Financial Results for the Fiscal Year

Ending January 31, 2021

March 18, 2021

SanBio Company Limited

(TSE Mothers: 4592)

0

In the beginning...

SanBio observed its 20th Anniversary on February 21st, 2021.

Obtaining SB623 product approval and executing this market launch is our current top priority. However, we expect soon to broaden our focus to include many additional indications and countries, and to make SB623 widely available globally.

Further, to fulfill our mission of pioneering a new category of medicine, we will pursue innovative new drugs including SB623, in fields where there is

no effective treatment.

Table of Contents

1 2

Financial Results

SB623 Clinical Data

SB623 Japan Product Approval and Subsequent Developments

Going Forward

2

1. Financial Results

33

Consolidated Income Statement

While operating expenses were in line with FY2020.1, net loss narrowed due to the sale of investment securities,

Unit: Million yen

FY2020.1 Results (A)

FY2021.1 Results (B)

(B)-(A)

FY2021.1 Forecast

Revenue

447

-

-447

-

R&D cost

4,327

4,071

-256

3,757

Operating expenses

5,933

5,801

-131

5,453

Operating income

-5,486

-5,801

-316

-5,453

Net income

-5,157

-3,386

1,771

-5,544

Yen/US$ exchange rate

109.08

106.34

-

110.00

4

Consolidated Balance Sheet

Cash and cash equivalents remained flat YoY due to the sale of investment securities

Unit: Million yen

As of January 31, 2020 (A)

As of January 31, 2021 (B)

(B)-(A)

Factors of Difference

Cash & cash equivalents

13,646

12,480

-1,165

Supplies

469

444

-25

Current assets

14,626

13,131

-1,494

Non-current assets

979

211

-767

Total assets

15,605

13,343

-2,261

Current liabilities

1,175

2,469

+1,294

Increase in short-term loans payable and current portion of long-term loans payable

Non-current liabilities

3,500

2,525

-975

Decrease in long-term loans payable

Total liabilities

4,675

4,994

+319

Net assets

10,930

8,349

-2,580

Total liabilities and net assets

15,605

13,343

-2,261

5

Consolidated Earnings Forecast

Operating expenses expected to remain on par with FY2021.1 levels, with preparations underway for SB623 Japan product approval and launch

Unit: Million yen

FY2021.1 Results

FY2022.1 Forecast

Revenue

-

-

R&D cost

4,067

3,820

Operating expenses

5,801

5,786

Operating income

-5,801

-5,786

Net income

-3,386

-5,877

Yen/US$ exchange rate

106.34

110.00

6

2. SB623 Clinical Data

77

Neurology® Publication of STEMTRA Trial Results (Press Release, Jan. 5, 2021)

Primary endpoint:

Statistically significant difference in change from baseline in the Fugl-Meyer Motor Scale (FMMS) score observed at 6 months for SB623-treated group versus control group.

Secondary endpoints & safety assessment

Improvement from baseline in DRS (Disability Rating Scale), ARAT (Action Research Arm Test), GV (Gait

Velocity), and GRPC (Global Rating of Perceived Change) scores observed at 6 months.

No difference in adverse events between the SB623 group and the sham-surgery control group.

SB623 treatment was well tolerated, and no patients withdrew due to adverse events.

8

STEMTRA Trial Summary

Objective

Evaluating the efficacy and safety of SB623 in patients with stable chronic motor deficits secondary to TBI

Subject

At least 12 months post-TBI, and having chronic motor deficit

Patient eligibility criteria

  • Patients aged 18-75

  • At least 12 months post-TBI

  • Focal cerebral injury identified on MRITrial method The trial included three SB623-treated groups (2.5×106, 5.0×106, and 10.0×106) and a sham-surgery control group, and subjects were randomized in a 1:1:1:1 ratio and observed for 12 months.

  • GOS-E Score of 3-6 (i.e., moderate or severe disability)

6-month, pre-specified interim analysis including primary efficacy endpoint of change from baseline in the Fugl-Meyer Motor Scale (FMMS) score for all patients who underwent surgery (N=61)

STEMTRA Trial Results

Primary endpoint (change in FMMS* score) achieved

Change of FMMS score from baseline was significantly higher for SB623-treated compared to control patients at 6 months.

Least square mean (SE):

8.3 (1.4) vs. 2.3 (2.5), p=0.04

Change of FMMS score from baseline at 1 and 3 months remained higher in the SB623- treated compared to control patients.

*FMMS: Fugl-Meyer Motor Scale

Responses to Neurology® Publication

The STEMTRA paper was featured in a Neurology® Editorial by neurology world authorities

Dr. Masha Savelieff and Dr. Eva Feldman, as well as in several other media

"Cell Therapy for Chronic TBI Shows Promise | Physician's Weekly (excerpt below)

In an accompanying editorial, Masha Savelieff, PhD, and Eva Feldman, MD, PhD, both of the University of Michigan in Ann Arbor, wrote that "STEMTRA used a targeted delivery of stem cells to the injury site, an approach further supported by the recent failed phase III clinical trial of non-targeted intrathecal injections in amyotrophic lateral sclerosis."

Potential advantages of allogeneic bone marrow-derived mesenchymal stromal/stem cell implants include no requirement for concomitant immunosuppression, readily available cells free of ethical concerns, and a low risk of malignant transformation, they pointed out.

"Therefore, in light of the lack of current TBI therapies, and if these positive findings hold at the study conclusion, " the results of this STEMTRA phase II trial would advocate a phase III trial," they said.

Stromal/stem cell implant improves motor function in patients with history of TBI (healio.com)

Stem cell implants show promise in chronic traumatic brain injury | Nature Reviews Neurology

Stromal/stem cell implant improves motor function in patients with a history of TBI - Brain Health Education and Research Institute

Presented at the Japan Society of Neurotraumatology (Press Release, Mar. 1, 2021)

"This is the first ever report that demonstrates the efficacy of intracranial administration of mesenchymal stromal cells in a double-blind, controlled study for motor dysfunction caused by traumatic brain injury, which previously had no effective treatment." (Dr. Kawabori's comment)

Feb. 26-27 44th Annual Meeting of the Japan Society of Neurotraumatology in Kagawa

  • Presentation Date: Feb. 26, 2021 (Fri) / Session: Symposium 3: Brain Protection and Regenerative Medicine

  • Keynote speech: Clinical trial results of intracranial administration of mesenchymal stem cells (SB623) to patients

    suffering from chronic effects associated with traumatic brain injury (STEMTRA study) by Dr. Masahito Kawabori, Department of Neurosurgery and Neuronal Cell Therapy, Hokkaido University Hospital

3. SB623 Japan Product Approval and Subsequent Developments

Toward Filing for Japan Product Approval

Discussions are underway with authorities within the framework of the Sakigake designation system

In-person advice and preliminary interviewsProduct approval

  • Regulatory agencies provide guidance and advice in response to requests from SanBio

    • Aiming for early launch by making use of the conditional and time-limited approval system*

      Comprehensive Sakigake evaluation consultation

      NHI drug price listing

  • Product approval filing will be approved when the authority determines that the review following the submission of the filing can be completed within 6 months

  • Price is calculated using either the comparable drug method or the cost calculation method, but the method to be used is currently undetermined

Sales

  • Preparation underway to promptly market the product after NHI Drug Price listing

The Pharmaceutical and Medical Devices Law, which came into effect on November 25, 2014, introduced an early approval system(approval with conditions and time limits). For regenerative medicine products that are not homogeneous, if safety can be confirmed and efficacy is presumed, the system allows approval for manufacturing and sales with conditions and time limits (from Article 23-26 of the Pharmaceutical and Medical Devices Law).

Looking Ahead After SB623 Product Approval

Japan launch preparation status

We will finalize the HC for the launch activities and details once the requirements for product approval (post-marketing surveys, promotion of appropriate usage guideline, etc.) are determined. We are currently working with our partners and municipalities to prepare to help TBI patients as quickly as possible.

Current status

Pricing

Prepare documents to negotiate for appropriate drug prices

Review medical fees

Address the Japan Neurosurgical Society and Insurance Committee

Build sales structure

Clarify the actual treatment circumstances, and develop strategies for each treatment phase based on the views of doctors and patients

Develop strategies for regional activities centered on pre-surgery and post-surgery patient follow-up

Build logistics system

Prepare to implement R-SAT system with Suzuken

Carry out activities to build logistics scheme in various communities

Create promotional materials

Prepare promotional materials and video content based on product marketing strategy

Prepare content for product website

Build system for appropriate use

Collect scientific insights needed for appropriate use

Establish qualification assessment system that leverages ICT

Prepare e-learning content needed for appropriate use after launch

Current Status of Chronic TBI Medical Treatment (Japan)

  • 1. There are no effective treatments for chronic TBI patients, and many stop going to the hospital (about 40% of patients do not get checkups at hospitals*1).

  • 2. Not all doctors in all departments treat patients with chronic brain injuries.

  • 3. The doctor seeing the patient and the doctor performing the cell transplant are different.

Orthopedics Dept.

Neurosurgery Dept.

Rehabilitation Dept.

Neurology Dept.

Other

  • (1) Number of doctors treating maintenance phase TBI patients

  • (2) Maintenance phase patient retention rate by dept.

  • (3) MD treatment rate by dept.

  • (4) 1+ year follow-up rateSource: M3 Data MHLW

Emergency designation (by dept.)

*1 SanBio Quantitative Head Trauma Survey (conducted in October 2020)

Critical Care Facility

DepartmentCorrected national values

Age group

Segment of patients visiting hospitals

100% of Chronic TBI patients

About Asian ExpansionEstablished first Asian subsidiary SANBIO ASIA PTE. LTD. in Singapore on February 1, 2021

Purpose of incorporation in Singapore To establish a global structure for SanBio by allocating appropriate personnel for manufacturing, distribution, and Asian expansion After Japan approval of SB623, the corporation will serve as a hub to expand business channels in the Asian region

Company profile

  • Entity Name: SANBIO ASIA PTE. LTD.

  • UEN: 202104096W

  • Transaction Name: Incorporation of Local Company

Transaction No.: C210074644

About Regenerative Medicine Asian Countries*1

We will introduce products at an appropriate time while checking the relevant laws for regenerative medicine in each country

Number of cases per year*2

Approved regenerative medical products

Relevant laws

Other

China

Korea

Taiwan

TBI: 4 million people

Ischemic stroke: 3.3 million people Hemorrhagic stroke: 1.4 million people

TBI: 160,000 people Ischemic stroke: 86,000 people

Hemorrhagic stroke: 51,000

TBI: 70,000 people

Ischemic stroke: 36,000 people Hemorrhagic stroke: 16,000 people

None

16 products

(13 autologous, 3 allogenic)

None

No legislation specific to regenerative medicine

*Priority approval review system is available.

Advanced Biotechnology Act (September 2020)

Cell and Gene Therapy Medicinal Product Management Act (TBD)

By using the Hainan Advanced Zone Ordinance, research projects on cutting-edge medical technology can be developed and the approval time for imported drugs is expected to be shortened.

Domestic and foreign companies are expected to move into cellular and regenerative medicines, and the market is expected to expand in the coming years.

If the law for regenerative medicine is passed, the results of the Phase 2 trials may be used to obtain conditional approval like in Japan.

*1 IQVIA survey (conducted in April 2020)

*2 World Population Prospects / The Lancet Neurology; Global, regional, and national burden of traumatic brain injury and spinal cord injury / GHDx Healthdata

4. Going Forward

Pipeline: Targeting Areas of Serious Unmet Medical Need

Agent

Indication

Research

Nonclinical

Phase 1

Phase 2

Pivotal

Regulatory

Filing

SB623 Chronic Brain Injury

Traumatic Brain Injury

Japan

U.S.

Ischemic Stroke

Phase

2b or 3 Trial Planne

d (Japan)*1

Hemorrhagic stroke

Phase

2b or 3 Trial Planne

d (Japan)*1

SB623 Retinal Diseases

AMD (dry)*2

Partne

ed with OcuMensio

n Therapeutics in C

hina

Retinitis pigmentosa*2

Partne

ed with OcuMensio

n Therapeutics in C

hina

Other Nonclinical Programs

SB623

Parkinson's disease

Spinal cord injury

Alzheimer's disease

SB618

Peripheral nerve damage, etc.

SB308

Muscular dystrophy

MSC1

Cancer

MSC2

Inflammatory disease

Optic neuritis*²

Partne

red with OcuMensi

n Therapeutics in

China

*1 Clinical trials will begin from Phase 2b onward as safety has been confirmed in previous clinical trials for ischemic stroke and TBI programs. *2 Co-development with OcuMension (Hong Kong) Limited

SB623 Development Plans

Prioritizing Japan TBI program, followed by

Japan clinical trials for ischemic stroke and hemorrhagic stroke programs

Top priority

Traumatic brain injury (chronic phase)

Preparing for approval filling

Considering timing for starting clinical trials*

Ischemic stroke

Plan to discuss initiation of clinical trials with PMDA

Planning clinical trials*

Hemorrhagic stroke

Plan to discuss initiation of clinical trials with PMDA

Planning clinical trials*

*Considering in-house development and partnership options

SanBio Taking on the Challenges for Transition: Becoming a Global Leader

Management team spearheaded by leaders with proven experience and expertise in their respective fields, fully-equipped with the functions needed to fuel the company's growth

CTOO

CMO

(Chief Technical Operations Officer)

(Chief Medical Officer)

Chris Horan

Bijan NejadnikBusiness Head (Japan/Asia) Hiroshi YamamotoManagement Administration Yoshihiro Kakutani

Corporate officers

SanBio Taking on the Challenges for Transition: Enhancing Senior LeadershipStrengthen the organizational foundation by actively recruiting experienced senior leaders who can support the executive team and lead the business

Head of Japan Regulatory Affairs and Quality Control (Supervisor General of Manufacturing and Marketing) Kazumi Sawaguchi

Ms. Sawaguchi plays a central role in the development of regulatory strategies in Japan and in dealing with authorities related to clinicaltrial consultations and applications as the Head of Regulatory Affairsin Japan. She became a Supervisor General in February 2021, whenthe Quality Compliance team and the Quality Assurance team were integratedinto the Regulatory Affairs department, and will handle regulatory affairs and quality matters to drive product launches in Japan.

Head of Clinical DevelopmentHiroyasu Narita

Mr. Narita is responsible for leading all clinical development activities in Japan in collaboration with key opinion leaders in the central nervous system, stem cell, and regenerative medicine communities in Japan. Together with the CMO, he will play a key role in designing clinical development strategies for each program and long-term strategies for the entire SanBio Group.

Becoming a Global Leader in Regenerative Medicine

In business for 20 years

SanBio observed its 20th Anniversary on February 21st, 2021.

As we all continue to cope with one type of public health challenge, our team at SanBio has been working on cell medicines which are also important to public health, beginning with traumatic brain injury (TBI), chronic stroke, and other central nervous system diseases, with the vision of making regenerative therapeutics a basic modality of modern medicine. Today we believe we are on the verge of our first product approval and launch, and are therefore committing with renewed determination to move our program forward.

Obtaining SB623 product approval and executing this market launch is our current top priority.

However, we expect soon to broaden our focus to include many additional indications and countries, and to make SB623 widely available globally. Further, to fulfill our mission of pioneering a new category of medicine, we will pursue innovative new drugs including SB623, in fields where there is no effective treatment.

Lastly, while we are still on our way to achieving our goal, we would like to thank everyone's support to date, which has enabled us to come this far. We - all of us at SanBio - will continue to strive to bring breakthrough medicines to help patients in need, and we very much appreciate your continued support.

Keita Mori, CEO

Disclaimer

This presentation material, including any comments made during or following the presentation, is provided solely for the purpose of reference to those investors who make their own evaluation of the company at their own risk. This material contains estimates, such as plans, strategies and judgments, that are forward-looking statements which are made based on management's assumptions and beliefs in light of the information currently available to it and may contain risks and uncertainty. Therefore you should not place undue reliance on them in making investment decisions.

SanBio cautions you that actual results may differ substantially from those discussed in this material due to various factors. We do not guarantee the accuracy or completeness of the information herein. Unless otherwise stated, estimates or forecasts are solely those of our company and subject to change without notice. We accept no liability whatsoever for any direct or consequential loss arising from any use of this report.

SanBio Company Limited

Management Administration

Contact:info@sanbio.jp

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SanBio Co. Ltd. published this content on 18 March 2021 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 18 March 2021 06:01:09 UTC.