Conference Call Presentation July 18, 2019 - SEOVF

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Conference Call Presentation July 18, 2019 - SEOVF
SEOVF
                                   TRADED ON

 The Path To A Regenerative Cure

Conference Call Presentation
July 18, 2019
Conference Call Presentation July 18, 2019 - SEOVF
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.
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Conference Call Presentation July 18, 2019 - SEOVF
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
Conference Call Presentation July 18, 2019 - SEOVF
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
Conference Call Presentation July 18, 2019 - SEOVF
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
Conference Call Presentation July 18, 2019 - SEOVF
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
Conference Call Presentation July 18, 2019 - SEOVF
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
Conference Call Presentation July 18, 2019 - SEOVF
Cell Pouch Human Clinical Evaluation
Conference Call Presentation July 18, 2019 - SEOVF
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

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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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