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TRANSCRIPT
THE in vivo ENGINE OF
CYTOTOXIC T CELLS TO FIGHT DISEASE
November 2014
2
Forward-looking Statements
This presentation contains forward-looking statements with respect to, among other things,
our business, financial condition, strategy and prospects, and has been prepared solely for
informational purposes. All statements, other than statements of historical fact, regarding
our strategy, potential future products, prospects, plans, opportunities and objectives
constitute “forward-looking statements.” These statements are not guarantees of future
performance and involve a number of unknown risks, assumptions, uncertainties and
factors that are beyond our control. Given these risks, assumptions and uncertainties, you
should not place undue reliance on these forward-looking statements.
Important factors that could cause actual results to differ materially from those indicated
by such forward-looking statements include, among others, our history of net losses and
expected net losses for the foreseeable future, that we have no product candidates
approved for commercialization and may never achieve profitability, that we will require
additional capital to finance our operations, that we may not be able to successfully
develop, obtain regulatory approval and commercialize our product candidates, all of
which are novel and in early clinical development, and those other risks that will be set
forth under the header “Risk Factors,” “Note Regarding Forward-Looking Statements” and
“Management’s Discussion and Analysis of Financial Condition and Results of Operations” in
our periodic reports filed with the Securities and Exchange Commission, including our
Quarterly Report for the period ended September 30, 2014. All statements contained in this
presentation are made only as of the date of this presentation and are subject to
uncertainty and changes. Except as required by law, we expressly disclaim any
responsibility to update such forward-looking statements, whether as a result of new
information, future events or otherwise.
• Introduction
• Discovery Platforms
• Clinical Product Candidates
• Financial Highlights & Upcoming Milestones
3
Contents
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Dual Discovery
Platforms
Two productive discovery platforms from
cutting-edge T cell immunology science
First-in-class
Clinical Product
Candidates
Clinical-stage product candidates in our two
approaches in both orphan and high-
incidence tumors
Team Experienced management, proven Board and
world-class advisors
Immune Design: Bringing All the Pieces Together
Strategic
Focus
Immuno-Oncology -100% retained• with infectious, allergic and autoimmune diseases
optionality for partnering or additional growth
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Two IMDZ ApproachesTwo T cell TherapiesTwo Main Categories
Adoptive T cell
transfer(personalized, ex
vivo manipulation)
Specific AntigenOff-the-shelf,
In vivo
induction and
expansion of T
cells
Remove the
blockade(checkpoint
inhibitors)
Induce T
cells to kill
the tumor
Immuno-Oncology: the next pillar of
cancer treatment
Endogenous
Antigen
Immune Design: A Premier Immuno-Oncology Company
Tumor
Tumor-induced
Immune BlockadeCTLs
Carlos Paya, MD, PhDChief Executive Officer
President
Vice President
Stephen R. Brady, JD, LLMChief Business Officer
VP Corporate Development
Wayne Gombotz, PhDChief Development Officer
Vice President
Senior Director
Richard T. Kenney, MD, FACPChief Medical Officer
Chief Medical Officer
Jan H. ter Meulen, MD, DTM&HChief Scientific Officer
Executive Director
Frank J. Hsu, MDVice President, Head of Oncology
Chief Medical Officer
Senior Medical Director
Paul Rickey, CPAVice President, Finance & Administration
Corporate Controller
Senior Auditor
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Experienced and Proven Leadership Team
Prior Experience
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Exceptional Board and Advisors
Board of Directors
Ed Penhoet, PhD,° Alta (Chair)
David Baltimore, PhD,* §° Caltech
Franklin M. Berger, Independent
Carlos Paya, MD, PhD, IMDZ
Scientific Advisors (SAB)
Larry Corey, MD,° Fred Hutch (Chair)
David Baltimore, PhD,* §° Caltech
Carl June, MD,° U of Penn
Phil Greenberg, MD, Fred Hutch.
Clinical Advisors (CAB)
Mario Sznol, MD, Yale (Chair)
Jedd Wolchok, MD, PhD, MSKCC
Jeff Weber, MD, PhD, Moffitt
F. Stephen Hodi, MD, Dana Farber
Robert Maki, MD, PhD, Mt. Sinai
*Nobel Laureate, §National Academy of Sciences,
°Institute of Medicine of the National Academies
William R. Ringo, Independent
Peter Svennilson, TCG
Brian Atwood, Versant
Inder Verma, PhD,§° Salk Institute
Rafi Ahmed PhD,§ Emory University
Steven Reed, PhD, IDRI
Patrick Hwu, MD, MD Anderson
Nina Bhardwaj, MD, PhD,° Mt. Sinai
Kristen Hege, MD, Celgene
David Parkinson, MD,° NEA
Lawrence Baker, DO, U Michigan
DISCOVERY PLATFORMS
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Separate & complementary MOAs induce/expand CTLs in vivo to kill tumors
Specif
ic A
nti
gen
Appro
ach
Endogenous
Anti
gen
Appro
ach
TUMOR
LYSISTUMOR
GLAAS+ Antigen protein induces CD4 T cells
DC
In vivo expanded
CTLs attack tumorsCD8 T cells (CTLs)
ZVex + Antigen RNA induces CTLs
CD4 T cells
expand CTLs
DC
GLAAS-activated DCs
uptake new released
antigens and expand CTLs
ADDITIONAL
TUMOR
LYSISTUMOR
Expanded, diverse CTLs
attack the residual tumor
TUMOR LYSIS by:
- Radiation
- Chemo
- CTLs
- Other
Intra-tumoral GLAAS
+ GLA
The Immune Design in vivo Difference
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Dendritic Cells: the Key to inducing Tumor Killing CTLs
Selective in vivo DC
targeting for maximum
CTL generation
Each new
genetic payload =
potential new product
Capacity
for substantial
genetic payload
Integration-deficient and
replication-incompetent
for safety
Lack of prior
immunity allows for
multiple dosing
The ZVex Advantage: First-in-class in vivo DC Targeting
ZVex: breaks tolerance to self-antigen & induces CTL memory (A); can be dosed
repeatedly (B); controls B16 melanoma growth (C); and synergizes with CPIs (D)
C
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CTL responses in naïve mice,
immunized with 6.5E10 ZVex-mTRP1 (A463M)
Normal mice
A
0
2
4
6
8
0 1 1 1 4 1 7 2 0 2 3 2 6 2 9 3 2
Days Post-Immunization
%CTL
0
50
100
150
200
250
300
350
400
0 14 16 21 23 26 28 30 33 35
Tum
or
Vo
l um
e( m
m3)
Days Post-Tumor Inoculation
ZVex-mTRP1
Buffer 5E9 ZVex-mTRP1
B16 melanoma
0
50
100
150
200
250
300
350
400
0 3 7 10 14 17 21 24 28 31 35
T um
orV
olum
e(m
m3 )
Days Post-Tumor Inoculation
Anti-PD -L1
ZVex-mTRP1
ZVex-mTRP1 + αPD-L1
B16 melanoma
D Control Vector 6E10 ZVex-mTRP1
αPD-L1
B
0
2
4
0 5 7 9 12 16 21 5 7 9 12 16
2nd
Days Post 1st Days Post 2nd
21 5 7 9 12 16 21
Days Post 3rd
3rd
6
1st
CTL responses in naïve mice,
immunized with 8E9 ZVex-NY-ESO-1
%C
TL
Normal mice
The ZVex Advantage: First-in-class in vivo DC Targeting
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Clinical-stage, synthetic TLR4 agonist potently activates DCs in vivo
Boosts pre-existing CTLs
Induces CD4 T and B
cells. Enhances Natural
Killer (NK) cells
Expanding favorable
safety database
(>1,000 subjects)
Demonstrated dose sparing
and antigen cross-
reactivity
Potential to also treat
multiple infectious and
allergic diseases
The GLAAS Advantage: GLA at the Core
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GLA efficiently:
• activates two pathways for maximum DC
activation (A)
• is 100-1,000 more potent than MPL (B)
• induces both maturation of DCs in a
dose-dependent manner and cytokine
production by DCs in the absence of
antigen (C)
A B
C
The GLAAS Advantage: GLA at the Core
14
15.7
IFN-γ
TN
F-α
PBS
+ GLAAS
PBS
+ ZVex
CD4
CD8
(CTL)
0.05
3.16
0.75
0.05
2.82
Robust antigen-
specific CTL
response
GLAAS
+ ZVex
GLAAS, in addition to enhancing number and quality of CTLs generated by ZVex ,
triggers a STRONG antigen-specific humoral response and innate immunity
Combination for CTL induction and expansion
Akin to: G305 LV305 CMB305
Specific Antigen Approach:The Synergistic Prime-Boost of ZVex + GLAAS
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Methods1. Day 0: Inoculation of B6
mice (n=10) with B16F10 tumor cells in the flank
2. Day 12: Start of treatment
3. Weekly immunization4. Prime/boost:
V.V.P.V.P.V.P* 5. CPI: weekly
*Mimics clinical LV305 regimen
Specific Antigen Approach:The Synergistic Prime-Boost of ZVex + GLAAS
* Zvex-mTRP1
** Recombinant mTRP1
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A GLA formulation from GLAAS demonstrates in vivo efficacy
without radiation or other lysing technology
Endogenous Antigen ApproachGLAAS Single Agent Efficacy
Treated tumor Untreated tumor
Data generated from collaboration with Dr. Ronald Levy, Stanford School of Medicine
• A20 Tumor cells (5x106) SQ- R & L abdomen
• GLA ( 2 or 10 ug) or vehicle injected in R
abdomen on days 6, 8 and 11
CLINICAL PRODUCT
CANDIDATES
1818
Specific Antigen Approach: ‘305 NY-ESO-1 ProgramAssembling blocks towards maximum in vivo CTLS
G305 LV305
Test Individual Building Blocks
STEP 1
STEP 2
STEP 3
CMB305
Combine intoa Prime Boost Therapy
CPI
Combination withCheckpoint Inhibitors (CPI)
CMB305
CMB305LV305 & G305
combo
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G305: GLAAS+NY-ESO-
1
CMB305 Randomized
(a-PD1) in NSCLC
- Data from for LV305 & G305
- CMB305 P1 & LV305
expansion Studies Open
- Data from CMB305 and Exploratory Studies
- Phase 2 Studies Open
1Q15 2H15
LV305
Extend & Explore
CMB305 Single Arm
in Sarcoma (Orphan)
LV305: ZVex / NY-ESO-1
2Q14 4Q14
STEP #1 : Single Agent STEP #2 : Combo Agents STEP #3 : Combo Agents + a-PD1
Phase 1 trials Phase 2 trials
Specific Antigen Approach: ‘305 NY-ESO-1 ProgramAssembling blocks towards maximum in vivo CTLS
CMB305
Extend & Explore
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• Diverse cancer types express this tumor-associated antigen
• Known safety and immunogenicity from previous approaches
Cancer indications to be studied in:
Phase 1 Phase 2
NSCLC NSCLC (High incidence)
Sarcoma Sarcoma (Orphan indication)
Breast
Melanoma
Ovarian
Other cancers known positive for NY-ESO-1Bladder (TCC) Multiple Myeloma
Cholangiocarcinoma Neuroblastoma
Colorectal NHL (DLCL)
Endometrial Cancer Prostate
Esophageal SCC Renal (oncocytoma)
Gastric Thyroid (medullary)
H&N SCC Uterine
Hepatocellular
Specific Antigen Approach: ‘305 NY-ESO-1 ProgramNY-ESO-1 expression
• G100 product potential as a stand-alone therapy
or in combination with tumor lysis agents
(radiation, chemotherapy, other)
• P1 in Merkel Cell Carcinoma (MCC) study ongoing:
first CR recorded
• Second P1 in NHL planned for 2Q15 2015
G100
- Data from P1 Merkel cell carcinoma trial
- G100 in second tumor (NHL) study open
2Q15
G100: MCC P1 - Orphan
G100: NHL + RoRx P1 - Orphan
Existing CTLs are
expanded and new ones
are induced
G100
TUMOR
LYSIS
TUMOR
GLAAS activates DCs in
tumor environment that
uptake neo-antigens
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Endogenous Antigen ApproachAssembling blocks towards boosting CTLs
MCC present(brown dots using CK20)
H&E
CK20
Pre-G100 Superficial node2/7/2014
Post-G100 Superficial node3/3/2014
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MCC absent (after 2 doses of G100)
• Patient presents with groin induration that is biopsied showing MCC
• Patient receives 2 doses of G100 (5 ug/dose) one week apart
• Patient staging is negative for metastasis and undergoes eradicative surgery
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Endogenous Antigen ApproachComplete Response in Loco-Regional MCC
Immuno-Oncology
G100 (Intratumoral GLA**)
SPECIFIC ANTIGEN
One Orphan (sarcoma) & One High
Incidence (NSCLC) Solid Tumor
CMB305 (LV305+G305 prime-boost)
LV305 (ZVex + NY-ESO-1)*
G305 (GLAAS + NY-ESO-1)*
ENDOGENOUS ANTIGENOne Orphan (Merkel Cell Carcinoma)
Infectious Disease & Allergy Phase 1 Phase 2 PartnerPreclinical
G103 (HSV-2 Vaccine)
Food Allergy Vaccine
RSV Vaccine
*Although G305 could have potential therapeutic benefit as a single therapy, we plan to evaluate G305 with LV305 as CMB305. In addition,
although we believe CMB305 should be more effective than LV305 alone, we are preserving the ability to further develop LV305, as well
**Proprietary formulation of GLA from GLAAS
Phase 1 Therapeutic ApproachPreclinical
First-in-class Immunotherapy Pipeline
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Financial Highlights and Upcoming Milestones
• Cash as of September 30, 2014: $83.4 million
• Net proceeds from July IPO: $57.8 million
• Proceeds from July exercise of warrants: $8.1 million
• Total shares outstanding (Nov 2014): 16.9 million
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Event Timing
Phase 1 data on LV305 and G305 in solid tumors
1Q15
Initiate Phase 1 study of CMB305 in solid tumors
Initiate Phase 1 study of G100 in second tumor type 2Q15
Phase 1 data on CMB305 in solid tumors and LV305 expansion
2H15Initiate Phase 2 studies of CMB305 in NSCLC and sarcoma
Phase 1 data on G100 in Merkel cell carcinoma
Establish additional non-oncology collaborations 2H14 - 2015