Skip to main content

AI assistant

Sign in to chat with this filing

The assistant answers questions, extracts KPIs, and summarises risk factors directly from the filing text.

ADALTA LIMITED Investor Presentation 2021

Jul 18, 2021

64247_rns_2021-07-18_7aaa93f7-f2f8-4c59-afe8-eb80dc665354.pdf

Investor Presentation

Open in viewer

Opens in your device viewer

==> picture [539 x 73] intentionally omitted <==

19 July 2021

ASX Announcement

WEBINAR TO DISCUSS AD-214 RESULTS AND STRATEGY

MELBOURNE Australia, 19 July 2021: AdAlta Limited (ASX:1AD), the clinical stage biotechnology company developing novel therapeutic products from its i-body platform will hold a webinar to discuss the results of Phase I trials of AD-214 and plans to develop an inhaled version of its first in class anti-fibrotic, AD-214, for Idiopathic Pulmonary Fibrosis (IPF) and other Interstitial Lung Diseases (ILDs) that were announced today.

The webinar is open to all, however pre-registration is required.

Details of the webinar are:

Date: Monday, 19 July 2021 Time: 2pm Australian Eastern Standard Time Registration: https://us02web.zoom.us/webinar/register/WN_CnMpEkOQT3qLSFRPKIa1Cg

The webinar will be recorded and be made available on AdAlta’s website within a week of the event. The presentation that will be discussed is attached to this announcement.

Authorised for lodgement by:

Tim Oldham CEO and Managing Director July 2021

==> picture [595 x 83] intentionally omitted <==

==> picture [539 x 73] intentionally omitted <==

Notes to Editors About AdAlta

AdAlta Limited is a clinical stage drug development company headquartered in Melbourne, Australia. The Company is using its proprietary i-body technology platform to solve challenging drug targeting problems and generate a promising new class of single domain antibody protein therapeutics with the potential to treat some of today’s most challenging medical conditions. The i-body technology mimics the shape and stability of a unique and versatile antigen-binding domain that was discovered initially in sharks and then developed as a human protein. The result is a range of unique proteins capable of interacting with high selectivity, specificity and affinity with previously difficult to access targets such as G-protein coupled receptors (GPCRs) that are implicated in many serious diseases. i-bodies are the first fully human single domain antibody scaffold and the first based on the shark motif to reach clinical trials.

AdAlta is has advanced its lead i-body candidate, AD-214, into clinical studies. AD-214 is being developed for the treatment of Idiopathic Pulmonary Fibrosis (IPF) and other human fibrotic diseases, for which current therapies are sub-optimal and there is a high unmet medical need.

The Company is also entering collaborative partnerships to advance the development of its i-body platform. It has an agreement with GE Healthcare to co-develop i-bodies as diagnostic imaging agents against Granzyme B, a biomarker of response to immunooncology drugs, a program now in preclinical development.

AdAlta’s strategy is to maximise the products developed using its next generation i-body platform by internally discovering and developing selected i-body enabled product candidates against GPCRs implicated in fibrosis, inflammation and cancer and partnering with other biopharmaceutical companies to develop product candidates against other classes of receptor, in other indications, and in other product formats.

Further information can be found at: https://adalta.com.au

For more information, please contact:

Investors

Media

Tim Oldham, CEO & Managing Director IR Department Tel: +61 403 446 665 Tel: +61 411 117 774 E: [email protected] E: [email protected]

==> picture [595 x 83] intentionally omitted <==

==> picture [146 x 35] intentionally omitted <==

AD-214 strategy update AdAlta Investor Presentation, 19 July 2021

INVESTOR PRESENTATION – JULY 2021 2

==> picture [63 x 15] intentionally omitted <==

Disclaimer

Investment in AdAlta is subject to investment risk, including possible loss of income and capital invested. AdAlta does not guarantee any particular rate of return or performance, nor do they guarantee the repayment of capital.

This presentation is not an offer or invitation for subscription or purchase of or a recommendation of securities. It does not take into account the investment objectives, financial situation and particular needs of the investor. Before making any investment in AdAlta, the investor or prospective investor should consider whether such an investment is appropriate to their particular investment needs, objectives and financial circumstances and consult an investment advisor if necessary.

This presentation may contain forwardlooking statements regarding the potential of the Company’s projects and interests and the development and therapeutic potential of the company’s research and development. Any statement describing a goal, expectation, intention or belief of the company is a forward-looking statement and should be considered an at-risk statement. Such statements are subject to certain risks and uncertainties, particularly those inherent in the process of discovering, developing and commercialising drugs that are safe and effective for use as human therapeutics and the financing of such activities.

There is no guarantee that the Company’s research and development projects and interests (where applicable) will receive regulatory approvals or prove to be commercially successful in the future. Actual results of further research could differ from those projected or detailed in this presentation. As a result, you are cautioned not to rely on forward-looking statements. Consideration should be given to these and other risks concerning research and development programs referred to in this presentation.

INVESTOR PRESENTATION – JULY 2021

3

==> picture [63 x 15] intentionally omitted <==

Key points: AdAlta to progress inhaled version of AD-214 into efficacy studies for IPF

Invaluable findings from AD-214 clinical study and separate radiolabelled AD-214 preclinical studies map a pathway to conducting next clinical trials in patients with a preferred inhaled formulation

==> picture [46 x 46] intentionally omitted <==

Intravenous (iv) AD-214 successfully completes Phase I multidose cohort at 5 mg/kg, received HREC approval to progress to 10 mg/kg

Preclinical development of radiolabelled AD-214 complete; informs dosing, supports early transition to direct lung delivery Totality of results to date provide clear pathway to future development of AD-214 for IPF via inhalation: more targeted, convenient and cost effective Timelines to efficacy data in IPF patients largely unchanged; imaging to continue to inform dosing and distribution Current Phase I program to conclude having achieved key objectives; releases cash and drug substance for inhaled delivery studies

INVESTOR PRESENTATION – JULY 2021

4

==> picture [63 x 15] intentionally omitted <==

Key points: AdAlta to progress inhaled version of AD-214 into efficacy studies for IPF

Invaluable findings from AD-214 clinical study and separate radiolabelled AD-214 preclinical studies map a pathway to conducting next clinical trials in patients with a preferred inhaled formulation

==> picture [72 x 100] intentionally omitted <==

Intravenous (iv) AD-214 successfully completes Phase I multidose cohort at 5 mg/kg, received HREC approval to progress to 10 mg/kg

Preclinical development of radiolabelled AD-214 complete; informs dosing, supports early transition to direct lung delivery

Totality of results to date provide clear pathway to future development of AD-214 for IPF via inhalation: more targeted, convenient and cost effective Timelines to efficacy data in IPF patients largely unchanged; imaging to continue to inform dosing and distribution Current Phase I program to conclude having achieved key objectives; releases cash and drug substance for inhaled delivery studies

INVESTOR PRESENTATION – JULY 2021

5

==> picture [63 x 15] intentionally omitted <==

AD-214 Phase 1 clinical program

The Phase 1 program is evaluating safety and distribution of AD-214 in healthy volunteers and patients

Phase 1 protocol in healthy volunteers

Objectives of Phase 1 Part A and B:

Part A Part B Single dose, Multiple ascending dose,healthy volunteers (HV SAD) healthy volunteers (HV MAD) • 42 participants in 7 cohorts Up to 24 participants in 3 cohorts • 0.01-20 mg/kg dose 3 x 5-15 mg/kg every 2 weeks Phase 1b protocol in IPF and ILD (and other fibrotic disease) patients* (planned H2 2021)

  • Top-line safety data

  • Explore optimal dosing intervals

  • Support FDA IND applications for further studies in all CXCR4 indications

Arm 1 Arm 2

PET screening of fibrotic diseases

Multi-dose in IPF/ILD

Open label with standard of care Open label with standard of care ~12 patients (~6 IPF/ILD) + PET ~6 patients, max 6 doses over 18 weeks +/- PET imaging

==> picture [78 x 55] intentionally omitted <==

Pre-clinical development of RL-AD-214 for PET imaging complete

Objectives of Phase 1b:

  • Effect of elevated lung CXCR4 on distribution of AD-214 in IPF/ILD patients

  • Safety of AD-214 in combination with standard of care**

  • Explore CXCR4 expression over time as potential biomarker

  • Supported by a Biomedical Translational Bridge grant from Medical Research Future Fund and MTPConnect ** Includes pirfenidone, nintedanib or non-pharmacologic intervention.

INVESTOR PRESENTATION – JULY 2021

6

==> picture [63 x 15] intentionally omitted <==

AD-214 Phase I healthy volunteer results to date

AD-214 has an excellent safety profile in single doses to 20 mg/kg and multiple doses to 5 mg/kg*

AD-214 molecule has an excellent safety profile in single and multiple doses (see Appendix for more detail)*

  • No dose limiting toxicities or adverse events of clinical concern in single doses to 20 mg/kg

  • Moderate infusion related reactions (IRRs) in 3 participants (2 drug, 1 placebo) receiving multiple 5mg/kg doses

  • Rapidly resolved at end of infusion

  • Appear formulation related

  • No concerning clinical laboratory results, no adverse liver or other organ function detected

  • HREC approved progressing to 10 mg/kg

AD-214 clearly engages the target CXCR4 receptor in vivo*

  • Dose dependent changes in biomarkers of CXCR4 engagement observed

  • High and extended duration of receptor occupancy on circulating T cells

  • Biomarker response consistent across multiple doses at 5 mg/kg – no evidence of tolerance

AD-214 pharmacokinetics are dose proportionate*

  • Peak and total AD-214 exposure increases in a dose proportionate or more manner to 20 mg/kg, consistent across multiple doses at 5 mg/kg

  • Elimination half-life 44±15 hours at 20 mg/kg

  • No evidence of tolerance or drug induced clearance

  • Rapid distribution from plasma observed at all doses, consistent with rapid increase/saturation of receptor occupancy and preclinical imaging

  • Multiple dose data subject to database lock and full statistical analysis; receptor occupancy data only available to 4 hours after end of third infusion; antidrug antibody data only available to 14 days after second infusion (pre third infusion)

INVESTOR PRESENTATION – JULY 2021

33

==> picture [63 x 15] intentionally omitted <==

Biomarkers of CXCR4 receptor engagement at 5 mg/kg

Transient increases in blood biomarkers demonstrate consistent engagement of the target receptor, CXCR4 across multiple AD-214 doses

==> picture [672 x 332] intentionally omitted <==

----- Start of picture text -----

CD34+ cells
Biomarker data confirm single dose findings, consistent across 16
Placebo
multiple doses: no drug induced tolerance or accumulation 14
12 SAD
10 MAD#1
White blood cell counts (WCC), haematopoietic stem cell (CD34+) 8
MAD#2
counts and concentration of SDF-1 are biomarkers of CXCR4
6
engagement by AD-214 MAD#3
4
Profile of biomarkers is consistent across multiple doses at 5 mg/kg 2
100% T cell CXCR4 receptor occupancy achieved for at least 24h (data 0
not shown, maximum duration analysis pending) 0 10 20 30 40
Time after start of infusion (h)
CD34+ cells at 4h
WCC at 4h SDF-1 at 4h
30 30 10000
8000
20 20
6000
4000
10 10
2000
0 0 0
Placebo SADMAD#1MAD#2MAD#3 Placebo SADMAD#1MAD#2MAD#3 Placebo SADMAD#1MAD#2MAD#3
(cells/uL)
Mean CD34+ cell count
WCC at 4h (10^9/L)
CD34+ cell counts at 4h (cells/uL) SDF-1 plasma conc at 4h (pg/mL)
----- End of picture text -----

  • SAD = single ascending dose at 5mg/kg; MAD#1/MAD#2/MAD#3 are first, second and third multiple doses at 5 mg/kg; CD34+ and WCC data is shown at 8h for MAD#2

INVESTOR PRESENTATION – JULY 2021

32

==> picture [63 x 15] intentionally omitted <==

AD-214 pharmacokinetics

Maximum exposure, Cmax, and total exposure, AUC0-inf, increase in a dose proportionate manner and are consistent across multiple doses of AD-214 at 5 mg/kg, supporting absence of drug induced tolerance or clearance

==> picture [665 x 234] intentionally omitted <==

----- Start of picture text -----

Maximum and total plasma exposure - SAD Maximum and total plasma exposure – 5 mg/kg
Peak AD-214 plasma concentration Total AD-214 exposure
140 600
120
500
100
400
80
300
60
200
40
100
20
0 0
SAD MAD#1 MAD#2 MAD#3 SAD MAD#1 MAD#2 MAD#3
Cmax (ug/mL) Cmax (ug/mL)
----- End of picture text -----

Pharmacokinetic profile

  • Rapid distribution from plasma (consistent with rapid and high CXCR4 receptor occupancy and PET imaging distribution studies)

  • • Elimination half-life 44±15 h at 20 mg/kg

  • SAD = single ascending dose at 5mg/kg; MAD#1/MAD#2/MAD#3 are first, second and third multiple doses at 5 mg/kg

INVESTOR PRESENTATION – JULY 2021

9

==> picture [63 x 15] intentionally omitted <==

Key points: AdAlta to progress inhaled version of AD-214 into efficacy studies for IPF

Invaluable findings from AD-214 clinical study and separate radiolabelled AD-214 preclinical studies map a pathway to conducting next clinical trials in patients with a preferred inhaled formulation

==> picture [80 x 154] intentionally omitted <==

Intravenous (iv) AD-214 successfully completes Phase I multidose cohort at 5 mg/kg, received HREC approval to progress to 10 mg/kg

Preclinical development of radiolabelled AD-214 complete; informs dosing, supports early transition to direct lung delivery

Totality of results to date provide clear pathway to future development of AD-214 for IPF via inhalation: more targeted, convenient and cost effective

==> picture [46 x 46] intentionally omitted <==

Timelines to efficacy data in IPF patients largely unchanged; imaging to continue to inform dosing and distribution Current Phase I program to conclude having achieved key objectives; releases cash and drug substance for inhaled delivery studies

INVESTOR PRESENTATION – JULY 2021

10

==> picture [63 x 15] intentionally omitted <==

AD-214 distribution by PET imaging

Pre-clinical PET imaging shows that while AD-214 distributes to tissues containing CXCR4 expressing cells, more than half the administered dose rapidly distributes to, or is cleared via, the liver. This is not seen with other i-bodies

==> picture [163 x 11] intentionally omitted <==

----- Start of picture text -----

PET/CT images in healthy mice
----- End of picture text -----

==> picture [233 x 10] intentionally omitted <==

----- Start of picture text -----

89Zr-AD-214 89Zr-ADLP-16-Fc
----- End of picture text -----

==> picture [133 x 139] intentionally omitted <==

==> picture [134 x 22] intentionally omitted <==

==> picture [134 x 136] intentionally omitted <==

==> picture [133 x 21] intentionally omitted <==

Radiation count from i-bodies bound to non-human primate (NHP) white blood cells

Radiolabelled AD-214 successfully developed

  • Conjugated with DFOSq (Telix Pharma) and labelled with[89] Zr Imaging in healthy mice, NHPs

==> picture [5 x 7] intentionally omitted <==

==> picture [5 x 7] intentionally omitted <==

AD-214 substantially and rapidly distributes to liver (left) Other i-bodies studied distribute more generally (right)

89Zr-AD-214 still able to be detected on white blood cells and in tissues with resident immune cells eg spleen, bone marrow

High doses of unlabelled AD-214 block the signal in these tissues, confirming specific binding via CXCR4

ADLP16-Fc is an Fc-fusion i-body against a GPCR other than CXCR4. The Fc domains were point mutated to remove effector function. Both were conjugated with DFOSq (Telix Pharma), radiolabelled with[89] Zr, and formulated in AD-214 formulation buffer

INVESTOR PRESENTATION – JULY 2021

11

==> picture [63 x 15] intentionally omitted <==

PET imaging studies inform dosing and route of administration

PET imaging with radiolabelled AD-214 supports early transition to inhaled route of administration

Rapid liver distribution and clearance reduces bioavailability

==> picture [5 x 7] intentionally omitted <==

==> picture [5 x 7] intentionally omitted <==

Consistent with pharmacokinetic profile and a first pass clearance mechanism

More than half administered dose not available to target site of action

Direct lung delivery of AD-214 could achieve a therapeutic dose at lower levels than intravenous delivery

CXCR4 binding capability retained, supportive of potential efficacy Consistent with observed biomarker, receptor occupancy and bleomycin mouse efficacy data

Liver distribution does not appear to affect safety profile

==> picture [5 x 7] intentionally omitted <==

==> picture [5 x 7] intentionally omitted <==

No localization in hepatocytes (responsible for metabolic activity in liver) Consistent with lack of observed changes in liver function or toxicity in toxicology and clinical studies

Radiolabelled AD-214 will continue to be a useful development tool

INVESTOR PRESENTATION – JULY 2021

12

==> picture [63 x 15] intentionally omitted <==

Key points: AdAlta to progress inhaled version of AD-214 into efficacy studies for IPF

Invaluable findings from AD-214 clinical study and separate radiolabelled AD-214 preclinical studies map a pathway to conducting next clinical trials in patients with a preferred inhaled formulation

==> picture [46 x 46] intentionally omitted <==

Intravenous (iv) AD-214 successfully completes Phase I multidose cohort at 5 mg/kg, received HREC approval to progress to 10 mg/kg

Preclinical development of radiolabelled AD-214 complete; informs dosing, supports early transition to direct lung delivery Totality of results to date provide clear pathway to future development of AD-214 for IPF via inhalation: more targeted, convenient and cost effective Timelines to efficacy data in IPF patients largely unchanged; imaging to continue to inform dosing and distribution Current Phase I program to conclude having achieved key objectives; releases cash and drug substance for inhaled delivery studies

INVESTOR PRESENTATION – JULY 2021

13

==> picture [63 x 15] intentionally omitted <==

Benefits of inhalation

Delivery of AD-214 by inhalation has potential to improve bioavailability, be more convenient for patients, be more cost effective, and improve partnering flexibility

==> picture [146 x 282] intentionally omitted <==

  • AD-214 delivered direct to fibrotic areas

  • • First pass liver clearance avoided

  • Improved bioavailability • Dosing schedule flexibility to optimise receptor coverage

  • • Self administration (no scheduled clinic

  • Greater patient convenience visits; freedom of movement) • Less invasive • Lower drug dose means lower cost of goods

  • Enhanced cost effectiveness • Lower healthcare costs for administration

  • • Potential to partner AD-214 by indication using different routes of

  • Diversified partnering options administration - broadens potential long term options

INVESTOR PRESENTATION – JULY 2021

14

==> picture [63 x 15] intentionally omitted <==

Inhalation in IPF

Numerous drugs have been formulated for inhalation in IPF and respiratory disease, a substantial number of biologics are in development for inhalation and off-the-shelf devices are available for rapid translation from intravenous route

Inhalation used regularly in IPF and other respiratory diseases

Substantial number of biologics in development for inhalation*

Off-the-shelf devices for nebulization of liquid formulations

  • 4 inhaled IPF therapeutics in development (Phase III) (Phase IIb)

  • 2 marketed inhaled biologics

  • 19 clinical stage inhaled biologics including

==> picture [44 x 24] intentionally omitted <==

  • (Phase I/II) (Pre-clinical, biologic)

  • IPF patients routinely inhale salbutamol and steroids for symptom relief

  • Inhaled therapeutics also marketed for asthma, COPD, cystic fibrosis

  • Several fragment antibodies

  • 1 single domain antibody (nanobody)

  • Majority sized between 15-80 kDa (AD-214 73 kDa, single i-bodies 15 kDa)

  • Majority via solution for inhalation

  • Smart mesh nebulisers assist compliance, accuracy, drug efficiency

  • Low shear forces designed for biologics

  • Liquid formulations: potential to utilize AD214 intravenous formulation with minimal modification

==> picture [87 x 87] intentionally omitted <==

==> picture [77 x 77] intentionally omitted <==

  • W Liang et al , Pulmonary delivery of biological drugs, Pharmaceuticals 2020, 12, 1025

INVESTOR PRESENTATION – JULY 2021

15

==> picture [63 x 15] intentionally omitted <==

Key points: AdAlta to progress inhaled version of AD-214 into efficacy studies for IPF

Invaluable findings from AD-214 clinical study and separate radiolabelled AD-214 preclinical studies map a pathway to conducting next clinical trials in patients with a preferred inhaled formulation

==> picture [80 x 154] intentionally omitted <==

Intravenous (iv) AD-214 successfully completes Phase I multidose cohort at 5 mg/kg, received HREC approval to progress to 10 mg/kg

Preclinical development of radiolabelled AD-214 complete; informs dosing, supports early transition to direct lung delivery

Totality of results to date provide clear pathway to future development of AD-214 for IPF via inhalation: more targeted, convenient and cost effective

==> picture [46 x 46] intentionally omitted <==

Timelines to efficacy data in IPF patients largely unchanged; imaging to continue to inform dosing and distribution Current Phase I program to conclude having achieved key objectives; releases cash and drug substance for inhaled delivery studies

INVESTOR PRESENTATION – JULY 2021

16

==> picture [63 x 15] intentionally omitted <==

Pathway to clinical studies in patients

Timeline to clinical efficacy in IPF patients largely unchanged; imaging remains a key development tool

==> picture [669 x 331] intentionally omitted <==

----- Start of picture text -----

Key data readouts
FY22 FY23 FY24
INHALATION PROGRAM
Optimise iv formulation for nebulization/inhalation
Pre-clinical efficacy, dose optimization (bleomycin animal model)
Pre-clinical distribution, PK, imaging (large animal healthy and disease model)
Inhaled toxicology (single, multiple, extended dose)
Clinical: healthy volunteer bridging safety
Clinical: patient Phase Ib/IIa
CLINICAL RESUPPLY (SECURED)
Manufacturing (clinical resupply)
CURRENT INTRAVENOUS PROGRAM Clinical: patient Phase IIa/b
Intravenous toxicology (extended dose)
Optimize intravenous formulation
Clinical: patient Phase Ib /PET imaging
Clinical: healthy volunteer Phase I multidose
----- End of picture text -----

INVESTOR PRESENTATION – JULY 2021

17

==> picture [63 x 15] intentionally omitted <==

Key milestones

Numerous new milestones to demonstrate progress, pre-clinical imaging more comprehensive that patient imaging and key for dosimetry, AD-214 partnering window now most likely to open in FY23

==> picture [668 x 319] intentionally omitted <==

----- Start of picture text -----

Key data readouts
FY22 FY23 FY24
INHALATION PROGRAM
Optimise iv formulation for nebulization/inhalation
Pre-clinical efficacy, dose optimization (bleomycin animal model)
Pre-clinical distribution, PK, imaging (large animal healthy and disease model)
Inhaled toxicology (single, multiple, extended dose)
Clinical: healthy volunteer bridging safety
Clinical: patient Phase Ib/IIa
CLINICAL RESUPPLY (SECURED)
Manufacturing (clinical resupply)
Distribution
Pre-clinical imaging results: Multi-dose Bridging Patient
efficacy correlated with toxicology safety, PK imaging
efficacy
Likely next AD-214 partnering window
----- End of picture text -----

INVESTOR PRESENTATION – JULY 2021

4

==> picture [63 x 15] intentionally omitted <==

Idiopathic Pulmonary Fibrosis (IPF)

AD-214 remains a first in class opportunity in a $3b market for a degenerative, fatal disease in dire need of improved treatment options

In IPF, scarring and stiffening 3.8 years of the lungs progressively and median survival after diagnosis irreversibly reduces lung function

>300,000

Despite being poorly tolerated and having difficult side effects, the two current therapies sell $3b per year

people living with IPF, It is irreversible

40,000 people die from IPF every year

Burden of fibrotic lung disease following COVID-19 likely to be high.* “Long COVID” is a developing issue – potentially further increasing the need for better anti-fibrotic drugs.

  • PM George, et al, “Pulmonary fibrosis and COVID-19: the potential role for antifibrotic therapy”, Lancet published online May 15, 2020.

INVESTOR PRESENTATION – JULY 2021

19

==> picture [63 x 15] intentionally omitted <==

Key points: AdAlta to progress inhaled version of AD-214 into efficacy studies for IPF

Invaluable findings from AD-214 clinical study and separate radiolabelled AD-214 preclinical studies map a pathway to conducting next clinical trials in patients with a preferred inhaled formulation

==> picture [80 x 262] intentionally omitted <==

Intravenous (iv) AD-214 successfully completes Phase I multidose cohort at 5 mg/kg, received HREC approval to progress to 10 mg/kg

Preclinical development of radiolabelled AD-214 complete; informs dosing, supports early transition to direct lung delivery Totality of results to date provide clear pathway to future development of AD-214 for IPF via inhalation: more targeted, convenient and cost effective Timelines to efficacy data in IPF patients largely unchanged; imaging to continue to inform dosing and distribution

Current Phase I program to conclude having achieved key objectives; releases cash and drug substance for inhaled delivery studies

INVESTOR PRESENTATION – JULY 2021

20

==> picture [63 x 15] intentionally omitted <==

Milestones for remainder of FY2022

Milestones extended through end of FY2022

AD-214 Other Assets
H1 2021 üOrphan Drug Designation for AD-214 in IPF
üResults of Phase I single dose studies in healthy volunteers
üPhase I multi-dose studies in healthy volunteers commence
ü_PET tracer pre-clinical development results_
üProgressing the GE Healthcare collaboration from discovery to pre-
clinical development
H2 2021 ü_Top line results of multi-dose studies in healthy volunteers_
• Additional indications pre-clinical data
• Entering a second collaboration agreement
• Commencing development of two new i-body enabled internal
pipeline assets
H1 2022 • Initial efficacy of inhaled AD-214 in IPF animal model
• First inhalation PET images to visualise distribution of AD-
214 in the lungs of healthy and fibrotic disease model
animals
• New i-body 2.0 IP filed
• GE Healthcare preclinical update

INVESTOR PRESENTATION – JULY 2021

21

==> picture [63 x 15] intentionally omitted <==

An expanding pipeline of i-body enabled products

==> picture [669 x 346] intentionally omitted <==

----- Start of picture text -----

|||||||
|---|---|---|---|---|---|
|IND|
|PRODUCT/|PRECLINICAL,|
|TARGET|PARTNER|DISCOVERY|ENABLING|PHASE I|PHASE II|
|INDICATION|PRODUCT|
|STUDIES|
|DEV|
|CXCR4|AD-214:|Idiopathic|Inhaled|
|Pulmonary Fibrosis|Intravenous|
|AD-214: Indication 2|
|AD-214: Indication 3|
|Target 2|Not disclosed|
|Target 3|Not disclosed|
|Target 4|TBC|
|Target 5|TBC|
|GZMB|PET imaging I/O|
|TBC|Partner #2|
|TBC|Partner #3|
|TBC|Partner #4|
|Mid 2021|End 2021 End 2023 (aim)|

----- End of picture text -----

INVESTOR PRESENTATION – JULY 2021

22

==> picture [63 x 15] intentionally omitted <==

Corporate snapshot

Key financial details (16 Jul 2021)

Key financial details (16 Jul 2021)
ASX code 1AD
Market capitalisation A$33.1m
Share price (12 month range)
12 month return
Ordinary Shares (daily volume)
Unlisted Options
A$0.135 ($0.091 - 0.265)
43%
245,179,578 (603,321)
7,514,067
Cash(31 Mar 2021) A$6.05m

Major shareholders (16 Jul 2021) %

Major shareholders (16 Jul 2021) %
Yuuwa Capital LP 22.0
Platinum Asset Management 11.6
Meurs Holdings Pty Ltd 7.3
Radiata Super Pty Ltd 3.1
Sacavic Pty Ltd 1.8
Other (1,537 total holders)
Total
54.2
100%

Analyst Coverage

Edison Pitt Street Research Securities Vault BioShares

Share price performance (last 12 months)

==> picture [316 x 322] intentionally omitted <==

----- Start of picture text -----

0.25 7.0
6.0
0.20
5.0
0.15
4.0
3.0
0.10
2.0
0.05
1.0
0.00 0.0
16-Jul-20 16-Sep-20 16-Nov-20 16-Jan-21 16-Mar-21 16-May-21
Price Volume
Quarterly cash flows (A$ million)
Net inflows Net outflows Cash at end of quarter
12
10
8
6
4
2
0
(2)
(4)
(6)
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3
FY19 FY19 FY19 FY19 FY20 FY20 FY20 FY20 FY21 FY21 FY21
Volume (m)
Share price (A$)
Cash (A$ milion)
----- End of picture text -----*

INVESTOR PRESENTATION – JULY 2021

23

==> picture [63 x 15] intentionally omitted <==

Investment proposition

==> picture [42 x 51] intentionally omitted <==

Platform to create value

Patented, validated i-body platform for asset creation: designed for “difficult” targets

==> picture [51 x 51] intentionally omitted <==

Clear vision for growth

Build on existing clinical and commercial validation of platform to add internal programs, expand collaborations

==> picture [56 x 55] intentionally omitted <==

Lead asset has multiple indications

AD-214: first-in-class asset for multiple fibrotic indications and cancer Phase I – clear path to Phase II

$3b market potential in first indication

==> picture [76 x 55] intentionally omitted <==

Leading expertise

Experienced drug development team in place

GZMB asset: GEHC partnership

Solving the challenge of identifying I/O drug responders Preclinical

PET imaging agent market worth US$6.4b

Several near-term growth catalysts

AdAlta substantially undervalued relative to peers, with near term and mid-term value drivers.

Contact:

Tim Oldham, CEO and Managing Director [email protected] www.adalta.com.au

==> picture [344 x 450] intentionally omitted <==

INVESTOR PRESENTATION – JULY 2021

25

==> picture [63 x 15] intentionally omitted <==

AD-214 Phase I healthy volunteer study: safety findings

Single doses to 20 mg/kg (42 participants)

Multiple doses 5 mg/kg (8 participants)

  • No dose limiting adverse events

  • No serious adverse events

  • No concerning clinical laboratory results

  • Dose escalation steps completed without concern

  • Adverse events (AEs) were non-concerning

  • Predominantly mild

  • Three Grade 2 (moderate) AEs

  • No dose limiting adverse events

  • Safety Management Committee and Human Research Ethics Committee approved progression to 10 mg/kg

  • No serious adverse events

  • No concerning clinical laboratory results

  • Adverse events (AEs) profile supports safety of AD-214 molecule

  • Predominantly mild

  • Three Grade 2 (moderate) treatment related AEs

  • Infusion related reactions (IRRs) reported in three participants – resolved rapidly when infusion ended

  • IRRs linked to formulation

  • Observed in participants receiving both AD-214 (2) and placebo (1)

  • Trended to increasing intensity and frequency with subsequent doses

  • Not associated with changes in vital signs, clinical, physical or cytokines

  • Protocol amended to include standard antihistamine and corticosteroid treatment options

INVESTOR PRESENTATION – JULY 2021

26

==> picture [63 x 15] intentionally omitted <==

AD-214 Phase I healthy volunteer study: immune response findings

Single doses to 20 mg/kg (42 participants)

Multiple doses 5 mg/kg (8 participants)

  • Isolated instances of minor cytokine elevation

  • Transient and primarily low level of elevation of IL-6 and IL-8 in some participants (including placebos)

  • No clinically significant cytokine release

  • Antidrug antibodies: detected in 11 participants

    • Predominantly low titre
    • Characterisation pending
  • No clinical symptoms related to immune response observed

  • Sporadic and primarily low level elevation of cytokines IL-6 and IL-8, sporadic increases in TNF-a and IFN-g

  • No clear association with IRRs or antidrug antibodies

  • Low level increases in IL-6 in many participants 24-48h post infusion

  • No clinically significant cytokine response and no link to IRRs or ADAs

  • Antidrug antibodies: detected in three participants after second dose

  • All low titre

  • One also reported IRR (association unlikely)

  • Characterisation pending

  • Third dose data pending