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P I O N E E R I N G N E W F R O N T I E R S I N M E D I C I N E
The following presentation, including any printed or electroniccopy of these slides, the talks given by the presenters, theinformation communicated during any delivery of the presentationand any question and answer session and any document ormaterial distributed at or in connection with the presentation(together, the "Presentation"), has been prepared by PureTechHealth plc (the "Company"). The information in the Presentationis not intended to form the basis of any contract. By attending(whether in person or by telephone) or reading the Presentation,you agree to the conditions set out below.
THIS DOCUMENT AND THE PRESENTATION IS NOT APROSPECTUS. The Presentation does not constitute or formpart of any offer or invitation to sell or issue, or any solicitation ofany offer to purchase or subscribe for, any shares or othersecurities of the Company, nor shall it (or any part of it), or thefact of its distribution, form the basis of, or be relied on inconnection with or act as any inducement to enter into, anycontract whatsoever relating to any securities.
This document and the Presentation contain statements that areor may be forward-looking statements. These statements arebased on our management’s current beliefs, expectations andassumptions about future events, conditions and results, and oninformation currently available to us. This document and thePresentation also contain estimates and other statistical datamade by independent parties and by us relating to market sizeand growth and other data about our industry. This data involvesa number of assumptions and limitations, and you are cautionednot to give undue weight to such estimates. In addition,projections, assumptions and estimates of our future
performance and the future performance of the markets in whichwe operate are necessarily subject to a high degree ofuncertainty and risk.
All statements other than statements of historical facts included inthis document may be forward-looking statements, includingstatements that relate to the Company's future prospects,developments and strategies. Words such as “expect,”“anticipate,” “intend,” “plan,” “believe,” “seek,” “estimate,” “think,”“may,” “could,” “will,” “would,” “should,” “continue,” “potential,”“likely,” “opportunity” and similar expressions or variations of suchwords are intended to identify forward-looking statements, but arenot the exclusive means of identifying forward-lookingstatements. Additionally, statements concerning future matterssuch as our expectations of business and market conditions,development and commercialization of new products,enhancements of existing products or technologies, and otherstatements regarding matters that are not historical are forward-looking statements. Such statements are based on currentlyavailable operating, financial and competitive information and aresubject to various risks, uncertainties and assumptions that couldcause actual results to differ materially from those anticipated orimplied in our forward-looking statements due to a number offactors including, but not limited to:
The Company’s business is subject to a number of risks anduncertainties. These risks are described in the Company’s mostrecent Annual Report and Accounts which can found on theCompany’s web site at http://puretechhealth.com/investors-reports-presentations.php.
Given these risks, uncertainties and other factors, many of which
are beyond our control, you should not place undue reliance onthese forward-looking statements.
Each forward-looking statement speaks only as at the date of thisdocument. Except as required by law, we assume no obligationto update these forward-looking statements publicly, or to reviseany forward-looking statements to reflect events or developmentsoccurring after the date of this document, even if new informationbecomes available in the future.
The Presentation is confidential and should not be distributed,published or reproduced (in whole or in part) or disclosed by itsrecipients to any other person for any purpose, other than withthe consent of the Company. The Presentation does notconstitute or form part of an offer or invitation to issue or sell, orthe solicitation of an offer to subscribe or purchase, any securitiesto any person.
By accepting receipt of, attending any delivery of, or electronicallyaccessing, the Presentation, you agree to be bound by the abovelimitations and conditions and, in particular, you represent,warrant and undertake to the Company that: (i) you will notforward the Presentation to any other person, or reproduce orpublish this document, in whole or in part, for any purpose and (ii)you have read and agree to comply with the contents of thisnotice.
Important Information
2
PureTech Health is a biopharma company developing therapeutics focused on theBrain-Immune-Gut (BIG) Axis across two divisions
3*As of 30 June 2018
Affiliates(7 out of 11 affiliates are clinical stage)
Phase 1 Phase 2 Phase 3 / Pivotal FDA FilingPreclinical
BRAIN
IMMUNE
GUT
Internal R&DTissue-selective immunomodulation
7 clinical-stage programs with two FDA filings
Partnerships with 8 major pharma companies
LSE Main Market / FTSE-indexed (PRTC)
$196.7M cash at PureTech level + $220.2M cash in Affiliates*
Team with proven track record of developing new therapeutics and building shareholder value
4
Board of Directors
Eric Elenko, PhD Co-founder & Chief Innovation Officer
PureTech Health
Formerly McKinsey, UCSD
Executive Team
Bharatt Chowrira, PhD, JD President & Chief of Business PureTech Health
Former COO Auspex (acq by Teva $3.5B), SIRNA
(acq by Merck $1.1B), Nektar ($5B+ MC)
Daphne Zohar Founder & Chief Executive Officer PureTech
Health, Board Member; Recognized as a top
leader and innovator in biotechnology by EY,
BioWorld, Scientific American, and others
Joseph Bolen, PhD Chief Scientific Officer PureTech Health
Former CSO Millennium (acq by Takeda
$8.8B), Moderna
Joep Muijrers, PhDChief Financial Officer PureTech Health
Former Portfolio Manager at LSP – generated
900%+ return (2x of NBI during same period)
Stephen Muniz, Esq. Co-founder & Chief Operating Officer
PureTech Health & Board Member
Former Partner Locke Lorde
Robert Horvitz, PhD MIT, HHMI, Nobel Prize in Medicine
(PureTech SAB Chair & Board Advisor)
Joi Ito MIT Media Lab Director and early
investor in Twitter, Kickstarter
Dame Marjorie Scardino Former CEO Pearson, MacArthur
Foundation Chair, Twitter Board
Raju Kucherlapati, PhDHarvard, Co-Founder of Millennium
(acq by Takeda $8.8B) & Abgenix (acq by
Amgen $2.2B)
Christopher Viehbacher Former CEO & Board Member at Sanofi
President & Board Member at GSK, Completed
over $30B in acquisitions
Ben Shapiro, MD Former EVP of Research at Merck
John LaMattina, PhD Former President of Pfizer Global R&D
Robert Langer, ScD MIT, Award winning materials science pioneer,
Former member of the United States FDA’s
SCIENCE Board
Internal R&D: Focusing on the Axis through the lens of tissue-selective immunomodulation
5
Our approaches to tissue-selective immunomodulation:
Target newly discovered
foundational immunosuppressive
mechanisms in oncology
Harness the lymphatic
infrastructure for autoimmune,
oncology, and CNS indications
The internal pipeline: Tissue-selective immunomodulation for oncology and immune indications
6
Collaboration with Roche (PureTech Health to receive up to $36 million in upfront payments,
research support, and early preclinical milestones and is eligible to potentially receive over
$1 billion in development milestones)
Discovery Lead Optimization IND-Enabling Phase 1 Phase 2 Phase 3
Our Programs
Expect to file IND H1 2020
Lymphatic therapeutics program #1
Lymphatic therapeutics program #2
Solid Tumors
Solid Tumors
LYT-200Anti-Galectin-9 MAb
LYT-210Anti-Delta-1 MAb
Lymphatic therapeutics program #3 (CNS)
CancerCancerCancer Cancer
Immunosuppression
αβT
Cancer Cancer
Macro-phage
γδT
Galectin-9
γδT
Galectin-9
Anti-Galectin-9 mAb
Anti-γδ T cell mAb
LYT-200 and LYT-210: Developing novel therapeutics which target newly discovered immunosuppressive mechanisms in oncology
7Note: Relevant IP licensed to PureTech Health from George Miller’s lab (NYU)Nat Med. 2017 May;23(5):556-567; Cell. 2016 Sep 8;166(6):1485-1499.e15
γδ T cells depletion and blocking
prolong survival of KPC mice
Significant extension of survival in animal
models of pancreatic cancer (KPC mice)
mAb to immunosuppressive γδ T cellsmAb to Galectin-9
• Single agent activity with the option to test in combination with various IO agents
• Fully human lead clinical clones with relevant species cross-reactivity to be tested in IND-enabling studies
LYT-200 and LYT-210 targets are foundational immune modulators
Image adapted from Oncogene. 2015 Jun 11;34(24):3085-94.
• Galectin-9 is a global immune
regulator in health and disease
(pregnancy, inflammation, auto-
immune disease, cancer)
• Galectin-9 mediates multiple
pathways of
immunosuppression in tumors
and periphery
• Galectin-9 can be expressed
in/on tumors and secreted into
circulation
• Targeting galectin-9 can
therefore enable pleiotropic anti-
tumor effects
• Solid tumors (pancreatic
cancer, melanoma,
glioblastoma, breast cancer
etc.) harbour γδ1 T cells with
immunosuppressive and pro-
tumorigenic capacity
• Abundance of circulating
immunosuppressive γδ T
cells predicts unfavourable
response to anti-CTLA4 therapy
in melanoma
• Targeting γδ1 T cells has
capacity to modulate both
innate and adaptive immunity
mAb to immunosuppressive γδ T cellsmAb to Galectin-9
8
9* Robust T cell activation observed in 70% of tumors assessed
LYT-200: Anti-Galectin-9 mAb program – examples of pre-clinical data
Galectin-9 expression increases in tumors Treatment with anti-Gal-9 mAb
shows efficacy in pancreatic
cancer mouse model (KPC)
1 2
• Efficacy observed in
melanoma model B16F10
• Assessing efficacy in other
tumor models
Treatment with anti-Gal-9 mAbs induces
activation of T cells in patients’ tumors*
Patient derived samples used
PBMC Patient Tumor InfiltratePBMC Normal
\
1
2
Single agent efficacy
Synergy with αPD-1
% c
ells
exp
ressin
g G
al-
9
10PDA: Pancreatic Ductal Adenocarcinoma* Robust T cell activation observed in 75% of tumors assessed
LYT-210: Anti-Delta-1 mAb program – biology and pre-clinical data
Immunosuppressive γδ1 T cells are present in
human PDA tumors
Treatment with anti-δ1 mAb induces activation of
T cells in patients’ tumors*
γδ1 T cells adopt an effector memory phenotype
γ9δ2 T cells that have cytotoxic function are less
abundant in human tumors
11
Proposed clinical trial design: A Phase 1/2 open-label study using LYT-200 (anti-galectin-9 monoclonal antibody) in patients with metastatic solid tumors
Filip
Janku
Osama
Rahma
Jedd
Wolchok
Aparna
Parikh
Richard
Carvajal
Zev
Wainberg
Neil
Segal
Daniel
Cho
3+3 Dose Finding (all comers), Safety, Tolerability, MTD, PK/PD
n ~ 20
Safety confirmation, capturing early efficacy
signal for expansion- exploratory endpoints -
Pancreatic
single agent/combo
Colorectal
single agent/combo
Other amenable
GI/non-GI indications
single agent/combo
Master Protocol
Further expansion aimed at enabling
accelerated approval
single agent and/or combo
Clinical Investigators
Circulatory Vasculature : providing
avenues of transport for blood cells and
nutrients
Lymphatic Vasculature: critical
infrastructure for interstitial fluid
drainage and trafficking and
programming of immune cells
Targeting the lymphatic infrastructure enables new approaches for tissue-selective immunomodulation
12
Conventional
Approach
PureTech’s
Approach
Lymph nodes program immune cell function via the lymphatic system
13Lymph node image: https://www.medpagetoday.com/resource-centers/gi-cancer/lymph-node-dissection-management-high-risk-renal-cell-carcinoma/1842
Lymph nodes serve as key
sites for tissue-specific cell
programming
Brain
Deep cervical lymph
nodes
GI
Mesenteric lymph nodes
Oncology
Lymphatic-mediated metastases
Contents including immune
cells shuttle between tissues
and lymph nodes
Harnessing the immune cell trafficking highway – lymphatics – to develop novel immunomodulation therapeutics
PureTech’s approach enables our therapeutics to:
Target the mesenteric lymph nodes – the largest
collection of lymph nodes in the body which represent the
site of immune programming for 50 – 70% of circulating
adaptive immune cells
Bypass first-pass metabolism by the liver
Leverage immune cell trafficking from the gut to distal
sites in the body
14
PureTech’s Affiliates
15
* Relevant ownership interests were calculated on a diluted basis as of 12/31/17 (other than resTORbio: 1/31/18; Gelesis: 3/1/18; Karuna: 8/2/18; Akili: 8/9/18; Vedanta: 12/24/18), including issued and outstanding shares, outstanding options and warrants, and written commitments to issue options, but excluding unallocated shares authorized to be issued pursuant to equity incentive plans and any shares issuable upon conversion of outstanding convertible promissory notes.
BR
AIN
IMM
UN
EG
UT
Affiliate PRTC Ownership* Phase 1 Phase 2 Phase 3 / Pivotal FDA FilingPreclinical
58.4%
34.2%
55.6%
63.0%
37.9%
93.1%
82.8%
81.3%
73.9%
90.0%
20.5%
Industry Relationships
PureTech Health is developing therapeutics across the Brain-Immune-Gut AxisB
RA
INIM
MU
NE
GU
T
Modulating specific neural systems affected by cognitive disorders and neuroinflammation
Targeting muscarinic receptors in the brain while overcoming GI tolerability issues
Developing vocal biomarkers spanning neurological, immune & other conditions
Inhibiting TORC1 for conditions of aging e.g., immunosenescence & neurodegeneration
Modulating the immune system via the gut microbiome
Tuning the developing immune system through the maternal & pediatric microbiome
Site specific inflammation targeting that spares non-inflamed tissue in GI & other systems
Selectively targeting cancer cells while sparing normal cells using modified HSCs
Enabling follicle neogenesis and skin rejuvenation through immune response to wounding
Developing mechanotherapeutics to treat obesity, GI disorders & repair the gut barrier
Enabling the delivery of biologics via the gut epithelium to local and distal sites of the body
16
Strong cash position with top affiliates providing multiple monetization and growth opportunities
17* As of June 30, 2018 ** Please reference slide 15 for ownership measurement dates; *** Source: Jefferies, Liberum, Peel Hunt, BAML, Wedbush, Evercore analyst estimates on un-risk-adjusted WW peak sales. Note: The future market estimates show above have been determined by analysts, independent of PureTech Health. The actual market sizes for PureTech Health’s products may differ materially from these estimates and PureTech Health provides no assurance or guarantee that the market estimate shown above will be achieved.
Cash at PureTech level
$196.7M*
Plus cash in Affiliates
$220.2M*
ADHD
Obesity
Immune function in elderly (RTIs)
Schizophrenia
Filed Gelesis100 with the
FDA in 2018
Positive Phase 2b trial
readout; NASDAQ: TORC
Initiated Phase 2 seeking to replicate
strong efficacy data following
improved tolerability readouts
Multiple clinical stage programs
and partnershipsInflammatory bowel disease & recurrentC. difficile infection
$260 – 600M
Additional Indications:
depression, multiple sclerosis
$1.1 – 3B
Additional Indications: Parkinson’s
disease, additional infections
$500M
Additional Indications:
NAFLD/NASH, glycemic control
$1B
Additional Indications:
pain, Alzheimer’s disease
$1B & $500M
Additional Indications: food allergy,
cancer immunotherapy
Initial
indicationStatus
Analyst estimates of
potential peak sales***
Filed AKL-T01 with the FDA
in 2018
Affiliate &
PRTC Ownership**
37.9%
20.5%
34.2%
58.4%
63.0%
DELIVERED:
Two positive pivotal studies
Multiple non-dilutive financings
$94M in affiliate financings
Lilly collaboration
Potential drivers of future value
18
Note: Valuations on and after December 31, 2014 through December 31, 2016 are calculated based on NAV + cash at PureTech Health corporate level; valuations prior to 31 December 2014 are calculated based on post-money financing valuations; PureTech Health stopped disclosing NAV from 2017 onward; PureTech’s current market capitalization is approximately $630 million (January 3, 2019). * These represent potential events that the Company anticipates may occur in 2019 and thereafter but there can be no assurance that any of these events will take place within such time frame or at all.
2009 2014 2016
NAV Corporate Cash
DELIVERED:
Two FDA filings
Roche collaboration with $1B in potential
R&D payments
One NASDAQ IPO
Multiple data readouts
$251M in affiliatefinancings
$100M PureTech Health financing
$53M$276M
$573M
2017 2018
Market Cap ~$630M
Potential valuation gap closing
with time and exposure to
anticipated value drivers:
Affiliates trade sales and licensing deals
IPO of affiliates &sale of equity
Royalties from affiliates
Additional partnerships for Internal division
Continued advancement of Internal division
2019+*
PureTech’s asset value has multiplied since IPO
Numerous upcoming milestones are expected to drive PureTech’s value in 2019
19
• Initiation of Ph3 in RTIs
• Initiation of proof-of concept in PD
• FDA clearance of AKL-T01 in pediatric ADHD
• Proof-of-concept results in additional indications
• Initiation of pivotal study in androgenetic alopecia
following completion of ongoing optimization study
BRAIN
IMMUNE
IMMUNE
Financings & strategic transactions likely
Continued progress of Internal division and pre-clinical affiliates
Upcoming Milestones
• Topline data results from Ph2
• Initiation of proof-of-concept in additional indication
BRAIN
• FDA clearance of Gelesis100 in weight loss
• Initiation of pilot studies in NASH/NAFLD
• Conference presentations
GUT
• Initiation of Ph1 in food allergy
• Initiation of Ph1 for cancer immunotherapy candidate
IMMUNE
• IND-enabling CMC and related activities for LYT-200
• Potential conference presentations on LYT-200 and
LYT-210
• Continued development of milk exosome technology
in collaboration with Roche
• Selection of clinical candidates for lymphatic
therapeutics programs
IMMUNE
20
Summary of PureTech Health
LSE Main Market / FTSE-indexed: PRTC – Market capitalization
~$640M (~£485M) as of January 28, 2019; 1.316 USD:GBP
Jefferies International Peel Hunt LLP Liberum
Peter Welford Amy Walker Graham Doyle
Analyst Coverage
Headquartered in Boston/Cambridge
Group cash and short term investments of $416.9M
($196.7M at the PureTech Health level) as of June 30, 2018
282,493,867 outstanding shares
Disclosed Shareholders include: Invesco Asset
Management Limited, Lansdowne Partners
International Limited, Baillie Gifford & Co., Jupiter
Asset Management Ltd., and Recordati SA
~12%
~43%
~45%
Board & Management
Disclosed Shareholders
Other Shareholders
P I O N E E R I N G N E W F R O N T I E R S I N M E D I C I N E