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LISTED EURONEXT Paris NASDAQ Copenhagen
EPA ONXEO
TODAYrsquoS SCIENCE TARGETING TUMOR
DNA FUNCTIONS
TOMORROWrsquoS NEW HOPE AGAINST RESISTANT CANCER
June 2020
IMPORTANT You must read the following before continuing In accessing this document you agree to be bound by the following terms and conditions
This document has been prepared by Onxeo SA (together with its subsidiaries the Group) and is for information purposes only The content of this document is provisional and for information purposes only and is notto be construed as providing investment advice The information statements and opinions contained in this document (the ldquoInformationrdquo) are provided as of the date of this document only and June be subject tosignificant changes at any time without notice Neither the Group nor its advisors nor any other person is under any obligation to update the Information Subject to applicable law none of the Company or its advisorsaccepts any responsibility whatsoever and makes no representation or warranty express or implied as to the fairness accuracy completeness or correctness of the Information The Information has not been subject toindependent verification and is qualified in its entirety by the business financial and other information that the Group is required to publish in accordance with the rules regulations and practices applicable to companieslisted on Euronext Paris including in particular the risk factors described in in the most recent Companyrsquos Universal Registration Document filed with the French Financial Markets Authority (Autoriteacute des marcheacutesfinanciers) in any other periodic report and in any other press release which are available free of charge on the websites of the Group (wwwonxeocom) andor the AMF (wwwamf-franceorg)
This document contains information on the use of the Groups products and its competitive position Some of the Information is from third parties While this third party information has been obtained from sourcesbelieved to be reliable there is no guarantee of the accuracy or completeness of such data In addition certain of the industry and market data comes from the Groups own internal research and estimates based on theknowledge and experience of the Groups management While the Group believes that such research and estimates are reasonable and reliable they and their underlying methodology and assumptions have not beenverified by any independent source for accuracy or completeness and are subject to change without notice Accordingly undue reliance should not be placed on any of the industry market or competitive position datacontained in the Information
The Information is not directed to or intended for distribution to or use by any person or entity that is a citizen or resident of or located in any locality state country or other jurisdiction where such distribution or usewould be contrary to law or regulation or which would require any registration or licensing within such jurisdiction The Information does not constitute or form part of and should not be construed as an offer or thesolicitation of an offer to subscribe for or purchase of any securities No public offering of securities June be conducted in France prior to the delivery by the French Financial Markets Authority of a visa on a prospectusthat complies with the provisions of Directive 200371CE as amended This document is for information purposes only and does not constitute an offering document or an offer of securities to the public in the UnitedKingdom to which section 85 of the Financial Services and Markets Act 2000 of the United Kingdom applies Securities June not be offered or sold in the United States absent registration under the US Securities Act of1933 as amended or an exemption from registration thereunder
This document contains certain forward-looking statements All statements in this document other than statements of historical fact are or June be deemed to be forward looking statements These statements are notguarantees of the Groups future performance These forward-looking statements relate without limitation to the Groups future prospects developments marketing strategy regulatory calendar clinical milestonesassumptions and hypothesis clinical development approach and financial requirements and are based on analyses of earnings forecasts and estimates of amounts not yet determinable and other financial and non-financial information Forward-looking statements are subject to a variety of risks and uncertainties as they relate to future events and are dependent on circumstances that June or June not materialize in the futureForward-looking statements cannot under any circumstance be construed as a guarantee of the Groups future performance as to strategic regulatory financial or other matters and the Grouprsquos actual performanceincluding its financial position results and cash flow as well as the trends in the sector in which the Group operates June differ materially from those proposed or reflected in the forward-looking statements contained inthis document Even if the Grouprsquos performance including its financial position results cash-flows and developments in the sector in which the Group operates were to conform to the forward-looking statementscontained in this document such results or developments cannot be construed as a reliable indication of the Groups future results or developments The Group expressly declines any obligation to update or to confirmprojections or estimates made by analysts or to make public any correction to any prospective information in order to reflect an event or circumstance that June occur after the date of this document
Important Information
June 2020
Developing disruptive therapies in the field of DNA Damage Response (DDR) to address unmet needs in oncology
3
NEXT KEY MILESTONES FUNDEDFinancial visibility to Q1 2022 supports strategic plan to deliver key near-term clinical milestones
STRONG MANAGEMENT amp OPERATIONAL TEAMA highly skilled team of 30 with strong translational amp clinical expertise led by experienced management and board of directors with demonstrated track record in product amp business development
DIFFERENTIATED SCIENCE IN DNA DAMAGE RESPONSEPlatONtrade proprietary chemistry platform of decoy oligonucleotides generating new compounds
AsiDNAtrade lead candidate at clinical stage a first-in-class decoy agonist showing unique anti-tumoral propertiesOX401 a newly optimized next-gen PARPi
A WELL-DEFINED BUSINESS MODELCreate value by bringing drug candidates from preclinical stage to proof-of concept in man the best inflection points to monetize these assets and generate revenues
LISTED EURONEXT Paris NASDAQ Copenhagen
EPA ONXEO
PARP inhibitors (PARPi) are a leading class of targeted therapies the first approved and marketed in the field of DDR
June 2020
FRANCOISE BONO (PHD)
CSO(Sanofi Evotec)
Formerly Executive Vice-President Oncology of Evotec
Experienced management team with demonstrated track record in product amp business development
4
JUDITH GRECIET (PHARMD)
CEO
OLIVIER DE BEAUMONT (MD)
CMO(Aventis Quintiles Stallergenes Greer)
Formerly Senior Vice President Head of Global Clinical Development Pharmacovigilance and Medical Affairs ofStallergenes Greer
PHILIPPE MAITREEVP of Onxeo US CBDO
(Aventis PPD Oscient mAbRx)
Formerly Chief Executive Officer and Co-Founder of mAbRx
NICOLAS FELLMANN
CFO(Ernst amp Young Pfizer)
Formerly Director of Treasury Tax amp Audit of Pfizer France
(Pharmacia Wyeth (Pfizer) Eisai)Formerly President of Eisai France
June 2020
Current cutting-edge RampD pipeline with unique mechanisms of action in DDR
5
Programs OPTIMIZATION PRECLINICAL PHASE I PHASE Ib PHASE II
platONtrade Proprietary Platform of Decoy Oligonucleotides
OX401Next-gen PARPi + STING pathway activation
AsiDNAtrade intratumoral
AsiDNAtrade + chemotherapySynergistic efficacy
AsiDNAtrade + PARPi Resistance abrogation
AsiDNAtrade + other targeted txResistance abrogation prevention
DRIIV -1b
DRIIV study in solid tumors
GENERATION OF NEW COMPOUNDS TARGETING DNA FUNCTIONS
DN
A D
amag
e
Re
spo
nse
Ongoing proof-of concept
Ongoing proof-of concept
DD
R
+ IO
REVocan
Completed or ongoing Legend Planned short-term
AsiDNAtrade
Unique Decoy Agonist Mechanism of Action in DNA Damage Response
June 2020
AsiDNAtrade a first-in-class product in DNA Damage Response (DDR)
7
A purpose-designed cholesterol-oligonucleotide conjugate
5rsquo
3rsquo
3rsquo
5rsquo
Double-stranded 32 bp DNA is tethered with a loop to prevent disassociation2
Active 32 bp DNA duplex
Cholesterol
Loop
1 Berthault N et al Cancer Gene Therapy (2011) 1-12 doi 101038cgt20113 2 Quanz M et al PLoS ONE 2009 4(7) doi 101371journalpone0006298
Tumoral and nuclear uptake of the DNA mediated via a covalently linked cholesterol molecule1
Binding and activating DNA-PK and PARP signaling enzymes
Phosphorothioate substitutions at the 5rsquo and 3rsquo ends to prevent degradation1
Sequence non-homologous and not immunogenic (CpG-free)
AsiDNA is not an RNAi therapy thus avoiding the toxicity issues of this class
Patent Protection (Composition of
Matter on AsiDNAtrade amp related compounds)
until 2031
Extendable to 2036 with SPC amp PTE
Combinationpatents up to 2040
IP
June 2020
AsiDNAtrade a differentiated product in the clinically-validated field of DDR
8
Source Quanz M et al Clin Cancer Res 2009 151308-1316 Quanz M et al PLoS ONE 2009 4(7) doi 101371 journalpone0006298 Jdey W et al Clin Can Res 201622DOI 101158 1078-0432CCR-16-1193
PARP inhibitors (PARPi) are a leading class of targeted therapies the first approved and marketed in the field of DDR
DDR inhibition is clinically-validated in oncology (PARPi)
Decoy-agonist mode of action avoids compensatory mechanisms blocking the induction of resistance
AsiDNAtrade acts upstream of the DDR enabling cytotoxic activity regardless of genetic context
Cytotoxic activity is restricted to cancer cells translating into an outstanding safety profile
AsiDNAtrade mimics DNA breaks in the tumor cell (decoy) binds and hyperactivates the proteins (agonist) involved in the DDR cascade (sensing signaling and repairing) hellip
hellip diverts them away from the true damage hellip hellip leading to cellular death
June 2020
AsiDNAtrade is a first-in-class therapy for combination designed to address the 1 challenge in oncology resistance to treatment
9
Decoy Agonist MoA does not induce resistance
Differentiated Decoy Agonist MoAin the clinically-validated field of DNA Damage Response
Long IP (up to 2040)
Clinical-stage assetFavorable safety profile incl in combination Proof of mechanism signals of efficacy
Strategic focus on the abrogation of resistance to targeted therapies
Collaborations with top-academic centers(Institut Curie - Gustave Roussy ndash Oncopole Toulousehellip)
REVocan Phase 1b2 to evaluate the addition of AsiDNAtrade on the abrogation resistance to niraparib (to start Q3 2020)
Depletes the cells from which resistance to targeted therapies emerge
June 2020
An extensive preclinical program paves the way to ambitious clinical translation
10
Safety profile No cytotoxic activity in healthy cells Very favorable data in tox study (monkey)
Autosensitization and noresistance observed In multiple cell lines Confirmed
Efficacy synergy with PARPi In multiple PARPi sensitive amp resistant cell lines
No restriction to specific genetic context
AsiDNAtrade increases survival amp responders to PARPi
Efficacy synergy with chemo In multiple cell lines AsiDNAtrade increases efficacy amp survival
Abrogation of resistance to PARPi In multiple cell lines AsiDNAtrade stops resistance to PARPi
Abrogation prevention of resistance to other targeted tx
Ongoing validation with several TKI KRASi hellipPrelim data confirming prolongation of anti-EGFR anti-ALK efficacy
In vitro data In vivo data
PARP inhibitors (PARPi) and tyrosine kinase inhibitors (TKI) are leading approved targeted therapies in oncology
June 2020
0 20 40 600
2times104
4times104
6times104
8times104
1times105
1times1062times1063times1064times1065times1066times106
Nira
Nira+Asi continuous
Nira+Asi at D34
Days post treatment
Cell
num
ber
11
UWB1289 (Ovarian Cancer model ndash BRCA1--)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors (class effect)
AsiDNAtrade leads to niraparib-resistant cells eradication in ovarian cancer model even if introduced only once resistance emerges (CA 125 increase)
REVocan study (REVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib) was designed on the basis of these results
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
Introduction at CA125 increase (REVocan study protocol)
Start of AsiDNAtrade administration
Source Onxeo data on file
niraparib
Emergence of Resistant cells
Cell death
Start of AsiDNAtrade administration
(D34)
June 2020
Results confirmed in in vivo experiments in a triple negative breast cancer model
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
12
MDAMB-436 (TNBC HR deficient - PARPi sensitive)
Source Onxeo data on file
June 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates cells resistant to anti-EGFR and anti-ALK
AsiDNAtrade prevents resistance to other targeted tx such as TKI
13
0 3 5 6 7 10 12 13 14 17 21 24 27 34 38 41 46 49 52
-20
0
20
40
60
80
100
120
ErlotinibErlotinib+AsiDNA
Time (days)
Su
rviv
ing
ce
lls (
)
No surviving cells
Emergence of resistant cells
No surviving cells
Emergence of resistant cells
PC9-3 (NSCLC EGFRmut) - EGFR T790 mutation is preexisting in PC9 parental cell line PC9-3 cell line is a sub-clone of PC9 without preexisting T790M
Non Small Cell Lung Cancer model ndash anti-ALK sensitive
H3122 (NSCLC EML4-ALK)
Source Onxeo data on file
AsiDNAtrade
Clinical Development Plan
Validation of the Effect of AsiDNAtrade onResistance to Targeted Therapies
June 2020
Delivering the promises of AsiDNAtrade to patients
DRIIV-1 Phase 1First IV administration in solid tumors
Favorable safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Prelim signals of efficacyCohort 2 (Carboplatin + Paclitaxel) ongoing
REVOCAN Phase 1b2 (IV)Ovarian cancer in combination w PARPi niraparib
Proof of Concept Abrogation of resistance to PARPiFPI expected Q3 2020
Phase 1b2 (IV)Non small cell lung cancer in combination w other targeted therapies (TKI KRAShellip)
Proof of Concept PreventionAbrogation of resistance to targeted therapies
SHO
RT
MID
-TE
RM
ON
GO
ING
15
CO
MP
LETE
D
June 2020
DRIIV-1 Phase 1 Favorable safety profile
Phase I study in IV
Open-label 3+3 dose escalation from 200mg to 1800mg
22 patients 5 doses
Study coordinator Pr C Le Tourneau (Institut Curie)
Objectives to determine the safety and PKPD profile of AsiDNAtrade
Primary objective reached favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non-related no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related Serious Adverse Events (SAEs) and no Dose-Limiting Toxicity (DLT)
AsiDNAtrade 900mg amp 1300mg 3 related SAEs including 2 DLTs per dose
Orthostatic hypotension (grade 3 unlikely related)
2 increase of hepatic enzymes ( grade 3 unlikely related and grade 4possibly related)
Maximum Tolerated Dose (MTD) was not reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719 16
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non-related77
Adverse Events
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
IMPORTANT You must read the following before continuing In accessing this document you agree to be bound by the following terms and conditions
This document has been prepared by Onxeo SA (together with its subsidiaries the Group) and is for information purposes only The content of this document is provisional and for information purposes only and is notto be construed as providing investment advice The information statements and opinions contained in this document (the ldquoInformationrdquo) are provided as of the date of this document only and June be subject tosignificant changes at any time without notice Neither the Group nor its advisors nor any other person is under any obligation to update the Information Subject to applicable law none of the Company or its advisorsaccepts any responsibility whatsoever and makes no representation or warranty express or implied as to the fairness accuracy completeness or correctness of the Information The Information has not been subject toindependent verification and is qualified in its entirety by the business financial and other information that the Group is required to publish in accordance with the rules regulations and practices applicable to companieslisted on Euronext Paris including in particular the risk factors described in in the most recent Companyrsquos Universal Registration Document filed with the French Financial Markets Authority (Autoriteacute des marcheacutesfinanciers) in any other periodic report and in any other press release which are available free of charge on the websites of the Group (wwwonxeocom) andor the AMF (wwwamf-franceorg)
This document contains information on the use of the Groups products and its competitive position Some of the Information is from third parties While this third party information has been obtained from sourcesbelieved to be reliable there is no guarantee of the accuracy or completeness of such data In addition certain of the industry and market data comes from the Groups own internal research and estimates based on theknowledge and experience of the Groups management While the Group believes that such research and estimates are reasonable and reliable they and their underlying methodology and assumptions have not beenverified by any independent source for accuracy or completeness and are subject to change without notice Accordingly undue reliance should not be placed on any of the industry market or competitive position datacontained in the Information
The Information is not directed to or intended for distribution to or use by any person or entity that is a citizen or resident of or located in any locality state country or other jurisdiction where such distribution or usewould be contrary to law or regulation or which would require any registration or licensing within such jurisdiction The Information does not constitute or form part of and should not be construed as an offer or thesolicitation of an offer to subscribe for or purchase of any securities No public offering of securities June be conducted in France prior to the delivery by the French Financial Markets Authority of a visa on a prospectusthat complies with the provisions of Directive 200371CE as amended This document is for information purposes only and does not constitute an offering document or an offer of securities to the public in the UnitedKingdom to which section 85 of the Financial Services and Markets Act 2000 of the United Kingdom applies Securities June not be offered or sold in the United States absent registration under the US Securities Act of1933 as amended or an exemption from registration thereunder
This document contains certain forward-looking statements All statements in this document other than statements of historical fact are or June be deemed to be forward looking statements These statements are notguarantees of the Groups future performance These forward-looking statements relate without limitation to the Groups future prospects developments marketing strategy regulatory calendar clinical milestonesassumptions and hypothesis clinical development approach and financial requirements and are based on analyses of earnings forecasts and estimates of amounts not yet determinable and other financial and non-financial information Forward-looking statements are subject to a variety of risks and uncertainties as they relate to future events and are dependent on circumstances that June or June not materialize in the futureForward-looking statements cannot under any circumstance be construed as a guarantee of the Groups future performance as to strategic regulatory financial or other matters and the Grouprsquos actual performanceincluding its financial position results and cash flow as well as the trends in the sector in which the Group operates June differ materially from those proposed or reflected in the forward-looking statements contained inthis document Even if the Grouprsquos performance including its financial position results cash-flows and developments in the sector in which the Group operates were to conform to the forward-looking statementscontained in this document such results or developments cannot be construed as a reliable indication of the Groups future results or developments The Group expressly declines any obligation to update or to confirmprojections or estimates made by analysts or to make public any correction to any prospective information in order to reflect an event or circumstance that June occur after the date of this document
Important Information
June 2020
Developing disruptive therapies in the field of DNA Damage Response (DDR) to address unmet needs in oncology
3
NEXT KEY MILESTONES FUNDEDFinancial visibility to Q1 2022 supports strategic plan to deliver key near-term clinical milestones
STRONG MANAGEMENT amp OPERATIONAL TEAMA highly skilled team of 30 with strong translational amp clinical expertise led by experienced management and board of directors with demonstrated track record in product amp business development
DIFFERENTIATED SCIENCE IN DNA DAMAGE RESPONSEPlatONtrade proprietary chemistry platform of decoy oligonucleotides generating new compounds
AsiDNAtrade lead candidate at clinical stage a first-in-class decoy agonist showing unique anti-tumoral propertiesOX401 a newly optimized next-gen PARPi
A WELL-DEFINED BUSINESS MODELCreate value by bringing drug candidates from preclinical stage to proof-of concept in man the best inflection points to monetize these assets and generate revenues
LISTED EURONEXT Paris NASDAQ Copenhagen
EPA ONXEO
PARP inhibitors (PARPi) are a leading class of targeted therapies the first approved and marketed in the field of DDR
June 2020
FRANCOISE BONO (PHD)
CSO(Sanofi Evotec)
Formerly Executive Vice-President Oncology of Evotec
Experienced management team with demonstrated track record in product amp business development
4
JUDITH GRECIET (PHARMD)
CEO
OLIVIER DE BEAUMONT (MD)
CMO(Aventis Quintiles Stallergenes Greer)
Formerly Senior Vice President Head of Global Clinical Development Pharmacovigilance and Medical Affairs ofStallergenes Greer
PHILIPPE MAITREEVP of Onxeo US CBDO
(Aventis PPD Oscient mAbRx)
Formerly Chief Executive Officer and Co-Founder of mAbRx
NICOLAS FELLMANN
CFO(Ernst amp Young Pfizer)
Formerly Director of Treasury Tax amp Audit of Pfizer France
(Pharmacia Wyeth (Pfizer) Eisai)Formerly President of Eisai France
June 2020
Current cutting-edge RampD pipeline with unique mechanisms of action in DDR
5
Programs OPTIMIZATION PRECLINICAL PHASE I PHASE Ib PHASE II
platONtrade Proprietary Platform of Decoy Oligonucleotides
OX401Next-gen PARPi + STING pathway activation
AsiDNAtrade intratumoral
AsiDNAtrade + chemotherapySynergistic efficacy
AsiDNAtrade + PARPi Resistance abrogation
AsiDNAtrade + other targeted txResistance abrogation prevention
DRIIV -1b
DRIIV study in solid tumors
GENERATION OF NEW COMPOUNDS TARGETING DNA FUNCTIONS
DN
A D
amag
e
Re
spo
nse
Ongoing proof-of concept
Ongoing proof-of concept
DD
R
+ IO
REVocan
Completed or ongoing Legend Planned short-term
AsiDNAtrade
Unique Decoy Agonist Mechanism of Action in DNA Damage Response
June 2020
AsiDNAtrade a first-in-class product in DNA Damage Response (DDR)
7
A purpose-designed cholesterol-oligonucleotide conjugate
5rsquo
3rsquo
3rsquo
5rsquo
Double-stranded 32 bp DNA is tethered with a loop to prevent disassociation2
Active 32 bp DNA duplex
Cholesterol
Loop
1 Berthault N et al Cancer Gene Therapy (2011) 1-12 doi 101038cgt20113 2 Quanz M et al PLoS ONE 2009 4(7) doi 101371journalpone0006298
Tumoral and nuclear uptake of the DNA mediated via a covalently linked cholesterol molecule1
Binding and activating DNA-PK and PARP signaling enzymes
Phosphorothioate substitutions at the 5rsquo and 3rsquo ends to prevent degradation1
Sequence non-homologous and not immunogenic (CpG-free)
AsiDNA is not an RNAi therapy thus avoiding the toxicity issues of this class
Patent Protection (Composition of
Matter on AsiDNAtrade amp related compounds)
until 2031
Extendable to 2036 with SPC amp PTE
Combinationpatents up to 2040
IP
June 2020
AsiDNAtrade a differentiated product in the clinically-validated field of DDR
8
Source Quanz M et al Clin Cancer Res 2009 151308-1316 Quanz M et al PLoS ONE 2009 4(7) doi 101371 journalpone0006298 Jdey W et al Clin Can Res 201622DOI 101158 1078-0432CCR-16-1193
PARP inhibitors (PARPi) are a leading class of targeted therapies the first approved and marketed in the field of DDR
DDR inhibition is clinically-validated in oncology (PARPi)
Decoy-agonist mode of action avoids compensatory mechanisms blocking the induction of resistance
AsiDNAtrade acts upstream of the DDR enabling cytotoxic activity regardless of genetic context
Cytotoxic activity is restricted to cancer cells translating into an outstanding safety profile
AsiDNAtrade mimics DNA breaks in the tumor cell (decoy) binds and hyperactivates the proteins (agonist) involved in the DDR cascade (sensing signaling and repairing) hellip
hellip diverts them away from the true damage hellip hellip leading to cellular death
June 2020
AsiDNAtrade is a first-in-class therapy for combination designed to address the 1 challenge in oncology resistance to treatment
9
Decoy Agonist MoA does not induce resistance
Differentiated Decoy Agonist MoAin the clinically-validated field of DNA Damage Response
Long IP (up to 2040)
Clinical-stage assetFavorable safety profile incl in combination Proof of mechanism signals of efficacy
Strategic focus on the abrogation of resistance to targeted therapies
Collaborations with top-academic centers(Institut Curie - Gustave Roussy ndash Oncopole Toulousehellip)
REVocan Phase 1b2 to evaluate the addition of AsiDNAtrade on the abrogation resistance to niraparib (to start Q3 2020)
Depletes the cells from which resistance to targeted therapies emerge
June 2020
An extensive preclinical program paves the way to ambitious clinical translation
10
Safety profile No cytotoxic activity in healthy cells Very favorable data in tox study (monkey)
Autosensitization and noresistance observed In multiple cell lines Confirmed
Efficacy synergy with PARPi In multiple PARPi sensitive amp resistant cell lines
No restriction to specific genetic context
AsiDNAtrade increases survival amp responders to PARPi
Efficacy synergy with chemo In multiple cell lines AsiDNAtrade increases efficacy amp survival
Abrogation of resistance to PARPi In multiple cell lines AsiDNAtrade stops resistance to PARPi
Abrogation prevention of resistance to other targeted tx
Ongoing validation with several TKI KRASi hellipPrelim data confirming prolongation of anti-EGFR anti-ALK efficacy
In vitro data In vivo data
PARP inhibitors (PARPi) and tyrosine kinase inhibitors (TKI) are leading approved targeted therapies in oncology
June 2020
0 20 40 600
2times104
4times104
6times104
8times104
1times105
1times1062times1063times1064times1065times1066times106
Nira
Nira+Asi continuous
Nira+Asi at D34
Days post treatment
Cell
num
ber
11
UWB1289 (Ovarian Cancer model ndash BRCA1--)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors (class effect)
AsiDNAtrade leads to niraparib-resistant cells eradication in ovarian cancer model even if introduced only once resistance emerges (CA 125 increase)
REVocan study (REVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib) was designed on the basis of these results
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
Introduction at CA125 increase (REVocan study protocol)
Start of AsiDNAtrade administration
Source Onxeo data on file
niraparib
Emergence of Resistant cells
Cell death
Start of AsiDNAtrade administration
(D34)
June 2020
Results confirmed in in vivo experiments in a triple negative breast cancer model
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
12
MDAMB-436 (TNBC HR deficient - PARPi sensitive)
Source Onxeo data on file
June 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates cells resistant to anti-EGFR and anti-ALK
AsiDNAtrade prevents resistance to other targeted tx such as TKI
13
0 3 5 6 7 10 12 13 14 17 21 24 27 34 38 41 46 49 52
-20
0
20
40
60
80
100
120
ErlotinibErlotinib+AsiDNA
Time (days)
Su
rviv
ing
ce
lls (
)
No surviving cells
Emergence of resistant cells
No surviving cells
Emergence of resistant cells
PC9-3 (NSCLC EGFRmut) - EGFR T790 mutation is preexisting in PC9 parental cell line PC9-3 cell line is a sub-clone of PC9 without preexisting T790M
Non Small Cell Lung Cancer model ndash anti-ALK sensitive
H3122 (NSCLC EML4-ALK)
Source Onxeo data on file
AsiDNAtrade
Clinical Development Plan
Validation of the Effect of AsiDNAtrade onResistance to Targeted Therapies
June 2020
Delivering the promises of AsiDNAtrade to patients
DRIIV-1 Phase 1First IV administration in solid tumors
Favorable safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Prelim signals of efficacyCohort 2 (Carboplatin + Paclitaxel) ongoing
REVOCAN Phase 1b2 (IV)Ovarian cancer in combination w PARPi niraparib
Proof of Concept Abrogation of resistance to PARPiFPI expected Q3 2020
Phase 1b2 (IV)Non small cell lung cancer in combination w other targeted therapies (TKI KRAShellip)
Proof of Concept PreventionAbrogation of resistance to targeted therapies
SHO
RT
MID
-TE
RM
ON
GO
ING
15
CO
MP
LETE
D
June 2020
DRIIV-1 Phase 1 Favorable safety profile
Phase I study in IV
Open-label 3+3 dose escalation from 200mg to 1800mg
22 patients 5 doses
Study coordinator Pr C Le Tourneau (Institut Curie)
Objectives to determine the safety and PKPD profile of AsiDNAtrade
Primary objective reached favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non-related no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related Serious Adverse Events (SAEs) and no Dose-Limiting Toxicity (DLT)
AsiDNAtrade 900mg amp 1300mg 3 related SAEs including 2 DLTs per dose
Orthostatic hypotension (grade 3 unlikely related)
2 increase of hepatic enzymes ( grade 3 unlikely related and grade 4possibly related)
Maximum Tolerated Dose (MTD) was not reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719 16
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non-related77
Adverse Events
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
Developing disruptive therapies in the field of DNA Damage Response (DDR) to address unmet needs in oncology
3
NEXT KEY MILESTONES FUNDEDFinancial visibility to Q1 2022 supports strategic plan to deliver key near-term clinical milestones
STRONG MANAGEMENT amp OPERATIONAL TEAMA highly skilled team of 30 with strong translational amp clinical expertise led by experienced management and board of directors with demonstrated track record in product amp business development
DIFFERENTIATED SCIENCE IN DNA DAMAGE RESPONSEPlatONtrade proprietary chemistry platform of decoy oligonucleotides generating new compounds
AsiDNAtrade lead candidate at clinical stage a first-in-class decoy agonist showing unique anti-tumoral propertiesOX401 a newly optimized next-gen PARPi
A WELL-DEFINED BUSINESS MODELCreate value by bringing drug candidates from preclinical stage to proof-of concept in man the best inflection points to monetize these assets and generate revenues
LISTED EURONEXT Paris NASDAQ Copenhagen
EPA ONXEO
PARP inhibitors (PARPi) are a leading class of targeted therapies the first approved and marketed in the field of DDR
June 2020
FRANCOISE BONO (PHD)
CSO(Sanofi Evotec)
Formerly Executive Vice-President Oncology of Evotec
Experienced management team with demonstrated track record in product amp business development
4
JUDITH GRECIET (PHARMD)
CEO
OLIVIER DE BEAUMONT (MD)
CMO(Aventis Quintiles Stallergenes Greer)
Formerly Senior Vice President Head of Global Clinical Development Pharmacovigilance and Medical Affairs ofStallergenes Greer
PHILIPPE MAITREEVP of Onxeo US CBDO
(Aventis PPD Oscient mAbRx)
Formerly Chief Executive Officer and Co-Founder of mAbRx
NICOLAS FELLMANN
CFO(Ernst amp Young Pfizer)
Formerly Director of Treasury Tax amp Audit of Pfizer France
(Pharmacia Wyeth (Pfizer) Eisai)Formerly President of Eisai France
June 2020
Current cutting-edge RampD pipeline with unique mechanisms of action in DDR
5
Programs OPTIMIZATION PRECLINICAL PHASE I PHASE Ib PHASE II
platONtrade Proprietary Platform of Decoy Oligonucleotides
OX401Next-gen PARPi + STING pathway activation
AsiDNAtrade intratumoral
AsiDNAtrade + chemotherapySynergistic efficacy
AsiDNAtrade + PARPi Resistance abrogation
AsiDNAtrade + other targeted txResistance abrogation prevention
DRIIV -1b
DRIIV study in solid tumors
GENERATION OF NEW COMPOUNDS TARGETING DNA FUNCTIONS
DN
A D
amag
e
Re
spo
nse
Ongoing proof-of concept
Ongoing proof-of concept
DD
R
+ IO
REVocan
Completed or ongoing Legend Planned short-term
AsiDNAtrade
Unique Decoy Agonist Mechanism of Action in DNA Damage Response
June 2020
AsiDNAtrade a first-in-class product in DNA Damage Response (DDR)
7
A purpose-designed cholesterol-oligonucleotide conjugate
5rsquo
3rsquo
3rsquo
5rsquo
Double-stranded 32 bp DNA is tethered with a loop to prevent disassociation2
Active 32 bp DNA duplex
Cholesterol
Loop
1 Berthault N et al Cancer Gene Therapy (2011) 1-12 doi 101038cgt20113 2 Quanz M et al PLoS ONE 2009 4(7) doi 101371journalpone0006298
Tumoral and nuclear uptake of the DNA mediated via a covalently linked cholesterol molecule1
Binding and activating DNA-PK and PARP signaling enzymes
Phosphorothioate substitutions at the 5rsquo and 3rsquo ends to prevent degradation1
Sequence non-homologous and not immunogenic (CpG-free)
AsiDNA is not an RNAi therapy thus avoiding the toxicity issues of this class
Patent Protection (Composition of
Matter on AsiDNAtrade amp related compounds)
until 2031
Extendable to 2036 with SPC amp PTE
Combinationpatents up to 2040
IP
June 2020
AsiDNAtrade a differentiated product in the clinically-validated field of DDR
8
Source Quanz M et al Clin Cancer Res 2009 151308-1316 Quanz M et al PLoS ONE 2009 4(7) doi 101371 journalpone0006298 Jdey W et al Clin Can Res 201622DOI 101158 1078-0432CCR-16-1193
PARP inhibitors (PARPi) are a leading class of targeted therapies the first approved and marketed in the field of DDR
DDR inhibition is clinically-validated in oncology (PARPi)
Decoy-agonist mode of action avoids compensatory mechanisms blocking the induction of resistance
AsiDNAtrade acts upstream of the DDR enabling cytotoxic activity regardless of genetic context
Cytotoxic activity is restricted to cancer cells translating into an outstanding safety profile
AsiDNAtrade mimics DNA breaks in the tumor cell (decoy) binds and hyperactivates the proteins (agonist) involved in the DDR cascade (sensing signaling and repairing) hellip
hellip diverts them away from the true damage hellip hellip leading to cellular death
June 2020
AsiDNAtrade is a first-in-class therapy for combination designed to address the 1 challenge in oncology resistance to treatment
9
Decoy Agonist MoA does not induce resistance
Differentiated Decoy Agonist MoAin the clinically-validated field of DNA Damage Response
Long IP (up to 2040)
Clinical-stage assetFavorable safety profile incl in combination Proof of mechanism signals of efficacy
Strategic focus on the abrogation of resistance to targeted therapies
Collaborations with top-academic centers(Institut Curie - Gustave Roussy ndash Oncopole Toulousehellip)
REVocan Phase 1b2 to evaluate the addition of AsiDNAtrade on the abrogation resistance to niraparib (to start Q3 2020)
Depletes the cells from which resistance to targeted therapies emerge
June 2020
An extensive preclinical program paves the way to ambitious clinical translation
10
Safety profile No cytotoxic activity in healthy cells Very favorable data in tox study (monkey)
Autosensitization and noresistance observed In multiple cell lines Confirmed
Efficacy synergy with PARPi In multiple PARPi sensitive amp resistant cell lines
No restriction to specific genetic context
AsiDNAtrade increases survival amp responders to PARPi
Efficacy synergy with chemo In multiple cell lines AsiDNAtrade increases efficacy amp survival
Abrogation of resistance to PARPi In multiple cell lines AsiDNAtrade stops resistance to PARPi
Abrogation prevention of resistance to other targeted tx
Ongoing validation with several TKI KRASi hellipPrelim data confirming prolongation of anti-EGFR anti-ALK efficacy
In vitro data In vivo data
PARP inhibitors (PARPi) and tyrosine kinase inhibitors (TKI) are leading approved targeted therapies in oncology
June 2020
0 20 40 600
2times104
4times104
6times104
8times104
1times105
1times1062times1063times1064times1065times1066times106
Nira
Nira+Asi continuous
Nira+Asi at D34
Days post treatment
Cell
num
ber
11
UWB1289 (Ovarian Cancer model ndash BRCA1--)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors (class effect)
AsiDNAtrade leads to niraparib-resistant cells eradication in ovarian cancer model even if introduced only once resistance emerges (CA 125 increase)
REVocan study (REVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib) was designed on the basis of these results
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
Introduction at CA125 increase (REVocan study protocol)
Start of AsiDNAtrade administration
Source Onxeo data on file
niraparib
Emergence of Resistant cells
Cell death
Start of AsiDNAtrade administration
(D34)
June 2020
Results confirmed in in vivo experiments in a triple negative breast cancer model
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
12
MDAMB-436 (TNBC HR deficient - PARPi sensitive)
Source Onxeo data on file
June 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates cells resistant to anti-EGFR and anti-ALK
AsiDNAtrade prevents resistance to other targeted tx such as TKI
13
0 3 5 6 7 10 12 13 14 17 21 24 27 34 38 41 46 49 52
-20
0
20
40
60
80
100
120
ErlotinibErlotinib+AsiDNA
Time (days)
Su
rviv
ing
ce
lls (
)
No surviving cells
Emergence of resistant cells
No surviving cells
Emergence of resistant cells
PC9-3 (NSCLC EGFRmut) - EGFR T790 mutation is preexisting in PC9 parental cell line PC9-3 cell line is a sub-clone of PC9 without preexisting T790M
Non Small Cell Lung Cancer model ndash anti-ALK sensitive
H3122 (NSCLC EML4-ALK)
Source Onxeo data on file
AsiDNAtrade
Clinical Development Plan
Validation of the Effect of AsiDNAtrade onResistance to Targeted Therapies
June 2020
Delivering the promises of AsiDNAtrade to patients
DRIIV-1 Phase 1First IV administration in solid tumors
Favorable safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Prelim signals of efficacyCohort 2 (Carboplatin + Paclitaxel) ongoing
REVOCAN Phase 1b2 (IV)Ovarian cancer in combination w PARPi niraparib
Proof of Concept Abrogation of resistance to PARPiFPI expected Q3 2020
Phase 1b2 (IV)Non small cell lung cancer in combination w other targeted therapies (TKI KRAShellip)
Proof of Concept PreventionAbrogation of resistance to targeted therapies
SHO
RT
MID
-TE
RM
ON
GO
ING
15
CO
MP
LETE
D
June 2020
DRIIV-1 Phase 1 Favorable safety profile
Phase I study in IV
Open-label 3+3 dose escalation from 200mg to 1800mg
22 patients 5 doses
Study coordinator Pr C Le Tourneau (Institut Curie)
Objectives to determine the safety and PKPD profile of AsiDNAtrade
Primary objective reached favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non-related no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related Serious Adverse Events (SAEs) and no Dose-Limiting Toxicity (DLT)
AsiDNAtrade 900mg amp 1300mg 3 related SAEs including 2 DLTs per dose
Orthostatic hypotension (grade 3 unlikely related)
2 increase of hepatic enzymes ( grade 3 unlikely related and grade 4possibly related)
Maximum Tolerated Dose (MTD) was not reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719 16
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non-related77
Adverse Events
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
FRANCOISE BONO (PHD)
CSO(Sanofi Evotec)
Formerly Executive Vice-President Oncology of Evotec
Experienced management team with demonstrated track record in product amp business development
4
JUDITH GRECIET (PHARMD)
CEO
OLIVIER DE BEAUMONT (MD)
CMO(Aventis Quintiles Stallergenes Greer)
Formerly Senior Vice President Head of Global Clinical Development Pharmacovigilance and Medical Affairs ofStallergenes Greer
PHILIPPE MAITREEVP of Onxeo US CBDO
(Aventis PPD Oscient mAbRx)
Formerly Chief Executive Officer and Co-Founder of mAbRx
NICOLAS FELLMANN
CFO(Ernst amp Young Pfizer)
Formerly Director of Treasury Tax amp Audit of Pfizer France
(Pharmacia Wyeth (Pfizer) Eisai)Formerly President of Eisai France
June 2020
Current cutting-edge RampD pipeline with unique mechanisms of action in DDR
5
Programs OPTIMIZATION PRECLINICAL PHASE I PHASE Ib PHASE II
platONtrade Proprietary Platform of Decoy Oligonucleotides
OX401Next-gen PARPi + STING pathway activation
AsiDNAtrade intratumoral
AsiDNAtrade + chemotherapySynergistic efficacy
AsiDNAtrade + PARPi Resistance abrogation
AsiDNAtrade + other targeted txResistance abrogation prevention
DRIIV -1b
DRIIV study in solid tumors
GENERATION OF NEW COMPOUNDS TARGETING DNA FUNCTIONS
DN
A D
amag
e
Re
spo
nse
Ongoing proof-of concept
Ongoing proof-of concept
DD
R
+ IO
REVocan
Completed or ongoing Legend Planned short-term
AsiDNAtrade
Unique Decoy Agonist Mechanism of Action in DNA Damage Response
June 2020
AsiDNAtrade a first-in-class product in DNA Damage Response (DDR)
7
A purpose-designed cholesterol-oligonucleotide conjugate
5rsquo
3rsquo
3rsquo
5rsquo
Double-stranded 32 bp DNA is tethered with a loop to prevent disassociation2
Active 32 bp DNA duplex
Cholesterol
Loop
1 Berthault N et al Cancer Gene Therapy (2011) 1-12 doi 101038cgt20113 2 Quanz M et al PLoS ONE 2009 4(7) doi 101371journalpone0006298
Tumoral and nuclear uptake of the DNA mediated via a covalently linked cholesterol molecule1
Binding and activating DNA-PK and PARP signaling enzymes
Phosphorothioate substitutions at the 5rsquo and 3rsquo ends to prevent degradation1
Sequence non-homologous and not immunogenic (CpG-free)
AsiDNA is not an RNAi therapy thus avoiding the toxicity issues of this class
Patent Protection (Composition of
Matter on AsiDNAtrade amp related compounds)
until 2031
Extendable to 2036 with SPC amp PTE
Combinationpatents up to 2040
IP
June 2020
AsiDNAtrade a differentiated product in the clinically-validated field of DDR
8
Source Quanz M et al Clin Cancer Res 2009 151308-1316 Quanz M et al PLoS ONE 2009 4(7) doi 101371 journalpone0006298 Jdey W et al Clin Can Res 201622DOI 101158 1078-0432CCR-16-1193
PARP inhibitors (PARPi) are a leading class of targeted therapies the first approved and marketed in the field of DDR
DDR inhibition is clinically-validated in oncology (PARPi)
Decoy-agonist mode of action avoids compensatory mechanisms blocking the induction of resistance
AsiDNAtrade acts upstream of the DDR enabling cytotoxic activity regardless of genetic context
Cytotoxic activity is restricted to cancer cells translating into an outstanding safety profile
AsiDNAtrade mimics DNA breaks in the tumor cell (decoy) binds and hyperactivates the proteins (agonist) involved in the DDR cascade (sensing signaling and repairing) hellip
hellip diverts them away from the true damage hellip hellip leading to cellular death
June 2020
AsiDNAtrade is a first-in-class therapy for combination designed to address the 1 challenge in oncology resistance to treatment
9
Decoy Agonist MoA does not induce resistance
Differentiated Decoy Agonist MoAin the clinically-validated field of DNA Damage Response
Long IP (up to 2040)
Clinical-stage assetFavorable safety profile incl in combination Proof of mechanism signals of efficacy
Strategic focus on the abrogation of resistance to targeted therapies
Collaborations with top-academic centers(Institut Curie - Gustave Roussy ndash Oncopole Toulousehellip)
REVocan Phase 1b2 to evaluate the addition of AsiDNAtrade on the abrogation resistance to niraparib (to start Q3 2020)
Depletes the cells from which resistance to targeted therapies emerge
June 2020
An extensive preclinical program paves the way to ambitious clinical translation
10
Safety profile No cytotoxic activity in healthy cells Very favorable data in tox study (monkey)
Autosensitization and noresistance observed In multiple cell lines Confirmed
Efficacy synergy with PARPi In multiple PARPi sensitive amp resistant cell lines
No restriction to specific genetic context
AsiDNAtrade increases survival amp responders to PARPi
Efficacy synergy with chemo In multiple cell lines AsiDNAtrade increases efficacy amp survival
Abrogation of resistance to PARPi In multiple cell lines AsiDNAtrade stops resistance to PARPi
Abrogation prevention of resistance to other targeted tx
Ongoing validation with several TKI KRASi hellipPrelim data confirming prolongation of anti-EGFR anti-ALK efficacy
In vitro data In vivo data
PARP inhibitors (PARPi) and tyrosine kinase inhibitors (TKI) are leading approved targeted therapies in oncology
June 2020
0 20 40 600
2times104
4times104
6times104
8times104
1times105
1times1062times1063times1064times1065times1066times106
Nira
Nira+Asi continuous
Nira+Asi at D34
Days post treatment
Cell
num
ber
11
UWB1289 (Ovarian Cancer model ndash BRCA1--)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors (class effect)
AsiDNAtrade leads to niraparib-resistant cells eradication in ovarian cancer model even if introduced only once resistance emerges (CA 125 increase)
REVocan study (REVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib) was designed on the basis of these results
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
Introduction at CA125 increase (REVocan study protocol)
Start of AsiDNAtrade administration
Source Onxeo data on file
niraparib
Emergence of Resistant cells
Cell death
Start of AsiDNAtrade administration
(D34)
June 2020
Results confirmed in in vivo experiments in a triple negative breast cancer model
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
12
MDAMB-436 (TNBC HR deficient - PARPi sensitive)
Source Onxeo data on file
June 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates cells resistant to anti-EGFR and anti-ALK
AsiDNAtrade prevents resistance to other targeted tx such as TKI
13
0 3 5 6 7 10 12 13 14 17 21 24 27 34 38 41 46 49 52
-20
0
20
40
60
80
100
120
ErlotinibErlotinib+AsiDNA
Time (days)
Su
rviv
ing
ce
lls (
)
No surviving cells
Emergence of resistant cells
No surviving cells
Emergence of resistant cells
PC9-3 (NSCLC EGFRmut) - EGFR T790 mutation is preexisting in PC9 parental cell line PC9-3 cell line is a sub-clone of PC9 without preexisting T790M
Non Small Cell Lung Cancer model ndash anti-ALK sensitive
H3122 (NSCLC EML4-ALK)
Source Onxeo data on file
AsiDNAtrade
Clinical Development Plan
Validation of the Effect of AsiDNAtrade onResistance to Targeted Therapies
June 2020
Delivering the promises of AsiDNAtrade to patients
DRIIV-1 Phase 1First IV administration in solid tumors
Favorable safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Prelim signals of efficacyCohort 2 (Carboplatin + Paclitaxel) ongoing
REVOCAN Phase 1b2 (IV)Ovarian cancer in combination w PARPi niraparib
Proof of Concept Abrogation of resistance to PARPiFPI expected Q3 2020
Phase 1b2 (IV)Non small cell lung cancer in combination w other targeted therapies (TKI KRAShellip)
Proof of Concept PreventionAbrogation of resistance to targeted therapies
SHO
RT
MID
-TE
RM
ON
GO
ING
15
CO
MP
LETE
D
June 2020
DRIIV-1 Phase 1 Favorable safety profile
Phase I study in IV
Open-label 3+3 dose escalation from 200mg to 1800mg
22 patients 5 doses
Study coordinator Pr C Le Tourneau (Institut Curie)
Objectives to determine the safety and PKPD profile of AsiDNAtrade
Primary objective reached favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non-related no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related Serious Adverse Events (SAEs) and no Dose-Limiting Toxicity (DLT)
AsiDNAtrade 900mg amp 1300mg 3 related SAEs including 2 DLTs per dose
Orthostatic hypotension (grade 3 unlikely related)
2 increase of hepatic enzymes ( grade 3 unlikely related and grade 4possibly related)
Maximum Tolerated Dose (MTD) was not reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719 16
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non-related77
Adverse Events
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
Current cutting-edge RampD pipeline with unique mechanisms of action in DDR
5
Programs OPTIMIZATION PRECLINICAL PHASE I PHASE Ib PHASE II
platONtrade Proprietary Platform of Decoy Oligonucleotides
OX401Next-gen PARPi + STING pathway activation
AsiDNAtrade intratumoral
AsiDNAtrade + chemotherapySynergistic efficacy
AsiDNAtrade + PARPi Resistance abrogation
AsiDNAtrade + other targeted txResistance abrogation prevention
DRIIV -1b
DRIIV study in solid tumors
GENERATION OF NEW COMPOUNDS TARGETING DNA FUNCTIONS
DN
A D
amag
e
Re
spo
nse
Ongoing proof-of concept
Ongoing proof-of concept
DD
R
+ IO
REVocan
Completed or ongoing Legend Planned short-term
AsiDNAtrade
Unique Decoy Agonist Mechanism of Action in DNA Damage Response
June 2020
AsiDNAtrade a first-in-class product in DNA Damage Response (DDR)
7
A purpose-designed cholesterol-oligonucleotide conjugate
5rsquo
3rsquo
3rsquo
5rsquo
Double-stranded 32 bp DNA is tethered with a loop to prevent disassociation2
Active 32 bp DNA duplex
Cholesterol
Loop
1 Berthault N et al Cancer Gene Therapy (2011) 1-12 doi 101038cgt20113 2 Quanz M et al PLoS ONE 2009 4(7) doi 101371journalpone0006298
Tumoral and nuclear uptake of the DNA mediated via a covalently linked cholesterol molecule1
Binding and activating DNA-PK and PARP signaling enzymes
Phosphorothioate substitutions at the 5rsquo and 3rsquo ends to prevent degradation1
Sequence non-homologous and not immunogenic (CpG-free)
AsiDNA is not an RNAi therapy thus avoiding the toxicity issues of this class
Patent Protection (Composition of
Matter on AsiDNAtrade amp related compounds)
until 2031
Extendable to 2036 with SPC amp PTE
Combinationpatents up to 2040
IP
June 2020
AsiDNAtrade a differentiated product in the clinically-validated field of DDR
8
Source Quanz M et al Clin Cancer Res 2009 151308-1316 Quanz M et al PLoS ONE 2009 4(7) doi 101371 journalpone0006298 Jdey W et al Clin Can Res 201622DOI 101158 1078-0432CCR-16-1193
PARP inhibitors (PARPi) are a leading class of targeted therapies the first approved and marketed in the field of DDR
DDR inhibition is clinically-validated in oncology (PARPi)
Decoy-agonist mode of action avoids compensatory mechanisms blocking the induction of resistance
AsiDNAtrade acts upstream of the DDR enabling cytotoxic activity regardless of genetic context
Cytotoxic activity is restricted to cancer cells translating into an outstanding safety profile
AsiDNAtrade mimics DNA breaks in the tumor cell (decoy) binds and hyperactivates the proteins (agonist) involved in the DDR cascade (sensing signaling and repairing) hellip
hellip diverts them away from the true damage hellip hellip leading to cellular death
June 2020
AsiDNAtrade is a first-in-class therapy for combination designed to address the 1 challenge in oncology resistance to treatment
9
Decoy Agonist MoA does not induce resistance
Differentiated Decoy Agonist MoAin the clinically-validated field of DNA Damage Response
Long IP (up to 2040)
Clinical-stage assetFavorable safety profile incl in combination Proof of mechanism signals of efficacy
Strategic focus on the abrogation of resistance to targeted therapies
Collaborations with top-academic centers(Institut Curie - Gustave Roussy ndash Oncopole Toulousehellip)
REVocan Phase 1b2 to evaluate the addition of AsiDNAtrade on the abrogation resistance to niraparib (to start Q3 2020)
Depletes the cells from which resistance to targeted therapies emerge
June 2020
An extensive preclinical program paves the way to ambitious clinical translation
10
Safety profile No cytotoxic activity in healthy cells Very favorable data in tox study (monkey)
Autosensitization and noresistance observed In multiple cell lines Confirmed
Efficacy synergy with PARPi In multiple PARPi sensitive amp resistant cell lines
No restriction to specific genetic context
AsiDNAtrade increases survival amp responders to PARPi
Efficacy synergy with chemo In multiple cell lines AsiDNAtrade increases efficacy amp survival
Abrogation of resistance to PARPi In multiple cell lines AsiDNAtrade stops resistance to PARPi
Abrogation prevention of resistance to other targeted tx
Ongoing validation with several TKI KRASi hellipPrelim data confirming prolongation of anti-EGFR anti-ALK efficacy
In vitro data In vivo data
PARP inhibitors (PARPi) and tyrosine kinase inhibitors (TKI) are leading approved targeted therapies in oncology
June 2020
0 20 40 600
2times104
4times104
6times104
8times104
1times105
1times1062times1063times1064times1065times1066times106
Nira
Nira+Asi continuous
Nira+Asi at D34
Days post treatment
Cell
num
ber
11
UWB1289 (Ovarian Cancer model ndash BRCA1--)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors (class effect)
AsiDNAtrade leads to niraparib-resistant cells eradication in ovarian cancer model even if introduced only once resistance emerges (CA 125 increase)
REVocan study (REVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib) was designed on the basis of these results
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
Introduction at CA125 increase (REVocan study protocol)
Start of AsiDNAtrade administration
Source Onxeo data on file
niraparib
Emergence of Resistant cells
Cell death
Start of AsiDNAtrade administration
(D34)
June 2020
Results confirmed in in vivo experiments in a triple negative breast cancer model
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
12
MDAMB-436 (TNBC HR deficient - PARPi sensitive)
Source Onxeo data on file
June 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates cells resistant to anti-EGFR and anti-ALK
AsiDNAtrade prevents resistance to other targeted tx such as TKI
13
0 3 5 6 7 10 12 13 14 17 21 24 27 34 38 41 46 49 52
-20
0
20
40
60
80
100
120
ErlotinibErlotinib+AsiDNA
Time (days)
Su
rviv
ing
ce
lls (
)
No surviving cells
Emergence of resistant cells
No surviving cells
Emergence of resistant cells
PC9-3 (NSCLC EGFRmut) - EGFR T790 mutation is preexisting in PC9 parental cell line PC9-3 cell line is a sub-clone of PC9 without preexisting T790M
Non Small Cell Lung Cancer model ndash anti-ALK sensitive
H3122 (NSCLC EML4-ALK)
Source Onxeo data on file
AsiDNAtrade
Clinical Development Plan
Validation of the Effect of AsiDNAtrade onResistance to Targeted Therapies
June 2020
Delivering the promises of AsiDNAtrade to patients
DRIIV-1 Phase 1First IV administration in solid tumors
Favorable safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Prelim signals of efficacyCohort 2 (Carboplatin + Paclitaxel) ongoing
REVOCAN Phase 1b2 (IV)Ovarian cancer in combination w PARPi niraparib
Proof of Concept Abrogation of resistance to PARPiFPI expected Q3 2020
Phase 1b2 (IV)Non small cell lung cancer in combination w other targeted therapies (TKI KRAShellip)
Proof of Concept PreventionAbrogation of resistance to targeted therapies
SHO
RT
MID
-TE
RM
ON
GO
ING
15
CO
MP
LETE
D
June 2020
DRIIV-1 Phase 1 Favorable safety profile
Phase I study in IV
Open-label 3+3 dose escalation from 200mg to 1800mg
22 patients 5 doses
Study coordinator Pr C Le Tourneau (Institut Curie)
Objectives to determine the safety and PKPD profile of AsiDNAtrade
Primary objective reached favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non-related no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related Serious Adverse Events (SAEs) and no Dose-Limiting Toxicity (DLT)
AsiDNAtrade 900mg amp 1300mg 3 related SAEs including 2 DLTs per dose
Orthostatic hypotension (grade 3 unlikely related)
2 increase of hepatic enzymes ( grade 3 unlikely related and grade 4possibly related)
Maximum Tolerated Dose (MTD) was not reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719 16
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non-related77
Adverse Events
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
AsiDNAtrade
Unique Decoy Agonist Mechanism of Action in DNA Damage Response
June 2020
AsiDNAtrade a first-in-class product in DNA Damage Response (DDR)
7
A purpose-designed cholesterol-oligonucleotide conjugate
5rsquo
3rsquo
3rsquo
5rsquo
Double-stranded 32 bp DNA is tethered with a loop to prevent disassociation2
Active 32 bp DNA duplex
Cholesterol
Loop
1 Berthault N et al Cancer Gene Therapy (2011) 1-12 doi 101038cgt20113 2 Quanz M et al PLoS ONE 2009 4(7) doi 101371journalpone0006298
Tumoral and nuclear uptake of the DNA mediated via a covalently linked cholesterol molecule1
Binding and activating DNA-PK and PARP signaling enzymes
Phosphorothioate substitutions at the 5rsquo and 3rsquo ends to prevent degradation1
Sequence non-homologous and not immunogenic (CpG-free)
AsiDNA is not an RNAi therapy thus avoiding the toxicity issues of this class
Patent Protection (Composition of
Matter on AsiDNAtrade amp related compounds)
until 2031
Extendable to 2036 with SPC amp PTE
Combinationpatents up to 2040
IP
June 2020
AsiDNAtrade a differentiated product in the clinically-validated field of DDR
8
Source Quanz M et al Clin Cancer Res 2009 151308-1316 Quanz M et al PLoS ONE 2009 4(7) doi 101371 journalpone0006298 Jdey W et al Clin Can Res 201622DOI 101158 1078-0432CCR-16-1193
PARP inhibitors (PARPi) are a leading class of targeted therapies the first approved and marketed in the field of DDR
DDR inhibition is clinically-validated in oncology (PARPi)
Decoy-agonist mode of action avoids compensatory mechanisms blocking the induction of resistance
AsiDNAtrade acts upstream of the DDR enabling cytotoxic activity regardless of genetic context
Cytotoxic activity is restricted to cancer cells translating into an outstanding safety profile
AsiDNAtrade mimics DNA breaks in the tumor cell (decoy) binds and hyperactivates the proteins (agonist) involved in the DDR cascade (sensing signaling and repairing) hellip
hellip diverts them away from the true damage hellip hellip leading to cellular death
June 2020
AsiDNAtrade is a first-in-class therapy for combination designed to address the 1 challenge in oncology resistance to treatment
9
Decoy Agonist MoA does not induce resistance
Differentiated Decoy Agonist MoAin the clinically-validated field of DNA Damage Response
Long IP (up to 2040)
Clinical-stage assetFavorable safety profile incl in combination Proof of mechanism signals of efficacy
Strategic focus on the abrogation of resistance to targeted therapies
Collaborations with top-academic centers(Institut Curie - Gustave Roussy ndash Oncopole Toulousehellip)
REVocan Phase 1b2 to evaluate the addition of AsiDNAtrade on the abrogation resistance to niraparib (to start Q3 2020)
Depletes the cells from which resistance to targeted therapies emerge
June 2020
An extensive preclinical program paves the way to ambitious clinical translation
10
Safety profile No cytotoxic activity in healthy cells Very favorable data in tox study (monkey)
Autosensitization and noresistance observed In multiple cell lines Confirmed
Efficacy synergy with PARPi In multiple PARPi sensitive amp resistant cell lines
No restriction to specific genetic context
AsiDNAtrade increases survival amp responders to PARPi
Efficacy synergy with chemo In multiple cell lines AsiDNAtrade increases efficacy amp survival
Abrogation of resistance to PARPi In multiple cell lines AsiDNAtrade stops resistance to PARPi
Abrogation prevention of resistance to other targeted tx
Ongoing validation with several TKI KRASi hellipPrelim data confirming prolongation of anti-EGFR anti-ALK efficacy
In vitro data In vivo data
PARP inhibitors (PARPi) and tyrosine kinase inhibitors (TKI) are leading approved targeted therapies in oncology
June 2020
0 20 40 600
2times104
4times104
6times104
8times104
1times105
1times1062times1063times1064times1065times1066times106
Nira
Nira+Asi continuous
Nira+Asi at D34
Days post treatment
Cell
num
ber
11
UWB1289 (Ovarian Cancer model ndash BRCA1--)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors (class effect)
AsiDNAtrade leads to niraparib-resistant cells eradication in ovarian cancer model even if introduced only once resistance emerges (CA 125 increase)
REVocan study (REVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib) was designed on the basis of these results
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
Introduction at CA125 increase (REVocan study protocol)
Start of AsiDNAtrade administration
Source Onxeo data on file
niraparib
Emergence of Resistant cells
Cell death
Start of AsiDNAtrade administration
(D34)
June 2020
Results confirmed in in vivo experiments in a triple negative breast cancer model
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
12
MDAMB-436 (TNBC HR deficient - PARPi sensitive)
Source Onxeo data on file
June 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates cells resistant to anti-EGFR and anti-ALK
AsiDNAtrade prevents resistance to other targeted tx such as TKI
13
0 3 5 6 7 10 12 13 14 17 21 24 27 34 38 41 46 49 52
-20
0
20
40
60
80
100
120
ErlotinibErlotinib+AsiDNA
Time (days)
Su
rviv
ing
ce
lls (
)
No surviving cells
Emergence of resistant cells
No surviving cells
Emergence of resistant cells
PC9-3 (NSCLC EGFRmut) - EGFR T790 mutation is preexisting in PC9 parental cell line PC9-3 cell line is a sub-clone of PC9 without preexisting T790M
Non Small Cell Lung Cancer model ndash anti-ALK sensitive
H3122 (NSCLC EML4-ALK)
Source Onxeo data on file
AsiDNAtrade
Clinical Development Plan
Validation of the Effect of AsiDNAtrade onResistance to Targeted Therapies
June 2020
Delivering the promises of AsiDNAtrade to patients
DRIIV-1 Phase 1First IV administration in solid tumors
Favorable safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Prelim signals of efficacyCohort 2 (Carboplatin + Paclitaxel) ongoing
REVOCAN Phase 1b2 (IV)Ovarian cancer in combination w PARPi niraparib
Proof of Concept Abrogation of resistance to PARPiFPI expected Q3 2020
Phase 1b2 (IV)Non small cell lung cancer in combination w other targeted therapies (TKI KRAShellip)
Proof of Concept PreventionAbrogation of resistance to targeted therapies
SHO
RT
MID
-TE
RM
ON
GO
ING
15
CO
MP
LETE
D
June 2020
DRIIV-1 Phase 1 Favorable safety profile
Phase I study in IV
Open-label 3+3 dose escalation from 200mg to 1800mg
22 patients 5 doses
Study coordinator Pr C Le Tourneau (Institut Curie)
Objectives to determine the safety and PKPD profile of AsiDNAtrade
Primary objective reached favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non-related no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related Serious Adverse Events (SAEs) and no Dose-Limiting Toxicity (DLT)
AsiDNAtrade 900mg amp 1300mg 3 related SAEs including 2 DLTs per dose
Orthostatic hypotension (grade 3 unlikely related)
2 increase of hepatic enzymes ( grade 3 unlikely related and grade 4possibly related)
Maximum Tolerated Dose (MTD) was not reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719 16
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non-related77
Adverse Events
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
AsiDNAtrade a first-in-class product in DNA Damage Response (DDR)
7
A purpose-designed cholesterol-oligonucleotide conjugate
5rsquo
3rsquo
3rsquo
5rsquo
Double-stranded 32 bp DNA is tethered with a loop to prevent disassociation2
Active 32 bp DNA duplex
Cholesterol
Loop
1 Berthault N et al Cancer Gene Therapy (2011) 1-12 doi 101038cgt20113 2 Quanz M et al PLoS ONE 2009 4(7) doi 101371journalpone0006298
Tumoral and nuclear uptake of the DNA mediated via a covalently linked cholesterol molecule1
Binding and activating DNA-PK and PARP signaling enzymes
Phosphorothioate substitutions at the 5rsquo and 3rsquo ends to prevent degradation1
Sequence non-homologous and not immunogenic (CpG-free)
AsiDNA is not an RNAi therapy thus avoiding the toxicity issues of this class
Patent Protection (Composition of
Matter on AsiDNAtrade amp related compounds)
until 2031
Extendable to 2036 with SPC amp PTE
Combinationpatents up to 2040
IP
June 2020
AsiDNAtrade a differentiated product in the clinically-validated field of DDR
8
Source Quanz M et al Clin Cancer Res 2009 151308-1316 Quanz M et al PLoS ONE 2009 4(7) doi 101371 journalpone0006298 Jdey W et al Clin Can Res 201622DOI 101158 1078-0432CCR-16-1193
PARP inhibitors (PARPi) are a leading class of targeted therapies the first approved and marketed in the field of DDR
DDR inhibition is clinically-validated in oncology (PARPi)
Decoy-agonist mode of action avoids compensatory mechanisms blocking the induction of resistance
AsiDNAtrade acts upstream of the DDR enabling cytotoxic activity regardless of genetic context
Cytotoxic activity is restricted to cancer cells translating into an outstanding safety profile
AsiDNAtrade mimics DNA breaks in the tumor cell (decoy) binds and hyperactivates the proteins (agonist) involved in the DDR cascade (sensing signaling and repairing) hellip
hellip diverts them away from the true damage hellip hellip leading to cellular death
June 2020
AsiDNAtrade is a first-in-class therapy for combination designed to address the 1 challenge in oncology resistance to treatment
9
Decoy Agonist MoA does not induce resistance
Differentiated Decoy Agonist MoAin the clinically-validated field of DNA Damage Response
Long IP (up to 2040)
Clinical-stage assetFavorable safety profile incl in combination Proof of mechanism signals of efficacy
Strategic focus on the abrogation of resistance to targeted therapies
Collaborations with top-academic centers(Institut Curie - Gustave Roussy ndash Oncopole Toulousehellip)
REVocan Phase 1b2 to evaluate the addition of AsiDNAtrade on the abrogation resistance to niraparib (to start Q3 2020)
Depletes the cells from which resistance to targeted therapies emerge
June 2020
An extensive preclinical program paves the way to ambitious clinical translation
10
Safety profile No cytotoxic activity in healthy cells Very favorable data in tox study (monkey)
Autosensitization and noresistance observed In multiple cell lines Confirmed
Efficacy synergy with PARPi In multiple PARPi sensitive amp resistant cell lines
No restriction to specific genetic context
AsiDNAtrade increases survival amp responders to PARPi
Efficacy synergy with chemo In multiple cell lines AsiDNAtrade increases efficacy amp survival
Abrogation of resistance to PARPi In multiple cell lines AsiDNAtrade stops resistance to PARPi
Abrogation prevention of resistance to other targeted tx
Ongoing validation with several TKI KRASi hellipPrelim data confirming prolongation of anti-EGFR anti-ALK efficacy
In vitro data In vivo data
PARP inhibitors (PARPi) and tyrosine kinase inhibitors (TKI) are leading approved targeted therapies in oncology
June 2020
0 20 40 600
2times104
4times104
6times104
8times104
1times105
1times1062times1063times1064times1065times1066times106
Nira
Nira+Asi continuous
Nira+Asi at D34
Days post treatment
Cell
num
ber
11
UWB1289 (Ovarian Cancer model ndash BRCA1--)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors (class effect)
AsiDNAtrade leads to niraparib-resistant cells eradication in ovarian cancer model even if introduced only once resistance emerges (CA 125 increase)
REVocan study (REVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib) was designed on the basis of these results
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
Introduction at CA125 increase (REVocan study protocol)
Start of AsiDNAtrade administration
Source Onxeo data on file
niraparib
Emergence of Resistant cells
Cell death
Start of AsiDNAtrade administration
(D34)
June 2020
Results confirmed in in vivo experiments in a triple negative breast cancer model
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
12
MDAMB-436 (TNBC HR deficient - PARPi sensitive)
Source Onxeo data on file
June 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates cells resistant to anti-EGFR and anti-ALK
AsiDNAtrade prevents resistance to other targeted tx such as TKI
13
0 3 5 6 7 10 12 13 14 17 21 24 27 34 38 41 46 49 52
-20
0
20
40
60
80
100
120
ErlotinibErlotinib+AsiDNA
Time (days)
Su
rviv
ing
ce
lls (
)
No surviving cells
Emergence of resistant cells
No surviving cells
Emergence of resistant cells
PC9-3 (NSCLC EGFRmut) - EGFR T790 mutation is preexisting in PC9 parental cell line PC9-3 cell line is a sub-clone of PC9 without preexisting T790M
Non Small Cell Lung Cancer model ndash anti-ALK sensitive
H3122 (NSCLC EML4-ALK)
Source Onxeo data on file
AsiDNAtrade
Clinical Development Plan
Validation of the Effect of AsiDNAtrade onResistance to Targeted Therapies
June 2020
Delivering the promises of AsiDNAtrade to patients
DRIIV-1 Phase 1First IV administration in solid tumors
Favorable safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Prelim signals of efficacyCohort 2 (Carboplatin + Paclitaxel) ongoing
REVOCAN Phase 1b2 (IV)Ovarian cancer in combination w PARPi niraparib
Proof of Concept Abrogation of resistance to PARPiFPI expected Q3 2020
Phase 1b2 (IV)Non small cell lung cancer in combination w other targeted therapies (TKI KRAShellip)
Proof of Concept PreventionAbrogation of resistance to targeted therapies
SHO
RT
MID
-TE
RM
ON
GO
ING
15
CO
MP
LETE
D
June 2020
DRIIV-1 Phase 1 Favorable safety profile
Phase I study in IV
Open-label 3+3 dose escalation from 200mg to 1800mg
22 patients 5 doses
Study coordinator Pr C Le Tourneau (Institut Curie)
Objectives to determine the safety and PKPD profile of AsiDNAtrade
Primary objective reached favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non-related no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related Serious Adverse Events (SAEs) and no Dose-Limiting Toxicity (DLT)
AsiDNAtrade 900mg amp 1300mg 3 related SAEs including 2 DLTs per dose
Orthostatic hypotension (grade 3 unlikely related)
2 increase of hepatic enzymes ( grade 3 unlikely related and grade 4possibly related)
Maximum Tolerated Dose (MTD) was not reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719 16
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non-related77
Adverse Events
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
AsiDNAtrade a differentiated product in the clinically-validated field of DDR
8
Source Quanz M et al Clin Cancer Res 2009 151308-1316 Quanz M et al PLoS ONE 2009 4(7) doi 101371 journalpone0006298 Jdey W et al Clin Can Res 201622DOI 101158 1078-0432CCR-16-1193
PARP inhibitors (PARPi) are a leading class of targeted therapies the first approved and marketed in the field of DDR
DDR inhibition is clinically-validated in oncology (PARPi)
Decoy-agonist mode of action avoids compensatory mechanisms blocking the induction of resistance
AsiDNAtrade acts upstream of the DDR enabling cytotoxic activity regardless of genetic context
Cytotoxic activity is restricted to cancer cells translating into an outstanding safety profile
AsiDNAtrade mimics DNA breaks in the tumor cell (decoy) binds and hyperactivates the proteins (agonist) involved in the DDR cascade (sensing signaling and repairing) hellip
hellip diverts them away from the true damage hellip hellip leading to cellular death
June 2020
AsiDNAtrade is a first-in-class therapy for combination designed to address the 1 challenge in oncology resistance to treatment
9
Decoy Agonist MoA does not induce resistance
Differentiated Decoy Agonist MoAin the clinically-validated field of DNA Damage Response
Long IP (up to 2040)
Clinical-stage assetFavorable safety profile incl in combination Proof of mechanism signals of efficacy
Strategic focus on the abrogation of resistance to targeted therapies
Collaborations with top-academic centers(Institut Curie - Gustave Roussy ndash Oncopole Toulousehellip)
REVocan Phase 1b2 to evaluate the addition of AsiDNAtrade on the abrogation resistance to niraparib (to start Q3 2020)
Depletes the cells from which resistance to targeted therapies emerge
June 2020
An extensive preclinical program paves the way to ambitious clinical translation
10
Safety profile No cytotoxic activity in healthy cells Very favorable data in tox study (monkey)
Autosensitization and noresistance observed In multiple cell lines Confirmed
Efficacy synergy with PARPi In multiple PARPi sensitive amp resistant cell lines
No restriction to specific genetic context
AsiDNAtrade increases survival amp responders to PARPi
Efficacy synergy with chemo In multiple cell lines AsiDNAtrade increases efficacy amp survival
Abrogation of resistance to PARPi In multiple cell lines AsiDNAtrade stops resistance to PARPi
Abrogation prevention of resistance to other targeted tx
Ongoing validation with several TKI KRASi hellipPrelim data confirming prolongation of anti-EGFR anti-ALK efficacy
In vitro data In vivo data
PARP inhibitors (PARPi) and tyrosine kinase inhibitors (TKI) are leading approved targeted therapies in oncology
June 2020
0 20 40 600
2times104
4times104
6times104
8times104
1times105
1times1062times1063times1064times1065times1066times106
Nira
Nira+Asi continuous
Nira+Asi at D34
Days post treatment
Cell
num
ber
11
UWB1289 (Ovarian Cancer model ndash BRCA1--)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors (class effect)
AsiDNAtrade leads to niraparib-resistant cells eradication in ovarian cancer model even if introduced only once resistance emerges (CA 125 increase)
REVocan study (REVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib) was designed on the basis of these results
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
Introduction at CA125 increase (REVocan study protocol)
Start of AsiDNAtrade administration
Source Onxeo data on file
niraparib
Emergence of Resistant cells
Cell death
Start of AsiDNAtrade administration
(D34)
June 2020
Results confirmed in in vivo experiments in a triple negative breast cancer model
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
12
MDAMB-436 (TNBC HR deficient - PARPi sensitive)
Source Onxeo data on file
June 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates cells resistant to anti-EGFR and anti-ALK
AsiDNAtrade prevents resistance to other targeted tx such as TKI
13
0 3 5 6 7 10 12 13 14 17 21 24 27 34 38 41 46 49 52
-20
0
20
40
60
80
100
120
ErlotinibErlotinib+AsiDNA
Time (days)
Su
rviv
ing
ce
lls (
)
No surviving cells
Emergence of resistant cells
No surviving cells
Emergence of resistant cells
PC9-3 (NSCLC EGFRmut) - EGFR T790 mutation is preexisting in PC9 parental cell line PC9-3 cell line is a sub-clone of PC9 without preexisting T790M
Non Small Cell Lung Cancer model ndash anti-ALK sensitive
H3122 (NSCLC EML4-ALK)
Source Onxeo data on file
AsiDNAtrade
Clinical Development Plan
Validation of the Effect of AsiDNAtrade onResistance to Targeted Therapies
June 2020
Delivering the promises of AsiDNAtrade to patients
DRIIV-1 Phase 1First IV administration in solid tumors
Favorable safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Prelim signals of efficacyCohort 2 (Carboplatin + Paclitaxel) ongoing
REVOCAN Phase 1b2 (IV)Ovarian cancer in combination w PARPi niraparib
Proof of Concept Abrogation of resistance to PARPiFPI expected Q3 2020
Phase 1b2 (IV)Non small cell lung cancer in combination w other targeted therapies (TKI KRAShellip)
Proof of Concept PreventionAbrogation of resistance to targeted therapies
SHO
RT
MID
-TE
RM
ON
GO
ING
15
CO
MP
LETE
D
June 2020
DRIIV-1 Phase 1 Favorable safety profile
Phase I study in IV
Open-label 3+3 dose escalation from 200mg to 1800mg
22 patients 5 doses
Study coordinator Pr C Le Tourneau (Institut Curie)
Objectives to determine the safety and PKPD profile of AsiDNAtrade
Primary objective reached favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non-related no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related Serious Adverse Events (SAEs) and no Dose-Limiting Toxicity (DLT)
AsiDNAtrade 900mg amp 1300mg 3 related SAEs including 2 DLTs per dose
Orthostatic hypotension (grade 3 unlikely related)
2 increase of hepatic enzymes ( grade 3 unlikely related and grade 4possibly related)
Maximum Tolerated Dose (MTD) was not reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719 16
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non-related77
Adverse Events
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
AsiDNAtrade is a first-in-class therapy for combination designed to address the 1 challenge in oncology resistance to treatment
9
Decoy Agonist MoA does not induce resistance
Differentiated Decoy Agonist MoAin the clinically-validated field of DNA Damage Response
Long IP (up to 2040)
Clinical-stage assetFavorable safety profile incl in combination Proof of mechanism signals of efficacy
Strategic focus on the abrogation of resistance to targeted therapies
Collaborations with top-academic centers(Institut Curie - Gustave Roussy ndash Oncopole Toulousehellip)
REVocan Phase 1b2 to evaluate the addition of AsiDNAtrade on the abrogation resistance to niraparib (to start Q3 2020)
Depletes the cells from which resistance to targeted therapies emerge
June 2020
An extensive preclinical program paves the way to ambitious clinical translation
10
Safety profile No cytotoxic activity in healthy cells Very favorable data in tox study (monkey)
Autosensitization and noresistance observed In multiple cell lines Confirmed
Efficacy synergy with PARPi In multiple PARPi sensitive amp resistant cell lines
No restriction to specific genetic context
AsiDNAtrade increases survival amp responders to PARPi
Efficacy synergy with chemo In multiple cell lines AsiDNAtrade increases efficacy amp survival
Abrogation of resistance to PARPi In multiple cell lines AsiDNAtrade stops resistance to PARPi
Abrogation prevention of resistance to other targeted tx
Ongoing validation with several TKI KRASi hellipPrelim data confirming prolongation of anti-EGFR anti-ALK efficacy
In vitro data In vivo data
PARP inhibitors (PARPi) and tyrosine kinase inhibitors (TKI) are leading approved targeted therapies in oncology
June 2020
0 20 40 600
2times104
4times104
6times104
8times104
1times105
1times1062times1063times1064times1065times1066times106
Nira
Nira+Asi continuous
Nira+Asi at D34
Days post treatment
Cell
num
ber
11
UWB1289 (Ovarian Cancer model ndash BRCA1--)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors (class effect)
AsiDNAtrade leads to niraparib-resistant cells eradication in ovarian cancer model even if introduced only once resistance emerges (CA 125 increase)
REVocan study (REVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib) was designed on the basis of these results
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
Introduction at CA125 increase (REVocan study protocol)
Start of AsiDNAtrade administration
Source Onxeo data on file
niraparib
Emergence of Resistant cells
Cell death
Start of AsiDNAtrade administration
(D34)
June 2020
Results confirmed in in vivo experiments in a triple negative breast cancer model
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
12
MDAMB-436 (TNBC HR deficient - PARPi sensitive)
Source Onxeo data on file
June 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates cells resistant to anti-EGFR and anti-ALK
AsiDNAtrade prevents resistance to other targeted tx such as TKI
13
0 3 5 6 7 10 12 13 14 17 21 24 27 34 38 41 46 49 52
-20
0
20
40
60
80
100
120
ErlotinibErlotinib+AsiDNA
Time (days)
Su
rviv
ing
ce
lls (
)
No surviving cells
Emergence of resistant cells
No surviving cells
Emergence of resistant cells
PC9-3 (NSCLC EGFRmut) - EGFR T790 mutation is preexisting in PC9 parental cell line PC9-3 cell line is a sub-clone of PC9 without preexisting T790M
Non Small Cell Lung Cancer model ndash anti-ALK sensitive
H3122 (NSCLC EML4-ALK)
Source Onxeo data on file
AsiDNAtrade
Clinical Development Plan
Validation of the Effect of AsiDNAtrade onResistance to Targeted Therapies
June 2020
Delivering the promises of AsiDNAtrade to patients
DRIIV-1 Phase 1First IV administration in solid tumors
Favorable safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Prelim signals of efficacyCohort 2 (Carboplatin + Paclitaxel) ongoing
REVOCAN Phase 1b2 (IV)Ovarian cancer in combination w PARPi niraparib
Proof of Concept Abrogation of resistance to PARPiFPI expected Q3 2020
Phase 1b2 (IV)Non small cell lung cancer in combination w other targeted therapies (TKI KRAShellip)
Proof of Concept PreventionAbrogation of resistance to targeted therapies
SHO
RT
MID
-TE
RM
ON
GO
ING
15
CO
MP
LETE
D
June 2020
DRIIV-1 Phase 1 Favorable safety profile
Phase I study in IV
Open-label 3+3 dose escalation from 200mg to 1800mg
22 patients 5 doses
Study coordinator Pr C Le Tourneau (Institut Curie)
Objectives to determine the safety and PKPD profile of AsiDNAtrade
Primary objective reached favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non-related no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related Serious Adverse Events (SAEs) and no Dose-Limiting Toxicity (DLT)
AsiDNAtrade 900mg amp 1300mg 3 related SAEs including 2 DLTs per dose
Orthostatic hypotension (grade 3 unlikely related)
2 increase of hepatic enzymes ( grade 3 unlikely related and grade 4possibly related)
Maximum Tolerated Dose (MTD) was not reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719 16
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non-related77
Adverse Events
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
An extensive preclinical program paves the way to ambitious clinical translation
10
Safety profile No cytotoxic activity in healthy cells Very favorable data in tox study (monkey)
Autosensitization and noresistance observed In multiple cell lines Confirmed
Efficacy synergy with PARPi In multiple PARPi sensitive amp resistant cell lines
No restriction to specific genetic context
AsiDNAtrade increases survival amp responders to PARPi
Efficacy synergy with chemo In multiple cell lines AsiDNAtrade increases efficacy amp survival
Abrogation of resistance to PARPi In multiple cell lines AsiDNAtrade stops resistance to PARPi
Abrogation prevention of resistance to other targeted tx
Ongoing validation with several TKI KRASi hellipPrelim data confirming prolongation of anti-EGFR anti-ALK efficacy
In vitro data In vivo data
PARP inhibitors (PARPi) and tyrosine kinase inhibitors (TKI) are leading approved targeted therapies in oncology
June 2020
0 20 40 600
2times104
4times104
6times104
8times104
1times105
1times1062times1063times1064times1065times1066times106
Nira
Nira+Asi continuous
Nira+Asi at D34
Days post treatment
Cell
num
ber
11
UWB1289 (Ovarian Cancer model ndash BRCA1--)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors (class effect)
AsiDNAtrade leads to niraparib-resistant cells eradication in ovarian cancer model even if introduced only once resistance emerges (CA 125 increase)
REVocan study (REVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib) was designed on the basis of these results
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
Introduction at CA125 increase (REVocan study protocol)
Start of AsiDNAtrade administration
Source Onxeo data on file
niraparib
Emergence of Resistant cells
Cell death
Start of AsiDNAtrade administration
(D34)
June 2020
Results confirmed in in vivo experiments in a triple negative breast cancer model
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
12
MDAMB-436 (TNBC HR deficient - PARPi sensitive)
Source Onxeo data on file
June 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates cells resistant to anti-EGFR and anti-ALK
AsiDNAtrade prevents resistance to other targeted tx such as TKI
13
0 3 5 6 7 10 12 13 14 17 21 24 27 34 38 41 46 49 52
-20
0
20
40
60
80
100
120
ErlotinibErlotinib+AsiDNA
Time (days)
Su
rviv
ing
ce
lls (
)
No surviving cells
Emergence of resistant cells
No surviving cells
Emergence of resistant cells
PC9-3 (NSCLC EGFRmut) - EGFR T790 mutation is preexisting in PC9 parental cell line PC9-3 cell line is a sub-clone of PC9 without preexisting T790M
Non Small Cell Lung Cancer model ndash anti-ALK sensitive
H3122 (NSCLC EML4-ALK)
Source Onxeo data on file
AsiDNAtrade
Clinical Development Plan
Validation of the Effect of AsiDNAtrade onResistance to Targeted Therapies
June 2020
Delivering the promises of AsiDNAtrade to patients
DRIIV-1 Phase 1First IV administration in solid tumors
Favorable safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Prelim signals of efficacyCohort 2 (Carboplatin + Paclitaxel) ongoing
REVOCAN Phase 1b2 (IV)Ovarian cancer in combination w PARPi niraparib
Proof of Concept Abrogation of resistance to PARPiFPI expected Q3 2020
Phase 1b2 (IV)Non small cell lung cancer in combination w other targeted therapies (TKI KRAShellip)
Proof of Concept PreventionAbrogation of resistance to targeted therapies
SHO
RT
MID
-TE
RM
ON
GO
ING
15
CO
MP
LETE
D
June 2020
DRIIV-1 Phase 1 Favorable safety profile
Phase I study in IV
Open-label 3+3 dose escalation from 200mg to 1800mg
22 patients 5 doses
Study coordinator Pr C Le Tourneau (Institut Curie)
Objectives to determine the safety and PKPD profile of AsiDNAtrade
Primary objective reached favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non-related no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related Serious Adverse Events (SAEs) and no Dose-Limiting Toxicity (DLT)
AsiDNAtrade 900mg amp 1300mg 3 related SAEs including 2 DLTs per dose
Orthostatic hypotension (grade 3 unlikely related)
2 increase of hepatic enzymes ( grade 3 unlikely related and grade 4possibly related)
Maximum Tolerated Dose (MTD) was not reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719 16
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non-related77
Adverse Events
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
0 20 40 600
2times104
4times104
6times104
8times104
1times105
1times1062times1063times1064times1065times1066times106
Nira
Nira+Asi continuous
Nira+Asi at D34
Days post treatment
Cell
num
ber
11
UWB1289 (Ovarian Cancer model ndash BRCA1--)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors (class effect)
AsiDNAtrade leads to niraparib-resistant cells eradication in ovarian cancer model even if introduced only once resistance emerges (CA 125 increase)
REVocan study (REVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib) was designed on the basis of these results
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
Introduction at CA125 increase (REVocan study protocol)
Start of AsiDNAtrade administration
Source Onxeo data on file
niraparib
Emergence of Resistant cells
Cell death
Start of AsiDNAtrade administration
(D34)
June 2020
Results confirmed in in vivo experiments in a triple negative breast cancer model
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
12
MDAMB-436 (TNBC HR deficient - PARPi sensitive)
Source Onxeo data on file
June 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates cells resistant to anti-EGFR and anti-ALK
AsiDNAtrade prevents resistance to other targeted tx such as TKI
13
0 3 5 6 7 10 12 13 14 17 21 24 27 34 38 41 46 49 52
-20
0
20
40
60
80
100
120
ErlotinibErlotinib+AsiDNA
Time (days)
Su
rviv
ing
ce
lls (
)
No surviving cells
Emergence of resistant cells
No surviving cells
Emergence of resistant cells
PC9-3 (NSCLC EGFRmut) - EGFR T790 mutation is preexisting in PC9 parental cell line PC9-3 cell line is a sub-clone of PC9 without preexisting T790M
Non Small Cell Lung Cancer model ndash anti-ALK sensitive
H3122 (NSCLC EML4-ALK)
Source Onxeo data on file
AsiDNAtrade
Clinical Development Plan
Validation of the Effect of AsiDNAtrade onResistance to Targeted Therapies
June 2020
Delivering the promises of AsiDNAtrade to patients
DRIIV-1 Phase 1First IV administration in solid tumors
Favorable safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Prelim signals of efficacyCohort 2 (Carboplatin + Paclitaxel) ongoing
REVOCAN Phase 1b2 (IV)Ovarian cancer in combination w PARPi niraparib
Proof of Concept Abrogation of resistance to PARPiFPI expected Q3 2020
Phase 1b2 (IV)Non small cell lung cancer in combination w other targeted therapies (TKI KRAShellip)
Proof of Concept PreventionAbrogation of resistance to targeted therapies
SHO
RT
MID
-TE
RM
ON
GO
ING
15
CO
MP
LETE
D
June 2020
DRIIV-1 Phase 1 Favorable safety profile
Phase I study in IV
Open-label 3+3 dose escalation from 200mg to 1800mg
22 patients 5 doses
Study coordinator Pr C Le Tourneau (Institut Curie)
Objectives to determine the safety and PKPD profile of AsiDNAtrade
Primary objective reached favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non-related no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related Serious Adverse Events (SAEs) and no Dose-Limiting Toxicity (DLT)
AsiDNAtrade 900mg amp 1300mg 3 related SAEs including 2 DLTs per dose
Orthostatic hypotension (grade 3 unlikely related)
2 increase of hepatic enzymes ( grade 3 unlikely related and grade 4possibly related)
Maximum Tolerated Dose (MTD) was not reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719 16
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non-related77
Adverse Events
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
Results confirmed in in vivo experiments in a triple negative breast cancer model
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
12
MDAMB-436 (TNBC HR deficient - PARPi sensitive)
Source Onxeo data on file
June 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates cells resistant to anti-EGFR and anti-ALK
AsiDNAtrade prevents resistance to other targeted tx such as TKI
13
0 3 5 6 7 10 12 13 14 17 21 24 27 34 38 41 46 49 52
-20
0
20
40
60
80
100
120
ErlotinibErlotinib+AsiDNA
Time (days)
Su
rviv
ing
ce
lls (
)
No surviving cells
Emergence of resistant cells
No surviving cells
Emergence of resistant cells
PC9-3 (NSCLC EGFRmut) - EGFR T790 mutation is preexisting in PC9 parental cell line PC9-3 cell line is a sub-clone of PC9 without preexisting T790M
Non Small Cell Lung Cancer model ndash anti-ALK sensitive
H3122 (NSCLC EML4-ALK)
Source Onxeo data on file
AsiDNAtrade
Clinical Development Plan
Validation of the Effect of AsiDNAtrade onResistance to Targeted Therapies
June 2020
Delivering the promises of AsiDNAtrade to patients
DRIIV-1 Phase 1First IV administration in solid tumors
Favorable safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Prelim signals of efficacyCohort 2 (Carboplatin + Paclitaxel) ongoing
REVOCAN Phase 1b2 (IV)Ovarian cancer in combination w PARPi niraparib
Proof of Concept Abrogation of resistance to PARPiFPI expected Q3 2020
Phase 1b2 (IV)Non small cell lung cancer in combination w other targeted therapies (TKI KRAShellip)
Proof of Concept PreventionAbrogation of resistance to targeted therapies
SHO
RT
MID
-TE
RM
ON
GO
ING
15
CO
MP
LETE
D
June 2020
DRIIV-1 Phase 1 Favorable safety profile
Phase I study in IV
Open-label 3+3 dose escalation from 200mg to 1800mg
22 patients 5 doses
Study coordinator Pr C Le Tourneau (Institut Curie)
Objectives to determine the safety and PKPD profile of AsiDNAtrade
Primary objective reached favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non-related no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related Serious Adverse Events (SAEs) and no Dose-Limiting Toxicity (DLT)
AsiDNAtrade 900mg amp 1300mg 3 related SAEs including 2 DLTs per dose
Orthostatic hypotension (grade 3 unlikely related)
2 increase of hepatic enzymes ( grade 3 unlikely related and grade 4possibly related)
Maximum Tolerated Dose (MTD) was not reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719 16
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non-related77
Adverse Events
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates cells resistant to anti-EGFR and anti-ALK
AsiDNAtrade prevents resistance to other targeted tx such as TKI
13
0 3 5 6 7 10 12 13 14 17 21 24 27 34 38 41 46 49 52
-20
0
20
40
60
80
100
120
ErlotinibErlotinib+AsiDNA
Time (days)
Su
rviv
ing
ce
lls (
)
No surviving cells
Emergence of resistant cells
No surviving cells
Emergence of resistant cells
PC9-3 (NSCLC EGFRmut) - EGFR T790 mutation is preexisting in PC9 parental cell line PC9-3 cell line is a sub-clone of PC9 without preexisting T790M
Non Small Cell Lung Cancer model ndash anti-ALK sensitive
H3122 (NSCLC EML4-ALK)
Source Onxeo data on file
AsiDNAtrade
Clinical Development Plan
Validation of the Effect of AsiDNAtrade onResistance to Targeted Therapies
June 2020
Delivering the promises of AsiDNAtrade to patients
DRIIV-1 Phase 1First IV administration in solid tumors
Favorable safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Prelim signals of efficacyCohort 2 (Carboplatin + Paclitaxel) ongoing
REVOCAN Phase 1b2 (IV)Ovarian cancer in combination w PARPi niraparib
Proof of Concept Abrogation of resistance to PARPiFPI expected Q3 2020
Phase 1b2 (IV)Non small cell lung cancer in combination w other targeted therapies (TKI KRAShellip)
Proof of Concept PreventionAbrogation of resistance to targeted therapies
SHO
RT
MID
-TE
RM
ON
GO
ING
15
CO
MP
LETE
D
June 2020
DRIIV-1 Phase 1 Favorable safety profile
Phase I study in IV
Open-label 3+3 dose escalation from 200mg to 1800mg
22 patients 5 doses
Study coordinator Pr C Le Tourneau (Institut Curie)
Objectives to determine the safety and PKPD profile of AsiDNAtrade
Primary objective reached favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non-related no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related Serious Adverse Events (SAEs) and no Dose-Limiting Toxicity (DLT)
AsiDNAtrade 900mg amp 1300mg 3 related SAEs including 2 DLTs per dose
Orthostatic hypotension (grade 3 unlikely related)
2 increase of hepatic enzymes ( grade 3 unlikely related and grade 4possibly related)
Maximum Tolerated Dose (MTD) was not reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719 16
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non-related77
Adverse Events
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
AsiDNAtrade
Clinical Development Plan
Validation of the Effect of AsiDNAtrade onResistance to Targeted Therapies
June 2020
Delivering the promises of AsiDNAtrade to patients
DRIIV-1 Phase 1First IV administration in solid tumors
Favorable safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Prelim signals of efficacyCohort 2 (Carboplatin + Paclitaxel) ongoing
REVOCAN Phase 1b2 (IV)Ovarian cancer in combination w PARPi niraparib
Proof of Concept Abrogation of resistance to PARPiFPI expected Q3 2020
Phase 1b2 (IV)Non small cell lung cancer in combination w other targeted therapies (TKI KRAShellip)
Proof of Concept PreventionAbrogation of resistance to targeted therapies
SHO
RT
MID
-TE
RM
ON
GO
ING
15
CO
MP
LETE
D
June 2020
DRIIV-1 Phase 1 Favorable safety profile
Phase I study in IV
Open-label 3+3 dose escalation from 200mg to 1800mg
22 patients 5 doses
Study coordinator Pr C Le Tourneau (Institut Curie)
Objectives to determine the safety and PKPD profile of AsiDNAtrade
Primary objective reached favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non-related no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related Serious Adverse Events (SAEs) and no Dose-Limiting Toxicity (DLT)
AsiDNAtrade 900mg amp 1300mg 3 related SAEs including 2 DLTs per dose
Orthostatic hypotension (grade 3 unlikely related)
2 increase of hepatic enzymes ( grade 3 unlikely related and grade 4possibly related)
Maximum Tolerated Dose (MTD) was not reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719 16
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non-related77
Adverse Events
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
Delivering the promises of AsiDNAtrade to patients
DRIIV-1 Phase 1First IV administration in solid tumors
Favorable safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Prelim signals of efficacyCohort 2 (Carboplatin + Paclitaxel) ongoing
REVOCAN Phase 1b2 (IV)Ovarian cancer in combination w PARPi niraparib
Proof of Concept Abrogation of resistance to PARPiFPI expected Q3 2020
Phase 1b2 (IV)Non small cell lung cancer in combination w other targeted therapies (TKI KRAShellip)
Proof of Concept PreventionAbrogation of resistance to targeted therapies
SHO
RT
MID
-TE
RM
ON
GO
ING
15
CO
MP
LETE
D
June 2020
DRIIV-1 Phase 1 Favorable safety profile
Phase I study in IV
Open-label 3+3 dose escalation from 200mg to 1800mg
22 patients 5 doses
Study coordinator Pr C Le Tourneau (Institut Curie)
Objectives to determine the safety and PKPD profile of AsiDNAtrade
Primary objective reached favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non-related no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related Serious Adverse Events (SAEs) and no Dose-Limiting Toxicity (DLT)
AsiDNAtrade 900mg amp 1300mg 3 related SAEs including 2 DLTs per dose
Orthostatic hypotension (grade 3 unlikely related)
2 increase of hepatic enzymes ( grade 3 unlikely related and grade 4possibly related)
Maximum Tolerated Dose (MTD) was not reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719 16
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non-related77
Adverse Events
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
DRIIV-1 Phase 1 Favorable safety profile
Phase I study in IV
Open-label 3+3 dose escalation from 200mg to 1800mg
22 patients 5 doses
Study coordinator Pr C Le Tourneau (Institut Curie)
Objectives to determine the safety and PKPD profile of AsiDNAtrade
Primary objective reached favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non-related no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related Serious Adverse Events (SAEs) and no Dose-Limiting Toxicity (DLT)
AsiDNAtrade 900mg amp 1300mg 3 related SAEs including 2 DLTs per dose
Orthostatic hypotension (grade 3 unlikely related)
2 increase of hepatic enzymes ( grade 3 unlikely related and grade 4possibly related)
Maximum Tolerated Dose (MTD) was not reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719 16
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non-related77
Adverse Events
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
17
Activity pharmacodynamic biomarkers (on tumor biopsies)
AsiDNAtrade 600mg
Pre-treatment Post-treatment
γH2AX Readout of DNA-PK target engagement
Patient 003-001
Strong activation of γH2AX at cell level reflecting DNA-PK pathway engagement
γγ
DRIIV-1 study presented at EORTC-NCI-AACR 27th Oct 2019
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
18
AsiDNAtrade 600 mg
Cohort 1
carboplatin
AsiDNAtrade 600 mg
carboplatin + paclitaxel
Cohort 26 pts
ongoing
+
+
Patients with ge 3 prior lines of treatment progressing at inclusion
Very good tolerance of the combination (no DLT)
Disease stabilized (SD) in 23 patients for 55 mo (TNBC 6th L) and 10 mo (NSCLC 3rd L)
Disease controlled with AsiDNAtrade for significantly longer than with any of the prior treatment lines
3 pts
Topline results expected end 2020
Timelines include Covid-19 impact to date and may be further reviewed
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors by AsiDNAtrade
19
Patients selection patients under 2nd line of maintenance with niraparib gt 6 months
Inclusion at CA 125 increase (CA 125 well established predictive biomarker of resistance in OC)
n= up to 26 patients platinum-sensitive relapsed ovarian cancer
Primary objective Safety run amp CA125 decrease (GCIG criteria)
Secondary objective Efficacy PFS (RECIST criteria) - OS
REVocanREVersion of resistance in Ovarian Cancer with AsiDNAtrade and Niraparib
Study approved by regulatory authorities late May 2020FPI expected from H2 2020 =gt Preliminary data by end 2020early 2021
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts amp 6 centers
Timelines include Covid-19 impact to date and may be further reviewed
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
AsiDNAtrade
Objectives amp Upcoming Milestones
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
Our strategic priority validate the potential of AsiDNAtrade in combination in various types of key indications
21
Preventing resistance ndash a major challenge for targeted therapies such as PARPis amp TKIs - would lead to prolonged efficacy
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Full Market Size
Optimal market access (fast favorable PampR)
2L with niraparib (PARPi) in ovarian cancer
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
202526$67B (1)
Access large WW markets
Eg 1L with TKI or other targeted tx in non-smallcell lung cancer
Target specific population with high risk of progression
eg$169B (1)
for 1L NSCLC
REVocanCombo w PARPi
Combo w other targeted therapies
PampR pricing amp reimbursement - (1) GlobalData (8MM)
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
Short-term key clinical catalysts in 2020early 21 with moderate impact of Covid-19 on milestones to date
22
DRIIV-1b cohort 2
Topline data
H2 2019 H1 2020 H2 2020
DRIIV-1bcohort 1
prelim data
REVOCAN First data set
DRIIV-1b cohort 2
Preliminary data
AsiDNAtrade +Txdata to support
clinical plan
AsiDNAtrade +TxData to support clinical plan
Preclinical validation of
OX401 profile
Tolerance in combination + first signals of efficacyDRIIVndash1bAsiDNAtrade +
carboplatin +-paclitaxel
REVOCANphase 1b2
AsiDNAtrade + niraparib
Clinical Research
agreement
Reversion of Resistance
Prevention of resistanceAsiDNAtrade + TKIKRAShellip
Preclinical proof-of-concept
Next-gen PARPi + activation of immune responseOX401Preclinical proof of
mechanism
Timelines include Covid-19 impact to date and may be further reviewed
FPI Reg approvals
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
Financials amp Outlook
23
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
Financial resources in line with key development milestones objectives
24
Financiegravere de la Montagne
13
Invus11
Free float76
Cash position of euro73m at 03312020
+ euro6m from transaction with Acrotech on 04062020
+ euro73m from private placement on 06092020 to Invus new long-term
shareholder amp Financiegravere de la Montagne historical shareholder
Cash runway to Q1 2022
Shares outstanding 783m
Average Daily Volume 555980 shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
At 06112020YTD at 06122020
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
25
A promising opportunity available for licensing
Significantly de-risked pipeline assetPotential to play a cornerstone role in an oncology portfolio through multiple combinationsSizeable market potential through indications with large unmet needs
Broad development and commercial potential in multiple indications with high unmet needsFinancial visibility to Q1 2022 well beyond key clinical catalysts for the Company
Product at clinical stage with confirmed activity in man and favorable safety profile including in combination Phase 1b2 key readouts expected early 2021 to validate potential in combos and ability to abrogate resistance to targeted therapies
First-in-class DDR inhibitor the only decoy agonist in clinical development in this field Solid preclinical package supporting a broad range of potential indications
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
PublicationsBack-up slides
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
AsiDNAtrade Publications (12)
27
Hyperactivation of DNA-PK by double-strand break mimicking molecules disorganizes DNA damage response Quanz M et al PLoS One 2009 4e6298
Histone γH2AX and Poly(ADP-Ribose) as Clinical Pharmacodynamic Biomarkers Redon CE et al Clin Cancer Res 2010 16(18)
Comparison of distribution and activity of nanoparticles with short interfering DNA (Dbait) in various living systems Berthault N et al Cancer Gene Ther 2011 18695-706
Heat shock protein 90 (Hsp90) is phosphorylated in response to DNA damage and accumulates in repair foci Quanz M et al J Biol Chem 2012 2878803-15
Preclinical study of the DNA repair inhibitor Dbait in combination with chemotherapy in colorectal cancer Devun F et al J Gastroenterol 2012 47266-75
Pharmacokinetics and toxicity in rats and monkeys of coDbait a therapeutic double-stranded DNA oligonucleotide conjugated to cholesterol Schlegel A et al Mol Ther Nucleic Acids 2012 1e33
Distribution and radiosensitizing effect of cholesterol-coupled Dbait molecule in rat model of 5 glioblastoma Coquery N et al PLoS One 20127(7)e40567
Resistance to PARP-Inhibitors in Cancer Therapy Montoni A et al Front Pharmacol 2013 4 18
Kinesin KIFC1 actively transports bare double-stranded DNA Farina F et al Nucleic Acids Res 2013 414926-37
Inhibition of DNA damage repair by artificial activation of PARP with siDNA Croset A et al Nucleic Acids Res 2013 417344-55
DNA-PK target identification reveals novel links between DNA repair signaling and cytoskeletal regulation Kotula E et al PLoS One 2013 8(11)e80313
Colorectal cancer metastasis the DNA repair inhibitor Dbait increases sensitivity to hyperthermia and improves efficacy of radiofrequency ablation Devun F et al Radiology 2014 270736-46
A preclinical study combining the DNA repair inhibitor Dbait with radiotherapy for the treatment of melanoma Biau J et al Neoplasia 2014 16835-44
An update on PARP inhibitors for the treatment of cancer Benefif S et al
Dbait An innovative concept to inhibit DNA repair and treat cancer Biau J et al Bull Cancer 2016 103 227ndash235
The DNA Repair Inhibitor DT01 as a Novel Therapeutic Strategy for Chemosensitization of Colorectal Liver Metastasis Herath NI et al Mol Cancer Ther 2016 Jan15(1)15-22
Targeting DNA Repair in Cancer Beyond PARP Inhibitors Brown JS et al Cancer Discov December 21 2016 DOI 1011582159-8290CD-16-0860
Targeting DNA repair by coDbait enhances melanoma targeted radionuclide therapy Viallard C et al Oncotarget 2016 Mar 157(11) 12927-36
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients in with skin metastases from melanoma Le Tourneau C et al Br J Cancer 2016 June24114(11)1199-205
Potentiation of Doxurubicin efficacy in hepatocellular carcinoma by the DNA repair inhibitor DT01 in preclinical models Herath NI et al Eur Radiol 2017 Oct 27(10)4435-4444
Drug Driven Synthetic Lethality bypassing tumor cell genetics with a combination of AsiDNA and PARP inhibitors Jdey W et al Clin Cancer Res 2017 Feb 1523(4)1001-1011
Micronuclei Frequency in Tumors Is a Predictive Biomarker for Genetic Instability and Sensitivity to the DNA Repair Inhibitor AsiDNA Jdey W et al Cancer Res 2017 Aug 1577(16)4207-4216
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
June 2020
AsiDNAtrade Publications (22)
28
The DNA Repair Inhibitor Dbait Is Specific for Malignant Hematologic Cells in Blood Thierry S et al Mol Cancer Ther 2017 Dec16(12)2817ndash27
Combining the DNA Repair Inhibitor Dbait With Radiotherapy for the Treatment of High Grade Glioma Efficacy and Protein Biomarkers of Resistance in Preclinical Models Biau J et al Front Oncol 2019 Jun 199549
Moving From Poly (ADP-Ribose) Polymerase Inhibition to Targeting DNA Repair and DNA Damage Response in Cancer Therapy Gourley C et al J Clin Oncol 2019 June 3
AsiDNAtrade treatment induces cumulative antitumor efficacy with a low probability of acquired resistance Jdey W et al Neoplasia (2019)21 863ndash871
Preclinical studies comparing efficacy and toxicity of DNA repair inhibitors olaparib and AsiDNA in treatment of carboplatin resistant tumors Jdey W et al Front Oncol 12 November 2019 | httpsdoiorg103389fonc201901097
Posters AACR 2013
Preclinical study of Dbait an inhibitor of three DNA repair pathways in breast cancer treatment
ASCO 2015
First-in-human phase I study of the DNA repair inhibitor DT01 in combination with radiotherapy in patients with skin metastases from melanoma
AACR 2017
AsiDNAtrade induces tumor sensitivity to PARP inhibitors in homologous recombination proficient breast cancer
AACR 2018
AsiDNAtrade and HDAC inhibitors A cross-potentiation team work to kill tumor cellsEvolution of tumor cells under Dbait (AsiDNA) treatment results in ldquoautosensitizationrdquo
AACR 2019
AsiDNAtrade abrogates acquired resistance to PARP inhibitorsDevelopment of a Biomarker-driven patient selection strategy for AsiDNAtrade treatment
Molecular analysis of the mechanism of action of AsiDNAtrade brings new clues on DNA damage response regulationAsiDNAtrade a novel DNA repair inhibitor to radio-sensitize aggressive medulloblastomasubtypes
EORTC-NCI-AACR 2019
Phase I dose escalation study evaluating the safety pharmacokinetics (PK) and pharmacodynamics (PD) of AsiDNAtrade a first-in-class DNA Repair Inhibitor administered intravenously (IV) in patients with advanced solid tumors
AACR 2020 Virtual Meeting (Poster and audio online June 22-24 2020)
Acquired resistance to PARP inhibitors evolves from drug-tolerant persister cells vulnerable to AsiDNAtrade
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont ndash CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocominvestorsonxeocom