A novel implantable sensor for long-term continuous glucose - PowerPoint PPT Presentation

A novel implantable sensor for long-term continuous glucose measurement Investor Presentation at November 29th - 2019 1

Lifecare AS is developing an implantable glucose sensor named SENCELL for positioning under the skin into the interstitial space. 2

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BGM versus CGM 5

CGM - sales in M$ $ 1.415 $ 68 $ 899 $ 909 Others $ 815 $ 5 $ 200 Abbott $ 594 Dexcom $ 477 Medtronic $ 418 $ 300 $ 221 2017 2018 1. H 2019 6

CGM - sales in M$ $ 1.175 Others $ 702 $ 853 $ 740 Abbott Dexcom $ 502 $ 539 Medtronic $ 192 $ 125 $ 111 $ 112 $ 81 $ 70 2017 2018 1. H 2019 7

WW CGM - sales in M$ $ 2.728 $ 137 $ 1.753 $ 1.175 $ 1.687 $ 113 $ 76 RoW $ 740 $ 702 Europe U.S. $ 1.415 $ 909 $ 899 2017 2018 1. H 2019 8

According to Harold Schnitzer Diabetes Health Center US presented at Diabetes Technology Meeting US 2017 ”, this is what the diabetes patient wants for a CGM (continuous glucose measurement) device; # 1) Simple & Affordable # 2) Covered by insurance # 3) Long wear time # 4) High usability with integration # 5) Excellent accuracy # 6) No calibration required # 7) No interference # 8) No compression artifact # 9) Inconspicuous (not readily visible to others) # 10) Safe & comfortable # 11) Accessible data 9

Competitive Landscape 10

Osmot otic c pressu essure measur asurem ement ent offer ers s several everal major or adva vantage ntages Low w cost st opera rati tion on No rea eage gent consu sump mption ion ➢ No addit ition ional l start-up p time ime ➢ High gh glucose cose specif ecificit icity ➢ Minia iaturiz ization ion ➢ Long g ter erm m stability bility ➢ Unobtru obtrusive sive ➢ Univer iversa sal l calibr ibration ion ➢ Implant plantation ion by inject ection ions/ s/min inim imal l surger ery ➢ No inter ernal l power r supply ply ➢ Real l time me contin inuous s oper eration ion ➢ No generatio ration of poison sonou ous s by-pr produ oduct cts ➢ Wireless less comm mmunica ication ion ➢

5. Green n World 1. Digitali talizatio zation 2. Urban Mobility ty 3. Mach chine ne Lear arni ning ng 4. Demograp aphy hy Inter ernet of of thin ings El cars Robot botics ics Gener eration ion X Renewa ewable ble Ener ergy gy E-comm ommerce ce Self lf driv ivin ing g cars Healt lthy Life fest style yle Circul cular (and d Water er) Artif ific icia ial Intell llig igen ens s Elect ctri rifying ying Infr frast structu ructure Big Data & Cloudin ding Aging (Bio io-T ech) ch) Indu dust stri rial LoT LoT Energy Communi nicat cation Transportat tation Office and Home Health th (car are) 12

CGM: disruptive diabetes innovation today and near future Meetin ting the needs • Increase ease marke ket t shar are ➢ Long-T erm rm use Help people with diabetes live full, ➢ No body worn devices healthy lives by developing comprehensive solutions that combine devices, software, medicine, and ➢ Convenient nt professional care to enable simple and ➢ Lower cost of of care intelligent disease management ➢ Actionab nable data ➢ Higher sensiv sivity ty AI • ➢ Improved quality ty of of life Big Data • Robotics • CGM • 13

Composition of membranes • Double membrane patent A pressure sensor with a chamber on each side, where the two chambers have • individual semi-permeable membranes 2004 Applies in USA, Canada, India, China, Japan, Norway, EPO (1) • Apparatus for measuring augmented osmotic pressure • Augmented osmotic pressure patent Patent applies in US • 2009 Approved EPO • Active fluid composition and method of production and method of production of active • Chemistry fluid, which can be used in a sensor for measurement of glucose concentrations in fluids Pending (Norway) • Implantable sensor with two chambers, each with a pressure sensor • Dual sensor patent Pending • 14

Date: 25/11/2019 Number of investors: 311 Meeting the needs Number of shares: 80 925 000 Holding Stake Name ➢ Long-Term use 15 032 030 18,57526 BECH INVEST AS 14 809 477 18,30025 TEIGLAND EIENDOM AS ➢ No body worn devices 10 658 301 13,17059 LACAL AS ➢ Convenient 7 634 920 9,42345 VERDIPAPIRFONDET NORDEA AVKASTNING ➢ Lower cost of care 6 054 936 7,48216 SPAREBANKEN VEST 3 900 000 4,81928 STERNA HOLDING AS ➢ Actionable data 3 787 879 4,68073 MP PENSJON PK ➢ Higher sensivity 3 781 104 4,67236 Danske Invest Norge Vekst 1 812 500 2,23973 Deutsche Bank Aktiengesellschaft ➢ Improved quality of life 1 587 358 1,96152 Rieber & Søn AS 1 515 152 1,87229 NORDA ASA 1 331 355 1,64517 CIMTER AS 710 012 0,87737 PROBE AS 689 379 0,85187 NEXUS MARKETING 590 625 0,72984 CLEARSTREAM BANKING S.A. 6 424 944 7,93938 Other 80 925 000 100 15

R&D R&D Progress 16

Encapsulant Carrier Transfer of data Pressure Pressure Electronic 4 4 sensor sensor sensor 3 5 Active fluid Reference fluid 2 Power supply Semi-permeable Semi-permeable membrane membrane Illu lust stra ratio ion of step 2 a b Con A Glucose molecule 1 Dextran Glucose The increase in osmotic pressure, equivalent to the number of Glucose molecules pass through the semi-permeable 1 3 bound glucose molecules, is measured as the difference in membrane and into the micro-sensor pressure between the active and reference fluid The active fluid contains two molecules, Concanavalin A (ConA) The pressure sensor detects the increase in the osmotic 2a 4 and Dextran, which will bind together in the absence of glucose pressure High concentrations of glucose induce ConA and Dextran Pressure signals are conveyed to the electronic sensor and sent 2b 5 dissociation and the formation of two new molecules: ConA / to an external reader glucose and Dextran 17

Overview – Development Strategy Macro Cell ll Sencell ncell Miniaturize iaturized Sensor nsor Starting from a laboratory working cell (5 x 3 x 3 cm), the company has achieved significant miniaturization and has performed preclinical proof- of-concept with a small working sensor model (2 x 1 x 0.5 cm)

Pre -clinical Each system consists of four similar hand made sensor implants wired to a break-out box that collected • measurement data for the duration of the trial, and 1-2 Dexcom4 devices. The sensors were designed against requirements (size, materials, etc.) agreed with Sciema and MfD to • make them suitable for implantation Sensors were tested in Cambridge prior to shipping to Germany • No sensor tests were undertaken on site prior to implantation • Dexcom 4 Dexcom 6 19

Experimental Analysis – Nanosensor Performance 1 mm 0.6 mm 60 µm Optimal Sensorposition Micro Electrodes Stiff Frame Membrane Window Detail ils • Stiff frame protects pressure SiN membrane • Defined 140 nm thin Cr/Au microelectrodes (half-bridge) • Membrane window with stress free membrane • Two Membranes make up one full bridge (calibration, noise rejection) • Optimal sensor position defined at bending edge

Experimental Analysis – Nanosensor Performance Calibration Protocol Measurement Curve Measure Sensor Signal at -00 mbar pressure • Measure Sensor Signal at -20 mbar pressure • Measure Sensor Signal at -35 mbar pressure • Measure Sensor Signal at -20 mbar pressure • Measure Sensor Signal at -00 mbar pressure • 20 mbar 20 mbar 35 mbar -20 mbar -35 mbar 0 mbar 0 mbar Measure Sensor Signal at -20 mbar pressure • R / k Ω Etc…. • This protocol tocol yields • Calibration Curve • Signal Hysteresis (Stability) • Signal Stability (Resolution)

Overview - Optimized Development Strategy Sencell Needle Mounted Preclinical II Sencell Preclinical I Laboratory Cell 22

R&D Progress - Layout of Glucose Sensing Unit Size Reduction Size Reduction • Former: 11 mm³ • Current: 2 mm³ • Future: .0.5 mm 3 • Allows Lean Implementation • Needle Type Sensor • Small Sencell Implant • 23

R&D Progress - Layout of Glucose Sensing Unit Layout Double chamber setup • Noise free pressure measurements • Full bridge sensor arrangement • Active chamber Drift free pressure measurements • Just 4 wires necessary for two pressure sensors • Lean and easy integration • Pressure sensing membranes Passive chamber Gold micro-electrodes Semipermeable membrane 24 4 Contact interfaces

R&D Progress - Layout of Needle Sensor Needle Type Sensor Sensor Cutout Wired Interface • Easy Signal Read-Out • Sensor in Needle • Protected • Measuring Conditions • Fully Controlled • Position of Sensor in Needle 25

R&D Progress - Layout of Needle Sensor Needle Type Sensor Sensor Cutout Wired Interface • Easy Signal Read-Out • Sensor in Needle • Protected • Measuring Conditions • Fully Controlled • 26