Company presentation : August 2012 Company Presentation August 2012.
Company Presentation€¦ · Company Presentation October 2020. This presentation contains express...
Transcript of Company Presentation€¦ · Company Presentation October 2020. This presentation contains express...
Company PresentationOctober 2020
This presentation contains express or implied forward-looking statements within the Private Securities Litigation Reform Act of 1995 and other US Federalsecurities laws For example we are using forward-looking statements when we discuss the expected timing of obtaining regulatory approval for our variouspatient trials and clinical data readout proposed trials that may occur in the future the timing and implementation of our collaborations with various partnersand the execution of definitive agreements relating to such collaborations and the potential benefits and impact our products could have on improving patienthealth care These forward-looking statements and their implications are based on the current expectations of our management only and are subject to anumber of factors and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements The followingfactors among others could cause actual results to differ materially from those described in the forward-looking statements changes in technology and marketrequirements we may encounter delays or obstacles in launching andor successfully completing our clinical trials our products may not be approved byregulatory agencies our technology may not be validated as we progress further and our methods may not be accepted by the scientific community we may beunable to retain or attract key employees whose knowledge is essential to the development of our products unforeseen scientific difficulties may develop withour process our products may wind up being more expensive than we anticipate results in the laboratory may not translate to equally good results in real clinicalsettings results of preclinical studies may not correlate with the results of human clinical trials our patents may not be sufficient our products may harmrecipients changes in legislation inability to timely develop and introduce new technologies products and applications loss of market share and pressure onpricing resulting from competition which could cause our actual results or performance to differ materially from those contemplated in such forward-lookingstatements Except as otherwise required by law we undertake no obligation to publicly release any revisions to these forward-looking statements to reflectevents or circumstances after the date hereof or to reflect the occurrence of unanticipated events For a more detailed description of the risks and uncertaintiesaffecting us reference is made to our reports filed from time to time with the Securities and Exchange Commission
Forward Looking Statement
2
3
bull Cell therapy company focused on Regenerative Medicine
bull Several Off-the-shelf placenta-derived cell product candidates
bull Two ongoing Phase III studies in critical limb ischemia (CLI)
associated with diabetes complications and in muscle regeneration
bull Playing active role in clinical development for complications
associated with COVID-19
bull Favorable safety profile and efficacy data from hundreds of
patients treated worldwide
bull Best-in-class cell manufacturing technology producing
highest-quality cell products at a commercial scale
bull Strong IP portfolio (over 120 granted patents)
bull Publicly-listed on Nasdaq and TASE
bull Cash ~$59 million (as of June 30 2020)
bull Full time employees ~160
Pluristem Therapeutics
The Need for Cell Therapy
Complexity of the diseaseInnovative treatments are needed to treat complex diseases
The Economic ImpactSome of the worldrsquos largest economies are now facing subsequent increases in health-care costs
The Human ImpactAging is often associated with debilitating medical conditions many of which are still unmet needs
Longer lifespansLifespan has increased significantlyNearly 2 billion people across the world are expected to be over 60 years old by 2050 (World Health Organization)
4
5
Placenta-Derived Cells
bull Ethically accepted
bull Rich amp diverse
bull Pro-angiogenic amp immunoregulatory
bull Young donors after full-term delivery undergoing an elective caesarean section
bull Unlimited source amp easy to collect
bull Ability to manufacture treatments for over 20000 patients per placenta
The Placenta Project was
launched by the US National
Institutes of Health (NIH) in 2013
to further explore the role of the
placenta in health and disease
httpwwwthe-scientistcomarticlesviewarticleNo43618titleThe-Prescient-Placenta
State-of-the-art 3D bioreactor system forcell expansion that mimics the human body
High Quality Scalable Cost-effective
GMPManufacturing
Automated Batch-to-batch Consistency
One placenta can treat over 20000 patients
6
Manufacturing Process Approved by
Commercial-Scale In-House Technology Platform
bull Cost-effective market-ready industrialized platform
bull Full vertical solution - from raw material to the patientrsquos bed
bull Automated efficient and validated manufacturing technology
bull Fully developed unique cold chain logistics
bull Scalable and tech-transferable technology for additional capacity
bull Off-the-shelf biopharmaceutical No special preparation required
Thawing Device Storage
Advanced cold chain logistics
Quality Control
ManufacturingCell
HarnessingProcess
DevelopmentClinical
Development Cold Chain
GMP
Manufacturing
1 placenta
can treat ~ 20000 patients
Regulatory Approvals
in EU USA Israel South Korea ampJapan
IMInjection
Shipment
Controlled automatedscalable 3D manufacturing facility
7
Full Vertical Solution From Raw Material to the Patientrsquos Bed
Wide Application of Placenta Cells
Market-Ready Scalable Technology
Platform
Off-the-shelf Allogeneic Line
of Products
Simple IM
Administration
Adaptive Slow Secretion of
Cytokines
Long-term Regenerative
Effect
Angiogenesis Muscle regeneration
Immunomodulation reduction of inflammation
8
From the Miracle of Birth to Regenerative Medicine for All
Product Focus Indication Funding LocationData
ReadoutPre-Clinical Phase I Phase II Phase III
PLX
-PA
D
Vascular Diseases
Critical Limb Ischemia Interim analysis-Q4 2020
Intermittent Claudication
Europe Israel US
Europe Israel US South Korea
Inflammatory Diseases
ARDS due to COVID-19 Europe US Q1 2021
Graft Versus Host Disease Israel
Muscle Injuries
Muscle Regeneration following Hip Fracture
Europe Israel US
Q3 2021
PLX
-R1
8
Hematological Deficiencies
Acute Radiation Syndrome US
Incomplete Recovery Following Bone Marrow Transplantation
Israel US Q1 2021
9
Clinical Pipeline
10
PLX-PAD
Peripheral Arterial Disease
bull CLI is caused by fatty deposits in leg arteries that obstruct blood flow
bull Risk factors include smoking diabetes obesity cardiovascular problems and hypertension
bull CLI patients suffer from severe pain skin wounds tissue necrosis and poor quality of life
bull High risk of leg amputation and death
bull Up to 35 of patients are unsuitable or will not benefit from revascularization
Peripheral Arterial Disease ndash Critical Limb Ischemia (CLI)
11
PLX-PAD is designed to treat CLI by reducing inflammation and stimulate the growth of blood vessels to bring oxygenated blood to ischemic tissue
5 Year Mortality Rate Inpatient amp Outpatient Treatment Costs by Rutherford Category
Clinical Development in Peripheral Arterial Disease
12
Completed two Phase I studies in CLI ndash US amp Germany (N=27)
Good safety profile
Increase in tissue perfusion 60 reduction in the risk for death or amputation
Dose identification ndash two treatments of 300 million cells two months apart
Completed Phase II study in intermittent claudication (IC) ndash US Germany S Korea amp Israel
Good safety profile
Significant increase in walking distance reduction in surgical events and HbA1c and CRP levels
Confirmation of Phase III design including ndash dose (300m cells) dose regimen (2 administrations)
(N=172)
13
Ongoing Phase III study in CLI ndash US Europe amp Israel
Ongoing CLI Phase III Study
bull Expected top-line interim data analysis results in Q42020 (calendar year)
bull Patient enrollment to the full clinical study ongoing
bull Awarded adaptive pathway program in the EU
Disclaimer The results presented above are a small sample of the ongoing trial chosen by the principal investigator and are not representative of the full trial population These results may not be typical and could be materially different from the results reported at the completion of the trial Investors are cautioned to consider this sample data at their own risk
euro 76 million grant from the EU Horizon 2020 program
Design Phase III randomized Double-Blind Placebo-controlled (21)
Study population CLI subjects with minor tissue loss unsuitable for revascularization
Countries Germany UK US Poland Hungary Czech Republic Bulgaria Macedonia Israel
Sample size Randomization will stop when required amount of events (82) is assured
Doses tested 300M cells vs placebo (randomization ratio 21)
Administration IM injections in the affected leg 2 treatments at 8-week interval
Primary efficacy endpoint Time to occurrence of major amputation of leg or death (AFS)
Main secondary amp exploratory efficacy endpoints
Composite efficacy endpoint Pain Complete wound healing Quality-of-life Adjudicated amputations TcPO2 Cytokine levels
Follow-up length 52 weeks
Expected top-line interim data analysis results
Q4 calendar year of 2020
14
Ongoing CLI Phase III Study - Overview
PLX-PAD
Muscle Regeneration
15
PLX-PAD is designed to stimulate muscle regeneration ndashgain muscle strength and volume
16
There are currently no approved treatments for post-operative regeneration of injured or weak skeletal muscle
Muscle Regeneration Following Hip Fracture
bull As the population ages the number of hip fractures continuesto increase
bull Worldwide the total number of hip fractures is expected tosurpass 6 million by the year 2050
bull Hip fracture often leads to serious long-term complicationsincluding pain functional decline and disability
bull Up to 36 mortality rate after one year due to immobilityassociated diseases
Kannus P Parkkari J Sievaumlnen H et al Epidemiology of hip fracturesSimran Mundi et al 2014Jorma Panula et al 2011
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
This presentation contains express or implied forward-looking statements within the Private Securities Litigation Reform Act of 1995 and other US Federalsecurities laws For example we are using forward-looking statements when we discuss the expected timing of obtaining regulatory approval for our variouspatient trials and clinical data readout proposed trials that may occur in the future the timing and implementation of our collaborations with various partnersand the execution of definitive agreements relating to such collaborations and the potential benefits and impact our products could have on improving patienthealth care These forward-looking statements and their implications are based on the current expectations of our management only and are subject to anumber of factors and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements The followingfactors among others could cause actual results to differ materially from those described in the forward-looking statements changes in technology and marketrequirements we may encounter delays or obstacles in launching andor successfully completing our clinical trials our products may not be approved byregulatory agencies our technology may not be validated as we progress further and our methods may not be accepted by the scientific community we may beunable to retain or attract key employees whose knowledge is essential to the development of our products unforeseen scientific difficulties may develop withour process our products may wind up being more expensive than we anticipate results in the laboratory may not translate to equally good results in real clinicalsettings results of preclinical studies may not correlate with the results of human clinical trials our patents may not be sufficient our products may harmrecipients changes in legislation inability to timely develop and introduce new technologies products and applications loss of market share and pressure onpricing resulting from competition which could cause our actual results or performance to differ materially from those contemplated in such forward-lookingstatements Except as otherwise required by law we undertake no obligation to publicly release any revisions to these forward-looking statements to reflectevents or circumstances after the date hereof or to reflect the occurrence of unanticipated events For a more detailed description of the risks and uncertaintiesaffecting us reference is made to our reports filed from time to time with the Securities and Exchange Commission
Forward Looking Statement
2
3
bull Cell therapy company focused on Regenerative Medicine
bull Several Off-the-shelf placenta-derived cell product candidates
bull Two ongoing Phase III studies in critical limb ischemia (CLI)
associated with diabetes complications and in muscle regeneration
bull Playing active role in clinical development for complications
associated with COVID-19
bull Favorable safety profile and efficacy data from hundreds of
patients treated worldwide
bull Best-in-class cell manufacturing technology producing
highest-quality cell products at a commercial scale
bull Strong IP portfolio (over 120 granted patents)
bull Publicly-listed on Nasdaq and TASE
bull Cash ~$59 million (as of June 30 2020)
bull Full time employees ~160
Pluristem Therapeutics
The Need for Cell Therapy
Complexity of the diseaseInnovative treatments are needed to treat complex diseases
The Economic ImpactSome of the worldrsquos largest economies are now facing subsequent increases in health-care costs
The Human ImpactAging is often associated with debilitating medical conditions many of which are still unmet needs
Longer lifespansLifespan has increased significantlyNearly 2 billion people across the world are expected to be over 60 years old by 2050 (World Health Organization)
4
5
Placenta-Derived Cells
bull Ethically accepted
bull Rich amp diverse
bull Pro-angiogenic amp immunoregulatory
bull Young donors after full-term delivery undergoing an elective caesarean section
bull Unlimited source amp easy to collect
bull Ability to manufacture treatments for over 20000 patients per placenta
The Placenta Project was
launched by the US National
Institutes of Health (NIH) in 2013
to further explore the role of the
placenta in health and disease
httpwwwthe-scientistcomarticlesviewarticleNo43618titleThe-Prescient-Placenta
State-of-the-art 3D bioreactor system forcell expansion that mimics the human body
High Quality Scalable Cost-effective
GMPManufacturing
Automated Batch-to-batch Consistency
One placenta can treat over 20000 patients
6
Manufacturing Process Approved by
Commercial-Scale In-House Technology Platform
bull Cost-effective market-ready industrialized platform
bull Full vertical solution - from raw material to the patientrsquos bed
bull Automated efficient and validated manufacturing technology
bull Fully developed unique cold chain logistics
bull Scalable and tech-transferable technology for additional capacity
bull Off-the-shelf biopharmaceutical No special preparation required
Thawing Device Storage
Advanced cold chain logistics
Quality Control
ManufacturingCell
HarnessingProcess
DevelopmentClinical
Development Cold Chain
GMP
Manufacturing
1 placenta
can treat ~ 20000 patients
Regulatory Approvals
in EU USA Israel South Korea ampJapan
IMInjection
Shipment
Controlled automatedscalable 3D manufacturing facility
7
Full Vertical Solution From Raw Material to the Patientrsquos Bed
Wide Application of Placenta Cells
Market-Ready Scalable Technology
Platform
Off-the-shelf Allogeneic Line
of Products
Simple IM
Administration
Adaptive Slow Secretion of
Cytokines
Long-term Regenerative
Effect
Angiogenesis Muscle regeneration
Immunomodulation reduction of inflammation
8
From the Miracle of Birth to Regenerative Medicine for All
Product Focus Indication Funding LocationData
ReadoutPre-Clinical Phase I Phase II Phase III
PLX
-PA
D
Vascular Diseases
Critical Limb Ischemia Interim analysis-Q4 2020
Intermittent Claudication
Europe Israel US
Europe Israel US South Korea
Inflammatory Diseases
ARDS due to COVID-19 Europe US Q1 2021
Graft Versus Host Disease Israel
Muscle Injuries
Muscle Regeneration following Hip Fracture
Europe Israel US
Q3 2021
PLX
-R1
8
Hematological Deficiencies
Acute Radiation Syndrome US
Incomplete Recovery Following Bone Marrow Transplantation
Israel US Q1 2021
9
Clinical Pipeline
10
PLX-PAD
Peripheral Arterial Disease
bull CLI is caused by fatty deposits in leg arteries that obstruct blood flow
bull Risk factors include smoking diabetes obesity cardiovascular problems and hypertension
bull CLI patients suffer from severe pain skin wounds tissue necrosis and poor quality of life
bull High risk of leg amputation and death
bull Up to 35 of patients are unsuitable or will not benefit from revascularization
Peripheral Arterial Disease ndash Critical Limb Ischemia (CLI)
11
PLX-PAD is designed to treat CLI by reducing inflammation and stimulate the growth of blood vessels to bring oxygenated blood to ischemic tissue
5 Year Mortality Rate Inpatient amp Outpatient Treatment Costs by Rutherford Category
Clinical Development in Peripheral Arterial Disease
12
Completed two Phase I studies in CLI ndash US amp Germany (N=27)
Good safety profile
Increase in tissue perfusion 60 reduction in the risk for death or amputation
Dose identification ndash two treatments of 300 million cells two months apart
Completed Phase II study in intermittent claudication (IC) ndash US Germany S Korea amp Israel
Good safety profile
Significant increase in walking distance reduction in surgical events and HbA1c and CRP levels
Confirmation of Phase III design including ndash dose (300m cells) dose regimen (2 administrations)
(N=172)
13
Ongoing Phase III study in CLI ndash US Europe amp Israel
Ongoing CLI Phase III Study
bull Expected top-line interim data analysis results in Q42020 (calendar year)
bull Patient enrollment to the full clinical study ongoing
bull Awarded adaptive pathway program in the EU
Disclaimer The results presented above are a small sample of the ongoing trial chosen by the principal investigator and are not representative of the full trial population These results may not be typical and could be materially different from the results reported at the completion of the trial Investors are cautioned to consider this sample data at their own risk
euro 76 million grant from the EU Horizon 2020 program
Design Phase III randomized Double-Blind Placebo-controlled (21)
Study population CLI subjects with minor tissue loss unsuitable for revascularization
Countries Germany UK US Poland Hungary Czech Republic Bulgaria Macedonia Israel
Sample size Randomization will stop when required amount of events (82) is assured
Doses tested 300M cells vs placebo (randomization ratio 21)
Administration IM injections in the affected leg 2 treatments at 8-week interval
Primary efficacy endpoint Time to occurrence of major amputation of leg or death (AFS)
Main secondary amp exploratory efficacy endpoints
Composite efficacy endpoint Pain Complete wound healing Quality-of-life Adjudicated amputations TcPO2 Cytokine levels
Follow-up length 52 weeks
Expected top-line interim data analysis results
Q4 calendar year of 2020
14
Ongoing CLI Phase III Study - Overview
PLX-PAD
Muscle Regeneration
15
PLX-PAD is designed to stimulate muscle regeneration ndashgain muscle strength and volume
16
There are currently no approved treatments for post-operative regeneration of injured or weak skeletal muscle
Muscle Regeneration Following Hip Fracture
bull As the population ages the number of hip fractures continuesto increase
bull Worldwide the total number of hip fractures is expected tosurpass 6 million by the year 2050
bull Hip fracture often leads to serious long-term complicationsincluding pain functional decline and disability
bull Up to 36 mortality rate after one year due to immobilityassociated diseases
Kannus P Parkkari J Sievaumlnen H et al Epidemiology of hip fracturesSimran Mundi et al 2014Jorma Panula et al 2011
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
3
bull Cell therapy company focused on Regenerative Medicine
bull Several Off-the-shelf placenta-derived cell product candidates
bull Two ongoing Phase III studies in critical limb ischemia (CLI)
associated with diabetes complications and in muscle regeneration
bull Playing active role in clinical development for complications
associated with COVID-19
bull Favorable safety profile and efficacy data from hundreds of
patients treated worldwide
bull Best-in-class cell manufacturing technology producing
highest-quality cell products at a commercial scale
bull Strong IP portfolio (over 120 granted patents)
bull Publicly-listed on Nasdaq and TASE
bull Cash ~$59 million (as of June 30 2020)
bull Full time employees ~160
Pluristem Therapeutics
The Need for Cell Therapy
Complexity of the diseaseInnovative treatments are needed to treat complex diseases
The Economic ImpactSome of the worldrsquos largest economies are now facing subsequent increases in health-care costs
The Human ImpactAging is often associated with debilitating medical conditions many of which are still unmet needs
Longer lifespansLifespan has increased significantlyNearly 2 billion people across the world are expected to be over 60 years old by 2050 (World Health Organization)
4
5
Placenta-Derived Cells
bull Ethically accepted
bull Rich amp diverse
bull Pro-angiogenic amp immunoregulatory
bull Young donors after full-term delivery undergoing an elective caesarean section
bull Unlimited source amp easy to collect
bull Ability to manufacture treatments for over 20000 patients per placenta
The Placenta Project was
launched by the US National
Institutes of Health (NIH) in 2013
to further explore the role of the
placenta in health and disease
httpwwwthe-scientistcomarticlesviewarticleNo43618titleThe-Prescient-Placenta
State-of-the-art 3D bioreactor system forcell expansion that mimics the human body
High Quality Scalable Cost-effective
GMPManufacturing
Automated Batch-to-batch Consistency
One placenta can treat over 20000 patients
6
Manufacturing Process Approved by
Commercial-Scale In-House Technology Platform
bull Cost-effective market-ready industrialized platform
bull Full vertical solution - from raw material to the patientrsquos bed
bull Automated efficient and validated manufacturing technology
bull Fully developed unique cold chain logistics
bull Scalable and tech-transferable technology for additional capacity
bull Off-the-shelf biopharmaceutical No special preparation required
Thawing Device Storage
Advanced cold chain logistics
Quality Control
ManufacturingCell
HarnessingProcess
DevelopmentClinical
Development Cold Chain
GMP
Manufacturing
1 placenta
can treat ~ 20000 patients
Regulatory Approvals
in EU USA Israel South Korea ampJapan
IMInjection
Shipment
Controlled automatedscalable 3D manufacturing facility
7
Full Vertical Solution From Raw Material to the Patientrsquos Bed
Wide Application of Placenta Cells
Market-Ready Scalable Technology
Platform
Off-the-shelf Allogeneic Line
of Products
Simple IM
Administration
Adaptive Slow Secretion of
Cytokines
Long-term Regenerative
Effect
Angiogenesis Muscle regeneration
Immunomodulation reduction of inflammation
8
From the Miracle of Birth to Regenerative Medicine for All
Product Focus Indication Funding LocationData
ReadoutPre-Clinical Phase I Phase II Phase III
PLX
-PA
D
Vascular Diseases
Critical Limb Ischemia Interim analysis-Q4 2020
Intermittent Claudication
Europe Israel US
Europe Israel US South Korea
Inflammatory Diseases
ARDS due to COVID-19 Europe US Q1 2021
Graft Versus Host Disease Israel
Muscle Injuries
Muscle Regeneration following Hip Fracture
Europe Israel US
Q3 2021
PLX
-R1
8
Hematological Deficiencies
Acute Radiation Syndrome US
Incomplete Recovery Following Bone Marrow Transplantation
Israel US Q1 2021
9
Clinical Pipeline
10
PLX-PAD
Peripheral Arterial Disease
bull CLI is caused by fatty deposits in leg arteries that obstruct blood flow
bull Risk factors include smoking diabetes obesity cardiovascular problems and hypertension
bull CLI patients suffer from severe pain skin wounds tissue necrosis and poor quality of life
bull High risk of leg amputation and death
bull Up to 35 of patients are unsuitable or will not benefit from revascularization
Peripheral Arterial Disease ndash Critical Limb Ischemia (CLI)
11
PLX-PAD is designed to treat CLI by reducing inflammation and stimulate the growth of blood vessels to bring oxygenated blood to ischemic tissue
5 Year Mortality Rate Inpatient amp Outpatient Treatment Costs by Rutherford Category
Clinical Development in Peripheral Arterial Disease
12
Completed two Phase I studies in CLI ndash US amp Germany (N=27)
Good safety profile
Increase in tissue perfusion 60 reduction in the risk for death or amputation
Dose identification ndash two treatments of 300 million cells two months apart
Completed Phase II study in intermittent claudication (IC) ndash US Germany S Korea amp Israel
Good safety profile
Significant increase in walking distance reduction in surgical events and HbA1c and CRP levels
Confirmation of Phase III design including ndash dose (300m cells) dose regimen (2 administrations)
(N=172)
13
Ongoing Phase III study in CLI ndash US Europe amp Israel
Ongoing CLI Phase III Study
bull Expected top-line interim data analysis results in Q42020 (calendar year)
bull Patient enrollment to the full clinical study ongoing
bull Awarded adaptive pathway program in the EU
Disclaimer The results presented above are a small sample of the ongoing trial chosen by the principal investigator and are not representative of the full trial population These results may not be typical and could be materially different from the results reported at the completion of the trial Investors are cautioned to consider this sample data at their own risk
euro 76 million grant from the EU Horizon 2020 program
Design Phase III randomized Double-Blind Placebo-controlled (21)
Study population CLI subjects with minor tissue loss unsuitable for revascularization
Countries Germany UK US Poland Hungary Czech Republic Bulgaria Macedonia Israel
Sample size Randomization will stop when required amount of events (82) is assured
Doses tested 300M cells vs placebo (randomization ratio 21)
Administration IM injections in the affected leg 2 treatments at 8-week interval
Primary efficacy endpoint Time to occurrence of major amputation of leg or death (AFS)
Main secondary amp exploratory efficacy endpoints
Composite efficacy endpoint Pain Complete wound healing Quality-of-life Adjudicated amputations TcPO2 Cytokine levels
Follow-up length 52 weeks
Expected top-line interim data analysis results
Q4 calendar year of 2020
14
Ongoing CLI Phase III Study - Overview
PLX-PAD
Muscle Regeneration
15
PLX-PAD is designed to stimulate muscle regeneration ndashgain muscle strength and volume
16
There are currently no approved treatments for post-operative regeneration of injured or weak skeletal muscle
Muscle Regeneration Following Hip Fracture
bull As the population ages the number of hip fractures continuesto increase
bull Worldwide the total number of hip fractures is expected tosurpass 6 million by the year 2050
bull Hip fracture often leads to serious long-term complicationsincluding pain functional decline and disability
bull Up to 36 mortality rate after one year due to immobilityassociated diseases
Kannus P Parkkari J Sievaumlnen H et al Epidemiology of hip fracturesSimran Mundi et al 2014Jorma Panula et al 2011
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
The Need for Cell Therapy
Complexity of the diseaseInnovative treatments are needed to treat complex diseases
The Economic ImpactSome of the worldrsquos largest economies are now facing subsequent increases in health-care costs
The Human ImpactAging is often associated with debilitating medical conditions many of which are still unmet needs
Longer lifespansLifespan has increased significantlyNearly 2 billion people across the world are expected to be over 60 years old by 2050 (World Health Organization)
4
5
Placenta-Derived Cells
bull Ethically accepted
bull Rich amp diverse
bull Pro-angiogenic amp immunoregulatory
bull Young donors after full-term delivery undergoing an elective caesarean section
bull Unlimited source amp easy to collect
bull Ability to manufacture treatments for over 20000 patients per placenta
The Placenta Project was
launched by the US National
Institutes of Health (NIH) in 2013
to further explore the role of the
placenta in health and disease
httpwwwthe-scientistcomarticlesviewarticleNo43618titleThe-Prescient-Placenta
State-of-the-art 3D bioreactor system forcell expansion that mimics the human body
High Quality Scalable Cost-effective
GMPManufacturing
Automated Batch-to-batch Consistency
One placenta can treat over 20000 patients
6
Manufacturing Process Approved by
Commercial-Scale In-House Technology Platform
bull Cost-effective market-ready industrialized platform
bull Full vertical solution - from raw material to the patientrsquos bed
bull Automated efficient and validated manufacturing technology
bull Fully developed unique cold chain logistics
bull Scalable and tech-transferable technology for additional capacity
bull Off-the-shelf biopharmaceutical No special preparation required
Thawing Device Storage
Advanced cold chain logistics
Quality Control
ManufacturingCell
HarnessingProcess
DevelopmentClinical
Development Cold Chain
GMP
Manufacturing
1 placenta
can treat ~ 20000 patients
Regulatory Approvals
in EU USA Israel South Korea ampJapan
IMInjection
Shipment
Controlled automatedscalable 3D manufacturing facility
7
Full Vertical Solution From Raw Material to the Patientrsquos Bed
Wide Application of Placenta Cells
Market-Ready Scalable Technology
Platform
Off-the-shelf Allogeneic Line
of Products
Simple IM
Administration
Adaptive Slow Secretion of
Cytokines
Long-term Regenerative
Effect
Angiogenesis Muscle regeneration
Immunomodulation reduction of inflammation
8
From the Miracle of Birth to Regenerative Medicine for All
Product Focus Indication Funding LocationData
ReadoutPre-Clinical Phase I Phase II Phase III
PLX
-PA
D
Vascular Diseases
Critical Limb Ischemia Interim analysis-Q4 2020
Intermittent Claudication
Europe Israel US
Europe Israel US South Korea
Inflammatory Diseases
ARDS due to COVID-19 Europe US Q1 2021
Graft Versus Host Disease Israel
Muscle Injuries
Muscle Regeneration following Hip Fracture
Europe Israel US
Q3 2021
PLX
-R1
8
Hematological Deficiencies
Acute Radiation Syndrome US
Incomplete Recovery Following Bone Marrow Transplantation
Israel US Q1 2021
9
Clinical Pipeline
10
PLX-PAD
Peripheral Arterial Disease
bull CLI is caused by fatty deposits in leg arteries that obstruct blood flow
bull Risk factors include smoking diabetes obesity cardiovascular problems and hypertension
bull CLI patients suffer from severe pain skin wounds tissue necrosis and poor quality of life
bull High risk of leg amputation and death
bull Up to 35 of patients are unsuitable or will not benefit from revascularization
Peripheral Arterial Disease ndash Critical Limb Ischemia (CLI)
11
PLX-PAD is designed to treat CLI by reducing inflammation and stimulate the growth of blood vessels to bring oxygenated blood to ischemic tissue
5 Year Mortality Rate Inpatient amp Outpatient Treatment Costs by Rutherford Category
Clinical Development in Peripheral Arterial Disease
12
Completed two Phase I studies in CLI ndash US amp Germany (N=27)
Good safety profile
Increase in tissue perfusion 60 reduction in the risk for death or amputation
Dose identification ndash two treatments of 300 million cells two months apart
Completed Phase II study in intermittent claudication (IC) ndash US Germany S Korea amp Israel
Good safety profile
Significant increase in walking distance reduction in surgical events and HbA1c and CRP levels
Confirmation of Phase III design including ndash dose (300m cells) dose regimen (2 administrations)
(N=172)
13
Ongoing Phase III study in CLI ndash US Europe amp Israel
Ongoing CLI Phase III Study
bull Expected top-line interim data analysis results in Q42020 (calendar year)
bull Patient enrollment to the full clinical study ongoing
bull Awarded adaptive pathway program in the EU
Disclaimer The results presented above are a small sample of the ongoing trial chosen by the principal investigator and are not representative of the full trial population These results may not be typical and could be materially different from the results reported at the completion of the trial Investors are cautioned to consider this sample data at their own risk
euro 76 million grant from the EU Horizon 2020 program
Design Phase III randomized Double-Blind Placebo-controlled (21)
Study population CLI subjects with minor tissue loss unsuitable for revascularization
Countries Germany UK US Poland Hungary Czech Republic Bulgaria Macedonia Israel
Sample size Randomization will stop when required amount of events (82) is assured
Doses tested 300M cells vs placebo (randomization ratio 21)
Administration IM injections in the affected leg 2 treatments at 8-week interval
Primary efficacy endpoint Time to occurrence of major amputation of leg or death (AFS)
Main secondary amp exploratory efficacy endpoints
Composite efficacy endpoint Pain Complete wound healing Quality-of-life Adjudicated amputations TcPO2 Cytokine levels
Follow-up length 52 weeks
Expected top-line interim data analysis results
Q4 calendar year of 2020
14
Ongoing CLI Phase III Study - Overview
PLX-PAD
Muscle Regeneration
15
PLX-PAD is designed to stimulate muscle regeneration ndashgain muscle strength and volume
16
There are currently no approved treatments for post-operative regeneration of injured or weak skeletal muscle
Muscle Regeneration Following Hip Fracture
bull As the population ages the number of hip fractures continuesto increase
bull Worldwide the total number of hip fractures is expected tosurpass 6 million by the year 2050
bull Hip fracture often leads to serious long-term complicationsincluding pain functional decline and disability
bull Up to 36 mortality rate after one year due to immobilityassociated diseases
Kannus P Parkkari J Sievaumlnen H et al Epidemiology of hip fracturesSimran Mundi et al 2014Jorma Panula et al 2011
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
5
Placenta-Derived Cells
bull Ethically accepted
bull Rich amp diverse
bull Pro-angiogenic amp immunoregulatory
bull Young donors after full-term delivery undergoing an elective caesarean section
bull Unlimited source amp easy to collect
bull Ability to manufacture treatments for over 20000 patients per placenta
The Placenta Project was
launched by the US National
Institutes of Health (NIH) in 2013
to further explore the role of the
placenta in health and disease
httpwwwthe-scientistcomarticlesviewarticleNo43618titleThe-Prescient-Placenta
State-of-the-art 3D bioreactor system forcell expansion that mimics the human body
High Quality Scalable Cost-effective
GMPManufacturing
Automated Batch-to-batch Consistency
One placenta can treat over 20000 patients
6
Manufacturing Process Approved by
Commercial-Scale In-House Technology Platform
bull Cost-effective market-ready industrialized platform
bull Full vertical solution - from raw material to the patientrsquos bed
bull Automated efficient and validated manufacturing technology
bull Fully developed unique cold chain logistics
bull Scalable and tech-transferable technology for additional capacity
bull Off-the-shelf biopharmaceutical No special preparation required
Thawing Device Storage
Advanced cold chain logistics
Quality Control
ManufacturingCell
HarnessingProcess
DevelopmentClinical
Development Cold Chain
GMP
Manufacturing
1 placenta
can treat ~ 20000 patients
Regulatory Approvals
in EU USA Israel South Korea ampJapan
IMInjection
Shipment
Controlled automatedscalable 3D manufacturing facility
7
Full Vertical Solution From Raw Material to the Patientrsquos Bed
Wide Application of Placenta Cells
Market-Ready Scalable Technology
Platform
Off-the-shelf Allogeneic Line
of Products
Simple IM
Administration
Adaptive Slow Secretion of
Cytokines
Long-term Regenerative
Effect
Angiogenesis Muscle regeneration
Immunomodulation reduction of inflammation
8
From the Miracle of Birth to Regenerative Medicine for All
Product Focus Indication Funding LocationData
ReadoutPre-Clinical Phase I Phase II Phase III
PLX
-PA
D
Vascular Diseases
Critical Limb Ischemia Interim analysis-Q4 2020
Intermittent Claudication
Europe Israel US
Europe Israel US South Korea
Inflammatory Diseases
ARDS due to COVID-19 Europe US Q1 2021
Graft Versus Host Disease Israel
Muscle Injuries
Muscle Regeneration following Hip Fracture
Europe Israel US
Q3 2021
PLX
-R1
8
Hematological Deficiencies
Acute Radiation Syndrome US
Incomplete Recovery Following Bone Marrow Transplantation
Israel US Q1 2021
9
Clinical Pipeline
10
PLX-PAD
Peripheral Arterial Disease
bull CLI is caused by fatty deposits in leg arteries that obstruct blood flow
bull Risk factors include smoking diabetes obesity cardiovascular problems and hypertension
bull CLI patients suffer from severe pain skin wounds tissue necrosis and poor quality of life
bull High risk of leg amputation and death
bull Up to 35 of patients are unsuitable or will not benefit from revascularization
Peripheral Arterial Disease ndash Critical Limb Ischemia (CLI)
11
PLX-PAD is designed to treat CLI by reducing inflammation and stimulate the growth of blood vessels to bring oxygenated blood to ischemic tissue
5 Year Mortality Rate Inpatient amp Outpatient Treatment Costs by Rutherford Category
Clinical Development in Peripheral Arterial Disease
12
Completed two Phase I studies in CLI ndash US amp Germany (N=27)
Good safety profile
Increase in tissue perfusion 60 reduction in the risk for death or amputation
Dose identification ndash two treatments of 300 million cells two months apart
Completed Phase II study in intermittent claudication (IC) ndash US Germany S Korea amp Israel
Good safety profile
Significant increase in walking distance reduction in surgical events and HbA1c and CRP levels
Confirmation of Phase III design including ndash dose (300m cells) dose regimen (2 administrations)
(N=172)
13
Ongoing Phase III study in CLI ndash US Europe amp Israel
Ongoing CLI Phase III Study
bull Expected top-line interim data analysis results in Q42020 (calendar year)
bull Patient enrollment to the full clinical study ongoing
bull Awarded adaptive pathway program in the EU
Disclaimer The results presented above are a small sample of the ongoing trial chosen by the principal investigator and are not representative of the full trial population These results may not be typical and could be materially different from the results reported at the completion of the trial Investors are cautioned to consider this sample data at their own risk
euro 76 million grant from the EU Horizon 2020 program
Design Phase III randomized Double-Blind Placebo-controlled (21)
Study population CLI subjects with minor tissue loss unsuitable for revascularization
Countries Germany UK US Poland Hungary Czech Republic Bulgaria Macedonia Israel
Sample size Randomization will stop when required amount of events (82) is assured
Doses tested 300M cells vs placebo (randomization ratio 21)
Administration IM injections in the affected leg 2 treatments at 8-week interval
Primary efficacy endpoint Time to occurrence of major amputation of leg or death (AFS)
Main secondary amp exploratory efficacy endpoints
Composite efficacy endpoint Pain Complete wound healing Quality-of-life Adjudicated amputations TcPO2 Cytokine levels
Follow-up length 52 weeks
Expected top-line interim data analysis results
Q4 calendar year of 2020
14
Ongoing CLI Phase III Study - Overview
PLX-PAD
Muscle Regeneration
15
PLX-PAD is designed to stimulate muscle regeneration ndashgain muscle strength and volume
16
There are currently no approved treatments for post-operative regeneration of injured or weak skeletal muscle
Muscle Regeneration Following Hip Fracture
bull As the population ages the number of hip fractures continuesto increase
bull Worldwide the total number of hip fractures is expected tosurpass 6 million by the year 2050
bull Hip fracture often leads to serious long-term complicationsincluding pain functional decline and disability
bull Up to 36 mortality rate after one year due to immobilityassociated diseases
Kannus P Parkkari J Sievaumlnen H et al Epidemiology of hip fracturesSimran Mundi et al 2014Jorma Panula et al 2011
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
State-of-the-art 3D bioreactor system forcell expansion that mimics the human body
High Quality Scalable Cost-effective
GMPManufacturing
Automated Batch-to-batch Consistency
One placenta can treat over 20000 patients
6
Manufacturing Process Approved by
Commercial-Scale In-House Technology Platform
bull Cost-effective market-ready industrialized platform
bull Full vertical solution - from raw material to the patientrsquos bed
bull Automated efficient and validated manufacturing technology
bull Fully developed unique cold chain logistics
bull Scalable and tech-transferable technology for additional capacity
bull Off-the-shelf biopharmaceutical No special preparation required
Thawing Device Storage
Advanced cold chain logistics
Quality Control
ManufacturingCell
HarnessingProcess
DevelopmentClinical
Development Cold Chain
GMP
Manufacturing
1 placenta
can treat ~ 20000 patients
Regulatory Approvals
in EU USA Israel South Korea ampJapan
IMInjection
Shipment
Controlled automatedscalable 3D manufacturing facility
7
Full Vertical Solution From Raw Material to the Patientrsquos Bed
Wide Application of Placenta Cells
Market-Ready Scalable Technology
Platform
Off-the-shelf Allogeneic Line
of Products
Simple IM
Administration
Adaptive Slow Secretion of
Cytokines
Long-term Regenerative
Effect
Angiogenesis Muscle regeneration
Immunomodulation reduction of inflammation
8
From the Miracle of Birth to Regenerative Medicine for All
Product Focus Indication Funding LocationData
ReadoutPre-Clinical Phase I Phase II Phase III
PLX
-PA
D
Vascular Diseases
Critical Limb Ischemia Interim analysis-Q4 2020
Intermittent Claudication
Europe Israel US
Europe Israel US South Korea
Inflammatory Diseases
ARDS due to COVID-19 Europe US Q1 2021
Graft Versus Host Disease Israel
Muscle Injuries
Muscle Regeneration following Hip Fracture
Europe Israel US
Q3 2021
PLX
-R1
8
Hematological Deficiencies
Acute Radiation Syndrome US
Incomplete Recovery Following Bone Marrow Transplantation
Israel US Q1 2021
9
Clinical Pipeline
10
PLX-PAD
Peripheral Arterial Disease
bull CLI is caused by fatty deposits in leg arteries that obstruct blood flow
bull Risk factors include smoking diabetes obesity cardiovascular problems and hypertension
bull CLI patients suffer from severe pain skin wounds tissue necrosis and poor quality of life
bull High risk of leg amputation and death
bull Up to 35 of patients are unsuitable or will not benefit from revascularization
Peripheral Arterial Disease ndash Critical Limb Ischemia (CLI)
11
PLX-PAD is designed to treat CLI by reducing inflammation and stimulate the growth of blood vessels to bring oxygenated blood to ischemic tissue
5 Year Mortality Rate Inpatient amp Outpatient Treatment Costs by Rutherford Category
Clinical Development in Peripheral Arterial Disease
12
Completed two Phase I studies in CLI ndash US amp Germany (N=27)
Good safety profile
Increase in tissue perfusion 60 reduction in the risk for death or amputation
Dose identification ndash two treatments of 300 million cells two months apart
Completed Phase II study in intermittent claudication (IC) ndash US Germany S Korea amp Israel
Good safety profile
Significant increase in walking distance reduction in surgical events and HbA1c and CRP levels
Confirmation of Phase III design including ndash dose (300m cells) dose regimen (2 administrations)
(N=172)
13
Ongoing Phase III study in CLI ndash US Europe amp Israel
Ongoing CLI Phase III Study
bull Expected top-line interim data analysis results in Q42020 (calendar year)
bull Patient enrollment to the full clinical study ongoing
bull Awarded adaptive pathway program in the EU
Disclaimer The results presented above are a small sample of the ongoing trial chosen by the principal investigator and are not representative of the full trial population These results may not be typical and could be materially different from the results reported at the completion of the trial Investors are cautioned to consider this sample data at their own risk
euro 76 million grant from the EU Horizon 2020 program
Design Phase III randomized Double-Blind Placebo-controlled (21)
Study population CLI subjects with minor tissue loss unsuitable for revascularization
Countries Germany UK US Poland Hungary Czech Republic Bulgaria Macedonia Israel
Sample size Randomization will stop when required amount of events (82) is assured
Doses tested 300M cells vs placebo (randomization ratio 21)
Administration IM injections in the affected leg 2 treatments at 8-week interval
Primary efficacy endpoint Time to occurrence of major amputation of leg or death (AFS)
Main secondary amp exploratory efficacy endpoints
Composite efficacy endpoint Pain Complete wound healing Quality-of-life Adjudicated amputations TcPO2 Cytokine levels
Follow-up length 52 weeks
Expected top-line interim data analysis results
Q4 calendar year of 2020
14
Ongoing CLI Phase III Study - Overview
PLX-PAD
Muscle Regeneration
15
PLX-PAD is designed to stimulate muscle regeneration ndashgain muscle strength and volume
16
There are currently no approved treatments for post-operative regeneration of injured or weak skeletal muscle
Muscle Regeneration Following Hip Fracture
bull As the population ages the number of hip fractures continuesto increase
bull Worldwide the total number of hip fractures is expected tosurpass 6 million by the year 2050
bull Hip fracture often leads to serious long-term complicationsincluding pain functional decline and disability
bull Up to 36 mortality rate after one year due to immobilityassociated diseases
Kannus P Parkkari J Sievaumlnen H et al Epidemiology of hip fracturesSimran Mundi et al 2014Jorma Panula et al 2011
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
Thawing Device Storage
Advanced cold chain logistics
Quality Control
ManufacturingCell
HarnessingProcess
DevelopmentClinical
Development Cold Chain
GMP
Manufacturing
1 placenta
can treat ~ 20000 patients
Regulatory Approvals
in EU USA Israel South Korea ampJapan
IMInjection
Shipment
Controlled automatedscalable 3D manufacturing facility
7
Full Vertical Solution From Raw Material to the Patientrsquos Bed
Wide Application of Placenta Cells
Market-Ready Scalable Technology
Platform
Off-the-shelf Allogeneic Line
of Products
Simple IM
Administration
Adaptive Slow Secretion of
Cytokines
Long-term Regenerative
Effect
Angiogenesis Muscle regeneration
Immunomodulation reduction of inflammation
8
From the Miracle of Birth to Regenerative Medicine for All
Product Focus Indication Funding LocationData
ReadoutPre-Clinical Phase I Phase II Phase III
PLX
-PA
D
Vascular Diseases
Critical Limb Ischemia Interim analysis-Q4 2020
Intermittent Claudication
Europe Israel US
Europe Israel US South Korea
Inflammatory Diseases
ARDS due to COVID-19 Europe US Q1 2021
Graft Versus Host Disease Israel
Muscle Injuries
Muscle Regeneration following Hip Fracture
Europe Israel US
Q3 2021
PLX
-R1
8
Hematological Deficiencies
Acute Radiation Syndrome US
Incomplete Recovery Following Bone Marrow Transplantation
Israel US Q1 2021
9
Clinical Pipeline
10
PLX-PAD
Peripheral Arterial Disease
bull CLI is caused by fatty deposits in leg arteries that obstruct blood flow
bull Risk factors include smoking diabetes obesity cardiovascular problems and hypertension
bull CLI patients suffer from severe pain skin wounds tissue necrosis and poor quality of life
bull High risk of leg amputation and death
bull Up to 35 of patients are unsuitable or will not benefit from revascularization
Peripheral Arterial Disease ndash Critical Limb Ischemia (CLI)
11
PLX-PAD is designed to treat CLI by reducing inflammation and stimulate the growth of blood vessels to bring oxygenated blood to ischemic tissue
5 Year Mortality Rate Inpatient amp Outpatient Treatment Costs by Rutherford Category
Clinical Development in Peripheral Arterial Disease
12
Completed two Phase I studies in CLI ndash US amp Germany (N=27)
Good safety profile
Increase in tissue perfusion 60 reduction in the risk for death or amputation
Dose identification ndash two treatments of 300 million cells two months apart
Completed Phase II study in intermittent claudication (IC) ndash US Germany S Korea amp Israel
Good safety profile
Significant increase in walking distance reduction in surgical events and HbA1c and CRP levels
Confirmation of Phase III design including ndash dose (300m cells) dose regimen (2 administrations)
(N=172)
13
Ongoing Phase III study in CLI ndash US Europe amp Israel
Ongoing CLI Phase III Study
bull Expected top-line interim data analysis results in Q42020 (calendar year)
bull Patient enrollment to the full clinical study ongoing
bull Awarded adaptive pathway program in the EU
Disclaimer The results presented above are a small sample of the ongoing trial chosen by the principal investigator and are not representative of the full trial population These results may not be typical and could be materially different from the results reported at the completion of the trial Investors are cautioned to consider this sample data at their own risk
euro 76 million grant from the EU Horizon 2020 program
Design Phase III randomized Double-Blind Placebo-controlled (21)
Study population CLI subjects with minor tissue loss unsuitable for revascularization
Countries Germany UK US Poland Hungary Czech Republic Bulgaria Macedonia Israel
Sample size Randomization will stop when required amount of events (82) is assured
Doses tested 300M cells vs placebo (randomization ratio 21)
Administration IM injections in the affected leg 2 treatments at 8-week interval
Primary efficacy endpoint Time to occurrence of major amputation of leg or death (AFS)
Main secondary amp exploratory efficacy endpoints
Composite efficacy endpoint Pain Complete wound healing Quality-of-life Adjudicated amputations TcPO2 Cytokine levels
Follow-up length 52 weeks
Expected top-line interim data analysis results
Q4 calendar year of 2020
14
Ongoing CLI Phase III Study - Overview
PLX-PAD
Muscle Regeneration
15
PLX-PAD is designed to stimulate muscle regeneration ndashgain muscle strength and volume
16
There are currently no approved treatments for post-operative regeneration of injured or weak skeletal muscle
Muscle Regeneration Following Hip Fracture
bull As the population ages the number of hip fractures continuesto increase
bull Worldwide the total number of hip fractures is expected tosurpass 6 million by the year 2050
bull Hip fracture often leads to serious long-term complicationsincluding pain functional decline and disability
bull Up to 36 mortality rate after one year due to immobilityassociated diseases
Kannus P Parkkari J Sievaumlnen H et al Epidemiology of hip fracturesSimran Mundi et al 2014Jorma Panula et al 2011
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
Wide Application of Placenta Cells
Market-Ready Scalable Technology
Platform
Off-the-shelf Allogeneic Line
of Products
Simple IM
Administration
Adaptive Slow Secretion of
Cytokines
Long-term Regenerative
Effect
Angiogenesis Muscle regeneration
Immunomodulation reduction of inflammation
8
From the Miracle of Birth to Regenerative Medicine for All
Product Focus Indication Funding LocationData
ReadoutPre-Clinical Phase I Phase II Phase III
PLX
-PA
D
Vascular Diseases
Critical Limb Ischemia Interim analysis-Q4 2020
Intermittent Claudication
Europe Israel US
Europe Israel US South Korea
Inflammatory Diseases
ARDS due to COVID-19 Europe US Q1 2021
Graft Versus Host Disease Israel
Muscle Injuries
Muscle Regeneration following Hip Fracture
Europe Israel US
Q3 2021
PLX
-R1
8
Hematological Deficiencies
Acute Radiation Syndrome US
Incomplete Recovery Following Bone Marrow Transplantation
Israel US Q1 2021
9
Clinical Pipeline
10
PLX-PAD
Peripheral Arterial Disease
bull CLI is caused by fatty deposits in leg arteries that obstruct blood flow
bull Risk factors include smoking diabetes obesity cardiovascular problems and hypertension
bull CLI patients suffer from severe pain skin wounds tissue necrosis and poor quality of life
bull High risk of leg amputation and death
bull Up to 35 of patients are unsuitable or will not benefit from revascularization
Peripheral Arterial Disease ndash Critical Limb Ischemia (CLI)
11
PLX-PAD is designed to treat CLI by reducing inflammation and stimulate the growth of blood vessels to bring oxygenated blood to ischemic tissue
5 Year Mortality Rate Inpatient amp Outpatient Treatment Costs by Rutherford Category
Clinical Development in Peripheral Arterial Disease
12
Completed two Phase I studies in CLI ndash US amp Germany (N=27)
Good safety profile
Increase in tissue perfusion 60 reduction in the risk for death or amputation
Dose identification ndash two treatments of 300 million cells two months apart
Completed Phase II study in intermittent claudication (IC) ndash US Germany S Korea amp Israel
Good safety profile
Significant increase in walking distance reduction in surgical events and HbA1c and CRP levels
Confirmation of Phase III design including ndash dose (300m cells) dose regimen (2 administrations)
(N=172)
13
Ongoing Phase III study in CLI ndash US Europe amp Israel
Ongoing CLI Phase III Study
bull Expected top-line interim data analysis results in Q42020 (calendar year)
bull Patient enrollment to the full clinical study ongoing
bull Awarded adaptive pathway program in the EU
Disclaimer The results presented above are a small sample of the ongoing trial chosen by the principal investigator and are not representative of the full trial population These results may not be typical and could be materially different from the results reported at the completion of the trial Investors are cautioned to consider this sample data at their own risk
euro 76 million grant from the EU Horizon 2020 program
Design Phase III randomized Double-Blind Placebo-controlled (21)
Study population CLI subjects with minor tissue loss unsuitable for revascularization
Countries Germany UK US Poland Hungary Czech Republic Bulgaria Macedonia Israel
Sample size Randomization will stop when required amount of events (82) is assured
Doses tested 300M cells vs placebo (randomization ratio 21)
Administration IM injections in the affected leg 2 treatments at 8-week interval
Primary efficacy endpoint Time to occurrence of major amputation of leg or death (AFS)
Main secondary amp exploratory efficacy endpoints
Composite efficacy endpoint Pain Complete wound healing Quality-of-life Adjudicated amputations TcPO2 Cytokine levels
Follow-up length 52 weeks
Expected top-line interim data analysis results
Q4 calendar year of 2020
14
Ongoing CLI Phase III Study - Overview
PLX-PAD
Muscle Regeneration
15
PLX-PAD is designed to stimulate muscle regeneration ndashgain muscle strength and volume
16
There are currently no approved treatments for post-operative regeneration of injured or weak skeletal muscle
Muscle Regeneration Following Hip Fracture
bull As the population ages the number of hip fractures continuesto increase
bull Worldwide the total number of hip fractures is expected tosurpass 6 million by the year 2050
bull Hip fracture often leads to serious long-term complicationsincluding pain functional decline and disability
bull Up to 36 mortality rate after one year due to immobilityassociated diseases
Kannus P Parkkari J Sievaumlnen H et al Epidemiology of hip fracturesSimran Mundi et al 2014Jorma Panula et al 2011
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
Product Focus Indication Funding LocationData
ReadoutPre-Clinical Phase I Phase II Phase III
PLX
-PA
D
Vascular Diseases
Critical Limb Ischemia Interim analysis-Q4 2020
Intermittent Claudication
Europe Israel US
Europe Israel US South Korea
Inflammatory Diseases
ARDS due to COVID-19 Europe US Q1 2021
Graft Versus Host Disease Israel
Muscle Injuries
Muscle Regeneration following Hip Fracture
Europe Israel US
Q3 2021
PLX
-R1
8
Hematological Deficiencies
Acute Radiation Syndrome US
Incomplete Recovery Following Bone Marrow Transplantation
Israel US Q1 2021
9
Clinical Pipeline
10
PLX-PAD
Peripheral Arterial Disease
bull CLI is caused by fatty deposits in leg arteries that obstruct blood flow
bull Risk factors include smoking diabetes obesity cardiovascular problems and hypertension
bull CLI patients suffer from severe pain skin wounds tissue necrosis and poor quality of life
bull High risk of leg amputation and death
bull Up to 35 of patients are unsuitable or will not benefit from revascularization
Peripheral Arterial Disease ndash Critical Limb Ischemia (CLI)
11
PLX-PAD is designed to treat CLI by reducing inflammation and stimulate the growth of blood vessels to bring oxygenated blood to ischemic tissue
5 Year Mortality Rate Inpatient amp Outpatient Treatment Costs by Rutherford Category
Clinical Development in Peripheral Arterial Disease
12
Completed two Phase I studies in CLI ndash US amp Germany (N=27)
Good safety profile
Increase in tissue perfusion 60 reduction in the risk for death or amputation
Dose identification ndash two treatments of 300 million cells two months apart
Completed Phase II study in intermittent claudication (IC) ndash US Germany S Korea amp Israel
Good safety profile
Significant increase in walking distance reduction in surgical events and HbA1c and CRP levels
Confirmation of Phase III design including ndash dose (300m cells) dose regimen (2 administrations)
(N=172)
13
Ongoing Phase III study in CLI ndash US Europe amp Israel
Ongoing CLI Phase III Study
bull Expected top-line interim data analysis results in Q42020 (calendar year)
bull Patient enrollment to the full clinical study ongoing
bull Awarded adaptive pathway program in the EU
Disclaimer The results presented above are a small sample of the ongoing trial chosen by the principal investigator and are not representative of the full trial population These results may not be typical and could be materially different from the results reported at the completion of the trial Investors are cautioned to consider this sample data at their own risk
euro 76 million grant from the EU Horizon 2020 program
Design Phase III randomized Double-Blind Placebo-controlled (21)
Study population CLI subjects with minor tissue loss unsuitable for revascularization
Countries Germany UK US Poland Hungary Czech Republic Bulgaria Macedonia Israel
Sample size Randomization will stop when required amount of events (82) is assured
Doses tested 300M cells vs placebo (randomization ratio 21)
Administration IM injections in the affected leg 2 treatments at 8-week interval
Primary efficacy endpoint Time to occurrence of major amputation of leg or death (AFS)
Main secondary amp exploratory efficacy endpoints
Composite efficacy endpoint Pain Complete wound healing Quality-of-life Adjudicated amputations TcPO2 Cytokine levels
Follow-up length 52 weeks
Expected top-line interim data analysis results
Q4 calendar year of 2020
14
Ongoing CLI Phase III Study - Overview
PLX-PAD
Muscle Regeneration
15
PLX-PAD is designed to stimulate muscle regeneration ndashgain muscle strength and volume
16
There are currently no approved treatments for post-operative regeneration of injured or weak skeletal muscle
Muscle Regeneration Following Hip Fracture
bull As the population ages the number of hip fractures continuesto increase
bull Worldwide the total number of hip fractures is expected tosurpass 6 million by the year 2050
bull Hip fracture often leads to serious long-term complicationsincluding pain functional decline and disability
bull Up to 36 mortality rate after one year due to immobilityassociated diseases
Kannus P Parkkari J Sievaumlnen H et al Epidemiology of hip fracturesSimran Mundi et al 2014Jorma Panula et al 2011
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
10
PLX-PAD
Peripheral Arterial Disease
bull CLI is caused by fatty deposits in leg arteries that obstruct blood flow
bull Risk factors include smoking diabetes obesity cardiovascular problems and hypertension
bull CLI patients suffer from severe pain skin wounds tissue necrosis and poor quality of life
bull High risk of leg amputation and death
bull Up to 35 of patients are unsuitable or will not benefit from revascularization
Peripheral Arterial Disease ndash Critical Limb Ischemia (CLI)
11
PLX-PAD is designed to treat CLI by reducing inflammation and stimulate the growth of blood vessels to bring oxygenated blood to ischemic tissue
5 Year Mortality Rate Inpatient amp Outpatient Treatment Costs by Rutherford Category
Clinical Development in Peripheral Arterial Disease
12
Completed two Phase I studies in CLI ndash US amp Germany (N=27)
Good safety profile
Increase in tissue perfusion 60 reduction in the risk for death or amputation
Dose identification ndash two treatments of 300 million cells two months apart
Completed Phase II study in intermittent claudication (IC) ndash US Germany S Korea amp Israel
Good safety profile
Significant increase in walking distance reduction in surgical events and HbA1c and CRP levels
Confirmation of Phase III design including ndash dose (300m cells) dose regimen (2 administrations)
(N=172)
13
Ongoing Phase III study in CLI ndash US Europe amp Israel
Ongoing CLI Phase III Study
bull Expected top-line interim data analysis results in Q42020 (calendar year)
bull Patient enrollment to the full clinical study ongoing
bull Awarded adaptive pathway program in the EU
Disclaimer The results presented above are a small sample of the ongoing trial chosen by the principal investigator and are not representative of the full trial population These results may not be typical and could be materially different from the results reported at the completion of the trial Investors are cautioned to consider this sample data at their own risk
euro 76 million grant from the EU Horizon 2020 program
Design Phase III randomized Double-Blind Placebo-controlled (21)
Study population CLI subjects with minor tissue loss unsuitable for revascularization
Countries Germany UK US Poland Hungary Czech Republic Bulgaria Macedonia Israel
Sample size Randomization will stop when required amount of events (82) is assured
Doses tested 300M cells vs placebo (randomization ratio 21)
Administration IM injections in the affected leg 2 treatments at 8-week interval
Primary efficacy endpoint Time to occurrence of major amputation of leg or death (AFS)
Main secondary amp exploratory efficacy endpoints
Composite efficacy endpoint Pain Complete wound healing Quality-of-life Adjudicated amputations TcPO2 Cytokine levels
Follow-up length 52 weeks
Expected top-line interim data analysis results
Q4 calendar year of 2020
14
Ongoing CLI Phase III Study - Overview
PLX-PAD
Muscle Regeneration
15
PLX-PAD is designed to stimulate muscle regeneration ndashgain muscle strength and volume
16
There are currently no approved treatments for post-operative regeneration of injured or weak skeletal muscle
Muscle Regeneration Following Hip Fracture
bull As the population ages the number of hip fractures continuesto increase
bull Worldwide the total number of hip fractures is expected tosurpass 6 million by the year 2050
bull Hip fracture often leads to serious long-term complicationsincluding pain functional decline and disability
bull Up to 36 mortality rate after one year due to immobilityassociated diseases
Kannus P Parkkari J Sievaumlnen H et al Epidemiology of hip fracturesSimran Mundi et al 2014Jorma Panula et al 2011
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
bull CLI is caused by fatty deposits in leg arteries that obstruct blood flow
bull Risk factors include smoking diabetes obesity cardiovascular problems and hypertension
bull CLI patients suffer from severe pain skin wounds tissue necrosis and poor quality of life
bull High risk of leg amputation and death
bull Up to 35 of patients are unsuitable or will not benefit from revascularization
Peripheral Arterial Disease ndash Critical Limb Ischemia (CLI)
11
PLX-PAD is designed to treat CLI by reducing inflammation and stimulate the growth of blood vessels to bring oxygenated blood to ischemic tissue
5 Year Mortality Rate Inpatient amp Outpatient Treatment Costs by Rutherford Category
Clinical Development in Peripheral Arterial Disease
12
Completed two Phase I studies in CLI ndash US amp Germany (N=27)
Good safety profile
Increase in tissue perfusion 60 reduction in the risk for death or amputation
Dose identification ndash two treatments of 300 million cells two months apart
Completed Phase II study in intermittent claudication (IC) ndash US Germany S Korea amp Israel
Good safety profile
Significant increase in walking distance reduction in surgical events and HbA1c and CRP levels
Confirmation of Phase III design including ndash dose (300m cells) dose regimen (2 administrations)
(N=172)
13
Ongoing Phase III study in CLI ndash US Europe amp Israel
Ongoing CLI Phase III Study
bull Expected top-line interim data analysis results in Q42020 (calendar year)
bull Patient enrollment to the full clinical study ongoing
bull Awarded adaptive pathway program in the EU
Disclaimer The results presented above are a small sample of the ongoing trial chosen by the principal investigator and are not representative of the full trial population These results may not be typical and could be materially different from the results reported at the completion of the trial Investors are cautioned to consider this sample data at their own risk
euro 76 million grant from the EU Horizon 2020 program
Design Phase III randomized Double-Blind Placebo-controlled (21)
Study population CLI subjects with minor tissue loss unsuitable for revascularization
Countries Germany UK US Poland Hungary Czech Republic Bulgaria Macedonia Israel
Sample size Randomization will stop when required amount of events (82) is assured
Doses tested 300M cells vs placebo (randomization ratio 21)
Administration IM injections in the affected leg 2 treatments at 8-week interval
Primary efficacy endpoint Time to occurrence of major amputation of leg or death (AFS)
Main secondary amp exploratory efficacy endpoints
Composite efficacy endpoint Pain Complete wound healing Quality-of-life Adjudicated amputations TcPO2 Cytokine levels
Follow-up length 52 weeks
Expected top-line interim data analysis results
Q4 calendar year of 2020
14
Ongoing CLI Phase III Study - Overview
PLX-PAD
Muscle Regeneration
15
PLX-PAD is designed to stimulate muscle regeneration ndashgain muscle strength and volume
16
There are currently no approved treatments for post-operative regeneration of injured or weak skeletal muscle
Muscle Regeneration Following Hip Fracture
bull As the population ages the number of hip fractures continuesto increase
bull Worldwide the total number of hip fractures is expected tosurpass 6 million by the year 2050
bull Hip fracture often leads to serious long-term complicationsincluding pain functional decline and disability
bull Up to 36 mortality rate after one year due to immobilityassociated diseases
Kannus P Parkkari J Sievaumlnen H et al Epidemiology of hip fracturesSimran Mundi et al 2014Jorma Panula et al 2011
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
Clinical Development in Peripheral Arterial Disease
12
Completed two Phase I studies in CLI ndash US amp Germany (N=27)
Good safety profile
Increase in tissue perfusion 60 reduction in the risk for death or amputation
Dose identification ndash two treatments of 300 million cells two months apart
Completed Phase II study in intermittent claudication (IC) ndash US Germany S Korea amp Israel
Good safety profile
Significant increase in walking distance reduction in surgical events and HbA1c and CRP levels
Confirmation of Phase III design including ndash dose (300m cells) dose regimen (2 administrations)
(N=172)
13
Ongoing Phase III study in CLI ndash US Europe amp Israel
Ongoing CLI Phase III Study
bull Expected top-line interim data analysis results in Q42020 (calendar year)
bull Patient enrollment to the full clinical study ongoing
bull Awarded adaptive pathway program in the EU
Disclaimer The results presented above are a small sample of the ongoing trial chosen by the principal investigator and are not representative of the full trial population These results may not be typical and could be materially different from the results reported at the completion of the trial Investors are cautioned to consider this sample data at their own risk
euro 76 million grant from the EU Horizon 2020 program
Design Phase III randomized Double-Blind Placebo-controlled (21)
Study population CLI subjects with minor tissue loss unsuitable for revascularization
Countries Germany UK US Poland Hungary Czech Republic Bulgaria Macedonia Israel
Sample size Randomization will stop when required amount of events (82) is assured
Doses tested 300M cells vs placebo (randomization ratio 21)
Administration IM injections in the affected leg 2 treatments at 8-week interval
Primary efficacy endpoint Time to occurrence of major amputation of leg or death (AFS)
Main secondary amp exploratory efficacy endpoints
Composite efficacy endpoint Pain Complete wound healing Quality-of-life Adjudicated amputations TcPO2 Cytokine levels
Follow-up length 52 weeks
Expected top-line interim data analysis results
Q4 calendar year of 2020
14
Ongoing CLI Phase III Study - Overview
PLX-PAD
Muscle Regeneration
15
PLX-PAD is designed to stimulate muscle regeneration ndashgain muscle strength and volume
16
There are currently no approved treatments for post-operative regeneration of injured or weak skeletal muscle
Muscle Regeneration Following Hip Fracture
bull As the population ages the number of hip fractures continuesto increase
bull Worldwide the total number of hip fractures is expected tosurpass 6 million by the year 2050
bull Hip fracture often leads to serious long-term complicationsincluding pain functional decline and disability
bull Up to 36 mortality rate after one year due to immobilityassociated diseases
Kannus P Parkkari J Sievaumlnen H et al Epidemiology of hip fracturesSimran Mundi et al 2014Jorma Panula et al 2011
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
13
Ongoing Phase III study in CLI ndash US Europe amp Israel
Ongoing CLI Phase III Study
bull Expected top-line interim data analysis results in Q42020 (calendar year)
bull Patient enrollment to the full clinical study ongoing
bull Awarded adaptive pathway program in the EU
Disclaimer The results presented above are a small sample of the ongoing trial chosen by the principal investigator and are not representative of the full trial population These results may not be typical and could be materially different from the results reported at the completion of the trial Investors are cautioned to consider this sample data at their own risk
euro 76 million grant from the EU Horizon 2020 program
Design Phase III randomized Double-Blind Placebo-controlled (21)
Study population CLI subjects with minor tissue loss unsuitable for revascularization
Countries Germany UK US Poland Hungary Czech Republic Bulgaria Macedonia Israel
Sample size Randomization will stop when required amount of events (82) is assured
Doses tested 300M cells vs placebo (randomization ratio 21)
Administration IM injections in the affected leg 2 treatments at 8-week interval
Primary efficacy endpoint Time to occurrence of major amputation of leg or death (AFS)
Main secondary amp exploratory efficacy endpoints
Composite efficacy endpoint Pain Complete wound healing Quality-of-life Adjudicated amputations TcPO2 Cytokine levels
Follow-up length 52 weeks
Expected top-line interim data analysis results
Q4 calendar year of 2020
14
Ongoing CLI Phase III Study - Overview
PLX-PAD
Muscle Regeneration
15
PLX-PAD is designed to stimulate muscle regeneration ndashgain muscle strength and volume
16
There are currently no approved treatments for post-operative regeneration of injured or weak skeletal muscle
Muscle Regeneration Following Hip Fracture
bull As the population ages the number of hip fractures continuesto increase
bull Worldwide the total number of hip fractures is expected tosurpass 6 million by the year 2050
bull Hip fracture often leads to serious long-term complicationsincluding pain functional decline and disability
bull Up to 36 mortality rate after one year due to immobilityassociated diseases
Kannus P Parkkari J Sievaumlnen H et al Epidemiology of hip fracturesSimran Mundi et al 2014Jorma Panula et al 2011
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
euro 76 million grant from the EU Horizon 2020 program
Design Phase III randomized Double-Blind Placebo-controlled (21)
Study population CLI subjects with minor tissue loss unsuitable for revascularization
Countries Germany UK US Poland Hungary Czech Republic Bulgaria Macedonia Israel
Sample size Randomization will stop when required amount of events (82) is assured
Doses tested 300M cells vs placebo (randomization ratio 21)
Administration IM injections in the affected leg 2 treatments at 8-week interval
Primary efficacy endpoint Time to occurrence of major amputation of leg or death (AFS)
Main secondary amp exploratory efficacy endpoints
Composite efficacy endpoint Pain Complete wound healing Quality-of-life Adjudicated amputations TcPO2 Cytokine levels
Follow-up length 52 weeks
Expected top-line interim data analysis results
Q4 calendar year of 2020
14
Ongoing CLI Phase III Study - Overview
PLX-PAD
Muscle Regeneration
15
PLX-PAD is designed to stimulate muscle regeneration ndashgain muscle strength and volume
16
There are currently no approved treatments for post-operative regeneration of injured or weak skeletal muscle
Muscle Regeneration Following Hip Fracture
bull As the population ages the number of hip fractures continuesto increase
bull Worldwide the total number of hip fractures is expected tosurpass 6 million by the year 2050
bull Hip fracture often leads to serious long-term complicationsincluding pain functional decline and disability
bull Up to 36 mortality rate after one year due to immobilityassociated diseases
Kannus P Parkkari J Sievaumlnen H et al Epidemiology of hip fracturesSimran Mundi et al 2014Jorma Panula et al 2011
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
PLX-PAD
Muscle Regeneration
15
PLX-PAD is designed to stimulate muscle regeneration ndashgain muscle strength and volume
16
There are currently no approved treatments for post-operative regeneration of injured or weak skeletal muscle
Muscle Regeneration Following Hip Fracture
bull As the population ages the number of hip fractures continuesto increase
bull Worldwide the total number of hip fractures is expected tosurpass 6 million by the year 2050
bull Hip fracture often leads to serious long-term complicationsincluding pain functional decline and disability
bull Up to 36 mortality rate after one year due to immobilityassociated diseases
Kannus P Parkkari J Sievaumlnen H et al Epidemiology of hip fracturesSimran Mundi et al 2014Jorma Panula et al 2011
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
PLX-PAD is designed to stimulate muscle regeneration ndashgain muscle strength and volume
16
There are currently no approved treatments for post-operative regeneration of injured or weak skeletal muscle
Muscle Regeneration Following Hip Fracture
bull As the population ages the number of hip fractures continuesto increase
bull Worldwide the total number of hip fractures is expected tosurpass 6 million by the year 2050
bull Hip fracture often leads to serious long-term complicationsincluding pain functional decline and disability
bull Up to 36 mortality rate after one year due to immobilityassociated diseases
Kannus P Parkkari J Sievaumlnen H et al Epidemiology of hip fracturesSimran Mundi et al 2014Jorma Panula et al 2011
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
Contralateral(nonndashoperated)
17
Phase III Study of PLX-PAD for Muscle Injury Following Total Hip Replacement (N=20)
Change in Volume Improvement of 300
P=0004
Change in Strength Improvement of 500
P=00067
Change in Strength Improvement of 4000
P=0012
bull PLX-PAD demonstrated a significant increase in muscle strength amp volume compared to placebo
bull First study to show efficacy of cell therapy in skeletal muscle injury
Muscle Regeneration
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
Ongoing Muscle Regeneration Phase III Study
Design Phase III randomized Double-Blind Placebo-controlled
Study population Patients suffering from muscle injury following arthroplasty for hip fracture
Countries US Germany UK Denmark Israel
Sample size 240 patients
Doses tested 150M cells vs placebo (randomization ratio 11)
Administration IM injections in the operated leg on the day of surgery
Primary efficacy endpoint Short Physical Performance Battery (SPPB) score at week 26
Main secondary amp exploratory efficacy endpoints
Muscle strength muscle mass amp volume hospitalization time lower extremity measure
Follow-up length 26 (efficacy) 52 weeks (safety)
Expected top-line results Q3 calendar year of 2021
18 euro 74 million grant from the EU Horizon 2020 program
bull More than 60 of the studyrsquos population enrolled
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
PLX-PAD
Coronavirus ndash COVID-19
19
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
Acute Respiratory Distress Syndrome (ARDS)is one of the most common causes of death from COVID-19
PLX-PAD cells have immunomodulatory and cytoprotective properties which may playa meaningful role in mitigating the tissue-damaging effects of COVID-19 on the lungs
20
Severe ARDS Associated with COVID-19
Clinical progressbull Phase II and Expanded Access Program in the USbull Phase II in Europe and in Israelbull Compassionate Use in Israel
Pre-clinical supportImprove oxygenation and reduce lung fibrosis in an ARDS murine model
Decrease the pro-inflammatory M1 and increase the anti‐inflammatory M2 macrophages
Reduce pro-inflammatory cytokine production TNF-α INF-γ and IL-17A from stimulated PBMCs
Induce secretion of the anti-inflammatory cytokines IL-10 and IL-1Ra both inhibitors of the pro-inflammatory cytokine IL-1 from monocytes
Induce an increase in regulatory T (Treg) cells
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
COVID-19 Data
21
28-day follow-up for the first 8 ventilator-dependent COVID-19 patients (Reported May 20)
875 survival rate
75 of patients were off any mechanical ventilation
625 of patients were discharged alive from the hospital compared to 33(38 out of 1151 patients)
Changes in C-Reactive Protein (CRP) test evaluating liver response to inflammation
Encouraging Results from Compassionate Use Programs in the US amp Israel
Blood CRP decreased dramatically in all patientsfollowing PLX-PAD treatments
In data published in the NY area during March-April 2020 for patients requiring mechanical ventilation and discharged alive ndash Richardson S et al Presenting Characteristics Comorbidities and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area JAMA 2020 doi101001jama20206775
Barkama et al 2020 Placenta-Derived Cell Therapy to Treat Patients with Respiratory Failure due to COVID-19 In press
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
Design Phase II randomized Double-Blind Placebo-controlled
Study population Hospitalized mechanically ventilated adult patients suffering from respiratory failure and ARDS due to COVID-19
Countries US
Sample size 140 patients
Study design 600M cells ndash 1 administration300M cells ndash 2 administrations 300M cells 1 administration + Placebo 1 administrationPlacebo ndash 1 administrationPlacebo ndash 2 administrations
Administration IM injections
Primary efficacy endpoint Number of ventilator free days during the 28 days from day 1 through day 28 of the study
Secondary efficacy endpoints All cause mortality Duration of mechanical ventilation mean improvement relative to baseline on a 7-point ordinal scale ICU-free-days hospitalization-free days
Follow Up length Safety and survival follow-up will be conducted at day 60 week 26 and week 52
Expected end of enrollment US phase II study - during the Q1 calendar year of 2021 22
PLX-PAD as a Treatment for ARDS Due to COVID-19 US Trial
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
PLX-R18
Hematological Deficiencies
23
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
bull Acute Radiation Syndrome (ARS) Studies conducted and funded by US government (NIH DOD) FDA has cleared Pluristemrsquos Investigational New Drug (IND) application for PLX-R18 in the treatment
of ARS in case of nuclear events FDA Orphan Drug Designation
bull Phase I ndash Incomplete Hematopoietic Recovery Following Hematopoietic Cell Transplantation (HCT) N= 20 enrollment completed Open-label trial allows for interim data analysis Clinical sites in US amp Israel FDA Orphan Drug Designation Data from first two cohorts showed PLX-R18 led to increased production of
platelets amp red blood cells ultimately reducing the number of required transfusions Expected top-line results - during the Q1 calendar year of 2021
Hematological Programs
24
PLX-R18 is designed to stimulate the regeneration of damaged bone marrow to produce blood cells (white red and platelets)
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
PLX-R18 as a Treatment for ARS (via the FDA Animal Rule)
25
Series of studies conducted by the US National Institutes of Health (NIH) testing PLX-R18 as apotential treatment for ARS
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
bull EIB signed a euro50 million non-dilutive financing agreement with Pluristem
bull Purpose
To support Pluristemrsquos research and development in the EU to further advance its regenerativecell therapy platform and to assist moving the products in its pipeline to market
A special focus on clinical development of PLX cells as a treatment for complications associatedwith COVID-19
EIB will support up to 50 of the cost of the project
bull Will be available for a period of 3 years in three tranches subject to the achievement of certainclinical regulatory and scaling up milestones first tranche consisting of euro20 million second of euro18million and the third euro12 million
bull Will be payable to the EIB in a single payment following five years from the disbursement of the firstand second tranches and in two annual payments starting on the fourth year from disbursement ofthe third tranche with each tranche having an interest rate of between 3-4
bull EIB would be entitled to receive royalties from future revenues for a period of seven years starting2024 at a rate of 02 to 23 pro-rated to the amounts that the Company received
26
The European Investment Bank (EIB) ndasheuro50 Million Non-Dilutive Financing
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
27
Regulatory support
Governmental agencies collaborators and
projects
Significant Regulatory and Government Support
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
28
Pluristem keeps IP and manufacturing rights in all collaborations
Partnerships and Collaborations
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
29
Chen Franco-YehudaCFO
Liran Shani MDVP Clinical amp Medical Affairs
Efrat Livne-HadassVP Human Resources
Lior RavivVP Operations amp Development
Efrat KaduriDirector of Marketing amp Business Development
Orly AmiranVP Quality Assurance
Racheli Ofir PhD VP Research amp Intellectual Property
Yaky YanayCEO amp President
Zami AbermanExecutive Chairman
Management Team
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786
InvestorrelationsPluristemcom wwwPluristemcom
30
Israel +972-74-710-8600
US +1-347-973-2098
Germany +49-30-2215-0786