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Annual General Meeting Fund Managers’ Presentation December 2020 Investing in Biotechnology for a Healthier Future High Growth Sector / Competitive Dividend Yield

Investing in Biotechnology for a Healthier Future

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Annual General Meeting

Fund Managers’ Presentation

December 2020

Investing in Biotechnology for a Healthier FutureHigh Growth Sector / Competitive Dividend Yield

www.ibtplc.com 2

This Presentation is intended for existing shareholders of International Biotechnology Trust Plc (“the Company”) for informational purposes. It is not a recommendation or solicitation to

buy or sell any particular security, including shares in the Company or any of the securities or companies mentioned herein. Any company or security mentioned in the Presentation will

not necessarily be a constituent of the portfolio by the time this document is published, or if viewed on any subsequent date. Any views expressed herein may no longer be current and

may have already been acted upon and are subject to change without notice.

The information in this Presentation is not intended for and should not be relied upon to make any investment decision.

The value of investments, and the income from them, may go down as well as up, and is not guaranteed, and investors may not get back the full amount invested. Past performance is

not a guide to future performance and exchange rate changes may cause the value of overseas investments to rise or fall.

Investors should bear in mind that investment in biotechnology shares can be subject to risks not normally associated with more developed markets or stocks. Investing in the

biotechnology sector carries some particular risks and investment in the Company should be regarded both as long term and as carrying a high level of financial risk.

In addition, there is no guarantee that the market price of shares in investment trusts will fully reflect their underlying NAV and it is not uncommon for the market price of such shares to

trade at a substantial discount to their NAV.

The Company’s portfolio companies are subject to change and should not be construed as research or investment advice. Similarly, any reference to a specific company does not

constitute a recommendation to buy, sell, hold or subscribe in any company or its securities.

This Presentation and the material referred to herein is only made available to recipients who may lawfully receive it in accordance with applicable laws, regulations and rules and binding

guidance of regulators. Every effort is taken to ensure the accuracy of the data used herein but no warranties are given.

All views expressed in this Presentation are current as at the date of recording of this Presentation and may be subject to change. No part of this material may, without SV Health

Managers LLP’s prior written consent, be (i) copied, photocopied or duplicated in any form, by any means, or (ii) distributed to any person that is not an employee, officer, director, or

authorised agent of the recipient.

Full details of the Company, including risk warnings, are published in the Investor Disclosure Document and the Key Information Document which can be obtained on request and on our

website at www.ibtplc.com together with the latest annual reports and factsheets.

This Presentation is issued and approved by SV Health Managers LLP. SV Health Managers LLP is authorised and regulated by the Financial Conduct Authority.

Copyright © 2020, SV Health Managers LLP. All rights reserved.

Disclaimer and risk warning

www.ibtplc.com 3

Growth and yieldProvides investors exposure to both

growth and a competitive yield

Diversified portfolioAccess to a broad spectrum of quoted

and unquoted investments

Investment strategyBottom up stock selection with

diversification overlay

InnovationInvested in some of the most innovative

companies in the world

Expert teamMedically and financially experienced

Fund Managers with access to specialists at SV Health

Six key attributes of our Trust

Trust overview

Strong fundamentalsDriven by strong fundamentals of the

Biotech sector

www.ibtplc.com 4

Dr Carl Harald JansonLead Investment Manager,

CEFA, PhD, Medical Doctor

20 years healthcare investing,

7 years pharma industry

experience - including Danske,

H&Q, KD, Astra and Carnegie,

where he managed the

Carnegie Biotech Fund. While

at Carnegie, he was

recognised by Bloomberg as

the world’s top performing

Biotech fund manager.

Ailsa CraigInvestment Manager, BSc

11 years healthcare investing,

3 years as an analyst.

Previously, at Baring Asset

Management as a research

analyst and Insight

Investment/ Rothschild Asset

Management (merged 2003)

within the Global/US

investment team.

Marek PoszepczynskiInvestment Manager, MSc

17 years of international

experience in the life sciences

industry with a focus on

licensing and financing. Marek

has held management

positions at several biotech

companies and participated in

two initial public offerings and

several licensing deals.

Kate Bingham

Investment Manager, MBA

28 years healthcare investing

at SV where she is Managing

Partner. Her biotech

investments have resulted in

the launch of six drugs.

Kate currently serves as the

Chair of the UK Vaccine

Taskforce.

Medical and financial expertise with over 75 years combined experience

Management team

Houman Ashrafian

SV Managing Partner,

BM BCh, DPhil

Houman joined SV in 2016 as

a Venture Partner, was

promoted Managing Partner in

2018. He has founded five SV

portfolio companies. Houman

serves on the Dementia

Discovery Fund (DDF)

Investment Committee and as

a Director of Karus

Therapeutics.

www.ibtplc.com 5

The Trust’s investment team can draw on the wider expertise of SV Health Investors

SV Health Managers LLP - The Trust’s Investment Manager

Biotechnology

Dementia

Healthcare growth

Medtech

A leading healthcare investment manager

Diversified global life sciences franchise started in 1993

Talented team of over 50 experienced investment professionals

and healthcare industry veterans based in Boston and London

Managed or advised International Biotechnology Trust since 2001

USD 3.2bn committed capital

as at 30 June 2020

USD 2.4bn AUM as at 30 June 2020

www.ibtplc.com 6

Total return 1yr (%) 3yr (%) 5yr (%)

International Biotechnology Trust Share Price to 28 August* 18.7 32.3 55.8

International Biotechnology Trust NAV to 31 August 22.4 23.2 40.9

NASDAQ Biotechnology Index (benchmark) to 31 August 20.6 19.6 40.1

FTSE All-Share Index to 28 August* -12.6 -8.2 17.4

NAV and share price have outperformed the NBI over all time periods reported below

The Trust’s performance

Source: SVHM and Bloomberg. Past performance is not a guide to future performance

* Due to 31 August 2020 being a UK public holiday, the Trust’s share price and FTSE All-Share Index performance data is reported to 28 August 2020.

www.ibtplc.com 7

The Trust pays a dividend of 4% of net asset value per annum out of capital reserves

Sufficient capital reserves allows investment policy to be unaffected by dividend

11.5 13.5 14.0 12.4

0

50

100

150

200

250

300

0

2

4

6

8

10

12

14

16

2016/17 2017/18 2018/19 2019/20 2020/21T

ota

l N

AV

(G

BP

) a

t p

rece

din

g y

ea

r e

nd

Div

ide

nd

pe

r sh

are

(G

Bp

)

Dividend per share vs total NAV for thepreceding year end*

First interim dividend Second interim dividend NAV

* NAV at 31 Aug year end sets level of dividend paid out in Jan and Aug the following year

Dividend

Source: SV Health Managers LLP

www.ibtplc.com 8

300

400

500

600

700

800

06/2015 11/2015 04/2016 09/2016 02/2017 07/2017 12/2017 05/2018 10/2018 03/2019 08/2019 01/2020 06/2020

Share Price

NAV per share

Discount

Premium

The Trust actively manages its discount through share buy-backs and issuances

Buybacks

Issuances Issuances

Buybacks

Dividend announced

Discount management

Source: SVHM and Bloomberg. Past performance is not a guide to future performance

Since year end, the Trust has issued 1.6mil shares, growing the Trust by £12.7mil

www.ibtplc.com 9

The Trust is diversified over the following key metrics

Portfolio composition

As at 31 August 2020: NAV of £284m; 69 (93 with SV Fund VI) portfolio companies

Source: SV Health Managers LLP

55%29%

5%7%

4%

Large Cap > USD 10bn

Mid cap USD 2bn - USD 10bn

Small Cap < USD 2bn

SV Fund VI

Directly-held unquoted

35%

39%

26%Profitable

Revenue Growth

Early Stage

31%

27%

13%

5%

4%

3%

2%

15%

Rare disease

Oncology

CNS

Infectious disease

Inflammation

Metabolic

Opthalmology

Other

NAV% by Size

NAV% by Therapeutic Area

NAV% by Development Stage

NAV% by Geography

86%

12%

2%

US & Canada

Europe

United Kingdom

www.ibtplc.com 10

As at 31 August 2020

Top 10 quoted Therapeutics splitGeographic

location£’m

% of

NAV

Horizon Rare diseases US 21.8 7.7

Immunomedics Oncology US 15.8 5.6

Gilead Infectious diseases US 15.1 5.3

BioMarin Rare disease US 14.4 5.1

Acadia CNS US 13.7 4.8

Vertex Rare disease US 13.5 4.8

PTC Therapeutics Rare disease US 11.0 3.9

Genmab Oncology Europe 11.0 3.9

Neurocrine CNS US 9.2 3.2

Chemocentryx Rare diseases US 8.9 3.1

TOTAL 134.4 47.4

Diversification in size and therapeutic area

Top ten quoted holdings

As at 31 August 2020: quoted NAV of £267m; 57 quoted portfolio companies

Source: SV Health Managers LLP* For full portfolio listing, please refer to pages 6 to 9 of the Annual Report.

As at 31 August 2019

Top 10 quoted Therapeutics splitGeographic

location£’m

% of

NAV

Gilead Infectious diseases US 16.5 6.9

Vertex Rare disease US 14.5 6.0

Celgene Oncology US 13.6 5.7

Neurocrine CNS US 13.1 5.5

Amgen Oncology US 11.3 4.7

PTC Therapeutics Rare disease US 8.6 3.6

Alexion Rare disease US 8.5 3.5

Stemline Oncology US 8.2 3.4

Regeneron Ophthalmology US 7.5 3.1

Genmab Oncology Europe 7.1 2.9

TOTAL 108.9 45.3

www.ibtplc.com 11

0%

20%

40%

60%

80%

100%

120%

11

/20

17

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17

01

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18

02

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03

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04

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20

M&A is a key feature of the sector, with substantial premiums being paid

*In the cases of Celgene/ Juno, GSK/ Tesaro and Sanofi/ Principia, the market price rose sharply before the announcement.

The Graph covers a period of 3 years, from November 2017 to October 2020. During the Financial Year ended 31 August 2020, there were four transactions impacting the Trust’s portfolio with an average premium of 72%.

*

*

Average premium = 72%*

Approximately two-thirds of the development of new drugs takes place in smaller companies, whereas approximately two-thirds of the commercialisation of drugs takes place in larger companies

M&A activity in the Trust’s portfolio

www.ibtplc.com 12

Core exposure through a venture fund, offering broad diversification

Unquoted portfolio

Source: SV Health Managers LLP

NAV (£m) as at 31 Aug % NAV as at 31 Aug Number of

2020 2019 2020 2019 Investments

SV Fund VI 21.6* 22.6 7.6% 9.4% 25**

Exited investments with contingent

milestones9.9 6.6 3.4% 2.8% 5

Directly-held unquoted investments 3.8 6.0 1.3% 2.4% 6

Total unquoted portfolio 35.3 35.2 12.3% 14.6% 36

75%

25%

Direct unquoted

U.S. UK/ EU

Maturity of companies

57%

43%

SV Fund VI

Growth stage

Venture stage

100%

Direct unquoted

Growth stage

Sector split

42%

43%

15%

SV Fund VI

Biotechnology

Healthcare services

Medical devices

87%

10%

3%

Direct unquoted

Biotechnology

Healthcare services

Medical devices

Geographic split

84%

16%

SV Fund VI

U.S. EU

*Less net distributions of £4.0mil made by SV Fund VI

**Includes 4 quoted investments as at 31 August 2020.

www.ibtplc.com 13

ValuationModelling and analysis to identify

value opportunities

MonitoringNews flow management and

company meetings

Trading disciplineMethodical approach to timing of

investments and profit taking

Cash/ gearingAnalytical approach to gearing based

on market volatility

Risk mitigationPortfolio construction and reducing

exposure to binary events

The management team has a rigorous, multi-faceted investment process

Investment process

Idea generationMeetings with management and

attendance at conferences

www.ibtplc.com 14

Stock selectionBottom up analysis with top down diversification overlay

www.ibtplc.com 15

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

4,500

5,000

08/2010 08/2011 08/2012 08/2013 08/2014 08/2015 08/2016 08/2017 08/2018 08/2019 08/2020

NASDAQ Biotech Index 2010 - 2020 (USD)

P/E ratio =

14.3x

P/E ratio =

25.9x

Source: Graph data sourced from Bloomberg up to 31 Aug 2020; PE data sourced from EvercoreISI(Large Cap Bio = AMGN, BIIB, GILD, ALXN, REGN)

After a 5-year consolidation, is the biotech sector ready to break out?

Sector update

www.ibtplc.com 16

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020YTD

Number of drugs in development as measured by number of ongoing clinical studies

0

10

20

30

40

50

60

70

2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020YTD

Novel drug approvals by U.S. FDA

Source: New clinical studies disclosed per year on clinicaltrials.gov (as of 8 September 2020) Source: U.S. Food and Drug Administration (FDA) (as of 4 September 2020)

Unprecedented levels of innovation driving drug pipeline and approvals

Innovation - more drugs in development

www.ibtplc.com 17

Cell based therapies Gene therapies RNA therapies Gene editing

The transfer of intact, live cells

into a patient

Offsetting the effect of a genetic

mutation by inserting a healthy

version of the gene

Modification or provision of

ribonucleic acid (RNA) to

patients’ cells using messenger

RNA (mRNA)

A type of genetic engineering in

which a mutated gene is

revised, removed or replaced

The Trust invests in some of the most innovative companies in the biotech sector

Innovation - expanding treatment options and modalities

www.ibtplc.com 18

Estimated and projected global population by broad age group, 1950-2100

Demographics driving healthcare spendOver 65s growing fast and set to double

Source: United Nations, World Population Prospects: the 2019 Revision

www.ibtplc.com 19

Sector driving the solution and showing resilience to market turmoil

COVID-19 and the biotech sector

TreatmentsSeveral treatments already approved and

many more being investigated

Vaccines37 vaccines in human trials and 91 vaccines

in earlier stage investigations*

IdentificationRNA analysed and genome sequenced

within one week

Co-operationGlobal co-operation among companies and Governments

Market impactBiotech companies recognised as being part of the pandemic

solution. Solid fundamentals and visibility of earnings underpinned resilience of sector to global turmoil

*Source: New York Times 4 Sept 2020

www.ibtplc.com 20

Trump win + Republican Sen majority Biden win + Republican Sen majority

Likely to remain the status quo Gridlock

Trump win + Democratic Sen majority Biden win + Democratic Sen majority

Gridlock Probability of pricing reform increased but Biden is

industry friendly

Gridlock or a blue sweep?

Biden as president but what about the Senate?

U.S. political backdrop and impact on sector

www.ibtplc.com 21

Portfolio construction Investment process Team

Bottom up approach Disciplined and systematic Expertise

Diversification Proactive Experience/ track record

Medical need Direct company contact Part of the SV Health Investors team

Pricing power Valuation driven Motivated

Venture fund Event forecasting Dedicated

Diversified portfolio - rigorous investment process - focus on risk mitigation - experienced team

Summary

Source: SV Health Managers LLP

www.ibtplc.com 22

Details

Website www.ibtplc.com

Net assets (Cum) GBP 284M (as at 31 August 2020)

Listing London Stock Exchange

Dividend Annual dividend 4% of net asset value at August year end, and paid semi-annually

Ex-div date December 2020

Daily volume 62k shares (Source: Bloomberg

Sedol 0455934 GB

ISIN GB0004559349

Ticker IBT LN / IBT.L

Management fee 0.9% of NAV of the whole trust. The Trust pays the standard fee on its investment in SVF6 but the management fee borne by IBT investors is 0.9% of the whole trust’s

NAV. See page 31 of the Annual Report 31 August 2020 for more information on fees.

Incentive fee The fee on the quoted pool is 10% of relative outperformance above the pound Sterling-adjusted NBI plus a 0.5% hurdle. The fee on the unquoted pool remains 20% of

net realised gains, taking into account any unrealised losses but not unrealised gains. See page 31 of the Annual Report 31 August 2020.

Inception date 6 May 1994

Year / Interim end 31 Aug / 29 Feb

Broker Numis Securities

Auditors PriceWaterhouseCoopers

Continuation vote At AGM in 2021; every two years

Capital structure 38,436,187 Ordinary Shares of 25p (as at 31 August 2020)

Leverage facility Revolving bank facility of up to GBP 55M (interest rate 1.75% above relevant base rate)

Currency The Trust does not currently hedge its currency exposure. Investors are therefore exposed to the fact that >85% of the portfolio is invested in USD stocks.

Source: Bloomberg; SV Health Managers LLP

Key facts