Mesoblast Limited · ASX:MSB

Mesoblast — Q1 FY2021 Earnings Presentation

31 slides from Mesoblast's earnings presentation, Nov 20, 2020

  1. Slide 1: Financial Results for First Quarter Ended September 30, 2020

    For personal use only Financial Results for First Quarter Ended September 30, 2020 Strategic Collaboration with Novartis ASX: MSB; Nasdaq: MESO

  2. Slide 2: Cautionary Note Regarding Forward-Looking Statements

    For personal use only CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS This presentation includes forward-looking statements that relate to future events or our future financial performance and involve known and unknown risks, uncertainties and other factors that may cause our actual results, le

  3. Slide 3: Our Mission

    For personal use only Our Mission Mesoblast is committed to bringing to market innovative cellular medicines to treat serious and life-threatening illnesses |3

  4. Slide 4: Strategic Collaboration with Novartis, Initial Focus on Respiratory Indications

    Strategic Collaboration with Novartis, Initial Focus on Respiratory Indications For personal use only  In early 2020, Mesoblast recognized that the extensive safety data of remestemcel-L and its anti- inflammatory mechanism of action made a compelling rationale for evaluating its potential to reduc

  5. Slide 5: Overview of Collaboration with Novartis for Remestemcel-L

    Overview of Collaboration with Novartis for Remestemcel-L For personal use only  Worldwide license and collaboration agreement with Novartis for the development, manufacture and commercialization of remestemcel-L  Initial focus is on the treatment of ARDS, including that associated with COVID-19,

  6. Slide 6: Key Terms of Collaboration with Novartis

    Key Terms of Collaboration with Novartis For personal use only  Novartis will make a US$50 million upfront payment including US$25 million in equity*  Mesoblast may receive a total of US$505 million pending achievement of pre-commercialization milestones for ARDS indications  Mesoblast may receiv

  7. Slide 7: Product Pipeline

    Product Pipeline For personal use only MESOBLAST PRODUCT THERAPEUTIC PHASE 1/2 PHASE 3 REGISTRATION COMMERCIAL COMMERCIAL CANDIDATE AREA RIGHTS PARTNERS COVID-19 Acute Respiratory Distress Syndrome (ARDS) All Cause ARDS Global Other Respiratory Collaboration Pediatric & adult Remestemcel-L systemic

  8. Slide 8: Platform Technology – Mechanism of Action

    Platform Technology – Mechanism of Action Our mesenchymal precursor/stromal cells respond to and are activated by multiple inflammatory cytokines through For personal use only surface receptors, resulting in orchestration of an anti-inflammatory cascade IL-10 Breg TH1 Mesenchymal Proliferation Cytok

  9. Slide 9: Commercial Scale Manufacturing Capability

    Commercial Scale Manufacturing Capability Manufacturing Remestemcel-L For personal use only  Scalable allogeneic “off-the-shelf” cellular platforms  Manufacturing meets stringent criteria of international regulatory agencies  Robust quality assurance processes ensure final product with batch-to-b

  10. Slide 10: Global IP Estate Provides Substantial Competitive Advantage

    Global IP Estate Provides Substantial Competitive Advantage For personal use only  Extensive patent portfolio with protection extending through 2040 in all major markets  Over 1,100 patents and patent applications (82 patent families) across all major jurisdictions Therapeutic Areas  Covers compo

  11. Slide 11: Financial Results for the Quarter Ended September 30, 2020

    For personal use only Financial Results for the Quarter Ended September 30, 2020

  12. Slide 12: Strengthened Balance Sheet

    Strengthened Balance Sheet For personal use only  At September 30, 2020, cash on hand was US$108.1 million  Proforma cash on hand of US$158.1 million includes an additional US$50 million upfront payment from the collaboration with Novartis*  Over the next 12 months Mesoblast, pending achievement

  13. Slide 13: Capital Raised in May 2020 Supported Increased Investment in COVID-19 Related R&D and Manufacturing

    Capital Raised in May 2020 Supported Increased Investment in COVID-19 Related R&D and Manufacturing For personal use only September 30, September 30, Profit and Loss for the three months ending (US$m) 2020 2019 Commercialization revenue 1.3 1.9 Milestone revenue - 15.0 Interest revenue - 0.2 Total R

  14. Slide 14: Remestemcel-L: Potential New Treatment Paradigm in Inflammatory Respiratory Conditions

    For personal use only Remestemcel-L: Potential New Treatment Paradigm in Inflammatory Respiratory Conditions

  15. Slide 15: Overview – Remestemcel-L for ARDS due to COVID-19

    Overview – Remestemcel-L for ARDS due to COVID-19 For personal use only  COVID-19 is a respiratory virus with a high mortality due to a severe inflammatory condition of the lungs called acute respiratory distress syndrome (ARDS)  ARDS is caused by cytokine storm in lungs of patients infected with

  16. Slide 16: ARDS due to COVID-19, Influenza & Bacterial Infection – Major Unmet Need

    ARDS due to COVID-19, Influenza & Bacterial Infection – Major Unmet Need For personal use only Normal alveolus Injured alveolus during the acute phase Acute respiratory distress syndrome (ARDS) Alveolar Sloughing of bronchial epithelium  A major area of unmet medical need airspace Inactivated surfa

  17. Slide 17: Immunomodulatory Activities of Remestemcel-L in Response to Inflammation

    Immunomodulatory Activities of Remestemcel-L in Response to Inflammation For personal use only | 17

  18. Slide 18: Promising Pilot Data in Adults & Children with COVID-19

    Promising Pilot Data in Adults & Children with COVID-19 Compassionate Use Emergency IND in Ventilator-Dependent Adults with COVID-19 ARDS For personal use only  12 patients with moderate or severe ARDS received two infusions of remestemcel-L within five days at Mt. Sinai Hospital in New York City 

  19. Slide 19: Remestemcel-L: Phase 3 Randomized Controlled Trial in COVID-19 ARDS

    Remestemcel-L: Phase 3 Randomized Controlled Trial in COVID-19 ARDS For personal use only  Multi-center, randomized, controlled, blinded study to assess safety and efficacy of remestemcel-L versus placebo in ventilator-dependent patients with moderate/severe ARDS due to COVID-19  Up to 300 patient

  20. Slide 20: Key Milestones for Remestemcel-L in COVID-19 ARDS

    Key Milestones for Remestemcel-L in COVID-19 ARDS For personal use only  DSMB recommended continuation of the trial after reaching first (30%) and second (45%) interim analyses  Trial enrollment has now surpassed 180 patients  Plan to seek Emergency Use Authorization (EUA) subject to positive dat

  21. Slide 21: Remestemcel-L: Acute Graft Versus Host Disease

    For personal use only Remestemcel-L: Acute Graft Versus Host Disease

  22. Slide 22: Acute GVHD: Serious and Fatal Complication of Allogeneic Bone Marrow Transplantation

    Acute GVHD: Serious and Fatal Complication of Allogeneic Bone Marrow Transplantation (BMT) For personal use only PHASE 1 PHASE 2 PHASE 3 Host Tissue Damage Immune Cell Activation Inflammation and End by BMT Conditioning & Cytokine Storm Organ Damage Conditioning Activation of CD4 regimen, Tissue Mac

  23. Slide 23: Children with Steroid-Refractory Acute GVHD at High Risk of Treatment Failure and Death

    Children with Steroid-Refractory Acute GVHD at High Risk of Treatment Failure and Death For personal use only Extremely high unmet medical need  More than 2,000 allogeneic BMTs in children and adolescents in US annually1  Despite prophylaxis, ~50% will develop aGVHD2  First-line treatment is cort

  24. Slide 24: Remestemcel-L: Prior Clinical Data in Children with SR-aGVHD

    Remestemcel-L: Prior Clinical Data in Children with SR-aGVHD  Consistent efficacy and safety outcomes in a total of 309 children from three studies: For personal use only − Remestemcel-L was used as first-line therapy in a randomized controlled Phase 3 trial of 260 patients, with SR-aGVHD, includin

  25. Slide 25: Remestemcel-L Improved Dismal Survival in Children with SR-aGVHD

    Remestemcel-L Improved Dismal Survival in Children with SR-aGVHD For personal use only 2 Steroid Refractory – Remestemcel-L Steroid Refractory – Best Available Therapies 1. Adapted and redrawn from Figure 2 of MacMillan, M.L. et al. Pediatric acute GVHD: clinical phenotype and response to upfront st

  26. Slide 26: SR-aGVHD Regulatory & Commercial Update

    SR-aGVHD Regulatory & Commercial Update For personal use only  As part of the broad license and collaboration agreement with Novartis for remestemcel-L, Mesoblast will retain full rights and economics for GVHD  On August 13 2020, results from 309 children with SR-aGVHD treated with remestemcel-L w

  27. Slide 27: Update on Other Phase 3 Product Candidates - Heart Failure - Chronic Low Back Pain

    For personal use only Update on Other Phase 3 Product Candidates - Heart Failure - Chronic Low Back Pain

  28. Slide 28: Partnerships and License Agreements

    Partnerships and License Agreements Partnerships and License Agreements Phase 3 Product Candidates for Heart Failure and Chronic Low Back Pain Product candidates For personal use only MPC-06-ID CHRONIC LOW BACK PAIN - DEGENERATIVE DISC DISEASE  Strategic partnership to develop and commercialize MPC

  29. Slide 29: REVASCOR for Advanced and End-Stage Heart Failure

    REVASCOR® for Advanced and End-Stage Heart Failure For personal use only  In December 2019, the Phase 3 trial in advanced heart failure surpassed the number of primary endpoint events required for trial completion − Final study visits for all surviving patients have been completed − Ongoing quality

  30. Slide 30: MPC-06-ID for Chronic Low Back Pain

    MPC-06-ID for Chronic Low Back Pain For personal use only  Phase 3 trial of MPC-06-ID for chronic low back pain in 404 patients: − Final study visits for all patients have been completed − Ongoing quality review of all data is being completed at the study sites − Data readout expected during Q4 CY2

  31. Slide 31: For personal use only

    For personal use only

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