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NLS Pharmaceutics and Kadimastem Announce the Submission of a Request by Kadimastem and iTolerance, Inc. for an FDA Pre-IND Meeting for an Innovative Breakthrough Type 1 Diabetes Treatment This submission comes after suc

Key Takeaway: NLS Pharmaceutics and Kadimastem have submitted a request for a Pre-IND meeting with the FDA to discuss iTOL102, an innovative treatment for Type 1 Diabetes. This product combines allogenic stem cell-derived islets with an immunomodulator, potentially providing a breakthrough solution that may negate the need for lifelong immunosuppression. The submission follows a successful initial meeting with regulators and represents a significant milestone toward clinical trials. Additionally, NLS Pharmaceutics is optimistic about their pending merger with Kadimastem, which could positively impact their development pipeline.

Market Sentiment Analysis

POSITIVE FACTORS

  • Pre-IND meeting requested, signaling advancement toward treatment approval.
  • iTOL102 shows potential to be a breakthrough therapy for Type 1 Diabetes.
  • Collaboration between Kadimastem and iTolerance may reduce lifelong immunosuppression.
  • Merger between NLS and Kadimastem expected to enhance the combined pipeline.

CONCERNS & RISKS

  • Success of the FDA meeting is uncertain and may not guarantee approval.
  • The merger is subject to shareholder approvals, introducing execution risk.
  • Potential unexpected costs and delays in clinical development remain.

Full Press Release Details

NLS Pharmaceutics and Kadimastem Announce the
Submission of a Request by Kadimastem and iTolerance, Inc. for an FDA Pre-IND Meeting for an Innovative Breakthrough Type 1 Diabetes
ZURICH, SWITZERLAND and NESS ZIONA, ISRAEL,
December 19, 2024. NLS Pharmaceutics Ltd. (Nasdaq: NLSP") and Kadimastem Ltd. ("Kadimastem"), a clinical-stage
company specializing in "off-the-shelf" allogeneic cell therapy products for neurodegenerative diseases and diabetes,
announced today in collaboration with iTolerance, Inc, ("iTolerance") a Miami-based regenerative medicine company, that
a request for a Pre-Investigational New Drug ("Pre-IND") meeting has been submitted by Kadimastem and iTolerance to the
U.S. Food and Drug Administration ("FDA") for iTOL102, an investigational biologic consisting of allogenic human stem
cell-derived pancreatic islets combined with an immunomodulator for the treatment of Type 1 Diabetes. Kadimastem believes that this
collaboration signifies a potentially transformative step in diabetes treatment.
This submission comes after a successful INTERACT
("Initial Targeted Engagement for Regulatory Advice on CBER/CDER Products") meeting, which is a meeting at a specific time
early in the product development, between Kadimastem, iTolerance, and the FDA earlier this year. The submission is a significant milestone toward the
clinical development of iTOL102, an on-going collaborative research initiative between iTolerance and Kadimastem, funded in part by the
Israel-United States Binational Industrial Research and Development Foundation ("BIRD"). iTOL102 combines iTolerance's
proprietary SA-FasL microgel (known as iTOL-100), an immune modulator, and IsletRx, insulin-producing islet cells derived from human pluripotent
stem cells, to generate an innovative treatment intended for the potential cure of type 1 diabetes.
iTOL-100, an immunomodulatory microgel technology
being developed by iTolerance is designed to reduce or eliminate the need for life-long chronic systemic immunosuppression following transplantation
of allogenic cells. In a preclinical diabetic rodent model designed by iTolerance, iTOL-100 was shown by iTolerance to be compatible with
Kadimastem's IsletRx human stem cell-derived islets.
Kadimastem's IsletRx is a clinical-grade
product comprising human pancreatic islet-like cells capable of secreting insulin. IsletRx, a preparation of human stem cell-derived islets
developed by Kadimastem, is a scalable and virtually unlimited source of insulin-producing cells which could address the critical shortage
of donor islets for transplantation. This innovative therapy may effectively detect glucose levels in the body and produce the necessary
amounts of insulin and glucagon.
The iTOL102 product was evaluated at the fast-track
center for testing at the Diabetes Research Institute ("DRI") at the University of Miami School of Medicine, where it was
designated by DRI to be a novel combination of tolerance-inducing agent and human stem cell-derived islets demonstrating functional insulin
release and disease reversal in an animal model.
Ronen Twito, Executive Chairman and Chief Executive
Officer of Kadimastem, stated, "This requested Pre-IND meeting is a crucial step in our development of iTOL 102 and towards
bringing this potential breakthrough therapy to the market. We are committed to advancing our innovative IsletRx cell product and are
excited about the potential of combining it with iTolerance's immunomodulatory technology to create a potential cure for Type 1
iTolerance Chief Executive Officer, Dr. Anthony
Japour, added, "The submission of a request for a Pre-IND meeting with the FDA underscores our commitment to addressing the
critical need for a diabetes cure with an off-the shelf human allogenic stem cell-derived pancreatic islet product together with iTolerance's
proprietary immunomodulator, iTOL-100, that may reduce or obviate the need for life-long immunosuppression following transplantation.
By working closely with Kadimastem, we believe we can unlock the potential for cell therapies for the treatment, and potential cure of
Alexander Zwyer, Chief Executive Officer of
NLS Pharmaceutics, commented, "We are confident that our pending merger with Kadimastem, once completed, will add significant
value to the combined company's pipeline, bringing valuable assets and a promising growth trajectory. We are working toward the merger
closing by the end of January and remain optimistic about the positive impact it will have on our future."
As previously reported, NLS
Pharmaceuticals and Kadimastem entered into an agreement and plan of merger in November 2024. The merger is subject to closing conditions,
including the approval of the shareholders of each of the NLS Pharmaceutics and Kadimastem.
About NLS Pharmaceutics Ltd.
NLS Pharmaceutics is a global development-stage
biopharmaceutical company, working with a network of world-class partners and internationally recognized scientists. NLS is focused on
the discovery and development of innovative therapies for patients with rare and complex central nervous system disorders. Headquartered
in Switzerland and founded in 2015, NLS is led by an experienced management team with a track record of developing and commercializing
product candidates. For more information, please visit www.nlspharma.com, the content of which is not part of this press release.
Kadimastem is a clinical stage cell therapy company,
developing "off-the-shelf", allogeneic, proprietary cell products based on its technology platform for the expansion and differentiation
of Human Embryonic Stem Cells (hESCs) into functional cells. AstroRx , the company's lead product, is an astrocyte cell therapy in
clinical development for the treatment for ALS and in pre-clinical studies for other neurodegenerative indications.
IsletRx is the company's treatment for diabetes.
IsletRx is comprised of functional pancreatic islet cells producing and releasing insulin and glucagon, intended to treat and potentially
cure patients with insulin-dependent diabetes. Kadimastem was founded by Professor Michel Revel, Chief Scientific Officer of Kadimastem
and Professor Emeritus of Molecular Genetics at the Weizmann Institute of Science. Professor Revel received the Israel Prize for the invention
and development of Rebif , a multiple sclerosis blockbuster drug sold worldwide. Kadimastem is traded on the Tel Aviv Stock Exchange
About iTolerance, Inc.
iTolerance is an early-stage privately-held regenerative
medicine company developing technologies to enable tissue, organoid or cell therapy without requiring life-long immunosuppression. Leveraging
its proprietary biotechnology-derived Streptavidin-FasL fusion protein/biotin-PEG microgel (SA-FasL microgel) platform technology, iTOL-100,
iTolerance is advancing a pipeline of programs using both allogenic pancreatic islets and stem cells that have the potential to cure
diseases. Utilizing iTOL-100 to induce local immune tolerance, iTolerance is developing its lead indication as a potential cure for Type
1 Diabetes without the need for life-long immunosuppression. Additionally, iTolerance is developing iTOL-201 for treating liver failure
by utilizing hepatocytes and iTOL-401 as a nanoparticle formulation for large organ transplants without the need for life-long immunosuppression.
For more information, please visit itolerance.com, the content of which is not a part of this press release.
Safe Harbor Statement
This press release contains expressed or implied
forward-looking statements pursuant to U.S. Federal securities laws. For example, NLS and Kadimastem are using forward-looking statements
when they discuss the submission of a request for a Pre-IND meeting with the FDA, the positive impact and expected timing of the closing
of the merger between NLS Pharmaceutics and Kadimastem and the potential benefits of the transaction to NLS and Kadimastem and their respective
shareholders and the potential benefits of the iTOL-102 product, including its safety and efficacy . These forward-looking statements
and their implications are based on the current expectations of the management of NLS and Kadimastem, and are subject to a number of factors
and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements. The following
factors, among others, could cause actual results to differ materially from those described in the forward-looking statements: risks related
to the companies' ability to have a successful meeting with the FDA, complete the merger on the proposed terms, including risks and uncertainties
related to the satisfaction of the closing conditions related to the merger agreement and risks and uncertainties related to the failure
to timely, or at all, obtain shareholder approvals for the transaction; unexpected costs, charges or expenses resulting from the transaction
and potential adverse reactions or changes to business relationships resulting from the announcement or completion of the proposed merger;
changes in technology and market requirements; either or both companies may encounter delays or obstacles in launching and/or successfully
completing their clinical trials; the companies' products may not be approved by regulatory agencies; their technologies may not be validated
as they progress and their methods may not be accepted by the scientific community; either of both of the companies may be unable to retain
or attract key employees whose knowledge is essential to the development of their products; unforeseen scientific difficulties may develop
with the products being advanced by the companies; their products may wind up being more expensive than anticipated; results in the laboratory
may not translate to equally good results in real clinical settings; results of preclinical studies may not correlate with the results
of human clinical trials; the companies' patents may not be sufficient; their products may harm recipients; changes in legislation may
adversely impact either or both of the companies; inability to timely develop and introduce new technologies, products and applications;
and loss of market share and pressure on pricing resulting from competition, which could cause the actual results or performance of candidate
products to differ materially from those contemplated in such forward-looking statements. Except as otherwise required by law, neither
Kadimastem nor NLS undertakes any obligation to publicly release any revisions to these forward-looking statements to reflect events or
circumstances after the date hereof or to reflect the occurrence of unanticipated events. More detailed information about the risks and
uncertainties affecting NLS is contained under the heading "Risk Factors" in NLS' annual report on Form 20-F for the year ended
December 31, 2023, filed with the Securities and Exchange Commission ("SEC"), which is available on the SEC's website, www.sec.gov,
and in subsequent filings made by NLS with the SEC.
No Offer or Solicitation
This communication is not intended to and shall

Frequently Asked Questions

What is the purpose of the Pre-IND meeting?

The Pre-IND meeting aims to discuss the development of iTOL102 for Type 1 Diabetes.

Who are the companies involved in this submission?

The submission involves NLS Pharmaceutics, Kadimastem, and iTolerance, Inc.

What is iTOL102?

iTOL102 is an investigational biologic using stem cell-derived pancreatic islets.

What is the role of iTOL-100?

iTOL-100 is an immunomodulatory microgel designed to reduce immunosuppression needs.

How is IsletRx significant for diabetes treatment?

IsletRx provides a scalable source of insulin-producing cells for diabetes care.

Last updated: Dec 19, 2024