Solid Tumor-Agnostic Platform: Ground-Breaking Companion Diagnostic + LADR Candidates - Centurion BioPharma ...

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Solid Tumor-Agnostic Platform: Ground-Breaking Companion Diagnostic + LADR Candidates - Centurion BioPharma ...
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Solid Tumor-Agnostic Platform:
Ground-Breaking Companion Diagnostic
+ LADR™ Candidates
                                   August 2018
www.centurionbiopharma.com   NON-CONFIDENTIAL
Solid Tumor-Agnostic Platform: Ground-Breaking Companion Diagnostic + LADR Candidates - Centurion BioPharma ...
Centurion BioPharma
Highlights
 Our albumin companion diagnostic (ACDx) is a ground breaking
  companion diagnostic in the preclinical stage that is being
  developed to work in conjunction with our albumin binding drug
  conjugates called LADRTM (linker activated drug release)

 ACDx enhances the value of our pipeline because it enables a
  personalized medicine approach in development

 Personalized medicine: by utilizing ACDx to select the optimal
  solid tumor patients for treatment, consistent impressive
  response rates and outcomes can be attained with treatment by
  LADRTM across solid tumor types (tumor agnostic development)

 Centurion BioPharma filed US provisional patent application for
  ACDx in July 2018
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Solid Tumor-Agnostic Platform: Ground-Breaking Companion Diagnostic + LADR Candidates - Centurion BioPharma ...
Centurion BioPharma Contents
                                OUR VISION:
Personalized Medicine with Solid Tumor-Agnostic Treatment

 Targeting solid tumors utilizing albumin
 ACDx (albumin companion diagnostics) introduction
 ACDx proof of concept
 LADRTM (linker-activated drug release) mechanism
 Pre-clinical LADRTM data
 Pipeline
 Milestones
 Management team

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Solid Tumor-Agnostic Platform: Ground-Breaking Companion Diagnostic + LADR Candidates - Centurion BioPharma ...
Vision and Development
Strategies for ACDx + LADRTM
                                          OUR VISION:
Personalized Medicine with Solid Tumor-Agnostic Treatment

 Study ACDx and LADRTM to work in conjunction in solid tumors
 LADRTM has demonstrated broad utility across solid tumor types (lung,
  breast, ovarian, skin, head & neck)
 ACDx identifies tumors eligible for treatment with LADRTM
 By identifying optimal patients with ACDx, LADRTM treatment will
  consistently deliver impressive response rates and outcomes to a broad
  group of solid tumor patients

     Build tumor-                   Easily train
                                                    Establish      Attain
       agnostic                     oncologists
                                                   treatment    blockbuster
     development                      on the
                                                    globally      revenue
         plan                       technology

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Solid Tumor-Agnostic Platform: Ground-Breaking Companion Diagnostic + LADR Candidates - Centurion BioPharma ...
LADRTM Targeting Tumors
with Albumin as a Drug Carrier
           1. Accumulation in tumor tissue
                 due to the EPR effect
         (enhanced permeability and retention)

            2. Prolonged circulatory retention

  3. Improved tolerability allows for higher doses

    Effective tumor targeting using
       albumin as a drug carrier
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Solid Tumor-Agnostic Platform: Ground-Breaking Companion Diagnostic + LADR Candidates - Centurion BioPharma ...
EPR Effect of Albumin

                                      100‒500 nm

                            albumin

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Solid Tumor-Agnostic Platform: Ground-Breaking Companion Diagnostic + LADR Candidates - Centurion BioPharma ...
Companion Diagnostic:
ACDx (albumin companion dx)

              When positively screened with ACDx, patients will have an very
   Goal
                     high response rate when treated with LADRTM.

                  ACDx is an imaging test that identifies albumin uptake in
               tumors. By determining if albumin is in the tumor and how it is
  What is
                  distributed in the tumor, we can determine if treating with
  ACDx?
              LADRTM (an albumin binding drug conjugate) is appropriate. This
                is personalized medicine that is highly valued by oncologists.

              Uses Single Photon Emission Computed Tomography (SPECT),
              commonly used by oncology practices throughout the world.
How is ACDx
              ACDx will be a new product sold in a vial to oncology and
  used?
              radiology practices. It can be a reimbursed drug and procedure
              that will be very attractive to oncology practices.

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Solid Tumor-Agnostic Platform: Ground-Breaking Companion Diagnostic + LADR Candidates - Centurion BioPharma ...
ACDx has potential to transform
solid tumor treatment
                                            OUR VISION:
    Personalized Medicine with Solid Tumor-Agnostic Treatment

      ACDx creates value when working as a companion diagnostic with LADRTM

                                               Improve
Identify eligible            Improve         probability of    Rationale for   Justification for
  patients for             outcome of        breakthrough         payer           premium
   treatment              clinical trials     status and      reimbursement        pricing
                                               approval

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Molecular Imaging – how ACDx
will be developed and utilized
        Companion Imaging
           Diagnostic                                        SPECT:
                                                             Single Photon
                                                             Emission
                                                             Computed
                                                             Tomography

                 Advantages:
                  •   Clinically widely used
                  •   Straightforward clinical translation
                  •   Unlimited penetration depth
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Preclinical SPECT/CT Imaging
with 111In-C4-DTPA
Establish methodology in two
human tumor xenograft models

Tumor type:
 LXFL 529 (NSCLC)
 OVXF 899 (ovarian cancer)
Study outline:
 Bilateral implantation
 TV ~100‒300 mm3 (left and right flank)
 4 mice
                                           ~40 min   ~2 min

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ACDx results in tumor-bearing
nude mice (LXFL 529)
Representative 2D SPECT/CT images of a tumor-bearing nude mouse

     Visualization and
     quantification of
    albumin uptake by
          tumors

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ACDx results in tumor-bearing
nude mice (LXFL 529)
Representative 3D SPECT/CT image after 72 h

                                          Distinct accumulation of albumin
                                                    in the tumors

                                              Kidneys are visible as the organs of
                                                          elimination

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ACDx results in tumor-bearing
nude mice (OVFX 899)
Representative 2D SPECT/CT images of a tumor-bearing nude mouse

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ACDx results in tumor-bearing
nude mice (OVFX 899)
Representative 3D SPECT/CT image after 72 h

                                        Distinct accumulation of albumin
                                                  in the tumors

                                         Kidneys are visible as the organs of
                                                     elimination

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ACDx for Personalized Medicine
• Continue development to a first clinical trial so that cancer
  patients can be identified as prime candidates for
  albumin-based drug therapy

         High responding
         cancer
         patients to
         LADRTM
         treatment

                             Clinical SPECT/CT Imaging
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LADRTM Platform Overview
    Goal: accumulate drug in the tumor and minimize systemic toxicity

1                                                                           2              3

1. Ultra High Potency               2. Cleavable Linker            3. Targeting
    Drug Payload                    • Novel linker keeps the       • Ensures rapid and
• Payloads are 10-1,000               highly potent drug             selective binding to
  times more potent than              payload inactive until the     circulating serum albumin
  standard anti-cancer                conjugate reaches the        • Serum albumin transports
  agents                              tumor                          the LADR™ drug to the
• Similar to those used for         • The linker is then cleaved     tumor
  ADCs (auristatins,                  which activates the
  maytansinoids)                      payload

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LADR™ Mechanism of Action
                                 Cytotoxic       Albumin
                                  Agent Linker
                                                            2

          1
                                         Rapid and specific
                                       binding to circulating                            3
      Cytotoxic                              albumin
       Agent    Linker

 Drug-linker conjugate
       is infused                                                     Tumor cells

                                                      4

                                                                Albumin transports drug
                                                                   to the tumor and
                                                                      surrounding
                                                                   microenvironment
          Linker dissolves in the acidic (low pH)
        environment and releases the drug payload

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Albumin as a Drug Delivery Vehicle
 Albumin
   Most abundant protein in human blood plasma
   Major source of essential amino acids (“fuel″) for cancer cells
   Localizes at tumor through the Enhanced Permeability and
    Retention Effect (EPR) effect and macropinocytosis
   Serves as a transport molecule for metabolites, hormones, and
    nutrients
   Long half-life (20 days)

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AACR Poster: LADR-7, LADR-8

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AACR Poster: LADR-7, LADR-8

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LADR-7, 8 efficacy and toxicity
LADR-7
• NSCLC:           CR 100%
• Melanoma:        CR 79%, PR 14%
• Ovarian:         CR 36%, PR 50%
LADR-8
• NSCLC:           CR 30%, PR 0%
• Ovarian:         CR 53%, PR 13%

• Durable responses averaged 60-90 days
• Demonstrated statistically significant superiority over the control
  group and parent compound
• Highly effective, even in large tumors starting at 270-380 mm3
• No toxicity findings to prevent from moving forward in IND
  enabling studies

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AACR Poster: LADR-9, LADR-10

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AACR Poster: LADR-9, LADR-10

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LADR-9, 10 efficacy and toxicity
• Statistically significant anti-tumor activity of in:
   • Lung, breast, ovarian, renal cell, head & neck
• Durable responses averaged 60-90 days
• Demonstrated statistically significant superiority over the
  control group and parent compound
• Highly effective, even in large tumors starting at 350 mm3
• No toxicity findings to prevent from moving forward in IND
  enabling studies

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LADR™ vs. ADCs: targeting,
manufacturing and cost of goods

LADRTM                             ADC’s
Broad solid tumor targeting        Target selection is limited to
 Very high revenue potential      the gene expression

Manufacturing simplicity vs.
antibodies
 Small molecule manufacturing
 Lower costs, less risk

Low cost of goods vs.
antibodies
 Better profit margin
                                   >30 different targets being
 Pricing flexibility
                                   pursued for solid tumors
                                                   Br J Cancer. 2016 Feb 16; 114(4): 362–367.

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Centurion BioPharma Pipeline
 Four albumin binding ultra high potency LADR™ candidates
  ready for IND enabling studies
 Companion diagnostic – identifies patients to treat

LADR™ Albumin Binding Drug               Preclinical   Phase 1   Phase 2
Conjugates
  Auristatin Program
    LADR-7: AE-Keto-Sulf07
    LADR-8: AE-Ester-Sulf07

  Maytansinoid Program
    LADR-9: PP072
    LADR-10: FN296

Companion Diagnostic –
ACDx (albumin companion dx) identifies
patients across solid tumor types

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Centurion BioPharma Milestones

                                  Event                         Completion Date
File one or more LADRTM patent applications                            Q4 2017   

Initiate activities for GMP manufacturing of LADRTM linkers            Q4 2017   
Nominate one or more candidates for advancement into
                                                                       Q1 2018   
IND enabling studies
Present preclinical data on LADRTM candidates at AACR ‘18              1H 2018   
Begin LADRTM pharma partnering discussions                             1H 2018   
File patent application for companion diagnostic                       3Q 2018   
Deal completion date in 2H and close                             By Dec 31, 2018
Partnership will determine next steps on pre-IND mtg,
studies and filing

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                                   Represents a completed milestone             26
Experienced Management Team
Eric Curtis, CEO and President                           Felix Kratz, Ph.D., Vice President Drug Discovery
Mr. Curtis brings 25 years of life science leadership    Dr. Kratz is a medicinal chemist with more than 25 years
experience, specializing in oncology and orphan          of pertinent experience in the preclinical development of
diseases. He was instrumental in the US and global       anticancer drugs, prodrugs and protein conjugation
development and commercialization of Votrient®,          chemistry and profound knowledge of translational
Doxil®, Velcade®, Benlysta®, Tykerb® and                 research from the laboratory to the clinic. He has
Adempas®. Prior to joining Centurion, Mr. Curtis         successfully transferred aldoxorubicin from bench to
served in senior leadership roles as President and COO   bedside Dr. Kratz graduated in Chemistry from the
of CytRx Corporation, President, U.S. Commercial at      University of Heidelberg with Magna Cum Laude. He
Aegerion Pharmaceuticals, VP and GM – Rare Disease       established the Division of Macromolecular Prodrugs at
Business Unit at Bayer Healthcare, VP and global         the Tumor Biology Center Freiburg. He has authored
commercial leader at GlaxoSmithKline, and roles of       approximately 260 scientific publications, book articles
increasing responsibility at Centocor/J&J.               and proceedings and is the inventor of over 20 patents
                                                         and patent applications.

Anna Warnecke, Ph.D., Sr Director Drug Discovery         John Caloz, Interim Chief Financial Officer
Dr. Warnecke is a medicinal chemist with more than       Mr. Caloz served as Chief Financial Officer of
15 years of relevant experience in the preclinical       Occulogix, Inc, a NASDAQ listed, a medical therapy
development of oncology prodrugs. Prior to joining       company, Chief Financial Officer of IRIS International
Centurion, Dr. Warnecke served as the Head of            Inc., a Chatsworth, CA based medical device
Chemistry in the Division of Macromolecular              manufacturer. He served as Chief Financial Officer of
Prodrugs, Tumor Biology Center. Dr. Warnecke             San Francisco-based Synarc, Inc., a medical imaging
completed her Ph.D. at the Department of                 company, and SVP, Finance and Chief Financial
Macromolecular Chemistry, University of Freiburg,        Officer of Phoenix International Life Sciences Inc.
with a thesis entitled “Maleimide-functionalized
Water-Soluble Derivatives of Clinically Established
Anticancer Drugs.”
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Summary
 Centurion BioPharma is a private oncology company focused on
  transformational oncology treatment
 Our vision for ACDx and LADRTM is a personalized medicine, solid
  tumor agnostic development plan
 LADRTM and the ACDx companion diagnostic represent significant
  pipeline value
 Highly experienced leadership team
 Novel LADRTM technology platform has applicability in oncology
  and potentially other disease states
 Goal – a Centurion BioPharma major strategic alliance to be
  closed by end of 2018

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