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Can-Fite BioPharma Ltd.

Regulatory Filings Sep 7, 2023

6713_rns_2023-09-07_3169db1c-7b64-44b0-8ad9-92bfec7844fd.pdf

Regulatory Filings

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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549

FORM 6-K

Report of Foreign Private Issuer Pursuant to Rule 13a-16 or 15d-16 Under the Securities Exchange Act of 1934

For the Month of September 2023

001-36203 (Commission File Number)

CAN-FITE BIOPHARMA LTD. (Exact name of Registrant as specified in its charter)

10 Bareket Street Kiryat Matalon, P.O. Box 7537 Petach-Tikva 4951778, Israel (Address of principal executive offices)

Indicate by check mark whether the registrant files or will file annual reports under cover Form 20-F or Form 40-F.

Form 20-F ☒ Form 40-F ☐

Can-Fite BioPharma Ltd. has posted to its website an updated corporate presentation. A copy of the presentation is furnished with this Report of Foreign Private Issuer on Form 6-K as Exhibit 99.1 and is incorporated herein by reference.

Exhibit Index

Exhibit No. Description
99.1 Corporate Presentation

1

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

Date: September 7, 2023 By: /s/ Motti Farbstein

Motti Farbstein Chief Executive Officer and Chief Financial Officer

Forward Looking Statement

This presentation contains forward-looking statements, about Can-Fite's expectations regarding, among other things, its product development efforts, business, financial condition, results of operations, strategies or prospects. All statements in this communication, other than those relating to historical facts, are "forward looking statements can be identified by the use of forwardlooking words such as "believe," "intend," "plan" "may" "should" or "anticipate" or their negatives or other variations of these words or other comparable words or by the fact that these statements do not relate strictly to historical or current matters. Forvard-looking statements relate to anticipated or expected events, activities, trends or results as of the date forward-looking statements relate to matters that have not yet occurred, these statements are inherently subject to known and unknown risks, uncertainties and other factors that may cause Can-Fite's actual results, performance or achievelly different from any future results, performance or achievements expressed or implied by the forward-looking statements. Important factors that rould results, performance or achievements to differ materially from those anticipated in these forward-looking statements include, among other things, our history of losses and needs for additional capital to fund our operations and our inability to obtail on acceptable terms, or at all; uncertainties of cash flows and inability to meet working captal needs; the initiation, timily of our predinical studies, clinical trials and other product candidate development efforts; our ability to advance our product candidates into clinical trials or cledinical studies or clinical trials; our receipt of regulatory approvals for our the timing of other regulatory filings and approvals; the clinical development, commercialization and market acceptance of our product candidates; our ability to establish and maintain strategic partnerships and other corporate collaborations; the implementation of our business model and strategic plans for our business and product candidates; the scope of protection we are able to establish and maintain for intellectual property rights covering our product candidates and our ability to operate our business without infringing the intellectual property rights of others; companies, technologies and our industry; risks related to the COVD-19 pandemic and the Russion of Ukraine; risks related to not satisfying the continued listing requirements of NYSE American; and statements as to the political and security situation in Israel on our business. More information on these risks, uncertainties and other factors is included from time 'Rsk Factors' section of Can-Fite's Annual Report on Form 20-F filed with the SEC on March 30, 2023 and other public reports filed with the SEC and in its periodic filings with the TASE. Existing and prospective investors are cautoned not to place undue reliance on these forward-boking statements, which speak only as of the undertakes no obligation to publicy update or review any forward-looking statement, whether as a result of new information, future developments or otherwise, except as may be required by any applicable securities laws.

Unique Platform Technology

Specific oral therapy aimed at diseased cells

Therapeutic Target

• Global leader in discovering and developing drugs that target the A3 adenosine receptor (A3AR)

Pipeline Drugs

  • Small molecule, orally bioavailable drugs
  • Bind only to pathological cells, not normal cells

Proven Therapeutic Effect

· High efficacy and good safety ptofile with antiinflammatory and anti-cancer effects shown in Phase 2 and Phase 3 studies

Excellent Safety Profile

· Demonstrated in >1600 patients across clinical trials

nyse: canf

Corporate Partnerships: Current Out-Licensing Deals

ewo pharman Eastern Europe* Psoriasis, Liver Cancer, SLD
Gebro Pharma Spain, Switzerland, Austria Psoriasis \$20M received in upfront and milestone
payments
China, Taiwan, Hong Kong, Macao Psoriasis, Liver Cancer, SLD \$130M potential based on regulatory
Chong Kun Dang
Pharm
South Korea Liver Cancer, SLD and sales milestones
South Korea Psoriasis Typical Deal Structure
· Up-front money upon signing a distribution deal
ciphe Canada Psoriasis · Royalties (double-digits) · Regulatory milestone payments
· Sales milestone payments
VETBIOLIX Global Piclidenoson - Pets' Osteoarthritis
*Estonia, Lithuania, Latvia, Bosnia, Croatia, Cech Republic, Hungary, Moldavia, North Mocedonia, Poland, Rovenia, Slovenia, Slovenia, Slovenia

Piclidenoson Drug Candidate

Chemical Properties

  • · Nucleoside derivative
  • Highly Selective A3AR Agonist
  • Molecular weight 510.29
  • Water insoluble
  • Half lifetime in blood 8-9 hours

Piclidenoson Moderate to Severe Psoriasis

7

Piclidenoson for the Treatment of Plaque Psoriasis

Rationale for Development

  • · Overexpression of the A3AR target in Keratinocytes of psoriasis patients
  • · Robust anti-inflammatory effect manifested by specific apoptosis of inflammatory cells
  • · Piclidenoson inhibits IL-17 & IL-23 production in keratinocytes
  • · Piclidenoson had significant anti-psoriatic effects and promising safety profile in a Phase 3 trial in patients with moderate-to-severe plaque psoriasis.

Lowe Syndrome Rare Genetic Disease

An agreement for co-development has been signed with the Italian Theleton Fund

  • · Lowe Syndrome Known as oculo-cerebro- renal syndrome (OCRL), an X-linked genetic condition occurring in males
  • · Piclidenoson Correct this genetic syndrome in preclinical studies (3rd party findings)
  • · Prevalence Approximately 1 in 500,000
  • · Rare genetic disease Drug can be potentially registered based on its success in a limited number of patients

CANFITE (10)

Psoriasis Pivotal Phase III

Regulatory Status

EComfort II

  • · FDA and EMA agreed on the psoriasis registration Plan
  • · Pivotal Phase III looking at Piclidenoson Vs. Placebo
  • · Primary endpoint PASI 75 & PGA 2
  • · Adolescents will be included

CANFITE (11)

Namodenoson for the Treatment of Advanced Liver Cancer

Rationale for Development

  • · A3AR is over-expressed in human hepatocellular carcinoma (HCC) cells.
  • · Namodenoson induces de-regulation of the Wnt and NF-kB signalling pathways resulting in apoptosis of HCC cells.
  • · In Phase II study in patients with advanced HCC, Namodenoson was safe and well tolerated. Evidence of antitumor activity was observed.

HCC Phase II Study — Recent Data

Presented at the AASLD 2022 & ASCO-Breakthrough 2023 Meeting

Complete Response in a Namodenoson Treated Patient

  • · Patient was enrolled in Phase II liver cancer study
  • Continued treatment with Namodenoson for >6 years under Open Label Extension Program in Europe
  • · Patient had Complete Response: Completely cleared all cancer lesions
  • Over the course of 5 years, clinical benefits included:
    • · Disappearance of ascites
    • Return to normal liver function
    • Disappearance of peritoneal carcinomatosis

Advanced Liver Cancer Pivotal Phase 3

Orphan Drug Designation with FDA & EMA

Fast Track Designation with FDA

Enrollment - ongoing

LIVERATION

  • · FDA and EMA agreed on Pivotal Phase 3 study protocol
  • · Interim analysis to be conducted by Independent Data Monitoring Committee (IDMC) after 50% of planned 450 patients are enrolled and treated
  • · Namodenoson evaluated as a 2nd- or 3rd-line treatment for advanced liver cancer patients in whom other approved therapies have not been or are no longer effective
  • · Primary endpoint overall survival
  • · Orphan Drug Status granted by FDA and EMA
  • · Fast Track Status granted by FDA
  • · Compassionate Use Program currently treating liver cancer patients in Israel and Romania

Namodenoson for the Treatment of Pancreatic Cancer

Rationale for Development

  • · Namodenoson induces 90% growth inhibition of pancreatic cancer cells
  • · The molecular mechanism of action includes de-regulation of the Wnt and the Ras signaling pathways
  • · In vivo studies showed robust inhibition of pancreatic tumor size

Pancreatic Cancer

Exploratory Phase II Study

Second line therapy

  • · Open label
  • · Oral dose of Namodenoson: 25 mg twice daily
  • · Primary End point: safety
  • · Secondary Endpoints: objective response, progression-free survival, duration of response, disease control (defined as an objective response or stable disease), overall survival

Namodenoson for the Treatment of Steatotic (Fatty) Liver Disease (SLD; previously NASH)

Rationale for Development

  • Induction of anti inflammatory effect manifested by reduction of NAFLD Activity Score (NAS)
  • · Anti-fibrotic effect
  • · Anti-steatotic effect: significant decrease in steatosis, ballooning and lobular inflammation
  • · A decrease in ALT & AST and triglyceride levels
  • Liver protective effect: protects the . liver against Ischemia/Reperfusion injury

(18)

SLD

Designed to Address Severe Unmet Need; No FDA-Approved Treatment

Currently Enrolling Patients for a Phase IIb Study

Phase IIa Study Successfully Concluded:

  • · Reduced liver fat content (LFC)
  • · Anti-Inflammatory effect
  • · Dose selection for Phase 2b determined
  • · Decrease in body weight
  • · Excellent safety profile

Phase IIb Study

  • · Multicenter, randomized, double-blind, placebo-controlled study in 140 subjects with biopsy-confirmed SLD
  • · Subjects are randomly assigned in a 2:1 ratio to oral doses of Namodenoson 25 mg every 12 hours or a matching placebo for 36 weeks
  • · Regular evaluation for safety and efficacy biomarkers baseline measurements at weeks 6, 12, 24, and 36
  • · Primary efficacy endpoint will be determined by liver biopsy at week 36

CF602 Erectile Dysfunction (ED)

Rationale:

Anecdotal reports from patients treated with Can-Fite's drugs, both women and men, testifying that the drugs reversed their sexual dysfunction

Chemical Formula:

Properties:

  • · A3AR allosteric modulator
  • · Molecular weight 411.34
  • Water insoluble
  • · Orally bioavailable

Activity:

  • Significant full recovery from erectile dysfunction in a diabetic rat model
  • · Topically & Systemic
  • · Dose-dependent, linear effect
  • · Response after single dose of CF602

Mechanism of Action

  • · Up-regulation of eNOS and VEGF
  • · Improves vasodilation and smooth muscle relaxation

Cannabinoids

Rationale:

Cannabinoids are known to bind to A3 adenosine receptor (A3AR) and mediate clinical effects

Assay to Identify Clinically Active Cannabinoids

Can-Fite developed a biological assay that identifies clinically active cannabinoids based on the binding to A3AR

Pre-clinical Data in Liver Cancer and Fibrosis

Based on this assay, Can-Fite has demonstrated how CBD-rich T3/C15 binds to A3AR to inhibit the growth of hepatocellular carcinoma and liver stellate via de-regulation of the Wnt/ß-catenin pathway

Intellectual Property

Can-Fite filed a patent protecting the discovery of cannabinoid-based treatment of diseases where A3AR is overexpressed including liver cancer, other cancers, autoimmune inflammatory and metabolic diseases

Closing Highlights

Oral drugs with proven safety and efficacy in Phase 2 & 3 - Piciidenoson and
Namodenoson are Phase 3 assets in psoriasis and liver cancer; Namodenoson showed strong efficacy in a Phase 2
SLD study and is headed into an exploratory Phase 2a study in pancreatic cancer
Monetizing advanced portfolio through corporate partnerships -
Picidenoson and Namodenoson have been out-licensed in select territories with ~\$20 million received to date and
potentially up an additional \$130 million plus royalties
Novel therapeutic approach - Unique technology for the treatment of cancer, liver and
inflammatory diseases; addressing multi-billion dollar markets
Intellectual property portfolio - Consists of 15 patent families issued and pending to protect
the different indications
Financially well positioned - To conduct all clinical development programs and G&A for > 1 year

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