Clarity Pharmaceuticals Ltd. · ASX:CU6
Clarity Pharmaceuticals — Drug & Device Conference (October 2026)
26 slides from Clarity Pharmaceuticals's conference presentation, Oct 13, 2026
Slide 1: SAR-bisPSMA: A sensitive story
rsonal use only SAR-bisPSMA: A sensitive story Drug & Device Conference Dr Alan Taylor Executive Chairperson 12 October 2026 For investor purposes only All Clarity products mentioned in this presentation are investigational products and not approved by the US Food and Drug Administration (FDA).
Slide 2: Disclaimer
Disclaimer Introduction This presentation has been prepared by Clarity Pharmaceuticals Ltd (ACN 143 005 341) (Clarity or the Company) No representation, warranty or assurance (express or implied) is given or made in relation to any forward-looking and contains summary information about Clarity and t
Slide 3: Beyond positivity: measuring scan and product performance
Beyond positivity: measuring scan and product performance Sensitivity, specificity and correct detection rate require a reference standard, detection rate does not REFERENCE STANDARD rsonal use only Sensitivity TP / (TP + FN) Disease Present Disease Absent If disease is present, is the scan positive
Slide 4: Approved PSMA PET agents did not detect pelvic nodal disease in most patients
Approved PSMA PET agents did not detect pelvic nodal disease in most patients with nodal metastases, based on FDA labels/pivotal studies No pivotal study of currently FDA-approved PSMA PET agents met their predefined sensitivity primary endpoint* rsonal use only Sensitivity is determined by histopat
Slide 5: The sensitive topic of sensitivity
The sensitive topic of sensitivity Detection rate and positivity rate are not the same as sensitivity CLAIMED CONFIRMED BY HISTOPATHOLOGY FDA PRESCRIBING INFORMATION rsonal use only Histopathology Positive Negative PET Positive 14 9 scan Negative 16 84 Total 30 93 Diagnostic Sensitivity Specificity
Slide 6: Australian innovation challenging the PSMA PET standard
Australian innovation challenging the PSMA PET standard 64Cu-SAR-bisPSMA 68Ga-PSMA-111-3* 18F-DCFPyL4-6* 18F-rhPSMA-7.37-9* Country of origin of the Australia Germany US Germany innovation rsonal use only University of Melbourne / German Cancer Research Technical University of Innovator Johns Hopkin
Slide 7: SAR-bisPSMA Two Proprietary Positions
SAR-bisPSMA Two Proprietary Positions 1. Composition of matter on chelator that securely holds copper • Proprietary SAR Technology 2. Composition of matter on • Optimised targeting SAR-bisPSMA dual targeting agent • Same product for imaging & rsonal use only therapy • Improved patient management • F
Slide 8: Monovalent SAR-PSMA vs. SAR-bisPSMA Bivalent
Monovalent SAR-PSMA vs. SAR-bisPSMA Bivalent Monovalent Bivalent 64/67Cu-SAR-bisPSMA 177Lu-PSMA-617* 18F-DCFPyL* Higher uptake and prolonged retention 18F- rhPSMA-7.3* rsonal use only 68Ga-PSMA-11* 64Cu-PSMA-I&T 18F-PSMA1007 Considerably improved binding and internalisation 8 * FDA-approved products
Slide 9: SAR-bisPSMA: a body of evidence built for success
SAR-bisPSMA: a body of evidence built for success rsonal use only Patients Scans performed Trials Countries 750+ 1,500+ 6 2 across trials and 64Cu-SAR-bisPSMA same- Phase I to Australia and USA compassionate use day and/or next-day registrational Phase III access imaging and investigator- initiated
Slide 10: SAR-bisPSMA clinical development program
SAR-bisPSMA clinical development program Ongoing trials Completed trials Completed trials rsonal use only CLARIFY - Phase III in pre-prostatectomy PROPELLER – Phase I in pre-prostatectomy • Registrational Phase III imaging • First-in-human PET imaging trial trial of participants with high-risk prost
Slide 11: 64Cu-SAR-bisPSMA PET vs. SOC PSMA PET
64Cu-SAR-bisPSMA PET vs. SOC* PSMA PET Performance of 64Cu-SAR-bisPSMA PET vs. SOC PSMA PET assessed in all trials Co-PSMA2 1 1 1 1 rsonal use only SOC PSMA PET SOC PSMA PET SOC PSMA PET SOC PSMA PET SOC PSMA PET Median 20.5 days (2-50) Within 60 days of Day 0, Median 2 days (IQR 1-8) Within 60 days
Slide 12: PROPELLER Phase I trial: completed
PROPELLER Phase I trial: completed First-in-human, dose-ranging study evaluating safety and preliminary efficacy of 64Cu-SAR-bisPSMA in participants with untreated, histopathology-confirmed prostate cancer rsonal use only Key eligibility criteria (n=30) Screening Period 64Cu-SAR-bisPSMA 68Ga-PSMA-11
Slide 13: 64Cu-SAR-bisPSMA yielded higher tumour uptake and detected more lesions
64Cu-SAR-bisPSMA yielded higher tumour uptake and detected more lesions than 68Ga-PSMA-11 on same-day imaging in first head-to-head trial rsonal use only Improved diagnostic performance of 64Cu-SAR-bisPSMA Higher number of 2-3 times higher uptake and compared to 68Ga-PSMA-11 on same-day imaging lesi
Slide 14: 64Cu-SAR-bisPSMA identifies more lesions on same-day imaging
64Cu-SAR-bisPSMA identifies more lesions on same-day imaging vs. 68Ga-PSMA-11 Prospective intra-patient comparison demonstrates that 64Cu-SAR-bisPSMA same-day imaging detects more lesions than 68Ga-PSMA-11 and outperforms it in most participants rsonal use only 64Cu-SAR-bisPSMA identified more total
Slide 15: PROPELLER: First-in-human study
PROPELLER: First-in-human study First study to demonstrate improved diagnostic performance of 64Cu-SAR-bisPSMA PET over SOC PSMA PET in detecting primary prostate cancer prior to prostatectomy rsonal use only 64Cu-SAR-bisPSMA PET outperformed 68Ga-PSMA-11 PET in this head-to-head comparison in pre-p
Slide 16: COBRA Phase I/II trial: completed
COBRA Phase I/II trial: completed Phase I/II trial assessing the safety and efficacy of 64Cu-SAR-bisPSMA in patients with BCR of prostate cancer and negative or equivocal SOC imaging rsonal use only Key eligibility criteria Screening 64Cu-SAR-bisPSMA Safety Follow-Up Period Period (200 MBq; 5.4 mCi)
Slide 17: More lesions and patients with a positive scan on next-day imaging
More lesions and patients with a positive scan identified by 64Cu-SAR-bisPSMA on next-day imaging 64Cu-SAR-bisPSMA Next-day imaging identified additional lesions compared to same-day imaging rsonal use only Same-day imaging Nex-day imaging The number of lesions identified by % of 64Cu-SAR-bisPSMA PE
Slide 18: 64Cu-SAR-bisPSMA identifies lesions months before approved PSMA PET agents
64Cu-SAR-bisPSMA identifies lesions months before currently approved PSMA PET agents Number of lesions identified by 64Cu-SAR-bisPSMA detects lymph node missed by rsonal use only 64Cu-SAR-bisPSMA and SOC PSMA agents 68Ga-PSMA-11 (SOC PET performed ~6 months later) 60 53 64Cu-SAR-bisPSMA Next-day ima
Slide 19: 64Cu-SAR-bisPSMA: closing the diagnostic gap in prostate cancer recurrence
64Cu-SAR-bisPSMA: closing the diagnostic gap in prostate cancer recurrence BCR patients with a negative/equivocal SOC scan at study entry rsonal use only Next-day imaging increased lesion detection by 82%, with the total number of identified lesions increasing from 70 to 129 (average across readers)
Slide 20: Co-PSMA Phase II investigator-initiated trial: completed
Co-PSMA Phase II investigator-initiated trial: completed This prospective single-arm imaging trial enrolled 50 participants and evaluated the comparative performance of 64Cu-SAR-bisPSMA vs. 68Ga-PSMA-11 rsonal use only Management Impact Management Impact Key Eligibility Questionnaire Questionnaire (
Slide 21: Co-PSMA: Improved diagnostic performance with next-day 64Cu-SAR-bisPSMA PET
Co-PSMA: Improved diagnostic performance with next-day 64Cu-SAR-bisPSMA PET vs. 68Ga-PSMA-11 in early BCR* Primary endpoint met: next-day 64Cu-SAR-bisPSMA PET detected 2.6x more lesions per participant than 68Ga-PSMA-11 (p < 0.0001) rsonal use only Number of lesions per participant Total number of l
Slide 22: Co-PSMA: more lesions per patient and higher true positive rate
Co-PSMA: 64Cu-SAR-bisPSMA detected more lesions per patient and a higher true positive rate than 68Ga-PSMA-11 Near-perfect inter-reader agreement: very high level of reliability in scan interpretation between different nuclear medicine specialists Kappa score of 0.94 (95% CI: 0.83-1.00) for 64Cu-SAR
Slide 23: Co-PSMA: Next-day PET drove treatment change
Co-PSMA: Next-day 64Cu-SAR-bisPSMA PET drove treatment change in more participants with early BCR* in comparison to 68Ga-PSMA-11 68Ga-PSMA-11 64Cu-SAR-bisPSMA rsonal use only 66% 90% of participants with planned active of participants with planned active management management 17/50 (34%) Observation
Slide 24: Co-PSMA builds on head-to-head evidence, helping bridge the diagnostic gap
Co-PSMA builds on head-to-head Participant-level detection of prostate cancer by tracer evidence, helping bridge the diagnostic gap 64Cu-SAR-bisPSMA rsonal use only Next-day 64Cu-SAR-bisPSMA PET outperforms 68Ga-PSMA-11 • Higher number of patients with a positive scan (78% vs. 36%) • Higher true pos
Slide 25: CLARIFY and AMPLIFY: registrational Phase III trials
CLARIFY and AMPLIFY: registrational Phase III trials designed to measure diagnostic performance against defined reference standards rsonal use only Topline data 1HCY2027 Topline data 1HCY2027 Pre-prostatectomy, high-risk prostate cancer (n=383) Biochemical recurrence (n=232) REFERENCE STANDARD REFER
Slide 26: Thank you
Thank you A\uo asn yeuosie
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