Investor Presentaiton
Case Studies of Saved Eyes: Neoadjuvant Treatment of UM Patients
Initial Cases of Systemic Neoadjuvant Therapy resulting in Prevention of Enucleation
Case 1: Eye Saved by Neoadjuvant Treatment +^
UM patient was blind in one eye, developed a large ocular
tumor in other eye causing vision loss, and diagnosed with UM
Large Ocular Lesion – 16.5 mm Apical Height x 18 mm LBD
Tumor Shrinkage observed at each month of treatment with
Darovasertib + Crizotinib (~30% at 1 mo and ~80% at 4 mo)
Avoided Enucleation and prevented complete blindness
Restored > Normal Vision with neoadjuvant treatment
and intraocular lens replacement for treatment of cataracts
Residual Tumor treated with Plaque Brachytherapy
Patient remains on Daro + Crizo Combination Therapy
Baseline Scan: 16.5mm Apical Height
4 Month Scan: 3.5 mm Apical Height
Regressed Tumor
Not Impeding Optic
Disc & Macula
Large Tumor Impeding
Optic Disc & Macula
Macula
+
*
Baseline Scan
Case 2: Eye Saved by Neoadjuvant Treatment
UM patient with large tumor enrolled in NADOM IST study
Reduction in Tumor Size of ~24% observed following 4 mo
neoadjuvant treatment with darovasertib
Tumor Proximity to Optic Disc and Macula - observed
increased separation from tumor following treatment for 3 mo
Avoided Enucleation and Preserved Vision
Residual Tumor treated with Plaque Brachytherapy
Tumor
Distance of
tumor tip
to optic
disk at
baseline
3 Month Scan
Tumor
Patient remains on Darovasertib as Adjuvant Therapy
+ Ocular tumor shrinkage based on % reduction in tumor apical height; LBD = Largest Basal Diameter
19
^ Data and images courtesy of Dr Rod O'Day, LLB (Hons), BSc, MBBS (Hons), FRANZCO, Ocular Oncology Unit Royal Victoria Eye and Ear Hospital, Melbourne Australia. Additional patient care provided by Dr Daniel McKay, MBBS(Hons)
FRANZCO FRCPA and Dr John McKenzie, MBBS, FRACS, FRCOphth, FRANZCO
* Data and images courtesy of Professor Anthony Joshua, MBBS, PhD, FRACP, Head Department of Medical Oncology, Kinghorn Cancer Centre, St. Vincent's Hospital in Sydney, a principal investigator in the NADOM IST
Optic Disc
Increased
separation
of tumor
after 3 mo
treatment
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