2021 Interim Results Presentation - Sep 2021

Page created by Yvonne Dunn
 
CONTINUE READING
2021 Interim Results Presentation - Sep 2021
2616.HK

2021 Interim Results Presentation

Sep 2021

                                    1
2021 Interim Results Presentation - Sep 2021
Presentation Disclaimer

By attending the meeting where this presentation is made, or by reading the presentation materials, you agree to be bound by the following:

The information in this presentation has been prepared by representatives of CStone Pharmaceuticals (the "Company" and, together with its subsidiaries, the "Group") for
use in presentations by the Group for information purpose. No part of this presentation will form the basis of, or be relied on in connection with, any contract or commitment
or investment decision.

Certain statements contained in this presentation and in the accompanying oral presentation, may constitute forward-looking statements. Examples of such forward-looking
statements include those regarding investigational drug candidates and clinical trials and the status and related results thereto, as well as those regarding continuing and
further development and commercialization efforts and transactions with third parties. Such statements, based as they are on the current analysis and expectations of
management, inherently involve numerous risks and uncertainties, known and unknown, many of which are beyond the Company’s control. Such risks include but are not
limited to: the impact of general economic conditions, general conditions in the pharmaceutical industry, changes in the global and regional regulatory environment in the
jurisdictions in which the Company’s does business, market volatility, fluctuations in costs and changes to the competitive environment. Consequently, actual future results
may differ materially from the anticipated results expressed in the forward-looking statements. In the case of forward-looking statements regarding investigational drug
candidates and continuing further development efforts, specific risks which could cause actual results to differ materially from the Company’s current analysis and
expectations include: failure to demonstrate the safety, tolerability and efficacy of the Company’s drug candidates, final and quality controlled verification of data and the
related analyses, the expense and uncertainty of obtaining regulatory approval, the possibility of having to conduct additional clinical trials and the Company’s reliance on
third parties to conduct drug development, manufacturing and other services. Further, even if regulatory approval is obtained, pharmaceutical products are generally
subject to stringent on-going governmental regulation, challenges in gaining market acceptance and competition. These statements are also subject to a number of material
risks and uncertainties that are described in the Company’s prospectus published onto the websites of the Company and The Stock Exchange of Hong Kong Limited and
the announcements and other disclosures we make from time to time. The reader should not place undue reliance on any forward-looking statements included in this
presentation or in the accompanying oral presentation. These statements speak only as of the date made, and the Company is under no obligation and disavows any
obligation to update or revise such statements as a result of any event, circumstances or otherwise, unless required by applicable legislation or regulation.

Forward-looking statements are sometimes identified by the use of forward-looking terminology such as "believe," "expects," "may," "will," "could," "should," "shall," "risk,"
"intends," "estimates," "plans," "predicts," "continues," "assumes," "positioned" or "anticipates" or the negative thereof, other variations thereon or comparable terminology or
by discussions of strategy, plans, objectives, goals, future events or intentions.

No representation or warranty, express or implied, is made as to, and no reliance should be placed on, the fairness, accuracy, completeness or correctness of the
information, or opinions contained herein. The information set out herein may be subject to updating, revision, verification and amendment and such information may
change materially.

This presentation and the information contained herein is highly confidential and being furnished to you solely for your information and may not be reproduced or
redistributed in any manner to any other person, in whole or in part. In particular, neither the information contained in this presentation nor any copy hereof may be, directly
or indirectly, taken or transmitted into or distributed in any jurisdiction which prohibits the same except in compliance with applicable securities laws. This presentation and
the accompanying oral presentation contains data and information obtained from third-party studies and internal company analysis of such data and information. We have
not independently verified the data and information obtained from these sources.

By attending this presentation, you acknowledge that you will be solely responsible for your own assessment of the market and the market position of the Group and that
you will conduct your own analysis and be solely responsible for forming your own view of the potential future performance of the business of the Group.

                                                                                                                                                                                    2
2021 Interim Results Presentation - Sep 2021
Introduction & Overview

                          3
2021 Interim Results Presentation - Sep 2021
Introduction & Overview

2021YTD Business Highlights

                                      Successfully launched two FIC products, achieving significant sales in a short
                                      period of time. AYVAKIT® (avapritinib) launched in mainland China and Taiwan, China in
        Commercial                    May and June, respectively. GAVRETO® (pralsetinib) launched in mainland China in
                                      June. Together, they generated revenue* of RMB79 million by 30 June

                                      Primary endpoint met for sugemalimab in stage III NSCLC in “all-comers” setting.
         Clinical                     Secured industry-leading 3 NDA approvals to facilitate the above launches, and
       Development                    submitted 4 NDAs covering a third FIC product – ivosidenib – and indication /
                                      geographic expansion for pralsetinib, avapritinib and sugemalimab

                                      Selected Pfizer’s lorlatinib for co-development in China, deepening the partnership
        Business                      established in 2020, and accelerated registration of sugemalimab in multiple
       Development                    countries ex China with EQRx

                                      IND accepted for CS2006 (PD-L1×4-1BB×HSA tri-specific) in China, and
         Pipeline 2.0                 completing IND-enabling studies of CS5001 (ROR1 ADC) for global submission

     Capital Markets                  Included in Hang Seng Composite Index and Hong Kong Stock Connect

                                                                                                                                                                          4
Note: * To-market sales. NDA = New Drug Application, IND = Investigational New Drug, NSCLC = Non-small Cell Lung Cancer, AML= Acute Myeloid Leukemia
2021 Interim Results Presentation - Sep 2021
Introduction & Overview

                                                                  2616.HK

                                           Full-fledged Biopharma
                                       5 Years Since Company Inception

Industry leading management                                                        Solid financial position and
team with proven track record                                                      ability to support growth
and complementary expertise                                                        initiatives

     Well-balanced oncology portfolio with 15 immuno-         Full-fledged biopharma with a premier clinical
     oncology and precision medicine assets, 7 of             development engine, established commercial capabilities
     which are at commercial/late stage                       and developing manufacturing capability

    Today, CStone has achieved commercialization of multiple products and
 expanded the global dimensions of its business, establishing its position among
                        the leading biopharmas in China

                                                                                                                         5
2021 Interim Results Presentation - Sep 2021
Introduction & Overview

Industry leading management team
Leadership with proven track record and complementary expertise

                                                     Frank Jiang, MD, PhD
                                                     Chairman, Chief Executive Officer

                      Shirley Zhao, MD, MBA                                       Jason Yang, MD, PhD
                      Greater China GM                                            Chief Medical Officer

                      Archie Tse, MD, PhD                                         Jingrong Li, PhD
                      Chief Scientific Officer                                    Chief Technology Officer

                      Sanhu Wang, MPH                                             Michael Choi, MBA
                      SVP, GA & RA                                                Chief Business Officer

Note: GA=Government Affairs; RA=Regulatory Affairs                                                                              6
2021 Interim Results Presentation - Sep 2021
Introduction & Overview

       Well-balanced oncology portfolio of 15 innovative assets
       Focused on immuno-oncology and precision medicine

                                                                                                                                                                                                      Approval
    Drug candidate                  Rights Indication                        Pre-clinical                FIH                 POC               Pivotal               NDA             Marketed                                  Partner
                                                                                                                                                                                                CN5     TW HK US
                                             2L NSCLC
    Pralsetinib                              1L NSCLC
    (RET)                                    1L MTC / TC
                                             Multiple tumors
                                             PDGFRA exon 18
    Avapritinib                              GIST
    (KIT/PDGFRA)
                                             AdvSM1
                                             1L Stage IV NSCLC
                                             Stage III NSCLC
    Sugemalimab                        Out- 1L GC                                                                                                                                                                           Mainland China
    (PD-L1)                         licensed 1L ESCC
                                             R/R ENKTL
                                                                                                                                                                                                                            Ex-Greater China
                                             R/R ENKTL
                                             R/R AML
    Ivosidenib (IDH1)
                                             1L AML
    CS1003 (PD-1)                                                                                                                                                                                                                     Ex-Greater
                                                 1L HCC                                                                                                                                                                               China
    Lorlatinib                                                                                                                                                                                                                               4
    (ROS1/ALK)                                   NSCLC
                                                                                                                                                                                                                    (ALK)

    Fisogatinib (FGFR4)                          HCC

    CS1002 (CTLA-4)                              Solid tumors
    CS20062
                                                 Solid tumors
    (PD-L1/4-1BB/HSA)
    CS3002 (CDK4/6)                              Solid tumors
    CS3005 (A2aR)                                Solid tumors
                                                 Solid tumors
    CS50013 (ROR1)                               hematologic
                                                 malignancies
    CS2007 (Undisclosed
                                                 Solid tumors
    Multi-specific)
    CS2008 (Undisclosed
                                                 Solid tumors
    Multi-specific)
    CS5002 (Undisclosed
                                                 Solid tumors
    ADC)
                                                                                                                                                                                        Greater China        Global              Expedited
Note: Assets status denote progress in the region noted in the column titled “Rights”; CN = Mainland China, FIH = First in Human POC = Proof of Concept, NSCLC = Non-small Cell
Lung Cancer, MTC = Medullary Thyroid Cancer, TC = Thyroid Cancer, GIST = Gastrointestinal Stromal Tumor, AdvSM = Advanced Systemic Mastocytosis, GC = Gastric Cancer, ESCC                                                       registration
= Esophageal Squamous Cell Carcinoma, R/R = Relapsed or Refractory, NKTL = Natural KILLER/T Cell Lymphoma, AML= Acute Myeloid Leukemia, HCC = Hepatocellular Carcinoma                  Greater China        Global
1.POC was conducted in the U.S. and no clinical trials have been conducted in China; 2.CS2006 is currently under PhI dose escalation study in Taiwan & IND preparation in mainland                                                               7
China; 3.CStone obtains the exclusive global right to lead development and commercialization of LCB71/CS5001 outside the Republic of Korea; 4. Co-development in Greater China; 5.
Mainland China
                                                                                                                                                                                        Korea           Singapore
2021 Interim Results Presentation - Sep 2021
Interim Business Review

                          8
2021 Interim Results Presentation - Sep 2021
Commercial           2      3      4      5                                                                     Interim Business Review

Established strong commercial foundation with seasoned
industry leaders
Supporting CStone's oncology leadership with successful launches
                                   • 25+ years of experience in the industry (former Greater China GM of BMS, Allergan,
                                     Genzyme)
                                   • Built several organizations into industry leaders
                                   • Deep experience spanning 30+ product launches and building leading brands in
                                     oncology, rare disease & medical aesthetics
 Shirley Zhao, MD, MBA
       Greater China GM

                   Critical mass of CStone Commercial platform: > 300 FTEs by 2021

                                                                             • Outstanding leadership team with diverse range
                                                                               of experience at MNCs and innovative biotechs
                                                                             • Strong track record with 30+ successful
                                                                               launches in oncology & hematology
                                                                             • Covering approximately 70-80% of potential
      Sophia Lee                Zezhou Wang               Philip Chen          markets for precision medicines
         TW & HK                       Sales           Broad Market Access

  Note: MNC = multinational company; FTE = Full Time Equivalent

                                                                                                                                   9
2021 Interim Results Presentation - Sep 2021
Commercial            2      3      4      5                                                                                                Interim Business Review

Launches set industry benchmark for speed of delivery
Go-to market strategy enabled rapid and broad day one sales

                                                            MNC                    CStone
                                                           Quality                 Speed

 GAVRETO®                                                                           AYVAKIT®

                           Achieved rapid NMPA approval,
                                                                                                            Time to reach distribution partners
 6.5 months                within a shorter timeframe than                              4 days                 from time of arrival in China
                                  typically required

                            Accessible in 64 cities within 30                                                Accessible in 52 cities within 30
    64 cities             provinces through DTPs on first day                          52 cities           provinces through DTPs on first day

                                                                                    Achieved product revenue* of RMB33.6 mn
  Achieved product revenue* of RMB45.8 mn
                                                                                    since launch in Mainland China in May 2021
 since launch in Mainland China in June 2021
                                                                                         and in Taiwan, China in June 2021

  Note: * To-market sales. MNC = multinational company; Rx = prescription; NMPA = National Medical Products Administration; DTP = Direct-to-Patient            10
  (pharmacy); TFDA = Taiwan Food and Drug Administration
Commercial       2    3    4    5                                                             Interim Business Review

Expanding accessibility of assets on the market
Commercial team taking additional steps to bolster sales growth

             Reimbursement Coverage                                   Scientific Influence

  ▪   20 of the major government and commercial          ▪   >7 national treatment & diagnosis guidelines
      insurance plans have included avapritinib and          Now include AYVAKIT®, GAVRETO®, TIBSOVO®
      pralsetinib in their plans since launch                and/ or testing
  ▪   ~40 million urban population covered with strong
      reimbursement momentum

                                                                                                                 11
Commercial           2      3     4      5                                                                                       Interim Business Review

Bolstering commercial potential of pipeline developments
Preparing market for indication expansions and upcoming launches

    Indication expansion of launched assets                                              Launch preparation of more assets

GAVRETO®                                                                           SUGEMALIMAB
• NSCLC – 1L RET                                                                   • NSCLC – Stage III
  fusion +                                                                           (concurrent &
 NDA filing to NMPA expected in                                                      sequential)                           Mainland China
 the second half of 2021
                                                                                     NDA filed to NMPA in Aug 2021         Joint efforts with Pfizer
                                                                                                                      in
• MTC – RET-mutant                                                                 • NSCLC – 1L Stage                      Ex-Greater China
 NDA filing accepted by NMPA in          in     Mainland China
                                                                                                                           Joint efforts with EQRx
 Apr 2021                                                                            IV (sq & nsq)
                                                                                     NDA filing accepted by NMPA in
• TC – RET fusion +                                                                  Nov 2020
 NDA filing accepted by NMPA in
 Apr 2021

AYVAKIT®                                                                           TIBSOVO®
• GIST – PDGFRA                                                                    • r/r AML – IDH1+
                                                                                                                      in    Mainland China
  D842V mutant                           in     Hong Kong, China
                                                                                     NDA filing accepted by NMPA in
                                                                                     Aug 2021
 NDA filing accepted by HK DoH in
 May 2021

                                                                                                                                                       12
  Note: NMPA = National Medical Products Administration, HK DoH = Hong Kong Department of Health
Commercial       2     3    4    5                                                                                 Interim Business Review

Preparing Sugemalimab for full-scale commercial launch
Harnessing Pfizer’s commercial leadership/infrastructure in China

                     US$200mn equity investment with three paths for collaboration

         Commercialization of                       Co-development of
  1         Sugemalimab                     2         Pfizer assets                        3
  ▪ Up to $280mm in milestone payments    ▪ Two post-PoC oncology assets               ▪ Jointly in-license for Greater China
  ▪ Tiered, mid-to-high teens royalties   ▪ CStone to receive double-digit royalties   ▪ CStone retains option for co-promotion

    Positioning &                      Pricing &                    Go-To-Market                               Key
      Adoption                       Market Access                     Model                             Differentiation

     Next generation              Competitive local                  Broadly cover                       The ONLY PD-(L)1
   PD-(L)1 with global            pricing; targeting               >4,600 hospitals                     with superior efficacy
   branding and new             2022 NRDL inclusion                (~90% of market)                      & safety profile for
    standard of care             to maximize patient                                                      both stage III&IV
   for 1L I/O suitable               accessibility                                                        NSCLC patients
        patients

                                                                               Collaboration achieved            Work in progress     13
1        Clinical          3     4     5                                                                                      Interim Business Review

    Unrivalled clinical development engine
    Robust strategy, innovative trial designs and agile execution

                               Jason Yang, MD, PhD, Chief Medical Officer

     ➢   A physician scientist and senior executive with 25+ years biomedical research and biopharma R&D experience in oncology
     ➢   Led 60+ global and China trials, brought over 5 assets (tislelizumab, zanubrutinib, pamiparib, avapritinib and pralsetinib) to
         market, including zanubrutinib to global market, and 2 additional market approvals pending (sugemalimab and ivosidenib)
     ➢   Built Beigene’s and CStone’s Clinical Development team & established efficient project centric work models
     ➢   Ph.D trained with Nobel laureates Dr. Mike Brown and Joseph Goldstein at UT Southwestern Med. Ctr.; Postdoctoral training
         with Dr. Stuart Schreiber at Harvard University

          Innovative Clinical Development Strategy to Set New Track Record in China

           Indication strategy: focus on China’s largest                   Covering 50%+ of total cancer incidences: lung cancer,
           indications with unmet need                                     gastric cancer, liver cancer and esophagus cancer

           Adaptive ph I/II design: seamless transition from               Three years from ph I first patient dosed to first NDA filing for
           dose escalation to multiple POC studies                         sugemalimab

                                                                           2 pathologies in one trial: squamous + non-squamous
           Innovative ph III trial design to accelerate NDA
                                                                           2 treatment modality population in one trial: concurrent +
           submission in large indications
                                                                           sequential

           Cost effective bridging strategy for accelerated                Avapritinib and pralsetinib approved in China two years after
           approval of in-licensed assets in Greater China                 IND approval

                                                                                                                                                 14
1           Clinical               3      4       5                                                                                                        Interim Business Review

    Poised for rapid growth with numerous clinical successes
    Industry leading number of NDA submissions, approvals, data readouts

                                                                                                                                  Roadmap for new product

        Indication & geographic expansion of launched products                                                                 Ivosidenib
                                                                                                                              AML (R/R)
    Pralsetinib                                                 Avapritinib                                                   ▪     NDA accepted in Mainland China
                                                                                                                                    for R/R AML with priority review
    NSCLC (1L/2L)                                               GIST
                                                                                                                              ▪     Positive data in Chinese R/R
    ▪   Positive data from registrational study                 ▪     NDA accepted in Hong Kong for
                                                                                                                                    AML patients accepted for oral
        in 1L RET fusion-positive NSCLC, with                         PDGFRA D842V mutant GIST
                                                                                                                                    presentation in ESMO 2021
        1L/2L NSCLC data accepted for                           ▪     Oral presentation for GIST in ESMO
        presentation in WCLC 2021                                     GI 2021                                                 AML (1L)
    MTC (RET-mutant)                                            AdvSM                                                         ▪     Servier announced positive
    ▪   Positive data from registrational study                                                                                     topline data from the global
                                                                ▪     In discussion with CDE regarding
        in RET-mutant MTC                                                                                                           phase 3 study in combination
                                                                      accelerated registration pathway
    ▪   NDA accepted in Mainland China for                            for AdvSM                                                     with Azacitidine in patients with
        RET-mutant MTC with BTD and                                                                                                 previously untreated IDH1-
                                                                ▪     Approved in U.S.                                              mutated AML
        priority review
                                                                ISM
    TC (RET fusion-positive)
                                                                ▪     BTD granted by U.S. FDA for                             Cholangiocarcinoma
    ▪   NDA accepted in Mainland China for                            moderate to severe ISM                                  ▪     Approved in U.S.
        RET fusion-positive TC with priority
        review                                                  ▪     Registrational trial data expected in                   ▪     Exploring China bridging
                                                                      2022                                                          strategy
    Basket trial
                                                                Others
    ▪   Ongoing trial with registration potential
                                                                ▪     Exploring additional indications, i.e.
                                                                      AML, by partner
    Note:
    BTD = breakthrough designation, NSCLC = Non-small Cell Lung Cancer, MTC = Medullary Thyroid Cancer, TC = Thyroid Cancer, GIST = Gastrointestinal Stromal Tumor,
    CDE = Center for Drug Evaluation, AdvSM = Advanced Systemic Mastocytosis, ISM = Indolent Systemic Mastocytosis, r/r = relapsed or refractory, AML = Acute Myeloid         15
    Leukemia, WCLC = World Conference on Lung Cancer, ESMO = European Society for Medical Oncology
1         Clinical            3      4     5                                                                                                Interim Business Review

    Expanding addressable patient population for key assets
    Trials for additional indications to unlock full commercial potential

                                                                                                           ~90,000
                                                                                                                             1L NSCLC
                       Pralsetinib
                       Avapritinib                                                                                           2L NSCLC

                       Ivosidenib                                           x225%                                            MTC

                                                                                                                             PTC

                                                                                                                             Basket trial

                                                                                                                             GIST (mPDGFRα)

                                                                                                                             AdvSM

                                                          ~40,000                                                            ISM

                                  x400%                                      1L NSCLC
                                                                             2L NSCLC
                                                                                                                             Others1

                                                                             MTC                                             r/r AML
                                                                             PTC
                                                                             Basket trial                                    1L AML (IC ineligible)
                                                                             GIST (mPDGFRα)                                  CCA
         ~10,000                                                             AdvSM
                                                                             r/r AML                                         MDS
                           2L NSCLC                                          1L AML (IC ineligible)
                           GIST (mPDGFRα)                                    CCA                                             Others2

           2021                                         2022 – 2023                                   2023 and beyond

    Source: Clarivate DRG; Globocan 2020; CStone analysis; NEJM
    1. Esophageal cancer, Hepatocellular carcinoma, NSCLC, Cervical cancer, etc.; 2. Colorectal cancer, Prostate cancer, Glioblastoma, Melanoma, etc.
    NSCLC = Non-small Cell Lung Cancer, MTC = Medullary Thyroid Cancer, PTC = Papillary Thyroid Cancer, GIST = Gastrointestinal Stromal Tumor, AdvSM =
    Advanced Systemic Mastocytosis, ISM = Indolent Systemic Mastocytosis, R/R = Relapsed or Refractory, AML= Acute Myeloid Leukemia, CCA =                     16
    cholangiocarcinoma; MDS = Myelodysplastic Syndromes
1          Clinical                    3     4   5                                                                   Interim Business Review

    Sugemalimab poised to reshape lung cancer landscape
    Only PD-(L)1 with efficacy in stage III & IV NSCLC in “all-comers” setting

    The first PD-(L)1 to cover the entire advanced                Positioned to become physicians’ preferred
       NSCLC through innovative trial design                      PD-(L)1 for its broad applicability and safety

                                                             ■   Differentiated design: Fully-human, full length IgG4 derived from
                      GEMSTONE-301 study                         Ligand’s OmniRat® platform – minimalizing ADA occurrence;
       • First ph III trial to cover patients with either        retaining ADCP activity for potentially enhanced efficacy
         concurrent or sequential chemoradiotherapy in       ■   Outstanding efficacy:
         one trial, reflecting real-world clinical
         practice and covering a broader population                 •   The first PD-L1 in combo with chemo to demonstrate clinical
                                                                        efficacy in both sq and nsq stage IV NSCLC patients, with
       • Detailed data to be presented in 2021 ESMO                     PFS HR of 0.48, among the best of all competitor PD-(L)1
                                                                    •   The first PD-(L)1 to demonstrate PFS improvement in
                                                                        patients with stage III NSCLC following concurrent or
                                                                        sequential chemoradiotherapy
                      GEMSTONE-302 study                            •   Superior clinical efficacy also observed in ESCC, GC, R/R
                                                                        ENKTL, etc. “Breakthrough Designation” granted by both
        • First ph III trial in China to cover 1L patients              FDA and CDE
        with both squamous and non-squamous NSCLC
        in one trial vs two separate trials, with Hazard     ■   Commercial opportunity:
        Ratio further improved in the final analysis*               •   I/O drug of choice for advanced stage NSCLC
           - PFS (HR: 0.48; mPFS: 9.0 vs. 4.9 months)               •   ~850K addressable stage III & IV NSCLC patients in
           - OS (HR: 0.67; mOS: 22.8 vs. 17.7 months)                   China/US/EU5/Japan

        • Detailed data to be presented in 2021 WCLC                •   Large addressable patients targeted ongoing registration trial
                                                                        in ESCC, GC and R/R ENKTL

    Stage III NSCLC: China NDA filed in August 2021
    Stage IV NSCLC: China NDA approval expected in Q4 2021
    Working closely with EQRx on NDA submission in multiple countries with U.S. BLA filing expected in 2022
                                                                                                                                         17
     Note: Data cutoff: Mar   15th,   2021
1       Clinical     3    4   5                                                                 Interim Business Review

    Accelerated clinical advancement of sugemalimab
    Entered the 1st tier of NSCLC from the 12th place with “CStone Speed”

        From IND to Stage IV NDA approval                         Cover both Stage III and Stage IV NSCLC

                                                                                     1st       PD-(L)1
                                                                                     for the treatment
                                                                                      of both stage III
                                               4th    PD-(L)1
                                                                                     and IV NSCLC in
                                                                                     all-comer setting
                                              approved in both
                                             sq & non-sq stage                         Est. 2022 Q4
                                               Iv NSCLC with
                                                BIC potential
                                                                                       Take the lead in
                                               Est. 2021 Q4                        advancing I/O therapy to
        12th clinical                                                              stage III NSCLC patients
                                                                                          by ~2 years
       PD-(L)1 in China
                                            Serve Stage IV NSCLC
                                             patients with efficacy
           2017 Q4                          and safety advantages

                                                                                                                   18
1    2          BD            4     5                                                                            Interim Business Review

    Growing BD team expands global partnership network
    Deeper capabilities to support pipeline and commercialization efforts

                 Michael Choi, Chief Business Officer

                  ➢ 23+ years of experience in biopharmaceutical strategy and business development
                  ➢ Executive experience with Pfizer and Sun Pharma Advanced Research Company
                  ➢ 40+ transactions across 6 continents totaling multiple billion dollars in transaction value

                                                   Expanded Global Coverage

                     Seattle                                                                   Beijing
                                        New York
                       New Jersey
                                                                                              Shanghai

                                                     Expanded BD Priorities

            Commercial BD                             Pipeline Building                      Strategic Partnerships

         Drive near term cash flow                 Address clinical unmet need /           Build up company capabilities /
          and ROI on Field Force                    Generate clinical catalysts              Evolve into a global player
      • Commercial partnerships          • China: Clinical post-POC assets                 • Multi-specific, ADC, AI
      • Accretive near market assets     • Global: Paradigm shifting preclinical assets      discovery platforms
                                           (e.g. FIC/BIC/FW, multi-specific, ADCs, etc.)   • Bio-incubator programs

                                                                                                                                    19
1     2              BD                4      5                                                                                                Interim Business Review

    Further deepening our strategic partnership with Pfizer
    Agreement to co-develop Lorlatinib strengthens lung cancer offering

                           US$200mn equity investment with three paths for collaboration

               Commercialization of                                   Co-development of
      1           Sugemalimab                               2           Pfizer assets                             3
     ▪ Up to $280mm in milestone payments                ▪ Two post-PoC oncology assets                       ▪ Jointly in-license for Greater China
     ▪ Tiered, mid-to-high teens royalties               ▪ CStone to receive double-digit royalties           ▪ CStone retains option for co-promotion

                                                           Lorlatinib (ROS1/ALK)

     Sizable patient                        Significant unmet                            Post-PoC asset                              Pioneering
       population                             clinical need                               with high PoS                           clinical program

    Over 670K diagnosed                     No approved targeted                       Demonstrated potent                         World’s 1st pivotal
    incidence of NSCLC                           therapies in TKI                          and selective                         study of Lorlatinib on
      in China, 2-3% of                     refractory setting, and                      inhibitory activity                         ROS1 positive
      which are ROS1+                          limited efficacy of                        against ROS1-                              patients in TKI
                                             existing treatment for                     positive advanced                        refractory setting with
                                              patients with brain                             NSCLC                               IND filing expected
                                                   metastases                                                                         in Q4 2021

    Note: TKI = Tyrosine Kinase Inhibitor, PoC = Proof-of-Concept, PoS = Probability of Success        Collaboration achieved                 Work in progress    20
    Source: Clarivate DRG; Zhang et al. Prevalence of ROS1 fusion in Chinese patients with non small cell lung cancer, Thorac Cancer 2019 10(1): 47–53.
1     2             BD               4     5                                                                                    Interim Business Review

    Preparing sugemalimab for global launch
    Leveraging EQRx’s business model to penetrate PD-L1 market

                               US$150mn upfront payment, up to US$1.15bn milestone
                               payments and tiered double-digit royalties on net sales

                                         ~US$30bn in market value1
                                                         (NSCLC, Gastric, Esophageal)

                                                                                                                        Rest of
                           US                              UK                              EU
                                                                                                                       the world2

                   First BLA filing                         Regulatory communications underway
                       in 2022

          Working closely with EQRx to accelerate the registration of PD-L1 for NSCLC indications, and
                          collaborating for PD-L1 in other indications and PD-1 in HCC

    Source: EQRx roadshow presentation, data based on EvaluatePharma July 2021 and Cowen PD(L)1 market model update Dec 2019
    Note: 1. Global drug spend reflects 2026 estimated net prescription drug sales                                                                 21
1      2        3         Pipeline 2.0                5                                                                                             Interim Business Review

     Translating innovation into safe and effective therapies
     Accelerating the development of assets from lab to post-POC stage

                                     Archie Tse, MD, PhD, Chief Scientific Officer

           ➢     20+ years of experience in translational oncology research covering cytotoxics, targeted agents, and immunotherapies
           ➢     Oncology TA Head at Daiichi-Sankyo, led the Phase 3 study of pexidartinib, the first systemic therapy approved for
                 tenosynovial giant cell tumor
           ➢     Oversaw early development of 10+ IO assets of different MOAs and modalities at MSD
           ➢     M.D-Ph.D, University of Southern California; faculty at Memorial Sloan-Kettering Cancer Center

     Abundance of sources for                                   In-house infrastructure in place                                      Sustainably deliver
    cutting-edge drug dev. ideas                                      for implementation                                               innovative drugs

                            Clinical
                          Observations
                                          Kanglin                                                 Trans-
                    SAB                  Research
                                                               Protein          DMPK &           lational
                                          Institute           Chemistry        Toxicology        Science/                                Pipeline 2.0
                                                                                                Biomarker
          BD
        partners
                                                                                                                                          FIC/BIC/FW
                                                               Pharma
                             iSAT                                                Project        Molecular
                                                               cology/
                                                                                 Mgmt.         Diagnostics
                                                                QSP                                                                      Global rights
         CRO
       platforms

                                                                                                                                     1~2 INDs per year
                                                                Clinical        Bioinfor-           Early
               Conferences                  CI
                                                               Pharmaco          matics             Dev.
                             JITRI                               logy

     Note: SAB = Science Advisory Board; JITRI = Jiangsu Industrial Technology Research Institute; FIC = First in class; BIC = Best in class; FW = First wave;         22
     iSAT = innovation sourcing and alignment team; QSP = Quantitative System Pharmacology
1    2    3      Pipeline 2.0        5                                                                   Interim Business Review

    Harnessing full potential of next-gen candidates
    Significant progress developing portfolio of FIC/BIC/FW assets

         ADC                                                           PCC Declaration         IND Submission

     CS5001 (ROR1 ADC)
     1 of top 3 ADCs globally and the first ADC in China                                 Pre-IND

     CS5002 (ADC)
     Potential BIC with global rights                         Close to PCC

         Multispecific

     CS2006 (PD-L1 x 4-1BB x HSA)                                                                     IND filling accepted
                                                                                                              2021/7
     Potential BIC with rights in Greater China, Korea and Singapore

     CS2007 (Multi-Specific)
     Global FIC with global rights             Discovery / Pre-PCC

     CS2008 (Multi-Specific)
     Global FIC with global rights             Discovery / Pre-PCC

                                                                                                                            23
1      2      3         Pipeline 2.0          5                                                                                             Interim Business Review

      ROR1 ADC: an asset with transformational potential
      FIC/BIC asset in new modality with highly differentiated features

                         Differentiation In Design                                                            Clinical & Business Value

                                                             Potentially wider                    ➢ Potential applications for a wide range
                                                             therapeutic window                     of tumor types
                                                             Fully human mAb v.s.                      • NSCLC, TNBC, ovarian cancer, leukemia, NHL
Controllable quality                                         humanized mAb in VLS-
and production                                               101 and NBE-002                           • Over 3M annual incidence globally

Site-specific conjugation                                    Proprietary tumor-                   ➢ Early promising data have led to
for a homogeneous                                            selective cleavable                    extremely high transaction value in
drug antibody ratio                                          linker, highly stable in
(“DAR”) (DAR=2)                                              serum
                                                                                                    ROR1 related deals
                                                                                                       • Merck acquired VelosBio for $2.75 Bn
                                                             Tumor-activated PBD                         Core asset: VLS-101 (phase I/II)
                                                             dimer toxin prodrug                       • BI acquired NBE for $1.4 Bn
                                                                                                         Core asset: NBE-002 (phase I)

                                                                   Leading Position

                                     1 of top 3 ADCs globally and the first ADC in China
     IND filling in US                     IND filling in                         Potential accelerated                            Limited pricing
     & AU expected by                      China expected                         registration path                                pressure maximizes
     2021                                  in 1H 2022                             Fast to market and cost-                         potential commercial
                                                                                  efficient development                            return of the asset

      Note: NSCLC = non-small-cell lung cancer, TNBC = triple negative breast cancer, NHL = non-Hodgkin lymphoma, PBD = pyrrolobenzodiazepine;                  24
      FIC=First in class, BI = Boehringer Ingelheim
1     2      3      4         Finance & Capital Markets                                                Interim Business Review

    Healthy financial profile supported by solid execution
    Well capitalized for growth initiatives and commercial stage operations

                              •   RMB2,447.2 million of cash, cash equivalents and time deposits
Cash Balance
                                  as of June 30, 2021

                              •   Product revenue*: RMB79.4 million

                                    -   GAVRETO (pralsetinib): RMB45.8 million (launched in Mainland
                                        China in June 2021)
Key Income                          -   AYVAKIT (avapritinib): RMB33.6 million (launched in Mainland
 Statement                              China and Taiwan, China in May 2021 and June 2021 respectively)
  Metrics
                              •   R&D expenses (non-IFRS): RMB444.8 million

                              •   Administrative, selling and marketing expenses (non-IFRS):
                                  RMB214.3 million

                                                                                                                          25
    Note: * To-market sales
1    2    3    4     Finance & Capital Markets                                           Interim Business Review

    Expanding capital markets access
    Inclusion in key index to support share trading and broaden ownership

     •   Included in Hang Seng Composite             •   Included in Hong Kong Stock Connect
         Index on August 20, 2021, and effective         on September 6, 2021
         from September 6, 2021

     Expecting improved liquidity, more efficient price discovery, and greater diversification of our
         investor base, in particular more onshore institutional investors in mainland China

                                                                                                            26
Business Outlook

                   27
Business Outlook

      Vigorous pace of activity for remainder of 2021
      Bringing significant clinical and commercial developments to fruition

                                                                                                             Pipeline 2.0
            Commercial                                          Clinical
                                                                                                              & Others

Preparation for new                    NDA approvals                  Data readout / presentation     IND filings & approvals
product & indication launch            • Sugemalimab stage IV NSCLC • Sugemalimab stage III NSCLC     • ROR1 ADC IND / CTA filing in
                                         in Mainland China             oral presentation in ESMO        U.S. / Australia
•   TIBSOVO®   r/r AML in Mainland
    China                                                            • Ivosidenib Chinese R/R AML
                                       • Ivosidenib R/R AML in                                        • Lorlatinib IND filing in
                                                                       oral presentation in ESMO
•   GAVRETO®    1L NSCLC, MTC,           Mainland China (by 2021/ Q1                                    Mainland China
    TC in Mainland China                 2022)                       • Sugemalimab stage IV NSCLC
                                                                       oral presentation in WCLC      • PD-L1/4-1BB/HSA IND
•   GAVRETO® in    other territories                                                                    approval in Mainland China
                                                                      • Pralsetinib 1/2L NSCLC oral
•   AYVAKIT®   in other territories    NDA fillings                     presentation in WCLC
                                       • Pralsetinib 1L NSCLC in      • Pralsetinib MTC data
• Joint efforts with Pfizer for          Mainland China                                               Pilot operation of
  launch of sugemalimab in                                              presentation
                                       • Pralsetinib 1L/2L NSCLC in                                   manufacturing facility
  Mainland China                                                      • Sugemalimab ENKTL data
                                         Taiwan, China                                                • Pilot operation of
                                                                        presentation
                                       • Pralsetinib 1L/2L NSCLC in                                     manufacturing facility in
Broader patient access                   Hong Kong SAR, China                                           Suzhou
• 10 commercial health insurance
  plans and 15+ city insurance
• Tendering and hospital listing
  for GAVRETO® and AYVAKIT®

                                                                                                                                     28
Introduction & Overview

Business outlook for 2022
Unlocking the global potential of our business and portfolio

                    Maximizing commercial potential with market expansion and penetration
    Commercial
                    Target   5 NDA approvals of products

                    Expedite full slate of clinical development programs
      Clinical
                    Expect 5+ NDA filings, 3 data readouts and 3+ registrational trial initiations, expanding our
    Development     presence in other high-prevalence cancers, along with the established lung portfolio

                    Drive innovative drug discovery and harness full potential of Pipeline 2.0
     Pipeline 2.0   Submit IND for 1~2 highly-differentiated molecule(s) with FIC/BIC/FW potential and global rights,
                    and fully develop current suite of molecules, i.e., ROR1 ADC and PD-L1/4-1BB/HSA tri-specific

     Business       Support global ambitions with multi-dimensional partnerships
                    Pursue flexible deal structures for in-licensing and other partnerships to support pipeline
    Development     development and commercialization efforts in China and abroad

                    Prepare for pilot manufacturing operations
   Manufacturing    Submission for manufacturing site and material change and completion of technology transfer
                    for multiple products

                                                                                                                                    29
THANK YOU

      2616.HK

                30
You can also read