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Stemline Therapeutics, Inc.NASDAQ: STML
Corporate Overview
October 2016
Forward-Looking Statements
This presentation includes statements that are, or may be deemed, ‘‘forward-looking statements.’’ In some cases,
these forward-looking statements can be identified by the use of forward-looking terminology, including the terms
“believes,” “potentially,” “estimates,” “anticipates,” “expects,” “plans,” “intends,” “may,” “could,” “might,” “will,”
“should,” “approximately” or, in each case, their negative or other variations thereon or comparable terminology,
although not all forward-looking statements contain these words. They appear in a number of places throughout
this presentation and include statements regarding our intentions, beliefs, projections, outlook, analyses or current
expectations.
You should read carefully our “Special Cautionary Notice Regarding Forward-Looking Statements” and the factors
described in the “Risk Factors” sections of our reports on Form 10-K and Form 10-Q filed with the Securities and
Exchange Commission to better understand the risks and uncertainties inherent in our business.
2
Mission
To build a leading biopharmaceutical company focused on greatly
improving the lives of cancer patients by developing and
commercializing innovative oncology therapeutics.
3
Company Snapshot
4
Stock Symbol STML (Nasdaq)
Market Capitalization (9/30/16) $207 MM
Price (52 Week Range) $10.83 ($3.88 – $11.29)
Shares Outstanding 19.1 MM
Float 16.6 MM
Cash & cash equivalents (6/30/16) $81.2 MM
Top Holders (Institutional &
Management)
• Franklin Advisers
• Fidelity
• STML Management
• TimesSquare Capital
• Blackrock
• Baker Brothers
• Eventide
• Venrock
Analyst Coverage (Price target) • Ladenburg Thalmann ($41)
• H.C. Wainwright ($38)
• ROTH Capital ($32)
• Jefferies ($23)
• Wedbush ($15)
• Cowen (Pending)
IP Portfolio and Regulatory
Exclusivity
• 36 issued patents and over 45 pending
applications in the US and worldwide for
both in-licensed and internal inventions
• Orphan drug status for SL-401 (US &
Europe) and SL-701 (US)
Management Biographies
Ivan Bergstein, MD (CEO) - Dr. Bergstein is the Chief Executive
Officer and Founder of Stemline Therapeutics. Dr. Bergstein’s early and
broad intellectual property gives Stemline deep domain expertise in the
rapidly emerging cancer stem cell (CSC) field. He has guided the
company’s evolution from an early-stage R&D company to its present form
as a late clinical stage company with three clinical candidates. He received
a BA in mathematics from the University of Pennsylvania and was elected
to the Pi Mu Epsilon National Mathematics Honor Society, an MD from the
Mount Sinai School of Medicine where he was elected to the Alpha Omega
Alpha Honor Medical Society and received the Merck Award for Clinical
Excellence. Dr. Bergstein completed an internship in general surgery, and
an internal medicine residency and hematology-oncology fellowship at the
New York Presbyterian Hospital—Weill Medical College of Cornell
University.
Ken Hoberman (COO) - Mr. Hoberman has extensive financial,
accounting, investor relations, corporate governance and business
development experience including M&A, strategic alliances and
partnerships. His operational expertise includes regulatory oversight,
human resources, manufacturing and clinical development. He was
previously Vice President of Corporate and Business Development of
Keryx Biopharmaceuticals, where he initiated and executed a $100MM
strategic alliance and originated, negotiated and closed dozens of licensing
and operational contracts, helping to grow the market capitalization to over
$1 billion. He led the team that originated, in-licensed, and developed
Auryxia, was approved by the FDA. He serves on the Board of Directors of
TG Therapeutics (Nasdaq: TGTX). He received a B.S.B.A. in Finance from
Boston University and completed post-baccalaureate studies at Columbia
University.
Company Highlights
SL-401 – Targeted therapy directed to CD123
• Phase 2 registration trial in blastic plasmacytoid dendritic cell neoplasm (BPDCN)
- Breakthrough Therapy Designation granted by FDA in August 2016
- Oral presentations at ASCO 2016 and EHA 2016
- ORR >90% in first-line, ~50% in relapsed/refractory (R/R)
- Regulatory interactions ongoing; BLA preparation underway
• Phase 2 trials enrolling in additional CD123+ indications - Potential for significant market expansion
• AML in CR, MRD+
• R/R myeloproliferative neoplasms (mastocytosis, CMML, MF, eosinophilic sydrome)
• R/R multiple myeloma – in combination with POM+DEX
SL-801 – Novel, oral, small molecule, reversible inhibitor of Exportin-1 (XPO1)
• Phase 1 trial in advanced solid tumors; 4th cohort enrolling
SL-701 – Immunotherapy
• Phase 2 in adult second-line glioblastoma; Ongoing
5
Clinical Pipeline Overview
6
BPDCN = blastic plasmacytoid dendritic cell neoplasm; AML = acute myeloid leukemia; r/r = relapsed/refractory; CR = complete response; MRD = minimal residual disease;
MPN = myeloproliferative neoplasms; GBM = glioblastoma multiforme
Program Target Phase 2
SL-401
SL-701
IND
SL-801
BPDCN
IL-3R/CD123
IL-13Ra2
EphA2
Survivin
AML (in CR, MRD+)
MPN
Lead-in/dose escalation
XPO1
Advanced solid tumors
Adult GBM (2nd line)
Myeloma (r/r)
AML (r/r)
Enrolling
Enrolling
Advanced heme tumors
Enrolling
Enrolling
Enrolling
Enrolling
Enrolling
Planned
SL-401 - BPDCN
BPDCN Overview
8
BPDCN Skin Lesions
H&E
CD4 CD56 TCL1 CD123
BPDCN Bone Marrow
BPDCN
background
• Highly aggressive hematologic malignancy derived from
plasmacytoid dendritic cells (pDC) with poor prognosis
• Median OS ~12 months (range: 8-15) from diagnosis
Diagnosis • World Health Organization (WHO) formalized diagnostic criteria
(2008)
- CD4, CD56, CD123, TCL-1, other pDC markers
Presentation
and course
• Primary sites: skin and bone marrow
• Secondary sites: lymph nodes, other viscera, CNS
• Often rapidly degenerates with bone marrow failure
Unmet
medical need
• No approved therapies, standard of care or effective treatments
• Current recommendations are clinical trials for both first-line
and R/R BPDCN
Riaz et al. Cancer Control, 2014; Pagano et al. Haematologica, 2013
SL-401: Novel Targeted Therapy Directed
to the IL-3 Receptor (CD123)
9
CD123 overexpressed on BPDCN and many other
hematologic cancers
SL-401 is a targeted therapy directed to CD123
SL-401 is highly potent against BPDCN cells in vitro
and in vivo
In previous Phase 1/2 investigator-sponsored trial
(Blood, 2014), with only a single cycle of SL-401
• 78% (7/9) ORR: 5 CR, 2 PR
- 2 CR in first-line
o 1 alive at 33+ months
- 3 CR in relapsed/refractory
o 3 survived >12 months (including 1 who survived 30+ months)
% v
iab
le
SL-401 (fM)
BPDCN skin biopsy (IHC)
CD123
SL-401 fM IC50
against BPDCN cells
Truncated
diphtheria
toxin payloadIL-3
SL-401
IL-3R/CD123Cancer
cell
Trial Design and Eligibility Criteria (NCT02113982)
Lead-in (Stage 1) - Completed
• BPDCN and R/R AML
• SL-401 daily IV infusion for 5 days
• At 7, 9, 12, or 16 mg/kg/day for 5 doses
• Repeated every 21 days
Expansion (Stage 2) - Ongoing
• BPDCN
• SL-401 daily IV infusion for 5 days
• At maximum tested Stage 1 dose
(12 mg/kg/day); MTD in BPDCN not reached
• Repeated every 21 days
Select inclusion criteria
• BPDCN: first-line or R/R (Stages 1 and 2)
• AML: R/R (Stage 1)
• Age ≥ 18; ECOG PS 0-2
• Adequate organ function including: LVEF ≥ LLN, creatinine ≤ 1.5mg/dL, albumin ≥ 3.2 g/dL,
bilirubin ≤ 1.5 mg/dL, AST/ALT ≤ 2.5x ULN
10
MTD = maximum tolerated dose
11
Most Common Adverse Events (≥ 15% treatment-related adverse effects, TRAEs )
All Grades (%) Grade ≥ 3 (%)
TRAEs All AEs TRAEs All AEs
Transaminase elevation 61 74 57 61
Hypoalbuminemia 43 48 0 0
Chills 35 39 0 0
Pyrexia 30 48 0 0
Nausea 26 52 0 0
Fatigue 26 43 0 9
Thrombocytopenia 22 22 22 22
Hypotension 22 22 0 0
Weight increased 22 30 0 0
Capillary leak syndrome (CLS)2 22 22 9 9
Anemia 17 30 13 17
Decreased appetite 17 22 0 0
Edema peripheral 17 43 0 0
SL-401 Adverse Events1
1As of July 2016 2Two Stage 1 patients had Grade >2 CLS: Grade 5 (7 mg/kg) and Grade 4 (12 mg/kg).
No Stage 2 BPDCN patients had Grade >2 CLS
• Most common side effects were transient
transaminase elevation and hypoalbuminemia;
not dose limiting
• Since implementation of safety precautions in
lead-in (Stage 1), severe CLS not observed in
BPDCN
• No dose reductions required in any patients to
date, including middle-aged/elderly
• No cumulative side effects with multiple cycles
• Data, to date, indicate that SL-401 is more
tolerable, especially in middle-aged/elderly, than
combination chemotherapy previously used in
BPDCN
12
SL-401: Summary of Clinical Activity1
High response rates
• 86% (18/21) ORR in BPDCN (all lines/all doses)
• 100% (14/14) ORR in first-line BPDCN (all doses)
• 92% (11/12) CR/CRc rate in first-line BPDCN (12 ug/kg)
• >50% (4/7) ORR in R/R; 1 CRc
Response duration data maturing, promising
• 75% (9/12) first-line (12 ug/kg) progression-free (3+-16+ mo)
- 4 receiving SL-401 therapy (3+-12+ mos; 1+-16+ cycles)
- 5 bridged to SCT; remain in remission (3+-16+ mo)
• 1 R/R CRc patient bridged to SCT
• PFS and OS trending favorably
Further clinical updates later this year
1As of July 2016; does not include 3 pediatric patients treated under compassionate use
13
Line of Therapy All lines First-line First-lineRelapsed/
Refractory
Dose Group All Doses All Doses 12 ug/kg 12 ug/kg
n (total) 26 16 13 10
n (evaluable) 21 14 12 7
ORR 86% 100% 100% 57%
CR/CRc,
n (rate)13 (62%) 12 (86%) 11 (92%) 1 (14%)2
PR 5 2 1 3
SCT, n
(autoSCT n=3;
alloSCT n=3)
6 5 5 1
SL-401: Summary of Clinical Activity1
Abbreviations:
• ORR = overall response rate
• CR = complete response
• CRc = clinical complete
response - CR in non-skin
organs with gross reduction in
cutaneous lesions and residual
microscopic skin disease
• PR = partial response
• SCT = stem cell transplant
1As of July 2016; does not include 3 pediatric patients treated under compassionate use2Does not include 1 PR with bone marrow CR
Bone Marrow Responses1
14
Bone marrow blast count best responses with SL-401
for all evaluable BPDCN patients
with blast counts > 5% at screening (n=10)
Ab
so
lute
% b
las
ts
0%
10%
20%
30%
40%
50%
60%
Screening Best response
First-line
R/R
Pretreatment Post-cycle 2
H&
EIH
C (
CD
56
)
• 62 year old female with extensive BPDCN involving skin, bone
marrow, lymph nodes, viscera (spleen, eyelids, gums)
• Received 4 cycles of SL-401 and achieved a CR
• Bone marrow biopsy (pretreatment and end of cycle 2) shows
clearance of CD56+ BPDCN cells
Representative bone marrow response
1As of July 2016
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Best Response and Treatment Duration for
All BPDCN Patients (n=29)1
Relapsed/refractory (12 mg/kg/day SL-401)
First-line (12 mg/kg/day SL-401)
First-line (7 mg/kg/day SL-401)
Bridged to stem cell transplant (SCT)
Discontinued, disease recurrence
Discontinued, not specified
Discontinued, disease progression
Discontinued, AE
Lost to follow-up
Assessment pending
Compassionate use
a
b
c
d
LTFU
AP
CU
* auto-SCT
** allo-SCT
CRCRCRc
CR
CRc
CRCR
CRCRCRc
CRCRcPRPRCR
PR
PR
PR
Months
*
**
**
**
**
Ongoing
OngoingOngoing
OngoingOngoing
Ongoing
Ongoing
Ongoing
OngoingOngoing
Ongoing, AP
Ongoing, AP
Ongoing, AP
Ongoing, APOngoing, AP
a
b
a
a
a
b
a
c
LTFU
d
c
c
b
Pediatric/CU, first-line (12 mg/kg/day SL-401)
Pediatric/CU, relapsed/refractory (12 mg/kg/day SL-401)
Ind
ivid
ua
l p
ati
en
ts
PR (bone marrow CR)
1As of July 201615
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Best Response and Treatment Duration for
First-line BPDCN Patients Treated at 12 mg/kg/day (n=14)1
CR
Months
CR
CRc
CR
CR
CR
CRc
CR
CR
CRc
PR
CR
*
*
*
**
**
Ongoing
Ongoing
Ongoing
Ongoing
Ongoing
Ongoing
Ongoing
Ongoing
Ongoing
Ongoing, AP
Ongoing, AP
a
b
a
First-line (12 mg/kg/day SL-401)
Bridged to stem cell transplant (SCT)
Discontinued, disease recurrence
Discontinued, not specified
Assessment pending
Compassionate use
a
b
AP
CU
* auto-SCT
** allo-SCT
Pediatric/CU, first-line (12 mg/kg/day SL-401)
Ind
ivid
ua
l p
ati
en
ts
1As of July 201616
Progression Free SurvivalN=13
1L BPDCN [12 ug/day]
PFS (months)
0 2 4 6 8 10 12 14 16 18
PF
S P
rob
ab
ility
0.00
0.25
0.50
0.75
1.00
Overall SurvivalN=13
1L BPDCN [12 ug/day]
Survival Time (months)
0 2 4 6 8 10 12 14 16 18
Su
rviv
al P
roba
bility
0.00
0.25
0.50
0.75
1.00
PFS and OS in First-line BPDCN (12 mg/kg/day SL-401)1
17
Progression-Free Survival
(n=13)Overall Survival
(n=13)
1As of July 2016
SL-401 Next Steps and Milestones
18
BLA preparation underway in BPDCN
• Breakthrough Therapy Designation (BTD) granted by FDA in BPDCN in August 2016
• Regulatory interactions ongoing
• Investing in key infrastructure to support BLA filing
Creating foundation for commercialization
• Launched disease awareness campaign
• Ramping up pre-commercial activities
Pursuing multiple market expansion opportunities
• Trials in additional CD123+ malignancies (e.g. AML, MPN, myeloma); Enrolling
• SL-401 both as a single agent and combination; Enrolling
• Potential in other CD123+ pDC-mediated diseases (e.g. autoimmune); Planning
SL-401 Market Expansion Opportunities
(AML, MPN, Myeloma)
AML in CR, MRD+ Trial
20
Stage 1 (Lead-in) - Completed
• AML in CR
• 9 patients
• 7, 9, or 12 mg/kg/day for 5 days, every 4
weeks
• ~15 sites in North America
Updates expected
2H16
Stage 2 (Expansion) - Enrolling
• AML in CR, MRD+
• ~15-20 patients
• At dose defined by Stage 1 (12 mg/kg/day)
• Endpoints
- Decrease in MRD burden
- CR durability
• Relapse rates unacceptably high in acute myeloid leukemia (AML)
• Microscopic leukemia cells left behind after chemotherapy (minimal residual disease; MRD)
• MRD is CD123+
• SL-401 employed to eliminate MRD and potentially improve outcomes
MPN Trial
21
• AML in CR
• ~9-12 patients
• 7, 9, or 12 ug/kg/day for 5 days,
every 4 weeks
• ~15 sites in North America
Stage 1 (Lead-in) - Enrolling
• 4 types of high-risk MPN*
• ~9-12 patients
• 7, 9, or 12 mg/kg/day for 3 days, every 3
weeks
• 10-15 sites in North America
Updates expected
2H16
* 4 types of high-risk myeloproliferative neoplasms (MPN)
• Mastocytosis
• Eosinophilic syndrome
• Myelofibrosis
• Chronic myelomonocytic leukemia (CMML)
Stage 2 (Expansion)
• 4 types of high-risk MPN
- 4 arms (1 arm for each indication)
• ~15-20 patients each arm, with expansion
flexibility (Simon 2-stage)
• At dose defined by Stage 1
• Endpoints: ORR, CR, response duration
• Many myeloproliferative neoplasms (MPN) are CD123+
• Similar to BPDCN, SL-401 employed to directly target these malignancies
22
• AML in CR, MRD+
• ~15-20 patients
• At dose defined by Stage 1
• Endpoints
- MRD+ to MRD- conversion
- CR durability
• AML in CR
• ~9-12 patients
• 7, 9, or 12 ug/kg/day for 5 days,
every 4 weeks
• ~15 sites in North America
Stage 1 (Lead-in) - Enrolling
• (r/r) myeloma (2+ prior therapies)
• ~12-18 patients
• SL-401 (7, 9, or 12 mg/kg/day for 5 days)
every 4 weeks
- Cycle 1: SL-401
- Cycles 2+: SL-401 + pomalidomide
(POM) and dexamethasone (DEX)
• ~5 sites in North America
Stage 2 (Expansion)
• (r/r) myeloma (2+ prior therapies)
• 14 patients
• At dose defined by Stage 1
• Endpoints: ORR, clinical benefit rate,
response duration, PFS and OS
Myeloma Trial: SL-401 + Pomalidomide
• First combination study for SL-401
• Despite some successes, myeloma remains largely incurable disease
• Certain abnormal bone marrow cells in myeloma are CD123+
• SL-401 employed to directly target these cells
SL-801
SL-801 Overview
24
1. XPO1 recognizes cargo proteins through nuclear
export sequences and bind cargos in nucleus.
2. Ternary complex transported through nuclear pore
complex and into cytoplasm where cargo released.
3. XPO1 and Ran subsequently recycled into nucleus
where process is repeated.
SL-801 Background
• Orally administered, novel small molecule inhibitor of XPO1 (Exportin 1)
Clinically-Validated Mechanism of Action / Potential for
Differentiation
• XPO1 is a key nuclear transport oncogene
• Clinically-validated target in multiple cancer types
• SL-801 reversibly inhibits XPO1 in low nanomolar range; may
offer improved therapeutic window benefits
Status – Phase 1 Enrolling Patients
• Phase 1 trial advanced solid tumors underway; Enrolling 4th cohort
• Phase 1 trial in advanced hematologic cancers planned
Strong IP Protection
• Composition of matter patent to 2030
SL-801: Reversible and Potent XPO1 Inhibitor
25
SL-801 is a reversible inhibitor of XPO1
Sakakibara, Blood, 2011; ASH 2015
SL-801 has potent in vitro activity against
multiple solid and hematologic cancers
XPO1
Biotin
XPO1
Actin
100nM
SL-801-biotin
0.5nM
Leptomycin-biotin
0.001
0.01
0.1
1
GI 5
0(m
M)
SL-801: Anti-Tumor Activity in Animal Models
26
0
200
400
600
800
1000
1200
1 8 15 22 29 36 43 50 54 61 66 73
NCI-H226 non-small cell lung cancer
0
1000
2000
3000
4000
5000
6000
1 5 10 15 19 24 29 33 38 43 47 52 57
22RV prostate carcinoma
Tu
mo
r vo
lum
e (
mm
3)
Days after first treatment
Vehicle, qd (d1-5,8-12,15-19)
SL-801, 31.25 mg/kg, qd (d1-5,8-12,15-19)
SL-801, 125 mg/kg, qd (d1,3,5,8,10,12,15,17,19)
Vehicle, qd (d1,3,5,8,10,12,15,17,19)
SL-801, 125 mg/kg, qd (d1,3,5,8,10,12,15,17,19)
SL-801, 125 mg/kg, qd (d1,8,15)
SL-801, 250 mg/kg, qd (d1,8,15)
*
***
***
***
*** 0
10
20
30
40
50
60
70
80
90
100
0 50 100 150 200 250 300 350
MM.1S multiple myeloma
Vehicle, qd (d1,3,5,8,10,12)
SL-801, 125 mg/kg, qd (d1,3,5,8,10,12)
SL-801, 125 mg/kg, qd (d1,8,15)
Su
rviv
al
rate
(%
)
***
Days after first treatment Days after first treatment
Tu
mo
r vo
lum
e (
mm
3)
*, p < 0.05; **, p < 0.01; ***, p < 0.001
SL-801 demonstrates potent anti-tumor activity in animal models, across wide array of solid and hematologic cancers
27
• AML in CR, MRD+
• ~15-20 patients
• At dose defined by Stage 1
• Endpoints
- MRD+ to MRD- conversion
- CR durability
• AML in CR
• ~9-12 patients
• 7, 9, or 12 ug/kg/day for 5 days,
every 4 weeks
• ~15 sites in North America
Multicenter, Dose Escalation (Standard 3+3 design)
• Advanced solid tumors
• 40-50 patients with advanced solid tumors
• Dose escalation: starting at 5 mg oral tablet/day
- 4 days on/3 days off x 2 weeks (for 21 day cycle)
• Evaluate safety
• Signal detection for subsequent Phase 2 disease-directed trials
• Endpoints
- Safety, maximum tolerated dose (MTD) determination
- ORR, disease control, duration of response, PFS, OS
• 5 sites in U.S.
Phase 1 in advanced solid tumors underway – Fourth dosing cohort open
Updates expected
2H16
Phase 1 in advanced hematologic cancers planned
SL-801 – Clinical Development Plan
SL-701
SL-701 Background
29
Immunotherapy designed to elicit anti-tumor
immune response
• Off-the-shelf, subcutaneously-administered peptides
• Immune response against targets overexpressed on
GBM - IL-13Rα2, EphA2, Survivin
3 Phase 1/2 investigator-sponsored trials with earlier
version (~70 patients)
• Adults and children with high grade gliomas
• Adjuvant: poly-ICLC, a toll-like receptor 3 agonist
• Multiple major objective responses in adults and
children
Phase 2 trial in adult second-line GBM - Ongoing
• Stage 1 (completed): SL-701 + adjuvants (GM-CSF
and Imiquimod) - Patients continue to be followed
• Stage 2 (enrolling): SL-701 + adjuvant (poly-ICLC)
+ bevacizumab - Patients currently enrolling
• Trial updates expected this year
Orphan drug designation in glioma
Reactive gliosis Numerous
CD68+ macrophages
Abundant CD8+
T cells
• Inflammatory response, including abundant cytotoxic (CD8+) T cells,
in region of brain tumor in setting of regression post-therapy
Pre-therapy (baseline)Nine weeks post-therapy
shows tumor shrinkage
Post-therapy brain biopsy
Financial Summary
Financial Summary
31
As of June 30th, 2016
Cash, Cash Equivalents and Investments (mm) $81.2
Debt $0.0
Shares Outstanding (mm) 19.1
Milestones
Stemline Key Events and Milestones
33
Program Event Timing
SL-401 Oral presentation of BPDCN clinical data at ASCO ✔ June 2016
SL-401 Oral presentation of BPDCN clinical data at EHA ✔ June 2016
SL-401 BTD in BPDCN granted by FDA ✔ August 2016
SL-701 Phase 2 clinical updates at SNO November 2016
SL-401 FDA meeting to discuss BPDCN regulatory requirements November/December 2016
SL-401 Phase 2 clinical updates at ASH on BPDCN trial December 2016
SL-401 Phase 2 clinical updates at ASH on other indications December 2016
SL-801 Phase 1 clinical updates 1H17
Stemline Therapeutics, Inc.NASDAQ: STML
Corporate Overview
October 2016