TLSA: January 2020 - Tiziana Life Sciences

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TLSA: January 2020 - Tiziana Life Sciences
TLSA :                     TILS:

  An Innovative Platform in Oral and
      Nasal Antibody Administration
   A Novel Approach for Treatment
      of Hepatocellular Carcinoma

             January 2020
TLSA: January 2020 - Tiziana Life Sciences
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TLSA: January 2020 - Tiziana Life Sciences
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

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TLSA: January 2020 - Tiziana Life Sciences
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
TLSA: January 2020 - Tiziana Life Sciences
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

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TLSA: January 2020 - Tiziana Life Sciences
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

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TLSA: January 2020 - Tiziana Life Sciences
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
TLSA: January 2020 - Tiziana Life Sciences
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

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TLSA: January 2020 - Tiziana Life Sciences
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

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TLSA: January 2020 - Tiziana Life Sciences
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       HOKT31(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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