Corporate Presentation - March 2022 March 2022 - March 2022 vF
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DISCLAIMER This presentation includes express and implied “forward-looking statements. Forward looking statements include all statements that are not historical facts, and in some cases, can be identified by terms such as “may,” “might,” “will,” “could,” “would,” “should,” “expect,” “intend,” “plan,” “objective,” “anticipate,” “believe,” “estimate,” “predict,” “potential,” “continue,” “ongoing,” or the negative of these terms, or other comparable terminology intended to identify statements about the future. Forward-looking statements contained in this presentation include, but are not limited to, statements about our product development activities and clinical trials, our regulatory filings and approvals, our ability to develop and advance our current and future product candidates and discovery programs, our ability to establish and maintain collaborations or strategic relationships or obtain additional funding, the rate and degree of market acceptance and clinical utility of our product candidates, the ability and willingness of our third-party collaborators to continue research and development activities relating to our product candidates, our and our collaborators’ ability to protect our intellectual property for our products. By their nature, these statements are subject to numerous risks and uncertainties, including factors beyond our control, that could cause actual results, performance or achievement to differ materially and adversely from those anticipated or implied in the statements. You should not rely upon forward-looking statements as predictions of future events. Although our management believes that the expectations reflected in our statements are reasonable, we cannot guarantee that the future results, performance or events and circumstances described in the forward-looking statements will be achieved or occur. Recipients are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date such statements are made and should not be construed as statements of fact. Certain information contained in this presentation and statements made orally during this presentation relate to or are based on studies, publications, surveys and other data obtained from third-party sources and our own internal estimates and research. While we believe these third-party studies, publications, surveys and other data to be reliable as of the date of this presentation, it has not independently verified, and makes no representations as to the adequacy, fairness, accuracy or completeness of, any information obtained from third- party sources. In addition, no independent source has evaluated the reasonableness or accuracy of our internal estimates or research and no reliance should be made on any information or statements made in this presentation relating to or based on such internal estimates and research. 2 March 2022
THE ENTRADA STORY We are driven to transform the lives of patients by establishing Endosomal Escape Vehicle* therapeutics as a new class of medicines and become the world’s foremost intracellular therapeutics company Platform Portfolio People Diverse set of oligonucleotide A proprietary, modular and Led by a team of experts applications and an broadly applicable with extensive experience expanding pipeline, including intracellular delivery platform across drug discovery, intracellular with potential in a wide range development and company oligonucleotides, antibodies of therapeutic areas management and enzymes We are harnessing our EEV Platform to develop intracellular therapeutics that are designed to engage previously undruggable targets and revolutionize the treatment of devastating diseases * Endosomal Escape Vehicles are referred to as EEVs 4 March 2022
LEADERSHIP TEAM AND BOARD OF DIRECTORS Board of Directors Kush Parmar, MD, PhD Managing Partner 5AM Ventures (Board Chairman) Peter S. Kim, PhD Virginia & D.K. Ludwig Prof. of Biochemistry Stanford University Dipal Doshi Natarajan Sethuraman, PhD Nerissa Kreher, MD Nathan Dowden Todd Foley President & CEO Chief Scientific Officer Chief Medical Officer Chief Operating Officer Managing Director MPM Capital John Crowley Chairman & CEO Amicus Therapeutics Mary Thistle Special Advisor Bill & Melinda Gates Foundation Carole Nuechterlein, JD Head Roche Venture Fund Kory Wentworth, CPA Kerry Robert Jared Cohen, PhD, JD Karla MacDonald Chief Financial Officer Vice President, People General Counsel Vice President, Corporate Communications & IR 5 March 2022
OUR DIFFERENTIATED AND EXPANDING PIPELINE Entrada’s pipeline includes a diverse array of high potential and high value assets; We plan to leverage early learnings to advance subsequent programs Clinical Disease/Condition Discovery Preclinical Phase 1 Phase 2 Phase 3 ENTR-601-44 Exon 44 Skipping Oligonucleotide Neuromuscular Disease: DMD Exon 45 Skipping Oligonucleotide Neuromuscular Disease: DM1 CUG Steric Blocker Oligonucleotide Neuromuscular Disease: Pompe GYS1 Knockdown Oligonucleotide Neurodegenerative Diseases CD33 Exon 2 Skipping Oligonucleotide Inflammatory Diseases IRF5 Knockdown Oligonucleotide Solid Tumors β-catenin Degrader Antibody MNGIE ENTR-501 Enzyme Replacement 6 March 2022
ENDOSOMAL ESCAPE VEHICLE (EEV TM) PLATFORM The EEV Platform aims to solve a fundamental problem: lack of efficient cellular uptake and escape from the endosome. Both are critical to intracellular target engagement and therapeutic benefit • Cyclic structure designed to extend half life and increase stability • Phospholipid binding potentially enables broad biodistribution to all cells • Unique chemistry results in improved uptake and endosomal escape 2. Binding to Endosome Nucleation Budding Post Membrane Zones Process Collapse EEVTMR DextranAlexa The combined benefits of Entrada’s unique EEV Platform are designed to drive an enhanced therapeutic index 8 1. 90% retention after 24 hours based on mass balance 2. Sahni, Qian, Pei; ACS Chem. Biol. 2020 March 2022
A BROADLY APPLICABLE PLATFORM Entrada has demonstrated intracellular uptake of unique moieties ranging from 1 kDa to 600 kDa Antibodies Enzymes Oligonucleotides 550-600 KDa 150 KDa 98 KDa 96 KDa 86 KDa 46 KDa 37 KDa 32 KDa 16 KDa 6 KDa 1-3 KDa Hybrid frataxin Antibody Thymidine Purine Alanine- Human frataxin PTP1B EGFP Nanobody Oligonucleotide Various phosphorylase nucleoside glyoxylate Catalytic peptide cargos phosphorylase aminotransferase domain 9 March 2022
DIFFERENTIATED PHARMACOLOGY We believe the unique properties of Entrada’s EEVs can potentially endow favorable pharmacologic properties to therapeutics to enable improved half-life, uptake and expression throughout the body Long Half-Life in Circulation High Uptake In Tissue Target Engagement in the Cell Neuromuscular ENTR-601-44 in NHP Plasma EEV-PMO 10 6 10 5 Immunology Concentration (nM) 30 mg/kg IV in NHP 10 4 and Oncology 10 3 10 2 10 1 Skeletal and 10 0 cardiac muscle Monocytes and 10 -1 0 10 20 30 40 50 macrophages Time (hr) ENTR-501 in NHP Plasma EEV-Enzyme 10 6 5 mg/kg IV 15 mg/kg IV 10 5 5 mg/kg SC 15 mg/kg SC Serum ENTR-501 Cerebellum 10 4 Neurodegenerative (ng/mL) 10 3 and Pain 10 2 DRG 10 1 0 24 48 72 96 120 144 168 192 216 240 Hours 10 March 2022
TRANSLATION FROM UPTAKE TO OUTCOMES EEV-therapeutic candidates observed to significantly improve reaching intracellular targets and can potentially enable high tissue concentration across a range of therapeutic applications Long Half-Life Upregulation via Exon Skipping Splice Correction via CUG Repeat Block 10 6 Cardiac Dystrophin Expression Splicing of Mbnl1 30 mg/kg IV in NHP 10 5 40 15 Concentration (nM) Exon 5 Inclusion (%) 10 4 % of WT Dystrophin 10 3 30 EEV-PMO corrected 10 DM1 associated splicing 10 2 20 defects with a single 10 1 dose 5 10 0 10 10 -1 ** ** 0 10 20 30 40 50 0 0 Time (hr) WT Vehicle DM1 Vehicle 30 mg/kg 15 mg/kg 30 mg/kg 1W 2W 4W PMO-DM1 EEV-PMO-DM1 High Concentration and Downregulation via Exon Skipping and Downregulation via Exon Skipping and Concomitant Gene Expression Nonsense Mediated Degradation Nonsense Mediated Degradation Enables 1.5 10000 100 Tissue Concentration Near complete 1.5 Knockdown of target protein Tissue Concentration (ng/g) knockdown of gene Proportion of GYS1 mRNA Expression 80 expression relevant to multiple Relative IRF5 expression 1000 expression relevant to Exon Skipping (%) 1.0 Exon Skipping immune mediated diseases 60 Pompe disease with a 1.0 100 DMD example single dose 40 0.5 ✱ 10 0.5 20 0.0 ** ** ✱✱ ✱✱✱ 1 0 e O O O cl PM PM PM hi 0.0 Ve 10 20 30 40 V- V- kg EE EE g/ m g g Dose (mg/kg) k k μM μM e M 27 g/ g/ cl 3μ m m hi 30 10 3. 27 .5 Ve 13 11 March 2022
DUCHENNE MUSCULAR DYSTROPHY (DMD) 12 March 2022
DMD DISEASE OVERVIEW A significant therapeutic need exists within a validated DMD market; A safe and effective approach is necessary to treat patients over the long term • Disease caused by mutations in the DMD gene and altered levels of 7.6% normal dystrophin 8.1% • Lack of functional dystrophin leads to muscle cell membrane damage and progressive loss of function 9.0% • Progressive muscle degeneration, wasting and paralysis generally lead to death via respiratory and/or cardiac failure in the third or fourth decade • ~30,000 patients in the US and Europe 14.0% • Corticosteroids are the current standard of care • Exon skipping therapeutics have been approved based on a very modest improvement in dystrophin levels ranging from ~1 to ~6% ~40% (~12,000 US and Europe total) of patients with DMD have mutations • Continued FDA approval of existing exon skipping drugs may amenable to exon skipping of exons 44, require verification of clinical benefit in confirmatory clinical trials 45, 51 and 53 13 March 2022
REPEAT EEV-PMO TREATMENT RESTORES MUSCLE INTEGRITY IN RIGOROUS D2-mdx MICE Robust exon 23 skipping after four monthly IV doses of Broad dystrophin expression and restoration of muscle integrity after EEV-PMO-23 in D2-mdx mice four monthly IV doses of EEV-PMO-23 in D2-mdx mice Representative Immunofluorescence of Gastrocnemius Muscle (Dystrophin Staining in Green) Heart Diaphragm 100 **** 100 **** **** **** 80 Exon skipping (%) 80 Exon skipping (%) 60 60 40 40 20 n.s. 20 n.s. 0 0 Vehicle PMO EEV-PMO Vehicle PMO EEV-PMO Tibialis Anterior Triceps **** Representative Histopathology of Gastrocnemius Muscle (H&E Staining) **** **** 120 **** 100 100 80 Exon skipping (%) Exon skipping (%) 80 60 60 40 40 n.s. 20 n.s. 20 0 0 Vehicle PMO EEV-PMO Vehicle PMO EEV-PMO • D2-mdx is a DMD mouse model on DBA/2J background and better recapitulate disease pathology (Fukada et al. Am. J. Path. 2010) • D2-mdx mice (male, n=6-7) were treated with 4 monthly doses of either vehicle, 20 mg/kg PMO or 20 mg/kg PMO equivalent of EEV-PMO, and the data were collected ~4 weeks after the last dose 14 n.s. not significant, *p
REPEAT EEV-PMO TREATMENT RESULTS IN CK CORRECTION AND FUNCTIONAL IMPROVEMENT Repeat EEV-PMO-23 treatment normalized serum CK levels and showed significant improvements in muscle function when compared to PMO alone after four monthly IV doses in D2-mdx mice Serum Creatine Kinase (CK) Levels Wire Hang Time Grip Strength n.s. **** **** Normalized grip strength: Fgm/gm 250 400 ** 5 * Creatinine Kinase U/L Wire Hang Time (Sec) 200 4 n.s. 300 150 3 200 100 n.s. 2 100 50 1 0 0 0 Wild Type Veh PMO EEV-PMO Wild Type Veh PMO EEV-PMO Wild Type Veh PMO EEV-PMO • D2-mdx is a DMD mouse model on DBA/2J background and better recapitulate disease pathology (Fukada et al. Am. J. Path. 2010) • D2-mdx mice (male, n=6-7) were treated with 4 monthly doses of either vehicle, 20 mg/kg PMO or 20 mg/kg PMO equivalent of EEV-PMO, and the data were collected ~2 weeks after the last dose 15 n.s. not significant, *p
SIGNIFICANT PROMISE OF ENTR-601-44 IN PATIENT CELLS AND TRANSGENIC MOUSE MODELS Robust dose-dependent exon 44 skipping and Dose-dependent tissue exposure and exon skipping in cardiac and skeletal dystrophin protein restoration were observed in DMD muscles in a transgenic mouse carrying the full-length human DMD gene patient-derived muscle cells treated with ENTR-601-44 Exon Skipping Heart Tibialis Anterior (TiA) Diaphragm 120 **** **** **** 100000 % DMD Exon 44 Skipping 100.0 98.7 100 93.0 10000 10000 100 Tissue Concentration (ng/g) 100 100 Tissue Concentration (ng/g) Tissue Concentration (ng/g) 10000 Exon Skipping (%) 80 80 1000 Exon Skipping (%) 80 1000 Exon Skipping (%) 80 1000 60 60 60 100 60 100 100 40 40 40 40 10 10 20 20 20 10 10.9 20 0 0 0 1 0 1 0 1 0 20 40 60 80 100 Healthy DMDΔ45 10 µM 3 µM 1 µM 0 20 40 60 80 100 Dose (mg/kg) 0 20 40 60 80 100 Dose (mg/kg) Dose (mg/kg) Tissue Concentration (ng/g) Exon Skipping (%) Dystrophin Restoration 120 • hDMD transgenic mice express full-length human dystrophin gene which % Dystrophin Restoration 100.0 100 80 allows for preclinical testing (target engagement) of human sequence- 60 **** specific PMO for DMD transcript correction 43.7 **** 40 33.8 **** 24.7 • Exon skipping and tissue concentrations in various muscles groups assessed 5-day post 10, 20, 40 and 80 mg/kg IV dosage 20 4.2 0 Healthy DMDΔ45 10 µM 3 µM 1 µM ****p
ENTR-601-44 IN NHP CONFIRMS LEAD CANDIDATE A single 30 mg/kg IV dose of ENTR-601-44 resulted in meaningful An extended circulating half-life for ENTR-601-44 levels of exon skipping in both skeletal muscles and the heart of the was observed in the NHP NHP which provides confidence in translational potential ENTR-601-44 in NHP Plasma ENTR-601-44 Exon Skipping in NHP Muscle 120% 100% Exon Skipping (%) 80% 60% 40% 20% 0% • At 7 days post 1 hour IV infusion at 30 mg/kg, robust exon 44 skipping observed across different muscle groups isolated from the ENTR-601-44 treated NHP 17 March 2022
ENTRADA DMD DATA SUMMARY Entrada’s mouse and NHP data are consistent and promising; These advances represent a robust set of translational data • Promising exon skipping across mdx, D2-mdx, human dystrophin mouse and NHP studies • Exon skipping translates to promising dystrophin production in heart and skeletal muscles • Dystrophin production sufficient to result in functional improvement • Durable dystrophin production over 4+ weeks from a single injection • ENTR-601-44 candidate selected on the basis of exon skipping and tolerability with IND planned in 2H 2022 • Accelerating exon 45 candidate expected to enable second DMD candidate selection in quick succession 18 March 2022
MYOTONIC DYSTROPHY TYPE 1 (DM1) 19 March 2022
DM1 OVERVIEW DM1 is a debilitating multi-systemic disease with no available treatments; CUG repeats in DMPK mRNA sequester MBNL1 proteins, resulting in aberrant gene expression and protein expression • DM1 affects over 40,000 in US and over 50,000 in Europe Prevalence of at least 1 in 8,000 worldwide Congenital 15%, childhood 10%, or classical (adult onset) 75% Multisystemic; including myotonia, muscle weakness and atrophy, cardiac and pulmonary complications, cataracts and endocrine dysfunction Currently no approved therapies • DM1 is caused by CUG repeats in the mRNA that sequester MBNL proteins and retain them in the nucleus Mutant DMPK mRNA and MBNL proteins form aggregates called foci in the nucleus • MBNL activity is decreased as a result of sequestration MBNL proteins are responsible for splicing and expression of many downstream transcripts, including MBNL1, BIN1, INSR, LDB3 and SOS1 • PMOs can be used to bind to the CUG repeats in mutant DMPK mRNA Decrease the number of foci in the nucleus Adapted from Todd and Paulson, 2012 Increase MBNL activity and restore splicing and expression 20 March 2022
CUG-REPEAT BLOCKING PMO IN DM1 MYOTUBES Administration of EEV-PMO in a DM1 patient-derived cell line resulted in a dose-dependent correction in MBNL1 gene splicing associated with muscle tissue development and insulin response MBNL1 SOS1 BIN1 80 80 100 * ** *** *** 80 *** % Exon 11 Inclusion % Exon 25 Inclusion % Exon 5 Inclusion 60 60 60 40 40 40 4 CUG repeat blocking * 3 *** *** with EEV-PMO Steric 20 20 2 Blocker *** 1 ** 0 0 0 µM 1 µM µM y µM µM 1 µM µM M y lth µM µM 1 µM µM y µM M lth D M lth 3 10 3 1 ea D 0. 3 10 3 1 ea D 3 10 3 1 0. H ea 0. H H EEV-PMO LDB3 INSR 120 8 *p
EEV-PMO-CAG IN DM1 MURINE MODEL Single administration of EEV-PMO-CAG in DM1 murine model resulted in full correction of disease relevant splicing biomarkers in various muscle groups and myotonia phenotype Splicing of Atp2a1 Splicing of Nfix Splicing of Clcn1 Splicing of Mbnl1 100 *** *** 80 25 15 WT Vehicle Exon 5 Inclusion (%) Exon 22 Inclusion (%) Exon 7a Inclusion (%) Exon 7 Inclusion (%) 80 20 DM1 Vehicle 60 10 30 mg/kg PMO-CAG 60 15 40 15 mg/kg EEV-PMO-CAG 40 10 30 mg/kg EEV-PMO-CAG 5 20 *** *p
ADDITIONAL PROGRAMS 23 March 2022
THERAPEUTIC AREA EXPANSION We plan to advance beyond rare disease markets into broader therapeutic areas over the next several years, bringing EEV-therapeutic candidates to more patients with devastating diseases CNS and Beyond Beyond Immunology and Oncology Neuromuscular 24 March 2022
IMMUNOLOGY IRF5 has been shown to be a master switch implicated in proinflammatory cytokine release and M1 polarization across high unmet need diseases, making this an attractive “pipeline in a product” IRF5 Implicated Across a Wide Range of Diseases Significant Knockdown IRF5 of IRF5 Protein expression 24hrExpression in vitro post-treatment 1.5 Relative IRF5 expression CNS/Pain MS Neuropathic pain Rheum 1.0 RA JRA OA ✱ Interferon Regulatory Cardiometabolic Atherosclerosis Polyarthritis Factor 5 Obesity CHF post AMI Multisystem 0.5 ✱✱ SLE ✱✱✱ Glycolysis Sjogren’s Syndrome Scleroderma HLH Gastro 0.0 Pro-inflammatory cytokines Ulcerative Colitis Crohn’s µM µM M e (IFN, TNFa, IL6,12, 23, etc.) cl 3µ PBC hi 30 10 3. Pulmonary Ve NASH Asthma ALD *p
ADDITIONAL PLATFORM OPPORTUNITIES Entrada continues to invest in and build upon our EEV Platform to extend our efforts in developing novel EEV-therapeutic candidates Target Platform Approach Goal DNA Gene editing Deliver CRISPR enzyme and repair gene function with guide RNA RNA editing Deliver oligonucleotide therapeutics for RNA editing RNA splicing Modify RNA via exon/intron splicing to activate protein expression RNA RNA blocking Block trinucleotide repeats in RNA to inhibit adverse binding RNA silencing Silence or knockdown RNA to prevent protein expression Protein replacement Replace proteins and enzymes Protein Protein inhibition Inhibit protein signaling pathways Protein degradation Degrade disease-causing proteins 26 March 2022
CORPORATE HIGHLIGHTS AND MILESTONES 27 March 2022
KEY CORPORATE HIGHLIGHTS With ~$122M cash and cash equivalents as of September 30, 2021, and our recent IPO, Entrada is well capitalized to deliver initial DMD human data from ENTR-601-44 and progress the pipeline IPO on October 29, 2021 33 Distinct Patent (Nasdaq: TRDA) >100 Employees Families on File • IPO Price: $20 • Exclusive EEV Platform rights • Seasoned leadership team across functions • Shares Issued: 10,436,250 • 5 families with one or more granted patents covering • Recognized as a Top Place to • Gross Proceeds: $208.7M composition of matter, Work 2021 by The Boston • Common Shares Outstanding: manufacturing and use Globe 31,169,207* • ~70% have advanced degrees and ~50% have PhDs * pro forma as of 9/30 basic shares outstanding 28 March 2022
POTENTIAL VALUE CATALYSTS We intend to build the leading intracellular therapeutics company with a growing pipeline of oligonucleotide and protein-based therapeutics; First IND filing expected in 2H 2022 Future 2023 2022 Entrada expands the Entrada anticipates portfolio Entrada anticipates delivering clinical data • ENTR-601-44 MAD/Phase 2b becoming a clinical stage company • ENTR-601-44 clinical data • DM1 clinical data • DM1 IND filing • DMD exon 45 IND filing • ENTR-601-44 IND filing • DM1 and DMD exon 45 • Pompe candidate selection • Pompe IND filing candidate selection • Immunology/oncology • Immunology/oncology/CNS • Immunology/oncology in vivo candidate selection candidate selection PoC 29 March 2022
30 March 2022
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