Actinium Pharmaceuticals, Inc
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Actinium Pharmaceuticals, Inc. ATNM: NYSE AMERICAN November 2019 Disclaimer and Safe Harbor The information presented herein contains express and implied forward-looking statements regarding the current intentions, expectations, estimates, opinions and beliefs of Actinium Pharmaceuticals, Inc. (“Actinium”) that are not historical facts. These forward- looking statements include statements regarding Actinium’s expectations for its product candidates (including their therapeutic and commercial potential, anticipated future development activities, anticipated timing of development activities, including initiation of clinical trials and presentations of clinical data and the indications Actinium and its collaborators plan to pursue), future results of operations and financial position, business strategy, strategic collaborations, any royalty or milestone payments and Actinium’s ability to obtain and maintain intellectual property protection for its product candidates. 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These statements are based on management’s current expectations and are subject to risks and uncertainties that may cause actual results to differ materially from the anticipated or estimated future results, including the risks and uncertainties associated with preliminary study results varying from final results, estimates of potential markets for drugs under development, clinical trials, actions by the FDA and other governmental agencies, regulatory clearances, responses to regulatory matters, the market demand for and acceptance of Actinium’s products and services, performance of clinical research organizations and other risks detailed from time to time in Actinium's filings with the Securities and Exchange Commission (the “SEC”), including without limitation its most recent annual report on Form 10-K, subsequent quarterly reports on Forms 10-Q and Forms 8-K, each as amended and supplemented from time to time. 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Actinium Pharmaceuticals 2 Company Highlights Late-stage and diverse Antibody Radiation-Conjugate (ARC) pipeline maturing and generating data amidst growing interest for targeted radiotherapies Iomab-B is a highly differentiated and potentially transformative targeted conditioning agent for bone marrow transplant (BMT) Pivotal Phase 3 SIERRA trial for Iomab-B over 50% enrolled with promising interim results showing clear value proposition in AML despite 8 recently approved therapies Leading late-stage pipeline focused on targeted conditioning for BMT and CAR-T leveraging our ARC capabilities and expertise Potential best-in-class CD33 program under development in multiple indications including targeted conditioning, ARC combinations and therapies AWE technology platform drives innovation and future opportunities including partnerships, next-generation ARC’s and solid tumor initiatives Actinium Pharmaceuticals 3 Executive Management Team Highly seasoned and experienced management team executing on clinical, R&D, IP & BD milestones Sandesh Seth Mark Berger, MD Dale Ludwig, PhD Chief Executive Officer and Chief Medical Officer Chief Scientific Officer Chairman of the Board Anil Kapur Steve O’Loughlin Chief Commercial Officer Principal Financial Officer Actinium Pharmaceuticals 4 AWE Platform Enables Pipeline, Future Opportunities Our AWE technology platform allows us to create Antibody Radiation-Conjugates (ARC’s) for multiple areas of clinical development AWE Technology Platform Areas of Focus Scientific Founders Linker Isotope Targeted Conditioning ▪ Bone Marrow Transplant (BMT) Antibody ▪ CAR-T and Adoptive Cell Therapy ▪ Two Pivotal Programs Collaborators ARC Therapeutics and Combinations ▪ Internalized targeted radiation ▪ Synergistic with chemotherapy, Strong, Growing IP Portfolio of 100+ Patents targeted agents and immunotherapy Multiple Targets Other Near-Term Opportunities CD45 CD33 CD38 Leukemia, Lymphoma AML, MDS MM and Solid Tumors Next-Generation ARC’s and immune cells and MM leukemia cells Multiple Isotopes(1) Iodine-131 Actinium-225 Lutetium-177 Range: 2.3 mm Range: .048 mm Range: 1.5 mm Energy: 0.6 MeV Energy: 5.8 MeV Energy: 0.47 MeV Actinium Pharmaceuticals 1) Pouget J.-P. et al. Nat. Rev. Clin. Oncol. 8, 720–734 (2011); published online 8 November 2011. 5 AWE Platform Powers Our Pipeline of ARC’s Deep pipeline, including a Phase 3 asset with near-term data Potential Development Stage Focus Program Indication Preclinical Phase 1 Phase 2 Phase 3 Iomab-B Targeted Conditioning r/r AML 55+ Pivotal Phase 3 SIERRA BMT – CD45 Iomab-B AML, MM, ALL, Phase 1/2 BMT – CD45 NHL/HL Iomab-ACT CAR-T Programs Planned Phase 1 CAR-T – CD45 SBU Opportunity Actimab-MDS MDS Phase 1 Planned Pivotal Program BMT – CD33 Actimab-A + ARC Therapeutics and r/r AML Phase 1 Combinations Venetoclax Actimab-A r/r AML Phase 1 CLAG-M Actimab-M Multiple Myeloma Phase 1 Ac-225- AWE Platform Multiple Myeloma Preclinical Daratumumab (CD38) Ac-225 ARC’s Solid Tumor Preclinical Ac-225 + Undisclosed Undisclosed Collaboration Targeting Agents Actinium AML – Acute Myeloid Leukemia, MDS – Myelodysplastic Syndrome, MM – Multiple Myeloma, ALL – Acute Lymphoblastic Leukemia, NHL / HL – Non-Hodgkin’s / Hodgkin’s Pharmaceuticals Lymphoma 6 Why BMT and Targeted Conditioning BMT is a potential cure for multiple diseases with significant opportunity for innovation and growth • The bone marrow may start to produce cancerous cells, leading to diseases like leukemia, lymphoma, and other disorders • In many instances, a BMT is the only curative treatment option for patients with these diseases Actinium is focused on the conditioning necessary prior to Bone Marrow Transplant 01 Conditioning 02 Transplant 03 Engraftment 04 Outcomes BMT Process Eliminate cancer cells Infuse healthy cells Infused cells take hold and Potential for extended and the diseased bone from patient or donor rebuild patient’s blood and survival or curative marrow immune systems outcomes Actinium Pharmaceuticals 7 The Current BMT Conditioning Dilemma Patients have restricted access and suboptimal outcomes to potentially curative BMT Why is patient access restricted and outcomes ARC’s like Iomab-B can solve the BMT How big is the BMT access gap? suboptimal conditioning dilemma and access gap Today’s standard of care conditioningOnly regimens are either “too hot” or “too21,000 cold” patients Limitation:received Tooa toxic BMT, many in patients Chemotherapy - cannot2017 tolerate(2) Myeloablative Conditioning Result: Restricted access and high Treatment Related Morality Limitation: Low-dose ARC Advantages: Can’t eliminate all disease chemo/radiation >150,000 - Delivers greater amounts of radiation to target cells - Faster time to BMT - Reduced Result: - Fewer toxicities Intensity High Relapse Rates Patients - Simultaneous tumor and marrow ablation Conditioning that could potentially benefit from a BMT - Better tolerated, stronger patient for BMT that do not receive one today Actinium 1) Cancer Facts & figures, 2018. American Cancer Society, 2018. Leukemia, Lymphoma and Myeloma. 2) CIBMTR 2017 US Data. Transplants for AML, NHL, Hodgkin Disease and Multiple Myeloma Pharmaceuticals 8 Iomab-B Value Proposition: Enhanced Access, Improved Outcomes Transplant becomes a viable option for older patients with active, relapsed or refractory disease Prior Clinical Experience 300+ patients 12 clinical trials 6 diseases Improved (AML, MDS, MM, survival and ALL, NHL/HL) curative outcomes AML – Current Situation vs. POC Results Current BMT Conditioning Approaches Iomab-B BMT Conditioning(3) Salvage Chemo(1) Chemo + BMT(2) 30% 19% Observed ~10% ~10% Overall Survival ~0% ~0% 1-year 2-year 1-year 2-year 1-year 2-year Observed Patients with active disease Time to 42 days 12 days generally do not receive BMT BMT 1) Roboz et al. J Clin Oncol 32:1919-1926 (2014) Intl Randomized Phase III Study of Elacytarabine Versus Investigator Choice in Patients with Relapsed/Refractory Acute Myeloid Leukemia (N=381) Actinium 2) Armistead et al. Biol Blood Marrow Transplant 15 :1431-1438 (2009) MD Anderson outcomes analysis. (Chemo + BMT N=19) Pharmaceuticals 3) Pagel et. al. Blood 114:5444-5453 (2009) and additional data on file (N=36) 9 Ongoing Pivotal Phase 3 SIERRA Trial for Iomab-B The only randomized Phase 3 trial investigating a BMT option for patients older than 55 years with active, relapsed or refractory AML • 150 patients total, 75 patients per arm • Primary Endpoint: Durable Complete Response (dCR) at 6 months • Secondary Endpoint: 1-year overall survival