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Breaking through for patients with cancer
March 2021
Legal Disclaimer
This presentation includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended. All statements contained in this presentation otherthan statements of historical facts, including statements regarding future results of operations and financial position of Surface Oncology, Inc. (“we,” “us” or “our”) our business strategy and plans,the preclinical and clinical development of our product candidates and our objectives for future operations, are forward-looking statements. The words “anticipate,” “believe,” “continue,” “estimate,”“expect,” “intend,” “may,” “will” and similar expressions are intended to identify forward-looking statements. We have based these forward-looking statements largely on our current expectationsand projections about future events and financial trends that we believe may affect our financial condition, results of operations, business strategy, clinical development, short-term and long-termbusiness operations and objectives and financial needs. These forward-looking statements are subject to a number of risks and uncertainties that could cause actual results to differ materially andadversely from those set forth in or implied by such forward looking statements. These risks and uncertainties include the timing, progress, and results of preclinical studies and clinical trials forSRF617, SRF388 and SRF813, and our other product candidates, the timing and likelihood of regulatory approvals and those risks identified and discussed in the section titled “Risk Factors,” setforth in our Annual Report on Form 10-K and in our other SEC filings. Moreover, we operate in a very competitive and rapidly changing environment. New risks emerge from time to time. It is notpossible for our management to predict all risks, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results todiffer materially from those contained in any forward-looking statements we may make.
Although we believe that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, levels of activity, performance, achievements or eventsand circumstances reflected in the forward-looking statements will occur. We are under no duty to update any of these forward-looking statements after the date of this presentation to conformthese statements to actual results or revised expectations, except as required by law. You should, therefore, not rely on these forward-looking statements as representing our views as of any datesubsequent to the date of this presentation. Moreover, except as required by law, neither we nor any other person assumes responsibility for the accuracy and completeness of the forward-lookingstatements contained in this presentation.
By attending or receiving this presentation you acknowledge that you will be solely responsible for your own assessment of the market and our market position and that you will conduct your ownanalysis and be solely responsible for forming your own view of the potential future performance of our business.
2
Company Highlights
3
Outstanding team of experienced company builders & oncology drug developers
Wholly-owned SRF617 (CD39) in Phase 1/1b, targeting promising adenosine axis
SRF388 first-ever IL-27 targeted therapy in Phase 1, compelling translational hypothesis
Cash runway through 2023 ($175M in cash as of Dec 31st)
Detailed clinical update for both SRF617 & SRF388 to be presented in the first half of 2021
Leading Pipeline Targeting the Tumor Microenvironment
4
Adaptive
Engaging Both the Adaptive and Innate Immune ResponsesDifferentiated antibody programs with strong translational hypotheses
Four programs that relieve immune suppressionTwo programs targeting the adenosine axis
Innate
ATP
AMP
Adenosine
Stimulation
CD39
CD73
Suppression
5
Suppression
CCR8 Suppression
Suppression
IL-27
PVRIG
6
NZV930
• WW development & commercial rights (January 2016)
• Status: Phase 1 development targeting multiple solid tumor types
• Financials:
• Upfront payment of $70M, total cumulative milestones up to $525 million
• Tiered royalties on annual net sales (high single-digit to mid-teens %)
POTENTIAL BEST-IN-CLASS CD73 TARGETED ANTIBODY
SRF813
• WW development & commercial rights (December 2020)
• Status: Planned IND filing in 2021
• Financials:
• Upfront payment of $85 million, total cumulative milestones up to $730 million
• Tiered royalties on annual net sales (high single-digit to mid-teens %)
POTENTIAL BEST-IN-CLASS PVRIG TARGETED ANTIBODY
Licensed Programs Partnerships validate strong IO drug discovery capabilities
SRF617Targeting CD39 for
Immune System Activation
SRF617
Antibody Targeting
CD39
High-affinity, fully human IgG4 antibody against human CD39
Potent inhibitor of enzymatic activity
Phase 1 trial ongoing
Dual mechanism of action: Significant reduction of adenosine and increased levels of ATP leads to increased T cell proliferation and dendritic cell maturation
8
Detailed clinical update to be presented at a medical conference in the first half of 2021
Targeting CD39 Can Activate Innate & Adaptive Immunity
ATP
AMP
Adenosine
Cell stress/ damage/ death
CD39
CD73
Innate and adaptive immune response
(adaptive)
(innate)
9
NK cell
T cell
Myeloid cell
Macrophage
Dendritic cell
CD39 Inhibition Demonstrates Potent Anti-tumor Activity
Days on Study
10/18 CR
4/16 CR (Rechallenge)
SRF617 Single Agent Activity in Xenograft MOLP8 In Vivo Model
Murine Anti-CD39 Surrogate Cooperates with Anti-PD-1 in CT26
Model, Increasing Cures
10
Patterns of CD39 TME Expression Lead to Translational Hypotheses in Tumor Types with High Clinical Need
CD39 TIL expression
CD39/CK
Gastric CA
CD39
CD39 stromal expression
Pancreatic CA
CD39/CK
11
Anti-Murine-CD39 Shows Efficacy as Single Agent and in Combination with Gemcitabine in a Subcutaneous Pancreatic Cancer Model
12
Data provided by John Stagg Lab*Similar results observed in MOLP-8 Xenograft model with SRF617 + Paclitaxel and SRF617 + Doxorubicin combinations
CD39 Expression in KPC Tumor Stroma
Fibroblast Macrophage
CD8+ TILs Increase With Anti-MuCD39 TreatmentDay 12 tumors
KPC Ova Gluc injected on day 0 (0.1 x 10^6 cells per mouse s.c.)Gemcitabine: days 7 and 10 (100 mg/kg i.p.)Anti-muCD39 or isotype control: days 7,10, 14,17,21 and 24 (400 μg/mouse i.p.)Anti-muCD39 = VX26102
Anti-MuCD39 + Gemcitabine in KPC Ova Model*
CONFIDENTIAL
13
CD39 and CD73 Expression Are Both Increased in Malignant vs. Normal Pancreas
CD39
n=34
n=34
Tumors exhibit predominantly stromal (non-tumor cell) CD39 expression
Tumors show both stromal and tumor cell CD73 expression
CD73
Strategic bioassays for early detection of biologic activity:
• PBMC target occupancy: binding of SRF617 to PBMCs is highly correlated to enzymatic inhibition and plasma PK
• CD39 enzymatic activity by IHC: allows for direct measurement of CD39 inhibition within the TME
SFR617 MonotherapyDose Escalation
SRF617 + Gem/AbraxaneCombination
SRF617 + AB928 Combination**
SRF617 + PembroCombination*
Biopsy ExpansionCohort
PD-1 Relapsed Combo cohort
Safety Expansion
Safety Expansion
Enables start of RP2 in Pancreatic Cancer
Enables start of RP2in Gastric Cancer
Enables start of SAP2in Prostate Cancer
Safety Expansion
*Clinical collaboration with Merck **Clinical collaboration with Arcus Biosciences
RP2D
RP2D
RP2D
RP2D
Dose Escalation:
Patients with advanced solid tumors
• Establish safe monotherapy dose (accelerated & 3+3 design)
• Establish safe combination therapy dose(s); anticipate staggered start after monotherapy
Biopsy Expansion Cohort:
Evaluate on-target tumor tissue changes in enzymatic activity
Phase 2
14
SRF617 Clinical Development Plan
Data from nine patients treated across three dose levels(20 mg, 70 mg, and 200 mg)
Well tolerated to date without dose limiting toxicities
Prolonged stable disease (>5 mos) has been seen in one patient with NSCLC who had progressed on prior anti-PD-1 treatment
Target occupancy on PBMCs has increased in a dose-dependent manner. Sustained target occupancy achieved within the 200 mg cohort
SRF617
Clinical Update
As of 11/13/20
15
Detailed clinical update to be presented at a medical conference in the first half of 2021
SRF388Targeting IL-27 to
Enhance Immune Activity in the TME
17
Overview of SRF388
Potential First-in-Class
Antibody Targeting
IL-27
High-affinity, fully human IgG1 antibody against p28 subunit of IL-27
IL-27 is a highly immunosuppressive cytokine upregulated during pregnancy and associated with maternal-fetal tolerance
Targeted translational hypothesis: RCC & HCC
IL-27 serves as a “master switch” of checkpoint protein expression
Potential for patient selection using a blood test
Phase 1 trial ongoing
Detailed clinical update to be presented at a medical conference in the first half of 2021
IL-27 Upregulates Checkpoint Receptors, Downregulates Proinflammatory Cytokines
18
IL-27 Receptor
p28
Jak2 Jak1
STAT3 STAT1
Inflammatory Cytokines
EBI3 IL-27 Ligand
Inhibitory Receptors on Immune Cells
Chihara et al, Nature 558, 2018DeLong et al, Immunohorizons 3, 2019
TNF⍺Downregulates Pro-Inflammatory Cytokines
Upregulates Checkpoint ReceptorsIL-27
T N
F ⍺
p g
/m L
+IL-27 Control
Perc
enta
ge p
ositi
ve
CD
8+T
Cel
ls
IL-27
SRF388 Restores Cytokine Production in Combination with αPD-1 in Presence of rIL-27 in Healthy Donor PBMCs
IFNγ, TNFα, IL-17
T cell
PD1
Control ⍺PD-1 IL-27 + ⍺PD-1
IL-27 + ⍺PD-1 +SRF388
Anti-PD-1
SRF388
Similar effects observed with IL-17 and TNFα
Anti-PD-1
19
Evidence for IL-27 Pathway Activation in HCC and RCC
U. Montreal Cohort - J. Stagg 180 RCC Plasma Samples
Overall Survival
Elevated risk of HCC in those with High Levels of Circulating IL-27
From combined prospective cohorts of healthy volunteers from Shanghai and Singapore Yuan et al, AACR 2020
0
100
200
300
1st Tertile 2nd Tertile 3rd Tertile
Serum IL-27 Levels
Hepatitis B Negative Hepatitis B Positive
1.0
24.766.1
10.7
265.2
45.5
Odd
s R
atio
of H
CC
20
SRF388 Inhibits Tumor Growth in an Orthotopic Modelof Hepatocellular Carcinoma
SRF388 was dosed IP BIW x 2Starting day 5Tumor growth was measured by bioluminescent imaging
Hepa1-6-Luc Tumors
21
SRF388 Significantly Modulated Gene Expression in the Hepa1-6 Mouse Model of Hepatocellular Carcinoma (HCC)
22
SRF388 modulates gene expression in Hepa1-6 tumors
SRF388 reduces the expression of immune-inhibitory receptors and TGF related genes
23
SRF388 Clinical Development Plan
Strategic bioassays for early detection of biologic activity and patient selection biomarker:
• Phospho-STAT inhibition as a direct assessment of on target activity in whole blood
• Assessment of circulating IL-27/EBI3 as a patient selection biomarker
• Subset of patients with RCC and HCC will undergo pre and on-treatment paired tumor biopsies
Renal Cell Cancer Monotherapy
Single arm Phase 2
SRF388 + Pembrolizumab Doublet
Pilot expansion in RCC and HCC
Hepatocellular CancerMonotherapy
Single arm Phase 2
Potential to explore combinations in RCCDose Escalation:
Monotherapy dose escalation in patients with advanced solid tumors
• Establish a safe dose
• Accelerated and standard 3+3 design
RP2D
RP2D
RP2D
Crossover to DoubletOption for RCC & HCC
patients progressing on SRF388 monotherapy
Potential to explore combinations in HCC
24
SRF388
Clinical Update
As of 11/13/20
Data from nine patients treated across 5 dose levels (0.003, 0.03, 0.1, 0.3 and 1 mg/kg)
Well tolerated without dose limiting toxicities
Prolonged stable disease (>6 mos) noted in one patient with kidney cancer who had progressed on prior anti-PD-1 treatment
Maximal inhibition of the IL-27 signaling pathway achieved starting at the 0.3 mg/kg dose (as measured in whole blood)
Detailed clinical update to be presented at a medical conference in the first half of 2021
SRF114Targeting CCR8 To Deplete
Immunosuppressive Regulatory T cells in the TME
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Overview of SRF114
Antibody Targeting CCR8
High-affinity, fully human IgG1 antibody against CCR8
Binds and induces ADCC of CCR8+ tumor Treg cells
Highly specific for binding CCR8 and no other target proteins
Enhanced killing observed as an afucosylated variant
Potential for IND filing in 2022
CCR8 is Predominantly Expressed on Tumor Infiltrating Treg Cells
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Surface dataSimilar findings reported by Villarreal D et al, Cancer Res 2018
Anti-CCR8 Antibody Treatment Results InDecreased Tumor Growth
****
CCR8 Ab: TIW, 2.5 wk
CCR8 Expression is More Selective than CCR4
RNA seq read counts from human T cell subsetst: breast tumor infiltratingb: normal blood
CC
R8
Cou
nts
AACR 2015 (R. Rudensky)
CCR4CCR8
SRF114 Depletes Human Tumor Treg cells
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Tumors: 3 NSCLC, 1 BreastPan tumor CD4+ Foxp3+/-
Isolated Treg co-cultured with NK cells +/-indicated Abs
0
25
50
75
100
125
SRF114 Results in Significant Reduction of Tumor-infiltrating Treg Cells
% o
f CD
3+ce
lls
Treg cells
Non-Treg CD4+ cells
Rob Ross, MDIncoming Chief Executive Officer
Vito Palombella, PhDChief Scientific Officer
Jessica FeesSenior Vice President, Finance
Bob SteiningerSenior Vice President, CMC
Liisa NogeloChief Legal Officer
Management Team with Proven Track Record of Success
Wendy DwyerChief Business Officer
29
Lisa McGrathSenior Vice President, Human Resources
Alison O’Neill, MDSenior Vice President, Clinical Development
Outstanding Board of Directors & Scientific Advisory Board
30
Board of Directors Scientific Advisory Board
Sasha Rudensky, PhD (co-Chair)Memorial Sloan-Kettering Cancer Center
Arlene Sharpe, MD, PhD (co-Chair)Harvard Medical School
Stephen Hodi, MDDana-Farber/Brigham and Women’s Cancer Center
John Wherry, PhDUniversity of Pennsylvania
David Tuveson, MD, PhDCold Spring Harbor Laboratory
John Stagg, PhDUniversity of Montreal
Christopher Hunter, PhDUniversity of Pennsylvania
Carla Rothlin, PhDYale School of Medicine
(1) Also serves on SAB
Dan Lynch (Chair)bluebird bio, Blueprint Medicines, Translate Bio, SpringWorks
Jeff Goater (Incoming Chair)CEO, Surface Oncology
David Grayzel, MDPartner, Atlas Venture
Ramy Ibrahim, MDCMO, bit.bio
Geoffrey McDonough, MDCEO, Generation Bio
Armen Shanafelt, PhDFormer General Partner, Lilly Ventures
Elliott Sigal, MD, PhD(1)
Former Pres of R&D, CSO of Bristol-Myers Squibb
Laurie StelzerCFO, Arena Pharmaceuticals
Strong Financial Position and Near-term Clinical Milestones
31
Wholly-owned SRF617 (CD39) in Phase 1/1b, targeting promising adenosine
SRF388 first-ever IL-27 targeted therapy in Phase 1, compelling translational hypothesis
Two strategic partnerships (Novartis & GSK) validate strong IO drug discovery capabilities
Cash runway through 2023 ($175M in cash as of Dec 31st)
Detailed clinical update for both SRF617 & SRF388 to be presented in the first half of 2021
For More Information:
32
• Jessica Fees, SVP Finance• [email protected]
• Matt Lane, Gilmartin Group• [email protected]
Breaking through for patients with cancer
SRF617 Engages the Adaptive Immune System by Reducing Adenosine Levels, Stimulating T Cell Responses
SRF617 Mediated CD39 Blockade is
Immunostimulatory
ATP
AMP
Adenosine
Cell stress/damage/death
CD39
CD73
(adaptive)
(innate)
SRF617 Reduces Plasma Adenosine Levels in Tumor-Bearing Mice
34
SRF617 Monotherapy or Combo with Gemcitabine Leads to Increased ATP
Levels in Human Pancreatic Cancer
Cultures
SRF617 Engages the Innate Immune System By Increasing Extracellular ATP, Stimulating Dendritic Cells
SRF617 Stimulates Key Components of the
Innate Immune System
ATP
AMP
Adenosine
Cell stress/damage/death
CD39
CD73
(adaptive)
(innate)
35