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November 2020 Enhancing Lives with Trappsol ® Cyclo™ for NPC and Neurodegenerative Diseases Non-Confidential Presentation
Transcript
Page 1: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

November 2020

Enhancing Lives with Trappsol® Cyclo™ for NPC and

Neurodegenerative Diseases

Non-Confidential Presentation

Page 2: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Some of the information in this presentation relates to future events or future business and financial performance. Such statements constitute forward-looking

information within the meaning of the Private Securities Litigation Act of 1995. Such statements can be only predictions and the actual events or results may

differ from those discussed due to, among other things, the risks described in the public filings and other publications of Cyclo Therapeutics, Inc. Forward-

looking statements are identified by words such as “anticipates”, “projects”, “expects”, “plans”, “intends”, “believes”, “estimates”, “target”, and other similar

expressions that indicate trends and future events.

The market data and certain other statistical information used throughout this presentation are based on independent industry publications, governmental

publications, reports by market research firms or other independent sources. Some data are also based on the Company’s good faith estimates. In addition,

this presentation includes summaries of scientific activities and outcomes that have been condensed to aid the reader in gaining general understanding.

The information about Cyclo Therapeutics, Inc. and its subsidiaries is solely for information purposes and is not to be construed as an offer to sell or the

solicitation of an offer to buy any security in any state.

Factors that could cause the Company’s results to differ materially from those expressed in forward looking statements include, without limitation, the

Company’s need for additional capital; the Company’s reliance on its Trappsol® Cyclo™ product, which may never receive regulatory approval; the

Company’s ability to commercialize any of its proposed drug products if it receives regulatory approval; the outcome of the Company’s clinical trials, which

may not support the Company’s product claims or may result in adverse side effects; the cost and timing of the Company’s clinical trials; the Company’s

reliance on third parties to conduct clinical trials and to produce its products; and other risks associated with being a clinical stage biotechnology company.

This presentation is not to be copied, transmitted, displayed, distributed (for compensation or otherwise), or altered in any way without the prior written

consent of Cyclo Therapeutics, Inc.

2

Safe Harbor Statement

Page 3: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Innovative and Strong

1

2

4

3

5

7

6

8

P3 Ready Lead Asset with Potential to Address

Diseases Beyond Niemann Pick Type C

Orphan Drug Market Exclusivity & IP

Regulatory Accomplishments & Future

Milestones

Successful P1/2 Controlled Clinical Data

Addressable Market Penetrable by Modestly

Sized Salesforce

Priority Review Voucher Opportunity

Multiple Paths to Value Creation

Seasoned Leadership & Advisory Team

Highlights

3

Page 4: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Company Overview & History

4

1990 2006 2009 2015 2017 2019 2020+

Founded as a cyclodextrin-

distribution company

headquartered out of Gainesville, FL

Cyclo Therapeutics

transformed into a

company with its

primary focus on

drug development

Dr. Benny Liu shows that one version of cyclodextrins,

hydroxypropyl beta cyclodextrins, can release

cholesterol from cells in animal models of Niemann-Pick

Disease Type C (NPC)

Company began providing cyclodextrins to

NPC families for use in compassionate

programs in the US, Brazil and other countries

Used data from

compassionate

programs in NPC to

launch the first

clinical trials for the

NPC1 indication

First patients

enrolled and

dosed in Phase

I and Phase I/II

trials

Announces positive

Phase I top-line

results and interim

analysis of Phase I/II

Phase III readyNote: Reference slide 14 for

Phase III Design and

Regulatory Strategy

2000

(1) As of 07/22/2020

$26,500,000 invested since 2014

2014

Page 5: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

1. First Patient In (FPI) for Phase III

(Study 301)

2. Top Line results for completed

Phase I/II (Study 201)

3. Commercial Scale Manufacturing

Batch runs

4. Pre-IND Meeting Request for AD

program

Milestones

5

May

2020

August

2020

October

2020

1Q

2021

Positive Phase I (Study

101) Trial Top Line Results

and Phase I/II (Study 201)

Trial Interim Analysis

EMA/PDCO Summary Report

on Paediatric Investigation

Plan for Phase III (Study 301)

Final Report on 18-month Expanded

Access Program in Alzheimer's Disease

June

2020

Submission of 60-month

expiration date at controlled

room temperature and 96-hour

In-Use stability completed

September

2020

1. Reported positive efficacy data on an additional 3 patients

who completed the 48-week Phase I/II (Study 201)

2. Final Clinical Study Report (CSR) on Phase I (Study 101)

submitted to FDA

Confirmation from FDA that

Phase III (Study 301) Global

Pivotal Trial can begin

enrollment

December

2020

Page 6: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Led and Supported by Highly Experienced Team

Management Team

Jeffrey L. Tate, PhDCOO, CQO, Director

Sharon H. Hrynkow, PhDChief Scientific Officer &

SVP Medical Affairs

N. Scott FineCEO & Director

Joshua M. FineChief Financial Officer

Michael LisjakChief Regulatory Officer &

SVP for Business Development

6

• Identified several companies through career that have grown in revenue

and valuations, including Green Mountain Coffee Roasters, now Keurig.

• Served as Chairman of the Global Virus Network, a leading global think

tank sponsoring global health programs with some of the world’s leading

Virologists.

• 35+ years in regulated manufacturing, CMC and quality for

biopharmaceutical products

• 20+ years in biopharmaceutical start-up companies

• Neuroscientist with more than 25 years' experience in global health

arena, public and private sectors.

• Senior executive at NIH.

• First president of non-profit Global Virus Network.

• Member of President's Council of Advisors on Science and Technology.

• 5 years at Cyclo Therapeutics leading clinical and scientific programs.

20+ years of regulatory expertise in drug development for multiple

therapeutic areas including rare disease

o Director level global roles within Sanofi, Pfizer and Accenture

Ensured optimal global/regional Health Authority interactions

Regulatory strategy for 15+ business development opportunities

Broad expertise in healthcare finance, operations and banking.

o Completed partnerships with Roche, Sanofi, and the Cystic

Fibrosis Foundation

History of creating shareholder value.

o Recently part of Senior management team at Icagen, Inc. which

successfully ran M&A process ending in a transaction with Ligand.

Page 7: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

NPC Market Overview

Existing NPC Cases Number of live births Incidence New Cases / YearAnnual IV Orphan

Drug Price (Avg.)

Total Addressable

Market

3,000(1) 137,000,000 1/100,000(2) 1,370 $404,737(3) ~$550 million

(1) Extrapolation from BMC Neurol. Dec 15,15(1):257) and other assumptions

(2) Wassif, C et al. Genet Med. 2016 January ; 18 (1):41-48

(3) LifeSci Capital., “Analysis of Orphan Drug Market”. Feb 4, 2016

Niemann-Pick Disease Type C represent a significant market opportunity

Diagnosis capacity is improving – numbers of patients

seeking treatment will increase

Only current treatment option is Miglustat in the EU only,

which does not provide any systemic benefit

Adult forms of NPC increasingly diagnosedNPC is characterized by progressive worsening of symptoms, resulting in

patients seeking solutions for marginal quality of life improvements

7

Limited human & financial resources required in order to achieve market

penetration

Distribution Channel already in place through Cyclo’s expanded access

program

Deep relationships on the part of scientific advisory board pave way for pivotal trial enrollment and eventual commercialization upon approval

Page 8: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

NPC Treatment Differentiating Factors

Company Product / Route: Descriptor Potential Indication

Trappsol® Cyclo™

(Intravenous every 2 weeks, Home infusions)

Met all primary endpoints of the Phase I and

Phase I/II interim analysis showing favorable

safety and efficacy. Phase III ready asset, first

patient in planned 1Q ‘21.

Systemic and Neurological

Zavesca*

(Oral 3 times daily)

EU and other international countries approved.

Off-label in US, not reimbursed.Neurological

Arimoclomol (Oral 3 times daily)

Projected US approval March ’21. EU

submission H2 ’20. Phase II/III data met

primary endpoints in two-sub-groups, but was

not statistically significant overall, co-primary

failed.

Neurological

IB1001 (Oral 3 times daily)

Estimated study report Phase I by

Q4’20. Phase II, 1-year study, initiated

Neurological

* Only approved Treatment (non-US)

8

Page 9: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Stimulates the release of cholesterol from cells resulting in encouraging efficacy for all dose groups as well as pharmacodynamic effects in cholesterol homeostasis across all dose groups

Recent data show the drug engages with its targets and crosses the blood-brain-barrier as well as enters the Central Nervous System and spinal fluid

Granted Orphan Drug Designation (ODD) by FDA and EMA

Rare Pediatric Disease Designation (US) and Fast Track Designation (US)

Trappsol® Cyclo™

Profile

Potential platform technology for other neurodegenerative diseases, including Alzheimer’s Disease

Patent Application for treatment of Alzheimer's Disease, if granted, could provide patent protection until 2039

Trade secrets around the formulation and manufacturing of the drug product

Market exclusivity for NPC is 7 years in US and 10 to 12 years in EU

Cyclodextrin

Portfolio & IP

Target Product Profile differentiates against competition to treat the systemic and neurologic manifestations of NPC

Favorable safety profile in all clinical trials and all dose groups to date.

6 of 7 patients that completed the PII study improved by at least 1 point in 2 domains of the 17-domain NPC Severity Scale(1), meeting the first efficacy outcome measure

Individual patients report feeling more energetic, more focused, and families report greater participation of the patients in social situations

Differentiated

product

candidate with

potential market

approval in 2023

Commercial

3,000 estimated NPC cases worldwide(2)

We estimate a $550mm+ annual addressable market based on average annual IV orphan drug price

Company has shown manufacturing scalability for commercial use

9

(1) With no drug interventions, patients would be expected to worsen by 1.5 points

(2) Extrapolation from BMC Neurol. Dec 15,15(1):257) and other assumptions

Trappsol® Cyclo™ Profile Creates Significant

Opportunity

Page 10: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Modifying natural chemistry to restore human physiology.

Niemann-Pick Disease Type C (NPC) is a rare genetic disease. A defect in

the NPC1 protein causes cholesterol to accumulate in cells of major

organs, including liver and spleen, and in the brain. This in turn leads to

cell and tissue dysfunction and disease.

Trappsol® Cyclo™, our proprietary formulation of hydroxypropyl beta

cyclodextrin, has an affinity for cholesterol.

Significant body of in vitro work showing beta cyclodextrins remove cholesterol

from NPC cells.

Animal studies suggest that hydroxypropyl beta cyclodextrin can function like

the NPC1 protein, allowing cholesterol to be moved normally through cells

Cyclo Therapeutics’ clinical trials show that Trappsol ® Cyclo™ releases

cholesterol from cells and normalizes cholesterol metabolism, essentially

confirming data from in vitro and animal studies.`

Figure is courtesy of David Begley, Kings College

This schematic represents the affinity of

Cyclodextrins (cylinder) and cholesterol (red)

Trappsol® Cyclo™ Mechanism of Action in NPC

10

CyclodextrinCholesterol

Page 11: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Efficacy Outcome Measure 1: At least a one-point reduction (or improvement) in two or more of the 17-Domain NPC Clinical Severity Scale (NPC

CSS) measures

─ 6 of 7 patients met this endpoint (86% of those who completed)

─ Improvements seen in Swallow, Ambulation, Ability to Manage Seizures, Saccadic Eye Movements, Fine Motor Skills, Cognition. Individual

patient profiles differed, i.e. patients improved differently

Patients not receiving any intervention beyond Standard of Care would be expected to worsen in total score by 1.5 points over one year

Efficacy Outcome Measure 2: Change from baseline in Global Impression of Disease severity at 48 weeks

─ Using the Clinician’s Global Impression of Improvement scale, 5 of 7 patients who completed the trial improved, the other 2 patients stabilized.

5 of 7 improved in at least one of these features: walking, speaking, swallowing, fine motor and cognition. These 5 features are determined by NPC patients and their caregivers to be the most important for quality of life. A composite in Improvement in these five features is the primary outcome measure for the global pivotal trial

11

Tool developed by NIH to measure clinical signs and symptoms in:

9 major domains – ambulation, cognition, eye movement, fine motor, hearing, memory, seizures, speech, swallowing

─ Major domains are scored 0 - 5, with 0 as no disability

8 minor domains – auditory brainstem response, behavior, gelastic cataplexy, hyperreflexia, incontinence, narcolepsy, psychiatric, respiratory problems

─ Minor domains add points for severity of condition up to 2 additional points per domain

(1) Yanjanin, N et al. , AM J Med Genet B Neuropyshiatr Genet 2010, 153B: 132-140.

Phase I/II Interim Analysis Demonstrates Positive Efficacy

Outcomes

NPC Severity Scale(1)

Page 12: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Phase I/II data available to support moving to Global Phase III Pivotal Trial

NPC Phase I/II Interim Data - Summary

12

As a group, first seven patients to complete the Phase II trial meet

both efficacy outcome measures for the study

48 week trial, 24 doses

Individual patients showed improvements in all dose groups

Demonstrated a highly favorable safety profile

Trappsol® Cyclo™ crosses the blood brain barrier

Successive administration of Trappsol® Cyclo™ decreases Tau

levels, suggesting neuroprotective benefit

Improves neurological features of disease, including ataxia, and

quality of life for patients

2000 mg/kg dose selected for Phase III study

Page 13: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Completed Health Authority Meetings

Feb 2020 – F2F Type C Meeting was held with the Food and Drug Administration

May 2020 – Scientific Advice was received from the European Medicines Agency

Key outcomes from agencies included:

• Agreed with overall study design and no need for additional dose ranging studies (2,000 mg/kg selected)

• Agreed with strategy for selection of endpoints (primary, secondary and exploratory)

• Agreed with Statistical Analysis Plan design, inclusive of multiple interim analyses

• The Committee for Orphan Medicinal Products agreed that the currently proposed clinical development is

sufficient to demonstrate significant benefit

First Patient In

(FPI)

48 wk Interim

Analysis (IA)

File MAAs to

FDA and EMA

on 48wk CSR

US and EU

Approvals from

48 wk Interim

Analysis

Phase III Design and Regulatory Strategy

96 wk Study

Completion

File MAAs to

FDA and EMA

on 96 wk CSR

US and EU

Approvals from

96 wk Interim

Analysis

Ongoing Health Authority Discussions

Type C Written Response Only – Received confirmation

from FDA in October 2020 that Phase III (Study 301)

can begin enrollment

Pediatric Investigational Plan submitted 2Q 2020; Day

60 Feedback received 3Q 2020

Next Steps For Second Half of 2020

Finalize PIP Requirements, 4Q 2020

Clinical Trial Applications, 4Q 2020

13

Oct 2020 Jan 2021 Jun2021 Dec 2022Jun 2022 Jun 2023Mar 2023 Dec 2023 Mar 2024 Dec 2024

IND and CTA

Submissions

Last Patient in

(LPI)

Final Clinical

Study Report

Page 14: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Phase I results support moving directly into Phase III study

NPC Phase I Data - Summary

14

7 dose, 14-week trial with Phase I data confirmed a favorable safety profile,

consistent with our 10+ years of compassionate use data

Liver biopsies and biochemical data on cholesterol homeostasis show that

Trappsol® Cyclo™ removes trapped cholesterol from cells and impacts

cholesterol homeostasis

Tau decreased after seven doses in a majority of patients, suggesting that IV

administration of Trappsol® Cyclo™ is preventing neurodegeneration in NPC

patients

Efficacy signals from Trappsol® Cyclo™ include neurological improvements,

higher energy, and greater focus exhibited by the patient

All eligible patients wanted to continue on the drug in the extension protocol,

suggesting that they perceive benefit. In US, those on Extension protocol

receive drug through Home Infusions.

Page 15: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Trappsol® Cyclo™ Removes Cholesterol from Liver Cells

Baseline 14 Weeks

Cholesterol as measured by Filipin staining at

baseline and after 7 doses over 14 weeks

The lack of light blue represents the clearing

of cholesterol from cells15

Patient Reduction in Filipin Staining

1500 mg/kg

(6 patients)

2500 mg/kg

(4 patients)

1500 mg/kg(Mild)

2500 mg/kg

(Marked)

2500 mg/kg

(Marked)

Minimal

Mild

Moderate

Marked

In NPC patients, cholesterol accumulates abnormally in cells: this can be visualized

directly in liver cells through liver biopsies and a special stain for cholesterol

Cyclodextrin can function like the NPC1 protein, allowing cholesterol to be moved

normally through cells

Both 1500 mg/kg and 2500 mg/kg dose demonstrated that Trappsol® Cyclo™ clears

cholesterol from peripheral organs

Management believes this is evidence of a pathway to treat the systemic and

neurologic manifestations of the disease

.

Page 16: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Trappsol® Cyclo™ Reduces Tau, a Brain Protein

Associated with Neurodegeneration

16

Baseline Week 12

Visit

0

1000

2000

3000

Bio

mark

ers

of

NP

C in

CS

FSubjid=001-13

Subjid=001-12

Subjid=001-11

Subjid=001-10

Subjid=001-09

Subjid=001-08

Subjid=001-07

Subjid=001-06

Subjid=001-05

Subjid=001-04

Subjid=001-03

Subjid=001-02

Subjid=001-01

Tau (ng/L)

Biomarkers of NPC in CSF Following the 7th Dose by Subject and Time

In the majority of patients with high Tau levels, the

reduction is significant after seven doses

Tau is a protein found in cerebrospinal fluid (CSF)

that is elevated in neurodegenerative diseases

like Alzheimer's Disease, Parkinson’s, and NPC

Data from our ongoing studies demonstrated a

reduction in Tau levels.

Phase I Data (chart)

Tau levels as measured in the CSF are shown

here for 10 NPC patients who had lumbar

punctures prior to treatment with Trappsol®

Cyclo™ and after seven doses over a 14-week

period in the Phase I study

6 of 10 patients showed a reduction in Tau levels,

two remained stable, and two increased

Phase I/II Data (not shown)

Data from 3 patients in the Phase II study show

similar pattern at 24 weeks and 48 weeks.

Page 17: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Compassionate Use / Expanded Access with Intravenous

Trappsol® Cyclo™ Forms Foundation of Clinical Trials

Given no therapies for NPC, expanded access program began in 2009 with US and Brazilian patients being the first to use Trappsol®

Cyclo™ intravenously, later intrathecal added in some cases

─ Physicians in Europe later joined the program

─ Some patients now nearing the 10 year mark

Gathered safety and efficacy data from 20 NPC patients in 2014 – 2015 and used these data to launch formal clinical trials for

Trappsol® Cyclo™

Favorable safety profile allowed physicians to continue to use the drug for many years; individual patients benefited by reduction in liver

size; restoration of language skills; resolution of interstitial lung disease; improvement in fine and gross motor skills,

improvement in quality of life

Based on these findings, Cyclo Therapeutics published in October 2019 a set of case studies on expanded access use of HPβCDs to

treat NPC children and young adults

─ No safety issues, drug was well-tolerated, easy to administer

─ Moderately affected NPC patients treated with HPβCD showed slowing of disease progression

─ “Neurologic and neurocognitive benefits were seen in most patients with IV alone, independent of the addition of IT administration,”

Report found here(1)

17

(1) Hastings C, Vieira C, Liu B, et al. Expanded access with intravenous hydroxypropyl-β-cyclodextrin to treat children and young

adults with Niemann-Pick disease type C1: a case report analysis. Orphanet J Rare Dis. 2019;14(1):228. Published 2019 Oct 21.

Page 18: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Cognitive decline

Tau is a protein found in cerebrospinal fluid (CSF) that is elevated in neurodegenerative diseases like Alzheimer's Disease, Parkinson’s, and NPC

Data from our ongoing studies demonstrated a reduction in Tau levels (slide 17)

Cellular cholesterol increases the association of an enzyme, secretase, with the precursor protein to amyloid beta (APP), leading to increased levels of

amyloid beta

18

Background of Alzheimer’s Disease Program

Reference: J. Yao, et al. Neuroprotection by cyclodextrin in cell and mouse models of Alzheimer disease. J. Exp. Med. 2012, V. 209 (13): 2501-2513

NPC and Alzheimer’s Disease Share Common Features

Individual IND authorized by FDA to use Trappsol® Cyclo™ in late-onset Alzheimer’s patient, first geriatric patient

─ Intravenous Dosing of Alzheimer’s patient on a monthly basis began in 2018

PI is award-winning, highly recognized Alzheimer’s expert, Diana Kerwin, MD

Program costs funded 100% by external organization with Cyclo providing clinical materials, validation methodologies for biomarker analyses, and expert input on protocol design

FDA accepted annual report in 2019 which described favorable safety profile, stabilization of disease and improvements in behavior

After 18 months the patient voluntarily withdrew, not for safety reasons

Alzheimer’s Disease Compassionate Use Program

Page 19: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Treating Physician:

─ “The patient has shown cognitive and neurologic stability in serial

examinations during this study that indicates possible benefit as there would

be an expected measurable cognitive and functional decline over a 18-month

period in persons with Alzheimer’s disease dementia”

Family:

─ “Family reports short term memory loss without significant decline from

baseline during the 18-month study period”

Trappsol® Cyclo™ for Alzheimer’s Disease

Positive Results with Alzheimer Patient

Cell and Animal studies using HPβCDs for Alzheimer’s in Dr. Flint

Beal’s lab (Cornell) show(2):

HPβCDs added to cells that over-express the precursor protein

APP lowers amyloid beta

HPβCDs given subcutaneously to a mouse that over-expresses

APP:

─ Reduces amyloid beta by reducing cleavage of APP;

─ Improves memory as shown in a standard water maze test;

─ Reduces microgliosis;

─ Up-regulates proteins (e.g. NPC1) involved in cholesterol

transport and amyloid beta clearance

Compassionate use in a single late-onset Alzheimer’s

patient: After 18 months of monthly intravenous infusions, the

patient’s disease did not progress as measured with standard

cognitive tools. The patient and family reported less volatility

and greater word-finding ability. The safety profile was

favorable

Reduction of Amyloid Beta and Tau(1)

19

Alzheimer’s Mini-Mental State Evaluation Performance(3)

(1) Evidence of Trappsol® Cyclo™’s decreasing Tau levels has been shown in the Phase I and II trials

(2) Yao, J et al. J Exp Med 2012 (209): 2501-2513

(3) Patients with late-onset Alzheimer’s disease can be expected to decline 2 points in the MMSE per year

Baseline

20

22

24

26

28

30

32

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14

MMSE

Month

Cyclo Patient Expected decline in patient with late onset Alzheimer's Disease Cognitively Normal = 30

Page 20: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Alzheimer’s Disease Clinical Outlook

20

Worldwide Clinical Trials selected to lead development and execution of our AD program

Clinical Plan

Protocol Synopsis in draft

─ Includes a dosing paradigm similar to the Compassionate Use program

─ Proposed strategy is to present a Phase II dose selection study

Pre-IND meeting request with FDA, first half 2021

Alzheimer’s Proposed Clinical Plan Highlights of Alzheimer’s Clinical Trial

Page 21: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Led and Supported by Highly Experienced Team

Board of Directors

Markus W. SiegerChairman

President & CEO of Polpharma Group

Independent Director

C.E. “Rick” StrattanFounder, Former Director of Marketing &

Business Development of Pharmatec

Independent Director

N. Scott FineCEO & Executive Director

Jeffrey L. Tate, PhDCOO, CQO & Executive Director

F. Patrick OstronicVice Chairman

Officer of US Pharmacia International &

CFO of The USP Group

Independent Director

William S. ShanahanFormer President & COO of Colgate-

Palmolive

Independent Director

Randall M. Toig, M.D.Associate Professor at Northwestern

University, Northwestern Memorial Hospital

OBGYN Surgeon & Serial Entrepreneur

Independent Director

21

Page 22: OTCQB: CycloH€¦ · 18(1):41-48***LifeSciCapital.,“AnalysisofOrphanDrugMarket”.Feb4,2016, 9 • Addressable market approaching $500mm • Diagnostic capacity is improving –numbers

Executive Summary

Cyclo Therapeutics is a clinical stage biotechnology company developing a cyclodextrin platform for the

treatment of Neurodegenerative Diseases

Excellent Recent Clinical Results from Phase I and Phase I/II Trials

Highly favorable safety profile in all trials and all dose groups

22

Lead candidate, Trappsol®

Cyclo™ is Phase III ready asset for NPC

Pipeline expansion in neurodegenerative diseases (Alzheimer's Disease)

Trappsol® Cyclo™ positioned to become the best-in-class, first line treatment for NPC

Releases cholesterol from cells, resulting in clinical improvements in NPC patients

Met all safety and efficacy endpoints in the PI (completed) and PII (ongoing, Interim data)

Granted Orphan Drug Designation (FDA and EMA) and Rare Pediatric Disease Designation (US) and Fast-Track Designation (US)

Trappsol® Cyclo™ improves quality of life for patients suffering from NPC

6 out of 7 patients who completed the 48-week Phase I/II trial met 1st efficacy outcome criterion

Crosses the blood-brain-barrier and reduces Tau, a biomarker for central nervous system neurodegeneration

Compound could have a preventative effect in overall symptom development1

Differentiated against competition to treat the systemic and neurologic manifestations of NPC

Late onset Alzheimer's disease progression was stabilized in Compassionate use program

1EMA/PDCO Summary Report 002839-PIP01-20

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Appendix

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Scientific Advisory Board

24

Scientific Advisory Board

Benny Liu, MDBoard Member

Rita Colwell, PhDCo-Chair

Caroline Hastings, MDBoard Member

Sharon H. Hrynkow, PhDCo-Chair

M. Flint Beal, MDBoard Member

• Internationally recognized scientist, microbiologist and founder of

CosmosID, a privately held bioinformatics firm.

• Distinguished University Professor at U. Maryland and Johns Hopkins

University. Former Director, National Science Foundation (1998 -

2006).

• National Medal of Science awardee. Member, US National Academy of

Sciences.

• Pediatric hematologist oncologist, Director of NeuroOncology, and

Professor of Pediatrics, UCSF Benioff Children's Hospital Oakland.

• First physician in US to use cyclodextrins for treatment in NPC,

compassionate use.

• Advisor to US and Australian NPC Advocacy organizations and to

physicians globally on NPC.

• Gastroenterologist at Alameda Healthy System, CA and Highland

Hospital. Globally recognized expert in lipid metabolism.

• First to discover that cyclodextrins release cholesterol from cells using

an animal model.

• Assistant Clinical Professor, UCSF.

• Internationally recognized authority on neurodegenerative

diseases. University Professor, Weill Cornell Medical College.

• Leads a highly productive research laboratory focused on Alzheimer's

Disease, Huntington's Disease, and ALS and published seminal

manuscript on use of cyclodextrins to improve memory in an animal

model of Alzheimer's Disease.

• Member, National Academy of Medicine.

• Neuroscientist with more than 25 years' experience in global health

arena, public and private sectors.

• Senior executive at NIH.

• First president of non-profit Global Virus Network.

• Member of President's Council of Advisors on Science and Technology.

• 5 years at Cyclo Therapeutics leading clinical and scientific programs.

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Cyclo Therapeutics, Inc.6714 NW 16th Street, Suite BGainesville, FL 32653www.cyclotherapeutics.com


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