Thierry Legon CEO, ASIT biotech - Paris May 03 2018
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About ASIT biotech Mission To improve acceptance and compliance of allergy immunotherapy by developing short course treatments based on innovative allergenic peptides Main achievements • Clinical efficacy of lead product in Grass Pollen Rhinitis confirmed in Phase 3 clinical study • Validated technology platform to design, characterize, screen and produce novel product candidates • Ongoing design and screening of product candidates in House Dust Mite Rhinitis and food allergy (peanuts, cow’s milk and egg white) 2
About ASIT biotech • ASIT biotech has dual market listing in Brussels (Belgium) and Paris (France) since May 2016 • Raised €73 million since inception (€23.4 million by IPO (2016) and €13.9 million by a private placement (2018)) • 26 active and motivated collaborators • Partnership with public and private internationally renowned institutions 3
Over 1 billion patients suffer today from Allergy and over 4 billion in 2050 • Steadily increasing prevalence of allergic diseases • More complex allergies with high morbidity leading to a heavy burden for health care system • 30 to 40% of the world population would be affected by one or more allergic conditions ✓ Over 400 million patients suffer from Allergic Rhinitis ✓ Over 200 million patients suffer from Food allergies ✓ Over 300 million patients suffer from Asthma World Allergy Week April 2011 EAACI 5
Allergic Rhinitis: up to 400 million people worldwide USA CHINA EUROPE 1,6-43% 12-30% 23-30% JAPAN USA Europe China Japan 9,1-37,5% MIDDLE EAST 7,4-45,2% Population (M) 320 320 1379 127 Population with 43 73 TBD 38 Rhinitis (M) Population with 24 25 TBD 9 severe Rhinitis (M) LATIN AFRICA AUSRALIA AMERICA 7,2-54,1% 12-41,3% 5,5-45,1% Bauchau V & Durham SR Eur Respir J 2004; 24: 758-764 Katelaris, C.H. et al., 2012. Clinical and experimental allergy 42(2), pp.186–207 6 C.F., M. & Tong Janice S.C. Lin, 2015. European Academy of Allergy and Clinical Immunology, pp. 62–63.
Food Allergy: more than 200 millions people worldwide • 15 million of American, 17 million of Europeans suffer from food allergy1 • Increasing prevalence in both developed and developing countries2 • Peanut, cow’s milk and egg white concern >74% children3 • Total annual food allergy management cost estimate/child in the US: $ 4,184 1. Commins et al. 2016 and World Allergy Organization 2. Prescott et al. 2013 3. Scott et al. 2011 4. Gupta et al 2013 7
Allergy leads to symptoms impairing quality of life Reduced work productivity Eye symptoms Asthma Nasal Angiodema symptoms Sleep deprivation Reduced school performance 8 …if not threathening life…
Allergy: inappropriate immune response against harmless substance Th2 cell Allergens B cell 2 1 1. First contact between allergen and IgE Antigen mucosa synthesis Presenting 2. Allergen specific IgE antibody 3 cell production ‒ Uptake & processing by APC ‒ T- cell activation ‒ allergen specific IgE Mast cell Basophil 4 5 antibody production 3. Loading of allergen specific IgE on mast cells Degranulation leading to 4. Bridging of the IgE by allergens histamine release 5. Allergic reaction Eosinophils Mast cell Basophil recruitment and activation 9
Symptomatic drugs for allergic rhinitis Interleukin specific Nonspecific immunosuppressors blockers (mAb) Intranasal steroids Allergic rhinitis & Mepolizumab (GSK) Inhaled steriods Leukotriene modifiers Th2 Reslizumab (Teva) asthma Benralizumab (AZ) cell • >95% of the market Dupilumab B cell Allergen (Regeneron/Sanofi) • daily intake during allergen exposure (seasonal/perennial) IgE synthesis • no long-term effect IgE-specific blockers (mAb) Antigen Antihistamines Zyrtec • poor effectiveness in case of Presenting cell Xyzal low compliance Omalizumab Allegra (Novartis/Genentech) • $20 billion/year for Claritin Mast cell Basophil respiratory allergies Degranulation leading to histamines release Food allergy Mast cell Basophil Eosinophils • no registered drugs available recruitment and • food avoidance activation • epinephrine injection 11
Curative treatment: Allergy Immunotherapy Sub-cutaneous Sublingual 12
Allergy immunotherapy induces natural regulation of the immune system and provides better symptoms reduction Th2 cell Allergen - IL-10 IL-35 1. Regulatory T and B cells IgG4 & IgA B cell 2. Prevention of the seasonal synthesis 2 increase of IgE + 3 3. Induction of IgG4-associated blocking antibodies leading IgE synthesis to clinical benefit during the Antigen Treg Breg + 1 pollen season. Presenting - cell cell Whole Allergens 4. Suppression of grass pollen- 2 cell induced basophil activation responsible for immediate allergic response 4 - Degranulation leading to Mast cell Basophil histamine release Eosinophils Mast cell Basophil recruitment and activation 13
Allergy immunotherapy market less than €1billion today Year 1 Year 2 Year 3 COMPLIANCE SCIT SCIT 40-60 Subcutaneous immunotherapy Doctor visits < 25% Daily SLIT administration Sublingual immunotherapy 180 to 360 < 12.5% days/year 3 year long cumbersome treatment due to the use of whole allergen extracts 14
Whole allergen extract limitations Safety concerns: induction of histamine and proinflammatory substances Efficacy concerns: delay in reaching the optimal balance between IgG4 and IgE Allergen injectionsAllergen Injections Symptoms IgG and IgG4 IgE Lymphocyte responses 6 months 2 years Time 15
ASIT™ Innovative technology 16
ASIT+™ allergenic peptides allow short-course treatment improving patient adherence and compliance ASIT biotech’s Offer 4 visits 4 doctor visits in 3 weeks before each pollen season 17
ASIT+TM unique safe and efficient active ingredients Current Immunotherapy ASIT+TM Immunotherapy Optimally-sized Whole Allergens natural allergenic peptides Advantages (1 – 10 kDa) ✓ Clinically effective ✓ Safety: SLIT > SCIT ASIT+TM Technology Platform ✓ Short course SCIT ✓ Include all the necessary immunological information ✓ Real-life clinical efficacy during ✓ IgG4 and blocking antibodies grass pollen season confirmed ✓ Applicable to all allergies ✓ Fast onset of optimal immunoregulation with blocking Disadvantages antibodies induction Increased AEs ✓ Applicable to all allergies 3 year treatment ✓ No need of adjuvant Poor patient compliance ✓ Probable high patient adherence Need of adjuvants and compliance 18
ASIT+TM technology platform to design, characterize, screen and produce novel product candidates Extraction of Large proteins do not enter into the gel allergens from particles natural source => shorter pathway through the column. ASIT+TM allergenic peptides enter into the gel particles Enzymatic => longer pathway through the column. hydrolysis Selection of allergenic peptides according to size (1-10kDa) 19
ASIT™ Clinical Development 20
ASIT biotech pipeline: achieved milestones Pre-clinical Phase I Phase II Phase III Q1 2017 - Positive phase III Grass pollen gp-ASIT+™ Q2 2017 - Positive Phase I/II House dust mite hdm-ASIT+™ Preclinical development program Food Peanut - Egg white - Cow’s milk food-ASIT+™ 21
gp-ASIT+™ Positive Phase III clinical study (BTT009) TRIAL # PATIENTS PRIMARY OBJECTIVE DESIGN ‒ 2:1 (active : placebo) ‒ Clinical efficacy during pollen ‒ Double-blind ‒ 93% retention rate: 512 season based on reduction in ‒ Placebo controlled Phase III patients attended the the combined symptom- ‒ 67 centers in Europe last visit medication score (CSMS) • symptom and drug intake reduction statistically significant -15.5% during the peak and -17.9% over the pollen season (p
ASIT™ mechanistic aspects Prof. Mohamed Shamji 23
Short Course treatment of Subcutaneous Peptide Hydrolysate from Lolium Perenne suppresses Basophil Responses and induces IgG-associated Blocking Antibodies: A RDPCT Mohamed Shamji, PhD. CS. FAAAAI Head, Immunomodulation and Tolerance Group Director, Immune Tolerance Network Distributed Centre of Excellence for Allergy & Asthma, UK Chair, Scientific Program Committee, European Academy, Allergy and Clinical Immunology Associate Professor in Immunology and Allergy, Allergy & Clinical Immunology, Imperial College London, UK Media & Analyst Conference, Paris, France Thursday, 3rd May, 2018 24
Pathophysiology of Allergic Rhinitis and Mechanisms of AIT ILC2 Natural exposure Cell CRTH2+ T cells (Low-dose allergen) Allergen- Th2 IL- Mast Cell Basoph specific IgE Cell 9 il Th IL- 0 Tfh 5 Cell Eosinophi Dendritic cells IL-4 l Plasma (nasal CXCR5+ T cells IL-21 B Cell mucosa) IL-13 Cel l Shamji et al., JACI 25
Year 1 Year 2 Year 3 Compliance SCIT Subcutaneous immunotherapy SCIT 40-60
Characterisation of Peptide Hydrolysate from Lolium Perenne (gpASIT+TM) and its ability to bind to IgE compared to Grass Pollen extract Reproducibility Basophil activation Graph#8 CD63+ basophils [%] 80 IgE binding (%) 60 40 20 0 1e-4 0,001 0,01 0,1 1 10 100 1000 Concentration [µg/ml] Concentration [µg/ml] Concentration [ng/mL] 4-P Fit: y = (A - D)/( 1 + (x/C)^B ) + D: A B C D R^2 Plot#2 (PROT 08J20 (1/3): Concentration vs %IN... -0.72 0.973 0.0861 95.7 0.999 Plot#4 (PROT 00597 (1/3): Concentration vs %IN... 4.86 0.835 0.0905 97.9 1 *p ≤ 0.05 Pollen proteins - batch 1 Plot#6 (PEP 00597 (1/3): Concentration vs %INHIB) -8.18 0.269 136 143 0.999 Plot#10 (PEP 08K05 (1/3): Concentration vs %INH... -12.8 0.227 497 170 0.998 **p ≤ 0.05 __________ Pollen proteins - batch 2 ***p ≤ 0.05 Weighting: Fixed Pollen peptides - batch 1 Pollen peptides - batch 2 Shamji et al., JACI 2017 27
Characterisation of Peptide Hydrolysate from Lolium Perenne (gpASIT+TM) and its ability to bind to IgE compared to Grass Pollen extract Reproducibility Basophil activation Graph#8 CD63+ basophils [%] 80 IgE binding (%) 60 40 20 0 1e-4 0,001 0,01 0,1 1 10 100 1000 Concentration [µg/ml] Concentration [µg/ml] Concentration [ng/mL] 4-P Fit: y = (A - D)/( 1 + (x/C)^B ) + D: A B C D R^2 Plot#2 (PROT 08J20 (1/3): Concentration vs %IN... -0.72 0.973 0.0861 95.7 0.999 Plot#4 (PROT 00597 (1/3): Concentration vs %IN... 4.86 0.835 0.0905 97.9 1 *p ≤ 0.05 Pollen proteins - batch 1 Plot#6 (PEP 00597 (1/3): Concentration vs %INHIB) -8.18 0.269 136 143 0.999 Plot#10 (PEP 08K05 (1/3): Concentration vs %INH... -12.8 0.227 497 170 0.998 **p ≤ 0.05 __________ Pollen proteins - batch 2 ***p ≤ 0.05 Weighting: Fixed Pollen peptides - batch 1 Pollen peptides - batch 2 Shamji et al., JACI 2017 28
Characterisation of Peptide Hydrolysate from Lolium Perenne (gpASIT+TM) and its ability to bind to IgE compared to Grass Pollen extract Reproducibility Basophil activation Graph#8 CD63+ basophils [%] 80 IgE binding (%) 60 40 20 0 1e-4 0,001 0,01 0,1 1 10 100 1000 Concentration [µg/ml] Concentration [µg/ml] Concentration [ng/mL] 4-P Fit: y = (A - D)/( 1 + (x/C)^B ) + D: A B C D R^2 Plot#2 (PROT 08J20 (1/3): Concentration vs %IN... -0.72 0.973 0.0861 95.7 0.999 Plot#4 (PROT 00597 (1/3): Concentration vs %IN... 4.86 0.835 0.0905 97.9 1 *p ≤ 0.05 Pollen proteins - batch 1 Plot#6 (PEP 00597 (1/3): Concentration vs %INHIB) -8.18 0.269 136 143 0.999 Plot#10 (PEP 08K05 (1/3): Concentration vs %INH... -12.8 0.227 497 170 0.998 **p ≤ 0.05 __________ Pollen proteins - batch 2 ***p ≤ 0.05 Weighting: Fixed Pollen peptides - batch 1 Pollen peptides - batch 2 Shamji et al., JACI 2017 29
Hypotheses - 3-week treatment with subcutaneous peptide hydrolysates from Lolium perenne (LPP, gpASIT+TM) is associated with reduction in CSMS and RTSS during the peak and throughout the entire pollen season. - gpASIT+TM immunotherapy but not placebo blunts the seasonal increases of sIgE - gpASIT+TM immunotherapy but not placebo treatment suppresses grass pollen- induced basophil hyperesponsivess and basophil reactivity. - A short-course of gpASIT+TM immunotherapy induces IgG4-associated blocking antibodies that conferred clinical benefit during the pollen season and supresses pathogenic T cell responses. 30
Hypotheses - 3-week treatment with subcutaneous peptide hydrolysates from Lolium perenne (LPP, gpASIT+TM) is associated with reduction in CSMS and RTSS during the peak and throughout the entire pollen season. - gpASIT+TM immunotherapy but not placebo blunts the seasonal increases of sIgE - gpASIT+TM immunotherapy but not placebo treatment suppresses grass pollen- induced basophil hyperesponsivess and basophil reactivity. - A short-course of gpASIT+TM immunotherapy induces IgG4-associated blocking antibodies that conferred clinical benefit during the pollen season and supresses pathogenic T cell responses. 31
Study design – RDBCT Immune mechanisms analyses on participant from a single site - (Ghent, Belgium). Mechanistic analyses CSMS 32
CSMS during the peak pollen and the entire pollen season following LPP and Placebo CSMS – CSMS – Peak Peak season season CSMS – Entire season Mösges and Shamji, Allergy 2018 33
3-week treatment with subcutaneous peptide hydrolysates from Lolium perenne (LPP, gpASIT+TM) supresses CSMS and RTSS CSMS RTSS CSMS reduction in Belgium RTSS reduction in Belgium Peak period : -35.1%; P=0.03. Peak period: -27.4%, P=0.04 Entire pollen season : -53,7%; P=0.03 Entire pollen season: -56.9%, P=0.01 34 Shamji MH et al, EAACI 2017
Hypotheses - 3-week treatment with subcutaneous peptide hydrolysates from Lolium perenne (LPP, gpASIT+TM) is associated with reduction in CSMS and RTSS during the peak and throughout the entire pollen season. - gpASIT+TM immunotherapy but not placebo blunts the seasonal increases of sIgE - gpASIT+TM immunotherapy but not placebo treatment suppresses grass pollen- induced basophil hyperesponsivess and basophil reactivity. - A short-course of gpASIT+TM immunotherapy induces IgG4-associated blocking antibodies that conferred clinical benefit during the pollen season and supresses pathogenic T cell responses. 35
Hypotheses - 3-week treatment with subcutaneous peptide hydrolysates from Lolium perenne (LPP, gpASIT+TM) is associated with reduction in CSMS and RTSS during the peak and throughout the entire pollen season. - gpASIT+TM immunotherapy but not placebo blunts the seasonal increases of sIgE - gpASIT+TM immunotherapy but not placebo treatment suppresses grass pollen- induced basophil hyperesponsivess and basophil reactivity. - A short-course of gpASIT+TM immunotherapy induces IgG4-associated blocking antibodies that conferred clinical benefit during the pollen season and supresses pathogenic T cell responses. 36
Effect of LPP (gpASIT+TM) immunotherapy on sIgE levels V8-V6 V2 = Before treatment V6 = After treatment V8 = After the grass pollen season 37 Shamji MH et al, EAACI 2017
Effect of LPP (gpASIT+TM) immunotherapy on sIgE levels V8-V6 V2 = Before treatment V6 = After treatment V8 = After the grass pollen season 38 Shamji MH et al, EAACI 2017
Hypotheses - 3-week treatment with subcutaneous peptide hydrolysates from Lolium perenne (LPP, gpASIT+TM) is associated with reduction in CSMS and RTSS during the peak and throughout the entire pollen season. - gpASIT+TM immunotherapy but not placebo blunts the seasonal increases of sIgE - gpASIT+TM immunotherapy but not placebo treatment suppresses grass pollen- induced basophil hyperesponsivess and basophil reactivity. - A short-course of gpASIT+TM immunotherapy induces IgG4-associated blocking antibodies that conferred clinical benefit during the pollen season and supresses pathogenic T cell responses. 39
Hypotheses - 3-week treatment with subcutaneous peptide hydrolysates from Lolium perenne (LPP, gpASIT+TM) is associated with reduction in CSMS and RTSS during the peak and throughout the entire pollen season. - gpASIT+TM immunotherapy but not placebo blunts the seasonal increases of sIgE - gpASIT+TM immunotherapy but not placebo treatment suppresses grass pollen-induced basophil hyperesponsivess and basophil reactivity. - A short-course of gpASIT+TM immunotherapy induces IgG4-associated blocking antibodies that conferred clinical benefit during the pollen season and supresses pathogenic T cell responses. 40
Effect of gpASIT+TM and Placebo on CD203chighCRTH2+ Basophils * ** * ** ** * * * * 41 Shamji MH et al, EAACI 2017
Hypotheses - 3-week treatment with subcutaneous peptide hydrolysates from Lolium perenne (LPP, gpASIT+TM) is associated with reduction in CSMS and RTSS during the peak and throughout the entire pollen season. - gpASIT+TM immunotherapy but not placebo blunts the seasonal increases of sIgE - gpASIT+TM immunotherapy but not placebo treatment suppresses grass pollen-induced basophil hyperesponsivess and basophil reactivity. - A short-course of gpASIT+TM immunotherapy induces IgG4-associated blocking antibodies that conferred clinical benefit during the pollen season and supresses pathogenic T cell responses. 42
Hypotheses - 3-week treatment with subcutaneous peptide hydrolysates from Lolium perenne (LPP, gpASIT+TM) is associated with reduction in CSMS and RTSS during the peak and throughout the entire pollen season. - gpASIT+TM immunotherapy but not placebo blunts the seasonal increases of sIgE - gpASIT+TM immunotherapy but not placebo treatment suppresses grass pollen- induced basophil hyperesponsivess and basophil reactivity. - A short-course of gpASIT+TM immunotherapy induces IgG4-associated blocking antibodies that conferred clinical benefit during the pollen season and supresses pathogenic T cell responses. 43
Induction of Blocking antibodies following gpASIT+TM and Placebo Phleum Pratense Lolium Perenne * * 44 Shamji MH et al, EAACI 2017
Induction of blocking antibodies is associated with the induction of regulatory B cells in gpASIT+TM treated group. * * * * 45 Shamji MH et al, EAACI 2018
gpASIT+TM is associated with reduction of IL-4+Tfh cells induction of IFN-g+ Tfh cells and FoxP3+ Tfh cells * * * * * * 46 Sharif and Shamji MH et al, AAAAI 2017
Summary/Conclusions - 3-week treatment with subcutaneous peptide hydrolysates from Lolium perenne (LPP, gpASIT+TM) is associated with reduction in CSMS and RTSS during the peak and throughout the entire pollen season. - gpASIT+TM immunotherapy but not placebo blunts the seasonal increases of sIgE - gpASIT+TM immunotherapy but not placebo treatment suppresses grass pollen- induced basophil hyperesponsivess and basophil reactivity. - A short-course of gpASIT+TM immunotherapy induces IgG4-associated blocking antibodies that conferred clinical benefit during the pollen season and supresses pathogenic T cell responses. 47
Proposed Mechanisms of gpASIT+TM ILC2 Natural exposure Cell CRTH2+ T cells (Low-dose allergen) Allergen- Th2 IL-9 Mast Cell Basophil specific IgE Cell Th IL-5 0 Tfh Cell Eosinophi Dendritic cells IL-4 l Plasma Cell (nasal CXCR5+ T cells IL-21 B mucosa) IL-13 Cell Immunotherapy CTL-4 IL-10 (High-dose allergen) Th Tfr 0 cell Plasma Cell IL-27 IL-10/IL-35 Bregs Allergen-specific iTreg IgG4 & IgA Dendritic cells IL-10+ TGF-β cell (under skin or oral mucosa) Th iTre nTre 1 g + TGF-β g + Foxp3 Cel l IFN-γ IgG4 and IgA competes with IgE for allergen binding 48 Shamji MH et al, JACI 2017
Acknowledgments Ralph Mösges, MD, PhD, Elena M. Kasche, MD, Stephen Durham, MD.FRCP Esther Raskopf, PhD, Oleksandra (Sasha) Fedina, Jaswinder Singh, MSc, Lea Sohlich Angeliki Karamani, BSc Anatoli Astvatsatourov, PhDa, Kija Rebecca Parkin, BSc Shah-Hosseini Aliya Datoo Iesha Singh, MSc Lubna Kousar, PhD Hanisah Sharif, MSc Jean Ceupens, MD Abigail Rob, Bsc Peter Helings, MD, Ludo Haazen, MD Sabine Pirotton, PhD Nathalie Wathelet, PhD Marie-Alix Bonny Nicolas Bovy, PhD Claus Bachert, MD, PhD Julie Halkein, PhD Philip Gaevert, MD, PhD Valeria Karusinova Lara Derycke, MD Gael Placier, PhD Gabrielle Holtapples, MSc Jean Duchateau, MD, PhD Thierry Legon, MBA 49
hdm-ASIT+™ for house dust mite rhinitis first in man clinical study: safety of ASIT+TM confirmed TRIAL # PATIENTS AIM COMPLETED ‒ Assessment of the maximum tolerated ‒ Q2 2017 ‒ 36 patients randomized dose Phase I/IIa ‒ Safety and clinical tolerability ‒ Immunogenicity ‒ Impact on reactivity to a challenge test • 27 patients treated with hdm-ASIT+™ - 9 placebo. • safety and tolerability of hdm-ASIT+™ confirmed • slight positive immunological and clinical impact in a limited number of treated patients • new product prototypes in development to be tested by Prof. M. Shamji at ICL to optimize the product candidates immunogenicity 50
food-ASIT+™ for food allergy product prototypes screening on-going PRE-CLINICAL DEVELOPMENT AIM COMPLETED ‒ Selection of product candidate Product peanut, cow’s milk & egg white ‒ Q2 2018 prototype ex vivo screening ‒ ex vivo safety and tolerability ‒ ex vivo immunogenicity • non-dilutive funding from the Walloon Region to co-finance 55% 1 • collaboration with Prof. M. Shamji (ICL), and Dr. S. Till (King’s) • first-in-man Phase I/II trial in peanut allergy expected to be conducted from H1 2018 to end-2019 1 a recoverable cash advance granted in January 2017 51
ASIT biotech pipeline: next milestones Pre-clinical Phase I Phase II Phase III gp-ASIT+™ FDA meeting - H2 2018 Grass pollen Second Phase III Q4 2018 - Q4 2019 Selection of a new ASIT+TM active ingredient - Q2 2018 hdm-ASIT+™ Second Phase I/II clinical trial with improved prototype - Q1 2019 House dust mite food-ASIT+™ Selection of ASIT+TM active ingredient for peanut - Q2 2018 Food First Phase I/II clinical trial in food - H2 2018 Peanut - Egg white - Cow’s milk 52
Summary 53
Short course immunotherapy with ASIT biotech’s allergenic peptides addresses the unmet needs of all stakeholders 4 visits/year Patient Healthcare systems Allergists • Efficient: Reduction of • Documented safety and • New therapeutic option symptoms and rescue efficacy • More patient accepting AIT medication in the real life & • Improved acceptance • Patients more compliant Improved quality of life • Improved compliance • Fast onset of action • 4 doctor visits • Improved real-life efficacy • Better patient follow-up • Time & Money saving • Reduced direct & indirect costs • Higher patient satisfaction 54
Paris May 03 2018 Leader in Allergenic Peptide Immunotherapy Merci pour votre attention ! 55
Disclaimer • THIS DOCUMENT AND ANY MATERIALS DISTRIBUTED IN CONNECTION WITH THIS DOCUMENT ARE NOT DIRECTED TO, OR INTENDED FOR DISTRIBUTION TO OR USE BY, ANY PERSON OR ENTITY THAT IS A CITIZEN OR RESIDENT OR LOCATED IN ANY LOCALITY, STATE, COUNTRY OR OTHER JURISDICTION WHERE SUCH DISTRIBUTION, PUBLICATION, AVAILABILITY OR USE WOULD BE CONTRARY TO LAW OR REGULATION OR WHICH WOULD REQUIRE ANY REGISTRATION OR LICENSING WITHIN SUCH JURISDICTION. THE DISTRIBUTION OF THIS DOCUMENT IN CERTAIN JURISDICTIONS MAY BE RESTRICTED BY LAW AND PERSONS INTO WHOSE POSSESSION THIS DOCUMENT COMES SHOULD INFORM THEMSELVES ABOUT, AND OBSERVE ANY SUCH RESTRICTIONS. • This presentation has been prepared by the management of ASIT biotech SA (the Company). It does not constitute or form part of, and should not be construed as, an offer, solicitation or invitation to subscribe for, underwrite or otherwise acquire, any securities of the Company nor should it or any part of it form the basis of, or be relied on in connection with, any contract to purchase or subscribe for any securities of the Company, nor shall it or any part of it form the basis of or be relied on in connection with any contract or commitment whatsoever. • This presentation is not a prospectus and recipients should not purchase, subscribe for or otherwise acquire any securities of the Company except on the basis of information in a prospectus or in the annual report approved by the FSMA. Copies of the prospectus and annual report issued are available on the website of the Company or at the Company’s registered office. • The information included in this presentation has been provided to you solely for your information and background and is subject to updating, completion, revision and amendment and such information may change materially. No person is under any obligation to update or keep current the information contained in this presentation and any opinions expressed in relation thereto are subject to change without notice. No representation or warranty, express or implied, is made as to the fairness, accuracy, reasonableness or completeness of the information contained herein. Neither the Company nor any other person accepts any liability for any loss howsoever arising, directly or indirectly, from this presentation or its contents. • This presentation includes forward-looking statements that reflect the Company's intentions, beliefs or current expectations concerning, among other things, the Company’s results, condition, performance, prospects, growth, strategies and the industry in which the Company operates. These forward-looking statements are subject to risks, uncertainties and assumptions and other factors that could cause the Company's actual results, condition, performance, prospects, growth or opportunities, as well as those of the markets it serves or intends to serve, to differ materially from those expressed in, or suggested by, these forward-looking statements. The Company cautions you that forward-looking statements are not guarantees of future performance and that its actual results and condition and the development of the industry in which the Company operates may differ materially from those made in or suggested by the forward-looking statements contained in this presentation. In addition, even if the Company's results, condition, and growth and the development of the industry in which the Company operates are consistent with the forward-looking statements contained in this presentation, those results or developments may not be indicative of results or developments in future periods. The Company and each of its directors, officers and employees expressly disclaim any obligation or undertaking to review, update or release any update of or revisions to any forward-looking statements in this presentation or any change in the Company's expectations or any change in events, conditions or circumstances on which these forward-looking statements are based, except as required by applicable law or regulation. • In this presentation, references are made to the Company’s product candidates, for which marketing authorisation has not yet been obtained. These product candidates are designated throughout this presentation by their internal project names at the Company. The names used are not meant to refer to these products (if and when they will be approved), as it is yet uncertain if and under what names these product candidates would be marketed in the future. Nothing in this presentation should be construed as endorsing or advertising such product candidates. 56
CONTACTS ASIT Biotech Thierry Legon – CEO Tel.: +32 2 264 03 90 investors@asitbiotech.com www.asitbiotech.com 57
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