EX-99.2 3 ef20018418_ex99-2.htm EXHIBIT 99.2

Exhibit 99.2

 Targeting the Lymph Nodes to AMPlify Immunotherapy  January 2024 
 

 Disclaimers  Forward-Looking Statements   This presentation contains forward-looking statements as that term is defined in Section 27A of the Securities Act of 1933, as amended, Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, known as the PSLRA. Statements in this presentation that are not purely historical are forward-looking statements. Such forward-looking statements include, among other things, statements regarding our planned clinical programs, including planned clinical trials and the potential of our product candidates, the unmet need and potential addressable market for our product candidates, the potential clinical utility, potential benefits and market acceptance of our product candidates, the potential advantages of our product candidates over those of existing therapeutics and/or those of our competitors, the expected receipt of clinical data, the timing of initiation of our planned clinical trials, and the advancement of and funding for our developmental programs generally. Actual results could differ from those projected in any forward-looking statements due to numerous factors. Such factors include, among others, our ability to raise the additional funding we will need to continue to pursue our business and product development plans; our expected use of proceeds; the inherent uncertainties associated with developing new products or technologies and operating as a development stage company, including in collaboration with other parties; our ability to develop, complete clinical trials for, obtain approvals for and commercialize any of our product candidates, including our ability to recruit and enroll patients in our studies; our ability to address the requests of the U.S. Food and Drug Administration or other regulatory agencies; our dependence on intellectual property; competition in the industry in which we operate; delays or disruptions due to COVID-19 or geo-political issues, including the conflicts in Ukraine and the Middle East; and market conditions. These forward-looking statements are made as of the date of this presentation, and we assume no obligation to update the forward-looking statements, or to update the reasons why actual results could differ from those projected in the forward-looking statements, except as required by law. You should consult all of the information set forth herein and should also refer to the risk factor disclosure set forth in the reports and other documents we file with the Securities and Exchange Commission (SEC) available at www.sec.gov, including without limitation the Company's Current Report on Form 8-K filed on June 2, 2023, the Company’s Quarterly Reports on Form 10-Q for the quarters ended June 30, 2023 and September 30, 2023, and the Company's other filings from time to time with the SEC.  2 
 

 Company HighlightsClinical-stage biotech pioneering novel lymph node targeted cancer immunotherapies  3  Novel Approach to Immunotherapy  Amphiphile or “AMP” platform traffics payloads to lymph nodes to generate robust immune responses  ELI-002: A Unique   Lymph Node   Targeted Vaccine  Designed to target 7 KRAS mutations that drive ~25% of solid tumors  Initial focus is PDAC where ELI-002 could address 88% of incident tumors  Phase 1a   Clinical Data  84% of patients showed T cell responses with an average 58x increase in T cell numbers  84% of patients showed a decline in tumor biomarker, 24% having complete clearance  Patients achieving large T cell response have an 86% decrease in risk of progression or death  Anticipated Near   Term Catalysts  Ongoing: Two Phase 1 trials with additional data available through 2024-2025  Initiation of Phase 2 PDAC monotherapy 1Q 2024 
 

 PipelineInnovative pipeline of cancer immunotherapies addressing critical unmet needs  4  CRC: colorectal carcinoma | PDAC: Pancreatic pancreatic ductal adenocarcinoma   mKRAS: mutant Kirsten rat sarcoma | mBRAF: mutant homolog B of the Rapidly Accelerated Fibrosarcoma | mTP53: mutant tumor protein p53  Candidate  Target  Indications  Preclinical  Phase 1  Phase 2  Phase 3  ELI-002  mKRAS  PDAC, CRC  ELI-007  mBRAF  GI Tumors  ELI-008  mTP53  GI Tumors  PDAC   PDAC   Planned  Ongoing 
 

 Elicio: Amplifying Immunotherapy 
 

 The AMP PlatformHarnessing the untapped potential of the lymph nodes for immunotherapy  6  Most immune cells are located in lymph nodes, yet these critical sites are not engaged by conventional immunotherapies  AMP promotes targeted delivery of payloads to the lymph nodes via “albumin hitchhiking”  AMP harnesses the unique biology of the lymph nodes to enhance the magnitude, potency, and durability of immune responses  Blood  Lymph  Small Molecules  Large Molecules  (e.g. Albumin)  Blood Vessel  Lymph Vessel  Lymph   Nodes  Blood  Circulation  Tissue Injection Site  Targeting Immunity in the Lymph Nodes 
 

 ELI-002 CompositionLymph node targeted therapeutic vaccine comprised of AMP-peptides and AMP-CpG  7  G12X  G13X  D  R  V  C  S  A  D  ELI-002  Albumin Binding Lipid for Lymph Node Targeting  CpG DNA: TLR-9 Agonist  X  X  Albumin Binding Lipid for Lymph Node Targeting  mKRAS Peptide  PEG Linker  • 2 or 7 AMP-peptides  • CD8 and CD4 epitopes  • Potent TLR-9    immune activator  AMP-mKRAS   Peptide Antigen  AMP-CpG  Adjuvant  NH  NH  O  O 
 

 Mechanism of ActionAMP immunotherapy generates an anti-tumor immune response via the lymph nodes  8  Tumor   Eradication  5  Subcutaneous   injection  1  Lymph Node  Lymph node targeting  3  Antigen Presenting Cell  Delivery to   immune cells  4  Albumin-bound Amphiphiles  Albumin-bound Amphiphiles  Endogenous Albumin  Amphiphiles  Tissue Injection Site  Albumin   binding  2  Tumor  T Cell 
 

 The mKRAS OpportunityELI-002 targets the 7 most common KRAS mutations driving 25% of solid tumors  9  Incidence for the 7 Major Markets (MM): US, France, Germany, Italy, Spain, UK, and Japan  Sources for tumor incidence obtained from GLOBOCAN (2020). PDAC: 90% of pancreatic cancers (O’Reilly, 2021), NSCLC 84.3% of lung cancers (SEER, 2021), BTC: 15% of liver cancers + gallbladderSources for KRAS mutation data: Waters & Der, 2018; Ji Luo, 2021, Meng 2021; Hofmann 2022, AACR Project GENIE Registry; Froesch et al, 2022, Gordon et al, 2023  ELI-002 addressable  Incidence: ~128k  Other KRAS mutations  88%  Pancreatic Ductal Adenocarcinoma  ~88%  Colorectal Cancer  ~88%  Non-Small Cell Lung Cancer  Other mKRAS Opportunities  36%  Other KRAS mutations  25%  17%  3-11%  No KRAS mutation  ELI-002 addressable  Incidence: ~192k  No KRAS mutation  ELI-002 addressable  Incidence: ~128k  No KRAS mutation  ~88%  Biliary Tract Cancer Total incidence: ~40k  Ovarian CancerTotal incidence: ~62k  Other KRAS mutations 
 

 ELI-002’s Differentiated Approach to mKRASEarly mKRAS-targeting efforts in the clinic, while promising, leave significant white space  10  7 key mutations  Reduced risk of resistance mechanisms  Potent activation of immune mechanisms  Expansion/activationof T cell response  Promotion of anti-tumor T cell function  Validates immune-targeting, and affects multiple mutations  BUT  Poor lymph node targeting and weaker T-cell activation  May affect more than one mutation  BUT  Unlikely to affect all mutations, still subject to bypass resistance mechanisms  FDA approvals for LUMAKRAS® & KRAZATI® validate target  BUT  Only affects one mutation (G12C), subject to multiple resistance mechanisms  Lymph Node Targeted Vaccine vs Mutant KRAS  Vaccines TargetingMutant KRAS  Small Molecules Indirectly Inhibiting Mutant KRAS  Small Molecules Directly Inhibiting Mutant KRAS 
 

 ELI-002: Clinical Development Program 
 

 ELI-002 At-a-GlancemKRAS immunotherapy eliciting strong T cell activity leveraging the AMP platform’s lymph node targeting design   12  2 Peptide (2P) &   7 Peptide (7P)   Formulations  2P used in Phase 1 AMPLIFY-201 for clinical proof-of-concept while 7P CMC finalized  Program now switches to full 7P formulation, to maximize efficacy and opportunity  AMPLIFY Clinical   Program Underway  Phase 1 AMPLIFY-201 fully enrolled with positive tumor and mechanism of action (T cell) biomarker responses correlating with clinical outcome reported   Phase 1/2 AMPLIFY-7P enrollment underway, randomized Phase 2 in PDAC expected to start in 2024  Distinct Clinical &   Operational   Advantages  Vs comparable vaccines including targeting driver mutations and “off-the-shelf” 
 

 AMPLIFY-201 Study OverviewPhase 1 dose-ranging study to assess safety and efficacy of ELI-002 2P as adjuvant treatment in patients who completed standard therapy and have molecular disease  13  20-Months Follow-up  Boost(4 doses over 4 weeks)  Prime(6 doses over 8 weeks)  Local Therapy(e.g., Surgery, Chemo)  CLINICAL PROGRAM OVERVIEW: NCT04853017  Basket Trial Enrollment  Pancreatic Ductal Adenocarcinoma (PDAC)  Colorectal Cancer (CRC)  n=20  n=5  mKRAS G12D / R – aligned to 2 peptide formulation  No metastatic disease after locoregional treatment  No radiographic evidence of disease (NED)   High risk of relapse (MRD+ ctDNA/serum biomarkers)  Key Criteria  1-2 months  3 months  2 months  Safety  Maximum Tolerated Dose (MTD) or RP2D  ctDNA/serum biomarker change from baseline  Immunological Responses  Relapse Free Survival (RFS)  Endpoints  25 patients enrolled across 5 dose cohorts, 23 evaluable at database cutoff (4/25/2023)  Advanced: 68% had stage III or oligometastatic resected stage IV disease  Pre-treated: All received prior chemo and surgery, 28% had prior radiation  Baseline Characteristics 
 

 AMPLIFY-201: Tumor Biomarker ResponsesRobust responses observed across tumor types and KRAS mutations with ELI-002 monotherapy  14  24% of patients (6/25) showed complete clearance of ctDNA  Most patients (84%, 21/25) showeddecline from baseline in ctDNA or CEA/CA19-9 levels  44% (11/25) showed a >30% reduction in biomarker levels  Waterfall displays best response of ctDNA or serum tumor biomarker  * Patient biopsied, exhibited T cell infiltration and continued study treatment  S Patient underwent splenectomy  Data cutoff 6-Sept-23  P  P  P  P  P  P  C  P  P  P  P  P  P  P  P  C  P  P  P  P  P  C  P  C  C  Tumor Type  D  D  D  D  D  D  D  R  R  D  D  D  D  D  D  D  R  D  R  D  D  D  R  D  D  KRAS  Biomarker  D  G12D  R  G12R  P  PDAC  C  CRC  ctDNA  CEA / CA19-9  -9  -11  -18  -2  S  S  S  S  *  -2  -11  -17  Cohort 1: 0.1 mg  Cohort 2: 0.5 mg  Cohort 3: 2.5 mg  Cohort 4: 5.0 mg  Cohort 5: 10.0 mg  AMPLIFY-201 Waterfall Plot: Biomarker Reduction/Clearance  Tumor Biomarker Responses 
 

 AMPLIFY-201: 84% patients generated mKRAS specific T Cells  15  84% of patients showed T cell responses  100% in two highest dose cohorts, including at the RP2D (10 mg)  58x average fold-change in T cell numbers from baseline (median 13x; range 2-423x)  T cells detectable by standard directex vivo FluoroSpot and flow cytometry, with no expansion required  AMP-CpG   Dose Level   ex vivo T cell response   (n, %)  Average fold-change  0.1 mg  2/3 (67%)  30  0.5 mg  4/6 (67%)  101  2.5 mg  4/5 (80%)  113  5.0 mg  5/5 (100%)  19  10.0 mg  6/6 (100%)  36  Total  21/25 (84%)  58  Responses shown are best overall responses vs baseline for each patient at any timepoint during the assessment period.   Data cutoff 6-Sept-23  Median = 13x  AMPLIFY-201 T Cell Fold-Changes by Dose Level  mKRAS T Cell Responses  Baseline  Max Response  Direct Ex Vivo T Cell Response  Response per Dose Level 
 

 Clearance  Reduction  Non-Responder  AMPLIFY-201: T Cell Fold-Change Predicts Tumor Biomarker ResponseAll patients with T cell responses over median showed tumor biomarker response  16  Strength of T cell response to ELI-002 is strongly correlated to tumor biomarker response  100% of the above median T cell group respond to ELI-002; in the below median group 67% (8/12) respond to ELI-002  All (100%) of the observed tumor biomarker clearances (6/6) are in the above median T cell group  Statistically significant, p-value per Mann Whitney Test (P < 0.0014)  Data cutoff 6-Sept-23  P = 0.0014  ≥ Median  < Median  mKRAS T Cell Response Tumor Biomarker Response  Best Overall Tumor Biomarker Response 
 

 17  Strength of T cell response to ELI-002 is correlated to tumor response and duration of ELI-002 administration  Patients with both CD4 and CD8 T cell responses have favorable clinical outcomes  mKRAS T Cell Response Clinical Response  AMPLIFY-201: Majority of Above Median T Cell Responders Include CD4+ and CD8+ Above median mKRAS-specific T cell response correlates to improved clinical outcome   Data cutoff 6-Sept-23 
 

 AMPLIFY-201: Above Median T Cell Responders Median RFS Significantly Prolonged86% reduction in the risk of progression or death in above median T cell responders  18  At a median follow up of 8.5 months, median RFS was not reached for above median T cell responders1 compared to 4.01 months among below median T cell responders (HR 0.14, 95% CI 0.03-0.63, P=0.0167)  86% Reduction in Risk of Progression or Death in T cell responders to ELI-002   Median overall survival was not reached for either group  ≥ Median T Cell Response (n = 13)  < Median T Cell Response (n = 12)  P = 0.0167  HR: 0.14 (0.03 – 0.63)  Median RFS: not reached  Median RFS: 4.01 months  1 Above median T cell responder: T cell response ≥ median increase of 12.75   Database cutoff 6-Sept-23  mKRAS T Cell Response Clinical Response  Relapse-free Survival 
 

 AMPLIFY-201: Safety & TolerabilityELI-002 was well tolerated at all dose levels, with no DLTs or SAEs  19  No Grade 3/4 TEAEs, no CRS, no DLTs at time of data cutoff (6-Sept-2023)  11/25 (44%) had Grade 1 or 2 AEs  3/25 (12%) had injection site reactions  10 mg dose selected as RP2D for Phase 1/2 AMPLIFY-7P study  TEAE: Treatment Emergent Adverse Event | CRS: Cytokine release syndrome | DLT: Dose-limiting toxicity | SAE: Serious adverse event | RP2D: Recommended Phase 2 Dose  Cohort 1 (0.1 mg) n = 3   Cohort 2 (0.5 mg) n = 6   Cohort 3 (2.5 mg) n = 5   Cohort 4 (5.0 mg) n = 5   Cohort 5 (10.0 mg) n = 6   Overall   n = 25   Adverse Event Terma   Patients with Any Related TEAE,   n (%)   1 (33.3)  3 (50.0)  2 (40.0)  2 (40.0)  4 (66.7)  12 (48.0)  Fatigue   0  2 (33.3)  2 (40.0)  1 (20.0)  1 (16.7)  6 (24.0)  Injection site reaction*  1 (33.3)  1 (16.7)  0  2 (40.0)  0  4 (16.0)  Myalgia   0  0  0  1 (20.0)  2 (33.3)  3 (12.0)  Anemia   1 (33.3)  0  1 (20.0)  0  0  2 (8.0)  Headache   1 (33.3)  1 (16.7)  0  0  0   2 (8.0)  Hot flush    0  1 (16.7)  0  0  1 (16.7)  2 (8.0)  Nasal congestion    0  1 (16.7)  0  1 (20.0)  0  2 (8.0)  Nausea   1 (33.3)  0  0  1 (20.0)  0  2 (8.0)  TEAE: Treatment Emergent Adverse Events with incidence ≥ 5%; data cutoff 6-Sept-2023  a Preferred terms per the Medical Dictionary for Regulatory Activities, version 25.0  *Injection Site Reaction = Injection Site Erythema, Injection Site Induration, Injection Site Swelling, Contusion, Pruritis  ELI-002 Safety / Tolerability 
 

 AMPLIFY-201: T Cell Tumor InfiltrationPreliminary clinical evidence shows dense T cell tumor infiltration following ELI-002 therapy  20  72 T cells/hpf at time of progression,29x the expected 2-3 T cells / hpf in PDAC 1  T cell tumor infiltration was associated with complete ctDNA clearance in this patient  T cell tumor infiltration has been associatedwith increased survival in pancreatic cancer 2  Tumor Biopsy CD3 Immunohistochemistry: T Cell Receptor (brown)Pancreatic tumor, 2.5 mg dose level  1 Ademmer 1988 Clin Exp Immunol 112:21  2 Ino, Y., Yamazaki-Itoh, R., Shimada, K. et al. Immune cell infiltration as an indicator of the immune microenvironment of pancreatic cancer. Br J Cancer 108, 914–923 (2013). https://doi.org/10.1038/bjc.2013.32  Hpf: High-powered field  T Cell Tumor Infiltration  Tumor Biopsy: CD3 Immunohistochemistry 
 

 AMPLIFY-201: Clinical Data SummaryELI-002 monotherapy generates robust immune response that correlates with clinical benefit  21  Well Tolerated   No Dose   Limiting Toxicity  No Grade 3/4 TEAEs, no CRS, No DLTs; 11/25 (44%) had Grade 1 or 2 AEs  Promising   Preliminary Data  Significant reduction in risk of progression or death with large T cell response  Tumor biomarker reductions, clearance across different tumor types and KRAS mutations  T cell response strongly correlates with tumor biomarker reduction/clearance and relapse free survival benefit  Robust mKRAS   T Cell Responses  T cell response and tumor infiltration observed in AMPLIFY-201 historically associated with survival in PDAC  Able to generate KRAS-specific CD4+ and CD8+ response in majority of patients with large T cell response   Among evaluable patients 100% of patients maintained elevated KRAS-specific T cell response post-boost  90% of patients developed T cell responses to two or more KRAS antigens  RP2D Selected  AMPLIFY-7P IDMC has recommended the phase 2 dose of ELI-002 7P   Randomized PDAC Phase 2 next portion of study to open (Q1 2024) 
 

 ELI-002 Differentiation*Distinct clinical and operational advantages over comparable cancer vaccines  22  ELI-002  SLATE-KRAS   -  -  GRANITE  -  -  - **  -  Autogene-cevumeran   -  - **  -  mRNA-4157  -  - **  -  Enhanced immune responses, no spleen requirement  Broadest coverage vs driver mutations, limits resistance  Fast, predictable, lower cost, no manufacturing risk ***  Immunogenicity against tumor neoantigens  Activates immune system while still strong  4  7  Anti-Tumor Immune Responses  Clinical ProgramsIn Early Disease  Lymph Node Engagement  Exclusively Targeting KRAS Mutations  “Off-the-Shelf”  Shared KRAS Neoantigen Vaccines  Personalized Neoantigen Vaccines  * Based on publicly available information** Personalized neoantigen vaccines encode for multiple neoantigens which may or may not include KRAS neoantigens, but do not exclusively target KRAS driver mutations  *** No risk associated with ‘just-in-time’ manufacturing that impacts availability; Product candidates not evaluated in a head-to-head study; comparisons based on public information   KRAS mutations targeted: Elicio 7P: G12D, G12R, G12V, G12C, G12A, G12S, G13D, SLATE: G12C, G12D, G12V, Q61H   
 

 Continuing Execution Momentum into 2024  23  AMPLIFY-201 Updated Clinical data (1Q-2024)  AMPLIFY-7P PDAC Phase 2 Initiation (1Q-2024)  AMPLIFY-7P Phase 1a data (1H-2024)  AMPLIFY-201 Clinical Immune (1H-2024)   Response follow up   2024 Anticipated Milestones  2023 Accomplishments  AMPLIFY-201 Completed Phase 1a enrollment  AMPLIFY-7P Initiated Phase 1a study  AMPLIFY-201 Presented Preliminary Safety, Immune and Biomarker Response data from Phase 1a study (ASCO)  Received second GIRF grant to fund p53/ BRAF program  AMPLIFY-201 Presented T Cell response and Relapse Free Survival data (AACR Special Conference Pancreas)  Presented positive preclinical data for p53 / BRAF program (SITC)  Presented AMPLIFY-201 Immune Response durability data (SITC) 
 

 Targeting the Lymph Nodes to AMPlify Immunotherapy  January 2024