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CORPORATE PRESENTATION
October 2020
This presentation contains forward-looking statements that include information about possible or assumed future results of the business, financial condition, liquidity, results of operation, clinical program, plans and objectives of Pharma Mar, S.A. ("PharmaMar" or the "Company"). These forward-looking statements can be identified by the use of forward-looking terminology such as “may,” “will,” “should,” “expect,” “endeavor,” “anticipate,” “project,” “estimate,” “intend,” “continue” or “believe” or the negatives thereof or other variations thereon or comparable terminology. These forward-looking statements are based on the expectations of management under current assumptions at the time of this presentation, are not guarantees of future performance and are subject to risks and uncertainties that could cause actual results to materially differ from those contained in the forward-looking statements. All forward-looking statements in this presentation apply only as of the date made. Except as required by law, the Company is not obligated to, and does not intend to, update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. To the extent that this presentation contains market data, industry statistics and other data that have been obtained from, or compiled from, information made available by third parties, the Company has not independently verified their data.
This presentation is made pursuant to Section 5(d) of the U.S. Securities Act of 1933, as amended, and is intended solely for investors that are either qualified institutional buyers or institutions that are accredited investors (as such terms are defined under U.S. Securities and Exchange Commission ("SEC") rules) solely for the purpose of determining whether such investors might have an interest in a securities offering contemplated by the Company. Any such offering of securities will only be made by means of a registration statement (including a prospectus) to be filed with the SEC, after such registration statement has become effective. This presentation shall not constitute an offer to sell or the solicitation of an offer to buy these securities, nor shall there be any sale of these securities in any state or jurisdiction in which such offer, solicitation or sale would be unlawful prior to registration or qualification under the securities laws of any such state or jurisdiction.
3
INVESTMENT HIGHTLIGHTS
LEADER IN DEVELOPMENT &
COMMERCIALIZATION OF MARINE DERIVED
ONCOLOGY DRUGS
Global integrated biotech developing marine-derived and novel MoA oncology drugs
• 3 approved oncology drugs, Yondelis®, Aplidin ® and ZepzelcaTM
• ZepzelcaTM approved by FDA 15th June 2020; Launched in USA 7th July 2020
Established oncology sales force in Europe
• Strong partners in the US (Jazz, Janssen), Japan (Taiho), Australia (STA)
Late stage pipeline: Transformative time for PharmaMar
• ZepzelcaTM ATLANTIS combo with Doxo randomized trial top line data 2H 2020• ZepzelcaTM development plan in other solid tumor indications
Revenue generating company
• FY’19 revenues €85.8 mm. First half 2020 €169.1mm• ~ € 2.5 Bn market cap. (~$ 3 Bn1) • Shares listed on the Spanish Stock Exchanges under the symbol “PHM”
(1) As of 16 October
4
Expeditions & collection
UNIQUE FULLY INTEGRATED PLATFORM
Cell biology Chemistry &Preclinical
Pharmaceutical development &
operations
Clinical &Regulatory Commercial
Marine derived leads
Global expeditions
Over 200,000 samples
Screening of antitumoral activity
Synthesis & molecule optimization
Patent protection
Preclinical studies
FDA inspected production facility
GMP Production
New drug candidates
New ADC Payloads
Clinical trials
Post marketing trials
Oncology-focused sales force in Europe (~ 65 people)
Geographic licensing & partnering with
experienced companies
Regulatory inspections passed from FDA, AEMPS, PMDA (US, Spain/EU, Japan)
TRANSFORMATIVE TIME FOR PHARMAMAR
MoAoncologydrugs
Expand R&D vertical and horizontally
Lurbinectedin: Pipeline within a drug (e.g. ovarian, sarcoma, etc.)
TRANSFORMATIVETIME
BD: seek synergisticAssets in oncology
SIGN A LICENSE AND DISTRIBUTION
AGREEMENT FOR ZEPZELCATM
IN US
PHARMAMAR & JAZZ PHARMACEUTICALS
• PharmaMar received an up-front payment of $200 million in January 2020
• PharmaMar received accelerated approval regulatory milestone payment of
$100 million in June 2020 and can receive up to $150 million more for full
regulatory approval of ZepzelcaTM by FDA within certain timelines
• Jazz launched, and added to NCCN guidelines July 7th 2020
• PharmaMar is eligible to receive tiered royalties of between high teens and 30%
on net sales
• In addition, sales milestones of up to US $550 million
• This income may be further increased, if other therapeutic indications are
approved
• PharmaMar retains production rights and will supply the product to Jazz
19TH DECEMBER 2019
JAZZ PHARMACEUTICALS LAUNCH METRICS1
• 72 total sales reps: ~100 total commercial infrastructure
• WAC: $6,633 per vial, annualized equals $227k assuming 2 vials per pt per cycle (3wks)
• Based on average BSA, a patient would require 2 vials per 21-day cycle
• Cost per course of therapy, based on median of 4 cycles, would be ~$53k
• Multi-hundred million dollar opportunity with 3-5 year route to peak in current indication
1. Source: Jazz Zepzelca investor update slides, June 17 2020”, except:
ZEPZELCA LAUNCHED AND
AVAILABLE IN USA JULY 7 2020;
Added to NCCN guidelines same
day
OUR ONCOLOGY PORTFOLIO
Yondelis®Soft tissue sarcoma 2nd/3rd line Single agent
Ovarian cancer 2nd/3rd line (1) Yondelis+Doxil(2)
Aplidin® R/R Multiple Myeloma 3th/4th line (3) Aplidin+Dexa
ZepzelcaTM
(Lurbinectedin)
Small cell lung cancer 2nd line (expansion cohort Basket trial)
Single agent
Small cell lung cancer 2nd line Lurbin+Doxo(4)
Basket trial (other) (5) Single agent
Solid tumorsSingle agent
and combinations
PM184 Solid tumorsSingle agent
and combinations
PM14 Solid tumors Single agent
Program / Indication Phase I Phase II Phase III Market
ATLANTIS
(1) Not approved in the USA(2) Pegylated liposomal doxorubicin (PLD)(3) Approved in Australia(4) Doxorubicin(5) Breast BRCA+, Head & neck, Endometrial, Biliary tract, Ewing sarcoma, NET, Germ cell, CUP
FDA APROVED IN THE USA 15th JUNE 2020
PROMOTER
Cancer is frequently a transcriptional disease caused by deregulated oncogenic transcription factors
A Selective Inhibitor of Oncogenic Transcription
LURBINECTEDIN (ZEPZELCATM): MoA
TranscriptionFactors
SWI/SNFLurbinectedin
SWI/SNF
ARID 1A
ARID 1A
By inhibiting active transcription in Tumor Associated Macrophages (TAMs), lurbinectedin downregulates
IL-6, IL-8, CCL2 and VEGF
Selectively inhibits active transcription of protein-coding genes through binding to promoters and
irreversibly stalling elongating RNA polymerase II on the DNA template, thereby leading to double-
stranded DNA breaks and apoptosis.
INDUCTION OFTUMOR CELL
PROLIFERATION INHIBITION OF IMMUNE
RESPONSE ACTIVATION OF
IMMUNE CHECKPOINTS
INDUCTION OFANGIOGENESIS
Harlow et al, 2016; Cancer Res 72: 6657-68Harlow et al, 2019; Clin Cancer Res doi: 10.1158/1078-0432.CCR-18-3511Santamaría et al, 2016. Mol Cancer Ther 15:2399-412
Dr. Luis Paz Ares
IL-6IL-8
VEGFIL-8
CCLIL-6
TAMs
DNA
Development and Commercial Strategy
PIPELINE- ZEPZELCATM
Zepzelca (Lurbinectedin)
SCLC 2nd line (Basket trial) Single agent
SCLC 2nd line Combo
Doxorubicin
Basket trial (other) Single agent
Solid tumors
Single agent /combinations
ATLANTIS
Clinical Program / Indication Phase I Phase II Phase III Market
Commercialization Plans:
• EU: Utilize/expand existing Yondelis sales force and select regional distributors• US: License and distribution agreement with Jazz • ROW: Regional partnerships
FDA APROVED IN THE USA 15th JUNE 2020
In 2019 there were approximately 30,000
new cases of small cell lung cancer in the
United States1
(The American Cancer Society)
Orphan Drug Designation grantedin the United States and EU
SCLC MARKET OVERVIEW
Estimated that in 2018, there were approximately
61,300 new cases of small cell lung cancer
in the EU2
(Decision Resources, Inc.)
• SCLC represents a significant unmet medical need with limited late stage options.
• The 5-year survival rate is about 5%-10%3
• Prior to ZepzelcaTM last FDA approved NCE for 2nd line Topotecan (iv) 1996,
(only sensitive patients). Median TTP ~3m; OS ~6m4
1, American Cancer Society and SEER Cancer Stat Facts https://seer.cancer.gov/statfacts/html/lungb.html
2. Data Monitor: Small cell lung cancer (SCLC) Market Spotlight, May 1 2018
3. http://www.cancer.gov/types/lung/hp/small-cell-lung-treatment-pdq
4. https://www.accessdata.fda.gov/drugsatfda_docs/label/2014/022453s002lbl.pdf
Sources:
NSCLC
AlkylatingAntimetabolitesAntiangiogenesisMicrotubuleIOEGFRTKITRK
Adapted from ; Sabari et al, Clinical Oncology; September 2017 FDA approval
Carboplatin+Etoposide
1999
Topotecan1996
Cisplatin+Etoposide
1985
First line
Second line
Third line
SCLC
Nivolumab2018
Durv or Atezo+ Carboplatin+
Etoposide2019
Pembrolizumab2019
1985 1990 1995 2000 2015 2018 2019 2020
ZepzelcaTM
2020
SCLC OVER THE YEARS; FAR LESS PROGRESS THAN IN NSCLC
WHY IS SCLC SO HARD TARGET?
Drug class failures 2nd line SCLC
• Aurora Kinase• BCL2• C-Kit• DLL-3• EGFR• FLT3• HDAC• IGF• mTOR• PD1 • Proteosome inhibitor• VEGF• GD2
"SCLC is difficult to treat in part because you can’t target an absent protein the way you can target a mutant protein—there’s nothing against which a drug can be directed“
Rudin C. Looking Ahead to New Therapies in Small Cell Lung Cancer. Clinical Advances to Hematology & Oncology 2018:16 (4): 269-272
LURBINECTEDIN: SCLCUSA: Current and Emerging Disease Treatment
Paradigm
1st LINE 3rd LINE
PembroNivoTiragolumab*
Bendamustine1*
CAV1*Docetaxel1*Gemcitabine1*Irinotecan1*
Nivo*1@
Onivyde4
Data expected Dec 2022
NivolumabPembro
2nd LINE
P3 trials#
FDA APPROVEDDRUGS SCLC
NCCNGuidelines(not FDA appvd)
Oral etopoide1*Paclitaxel1*
Pembro1*@Rechallenge1,2Temozolomide1*Vinorelbine1*
Platinum/Etoposide +Atezolizumab orDurvalumab
ZepzelcaTM
Topotecan (sensitive)
MAINTENANCE
• Investigational drug or not approved for this indication/line
1. All drugs listed in NCCN guidelines v1.20212. Only with relapse >6m; for pts who relapse >6m after Atezo or Durv maintenance, but who are not on maintenance atezo or durv at time of relapse3. @ Not recommended for pts who relapse while on maintenance Atezo or Durv. For those who relapse after >6m, recommendation is re-treatment with original regimen ex Atezo or Durv4. Source: https://clinicaltrials.gov/ct2/show/NCT03088813?term=Onivyde&recrs=ab&draw=2&rank=2
# Completed or recruiting disease treating trials for NCEs in US and /or EU
RRx-001*
LURBINECTEDIN SCLC: 2 TRIALS, 2 PROTOCOLS, 2 POPULATIONS
MONO(2):
• Mono 57% sensitive, 21% resistant
• Phase II basket trial expansion n=105 with CTFI>0
• Primary endpoint ORR (investigator) 35%
• ITT OS 9.3m
• No brain mets
• Lurbi dose 3.2mg/m2
• G-CSF (22%)
COMBO(1):
• Combo with Doxorubicin (in NCCN guidelines within CAV)
• Phase II n=27 ; OS 10.2m in CTFI 30+ (n=21)
• Phase III ATLANTIS fully accrued 613 pts;
OS endpoint expected 2020
• Stable brain mets allowed
• Dosing Lurbi 2mg/m2 + 40mg Doxo/m2
• Phase III prophylaxis G-CSF
1. Source: IASLC 20182. Source: ASCO 2019
Monotherapy approved by FDA for relapsed SCLC 15th June 2020
Combo top-line data expected2H 2020 for relapsed SCLC
LURBINECTEDIN + DOXORUBICIN
COMBINATION
• Combo with Doxorubicin (in NCCN guidelines within CAV) for SCLC
• Phase II n=27 saw OS 10.2m in CTFI 30+ (n=21)
• Phase III ATLANTIS fully accrued 613 pts; OS endpoint expected 2020
• Stable brain mets allowed
• Dosing Lurbi 2mg/m2 + 40mg Doxo/m2
• Phase III prophylaxis G-CSF
Combo top-line data expected2H 2020 for relapsed SCLC
Combination Lurbinectedin + Doxorubicin:
n=27L2 mg/m2 D1
+ DOX 40 mg/m2 D1
4%
33%
37%
37%
26%
74%
5.2m
3.4m
7.9m
Response Evaluable patients
CR
PR
ORR
SD
PD
Disease Control Rate
Duration of Response*
PFS
Overall Survival
Lurbinectedin + DOX (q3wk)
n=21CTFI>30d
5%
43%
48%
33%
19%
81%
n/a
5.3
10.2
Lurbinectedin + DOX (q3wk)
Source: Forster et al IASLC 2018 “Overall Survival with Lurbinectedin Plus Doxorubicin in Relapsed SCLC. Results from an Expansion Cohort of a Phase Ib Trial”; except *DOR data from ESMO 2017
LURBINECTEDIN: PHASE I/II 2ND LINE SMALL CELL LUNG CANCER
LURBINECTEDIN: PHASE III 2ND LINE SMALL CELL LUNG CANCER
ATLANTIS trial design SCLC
• Primary endpoint: median OS HR ≤ 0.75 with 90% power at ~510 events.Control arm modelled for ~7.5m613 patients recruited in >150 centers; 20 countries; EU & N. Am accounts~ 90%
• Registration Strategy:5 Safety analyses passed (IDMC)PharmaMar announced ATLANTIS reached target enrollment July 2018Data anticipated 2H 2020
Eligible SCLC pts1prior platinum
N=613
Arm A:Lurbinectedin (2mg/m2) & Doxo (40 mg/m2)
(up to 10 cycles)
R(1:1)
Arm B:Topotecan or CAV
(42% / 58%)
Lurbinectedin mono (after doxomaximum cumulative dose) at
3.2 mg/m2 q3w until PD
No CrossoverPrimary GCSF required in both arms
Stratification by prior PD1/PD-L1, CTFI, and CNS mets
LURBINECTEDIN
MONOTHERAPY
• Monotherapy for SCLC 57% sensitive, 21% resistant
• Phase II basket trial expansion n=105 with CTFI>0
• Primary endpoint ORR (investigator) 35%
• ITT OS 9.3m
• No brain mets
• Lurbi dose 3.2mg/m2
• G-CSF (22%)
Monotherapy approved by FDA for relapsed SCLC 15th June 2020
MONOTHERAPY LURBINECTEDINFINAL DATA: ASCO 2019
Efficacy
Overall (n=105)
ORR, %(95% CI) (confirmed responses) # ^
35.2
(26.2-45.2)
ORR, %Resistant CTFI< 90 days (n=45)
22.2
(11.2-37.1)
ORR, %Sensitive CTFI = 90 days (n=60)
45.0
(32.1-58.4)
Duration of response (months), median(95% CI)
5.3
(4.1-6.4)
Disease Control Rate *, % (95% CI)
68.6
(58.8-77.3)
# 5 of 8 patients who failed prior immunotherapy had confirmed response^ Tumor assessments performed every 2cycles until cycle 6 and every 3 cycles thereafter* Disease Control Rate: Response or SD
Dr. Luis Paz Ares
Decrease in tumor size in 65% patients
PFS TO PRIOR IO AND PFS AFTER LURBINECTEDIN
PFS prior IO PFS Lurbinectedin
Dr. Luis Paz Ares
MONOTHERAPY FINAL DATA: ASCO 2019Safety
n=105 n (%)
AEs 89 (84.8)
- Gr ≥3 36 (34.3)
SAEs 11 (10.5)
AEs leading to death 0 (0.0)
AEs leading to treatment
discontinuation2 (1.9)
Dose delays treatment related 21 (22.1*)
Dose reductions # 25 (26.3*)
G-CSF 23 (21.9)
Transfusions (red blood cells and/or
platelets)10 (9.5)
n=105 Gr 1-2 Gr 3-4
n (%) n (%)
Hematological AEs *Neutropenia 6 (5.7) 24 (22.9)
Anemia 2 (1.9) 7 (6.7)
Thrombocytopenia 2 (1.9) 5 (4.8)
Non-Hematological AEs
Febrile neutropenia . 5 (4.8)
Fatigue 54 (51.4) 7 (6.7)
Nausea 34 (32.4) .
Decreased appetite 22 (21.0) .
Vomiting 19 (18.1) .
Diarrhea 13 (12.4) 1 (1.0)
Constipation 10 (9.5) .
Pneumonia . 2 (1.9)
Alanine aminotransferaseincreased *
. 2 (1.9)
Skin ulcer . 1 (1.0)
* Per protocol: dose had to be reduced in case of grade 4 neutropenia * Lab abnormalities associated with a specific treatment, were considered a SAE, or were reasons for dose reduction or treatment delay
Safety: Related or Unknown Adverse Events Treatment Related (or Unknown) Adverse Events (AEs) ( >5% or Gr 3-4)
NON HEAD-TO-HEAD SELECTED COMPARISONS
Adverse EventsGrade 3-4
Monotherapy
n=105CTFI>0
Topotecan label
n=107 CTFI>60
Topotecan vonPawel 2014
n=167
CAV (from Topo label)
n=104CTFI>60
Febrile Neutropenia 4.8% 28% 3% 26%
Anemia 6.7% 42% 30.5% 20%
Thrombocytopenia 4.8% 29% (G4) 54.3%2 5% (G4)
Neutropenia 22.9% 70% (G4) 53.8%2 72% (G4)
Sepsis NR 5%1 NR 5%1
Pneumonia 1.9% 8% 3% 6%
1. G-CSF give as rescue in 71%, 43% and 18% respectively, Phase III using prophylaxis2. Treatment-emergent abnormalities
Safety
ZEPZELCATM : KEY IP AND BARRIERS TO ENTRY
Use Patent
NCE Protection
Exclusivity in SCLC for
7 years from approval
Protection until 2024*
Protection until 2025
Composition of matter Protection until 2022*
Orphan drugExclusivity in SCLC for
10 years from approval
*Subject to potential patent term extension#Pending patent
Protection until 2031# (combo doxo)
Protection until 2031# (combo doxo)
YONDELIS® : KEY IP AND BARRIERS TO ENTRY
Use Patent
Manufacturing
2023 Sarcoma
Protection until 2028
Protection until 2028
2022 Sarcoma
Protection until 2030
Protection until 2021
Formulation Protection until 2025
Protection until 2021
Protection until 2022
Orphan drug
COVID-19: APLIDIN® (PLITIDEPSIN)
1. Sources: Zhou et al; The Nucleocapsid Protein of Severe Acute Respiratory Syndrome Coronavirus Inhibits Cell Cytokinesis and Proliferation by Interacting withTranslation Elongation Factor 1α; Journal if Virology, July 2008, p. 6962–6971Losada et al; Translation Elongation Factor eEF1A2 is a Novel Anticancer Target for the Marine Natural Product Plitidepsin; Scientific Reports 6:35100 10/7/16
Slides show a Coronavirus HCoV-229E infected cell culture on the top side (the “white” spots indicate virus presence), and, on the bottom side is the image of the same virus infected cell culture when treated with 5 nM Aplidin.
• Approved in Australia for R/R =3L multiple myeloma
• Moa: Inhibits of EF1A, a host protein, which Covid-19 infected human cells need to reproduce and/or spread1
• In vitro preliminary work, potency against Covid-19 seen at the order of 0.5nM
• Multi-center trial APLICOV-PC finished in October to see safety and efficacy of three dose levels 1.5 mg x 3 days; 2 mg x 3 days; 2.5 mg x 3 days
• The study has met the primary safety endpoint.
• The trial has achieved a substantial reduction in viral load and the C-reactive protein (CRP) in patients.
• 80.7% of the patients were discharged before the 15th day of hospitalization, and 38.2% before the 8th (according to the protocol, they must be in hospital for a minimum of 7 days)
• Company will start conversations with the regulatory agencies to define the next phase III pivotal study
Aplidin®
GROUP REVENUES AND R&D EXPENSES
0,0
10,0
20,0
30,0
40,0
50,0
60,0
70,0
80,0
90,0
100,0
2016 2017 2018 2019
16.9 16.7
28.6
7.0
80.2 78.8
90.694.3
Revenues: € millions R&D: € millions
0
10
20
30
40
50
60
70
80
2016 2017 2018 2019
72,3 7163,7
48,7
4,9 5,3
5,1
2,9
2,41,9
4,9
2
73.7
78.279.6
53.6
Royalties & Milestones Biopharma
SalesBiopharma Diagnostic RNAi Oncology
CATALYSTCALENDAR
KEY EVENTS
Lurbinectedin monotherapy filed Accelerated Approval USA December 16th, 2019
Partnership agreement for US rights signed with Jazz Pharma
Lurbinectedin monotherapy NDA accepted 2/14/20 for priority review
Lurbinectedin SCLC monotherapy published Lancet Oncology
Aplidin POC trial in Covid-19 start
ZepzelcaTM monotherapy approved 15th June 2020
ZepzelcaTM launched in USA 7th July 2020
ZepzelcaTM added to NCCN guidelines July 7th 2020
Aplidin POC trial in Covid-19 data October 2020
ZepzelcaTM ATLANTIS top-line data 2H 2020
Zepzelca ex-US submissions approvals Q4 2020 onwards (e.g. Canada, Switzerland, Israel)
File Lurbinectedin with EMA
www.pharmamar.com