Corporate Presentation - DAVID GILJOHANN, CEO NASDAQ: XCUR - Jan 07

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Corporate Presentation - DAVID GILJOHANN, CEO NASDAQ: XCUR - Jan 07
Jan
                          07

                         2021
Corporate Presentation
DAVID GILJOHANN, CEO
NASDAQ: XCUR
Corporate Presentation - DAVID GILJOHANN, CEO NASDAQ: XCUR - Jan 07
Cautionary Note Regarding Forward Looking Statement
This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Words such as
"anticipate," "expect," "plan," "may," "will," and similar expressions (as well as other words or expressions referencing future events or circumstances)
are intended to identify forward-looking statements. All statements other than statements of historical fact in this presentation are forward looking
including, but not limited to, statements regarding future operations, financial results and the financial condition of Exicure, Inc. (“Exicure” or the
“Company”); the Company’s cash runway; the Company’s business strategy, including the development of product candidates based on its proprietary
SNA technology; the initiation, timing, progress, scope and results of the Company’s preclinical studies, clinical trials and research and development
programs; its plans for development of cavrotolimod (AST-008), including its Phase 1b/2 clinical trial; the timing, availability and presentation of
preclinical, clinical and regulatory developments; the potential benefits of the Company’s product candidates; the development and the commercial
potential, growth potential and market opportunity for the Company’s product candidates, if approved, and the drivers, timing, impact and results
thereof; potential and future results of current and planned collaborations; and the timing or likelihood of regulatory filings and approvals. Forward-
looking statements are based on management’s current beliefs and assumptions that are subject to risks and uncertainties and are not guarantees of
future performance. Actual results could differ materially from those contained in any forward-looking statement as a result of various factors,
including, without limitation: the risk that the COVID-19 pandemic and the associated containment efforts may have a material adverse impact on the
Company’s business, operations and financial results; the Company’s preclinical or clinical programs do not advance or result in approved products on a
timely or cost effective basis or at all; unexpected safety or efficacy data observed during preclinical or clinical studies; the failure of the data from the
Company’s preclinical trials to be indicative in human trials; clinical site activation rates or clinical trial enrollment rates that are lower than expected;
the cost, timing and results of clinical trials; changes in the regulatory environment; unexpected litigation or other disputes; the ability of the Company
to protect its intellectual property rights; and the actual funding required to develop and commercialize the Company’s product candidates and operate
the Company. For a discussion of other risks and uncertainties, and other important factors, any of which could cause the Company’s actual results to
differ from those contained in the forward-looking statements, see the section titled “Risk Factors” in the Company’s most recent Form 10-K, as well as
discussions of potential risks, uncertainties, and other important factors in its subsequent filings with the Securities and Exchange Commission. The
forward-looking statements in this presentation speak only as of the date of this presentation, and the Company undertakes no obligation to update
these forward-looking statements, unless required by law.
                                                                                                                                                                 2
Corporate Presentation - DAVID GILJOHANN, CEO NASDAQ: XCUR - Jan 07
The Exicure Difference

          PLATFORM                                 THERAPEUTICS                                       VALUE
 Better Uptake, Greater Stability          Growing Development Pipeline                         XCUR (NASDAQ)
                                                  RARE DISEASE FORMS                 MARKET CAP                  CASH
                                                                    IMMUNO-
       3-D architecture drives                  NEURO               ONCOLOGY
           better uptake                    Friedreich’s Ataxia                         ~$175M                   $94M
                                                                       CAVRO              1/5/21                9/30/20
        and greater stability            SCN9A- Neuropathic Pain
                                                                    Phase 2- MCC,
                                          CLN3- Battens Disease
                                                                   CSCC, Melanoma

                                                      PARTNERSHIPS                   POTENTIAL MILESTONE PAYMENTS
     Preclinically demonstrated
 local delivery in CNS, eye, GI tract,                                              AbbVie/Allergan            Dermelix
                                                      DERMATOLOGY
            liver, lung, skin                                                           up to                   up to
                                                                                       $725M                $166M/program
                                                                                    (2 programs underway)    (up to 6 programs)

        Mechanism-agnostic:
 antisense, siRNA, TLR9 modulation,
          splice-switching                   Potential for additional partners             CASH RUNWAY INTO 2022

                                                                                                                                  3
Corporate Presentation - DAVID GILJOHANN, CEO NASDAQ: XCUR - Jan 07
NEUROLOGY
Our Broad                                                             Near-Term
Therapeutic                                            IMMUNO-
                                                       ONCOLOGY
                                                                     Therapeutic
                                 SNA                                    Focus
Opportunity                   Technology               DERMATOLOGY

SNA technology allows
nucleic acids to be                                    OPHTHALMOLOGY
delivered to local sites
throughout the body,                                   GI TRACT
                            Early efforts of nucleic
expanding the potential       acid therapeutics
application of nucleic     industry focused on the
                                                       LUNG
                                      liver
acid therapeutics

                                                       LIVER

                                                                                   4
Corporate Presentation - DAVID GILJOHANN, CEO NASDAQ: XCUR - Jan 07
Spherical Nucleic Acids: A Proprietary Technology Platform

                                                        Multiple                  Local Site Delivery
                                                  Therapeutic Modalities         Throughout the Body
                            Dense, Radial
                           Arrangements of
                        Synthetic Nucleic Acids
                                                         ANTISENSE
                                                                                          CNS
 Synthetic Nucleic                                                                        EYE
 Acid Therapeutics
                                                                                          SKIN
                                                           siRNA                        GI TRACT
                                                                           and           LUNG
                                                  SNA
                                   SNA
                             (Spherical Nucleic             TLR9
                                  Acids)                 ACTIVATION

   Benign Lipid                                           SPLICE-
Nanoparticle Scaffold                                    SWITCHING

                                                                                                        5
Corporate Presentation - DAVID GILJOHANN, CEO NASDAQ: XCUR - Jan 07
Consistent History of Execution
              PROGRESSING THE PIPELINE                                                  AUGMENTING THE TEAM
                                                                                                  MANAGEMENT

      2017            2018          2019            2020

                                                                 David Giljohann, PhD             Matthias Schroff, PhD        Doug Feltner, MD
                                                                         CEO                              COO                        CMO
   • Cavro P1       • Cavro P1    • Neuro         • Cavro P2
     in healthy       complete      expansion     • XCUR-FXN                                            BOARD
     subjects       • XCUR17 P1   • Cavro P1b/2     selected
                      complete    • Allergan
                                    partnership

                  GROWING THE FACILITIES                          Timothy Walbert
                                                                     Chairman
                                                                                        Chad Mirkin, PhD
                                                                                          Co-founder
                                                                                                                 David Walt,
                                                                                                                    PhD
                                                                                                                                 James Sulat

 NEW 30,000 FT2 FACILITY                 TEAM EXPANSION

                                      ~30                  ~60                 Jeffrey Cleland,            Bali Muralidhar,       Bosun Hau
                                                                                     PhD                    BM BCh, PhD
                                    MEMBERS            MEMBERS
                                     (2019)             (2020)

                                                                                                                                                  6
Corporate Presentation - DAVID GILJOHANN, CEO NASDAQ: XCUR - Jan 07
Nucleic Acid Therapeutics Come of Age

      Over $36B Total Market Cap                                                 $2.9B Drug Revenues in 2019

                                         11                         >40
                                                     and        Drugs in late
                                       Approved
                                                                stage clinical
                                         drugs
                                                                development

  Small                Protein-based      Engineered Cellular         Immuno-oncology         Nucleic Acid
 Molecules              Antibodies            Therapies                   CAR-T               Therapeutics

                                                                                                               7
Corporate Presentation - DAVID GILJOHANN, CEO NASDAQ: XCUR - Jan 07
Uniquely Positioned in the Competitive Landscape for
Nucleic Acid Therapeutics

                                      SNA
     Agnostic

   TECHNOLOGY/
     MODALITY
                                                        siRNA

    Specialized
                               Antisense/Splice

                                            TLR-9

                  Earlier          MATURITY                     Later
                            (Company, Clinical Stage)
                                                                        8
Corporate Presentation - DAVID GILJOHANN, CEO NASDAQ: XCUR - Jan 07
SNAs Differentiated from Conventional Linear Oligos

                                                                          The Benefits
        Differentiated Uptake                                                      1
                                                                          HIGH CELL UPTAKE
                       SNA
                                                        Others
                                                                        Without encapsulation or
                                          SNAs        Linear Oligos      chemical modifications

                                                                                   2
                                Binding                                 ENHANCED STABILITY
                                                 VS
                                                                      Extended therapeutic half-life
Cell surface                                                                     in cells
                 Scavenger receptor
                                                                                   3
                                                                      EXTRA-HEPATIC DELIVERY
     SNA enters cells via ubiquitous
         scavenger receptors                                                Shown in humans
                                                                               and mice

                                                                                                       9
Corporate Presentation - DAVID GILJOHANN, CEO NASDAQ: XCUR - Jan 07
Exicure is Advancing a Deep Pipeline
                                                                          DISCOVERY     PRECLINICAL DEV   PHASE 1   PHASE 2
  NEUROLOGY
                              XCUR-FXN              FRIEDREICH’S ATAXIA        IND-enabling

                                       CLN3             BATTEN DISEASE

                                    SCN9A             NEUROPATHIC PAIN

               Discovery Programs                 ALS, SCAs, ANGELMAN’S

  IMMUNO-ONCOLOGY
                                                MERKEL CELL CARCINOMA1
                    CAVROTOLIMOD
                    (TLR9 AGONIST)               CUTANEOUS SQUAMOUS
                                                      CELL CARCINOMA1

  DERMATOLOGY

          XCUR17 (ANTI-IL17RA)                 INFLAMMATORY DISORDERS

                 Undisclosed Target                HAIR LOSS DISORDERS

                 Undisclosed Target               NETHERTON SYNDROME

1) In combination with checkpoint inhibitors
                                                                                                                              10
Differentiated Platform Enables Rapid Progress in Advancing
Neuroscience Therapeutics

                          – Enable dramatically higher cellular uptake of oligonucleotides in vitro
                          – Achieve desired PD effects in vivo at substantially lower oligonucleotide doses
 Differentiated Nucleic
   Acid Therapeutics      – Broad CNS distribution and longer persistence in the CNS compared to linear
                            oligonucleotides (rodent & non-human primates)
                          – SNA platform clinically de-risked

  Rapidly Advancing       • XCUR-FXN for Friedreich’s Ataxia entered IND-enabling stage in 4Q’20
 Neuroscience Pipeline    • Deep pipeline of SNA therapeutics advancing for neurodegenerative disorders

                          • Hired CMO Doug Feltner (2020) from AveXis to lead clinical development
    Outstanding
   R&D Capabilities       • ~60 employees, ~50 in R&D + high-throughput oligonucleotide discovery platform

                                                                                                              11
Rapid Progress in Advancing SNA Programs in Neuroscience

                                                                              SCAs       ALS

                                                                     Batten Disease       Angelman

                                                                             Friedreich’s Ataxia

            XCUR-FXN                    Two Additional CNS          Deep CNS Discovery
         in IND-Enabling               Programs Moving into              Pipeline
          Studies for FA                 Preclinical Studies        Further Active Programs
     Rapid Clinical De-Risking      SCN9A – Validated Pain Target   Against Validated,
     Based on Increasing Frataxin   CLN3 – PoC for Eye Disorders    Sought-After Targets
     Levels in CSF

     SNA Therapeutics with Differentiating CNS Biodistribution and Persistence

                                                                                                     12
Extensive Proof of Concept in Neurological Disorders

                                    Spinraza®                          PROOF OF CONCEPT (MICE)
                                                                                                                     SNA
                                    (nusinersen)
                                                             100
                                                                                                                      2x
         Survival probability (%)

                                                              80                                         levels of healthy, full-length
                                                                                                         SMN2 mRNA and protein in
       Commercially available
                                                                                                           SMA patient fibroblasts
              linear oligo                                    60
         therapeutic to treat
       spinal muscular atrophy                                40
                 (SMA)                                                                                                4x
                                                              20                                         longer survival vs. nusinersen
                                                                                                                      and
                                                                             Control
                                                               0                                         mitigated nusinersen toxicity
                                                                   0   20   40    60    80   100   120
                                                                             DaysDays
                                                                                  Survival

Survival data presented at 2018 Annual Cure SMA Conference                                                                                13
SNAs Show Higher Persistence in Brain and Lower Clearance
Through Kidneys
                                          Rat Distribution Study
            0 Hours                                24 Hours                         7 Days

                                                                                                              Highest levels
                                                                                                              of drug present in
                                                                                                              CNS (50 SUV)

                                                                                                              Drug still
                                                                                                              present in CNS
                                                                                                              (0.5 SUV)
   Nusinersen     Nusinersen               Nusinersen     Nusinersen       Nusinersen     Nusinersen
     Alone          + SNA                    Alone          + SNA            Alone          + SNA

                                     Nusinersen alone                               Our SNA
                               Clearance into kidneys and spleen       Persistence in spinal cord and brain
                                                                                                                                   14
SNA Penetration to Central Nervous System
                Non-Human Primate Biodistribution Study
             1 Hour   24 Hours   4 Days    7 Days   14 Days

                                                                                       Nusinersen
                                                                                         Alone
                                                              Highest levels          Rapid clearance
                                                              of drug present in
Nusinersen                                                    CNS (50 SUV)
                                                                                   through kidney; poor
                                                                                    persistence in CNS

                                                                                         Our SNA
                                                                                     Persistence in spinal
                                                              Drug still
                                                                                        cord for weeks;
 Our SNA                                                      present in CNS       clearance through liver
                                                                                    (intact nanoparticles)
                                                              (0.5 SUV)

                                                                                                             15
SNAs Distribute Widely Throughout the Brain
                 Non-Human Primate Biodistribution Models
             1 Hour    24 Hours   4 Days    7 Days    14 Days

                                                                                        Nusinersen
                                                                Highest levels
                                                                                          Alone
                                                                of drug present in
                                                                                        Rapid uptake,
Nusinersen                                                      CNS (5 SUV)          but poor persistence
                                                                                           in brain

                                                                                          Our SNA
                                                                                     Extremely high levels
                                                                Drug still            of drug in brain for
 Our SNA                                                        present in CNS              weeks
                                                                (0.2 SUV)

                                                                                                             16
Exicure SNAs Distribute to CNS Regions, Cell Types and Subcellular
Compartments Critical for Modulating Neurodegenerative Diseases

                                                       Occipital Lobe

                                                       Cortex
                                                                                                  CYTOPLASM
                                                                              Neurons
                                                       Thalamus

                                                       Midbrain                                   NUCLEUS
                                                                              Astrocytes
                                                       Hippocampus

                                                       Brainstem              Microglia

                                                       Corticospinal Tracts
                                                                                                    SNA
                                                                              Blood Vessels
                                                       Cerebellum

                                                       Dorsal Root Ganglia
                                                                              Lymphatic Vessels
          Friedrich’s Ataxia   Batten Disease   Pain
                                                                                                              17
SNAs Reach Areas of the Brain Critical in Neurodegeneration
                    Nusinersen-SNA Brain Distribution (Mouse)                                                 Conclusions

                                                                                                 • Confirms broad CNS distribution of
          Medial

                                                                                                   previous studies
                                                                                                 • Demonstrates SNAs distribute to all
                                                                                                   regions of the brain, including the
                                                                                                   cortex (Batten), cerebellum (FA,
                                                                                                   Batten) and thalamus (Batten)
                                                                                                 • Laminar patterning suggests prominent
                                                                                                   uptake by neurons
          Lateral

                                                                                                 • Similar results after intrathecal (IT) /
                                                                                                   intra-cisterna magna (ICM) / intra-
                                                                                                   cerebroventricular (ICV) administration

•   Grey, black shading/dots represent ASO; areas with complete lack of ASO would appear white
•   Single intrathecal dose of Cy5-labeled nusinersen-SNA (1.5 mg/kg) in 8-week old mice
•   Mice sacrificed 14 days post administration
•   Images are representative sagittal (left) and coronal (right) sections (5 µm)
                                                                                                                                              18
SNAs Distribute Across Key Cell Types in the CNS, incl. Neurons
        Immunohistochemistry of SNA-Nusinersen in the CNS (Mouse)1                                                                      Conclusions

                                                                                                                          •   Strong uptake in CNS cell types critical
                                                                                                                              to neurodegenerative disease, incl.
                                                                                                                              neurons, astrocytes and microglia
                                                                                                                          •   Some uptake to lymph & blood
                                                                                                                              vessels
                                                                                                                          •   Suggestive of SNAs’ ability to reach
                                                                                                                              deep brain regions and enter neurons
                                                                                                                          •   Neuronal uptake important to
                                                                                                 White arrows indicate
                                                                                                 colocalization of
                                                                                                                              address neuronal dysfunction, the
                                                                                                 SNA-Cy5 signal with          hallmark of Friedreich’s Ataxia
                                                                                                 cell type-specific IHC       pathology

1) Representative images of fluorescent IHC from hypothalamus of ICV group. LYVE1 staining from choroid
plexus/meninges. Part of same Cy5-labeling experiment as described before. Similar results after IT / ICM
administration
                                                                                                                                                                         19
Significant Unmet Need in Rare Neurological Disorders

          TARGET-RICH                            SIGNIFICANT                    THE EXICURE
         ENVIRONMENT                             UNMET NEED                     DIFFERENCE
 Diseases with genetically validated            Additional
  targets known, but few disease         Rare Neurological Disorders       Higher potency and longer
     modifying therapies exist                                            persistence in animal models
                                       Spinocerebellar      Angelman
                                           Ataxia           Syndrome      suggest potential advantages

                                       Batten Disease      Huntington’s

   Not readily addressable by              Ataxia
                                                               ALS
                                                                          ↓ Frequency of dosing and
traditional therapeutic modalities     Telangiectasia
                                                                           ↑ Therapeutic Activity

                                                                                                         20
NEUROLOGY
XCUR-FXN for
Friedreich's                                              Multi-
                                                      targeting SNA
                                                                      IMMUNO-
                                                                      ONCOLOGY
                                  SNA
Ataxia                         Technology                             DERMATOLOGY
•   Genetic disorder with no
    FDA approved therapies
                                                                      OPHTHALMOLOGY
•   13,000 patients in the
    US and EU5 countries         GAA-            NAT-
                               Targeting       Targeting
                                                                      GI TRACT

                                         FXN-                         LUNG
Potential to address                   Targeting

many genetic
neurological disorders                                                LIVER

                                                                                      21
XCUR-FXN Leverages Multi-Targeting Approach for FXN Upregulation

                                   Degradation of Natural                mRNA
       XCUR-FXN                1                                    2
                                    Antisense Transcript                 Binding
   (bi-specific SNA)
                                           DNA                           Enzyme       Mitochondrion
       1               2

                             mRNA
   Carries two distinct                             Increased FXN mRNA                     Increased
    oligonucleotides                                                                        Frataxin
                                                                                          Production
           Cytoplasm                      Nucleus                       Cytoplasm

  XCUR-FXN degrades a natural antisense transcript 1 and binds to the FXN mRNA 2 , increasing production of
             the FXN mRNA and enabling more frataxin protein to be made per mRNA molecule.
                                                                                                              22
Friedreich’s Ataxia: A Progressive Neurodegenerative Disorder

           RARE, LIFE SHORTENING DISORDER                                         OUR APPROACH

                    Genetically Well Defined:                      Use genetically targeted SNA
                                                                                                      Target
            Caused by expansion of GAA triplet in   1st   intron      therapy to remove FXN
                                                                                                   root cause
                        of frataxin (FXN) gene                      transcription blockage and
                                                                                                  vs. symptoms
                                                                        increase FXN levels
                                              Neuromuscular
  Diagnosed                                      decline
 in childhood
                                                                                                  Collaboration
       Loss of                                                                                         with
    independence
                                             Wheelchair bound
                                             after 10-15 years

                                                                       Intrathecal injection
                          Mid 30s Survival
                                                                                                     Rapid
                                                                       IND-enabling studies         Progress
                     No Approved Therapies                             initiated in late 2020

                                                                                                                  23
XCUR-FXN Dose-Dependently Upregulates Frataxin Protein and
   FXN mRNA

                                 Neurons (iPSC-derived) from FA Patients                                                                                    Fibroblasts from FA Patients
                                                                        XCUR-FXN (bi-specific)                                                                                        XCUR-FXN (bi-specific)
                                  160
       (% Non Disease Control)

                                  140                                                                                                                100

                                                                                                                           (% Non Disease Control)
           Frataxin Protein

                                  120
                                                                                                                                                     80
                                  100

                                                                                                                                 FXN mRNA
                                   80                                                                                                                60

                                   60                                                                                                                40
                                   40
                                                                                                                                                     20
                                   20
                                    0                                                                                                                 0
                                        Non Disease Untreated      9x            3x        1x                                                              Non Disease Untreated      9x            3x         1x
                                          Control                                                                                                            Control
                                                                Friedreich’s Ataxia (FA)                                                                                           Friedreich’s Ataxia (FA)

      • Consistent in vitro activity in FA-patient derived induced neurons and fibroblasts and biodistribution observed with SNA
        reporter gene constructs suggests attractive candidate for progression into IND-enabling studies
      • All experiments are conducted with unassisted free uptake, without the use of transfection agents or electroporation,
        suggesting high translatability to in vivo studies

Key experimental conditions: (left) Frataxin protein study: N = 3 biological replicates, incubation time = 96 hours, days in vitro at time of experiment = 18 days; (right) FXN
mRNA study: N = 3 biological replicates, incubation time = 72 hours, hours in vitro at time of experiment = 24 hours; (both) Cell line 541/420 GAA                                                                  24
Rapid Path to Clinical Validation for XCUR-FXN

• IND filing expected end of 2021 to initiate Phase 1b MAD study in FA patients in2022
• Robust and scalable platform GMP manufacturing process in place
• Phase 1b goal: Demonstrate safety of multiple ascending doses in FA patients and inform P2/3 dose
  selection
• Translational biomarkers, incl. brain imaging and FXN expression in CSF to provide fast read-out for
  target engagement and PD effects
• Exploratory endpoints to measure clinical outcomes (ratings scales, etc.) in preparation for pivotal trial
• P1b trial design and site selection in close collaboration with FARA

                                                                                                               25
NEUROLOGY

Targeting Pain                               Antisense
                                         oligonucleotides
                                                            IMMUNO-
                                                            ONCOLOGY
                                   SNA
with SNAs                                targeting SCN9A
                                Technology                  DERMATOLOGY
•   Targeting SCN9A, a
    genetically validated
                                                            OPHTHALMOLOGY
    target for potential pain
    management
•   We have identified SNAs                                 GI TRACT
    that silence SCN9A
    Expression by >95%
                                                            LUNG

                                                            LIVER

                                                                            26
NaV1.7, a Validated Pain Target, is Ideally Suited to Our SNA
 Platform Due to SNA Selectivity and Biodistribution Profile

     1 Human Genetic Validation                                         2 Oligonucleotide Selectivity                                           3 SNA Distribute to DRGs
                                                                          vs Small Molecules (SMs)
                SCN9A                                                                                                                                          (IT) Spinal cord (dorsal view)                    Cy5
                                                                                                                                                    Cervical                 Thoracic
      Gain-of-Function Mutations         Severe                                                   Illustrative Example of Nav1.7

                                                   Channel Activation
                                          Pain                                                        Selectivity Profile for Small       Rostral                                                         Caudal
                                                                                                       Molecule Inhibitor (Xenon/
                                                                                                       Genentech; Bankar et al.,                                                                      (IT) Spinal cord (transverse view)
                                                                                                                                                                                     Dorsal Root
                                                                                                                              2018)                                                   Ganglia

                                                                                                                                                               (IT) Spinal cord (lateral view)
                SCN9A                                                                                                                      Dorsal Root
                                                                                                                                                                                                   Dorsal Root
                                                                                                                                            Ganglia
      Loss-of-Function Mutations                                                                                                                                                                    Ganglia

                                         Lack of
                                                                                                                                                                                                            Caudal
                                          Pain                                                                                            Rostral

                                                                        Small Molecule Inhibitor of NaV1.7 (nM)                          *arrowhead indicates level of transverse section

• NaV1.7 is a trans-membrane sodium channel        • Past small molecules required unbound                                            • Intrathecal SNA achieves in vivo delivery
  key for pain signal transduction to the brain      plasma concentrations substantially above                                          to dorsal root ganglion (DRG) neurons, the
                                                     the IC50 to sufficiently inhibit NaV1.7 in DRGs                                    key cell type expressing NaV1.7 and which
• Gain-of-function mutations lead to severe                                                                                             mediates transmission of peripheral pain
  pain conditions such as inherited                • Maintaining selectivity over NaV family
                                                     members challenging at these concentrations                                        signals to the brain
  erythromelalgia and small fiber neuropathy
• Loss-of-function mutations lead to               • Knockdown via SNAs is exquisitely selective,
  congenital insensitivity to pain                   with SNA screening hits not exhibiting
                                                     homology with other NaV family members
                                                                                                                                                                                                                                           27
NEUROLOGY

    SNAs for                                Splice-switching
                                            oligonucleotides
                                                               IMMUNO-
                                                               ONCOLOGY
                                      SNA
    Batten disease                 Technology
                                             targeting CLN3
                                                               DERMATOLOGY
•   Juvenile Batten Disease is a
    Severe Monogenic (CLN3)
                                                               OPHTHALMOLOGY
    Disease
•   We have identified SNAs that
    increase CLN3 by >3x                                       GI TRACT

                                                               LUNG

                                                               LIVER

                                                                               28
Juvenile Batten Disease is a Severe Monogenic (CLN3) Disease
       • Monogenic, autosomal recessive lysosomal storage disorder
       • Estimated prevalence (US): ~7001
       • Caused by mutations in the CLN3 gene resulting in battenin deficiency
                – Vast majority (>95%) of patients harbor ~1.02-kb deletion of exons 7 and 82,3 on at least one allele
       • Leads to childhood blindness, pediatric dementia syndrome (behavioral and mood problems,
             intellectual decline), motor impairment, and early death2,4
       • No approved therapies; no disease-modifying treatments available

                                                            4-7 years                            6-10 years                                            10 years                                             20 -30 years
                                                         Onset of vision                       Onset of pediatric                                      Onset of                                                Death
                                                             loss with                            dementia                                             epilepsy
                                                          progression to                          syndrome
                                                         legal blindness
                                                          within 2 years
  0                                                                  5                                                               10                                                                20                  30
                                                                                                                                     Age
1) Exicure interviews with leading Batten Disease clinicians and patient organizations; 2) Williams R. NCL incidence and prevalence data. In: Mole S, Williams R, Goebel H, eds. The Neuronal Ceroid
Lipofuscinoses: Batten Disease. ed. Oxford: Oxford University Press; 2011; 3) Munroe 1997; 4) Ostergaard 2016, Jarvela 1997                                                                                                     29
SNA Target Engagement in Mouse Eye and Optic Nerve After Intravitreal
   Injection Supports Pursuit of Ocular Manifestations
                                        Target Engagement in Mouse Eye & Optic Nerve                                                                                         Conclusions
                                                                           (eGFP Reporter Gene)
                                                                                                                                                                  •   Target engagement
                                                                                                                                       Optic
                                                                                                                                                                      demonstrated for splice-
Oligonucleotide                                                                                                                        nerve                          modulating oligonucleotides
(via Cy5)                                                                                                                                                             in eye (retina) and optic nerve
                                                                                                                                                                      with eGFP reporter construct
                                                                                                                                                   Injected Eye
                                                                                                                                                                      (same mode of action used in
                                                                                                                                                                      our CLN3 program)
Target Engagement                                      Hair
                                                                                                                                                                  •   Co-localization of
(via eGFP under                                                                                                                                                       markers for oligonucleotide
splice modulator                                                                                                                                                      (Cy5) and target engagement
control)                                                                                                                                                              (eGFP)
                                                                                                                                                                      following intravitreal injection
                                                      Uninjected Eye         Injected Eye
                                                                                              Note: Mouse hair naturally emitting at same
                                                                                              wavelength, does not reflect eGFP activation
                                                                                                                                                                  •   Support pursuit of ocular
                                                              Frontal brain section                                                                                   diseases or disease
Experimental design: 250 μM SNA, D15 post-dose, sectioned at 50 μm (Ex:640 nm, Em:680/13 nm & Ex:470 nm, Em:511/20 nm). Uninjected eye as negative control.           manifestations, e.g. in Batten

                                                                                                                                                                                                         30
NEUROLOGY

                                                         IMMUNO-
                                         TLR-9 agonist
                                            oligos       ONCOLOGY
                               SNA
Cavrotolimod                Technology                   DERMATOLOGY
•   Targeting Merkel cell
    carcinoma and
                                                         OPHTHALMOLOGY
    cutaneous squamous
    cell carcinoma
                                                         GI TRACT

                                                         LUNG

                                                         LIVER

                                                                         31
SNAs Are Ideal for TLR9 Activation

                                                SNA
                 Scavenger
                 Receptors
                                                      Toll like receptor 9 (TLR9) agonism can produce
                                                                the desired pharmacodynamics

                                                         TLR9 is found in the endosome of cells –
                                                          SNAs are colocalized in the endosome
                   Endosome
                                                              after internalization into cells
                     TLR9s

                                                           The SNAs are coated externally with
                                                            oligonucleotides allowing for facile
                                                                  interaction with TLR9

                                                             SNAs have high cellular uptake,
                                                                    driving potency
       IL-12   IP-10    Activated   Activated
                         NK cell      T cell

                                                                                                        32
Phase 1b Summary
           Clinically meaningful overall
                   response rate                     Durable response                       Systemic effects

                   ORR 21% (all doses)          16 months to date and ongoing in    Regression in distant and regional
                                                   all 4 responders [1 CR, 3 PR]                 lesions
                     ORR 33% (highest
                     and Phase 2 dose)            6+ months in all 4 responders

             Proof of concept in largely           Pharmacodynamic profile
                                                                                         Safe and well tolerated
               refractory population                corroborating efficacy

                 Progressive disease on                 Increased serum             No treatment-related serious AEs
                  prior anti-PD-1: 85%               cytokines/chemokines                    or grade 4 AEs

                  Two or more lines of                Increased activation            Most common AEs are flu-like
                 systemic therapy: 65%                  of immune cells             symptoms, injection site reactions,
                                                                                   expected from mechanism of action
                                                  Increased tumor infiltration
                                                        by immune cells              Support highest dose (32 mg) in
                                                                                                Phase 2

CR = complete response, PR = partial response                                                                             33
Response in Refractory Melanoma Patient with Progression on
Anti-PD-1 at Enrollment
                                                            RESPONSE TO CAVROTOLIMOD +
             LESIONS AT BASELINE                            PEMBROLIZUMAB AT 12 WEEKS
                                                                 Effects on both lesions

     Non-injected

         Injected

                            76-year-old man with melanoma                                  34
Decreased Target Tumor Diameter Observed in 37% of Patients
                                       Target Tumor Response: Sum of Injected and Noninjected Lesions
                              100%
Target Lesion Diameters (%)
  Change from Baseline in

                                                                                                                           Mel   CSCC   MCC   Mel   Mel   Mel   MCC
                                0%
                                      MCC    HSNCC          Mel           Mel          Mel   MCC   MCC   LMS   Mel   Mel

                              -100%

       Figure excludes 3 patients who did not have post-treatment CT scan assessment                                                                                  35
Cavrotolimod Phase 2 Expansion Stage: Enrollment Commenced

                                                      Phase 2 Expansion Design                                      Objectives/Timing

                                                                                                                • Determine the safety
                                         Enroll 10                  ≥ 1 partial                Enroll 19            and preliminary efficacy
        Merkel Cell                                                 response                                        of AST-008 plus CPI
                                      cavro at RP2D                                         cavro at RP2D
1       Carcinoma                                                       or
         N = up to 29
                                   and pembro per label             complete             and pembro per label   •   Pursuing orphan drug
                                          N=10                      response                    N=29                designation
                                                                                                                •   Potential for trial to be
                                                                                                                    registrational in early
                                                                                                                    2021

                                          Enroll 6                  ≥ 1 partial                Enroll 19
        Cutaneous                                                                                                 Exploratory cohorts
                                        cavro at RP2D               response                 cavro at RP2D
      Squamous Cell
2                                and cemiplimab per label               or                  and cemiplimab      underway in Melanoma
        Carcinoma               (If safe, enroll additional 4)      complete                   per label
         N = up to 29                                               response
                                                                                                                  and with SC dosing
                                            N=10                                                 N=29

Cavro: cavrotolimod; pembro: pembrolizumab; RP2D: recommended Phase 2 dose; CPI: checkpoint inhibitor                                           36
SNA Technology                 NEUROLOGY
                                               NHP biodistribution study showed
                                               SNA accumulation and persistence
Has Broad           SNA
                                                            in brain

Partnership      Technology    IMMUNO-
                               ONCOLOGY
                                                  AST-008 in Phase 1b/2 clinical
                                                  development for solid tumors
Opportunities
                                                        Partnerships with
                               DERMATOLOGY            Allergan and Dermelix

                                               Enhanced distribution & persistence
                               OPHTHALMOLOGY   in retinal layers vs. linear oligos after
                                                   intravitreal injection in rabbits
                 Partnership
                   Efforts                      Demonstrated activity through
                               GI TRACT        oral gavage in IBD mouse models

                                                    Demonstrated target
                               LUNG            engagement and activity in mice
                                               with nebulized SNA formulation

                                                                                       37
Nucleic Acid Therapeutic Space Ripe for Partnership
                                                                         Example Partnership
                                            COMPANY      PARTNER          AREA          UPFRONT       TARGETS                            STAGE

                                                                                        $400MM1;
              2019                                                   Opth, CNS, liver   $400MM2
                                                                                                         30                            Discovery

                                                                        Cardiomet,      $100MM1;
              2018                                                                      $100MM2
                                                                                                        10+                            Discovery
                                                                      neurology, pain

                                                                                        $375MM1;
              2018                                                      Neurology       $625MM2
                                                                                                      Unknown                          Discovery

                                                                                        $110MM1;
              2018                                                         CNS           $60MM2
                                                                                                          9                             Phase 1

                                                      ~$10MM per target for a typical discovery stage partnership
                                                                                                       Opth = ophthalmology; CNS = central nervous system;
                                                                                                       Cardiomet = cardiometabolic
1. Upfront payment made in cash
2. Equity purchase associated with partnership                                                                                                               38
Compelling Pre-clinical Data Provides Rationale for
    Partnering/Expansion

             OPHTHALMOLOGY                                                  GI                                              LUNG

                                                         Anti-TNFα SNA increases animal survival in
             OLIGO ALONE             OUR SNA                 TNBS-induced colitis mouse model                       Distribution in lung

             Distribution after 24 hours

 Oligo                                     Our SNA                                                       Our SNA
                                                                                                          High levels
 Very low                               High levels
                                                                                 Our SNA              of oligonucleotide
  levels                            of oligonucleotide
                                                                                 Increase             in the lung in just
in the eye                              in the eye
                                                                                  survival                  2 hours
                                                                                                                                           39
Exicure + Allergan: A Hair Loss Disorder Collaboration

         THE PARTNERSHIP                             THE ECONOMICS

 • Discover and develop two SNA-            • $25MM upfront
   based treatments for hair loss
   disorders
                                            • Up to $50M in option/IND-
                                              enabling payments
 • Initiated November, 2019
                                            • Up to $195M in development and
 • Exicure responsible for discovery          regulatory milestones
   costs prior to option exercise by
   Allergan; Allergan responsible
                                            • Up to $530MM in commercial
                                              milestones
   afterwards
                                            • Tiered royalties of mid single-digit
                                              to mid-teen percentage

                                                                                     40
GROWTH

Well Positioned                                                                           Potential for robust and growing
                                                                                          pipeline and partnerships
for Success                                                  CAPITALIZATION
                                                                              Well-capitalized with cash
                                                                                  runway into 2022
                                                     PARTNERSHIPS
                                                               2 current – with opportunity
                                                               for many more
                                               CLINIC
                                                      Driven drugs into the clinic:
                                                      One Phase 2; Four Phase 1’s
                      MANUFACTURING
                                Scaled up manufacturing of
                                our SNA technology
THERAPEUTIC AREA
         Expanding scope of diseases addressable
         with nucleic acid therapies

                                                                                                                       41
Jan
                          07

                         2021
Corporate Presentation
DAVID GILJOHANN, CEO
NASDAQ: XCUR
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