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1 st 2 nd 3 rd Lytix Biopharma AS | P.O. Box 6447 | NO-9294 Tromsø, Norway | E-mail: [email protected] | Phone: +47 77 67 55 00 | Fax: +47 77 67 55 01 Background LTX-315 is a membrane active host-defence peptide representing a novel oncolytic treatment principle applied as intralesional therapy. Aim To investigate whether LTX-315 induce abscopal effect in a novel rat mescenhymal three-tumor sarcoma model (rTMSC) Tumor cells were inoculated s.c. at Day -5 on right flank (1 st lesion) and at Day 0 on contralateral flank (second lesion) and i.p. (third lesion) in syngeneic PVG rats. The 1 st lesion was treated with 1 mg LTX-315 once daily for 7 subsequent days (days 3 – 9). Representative whole-body bioluminescence images of LTX-315 treated and non treated lesions are presented. Cured animals were re-challenged both s.c. and i.p with rTMSCs eight months later. Conclusions Here we show for the first time that intralesional treatment of one single lesion with LTX-315 (Oncopore TM ) is sufficient to cure animals with disseminated tumors. Systemic and long lasting protective immune responses was obtained in LTX-315 cured animals LTX-315 represents a novel intralesional therapeutic strategy with potential to induce clinical responses in metastatic diseases. A phase 1/2a study is in progress with LTX-315. References Camilio et al., Cancer Immunol Immunther, 2014. Berge G et al., Cancer Immunol Immunther, 2010. LTX-315 treatment induces complete and specific regression of dissaminated tumors in a novel mesenchymal three tumor model KVALHEIM G. 1 , WANG MY. 1 , NESTVOLD J. 2 , CAMILIO CA. 3 , ROLSTAD B. 2 , SVEINBJØRNSSON B. 3 , AREFFARD A 4 AND REKDAL Ø 4 Oslo University Hospital – Norwegian Radium Hospital 1 , University of Oslo 2 , University of Tromsø 3 , Lytix Biopharma 4 N H O NH 2 N H O N H O N N H O NH 2 N H O NH 2 N H O NH N H O N H 2 O N H O NH NH 2 NH 2 NH 2 OH O n Figure 1. Chemical structure of LTX-315 Figure 2. Study design of the three-tumor model Figure 3. LTX-315 eradicates treated and non-treated lesions in the three-tumor rTMSc model Figure 4. LTX-315 induce long term protective immune responses 3 6 9 14 19 26 DAY 5 12 18 5 12 18 LTX-315 treated lesion Treatment of the 1 st lesion with 1 mg daily for 7 days left flank i.p. + 3 6 9 14 19 26 2nd non-treated s.c. lesion 3rd non-treated i.p. tumor 3 6 9 14 19 26 Luminescence (p/s/cm 2 /sr) Controls n=6 Controls n=6 LTX-315 n=6 LTX-315 n=6 Days post re-challenge D-5 D 0 D3 D9 1 st 2 nd 3 rd s.c tumors i.p tumors

LTX-315 treatment induces complete and specific regression

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1st 2nd

3rd

Lytix Biopharma AS | P.O. Box 6447 | NO-9294 Tromsø, Norway | E-mail: [email protected] | Phone: +47 77 67 55 00 | Fax: +47 77 67 55 01

BackgroundLTX-315 is a membrane active host-defence peptide representing a novel oncolytic treatment principle applied as intralesional therapy.

AimTo investigate whether LTX-315 induce abscopal effect in a novel rat mescenhymal three-tumor sarcoma model (rTMSC)

Tumor cells were inoculated s.c. at Day -5 on right flank (1st lesion) and at Day 0 on contralateral flank (second lesion) and i.p. (third lesion) in syngeneic PVG rats. The 1st lesion was treated with 1 mg LTX-315 once daily for 7 subsequent days (days 3 – 9). Representative whole-body bioluminescence images of LTX-315 treated and non treated lesions are presented.

Cured animals were re-challenged both s.c. and i.p with rTMSCs eight months later.

Conclusions

• Here we show for the first time that intralesional treatment of one single lesion with LTX-315 (OncoporeTM) is sufficient to cure animals with disseminated tumors.

• Systemic and long lasting protective immune responses was obtained in LTX-315 cured animals

• LTX-315 represents a novel intralesional therapeutic strategy with potential to induce clinical responses in metastatic diseases.

• A phase 1/2a study is in progress with LTX-315.

ReferencesCamilio et al., Cancer Immunol Immunther, 2014.Berge G et al., Cancer Immunol Immunther, 2010.

LTX-315 treatment induces complete and specificregression of dissaminated tumors in a novel mesenchymal three tumor modelKVALHEIM G.1, WANG MY.1, NESTVOLD J.2, CAMILIO CA.3, ROLSTAD B.2, SVEINBJØRNSSON B.3,AREFFARD A4 AND REKDAL Ø4

Oslo University Hospital – Norwegian Radium Hospital1, University of Oslo2, University of Tromsø3, Lytix Biopharma4

NH

O

NH2

NH

O

NH

O

N

NH

O

NH2

NH

O

NH2

NH

O

NH

NH

O

NH2

O

NH

O

NH

NH2

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NH2

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Figure 1. Chemical structure of LTX-315

Figure 2. Study design of the three-tumor model

Figure 3. LTX-315 eradicates treated and non-treated lesions in the three-tumor rTMSc model

Figure 4. LTX-315 induce long term protective immune responses

3 6 9 14 19 26DAY

5 12 18 5 12 18

LTX-315 treated lesion

Treatment of the 1st lesion with 1 mg daily for 7 days

left flank

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3 6 9 14 19 26

2nd non-treated s.c. lesion 3rd non-treated i.p. tumor

3 6 9 14 19 26

Luminescence(p/s/cm2/sr)

Controlsn=6

Controlsn=6

LTX-315n=6

LTX-315n=6

Days postre-challenge

D-5 D 0 D3 D91st2nd

3rd

s.c tumors i.p tumors