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Corporate NC Presenta-on May 2014 OTCQX:BIOAF & TSX.V:BTI Delivering Breakthrough Therapeu3cs Across the Blood Brain Barrier

biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Page 1: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

Corporate  NC  Presenta-on                                                                                                                                                                                                      May  2014  

OTCQX:BIOAF  &  TSX.V:BTI      

Delivering  Breakthrough  Therapeu3cs  Across  the  Blood-­‐Brain  Barrier  

 

Page 2: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

TSX.V:  BTI  

Important  Cau-ons  Regarding  Forward  Looking  Statements  

Certain  statements  in  this  presenta-on  contain  forward-­‐looking  statements  within  the  meaning  of  the  Private  Securi-es  Li-ga-on  Reform  Act  of  1995  or  forward-­‐looking  informa-on  under  applicable  Canadian  securi-es  legisla-on  that  may  not  be  based  on  historical  fact,  including  without  limita-on  statements  containing  the  words  “believe”,  “may”,  “plan”,  “will”,  “es-mate”,  “con-nue”,  “an-cipate”,  “intend”,  “expect”  and  similar  expressions.  Such  forward-­‐looking  statements  or  informa-on  involve  known  and  unknown  risks,  uncertain-es  and  other  factors  that  may  cause  our  actual  results,  events  or  developments,  or  industry  results,  to  be  materially  different  from  any  future  results,  events  or  developments  express  or  implied  by  such  forward-­‐looking  statements  or  informa-on.    

Such  factors  include,  among  others,  our  stage  of  development,  lack  of  any  product  revenues,  addi-onal  capital  requirements,  risk  associated  with  the  comple-on  of  clinical  trials  and  obtaining  regulatory  approval  to  market  our  products,  the  ability  to  protect  our  intellectual  property,  dependence  on  collabora-ve  partners  and  the  prospects  for  nego-a-ng  addi-onal  corporate  collabora-ons  or  licensing  arrangements  and  their  -ming.  Specifically,  certain  risks  and  uncertain-es  that  could  cause  such  actual  events  or  results  expressed  or  implied  by  such  forward-­‐looking  statements  and  informa-on  to  differ  materially  from  any  future  events  or  results  expressed  or  implied  by  such  statements  and  informa-on  include,  but  are  not  limited  to,  the  risks  and  uncertain-es  that:  we  may  not  be  able  to  successfully  develop  and  obtain  regulatory  approval  for  p97  as  a  Physician’s  Aid  to  Diagnose  Alzheimer’s,  or  future  products  in  our  targeted  corporate  objec-ves;  our  future  opera-ng  results  are  uncertain  and  likely  to  fluctuate;  we  may  not  be  able  to  raise  addi-onal  capital;  we  may  not  be  successful  in  establishing  addi-onal  corporate  collabora-ons  or  licensing  arrangements;  we  may  not  be  able  to  establish  marke-ng  and  the  costs  of  launching  our  products  may  be  greater  than  an-cipated;  we  have  no  experience  in  commercial  manufacturing;  we  may  face  unknown  risks  related  to  intellectual  property  maPers;  we  face  increased  compe--on  from  pharmaceu-cal  and  biotechnology  companies;  and  other  factors  as  described  in  detail  in  our  filings  with  the  Canadian  securi-es  regulatory  authori-es  at  www.sedar.com.    

Given  these  risks  and  uncertain-es,  you  are  cau-oned  not  to  place  undue  reliance  on  such  forward-­‐looking  statements  and  informa-on,  which  are  qualified  in  their  en-rety  by  this  cau-onary  statement.  All  forward-­‐looking  statements  and  informa-on  made  herein  are  based  on  our  current  expecta-ons  and  we  undertake  no  obliga-on  to  revise  or  update  such  forward-­‐looking  statements  and  informa-on  to  reflect  subsequent  events  or  circumstances,  except  as  required  by  law.  

 

Page 3: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

TSX.V:  BTI  

Who  We  Are…  

•  Our  patented  “Transcend  Family”  of  technologies  allows  proven  and  experimental  drug  therapies  to  penetrate  the  blood-­‐brain  barrier  (BBB)  and  offer  poten-al  treatments  for  diseases,  such  as,  but  not  limited  to:  •  Brain  Cancers  •  Neurodegenera-ve  Diseases  •  Lysosomal  Storage  Diseases    

•  The  “Transcend  Family”  is  a  Market  Leading  technology  in  BBB  transport    

•  New  therapeu-c  en--es  based  on  the  Transcend  Family  may  offer  hope  for  pa-ents  while  providing  value  to  industry  thru  extending  the  patent  life  of  numerous  blockbuster  drugs  

•  Several  drug  development  programs  are  currently  underway  

Page 4: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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The  Blood-­‐Brain  Barrier  Challenge  

•  The  blood-­‐brain  barrier  (BBB)  safeguards  the  400+  miles  of  capillaries  and  blood  vessels  in  the  brain  which  carry  20%  of  the  body’s  blood  flow  

•  While  cancers  origina-ng  in  the  brain  are  fewer  than  in  other  regions  of  the  body,  10x  as  many  people  develop  brain  tumors  from  cancers  that  begin  elsewhere  in  the  body  (metasta-c)1  

•  However,  the  BBB  totally  stymies  modern  cancer  therapies  that  work  effec-vely  elsewhere  in  the  body  by  blocking  98%  of  small  molecule  drugs  and  virtually  100%  of  large  molecule  drugs1  

•  Crea-ng  a  ‘carrier’  to  deliver  these  proven  cancer  treatments  through  the  BBB  could  not  only  save  lives,  it  could  extend  the  patent  life  of  many  of  exis-ng  drug  therapies  

1)  Royal  Society  of  Chemistry  

The  BBB  consists  of  endothelial  cells  lining  the  blood  vessels  in  the  brain.  In  sharp  contrast  to  blood  vessels,  this  thin  layer  of  ‘fortress  cells’  are  bound  together  so  -ghtly,  there  are  no  gaps  for  blood-­‐borne  materials  to  leak  into  the  brain.  

Page 5: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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How  We  Address  this  Opportunity:  Our  Breakthrough  Solu-on  -­‐  Transcend  

•  Transcend  is  based  on  Melanotransferrin  (aka  “MTf”  or  “p97”),    an  endogenous  protein  that  is  ac-vely  transported  across  the  BBB  –  Transcendpep  is  a  family  of  pep-des  origina-ng  from  Transcend  offering  improved  brain  penetra-on  over  Transcend  -­‐  the  “Transcend  Family”  

•  The  Transcend  Family  can  uniquely  ‘piggy  back’  conjugated  or  fusion  drugs  and  using  Receptor  Mediated  Transcytosis,  deliver  them  into  the  brain  

•  Transcend  Family  conjugates  may  have  improved  PK  and  biodistribu-on,  as  well  as  a  bePer  side  effect  profile  than  the  parent  drug  alone  

•  Transcend  Family  conjugates  &  fusions  may  be  designed  in  order  to  make  the  combined  therapeu3c  inac3ve  in  the  blood  un3l  processed  intracellularly  by  targeted  brain  cells  and  released  as  ac3ve  inside  the  cells  

Melanotransferrin  (MTf)  Protein  

 Transcend  Conjugate  

Transcend  in  Ac-on  Receptor  Mediated  Transcytosis  

BBB  

Page 6: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Melanotransferrin  (Transcend)  

First  iden-fied  as  cell  surface  marker  associated  with  human  skin  cancer  –  p97  Melanoma-­‐Associated  An-gen  

•  Belongs  to  a  group  of  iron  binding  proteins  transferrin,  lactoferrin,  ovotransferrin  (Rose  et  al.,  1985).  Shares  40%  sequence  iden-ty  with  human  lactoferrin    

•  2  forms:  GPI  anchor  and  soluble  (Food  et  al.,  1994)  •  Expressed  in  an  array  of  normal  -ssue,  brain  capillary  endothelial  cells,  and  reac-ve  microglia  associated  with  Aβ    plaques  in  brain  -ssues  from  AD  pa-ents  (Jefferies  et  al.,  1995;  Rothenberger  et  al.,  1995)  

 

Page 7: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Biodistribu-on  of  the  Transcend  Vector  to  the  Brain  Following  IV  Administra-on  in  Mice  

This  analysis  indicated  that  there  could  be  Species  Specific  factors  in  play  hMTf  =  Human  Transcend  –  mMTf  =  Mouse  Transcend          

 

0%  

1%  

2%  

3%  

4%  

5%  

6%  

7%  

8%  

9%  

0   5   10   15   20   25   30  

%ID/g  BM  

Time  

%  Injected  Dose  in  the  Brain  

hMTf   mMTf  

Page 8: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Transcend  is  Rapidly  Taken  up  by  the  Brain  

Drug   Brain    Kin  (ml/s/g)  

Reference  

Glucose   9.5  x  10-­‐3   Smith  (2003)  

Transcend   6.4  x  10-­‐4     Demeule  et  al.  (2002)  Morphine   2.0  x  10-­‐4   Cisternino  et  al.  (2001)  

Apro-nin  *1   1.6  x  10-­‐4     Demeule  et  al.  (2008)  

Insulin  Rec  An-body  *2   1.0  x  10-­‐4     Pardridge  (1997)  

Leu-­‐Enkephalin   6.0  x  10-­‐5     Zlokovic    (1987)  

Morphine-­‐6-­‐Glucuronide   2.4  x  10-­‐5   Temsamani  et  al.  (2005)  

RAP  *3   1.0  x  10-­‐5     Pan  (2004)  

Beta  Amyloid     6.5  x  10-­‐6     Banks  (1991)  

DADLE   6.5  x  10-­‐6     Chen  (2002)  

TNF-­‐α     4.3  x  10-­‐6     Pan  (2002)  

Transport  Efficiency    

More  

Less  

In  situ  brain  uptake  –  measurement  of  rate  of  transport  

1.  Angiochem      2.  Armagen  Technoologies  3.  Raptor  Pharmaceu-cals    

Page 9: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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βA mAb-cy5.5 (60x)

Transcend-cy5.5 (20x) Transcend-cy5.5 (60x) §  Transcend CONJUGATED TO CY5.5

§  CAPILLARIES STAINED WITH VESSEL GREEN (FITC-LECTIN)

§  NUCLEI OF BRAIN CELLS STAINED WITH DAPI BLUE

Transcend-cy5.5 is localized in the brain parenchyma in contrast to mAb against β amyloid peptide which do not cross efficiently the BBB and is mostly seen associated to brain capillaries

In Capillaries

In Parenchyma In Parenchyma

Transcend-­‐cy5.5  Located  in  the  Brain  Parenchyma  (2h  Post  IV  Injec-on)  

Page 10: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Transcend-­‐Rhodamine  Localizes  in  Brain  Neuron  Lysosomes  (2h  Post  IV  Injec-on)  

Transcend is associated with a lysosomal compartment in neurons as shown with co-staining of NeuN and cathepsin B

Lysosome in neuron localization

Transcend Vessels Cathepsin B NeuN

Page 11: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Our  Transcend  Planorm  Offers  Mul-ple  Development  Opportuni-es    

We  have  conjugated  therapeu-c  compounds  that  include  an-bodies,  enzymes,  other  biologics  and  small  molecules  to  the  Transcend  Family  that  target:  

a)  Specific  brain  cells  (e.g.,  neurons,  astrocytes  and  tumors)  

b)  Certain  intracellular  compartments  (e.g.,  lysosomes,  endosomes,  cytoplasm  and  nuclei)  

c)  Delivery  into  the  brain  of  exis3ng  therapeu-c  drugs  currently  not  approved  for  central  nervous  system  (CNS)  indica-ons  

d)  Delivery  into  the  brain  of  promising  new  agents  in  development  

….  and  offer  patent  term  extension  of  exis-ng  drugs  through  crea-on  of  NCEs,  combining  the  Transcend  Family  with  generic  agents  or  those  about  to  lose  exclusivity  

Page 12: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Chronic  Neurodegenera-ve  Disorders  •  Many  biologics  in  development,  require  delivery  

•  Disease  modifica-on  need  is  unmet  by  current  drugs  

•  Direct  costs  of  trea-ng  Alzheimer’s  will  total  an  es-mated  $203  billion  in  the  US  in  2013  

Stroke  &  Trauma-c  Brain  Injury  •  BBB  disrupted  in  first  few  hours  but  is  intact  in  the  recovery  phase  

•  Clinical  need  is  unmet  by  current  drugs  

•  History  of  failure  of  neuro-­‐protec-ve  drugs  in  clinical  trials  

•  The  direct  costs  of  medical  care  and  therapy  in  the  US  are  es-mated  at  $28  billion  per  year.  

Lysosomal  Storage  Diseases  (LSD)  with  CNS  Involvement  •  Niche  indica-ons,  but  lucra-ve  •  Relevant  drugs  do  not  cross  BBB  •  Clinical  need  unmet  by  current  drugs  

•   Elaprase  treatment  for  MPSII  costs  ~375,000  per  year  

•  Annual  US  sales  in  2012  were  $498  million  

Infec-on  (Bacterial,  Viral,  Fungal)  •  In  most  cases  clinical  need  is  well  met  by  current  drugs  

•  BePer    BBB  penetra-on  could  make  make  a  significant  difference  in  certain  infec-ons  

Psychiatry  •  Most  drugs  cross  the  BBB  and  the  clinical  need  is  generally  well  met  

•  Injec-ons  are  problema-c  for  most  chronic  indica-ons  

Oncology  •  Clinical  need  is  unmet  by  current  drugs  

•  Many  drugs  do  not  cross  the  BBB  •  Large  market  opportunity  •  Market  for  biological  therapies  for  cancer  is  expected  to  reach  $53.7  billion  in  2014.  

Pain  &  Migraine  •   Latest  genera-on  drugs  have  limited  BBB  penetra-on  

• In  2012  the  total  cost  for  pain  in  the  United  States  ranged  from  $560  to  $635  billion  

Mul-ple  Opportuni-es  for  Transcend  Across  a  Range  of  Therapeu-c  Areas  

Page 13: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Current  &  Future  Brain    Opportuni-es  -­‐  Diseases  to  be  Treated  

Crossing  the  BBB  Would  be  the  Most  Effec-ve  Method    to  Treat  These  Condi-ons;  Poten-al  Annual  Market  Value,  Greater  than  $50B  

•  Brain  cancers  

10,000  new  cases  diagnosed  with  glioblastomas  annually  in  US  

>200,000  new  cases  diagnosed  with  brain  metastasis  annually  in  US  

•  Chemotherapeu-cs  and  small  drugs  •  MAbs  against  HER,  EGFR,  VEGF,  etc…  •  siRNA  

•  Neurodegenera-ve  diseases  (AD,  PD,  MS,  ALS,  HD,…)    

4M  cases  of  AD  in  2003  in  US,  exponen-al  growth  with  14M  of  AD  by  2025  

•  Neurotrophic  Factors  •  Small  Drugs  •  siRNAs  •  Monoclonal  an-bodies  against  an--­‐No  Go  an-bodies  

(MS),  an-  Ab  pep-des  and  an-  BACE-­‐1  (AD)  •  Pep-des    

•  Obesity  •  Neurotrophic  Factors  •  Pep-des  

•  Rare  Gene-c  Diseases  (MPSI,  II,  III)  •  Lysosomal  enzymes  such  as  IDU,  IDS  or    sulphamidases  

•  Infec-ous  Diseases  (AIDS,  meningi-s,  encephili-s…)  •  An-bio-cs  •  An--­‐HIV  

•  Psychiatric  Diseases  •  Small  drugs  

•  Pain  Therapy  •  Small  drugs  •  Pep-des  

13  

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Market  Opportunity  for  Brain  Cancer    Treatment  

•  Brain  metastases  occur  in  20%-­‐40%  of  pa-ents  with  systemic  cancer,  30%-­‐40%  present  with  a  single  metastasis  1-­‐2  

•  Adjuvant  value  for  Oncology  (Metasta-c  Breast  Cancer)  –  Current  market  for  Transcend  is  greater  than  $6  billion  

•  13,000  people  die  from  cancerous  brain  tumors  annually  in  the  U.S.3  

•  Global  brain  tumor  treatment  therapies  market  forecasted  to  grow  11%  annually  over  the  next  five  years  to  $2.1  billion  by  20174    

•  Small  molecule  therapeu-cs  can  be  designed  to  be  inac-ve  in  blood,  but  retain  their  full  ac-vity  once  released  in  the  intracellular  compartment  of    brain  tumor  cells  

1)  Cairncross  JG,  Kim  JH,  Posner  JB.  Radia-on  therapy  for  brain  metastases.  Ann  Neurol  1980;  7:  529–41.  2)  Lohr  F,  Pirzkall  A,  Hof  H,  Fleckenstein  K,  Debus  J.  Adjuvant  treatment  of  brain  metastases.  Semin  Surg  Oncol  2001;  20:  50–56.    3)  The  New  York  Times  4)  GlobalData  “Brain  Tumor  –  Pipeline  Assessment  and  Market  Forecasts  to  2017”  released  Jan.  17,  2011.  

$0.9B  

$2.1B  

2009   2010   2011   2012   2013F  2014F  2015F  2016F  2017F  

($  Billions)  Global  Brain  Tumor  Therapies  Market    

Page 15: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

Applica-ons  of  Transcend  &  Transcendpep  

Ac?ve  Program:  Delivery  of  Enzymes  to  Treat  LSD’s    

Delivery  of  mAbs:    Alzheimer’s      Delivery  of  Small  Drugs  –  Cancer    Ac?ve  Program:  Cancer  Trastuzumab  

Delivery  of  siRNA    

Page 16: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Ac-ve  Development  Program:    Lysosomal  Storage  Diseases  

•  Lysosomal  Storage  Diseases  (LSDs)  comprise  a  large  group  of  rare  inherited  metabolic  disorders  arising  from  an  enzyme  deficiency  

•  Approximately  50  LSDs  have  been  described  including  Tay  Sachs  Disease,  Fabry  Disease,  Gaucher’s  Disease,  Hunter  syndrome  and  mucopolysaccharidosis  (MPS)  

•  The  disorders  affects  children  many  of  whom  suffer  and  die  within  several  years  of  birth  

Lysosomal  Storage  Disease  (LSD)  

Page 17: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Enzyme  Replacement  Therapy  (ERT)  

•  There  are  no  cures  for  LSDs.  •  Most  effec-ve  therapeu-c  strategy  is  enzyme  replacement  therapy  (ERT)  in  which  intravenous  delivery  of  the  deficient  enzyme  is  used  in  an  aPempt  to  ameliorate  symptoms  in  pa-ents  with  certain  LSDs.  

•  Costs  of  ERT  are  extremely  high,  ranging  $90,000  to  $720,000  per  pa-ent  annually.  

•  Because  of  the  blood-­‐brain  barrier,  current  ERT  is  unable  to  restore  enzyme  func-on  in  the  brain  and  therefore  does  not  address  the  neurological  symptoms  associated  with  LSDs.  

Page 18: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Hurler  Syndrome  -­‐  MPS  I  Lysosomal  Storage  Disease  

•  Rare  inherited  gene-c  disorder  •  MPS  I  is  caused  by  a  deficiency  of  α-­‐L-­‐iduronidase  (IDU)  

•  IDU  deficiency  results  in  accumula-on  of  GAGs  in  the  lysosome  resul-ng  in  cell  death  

•  ERT  can  treat  the  peripheral  effects  of  the  disease  but  the  BBB  prevents  CNS  treatment  resul-ng  in  progressive  mental  retarda-on  

Page 19: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Dose-­‐Dependent  Increase  in  Brain  Enzyme  Ac-vity  

•  Dose-­‐Dependent  Increase  in  Brain  Enzyme  Ac-vity  in  MPS  I  Knockout  Mice  With  Transcend-­‐IDU  Administered  IV  

•  Conjuga-on  to  Transcend  restores  IDU  brain  enzyme  ac-vity  towards  wild  type  levels  in  a  dose-­‐dependent  fashion  

0  

0.2  

0.4  

0.6  

0.8  

1  

1.2  

IDU)   Transcend-­‐IDU  

Total  IDU

 ac-vity  

Capillaries  Parenchyma  

MPS  I  Ac-vity  

Page 20: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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1  Unit  =  23.9  µm  

Non-­‐Conjugated  Lysosomal  EnzymeAF647  in  Brain  Sec-ons  

1  Unit  =  23.9  µm  

Blue:  Nuclei  Green:  Capillaries  Red:  Lysosomal  EnzymeAF647  

Page 21: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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MTf-­‐dpIDSAF647  

1  Unit  =  23.9  µm  

Transcend-­‐Lysosomal  EnzymeAF647  Conjugate  in  Brain  Sec-ons  

Blue:  Nuclei  Cyan:  Capillaries  Pink:  Transcend-­‐EnzymeAF647  Conjugate  

1  Unit  =  23.9  µm  

LAMP-­‐1  staining  and  lipofuscin  fluorescence  indicates  that  the  Transcend-­‐Enzyme  conjugates  are  localized  with  the  lysosomal  compartment  

Page 22: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Rela-ve  Increase  of  Lysosomal  Enzyme  in  Brain  

0  

5  

10  

15  

20  

25  

Enzyme  Alone   Transcend-­‐Enzyme  

Parenchyma  

Fold  In

crease  over  e

nzym

e  

Page 23: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Enzyme  Replacement  Therapy  for  Lysosomal  Storage  Diseases  in  the  CNS  

§  40%  to  60%  of  the  Transcend-­‐Lysosomal  Enzymes  conjugates  (determined  from  AF647)  in  the  brain  was  located  in  the  parenchyma  with  the  remainder  in  the  capillaries  

§  Conjuga-on  of  the  Enzymes  to  Transcend  resulted  in  a  8  to  10  fold  increase  in  the  volume  frac-on  of  the  Enzymes  in  the  brain  parenchyma  

§  The  consequence  of  the  Transcend-­‐Enzyme  conjuga-ons  and  M6P  dephosphoryla-on  was  addi-ve  and  highly  significant    

§  Greater  than  40%  of  lipofuscin  (lysosomes)  was  associated  with  the  Enzymes  when  administered  as  a  conjugate  of  Transcend  

§  Less  than  18%  of  lipofuscin  was  associated  with  the  Enzymes  when  not  conjugated  to  Transcend  

§  Confirms  that  Enzymes  conjugated  to  Transcend  co-­‐localizes  within  the  lysosome  within  the  brain  parenchyma    

 

Summary  

Page 24: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Enzyme  Replacement  Therapy  for  Lysosomal  Storage  Diseases  in  the  CNS  

•  biOasis’s  Transcend  vector  can  deliver  lysosomal  enzymes  from  the  blood,  across  the  blood-­‐brain  barrier  and  into  brain  -ssue  

•  Conjuga-on  to  Transcend  restores  IDU  brain  enzyme  ac-vity  in  IDU-­‐deficient  mice  towards  wild  type  levels  in  a  dose-­‐dependent  fashion  

•  Conjuga-on  with  Transcend  results  in  a  marked  transport  of  lysosomal  enzymes  from  the  blood  into  CNS  lysosomes  

•  Transcend  offers  the  promise  of  an  enzyme  replacement  therapy  to  ameliorate  CNS  pathology  associated  with  Lysosomal  Storage  Diseases  

Lysosomal  Membrane  Proteins  

Summary  con’t…    

Page 25: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Development  Program:  Alzheimer's  Disease  Delivery  of  An--­‐Amyloid  Beta  An-body    

Conjuga-on  of  An--­‐Aβ-­‐pep-de  an-body  to  Transcend  increases  transport  into  brain  parenchyma  by  ~5-­‐fold    This  increase  of  transport  may  result  in  a  therapeu-c  concentra-on  in  brain    

0.000#

0.001#

0.002#

0.003#

0.004#

0.005#

0.006#

0.007#

Transcend3an43AB#mAb# an43Ab#mab#

Volume'Frac,o

n''' Parenchyma#

Image  Analysis  by  Laser  Scanning  Confocal  Microscopy  

Page 26: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Delivery  of  Doxorubicin  for  Treatment  of  Primary  &  Metasta-c  Brain  Cancers  

•  Doxorubicin  is  commonly  used  in  the  treatment  of  a  wide  range  of  cancers,  including  hematological  malignancies,  many  types  of  carcinoma,  and  sov  -ssue  sarcomas  

•  Doxorubicin  is  available  in  a  liposome-­‐encapsulated  form  as  Doxil,  which  used  primarily  for  the  treatment  of  ovarian  cancer  or  AIDS-­‐related  Kaposi's  sarcoma  

•  Doxorubicin  could  be  be  highly  effec-ve  for  trea-ng  brain  tumors  if  it  could  be  delivered  into  the  brain    

•  Doxorubicin  is  excluded  from  the  brain  because  it  is  recognized  by  the  mdr-­‐1  protein  at  the  BBB  

•  Also,  its  most  serious  adverse  effect  is  life-­‐threatening  heart  damage  

 

Doxorubicin (Adriamycin®)

Page 27: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Transcend-­‐ADR  Conjugate  Enhances  Doxorubicin  Transport  into  the  Brain  •  Covalent  Linkage  •  Stable  in  Plasma  —  Half-­‐life  of  8  hours  

•  Bioconjugates  inac-ve  in  blood  but  Doxo  retains  full  ac-vity  once  released  in  the  intracellular  compartment  of    brain  tumor  cells  

•  Significant  INCREASE  in  brain  uptake  with  the  Transcend  Vector  vs.  Doxo  on  its  own  

0.00  

1.00  

2.00  

3.00  

Transcend-­‐Doxo   Doxo  

%  INJECTED  DOSE    (G  TISSUE/G  BODY  MASS)*100%  

Transcend  Significantly  Enhances  Doxorubicin  Transport  into  the  Brain  

Page 28: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Transcend  Significantly  Reduces  Doxorubicin  Transport  into  the  Heart  

With  Doxo’s  most  serious  adverse  effect  being  life-­‐threatening  heart  damage,  Transcend  vs  Doxo  on  its  own  showed  a  significant  DECREASE  in  uptake  to  the  heart  

0.0  

5.0  

10.0  

15.0  

20.0  

Transcend-­‐Doxo   Doxo  

%  IN

JECT

ED  DOSE  

(gram  brain  -ssue

/gram  bod

y  mass)*100    

Page 29: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Transcend-­‐DOXO  Conjugate  Achieves  Therapeu-c  Levels  in  the  Brain  Increase  survival  of  treated  nude  mice  implanted  IC  with  ZR-­‐75-­‐1  mammary  tumor  cells.  

Increase  survival  of  treated  nude  mice  implanted  IC  with  C6  glioma  cells  

Injec-on  Schedule    •  Study  Performed  at  the  Southern  Research  Ins-tute  –  Alabama  •  Showed  the  Transcend  Vector  delivered  a  therapeu-c  dose  of  Doxo  in  the  Brain  

Page 30: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Ac-ve  Development  Program    Hercep-n®  (trastuzumab)  

•  This  humanized  monoclonal  an-body  interferes  with  the  HER2/neu  receptor  (regulates  cell  growth,  survival,  migra-on  and  differen-a-on)  

•  Greater  than  30%  of  breast  cancers  overexpress  HER2  (HER2+)  causing  breast  cells  to  reproduce  uncontrollably  

•  One-­‐year  course  of  Hercep-n  treatment  costs  ~$70,000  and  annual  global  sales  are  ~$6  billion  

•  Hercep-n  increases  pa-ent  survival  in  late-­‐stage  metasta-c  breast  cancer,  but  ~30%  develop  breast  cancer  metastasis  in  the  brain  

•  Hercep-n  does  not  cross  the  blood-­‐brain  barrier  

Hercep-n®  is  a  registered  trademark  of  Roche/Genentech  

Hercep-n:  How  it  works  

Page 31: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Hercep-n-­‐Transcend  (research  code  BT2111)  to  Treat  Brain  Metastases  of  Breast  Cancer  

•  Preclinical  studies  are  being  conducted  with  Transcend  conjugated  to  Hercep-n  using  heterobifunc-onal  protein  crosslinkers  followed  by  purifica-on  of  heterodimer  enriched  frac-on  

•  In  vivo  ac-vity  of  the  conjugate  was  assessed  in  a  number  of  HER2+  breast  cancer  cell  lines  

•  For  in  vivo  an  ex  vivo  studies  involving  microscopic  visualiza-on  and  measurement  of  distribu-on  of  the  conjugated  molecule  in  the  brain,  prior  to  conjuga-on,  Hercep-n  is  labeled  with  a  fluorescent  dye  or  with  radioac-ve  iodine    

Hercep-n-­‐TranscendBT2111  

Page 32: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Hercep-n  &  Hercep-n-­‐TranscendBT2111  Halt  Tumor  Growth  BT474  HER2/neu  Over-­‐Expressing  Tumor  Xenogra{  Model  •  40  six  to  eight  week  old  female  athymic  nude  mice  inoculated  subcutaneously  with  1x107  BT474  cells  

•  Mice  dosed  subcutaneously  with  estradiol  twice  a  month      

•  Tumor  size  was  determined  using  the  formula  length  (mm)  x  width  (mm)  x  depth  (mm)  x  0.52  

•  Treatment  with  test  ar-cles  began  when  tumors  reached  a  size  of  50  to  100  mm3    

•  Test  ar-cles  were  administered  via  intraperitoneal  injec-on  twice  weekly  for  40  days  (5  weeks)  and  tumor  size  measured    

BT2111  &  Hercep-n®  Halt  Growth  of  BT474  HER2/neu  Over-­‐Expressing  Tumors    

25  

50  

75  

100  

125  

150  

175  

200  

225  

Day  0   Day  10   Day  20   Day  30   Day  40   Day  50  

Tumor  Size  (m

m3)  

PBS  

Hercep-n  

BT2111  

BT2111  –  Benign  Toxicity  Profile    •  Female  athymic  nude  mice  were  treated  with  BT2111  (18.5  mg/kg,  IP,  biweekly  for  five  weeks)  

•  No  test-­‐ar-cle  related  effects  on  body  weight  •  No  test-­‐ar-cle  related  clinical  signs  of  toxicity  •  No  test  ar-cle-­‐related  histopathology  findings  (selected  organs)  

Page 33: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Hercep-n-­‐TranscendBT2111  Localiza-on  in  Brain  

Brain  Capillaries  

Nuclei  

BT2111:  Hercep-n®-­‐Transcend  

Confocal Image Performed by iCapture at St. Paul’s Hospital Vancouver Canada

Confocal  Images  Two  Hours  Post  IV  Administra-on  

Data  at  2  Hours  Post  IV  Administra-on  

0.0E+00  

5.0E-­‐04  

1.0E-­‐03  

1.5E-­‐03  

MTf-­‐Hercep-n  2h   Hercep-n  2h  Vo

lume  Frac-o

n  

Fluorescence  Localized  to  Brain  Parenchyma  

Work  performed  at  Na-onal  Research  Council  of  Canada  –  Research  Facility  

Hercep-n-­‐TranscendBT2111  Localizes  in  Brain  Parenchyma    

Page 34: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Frozen  Brain  Sec-on  Analyzed  Using  Immunofluorescent  Staining  &  Autoradiography  

Hercep-n-­‐TranscendBT2111  Distribu-on  in  Brain  and  Breast  Cancer  Tumors    

Mouse  Model  of  Breast  Cancer  Metastasis  to  Brain  

•  Images  to  the  right  show  quan-fica-on  of  Hercep-n-­‐TranscendBT2111  taken  up  in  brain  parenchyma  and  in  metastasis  

•  Demonstra-ng  poten-al  therapeu-c  concentra-on  

•  Histopathology  analysis  of  -ssue  samples  showed  no  Toxicity  in  Brain  and  other  organs  within  the  body    

 

Time  Point  2hr  Post  IV  Injec-on  

72.9ng/g

48.4ng/g

109.2ng/g

66.8ng/g

131.7ng/g

142.6ng/g

110.2ng/g

25.1ng/g

Preferen-al  uptake  of  radio  labeled  BT2111  into  tumors  compared  with  BDT  

Calculated  concentra-ons  of  BT2111  within  brain  regions  

Breast  cancer  metastasis  distributed  throughout  the  brain  

Brain  -ssue  distal  to  tumors  (BDT)  

Page 35: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Hercep-n-­‐TranscendBT2111  and  Hercep-n  Uptake  into  Brain  &  Brain  Metastasis  of  Breast  Cancer      

 

0.E+00  

2.E-­‐06  

4.E-­‐06  

6.E-­‐06  

8.E-­‐06  

1.E-­‐05  

1.E-­‐05  

Trastuzumab   BT2111  

Kin  (m

L/s/g)  

BDT   Tumor  

Not  only  was  the  uptake  in  brain  of  Hercep-n-­‐TranscendBT2111  significantly  higher  than  Hercep-n  alone,  but  the  uptake  into  the  tumors  where  drama-cally  higher  

Page 36: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Brain  Metastasis  of  HER2+  Breast  Cancer  

0  

10  

20  

30  

40  

50  

60  

70  

80  

90  

100  

MTf   Trastuzumab   BT2111   Saline  Control  

By  Number  of  Tumors  

0.0  

0.5  

1.0  

1.5  

2.0  

2.5  

MTf   Trastuzumab   BT2111   Saline  Control  

By  Mean  Tumor  Volume    

n=20  in  each  group  

Page 37: biOasis Technologies, Inc. (BTI:TSXV & BIOAF:OTCQX) Presentation - May 2014

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Hercep-n-­‐TranscendBT2111  Brain  Uptake  &  Efficacy  Summary  

•  Hercep-n-­‐TranscendBT2111  Uptake  into  Breast  Cancer  Metastasis  in  the  Brain    •  Hercep-n-­‐TranscendBT2111    distributes  to  brain  and  brain  metastases  with  a  significant  uptake  into  the  tumors  demonstra-ng  blood  tumor  barrier  penetra-on    

•  Hercep-n-­‐TranscendBT2111  in  vivo  Efficacy  in  Breast  Cancer  Models  •  Mouse  xenograv  Model    

•  Hercep-n-­‐TranscendBT2111  completely  prevents    breast  HER2+  cancer  tumor  growth  

•  Mouse  model  of  brain  metastasis  of  breast  cancer  •  Hercep-n-­‐TranscendBT2111    reduced  the  number  of  HER2+  breast  cancer  tumors  in  brain  by  68%.  The  tumors  that  remained  aver  treatment  were  57%  smaller  than  those  in  the  Hercep-n  treated  animals  

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Transcendpep-­‐mAbAF647  

Transcendpep  are  a  number  of  small,  under  20  amino  acid  sequence  pep-des,  found  within  Transcend  (MTf)  which  we  discovered  aver  many  years  of  research    

We  have  conjugated  Transcendpep    to  a  number  of  fluorescently  labeled  mAbs,  enzyme  and  siRNA  all  showing  equal  to  or  greater  transport  than  the  full  length  MTf-­‐Transcend  protein  itself    

This  confocal  image  prepared  by  the  Na-onal  Research  Counsel  of  Canada,  clearly  shows  the  mAb  (red)  has  been  transported  across  the  BBB  and  localizing  around  the  neurons  (blue)  

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Transcendpep-­‐mAbAF647  

-­‐1.0E-­‐03  

1.0E-­‐17  

1.0E-­‐03  

2.0E-­‐03  

3.0E-­‐03  

4.0E-­‐03  

5.0E-­‐03  

mAb   MTfpep   MTfpep-­‐mAb  

Volume  Frac-o

n  

Capillaries   Parenchyma   Total  

Mean  ±  SE  

Brain Capillary Parenchyma And total Alexa 647  

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Transcendpep-­‐mAbAF647  

• mAb-­‐AF647  does  not  cross  effec-vely  the  BBB  as  determined  by  its  low  distribu-on  in  the  brain  parenchyma  

•  Transcendpep   (MTf   pep-des)   tagged   with   AF647   (MTfpep-­‐AF647)  efficiently   crosses   the   BBB   and   distributes   into   the   brain  parenchyma  

•  Conjuga-on   of   the  MTfpep   to  mAbs-­‐AF647   increases   the   an-body  transport  across  the  BBB  to  the  brain  parenchyma  (by  ~5  fold)  as  efficiently  as  the  en-re  MTf-­‐Transcend  protein  itself  

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siRNAAF680  Will  Not  Cross  the  BBB  

Lectin-Texas Red

AF680 Composite

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Transcendpep  is  Able  to  Deliver  siRNAAF680  Across  the  BBB  

Lectin-Texas Red

AF680 Composite

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Summary  –  Na3onal  Research  Counsel  of  Canada    •  siRNAAF680:  Perinuclear  AF680  signal  was  not  detected  in  the  brain  

parenchyma  of  any  mice  (n=7).  No  AF680  signal  was  observed  in  the  vasculature.  

•  siRNAAF680-­‐Transcendpep:  Perinuclear  AF680  signal  was  detected  in  the  brain  parenchyma  of  all  mice  (n=7).  Very  low  AF680  signal  was  observed  in  the  vasculature.    

 Transcendpep  is  able  to  deliver  siRNA  across  the  BBB  in  brain  parenchyma  

cell’s  intracellular  compartment  

Transcendpep-­‐siRNAAF680  

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Transcend  has  A}racted  a  Number  of  Development  Programs  

•  Several  drug  development  programs  are  underway  with  leading  drug  companies  •  Neurodegenera-ve  Diseases  (Alzheimer’s)    •  Metabolic  Diseases  (Lysosomal  Storage  Diseases)  •  Oncology  (Metasta-c  Breast  Cancer)    

•  Four  strategic  collabora-ons  are  underway  or  have  been  completed  with  world-­‐leading  pharmaceu-cal  companies  inves-gated  the  use  of  the  Transcend  Family  with  their  target  therapeu-c  compounds  

 

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Business  Strategy  

Our  overall  business  strategy  can  be  summarized  as  follows:  • Obtain  independent  3rd  party  valida-on  of  the  Transcend  Family  

•  Expand  and  protect  our  Intellectual  Property  por~olio  •  Advance  development  of  our  Brain  Oncology  &  LDS  programs  thru  preclinical  studies  and  move  to  the  clinic    

•  Collaborate  through  research  licenses  with  reputable  Pharmaceu-cal  companies  that  are  interested  in  the  poten-al  of  u-lizing  the  Transcend  Family  as  a  pla~orm  to  deliver  their  targeted  therapeu-cs  across  the  BBB  

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Key  Takeaways  

•  The  Transcend  Family  is  a  unique  brain  drug  delivery  pla~orm  with  large  market  opportuni-es  

•  An  array  of  biologic  and  small  molecule  therapeu-cs  can  be  linked  and  delivered  into  the  brain  with  the  Transcend  Family  

•  Transcend  Family  Conjugates  are  rapidly  transported  from  the  circula-on  into  brain  parenchyma  –  no  apparent  limita-on  in  size  or  class  of  therapeu-c  agent  

•  Proof  of  principle  demonstrated:  •  Delivery  of  an-bodies  against  Aβ  pep-de  for  the  treatment  of  

Alzheimer’s  disease  •  Delivery  of  lysosomal  enzymes  into  brain  as  poten-al  therapies  for  

Lysosomal  Storage  Disorders  •  Delivery  of  monoclonal  an-bodies  into  the  brain  for  treatment  of    

brain  cancers    

The  Transcend  Family  may  address  major  unmet  medical  needs  in  the  area  of  central  nervous  system  diseases  &  

disorders    

BBB  

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Publica-ons  Samples  

PLoS  One:  A  Unique  Carrier  for  Delivery  of  Therapeu-c  Compounds  beyond  the  Blood-­‐Brain  Barrier  

Journal  of  Neurochemistry:  hPp://onlinelibrary.wiley.com/doi/10.1046/j.1471-­‐4159.2002.01201.x/abstract  

Nature  Gene  Therapy:  Direc-ng  adenovirus  across  the  blood–brain  barrier  via  melanotransferrin  (P97)  transcytosis  pathway  in  an  in  vitro  model  

hPp://www.nature.com/gt/journal/v14/n6/abs/3302888a.html  

PubMed    Iden-fica-on  of  a  Novel  Route  of  Iron  Transcytosis  across  the  Mammalian  Blood–Brain  Barrier  

hPp://www.ncbi.nlm.nih.gov/pubmed/14745458  

Journal  of  Neurochemistry,  924–933  High  transcytosis  of  melanotransferrin  (P97)  across  the  blood–brain  barrier  

hPp://www.ncbi.nlm.nih.gov/pubmed/12421365  

 

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Team  

Rob Hutchison Founder

Chairman & CEO

Christian Fibiger, PhD Former CSO, Biovail Laboratories

Former head Neuroscience Amgen & Eli Lilly

Wilf Jefferies, PhD Founding Scientist

Ron Erickson Visualant Inc

Chairman & CEO

Reinhard Gabathuler, PhD Chief Scientist

Terry Pearson, PhD Professor University of Victoria

Mei Mei Tian Sr. Scientist

Michael Hutchison, LLB QC Sr. Partner Smith Hutchison

Greg Gubitz, LLB Former Head of Corporate

Development & General Counsel for Biovail Corporation

Board  of  Directors  

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biOasis  Technologies  Inc.  Suite  125-­‐10551  Shellbridge  Way  Richmond  BC  V6X  2W9  Canada    Rob  Hutchison  [email protected]  1.778.383.3280  ext  101    Dr.  Reinhard  Gabathuler    Chief  Scien-st  [email protected]      

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