Monte Rosa Therapeutics, Inc. · NASDAQ:GLUE

Monte Rosa Therapeutics — Investor Presentation (March 2025)

85 slides from Monte Rosa Therapeutics's investor presentation, Mar 20, 2025

  1. Slide 1: Proteome Editing Through Molecular Glue Degraders

    Proteome Editing Through Molecular Glue Degraders Innovating Beyond New Heights | March 2025

  2. Slide 2: Forward-Looking Statements

    Forward-Looking Statements This communication includes express and implied “forward-looking statements,” including forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include all statements that are not historical facts an

  3. Slide 3: Monte Rosa Therapeutics – Company Overview

    Monte Rosa Therapeutics – Company Overview Proteome editing with molecular glue degraders Unique and differentiated “only in class” portfolio Arsenal of rationally designed MGDs to edit the proteome by degrading proteins with unprecedented precision Industry-leading discovery engine combining use of

  4. Slide 4: Our Molecular Glue Degraders Edit the Proteome

    Monte Rosa’s rationally designed MGDs have potential applications in oncology, immunology, neuroscience and other therapeutic areas Our Molecular Glue Degraders (MGDs) Edit the Proteome Ternary complex Ubiquitination Proteasome-mediated degradation of neosubstrate Ubiquitin chain Neosubstrate Ligase

  5. Slide 5: Key Insights into Surface Interactions Drive Only-in-Class MGD Designs

    Interrogating surfaces using geometric deep learning informs reprogrammable ligase and matching target space… Key Insights into Surface Interactions Drive Only-in-Class MGD Designs E3 ligase Neosubstrate footprint MGD footprint E3 ligase neosurface

  6. Slide 6: Broad opportunity to eliminate undruggable proteins through only-in-class MGDs

    ...and creates broad opportunity to eliminate undruggable, disease-driving proteins through “only-in-class” MGDs Key Insights into Surface Interactions Drive Only-in-Class MGD Designs Grow Target Space (e.g., I&I, neurology) Activate New E3 Ligases Expand Chemical Space (MGD Library) CRBN MGDs Ligas

  7. Slide 7: Three Ways to Eliminate a Disease-Causing Protein

    Three Ways to Eliminate a Disease-Causing Protein MGDs can directly and precisely target proteins that cause disease DNA mRNA protein CRISPR gene editing RNAi/ASO MGD MGD

  8. Slide 8: MGDs provide advantages of large molecule modalities

    Three Ways to Eliminate a Disease-Causing Protein MGDs provide advantages of large molecule modalities with orally dosed small molecules DNA mRNA protein CRISPR RNAi/ASO MGD Address undruggable space Properties Highly selective Orally bioavailable Scalable manufacturing      nucleus   MGD Rev

  9. Slide 9: Key Advantages of Our Rationally Designed MGDs

    Key Advantages of Our Rationally Designed MGDs Unique insights into anatomy of protein-protein-MGD interaction allows unprecedented MGD selectivity Unprecedented Selectivity Long lasting, catalytic protein degradation effect creates differentiated target product profiles Catalytic Mechanism of Actio

  10. Slide 10: Portfolio and Partnerships

    My. Monte Rosa Therapeutics Portfolio and Partnerships

  11. Slide 11: Monte Rosa Pipeline and Upcoming Milestones

    Monte Rosa Pipeline and Upcoming Milestones GSPT1 Castration-resistant Prostate Cancer IL-1β/NLRP3-driven Inflammatory Diseases VAV1 Immune-mediated Diseases Discovery Target Indication(s) Additional CRPC data in H2 2025 Next Anticipated Milestone Ownership Multiple Targets I&I, Genetic Diseases, On

  12. Slide 12: Portfolio Strategy

    Portfolio Strategy Build discovery capability with focused disease interest Expand portfolio with broader therapeutic area lenses via our powerful discovery engine Cardiovascular Metabolic Current programs + emerging novel projects Genetic 2020 – 2025 2026+ Strategic Goal Therapeutic Areas of Focus

  13. Slide 13: Creating Value through Strategic Agreements

    Creating Value through Strategic Agreements Scope Global license agreement to advance VAV1-directed molecular glue degraders including MRT-6160 (announced Oct. 2024) Strategic collaboration to discover novel MGDs targeting cancer and neurological diseases (announced Oct. 2023) Financials $150M upfro

  14. Slide 14: VAV1 Program (MRT-6160)

    My. Monte Rosa Therapeutics VAV1 Program (MRT-6160)

  15. Slide 15: VAV1 is an Upstream Targeting Node

    Clinically validated pathway in autoimmune/inflammatory disease VAV1 is an Upstream Targeting Node Associated with Clinically Validated Pathways T cell activation B cell activation/Plasma cell differentiation (Antibody production) Pro-inflammatory cytokine production Th17 response VAV1 signaling is

  16. Slide 16: MRT-6160 is a Potent and Highly Selective VAV1-directed MGD

    MRT-6160 is a Potent and Highly Selective VAV1-directed MGD in vitro data CRBN binding, IC50 670 nM Ternary complex, EC50 11 nM Degradation, DC50 /Dmax (Jurkat) 7 nM / 97 % MRT-6160 induces highly selective VAV1 degradation and has a favorable ADME/DMPK profile MRT-6160 is a potent VAV1-directed MGD

  17. Slide 17: MRT-6160 Drug-like Profile

    MRT-6160 is a Potent, Highly Selective VAV1 MGD with a Favorable Drug-like Profile MGD Activity Profile CRBN Binding (HTRF, IC50) 0.67 µM VAV1 Ternary Complex (HTRF, EC50) 11 nM VAV1 Degradation (Jurkat, DC50 /Dmax) 7 nM / 97% Selectivity (TMT proteomics) Large VAV1 selectivity window Physicochemica

  18. Slide 18: MRT-6160 Blocks T-cell-mediated B-cell Activity in BioMAP Profile

    MRT-6160 Blocks T-cell-mediated B-cell Activity in BioMAP® Profile Upadacitinib, 1000 nM Deucravacitinib, 400 nM Ibrutinib, 1100 nM MRT-6160, 1000 nM Azathioprine, 100 μM BT coculture assay: T-cell-mediated B-cell activity T-cell independent JAKi TYK2i BTKi VAV1 MGD Azathioprine Relative protein exp

  19. Slide 19: MRT-6160 Attenuates Disease in a T Cell-Mediated Model of IBD

    MRT-6160 Attenuates Disease in a T Cell-Mediated Model of IBD MRT-6160 attenuates T cell-mediated pathogenic processes and pro-inflammatory cytokines associated with IBD pathophysiology Similar efficacy seen in several other T- and T/B-cell driven models

  20. Slide 20: VAV1: Unique Mechanism with Broad Potential Applications

    Humira, Enbrel Taltz, Cosentyx Actemra, Kevzara Vyvgart Ocrevus, Rituxan Rinvoq, Xeljanz, Olumiant Sotyktu VAV1: Unique Mechanism with Broad Potential Applications Potential to address multiple autoimmune diseases with safe, oral therapy Note: Chart adapted from Hosack et al., Nat Rev Immunol 2023.

  21. Slide 21: Safety, PK and PD Data from SAD and MAD Phase 1 Trial of MRT-6160

    Safety, PK and PD Data from SAD and MAD Healthy Volunteers Phase 1 Trial of VAV1 MGD MRT-6160

  22. Slide 22: MRT-6160 Healthy Volunteers Study: Design and Objectives

    MRT-6160 Phase 1 Healthy Volunteers Study: Design and Objectives All cohorts randomized & placebo controlled SAD cohorts MAD cohorts One oral dose 7 daily oral doses SAD DL5 SAD DL4 SAD DL3 SAD DL2 SAD DL1 MAD DL3 MAD DL2 MAD DL1 Study Endpoints Primary Safety and tolerability Secondary & explorator

  23. Slide 23: MRT-6160 Dose-Dependent Human Pharmacokinetic Profile

    MRT-6160 Displayed a Dose-Dependent Human Pharmacokinetic Profile Dose Level T1/2 (hr) Cmax (ng/mL) AUC0-24 (hr*ng/mL) 1 24.1± 2.6 18.3 ± 1.0 300.3 ± 16.4 2 26.8 ± 1.9 32.6 ± 2.2 527.0 ± 30.3 3 33.3 ± 2.9 100.9 ± 4.6 1736.3 ± 67.1 4 28.3 ± 1.6 216.2 ± 7.0 3615.2 ± 190.8 5 27.2± 1.7 399.0 ± 31.1 6593

  24. Slide 24: In Vitro Assay Validation of PD and Immune Cell Functional Testing

    In Vitro Assay Validation of PD and Immune Cell Functional Testing Degradation assessment Ex vivo stimulation of whole blood to monitor T- & B-cell functions CD69 upregulation on T & B cells by flow cytometry VAV1 protein expression by flow cytometry CD69 IL-2 T cell B cell T cell IL-17A CD69 TCR =

  25. Slide 25: MRT-6160 Achieved Dose-Dependent VAV1 Degradation >90%

    MRT-6160 Achieved Dose-Dependent VAV1 Degradation >90% in Peripheral Blood T Cells After Single and Multiple Dose Administration Dose-dependent, marked degradation of VAV1 in peripheral blood T cells (> 90%; except DL1) Similar results observed in peripheral blood B cells VAV1 protein reduction is s

  26. Slide 26: VAV1 Degradation Resulted in Functional Inhibition of T and B Cells

    VAV1 Degradation by MRT-6160 Resulted in Significant Functional Inhibition of T and B Cells following a Single Dose Administration MRT-6160 treatment: Significantly attenuated CD69 upregulation on T and B cells following TCR stimulation, reflecting functional inhibition Significantly (up to 99%) inh

  27. Slide 27: Sustained Suppression of TCR-mediated CD69 Activation

    MRT-6160 Resulted in Sustained Suppression of TCR-mediated CD69 Activation following Single or Multiple Dose Administration MAD Marked suppression of CD69 upregulation (>90%) in peripheral blood T and B cells following TCR stimulation (data for selected SAD and MAD dose shown as example) Similar res

  28. Slide 28: Sustained Suppression of TCR-mediated Cytokine Production

    MRT-6160 Resulted in Sustained Suppression of TCR-mediated Cytokine Production following Single or Multiple Dose Administration SAD MAD Significant and sustained suppression of IL-2, IL-17A and IFN-γ secretion from whole blood following ex vivo stimulation of TCR (data for selected SAD and MAD dose

  29. Slide 29: MRT-6160 was well tolerated with no serious adverse events

    MRT-6160 was well tolerated with no serious adverse events (SAE) Observed treatment-emergent adverse events (TEAE) were mild (82%) or moderate (18%) and self-limiting Overall TEAE frequency was similar between MRT-6160 and placebo TEAE observed in 2 or more subjects treated with MRT-6160: SAD: pain

  30. Slide 30: Conclusions

    Pharmacodynamic and functional ex vivo studies suggest significant effects on cytokine production can be achieved following marked and sustained degradation of VAV1 Demonstrated levels of VAV1 degradation consistent with levels of degradation required to induce efficacy in preclinical models Functio

  31. Slide 31: NEK7 Programs (MRT-8102 and CNS optimized)

    NEK7 Programs (MRT-8102 and CNS optimized)

  32. Slide 32: NEK7 is a Key Regulator of NLRP3 Inflammasomes, IL-1 and IL-18

    Inflammation-driven diseases (selected examples) NEK7 is a Key Regulator of NLRP3 Inflammasomes, IL-1 and IL-18 Joints Gout Brain Parkinson Heart Pericarditis Obesity Atherosclerosis Cytokine secretion Pyroptosis pro-IL-1b pro-IL-18 IL-1b IL-18 Metabolic Inactive NLRP3 NEK7 Active NLRP3 Wheel-like o

  33. Slide 33: MRT-8102 is a Potent, Selective NEK7 MGD Development Candidate

    MRT-8102 is a Potent, Selective Development Candidate NEK7 MGD with a Favorable Drug-Like Profile MGD Activity Profile CRBN Binding (HTRF, IC50) 0.2 µM NEK7 Degradation (CAL51, DC50 /Dmax) 10 nM / 89% Selectivity (TMT proteomics) Excellent selectivity profile in different cell lines Physicochemical

  34. Slide 34: MRT-8102 potently degrades NEK7

    MRT-8102 potently degrades NEK7 MRT-8102 induces highly selective NEK7 degradation MRT-8102, a Potent and Highly Selective NEK7-directed MGD, Induced Durable Pharmacodynamic Modulation In Vivo MRT-8102 exposure results in prolonged PD effect Cyno @ 10 mg/kg single dose MRT-8102 exposure prolonged PD

  35. Slide 35: Preclinical GLP Tox Study Suggests Considerable Safety Margin

    Preclinical GLP Tox Study Suggests Considerable Safety Margin In vivo NEK7 degradation leads to inhibition of Caspase-1 activity and IL-1β release in ex vivo stimulation assay Toxicology summary in rats and cynos (28d GLP tox) No MRT-8102 related clinical signs, no changes in immunophenotyping, no g

  36. Slide 36: MRT-8102 Reduced MSU Crystal-driven Effects in Rabbit Gout Model

    MRT-8102 Reduced MSU Crystal-driven Effects in Rabbit Gout Model Daily dosing from day -1 Intra-articular injection of MSU on day 0 MSKUS = musculoskeletal ultrasound *** denotes p < 0.0005 compared to MSU + Vehicle condition Joint swelling MSKUS pathologic findings Histopathology score

  37. Slide 37: IL-1/NLRP3 Signaling is a Clinically Validated Pathway

    IL-1/NLRP3 Signaling is a Clinically Validated Pathway for Inflammatory Diseases Recurrent pericarditis Rilonacept (IL-1α/β) – approved for recurrent pericarditis Atherosclerotic cardiovascular disease Canakinumab (IL-1β) – reduction in cardiac events Cardio-immunology Rheumatology Neurology Metabol

  38. Slide 38: NLRP3/NEK7 activation in chronic inflammation

    NLRP3/NEK7 activation in chronic inflammation Canakinumab (anti-IL-1β) leads to reductions in CRP Lowering of CRP Levels Anticipated as a Result of NEK7 Degradation C-reactive protein (CRP) is an acute-phase protein downstream of NLRP3/NEK7 inflammasome IL-1α and IL-1β are highly inflammatory cytoki

  39. Slide 39: MRT-8102: Efficient Development Path in Peripheral Inflammatory Diseases

    MRT-8102: Efficient Development Path in Peripheral Inflammatory Diseases Phase 1 HV Planned Phase 1 (PoC) in High CRP, Cardio-immunology Indications Further Development in Gout/Pseudogout, Osteoarthritis Goal/Objective Safety, tolerability, and pharmacokinetics in healthy volunteers NEK7 degradation

  40. Slide 40: CNS-Optimized NEK7 Program

    CNS-Optimized NEK7 Program

  41. Slide 41: Brain-Penetrant NEK7 MGDs Could Impact Neurodegeneration, Obesity

    Neurodegeneration Obesity Disease Stimulus CNS Inflammation CNS Saturated fatty acids Ab Monomer Oligomer Fibrils Periphery Fat-associated macrophages Activated microglia Activated microglia Activated microglia/ Fat-associated macrophage pro-IL-1b pro-IL-18 IL-1b IL-18 Activated NLRP3 complex NEK7 4

  42. Slide 42: CNS-Optimized NEK7 MGD Reduced Inflammatory Cytokines in Neuroinflammation Model

    CNS-Optimized NEK7 MGD Substantially Reduced Inflammatory Cytokines in an LPS-induced Murine Model of Neuroinflammation CereblonI391V mice; n=5 per group MRT-51126: 30 mg/kg, BIDx5, p.o. Selnoflast: 50 mg/kg, QDx5, p.o. LPS: 1 mg/kg, QDx3, i.p. Sampling of left hemisphere of brain 4 hr post-final LP

  43. Slide 43: CNS-Optimized NEK7 MGD Showed NEK7 Degradation in Cynomolgus Monkey

    CNS-Optimized NEK7 MGD Demonstrated Profound NEK7 Degradation and Pathway Inhibition In Vivo Over Several Days in Cynomolgus Monkey NEK7 in cyno PBMC NEK7 in cyno CSF IL-1β post-ex vivo stimulation Excellent exposure in cyno blood and CSF, correlating with deep NEK7 degradation and functional inhibi

  44. Slide 44: Building Future Opportunities in I&I

    Building Future Opportunities in I&I

  45. Slide 45: MGD Strengths Align with I&I Requirements

    High degradation in immune and blood cells MGD Strengths Align with I&I Requirements Catalytic MOA drives sustained PD effect Degrading upstream nodes modulates multiple cytokines MRT-8102 exposure prolonged PD effect Macrophage T cell B cell Auto-antibodies IL-17 IL-6 TNF IL-1 Cyno, 10 mg/kg single

  46. Slide 46: CAR-T in a Pill: Degrading Undruggable Targets in I&I

    “CAR-T in a Pill” Degrading Undruggable Targets in Critical I&I Disease Pathways B-cell modulation Inflammatory & auto-inflammatory mDC Neutrophil NK cell pDC Complement T cell B cell Immune complex Autoantibodies Apoptotic cell Monocyte Type I IFN INNATE ADAPTIVE Neutrophil Asthma & allergies Near

  47. Slide 47: GSPT1 program (MRT-2359)

    My. Monte Rosa Therapeutics GSPT1 program (MRT-2359)

  48. Slide 48: Targeting MYC-driven Tumors Through GSPT1 Degradation

    Targeting MYC-driven Tumors and Their Addiction to Protein Translation Through GSPT1 Degradation Addiction To sustain growth, MYC-driven tumors are addicted to protein translation Dependency Therapeutic vulnerability 1 2 3 This addiction creates a dependency on the translation termination factor GSP

  49. Slide 49: MRT-2359 is a Potent and Highly Selective GSPT1-directed MGD

    MRT-2359 is a Potent and Highly Selective GSPT1-directed MGD in vitro data CRBN binding, Ki 113 nM Ternary complex, EC50 < 7 nM Degradation, DC50 (in disease relevant cell lines) 1 - 20 nM MRT-2359 induces selective GSPT1 degradation and shows favorable ADME/DMPK profile MRT-2359 is a potent GSPT1-d

  50. Slide 50: MRT-2359 Optimized Depth of Degradation for MYC High Cancer Cells

    MRT-2359 Has Optimized Depth of Degradation To Achieve Preferential Activity in MYC High Cancer Cells %GSPT1 degraded (Dmax) determined by Western blot Differential Effect (MYC vs non-MYC-driven) less degradation Preferential activity in MYC high cells MRT-2359 MRT-2136 MRT-2359 displays preferentia

  51. Slide 51: MYC-Driven Pathologies Explored in MRT-2359 Phase 1/2 Trial

    MYC-Driven Pathologies Explored in MRT-2359 Phase 1/2 trial Neuroendocrine tumors L-/N-MYC amplified tumors Heme Breast cancer ER positive metastatic SCLC L/N-MYC high NSCLC N-MYC high SCLC/NE transformation Neuroendocrine lung cancer Prostate cancer AR positive including AR-V7 N-MYC High and/or L-M

  52. Slide 52: MRT-2359 Clinical Study Results

    MRT-2359 Clinical Study Results

  53. Slide 53: MRT-2359-001 Phase 1/2 Clinical Study Design

    0.5mg 5/9 Phase 2: Possible Expansion Cohorts Phase 1: Dose Escalation 1.5mg 5/9 1mg 5/9 MRT-2359-001 Phase 1/2 Clinical Study Design Lung cancer, high-grade neuroendocrine tumors and solid tumors with N-/L-MYC amplification 2mg 5/9 5/9 = 5 days on drug, 9 days off drug; 21/7 = 21 days on drug, 7 da

  54. Slide 54: Patient Demographics and Clinical Characteristics in Dose Escalation

    Patient Characteristic Total (N=59)* Age, median (range), years 63 (30-80) Female, N (%) 30 (51) Race, N (%) White 48 (81) Black 4 (7) Asian 3 (5) Other 4 (7) ECOG performance status, N (%) 0 or 1 58 (98) 2 1 (2) Cancer type, N (%) Non-small cell lung cancer 23 (39) Small cell lung cancer 13 (22) Hi

  55. Slide 55: MRT-2359 Treatment-Related AEs in >10% of Patients

    MRT-2359 Treatment-Related AEs in > 10% patients (N=59) Dose Level 0.5 mg 5/9 (N=9) 1 mg 5/9 (N=13) 1.5 mg 5/9 (N=5) 2 mg 5/9 (N=5) 0.5 mg 21/7 (N=18) 0.75 mg 21/7 (N=9) CTC AE V5 Grade G1-2 (%) G3 (%) G4 (%) G1-2 (%) G3 (%) G4 (%) G1-2 (%) G3 (%) G4 (%) G1-2 (%) G3 (%) G4 (%) G1-2 (%) G3 (%) G4 (%)

  56. Slide 56: Biomarker Status and PD Modulation in MYC Amplified Tumors

    Biomarker Status and PD modulation in L-/N-MYC Amplified Tumors, NSCLC, SCLC and High-Grade NE Tumors L-MYC and N-MYC expression in tumor tissue obtained at baseline was assessed in 46 patients Overall, as compared to preclinical data, lower than expected frequency of tumors with high L-MYC or N-MYC

  57. Slide 57: Summary of Activity in SCLC, NSCLC, High-Grade NE Tumors

    Summary of Activity in SCLC, NSCLC, high-grade Neuroendocrine Tumors and L- and N-MYC Amplified tumors L-MYC and N-MYC expression in tumor tissue obtained at baseline or known L-MYC or N-MYC amplification in the absence of tissue was available in 48 patients and 37 were evaluable for response assess

  58. Slide 58: MRT-2359 and Enzalutamide in Castrate-Resistant Prostate Cancer

    Current Data for MRT-2359 and Enzalutamide in Castrate-Resistant Prostate Cancer As of 10 March 2025, RECIST 1.1 is available for 3 patients showing: 1 PR (confirmed, -57%; heavily pretreated CRPC with AR LBD mutation H875Y) 2 SDs (both CRPC with AR-V7 transcripts, multiple prior treatments includin

  59. Slide 59: Confirmed PR in Refractory CRPC with AR H875Y Mutation

    Confirmed PR in Refractory CRPC with AR H875Y Mutation Baseline After 2 cycles After 4 cycles -46% -57% Patient continues on study (C5)

  60. Slide 60: Encouraging early data in CRPC

    Encouraging early data in CRPC: 1 PR and 2 SD in first 3 evaluable, heavily pretreated patients with either AR mutations or AR-V7 expression Opportunity to enroll 20 - 30 patients if positive efficacy signal continues to be observed Large, high unmet need indication not requiring biomarker-based pat

  61. Slide 61: CDK2 Program

    My. Monte Rosa Therapeutics CDK2 Program

  62. Slide 62: CDK2 is a Key Driver of Cell Cycle Progression in Cancer

    CDK2 is a Key Driver of Cell Cycle Progression in Cancer CDK2: a key cell cycle regulator Patient diagnosed incidence #s, major markets (US, EU and JP): Decision Resources Group (DRG) Therapeutic hypothesis: CDK2 is a key driver of cancers with cyclin dependent kinase pathway alterations MGDs will a

  63. Slide 63: MRT-51443 is Selective and Inhibits Proliferation of CDK2-dependent Cells

    MRT-51443 is Selective and Inhibits Proliferation of CDK2-dependent Cancer Cells Cell cycle analysis (DAPI and EdU) MDA-MB-157 (24 hr) CDK2 degradation inhibits proliferation CyQuant proliferation assay (5 d) MDA-MB-157 CDK2 degradation results in reduction of E2F pathway proteins TMT Proteomics (24

  64. Slide 64: MRT-51443 Displays Superior Selectivity Versus CDK2 Inhibitors

    MRT-51443 Displays Superior Selectivity Versus Clinical CDK2 Inhibitors Clinical CDK2 inhibitors demonstrate off target activity in biochemical kinome profiling 7-day CyQuant Assay CDK2 inhibitors but not MGDs inhibit proliferation in part through CDK2-independent mechanisms Carna Mobility Shift Ass

  65. Slide 65: CDK2 MGD and CDK4/6 inhibitor combination

    CDK2 MGD and CDK4/6 inhibitor combination MRT-51443/ribociclib combination delays resistance onset in ER+ model in vitro CDK2 MGD/Ribociclib Combination Delays Resistance Onset in ER+ Model in vitro Incucyte confluence monitoring, MCF7

  66. Slide 66: MRT-51443 induces tumor regression in combination with CDK4/6 inhibition

    MRT-51443 induces robust tumor regression in combination with CDK4/6 inhibition and fulvestrant MRT-51443 triple combination substantially reduces tumor growth vs. ribo + fulv MCF7 T47D Median: -10% Median: -61% Median: -3% Median: -77% Ribociclib + Fulvestrant MRT-51443 + Ribo + Fulv Ribociclib + F

  67. Slide 67: CCNE1 Program

    My. Monte Rosa Therapeutics CCNE1 Program

  68. Slide 68: CCNE1 (Cyclin E1) is a Target for Solid Tumors

    CCNE1 (Cyclin E1) is a Target for Solid Tumors with Deregulated Cyclin E1 Therapeutic hypothesis: CCNE1 (Cyclin E1) is a well-recognized human oncogene that drives multiple hallmarks of cancer, and has been considered undruggable Selective degradation of cyclin E1 can target tumors with deregulated

  69. Slide 69: CCNE1 degradation leads to downstream pathway suppression

    69 CCNE1 degradation leads to downstream pathway suppression MRT-50969 induces robust G1/S cell cycle arrest Western blot, OVISE, 24h TMT Proteomics, MDA-MB-157 Rb K/O 1μM, 24h P-value (-log10) Protein fold-change (log2) CCNE1 MRT-50969 is highly selective for CCNE1 FACS, EdU incorporation, 48h In v

  70. Slide 70: MRT-50969 Shows Superior Differential Activity in CCNE1 Dependent Cell Lines

    GI50 = growth inhibition 50%, the concentration of drug required to inhibit the growth of cancer cells in vitro by 50% MRT-50969 Shows Superior Differential Activity in CCNE1 Dependent Cell Lines Compared to Clinical-Stage CDK2 Inhibitors OVCAR3 vs A2780 MDA-157 vs T47D 5 Day CyQuant assay, bars ind

  71. Slide 71: MRT-50969 inhibits tumor growth in CCNE1 amplified breast cancer model

    MRT-50969 inhibits tumor growth in CCNE1 amplified breast cancer model MRT-50969 Inhibits Tumor Growth in a CCNE1 Amplified Breast Cancer Model In Vivo MRT-50969 degrades CCNE1 in vivo HCC1569 CDX, 28-day efficacy study Day 28/8h and 24h PD, Western blot, HCC1569 CDX

  72. Slide 72: MRT-50969 Inhibits Tumor Growth in CCNE1 Amplified Gastric Cancer Model

    21-day efficacy study in MKN1 CDX model MRT-50969 Inhibits Tumor Growth in a CCNE1 Amplified Gastric Cancer Model In Vivo Day 21/8h and 24h PD, Western blot, MKN1 CDX MRT-50969 inhibits tumor growth in CCNE1 amplified gastric cancer model MRT-50969 degrades CCNE1 in vivo

  73. Slide 73: QuEEN Discovery Engine

    My. Monte Rosa Therapeutics QuEEN™ Discovery Engine

  74. Slide 74: Overcoming Past Limitations of Molecular Glue Degraders

    Overcoming Past Limitations of Molecular Glue Degraders Traditional thinking Monte Rosa Therapeutics approach ‘Target space is limited’ QuEENTM has vastly expanded the degradable target space across a broad range of undruggable protein classes ‘MGDs are identified by serendipity’ QuEENTM enables tar

  75. Slide 75: Rationally-designed MGDs create diverse E3 ligase neosurfaces

    Rationally-designed MGDs create diverse E3 ligase neosurfaces, enabling recruitment of new targets Our geometric deep learning algorithms use surfaces to predict targets. Our surface-based algorithms design MGDs to recruit targets. Our platforms generate actionable data-at-scale to test & train (“da

  76. Slide 76: GlueShot: de novo MGD Design for Novel Targets

    AF, Rosetta, PDB GlueShot: de novo MGD Design for Novel Targets E3 ligase structures Protein structures AF, Rosetta, PDB Surface fingerprint fAIceit™ Virtual library FLASH™ & GlueAID™ Surface of MGD + ligase COSMOS™ Fingerprint matching Headlong™ & fAIceit™ Nobel prize MGDs that induce PPIs with dru

  77. Slide 77: QuEEN Unique Capabilities

    QuEEN™ Unique Capabilities AI/ML In silico discovery using proprietary AI-powered algorithms Proximity Screening Specialized suite of biochemical, cellular and proteomics assays to assess proximity and degradation in high throughput Structure-based Design Proprietary database of protein structures t

  78. Slide 78: Our Proprietary and Unique MGD Library

    Our Proprietary and Unique MGD Library Creates Future High Value Programs Rational library design Enabled by proprietary chemistry Deep understanding of CRBN surfaces Optimised drug-like properties Continued diversification Each sublibrary captures a unique design concept Cover novel MGD chemical-sp

  79. Slide 79: Proprietary AI/ML Engines Enable Discovery of Reprogrammable Ligases

    Target ID Guided by surface mimicry In silico screening Screen for activity in ternary complexes Proprietary AI/ML Engines Enable the Discovery of Reprogrammable Ligases, Neosubstrates, and Selective MGDs Proprietary AI/ML engines Ligase matching PPI propensity & surface complementarity MGD discover

  80. Slide 80: QuEEN: How it Works

    QuEENTM: How it Works Target and ligase ID Surface-centric discovery process Actionable data-at-scale Proteomics Virtual screens Structural biology High throughput screens Predict Design Test & Train AI-powered chemistry Surface-aware MGD generation & optimization

  81. Slide 81: QuEEN Toolbox to Rapid Discovery of Oral MGDs

    QuEEN™ Toolbox to Rapid Discovery of Oral MGDs Predict Target & ligase ID fAIceit™ Ultra-fast fingerprint search for surface-based matchmaking E3 ligase reprogrammability fAIceit mimicry target ID Structural biology X-ray & cryo-EM Headlong™ virtual screens Proteomics mass-spec farm HT library scree

  82. Slide 82: Algorithms Use MGD-focused, Moated Data to Identify Targets

    in silico experimentation Algorithms Use MGD-focused, Moated Data to Identify Targets and Design MGDs FLASH™ virtual library Proteomics mass-spec farm HT library screening MILLION protein measurements fAIceit mimicry target ID Structural biology X-ray & cryo-EM Headlong™ virtual screens 37 6.5 >125

  83. Slide 83: Team

    Team

  84. Slide 84: World-Class Leadership

    World-Class Leadership Deep expertise in molecular glue discovery, drug development and precision medicine Filip Janku, M.D., Ph.D. Chief Medical Officer Markus Warmuth, M.D. Chief Executive Officer John Castle, Ph.D. Chief Data and Information Officer Sharon Townson, Ph.D. Chief Scientific Officer

  85. Slide 85: Thank You

    4 ic, Oe : Thank You — -_ _ My. Monte Rosa Therapeutics

Monte Rosa Therapeutics — Investor Presentation (March 2025) on 6ix