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Hemispherx Outlines Ampligen Combination Therapy Clinical Study Strategy for the Treatment of Multiple Cancers in Letter to Stockholders ORLANDO, Fla. (

Key Takeaway: Outlines Ampligen Combination Therapy Clinical Study Strategy for the Treatment of Multiple Cancers in Letter to Stockholders Fla. (October 22, 2018) - Hemispherx Biopharma, Inc. (NYSE American: HEB) announces that Thomas K. Equels, President and Chief Executive Officer, has is

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Outlines Ampligen Combination Therapy Clinical Study Strategy for the Treatment of Multiple Cancers in Letter to Stockholders
Fla. (October 22, 2018) - Hemispherx Biopharma, Inc. (NYSE American: HEB) announces that Thomas K. Equels, President
and Chief Executive Officer, has issued a Letter to Stockholders providing a business update. The full text of the Letter, which
has also been posted to the Company's website, is as follows.
To Our Stockholders,
primary focus of today's Letter is to update you on the great strides we have made in our oncology programs with Ampligen.
In recent months Hemispherx has made significant advancements with our Ampligen oncology program and Ampligen's potential
use as an immuno-oncology agent for the treatment of multiple types of cancer. This has been a priority for our Company, and me
personally, since I became CEO in 2016. We have remained focused on fulfilling our promises to advance these important clinical
goals. I am pleased to announce that we are supporting six separate clinical studies in eight solid tumors at major research institutions.
In parallel, we continue to pursue Ampligen
for the treatment of severe myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Ampligen is approved for this indication
in Argentina (the first and only meaningful therapy approved anywhere in the world for ME/CFS) and is available through
an U.S. Food and Drug Administration (FDA) authorized expanded access program (EAP), AMP-511, a program where the FDA has
approved the reimbursement rate of $200 per vial for the direct costs and where we are expanding participation at clinics in Nevada
collaboration with major cancer research centers in the U.S. and around the world, we have been making tremendous progress and
strongly believe in the future of our cancer-fighting efforts. We believe the true value of Ampligen is not yet well-understood
by the pharma industry, many clinicians or investors. Therefore, I believe it is important that you, our stockholders, understand
not only what we are doing in this field, but also why we are doing it. It is also important that you have the opportunity
to see what these top experts in immuno-oncology have to say about their recent successes with Ampligen and its importance as
a promising agent for advances in oncology.Progress in oncology
provides a clear opportunity for commercial success for Hemispherx.
are working closely with and have initiated the steps to proceed with important clinical studies at the University of Pittsburgh
Medical Center (UPMC), the University of Nebraska Medical Center (UNMC) and Roswell Park Comprehensive Cancer Center (Roswell
Park). We expect that the Institutions will conduct and complete these clinical trials on an expedited basis. The goal of these
various studies will be to conclusively test the hypothesis that the combination of Ampligen with checkpoint blockade therapies
will improve clinical tumor responses, time to progression and survival in humans. Checkpoint inhibitors have provided dramatic
responses for a number of advanced end stage cancers by enabling the patient's immune system to attack the cancer. Although
a minority of patients respond dramatically to the checkpoint inhibitors, we believe that use of combinational immune therapy
to enhance immune killing of tumor cells provides a rational mechanism for expanding the clinical response rate for checkpoint
early October, Hemispherx signed a Clinical Trial Agreement with Roswell Park in Buffalo, N.Y. to conduct clinical studies of
Ampligen in combination with checkpoint inhibitors in three solid tumors, namely urothelial carcinoma (bladder and associated
structures), renal cell carcinoma and melanoma. Additional clinical studies of Ampligen plus checkpoint blockade therapies in
five other solid tumors - triple-negative breast, colorectal, ovarian, non-small cell lung and pancreatic carcinomas -
are at various stages of development, from early protocol drafts to having secured FDA authorization to proceed with human
subjects. These five other clinical trials will be conducted at Roswell Park, UPMC or UNMC beginning in the near future.
summary, Hemispherx is currently collaborating on the start of clinical trials with three U.S.-based world-class cancer research
centers to study Ampligen in combination with checkpoint inhibitors that are already approved by the FDA. Checkpoint inhibitors
are powerful immuno-therapy drugs that block proteins that restrain the body's immune system from fighting cancer,
and they are used in a number of advanced solid tumor malignancies. The object of these combination clinical trials is to measure
improvements in therapeutic outcomes. The need stems from the fact that checkpoint blockade therapies work poorly with so-called
"cold" tumors. Clinical proof-of-concept findings using an Ampligen cocktail in colorectal carcinoma demonstrated
a more favorable ratio of killer T-cells to regulatory T-cells in the tumor microenvironment. Killer T-cells attack cancer cells,
and their presence in the tumor microenvironment can be inhibited by regulatory (suppressor) T-cells in the tumor microenvironment.
The suppressor cells thereby reduce a patient's immune response to cancer. Increases in killer T-cells, without a corresponding
increase in suppressor T-cells, therefore, is an indicator of the body's increased ability to mount a potentially effective
immune response, supporting strong pre-clinical evidence of Ampligen's activity in converting "cold" tumors
a head-to-head study in explant culture models, Ampligen activated the TLR3 pathway and promoted an accumulation of killer T-cells,
but unlike two other TLR3 agonists, it did so without causing regulatory T-cell (Treg) attraction. These findings, published in
because they show that Ampligen selectively reprograms the tumor microenvironment by inducing the beneficial aspects of tumor
inflammation (attracting killer T-cells), without amplifying immune-suppressive elements such as regulatory, suppressor',
T-cells. The anti-tumor activity of Ampligen has been recognized by oncology investigators in a multiplicity of peer reviewed
scientific publications. The ability to reprogram the tumor microenvironment favoring enhanced anti-cancer activity of the checkpoint
inhibitors has provided the rationale for initiating clinical proof of concept studies in a variety of advanced (lethal) cancers.
has the potential to be clinically significant because a robust killer T-cell population in the tumor microenvironment without
attracting Treg cells is important to help optimize checkpoint blockade induced tumor shrinkage," said Robert P. Edwards,
MD, chair of gynecologic services at Magee-Women's Hospital of the University of Pittsburgh School of Medicine (UPMC), Professor
of Obstetrics, Gynecology & Reproductive Services at UPMC, a world-class expert in ovarian cancer and a pioneer in Ampligen
views are vigorously reiterated by another world renowned expert and Ampligen pioneer, Pawel Kalinski, MD, PhD, Rustum Family
Professor for Molecular Therapeutics and Translational Research, Vice Chair for Translational Research and Director of Cancer
Vaccine and Dendritic Cell Therapies at Roswell Park Comprehensive Cancer Center, who states, "There is significant and
pressing need for new therapy options that can extend the benefits of checkpoint inhibition to the patients who currently do not
respond to these treatments. We're excited about initiating our planned basket trial incorporating Ampligen to see whether
these combination approaches can successfully convert cold' tumors into hot' ones that will respond
to these therapies. Our preclinical findings indicate that this is a worthwhile strategy to pursue."
of the solid tumors that we are targeting at UNMC in our combination therapy clinical studies with Ampligen is pancreatic
cancer, which is a prime example of the unmet medical needs we are striving to meet. We also have an ongoing Dutch-approved
standalone Ampligen EAP in pancreatic cancer at Erasmus M.C. that is more than a year old. Statistically, only 6-7% of
patients diagnosed with pancreatic cancer are alive five years after diagnosis, and more than 100,000 people will die this
year in the U.S. and Europe from this dreaded malignancy. Today, a diagnosis of pancreatic cancer is a virtual death
sentence. Hemispherx, working with Erasmus and UNMC, intends to change that. We have every hope that the upcoming clinical
trial at UNMC will pave the way for progress in pancreatic cancer. We at Hemispherx strongly believe that this work is
important, will make a difference and ultimately will save lives. As one of the world's top pancreatic cancer
researchers, Michael A. (Tony) Hollingsworth, PhD, head of pancreatic cancer research at UNMC's Buffett Cancer Center
states, "We are working hard to discover better treatments for pancreatic cancer. We believe Ampligen is an agent that
holds tremendous promise - not only for pancreatic cancer, but also for a variety of other cancers."
hope that if, as stockholders, you understand this program, you may better appreciate why we are moving so aggressively on this
clinical path. I believe success in oncology will lead to lasting commercial success for our company. Over the past two years
we have aggressively and successfully pursued meaningful relationships with top cancer research centers in the U.S. We then, at
these same institutions, aggressively and successfully pursued pre-clinical animal studies to show our hypothesis has great merit.
Initial proof of concept clinical work was similarly successful. Now we are commencing at these same top institutions, led by
top experts in their fields, clinical studies in a variety of solid tumors which we have every expectation will establish Ampligen
as an important agent in immuno-oncology.
have two pipeline drugs that show tremendous progress in fighting debilitating conditions for countless people with unmet medical
needs, Ampligen, and our FDA approved product, Alferon N Injection. We have our own manufacturing site and a proven ability
to produce our pipeline products. We have an active EAP in the Netherlands in pancreatic cancer, and are in midst of expanding
our EAP for ME/CFS in the U.S. We have the first ever commercial approval in severe ME/CFS from Argentina. What's more,
over the past two years, we have successfully collaborated with Erasmus M.C., the Hillman Cancer Center at UPMC, the Fred &
Pamela Buffett Cancer Center at UNMC and Roswell Park. These are all highly respected research centers in the field of cancer
treatment. We strongly believe that successes in our six independent immuno-oncology clinical studies targeting eight types of
solid tumors will create significant long-term value for our stockholders.
addition to the above detailed clinical work:
can manufacture our product
are making a difference in the U.S. and Globally
We are working to expand the U.S.-based EAP, known as AMP-511, an FDA-authorized open-label program for severe ME/CFS.
We announced in September that our regulatory inspection and clearance for distribution of our second commercial scale lot of Ampligen, slated for multiple uses including product launch in Argentina for the treatment of ME/CFS, our ME/CFS EAP in the U.S. and Europe and the pancreatic cancer EAP in the Netherlands.
Hemispherx is a small company, but holds
great promise. Our pledge to stockholders is that we will continue to pursue all available opportunities to advance our pipeline,
with the goals of offering therapeutics that will truly make a difference in the lives of patients and, at the same time, build
will continue to keep you apprised of our progress in these efforts as we go forward. Thank you for your continued support of
Last updated: Oct 22, 2018