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onltherapeutics.com
onltherapeutics.com
Visionary science.
onltherapeutics.com
Visionary science.
OIS @ AAO 2014
John Freshley | President & CEO
onltherapeutics.com
ONL Therapeutics Highlights
+  First-in-class therapeutics to prevent photoreceptor cell death
+  Relevant in many retinal diseases addressing existing > $7B
worldwide market
+  Orphan Drug status in retinal detachment
+  Rapid and capital efficient development path
+  Strong intellectual property position
+  Experienced management and expert advisory teams
onltherapeutics.com
Photoreceptor CellApoptosis Substantial Unmet Need in
Retinal Disease
+  Despite current therapies photoreceptor cell death
remains the root cause of vision loss and leading
cause of blindness
(AREDS / CATT / Seven-Up)
+  Implicated in a wide range of ocular diseases and
conditions
+  When the photoreceptor – RPE interface is disrupted,
the photoreceptors die by apoptosis
+  This death is mediated by the FAS pathway which is
the most upstream activator of programmed cell death
1,2
Fas
Apoptosis Necroptosi
sFrom Vavvas 20131Zacks 2007 2Vavvas 2013
onltherapeutics.com
RetinalApoptosis Inhibition: Market Size
Others
Wet AMD
Retinal
Detachment
•  Orphan designation
•  Simplified & capital efficient development
•  Rapid POC and market entry
•  $300M - $500M global market
onltherapeutics.com
RetinalApoptosis Inhibition: Market Size
Others
Wet AMD
Retinal
Detachment
•  Orphan designation
•  Simplified & capital efficient development
•  Rapid POC and market entry
•  $300M - $500M global market
•  200,000 new cases annually
•  Integrates well with current therapies
•  $2-4B global market
onltherapeutics.com
RetinalApoptosis Inhibition: Market Size
Others
Wet AMD
Retinal
Detachment
•  Orphan designation
•  Simplified & capital efficient development
•  Rapid POC and market entry
•  $300M - $500M global market
•  200,000 new cases annually
•  Integrates well with current therapies
•  $2-4B global market
•  Dry AMD
•  Diabetic retinopathy
•  Hereditary retinal degenerations
•  $5-10B global market
onltherapeutics.com
Retinal Detachment: ASerious Disease with Unmet Needs
+  Surgery is only treatment option for
patients
–  Effective at reattaching retina
–  90%+ “Success”
+  Anatomic success, but functional failure
–  Photoreceptor cell death occurs
between detachment and surgery
–  Macula-off detachments:
•  Mean best corrected vision is
~20/501
•  1/3 of patients have vision worse
than 20/602
1Based on extensive literature review
2Mitry et al., BJO 2012
onltherapeutics.com
FAS-MediatedApoptosisActivated by Retinal Detachment
PR Cell
Surface
FAS-
Receptor
Pro-Caspase 8 Cleaved-Caspase 8
FAS-Ligand
Apoptosis
Cascade
PHOTORECEPTOR
CELL DEATH
§  Receptor activated when retina
is separated from RPE
§  Attractive therapeutic target
§  Focal point of cascade
Pro-Caspase 8 Cleaved-Caspase 8
§  Receptor activated when retina is
separated from RPE
§  Attractive therapeutic target
§  Focal point of cascade
onltherapeutics.com
§  Met12 is a small peptide inhibitor
of FAS receptor
§  Competitively binds to FAS
§  Prevents activation of apoptosis
cascade
§  Prevents photoreceptor cell death
FAS-MediatedApoptosis Blocked by Met12
PR Cell
Surface
FAS-
Receptor
Pro-Caspase 8 Cleaved-Caspase 8
FAS-Ligand
PHOTORECEPTOR
CELL DEATH
Pro-Caspase 8 Cleaved-Caspase 8
Met12
onltherapeutics.com
Pre-Clinical Efficacy of Met12: Blocking FAS Protects Photoreceptors
Two months after detachment,
up to 80% more cells treated
with Met12 survive
2-Month
Detachment1
2-Month
Detachment
w/ Met122
Attached
Retina1
1Zacks et al. IOVS, 2003
2Besirli et al., IOVS, 2009
onltherapeutics.com
Pre-Clinical Efficacy of Met12: Blocking FAS Protects Photoreceptors
Two months after detachment,
up to 80% more cells treated
with Met12 survive
0
0.05
0.1
0.15
0.2
0.25
0.3
Attached Retinal
Detachment
Met12
p=0.001
normalizedretinalthickness
onltherapeutics.com
Retinal Detachment: Market Opportunity
+  ~50,000 detachments / year in US
–  ~20,000 macula off rhegmatogenous detachments
+  Orphan indication / single treatment with lasting benefit
–  High price point
–  $300M global market for macula-off detachments alone
+  Fits perfectly with current clinical practice
–  Single injection at time of diagnosis, standard surgical plan to
follow
–  Intravitreal delivery well established in retinal practice
onltherapeutics.com
Intellectual Property
§  Multiple patents filed, issued and licensed from University of
Michigan and Mass Eye and Ear
–  8,343,931
–  7,811,832
§  Orphan Drug Designation received from FDA in March 2013
–  Provides 7 years exclusivity post-approval in retinal detachment
§  Additional IP filed in 2014
onltherapeutics.com
Management Team
Co-Founder &
CSO
Sr. VP. Operations
David Zacks, MD, PhD
–  Physician/Scientist, U of Michigan, Kellogg Eye Center
–  Thought-leader in the field of photoreceptor neuroprotection
Linda Johnson
–  Former Executive Director, Global Development, Pfizer
–  Two decades of experience leading teams from discovery to NDA
President & CEO
John Freshley
–  Serial life sciences entrepreneur and business leader
–  Recently Chief Business Officer of Compendia Bioscience
CMO
David Kleinman, MD, MBA, FACS
–  Thought leader in ophthalmic drug development
–  Experienced, venture backed clinical leader with MacuSight
Clinical
Joan Miller, MD, Chief & Chair, Dept. Of Ophthalmology, Mass Eye and
Ear
Pravin U. Dugel, MD, Managing Partner, Retinal Consultants of Arizona
Regulatory Judy Gordon, DVM, Founder, ClinReg Consulting Services, Inc.
Pharmacology Jeff Jamison, PhD, Founder & CEO, Ophthy-DS & Co-Founder of ONL
Toxicology Bill Brock, PhD, Founder, Brock Scientific Consulting
CMC Anna Schwendeman,PhD, Founder, Schwendeman Consulting
Advisors &
Lead Consultants
onltherapeutics.com
ONL Development Plan
ONL-101 (Met12) Development
IND Enabling Studies
Phase I Retinal Detachment
Phase II POC Retinal Detachment
Pre-Clinical POC New Indication
Corporate Development 2014 2015 2016 2017
Seed Funding ($3M)
Series A ($8-10M)
Series B and/or Partnership or Exit
= Past Milestones
= Future Milestones
onltherapeutics.com
ONL Therapeutics Highlights
+  First-in-class therapeutics to prevent photoreceptor cell death
+  Relevant in many retinal diseases addressing existing > $7B
worldwide market
+  Orphan Drug status in retinal detachment
+  Rapid and capital efficient development path
+  Strong intellectual property position
+  Experienced management and expert advisory teams
onltherapeutics.com
onltherapeutics.com
Visionary science.
onltherapeutics.com
Thank you
John Freshley
t: 734.926.5530
e: jfreshley@onltherapeutics.com

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ONL Therapeutics

  • 2. onltherapeutics.com ONL Therapeutics Highlights +  First-in-class therapeutics to prevent photoreceptor cell death +  Relevant in many retinal diseases addressing existing > $7B worldwide market +  Orphan Drug status in retinal detachment +  Rapid and capital efficient development path +  Strong intellectual property position +  Experienced management and expert advisory teams
  • 3. onltherapeutics.com Photoreceptor CellApoptosis Substantial Unmet Need in Retinal Disease +  Despite current therapies photoreceptor cell death remains the root cause of vision loss and leading cause of blindness (AREDS / CATT / Seven-Up) +  Implicated in a wide range of ocular diseases and conditions +  When the photoreceptor – RPE interface is disrupted, the photoreceptors die by apoptosis +  This death is mediated by the FAS pathway which is the most upstream activator of programmed cell death 1,2 Fas Apoptosis Necroptosi sFrom Vavvas 20131Zacks 2007 2Vavvas 2013
  • 4. onltherapeutics.com RetinalApoptosis Inhibition: Market Size Others Wet AMD Retinal Detachment •  Orphan designation •  Simplified & capital efficient development •  Rapid POC and market entry •  $300M - $500M global market
  • 5. onltherapeutics.com RetinalApoptosis Inhibition: Market Size Others Wet AMD Retinal Detachment •  Orphan designation •  Simplified & capital efficient development •  Rapid POC and market entry •  $300M - $500M global market •  200,000 new cases annually •  Integrates well with current therapies •  $2-4B global market
  • 6. onltherapeutics.com RetinalApoptosis Inhibition: Market Size Others Wet AMD Retinal Detachment •  Orphan designation •  Simplified & capital efficient development •  Rapid POC and market entry •  $300M - $500M global market •  200,000 new cases annually •  Integrates well with current therapies •  $2-4B global market •  Dry AMD •  Diabetic retinopathy •  Hereditary retinal degenerations •  $5-10B global market
  • 7. onltherapeutics.com Retinal Detachment: ASerious Disease with Unmet Needs +  Surgery is only treatment option for patients –  Effective at reattaching retina –  90%+ “Success” +  Anatomic success, but functional failure –  Photoreceptor cell death occurs between detachment and surgery –  Macula-off detachments: •  Mean best corrected vision is ~20/501 •  1/3 of patients have vision worse than 20/602 1Based on extensive literature review 2Mitry et al., BJO 2012
  • 8. onltherapeutics.com FAS-MediatedApoptosisActivated by Retinal Detachment PR Cell Surface FAS- Receptor Pro-Caspase 8 Cleaved-Caspase 8 FAS-Ligand Apoptosis Cascade PHOTORECEPTOR CELL DEATH §  Receptor activated when retina is separated from RPE §  Attractive therapeutic target §  Focal point of cascade Pro-Caspase 8 Cleaved-Caspase 8 §  Receptor activated when retina is separated from RPE §  Attractive therapeutic target §  Focal point of cascade
  • 9. onltherapeutics.com §  Met12 is a small peptide inhibitor of FAS receptor §  Competitively binds to FAS §  Prevents activation of apoptosis cascade §  Prevents photoreceptor cell death FAS-MediatedApoptosis Blocked by Met12 PR Cell Surface FAS- Receptor Pro-Caspase 8 Cleaved-Caspase 8 FAS-Ligand PHOTORECEPTOR CELL DEATH Pro-Caspase 8 Cleaved-Caspase 8 Met12
  • 10. onltherapeutics.com Pre-Clinical Efficacy of Met12: Blocking FAS Protects Photoreceptors Two months after detachment, up to 80% more cells treated with Met12 survive 2-Month Detachment1 2-Month Detachment w/ Met122 Attached Retina1 1Zacks et al. IOVS, 2003 2Besirli et al., IOVS, 2009
  • 11. onltherapeutics.com Pre-Clinical Efficacy of Met12: Blocking FAS Protects Photoreceptors Two months after detachment, up to 80% more cells treated with Met12 survive 0 0.05 0.1 0.15 0.2 0.25 0.3 Attached Retinal Detachment Met12 p=0.001 normalizedretinalthickness
  • 12. onltherapeutics.com Retinal Detachment: Market Opportunity +  ~50,000 detachments / year in US –  ~20,000 macula off rhegmatogenous detachments +  Orphan indication / single treatment with lasting benefit –  High price point –  $300M global market for macula-off detachments alone +  Fits perfectly with current clinical practice –  Single injection at time of diagnosis, standard surgical plan to follow –  Intravitreal delivery well established in retinal practice
  • 13. onltherapeutics.com Intellectual Property §  Multiple patents filed, issued and licensed from University of Michigan and Mass Eye and Ear –  8,343,931 –  7,811,832 §  Orphan Drug Designation received from FDA in March 2013 –  Provides 7 years exclusivity post-approval in retinal detachment §  Additional IP filed in 2014
  • 14. onltherapeutics.com Management Team Co-Founder & CSO Sr. VP. Operations David Zacks, MD, PhD –  Physician/Scientist, U of Michigan, Kellogg Eye Center –  Thought-leader in the field of photoreceptor neuroprotection Linda Johnson –  Former Executive Director, Global Development, Pfizer –  Two decades of experience leading teams from discovery to NDA President & CEO John Freshley –  Serial life sciences entrepreneur and business leader –  Recently Chief Business Officer of Compendia Bioscience CMO David Kleinman, MD, MBA, FACS –  Thought leader in ophthalmic drug development –  Experienced, venture backed clinical leader with MacuSight Clinical Joan Miller, MD, Chief & Chair, Dept. Of Ophthalmology, Mass Eye and Ear Pravin U. Dugel, MD, Managing Partner, Retinal Consultants of Arizona Regulatory Judy Gordon, DVM, Founder, ClinReg Consulting Services, Inc. Pharmacology Jeff Jamison, PhD, Founder & CEO, Ophthy-DS & Co-Founder of ONL Toxicology Bill Brock, PhD, Founder, Brock Scientific Consulting CMC Anna Schwendeman,PhD, Founder, Schwendeman Consulting Advisors & Lead Consultants
  • 15. onltherapeutics.com ONL Development Plan ONL-101 (Met12) Development IND Enabling Studies Phase I Retinal Detachment Phase II POC Retinal Detachment Pre-Clinical POC New Indication Corporate Development 2014 2015 2016 2017 Seed Funding ($3M) Series A ($8-10M) Series B and/or Partnership or Exit = Past Milestones = Future Milestones
  • 16. onltherapeutics.com ONL Therapeutics Highlights +  First-in-class therapeutics to prevent photoreceptor cell death +  Relevant in many retinal diseases addressing existing > $7B worldwide market +  Orphan Drug status in retinal detachment +  Rapid and capital efficient development path +  Strong intellectual property position +  Experienced management and expert advisory teams