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First	
  Quarter	
  2014	
  

VACCINOGEN	
  -­‐	
  A	
  $5+	
  BILLION	
  
CANCER	
  VACCINE	
  OPPORTUNITY	
  
	
  

Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

1	
  
Vaccinogen	
  and	
  OncoVAX®	
  

A	
  cancer	
  vaccine	
  company	
  in	
  its	
  final	
  
stages	
  of	
  clinical	
  development	
  with	
  a	
  	
  
patented	
  phase	
  III	
  asset	
  -­‐	
  OncoVAX	
  
	
  
	
  
Stock	
  symbol	
  is	
  VGEN	
  
	
  
	
  
	
  
	
  
	
  
Q1	
  2014	
  
	
  

Stock	
  Symbol:	
  VGEN	
  

2	
  
OncoVAX®	
  
	
  

•  Cancer	
  vaccine	
  	
  
•  Designed	
  to	
  reduce	
  the	
  risk	
  of	
  recurrence	
  of	
  
cancer	
  aLer	
  surgery	
  
	
  
•  Uses	
  the	
  paNent’s	
  own	
  tumor	
  as	
  vaccine	
  
source	
  
	
  	
  
	
  
Q1	
  2014	
  
	
  

Stock	
  Symbol:	
  VGEN	
  

3	
  
Value	
  ProposiDon	
  
	
   Late	
  stage	
  -­‐	
  5	
  clinical	
  studies,	
  
including	
  a	
  staNsNcally	
  
	
  	
  significant	
  phase	
  3	
  trial	
  	
  
	
  
	
  

$14	
  billion	
  global	
  market	
  
	
  
$5	
  billion	
  in	
  US	
  &	
  Europe	
  
	
  

Solid	
  patent	
  protecNon	
  to	
  
2025	
  
	
  

RelaNvely	
  simple	
  logisNcs	
  with	
  
few	
  variables	
  
	
  

Pursuing	
  an	
  untapped	
  market	
  
	
   	
  	
  
with	
  colon	
  cancer	
  
	
  
	
  
	
  
	
   	
  	
  

BeauNfully	
  addresses	
  
“heterogeneity	
  of	
  cancer”	
  

	
  
	
  
	
  
	
  
	
  

Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

4	
  
OncoVAX® - Clinical II(a)	
  C
OncoVAX®	
  –	
  Phase	
  IResultslinical	
  Results	
  
8701 Study - Recurrence-Free Survival* in Stage II Patients

C u m u l a t i v e

P r o b a b i l i t y

8701	
  Study	
  -­‐	
  Recurrence-­‐Free	
  Survival*	
  in	
  Stage	
  II	
  PaNents	
  
100
90
80
70

Recurrence-Free Survival
(No. of Recurrences or Deaths)

Population

Control

5-year
OncoVAX® p-value

50

All Patients

49 (38.9%)
N=126

39 (30.5%)
N=128

0.073

40

Stage II
(Intent-to-Treat)

29 (37.7%)
N=77

17 (21.3%)
N=80

0.008

Stage II (Treatment 29(37.7%)
Compliant)
N=77

12 (19.4%)
N=62

0.012

30

60

0

1

2

3

4

5

6

7

8

9

10

11

Y e a r s
Treatment

Control

OncoVAX

* This published, randomized Phase IIIa clinical trial was stratified by tumor stage so that a legitimate analysis by tumor stage could be calculated.

These results are for Stage II colon cancer. Some benefit was seen in Stage III colon cancer however the results were not statistically significant.
This study was accepted by the FDA as supportive data for the next Phase IIIb clinical trial to be conducted under an FDA granted SPA with fast
track designation. The Disease-free Survival clinical endpoint will be used for the interim analysis, which is an accepted basis for FDA approval.

The	
  results	
  were	
  published	
  in	
  the	
  BriNsh	
  Medical	
  Journal	
  The	
  Lancet	
  January	
  30,	
  1999;	
  353:	
  345-­‐350	
  

Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

5	
  
OncoVAX®	
  –	
  Phase	
  Itage	
  II	
  PaNents	
  linical	
  Results	
  
II(a)	
  C
OncoVAX® - Clinical
8701	
  Study	
  -­‐	
  Recurrence-­‐Free	
  Interval	
  (RFI)	
  in	
  S Results

C u m u l a t i v e

P r o b a b i l i t y

8701 Study - Recurrence-Free Interval (RFI) in Stage II Patients
100

90

Difference between treated and control 16.1%

80

70

60

0

1

2

3

4

5

6

7

8

9

10

11

Y e a r s
Treatment

Control

O n c o VA X

Date run: 30NOV00

Greatest difference between treated and control in RFI at 18 months post Vx
Greatest	
  difference	
  between	
  treated	
  and	
  control	
  in	
  RFI	
  at	
  18	
  months	
  post	
  Vx	
  

Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

6	
  
Clinical	
  history	
  &	
  foundaDon	
  for	
  OncoVAX®	
  
	
  
•  751	
  paNents	
  treated	
  over	
  five	
  studies	
  
•  Phase	
  III	
  trial	
  showed	
  61%	
  improvement	
  of	
  survival	
  
	
  
•  Non	
  treated	
  group	
  –	
  1/3	
  of	
  paNents	
  recurred	
  (as	
  stage	
  4)	
  
	
  
•  OncoVAX	
  treated	
  group	
  –	
  only	
  1/10	
  recurred	
  

Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

7	
  
Target	
  market	
  
	
  
	
  	
  

	
   	
  	
  

IniDal	
  targets	
  

Annual	
  cases	
  in	
  Western	
  
markets	
  

Stage	
  II	
  colon	
  cancer	
  

	
  
	
  
	
  
	
  
	
  
	
  

160,000	
  

Stage	
  III	
  colon	
  cancer	
  

150,000	
  

	
  
	
  
	
   	
  310,000	
  total	
  cases	
  of	
  stage	
  II	
  &	
  III	
  colon	
  cancer	
  in	
  Western	
  
world	
  
Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

8	
  
Key	
  consideraDons	
  
Item	
  

Key	
  benefits	
  

Acceptable	
  price	
  per	
  vaccine	
  

$54,000	
  -­‐	
  $70,000	
  

Internal	
  cost	
  per	
  vaccine	
  

$7,000	
  -­‐	
  $8,000	
  

US	
  &	
  Europe	
  market	
  -­‐	
  stage	
  2	
  &	
  stage	
  3	
   300,000	
  cases	
  per	
  year	
  
colon	
  cancer	
  
Likely	
  market	
  penetraNon	
  

30%	
  to	
  55%	
  

Asian	
  colon	
  cancer	
  market	
  potenNal	
  

200,000	
  cases	
  per	
  year	
  

Other	
  potenNal	
  targets	
  

Renal	
  cancer,	
  melanoma,	
  ovarian	
  cancer,	
  
non	
  small-­‐cell	
  lung	
  cancer	
  

Scale?	
  

Yes	
  –	
  all	
  process	
  are	
  the	
  same	
  across	
  all	
  
indicaNons	
  

Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

9	
  
Revenue	
  scenarios	
  on	
  just	
  colon	
  cancer	
  @	
  $55,000	
  

PenetraDon	
  
(Western	
  
Market)	
  

Vaccines	
  sold	
  

Revenues	
  

10%	
  
20%	
  
30%	
  
40%	
  
50%	
  
60%	
  

31,000	
  
62,000	
  
93,000	
  
124,000	
  
155,000	
  
186,000	
  

$1.7	
  billion	
  
$3.4	
  billion	
  
$5.1	
  billion	
  
$6.8	
  billion	
  
$8.5	
  billion	
  
10.2	
  billion	
  

Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

10	
  
Patent	
  coverage	
  

•  Sterility	
  Patent	
  –	
  covers	
  the	
  sterile	
  manufacturing	
  
process	
  	
  
–  Expires	
  2025	
  
–  Approved	
  in	
  all	
  major	
  markets	
  

	
  
•  Two	
  other	
  patents	
  being	
  filed	
  currently	
  

Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

11	
  
Vaccine	
  Manufacturing	
  

After injection:
Immune responds by killing
all leftover live tumor cells

3 part process

Step	
  1	
  
Step	
  2	
  
Step	
  3	
  

• 3	
  grams	
  of	
  live	
  tumor	
  cells	
  
removed	
  at	
  surgery	
  and	
  shipped	
  	
  
to	
  VGEN	
  
• VGEN	
  makes	
  cells	
  into	
  a	
  sterile,	
  
“safe	
  vaccine	
  –	
  OncoVAX”	
  	
  
• 30-­‐35	
  days	
  later,	
  VGEN	
  ships	
  
OncoVAX	
  back	
  to	
  the	
  hospital	
  for	
  
final	
  compounding	
  and	
  injecNon	
  

PaNent’s	
  own	
  tumor	
  cells	
  re-­‐
injected	
  4	
  Nmes	
  in	
  the	
  skin	
  
Q1	
  2014	
  

On	
  the	
  3rd	
  and	
  4th	
  injecNon,	
  the	
  
immune	
  system	
  reacts!	
  

Stock	
  Symbol:	
  VGEN	
  

12	
  
LogisDcs	
  =	
  How	
  we	
  “de-­‐risk”	
  this	
  investment	
  	
  
	
  

Vaccine	
  Material	
  

PaDent’s	
  own	
  tumor	
  	
  

Transport	
  of	
  Nssue	
  to	
  VGEN	
  
Hands	
  on	
  manufacturing	
  Nme	
  

Via	
  transplant	
  courier	
  
6	
  hours	
  

Transport	
  of	
  finished	
  vaccine	
  
AdministraNon	
  of	
  vaccine	
  
Internal	
  costs	
  per	
  vaccine	
  

Frozen	
  via	
  Fed	
  Ex	
  
Intradermal	
  injecNon	
  
$7,000	
  to	
  $8,000	
  

Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

13	
  
Colon	
  Cancer	
  today	
  –	
  sDll	
  an	
  untapped	
  market	
  
Stage	
  II	
  	
  
colon	
  cancer	
  

Stage	
  III	
  	
  
colon	
  cancer	
  

%	
  of	
  all	
  colon	
  
cancers	
  

40%	
  

37%	
  

Current	
  treatment	
  

Surgery	
  only	
  

Surgery	
  +	
  
chemotherapy	
  

Recurrence	
  rate	
  	
  

1/3	
  

1/2	
  

Survival	
  rate	
  if	
  
cancer	
  returns	
  

<6%	
  (now	
  stage	
  4)	
  

<6%	
  (now	
  stage	
  4)	
  

Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

14	
  
Heterogeneity within primary tumors

Yachida, et al., Nature 467: 114, 2010.!

Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

15	
  
Coming	
  up	
  -­‐	
  Pivotal,	
  Confirmatory	
  Phase	
  III	
  (b)	
  	
  

•  550	
  paNent	
  phase	
  III	
  trial	
  –	
  confirmatory	
  
	
  
–  SPA	
  and	
  Fast	
  Track	
  

	
  
•  Parallel	
  phase	
  I/II	
  study	
  for	
  stage	
  III	
  colon	
  
cancer	
  

Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

16	
  
Management	
  
Michael	
  G.	
  Hanna	
  Jr.,	
  Ph.D.	
  
Andrew	
  L.	
  Tussing	
  

President	
  COO	
  

Debra	
  Hoopes	
  

Chief	
  Financial	
  Adviser	
  

John	
  Powers	
  

OperaNons	
  -­‐	
  LogisNcs	
  

Dinand	
  Van	
  der	
  Linde	
  

Head	
  of	
  Europe	
  

Herbert	
  C.	
  Hoover,	
  MD	
  

Q1	
  2014	
  

CEO,	
  Chairman	
  inventor	
  

Chief	
  Medical	
  Adviser	
  

Stock	
  Symbol:	
  VGEN	
  

17	
  
Medical	
  Advisory	
  Board	
  
Michael	
  G.	
  Hanna,	
  Jr.,	
  Ph.D.	
  

Immunology	
  

John	
  S.	
  Macdonald,	
  MD	
  

Specialist	
  in	
  
Harvard,	
  B.	
  Israel,	
  	
  Georgetown,	
  
GastrointesNnal	
  Cancer	
   New	
  York	
  Medical.	
  College	
  

Benjamin	
  S.	
  Carson,	
  MD	
  

Neurosurgery	
  

Johns	
  Hopkins,	
  PresidenNal	
  
Medal	
  of	
  Freedom,	
  	
  authored	
  
100+	
  publicaNons,	
  4	
  books	
  

H.C.	
  Hoover,	
  MD	
  

Surgical	
  Oncology	
  

Johns	
  Hopkins,	
  Harvard,	
  	
  inolved	
  
in	
  all	
  5	
  OncoVAX	
  studies	
  

Jan	
  Vermorken,	
  MD,	
  Ph.D.	
  

Oncology	
  

University	
  of	
  Antwerp,	
  Vrije,	
  
principal	
  invesNgator	
  in	
  previous	
  
8701	
  phase	
  III	
  OncoVAX	
  trial	
  

Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

Invent	
  of	
  OncoVAX®	
  NaNonal	
  
Cancer	
  InsNtute,	
  authored	
  225	
  
publicaNons	
  

18	
  
Summary	
  –	
  De-­‐risking	
  aspects	
  of	
  this	
  investment	
  

• 
• 
• 
• 
• 
• 

Public	
  company	
  –	
  fully	
  reporNng	
  
Phase	
  III	
  results	
  in	
  hand	
  
LogisNcs	
  –	
  proven,	
  stable	
  and	
  scalable	
  
Clear	
  path	
  ahead	
  in	
  colon	
  cancer	
  
ShiLing	
  standard	
  of	
  care	
  from	
  surgery	
  alone	
  
85%	
  margins	
  on	
  a	
  mulN-­‐billion	
  market	
  

Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

19	
  
Contact:	
  

•  Andrew	
  L.	
  Tussing,	
  President	
  &	
  COO	
  
•  atussing@vaccinogeninc.com	
  
•  (US)	
  301	
  668-­‐8400	
  

Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

20	
  
Forward	
  Looking	
  Statements
	
  
This	
   presentaNon	
   and	
   related	
   commentary	
   may	
   contain	
   forward-­‐looking	
   statements	
   within	
   the	
   meaning	
   of	
   the	
   SecuriNes	
   Act	
   of	
   1933	
   (the	
   “Securi(es	
   Act”)	
   and	
   the
	
  
SecuriNes	
   Exchange	
   Act	
   of	
   1934	
   (the	
   “Exchange	
   Act”)	
   and	
   are	
   subject	
   to	
   the	
   safe	
   harbor	
   created	
   by	
   the	
   Private	
   SecuriNes	
   LiNgaNon	
   Reform	
   Act	
   of	
   1995.	
   Vaccinogen	
   has
	
  
based	
   these	
   forward-­‐looking	
   statements	
   largely	
   on	
   our	
   expectaNons	
   and	
   projecNons	
   about	
   future	
   events	
   and	
   financial	
   trends	
   affecNng	
   the	
   financial	
   condiNon	
   and/or
	
  
operaNng	
   results	
   of	
   its	
   business.	
   Forward-­‐looking	
   statements	
   involve	
   risks	
   and	
   uncertainNes;	
   parNcularly	
   those	
   risks	
   and	
   uncertainNes	
   inherent	
   in	
   the	
   process	
   of
	
  
discovering,	
   developing	
   and	
   commercializing	
   drugs	
   that	
   are	
   safe	
   and	
   effecNve	
   for	
   use	
   as	
   human	
   therapeuNcs.	
   There	
   are	
   important	
   factors	
   that	
   could	
   cause	
   actual	
   results
	
  
to	
  be	
  substanNally	
  different	
  from	
  the	
  results	
  expressed	
  or	
  implied	
  by	
  these	
  forward-­‐looking	
  statements,	
  including,	
  among	
  other	
  things:	
  
• Vaccinogen’s	
  ability	
  to	
  successfully	
  manufacture	
  OncoVAX®	
  and	
  other	
  product	
  candidates	
  in	
  necessary	
  quanNNes	
  with	
  required	
  quality;	
  
• Vaccinogen’s	
  ability	
  to	
  successfully	
  obtain	
  regulatory	
  approvals	
  and	
  commercialize	
  its	
  products	
  that	
  are	
  under	
  development	
  and	
  develop	
  the	
  infrastructure	
  necessary	
  to
	
  
support	
  commercializaNon	
  if	
  regulatory	
  approvals	
  are	
  received;	
  
• Vaccinogen’sability	
  to	
  complete	
  and	
  achieve	
  posiNve	
  results	
  in	
  ongoing	
  and	
  new	
  clinical	
  trials;	
  
• Vaccinogen’s	
  dependence	
  on	
  single-­‐source	
  vendors	
  for	
  some	
  of	
  the	
  components	
  used	
  in	
  its	
  product	
  candidates;	
  
• the	
  extent	
  to	
  which	
  the	
  costs	
  of	
  any	
  products	
  that	
  Vaccinogen	
  is	
  able	
  to	
  commercialize	
  will	
  be	
  reimbursable	
  by	
  third-­‐party	
  payers;	
  
• the	
  extent	
  to	
  which	
  any	
  products	
  that	
  we	
  are	
  able	
  to	
  commercialize	
  will	
  be	
  accepted	
  by	
  the	
  market;	
  
• Vaccinogen’s	
  dependence	
  on	
  our	
  intellectual	
  property	
  and	
  ability	
  to	
  protect	
  its	
  proprietary	
  rights	
  and	
  operate	
  its	
  business	
  without	
  conflicNng	
  with	
  the	
  rights	
  of	
  others;	
  
• the	
  effect	
  that	
  any	
  intellectual	
  property	
  liNgaNon,	
  or	
  product	
  liability	
  claims	
  may	
  have	
  on	
  Vaccinogen’s	
  business	
  and	
  operaNng	
  and	
  financial	
  performance;	
  
• Vaccinogen’s	
  expectaNons	
  and	
  esNmates	
  concerning	
  its	
  future	
  operaNng	
  and	
  financial	
  performance;	
  
• the	
  impact	
  of	
  compeNNon	
  and	
  regulatory	
  requirements	
  and	
  technological	
  change	
  on	
  Vaccinogen’sbusiness;	
  
• Vaccinogen’s	
  ability	
  to	
  recruit	
  and	
  retain	
  key	
  personnel;	
  
• Vaccinogen’s	
  ability	
  to	
  enter	
  into	
  future	
  collaboraNon	
  agreements;	
  and	
  
• anNcipated	
  trends	
  in	
  our	
  business	
  and	
  the	
  biotechnology	
  industry	
  generally
In	
  addiNon,	
  in	
  this	
  presentaNon	
  and	
  related	
  commentary,	
  the	
  words	
  “believe,”	
  “may,”	
  “will,”	
  “esNmate,”	
  “conNnue,”	
  “anNcipate,”	
  “intend,”	
  “plan,”	
  “expect,”	
  “potenNal,”	
  or
	
  
“opportunity,”	
  the	
  negaNve	
  of	
  these	
  words	
  or	
  similar	
  expressions,	
  as	
  they	
  relate	
  to	
  Vaccinogen,	
  its	
  business,	
  future	
  financial	
  or	
  operaNng	
  performance	
  or	
  Vaccinogen’s
	
  
management,	
  are	
  intended	
  to	
  idenNfy	
  forward-­‐looking	
  statements.	
  Past	
  financial	
  or	
  operaNng	
  performance	
  is	
  not	
  necessarily	
  a	
  reliable	
  indicator	
  of	
  future	
  performance
	
  
and	
  you	
  should	
  not	
  use	
  Vaccinogen’s	
  historical	
  performance	
  to	
  anNcipate	
  results	
  or	
  future	
  period	
  trends.
Because	
   such	
   statements	
   involve	
   risks	
   and	
   uncertainNes,	
   many	
   of	
   which	
   are	
   outside	
   of	
   Vaccinogen’s	
   control,	
   Vaccinogen's	
   actual	
   results	
   and	
   performance	
   may	
   differ
	
  
materially	
   from	
   the	
   results	
   expressed	
   or	
   implied	
   by	
   such	
   forward-­‐looking	
   statements.	
   Given	
   these	
   risks	
   and	
   uncertainNes,	
   readers	
   are	
   cauNoned	
   not	
   to	
   place	
   undue
	
  
reliance	
  on	
  such	
  forward-­‐looking	
  statements.	
  Other	
  important	
  risk	
  factors	
  that	
  may	
  affect	
  Vaccinogen's	
  business,	
  results	
  of	
  operaNons	
  and	
  financial	
  posiNon	
  are	
  discussed
	
  
in	
   its	
   most	
   recently	
   filed	
   RegistraNon	
   Statement	
   on	
   Form	
   10	
   and	
   in	
   other	
   SecuriNes	
   and	
   Exchange	
   Commission	
   filings.	
   Unless	
   otherwise	
   required	
   by	
   law,	
   Vaccinogen	
   also
	
  
disclaims	
   any	
   obligaNon	
   to	
   update	
   its	
   view	
   of	
   any	
   such	
   risks	
   or	
   uncertainNes	
   or	
   to	
   announce	
   publicly	
   the	
   result	
   of	
   any	
   revisions	
   to	
   the	
   forward-­‐looking	
   statements	
   made
	
  
here.	
  However,	
  readers	
  should	
  review	
  carefully	
  reports	
  and	
  documents	
  that	
  Vaccinogen	
  files	
  periodically	
  with	
  the	
  SecuriNes	
  and	
  Exchange	
  Commission.	
  

	
  

Q1	
  2014	
  

Stock	
  Symbol:	
  VGEN	
  

21	
  

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Vgen investor presentation 011814-red chip

  • 1. First  Quarter  2014   VACCINOGEN  -­‐  A  $5+  BILLION   CANCER  VACCINE  OPPORTUNITY     Q1  2014   Stock  Symbol:  VGEN   1  
  • 2. Vaccinogen  and  OncoVAX®   A  cancer  vaccine  company  in  its  final   stages  of  clinical  development  with  a     patented  phase  III  asset  -­‐  OncoVAX       Stock  symbol  is  VGEN             Q1  2014     Stock  Symbol:  VGEN   2  
  • 3. OncoVAX®     •  Cancer  vaccine     •  Designed  to  reduce  the  risk  of  recurrence  of   cancer  aLer  surgery     •  Uses  the  paNent’s  own  tumor  as  vaccine   source         Q1  2014     Stock  Symbol:  VGEN   3  
  • 4. Value  ProposiDon     Late  stage  -­‐  5  clinical  studies,   including  a  staNsNcally      significant  phase  3  trial         $14  billion  global  market     $5  billion  in  US  &  Europe     Solid  patent  protecNon  to   2025     RelaNvely  simple  logisNcs  with   few  variables     Pursuing  an  untapped  market         with  colon  cancer               BeauNfully  addresses   “heterogeneity  of  cancer”             Q1  2014   Stock  Symbol:  VGEN   4  
  • 5. OncoVAX® - Clinical II(a)  C OncoVAX®  –  Phase  IResultslinical  Results   8701 Study - Recurrence-Free Survival* in Stage II Patients C u m u l a t i v e P r o b a b i l i t y 8701  Study  -­‐  Recurrence-­‐Free  Survival*  in  Stage  II  PaNents   100 90 80 70 Recurrence-Free Survival (No. of Recurrences or Deaths) Population Control 5-year OncoVAX® p-value 50 All Patients 49 (38.9%) N=126 39 (30.5%) N=128 0.073 40 Stage II (Intent-to-Treat) 29 (37.7%) N=77 17 (21.3%) N=80 0.008 Stage II (Treatment 29(37.7%) Compliant) N=77 12 (19.4%) N=62 0.012 30 60 0 1 2 3 4 5 6 7 8 9 10 11 Y e a r s Treatment Control OncoVAX * This published, randomized Phase IIIa clinical trial was stratified by tumor stage so that a legitimate analysis by tumor stage could be calculated. These results are for Stage II colon cancer. Some benefit was seen in Stage III colon cancer however the results were not statistically significant. This study was accepted by the FDA as supportive data for the next Phase IIIb clinical trial to be conducted under an FDA granted SPA with fast track designation. The Disease-free Survival clinical endpoint will be used for the interim analysis, which is an accepted basis for FDA approval. The  results  were  published  in  the  BriNsh  Medical  Journal  The  Lancet  January  30,  1999;  353:  345-­‐350   Q1  2014   Stock  Symbol:  VGEN   5  
  • 6. OncoVAX®  –  Phase  Itage  II  PaNents  linical  Results   II(a)  C OncoVAX® - Clinical 8701  Study  -­‐  Recurrence-­‐Free  Interval  (RFI)  in  S Results C u m u l a t i v e P r o b a b i l i t y 8701 Study - Recurrence-Free Interval (RFI) in Stage II Patients 100 90 Difference between treated and control 16.1% 80 70 60 0 1 2 3 4 5 6 7 8 9 10 11 Y e a r s Treatment Control O n c o VA X Date run: 30NOV00 Greatest difference between treated and control in RFI at 18 months post Vx Greatest  difference  between  treated  and  control  in  RFI  at  18  months  post  Vx   Q1  2014   Stock  Symbol:  VGEN   6  
  • 7. Clinical  history  &  foundaDon  for  OncoVAX®     •  751  paNents  treated  over  five  studies   •  Phase  III  trial  showed  61%  improvement  of  survival     •  Non  treated  group  –  1/3  of  paNents  recurred  (as  stage  4)     •  OncoVAX  treated  group  –  only  1/10  recurred   Q1  2014   Stock  Symbol:  VGEN   7  
  • 8. Target  market               IniDal  targets   Annual  cases  in  Western   markets   Stage  II  colon  cancer               160,000   Stage  III  colon  cancer   150,000          310,000  total  cases  of  stage  II  &  III  colon  cancer  in  Western   world   Q1  2014   Stock  Symbol:  VGEN   8  
  • 9. Key  consideraDons   Item   Key  benefits   Acceptable  price  per  vaccine   $54,000  -­‐  $70,000   Internal  cost  per  vaccine   $7,000  -­‐  $8,000   US  &  Europe  market  -­‐  stage  2  &  stage  3   300,000  cases  per  year   colon  cancer   Likely  market  penetraNon   30%  to  55%   Asian  colon  cancer  market  potenNal   200,000  cases  per  year   Other  potenNal  targets   Renal  cancer,  melanoma,  ovarian  cancer,   non  small-­‐cell  lung  cancer   Scale?   Yes  –  all  process  are  the  same  across  all   indicaNons   Q1  2014   Stock  Symbol:  VGEN   9  
  • 10. Revenue  scenarios  on  just  colon  cancer  @  $55,000   PenetraDon   (Western   Market)   Vaccines  sold   Revenues   10%   20%   30%   40%   50%   60%   31,000   62,000   93,000   124,000   155,000   186,000   $1.7  billion   $3.4  billion   $5.1  billion   $6.8  billion   $8.5  billion   10.2  billion   Q1  2014   Stock  Symbol:  VGEN   10  
  • 11. Patent  coverage   •  Sterility  Patent  –  covers  the  sterile  manufacturing   process     –  Expires  2025   –  Approved  in  all  major  markets     •  Two  other  patents  being  filed  currently   Q1  2014   Stock  Symbol:  VGEN   11  
  • 12. Vaccine  Manufacturing   After injection: Immune responds by killing all leftover live tumor cells 3 part process Step  1   Step  2   Step  3   • 3  grams  of  live  tumor  cells   removed  at  surgery  and  shipped     to  VGEN   • VGEN  makes  cells  into  a  sterile,   “safe  vaccine  –  OncoVAX”     • 30-­‐35  days  later,  VGEN  ships   OncoVAX  back  to  the  hospital  for   final  compounding  and  injecNon   PaNent’s  own  tumor  cells  re-­‐ injected  4  Nmes  in  the  skin   Q1  2014   On  the  3rd  and  4th  injecNon,  the   immune  system  reacts!   Stock  Symbol:  VGEN   12  
  • 13. LogisDcs  =  How  we  “de-­‐risk”  this  investment       Vaccine  Material   PaDent’s  own  tumor     Transport  of  Nssue  to  VGEN   Hands  on  manufacturing  Nme   Via  transplant  courier   6  hours   Transport  of  finished  vaccine   AdministraNon  of  vaccine   Internal  costs  per  vaccine   Frozen  via  Fed  Ex   Intradermal  injecNon   $7,000  to  $8,000   Q1  2014   Stock  Symbol:  VGEN   13  
  • 14. Colon  Cancer  today  –  sDll  an  untapped  market   Stage  II     colon  cancer   Stage  III     colon  cancer   %  of  all  colon   cancers   40%   37%   Current  treatment   Surgery  only   Surgery  +   chemotherapy   Recurrence  rate     1/3   1/2   Survival  rate  if   cancer  returns   <6%  (now  stage  4)   <6%  (now  stage  4)   Q1  2014   Stock  Symbol:  VGEN   14  
  • 15. Heterogeneity within primary tumors Yachida, et al., Nature 467: 114, 2010.! Q1  2014   Stock  Symbol:  VGEN   15  
  • 16. Coming  up  -­‐  Pivotal,  Confirmatory  Phase  III  (b)     •  550  paNent  phase  III  trial  –  confirmatory     –  SPA  and  Fast  Track     •  Parallel  phase  I/II  study  for  stage  III  colon   cancer   Q1  2014   Stock  Symbol:  VGEN   16  
  • 17. Management   Michael  G.  Hanna  Jr.,  Ph.D.   Andrew  L.  Tussing   President  COO   Debra  Hoopes   Chief  Financial  Adviser   John  Powers   OperaNons  -­‐  LogisNcs   Dinand  Van  der  Linde   Head  of  Europe   Herbert  C.  Hoover,  MD   Q1  2014   CEO,  Chairman  inventor   Chief  Medical  Adviser   Stock  Symbol:  VGEN   17  
  • 18. Medical  Advisory  Board   Michael  G.  Hanna,  Jr.,  Ph.D.   Immunology   John  S.  Macdonald,  MD   Specialist  in   Harvard,  B.  Israel,    Georgetown,   GastrointesNnal  Cancer   New  York  Medical.  College   Benjamin  S.  Carson,  MD   Neurosurgery   Johns  Hopkins,  PresidenNal   Medal  of  Freedom,    authored   100+  publicaNons,  4  books   H.C.  Hoover,  MD   Surgical  Oncology   Johns  Hopkins,  Harvard,    inolved   in  all  5  OncoVAX  studies   Jan  Vermorken,  MD,  Ph.D.   Oncology   University  of  Antwerp,  Vrije,   principal  invesNgator  in  previous   8701  phase  III  OncoVAX  trial   Q1  2014   Stock  Symbol:  VGEN   Invent  of  OncoVAX®  NaNonal   Cancer  InsNtute,  authored  225   publicaNons   18  
  • 19. Summary  –  De-­‐risking  aspects  of  this  investment   •  •  •  •  •  •  Public  company  –  fully  reporNng   Phase  III  results  in  hand   LogisNcs  –  proven,  stable  and  scalable   Clear  path  ahead  in  colon  cancer   ShiLing  standard  of  care  from  surgery  alone   85%  margins  on  a  mulN-­‐billion  market   Q1  2014   Stock  Symbol:  VGEN   19  
  • 20. Contact:   •  Andrew  L.  Tussing,  President  &  COO   •  atussing@vaccinogeninc.com   •  (US)  301  668-­‐8400   Q1  2014   Stock  Symbol:  VGEN   20  
  • 21. Forward  Looking  Statements   This   presentaNon   and   related   commentary   may   contain   forward-­‐looking   statements   within   the   meaning   of   the   SecuriNes   Act   of   1933   (the   “Securi(es   Act”)   and   the   SecuriNes   Exchange   Act   of   1934   (the   “Exchange   Act”)   and   are   subject   to   the   safe   harbor   created   by   the   Private   SecuriNes   LiNgaNon   Reform   Act   of   1995.   Vaccinogen   has   based   these   forward-­‐looking   statements   largely   on   our   expectaNons   and   projecNons   about   future   events   and   financial   trends   affecNng   the   financial   condiNon   and/or   operaNng   results   of   its   business.   Forward-­‐looking   statements   involve   risks   and   uncertainNes;   parNcularly   those   risks   and   uncertainNes   inherent   in   the   process   of   discovering,   developing   and   commercializing   drugs   that   are   safe   and   effecNve   for   use   as   human   therapeuNcs.   There   are   important   factors   that   could   cause   actual   results   to  be  substanNally  different  from  the  results  expressed  or  implied  by  these  forward-­‐looking  statements,  including,  among  other  things:   • Vaccinogen’s  ability  to  successfully  manufacture  OncoVAX®  and  other  product  candidates  in  necessary  quanNNes  with  required  quality;   • Vaccinogen’s  ability  to  successfully  obtain  regulatory  approvals  and  commercialize  its  products  that  are  under  development  and  develop  the  infrastructure  necessary  to   support  commercializaNon  if  regulatory  approvals  are  received;   • Vaccinogen’sability  to  complete  and  achieve  posiNve  results  in  ongoing  and  new  clinical  trials;   • Vaccinogen’s  dependence  on  single-­‐source  vendors  for  some  of  the  components  used  in  its  product  candidates;   • the  extent  to  which  the  costs  of  any  products  that  Vaccinogen  is  able  to  commercialize  will  be  reimbursable  by  third-­‐party  payers;   • the  extent  to  which  any  products  that  we  are  able  to  commercialize  will  be  accepted  by  the  market;   • Vaccinogen’s  dependence  on  our  intellectual  property  and  ability  to  protect  its  proprietary  rights  and  operate  its  business  without  conflicNng  with  the  rights  of  others;   • the  effect  that  any  intellectual  property  liNgaNon,  or  product  liability  claims  may  have  on  Vaccinogen’s  business  and  operaNng  and  financial  performance;   • Vaccinogen’s  expectaNons  and  esNmates  concerning  its  future  operaNng  and  financial  performance;   • the  impact  of  compeNNon  and  regulatory  requirements  and  technological  change  on  Vaccinogen’sbusiness;   • Vaccinogen’s  ability  to  recruit  and  retain  key  personnel;   • Vaccinogen’s  ability  to  enter  into  future  collaboraNon  agreements;  and   • anNcipated  trends  in  our  business  and  the  biotechnology  industry  generally In  addiNon,  in  this  presentaNon  and  related  commentary,  the  words  “believe,”  “may,”  “will,”  “esNmate,”  “conNnue,”  “anNcipate,”  “intend,”  “plan,”  “expect,”  “potenNal,”  or   “opportunity,”  the  negaNve  of  these  words  or  similar  expressions,  as  they  relate  to  Vaccinogen,  its  business,  future  financial  or  operaNng  performance  or  Vaccinogen’s   management,  are  intended  to  idenNfy  forward-­‐looking  statements.  Past  financial  or  operaNng  performance  is  not  necessarily  a  reliable  indicator  of  future  performance   and  you  should  not  use  Vaccinogen’s  historical  performance  to  anNcipate  results  or  future  period  trends. Because   such   statements   involve   risks   and   uncertainNes,   many   of   which   are   outside   of   Vaccinogen’s   control,   Vaccinogen's   actual   results   and   performance   may   differ   materially   from   the   results   expressed   or   implied   by   such   forward-­‐looking   statements.   Given   these   risks   and   uncertainNes,   readers   are   cauNoned   not   to   place   undue   reliance  on  such  forward-­‐looking  statements.  Other  important  risk  factors  that  may  affect  Vaccinogen's  business,  results  of  operaNons  and  financial  posiNon  are  discussed   in   its   most   recently   filed   RegistraNon   Statement   on   Form   10   and   in   other   SecuriNes   and   Exchange   Commission   filings.   Unless   otherwise   required   by   law,   Vaccinogen   also   disclaims   any   obligaNon   to   update   its   view   of   any   such   risks   or   uncertainNes   or   to   announce   publicly   the   result   of   any   revisions   to   the   forward-­‐looking   statements   made   here.  However,  readers  should  review  carefully  reports  and  documents  that  Vaccinogen  files  periodically  with  the  SecuriNes  and  Exchange  Commission.     Q1  2014   Stock  Symbol:  VGEN   21