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TRANSCRIPT
Corporate Presentation
January 2016
1
Forward Looking Statements
This document does not constitute or form part of any offer or invitation to sell or issue, or any solicitation
of any offer to purchase or subscribe for, any shares in the Company, nor shall any part of it nor the fact of
its distribution form part of or be relied on in connection with any contract or investment decision relating
thereto, nor does it constitute a recommendation regarding the securities of the Company.
This document may contain forward-looking statements and estimates made by the Company, including
with respect to the anticipated future performance of TiGenix and the market in which it operates. They
include all matters that are not historical facts. Such statements, forecasts and estimates are based on
various assumptions and assessments of known and unknown risks, uncertainties and other factors,
which were deemed reasonable when made but may or may not prove to be correct. Actual events are
difficult to predict and may depend upon factors that are beyond the Company's control. Therefore, actual
results, the financial condition, performance or achievements of TiGenix, or industry results, may turn out
to be materially different from any future results, performance or achievements expressed or implied by
such statements, forecasts and estimates. Forward-looking statements, forecasts and estimates only
speak as of the date of this document and no representations are made as to the accuracy or fairness of
such forward-looking statements, forecasts and estimates. TiGenix disclaims any obligation to update any
such forward-looking statement, forecast or estimates to reflect any change in the Company’s
expectations with regard thereto, or any change in events, conditions or circumstances on which any such
statement, forecast or estimate is based.
2
Management Team With Proven Track Record of Success
Managing Director and CEO: Eduardo Bravo, MBA
• More than 25 years experience in the pharma and biotech industries at Sanofi-Aventis, Recordati,
Cephalon and SmithKline Beecham
CFO: Claudia D’Augusta, PhD
• More than 15 years experience in equity and debt financing at Aquanima (Santander Group), Apax
Corporate Finance and Deloitte Corporate Finance
CTO: Wilfried Dalemans, PhD
• More than 25 years experience in the pharma and biotech industries; previous engagements at GSK
Biologicals and Transgène
CMO: Marie Paule Richard, MD
• More than 25 years experience in the global pharma and biotech industries at Bristol-Myers Squibb,
Sanofi Aventis, GSK, Sanofi Pasteur, Crucell and AiCuris
VP Regulatory Affairs & Corporate Quality: María Pascual, PhD
• More than 10 years experience in cell therapy companies; specialized in regulatory affairs for
advanced therapies; external adviser to EMA
VP Medical Affairs & New Product Commercialisation: Mary Carmen Diez, MD
• More than 20 years experience in the biopharmaceutical industry at Meda Pharma, Asta Médica,
Pfizer and Dupont Pharma
3
Investment Highlights
Positive Phase III
And Advanced EU
Regulatory
Strategy:
Cx601
• Complex perianal fistulas in Crohn’s disease patients in the US & EU represents a multi-billion
dollar market opportunity
• Pivotal Phase III allogeneic stem cell asset (local administration of a single dose)
• Results met primary endpoint
• Statistically superior to placebo in achieving combined remission at week 24 (p<0.025)
• Filing for MAA expected in 1Q16 and launch expected 2H17
• Fully-owned asset
• Consistent and robust manufacturing process
• Management team has valuable experience in regulatory approval / commercialization process; first
ever ATMP1 approved by EMA
• Use of data from positive pivotal Phase III trial in EU to support a BLA in the US
• FDA’s agreement on SPA obtained for pivotal phase III trial in the US
• Same primary endpoint as positive EU Phase III trial
• Phase III to start 1Q17
• Fully-owned asset
• Lonza selected as contract manufacturing organization for Cx601 in the US
Clear US
Regulatory and
Clinical Strategy:
Cx601
• AlloCSC-01: intra-coronary administered allogeneic cardiac stem cells, being developed for acute
myocardial infraction
• Randomized, double blind, placebo controlled Phase II trial ongoing
• Interim data expected 2H16
• Final one year follow up data expected 1H17
• Cx611: Intravenously-administered allogeneic stem cell product for severe sepsis (Phase I study
completed)
• Severe sepsis Phase ll trial design has been finalized; expected to enroll first patient in 1Q16
Valuable Pipeline
Opportunities:
AlloCSC-01 and
Cx611
1 Advanced Therapy Medicinal Product 4
Multiple Product Candidates
Product1 Indication Preclinical Phase I Phase II Phase III Market
Allogeneic Adipose-Derived Stem Cells
Cx601
(local)
Complex Perianal
Fistulas in Crohn’s
disease
Cx611
(intravenous) Severe Sepsis
Allogeneic Cardiac Stem Cells
AlloCSC-01
(intracoronary) Acute Myocardial
Infarction
Characterized Autologous Chondrocytes
ChondroCelect Knee Cartilage Lesions
Orphan Drug granted by EMA
Partnered2
SPA agreed to by FDA
1 Covered by 27 patent families 2 Distributed through Swedish Orphan Biovitrum (‘Sobi’) and the Finnish Red Cross Blood Service
5
Cx601: Positive Phase lll Data
Local injection of eASCs for the treatment of
complex perianal fistulas in Crohn’s disease patients
6
Mechanism of Action: Adipose-Derived Stem Cells
1 MSCs: Mesenchymal Stem Cells
The ability to interact with many players in the immune system qualify MSCs (including ASCs) as a potent anti-inflammatory agent
Inhibition of pro-inflammatory cytokines
* p<0.05 relative to supernatant from activated PBMCs
Source: De la Rosa et al. Tissue Engineering 2009
PBMCs
Activated PBMCs
PBMCs+ASCs
activated PBMCs+ASCs
ASCs
0 5 10 15 20
IFN- (ng/ml) 0 1 2 3 4 5
TNF- (ng/ml)
* *
* p<0.05 relative to activated PBMCs without ASCs
Source: Tigenix data
Inhibition of Immune Cell Proliferation
7 Source: De la Rosa et al. Tissue Engineering 2009
Manufacturing Consistent and Robust Process
• Up to 360 billion cells can be obtained from 1 donor
• Quality control parameters defined:
• Identity
• Purity
• Potency
• Approximately 2,400 finished products of Cx601
Liposuction
Cell isolation and expansion
Frozen Drug Substance (FDS)
Finished Product
Master cell bank (cryo)
8
Perianal Fistulas A Common Severe Complication of Crohn’s Disease
• Fistulas: sores or ulcers that tunnel
through the affected area into
surrounding tissues
• Around 11% of adult Crohn’s
disease patients are affected by
perianal fistulas
• 70% – 80% of these are complex
• Affect anal sphincters
• Present multiple tracts
• Are recurrent
• Are often associated with perianal
abscess
Almost 120,000 adult Crohn’s disease patients suffer from complex perianal fistulas in Europe and the US alone => compromised QoL, pain, depression
and risk of anal epithelial carcinoma
Fistula
9
Perianal Fistulas: Treatment Options and Shortfalls
10
1 L.J. Brandt et al. Metronidazole Therapy for Perineal Crohn’s Disease: a Follow-Up Study, 83 GASTROENTEROLOGY 383-7 (1982) 2 E.S. Goldstein et al., 6 - Mercaptopurine Is Effective in Crohn’s Disease Without Concomitant Steroids, 10 INFLAMM BOWEL DIS 79-84 (2004) 3 B.I. Korelitz et al., Favorable Effect of 6-Mercaptopurine on Fistulae of Crohn’s Disease, 30 DIGEST DIS SCI 58-64 (1985) 4 B.E. Sands et al., Infliximab Maintenance Therapy for Fistulizing Crohn’s Disease, 350 N ENGL J MED 876-85 (2004) 5 E. Domenech et al., Clinical Evolution of Luminal and Perianal Crohn’s Disease after Inducing Remission with Infliximab, 22 ALIMENT PHARMACOL THER
1107-13 (2005) 6 J.F. Colombel et al., Adalimumab for Maintenance of Clinical Response and Remission in Patients with Crohn’s Disease: The CHARM Trial, 132
GASTROENTEROLOGY 52-65 (2007) 7 C.B. Geltzeiler et al., Recent Developments in the Surgical Management of Perianal Fistula for Crohn’s Disease, 27 ANN GASTROENTEROL 1-11 (2014) 8 T. Sonoda et al., Outcomes of Primary Repair of Anorectal and Rectovaginal Fistulas Using the Endorectal Advancement Flap, 45 DIS COLON RECTUM
1622-28 (2002) 9 A. Soltani and A. Kaiser, Endorectal Advancement Flap for Crypto Glandular or Crohn’s Fistula-in-Ano, 53 DIS COLON RECTUM 486-495 (2010)
Treatment options
Efficacy Safety
Antibiotics • Safety concerns with prolonged use
• Poor quality of evidence on fistulas
remission
• High rate of fistula relapse on drug cessation: 72% 1
Infliximab (Remicade®)
• Low remission rate of perianal fistulas:
23% after 54 weeks of treatment 4
• High rate of relapse: 54% after 54 weeks
of treatment 4, and 66% one year after
drug cessation 5
• Safety remains a concern with long term use of biologics
Adalimumab (Humira®)
• Low remission rate: 33% after 56 weeks of treatment 6
• Safety remains a concern with long term use of biologics
Immunosuppressants
• Poor quality of evidence on fistulas
remission
• High rate of fistula relapse on drug
cessation : 67-71% 2,3
• High risk of infectious complications
Surgery • Risk of complications (eg. incontinence,
abscesses formation, non-healing wounds 7,9)
• Risk of recurrence remains (up to ~50-70%, depending on the type of surgery) 7,8 unless radical, mutilating surgery is performed
• Mode of administration
1. Fistula curettage and closure of
internal opening (sutured)
2. Half of Cx601 dose (2 vials) is injected
in the tissue around the internal
opening, making several small blebs
3. The other half (2 vials) is injected along
the walls of the fistula tracts, also
making several small blebs
• Product description
o Expanded adipose-derived stem cells
(eASCs) for the treatment of complex
perianal fistulas in Crohn’s disease
o 4 vials containing 30 million cells in 6 mL
suspension each (total dose 120 million
cells)
Injection sites: Injection sites:
a. Fistula internal opening b. Fistula tract
11
Cx601: Product Description and Mode of Administration
Cx601 Phase III ADMIRE-CD1 Trial Robust Phase III Study Designed to Qualify as a Single Pivotal Study
TRIAL SUMMARY
Condition Complex perianal fistulas in Crohn’s disease patients
Study design • Randomized, double-blind, placebo-controlled trial • All tracts treated. Single procedure2
Status 24 weeks primary analysis finalized. Follow up ongoing
Enrollment 289 patients recruited
Number of sites 47 active sites in 8 countries
Primary endpoint Combined Remission3 at week 24 with α<0.025
Secondary endpoints
at Weeks 24 and 52
• Clinical Remission4 • Response5 • Time to Clinical Remission / to Response • PDAI6 and other scores • Safety and tolerability
1 Adipose Derived Mesenchymal Stem Cells for Induction of Remission in Perianal Fistulising Crohn’s Disease 2 120 million cells 3 Closure of all treated external openings draining at baseline despite gentle finger compression, and absence of collections > 2cm by MRI 4 Closure of all treated external openings draining at baseline despite gentle finger compression 5 Closure of at least 50% of all treated external openings draining at baseline despite gentle finger compression 6 Perianal Disease Activity Index 12
Patients Selection: Key Eligibility Criteria
• Men and women aged 18 years or older
• Non active or mildly active luminal Crohn’s disease (CDAI ≤ 220)
diagnosed for ≥ 6 months
• Patients with complex perianal fistulas with ≤ 2 internal openings and ≤ 3
external openings
• Fistula draining ≥ 6 weeks prior to inclusion
• Patients with inadequate response to at least one of the following:
antibiotics, immunosuppressants or anti-TNFs
• Medical standard of care was allowed to continue without modification of
treatment dose or regimen
13
Treatment
W24
Primary Endpoint
W52
Preparation Screening
D0
Follow-Up
W6 W12 W18 W36 W-3 W-5
Baseline
MRI W52
MRI
W24
MRI
MRI: Magnetic Resonance Imaging
week
Randomization Clinical Assessment
Design: Double-Blind, Placebo-Controlled
14
W104
Screened
n= 289
Screening Failures
n= 77
Randomized
n= 212
Cx601
n= 107
Not Treated
n= 4
Treated
n= 103
Treated & post baseline assessment
n= 103
Placebo
n= 105
Treated
n= 102
Treated & post baseline assessment
n= 101
Not Treated
n= 3
Safety set
n= 205
15
ITT1 set
n= 212
mITT2 set
n= 204
1 ITT: Intention To Treat i.e. patients randomized 2 mITT: modified ITT i.e. patients randomized and treated, and with at least one post-baseline efficacy value
Largest Study in Complex Perianal Fistulas
Demographics, PDAI and Fistula Topography
Demographics (ITT) Cx601
n= 107
Placebo
n= 105
Age (years) mean (SD) 39.0 (13.1) 37.6 (13.1)
Men (%) 60 (56.1) 56 (53.3)
Caucasian (%) 100 (93.5) 96 (91.4)
Weight (kg) mean (SD) 73.9 (15.0) 71.3 (14.9)
PDAI1 (ITT)
Mean (SD) 6.5 6.7
Topography of Internal &
External Openings (%) (Safety set)
Cx601
n= 103
Placebo
n= 102
One-tract fistula 53.4 68.3
Multiple-tract fistula 46.6 31.6
• Similar demographics and PDAI score between arms
• Higher proportion of multiple-tract fistulas in Cx601 group
1 Perianal Disease Activity Index 16
(ITT1 Population n= 212)
49.5%
34.3%
0
10
20
30
40
50
60
Cx601 Placebo
p < 0.025
51.5 %
35.6 %
0
10
20
30
40
50
60
Cx601 Placebo
p < 0.025
(mITT2 Population n= 204)
Cx601: A Major Breakthrough Primary Endpoint Met
• Cx601 significantly superior to placebo in achieving Combined Remission
• Patients receiving Cx601 have a 44% greater probability of achieving Combined
Remission than placebo patients
• Efficacy results consistent across all statistical populations
% %
1 ITT: Intention To Treat i.e. patients randomized 2 mITT: modified ITT i.e. patients randomized and treated, and with at least one post-baseline efficacy value
17
Overview of TEAEs up to W24
(Safety Population n=205)
TE(S)AE: Treatment-Emergent (Serious) Adverse Events
• If a patient has multiple events of the same severity, relationship or outcome, then they are counted only once in that
severity, relationship or outcome. However, patients can be counted more than once overall.
18
Number of Patients with (%) Cx601
n= 103
Placebo
n=102
TEAEs 68 (66.0) 66 (64.7)
Related TEAEs 18 (17.5) 30 (29.4)
Withdrawn due to a TEAEs 5 (4.9) 6 (5.9)
TESAEs 18 (17.5) 14 (13.7)
Related TESAEs 5 (4.9) 7 (6.9)
Withdrawn due to TESAEs 4 (3.9) 4 (3.9)
The safety profile of Cx601 is favorable
Cx601: A Regulatory De-Risked and Fully-Owned Asset Preparing for European Approval in 2H17
• Clear and fast pathway to the market built on a solid regulatory strategy
• Team with previous experience in obtaining MA1 of cell therapy product
• 5 Scientific Advice Meetings held with EMA2 (2 pre-clinical, 2 CMC3, 1 clinical)
• Approved PIP4 with 20 patients to be started not before 2020
• Letter of intent submitted to the EMA and MAA filing planned for 1Q16
• Assuming industry-average clock stops, final approval expected in 2H17
1 MA: Marketing Authorization 2 EMA: European Medicines Agency
3 CMC: Chemistry Manufacturing and Controls 4 PIP: Pediatric Investigational Plan
5 AR: Assessment Report
6 LoQ: List of Questions
7 LoOI: List of Outstanding Issues
8 CHMP: Committee of Human Medicinal Products
19
Start of the
procedure AR5 LoQ6 Responses Joint AR LoOI7 Responses
D1 D80 D120 D121 D150 D180 D181
CHMP8
Opinion
D210 1st Clock
Stop
2nd Clock
Stop
Submission Comission
Decision
D277
Cx601: Capturing the Value of the Biggest Market Preparing for US BLA1 filing in 2019
• Clear and fast pathway to the market built on a solid regulatory and clinical
development strategy
• Type B meeting with FDA2 confirmed:
• Adequacy of existing non-clinical package to support an IND3 filing
• Acceptability of using data from the ADMIRE-CD trial to support BLA
• SPA4 for US Phase III protocol agreed with FDA:
• Primary end-point identical to ADMIRE-CD trial
• p-value < 0.05 (vs. p-value <0.025 in ADMIRE-CD trial)
• US Phase III trial scheduled to start by 1Q17
• Lonza selected as contract manufacturing organization for Cx601 in the US
1 BLA: Biological License Application 2 FDA: Food and Drug Administration 3 IND: Investigational New Drug 4 SPA: Special Protocol Assessment 20
21
TRIAL SUMMARY
Condition Complex perianal fistulas in Crohn’s disease patients
Study design • Randomized, double-blind, placebo-controlled trial • All draining tracts treated. Single injection2
Status In preparation
Enrollment 224 patients screened to allow for 168 randomized patients
Number of sites At least 50 – 60 active sites in the US
Primary endpoint Combined Remission3 at week 244 with α<0.05
Secondary endpoints
at Weeks 24 and 52
• Clinical Remission5 • Response6 • Time to Clinical Remission / to Response • PDAI7 and other scores • Safety and tolerability
Cx601: Phase III US Trial Trial Design Agreed to by FDA through SPA1 Procedure in August 2015
1 Special Protocol Assessment 2 120 million cells 3 Closure of all treated external openings draining at baseline despite gentle finger compression, and absence of collections > 2cm by MRI 4 The primary efficacy analysis, which has a week 24 endpoint, will be conducted at the time of the week 52 final analysis
5 Closure of all treated external openings draining at baseline despite gentle finger compression 6 Closure of at least 50% of all treated external openings draining at baseline despite gentle finger compression 7 Perianal Disease Activity Index
* Estimated average prevalence in EU: 180/100,000 1-4
Estimated prevalence in US: 190/100,000 3,6
Crohn’s disease: 1,540,710 * 1-6
Adults: 1,432,860 (93%) 5-6
Perianal fistulas: 157,615 (11%) 7-8
Complex: 118,211 (75%) 9-12
Controlled luminal CD: 78,019 (66%)13
Refractory fistulas: 70,217 (90%) 13-15
22
Cx601: Estimated Patient Population (EU & USA) An Attractive Commercial Opportunity
1 Stone MA et al. 2013 2 Hein R et al. 2014 3 Molodecky NA et al. 2012 4 Lucendo AJ et al. 2014 5 Kappelman MD et al. 2007 6 Kappelman MD et al. 2013 7 SEESGCD.1999 8 Gibson PR et al. 2007
9 Eglinton TW et al. 2012 10 Bell SJ et al. 2003 11 Lahat A et al. 2012 12 Molendijk I et al. 2014 13 Sands BE et al. 2004 14 Present DH et al. 1999 15 Domènech E et al. 2005
Cx601: A Fully-Owned Asset with Attractive Commercial Potential
• Global market addressable by a targeted commercial effort on reference prescribers
23
• Protection obtained through US patent until
2030
• More than 30,000 adult patients in the US
within target label
• Retain US rights to complete development up
to commercialization decision
Anticipated
Launch
2020
• Protection obtained through EU patent and
orphan designation until 2028
• More than 40,000 adult patients in Europe
within target label
• Finalizing commercial resource plan and
pricing and reimbursement strategy
• Considering partnerships in certain EU
countries
Anticipated
Launch
2H17
Conf
Cx611: Phase ll Ready
Intravenous injection of eASCs for the treatment of severe sepsis
24
1 The Lancet Infectious Diseases; Volume 12; issue 2; page 89; February 2012 2 Martin GS Expert Rev Anti Infect Ther. 2012 June ; 10(6): 701–706. 3 Torio et al. National inpatient hospital costs: the most expensive conditions by payer. AHRQ, Healthcare Cost Brief No. 160 August 2013. 4 Adapted from Lagu, T., et al. Critical Care Medicine, 40(3):754-761; 2012 5 Adapted from: Elixhauser et al. Septicemia in U.S. Hospitals 2009, AHRQ, Healthcare Cost Brief No. 122 October 2011
Severe Sepsis: A High Unmet Medical Need
• Sepsis is a life-threatening complication of
infection leading to systemic inflammation
and organ failure
• Between 15M to 19M sepsis cases occur
worldwide each year1
• Mortality reaches 50% for severe sepsis
raising to 80% in septic shock2
• In the US, sepsis generates $20 billion in
hospital-related costs and is the most
expensive condition billed to Medicare3
• Cx611’s novel mechanism of action may
offer an innovative alternative to the
treatment of severe sepsis
• Soon to start Phase IIa trial has received the
support of the Horizon 2020 European
Commission Program and the endorsement
of key opinion leaders in Europe
25
600
800
1000
1200
1400
1600
1800
2000 2002 2004 2006 2008 2010
Dis
ch
arg
es th
ou
san
ds
Trend in U.S. hospital stays with septicemia 2000−20095
8% CAGR
750.000
466.000
375.000
84.000
0
200.000
400.000
600.000
800.000
1.000.000
1.200.000
Sepsis Breast, Prostate Cancer & AIDS
Diagnosed cases and mortality of Sepsis vs. Breast Cancer, Prostate Cancer & AIDS4
Diagnosis Deaths
eASCs Can Protect In Severe Sepsis
• Cx611 reduces mortality in animal models of sepsis
• This effect is due to a combination of reducing pro-inflammatory and increasing anti-
inflammatory mediators, production of anti-microbial effectors, and increased
phagocytosis
Source: Gonzalez-Rey, 2009 * p < 0.001
LPS1 Model CLP2 Model
26
1 LPS: lipopolysaccharide. LPS model is based on endotoxemia induced by high-dose of endotoxin 2 CLP: cecal ligation and puncture. This model mimics the clinical situation of patients with colonic leakage following surgical procedures or diffused peritonitis
CL
P m
od
el
• ↓ of pro-inflammatory mediators
• of anti-inflammatory mediator
• ↓ of inflammatory cells
LP
S m
od
el
* p<0.001
Source: Gonzalez-Rey et al. Gut. 2009 Jul;58(7):929-39
eASC Effect at the Cytokine and Cellular Level
27
Cx611: Phase I results and Next Steps
Phase IIa in Severe Sepsis Expected to Start 1Q16
• CELLULA Phase I trial results
• 250k, 1M, 4M eASC/kg and placebo administered to 32 healthy volunteers (8 per group)
• Favorable safety and tolerability profile of Cx611, consistent with Phase I/IIa in refractory RA
patients
• SEPCELL Phase Ib/IIa study in severe sepsis to start 1Q16
• Randomized, double blind, parallel groups, placebo controlled, multicenter study
• 180 patients (90 per group) with sCABP1 requiring mechanical ventilation and/or
vasopressors, admitted to the ICU. At least 50 centers in at least 4 countries
• 80M eASC or placebo on days 1 and 3 (160M in total) in addition to standard of care
therapy. 90 days follow up
• Primary endpoint: Adverse event and potential immunological host responses against the
administered cells
• Secondary endpoint: reduction in the duration of mechanical ventilation and/or vasopressors
needed and/or improved survival, and/or clinical cure of the CAPB, and other infection-
related endpoints
• Partially funded with $5.9M from the European Commission through its Horizon 2020
Program
28 1 Severe community-acquired bacterial pneumonia
AlloCSC-01: Phase ll interim data in <12 months
Intracoronary administration of allogeneic cardiac stem cells for the
treatment of acute ischaemic heart disease
29
AlloCSC-01: Preventing Chronic Heart Failure Myocardial Repair may be the only Feasible Alternative
• 1.9M Acute Myocardial Infarctions (US+EU)1 occur annually, mostly treated by PCI2 and stent
implantation
• Successful treatment of AMI has increased short term survival but contributed to a Chronic
Heart Failure (CHF) epidemic (26M patients worldwide3)
• CHF post-AMI is a terminal disease with an annual mortality rate of ~5% after the first
episode, for which no curative treatment exists with the exception of heart transplantation
30
1 Datamonitor: Stakeholder Insight: Acute coronary syndromes, DMHC2347, 2007 2 PCI: Percutaneous Coronary Intervention 3 Ambrosy PA et al., J Am Coll Cardiol. 2014;63:1123-1133. 4 Circulation. 2015 Jan 27;131(4):e29-322.
Myocardial repair is the only
feasible treatment to
address the post-acute
phase of the disease and
prevent the onset of CHF
CARDIAC REMODELING CARDIAC FUNCTION
AlloCSC-01: Efficacy Demonstrated in Pig Model
Efficacy Data from MRI1 Histological Analysis
CONTROL
AlloCSC-01
80
90
100
110
120
130
140
150
CONTROL
25M
50M
EDVi
30
40
50
60
70
80
90
100
CONTROL
25M
50M
ESVi
30
35
40
45
50
55
60
CONTROL
25M
50M
EF
* *
*
1 MRI: Magnetic Resonance Imaging 2 EDVi: End-Diastolic Volume Index 3 ESVi: End-Systolic Volume Index 4 EF: Ejection Fraction
* p-value < 0.05
• AlloCSC-01 prevents cardiac remodelling after infarction preserving heart function
• AlloCSC-01 reduces scar size promoting formation of new contractile tissue
• Significant dose effect observed
31
2 3 4
CAREMI Phase I/II Trial Finalizing Recruitment Safety and Efficacy of Intracoronary Infusion of Allogeneic Cardiac Stem Cells in
Patients with Acute Myocardial Infarction (AMI)
TRIAL SUMMARY
Condition Acute Myocardial Infarction
Study design
AlloCSC-01 administered 5-7 days after PCI4
• Phase 1. Open label dose escalation in 6 patients
• Phase 2: Placebo controlled, 49 patients randomized 2:1 (35M cell dose in active arm)
Recruitment
• Phase 1: Completed
• Phase 2: Completed recruitment in 4Q15
# of centers 8 sites
Primary endpoint Mortality and MACE5 from any cause at
30 days
Secondary
endpoints (6 and
12 months)
Safety: Mortality and MACE
Efficacy: evolution of infarct size, biomechanical parameters by MRI
Clinical parameters: 6m walk test, NYHA6 scale
Completion 1H17 (Interim data 2H16)
PATIENT SELECTION
Initial clinical pre-screening:
• Males, females ≥18 years and ≤80 years
• Patients who present a STEMI1
• Killip ≤ 2 on admission
• Successful revascularization by PCI (TIMI2 = 3)
within 12h after the onset of symptoms
• EF≤50% by echocardiography (day 2 after infarct
symptoms)
• EF≤45% by MRI on D3-5 post-STEMI
• Infarct size (1st MRI) >25% in LV3
• Bare-metal stents or second generation drug
eluting stent at PCI
• The infarct culprit coronary artery is adequate for
treatment administration and the procedure is
technically feasible
• The patient is stable and in adequate clinical
condition to undergo the procedure
1 STEMI: ST-Segment-Elevation Myocardial Infarction 2 TIMI: Thrombolysis In Myocardial Infarction 3 LV: Left Ventricle 4 PCI: Percutaneous Coronary Intervention 5 MACE: Major Adverse Cardiac Events 6 NYHA: New York Heart Association 32
• In the dose-escalation open-label phase, 6 patients were treated and 5 of them were followed up for 6 months
• Patients received a single injection of 11 million (M), 22M or 35M cells of AlloCSC-01 (n=2 each) by intracoronary infusion 5 to 7 days after Percutaneous Coronary Intervention (PCI)
• Data presented at the European Society of Cardiology meeting in London, showed that AlloCSC-01 has a good safety profile as no adverse events or Major Adverse Cardiac Events (MACE) were observed during the 6 month follow-up period
• Preliminary efficacy data from this treated group showed a reduction in infarct size, and a LVEF improvement on MRI, over the 6-month follow-up period (n=5; p<0.05 for both parameters)
* p-value < 0.1
** p-value < 0.05
33
CAREMI Phase I/II Trial Positive Preliminary Results from Phase I Presented at ESC
1 3 2
1 LVEF (%): Left Ventricular Ejection Fraction % change versus screening MRI 2 IS (mL): Infarct Size 3 IS (% of LV): Infarct Size as % of Left Ventricular mass
Key Milestones, IP, Facts and Investment Highlights
34
Product 2014 2015 2016 2017
Cx601
(local)
Europe
US
AlloCSC-01 (intracoronary)
acute
myocardial
infarction
Cx611
(IV)
severe
sepsis
ChondroCelect
Key Milestones
3Q15 Phase 3 primary endpoint met (24 weeks)
2Q16 study results (1 year follow-up)
1Q16 EMA filing
3Q14 CMO selection
2H16 tech transfer finalized
4Q14 SPA submission
Increase market penetration in existing countries
Expand geographic reach through new market entries
4Q14 Phase 3 enrollment completed
1Q17 pivotal Phase 3 initiated
2H17 EMA approval
3Q15 positive SPA
1Q14 manufacturing facility sold
2Q14 licensed to SOBI
2H16 Phase 2 interim analysis
1H17 Phase 2 study results
1Q15 Phase 2 enrollment initiated
4Q15 Phase 2 enrollment completed
1Q17 IND filing
4Q14 Phase 1 initiated
2Q15 Phase 1 study results
1Q16 Phase 2 enrollment initiated
2Q17 Phase 2
enrollment completed
YE17 Phase 2 study results
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2H17 launch
Key Intellectual Property Patent Portfolio in Cell Therapy
• 27 patent families related to cell therapy products
• Pending & granted patents in over 20 jurisdictions including the US; expiry dates
2024 onwards for the products in development
• Patent covering eASC population and therapeutic uses granted in EU recently
• Key patent for Cx601 (PCX007) granted in US, AU, RU, MX, IL and NZ
• Patent protects use of ASCs in treatment of fistula
• Complementary protection possible through additional patents under review
• Portfolio covers key features of TiGenix’s chondrocyte and stem cell platforms
• Expanded cell compositions and preparations
• Use of expanded cells in treatment of broad range of indications
• Cell preparation methods & delivery systems
• FTO for indications in clinical development reviewed by external counsels
• US: Morrison & Foerster
• Europe: Carpmaels & Ransford
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Key Facts About TiGenix
Headquarters / Operations Leuven, Belgium / Madrid, Spain
Employees Approximately 75 employees
Stock Exchange Euronext Brussels. Ticker: TIG
Market Capitalization Approx. $220M December 24, 2015
Reference Shareholders 22% held by Grifols and Novartis
Liquidity ~78% free-float, of which ~30% held by institutional investors
Analyst Coverage 6 analysts covering the stock, of which four are independent
Cash and Cash Equiv. $25M at June 30, 2015
Last Capital Increase $9,6M raised from US and EU institutional investors in Nov. 15
37 Note: Numbers reflect EUR/USD = 1.1 as of 12/22/15
Investment Highlights
Positive Phase III
And Advanced EU
Regulatory
Strategy:
Cx601
• Complex perianal fistulas in Crohn’s disease patients in the US & EU represents a multi-billion
dollar market opportunity
• Pivotal Phase III allogeneic stem cell asset (local administration of a single dose)
• Results met primary endpoint
• Statistically superior to placebo in achieving combined remission at week 24 (p<0.025)
• Filing for MAA expected in 1Q16 and launch expected 2H17
• Fully-owned asset
• Consistent and robust manufacturing process
• Management team has valuable experience in regulatory approval / commercialization process; first
ever ATMP1 approved by EMA
• Use of data from positive pivotal Phase III trial in EU to support a BLA in the US
• FDA’s agreement on SPA obtained for pivotal phase III trial in the US
• Same primary endpoint as positive EU Phase III trial
• Phase III to start 1Q17
• Fully-owned asset
• Lonza selected as contract manufacturing organization for Cx601 in the US
Clear US
Regulatory and
Clinical Strategy:
Cx601
• AlloCSC-01: intra-coronary administered allogeneic cardiac stem cells, being developed for acute
myocardial infraction
• Randomized, double blind, placebo controlled Phase II trial ongoing
• Interim data expected 2H16
• Final one year follow up data expected 1H17
• Cx611: Intravenously-administered allogeneic stem cell product for severe sepsis (Phase I study
completed)
• Severe sepsis Phase ll trial design has been finalized; expected to enroll first patient in 1Q16
Valuable Pipeline
Opportunities:
AlloCSC-01 and
Cx611
1 Advanced Therapy Medicinal Product 38
Corporate Presentation
January 2016
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