TECHNOLOGY OVERVIEW

Scientific Rationale
The scientific foundation of Can-Fite is based on the scientific achievements of the company’s founding scientist, Prof. Pnina Fishman who developed a research program to understand the clinical observation that cancer rarely metastasizes to skeletal muscle. Early observations confirmed that skeletal muscle cells release small non-peptide molecules with anti-cancer activity. Further investigations led to the observation that these small molecules were agonists to the Gi protein associated cell surface receptor (A3AR) and that their anti-cancer activity could be simulated by synthetic A3AR agonists such as Can-Fite’s lead compounds CF101 and CF102. Importantly, experiments confirmed that the endogenous compound was not adenosine. Subsequent research also demonstrated that A3AR agonists also possess potent anti-inflammatory activity in many in vitro and in vivo models. CF101 and CF102 and the company’s other pipeline molecules are protected by composition of matter patents licensed from leading medicinal chemistry laboratories in the US NIH and the Leiden University in the Netherlands.

Mechanism of Action
Activation of the A3AR with high affinity agonists initiates de-regulation of the Wnt and the NF-kB pathways, leading to modulation of key signaling proteins, including PI3K, PKA, PKB/Akt, GSK-3ß, ß-catenin, IKK and TNF-a; all of these proteins play critical roles in the modulation of cancer and chronic inflammatory diseases. As a result, apoptosis of inflammatory and tumor cells takes place. In addition, the A3AR agonists mediate the anti-viral effect through the inhibition of the nonstructural RNA-binding protein NS5A (interferon resisting protein).

Differential Effect on Normal vs Diseased Cells
Can-Fite’s research further suggests that activation of the A3AR yields a differential effect on diseased cells versus normal cells. While specific A3AR agonists like CF101 and CF102 induce apoptosis of cancer and inflammatory cells, they do not appear to induce such effects in normal proliferating cells such as white blood cells or fibroblasts. These observations are supported by data demonstrating low A3AR expression levels on normal cells when compared to high receptor expression on abnormal cells.

Intellectual Property
The Company enjoys a strong intellectual property position with 20 families of patents totaling more than 100 individual cases. These cases include composition-of-matter patents and patent applications exclusively licensed for all fields from the National Institutes of Health in the USA and Leiden University in the Netherlands covering the company’s development compounds (CF101, CF102, CF502, CF602 and others); and method of use, indication and mechanism of action claims residing in company-owned intellectual properties. Through the combined portfolio of patents or patent applications licensed to or owned by Can-Fite, patent exclusivity for the company’s current development pipeline extends beyond 2021.

Can-Fite is not currently aware of any issued or pending patents that may block the company’s freedom to operate.

The A3AR is highly expressed in the pathological cells. The company drugs bind exclusively to the ‘sick’ cells thereby inducing a specific anti-inflammatory and anti-cancer effect