Patient-Centric Science-Based Performance-Driven Corporate - PowerPoint PPT Presentation

Patient-Centric Science-Based Performance-Driven Corporate Overview May 2018

Forward-Looking Statements This presentation, in addition to historical information, contains certain forward- looking statements made pursuant to the Private Securities Litigation Reform Act of 1995. Such statements may involve significant risks and uncertainties, and actual results could differ materially from those expressed or implied herein. Factors that could cause such differences include, but are not limited to, new product development (including clinical trials outcome and regulatory requirements/actions); competitive risks to marketed products; forecasts of future operating results; availability of required financing and other sources of funds on acceptable terms, if at all; as well as those discussed in the Company's filings with the Securities and Exchange Commission. 2

Our Company Vision for Value Creation “ Immunomedics is deeply committed to become the leading antibody-drug conjugate (ADC) company worldwide delivering breakthrough therapies to treat complex cancers and ” transform patient outcomes. 3

Broad Pipeline of Antibody-Based Therapies Research/Preclinical Phase 1 Phase 2 Phase 3 Registration First-in-Class Antibody-Drug Conjugate (ADC) Programs Sacituzumab govitecan/IMMU-132 (anti-Trop-2-SN-38 ADC) Metastatic triple-negative breast cancer ( FDA granted BTD) BLA Metastatic urothelial cancer Metastatic HR+/HER2- breast cancer Solid tumors IITs Labetuzumab govitecan/IMMU-130 (anti-CEACAM5-SN-38 ADC) Metastatic colorectal cancer IMMU-140 (anti-HLA-DR-SN-38 ADC) Solid and liquid cancers Other Product Candidates Epratuzumab (anti-CD22) for relapsed pediatric acute lymphoblastic leukemia Veltuzumab (anti-CD20) for cancer and autoimmune diseases Milatuzumab (anti-CD74) for autoimmune diseases IMMU-114 (anti-HLA-DR) for hematologic malignancies (E1)-3s (bispecific antibody)

First-in-class Antibody-Drug Conjugate Platform Potential to address approximately 90% of all human cancers Suite of Humanized Antibodies for Creating ADCs 1. hRS7, used in sacituzumab govitecan, targets Trop-2 for solid cancers 2. Labetuzumab, used in IMMU-130, targets CEACAM5 for colorectal cancer Linker for SN-38 3. IMMU-114, used in IMMU-140, targets HLA-DR for solid and liquid cancers Linker for SN-38 1. Hydrolysable linker for payload release SN-38 Payload 2. High drug-to-antibody ratio (7.5:1) 1. SN-38 more potent than parent compound, irinotecan 2. ADC delivers up to 136-fold more SN- 38 than irinotecan in vivo 5

Sacituzumab Govitecan, an Antibody-Drug Conjugate for Targeted Drug Delivery to Solid Cancers 1. Target: Trop-2 Trop-2 expression in TNBC liver tumor biopsy ─ Pan-epithelial cancer antigen with broad expression in many different cancers ─ ≥80% of patients have moderate to strong expression by immunohistochemistry ─ Internalizes upon antibody binding - ideal target for drug delivery with antibody-drug conjugates 2. Antibody : Humanized RS7-3G11 ─ Binds human breast, lung, colon, renal, prostate, urothelial, and many other solid cancers 6

Strategic Plan to Unlock Potential of ADC Platform Beyond 2020 1. Continue to execute sacituzumab govitecan lifecycle plan 2019 - 2020 (monotherapy and 1. Expand sacituzumab combinations) govitecan in multiple 2. Labetuzumab govitecan metastatic breast cancer 2018 (IMMU-130) and IMMU-140 patient segments and in manufacturing, Commercialize sacituzumab advanced urothelial positioning, and govitecan in U.S. with 3 rd cancer (UC) development plan line+ metastatic triple- 2. Substantiate early signals negative breast cancer in hard-to-treat solid (mTNBC) as first indication cancers (e.g. advanced prostate, head-and-neck, and ovarian cancers) 7

Key 2018 Business Objectives Establish sacituzumab govitecan as new Build foundational therapy in TNBC and standard of care in later-line mTNBC advanced UC across treatment lines 1. Submit BLA for accelerated approval in 3rd-line 1. TNBC mTNBC by end of May 2018 − Conduct monotherapy and combination studies in 1 st - and 2 nd -line TNBC 2. Complete CMC preparations before FDA review − Pursue strategic clinical partnership for combination studies − with PARP- and checkpoint-inhibitors in 1 st -line setting Pre-approval inspection activities continue − Commercial drug manufacturing continues − Explore combinations with platinum and taxanes 3. Build a best-in-class commercial organization 2. Advanced UC and a blockbuster brand in oncology − Define exact 3 rd- -line target patient population with input from − Full launch readiness by Q4 2018 FDA 4. Continue confirmatory ASCENT study in mTNBC − Enroll additional patients in agreed upon patient segment − Enrolling patients in both U.S. and Europe − Pursue Breakthrough Therapy Designation and accelerated approval 5. Define registration and commercialization − Initiate earlier-line combination studies with PARP- and strategy in Europe checkpoint-inhibitors − Need to balance speed to market vs reimbursement BLA = biologics license application, CMC = chemistry, manufacturing, and controls, PARPi = poly (adenosine diphosphate ) ribose polymerase inhibitor 8

Drug Supply – Building for Commercial Launch 2017 2017/2018 May 2018 Q3 2018 Q4 2018 Process Process BLA Pre-Approval Commercial Development Validation Submission Inspection Launch 9

Drug Supply – Building for the Future 1. Multiple sacituzumab govitecan indications 2018-2022 2. Geographic expansion 3. Margin improvement 2019 Process improvement 2nd sourcing and and scale up intellectual 2018 property enhancement Launch process 10

Single Arm, Open-Label Study Design Sacituzumab govitecan N = 110 10 mg/kg Metastatic TNBC Until progression or Days 1 and 8, (ASCO/CAP guidelines) unacceptable toxicity every 21 days Scanned every 8 weeks Key eligibility criteria Evaluations 1. Adults, ≥18 years of age 1. Response evaluation by investigators 2. ECOG 0-1 2. Blinded independent central review of all CRs, PRs, and ≥20% tumor reductions 3. >2 prior therapies in metastatic setting or >1 therapy if progressed within 12 months 3. Other evaluations: safety, immunogenicity, of (neo)adjuvant therapy Trop-2 expression 4. Prior taxane therapy 5. Measurable disease 11

Current SOC* for mTNBC Provides Limited Benefit Drug Phase N Population ORR (%) PFS (mos) OS (mos) 1st line treatment 1 st line Carboplatin 1 3 188 31 3.1 12.4 1 st line Docetaxol 1 3 188 36 4.5 12.3 Cisplatin/ 1 st line (80.2%) 2 86 25.6 2.9 11.0 Carboplatin 2 >1st line treatment Resistant to anthracycline, 2 (pooled Ixabepilone 3 60 cyclophosphamide & taxane or 6 - 17 1.6 - 2.7 -- analysis) taxane only 3 (pooled Prior or resistant to anthracycline Capecitabine 3 208 15 1.7 -- analysis) & taxane 3 (pooled Eribulin 4 199 > 1 prior chemo 11 2.8 12.4 analysis) * Includes breast cancer drugs with data from Phase 2/3’s with minimum mTNBC sample size > 60; ORR and PFS data Source of data: 1) Tutt A, SABCS 2014; 2) Isakoff SJ, J Clin Oncol 2015; 3) Perez EA, Breast Can Res Treat 2010; 4) Pivot X, Ann Oncol 2016 12

Single Arm, Open-Label Study – Patient Demographics N = 110 N = 110 Female/Male, n 109/1 Prior chemotherapy drugs** Median age, years (range) 55 (31-81) Taxanes 98% Anthracyclines 86% Race Cyclophosphamide 85% White 75% Platinum agents 75% Black 7% Gemcitabine 57% Asian 4% Fluoropyrimidine agents 51% Other 4% Eribulin 45% Not specified 10% Vinorelbine 15% ECOG performance status Prior checkpoint inhibitors 17% 0 30% 1 70% Sites of metastatic disease at study Median time from metastatic disease to entry*** 1.5 (0.2-9.8) study entry, years (range) Lung/mediastinum 58% Liver 46% >3 rd line for metastatic disease 100% Bone 45% 3 rd line* 41% Chest wall 24% >4 th line 59% * Two patients who progressed within 12 months of (neo)adjuvant therapy only received one line in the metastatic setting; ** Used in >10% patients; *** Metastatic sites reported in >20% patients 13

Compelling Results Presented at 2017 SABCS Clinical benefit rate (CR+PR+SD ≥6 months) = 45% (50/110) 1. 2. 74% (75/102) of patients with at least one CT response assessment had reduction of target lesions (sum of diameters) 102 patients had ≥1 scheduled CT response assessment, 8 patients withdrew prior to assessment (4 PD, 4 MRI brain metastasis) 3. * Patients with at least 20% tumor reduction (n = 56) were reviewed; ** Confirmed objective response rate per RECIST; *** Waterfall is based on local assessment. 14

Response Onset and Durability (n=37) BICR * Local Median duration of 7.6 9.1 response, months (95% (4.8, 11.3) (4.1, 14.3) CI) Complete response Partial response 1. Median time to onset of response: Continuing treatment as of June 30, 2017 cutoff 2.0 months (range: 1.5-13.4) Left study with PR (censored) 2. 9 long-term responders were progression free for >1 Onset of objective response year from start of treatment (4 responders >2 years) 3. 12 patients were still receiving sacituzumab govitecan at time of data cutoff, June 30, 2017 0 6 12 18 24 30 36 Months from start of sacituzumab govitecan * Patients with at least 20% tumor reduction (n = 56) were reviewed. 15