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February 2013
LEADING
REGENERATIVE
MEDICINE
This presentation is intended to present a summary of ACT’s (“ACT”, or “Advanced Cell
Technology Inc”, or “the Company”) salient business characteristics.
The information herein contains “forward-looking statements” as defined under the federal
securities laws. Actual results could vary materially. Factors that could cause actual results
to vary materially are described in our filings with the Securities and Exchange Commission.
You should pay particular attention to the “risk factors” contained in documents we file from
time to time with the Securities and Exchange Commission. The risks identified therein, as
well as others not identified by the Company, could cause the Company’s actual results to
differ materially from those expressed in any forward-looking statements. Ropes Gray
Cautionary Statement Concerning Forward-Looking Statements
2
ACT is a publicly-traded biotechnology company
• Develop cellular therapies for the treatment of diseases and conditions
that impact hundreds of millions of people worldwide
• Premier scientific and research development team
• Cell therapies are traditionally derided for being high cost, high touch
and having lack of scalability. Not our approach at all
>> Centralized, Scalable, Cost Effective Cell Therapy Products <<
About ACT:
– Ticker – ACTC
– Market Capitalization: $190 million
– Principal lab and GMP facility: Marlborough, MA
– Corporate HQ: Santa Monica, CA
– Only hESC-derived tissue trials ongoing worldwide
3
Company Overview
Multiple Pluripotent Cell Platforms
Single Blastomere-derived
Embryonic Stem Cell Lines
Generating hESC lines
WITHOUT DESTRUCTION OF EMBRYO
Utilizes a
SINGLE CELL BIOPSY
ACT never needs to make another hESC line again
4
Final Product Definition: hESC-derived
products will be manufactured using
a cell line made in 2005 from single
cell isolated without the destruction
of any embryos
Multiple Pluripotent Cell Platforms
Induced Pluripotency
Stem Cells (iPS cells)
Generating pluripotent cell lines
FROM ADULT TISSUE
….potential for patient specific stem cell lines
• Early Innovator in Pluripotency (before iPS was even a term!)
• Controlling Patent Filings (earliest priority date) to use of OCT4 for
inducing pluripotency
5
RPE Clinical Program
7
Life Support to Photoreceptors
Provides nutrients and growth factors
• photoreceptors see no blood
Recycles Vitamin A
• maintains photoreceptor excitability
Detoxifies photoreceptor layer
Maintains Bruch’s Membrane
• natural antiangiogenic barrier
• immune privilege of retina
Absorbs stray light / protects from UV
RPE Layer has
multiple
critical roles
in the
health and
function
of photoreceptors and
the retina as a whole.
8
Life Support to Photoreceptors
Loss of RPE cells
Build up of toxic waste
Loss of photoreceptors
Dry AMD
Bruch’s Mem. dehiscence
Choroidal neovascularization
Wet AMD
9
RPE Therapy- Rationale
Dry AMD
represents more than
90%
of all cases of AMD
North America & Europe
alone have more than 30 million dry AMD patients
who should be eligible for our RPE cell therapy
What if we could
replace
missing RPE cells?
RPE cell therapy may impact
over 200 retinal diseases
10
RPE Therapy- Rationale
• Massive unmet medical need
• Unique measuring and observation environment
• Easy to identify – aids manufacturing
• Small dosage size – less than 200K cells
• Immune-privileged site - minimal/no immunosuppression
• Ease of administration - no separate device approval
GMP process for differentiation and purification of RPE
– Virtually unlimited supply from stem cell source
– Optimized for manufacturing
Ideal Cell Therapy Product
– Centralized Manufacturing
– Small Doses
– Easily Frozen and Shipped
– Simple Handling by Doctor
GMP Manufacturing
11
Product Cold Chain is Easily Scaled for Global Sales
ACT Cleanroom Suite
Preclinical Models
12
Injected human RPE cells
repair monolayer
structure in eye
Transplanted cells
engraft and form
correct anatomical
structure
Mouse model for macular degeneration
Preclinical Models
13
untreated treated
Photoreceptor
layer
photoreceptor
layer is lost
Transplanted RPE cells
protect photoreceptors and
prevent loss of vision
Rat model for
macular degeneration
•Untreated animals go blind
•Treated animals maintain
70-80% of normal vision
Phase I - Clinical Trial Design
14
SMD and dry AMD Trials approved in U.S., SMD Trial approved in U.K.
12 Patients / trial plus 4 in new cohort 2a – better vision
ascending dosages of 50K, 100K, 150K and 200K cells.
Regular Monitoring - including high definition imaging of retina
50K Cells 100K Cells 150K Cells 200K Cells
Patient 1 Patients 2/3
DSMB Review DSMB Review
Participating Retinal Surgeons
15
Steven D. Schwartz, MD
Chief, Retina Division
Ahmanson Professor of Ophthalmology
Director, Diabetic Eye Disease and Retinal Vascular Center
Director, Ophthalmic Photography Clinical Laboratory
Jules Stein Eye Institute
Wills Eye Institute
Carl D. Regillo, MD
Director, Retina Service
Professor of Ophthalmology, Jefferson Medical College
Byron L. Lam, MD
Director, Clinical Visual Physiology
Professor of Ophthalmology
Bascom Palmer Eye Institute
Participating Retinal Surgeons
16
Dean Eliott, MD
Associate Director, Retina Service
Professor, Harvard Medical School
Massachusetts Eye and Ear Infirmary
Moorfields Eye Hospital
James Bainbridge, MA MB BChir PhD FRCOphth
Professor of Retinal Studies, UCL Institute of Ophthalmology
Philip J. Rosenfeld, MD PhD
Professor of Ophthalmology
Bascom Palmer Eye Institute
Edinburgh Royal Infirmary
Baljean Dhillon BMed Sci, BM BS, FRCS
Surgeon, Edinburgh Royal Infirmary
Surgeon, Lothian University Hospitals NHS Trust
Professor of Ophthalmology, University of Edinburgh
Professor of Visual Impairment Studies, Heriot Watt University
Surgical Overview
17
Procedure:
• 25 Gauge Pars Plana
Vitrectomy
• Posterior Vitreous Separation
(PVD Induction)
• Subretinal hESC-derived RPE
cells injection
• Bleb Confirmation
• Air Fluid Exchange
Preliminary Results
18
No Adverse Events
No signs of hyperproliferation,
abnormal growth, rejection or retinal
detachment.
Persistence of cells
Anatomical evidence of hESC-RPE
survival and engraftment.
Increased pigmentation within the bed
of the transplant.
Impact on Acuity
Recorded functional visual
improvements in both patients.
19
Engraftment and Survival: SD-OCT image collected at month 3
show survival and engraftment of RPE
SMD US01
3mo post-op
Preliminary Results – Structural
20
Baseline
Injection site
Month 1 Month 2
SMD PATIENT
21
Baseline 2 months
DRY AMD PATIENT
Current Safety Profile
22
12 SMD Patients Treated
6 patients (50K cells cohort) treated – US&UK Trials > Cohort Complete
6 patient (100K cells cohort) treated – US&UK Trials > Cohort Complete
6 dry AMD Patients Treated
3 patients (50K cells cohort) treated > Cohort Complete
3 patient (100K cells cohort) treated > Cohort Complete
No reports of any adverse events or complications due to cells
• No evidence of inflammation or infiltration
• No evidence of ectopic tissue formation
• No evidence of retinal detachment
Expanding Clinical Programs
23
Myopia creates a higher risk of permanent vision loss due
to Myopic Macular Degeneration (MMD)
• Severe near-sightedness causes elongation of the eyeball --
which can causes fissures in RPE layer.
• MMD can occur at ages as young as 30 years old.
FDA Approved IND – MMD Phase I/II study
Jules Stein Eye Institute (UCLA) and ACT
• Will use ACT’s RPE cells to treat MMD
• Primary focus will be to evaluate the safety
• Dr. Stephen Schwartz is the investigator
RPE Program Milestone Objectives
24
Key upcoming milestones
• Continue to treat and review patient data
FDA has recently approved vision as good as
20/100 in treated eye for patient inclusion criteria
• Define efficacy endpoints and targeted patient visual
criteria
• Treat earlier stage disease to determine curative
power of dissociated cell injections
• Simplify shipping and cell-prep to enhance scaled
distribution platform
Intellectual Property – RPE Program
Treatment Dominant Patent Position for Treating Retinal
Degeneration
Manufacturing Broad Coverage for Manufacturing RPE Cells from hESC
Preparations Claims directed to pharmaceutical preparations of RPE
Cells from hESC, including both cell suspensions and
scaffolded RPE layers.
Sources Issued patents cover RPE Cells derived from other
pluripotent stem cells (including iPS cells)
Vigilance Regularly Filing on Improvements
• Extend patent life cycle, with significance to commercialization
• Include composition-of-matter claims (cell preparations,
pharmaceutical preparations, etc.)
25
RPE Program - Investment Thesis
26
• Immense unmet medical need
• Small Doses
• Immunoprivileged – permits central (allogeneic) source of cells
• Noninvasive monitoring of retina
Market potential: More than 50 million patients in major markets.
1% market penetration
may represent $5-10B market opportunity.
Orphan indications are meaningful: Estimating a 10% market penetration with
reoccurring treatments every 3-5 years, Stargardt’s disease can be a $100+
million/year product.
Therapeutic Pipeline -
Ocular Programs
Retinal Pigment Epithelial Cells
 Macular Degeneration - dry AMD
 Retinitis Pigmentosa
 Photoreceptor protection
Hemangioblast cells
 Ischemic retinopathy
– diabetic retinopathy, vascular occlusions
Retinal Neural Progenitor cells
Isolated Protective Factors
 Photoreceptor Loss, Modulation of Mßller Cells
 Protection of Retinal Ganglion cells (Glaucoma)
Corneal Endothelium, Corneal Epithelium,
Descemet’s Membrane
 Corneal Disease
Mesenchymal Stem Cells
 Glaucoma, Uveitis
 Retinitis Pigmentosa
 Management of Ocular Surfaces
28
Retina
Mesenchymal Stem Cell
Program
29
Mesenchymal Stem Cells in Therapy
30
Mesenchymal stem cells (MSCs) regulate immune responses
promising therapeutic potential for treating autoimmune
and inflammatory diseases.
• Allogeneic - without HLA matching.
• Track Record - Adult-derived MSCs already in 200+ clinical trials.
Derived from Bone Marrow and Adipose Tissue
However, allogeneic adult-derived MSC’s are limited
by replicative capacity
and as it turns out, a
relative lack of potency
A differentiated MSC
31
Unlimited Supply of Donor-less MSCs
• Immense replicative capacity
• hESC & iPS - inexhaustible sources of starting material
Advantages for Manufacturing
• Use Single Master Cell Bank
• Simplifies FDA/regulatory process
• No need for continually finding and qualifying donors
• Less labor-intensive
A differentiated MSC
32
Our mesenchymal stem cells are
substantially more potent
than both bone marrow and
adipose derived MSC
Potential applications
33
• >100 autoimmune diseases
• Multiple Sclerosis
• Osteoarthritis
• Crohn’s Disease/IBS
• Aplastic Anemia
• Chronic Pain
• Limb Ischemia
• Heart Failure/MI
• Stroke
• Graft-versus-host Disease
• Spinal Cord Injury
• Parkinson’s Disease
• Liver Cirrhosis
• Emphysema/Pulmonary Diseases
• Wound healing
(ulcers/decubitus/burns)
• HSC engraftment/irradiated
cancer patients
• Eye diseases (uveitis, retinal
degeneration, glaucoma)
ACT
Blood Components
Program
Hemangioblast Program: Overview
35
Hemangioblast: common precursor to hematopoietic and endothelial cells.
Multipotent cell produces all
cell types in the circulatory and
vascular systems
Generation of Blood Products
36
Hemangioblasts RBCsHemangioblasts Enucleated
RBC’s
Process generates large
quantities of functional
red blood cells
and
megakaryocytes &
platelets
The Case for Platelets
37
Platelets are key elements of
hemostasis and thrombosis as well as
tissue regeneration after injury or surgery.
• Maintain vascular integrity and play vital roles in wound repair
• Thrombocytopenia is a major cause of morbidity in sepsis,
cancer and preeclampsia
• Used regularly in soft- and hard-tissue applications in most fields
of surgery.
.
Beyond Donor Supply: Estimate
demand for additional 1-2M units/year
The Case for Platelets
38
Platelets are the blood product most difficult to
maintain without unnecessary wastage.
Platelets do not tolerate refrigeration.
Storage at room temperature is limited to 5–7 days
Need for new strategies
to generate platelets
for infusion therapy.
Platelets 2.0
39
Ability to control platelet manufacturing provides
opportunities to improve storage, fine tune
platelets for use in wound healing applications, as well
as to engineer new roles for platelets beyond
traditional involvement in wound healing.
• Improve cryopreservation of platelets
• Make lyophilization of platelets tractable solution
• Utilize platelets for drug delivery
• Utilize platelets in imaging (load with contrast agents)
CONFIDENTIAL - BUSINESS PROPRIETARY
Achieving Function and Scale
40
• Ultrastructural and morphological features of SC-derived
platelets are indistinguishable from normal blood
platelets.
• SC-derived platelets respond to thrombin stimulation, form
microaggregates, and facilitate clot formation and
retraction.
• SC-derived platelets contribute to developing thrombi at sites of
laser-induced vascular injury in mice - first evidence for in vivo
functionality of SC-derived platelets.
Clinical Program Status
41
• Animal model studies show
proper in vivo function
• Achieved clinical dose
scale manufacturing
• Completely feeder-free process
(bioreactor capable!)
• Pre-IND meeting requested
with FDA
Sample 10 year plan
42
Achieve 100 plt/mk Achieve 500 plt/mk
Achieve
1011 scale
Achieve
1012 scale
Achieve
1014 scale
Phase 0 Study
Prepare and
File IND Phase I/II Study Phase II
File
Exploratory
IND
EOP I
meeting
Achieve
1 Million Dose Scale
1yr 2yr 3yr 4yr 5yr 10yr
Achieve
2000-5000 plt/mk
ACT Corporate Overview
Financial Update – Strong Balance Sheet
44
• Company ended 2012 Q3 with $42 million in
cash or availability of cash through financing
commitments
• $16 million annual cash-burn rate
(funded through early 2015)
• Settled nearly all litigation hangover from
previous management
ACT Management Team
Highly Experienced and Tightly Integrated Management Team
Gary Rabin – Chairman & CEO
Dr. Robert Lanza, M.D. – Chief Scientific Officer
Edmund Mickunas – Vice President of Regulatory Affairs
Dr. Irina Klimanskaya, Ph.D. – Director of Stem Cell Biology
Dr. Shi-Jiang (John) Lu, Ph.D. – Senior Director of Research
Dr. Roger Gay, Ph.D. - Senior Director of Manufacturing
Kathy Singh - Controller
Rita Parker – Director of Operations
Dr. Matthew Vincent, Ph.D. – Director of Business Development
Bill Douglass – Dir. of Corporate Communications & Social Media
45
Dr. Ronald M. Green: Chairman
Dr. Judith Bernstein
Dr. Jeremy B.A. Green
Dr. Robert Kauffman
Dr. Carol A. Tauer
ACT Leadership
Gary Rabin: Chairman & CEO
Dr. Robert S. Langer, ScD: Prolific medical inventor; Chair – ACT SAB
Gregory S. Perry: EVP – Immunogen
Michael Heffernan: CEO – Collegium Pharma
Zohar Loshitzer: CEO Presbia; Founder LifeAlert Medical
Dr. Alan C. Shapiro: Renowned business school professor
46
World Class Board of Directors
Highly-regarded Ethics Advisory Board
Thank you
For more information, visit www.advancedcell.com

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Act corporate-presentationfeb13

  • 2. This presentation is intended to present a summary of ACT’s (“ACT”, or “Advanced Cell Technology Inc”, or “the Company”) salient business characteristics. The information herein contains “forward-looking statements” as defined under the federal securities laws. Actual results could vary materially. Factors that could cause actual results to vary materially are described in our filings with the Securities and Exchange Commission. You should pay particular attention to the “risk factors” contained in documents we file from time to time with the Securities and Exchange Commission. The risks identified therein, as well as others not identified by the Company, could cause the Company’s actual results to differ materially from those expressed in any forward-looking statements. Ropes Gray Cautionary Statement Concerning Forward-Looking Statements 2
  • 3. ACT is a publicly-traded biotechnology company • Develop cellular therapies for the treatment of diseases and conditions that impact hundreds of millions of people worldwide • Premier scientific and research development team • Cell therapies are traditionally derided for being high cost, high touch and having lack of scalability. Not our approach at all >> Centralized, Scalable, Cost Effective Cell Therapy Products << About ACT: – Ticker – ACTC – Market Capitalization: $190 million – Principal lab and GMP facility: Marlborough, MA – Corporate HQ: Santa Monica, CA – Only hESC-derived tissue trials ongoing worldwide 3 Company Overview
  • 4. Multiple Pluripotent Cell Platforms Single Blastomere-derived Embryonic Stem Cell Lines Generating hESC lines WITHOUT DESTRUCTION OF EMBRYO Utilizes a SINGLE CELL BIOPSY ACT never needs to make another hESC line again 4 Final Product Definition: hESC-derived products will be manufactured using a cell line made in 2005 from single cell isolated without the destruction of any embryos
  • 5. Multiple Pluripotent Cell Platforms Induced Pluripotency Stem Cells (iPS cells) Generating pluripotent cell lines FROM ADULT TISSUE ….potential for patient specific stem cell lines • Early Innovator in Pluripotency (before iPS was even a term!) • Controlling Patent Filings (earliest priority date) to use of OCT4 for inducing pluripotency 5
  • 7. 7 Life Support to Photoreceptors Provides nutrients and growth factors • photoreceptors see no blood Recycles Vitamin A • maintains photoreceptor excitability Detoxifies photoreceptor layer Maintains Bruch’s Membrane • natural antiangiogenic barrier • immune privilege of retina Absorbs stray light / protects from UV RPE Layer has multiple critical roles in the health and function of photoreceptors and the retina as a whole.
  • 8. 8 Life Support to Photoreceptors Loss of RPE cells Build up of toxic waste Loss of photoreceptors Dry AMD Bruch’s Mem. dehiscence Choroidal neovascularization Wet AMD
  • 9. 9 RPE Therapy- Rationale Dry AMD represents more than 90% of all cases of AMD North America & Europe alone have more than 30 million dry AMD patients who should be eligible for our RPE cell therapy What if we could replace missing RPE cells?
  • 10. RPE cell therapy may impact over 200 retinal diseases 10 RPE Therapy- Rationale • Massive unmet medical need • Unique measuring and observation environment • Easy to identify – aids manufacturing • Small dosage size – less than 200K cells • Immune-privileged site - minimal/no immunosuppression • Ease of administration - no separate device approval
  • 11. GMP process for differentiation and purification of RPE – Virtually unlimited supply from stem cell source – Optimized for manufacturing Ideal Cell Therapy Product – Centralized Manufacturing – Small Doses – Easily Frozen and Shipped – Simple Handling by Doctor GMP Manufacturing 11 Product Cold Chain is Easily Scaled for Global Sales ACT Cleanroom Suite
  • 12. Preclinical Models 12 Injected human RPE cells repair monolayer structure in eye Transplanted cells engraft and form correct anatomical structure Mouse model for macular degeneration
  • 13. Preclinical Models 13 untreated treated Photoreceptor layer photoreceptor layer is lost Transplanted RPE cells protect photoreceptors and prevent loss of vision Rat model for macular degeneration •Untreated animals go blind •Treated animals maintain 70-80% of normal vision
  • 14. Phase I - Clinical Trial Design 14 SMD and dry AMD Trials approved in U.S., SMD Trial approved in U.K. 12 Patients / trial plus 4 in new cohort 2a – better vision ascending dosages of 50K, 100K, 150K and 200K cells. Regular Monitoring - including high definition imaging of retina 50K Cells 100K Cells 150K Cells 200K Cells Patient 1 Patients 2/3 DSMB Review DSMB Review
  • 15. Participating Retinal Surgeons 15 Steven D. Schwartz, MD Chief, Retina Division Ahmanson Professor of Ophthalmology Director, Diabetic Eye Disease and Retinal Vascular Center Director, Ophthalmic Photography Clinical Laboratory Jules Stein Eye Institute Wills Eye Institute Carl D. Regillo, MD Director, Retina Service Professor of Ophthalmology, Jefferson Medical College Byron L. Lam, MD Director, Clinical Visual Physiology Professor of Ophthalmology Bascom Palmer Eye Institute
  • 16. Participating Retinal Surgeons 16 Dean Eliott, MD Associate Director, Retina Service Professor, Harvard Medical School Massachusetts Eye and Ear Infirmary Moorfields Eye Hospital James Bainbridge, MA MB BChir PhD FRCOphth Professor of Retinal Studies, UCL Institute of Ophthalmology Philip J. Rosenfeld, MD PhD Professor of Ophthalmology Bascom Palmer Eye Institute Edinburgh Royal Infirmary Baljean Dhillon BMed Sci, BM BS, FRCS Surgeon, Edinburgh Royal Infirmary Surgeon, Lothian University Hospitals NHS Trust Professor of Ophthalmology, University of Edinburgh Professor of Visual Impairment Studies, Heriot Watt University
  • 17. Surgical Overview 17 Procedure: • 25 Gauge Pars Plana Vitrectomy • Posterior Vitreous Separation (PVD Induction) • Subretinal hESC-derived RPE cells injection • Bleb Confirmation • Air Fluid Exchange
  • 18. Preliminary Results 18 No Adverse Events No signs of hyperproliferation, abnormal growth, rejection or retinal detachment. Persistence of cells Anatomical evidence of hESC-RPE survival and engraftment. Increased pigmentation within the bed of the transplant. Impact on Acuity Recorded functional visual improvements in both patients.
  • 19. 19 Engraftment and Survival: SD-OCT image collected at month 3 show survival and engraftment of RPE SMD US01 3mo post-op Preliminary Results – Structural
  • 20. 20 Baseline Injection site Month 1 Month 2 SMD PATIENT
  • 22. Current Safety Profile 22 12 SMD Patients Treated 6 patients (50K cells cohort) treated – US&UK Trials > Cohort Complete 6 patient (100K cells cohort) treated – US&UK Trials > Cohort Complete 6 dry AMD Patients Treated 3 patients (50K cells cohort) treated > Cohort Complete 3 patient (100K cells cohort) treated > Cohort Complete No reports of any adverse events or complications due to cells • No evidence of inflammation or infiltration • No evidence of ectopic tissue formation • No evidence of retinal detachment
  • 23. Expanding Clinical Programs 23 Myopia creates a higher risk of permanent vision loss due to Myopic Macular Degeneration (MMD) • Severe near-sightedness causes elongation of the eyeball -- which can causes fissures in RPE layer. • MMD can occur at ages as young as 30 years old. FDA Approved IND – MMD Phase I/II study Jules Stein Eye Institute (UCLA) and ACT • Will use ACT’s RPE cells to treat MMD • Primary focus will be to evaluate the safety • Dr. Stephen Schwartz is the investigator
  • 24. RPE Program Milestone Objectives 24 Key upcoming milestones • Continue to treat and review patient data FDA has recently approved vision as good as 20/100 in treated eye for patient inclusion criteria • Define efficacy endpoints and targeted patient visual criteria • Treat earlier stage disease to determine curative power of dissociated cell injections • Simplify shipping and cell-prep to enhance scaled distribution platform
  • 25. Intellectual Property – RPE Program Treatment Dominant Patent Position for Treating Retinal Degeneration Manufacturing Broad Coverage for Manufacturing RPE Cells from hESC Preparations Claims directed to pharmaceutical preparations of RPE Cells from hESC, including both cell suspensions and scaffolded RPE layers. Sources Issued patents cover RPE Cells derived from other pluripotent stem cells (including iPS cells) Vigilance Regularly Filing on Improvements • Extend patent life cycle, with significance to commercialization • Include composition-of-matter claims (cell preparations, pharmaceutical preparations, etc.) 25
  • 26. RPE Program - Investment Thesis 26 • Immense unmet medical need • Small Doses • Immunoprivileged – permits central (allogeneic) source of cells • Noninvasive monitoring of retina Market potential: More than 50 million patients in major markets. 1% market penetration may represent $5-10B market opportunity. Orphan indications are meaningful: Estimating a 10% market penetration with reoccurring treatments every 3-5 years, Stargardt’s disease can be a $100+ million/year product.
  • 28. Retinal Pigment Epithelial Cells  Macular Degeneration - dry AMD  Retinitis Pigmentosa  Photoreceptor protection Hemangioblast cells  Ischemic retinopathy – diabetic retinopathy, vascular occlusions Retinal Neural Progenitor cells Isolated Protective Factors  Photoreceptor Loss, Modulation of MĂźller Cells  Protection of Retinal Ganglion cells (Glaucoma) Corneal Endothelium, Corneal Epithelium, Descemet’s Membrane  Corneal Disease Mesenchymal Stem Cells  Glaucoma, Uveitis  Retinitis Pigmentosa  Management of Ocular Surfaces 28 Retina
  • 30. Mesenchymal Stem Cells in Therapy 30 Mesenchymal stem cells (MSCs) regulate immune responses promising therapeutic potential for treating autoimmune and inflammatory diseases. • Allogeneic - without HLA matching. • Track Record - Adult-derived MSCs already in 200+ clinical trials. Derived from Bone Marrow and Adipose Tissue However, allogeneic adult-derived MSC’s are limited by replicative capacity and as it turns out, a relative lack of potency
  • 31. A differentiated MSC 31 Unlimited Supply of Donor-less MSCs • Immense replicative capacity • hESC & iPS - inexhaustible sources of starting material Advantages for Manufacturing • Use Single Master Cell Bank • Simplifies FDA/regulatory process • No need for continually finding and qualifying donors • Less labor-intensive
  • 32. A differentiated MSC 32 Our mesenchymal stem cells are substantially more potent than both bone marrow and adipose derived MSC
  • 33. Potential applications 33 • >100 autoimmune diseases • Multiple Sclerosis • Osteoarthritis • Crohn’s Disease/IBS • Aplastic Anemia • Chronic Pain • Limb Ischemia • Heart Failure/MI • Stroke • Graft-versus-host Disease • Spinal Cord Injury • Parkinson’s Disease • Liver Cirrhosis • Emphysema/Pulmonary Diseases • Wound healing (ulcers/decubitus/burns) • HSC engraftment/irradiated cancer patients • Eye diseases (uveitis, retinal degeneration, glaucoma)
  • 35. Hemangioblast Program: Overview 35 Hemangioblast: common precursor to hematopoietic and endothelial cells. Multipotent cell produces all cell types in the circulatory and vascular systems
  • 36. Generation of Blood Products 36 Hemangioblasts RBCsHemangioblasts Enucleated RBC’s Process generates large quantities of functional red blood cells and megakaryocytes & platelets
  • 37. The Case for Platelets 37 Platelets are key elements of hemostasis and thrombosis as well as tissue regeneration after injury or surgery. • Maintain vascular integrity and play vital roles in wound repair • Thrombocytopenia is a major cause of morbidity in sepsis, cancer and preeclampsia • Used regularly in soft- and hard-tissue applications in most fields of surgery. . Beyond Donor Supply: Estimate demand for additional 1-2M units/year
  • 38. The Case for Platelets 38 Platelets are the blood product most difficult to maintain without unnecessary wastage. Platelets do not tolerate refrigeration. Storage at room temperature is limited to 5–7 days Need for new strategies to generate platelets for infusion therapy.
  • 39. Platelets 2.0 39 Ability to control platelet manufacturing provides opportunities to improve storage, fine tune platelets for use in wound healing applications, as well as to engineer new roles for platelets beyond traditional involvement in wound healing. • Improve cryopreservation of platelets • Make lyophilization of platelets tractable solution • Utilize platelets for drug delivery • Utilize platelets in imaging (load with contrast agents) CONFIDENTIAL - BUSINESS PROPRIETARY
  • 40. Achieving Function and Scale 40 • Ultrastructural and morphological features of SC-derived platelets are indistinguishable from normal blood platelets. • SC-derived platelets respond to thrombin stimulation, form microaggregates, and facilitate clot formation and retraction. • SC-derived platelets contribute to developing thrombi at sites of laser-induced vascular injury in mice - first evidence for in vivo functionality of SC-derived platelets.
  • 41. Clinical Program Status 41 • Animal model studies show proper in vivo function • Achieved clinical dose scale manufacturing • Completely feeder-free process (bioreactor capable!) • Pre-IND meeting requested with FDA
  • 42. Sample 10 year plan 42 Achieve 100 plt/mk Achieve 500 plt/mk Achieve 1011 scale Achieve 1012 scale Achieve 1014 scale Phase 0 Study Prepare and File IND Phase I/II Study Phase II File Exploratory IND EOP I meeting Achieve 1 Million Dose Scale 1yr 2yr 3yr 4yr 5yr 10yr Achieve 2000-5000 plt/mk
  • 44. Financial Update – Strong Balance Sheet 44 • Company ended 2012 Q3 with $42 million in cash or availability of cash through financing commitments • $16 million annual cash-burn rate (funded through early 2015) • Settled nearly all litigation hangover from previous management
  • 45. ACT Management Team Highly Experienced and Tightly Integrated Management Team Gary Rabin – Chairman & CEO Dr. Robert Lanza, M.D. – Chief Scientific Officer Edmund Mickunas – Vice President of Regulatory Affairs Dr. Irina Klimanskaya, Ph.D. – Director of Stem Cell Biology Dr. Shi-Jiang (John) Lu, Ph.D. – Senior Director of Research Dr. Roger Gay, Ph.D. - Senior Director of Manufacturing Kathy Singh - Controller Rita Parker – Director of Operations Dr. Matthew Vincent, Ph.D. – Director of Business Development Bill Douglass – Dir. of Corporate Communications & Social Media 45
  • 46. Dr. Ronald M. Green: Chairman Dr. Judith Bernstein Dr. Jeremy B.A. Green Dr. Robert Kauffman Dr. Carol A. Tauer ACT Leadership Gary Rabin: Chairman & CEO Dr. Robert S. Langer, ScD: Prolific medical inventor; Chair – ACT SAB Gregory S. Perry: EVP – Immunogen Michael Heffernan: CEO – Collegium Pharma Zohar Loshitzer: CEO Presbia; Founder LifeAlert Medical Dr. Alan C. Shapiro: Renowned business school professor 46 World Class Board of Directors Highly-regarded Ethics Advisory Board
  • 47. Thank you For more information, visit www.advancedcell.com