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Vintafolide in NSCLC - Phase 2 Study Design & Results


                      • Leading cause of cancer death
    Unmet need        • Overall Survival <6 months
                      • 80% of patients folate receptor positive



                      • Eligibility:
     Vintafolide         – Failed >2 prior therapies
    Evaluated in         – Folate receptor positive
  Advanced Patients   • Advanced disease:
                         – 42% failed ≥4 prior therapies
                         – Bulky disease - median tumor length of 7.9 cm



                      • Met primary endpoint of clinical benefit
   Positive Results   • Well tolerated
                      • Significant improvement in OS in FR(100%) patients

                                                                             23
Positive Signal - Single Agent Vintafolide in FR(100%) NSCLC


                                    Progression Free Survival                                                                           Overall Survival
Probability of Survival




                                                                                              Probability of Survival
                                              FR(100%)
                                                                                                                                           FR(100%)


                                         FR(10-90%)

                                                                                                                           FR(10-90%)




                                       Weeks from First Administration of Vintafolide                                            Weeks from First Administration of Vintafolide



                          Progression Free Survival             FR(100%)        FR(10%-90%)                             Overall Survival                     FR(100%)       FR(10-90%)
                                                                  N=14              N=14                                                                       N=14            N=14

                          Median PFS months.                        7.2                 1.7                             Median OS months.                       10.9              3.4

                          Hazard Ratio (2-sided p-value)          0.326            p=0.028                              Hazard Ratio (2-sided p-value)         0.539          p=0.202


Note: FR(x%) – x refers to percent of target lesions determined to be positive for the folate receptor by the etarfolatide scan.                                                        25
Promising Phase 2 Vintafolide Results in NSCLC vs.
Standard Regimens

                          Regimens                          Response Rate   PFS (months)   Survival (months)

         First-line
          Navelbine/Cisplatin                                      19%            -               9.2
          Taxol/Cisplatin                                          25%        4.3 (TTP)           9.3
          Gem/Cisplatin                                            26%        5.2 (TTP)           9.0
          Taxotere/Cisplatin                                       32%        4.9 (TTP)          10.9
          Taxol/Carbo/Avastina                                     35%           6.2             12.3
          Gem/Cisplatin/Avastina                                   34%           6.7               -
         First-line with maintenance
          Alimta post platinum doublets                              -           4.0             13.4
          Alimta post Alimta/platinum                                -           4.1        Not yet matured
          Tarceva post platinum doublets                             -           2.8             12.0
         Second and third-line
         Taxotere – second-line                                     6%        1.9b ;2.8c       5.7b ;7.5c
          Iressa – third-line                                      11%            -                -
          Tarceva – second and third-line                           9%           2.3              6.7

         Vintafolide FR(100%) – Median 3rd line                     7%           7.2             10.9

 a   Non-squamous NSCLC; b against BSC; c against Navelbine/Iphosphamide                                       26
TARGET trial design – Vintafolide in 2nd line NSCLC


                                Preclinical studies support
                                                                                                  Phase 2b Design
                                combining with Docetaxel
                                                                                                   2nd Line NSCLC

                     1600
Tumor Volume (mm3)




                     1400
                     1200                                                                             Etarfolatide
                                                                                                    Folate Receptor
                     1000                                                                                Scan

                     800
                                                         KB Control
                     600                                                                      FR(100%)
                                                         Vintafolide
                                                                                                only
                     400                                 Docetaxel

                     200                                 Vintafolide + Docetaxel                       1:1:1
                                                                                                   Randomization
                       0
                            7     14   21   28   35      42          49        56
                                            PTI (days)                                                Vintafolide
                                                                                    Vintafolide                       Docetaxel
                                                                                                      /Docetaxel
                                                                                      (n=60)                           (n=60)
                                                                                                        (n=60)


                                                                                                                              25
Promising Vintafolide results compared to standard
regimens in 2nd and 3rd line NSCLC



    Regimens                                        Response Rate   PFS (months)   Survival (months)


    Taxotere
                                                             6%      1.9a ;2.8b       5.7a ;7.5b
     2nd line

    Alimta vs. Taxotere
                                                       9% vs. 8%     2.9 vs. 2.9      8.3 vs. 7.9
     2nd line

    Tarceva vs. placebo
                                                       9% vs. 1%     2.3 vs. 1.8      6.7 vs. 4.7
     2nd & 3rd line

    EC145 FR(100%)
                                                             7%         7.2              10.9
     70%  ≥3  prior  Tx




a   TTPD against Navelbine/Iphosphamide; bTTPD against BSC
                                                                                                    23

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Company presentation

  • 1. Vintafolide in NSCLC - Phase 2 Study Design & Results • Leading cause of cancer death Unmet need • Overall Survival <6 months • 80% of patients folate receptor positive • Eligibility: Vintafolide – Failed >2 prior therapies Evaluated in – Folate receptor positive Advanced Patients • Advanced disease: – 42% failed ≥4 prior therapies – Bulky disease - median tumor length of 7.9 cm • Met primary endpoint of clinical benefit Positive Results • Well tolerated • Significant improvement in OS in FR(100%) patients 23
  • 2. Positive Signal - Single Agent Vintafolide in FR(100%) NSCLC Progression Free Survival Overall Survival Probability of Survival Probability of Survival FR(100%) FR(100%) FR(10-90%) FR(10-90%) Weeks from First Administration of Vintafolide Weeks from First Administration of Vintafolide Progression Free Survival FR(100%) FR(10%-90%) Overall Survival FR(100%) FR(10-90%) N=14 N=14 N=14 N=14 Median PFS months. 7.2 1.7 Median OS months. 10.9 3.4 Hazard Ratio (2-sided p-value) 0.326 p=0.028 Hazard Ratio (2-sided p-value) 0.539 p=0.202 Note: FR(x%) – x refers to percent of target lesions determined to be positive for the folate receptor by the etarfolatide scan. 25
  • 3. Promising Phase 2 Vintafolide Results in NSCLC vs. Standard Regimens Regimens Response Rate PFS (months) Survival (months) First-line Navelbine/Cisplatin 19% - 9.2 Taxol/Cisplatin 25% 4.3 (TTP) 9.3 Gem/Cisplatin 26% 5.2 (TTP) 9.0 Taxotere/Cisplatin 32% 4.9 (TTP) 10.9 Taxol/Carbo/Avastina 35% 6.2 12.3 Gem/Cisplatin/Avastina 34% 6.7 - First-line with maintenance Alimta post platinum doublets - 4.0 13.4 Alimta post Alimta/platinum - 4.1 Not yet matured Tarceva post platinum doublets - 2.8 12.0 Second and third-line Taxotere – second-line 6% 1.9b ;2.8c 5.7b ;7.5c Iressa – third-line 11% - - Tarceva – second and third-line 9% 2.3 6.7 Vintafolide FR(100%) – Median 3rd line 7% 7.2 10.9 a Non-squamous NSCLC; b against BSC; c against Navelbine/Iphosphamide 26
  • 4. TARGET trial design – Vintafolide in 2nd line NSCLC Preclinical studies support Phase 2b Design combining with Docetaxel 2nd Line NSCLC 1600 Tumor Volume (mm3) 1400 1200 Etarfolatide Folate Receptor 1000 Scan 800 KB Control 600 FR(100%) Vintafolide only 400 Docetaxel 200 Vintafolide + Docetaxel 1:1:1 Randomization 0 7 14 21 28 35 42 49 56 PTI (days) Vintafolide Vintafolide Docetaxel /Docetaxel (n=60) (n=60) (n=60) 25
  • 5. Promising Vintafolide results compared to standard regimens in 2nd and 3rd line NSCLC Regimens Response Rate PFS (months) Survival (months) Taxotere 6% 1.9a ;2.8b 5.7a ;7.5b 2nd line Alimta vs. Taxotere 9% vs. 8% 2.9 vs. 2.9 8.3 vs. 7.9 2nd line Tarceva vs. placebo 9% vs. 1% 2.3 vs. 1.8 6.7 vs. 4.7 2nd & 3rd line EC145 FR(100%) 7% 7.2 10.9 70%  ≥3  prior  Tx a TTPD against Navelbine/Iphosphamide; bTTPD against BSC 23