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Sorrento Therapeutics

Next-Generation
Cancer Therapeutics
January 2014
Safe Harbor Statement

NASDAQ: SRNE

This presentation contains "forward-looking statements" as that term is defined under the
Private Securities Litigation Reform Act of 1995 (PSLRA), including statements regarding
expectations, beliefs or intentions regarding our business, technologies and products strategies
or prospects. Actual results may differ from those projected due to a number of risks and
uncertainties, including, but not limited to, the possibility that some or all of the pending matters
and transactions being considered by the Company may not proceed as contemplated, and by
all other matters specified in Company's filings with the Securities and Exchange Commission,
as well as risks inherent in funding, developing and obtaining regulatory approvals of new,
commercially-viable and competitive products and product candidates. Sufficiency of the data
for approval with respect to Cynviloq™ will be a review issue after NDA filing. These
statements are made based upon current expectations that are subject to risk and uncertainty
and information available to the Company as of the date of this presentation. The Company
does not undertake to update forward-looking statements in this presentation to reflect actual
results, changes in assumptions or changes in other factors affecting such forward-looking
information. Assumptions and other information that could cause results to differ from those set
forth in the forward-looking information can be found in the Company's filings with the
Securities and Exchange Commission, including its most recent periodic report. We intend that
all forward-looking statements be subject to the safe-harbor provisions of the PSLRA.

2
Investment Highlights
Cynviloq

Late-Stage Cancer Drug
Product launch expected in 1H 2016
Addresses multi-billion dollar paclitaxel market
Abbreviated regulatory pathway (“bioequivalence”) for approval

RTX

Intractable Cancer Pain Treatment
Ongoing Phase 1/2 study
Orphan drug status received
Three potential drug products from same API

G-MAB
& ADC

Targeted Cancer Immunotherapeutics
First therapeutic antibody candidate in clinic 1H 2015
Proprietary linker/conjugation chemistry for homogenous ADC generation
First ADC in clinic 2H 2015

3
Next-Generation Cancer Therapeutics
G-MAB

TUMOR

High-diversity human Ab library
Lead mAb programs include
PD-L1, PD-1, and CCR2

Cynviloq
Bioequivalence regulatory pathway
Efficacy demonstrated
US and EU rights

ADC: Antibody Drug Conjugate
G-MAB targets toxin to cancer cell
Proprietary toxins and linkers
C-Lock and K-Lock conjugation chemistries

4
Multiple Commercialization & Partnership Opportunities
INDICATION
Metastatic Breast Cancer
Non-Small Cell Lung Cancer
Cynviloq

}

505(b)(2) Bioequivalence

1H 2014

1H 2015

Pancreatic Cancer (BE* or sNDA)
Bladder Cancer (sNDA)
Ovarian Cancer (sNDA)

PHASE 1

RTX

Intractable Cancer Pain

PHASE 2

In progress

1H 2015

INDICATION > TARGET
Oncology > PD-L1

ADC

Oncology > PD-1

2H 2015

Oncology/Inflammation > CCR2, CXCR3

G-MAB

1H 2015

1H 2016

Oncology > VEGFR2, c-Met, CXCR5

2H 2015

* Abraxane orphan drug status (FDA approval, September 2013)

5
Management Team
Henry Ji, Ph.D.
President, CEO &
Director

Vuong Trieu, Ph.D.
CSO & Director

Amar Singh
EVP & CBO

George Uy
CCO

David Miao, Ph.D.
CTO

Richard Vincent
EVP, CFO & Director

Inventor of G-MAB® Technology
President & CEO of Stratagene Genomics
VP of CombiMatrix and Stratagene
Founder and CEO of IgDraSol
Co-inventor of IP covering Abraxane®
Instrumental in the approval of Abraxane
Celgene acquired Abraxis Biosciences for > $3B
Closed major business transactions on oncology products
Led Novacea global transaction (Asentar®) with ScheringPlough valued at >$500M
Led major deals, including in-licensing of belinostat at
Spectrum Pharmaceuticals
Responsible for building Abraxis commercial organization
CCO of IgDraSol
Directed the launches of Abraxane, Xeloda® & Fusilev®
Built commercial infrastructures and organizations in startup
companies
President and CSO of Concortis BioSystems
Co-inventor of IP covering ADC technologies
Head of Chemistry at Ambrx
$430M sale of Elevation to Sunovion-Dainippon
Meritage Pharma option agreement with ViroPharma ($90M
upfront + milestones)
$310M sale of Verus asthma program to AstraZeneca
Elan: various acquisitions and divestitures with aggregate
values more than $300M

Board of Directors
William S. Marth - Chairman
Albany Molecular
(President and CEO)
Teva – Americas
(former President and CEO)

Ernst-Günther Afting, M.D.,Ph.D.
Hoechst (former President)

Cam Gallagher
Nerveda, LLC (Managing Director)

Kim D. Janda, Ph.D.
The Scripps Research Institute (Prof.)

Henry Ji, Ph.D.
Sorrento (CEO)

M. Scott Salka
Ambit Biosciences (former CEO)

Jaisim Shah
PDL (former CBO)

Vuong Trieu, Ph.D.
Sorrento (CSO)

Richard Vincent
Sorrento (CFO)

6
Lead Oncology Product Opportunity

Cynviloq

7
Cynviloq: Next Generation Paclitaxel Therapy
Generation

1st

Formulation

Taxol®

Cremophor EL
excipient:
Polyoxyethylated
castor oil

paclitaxel

2nd

Abraxane
nab-paclitaxel

3rd

Cynviloq
paclitaxel
polymeric micelle

*Analyst projection; in MBC + NSCLC + PC

Mean size
130 nm

Mean size
~25 nm

Biological polymer:
Donor-derived human
serum albumin (HSA)

Chemical polymer:
Poly-lactide and
polyethylene glycol
diblock copolymer

Maximum
Tolerated Dose

Peak
Product Sales

175 mg/m2

~ $1.6B (WW in 2000)

260 mg/m2

Est. >$1.7B* (US)
($430M in 2012)

>300 mg/m2
(up to 435 mg/m2)

Conversion of
Abraxane sales +
new indications

8
Cynviloq Represents a High Value Proposition
1.  FDA concurred – July 2013
a. 

Available data support pursuing 505(b)(2) regulatory pathway

b. 

Bioequivalence (BE) study sufficient for approval of indications in
Abraxane label (MBC and NSCLC)

2.  Efficacy demonstrated in Phase 2 and Phase 3 studies
a. 

Approved and marketed under Genexol-PM in South Korea

b. 

MBC, NSCLC, and Ovarian cancer

3.  Large market opportunity
a. 

Abraxis (Abraxane) sold to Celgene for > $3B

b. 

$1.7B in projected US peak revenues in approved indications for Abraxane

4.  Exclusive US and EU Rights
9
Clinical Efficacy & Safety Summary
Total number of patients across all trials: 1,260
Phase 1:

Trials established higher MTD in US - Dana Farber Cancer Inst, Russia, & S. Korea (total n=80)
>300 mg/m2 (q3w) vs. 175 mg/m2 (Taxol; weekly) and 275 mg/m2 (Abraxane; q3w)

Phase 2:

Completed trials in MBC, NSCLC, PC, OC, BC; in US - Yale Cancer Center, Russia, S. Korea
(total n=259)
Data suggestive of efficacy comparable to historic data for Abraxane and superior to historic Taxol data or
Standard-of-Care
Possible Phase 3 sNDA programs in these tumor types

Phase 3:

Ongoing trial for MBC in S. Korea (total n=209; Cynviloq n=105)
GPMBC301. An Open-label, Randomized, Parallel, Phase 3 Trial to Evaluate the Efficacy and Safety of
Cynviloq compared to Genexol® (Paclitaxel with Cremophor EL) in Subjects with Recurrent or Metastatic Breast
Cancer)
Interim analysis suggests ORR superior to Taxol and comparable to historic Abraxane efficacy
Efficacy and safety data supportive of 505(b)(2) BE submission

PM-Safety:

Completed for MBC and NSCLC (total n=502)
Efficacy and safety data supportive of 505(b)(2) BE submission

Phase 2b (IIS): Chemo-naïve Stage IIIb/IV NSCLC vs Taxol in S. Korea (total n=276; Cynviloq n=140)
230 mg/m2 + cis (q3w) vs. Taxol 175 mg/m2 + cis; non-inferiority established

Phase 2 (IIS): 1st line treatment of OC vs Taxol in S. Korea (total n=100; Cynviloq n=50)
260 mg/m2 + carbo (q3w) vs. Taxol 175 mg/m2 + carbo; non-inferiority established
10
Equivalent PK in Mice
Abraxane
Cynviloq

AUCinf (h*ng/
Vz (mL/kg)
mL)

Drug

T max (h)

Abraxane

2.99

0.08

61561.33

2103.71

487.32

Cynviloq
Data on file

HL (h)

2.83

0.08

58151.31

2103.58

515.90

IV bolus at 30 mg/kg; n = 3

Cl (mL/h/kg)

11
Comparable PK in Humans
Data from 2 separate studies
(3 h infusion, 135 mg/m2 dose, n=3)

Abraxane data from: Nuhad K. Ibrahim, Phase I and Pharmacokinetic Study of ABI-007, a Cremophor-free, Protein-stabilized, Nanoparticle Formulation of
Paclitaxel. Clinical Cancer Research 2002;8:1038-44

12
Simulated PK Parameters Supportive of BE
Comparison of mean non-compartmental PK parameters of
Cynviloq (T) and Abraxane (260 mg/m2) at 30 min infusion time:

Cmax

Ratio

AUCinf

Ratio

(ng/mL)

Cmax(T)/Cmax(R)

(ng*h/mL)

AUCinf(T)/AUCinf(R)

Cynviloq
(Simulated PK)

19486

Abraxane
(Actual PK)*

19556

22198
99.6%

109.2%
20324

PK BE was calculated as 95% confidence interval (CI)
Ratio T/R (Cmax and AUCinf) within 80-125% (FDA Guidance for establishing BE)

* Gardner et all, 2008

13
Bioequivalence = Efficient Pathway to Market
BE registration study in breast cancer patients (2014)
-  Duration = 12 months (including patient recruitment)
-  Direct trial cost ~$5M
Key Parameters*:
Cycle 1

Cycle 2

Abraxane

Cynviloq

(n = 50)

(n = 50)

Abraxane

* Based on FDA “Draft Guidance on Paclitaxel” – September 2012

Cynviloq

Dose: 260 mg/m2
Infusion time: 30 min
Duration: 3 weeks +
crossover for 3 weeks
Endpoints: AUC and
Cmax (90% CI)

14
Potential Cynviloq Advantages
Taxol

Cynviloq
Advantage

175

Potential for
higher efficacy

●	


●	


Convenience for busy
practices and pharmacies

●	


●	


No viral / prion concerns

●	


●	


No requirement for
controlled temp storage

No microbial growth

●	


●	


Chemical polymer

Cremophor-free

●	


●	


Dosing

q3w

q3w* &
weekly**

Cynviloq Abraxane
Maximum Tolerated Dose
(mg/m2)
Rapid reconstitution:
no foaming concerns
No donor-derived human
serum albumin (HSA)
Convenient storage
conditions

* = MBC; ** = NSCLC & PC

>300

260

Reduced side effects
q3w & weekly

Exploits PK advantage
@ higher dose

15
Cynviloq Market Opportunity
~70,000 patients treated with paclitaxel-based regimen in 1st line
# of Patients Treated in 1st line (US Only; 2012)

100,000
90,000

Other regimens
PAC+ treated

80,000

~55,000 patients with
paclitaxel as 1st line therapy
in MBC, NSCLC & OC

70,000
60,000
50,000

15,903 PC patients eligible for
treatment with Abraxane +
Gemcitabine combination

40,000
30,000
20,000

30,766

10,000

9,880

15,903

14,479

-

NSCLC n=93800
NSCLC
n = 93,800

MBC
MBC
n=38000
n = 38,000

PANCREATIC CA
Pancreatic Cancer
n = 27,000
n=27000

OVARIANCancer
Ovarian CA
n=17700
n = 17,700

Note: In Pancreatic Cancer, the blue portion represents # patients treated with gem-based Rx in 2012
Sources: US information, SEER Annual Cancer Review 1975-2006; US Census; Mattson Jack; UHC and Medicare Claims; IntrinsiQ; Synovate
Tandem. WHO mortality database 2008 http://www.who.int/whosis/whosis/. World Population Prospects. The 2008 Revision. UN Population Division
2009. http://esa.un.org/unpp/. Roche-Genentech Clinical, Patient Chart Audits. Total patient numbers represent treatable population.
1st Line patient estimates from IntrinsiQ 2012 Monthly LOT Diag Combo.

16
Potential to Expand Label Indications –
Example: 2nd Line Bladder Cancer

Cynviloq

Best Supportive Care

Phase 2 (Korea)*
260-300 mg/m2 q3w
n=34#

Phase 2 (Japan)**/ Phase 3 (EU)***
n=23** / n=108***

ORR	
  

21%

- / 0%***

PFS

2.7 M

- / 1.5 M***

OS	
  

6.5 M

2.3 M** / 4.3 M***

Summary:
High unmet need - no FDA-approved 2nd line drug
Demonstrated clinical ORR
Phase 3-ready for development as 2nd line chemotherapy in patients refractory to
platinum-based therapy

* Invest New Drugs (2012) 30:1984–1990
# advanced urothelial carcinoma patients refractory to gemcitabine and cisplatin
** AUA- San Diego May 4th-8th; *** JCO (2009): 4454-61

17
Next Steps for Cynviloq
BE study initiation: 1Q 2014
NDA filing: 2015
Product launch (MBC and NSCLC): 2016
sNDA planning for label expansion into pancreatic, bladder, and
ovarian cancers

BE
Study

NDA
Filing

FDA
Approval

LAUNCH

2014

2015

2016

2016

18
Clinical Stage Pain Management Asset

RTX

19
Resiniferatoxin (RTX): Non-opiate Pain Treatment
Single injection of RTX for treatment of intractable pain
Produces broad, permanent analgesia
No effect on normal sensation, acute pain perception or muscle function
Ultrapotent agonist of TRPV1 receptors causing neuronal apoptosis
TRPV1 up-regulated on specific neurons

20
Two Injection Sites = Two Products for Human Use

Intraganglionic
(injection into
nerve body)

Intrathecal
(injection into
spinal column)

21
VAS (0 to 100 mm)
Observational Pain Score

Single Injection Addresses Cancer Pain in Dogs

Single intrathecal injection

n=18

Permanent ablation of nerves
Attractive therapeutic effect:
ALL dogs responded
(p < 0.0001 for all time points)

Personality & mood visibly improved
No opioid-associated side effects

n=18

n=8

Weeks

Brown et al, Anesthesiology 2005; 103:1052–9

n=5

n=4

Veterinary market:
strategic partnership opportunity

22
Next Steps for RTX Development
Intractable cancer pain clinical Phase 1/2 trial (intrathecal injection); n~40 patients
Phase 1/2 trial for osteosarcoma (intraganglionic injection); n~15 patients (under
NIH CRADA)
Filing for MUMS designation for osteosarcoma in dogs

~3 years for clinical
development

23
Immunotherapy Programs

G-MAB
& ADC

24
G-MAB: Library of Therapeutic Antibodies
Proprietary technology:
RNA amplification used for
library generation
Freedom-To-Operate

No stacking royalties

Very high library diversity:
2.1 x 1016 distinct antibodies
Fully human antibodies
High successful screening hit rate

Most Difficult Targets:
G Protein-Coupled Receptors
(GPCRs)

Difficult Targets:
Small Peptides

High Value Oncology Targets:
Immune modulation: PD1 and PD-L1
Antibody Drug Conjugates: VEGFR2 and c-Met

Size of Target Antigen

25
Anti-PD-L1 mAbs Exhibit Potent Activity
Tumor Mouse Model**

Tumor Growth Inhibition (%)

IL-2 (pg/mL)

IFN-γ (pg/mL)

T Cell Activation (%)

Immune Modulation*

***

Day

Competitor mAb
Sorrento mAb
* mAbs @ 0.05 mg/mL
** xenograft model using H1975 human NSCLC cells; % inhibition relative to control mAb treatment
*** p<0.05, mean tumor volumes are significantly reduced in STI-A1010 group versus control groups as determined by Mann-Whitney u-test

26
Potent Antibody against Difficult GPCR Target*
3.5

mAb

Cell Binding
(EC50 – nM)

Sorrento

Disease Score**

3

0.17

Competitor

21

2.5

2
PBS
Untreated

Sorrento mAb
D1 therapeutic

1.5

1

0.5

0
13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

Days After Disease Induction
* Sorrento mAb against C-C Chemokine Receptor 2 (CCR2)
** Experimental Auto-immune Encephalomyelitis (EAE) = murine model of Multiple Sclerosis

27
Antibody Drug Conjugates (ADCs)

Key Components:
1.  Target-specific internalizing
antibody
2.  Potent cytotoxic prodrugs
3.  Linker and conjugation
chemistries
Drug released in CANCER CELL

28
K-Lock Conjugation Enables Homogeneous ADCs
Current industry
standard chemistry

2
Proprietary
K-Lock chemistry

1
0

3

purified

2
Sorrento’s homogenous ADC
No need for:
non-natural amino acids
genetic re-engineering
enzymatic posttranslational modification
29
C-Lock Conjugation Stabilizes ADCs

Maleimide conjugation
Current industry
standard

Destabilizes antibody structure
Reduced target specificity
Altered PK profile
Drug-antibody linkage not stable
Off-target drug effects

C-lock conjugation
Sorrento’s
proprietary
C-Lock chemistry

Enhances ADC stability
Prolongs PK profile
Reduced off-target effects

30
Proprietary Toxin Potency Higher than DM1
SKBR3
(Breast Cancer Cell Line)

Sorrento toxin 1 (K-lock)
Sorrento toxin 2 (K-lock)
DM1 (conventional)
MMAE (C-lock)
MMAE (conventional)

>15x higher
potency

cleavable MC-vc-PAB linker

31
Proprietary ADC Screening and Optimization Panels

Fast track to IND
Identification of optimal combination of linker, conjugation chemistry and drug payload
essential for efficient and expedited development from target to candidates

32
Positioned to Become Oncology Leader

Cynviloq

RTX

G-MAB
& ADC
33
Company Comparables
Company

Small Molecule
Oncology Drug

Antibody
Platform

Targeted
Drug Delivery

Mkt Cap*

Puma: PBYI
Pre-revenue

MBC (Phase 3)

~$3.2B

Clovis: CLVS
Pre-revenue

NSCLC, MBC (Phase 1)

~$2.4B

MorphoSys: MOR.DE
Pre-revenue

Antibody
Library

~$2.2B

CAT: Acquired (2006)
Pre-revenue

Antibody
Library

~$1.4B

Domantis: Acquired (2007)
Pre-revenue

Antibody
Library

~$450M

Seattle Genetics: SGEN
Product sales + royalty

ADC

~$5.2B

ImmunoGen: IMGN
Royalty only

ADC

~$1.3B

ADC

~$200M

Sorrento: SRNE

* based on publicly-available information (01/10/14)

NSCLC, MBC
(Ph3/Registration Trial)

Antibody
Library

34
Investment Highlights
Cynviloq

Late-Stage Cancer Drug
Product launch expected in 1H 2016
Addresses multi-billion dollar paclitaxel market
Abbreviated regulatory pathway (“bioequivalence”) for approval

RTX

Intractable Cancer Pain Treatment
Ongoing Phase 1/2 study
Orphan drug status received
Three potential drug products from same API

G-MAB
& ADC

Targeted Cancer Immunotherapeutics
First therapeutic antibody candidate in clinic 1H 2015
Proprietary linker/conjugation chemistry for homogenous ADC generation
First ADC in clinic 2H 2015

35
Sorrento Therapeutics

Next-Generation
Cancer Therapeutics
Contact:
Henry Ji
President and CEO
hji@sorrentotherapeutics.com
(858) 668-6923

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Srne sorrento therapeutics-redchip conference presentation (20140123)-reduced

  • 2. Safe Harbor Statement NASDAQ: SRNE This presentation contains "forward-looking statements" as that term is defined under the Private Securities Litigation Reform Act of 1995 (PSLRA), including statements regarding expectations, beliefs or intentions regarding our business, technologies and products strategies or prospects. Actual results may differ from those projected due to a number of risks and uncertainties, including, but not limited to, the possibility that some or all of the pending matters and transactions being considered by the Company may not proceed as contemplated, and by all other matters specified in Company's filings with the Securities and Exchange Commission, as well as risks inherent in funding, developing and obtaining regulatory approvals of new, commercially-viable and competitive products and product candidates. Sufficiency of the data for approval with respect to Cynviloq™ will be a review issue after NDA filing. These statements are made based upon current expectations that are subject to risk and uncertainty and information available to the Company as of the date of this presentation. The Company does not undertake to update forward-looking statements in this presentation to reflect actual results, changes in assumptions or changes in other factors affecting such forward-looking information. Assumptions and other information that could cause results to differ from those set forth in the forward-looking information can be found in the Company's filings with the Securities and Exchange Commission, including its most recent periodic report. We intend that all forward-looking statements be subject to the safe-harbor provisions of the PSLRA. 2
  • 3. Investment Highlights Cynviloq Late-Stage Cancer Drug Product launch expected in 1H 2016 Addresses multi-billion dollar paclitaxel market Abbreviated regulatory pathway (“bioequivalence”) for approval RTX Intractable Cancer Pain Treatment Ongoing Phase 1/2 study Orphan drug status received Three potential drug products from same API G-MAB & ADC Targeted Cancer Immunotherapeutics First therapeutic antibody candidate in clinic 1H 2015 Proprietary linker/conjugation chemistry for homogenous ADC generation First ADC in clinic 2H 2015 3
  • 4. Next-Generation Cancer Therapeutics G-MAB TUMOR High-diversity human Ab library Lead mAb programs include PD-L1, PD-1, and CCR2 Cynviloq Bioequivalence regulatory pathway Efficacy demonstrated US and EU rights ADC: Antibody Drug Conjugate G-MAB targets toxin to cancer cell Proprietary toxins and linkers C-Lock and K-Lock conjugation chemistries 4
  • 5. Multiple Commercialization & Partnership Opportunities INDICATION Metastatic Breast Cancer Non-Small Cell Lung Cancer Cynviloq } 505(b)(2) Bioequivalence 1H 2014 1H 2015 Pancreatic Cancer (BE* or sNDA) Bladder Cancer (sNDA) Ovarian Cancer (sNDA) PHASE 1 RTX Intractable Cancer Pain PHASE 2 In progress 1H 2015 INDICATION > TARGET Oncology > PD-L1 ADC Oncology > PD-1 2H 2015 Oncology/Inflammation > CCR2, CXCR3 G-MAB 1H 2015 1H 2016 Oncology > VEGFR2, c-Met, CXCR5 2H 2015 * Abraxane orphan drug status (FDA approval, September 2013) 5
  • 6. Management Team Henry Ji, Ph.D. President, CEO & Director Vuong Trieu, Ph.D. CSO & Director Amar Singh EVP & CBO George Uy CCO David Miao, Ph.D. CTO Richard Vincent EVP, CFO & Director Inventor of G-MAB® Technology President & CEO of Stratagene Genomics VP of CombiMatrix and Stratagene Founder and CEO of IgDraSol Co-inventor of IP covering Abraxane® Instrumental in the approval of Abraxane Celgene acquired Abraxis Biosciences for > $3B Closed major business transactions on oncology products Led Novacea global transaction (Asentar®) with ScheringPlough valued at >$500M Led major deals, including in-licensing of belinostat at Spectrum Pharmaceuticals Responsible for building Abraxis commercial organization CCO of IgDraSol Directed the launches of Abraxane, Xeloda® & Fusilev® Built commercial infrastructures and organizations in startup companies President and CSO of Concortis BioSystems Co-inventor of IP covering ADC technologies Head of Chemistry at Ambrx $430M sale of Elevation to Sunovion-Dainippon Meritage Pharma option agreement with ViroPharma ($90M upfront + milestones) $310M sale of Verus asthma program to AstraZeneca Elan: various acquisitions and divestitures with aggregate values more than $300M Board of Directors William S. Marth - Chairman Albany Molecular (President and CEO) Teva – Americas (former President and CEO) Ernst-Günther Afting, M.D.,Ph.D. Hoechst (former President) Cam Gallagher Nerveda, LLC (Managing Director) Kim D. Janda, Ph.D. The Scripps Research Institute (Prof.) Henry Ji, Ph.D. Sorrento (CEO) M. Scott Salka Ambit Biosciences (former CEO) Jaisim Shah PDL (former CBO) Vuong Trieu, Ph.D. Sorrento (CSO) Richard Vincent Sorrento (CFO) 6
  • 7. Lead Oncology Product Opportunity Cynviloq 7
  • 8. Cynviloq: Next Generation Paclitaxel Therapy Generation 1st Formulation Taxol® Cremophor EL excipient: Polyoxyethylated castor oil paclitaxel 2nd Abraxane nab-paclitaxel 3rd Cynviloq paclitaxel polymeric micelle *Analyst projection; in MBC + NSCLC + PC Mean size 130 nm Mean size ~25 nm Biological polymer: Donor-derived human serum albumin (HSA) Chemical polymer: Poly-lactide and polyethylene glycol diblock copolymer Maximum Tolerated Dose Peak Product Sales 175 mg/m2 ~ $1.6B (WW in 2000) 260 mg/m2 Est. >$1.7B* (US) ($430M in 2012) >300 mg/m2 (up to 435 mg/m2) Conversion of Abraxane sales + new indications 8
  • 9. Cynviloq Represents a High Value Proposition 1.  FDA concurred – July 2013 a.  Available data support pursuing 505(b)(2) regulatory pathway b.  Bioequivalence (BE) study sufficient for approval of indications in Abraxane label (MBC and NSCLC) 2.  Efficacy demonstrated in Phase 2 and Phase 3 studies a.  Approved and marketed under Genexol-PM in South Korea b.  MBC, NSCLC, and Ovarian cancer 3.  Large market opportunity a.  Abraxis (Abraxane) sold to Celgene for > $3B b.  $1.7B in projected US peak revenues in approved indications for Abraxane 4.  Exclusive US and EU Rights 9
  • 10. Clinical Efficacy & Safety Summary Total number of patients across all trials: 1,260 Phase 1: Trials established higher MTD in US - Dana Farber Cancer Inst, Russia, & S. Korea (total n=80) >300 mg/m2 (q3w) vs. 175 mg/m2 (Taxol; weekly) and 275 mg/m2 (Abraxane; q3w) Phase 2: Completed trials in MBC, NSCLC, PC, OC, BC; in US - Yale Cancer Center, Russia, S. Korea (total n=259) Data suggestive of efficacy comparable to historic data for Abraxane and superior to historic Taxol data or Standard-of-Care Possible Phase 3 sNDA programs in these tumor types Phase 3: Ongoing trial for MBC in S. Korea (total n=209; Cynviloq n=105) GPMBC301. An Open-label, Randomized, Parallel, Phase 3 Trial to Evaluate the Efficacy and Safety of Cynviloq compared to Genexol® (Paclitaxel with Cremophor EL) in Subjects with Recurrent or Metastatic Breast Cancer) Interim analysis suggests ORR superior to Taxol and comparable to historic Abraxane efficacy Efficacy and safety data supportive of 505(b)(2) BE submission PM-Safety: Completed for MBC and NSCLC (total n=502) Efficacy and safety data supportive of 505(b)(2) BE submission Phase 2b (IIS): Chemo-naïve Stage IIIb/IV NSCLC vs Taxol in S. Korea (total n=276; Cynviloq n=140) 230 mg/m2 + cis (q3w) vs. Taxol 175 mg/m2 + cis; non-inferiority established Phase 2 (IIS): 1st line treatment of OC vs Taxol in S. Korea (total n=100; Cynviloq n=50) 260 mg/m2 + carbo (q3w) vs. Taxol 175 mg/m2 + carbo; non-inferiority established 10
  • 11. Equivalent PK in Mice Abraxane Cynviloq AUCinf (h*ng/ Vz (mL/kg) mL) Drug T max (h) Abraxane 2.99 0.08 61561.33 2103.71 487.32 Cynviloq Data on file HL (h) 2.83 0.08 58151.31 2103.58 515.90 IV bolus at 30 mg/kg; n = 3 Cl (mL/h/kg) 11
  • 12. Comparable PK in Humans Data from 2 separate studies (3 h infusion, 135 mg/m2 dose, n=3) Abraxane data from: Nuhad K. Ibrahim, Phase I and Pharmacokinetic Study of ABI-007, a Cremophor-free, Protein-stabilized, Nanoparticle Formulation of Paclitaxel. Clinical Cancer Research 2002;8:1038-44 12
  • 13. Simulated PK Parameters Supportive of BE Comparison of mean non-compartmental PK parameters of Cynviloq (T) and Abraxane (260 mg/m2) at 30 min infusion time: Cmax Ratio AUCinf Ratio (ng/mL) Cmax(T)/Cmax(R) (ng*h/mL) AUCinf(T)/AUCinf(R) Cynviloq (Simulated PK) 19486 Abraxane (Actual PK)* 19556 22198 99.6% 109.2% 20324 PK BE was calculated as 95% confidence interval (CI) Ratio T/R (Cmax and AUCinf) within 80-125% (FDA Guidance for establishing BE) * Gardner et all, 2008 13
  • 14. Bioequivalence = Efficient Pathway to Market BE registration study in breast cancer patients (2014) -  Duration = 12 months (including patient recruitment) -  Direct trial cost ~$5M Key Parameters*: Cycle 1 Cycle 2 Abraxane Cynviloq (n = 50) (n = 50) Abraxane * Based on FDA “Draft Guidance on Paclitaxel” – September 2012 Cynviloq Dose: 260 mg/m2 Infusion time: 30 min Duration: 3 weeks + crossover for 3 weeks Endpoints: AUC and Cmax (90% CI) 14
  • 15. Potential Cynviloq Advantages Taxol Cynviloq Advantage 175 Potential for higher efficacy ● ● Convenience for busy practices and pharmacies ● ● No viral / prion concerns ● ● No requirement for controlled temp storage No microbial growth ● ● Chemical polymer Cremophor-free ● ● Dosing q3w q3w* & weekly** Cynviloq Abraxane Maximum Tolerated Dose (mg/m2) Rapid reconstitution: no foaming concerns No donor-derived human serum albumin (HSA) Convenient storage conditions * = MBC; ** = NSCLC & PC >300 260 Reduced side effects q3w & weekly Exploits PK advantage @ higher dose 15
  • 16. Cynviloq Market Opportunity ~70,000 patients treated with paclitaxel-based regimen in 1st line # of Patients Treated in 1st line (US Only; 2012) 100,000 90,000 Other regimens PAC+ treated 80,000 ~55,000 patients with paclitaxel as 1st line therapy in MBC, NSCLC & OC 70,000 60,000 50,000 15,903 PC patients eligible for treatment with Abraxane + Gemcitabine combination 40,000 30,000 20,000 30,766 10,000 9,880 15,903 14,479 - NSCLC n=93800 NSCLC n = 93,800 MBC MBC n=38000 n = 38,000 PANCREATIC CA Pancreatic Cancer n = 27,000 n=27000 OVARIANCancer Ovarian CA n=17700 n = 17,700 Note: In Pancreatic Cancer, the blue portion represents # patients treated with gem-based Rx in 2012 Sources: US information, SEER Annual Cancer Review 1975-2006; US Census; Mattson Jack; UHC and Medicare Claims; IntrinsiQ; Synovate Tandem. WHO mortality database 2008 http://www.who.int/whosis/whosis/. World Population Prospects. The 2008 Revision. UN Population Division 2009. http://esa.un.org/unpp/. Roche-Genentech Clinical, Patient Chart Audits. Total patient numbers represent treatable population. 1st Line patient estimates from IntrinsiQ 2012 Monthly LOT Diag Combo. 16
  • 17. Potential to Expand Label Indications – Example: 2nd Line Bladder Cancer Cynviloq Best Supportive Care Phase 2 (Korea)* 260-300 mg/m2 q3w n=34# Phase 2 (Japan)**/ Phase 3 (EU)*** n=23** / n=108*** ORR   21% - / 0%*** PFS 2.7 M - / 1.5 M*** OS   6.5 M 2.3 M** / 4.3 M*** Summary: High unmet need - no FDA-approved 2nd line drug Demonstrated clinical ORR Phase 3-ready for development as 2nd line chemotherapy in patients refractory to platinum-based therapy * Invest New Drugs (2012) 30:1984–1990 # advanced urothelial carcinoma patients refractory to gemcitabine and cisplatin ** AUA- San Diego May 4th-8th; *** JCO (2009): 4454-61 17
  • 18. Next Steps for Cynviloq BE study initiation: 1Q 2014 NDA filing: 2015 Product launch (MBC and NSCLC): 2016 sNDA planning for label expansion into pancreatic, bladder, and ovarian cancers BE Study NDA Filing FDA Approval LAUNCH 2014 2015 2016 2016 18
  • 19. Clinical Stage Pain Management Asset RTX 19
  • 20. Resiniferatoxin (RTX): Non-opiate Pain Treatment Single injection of RTX for treatment of intractable pain Produces broad, permanent analgesia No effect on normal sensation, acute pain perception or muscle function Ultrapotent agonist of TRPV1 receptors causing neuronal apoptosis TRPV1 up-regulated on specific neurons 20
  • 21. Two Injection Sites = Two Products for Human Use Intraganglionic (injection into nerve body) Intrathecal (injection into spinal column) 21
  • 22. VAS (0 to 100 mm) Observational Pain Score Single Injection Addresses Cancer Pain in Dogs Single intrathecal injection n=18 Permanent ablation of nerves Attractive therapeutic effect: ALL dogs responded (p < 0.0001 for all time points) Personality & mood visibly improved No opioid-associated side effects n=18 n=8 Weeks Brown et al, Anesthesiology 2005; 103:1052–9 n=5 n=4 Veterinary market: strategic partnership opportunity 22
  • 23. Next Steps for RTX Development Intractable cancer pain clinical Phase 1/2 trial (intrathecal injection); n~40 patients Phase 1/2 trial for osteosarcoma (intraganglionic injection); n~15 patients (under NIH CRADA) Filing for MUMS designation for osteosarcoma in dogs ~3 years for clinical development 23
  • 25. G-MAB: Library of Therapeutic Antibodies Proprietary technology: RNA amplification used for library generation Freedom-To-Operate No stacking royalties Very high library diversity: 2.1 x 1016 distinct antibodies Fully human antibodies High successful screening hit rate Most Difficult Targets: G Protein-Coupled Receptors (GPCRs) Difficult Targets: Small Peptides High Value Oncology Targets: Immune modulation: PD1 and PD-L1 Antibody Drug Conjugates: VEGFR2 and c-Met Size of Target Antigen 25
  • 26. Anti-PD-L1 mAbs Exhibit Potent Activity Tumor Mouse Model** Tumor Growth Inhibition (%) IL-2 (pg/mL) IFN-γ (pg/mL) T Cell Activation (%) Immune Modulation* *** Day Competitor mAb Sorrento mAb * mAbs @ 0.05 mg/mL ** xenograft model using H1975 human NSCLC cells; % inhibition relative to control mAb treatment *** p<0.05, mean tumor volumes are significantly reduced in STI-A1010 group versus control groups as determined by Mann-Whitney u-test 26
  • 27. Potent Antibody against Difficult GPCR Target* 3.5 mAb Cell Binding (EC50 – nM) Sorrento Disease Score** 3 0.17 Competitor 21 2.5 2 PBS Untreated Sorrento mAb D1 therapeutic 1.5 1 0.5 0 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Days After Disease Induction * Sorrento mAb against C-C Chemokine Receptor 2 (CCR2) ** Experimental Auto-immune Encephalomyelitis (EAE) = murine model of Multiple Sclerosis 27
  • 28. Antibody Drug Conjugates (ADCs) Key Components: 1.  Target-specific internalizing antibody 2.  Potent cytotoxic prodrugs 3.  Linker and conjugation chemistries Drug released in CANCER CELL 28
  • 29. K-Lock Conjugation Enables Homogeneous ADCs Current industry standard chemistry 2 Proprietary K-Lock chemistry 1 0 3 purified 2 Sorrento’s homogenous ADC No need for: non-natural amino acids genetic re-engineering enzymatic posttranslational modification 29
  • 30. C-Lock Conjugation Stabilizes ADCs Maleimide conjugation Current industry standard Destabilizes antibody structure Reduced target specificity Altered PK profile Drug-antibody linkage not stable Off-target drug effects C-lock conjugation Sorrento’s proprietary C-Lock chemistry Enhances ADC stability Prolongs PK profile Reduced off-target effects 30
  • 31. Proprietary Toxin Potency Higher than DM1 SKBR3 (Breast Cancer Cell Line) Sorrento toxin 1 (K-lock) Sorrento toxin 2 (K-lock) DM1 (conventional) MMAE (C-lock) MMAE (conventional) >15x higher potency cleavable MC-vc-PAB linker 31
  • 32. Proprietary ADC Screening and Optimization Panels Fast track to IND Identification of optimal combination of linker, conjugation chemistry and drug payload essential for efficient and expedited development from target to candidates 32
  • 33. Positioned to Become Oncology Leader Cynviloq RTX G-MAB & ADC 33
  • 34. Company Comparables Company Small Molecule Oncology Drug Antibody Platform Targeted Drug Delivery Mkt Cap* Puma: PBYI Pre-revenue MBC (Phase 3) ~$3.2B Clovis: CLVS Pre-revenue NSCLC, MBC (Phase 1) ~$2.4B MorphoSys: MOR.DE Pre-revenue Antibody Library ~$2.2B CAT: Acquired (2006) Pre-revenue Antibody Library ~$1.4B Domantis: Acquired (2007) Pre-revenue Antibody Library ~$450M Seattle Genetics: SGEN Product sales + royalty ADC ~$5.2B ImmunoGen: IMGN Royalty only ADC ~$1.3B ADC ~$200M Sorrento: SRNE * based on publicly-available information (01/10/14) NSCLC, MBC (Ph3/Registration Trial) Antibody Library 34
  • 35. Investment Highlights Cynviloq Late-Stage Cancer Drug Product launch expected in 1H 2016 Addresses multi-billion dollar paclitaxel market Abbreviated regulatory pathway (“bioequivalence”) for approval RTX Intractable Cancer Pain Treatment Ongoing Phase 1/2 study Orphan drug status received Three potential drug products from same API G-MAB & ADC Targeted Cancer Immunotherapeutics First therapeutic antibody candidate in clinic 1H 2015 Proprietary linker/conjugation chemistry for homogenous ADC generation First ADC in clinic 2H 2015 35
  • 36. Sorrento Therapeutics Next-Generation Cancer Therapeutics Contact: Henry Ji President and CEO hji@sorrentotherapeutics.com (858) 668-6923