EX-99.1 2 ex99_1.htm EXHIBIT 99.1

Exhibit 99.1

 IFX-1  C5a  Controlling inflammation  Corporate Presentation May 2019 
 

 Important Notice and Disclaimer  THIS PRESENTATION HAS BEEN PREPARED BY INFLARX n.v. (“INFLARX”), a US-Nasdaq publicly listed Dutch company having its principle place of business in germany. THIS PRESENTATION IS MADE FOR INFORMATIONAL PURPOSES ONLY AND DOES NOT CONSTITUTE AN OFFER TO SELL OR A SOLICITATION OF AN OFFER TO BUY SECURITIES. THE INFORMATION SET FORTH HEREIN DOES NOT PURPORT TO BE COMPLETE OR TO CONTAIN ALL OF THE INFORMATION YOU MAY DESIRE. STATEMENTS CONTAINED HEREIN ARE MADE AS OF THE DATE OF THIS PRESENTATION UNLESS STATED OTHERWISE, AND NEITHER THE DELIVERY OF THIS PRESENTATION AT ANY TIME, NOR ANY SALE OF SECURITIES, SHALL UNDER ANY CIRCUMSTANCES CREATE AN IMPLICATION THAT THE INFORMATION CONTAINED HEREIN IS CORRECT AS OF ANY TIME AFTER SUCH DATE OR THAT INFORMATION WILL BE UPDATED OR REVISED TO REFLECT INFORMATION THAT SUBSEQUENTLY BECOMES AVAILABLE OR CHANGES OCCURRING AFTER THE DATE HEREOF.This presentation may contain forward-looking statements. Forward-looking statements are neither historical facts nor assurances of future performance. Instead, they are based on our current beliefs, expectations and assumptions regarding the future of our business, future plans and strategies, our clinical results and other future conditions. All statements other than statements of historical facts contained in this presentation, including statements regarding future results of operations and financial position, business strategy, current and prospective product candidates, planned clinical trials and preclinical activities, product approvals, research and development costs, current and prospective collaborations, timing and likelihood of success, expectations regarding market acceptance and size, plans and objectives of management for future operations, and future results of anticipated product candidates, are forward-looking statements. These risks and uncertainties include those described under the caption “Risk Factors” in InflaRx's Registration Statement on Form F-1 and the accompanying prospectus filed with the Securities and Exchange Commission in connection with the company's initial public offering and other filings with the Securities and Exchange Commission. New risks and uncertainties may emerge from time to time, and it is not possible to predict all risks and uncertainties. Except as required by applicable law, we do not plan to publicly update or revise any forward-looking statements contained herein, whether as a result of any new information, future events, changed circumstances or otherwise. Although we believe the expectations reflected in such forward-looking statements are reasonable, we can give no assurance that such expectations will prove to be correct. Accordingly, readers are cautioned not to place undue reliance on these forward-looking statements. No representations or warranties (expressed or implied) are made about the accuracy of any such forward-looking statements.Certain information contained in this presentation relates to or is based on studies, publications, surveys and other data obtained from third-party sources and InflaRx’s own internal estimates and research. While InflaRx believes these third-party sources to be reliable as of the date of this presentation, it has not independently verified, and makes no representation as to the adequacy, fairness, accuracy or completeness of, any information obtained from third-party sources.  In addition, all of the market data included in this presentation involves a number of assumptions and limitations, and there can be no guarantee as to the accuracy or reliability of such assumptions.  Finally, while we believe our own internal research is reliable, such research has not been verified by any independent source.  InflaRx n.v. - Winzerlaer Str. 2, 07745 Jena, Germany, Email: info@inflarx.com, Tel: +49-3641-508180, www.inflarx.com 
 

 About Inflarx:  3  Founded in Germany in 2008  Offices/Subsidiaries: JENA + Munich (Ger) & Ann Arbor + New York (USA)  IPO on Nasdaq in November 2017 with GROSS proceeds of $106m   strong balance sheet:$176 million as of Dec 31st 2018  Follow-on Financing round April 2018 with Gross proceeds of $117m  
 

 Investment highlights  Leading anti-c5a ANTIBODY TECHNOLOGY        Full and selective blockade of the biological activity of C5aStrong global IP protection  Leading PROPRIETARY anti-c5a ANTIBODY TECHNOLOGY  Leading anti-c5a ANTIBODY TECHNOLOGY        Highly statistically significant C5a inhibition leaving MAC formation intactFavorable safety profile and excellent tolerability (n > 150 patients)  Established Biological POC for lead drug IFX-1  Leading anti-c5a ANTIBODY TECHNOLOGY        Established a pivotal role of C5a in HS with multi-bn market potential83% response rate on clinical response score (HiSCR) in severe HS patientsKey results of international phase IIb expected in Q2 2019  ifx-1 in hidradenitis Suppurativa (HS)  Leading anti-c5a ANTIBODY TECHNOLOGY        ANCA-associated vasculitis: US study ongoing, EU study approvedPipeline extension of IFX-1 in inflammatory diseases & oncologyIFX-1 s.c. and follow on anti-C5a mAb IFX-2 development in pipeline  Broad applicability of anti-c5a TECHNOLOGY  4 
 

 pipeline with multiple opportunitieswe are planning to begin multiple Phase ii studies with potential to expand into further indications  5         IFX-1  IFX-2  Current status   Prevalence  Pre-clinical   Program   Phase III  Market  Phase II  Phase I    Hidradenitis Suppurativa (HS)    ANCA associated vasculitis (AAV)    Pyoderma Gangraenosum    Chronic inflammatory and autoimmune diseases    US up to 200,000 patientsEur > 200,000 pat.    Completed enrollmentStudy ongoing  US ~ 40,000 pat.Eur ~ 75,000 pat.    US study startedEU study started    Authorization received for P-IIa open label study - Canada  Developing as injectable with optimized use for other chronic inflammatory indications      Development of TTP and CDP ongoing  ~ 3 to 10 cases per 1M globally  not disclosed    oncology    Development of TTP and CDP ongoing  not disclosed  not applicable yet  auto-immune / inflammatory diseases 2 
 

 C5a as target & our PROPRIETARY anti-c5a TECHNOLOGY 
 

 Biological activity of C5a: booster of inflammation   7        C5a  Neutrophils & Monocytes  proinflam. Cytokines  > 5000 publications since the 1970th   Endothelials/vascular  Macrophages  Epithelial cells   Strong Amplifier  Chemotaxis & ActivationAdhesionO2 RadicalsEnzyme release  Upregulation of C5aRANGIOGENESISIncreased vascular permeabilityAdhesion moleculesCoagulation, e.g. TF  Upregulation of C5aRTissue inflmmation  Promote Th1/Th17Inhibition of Treg  TNF-α, IL-1β, IL-6, IL-17Chemokines, e.g. IL-8HMGB-1others    ROS production Release of granular enzymes  Coagulation increasing tissue factor  Blood  Numerous publicationsWell understood MoA   T-cells 
 

 C5a activation of neutrophils  8      Data Source: Prof. Peter Ward, University of Michigan  Neutrophils , (4’600x enlarged)   + C5a  control    C5a Mode of Action on Neutrophils:Chemotaxis of neutrophils (Shin et al 1968, Science 162,361-3)Enzyme release (Goldstein et al 1974, J. Immunol. 113, 1583-8)Production of O2-radicals in neutrophils (Sacks et al 1978, J Clin Invest 161, 1161-7) 
 

 9  Routes to Terminal C5 activation          Classical  Lectin  Alternative  Complement Pathways  Extrinsic “Pathway”  Enzymatic C5 Cleavage  Membrane Attack Complex (MAC)triggers lysis of pathogens   strong amplifierof inflammation      Antibody binding  Mannose binding  Foreign surfaces  C3 activation  C5aR  C5b-9 = MAC      C5-convertases    C5L2  C5b  C5a      Terminalcomplementactivation  C5      Thrombin, Trypsin, Elastase, etc.  The extrinsic pathway represents an additional route, outside of the well-known complement pathways, to activate C5  Arg751/Leu752  Scissile bonds    other ligands: C3a, ASP, C4a etc 
 

 10  Terminal complement activation: model      C5a  C5 activation through the Complement Pathways results in functional C5a and C5b (MAC)C5 cleavage through the Extrinsic Pathway generates functional C5a (not C5b!)      C5b  C5      Classical  Lectin  Alternative    Complement Pathways  C5-convertases  Extrinsic “Pathway”  Enzymatic C5 Cleavage    Thrombin, Trypsin, Elastase, etc.  C5b-9 = MAC    directly cleave off C5aat scissile bond region  initiate binding to MG-7 domain of C5 –then cleave C5a with catalytic subunit   
 

 11  Terminal complement activationCompetitive clinical landscape    Previous programmes targeting C5a        Complement Pathways    Extrinsic Pathway    C5b-9 = MAC  InflaRx’s approach is to ensure complete blockade of C5a regardless of activating pathway or receptor signaling while preserving MAC formation  C5    C5a      C5aR  C5L2 (C5aR2)    C5b               
 

 IFX-1 is a first-in-class anti-C5a monoclonal antibody  12  MAC lysis invading microorganisms  C5b-9 = MAC        C5b  KEY FEATURES    Blocks C5a biological effects up to 100% in human blood Leaves MAC formation intactBinds with high affinity to the discovered epitope    C5    newepitope    Cleavage of C5 through:Complement pathway activation, orDirectly through enzymes via “extrinsic” pathway    C5a  conformational change              IFX-1  MAC lysis invading microorganisms  C5b-9 = MAC 
 

 13      A number of preclinical studies have established ifx-1 mechanism of action  Riedemann NC et. Al., Clin. Immunol. 2017 Mar 30;180:25-32      ò 101%  ò 96%  IFX-1 can block C5a induced neutrophil activation as measured by CD11b      IFX-1 does not influence the hemolytic activity curves and leaves C5 cleavage and formation of C5b-9 (MAC) intact.   Plasma (1:10 dilution) [µl]  OD (542 nm)    50% Iysis                                                                                                               
 

 ifx-1 for hidradenitis Suppurativa 
 

 hidradenitis Suppurativaa chronic severely debilitating C5a-driven inflammatory skin condition with high unmet need  15        Clinical features  Chronic, inflammatory, recurrent, debilitating skin disease of the hair follicles Most commonly in the armpit, groin and genital regionsExtremely painful inflammatory nodules, boils or abscessesDraining fistulas leading to considerable scarring and functional disability Hurley staging system used to classify severity (stage I – III)  Current Treatment – Medical Need  Adalimumab (TNF-alpha inhibitor) from AbbVie is the only approved biological in US and EuropeAccepted (but not approved) SOC includes topical, oral or i.v. antibioticsIn some instances, surgery is required Approximately 50 - 75% of patients with moderate to severe HS do not respond or lose response to Humira1  Prevalence  Up to 200,000 moderate to severe (Hurley II+III) HS patients in USHigher prevalence in Europe with reports > 1% total HS prevalence  Stage ISingle / multiple abscesses but no sinus tracts or scarring  Stage IISingle or multiple separated, recurrent abscesses with tract formation and scarring  Stage IIIMultiple interconnected tracts and abscesses involving an entire anatomic region  Hurley staging for hs  1 combined phase III trial data for Humira: response measured by HiSCR 50 and KOL quotes in LifeSci Capital initiation report 112/2018 
 

 IFX-1 in Hidradenitis Suppurativa   16    HISCR – a validated endpoint    Humira was approved based on HiSCR response – providing a potential pathway to approvalHiSCR defines 3 types of lesions:AbscessesInflammatory nodules Draining fistulasHiSCR response defined as:At least 50% reduction in total abscess and inflammatory nodule count (AN count)No increase in the number of abscesses from baselineNo increase in the number of draining fistulas from baseline    
 

 IFX-1 in Hidradenitis Suppurativa   17      InflaRx established that HS patients have significant complement activation with elevated C5a levels C5a is involved in several key pathophysiological mechanisms in HSNeutrophil activation is driven by C5aVarious C5a dependent players potentially involved (TNFa, IL-17, etc.)C5a is key neutrophil activator in HS patient plasma: HS patient plasma strongly provoked neutrophil activation in healthy donor blood, this effect could be completely blocked by the addition of IFX-1    Rationale for targeting C5a     
 

 IFX-1 in Hidradenitis Suppurativa - rational C5a as key neutrophil activator in HS patient plasma  18      Presented in more detail also in Abstract by Guo et. al., European Meeting on Complement in Human Disease, Copenhagen 2017, Manuscript in preparation by Prof. Giamarellos-Bourboulis, E.J., Athens, Greece 
 

     19  Overview of IFX-1 Phase Iia study in HSStudy design and Patient characteristics  1 dose groupWeekly i.v., total of 8 doses  Open labelSingle-center12 patientsKey inclusion: patients with moderate to severe HS with either primary or secondary failure to respond to biological treatment or not eligible for such treatment (adalimumab)  Assessing safety and efficacy of IFX-1 in HSPrimary endpoint: safetySecondary endpoint:HiSCR response at different time points, various other secondary endpoints          Study design  FPFV: Q4 2016LPLV: Q2 2017First results: Q1 2017Final results: Q3 2017  Study design                Male  8 (66.7%)  Age [y]   48 ± 1550 (22; 69)  Hurley Stage III  12 (100%)  BMI  27.3 ± 4.926.6 (19.6; 34.5)  Weight [kg]  82.2 ± 14.778.0 (63.0; 105.0)  Duration of HS [y]  20 ± 920 (3; 35)  AN count  6.4 ± 2.56 (3; 11)  Failure to TNF-alpha blockade  9/12  Study objective        Timelines                              Treatments      Patient characteristics 
 

 IFX-1 Phase Iia PROMISING Results in Hsclinical efficacy  20  HISCR response rate in HS patients      HiSCR response in HS patients    Efficacy: In these late-stage patients who previously failed to respond to SOC including TNF-alpha blockade, 75% of patients were HISCR responders following 8 weeks treatment and 83% at end of trial  Safety / tolerability: Repeated high dose I.V. administration of IFX-1 observed to be well tolerated with no detected safety issues 
 

 21  IFX-1 Phase Iia Results in HsPHARMACODYNAMICS & C5A blocking activity of ifx-1     Mean c5a PLASMA LEVELS    Data displayed in the F1 prospectus: Mean C5a levels (ng / ml) in HS patients at day 1 (pre-dosing), day 22 and day 50 (end of treatment) as well as on day 134 (at the end of the trial observation period). One sample was excluded from this analysis at day 50 (end of treatment) (as indicated with (+) above) from one patient in whom study drug infusion was discontinued prematurely after day 29 due to an unrelated adverse event   
 

 IFX-1 Phase Iia Results in HsSKIN REsPONSE EXAMPLES from treated patients  22            Day 1  Day 134  Visible improvement at the end of the trial  Gluteal fold  Right inguinal  Day 1  Day 134 
 

 IFX-1 Phase Iib study in HS: SHINEStudy design  23      Responders  Non Responders  Placebo  IFX-1 minimum dose  IFX-1 low dose  IFX-1 medium dose  IFX-1 high dose  IFX-1 low dose  IFX-1 medium dose  Screening  Open Label Extension Period 28 Weeks  Main Period (double blind)16 weeks  179 patients with moderate or severe HS – enrollment completedPrimary endpoint: dose response relationship based on HiSCR at week 16Secondary endpoints: Quality of Life, Safety, PK/PD substudy,Topline results expected in Q2 2019    TIMELINEs                           
 

 IFX-1 Phase Iib study in HS: SHINE statistical Model MCP-mod  24  The Multiple comparison Procedure – Modelling (MCP-mod)    What is this?  novel and now more frequently used design for dose findingtests whether a new drug has a dose-response effect on an endpoint = MCP stepcalculates the dose-response relationship (curve fit) = mod step  regulatory opinion and advantages?  qualified and recommended by FDA and EMA1,2,3uses the available data better than pairwise comparisons with ANOVA (EMA written opinion3)  HOW DO YOU SET THIS UP?  make common assumptions (endpoint, effect sizes etc.)chose most suitable dose response relation (based on available information = other compounds, etc.)  determine doses + scenarios for likely effect size and calculate sample size for desired power  Bretz F et al (2005), Combining multiple comparisons and modeling techniques in dose-response studies. Biometrics 2005, 61(3), pp738-48. https://www.fda.gov/downloads/Drugs/DevelopmentApprovalProcess/UCM508702.pdfhttps://www.ema.europa.eu/en/documents/regulatory-procedural-guideline/qualification-opinion-mcp-mod-efficient-statistical-methodology-model-based-design-analysis-phase-ii_en.pdf   
 

 IFX-1 Phase Iib study in HS: SHINEstatistical analysis plan  25  SHINE Study MCP-mod set up      dose  placebo  min dose  low dose   med dose  high dose  response  ca. 25-30%        55% - 60%  increasing response   Main set up and assumptions  dose groups: 4 + placeboplacebo HiSCR rate: 25% - 30%effective dose HiSCR rate: 55% - 60%power of trial (n=175) ca. 90%          n=35 per group  assumed dose-relationship (function)  concave shape (emax)sigmoidal shape (logistic)  Scenario basis  number of patients per group  power  90% 
 

     IFX-1 Phase Iib study in HS:mCP-mod outcome Simulated examples for illustration purposes only  26          26,7%  63,3%  56,7%  60%  66,7%  Emax: p = 0.00256  logistic: p = 0.01994  36,7%  30%  43,3%  56,7%  73,3%  Emax: p = 0.00608  logistic: p = 0.00172  30%  43,3%  43,3%  46,7%  33,3%  Emax: p = 0.0787  logistic: p = 0.0719  Example 1: no curve fit = neg. p-value *  Example 3: high placebo *  Example 2: min dose highly efficacious *  * depicted examples are for illustration purposes only based on freely invented figures with no relation to actual data in the SHINE study  
 

 ifx-1 for ANCA associated vasculitis 
 

 Anca associated vasculitis (AAV)A LIFE-THREATENING AUTOIMMUNE CONDITION  28        Rare, life-threatening autoimmune disease, characterized by necrotizing vasculitisLife-threatening flare phases affect organs leading to potentially fatal organ dysfunction and failure Predominantly affecting small vessels associated with anti-neutrophil cytoplasmic antibodies, or ANCADisease activity is assessed using Birmingham Vasculitis Activity Score v3 (BVAS)  Clinical features  Approx. 40,000 AAV patients in the USApprox. 75,000 AAV patients in EuropeOrphan drug market  prevalence   Source: Chen, Jayne and Zhao. Complement in ANCA-associated vasculitis: mechanism and implication for management  Current Treatment – Medical Need  Induction of remission critical during flare phases – induction treatment differs from maintenance therapy and consists of high dose corticosteroids plus either cyclophosphamide or RituximabInduction of remission therapy have significant side effects  
 

 IFX-1 in AAVClinical Poc established for role of C5a / C5aR pathway in AAV  29  rationale  C5a/C5aR interaction is essential for development of MPA-ANCA crescentic glomerulonephritis in a mouse modelComplement activation in active AAV patients is significantChemocentryx’ CCX168 (small molecule, C5aR antagonist) data: C5aR inhibition results in a more rapid and consistent response in BVAS than high dose steroids (PoC of C5a / C5aR axis importance in humans) = successful reduction and replacement of steroid use for induction of remission  Potential advantages of IFX-1 for AAV          *Bekker, P., Jayne, D. et al., 2014 ACR/ARHP Annual Meeting   Rapid onset of action: intravenous administration with fast onset of action, inhibiting C5a signaling completely protecting from C5a induced priming and activation of neutrophils  potentially a) faster response rate and b) quicker induction of remission compared to the SOCPotential safety benefits: by blocking C5a and not its receptors, the properties of IFX-1 may allow it to avoid safety concerns arising from indirect off-target effects      
 

 IFX-1 in AAVComplement activation in AAV  30      Guo SI, 2012, Kid intl 83:127    C5a is significantly increased in patients with active AAV – but not in remission 
 

 IFX-1 in AAVC5a plays a key role in AAV   31      Van Timmeren, Curr. Opinion Rheumatol. 2012; 24:8  Role of c5a in AAV  Chemotaxis of PMNsEnhancing IC effectsActivation of PMNsCytokine inductionEndothelial injury (enzymes & oxidative stress)Tissue factor releaseThrombo-inflammation & prolonged PMN life-span       
 

 32  IFX-1 – P2.6 Phase Ii study in AAV in the US (IXPLore)Study design      Assessing safety and efficacy of IFX-1 in AAVPrimary endpoint: SafetySecondary endpoint: Response rate based on the Birmingham Vasculitis Score (BVAS), various other secondary endpoints    Study objective  Placebo + SOCGroup C (N=12)  IFX-1 low dose + SOCGroup A (N=12)    W 16  ScreeningW - 2 to -1   Remission Induction Phase:SOC = RTX/CYC+GC    IFX-1 high dose + SOCGroup B (N=12)  Randomization 1:1:1Day 1    Patients randomized 1:1:1  End of Study W 24  Treatment: 16 Weeks  Follow up: 8 Weeks    Remission Maintenance Phase: AZA/MTX/MMF/MPS+GC; or can remain RTX/CYC+GC  W 20 
 

     group C: IFX-1 + no GC (N=33)  group A: IFX-1 + reduced GC(N=15)  Screening  Remission Induction Phase:RTX/CYC    group B: placebo + standard GC (N=15)  Randomization 1:1    End of Study W 24  Treatment: 16 Weeks  Follow up: 8 Weeks    Remission Maintenance Phase: AZA/MTX/MMF/MPS; or can remain RTX/CYC    W 16  W 8  W 2                        W 4  W 20  Primary objective: efficacy of IFX-1 treatment as replacement for glucocorticoid (GC) therapy in GPA and MPA Secondary objectives: • To assess safety and tolerability of IFX-1 To compare toxicity of standard-dose GC with IFX-1To generate data for pharmacokinetic (PK) and pharmacodynamic (PD) modelling  Day 1  group B: placebo + standard GC (N=18)  part 1  part 2    Treatment: 16 Weeks  Follow up: 8 Weeks      W 16  W 8  W 2                        W 4  W 20  GC = glucocorticoids  Study objective      33  IFX-1 – P2.5 Phase Ii study in AAV in Europe (IXCHange)Study design 
 

 FiNancials & Strategic long term goals  
 

 Strong balance sheet to support clinical development  35  Financings        $  Series D: $55m in Oct 2017NASDAQ IPO: $106m in Nov 2017 $15.00 per shareFollow-on: $117m in May 2018 $34.00 per share$63m gross proceeds for InflaRx$54m for selling shareholders    J.P.Morgan Anupam RamaLeerink Joseph P. SchwartzBank of Montreal Matthew LuchiniSunTrust Robinson Humphrey Edward H. NashCredit Suisse Tiago FauthLifeSci Capital Sam SlutskyBaird Madhu KumarGuggenheim Yatin SuneyaRaymond James Steven Seedhouse     Analysts      Key Financials  Cash position*: $176m (as of 31 Dec 2018)  Exchange: Nasdaq, Ticker: IFRX  Shares Outstanding: 25.97m (as of March 28)  Price: $45.24 (as of May 1, 2019)  Market Cap: ~ $1.17b (as of May 1, 2019)  * cash equivalents plus securities and other investments  
 

 Our strategy   36  goal and strategy        Advance our lead program IFX-1 for HS to commercialization and extent with additional IFX-1 s.c. development                Our goal is to maintain and advance our leadership position within the anti-C5a complement space by leveraging full potential of our proprietary technology       Commence / complete Phase II clinical development of IFX-1 for AAV, PG and within Oncology field      Pursue the development of IFX-2 and continue to expand the breadth of our anti-C5a technology      Commercialize IFX-1, if approved, either independently or with a partner      Extend pipeline with initiation of clinical development of IFX-1 in other complement-mediated autoimmune / inflammatory diseases 
 


                   InflaRx N.V.Winzerlaer Str. 207745 Jena, GermanyEmail: info@inflarx.comTel: +49-3641-508180Fax: +49-3641-508181www.inflarx.com        Investor Relations InflaRx N.V.Jordan Silverstein Head of Corporate Development and Strategyjordan.silverstein[at]inflarx.de  Page 37