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2015 Annual Meeting of Stockholders NASDAQ: CBLI
April 14, 2015
Safe Harbor
This presentation includes forward-looking statements and predictions, including
statements about potential revenue-bearing transactions, the market potential of CBLI’s
technologies and product candidates, and the potential value of pipeline products. These
statements represent CBLI’s judgment as of the date of this presentation and are subject
to risks and uncertainties that could cause actual results to differ materially from those
expressed in such forward-looking statements. In particular, CBLI faces risks and
uncertainties that it may not be able to sustain its business model, that revenues may be
lower or expenses higher than projected, that product sales may not increase, that
development of product candidates in the Company’s pipeline may not succeed or that
commercial transactions may not go forward as planned.
The factors that could cause actual results to differ are discussed in more detail in CBLI’s
filings with the Securities and Exchange Commission, including its latest Annual Report on
Form 10-K, Quarterly Reports on Form 10-Q and Current Reports on Form 8-K. These
reports are available under the “Investors” tab on CBLI’s website at www.cbiolabs.com.
2
Agenda
• CBLI Today
• Achievements
• Clinical Updates
• Financial Update
• Milestones
3
CBLI Today
A clinical-stage biopharma company with a
portfolio of investigational drugs for radiation
defense and oncology
• Medical radiation countermeasure (MRC) for rescue therapy following
radiation disasters (Entolimod-MRC)
• Cancer immunotherapy targeting innate immunity receptor TLR5
(Entolimod-Oncology)
• Supportive care treatment for oncology: hematorestorative agent targeting
innate immune receptors TLR2/6 (CBLB612)
• Cancer immunotherapy delivered locally via a non-replicating recombinant
adenovirus vector expressing TLR5 and ligand (Mobilan)
• Multi-targeted cancer therapeutic with novel mechanism of action
(CBL0137)
4
CBLI’s Corporate Structure
Entolimod MRC
Entolimod Oncology
CBLB612
CBL0137 Mobilan
Russian Federation Operations
BioLab 612
47% 58% 100%
5
Product Pipeline (CBLI & Joint Ventures)
6
PRODUCT
Indication
ENTOLIMOD*
Acute Radiation Syndrome
(pre-EUA)
DISCOVERY PRECLINICALPIVOTAL ANIMAL
STUDIES
HUMAN SAFETY /
DOSE CONVERSION
CBLI
INCURON
PANACELA
PRODUCT
Indication
CBL0137
Advanced Solid Tumors
DISCOVERY PRECLINICAL PHASE I PHASE II PHASE III
PRODUCT
Indication
ENTOLIMOD-Oncology
Advanced Solid Tumors
CBLB612
HSC Mobilization
DISCOVERY PRECLINICAL PHASE I PHASE II PHASE III
PRODUCT
Indication
MOBILAN
Prostate Cancer
DISCOVERY PRECLINICAL PHASE I PHASE II PHASE III
• Pre-emergency-use authorization (pre-EUA) and commercialization for
Entolimod-MRC
• Pre-EUA status facilitates commercialization prior to full licensure
• On track for submission of pre-EUA to FDA in 2Q15
• Development of value-driving data and partnerships for Phase 1 oncology
drugs with novel targets and broad applications
• Entolimod-Oncology: confirm immune-stimulatory effects as a single agent or in
combination with marketed immunotherapy
• CBLB612: evaluate ability to ameliorate chemotherapy-induced myelosuppression
• Mobilan: evaluate ability to induce innate immunity in prostate cancer patients
• CBL0137: increase value as an oncology treatment by demonstrating effect in
patients with advanced disease
7
CBLI Is Focused on Achieving Strategic
Objectives
We Have Advanced Our Programs Over the
Past Year
Entolimod (CBLB502) Radiation Countermeasure
• Successful FDA meeting regarding dose conversion and potential pre-EUA
submission
• DoD recommended funding of two CBLI proposals to support further
development of entolimod towards BLA
• Compiled pre-EUA submission for FDA – on track for submission in 2Q
• Opened dialogues with select foreign governments for potential purchase
Entolimod (CBLB502) Oncology
• Completed dosing in advanced cancer trial at RPCI • Data submitted for poster presentation at ASCO
• Opened follow-on study in Russian Federation to further evaluate immune
cell response at highest dose levels achieved in RPCI study and
supplement safety database for radiation indication
• Evaluating potential clinical directions for next stage of development
8
We Have Advanced Our Programs Over the
Past Year
CBLB612
• Completed dosing in Phase I study in healthy subjects in Russian
Federation
• Designed Phase 2a study for prevention of chemotherapy-induced
myelosuppression (supported by Russian government contract)
Mobilan
• Opened IND in Russian Federation for Phase 1 study in patients with
prostate cancer (supported by Russian government contract)
CBL0137
• Dosing 8th dose cohort in Phase 1 IV study in US
• Dosing 9th dose cohort in Phase 1 oral study in Russian Federation
• Reported interim safety data and efficacy data indicating disease
stabilization in several patients with advanced cancers
9
Clinical Development Update Langdon Miller, MD -Strategic Medical Advisor
10
Entolimod
Medical Radiation Countermeasure (MRC) for Rescue Therapy Following Radiation Disasters
&
Cancer Immunotherapy
11
CBLI on Track to Submit a pre-Emergency Use
Authorization Application in 2Q15
• CBLI received a green light from FDA to submit a pre-EUA Application:
• FDA indicated to CBLI that the existing entolimod efficacy, safety, and animal-to-human dose-conversion data are sufficient for FDA review
• CBLI is in discussions with US government agencies to:
• Obtain support for a pre-EUA submission
• Solicit ongoing funding for pursuit of full licensure
• In contract negotiations with Dept. of Defense for two CBLI proposals
• Ensure entolimod meets requirements for stockpiling
• Estimated pre-EUA review/feedback from FDA in 2H15 (no PDUFA timeline)
Pre-Emergency Use Authorization (pre-EUA) facilitates
commercialization prior to full licensure
12
Market Potential for Entolimod as a Medical
Radiation Countermeasure Is Significant
• Landscape
• The only currently stockpiled drug for radiation rescue is filgrastim
(Neupogen®), which demonstrates variable survival efficacy, must be self-
administered over 2 weeks and requires laboratory monitoring
• Entolimod’s drug profile is much better aligned with the USG’s specifications
for a high-efficacy drug that offers convenient single-dose administration and
requires no follow-up monitoring or supportive care
• Procurement
• The Strategic Reserve Fund established by Project BioShield, acquires for the
Strategic National Stockpile (SNS) – current annual budget $560M
• To date, $3.3B in procurement contracts have been issued for anthrax,
botulism, smallpox and nerve agents ranging in size from $18M - $700M with
mean/median awards of $301M/$220M, respectively
• Most existing SNS purchases have been based on pre-EUA approval, i.e. the
drugs were not licensed for the named indication
13
Cancer Immunotherapy is a Growing
Opportunity
• Market for cancer immunotherapy in major world
markets is set to grow from a value of $1.1 billion
in 2012 to nearly $9 billion in 20221
• Pharma companies are focusing on cancer
immunotherapy
• Merck, BMS, Roche, Novartis, AstraZeneca and
others are developing checkpoint inhibitors for
multiple solid tumors
• Combination approaches may offer the potential
for improved therapeutic outcomes in a broader
range of tumor types2
1 Source: Decision Resources Group
2 Mellman et al. Nature. 2011; 480:480-489
14
Entolimod Offers Potential as an Alternative or
Adjunctive Immunotherapy
• Activation of TLR5 induces innate immune response in normal
tissues and potent antitumor activity in preclinical models
• Immunocytes mobilize to organs with high TLR5 expression (liver,
lungs, bladder)
• Induces a secondary adaptive response for prolonged antitumor
effect
• May offer therapeutic benefit via two different routes
• Systemic administration
• Potential for combinations with other emerging immunotherapy agents
(e.g., immune checkpoint inhibitors)
• Local (intravesical) administration for bladder cancer
15
Entolimod Suppresses Metastases and Mobilizes Adaptive
Immune Response for Prolonged Antitumor Effect
Transplanted breast or colon tumors grown in mice
Surgically remove primary tumor
Entolimod treatment on Days 1, 3, & 5 post surgery
4 T 1 P o s t-S u r g e ry M e ta s ta t ic S e tt in g
0 2 0 4 0 6 0 8 0 1 0 0
0
2 5
5 0
7 5
1 0 0
1 g C B L B 5 0 2 (n = 2 0 )
P B S (n = 2 2 )
T im e P o s t -S u rg e ry (D a y s )
Su
rv
iva
l, %
*
*p < 0 .0 1 to P B S
R e -c h a lle n g e o f 4 T 1 T u m o r - fre e M ic e
T im e P o s t Im p la n t, D a y sS
urv
iva
l, %
0 2 0 4 0 6 0 8 0 1 0 0
0
2 5
5 0
7 5
1 0 0N aive
P B S
E n to lim o dT M
-c u re d
*
*p < 0 .0 0 1
n = 9
n = 3
n = 1 4
4 T 1 P o s t-S u r g e ry M e ta s ta t ic S e tt in g
0 2 0 4 0 6 0 8 0 1 0 0
0
2 5
5 0
7 5
1 0 0
1 g C B L B 5 0 2 (n = 2 0 )
P B S (n = 2 2 )
T im e P o s t -S u rg e ry (D a y s )
Su
rv
iva
l, %
*
*p < 0 .0 1 to P B S
R e -c h a lle n g e o f 4 T 1 T u m o r - fre e M ic e
T im e P o s t Im p la n t, D a y s
Su
rv
iva
l, %
0 2 0 4 0 6 0 8 0 1 0 0
0
2 5
5 0
7 5
1 0 0N aive
P B S
E n to lim o dT M
-c u re d
*
*p < 0 .0 0 1
n = 9
n = 3
n = 1 4
CT26 tumor-free mice (liver)
0 20 40 600
20
40
60
80
100 Intact, n=15
CBLB502, n=19log rank p=0.0067
Days
Perc
en
t su
rviv
al
livermetastase
liver
metastase
Control (no drug) CBLB502, 5hrs post injection
Intact
Anti-Fas
CBLB502
+ anti-Fas
control
CBLB502
Control (vehicle) CBLB502
Colon Cancer CT26 Breast Cancer 4T1 Metastatic Growth
colon cancer CT26
Re-challenge of survivors
by SC injection of tumor
cells of the same type
16
Entolimod Entolimod
Entolimod
Entolimod-cured
Entolimod
Entolimod Is in Phase 1 Testing to Evaluate Safety
and Systemic Immune Cell Response
• Completed Phase 1 study in patients with advanced cancer
in the United States
• Preliminary analysis indicates tolerability profile similar to that observed in
healthy volunteers
• Entolimod induced TLR5-dependent immune cell activation (T-cell subsets,
neutrophils, NK cells), as assessed at higher dose levels
• Several patients with heavily pretreated cancers had stable disease
• Data were submitted to 2015 American Society of Clinical Oncology (ASCO)
annual meeting
• Ongoing Phase 1 study in patients with advanced cancer in
the Russian Federation
• Enrollment of additional patients at the highest doses achieved in the US
study
• Further evaluation of immune cell activation planned
• Partially funded by Russian government contract
• Dosing started December 2014; recruitment expected to complete 2Q15
17
Combinations with Emerging Immunotherapeutics
Represent Important Opportunities for Entolimod
• Immune checkpoint inhibitors have
established clinical efficacy in multiple
cancer types
• However, overall response rates are
typically 20 to 30%, meaning 70 to
80% of patients have tumors that do
not respond
• New, combination immunotherapies
are needed to improve outcomes for
patients
• Entolimod mobilizes antitumor innate
and adaptive immunity to several
body sites (particularly, liver)
• Stimulation of T-cells has been
confirmed in the entolimod Phase 1
trial
18
Non-invasive Bladder Cancer Represents a
Major Opportunity for Entolimod Therapy
• Bladder cancer is the 4th most common cancer in the world
• US incidence 73,000 with a prevalence of >500,000
• Estimated global prevalence of 2.7 million
• Following surgery, patients receive TLR4 agonist immunotherapy
with BCG
• Patients have high local recurrence rates (>50% recur within 2 years)
• Patients with BCG-refractory disease require total cystectomy and may
develop life-threatening metastases
• TLR5 is expressed in bladder and many bladder tumors, supporting
use of entolimod in BCG-refractory disease
• Cystoscopy data could provide rapid proof of concept (6-12 months)
• FDA focus on finding new bladder cancer therapies offers potential for
accelerated approval
19
Intravesical Entolimod Has Shown Activity in an
Orthotopic Model of Bladder Cancer
*C57BL/6 mice harboring MB49 (TLR5-negative) bladder cancer cells treated
with intravesical treatment of entolimod on Days 4 & 5 after tumor implantation
Un
trea
ted
C
on
tro
l
Intr
aves
ical
En
tolim
od
TM
Intravesical Saline
Intravesical Entolimod
NFkB activation (p65 translocation)
Activated immune cell accumulation in
bladder tumor (CD11b+)
20
Tumor Size Changes
• Activation of NF-kB response in bladder epithelium
• Massive infiltration of immune cells in the tumor
• Tumor growth suppression
Extended
Survival
CBLB612 Hematorestorative Agent
21
CBLB612 Offers Opportunity as a Single-Dose
Alternative to Existing Hemopoietic Growth Factors
• Worldwide use of granulocyte colony-stimulating factor (G-CSF) (eg, filgrastim,
peg-filgrastim, lenograstim) comprises a multi-billion-dollar market in support of
chemotherapy administration
• G-CSF modestly shortens the duration of chemotherapy-related neutropenia,
does not improve thrombocytopenia or anemia, and does not provide antitumor
efficacy
• CBLB612 may offer a multilineage hematorestorative agent with the potential to
enhance antitumor efficacy through stimulation of TLR-2/6
• Could have benefits whether administered before or after chemotherapy (G-CSF only
works after chemotherapy)
• May offer improvements in neutrophil, platelet, and red blood cell counts while
mobilizing progenitor cells
• May offer antitumor effects
22
Dosing Was Completed in Phase 1 Healthy-Subject
Study of CBLB612 in the Russian Federation
• Randomized, placebo-controlled, dose-ranging study
• Subjects randomized 3:1 (active drug: placebo) in each cohort
• 5 cohorts evaluated at 0.5, 1, 2, 4, or 8 µg (56 subjects total)
• Results confirmed expected pharmacological profile
• Established MTD at 4 µg
• Demonstrated blood count changes (including neutrophilia)
• Documented cytokine induction
• Findings support Phase 2 evaluation of CBLB612 in a
clinical model of chemotherapy myelosuppression
23
Patients with metastatic
breast cancer suitable for
treatment with docetaxel
chemotherapy
A Phase 2a Study Will Evaluate CBLB612 as
Myelosuppressive Prophylaxis in Patients Receiving
Docetaxel Chemotherapy
Docetaxel chemotherapy Cycle 1, Day 0
G-CSF, 5 µg/kg
Day 1 to 14
N~13
Observation
to Day 21
Subsequent chemotherapy at investigator
discretion
CBLB612, 4 g Day 1 (post)
N~13
Observation
to Day 21
Subsequent chemotherapy at investigator
discretion
CBLB612, 4 g
Day -2 (pre)
N~13
Observation
to Day 21
Subsequent chemotherapy at investigator
discretion
Randomization to study drug (N~40)
Study Endpoints
• Depth ad duration of neutropenia, thrombocytopenia, and anemia
• Progenitor cell mobilization
• Plasma cytokines changes
• CBLB612 PK
• Safety
• Antitumor efficacy at 6 weeks
Anticipated to start in 2H2015 with partial funding
through a Russian government contract
24
Mobilan
Cancer Immunotherapy
25
Mobilan Overview
• Nonreplicating adenovirus expressing TLR5 and its agonist (secreted entolimod analog) which mobilizes immunity to the site of virus injection
• Primary indication – tumors (e.g. prostate cancer) expressing relevant viral receptor (CAR*) based on companion diagnostic test
• Proprietary IP licensed to Panacela from CBLI
* CAR = Coxsackievirus and adenovirus receptor 26
Proof of Principle Has Been Demonstrated in
Experimental Models
Companion diagnostic Ex vivo delivery
Mobilization of immune cells into the tumor Preclinical efficacy
Companion diagnostic Ex vivo delivery
Mobilization of immune cells into the tumor Preclinical efficacy
Companion diagnostic Ex vivo delivery
Mobilization of immune cells into the tumor Preclinical efficacy
Overexpression of CAR in
prostate cancer
• Companion diagnostic identifies overexpression of CAR in prostate cancer
• Mobilan injection stimulates immune cell infiltration
• Mobilan reduces size of prostate tumors
27
Mobilan Is Entering Clinical Development for
Prostate Cancer in the Russian Federation
• Multicenter, randomized, placebo-controlled, single-blinded study
• Single injection of ascending doses of Mobilan administered directly
into the prostate
• End-points:
• Primary: safety and tolerability
• Secondary: activation of anti-tumor immunity and change in PSA level
• IND opened in Russian Federation in 1Q15
• Partially funded by Russian government contract
28
Curaxin CBL0137 Multi-targeted Cancer Therapeutic
29
CBL0137 Phase 1 Development Program Is
Progressing in Patients with Solid Tumors
Oral Administration
Russian Federation
• First-in-human, dose-ranging study
• Oral dosing schedule of CBL0137 QD x 14 days with 14 days off
• 28 patients accrued
• 8 dose levels evaluated (4 mg through 56 mg/day)
• Dose escalation continuing
Intravenous Administration
United States
• Dose-ranging study
• IV dosing schedule of CBL0137 weekly x 3 weeks with 1 week off
• 26 patients accrued
• 7 dose levels evaluated (10 through 100 mg/m2/week)
• Dose escalation continuing
30
Observations from Both CBL0137 Studies
Support Tolerability and Potential for Activity
• No DLTs or drug-related SAEs have been observed
• Plasma pharmacokinetics indicate:
• Estimated bioavailability of >50% in oral study
• Dose-proportional increases in exposure in IV study
• Heavily pretreated patients with advanced cancers of the
esophagus, colon, liver, breast, cervix, and prostate have
had stable disease for periods ranging from 4 to 6 months
• Data support continued dose escalation toward the MTD
and advancement in Phase 2 trials
31
Financial Update Neil Lyons, CPA – Chief Financial Officer
32
Pro Forma Financial Summary (as of Dec. 31, 2014 with deconsolidation of Incuron, and Feb 2015
financing)
Cash: $13.4M
33
$s in millions (1)
CBLI &
BioLab 612
Majority-Owned
Joint Venture
(Panacela) Total
Minority-Owned
Joint Venture
(Incuron)
Cash & investments, excludes $1.7M of restricted cash $ 6.1 $ 0.5 $ 6.6 $ 1.4
Contract & grant funding available (2)
1.5 0.7 2.2 -
Contract awards, not yet funded (3)
0.7 0.7 1.4 -
Financial Partner options (4)
- 15.5 15.5 -
Total $ 8.3 $ 17.4 $ 25.7 $ 1.4
(1) Amounts payable in foreign currencies are quantified based on the period-end exchange rate.
(2) Amounts represent contract & grant funded awards, less cash receipts to date.
(3) Amount represents awards made for future periods of currently active contracts, not yet funded.
(4) Amount represents optional future contributions the financial partner can make to subsidiary.
Capitalization Summary
Preferred Common Notes
Authorized shares 10,000.0 160,000,000
Preferred outstanding/common
equivalent (717.4) (239,135)
Convertible at $3/share with down-
round protection
Common, outstanding (3,435,354)
Prefunded warrants (594,688)
Convertible at $3/share with down-
round protection
Warrants, not prefunded (2,281,332) Wtd. Avg. exercise price of $14.49
Rusnano warrant (40,073)
Only exercisable upon default with
Panacela loan
Options (261,470) Wtd. Avg. exercise price of $67.89
Shares available under the EIP (262,899)
Assumes passage of 150,000
additional shares
Shares available under the ESPP (225,000)
Assumes passage of 100,000
additional shares
Available for future issuance 9,282.6 152,660,049
Securities
34
• Pre-emergency-use authorization (pre-EUA) and commercialization for
Entolimod-MRC
• Pre-EUA status facilitates commercialization prior to full licensure
• On track for submission of pre-EUA to FDA in 2Q15
• Development of value-driving data and partnerships for Phase 1 oncology
drugs with novel targets and broad applications
• Entolimod-Oncology: confirm immune-stimulatory effects as a single agent or in
combination with marketed immunotherapy
• CBLB612: evaluate ability to ameliorate chemotherapy-induced myelosuppression
• Mobilan: evaluate ability to induce innate immunity in prostate cancer patients
• CBL0137: increase value as an oncology treatment by demonstrating effect in
patients with advanced disease
35
CBLI Is Focused on Achieving Strategic
Objectives
Development Milestones
36
* Estimate (no PDUFA timeline) 1Additional entolimod MRC Milestones expected 2015/2016:
• DoD development contract
• Foreign Sales
2016
Q1 Q2 Q3 Q4 Q1
Entolimod - MRC1:
Pre-EUA submission X
Potential Pre-EUA Review/Feedback from FDA* X
Entolimod- Oncology:
Ph 1 advanced cancers data reported (US) X
Ph 1 advanced cancers, LPO (RF) X
Ph 1 advanced cancers data reported (RF) X
CBLB612:
Ph 1 healthy volunteer LPO (RF) X
Ph 1 healthy volunteer data reported (RF) X
Ph 2a myelosuppression prophylaxis started (RF) X
Mobilan:
Ph 1 IND open, prostate cancer (RF) X
Ph 1 prostate cancer started (RF) X
CBL0137:
Ph 1 IND open, hematological cancers X
Ph 1 oral, LPO X
Ph 1 oral, data reported X
Ph 1 i.v., LPO X
Ph 1 i.v., data reported X
2015