Zura Bio Limited · NASDAQ:ZURA
Zura Bio — Investor Presentation (October 2023)
34 slides from Zura Bio's investor presentation, Oct 25, 2023
Slide 1: Corporate Overview: Building the Next Immunology Leader
©2023 Zura Bio Ltd. Corporate Overview Last Updated: October 2023 Building the Next Immunology Leader
Slide 2: Forward Looking Statements Disclaimer
©2023 Zura Bio Ltd. 2 Forward Looking Statements Disclaimer This communication includes “forward - looking statements” within the meaning of the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995. Words such as “expect,” “estimate,” “project,” “budget,” “forecast,” “ant
Slide 3: Experienced management team with proven ability to execute
©2023 Zura Bio Ltd. 3 Experienced management team with proven ability to successfully execute and build a leading market position Nasdaq: ZURA Verender Badial Chief Financial Officer Someit Sidhu M.D. Chief Executive Officer and Director Chris Cabell M.D. Chief Medical Officer and Head of Research a
Slide 4: Sizeable Total Addressable Market Across Validated Mechanisms
©2023 Zura Bio Ltd. Sizeable Total Addressable Market Exists Across Number of Validated Mechanisms 4 Nasdaq: ZURA Room for growth across our three indications Approximately $4 Billion in growth anticipated by 2029 Sources: 1 Based on current annual gross price of marketed products 2 Based on 2023 gr
Slide 5: Clinical stage pipeline targeting key immunology pathways
©2023 Zura Bio Ltd. Clinical stage pipeline targeting key immunology pathways 5 ZURA BIO PROGRAM INDICATION EXPECTED KEY MILESTONES Preclinical NEXT CLINICAL PHASE Phase 1 Phase 2 Phase 3 ZB - 106 tibulizumab Anti - BAFF x IL - 17 systemic sclerosis Transition asset from Eli - Lilly Open IND rheumat
Slide 6: External Catalysts
©2023 Zura Bio Ltd. 6 ZB - 106 Program: External Catalyst ZB - 168 Program: External Catalyst ZB - 880 Program: External Catalyst L EG END: Sources: ClinicalTrial.gov, Company Press Release Abbreviations: AA, alopecia areata; AD, atopic dermatitis; COPD, chronic obstructive pulmonary disease; HS, hi
Slide 7: Our Strategic Approach: Paradigm shift for patients
©2023 Zura Bio Ltd. Paradigm shift for patients Our approach could signify a paradigm shift for patients suffering from severe and intricate autoimmune diseases. These patients currently find their needs unmet by the conventional "single” pathway approach. Pioneering dual pathway biology Integrating
Slide 8: Paradigm shifting not incrementalism
©2023 Zura Bio Ltd. Paradigm shifting not incrementalism 8 Nasdaq: ZURA PATIENTS NEED A PARADIGM SHIFT Hidradenitis suppurativa • IL - 17 treatments seem to have reached their efficacy ceiling • Overall disease burden still exists • Persistent inflammatory burden remains with a B - cell driven compo
Slide 9: Pioneering Dual Pathway Biology
©2023 Zura Bio Ltd. Pioneering Dual Pathway Biology 9 Sources: 1 Liu, Ling, et al. Journal of Inflammation Research, doi:10.2147/jir.s100940. 2 Manetta, Joseph et al. Journal of Inflammation Research, doi:10.2147/jir.s67751. 3 Benschop, Robert J., et al. mAbs, doi:10.1080/19420862.2019.1624463. (*)
Slide 10: Potent molecules with highly validated pathways
TALTZ® Anti - IL - 17 scFv Anti - BAFF Ab t a ba l u m a b IL - 17 tibulizumab: BAFF / IL - 17 BAFF ZB - 168: IL - 7R / TSLP torudokimab: IL - 33 / RAGE Potent molecules with highly validated pathways Nasdaq: ZURA DOSING TO DATE 2 o 78 Participants Dosed Across Three Ph1/1b studies 57 participants w
Slide 11: ZB-106 is Clinically De-Risked Through Ph1b
©2023 Zura Bio Ltd. ZB - 106 is Clinically De - Risked Through Ph1b 11 ▪ SAD Studies: No deaths or SAEs ▪ MAD study: No deaths, single related SAE of neutropenia with resolution ▪ Most frequent TEAE: Headache, transient neutropenia, nausea, diarrhea ▪ No TEAE of infection at target doses ▪ In the MA
Slide 12: Combining IL-17 and BAFF Neutralization in a Murine Model of Arthritis
©2023 Zura Bio Ltd. Combining IL - 17 and BAFF Neutralization in a Murine Model of Arthritis Enables Improvement in Therapeutic Benefit 12 ▪ Rheumatoid arthritis is a prototypic autoimmune disease where individually targeting IL - 17 - mediated inflammation or depleting B cells has been clinically v
Slide 13: ZB-106 tibulizumab: systemic sclerosis
©2023 Zura Bio Ltd. Potential First - in - Class, Dual Antagonist Combining tabalumab and TALTZ® ZB - 1 0 6 tibulizumab Anti - BAFF x IL - 17 systemic sclerosis (SSc)
Slide 14: Systemic sclerosis is a rare & life-threatening disease
©2023 Zura Bio Ltd. zz zz zz zz 14 Systemic sclerosis is a rare & life - threatening disease with no approved therapy ~200,000 people with SSc in US, EU and Japan 1 40 - 60% mortality in 10 years 2 Zero SSc - specific * drugs approved $2B+ annual potential market opportunity Rare and life - threaten
Slide 15: IL-17 and BAFF Inhibition Have Shown Efficacy in SSc
©2023 Zura Bio Ltd. IL - 17 efficacy in SSc Role of BAFF in SSc IL - 17 and BAFF Inhibition Have Shown Efficacy in Placebo Controlled Trials in systemic sclerosis (SSc) 15 S t rom al cells T1 - IFN BAF F P l a sm a cell C XC R5 + T fh cell T LS GC B cell C XC L1 3 • Brodalumab treatment in SSc leads
Slide 16: Rituximab and Belimumab data in SSc
©2023 Zura Bio Ltd. 16 Rituximab CD20 B - cell depleter ▪ Multiple Studies demonstrated effectiveness of rituximab in SSc (mainly open label and observational) ▪ The most compelling data comes from the DESIRES double blind – placebo - controlled trial in 56 pts with SSc ▪ Primary endpoint: mRSS chan
Slide 17: Phase 2 SSc Trial Design
©2023 Zura Bio Ltd. Phase 2 SSc Trial Design* 17 ZB - 106 | SSc KEY SAFETY ENDPOINTS KEY EFFICACY ENDPOINTS DOUBLE BLIND, PLACEBO - CONTROLLED TRIAL EFFICACY PERIOD (24 / 52 WEEKS) P L A C E B O ZB - 106 DOSE LEVEL 2 ZB - 106 DOSE LEVEL 1 R • FVC, DLCO • ACR - CRISS • Change in mRSS • SHAQ DI • VAS
Slide 18: ZB-106 tibulizumab: hidradenitis suppurativa
©2023 Zura Bio Ltd. Potential First - in - Class, Dual Antagonist Combining tabalumab and TALTZ® ZB - 1 0 6 tibulizumab Anti - BAFF x IL - 17 hidradenitis suppurativa (HS)
Slide 19: Overview of hidradenitis suppurativa (HS)
©2023 Zura Bio Ltd. Overview of hidradenitis suppurativa (HS) 19 Estimated ~300K people living with Hidradenitis suppurativa in the U.S. (1 - 2% global prevalence) Average of 7 years to diagnose globally High unmet need >50% patients still left inadequately treated According to HiSCR 75 data CURRENT
Slide 20: Recent HS Data
©2023 Zura Bio Ltd. 20 RECENT HS DATA C om p a n y Asset h umir a cosentyx bimzelx bimzelx sonelokimab sonelokimab i z o k ib e p i z o k ib e p fo s t a m a t i n i b M ec Admi P Do Total Efficacy ( H i SCR 5 0 ) Efficacy ( H i S C R75) Safety / T o lera b ili t y hanism TNF - α IL - 17 A IL - 17 A
Slide 21: B Cell Signaling Potentiates HS Disease
©2023 Zura Bio Ltd. B Cell Signaling Potentiates HS Disease 21 ZB - 106 | HS Sources: 1 Van der Zee, H.H., et al. British Journal of Dermatology, doi:10.1111/j.1365 - 2133.2011.10698. 2 Rumberger et al. 2020. J Inflam Research; 3 Sabat, Robert, et al. Journal of Allergy and Clinical Immunology, doi:
Slide 22: Dermal Tunnels: Role in HS Pathogenesis
©2023 Zura Bio Ltd. Dermal Tunnels: Role in HS Pathogenesis 22 Sources: 1 Frew et al. 2021 Clin Exper Derm; 2 Sabat et al JACI 2023; 3 Moran et al. JID 2017; 4 Gudjonsson et al. 2020; 5 Jepsen et al. 2023. JAAD Treatment with fostamatinib (SYK Inhibitor) significantly reduced IHS4 scores and drainin
Slide 23: Phase 2 HS Trial Design
©2023 Zura Bio Ltd. Phase 2 HS Trial Design* 23 ZB - 106 | HS KEY SAFETY ENDPOINTS KEY EFFICACY ENDPOINTS EFFICACY PERIOD (12 / 24 WEEKS) P L A C E B O ZB - 106 DOSE LEVEL 2 ZB - 106 DOSE LEVEL 1 Moderate to Severe HS Total abscess and inflammatory count (AN) ≥ 5 KEY INCLUSION CRITERIA DOUBLE BLIND,
Slide 24: ZB-168 Anti-IL-7R: alopecia areata
©2023 Zura Bio Ltd. A Potential Best - in - Class Anti - IL - 7R Inhibiting Both IL - 7 and TSLP Pathways ZB - 1 6 8 Anti - IL - 7R alopecia areata (AA)
Slide 25: Cytokine Signaling via IL-7 and TSLP Pathways
©2023 Zura Bio Ltd. 25 Cytokine Signaling via IL - 7 and TSLP Pathways ZB - 168 | AA IL - 7R α is a key receptor in immune regulation, central to the signaling of cytokines IL - 7 and TSLP Positioning ZB - 168 for diverse immune - related and autoimmune conditions Commonly tied to allergic responses
Slide 26: Potential Therapeutic Franchises for ZB-168
©2023 Zura Bio Ltd. 26 Potential Therapeutic Franchises for ZB - 168 ZB - 168 | AA Sources: 1 ClinicalTrials.gov database Explore the potential indication space Solid biologic rationale for IL - 7 / TSLP E x p ec t ed Clinical Readout 1 Alopecia areata (and other Dermatology) Ulcerative colitis (and
Slide 27: Redefining Treatment Standards for alopecia areata
©2023 Zura Bio Ltd. 27 Redefining Treatment Standards for alopecia areata ZB - 168 | AA Alopecia areata H i g h CD8 T effector memory CD4 T reg ZB - 16 8 I L - 7 R α L ow I L - 7 R α Universalis T o t a l is A r eat a Z B - 1 68 1, 2 Targets the T effector memory Preserves the T r eg Autoimmune dise
Slide 28: ZB-168 is Potentially Best-in-Class at TSLP Inhibition
©2023 Zura Bio Ltd. 28 Anti - TSLPR t e z e p e l u m a b IgG ZB - 168 1 00 50 0 - 50 4 2 - 2 - 4 %Inhibition 0 Log (nm) % inhibition of TSLP stimulated CCL17 secretion from human monocytes ZB - 168 is Potentially Best - in - Class Asset at TSLP Inhibition ZB - 168 | AA ▪ ZB - 168 is nearly 10 - fol
Slide 29: Current treatments involving JAK inhibitors
©2023 Zura Bio Ltd. 29 Current treatments involving JAK inhibitors ZB - 168 | AA JAK inhibitors block multiple pathways by targeting JAK1 and JAK2, which are involved in numerous cytokine signaling processes. This broad action will/can inadvertently suppress beneficial immune responses. Concerns wit
Slide 30: Phase 2 AA Trial Design
©2023 Zura Bio Ltd. Phase 2 AA Trial Design* 30 (*) Trial design is subject to change due to factors such as regulatory feedback KEY SAFETY ENDPOINTS • General Safety and Tolerability • Severe infection • Neutropenia • ADA / nAb ZB - 168 | AA KEY EFFICACY ENDPOINTS • Percent change in SALT score • C
Slide 31: ZB-880 torudokimab: Anti-IL-33
©2023 Zura Bio Ltd. Targeting Anti - IL - 33, an Alarmin with Potential in Multiple Indications ZB - 880 t or u do k i m a b Anti - IL - 33 allergy / respiratory Indications
Slide 32: ZB-880 Asset Overview and Mechanism of Action
©2023 Zura Bio Ltd. Mechanism of Action About ZB - 880 (torudokimab) Initial Focus on Respiratory, Dermatologic, Gastrointestinal and Orphan Autoimmune Indications ZB - 880 Asset Overview 32 Sources: 1. Cohen et al. 2015 Nature, 2. https://clinicaltrials.gov/ct2/show/NCT03913260; https://clinicaltri
Slide 33: ZB-880 IL-33 Pathway
©2023 Zura Bio Ltd. ZB - 880 IL - 33 Pathway 33 Sources: 1. Chan, 2019. Frontiers Immunol, 2. doi.org/10.1016/j.cyto.2022.155891, 3. https://doi.org/10.1038/ng.323 and doi:10.1016/j.jaci.2020.04.051 , 4. .:https://doi.org/10.1016/S2213 - 2600(22)00005 - 4; doi:10.1056/NEJMoa2024257 and doi: 10.1126/
Slide 34: ZB-880 Has Potential for Best-in-Class Activity
©2023 Zura Bio Ltd. ZB - 880 Has Potential for “Best - in - Class” Activity 34 Torudokimab was 2.9 and 5.5 - fold more potent than etokimab and itepekimab , respectively, inhibiting IL - 33 - induced GM - CSF production by human mast cells Sources: Zura Bio Internal data Antibody k on (M - 1 s - 1 )