Evaxion A/S · NASDAQ:EVAX

Evaxion A/S — Evaxion Biotech — Investor Day (March 2024)

158 slides from Evaxion A/S's investor day presentation, Mar 19, 2024

  1. Slide 1: R&D Day: AI-Immunology – a New Era in Vaccine Development

    evaxion-biotech.com R&D Day March 19, 2024 AI-Immunology™ – a New Era in Vaccine Development AI-ImmunologyTM Powered Vaccines EVAX:NASDAQ

  2. Slide 2: Agenda

    Agenda SESSION 1 - Introduction CET / EST 14.00 - 14.10 / 9.00 – 9.10 Welcome 14.10 - 14.20 / 9.10 – 9.20 Evaxion overview - Setting the scene 14.20 - 14.35 / 9.20 – 9.35 AI-ImmunologyTM - A leading AI platform 14.35 - 14.55 / 9.35 – 9.55 EvaxMHC 4.0 - A cutting-edge AI building block 14.55 - 15.15

  3. Slide 3: Forward-Looking Statement

    Forward-Looking Statement This presentation contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. The words “target,” “believe,” “expect,” “hope,” “aim,” “intend,” “may,” “m

  4. Slide 4: Session 1 – Introduction

    evaxion-biotech.com SESSION 1 – Introduction AI-ImmunologyTM Powered Vaccines

  5. Slide 5: Evaxion overview - Setting the scene

    Evaxion overview - Setting the scene © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 5

  6. Slide 6: Who We Are

    Who We Are Evaxion is a pioneering TechBio company with a validated and leading AI–platform (AI-Immunology™) for fast and effective vaccine target discovery, design and development AI-Immunology™ allows for groundbreaking development of novel personalized and precision vaccines for cancer and infect

  7. Slide 7: Why Are We Here: Saving and Improving Lives with AI-Immunology

    Why Are We Here: Saving and Improving Lives with AI- Immunology™ 10 million deaths a year due to cancer* 7.8 million deaths a year due to infectious diseases** © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. * Source: WHO, ** Source: IHME, 7

  8. Slide 8: Strategy: Three-Pronged Business Model Based upon AI-Immunology

    Strategy: Three-Pronged Business Model Based upon AI-Immunology™ Multi-partner approach to value realization TARGETS Multi-partner approach focused around single or multiple vaccine target discovery, design and development agreements PIPELINE Own development programs for select high value programs;

  9. Slide 9: Multidisciplinary Capability Set and State of the Art Facilities

    We Have Built a Strong Multidisciplinary Capability Set and State of the Art Facilities Disease Biology Translational Target Discovery Medicine AI-Immunology™ Clinical Vaccine target discovery, Antigen Development design & development Design Vaccine & CMC Adjuvant Design Preclinical Development © Ev

  10. Slide 10: AI-Immunology - Clinically Validated Predictive Capabilities

    AI-Immunology™ - Clinically Validated Predictive Capabilities High prediction score of neoantigens (n=6) • AI response prediction Low prediction score of neoantigens (n=6) (PIONEER™ score) builds on the presence of high-quality tumour neoantigens Progression Free Survival Fraction of patients with •

  11. Slide 11: Platform and Capability Set Drive Differentiation

    Our AI-Immunology™ Platform and Multidisciplinary Capability Set Drive Differentiation • Our multidisciplinary capability set allows for: VALUE OF PLATFORM • Continuous iterative learning loops • Ongoing expansion of data sets with RISK OF FAILURE proprietary data • Rapid validation of AI prediction

  12. Slide 12: Pipeline: Performance and Scalability of Our AI-Immunology Platform

    Pipeline: Demonstrating the Performance and Scalability of Our AI-Immunology™ Platform * © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. *The data generated in the EVX-02 program actively informs the 12 development of the second generation EVX-03 DNA vaccine

  13. Slide 13: Recent Highlights Confirm Strong Strategy Execution

    Recent Highlights Confirm Strong Strategy Execution Collaboration with Leading Collaboration with Afrigen Private Placement with Closing of $15 Million Public Pharmaceutical Company Biologics Participation of MSD GHI Offering with Participation MSD GHI OCT-31 NOV-15 DEC-8 JAN-24 FEB-20 SEP-18 SEP-20

  14. Slide 14: Several Important Near-Term Milestones

    Several Important Near-Term Milestones Milestones Target EVX-B1 Conclusion of final MTA study with potential partner Q1 2024 AI-Immunology™ Launch of EDEN™ model version 5.0 Mid 2024 EVX-B2-mRNA EVX-B2-mRNA preclinical Proof-of-Concept obtained Q3 2024 EVX-01 Phase 2 one-year readout Q3 2024 Conclus

  15. Slide 15: Agenda

    Agenda SESSION 1 - Introduction 14.20 - 14.35 / 9.20 – 9.35 AI-Immunology™ - A leading AI platform 14.35 - 14.55 / 9.35 – 9.55 EvaxMHC 4.0 - A cutting-edge AI building block 14.55 - 15.15 / 9.55 – 10.15 BREAK SESSION 2 - Infectious Disease Vaccines 15.15 - 15.35 / 10.15 – 10.35 EDEN™ - Best-in-class

  16. Slide 16: AI-Immunology – A leading AI platform

    AI-Immunology™ – A leading AI platform © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 16

  17. Slide 17: AI-Immunology - A Unique Differentiator

    AI-Immunology™ - A Unique Differentiator © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 17

  18. Slide 18: AI-Immunology - Clinically Validated Predictive Capabilities

    AI-Immunology™ - Clinically Validated Predictive Capabilities High prediction score of neoantigens (n=6) • AI response prediction Low prediction score of neoantigens (n=6) (PIONEER™ score) builds on the presence of high-quality tumour neoantigens Progression Free Survival Fraction of patients with •

  19. Slide 19: The EVAXION Journey

    The EVAXION Journey Global Readiness for AI EDEN™ PIONEER™ RAVEN™ AI-DEEP™ ObsERV™ 2008 2016 2019 2020 2021 2022 2023 2024 EVX-01 EVX-02 IPO MSD MSD study study partner- share- © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. start start ship holder 19

  20. Slide 20: Why The Need for AI-Immunology

    Why The Need for AI-Immunology™ 10 million deaths a year due to cancer* 7.8 million deaths a year due to infectious diseases** We use the AI-Immunology™ platform to discover and assess the protectiveness of vaccine antigens and design candidates within hours, expediting the vaccine development proce

  21. Slide 21: A Vaccine Teaches the Body to Fight an Infectious Agent or Disease

    A Vaccine ‘Teaches’ the Body to Fight an Infectious Agent or Disease • A vaccine is a drug that is introduced into the body to trigger an immune response to prevent infection or to control a disease like cancer • A vaccine contain parts of the infectious agent or cancer that can trigger a successful

  22. Slide 22: Key Areas for Building a Successful Vaccine

    Key Areas for Building a Successful Vaccine DISEASE IMMUNE RESPONSE VACCINE DESIGN © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 22

  23. Slide 23: The Key Areas of AI-Immunology

    The Key Areas of AI-Immunology™ DISEASE DECODING IMMUNE RESPONSE DECODING VACCINE DESIGN © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 23

  24. Slide 24: AI-Immunology is an Ensemble of Smaller Building Blocks

    AI-Immunology™ is an Ensemble of Smaller Building Blocks Utilized Across the AI-Immunology™ Models SNVs EvaxMHC Precision design DISEASE DECODING Frameshifts HLA typing BIFROST HLA loss Epitope hotspots Personalized design © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 20

  25. Slide 25: The Building Blocks of AI-Immunology

    The Building Blocks of AI-Immunology™ 1 DISEASE DECODING Our disease decoding building blocks scan the disease of interest and pinpoint the weak spots for recognition by the immune system VIRUS BACTERIA CANCER © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 25

  26. Slide 26: The Building Blocks of AI-Immunology

    The Building Blocks of AI-Immunology™ 1 DISEASE DECODING SNVs Frameshifts Gene fusions HLA loss ERV antigens TME impact Clonality Expression Bacterial antigens Viral antigens Antigen conservation Treatment effect Neoantigens © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark,

  27. Slide 27: The Building Blocks of AI-Immunology

    The Building Blocks of AI-Immunology™ 1 DISEASE DECODING SNVs Frameshifts Gene fusions HLA loss ERV antigens TME impact Clonality Expression Bacterial antigens Viral antigens Antigen conservation Treatment effect Neoantigens 2 IMMUNE RESPONSE DECODING Our immune response decoding building blocks ran

  28. Slide 28: The Building Blocks of AI-Immunology

    The Building Blocks of AI-Immunology™ 1 DISEASE DECODING SNVs Frameshifts Gene fusions HLA loss ERV antigens TME impact Clonality Expression Bacterial antigens Viral antigens Antigen conservation Treatment effect Neoantigens 2 IMMUNE RESPONSE DECODING EvaxMHC HLA typing HLA frequencies Distance to s

  29. Slide 29: The Building Blocks of AI-Immunology

    The Building Blocks of AI-Immunology™ 1 DISEASE DECODING SNVs Frameshifts Gene fusions HLA loss ERV antigens TME impact Clonality Expression Bacterial antigens Viral antigens Antigen conservation Treatment effect Neoantigens 2 IMMUNE RESPONSE DECODING EvaxMHC HLA typing HLA frequencies Distance to s

  30. Slide 30: The Building Blocks of AI-Immunology

    The Building Blocks of AI-Immunology™ 1 DISEASE DECODING SNVs Frameshifts Gene fusions HLA loss ERV antigens TME impact Clonality Expression Bacterial antigens Viral antigens Antigen conservation Treatment effect Neoantigens 2 IMMUNE RESPONSE DECODING EvaxMHC HLA typing HLA frequencies Distance to s

  31. Slide 31: How We Built ObsERV

    How We Built ObsERV™ 1 DISEASE DECODING SNVs Frameshifts Gene fusions HLA loss ERV antigens TME impact Clonality Expression Bacterial antigens Viral antigens Antigen conservation Treatment effect Neoantigens 2 IMMUNE RESPONSE DECODING EvaxMHC HLA typing HLA frequencies Distance to self Protective an

  32. Slide 32: How We Built ObsERV

    How We Built ObsERV™ ObsERV™ 1 DISEASE DECODING 1st layer is decoding the disease HLA loss Expression ERV antigens HLA loss ERV antigens Expression 2 IMMUNE RESPONSE DECODING 2nd layer is decoding the immune response EvaxMHC HLA typing EvaxMHC HLA typing HLA frequencies Distance to self Protective a

  33. Slide 33: AI-Immunology Models

    AI-Immunology™ Models PIONEER™ ObsERV™ SNVs Frameshifts Gene fusions HLA loss HLA loss ERV antigens Expression Expression Clonality Neoantigens EvaxMHC HLA typing EvaxMHC HLA typing Distance to self Antigen quality Antigen safety Personalized design Antigen quality Antigen safety Personalized design

  34. Slide 34: Pipeline: Performance & Scalability of Our AI-Immunology Platform

    Pipeline: Demonstrating the Performance & Scalability of Our AI-Immunology™ Platform * © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. *The data generated in the EVX-02 program actively informs the 34 development of the second generation EVX-03 DNA vaccine

  35. Slide 35: Building Future Models

    Building Future Models EvaxNext™ 1 DISEASE DECODING ? ? ? ? ? ? ? ? ? ? ? 2 IMMUNE RESPONSE DECODING EvaxMHC HLA typing HLA frequencies Distance to self Protective antigens Epitope hotspots 3 VACCINE DESIGN Antigen quality Antigen safety B-cell antigen modelling B-cell antigen design Precison design

  36. Slide 36: Building Block Architecture Enables Scaling to Other Therapeutic Areas

    Building Block Architecture Enables Scaling to Other Therapeutic Areas CA NC ER © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 36

  37. Slide 37: Summary

    Summary • Evaxion is first mover in using AI for vaccine target discovery, design & development and clearly differentiated • AI-Immunology™ platform is trained in cancer and infectious diseases • AI-Immunology™ has been clinically validated • AI-Immunology™ is an ensemble of smaller building blocks

  38. Slide 38: EvaxMHC our Central Building Block

    EvaxMHC our Central Building Block PIONEER™ ObsERV™ EvaxMHC HLA typing EvaxMHC HLA typing Distance to self Antigen quality Antigen safety Personalized design Antigen quality Antigen safety Personalized design RAVEN™ EDEN™ EvaxMHC Protective antigens EvaxMHC HLA frequencies Epitope hotspots B-cell an

  39. Slide 39: Agenda

    Agenda SESSION 1 - Introduction 14.35 - 14.55 / 9.35 – 9.55 EvaxMHC 4.0 - A cutting-edge AI building block 14.55 - 15.15 / 9.55 – 10.15 BREAK SESSION 2 - Infectious Disease Vaccines 15.15 - 15.35 / 10.15 – 10.35 EDEN™ - Best-in-class model assessing protectiveness of B-cell antigens 15.35 - 15.55 /

  40. Slide 40: EvaxMHC 4.0 - A cutting-edge AI building block

    EvaxMHC 4.0 - A cutting-edge AI building block © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 40

  41. Slide 41: EvaxMHC is a Central Building Block Across All Models

    EvaxMHC is a Central Building Block Across All AI-Immunology™ Models © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 41

  42. Slide 42: Adaptive Immune System Revolves Around MHC-Peptide-TCR Interaction

    The Adaptive Immune System Revolves Around the MHC•Peptide•TCR Interaction Peptide T-Cell Receptor | TCR Major Histocompatibility Complex | MHC T-Cell © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 42

  43. Slide 43: MHC Genes are the Most Diverse Genes

    MHC Genes are the Most Diverse Genes Across All Individuals MHC: Major Histocompatibility Complex HLA: Human Leukocyte Antigen Human Class I MHCs: HLA-A, B, and C Class II: HLA-DR, DQ, and DP Currently 26,610 HLA class I alleles and 11,398 HLA class II alleles are known. © Evaxion Biotech A/S. All r

  44. Slide 44: MHC-Peptide Predictors Classify Presentation

    MHC•Peptide Predictors Classify Presentation for Millions of Peptides on Thousands of MHC Alleles © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 44

  45. Slide 45: EvaxMHC Empowers ObsERV to Design ERV-Based Cancer Vaccines

    EvaxMHC Empowers ObsERV™ to Design Efficacious ERV-Based Cancer Vaccines • Peptide-MHC prediction is a core element in ObsERV™ • Vaccine group designed after swapping out EvaxMHC with Gold standard tool • EvaxMHC vaccine group mounts stronger and sustained immune response and tumor protection © Evax

  46. Slide 46: Proprietary Datasets for Underrepresented MHC Alleles

    Evaxion has Generated Proprietary Datasets for MHC Alleles that are Underrepresented in Public Datasets HLA distance to train set vs Caucasian population frequency ● Population frequency (%) 20 Population Frequency [%] ● ● ● ● ● ● 10 ● ● ● ● ● ● ● ● ● HLA−C02:02 ● ● ● ● ● HLA−A68:01 HLA−C08:02 ● ● H

  47. Slide 47: EvaxMHC4 Improvements Driven by Proprietary Datasets and Architectures

    EvaxMHC4 Improvements are Driven by Proprietary Datasets, Novel Architectures and Training Strategy HLA distance to train set vs Caucasian population frequency ● 20 Integrating deep neural networks Population Frequency [%] 1. Population frequency (%) ● Output with Peptide-MHC data have ● ● ● ● ● pro

  48. Slide 48: Conventional Peptide-MHC Predictions

    Conventionally, Peptide•MHC Predictions are Driven by Deep Knowledge and Feature Engineering Prediction Dense Neural Network "Stretch" "Bulge" © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 48

  49. Slide 49: Deep Learning Techniques Leverage Increasing Amounts of Data

    Deep Learning Techniques are Used to Leverage Increasing Amounts of Data Encoder-Decoder Encoder-only E.g. machine translation E.g. autocomplete, ChatGPT Output Output Decoder Encoder Encoder Input Input © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 49

  50. Slide 50: Deep Learning Techniques Leverage Increased Amounts of Data

    Deep Learning Techniques are Used to Leverage Increased Amounts of Data Encoder-Decoder For Peptide•MHC modelling Representation P • Logical fit to model Peptide•MHC interaction • MHC Sequence as the "Input language" Decoder Encoder • Peptide + Encoded MHC is decoded to a binding yes/no answer MHC S

  51. Slide 51: Deep Learning Techniques Leverage Increased Amounts of Data

    Deep Learning Techniques are Used to Leverage Increased Amounts of Data Encoder-Decoder + Generative Adversarial Network For Peptide•MHC modelling Fake Peptide Representation P Decoder Decoder Encoder Encoder MHC Sequence MHC Sequence Real Peptide © Evaxion Biotech A/S. All rights reserved worldwide

  52. Slide 52: Learning Connections Between MHC Class I and Class II Binding

    Deep Learning Techniques are Used to Learn Connections Between MHC Class I and Class II Binding Transformer Architecture allow a combination of MHC class I and class II data Fine-Tuning Class I GAN Pretraining Classifier Training Class I & II Class I & II Fine-Tuning Class II © Evaxion Biotech A/S.

  53. Slide 53: EvaxMHC is a State-of-the-Art Peptide-MHC Predictor

    EvaxMHC is a State-of-the-Art Peptide•MHC Interaction Predictor © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 53

  54. Slide 54: EvaxMHC is a State-of-the-Art Peptide-MHC Predictor

    EvaxMHC is a State-of-the-Art Peptide•MHC Interaction Predictor © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 54

  55. Slide 55: Peptide-MHC Predictions Impact Across AI-Immunology Models

    State-of-the-Art Peptide•MHC Predictions Impacts Across Our AI-Immunology™ Models © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 55

  56. Slide 56: Summary

    Summary • Peptide•MHC interactions communicate self/non-self across cell boundaries • Peptide•MHC predictions are crucial for modern design of vaccines • EvaxMHC 4.0 is a major leap forward in Peptide•MHC prediction performance • Advances in Peptide•MHC prediction precision improves vaccine performa

  57. Slide 57: Q&A Session

    Q&A SESSION © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 57

  58. Slide 58: Break

    BREAK – Be Back at 15.15 CET / 10.15 EST © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 58

  59. Slide 59: Agenda

    Agenda SESSION 1 - Introduction SESSION 2 - Infectious Disease Vaccines 15.15 - 15.35 / 10.15 – 10.35 EDEN™ - Best-in-class model assessing protectiveness of B-cell antigens 15.35 - 15.55 / 10.35 – 10.55 RAVEN™ - Model for uncovering unique cross-protective T-cell antigens 15.55 - 16.15 / 10.55 – 11

  60. Slide 60: Session 2 – Infectious Disease Vaccines

    evaxion-biotech.com SESSION 2 – Infectious Disease Vaccines AI-ImmunologyTM Powered Vaccines

  61. Slide 61: EDEN - Best-in-class model assessing protectiveness of B-cell antigens

    EDEN™ - Best-in-class model assessing protectiveness of B-cell antigens © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 61

  62. Slide 62: Global Deaths from AMR Infections Set to Skyrocket

    Global Deaths from Antimicrobial Resistant (AMR) Infections Sets to Skyrocket 12 10 mil 10 mil 10 • 2020 - 10 million deaths a year due to cancer* 8 6 • 2020 - 1,3 million death of AMR infections** 4 • 2050 - 10 million death of AMR 2 1.3 mil infections** 2020 2020 2050 Cancer Deaths AMR Infection D

  63. Slide 63: We Need AI for Accelerated Vaccine Development against AMR

    We Need AI for Accelerated Vaccines Development against AMR Infections • Vaccines have a proven track-record of tackling AMR infections • Traditional vaccine development 'Reverse Vaccinology' is both costly and time- consuming, relying on luck to find protective antigen targets • We use our EDEN™ AI

  64. Slide 64: How We Built EDEN

    How We Built EDEN™ EDEN™ 1 DISEASE DECODING Bacterial antigens Viral antigens Antigen conservation EvaxMHC Protective antigens Bacterial antigens Viral antigens Antigen conservation B-cell antigen modelling B-cell antigen design 2 IMMUNE RESPONSE DECODING EvaxMHC HLA typing HLA frequencies Distance

  65. Slide 65: EDEN Identifies Novel Protective Antigen Targets

    EDEN™ Identifies Novel Protective Antigen Targets by Feature Recognition © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 65

  66. Slide 66: EDEN Predicts Antigen Protectiveness and Ranks Proteome

    EDEN™ Predict Antigen Protectiveness and Ranks Proteome © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 66

  67. Slide 67: EDEN AI-Score Correlates with Protection

    EDEN™ AI-Score Correlates with Protection Identifying Most Protective Antigens N. gonorrhoeae A. baumannii K. pneumoniae S. aureus Protective Significance Protective Significance Protective Significance Protective Significance (p-value) (p-value) (p-value) (p-value) EDEN prediction score EDEN predic

  68. Slide 68: EDEN Outperforms Reverse Vaccinology

    EDEN™ Outperforms Reverse Vaccinology EDENTM (top 40 rank) 23 potential novel protective targets EDEN screening of ~2000 proteins Time: 24 hours Intercell Novartis The 8 protective antigen targets Group A Streptococcus in top 40 EDEN rank 68 © Evaxion Biotech A/S. All rights reserved worldwide. Cope

  69. Slide 69: Gonorrhea Skyrockets Today

    Gonorrhea Skyrockets Today Gonorrhoea • Gonorrhea is a sexually transmitted disease 80.000 caused by infection with the Neisseria gonorrhoeae bacterium 70.881 70.000 • N. gonorrhoeae infections are often without 60.000 symptoms and untreated 50.000 • CDC classifies gonorrhea as an urgent threat due

  70. Slide 70: EVX-B2: Two Superior Top Ranked EDEN Antigens

    EVX-B2: Two Superior Top Ranked EDEN™ Antigens NG-EDEN-1 Multiple NG-EDEN-2 EVX-B2 N. gonorrhoeae strain proteomes processed by EDEN™ AI model % Protection % Protection EDEN AI score © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. Source: Gulati S et al. mBIO 2023 Oc

  71. Slide 71: EVX-B2 Shows Unprecedented Broad Bacteria Killing

    % Bacterial Survival % Survival W H W O 0 50 100 H 9 W O 07 H 9 W O 06 O H 90 N O 4 90 L W 2 H M G W O S H 90 11 W O 8 H 90 P O 5 91 M 2 N X J W N 15 H NJ48 O J 90 11 W 9 H N U O J 9 2 W W 01 6 W HO R2 F H 9 2 W O 14 0 H 91 Z O 1 90 W W 3 H O 2K 91 52 0 N V J6 SF0 2 3 N 34 J4 4 PI NJ D 1 © Evaxion B

  72. Slide 72: EVX-B2 Antigen Shows Stronger Protection than Clinical Lead Antigen

    EVX-B2 Antigen Shows Stronger Protection than Clinical Lead Antigen (NHBA) % Protection * * N.B: GSK, LimmaTech and Griffith University collaborate on © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. developing a Ng vaccine including the NHBA antigen 72

  73. Slide 73: EDEN Identifies New Class of Antigens

    EDEN™ Identifies New Class of Antigens with Potential Broad Applicability EVX-B2 antibodies attack the weak spot of the bacteria! Targeting bacteria during cell division © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. Source: Gulati S et al. mBIO 2023Oct 31; DOI: 10.

  74. Slide 74: EDEN is Behind Several Infectious Disease Product Candidates

    EDEN™ is Behind Several of Evaxion’s Infectious Disease Product Candidates * *The data generated in the EVX-02 program actively informs the development of the second generation EVX-03 DNA vaccine © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 74

  75. Slide 75: Summary

    Summary • EDEN™ AI-score correlates with protection identifying most protective antigens potentially enabling lower clinical risk • EDEN™ outperforms reverse vaccinology for faster and cheaper vaccine discovery • Our EVX-B2 vaccine is the solution against Gonorrhea • EVX-B2 shows unprecedented broad

  76. Slide 76: Q&A Session

    Q&A SESSION © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 76

  77. Slide 77: Agenda

    Agenda SESSION 1 - Introduction SESSION 2 - Infectious Disease Vaccines 15.35 - 15.55 / 10.35 – 10.55 RAVEN™ - Model for uncovering unique cross-protective T-cell antigens 15.55 - 16.15 / 10.55 – 11.15 BREAK SESSION 3 - Personalized Cancer Vaccines 16.15 - 16.35 / 11.15 – 11.35 PIONEER™ - Validated

  78. Slide 78: RAVEN - Model for uncovering cross-protective T-cell antigens

    RAVEN™ - Model for uncovering unique cross-protective T-cell antigens © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 78

  79. Slide 79: RAVEN Distills Immunogenic Components into Enhanced Subunit Vaccine

    RAVEN™ Distills the Immunogenic Components of a Pathogen down to an Enhanced Subunit Vaccine © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 79

  80. Slide 80: T-Cell Epitopes Can Boost Subunit Vaccine Efficacy

    T-Cell Epitopes Can Boost Subunit Vaccine Efficacy and Response Time Antigen Antigen Presenting Cell B cell T-helper cell © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 80

  81. Slide 81: RAVEN Designed T-Cell Hotspot Primer Enables One-Shot Antibody Titers

    RAVEN™ Designed T-Cell Hotspot Primer Enables One-Shot Antibody Titers © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 81

  82. Slide 82: T-Cell Epitopes Can Provide Protection Against Pathogens

    T-Cell Epitopes Can Provide Protection Against Infectious Pathogens Antigen Presenting Cell Infected Cell Killer T cell © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 82

  83. Slide 83: RAVEN T-Cell Hotspot Vaccine Protects Against Lethal Challenge

    RAVEN™ Designed T-Cell Hotspot Vaccine Provides Significant Protection Against Lethal Challenge Verified IFN-𝛾 response towards 88% (15/17) of the Vaccination with T-cell epitopes alone is sufficient for included hotspots protection against lethal infection in K18-hACE2/BL6 mice SARS-CoV-2 genome…

  84. Slide 84: RAVEN Enables Multiple Strategies for T-Cell Vaccine Integration

    RAVEN™ Enables Multiple Strategies for T-Cell Vaccine Integration Stand-Alone T-Cell Vaccine T-Cell Primer Vaccine T-Cell Grafted Vaccine • Extremely fast to produce • Extremely fast to produce • Simpler distribution and delivery • Can elicit broad but limited • Improves onset and quality of protect

  85. Slide 85: RAVEN Models Components for T-Cell Response

    RAVEN™ Models the Crucial Components for a Cytotoxic and Helper T-Cell Response 1. Viral Genomes 2. Target Population 3. Optimal T-Cell Hotspots Expression Epitope hotspots HLA frequencies Precision design Viral antigens EvaxMHC Antigen conservation © Evaxion Biotech A/S. All rights reserved worldwi

  86. Slide 86: RAVEN Can Find Key Immunogenic Hotspots in Days

    Using EvaxMHC, RAVEN™ Can Find Key Immunogenic Hotspots in Days © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 86

  87. Slide 87: RAVEN Includes Modules for Structural Modelling

    RAVEN™ Includes Modules for Structural Modelling 4. B-Cell Antigen 5. Enhanced B-Cell Antigen • EDEN™ Selected • Epitope Grafting • Viral Glycoprotein • Structure Stabilization Precision design Antigen conservation BIFROST B-cell antigen modelling B-cell antigen design © Evaxion Biotech A/S. All rig

  88. Slide 88: Grafting of T-Cell Epitopes Into B-Cell Antigens Under Development

    Intelligent Grafting of T-Cell Epitopes Into B-Cell Antigens is under development RAVEN identified T-cell epitopes can be grafted into B-cell antigens using AI autoencoders © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 88

  89. Slide 89: RAVEN is Behind Several Infectious Disease Product Candidates

    RAVEN™ is Behind Several of Evaxion’s Infectious Disease Product Candidates * © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 89

  90. Slide 90: Summary

    Summary • RAVEN is designed to find efficacious T- cell hotspots • RAVEN can design protective T-cell vaccines using technology from our personalized rapid production • RAVEN can choose T-cells to boost efficacy of B-cell vaccine candidates © Evaxion Biotech A/S. All rights reserved worldwide. Copen

  91. Slide 91: Q&A Session

    Q&A SESSION © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 91

  92. Slide 92: Break

    BREAK – Be Back at 16.15 CET / 11.15 EST © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 92

  93. Slide 93: Agenda

    Agenda SESSION 1 - Introduction SESSION 3 - Personalized Cancer Vaccines 16.15 - 16.35 / 11.15 – 11.35 PIONEER™ - Validated model for designing personalized Neoantigen vaccines 16.35 - 16.55 / 11.35 – 11.55 ObsERV™ - Leading model for designing personalized ERV-antigen vaccines 16.55 - 17.15 / 11.55

  94. Slide 94: Session 3 – Personalized cancer vaccines

    evaxion-biotech.com SESSION 3 – Personalized cancer vaccines AI-ImmunologyTM Powered Vaccines

  95. Slide 95: PIONEER - Validated model for personalized Neoantigen vaccines

    PIONEER™ - Validated model for designing personalized Neoantigen vaccines © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 95

  96. Slide 96: Still a Need for Better Cancer Treatments

    Despite the Advent of Cancer Immunotherapy there is Still a Need for Better Cancer Treatments Objective Response Rate • Cancer immunotherapy based on checkpoint inhibitors (CPI) has revolutionized the treatment of previously untreatable cancers such as melanoma • Only 20-30% of cancer patients respo

  97. Slide 97: Neoantigen-Based Cancer Vaccines are the Next Evolution

    Neoantigen-Based Cancer Vaccines are the Next Evolution of Cancer Immunotherapies Neoantigens are ideal cancer vaccine targets that: • arise from cancer-specific DNA mutations • are found specifically in tumors and absent from normal tissues • elicit potent, highly specific immune responses • synerg

  98. Slide 98: Distinct Neoantigens Hinder a Universal Neoantigen Vaccine

    Cancer Patients Have Distinct Neoantigens Hindering the Development of a Universal Neoantigen Vaccine © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. Cancer Genome Atlas Network (2015). Cell 161, 1681–1696. 10.1016/j.cell.2015.05.044. 98

  99. Slide 99: Future Cancer Treatments Tailored to Each Patient

    Future Cancer Treatments Will Be Tailored More Specifically to Each Patient Traditional Precision Personalized © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 99

  100. Slide 100: How We Built PIONEER

    How We Built PIONEER™ PIONEER™ 1 DISEASE DECODING SNVs Frameshifts Gene fusions HLA loss SNVs Frameshifts Gene fusions HLA loss Clonality Expression Neoantigens Clonality Expression EvaxMHC HLA typing Distance to self Neoantigens Antigen quality Antigen safety Personalized design 2 IMMUNE RESPONSE D

  101. Slide 101: PIONEER Models Mechanisms that Generate Effective Neoantigens

    PIONEER™ Models the Mechanisms Inside Cancer Cells that Generate Effective Neoantigens for Cancer Vaccines 1. Cancer-specific 2. Expression 3. Translation 4. Presentation 5. T-cell response 6. Clonal neoantigens mutation on MHC SNVs Expression Neoantigens EvaxMHC Distance to self Clonality Frameshif

  102. Slide 102: PIONEER is Part of a Larger Process from Tumor to Treatment

    PIONEER™ is Part of a Larger Process from Patient Tumor to Treatment Tumor and normal tissue samples Administration in combination with CPI DNA and RNA Manufacturing sequencing of personalized of samples vaccine Neoantigen vaccine designed by PIONEER™ © Evaxion Biotech A/S. All rights reserved world

  103. Slide 103: PIONEER is Behind Several Oncology Product Candidates

    PIONEER™ is Behind Several of Evaxion’s Oncology Product Candidates *The data generated in the EVX-02 program actively informs the development of the second generation EVX-03 DNA vaccine © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 103

  104. Slide 104: EVX-01 - Personalized Neoantigen Vaccine in Metastatic Melanoma

    EVX-01 - Personalized Neoantigen Vaccine in Metastatic Melanoma EVX-01 Phase 1 clinical trial (NCT03715985) … Stage IV Metastatic melanoma (N=12) … Peptide-formulated Primary endpoint: Safety and tolerability CAF09b … neoantigens … Selected secondary endpoint: … - Immune response induced by EVX-01 …

  105. Slide 105: EVX-01 - Strong Phase 1 Clinical Data

    EVX-01 - Strong Phase 1 Clinical Data Individual patient responses • Trial met the primary endpoint • Neoantigen-specific immune response in all patients • Clinical response in 8 out of 12 patients with 2 complete responders © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark,

  106. Slide 106: PIONEER Scores Predict Immunogenicity & Clinical Response

    PIONEER™ Scores Predict Immunogenicity & Clinical Response Neoantigens with higher PIONEER™ scores PIONEER™ scores are predictive of are more likely to be immunogenic clinical response p = 0.012 p = 0.014 © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. Median TMB: 17

  107. Slide 107: Superior Neoantigen Quality Leads to Prolonged Progression-Free Survival

    Superior Neoantigen Quality Leads to Prolonged Progression-Free Survival Independent of TMB EVX-01 patients stratified on median PIONEER™ score EVX-01 patients stratified on TMB p < 0.01 p > 0.05 © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 107

  108. Slide 108: EvaxMHC is Required for Optimal Prediction of Neoantigens

    EvaxMHC is Required for Optimal Prediction of Immunogenic Neoantigens 1. Cancer-specific 2. Expression 3. Translation 4. Presentation 5. T-cell response 6. Clonal neoantigens mutation on MHC EvaxMHC • Gold standard • MixMHCpred Garde et al. (2019). Immunogenetics 71, 445–454. 10.1007/s00251-019-0112

  109. Slide 109: EvaxMHC is Required for Optimal Prediction of Neoantigens

    EvaxMHC is Required for Optimal Prediction of Immunogenic Neoantigens © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 109

  110. Slide 110: Summary

    Summary • The PIONEER™ model selects relevant neoantigens for personalized cancer vaccines • PIONEER™ has been tested in two Phase 1 clinical trials and is being tested in an ongoing Phase 2 trial • PIONEER™ scores are predictive of neoantigen immunogenicity and clinical response to the neoantigen t

  111. Slide 111: Q&A Session

    Q&A SESSION © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 111

  112. Slide 112: Agenda

    Agenda SESSION 1 - Introduction SESSION 3 - Personalized Cancer Vaccines 16.35 - 16.55 / 11.35 – 11.55 ObsERV™ - Leading model for designing personalized ERV-antigen vaccines 16.55 - 17.15 / 11.55 – 12.15 BREAK SESSION 4 - Precision Cancer Concepts 17.15 - 17.35 / 12.15 – 12.35 AI-DEEP™ - Model for

  113. Slide 113: ObsERV – Leading model for personalized ERV-antigen vaccines

    ObsERV™ – Leading model for designing personalized ERV-antigen vaccines © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 113

  114. Slide 114: Some Patients Have Few Quality Neoantigens

    Some Cancer Patients Have Few Quality Neoantigens Underscoring the Need for Additional Antigen Source © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 114

  115. Slide 115: Endogenous Retroviruses May be Promising Cancer Antigens

    Endogenous Retroviruses (ERVs) May be Promising Antigens for Cancer Therapies • Ancient viruses that have integrated into the genome and are passed down through generations. • Constitute up to 8% of the human genome • Epigenetically suppressed in healthy tissue, but expressed in cancers • Examples o

  116. Slide 116: ERVs May Facilitate Vaccines for Patients with Few Neoantigens

    ERVs May Facilitate Personalized Cancer Vaccine Development for Patients with Few Neoantigens • Pan solid cancer investigation of neoantigens and ERV antigens • The number of neoantigens and ERV antigens Median ERV Antigen Burden is not correlated • Patients with few neoantigens could leverage ERVs

  117. Slide 117: Patient Stratification with ERV Antigen Burden

    Patient Stratification with the ERV Antigen Burden Supports Their Potential as Effective Cancer Antigens • CPI treated malignant melanoma patients • Genomic analysis of baseline tumor biopsies for neoantigens and ERV antigens • Low-TMB patients are stratified by ERV antigen burden • ERVs may facilit

  118. Slide 118: ERVs Presented as MHC Ligands Predicted by EvaxMHC

    ERVs Are Presented as MHC Ligands on Tumors and Can be Predicted by EvaxMHC Pak et al. (2021), Mol Cell Proteomics Tumor Cell Line © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 118

  119. Slide 119: Leveraging Modular AI-Immunology Platform to Build ObsERV

    Leveraging our Modular AI-Immunology™ Platform to Build ObsERV™ ObsERV™ 1 DISEASE DECODING HLA loss Expression ERV antigens HLA loss EvaxMHC HLA typing ERV antigens Expression Antigen quality Antigen safety Personalized design 2 IMMUNE RESPONSE DECODING EvaxMHC HLA typing HLA frequencies Distance to

  120. Slide 120: ObsERV: New AI-model for Personalized ERV-Based Cancer Vaccines

    ObsERV™: A New AI-model for Development of Personalized Cancer Vaccines Based on ERV Antigens • Fits into established clinical workflows • Requires standard RNA-seq of tumor biopsy and patient's HLA- type • Designed to identify potent ERV antigens that activate CD4+ and CD8+ T cells • Aiming to prov

  121. Slide 121: ObsERV Designs Efficacious ERV-Based Cancer Vaccines

    ObsERV™ Designs Efficacious ERV-Based Cancer Vaccines © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 121

  122. Slide 122: EvaxMHC Empowers ObsERV to Design ERV-Based Cancer Vaccines

    EvaxMHC Empowers ObsERV™ to Design Efficacious ERV-Based Cancer Vaccines • Peptide-MHC prediction is a core element in ObsERV™ • Vaccine group designed after swapping out EvaxMHC with Gold standard tool • EvaxMHC vaccine group mounts stronger and sustained immune response and tumor protection © Evax

  123. Slide 123: EVX-03 Will Evaluate Personalized Cancer Vaccines

    EVX-03 Will Evaluate Personalized Cancer Vaccines Leveraging Neoantigens and ERVs CCL19 EVX-03 Dimerization domain Neoantigen/ERV unit © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 123

  124. Slide 124: Pipeline: Performance and Scalability of Our AI-Immunology Platform

    Pipeline: Demonstrating the Performance and Scalability of Our AI-Immunology™ Platform © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 124

  125. Slide 125: Summary

    Summary • ERVs constitute a complementary source of cancer antigens • ObsERV™ enables development of ERV based personalized cancer vaccines • Preclinical proof-of-concept • IND ready for clinical testing (EVX-03) Garde, C. et al. (2023). Endogenous viral elements constitute a complementary source of

  126. Slide 126: Q&A Session

    Q&A SESSION © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 126

  127. Slide 127: Break

    BREAK – Be Back at 17.15 CET / 12.15 EST © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 127

  128. Slide 128: Agenda

    Agenda SESSION 1 - Introduction SESSION 4 - Precision Cancer Concepts 17.15 - 17.35 / 12.15 – 12.35 AI-DEEP™ - Model for predicting responses to cancer CPI immunotherapy 17.35 - 17.55 / 12.35 – 12.55 Addressing difficult to treat cancers with AI-Immunology™ 17.55 - 18.00 / 12.55 – 13.00 THANK YOU an

  129. Slide 129: Session 4 – Precision cancer concepts

    evaxion-biotech.com SESSION 4 – Precision cancer concepts AI-ImmunologyTM Powered Vaccines

  130. Slide 130: AI-DEEP - Model for predicting responses to CPI immunotherapy

    AI-DEEP™ - Model for predicting responses to cancer CPI immunotherapy © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 130

  131. Slide 131: Checkpoint Inhibitors Are Widely Used as First Line Therapy

    Checkpoint Inhibitors Are Widely Used as First Line Therapy • Cancers exploit immune checkpoints to impair the immune system • Checkpoint inhibitors remove the impairment and reinvigorate the immune system • Improved treatment of several solid cancers • Approved for an increasing number of cancer ty

  132. Slide 132: Checkpoint Inhibitor Market Projected to Reach Almost $150 BN by 2030

    The Market for Checkpoint Inhibitor Therapy Is Projected to Reach almost $150 BN by 2030 © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 132

  133. Slide 133: Many Patients Do Not Benefit from Checkpoint Inhibitor Therapy

    A Large Fraction of Cancer Patients Do Not Benefit from Checkpoint Inhibitor Therapy • Demand for continued development of immunotherapies • Demand for Identifying non-responders • Some patients get severe side effect • No established highly predictive biomarkers © Evaxion Biotech A/S. All rights re

  134. Slide 134: PIONEER Biomarker Predicts Response to EVX-01 & anti-PD1

    PIONEER™ Derived Biomarker Predicts Clinical Response to the EVX-01 & anti-PD1 Combination Immunotherapy © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 134

  135. Slide 135: ObsERV Biomarker Stratifies Low-TMB Patients Treated with CPI

    ObsERV™ Derived Biomarker Stratifies Low-TMB Cancer Patients Treated with Checkpoint Inhibitor Garde, C. et al. (2023). Endogenous viral elements constitute a complementary © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. source of antigens for personalized concer imm

  136. Slide 136: Predict Non-Responding Cancer Patients with High Precision

    Predict Non-Responding Cancer Patients with High Precision Benefits for patients and society • Redirection to better suited treatments Predict response • Avoid side effects from CPI treatment based on pre- therapy biopsy • Health care budget Genomic biomarkers • Driver mutations • Tumor microenviron

  137. Slide 137: Leveraging Modular AI-Immunology Platform to Build AI-DEEP

    Leveraging our Modular AI-Immunology™ Platform to Build AI-DEEP™ AI-DEEP™ 1 DISEASE DECODING SNVs Frameshifts Gene fusions HLA loss SNVs Frameshifts Gene fusions HLA loss ERV antigens TME impact Expression Clonality ERV antigens TME impact Clonality Expression Treatment effect Treatment effect EvaxM

  138. Slide 138: Pre-Therapy Biopsy Data from 937 CPI Treated Patients

    Pre-Therapy Biopsies Data from 937 CPI Treated Cancer Patients Were Collected for Model Development 4% 1% 5% 6% 50% 35% Metastatic Melanoma Metastatic Urothelial Cancer Renal Cell Carcinoma Metastatic Gastric Cancer Saliva Gland Carcinoma Thymic Carcinoma © Evaxion Biotech A/S. All rights reserved w

  139. Slide 139: AI-DEEP Predicts 28% of Non-Responders with High Precision

    AI-DEEP™ Predicts 28% of Non-Responders to Checkpoint Inhibitor Therapy with High Precision • Gold standard biomarkers (TMB and PDL1) fail to identify non-responding patients with high precision • AI-DEEP™ predicts 28% of non-responding patients with high precision • AI-DEEP™ could guide treatment d

  140. Slide 140: ObsERV & PIONEER Biomarkers Important for Predicting Non-Responders

    ObsERV™ & PIONEER™ Derived Biomarkers Are Important for Prediction of Non-Responding Patients • Feature ablation study ranks biomarkers according to their importance for the predictive performance • In-house models ranked among the most informative biomarkers out of an initial set of >2000 biomarker

  141. Slide 141: Summary

    Summary • AI-DEEP™ leverages PIONEER™ and ObsERV™ to predict clinical response to checkpoint inhibitor therapy • AI-DEEP™ can accurately identify a subset of non-responding cancer patients and may inform treatment decisions • We are currently exploring options for a commercial offering and further c

  142. Slide 142: Q&A Session

    Q&A SESSION © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 142

  143. Slide 143: Agenda

    Agenda SESSION 1 - Introduction SESSION 4 - Precision Cancer Concepts 17.35 - 17.55 / 12.35 – 12.55 Addressing difficult to treat cancers with AI-Immunology™ 17.55 - 18.00 / 12.55 – 13.00 THANK YOU and concluding remarks 18.00 - 19.00 / 13.00 – 14.00 Reception with drinks and snacks 143

  144. Slide 144: Addressing difficult to treat cancers with AI-Immunology

    Addressing difficult to treat cancers with AI-Immunology™ © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 144

  145. Slide 145: Some Cancers Have Few Targets for Modern Cancer Vaccines

    Some Cancers Have Few Targets for Modern Cancer Vaccines Ly m ph om M ye ell a lo B m c AM AL CL a L L L Alexandrov et al (2013) Nature 50, p415–421 Hilf et al (2018) Nature 565 p240-245 © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 145

  146. Slide 146: Endogenous Retroviruses May be Promising Cancer Antigens

    Endogenous Retroviruses (ERVs) May be Promising Antigens for Cancer Therapies • Ancient viruses that have integrated into the genome and are passed down through generations. • Constitute up to 8% of the human genome • Epigenetically suppressed in healthy tissue, but expressed in cancers • Examples o

  147. Slide 147: The Immune System Targets ERVs in Blood Cancer Patients

    The Immune System Targets ERVs in Blood Cancer Patients Saini et al 2020 – Nat. Com. Alcazer et al 2022 – Am J Hematol. Goyal1et al 2023 – Nat. Com. 23 unique ERV T-cell targets in 8 different HLA-A*02 epitopes identified Proof that ERVs are displayed on the AML/MDS patients in AML patients surface

  148. Slide 148: Inclusion of ERV Targets Allows Vaccines in Difficult to Treat Cancers

    Inclusion of ERV Targets Allows Design of Personalized Cancer Vaccine in Difficult to Treat Cancers Patient data sources (n= >15.000) TCGA TARGET PIONEER™ CGCI CCDI ObsERV™ MMRF NHGRI The Cancer Genome Atlas Program (TCGA) - Therapeutically Applicable Research to Generate Effective Treatments (TARGE

  149. Slide 149: ERV Conservation Allows Design of Shared Vaccines

    ERVs Conservation Allows for the Design of Shared Vaccines ObsERV™ 2.0 RAVEN™ HLA loss Expression ERV antigens EvaxMHC HLA typing HLA frequencies Epitope hotspots EvaxMHC HLA frequencies Epitope hotspots Antigen quality Antigen safety Personalized design Precision design Precision design BIFROST © E

  150. Slide 150: ERV Conservation Allows Design of Shared Vaccines

    ERVs Conservation Allows for the Design of Shared Vaccines ObsERV™ 2.0 Shared Vaccine © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 150

  151. Slide 151: AML ERV Targets are Different Depending on Age

    AML ERV Targets are Different Depending on Age ERV burden as a function of Age Significant difference between ERV expression in young and old AML patients Adults vs Children -log10(Adjusted P-value) Diagnosis Age ERV Burden Log2 Fold Change © Evaxion Biotech A/S. All rights reserved worldwide. Copen

  152. Slide 152: Precision-Based Vaccines Potentially Improve Effect in Childhood AML

    Precision-Based Vaccines Potentially Improves Effect in Childhood AML ObsERV™ 2.0 HLA loss Expression ERV antigens EvaxMHC HLA typing HLA frequencies Epitope hotspots Antigen quality Antigen safety Precision design Personalized design 152 © Evaxion Biotech A/S. All rights reserved worldwide. Copenha

  153. Slide 153: Pipeline: Performance and Scalability of Our AI-Immunology Platform

    Pipeline: Demonstrating the Performance and Scalability of Our AI-Immunology™ Platform © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 153

  154. Slide 154: Summary

    Summary • Targeting ERVs allows Evaxion to design vaccines for cancers that are difficult to treat with current vaccine approaches • With development of ObsERV™ 2.0, using building blocks from RAVEN™, shared vaccines can be designed for multiple different cancer types • Shared vaccines have a low ma

  155. Slide 155: Q&A Session

    Q&A SESSION © Evaxion Biotech A/S. All rights reserved worldwide. Copenhagen, Denmark, 2024. 155

  156. Slide 156: Agenda

    Agenda SESSION 1 - Introduction SESSION 4 - Precision Cancer Concepts 17.55 - 18.00 / 12.55 – 13.00 THANK YOU and concluding remarks 18.00 - 19.00 / 13.00 – 14.00 Reception with drinks and snacks 156

  157. Slide 157: Concluding Remarks - AI-Immunology

    Concluding Remarks - AI-Immunology™ • Holds the promise for a new era in vaccine discovery, design and development • Uses advanced AI and machine learning technologies • Outcompetes standard vaccine target discovery approaches • Identified targets hold the promise for addressing serious unmet needs

  158. Slide 158: Thank you!

    LinkedIn: evaxion-biotech.com Evaxion Biotech A/S Thank you! Please stick around for snacks & drinks AI-ImmunologyTM Powered Vaccines

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