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27 July 2022 AFT Completes Pascomer Clinical Study and Takes Back Rights in North America AFT Pharmaceuticals (NZX: AFT, ASX: AFP) today announces the analysis of its study examining its medicine Pascomer as a topical treatment for facial angiofibromas (FA) associated with Tuberous Sclerosis Complex (TSC). The study showed Pascomer delivered statistically significant [p<0.05] benefits against the clinically relevant IGA , FASI and patient-physician improvement scales. However, the medicine did not reach the threshold on the IGA scale that the US Food and Drug Administration (FDA) considered necessary for its registration in the United States (US) as a treatment for FA. AFT also announces its Pascomer development partner and US licensee Timber Pharmaceuticals has terminated its agreements with AFT. AFT will now take over funding the remaining development work for the orphan drug indication of Pascomer in addition to any non-orphan indications. It will also take over the commercialisation programme in North America. Germany's Desitin Arzneimittel GmbH continues as the licensee for the FA orphan drug indication in Europe, Switzerland and UK. Neither the clinical study results, nor the change in the medicine's licensing, development and commercialisation arrangements, are expected to diminish the $12.5 million carrying value of AFT's Pascomer assets. AFT Managing Director Dr Hartley Atkinson said: "While the Pascomer trial did not deliver results that meet the FDA's thresholds, the medicine continues to show promise in the treatment of this rare and distressing disease. "We also continue to believe Pascomer has good potential for non-orphan indications, which combined may offer markets larger than those for FA in TSC and we therefore plan to continue to progress the development of the medicine. "As previously noted, there were always significant uncertainties associated with both the conclusion of the present Phase II/III clinical trial and the successful registration of Pascomer with orphan status. It was for these reasons that we adopted a conservative valuation of the Pascomer assets." Dr Atkinson also said the new research, development and commercialisation arrangements would be well accommodated within the company's existing overall research and development budget, signalled in May 2022 at ~ $12 million for the 2023 financial year. "We see a growing potential to expand our R&D pipeline. In the current environment, many cashflow negative research healthcare companies are finding it difficult to fund their R&D programs. AFT's positive cashflows position the company well to undertake such projects either alone or in partnership with others." He said Timber Pharmaceutical's termination of the licensing agreement had been a possibility since a competitor, Japan's Nobelpharma, secured FDA approval for a treatment for FA. The FDA's decision effectively blocked Timber Pharmaceuticals' entry into the US market for 7 years with Pascomer as an orphan drug for treatment of FA. Pascomer study detail Tuberous Sclerosis Complex (TSC), is a genetic disease, estimated to affect one in 6,000 people . Around 70-80% of those with TSC over the age of two suffer from facial angiofibromas, which can cause adverse effects on appearance and in serious cases, impair breathing and vision . The Pascomer clinical study compared the change in facial angiofibromas in patients treated with either placebo, or Pascomer low or high strength for 26 weeks. A total of 107 patients were enrolled with 38 in the placebo group and 36 in the Pascomer low strength and 33 in the Pascomer high strength patient groups. The US FDA required a comparison of responders amongst groups using a 2-point improvement in the IGA scale as the criteria for a success. This is a challenging endpoint to reach and although higher for both treatment groups in comparison with the placebo it did not reach statistical significance [p>0.05]. On the less rigorous exploratory primary endpoint using a 1-point improvement in the IGA scale [see Figure 1] both low and high strength Pascomer had a statistically significant higher responder rate than the placebo [p<0.05]. The secondary endpoints for the IGA scale, FASI, Patient or Physician rated improvement all reached statistical significance [p<0.05] for both the low and high strength Pascomer treatments in comparison with the placebo. FIGURE 1: Example of a 1-point change in the IGA scale over the study period For and on behalf of AFT Pharmaceuticals Limited by Malcolm Tubby, Chief Financial Officer. For more information: Investors Media Dr Hartley Atkinson Richard Inder Managing Director The Project AFT Pharmaceuticals Tel: +64 21 645 643 Tel: +64 9488 0232 About AFT Pharmaceuticals AFT is a growing multinational pharmaceutical company that develops, markets, and distributes a broad portfolio of pharmaceutical products across a wide range of therapeutic categories which are distributed across all major pharmaceutical distribution channels: over the counter (OTC), prescription and hospital. Our product portfolio comprises both proprietary and in-licensed products, and includes patented, branded, and generic drugs. Our business model is to develop and in-license products for sale by our own dedicated sales teams in our home markets of Australia and New Zealand and to out-license / distribute our products to local licensees and distributors to over 125 countries around the world. For more information about the company, visit our website www.aftpharm.com. End CA:00395954 For:AFT Type:GENERAL Time:2022-07-27 08:57:29