Lisata Therapeutics, Inc. · NASDAQ:LSTA
Lisata Therapeutics — Caladrius Biosciences — Investor Presentation (November 2021)
34 slides from Lisata Therapeutics's investor presentation, Nov 4, 2021
Slide 1: Developing Innovative Therapies that Treat or Reverse Disease
David J. Mazzo, PhD President & Chief Executive Of ficer N ove m b er 4 , 2 0 21| N a s d a q : C L B S Developing Innovative Therapies that Treat or Reverse Disease Exhibit 99.2
Slide 2: Forward-looking statement
This Investor Presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements reflect management’s current expectations, as of the date of this presentation, and involve certain risks and uncertainties. All state
Slide 3: Caladrius investment highlights
CD34+ cell therapy platform yielding a multi-product development pipeline with 2 clinical programs having regenerative medicine “breakthrough” designation Proprietary field-leading technology in lucrative global indications backed by a strong IP portfolio Potential value creating events in the next
Slide 4: CD34+ Cell Therapy Technology Overview
CD34+ Cell Therapy Technology Overview
Slide 5: CD34+ cells have a well characterized mechanism of action
Naturally occurring endothelial progenitor cells that re-establish blood flow to under-perfused tissues1,2 Possess pre-programmed pro-angiogenic and anti-inflammatory tissue repair properties3,4 1Mackie, A.R. et al., Tex Heart Inst J 2011, 38(5), 474-485 2Kocher, A.A. et al., Nat Med 2001, 440-4
Slide 6: CD34+ cell therapy is extensively studied/clinically validated
CD34+ cells have been studied clinically in a variety of ischemic disease indications by numerous investigators across many sites and countries CD34+ cells repeatedly demonstrated vascular repair in multiple organs Consistent and compelling results of rigorous clinical studies comprising >1,00
Slide 7: Caladrius' CD34+ cell process is rapid/economical/scaled
Drug induced mobilization eliminates need for surgical bone marrow aspiration No genetic manipulation or ex vivo expansion of cells Four days or less from donation to treatment Caladrius’ CD34+ cell process is rapid/economical/scaled 7
Slide 8: Caladrius' CD34 technology has robust intellectual property
U.S. patents granted 9 28 Foreign patents granted Patent protection to 2031+ Key Claims Pharmaceutical composition of non-expanded CD34+/CXCR4+ cells Therapeutic concentration range Stabilizing serum Repair of injury caused by vascular insufficiency Caladrius’ CD34 technology has robust inte
Slide 9: Caladrius' innovative CD34+ cell therapy pipeline
PRODUCT/INDICATION DEVELOPMENT STAGE KEY MILESTONE TARGETS XOWNA® (CLBS16) CORONARY MICROVASCULAR DYSFUNCTION FREEDOM PHASE 2B TRIAL (USA; ONGOING) - Complete enrollment: TBD - Top-line data: Last patient last visit (LPLV) + ~6 months Caladrius’ innovative CD34+ cell therapy pipeline1,2 1 Products a
Slide 10: XOWNA (CLBS16) Coronary Microvascular Dysfunction (USA)
XOWNA® (CLBS16) Coronary Microvascular Dysfunction (USA)
Slide 11: CD34+ cell therapy targets unmet needs in cardiovascular diseases
CD34+ cell therapy targets unmet needs in cardiovascular diseases 1 Centers for Disease Control and Prevention as cited in McKay, Betsy. "Heart-Failure Deaths Rise, Contributing to Worsening Life Expectancy." The Wall Street Journal, 30 Oct. 2019, Link to article. 2 Kochanek, KD., et al. (2016). Dea
Slide 12: Coronary microvascular dysfunction overview
Deficient heart microvasculature without large vessel obstructive disease Causes frequent, debilitating chest pain; not treatable by stents or bypass; responds poorly or not at all to available pharmacotherapies Afflicts women more frequently (2:1 to 3:1), especially younger women1,2 Results
Slide 13: CMD represents a large unmet medical need
~112 million people globally are affected by angina1 ~8.3 million people in the U.S. suffering from coronary artery disease (CAD)2 10% - 30% of angina patients have no significant CAD on invasive coronary angiography3,4 50% - 65% of patients with angina without obstructive CAD are believed t
Slide 14: ESCaPE-CMD: Phase 2a interventional, proof-of-concept trial
Endpoints Therapeutic effect and the evaluation of adverse events; including changes from baseline to 6 months for coronary flow reserve, angina frequency, CCS angina class, quality of life Study Size 20 subjects (U.S. centers - Cedars Sinai, Los Angeles & Mayo Clinic, Rochester) Dose Up to 30
Slide 15: ESCaPE-CMD: Durable, physiologic coronary vasculature improvement
ESCaPE-CMD: Durable, physiologic coronary vasculature improvement 151 Murthy et al, Circulation, 2014 Coronary Flow Reserve 1 2.08 2.68 p = 0.0045 N=20 Pre-Treatment After 6 months N=19 Key Takeaways: Evaluated subjects with CFR ≤2.5 (diagnosed as CMD) CFR = 2 correlates with a 3-4x increase in
Slide 16: ESCaPE-CMD: Durable, symptomatic anginal relief
161 Henry, D. T., SCAI 2020 Scientific Sessions 2 Spertus, J.A. et al, JACC Vol. 25, No. 2 February 1995: 333-341 0 20 40 60 80 100 Treatment Satisfaction Disease Perception Physical Limitation Angina Stability Angina Frequency Seattle Angina Questionnaire Score1 Baseline 6 months p = 0.0117 Higher
Slide 17: FREEDOM trial: Phase 2b double-blind, placebo-controlled
Endpoints Change from baseline in angina frequency [Baseline to 3 and 6 months] Change from baseline in total exercise time [Baseline to 6 months] Change from baseline in health-related quality of life [Baseline to 3 and 6 months] Change from baseline in peak coronary flow reserve [Baseline
Slide 18: HONEDRA Critical Limb Ischemia (Japan) (CLBS12)
SAKIGAKE designated – Japan Orphan Drug designated (Buerger’s disease) - USA Advanced Therapeutic Medicinal Product (ATMP) designated – EU HONEDRA® Critical Limb Ischemia (Japan) (CLBS12)
Slide 19: Indication: Critical limb ischemia (CLI)
Severe arterial obstruction impeding blood flow in the lower extremities Often found as a co-morbidity in diabetes patients Includes severe rest pain and non-healing ulcers Buerger’s disease (BD = inflammation in small and medium arteries) a form of CLI associated with a history of heavy smo
Slide 20: CLI: Higher mortality rate and incidence than most cancers
CLI: Higher mortality rate and incidence than most cancers Mustapha, J. A., Katzen, B. T., et al. (2019, May). Endovascular Today, 18(5), 80-82 20 0 100000 200000 300000 0 10 20 30 40 50 60 70 80 90 No. Incident Cases in U.S. Death within 5 years (%) CLI
Slide 21: HONEDRA targets patients based on the Rutherford Scale
HONEDRA® targets patients with R4 or R5 disease 1 Reinecke H., European Heart Journal, 2015 Apr 14;36(15):932-8 HONEDRA® targets patients based on the Rutherford Scale 21 CLI amputation rates increase with increasing Rutherford score (disease severity)1 Rutherford (“R”) scale R 6: Functional foot no
Slide 22: Single treatment of CD34+ cells reversed CLI
Single treatment of CD34+ cells reversed CLI (Phase 2 data) 22 Post-treatment (week 12) Pre-treatment Actual CLI Patient Laser Doppler Image 0 14 28 42 57 71 Time (weeks) CLBS12 Placebo 75% 22% p = 0.014 106 cells/kg Probability of Amputation-Free Survival (USA; n=28)2 ~80% of patients achieved sust
Slide 23: HONEDRA registration-eligible study (Japan)
Primary Endpoint Time to continuous CLI-free (2 consecutive monthly visits, adjudicated independently) Target Study Size 35 (30 subjects with no-option CLI + 5 Buerger’s disease pts.); all Rutherford category 4 or 5; recruited across 12 centers in Japan Dose Up to 106 cells/kg of HONEDRA® (CLB
Slide 24: Compelling HONEDRA results in Buerger's disease (JPN)
Surgery not viable; existing pharmacotherapies do not prevent amputation1 Cohort enrollment complete Results will contribute to the efficacy evaluation of the full study population Compelling HONEDRA® results in Buerger’s disease (JPN) 24 Approximately 60% of patients achieved CLI-free status
Slide 25: HONEDRA development next steps
HONEDRA® study enrollment has been significantly curtailed by the impact of COVID-19 (States of Emergency in Japan between ~ February 2020 and October 2021) Total enrolled to date: 33 (26 no-option CLI pts. + 7 Buerger’s disease pts.) Interim data suggest trend toward efficacy and acceptable s
Slide 26: CLBS201 Diabetic Kidney Disease (USA)
CLBS201 Diabetic Kidney Disease (USA)
Slide 27: Chronic kidney disease: Risk factors and comorbidities
An aging population is at greatest risk of chronic kidney disease (CKD) with diabetes and hypertension being typical comorbidities 1 in 3 adults are diabetic and 1 in 5 adults are hypertensive1 Chronic kidney disease: Risk factors and comorbidities 1 Centers for Disease Control and Prevention. C
Slide 28: CKD: Multiple stages progressing toward kidney failure
CKD: Multiple stages progressing toward kidney failure 1 2020 Dallas Nephrology Associates 2 Centers for Disease Control and Prevention. Chronic Kidney Disease Surveillance System—United States. The stages of CKD are determined by glomerular filtration rate (GFR)1 GFR is measured to determine th
Slide 29: CKD and microvasculature damage rationale for CD34+ cells
CKD is often associated with progressive microvasculature damage and loss, resulting from its common comorbidities of hypertension and diabetes1 The pathophysiology of CKD denotes compromised renal microvasculature2 Preclinical studies show that microcirculation replenishment improves kidney f
Slide 30: Development rationale for CLBS201
Development rationale for CLBS201 To demonstrate that CD34+ cell therapy (mobilization, donation and administration) can be tolerated by patients with CKD with Type 2 Diabetes To demonstrate that regeneration of the kidney microcirculation using CD34+ cell therapy improves kidney function
Slide 31: CLBS201: Planned Phase 1 proof-of-concept study
CLBS201: Planned Phase 1 proof-of-concept study 31 Endpoints Change in eGFR compared to baseline, assessed at 6 months Change in Urine albumin-to-creatinine ratio (UACR) and urine protein-to-creatinine ratio (UPCR) from baseline to 3 and 6 months Study Size 6 patients (1 sentinel - unilateral
Slide 32: Caladrius key financial information
Caladrius key financial information 32 Cash & Investments: As of September 30, 2021 $100.1 million Nine months ended September 30, 2021 Operating Cash Burn1: $19.1 million Cash Runway Based on Current Plan: Sufficient capital to fund operations beyond multiple key data readouts (>2024) Debt as of Se
Slide 33: Caladrius investment highlights
CD34+ cell therapy platform yielding a multi-product development pipeline with 2 clinical programs having regenerative medicine “breakthrough” designation Proprietary field-leading technology in lucrative global indications backed by a strong IP portfolio Potential value creating events in the next
Slide 34: Investor Relations Contact
Developing Innovative Therapies that Treat or Reverse Disease N ove m b er 4 , 2 0 21| N a s d a q : C L B S Investor Relations Contact: John D. Menditto Tel: (908) 842-0084 jmenditto@caladrius.com
Caladrius Biosciences — Investor Presentation (November 2021) on 6ix