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NASDAQ: CAPR
Transformative Therapies from Bench to Bedside
www.capricor.com
Investor Presentation
May 2016
2
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
Capricor's business are set forth in Capricor's Annual Report on Form 10-K for the year ended
December 31, 2015, as filed with the Securities and Exchange Commission on March 30, 2016,
and in its Registration Statement on Form S-3, as filed with the Securities and Exchange
Commission on September 28, 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.
Forward-Looking Statements
3
Capricor – Investment Highlights
– Innovative platform technologies in regenerative medicine
Therapeutic assets include cell therapy, exosomes, natriuretic peptides
– Clinical-stage programs in heart failure, Duchenne muscular dystrophy
Proof-of-concept demonstrated by several clinical studies
Orphan drug designation for DMD
– Data expected from key clinical trials within 12 months
– Exclusive license option with Janssen Biotech
– ~$30 million in non-dilutive financial support to date
– Cash runway through early 2017 data readouts
4
Capricor’s Platforms & Therapeutic Pipeline
Cardiosphere-Derived Cells
Exosomes Platform
Natriuretic Peptide
CAP-1002, CAP-2003, and Cenderitide are investigational drug products and are not approved for any indications.
6
CDCs – a Regenerative Medicine Platform
Cardiosphere-derived
cells (CDCs)Cardiospheres
(CSps)
Explant-derived
cells (EDCs)ExplantsCardiac Tissue
– Therapeutic potential of CDCs to address cardiovascular conditions supported by
a large body of preclinical data and results from several clinical trials
– CDCs function as a local drug delivery system:
Prevent cardiomyocyte programmed cell death
Promote cell growth and new blood vessel formation
Exert anti-scarring activity
Attract endogenous stem cells (paracrine mode of action)
– Proprietary manufacturing process:
7
CADUCEUS Study Provides Clinical Proof-of-Concept
– Patients with reduced ejection fraction (EF) following myocardial infarction (MI)
– N=25 (17 active, 8 control)
– One-time intracoronary delivery of CAP-1001 = autologous CDCs (25 million cells)
– Sponsored by Cedars-Sinai Medical Center, with Johns Hopkins University
Lancet, 2012, 21(6): 1121-1135.
In CADUCEUS, treatment with CDCs following a heart attack:
• reduced the amount of scar in the heart
• increased the amount of healthy heart muscle
8
CDC Therapy with CAP-1001 Reduced Scar Size
and Increased Healthy Heart Muscle
Scar size shown to be predictive of clinical outcome after heart attack
Burns et al, JACC 2002;39:30-6; Klem et al, JACC 2012;60:408-20; Wu et al, Heart 2008;94:730-6.
Makkar et al, Lancet 2012;379:895-904.
9
Infarct (Scar) Size Significantly Impacts Survival
Wu et al, Heart 2008;94:730-6.
Kaplan-Meier curve for MACE
death
MI
heart failure admission
following acute ST-segment elevation MI,
divided by an 18.5% infarct size
10
– Therapeutic regeneration
– Reversibility of “irreversible” injury
– Curative approach vs. stabilization and palliation
CADUCEUS Provides In-Human Evidence for Several
Groundbreaking Therapeutic Concepts
11
ALLSTAR
DYNAMIC
HOPE-Duchenne
Population
Allogeneic cells from donor hearts – would provide for “off-the-shelf” product
Post-MI Cardiac
Dysfunction
Advanced
Heart Failure
DMD-Associated
Cardiomyopathy
Status
Expect to report Phase I / II data
in Q1 2017
Phase I – data reported
Phase II – six-month data
expected in Q1 2017
Six-month data reported
Expect to report 12-month data
in Q3 2016
CAP-1002 is Next-Generation CDCs
12
– Collaborating with Janssen on CAP-1002 manufacturing development
– $12.5 million upfront payment received in early 2014
– Janssen has exclusive option to enter into exclusive license agreement
for worldwide rights to CAP-1002 for certain cardiovascular indications
– Option is exercisable until 60 days following delivery of the six-month
data from the ALLSTAR trial
– If exercised, Janssen to fund all future development costs and
Capricor eligible to receive:
License fee and additional milestone payments totaling up to $325 million
Double-digit royalties on product sales
Agreement with Janssen Biotech, Inc. on CAP-1002
13
ALLSTAR
Janssen collaboration
CIRM loan award
Phase I / II
Six-month Phase II data
expected in Q1 2017
Evaluate safety & efficacy
in post-MI setting
CAP-1002 Clinical Development Program
DYNAMIC
NIH-SBIR grant – $3 M
Phase I / II
Six-month data: 2015 AHA
Expect to report 12-month
data in Q3 2016
Evaluate safety & POC
in advanced HF
HOPE-Duchenne
Orphan Designation
CIRM grant – $3.4 M
Phase I / II
Expect to report top-line
data in Q1 2017
Evaluate safety & POC
in DMD-cardiomyopathy
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– No immunological safety events
– Advancement to Phase II approved by DSMB
Pre-Specified Safety Endpoint
Observed (N=14)
Month 1 Month 12
Acute myocarditis possibly attributable to CAP-1002 0 (0%) 0 (0%)
Death due to ventricular tachycardia / fibrillation 0 (0%) 0 (0%)
Sudden death 0 (0%) 0 (0%)
Major Adverse Cardiac Event (MACE) 0 (0%) 0 (0%)
ALLSTAR Phase I Safety Results
15
ALLSTAR Phase I Results:
Showed Improvement in Scar Size
* by groups t-test # by paired t-test
– Results shown are from the “Phase II Equivalent” populationReceived high dose CAP-1002
Prospectively matched (lacked DSAs at screening)
DSA = donor-specific antibody
p < 0.05 #p < 0.05 *
n=8 n=8 n=7
Infa
rct
Siz
e
Infa
rct
Siz
e
16
ALLSTAR
Janssen collaboration
CIRM loan award
Phase I / II
Six-month Phase II data
expected in Q1 2017
Evaluate safety & efficacy
in post-MI setting
CAP-1002 Clinical Development Program
DYNAMIC
NIH-SBIR grant – $3 M
Phase I / II
Six-month data: 2015 AHA
Expect to report 12-month
data in Q3 2016
Evaluate safety & POC
in advanced HF
HOPE-Duchenne
Orphan Designation
CIRM grant – $3.4 M
Phase I / II
Expect to report top-line
data in Q1 2017
Evaluate safety & POC
in DMD-cardiomyopathy
17
– Multi-vessel intracoronary infusion of allogeneic CDCs
(up to 75 million cells) appeared to be safe and feasible
in the DYNAMIC study
– Advancement of trial was approved by DSMB
Pre-Specified Safety Endpoint Observed (N=14)
TIMI Flow Score 0-2 0 (0%)
Acute myocarditis within one month 0 (0%)
Ventricular tachycardia / fibrillation within 72 hours 0 (0%)
Sudden unexpected death within 72 hours 0 (0%)
Major Adverse Cardiac Event (MACE) within one month 0 (0%)
DYNAMIC Six-Month Safety Results
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Presented at the American Heart Association
Annual Meeting, November 2015
NYHA Class Physical Activity
I No limitation
II Slight limitation
III Marked limitation
Of the 12 evaluable Class III patients at six months,
11 (92%) improved by at least one NYHA class
Overall Cardiac Status Improved in DYNAMIC
N=14; two subjects lost to follow-up.
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6 Minute Walk Test
& VO2 Max
Quality of Life
less is better
Other Clinical Improvements Observed in DYNAMIC
N=14; two subjects lost to follow-up; AHA Annual Meeting, November 2015.
20
Left Ventricular Dynamics & Dimensions
less is better
DYNAMIC demonstrated an efficacy signal with concordant improvements
in functional status, quality-of-life, and left ventricular function and size
Standard Heart Parameters Improved in DYNAMIC
N=14; two subjects lost to follow-up; measurements assessed by
echocardiography; AHA Annual Meeting, November 2015.
21
ALLSTAR
Janssen collaboration
CIRM loan award
Phase I / II
Six-month Phase II data
expected in Q1 2017
Evaluate safety & efficacy
in post-MI setting
CAP-1002 Clinical Development Program
DYNAMIC
NIH-SBIR grant – $3 M
Phase I / II
Six-month data: 2015 AHA
Expect to report 12-month
data in Q3 2016
Evaluate safety & POC
in advanced HF
HOPE-Duchenne
Orphan Designation
CIRM grant – $3.4 M
Phase I / II
Expect to report top-line
data in Q1 2017
Evaluate safety & POC
in DMD-cardiomyopathy
22
– Duchenne muscular dystrophy is an X-linked genetic disorder of muscle
Affects one in ~3,500 newborn boys around the world
Estimated 30,000 boys afflicted with DMD in U.S. and EU1
Progressive weakness in early years, eventually become wheelchair-bound
– Cardiomyopathy is associated with a poor prognosis
Accounts for 20-40% of all deaths2
Heart Disease is a Leading Cause of Death in DMD
1 JMP Securities, Research Advances in Duchenne Muscular Dystrophy, December 2015.2 Schram et al, JACC 2013;61:948-54.
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Menon et al, Pediatr Cardiol 2014;35:1279-85.
In cardiac MRI studies in the DMD population, myocardial fibrosis (scar):
is an independent predictor of adverse cardiac
remodeling, ventricular arrhythmias, and death
increases linearly with age
and predicts LVEF
Background on DMD-Associated Cardiomyopathy
Tandon et al, J Am Heart Assoc 2015;4:e001338.
and
24
– FDA Orphan Drug Designation for the treatment of DMD
– Distinct from the dystrophin-correcting therapies
Directed toward the heart muscle
Apparent lack of mutation dependence supports use in any genotype
CAP-1002 in Clinical Development for
DMD-Associated Cardiomyopathy
25
30
40
50
60
70
80
Mdx + CAP-1002
Mdx + Vehicle
*** p < 0.001 *p < 0.05
100
200
300
400
500
600
700
800
3 4 5 6
CTL
Mdx + CAP-1002
Mdx + vehicle
Week
***
1st injection
EF
(%
)
Repeat Dosing
Me
ters
2nd injection
Mdx mice + CDC, n=12 Mdx mice + vehicle, n=12 CTL (wild-type), n=5
CAP-1002 Improves Cardiac Function and
Exercise Capacity in DMD Mouse Model
ISEV, April 2015; AHA, November 2014
**
**
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– Enrolling boys with cardiomyopathy secondary to DMD
– Parallel-group, multi-center study (3-4 sites)
1:1 randomization to CAP-1002 infusion or ‘usual care’
– Passed DSMB safety review of first patient cohort
– Expect to report six-month top-line data in Q1 2017
Structural (cardiac MRI) and functional endpoints
Quality of Life endpoints
Randomize
CAP-1002
Infusion
Usual Care
M12W2 W6 M3 M630 d
Randomized Phase I / II HOPE-Duchenne Trial Ongoing
Screen
28
– Cell-free technology
– Nanometer-sized vesicles
– Secreted by nearly all cell types
– Rich in RNAs and proteins
– Readily cross cell membranes
– Cell signaling modality
– Broad potential to treat
inflammatory disorders
– Capricor has exclusive WW
license to CDC exosomes
technology from Cedars-Sinai
Medical Center
Camussi et al, Kidney Int 2010;78:838–48.
Exosomes are an Emerging Class of Therapeutics
29
Ibrahim et al, Stem Cell Reports 2014;2:606-19.
Effects not observed with
exosomes from other cell types
CDC Exosomes Significantly Improve
Cardiac Structure and Function
0
5
10
15
20
CTRL NHDF-XO MSC-XO CDC-XO
Sc
ar
Ma
ss
(m
g)
Day 3
0
*****
25
30
35
40
45
50
1 15 30
EF
(%
)
Days post MI
ControlCDC-XONHDF-XOMSC-XO *
**
Control NHDF-Exosomes
MSC-Exosomes CDC-Exosomes
30
– CDC exosomes appear to have regenerative and cell-modulating capabilities
– Broad treatment potential in inflammatory conditions
Supported by growing body of preclinical data
– Capricor plans to announce the first indication for CAP-2003 in Q2 2016
Eye and skin disorders are under consideration
CAP-2003 (CDC Exosomes) Moving into the Clinic
31
-S-S-
K
L
L
DR I G
S
M
S
G
LGGF
C C
K
G
S
L
G
pGC-B agonist
Anti-fibrotic
Anti-inflammatory
Endothelial regenerating P
S
L
R
D
PR
PN
A P ST
SA
pGC-A agonist
Enhances renal function
Suppresses aldosterone
Promotes cell survival
Resistant to NEP degradation
CNP DNP (C-terminus)
Goal of combined peptide is to yield favorable
hemodynamics with blood pressure maintenance
Cenderitide (CD-NP):
A Dual Natriuretic Peptide Receptor Activator
33
Target Indication
Prevention of re-hospitalization in patients with a recent acute heart failure admission
Cenderitide in Development for Outpatient
and Ambulatory Heart Failure
– Phase IIa PK/PD TrialPatients with stable chronic heart failure
To assess the safety and tolerability, pharmacokinetics profiles, and
pharmacodynamic response to increasing dose levels of Cenderitide
– First arm of 14 patients completedNo significant issues with safety or Insulet pump delivery
Early results suggest tolerability and physiologic effect
– Data from second arm expected in Q2 2016
Designed to assess higher doses
– To announce further plans following results
34
Cash, cash equivalents, and marketable securities
reported at December 31, 2015$13.6 million
Net cash used in operations in 2015 $10.8 million
Shares outstanding (March 29, 2016) 18.0 million
$4.1 millionraised in equity financing
$3.4 millionawarded by CIRM to support
HOPE-Duchenne clinical trial
March 2016:
Financial Summary
35
AJ Bergmann, MBAVP of Finance
Leland Gershell, MD PhDChief Financial Officer
Deborah Ascheim, MDChief Medical Officer
Karen Krasney, JDEVP & General Counsel
Rachel Smith, PhDVP of Research & Development
Houman Hemmati, MD PhDVP of New Therapy Development
Luis Rodriguez-Borlado, PhDVP of Regenerative Therapies
Linda Marbán, PhDChief Executive Officer
Senior Management
36
2016 2017 Anticipated Milestone
Q2Complete Phase IIa trial of Cenderitide
Announce indication for CAP-2003
Q3
Report 12-month results from DYNAMIC trial
Complete enrollment in HOPE-Duchenne trial
Complete enrollment in ALLSTAR trial
Q4 Submit IND for clinical development of CAP-2003
Q1
Report top-line data from HOPE-Duchenne trial
Six-month data from ALLSTAR trial
to be available to Capricor*
* Janssen has the right to exercise its option to CAP-1002 at any time until 60 days after
the delivery by Capricor of the six-month follow-up results from the ALLSTAR clinical trial.
Upcoming Milestones
37
Capricor – Investment Highlights
– Innovative platform technologies in regenerative medicine
Therapeutic assets include cell therapy, exosomes, natriuretic peptides
– Clinical-stage programs in heart failure, Duchenne muscular dystrophy
Proof-of-concept demonstrated by several clinical studies
Orphan drug designation for DMD
– Data expected from key clinical trials within 12 months
– Exclusive license option with Janssen Biotech
– ~$30 million in non-dilutive financial support to date
– Cash runway through early 2017 data readouts