| 26 Avril 2018
Nashville, Tennessee and Madrid, Spain. 25th April, 2018 - Sarah         Cannon Development Innovations announced today a new       strategic collaboration with Pivotal to expand       access to novel immunotherapies in early phase clinical trials in       Europe. In late 2016, Sarah Cannon and Boehringer         Ingelheim announced a strategic collaboration for a joint       clinical development program in the U.S. for immune checkpoint       inhibitors for the treatment of multiple difficult-to-treat       cancers. Through Sarah Cannon's collaboration with Pivotal,       a European Contract Research Organization (CRO), patients in       Europe will have greater access to innovative cancer therapies. 
 
 “The combined expertise in drug development and clinical research       excellence of Pivotal and Sarah Cannon will enable us to       accelerate research and provide access to novel investigational       agents,” said Lourdes Huarte, PharmD, MBA, VP Regulatory and       Clinical Operations, Pivotal. “We look       forward to collaborating with these experts to impact the lives of       people facing cancer throughout Europe.”
 
 Through Sarah Cannon Development Innovations, a full-service,       oncology-focused CRO, Sarah Cannon provides comprehensive clinical       development services and operational delivery of Boehringer       Ingelheim’s early stage development programs. With Pivotal’s       expertise as a European CRO, the organization will facilitate       rapid patient enrollment into clinical trials across selected       sites in Europe.
 
 “The collaboration with Pivotal to expand clinical research access       in Europe further advances Sarah Cannon’s mission to bring the       latest therapies to patients close to home,” said Dawn Sauro,       President of Sarah Cannon Development         Innovations. “Working together with Boehringer Ingelheim       over the last 2 years has further accelerated drug development in       immunotherapies that will continue to impact patients around the       world.”
 
 The expansion of Boehringer Ingelheim and Sarah Cannon’s joint       clinical development program with the incorporation of Pivotal’s       deep knowledge of the European populations in the clinical trials       field will address a critical need for many cancer patients.       Immunotherapy is showing very promising results for patients with       unmet medical needs such as melanoma and metastatic non-small-cell       lung cancer among others. Immunotherapy has shown impressive       response rates compared to standard chemotherapy, improving       progression-free survival in this population with some patients       experiencing long-lasting responses. This therapeutic approach is       becoming available for more cancer populations, but despite these       advances, there are still many cancer patients with unmet needs.       The current trial program by Boehringer Ingelheim supported by       Sarah Cannon as CRO, and to which Sarah Cannon expands the reach       by collaborating with Pivotal, is focused on the clinical       development of BI 754091 (anti-PD-1) and BI 754111 (anti-LAG-3)       monoclonal antibodies, immune checkpoint inhibitors that mobilize       the patient’s immune system to defeat cancer. 
 
 “As part of our dedication to transforming the lives of cancer       patients, we are pleased to see that Sarah Cannon expands its       reach by collaborating with Pivotal to help speed development of       novel immunotherapies,” said Mehdi Shahidi, Global Medical Head       Oncology, Boehringer         Ingelheim. “The power of partnerships, such as the one Sarah       Cannon and Pivotal are embarking on, brings together the best       minds and capabilities to accelerate this dynamic area of       research. This is in line with our goal to transform the lives of       patients and help win the fight against cancer.”      
 
 About Pivotal
 Pivotal was founded in 2001 by Dr. Ibrahim Farr on the principle         that strategic medical advice and support should be the backbone         of all clinical trials. After working for over two decades in         the pharmaceutical industry, Dr. Farr recognized the need for a         medium-sized CRO with a solid internal medical franchise that         could act not only as the "doers" but also as the “co-thinkers”         for their clients, through its strategic scientific advice. To         date, we are the trusted advisor and counselor for many         companies to deliver maximum value in their drug development         programmes. We are a leading privately-held European CRO and,         since inception, we have experienced a fast and steady organic         growth in Europe.
 
 Pivotal clients’ portfolio spans major pharmaceutical,         biotechnological, medical device and nutrition companies, and we         have long-standing relations with over 188 clients. Pivotal has         extensive experience across major therapeutic areas and phases I         to IV. Our highly customized teams bring to each client a         combination of broad industry knowledge and operational         excellence, to offer our clients fresh perspectives and         breakthrough business insights. Additionally, we have built a         strong oncology, innovative therapies, rare diseases and early         phases hub that enables us to tackle our customers' most         difficult challenges, turning recommendations into concrete         actions. By remaining true to our core principles and values,         our vision is to become our client’s preferred outsourcing         solution partner.
 For more information, please visit www.pivotal.es
 
 About Sarah Cannon Research Institute
 Sarah Cannon Research Institute is the research arm of HCA’s         global cancer institute, Sarah Cannon. Focused on advancing         therapies for patients, it is one of the world’s leading         clinical research organizations conducting community-based         clinical trials throughout the United States and United Kingdom.         Sarah Cannon’s network of strategic sites includes more than 275         physicians who engage in research. The organization has led more         than 300 first-in-man clinical trials since its inception in         1993, and has been a clinical trial leader in the majority of         approved cancer therapies over the last 10 years. 
 Additionally, Sarah Cannon offers management, regulatory, and         other research support services for drug development and         industry sponsors as well as strategic investigator sites         through its contract research organization (CRO), Sarah Cannon         Development Innovations. 
 For more information, please visit www.sarahcannon.com