Exhibit 99.1
RMCL-002 Final Analysis Developing Solutions for Dialysis Prevention May 2024
This presentation includes “forward-looking statements” within the meaning of the
“safe harbor” provisions of the Private Securities Litigation Reform Act of 1995. ProKidney’s actual results may differ from its expectations, estimates and projections and consequently, you should not rely on these forward-looking statements
as predictions of future events. Words such as “expect,” “estimate,” “project,” “budget,” “forecast,” “anticipate,” “intend,” “plan,” “may,” “will,” “could,” “should,” “believes,” “predicts,” “potential,” “continue,” and similar expressions (or
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performance, development and commercialization of products, if approved, the potential benefits and impact of the Company’s products, if approved, potential regulatory approvals, and the size and potential growth of current or future markets
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financing in the future; the inability of the Company to obtain and maintain regulatory clearance or approval for its products, and any related restrictions and limitations of any cleared or approved product; the inability of the Company to
identify, in-license or acquire additional technology; the inability of Company to compete with other companies currently marketing or engaged in the biologics market and in the area of treatment of kidney diseases; the size and growth
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additional financing; the Company’s financial performance; the Company’s intellectual property rights; uncertainties inherent in cell therapy research and development, including the actual time it takes to initiate and complete clinical studies
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conditions or circumstances on which any such statement is based. Forward-looking Statements
Key Entry Criteria Study Endpoints Study Timeframe Type 2 Diabetes Mellitus
(DKD) Male or female 30-80 years of age eGFR ≥20 and ≤50 mL/min/1.73m2 Not on kidney dialysis, HbA1c <10% RMAT = Regenerative Therapy Advanced Medicine; SOC = Standard of Care = 6 Months u = Follow-up Visit After 2nd Injection Day
–60 to Day 0 ScreeningVisit and Biopsy Deferred n=42 R 1:1 1st Rilparencel Injection 2nd Rilparencel Injection EOS Month 24 Follow-up After 2nd Injection Active n=41 EOS Month 12 Follow-up After 2nd
Injection u u u u u u u u u u u u Rilparencel and procedure related adverse events Change in kidney function (assessed by eGFR) First patient injected in 2017 RMAT granted for Phase 3 program in January
2022 SOC 2nd Rilparencel Injection RMCL-002: Trial Design 1st Rilparencel Injection
RMCL-002: Study Objectives and Endpoints Study Objectives Study Endpoints To
assess the safety and efficacy of up to two rilparencel injections given 6 months apart and delivered into the biopsied kidney using a percutaneous approach Procedural and investigational product-related adverse events Change in kidney
function as measured by serial measurements of estimated glomerular filtration rate (eGFR)
ACTIVE ARM (n=41) DEFERRED ARM (n=42) Age, years (mean +/- SD) 66.1
+/- 9.9 64.6 +/- 8.9 Female : Male, % 29% : 71% 36% : 64% Hispanic or Latino, % 17% 10% Race, % Black or African American 2.5% 14% White 95% 74% Other 2.5% 12% Blood pressure, mm HG 133 / 72 135 /
73 eGFR, ml/min/1.73m2 (mean +/- SD) 33.9 +/- 8.6 31.7 +/- 7.4 Stage 3A CKD, n (%) 5 (12%) 3 (7%) Stage 3B CKD, n (%) 21 (51%) 18 (43%) Stage 4 CKD, n (%) 15 (37%) 21 (50%) UACR mg/g (median +/- interquartile range) 740 (68,
1597) 598 (58, 1985) Geometric Mean of UACR mg/g 389 330 HbA1c, % (mean +/- SD) 7.2 +/- 1.0 7.1 +/- 1.0 RMCL-002 Baseline Subject Characteristics are Balanced and Represent a High-Risk CKD Population
Other events with possible-relatedness include kidney fibrosis and indeterminate
renal vessel occlusion or vasospasm ADVERSE EVENT BIOPSY # of events (n=83)* RILPARENCEL INJECTION # of events (n=132)* Hematoma (including Page Kidney during biopsy) 2 2 Pain 0 2 Acute Kidney Injury 1 1 CKD progression (eGFR
progression) 0 1 Pyrexia 0 1 Anemia 0 1 Pneumonia 0 1 Creatinine increase 0 1 No Rilparencel-related SAEs Identified in RMCL-002 Data as of April 26, 2024; SAE = serious adverse events
Active Cohort Subjects Showed No Clinically Meaningful eGFR Decline Over 30
Months The Active Cohort showed a cumulative change in average eGFR of -5.1 ml/min/1.73m2 after 30 months; The Deferred Cohort, receiving standard of care, showed a cumulative change in average eGFR of -3.3 ml/min/1.73m2 after 12 months. Data
points are mean +/- SEM ; Data as of April 26, 2024 32.8 27.7 31.7 28.4 30.9 Active Arm Subjects vs Deferred Arm Subjects Active SOC
Data points are mean +/- SEM ; Data as of April 26, 2024 Deferred to Cross-Over
Subjects Showed Preservation of eGFR after Rilparencel Injection Average eGFR of the Deferred cohort was 31.7 at baseline vs 28.4 at 12 months [absolute difference of -3.3 ml/min/1.73m2 over 12 months] Average eGFR at 1st injection after
cross-over was 28.8 vs 28.0 at 18 months [absolute difference of -0.8 ml/min/1.73m2 over 18 months] 31.7 28.4 28.8 28.0 eGFR ACR eGFR ACR Deferred SOC Subjects 31.7 330 -- -- Deferred Cross-Over Subjects -- -- 28.8
250 Deferred Arm Subjects Cross-Over SOC
Stabilization of Kidney Function in Active and Deferred Arm Subjects at 12 Months
vs SOC Subgroup Analysis of Diabetic Subjects with CKD Stage 4 and Class A3 Albuminuria* Data points are mean +/- SEM ; Data as of April 26, 2024; 1. Oshima M, et al. Trajectories of kidney function in diabetes: a clinicopathological
update. Nat Rev Nephrol. 2021;17(11):740-750. doi:10.1038/s41581-021-00462-y -1.1 -6.1 0.4 -6.1 eGFR ACR eGFR ACR Deferred Cohort SOC 25.9 1921 -- -- Active Cohort -- -- 24.4 1979 eGFR ACR eGFR ACR Deferred Cohort SOC
25.9 1921 -- -- Deferred Cohort Post Injection -- -- 20.8 1353 *Patients with Stage 4 CKD & Class A3 (Severe Albuminuria, >300 mg/g) are one of the fastest progressing CKD patient populations1 UACR Severe & CKD4 Subgroups in
Deferred Arm UACR Severe & CKD4 Subgroups in Active vs Deferred Arm Active SOC Cross-Over SOC
Key Findings RMCL-002 Summary Showed potential to preserve kidney
function for up to 30 months in several patient groups Benefit to kidney function was most notable in subjects who had the highest risk of kidney failure (Stage 4 CKD with high UACR1) Injections were well tolerated with a consistent safety
profile comparable to kidney biopsy 1. UACR = urine albumin-to-creatinine ratio (a measure of albuminuria)