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CORPORATE PRESENTATION January 2021

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  • CORPORATE PRESENTATIONJanuary 2021

  • 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

    We are inspired by the

    sea, driven by science,

    and motivated by

    patients with serious

    diseases to improve

    their lives by delivering

    novel medicines to

    them. We intend to

    continue to be the

    world leader in marine

    medicinal discovery,

    development and

    innovation.

    Global integrated commercial stage biotech developing marine-inspired 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)• Active BDL in-licensing effort

    Late-stage pipeline: Transformative time for PharmaMar

    • ZepzelcaTM (lurbinectedin) development plan in SCLC and other solid tumor indications emerging• Pipeline drugs maturing; two new compounds to enter clinic in 2021

    Revenue generating company

    • FY’19 revenues €85.8 mm.). First 9m 2020 €222mm• ~€1.3bn market cap. (~$ 1.6bn1)• Cash (as of Sep 30 2020) €218mm (~$265mm)• Shares listed on the Spanish Stock Exchanges under the symbol “PHM”

    (1) As of 31 December 2020

  • 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

    Clinical trials

    Post marketing trials

    Oncology-focused sales force in Europe (n=~65)

    Geographic licensing & partnering with

    experienced companies

    (~13 companies)

    Regulatory inspections passed from FDA, AEMPS, PMDA (US, Spain/EU, Japan)

  • TRANSFORMATIVE TIME FOR PHARMAMAR

    Discoveryoncologydrugs

    Expand R&D verticaly and horizontally

    Lurbinectedin: Pipeline within a drug e.g. SCLC expansion, mesothelioma, etc.

    TRANSFORMATIVETIME

    BD: seek synergistic, late stage or commercial assets in oncology

  • SIGNED A LICENSEAND 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, and sales milestones of up to US $550 million

    • Milestones & royalties may increase if other 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

    • 1st (incomplete) quarter of US net sales termed ‘successful’ ~$37mm2

    1. Source: Jazz Zepzelca investor update slides, June 17 2020”, except: (2) November 2 2020 Jazz earnings report PR

    ZEPZELCATMLAUNCHED 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 Lurbi+Doxorubicin

    ≥2nd line mesothelioma Lurbi+Atezolizumab

    Basket trial (other) (4) Single agent

    Small cell lung cancer 2nd line Lurbi+Iriontecan

    PM184 Solid tumors Single agentand 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) Breast BRCA+, Head & neck, Endometrial, Biliary tract, Ewing sarcoma, NET, Germ cell, CUP

  • 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 VEGFSelectively 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 (lurbinectedin)

    Zepzelca (Lurbinectedin)

    SCLC 2nd line (Basket trial) Single agent

    SCLC 2nd line Combo

    Doxorubicin

    ≥2nd line mesothelioma

    ComboAtezolizumab

    Basket trial (other) Single agent

    SCLC 2nd line Combo

    irinotecan

    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

  • In 2019 there were approximately 30,000

    new cases of small cell lung cancer in the

    United States1

    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

    • 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

    Durv or Atezo+ Carboplatin+

    Etoposide2019

    Pembrolizumab2019

    1985 1990 1995 2000 2015 2018 2019 2020

    ZepzelcaTM2020

    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

  • ZEPZELCATM LURBINECTEDIN: SCLCUSA: Current and Emerging Disease Treatment

    Paradigm

    1st LINE 3rd LINE

    Pembro*

    Nivo*

    Tiragolumab*

    Bendamustine1*

    CAV 1*

    Docetaxel 1*

    Gemcitabine 1*

    Irinotecan 1*

    Nivo 1* @

    Onivyde4*

    Data expected Dec 2022

    Pembro

    2nd LINE

    P3 trials#*****

    FDA APPROVED

    NCCNGuidelines(not FDA appvd)

    Oral etopoide@ 1*

    Paclitaxel 1*

    Pembro 1*@

    Rechallenge 1*2

    Temozolomide1*Vinorelbine 1*

    Platinum/Etoposide +Atezolizumab or Durvalumab

    ZepzelcaTM

    Topotecan (sensitive)

    • Investigational drug or not approved for this indication/line1. All drugs listed in NCCN guidelines v1.2021 alphabetically2. 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=25. Nivo received FDA approval for 3rd line Aug 2018; Volutarily withdawn by BMS 12/29/2020# Completed or recruiting disease treating trials for NCEs in US and /or EU

    RRx-001*

    Nivolumab5*

    https://clinicaltrials.gov/ct2/show/NCT03088813?term=Onivyde&recrs=ab&draw=2&rank=2

  • LURBINECTEDIN 2ND LINE SCLC:2 TRIALS, 2 DOSES, 2 PROTOCOLS, 2

    POPULATIONS

    MONO(2):

    • Mono 57% sensitive, 21% resistant, 22% refractory

    • 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 use 22%

    COMBO ATLANTIS:

    • Combo with Doxorubicin (in NCCN guidelines within CAV)

    • Phase III ATLANTIS n=613, CTFI*>30d

    • Primary endpoint OS not met however no 'adverse effect'

    • Dosing Lurbi 2mg/m2 + 40mg Doxo/m2

    1. Source: IASLC 2018

    2. Source: ASCO 2019

    * Chemotherapy free interval: time in days from progression on prior chemotherapy

    Monotherapy approved FDA for relapsed SCLC June 15 2020

    Top-line data reported December 3rd 2020

  • LURBINECTEDIN

    MONOTHERAPY: BASIS OF FDA APPROVALJUNE 15TH 2020

    • Monotherapy for SCLC

    • Phase II basket trial expansion n=105 with CTFI>0

    • 57% sensitive, 21% resistant; 22% refractory

    • Primary endpoint ORR (investigator) 35%

    • ITT OS 9.3m

    • No brain mets

    • Lurbi dose 3.2mg/m2

    • G-CSF use (22%)

  • 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)

  • ZEPZELCATM : KEY IP AND BARRIERS TO ENTRY

    NCE Protection

    Exclusivity in SCLC

    June 14 2027

    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

  • YONDELIS® : KEY IP AND BARRIERS TO ENTRY

    Use Patent

    2023 Sarcoma

    Protection until 2028

    2022 Sarcoma

    Protection until 2030Formulation Protection until 2025

    Protection until 2022

    Orphan drug

  • COVID-19: 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. 6962–6971, andLosada 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 bottom (the “white” spots indicate virus presence), and, on the top side is the image of the same virus infected cell culture when treated with 5nM plitidepsin.

    • Aplidin® (plitidepsin) approved in Australia for R/R ≥3L multiple myeloma

    • MoA: Inhibits EF1A, a host protein, which Covid-19 infected human cells need to reproduce and/or spread1

    • In vitro potency vs. Covid-19 seen at ~0.5nM

    • Multi-center clinical 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 met the primary safety endpoint

    • Trial saw reductions in viral load and CRP

    • 81% of the patients were discharged before the 15th day of hospitalization, and 38% before the 8th (according to the protocol, they must be in hospital for a minimum of 7 days)

    • Company in conversations with the regulatory agencies to define the next phase III pivotal study

  • GROUP REVENUES AND R&D EXPENSES

    0,0

    20,0

    40,0

    60,0

    80,0

    100,0

    120,0

    140,0

    2017 2018 2019 9m 2020

    16.7

    28.6

    7

    80.283.9

    90.6

    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

    137.8

    78.8

  • CATALYSTCALENDAR

    KEY EVENTS

    Partnership agreement for US rights signed with Jazz Pharma

    ZepzelcaTM monotherapy approved 15th June 2020

    ZepzelcaTM launched in USA 7thJuly 2020

    ZepzelcaTM added to NCCN guidelines 7thJuly 2020

    Aplidin POC trial in Covid-19 data October 2020

    ATLANTIS: did not meet primary endpoint. Exploratory secondary endpoints of interest

    IASLC 1/31/21 oral presentation lurbi+irinotecan in relapsed SCLC

    ATLANTIS data discussions FDA/EMA/UK 2021

    ZepzelcaTM (lurbinectedin) development plan to emerge 2021

    Lurbinectedin regulatory updates (e.g. Australia, Canada, Switzerland, Israel, S. Korea)

  • www.pharmamar.com