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www.metastat.com1
Understanding
The Spread of Cancer
Understanding and Treating
the Spread of Cancer
MetaStat, Inc. (MTST)
Investor Presentation
December 2012
www.metastat.com2
Forward-Looking Statements
This presentation contains “forward-looking statements” within the meaning of the Securities Act of 1933,
as amended, the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation
Reform Act of 1995, which are intended to be covered by the safe harbor created thereby. You can identify
forward-looking statements by words such as “anticipates,” “expects,” “intends,” “plans,” “projects,”
“believes,” “estimates,” and similar expressions. Specifically, statements regarding MetaStat’s future
business, including any revenue projections, costs, earnings or other financial items, as well as statements
relating to the objectives of management and other business plans, including anticipated new products and
investments, are forward looking statements. These forward-looking statements are not guarantees of
future performance but are rather based upon management's current expectations and assumptions as to
future events that may not prove to be accurate. Actual results may differ materially from those projected as
a result of certain risks and uncertainties, including but not limited to: the demand for cancer diagnostics
and therapeutics; the growth of the markets addressed by our products; the demand for and market
acceptance of our products; our ability to successfully compete in the markets in which we do business; our
ability to successfully address the cost structure of our products; the ability to develop and implement new
technologies and to obtain protection for the related intellectual property; and our ability to realize financial
and strategic benefits of past and future transactions. Other factors that could cause actual results to differ
materially from those described in the forward-looking statements include other economic, business,
competitive and/or regulatory factors affecting MetaStat’s business generally. These risks and
uncertainties, and others, that relate to MetaStat’s business and financial condition are detailed from time
to time in MetaStat’s Securities and Exchange Commission filings. These forward-looking statements are
made only as of the date indicated, and MetaStat disclaims any obligation to update or revise the
information contained in any forward-looking statements, whether as a result of new information, future
events or otherwise.
www.metastat.com3
MetaStat At-a-Glance
THE COMPANY
CORE EXPERTISE
TWO ACTIVE DIAGOSTIC
PROGRAMS
ACTIVE THERAPEUTIC
PROGRAM
CLINICAL BENEFITS
•  MetaStat, Inc. (OTCBB: MTST)
•  21,054,418 common shares out.*
•  Market Cap: $77.3M*
•  Understanding the pathways, mechanics and genetics of
systemic metastasis
•  MetaSite Breast™
•  MenaCalc™
•  MenaBloc™
•  Addressing metastasis, the cause of 90% of cancer fatalities
•  Understanding and treating the spread of cancer
•  Providing new and better diagnostic information
•  Improving the quality of treatment decisions and the
economics of cancer care
Probability of metastasis
or “Metastasis Score”
Prevent or eliminate
metastasis
* As of December 3, 2012
www.metastat.com4
Why We Are Important
Metastasis is the most significant issue in cancer today
•  90% of fatalities from solid epithelial cancers are caused by systemic metastasis
•  Currenlty patients’ are misclasified because their true metastatic potential cant be
quantified resulting in over-treatment for some and under-treatment for others
Our products target the 4 largest cancer indications
•  Breast, prostate, lung and colerectal cancers
•  Collectively 840,000+ new cases per year in the U.S. alone
•  Over 50% of all new cancer cases
•  Initial focus on breast cancer
No approved or commercially available products specific to metastasis
•  No product(s) to specifically diagnose or predict systemic metastasis
•  No product(s) to specifically treat or prevent systemic metastasis
Personalized medicine
•  We provide clinically useful information according to each patient’s specific cancer
biology to better “customize” treatments
•  Targeted therapeutics
www.metastat.com5
Our Technology is Differentiated
THE COMPETITION METASTAT
•  Multiphoton Microscope
(Focus 50 cell diameters)
•  Light Microscope
(Focus one cell diameter)
•  Small fixed paraffin embedded specimens
to observe dead tumor tissue
•  Intra-vital imaging window
to observe live functioning human tumors
•  MetaSite (TMEM), the site of metastasis
•  Whole tumor collection of
proliferative, structural and metastatic cells
•  Artificial blood vessel collection of
pure population of metastatic cells
•  Current gene tests use mixture of cells
of which a small minority are metastatic cells
•  MetaStat’s Invasion Signature of
highly metastatic cells or “cancer stem cells”
•  Mena protein and its isoforms
•  Most overexpressed (up to 17x) in metastasis
•  Central regulator of metastatic process
•  Isoform balance predicts metastatic potential
www.metastat.com6
metastasis (me•tas•ta•sis)
•  The transmission of cancerous cells from a primary tumor or site
to one or more non-adjacent organs or sites
Cancer spreads three ways
•  1. Local infiltration
•  2. Lymphatic system
•  3. Hematogenous (blood borne) or “systemic” metastasis
Systemic metastasis is responsible for 90% of cancer deaths
MetaStat has expanded the understanding of metastasis
•  Mechanisms of invasion and migration
•  Molecular and behavioral phenotypes
•  Ability for specific detection and prognosis
•  Treatment endpoints
Metastasis
Breast Cancer Metastasized to Lung
www.metastat.com7
Enormous Market Opportunity
Prostate
Lung & bronchus
Colon & rectum
Urinary bladder
Skin/melanoma
Lymphoma (all)
Kidney
Leukemia (all)
Pancreas
Liver
Esophagus
All other sites
Total
Breast
Lung & bronchus
Colon & rectum
Uterine
Thyroid
Lymphoma (all)
Skin/melanoma
Kidney
Ovary
Pancreas
Leukemia (all)
All other sites
Total
28.5%
13.7%
8.7%
6.6%
5.5%
5.1%
4.7%
3.2%
2.6%
2.5%
1.6%
17.3%
100%
28.7%
13.9%
8.9%
6.0%
5.5%
4.6%
4.3%
3.1%
2.8%
2.8%
2.6%
17.0%
100%
241,740
116,470
73,420
55,600
46,890
43,120
40,250
26,830
22,090
21,370
13,950
146,440
848,170
226,870
109,690
70,040
47,130
43,210
36,070
34,350
24,520
22,280
21,830
20,320
134,430
790,740
Male Female
•  Targeting the 4 largest cancer indications
•  Over 50% of all new cancer cases with 840,000 new cases per year in the U.S. alone
•  Initial focus on breast cancer, the second most prevalent cancer
Source: American Cancer Society, Cancer Facts & Figures 2012
Estimated New Cancer Cases by Sex, U.S., 2012
www.metastat.com8
Personalized Medicine
MEDICINE TOMORROW
must be personalized
Right Treatment for the
Right Patient at the
Right Time for the
Right Outcome
Personalized medicine begins with
the right diagnosis
Before it spreads,
We can predict it,
So you can treat it properly
www.metastat.com9
age
Clinical and Histopathological Measures
-  Subjective and qualitative information
-  Independent of metastatic potential
•  Tumor grade
•  Tumor size
•  Lymph node involvement (# of nodes)
•  Hormone status (estrogen (ER), progesterone (PR), HER-2/neu)
•  Patients age
Oncotype DX (Genomic Health)CURRENT
DIAGNOSTIC
METHODOLOGIES
Unmet Need for Better Diagnosis
-  Proliferation
•  Early-stage breast cancer
•  Recurrence Score and likelyhood of chemotherapy benefit
•  ASCO and NCCN breast cancer guidelines (N-, ER+ or PR+)
•  Applicable on approx. 55% of all breast cancer patients currently
Proliferation (risk of recurrence)
is valuable but only a part of the
whole diagnostic picture
Metastatic Risk ???
Other Assays incl. MammaPrint and IHC4
-  Proliferation
•  Results similar to (in cocordance with) the Oncotype DX RS
•  IHC4 - Cuzick et al., Journal of Clinical Oncology, Oct. 2011
•  MammaPrint – Fan et al., N Engl J Med, Nov. 2006
www.metastat.com10
Metastat Enables Better Personalized Diagnosis
MetaStat’s diagnostics accurately predict the probability of cancer metastasizing
•  Improve Quality of Treatment Decisions
•  Improve Economics of Cancer Care
•  Provide “Metastasis Score” or probability of systemic metastasis
•  Classify patients into low, medium and high risk groups
•  Anticipate personalized treatment recommendations based on response to
chemotherapy in future (TBD)*
Properly identify and differentiate the metastatic risk of:
•  High-risk patients who need aggressive therapy
•  Low-risk patients who can be spared from the harmful side
effects and expense of chemotherapy and/or radiation
Deliver report to the treating oncologist(s)
* Further studies needed
www.metastat.com11
Understanding and Treating Metastasis
MetaSite Breast™
Diagnostic
Quantifies the Mechanics
Of Metastasis
•  The number of MetaSites
predicts the probability of
metastasis in breast cancer
•  2 successful trials to date
•  Published results in Clinical
Cancer Research (2009)
•  500 patient Large Population
Validation Study results expected
in early 2013
•  Initial pilot marketing anticipated
following publication of results
MenaCalc™
Diagnostic
Measures the Transition
to Metastatic Cells
•  Metastatic risk can be predicted
by measuring the relative
amounts of the isoforms of mena
•  797 patient trialpredicts survival
in breast cancer and correlates
to MetaSite count
•  Results published in Breast
Cancer Research (2012)
•  Broad applicability in up to 80%
of solid epithelial cancers incl.
lung, prostate and colorectal
MenaBloc™
Therapeutic
Anti-Metastatic
Therapy
•  Therapeutic with the potential
to premptively surpress or
eliminate metastasis
•  Pre-clinical mouse study
resultsshowed “the removal of
mena eliminated metastasis”
•  Results published in Breast
Cancer Research (2010)
•  Developing a small molecule
drug compound with targets of
intervention in key pathways
www.metastat.com12
MetaSite Breast™ – Near Term Product Opportunity
Simple test performed at our reference lab on formalin fixed parrafin embedded tissue
from a patients’ tumor biopsy
•  No FDA marketing approval required
•  Central reference laboratory (CLIA GLP certification)
•  No additional procedure(s) on the patient
•  Easy and inexpensive to perform and generate the “Metastasis Score” report
•  Deliver Metastasis Score report to treating physician in short amount of time (~3 to 5 days)
•  Results from 500 patient Large Population Validation Study expected in early 2013
•  Initial pilot marketing expected to commence following publication of results
•  Identified additional sample cohorts for further validation studies
www.metastat.com13
MenaCalc™ – Broad Diagnostic Platform
Tissue test using small amounts of dissociated, discontinuous cells from a
needle biopsy or fine needle aspiration (FNA)
Broadly applicable:
•  Mena and its isoforms are a key regulator of metastatic function in solid epithelial tumors
•  Encouraging data in breast, prostate and lung cancers
MenaCalc Breast
MenaCalc Lung
MenaCalc Prostate
MenaCalc Colorectal
•  Data in 797 patients
•  Results published in Breast Cancer Research (Sept 2012)
•  Conclusion: predicts survival in breast cancer
•  Data in 72 patients
•  Conclusion: predicts survival in adencarcinoma of the lung
•  Completed initial pilot study with encouraging results
•  Scientific rationale for the MenaCalc diagnostic to work in
colon and rectum cancers
www.metastat.com14
MenaBloc™ – Targeted Therapeutic Platform
Anti-metastatic therapeutic to potentially block or eliminate metastasis
•  Positive pre-clinical data
•  Results published in Breast Cancer Research (2010)
•  Deficiency of mena increases survival in PyMT mice
Continue drug development including:
•  functional screening program and medicinal chemistry and lead optimization
www.metastat.com15
Diagnostic Portfolio Market Size and Opportunity
Sources: 1. American Cancer Society; 2. Management estimates; 3. Assumes one test per new cancer patient
@ cost of $2,595 per test. Does not include testing for any previously diagnosed patients
Patient Population
(new cases/yr U.S.)1
Applicable Target
Market (%)2
Implied Applicable
Market
U.S. Product Market
Opportunity3
MetaSite
Breast
229,060
100%
229,060
$600M
229,060
100%
229,060
$600M
MenaCalc
Breast
MenaCalc
Lung
MenaCalc
Prostate
MenaCalc
Colorectal
241,740
100%
241,740
$625M
143,460
100%
143,460
$375M
226,160
40%
90,464
$235M
$2.4B Total Annual U.S Diagnostic Market Opportunity
www.metastat.com16
Key Accomplishments
Executed 2 additional License Agreements with corresponding Intellectual Property
Proved MenaCalc diagnostic platform for additional solid epithelial cancers
•  Encouraging data in adnocarcenoma of the lung and prostate cancers
Positive MenaCalc data in 797 patients published in Breast Cancer Research (Sept. 2012)
•  Results showed ability to predict survival in breast cancer
“Human Invasion Signature” paper published in Breast Cancer Research (Oct. 2012)
•  Describes our genetic profile of highly metastatic cancer cells who’s genetic
signature differs materially from the general population of proliferating tumor cells
Completed tissue sample staining and evaluation of 500 patient Large Population Validation
Study for the MetaSite Breast test
•  Results anticipated in early 2013
In 2012, MetaStat has accomplished the following:
www.metastat.com17
Near-Term Milestones
MetaSite Breast
•  Results from 500 patient Large Population Validation Study
•  Setup CLIA GLP Certified Central Laboratory
•  Publish data from 500 patient Large Population Validation Study in top journal
•  Commence initial pilot marketing following publication of results
•  Initiate additional validation studies (cohorts identified)
MenaCalc
•  Large scale prostate cancer “proof of concept” study
•  Large scale adencarcinoma of the lung “proof of concept” study
•  Pilot study colorectal cancer
•  Large Population Validation Study in breast cancer with metastatic risk as primary endpoint
MenaBloc
•  Functional screening program for small molecule mena inhibitor
•  Medicinal chemistry and lead optimization
•  Pre-clinical animal trials on anti-metastatic drug compound
•  Continue licensing and partnering discussions
Key Milestones and Goals for the Next 12 to 24 Months
www.metastat.com18
Warren C. Lau President, Chief Executive Officer and Director
Oscar Bronsther, M.D., FACS Chief Medical Officer and Chairman
•  Chairman, Section of General Surgery at Innova Fairfax Hospital
•  Clinical Professor, George Washington University
•  Director, Tumor Microenvirnment and Metastasis Program, Albert Einstein Cancer Center
Albert Einstein College of Medicine of Yeshiva University (AECOM)
•  Professor and Co-Chair, Anatomy and Structural Biology, AECOM
•  Judith & Burton P. Resnick Chair in Translation Research
•  Professor of Biology, Massachusetts Institute of Technology (MIT)
•  Gertler Lab, David H. Koch Institute for Integrated Cancer Research at MIT
•  Professor, Dep’t of Medicine & Dep’t of Obstetrics, Gynecology, and Women’s Health, AECOM
•  Chair of the ECOG Breast Cancer Committee
•  Study Chair of TAILORx trial
•  Professor of Clinical Pathology and Laboratory Medicine, Weill Cornell Medical College
•  Attending Pathologist, New York Presbyterian Hospital
•  Professor and Chair, Department of Epidemiology and Population Health, AECOM
•  Member of the Board of Scientific Counselors of the National Cancer Institute
John S. Condeelis,
Ph.D.
Frank B. Gertler, Ph.D.
Joseph Sparano, M.D.
Joan Jones, M.D.
Thomas E. Rohan,
M.D. ,Ph.D.
Experienced Senior Management & Advisors
•  Healthcare executive with >20 years start-up and biotechnology experience
•  Former founder of AdventRx Pharmaceuticals (ANX) and Opexa Therapeutics (OPXA)
www.metastat.com19
Significant unmet clinical need
•  Systemic metastasis is responsible for 90% of cancer deaths
•  Currently no diagnostic, prognostic or therapeutic specific to systemic metastasis on the market
•  Patient misclasifications result in over-treatment for some and under-treatment for others
Novel proprietary technoloogy that allowed us to understand and characterize the behavior,
mechanics and genetics of highly metastatic cancer cells
•  15+ years and $50M of development and collaboration from 4 scientific/academic institutions
Products addressing billion dollar markets
•  4 largest cancer indications with over 840,000 new cases per year in U.S. alone
•  $2.4B+ total annual U.S. diagnostic market opportunity
Near-term product opportunity – MetaSite Breast
•  No FDA approval required (CLIA GLP certification)
•  500 patient Large Population Validation Study results expected in early 2013
•  Anticipate initial pilot marketing beginning by end of 2013
Broadly applicable diagnostic platform – MenaCalc
•  Up to 80% of solid epithelal cancers with encouraging data in breast, lung and prostate cancers
Developing therapeutic platform to prevent or eliminate metastasis – MenaBloc
•  Positive preclinical data published in Breast Cancer Research (2010)
Intellectual property in place to protect proprietary innovations around the world
Investment Highlights

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Metastat pp

  • 1. www.metastat.com1 Understanding The Spread of Cancer Understanding and Treating the Spread of Cancer MetaStat, Inc. (MTST) Investor Presentation December 2012
  • 2. www.metastat.com2 Forward-Looking Statements This presentation contains “forward-looking statements” within the meaning of the Securities Act of 1933, as amended, the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, which are intended to be covered by the safe harbor created thereby. You can identify forward-looking statements by words such as “anticipates,” “expects,” “intends,” “plans,” “projects,” “believes,” “estimates,” and similar expressions. Specifically, statements regarding MetaStat’s future business, including any revenue projections, costs, earnings or other financial items, as well as statements relating to the objectives of management and other business plans, including anticipated new products and investments, are forward looking statements. These forward-looking statements are not guarantees of future performance but are rather based upon management's current expectations and assumptions as to future events that may not prove to be accurate. Actual results may differ materially from those projected as a result of certain risks and uncertainties, including but not limited to: the demand for cancer diagnostics and therapeutics; the growth of the markets addressed by our products; the demand for and market acceptance of our products; our ability to successfully compete in the markets in which we do business; our ability to successfully address the cost structure of our products; the ability to develop and implement new technologies and to obtain protection for the related intellectual property; and our ability to realize financial and strategic benefits of past and future transactions. Other factors that could cause actual results to differ materially from those described in the forward-looking statements include other economic, business, competitive and/or regulatory factors affecting MetaStat’s business generally. These risks and uncertainties, and others, that relate to MetaStat’s business and financial condition are detailed from time to time in MetaStat’s Securities and Exchange Commission filings. These forward-looking statements are made only as of the date indicated, and MetaStat disclaims any obligation to update or revise the information contained in any forward-looking statements, whether as a result of new information, future events or otherwise.
  • 3. www.metastat.com3 MetaStat At-a-Glance THE COMPANY CORE EXPERTISE TWO ACTIVE DIAGOSTIC PROGRAMS ACTIVE THERAPEUTIC PROGRAM CLINICAL BENEFITS •  MetaStat, Inc. (OTCBB: MTST) •  21,054,418 common shares out.* •  Market Cap: $77.3M* •  Understanding the pathways, mechanics and genetics of systemic metastasis •  MetaSite Breast™ •  MenaCalc™ •  MenaBloc™ •  Addressing metastasis, the cause of 90% of cancer fatalities •  Understanding and treating the spread of cancer •  Providing new and better diagnostic information •  Improving the quality of treatment decisions and the economics of cancer care Probability of metastasis or “Metastasis Score” Prevent or eliminate metastasis * As of December 3, 2012
  • 4. www.metastat.com4 Why We Are Important Metastasis is the most significant issue in cancer today •  90% of fatalities from solid epithelial cancers are caused by systemic metastasis •  Currenlty patients’ are misclasified because their true metastatic potential cant be quantified resulting in over-treatment for some and under-treatment for others Our products target the 4 largest cancer indications •  Breast, prostate, lung and colerectal cancers •  Collectively 840,000+ new cases per year in the U.S. alone •  Over 50% of all new cancer cases •  Initial focus on breast cancer No approved or commercially available products specific to metastasis •  No product(s) to specifically diagnose or predict systemic metastasis •  No product(s) to specifically treat or prevent systemic metastasis Personalized medicine •  We provide clinically useful information according to each patient’s specific cancer biology to better “customize” treatments •  Targeted therapeutics
  • 5. www.metastat.com5 Our Technology is Differentiated THE COMPETITION METASTAT •  Multiphoton Microscope (Focus 50 cell diameters) •  Light Microscope (Focus one cell diameter) •  Small fixed paraffin embedded specimens to observe dead tumor tissue •  Intra-vital imaging window to observe live functioning human tumors •  MetaSite (TMEM), the site of metastasis •  Whole tumor collection of proliferative, structural and metastatic cells •  Artificial blood vessel collection of pure population of metastatic cells •  Current gene tests use mixture of cells of which a small minority are metastatic cells •  MetaStat’s Invasion Signature of highly metastatic cells or “cancer stem cells” •  Mena protein and its isoforms •  Most overexpressed (up to 17x) in metastasis •  Central regulator of metastatic process •  Isoform balance predicts metastatic potential
  • 6. www.metastat.com6 metastasis (me•tas•ta•sis) •  The transmission of cancerous cells from a primary tumor or site to one or more non-adjacent organs or sites Cancer spreads three ways •  1. Local infiltration •  2. Lymphatic system •  3. Hematogenous (blood borne) or “systemic” metastasis Systemic metastasis is responsible for 90% of cancer deaths MetaStat has expanded the understanding of metastasis •  Mechanisms of invasion and migration •  Molecular and behavioral phenotypes •  Ability for specific detection and prognosis •  Treatment endpoints Metastasis Breast Cancer Metastasized to Lung
  • 7. www.metastat.com7 Enormous Market Opportunity Prostate Lung & bronchus Colon & rectum Urinary bladder Skin/melanoma Lymphoma (all) Kidney Leukemia (all) Pancreas Liver Esophagus All other sites Total Breast Lung & bronchus Colon & rectum Uterine Thyroid Lymphoma (all) Skin/melanoma Kidney Ovary Pancreas Leukemia (all) All other sites Total 28.5% 13.7% 8.7% 6.6% 5.5% 5.1% 4.7% 3.2% 2.6% 2.5% 1.6% 17.3% 100% 28.7% 13.9% 8.9% 6.0% 5.5% 4.6% 4.3% 3.1% 2.8% 2.8% 2.6% 17.0% 100% 241,740 116,470 73,420 55,600 46,890 43,120 40,250 26,830 22,090 21,370 13,950 146,440 848,170 226,870 109,690 70,040 47,130 43,210 36,070 34,350 24,520 22,280 21,830 20,320 134,430 790,740 Male Female •  Targeting the 4 largest cancer indications •  Over 50% of all new cancer cases with 840,000 new cases per year in the U.S. alone •  Initial focus on breast cancer, the second most prevalent cancer Source: American Cancer Society, Cancer Facts & Figures 2012 Estimated New Cancer Cases by Sex, U.S., 2012
  • 8. www.metastat.com8 Personalized Medicine MEDICINE TOMORROW must be personalized Right Treatment for the Right Patient at the Right Time for the Right Outcome Personalized medicine begins with the right diagnosis Before it spreads, We can predict it, So you can treat it properly
  • 9. www.metastat.com9 age Clinical and Histopathological Measures -  Subjective and qualitative information -  Independent of metastatic potential •  Tumor grade •  Tumor size •  Lymph node involvement (# of nodes) •  Hormone status (estrogen (ER), progesterone (PR), HER-2/neu) •  Patients age Oncotype DX (Genomic Health)CURRENT DIAGNOSTIC METHODOLOGIES Unmet Need for Better Diagnosis -  Proliferation •  Early-stage breast cancer •  Recurrence Score and likelyhood of chemotherapy benefit •  ASCO and NCCN breast cancer guidelines (N-, ER+ or PR+) •  Applicable on approx. 55% of all breast cancer patients currently Proliferation (risk of recurrence) is valuable but only a part of the whole diagnostic picture Metastatic Risk ??? Other Assays incl. MammaPrint and IHC4 -  Proliferation •  Results similar to (in cocordance with) the Oncotype DX RS •  IHC4 - Cuzick et al., Journal of Clinical Oncology, Oct. 2011 •  MammaPrint – Fan et al., N Engl J Med, Nov. 2006
  • 10. www.metastat.com10 Metastat Enables Better Personalized Diagnosis MetaStat’s diagnostics accurately predict the probability of cancer metastasizing •  Improve Quality of Treatment Decisions •  Improve Economics of Cancer Care •  Provide “Metastasis Score” or probability of systemic metastasis •  Classify patients into low, medium and high risk groups •  Anticipate personalized treatment recommendations based on response to chemotherapy in future (TBD)* Properly identify and differentiate the metastatic risk of: •  High-risk patients who need aggressive therapy •  Low-risk patients who can be spared from the harmful side effects and expense of chemotherapy and/or radiation Deliver report to the treating oncologist(s) * Further studies needed
  • 11. www.metastat.com11 Understanding and Treating Metastasis MetaSite Breast™ Diagnostic Quantifies the Mechanics Of Metastasis •  The number of MetaSites predicts the probability of metastasis in breast cancer •  2 successful trials to date •  Published results in Clinical Cancer Research (2009) •  500 patient Large Population Validation Study results expected in early 2013 •  Initial pilot marketing anticipated following publication of results MenaCalc™ Diagnostic Measures the Transition to Metastatic Cells •  Metastatic risk can be predicted by measuring the relative amounts of the isoforms of mena •  797 patient trialpredicts survival in breast cancer and correlates to MetaSite count •  Results published in Breast Cancer Research (2012) •  Broad applicability in up to 80% of solid epithelial cancers incl. lung, prostate and colorectal MenaBloc™ Therapeutic Anti-Metastatic Therapy •  Therapeutic with the potential to premptively surpress or eliminate metastasis •  Pre-clinical mouse study resultsshowed “the removal of mena eliminated metastasis” •  Results published in Breast Cancer Research (2010) •  Developing a small molecule drug compound with targets of intervention in key pathways
  • 12. www.metastat.com12 MetaSite Breast™ – Near Term Product Opportunity Simple test performed at our reference lab on formalin fixed parrafin embedded tissue from a patients’ tumor biopsy •  No FDA marketing approval required •  Central reference laboratory (CLIA GLP certification) •  No additional procedure(s) on the patient •  Easy and inexpensive to perform and generate the “Metastasis Score” report •  Deliver Metastasis Score report to treating physician in short amount of time (~3 to 5 days) •  Results from 500 patient Large Population Validation Study expected in early 2013 •  Initial pilot marketing expected to commence following publication of results •  Identified additional sample cohorts for further validation studies
  • 13. www.metastat.com13 MenaCalc™ – Broad Diagnostic Platform Tissue test using small amounts of dissociated, discontinuous cells from a needle biopsy or fine needle aspiration (FNA) Broadly applicable: •  Mena and its isoforms are a key regulator of metastatic function in solid epithelial tumors •  Encouraging data in breast, prostate and lung cancers MenaCalc Breast MenaCalc Lung MenaCalc Prostate MenaCalc Colorectal •  Data in 797 patients •  Results published in Breast Cancer Research (Sept 2012) •  Conclusion: predicts survival in breast cancer •  Data in 72 patients •  Conclusion: predicts survival in adencarcinoma of the lung •  Completed initial pilot study with encouraging results •  Scientific rationale for the MenaCalc diagnostic to work in colon and rectum cancers
  • 14. www.metastat.com14 MenaBloc™ – Targeted Therapeutic Platform Anti-metastatic therapeutic to potentially block or eliminate metastasis •  Positive pre-clinical data •  Results published in Breast Cancer Research (2010) •  Deficiency of mena increases survival in PyMT mice Continue drug development including: •  functional screening program and medicinal chemistry and lead optimization
  • 15. www.metastat.com15 Diagnostic Portfolio Market Size and Opportunity Sources: 1. American Cancer Society; 2. Management estimates; 3. Assumes one test per new cancer patient @ cost of $2,595 per test. Does not include testing for any previously diagnosed patients Patient Population (new cases/yr U.S.)1 Applicable Target Market (%)2 Implied Applicable Market U.S. Product Market Opportunity3 MetaSite Breast 229,060 100% 229,060 $600M 229,060 100% 229,060 $600M MenaCalc Breast MenaCalc Lung MenaCalc Prostate MenaCalc Colorectal 241,740 100% 241,740 $625M 143,460 100% 143,460 $375M 226,160 40% 90,464 $235M $2.4B Total Annual U.S Diagnostic Market Opportunity
  • 16. www.metastat.com16 Key Accomplishments Executed 2 additional License Agreements with corresponding Intellectual Property Proved MenaCalc diagnostic platform for additional solid epithelial cancers •  Encouraging data in adnocarcenoma of the lung and prostate cancers Positive MenaCalc data in 797 patients published in Breast Cancer Research (Sept. 2012) •  Results showed ability to predict survival in breast cancer “Human Invasion Signature” paper published in Breast Cancer Research (Oct. 2012) •  Describes our genetic profile of highly metastatic cancer cells who’s genetic signature differs materially from the general population of proliferating tumor cells Completed tissue sample staining and evaluation of 500 patient Large Population Validation Study for the MetaSite Breast test •  Results anticipated in early 2013 In 2012, MetaStat has accomplished the following:
  • 17. www.metastat.com17 Near-Term Milestones MetaSite Breast •  Results from 500 patient Large Population Validation Study •  Setup CLIA GLP Certified Central Laboratory •  Publish data from 500 patient Large Population Validation Study in top journal •  Commence initial pilot marketing following publication of results •  Initiate additional validation studies (cohorts identified) MenaCalc •  Large scale prostate cancer “proof of concept” study •  Large scale adencarcinoma of the lung “proof of concept” study •  Pilot study colorectal cancer •  Large Population Validation Study in breast cancer with metastatic risk as primary endpoint MenaBloc •  Functional screening program for small molecule mena inhibitor •  Medicinal chemistry and lead optimization •  Pre-clinical animal trials on anti-metastatic drug compound •  Continue licensing and partnering discussions Key Milestones and Goals for the Next 12 to 24 Months
  • 18. www.metastat.com18 Warren C. Lau President, Chief Executive Officer and Director Oscar Bronsther, M.D., FACS Chief Medical Officer and Chairman •  Chairman, Section of General Surgery at Innova Fairfax Hospital •  Clinical Professor, George Washington University •  Director, Tumor Microenvirnment and Metastasis Program, Albert Einstein Cancer Center Albert Einstein College of Medicine of Yeshiva University (AECOM) •  Professor and Co-Chair, Anatomy and Structural Biology, AECOM •  Judith & Burton P. Resnick Chair in Translation Research •  Professor of Biology, Massachusetts Institute of Technology (MIT) •  Gertler Lab, David H. Koch Institute for Integrated Cancer Research at MIT •  Professor, Dep’t of Medicine & Dep’t of Obstetrics, Gynecology, and Women’s Health, AECOM •  Chair of the ECOG Breast Cancer Committee •  Study Chair of TAILORx trial •  Professor of Clinical Pathology and Laboratory Medicine, Weill Cornell Medical College •  Attending Pathologist, New York Presbyterian Hospital •  Professor and Chair, Department of Epidemiology and Population Health, AECOM •  Member of the Board of Scientific Counselors of the National Cancer Institute John S. Condeelis, Ph.D. Frank B. Gertler, Ph.D. Joseph Sparano, M.D. Joan Jones, M.D. Thomas E. Rohan, M.D. ,Ph.D. Experienced Senior Management & Advisors •  Healthcare executive with >20 years start-up and biotechnology experience •  Former founder of AdventRx Pharmaceuticals (ANX) and Opexa Therapeutics (OPXA)
  • 19. www.metastat.com19 Significant unmet clinical need •  Systemic metastasis is responsible for 90% of cancer deaths •  Currently no diagnostic, prognostic or therapeutic specific to systemic metastasis on the market •  Patient misclasifications result in over-treatment for some and under-treatment for others Novel proprietary technoloogy that allowed us to understand and characterize the behavior, mechanics and genetics of highly metastatic cancer cells •  15+ years and $50M of development and collaboration from 4 scientific/academic institutions Products addressing billion dollar markets •  4 largest cancer indications with over 840,000 new cases per year in U.S. alone •  $2.4B+ total annual U.S. diagnostic market opportunity Near-term product opportunity – MetaSite Breast •  No FDA approval required (CLIA GLP certification) •  500 patient Large Population Validation Study results expected in early 2013 •  Anticipate initial pilot marketing beginning by end of 2013 Broadly applicable diagnostic platform – MenaCalc •  Up to 80% of solid epithelal cancers with encouraging data in breast, lung and prostate cancers Developing therapeutic platform to prevent or eliminate metastasis – MenaBloc •  Positive preclinical data published in Breast Cancer Research (2010) Intellectual property in place to protect proprietary innovations around the world Investment Highlights