CADL
Published on 04/14/2026 at 03:14 pm EDT
Corporate Presentation | April 2026 NASDAQ: CADL
Aglatimagene besadenovec (CAN-2409): Off-the-shelf pan-solid tumor therapy, individualized anticancer immune response
Positive phase 3 randomized placebo-controlled clinical trial in localized, intermediate- to high-risk prostate cancer
Positive overall survival data from randomized phase 2a clinical trial of aglatimagene in borderline resectable pancreatic cancer
Positive overall survival data from randomized phase 2a clinical trial of aglatimagene in therapy-resistant non-small cell lung cancer
FDA Regenerative Medicine Advanced Therapy (RMAT) Designation in prostate cancer, Fast Track Designation in NSCLC, pancreatic cancer, and prostate cancer. Orphan Drug Designation in pancreatic cancer
"Pipeline in a product" strategy advancing multiple programs in several large indications
Linoserpaturev (CAN-3110): Oncolytic HSV-1 designed for tumor-specific replication
Proof of concept in patients with recurrent high-grade glioma, published in Nature and Science Translational Medicine
Fast Track Designation, Orphan Drug Designation
Opportunity for creation of "pipeline in a product" by expansion into indications beyond brain cancers
Corporate highlights
Experienced Executive Team and strong scientific support from high-profile Research Advisory Board
Entered into a term loan facility with Trinity Capital of up to $130 million in October 2025
Entered into $100 million royalty funding agreement with RTW Investments, subject to approval of aglatimagene in intermediate- to high-risk, localized prostate cancer in February 2026
Cash and cash equivalents of $119.7 million as of December 31, 2025; together with funds from February 2026 follow-on equity offering, provides expected runway into Q1 2028
IP protection: aglatimagene (2034, method of use); linoserpaturev (2036, composition of matter); 12 years data exclusivity
Low-cost manufacturing
Precommercialization activities underway to support potential post approval commercial launch of aglatimagene
2
Please visit https://vimeo.com/822135123
Aglatimagene locally administered combined with oral prodrug 3. Aglatimagene induces CD8+ cytotoxic T cells
Valacyclovir
Inflammatory mediators
Tumor antigens
Macrophage
Dendritic cell
B-cell
Fibroblast
aglatimagene
Cytotoxic metabolite
aglatimagene Valacyclovir
T-cell
Localized cytolytic mechanism combined with proinflammatory viral particles
4. Local immunization yields systemic CD8+ T cell mediated
3 response against injected tumor and uninjected metastases
Aglatimagene is an investigational product and its mechanism of action in humans has not been definitively established. This depiction of the aglatimagene
mechanism of action and the MoA video linked above are based on preclinical data and observations in clinical studies to date
> 1,000 patients dosed
Fast Track Designation in prostate cancer, non-small cell lung cancer (NSCLC), and pancreatic ductal adenocarcinoma (PDAC)
Randomized controlled phase 3 clinical trial (n=745) in localized, intermediate-to-high-risk prostate cancer achieved primary
Conducted under Special Protocol
Monotherapy activity of aglatimagene in NSCLC patient: Nearly 50% decrease in tumor volume in 3 weeks
Assessment (SPA)
Regenerative Medicine Advanced Therapy Designation (RMAT)
Proof of concept in patients with NSCLC and PDAC
Day 0
Tumor Dimensions: 148 x 40 x 82 mm
(1012 vp dose)
Day 22
Tumor Dimensions: 100 x 34 x 75 mm
4
Please visit https://vimeo.com/822133681
Nestin Promoter
ICP34.5
linoserpaturev
Nestin expression in tumor cells induces ICP34.5 expression, resulting in tumor-specific replication
Virus expands in Nestin expressing tumor cells, causing oncolytic activity
5
Linoserpaturev is an investigational product and its mechanism of action in humans has not been definitively established. This depiction of the linoserpaturev
mechanism of action and the MoA video linked above are based on preclinical data and observations in clinical studies to date
Proof of concept in patients with recurrent-high grade glioma (mostly glioblastoma)
> 60 patients dosed
Published in Nature and Science Translational Medicine
Fast Track Designation and Orphan Drug
Encouraging survival data for
Monotherapy activity of linoserpaturev in recurrent high-grade glioma: Clinical effect on injected tumor and uninjected tumor
Antitumor activity of linoserpaturev in preclinical models of melanoma (SITC, Nov 2024)
Day 0
Day 111 Patient back to work
Day 280
Ling AL et al. Nature 2023;623:157-166
PROGRAM INDICATION PRECLINICAL PHASE 1 PHASE 2 PHASE 3 BLA Readiness
Adenovirus Platform
Aglatimagene
Pancreatic Cancer
Lung Cancer
Prostate Cancer
Linoserpaturev
Brain Cancer
enLIGHTEN
Discovery Programs
Borderline Resectable Pancreatic Adenocarcinoma, Fast Track Designation (FDA)
NSCLC + PD-1/PD-(L)1,
Fast Track Designation (FDA)
Localized, Intermediate/High Risk, Fast Track Designation (FDA), Special Protocol Assessment (FDA)
Recurrent High-Grade Glioma, Fast Track Designation (FDA)
Solid Tumors
Additional
Phase 3,
2025
Interim OS data, biomarker data, recurrent HGG Phase 1b (Arm C), linoserpaturev
Updated clinical data, NSCLC
Phase 2, aglatimagene besadenovec
2026
Updated clinical data, prostate cancer Phase 3, aglatimagene besadenovec
Initiation phase 3 clinical trial, NSCLC
Phase 3, aglatimagene besadenovec
New biomarker data, prostate cancer Phase 3, Phase 2
(biomarker/ biodistribution), aglatimagene besadenovec
Updated OS data,
recurrent HGG Phase 1b (Arm C), linoserpaturev
BLA filing
Paul Peter Tak, MD, PhD, FMedSci
President & Chief Executive Officer
Francesca Barone, MD, PhD
Chief Scientific Officer
Seshu Tyagarajan, PhD, RAC
Chief Technical and Development Officer
Charles Schoch, MBA, MSA
Chief Financial Officer
Garrett Nichols, MD, MS
Chief Medical Officer
Susan Stewart, JD
Chief Regulatory Officer
James Allison, PhD
Chair of the Department of Immunology, MD Anderson Cancer Center
2018 Nobel Recipient
Carl H. June, MD
Richard W. Vaque Professor in Immunotherapy, Perelman School of Medicine, University of Pennsylvania
Edward Benz, MD
President and CEO Emeritus Dana-Farber Cancer Institute
Philip Kantoff, MD, FASCO
CEO and Co-Founder, Convergent Therapeutics
Past Chairman of Medicine Memorial Sloan Kettering Cancer Center
Jerome and Nancy Kohlberg Emeritus Chair in Medicine
Harvard Medical School
Henry Brem, MD
Director, Department of Neurosurgery
Professor of Neurosurgery Johns Hopkins University
Gary Nabel, MD, PhD
Chief Innovation Officer of OPKO and President/CEO of ModeX Therapeutics
Former CSO Sanofi
Roy Herbst, MD, PhD
Chief of Medical Oncology Yale Cancer Center
Bali Pulendran, PhD
Violetta L. Horton Professor at Stanford University School of Medicine and Director of the Institute for Immunity, Transplantation and Infection at Stanford University
Elizabeth M. Jaffee, MD
Deputy Director of the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins and
Co-Director of the Gastrointestinal Cancers Program
Padmanee Sharma, MD, PhD
Professor of Genitourinary Medical Oncology and Immunology , MD Anderson Cancer Center
Off-the-shelf therapy, individualized cancer response
11
INTERMEDIATE
109K
HIGH
43K
LOW
65K
Localized Prostate Incidence
Clear Unmet Need for Patients
~$10 - 16bn
U.S. Addressable Market Opportunity
Illustrative Range of Existing Prostate Approved Therapies
Source: Globe Life Sciences (May 2025).
~65K (~43%)
~$150-250K
Sub-optimal SoC Options
Long-term ADT associated with severe side effects
Patients' Recurrence
Benefits of Aglatimagene in Localized Prostate
Future
A
voidan
Cost
ce
Recurrence in ~30% of patients post-radiotherapy, with ~50% high-risk patients
Use of ADT or chemotherapy
12
Costs of side effects related to ADT
Planned indication in newly diagnosed localized prostate cancer in patients with intermediate- to high-risk disease in conjunction with radiotherapy to prevent prostate cancer recurrence
NCCN* defined intermediate (at least one of: PSA 10-20 ng/mL, Gleason score of 7, stage T2b/T2c) or patients with a single high-risk characteristic (one of: PSA >20 ng/mL, Gleason score 8-10, stage T3a)
Planned Indication
"Off-the-shelf" viral immunotherapy product designed to elicit a broad, potent immune response against solid tumors
Administered in combination with SoC external beam radiotherapy (EBRT) ± short course of ADT (<6 months)
3 courses of intraprostatic injections: 2 mL total volume (2-6 weeks apart)
Each administration is performed in outpatient clinic (~20 minutes)
14 days of valacyclovir orally following each injection course
Administration
13 *National Comprehensive Cancer Network.
Standard urologic injection procedure
Prostate
Bladder
Prodrug (14 days of valacyclovir)
Images of fluorescently labeled adenoviral vector in freshly resected prostate, demonstrating homogeneous distribution throughout the organ after 4 injections of virus (0.5 mL) in each prostate quadrant2
Pre-radiotherapy
Radiotherapy
Post-radiotherapy
Ultrasound-guided injection (transrectal or transperineal)1
Performed by urologists or radiation oncologists in outpatient clinic
A total volume of 2 mL, 0.5 mL in each of 4 quadrants of the prostate using a 20-G to 22-G needle
± Short-term androgen deprivation therapy
Course 1: 15 days-8 weeks prior to radiotherapy
Course 2: 0-3 days prior to radiotherapy
Course 3: 15-22 days after prior injection
1. Aguilar L. 28th Annual Prostate Cancer Foundation, Scientific Retreat, October 2021;
14 2. Rojas-Martínez A et al. Cancer Gene Ther. 2013;20:642-9.
In total >2000 intraprostatic injections
(40% transperineal; 56% transrectal; 4% not reported)
"How did you tolerate the study procedure compared to a prostate biopsy?"
Transperineal Transrectal
Much harder to tolerate 4%
Little harder to tolerate
30%
Much harder to tolerate
Little harder to tolerate
0%
11%
Same or better tolerated
65%
Same or better tolerated
89%
0% 10% 20% 30% 40% 50% 60% 70% 0% 20% 40% 60% 80% 100%
Aguilar L. 28th Annual Prostate Cancer Foundation Scientific Retreat, October 2021
n=745
Newly diagnosed, intermediate/high-risk, localized prostate cancer
2:1
Randomized
Placebo + Valacyclovir
(3 injection courses + radiotherapy with or without short-course ADT)
Primary endpoints
Disease-free survival
(time to cancer recurrence or death due to any cause)*
Key secondary endpoints
PSA freedom from biochemical failure
Prostate cancer-specific outcomes
Overall survival
aglatimagene +
Valacyclovir
(3 injection courses + radiotherapy with or without short-course ADT)
NCT01436968
Conducted under agreement with FDA under Special Protocol Assessment
Randomized stratified by the National Comprehensive Cancer Network (NCCN) guideline risk group and planned short-course ADT (androgen deprivation therapy). *Defined as local (biopsy), regional or metastatic disease, or death due to any cause.
Disease-free survival: primary endpoint to capture treatment effect in early localized prostate cancer
Disease-free survival (DFS)
Date of randomization to date of recurrence proven by biopsy, clinical or radiographic evidence of local or regional failure, distant metastases, or death from any cause
Local failure: includes increase in tumor size by 50%, reappearance of palpable tumor or biopsy revealing adenocarcinoma of the prostate at least 2 years after randomization
Regional failure: clinical recurrence with radiographic evidence of tumor in the pelvis
Distant metastases: clinical recurrence with radiographic evidence of disease beyond the pelvis
Endpoint validated by FDA with Special Protocol Assessment confirmed in 2019
Extensive market research with payers and key external experts confirmed that estimated DFS improvements would be clinically relevant
ITT population (N=745)
aglatimagene + prodrug (N=496)
Placebo + prodrug (N=249)
Total (N=745)
Median age (yrs)
69
68
69
Race, n(%)
White/Caucasian
385 (77.6)
206 (82.7)
591 (79.3)
Black/African American
93 (18.8)
28 (11.2)
121 (16.2)
Asian
3 (0.6)
1 (0.4)
4 (0.5)
Native Hawaiian or Pacific Islander
0 (0)
2 (0.8)
2 (0.3)
American Indian or Alaskan Native
1 (0.2)
1 (0.4)
2 (0.3)
Not reported
14 (2.8)
11 (4.4)
25 (3.4)
Ethnicity, n(%)
Hispanic or Latino
37 (7.5)
34 (13.7)
71 (9.5)
Not Hispanic or Latino
377 (76.0)
175 (70.3)
552 (74.1)
Not reported
82 (16.5)
40 (16.1)
122 (16.4)
NCCN risk group, n(%)
Intermediate
422 (85.1)
213 (85.5)
635 (85.2)
High
74 (14.9)
36 (14.5)
110 (14.8)
PSA ng/ml
Median
6.815
6.500
6.700
Range
0.99 - 52.90
0.83 -63.30
0.83-63.30
Gleason score, n(%)
< 7
19 (3.8)
5 (2.0)
24 (3.2)
7
417 (84.1)
217 (87.1)
634 (85.1)
> 7
60 (12.1)
27 (10.8)
87 (11.7)
ADT stratification, n(%)
Planned ADT
244 (49.2)
122 (49.0)
366 (49.1)
No planned ADT
252 (50.8)
127 (51.0)
379 (50.9)
Preferred term
Aglatimagene+ prodrug (N=479)
Placebo+prodrug (N=232)
Total (N=711)
Chills
160 (33.4)
20 (8.6)
180 (25.3)
Influenza-like illness
146 (30.5)
32 (13.8)
178 (25.0)
Fever
120 (25.1)
9 (3.9)
129 (18.1)
Fatigue
87 (18.2)
35 (15.1)
122 (17.2)
Urinary frequency
58 (12.1)
34 (14.7)
92 (12.9)
Nausea
53 (11.1)
19 (8.2)
72 (10.1)
Headache
45 (9.4)
12 (5.2)
57 (8.0)
Diarrhea
30 (6.3)
18 (7.8)
48 (6.8)
Malaise
28 (5.8)
5 (2.2)
33 (4.6)
Vomiting
26 (5.4)
3 (1.3)
29 (4.1)
Urinary urgency
19 (4.0)
16 (6.9)
35 (4.9)
Urinary tract pain
18 (3.8)
14 (6.0)
32 (4.5)
Chills, fever, flu-like symptoms were commonly mild to moderate and self limited
Incidence of treatment related SAEs lower on aglatimagene
1.7% on aglatimagene + SoC
2.2% on placebo + SoC
Incidence of SAEs lower on aglatimagene arm
5.8% on aglatimagene + SoC
7.3% on placebo + SoC
Incidence of treatment discontinuation due to AEs lower on aglatimagene arm
5.4% on aglatimagene + SoC
6.0% on placebo + SoC
Disclaimer
Candel Therapeutics Inc. published this content on April 14, 2026, and is solely responsible for the information contained herein. Distributed via Public Technologies (PUBT), unedited and unaltered, on April 14, 2026 at 19:13 UTC.