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BerGenBio

Earnings Release Feb 12, 2019

3555_rns_2019-02-12_09e1d9c0-4060-4f84-b642-a157d04af0e4.pdf

Earnings Release

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BerGenBio ASA (OSE: BGBIO) Results Fourth Quarter & FY 2018

12th February 2018 Richard Godfrey , CEO Rune Skeie, CFO

Disclaimer

Certain statements contained in this presentation constitute forward-looking statements. Forward-looking statements are statements that are not historical facts and they can be identified by the use of forward-looking terminology, including the words "anticipate", "believe", "intend", "estimate", "expect", "will", "may", "should" and words of similar meaning. By their nature, forwardlooking statements involve a number of risks, uncertainties and assumptions that could cause actual results or events to differ materially from those expressed or implied by the forward-looking statements. Accordingly, no assurance is given that such forwardlooking statements will prove to have been correct. They speak only as at the date of the presentation and no representation or warranty, expressed or implied, is made by BerGenBio ASA or its affiliates ("BerGenBio"), or by any of their respective members, directors, officers or employees that any of these forward-looking statements

or forecasts will come to pass or that any forecast result will be achieved and you are cautioned not to place any undue influence on any forward-looking statement. BerGenBio is making no representation or warranty, expressed or implied, as to the accuracy, reliability or completeness of this presentation, and neither BerGenBio nor any of its directors, officers or employees will have any liability to you or any other person resulting from the use of this presentation.

Copyright of all published material, including photographs, drawings and images in this presentation remain with BerGenBio and relevant third parties, as appropriate. Consequently, no reproduction in any form of the presentation, or parts thereof, is permitted without the prior written permission, and only with appropriate acknowledgements.

Introduction & recent highlights

BGBIO – Investment Highlights

Ph2 data in AML & NSCLC with selective AXL inhibitor bemcentinib

Monotherapy and combinations with immune-, targeted and chemotherapies

Biomarker correlation across programme, parallel CDx development

AXL positive patients: 43% ORR in R/R AML/MDS (monotherapy) 40% ORR in 2L NSCLC (KEYTRUDA combo)

Late stage clinical trials to start H2'19

Resourced to deliver significant milestones

Clinical trial collaborations with Merck and leading academic centres

AXL antibody out licensed to ADC Therapeutics SA

38 staff at two locations: HQ & R&D in Bergen, Norway; Clinical Development in Oxford, UK

Cash NOK360m

Agenda

  • 1. Introduction and recent highlights
  • 2. Bemcentinib: First-in-class highly selective AXL inhibitor in Phase II
  • 3. Clinical Development Opportunities
  • 4. BGB149 – Anti AXL monoclonal antibody in Phase I
  • 5. Finance
  • 6. Outlook

Q4 2018 Highlights

Bemcentinib monotherapy & combo in AML/MDS (BGBC003): PoC monotherapy data reported at ASH, combination studies ongoing

Bemcentinib + KEYTRUDA® in NSCLC (BGBC008): Selected as late-breaking abstract for SITC – PoC phase II data (stage 1)

Bemcentinib biomarker programme: Selected for poster discussion at ESMO

Strengthened clinical development team

Post-period updates: BGB149 (AXL antibody) and ADCT-601 (partnered AXL ADC): start phase I trial

Increasing profile and recognition of bemcentinib at international clinical congresses in 2018

Key data presented in Q4 supports future strategy for late-stage clinical development of bemcentinib in AML/MDS and NSCLC

ASCO-SITC: Clinical Immuno-Oncology symposium, San Francisco ASCO: American Society of Clinical Oncology, Chicago WCLC: World Conference of Lung Cancer, Toronto ESMO: European Society of Medical Oncology, Munich

7

AACR: American Association for Cancer Research, Chicago EHA: European Hematology Association, Stockholm SITC: Society for Immunotherapy of Cancer, DC ASH: American Society for Hematology, San Diego

AXL drives aggressive cancer

AXL receptor tyrosine kinase drives aggressive disease including therapy resistant, immune-evasive tumours

Drives tumour cell plasticity: non-genetic resistance mechanism

Key suppressor of innate immune response

AXL drives features of aggressive cancer:

  • Acquired therapy resistance
  • Immune escape
  • Metastasis

AXL is an innate immune checkpoint:

  • M1 to M2 macrophage polarisation
  • Decreased antigen presentation by DCs
  • Immunosuppressive cytokine profile

very low expression under healthy physiological conditions (ko mouse phenotypically normal)

overexpressed in response to hypoxia, immune reaction, cellular stress / therapy

overexpression correlates with worse prognosis in most cancers

Three AXL-targeting drug candidates in clinical development

Clinical development programmes of AXL inhibitors

> 350 patients at 50 sites across Europe and USA

Preclinical Phase I Phase II Phase III Status
Selective AXL kinase inhibitors
Bemcentinib: selective oral small molecule AXL inhibitor
NSCLC + KEYTRUDA (2L, IO naïve) previously treated advanced adenocarcinoma of the lung (1) Stage 1 complete,
40% ORR in AXL+;
stage 2 ongoing
NSCLC + TARCEVA (1L & 2L) advanced NSCLC with activating mutation of EGFR Fully recruited,
1st efficacy endpoint met
NSCLC + docetaxel (later line) (2) previously treated advanced NSCLC ILS, ongoing –
latest update WCLC 2018
AML single agent + low dose chemo (1L & 2L) AML or previously treated MDS unfit for intensive chemo Mono: 43% ORR in AXL+ R/R AML/MDS;
decitabine combo completed recruitment
ILS programme in additional oncology indications (2) Melanoma, mesothelioma, pancreatic, glioblastoma, MDS Portfolio of ILS, ongoing & in set-up
Fibrosis –
preclinical
IPF, NASH Pre-clinical work published throughout 2018
BGB149: anti-AXL mAb
Healthy volunteers –
phase 1a dose escalation
Healthy volunteer SAD
BGB601: AXL ADC outlicensed
Metastatic cancers First-in-man solid tumours Out-licensed to
Companion Diagnostics Pipeline Biomarker Discovery Biomarker Verification Validation
Tissue AXL
Soluble AXL
Additional soluble markers
targeted and immunotherapy Correlation with benefit from monotherapy, combo with Correlation with efficacy reported

Summary of Phase II PoC data with bemcentinib (Focus on NSCLC & leukaemia)

Associate Professor Dr David Gerber, UTSW Dallas, TC, lead PI BGBIL005

Bemcentinib PoC data summary: Monotherapy and combinations

Bemcentinib: once-a-day AXL inhibitor

Highly selective, orally bioavailable small molecule, administered once a day, in phase II clinical trials

Blocks AXL signalling, reverses aggressive tumour traits & counteracts immune escape

Clinical PoC in AML and NSCLC as a monotherapy and in combination

Correlation of clinical efficacy with AXL biomarkers observed

Excellent clinical safety profile

Randomised, late stage clinical trials planned to start in H2 2019

Ref. BGBC003 / NCT02488408

Acute Myeloid Leukaemia (AML) & Myelodysplastic Syndrome (MDS)

Bemcentinib is being evaluated as a monotherapy and in combination with standard of care to treat AML and high-risk MDS

43% ORR in AXL +ve R/R AML and MDS patients chemo combos in 1L ongoing

MDS & AML: Disease characteristics

New strategies to treat older & relapsed/ refractory patients is an urgent, unmet need

Myelodysplastic syndromes (MDS)

(pre-leukaemia or smoldering leukaemia)

Occurs when the blood-forming cells in the bone marrow (the soft inner part of certain bones, where new blood cells are made), become abnormal. This leads to low numbers of one or more types of blood cells.

~ 40,000 new cases per year (U.S. only)3

Most diagnoses made in 70s or 80s1

MDS 40% risk of developing into AML.4

Acute Myeloid Leukaemia (AML)

Cancer of the myeloid line of blood cells, characterized by rapid growth of abnormal cells that build up in the bone marrow and blood and interfere with normal blood cells

~ 20,000 new cases

diagnosed and >10,000 deaths (2018, U.S.)2

Most common type of acute leukaemia in adults1

AML & MDS – difficult to treat malignancies, predominantly elderly frail patient population.

AML & MDS – difficult to treat malignancies, predominantly elderly frail patient population.

Phase II trial in AML/high risk MDS: monotherapy and combination with LDCT*

Summary results slide and next steps

Status Jan '19

Summary results Next steps

  • Monotherapy cohort complete
  • 43% ORR in AXL positive patients
  • Excellent safety
  • Evidence of immune activation

  • Chemo combinations ongoing Ø Top line data Q1'19

  • Comprehensive analysis anticipated at ASCO/EHA '19

Monotherapy shows promising efficacy in comparison to approved & emerging regimens

Regimen 0,0 %
10,0 %
Overall response
20,0 %
30,0 %
40,0 %
50,0 % Patient
population
Mechanism of
action
Administration Source
Bemcentinib
(Phase
II)
42,8 % low
soluble AXL
selective
AXL inhibitor
oral, once-daily Loges et al, ASH 2018
Enasidenib
(APPROVED)
40,3 % IDH2 mutation IDH2 inhibitor oral, once-daily FDA label, prescribing
info
Approved,
limited
pt
Ivosidenib
(APPROVED)
41,6 % IDH1 mutation IDH1 inhibitor oral, once-daily FDA label, prescribing
info
populations
only
Gilteritinib
(APPROVED)
21,0 % FLT3 mutation FLT3/AXL inhibitor oral, once-daily FDA label, prescribing
info
Gemtuzumab
ozogamicin
(APPROVED)
26,0 % CD33-positive
(reported
CR only)
CD33-directed antibody
drug
conjugate
injection, days 1, 4 and 7 FDA label, prescribing
info
Emerging Quizartinib
(Phase
III)
48,0 %
19,0 %
FLT3-ITD-positive FLT3-ITD inhibitor oral, once-daily Cortes J, et al; ASH
2018, Blood
therapies
in R/R AML
Venetoclax
(Phase
II)
any r/r AML BCL-2 inhibitor oral, once-daily Konopleva
M, et al:
Cancer Discov
6:1106-
1117, 2016
presented
at ASH
IMGN632
(Phase
I)
33,0 % CD123-positive CD123-targeting antibody
drug
conjugate
IV infusion, once every 3
weeks
Daver N, et al; ASH
2018, Blood
IMGN779
(Phase
I)
6,9 % CD33-positive; ≥20%
of blasts expressing CD33
by flow cytometry
next-generation anti-CD33
antibody drug-conjugate
(ADC)
IV infusion, Q2W or QW;
premediation
with steroids
Cortes J, et al; ASH
2018, Blood
AMG 330
(Phase
I)
11,4 % any
r/r AML
anti-CD33 bispecific
T-cell
engager
(BiTE)
IV infusion, 14-
or 28-day
duration; pretreatment
with corticosteroids
Ravandi
et al, ASH
2018, Blood
XmAb14045 / SQZ622
(Phase
I)
23,1 % any r/r AML CD123-/CD3-targeting
bispecific
antibody
IV intermittent infusion,
weekly in 28 day cycles
Ravandi
et al, ASH
2018, Blood
Flotetuzumab
(Phase
I/II)
22,0 % any
r/r AML
CD123-/CD3-targeting
bispecific DART molecule
IV continuous infusion, 7-
day/week
Uy,G, et al; ASH 2018,
Blood
CYAD-01
(Phase
I)
42,0 % any
r/r AML
NKG2D CAR-T therapy IV infusion, frequency
unclear
Sallman
et al, ASH
2018, Blood

Ref. BGBC008 / NCT03184571

Bemcentinib in combination with KEYTRUDA in 2L NSCLC

The BGBC008 trial is designed to test whether AXL inhibition can enhance responses to immunotherapy (KEYTRUDA monotherapy showed 8% response rate* in previously treated PD-L1 negative NSCLC), summary of responses:

27% ORR in PD-L1 –ve patients 40% ORR in AXL+ve patients

Clinical collaboration with Merck & Co. (MSD)

* Garon, N Engl J Med 2015: Includes any PD-L1 expression

NSCLC causes more cancer related deaths than breast, colon, pancreas and prostate combined

The largest cancer killer, most patients depend on drug therapy

  • Ø 2.09 million new cases of lung cancer diagnosed/yr worldwide, making up 11.6% of all cancer cases1
  • Ø 1.76 million lung cancer deaths/yr worldwide1
  • Ø In the U.S, 5-year survival rate is approximately 18.6%, and 4.7% in patients with distant metastases2

Non-small cell lung cancer is the most common type of lung cancer, making up 80-85% of lung cancers

Rapidly emerging SoC creates opportunities for novel effective, chemo free regimens

Phase II 2L NSCLC study of bemcentinib with KEYTRUDA

Key objectives

  • Evaluate safety of the combination and response to treatment with the combination
  • Characterise patients by PD-L1 and AXL status
  • Evaluate efficacy of patients by biomarker status, and assess predictive qualities of biomarkers
  • Assess survival measures in patients by biomarker status

Response per biomarker expression

Analysis of biomarker expression in the BGBC008 trial revealed:

  • ü Appr. half of patients were AXL positive (10 out of 21 analysed for AXL)
  • ü The vast majority of patients did not express high levels of PD-L1, the biomarker for KEYTRUDA monotherapy efficacy

Promising efficacy in comparison to approved monotherapy and emerging combinations*

Overall Response Rate
Regimen 0% 10% 20% 30% 40% PFS Patient details /
Biomarker
Mechanism of
action
Administration Source
Bemcentinib
+ pembrolizumab
(Phase II)
n=10 40% 5.9 mo AXL positive, any PD-L1 (TPS 0-
49% in 70%)
selective AXL inhibitor oral, once daily Krebs, M, et al;
SITC 2018
mono Pembrolizumb
(APPROVED)
n=344 18% 3.9 mo PD-L1 positive (TPS>1%) PD-1 inhibitor IV infusion, once
every 3 weeks
FDA label,
prescribing info
Atezolizumab
(APPROVED)
n=425 14% 2.8 mo any PD-L1 (55% PD-L1 positive) PD-L1 inhibitor IV infusion, once
every 3 weeks
FDA label,
prescribing info
Nivolumab
(APPROVED)
n=135 20% 3.5 mo any PD-L1 (53% PD-L1
positive), squamous
PD-1 inhibitor IV infusion, once
every 2 weeks
FDA label,
prescribing info
Nivolumab
(APPROVED)
n=292 19% 2.3 mo any PD-L1 (54% PD-L1
positive), non-squamous
PD-1 inhibitor IV infusion, once
every 2 weeks
FDA label,
prescribing info
combo Epacadostat
+ pembrolizumab
(Phase I/II)
n=70 29% 4.0 mo prior treatment w/ CT; IO
naive; responses regardless of
PD-L1 (no details provided)
selective inhibitor of
IDO1 enzyme
oral, twice daily Villaruz, L, et al;
WCLC 2018
abstract
HBI-8000
+ nivolumab
(Phase Ib/II)
n=8 38% not yet
available
includes CPI-naïve and –
experienced patients
HDAC class I & IIb
inhibitor
oral, twice weekly Khushalani, N,
et al; SITC 2018
TSR-042
(Phase I)
n=32 25% not yet
available
PD-L1 low (TPS 0-49%) PD-1 inhibitor IV infusion, once
every 3 weeks
Perez, D, et al;
SITC 2018
TSR-022 + TSR-042
(Phase I)
n=31 13% not yet
available
patients include IO-naive and -
experienced; all responses in
PD-L1 positive (TPS>1%)
anti-TIM-3 antibody +
anti-PD-1,
respectively
IV infusion, once
every 3 weeks
Davar, D, et al;
SITC 2018
Ramucirumab
+ pembrolizumab
(Phase Ia/b)
n=11 18% 9.7 mo PD-L1 negative (TPS<1%) anti-VEGFR2 IV infusion, once
every 3 weeks
Herbst, R, et al;
ASCOPubs
2018,
JCO

27 *emerging therapies presented at SITC, similar patient populations

The majority of NSCLC patients are eligible for CPIs, but only few respond: novel combination agents will drive CPI differentiation & multi-billion market opportunity

*seer.com – US only, incidence is 230,000; 70% diagnosed at late stage; 85% NSCLC ** EGFR mutations or ALK rearrangements, (1) Garon Iet al (2015) KEYNOTE 001 study (2) Company estimate based on Q3 2018 worldwide revenues for Opdivo, Keytruda and Tecentriq; half are expected to be in lung cancer

28

Summary results and next steps

Status Jan '19

Summary results Next steps

  • 1st efficacy endpoint met
  • 40% ORR and 6m PFS in AXL positive patients
  • 27% ORR in PD-L1 -ve patients

  • Second stage ongoing

  • H1 '19
  • Ø Top line OS for stage 1
  • Ø Preliminary ORR per biomarker stage 2
  • H2 '19
  • Ø Final efficacy & biomarkers stage 1 + 2
  • Ø PFS

Clinical development opportunities for bemcentinib

Clinical Development opportunities for bemcentinib

Data generated provides strong rationale for late stage clinical trials to start in 2019*

BGB149 – a monoclonal anti-AXL antibody

Ref. BGB149-101 / NCT03795142

BGB149: Anti-AXL monoclonal antibody Phase I clinical trial initiated January 2019

Functionally blocking humanised monoclonal antibody

Binds human AXL, blocks AXL signalling

High affinity (KD: 500pM), Anti-tumour efficacy demonstrated in vivo

Robust manufacturing process established, 18 months stability

First-in-human healthy volunteer Phase I study initiated

  • Up to 36 subjects
  • Safety, PK/PD

First-in-patient trial expected in H2 2019

ADCT-601 – AXL ADC

Out-licensed to ADC Therapeutics (ADCT)

BGB601/ADCT-601: Anti-AXL ADC Phase 1 in solid tumours started January 2019

Antibody Drug Conjugate (ADC)

Targets human tumour AXL, induces cell death when internalised

Potent and specific anti-tumour activity demonstrated preclinically1

First-in-human Phase I study initiated in Jan 2019

  • Solid tumours
  • Up to 75 patients
  • Safety, PK/PD, preliminary efficacy

Based on anti-AXL antibody BGB601 licensed from BerGenBio

Near term goals and news flow

Anticipated clinical data readouts and operational milestones for 2019

* expected

38

ASCO-SITC: Clinical Immuno-Oncology symposium, San Francisco ASCO: American Society of Clinical Oncology, Chicago WCLC: World Conference of Lung Cancer, Toronto ESMO: European Society of Medical Oncology, Munich

AACR: American Association for Cancer Research, Chicago EHA: European Hematology Association, Stockholm SITC: Society for Immunotherapy of Cancer, DC ASH: American Society for Hematology, San Diego

Upcoming company news flow and value creating catalysts

Strategic priority Goals
Late stage clinical
trials with
bemcentinib
H2 2018
H2 2018
H1 2019
H2 2019
H2 2020
Clinical
PoC
monotherapy
AML
Clinical
PoC
combo
in NSCLC
Clinical
PoC
combo
in AML
Start late stage clinical
programme
Interim read-out
late stage clinical
programme

Develop
Companion Diagnostics
H2 2018
H2 2020
H2 2021
Identify
candidates
that
correlate
with
efficacy
Validate
candidates
in late stage clinical
programme
Clinical
assay
developed
BGB149 anti-AXL antibody
programme
H2 2018
H2 2019
H2 2020
Initiate
first-in-man phase
I trial
Initiate
first-in-patient
phase
Ib trial
Interim readout
Maximise
value
for bemcentinib
H1 2019 Initiate
pipeline opportunities
for bemcentinib via ISTs

Financial review: Good financial position and cost control

Rune Skeie CFO

Key financial figures

(NOK million) Q4 2018 Q4 2017 FY 2018 FY 2017
Operating revenues 2.3 0 2.3 0
Operating expenses 53.2 47.5 196.9 183.7
Operating profit (loss) -50.9 -47.5 -194.5 -183.7
Profit (loss) after tax -51.1 -47.6 -191.7 -182.2
Q4
Q1
Basic and diluted earnings
2017
2018
Q2
2018
Q3
2018
Q4
2018
(loss) per share (NOK) -0.93 -0.96 -3.60 -4.01
Net cash flow in the period -37.8 -28.8 -9.9 208.5
Cash position end of period 360.4 370.3 360.4 370.3

Operating profit (loss) million NOK

Operating expenses Q4 2018

  • Effective organisation
  • 78.1% (YTD 73.8%) of operating expenses in Q4 2018 attributable to Research &

  • Q4 18 operating loss reflecting level of research and development activities in the quarter

  • Revenue NOK 2.3 million, licence revenue triggered by pre-clinical milestone (ADCT-601)
  • Stage 2 of NSCLC combination with Keytruda re-opened in Q4 18 and ongoing (mandatory safety review in Q3 18)

41

Cash flow and cash position

• Private placement Q2,18 strengthened cash position - gross funds raised NOK 187.5m

• Quarterly cash burn average 2018 at NOK 46.7 million

  • Cash position gives runway to deliver key clinical read outs from ongoing clinical studies
  • Cash runway into 2020 based on current burn rate

Full year 2018 highlights

Strong Phase II PoC clinical data readouts with bemcentinib: All operational milestones met with data presented at international clinical congresses

Data paving the way to late stage clinical trial programme in 2019: Targeting monotherapy and combination opportunities in AML/MDS and NSCLC

Pipeline opportunities pursued to complement key internal programmes: Investigator-led studies broaden oncology applications; rationale in fibrosis

Bemcentinib biomarker programme progressed: Efficacy correlation with AXL reported in clinical trials

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