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NON-CONFIDENTIAL PRESENTATION

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Page 1: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

NON-CONFIDENTIAL PRESENTATION

Page 2: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

Acuitas is the premier LNP technology provider enabling

our partners to advance new therapeutics to address

unmet clinical needs

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Page 3: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

To provide our partners with the best LNP delivery technology for

nucleic acid therapeutics

To support our partners to rapidly advance new therapeutics to

address unmet medical needs

To continually innovate to maintain and strengthen our LNP

technological lead

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Page 4: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

Privately held biotechnology company

Founded February 2009; based in Vancouver, British Columbia

Highly experienced team developing lipid nanoparticle delivery

systems

Facilities for chemistry, formulation and preclinical studies with

access to additional resources at the University of British

Columbia (UBC)

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Page 5: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

Delivery of novel proteins to treat disease

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mRNA

Endogenous

Protein

DNA

Nucleus

Ribosome

mRNA

Therapeutic

Protein

LNP

Ribosome

Normal cell: Protein coded by

DNA

mRNA Therapy: Protein coded by

synthetic mRNA

Page 6: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

Protein Replacement therapeutics (site specific protein expression)

Gaucher’s disease; Pompe disease (glycogen storage disease type II); phenylketonuria – requires

protein expression in liver

Protein Replacement therapeutics (non-site specific expression)

Haemophilia A, B or C (lack of functional Factor VIII, IX or XI); erythropoietin (to treat anaemia), Hunter

syndrome (iduronate-2-sulphatase deficiency)

Expression in liver with subsequent secretion

Vaccines

Intracellular expression of viral or bacterial proteins providing immune response

Expression of tumour antigens (personalized vaccines)

Antibodies

Expression of prophylactic or therapeutic antibodies to treat current and emerging diseases

Gene Editing

Expression of ZFN, Cas9, TALEN, etc.

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Page 7: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

Clinically validated - Acuitas developed LNP formulation

used in ONPATTRO® (Patisiran®)

Small, uniform sized particles (~80 nm)

Low surface charge in blood compartment

Lipid components manufactured under cGMP

Improved LNP formulations exhibit substantially higher

potency and therapeutic index

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LIPID NANOPARTICLES FORMULATION

Page 8: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

Synthetic chemistry

Design and synthesis of novel cationic lipids and PEG-lipids

• Over 300 novel compounds designed & synthesized in past 3 Years

• Extensive SAR understanding to guide lipid design with iterative approach to refine

as data set is expanded

Lipid scale up to support GLP studies

Technology transfer to CMO to support clinical development

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Page 9: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

Formulation and Analytical

Efficient optimization of mRNA loading and LNP biophysical parameters

Biophysical characterization of mRNA-LNP systems

Formulation scale up for GLP studies

Analytical development and support for GLP studies

• LNP components

• mRNA payload

Technology transfer to CMO

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Page 10: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

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Pharmacodynamic studies for mRNA therapeutics

Reporter protein expression in vivo

Therapeutic protein expression in vivo

Safety/Tolerability studies

CBC/Clin Chem/Histopathology

Immune characterization (cytokine/chemokine induction)

PK/ADME

Nucleic acid therapeutic and LNP components

Page 11: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

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Receptor-mediated uptake in hepatocytes

Loss of PEG-lipid from the LNP surface allows binding of ApoE

Bound ApoE facilitates receptor binding and endocytosis

ApoE

PEG-Lipid

LNP with bound

ApoE

Page 12: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

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Endosomal Release

Endosomal maturation results in drop in internal pH

LNP cationic lipid becomes positively charged resulting in release of nucleic

acid payload to cytoplasm

Nucleic acid

payload

Page 13: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

IVIS images of BALB/c mice

following administration of

luciferase mRNA-LNP (0.2

mg/kg) by the indicated route

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Courtesy Dr. Weissman Laboratory

Page 14: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

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Enhance potency and safety profile for LNP

carriers

Enable broad range of mRNA therapeutic

applications

Iterative approach to identify

improved LNP compositions

Lipid Design and

Synthesis

LNP Biophysical

Characterization Structure-Activity

Relationship (SAR)

Preclinical

Characterization

(Potency & Safety)

Page 15: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

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Screening program combined with key SAR relationship

analysis results in substantial improvement in LNP potency.

Relative activities of LNP with different cationic lipids

Page 16: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

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Courtesy Weissman Laboratory

Immune activation ameliorated by mRNA chemistry, sequence optimization

and purification

0 1,000 2,000 3,000

IL-6 (pg/ml)

0 50 100 150 200

IFN-α (pg/ml)

0 100 200 300 400

TNF-α (pg/ml)

2 h 4 h

Post-injection time

Non-optimized

mRNA-LNP

Optimized

mRNA-LNP

PBS

Page 17: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

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170 µg/ml

Broadly neutralizing HIV monoclonal

antibody (VRC01) treatment of

humanized mice

Single dose (1 mg/kg mRNA-LNP)

provides high levels of circulating

antibody for several days

Courtesy Weissman Laboratory

0

50

100

150

200

0 3 6 9 12

VR

C01 A

b(µ

g/m

l)

Post-injection time (day)

Pardi et al. Nature Commun. 2017

Page 18: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

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Repeat administration of VRC01

mRNA-LNP results in sustained

antibody levels

Plasma antibody levels measured

immediately prior to next injection

(7 days post-injection).

Courtesy Weissman Laboratory

0

20

40

60

80

0 2 4 6 8

VR

C01 A

b(µ

g/m

l)

Weeks post-injection

Injections

Pardi et al. Nature Commun. 2017

Page 19: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

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Administration of VRC01 mRNA-LNP provides dose-dependent

protection from HIV strain SF 162

Courtesy Weissman Laboratory

10

100

1,000

Vira

l R

NA

co

pie

s

2 weeks post-challenge

with SF162

30 µg

Luc mRNA

600 µg

VRC01 protein

30 µg 15 µg 7.5 µg

VRC01 mRNA

Pardi et al. Nature Commun. 2017

Page 20: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

1950 – 2014: ZIKV infection not linked to severe disease.

2015 – 2016: ZIKV spread rapidly through Brazil and Americas:

168,000 confirmed and >500,000 suspected cases of ZIKV infection

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Lessler et al, Science 2016

Page 21: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

Natural history of Zika virus infection:

Microcephaly (small head size) associated with numerous disabilities

2,079 cases of microcephaly in Brazil to date

Evidence for causal relationship:

Virus isolated from amniotic fluid and fetal brain

ZIKV infects neural progenitor cells in mice

21CDC

Lessler et al, Science 2016

Page 22: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

IgG anti-Zika E protein levels after a single immunization.

22Courtesy Weissman Laboratory Pardi et al., Nature 2017

Page 23: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

Mice immunized 2 weeks or 5 months before challenge

with Zika prM-E mRNA-LNPs were completely protected.

23Courtesy Weissman Laboratory Pardi et al., Nature 2017

Page 24: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

Zika modified mRNA-LNP vaccine in macaques

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Courtesy Weissman Laboratory Pardi et al., Nature 2017

Page 25: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

Macaques immunized once with 50 mg Zika prM-E

mRNA-LNPs are completely protected from infection

25Courtesy Weissman Laboratory Pardi et al., Nature 2017

Page 26: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

Highest potency LNP carriers for mRNA therapeutics

Broad IP portfolio providing commercial rights for mRNA-LNP

therapeutics

Broad partnership experience in mRNA therapeutics field

Strong academic collaborations with KOLs

Optimization of mRNA constructs to enhance protein expression levels in vivo

Expanding clinical opportunities for mRNA therapeutics

2017 26

Page 27: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

Partner with multiple pharmaceutical/biotechnology companies

to advance mRNA-LNP therapeutics

Maintain leadership position in LNP Technology while supporting

partner development programs

2017 27

Partner

Program 2

Partner

Program 5

Partner

Program 4

Acuitas

Internal

R&D

Partner

Program 1Partner

Program 3

Page 28: NON-CONFIDENTIAL PRESENTATION · Immune activation ameliorated by mRNA chemistry, sequence optimization and purification 0 1,000 2,000 3,000 IL-6 (pg/ml) 0 50 100 150 200 IFN-α(pg/ml)

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General Enquiries: Email: [email protected]

BD Enquiries: Email: [email protected]

Website: https://acuitastx.com