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INVESTORPresentation
D E C E M B E R
2018
Accelerating Biomedical Technologies
from Incubation to Monetization
QBIO
Forward Looking StatementsThis presentation contains "forward-looking statements" as that term is defined in Section 27A of the United States Securities Act of 1933, as amended and
Section 21E of the Securities Exchange Act of 1934, as amended. Statements in this presentation which are not purely historical are forward-looking
statements and include any statements regarding beliefs, plans, expectations or intentions regarding the future. These forward-looking statements generally
can be identified by phrases such as Q BioMed, Inc. (“QBIO”) or its management "believes," "expects," "anticipates," "foresees," "forecasts," "estimates" or
other words or phrases of similar importance. Such forward-looking statements include, among other things, the development, costs and results of new
business opportunities. Actual results could differ from those projected in these forward-looking statements which are made as of the date of this
presentation, and we assume no obligation to update any forward-looking statements. Our actual results may differ materially from those stated or implied
in such forward-looking statements, due to risks and uncertainties associated with our business, which include the risk factors disclosed in our public filings.
Although we believe that any beliefs, plans, expectations and intentions contained in this presentation are reasonable, there can be no assurance that any
such beliefs, plans, expectations or intentions will prove to be accurate. Investors should review all of the information set forth herein, and should also
understand the risk factors and the inherent uncertainties associated with new business opportunities and development stage. Any use of this information for
any purpose other than in connection with the consideration of an investment in Q BioMed Inc. may subject the user to criminal and civil liability.
This presentation does not constitute an offer to sell any securities or the solicitation of an offer to sell any securities by Q BioMed Inc.
P a g e ▕ 2
Rapid Biotech Growth Has Created an Opportunity
Q BioMed leverages this opportunity by accessing undiscovered, undervalued
biomedical technologies for investment, acceleration and monetization
m o n et i zeOperate, partner, license, IPO or sell
The Q BioMed Business Model
i n ve s tCapital attached to goals
acce le ra teIncrease investment and ownership
Preliminary scientific and commercial criteria review. Determining
management's expectations and flexibility moves the asset to the next step.
Due diligence is combined with a validation of management's
development and capital requirements.
Performance-based capital is deployed to meet specific and mutually-
agreed goals in each stage.
Additional resources are infused to move the asset through development
stages and to a value-creating inflection point.
Assets can be sold, licensed, joint-ventured or operated as cash flow positive
product lines. QBIO's goal is to maximize value for its shareholders.
i den t i f yCriteria match and fit
an a l yzeAsset and development plan
P a g e ▕ 4
Management Team
Advisory BoardJean-Jaques Mondoloni
Advisor Wombat
Capital
Dr. Helga Grupe
Wombat -Oncology
Dr. Jose de Chastonay
Wombat - Contract Services
Dr. Scott P Bruder
Wombat - Medical Devices,
Orthopedics
Andy Watson
Wombat - Diagnostics,
Companions,
Genomics, Life Science Tools
Dr Raj Apte
Washington University -
Ophthalmology
Dr. Tager-Flusberg
Boston University
Dr Nafeez Zawahir
Medical Advisor
Market Research
Dr. Susan Quaggin
CSO, Manin Resarch
George Nikopoulos
CEO, Mannin Research
Dr. Amy Ripka
Medicinal Chemistry
Mary Jane Rafii
Wombat - Ophthalmology
Kristin Keller
Agency – Commercialization
Lead
P a g e ▕ 5
Denis CorinChief Executive Officer
Chairman of the Board
William RosenstadtChief Legal Officer
General Counsel
Director
David Laskow-PooleyVP Product Development
Ari JatwesBusiness Development Analyst
Dr. Rick PanicucciPharmaceutical Development
Director
Robert DerhamVP Orphan Products
Our Growing Portfolio of High-Value Assets
ONCOLOGY VASCULAR DISEASES RARE ORPHAN DISEASES
MAN-01 MAN-02
MAN-03 MAN-04
™
A Growing Pipeline Mitigates Risk and Drives Shareholder Value
DRUG CANDIDATE PRECLINICAL PHASE
1
PHASE
2
PHASE
3
APPROVAL COMMERCIALIZATION
Radiopharmaceutical for metastatic cancer bone pain
Topical eyedrops for glaucoma
Rare pediatric non-verbal Autism Spectrum Disorder (Pre-IND 505b2)
Chemotherapeutic for liver cancer
MAN-01
P a g e ▕ 7
MAN-02
MAN-03
Kidney Disease
Cardiovascular Diseases
MAN-04 Infectious Diseases
a Portfolio Asset
Radio-Pharmaceutical: Strontium Chloride 89 Injection
Condition: Bone Pain - Cancer Metastases
Addressable Market: ~110,000 yearly
Technology Partner: BioNucleonics Inc and GE Healthcare
Stage: Commercializing – Awaiting FDA Approval
of Manufacturing Facility
™
PAINFUL BONE METASTESES from Prostate and Breast Cancer
▪ Pain is the most common sign of bone cancer, and may become more
noticeable as the tumor grows.
▪ Bone pain can cause a dull or deep ache in a bone or bone region (e.g., back,
pelvis, legs, ribs, arms).
▪ Treatment options include
▪ Sr89 is NON-NARCOTIC and can mitigate opioid use
Current Standards of Care
▪ 450,000* new breast and prostate cases are recorded each year
▪ 1 in 3 people will develop bone metastases from the spread of breast and
prostate cancer
▪ In a 2012 publication it was estimated that over 280,000 people in US to be
living with the painful condition
*Source: American Cancer Society, 2016
Prevalence
THE CONDITION:
Pain Medications:
OpioidsOrthopedic Procedures
Radiation Therapy
Radiopharmaceuticals
P a g e ▕ 9
▪ FDA-approved non-opioid for painful metastases
▪ Medicare and Health Care Reimbursed
▪ Broadly Indicated to relieve bone pain from skeletal metastases from
breast, lung prostate and other cancers
▪ Simultaneously targets all sites of metastatic bone pain
▪ ONE DOSE - Effective in 80% of patients and lasts average of 6 months
▪ Can be used with opioid based drugs and cancer therapeutics
▪ Studies demonstrated a prolonged progression-free result and overall
survival with acceptable toxicity
▪ Ph2 Trial showed 9-month survival benefit (vs 2 months in Blockbuster
competitor) – A Planned PH4 trial to confirm this will exponentially
increase potential revenue
NON-OPIOID PAIN
RELIEF from Metastatic Cancer
P a g e ▕ 1 0
METASTESES SPREAD TO MULTIPLE SITES
Bone Met
How Our Drug WorksThe Challenge of Bone Mets
• 85% of breast and prostate cancer patients develop Bone Mets• 2 million people worldwide suffering and under treated• Few treatment option for multiple skeletal metastases
• Imitates calcium in vivo and rapidly localizes to proliferating bone
• Absorbs at a rate 10-fold higher in prostatic bone metastases than in healthy bone
• Retained in metastatic lesions enabling a larger radiation dose to metastases for up to 6 months
Multiple skeletal metastases cannot be treated with External Beam Radiation
(Tumor)
Investment Thesis
▪ FDA approved – Palliation
▪ Global Market Authorizations (22 countries)
▪ Medicare Reimbursed
▪ Commercially available for SALE in Q1 2019 (Est FDA US Facility Approval)
▪ Gross Palliation Revenue expected to be $20M-$40m p/a in year 3
▪ Requires 2,000 to 3,000 (out of 100k per year) patients to meet that revenue model
BLUE SKY
▪ Irradiates tumors and has been used in combination with CHEMOTHERAPY
▪ Increased survival by 9 months - MD Anderson/Lancet▪ https://www.ncbi.nlm.nih.gov/pubmed/11210994
▪ Phase 4 Clinical Program to amend label to THERAPEUTIC DRUG
▪ Potential Revenue $200M+ in Yr1 post Clinical trial (Current Competitor $800M/yr.)
-001a Portfolio Biotechnology
Pharmaceutical: QBM-001 sprinkle
formulation
Condition:Rare Pediatric Non-Verbal
Disorder
Addressable
Market:50,000 cases worldwide
15,000 in US alone
Technology
Partner:ASDERA, LLC
Stage: Pre-IND 505(b)2
Among the >60,000 US children who develop Autism Spectrum Disorders (ASD)
every year, 20,000 become nonverbal and will have to rely on assisted living for
the rest of their life. Of the estimated 20,000, QBM-001 should be able to treat
about 15,000.
▪ The lifetime cost of care is estimated at $10 M/person.
▪ No treatment with lasting effects on how children develop
▪ Fundamental defects in social reciprocity and communication
▪ Repetitive and stereotypical behaviors
RARE PEDIATRIC NON-VERBAL DISORDER-Autism Spectrum Disorder
THE CONDITION:
Prevalence
Name Condition 2016 Sales
Abilify® Irritability $2.0 B + (off Patent)
Vyvanse® ADHD $2.0 B
Risperdal® Aggression $3.0 B
Current *Medications and 2016 Sales
P a g e ▕ 1 4
*These medications do not treat the condition, rather they are psychotherapeutic
interventions that ameliorate temperament/mood only.
Synapse Formation
• 8-12 months – detection of early symptoms
• 12-15 months – language regression
• Brain density in cortex (speech region) declines after 24
• Due to pruning, fMRI shows “patches of disorganization” seen in the cortex of the brain of non-verbal children older than 24 months
Results from two independent studies (Wittkowski, 2014) showed lack of language associated with:
poorly regulated membrane channels (excitation/inhibition imbalance) and included known
‘migraine’ genes.
HOW IT WORKS
Diagnosis
• ASD diagnosis or high-risk group with developmental delay
• Tested for elevated serum markers
• Genetically tested to exclude diseases that QBM-001 cannot treat
QBM-001 acts as an allosteric regulator of faulty membrane channels in the brain that are known to
cause migraines and/or seizures, thus allowing QBM-001 to potentially alleviate the condition and
allow toddlers to actively develop language and avoid life-long speech and intellectual disability of
being nonverbal.
NEURON PRUNING
1 Mo. 6 Mos. 2 Yrs. 4 Yrs. 6 Yrs.
Children with ASD loose the ability to learn language once their
language-specific neurons are naturally pruned
Around the age 2, the brain more actively prunes
(eliminates) neurons that are not in use.
When language development is impeded in this
subset of ASD children, their language neurons do
not activate and are targeted for pruning by the
brain.
If you do not use it, you lose it.
REGULATES FAULTY ION-CHANNELS to Allow Language Development
At 2 years of age, the brain is
actively developing neuron
connections at the peak of the
leaning process.
P a g e ▕ 1 5
▪ There are NO drugs currently available to ameliorate this
condition.
▪ Orphan drugs (less than 200k patients) average price $100,000 per
year (EvaluatePharma).
▪ The alternative – estimated at $10m in direct costs and $10M in
lost productivity due to lifetime assisted living, supplemental
healthcare costs, and lost productivity of family members.
▪ Not measuring the severe emotional strain of never talking to
your child.
▪ This pediatric nonverbal disorder, where children lose or don’t
develop and manifest with ASD symptoms is rare and limited to
approximately 20,000 children a year in the US and about the
same in Europe, of which QBM-001 should be able to treat 15,000-
18,000 for 2-3 years.
MARKET POTENTIALUnited States: 20,000 patients per year @ $100,000 - $2B
Europe and ROW: 30,000 Patients per year @ 100,000 - $3B
PRICE VS. COSTThe Hard Facts and Emotional TRUTH
P a g e ▕ 1 6
UTTROSIDE-Ba Portfolio Biotechnology
Chemotherapy: UTTROCIDE-B
Condition: Liver Cancer
Addressable
Market:700,000 diagnoses/year
Technology
Partner:
Oklahoma Medical
Research Foundation
Stage: Preclinical
More than 700,000 people worldwide are diagnosed each year
Estimated 39,230 adults in the United States will be diagnosed every year
Numbers have tripled since 1980
Poor 1-year survival rate
18% 5yr Survival
LIVER CANCERThe 10th Most Common Cancer
THE CONDITION:
RADIATION
High-energy x-rays or other
particles destroy cancer cells
DRUG TREATMENT
Tryosine kinase inhibitor
antineoplastic agent, Nexavar™
SURGICAL Hepatectomy or liver transplantation
CHEMOTHERAPYRadiofrequency ablation (RFA) and
microwave therapy
THERMAL
Percutaneous ethanol injection
Current Standards of Care
Prevalence
P a g e ▕ 1 8
P Uttroside-B appears to affect phosphorylated JNK (pro survival
signaling) and capcase activity (apoptosis in liver cancer)
▪ A natural compound
▪ Fractionated Saponin derived from S. nigrum
▪ Small molecule
▪ Steroid Glycoside
Uttroside B increases the cytotoxicity of a variety of liver
cancer cell types
• Up to 10x more potent than Sorafenib in pre clinical studies
Cytotoxicity specific to cancerous liver cells
Provisional patent filed
Molecule syntheses completion Dec 2018
IND Ready Q1 2019
Sorafenib Tosylate (Nexavar™) is currently the only FDA- approved drug
for the first line treatment of liver cancer. 2017 sales exceed $1B
500
5800
0
1000
2000
3000
4000
5000
6000
Uttrocide-B Sorafenib
ChemotherapyIN VITROIC-50 of Sorafenib is 5.8 uM in Hep G2 while
Uttrocide-B is 500
IN VIVOHepG2 Injected Into Mice Then Treated with 10mg of Uttrocide-
B for One Month
0
20
40
60
80
100
120
140
160
Week 1 Week 2 Week 3 Week 4
Control Uttrocide B P a g e ▕ 1 9
MAN-01a Portfolio Biotechnology
Pharmaceutical: MAN-01 Topical Drops
Condition: Primary Open-Angle Glaucoma
Addressable Market: 60 million patients
worldwide
Technology Partner:
Stage: Preclinical
60 million glaucoma patients worldwide
8 million with bilateral blindness
Typically no early warning signs. Therapy only slows progression
Vision with Glaucoma
Current Standards of Care
Medical (Pharmaceuticals)
Laser Surgery (Out-patient)
Traditional Surgery (In-patient)
Normal vision
Prevalence
INTRAOCULAR PRESSURE (IOP) and Primary Open-Angle Glaucoma
THE CONDITION:
P a g e ▕ 2 1
Market Is Seeking
Effective reduction in IOP
Innovative Drug Design
Increase compliance and adherence
Improved drug delivery and availability
60.5
79.6
0
10
20
30
40
50
60
70
80
90
2010 2020
▪ First-in-class drug to treat Glaucoma
▪ Novel therapeutic addresses need for innovation
▪ Mechanism targets the critical Schlemm’s Canal The Schlemms Canal is responsible for 70%-90% of fluid
drainage in the eye
▪ Primary indication for Primary Open-Angle GlaucomaAdditional indications may include:
- Acute Kidney Injury
- Cardiovascular Disease
- Infectious Diseases
▪ Mannin Research accepted into Johnson & Johnson Innovation,
JLABS @ Toronto
Developing a novel eye-drop to treat Primary Open-Angle Glaucoma
utilizing the Angiopoietin-Tie2 Mechanism of Action
Source: W.H.O. 2010
Glaucoma Cases Expected to Increase 30% by 2020(millions of cases)
▲30%
Incre
ase
in C
ase
s
Public Market Comp Aerie Pharmaceuticals - AERI $1.85B MCAP*
P a g e ▕ 2 2
MAN-01
* As of December 6, 2018
Projected Phase I Glaucoma
Clinical Trial:
Q4 2019Projected Lead Candidate
Selection:
Q1 2019
ADDITIONAL INDICATIONSPre-Clinical
Acute Kidney Injury
Treatment for Acute Kidney Injury, which contributes to high morbidity and mortality rate in a wide range of injuries, including common clinical care settings such as coronary artery bypass surgery, contrast-induced nephropathy and sickle cell nephropathy.
Cardiovascular Diseases
Treatment with our pharmacologic small molecule will likely protect the lungs and slow disease progression in patients with Pulmonary Artery Hypertension. Treatment may also provide protection to the myocardium in patients with Congestive Heart Failure and Myocardial Ischemia.
Interventions targeting Ang-Tie2 pathway have been shown to play an important role in reducing the severity of viral and bacterial infections such as influenza, sepsis, tuberculosis, anthrax, toxic shock syndrome, cerebral malaria and Ebola, by promoting positive host-directed therapeutic (HDT) responses
Infectious Diseases
Capital Markets Overview &Management Expectations
Capital Markets Overview and
Management Outlook
Q BioMed in the NEWS
Q BioMed Inc Announces Acquisition of Cancer Pain
Drug Metastron™ from GE Healthcare
Strategic Acquisition Gives Company Ownership of
Brand Name Drug and Related Market
Authorizations in 22 Countries in Which Metastron™
is Already Registered and Approved for Sale
November 2018
Q BioMed Provides Important Update on QBM001
Developmental Drug Targeting a Non-Verbal and
Minimally Verbal Patient Subset on the Autism
Spectrum
Company Further Develops Its Autistic Spectrum
Disorder (ASD) Drug Technology and Expects
Several Development Partnerships In Anticipation of
Clinical Program in 2019.
OCTOBER 2018
Q BioMed Announces Closing of $4M Financing
Biomed Inc. Announces Dr. Rajendra Apte Joins
Advisory Board
Distinguished Ophthalmology Specialist Brings
Wealth of Experience
SEPTEMBER 2018
3-Month Trading History
As of Dec 4, 2018
Shares Outstanding
Warrants
14,200,000
4,8M
Market Cap
Ave Price
$28.5 M
$3.50
Inside Ownership 25% Avg. Volume
30 day70,000
Float ~ 10,000,000 Year end November 30
Price $ 1.92 Dec 4
QBIO
Capital Markets
P a g e ▕ 2 5
Metastron™ (Strontium Chloride 89) - FDA-approved
Manufacturing underway - Awaiting FDA review of CMO
Revenue generation expected in 1H 2019
Ph4 Post Marketing Study for Expanded Therapeutic Label Q4 19
Revenue in 2019
QBM-001
Pre-IND Filing, Orphan Drug Filing Q4 2018
1year Pivotal Clinical Trial 1H 2019
Uttroside-B – Liver Cancer
Complete pre-clinical and Prepare IND
Proof of Concept Studies Q1 2019
File IND Q2 2019
MAN-01
Complete Molecule Optimization (Eye Drop)
Initiate Pre-IND Studies 1H2018 – Clinical Trial 2019
Additional Indications Formalized 2019
Pharma Partnership opportunities
Potential up-list to national exchange in Q1 2019
What to expect from us
QBIOP a g e ▕ 2 6
Corporate366 Madison AvenueNew York, NY 10222
USA
+1 (888) 357-2435
Executive & Investors
Denis Corin, CEO
qbiomed.com
Accelerating Biomedical Technologies
from Incubation to Monetization
QBIO