Carsgen Therapeutics Holdings Ltd. · HKEX:2171

Carsgen Therapeutics — Investor Presentation (October 2025)

57 slides from Carsgen Therapeutics's investor presentation, October 2025

  1. Slide 1: CARsgen Therapeutics

    CARsgen Therapeutics (HKEX: 02171) Oct 2025 Making Cancer Curable

  2. Slide 2: Disclaimer

    Disclaimer THIS DOCUMENT IS FOR INFORMATIONAL PURPOSES ONLY AND IS NOT INTENDED TO BE, AND SHALL NOT BE CONSTRUED AS, AN OFFER, INDUCEMENT, INVITATION, SOLICITATION, COMMITMENT OR ADVERTISEMENT WITH RESPECT TO THE PURCHASE, SUBSCRIPTION OR SALE OF ANY SECURITY AND NO PART OF IT SHALL FORM THE BASIS

  3. Slide 3: We Develop Innovative and Differentiated Cell Therapies to Make Cancer and Other Diseases Curable

    We Develop Innovative and Differentiated Cell Therapies to Make Cancer and Other Diseases Curable 1 Marketed product: 1 CAR-T product at NDA stage: 2 CAR-T products at IND stage: • zevorcabtagene autoleucel • Satri-cel (targeting Claudin18.2) • CT011 (targeting GPC3) (zevor-cel, CT053) • CT071 (targ

  4. Slide 4: Global Reach with Integrated R&D and Manufacturing Capabilities Complemented with Synergistic Partnership

    Global Reach with Integrated R&D and Manufacturing Capabilities Complemented with Synergistic Partnership CGMP Facility Beijing Office Headquarter (Xuhui) Shanghai Headquarter, research, clinical development, GMP Durham Beijing commercial and clinical manufacturing facility Shanghai Durham, North Ca

  5. Slide 5: Continuous Innovation and Technology Advancement to Tackle the Major Challenges with CAR-T therapies Since 2014

    Continuous Innovation and Technology Advancement to Tackle the Major Challenges with CAR-T therapies Since 2014 Enabling Technologies Allogeneic CAR-T • THANK-uCAR®, THANK-u CycloCAR® Plus platforms (co-expression of IL-7 + CCL21) LADAR® (precise targeting) Autologous CAR-T • BCMA CAR-T (zevor-cel)

  6. Slide 6: Advancing a Competitive Pipeline with Global Rights

    Advancing a Competitive Pipeline with Global Rights Product BLA/ Target Indication Pre-clinical Phase I Phase II/III2 Candidate1 NDA R/R MM (4L+) LUMMICAR 1 (China) On Market Zevor-cel (CT053)3 BCMA R/R MM LUMMICAR 2 (US, Canada) G/GEJA (3L+) ST-01 (China) Autologous GC/PC ST-02 (US, Canada) PC (adj

  7. Slide 7: Autologous CAR-T Against Hematologic Malignancies

    Autologous CAR-T Against Hematologic Malignancies

  8. Slide 8: Zevor-cel: Differentiated Fully-human BCMA CAR-T for R/R MM

    Zevor-cel: Differentiated Fully-human BCMA CAR-T for R/R MM Zevor-cel Highlights China Pivotal Phase II (LUMMICAR-1) 1 N=102 Follow-up, median (range), Month 20.3 (0.4-27) • Optimized scFv ISS stage III, No. (%) 39 (38.2%) • Enhanced binding affinity High risk Cytogenetic, No. (%) 61 (59.8%) • High

  9. Slide 9: Zevor-cel: Outstanding Efficacy and Manageable Safety

    Zevor-cel: Outstanding Efficacy and Manageable Safety ASH 2024 ISS-based subgroups Higher safety, lower incidence 100 93.7% 93.7% Long-term survival with deep response 89.7% 87.2% of SAE 80 77.8% 61.5% Response rate (%) 60 40 It has been reported that ISS-III and high risk ◆ In IIT, Phase I, and Pha

  10. Slide 10: Zevor-cel: Commercialization in China

    Zevor-cel: Commercialization in China • Zevor-cel was approved by the NMPA in 2024 for the treatment of R/R MM. • Exclusive commercialization partner in mainland China: certification and regulatory filings completed in 111 100+ 20+ valid orders in H1, 2025 healthcare institutions provinces / cities

  11. Slide 11: CT071: Differentiated GPRC5D CAR-T with CARcelerate Platform

    CT071:Differentiated GPRC5D CAR-T with CARcelerate® Platform Product Clinical Development Status • Fully-human scFV generated by CARsgen • For relapsed R/R Multiple Myeloma or R/R Primary Plasma Cell Leukemia • Proprietary CARcelerate® platform • China investigator-initiated trial for R/R MM and Man

  12. Slide 12: CT071 in R/R MM: Deep Response with Promising Safety Profile in China IIT

    CT071 in R/R MM: Deep Response with Promising Safety Profile in China IIT ASH 2024 0.1×106 cells/kg 0.3×106 cells/kg All Patients (n=8) (n=9) (n=17) R-ISS Stage, No. (%) II 4 (50.0) 8 (88.9) 12 (70.6) III 4 (50.0) 0 4 (23.5) Extramedullary Disease, No. (%) 2 (25.0) 2 (22.2) 4 (23.5) High-risk Cytoge

  13. Slide 13: CT071 in High-risk NDMM: Deep Response and Favorable Safety Profile in China IIT

    CT071 in High-risk NDMM: Deep Response and Favorable Safety Profile in China IIT China investigator-initiated trial China investigator-initiated trial (N=10) (N=10) R2-ISS Stage, No. (%) ORR, No. (%) 10 (100) Ⅰ 1 (10) sCR, No. (%) 7 (70) VGPR, No. (%) 2 (20) II 2 (20) PR, No. (%) 1 (10) III 4 (40) M

  14. Slide 14: Autologous CAR-T Against Solid Tumors

    Autologous CAR-T Against Solid Tumors

  15. Slide 15: Unmet Medical Needs in Solid Tumors, Including Gastric and Pancreatic Cancers

    Unmet Medical Needs in Solid Tumors, Including Gastric and Pancreatic Cancers Incidence ~25.6K1 Incidence ~358.7K1 Gastric Resectable ~10.0K • • Resectable ~300.0K Cancer Mortality ~11.0K1 Mortality ~260.4K1 5-year survival rate of advanced GC is 5-20%; For advanced GC (3L+), ORR is 4.5%, mPFS < 2 m

  16. Slide 16: CARsgen Proprietary Claudin18.2 IHC Test

    CARsgen Proprietary Claudin18.2 IHC Test Claudin18.2 IHC test kit with high sensitivity Gastric Cancer Pancreatic Cancer Moderate / high (2+/3+, ≥40%) Moderate / high (2+/3+, ≥40%) Total positivity 67% Total positivity 53% 84% Low 73% Low 17% 20% *Claudin18.2 expression is also observed in other sol

  17. Slide 17: Satri-cel (CT041): Global First-in-Class CAR-T for Claudin18.2-Positive Solid Tumors

    Satri-cel (CT041): Global First-in-Class CAR-T for Claudin18.2- Positive Solid Tumors Product Designations Clinical Development Plan • Breakthrough Therapy (NMPA) • Optimized scFv1 • GC (3L+) confirmatory Phase II trial in ✓ High binding affinity • RMAT (FDA) China achieved positive results; NDA ✓ H

  18. Slide 18: Satri-cel China Pivotal Phase II Results — Published in The Lancet, Orally Presented at 2025 ASCO

    Satri-cel China Pivotal Phase II Results — Published in The Lancet, Orally Presented at 2025 ASCO 1. Qi C, et al. ASCO 2025. 2025 May; Oral presentation #4003 2. Qi C, et al. The Lancet (2025). DOI: 10.1016/S0140-6736(25)00860-8 Confidential Copyrights reserved by CARsgen 17

  19. Slide 19: Satri-cel China Pivotal Phase II: Trial Design

    Satri-cel China Pivotal Phase II: Trial Design An open-label, multicenter, randomized controlled trial conducted in China (CT041-ST-01). Study population n=104 Satri-cel Disease progression Bridging • 18-75 years of age Apheresis Lymphodepletion or intolerable toxicity, therapy (250 ×106 cells) etc.

  20. Slide 20: Satri-cel China Pivotal Phase II: Patient Disposition

    Satri-cel China Pivotal Phase II: Patient Disposition 266 patients were screened 110 excluded ITT population 156 randomly assigned (2:1) 104 assigned to satri-cel group 52 assigned to TPC group 48 received apheresis* 104 received apheresis 101 received bridging therapy 4 did not receive TPC 16 did n

  21. Slide 21: Satri-cel China Pivotal Phase II: Baseline Characteristics

    Satri-cel China Pivotal Phase II: Baseline Characteristics Satri-cel group TPC group Satri-cel group TPC group Characteristics Characteristics (n=104) (n=52) (n=104) (n=52) Age, median (IQR), years 53.5 (45.0, 60.0) 50.5 (43.0, 58.0) Claudin18.2 expression, n (%)† Sex, n (%) Medium expression 24 (23

  22. Slide 22: Satri-cel China Pivotal Phase II: Primary Endpoint—PFS by IRC

    Satri-cel China Pivotal Phase II: Primary Endpoint—PFS by IRCa Satri-cel demonstrated statistically significant PFS improvement Satri-cel TPC Events/patients 80/104 37/52 Median PFS, months 3.25 1.77 (95% CI) (2.86-4.53) (1.61-2.04) HR (95% CI) 0.366 (0.241-0.557) P value (one-sided) <0.0001 6-month

  23. Slide 23: Satri-cel China Pivotal Phase II: Key Secondary Endpoint OS

    Satri-cel China Pivotal Phase II: Key Secondary Endpoint OS Satri-cel demonstrated clinically meaningful OS benefit Satri-cel TPC Events/patients 70/104 35/52 Median OS, months 7.92 5.49 (95% CI) (5.78-10.02) (3.94-6.93) HR (95% CI) 0.693 (0.457-1.051) P value (one-sided) 0.0416 12-month OS rate: 35

  24. Slide 24: Satri-cel China Pivotal Phase II: PFS and OS in Treated Population

    Satri-cel China Pivotal Phase II: PFS and OS in Treated Population In treated population (mITT), PFS per IRC and OS were obviously longer in Satri-cel group vs TPC group PFS assessed by IRCa OS in mITT population Satri-cel TPC Satri-cel TPC Events/patients 68/88 35/48 Events/patients 58/88 32/48 Med

  25. Slide 25: Satri-cel China Pivotal Phase II: Adjusting OS for Treatment Switching in TPC

    Satri-cel China Pivotal Phase II: Adjusting OS for Treatment Switching in TPC The estimated mOS was 1.81-2.06 fold longer with satri-cel vs TPC by RPSFT model, providing a 53% and 63% reduction in risk of mortality in the ITT and mITT populations, respectively. OS (ITT) analyzed by RPSFT model OS (m

  26. Slide 26: Satri-cel China Pivotal Phase II: Manageable Safety

    Satri-cel China Pivotal Phase II: Manageable Safety Satri-cel group (n=88) TPC group (n=48) Safety, n (%) All grade Grade ≥3 All grade Grade ≥3 All treatment-emergent adverse events 88 (100%) 87 (98.9%) 44 (91.7%) 30 (62.5%) (TEAEs) TEAEs related to treatment (TRAEs) 88 (100%) 87 (98.9%) 44 (91.7%)

  27. Slide 27: Satri-cel China Pivotal Phase II: Conclusions

    Satri-cel China Pivotal Phase II: Conclusions ✓ It is the world's first confirmatory randomized controlled trial (RCT) of a CAR-T cell therapy in solid tumors. It is also the first RCT in this field to demonstrate statistically superior efficacy on its primary endpoint. ✓ Satri-cel demonstrated stat

  28. Slide 28: Satri-cel: Clinical Data from China and the US (Single-arm Study)

    Satri-cel: Clinical Data from China and the US (Single-arm Study) China investigator-initiated Phase Ib in China Phase 1b in the US trial (NCT03874897)1,2 (NCT04581473)3 (NCT04404595)4 ASCO 2024, Nature Medicine ASCO 2022 ASCO GI 2024 Sample size, No. 51 G/GEJA* 14 G/GEJA 7 G/GEJA 12 PC Median follo

  29. Slide 29: Satri-cel: Extension to GC/PC Earlier Line / Adjuvant Settings

    Satri-cel: Extension to GC/PC Earlier Line / Adjuvant Settings Promising greater clinical value in earlier line / earlier disease stage and providing better chances of cure for a much broader patient population More Accessible Tumor Better Tolerability • Low disease burden & • Mild CRS aggressivenes

  30. Slide 30: Satri-cel as GC 1L Consolidation Delivered 100% Response Rate

    Satri-cel as GC 1L Consolidation Delivered 100% Response Rate BOR of Satri- No. Age/Gender BOR of 1st line TTR cel Satri-cel Efficacy Highlights 1 50/F SD PR W4 • ORR 100% in 4 patients with target lesions, 2 55/F PR PR W4 TTR (Time to Response) Week 4 • 1 NN patient remained stable beyond 15 months

  31. Slide 31: Following Satri-cel Infusion, Two GC Patients Underwent Surgical Resection, and Remain in Long-term Survival

    Following Satri-cel Infusion, Two GC Patients Underwent Surgical Resection, and Remain in Long-term Survival at the Latest Follow-up Case 1 Case 2 1L Treatment 1L Treatment • Regimen: POS regimen (6 cycles) + S-1/Paclitaxel/TNF • Regimen: SOX regimen (4 cycles) intraperitoneal perfusion (4 cycles) •

  32. Slide 32: Satri-cel in Adjuvant Therapy for Pancreatic Cancer Leads to Significant Decline in CA19-9 Levels

    Satri-cel in Adjuvant Therapy for Pancreatic Cancer Leads to Significant Decline in CA19-9 Levels As of April 11, 2025 (data cut-off date), 6 PC patients with median follow-up of 6.05 months: 9-month DFS mDFS, mOS rate from not reached surgery 83.3% • Significant decline in CA19-9 levels post infusi

  33. Slide 33: Liver Cancer: The Third Leading Cause of Cancer Mortality Worldwide

    Liver Cancer: The Third Leading Cause of Cancer Mortality Worldwide 2022 Liver Cancer Epidemiology in the US and China1 Incidence ~43.5K Incidence ~367.7K Mortality ~30.9K Mortality ~316.5K Liver Cancer 5-year survival rate Global2 US3 China4 Liver Cancer, all stages 18% 20% 12% 1. International Age

  34. Slide 34: CT011: First-in-class CAR-T in Hepatocellular Carcinoma with PoC Clinical Results

    CT011: First-in-class CAR-T in Hepatocellular Carcinoma with PoC Clinical Results GPC3: high expression and specificity CT011 Product • Overexpression in hepatocellular carcinomas (HCC), and is associated with poor disease prognosis ✓ an autologous GPC3 CAR-T product CARsgen’s GPC3 IHC test kit Clin

  35. Slide 35: GPC3 CAR-T in Combination with Small Molecules Against HCC: First publication in Molecular Therapy

    GPC3 CAR-T in Combination with Small Molecules Against HCC: First publication in Molecular Therapy As of Dec 2021 (last follow-up at publication) • CR status has been over 24 months and continues (Photo taken in Jun 2023) 1. Wu X, Mol Ther. 2019 Aug 7;27(8):1483-1494 Confidential Copyrights reserved

  36. Slide 36: CAR-T in Combination with Local Therapy Against HCC: Cover Story in Cancer Communications

    CAR-T in Combination with Local Therapy Against HCC: Cover Story in Cancer Communications; Both Patients Achieved Disease-free Survival around 9 Years • Case: a 54-year-old male Diagnosed with Ib- tumor free survival Multiple Metastasis; stage HCC. Liver GKRS (> 5 years) GKRS and 2* MWA resection of

  37. Slide 37: Next-Gen CAR-T Development: Tackling Key Challenges in Solid Tumors

    Next-Gen CAR-T Development: Tackling Key Challenges in Solid Tumors Next-gen Claudin18.2 CAR-T shows enhanced anti- Next-gen NKG2DL CAR-T shows robust anti-tumor tumor activity in GC models activity in HCC models Satri-cel-derived Armored CAR-T demonstrates Proprietary CAR-NKG2DL T cells achieve 100

  38. Slide 38: Allogeneic CAR-T Platforms and Pipeline Products

    Allogeneic CAR-T Platforms and Pipeline Products

  39. Slide 39: Existing Efficacy Gap between Allogeneic CAR-T and Autologous CAR-T

    Existing Efficacy Gap between Allogeneic CAR-T and Autologous CAR-T Allogeneic BCMA CAR-T Autologous BCMA CAR-T Treatment and outcomes ALLO-715 P-BCMA-ALLO12 cilta-cel 3.2 x108 cells, N=241 All Arm**: 0.25-6 x106 cells/kg, Arm C**:2 x106 cells/kg 0.5-1 x106 cells/kg, N=973 N=72 N=23 23 (including 2

  40. Slide 40: Relatively Limited Expansion of Allogeneic CAR-T in Patients

    Relatively Limited Expansion of Allogeneic CAR-T in Patients • In allogeneic CAR-T, donor T cells will be recognized and rapidly eliminated by the host immune system (HvGR), which impacts CAR-T cell survival and results in limited expansion. • Compared to autologous CAR-T, in vivo persistence of all

  41. Slide 41: THANK-uCAR: Innovative Allogeneic CAR-T Platform Aimed to Address Immune Rejection

    THANK-uCAR® : Innovative Allogeneic CAR-T Platform Aimed to Address Immune Rejection Target and Hinder the Attack of NK cells on Universal CAR-T cells (THANK-uCAR®) HvGR is the major challenge faced by Allogeneic CAR-T • B2M knockout to overcome HvGR from host T cells, but NK cells attack uCAR-T cel

  42. Slide 42: CT0590 (BCMA CAR-T, THANK-uCAR): Baseline Characteristics and Outcomes from the IIT ASH 2024

    CT0590 (BCMA CAR-T, THANK-uCAR® ): Baseline Characteristics and Outcomes from the IIT ASH 2024 • An open-label, single-arm, phase 1, first-in-human trial in China (NCT05066022). • Lymphodepletion: F: Fludarabine (30mg/m2/day×3days), C: Cyclophosphamide (500 mg/m2/day × 3 days). • Doses: 50×106, 150×

  43. Slide 43: CT0590: Manageable Safety Profile, Deep and Durable Responses

    CT0590: Manageable Safety Profile, Deep and Durable Responses Safety Efficacy • Two patients experienced CRS • 3 subjects achieved confirmed responses including 2 ✓ One patient each at Grade 1 and with sCR and 1 with PR. 1 Patient achieved PR but it Grade 2; no ≥ Grade 3 CRS; could not be confirmed

  44. Slide 44: A Case of CT0590 to Treat R/R MM

    A Case of CT0590 to Treat R/R MM Baseline Characteristics • A 71-year-old male diagnosed with MM, • Double-refractory, with 94.5% plasma cells in bone marrow. • 2 prior lines of therapies, including 3 regimens. • Received 3×108 CT0590 CAR-T cells infusion. 482749 Safety • 1 Grade CRS • Only 1 subjec

  45. Slide 45: A Case of CT0590 to Treat R/R pPCL

    A Case of CT0590 to Treat R/R pPCL 280863 Baseline Characteristics • A 52-year-old male diagnosed with pPCL • Double-refractory • 3 prior lines, including 3 regimens (ASCT, etc.) • Received an infusion of 3×108 CT0590 CAR-T cells. Safety • 1 Grade CRS • Grade 1 infection (pneumonia), unrelated to tr

  46. Slide 46: Baseline NKG2A Expression on NK cells may be Predictive of CT0590 Responses

    Baseline NKG2A Expression on NK cells may be Predictive of CT0590 Responses % Baseline Patient Dose NKG2A Best overall (Diagnosis) (cells) expression response • 4 patients had baseline NKG2A data available. NK cells • Both patients who attained sCR, Patient 2 and PT 1 (MM) 50×106 Patient 5, had rela

  47. Slide 47: CT0596: Allogeneic BCMA-Targeted CAR-T (THANK-u Plus)

    CT0596: Allogeneic BCMA-Targeted CAR-T (THANK-u Plus ) THANK-u Plus Platform Clinical Development • THANK-u Plus exhibits significantly improved • CT0596 is under evaluation in an IIT for the expansion compared to THANK-uCAR® treatment of R/R MM or PCL: • THANK-u Plus demonstrates sustained ✓ As of

  48. Slide 48: CT0596: Enhanced and Sustained Allogeneic CAR-T Expansion Across Different NKG2A Expression Levels

    CT0596: Enhanced and Sustained Allogeneic CAR-T Expansion Across Different NKG2A Expression Levels NKG2A expression: High Medium Low • CT0590 (THANK-uCAR®): exhibits a decrease in expansion within 72 hours in NK cells with relatively low NKG2A expression. • CT0596 (THANK-u Plus ): ✓ In the presence

  49. Slide 49: CT0596 IIT Preliminary Data: Favorable Safety and Efficacy in R/R MM

    CT0596 IIT Preliminary Data: Favorable Safety and Efficacy in R/R MM • CT0596 demonstrated favorable tolerability: Safety ✓ NO ≥Grade 3 CRS ✓ NO ICANS or GvHD ✓ NO DLTs, no patients discontinuing treatment due to AE • As of May 6, 2025, 8 R/R MM patients who had received at least 3 prior lines of th

  50. Slide 50: CT0596 Treatment in Two Patients with R/R pPCL Resulting in sCR

    CT0596 Treatment in Two Patients with R/R pPCL Resulting in sCR As of the data cutoff date (Oct 17, 2025), two patients with relapsed/refractory pPCL had been enrolled. pPCL-01 pPCL-02 Patient 62-year-old male, IgG-λ type 70-year-old male, κ light chain type ASCT + triple classes of drugs (PI, IMiD,

  51. Slide 51: Allogeneic CD19/20X CAR-T (THANK-u Plus) Exhibits Robust Anti-lymphoma Activity in the Presence of NK Cells

    Allogeneic CD19/20X CAR-T (THANK-u Plus ) Exhibits Robust Anti-lymphoma Activity in the Presence of NK Cells uUTD+NK uCD19/20 uCD19/20+NK CD19/20X CD19/20X +NK Week 1 Week 2 Week 3 Week 4 Death Week 5 Death In the presence of NK cells, allogeneic CD19/20X CAR-T (THANK-u Plus platform) demonstrates m

  52. Slide 52: Allogeneic CD19/CD20 CAR-T Reports Favorable Preliminary Clinical Data from China IIT in MCL

    Allogeneic CD19/CD20 CAR-T Reports Favorable Preliminary Clinical Data from China IIT in MCL CT1190B is an allogeneic CD19/CD20 CAR-T therapy developed utilizing THANK-u Plus platform. In the case report, 2 patients with mantle cell lymphoma (MCL) treated with CT1190B. PK • Both patients experienced

  53. Slide 53: KJ-C2320, Allogeneic CD38 CAR-T (THANK-uCAR) Exhibits Enhanced Antitumor Activity in Mice

    KJ-C2320, Allogeneic CD38 CAR-T (THANK-uCAR® ) Exhibits Enhanced Antitumor Activity in Mice in the Presence of NK Cells uUTD uCD38 uCD38+NK KJ-C2320 KJ-C2320+NK Week 1 Week 2 Week 3 Week 4 Death In the presence of NK cells, allogeneic CD38 CAR-T (THANK-uCAR® platform) demonstrates much better anti-t

  54. Slide 54: Summary of CARsgen's Allogeneic CAR-T Platform

    Summary of CARsgen’s Allogeneic CAR-T Platform • Allogeneic CAR-T products are currently in development:  CT0596 – targeting BCMA, for R/R MM and PCL, an IIT is ongoing.  KJ-C2219 – targeting CD19/CD20, for B-cell malignancies, an IIT is ongoing; for SLE and SSc, an IIT is ongoing.  KJ-C2320 – ta

  55. Slide 55: Multiple Value Inflection Milestones in the Near Future

    Multiple Value Inflection Milestones in the Near Future • H2 2025: Anticipated IND application for CT0596. Anticipated disclosure of CT0596 clinical data at academic conferences. • Multiple allogeneic CAR-T products are under development, with upcoming data updates. Confidential Copyrights reserved

  56. Slide 56: Experienced Senior Management Team

    Experienced Senior Management Team Zonghai Li, MD, PhD Huamao Wang, PhD Hua Jiang, MD, PhD Co-founder, Chairman of Co-founder and Vice President, the Board, CEO, CSO COO Early Discovery Yi Luo, MD, PhD Andy (Peng) Zang, PhD Vice President, Clinical Vice President, Head of Sciences Business Developme

  57. Slide 57: Making Cancer Curable

    Making Cancer Curable oS cARSGEN

CARsgen Therapeutics — Investor Presentation (October 2025) on 6ix