WE CARE
FOR THE RARE
Corporate presentation
April 2026
Emcitate® (tiratricol) launched in Germany in May 2025 FDA PDUFA date September 28, 2026
For investors and analysts only
©2026 Egetis Therapeutics. All rights reserved. 1
WE CARE
FOR THE RARE
1.
An integrated orphan drug company, focusing on late-stage
development and commercialization
Egetis: building an orphan drug commercial stage company
1
Focus on Emcitate® (tiratricol) for the treatment of MCT8 deficiency
Strong regulatory status
BTD
Breakthrough Therapy Designation - FDA
ODD Orphan Drug Designation - EMA & FDA
Market exclusivity 10y (EU) & 7y (US)
Fast
track
Fast track designation - FDA
Rare pediatric disease designation - FDA
PRV Priority Review Voucher upon approval
Supplied to over 230 patients in over 25 countries including US, EU
2
The first and only approved drug for the treatment of MCT8 deficiency Approved in EU in Feb 2025. Launched in Germany May 2025
3
FDA accepted NDA and granted Priority Review on March 27, 2026 PDUFA date September 28, 2026
A significant market opportunity & potential for expansion into RTH-beta
4
Launch through focused in-house commercial organization in EU and US with
partnership for RoW
(Japan: Fujimoto; Türkiye, Central-, Eastern-, Southeastern Europe: Er-Kim; Gulf region: taiba rare)
5
A strong team with late-stage orphan clinical development, registration and commercialization experience
Listed on NASDAQ Stockholm (EGTX)
HQ in Stockholm, Sweden
~50 FTEs
4
© 2026 Egetis Therapeutics. All rights reserved.
Strong Execution in 2025 Positions Egetis for Emcitate U.S. Launch in 2026Positive Phase 3 ReTRIACt withdrawal study topline readout
Q3 2026
Feb 2025
EC approves Emcitate
as first and only treatment for MCT8 deficiency in EU
Dec 2025
Rolling NDA initiated for MCT8 deficiency
Emcitate granted a rolling NDA review by FDA
PDUFA date September 28
Priority Review Voucher (upon approval)
EU Launch in first country Germany
Q1 2026
Oct 2025
Japan - Development plan alignment with PMDA
Completion of NDA submission
Acceptance of NDA
Priority Review
July 2025
May 2025
FDA Breakthrough Therapy Designation
Expected launch of
Emcitate in the U.S.
Q4 2026
Nov 2025
MCT8 deficiency results in dysfunctional thyroid hormone trafficking
MCT8 deficiency key features
Estimated incidence: 1 per 70k male births Median onset of symptoms: 4 months Median age of diagnosis: 10 months Median life expectancy: 35 years Patients dying in childhood: ~30%
Main cause of mortality: Sudden cardiac death
Severe underweight:
Cardiac arrhythmias (PAC): Hypotonia, hypertonia
75%
76%
& persistence of primitive reflexes: 90%
Severe intellectual disability:
Ability to sit independently:
Life long 24-hour care:
100%
8%
100%
Median life expectancy of 35 years with 30% of patients dying in childhood
MCT8 deficiency results in simultaneous too high and too low thyroid hormone levels - causing system wide issues
6
© 2026 Egetis Therapeutics. All rights reserved.
Emcitate® (tiratricol) mechanism of actionTiratricol in action
Tiratricol
TR
T3
Without a
functioning MCT8, T3 is unable to be transported across the cell
membrane to enter the target cell
MCT8
Tiratricol
Tiratricol
with clear scientific and mechanistic rationale
Tiratricol is a small molecule, thyroid hormone agonist
Unlike T3, tiratricol can cross cellular membranes without a functional MCT8 transporter
Tiratricol can bypass the problem in patients with MCT8 deficiency, enter MCT8 deficient cells and restore thyroid hormone signalling
Cellular membrane
Emcitate can enter the cell without MCT8 and restore thyroid hormone signaling
7
© 2026 Egetis Therapeutics. All rights reserved.
Tiratricol treatment in patients with MCT8 deficiency has been shown to be associated with survival benefitsTiratricol has been shown to be associated with a 3x lower risk of mortality in patients with MCT8 deficiency
Retrospective real-world cohort study in >300 patients - Abstracts Aug. 2024 & May 2025
In the Triac Trial I, tiratricol reached target level serum T3 & improvements in clinically relevant outcome measures
T0 (Baseline)
T12 (12 month)
p < 0.0001
10
Key demonstrated clinical results
Significant and durable reduction of T3 levels within the normal range
Normalization of thyrotoxicosis in patients of all ages
Statistically & clinically significant effects on key disease parameters such as cardiovascular health and bodyweight
Beneficial effects are maintained or continue to improve over time, up to six years
Benign safety profile
8
Serum T3 (nmol/l)
6
4
2 Normal
range
0
Source: Groeneweg et al; Lancet D&E 2019 8
© 2026 Egetis Therapeutics. All rights reserved.
Emcitate® (tiratricol) Approved in EU and Launched in Germany NDA accepted March 27, 2026; Priority Review; PDUFA Sep 28, 2026Robust dataset in an ultra-rare genetic disease; all FDA-required studies completed
Triac Trial I
EMC cohort
study
U.S. Expanded Access Program
Triac Trial II
Survival study
ReTRIACt
Groeneweg, 2019 Open-label
Data at 12 months
N=46
van Geest, 2022 N=27 from Triac
Trial I C N= 40 new pts from managed access program
Data up to 6 years
N=67
Ongoing
N>40
Open-label
96 weeks safety data in young patients
3 years follow up ongoing
N=22
Basis for Breakthrough Therapy Designation by FDA
Comparing treated vs untreated patients on survival
N>600
Randomized placebo-controlled withdrawal study
Positive results
announced Nov 14,
2025
N=15
Data included in NDA
©2026 Egetis Therapeutics. All rights reserved. G
Tiratricol's Effect on T3 Lowering May Explain Mortality Benefit
Sudden Cardiac Death
Infection
EMC Survival Study
Mortality
Arrhythmia
BP
HR
T3
Emcitate (tiratricol)
Source for evidence of efficacy
Immune
Body weight
system
Triac Trial I, Triac Trial II, ReTRIACt, EMC Cohort
Study
Triac Trial I, EMC Cohort
Study
RPP Triac Trial I, ReTRIACt
©2026 Egetis Therapeutics. All rights reserved. 10
Emcitate® (tiratricol) launch by Egetis and partnersExecuting the US & European market preparations and launches through the Egetis team
To optimize the launch, we will focus our own resources on US and Europe
Japan license deal with Fujimoto
Optimizing additional
countries through partners
Türkiye, Central-, Eastern- &
Southeastern Europe with Er-Kim Gulf region with taiba rare
11
©2026 Egetis Therapeutics. All rights reserved.
European Thyroid Association (ETA) Recommends Emcitate (tiratricol) as Long-Term Therapy for MCT8 DeficiencyETA recommends the use of tiratricol as long-term therapy for all patients with MCT8 deficiency, and for certain patients with RTHβ
Inaugural 2024 Guidelines were commissioned by the Executive Committee of the ETA and developed by an independent team of experts. Authors include well-known
U.S. KOL
Potential to expand to U.S. guidelines post-FDA approval
©2026 Egetis Therapeutics. All rights reserved. 12
A phased EU launch through in-house commercial organization started in Germany in May 2025Launch execution in 2 waves, starting with EU4
Wave 1
Germany, France, Italy, Spain & countries with
alternative funding pathways
Wave 2
Phased on a country-by-country approach
Rest of Europe
Pricing & Reimbursement processes
*European Thyroid Association guidelines published 2024
Deliver the Emcitate clinical and economic value proposition in PsR processes, outlining:
MCT8 deficiency and its rarity
‒ Summarizing available literature
High burden of MCT8 deficiency
‒ Confirmed by Egetis sponsored Caregiver study
Significant unmet medical need
‒ Emcitate the first C only approved treatment
Benefit of treatment
‒ Supported by publications C ETA guidelines*
13
© 2026 Egetis Therapeutics. All rights reserved.
Europe & InternationalBuilding on positive 2025 momentum to optimize access and sales opportunities further
Strong close to 2025 - Full-year sales MSEK 62.3, +40% vs. 2024 (CER)
European pricing & reimbursement (P&R) advancement
‒ Germany: Progressing well; final reimbursed price in Q2 2026
‒ France: Preparing strengthened dossier for resubmission
‒ Spain: Local data generation progressing
‒ Italy: Regional launch; national P&R process later in the year
‒ Rest of Europe: Move towards funded access routes in more
countries
Distribution partnerships - Q4
‒ taiba rare: Named patient access in the Gulf region
‒ Er-Kim: Expanded from Türkiye to Central, Eastern &
Southeastern Europe
‒ First order received for Türkiye
©2026 Egetis Therapeutics. All rights reserved.
United States: Egetis' Priority MarketFrom Regulatory Milestone to Commercial Momentum
Driving Patient Identification Growth
Deep engagement in key referral centers
Strong KOL and advocacy alignment
Growing identified patient pool (>140)
Expanded Access Strengthening Launch Readiness
17 active Expanded Access specialist sites
Real-world physician experience established
Active transition planning from EAP to commercial supply
Solidifying Market Access Pathway
Payer expectations validated
Pricing and value strategy refined
Integrated specialty pharmacy & patient services implementation underway
Purpose-Built Rare Disease Organization
Experienced rare disease leadership in place
Focused, expert field model deployed
Built for scalability beyond MCT8 deficiency
©2026 Egetis Therapeutics. All rights reserved.
US: Annual Treatment Costs and Strength of EvidenceRepresentative analogues
Product Disease Estimated avg. annual
treatment cost (WAC)
Impact of strength of evidence on price
Oxlumo®
Biologic
Strensiq®
Biologic
Brineura®
Biologic
Miplyffa®
Small molecule
Zokinvy®
Small molecule
Primary hyperoxaluria type 1
Hypophosphatasia
Ceroid lipofuscinosis type 1
Niemann-Pick type C
HGPS
~$623K
~$683K
~$917K
~$967K
~$1,120K
Morbidity-driven disease burden, supported by survival data and/or surrogate endpoints based on objective, quantifiable measurements
Mortality-driven disease burden, but surrogate endpoints and/or perceptions of modest efficacy improvements
Mortality-driven disease burden based on reductions in mortality specified within the labeled indication
HGPS: Hutchinson-Gilford Progeria Syndrome
16
©2026 Egetis Therapeutics. All rights reserved.
Resistance to Thyroid Hormone Type Beta (RTH-β)Potential indication expansion for Emcitate into larger non-overlapping patient population
Characteristics of RTH-β
Caused by mutations in thyroid hormone receptor beta
(TRβ)1
Reduced target tissue response to thyroid hormone in TRβ
dependent tissues
Incidence 1:20,000 to 1:40,000 (both genders)
Overview of tissues affected in RTH-β
Emcitate as potential treatment for RTH-β
Emcitate efficacious in restoring signaling in majority of
TRβ mutations in vitro
Initial clinical experience demonstrates positive effects on key clinical symptoms in RTH-β patients, including cardiovascular, thyrotoxic and neuropsychiatric symptoms2
Emcitate received orphan drug designation for RTH-β from
FDA and EMA in 2022
Use of Emcitate recommended by European Thyroid Association for certain patients with resistance to RTH-β in 20243
References:
Pappa C Refetoff (2021) Front. Endocrinol. 12, 656551
Moran et al. (2025) The Journal of Clinical Endocrinology C Metabolism, 2025, 00, 1-8
Persani et al. (2024) European Thyroid Journal 13, 4
©2026 Egetis Therapeutics. All rights reserved. 17
Solid cash position
Strong financial foundation for strategic executionCash position December 31, 2025: SEK 216 million
Number of outstanding shares: 395,161,938
Market Cap: ~SEK 1.9 billion* (~USD 205 million)
Listing venue: Nasdaq Stockholm, Main Market; Ticker: EGTX
Largest shareholders
Note: * March 3, 2026
Directed share issue Oct. 2025 of SEK 183m (USD 19m)
Swedish investors: Fjärde AP-fonden, Cidro Förvaltning (Peter Lindell), Linc & others
US biotech investors: Frazier Life Sciences, Invus, Petrichor &
Woodline
Oversubscribed with participation from new & existing investors
•
•
18
© 2026 Egetis Therapeutics. All rights reserved.
Financial Overview - Fourth Quarter and 12-monthsTotal revenue
‒ FY-2025 of 62.4 MSEK vs. 46.1 MSEK for 2024, +40% YoY CER
‒ Q4-2025 of 17.9 MSEK vs. 10.8 MSEK for Q4-2024, +74% YoY CER
MSEK
2025
Oct-Dec
2024
Oct-Dec
2025
Jan-Dec
2024
Jan-Dec
Revenue Gross Profit
Operating result Results after tax
17.9
4.2
-120.3
-119.4
10.8
8.5
-104.7
-110.5
62.4
12.4
-339.9
-342.5
46.1
34.5
-329.4
-343.6
Cash flow from operations
Cash position
-92.9
215.8
-53.6
351.0
-267.0
215.8
-227.9
351.0
Cost of goods sold impacted by non-recurring milestone and the initiation of intangible R&D depreciation.
‒ During the 12-months, non-recurring milestone payment of 3.5 MSEK to Erasmus Medical Center and R&D depreciation of 33.7 MSEK have impacted cost of goods
‒ Excluding these items Gross profit would have been 49.6 MSEK vs 34.5 MSEK for the 12-months period 2024, corresponding to an adj. gross margin of 79.5% vs. 74.8% 2024.
Results after tax in FY-2025 amounted to -343.5 MSEK vs. -343.6 MSEK for FY-2024.
The cash position per end of December 2025 was 216 MSEK vs. 351 MSEK per end of December 2024.
October 2nd, Egetis Therapeutics successfully carried out an oversubscribed directed share issue amounting to 183 MSEK.
19
© 2026 Egetis Therapeutics. All rights reserved.
Strong Execution in 2025 Positions Egetis for Emcitate U.S. Launch in 2026Positive Phase 3 ReTRIACt withdrawal study topline readout
Q3 2026
Feb 2025
EC approves Emcitate
as first and only treatment for MCT8 deficiency in EU
Dec 2025
Rolling NDA initiated for MCT8 deficiency
Emcitate granted a rolling NDA review by FDA
PDUFA date September 28
Priority Review Voucher (upon approval)
EU Launch in first country Germany
Q1 2026
Oct 2025
Japan - Development plan alignment with PMDA
Completion of NDA submission
Acceptance of NDA
Priority Review
July 2025
May 2025
FDA Breakthrough Therapy Designation
Expected launch of
Emcitate in the U.S.
Q4 2026
Nov 2025
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