Corporate Presentation May 2015 NASDAQ: CAPR Transformative Therapies from Bench to Bedside Forward Looking Statements This presentation contains forward-looking statements and information that are based on the beliefs of the management of Capricor Therapeutics, Inc. (Capricor) as well as assumptions made by and information currently available to Capricor. All statements other than statements of historical fact included in this presentation are forward-looking statements, including but not limited to statements identified by the words “anticipates,” “believes,” “estimates,” and “expects” and similar expressions. Such forward-looking statements also include any expectation of or dates for commencement of clinical trials, IND filings, similar plans or projections and other matters that do not relate strictly to historical facts. These statements reflect Capricor’s current views with respect to future events, based on what we believe are reasonable assumptions; however, the statements are subject to a number of risks, uncertainties and assumptions. There are a number of important factors that could cause actual results or events to differ materially from those indicated by such forward-looking statements. More information about these and other risks that may impact our business are set forth in our Annual Report on Form 10-K for the year ended December 31, 2014, as filed with the Securities and Exchange Commission on March 16, 2015, in our Registration Statement on Form S-1, as filed with the Securities and Exchange Commission on March 6, 2015 and in our Form 10-Q for the quarter ended March 31, 2015, as filed with the Securities and Exchange Commission on May 13, 2015. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those in the forward-looking statements. Further, Capricor’s management does not intend to update these forward-looking statements and information after the date of this presentation. 2 Capricor Therapeutics Overview Clinical-stage biotechnology company with a diversified pipeline focusing on cardiovascular diseases including orphan indications Cardiacderived stem cells (CDCs) Peptide therapy for heart failure (Cenderitide) Micro-RNA Platform (Exosomes) 3 Capricor Therapeutics Pipeline Products Indication Preclinical Phase I/II Phase II Phase III Cell Therapy Post Myocardial Infarction CDCs (CAP-1002) Advanced Heart Failure (Class III and ambulatory Class IV) Duchenne Muscular Dystrophy Natriuretic Peptides Cenderitide Advanced Heart Failure CU-NP Cardiovascular (Class III and ambulatory Class IV) Micro-RNA Technology Exosomes Cardiovascular and Non-Cardio 4 Capricor: Key Metrics Select Data (approximate) Cash As of 3.31.15 $24.5M (Includes restricted cash and marketable securities) Publicly traded: NASDAQ CAPR 52 week range $3.05-$10.68 Shares outstanding 16.2M Fully diluted shares outstanding 23M Cash through ~Q3 2016 Non-dilutive capital funding to date $39.5M Exclusive Licenses Johns Hopkins University, Cedars-Sinai Medical Center, Mayo Foundation for Medical Education and Research and The University of Rome Headquarters Los Angeles, CA Employees 32 5 Development of Ischemic Heart Failure Heart Failure (hours~days) (days~weeks) (weeks~months) Infarct expansion Thinning Chronic LV dilation Konstam et al., JACC, 2011 6 CELL THERAPY TECHNOLOGY Lead Product: CDCs (CAP-1002) Cardiac Tissue Features Explants Explant-derived cells (EDCs) Cardiospheres (CSps) Cardiosphere-derived cells (CDCs) Cardiosphere-Derived Cells (CDCs) Cell Type Human cardiac derived stem cell Characteristics Panel of cellular markers and secreted factors Clinical Trials CADUCEUS – completed autologous Phase I (n=25), showed regeneration in CDC-treated postMI patients (sponsored by CSMC) ALLSTAR – completed Phase I (n=14), now in Phase II with allogeneic CDCs in post-MI patients DYNAMIC – ongoing study of allogeneic CDCs in heart failure patients MOA Largely paracrine: Prevent cardiomyocyte apoptosis (programmed cell death) Promote cardiomyocyte proliferation and angiogenesis (cell growth and blood vessel formation) Attract endogenous stem cells Anti-fibrotic (anti-scarring) 8 CADUCEUS - Positive First-in-Man Data Published in Lancet, 2012 Autologous CDCs - 25M cells Patients with reduced ejection fraction following MI Sponsored by Cedars-Sinai with Johns Hopkins Intracoronary delivery 25 patients 17 CDCs 8 Controls 9 CDC Therapy Reduced Scar Size & Increased Healthy Heart Muscle in the CADUCEUS study Makkar et al, Lancet, 2012. CDC patients had a significant reduction in infarct size. We hypothesize improvement in clinical outcomes. 10 Effect of Infarct (Scar) Size on Events 11 Wu, E. et al. Heart 94, 730-736 (2008). CDCs: Clinical Development 1 year after MI) NYHA Class III or ambulatory Class IV heart failure Duchenne muscular dystrophy-related cardiomyopathy 14 patient trial IND Post myocardial infarction (30 days – Phase II Collaboration with Janssen Biotech (J&J), funded in part by CIRM Funded in part by the NIH Orphan designation granted Enrolling Data anticipated: ~Q4 2016-Q1 2017 Enrollment complete Data anticipated: ~Q4 2015 Targeting trial initiation: Status Indication HOPE Clinical Trial Clinical DYNAMIC Clinical Trial Development ALLSTAR Clinical Trial submitted 2H 2015 12 ALLSTAR Phase I – 12 month MRI Analysis ALLSTAR Phase I Met safety endpoint (1 month) No control group Preliminary 12 month MRI analysis on Phase II equivalent population (defined by tissue type compatibility) Ejection fraction improved by 5.2% Relative reduction in scar size of 20.7% Measurements of viable mass and regional function also showed quantifiable improvements 13 DYNAMIC Clinical Trial Dilated cardiomYopathy iNtervention with Allogeneic MyocardIallyregenerative Cells Study Overview Patient criteria Ischemic or non-ischemic DCM with LVEF ≤ 35% NYHA Class III or ambulatory Class IV heart failure Delivery: Non-occlusive intracoronary infusion in 3 vessels Trial Design Feasibility Study - open-label (N=14, single center) Enrollment complete Top-line data expected Q4 2015 14 Duchenne Muscular Dystrophy Duchenne Muscular Dystrophy Prevalence: 1 in 3,500 male births worldwide ~20,000 male children affected in the US (~275,000 worldwide) DMD is usually fatal; a majority of deaths occur due to cardiomyopathy Compelling preclinical data presented at AHA in November 2014 IND submitted 1H 2015 HOPE clinical trial planned for 2H 2015 Intent to complement other dystrophin-correcting therapies for skeletal muscle Orphan disease – presents potential billion dollar market opportunity Reference: McNeil et. al, Muscle & Nerve, 2010 16 Rationale for CDCs Use in DMD CDCs Anti-oxidative Anti-inflammatory Anti-apoptotic Anti-remodeling Regenerative DMD pathophysiology Oxidative/Nitrosative stress Inflammation Apoptosis Remodeling CDC administration may be beneficial in DMD cardiomyopathy Tested in mdx mouse model 17 mdx Mouse Model of Duchenne Muscular Dystrophy Mimics the target indication, DMD Aged to the point at which cardiac dysfunction becomes evident: ≥10 months old 18 Reference: Cedars-Sinai Heart Institute Global Cardiac Function is Improved in mdx Mice Single Dose Repeat Dosing Mdx+CDC Mdx+Vehicle 80 CTL(WT) 70 70 65 60 60 *** * 55 * 50 Baseline Wk3 M2 M3 EF(%) EF(%) 75 Mdx+CDC 1st injection *** 2nd * injection Mdx+Vehicle * 50 * * Wk3 M2 40 30 Baseline Wk3 M2 M3 M3 *** * p<0.001 p<0.05 n=12 Mdx+CDC, Mdx+vehicle n=5 CTL(WT) Presented at AHA - November 2014, Chicago, IL Reference: Cedars-Sinai Heart Institute Presented at ISEV - April 2015, Washington DC 19 Distance(m) CDCs Increased Maximal Exercise Capacity 820 760 700 640 580 520 460 400 340 280 220 160 100 CTL Mdx+CDC Mdx+Vehicle n = 6-11 ** ** ** ** wk3 wk4 wk5 wk6 Presented at AHA - November 2014, Chicago, IL Reference: Cedars-Sinai Heart Institute 20 Duchenne Cardiomyopathy and CDCs Injection of CDCs into mdx hearts Improves global function Decreases fibrosis Improves exercise capacity Exerts potent anti-oxidant effects Reverses abnormalities in mitochondrial abundance, structure and function Increases cardiomyocyte proliferation and activation/recruitment of endogenous repair Presented at AHA - November 2014, Chicago, IL Reference: Cedars-Sinai Heart Institute 21 Capricor’s CDCs Are Unique Capricor’s CDCs are the only allogeneic, intracoronary delivered, cardiac-derived stem cells CDCs 22 Natriuretic Peptide Technology Cenderitide: A Unique Protein Drug Developed by scientists at the Mayo Clinic and derived from the venom of the green mamba snake D G S M L K F C G K S G NH2 G L G L S CD-NP L Cenderitide: Cardiac unloading Renal function preserved Aldosterone suppressing Anti-fibrotic, apoptotic, and hypertrophic I R -S-S- C G P S L R D P R P N 270 patients with acute decompensated heart failure have been treated A P S T S 24 A Continuous Subcutaneous Infusion Using the Insulet Omnipod Technology ® Current pump delivery systems are robust, simple, and well tolerated In use by more than 300,000 patients worldwide Pump use is simple for all types of patients, not just diabetics Continuous delivery is ideal for worry-free dosing throughout the day and night Fill the Pod Apply the Pod Press Start Sample shown: Omnipod® 25 Cenderitide’s Development The Opportunity R I D G S M L S K G L L G F C G K S L G C G P S L R D P R P N A P S + T S A 1st Phase II clinical trial complete 26 Cenderitide for Outpatient and Ambulatory Heart Failure Target Indication Prevention of re-hospitalization in patients with a recent acute heart failure admission as well as other potential indications Phase II Trial enrollment complete 14 patients treated Patients with stable chronic heart failure Trial assessing the safety and tolerability, pharmacokinetics profiles, and pharmacodynamic response to increasing dose levels of Cenderitide Early results suggest tolerability and physiologic effect Will announce further plans in late 2015, early 2016 27 Exosomes: Micro-RNA Platform Technology Exosomes: Micro-RNA Platform Technology Nanometer-sized lipid-bilayer vesicles Rich in miRNAs Present in virtually all body fluids Released by nearly all cell types Potential for broad therapeutic applicability 29 CDCs Release Bioactive Exosomes that Recapitulate their Therapeutic Effects in Cardiac Injury 50 Control 45 CDC-XO * ** EF (%) Skin-XO 40 35 CDC-Exosomes 30 Skin-Exosomes CTRL 25 1 15 30 Days post MI Ibrahim et al., Stem Cell Reports, 2014 30 CDC Exosomes: Isolation Methods and Phenotype CDCs (lines 155 or 220) or inert NHDFs (dermal fibroblasts) Exosome Isolation Collect Conditioned Media BATCH ANALYS BATCH ANALYSIS REPORT 220 Nanoparticle Tracking Analysis (NTA) Version 2.3 Build 0034 Nanoparticle Tracking Analysis (NTA) Version 2.3 Build 0034 Nanoparticle Tracking Analysis (NTA) Version 2.3 Build 0034 200 300 400 500 600 700 0 800 100 900 200 1000 300 4000 5.84 inert 500100 600200 700300 Size (nm) Size (nm) CD105 (~80kDa) 3.48 100 200 300 400 500 100 Averaged Size / Concentration Red error bars indicate +/- 1 standard error of the mean 3.48 Concentration (E6 particles/ml) 3.77 220 155 Concentration (E6 particles/ml) 0 100 200 300 400 500 HSP70 (~70kDa) Particle # (108)/mL CD63 (~53kDa) CD9 (~28kDa) CD81 (~26kDa) 4.99 Concentration (E6 particles/ml) 4.99 3.06 Concentration (E6 particles/ml) Nanosight 3.56 CDC Exososomal Marker Markers Precipitate by ExoQuick (in vivo studies) Isolate by ultracentrifugation (in vitro studies in iPS cells) Concentration (E6 particles/ml) 155 ____ ____ ____ ____ ____ 800400 0 900500 100 1000 200 600 Size (nm) Averaged Size / Concentration Size / Concentration Red error bars indicate +/- 1 standard error of the mean 155_10x Media_07231401 155_10x Media_07231402 155_10x Media_07231403 155_10x Media_07231404 155_10x Media_07231405 100 200 300 400 500 Culture in SF Media (15 days) 300 700 0400 800 100 500 900 200 600 1000 300 700 400 800 500 900 600 100 Size (nm) Size (nm) Averaged Size / Concentration Size / Concentration Red error bars indicate +/- 1 standard error of the mean Particle Size (nm) Operator: Operator: GEA Sample: CDCs CD63 20ulSample: Included files: 155_10x Media_07231401 Included files: GEA RESULTS: Operator: BATCH AVERAGE CDCs CD63 20ul Sample: 220_10x Media_07231401 Size Distribution: Mean: 165 +/9.7 nm Included files: 155_10x Media_07231402 220_10x Media_07231402 Mode: 121 +/- 3.4 nm 155_10x Media_07231403 220_10x Media_07231403 SD: 75 +/- 15.8 nm 155_10x Media_07231404 Date/Time of Report 155_10x Media_07231405 Date/Time of Report 23/07/2014 12:07:08 Dispersant/Diluent: PBS Dispersant/Diluent: Concentration: 1:100 PBS Concentration: BATCH AVERAGE RESULTS: GEA CDCs CD63 20ul Size Distribution: HT_10x d15Mean: 168 +/- 5.1 nm Med_07241401 31 134 +/- 4.4 nm HT_10x d15Mode: Med_07241402 69 +/- 3.7 nm HT_10x d15SD: Med_07241403 Presented at ISEV - April 2015, Washington DC 220_10x Media_07231404 D10: 90 +/- 2.9 nm 220_10x Media_07231405 D50: 146 +/- 2.2 nm 23/07/2014 12:23:39 D90: 265 +/- 31.9 nm Date/Time of Report 96 +/- 2.2 nm HT_10x d15D10: Med_07241404 153 +/- 4.0 nm HT_10x d15D50: Med_07241405 255 +/- 9.8 nm 24/07/2014 D90: 09:45:49 Total Concentration: 26.61 +/- 0.95 particles/fram PBS Reference: Cedars-Sinai Heart Institute PBS Total Concentration: 1:100 PBS 19.27 +/- 0.41 particles/frame Dispersant/Diluent: 4.07Concentration: +/- 0.08 E8 particles/ml Total Completed Tracks: 3851 1:100 PBS 5.72 +/- 0.21 E8 particles/m Total Completed Tracks: 5272 Average Drift Velocity: 1030 nm/s Advantages for Exosomes for Tissue Repair Novel delivery vehicle reproducing the beneficial effects of living cells Natural capacity to protect their bioactive cargo Potential for simple manufacturing protocols Reduced immunogenicity 32 EL Andaloussi et. Al. Nat Rev Drug Discov. 2013 May;12(5):347–57. Exosomes as a Potential New Therapeutic Product Description Released by nearly all cell types and body fluids, these are nanometer sized lipid-bilayer vesicles rich in miRNAs Product Function Promotes similar paracrine effects of CDCs; prevent apoptosis, proliferation, angiogenesis, anti-fibrotic Product Development Ongoing pre-clinical work, developing manufacturing and pre-commercial scale up Clinical Status Targeting IND in 2016 33 2015 Targeted Milestones 1H 2015 Complete DYNAMIC trial enrollment – completed Complete Cenderitide Phase II enrollment – completed Receive Orphan Designation for DMD – completed Submit IND for DMD-associated cardiomyopathy – completed 2H 2015 Initiate HOPE-DUCHENNE trial Report initial DYNAMIC results Report initial Cenderitide results Announce development program for natriuretic peptides Announce 1st indication for exosomes 34 Senior Management & Board of Directors Senior Management Chief Executive Officer Linda Marbán, Ph.D. (Founder) Scientific Advisory Board Chairman Dr. Eduardo Marbán (Founder, JHU, Cedars-Sinai) VP of Research and Development Rachel Smith, Ph.D. (Johns Hopkins) EVP & General Counsel Karen Krasney, J.D. (Biosensors) VP of Medical Affairs Andrew Hamer, M.D. (Chairman – New Zealand Cardiac Network) VP of Clinical Operations Shane Smith (Nektar, Genentech) Board of Directors Executive Chairman Frank Litvack, M.D. (ConorMed) Linda Marbán, Ph.D. Dave Musket (ProMed Partners) Earl M. (Duke) Collier, Jr. (Genzyme) George W. Dunbar, Jr. (Aastrom) Joshua Kazam (Kite, Two-River) Gregory Schafer (Aduro, Onyx) Louis Manzo (Investor) Louis J. Grasmick (Investor) 35
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