David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global...
Transcript of David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global...
![Page 1: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/1.jpg)
Corporate PresentationDavid J. Mazzo, PhD
President and Chief Executive Officer
June 2019 | NASDAQ: CLBS
![Page 2: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/2.jpg)
Forward-looking statements advisory
This Investor Presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements reflect management’s current expectations, as of the date of this presentation, and involve certain risks and uncertainties. All statements other than statements of historical fact contained in this Investor Presentation are forward-looking statements. The Company’s actual results could differ materially from those anticipated in these forward-looking statements as a result of various factors. Factors that could cause future results to differ materially from the recent results or those projected in forward-looking statements include the “Risk Factors” described in the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission (“SEC”) on March 14, 2019, as subsequently amended on March 19, 2019, and in the Company’s other periodic filings with the SEC. The Company’s further development is highly dependent on, among other things, future medical and research developments and market acceptance, which are outside of its control. You are cautioned not to place undue reliance on forward-looking statements, which speak only as of the date of this Investor Presentation. Caladrius does not intend, and disclaims any obligation, to update or revise any forward-looking information contained in this Investor Presentation or with respect to the matters described herein.
2
![Page 3: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/3.jpg)
▪Late-stage therapeutics development company
▪ Pioneering advancements of cell therapies in cardiovascular disease
▪ Three principal development programs; 2 designated “breakthrough”*
▪ CLBS12*, CLBS16 (aka CLBS14-CMD), CLBS14* (aka CLBS14-NORDA)
▪Financially stable and debt-free
▪ Strong balance sheet (~$38 million cash as of March 31, 2019)
▪ Low operating cash burn (cash projected through 2Q 2020)
▪Multiple value creating events within the next ~12 months
▪ Key regulatory and data milestones across the pipeline
3
Caladrius Biosciences: Uniquely positioned for near-term success
![Page 4: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/4.jpg)
Accomplished executive team with broad domain-specific expertise
David J. Mazzo, PhD President and Chief Executive Officer
35+ years of experience in all aspects of large pharma (Merck, Baxter, RPR, HMR,
Schering-Plough) and emerging biopharma (Chugai USA, Regado); successful
international drug development across all therapeutic areas, international capital
raising and business transactions; Director and former Chairman of EyePoint Pharma
Douglas W. Losordo, MD Executive VP, Global Head of R&D and
Chief Medical Officer
25+ years of experience as a leader in cell therapy research and development;
renowned clinician with noteworthy academic (Tufts, Northwestern, NYU) and industry
(Baxter) credentials; pioneer of CD34+ cell therapy
Joseph Talamo, CPA, MBASenior VP and Chief Financial Officer
25+ years of experience as a versatile finance executive with strong accounting/audit
background (KPMG) and leadership roles in publicly traded pharmaceutical
development and commercial-stage companies (OSI Pharmaceuticals, BMS)
Todd Girolamo, JD, MBASenior VP, General Counsel and
Corporate Secretary
25+ years of legal experience as a practicing attorney (Cahill, Gordon & Reindel; Reid
& Priest) as well as finance and biotechnology industry experience (Oppenheimer,
CIBC, Leerink Swann)
John D. MendittoVice President,
Investor Relations and Corporate Communications
25+ years of experience as an investor relations and corporate communications
professional with a major focus on healthcare and life science (Novartis, Medco Health
Solutions, Argos Therapeutics)
4
![Page 5: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/5.jpg)
Distinguished, committed cardiovascular disease Scientific Advisory Board
Michael Gibson, MD
Baim Institute for Clinical ResearchChief Executive Officer of the combined non-profit Baim and PERFUSE research institutes at Harvard Medical School.
Timothy Henry, MD
The Christ HospitalLindner Family Distinguished Chair in Clinical Research and Medical Director of The Carl and Edyth Lindner Center for
Research at The Christ Hospital, Cincinnati.
Thomas Povsic, MD, PhD
Duke UniversityHead of the advanced biomarkers group at Duke Clinical Research Institute and Associate Professor of Medicine at
Duke University with an additional appointment to the Durham VA Medical Center.
Arshed Quyyumi, MD
Emory UniversityProfessor of Medicine in the Division of Cardiology at Emory University School of Medicine and Director at Emory
Clinical Cardiovascular Research Institute.
Richard Schatz, MD
Scripps ClinicResearch Director of cardiovascular interventions at the Heart, Lung, and Vascular Center at Scripps Clinic and
Director of cell therapy.
Christopher White, MD
Ochsner Medical CenterProfessor & Chairman of Medicine and Cardiology, The Ochsner Clinical School, Univ. Queensland, AU and Medical
Director of Value Based Healthcare & System Chairman of Cardiovascular Diseases for the Ochsner Health System.
Joseph Wu, MD, PhD
Stanford UniversityDirector of the Stanford Cardiovascular Institute and Simon H. Stertzer, MD, Professor of Medicine and Radiology.
Andreas Zeiher, MD
University of FrankfurtChairman of Medicine, Dept. of Cardiology, Angiology & Nephrology at the J.W. Goethe Univ. of Frankfurt, German.
5
![Page 6: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/6.jpg)
Autologous CD34+ Cells Treat
Microvascular Insufficiency
6
![Page 7: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/7.jpg)
7
Normal microvasculatureAugmented microvasculature
post-CD34+ cells treatmentCompromised microvasculature
ArteryVein
ArteryVein
Capillaries CapillariesCapillaries
ArteryVein
CD34+ cells promote angiogenesis of the microvasculature
▪ CD34+ cells are endothelial progenitor cells
▪ Naturally reside in the bone marrow
▪ Induce capillary growth to regenerate damaged microcirculation1
1Mackie, A.R. et al., Tex Heart Inst J 2011, 38(5), 474-485
![Page 8: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/8.jpg)
▪ >700 subjects in randomized double-blind placebo-controlled trials
▪ Consistent evidence of therapeutic benefit and tolerance
▪ Single treatment elicits therapeutic effect
▪ No cell-related adverse events reported
▪ Multiple sites, investigators, countries and indications
▪ Refractory Angina (improved mortality & exercise time, reduced angina)1
▪ Critical Limb Ischemia (reduced amputation & pain; ulcer healing)2
▪ Claudication (improved functionality)3
8
1Povsic, T. et al. JACC Cardiovasc Interv, 2016.2Losordo, D.W. et al. Circ Cardiovasc Interv, 2012.3U.S. study; Pending publication
CD34+ cell therapy supported by a plethora of compelling clinical data
![Page 9: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/9.jpg)
9
Cells returned to same
patient by injection; site
indication dependent
Isolation, concentration
and formulation of
CD34+/CXCR4+ cells
Sample collection via
apheresis on day 5 of
GCSF mobilization
ShipmentShipment
Simple, rapid, scalable and economical autologous cell therapy process
Day 1 Day 2 Day 3 or 4
▪ GCSF mobilization eliminates need for surgical bone marrow aspiration
▪ Four days or less from donation to treatment
▪ Well characterized, reliable GMP process – easily scaled to meet increasing demand
![Page 10: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/10.jpg)
CD34+ cell therapy patent estate provides for long-term exclusivity
▪ 7 U.S. patents granted and 2 U.S. patents pending
▪ 23 foreign patents granted and 3 foreign patents pending
▪ Japan, Russia, Canada, and the EU5 countries-France, Germany, Great Britain, Italy, and Spain
▪ Key claims cover:
▪ Pharmaceutical composition of non-expanded CD34+/CXCR4+ stem cells
▪ Therapeutic concentration range
▪ Stabilizing serum
▪ Repair of injury caused by vascular insufficiency
▪ Issued and pending claims applicable to broad array of ischemic conditions
▪ CLI, CMD, NORDA, AMI, CHF and ischemic brain injury, among others
▪ Expiries of granted patents range from 2031 – 2039 including patent term extension
10
“Composition of matter” protection to 2031+
![Page 11: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/11.jpg)
CLBS12Critical Limb Ischemia (CLI)
(Japan)
11
![Page 12: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/12.jpg)
12
CLI Represents a Multi-billion Dollar Global Market Opportunity*
Japan USA Europe*
No-option CLI pts. eligible for CLBS12 (R4 or R5) (not eligible for revascularization)
~51,000 ~300,000 ~560,000
*Europe:
*Independent third-party analysis; Report available upon request
▪ Initiation in Japan prompted by early definition of accelerated path to regulatory approval
▪ Estimated >$100M initial commercial opportunity based on significant pharmaco-eco benefits
▪ CLBS12 could be a marketed product in Japan as early as 2021
▪ Positive results from ongoing trial in Japan should support expedited development in USA/EU
CLI represents an expedited commercial opportunity in Japan
![Page 13: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/13.jpg)
13
4.6%12.1%
35.3%
67.3%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
R 1-3 R 4 R 5 R 6
18.9%
37.7%
52.2%
63.5%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
R 1-3 R 4 R 5 R 6
4 Year Amputation Rates 4 Year Mortality Rates
Source: Reinecke H., European Heart Journal, 2015 Apr 14;36(15):932-8.
Retrospective outcomes analysis based upon
Rutherford (“R”) classification (n=41,882)
R 1-3: CLI-free
R 4: Debilitating rest pain
R 5: Minor tissue loss non-healing ulcer; focal gangrene with diffuse pedal ischemia
R 6: Functional foot no longer salvageable
CLI amputation and mortality rates increase with disease severity
![Page 14: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/14.jpg)
14
Source: Kinoshita et al, Atherosclerosis 224 (2012) 440-445
Week 12 Post-treatment
Before Treatment
Actual CLI Patient
Laser Doppler Image
Single CD34+ cell therapy administration appears to reverse CLI
Prospective, single blind, open label clinical trial (n=17) - Japan
Rutherford Scale (arteriosclerosis + Buerger’s Disease patients)
Rutherford 4 or 5Rutherford 3 or less
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
pre 4 8 12 24 52 104 156 208
Incid
en
ce
Weeks
![Page 15: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/15.jpg)
15
Single CD34+ cell therapy administration increases amputation free survival
Randomized, double-blind, placebo-controlled clinical trial (n=28) - USA
1×106 cells/kg
Placebo
Source: Losordo, D.W. et al, Circulation 2012
p = 0.014
![Page 16: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/16.jpg)
16
Design ▪ Prospective, open label, controlled, randomized trial (1:1 w/SOC) CLI patients
Primary Endpoint ▪ Time to continuous CLI-free status (2 consecutive monthly visits, adjudicated independently)
Study Size ▪ 30 pts. with no-option CLI + 5 Buerger’s Disease pts.; all R4 or R5; ~10 centers in Japan
Dose ▪ Up to 106 autologous CD34+ cells/kg (CLBS12) per affected limb
Control/Comparator
▪ Standard of Care: wound care plus drugs approved in Japan
▪ Including antimicrobials, antiplatelets, anticoagulants and vasodilators
▪ Choice of pharmacotherapy will be made by the investigators according to protocol
Mode of administration
▪ Intramuscular, 20 injections in affected lower limb in single administration
Timing/Cost▪ Top-line results expected 1H2020
▪ Study funded to completion in current budget projections
CLBS12 eligible for early conditional approval in Japan based on ongoing study
Awarded SAKIGAKE (“breakthrough”) designation with priority review
![Page 17: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/17.jpg)
17
Preliminary Buerger’s Disease cohort results in Japan are extraordinary
Pre 1 30 60 90 120 150 180 210 240 270 300 330 365
1
2
3
4
5
6 A
Patient
Days
▪ Natural evolution of Buerger’s Disease is continual progression
▪ Surgery typically is ineffective & existing pharmacotherapies do not prevent amputation (A)1
▪ To date, CLBS12 treatment has resulted in 50% of patients achieving a positive outcome
CLI-free Continuous CLI-freeRutherford 6Rutherford 4 or 5 Follow-up ongoing
1Cacione DG, et al, Pharm. treatment of Buerger’s Disease, Cochrane Database of Systematic Reviews, 2016, (3) CD011033
![Page 18: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/18.jpg)
CLBS16Coronary Microvascular Dysfunction (CMD)
(USA)
18
![Page 19: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/19.jpg)
19
1 www.heart.org/en/health-topics/heart-attack/angina-chest-pain/coronary-microvascular-disease-mvd2 Loffler and Bourque, Curr Cardiol Rep. 2016 Jan; 18(1): 13 Kenkre, T.S. et al., Circ: CV Qual & Outcomes 2017, 10(12) 1-94 Collins P. British heart journal (1993) 69(4), 279–281
▪ CMD
▪ Is heart disease affecting the walls and inner lining of tiny coronary
artery blood vessels with an absence of large vessel blockage1
▪ Only recently readily recognized and diagnosed
▪ Previously known as “Cardiac Syndrome X”
▪ Affects women more frequently, especially younger women1
▪ Portends a poor prognosis in patients with the condition2
▪ Significantly elevated risk of all-cause mortality in women3
▪ Now can be diagnosed by measuring Coronary Flow Reserve (CFR)
▪ CFR is the ratio of maximal to resting coronary blood flow4
Coronary Microvascular Dysfunction (CMD) is a relatively unknown killer
![Page 20: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/20.jpg)
20
▪ Nearly 50% of patients with Coronary Artery Disease have a CMD component
▪ Multi-billion dollar global opportunity based on significant pharmaco-eco benefits
USA2,3 Europe4 Japan5,6
~8,300,000 ~6,000,000 ~1,000,000
Patients Potentially Eligible for CLBS16Estimates are 30% - 70% have CMD1
Europe:
CMD is an unmet medical need with significant market potential
1Alrifai, A. et al., U.S. Card. Rev., 12(1) 2018, Pages 41-45 2Mittal, S.R.; Indian Heart Journal, Volume 66, 2014, Pages 678–6813Cleveland Clinic/AHA (American Heart Association)4Townsend, N, et al.; EHJ, Volume 37, Issue 42, 7 November 2016, Pages 3232–32455Kita, T; EHJ Supplements, Volume 6, Issue suppl_A, 1 March 2004, Pages A8–A116Ueshima, H, et al.; AHA Journal, December 16/23, 2008, Volume 118, Issue 25
![Page 21: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/21.jpg)
21
Design ▪ Interventional, open label, proof-of-concept trial
Primary Endpoint ▪ Safety and the evaluation of adverse events
Secondary Endpoints▪ Changes from baseline to 6 months for coronary flow reserve, endothelial-dependent
microvascular function, time to angina; other cardiovascular metrics
Study Size ▪ 20 patients at 2 centers in the USA (Cedars Sinai, Los Angeles & Mayo Clinic, Rochester)
Dose ▪ Up to 300 x 106 CD34+ cells
Control ▪ No control arm
Mode of administration ▪ Single intracoronary infusion
Timing/Cost▪ Top-line results expected by end of 2019
▪ Study funded to completion in current budget projections (NIH grant)
CLBS16 proof-of-concept study (ESCaPE-CMD)Enrollment completion expected in May 2019
![Page 22: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/22.jpg)
22
Preliminary ESCaPE-CMD results are extremely encouraging
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
Baseline Day 180C
oro
nary
Flo
w R
ese
rve
p = 0.01675
▪ Patient follow-up to date (n=6)
▪ Coronary flow reserve (CFR)
▪ Ratio of maximal to resting
coronary blood flow1
▪ Increased CFR correlates with
improvement in symptoms
▪ Full results expected end of 2019
1 Collins, P., British heart journal (1993) 69(4), 279–281
![Page 23: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/23.jpg)
CLBS14No Option Refractory Disabling Angina (NORDA)
(USA)
23
![Page 24: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/24.jpg)
Patients Eligible for CLBS14*
24
Europe:
USA Europe Japan
<100K ~50K ~30K
▪ Patients with NORDA
▪ have large vessel disease which has been treated but continue to have angina
▪ have failed all available approved treatment options
▪ continuously burden the healthcare system pharmacoeconomically
*Independent Third-party analysis; Full third-party report available upon request
NORDA presents a multi-billion dollar global market opportunity
![Page 25: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/25.jpg)
25
▪ CLBS holds an open and active IND
▪ Data license to previous clinical studies avoids need to repeat Phases 1 & 2
▪ CLBS owns all germane IP for product and its use
▪ RMAT (Regen. Medicine Advanced Therapy) designation awarded 2Q18
▪ Therapy must show preliminary evidence of addressing serious unmet medical need
▪ Includes potential for priority review and accelerated approval
▪ Phase 3 (registration) protocol discussions with FDA reaching conclusion
▪ Single phase 3 trial with total exercise time at 6 months as primary endpoint
▪ Finalization expected 2Q19 with first patient targeted for fall 2019
▪ Supported by a rigorous and compelling clinical database
CLBS14 Phase 3 development status
![Page 26: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/26.jpg)
26
Source: Losordo, D.W., et al., Circ Res, 2011
Randomized, double blind, placebo-controlled Phase 2 study (n=168)
Single treatment of CLBS14 significantly improves exercise time*
P=0.014P=0.017
6 Months 12 Months
*Total exercise
time at 6 months
will be the phase 3
primary endpoint
![Page 27: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/27.jpg)
-8.8 -8.7
-13.9
-15.3Me
an
Ch
an
ge
fro
m b
ase
lin
e in
We
ekly
F
req
ue
ncy, (9
5%
CI)
Placebo CLBS14-NORDA
6 months 12 months
Source: Losordo, D.W. et al, Circ Res 2011
p = 0.0421 p = 0.0109
Randomized, double blind, placebo-controlled Phase 2 study (n=168)
27
Single treatment of CLBS14 significantly reduces angina frequency
![Page 28: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/28.jpg)
Randomized, double blind, placebo-controlled Phase 2 study (n=168)
28
Single treatment of CLBS14 significantly reduces mortality
Source: Losordo, D.W., Circ Res 2011
Placebo
p = 0.0065
![Page 29: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/29.jpg)
▪ Phases 1, 2, & partial 3 studies1,2,3
completed (combined n=304)
▪ Same NORDA definition in all studies
▪ Two independent compelling patient-
level pooled-analyses:
▪ European Heart Journal, January 2018
(Henry, et al)
▪ Cardiovascular Revascularization
Medicine, June 2018 (Velagapudi, et al)
29
1 Losordo, D.W., et al, Circulation 2007, 115(25) pp. 3165-31722 Losordo, D.W., et al, Circ Res 2011, 109(4) pp. 428-36.3 Povsic, T.J., et al, JACC Cardiovasc Interv, 2016 9(15) pp. 1576-85.
Change in Angina Frequency
P=0.03 P=0.01 P=0.01
ITT Population
Re
lati
ve
Fre
qu
en
cy o
f A
ng
ina
(95
% C
I)
1.5
1.0
0.5
0.0
3M 6M 12M
Timepoint
Combined CLBS14 clinical database corroborates success potential
![Page 30: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/30.jpg)
▪ Phases 1, 2, & partial 3 clinical studies1,2,3 completed (combined n=304)
▪ Same NORDA definition in all studies
▪ Two independent compelling patient-level pooled-analyses: European Heart Journal, January 2018 (Henry, et al);
Cardiovascular Revascularization Medicine, June 2018 (Velagapudi, et al)
30
Mortality and Major Cardiac Adverse Events (MACE)
Combined CLBS14 clinical database corroborates success potential
1 Losordo, D.W., et al, Circulation, 2007 115(25) pp. 3165-3172 2 Losordo, D.W., et al, Circ Res, 2011 109(4) pp. 428-363 Povsic, T.J., et al, JACC Cardiovasc Interv, 2016 9(15) pp.1576-85
![Page 31: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/31.jpg)
Pre-Clinical Phase 1 Phase 2 Phase 3
Country: USA(ongoing)
Country: USA(ongoing)
Country: Japan(ongoing)
31
Registration eligible trialCD34+ Cell Therapy Platform
(Ischemic Repair)
T Regulatory Cell Therapy Platform
(Immune Modulation)
CLBS03 Recent Onset Type 1 Diabetes
CLBS14-NORDA No Option Refractory Disabling Angina Country: USA(initiation targeted fall 2019)
Results of comprehensive
analysis of 1-year patient
level data in conjunction with
2-year follow-up data (end
2019) will determine next
development steps
CLBS14 No Option Refractory Disabling Angina
CLBS16 Coronary Microvascular Dysfunction
CLBS12 Critical Limb Ischemia
CLBS03 Recent Onset Type 1 Diabetes
Innovative multi-product pipeline based on proprietary technology platforms
![Page 32: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/32.jpg)
Program 2019 2020
Phase 2 (registration)
Topline Data Expected
Target Enrollment
Completion
Phase 3 Clinical Development
Plan Finalized with FDA
Phase 2 Topline Data
Expected
Phase 3 Clinical Trial
Initiation Target
Target Enrollment
Completion
32
CLBS12 ---------------------------------------------------------------------------------------------------------------------------------------(Critical Limb Ischemia)
CLBS14 ---------------------------------------------------------------------------------------------------------------------------(No Option Refractory Disabling Angina)
CLBS16 -------------------------------------------------------------------------------------------------------------------------------(Coronary Microvascular Dysfunction)
Timeline of key development milestones by principal development program
![Page 33: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/33.jpg)
33
Cash & Investments at March 31, 2019: $38m
1Q2019 Operating Cash Burn: $5m
Cash Runway Based on Current Plan:(Including CLBS14 Phase 3 Clinical Initiation Costs)
through 2Q 2020
Debt: $0
Common Shares Outstanding at March 31, 2019: ~10.4m shares
Options Outstanding as of March 31, 2019:Exercise Price < $5.00 = 687,000 sharesExercise Price < $10.00 = 125,000 sharesExercise Price > $10.00 = 402,000 shares
~1.2m shares
Key CLBS financial information
![Page 34: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/34.jpg)
▪Late-stage therapeutics development company
▪ Pioneering advancements of cell therapies in cardiovascular disease
▪ Three principal development programs; 2 designated “breakthrough”*
▪ CLBS12*, CLBS16 (aka CLBS14-CMD), CLBS14* (aka CLBS14-NORDA)
▪Financially stable and debt-free
▪ Strong balance sheet (~$38 million cash as of March 31, 2019)
▪ Low operating cash burn (cash projected through 2Q 2020)
▪Multiple value creating events within the next ~12 months
▪ Key regulatory and data milestones across the pipeline
34
Caladrius Biosciences: Uniquely positioned for near-term success
![Page 35: David J. Mazzo, PhD President and Chief Executive Officer · Multi-billion dollar global opportunity based on significant pharmaco-eco benefits USA2,3 Europe4 Japan5,6 ~8,300,000](https://reader033.fdocuments.us/reader033/viewer/2022050405/5f82f27597e52901d8056821/html5/thumbnails/35.jpg)
Investor Relations Contact
John D. Menditto
Phone: (908) 842-0084
Email: [email protected]
www.caladrius.com
NASDAQ: CLBS