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Luminate® for the
Treatment of Retinal Eye Diseases
Ophthalmology Innovation Summit – October 2014
Vicken Karageozian, MD
Chief Technical Officer
Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved
Allegro Ophthalmics: Integrin Peptide Therapy
for Vitreo-Retinal Eye Diseases
ü  Mid-stage biotechnology company
ü  In multiple Phase 2 US Studies in DME &
VMT
ü  First in class anti-integrin MoA to treat neo-
vascular eye diseases and induce
vitreolysis
ü  Clearly defined clinical and regulatory
endpoints
ü  Strong safety profile
ü  Solid efficacy data in multiple indications
Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 2
Allegro Ophthalmics: Integrin Peptide Therapy
for Vitreo-Retinal Eye Diseases
ü  Differentiated from existing anti-VEGF therapy
— Unprecedented durability, benefits last
3-4 months off treatment
— Ability to treat anti-VEGF plateaued patients
ü  Composition of matter patents pending
ü  Commercial opportunities validated by third
party market research
ü  Collaboration with strategic partners
ü  Experienced management team
Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 3
Luminate® Mechanisms of
Action & Indications
Anti-angiogenesis Vitreolysis
Diabetic
Macular Edema
Wet Age-Related
Macular Degeneration
Vitreomacular
Traction
PVD for Diabetic
Retinopathy
4.0MM patients in US
today – largest cause of
blindness under 55
1.5MM patients in US as of 2010;
projected 3MM by 2020 – largest
cause of blindness over 65
Rate of occurrence between
0.30 and 0.35 per 100 over
the age of 40
More than 8 million diabetics
in the US develop DR,
increasing 6% each year
Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 4
Luminate® Human Clinical Trial Results
— Excellent safety profile with more than 350 human intravitreal
injections
— Robust clinical response in DME, wet AMD, and VMT/PVD
— Potent enough for monotherapy
— Extended durability: 3-4 months off treatment
— Anti-VEGF levels of BCVA and OCT improvements
— Improvements seen in anti-VEGF plateaued subjects
Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 5
Luminate® Clinical Pipeline
In ProgressCompleted Planned
Phase I Phase II Phase III
Anti-angiogenesis
Diabetic Macular Edema
Wet Age-Related Macuclar Degeneration
Vitreolysis
Vitreomacular Traction
Posterior Vitreous Detachment for DR
Clinical
Pre-Clinical Commercial
Phase&Ib/IIa&
Phase&Ib&&
Phase&II&
Phase&I&
Phase&I& 2016.2018&Phase&IIb&
2016.2019&
2015.2017&
2015.2019&Phase&IIb&
Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 6
Anti-angiogenesis
Diabetic Macular Edema
Wet Age-Related Macular Degeneration
Vitreolysis
Vitreomacular Traction
Posterior Vitreous Detachment for DR
Luminate® Clinical Trial Status
7Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved
161 patients enrolled in clinical trials to date
150 additional patients expected to complete DME Phase 2 protocol in 2014-15
Study Details Initiated
Enrollment
Complete
Readout Efficacy
P1 DME + PVD
n=15
E. Europe
Q1 2011 Q4 2011 Oct 2011
8 of 15 subjects improved 3-5 lines
3 months off-treatment
6 of 11 patients developed total
PVD by day 90
P2b DME + PVD
n=150
US (30 sites)
Q4 2014 Sept 2015 Q1 2016
P1b/2a DME Combo
n=40
Mexico, E. Europe
Sep 2013 Q4 2014 H1 2015
P1b/2a Wet AMD
n=22
Mexico, E. Europe
Dec 2012 Q4 2013 Jun 2014
Peak avg. BCVA improvement for
3.2 mg: 5.1 letters 60 days
off-treatment, holding 120 days
off-treatment
P2 VMT
n=84
US, E. Europe
Nov 2013 Jun 2014 Oct 2014
US Phase IIb DME + PVD Study
—  Randomized, controlled, double masked study
—  Study designed to minimize risk and increase repeatability
—  Built upon design and results of Phase I DME Study
—  Replicates dosage, formulation and dosing schedule
—  Efficacy endpoints focused on:
—  OCT central subfield thickness and BCVA
—  Increased durability: efficacy 3 and 4 months off tx in monotherapy
Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 8
—  Study initiated October 2014
US Phase IIb DME Study + PVD Study
9Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved
washout or
treatment naïve
Baseline 1 2 3 4 5 6
Months
● 150 subjects in 5 arms
●  1.0, 2.0, 3.0mg Luminate®
●  Avastin®
●  Focal Laser
● 3 monthly loading doses, followed monthly
● Luminate® readouts at three and four months off tx
● Duke University Reading Center
•  Excellent Safety Profile
•  No patients lost vision
•  No SAEs and AEs were mild
and typically injection related
•  Mean peak BCVA improvement:
11 letters (or ~2 lines)
2 months off treatment
•  8 patients improved
3-5 lines
•  Improvements held
3+ months off treatment
•  Corresponding improvement
of BCVA and CMT
Phase I DME Study: BCVA Improvement
10Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved
9.7
9.3
11.0 11.0 9.1
0
4
8
12
0 Days 30 Days 60 Days 90 Days 120 Days 150 Days
0.0
N=15
30 Days Off
Treatment
60 Days Off
Treatment
90 Days Off
Treatment
Improvement in BCVA (ETDRS letters
converted from logMAR)
•  Mean peak
improvement in OCT
CMT: 31% for all
subjects
•  Improvement held until
Day 150 (3 months off
treatment)
Phase I DME Study: Change in OCT CMT
11Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved
461
439
390 359
387
350
450
550
0 Days 30 Days 60 Days 90 Days 120 Days 150 Days
519
N=15
30 Days Off
Treatment
60 Days Off
Treatment
90 Days Off
Treatment
Central Macular Thickness
(microns)
Phase Ib/IIa Wet AMD Study
—  6-month, dose-ranging study in Wet AMD
—  3 monthly injections, monotherapy
—  4 months of off-treatment follow-up
—  No SAEs reported
—  7 of 7 subjects in 3.2mg dose improved ~4-5 letters in BCVA
measured up to 4 months off-treatment in monotherapy
45 day washout or
treatment naïve
Baseline 1 2 3 4 5 6
Months
Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 12
Phase II VMT Study (In Progress)
— 3-month study in US and E. Europe
— Double masked, randomized,
placebo-controlled
— Primary endpoint: resolution of VMT
— Duke University Reading Center
—  Fully enrolled
—  84 subjects in 3 arms
Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 13
Moving Forward With Luminate®
ü  Differentiated mechanisms of action with
unique benefits
—  Anti-integrin vs. ant-VEGF
—  Increased durability: 3-4 months off tx
—  Ability to tx anti-VEGF plateaued pts
ü  Strong safety profile with ~350 human tx
ü  Solid efficacy data in multiple vitreo-retinal
indications
ü  Moving beyond PoC/Phase 2 studies toward
Phase 3 in multiple indications
ü  Strong commitment from world class SAB
ü  Leveraging strategic partnerships & financial
investments to execute to commercialization
Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 14
15
Sharing Your Vision™
Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved

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Allegro

  • 1. Luminate® for the Treatment of Retinal Eye Diseases Ophthalmology Innovation Summit – October 2014 Vicken Karageozian, MD Chief Technical Officer Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved
  • 2. Allegro Ophthalmics: Integrin Peptide Therapy for Vitreo-Retinal Eye Diseases ü  Mid-stage biotechnology company ü  In multiple Phase 2 US Studies in DME & VMT ü  First in class anti-integrin MoA to treat neo- vascular eye diseases and induce vitreolysis ü  Clearly defined clinical and regulatory endpoints ü  Strong safety profile ü  Solid efficacy data in multiple indications Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 2
  • 3. Allegro Ophthalmics: Integrin Peptide Therapy for Vitreo-Retinal Eye Diseases ü  Differentiated from existing anti-VEGF therapy — Unprecedented durability, benefits last 3-4 months off treatment — Ability to treat anti-VEGF plateaued patients ü  Composition of matter patents pending ü  Commercial opportunities validated by third party market research ü  Collaboration with strategic partners ü  Experienced management team Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 3
  • 4. Luminate® Mechanisms of Action & Indications Anti-angiogenesis Vitreolysis Diabetic Macular Edema Wet Age-Related Macular Degeneration Vitreomacular Traction PVD for Diabetic Retinopathy 4.0MM patients in US today – largest cause of blindness under 55 1.5MM patients in US as of 2010; projected 3MM by 2020 – largest cause of blindness over 65 Rate of occurrence between 0.30 and 0.35 per 100 over the age of 40 More than 8 million diabetics in the US develop DR, increasing 6% each year Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 4
  • 5. Luminate® Human Clinical Trial Results — Excellent safety profile with more than 350 human intravitreal injections — Robust clinical response in DME, wet AMD, and VMT/PVD — Potent enough for monotherapy — Extended durability: 3-4 months off treatment — Anti-VEGF levels of BCVA and OCT improvements — Improvements seen in anti-VEGF plateaued subjects Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 5
  • 6. Luminate® Clinical Pipeline In ProgressCompleted Planned Phase I Phase II Phase III Anti-angiogenesis Diabetic Macular Edema Wet Age-Related Macuclar Degeneration Vitreolysis Vitreomacular Traction Posterior Vitreous Detachment for DR Clinical Pre-Clinical Commercial Phase&Ib/IIa& Phase&Ib&& Phase&II& Phase&I& Phase&I& 2016.2018&Phase&IIb& 2016.2019& 2015.2017& 2015.2019&Phase&IIb& Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 6 Anti-angiogenesis Diabetic Macular Edema Wet Age-Related Macular Degeneration Vitreolysis Vitreomacular Traction Posterior Vitreous Detachment for DR
  • 7. Luminate® Clinical Trial Status 7Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 161 patients enrolled in clinical trials to date 150 additional patients expected to complete DME Phase 2 protocol in 2014-15 Study Details Initiated Enrollment Complete Readout Efficacy P1 DME + PVD n=15 E. Europe Q1 2011 Q4 2011 Oct 2011 8 of 15 subjects improved 3-5 lines 3 months off-treatment 6 of 11 patients developed total PVD by day 90 P2b DME + PVD n=150 US (30 sites) Q4 2014 Sept 2015 Q1 2016 P1b/2a DME Combo n=40 Mexico, E. Europe Sep 2013 Q4 2014 H1 2015 P1b/2a Wet AMD n=22 Mexico, E. Europe Dec 2012 Q4 2013 Jun 2014 Peak avg. BCVA improvement for 3.2 mg: 5.1 letters 60 days off-treatment, holding 120 days off-treatment P2 VMT n=84 US, E. Europe Nov 2013 Jun 2014 Oct 2014
  • 8. US Phase IIb DME + PVD Study —  Randomized, controlled, double masked study —  Study designed to minimize risk and increase repeatability —  Built upon design and results of Phase I DME Study —  Replicates dosage, formulation and dosing schedule —  Efficacy endpoints focused on: —  OCT central subfield thickness and BCVA —  Increased durability: efficacy 3 and 4 months off tx in monotherapy Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 8 —  Study initiated October 2014
  • 9. US Phase IIb DME Study + PVD Study 9Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved washout or treatment naïve Baseline 1 2 3 4 5 6 Months ● 150 subjects in 5 arms ●  1.0, 2.0, 3.0mg Luminate® ●  Avastin® ●  Focal Laser ● 3 monthly loading doses, followed monthly ● Luminate® readouts at three and four months off tx ● Duke University Reading Center
  • 10. •  Excellent Safety Profile •  No patients lost vision •  No SAEs and AEs were mild and typically injection related •  Mean peak BCVA improvement: 11 letters (or ~2 lines) 2 months off treatment •  8 patients improved 3-5 lines •  Improvements held 3+ months off treatment •  Corresponding improvement of BCVA and CMT Phase I DME Study: BCVA Improvement 10Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 9.7 9.3 11.0 11.0 9.1 0 4 8 12 0 Days 30 Days 60 Days 90 Days 120 Days 150 Days 0.0 N=15 30 Days Off Treatment 60 Days Off Treatment 90 Days Off Treatment Improvement in BCVA (ETDRS letters converted from logMAR)
  • 11. •  Mean peak improvement in OCT CMT: 31% for all subjects •  Improvement held until Day 150 (3 months off treatment) Phase I DME Study: Change in OCT CMT 11Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 461 439 390 359 387 350 450 550 0 Days 30 Days 60 Days 90 Days 120 Days 150 Days 519 N=15 30 Days Off Treatment 60 Days Off Treatment 90 Days Off Treatment Central Macular Thickness (microns)
  • 12. Phase Ib/IIa Wet AMD Study —  6-month, dose-ranging study in Wet AMD —  3 monthly injections, monotherapy —  4 months of off-treatment follow-up —  No SAEs reported —  7 of 7 subjects in 3.2mg dose improved ~4-5 letters in BCVA measured up to 4 months off-treatment in monotherapy 45 day washout or treatment naïve Baseline 1 2 3 4 5 6 Months Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 12
  • 13. Phase II VMT Study (In Progress) — 3-month study in US and E. Europe — Double masked, randomized, placebo-controlled — Primary endpoint: resolution of VMT — Duke University Reading Center —  Fully enrolled —  84 subjects in 3 arms Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 13
  • 14. Moving Forward With Luminate® ü  Differentiated mechanisms of action with unique benefits —  Anti-integrin vs. ant-VEGF —  Increased durability: 3-4 months off tx —  Ability to tx anti-VEGF plateaued pts ü  Strong safety profile with ~350 human tx ü  Solid efficacy data in multiple vitreo-retinal indications ü  Moving beyond PoC/Phase 2 studies toward Phase 3 in multiple indications ü  Strong commitment from world class SAB ü  Leveraging strategic partnerships & financial investments to execute to commercialization Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved 14
  • 15. 15 Sharing Your Vision™ Copyright 2014 by Allegro Ophthalmics, LLC, All Rights Reserved