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Next-generation neoantigen-targeted solid tumor T cell therapy
July 2021
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This presentation contains “forward-looking” statements that are within the meaning of federal securities laws and are based on our
management’s beliefs and assumptions and on information currently available to management. Forward-looking statements include
information concerning our possible or assumed future results of operations, business strategies, clinical trials and pre-clinical studies,
regulatory approval of our product candidates, liquidity position and capital needs, financing plans, industry environment, potential growth
opportunities, potential market opportunities and the effects of competition.
Forward-looking statements include all statements that are not historical facts and can be identified by terms such as “anticipates,”
“believes,” “expects,” “could,” “seeks,” “estimates,” “intends,” “may,” “plans,” “potential,” “predicts,” “projects,” “should,” “will,” “would” or
similar expressions and the negatives of those terms. Forward-looking statements represent our management’s beliefs and assumptions only
as of the date of this presentation. Our operations involve risks and uncertainties, many of which are outside our control, and any one of
which, or combination of which, could materially affect our results of operations and whether the forward-looking statements ultimately
prove to be correct. Factors that may materially affect our results of operations include, among other things, our ability to progress product
candidates in preclinical and clinical trials, the ability of ATLAS™ to identify promising oncology vaccine and immunotherapy product
candidates, the scope, rate and progress of our preclinical and clinical trials and other research and development activities, anticipated
timing of IND applications and new clinical trials, the amount of funds that we may require to conduct our clinical trials for our product
candidates, the timing of, and ability to, obtain and maintain necessary regulatory approvals for our product candidates, and those listed
in our Annual Report on Form 10-K for the fiscal year ended December 31, 2020 and other filings with the Securities and Exchange
Commission (“SEC”). Except as required by law, we assume no obligation to update these forward-looking statements publicly, or to update
the reasons actual results could differ materially from those anticipated in the forward-looking statements, even if new information becomes
available in the future.
You may get copies of our Annual Report on Form 10-K, Quarterly Report on Form 10-Q and our other SEC filings for free by visiting
EDGAR on the SEC website at http://www.sec.gov.
Disclaimer
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Genocea: a compelling near-term investment opportunity
TARGETS MATTER
Pioneering neoantigen-targeted
T cell therapy
Differentiated antigen discovery platform
Clinical proof-of-concept for ATLAS™
GEN-009 neoantigen vaccineBest-in-class immunogenicity, clinical
efficacy
GEN-011Ph1/2a trial in refractory patients
Initial readout late Q4/Q1 ‘22
4
ATLAS:Better efficacy from choosing the right antigens,
ruling out the wrong antigens
5
ATLAS: high throughput platform identifying and prioritizing surface-presented antigens
Inhibigen:
T cells inhibit cytokine secretion
Antigen:
T cells secrete inflammatory cytokinesTransfection of bacterial vectors with
plasmids expressing every candidate neoantigen
6
ATLAS excludes Inhibigens: surface-presented antigens driving deleterious outcomes
1. Therapeutic mouse vaccination with a pool of ATLAS-identified Inhibigens drives tumor hyperprogression
2. The presence of Inhibigens in an otherwise protective mouse vaccine completely abrogates protection
3. Checkpoint blockade cannot overcome Inhibigen-mediated suppression
4. Inhibigen mechanism-of-action is not associated with increased Tregs
0 3 60
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Adjuvant onlyProtective vaccineProtective vaccine + Inhibigen
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Tum
or v
olum
e (m
m3 ) Adjuvant only
Inhibigens + Adjuvant
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anti-PD-1 Treated
Study day
Tum
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olum
e (m
m3 )
Protective Vaccine + anti-PD-1
Inhibigen + Protective Vaccine + anti-PD-1Inhibigen + Protective Vaccine
3 4
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1 Sahin, et al., Nature 2017 (N=8); Ott, et al., Nature 2017 (N=8); Gritstone ESMO Immuno-Oncology Congress Presentation 2019
• Results shown represent highest proportion of neoantigen-specific responses in peer publications and presentations
2Lam et al. Cancer Discovery 2021
Immune response frequency% neoantigens with immune responses
60%
Best peer neoantigen vaccine results1
Achieved in combination with CPI
99%
GEN-0092
Monotherapy
ATLAS enabled GEN-009 to drive unprecedented clinical immunogenicity results
Vaccine design:
• Neoantigen-specific synthetic long peptides + Hiltonol® adjuvant
Trial design:
• Phase 1/2a Part A: monotherapy dosing in cancer patients with no evidence of disease
Conclusions:
• ATLAS-identified neoantigens were immunogenic in all subjects, with responses detected to 99% of the vaccine antigens
• 6 of 8 patients recurrence-free with 2 years’ median follow-up
8
ATLAS enabled a compelling signal of GEN-009 clinical response in checkpoint-sensitive patients
Design:• GEN-009 dosed after ~4 months on standard-of-care CPI; patients used as own control to identify GEN-009-specific clinical effectConclusions:• 4 CPI sensitive pts experienced deeper responses for up to 15 months after GEN-009 dosing.
– 6 of the 8 pts who received full courses of GEN-009 have not progressed with stable disease post GEN-009 from 6 to 13 months.– 4 of 8 (50%) evaluable patients achieved an objective response after a new baseline at start of GEN-009, including 1 CR and 3 PR.
9
ATLAS drives evidence of stabilization in checkpoint-resistant patients
Design:• Patients not well controlled on standard-of-care CPI; received salvage therapy on top of CPI; after stabilization received GEN-009
Conclusions:• Disease control in refractory pts for up to 10 months
– 1 of 7 pts has achieved a PR, and 2 have prolonged stable disease up to 10 months after starting GEN-009
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Enables greater efficacy
Benefits
Enables therapies for all patients
Scalable
ATLAS advantages
Identifies all true neoantigens: i.e., all surface-presented peptides eliciting anti-tumor T cell responses. Delivers cell therapies and vaccines that minimize tumor escape
Avoids Inhibigens that may be detrimental to clinical response
Identifies both CD8+ and CD4+ T cell neoantigen targets to deliver cell therapies and vaccines that provide a powerful, comprehensive anti-tumor immune response
Superior clinical responses demonstrated by GEN-009’s best-in-class data
Can address all HLA types with a single platform and process
Highly industrialized process
ATLAS has powerful advantages over other neoantigen selection and targeting approaches
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GEN-011 Neoantigen-targeted peripheral blood T cell therapy (NPT)
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First-generation solid tumor cell therapies have demonstrated activity but have significant limitations
Tumor-infiltrating lymphocyte (TIL)
= TCR that is not tumor-specific
= neoantigens
TCR-transduced (TCR-T)
Strengths• Does not require extra tumor sampling and
TIL extraction• Uses less exhausted T cells
Strengths – durable efficacy in certain CPI-refractory patients, driven by:• Multiple target antigens (to limit tumor escape)• Polyclonal TCRs (to maximize “shots on goal”
for every target)• CD8+ and CD4+ T cells (to maximize natural
tumor-killing T cell responses)
Limitations• Inconvenience, cost of extra tumor sampling
and TIL extraction• Majority of product may not be tumor-
relevant• Exhausted cells
Tumor cell
Limitations• HLA limited• Single target and TCR per product
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Peripheral blood and pre-existing
tumor sample
Better targets
Prioritizes up to 30 tumor-and immune system-relevant neoantigens
Proprietary T cell expansion process
GEN-011: Next-generation solid tumor cell therapy -
Neoantigen-targeted Peripheral T cells (NPTs)
GEN-011
NPTs: Neoantigen-targeted peripheral T cells
Proprietary neoantigen selection platform
Better T cells
Expands peripherally-derived CD8+ and CD4+ T cells on ATLAS-prioritized
neoantigens
Better Targets + Better T cells Improvements in efficacy, accessibility and scalability
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• Accessibility: Peripheral blood collection is simple, fast, inexpensive, and can be done for nearly any patient
• Potency: Peripheral T cells have the promise to be more active and proliferative than TILs
• Proven efficacy: Peripheral T cells drive the efficacy of CPI therapy; they have the right neoantigen specificities and know how to home to tumors / kill tumor cells
Recent publications highlight benefits of peripheral T cells / NPTs
Circulating clonally expanded T cells reflect functions of tumor-infiltrating T cells
Peripheral T cell expansion predicts tumor infiltration and clinical response
Clonal replacement of tumor-specific T cells following PD-1 blockade
Sensitive and frequent identification of high avidity neo-epitope specific CD8+ T cells in immunotherapy-naive ovarian cancer
Better T cellsT cells from peripheral blood have significant advantages over TILs
NPT benefits
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Robust and rapidly scalable manufacturing process with fully closed single-use technology
Peripheral blood (leukopak)
Up to 30 verified neoantigens
Expansion of neoantigen-specific cells in fully closed single-use GRex
vessels
T cells
Phenotypic cell sort
Monocyte-derived dendritic cells
Peripheral blood from every patient, dramatically expanding accessible patient population
Robust process designed to deliver billions of cells for every patient
Modular, rapidly expandable manufacturing process
Cost, time-to-delivery expected to be favorable compared to TIL and TCR-T therapy
process
16
GEN-011 delivers billions of NPTs that are:
Highly neoantigen-specific
96% Antigen Specific
Act
ivat
ion
Mar
ker
2
Activation Marker 1
16:1 8:1 4:1 2:1 1:1 0.5:10
20
40
60
80
100
Effector:Target ratio
% C
ytot
oxic
ity
Specific NeoantigensUnpulsed Control
Powerfully cytolytic against their targets
GEN-011 TIL20
5000
10000
15000
20000
25000
IFNγ
pg/m
L
More active and potent compared to TIL
1
Naive Terminal memory
Memory (Cm+Em)
0
25
50
75
100
% F
requ
ency
The desired memory phenotype
1. Ritthipichai, SITC 2017
1
17
89%
GEN-011 NPTs are specific for 89% of all intended neoantigen targets*
*Mean across development runs with cancer patient material
Recent selected TIL data show successful amplification to only 4% of antigens included in the process1
Recent conventional TIL data show responses to an average of 6% of the predicted neoantigens2
Recent engineered TCR-T data suggest only up to 3 neoantigen specificities targeted3
GEN-011 targets up to 30 neoantigens
1. Samuel et al., AACR Presentation (April 2020)2. Creelan et al., AACR Presentation (April 2020)
3. Cristea et al., 2020 AACR Presentation (April 2020)
GEN-011 provides unparalleled breadth of neoantigen coverage
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Greater efficacy
Greater accessibility, broad addressable patient population
Scalable, cost-effective production process
GEN-011 Advantages
GEN-011 overcomes limitations of 1st
generation solid tumor therapies
Features GEN-011 TIL TCR-TTargets up to 30 neoantigens to limit tumor escape
Avoids Inhibigens that may be detrimental to clinical response
Includes CD4+ and CD8+ neoantigen-specific T cells
Non-exhausted T cells with potential for superior activity and persistence
Can treat all HLA types
No extra surgery or viable tumor required
No TCR vector design and transduction required
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trial: Phase 1/2a study of GEN-011 in patients with CPI–resistant solid tumors
Trial Objectives
Initial clinical readout expected late Q4 / Q1 2022
Cohort AMultiple low dose (up to 12 patients)• No lymphodepletion• Intermediate dose IL-2
• Safety• Clinical activity
• ORR• DOR
• GEN-011 proliferation and persistence
• Tumor T cell penetration
Trial objectivesPatients with immune responsive tumors that have not achieved an adequate response after PD-1 based therapy
Melanoma, NSCLC, SCLC, SCCHN, UC, RCC, SqCC skin, SqCCAC
Targeted indications
Cohort BSingle high dose (up to 12 patients)• Lymphodepletion• High dose IL-2
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CD8+ and CD4+ T cells targeting up to 30 neoantigens
Robust and rapidly scalable manufacturing process
Peripheral blood enabling greater accessibility, activity and durability
GEN-011: Transforming neoantigen
T cell therapy for solid tumors
21
Genocea: a compelling near-term investment opportunity
TARGETS MATTER
Pioneering neoantigen-targeted
T cell therapy
Differentiated antigen discovery platform
Clinical proof-of-concept for ATLAS™
GEN-009 neoantigen vaccineBest-in-class immunogenicity, clinical
efficacy
GEN-011Ph1/2a trial in refractory patients
Initial readout late Q4/Q1 ‘22
22
NASDAQ: GNCA
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USA
+1 617.876.8191
www.genocea.com