Ryvu Corporate Preseantion June 2020€¦ · Note on the presentation and forward looking...
Transcript of Ryvu Corporate Preseantion June 2020€¦ · Note on the presentation and forward looking...
Targeted therapeuticsat the forefront of oncology
July 2020
DEVELOPMENT STRATEGY PRESENTATION
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Note on the presentation and forward looking statements
This document does not constitute a public offering in the meaning of the Regulation (EU) 2017/1129 of the European Parliament and of theCouncil, or any other offer or invitation to acquire any Company's securities, nor the incentive to submit bids for the acquisition or subscriptionof the Company's securities.
This document does not constitute information about the Company's securities and the terms and conditions of their acquisition or offering
sufficient grounds to decide whether to purchase or acquire such securities. In particular, the document does not constitute an offer of
securities for sale in the United States, nor may the securities be offered or sold in the United States absent registration under the Securities Act
or in reliance upon an available exemption from the registration requirements of the U.S. Securities Act and in compliance with applicable state
securities laws.
The forward-looking statements contained in this document, such as those relating to the Company's income, results or development, are
based on a number of assumptions, expectations and projections, and are subject to uncertainty and may change as a result of external or
internal factors and should not be treated as binding forecasts. Neither the Company nor the persons acting on its behalf, in particular the
members of the Company's Management Board, the Company's advisers nor any other person, provide any assurance that future expectations
will be fulfilled, and in particular do not guarantee the future results or events of such statements and that the future results of the Company
will not differ materially from the forward-looking statements.
The information in this document is subject to change. Neither the Company nor any other person is obligated to update them.
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Ryvu at a glance
Wholly owned, first-in-class, selective oral CDK8/19 inhibitor (SEL120) with therapeutic potential in multiple indications and clinical data in 2021
• Applicable across indications: acute myeloid leukemia (AML), myelodysplastic syndrome (MDS), hematological and solid tumors
• Trial in lead indication (AML/MDS) enrolling across 6 sites in USA with first data available in early 2021
Broad early-stage pipeline delivering potential near-term clinical candidates and robust internal drug discovery engine
• Significant pipeline momentum with 2 programs expected to enter the clinic in 2021 (A2A/A2B, STING) and 2 near-term preclinical or late discovery targets (HPK1, SMARCA2)
• Deep discovery capability and track-record in generating clinical candidates; validated by partnerships including Galapagos research collaboration
Developing small molecule therapies which address high value emerging targets and pathways in oncology
• Diverse pipeline with mechanisms of action spanning kinase inhibition, RNA transcription, synthetic lethality (SMARCA2, WRN, MTAPdel cancers) and immuno-oncology (A2A/A2B, STING, HPK1)
• Initial focus of pipeline on hematological malignancies, with near term expansion planned in solid tumors
First-in-class dual PIM/FLT3 kinase inhibitor (SEL24) for Acute Myeloid Leukemia (AML) partnered with Menarini
• Dual-targeting of PIM and FLT3 designed to facilitate broader activity and potentially more durable responses
• Single agent efficacy shown in relapsed/refractory AML patients with acceptable safety profile1
Listed on Warsaw Stock Exchange, market cap of $282m2
• One of the largest drug discovery companies in the region, headquartered in Kraków, Poland
• Significant non-dilutive grant funding (>$25m secured till 2023); supportive shareholder base
1 Dose escalation study in 25 patients in relapsed / refractory FLT3 negative AML with 1 CR and 1 CRi in elderly patients who had exhausted other therapeutic options2 10 July 2020. Exchange rate (NBP): 1 $ =3.9486PLN
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Broad pipeline addressing emerging targets in oncology
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Team with strong track record of clinical development and shareholder value creation
PAWEL PRZEWIEZLIKOWSKI, MSc, MBA
CEO and Founder
KRZYSZTOF BRZOZKA Ph.D., MBA
CSO
SETAREH SHAMSILI M.D., Ph.D.
CMO
LUIGI STASI Ph.D.
Director of Chemistry
PETER LITTLEWOOD Ph.D.
Director of DMPK
GREG NOWAKOWSKI, M.D.
ANTHONY TOLCHER, M.D. FRCPC
JOSEPH TABERNERO, M.D. Ph.D.
MICHAEL SAVONA, M.D.
CEZARY SZCZYLIK, M.D. Ph.D.
JORGE CORTES, M.D.
PRZEMYSLAW JUSZCZYNSKI, M.D., Ph.D
PIOTR ROMANOWSKI, M.D. Ph.D., CHAIRMAN
AXEL GLASMACHER, M.D.
COLIN GODDARD, Ph.D.
JARL ULF JUNGNELIUS, M.D.
RAFAL CHWAST, MSc
THOMAS TURALSKI
TADEUSZ WESOLOWSKI, Ph.D
Supervisory Board Scientific Advisory Board and industry collaboration history
TOMASZ NOCUN, MSc, MBATOMASZ RZYMSKI Ph.D., MBAMATEUSZ NOWAK Ph.D., MBA KAMIL SITARZ Ph.D.
Director of R&D Operations
MONIKA DOBRZANSKA Ph.D.
Director of Strategic Planning & Portfolio Management
Director of Biology Director of Research FinancingDirector of Early Discovery & Innovation
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Differentiated internally discovered small-molecule drug candidates and new programs
SMARCA2
MTAP
WRN
HIT-TO-LEAD
SEL24/
MEN1703
DUAL PIM/FLT3
INHIBITOR
CLINICAL
SEL120
SELECTIVE
CDK8/CDK19
INHIBITOR
CLINICAL NON-GLP TOXICOLOGY
SMALL MOLECULE
SYSTEMIC
STING
AGONIST
SELECTIVE
HPK1
INHIBITOR
LATE LEAD OPTIMIZATION LEAD OPTIMIZATION
DUAL ADENOSINE
A2A/A2B
ANTAGONIST
Targeted therapies
o First-in-class unique MoA in AML: direct cytotoxicity and eradication of leukemic stem cells
o Designed to address critical unmet medical need: potential to improve responses with the expectation for eradication of minimal residual disease, extend a relapse free remission and improve the overall survival
o Expansion of indications in solid tumors: robust preclinical single agent efficacy in multiple solid tumor types
o Opportunities for combination: with SoC such as venetoclax, azacitidine, checkpoint inhibitors
SEL120
o Partnered globally with
o Dual PIM/FLT3 targeting for broader efficacy and durable responses in AML
o Potential for safe combinations with chemotherapy
o Single agent efficacy demonstrated in AML FLT3-wild-type, relapsed patients1
in Phase I study
SEL24
Immuno-oncology Synthetic lethality
o The only disclosed dual, potent A2A/A2B antagonist with the potential of restoring suppressed function in multiple immune cell types in adenosine-rich microenvironment
A2A/A2B
o Small molecule STING agonists for systemic delivery
o Shown to induce tumor regressions with long-term immunological memory in vivo on par with the most potent competitors agonists
o Direct STING binders across multiple human STING haplotypes
STING
o Selective, potent HPK1 inhibitors with single agent anti-tumor efficacy in vivo
o Designed to boost T cells activation and make them resistant to immunosuppression
HPK1
o Proprietary bioinformatic platform to discover novel synthetic lethal targets
o SMARCA2: first-in-class allosteric ATPase inhibitors and selective SMARCA2 PROTAC degraders
o Additional discovery work on MTAP, WRN and multiple other undisclosed targets
Synthetic Lethality
1. Dose escalation study in 25 patients in relapsed / refractory FLT3 negative AML with 1 CR and 1 CRi in elderly patients who had exhausted other therapeutic options
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Strong momentum from 2019 and 2020'YTD
SEPTEMBER First patient dosed with SEL120
OCTOBER Corporate split between Ryvu Therapeutics and Selvita (CRO) completed, >$100M incremental value created for Ryvu shareholders
AUGUST Strengthened supervisory board and management board with accomplished biotech industry veterans
DECEMBER Selection of A2A/A2B antagonist pre-clinical candidate for non-GLP tox studies
MARCH SEL24 – successfully completed Phase I in acute myeloid leukemia patients
JUNE Ryvu spin-out company NodThera raises $55 M Series B funding
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19
20
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SEL24 – FDA approval for the initiation of Phase IIMARCH
SEL120 – orphan drug designation in AML by FDAMARCH
Collaboration with Galapagos in inflammatory disorders announcedAPRIL
JUNE
Data updates from SEL120 and multiple pre-clinical programs (STING, SMARCA, HPK1, A2A/A2B) presented at AACR Conference
Clinical posters at EHA 2020 - SEL24 Phase I data, SEL120 trial in progress
JUNE
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Executing on our mission
Ryvu has one ultimate mission –discover and develop drugs that will improve the lives of cancer patients and their families
Complete Phase I clinical development of our lead fully-owned asset, SEL120 in AML/MDS
Support Phase II development by Menarini for lead partnered candidate, SEL24/MEN1703 in AML
Complete preclinical programs for A2A/A2B and STING candidates and advance at least one program into the clinical development
Strengthen our position in novel target discovery for synthetic lethality and immuno-oncology and developing high-specificity candidates against these targets
Partner selected early pipeline programs with biotech and pharma companies providing synergistic competences and resources, targeting at least one new deal in 2020
Expand the potential for SEL120 in solid tumors, and launch a new Phase I study in selected indications in parallel to the ongoing hemato-oncology studies
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SEL120: Highly selective first-in-class CDK8/CDK19 inhibitor
with broad potential in hematological malignancies and solid tumors
BLOOD CANCERS
DIAMOND-BLACKFAN
ANEMIA
BLOOD DISORDER
SEL120
AML
JAK2 mut
AML/MPN
MDS
ALL, NHL
SOLID TUMORS
BREAST
COLORECTAL
PROSTATE
OTHER
• Direct cytotoxicity (induction of apoptosis)
• Eradication of Leukemic Stem Cells (LSC) known to be responsible for tumor relapse in AML
• Preclinical data indicate safeand synergistic combination with standard-of-care chemotherapy and approved targeted therapies
• Opportunity in another orphan indication (Diamond-Blackfan anemia)
Orphan drug designation in AML
in 2020
Therapy Acceleration Program (TAP) grant supportTotal funding - $3.25 M
• Precise, targeted mode of action by transcriptional regulation of cancer-dependent genes
• Preclinical data to support broad potential in multiple solid tumors with unmet medical needs
• Modulation of immune cell activity (NK cells) as additional component of anticancer activity
Emerging therapeutic
opportunities in solid cancers
New treatment options
in hematological disorders
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Most common, highly aggressive type of acute leukemia in adults with poor outcomes in most patients1
1 Mayo Clinic2 Cancer.net3 Leukemia & Lymphoma society4 Walter, R; Leukemia 20155 Evaluate Pharma
2020$1.2 billion
2025$8.0 billion
AML Market5
46%CAGR
Leukemia61,000 US pts / yr3
AML34%3
Patients aged >80 receive
intensivetherapy5
Only
20%
~20,000 new cases diagnosed and >11,000 deaths in the US in 20182
Occurs in a predominantly elderly, frail patient population;75% of patients diagnosed with AML were aged >60 years4
AML makes up 1% of all cancers and 34% of all adult leukemia cases2,3
Lowest survival among all blood cancers; only 26% patients surviving 5 years after diagnosis
30% AML patients with a ITD mutation in the FLT3 gene have a less favorable prognosis, 70% of patients refractory to current inhibitors targeting FLT3 mut
First therapeutic area of Ryvu focus: acute myeloid leukemia
~$1,300m
~$600m
~$500m
~$400m
~$300m
~$300m
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Clinical landscape: targeted small molecule therapies for AML
CDK8/CDK19
FLT3
Dual PIM/FLT3
PIM
IDH1 or IDH2
Others
Phase 1/2 Phase 3 Approved
RYVU CLINICAL PROGRAMS DESIGNEDTO FULFILL UNMET NEEDS IN AML
• SEL120 IS THE ONLY CDK8/CDK19 INHIBITOR IN CLINICAL DEVELOPMENT
• MEN1703/SEL24 IS AN UNIQUE, CLINICAL-STAGE DUAL PIM/FLT3 INHIBITOR
OVERCOMING RESISTANCE TO SINGLE-TARGET MUTATION-SPECIFIC INHIBITORS
EFFICACY IN BROADER PATIENT POPULATIONS
REDUCING CHEMOTHERAPY-BASED TREATMENT REGIMENS
FULLY ORAL REGIMEN
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o Transcriptional deregulation is a hallmark of AML
o CDK8 is a kinase subunit of the Mediator complex serving as a bridge between
basal transcription and regulatory elements involved in:
⁻ Deregulation of super enhancers (SE)
⁻ Affected differentiation and pro/anti-apoptotic genes
RATIONALE FOR CDK8/CDK19 INHIBITORS IN AML
SEL120: potential role of CDK8/CDK19 in AML treatment
o Selectively targets leukemic cells, sparing normal blood cells
(unaffected normal hematopoiesis)
o Promotes cell death (differential cytotoxicity on STAT5+ AML)
o Represses increased levels of anti-apoptotic proteins
and induces lineage commitment genes in undifferentiated AML cells
EFFICACY OF SEL120 - CDK8/CDK19 INHIBITOR - IN AML
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Excellent on-target activity of SEL120 in pSTAT positive AML cell models
p-STAT5 Ser726
p-STAT1 Ser727
• Spares CDK2, CDK4, CDK6, CDK7, CDK9, etc.
• Type I, ATP-competitive mechanism of binding and inhibition of CDK8/19 activity
• Lack of binding to off-targets potentially associated with toxicity of pre-clinical EMD Serono CDK8/19 inhibitors(such as JNK1 or GSK3b)1
• Higher selectivity based on comparison of gene expression effects2
• Composition of matter patents granted in 2017
SEL120 is a potent and selective CDK8/CDK19 inhibitor
Low nM activity on CDK8/CDK19
and excellent kinase selectivity (broad kinome)
RE
LA
TIV
E I
NT
EN
SIT
Y
(WE
ST
ER
N B
LO
T,
PR
OT
EIN
QU
AN
TIF
ICA
TIO
N)
RESPONDERS NON-RESPONDERS
RESPONDERS NON-RESPONDERS
pSTAT1/pSTAT5 levels discriminate responder/ non-responder
1Chen et al. 2019 2Rzymski et al. 2017
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SEL120 induces complete regression and bone marrow recovery in AML
COMPLETE REGRESSION(PERIPHERAL BLOOD)
HEMATOLOGIC RECOVERY(BONE MARROW)
REDUCED SPLENOMEGALY
Research performed at:
PDX cells NSG mice
17 days latency Daily treatment 29/30 days
Vehicle / SEL120
Dose: 45mg/kgLeukemia burden analysis
P20: CD34+ NPM1wt
0 5 10 15 20 25 30
-20
-15
-10
-5
0
5
Body Weight Change
Day of administration
Me
an
bo
dy
we
igh
t c
ha
ng
e [
%]
SE
M
Vehicle, QD, po
SEL120, 45 mg/kg QD, po
BONE MARROW SPLEENBODY WEIGHT CHANGETUMOR GROWTH KINETICS
PERIPHERAL BLOOD
DAYSDAYS
CONTROL SEL120 CONTROL SEL120
SP
LE
EN
WE
IGH
T [
mg
]
%m
CD
45+
%h
CD
45+
ME
AN
BO
DY
WE
IGH
T C
HA
NG
E
[%]
±S
EM
In CD34+ AML patient-derived xenografts
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SEL120 strongly synergizes with Venetoclax
3
MCL-1
BIM
Bax cleaved
Caspase-3 cleaved
Actin
COMPLETE REGRESSION HEMATOLOGIC RECOVERY(BONE MARROW)
MV-4-11 cellsDaily, PO, 21 days
SEL120+Venetoclax
Leukemia burden
analysis
NSG miceIV
Compelling potential for SEL120 in combination with Venetoclax
SEL120 potentially addresses treatment resistant disease through
safe, indirect MCL-1 downregulation in cancer cells
Veh
icle
, Q
D, p
o
Ven
eto
cla
x, 100 m
g/k
g Q
D, p
o
SE
L120, 40 m
g/k
g Q
D, p
o
Ven
eto
cla
x, 100 m
g/k
g Q
D, p
o +
SE
L120, 40 m
g/k
g Q
D, p
o
0
1 .01 0 9
2 .01 0 9
3 .01 0 9
4 .01 0 9
M u rin e c e lls in b o n e m a rro w
No
of
mu
rin
e B
M c
ell
s
* *
* * * *
*
* * *
*
Veh
icle
, Q
D, p
o
Ven
eto
cla
x, 100 m
g/k
g Q
D, p
o
SE
L120, 40 m
g/k
g Q
D, p
o
Ven
eto
cla
x, 100 m
g/k
g Q
D, p
o +
SE
L120, 40 m
g/k
g Q
D, p
o
0
2 0
4 0
6 0
8 0
1 0 0
H u m a n c e lls in b o n e m a rro w
%h
CD
45
ce
lls * *
* *
* * * *
* * * *
* * * *
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SEL120: Phase Ib study – first patient dosed in September 2019Phase 1b Study of SEL120 in Patients with Acute Myeloid Leukemia or Myelodysplastic Syndrome
H1 2021
PROJECT MILESTONES
H2 2021
INITIAL RESULTS FROM PHASE Ib
FINAL RESULTS FROM PHASE Ib
3 SITES EXPANSION IN EUROPE IN 2020/2021 • 2 SITES IN POLAND – planned in Q4 2020
• 1 SITE IN ANOTHER EU COUNTRY - planned
6 ACTIVE SITES IN USA IN 2020
STUDY POPULATION:• Patients with relapsed
/refractory AML or high risk MDS
• No upfront patient stratification
STATUS AND PLANS
H1 2022 PHASE II IN AML/MDS
2022+ INTERIM RESULTS FROM PHASE II
1
PRIMARY OBJECTIVE:• To assess safety and tolerability
• To determine the recommended dose2
SECONDARY OBJECTIVE:• To evaluate pharmacokinetics
• To evaluate the preliminary anti-
leukemic activity
3
EXPLORATORY OBJECTIVE:• To evaluate
pharmacodynamics4
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SEL120 study design in AML/MDS and further plans
COHORT 1
COHORT 2
COHORT 3
REMAINING COHORTS
RP2DMTD
EXPANSION FROM THE SINGLE PATIENT
COHORT TO A 3+3 DESIGNDLTs evaluated at completion of cycle 1 in each cohort
SINGLE ORAL DOSE, EOD
7 DOSES/CYCLE
3 WEEKS CYCLE
SAFETY EXPANSION
19-25 PATIENTS
PART 2: SAFETY EXPANSION
6-20
PATIENTS
PART 1: ESTABLISHING RECOMMENDED PHASE 2 DOSE (RP2D)
SAFETY,
EFFICACY,
PK, PD
EVALUATION
AML SINGLE AGENT
AML COMBINATION
MDS SINGLE AGENT
MDS COMBINATION
PHASE II
H2 2019-2020 Q1-Q3 2021 2022 START
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Positioning of SEL120 in AML treatment regimen and strategic expansion
FIRST LINE
RELAPSED/REFRACTORY
SEL120
AML TREATMENT PROTOCOL
UNFIT PATIENTS
LOW INTENSITYCHEMOTHERAPY
TARGETED THERAPY
TARGETED THERAPY
OR
TARGETEDTHERAPY(e.g. Venetoclax)
+SEL120
LOW INTENSITYCHEMOTHERAPY(e.g. Azacitidine)
+
SEL120
NO
RELEVANT
MUTATIONS
MUTATION -
DRIVEN
LOW INTENSITYCHEMOTHERAPY
LOW INTENSITY CHEMOTHERAPY
STAGE 1
RYVU STRATEGY
• Monotherapy
• Patients unfit for intensive chemotherapy
• Relapsed/refractory AML, high risk MDS
RYVU STRATEGY FOR DEVELOPMENT
OF SEL120 IN AML/MDS
STAGE 3
STAGE 2
• Monotherapy and combination with SoC
• Combo with Venetoclax or chemotherapies
• Patients unfit for intensive chemotherapy
• Relapsed/refractory to frontline or follow up
treatment AML, high risk MDS
• Combination (dublet or triplet) with SoC
• Regimen e.g. with Venetoclax+Azacitidine
• Patients unfit for intensive chemotherapy
• First line, treatment naïve, AML/MDS
POSITIONING IN FIRST LINE TREATMENT
POSITIONING IN SECOND/THIRD LINE
POSITIONING IN THIRD+ LINE TREATMENT
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SEL120 beyond blood cancers: potential role of CDK8/CDK19 in solid tumors
CDK8/CDK19 inhibitors have therapeutic potential in multiple blood and solid tumors
• Ryvu confirmed in vitro or in vivo potential in breast, colorectal and prostate cancer
CDK8
JAK/STATSTAT1
STAT3
STAT5
TGFβ/BMP->SMAD
WNT/β-catenin
Mediator
complex
Notch
signaling
Gene
transcription
JAK2
mutation
AML/MPN
NK cells and
macrophage
response against
multiple tumors
SOX4
TNF/NFKBER-
dependent
genes Breast
cancer
Prostate,
colorectal,
breast cancer
Pancreatic
colorectal
cancer
T-ALL
AML
Unique MoA differentiates CDK8/CDK19
from other CDK family members
• Do not interfere with cell cycle progression (like CDK1, CDK2, CDK4/6)
• Unique across family mediator of transcriptional reprogramming (induction of silent genes, not physiological transcription) preventing metastasis and drug-resistance
• Different stratification of responders and biomarkers of response
• First generation of CDK8/19 inhibitors unsuccessful due to toxic off-target effects and suboptimal PK/PD profile
CDK8/19 inhibitors designed to provide targeted and safer treatment options
• Selective targeting cancer cells while sparing healthy ones
(e.g. CDK4/6, CDK9 affect both normal and cancer cells – possible cytopenias, no bone marrow recovery)
• Selective regulation of transcription in a cancer gene specific context
(e.g. CDK7/9 involved in general transcriptional programs of normal genes)
Chart inspired by Pharmaceuticals 2019, 12,92 + Ryvu data
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SEL120: confirmed anti-tumor efficacy in solid tumor models of breast and colorectal cancers
TNBC BREAST CANCER MODEL COLORECTAL CANCER MODEL
0 5 1 0 1 5 2 0 2 5
0
5 0
1 0 0
1 5 0
2 0 0
2 5 0
3 0 0
3 5 0
4 0 0
4 5 0
5 0 0
D a y o f a d m in is tra t io n
Me
an
tu
mo
r v
olu
me
(m
m3
)
SE
M
V e h ic le , Q D , p o
C is p la tin , 8 m g /k g E 2 W , ip
S E L 1 2 0 , 6 0 m g /k g Q D , p o
D is c . S E L 1 2 0 D is c . S E L 1 2 0
0 5 1 0 1 5 2 0
0
2 0 0
4 0 0
6 0 0
8 0 0
1 0 0 0
1 2 0 0
1 4 0 0
1 6 0 0
1 8 0 0
2 0 0 0
V e h ic le , B ID , p o
S E L 1 2 0 , 3 0 m g /k g B ID , p o
D a y o f a d m in is tra t io n
Me
an
tu
mo
r v
olu
me
(m
m3
)
SE
M
D is c . S E L 1 2 0
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SEL120: expansion plan in multiple solid tumors and other heme malignancies– preliminary planPhase I start: 2021, preliminary results: 2022
PART 1: ESTABLISHING RECOMMENDED DOSE PART 2: SIMON 2-STAGE DESIGNSCREENING
A 3+3 STUDY DESIGN
DLTs evaluated at completion of cycle 1 in each cohort
18 PATIENTS
COHORT 1
COHORT 2
COHORT 3
REMAINING COHORTS
RP2Ddetermined
SINGLE ORAL DOSE EOD
7 DOSES/CYCLE
3 WEEK CYCLE
EVALUATION
R/R TNBC
UP TO 3 OTHER ST
TYPES
+ 10 PATIENTS
+ 10 PATIENTS
PFS at 9 months
Overall survival
follow-up: 2 years
Go no go decision to enrol next 10 patients
based on RECIST ORR after cycle 3
ADULTS
R/R ALL ST COMERS
+NHL
NO MORE THAN 3
PRIOR THERAPIES
FOR ENTRY DISEASE
SAFETY,
EFFICACY,
PK, PD
STAGE 1
10 PATIENTS UP TO 20
PATIENTS
STAGE 2
H2 2020 2021 2022
22
VALUE THROUGH GLOBAL DEAL WITH
$5.6M
DEVELOPED BY RYVU UP TO INITIATION OF CLINICAL STUDIES AND OUT-LICENSING
• Partnered globally with Menarini in 2017 TOP 40 global pharma company, based in Italy
• Menarini is fully responsible for clinical development and funds translational research at Ryvu
UPFRONT PAYMENT
$104MTOTAL POTENTIAL VALUE OF MILESTONES& REFUND OF R&D COSTS
xx% UP TO DOUBLE-DIGIT ROYALTIES FOR RYVU FROM MENARINI
SEL24/MEN1703 is a differentiated, first-in-class PIM/FLT3 dual kinase inhibitor
PIM and FLT3 are oncogenes involved in AML
Dual targeting creates potential for broader activity, more durable responses than selective FLT3 inhibitors such as gilteritinib
Potential for treating patients that have relapsed on selective FLT3 inhibitors - PIM kinases are largely responsible for the development of resistance to FLT3 inhibitors
1 2 3
Study title: A Phase I/II Study of SEL24 in Patients With Acute Myeloid Leukemia
SITESAIM OF THE STUDY:
• determine the recommended Phase II dose
(RP2D), the PK profile and the single agent
activity in R/R or newly diagnosed AML patients
STATUS:
• Study results published at EHA 2020 conference
• Ryvu has received 1.9 M milestone payment for
successful completion of Phase I studies
PLANS:
• Cohort expansion at the recommended Phase II
dose (RP2D) to confirm the safety profile
and assess drug efficacy starting at multiple
clinical sites in the U.S.
• Expansion in Europe in 2020
ONGOING CLINICAL TRIALS
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Acceptable safety data with complete responses observed
Initial Phase I data for SEL24/MEN1703 demonstrates compelling single agent efficacy
ESTABLISHING RECOMMENDED PHASE II DOSE RESULTS
Establishment of recommended dose and
evaluation of safety profile
• SEL24 has acceptable safety profile up to 125mg
• RD defined at 125mg
Objective response / single agent efficacy in FLT3
wild-type patients
• Complete remission at 75mg in a 81 y.o. patient, with
DNMT3A/IDH2 mutant AML progressed on enasidenib
• Complete response with incomplete hematological
recovery at 125mg in a 75 y.o. patient with ASXL1/EZH2
mutant AML relapsed after chemotherapy and decitabine
• ABSTRACT PRESENTED AT EHA 2020
• EXPANSION OF SEL24 IN US AND EU
• PH II INTERIM DATA
• PH II COMPLETE
EXPANSION FROM THE SINGLE PATIENT COHORT TO A 3+3 DESIGN
DLTs evaluated at completion of cycle 1 in each cohort
Patients with AML
As of cut-off date (11-Feb-20), n=25 patients were treated, 22
patients were evaluable for DLTs
-Median age was 68 years (range: 25-84)
- 2 patients with newly diagnosed AML, 11 patients
with primary refractory AML, 12 patients with relapsed AML
JUNE
H2 2020
2021
2022
MILESTONES
Data disclosures subject to Menarini/Ryvu steering committee decisions
INDIVIDUAL TREATMENT DURATION
0 1 2 3 4 5 6 7 8
005–025003–008002–007001–006004–024004–023004–022003–021004–020004–019003–018004–017003–016002–015005–014004–013003–005004–012004–011002–004003–010003–009003–003003–002001–001
(Number of Cycles Completed)
CRi—CR with incomplete hematologic recovery
CR—Complete Remission
25mg
50mg
75mg
100mg
125mg
150mg
24
Based on internal data generated at Ryvu the disclosed competitors' antagonists are unable to overcome immunosuppression at high adenosine concentrations (typical to TME)
Selective A2A antagonists do not affect antigen presenting cells to prime immune system
First generation intratumoral STING agonists provided limited signs of clinical efficacy
Limited possibilities to reach multiple metastasis with IT agonists
Refractory STING alleles to first generation STING agonists do not cover whole patient population
o Unique dual potential to modulate both innate and adaptive anti-cancer immunity
o Synergistic enhancement of Tand DC cells function simultaneously making T cells resistant to immunosuppression
o Targets SWI/SNFchromatin remodellingcomplex
o Implicated in multiplecancers, including NSCLC
o Synthetic lethality arises when simultaneous mutations of gene pairs lead to cell death, whilst individual mutations does not cause a lethal effects
o Dual A2A/A2B antagonists actingon multiple subtypes of immune cells offering more pronounced anti-tumorresponse
o In vitro efficacy in immune cells superior to known A2A/B antagonists
o Direct, small molecule STING agonists
o Active in multiple human STING haplotypes
o Anti-tumor efficacy after systemic administration in preclinical mouse models on par or superior to competitors
o Hematopoietic progenitor kinase 1 (HPK1, MAP4K1)
o Important in regulation of the signalling cascade triggered by TCR activationin lymphocytes T
o Potentially multiple tumor types
o Solid tumors with SMARCA4 loss of function mutations
o MTAP deletion cancers
o WRN helicase in MSI high and other tumors
o Multiple other undisclosed targets
o Initiate IND enabling studies (2020)
o File IND (2021)
o Initiate IND enabling studies (2020)
o File IND (2021)
o Non-GLP toxicology (H1 2021) o Lead selection (2021) o Lead selection (>2021)
Differentiated internally discovered small-molecule drug candidates and new programsC
urr
en
t ch
alle
ng
es
Co
mp
eti
tive
a
ge
nts
Ne
xt
mile
sto
ne
BEST IN CLASS FIRST IN CLASS
STINGA2A/A2B ANTAGONIST HPK1 OTHER S-L TARGETSSMARCA2
Co
mp
eti
tive
a
ge
nts
Ne
xt
mile
sto
ne
No
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Ca
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arg
ets
Dif
fere
nti
ati
on
25
Ryvu develops dual A2A/A2B adenosine receptor antagonists
KEY DIIFERENTIATION COMPETITIVE ADVANTAGE
STATUS
IN 2019 RVU330 WAS SELECTED AS A PRECLINICAL CANDIDATE
NON-GLP TOX STUDIES ARE ONGOING
Strong potential of best-in-class drug: The only disclosed dual A2A / A2B antagonist exhibiting immunostimulatory activity in vitro at high concentrations of adenosine
2H 2021
Q3 2020
MILESTONES FOR RVU330
COMPLETION OF NON-GLP TOX STUDIES
2020
INITIATION OF IND ENABLING STUDIES
IND FILING
PRELIMINARY TRANSLATIONAL STUDIES ALLOWING TO IDENTIFY PATIENTS WITH POTENTIAL BEST TREATMENT BENEFITS
2H 2020
RYVU APPROACH OF TARGETING BOTH A2A AND A2B RECEPTORS PROVIDES STRONG PRECLINICAL
COMPETITIVE ADVANTAGE
2022+ PHASE I CLINICAL TRIALS
26
RVU330 IS EFFICACIOUS AS MONOTHERAPHY IN MCA205 SYNGENEIC MODEL
injection of MCA205 cells RVU330 administration(14 days)
Euthanasia StainingNodulecounting
Co
nt
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l , B
ID
KW
60
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, 25
m
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kg
QD
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0, 1
. 5 m
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BI
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0, 5
m
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BI
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0, 1
5 m
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kg
BI
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1 0 0
1 5 0
2 0 0
2 5 0
N o d u l e c o u n t s i n l u n g s
Lu
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* * * *
* * *
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QD
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0, 5
m
g/
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BI
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RV
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0, 1
5 m
g/
kg
BI
D
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2 5 0 0
5 0 0 0
7 5 0 0
1 0 0 0 0
1 2 5 0 0
1 5 0 0 0
I m a g e a n a l y s i s
( t o t a l a r e a o f n o d u l e s )
Pi
xe
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* *
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0 . 2
0 . 4
0 . 6
0 . 8
1 . 0
L u n g w e i g h t
Lu
ng
s w
ei
gh
t (
g)
*
*
*
*
*
RVU330, 15mg/kg BID
Control
LUNG LOBES AFTER STAINING WITH VISIBLE WHITE MCA205 NODULES
NODULE COUNTS IN LUNGS TOTAL AREA OF NODULES IMAGE ANALYSIS
LUNG WEIGHTS
27
KEY DIFFERENTIATIONCOMPETITIVE ADVANTAGESTATUS
STAGE: SELECTION OF PRELINICAL CANDIDATESTRONG ANTITUMOR EFFICACY AFTER SYSTEMIC ADMINISTRATION
OPTIMIZATION AND PROFILING OF COMPOUNDS -POTENTIAL CANDIDATES FOR IND STUDIES
2020
Q1-Q3 2020
MILESTONES FOR STING AGONISTS
PROFILING AND ASSESSMENT OF THE POTENTIAL FOR BEST COMPOUNDS – DRUG CANDIDATES
2H 2020 INITIATION OF IND STUDIES
Small molecule, direct STING agonists with systemic route of administration and activity on all STING haplotypes (broad patient population may benefit); Potential for antibody drug conjugation (ADC)
W T R 2 3 2 H A Q R 2 9 3 Q G 2 3 0 A
0
5
1 0
1 5
2 0
T h e r m a l s h i f t r e s u l t s f o r h S T I N G m u t a n t s
T
m [
C]
A D U - S 1 0 0
WT R232H AQ R293Q G230A0
10
20
30
40
T
m [C
]
SLV-25466
STING HAPLOTYPES STING HAPLOTYPES
RYVU STING AGONISTADURO COMPOUND
STRONG COMPETITIVE ADVANTAGEA broad patient population carrying multiple STING haplotypes may benefit
(TH
ER
MA
L S
HIF
T A
SS
AY
)
Small molecule, direct, systemic STING agonists with confirmed efficacy in intravenous and intratumoral mouse tumor models
PRELIMINARY TRANSLATIONAL STUDIES ALLOWING TO IDENTIFY PATIENTS WITH POTENTIAL BEST TREATMENT BENEFITS
2H 2021 IND FILING
2022+ PHASE 1 CLINICAL TRIALS
28
28
RVU312-4787 CLEARS TUMORS IN EMT6 MOUSE TUMOR MODEL
RVU312-4787 clears tumors in EMT6 mouse model• Intravenous systemic administration
of Ryvu STING agonist RVU312-4787 leads to high antitumor efficacy in EMT6 mouse triple-negative breast cancer model
• Dose of 3mg/kg administered every 5th
day resulted in complete tumor regression in 10 out of 10 treated mice
EFFICACY IN EMT6 MOUSE BREAST CANCER MODEL
RVU312-4787 provides dose-dependent antitumor efficacy in vivo in EMT6 tumor model (interim results – day 26)
Dose-dependent antitumor efficacy• Administration of RVU312-4787 leads
to a dose-dependent antitumor response
CONTROL GROUP
CR 6/10 CR 10/10CR 0/10
3 mg/kg E5Dx3
3 mg/kg E7Dx3
CR 9/10
EMT6 MOUSE BREAST CANCER MODEL – INTRAVENOUS ADMINISTRATION – day 26 of ongoing study
2 mg/kg E5Dx31 mg/kg E5Dx3
RVU312-4787
RVU312-4787 Complete remissions
at d26
Mice alive at d26
EMT6CONTROL
- 0/10
EMT63 mg/kg E5D
10/10 10/10
EMT62 mg/kg E5D
6/10 6/10
EMT61 mg/kg E5D
0/10 0/10
EMT63 mg/kg E7D
9/10 10/10
29
Ryvu has selective, potent HPK1 inhibitors with anti-tumor efficacy in mice
▪ Small molecule, selective, orally bioavailable inhibitors of HPK1 kinase activityAPPROACH
CURRENT DIFFERENTIAL
FACTORS
▪ High selectivity against kinases from TCR pathway▪ Immunostimulatory activity in immunosuppresed,
resistant hPBMC and T cells across species
LEAD OPTIMIZATIONSTATUS
RYVU APPROACH
2022+
2H 2020
MILESTONES FOR HPK1 INHIBITOR
OPTIMIZED LEAD
2022
NON-GLP TOXICOLOGY
IND FILING
INITIATION OF IND-ENABLING STUDIES
1H 2021
*currently Treadwell Therapeutics, in phase I clinical trials
RVU-918 RVU-293 UHN TAKEDA/
ARIAD GENENTECH INCYTE BAYER
hHPK1IC50 [nM] 1.0 1.4 2.7 0.55 4.5 33 2.9
Ki [nM] 0.1 0.3 0.7 0.1 1.6 20.7 0.4
UHN REFERENCE* RVU-293CONTROLS
EFFICACY IN CT26 (MOUSE MODEL OF COLON CANCER)
RYVU SMALL MOLECULE HPK1 INHIBITORS SHOW EFFICACY IN MOUSE
SYNGENEIC MODEL COMPARABLE TO CLINICAL REFERENCE COMPOUND
CO
MB
INA
TIO
N W
ITH
A
NT
I-m
PD
-1
TGI = 24.4%
+anti-mPD1 5 mg/kgD1, D4, D8, D11
TGI = 60.9%
75 mg/kg BID, 21 days+anti-mPD1 5 mg/kg
TGI = 69.8%
100 mg/kg BID, 21 days+anti-mPD1 5 mg/kg
30
Ryvu established proprietary SYNTHETIC LETHALITY PLATFORM
OMICS DATA FOR CELLS AND PATIENTSHIGH CONTENT GENE INTERROGATION
DATA MINING FILTERING AND INTEGRATION
ISOGENIC PAIRSCELL LINES/PDC PANEL
EXPERIMENTAL VALIDATIONDRUG SCREENING
CORRELATION STUDIES USING
RYVU PROPRIETARY BIOINFORMATIC TOOL: MULTIDEP AND SURV-LRT
NETWORK ANALYSISCANCER DEPENDENCY MAP
FIND CONTEX-SPECIFIC NOVEL
DRUG TARGETSIDENTIFY NOVEL SYNTHETIC
LETHAL TARGETS21 NEW SYNTHETIC LETHAL
TARGETS IDENFIED 3
Ryvu has a powerful engine to identify and validate novel synthetic lethal targets in oncology
SYNTHETIC LETHAL TARGETS –
DISCOVERY STAGE
• First in class WRN inhibitors selectively targeting tumors with microsatellite instabililty (MSI)
• 10-30% of colorectal, endometrial, gastric and ovarian tumors with microsatellite instability
✓ SMARCA2 INHIBITORS: HIT-TO-LEAD
✓ WRN INHIBITORS: HIT ID
✓ TARGETING MTAP DELETED
CANCERS: HIT ID
31
Ryvu develops selective SMARCA2 inhibitors and degraders targeting tumors with SMARCA4 loss of function based on synthetic lethality mechanism
RYVU APPROACH
RYVU STRATEGYSUCCESS FACTORS
WELL DEFINED PATIENTS POPULATION WITH
SMARCA4 LOF MUTATIONS
HIT TO LEADSTATUS
RVU311-5363
REFERENCE
DEGRADATIONRemaining SMARCA2 after 24h 10% 2%
Remaining SMARCA4 after 24h 46% 9%
RVU311-5363 BOEHRINGER REFERENCE
• 5-10% NSCLC with inactivating (LOF) and truncating mutations SMARCA4 (BRG1)
• Other SMARCA4 mut cancers (GI, Skin, Cervical, Bladder, Colorectal)
• Unique, allosteric inhibitors of ATPase activity selectively degrading SMARCA2 with a confirmed in vitro phenotype of synthetic lethality in cancer cells
• A potentially better safety window for the PROTAC series compared to competitors
RYVU SMARCA2 PROTACs SELECTIVELY DEGRADE SMARCA2
OVER SMARCA4 IN CONTRAST TO REFERENCE COMPOUND
2H 2020
2020
CONFIRMATION OF ANTITUMOR ACTIVITY IN MOUSE XENOGRAFT MODELS (SMARCA4-MUT CANCERS)
MULTIPARAMETER OPTIMIZATION
MILESTONES FOR SMARCA2 INHIBITORS/DEGRADERS
SMARCA4
SMARCA2
GAPDH
-2.0 -1.5 -1.0 -0.5 0.00
50
100
SLV-25767-01
log (concentration [M])
%D
MS
O
HT1080 WT
HT1080 KO
Potency
-1.0 -0.5 0.0 0.5 1.00
50
100
SLV-26447-01
log (concentration [M])
%D
MS
O
HT1080 KO
HT1080 WT
Efficacy
Potency
Ryvu SMARCA2 inhibitors are synthetically lethal
in SMARCA4 mutated cell line in contrast to reference
2021 LEAD OPTIMIZATION
2022+ PRECLINICAL DEVELOPMENT
32
Program/target name Indication Discovery and preclinical Phase I Phase II
Partners /Collaborators
SEL24 / MEN1703PIM / FLT3
AML✓ Ph. I data✓ Ph. II initiation
• Ph. II interim data
• Ph. II complete
SEL120CDK8
AML / MDS
• Ph. I dose escalation
• Initial Ph. Ib data• Final Ph. Ib data
• Ph. II initiation• Interim data
Solid tumors• Ph. I
preparations• Ph. I top line
results• Ph. II initiation• Interim data
A2A/A2B Solid tumors • IND enabling
studies• IND filing
• Ph. I dose escalation
STING Solid tumors • IND enabling
studies • IND filing• Ph. I dose
escalation
HPK1 Solid tumors • Lead optimization • Non-GLP tox• IND enabling
studies
SMARCA2 Solid tumors • In vivo PoC • Lead optimization• IND enabling
studies
WRN Solid tumors • Hit ID • Hit-to-lead• Lead optimization• IND
MTAP Solid tumors • Hit ID • Hit-to-lead• Lead optimization• IND
Ryvu drives value creation from its multiple data readouts
Broad pipeline addressing emerging targets in oncology
2020 2021
Anticipated Milestones
2 Clinical stage assets
1 Human PoC
5+ Early pipeline programs
3-4 Clinical stage assets
2 Human PoCs
7+ Early pipeline programs
2020 2021
4+ Clinical stage assets
3+ Human PoCs
10+ Early pipeline programs
2022+
2022+
33
Lead asset phase
o Phase I o Phase I o Phase I / II o Pre-clinical o Phase II o Phase Ia / Ib o Phase Ib
Portfolio focus o Prostate Cancer
o Breast Cancer
o Lung cancer
o Solid tumors o Solid tumors o Solid tumors o AML
o Solid tumors
o Hematologicalmalignancies
o AML
o MDS
o Solid tumors
Key portfolio o Protein degraders
o Synthetic lethality
o SMARCA2 degraders
o AR/ER receptors
o Kinase inhibitors
o EGFR
o HER2
o A2A/A2Bantagonist
o Anti-TIGIT Ab
o CD73 Inhibitor
o Anti-PD-1 Ab
o Synthetic lethality
o DNA damage
o ATR, POLQ, CCNE1 inhibitors
o Transcription factor activators
o CDK7, CDK12/13 Kinase inhibitors
o RARα
o Kinase inhibitors
o Transcription factor inhibitors
o Kinase inhibitors
o GPCR antagonist
o Degraders
o Immune activators
Clinical stage candidates 2 1 3 0 3 3 2
Candidates with human POC
0 – 1 0 2 - 1
SMALL MOLECULE ONCOLOGY SMALL MOLECULE AML
Combines two clinical stage, first-in-class candidates in oncology with a proven small molecule discovery engine capable of delivering at least 1 IND per year
Ryvu compares favorably to other early stage small molecule oncology companies
Source: Company website and Factset as of 06/08/20
34
Benefits of the corporate split: oncology therapeutics (Ryvu) and CRO (Selvita)
March 2019 April 2019 September 2019 September 2019 October 2019 October 16, 2019
Ph1 Dose Escalation First day of SLV and RVU separate listingon WSE
Split registered by the court (KRS)
Shareholder approval of the split (72% of value Ryvu, 28% Selvita)
Selvita CRO prospectus approved by the Polish Financial Supervision Authority (KNF)
Selvita CRO prospectus filed with the Polish Financial Supervision Authority (KNF)
Corporate split plan announced
Swift execution of the split process
Generating additional
value for Ryvu
shareholders
SLV market capitalization
on July 10, 2020*
First day of SLV
listing on WSE
SLV on the day of the split
Reference value
$214M
$87M
$75M
In October 2019 Ryvu shareholders
received one SLV share in addition to each 1 Ryvu share held
Ryvu share price was adjusted down
by the reference value of SLV share (PLN17.3)
Average exchange rate in 2019 (NBP): 1 $ = 3.8395 PLN
* exchange rate (NBP): 1 $ = 3.9486 PLN
35
Achievement of the goals related to the corporate split
84%
▪ Achievement of the objectives related to the corporate split:
• Unlocking potential for shareholders: greater value and liquidity compared to the previous structure
• Full corporate focus and transparency for patients, business partners
• Greater opportunities to recruit as well as motivate an existing team
* Comparison of the exchange rate from October 8, 2019 (last trading day before division) and June 4, 2020** Average session turnover in the 3 months preceding divisions (7-10.2019) and the last months 2020 (1-6 2020)Exchange rate used – average NBP value for 2019 – 1 USD = 3,8395 PLN
SLVRVU
4.5
12.3
11.5
17.1
Cumulated share price SLV and RVU ($)*
16.0
29.4
Jun 20Oct 19
119
73
83
Average daily trading value (thousands of $)**
202
177%
2019 2020
36
$ million 2019 1Q 2019 1Q 2020
Revenues 8.9 2.3 3.5
Partnering 1.0 0.3 2.0
Grants 7.8 2.0 1.5
Others 0.1 0.0 0.0
Operational costs 20.7 4.9 4.7
EBIT -11.8 -2.6 -1.3
EBITDA -9.7 -2.1 -0.6
Net result from continued activities -11.5 -2.5 -1.1
> $19MCash positionDecember 2019
Cash positionJune 2020 ~$12M
*Exchange rates: average exchange rate for a given period
Ryvu Therapeutics – summary of financial results under IFRS
37
Investment in the new Ryvu R&D Center for Innovative Drugs
2017 April 2018 August 2018 April 2020 June 2020
Ph1 Dose EscalationObtaining permits, first laboratories launched
Completion of major construction works, permits’
granting procedures in progress
Initiation of construction works
Obtaining a construction permit
Preparations for the investment; obtaining a
grant from the Ministry of Development
Planned move in June 2020
> 86,000 sq. ftUsable areaof the Center
Value of the grant from the Polish Ministry
of Development
~$9M~ 300 associates# workplaces
> $20MInvestment budget
* Exchange rate used – average NBP for 2019 – 1 USD = 3.8395 PLN
• Investment initiated in 2017 – before the corporate split
• Provides Ryvu with adequate and consolidated research infrastructure
• Has enabled the spin-out of Selvita (CRO) and value creation of $180M for Ryvu shareholders
• Ryvu has secured funds for investment from joint pre-split cash balance
38
Covid-19 impact on Ryvu Therapeutics
Clinical trials:
• Industry risk: Clinical trials in locations impacted by Covid-19 such as the US has been by Covid-19 pandemic in multiple ways
(slow or suspended enrollment, difficulties in patient monitoring, delayed DRCs, etc.)
• Clinical studies provide patients suffering from life threatening disorders such as AML and hrMDS with potential new therapeutic options – risk/benefit
management policies are mainly dependent on individual site decisions
• Expected negative impact on enrollment – data availability in H1 2021 vs. Q4 2020 originally planned
Laboratory operations:
• Thanks to the early government intervention (March 12) Poland is so far one of the countries least impacted by Covid-19 in Europe
(as of June 4 total of 24 826 cases and 1 117 deaths for 38 million people, peak of infections and deaths passed in April/early May)
• Ryvu introduced the first risk Covid-19 management steps already in February and reduced laboratory operations to critical experiments
from March 30 to April 11
• Full restart of laboratory activities on April 12 with appropriate risk management
• 50% of non-lab associates work from home until the move to the new building
• Outsourcing – limited capacity at some European CROs. Key providers less impacted. Risk-management with Asian CROs.
Other industry specific risks
• Slowed-down business development (pharma demand)
• Market volatility and more difficult access to capital
39
Ryvu investment highlights and near term milestones
1-2 new programs expected
to enter the clinic (2021)
SEL24/MEN1703
Phase 1 PoC data (2020)
SEL120
Phase 1 interim data (H1 2021)
Partnering deals
in the early pipeline
Additional near-term PC/
late discovery targets
✓
✓
NE
AR
TE
RM
MIL
ES
TO
NE
S:
Developing small molecule therapies which address high value emerging targets and pathways in oncology
Diverse pipeline targeting kinases, synthetic lethality and immuno-oncology
First-in-class selective CDK8 inhibitor (SEL120) with potential across multiple indications
Validation from strategic collaborations including partnership with Menarini on SEL24/MEN1703
Extensive early stage pipeline delivering near term clinical candidates
Robust internal drug discovery engine and partnership options for early stage candidates
Limited cash burn thanks to non-dilutive grants and cost-efficient discovery platform, significant resources located in Poland
40
Executing on our mission
Ryvu has one ultimate mission –discover and develop drugs that will improve the lives of cancer patients and their families
Complete Phase I clinical development of our lead fully-owned asset, SEL120 in AML/MDS
Support Phase II development by Menarini for lead partnered candidate, SEL24/MEN1703 in AML
Strengthen our position in novel target discovery for synthetic lethality and immuno-oncology and developing high-specificity candidates against these targets
Partner selected early pipeline programs with biotech and pharma companies providing synergistic competences and resources, at least one new deal in 2020
Expand the potential for SEL120 in solid tumors, and launch a new Phase I study in selected indications in parallel to the ongoing hemato-oncology studies
Complete preclinical programs for A2A/A2B and STING candidates and advance at least one program into the dinical development
41
Back-up slides
42
Clear progression from inception
Founded in 2007 by entrepreneurial
management
First service contracts with pharma clients
AcquiredBioCentrumbiology CRO
First pipeline project in licensing
(SEL73 in CNS)
First partnering deal with Orion
Pharma in Alzheimer’s
Listed onNewConnect
market in Warsaw
First deals in oncology withMerck and H3 Biomedicine
IPO on the main market of
the Warsaw Stock Exchange
Bioinformatics division Ardigen
spun out with 12 FTEs
Inflammasomeassets spun-out to
NodThera
First drug in the clinic (SEL24 in AML; partnered with Menarini)
Secondary Public Offering on WSE
Services business exceeds €15 million
revenue with organic growth
Split Oncology/ CRO to form Ryvu
Oncology-focused BiotechDeep pipeline built on wholly-
owned discovery engine
Services provider Fee-for-service discovery engine and CRO
Hybrid research & development organizationClinical research services and pipeline for partnership
SEL24 toplinedata
demonstrates efficacy in humans
Discoverycollaboration
with Galapagos
SEL120 initiates Ph I
Spin-outNodthera
raises $55m
2007 2015 2016 201920182017 2020
Partnership with Leukemia &
Lymphoma Society (SEL120)
TOTAL $55M RAISED AND COMBINED SELVITA / RYVU MARKET CAP OF $436M*
* As of June 12, 2020; exchange rate (NBP): 1 $ = 3.9299 PLN
43
New research collaboration between Ryvu and Galapagos
announced on April 16, 2020
• Discovery and development of first-in-class small molecules and drug candidates targeting inflammatory disorders
• Based on a novel drug target, technology platform and related intellectual property contributed by Ryvu
• Ryvu and Galapagos will provide resources to support the collaboration, as well as bring their expertise in target validation, high-throughput screening, medicinal chemistry,in vitro and in vivo biology, and toxicology
• Upon the option exercise Galapagos will have an exclusive license to intellectual property developed so far at Ryvu and jointly during the research collaboration
• The collaboration consists of a joint research phase after which Galapagos will further research and develop the molecules on its own
DEAL STRUCTURE
RYVU HAS RECEIVED AN UP-FRONT PAYMENT
POSSIBILITY OF ADDITIONAL OPTION AND MILESTONE PAYMENTS
RYVU WILL ALSO RECEIVE SINGLE-DIGIT ROYALTIES ON SALES OF PRODUCTS DEVELOPED AS A RESULT OF THE COLLABORATION
DEAL TERMS: https://ryvu.com/wp-content/uploads/2020/04/Raport-ESPI-2020-07.pdf
FINANCIAL TERMS
Clinical-stage biotechnology company specialized in the discovery and development of small molecule medicines with novel modes of action
Founded in 1999725 employees
Pipeline comprises Phase 3, 2, 1 studies, pre-clinical studies and discovery programs in inflammation, fibrosis and other indications.
Lead program filgotinib JAK1 inhibitor in Phase IIIstudies
Listed on Euronext & NASDAQ: Market cap € 12.2 billion
44
Successful Ryvu spin-out company, NodThera
~6.2%OWNED BY RYVU
Discovery and development of next generation
NLRP3 inflammasome inhibitors
PIONEERING DEVELOPMENT IN THE FIELD OF INFLAMMASOME/NLRP3 BIOLOGY
First Ryvu deal
in the immunology area
NodThera Ltd. was launched
in 2016 by Epidarex Capital,
based on research conducted
at Ryvu since 2012
Ryvu had originally 45% shares
in NodThera
Focused on the treatment
of diseases driven by chronic
inflammation
Productive medicinal chemistry
platform
Addressing inflammation
and fibrosis that drive NASH
$48 M Series A in 2018
$55 M Series B in 2020
On completion of B Series
- 2nd tranche Ryvu will own 4.8%
in NodThera
No
dT
he
ra s
ha
reh
old
ers
45
SEL120 specifically targets STAT5+/CD34+ AML cellsand induces differentiation in leukemic stem cells
STAT5 AND LSC GENE SIGNATURES DISCRIMINATE RESPONDER/NON-RESPONDERS EFFICACY AND LINEAGE COMMITMENT IN CD34+ AML LSC
AML LSC model (CD34+, CD96+, CD123+, CD38-)
SEL120
c o n t r o l
S E L 1 2 0 - 3 4 A 5 u M
S E L 1 2 0 - 3 4 A 1 , 6 7 u M
S E L 1 2 0 - 3 4 A 0 , 5 6 u M
S E L 1 2 0 - 3 4 A 0 , 1 8 u M
S E L 1 2 0 - 3 4 A 0 , 0 6 u M
S E L 1 2 0 - 3 4 A 0 , 0 2 u M
S E L 1 2 0 - 3 4 A 0 , 0 0 7 u M
0 5 1 0 1 5
0
1 1 06
2 1 06
3 1 06
4 1 06
T E X , S E L 1 2 0 - 3 4 A
d a y s
th
eo
re
tic
al
ce
ll n
um
be
r
46
Single agent efficacy of SEL120 in vivo
• Favorable PK enables once daily oral administration or less frequently
• Efficacy in vivo correlates with inhibition of specific CDK8 biomarkers pSTAT1/STAT5
Radiometric ATP activity CDK8 assaySINGLE AGENT EFFICACYIN CD34+ AND PSTAT5+ AML MODELS IN VIVO
SINGLE AGENT EFFICACYIN CD34- AND P STAT5+ AML MODELS IN VIVO
47
Targeting FLT3 and PIM simultaneously may provide improved efficacyand durability over narrowly targeted agents
SEL24/MEN1703 VS PIM INHIBITOR AZD1208 AND FLT3 INHIBITOR QUIZARTINIB IN AML CELL LINES
SEL24/MEN1703 AZD1208 Quizartinib SEL24/MEN1703 AZD1208 Quizartinib
MV-4-11 (FLT3-ITD positive)
GI50(µM)
GI50(µM)
Dual PIM/FLT3 inhibitor
SEL24/MEN1703
Selective PIM inhibitor
Selective FLT3 inhibitor
Quizartinib
AZD1208(*)
0,
0,4
0,8
1,2
1,61.6
1.2
0.8
0.4
0,
0,175
0,35
0,525
0,7
0,875
0.7
0.525
0.35
0.175
MOLM-16 (FLT3-ITD negative)
Dual PIM/FLT3
inhibitorPIM
inhibitor
FLT3
inhibitor
Dual PIM/FLT3
inhibitorPIM
inhibitor
FLT3
inhibitor
48
Ryvu STING agonist outperforms antitumor efficacy of Aduro agonist and provides immunological memory in mouse CT26 colorectal carcinoma model
0 5 10 15 20 25 30 35 40 45 50 55 60
0
500
1000
1500
2000
2500
3000
ADU-S100, 5.0 mg/kg EODx3, IT
Day of administrationT
um
or
vo
lum
e [
mm
3]
0 5 10 15 20 25 30 35 40 45 50 55 60
0
500
1000
1500
2000
2500
3000
RVU-24024, 5.0 mg/kg, EODx3, IT
Day of administration
Tu
mo
r vo
lum
e [
mm
3]
0 5 10 15 20 25 30 35 40 45 50 55 60
0
500
1000
1500
2000
2500
3000
Control, EODx3, IT
Day of administration
Tu
mo
r vo
lum
e[m
m3]
CR 7/10CR 3/10
5 mg/kg (100 µg), EODx3, IT 5 mg/kg (100 µg), EODx3, IT
3MICE WITH
TUMOR
REGRESSION
0 10 20 30
0
1000
2000
3000
4000
CTRL, ADU-S100 5 mg/kg
Days post inoculation
Mean
tu
mo
r vo
lum
e (
mm
3)
SE
M Control (naive mice)
ADU-S100, 5 mg/kg, EODx3 IT
0 10 20 30
0
1000
2000
3000
4000
CTRL, RVU 5mg/kg
Days post inoculation
Mean
tu
mo
r vo
lum
e (
mm
3)
SE
M Control (naive mice)
RVU-24024, 5 mg/kg, EODx3 IT
Subcutaneous inoculation
with CT26 mouse colorectal
carcinoma cells
INTRATUMORAL
ADMINISTRATION
OF STING AGONIST
2
1
RE-CHALLENGE
Subcutaneous inoculation
with CT26 mouse colorectal
carcinoma cells
LONG-TERM
IMMUNOLOGICAL
MEMORY
No tumor growth
5
4
CONTROL GROUP REFRENCE ADURO ADU-S100 RYVU STING AGONIST
49
0 10 20 30 40
0
500
1000
1500
2000
2500
RVU312-04787, 3 mg/kg iv, E7Dx3
Days post randomization
Tu
mo
r vo
lum
e [
mm
3]
Contr
ol nai
ve m
ice
RVU
312-
0478
7, 0
.5 m
g/kg it
, EODx5
RVU
312-
0478
7, 5
mg/k
g it
, EODx3
0
1000
2000
3000
Re-challenge - Day 21
Tu
mo
r vo
lum
e [
mm
3]
Contr
ol nai
ve m
ice
RVU
312-
0478
7, 3
mg/k
g iv, E
5Dx3
RVU
312-
0478
7, 3
mg/k
g iv, E
7Dx3
0
500
1000
1500
2000
Re-challenge - day 21
Tu
mo
r vo
lum
e [
mm
3]
0 10 20 30 40
0
500
1000
1500
2000
2500
RVU312-04787, 3 mg/kg iv, E5Dx3
Days post randomization
Tu
mo
r vo
lum
e [
mm
3]
Ryvu STING agonists promote long-term immunological memory
3 mg/kg E5Dx3, IV
Ryvu STING agonists promote long-term immunological memory• Antitumoral action of Ryvu
compounds leads to long-term immunological memory as shown by lack or significant delay in tumor growth after repeated inoculation of CT26 cancer cells in previously cured animals.
IMMUNOLOGICAL MEMORY –RESISTANCE TO RE-CHALLENGE
Vaccine effect is observed regardless of administration route• No tumor growth or significant
tumor growth delay was observed after efficacy study with RVU312-4787 intravenously or intratumorally.
EFFICACY – RVU312-4787
RE-CHALLENGE AFTER EFFICACY WITH INTRAVENOUS ADMINISTRATION
Re-challenge – day 21
0 5 10 15 20 25 30 35 40 45 50 55 60
0
500
1000
1500
2000
2500
3000
RVU312-04787, 0.5 mg/kg it, EODx5
Day of administration
Tu
mo
r vo
lum
e [
mm
3]
0 5 10 15 20 25 30 35 40 45 50 55 60
0
500
1000
1500
2000
2500
3000
RVU312-04787, 5 mg/kg it, EODx3
Day of administrationT
um
or
vo
lum
e [
mm
3]
RE-CHALLENGE AFTER EFFICACY WITH INTRATUMORAL ADMINISTRATION
3 mg/kg E7Dx3, IV
Re-challenge – day 21EFFICACY – RVU312-4787
0.5 mg/kg EODx5, IT 5 mg/kg EODx3, IT
CR 6/10 CR 4/10
CR 4/10 CR 7/10
50
Majority of competitive A2A inhibitors lose activity in high adenosine concentrationRyvu advantage: activity in high, TME-like relevant adenosine concentrations
ADENOSINE
AMP
ATP
COMPETITIVE A2A INHIBITORS EFFECTIVE
IN LOW ADENOSINE CONCENTRATION
IMMUNOSUPPRESSION
Th1 and Tc ACTIVATION
Treg EXPANSION
1
2
A2A ANTAGONISTSA2A/A2B ANTAGONISTS
ADENOSINE BUILDS UP AFTER TREATMENTPRIMARY TREATMENT
A2A ANTAGONISTSA2A/A2B ANTAGONISTS
ONLY RYVU AND iTEOS PRESERVE ACTIVITY
IN HIGH ADENOSINE CONCENTRATION1 2
51
Selective A2A inhibitors activate only a fraction of immune cellsRyvu advantage: dual A2A/A2B antagonists activate both innate and adaptive immunity
ADENOSINE
AMP
ATP
SELECTIVE A2A ANTAGONISTS DO NOT ACTIVATE ANTIGEN-PRESENTING CELLS
IMMUNOSUPPRESSIO
N
ACTIVATION OF ANTIGEN-
PRESENTING CELLS:
DENDRITIC CELLS
MACROPHAGES AND CAFs
1
2
A2A ANTAGONISTSA2A/A2B ANTAGONISTS
TREATMENT
NO ACTIVITYA2B ANTAGONISTS
ADENOSINE BUILDS UP AFTER TREATMENT
ONLY RYVU PRESERVES ACTIVITY
IN HIGH ADENOSINE CONCENTRATION21
NO ACTIVITY
STATUS UNKNOWN
A2A/A2B ANTAGONISTS
A2B ANTAGONISTS
52
RVU330 A2A/A2B efficiently modulates pCREB (main PD clinical biomarker used by competitors) in in vitro human whole blood assay
RVU330 modulates PD biomarkerin CD8+ T-cells
RVU330 modulates PD biomarkerin CD4+ T-cells
Concentration [nM]
0
5 0
1 0 0
% o
f r
ec
ov
er
y
U
T
N E C A
R V U 3 3 0
L A S 1 0 1 0 5 7
C P I - 4 4 4
A B 9 2 8
iT e o s E x . 7
1 0 0 0 01 0 0 01 0 01 01
A Z D 4 6 3 5
Concentration [nM]
0
5 0
1 0 0
% o
f r
ec
ov
er
y
U
T
N E C A
R V U 3 3 0
L A S 1 0 1 0 5 7
C P I - 4 4 4
A B 9 2 8
iT e o s E x . 7
1 0 0 0 01 0 0 01 0 01 01
A Z D 4 6 3 5
0
5 0
1 0 0
% o
f in
hib
it
io
n
U T
N E C A
1 0 0 0 01 0 01 010 . 1 1 0 0 0
0
5 0
1 0 0
% o
f in
hib
it
io
n
U T
N E C A
1 0 0 0 01 0 01 010 . 1 1 0 0 0
AZD4635 CPI-444 AB928 Example 7 RVU330
pCREB WBA CD4+ T cells EC50 [nM] 1 186 ±860 7 798 ± 1 734 182 ± 140 1.1 ± 0.6 1.6 ± 0.9
pCREB WBA CD8+ T cells EC50 [nM] > 10 000 > 10 000 83.7 ± 0.1 2.4 ± 2.3 2.2 ± 1.4
53
RVU330 A2A/A2B antagonists outperform competitors in in vitro activation of immune cells at high adenosine concentrations
AZD4635 CPI-444 AB928 Example 7 RVU330
TNFa moDCS - EC50 [nM] >10 000 >10 000 699 ± 144 > 3 000 13 ± 5
IL-2 CD4+ CELLS - EC50 [nM] >10 000 >10 000 203 ± 97 4 ± 0.1 0.4 ± 0.2
0
5 0
1 0 0
% o
f r
ec
ov
er
y
U T
A D O
1 0 0 0 01 0 010 . 10 . 0 0 1 1 0
RVU330 restores functional activity CD4+ T cells that is suppressed by high adenosine concentration (IL-2 production)
0
5 0
1 0 0
% o
f r
ec
ov
er
y
U
T
N E C A
R V U 3 3 0
L A S 1 0 1 0 5 7
C P I - 4 4 4
A B 9 2 8
iT e o s E x . 7
1 0 0 0 01 0 0 01 0 01 01
A Z D 4 6 3 5
IL-2
Concentration [nM]
0
5 0
1 0 0
% o
f r
ec
ov
er
y
U T
N E C A
1 0 0 0 01 0 0 01 0 01 01
Concentration [nM]
RVU330 reactivates dendritic cells (moDC) suppressed by high adenosine concentration (TNFa production)
TNFa0
5 0
1 0 0
% o
f r
ec
ov
er
y
U
T
N E C A
R V U 3 3 0
L A S 1 0 1 0 5 7
C P I - 4 4 4
A B 9 2 8
iT e o s E x . 7
1 0 0 0 01 0 0 01 0 01 01
A Z D 4 6 3 5
54
Pawel PrzewiezlikowskiChief Executive Officer
Ryvu Therapeutics S.A.www.ryvu.com
Contact data