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8-K - FORM 8-K - GALECTIN THERAPEUTICS INCd237073d8k.htm
EX-99.2 - GALECTIN THERAPEUTICS INC. PRESS RELEASE DATED SEPTEMBER 29, 2011 - GALECTIN THERAPEUTICS INCd237073dex992.htm
Company Update
September 27, 2011
OTC: GALT
Exhibit 99.1


Forward Looking Statements
This presentation contains, in addition to historical information, forward-looking statements
within the meaning of the Private Securities Litigation Reform Act of 1995. These
statements relate to future events or future financial performance, and use words such as
“may,”
“estimate,”
“could,”
“expect”
and others. They are based on our current expectations
and are subject to factors and uncertainties which could cause actual results to differ
materially from those described in the statements. Factors that could cause our actual
performance to differ materially from those discussed in the forward-looking statements
include, among others: incurrence of operating losses since our inception, uncertainty as to
adequate financing of our operations, extensive and costly regulatory oversight that could
restrict or prevent product commercialization, inability to achieve commercial product
acceptance, inability to protect our intellectual property, dependence on strategic
partnerships, product competition, and others stated in risk factors contained in our SEC
filings. We cannot assure that we have identified all risks or that others may emerge which
we do not anticipate. You should not place undue reliance on forward-looking statements.
Although subsequent events may cause our views to change, we disclaim any obligation to
update forward-looking statements.
©
2011 Galectin Therapeutics   OTC:GALT
2


Recent Highlights
March 2011: New CEO
May 2011: Announced new strategic priorities, new web
site
May 2011:  Name changed to Galectin Therapeutics
(Formally Pro-Pharmaceuticals)
July 2011:  Analyst coverage initiated by Shiv Kapoor of
Morgan Joseph TriArtisan
August 2011:  Analyst coverage initiated by Vernon
Bernardino of Dawson James Securities
September 2011: Presentation at Rodman & Renshaw
Conference, New York, New York
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2011 Galectin Therapeutics  
OTC:GALT
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Galectin Therapeutics Highlights
Leader in galectin science
Pipeline of carbohydrate-based drug compounds that inhibit
galectins
Liver fibrosis program goal to be first therapy for this
indication
Target validated in convincing pre-clinical data
Clinical trials expected to begin in 2012
Cancer Therapy
Galectin inhibitor added to chemotherapy
Cancer immunotherapy program activates patient’s own immune
system to kill tumor cells
4
©
2011 Galectin Therapeutics   OTC:GALT


Galectin Proteins Are Important In
Disease Pathogenesis
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2011 Galectin Therapeutics  
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Secreted
Galectin
Proteins
1.
Bind to cell
surface and matrix
glycoproteins
(galactose residues)
2.
Modulate cell
signaling
3.
Promote cell-cell
interactions
4.
Promote cell-
matrix interactions
PROMOTE
PATHOLOGY
Markedly Increased in:
1.
Fibrosis
2.
Cancer
3.
Inflammation


Galectin
Proteins
Galectin
Inhibitor
Our Galectin Inhibitors Are Novel
Carbohydrate-Based Drug Compounds
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2011 Galectin Therapeutics  
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Target secreted galectins and those
associated with cell membrane
Strong binding to multiple galectin proteins
and multiple galectins per drug molecule
High molecular weight allows long exposure to
galectin containing compartment
Low toxicity potential as a carbohydrate
with no toxic metabolites
Low manufacturing costs
Strong patent protection with no licensing
encumbrance
Two major classes of compounds under
development: GM-CT and GR-MD


We Are The Leaders In Galectin
Inhibitor Drug Development
Only company with galectin inhibitors in clinical
development
Published authoritative books in the field
7
©
2011 Galectin Therapeutics   OTC:GALT


Galectins Are Involved In The
Pathogenesis Of Many Diseases
Fibrosis of organs
Nearly all cancers
Heart failure
Ischemic cardiovascular and cerebrovascular disease
Arthritis
Allergic disease
Eczema and skin inflammation
Inflammatory bowel disease
Eye inflammation
Inflammatory and autoimmune disorders
Response to infections
Kidney disease
8
Galectins implicated in:
©
2011 Galectin Therapeutics   OTC:GALT


So, How Do We Choose Diseases For
Drug Development?
Galectins are proven important in the mechanism of
disease
There are serious, life threatening consequences to
patients
There are no, few, or ineffective therapies
Rapid development pathways are possible
9
Treat important diseases where:
©
2011 Galectin Therapeutics   OTC:GALT


Disease Area Development Programs
Cancer
Fibrosis
Liver Fibrosis
Chemotherapy
Immunotherapy
GALECTINS
10
©
2011 Galectin Therapeutics   OTC:GALT


Disease Area Development Programs
Cancer
Fibrosis
Liver Fibrosis
Chemotherapy
Immunotherapy
GALECTINS
11
©
2011 Galectin Therapeutics   OTC:GALT


Many Diseases Lead To Liver Fibrosis And
Cirrhosis With Serious Medical Consequences
Healthy
Cirrhosis
12
Hepatitis C (57%)
Alcoholic liver disease (24%)
Non-alcoholic fatty liver (9.1%)
Hepatitis B (4.4%)
Miscellaneous (5.5%)
Source:  Burden of liver disease in the United States: Summary of a
workshop.  American Association for the Study of Liver Disease, May 2001
©
2011 Galectin Therapeutics   OTC:GALT


Liver Cirrhosis Is A Major Problem In
The United States
Transplants
(6,291*)
Wait List
(17,000**)
Death
(44,677
#
)
Cirrhosis
(400,000
##
)
Millions of people with liver disease that may progress to cirrhosis
* Performed in US in 2010  (UNOS)
* * Prevalence in US 2010 (UNOS)
The ONLY current therapy is liver transplantation
13
#
Deaths in 1998 (AASLD Workshop, 2001)
##
Prevalence in US 1976-1980 (NIDDK)
©
2011 Galectin Therapeutics   OTC:GALT


Galectin-3 Is A Critical Target For
Therapy of Liver Fibrosis
1.
Galectin-3 is produced in large amounts by human fibrotic liver
2.
Galectin-3 is essential in mice for the development of liver
fibrosis
3.
Galectin inhibitors block production of fibrogenic markers in
the key human cell responsible for liver fibrosis
4.
Galectin inhibitors reverse experimental fibrosis in rats
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2011 Galectin Therapeutics  
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Key Evidence: 
Key Evidence: 


Galectin Inhibitors Effectively Treat
Liver Fibrosis in Rats
Liver Fibrosis, induced by injection
of chemical toxin for 8 weeks
Regression of Fibrosis after 4 weeks
of treatment with GR-MD-01
15
©
Galectin Therapeutics  OTC : GALT


Summary Of Development Program
Rationale In Liver Fibrosis
Liver fibrosis represents a very large unmet medical need
Galectin-3 protein is proven target
Drugs reverse liver fibrosis in animals and show efficacy in
human cell culture models of fibrosis
Non toxic drugs with little likelihood of drug interactions
Rapid clinical development pathways
Initial indication provides opportunity for orphan disease status,
fast track, priority review, and potentially accelerated approval
©
Galectin Therapeutics  OTC : GALT
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Development Program & Markets
Initial Indication:  Post transplant recurrent Hepatitis C with
fibrosis
Focus of first phase II clinical trial
Orphan disease designation possible
Additional peri-transplant indications:
Established cirrhosis of various etiologies but not eligible for
transplantation
Established cirrhosis of various etiologies, on transplant list
Expansion of indications
Non-alcoholic fatty liver disease (NASH)
Viral hepatitis C and B with fibrosis
Alcoholic fibrosis
©
2011 Galectin Therapeutics  
OTC:GALT
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Fibrosis Pipeline: Drug Advancement
December 2011
Pre-Clinical
Phase 1
Phase    
Phase    
Registration
Submitted
Liver Fibrosis
GM-CT-01
GM-CT-02
GR-MD-01
GR-MD-02
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2011 Galectin Therapeutics  
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More advanced than typical pre-clinical development program:
Efficacy shown in human cells as well as animals
Proven safety in animals and humans (GM-CT-01)
Low potential for toxicity for all compounds
Low potential for drug interactions
2
3


Fibrosis Clinical Program (First
Indication Clinical Trials)
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2011 Galectin Therapeutics  
OTC:GALT
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Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
2011
2012
2013
Pre-IND Meeting
Initiate P-II
Initiate P-I
Submit IND
GM-CT-01
Others


Disease Area Development Programs
Cancer
Fibrosis
Liver Fibrosis
Immunotherapy
Chemotherapy
GALECTINS
©
2011 Galectin Therapeutics  
OTC:GALT
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Roles Of Secreted Galectins In Cancer
The vast majority of cancers secrete large amounts of galectins
Galectins impact
cancer growth at
many points
Interfering with
galectin function has
been shown to have
beneficial effects
Galectin Therapeutics
has proprietary
compounds that
leverage this benefit
21
©
2011 Galectin Therapeutics  
OTC:GALT


Phase 2 Clinical Trial Performed in
Metastatic Colorectal Cancer (DAVFU-003)
Cancer Trial
(DAVFU-003)
Day 0
Day 28
GM-CT-01
Chemo (5-FU)
Phase 2 trial of 5-FU plus GM-CT-01 in line 3/4 therapy of metastatic
colorectal cancer
Twenty (20) patients enrolled who all had 3 to 4 previous courses of
chemotherapy, including 5-FU and biologicals
Overall median survival was 6.7 months. 
In similar patients, Erbitux
®
had a 6.1 month survival compared to 4.6
months with no therapy
Suggests efficacy of regimen


GM-CT-01 Reduces 5-FU
Chemotherapy Related Side Effects
Simultaneous
improved
efficacy
with
reduction
in
side
effects
of
standard
chemotherapy would be desirable in cancer therapeutics
Data
on
5-FU+GM-CT-01
compiled
from
patients
receiving
full
dose
therapy
in
studies
DAVFU-001,
003,
006, and 007
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2011 Galectin Therapeutics  
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Development Approach In
Colorectal Cancer
Studies demonstrate potential utility of galectin inhibitors in
combination with chemotherapy in cancer
FDA has confirmed that preclinical and clinical data are
adequate to proceed with large clinical trials  
Our colorectal cancer program remains active, but we are
deferring new clinical trials pending data from the tumor
immunology clinical trial that may improve the design of future
studies 
More rapid international registration is an approach that may
provide revenue to support development programs and gain
additional clinical experience with GM-CT-01
©
2011 Galectin Therapeutics  
OTC:GALT
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Registration And Marketing GM-CT-01
In Colombia And Latin America
The government of Colombia, and oncology key opinion leaders in
that country, expressed an interest in making GM-CT-01 available for
use in Colombia for patients with metastatic colorectal cancer
Equally
interested
in
the
increased
tumor
efficacy
and
reduction
in
5-
FU related side effects
Our partner Pro-Caps has submitted a marketing application to
INVIMA (FDA equivalent) and has indicated our clinical data should
be sufficient for approval
With approval, Pro-Caps expects sales to begin in 2012
Upon success in Colombia, we have the opportunity to seek approval
in other Latin American countries (reciprocity with 12 other countries)
©
2011 Galectin Therapeutics  
OTC:GALT
25


Disease Area Development Programs
Cancer
Fibrosis
Liver Fibrosis
Immunotherapy
GALECTINS
Chemotherapy
©
2011 Galectin Therapeutics  
OTC:GALT
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Enhancing Anti-Tumor Immunity Is A
Promising Effect Of Blocking Galectins
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2011 Galectin Therapeutics  
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Tumor cell invasion:
extracellular matrix
adhesion & detachment
Stromal cell function
Metastasis:
cell invasion and
migration
Angiogenesis
Tumor immunity


Tumor-Specific
Cytotoxic T-Cell
Lymphocytes
Blocking Galectins Enhances Tumor
Killing By Immune System
Studies done in collaboration with Ludwig Institute, Brussels, Belgium
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2011 Galectin Therapeutics  
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Tumor Cells
Cytotoxicity


GM-CT-01 Restores Ability of Immune
Cells to Kill Tumor Cells
©
2011 Galectin Therapeutics  
OTC:GALT
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GM-CT-01 In Tumor Immunotherapy
A Phase 1/2 study is scheduled to begin in Q4 2011
IMPD (Investigational Medicinal Product Dossier) was submitted to
the EMA (European Medicines Agency) on September 20, 2011
Patients with advanced metastatic melanoma
Treatment Regimen:
Tumor-specific peptide vaccination (previously tested)
GM-CT-01 administered between peptide vaccinations
Primary endpoint:  Partial or complete response
Historical controls who received same peptide vaccine
Galectin Therapeutics provides study drug
The Ludwig Institute and Cancer Center funds Stage 1 of the trial
Trial conducted in 6 centers in Europe (Belgium, France,
Luxembourg)     
©
2011 Galectin Therapeutics  
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Melanoma Clinical Trial Design (I)
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2011 Galectin Therapeutics  
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Phase I/II study of peptide vaccination associated with GM-CT-01,
a galactomannan oligomer that inhibits galectin-3, in patients with
advanced metastatic melanoma


Melanoma Clinical Trial Design (II)
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2011 Galectin Therapeutics  
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Phase I/II study of peptide vaccination associated with GM-CT-01,
a galactomannan oligomer that inhibits galectin-3, in patients with
advanced metastatic melanoma


Regimen of GM-CT-01 in Melanoma
Trial Versus Colorectal Cancer Trial
©
2011 Galectin Therapeutics  
OTC:GALT
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GM-CT-01
Melanoma
Trial
Day 0
Day 21
Vaccine
Cancer Trial
(DAVFU-003)
Day 0
Day 28
GM-CT-01
Chemo (5-FU)


Development Program In Cancer
Immunotherapy
Galectin proteins secreted by tumor cells are directly
responsible for inhibiting the ability of immune cells to kill
tumors
GM-CT-01 restores the ability of immune cells to kill tumor cells
Initial clinical trial for treatment of metastatic malignant
melanoma
Market for tumor vaccines is expected to grow to $7B by 2015
Potential important therapy for many cancers
©
2011 Galectin Therapeutics  
OTC:GALT
34


Pre-Clinical
Phase 1
Phase 2
Phase 3
Registration
Submitted
Colorectal Cancer
GM-CT-01
International (Colombia)
United States
Tumor Vaccine
GM-CT-01
Liver Fibrosis
GM-CT-01
GM-CT-02
GR-MD-01
GR-MD-02
Pipeline
35
©
2011 Galectin Therapeutics   OTC:GALT


Catalyst Milestones
Fibrosis Program
Complete pre-clinical assessment and announce drug or drugs to
take into clinical development: December 2011
Commence phase 2 trial Q2 2012 with top line results Q2/Q3 2013
(GM-CT-01)
Commence phase 1 trial Q3 2012 and phase 2 trial Q4 2012 with
top line results Q4 2013 (GR-MD series)
Tumor Immunology Program
Commence phase 1/2 trial Q4 2011
Top line results on first stage second half of 2012
Chemotherapy Program
Colombia final approval to market GM-CT-01 by Q2 2012
Sales initiated 2012
©
2011 Galectin Therapeutics  
OTC:GALT
36


Galectin Therapeutics Highlights
Leader in galectin science
Pipeline of carbohydrate-based drug compounds that inhibit
galectins
Liver fibrosis program goal to be first therapy for this
indication
Target validated in convincing pre-clinical data
Clinical trials expected to begin in 2012
Cancer Therapy
Galectin inhibitor added to chemotherapy
Cancer immunotherapy program activates patient’s own immune
system to kill tumor cells
37
©
2011 Galectin Therapeutics   OTC:GALT


Thank You
OTC: GALT