Sequana Medical N.v · EURONEXT:SEQUA

Sequana Medical — Corporate Update (December 2021)

17 slides from Sequana Medical's corporate update, Dec 7, 2021

  1. Slide 1: alfapump DSR SAHARA DESERT Interim Results

    Webcast presentation – 7 December 2021 alfapump DSR ® SAHARA DESERT Interim Results

  2. Slide 2: Today's presenters

    Today’s presenters Ian Crosbie Oliver Gödje Chief Executive Officer Chief Medical Officer 2 2

  3. Slide 3: Disclaimers

    Disclaimers Important Notice IMPORTANT: You must read the following before continuing. The following applies to this document, the oral presentation of the information in this document by Sequana Medical NV (the "Company") or any person on behalf of the Company, and any question-and-answer session t

  4. Slide 4: SAHARA DESERT: Strong interim results

    SAHARA DESERT: Strong interim results Six diuretic-resistant heart failure patients with persistent congestion treated with alfapump DSR®  Indication of the ability of repeated DSR® therapy to  Safely, effectively and rapidly eliminate persistent congestion and restore euvolemia  Considerably ben

  5. Slide 5: Diuretic-resistant congestion in heart failure

    Diuretic-resistant congestion in heart failure Clear unmet clinical need and driver of costs for heart failure patients US hospitalisations HF – annually due to ~1m 90% hospitalisations HF(3) due to fluid overload(3) c.5d Typical Annual costs of US hospital stay(4) HF-related $13bn hospitalisations(

  6. Slide 6: Direct Sodium Removal (DSR) platform

    Direct Sodium Removal (DSR®) platform Eliminating fluid spread across the body – working in partnership with the kidneys 1 Sodium-free DSR infusate 2 Sodium diffuses from 3 DSR infusate + extracted 4 Body eliminates free water administered to peritoneal body into DSR sodium removed from the to resto

  7. Slide 7: alfapump DSR leveraging proven alfapump platform

    alfapump DSR® leveraging proven alfapump® platform Fully implanted system for long-term DSR® therapy Sodium-free DSR infusate administered to peritoneal cavity 1 via implanted subcutaneous port 2 Sodium diffuses into DSR infusate 1 3 alfapump pumps sodium-rich DSR infusate into the bladder 3 Body el

  8. Slide 8: SAHARA DESERT: Targeting persistent congestion

    SAHARA DESERT: Targeting persistent congestion 20 decompensated heart failure patients with persistent congestion on high dose diuretics Patient Start DSR® Euvolemic End DSR enrolment therapy state therapy Phase 1: Phase 2: Up to 3 x 2 weeks 16 weeks alfapump® + port Intensive DSR therapy Maintenanc

  9. Slide 9: Interim analysis: 6 severe heart failure patients with persistent congestion

    Interim analysis: 6 severe heart failure patients with persistent congestion on high dose diuretics Mean values at baseline of 6 patients in interim analysis Left ventricular ejection fraction: low 20% NT-proBNP: >6,000 pg/mL Furosemide equivalent dose: ~250 mg/day (standard of care) NT-proBNP: N-te

  10. Slide 10: Interim analysis: Strong efficacy results

    Interim analysis: Strong efficacy results Interim data from six patients indicate that alfapump DSR® therapy can: • Safely, effectively and rapidly eliminate persistent congestion and restore euvolemia without any loop diuretics  Weight loss* of ~6kg (=7% of body weight) vs. baseline  3 patients r

  11. Slide 11: Interim analysis: Repeated alfapump DSR therapy was safe and well-tolerated

    Interim analysis: Repeated alfapump® DSR therapy was safe and well-tolerated • No clinically significant changes in serum sodium levels or other electrolytes after intensive DSR therapy • Reported adverse events were manageable:  Diarrhea (1 patient)  Catheter blockage (1 patient)  Smart charger

  12. Slide 12: SAHARA DESERT: Enrolment

    SAHARA DESERT: Enrolment • Overall, 9 patients have been enrolled and implanted with alfapump DSR® across 2 sites • 6 patients were evaluated for interim analysis • 2 further patients just started study treatment* • 1 further patient was enrolled but died due to a cardiac arrest three days after stu

  13. Slide 13: RED DESERT: Long-term follow-up of patients

    RED DESERT: Long-term follow-up of patients Durable improvement in diuretic response following alfapump DSR® therapy Daily dose of loop diuretics** During DSR Time since last Currrent known treatment DSR treatment in the Current known reduction in Subject At screening (D0 – D42) study daily dose***

  14. Slide 14: Strong progress in development of proprietary DSR Infusate 2.0

    Strong progress in development of proprietary DSR® Infusate 2.0 for first US DSR study in H2 2022 • CMC activities ongoing & pre-clinical development work on track • MOJAVE DESERT – first US study of short-term DSR therapy planned to start in H2 2022 • Diuretic resistant chronic heart failure patien

  15. Slide 15: DSR – Robust development program

    DSR® – Robust development program* Step-by-step approach to introduction of breakthrough therapy 2021 2022 2023 2024 - alfapump DSR® feasibility study SAHARA D10% infusate; decompensated heart failure patients - Proprietary DSR infusate 2.0 manufacturing DSR Infusate 2.0 - GLP animal study (chronic

  16. Slide 16: Strong outlook for value drivers

    Liver disease / Strong outlook for value drivers  Q4 21: Q1 22: Q4 22: Mid 23: NASH POSEIDON POSEIDON POSEIDON FDA submission all patients recruited completion alfapump® implants primary endpoint readout for US approval 2021 2022 2023 Heart failure  Q4 21: H1 22: H2 22: H2 22: Mid 23: H2 23: SAHAR

  17. Slide 17: Q&A

    Q&A  IR@sequanamedical.com  +32 498 053579 www.sequanamedical.com

Sequana Medical — Corporate Update (December 2021) on 6ix