Caladrius Biosciences Corporate Presentation David J. Mazzo, PhD, Chief Executive Officer January 2016 NASDAQ: CLBS 1
2 Forward-looking statements This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements reflect management’s current expectations, as of the date of this presentation, and involve certain risks and uncertainties. All statements other than statements of historical fact contained in this presentation are forward-looking statements, including statements regarding our expected financial results, as well as the potential of our product candidates. The Company’s actual results could differ materially from those anticipated in these forward-looking statements as a result of various factors. Factors that could cause future results to materially differ from the recent results or those projected in forward-looking statements include the “Risk Factors” described in the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission (“SEC”) on March 2, 2015, and in the Company’s other periodic filings with the SEC, including, without limitation, risks related to: (i) our expected continued losses and negative cash flows; (ii) our anticipated need for substantial additional financing; (iii) the significant costs and management resources required to comply with the requirements of being a public company; (iv) the possibility that a significant market for cell therapy may not emerge; (v) the potential variability in PCT’s revenues; (vi) PCT’s limited manufacturing capacity; (vii) the need to improve manufacturing efficiency at PCT; (viii) the limited marketing staff and budget at PCT; (ix) the logistics associated with the distribution of materials produced by PCT; (x) government regulation; (xi) our intellectual property; (xii) cybersecurity; (xiii) the development, approval and commercialization of our products; (xiv) enrolling patients in and completing, clinical trials; (xv) the variability of autologous cell therapy; (xvi) our access to reagents we use in the clinical development of our cell therapy product candidates; (xvii) the validation and establishment of manufacturing controls; (xviii) the failure to obtain regulatory approvals outside the United States; (xix) our failure to realize benefits relating to “fast track” and “orphan drug” designations; (xx) the failure of our clinical trials to demonstrate the safety and efficacy of our product candidates; (xx) our current lack of sufficient manufacturing capabilities to produce our product candidates at commercial scale; (xxi) our lack of revenue from product sales; (xxii) the commercial potential and profitability of our products; (xxiii) our failure to realize benefits from collaborations, strategic alliances or licensing arrangements; (xxiv) the novelty and expense of the technology used in our cell therapy business; (xxv) the possibility that our competitors will develop and market more effective, safer or less expensive products than our product candidates; (xxvi) product liability claims and litigation, including exposure from the use of our products; (xxvii) our potential inability to retain or hire key employees; and (xxviii) risks related to our capital stock. Although the Company believes the expectations contained in such forward-looking statements are based on reasonable assumptions, it can give no assurance that its expectations will be attained. The forward- looking statements are made as of the date of this presentation, and the Company undertakes no obligation to publicly update or revise any forward- looking statements, as a result of new information, future events or otherwise, except as required by law.
• PCT: growing business providing development, manufacturing and delivery of cell-based therapies - Averaging 25% year-over-year revenue growth over past two years - Unmatched cell and cell-based gene therapy-specific experience and expertise - Expansive list of noteworthy cell and cell-based gene therapy clients • Focused pipeline of highly promising cell therapies - Leverages internal specialized cell therapy clinical development expertise and PCT’s CMC prowess - Partnering post-POC provides value inflection and an additional stream of new PCT clients - CLBS03 – Treg cell therapy targeting adolescents with recent-onset type 1 diabetes • Highly experienced management and domain-specific scientific team Investment summary 3
Transforming cells into therapies From Concept to Commercial Product 4
Caladrius Biosciences’ Center of Excellence for process development, engineering and manufacturing cGMP Infrastructure Innovation cGMP Manufacturing Technology Transfer GTP Processing Logistics Process Optimization and Automation Consulting Analytical Development Manufacturing Development Quality PCT: Premier cell therapy development and manufacturing partner 5
Unmatched experience: >120 clients, 20,000 products and 6,000 patients over 17 years validate the benefits of PCT Selected Clients 6
7 PCT is a premier cell therapy service provider • Specializes in cell and cell-based gene therapy development and manufacturing • Proven efficiency enhancement and reduced capital investment for clients vs. internal commitment - From preclinical to commercial • Demonstrated regulatory expertise - 50+ EU and US regulatory filings • Established process optimization and automation expertise • US- and EU-compliant systems and facilities Multiple cGMP manufacturing facilities Allendale, NJ (30,000 ft2) ISO Class 7 / Class 10,000 suites ISO Class 6 / Class 1,000 suite Expansion underway to increase capacity by 60% including additional EU-compliant suites Mountain View, CA (25,000 ft2) ISO Class 7 / Class 10,000 suites
Expertise in multiple therapeutic applications and cell types • Immunotherapy - T cells / CAR-T cell therapy - Tumor cells - Dendritic cells - Natural killer cells - B cells - Macrophages - Donor lymphocyte infusion • Neuro/endocrine - Neural stem cells - Porcine islets • Hematopoietic replacement - CD34+ selected cells - Ex vivo gene therapy - HSC / ASC / HPC - Genetic disease • Tissue repair/ regeneration - Fibroblasts - Keratinocytes - Multipotent mesenchymal stromal cells 8
9 PCT offers a complete development pathway Clinical manufacturing Process/ manufacturing development Commercial manufacturing Strategic Manufacturing Assessment Cell therapy product concept Client may enter at any stage
10 Delivering a strategic solution through flexible capacity • Supplants expensive, time-consuming facility build-outs and challenges in forecasting capacity use • Provides client-specific dedicated or shared scalable manufacturing solutions • “Partnership” model anticipates and provides prospective options for evolving client needs • “Quality by Design” approach to high-quality, robust, scalable and sustainable products with optimal COGs
Caladrius base business model 11 Cell Therapy Developers & Academia Expertise Value Creation Revenue
Caladrius enhanced business model 12 Cell Therapy Developers & Academia Expertise Revenue Value Creation
14 • T Cell technology • Strategic collaboration with Sanford Research • Phase 2 proof-of-concept stage • PCT-developed manufacturing process Immune Modulation CLBS03: Type 1 Diabetes Mellitus (T1D)
15 T Regulatory Cells (Tregs): restoring immune balance and function Normal immune system: immune balance Infusion of Tregs: balance regained Autoimmunity: immune imbalance T regulatory cells T effector cells Natural polyclonal T regulatory cells Simple, cost-effective process with protected intellectual property
16 T1D: unmet medical needs create attractive commercial opportunity • 18,000 children under 20 in US with recent-onset T1D per year1 • 3% annual growth rate worldwide2 • No curative treatments for T1D, only lifelong insulin therapy • Many serious co-morbidities: - Kidney failure - New cases of adult blindness - Non-traumatic lower-limb amputations Beta Cells T Effector Cell-Mediated Killing of Beta Cells T Effector Cell T Regulatory Cell T Regulatory Cell Defense of Beta Cells 1. Hamman RF, et al. Diabetes Care. 2014; Sosenko JM, et al. Diabetes Care. 2008; Palmer JP. Diabetes/metabolism research and reviews. 2009 2. The DIAMOND Project Group. Diabetic Medicine. 2006;23:857-866.
17 Treg cell therapy appears durable in humans1 1. Gitelman et al, American Diabetes Association Abstract, 2014. 2. Dr. Jeffrey Bluestone Lab Study Leadership Jeffrey Bluestone, PhD of UCSF, leader in field of Tregs Design US UCSF/Yale open-label Phase 1 study, 4-dose escalation cohorts Patients 14 adult patients with established T1D Results • Preliminary data indicate safety and tolerability • Established manufacturing feasibility • Implied sustainability of effect • Infused Tregs were stable and detected in peripheral circulation for 1 year2 365 % of admi n is tered T reg s (is o to p e label e d ) o u t of to tal T re g p o p u latio n 180 90 0 14 28 Administered Treg persistence2 Days Post-Infusion Each Line Corresponds to an Individual Subject
Treg cell therapy preserves beta cell function in children1 Marek-Trzonkowska, N t al. Clinical Immunology 2014 1. Children aged 5-18 administered 1 (10 or 20 mil cells/kg) or 2 doses (total 30 mil cells/kg) of Tregs 0 0.2 0.4 0.6 0.8 1 1.2 Day O Month 4 One Year Fasting C-peptide levels C -p e p tide ( n g /m l) Mean Treatment Mean Control 0% 20% 40% 60% 80% 100% Control Group Treatment Group Remission rate at 12 months 67% 20% n=12 n=10 Complete insulin independence Remission No Remission 18
TRex Study: Phase 2 proof-of-concept in adolescents with T1D1 19 Design • Double-blind, placebo-controlled, randomized (1:1:1) trial • Adolescent patients ages 12 to 18 with recent-onset T1D Key Endpoints • Preservation of C-peptide level, insulin use, hypoglycemic episodes, Hemoglobin A1 C level (all in comparison to placebo) Powering • 80% power to detect 50% attenuation in fasting C-peptide levels Study Size • 111 patients to be enrolled including 18-patient initial cohort • 12 to 15 US sites • Supported by strategic collaboration with Sanford Research – The Sanford Project Treatment • CLBS03: Dose cohorts of 10 or 20 million cells/kg Control • Placebo infusion 1. Study cleared by FDA to proceed based on efficacy data in children establishing prospect of direct benefit
Interim blinded analysis when ~50% of subjects complete six-month follow up TRex Study: efficient asset de-risking study design 18 52 Initial 18 patients evaluated for safety (regulatory go/no-go) and immunological markers through three months Patient Enrollment 111 Sanford Research will: • Provide and cover costs of two initial clinical sites • Enroll study subjects across nine-state footprint at their cost • Provide funding/operational resources to execute subject recruitment, enrollment, treatment and monitoring Topline results for primary endpoint after full enrollment 20
Year 1 Part 1 N = 18 Start-up 1st patient randomized Enrollment & Treatment 3-Month F/U Year 2 Year 1 Part 2 N = 93 Start-up Enrollment & Treatment 19th patient randomized Year 2 Regulatory go/no-go Trex study timeline 21
Potential application across multiple autoimmune and allergic diseases 22 Multibillion-dollar lifecycle opportunity Steroid-resistant asthma Multiple sclerosis (MS) Chronic obstructive pulmonary disease (COPD) Inflammatory bowel disease Graft vs. Host disease Rheumatoid arthritis Lupus
23 • Phase 2 data for both platforms • Applicability to multiple indications Additional Technology Platforms for Partnering • Tumor cell/dendritic cell technology for immuno-oncology • CD34 cell technology for ischemic repair
24 Tumor cell/dendritic cell technology for immuno-oncology • Uniquely targets cancer-initiating cells, applicability to multiple indications • Checkpoint inhibitors reduce impediments to an existing path - CLBS technology may open entirely new paths to multiple-antigen recognition • Promising Phase 2 melanoma efficacy results with no major safety issues (melanoma) Caladrius Candidate Checkpoint Inhibitors Potentially complementary or even synergistic approaches
25 CD34 cell technology for ischemic repair • CD34 cells shown to induce the development of new blood vessels, preventing tissue death by improving blood flow • Significant unmet need for critical limb ischemia (CLI) and chronic heart failure (CHF) • Seeking partnership for Japanese development for no-option CLI - Designed to leverage new Japanese regulatory path to early conditional approval - Phase 2 protocol and CMC strategy completed in consultation with Japanese PMDA • Out-licensing completed for CHF/AMI opportunity in specific ex-US territories CD34/CXCR4 from peripheral blood Critical limb ischemia CD34 cell therapy promoting angiogenesis CD34/CXCR4 Post-acute myocardial infarction CD34/CXCR4 from bone marrow
Experienced executive team with broad domain-specific expertise David J. Mazzo, PhD Chief Executive Officer 30+ years of experience in all aspects of large and emerging global biotech, biopharma company operations, successful international drug development Robert A. Preti, PhD Senior VP, Dev. and Tech. Operations and Chief Technology Officer; President of PCT Leading authority on cell-based therapy engineering; unique development and commercialization experience; 30+ years of experience Douglas W. Losordo, MD Senior VP, Clinical, Medical and Regulatory Affairs and Chief Medical Officer Leader in cell therapy research and development; renowned clinician with noteworthy academic and industry credentials; 25+ years of experience Joseph Talamo Senior VP and Chief Financial Officer Versatile finance executive with leadership experience in publicly traded development and commercial-stage companies; 20+ years of experience Todd Girolamo General Counsel and Corporate Secretary Seasoned attorney with 25 years of legal, finance and biotechnology industry experience 26
27 Select financial information • Cash, cash equivalents and marketable securities*: $29.4 million • Long-term debt*: $15 million * As of September 30, 2015 0 5 10 15 20 25 30 35 Revenue in millions $ 2014 (Actual) 2015 (Guidance) 2016 (Guidance) $23m ↑28% $30m+ ↑30% $18m
Investment summary 28 • PCT: growing business providing development, manufacturing and delivery of cell-based therapies - Averaging 25% year-over-year revenue growth over past two years - Unmatched cell and cell-based gene therapy-specific experience and expertise - Expansive list of noteworthy cell and cell-based gene therapy clients • Focused pipeline of highly promising cell therapies - Leverages internal specialized cell therapy clinical development expertise and PCT’s CMC prowess - Partnering post-POC provides value inflection and an additional stream of new PCT clients - CLBS03 – Treg cell therapy targeting adolescents with recent-onset type 1 diabetes • Highly experienced management and domain-specific scientific team
Investor Relations Contact: LHA Investor Relations Anne Marie Fields, Senior Vice President Phone: 212.838.3777 Email: afields@lhai.com Web: www.caladrius.com NASDAQ: CLBS 29