Bayer Pharma RD Event 2023
Bayer Pharma RD Event 2023
Bayer Pharma RD Event 2023
08:55 am 14:55 pm Vividion Therapeutics: Removing the Boundaries of Druggability Aleksandra Rizo
09:15 am 15:15 pm Q&A (15 min) Stefan Oelrich, Christian Rommel, Aleksandra Rizo
10:00 am 16:00 pm Shaping new Treatment Paradigms in Cardiovascular Diseases Maria Borentain
10:25 am 16:25 pm Q&A (15 min) Dominik Ruettinger, Maria Borentain
2
10:40 am 16:40 pm BlueRock Therapeutics: Leading the way in PSC therapies Seth Ettenberg
11:00 am 17:00 pm Asklepios BioPharmaceutical: Pioneering AAV-based Gene Therapies R. Jude Samulski
11:20 am 17:20 pm Concluding Remarks Christian Rommel
Stefan Oelrich
Key Messages Today
1 2 3
Revised Expanding US Late-stage
innovation model footprint pipeline potential
Greater focus, streamlined Building US presence; From two to up to four
portfolio, emphasis on precision Expanding both R&D and blockbusters with a combined
medicine commercial footprint peak sales potential of €12bn
5 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
We Have Taken Actions to Increase Focus, Quality and
Productivity of Our Innovation Model
Focus
Focus areas driven by value, differentiation, feasibility
Portfolio too broad for company size and competencies
Quality
Shift to breakthrough innovation leveraging scientific
Incremental innovation advances, platforms, precision medicine and AI
Productivity
Shift to value creation, asset-centric operating model,
Complex operating model leaner governance with renewed leadership team
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Zeroing in on High Unmet Need With Great Value Potential
Optimizing our R&D focus to 4 broad therapeutic areas
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We Have Expanded Our Capabilities And Pipeline Through
Strategic Acquisitions and Collaborations
INNOVATION ENGINE
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People
Building US Footprint
Increased presence at the world’s most Expanding US commercial footprint reflecting new
vibrant Pharma innovation hubs products and pipeline assets with global rights
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Nubeqa Has The Potential to Become The New Standard of Care
in Prostate Cancer Across Indications
Launch Performance Expanding to earlier prostate cancer settings
Drug
Sales treated ~145k ~86k ~47k ~76k
#1 43%
#2 25%
€0.5bn patient
2022
estimates2:
1
4
Source: IQVIA January 2023 3-month rolling market share, adjusted to reflect nmCRPC and mHSPC only 2 2030 Treated Estimates G7: US, EU5, J 3 Peak Sales Potential
Not label generating; supports ARASTEP/ARANOTE submission >€3bn
Peak3
10 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Kerendia With Strong Launch Dynamics And The Option to
Broaden The Use in CKD And to Expand into HF
Launch Performance Expanding to additional indications
Global Patient Population3
US launch performance (monthly TRx)2
60.000
Entresto1 CKD
50.000
~700m people
40.000
Sales globally
€0.1bn
30.000
20.000
2022 HF Diabetes
10.000
~60m people ~480m
0 globally people globally
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 month
Continued US market uptake with broad utility and Chronic Kidney Disease HF
relevance across GPs and specialists Non-
T2D T1D HFmr/pEF
China: NRDL Listing starting March 2023; granted diabetic
1 Entresto developed and commercialized by Novartis 2 Source: IQVIA TRx April 2023 3 Source: Vijay et al, 2021 4 Peak Sales Potential >€3bn
11 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023 Peak4
Elinzanetant as Investigational Non-hormonal Treatment Option in
The Menopause Market With Peak Sales Potential of >€1bn
Market Characteristics Elinzanetant
>€1bn
Source: Market Research - IPSOS - Global VMS Women Segmentation
Peak2
1 2 Peak Sales Potential
12 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Currently Un(der)treated Patients May Provide Asundexian a
Strong Entry Point Into The Anticoagulation Market
Market
Market Characteristics
Characteristics Asundexian
Innovative, once-daily, oral small molecule FXIa
Stroke prevention in AF Non-cardioembolic stroke inhibitor
~32m diagnosed AF ~27m diagnosed
patients in top 8 markets1 patients in top 8 markets1 Paradigm shift in thrombosis prevention, with the
potential to uncouple efficacy from bleeding risk
Standard of care: Standard of care:
DOACs (or VKA) Single/Dual APT Broad Phase II study program PACIFIC confirmed
Unmet need: 65%
consistent safety and near maximum FXIa
lower bleeding inhibition
with potential Continuous high
for efficacy recurrence despite
benefits vs. APT,and safety
SOC ~59M concerns with DAP
Current Status
people Unmet need: higher
efficacy without
increase in bleeding Two Phase III studies (OCEANIC-AF and
vs. SOC OCEANIC-STROKE)
U.S. FDA Fast Track Designation granted for both
indications
~1 in 3 patients in AF un(der)treated
with OACs mostly due to risk of bleeding Phase III data expected in H2 2025
>€5bn
Peak2
1 Top 8 markets: US, CN, JP, EU5; 2 Peak Sales Potential
13 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Key Messages Today
1 2 3
Revised Expanding US Late-stage
innovation model footprint pipeline potential
Greater focus, streamlined Building US presence; From two to up to four
portfolio, emphasis on precision Expanding both R&D and blockbusters with a combined
medicine commercial footprint peak sales potential of €12bn
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Reshaping
Innovation at Bayer
Pharma
Christian Rommel
Key Messages Today
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Patients and Society Need and Demand Transformational Change
Scientific breakthroughs
REDEFINITION OF DISEASE
Precision treatments for homogeneous populations | Shifting to cure and prevention, holistic care beyond “the pill”
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The New Face of Bayer Pharma R&D
Building on 160 years of innovation, we’ve significantly transformed our organization and shaped our strategy
New Bayer innovation strategy setting Extended capabilities Fast-tracked our ambition
the path for scientific leadership and and pipeline through through key R&D decisions
increased value for patients strategic acquisitions
KEY FIGURES:
€3.2bn spend 5,800 FTEs at 25 NMEs and €9bn value increase ~100 deals signed
on R&D Bayer Pharma R&D 45 projects in of late-stage assets in the last 4 years
(including platform companies) development since 2021
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Our People are Key for our Transformation and Future Success
Revamped leadership in action to transform our organization and unleash the potential of our people
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A Multi Faceted Innovation Engine to Unlock Value for Patients
Addressing need for breakthrough science with diverse research capabilities, technologies and talents
Internal
innovation
External
innovation Platform
Companies
innovation
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Bolstering Science and Pipeline Through our Platform Companies
Balancing organizational synergies and scientific independence
SYNERGIES
TARGETS INDICATIONS
Classical, well
“Undruggable”, new Mainly large Value driven
characterized
drug targets indications from large to rare
drug targets
INNOVATION FOCUS
Driven by
Diversified R&D Follow the
Mostly internal science & highest
ecosystem science
unmet needs
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Innovation and Growth Potential as a Key Focus to Increase Value
Oncology
= Focus areas
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Refined Focus Areas with Highest Impact and Value Potential
Clear strategic mandates guiding decision making and resource allocation
Become a Top Remain Top player, shift Advance a competitive Build expertise
Oncology Company to precision medicine Cell & Gene therapy and portfolio
pipeline
Drive leadership in focus Enhance our leadership in Advance our pipeline to build
areas, accelerate growth precision cardiovascular, Drive and de-risk platform a presence and support other
through competitive early- nephrology and acute care with focus on first-in-market focus areas
stage pipeline potential
24 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Targeting the Sweet Spot of Precision Medicine Across our Focus Areas
Through disease understanding and value potential assessment
Illustrative
Population
Address individual patients' needs to Large
achieve improved and sustainable indications
health by delivering transformative
medicines: the right treatment, to the
right patient, at the right time
Optimized outcomes by focusing on Subpopulations
highest unmet needs, value potential,
differentiation and risk mitigation
Rare
Open for disruption in large indications indications
Out of scope
Value
25 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
A Diverse and Innovative Modality Toolkit to Deliver our Ambition
Delivering innovative and competitive medicines in our focus therapeutic areas
Neurology &
Oncology Cardiovascular+ Rare Diseases Immunology
Antibody Conjugates
Protein Therapeutics Multispecific antibodies
Monoclonal antibodies
Targeted Radiotherapy
Radiotherapy Antibody | SMOL | peptide
Covalent binders
Chemoproteomics Heterobifunctional degraders
Molecular glues
26 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023 Bayer innovation capabilities Innovation capabilities added since 2019
Reshaping R&D Execution Through Data Science and AI
Exploiting increasing convergence of biology and technology to continuously optimize our portfolio
PRIORITIES PARTNERSHIPS
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Moving to Higher, Sustainable Level of R&D Productivity
Supported by key levers
Moving toward precision medicine Digitization of clinical trials Improved governance and decision
making (fail / accelerate fast)
Improved validation of targets and Lean, innovative, adaptive clinical trial
translation to patient - target disease design in stratified population, as well Accelerate development from IND to
link as platform studies launch through tailored development
approaches
Strategic investments in new Reduction of in-vivo/wet lab work by
biomarker approaches applying prediction tools Unlock the potential of Real-World
Data with AI and Machine learning.
Improved patient profiling and New ways of working leveraging Automation and digitization enabling
selection using advanced Data organizational synergies decentralized trails
Science/AI approaches
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Pursuing Industry Leading Innovation Across all Focus Areas
Selected assets with innovation, differentiation and high value profile
Program1 (Indication) Phase 0 Phase I Phase II Phase III
3 platform companies
AskBio, BlueRock, Vividion
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Key Messages Today
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Making a Difference
in Neurology & Rare
Diseases
Christian Rommel
Bayer in Neurology & Rare Diseases
Opportunity to become leaders in transforming patient care
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Neurology and Rare Diseases Pipeline Overview
Significant proportion of our cell & gene therapy pipeline to enable potential medical advances in NRD
AB-1005 Parkinson’s
Further inclusion of
AB-1005 Multiple System Atrophy BlueRock and AskBio in
Bayer’s Innovation
AB-1001 Huntington’s ecosystem, leveraging
synergies while keeping
ACTUS-101 Pompe (LOPD) FDA fast track & ODD
USA/EU them largely independent
AB-1003 LGMD2i/R92 FDA fast track & ODD EU Build a competitive and
differentiated portfolio and
- de-risk assets and platform
approach in clinical stage
DA01 / Bemdaneprocel Parkinson’s FDA fast track
-
Once derisked, identify areas
for scale and growth
NRD Pipeline Overview - all platform companies’ therapeutic areas ex-NRD not shown
34 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Leveraging a Unique
Platform to Build a
Presence in
Immunology
Christian Rommel
Bayer Entering Immunology
Significant unmet medical need despite rapid scientific advances
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Immunology Early Pipeline Overview
Targeting central drivers of inflammation
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Vividion
Therapeutics:
Removing the
Boundaries of
Druggability
Aleksandra Rizo
Key Messages Today
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Company Overview
BENJAMIN CRAVATT
Professor and Co-Chair,
Dept. of Molecular Medicine
The Scripps Research Institute
Member, Natl Academy of Sciences
2022 Wolf Prize in Chemistry
Small molecule drug
discovery and development
PHIL BARAN
Operations initiated in 2017
Chair, Chemistry
The Scripps Research Institute ~200 employees
McArthur Genius Award
Member, Natl. Academy of Sciences 8,000 m2 of lab/office space
in San Diego, CA
JIN-QUAN YU
Professor, Chemistry
The Scripps Research Institute
McArthur Genius Award
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Bayer-Vividion Synergies
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Limitations of Conventional Small Molecule Drug Discovery
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Potential to Transform Small Molecule Drug Discovery
CHEMOPROTEOMIC
PLATFORM
TARGET BIOLOGY
MASS
SPECTROMETRY
CHEMISTRY
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Vividion’s “Covalent First” Platform Expands Druggable Space
REVERSIBLE DRUG VIVIDION “COVALENT FIRST” DRUG
Drug Drug
Protein-small molecule
interaction surface
Drug-like potency and selectivity requires: Drug-like potency and selectivity requires:
Large contact surface between drug and protein Small contact surface and minimal polar interactions
Multiple specific types (polar) of interactions that guide covalent bond formation
Drugs for targets within druggable classes Allows for druggability of all/any disease relevant targets
(e.g., enzymes, receptors) (e.g., enzymes, receptors, transcription factors, ubiquitin ligases)
44 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Foundations of the Vividion Platform
Target
Protein
Scaffold Cysteine-
reactive group
Diversity Diversity
Novel LC-MS/MS
pockets
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The Innovation and Efficiency of the Vividion Drug Discovery Platform
VIVIDION “COVALENT FIRST” CHEMOPROTEOMICS APPROACH
Public
Databases Prioritize Targets
Propose and Evaluate
Many Targets
SMRCA2 CRBN
Human
Genetics
Structural
Biology
Literature
Functional Assay Development Hits against a target
46 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Industrial Scale Chemoproteomics Platform Accelerates
Discovery of Novel Shallow Pockets
INDIVIDUAL LIBRARY OF VIVIDION COMPOUNDS
Vividion technology
simultaneously tracks
small molecule
interactions against
1000s of targets in
natural settings to
discover potent and
selective compounds
at the same time
NO ENGAGEMENT 100% ENGAGEMENT
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Range of Approaches to Modulate Undruggable Targets
First-in-class and/or Best-in-class Small Molecule Therapeutics
DIRECT FUNCTIONAL
Target MODULATORS (DFMs)
TARGETING Protein
FUNCTIONAL SITES “Silent“ Allosteric Inhibitors
Cysteine
Allosteric Activators
Functional
Cysteine Protein-protein Interaction
(PPI) Inhibitors
48 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Continuous Library Expansion Allows for Pipeline Growth and
Durable Competitive Advantage
Vividion unique
covalent chemistry
library
Proteome educated # Compounds in Library
library innovation
49 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Unique Pipeline of First or Best in Class Programs
Pipeline Progress as of 2Q2023
TF (degrader) mCRPC
TF (inhibitor) Melanoma
1 Multiple Roche-partnered programs in different stages of development; milestone payments can be expected per agreement
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Targeting Traditionally Undruggable Transcription Factor NRF2 Enables
Two Distinct MOAs to Address Oncology and Immunology Diseases
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STAT3 is Traditionally Undruggable Transcription Factor That
Plays Key Roles in Multiple Oncology & Immunology Diseases
STAT3
ONCOLOGY
Prevents STAT3 DNA binding and blocks downstream gene transcription
Addresses primary checkpoint therapy resistance mechanism in genetically defined patient population
(LKB1 mutant lung adenocarcinoma)
Additional opportunity in T-cell lymphomas where STAT3 GOF mutation and/or high-pSTAT3 levels
supports STAT3 dependence
IMMUNOLOGY
Blockade of STAT3 DNA binding prevents both IL-6 cytokine family and IL-23 signaling for inhibition of
TH17 cell function with novel potential to simultaneously increase Treg frequency
Central role in multiple pathogenic cytokine signaling pathways hence potential to treat wide spectrum
Utilizing same mechanism/inhibitor in two different disease of human autoimmune diseases
areas offers potential to address multiple patient populations
Initial entry in psoriasis & psoriatic arthritis followed by IBD
52 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Key Messages Today
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Driving Leadership
in Focus Areas of
Oncology
Dominik Ruettinger
Key Messages Today
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Oncology will Remain a Major Segment of the Pharma Market
and we have a Strong Foundation to Build on
Oncology opportunity
MARKET ATTRACTIVENESS BAYER'S KEY STRENGTHS
Source: EvaluatePharma (July 2022), Pharmaprojects (Oct 2021); IQVIA Pharma Deals (January 2021); McKinsey analysis
57 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Focus Where External Opportunity Meets Internal Strength
Gastrointestinal (GI)
Colorectal, Liver,
Precision Gastric cancers
Molecular
Oncology (PMO) Lung Cancer
(NSCLC)
Next Generation
Other Tumors
Immuno-
with high unmet need
Oncology (IO)
Patient number
58 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
A Rapidly Expanding, Changing Patient Population
Patients are younger, diagnosed earlier, increasingly treatment resistant
= Early onset cancer patient = Early diagnosed patient = GI, GU, and lung Cancers (predicted = Cancer patient (cured)
(<50 years old) increase annual incidence > 20% )
Source: Nat Rev Clin Onc 2022;19:656 Nat Med 2023;29:1113 Cancer Research UK, https://www.cancerresearchuk.org/health-professional/cancer-statistics/worldwide-cancer/incidence, accessed June 2023
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We aim to Meet the Needs of Cancer Patients with Precision Drug
Development
Identifying high impact and commercially viable programs earlier
Organizational
readiness
Precision Drug Development
Considering elements such as FIC/BIC, pricing power, unmet need & competitive intensity
60 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Oncology – Pipeline Update1 (as of Jun 16, 2023)
Rapidly building a balanced portfolio with 3 new clinical entries in 2023
Candidate medication Indication Modality Compound Origin Phase 02 Phase I Phase II Phase III
Darolutamide (AR Inhibitor) Prostate Cancer (mHSPC) (ARANOTE)
Regorafenib (combi Nivolumab) (BAY 734506) Solid tumors (recurrent or metastatic) Bayer
mEGFR/HER2 Inhibitor (BAY 2927088) Advanced Non-small Cell Lung Cancer with EGFR Mutation Bayer/Broad Institute
and/or HER2 Mutation
Elimusertib (ATR Inhibitor) (BAY 1895344) Advanced solid tumors, Non-Hodgkin's Lymphoma, Mantle Bayer Focus
today
Cell Lymphoma
PSMA TAC (BAY 3546828) Advanced Prostate Cancer Lantheus (prev. Progenics)
PSMA SMOL TAC (BAY 3563254) Advanced Prostate Cancer Noria Therapeutics/PSMA
Therapeutics
Protein Therapeutics Cell Therapy Contrast Agent Genetic Medicine Radiotherapy Small Molecule
1 Bayer and partner sponsored + 3rd party label enabling studies with first patient first visit 2 Pre-clinical selected assets on path to IND 3 Co-operative group trial led by Australian and New Zealand Urogenital and Prostate Cancer Trials Group (ANZUP)
62 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
mEGFR/HER2i (BAY 2927088): Targeting Underserved NSCLC
Mutations
Covalent and potent molecule with high selectivity for mutants over wild-type EGF receptor
Exon 20 insertion (ex20ins) mutations in EGFR and HER2 in NSCLC are Indication Patients
associated with poor patient prognosis and resistance to first- and second- Advanced Non-small Cell Lung 1L - ~20K patients
generation TKIs Cancer with EGFR mutations or 2L ~9K patients
New therapies are also needed to overcome secondary resistance HER2 mutations 1L and 2L US, EU5 & Japan
mutations (eg EGFR C797X) to TKI therapy as well as toxicity from
wtEGFRi
ASSET POTENTIAL
Limited efficacy and tolerability of recently approved treatments for EGFR
exon20ins
Indication Asset Potential
Advanced Non-small Cell Lung
PROFILE & MODE OF ACTION Cancer with EGFR mutations or
HER2 mutation
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mEGFR/HER2i (BAY 2927088): Key Preclinical Data
Indicates potential for high clinical activity with reduced EGFR-mediated toxicities
PRECLINICAL DATA
PHASE I
Ongoing FiH trial in patients with advanced NSCLC harboring specific EGFR or HER2 mutations
64 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
DGKa/z (BAY 2965501 / BAY 2862789): Inhibiting Diacylglycerol
Kinases to Overcome Immunosuppression
Highly selective DGK inhibitor for cancer immunotherapy with first-in-class potential
Most cancer patients do not derive clinical long-term benefit from immune Indication Patients
checkpoint inhibitors (ICIs) due to primary or acquired resistance. Advanced Non-small Cell Lung ~120k patients
Cancer, PD-1 US, EU5 & Japan
Multi-indication asset for immune sensitive tumors and potential to address Relapsed/Refractory
immune checkpoint inhibitors resistance
ASSET POTENTIAL
PRECLINICAL DATA
PHASE I
DGKΖ ACTS AS AN INTRACELLULAR ANTI-TUMOR ACTIVITY COMPLEMENTARY DGK INHIBITION INCREASES T-CELL
IMMUNE CHECKPOINT TO ANTI PD-L1 ANTIBODY ACTIVATION
2500
via enhancement of
suboptimal T-cell priming
2000
Vehicle against low-affinity tumor
1000
BAY 2965501 via (re-) activation of
aPD-L1
exhausted T-cells regardless
500 BAY 2965501
+ aPD-L1 of suppressive ligands in
0 tumor microenvironment
0 2 4 6 8 10 12 14
treatment days (e.g. PD-L1, TGFβ, PGE2)
66 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
CCR8(BAY 3375968): Reactivating the Immune Response
Against Tumors
Depleting suppressive Tregs through CCR8 may overcome checkpoint inhibition resistance
Most cancer patients do not derive clinical long-term benefit from immune Indication Patients
checkpoint inhibitors (ICIs) due to primary or acquired resistance. Advanced solid tumors in >200K patients
Regulatory T cells (Tregs) are one of the key resistance mechanisms combination with ICI US, EU5 & Japan
hampering the efficacy of ICIs across many tumor types. - NSCLC,TNBC, Melanoma,
HNSCC
ASSET POTENTIAL
MODE OF ACTION
Indication Asset Potential
Advanced solid tumors in
Our CCR8 (chemokine receptor 8) antibody is designed to deplete tumor- combination with ICI
resident, activated regulatory T cells resulting in a (re-) activation of the - NSCLC,TNBC, Melanoma,
anti-tumor immune response. HNSCC
<€500m €500m–€1bn >€1bn
BAY 3375968 is expected to demonstrate a better efficacy and side effect
profile than other non-CCR8 Treg-targeting agents due to specific depletion
of tumor-infiltrating CCR8+ Tregs without impacting effector cells and CURRENT STATUS + NEXT MILESTONES
peripheral Tregs.
FPFV October 2022. Anticipated completion of dose escalation H2 2024
67 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
CCR8 Antibody (BAY 3375968): Key Preclinical Data
Depleting suppressive Tregs through CCR8 may overcome checkpoint inhibition resistance
PRECLINICAL DATA
PHASE I
An anti-mouse CCR8 surrogate antibody (Ab) showed strong in vivo response in monotherapy which was further improved by
combination with a checkpoint inhibitor anti-PD-L1 agent
In vivo tumor growth inhibition by CCR8 Ab and in combination with anti-PD-L1 In vivo survival by CCR8 Ab and in combination with anti-PD-L1
Arrows indicate the antibody treatment days
68 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Targeted Radiotherapies (TRT) Offers a Specific Mode of Action
which Addresses Treatment Resistance in Areas of High Unmet Need
SPECIFIC MOA OF TRT CAN UNLOCK A BROAD OPPORTUNITY SPACE
Melanoma
Potential to target
Breast stromal cells in tumor
Cross-fire effect to NSCLC
microenvironment
maximize tumor cell killing
Hem-onc
HCC
Pancreas Potential to overcome
RCC Stroma mechanisms of
resistance
Combination potential CRC
Bladder
with targeted therapies Ovarian
Cervix
(e.g. ICIs/DDRi’s) Prostate Target “cold” tumors
where IO does not
work or sensitize these
Source: Nuclear Medicine Report & Directory 2021 and 2022 (Part 1, 2, 3) - MEDraysintell; TRT Market Sizing for Compass
69 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
We have the Right Expertise, Tools & Manufacturing Capabilities in
Place to Produce Best-in-Class TRT Precision Medicines
Strong scientific experience Through multiple iterations, we now Differentiated & fit for purpose
& expertise as well as have the toolkit to produce best-in- assets for high value patient
commercial capability class medicines augmented through populations of high unmet need
smart deals: Ratio & Bicycle
1
3
Linker 7 2
Pre-clinical P0 & P1
4 programs programs
Xofigo 2
(223RaCl2) Modality
Chelator
Launched in 2013 for mCRPC Highly differentiated mechanism of action Rapid expansion of programs expected
Several Lifecycle management achieved by synergistic design of components through internal discovery and external deals
activities ongoing
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Key Messages Today
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Shaping new
Treatment Paradigms
in Cardiovascular
Diseases
Maria Borentain
Key Messages Today
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Bayer to Continue Leadership Position in CV
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CV: A Success Story set to Continue
Recent successes fuel our ambition for the future to help even more patients in need
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We Focus on Three Value Pools to Build on our Leadership in CV
Gradual shift from large indications to high value subpopulations and rare indications
PATIENT FOCUS DISEASE AREAS SELECTED INDICATIONS (INDICATIVE)
high
Subpopulations
Rare
Addressing the highest of larger
Disease
unmet medical need indications
for patients with Alport Heart Failure
rare diseases Cardiovascular Syndrome and Chronic
Catering to Disruption in
subpopulations of larger large indications
Nephrology
indications with high Stroke
unmet medical need Prevention
76 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Cardiovascular+ – Pipeline Update 1 (as of Jun 16, 2023)
Candidate medication Indication Modality Compound Origin Phase 02 Phase I Phase II Phase III
Protein Therapeutics Cell Therapy Contrast Agent Genetic Medicine Radiotherapy Small Molecule Focus today
Cardiovascular +: Including Precision Cardiovascular, Nephrology & Acute Care
1 Bayer and partner sponsored + 3rd party label enabling studies with first patient first visit 2 Pre-clinical selected assets on path to IND 3 Conducted by Merck & Co
77 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Finerenone is a Potent, Highly Selective Non-Steroidal MRA
with Differentiated Profile
DIFFERENT BINDING MODES BETWEEN THE STEROIDAL PRECLINICAL DATA: RECEPTOR PROFILE, DRUG METABOLISM
MRAs AND THE NONSTEROIDAL FINERENONE1 AND TISSUE DISTRIBUTION OF FINERENONE2
Source: 1Kolkhof P, Nowack C, Eitner F. Curr Opin Nephrol Hypertens. 2015;24:417-424. 2Modified from: Kolkhof B, Borden SA. Mol Cell Endocrinol. 2012;350:310-317. 3 Determined in rodents. 4 Agarwal R, Filippatos G, Pitt B, Anker SD, Rossing P, Joseph A, Kolkhof P,
Nowack C, Gebel M, Ruilope LM, Bakris GL; FIDELIO-DKD and FIGARO-DKD investigators. Cardiovascular and kidney outcomes with finerenone in patients with type 2 diabetes and chronic kidney disease: the FIDELITY pooled analysis. Eur Heart J. 2022 Feb 10;
43(6):474-484. doi: 10.1093/eurheartj/ehab777. Erratum in: Eur Heart J. 2022 May 21;43(20):1989.
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Large Integrated Program to Investigate Finerenone as a
Foundational Treatment for Chronic Kidney Disease (CKD)
Strong launch dynamics and the option to broaden the use in CKD
79 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Potential to Expand the Indication of Finerenone in Heart Failure
Phase 3 FINEARTS-HF with mildly reduced / preserved EF (HFmrEF/HFpEF ) is ongoing
UNMET MEDICAL NEED Clinical data suggest benefit of finerenone in heart failure
8
PHASE III
Cumulative probability of
Cumulative probability of
30 Eplerenone 8 Eplerenone
CV hospitalisation (%)
Reduced 25 Finerenone 1020 mg Finerenone 1020 mg
risk of CV 6
CV death (%)
20
hospitalization 15 4
UPCOMING DEVELOPMENT MILESTONES and CV death 10
vs eplerenone 2
5
Phase 3 data expected in 2024 0 0
Day Day Day Day Follow Day Day Day Day Follow
0 30 60 90 -up5 0 30 60 90 -up5
1 First hospitalisation for HF defined as first event after randomisation; 2 Source: cumulative incidence calculated by Aalen–Johansen estimator using deaths due to other causes as competing risk. Filippatos G, et al. Circulation 2022;145:437–447
3 Both phase 2a study ARTS and phase 2b study ARTS-HF were in HFrEF, 4 Source: Kolkhof P, et al. Handb Exp Pharmacol 2017;243:271–305; 2. Filippatos G, et al. Eur Heart J 2016;37:2105–2114; 5 30-day period after cessation of study drug
80 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
FXI(a) Inhibitors Are a Promising And Distinct New Class of Drugs
For Thrombosis Prevention
Separating thrombosis protection from haemostasis via selective modulation of the coagulation system
Large artery
2,454 28,880 0.02
atherosclerosis
Small vessel
2,736 27,588 0.69
occlusion
Undetermined
4,755 25,292 0.0002
cause
0,1 1 10
Paradigm shift in thrombosis prevention, with the
potential to uncouple efficacy from bleeding risk Favors control Favors genetically
FXI levels higher FXI levels
FXa, activated Factor X; FXI(a), activated Factor XI, FXII(a), activated Factor XII; TF, tissue factor.
Source: 1 Piccini JP et al. Lancet 2022;399:1383–1390. 2 Fredenburgh JC, Weitz JI. Hamostaseologie 2021;41:104–110. 3 Gailani D et al. J Thromb Haemost 2015;13:1383–1395. 4 Gill D et al. Stroke 2018;49:2761–2763
81 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Phase III Decision for Asundexian Strongly Backed by Results
From PACIFIC Phase II Program
Innovative, once-daily, oral small molecule FXIa inhibitor
Proportion of participants with bleeding event, % of patients1 Recurrent stroke and TIA in patients with any extra-/intracranial
10.4% atherosclerosis2
0.16 (0.01-0.99) 0.39 (0.18-0.85)
8.0%
8.1%
3.5% 3.9%
2.4%
3.1%
0.4%
Asundexian Apixaban
50mg
ISTH major bleeding or clinically relevant non-major bleeding Asundexian Placebo
ISTH minor bleeding 50 mg
All bleeding
OCEANIC-AF OCEANIC-STROKE
83 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
The NO/sGC/cGMP Pathway is a Key Modulator of Patho-Mechanisms in
Cardiovascular and Renal Function
Bayer has a strong 20+ year legacy in sGC
Impairment of the NO/sGC/cGMP signaling can cause Oxidative stress results in heme-oxygenation and heme-
cardiovascular, cardiopulmonary and cardiorenal free sGC (soluble Guanylyl Cyclase)
diseases
Oxidative stress is a hallmark of CKD/DKD and there Oxidized/ heme free sGC limits the activity of Nitric Oxide
is a need to reduce progression to end-stage renal (NO) and therefore impairs cGMP signaling
disease (ESRD) and CV mortality Re-activation of sGC is expected to restore regulation of
Inactivation of sGC disrupts the local regulation of perfusion in affected organs
perfusion, resulting in ischemia, the main cause of
end-organ damage in diabetes patients sGC activators specifically
Binds and activates oxidized/ heme free sGC
Independent from and additive to endogenous NO
Source: Stasch & Hobbs, Handb Exptl Pharmacol 2009; Follmann et al., Angew. Chem. Int. Ed. 2013;52:9442-9462 Sandner, Biol Chem. 2018 Jun 27;399(7):679-690; Sandner et al., Handb Exptl Pharmacol 2021
84 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
sGC Activator Front-Runner Runcaciguat Confirmed Strong
UACR Reduction of the Drug Class
In various experimental models, soluble guanylyl cyclase (sGC) Phase 2 CONCORD Study2:
activators1 Runcaciguat demonstrated beneficial effects in patients with CKD & advanced CVD
Lowered blood pressure A reduction in UACR was observed in all strata and significant UACR reductions were
Decreased proteinuria seen in patients with diabetes on top of RAASi and on top of SGLT2 inhibitors
Improved renal outcomes The small reduction in SBP with runcaciguat suggests that improvement in UACR is
not driven by changes in BP
These sGC activators did so in a dose-dependent manner, in A small reduction in eGFR was observed with runcaciguat
diabetic, as well non-diabetic, CKD models
Runcaciguat was well tolerated
80 80
40 40
0 0
-40 -40
-80 -80
Runcaciguat Placebo
Source: 1 Hahn MG et al. J Med Chemistry 2021;64:5323–5344; 2Ron T. Gansevoort et al. Oral presentation ERA 2023 Data show estimated mean percent change and 95% confidence interval (ANCOVA) for the PPS.
85 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
sGC Activator Oral (BAY 3283142)
Preclinical pharmacodynamic data confirm comparable profiles of BAY3283142 and runcaciguat in CKD
87 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Anti-a2AP (BAY 3018250)
Potential to be the first in class, effective thrombolytic with no increase in bleeding risk and a wider
treatment window
PRECLINICAL DATA ADDRESSABLE PATIENT POPULATION
PHASE I
50.000 1.000
40.000 800 <€500m €500m–€1bn >€1bn
time [secs]
30.000 600
20.000 400
10.000
Upcoming Development Milestones
200
0 0
Control tPA BAY3018250 Control tPA BAY3018250 Decision to move to Phase 2 in H2 2023
1 mg/kg 1 mg/kg
88 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Sema3A mAB1 for Alport patients
Aiming to delay disease progression and onset of end-stage renal disease
Rare genetic kidney disease with progressive loss of filtration Indication Patients (rare orphan
capacity, leading to end stage renal disease and dialysis early with disease)
the need for kidney transplant in 4th/5th decade Alport 1 in 5,000 – 10,000 (globally)
Progressive hearing-loss (frequent)
Variable vision impairment (less frequent) Asset Potential
PROFILE & MODE OF ACTION
Indication Asset Potential
Semaphorin-3A (Sema3A) is an extracellular guidance protein and a Alport
well-known regulator of the actin cytoskeleton
<€500m €500m–€1bn >€1bn
Alterations of the actin cytoskeleton, particularly of podocytes, are a
key pathophysiological feature of Alport Syndrome
Sema3A is upregulated in injured human kidneys and implicated in the Upcoming Development Milestones
development and progression of acute and chronic kidney diseases
Sema3A antibody blocks Sema3A activity Start of Phase 1 with first dosing of healthy
subjects in June 2023
Study data expected in 2024
1 Compound Origin: Bayer / Evotec
89 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Sema3A mAB1 for Alport patients
First to market potential in Alport syndrome – a rare genetic disease
PRECLINICAL DATA
PHASE I
1500
control
300
1000
200
+Sema3A
500
100
0
healhy Alport 0
healthy Alport baseline day 28
healthy Alport Alport + compound dose 1 Alport + compound dose 2
Sema3A is upregulated in Sema3A induces detrimental changes in
injured mouse kidneys primary human kidney cell morphology Sema3A inhibition significantly reduced proteinuria
progression in Alport mice
90 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Key Messages Today
91 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
BlueRock
Therapeutics:
Leading the way in
PSC Therapies
Seth Ettenberg
Key Messages Today
93 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
The Cell Therapy Market Is Expected to Reach >USD25bn by 2026
HISTORY OF FDA CELL THERAPY APPROVALS1 NUMBER OF CELL THERAPIES IN CLINICAL
DEVELOPMENT TODAY2
Informa, June 2023
CAR-T ~640 cell therapies in
Non-genetically modified cells 73 clinical development
158 CAR-Ts across TAs
Anticipated regulatory decisions 1
2 6 Non-CAR-Ts
224 Multiple ongoing phase 3
137
47 trials for approved CAR-T
Phase 1 Phase 2 Phase 3 (e.g., label expansion)
Only unapproved agents in clinical development included
2 2
1 1
GLOBAL SALES OF CELL THERAPIES3 (USDbn)
2017 2018 2019 2020 2021 2022 2023
FDA Approved Cellular and Gene Therapy Products
Forecast
25,6
94 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
BlueRock Therapeutics is a Leader in PSC Biology,
Bringing Therapies From Bench to the Clinic
MISSION: To discover and develop new cell therapies that change the way disease is treated and improve patients’ lives
Lorenz Studer, MD Gordon Keller, PhD Bruce Blazar, MD Cambridge (HQ) New York Toronto Berlin
MSK Cancer University Health University of Immunology Research Neurology Research Cardiac research Support for clinical
Center Network Minnesota Clinical & Regulatory Platform technology Device and programs and coordination
Pilot cGMP facility formulations of regulatory processes in
Genome Biology Pilot cGMP facility Europe
AUTOLOGOUS VERSUS
ALLOGENEIC CELL THERAPY SOURCES FOR CELL THERAPY ADMINISTRATION
96 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Pluripotent Stem Cells Have the Potential to Restore Lost Cellular
Function and Introduce New Functions to Address Multiple Diseases
Reprogram
blood cells
Pluripotent Cell
Oncology
Engineered to
Alzheimer‘s Disease
introduce new
functions Metabolic Diseases
Autoimmune Diseases
97 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
BlueRock Has End-to-end Capabilities in PSC Technology
Donor material fully consented for Thorough understanding and ability to Commercial scale production of
commercial use differentiate cells into specified cryopreserved product
medicines at scale, reproducibly
Proprietary, non-integrating, high- Technology transfer to commercial
efficiency reprogramming Demonstrated ability to bring manufacturing facility in Berkeley
technology; deep analytics differentiated cells into clinical (Bayer)
development
Defined cGMP-compliant processes,
including master cell banking
98 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Ongoing Partnerships for Continued Advancement of PSC
Therapies
99 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
BlueRock’s Pipeline Addresses Areas of High-Unmet Needs
OpCT-001
(PRP)
Oncology Myeloid
Focus today
100 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Primary Photoreceptor Disease is a Group of IRDs That Lead to
Irreversible Vision Loss in Children and Adults
Primary Photoreceptor Diseases (PPD) Background CURRENT TREATMENTS AND UNMET NEED
A group of inherited retinal disorders (IRDs) that specifically affect the Over 200k1 patients are currently affected with primary
function / structure of the photoreceptor cells (cone, rods) in the retina photoreceptor disease
Includes Retinitis Pigmentosa, cone and cone-rod dystrophies; ~65% of There are no specific treatment options available, management is
all IRDs focused on supporting patients as vision loss progresses (guide
dogs, visual aids)
GENETIC CAUSES OF INHERITED RETINAL DISORDERS (IRDs) Most therapies in development only target specific genetic mutations
1 US, EU4 + UK
Source: Rattner, A. et. al. Annu. Rev. Genet. 2009, Kantar Health, 2020 and Luxturna PI 4 BR Analysis
101 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
BlueRock’s Ophthalmology Ambition: Restoring Vision by Replacing
Degenerated Tissue in the Retina with Functional Cells
102 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
OpCT-001 – Cell Therapy for PRP Cell Replacement
In addition to phenotypic maturation, transplanted photoreceptors begin to show physical maturation Indication Patients
including the formation of inner and outer segments and the trafficking of rhodopsin to outer segments
Primary Photoreceptor Disease US, EU4/UK, ~200k
Rat model
103 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Parkinson's Disease is a Progressive, Neurodegenerative Condition
Defined by Dopaminergic Neuron Loss and Motor Impairment
Bemdaneprocel is being developed as a one-time cell therapy that will provide dopaminergic neurons to
the brain to restore lost dopaminergic function
The goal is to alter disease progression and reverse symptoms over time, so patients remain independent and
live a life that is not defined by their diagnosis
Source: Song 2016. Frontiers in aging neuroscience, 8, p.65.; Kalia 2015. The Lancet. 386(9996), 896-912.; Bridi 2018. Frontiers in neuroscience, 12, p.80.
104 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
All Patients from Phase 1 Trial have Completed 1-Year Follow-up
105 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Bemdaneprocel is the First PSC-derived Dopaminergic Cell Therapy
with Positive Data in PD
The study met the primary endpoint; bemdaneprocel was well tolerated Indication Patients
with no major safety issues by all twelve patients in both the low and high Parkinson’s Disease US ~1 million
dose cohorts through one year
Feasibility of transplantation, and evidence of transplanted cell survival
and engraftment in both cohorts was demonstrated through one year. ASSET POTENTIAL
Detailed phase 1 trial data from primary and secondary endpoints will be
presented at the 2023 International Congress of Parkinson’s Disease and
Movement Disorders (MDS) taking place in Copenhagen from Aug. 27 – Indication Asset Potential
31, 2023 Parkinson’s Disease
106 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
BlueRock is a Leader in the Development of PSC-derived Therapies
2023 & Beyond
Report Ph1 results of bemdaneprocel IND filing for OpCT-001 Demonstration of PoC in large
animal models
Initiate bemdaneprocel Ph 2 study Initiate FIH study
IND filing for cardiomyocytes
Advance follow-on PD
program (DA02)
107 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Asklepios
BioPharmaceutical:
Pioneering AAV-
based Gene
Therapies
R. Jude Samulski
Key Messages Today
110 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
FDA January 21, 2019
111 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
The Gene Therapy Market is Expected to Reach €17bn in 2028
Gene therapies in clinical development today1 Gene Therapy sales [2021-2028; €bn]2
Source: 1 ASGCT Q1/2023 report; 2 Evaluate Pharma Feb 2023 , Fx rate based on central financial 1.01US$ = 1€
112 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
AskBio is a Pioneer in AAV-based Gene Therapy with Unparalleled
Pipeline, Talent and Manufacturing Capabilities
FIRST
113 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
AskBio Built Industry Leading Manufacturing Facilities and
Technologies, which are Crucial to Bring Gene Therapies to Patients
Gene therapy manufacturing overview
Plasmid
Pro10™ Alternative
Novel manufacturing 2
Cell Line
technologies at every stage
Serum free Shorter cycle time
Scaled up to 2,000 liters Improved yields Fewer bacterial
Higher throughput contaminants
Yields of 10^17
In-house control Lower cost
1 neDNA is made using technology licensed from Touchlight IP Ltd; 2 Technology licensed from Touchlight IP Ltd
114 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
AskBio Industry Leading Platforms
Tissue-specific targeting Precise cell targeting Enhanced gene editing Scaled, integrated
technology manufacturing (Pro10™ cell
Engineered chimeric capsids On/off expression control line and plasmid alternative)
115 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
AskBio’s Technology and Pipeline is a Key Innovation Engine for
Bayer’s CVD, Neurology and Rare Disease Ambition
116 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Balanced Portfolio Addressing Monogenic and Pathway Disorders
MONOGENIC PATHWAY
DISORDERS DISORDERS
Mutation occurs in the DNA sequence of a single gene. Caused by mutations in several genes and can be
compounded by environmental factors such as smoking or diet
Most monogenic disorders are rare diseases such as
Pompe disease, Huntington’s disease, hemophilia Common examples include heart disease, cancer
and cystic fibrosis. and type 2 diabetes
Historically the first to be targeted by gene therapy Require more complex therapeutic approaches than
monogenic disease-targeting therapies, which are mainly gene
Smaller patient populations addition (or augmentative) gene therapies
Larger patient populations
117 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Midbrain Infusion of AAV2-AADC
Dopamine
Pathways
Serotonin
Pathways
Dopaminergic
neurons in the
midbrain (SNc, VTA)
project to multiple
brain regions
Goal of gene
Substantia
delivery Nigra
= restore dopamine
synthesis in midbrain Ventral
dopaminergic
neurons Tegmental Raphe nucleus
Area Locus coeruleus
118 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
AAV2-AADC: 5 Children Subsequently Learned to Walk
Independently
SUBJECT 10 (BASELINE) - AGE 4.5 YEARS 3 YEARS POST-GT - AGE 7.5 YEARS
119 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Building a Therapeutic Platform Enables to Extend the Field of
Application of the Technology to Multiple Diseases
VALIDATION IN SINGLE GENE DEFECT EXPANSION TO LARGER MARKET SIZES
WITH SAME TECHNOLOGY
120 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Parkinson’s Disease Gene Therapy (AB-1005) MONOGENIC
DISORDERS
PATHWAY
DISORDERS
Parkinson’s Disease is the most common movement The AB-1005 vector expresses a neurotrophic factor
disorder caused by the progressive neurodegeneration of (GDNF) essential for the development and survival of
dopaminergic neurons dopaminergic neurons
Limited symptomatic treatment options available AB-1005 aims to slow, stop or reverse disease
progression by restoring function and providing
Dopaminergic medications, effective at early neuroprotection to susceptible dopaminergic neurons
stages, become less and less effective with disease
progression Restored dopaminergic tone potentially results in the
improvement of motor control including restored ability to
Deep brain stimulation (DBS) carries the risk of perform activities of daily living. Possible improvements
infections, stroke, seizures, is costly and typically on the non-motor symptoms of PD and the function of
requires follow-up maintenance surgeries neuronal networks are being assessed.
No approved treatments to slow or change the course of Surgical Delivery:
disease progression One-time bilateral delivery
of AB-1005 via minimally
invasive, MRI-monitored
neurosurgery
121 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Parkinson’s Disease Gene Therapy (AB-1005) MONOGENIC
DISORDERS
PATHWAY
DISORDERS
ADDRESSABLE PATIENT
CLINICAL DATA
POPULATION
PHASE Ib
40
ASSET POTENTIAL
UPDRS score (points)
MDS-UPDRS Score
30
–– Part III Motor ON-med Indication Asset Potential
20 Parkinson’s Disease
18-month clinical data shows marked motor
improvement compared to natural history
10 <€500m €500m–€1bn >€1bn
–– Part II Activities of Daily Living Functional effects are progressive, similar to NHP
studies: Ongoing improvements reported beyond 6
0 months, unlike brief improvement in other CGTs or
placebo effects
UPCOMING DEVELOPMENT
g
h
nin
lin
t
on
on
on
se
ee
MILESTONES
m
12
18
Sc
122 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Multiple System Atrophy (MSA) Gene Therapy MONOGENIC
DISORDERS
PATHWAY
DISORDERS
AAV2
MSA is a fast-progressing disease Mode of action: Surgical Delivery:
with symptoms similar to Restore and One-time bilateral
Parkinson’s maintain brain cell delivery via
function by MRI-monitored
a-synuclein aggregation in the brain neurosurgery
expression of
Glial dysfunction and loss of GDNF in the basal
neurotrophic factors (GDNF) ganglia
GDNF2
Neuroinflammation
1 Product has been applied in Phase 1 and Phase 1b studies for Parkinson’s disease already; 2 Glial cell line-derived neurotrophic factor; 3 Source: Kühnel et al 2022, 4 Source: Goldstein et al 2019
123 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Multiple System Atrophy (MSA) Gene Therapy MONOGENIC
DISORDERS
PATHWAY
DISORDERS
124 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Limb-girdle Muscular Dystrophy 2I/R9 Gene Therapy MONOGENIC
DISORDERS
PATHWAY
DISORDERS
Limb-girdle muscular dystrophy 2I/R9 (LGMD2I/R9) is a Single-time systemic administration of AB-1003 contains
monogenic, rare disease. a normal FKRP gene and uses an AAV9 capsid and the
Syn-100 promoter.
Autosomal recessive muscular dystrophy is caused by
mutations in the gene for fukutin-related protein (FKRP), Self-complementary AAV technology to target and
needed for glycosylation of α-dystroglycan (α-DG). express FKRP protein, predominantly in skeletal
muscle, diaphragm and cardiomyocytes.
LGMD2I/R9 patients are prone to cardiac fibrosis, respiratory Syn-100 muscle-specific promoter enables
complications, and dysphagia that may lead to early death. relatively low doses
The management of LGMD2I/R9 is supportive. No disease- Non-clinical safety and bioactivity data from two different
modifying treatments are approved. disease mouse models demonstrated FKRP expression
in target tissues and functional improvements
125 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Limb-girdle Muscular Dystrophy 2I/R9 Gene Therapy MONOGENIC
DISORDERS
PATHWAY
DISORDERS
Innovative Clinical Trial Design to Support Accelerated Development and Regulatory Approval
126 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Congestive Heart Failure Gene Therapy MONOGENIC
DISORDERS
PATHWAY
DISORDERS
AB-1002 (AAV2i.8.I-1c): improves intracellular calcium cycling, decreases fibrosis and reverses remodeling
HF is a high prevalent disease, especially in the Western AB-1002 targets a subset of advanced HFrEF patients
world (NYHA III) who have non-ischemic etiology.
For HFrEF well established guidelines are in place for Abnormal calcium cycling secondary to a decrease in the
treatment of those in earlier stages of the disease. Sarcoplasmic reticulum calcium ATPase (SERCA2a) and
In patients with end stage heart failure, mortality is 50% at an increase in protein phosphatase 1 activity in heart
5 years, and limited therapeutic options are available. failure.
No disease modifying treatment available for any AB-1002 uses gene therapy to deliver a critical protein: a
stages of CHF constitutively active form of inhibitor 1 of c which when
expressed improves intracellular calcium cycling,
decreases fibrosis and reverses remodeling.
These cellular/molecular effects improve the overall
function of the failing heart and the functional status of
the patient.
127 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Congestive Heart Failure Gene Therapy MONOGENIC
DISORDERS
PATHWAY
DISORDERS
Eight subjects with non-ischemic congestive heart failure (CHF) treated; Indication Patients
7 of the 8 subjects completed primary follow up (12 months)
Chronic Heart Failure US/EU5 ~ 1.6 million
No product- or delivery-related serious adverse events at either tested
dose
Study participants in both cohorts exhibit directionally favorable efficacy
results as evidenced by
ASSET POTENTIAL
1. New York Heart Association (NYHA) class reduction
2. Left Ventricular Ejection Fraction (LVEF) increase
Indication Asset Potential
3. Peak oxygen consumption (VO2 max) improvement
Chronic Heart Failure
4. Quality of life assessment improvement.
128 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
People
129 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Key Messages Today
130 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Concluding Remarks
Christian Rommel
Key Takeaways
1 2 3 4
Seize the Clear focus on Execute Ready to move
opportunity for value & Innovation to the next phase
more impact differentiation strategy of our history
Building on our long legacy and Through rigorous assessment Our R&D strategy is already We are building a truly
learnings, world-class expertise and prioritization, we now up and running – we have a differentiated high-value
and differentiating modalities have a sharper focus on the clear strategic focus, the pipeline, delivering patient
and platforms, we have an areas of greatest unmet platforms, the strategic impact, and delivering on our
opportunity to increase the need and highest potential partners, the modalities and bold Pharma ambition.
scale of our impact for where we can make a the capabilities to deliver at Following a thorough portfolio
patients and for Bayer. difference by targeting the pace – we are positioned to pruning, the vast majority of
our (pre)clinical NME’s have
sweet spot of precision succeed.
the potential to be first- or
medicine.
best-in-class, today.
132 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Appendix: Pharmaceuticals – Pipeline Overview1 (as of June 16, 2023)
Phase 02 Phase I Phase II Phase III
DGKalpha Inh (BAY 2862789) Elimusertib (ATR Inhibitor) (BAY 1895344) Regorafenib (combi Nivolumab) (BAY 734506) Copanlisib (PI3K Inhibitor)
Solid tumors (recurrent or metastatic) Non-Hodgkin Lymphoma (CHRONOS-4)
PSMA TAC (BAY 3546828) AhR Inhibitor (BAY 2416964)
Asundexian (FXIa Inhibitor) (BAY 2433334) Darolutamide (AR Inhibitor)
Major Adverse Cardiac Events Prevention (PACIFIC-AMI)
PSMA SMOL TAC (BAY 3563254) mEGFR/HER2 Inhibitor (BAY 2927088) Prostate Cancer (mHSPC) (ARANOTE)
Adjuvant Prostate Cancer (DASL-HiCaP)
Zabedosertib (IRAK4 Inh.) (BAY 1834845)
VVD NRF2 Inh (BAY 3605349) DGKzeta Inhibitor (BAY 2965501) Atopic Dermatitis (DAMASK)
Prostate Cancer with Biochemical Recurrence after Curative
Radiotherapy (ARASTEP)
VVD STAT3 Inh (BAY 3630914) CCR8 Ab (BAY 3375968) Gadoquatrane (High Relaxivity Contrast Agent) Finerenone (MR Antagonist)
(BAY 1747846) Heart Failure (HFmr/pEF) (FINEARTS-HF)
Anti-coagulant (BAY 3389934) Congestive Heart Failure rAAV Gene Therapy Magnetic Resonance Imaging (HRCA-PAT) Non-diabetic CKD (FIND-CKD)
(AB-1002 aka NAN-101)
Next Generation Liver MRI Runcaciguat (sGC Activator) (BAY 1101042) Vericiguat (sGC Stimulator)
(BAY 3393081) sGC Activator Oral (BAY 3283142) Non-prolif. Diabetic Retinopathy (NPDR) (NEON-NPDR) Heart Failure (HFrEF) (VICTOR3)
Anti-a2AP (BAY 3018250)
Asundexian (FXIa Inhibitor)
Stroke Prevention in Atrial Fibrillation (OCEANIC-AF)
sGC Activator Inhale (BAY 1211163) 2⁰ Stroke Prevention (OCEANIC-STROKE)
Life cycle management Protein Therapeutics Cell Therapy Contrast Agent Genetic Medicine Radiotherapy Small Molecule
1 Bayer and partner sponsored + 3rd party label enabling studies with first patient first visit 2 Pre-clinical selected assets on path to IND 3 Conducted by Merck & Co 4 US submission made by Regeneron 5 Including Precision Cardiovascular, Nephrology & Acute Care
134 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Appendix: Abbreviations (1/4)
135 /// Bayer Investor Relations /// Pharma R&D Event /// June 2023
Appendix: Abbreviations (2/4)
136 /// Bayer Investor Relations /// Pharma R&D Event /// June 2023
Appendix: Abbreviations (3/4)
137 /// Bayer Investor Relations /// Pharma R&D Event /// June 2023
Appendix: Abbreviations (4/4)
138 /// Bayer Investor Relations /// Pharma R&D Event /// June 2023