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LISTED EURONEXT Paris NASDAQ Copenhagen
EPA ONXEO
TODAYrsquoS SCIENCE TARGETING TUMOR
DNA FUNCTIONS
TOMORROWrsquoS NEW HOPE AGAINST RESISTANT CANCER
February 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 may 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 in the Companyrsquos Registration Document filed with the French Financial Markets Authority (Autoriteacute des marcheacutes financiers) under number D17-0423 onApril 24 2017 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 may 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 may 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 may 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 may or may 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 may 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 may occur after the date of this document
Important Information
February 2020
Developing disruptive therapies in the field of DNA Damage Response (DDR) to address unmet needs in oncology
4
NEXT KEY MILESTONES FUNDEDFinancial visibility to Q3 2020 supports strategic plan to deliver key near-term clinical milestones
STRONG MANAGEMENT amp OPERATIONAL TEAMA highly skilled team of 30 with capabilities to lead compounds from preclinical to proof-of-concept in man led by experienced management with demonstrated track record in product amp business development
DIFFERENTIATED SCIENCE IN DNA DAMAGE RESPONSEPlatONtrade proprietary chemistry platform of decoy oligonucleotides generatingnew 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 to best inflection points and monetizing these assets to generate revenues
LISTED EURONEXT Paris NASDAQ Copenhagen
EPA ONXEO
February 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
5
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
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
February 2020
Programs OPTIMIZATION PRECLINICAL PHASE I PHASE Ib PHASE II PHASE III MARKET
platONtrade Proprietary Platform of Decoy Oligonucleotides
OX401Next-gen PARPi + STING pathway activation
AsiDNAtrade IT + radiotherapy
AsiDNAtrade IV
AsiDNAtrade IV + chemotherapy
AsiDNAtrade IV + PARPi
Beleodaqreg2
belinostat + platONtrade
Cutting-edge RampD pipeline with unique mechanisms of action in DDR
DRIIV -1b
DRIIV study in solid tumors
GENERATION OF DISRUPTIVE COMPOUNDS TARGETING DNA-BINDING FUNCTIONS
Epig
enet
ics
DN
A D
amag
e
Re
spo
nse
1 IT intratumoral ndash IV intravenous 2 Beleodaqreg commercial brand name of belinostat (IV form) in the US in rr PTCL3 4 PTCL Peripheral T-cell lymphoma ndash a rare form of blood cancer
4 Commercialized in the US by Onxeorsquos partner under a conditional market authorization from the FDA for the use of Beleodaqreg in the treatment of 2nd line PTCL
DRIIM study in metastatic melanoma
2nd line PTCL3 US4
Completed or ongoing Planned short-term Legend
DD
R
+ IO
Solid tumors
REVocan
6
AsiDNAtrade
Unique Decoy Agonist Mechanism of Action in DNA Damage Response
February 2020
AsiDNAtrade a first-in-class product in DNA Damage Response (DDR)
8
A purpose-designed cholesterol-oligonucleotide conjugate
5rsquo
3rsquo
3rsquo
5rsquo
Double-stranded 32 bp DNA is tethered with a loop to prevent disassociation1
Active 32 bp DNA duplex Cholesterol
Loop
1 Quanz M et al PLoS ONE 2009 4(7) doi 101371journalpone00062982 Berthault N et al Cancer Gene Therapy (2011) 1-12 doi 101038cgt20113
Tumoral and nuclear uptake of the DNA mediated via a covalently linked cholesterol molecule2Binding 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 toxicity issues of this class
February 2020
Patent Protection (Composition of
Matter on AsiDNAtrade amp related compounds)
until 2031
Extendable to 2036 with SPC amp PTE
Combinationpatents up to 2038
and more
IP
February 2020
AsiDNAtrade a differentiated product in the clinically-validated field of DDR
9Quanz M et al Clin Cancer Res 2009 151308-1316 2 Quanz M et al PLoS ONE 2009 4(7) doi 101371 journalpone0006298 3 Jdey W et al Oin Can Res 201622DOI 101158 1078-0432CCR-16-1193
DDR inhibition is clinically-validated in oncology (PARPi)
DecoyAgonist mechanism 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
February 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 Ongoing AsiDNAtrade stops resistance to PARPi
Abrogation of resistance to TKi Validated with EGFRi in multiple cell linesPrelim data confirming prolongation of EGFRiefficacy
In vitro data In vivo data
February 2020
Small Cell Lung Cancer PARPi sensitive
AsiDNAtrade leads to cancer cell death and does not induce resistance
11
NCI-H446
1st cycle 2nd cycle 3rd cycle 4th cycle0
20
40
60
80
100
120AsiDNA Talazoparib
Surv
ival (
NT)
Source Onxeo data on file
No surviving cells
Repeated treatment with AsiDNAtrade leads to sensitization to AsiDNAtrade and does not generate resistance
Emergence of Resistant cells
February 2020
AsiDNAtrade synergizes with PARPi in PARPi-resistant tumors
NT olaparib AsiDNAtrade AsiDNAtrade + olaparib
High responders 06 - 0 High responders 28 - 25 High responders 48 - 50 High responders 57 - 71
MDA-MB-231 (TNBC HR proficient tumor cells) xenograft in mice
Treatment Median Survival (days)
NT 39Olaparib 54AsiDNAtrade 61
AsiDNAtrade + olaparib 75
Vo
lum
e (
mm
3)
Time after treatment (days)
Source Onxeo data on file 12
AsiDNAtrade increases number of responders to PARPi and median survival
February 2020 13
UWB1289 (Ovarian cancer model ndash BRCA1--)
0 10 20 30 40 500
4times104
8times104
12times105
16times105
2times105
Nira
Nira+Asi at D34
Days post treatment
Cell
num
ber
Niraparib
AsiDNAtrade admin
Emergence of resistant cells
Cell death
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)
Source Onxeo data on file
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
AsiDNAtrade admin
Introduction at CA125 increase (REVocan study protocol ndash slide 22)
February 2020
AsiDNAtrade stops resistance to olaparib even if introduced only once resistance emerges (in vivo interim results)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
0 10 20 30 40 50 60
0
500
1000
1500NT
OLAPARIB 100mgKgPO
AsiDNA_10mg + OLAPARIB_100mg
Mean OLAPARIB 100mgKgPO
Mean AsiDNA + Olaparib
Days post-treatment
Tu
mo
r vo
lum
e (
mm
3)
AsiDNAtrade admin
MDAMB-436 TNBC HR deficient
14
February 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates EGFRi and ALKi resistant cells
AsiDNAtrade prevents resistance to TKi
15
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)
AsiDNAtrade
Clinical Development Plan
Positioning AsiDNAtrade to Address 1 Challenge in Oncology
Resistance
February 2020
Delivering the promises of AsiDNAtrade to patients
DRIIM Phase 1 in adv melanomaIT combo with radiotherapy
Excellent safety via IT
Signals of efficacy
DRIIV-1 Phase 1First IV administration in Solid tumors
Excellent safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Preliminary 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 Q2 2020
Phase 1b2 (IV)Non Small Cell Lung Cancer in combination w EGFRi
Proof of Concept Prevention of resistance to TKi
SHO
RT
MID
-TE
RM
ON
GO
ING
17
CO
MP
LETE
D
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
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 may 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 in the Companyrsquos Registration Document filed with the French Financial Markets Authority (Autoriteacute des marcheacutes financiers) under number D17-0423 onApril 24 2017 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 may 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 may 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 may 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 may or may 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 may 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 may occur after the date of this document
Important Information
February 2020
Developing disruptive therapies in the field of DNA Damage Response (DDR) to address unmet needs in oncology
4
NEXT KEY MILESTONES FUNDEDFinancial visibility to Q3 2020 supports strategic plan to deliver key near-term clinical milestones
STRONG MANAGEMENT amp OPERATIONAL TEAMA highly skilled team of 30 with capabilities to lead compounds from preclinical to proof-of-concept in man led by experienced management with demonstrated track record in product amp business development
DIFFERENTIATED SCIENCE IN DNA DAMAGE RESPONSEPlatONtrade proprietary chemistry platform of decoy oligonucleotides generatingnew 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 to best inflection points and monetizing these assets to generate revenues
LISTED EURONEXT Paris NASDAQ Copenhagen
EPA ONXEO
February 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
5
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
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
February 2020
Programs OPTIMIZATION PRECLINICAL PHASE I PHASE Ib PHASE II PHASE III MARKET
platONtrade Proprietary Platform of Decoy Oligonucleotides
OX401Next-gen PARPi + STING pathway activation
AsiDNAtrade IT + radiotherapy
AsiDNAtrade IV
AsiDNAtrade IV + chemotherapy
AsiDNAtrade IV + PARPi
Beleodaqreg2
belinostat + platONtrade
Cutting-edge RampD pipeline with unique mechanisms of action in DDR
DRIIV -1b
DRIIV study in solid tumors
GENERATION OF DISRUPTIVE COMPOUNDS TARGETING DNA-BINDING FUNCTIONS
Epig
enet
ics
DN
A D
amag
e
Re
spo
nse
1 IT intratumoral ndash IV intravenous 2 Beleodaqreg commercial brand name of belinostat (IV form) in the US in rr PTCL3 4 PTCL Peripheral T-cell lymphoma ndash a rare form of blood cancer
4 Commercialized in the US by Onxeorsquos partner under a conditional market authorization from the FDA for the use of Beleodaqreg in the treatment of 2nd line PTCL
DRIIM study in metastatic melanoma
2nd line PTCL3 US4
Completed or ongoing Planned short-term Legend
DD
R
+ IO
Solid tumors
REVocan
6
AsiDNAtrade
Unique Decoy Agonist Mechanism of Action in DNA Damage Response
February 2020
AsiDNAtrade a first-in-class product in DNA Damage Response (DDR)
8
A purpose-designed cholesterol-oligonucleotide conjugate
5rsquo
3rsquo
3rsquo
5rsquo
Double-stranded 32 bp DNA is tethered with a loop to prevent disassociation1
Active 32 bp DNA duplex Cholesterol
Loop
1 Quanz M et al PLoS ONE 2009 4(7) doi 101371journalpone00062982 Berthault N et al Cancer Gene Therapy (2011) 1-12 doi 101038cgt20113
Tumoral and nuclear uptake of the DNA mediated via a covalently linked cholesterol molecule2Binding 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 toxicity issues of this class
February 2020
Patent Protection (Composition of
Matter on AsiDNAtrade amp related compounds)
until 2031
Extendable to 2036 with SPC amp PTE
Combinationpatents up to 2038
and more
IP
February 2020
AsiDNAtrade a differentiated product in the clinically-validated field of DDR
9Quanz M et al Clin Cancer Res 2009 151308-1316 2 Quanz M et al PLoS ONE 2009 4(7) doi 101371 journalpone0006298 3 Jdey W et al Oin Can Res 201622DOI 101158 1078-0432CCR-16-1193
DDR inhibition is clinically-validated in oncology (PARPi)
DecoyAgonist mechanism 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
February 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 Ongoing AsiDNAtrade stops resistance to PARPi
Abrogation of resistance to TKi Validated with EGFRi in multiple cell linesPrelim data confirming prolongation of EGFRiefficacy
In vitro data In vivo data
February 2020
Small Cell Lung Cancer PARPi sensitive
AsiDNAtrade leads to cancer cell death and does not induce resistance
11
NCI-H446
1st cycle 2nd cycle 3rd cycle 4th cycle0
20
40
60
80
100
120AsiDNA Talazoparib
Surv
ival (
NT)
Source Onxeo data on file
No surviving cells
Repeated treatment with AsiDNAtrade leads to sensitization to AsiDNAtrade and does not generate resistance
Emergence of Resistant cells
February 2020
AsiDNAtrade synergizes with PARPi in PARPi-resistant tumors
NT olaparib AsiDNAtrade AsiDNAtrade + olaparib
High responders 06 - 0 High responders 28 - 25 High responders 48 - 50 High responders 57 - 71
MDA-MB-231 (TNBC HR proficient tumor cells) xenograft in mice
Treatment Median Survival (days)
NT 39Olaparib 54AsiDNAtrade 61
AsiDNAtrade + olaparib 75
Vo
lum
e (
mm
3)
Time after treatment (days)
Source Onxeo data on file 12
AsiDNAtrade increases number of responders to PARPi and median survival
February 2020 13
UWB1289 (Ovarian cancer model ndash BRCA1--)
0 10 20 30 40 500
4times104
8times104
12times105
16times105
2times105
Nira
Nira+Asi at D34
Days post treatment
Cell
num
ber
Niraparib
AsiDNAtrade admin
Emergence of resistant cells
Cell death
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)
Source Onxeo data on file
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
AsiDNAtrade admin
Introduction at CA125 increase (REVocan study protocol ndash slide 22)
February 2020
AsiDNAtrade stops resistance to olaparib even if introduced only once resistance emerges (in vivo interim results)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
0 10 20 30 40 50 60
0
500
1000
1500NT
OLAPARIB 100mgKgPO
AsiDNA_10mg + OLAPARIB_100mg
Mean OLAPARIB 100mgKgPO
Mean AsiDNA + Olaparib
Days post-treatment
Tu
mo
r vo
lum
e (
mm
3)
AsiDNAtrade admin
MDAMB-436 TNBC HR deficient
14
February 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates EGFRi and ALKi resistant cells
AsiDNAtrade prevents resistance to TKi
15
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)
AsiDNAtrade
Clinical Development Plan
Positioning AsiDNAtrade to Address 1 Challenge in Oncology
Resistance
February 2020
Delivering the promises of AsiDNAtrade to patients
DRIIM Phase 1 in adv melanomaIT combo with radiotherapy
Excellent safety via IT
Signals of efficacy
DRIIV-1 Phase 1First IV administration in Solid tumors
Excellent safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Preliminary 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 Q2 2020
Phase 1b2 (IV)Non Small Cell Lung Cancer in combination w EGFRi
Proof of Concept Prevention of resistance to TKi
SHO
RT
MID
-TE
RM
ON
GO
ING
17
CO
MP
LETE
D
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
Developing disruptive therapies in the field of DNA Damage Response (DDR) to address unmet needs in oncology
4
NEXT KEY MILESTONES FUNDEDFinancial visibility to Q3 2020 supports strategic plan to deliver key near-term clinical milestones
STRONG MANAGEMENT amp OPERATIONAL TEAMA highly skilled team of 30 with capabilities to lead compounds from preclinical to proof-of-concept in man led by experienced management with demonstrated track record in product amp business development
DIFFERENTIATED SCIENCE IN DNA DAMAGE RESPONSEPlatONtrade proprietary chemistry platform of decoy oligonucleotides generatingnew 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 to best inflection points and monetizing these assets to generate revenues
LISTED EURONEXT Paris NASDAQ Copenhagen
EPA ONXEO
February 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
5
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
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
February 2020
Programs OPTIMIZATION PRECLINICAL PHASE I PHASE Ib PHASE II PHASE III MARKET
platONtrade Proprietary Platform of Decoy Oligonucleotides
OX401Next-gen PARPi + STING pathway activation
AsiDNAtrade IT + radiotherapy
AsiDNAtrade IV
AsiDNAtrade IV + chemotherapy
AsiDNAtrade IV + PARPi
Beleodaqreg2
belinostat + platONtrade
Cutting-edge RampD pipeline with unique mechanisms of action in DDR
DRIIV -1b
DRIIV study in solid tumors
GENERATION OF DISRUPTIVE COMPOUNDS TARGETING DNA-BINDING FUNCTIONS
Epig
enet
ics
DN
A D
amag
e
Re
spo
nse
1 IT intratumoral ndash IV intravenous 2 Beleodaqreg commercial brand name of belinostat (IV form) in the US in rr PTCL3 4 PTCL Peripheral T-cell lymphoma ndash a rare form of blood cancer
4 Commercialized in the US by Onxeorsquos partner under a conditional market authorization from the FDA for the use of Beleodaqreg in the treatment of 2nd line PTCL
DRIIM study in metastatic melanoma
2nd line PTCL3 US4
Completed or ongoing Planned short-term Legend
DD
R
+ IO
Solid tumors
REVocan
6
AsiDNAtrade
Unique Decoy Agonist Mechanism of Action in DNA Damage Response
February 2020
AsiDNAtrade a first-in-class product in DNA Damage Response (DDR)
8
A purpose-designed cholesterol-oligonucleotide conjugate
5rsquo
3rsquo
3rsquo
5rsquo
Double-stranded 32 bp DNA is tethered with a loop to prevent disassociation1
Active 32 bp DNA duplex Cholesterol
Loop
1 Quanz M et al PLoS ONE 2009 4(7) doi 101371journalpone00062982 Berthault N et al Cancer Gene Therapy (2011) 1-12 doi 101038cgt20113
Tumoral and nuclear uptake of the DNA mediated via a covalently linked cholesterol molecule2Binding 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 toxicity issues of this class
February 2020
Patent Protection (Composition of
Matter on AsiDNAtrade amp related compounds)
until 2031
Extendable to 2036 with SPC amp PTE
Combinationpatents up to 2038
and more
IP
February 2020
AsiDNAtrade a differentiated product in the clinically-validated field of DDR
9Quanz M et al Clin Cancer Res 2009 151308-1316 2 Quanz M et al PLoS ONE 2009 4(7) doi 101371 journalpone0006298 3 Jdey W et al Oin Can Res 201622DOI 101158 1078-0432CCR-16-1193
DDR inhibition is clinically-validated in oncology (PARPi)
DecoyAgonist mechanism 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
February 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 Ongoing AsiDNAtrade stops resistance to PARPi
Abrogation of resistance to TKi Validated with EGFRi in multiple cell linesPrelim data confirming prolongation of EGFRiefficacy
In vitro data In vivo data
February 2020
Small Cell Lung Cancer PARPi sensitive
AsiDNAtrade leads to cancer cell death and does not induce resistance
11
NCI-H446
1st cycle 2nd cycle 3rd cycle 4th cycle0
20
40
60
80
100
120AsiDNA Talazoparib
Surv
ival (
NT)
Source Onxeo data on file
No surviving cells
Repeated treatment with AsiDNAtrade leads to sensitization to AsiDNAtrade and does not generate resistance
Emergence of Resistant cells
February 2020
AsiDNAtrade synergizes with PARPi in PARPi-resistant tumors
NT olaparib AsiDNAtrade AsiDNAtrade + olaparib
High responders 06 - 0 High responders 28 - 25 High responders 48 - 50 High responders 57 - 71
MDA-MB-231 (TNBC HR proficient tumor cells) xenograft in mice
Treatment Median Survival (days)
NT 39Olaparib 54AsiDNAtrade 61
AsiDNAtrade + olaparib 75
Vo
lum
e (
mm
3)
Time after treatment (days)
Source Onxeo data on file 12
AsiDNAtrade increases number of responders to PARPi and median survival
February 2020 13
UWB1289 (Ovarian cancer model ndash BRCA1--)
0 10 20 30 40 500
4times104
8times104
12times105
16times105
2times105
Nira
Nira+Asi at D34
Days post treatment
Cell
num
ber
Niraparib
AsiDNAtrade admin
Emergence of resistant cells
Cell death
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)
Source Onxeo data on file
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
AsiDNAtrade admin
Introduction at CA125 increase (REVocan study protocol ndash slide 22)
February 2020
AsiDNAtrade stops resistance to olaparib even if introduced only once resistance emerges (in vivo interim results)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
0 10 20 30 40 50 60
0
500
1000
1500NT
OLAPARIB 100mgKgPO
AsiDNA_10mg + OLAPARIB_100mg
Mean OLAPARIB 100mgKgPO
Mean AsiDNA + Olaparib
Days post-treatment
Tu
mo
r vo
lum
e (
mm
3)
AsiDNAtrade admin
MDAMB-436 TNBC HR deficient
14
February 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates EGFRi and ALKi resistant cells
AsiDNAtrade prevents resistance to TKi
15
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)
AsiDNAtrade
Clinical Development Plan
Positioning AsiDNAtrade to Address 1 Challenge in Oncology
Resistance
February 2020
Delivering the promises of AsiDNAtrade to patients
DRIIM Phase 1 in adv melanomaIT combo with radiotherapy
Excellent safety via IT
Signals of efficacy
DRIIV-1 Phase 1First IV administration in Solid tumors
Excellent safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Preliminary 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 Q2 2020
Phase 1b2 (IV)Non Small Cell Lung Cancer in combination w EGFRi
Proof of Concept Prevention of resistance to TKi
SHO
RT
MID
-TE
RM
ON
GO
ING
17
CO
MP
LETE
D
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 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
5
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
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
February 2020
Programs OPTIMIZATION PRECLINICAL PHASE I PHASE Ib PHASE II PHASE III MARKET
platONtrade Proprietary Platform of Decoy Oligonucleotides
OX401Next-gen PARPi + STING pathway activation
AsiDNAtrade IT + radiotherapy
AsiDNAtrade IV
AsiDNAtrade IV + chemotherapy
AsiDNAtrade IV + PARPi
Beleodaqreg2
belinostat + platONtrade
Cutting-edge RampD pipeline with unique mechanisms of action in DDR
DRIIV -1b
DRIIV study in solid tumors
GENERATION OF DISRUPTIVE COMPOUNDS TARGETING DNA-BINDING FUNCTIONS
Epig
enet
ics
DN
A D
amag
e
Re
spo
nse
1 IT intratumoral ndash IV intravenous 2 Beleodaqreg commercial brand name of belinostat (IV form) in the US in rr PTCL3 4 PTCL Peripheral T-cell lymphoma ndash a rare form of blood cancer
4 Commercialized in the US by Onxeorsquos partner under a conditional market authorization from the FDA for the use of Beleodaqreg in the treatment of 2nd line PTCL
DRIIM study in metastatic melanoma
2nd line PTCL3 US4
Completed or ongoing Planned short-term Legend
DD
R
+ IO
Solid tumors
REVocan
6
AsiDNAtrade
Unique Decoy Agonist Mechanism of Action in DNA Damage Response
February 2020
AsiDNAtrade a first-in-class product in DNA Damage Response (DDR)
8
A purpose-designed cholesterol-oligonucleotide conjugate
5rsquo
3rsquo
3rsquo
5rsquo
Double-stranded 32 bp DNA is tethered with a loop to prevent disassociation1
Active 32 bp DNA duplex Cholesterol
Loop
1 Quanz M et al PLoS ONE 2009 4(7) doi 101371journalpone00062982 Berthault N et al Cancer Gene Therapy (2011) 1-12 doi 101038cgt20113
Tumoral and nuclear uptake of the DNA mediated via a covalently linked cholesterol molecule2Binding 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 toxicity issues of this class
February 2020
Patent Protection (Composition of
Matter on AsiDNAtrade amp related compounds)
until 2031
Extendable to 2036 with SPC amp PTE
Combinationpatents up to 2038
and more
IP
February 2020
AsiDNAtrade a differentiated product in the clinically-validated field of DDR
9Quanz M et al Clin Cancer Res 2009 151308-1316 2 Quanz M et al PLoS ONE 2009 4(7) doi 101371 journalpone0006298 3 Jdey W et al Oin Can Res 201622DOI 101158 1078-0432CCR-16-1193
DDR inhibition is clinically-validated in oncology (PARPi)
DecoyAgonist mechanism 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
February 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 Ongoing AsiDNAtrade stops resistance to PARPi
Abrogation of resistance to TKi Validated with EGFRi in multiple cell linesPrelim data confirming prolongation of EGFRiefficacy
In vitro data In vivo data
February 2020
Small Cell Lung Cancer PARPi sensitive
AsiDNAtrade leads to cancer cell death and does not induce resistance
11
NCI-H446
1st cycle 2nd cycle 3rd cycle 4th cycle0
20
40
60
80
100
120AsiDNA Talazoparib
Surv
ival (
NT)
Source Onxeo data on file
No surviving cells
Repeated treatment with AsiDNAtrade leads to sensitization to AsiDNAtrade and does not generate resistance
Emergence of Resistant cells
February 2020
AsiDNAtrade synergizes with PARPi in PARPi-resistant tumors
NT olaparib AsiDNAtrade AsiDNAtrade + olaparib
High responders 06 - 0 High responders 28 - 25 High responders 48 - 50 High responders 57 - 71
MDA-MB-231 (TNBC HR proficient tumor cells) xenograft in mice
Treatment Median Survival (days)
NT 39Olaparib 54AsiDNAtrade 61
AsiDNAtrade + olaparib 75
Vo
lum
e (
mm
3)
Time after treatment (days)
Source Onxeo data on file 12
AsiDNAtrade increases number of responders to PARPi and median survival
February 2020 13
UWB1289 (Ovarian cancer model ndash BRCA1--)
0 10 20 30 40 500
4times104
8times104
12times105
16times105
2times105
Nira
Nira+Asi at D34
Days post treatment
Cell
num
ber
Niraparib
AsiDNAtrade admin
Emergence of resistant cells
Cell death
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)
Source Onxeo data on file
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
AsiDNAtrade admin
Introduction at CA125 increase (REVocan study protocol ndash slide 22)
February 2020
AsiDNAtrade stops resistance to olaparib even if introduced only once resistance emerges (in vivo interim results)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
0 10 20 30 40 50 60
0
500
1000
1500NT
OLAPARIB 100mgKgPO
AsiDNA_10mg + OLAPARIB_100mg
Mean OLAPARIB 100mgKgPO
Mean AsiDNA + Olaparib
Days post-treatment
Tu
mo
r vo
lum
e (
mm
3)
AsiDNAtrade admin
MDAMB-436 TNBC HR deficient
14
February 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates EGFRi and ALKi resistant cells
AsiDNAtrade prevents resistance to TKi
15
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)
AsiDNAtrade
Clinical Development Plan
Positioning AsiDNAtrade to Address 1 Challenge in Oncology
Resistance
February 2020
Delivering the promises of AsiDNAtrade to patients
DRIIM Phase 1 in adv melanomaIT combo with radiotherapy
Excellent safety via IT
Signals of efficacy
DRIIV-1 Phase 1First IV administration in Solid tumors
Excellent safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Preliminary 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 Q2 2020
Phase 1b2 (IV)Non Small Cell Lung Cancer in combination w EGFRi
Proof of Concept Prevention of resistance to TKi
SHO
RT
MID
-TE
RM
ON
GO
ING
17
CO
MP
LETE
D
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
Programs OPTIMIZATION PRECLINICAL PHASE I PHASE Ib PHASE II PHASE III MARKET
platONtrade Proprietary Platform of Decoy Oligonucleotides
OX401Next-gen PARPi + STING pathway activation
AsiDNAtrade IT + radiotherapy
AsiDNAtrade IV
AsiDNAtrade IV + chemotherapy
AsiDNAtrade IV + PARPi
Beleodaqreg2
belinostat + platONtrade
Cutting-edge RampD pipeline with unique mechanisms of action in DDR
DRIIV -1b
DRIIV study in solid tumors
GENERATION OF DISRUPTIVE COMPOUNDS TARGETING DNA-BINDING FUNCTIONS
Epig
enet
ics
DN
A D
amag
e
Re
spo
nse
1 IT intratumoral ndash IV intravenous 2 Beleodaqreg commercial brand name of belinostat (IV form) in the US in rr PTCL3 4 PTCL Peripheral T-cell lymphoma ndash a rare form of blood cancer
4 Commercialized in the US by Onxeorsquos partner under a conditional market authorization from the FDA for the use of Beleodaqreg in the treatment of 2nd line PTCL
DRIIM study in metastatic melanoma
2nd line PTCL3 US4
Completed or ongoing Planned short-term Legend
DD
R
+ IO
Solid tumors
REVocan
6
AsiDNAtrade
Unique Decoy Agonist Mechanism of Action in DNA Damage Response
February 2020
AsiDNAtrade a first-in-class product in DNA Damage Response (DDR)
8
A purpose-designed cholesterol-oligonucleotide conjugate
5rsquo
3rsquo
3rsquo
5rsquo
Double-stranded 32 bp DNA is tethered with a loop to prevent disassociation1
Active 32 bp DNA duplex Cholesterol
Loop
1 Quanz M et al PLoS ONE 2009 4(7) doi 101371journalpone00062982 Berthault N et al Cancer Gene Therapy (2011) 1-12 doi 101038cgt20113
Tumoral and nuclear uptake of the DNA mediated via a covalently linked cholesterol molecule2Binding 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 toxicity issues of this class
February 2020
Patent Protection (Composition of
Matter on AsiDNAtrade amp related compounds)
until 2031
Extendable to 2036 with SPC amp PTE
Combinationpatents up to 2038
and more
IP
February 2020
AsiDNAtrade a differentiated product in the clinically-validated field of DDR
9Quanz M et al Clin Cancer Res 2009 151308-1316 2 Quanz M et al PLoS ONE 2009 4(7) doi 101371 journalpone0006298 3 Jdey W et al Oin Can Res 201622DOI 101158 1078-0432CCR-16-1193
DDR inhibition is clinically-validated in oncology (PARPi)
DecoyAgonist mechanism 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
February 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 Ongoing AsiDNAtrade stops resistance to PARPi
Abrogation of resistance to TKi Validated with EGFRi in multiple cell linesPrelim data confirming prolongation of EGFRiefficacy
In vitro data In vivo data
February 2020
Small Cell Lung Cancer PARPi sensitive
AsiDNAtrade leads to cancer cell death and does not induce resistance
11
NCI-H446
1st cycle 2nd cycle 3rd cycle 4th cycle0
20
40
60
80
100
120AsiDNA Talazoparib
Surv
ival (
NT)
Source Onxeo data on file
No surviving cells
Repeated treatment with AsiDNAtrade leads to sensitization to AsiDNAtrade and does not generate resistance
Emergence of Resistant cells
February 2020
AsiDNAtrade synergizes with PARPi in PARPi-resistant tumors
NT olaparib AsiDNAtrade AsiDNAtrade + olaparib
High responders 06 - 0 High responders 28 - 25 High responders 48 - 50 High responders 57 - 71
MDA-MB-231 (TNBC HR proficient tumor cells) xenograft in mice
Treatment Median Survival (days)
NT 39Olaparib 54AsiDNAtrade 61
AsiDNAtrade + olaparib 75
Vo
lum
e (
mm
3)
Time after treatment (days)
Source Onxeo data on file 12
AsiDNAtrade increases number of responders to PARPi and median survival
February 2020 13
UWB1289 (Ovarian cancer model ndash BRCA1--)
0 10 20 30 40 500
4times104
8times104
12times105
16times105
2times105
Nira
Nira+Asi at D34
Days post treatment
Cell
num
ber
Niraparib
AsiDNAtrade admin
Emergence of resistant cells
Cell death
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)
Source Onxeo data on file
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
AsiDNAtrade admin
Introduction at CA125 increase (REVocan study protocol ndash slide 22)
February 2020
AsiDNAtrade stops resistance to olaparib even if introduced only once resistance emerges (in vivo interim results)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
0 10 20 30 40 50 60
0
500
1000
1500NT
OLAPARIB 100mgKgPO
AsiDNA_10mg + OLAPARIB_100mg
Mean OLAPARIB 100mgKgPO
Mean AsiDNA + Olaparib
Days post-treatment
Tu
mo
r vo
lum
e (
mm
3)
AsiDNAtrade admin
MDAMB-436 TNBC HR deficient
14
February 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates EGFRi and ALKi resistant cells
AsiDNAtrade prevents resistance to TKi
15
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)
AsiDNAtrade
Clinical Development Plan
Positioning AsiDNAtrade to Address 1 Challenge in Oncology
Resistance
February 2020
Delivering the promises of AsiDNAtrade to patients
DRIIM Phase 1 in adv melanomaIT combo with radiotherapy
Excellent safety via IT
Signals of efficacy
DRIIV-1 Phase 1First IV administration in Solid tumors
Excellent safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Preliminary 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 Q2 2020
Phase 1b2 (IV)Non Small Cell Lung Cancer in combination w EGFRi
Proof of Concept Prevention of resistance to TKi
SHO
RT
MID
-TE
RM
ON
GO
ING
17
CO
MP
LETE
D
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
AsiDNAtrade
Unique Decoy Agonist Mechanism of Action in DNA Damage Response
February 2020
AsiDNAtrade a first-in-class product in DNA Damage Response (DDR)
8
A purpose-designed cholesterol-oligonucleotide conjugate
5rsquo
3rsquo
3rsquo
5rsquo
Double-stranded 32 bp DNA is tethered with a loop to prevent disassociation1
Active 32 bp DNA duplex Cholesterol
Loop
1 Quanz M et al PLoS ONE 2009 4(7) doi 101371journalpone00062982 Berthault N et al Cancer Gene Therapy (2011) 1-12 doi 101038cgt20113
Tumoral and nuclear uptake of the DNA mediated via a covalently linked cholesterol molecule2Binding 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 toxicity issues of this class
February 2020
Patent Protection (Composition of
Matter on AsiDNAtrade amp related compounds)
until 2031
Extendable to 2036 with SPC amp PTE
Combinationpatents up to 2038
and more
IP
February 2020
AsiDNAtrade a differentiated product in the clinically-validated field of DDR
9Quanz M et al Clin Cancer Res 2009 151308-1316 2 Quanz M et al PLoS ONE 2009 4(7) doi 101371 journalpone0006298 3 Jdey W et al Oin Can Res 201622DOI 101158 1078-0432CCR-16-1193
DDR inhibition is clinically-validated in oncology (PARPi)
DecoyAgonist mechanism 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
February 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 Ongoing AsiDNAtrade stops resistance to PARPi
Abrogation of resistance to TKi Validated with EGFRi in multiple cell linesPrelim data confirming prolongation of EGFRiefficacy
In vitro data In vivo data
February 2020
Small Cell Lung Cancer PARPi sensitive
AsiDNAtrade leads to cancer cell death and does not induce resistance
11
NCI-H446
1st cycle 2nd cycle 3rd cycle 4th cycle0
20
40
60
80
100
120AsiDNA Talazoparib
Surv
ival (
NT)
Source Onxeo data on file
No surviving cells
Repeated treatment with AsiDNAtrade leads to sensitization to AsiDNAtrade and does not generate resistance
Emergence of Resistant cells
February 2020
AsiDNAtrade synergizes with PARPi in PARPi-resistant tumors
NT olaparib AsiDNAtrade AsiDNAtrade + olaparib
High responders 06 - 0 High responders 28 - 25 High responders 48 - 50 High responders 57 - 71
MDA-MB-231 (TNBC HR proficient tumor cells) xenograft in mice
Treatment Median Survival (days)
NT 39Olaparib 54AsiDNAtrade 61
AsiDNAtrade + olaparib 75
Vo
lum
e (
mm
3)
Time after treatment (days)
Source Onxeo data on file 12
AsiDNAtrade increases number of responders to PARPi and median survival
February 2020 13
UWB1289 (Ovarian cancer model ndash BRCA1--)
0 10 20 30 40 500
4times104
8times104
12times105
16times105
2times105
Nira
Nira+Asi at D34
Days post treatment
Cell
num
ber
Niraparib
AsiDNAtrade admin
Emergence of resistant cells
Cell death
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)
Source Onxeo data on file
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
AsiDNAtrade admin
Introduction at CA125 increase (REVocan study protocol ndash slide 22)
February 2020
AsiDNAtrade stops resistance to olaparib even if introduced only once resistance emerges (in vivo interim results)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
0 10 20 30 40 50 60
0
500
1000
1500NT
OLAPARIB 100mgKgPO
AsiDNA_10mg + OLAPARIB_100mg
Mean OLAPARIB 100mgKgPO
Mean AsiDNA + Olaparib
Days post-treatment
Tu
mo
r vo
lum
e (
mm
3)
AsiDNAtrade admin
MDAMB-436 TNBC HR deficient
14
February 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates EGFRi and ALKi resistant cells
AsiDNAtrade prevents resistance to TKi
15
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)
AsiDNAtrade
Clinical Development Plan
Positioning AsiDNAtrade to Address 1 Challenge in Oncology
Resistance
February 2020
Delivering the promises of AsiDNAtrade to patients
DRIIM Phase 1 in adv melanomaIT combo with radiotherapy
Excellent safety via IT
Signals of efficacy
DRIIV-1 Phase 1First IV administration in Solid tumors
Excellent safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Preliminary 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 Q2 2020
Phase 1b2 (IV)Non Small Cell Lung Cancer in combination w EGFRi
Proof of Concept Prevention of resistance to TKi
SHO
RT
MID
-TE
RM
ON
GO
ING
17
CO
MP
LETE
D
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
AsiDNAtrade a first-in-class product in DNA Damage Response (DDR)
8
A purpose-designed cholesterol-oligonucleotide conjugate
5rsquo
3rsquo
3rsquo
5rsquo
Double-stranded 32 bp DNA is tethered with a loop to prevent disassociation1
Active 32 bp DNA duplex Cholesterol
Loop
1 Quanz M et al PLoS ONE 2009 4(7) doi 101371journalpone00062982 Berthault N et al Cancer Gene Therapy (2011) 1-12 doi 101038cgt20113
Tumoral and nuclear uptake of the DNA mediated via a covalently linked cholesterol molecule2Binding 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 toxicity issues of this class
February 2020
Patent Protection (Composition of
Matter on AsiDNAtrade amp related compounds)
until 2031
Extendable to 2036 with SPC amp PTE
Combinationpatents up to 2038
and more
IP
February 2020
AsiDNAtrade a differentiated product in the clinically-validated field of DDR
9Quanz M et al Clin Cancer Res 2009 151308-1316 2 Quanz M et al PLoS ONE 2009 4(7) doi 101371 journalpone0006298 3 Jdey W et al Oin Can Res 201622DOI 101158 1078-0432CCR-16-1193
DDR inhibition is clinically-validated in oncology (PARPi)
DecoyAgonist mechanism 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
February 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 Ongoing AsiDNAtrade stops resistance to PARPi
Abrogation of resistance to TKi Validated with EGFRi in multiple cell linesPrelim data confirming prolongation of EGFRiefficacy
In vitro data In vivo data
February 2020
Small Cell Lung Cancer PARPi sensitive
AsiDNAtrade leads to cancer cell death and does not induce resistance
11
NCI-H446
1st cycle 2nd cycle 3rd cycle 4th cycle0
20
40
60
80
100
120AsiDNA Talazoparib
Surv
ival (
NT)
Source Onxeo data on file
No surviving cells
Repeated treatment with AsiDNAtrade leads to sensitization to AsiDNAtrade and does not generate resistance
Emergence of Resistant cells
February 2020
AsiDNAtrade synergizes with PARPi in PARPi-resistant tumors
NT olaparib AsiDNAtrade AsiDNAtrade + olaparib
High responders 06 - 0 High responders 28 - 25 High responders 48 - 50 High responders 57 - 71
MDA-MB-231 (TNBC HR proficient tumor cells) xenograft in mice
Treatment Median Survival (days)
NT 39Olaparib 54AsiDNAtrade 61
AsiDNAtrade + olaparib 75
Vo
lum
e (
mm
3)
Time after treatment (days)
Source Onxeo data on file 12
AsiDNAtrade increases number of responders to PARPi and median survival
February 2020 13
UWB1289 (Ovarian cancer model ndash BRCA1--)
0 10 20 30 40 500
4times104
8times104
12times105
16times105
2times105
Nira
Nira+Asi at D34
Days post treatment
Cell
num
ber
Niraparib
AsiDNAtrade admin
Emergence of resistant cells
Cell death
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)
Source Onxeo data on file
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
AsiDNAtrade admin
Introduction at CA125 increase (REVocan study protocol ndash slide 22)
February 2020
AsiDNAtrade stops resistance to olaparib even if introduced only once resistance emerges (in vivo interim results)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
0 10 20 30 40 50 60
0
500
1000
1500NT
OLAPARIB 100mgKgPO
AsiDNA_10mg + OLAPARIB_100mg
Mean OLAPARIB 100mgKgPO
Mean AsiDNA + Olaparib
Days post-treatment
Tu
mo
r vo
lum
e (
mm
3)
AsiDNAtrade admin
MDAMB-436 TNBC HR deficient
14
February 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates EGFRi and ALKi resistant cells
AsiDNAtrade prevents resistance to TKi
15
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)
AsiDNAtrade
Clinical Development Plan
Positioning AsiDNAtrade to Address 1 Challenge in Oncology
Resistance
February 2020
Delivering the promises of AsiDNAtrade to patients
DRIIM Phase 1 in adv melanomaIT combo with radiotherapy
Excellent safety via IT
Signals of efficacy
DRIIV-1 Phase 1First IV administration in Solid tumors
Excellent safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Preliminary 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 Q2 2020
Phase 1b2 (IV)Non Small Cell Lung Cancer in combination w EGFRi
Proof of Concept Prevention of resistance to TKi
SHO
RT
MID
-TE
RM
ON
GO
ING
17
CO
MP
LETE
D
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
AsiDNAtrade a differentiated product in the clinically-validated field of DDR
9Quanz M et al Clin Cancer Res 2009 151308-1316 2 Quanz M et al PLoS ONE 2009 4(7) doi 101371 journalpone0006298 3 Jdey W et al Oin Can Res 201622DOI 101158 1078-0432CCR-16-1193
DDR inhibition is clinically-validated in oncology (PARPi)
DecoyAgonist mechanism 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
February 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 Ongoing AsiDNAtrade stops resistance to PARPi
Abrogation of resistance to TKi Validated with EGFRi in multiple cell linesPrelim data confirming prolongation of EGFRiefficacy
In vitro data In vivo data
February 2020
Small Cell Lung Cancer PARPi sensitive
AsiDNAtrade leads to cancer cell death and does not induce resistance
11
NCI-H446
1st cycle 2nd cycle 3rd cycle 4th cycle0
20
40
60
80
100
120AsiDNA Talazoparib
Surv
ival (
NT)
Source Onxeo data on file
No surviving cells
Repeated treatment with AsiDNAtrade leads to sensitization to AsiDNAtrade and does not generate resistance
Emergence of Resistant cells
February 2020
AsiDNAtrade synergizes with PARPi in PARPi-resistant tumors
NT olaparib AsiDNAtrade AsiDNAtrade + olaparib
High responders 06 - 0 High responders 28 - 25 High responders 48 - 50 High responders 57 - 71
MDA-MB-231 (TNBC HR proficient tumor cells) xenograft in mice
Treatment Median Survival (days)
NT 39Olaparib 54AsiDNAtrade 61
AsiDNAtrade + olaparib 75
Vo
lum
e (
mm
3)
Time after treatment (days)
Source Onxeo data on file 12
AsiDNAtrade increases number of responders to PARPi and median survival
February 2020 13
UWB1289 (Ovarian cancer model ndash BRCA1--)
0 10 20 30 40 500
4times104
8times104
12times105
16times105
2times105
Nira
Nira+Asi at D34
Days post treatment
Cell
num
ber
Niraparib
AsiDNAtrade admin
Emergence of resistant cells
Cell death
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)
Source Onxeo data on file
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
AsiDNAtrade admin
Introduction at CA125 increase (REVocan study protocol ndash slide 22)
February 2020
AsiDNAtrade stops resistance to olaparib even if introduced only once resistance emerges (in vivo interim results)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
0 10 20 30 40 50 60
0
500
1000
1500NT
OLAPARIB 100mgKgPO
AsiDNA_10mg + OLAPARIB_100mg
Mean OLAPARIB 100mgKgPO
Mean AsiDNA + Olaparib
Days post-treatment
Tu
mo
r vo
lum
e (
mm
3)
AsiDNAtrade admin
MDAMB-436 TNBC HR deficient
14
February 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates EGFRi and ALKi resistant cells
AsiDNAtrade prevents resistance to TKi
15
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)
AsiDNAtrade
Clinical Development Plan
Positioning AsiDNAtrade to Address 1 Challenge in Oncology
Resistance
February 2020
Delivering the promises of AsiDNAtrade to patients
DRIIM Phase 1 in adv melanomaIT combo with radiotherapy
Excellent safety via IT
Signals of efficacy
DRIIV-1 Phase 1First IV administration in Solid tumors
Excellent safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Preliminary 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 Q2 2020
Phase 1b2 (IV)Non Small Cell Lung Cancer in combination w EGFRi
Proof of Concept Prevention of resistance to TKi
SHO
RT
MID
-TE
RM
ON
GO
ING
17
CO
MP
LETE
D
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 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 Ongoing AsiDNAtrade stops resistance to PARPi
Abrogation of resistance to TKi Validated with EGFRi in multiple cell linesPrelim data confirming prolongation of EGFRiefficacy
In vitro data In vivo data
February 2020
Small Cell Lung Cancer PARPi sensitive
AsiDNAtrade leads to cancer cell death and does not induce resistance
11
NCI-H446
1st cycle 2nd cycle 3rd cycle 4th cycle0
20
40
60
80
100
120AsiDNA Talazoparib
Surv
ival (
NT)
Source Onxeo data on file
No surviving cells
Repeated treatment with AsiDNAtrade leads to sensitization to AsiDNAtrade and does not generate resistance
Emergence of Resistant cells
February 2020
AsiDNAtrade synergizes with PARPi in PARPi-resistant tumors
NT olaparib AsiDNAtrade AsiDNAtrade + olaparib
High responders 06 - 0 High responders 28 - 25 High responders 48 - 50 High responders 57 - 71
MDA-MB-231 (TNBC HR proficient tumor cells) xenograft in mice
Treatment Median Survival (days)
NT 39Olaparib 54AsiDNAtrade 61
AsiDNAtrade + olaparib 75
Vo
lum
e (
mm
3)
Time after treatment (days)
Source Onxeo data on file 12
AsiDNAtrade increases number of responders to PARPi and median survival
February 2020 13
UWB1289 (Ovarian cancer model ndash BRCA1--)
0 10 20 30 40 500
4times104
8times104
12times105
16times105
2times105
Nira
Nira+Asi at D34
Days post treatment
Cell
num
ber
Niraparib
AsiDNAtrade admin
Emergence of resistant cells
Cell death
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)
Source Onxeo data on file
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
AsiDNAtrade admin
Introduction at CA125 increase (REVocan study protocol ndash slide 22)
February 2020
AsiDNAtrade stops resistance to olaparib even if introduced only once resistance emerges (in vivo interim results)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
0 10 20 30 40 50 60
0
500
1000
1500NT
OLAPARIB 100mgKgPO
AsiDNA_10mg + OLAPARIB_100mg
Mean OLAPARIB 100mgKgPO
Mean AsiDNA + Olaparib
Days post-treatment
Tu
mo
r vo
lum
e (
mm
3)
AsiDNAtrade admin
MDAMB-436 TNBC HR deficient
14
February 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates EGFRi and ALKi resistant cells
AsiDNAtrade prevents resistance to TKi
15
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)
AsiDNAtrade
Clinical Development Plan
Positioning AsiDNAtrade to Address 1 Challenge in Oncology
Resistance
February 2020
Delivering the promises of AsiDNAtrade to patients
DRIIM Phase 1 in adv melanomaIT combo with radiotherapy
Excellent safety via IT
Signals of efficacy
DRIIV-1 Phase 1First IV administration in Solid tumors
Excellent safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Preliminary 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 Q2 2020
Phase 1b2 (IV)Non Small Cell Lung Cancer in combination w EGFRi
Proof of Concept Prevention of resistance to TKi
SHO
RT
MID
-TE
RM
ON
GO
ING
17
CO
MP
LETE
D
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
Small Cell Lung Cancer PARPi sensitive
AsiDNAtrade leads to cancer cell death and does not induce resistance
11
NCI-H446
1st cycle 2nd cycle 3rd cycle 4th cycle0
20
40
60
80
100
120AsiDNA Talazoparib
Surv
ival (
NT)
Source Onxeo data on file
No surviving cells
Repeated treatment with AsiDNAtrade leads to sensitization to AsiDNAtrade and does not generate resistance
Emergence of Resistant cells
February 2020
AsiDNAtrade synergizes with PARPi in PARPi-resistant tumors
NT olaparib AsiDNAtrade AsiDNAtrade + olaparib
High responders 06 - 0 High responders 28 - 25 High responders 48 - 50 High responders 57 - 71
MDA-MB-231 (TNBC HR proficient tumor cells) xenograft in mice
Treatment Median Survival (days)
NT 39Olaparib 54AsiDNAtrade 61
AsiDNAtrade + olaparib 75
Vo
lum
e (
mm
3)
Time after treatment (days)
Source Onxeo data on file 12
AsiDNAtrade increases number of responders to PARPi and median survival
February 2020 13
UWB1289 (Ovarian cancer model ndash BRCA1--)
0 10 20 30 40 500
4times104
8times104
12times105
16times105
2times105
Nira
Nira+Asi at D34
Days post treatment
Cell
num
ber
Niraparib
AsiDNAtrade admin
Emergence of resistant cells
Cell death
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)
Source Onxeo data on file
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
AsiDNAtrade admin
Introduction at CA125 increase (REVocan study protocol ndash slide 22)
February 2020
AsiDNAtrade stops resistance to olaparib even if introduced only once resistance emerges (in vivo interim results)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
0 10 20 30 40 50 60
0
500
1000
1500NT
OLAPARIB 100mgKgPO
AsiDNA_10mg + OLAPARIB_100mg
Mean OLAPARIB 100mgKgPO
Mean AsiDNA + Olaparib
Days post-treatment
Tu
mo
r vo
lum
e (
mm
3)
AsiDNAtrade admin
MDAMB-436 TNBC HR deficient
14
February 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates EGFRi and ALKi resistant cells
AsiDNAtrade prevents resistance to TKi
15
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)
AsiDNAtrade
Clinical Development Plan
Positioning AsiDNAtrade to Address 1 Challenge in Oncology
Resistance
February 2020
Delivering the promises of AsiDNAtrade to patients
DRIIM Phase 1 in adv melanomaIT combo with radiotherapy
Excellent safety via IT
Signals of efficacy
DRIIV-1 Phase 1First IV administration in Solid tumors
Excellent safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Preliminary 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 Q2 2020
Phase 1b2 (IV)Non Small Cell Lung Cancer in combination w EGFRi
Proof of Concept Prevention of resistance to TKi
SHO
RT
MID
-TE
RM
ON
GO
ING
17
CO
MP
LETE
D
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
AsiDNAtrade synergizes with PARPi in PARPi-resistant tumors
NT olaparib AsiDNAtrade AsiDNAtrade + olaparib
High responders 06 - 0 High responders 28 - 25 High responders 48 - 50 High responders 57 - 71
MDA-MB-231 (TNBC HR proficient tumor cells) xenograft in mice
Treatment Median Survival (days)
NT 39Olaparib 54AsiDNAtrade 61
AsiDNAtrade + olaparib 75
Vo
lum
e (
mm
3)
Time after treatment (days)
Source Onxeo data on file 12
AsiDNAtrade increases number of responders to PARPi and median survival
February 2020 13
UWB1289 (Ovarian cancer model ndash BRCA1--)
0 10 20 30 40 500
4times104
8times104
12times105
16times105
2times105
Nira
Nira+Asi at D34
Days post treatment
Cell
num
ber
Niraparib
AsiDNAtrade admin
Emergence of resistant cells
Cell death
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)
Source Onxeo data on file
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
AsiDNAtrade admin
Introduction at CA125 increase (REVocan study protocol ndash slide 22)
February 2020
AsiDNAtrade stops resistance to olaparib even if introduced only once resistance emerges (in vivo interim results)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
0 10 20 30 40 50 60
0
500
1000
1500NT
OLAPARIB 100mgKgPO
AsiDNA_10mg + OLAPARIB_100mg
Mean OLAPARIB 100mgKgPO
Mean AsiDNA + Olaparib
Days post-treatment
Tu
mo
r vo
lum
e (
mm
3)
AsiDNAtrade admin
MDAMB-436 TNBC HR deficient
14
February 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates EGFRi and ALKi resistant cells
AsiDNAtrade prevents resistance to TKi
15
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)
AsiDNAtrade
Clinical Development Plan
Positioning AsiDNAtrade to Address 1 Challenge in Oncology
Resistance
February 2020
Delivering the promises of AsiDNAtrade to patients
DRIIM Phase 1 in adv melanomaIT combo with radiotherapy
Excellent safety via IT
Signals of efficacy
DRIIV-1 Phase 1First IV administration in Solid tumors
Excellent safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Preliminary 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 Q2 2020
Phase 1b2 (IV)Non Small Cell Lung Cancer in combination w EGFRi
Proof of Concept Prevention of resistance to TKi
SHO
RT
MID
-TE
RM
ON
GO
ING
17
CO
MP
LETE
D
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020 13
UWB1289 (Ovarian cancer model ndash BRCA1--)
0 10 20 30 40 500
4times104
8times104
12times105
16times105
2times105
Nira
Nira+Asi at D34
Days post treatment
Cell
num
ber
Niraparib
AsiDNAtrade admin
Emergence of resistant cells
Cell death
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)
Source Onxeo data on file
D17
D24
D31
D40
D17
D24
D31
D40
0
5
10
15
20
30
60
90
120
150
CA
12
5
(pgm
l)
AsiDNAtrade admin
Introduction at CA125 increase (REVocan study protocol ndash slide 22)
February 2020
AsiDNAtrade stops resistance to olaparib even if introduced only once resistance emerges (in vivo interim results)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
0 10 20 30 40 50 60
0
500
1000
1500NT
OLAPARIB 100mgKgPO
AsiDNA_10mg + OLAPARIB_100mg
Mean OLAPARIB 100mgKgPO
Mean AsiDNA + Olaparib
Days post-treatment
Tu
mo
r vo
lum
e (
mm
3)
AsiDNAtrade admin
MDAMB-436 TNBC HR deficient
14
February 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates EGFRi and ALKi resistant cells
AsiDNAtrade prevents resistance to TKi
15
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)
AsiDNAtrade
Clinical Development Plan
Positioning AsiDNAtrade to Address 1 Challenge in Oncology
Resistance
February 2020
Delivering the promises of AsiDNAtrade to patients
DRIIM Phase 1 in adv melanomaIT combo with radiotherapy
Excellent safety via IT
Signals of efficacy
DRIIV-1 Phase 1First IV administration in Solid tumors
Excellent safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Preliminary 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 Q2 2020
Phase 1b2 (IV)Non Small Cell Lung Cancer in combination w EGFRi
Proof of Concept Prevention of resistance to TKi
SHO
RT
MID
-TE
RM
ON
GO
ING
17
CO
MP
LETE
D
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
AsiDNAtrade stops resistance to olaparib even if introduced only once resistance emerges (in vivo interim results)
AsiDNAtrade abrogates acquired resistance to PARP inhibitors
0 10 20 30 40 50 60
0
500
1000
1500NT
OLAPARIB 100mgKgPO
AsiDNA_10mg + OLAPARIB_100mg
Mean OLAPARIB 100mgKgPO
Mean AsiDNA + Olaparib
Days post-treatment
Tu
mo
r vo
lum
e (
mm
3)
AsiDNAtrade admin
MDAMB-436 TNBC HR deficient
14
February 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates EGFRi and ALKi resistant cells
AsiDNAtrade prevents resistance to TKi
15
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)
AsiDNAtrade
Clinical Development Plan
Positioning AsiDNAtrade to Address 1 Challenge in Oncology
Resistance
February 2020
Delivering the promises of AsiDNAtrade to patients
DRIIM Phase 1 in adv melanomaIT combo with radiotherapy
Excellent safety via IT
Signals of efficacy
DRIIV-1 Phase 1First IV administration in Solid tumors
Excellent safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Preliminary 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 Q2 2020
Phase 1b2 (IV)Non Small Cell Lung Cancer in combination w EGFRi
Proof of Concept Prevention of resistance to TKi
SHO
RT
MID
-TE
RM
ON
GO
ING
17
CO
MP
LETE
D
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
Non Small Cell Lung Cancer model ndash anti-EGFR sensitive
AsiDNAtrade eradicates EGFRi and ALKi resistant cells
AsiDNAtrade prevents resistance to TKi
15
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)
AsiDNAtrade
Clinical Development Plan
Positioning AsiDNAtrade to Address 1 Challenge in Oncology
Resistance
February 2020
Delivering the promises of AsiDNAtrade to patients
DRIIM Phase 1 in adv melanomaIT combo with radiotherapy
Excellent safety via IT
Signals of efficacy
DRIIV-1 Phase 1First IV administration in Solid tumors
Excellent safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Preliminary 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 Q2 2020
Phase 1b2 (IV)Non Small Cell Lung Cancer in combination w EGFRi
Proof of Concept Prevention of resistance to TKi
SHO
RT
MID
-TE
RM
ON
GO
ING
17
CO
MP
LETE
D
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
AsiDNAtrade
Clinical Development Plan
Positioning AsiDNAtrade to Address 1 Challenge in Oncology
Resistance
February 2020
Delivering the promises of AsiDNAtrade to patients
DRIIM Phase 1 in adv melanomaIT combo with radiotherapy
Excellent safety via IT
Signals of efficacy
DRIIV-1 Phase 1First IV administration in Solid tumors
Excellent safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Preliminary 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 Q2 2020
Phase 1b2 (IV)Non Small Cell Lung Cancer in combination w EGFRi
Proof of Concept Prevention of resistance to TKi
SHO
RT
MID
-TE
RM
ON
GO
ING
17
CO
MP
LETE
D
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
Delivering the promises of AsiDNAtrade to patients
DRIIM Phase 1 in adv melanomaIT combo with radiotherapy
Excellent safety via IT
Signals of efficacy
DRIIV-1 Phase 1First IV administration in Solid tumors
Excellent safety via IV
Proof of mechanism in tumors
DRIIV-1b Phase 1b (IV)Combo with carboplatin +- paclitaxel (ongoing)
Excellent safety in combination with chemotherapy
Preliminary 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 Q2 2020
Phase 1b2 (IV)Non Small Cell Lung Cancer in combination w EGFRi
Proof of Concept Prevention of resistance to TKi
SHO
RT
MID
-TE
RM
ON
GO
ING
17
CO
MP
LETE
D
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 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 Determine safety and PKPD profile
Primary objective reached very favorable safety outcome
90 of adverse events were grade 1 2 mostly ( 77) non related and no specific type of toxicity
AsiDNAtrade 200mg 400mg 600mg No drug-related SAEs and No dose-limiting toxicity
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)
MTD has not been reached
DRIIV-1 results were presented at EORTC-NCI-AACR on 102719
18
181 (89)
22(11)
1
Grade 12 Grade 3
Non-related95
Non- related77
Adverse Events
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
DRIIV-1 Phase 1 Beyond safety proof-of-mechanism demonstrated
19
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
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
PHASE 1b
Open-label 3+3 patient cohort
patients with advanced solid tumors eligible to the CT regimen
Institut Jules Bordet Bruxelles Grand Hocircpital de Charleroi
OBJECTIVES To confirm AsiDNAtrade IV at 600 mg safety and tolerance in combination
To detect signal of efficacy (RECIST criteria)
To explore predictive biomarker (gene signature retrospective analysis on initial biopsy)
MAY 2019FIRST PATIENT DOSED
TREATMENT SCHEDULE ASIDNATM 1-hour IV infusion
H1 2020 END OF STUDY
AsiDNAtrade
DAY 1 22 2 3 8 15
CYCLE 1 28 days CYCLE 2 and beyond 21 days
Q3 2019 Q42019
29
AsiDNAtrade AsiDNAtrade AsiDNAtrade AsiDNAtrade
PRELIMINARY EFFICACY OUTCOMES
DRIIV-1b Phase 1b Confirm AsiDNAtrade safety and efficacy in combination with carboplatin +- paclitaxel
AsiDNATM
600 mgCohort 13 pts
carboplatin
AsiDNATM
600 mgcarboplatin +
paclitaxel
Cohort 26 pts
+
+
completed
ongoing
Carbo CarboCohort 1
Pacli PacliPacli PacliCohort 2 Carbo Carbo
20
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
DRIIV-1b Phase 1b Preliminary data confirm safety and efficacy signals
21
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
Preliminary efficacy results expected H1 2020
Full data set by mid-2020
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
Phase IbII study Proof-of-concept of the abrogation of resistance to PARP inhibitors
22
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)
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
FPI expected from H1 2020 =gt Preliminary data by end 2020
PI Dr Patricia Pautier (Arcagy Gineco Network)
Clinical collaboration
N = up to 26 pts (6 centers)
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
AsiDNAtrade
Objectives Financial Outlook
amp Upcoming Milestones
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
Our strategic priority raise AsiDNAtrade as the new treatment paradigm to abrogate resistance
24
Preventing resistance to targeted therapies would lead to prolonged efficacy the major hurdle of PARP inhibitors and TKIs
❶
❷
ldquoResistance is the biggest challenge in cancer biologyrdquo (Paul Workman ndash ICR)
Strategic objectives Targeted Indications OpportunityApproval
Optimal market access (fast favorable PampR)
2L with niraparib(PARPi) in OC
Short endpoint PFSExpansion of maintenance treatment and delay new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo marketsrdquo (TKI)
1L with osimertinib (TKI) in EGFRm non-small cell lung cancer
Target specific population with high-risk of progressionAddress 1st line of treatment
2025
REVocanCombo w PARPi
Combo w EGFRi(TKi)
Pamp R pricing amp reimbursement
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
Resistance and beyond realizing the full potential of AsiDNAtrade
25
Strategic objectives and steps
Targeted Indications (for approval)
Unmet needs Therapeutic goals Opportunity Approval
Optimal market access - fast favorable PampR
2L maintenance with niraparib (PARPi) in platinum sensitive ovarian cancer after CA125 increase
Introduce AsiDNA at first signs of resistance to abrogate it and prolong PFS
Short endpoint PFSExpansion of maintenance treatment and delaying new course of platinum
2024
Establish presence in oncology ldquohigh-endrdquo markets (TKI)
1L treatment of EGFRm NSCLC with osimertinib (TKI EGFRi)
Prevent resistance to osimertinib and prolong PFS
Specific population with high-risk of progression to maintain favorable PampR conditions
2025
+ Expand combos with PARPi and TKI
1L maintenance ovarian cancer with PARPi
2L treatment of HER2 negative metastatic breast cancer
1L treatment of ALKm NSCLC with anti-ALK TKI
2028
Address growth opportunities in combos with DNA breakers
Neoadjuvant TNBC with carboplatin + paclitaxel
2L treatment ovarian cancer with carboplatin + paclitaxel
1L treatment ovarian cancer with carboplatin + paclitaxel2029
PampR pricing amp reimbursement
+
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
Financial resources are in line with development milestones objectives
26
Financiegravere de la Montagne14
Other institutions19
Retail62
Misc 5
Cash position of euro63m at 06302019 (FY19 results on 033120)
Cash runway through Q3 2020
Shares outstanding 613m
Average Daily Volume (18 months)
125927shares
Dual listing Euronext Paris amp Nasdaq Copenhagen
ISIN FR0010095596
at 123119 at 123119
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
AsiDNAtrade clinical development designed to validate synergy and effect on resistance with key readouts in 2020
27
REVOCANwith niraparib
DRIIV-1b cohort 2
final data
First data by year-end
FPIQ2 20
Synergistic effect
Reversion of resistance
DRIIVndash1bwith CTx
DRIIV-1b cohort 2
prelim data
H1 2019 H2 2019 H1 2020 H2 2020
DRIIV-1b study AsiDNAtrade combo with CTx Mid-2020
REVOCAN study AsiDNAtrade added to niraparib H2 2020
+ OX401 preclinical proof-of concept H2 2020
2020
DRIIV-1b cohort 1
prelim data
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
AsiDNAtrade a promising opportunity with a unique MoA overcoming resistance
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 in indications with large unmet needs
A broad development and commercial potential in multiple indications
Confirmed activity in man and favorable safety profile in IV including in combinationEntering now in Phase 1b2
Demonstrated potential to abrogate resistance to multiple targeted therapiesSolid preclinical package supporting a broad range of potential indications
28
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
Publications
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
AsiDNAtrade Publications (12)
30
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 May 24114(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
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
February 2020
AsiDNAtrade Publications (22)
31
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 May 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
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom
CONTACTSJudith Greciet ndash CEO
Nicolas Fellmann ndash CFOFranccediloise Bono ndash CSO
Olivier de Beaumont - CMO
Tel +33 1 45 58 76 00COMPANY INFORMATION
wwwonxeocom