Perspective Therapeutics, Inc. · AMEX:CATX

Perspective Therapeutics — Investor Day (March 2024)

100 slides from Perspective Therapeutics's investor day presentation, Mar 19, 2024

  1. Slide 1: Analyst Day Presentation

    PERSPECTiVE THERAPEUTICS Analyst Day Presentation NYSE: CATX

  2. Slide 2: Legal Disclaimers

    Legal Disclaimers This presentation contains fonacockig statéments within the meaingof the Unites States Pate Secures tigation Reform Act of 1995, Sutemertsin this presentation thatare not Statements of istoncal fact are fornorong statements Wotds suchas "may." "wi." “shoud” expect “plan,” “artpate

  3. Slide 3: Analyst Day Agenda

    Analyst Day Agenda NYSE, 18 March 2024 Introductions ] Pipeline Update | Clinical Update KOL Discussion Corporate / Manufacturing Update | Questions,

  4. Slide 4: Management Team

    ManagementTeam Deep Experience in Radiopharmaceuticalsand Oncology Drug Development Thijs Spoor Chief Execute Officer 20+ years of expertise in biotechnology ‘companies: publicand private companies ‘oncology and nuclear pharmacy Jonathan Hunt Chie Financial Officer 20+ years of expertise in financia

  5. Slide 5: Investment Highlights

    Investment Highlights Platform radiopharmaceutical company targeting pan-cancer Proprietary chelator-based peptide targeting platform ‘opportunities utilizing 2% generation «-emitter provides engine for pipeline expansion mi nanufacturingand can leverag cy logistics for broad

  6. Slide 6: Perspective's Radiopharmaceutical Optimization Process

    Perspective’s Radiopharmaceutical Optimization Process Unique Mechanism of Action Offers Pan-Cancer Opportunities Isotope Pb for SPECT imaging Targeting Peptide Pb for alpha particle therapy Linker Chelator

  7. Slide 7: Pb-based Theranostics Enable Both Diagnosis and Targeted Treatment of Cancer

    Pb-based Theranostics Enable Both Diagnosis and Targeted Treatment of Cancer Identical Distribution of Pb and “Pb for Imaging and Treatment, Respectively Cancer Cell 4 Imaging =p Targeting igang) tinker Therapeutic Patient selection Dosimetry: T, , = 52h *pb can be used to establish Pb pharmacokinet

  8. Slide 8: Platform Expansion Engine

    Platform Expansion Engine Three Lead Programs in Clinicand Broad Proprietary Pipeline Neuroendocrine cancers C ] Safety Update YMraner — varo. Meanoma (MCR) t Z sofety Update vero re , NCR PSV250 (Novel peptice) Mutiple sold tumors (== Fist in Human tages of Cncal Candidate Psv40K facoyrc) Prostate

  9. Slide 9: Pipeline Update

    Pipeline Update Clinical and Preclinical Programs

  10. Slide 10: Pan Cancer Target: PSV359

    Pan Cancer Target: PSV359 Preclinical Efficacy and First in Human Images of Novel Peptide Targeting Fibroblast Activation Protein alpha (FAP-c)

  11. Slide 11: Fibroblast Activation Protein a is a Pan Cancer Target

    Fibroblast Activation Protein a is a Pan CancerTarget Tumorstromacelisdonot FAP is primarily expressed , ‘typically express cancer- ‘on tumorstroma cells, but 5% specificmarkerslikeSSTR2 also. on somecancer cells. ‘or MCAR 5 ‘The Journal of Nuclear Medicine ‘Small molecules in development are excell

  12. Slide 12: Fibroblast Activation Protein a is a Pan Cancer Target

    Fibroblast Activation Protein a is a Pan Cancer Target* Multiple imaging products in developmentsuch as Ga-FAPi, but significanttherapeutic opportunityremains not FAP. Expression of FAP-«.on: 22 SUVns OF G2 FAI PET/CT ‘on Tumor Tumor Stroma Cols ferent Cancer Types:

  13. Slide 13: Development of PSV359

    Development of PSV359 (Discovery Phase - Optimization Phase over 12 months) In-house peptide synthesis and in vivo capabilityallows rapid iterationand optimization of novel compounds Phagedisplayscreening finitatnits | Affinity maturation Chelator/linker optimization Fibs gan ean bapeeretrs (ops 13/

  14. Slide 14: Hit-to-lead Structure Changes that Led to Optimized Compound

    Hit-to-lead Structure Changes that Led to Optimized Compound In-house peptide synthesis and in vivo capabilityallows rapid iterationand optimization of novel compounds Compound 3-30 Compound 3-42 Compound 3-59 is i i AMELESE PERE EE PAALES as OY pessererve

  15. Slide 15: Initial Pb Candidate via Micro SPECT/CT Imaging

    Initial ?°SPb] Candidate via Micro SPECT/CT Imaging Kidneys Bladder hour 3 hours 2 hours In vivo! * Good tumor uptake but could be faster + Some liver uptake * Slight kidney retention * Decision made to optimize further CC) PERSPECTIVE OY) FREE

  16. Slide 16: Optimization: Second Pb Candidate via Micro SPECT/CT Imaging

    Optimization: Second [?%°Pb] Candidate via Micro SPECT/CT Imaging In vivo Evaluation * Better tumor uptake * Little liver retention * Better kidney clearance * Decision made to optimize further to decrease kidney uptake Kidneys Livek Spleen Kidneys | Muscle [Sa " CY pensrecrve

  17. Slide 17: Clinical Candidate Selection: PSV359 via Micro SPECT/CT Imaging

    Clinical Candidate Selection: [?7Pb]PSV359 via Micro SPECT/CT Imaging 2 hours in vivo Kidneys 24 hours in vivo 24 hours ex vivo. Tumor Bm ct Ready for Clinical + ~18 months developmenttime + Over 900 million amino acid sequences initially scanned + Identified ~400 sequences for secondary evaluation

  18. Slide 18: PSV359 via Micro SPECT/CT Imaging

    [22Pb]PSV359 via Micro SPECT/CT Imaging Confirms identical biodistribution ofimaging and therapeuticisotopes (2°2Pb]Pb-PSV-359 2h in vivo 24h in vivo ad Kidneys Pb]Pb-PSV-359 CC) PERSPECTIVE OY) FREE

  19. Slide 19: PSV359 Demonstrates Preclinical Efficacy in Human Fibrosarcoma Model

    [?Pb]PSV359 Demonstrates Preclinical Efficacy in Human Fibrosarcoma Model Compares favorably against other therapeutic productsin development? & Preclinical evaluation of FAP-2286 for fibroblast activation protein targeted radionuclide imaging and therapy 1k Zhr'9- Aeenoehe'-AneBedenbah Ane Schumann

  20. Slide 20: Fibroblast Activation Protein a is a Pan Cancer Target

    Fibroblast Activation Protein a is a Pan CancerTarget Tumorstromacelisdonot FAP is primarily expressed ‘typically express cancer- ‘on tumorstroma cells, but ‘specificmarkerslikeSSTR2 _alsoon some cancer cells. or MCaR.

  21. Slide 21: First in Human PSV359 SPECT Imaging - Chondroblastic Osteosarcoma

    Firstin Human [2°°Pb]PSV359 SPECT Imaging - Patient 1 Chondroblastic Osteosarcoma ‘ ¢. § oe) . = e ih PA Ansttute, Gurgaon, India Case3: 16 yrs/Male, Chondroblastic Osteosarcoma Injected Dose 7.2 mCi (266.4 MBq) thr Abr 4shr (anterior views) aia, OY pepsercrve

  22. Slide 22: First in Human PSV359 SPECT Imaging - Chondroblastic Osteosarcoma

    First in Human [?°°Pb]PSV359 SPECT Imaging - Patient 1 ChondroblasticOsteosarcoma Lesion in head of lefthumerus V359 SPECT/CT abr ashr CY pensrecrve

  23. Slide 23: First in Human PSV359 SPECT Imaging - Neuroendocrine Tumor

    Firstin Human [2°°Pb]PSV359 SPECT Imaging - Patient 2 Neuroendocrine Tumor a @ Case 2: 71yrs/Male, Metastatic GEP Neuroendocrine Tumor Injected Dose: 7.0 mCi (259 MBq) thr 4hr aghr (anterior views) Ate 2a [resonant pn te

  24. Slide 24: First in Human PSV359 SPECT Imaging - Neuroendocrine Tumor

    First in Human [?°°Pb]PSV359 SPECT Imaging - Patient 2 Neuroendocrine Tumor 4br 18hr A) perspecrve

  25. Slide 25: First in Human PSV359 SPECT Imaging - Lung Adenocarcinoma

    Firstin Human [2°°Pb]PSV359 SPECT Imaging - Patient 3 Lung Adenocarcinoma [2°SPb]PSV359 [®8Ga]FAPL2286 PET Case3: 51 yrs/Male, Metastatic adenocarcinoma lung Injected dose: 7.0 mCi (259 MBq) ahr 4hr 18hr (posterior views) aia ia Ate

  26. Slide 26: First in Human PSV359 SPECT Imaging - Lung Adenocarcinoma

    Firstin Human [2°°Pb]PSV359 SPECT Imaging - Patient 3 Lung Adenocarcinoma lytic lesioninsacrum PERSPECTIVE

  27. Slide 27: First in Human PSV359 SPECT Imaging - Lung Adenocarcinoma

    Firstin Human [2°°Pb]PSV359 SPECT Imaging - Patient 3 Lung Adenocarcinoma Lytic lesion in thoracic vertebra Ay ceesecrve

  28. Slide 28: Summary - PSV359 FAP-a Program

    Summary - PSV359 FAP-c: Program Potential tobe a best in-class pan-cancer targeted alpha particletherapeutic FAP-c. is a pan-cancer target that is highly expressed many cancers Perspective’s in-house discovery team has developed an optimized peptide with potential best-in-class characteristics as de

  29. Slide 29: Preclinical Programs: Prostate Cancer

    Preclinical Programs: Prostate Cancer A differentiated PSMA-targeted radiohybrid molecule for dual PET imaging and targeted alpha therapy A

  30. Slide 30: Prostate Cancer Program: PSV40X

    Prostate Cancer Program: PSV40X A differentiated PSMA-targeted radiohybrid molecule for dual PET imaging and targeted alpha therapy PSMA is a clinically and commercially validated target for radioligand therapy Diagnostic Linker Combines two chelator th single targeting ligand to provide identical d

  31. Slide 31: PSV40X: Improved Preclinical Metrics for a Superior Therapeutic Window

    PSV40xX: Improved Preclinical Metrics for a Superior Therapeutic Window in Prostate Cancer PSV404 (designated NSN24901 by Mayo Clinic) shows promise in preclinicalsetting Comparison of Uptake of [°°Ga]PSMA-11 and [*CulPSV404 ("NSN24901") in Tumor, Kidney and Salivary Gland of LNCaP Tumor Athymic Nud

  32. Slide 32: Preclinical Programs: Pre-targeting Platform

    Preclinical Programs: Pre-targeting Platform The Next Generation of Targeted Alpha Particle Radiopharmaceuticals

  33. Slide 33: Pre-targeting Rationale: Current Radiopharmaceutical State of the Art

    Pre-targeting Rationale: Current Radiopharmaceutical State of the Art Peptide-based radiopharmaceuticalsare the most successful commercial radioligand products + Peptide and peptide-tike small molecules + Rely on fast clearance from the body to reduce radiation dose to non-target tissues + Typically

  34. Slide 34: Pre-targeting Rationale: mAbs Have Significant Role in Cancer Therapy

    Pre-targeting Rationale: mAbs Have Significant Role in Cancer Therapy ‘Antibody Drug Conjugates (ADCs) are a successful high-growth product class but mAbs are not deal radiopharmaceuticals, + FDAhas approved over 100 mAbs: 9 of the top 20 therapeutic products worldwide with more than $75 billion in

  35. Slide 35: of mAbs, but re

    of mAbs, but re ) PERSPECTIVE

  36. Slide 36: Tumor Targeting Properties of mAbs are Ideal for Accumulation on Target

    Tumor Targeting Properties of mAbs are Ideal for Accumulation on Target (but slow) Representative imagingacross longer time frame demonstrates clearance and uptake kinetics Long circulation time with tittle tumor uptake for the first 24 8d High accumulation of mAb onto tumor with clearance from bloo

  37. Slide 37: Pre-targeting Platform: Combining the Best of mAbs and Small Molecules/Peptides

    Pre-targeting Platform: Combining the Best of mAbs and Small Molecules/Peptides Relieson the different kinetics of large proteins and small molecules or peptides and a multi-step process © raminister cota moaited monoctonat antibody or targeting protein © wer severat days, mab wit have accumulated o

  38. Slide 38: Promise of Pre-Targeted Approach - Clinical Data

    Promise of Pre-Targeted Approach - Clinical Data GaIMP288 - Images > 24 hours following Anti-CEA Bispecific mAb’ Immuno-PET/CT with anti-CEA BsmAb_ and °Ga-IMP288 peptide showing pathological lesions with heterogeneous SUVmnax FANging from 3.0 to 20.1 Maximum-intensity-projection (MIP) image (A) sho

  39. Slide 39: State of the Art in Pre-Targeting for Radiopharmaceuticals

    State of the Artin Pre-Targeting for Radiopharmaceuticals Reviewof currentstate of the art technology platforms Clinically Evaluated (Phase | / Il) A Bispecific Antibody — Hapten (eg SADA) Not Mostar ge 7 8 Streptavdin-Biotn Immunogen ena Preciinically Evaluated only Current state of the art Oligonu

  40. Slide 40: Perspective Pre-Targeting Platform: Host-Guest Chemistry

    Perspective Pre-Targeting Platform: Host- Guest Chemistry After exhaustivereview of State of the Art, Perspective chose CB7 (Host) - Adamantane (Guest) System GUEST | Anideal pretargetingagent High in vivo stability R +O Modular Non-toxic Cucurbit{7Junl (C87) modified _-—-Adamantane antibody (mAb) R

  41. Slide 41: Pre-Targeting Platform: Host-Guest Chemistry and in vivo Experiment

    Perspective Pre-Targeting Platform: Host- Guest Chemistry and in vivo Experiment ‘Synthesized the Guest as an adamantane-PEG3-PSC (Perspective's proprietary chelator) ae SF macs | 9 em ae ty Sper fe en yA mie PA meas MRI O) zpsenes ese (enmeneeracen'| Firstin vivo Experiment: Observations + 6-day la

  42. Slide 42: Pre-Targeting Platform: Host-Guest in vivo Imaging Experiment

    Perspective Pre-Targeting Platform: Host- Guest Chemistry in vivo Imaging Experiment Representative maximum intensity projection images of ligand during optimization process 4 hours post guest 8 hours post guest 24 hours post guest 2 22 34 0 0 PERSPECTIVE

  43. Slide 43: Pre-Targeting Platform: Significant Opportunity to Expand into ADC space

    Perspective Pre-Targeting Platform: Significant Opportunity to Expand into “ADC” space ‘Vast number of mAb targets and ligands available to exploit Expansive Range of Targets Available Many mAbs with Clinical Data + Bosietal.,£J Cancer2023 + Vast number of mAbs that are humanized and have been in hu

  44. Slide 44: Clinical Programs: VMT-a-NET and VMT01

    Clinical Programs: VMT-a-NET and VMT01 Safety Update from Dose Escalation Studies

  45. Slide 45: Neuroendocrine and SSTR2+ Tumors: VMT-a-NET

    Neuroendocrine and SSTR2+ Tumors: VMT-a-NET Phase | Dose Escalation Recruitment and Safety Update

  46. Slide 46: VMT-a-NET Development Status

    VMT-c-NET Development Status Targeting somatostatin receptor type 2 (SSTR2) for the imagingand treatment of neuroendocrine tumors with possible expansion into other SSTR2+ tumor types Initiated therapy (2022) under compassionate use in India - complete data of 12 patients to be presented at SNMMI in

  47. Slide 47: Clinical Investigation of VMT-a-NET in Metastatic SSTR2 Positive Patients

    Clinical Investigation of [72Pb]VMT-c-NET in Metastatic SSTR2 Positive Patients Interim Results in 10 of 12 patients as of September 28. 2023. for Ongoing Investigationin India Current Status + Patients with prior lines of therapy. late-stage, anatomically S™"@Y Treating Physician: different NETS (m

  48. Slide 48: High Partial Response Rate at Starting Dose in Late-Stage NETs

    High Partial Response Rate at Starting Dose in Patients with SSTR+, Late-Stage NETs Interim Results as of September 28, 2023, for Ongoing Clinical Investigation Program in India = Ox Patents A * @ —exreeesy Po ak Pens ox exp mincasn ok nner ex Patent 4 Ox > PR (RECISH) vere peer Ox Patient 7 ak? PR

  49. Slide 49: Trial Design: VMT-a-NET Phase 1/2a For Neuroendocrine Tumors

    Trial Design: [2!2Pb]VMT-o-NET mTPI-2! Phase 1/2a For Neuroendocrine Tumors ‘SGLC} also possible PrimaryObpatne: To determine the MTO/MFO of PSPONMFGNET(RP2D)| Imei FDA proved SSTR2 PET/CT ion rn 25-10 mi dose escalation wih fed dosngevey peat Unresecabe or metastatic SSTR2 postive NETS Estinted Ten

  50. Slide 50: VMT-a-NET Treatment Emergent Adverse Events by CTCAE Grade

    VMT-o-NET Treatment Emergent Adverse Events by CTCAE! Grade as of March 7, 2024 Grades | Grade2_| Grade Total numbor ofTEAES 24 3 1 3 Alopecia Diarhes Fatigue Lethaney ‘Abdominal pain Dry mouth _ Dyspepsia Eger iby pedal edema onthe left foot Elevated amylase Elevated AST Eloyted bilirubin Gost Head

  51. Slide 51: Summary VMT-a-NET Trial Status and Safety Update

    Summary VMT-c-NET Trial Status and Safety Update as of March 7, 2024 StudyStatus SafetyUpdate * T sites active, additional sites in feasibility + Safety Review Committee after Cohort 1 assessment unanimous agreement to escalate dose + High level of interest by clinicians and patients Total Treatment

  52. Slide 52: Metastatic Melanoma: VMT01

    Metastatic Melanoma: VMT01 Phase | Dose Escalation Recruitment and Safety Update

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  54. Slide 54: Trial Design: VMT01 Phase 1/2a For Metastatic Melanoma

    Trial Design: [2“2Pb]VMT01-T104 mTPI4 Phase 1/2a For Metastatic Melanoma PrimaryObjpctive: To determine the MTO/MFD of PUNATOL (RPZO) | Imaging (PPUIVNTOR SPECT/CT or (oayvntToe PET/CT 8 15.mC\ dose escalation of f2PHVMTOL wih Enoll-52 subjects ‘Whersoniienoon ied dosing every 8 weeks for upto 3 ees

  55. Slide 55: VMT01 Treatment Emergent Adverse Events by CTCAE Grade

    VMTO1 Treatment Emergent Adverse Events by CTCAE Grade as of March 7, 2024 Total nuber of TEAES Nausea Iymphosje court deceased Hyponataeri ‘aSTcre3se3 Contusion| ‘omo-s6 Denness. Hypoaibumnaamia Hyporoiaema Infusion te eravasabon terraioal noomal26 ai] Wee Muste spasms Pann every Patel count crease

  56. Slide 56: Summary VMT01 Trial Status and Safety Update

    Summary VMTO1 Trial Status and Safety Update as of March 7, 2024 Study Status Safety Update * S sites active, additional sites in feasibility + Safety Review Committee after Cohort 1 assessment unanimous agreementto escalate dose + High level of interest by clinicians and patients + Total Treatment

  57. Slide 57: Summary of Current Safety Evaluation of VMT-a-NET and VMT01

    Summary of Current Safety Evaluation of VMT-o-NET and VMTOL + Both programs have completed Cohort 1 and continue to enroll in their respective Cohort 2 + No DLTs were observedacross either program + Except for G3 diarrhea. only G4 and G2 AES have occurred + Dose escalation is ongoing * Preliminary s

  58. Slide 58: Combination Targeted Alpha Particle Therapy & Immunotherapy

    Combination Targeted Alpha Particle Therapy & Immunotherapy Clinical Collaboration Agreement with Bristol Myers Squibb signed for OPDIVO® (nivolumab) supply March 2024 Combination with Standard of Care Immunotherapy ICl-resistant B16 F.10 Murine Melanoma Model* 100: + In melanoma, immune checkpoint

  59. Slide 59: Phase 1 Amendment: VMT01 in Combination with Nivolumab

    Phase | Amendment: [?*7Pb]VMTO1 in Combination with Nivolumab - Sequential Design ‘To determine the MTO/MED of !°Pb]VMTOL (R20) in Primary Object: combination with PO inhibitor (nvotumab) ba iPaymrcasregar 3 15 mGidose esaatin of =PHVMTOL wth Enroll -82 subjects “ThorapoutieDose {ued dosing every 8

  60. Slide 60: KOL Discussion

    KOL Discussion Richard L. Wahl, MD Professor of Radiology and Radiation Oncolog Washington University School of Medicine

  61. Slide 61: Trends in Radiopharmaceutical Therapy (RPT)

    Trends in Radiopharmaceutical Therapy (RPT) What is most exciting to you?

  62. Slide 62: Growth in Radiopharmaceutical Therapy Published Research

    Growth in Radiopharmaceutical Therapy Published Research Publications peryear related to RPT by cancer type Publications peryear by isotope emission profile = = ‘Number of publications Ama

  63. Slide 63: Alpha and Beta RPT

    Alpha and Beta RPT The differences, opportunities and challenges

  64. Slide 64: VMT-a-NET Shows Significant Improvement vs Standard of Care in Preclinical Models

    VMT-o-NET Shows Significant Improvement vs Standard of Care in Preclinical Models ‘Superior Efficacy with Single Dose or Multiple Administrationsin AR42J SSTR2-Expressing Tumor ‘Standard of Care| (PD VMT-aNET (4x30pC)

  65. Slide 65: Mythbusting: Daughters from Ac-225 don't redistribute

    Mythbusting: “Daughters from 22°Ac-225 don't redistribute” 2540 daughter redistribution - ACTION-1 trial measurement of early and late gamma emissions from healthy tissue Early (241) and Late 228) Normal organs 2'Fr | Normal organs 2B) | | ean Pe peas ; iS o ale | = 4 o Sas + Extrapolations for radi

  66. Slide 66: Mythbusting: Pb-212 Doesn't Get Enough Energy Into the Tumors

    Mythbusting: ““2Pb Doesn't Get Enough Energy Into the Tumors” 212Pp isa “high dose rate” alpha emitter witha short half life - energy is deposited rapidly to tumor and then gone Delivering alphas faster whilst drug and isotope ‘tumor retention is high enables a better therapeuticindex: greater effic

  67. Slide 67: Why are NETs and prostate cancer the big winners in targeted RPT?

    Why are NETs and prostate cancer the big winners in targeted RPT? Can we improve on currently approved products?

  68. Slide 68: A few molecular targets have dominated radiopharmaceutical therapy

    A few molecular targets have dominated radiopharmaceutical therapy aan on Ae

  69. Slide 69: PSMA-directed RPT today binds to lacrimal and salivary gland tissue

    PSMA-directed RPT today binds to lacrimal and salivary gland tissue 68Ga-PSMA-14-PET2 Adverse side effects of salivary and lacrimal gland uptake of PSMA-RPT compounds + Xerostomia (dry mouth) * Difficulty swallowing + Loss of taste * Dental decay + Keratoconjunctivitis sicca (dry eyes)

  70. Slide 70: What can be learned from compassionate use studies?

    Whatcan be learned from compassionate use studies? How do the results impact how patients and doctors view the field?

  71. Slide 71: High Partial Response Rate at Starting Dose in Late-Stage NETs

    High Partial Response Rate at Starting Dose in Patients with SSTR+, Late-Stage NETs Interim Results. as of September 28, 2023, for OngoingClinical Investigation Program in India * er Pasa ox “ESS kent ak Patents ox raincash Kner Oxi Panes ox raises ve keener Ox Pont a *> paipien ° 4 8 2 16 20 2 28 2

  72. Slide 72: Do you see a future for RPT in combination with other oncology drugs?

    Do you see a future for RPT in combination with other oncology drugs? Melanoma and beyond

  73. Slide 73: Ga-68 VMT02 PET Imaging in Patient with MC1R Positive Metastatic Melanoma

    [®Ga]VMT02 PET Imaging in Patient with MC1R Positive Metastatic Melanoma Diagnostic Peptide Demonstrates Similar Uptake to FDG in Tumors 35F-FDG (Standard of Care) {®Ga]vmro2 Patient information: + Male, Asian, 33 years old + [68Ga]VMTO2: 7 mci injection. 45 min post- injection imaging Clinical Coll

  74. Slide 74: Combination Targeted Alpha Particle Therapy & Immunotherapy

    Combination Targeted Alpha Particle Therapy & Immunotherapy Clinical Collaboration Agreement with Bristol Myers Squibb signed for OPDIVO® (nivolumab) supply March 2024 Combination with Standard of Care Immunotherapy ICl-resistant B16 F.10 Murine Melanoma Model* 100: + In melanoma, immune checkpoint

  75. Slide 75: Mythbusting

    Mythbusting 212Pb and Other Alphas

  76. Slide 76: Mythbusting: Pb-212 Doesn't Get Enough Energy Into the Tumors

    Mythbusting: ““2Pb Doesn't Get Enough Energy Into the Tumors” 212Pp isa “high dose rate” alpha emitter witha short half life - energy is deposited rapidly to tumor and then gone Delivering alphas faster whilst drug and isotope ‘tumor retention is high enables a better -eomoriaaisepyyaay erie cote ef

  77. Slide 77: Manufacturing Update

    Manufacturing Update Scaling Finished Radiopharmaceutical Production

  78. Slide 78: Mythbusting: Regulatory environment doesn't suit Pb-212

    Mythbusting: “Regulatory environment doesn’t suit 22Pb” Manufacturingregulations are clearand practical for production of Pb radiopharmaceuticals PET Manufacturing Radiotherapeutic Manufac * Licensed at the state level under the» Licensed at the Federal level under 21 J+ Licensed cGMP under 21. CFR

  79. Slide 79: Accelerated Expansion of Manufacturing Capabilities: Build and Partner

    Accelerated Expansion of Manufacturing Capabilities: Build and Partner + Purpose-built factory equipped to process high energy, high activity production + Leverage an extensive portfolio against large scale production within a single facility Vertical + Uulze internal expertise for Pb to design batc

  80. Slide 80: Acquisition of GMP Facility in Somerset, NJ

    Expansion of Manufacturing Capabilities: Acquisition of GMP Facility in Somerset, NJ Former AZEDRA® facilityacquired from Lantheus March 2024 st production for clini and early comme le up + Acquisition of 3 Part 211 compliant manufacturing suites with additional clinical suite + On-boarding of 24 ta

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Perspective Therapeutics — Investor Day (March 2024) on 6ix