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Fibrocell Science Overview


August 2012
Forward Looking Statement

   This presentation includes statements that are “forward-looking statements.” While management has based
   any forward-looking statements contained in the presentation on its current expectations, the information
   on which such expectations were based may change. These forward-looking statements rely on a number of
   assumptions concerning future events and are subject to a number of risks, uncertainties, and other factors,
   many of which are outside of Fibrocell Science’s control, that could cause actual results to materially differ
   from such statements. Such risks, uncertainties, and other factors include, but are not necessarily limited to,
   those set forth under the caption “Item 1A. Risk Factors” in Fibrocell Science’s most recent Form 10-K filing,
   as updated in “Item 1A. Risk Factors” in Fibrocell Science’s most recent Form 10-Q filing. In addition, Fibrocell
   Science operates in a highly competitive and rapidly changing environment, and new risks may arise.
   Accordingly, you should not place any reliance on forward-looking statements as a prediction of actual
   results. Fibrocell Science disclaims any intention to, and undertakes no obligation to, update or revise any
   forward-looking statement. You are also urged to carefully review and consider the various disclosures in
   Fibrocell Science’s most recent annual report on Form 10-K, our most recent 10-Q as well as other public
   filings with the SEC since the filing of Fibrocell Science’s annual report.




                                                                                                                       2
Company Overview
Regenerative Medicine Platform

 • Unique autologous cell therapy company with near-term revenue growth and a broad platform
    o Commercial and development programs utilize a patient’s own collagen/elastin producing fibroblast
      cells to regenerate skin and soft tissues
    o Fibroblast cells decrease with age leading to a breakdown in connective tissue fibers, collagen
      matrix and skin structure
    o Stem cell platform from adult Fibroblast biopsies could lead to numerous medical applications
 • Key Focus Areas
    o Aesthetic Dermatology:
         Launched the first and only FDA approved, cell-based therapy for the treatment of nasolabial
            lines (facial wrinkles and folds)
         Marketing a skin care product line, and developing its own personalized fibroblast based skin
            care system – near-term revenue with high margins
         Potential indications include stretch marks, fine lines/wrinkles and facial rejuvenation
    o Medical Dermatology and Regenerative Medicine:
         Other potential high unmet need and high value indications include acne scarring, restrictive
            burn scars, vocal cord scars and periodontal damage
 • Exclusive license with UCLA on Dermal Cell Research; and research collaboration with MIT
 • Based in Exton, PA (Corporate offices and FDA-inspected manufacturing facilities)


                                                                                                          3
Value Proposition for Fibrocell
Unlocking the Power of the Fibroblast


                                                                  Groundbreaking, Validated Platform
                                                                  • Regenerates collagen and elastin using a patient’s own cells
                                                                  • FDA approved, marketed cell therapy product
                                                                  Exponential Growth Potential
                                                                  • Expansion beyond aesthetic indications
                                                                      o Regenerative medicine and stem cell therapy
                                                                      o High unmet medical needs; blockbuster potential in scarring indications
                                          Fibroblast Platform             • One procedure creates a reusable cell bank for a patient


                                                                                  Aesthetic Dermatology
           Aesthetic                                                              • First line therapy and/or combination therapy
          Dermatology                                                             • Wrinkle reduction, fine line removal
                              Premium         Nasolabial   Stretch Marks,
                              Cosmetics         Folds       Fine Fines &          • Premium, custom cosmetics with strong profit margins
                                                              Wrinkles

                                                                                              Regenerative Medicine
  Regenerative                                                                                • Burn Scars, Acne Scars, Vocal Cord Scarring,
   Medicine                                                                                     Periodontal, Wound Healing
                    Wound        Acne           Burn       Vocal Cord                         • Potentially initiates long term, natural tissue
                                                                         Periodontal            healing process
                    Healing      Scars          Scars       Scarring

Stem
Cells                                                                                                   Stem Cells
                                                                                                        • Differentiate into different,
                                                                                                          potentially useful cell-types
                        Stem Cells Derived From Human Autologous Skin Cells


                                                                                    Stem Cells                                                    4
Fibroblast Overview
Cells with a Broad Range of Possibilities
          Activated
                             Proliferated Cells   Collagen Matrix   • Fibroblast’s key function
          Fibroblast
                                                                      is to synthesize the
                                                                      extracellular matrix
                                                                       o A healthy
                                                                          extracellular matrix
                                                                          prevents wrinkles,
                                                                          fine lines and aging
                                                                          effects
                                                   Regenerative        o Fibroblasts, the
          Stem Cells           Dermatology                                ‘scaffolding of the
                                                    Medicine
                                                                          skin and soft tissues,’
                                                                          are the only cells
                                                                          that exude collagen
                                                                    • The most commonly
                                                                      found cell in connective
                                                                      tissue, Fibroblasts play a
                                                                      vital function in wound
                                                                      healing
      Purified Functional
      Stem Cells Found in                                           • Using a patient’s
       Adult Human Skin                                               autologous fibroblast
       Could Potentially                                              cells presents minimal
         be Used for                                                  risk of immune
      Multiple Indications                                            response

                                                                                                    5
Product Pipeline
Near-Term Revenue Plus Additional Indications Requiring Small Studies

                                                                       Status                                            Next Steps

                                                 • Approved by the FDA in June 2011 for              • Initiation of Phase IV trials
                            Aesthetic              moderate to severe nasolabial fold wrinkles       • Pursuing other areas of the body such as
                         (Nasolabial Lines       • Clinical studies have confirmed treatment is        stretch marks, fine lines/wrinkles and
                            and Other)             beneficial and safe in other facial regions         facial rejuvenation

                                                 • In end of phase II discussions with the FDA and   • Phase III trial initiation
  LAVIV




                           Acne Scarring           evaluating a path forward to phase III

                                                 • Submitted Phase II study protocol to the FDA      • Initiate Phase II clinical trials on patients
                       Restrictive Burn Scars
                                                                                                       with severe burns
                                                 • Recently published positive results from pilot    • Agree on pivotal study protocol
                        Vocal Cord Scarring        study                                             • Initiate study
                       Personalized Skin Care    • Developed Personalized Skin Care Cream, a         • Begin marketing in 2H 2012
                              Cream                complimentary sale to LAVIV

                                                 • Development plan written                          • Complete development
 Additional Projects




                       Fitzpatrick's Skin Type
                               Cream             • Patents filed

                                                 • Formed the Clinical Investigations for Dermal     • Conduct animal study
                                                   Mesenchymally-Obtained Derivatives Initiative     • Initiate human spinal cord fusion study
                         Stem Cell Program         (CIDMOD) with top university investigators        • Publish additional research reports in
                        (with UCLA and MIT)      • Announced exclusive license with UCLA on            collaborative program with UCLA and MIT
                                                   Dermal Cell Research; and research
                                                   collaboration with MIT


                                                                                                                                                       6
Future LAVIV Expansion into Larger Markets
Platform Drives Rapid Growth



                                                   Stem Cell
                                                    Therapy                 • Stem cells differentiate into
                                                                              many types of cells, opening the
                                                                              door to groundbreaking targeted
                                                                              therapies
                                                                            • Current use in scientific research
                                  Regenerative
                                   Medicine
                                                                    • ~40,000 people hospitalized each year
                                                                      with severe burns including 25,000
                      Medical                                         admissions to hospitals with
                    Dermatology                                       specialized burn centers
                                                                    • ~300,000-400,000 patients with vocal
                                                                      cord scarring
       Aesthetics
                                                         • Estimated 20 million patients with acne scarring,
                                                           3-4 million of which are moderate to severe


                                      • 7.6 million non-surgical cosmetic procedures in 2011, with BOTOX
                                        accounting for over 35% of the market

                                                                                                               7
Process Development Projects
Increased Efficiencies Drive Profit

 • Ongoing experimentation to lower material costs and increase efficiency
 • Rapid test methods
   – Developing a polymerase chain reaction (PCR) test to replace current method for Mycoplasma detection
   – Lower cost, lower cycle time
 • Evaluating alternative growth surface systems
   – Replaces final cell expansion steps of the process
   – Less media, less plastic ware cost
 • Expanding shipper capacity and reuse
   – Lower cost per shipment if more patients are shipped
     to same site in the same box
   – Lower cost overall if outer box reused multiple times
 • Reduction in enzyme volume
   – Lower cost due to less volume used in processing
 • Test requirement reduction
   – Removal of endotoxin from final product testing
 • Automated Cell Expansion System
   – Recently launched technology that expands cells in a closed system without significant operator intervention
   – Computer software controlled cell feeding schedule that monitors culture performance
 • Development of an alternative growth media
   – Fibroblast specific
   – May significantly impact overall yields
   – Serum-free
LAVIV Overview
Market Overview for Cosmetic Procedures
Growing Market for Injectable Cosmetic Procedures
                                                                                                                                           (1)
                                                                                                                          Percent Change
                   Procedures by Surgeons                                            2011        2010        1997       '11 vs '10    '11 vs '97
                   Injectables:
                     Botulinum Toxin Type A (Botox, Dysport)                        2,619,739   2,437,165     65,157         7.5%       3920.7%
                                                                                                                                                   • New treatment options for non-
                     Calcium hydroxylapatite (Radiesse)
                     Hyaluronic Acid (inc. Hylaform, Juvederm, Perlane/Restylane)
                                                                                      174,593
                                                                                    1,206,186
                                                                                                  119,503
                                                                                                1,315,121
                                                                                                                  na
                                                                                                                  na
                                                                                                                            46.1%
                                                                                                                            (8.3%)
                                                                                                                                             na
                                                                                                                                             na
                                                                                                                                                     surgical cosmetic procedures have
                     Poly-L-Latic Acid (Sculptra)                                      60,924      59,376         na         2.6%            na      experienced rapid uptake
                   Totals - Injectables                                             4,061,442   3,931,165     65,157         3.3%       3920.7%
                   Skin Rejuvenation:
                     Chemical Peel                                                    384,222     493,896    481,227        (22.2%)      (20.2%)
                                                                                                                                                      o Assumed patient base of
                     Dermabrasion                                                      25,129      22,763     40,214         10.4%       (37.5%)        1,353,814(2)
    Non-Surgical




                     Fractional Resurfacing                                           100,433          na         na            na           na
                     IPL Laser Treatment
                     Laser Skin Resurfacing
                                                                                      439,161
                                                                                      345,587
                                                                                                  381,480
                                                                                                  562,706
                                                                                                                  na
                                                                                                             154,153
                                                                                                                             15.1%
                                                                                                                            (38.6%)
                                                                                                                                             na
                                                                                                                                         124.2%
                                                                                                                                                   • The assumed patient base above
                     Microdermabrasion                                                499,427     450,744         na         10.8%           na      represents a conservative estimate
                     Noninvasive Tightening                                           297,795     247,500         na         20.3%           na
                   Totals - Skin Rejuvenation
                   Other:
                                                                                    2,091,754   2,159,089    675,594         (7.8%)       11.7%
                                                                                                                                                      o The total number of procedures
                     Laser Hair Removal
                     Tattoo Laser Treatment
                                                                                      919,802
                                                                                       40,801
                                                                                                  936,270
                                                                                                       na
                                                                                                                  na
                                                                                                                  na
                                                                                                                             (1.8%)
                                                                                                                                na
                                                                                                                                             na
                                                                                                                                             na
                                                                                                                                                        performed by both physicians,
                     Laser Treatment of Leg Veins                                      87,456      87,444         na          0.0%           na         physician assistants and nurse
                     Sclerotherapy
                   Totals - Other Nonsurgical Procedures
                                                                                      354,731
                                                                                    1,402,790
                                                                                                  444,887
                                                                                                1,468,601
                                                                                                                  na
                                                                                                                  na
                                                                                                                            (20.3%)
                                                                                                                             (7.3%)
                                                                                                                                             na
                                                                                                                                             na
                                                                                                                                                        injectors for Botulinum Toxin
                   Totals - Nonsurgical Procedures                                  7,555,986   7,558,856    740,751         (1.9%)      355.6%         Type A and Hyaluronic Acid was
                                                                                                                          Percent Change
                                                                                                                                           (1)          4,030,318 and 1,662,480,
                   Procedures by Surgeons                                            2011        2010        1997       '11 vs '10    '11 vs '97        implying a patient base of
                    Lipoplasty (liposuction)                                          325,332     289,016     176,863        12.6%        83.9%         1,343,439 and 554,160(2),
                    Breast augmentation                                               316,848     318,123     101,176        (0.4%)      213.2%
                    Abdominoplasty (tummy tuck)                                       149,410     144,929      34,002         3.1%       339.4%         respectively
                    Blepharoplasty (cosmetic eyelid surgery)                          147,540     152,123     159,232        (3.0%)       (7.3%)
                    Breast lift                                                       127,054     121,377      19,882         4.7%       539.0%    • Autologous fat injections have
    Surgical




                    Rhinoplasty (nose reshaping)                                      126,107     133,511     137,053        (5.5%)       (8.0%)
                    Facelift                                                          116,086     127,512      99,196        (9.0%)       17.0%      experienced strong growth as
                    Breast reduction (women)                                          112,964     138,152      47,874       (18.2%)      136.0%
                    Autologous fat                                                     69,877      53,840      38,259        29.8%        82.6%      patients seek a natural and youthful
                    Forehead lift
                    Other
                                                                                       28,200
                                                                                      119,106
                                                                                                   26,514
                                                                                                  119,224
                                                                                                               55,090
                                                                                                               70,565
                                                                                                                              6.4%
                                                                                                                             (0.1%)
                                                                                                                                         (48.8%)
                                                                                                                                          68.8%
                                                                                                                                                     appearance
                   Totals - Surgical Procedures                                     1,638,524   1,624,321     939,192         0.9%        72.5%
                   TOTALS ALL PROCEDURES                                            9,194,510   9,183,177   1,679,943        (1.4%)      197.3%
(1) Any discrepancies in percentage change are due to procedures performed in 1997 that are no longer performed in 2011.
(2) Patient base is estimated by dividing the number of procedures by three (assumed number of procedures per patient per year).
na = Rankings for this procedure in prior years are not available.
Source: American Society for Aesthetic Plastic Surgery.


                                                                                                                                                                                            10
Current LAVIV Commercial Opportunity
FDA Approved, Revenue Generating, Quickly Growing Treatment

                                              Description                                                                         Before      After
  • LAVIV is the first and only personalized aesthetic cell therapy for
    the treatment of nasolabial fold wrinkles
     o Fibroblast platform regenerates collagen cells
  • Effective for fine lines in contrast to toxins and HA products that are
    indicated for larger lines and do not address the underlying cause
     o Early patient feedback indicates strong satisfaction
     o Other currently marketed products are not as effective for fine
        nasolabial lines and fine lines around the eyes, hands and neck
     o Attractive to younger demographics who:
        ─ Are not satisfied with current treatment options
        ─ Attracted to organic products
        ─ Seek a complement to existing products
     o Attractive to older demographics who seek a natural, soft, and
        long lasting effect
  • To date, has demonstrated strong and encouraging interest among
    dermatologists and physicians
     o Offers doctors patient retention and more frequent patient
        interactions
  • LAVIV has demonstrated a long-term effect in patient studies
     o In a 12 month follow-up evaluation, ~95% of patients treated
        for nasolabial lines believed their appearance was the same or
        had improved at 12 months versus the end of the study (6
        months) (1)

 (1) Smith, Stacy, Long Term Safety and Efficacy of Autologous Fibroblast Therapy in the Treatment of Nasolabial Fold Wrinkles.
 Note: Photos from Fibrocell clinical studies.


                                                                                                                                                       11
LAVIV Launch Update
Successful Launch and Doctor Recruitment to Date

                Status                                                  Media Response
 • Actively train physicians through      • LAVIV has been featured in 75 business and trade publications, 100 consumer
   various personalized programs            media placements (online and print), 12 national women’s beauty magazines, 16
   o 772 trained physicians as of           major beauty websites and blogs, nearly 150 TV and radio segments, and an
     June 30, 2012                          exclusive NBC segment that has aired 125 times to date
                                          • Media Quotes
   o In order to become a certified
     LAVIV provider, physicians must         o “Karcher regularly practices LAVIV, in which a patient’s own skin cells are
     receive: a) product education and          harvested and injected to stimulate collagen growth, smoothing acne scars
     b) injection technique                     and fine lines.” – Elle
     certification                           o “The personalized, patented treatment uses your own fibroblast cells to
                                                give you a more youthful look” – South Park Magazine
 • Marketing plan currently consists of
                                             o “Fibroblasts have the ability to improve skin texture and can play a role in
   outreach at various dinner and
                                                wound healing and tissue repair, so this technology may have wider
   training events, in-office personal
                                                applications in the future.” – Plastic Surgery Practice
   meetings, social events, blogger
   events (viral marketing) and the use
   of Fibrocell’s 7 sales reps
 • Since launch, LAVIV has experienced
   strong growth in both physician
   recruitment and biopsy orders
   o In 2Q12, 86 first-time physicians
     ordered 204 biopsies (avg. 2.37)
     while 39 repeat physicians
     ordered 183 biopsies (avg. 4.69)


                                                                                                                              12
Overview of Personalized Skin Care Cream
Personalized Skin Cream: Near-Term Launches & Strong Profit Margins

                                 Description                                           Manufacturing Strategy
 • Premium, personalized skin creams that are derived media used in LAVIV         • Contract manufacturer produces
   cell expansion and represent novel, high quality moisturizers with broad         the bulk cream vehicle
   appeal                                                                         • Media is collected and
    o Personalized Skin Cream (2012 Soft Launch) – derived from an                  concentrated to increase protein
       individual’s own natural fibroblast cells                                    content
    o Fitzpatrick's Cream (2013 Launch) – cream derived from patients of a        • Media is used to support growth
       similar ethnicity or skin type, tailored to each demographic                 and expansion
 • Strong profit margins that improve over time
                                                                                    o Proliferating fibroblasts excrete
 • Media from the azficel-T production process is collected, concentrated             proteins into the media used in
   and used to formulate a personalized topical treatment                             the construction and support of
    o Biological aspects of media include fibroblast by-products and media            the extracellular matrix
       itself, which contains vitamins and amino acids
                                                                                    o Excess media is later discarded as
    o Biological aspects are blended with appropriate paraben-free vehicle            liquid biohazard waste
       cream which contains botanicals, and is specially formulated for
       Fibrocell                                                                  • Final blending occurs in Fibrocell’s
                                                                                    facility in Exton, PA
 • Characterization testing through preservative effectiveness tests, stability
   tests, protein analysis of conditioned media (which has identified               o Laboratory build in Exton is
   numerous proteins, including growth factors, matrix metalloproteinases,            complete and equipment is
   and interleukins) and moisturization tests on human subjects                       installed
 • Provided exclusively by physicians



                                                                                                                           13
Overview of Acne Scarring
Natural and Minimally Invasive First-Line or Combination Therapy

                                                 Description               Before      After
        • Acne scarring is the permanent discoloration and/or
          indentation of the skin as a result of moderate to severe acne
        • Opportunity to capture a large market share
              o No current treatments for acne scars
              o Current treatments for acne scarring are both
                uncomfortable and ineffective, especially for depressed
                acne scars
              o First line therapy and combination therapy opportunities
              o Fibrocell estimates ~3 million patients (50 million
                Americans with acne x 20% with moderate to severe acne x
                30% who will develop scarring)
              o Fibrocell estimates capture of 5% market share for acne
                scarring
        • Completed one Phase II/III study
              o Statistically significant efficacy results
              o Currently in discussions with FDA on the evaluation of
                Phase II results and path towards Phase III
        • Opportunity to generate an estimated $4,000 to $5,000 per
          patient for acne scarring treatment (1)


 (1) Includes initial treatment only.
 Note: Photos from Fibrocell clinical studies.


                                                                                                14
Acne Scarring Study Results
Phase II Clinical Data Supports Efficacy, Safety and Long-Lasting Effect

                                                              Study Design (IT-A008)                                                                                      Discussion
 • Randomized, multi-center, double-blind, placebo-controlled study                                                                                       • Efficacy
   in patients with moderate to severe acne                                                                                                                  o Fibroblast treatment demonstrated a
 • 99 subjects received three injections in one cheek and vehicle                                                                                               statistically significant number of
   control (cell culture media) in the other at 14 day intervals                                                                                                responders in both subject and
 • Patients evaluated up to four months after the last treatment                                                                                                evaluator assessments at four months
 • Success defined as 2-point improvement in subject assessment,                                                                                             o 98% of patients who completed the
   and a 1-point improvement in evaluator assessment using                                                                                                      study indicated they were interested in
   respective 5 point scales                                                                                                                                    receiving additional treatment
                                                                                                                                                          • Safety
                      Treatment Success in Fibroblast vs. Vehicle Treatment
                                                                                                                                                             o Most common adverse events were
                      70%
                                  Subject Assessment
                                                                            70%
                                                                                       Evaluator Assessment                                                    erythema (11.1%) and swelling (10.1%)
                                                                                                                         59%        = Treatment               and all were mild or moderate in
                      60%                                                   60%                                                     = Control                 severity
                                                                                                   51%         52%
                                                                                        50%
                      50%                                                   50%                                        p=0.0109
                                                                                                                                                          • Long-Lasting Effect
 Subject Responders




                                                                   43%                                      p=0.1048
                                                                                                 p=0.0357                         Treatment response
                                              38%       39%
                                                                                                                                     in control group
                      40%
                                   31%
                                                                            40%       p=0.0009                43%        42%        (placebo effect) is      o Reports anecdotally suggest 75-82% of
                                                                                                   38%
                      30%                             p<0.0001
                                                                 p<0.0001
                                                                            30%                                                     expected because           patients demonstrate treatment benefit
                                           p<0.0001                                      29%                                           needling and
                      20%       p<0.0001                                    20%                                                   subcision techniques         9 and 12 months following treatment
                                                                                                                                     disrupt collagen
                                                        18%        18%
                                                                                                                                     fibers, stimulate       o Photos anecdotally demonstrate
                      10%                    14%                            10%
                                   9%
                                                                                                                                   collagen synthesis,         sustained improvement 25 months
                                                                                                                                   and is used in acne
                      0%                                                    0%
                                                                                                                                         scarring              following the last treatment
                            0       1        2            3         4             0      1         2            3          4
                                           Month                                                 Month



                                                                                                                                                                                                          15
Acne Scarring Follow-Up Photos from Study
25 Month Photos Anecdotally Demonstrate Long-Lasting Effect
Time




                                                              16
Overview of Burn Scarring
Functional and Aesthetic Solution

               • Autologous fibroblast cell therapy offers functional and aesthetic improvements for burn scar victims
               • Restrictive burn scars are a potential blockbuster indication
                  o ~40,000 yearly hospitalizations for severe burns, including 25,000 admissions to hospitals with specialized burn centers
                     (excluding war injuries overseas)
 Description




               • Open-label case study for autologous fibroblast therapy in the management of burn scars produced promising results
                  o Functional improvements in contracted facial scars and restricted hand function
                  o Favorable patient satisfaction on both ‘aesthetic’ and ‘function’ grading scales
                  o Recently submitted phase II study protocol to the FDA
               • Previous autologous cell therapy studies produced rapid re-epithelialization, complete healing between 28 and 54 days,
                 significantly minimized scar formation and improved aesthetic results in subjects with open burn wounds that had not healed
                 from 3-14 months prior to therapy(1)


                       Example Case Study of Autologous Fibroblast Therapy
                          Situation                          Patient Treated with Fibroblasts
     • 63 year-old woman                                    • Reviewed 5 months post second
     • Burned 10 years previously                             treatment
     • Full thickness burns                                 • Improvement on both sides of
     • Originally treated with skin grafts                    neck
     • Scar tissue progressively became                     • Stopped all analgesics
       hardened, contracted and inflexible                  • Discarded cervical collar
     • Constant pain with severe restriction                • Full range of motion and pain free
       and abduction
     • Wearing cervical collar, taking strong
       analgesics
                                                                                                   Pre-        12 Months Post        14 Months Post
     • Plastic surgeon reluctant to intervene                                                      Treatment   Treatment             Treatment
                                                                                                               • Full range-clench   • Fine finger
 (1) Boss Jr WW, et al. Ann Plast Surg. 2000; 44:536-542.
                                                                                                                                        movement
 Note: Photos from Fibrocell clinical studies.


                                                                                                                                                      17
Burn Scarring Photos
Effective in High Unmet Medical Need Areas

                                                                   Burn Scars

                                                                    Time
    Case 1
    Case 2




 Note: Photos from LAVIV prescribers. Not from clinical studies.


                                                                                18
Burn Scarring Photos (cont’d)
Effective in High Unmet Medical Need Areas

                                                                                 Burn Scars
                 Before                                    5 Weeks Post Injury          7 Months Post Injury         18 Months Post Injury




                                                                                                                   Area
                                                                                                               Treated with
                                                                                                                  LAVIV


 Note: Photos from LAVIV prescribers. Not from clinical studies.


                                                                                                                                             19
Other Injury Induced(1) Scarring Photos
Effective in High Unmet Medical Need Areas
   Time




 (1) Iraqi war veteran who sustained injuries as a result of shrapnel.
 Note: Photos from LAVIV prescribers. Not from clinical studies.


                                                                         20
Overview of Vocal Cord Scarring
Potential Novel Solution to Dysphonia

                                           Description                                                                                       Case Study(1)
 • Vocal cord trauma is the most commonly encountered finding in
   dysphonia (loss of voice)
      o Most often seen after surgery on the vocal folds but can also result
        from radiation therapy, vocal cord trauma, and idiopathic causes
      o Currently has no effective therapy
                                                                                                                                Before
 • Positive results in pilot studies
      o Autologous fibroblasts injected into the lamina propria (LP) layer
        of the vocal folds appeared to be well-tolerated and produced
        both objective and subjective improvements for up to 12 months
        after treatment
      o Findings supported by mucosal wave grade, voice handicap index,
        and voice quality questionnaire                                                                                              After
 • No durable biocompatible material exists that matches properties of
   the LP layer
      o Promising treatment for vocal cord scarring because patient’s own
        cells recreate the extracellular matrix of LP layer, potentially                                                  Vocal fold mucosal waves in (A) at baseline and (B)
        reestablishing normal mucosal pliability of the vocal folds                                                       at 4 months after injection therapy. Although
                                                                                                                          mucosal waves are absent or limited to the most
 • “Cellular-based approaches using tissue engineering and regenerative
                                                                                                                          medial edges prior to therapy, robust mucosal
   medicine techniques like Fibrocell’s autologous fibroblasts are
                                                                                                                          waves are seen after injection therapy bilaterally
   promising for the treatment of vocal scars”(2)
                                                                                                                          (arrows)

 (1) Chhetri, Dinesh, Injection of Cultured Autologous Fibroblasts for Human Vocal Fold Scars. The Laryngoscope 000:000-000, 2011.
 (2) Dinesh K. Dr. Chhetri, MD, Associate Professor, Division of Head and Neck Surgery, David Geffen School of Medicine at UCLA.


                                                                                                                                                                                21
Overview of Gingival Recession
Cell Therapy Alternative to Grafting

                                           Description                                                                                          Clinical Examples
 • Treatment of interdental papillary insufficiency with autologous
   fibroblasts                                                                                                                     Before                                             After
                                                                                                                                     Baseline                             2 Months Post 3rd Injection
     o Gum line recession known as “black triangles” between teeth
     o This aesthetic problem may be due to loss of tissue caused by
       trauma, inflammation or disease
 • There are a few case reports in the periodontal literature describing
   surgical attempts at reconstruction of the lost gingival papillae
     o These procedures have essentially been based on autologous
       transplantation of gingival connective tissue or bone harvested
       from another intraoral site
     o In spite of some isolated reports offering some indication of
       improvement, reconstruction of the gingival papilla is considered to
       be highly unpredictable if not unfeasible
     o Furthermore, such techniques require invasive surgical intervention
       and are associated with potential morbidity
 • Three studies conducted to date
 • Phase 2 Studies conducted concluded:
     o Cell transplantation of autologous fibroblasts following a papilla
       priming procedure is safe
     o Analysis of investigator and subject assessments indicates that the
       test treatment was superior to placebo
     o Measurement technique requires further analysis in future trials
 (1) McGuire, M. and E. Scheyer. A randomized, double-blind, placebo controlled study to determine the safety and efficacy of cultured and expanded fibroblast injections for the treatment of interdental
     papillary insufficiency associated with the papilla priming procedure. J. Periodontol. 78 (1): 4-17, 2007.


                                                                                                                                                                                                             22
Stem Cell
Programs
Overview of Stem Cell Program (CIDMOD)
A Nearly Limitless Amount of Target Diseases
                • Fibrocell has discovered and purified a subset of Mesenchymal stem cells (MSCs) that can differentiate into different,
                  potentially useful cell-types, such as cells that form bone, fat and cartilage
                • The cells can be used for either in vitro research applications or re-implantation back into the donor
                   o Since the cells are genetically identical to the patient, these stem cells cells could have the potential to treat symptoms of
  Description




                      numerous diseases, without eliciting an immune response
                • Fibrocell is researching stem cells from human autologous skin cells in a collaborative research program with UCLA and MIT
                   o This program, CIDMOD, was formed to translate human skin cell derivatives into patient-specific cellular therapies for
                      cosmetic, regenerative and general therapeutic applications
                   o Animal study and human spinal fusion study to begin in 24 months
                   o Subpopulation of cells discovered in adult human skin cells that are easier to reprogram into pluripotent stem cells
                      providing an alternative to embryonic stem cells
                   o Several important scientific publications and patents are expected this year on both adult and pluripotent stem cell studies

                                                                                                                              Spinal Surgery
                                                                             Osteoblasts (Bone)
                                         Adult                                                                              Critical Bone Loss
                                       Stem Cells
        Human                                                             Chondrocytes (Cartilage)                               Arthritis
      Autologous                        Research &
                                        Biobanking
       Skin Cells                                                          Beta Islets (Pancreas)                               Diabetes

                                       Pluripotent                                                                            Heart Disease
                                                                          Cardiomyocytes (Heart)
                                       Stem Cells
                                                                               Neurons (CNS)                               Parkinson’s Disease

                Stem Cells Derived From Human Autologous Skin Cells Could Potentially Treat a Wide Range of Diseases

                                                                                                                                                      24
Stem Cell Collaboration
Expansion of Isolated MSCs and IPSCs




                                                       Overview
 • Background
    o After characterizing UCLA MSC and IPSC dermal fibroblast subpopulations, scientists determined a commercially
      viable method for maintenance and expansion of the specialized cells is required
    o Fibrocell has entered into a collaborative agreement with UCLA and MIT to develop a culture method
 • Project Title
    o Combinatorial development of plastics for growth and maintenance of human dermal primary cell
      subpopulations
 • Laboratory
    o Work to be conducted at the David H. Koch Institute for Integrative Cancer Research at MIT, in the laboratory of
      Principle Investigator Dr. Daniel G. Anderson
 • Goal
    o Develop culture systems and supportive media requirements to maintain target cell subpopulations defined by
      viable cell surface biomarkers
 • General Experimental Approach
    o Fluorescence Activated Cell Sorting (FACS) purified cells expressing these biomarkers will be cultured under
      different spatially defined culture systems and the cell surface biomarker expression analyzed using both FACS
      and immunocytochemistry
CIDMOD Therapeutic Priority
Dermal MSCs Ability to Facilitate Spinal Fusion

                                                                                                 Overview
    • Human Osteogenic Dermal Mesenchymal Stem Cell (HOD-MSC) spinal fusion will be a platform to build a strong intellectual
      property portfolio, using human skin-derived stem cells for a wide variety of indications, such as critical bone loss,
      osteoarthritis, diabetes, heart disease and Parkinson’s
      o Lower back pain is the most common cause of disability in people under 45
      o Spinal fusion using autografted hip bone is commonly performed to treat lower back pain, but there are problems with
          this approach associated with donor site morbidity and limitation of supply
    • CIDMOD has identified (1,2) and optimized a protocol to obtain relatively pure populations of HOD-MSCs from human skin
      biopsies (see figure below)
    • HOD-MSCs have the potential for hip bone autografts for spinal fusion and osteogensis based patient-specific therapeutic
      applications
    • The main clinical advantage for the HOD-MSCs is that they can be obtained from a human skin punch biopsy, which is quick
      to perform, minimally invasive, and less painful than either adipose tissue or bone marrow aspiration or removal of the
      iliac bone




 (1) BioResearch Open Access 2012; 1:25.
 (2) Crespo, A., et. al. Human skin cells that express stage-specific embryonic antigen 3 associate with dermal tissue regeneration. Bioresearch Open Access. 1(1): 25-33, 2007.


                                                                                                                                                                                   26
Corporate
Overview
Intellectual Property Summary
Unique Products with Strong Protection

                                                       Patent Summary
    • 10 issued US patents, 3 pending US patent applications, 30 granted foreign patents and 3 international patent
      applications
    • Issued patent applications primarily cover the method of using autologous fibroblast cells for the repair of skin and
      soft tissue defects and the use of autologous cells for tissue regeneration
    • In the process of pursuing several other patent applications


                                Abbreviated Description of Key Issued and Pending Patents

            Method for the augmentation of subcutaneous or dermal tissue with autologous dermal fibroblasts

            Method for the augmentation of subcutaneous or dermal tissue with autologous MSCs

            Method for the augmentation for vocal cord defects with autologous dermal fibroblasts

            Method of repairing acne with autologous dermal fibroblasts

            Method of repairing degenerated tissue with autologous dermal fibroblasts

            Method of repairing bone tissue with autologous dermal fibroblasts

            A device for repairing dermal defect in a subject with syringe of autologous dermal fibroblasts

            Topical dermal formulations

            Methods for culturing minimally-passaged fibroblasts and uses thereof


                                                                                                                              28
Leadership Team – Executive Management Team
Industry Specific Experience

                                              Executive Management Team

    Name          Position                                                Experience

 David         Chairman and      Served as SVP, Pharmaceuticals, Vaccines (Biologics), Oncology, Acute Care and HIV at
 Pernock       CEO               GlaxoSmithKline. While at GlaxoSmithKline, David also served in various VP level roles

 Declan Daly   COO and CFO       Served as CFO, COO, and SVP of Isolagen (prior to reorganization). Also served as CFO,
                                 SVP, Corporate Controller and Principal Accounting Officer for Inamed

 Elizabeth     EVP, Sales        Founded and served as CEO of Lluminari. Also served as President of DuPont Consumer
 Browning      and Marketing     Health (division of DuPont’s Nutrition & Health SBU)

 John          VP, Operations    Served in various Manufacturing and Quality Assurance roles for Isolagen. Also served as
 Maslowski                       Quality Assurance Investigations Manager at Wyeth Pharmaceuticals

 Laura         VP, Planning      Served in various Human Resources and Commercial operations roles at GlaxoSmithKline.
 Campbell                        Laura has 19 years of human resources and operation experience in the healthcare industry

 Karen         VP, Quality       Originally joined Fibrocell as Manager of Quality Control. Also served in various Quality
 Donhauser                       Control and Manufacturing positions at Wyeth Pharmaceuticals

 Joseph        Senior Clinical   Currently employed at the Biologics Consulting Group. Also served as Director (Hematology)
 Fratantoni    Consultant        for the Center for Biologics Evaluation and Research (FDA)

 Ronald        Senior            Currently employed at the Biologics Consulting Group. Also served as Global Regulatory
 Salerno       Consultant        Therapeutic Area Head for Wyeth Pharmaceuticals



                                                                                                                              29
Leadership Team – BOD and Scientific Advisors
Industry Specific Experience

                                                              Board of Directors
   Name                       Current Affiliation                           Name                      Current Affiliation
 David         CEO and President, Fibrocell                              Robert       David H. Koch Institute Professor, MIT
 Pernock                                                                 Langer
 Declan Daly   COO and CFO, Fibrocell                                    Marc Mazur   Chairman, Elsworthy Capital Management

 George        President, Plastic Surgery Associates and                 Kelvin       Independent Consultant
 Korkos        Rejunva Skin Care and Laser Center                        Moore


                                                        Scientific Advisory Board
   Name                       Current Affiliation                           Name                      Current Affiliation
 Robert        David H. Koch Institute Professor, MIT                    Daniel       Surgeon, Surgical Specialists of the Lehigh Valley
 Langer                                                                  Lozano       Medical Director, Regional Burn Center
 James         Assistant Professor, University of California Los         Daniel       Associate Professor, Division of Heath Science
 Byrne         Angeles                                                   Anderson     Technology at MIT

                                                               LAVIV Advisors
   Name                       Current Affiliation                           Name                      Current Affiliation
 David         Assistant Professor of Clinical Dermatology,              Girish       Member of American Academy of Dermatology,
 McDaniel      Eastern Virginia Medical School                           Munavalli    American Society for Dermatologic Surgery
 Gregory       Triple Board Certified Aesthetic Facial Plastic and       Robert       Associate Professor of Dermatology, Johns
 Chernoff      Reconstructive Surgeon                                    Weiss        Hopkins Hospital




                                                                                                                                           30

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Fibrocell science investor-presentation-august_2012

  • 2. Forward Looking Statement This presentation includes statements that are “forward-looking statements.” While management has based any forward-looking statements contained in the presentation on its current expectations, the information on which such expectations were based may change. These forward-looking statements rely on a number of assumptions concerning future events and are subject to a number of risks, uncertainties, and other factors, many of which are outside of Fibrocell Science’s control, that could cause actual results to materially differ from such statements. Such risks, uncertainties, and other factors include, but are not necessarily limited to, those set forth under the caption “Item 1A. Risk Factors” in Fibrocell Science’s most recent Form 10-K filing, as updated in “Item 1A. Risk Factors” in Fibrocell Science’s most recent Form 10-Q filing. In addition, Fibrocell Science operates in a highly competitive and rapidly changing environment, and new risks may arise. Accordingly, you should not place any reliance on forward-looking statements as a prediction of actual results. Fibrocell Science disclaims any intention to, and undertakes no obligation to, update or revise any forward-looking statement. You are also urged to carefully review and consider the various disclosures in Fibrocell Science’s most recent annual report on Form 10-K, our most recent 10-Q as well as other public filings with the SEC since the filing of Fibrocell Science’s annual report. 2
  • 3. Company Overview Regenerative Medicine Platform • Unique autologous cell therapy company with near-term revenue growth and a broad platform o Commercial and development programs utilize a patient’s own collagen/elastin producing fibroblast cells to regenerate skin and soft tissues o Fibroblast cells decrease with age leading to a breakdown in connective tissue fibers, collagen matrix and skin structure o Stem cell platform from adult Fibroblast biopsies could lead to numerous medical applications • Key Focus Areas o Aesthetic Dermatology:  Launched the first and only FDA approved, cell-based therapy for the treatment of nasolabial lines (facial wrinkles and folds)  Marketing a skin care product line, and developing its own personalized fibroblast based skin care system – near-term revenue with high margins  Potential indications include stretch marks, fine lines/wrinkles and facial rejuvenation o Medical Dermatology and Regenerative Medicine:  Other potential high unmet need and high value indications include acne scarring, restrictive burn scars, vocal cord scars and periodontal damage • Exclusive license with UCLA on Dermal Cell Research; and research collaboration with MIT • Based in Exton, PA (Corporate offices and FDA-inspected manufacturing facilities) 3
  • 4. Value Proposition for Fibrocell Unlocking the Power of the Fibroblast Groundbreaking, Validated Platform • Regenerates collagen and elastin using a patient’s own cells • FDA approved, marketed cell therapy product Exponential Growth Potential • Expansion beyond aesthetic indications o Regenerative medicine and stem cell therapy o High unmet medical needs; blockbuster potential in scarring indications Fibroblast Platform • One procedure creates a reusable cell bank for a patient Aesthetic Dermatology Aesthetic • First line therapy and/or combination therapy Dermatology • Wrinkle reduction, fine line removal Premium Nasolabial Stretch Marks, Cosmetics Folds Fine Fines & • Premium, custom cosmetics with strong profit margins Wrinkles Regenerative Medicine Regenerative • Burn Scars, Acne Scars, Vocal Cord Scarring, Medicine Periodontal, Wound Healing Wound Acne Burn Vocal Cord • Potentially initiates long term, natural tissue Periodontal healing process Healing Scars Scars Scarring Stem Cells Stem Cells • Differentiate into different, potentially useful cell-types Stem Cells Derived From Human Autologous Skin Cells Stem Cells 4
  • 5. Fibroblast Overview Cells with a Broad Range of Possibilities Activated Proliferated Cells Collagen Matrix • Fibroblast’s key function Fibroblast is to synthesize the extracellular matrix o A healthy extracellular matrix prevents wrinkles, fine lines and aging effects Regenerative o Fibroblasts, the Stem Cells Dermatology ‘scaffolding of the Medicine skin and soft tissues,’ are the only cells that exude collagen • The most commonly found cell in connective tissue, Fibroblasts play a vital function in wound healing Purified Functional Stem Cells Found in • Using a patient’s Adult Human Skin autologous fibroblast Could Potentially cells presents minimal be Used for risk of immune Multiple Indications response 5
  • 6. Product Pipeline Near-Term Revenue Plus Additional Indications Requiring Small Studies Status Next Steps • Approved by the FDA in June 2011 for • Initiation of Phase IV trials Aesthetic moderate to severe nasolabial fold wrinkles • Pursuing other areas of the body such as (Nasolabial Lines • Clinical studies have confirmed treatment is stretch marks, fine lines/wrinkles and and Other) beneficial and safe in other facial regions facial rejuvenation • In end of phase II discussions with the FDA and • Phase III trial initiation LAVIV Acne Scarring evaluating a path forward to phase III • Submitted Phase II study protocol to the FDA • Initiate Phase II clinical trials on patients Restrictive Burn Scars with severe burns • Recently published positive results from pilot • Agree on pivotal study protocol Vocal Cord Scarring study • Initiate study Personalized Skin Care • Developed Personalized Skin Care Cream, a • Begin marketing in 2H 2012 Cream complimentary sale to LAVIV • Development plan written • Complete development Additional Projects Fitzpatrick's Skin Type Cream • Patents filed • Formed the Clinical Investigations for Dermal • Conduct animal study Mesenchymally-Obtained Derivatives Initiative • Initiate human spinal cord fusion study Stem Cell Program (CIDMOD) with top university investigators • Publish additional research reports in (with UCLA and MIT) • Announced exclusive license with UCLA on collaborative program with UCLA and MIT Dermal Cell Research; and research collaboration with MIT 6
  • 7. Future LAVIV Expansion into Larger Markets Platform Drives Rapid Growth Stem Cell Therapy • Stem cells differentiate into many types of cells, opening the door to groundbreaking targeted therapies • Current use in scientific research Regenerative Medicine • ~40,000 people hospitalized each year with severe burns including 25,000 Medical admissions to hospitals with Dermatology specialized burn centers • ~300,000-400,000 patients with vocal cord scarring Aesthetics • Estimated 20 million patients with acne scarring, 3-4 million of which are moderate to severe • 7.6 million non-surgical cosmetic procedures in 2011, with BOTOX accounting for over 35% of the market 7
  • 8. Process Development Projects Increased Efficiencies Drive Profit • Ongoing experimentation to lower material costs and increase efficiency • Rapid test methods – Developing a polymerase chain reaction (PCR) test to replace current method for Mycoplasma detection – Lower cost, lower cycle time • Evaluating alternative growth surface systems – Replaces final cell expansion steps of the process – Less media, less plastic ware cost • Expanding shipper capacity and reuse – Lower cost per shipment if more patients are shipped to same site in the same box – Lower cost overall if outer box reused multiple times • Reduction in enzyme volume – Lower cost due to less volume used in processing • Test requirement reduction – Removal of endotoxin from final product testing • Automated Cell Expansion System – Recently launched technology that expands cells in a closed system without significant operator intervention – Computer software controlled cell feeding schedule that monitors culture performance • Development of an alternative growth media – Fibroblast specific – May significantly impact overall yields – Serum-free
  • 10. Market Overview for Cosmetic Procedures Growing Market for Injectable Cosmetic Procedures (1) Percent Change Procedures by Surgeons 2011 2010 1997 '11 vs '10 '11 vs '97 Injectables: Botulinum Toxin Type A (Botox, Dysport) 2,619,739 2,437,165 65,157 7.5% 3920.7% • New treatment options for non- Calcium hydroxylapatite (Radiesse) Hyaluronic Acid (inc. Hylaform, Juvederm, Perlane/Restylane) 174,593 1,206,186 119,503 1,315,121 na na 46.1% (8.3%) na na surgical cosmetic procedures have Poly-L-Latic Acid (Sculptra) 60,924 59,376 na 2.6% na experienced rapid uptake Totals - Injectables 4,061,442 3,931,165 65,157 3.3% 3920.7% Skin Rejuvenation: Chemical Peel 384,222 493,896 481,227 (22.2%) (20.2%) o Assumed patient base of Dermabrasion 25,129 22,763 40,214 10.4% (37.5%) 1,353,814(2) Non-Surgical Fractional Resurfacing 100,433 na na na na IPL Laser Treatment Laser Skin Resurfacing 439,161 345,587 381,480 562,706 na 154,153 15.1% (38.6%) na 124.2% • The assumed patient base above Microdermabrasion 499,427 450,744 na 10.8% na represents a conservative estimate Noninvasive Tightening 297,795 247,500 na 20.3% na Totals - Skin Rejuvenation Other: 2,091,754 2,159,089 675,594 (7.8%) 11.7% o The total number of procedures Laser Hair Removal Tattoo Laser Treatment 919,802 40,801 936,270 na na na (1.8%) na na na performed by both physicians, Laser Treatment of Leg Veins 87,456 87,444 na 0.0% na physician assistants and nurse Sclerotherapy Totals - Other Nonsurgical Procedures 354,731 1,402,790 444,887 1,468,601 na na (20.3%) (7.3%) na na injectors for Botulinum Toxin Totals - Nonsurgical Procedures 7,555,986 7,558,856 740,751 (1.9%) 355.6% Type A and Hyaluronic Acid was Percent Change (1) 4,030,318 and 1,662,480, Procedures by Surgeons 2011 2010 1997 '11 vs '10 '11 vs '97 implying a patient base of Lipoplasty (liposuction) 325,332 289,016 176,863 12.6% 83.9% 1,343,439 and 554,160(2), Breast augmentation 316,848 318,123 101,176 (0.4%) 213.2% Abdominoplasty (tummy tuck) 149,410 144,929 34,002 3.1% 339.4% respectively Blepharoplasty (cosmetic eyelid surgery) 147,540 152,123 159,232 (3.0%) (7.3%) Breast lift 127,054 121,377 19,882 4.7% 539.0% • Autologous fat injections have Surgical Rhinoplasty (nose reshaping) 126,107 133,511 137,053 (5.5%) (8.0%) Facelift 116,086 127,512 99,196 (9.0%) 17.0% experienced strong growth as Breast reduction (women) 112,964 138,152 47,874 (18.2%) 136.0% Autologous fat 69,877 53,840 38,259 29.8% 82.6% patients seek a natural and youthful Forehead lift Other 28,200 119,106 26,514 119,224 55,090 70,565 6.4% (0.1%) (48.8%) 68.8% appearance Totals - Surgical Procedures 1,638,524 1,624,321 939,192 0.9% 72.5% TOTALS ALL PROCEDURES 9,194,510 9,183,177 1,679,943 (1.4%) 197.3% (1) Any discrepancies in percentage change are due to procedures performed in 1997 that are no longer performed in 2011. (2) Patient base is estimated by dividing the number of procedures by three (assumed number of procedures per patient per year). na = Rankings for this procedure in prior years are not available. Source: American Society for Aesthetic Plastic Surgery. 10
  • 11. Current LAVIV Commercial Opportunity FDA Approved, Revenue Generating, Quickly Growing Treatment Description Before  After • LAVIV is the first and only personalized aesthetic cell therapy for the treatment of nasolabial fold wrinkles o Fibroblast platform regenerates collagen cells • Effective for fine lines in contrast to toxins and HA products that are indicated for larger lines and do not address the underlying cause o Early patient feedback indicates strong satisfaction o Other currently marketed products are not as effective for fine nasolabial lines and fine lines around the eyes, hands and neck o Attractive to younger demographics who: ─ Are not satisfied with current treatment options ─ Attracted to organic products ─ Seek a complement to existing products o Attractive to older demographics who seek a natural, soft, and long lasting effect • To date, has demonstrated strong and encouraging interest among dermatologists and physicians o Offers doctors patient retention and more frequent patient interactions • LAVIV has demonstrated a long-term effect in patient studies o In a 12 month follow-up evaluation, ~95% of patients treated for nasolabial lines believed their appearance was the same or had improved at 12 months versus the end of the study (6 months) (1) (1) Smith, Stacy, Long Term Safety and Efficacy of Autologous Fibroblast Therapy in the Treatment of Nasolabial Fold Wrinkles. Note: Photos from Fibrocell clinical studies. 11
  • 12. LAVIV Launch Update Successful Launch and Doctor Recruitment to Date Status Media Response • Actively train physicians through • LAVIV has been featured in 75 business and trade publications, 100 consumer various personalized programs media placements (online and print), 12 national women’s beauty magazines, 16 o 772 trained physicians as of major beauty websites and blogs, nearly 150 TV and radio segments, and an June 30, 2012 exclusive NBC segment that has aired 125 times to date • Media Quotes o In order to become a certified LAVIV provider, physicians must o “Karcher regularly practices LAVIV, in which a patient’s own skin cells are receive: a) product education and harvested and injected to stimulate collagen growth, smoothing acne scars b) injection technique and fine lines.” – Elle certification o “The personalized, patented treatment uses your own fibroblast cells to give you a more youthful look” – South Park Magazine • Marketing plan currently consists of o “Fibroblasts have the ability to improve skin texture and can play a role in outreach at various dinner and wound healing and tissue repair, so this technology may have wider training events, in-office personal applications in the future.” – Plastic Surgery Practice meetings, social events, blogger events (viral marketing) and the use of Fibrocell’s 7 sales reps • Since launch, LAVIV has experienced strong growth in both physician recruitment and biopsy orders o In 2Q12, 86 first-time physicians ordered 204 biopsies (avg. 2.37) while 39 repeat physicians ordered 183 biopsies (avg. 4.69) 12
  • 13. Overview of Personalized Skin Care Cream Personalized Skin Cream: Near-Term Launches & Strong Profit Margins Description Manufacturing Strategy • Premium, personalized skin creams that are derived media used in LAVIV • Contract manufacturer produces cell expansion and represent novel, high quality moisturizers with broad the bulk cream vehicle appeal • Media is collected and o Personalized Skin Cream (2012 Soft Launch) – derived from an concentrated to increase protein individual’s own natural fibroblast cells content o Fitzpatrick's Cream (2013 Launch) – cream derived from patients of a • Media is used to support growth similar ethnicity or skin type, tailored to each demographic and expansion • Strong profit margins that improve over time o Proliferating fibroblasts excrete • Media from the azficel-T production process is collected, concentrated proteins into the media used in and used to formulate a personalized topical treatment the construction and support of o Biological aspects of media include fibroblast by-products and media the extracellular matrix itself, which contains vitamins and amino acids o Excess media is later discarded as o Biological aspects are blended with appropriate paraben-free vehicle liquid biohazard waste cream which contains botanicals, and is specially formulated for Fibrocell • Final blending occurs in Fibrocell’s facility in Exton, PA • Characterization testing through preservative effectiveness tests, stability tests, protein analysis of conditioned media (which has identified o Laboratory build in Exton is numerous proteins, including growth factors, matrix metalloproteinases, complete and equipment is and interleukins) and moisturization tests on human subjects installed • Provided exclusively by physicians 13
  • 14. Overview of Acne Scarring Natural and Minimally Invasive First-Line or Combination Therapy Description Before  After • Acne scarring is the permanent discoloration and/or indentation of the skin as a result of moderate to severe acne • Opportunity to capture a large market share o No current treatments for acne scars o Current treatments for acne scarring are both uncomfortable and ineffective, especially for depressed acne scars o First line therapy and combination therapy opportunities o Fibrocell estimates ~3 million patients (50 million Americans with acne x 20% with moderate to severe acne x 30% who will develop scarring) o Fibrocell estimates capture of 5% market share for acne scarring • Completed one Phase II/III study o Statistically significant efficacy results o Currently in discussions with FDA on the evaluation of Phase II results and path towards Phase III • Opportunity to generate an estimated $4,000 to $5,000 per patient for acne scarring treatment (1) (1) Includes initial treatment only. Note: Photos from Fibrocell clinical studies. 14
  • 15. Acne Scarring Study Results Phase II Clinical Data Supports Efficacy, Safety and Long-Lasting Effect Study Design (IT-A008) Discussion • Randomized, multi-center, double-blind, placebo-controlled study • Efficacy in patients with moderate to severe acne o Fibroblast treatment demonstrated a • 99 subjects received three injections in one cheek and vehicle statistically significant number of control (cell culture media) in the other at 14 day intervals responders in both subject and • Patients evaluated up to four months after the last treatment evaluator assessments at four months • Success defined as 2-point improvement in subject assessment, o 98% of patients who completed the and a 1-point improvement in evaluator assessment using study indicated they were interested in respective 5 point scales receiving additional treatment • Safety Treatment Success in Fibroblast vs. Vehicle Treatment o Most common adverse events were 70% Subject Assessment 70% Evaluator Assessment erythema (11.1%) and swelling (10.1%) 59%  = Treatment and all were mild or moderate in 60% 60%  = Control severity 51% 52% 50% 50% 50% p=0.0109 • Long-Lasting Effect Subject Responders 43% p=0.1048 p=0.0357 Treatment response 38% 39% in control group 40% 31% 40% p=0.0009 43% 42% (placebo effect) is o Reports anecdotally suggest 75-82% of 38% 30% p<0.0001 p<0.0001 30% expected because patients demonstrate treatment benefit p<0.0001 29% needling and 20% p<0.0001 20% subcision techniques 9 and 12 months following treatment disrupt collagen 18% 18% fibers, stimulate o Photos anecdotally demonstrate 10% 14% 10% 9% collagen synthesis, sustained improvement 25 months and is used in acne 0% 0% scarring following the last treatment 0 1 2 3 4 0 1 2 3 4 Month Month 15
  • 16. Acne Scarring Follow-Up Photos from Study 25 Month Photos Anecdotally Demonstrate Long-Lasting Effect Time 16
  • 17. Overview of Burn Scarring Functional and Aesthetic Solution • Autologous fibroblast cell therapy offers functional and aesthetic improvements for burn scar victims • Restrictive burn scars are a potential blockbuster indication o ~40,000 yearly hospitalizations for severe burns, including 25,000 admissions to hospitals with specialized burn centers (excluding war injuries overseas) Description • Open-label case study for autologous fibroblast therapy in the management of burn scars produced promising results o Functional improvements in contracted facial scars and restricted hand function o Favorable patient satisfaction on both ‘aesthetic’ and ‘function’ grading scales o Recently submitted phase II study protocol to the FDA • Previous autologous cell therapy studies produced rapid re-epithelialization, complete healing between 28 and 54 days, significantly minimized scar formation and improved aesthetic results in subjects with open burn wounds that had not healed from 3-14 months prior to therapy(1) Example Case Study of Autologous Fibroblast Therapy Situation Patient Treated with Fibroblasts • 63 year-old woman • Reviewed 5 months post second • Burned 10 years previously treatment • Full thickness burns • Improvement on both sides of • Originally treated with skin grafts neck • Scar tissue progressively became • Stopped all analgesics hardened, contracted and inflexible • Discarded cervical collar • Constant pain with severe restriction • Full range of motion and pain free and abduction • Wearing cervical collar, taking strong analgesics Pre- 12 Months Post 14 Months Post • Plastic surgeon reluctant to intervene Treatment Treatment Treatment • Full range-clench • Fine finger (1) Boss Jr WW, et al. Ann Plast Surg. 2000; 44:536-542. movement Note: Photos from Fibrocell clinical studies. 17
  • 18. Burn Scarring Photos Effective in High Unmet Medical Need Areas Burn Scars Time Case 1 Case 2 Note: Photos from LAVIV prescribers. Not from clinical studies. 18
  • 19. Burn Scarring Photos (cont’d) Effective in High Unmet Medical Need Areas Burn Scars Before 5 Weeks Post Injury 7 Months Post Injury 18 Months Post Injury Area Treated with LAVIV Note: Photos from LAVIV prescribers. Not from clinical studies. 19
  • 20. Other Injury Induced(1) Scarring Photos Effective in High Unmet Medical Need Areas Time (1) Iraqi war veteran who sustained injuries as a result of shrapnel. Note: Photos from LAVIV prescribers. Not from clinical studies. 20
  • 21. Overview of Vocal Cord Scarring Potential Novel Solution to Dysphonia Description Case Study(1) • Vocal cord trauma is the most commonly encountered finding in dysphonia (loss of voice) o Most often seen after surgery on the vocal folds but can also result from radiation therapy, vocal cord trauma, and idiopathic causes o Currently has no effective therapy Before • Positive results in pilot studies o Autologous fibroblasts injected into the lamina propria (LP) layer of the vocal folds appeared to be well-tolerated and produced both objective and subjective improvements for up to 12 months after treatment o Findings supported by mucosal wave grade, voice handicap index, and voice quality questionnaire After • No durable biocompatible material exists that matches properties of the LP layer o Promising treatment for vocal cord scarring because patient’s own cells recreate the extracellular matrix of LP layer, potentially Vocal fold mucosal waves in (A) at baseline and (B) reestablishing normal mucosal pliability of the vocal folds at 4 months after injection therapy. Although mucosal waves are absent or limited to the most • “Cellular-based approaches using tissue engineering and regenerative medial edges prior to therapy, robust mucosal medicine techniques like Fibrocell’s autologous fibroblasts are waves are seen after injection therapy bilaterally promising for the treatment of vocal scars”(2) (arrows) (1) Chhetri, Dinesh, Injection of Cultured Autologous Fibroblasts for Human Vocal Fold Scars. The Laryngoscope 000:000-000, 2011. (2) Dinesh K. Dr. Chhetri, MD, Associate Professor, Division of Head and Neck Surgery, David Geffen School of Medicine at UCLA. 21
  • 22. Overview of Gingival Recession Cell Therapy Alternative to Grafting Description Clinical Examples • Treatment of interdental papillary insufficiency with autologous fibroblasts Before After Baseline 2 Months Post 3rd Injection o Gum line recession known as “black triangles” between teeth o This aesthetic problem may be due to loss of tissue caused by trauma, inflammation or disease • There are a few case reports in the periodontal literature describing surgical attempts at reconstruction of the lost gingival papillae o These procedures have essentially been based on autologous transplantation of gingival connective tissue or bone harvested from another intraoral site o In spite of some isolated reports offering some indication of improvement, reconstruction of the gingival papilla is considered to be highly unpredictable if not unfeasible o Furthermore, such techniques require invasive surgical intervention and are associated with potential morbidity • Three studies conducted to date • Phase 2 Studies conducted concluded: o Cell transplantation of autologous fibroblasts following a papilla priming procedure is safe o Analysis of investigator and subject assessments indicates that the test treatment was superior to placebo o Measurement technique requires further analysis in future trials (1) McGuire, M. and E. Scheyer. A randomized, double-blind, placebo controlled study to determine the safety and efficacy of cultured and expanded fibroblast injections for the treatment of interdental papillary insufficiency associated with the papilla priming procedure. J. Periodontol. 78 (1): 4-17, 2007. 22
  • 24. Overview of Stem Cell Program (CIDMOD) A Nearly Limitless Amount of Target Diseases • Fibrocell has discovered and purified a subset of Mesenchymal stem cells (MSCs) that can differentiate into different, potentially useful cell-types, such as cells that form bone, fat and cartilage • The cells can be used for either in vitro research applications or re-implantation back into the donor o Since the cells are genetically identical to the patient, these stem cells cells could have the potential to treat symptoms of Description numerous diseases, without eliciting an immune response • Fibrocell is researching stem cells from human autologous skin cells in a collaborative research program with UCLA and MIT o This program, CIDMOD, was formed to translate human skin cell derivatives into patient-specific cellular therapies for cosmetic, regenerative and general therapeutic applications o Animal study and human spinal fusion study to begin in 24 months o Subpopulation of cells discovered in adult human skin cells that are easier to reprogram into pluripotent stem cells providing an alternative to embryonic stem cells o Several important scientific publications and patents are expected this year on both adult and pluripotent stem cell studies Spinal Surgery Osteoblasts (Bone) Adult Critical Bone Loss Stem Cells Human Chondrocytes (Cartilage) Arthritis Autologous Research & Biobanking Skin Cells Beta Islets (Pancreas) Diabetes Pluripotent Heart Disease Cardiomyocytes (Heart) Stem Cells Neurons (CNS) Parkinson’s Disease Stem Cells Derived From Human Autologous Skin Cells Could Potentially Treat a Wide Range of Diseases 24
  • 25. Stem Cell Collaboration Expansion of Isolated MSCs and IPSCs Overview • Background o After characterizing UCLA MSC and IPSC dermal fibroblast subpopulations, scientists determined a commercially viable method for maintenance and expansion of the specialized cells is required o Fibrocell has entered into a collaborative agreement with UCLA and MIT to develop a culture method • Project Title o Combinatorial development of plastics for growth and maintenance of human dermal primary cell subpopulations • Laboratory o Work to be conducted at the David H. Koch Institute for Integrative Cancer Research at MIT, in the laboratory of Principle Investigator Dr. Daniel G. Anderson • Goal o Develop culture systems and supportive media requirements to maintain target cell subpopulations defined by viable cell surface biomarkers • General Experimental Approach o Fluorescence Activated Cell Sorting (FACS) purified cells expressing these biomarkers will be cultured under different spatially defined culture systems and the cell surface biomarker expression analyzed using both FACS and immunocytochemistry
  • 26. CIDMOD Therapeutic Priority Dermal MSCs Ability to Facilitate Spinal Fusion Overview • Human Osteogenic Dermal Mesenchymal Stem Cell (HOD-MSC) spinal fusion will be a platform to build a strong intellectual property portfolio, using human skin-derived stem cells for a wide variety of indications, such as critical bone loss, osteoarthritis, diabetes, heart disease and Parkinson’s o Lower back pain is the most common cause of disability in people under 45 o Spinal fusion using autografted hip bone is commonly performed to treat lower back pain, but there are problems with this approach associated with donor site morbidity and limitation of supply • CIDMOD has identified (1,2) and optimized a protocol to obtain relatively pure populations of HOD-MSCs from human skin biopsies (see figure below) • HOD-MSCs have the potential for hip bone autografts for spinal fusion and osteogensis based patient-specific therapeutic applications • The main clinical advantage for the HOD-MSCs is that they can be obtained from a human skin punch biopsy, which is quick to perform, minimally invasive, and less painful than either adipose tissue or bone marrow aspiration or removal of the iliac bone (1) BioResearch Open Access 2012; 1:25. (2) Crespo, A., et. al. Human skin cells that express stage-specific embryonic antigen 3 associate with dermal tissue regeneration. Bioresearch Open Access. 1(1): 25-33, 2007. 26
  • 28. Intellectual Property Summary Unique Products with Strong Protection Patent Summary • 10 issued US patents, 3 pending US patent applications, 30 granted foreign patents and 3 international patent applications • Issued patent applications primarily cover the method of using autologous fibroblast cells for the repair of skin and soft tissue defects and the use of autologous cells for tissue regeneration • In the process of pursuing several other patent applications Abbreviated Description of Key Issued and Pending Patents Method for the augmentation of subcutaneous or dermal tissue with autologous dermal fibroblasts Method for the augmentation of subcutaneous or dermal tissue with autologous MSCs Method for the augmentation for vocal cord defects with autologous dermal fibroblasts Method of repairing acne with autologous dermal fibroblasts Method of repairing degenerated tissue with autologous dermal fibroblasts Method of repairing bone tissue with autologous dermal fibroblasts A device for repairing dermal defect in a subject with syringe of autologous dermal fibroblasts Topical dermal formulations Methods for culturing minimally-passaged fibroblasts and uses thereof 28
  • 29. Leadership Team – Executive Management Team Industry Specific Experience Executive Management Team Name Position Experience David Chairman and Served as SVP, Pharmaceuticals, Vaccines (Biologics), Oncology, Acute Care and HIV at Pernock CEO GlaxoSmithKline. While at GlaxoSmithKline, David also served in various VP level roles Declan Daly COO and CFO Served as CFO, COO, and SVP of Isolagen (prior to reorganization). Also served as CFO, SVP, Corporate Controller and Principal Accounting Officer for Inamed Elizabeth EVP, Sales Founded and served as CEO of Lluminari. Also served as President of DuPont Consumer Browning and Marketing Health (division of DuPont’s Nutrition & Health SBU) John VP, Operations Served in various Manufacturing and Quality Assurance roles for Isolagen. Also served as Maslowski Quality Assurance Investigations Manager at Wyeth Pharmaceuticals Laura VP, Planning Served in various Human Resources and Commercial operations roles at GlaxoSmithKline. Campbell Laura has 19 years of human resources and operation experience in the healthcare industry Karen VP, Quality Originally joined Fibrocell as Manager of Quality Control. Also served in various Quality Donhauser Control and Manufacturing positions at Wyeth Pharmaceuticals Joseph Senior Clinical Currently employed at the Biologics Consulting Group. Also served as Director (Hematology) Fratantoni Consultant for the Center for Biologics Evaluation and Research (FDA) Ronald Senior Currently employed at the Biologics Consulting Group. Also served as Global Regulatory Salerno Consultant Therapeutic Area Head for Wyeth Pharmaceuticals 29
  • 30. Leadership Team – BOD and Scientific Advisors Industry Specific Experience Board of Directors Name Current Affiliation Name Current Affiliation David CEO and President, Fibrocell Robert David H. Koch Institute Professor, MIT Pernock Langer Declan Daly COO and CFO, Fibrocell Marc Mazur Chairman, Elsworthy Capital Management George President, Plastic Surgery Associates and Kelvin Independent Consultant Korkos Rejunva Skin Care and Laser Center Moore Scientific Advisory Board Name Current Affiliation Name Current Affiliation Robert David H. Koch Institute Professor, MIT Daniel Surgeon, Surgical Specialists of the Lehigh Valley Langer Lozano Medical Director, Regional Burn Center James Assistant Professor, University of California Los Daniel Associate Professor, Division of Heath Science Byrne Angeles Anderson Technology at MIT LAVIV Advisors Name Current Affiliation Name Current Affiliation David Assistant Professor of Clinical Dermatology, Girish Member of American Academy of Dermatology, McDaniel Eastern Virginia Medical School Munavalli American Society for Dermatologic Surgery Gregory Triple Board Certified Aesthetic Facial Plastic and Robert Associate Professor of Dermatology, Johns Chernoff Reconstructive Surgeon Weiss Hopkins Hospital 30