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Planet Communications - Media Relations: Deanne Eagle 917.837.5866 MDC Group - Investor Relations: Susan Roush 747.222.7012 David Castaneda 414.351.9758 FIRST PATIENT TREATED IN NEURALSTEM PHASE I SPINAL CORD IN

Key Takeaway: Contact: Planet Communications - Media Relations: Deanne Eagle 917.837.5866 MDC Group - Investor Relations: Susan Roush 747.222.7012 David Castaneda 414.351.9758 FIRST PATIENT TREATED IN NEURALSTEM PHASE I SPINAL CORD INJURY STEM CELL TRIAL THROUGH THE UC SAN DIEGO SANFORD S

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Contact:
Planet Communications - Media Relations:
Deanne Eagle 917.837.5866
MDC Group - Investor Relations:
Susan Roush 747.222.7012
David Castaneda 414.351.9758
FIRST PATIENT TREATED IN NEURALSTEM PHASE
I SPINAL CORD INJURY STEM CELL TRIAL THROUGH THE UC SAN DIEGO SANFORD STEM CELL CLINICAL CENTER
NSI-566 to be Tested in Four Patients
with Chronic Spinal Cord Injury
GERMANTOWN, MD, October 9 2014 -- Neuralstem,
Inc. (NYSE MKT: CUR) announced that the first patient was treated last week in the Phase I trial testing NSI-566 human neural stem
cells in the treatment of chronic spinal cord injury (cSCI) at the UC San Diego School of Medicine. The patient has been discharged
from the hospital. The NSI-566/cSCI Phase I trial will treat four patients who have thoracic spinal
cord injuries (T2-T12) with stem cell transplants directly into the region of the injury, between one and two years post-injury.
All of the patients have an American Spinal Injury Association (AIS) grade A level of impairment, which is complete paralysis with
no motor or sensory function in the relevant segments at and below the injury. The trial is under the direction of principal investigator
(PI) Joseph Ciacci, MD, UC San Diego School of Medicine and neurosurgeon at UC San Diego Health System. Much of the pre-clinical
work with the NSI-566 cells in spinal cord injury was conducted at UC San Diego School of Medicine by Martin Marsala, MD, professor
in the Department of Anesthesiology, who will be another study investigator.
Karl Johe, PhD, Neuralstem's
Chairman and Chief Scientific Officer, explained the scientific rationale behind the Neuralstem therapy. "The therapeutic
mechanism of action for the neural stem cell transplantation in chronic spinal cord injury is for the transplant to bridge
the circuitry gap' in the cord which resulted from the injury. To return meaningful function to the patients, existing nerves
from above the injury will need to traverse and connect to the intact area below the injury, which we believe can happen via our
transplant. The new nerves generated from the transplant itself can connect to the host cord above and below the injury and contribute
to the rebuilding of the damaged circuitry, as demonstrated in animal studies (Lu, Gorp). This structural repair by NSI-566 in
chronic SCI patients will be in addition to the neuroprotective factor expression demonstrated in ALS patients who have undergone
transplantation with the same cells."
clinical trial at UC San Diego Health System is funded by Neuralstem, Inc. and was launched and supported by the UC San Diego Sanford
Stem Cell Clinical Center. The Center was recently created to advance leading-edge stem cell medicine and science, protect and
counsel patients, and accelerate innovative stem cell research into patient diagnostics and therapy.
of this study is to evaluate the safety of transplanting neural stem cells into the spine for what could one day be a treatment
for spinal cord injuries," said Joseph Ciacci, MD, principal investigator and neurosurgeon at UC San Diego Health System.
"The study's immediate goal, however, is to determine whether injecting these neural stem cells into the spine of patients
with spinal cord injury is safe."
"This trial represents a major
step forward for Neuralstem," said Richard Garr, President and Chief Executive Officer of Neuralstem. "This is the
second indication in the U.S. using our NSI-566 neural stem cells, where we have already treated 30 ALS patients safely. NSI-566
cells are also being tested in ischemic stroke patients in China, through our subsidiary, Neuralstem China, where they are being
injected directly into the brain. Additionally we anticipate approval for a trial in acute spinal cord injury in South Korea using
the NSI-566 cells later this year. In ALS, we are planning a trial that will be powered to demonstrate efficacy for next year.
Overall, these versatile cells will be in at least four different clinical trials addressing multiple indications, through multiple
mechanisms of action, in 2015."
learn more about eligibility for this clinical trial, please call Amber Faulise at 858-657-5175 or email her at rfaulise@ucsd.edu.
About Chronic Spinal Cord Injury
There are more than 10,000 new spinal
cord injuries (SCI) in the U.S. each year. At the time of a recent survey done by the Christopher & Dana Reeve Foundation,
there were approximately 840,000 people living with chronic SCI, which refers to patients in whom paralysis persists and becomes
permanent. According to the National Spinal Cord Injury Association, 85% of SCI patients who survive the first 24 hours are still
alive 10 years later.
Neuralstem's patented technology enables
the production of neural stem cells of the brain and spinal cord in commercial quantities, and the ability to control the differentiation
of these cells constitutively into mature, physiologically relevant human neurons and glial cells. Neuralstem's NSI-566 spinal
cord-derived neural stem cell therapy Phase II clinical trials for amyotrophic lateral sclerosis (ALS), often referred to as Lou
Gehrig's disease, concluded final surgeries in July 2014. Neuralstem has been awarded orphan status designation by the FDA for
its ALS cell therapy. In addition to ALS, the company is also in a Phase I NSI-566 trial in chronic spinal cord injury at UC San
Diego School of Medicine, and is targeting other major central nervous system conditions, such as ischemic stroke and acute spinal
Neuralstem also maintains the ability
to generate stable human neural stem cell lines suitable for systematic screening of large chemical libraries. Through this proprietary
screening technology, Neuralstem has discovered and patented compounds that may stimulate the brain's capacity to generate neurons,
possibly reversing pathologies associated with certain central nervous system conditions. The company has completed Phase
Ia and Ib trials evaluating NSI-189, its first neurogenic small molecule product candidate, for the treatment of major depressive
disorder (MDD), and is expecting to launch a Phase II NSI-189/MDD study in 2015. Additional indications might include traumatic
brain injury (TBI), Alzheimer's disease, and post-traumatic stress disorder (PTSD).
For more information, please visit
www.neuralstem.com or connect with us on Twitter, Facebook and LinkedIn
Cautionary Statement Regarding Forward
Looking Information:
This news release may contain forward-looking
statements made pursuant to the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995. Investors
are cautioned that such forward-looking statements in this press release regarding potential applications of Neuralstem's technologies
constitute forward-looking statements that involve risks and uncertainties, including, without limitation, risks inherent in the
development and commercialization of potential products, uncertainty of clinical trial results or regulatory approvals or clearances,
need for future capital, dependence upon collaborators and maintenance of our intellectual property rights. Actual results may
differ materially from the results anticipated in these forward-looking statements. Additional information on potential factors
that could affect our results and other risks and uncertainties are detailed from time to time in Neuralstem's periodic reports,
including the annual report on Form 10-K for the year ended December 31, 2013 and Form 10Q, for the period ended June 30, 2014.
Last updated: Oct 9, 2014