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Corporate Presentation 
September 2014
2 
Forward Looking Statement 
This document does not constitute or form part of any offer or invitation to sell or issue, or any 
solicitation of any offer to purchase or subscribe for, any shares in the Company, nor shall any part 
of it nor the fact of its distribution form part of or be relied on in connection with any contract or 
investment decision relating thereto, nor does it constitute a recommendation regarding the 
securities of the Company. 
This document may contain forward-looking statements and estimates made by the Company, 
including with respect to the anticipated future performance of TiGenix and the market in which it 
operates. They include all matters that are not historical facts. Such statements, forecasts and 
estimates are based on various assumptions and assessments of known and unknown risks, 
uncertainties and other factors, which were deemed reasonable when made but may or may not 
prove to be correct. Actual events are difficult to predict and may depend upon factors that are 
beyond the Company's control. Therefore, actual results, the financial condition, performance or 
achievements of TiGenix, or industry results, may turn out to be materially different from any future 
results, performance or achievements expressed or implied by such statements, forecasts and 
estimates. Forward-looking statements, forecasts and estimates only speak as of the date of this 
document and no representations are made as to the accuracy or fairness of such forward-looking 
statements, forecasts and estimates. TiGenix disclaims any obligation to update any such forward-looking 
statement, forecast or estimates to reflect any change in the Company’s expectations with 
regard thereto, or any change in events, conditions or circumstances on which any such statement, 
forecast or estimate is based.
Management Team with Proven Track Record of Success 
3 
Managing Director and CEO: Eduardo Bravo, MBA 
• More than 20 years experience in the pharma and biotech industries at Sanofi-Aventis, 
Recordati, Cephalon and SmithKline Beecham 
CFO: Claudia D’Augusta, PhD 
• More than 15 years experience in equity and debt financing at Aquanima (Santander 
Group), Apax Corporate Finance and Deloitte Corporate Finance 
CTO: Wilfried Dalemans, PhD 
• More than 25 years experience in the pharma and biotech industries; previous 
engagements at GSK Biologicals and Transgène 
CMO: Marie Paule Richard, MD 
• More than 25 years experience in the global biopharmaceutical industry at Aicuris, 
Crucell and Sanofi Pasteur 
VP Regulatory Affairs & Corporate Quality : María Pascual, PhD 
• More than 10 years experience in cell therapy companies; specialised in regulatory 
affairs for advanced therapies; external adviser to EMA 
VP Medical Affairs & New Product Commercialisation: Mary Carmen Diez, MD 
• More than 20 years experience in the biopharmaceutical industry at Meda Pharma, 
Asta Médica, Pfizer and Dupont Pharma
Investment Highlights 
Pivotal Phase III 
Orphan Asset: 
Cx601 
• Perianal fistulas in Crohn’s patients in the US & EU represents a multi-billion dollar market 
opportunity 
• Pivotal Phase III allogeneic stem cell asset (local administration of a single dose) with data expected 
in 3Q2015 
• Phase II: 56% of patients achieved remission 
• Positive Type B meeting held with the FDA 
– Agreement on key parameters of future US Phase III trial 
– Use of data from pivotal Phase III trial in EU to support a BLA 
– Application for SPA to be filed Q4 2014 
Clear US Approval 
Strategy: 
Cx601 
• Intravenously-administered allogeneic stem cell product for rheumatoid arthritis (Phase IIb) and 
severe sepsis (Phase Ib) 
• Positive phase IIa data in refractory RA 
Valuable Pipeline 
Opportunity: 
Cx611 
Proprietary Technology 
Platform 
• Expanded adipose-derived stem cells (eASCs) 
• Acts by controlling inflammation 
• Well defined and fully characterized products 
• Consistent and robust manufacturing process 
• Up to 360 billion cells can be obtained from one donor 
– 2,400 doses of Cx601 and 4,000 doses of Cx611 
Established Uniform 
Manufacturing 
Commercialized 
Product: 
ChondroCelect 
• First ever ATMP1 approved by EMA; valuable experience in regulatory approval / commercialization 
process 
• Indicated for the repair of cartilage defects in the knee 
• Established national reimbursement and partnered with Swedish Orphan Biovitrium 
4 
1 Advanced Therapy Medicinal Product
Multiple Product Candidates in Clinical Development 
Cx601 and Cx611 are our two key products in clinical development 
Preclinical Phase I Phase II Phase III Market 
5 
Cx601 
(local) 
Cell Type 
Allogeneic 
Adipose 
Derived Stem 
Cells 
Complex 
Perianal Fistulas 
in Crohn’s 
Patients 
Cx611 
(intravenous) 
Allogeneic 
Adipose 
Derived Stem 
Cells 
Rheumatoid 
Arthritis 
Severe Sepsis 
Cx621 
(intralymphatic) 
Allogeneic 
Adipose 
Derived Stem 
Cells 
Autoimmune 
Disorders 
ChondroCelect 
Characterized 
Autologous 
Chondrocytes 
Cartilage 
Lesions (knee) 
Orphan Drug (EU) 
Product1 Indication 
Orphan Drug Filed (US) 
Partnered2 
1 Covered by 24 patent families 
2 Distributed through Swedish Orphan Biovitrum and the Finnish Red Cross Blood Systems
6 
Clear US Strategy Defined for Product Candidate 
• Positive Type B meeting held with FDA in December 2013 
• Adequacy of the existing non-clinical package to support an IND1 filing for a 
US-based pivotal Phase III trial 
• Acceptability of using data from the ongoing ADMIRE-CD2 Phase III study in 
Europe to support a biologic license application (BLA) 
• Agreement on key parameters of future US pivotal Phase III trial 
• Development plan for the US being implemented 
• Selection of contract manufacturing organization for technology transfer 
(3Q 2014) 
• Application for special protocol assessment (submission 4Q 2014) 
• IND1 to be filed as soon as technology transfer finalized 
• Partnering discussions initiated 
1 Investigational New Drug 
2 Adipose Derived Mesenchymal Stem Cells for Induction of Remission in Perianal Fistulizing Crohn’s Disease
MSCs1 Interact Closely with the Immune System 
7 
From: Singer and Caplan, 2011 
ASCs 
PBMCs 
Activated PBMCs 
PBMCs+ASCs 
activated PBMCs+ASCs 
IFN- (ng/ml) 
0 5 10 15 20 
TNF- (ng/ml) 
0 1 2 3 4 5 
* * 
* p<0.05 relative to supernatant from activated PBMCs 
Source: De la Rosa et al. Tissue Engineering 2009 
1 MSCs: Mesenchymal Stem Cells 
The ability to interact with many players in the 
immune system qualify MSCs (including 
ASCs) as a potent anti-inflammatory agent 
20 
15 
10 
5 
0 
ACTIVATED 
PBMCs 
ACTIVATED 
PBMCs + ASCs 
% OF CD4+CD25+++ ON 
TOTAL CD4 
* 
* p<0.05 relative to activated PBMCs without 
ASCs 
Source: Tigenix data
eASCs as a Preferred Source of MSCs 
8 
Source and expansion 
• Easily accessible 
• Considerably higher yield than bone marrow 
• Cell stability during expansion 
Pharmacological profile 
• Low immunogenicity, no tissue matching needed 
• Enables allogeneic use 
• Demonstrated anti-inflammatory capabilities
Validated eASC Platform 
9 
Quality 
• Consistent and robust manufacturing process 
• Quality control parameters defined: Identity, Purity, Potency 
Safety 
• No signs of toxicity, tumorigenicity, nor ectopic tissue growth in 
preclinical safety studies 
• Clinical safety data obtained 
Efficacy 
• Demonstrated control of inflammation in 5 different preclinical 
models, including different routes of administration 
• Clinical efficacy demonstrated 
Reproducibility 
• No tissue type matching needed, tissue dissociation and 
isolation of cells according to defined protocol, and expansion 
through a standardized cell culture process without pooling of 
cells
Cx601 
Local injection of eASCs for the treatment of complex perianal fistulas in 
Crohn’s patients 
10
11 
Perianal Fistulas 
A Common Severe Complication of Crohn’s Disease 
• Fistulas: sores or ulcers that tunnel 
through the affected area into 
surrounding tissues 
• 12% of Crohn’s patients are 
affected by perianal fistulas1 
• 80% of these are complex 
• Affect anal sphincters 
• Present multiple tracts 
• Are recurrent 
• Are often associated with perianal 
abscess 
Large intestine 
Fistula 
> 100,000 Crohn’s patients suffer from complex perianal fistulas every year in Europe 
and the US alone => compromised QoL, pain, depression, risk of anal epithelial 
carcinoma 
1 Source: >60 publications (including Schwartz 2002, Lapidus 2006), the European Federation of Crohn’s and Colitis Associations, 
US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics
Perianal Fistulas: Treatment Options and Shortfalls 
12 
Treatment Options Efficacy Safety 
Antibiotics • No long term healing data1 • Safety concerns with prolonged use 
1 50% recurrence within 4 months of cessation of treatment (Bnernstein LH et al. (1980). Gastroenterology 79: 357–365) 
2 Pearson DC et al. (1995) Azathioprine and 6-mercaptopurine in Crohn disease. A meta-analysis. Ann Intern Med 123: 132 
3 ACCENT II clinical trial 
4 54% for infliximab after 1 year (Sands BE et al. (2004). N Engl J Med 350: 876–885 
5 CHARM clinical trial 
6 Schouten at al, Mizrahi et al, Sonoda et al, van der Hagen et al 
7 A. Soltani, A. Kaiser, Diseases of the Colon & Rectum vol.53:4 (2010) 
Infliximab 
(Remicade) 
• Remission 23%3 
• 20% need dose increase2 
• High rate of relapse4 
• Safety remains a concern with 
long term use of biologics 
Adalimumab 
(Humira) 
• Remission 33%5 
• 20% need dose increase2 
• High rate of relapse4 
• Safety remains a concern with 
long term use of biologics 
Immunossuppressants 
• Low healing rates 
• Relapse on drug cessation2 • High risk of infectious complications 
Surgery • High proportion of recurrence6 • High risk of anal incontinence7
Market Potential: Perianal Fistula in Crohn’s Disease 
$ Milllion 
Estimated peak year sales 
0 250 500 750 1,000 1,250 1,500 
12% 14% 16% 
60% 80% 100% 
70% 80% 90% 
% CD patients with fistula2 (approximately 121,100 patients) 
% Complex fistula – all fistula3 (approximately 97,000 patients) 
% Patients failing biologic4 (approximately 77,500 patients) 
20% 35% 50% 
$21k $48k 
% Market share (approximately 27,100 patients) 
Average selling price 
$34k 
1 TiGenix epidemiology report based on multiple publications 
2 Schwartz et al, 2002, Vavricka et al., 2010, Pittet et al., 2010, KOL Interviews 3 Pittet et al., 2010, KOL Interviews 
4 Sands et al., 2004, Lichtiger et al., 2010, KOL Interviews 
• Assumptions: 
• Population EU28 + US: 824 million 
• Prevalence of Crohn’s disease: 0.105% (865,200 patients)1 
Note: Patient numbers refer to mid-point of the range given 
13 
Launch EU: 2017 
Launch US: 2020
Cx601: Developing a New Treatment Paradigm 
>10 years of experience, consistent efficacy and safety 
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 
14 
Cx401 (autologous) 
I 
Phase II 
5 patients 
1 center 
Crohn’s and non-Crohn’s perianal fistulas: 
75% efficacy; open1 
50 patients 
3 centers 
Crohn’s and non-Crohn’s perianal fistulas: 
71% efficacy; p<0,0012 
214 patients 
19 centers 
Phase III 
(FATT 1)3 
Cx601 (allogeneic) 
Phase II 
Phase II, IIS6 
(ALOREVA)7 
Phase III 
(ADMIRE-CD)8 
34 patients 
6 centers 
278 patients 
52 centers 
10 patients 
1 center 
Phase I 
Note: Patient data refers to number of patients recruited 
Non-Crohn’s perianal fistulas: 
41% efficacy; p (n.s.)4 
Crohn’s perianal fistulas: 
56% efficacy; open5 
Rectovaginal fistulas: 
57% efficacy; open 
1 García –Olmo, et al., 2005. Diseases of the Colon & Rectum 2 García –Olmo, et al., 2009. Diseases of the Colon & Rectum 
3 Fistula Advanced Therapy Trial 4 Herreros, et al., 2012. Diseases of the Colon & Rectum 
5 de la Portilla, F. et al., 2012. Int. Journal of Colorectal Disease 6 Investigator Initiated Study 
7 Allogeneic adipose stem cells in rectovaginal fistulas 
8 Adipose Derived Mesenchymal Stem Cells for Induction of Remission in Perianal Fistulizing Crohn’s Disease
Cx601: Phase II 
15 
Proof of concept for an allogeneic therapy 
TRIAL SUMMARY 
Start June 2009 
Completion September 2010 
Conditions 
Complex perianal fistula in Crohn’s 
patients 
Study design 
• Single arm 
• Non-controlled 
• Safety/Efficacy study 
• One fistula/tract treated 
• Maximum of 2 doses1 
Enrollment 34 patients recruited; 24 treated 
# of centers 6 sites 
Primary 
endpoint 
Incidence of treatment emergent 
adverse-events 
Secondary 
endpoints 
• Closure of external openings 
(clinically and MRI) 
• Reduce number of draining 
fistulas 
Efficacy 56% 
PATIENT SELECTION 
• Older than 18 years: both genders 
• Complex perianal fistula fulfilling 
some of the following conditions: 
• Associated fecal incontinence 
• Risk factors of anal incontinence 
• At least 1 previous treatment for a 
fistulous disorder 
• Crohn’s disease (CDAI≤200) 
• Less than 3 fistulous tracts 
• Wash out of anti-TNF of at least 8 
weeks prior to inclusion 
• No concomitant administration of anti- 
TNF allowed during the duration of 
the trial 
• Efficacy confirmed by second 
gastroenterologist not involved in the 
direct care of the patient 
1 First dose of 20M cells; Second dose of 40M cells injected if fistula has not closed after 12 weeks
Cx601: Phase II Results 
16 
Safety of allogeneic cells confirmed 
• Repeated treatment with allogeneic eASCs well tolerated 
• Favorable side effect profile 
• 
Overview of adverse events. Full analysis set (n=24) 
• Patients with at least one TEAE1 during the study: 13 (54.2%) 
• Patients with at least one TEAE possibly related to eASCs during the study 5 (20.8%) 
• Serious adverse events reported leading to withdrawal 22 (8.3%) 
(Events considered to be possibly related to the study treatment; 
no clinically relevant abnormalities found during physical examination 
or in vital signs) 
1 Treatment Emergent Adverse Event 
2 Local abscess and pyrexia
Cx601: Phase II Results 
17 
Allogeneic eASCs confirmed efficacy of autologous cells 
Closure of external openings of treated 
perianal fistula tracts 
38.1% 
56.3% 
100% 
90% 
80% 
70% 
60% 
50% 
40% 
30% 
20% 
10% 
0% 
After 12 weeks (N=21) After 24 weeks (N=16) 
Reduction in number of 
draining fistulas 
Nº fistulas: 1 
2 
50.0% 
100% 
90% 
80% 
70% 
60% 
50% 
40% 
30% 
20% 
10% 
(only 1 dose received) (week 26 if 2 doses received) (only 1 dose received) 
• Significant efficacy in closure of treated fistula tracts 
• Reduction of drainage in treated fistulas that have not achieved complete closure 
• Positive effect on adjacent fistula tracts that have not directly been treated 
N= Patients with available information. Missing data not included in percentage calculations 
61.5% 
10.0% 7.7% 
0% 
AfteArf t1e2r 1w2e weekesk (sN (=N2=021) ) AfAteftre 2r 42 4w weeekekss ( (NN==1136)) 
(week 26 if 2 doses received)
Cx601: Investigator-Initiated Study ALOREVA 
18 
Therapeutic effect of eASCs also confirmed in extremely tough condition 
TRIAL SUMMARY 
Start September 2009 
Completion December 2011 
Conditions 
Rectovaginal fistulas (RV) in 
Crohn’s patients 
Study 
design 
• Open label 
• Non-controlled 
• Safety and efficacy study 
Enrollment 10 patients 
# of centers 1 site 
Primary 
endpoint 
Closure of the external opening of 
the treated RV fistula 
Secondary 
endpoints 
• Quality of life (SF-36) 
• Number of adverse events 
• Clinically relevant variations in 
laboratory test 
Efficacy 57% (1 year) 
PATIENT SELECTION and RESULTS 
PATIENT SELECTION and RESULTS 
• Women of a childbearing age (>18) 
• Rectovaginal fistula 
• Patients with Crohn’s disease 
diagnosed at least 12 months earlier 
with either one previous surgery for 
fistulous disease or a physical status 
which discourage liposuction 
• 7 patients completed the study 
• 4 out of these showed complete 
closure of the fistula 
• All 10 patients avoided the previously 
indicated colostomy
Cx601: Phase III ADMIRE-CD Trial 
19 
Robust Phase III designed to qualify as a single pivotal study 
TRIAL SUMMARY 
Start July 2012 
Completion Ongoing 
Condition 
Complex perianal fistula in Crohn’s 
patients 
Study 
design 
• Randomized, double blind, 
placebo controlled trial 
• All tracts treated. Fixed single 
dose1 
Enrollment 
278 patients screened 
208 patients randomized 
# of centers 52 sites in 8 countries 
Primary 
endpoint 
Remission2 at week 24 
Secondary 
endpoints 
• Response3 
• Time to remission / time to 
response 
• PDAI score and QoL assessment 
(IBDQ4) 
PPAATTIIEENNTT SSEELLEECCTTIOIONN 
• Older than 18 years: both genders 
• Patients with perianal fistulizing Crohn’s 
disease refractory to antibiotics, 
immunosuppressants and/or anti-TNF 
• Exclusion of naïve patients 
• Limit of patients refractory to antibiotics to 
< 25% of total recruited patients 
• ≤ 2 internal openings (fistulas) and ≤ 3 
external openings (tracts) 
• Non active luminal CD (CDAI5 ≤ 220) 
• CD diagnosed for ≥ 6 months; Fistula 
draining < 6 weeks prior to inclusion 
• Concomitant treatments allowed without 
modification of treatment dose or regimen 
1 120 million cells 
2 Closure of all draining tracts at baseline despite gentle finger compression confirmed by MRI (no collections > 2cm) 
3 Closure of 50% draining tracts at baseline despite gentle finger compression confirmed by MRI (no collections > 2cm) 
4 Inflammatory Bowel Disease Questionnaire 5 Crohn's Disease Activity Index
Cx601: Phase III ADMIRE-CD Trial 
20 
Robust Phase III designed to qualify as a single pivotal study 
• Statistical plan: 
• Evaluations at weeks 6, 12, 18 and 24 (after dosing) 
• Final evaluation at week 52 
• Blind clinical and MRI assessment 
• Statistical pre-determination: 
• α = 0.025 
• β = 0.20 
• Power: Designed for finding at least 25% difference among study groups 
• Patient enrollment: More than 95% completed 
• Follow-up: Initial follow up of six months completed with 1 year long-term follow-up 
study expected 3Q 2015 and 1Q 2016, respectively
Cx611 
Intravenous injection of eASCs for the treatment of early rheumatoid arthritis 
21
Rheumatoid Arthritis: A Huge Market Opportunity 
22 
• On a dollar basis, the market is dominated by biologic drugs (>80% of the 
market), and especially by antibodies which block tumor necrosis factor TNF1 (5 
out of the 9 currently approved biologicals2) 
• TNF inhibitors dominate the market with yearly average cost of ~$19k 
• The overall RA market is expected to grow at a CAGR of slightly above 7% to 
approximately $23.4Bn in 2016 
• Despite a wide variety of therapeutic options, a high level of unmet patient need 
exists 
Early Rheumatoid Arthritis 
• Induce and maintain low disease 
activity 
• Target acute & inflammatory 
disease state 
• Indication of activity evidenced in 
refractory patients in Phase IIa trial 
1 Wiki Analysis: Arthritis Drug market 
2 Humira, Enbrel, Remicade, Simponi and Cimzia
23 
eASCs are Functional in RA Models 
Arthritic score after three i.v. 
doses of eASCs TNF - alpha 
Days after treatment 
Source: TiGenix data on file 
% cytokine-secreting T cells 
* p<0.001 
IL - 10 
% cytokine-secreting T cells 
* p<0.001 
Source: González-Rey et al. Ann. Rheum. Dis. 2009 
Intravenous administration of eASCs does protect 
animals from rapid progress to arthritic joints (CIA model) 
T cells from RA patients reduce their 
inflammatory profile upon contact with 
eASCs (in vitro experiment)
Phase IIa Trial 
First randomized trial with eASCs in refractory RA patients 
24 
TRIAL SUMMARY 
Start March 2011 
Completion January 2013 
Condition 
Patients with RA refractory to at 
least two biologics 
Study 
design 
• Dose escalation, single blind, 
placebo-controlled (Cx611+ 
DMARD1 vs. placebo + 
DMARD) 
Enrollment 53 patients 
# of centers 23 sites 
Primary 
endpoint 
Safety (tolerability and treatment-emergent 
adverse events) 
Secondary 
endpoints 
• Efficacy measured by: 
– ACR2 remission (ACR 20, 
ACR50, ACR 70) 
– EULAR3 (DAS4 28, VSG5) 
– Imaging (RAMRIS) 
– Quality of life (SF-36) 
PATIENT SELECTION 
• Heterogeneous patient population: 
Median range of diagnoses 5 – 69 years 
• Patients with severe grade of RA: 
Median DAS 28 score: 3.2 – 7.9 
• Patients refractory to at least two 
biologics 
• Mean nº of previous DMARDs: 3.38 
=> 74% of patients received 3 or more 
DMARDs 
• Mean nº of previous biologics: 2.92 
=> 45% of patients received 3 or more 
biologics 
• 66% of patients had received Enbrel 
• 64% of patients had received Humira 
• 51% of patients had received Infliximab 
1 DMARD: Disease-modifying anti-rheumatic drugs 
2 American College of Rheumatology 
3 European League Against Rheumatism 
4 Disease Activity Score 
5 Variable Surface Glycoprotein
25 
Phase IIa Trial 
Favorable safety profile of all three doses of Cx611 
Safety profile Cx611+DMARD 
(N=46) 
Placebo+DMARD 
(N=7) 
Patients with any adverse events (AE) 38 (83%) 4 (57%) 
Patients with any related AE 22 (48%) 1 (14%) 
Patients with any grade 3-4 related AE 1 (2%) 1 (14%) 
Patients with any AE leading to 
discontinuation 
1 (2%) 0 (0%) 
• Only one patient experienced a serious adverse event leading to discontinuation 
of the treatment1 
• All other side effects were mild and transient: most common related adverse 
events in the Cx611+DMARD group: fever (15%), headache (9%), asthenia (6%) 
1 Lacunar infarction, which is defined as a type of stroke in the brain's deep structures
Phase IIa Results 
Encouraging therapeutic activity 
26 
Cx611 + DMARD 
Placebo + DMARD 
ACR20 ACR50 ACR70 
40 
30 
20 
10 
0 
33 
26 
20 20 
29 
14 
0 0 
M1 M2 M3 FV 
30 
20 
10 
0 
14 
11 13 11 11 
0 0 0 
M1 M2 M3 FV 
20 
15 
10 
5 
0 
4 4 4 
2 
0 0 0 0 
1 2 3 4 
% % % 
M 
ACR criteria 
M6 (FV) M6 (FV) M M M6 (FV) 
% % % 
20 20 
13 
15 15 
0 0 
20 
15 
10 
5 
Results shown are response rates in percentage 
25 
20 
15 
10 
5 
15 
7 
11 11 
0 0 0 0 
M1, M2, M3 and M6 (FV) refers to month 1, 2, 3 and 6 (Final Visit) respectively; 
For all graphs: N=46 for Cx611+DMARD cohort and N=7 for placebo + DMARD cohort 
40 
30 
20 
10 
0 
EULAR response 
Good + Moderate 
43 
37 35 
39 
24 
29 
0 0 
M1 M2 M3 FV 
DAS 28 (CRP) <3.2 
DAS 28 (CRP) <2.6 
(remission) 
0 
M1 M2 M3 FV 
0 
9 
M1 M2 M3 FV 
M6 (FV) M6 (FV) 
M6 (FV) 
EULAR criteria
Cx611 
Intravenous injection of eASCs for the treatment of severe sepsis 
27
eASCs Can Protect in Severe Sepsis 
28 
LPS Model 
• Cx611 reduces mortality in animal models of sepsis 
• This effect is due to a combination of reducing pro-inflammatory and increasing anti-inflammatory 
mediators, production of anti-microbial effectors and increased 
phagocytosis 
Source: Gonzalez-Rey, 2009 
CLP Model
ChondroCelect 
Characterized autologous chondrocytes for the treatment of cartilage lesions in 
the knee 
29
ChondroCelect 
• Suspension of characterized autologous chondrocytes injected intra-articularly 
• Indicated for the repair of single symptomatic cartilage defects of the femoral condyle of 
the knee (ICRS III or IV) in adults 
• Market: Between 17,000 – 28,000 new patients per year in Europe 
• Additional expansion opportunity ex-Europe and Middle East 
• Currently on the market in BE, NL, ES, UK and Finland => 2013 gross sales of €4.3M 
• Further market penetration to be achieved through distribution agreement with Swedish 
Orphan International (Sobi), effective as of 1st June 20141 
• 20% royalty on ChondroCelect net sales (22% in year 1) and reimbursement of almost all 
ChondroCelect expenses => ChondroCelect becomes a cash-flow positive asset for TiGenix 
30 
First ever ATMP approved by EMA (2009) 
First, and so far, only cell therapy product with national reimbursement 
1 Sobi Territory: European Union (excl. Finland), Switzerland, Norway, Russia, Turkey and the MENA region, 
whereby certain countries within MENA will only become part of Sobi’s territory as of Nov. 12th, 2014
Manufacturing, Intellectual Property, and 
Milestones 
31
eASC Manufacturing 
32 
Isolation 
of Stromal 
Vascular 
Fraction 
(SVF) 
Cellular expansion 
Freezing Cell 
Banks 
Schematic manufacturing overview
Manufacturing Process Scheme 
33 
Uniform manufacturing scheme for all products 
Liposuction 
Cell isolation and expansion 
Master cell bank (cryo) 
Frozen Drug Substance (FDS) 
Finished Product 
• Up to 360 billion cells can be 
obtained from 1 donor 
• Finished product units at current 
doses (clinical trials): 
• 2,400 doses of Cx6011 
• 4,000 doses of Cx6112 
1 Based on ongoing Phase III trial (120M cells per patient) 
2 Assumes 1 million eASCs/ Kg, weight average 80Kgs
A Growing Patent Portfolio in Cell Therapy 
• 24 patent families related to cell therapy products 
• Pending & granted patents in over 20 jurisdictions including the US; expiry dates 2024 
onwards 
• Key patent for Cx601 (PCX007) granted in AU, RU, MX, IL and NZ 
• Patent protects use of ASCs in treatment of fistula 
• Complementary protection possible through additional patents under review 
• Portfolio covers key features of TiGenix’ chondrocyte and stem cell platforms 
• Expanded cell compositions and preparations 
• Use of expanded cells in treatment of broad range of indications 
• Cell preparation methods & delivery systems 
• FTO for indications in clinical development confirmed by external counsels 
• US: Morrison & Foerster 
• Europe: Carpmaels & Ransford 
34
Key Milestones 
1H17 EU launch 
35 
2014 2015 2016 2017 
Product 
Cx601 
(local) 
Europe 
US 
Cx611 
(IV) 
RA 
Severe 
Sepsis 
ChondroCelect 
3Q15 primary endpoint 
results (24 weeks) 
1Q16 study results 
(1 year follow-up) 
1H16 EMA filing 
3Q14 CMO selection 1H16 tech transfer finalized 
4Q14 SPA submission 
3Q16 Phase 2 enrollment 
Increase market penetration in existing countries 
Expand geographic reach through new market entry 
4Q14 Phase 3 
enrollment completed 
2H16 pivotal Phase 3 initiated 
3Q15 Phase 2 
enrollment initiated 
YE16 Phase 2 
enrollment completed 
1H17 Phase 2 study 
results 
1Q15 Phase 1b initiated 
3Q15 Phase 1b study results 
initiated
Key Facts about TiGenix 
36 
Headquarter Leuven, Belgium 
Operations Madrid, Spain 
Employees Approximately 50 employees 
Stock Exchange Traded on NYSE Euronext Brussels (TIG) 
Market Capitalization Approximately $130M 
Reference Shareholders 30% held by Grifols, Roche, and Novartis 
Liquidity ≈ 70% free-float of which 30% held by institutional investors 
Analyst Coverage 6 analysts covering the stock, of which four are independent 
Cash Balance $29M as of Q2 20141 
1 Exchange rate as of 14 July 2014 (oanda)
Investment Highlights 
Pivotal Phase III 
Orphan Asset: 
Cx601 
• Perianal fistulas in Crohn’s patients in the US & EU represents a multi-billion dollar market 
opportunity 
• Pivotal Phase III allogeneic stem cell asset (local administration of a single dose) with data expected 
in 3Q2015 
• Phase II: 56% of patients achieved remission 
• Positive Type B meeting held with the FDA 
– Agreement on key parameters of future US Phase III trial 
– Use of data from pivotal Phase III trial in EU to support a BLA 
– Application for SPA to be filed Q4 2014 
Clear US Approval 
Strategy: 
Cx601 
• Intravenously-administered allogeneic stem cell product for rheumatoid arthritis (Phase IIb) and 
severe sepsis (Phase Ib) 
• Positive phase IIa data in refractory RA 
Valuable Pipeline 
Opportunity: 
Cx611 
Proprietary Technology 
Platform 
• Expanded adipose-derived stem cells (eASCs) 
• Acts by controlling inflammation 
• Well defined and fully characterized products 
• Consistent and robust manufacturing process 
• Up to 360 billion cells can be obtained from one donor 
– 2,400 doses of Cx601 and 4,000 doses of Cx611 
Established Uniform 
Manufacturing 
Commercialized 
Product: 
ChondroCelect 
• First ever ATMP1 approved by EMA; valuable experience in regulatory approval / commercialization 
process 
• Indicated for the repair of cartilage defects in the knee 
• Established national reimbursement and partnered with Swedish Orphan Biovitrium 
37 
1 Advanced Therapy Medicinal Product
Corporate Presentation 
September 2014 
38

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Corporate Presentation TiGenix - September 2014

  • 2. 2 Forward Looking Statement This document does not constitute or form part of any offer or invitation to sell or issue, or any solicitation of any offer to purchase or subscribe for, any shares in the Company, nor shall any part of it nor the fact of its distribution form part of or be relied on in connection with any contract or investment decision relating thereto, nor does it constitute a recommendation regarding the securities of the Company. This document may contain forward-looking statements and estimates made by the Company, including with respect to the anticipated future performance of TiGenix and the market in which it operates. They include all matters that are not historical facts. Such statements, forecasts and estimates are based on various assumptions and assessments of known and unknown risks, uncertainties and other factors, which were deemed reasonable when made but may or may not prove to be correct. Actual events are difficult to predict and may depend upon factors that are beyond the Company's control. Therefore, actual results, the financial condition, performance or achievements of TiGenix, or industry results, may turn out to be materially different from any future results, performance or achievements expressed or implied by such statements, forecasts and estimates. Forward-looking statements, forecasts and estimates only speak as of the date of this document and no representations are made as to the accuracy or fairness of such forward-looking statements, forecasts and estimates. TiGenix disclaims any obligation to update any such forward-looking statement, forecast or estimates to reflect any change in the Company’s expectations with regard thereto, or any change in events, conditions or circumstances on which any such statement, forecast or estimate is based.
  • 3. Management Team with Proven Track Record of Success 3 Managing Director and CEO: Eduardo Bravo, MBA • More than 20 years experience in the pharma and biotech industries at Sanofi-Aventis, Recordati, Cephalon and SmithKline Beecham CFO: Claudia D’Augusta, PhD • More than 15 years experience in equity and debt financing at Aquanima (Santander Group), Apax Corporate Finance and Deloitte Corporate Finance CTO: Wilfried Dalemans, PhD • More than 25 years experience in the pharma and biotech industries; previous engagements at GSK Biologicals and Transgène CMO: Marie Paule Richard, MD • More than 25 years experience in the global biopharmaceutical industry at Aicuris, Crucell and Sanofi Pasteur VP Regulatory Affairs & Corporate Quality : María Pascual, PhD • More than 10 years experience in cell therapy companies; specialised in regulatory affairs for advanced therapies; external adviser to EMA VP Medical Affairs & New Product Commercialisation: Mary Carmen Diez, MD • More than 20 years experience in the biopharmaceutical industry at Meda Pharma, Asta Médica, Pfizer and Dupont Pharma
  • 4. Investment Highlights Pivotal Phase III Orphan Asset: Cx601 • Perianal fistulas in Crohn’s patients in the US & EU represents a multi-billion dollar market opportunity • Pivotal Phase III allogeneic stem cell asset (local administration of a single dose) with data expected in 3Q2015 • Phase II: 56% of patients achieved remission • Positive Type B meeting held with the FDA – Agreement on key parameters of future US Phase III trial – Use of data from pivotal Phase III trial in EU to support a BLA – Application for SPA to be filed Q4 2014 Clear US Approval Strategy: Cx601 • Intravenously-administered allogeneic stem cell product for rheumatoid arthritis (Phase IIb) and severe sepsis (Phase Ib) • Positive phase IIa data in refractory RA Valuable Pipeline Opportunity: Cx611 Proprietary Technology Platform • Expanded adipose-derived stem cells (eASCs) • Acts by controlling inflammation • Well defined and fully characterized products • Consistent and robust manufacturing process • Up to 360 billion cells can be obtained from one donor – 2,400 doses of Cx601 and 4,000 doses of Cx611 Established Uniform Manufacturing Commercialized Product: ChondroCelect • First ever ATMP1 approved by EMA; valuable experience in regulatory approval / commercialization process • Indicated for the repair of cartilage defects in the knee • Established national reimbursement and partnered with Swedish Orphan Biovitrium 4 1 Advanced Therapy Medicinal Product
  • 5. Multiple Product Candidates in Clinical Development Cx601 and Cx611 are our two key products in clinical development Preclinical Phase I Phase II Phase III Market 5 Cx601 (local) Cell Type Allogeneic Adipose Derived Stem Cells Complex Perianal Fistulas in Crohn’s Patients Cx611 (intravenous) Allogeneic Adipose Derived Stem Cells Rheumatoid Arthritis Severe Sepsis Cx621 (intralymphatic) Allogeneic Adipose Derived Stem Cells Autoimmune Disorders ChondroCelect Characterized Autologous Chondrocytes Cartilage Lesions (knee) Orphan Drug (EU) Product1 Indication Orphan Drug Filed (US) Partnered2 1 Covered by 24 patent families 2 Distributed through Swedish Orphan Biovitrum and the Finnish Red Cross Blood Systems
  • 6. 6 Clear US Strategy Defined for Product Candidate • Positive Type B meeting held with FDA in December 2013 • Adequacy of the existing non-clinical package to support an IND1 filing for a US-based pivotal Phase III trial • Acceptability of using data from the ongoing ADMIRE-CD2 Phase III study in Europe to support a biologic license application (BLA) • Agreement on key parameters of future US pivotal Phase III trial • Development plan for the US being implemented • Selection of contract manufacturing organization for technology transfer (3Q 2014) • Application for special protocol assessment (submission 4Q 2014) • IND1 to be filed as soon as technology transfer finalized • Partnering discussions initiated 1 Investigational New Drug 2 Adipose Derived Mesenchymal Stem Cells for Induction of Remission in Perianal Fistulizing Crohn’s Disease
  • 7. MSCs1 Interact Closely with the Immune System 7 From: Singer and Caplan, 2011 ASCs PBMCs Activated PBMCs PBMCs+ASCs activated PBMCs+ASCs IFN- (ng/ml) 0 5 10 15 20 TNF- (ng/ml) 0 1 2 3 4 5 * * * p<0.05 relative to supernatant from activated PBMCs Source: De la Rosa et al. Tissue Engineering 2009 1 MSCs: Mesenchymal Stem Cells The ability to interact with many players in the immune system qualify MSCs (including ASCs) as a potent anti-inflammatory agent 20 15 10 5 0 ACTIVATED PBMCs ACTIVATED PBMCs + ASCs % OF CD4+CD25+++ ON TOTAL CD4 * * p<0.05 relative to activated PBMCs without ASCs Source: Tigenix data
  • 8. eASCs as a Preferred Source of MSCs 8 Source and expansion • Easily accessible • Considerably higher yield than bone marrow • Cell stability during expansion Pharmacological profile • Low immunogenicity, no tissue matching needed • Enables allogeneic use • Demonstrated anti-inflammatory capabilities
  • 9. Validated eASC Platform 9 Quality • Consistent and robust manufacturing process • Quality control parameters defined: Identity, Purity, Potency Safety • No signs of toxicity, tumorigenicity, nor ectopic tissue growth in preclinical safety studies • Clinical safety data obtained Efficacy • Demonstrated control of inflammation in 5 different preclinical models, including different routes of administration • Clinical efficacy demonstrated Reproducibility • No tissue type matching needed, tissue dissociation and isolation of cells according to defined protocol, and expansion through a standardized cell culture process without pooling of cells
  • 10. Cx601 Local injection of eASCs for the treatment of complex perianal fistulas in Crohn’s patients 10
  • 11. 11 Perianal Fistulas A Common Severe Complication of Crohn’s Disease • Fistulas: sores or ulcers that tunnel through the affected area into surrounding tissues • 12% of Crohn’s patients are affected by perianal fistulas1 • 80% of these are complex • Affect anal sphincters • Present multiple tracts • Are recurrent • Are often associated with perianal abscess Large intestine Fistula > 100,000 Crohn’s patients suffer from complex perianal fistulas every year in Europe and the US alone => compromised QoL, pain, depression, risk of anal epithelial carcinoma 1 Source: >60 publications (including Schwartz 2002, Lapidus 2006), the European Federation of Crohn’s and Colitis Associations, US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics
  • 12. Perianal Fistulas: Treatment Options and Shortfalls 12 Treatment Options Efficacy Safety Antibiotics • No long term healing data1 • Safety concerns with prolonged use 1 50% recurrence within 4 months of cessation of treatment (Bnernstein LH et al. (1980). Gastroenterology 79: 357–365) 2 Pearson DC et al. (1995) Azathioprine and 6-mercaptopurine in Crohn disease. A meta-analysis. Ann Intern Med 123: 132 3 ACCENT II clinical trial 4 54% for infliximab after 1 year (Sands BE et al. (2004). N Engl J Med 350: 876–885 5 CHARM clinical trial 6 Schouten at al, Mizrahi et al, Sonoda et al, van der Hagen et al 7 A. Soltani, A. Kaiser, Diseases of the Colon & Rectum vol.53:4 (2010) Infliximab (Remicade) • Remission 23%3 • 20% need dose increase2 • High rate of relapse4 • Safety remains a concern with long term use of biologics Adalimumab (Humira) • Remission 33%5 • 20% need dose increase2 • High rate of relapse4 • Safety remains a concern with long term use of biologics Immunossuppressants • Low healing rates • Relapse on drug cessation2 • High risk of infectious complications Surgery • High proportion of recurrence6 • High risk of anal incontinence7
  • 13. Market Potential: Perianal Fistula in Crohn’s Disease $ Milllion Estimated peak year sales 0 250 500 750 1,000 1,250 1,500 12% 14% 16% 60% 80% 100% 70% 80% 90% % CD patients with fistula2 (approximately 121,100 patients) % Complex fistula – all fistula3 (approximately 97,000 patients) % Patients failing biologic4 (approximately 77,500 patients) 20% 35% 50% $21k $48k % Market share (approximately 27,100 patients) Average selling price $34k 1 TiGenix epidemiology report based on multiple publications 2 Schwartz et al, 2002, Vavricka et al., 2010, Pittet et al., 2010, KOL Interviews 3 Pittet et al., 2010, KOL Interviews 4 Sands et al., 2004, Lichtiger et al., 2010, KOL Interviews • Assumptions: • Population EU28 + US: 824 million • Prevalence of Crohn’s disease: 0.105% (865,200 patients)1 Note: Patient numbers refer to mid-point of the range given 13 Launch EU: 2017 Launch US: 2020
  • 14. Cx601: Developing a New Treatment Paradigm >10 years of experience, consistent efficacy and safety 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 14 Cx401 (autologous) I Phase II 5 patients 1 center Crohn’s and non-Crohn’s perianal fistulas: 75% efficacy; open1 50 patients 3 centers Crohn’s and non-Crohn’s perianal fistulas: 71% efficacy; p<0,0012 214 patients 19 centers Phase III (FATT 1)3 Cx601 (allogeneic) Phase II Phase II, IIS6 (ALOREVA)7 Phase III (ADMIRE-CD)8 34 patients 6 centers 278 patients 52 centers 10 patients 1 center Phase I Note: Patient data refers to number of patients recruited Non-Crohn’s perianal fistulas: 41% efficacy; p (n.s.)4 Crohn’s perianal fistulas: 56% efficacy; open5 Rectovaginal fistulas: 57% efficacy; open 1 García –Olmo, et al., 2005. Diseases of the Colon & Rectum 2 García –Olmo, et al., 2009. Diseases of the Colon & Rectum 3 Fistula Advanced Therapy Trial 4 Herreros, et al., 2012. Diseases of the Colon & Rectum 5 de la Portilla, F. et al., 2012. Int. Journal of Colorectal Disease 6 Investigator Initiated Study 7 Allogeneic adipose stem cells in rectovaginal fistulas 8 Adipose Derived Mesenchymal Stem Cells for Induction of Remission in Perianal Fistulizing Crohn’s Disease
  • 15. Cx601: Phase II 15 Proof of concept for an allogeneic therapy TRIAL SUMMARY Start June 2009 Completion September 2010 Conditions Complex perianal fistula in Crohn’s patients Study design • Single arm • Non-controlled • Safety/Efficacy study • One fistula/tract treated • Maximum of 2 doses1 Enrollment 34 patients recruited; 24 treated # of centers 6 sites Primary endpoint Incidence of treatment emergent adverse-events Secondary endpoints • Closure of external openings (clinically and MRI) • Reduce number of draining fistulas Efficacy 56% PATIENT SELECTION • Older than 18 years: both genders • Complex perianal fistula fulfilling some of the following conditions: • Associated fecal incontinence • Risk factors of anal incontinence • At least 1 previous treatment for a fistulous disorder • Crohn’s disease (CDAI≤200) • Less than 3 fistulous tracts • Wash out of anti-TNF of at least 8 weeks prior to inclusion • No concomitant administration of anti- TNF allowed during the duration of the trial • Efficacy confirmed by second gastroenterologist not involved in the direct care of the patient 1 First dose of 20M cells; Second dose of 40M cells injected if fistula has not closed after 12 weeks
  • 16. Cx601: Phase II Results 16 Safety of allogeneic cells confirmed • Repeated treatment with allogeneic eASCs well tolerated • Favorable side effect profile • Overview of adverse events. Full analysis set (n=24) • Patients with at least one TEAE1 during the study: 13 (54.2%) • Patients with at least one TEAE possibly related to eASCs during the study 5 (20.8%) • Serious adverse events reported leading to withdrawal 22 (8.3%) (Events considered to be possibly related to the study treatment; no clinically relevant abnormalities found during physical examination or in vital signs) 1 Treatment Emergent Adverse Event 2 Local abscess and pyrexia
  • 17. Cx601: Phase II Results 17 Allogeneic eASCs confirmed efficacy of autologous cells Closure of external openings of treated perianal fistula tracts 38.1% 56.3% 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% After 12 weeks (N=21) After 24 weeks (N=16) Reduction in number of draining fistulas Nº fistulas: 1 2 50.0% 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% (only 1 dose received) (week 26 if 2 doses received) (only 1 dose received) • Significant efficacy in closure of treated fistula tracts • Reduction of drainage in treated fistulas that have not achieved complete closure • Positive effect on adjacent fistula tracts that have not directly been treated N= Patients with available information. Missing data not included in percentage calculations 61.5% 10.0% 7.7% 0% AfteArf t1e2r 1w2e weekesk (sN (=N2=021) ) AfAteftre 2r 42 4w weeekekss ( (NN==1136)) (week 26 if 2 doses received)
  • 18. Cx601: Investigator-Initiated Study ALOREVA 18 Therapeutic effect of eASCs also confirmed in extremely tough condition TRIAL SUMMARY Start September 2009 Completion December 2011 Conditions Rectovaginal fistulas (RV) in Crohn’s patients Study design • Open label • Non-controlled • Safety and efficacy study Enrollment 10 patients # of centers 1 site Primary endpoint Closure of the external opening of the treated RV fistula Secondary endpoints • Quality of life (SF-36) • Number of adverse events • Clinically relevant variations in laboratory test Efficacy 57% (1 year) PATIENT SELECTION and RESULTS PATIENT SELECTION and RESULTS • Women of a childbearing age (>18) • Rectovaginal fistula • Patients with Crohn’s disease diagnosed at least 12 months earlier with either one previous surgery for fistulous disease or a physical status which discourage liposuction • 7 patients completed the study • 4 out of these showed complete closure of the fistula • All 10 patients avoided the previously indicated colostomy
  • 19. Cx601: Phase III ADMIRE-CD Trial 19 Robust Phase III designed to qualify as a single pivotal study TRIAL SUMMARY Start July 2012 Completion Ongoing Condition Complex perianal fistula in Crohn’s patients Study design • Randomized, double blind, placebo controlled trial • All tracts treated. Fixed single dose1 Enrollment 278 patients screened 208 patients randomized # of centers 52 sites in 8 countries Primary endpoint Remission2 at week 24 Secondary endpoints • Response3 • Time to remission / time to response • PDAI score and QoL assessment (IBDQ4) PPAATTIIEENNTT SSEELLEECCTTIOIONN • Older than 18 years: both genders • Patients with perianal fistulizing Crohn’s disease refractory to antibiotics, immunosuppressants and/or anti-TNF • Exclusion of naïve patients • Limit of patients refractory to antibiotics to < 25% of total recruited patients • ≤ 2 internal openings (fistulas) and ≤ 3 external openings (tracts) • Non active luminal CD (CDAI5 ≤ 220) • CD diagnosed for ≥ 6 months; Fistula draining < 6 weeks prior to inclusion • Concomitant treatments allowed without modification of treatment dose or regimen 1 120 million cells 2 Closure of all draining tracts at baseline despite gentle finger compression confirmed by MRI (no collections > 2cm) 3 Closure of 50% draining tracts at baseline despite gentle finger compression confirmed by MRI (no collections > 2cm) 4 Inflammatory Bowel Disease Questionnaire 5 Crohn's Disease Activity Index
  • 20. Cx601: Phase III ADMIRE-CD Trial 20 Robust Phase III designed to qualify as a single pivotal study • Statistical plan: • Evaluations at weeks 6, 12, 18 and 24 (after dosing) • Final evaluation at week 52 • Blind clinical and MRI assessment • Statistical pre-determination: • α = 0.025 • β = 0.20 • Power: Designed for finding at least 25% difference among study groups • Patient enrollment: More than 95% completed • Follow-up: Initial follow up of six months completed with 1 year long-term follow-up study expected 3Q 2015 and 1Q 2016, respectively
  • 21. Cx611 Intravenous injection of eASCs for the treatment of early rheumatoid arthritis 21
  • 22. Rheumatoid Arthritis: A Huge Market Opportunity 22 • On a dollar basis, the market is dominated by biologic drugs (>80% of the market), and especially by antibodies which block tumor necrosis factor TNF1 (5 out of the 9 currently approved biologicals2) • TNF inhibitors dominate the market with yearly average cost of ~$19k • The overall RA market is expected to grow at a CAGR of slightly above 7% to approximately $23.4Bn in 2016 • Despite a wide variety of therapeutic options, a high level of unmet patient need exists Early Rheumatoid Arthritis • Induce and maintain low disease activity • Target acute & inflammatory disease state • Indication of activity evidenced in refractory patients in Phase IIa trial 1 Wiki Analysis: Arthritis Drug market 2 Humira, Enbrel, Remicade, Simponi and Cimzia
  • 23. 23 eASCs are Functional in RA Models Arthritic score after three i.v. doses of eASCs TNF - alpha Days after treatment Source: TiGenix data on file % cytokine-secreting T cells * p<0.001 IL - 10 % cytokine-secreting T cells * p<0.001 Source: González-Rey et al. Ann. Rheum. Dis. 2009 Intravenous administration of eASCs does protect animals from rapid progress to arthritic joints (CIA model) T cells from RA patients reduce their inflammatory profile upon contact with eASCs (in vitro experiment)
  • 24. Phase IIa Trial First randomized trial with eASCs in refractory RA patients 24 TRIAL SUMMARY Start March 2011 Completion January 2013 Condition Patients with RA refractory to at least two biologics Study design • Dose escalation, single blind, placebo-controlled (Cx611+ DMARD1 vs. placebo + DMARD) Enrollment 53 patients # of centers 23 sites Primary endpoint Safety (tolerability and treatment-emergent adverse events) Secondary endpoints • Efficacy measured by: – ACR2 remission (ACR 20, ACR50, ACR 70) – EULAR3 (DAS4 28, VSG5) – Imaging (RAMRIS) – Quality of life (SF-36) PATIENT SELECTION • Heterogeneous patient population: Median range of diagnoses 5 – 69 years • Patients with severe grade of RA: Median DAS 28 score: 3.2 – 7.9 • Patients refractory to at least two biologics • Mean nº of previous DMARDs: 3.38 => 74% of patients received 3 or more DMARDs • Mean nº of previous biologics: 2.92 => 45% of patients received 3 or more biologics • 66% of patients had received Enbrel • 64% of patients had received Humira • 51% of patients had received Infliximab 1 DMARD: Disease-modifying anti-rheumatic drugs 2 American College of Rheumatology 3 European League Against Rheumatism 4 Disease Activity Score 5 Variable Surface Glycoprotein
  • 25. 25 Phase IIa Trial Favorable safety profile of all three doses of Cx611 Safety profile Cx611+DMARD (N=46) Placebo+DMARD (N=7) Patients with any adverse events (AE) 38 (83%) 4 (57%) Patients with any related AE 22 (48%) 1 (14%) Patients with any grade 3-4 related AE 1 (2%) 1 (14%) Patients with any AE leading to discontinuation 1 (2%) 0 (0%) • Only one patient experienced a serious adverse event leading to discontinuation of the treatment1 • All other side effects were mild and transient: most common related adverse events in the Cx611+DMARD group: fever (15%), headache (9%), asthenia (6%) 1 Lacunar infarction, which is defined as a type of stroke in the brain's deep structures
  • 26. Phase IIa Results Encouraging therapeutic activity 26 Cx611 + DMARD Placebo + DMARD ACR20 ACR50 ACR70 40 30 20 10 0 33 26 20 20 29 14 0 0 M1 M2 M3 FV 30 20 10 0 14 11 13 11 11 0 0 0 M1 M2 M3 FV 20 15 10 5 0 4 4 4 2 0 0 0 0 1 2 3 4 % % % M ACR criteria M6 (FV) M6 (FV) M M M6 (FV) % % % 20 20 13 15 15 0 0 20 15 10 5 Results shown are response rates in percentage 25 20 15 10 5 15 7 11 11 0 0 0 0 M1, M2, M3 and M6 (FV) refers to month 1, 2, 3 and 6 (Final Visit) respectively; For all graphs: N=46 for Cx611+DMARD cohort and N=7 for placebo + DMARD cohort 40 30 20 10 0 EULAR response Good + Moderate 43 37 35 39 24 29 0 0 M1 M2 M3 FV DAS 28 (CRP) <3.2 DAS 28 (CRP) <2.6 (remission) 0 M1 M2 M3 FV 0 9 M1 M2 M3 FV M6 (FV) M6 (FV) M6 (FV) EULAR criteria
  • 27. Cx611 Intravenous injection of eASCs for the treatment of severe sepsis 27
  • 28. eASCs Can Protect in Severe Sepsis 28 LPS Model • Cx611 reduces mortality in animal models of sepsis • This effect is due to a combination of reducing pro-inflammatory and increasing anti-inflammatory mediators, production of anti-microbial effectors and increased phagocytosis Source: Gonzalez-Rey, 2009 CLP Model
  • 29. ChondroCelect Characterized autologous chondrocytes for the treatment of cartilage lesions in the knee 29
  • 30. ChondroCelect • Suspension of characterized autologous chondrocytes injected intra-articularly • Indicated for the repair of single symptomatic cartilage defects of the femoral condyle of the knee (ICRS III or IV) in adults • Market: Between 17,000 – 28,000 new patients per year in Europe • Additional expansion opportunity ex-Europe and Middle East • Currently on the market in BE, NL, ES, UK and Finland => 2013 gross sales of €4.3M • Further market penetration to be achieved through distribution agreement with Swedish Orphan International (Sobi), effective as of 1st June 20141 • 20% royalty on ChondroCelect net sales (22% in year 1) and reimbursement of almost all ChondroCelect expenses => ChondroCelect becomes a cash-flow positive asset for TiGenix 30 First ever ATMP approved by EMA (2009) First, and so far, only cell therapy product with national reimbursement 1 Sobi Territory: European Union (excl. Finland), Switzerland, Norway, Russia, Turkey and the MENA region, whereby certain countries within MENA will only become part of Sobi’s territory as of Nov. 12th, 2014
  • 32. eASC Manufacturing 32 Isolation of Stromal Vascular Fraction (SVF) Cellular expansion Freezing Cell Banks Schematic manufacturing overview
  • 33. Manufacturing Process Scheme 33 Uniform manufacturing scheme for all products Liposuction Cell isolation and expansion Master cell bank (cryo) Frozen Drug Substance (FDS) Finished Product • Up to 360 billion cells can be obtained from 1 donor • Finished product units at current doses (clinical trials): • 2,400 doses of Cx6011 • 4,000 doses of Cx6112 1 Based on ongoing Phase III trial (120M cells per patient) 2 Assumes 1 million eASCs/ Kg, weight average 80Kgs
  • 34. A Growing Patent Portfolio in Cell Therapy • 24 patent families related to cell therapy products • Pending & granted patents in over 20 jurisdictions including the US; expiry dates 2024 onwards • Key patent for Cx601 (PCX007) granted in AU, RU, MX, IL and NZ • Patent protects use of ASCs in treatment of fistula • Complementary protection possible through additional patents under review • Portfolio covers key features of TiGenix’ chondrocyte and stem cell platforms • Expanded cell compositions and preparations • Use of expanded cells in treatment of broad range of indications • Cell preparation methods & delivery systems • FTO for indications in clinical development confirmed by external counsels • US: Morrison & Foerster • Europe: Carpmaels & Ransford 34
  • 35. Key Milestones 1H17 EU launch 35 2014 2015 2016 2017 Product Cx601 (local) Europe US Cx611 (IV) RA Severe Sepsis ChondroCelect 3Q15 primary endpoint results (24 weeks) 1Q16 study results (1 year follow-up) 1H16 EMA filing 3Q14 CMO selection 1H16 tech transfer finalized 4Q14 SPA submission 3Q16 Phase 2 enrollment Increase market penetration in existing countries Expand geographic reach through new market entry 4Q14 Phase 3 enrollment completed 2H16 pivotal Phase 3 initiated 3Q15 Phase 2 enrollment initiated YE16 Phase 2 enrollment completed 1H17 Phase 2 study results 1Q15 Phase 1b initiated 3Q15 Phase 1b study results initiated
  • 36. Key Facts about TiGenix 36 Headquarter Leuven, Belgium Operations Madrid, Spain Employees Approximately 50 employees Stock Exchange Traded on NYSE Euronext Brussels (TIG) Market Capitalization Approximately $130M Reference Shareholders 30% held by Grifols, Roche, and Novartis Liquidity ≈ 70% free-float of which 30% held by institutional investors Analyst Coverage 6 analysts covering the stock, of which four are independent Cash Balance $29M as of Q2 20141 1 Exchange rate as of 14 July 2014 (oanda)
  • 37. Investment Highlights Pivotal Phase III Orphan Asset: Cx601 • Perianal fistulas in Crohn’s patients in the US & EU represents a multi-billion dollar market opportunity • Pivotal Phase III allogeneic stem cell asset (local administration of a single dose) with data expected in 3Q2015 • Phase II: 56% of patients achieved remission • Positive Type B meeting held with the FDA – Agreement on key parameters of future US Phase III trial – Use of data from pivotal Phase III trial in EU to support a BLA – Application for SPA to be filed Q4 2014 Clear US Approval Strategy: Cx601 • Intravenously-administered allogeneic stem cell product for rheumatoid arthritis (Phase IIb) and severe sepsis (Phase Ib) • Positive phase IIa data in refractory RA Valuable Pipeline Opportunity: Cx611 Proprietary Technology Platform • Expanded adipose-derived stem cells (eASCs) • Acts by controlling inflammation • Well defined and fully characterized products • Consistent and robust manufacturing process • Up to 360 billion cells can be obtained from one donor – 2,400 doses of Cx601 and 4,000 doses of Cx611 Established Uniform Manufacturing Commercialized Product: ChondroCelect • First ever ATMP1 approved by EMA; valuable experience in regulatory approval / commercialization process • Indicated for the repair of cartilage defects in the knee • Established national reimbursement and partnered with Swedish Orphan Biovitrium 37 1 Advanced Therapy Medicinal Product