A future where chronic conditions

are no longer insurmountable obstacles

March 2024

Disclaimers and Forward-Looking Statements

This presentation is confidential and for your information only and is not intended to be distributed to or reviewed by anyone other than you. This presentation has been prepared by Sernova and is being supplied to you on a confidential basis for information purposes only and neither this presentation nor any part of it may be taken away, reproduced or redistributed, passed on, or the contents otherwise divulged, directly or indirectly, to any other person or published in whole or in part for any purpose without the prior written consent of Sernova.

Forward-Looking Statements

This presentation contains, and our officers and representatives may from time to time make, forward-looking statements within the meaning of applicable Canadian and US securities laws. Forward-looking statements in this presentation are statements that are not historical facts and are generally, but not always, identified by the word "expects", "plans", "anticipates", "believes", "intends", "estimates", "projects", "potential" and similar expressions, or that events or conditions "will", "would", "may", "could" or "should" occur. Forward-looking statements include (but are not limited to) statements about subsequent clinical activity, including our pipeline, enrolment of patients and continuing results therefrom, and the potential benefits, safety and efficacy of the Cell Pouch , Cell Pouch System and related technologies for various indications, including type 1 diabetes (T1D), as well as the size of potential market opportunities.

Forward-looking statements are not a guarantee of future performance and are based upon a number of assumptions of management at the date the statements are made. While Sernova considers these assumptions to be reasonable, these assumptions are inherently subject to significant scientific, business, economic, competitive, market and social uncertainties and contingencies. Additionally, there are known and unknown risk factors that could cause Sernova's actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements contained in this presentation. Results in early-stage clinical trials may not be indicative of full results or results from later stage or larger scale clinical trials and do not ensure regulatory approval. Readers should not place undue reliance on these statements, or the scientific data presented and should refer to the related risk factors and assumptions identified in Sernova's continuous disclosure filed on sedarplus.ca. Except as required by applicable law, Sernova expressly disclaims any intention or obligation to update or revise any forward-looking statements whether as a result of new information, future events or otherwise.

Market and Industry Data

This presentation includes market and industry data that has been obtained from third party sources, including industry publications. In some cases, such information has been used in estimating potential addressable markets. Sernova believes that the industry data is accurate and that the estimates and assumptions are reasonable, but there is no assurance as to the accuracy or completeness of this data. Although the data is believed to be reliable, Sernova has not independently verified any of the data from third party sources referred to in this presentation. References in this presentation to research reports or to articles and publications should be not construed as depicting the complete findings of the entire referenced report or article.

Not an Offer

This presentation does not constitute an offer to sell, or a solicitation of an offer to purchase, securities of Sernova. This presentation does not constitute, and should not be construed as, a prospectus, advertisement or public offering of securities.

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Sernova is Pioneering 'Functional Cures' for Chronic Diseases

Blazing the trail in regenerative medicine

Valuable & Expanding

Portfolio

  • Clinical stage company
  • Lead program: insulin-

dependent diabetes (T1D)

Insulin-producing cells + pre- implanted Cell Pouch reduces or eliminates the need for life-long insulin injections

  • Additional programs in thyroid diseases and hemophilia A

Cell Pouch System

  • Proprietary technology - delivery vehicle
  • A flexible, implantable device containing immuno-protected therapeutic cells
  • Creates highly vascularized, organ-like environment
  • Cells sustainably produce missing therapeutic proteins or hormones

Therapeutic Cell Platform

  • Creating true 'functional cure'

for chronic diseases

Not simply treating symptoms with burdensome, incomplete and lifelong medications

  • Portfolio potential for multiple conditions in multi billion- dollar markets
  • Ethically derived therapeutic cell sources

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T1D Cohort 1 Patient Testimonial Speaks Volumes

Insulin Independent for ~4 Years

After completing the safety, tolerability and efficacy study of Sernova's Cell Pouch for clinical islet transplantation and as the first transplant candidate, I can easily state how absolutely wonderful life is, to be free of always thinking of how to manage my diabetes.

After having T1D for 47 years with approximately 21,535 injections of various cow/pig, synthetic insulins, 34,310 finger sticks, 1,460 urine tests, 15 years on the pump, carbohydrate counting, blood tests, low blood sugar reactions, and doctors…doctors and more doctors' visits, I have now been free of the need for injectable insulin for 15 months*.

My only wish is that it could have been done sooner.

Cohort 1, Patient 1 - June 2021

*Insulin independent for ~47+ months as of Mach 13 2024

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Note: Above quote is from a single patient and may not be indicative of the experience of all patients now or in the future.

Executive Summary: Advancing Cell Therapeutics for Functional Cures

Pipeline of cell therapies combined with the Cell Pouch delivery vehicle for chronic diseases

The Cell Pouch System

  • Forms an organ-like environment for administration of cell-based therapies
  • Ensures complete containment of therapeutic payload and full retrievability
  • Established clinical proof of concept in patients with Type 1 Diabetes (T1D)
  • Preclinical proof of concept established in Post-operative Hypothyroidism and Hemophilia A

Type 1 Diabetes

  • Ongoing Phase 1/2 trial with human donor islets in T1D patients
    • 5 of 6 fully transplanted patients in first cohort achieved insulin independence - longest, to date, continues ~4 years
  • Next-generationT1D therapy: the Cell Pouch System with proprietary iPSC-derivedislet-like clusters, in collaboration with Evotec
    • IND/CTA -enabling activities are being conducted across 2024
    • Positive pre-submission regulatory interactions, to date

Hemophilia-A

  • Development of novel LV-corrected BOECs* for treatment of Hemophilia A, in collaboration with University of Eastern Piedmont
  • Orphan Drug Designation and Rare Pediatric Disease Designation granted by US FDA

Hypothyroidism

- Advanced preclinical development in Post-operative Hypothyroidism towards IND filing in 2024 for Phase I/II clinical trial

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*BOEC = patient's own blood outgrowth endothelial cells

New Developments at Sernova

  • 1Q2024: Long term islet survival in Cell Pouch (from P1/2 T1D clinical setting)
    • histological evidence of abundant, vascularized islets expressing insulin throughout the Cell Pouch chambers
    • Patient from cohort 2; > 1 year from transplant; patient has sustained elevated C-peptide and has achieved insulin independence
    • Believed to be a 1st in the industry
  • 1Q2024: Newresearch program with Astra Zeneca
    • Expanding our work with AZ via an exciting new research collaboration
  • 4Q2024: Investigational New Drug (IND) filing for post operative hypothyroidism
    • Based on recent positive findings in post-surgical hypothyroidism pre-clinical model
    • Moving forward with interactions with regulatory agencies in preparation for IND filing
  • Malignant cell animal study: further proof that the cell pouch has powerful containment - and retrievability - capabilities
    • Malignant cells remained alive in cell pouch for 90-day duration of study with NO evidence of malignancy in animal upon pouch explantation
    • Believed to be a 1st in the industry
  • T1D Human Donor Islet Phase 1/2 Clinical Study: Cohorts 1 and 2 learnings to support iPSC study in 2025
    • Optimal islet dose and density
    • Continue to test various advanced immunosuppressive regimens in preparation for Phase 1/2 iPSC ILC T1D study

Sernova has largest clinical database for T1D cell therapy

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Today to 2026: Potential Milestones & Value Inflection Points

Development for T1D, Thyroid Disease & Hem A Continues Across 2024-2026

asset

based

milestones

Data Readouts

across 2024:

Cohort 2 HDI T1D &

pre-clinical thyroid

iPSC ILC

process lock

iPSC preclinical (IND enabling)

Thyroid Phase

1/2 trial initiation

Thyroid Phase 1/2 IND filing

T1D Phase 1/2

T1D Phase 1/2 iPSC

iPSC IND filing

trial initiation

2024

corporate milestones

Close in- licensing

2025

Close a strategic

BD collaboration

In-license and/

or partner hypoimmune T1D asset

In-license additional platform technology or asset(s)

2026

Close a strategic BD collaboration or an out-licensing deal

fundraising activities will be conducted as appropriate

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all milestones are subject to sufficient financing, positive data readouts, regulatory interactions and our partners ability to deliver

Pipeline Today - Multiple Indications

Impacting patients around the world

Therapeutic

Indication

Cell Source

Discovery

Pre-Clinical

Phase 1/2

Phase 3

BLA

Human donor islet cells

serves as proof of concept for iPSC study

Insulin - dependent

Diabetes

iPSC islets

Hemophilia A

Corrected patient cells

Autologous

Hemophilia A

Allograft immune protected

stem cells

Thyroid cells

Thyroid Diseases / Post

Autologous

Operative Hypothyroidism

Allograft immune protected

stem cells

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Implementing a Portfolio Strategy

Multiple opportunities to expand our portfolio & to extend our reach to more patients

Thyroid

Diseases

OthersRare

Retinal

Sernova's Proprietary

Diabetes

Scientific &

Diseases

Cell Therapy Platform

Technical

cells, cell pouch,

Assessment

local immune

Hepatic

CNS

protection

Diseases

Disorders

Oncology

Patient Impact &

Internal

Commercial

development &

Assessment;

de-risking of

Portfolio

program

Management

- Go/No Go

Targeted partner selection

prioritizing competitive commercial terms (upfront, milestones and royalties)

Identified additional chronic disease indications for further pipeline expansion,

with a focus on endocrine disorders

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Development of tool kit enabling consistent pouch placement &
therapeutic payload transplantation is underway

Cell Pouch + Therapeutic Provides Organ-Like Environment

Creates vascularized tissue chambers to allow optimal engraftment of therapeutic cells

  • Cell Pouch is placed deep under the skin in a short procedure
  • Vascularized tissue chambers develop, enabling long-term survival and function of therapeutic cells
  • After 3 weeks, therapeutic cells can be transplanted into the vascularized tissue chambers enabling rapid engraftment within tissue matrix
  • Therapeutic cells are responsive to endogenous regulation and able to correct biologic dysfunctions by producing missing proteins or hormones

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Attachments

Disclaimer

Sernova Corp. published this content on 15 March 2024 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 15 March 2024 18:12:05 UTC.