Bayer Pharma RD Event 2023

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Agenda Pharmaceuticals R&D Event

Session Start/EDT Start/CEST Content Speaker

08:00 am 14:00 pm Welcome Oliver Maier


08:10 am 14:10 pm Transforming Bayer Pharma for Sustained Growth Stefan Oelrich
08:25 am 14:25 pm Reshaping Innovation at Bayer Pharma Christian Rommel
1 08:50 am 14:50 pm Making a Difference in Neurology & Rare Diseases
Christian Rommel
Leveraging a Unique Platform to Build a Presence in Immunology

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

09:40 am 15:40 pm Driving Leadership in Focus Areas of Oncology Dominik Ruettinger

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

3 11:35 am 17:35 pm Q&A and Closing Remarks (30 min) All


Transforming Bayer
Pharma for
Sustained Growth

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

6 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Zeroing in on High Unmet Need With Great Value Potential
Optimizing our R&D focus to 4 broad therapeutic areas

Focus areas prioritized based on

Value & differentiation


Feasibility & risk
Bayer’s strengths Oncology Cardiovascular+1 Neurology & Immunology
Rare Diseases

1 including Precision Cardiovascular, Nephrology & Acute Care

7 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
We Have Expanded Our Capabilities And Pipeline Through
Strategic Acquisitions and Collaborations

INNOVATION ENGINE

Establishing Cell & Gene therapy platform through


acquisition of BlueRock and AskBio

Internal Gaining access to cutting-edge chemoproteomics


innovation platform through acquisition of Vividion

Collaborating with top academia, pharma partners


and biotech companies

LEAPS as a feeder of breakthrough technologies


External
innovation Platform
Companies ~ 100 deals signed in the last 4 years
innovation

8 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
People

Building US Footprint

Research & Development Commercial

Increased presence at the world’s most Expanding US commercial footprint reflecting new
vibrant Pharma innovation hubs products and pipeline assets with global rights

Increased R&D footprint in the US with Improved presence in oncology, in particular to


the acquisition of BlueRock, AskBio and support Nubeqa
Vividion
Ensuring Kerendia & Verquvo in cardio-renal
Established the Bayer Research and have appropriate marketing and sales support
Innovation Center in Cambridge/Boston

9 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Nubeqa Has The Potential to Become The New Standard of Care
in Prostate Cancer Across Indications
Launch Performance Expanding to earlier prostate cancer settings

US Market Share1 Patient progression in prostate cancer

(Neo-) Nonmetastatic Metastatic


nmCRPC mHSPC Adjuvant BCR nmCRPC mHSPC

Drug
Sales treated ~145k ~86k ~47k ~76k
#1 43%
#2 25%
€0.5bn patient
2022
estimates2:

2028 2028 2019 2022 2025


Nubeqa Others Phase 3 ARASTEP ARANOTE
program: DaSL-HiCAP (ARAMON)4
ARAMIS ARASENS
(ARASEC)4

Ex-US, additional approvals will Committed to make Nubeqa available to a broad


drive further growth spectrum of prostate cancer patients

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

One of the strongest launch dynamics in CV despite initial


COVID restrictions Growing recognition of strong interlink between CKD and HF

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

Extended Indication in China in mid-May, including CV FIGARO-DKD FINE-ONE FIND-CKD FINEARTS-HF


outcomes from FIGARO-DKD FIDELIO-DKD 2025 2026 2024

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

First, non-hormonal, once-daily, oral neurokinin-1,3


80% of women will ~60%1 of women with receptor antagonist
experience vasomotor menopausal syptoms
symptoms, with over half are not treated Differentiated, double mode of action
reporting moderate or
severe symptoms Phase II indicated significant and rapid improvement
in VMS and positive safety profile

1.2 billion women Current Status


menopausal or
postmenopausal
Four Phase III studies (OASIS-1 – OASIS-4)
by 2030
First Phase III data expected in H2 2023
Potential launch: 2025

>€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

14 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Reshaping
Innovation at Bayer
Pharma

Christian Rommel
Key Messages Today

We have reshaped our approach to innovation guided by value,


differentiation, feasibility, and our competencies.
We have streamlined our portfolio towards precision medicine,
with a narrower therapeutic area focus but a wider range of
modalities.
We will leverage partnerships, data science, new trial designs,
biomarker technologies, and improved governance to accelerate
our drug development processes and move to a higher, more
sustainable R&D productivity.
We are already starting to see a step change in the quality and
differentiation of our new molecular entities with the vast majority
offering the potential to be first- or best-in-class.

16 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Patients and Society Need and Demand Transformational Change

HEALTH SYSTEMS UNDER PRESSURE ERA OF GROUND-BREAKING


SCIENTIFIC DISCOVERY
Ageing populations

Scientific breakthroughs

Increasing burden of Breakthrough


chronic diseases innovation is
needed

Data Science-driven R&D

Paying for value

REDEFINITION OF DISEASE
Precision treatments for homogeneous populations | Shifting to cure and prevention, holistic care beyond “the pill”

17 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
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

• Diversified modalities • BlueRock • New R&D operating model


• Refocused therapeutic areas • AskBio • Leaner, simpler governance
• Increased R&D footprint in the US • Vividion • Rigorous portfolio health check

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

18 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
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

UNLEASH R&D TALENT RED


REVAMPED R&D LEADERSHIP
RED
Precision
Oncology
Medicines
Attract, retain & engage diverse, 70% renewal of R&D
Regulatory
innovative talents Affairs Leadership team
Systematic talent up/re-skill
70% refreshment in
Foster open, bold, breakthrough next leadership level
innovation culture Drug
Discovery
Sciences
50:50 gender diversity ratio
including most senior levels
NEW WAYS OF WORKING & LEADING
Clinical Expanded geographic presence:
Develop.
US, China, Japan and Europe
Simplification of processes & governance Ops

Increased agility and collaboration


Shift to empowered, self organized Data
Science &
Chemical and
Pharmaceutical
teams, flow-to-work pools, etc. AI Development
Strategy & Leadership across innovation functions
portfolio
New to Bayer
New to the role

19 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
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

20 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Bolstering Science and Pipeline Through our Platform Companies
Balancing organizational synergies and scientific independence

BAYER R&D PLATFORM COMPANIES

Makes decision on Independently lead


⸗ Therapeutic and portfolio strategy BAYER PLATFORM ⸗ Platform strategy
⸗ Resource allocation R&D COMPANIES ⸗ Platform portfolio
⸗ Capability building ⸗ Technology and science

SYNERGIES

Cross-company interaction Building on respective Leverage Bayer’s Ensure scalable


and synergistic BD&L scientific capabilities expertise to accelerate and reliable product
activities to accelerate to expand early pre-clinical and clinical manufacturing
technology development pipeline development
/// Strategic & Change Communication /// Christiane Saborowski /// January 2022
21 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Science & Portfolio People

Our Science & Portfolio Strategy Evolution

TARGETS INDICATIONS

Classical, well
“Undruggable”, new Mainly large Value driven
characterized
drug targets indications from large to rare
drug targets

TECHNOLOGIES PATIENT POPULATION

Small Mix of innovative, Broad Precise


molecules diverse modalities

INNOVATION FOCUS

Driven by
Diversified R&D Follow the
Mostly internal science & highest
ecosystem science
unmet needs

22 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Innovation and Growth Potential as a Key Focus to Increase Value

Oncology

= Focus areas

Bubble size represents absolute


change in scales between 2022-
2028, in case of a positive CAGR
Source: Evaluate Pharma; incl. OTC sales; May 8, 2023; 1 Endorine includes Obesity; 2 gastro-Intestinal includes OTC

23 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Refined Focus Areas with Highest Impact and Value Potential
Clear strategic mandates guiding decision making and resource allocation

Oncology Cardiovascular+ Neurology & Rare Diseases Immunology

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

Small Molecules (SMOL)


RNA targeting
Small Molecules Protein degraders
Peptides
Conjugates

Antibody Conjugates
Protein Therapeutics Multispecific antibodies
Monoclonal antibodies

Targeted Radiotherapy
Radiotherapy Antibody | SMOL | peptide

Covalent binders
Chemoproteomics Heterobifunctional degraders
Molecular glues

Pluripotent Stem Cells


Cell Therapy (PSCs)

Adeno-Associated Virus (AAV)


based gene therapy

Genetic Medicine CRISPR-based gene editing

Non-viral gene delivery


Combined with Bayer
in-house innovation
capabilities

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

Dedicated Data Science & AI Accelerating drug discovery with


organization created in 2021 Google Cloud, applying machine
learning for Quantum chemistry
Uncovering new biology harnessing
the power of multi-modal data
Portfolio Schrodinger collaboration to co-
AI driven compound optimization optimization develop de novo design to
accelerate drug discovery
Automation and machine learning
accelerating clinical trials powered by
Partnership with Recursion to
real world data
strengthen digital drug discovery
and advance new therapies

27 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Moving to Higher, Sustainable Level of R&D Productivity
Supported by key levers

INCREASE IN PTS REDUCTION OF COSTS DECREASE IN CYCLE TIMES

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

28 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
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

Asundexian (SPAF, Stroke) FDA fast track, FIC


Cardiovascular
including Precision CV,
Nephrology & Acute Care a2AP ant mAb (Ischemic Stroke) FIC

sGC Activator Oral FIC


(Chronic Kidney Disease)

mEGFR/HER2i (Lung Cancer) FIC/BIC

Oncology DGKalpha Inh. (Cancer) FIC

NRF2 Inh (Cancer) FIC

PSMA-SMOL-TAC (Prostate Cancer) FIC/BIC

Bemdaneprocel (Parkinson’s) FDA fast track, FIC


Neurology &
Rare Diseases AB-1005 (Parkinson’s) FIC

AB-1003 (LGMD2I/R9) BIC

Other Elinzanetant (Vasomotor Symptoms) BIC

1 Selected assets out of 40+ development projects


29 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
A Focused R&D Strategy to Deliver an Innovative, Differentiated and
Sustainable Pipeline

OUR FOCUS OUR PRIORITIES

4 core Therapeutic Areas Science & Portfolio Productivity


• Oncology
• Cardiovascular+ Launch elinzanetant and asundexian Excellence in execution to generate more
• Neurology & Rare Diseases Progress and accelerate high-value assets value and improve capital efficiency in R&D
• Immunology Focused investments in BD&L Shift to asset-centric operating model
Maximize impact from platform companies Increase agility and dynamic resource
6 modalities Unlock full potential of precision medicine allocation
Small molecules, Protein Accelerate data science & AI across R&D
Therapeutics, Radiotherapy, value chain
Chemoproteomics, Cell Therapy,
Genetic medicine

3 platform companies
AskBio, BlueRock, Vividion

30 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Key Messages Today

We have reshaped our approach to innovation guided by value,


differentiation, feasibility, and our competencies.
We have streamlined our portfolio towards precision medicine,
with a narrower therapeutic area focus but a wider range of
modalities.
We will leverage partnerships, data science, new trial designs,
biomarker technologies, and improved governance to accelerate
our drug development processes and move to a higher, more
sustainable R&D productivity.
We are already starting to see a step change in the quality and
differentiation of our new molecular entities with the vast majority
offering the potential to be first- or best-in-class.

31 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Making a Difference
in Neurology & Rare
Diseases

Christian Rommel
Bayer in Neurology & Rare Diseases
Opportunity to become leaders in transforming patient care

MARKET ATTRACTIVENESS BAYER’S KEY STRENGTHS

High unmet medical needs Enabled by our existing capabilities


Many underserved or previously intractable State-of-the-art technology platforms for cell
diseases with high unmet need and gene therapy
Bundling capabilities of strong in-house teams,
Paradigm shift in patient treatments platforms and partnerships in key technologies
Transition from symptomatic treatment to such as gene editing and lipid nanoparticles
transformative therapies addressing disease root Bayer know-how and experience across the
causes with long-lasting clinical benefit value chain
Neurology &
Infrastructure and upscaling know-how
Attractive growth market Rare Diseases
Exciting scientific breakthroughs in Neurology
and rapid advances in new modalities including Synergies with other therapeutic areas
CGT Opportunity to address unmet needs at the
~7000 known rare disease, 80% of which are intersection of cardiovascular and
genetic in origin ophthalmology to leverage synergies

33 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Neurology and Rare Diseases Pipeline Overview
Significant proportion of our cell & gene therapy pipeline to enable potential medical advances in NRD

PRECLINICAL CLINICAL LEAD INDICATION STRATEGIC PRIORITIES

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

MARKET ATTRACTIVENESS BAYER’S KEY STRENGTHS

High unmet medical needs Enabled by our existing capabilities


Many underserved diseases Access to highly differentiated Vividion’s
Globally increasing incidence & prevalence chemoproteomics platform
Highly differentiated small molecules
library
Robust research innovation
Covalent and non-covalent small
Advancing disease understanding, biomarker
molecules, direct functional modulators,
research to drive future precision therapies
degraders
Rapidly accelerating assets in preclinical
Potential for long-lasting remission and clinical development
Immunology
Novel precision targets empowered by new
technology (incl. Machine Learning & AI) for
better disease understanding Synergies with other therapeutic areas
Relevant expertise enabling Bayer’s other
Attractive growth market strategic focus areas
Among top-growing pharma markets
Efficient clinical trials and attractive PTS

36 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Immunology Early Pipeline Overview
Targeting central drivers of inflammation

PRECLINICAL CLINICAL LEAD INDICATION STRATEGIC PRIORITIES


Atopic Dermatitis
Leverage existing
capabilities to fully enable
RA-ILD
Vividion platform and
realize synergies with
Interferon dysregulation
Bayer R&D
Inflammatory Bowel Disease (IBD)
Develop strong foundation
Psoriatic arthritis, Psoriasis, IBD and accelerate data
generation to drive
TH-17/TH-1 autoimmune disease understanding
Alopecia and vitiligo
Augment early-stage
pipeline through attractive
Most autoimmune diseases​
external innovation once
Psoriasis, IBD de-risked

37 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Vividion
Therapeutics:
Removing the
Boundaries of
Druggability
Aleksandra Rizo
Key Messages Today

While hundreds of proteins are known to be drivers of


diseases, just ~10% can be drugged by current therapies
Chemoproteomics technologies can be used to selectively
target and bind to yet unaccessible proteins, thereby
removing today’s boundaries of druggability
Vividion has a world leading industrial scale
chemoproteomics platform based on a unique covalent
custom build library that can identify potent and selective
drugs in innovative and efficient way thereby unlocking the
full potential of small molecule therapies
Bayer’s strength in small molecules enables significant
synergies and ability to leverage Vividion’s platform
Vividion is advancing an attractive pipeline in Oncology
and Immunology with first program to enter the clinic in
2023

39 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Company Overview

SCIENTIFIC FOUNDERS COMPANY PROFILE

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

40 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Bayer-Vividion Synergies

Bayer acquired Vividion in August 2021


Vividion’s unique chemoproteomics platform fits well with Bayer’s historical strength and expertise in small
molecules
Acquisition places Bayer and Vividion in a strong position to unlock undruggable targets and generate first-in-
class novel drug candidates for the benefit of patients
Through Bayer’s “Arm’s Length” operating model, Vividion operates autonomously and with full accountability to
develop and advance its portfolio and technologies
As a result of this structure, Vividion can maintain its entrepreneurial culture of a startup while accessing Bayer’s
global resources and strengths to accelerate transformation and advance new scientific breakthroughs

41 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Limitations of Conventional Small Molecule Drug Discovery

100s of human proteins are known to All Human


cause disease Proteins
Disease
Only ~10% of these disease-causing Targets
proteins/targets are drugged by current
therapies1
Not yet
Despite advances in genomics, structural Drugged 10% 90%
biology, and high-throughput screening, drugged
most disease relevant targets are
inaccessible to conventional chemistry –
perceived as pocketless or undruggable

1 Source: Oprea et al.,Nature Reviews Drug Discovery, 17: 317-332, 2018.

42 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Potential to Transform Small Molecule Drug Discovery

CHEMOPROTEOMIC
PLATFORM

TARGET BIOLOGY

MASS
SPECTROMETRY

CHEMISTRY

43 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Vividion’s “Covalent First” Platform Expands Druggable Space
REVERSIBLE DRUG VIVIDION “COVALENT FIRST” DRUG

Target Covalent Target


Protein bond Protein

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

Deep pockets Reactive amino acid (cysteine)


Shallow pockets

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

1. THE CHEMISTRY 2. THE PLATFORM (ASSAY)


Unique Covalent Small Proteome-wide Footprinting of Small Molecule-
Molecule Library Target Interactions in Native Systems

VVD compounds are comprised of CELLS / LYSATES / TISSUE


2 distinct structural elements:

Target
Protein
Scaffold Cysteine-
reactive group

Diversity Diversity

Novel LC-MS/MS
pockets

45 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
The Innovation and Efficiency of the Vividion Drug Discovery Platform
VIVIDION “COVALENT FIRST” CHEMOPROTEOMICS APPROACH
Public
Databases Prioritize Targets
Propose and Evaluate
Many Targets

Relative Interest Level


Human
Genetics ATG16L1
IRF5 PKCO MyD88
IRF8 IFIH1 USP30
PRMT5
DTL
Structural KRAS
A20
HTT
GBA
Biology YAP1

SMRCA2 CRBN

STAT3 HUWE1 Actionable Hits 5. Evaluate results


Literature

Filtered for druggable classes CONVENTIONAL SMALL MOLECULE DISCOVERY APPROACH


Public
Target HTS Screen
Databases

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

Target 1 Most screening assays


only capable of
tracking one target at a
time, usually in
unnatural settings
INDIVIDUAL TARGET PROTEINS

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

47 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
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

Target PROTEIN DEGRADERS


TARGETING Protein
NON-FUNCTIONAL SITES
“Silent“ Functionalize silent binders to
Cysteine enable targeted protein
(“SILENT LIGANDS”) Functional degradation
Cysteine

48 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Continuous Library Expansion Allows for Pipeline Growth and
Durable Competitive Advantage

# Actionable Sites (pockets)


Screening &
iterative learning

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

Targets/Program1 Indication Enablement Lead-Op DC Enabling IND Enabling Clinical Entry

NRF2 (inhibitor) NRF2 dependent cancers

STAT3 (inhibitor) NSCLC, ALCL


ONCOLOGY

Kinase (PPI inhibitor) Mutated / amplified cancers

TF (degrader) mCRPC

Driver oncogene (inhibitor) Breast cancer

Restricted E3 (degrader) E3 expressing cancers

TF (inhibitor) Melanoma

STAT3 (inhibitor) PSA, PSO, IBD


IMMUNOLOGY

NRF2 (activator) IBD

Kinase (inhibitor) Psoriasis, IBD

TF (inhibitor) Alopecia and vitiligo

Dual TF (inhibitor) TH-17/TH-1 autoimmune

Adapter (inhibitor) Most autoimmune diseases

1 Multiple Roche-partnered programs in different stages of development; milestone payments can be expected per agreement

50 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Targeting Traditionally Undruggable Transcription Factor NRF2 Enables
Two Distinct MOAs to Address Oncology and Immunology Diseases

KEAP1 (E3 LIGASE) REGULATES ONCOLOGY: NRF2 inhibitor


STABILTY OF NRF2 TO REDUCE
OXIDATIVE STRESS AND RESTORE Increase KEAP1-directed proteasomal degradation of NRF2
CELLULAR HOMEOSTASIS DRUG IMPACT Constitutive activation of NRF2 function enriched in multiple solid tumors (lung
ON PATHWAY sq/ad, esophageal sq/ad, head & neck, bladder cancer)
NRF2
NRF2 degradation Potential to broaden the patient population further (pan-cancer approach) in
inhibitor combination with SOC chemotherapy
KEAP1 OFF Upcoming milestone: VVD-037 expected to enter the clinic by end of 2023
Oncogenic and
cytoprotective gene
programs
IMMUNOLOGY: NRF2 activator
NRF2
Decrease KEAP1-directed proteasomal degradation and drive NRF2
Ub accumulation
Ub NRF2 Initial indication IBD where pre-clinical evidence demonstrates impact on all
Ub NRF2 three pathological domain levels (cytoprotective/tissue preservation,
NRF2 NRF2 ON
leukocyte trafficking and inflammatory mediator production)

activator Anti-inflammatory and


Potential for other inflammatory diseases where oxidative damage,
insufficient stress resistance and chronic inflammation contribute to the
NRF2 cytoprotective
programs underlying pathophysiology (e.g., COPD, NASH)

accumulation Upcoming milestone: Potential IND by end 2024

51 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
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

Upcoming milestone: VVD-850 potential IND by end of 2023

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

Upcoming milestone: Potential IND by end of 2024

52 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Key Messages Today

While hundreds of proteins are known to be drivers of


diseases, just ~10% can be drugged by current therapies
Chemoproteomics technologies can be used to selectively
target and bind to yet unaccessible proteins, thereby
removing today’s boundaries of druggability
Vividion has a world leading industrial scale
chemoproteomics platform based on a unique covalent
custom build library that can identify potent and selective
drugs in innovative and efficient way thereby unlocking the
full potential of small molecule therapies
Bayer’s strength in small molecules enables significant
synergies and ability to leverage Vividion’s platform
Vividion is advancing an attractive pipeline in Oncology
and Immunology with first program to enter the clinic in
2023

53 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Driving Leadership
in Focus Areas of
Oncology

Dominik Ruettinger
Key Messages Today

Our Oncology R&D strategy is based on precision drug


development which enables fast identification of the most
promising targets and commercially viable programs
We focus on expanding the druggable target
pool, developing "kinder medicines", and
addressing resistance
We are rapidly building an early pipeline in precision
molecular oncology and next gen immuno-oncology
Targeted radiotherapies (TRT) provide another highly
attractive opportunity in oncology - we have a wealth of
expertise and experience

55 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
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

High unmet need Scientific and clinical expertise


SMOL chemistry and peptide therapeutics
Growing health burden, with cancer being the second Vividion as leaders in chemoproteomics
leading cause of death at present Targeted Radiotherapy (TRT)
GI, GU (notably prostate) and other
30M new cases annually expected by 2040
high unmet need cancers

One of the largest and fastest growing Commercial capabilities


segments Successfully launched several assets

2021-28 CAGR of 12%, expected to reach


>€300bn by 2028 Oncology
Disruptive innovation in Oncology
Access to “undruggable” targets, new biomarker
6 €1.8bn
approaches & diagnostic tools create numerous Approved 2022 Oncology
opportunities for new precision therapeutics medicines Revenue

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

SCIENTIFIC FOCUS: PRECISION DRUG DEVELOPMENT (PROJECTED) UNMET NEED

Targeted Genitourinary (GU)


Radionuclide Prostate, Bladder,
Therapies (TRT) Renal cancers

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

TODAY FUTURE OUR FOCUS

High impact and kinder medicines


Higher selectivity for target
Expanding the pool of "druggable"
targets
Modalities/Targets working
regardless of mutational status,
pre-treatments e.g., TRT
Disease-centric drug development

= 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

59 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
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

Right Target Biology + Defined patient + Measurable impact Increase


productivity &
success rate
Fit for purpose modality of delivering
Leverage Bayer strengths in small molecules, biologics and TRT Precision

& Driven by value & differentiation


Medicines that
patients need

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)

Adjuvant Prostate Cancer (DASL-HiCaP)3


Orion

Prostate Cancer with Biochemical Recurrence after Curative


Radiotherapy (ARASTEP)

Copanlisib (PI3K Inhibitor) Non-Hodgkin Lymphoma (CHRONOS-4) Bayer

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

DGKzeta Inhibitor (BAY 2965501) Advanced solid tumors Bayer/DKFZ

CCR8 Ab (BAY 3375968) Advanced solid tumors Bayer

Elimusertib (ATR Inhibitor) (BAY 1895344) Advanced solid tumors, Non-Hodgkin's Lymphoma, Mantle Bayer Focus
today
Cell Lymphoma

AhR Inhibitor (BAY 2416964) Advanced solid tumors Bayer/DKFZ

DGKalpha Inh (BAY 2862789) Cancer Bayer/DKFZ

PSMA TAC (BAY 3546828) Advanced Prostate Cancer Lantheus (prev. Progenics)

PSMA SMOL TAC (BAY 3563254) Advanced Prostate Cancer Noria Therapeutics/PSMA
Therapeutics

VVD NRF2 Inh (BAY 3605349) Cancer Vividion

VVD STAT3 Inh (BAY 3630914) Cancer Vividion

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

UNMET NEED ADDRESSABLE PATIENT POPULATION


PHASE I

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

<€500m €500m–€1bn >€1bn


Oral, reversible, potent TKI targeting EGFR and HER2 driver mutations,
including ex20ins and EGFR C797X acquired resistance mutations
High selectivity for mutant forms vs. wild-type EGFR CURRENT STATUS + NEXT MILESTONES

FPFV October 2021, ongoing expansion cohorts to complete in 2023

63 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
mEGFR/HER2i (BAY 2927088): Key Preclinical Data
Indicates potential for high clinical activity with reduced EGFR-mediated toxicities

PRECLINICAL DATA
PHASE I

Strong activity and selectivity for mutants vs. wild-type EGFR

Ongoing FiH trial in patients with advanced NSCLC harboring specific EGFR or HER2 mutations

BAY 2927088 is highly potent in EGFR/HER2


exon20ins and EGFR C797S in vitro and in vivo

BAY 2927088 is less potent on EGFR wild-type:


Treatment at efficacious dose does not affect
wild-type EGFR activity in murine skin – in
contrast to competitors

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

UNMET NEED ADDRESSABLE PATIENT POPULATION


PHASE I

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

PROFILE & MODE OF ACTION Indication Asset Potential


NSCLC, PD-1 R/R
Modality: SMOL
DGK inhibition can overcome an immuno-suppressive tumor environment
with a differentiated mode of action: enhancement of suboptimal T cell <€500m €500m–€1bn >€1bn
priming against low-affinity tumor antigens and (re-) activation of silenced
T-cells
The inhibition of DGKz and DGKa with 2 highly selective NMEs represents CURRENT STATUS + NEXT MILESTONES
a First in Class and Best in Class multi-indication potential in immuno-
oncology with monotherapy and combination options
FPFV November 2022 (DGKz). Anticipated completion of dose
escalation mid of 2024
FPFV expected Q3 2023 (DGKa). Anticipated completion of dose
escalation H2 2024
65 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
DGKz (BAY 2965501): Key Preclinical Data
Highly selective DGK inhibitor for cancer immunotherapy with first-in-class 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

tumor volume [mm³]


1500
antigens

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)

Source: Offringa, Kirchhoff et al., AACR 2023

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

UNMET NEED ADDRESSABLE PATIENT POPULATION


PHASE I

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

MC38 mouse model, MC38 mouse model


arrows indicate treatment

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

DNA double-strand breaks Address tumor


=> no treatment resistance HNSCC
types that are not
druggable by ADCs

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

MARKET EXPECTED TO GROW TO $20BN BY 2030

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

70 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Key Messages Today

Our Oncology R&D strategy is based on precision drug


development which enables fast identification of the most
promising targets and commercially viable programs
We focus on expanding the druggable target
pool, developing "kinder medicines", and
addressing resistance
We are rapidly building an early pipeline in precision
molecular oncology and next gen immuno-oncology
Targeted radiotherapies (TRT) provide another highly
attractive opportunity in oncology - we have a wealth of
expertise and experience

71 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Shaping new
Treatment Paradigms
in Cardiovascular
Diseases

Maria Borentain
Key Messages Today

CV diseases represent a significant health burden


and #1 leading cause of death with still high
unmet medical need
Our focus within cardiovascular include selected areas
within nephrology and acute care
Our R&D approach is based on three value pools with
an increasing focus in precision medicine: targeting
rare indications, subpopulations, and disruption in
large indications
Building on our strong heritage and expertise we will
continue to develop innovative therapies to address the
needs of patients with cardiovascular diseases

73 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Bayer to Continue Leadership Position in CV

MARKET ATTRACTIVENESS BAYER'S KEY STRENGTHS

High unmet medical needs Record of success


Leading cause of death Industry leader in cardiovascular
Increasing disease burden and rising comorbidities Expertise along the entire value chain
Huge impact on healthcare systems and workforce Established global commercial footprint

Emerging trends Exciting recent and near-term launches


Novel drug modalities offer new opportunities Late-stage pipeline asset asundexian: Innovative,
Advanced tools like multi-omics enable precision medicine once-daily, oral small molecule FXIa inhibitor
Digital solutions enable early diagnosis and targeted Successful launch of Kerendia with LCM potential
treatment Cardiovascular,
Nephrology &
Attractive growth market Acute Care Strategic focus on precision CV
Worldwide market value of €65bn (2022) continuing
to grow at a steady pace Expertise available to address and internalize
scientific progress
Pharma industry underinvests in CV R&D in relation
to disease burden External collaborations & platform companies further
enhance our transition into precision CV
Huge opportunity in precision CV due to scientific
progress

74 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
CV: A Success Story set to Continue
Recent successes fuel our ambition for the future to help even more patients in need

Bayer has a strong R&D CV expected to drive future sales


and commercial of Bayer Pharma
record in CV
Asundexian2
(investigational FXIa inh.)

€4.5bn Worsening HFrEF T2D CKD, HFpEF SPAF, stroke


2022 & Stable HFrEF & ndCKD

Peak1 Peak1 Peak1

~€0.5bn >€3bn >€5bn

€0.8bn Bayer among the top leaders in CV


2022
We aspire to build on our R&D successes and
strengthen our CV leadership

1 Peak = Peak Sales Potential; 2 Late-stage pipeline asset

75 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
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

Unmet medical need


Kidney Disease​

Catering to Disruption in
subpopulations of larger large indications
Nephrology
indications with high Stroke
unmet medical need Prevention

Opportunistic focus on Acute Care


real disruption in large
indications with highest
standard of care
low
low Patient population size high

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

Finerenone (MR Antagonist) Heart Failure (HFmr/pEF) (FINEARTS-HF) Bayer

Non-diabetic CKD (FIND-CKD)

Vericiguat (sGC Stimulator) Heart Failure (HFrEF) (VICTOR3) Bayer

Asundexian (FXIa Inhibitor) Stroke Prevention in Atrial Fibrillation (OCEANIC-AF) Bayer


(BAY 2433334)
2⁰ Stroke Prevention
(OCEANIC-STROKE)
Major Adverse Cardiac Events Prevention (PACIFIC-AMI)
Congestive Heart Failure rAAV Gene Congestive Heart Failure AskBio
Therapy
(AB-1002 aka NAN-101)
sGC Activator Oral Chronic Kidney Disease (CKD) Bayer
(BAY 3283142)
Anti-a2AP Acute Ischemic Stroke; Pulmonary Embolism Bayer
(BAY 3018250)
sGC Activator Inhale Acute Respiratory Distress Syndrome Bayer
(BAY 1211163)
SEMA 3a Alport Syndrome Bayer/Evotec
(BAY 3401016)
Anti-coagulant Anti-coagulation Bayer
(BAY 3389934)

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

Spironolactone Eplerenone Finerenone

MRA Class Steroidal Steroidal Non-steroidal

Potency High Low High

Selectivity Low Medium High

Metabolites Multiple, active No active No active

Tissue Kidney>>heart Kidney>heart


Balanced (1:1)
distribution3 (>6-fold) (~3-fold)

No sexual side effects including gynecomastia


Finerenone and steroidal mineralocorticoid receptor
antagonists differ in their molecular receptor binding mode Balanced kidney safety
resulting in distinct effects on gene expression
Low incidence of hyperkalaemia-related adverse events with
clinical impact and permanent treatment discontinuation4

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.

78 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
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

STUDY DATA ONGOING PHASE III STUDIES


Finerenone effective in reducing
PHASE III

Potential to Broaden the Use of


cardiovascular and renal events in patients with
Finerenone in CKD
T2D and CKD
Potential to Broaden
Non-diabetic CKD the Use of
Key results of the FIDELITY pooled analysis1: Finerenone in CKD
Composite Kidney
FIND-CKD: randomized, double-blind, placebo-
Composite CV Outcome
Outcome controlled, parallel-group, multicenter phase III trial
HR = 0.77 in CKD patients without diabetes
HR = 0.86 (95% CI 0.67-0.88), p=0.0002
(95% CI 0.78-0.95), p=0.0018 NNT 592 Phase III data expected in 2026
NNT 462
Relative risk reduction compared Relative risk reduction compared
to placebo to placebo

CKD in Type 1 Diabetes


FINE-ONE: randomized, double blind, placebo-
controlled, parallel-group, multicenter phase III trial
-14%
in CKD patients with type 1 diabetes (T1D)
-23%
Phase III data expected in 2025
Source: Agarwal, R. et al., data presented at ESC 2021
1 including > 13,000 randomized pts; 2at 36 months

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

HF is the fastest-growing global CV disease Phase 3

Cumulative incidence (%)2


HR = 0.68
with approximately ~60m HF patients FIGARO- (95% CI, 0.54-0.86), p=0.0013 Placebo: 173/3666 (4.7%)
6
worldwide DKD:
Reduced 4
About 50% of HF patients have HF with risk of
LVEF ≥ 40%. They suffer from a high CV HF-related 2 Finerenone: 120/3686 (3.3%)
mortality rate (42% within 5y of diagnosis) death or
despite SoC first HHF1 0
0 6 12 18 24 30 36 42 48
Months since randomisation
Renal dysfunction and HFmrEF/pEF
frequently coexist, due to shared
comorbidities and factors impacting Phase 2 CV hospitalisation4 CV death4
macrovascular and microvascular circulation ARTS-HF3:

Cumulative probability of
Cumulative probability of
30 Eplerenone 8 Eplerenone

CV hospitalisation (%)
Reduced 25 Finerenone 1020 mg Finerenone 1020 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

Mode of Action1-3 Patients with genetically higher FXI levels show


increased risk of ischemic stroke4

Ischemic stroke Cases Controls OR p-value


subtype^x (N) (N) 95% CI

Cardioembolism 3,071 28,722 0.0003

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

Study Data: PACIFIC-AF Study Data: PACIFIC-STROKE


Bleeding: Asundexian at near maximum FXIa inhibition showed Bleeding: no significant increase vs. Placebo on
lower rates of observed bleeding versus apixaban in PACIFIC-AF top of Antiplatelet/Dual Antiplatelet
Efficacy: too few events to draw conclusion

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

Broad Phase II study program PACIFIC confirmed


consistent safety at near maximum FXIa inhibition1
Source: 1 Piccini JP, Caso V, Connolly SJ, Fox KAA, Oldgren J, Jones WS, Gorog DA, Durdil V, Viethen T, Neumann C, Mundl H, Patel MR; PACIFIC-AF Investigators. Safety of the oral factor XIa inhibitor asundexian compared with apixaban in patients with atrial
fibrillation (PACIFIC-AF): a multicentre, randomised, double-blind, double-dummy, dose-finding phase 2 study. Lancet. 2022 Apr 9;399(10333):1383-1390. doi: 10.1016/S0140-6736(22)00456-1. Epub 2022 Apr 3. PMID: 35385695. Data presented at ACC 2022 and
ESC 2022. 2 Data presented at ESC in August-2022 in Barcelona, and ESOC May-2023 in Munich (data on file)
82 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
OCEANIC Phase III Program
Study program well on track

The OCEANIC program consists of two Phase III studies

OCEANIC-AF OCEANIC-STROKE

Patients with atrial fibrillation Patients with non-cardioembolic ischemic stroke


Active comparator-controlled trial (apixaban) Placebo-controlled trial
# of patients ~18,000 patients # of patients ~9,300 patients
Minimum treatment period 9 months Minimum treatment period 3 months
Primary efficacy endpoint: stroke or systemic embolism Primary efficacy endpoint: ischemic stroke
Primary safety endpoint: ISTH major bleeding Primary safety endpoint: ISTH major bleeding
First patient first visit: Q4 2022 First patient first visit: Q1 2023
Data expected: H2 2025 Data expected: H2 2025

Started in Dec 2022 (~27,000 patients, across 40 countries)


First topline data expected H2 / 2025

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

UNMET NEED PROFILE & MODE OF ACTION


PHASE I

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

Change in albuminuria, patients with Change in albuminuria, patients with


DKD without SGLT2i DKD using SGLT2i

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

PRECLINICAL DATA ADDRESSABLE PATIENT POPULATION


PHASE I

BAY3283142 vs Runcaciguat preclinical comparison Indication Patients


Progressive CKD Rat Model (ZSF-1) Chronic Kidney CKD is a progressive condition that
Disease affects >10% of the general
population worldwide, amounting to
Urine Protein / Creatinine

~700 million individuals1


Asset Potential

Indication Asset Potential


Chronic Kidney Disease

<€500m €500m–€1bn >€1bn

Preclinical model shows BAY328 is highly effective in CKD prevention


(decrease in proteinuria and glomerulopathy) Upcoming Development Milestones
BAY3283142 pharmacokinetics with favorable Peak/Trough profile
Initiation of Phase 2 program
allows for once daily dosing

Source: 1 Vijay et al, 2021


86 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Anti-a2AP (BAY 3018250)
Timely vessel opening represents a high unmet medical need in acute ischemic stroke (AIS) and
pulmonary embolism, areas without innovation for more than 2 decades
UNMET NEED PROFILE & MODE OF ACTION
PHASE I

Current thrombolytic drugs have shown limited efficacy and Fibrinolysis


notable hemorrhagic complication rates
Active lysis of acute embolic or thrombotic clots without
Surviving patients often experience significant sustained increasing risk of bleeding by blocking the endogenous
disability Plasmin inhibitor a2Ap
tPA
The clinical and economic burden of AIS is considered high
and still rising clot
Plasmin dissolution
>2 million patients hospitalized with AIS in US, EU4
and JP

Average healthcare cost of stroke per person


estimated at ~US$140k in US α2-Antiplasmin
function blocking
Incidence of PE is still rising and comes with high mortality
(a2Ap) anti-a2Ap antibody
as well as considerable economic burden BAY 3018250
>500k patients hospitalized with AIS US, EU4 and JP,
expected to increase to 700K by 2030
Potential for significant differentiation vs SoC with a profile that
In EU and US deaths are expected to be around 600k allows use in a broad eligible population based on efficacy coupled
by 2030. Average healthcare costs are US$12-20k in with no increase in bleeding profile
the US

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

In animal models, BAY 3018250 demonstrated to be an effective Indication Patients


thrombolytic with no increased bleeding risk. Acute Ischemic Stroke; AIS: 500k (US, EU4, UK, JP)
Pulmonary Embolism PE: 250k (US, EU4 and JP)
1. Accelerates clot dissolution on a PE model
2. Increased clot dissolution in a venous thromboembolism model
3. In vivo bleeding experiments do not indicate an increased risk
of bleeding Asset Potential

Indication Asset Potential


Clot Lysis Bleeding Time
Acute Ischemic Stroke;
60.000 1.200 Pulmonary Embolism
in vivo clot lysis (rFU AUC)

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

UNMET NEED ADDRESSABLE PATIENT POPULATION


PHASE I

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

Evidence of Sema3A in kidney disease


Therapeutic efficacy of Sema3A inhibition
in Alport mouse model
400 n.s. n.s. n.s. **** **** ****

1500

uPCR [%] increase from baseline


**
relative mRNA expression [AU]

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

1 Compound Origin: Bayer / Evotec

90 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Key Messages Today

CV diseases represent a significant health burden


and #1 leading cause of death with still high
unmet medical need
Our focus within cardiovascular include selected areas
within nephrology and acute care
Our R&D approach is based on three value pools with
an increasing focus in precision medicine: targeting
rare indications, subpopulations, and disruption in
large indications
Building on our strong heritage and expertise we will
continue to develop innovative therapies to address the
needs of patients with cardiovascular diseases

91 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
BlueRock
Therapeutics:
Leading the way in
PSC Therapies

Seth Ettenberg
Key Messages Today

A new frontier of cellular medicine was launched with


the commercialization of cell therapies for hematological cancers
Pluripotent stem cell (PSC) derived therapies with the potential to
broaden the impact of cellular medicine beyond cancer are the
next frontier.
BlueRock is one of the leaders of this next field, with end-to-end
capabilities for delivering innovative PSC-based therapies
Near-term OpCT-001 IND filing for the treatment of
primary photoreceptor diseases (e.g., retinitis pigmentosa,
cone/rod dystrophies)
Advancing bemdaneprocel for Parkinson’s Disease into
phase 2 clinical development based on positive readout of
our phase 1 study
Bayer and BlueRock are working to change the future
of medicines by replacing the cells that are lost to diseases

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

First cell therapy approved in 2017, majority of currently


17,5
approved cell therapies still CAR-T based for hematological
malignancies
Cell therapies expected to remain one of the fastest growing 11,1
therapeutic options in the pharmaceutical sector
6,7
Key considerations for successful commercialization: 3,9
streamlining supply chain and administration logistics 1,4 2,4
0,6 0,9
patient and caregiver support
innovative payment solutions 2018 2019 2020 2021 2022 2023 2024 2025 2026

Cord Blood approvals not included in approved therapies


Sources: 1 FDA Approved Cellular and Gene Therapy Products 2 Pharma Intelligence, Informa 3 EvaluatePharma, Oct. 2022 for pipeline and sales/ forecast

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

Cell Replacement Engineered Cells

REPLACE RESTORE REVERSE ENGINEER DELIVER TREAT


CELLS FUNCTION DISEASE CELLS PAYLOAD RARE & COMMON

FOUNDING SCIENCE FOUR SITES ACROSS USA, Canada and Germany

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

Focus on four disease areas (Neurology, Cardiology, Immunology, Ophthalmology)


95 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Within the Cell Therapy Space, Pluripotent Stem Cells Have the
Broadest Therapeutic Potential

AUTOLOGOUS VERSUS
ALLOGENEIC CELL THERAPY SOURCES FOR CELL THERAPY ADMINISTRATION

Cell therapy is the administration of Final cell product can be


cells into a patient that are derived Adult Harvestable Cells: administered in different ways,
from the patient (autologous) or a Harvested from adult donor depending on the therapeutic
healthy donor (allogeneic) approach and indication
Limited available quantities, difficulty in
Autologous access and cell expansion
Examples include: Systemic delivery
Isolated T-cells for CAR-T therapy Examples include:
MSCs Intravenous
HSCs

Direct delivery to target area:


Pluripotent Stem Cells (PSC): Examples include:
Allogeneic
Can differentiate into any cell type in the Intracranial
body Spinal cord
Allogeneic PSCs with unlimited potential for Heart
expansion and scalability Eye

Source: 1 El-Kadiry 2021. Frontiers in Medicine, p.2340.

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

THERAPEUTIC POTENTIAL OF PSCs EXAMPLES OF TARGET DISEASE AREAS

Differentiated cell Parkinson’s Disease


to restore lost Heart Failure
function Retinitis Pigmentosa
Geographic Atrophy (AMD)

Reprogram
blood cells
Pluripotent Cell
Oncology
Engineered to
Alzheimer‘s Disease
introduce new
functions Metabolic Diseases
Autoimmune Diseases

Source: El-Kadiry 2021. Frontiers in Medicine, p.2340.

97 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
BlueRock Has End-to-end Capabilities in PSC Technology

CORE FOUNDATIONAL EXPERTISE IN BRINGING CELL COMMERCIAL MANUFACTURING


REPROGRAMMING TECHNOLOGY THERAPY TO THE CLINIC CAPABILITIES

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

PARTNERSHIP GOALS ONGOING PARTNERSHIPS

Technologies to accelerate pipeline execution

Enabling technologies to bolster platform

Capabilities and programs to enhance pipeline

Partnerships enables BlueRock to continually push the boundaries of


PSC-based therapies

99 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
BlueRock’s Pipeline Addresses Areas of High-Unmet Needs

AREA TARGET DISEASE CELL TYPE DISCOVERY PRECLINICAL IND-ENABLING CLINICAL

Parkinson’s Disease Dopaminergic Neuron Bemdaneprocel


Neurology

Demyelinating Disorders Oligodendrocyte v

Lysosomal Storage Disorders Microglia

Photoreceptor Precursor Cell


Primary Photoreceptor Disease
Ophthalmology

OpCT-001
(PRP)

Early / Intermediate Dry AMD Retinal Pigment Epithelium (RPE)

Late Dry AMD / GA PRP + RPE


Cardiology

Heart Failure Cardiomyocyte


Immunology
& Oncology

Oncology Myeloid

Autoimmune Disease Regulatory T Cell

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

CELL THERAPY APPROACH

BlueRock’s cell therapy can potentially treat an


entire class of diseases
OpCT-001 will be evaluated for patients with
Retinitis Pigmentosa as well as cone and
cone-rod dystrophies

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

ANATOMY OF THE HUMAN EYE PSC DERIVED RETINAL CELL DIFFERENTIATION

Retinal pigment epithelium (RPE)


Human PSC

Single layer of cells, essential for


maintaining vision
Changes in the RPE can impair Retinal OpCT-001
visual function and lead to Progenitor
Cell
retinopathy (i.e., RP, AMD, SD) RPE Photoreceptor
Progenitor Progenitor Cell
Cell (PRP Cell)

Photoreceptors in the retina

Convert light into nerve signals


RPE Cell Bipolar Horizontal Ganglion Amacrine Muller Cone Rod
Rods: responsible for vision at cell cell cell cell Glia
low light levels
Future programs
Cones: active at higher light
levels, responsible for color vision In focus of BlueRock’s pipeline

Source: Yang, et al., 2021. Frontiers in pharmacology, 12, p.727870.

102 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
OpCT-001 – Cell Therapy for PRP Cell Replacement

OpCT-001 cells engraft and display characteristics of


functional photoreceptors ADDRESSABLE PATIENT POPULATION

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

Opsin protein expression


Outer
segment
Inner and outer segment
RODS CONES
formation ASSET POTENTIAL
Rods traffic rhodopsin to
Inner
outer segments
segment Indication Asset Potential
Outer segments are stable
long-term Primary photoreceptor disease
Outer Segment Formation

<€500m €500m–€1bn >€1bn

STATUS AND UPCOMING DEVELOPMENT


MILESTONES

IND submission in the next 12 months

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

PD Motor Symptoms Caused by Loss of DA Neurons


Healthy dopamine Current Treatments and Unmet Need
Healthy PD Patient
neurons (DA) in the PD is the second most common neurodegenerative
brain make the Presynaptic
neurotransmitter Terminal disorder in the US
dopamine critical for Limited treatment options available as patients progress
several brain Dying
functions, including Neuron
Medications, effective at early stages, become less and less
movement Dopamine effective with disease progression
Loss of DA cells
results in less Significant unmet need for longer-lasting therapies that will
dopamine and leads alter the disease trajectory
to Parkinson’s
Disease Postsynaptic
Terminal

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

Bemdaneprocel Surgical Procedure

Burr hole Tracts for


Phase 1 Study Summary cell delivery

• Multi-center, open label, Phase I trial


Trial Design assessing bemdaneprocel authentic cell
therapy for Parkinson’s Disease

• Subjects with PD (male/female)


Enrollment • Patients diagnosed ≥3 and ≤15 years ago
Criteria • Responsive to L-dopa, but inadequate relief
of motor symptoms

• Safety, tolerability, PET-imaging for cell


Objectives
survival at years 1 & 2 Surgery Overview
• Preliminary efficacy (motor, non-motor) at
years 1 & 2 Single burr hole per hemisphere with three tracts for cell delivery
Bemdaneprocel custom procedure minimizes needle passes and
• Two cohorts - low and high doses burr holes to decrease surgical risk and optimize coverage
Dosing • Immunosuppression for 12 months following
transplantation

Sources: ct.gov NCT04802733

105 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Bemdaneprocel is the First PSC-derived Dopaminergic Cell Therapy
with Positive Data in PD

TOPLINE PHASE 1 RESULTS ADDRESSABLE PATIENT POPULATION

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

Phase 1 Study Endpoints


<€500m €500m–€1bn >€1bn
Primary Endpoint:
Safety and tolerability at 1-year post-transplant
Secondary Endpoints (1- and 2-year post transplant): STATUS AND UPCOMING
Evidence of cell survival – F-DOPA PET
DEVELOPMENT MILESTONES
Changes in motor function – Changes in MDS-UPDRS III
Q3 2023 planned presentation of Phase 1 data in a medical meeting
Changes in waking hours in “OFF” state Phase 2 clinical study expected to begin enrolling patients in H1 2024
Continued safety and tolerability

106 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
BlueRock is a Leader in the Development of PSC-derived Therapies
2023 & Beyond

PARKINSON'S DISEASE OPHTHALMOLOGY HEART FAILURE

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

Highly attractive market:


Gene therapy market expected to grow significantly
until the end of the decade
Pioneer in AAV-based gene therapy:
Unparalleled pipeline, talent and manufacturing
capabilities
Robust therapeutic pipeline:
Balanced portfolio addressing monogenic and pathway
disorders
Scalable platform for continued growth and innovation:
Building a platform enables to extend the field of
application of the technology to multiple diseases

110 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
FDA January 21, 2019

We anticipate that by 2020 we will be receiving more than


200 INDs per year, building upon our total of more than
800 active cell-based or directly administered gene therapy In the case of gene therapy, it’s similarly a
INDs currently on file with the FDA. product innovation that has marked an
And by 2025, we predict that the FDA will be approving 10 inflection point in the development of
to 20 cell and gene therapy products a year based on an these therapies, and a surge in new
assessment of the current pipeline and the clinical success product activity. In this case, it was the
rates of these products [....] advent of safe and effective vectors for the
We’re working to expand our review group dedicated to the delivery of gene therapy products, such as
evaluation of these applications to keep pace with the rapid the adoption of adeno-associated virus
expansion in new product development. Our eventual goal (AAV) vectors.
is to add about 50 additional clinical reviewers to the group
charged with overseeing the clinical investigation,
development, and review of these products

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

Phase 1 Phase 2 Phase 3


CAGR
+43%

245 247 30 ~500 14


17
11
7
4
1 1 2

2021 2022 2023 2024 2025 2026 2027 2028

Majority of approved gene therapies are based on AAV vector technology


First AAV gene therapy approval in 2017; number of gene therapy approvals is expected to increase significantly until 2030,
resulting in strong anticipated sales growth
Shaping of access models, policies and payer environment are crucial to sustainable success

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

Founded in 2001 by R. Jude Samulski, Sheila Mikhael and


Xiao Xiao who pioneered the AAV gene therapy field
Dedicated to developing life-saving medicines that can
potentially cure genetic diseases
to clone AAV for to deliver to treat DMD to deliver AAV
~7,000 rare diseases are known to date; ~80% of rare therapeutic AAV and Pompe to the brain
diseases are genetic in origin purposes intrathecally patients

PILLAR I PILLAR II PILLAR III TRANSLATE INTO

TECHNOLOGY MANUFACTURING CLINICAL PROMISING


DEVELOPMENT
THERAPEUTIC
Renowned toolbox Distinguished Strong translational
PIPELINE
(capsids, regulatory manufacturing capabilities expertise, combined with
elements, gene editing) (cell line/infrastructure) academic network

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

Viralgen Clinical – GMP Manufacturing TAAV – no-end DNA (neDNA)1


San Sebastian, Spain San Sebastian, Spain / Hampton UK
Stable Packaged Inducible
Cell Line Promoters
Increases yields Increases productivity
Pharmaceutical grade Turns off genes during mfg

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

Unmatched batch purity


Viralgen Commercial – Production Capacity Reliable consistency RTP HQ – Additional production capacity
San Sebastian, Spain Durham, NC

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

CELL LINES &


AAV CAPSIDS PROMOTERS & REGULATION GENE EDITING TOOLS MANUFACTURING

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

Platform Asset1 Pre-clinical Phase I


Parkinson’s Disease (AB-1005)

Gene CNS Multiple System Atrophy (AB-1005)


therapy Huntington’s Disease (AB-1001)
platform
(AAV1) CV Congestive Heart Failure (AB-1002)

Pompe Disease (ACTUS-101)


Neuro-
muscular Limb Girdle Muscular Dystrophy 2i (AB-1003)

1 Excludes partnered programs

116 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Balanced Portfolio Addressing Monogenic and Pathway Disorders

MONOGENIC PATHWAY
DISORDERS DISORDERS

MONOGENIC DISORDERS PATHWAY 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

DISEASE & UNMET MEDICAL NEED OUR APPROACH

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

Turning back the clock on Parkinson’s disease

ADDRESSABLE PATIENT
CLINICAL DATA
POPULATION
PHASE Ib

Neurologist rated improvements in Patient-reported recovery of motor performance Indication Patients


motor performance OFF time improved by 52% Parkinson’s Disease US ~1 million
50
–– Part III Motor OFF-med

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

Clinically meaningful improvements consistent


t

t
on

on

on
se
ee

MILESTONES
m

with anticipated MoA – neuron regrowth and


Ba
r

12

18
Sc

progressive restoration of dopamine function


Initiation of randomized, double-blinded, sham-
surgery controlled Phase 2 RESTORE-PD study

122 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Multiple System Atrophy (MSA) Gene Therapy MONOGENIC
DISORDERS
PATHWAY
DISORDERS

AB-1005 (AAV2-GDNF) already well tolerated in Parkinson´s Disease patients1


DISEASE & UNMET MEDICAL NEED OUR APPROACH

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

3 Why GDNF for MSA:


Onset: Mid-life 76% loss of GDNF in MSA post-mortem tissue4
Prognosis: Death ~8-10 years after diagnosis Degeneration of the dopaminergic neurons causes parkinsonian
Epidemiology (US & EU): Prevalence ~35K, incidence ~4.5K per year features in MSA
Improve “sick-but-not-dead” neurons by GDNF restoration to
Unmet medical need: No disease-modifying therapy
Enhance dopamine production
SoC: Symptom management Increase neurite density
Clinical competition: Several clinical programs addressing α-synuclein Reduce α-synuclein accumulation
Attenuate 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

MSA is an adult-onset, spontaneously occurring rare neurodegenerative disease

PRECLINICAL DATA ADDRESSABLE PATIENT POPULATION


PHASE I

MSA is pathologically defined by glial cytoplasmic inclusions Indication Patients


(GCIs) containing ⍺-synuclein Multiple system atrophy US/EU ~ 35k

AAV2-GDNF delivery in a GM1 knock-out transgenic mouse


attenuated the accumulation of ⍺-synuclein in the substantia ASSET POTENTIAL
nigra.1
Indication Asset Potential
Multiple system atrophy

<€500m €500m–€1bn >€1bn

UPCOMING DEVELOPMENT MILESTONES

Recruitment & dosing of Phase 1 RESTORE-MSA study

Source: Figure modified from Hadazcek et al 2015

124 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Limb-girdle Muscular Dystrophy 2I/R9 Gene Therapy MONOGENIC
DISORDERS
PATHWAY
DISORDERS

AB-1003: Mitigate the Molecular Pathobiology and Improve Functions

DISEASE & UNMET MEDICAL NEED OUR APPROACH

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

PRECLINICAL DATA ADDRESSABLE PATIENT POPULATION


PHASE I/II

Robust Bioactivity in Preclinical Dose Range Finding Study Indication Patients


Limb-Girdle (LGMD2I/R9) ~7k worldwide
Evaluation Low dose High dose
Muscle strength >75% of wild-type >90% of wild-type
Exercise distance >75% of wild-type >90% of wild-type
ASSET POTENTIAL
Mean Serum CK levels Comparable to wild-type Comparable to wild-type

Indication Asset Potential


Part I of a Phase 1/2 study has started in Q1 2023:
Limb-Girdle (LGMD2i)
Double-blind, randomized, placebo-controlled design (N=10) to
establish safety, tolerability, and preliminary efficacy
<€500m €500m–€1bn >€1bn
Part I will build the foundation for the registrational Part II of the
clinical study.

UPCOMING DEVELOPMENT MILESTONES

• Dosing the First Subject


• Completion of Part I Enrollment

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

DISEASE & UNMET MEDICAL NEED OUR APPROACH

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

AB-100 (AAV2i.8.I-1c): Preliminary results suggest clinically meaningful improvements

CLINICAL DATA ADDRESSABLE PATIENT POPULATION


PHASE I

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.

<€500m €500m–€1bn >€1bn

UPCOMING DEVELOPMENT MILESTONES


• Completion of Cohort 1 Expansion of Phase 1 with 3 additional
subjects
• Initiation of GenePPhit: A phase II, adaptive, randomized, double-
blind, placebo controlled, multicenter trial

128 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
People

The Individual AskBio Sites Contribute Their Respective


Competency Strongholds to the End-to-End Development Platform
AskBio competence distribution

129 /// Bayer Pharmaceuticals R&D Event /// Boston /// June 28, 2023
Key Messages Today

Highly attractive market:


Gene therapy market expected to grow significantly
until the end of the decade
Pioneer in AAV-based gene therapy:
Unparalleled pipeline, talent and manufacturing
capabilities
Robust therapeutic pipeline:
Balanced portfolio addressing monogenic and pathway
disorders
Scalable platform for continued growth and innovation:
Building a platform enables to extend the field of
application of the technology to multiple diseases

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)

SEMA 3a (BAY 3401016) Elinzanetant (Neurokinin-1,3 Rec Antagonist)


Vasomotor Symptoms (OASIS)
Bemdaneprocel (Parkinson’s Disease Cell Therapy)
(BRT-DA01) Aflibercept 8mg (VEGF Inhibitor)
Retinal Vein Occlusion (QUASAR)
Parkinson‘s Disease rAAV Gene Therapy
(AB-1005 aka AAV2-GDNF-PD)
Multiple System Atrophy rAAV Gene Therapy
(AB-1005 aka AAV2-GDNF-MSA)
Submissions
Pompe Disease rAAV Gene Therapy (ACTUS-101)
Oncology Aflibercept 8mg (VEGF-Inhibitor)
Huntington‘s Disease rAAV Gene Therapy EU, JP, US4: Diabetic Macular Edema (DME)
Cardiovascular+5 (AB-1001 aka BV-101) EU, JP, US4, CN: Neovasc. Age-rel. Macular Degen. (nAMD)

Neurology & Rare Diseases LGMD2I/R9 rAAV Gene Therapy


(AB-1003 aka LION-101)
Immunology GPR84 Antagonist (BAY 3178275)
Others

New molecular entity

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)

AAV Adeno-associated virus CGT Cell and gene therapy


Ab Antibody CHF Congestive heart failure
ADC Antibody-drug conjugate CI Confidence interval
AF Atrial fibrillation CKD Chronic Kidney Disease
AI Artificial intelligence CMC Chemistry, manufacturing and controls
AIS Acute ischemic stroke COPD Chronic Obstructive Pulmonary Disorder
ALCL Anaplastic large cell lymphoma CRC Colorectal cancer
AMD Age-related macular degeneration CV Cardiovascular
APT Antiplatelet therapy DA Dopamine
AR Androgen receptor DAPT Dual Antiplatelet Therapy
BCR Biochemical relapse DBS Deep brain stimulation
BD&L Business Development & Licensing DC Development Candidate
BIC Best in class DDRi DNA damage repair inhibitors
bn billion DFMs Direct Functional Modulators
BP Blood pressure DGK Diacylglycerol Kinases
CAGR Compound Annual Growth Rate DKD Diabetic Kidney Disease
CAR-T Chimeric antigen receptor modified T cells DMD Duchenne Muscular Dystrophy
cGMP Current good manufacturing practice DNA Deoxyribonucleic acid

135 /// Bayer Investor Relations /// Pharma R&D Event /// June 2023
Appendix: Abbreviations (2/4)

DOACs Direct oral anticoagulants GP General practitioner


eGFR estimated glomerular filtration rate GU Genitourinary
EGFR Epidermal Growth Factor Receptor HCC Hepatocellular Carcinoma
ESRD End-stage renal disease HER2 Human epidermal growth factor receptor 2
EU5 France, Germany, Italy, Spain, United Kingdom HF Heart failure
fAD familial Altzheimer’s disease HFF Hospitalization heart failure
FDA U.S. Food and drug administration HFmrEF Heart failure with midrange ejection fraction
FIC First in class HFpEF Heart failure with preserved ejection fraction
FIH First-in-Human HFrEF Heart Failure with reduced Ejection Fraction
FKRP Fukutin-related protein HNSCC Head and neck squamous cell carcinoma
FPFV First Patient First Visit HR Hazard ratio
FTE Full Time Equivalent HSCs Hematopoietic stem cells
GA Geographic Atrophy HTS High throughput screening
GCIs Glial cytoplasmic inclusions IBD Inflammatory Bowel Disease
GDNF Glial cell line-derived neurotrophic factor ICIs Immune checkpoint inhibitors
GI Gastrointestinal IND Investigational New Drug
GM1 GM1 gangliosidoses Inh Inhibitor
GOF Gain of function IO Immuno-Oncology

136 /// Bayer Investor Relations /// Pharma R&D Event /// June 2023
Appendix: Abbreviations (3/4)

IRDs Inherited retinal disorders NHP Nonhuman primate


ISTH International Society on Thrombosis and Hemostasis nmCRPC non-metastatic castration resistant prostate cancer
LCM Life Cycle Management NME New Molecular Entity
LC-MS/MS Liquid chromatography tandem mass spectrometry NNT Number needed to treat
LGMD2i/R9 Limb-Girdle Muscular Dystrophy NO Nitric Oxide
LOPD Late onset Pompe Disease NRD Neurology and Rare Diseases
LVEF Left Ventricular Ejection Fraction NRLD National Reimbursement Drug List
m million NSCLC Non small cell lung cancer
mCRPC Metastatic castration resistant prostate cancer NYHA New York Heart Association
MDS Movement Disorders ODD Orphan drug designation
mHSPC Metastatic hormone sensitive prostate cancer OSM Oncostatin M
MOAs Mode of action OTC Over-the-counter
MRA Mineralocorticoid Receptor Antagonist PD Parkinson’s Disease
MSA Multiple System Atrophy PD-L1 Programmed Cell Death Ligand 1
MSCs Mesenchymal stem cells PPD Primary Photoreceptor Diseases
NASH Non-alcoholic steatohepatitis PPI Protein-protein Interaction
ndCKD Non-diabetic chronic kidney disease PRP Photoreceptor Precursor Cell

137 /// Bayer Investor Relations /// Pharma R&D Event /// June 2023
Appendix: Abbreviations (4/4)

PSA Psoriatic arthritis SPAF Stroke Prevention In Atrial Fibrillation


PSC Pluripotent Stem Cells sq/ad squamous/adenocarcinoma
PSO Psoriasis T1D Type 1 diabetes
PTS Probability of Technical Success T2D Type 2 diabetes
RA-ILD Rheumatoid arthritis associated interstitial lung disease TA Therapeutic areas
RCC Renal cell carcinoma TF Transcription Factor
R&D Research & Development TH T helper
RED Research & Early Development TKI Tyrosine kinase inhibitor
RNA Ribonucleic acid TNBC Triple Negative Breast Cancer
ROS1 C-ros oncogene 1) TRT Targeted radiotherapy
RP Retinitis Pigmentosa TRx Total prescriptions
RPE Retinal pigment epithelium UACR Urine Albumin Creatinine Ratio
RTP HQ Research Triangle Park Headquarter Ub Ubiquitin
SD Stargardt's disease VKA Vitamin K Antagonists
sGC Soluble guanylate cyclase VMS Vasomotor symptoms
SGLT2i Sodium-glucose Cotransporter-2 inhibitors VTA Ventral tegmental area
SMOL Small Molecule VVD Vividion
SOC Standard of Care WW Worldwide

138 /// Bayer Investor Relations /// Pharma R&D Event /// June 2023

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