -T transplantation Anti-CD3 mediates immune tolerance by induction of T regs mediated by IL -10 (nasal tolerance) and TGF-β and LAP complex leading to differentiation of T cells to T regs (oral tolerance) LFA-1 (cell adhesion molecule critical for T reg homeostasis and function) Induces apoptosis of effector T cells to normalize balance of Treg:Teff cells Anti-CD3 antibody increases ratio T reg:Teff ratio 18
POTENTIAL TO TREAT TYPE I DIABETES New England Journal of Medicine* provides clinical evidence for the potential use of a humanized anti -CD3 mAb for treatment of type 1 diabetes KEY FINDINGS 1. Teplizumab (humanized OKT3), administered intravenously, significantly slowed progression to clinical Type 1 diabetes, with a median delay in the diagnosis of diabetes of 2 years 2. At the end of the trial, 57% of subjects treated with Teplizumab showed slowed progression to development of Type 1 diabetes, while 72% of the placebo-treated subjects progressed to clinical diabetes *K. Herold, B. Bundy, S.A. Long, J. Bluestone, L.Dimeglio , M. Dufort , S.Gitelman , P. Gottlieb, J.Krischer, P.Linsley , J. Marks, W. Moore, A. Moran, H. Rodriguez, W. Russell, D. Schatz, J. Skyler, E. Tsalikian, D.Wherrett , A-G. Ziegler and C. Greenbaum.“ An Anti- CD3 Antibody, Teplizumab, in Relatives at Risk for Type 1 Diabetes,”. epub . NEJM.org June 9 2019 19
Incidence of HCC is steadily increasing in males and females and subpopulations in US A PAN-CDK INHIBITOR FOR TREATMENT OF HEPATOCELLULAR CARCINOMA AND SOLID TUMORS Source: Petrick et.al. J. Clin. Onc 34 (15) (2016)pg 1787-1795 20 20
SMALL MOLECULE PAN-CDK INHIBITOR Orally -bioavailable small molecule with potent anti-tumor activity in a wide range of animal models Inhibitor of kinases associated with cancer cell growth including CDK1, CDK2, CDK4 CDK5, CDK7 and src-family kinases Inhibits signaling pathways for hepato - carcinogenesis Well tolerated in 316 patients Improved toxicity profile over the current standard of care anticipated A drug with completely differentiated MOA and long-term safety 21
CLINICAL DATA FROM MILCICLIB PHASE 2A TRIAL IN SORAFENIB-RESISTANT HCC PATIENTS Trial design : Oral administration (100 mg/day, consecutive 4 days a week in a 4 -week cycle). Total patients 30 to be enrolled. Duration 6 months Primary end point: safety Secondary end points: PFS, ORR & TTP Exploratory: AFP and miRNA profiling Compassionate use : Upon request of patients with EC approval Trial complete: Data from 28 out of 31 evaluable sorafenib -resistant HCC patients 14 p a tie nts c om p le te d tre a tm e nt a s p e r p rotoc ol Nine a p p rove d for c om p a s s iona te us e . Se ve n p a tie nts c om p le te d 9, 9, 10 , 11, 13, 13 a nd 16 m onths , re s p e c tive ly. No drug related deaths in the trial Tre a tm e nt wa s we ll-tole ra te d Ad ve rs e e ve nts we re m a na g e a b le Time to progression 5.9 months out of 6 months duration of trial Stabilized Disease (SD) 61% Clinical Benefit Response 64% Tw o p a t ie n t s c u rre n t ly c o n t in u in g c o m p a s s io n a t e u s e t re a t m e n t fo r 15 m o n t h s 22
THYMIC CARCINOMA AND THYMOMA UPDATES Two Phase 2 trials with Milciclib in US, Italy and France o Trial 0 0 6: Thym ic c arc inom a and Thym om a m ixe d p op ulation (72 p atie nts) o Trial 0 0 7: Thym ic c arc inom a and Thym om a m ixe d p op ulation (30 p atie nts ) Rare c anc e rs with ve ry fe w c ase s: Orp han Dise ase Ind ic ations Positive c linic al d ata Primary endpoint (progression free survival) and secondary endpoint (overall survival) met in both trials separately Thym ic c arc inom a is an ag g re ssive m e tastatic c anc e r and it has no ap p rove d the rap y Milc ic lib as a sing le ag e nt m e t p rim ary as we ll as se c ond ary e nd p oints in thym ic c arc inom a in b oth trials Under compassionate use, few patients continued the treatment for over five years Se e king g uid anc e from FDA/ EMA re g ard ing c ond itional m arke ting ap p roval 23
MILCICLIB OVERCOMES DRUG RESISTANCE PATIENTS RAPIDLY ACQUIRE RESISTANCE TOWARDS CHEMOTHERAPIES Phase 1 Dose-Escalation Study of Milciclib in Combination with Gemcitabine in Patients with KEY FINDINGS Refractory Solid Tumors* 1. Milciclib well-tolerated with manageable side effects in patients with refractory solid tumors 2. Oral treatment in combination with gemcitabine demonstrated clinical activity in patients who were non-responder to existing chemotherapeutic drugs 3. Recommended Phase 2 dose (RPD) found to be 80mg/m2/day for milciclib and 1000mg/m2/day for Gemcitabine 4. Overall response rate was 36% 5. Results suggest further evaluation in other solid cancers either as monotherapy or combo-therapy Swimmerplot showing treatment duration. Tumor type was indicated for patients having a prolonged stable disease or a partial response. M Milciclib; G gemcitabine. * Cancer Chemotherapy and Pharmacology, June 2017, 79(6), 1257-1265 24
INTELLECTUAL PROPERTY PORTFOLIO FAMILY SUBJ ECT PRIORITY STATUS EXPIRES J URISDICTION Australia, Canada, China, Hong Kong, Israel, Japan, Mexico, Norway, Singapore, South Africa, Ukraine, Armenia, Austria, Azerbaijan, Belgium, Belarus, Switzerland, Germany, Methods of Use (Autoimmune or Inflammatory diseases and disorders) 2004 Issued 2025 Denmark, Spain, France, United Kingdom, Ireland, Italy, Kyrgyzstan, Kazakhstan, Luxembourg, Moldova, Netherlands, Portugal, Russian Federation, Sweden, Tajikistan, Turkmenistan, US, Armenia, Australia, Austria, Azerbaijan, Belarus, Canada, China, Denmark, France, Germany, Hong Kong, India, Israel, Italy, Japan, Kazakhstan, Kyrgyzstan, Mexico, Moldova, Issued/ Composition and methods of use 2004 Pending 2025 Netherlands, Norway, Republic of Korea, Russian Federation, Singapore, South Africa, Spain, Switzerland, Tajikistan, Turkmenistan, and Ukraine Pending: Brazil, Japan (divisional), TZLS-401 Singapore (divisional), US (divisional) Methods of Use (In combination with anti-IL-6/IL-6R antibodies) 2011 Pending 2032 US Formulations and dosing regimen 2016 Pending 2037 US, Australia, Canada, China, Europe, Israel, Japan Methods of Use (CNS disorders) 2017 Pending 2038 PCT Methods of Use (gastrointestinal/autoimmune/inflammatory) 2018 Pending 2039 Provisional US, Europe, Eurasia, Africa, Algeria, Antigua & Barbuda, Argentina, Australia, Barbados, Bosnia & Herzegovina, Brazil, Canada, Colombia, Costa Rica, Croatia, Cuba, Ecuador, Egypt, Georgia, Iceland, India, Indonesia, Israel, Japan, Korea, Kosovo, Malaysia, Mexico, Mongolia, Composition of matter, methods of Issued/ use, process of manufacturing 2003 Pending 2024 Montenegro, New Zealand, Nicaragua, Norway, Pakistan, Philippines, Serbia, Singapore, South Africa, Sri Lanka, Taiwan, Thailand, Trinidad & Tobago, Tunisia, Ukraine, Uzbekistan, Venezuela, Vietnam T Pending: Several in US and other countries Methods of use (multiple indications) 2008; 2009 Issued 2029; 2030 US, EU, China, Hong Kong, Japan TZLS-201 Methods of use (combination therapies with cytotoxics) 2008; 2009 Issued 2029; 2030 US, EU, China, Hong Kong, Japan Compositions of related entities, formulations and methods of treatment 2009 Issued 2030 US, EU, China, Hong Kong, Japan Methods of use (combination therapies with therapeutic antibodies) 2006 Issued 2027 US, EU, China, Japan Formulations of Milciclib and therapeutic combinations of the same for use in the 2017 Pending 2038 US, PCT treatment of cancer Anti IL-6/IL-6R US, Austria, Australia, Belgium, Canada, China, Denmark, France, Germany, Ireland, Italy, Composition of Matter and Issued/ Antibody Methods of use 2009 Pending 2029 Japan Luxembourg, Mexico, Netherland, Spain, Sweden, Switzerland and UK . Pending: US (divisional), Japan (divisional), India TZLS-501 25
CATALYSTS GROWTH OBJECTIVES PRODUCT ACTION/OBJECTIVE DATE Reported Phase 1 Nasal Dosing in Healthy Volunteers (Safety, 2H 2019 Tolerability and Biomarkers of Immunomodulation) Com p le te d Pha s e 1 Ora l Tria l of Fora lum a b in He a lthy Volunte e rs 2H 2019 Re p orte d Top Line Sa fe ty, Effic a c y a nd Exp lora tory End Point Da ta 2H 2019 from Pha s e 2a Monothe ra p y Tria l Initia te Pha s e 2b Live r Ca nc e r Stud y of Milc ic lib in Com b ina tion 1H 2020 with a TKI Re p orte d Pha s e 1 Ora l Dos ing of Fora lum a b in He a lthy Volunte e rs 1H 2020 (Sa fe ty, Tole ra b ility a nd Biom a rke rs of Anti-infla m m a tion) Initia te Pha s e 2 in Crohn’s d is e a s e a nd NASH with Ora l Fora lum a b 2H 2020 26
CAPITAL STRUCTURE Ordinary Issued Shares 136,654,516 Warrants 5,086,561 Options 17,134,403 Convertible Loan Notes 3,512,671 Fully Diluted Shares 162, 388,151 ADS EQUIVALENT* Ordinary Issued Shares 27,330,903 Warrants 1,017,312 Options 3,426,881 Convertible Loan Notes 702,534 Fully Diluted Shares 32,477,630 *Information prepared as of January 10, 2020. 1 ADS represents 5 ordinary shares. The company is contemplating/planning to migrate to Bermuda in the second quarter which will enable it to de-list from AIM, eliminate its ADR program and have Bermuda common shares instead listed on Nasdaq. 27
CONTACT US US Headquarters Tiziana Life Sciences Inc 420 Lexington Avenue Suite 2525 An Innova tive Pla tform in Ora l a nd New York, NY 10170 Na s a l Antib od y Ad m inis tra tion Research and Development Center Tiziana Life Sciences Inc A Dis tinc t Ap p roa c h for Tre a tm e nt Pennsylvania Biotechnology Center of Bucks County 3805 Old Easton RD of He p a toc e llu la r Ca rc inom a Doylestown, PA 18902 -8400 UK Headquarters Tiziana Life Sciences plc 55 Park Lane London W1K 1NA United Kingdom + 1 (267) 982 9785 TLSA: mpreiss@tizianalifesciences.com TILS : www.tizianalifewsciences.com
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