![slide1](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat001.jpg)
January 2023 Selecta Biosciences Corporate Presentation SELB
![slide2](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat002.jpg)
2Selecta Biosciences Investor Presentation – January 2023 Any statements in this presentation about the future expectations, plans and prospects of Selecta Biosciences, Inc. (the “Company”), including without limitation, statements regarding the Company’s cash runway, the unique proprietary technology platform of the Company, and the unique proprietary platform of its partners, the potential of ImmTOR to enable re-dosing of AAV gene therapy and to mitigate immunogenicity, the potential of ImmTOR and the Company’s product pipeline to treat chronic refractory gout, MMA, IgAN, other autoimmune diseases, lysosomal storage disorders, or any other disease, the anticipated timing or the outcome of ongoing and planned clinical trials, studies and data readouts, the anticipated timing or the outcome of the FDA’s review of the Company’s regulatory filings, the Company’s and its partners’ ability to conduct its and their clinical trials and preclinical studies, the timing or making of any regulatory filings, the potential treatment applications of product candidates utilizing the ImmTOR platform in areas such as gene therapy, gout and autoimmune disease, the ability of the Company and its partners where applicable to develop gene therapy products using ImmTOR, the novelty of treatment paradigms that the Company is able to develop, whether the observations made in non-human study subjects will translate to studies performed with human beings, the potential of any therapies developed by the Company to fulfill unmet medical needs, the Company’s plan to apply its ImmTOR technology platform to a range of biologics for rare and orphan genetic diseases, the potential of the Company’s technology to enable repeat administration in gene therapy product candidates and products, the ability to re-dose patients and the potential of ImmTOR to allow for re-dosing, the potential to safely re-dose AAV, the ability to restore transgene expression, the potential of the ImmTOR technology platform generally and the Company’s ability to grow its strategic partnerships, and other statements containing the words “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “hypothesize,” “intend,” “may,” “plan,” “potential,” “predict,” “project,” “should,” “target,” “would,” and similar expressions, constitute forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995. Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors, including, but not limited to, the following: the uncertainties inherent in the initiation, completion and cost of clinical trials including proof of concept trials, including the uncertain outcomes, the availability and timing of data from ongoing and future clinical trials and the results of such trials, whether preliminary results from a particular clinical trial will be predictive of the final results of that trial or whether results of early clinical trials will be indicative of the results of later clinical trials, the ability to predict results of studies performed on human beings based on results of studies performed on non- human subjects, the unproven approach of the Company’s ImmTOR technology, potential delays in enrollment of patients, undesirable side effects of the Company’s product candidates, its reliance on third parties to manufacture its product candidates and to conduct its clinical trials, the Company’s inability to maintain its existing or future collaborations, licenses or contractual relationships, its inability to protect its proprietary technology and intellectual property, potential delays in regulatory approvals, the availability of funding sufficient for its foreseeable and unforeseeable operating expenses and capital expenditure requirements, the Company’s recurring losses from operations and negative cash flows, substantial fluctuation in the price of its common stock, risks related to geopolitical conflicts and pandemics and other important factors discussed in the “Risk Factors” section of the Company’s most recent Annual Report on Form 10-K, and in other filings that the Company makes with the Securities and Exchange Commission. In addition, any forward-looking statements included in this presentation represent the Company’s views only as of the date of its publication and should not be relied upon as representing its views as of any subsequent date. The Company specifically disclaims any intention to update any forward-looking statements included in this presentation. Safe harbor / disclaimer
![slide3](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat003.jpg)
3Selecta Biosciences Investor Presentation – January 2023 Diversified pipeline of novel therapeutic candidates; proof of concept in biologics and gene therapy, expanding into autoimmune disease 1 2 3 4 Strong balance sheet, positioned to reach multiple value inflection points with expected runway into mid-2024 5 ImmTOR® and ImmTOR-IL™ immune tolerance platforms have potentially broad applicability to address the challenges of autoimmunity and immunogenicity Topline Phase 3 data for SEL-212 in chronic refractory gout expected in Q1 2023, with additional value-generating milestones anticipated in 2023 Multiple strategic partnerships designed to validate platform and maximize its potential
![slide4](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat004.jpg)
4Selecta Biosciences Investor Presentation – January 2023 Proprietary precision immune tolerance platform with potentially broad applicability ImmTOR combines nanoparticle technology with an FDA approved anti-inflammatory and immunomodulatory drug Designed to generate antigen-specific immune tolerance when combined with an antigen of interest
![slide5](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat005.jpg)
5Selecta Biosciences Investor Presentation – January 2023 ImmTOR aims to restore self tolerance in autoimmune disease and overcome immunogenicity of gene therapies and biologics Autoimmune Disease Gene Therapies/Biologics
![slide6](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat006.jpg)
6Selecta Biosciences Investor Presentation – January 2023 A diversified and growing wholly-owned pipeline Recent and Expected Upcoming MilestonesIndication Antigen Preclinical Phase 1 Phase 3Phase 2 TOLEROGENIC THERAPIES Primary biliary cholangitis (PBC) PDC-E2 Undisclosed c GENE THERAPIES Phase 1 start Q4 2022Methylmalonic acidemia (MMA) AAV (serotype undisclosed) SEL-302 BIOLOGIC THERAPIES IgA protease IgA nephropathy (IgAN) IgA1 protease* *Option & License Agreement with IGAN Biosciences
![slide7](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat007.jpg)
7Selecta Biosciences Investor Presentation – January 2023 c Unlocking the potential of our platform through collaborations Upcoming Milestones Antigen Preclinical Phase 1 Phase 3Phase 2 GENE THERAPIES IgA protease Chronic Refractory Gout DISSOLVE Topline Data Q1 2023Pegadricase Duchenne muscular dystrophy (DMD) Undisclosed BIOLOGIC THERAPIES Indication UndisclosedUndisclose d Two indications for lysosomal storage disorders Undisclosed Undisclosed Limb-girdle muscular dystrophy (LGMD) UndisclosedUndisclose dPompe disease SEL-018IgG protease (Xork) Commercial Rights SEL-212
![slide8](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat008.jpg)
8 Restoring Self-Tolerance in Autoimmune Disease
![slide9](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat009.jpg)
9Selecta Biosciences Investor Presentation – January 2023 Striving to restore self-tolerance in autoimmune diseases ImmTOR + IL-2 has the potential to be a best-in-class approach Approach: restore natural self-tolerance by administering ImmTOR with nanoparticle-encapsulated self-antigens and avoid the need for chronic and systemic immune suppression Aiming to expand antigen-specific Tregs and enhance durability of tolerance by developing a proprietary Treg- selective IL-2 to combine with ImmTOR and autoantigens cTHE Solution Roughly 80 autoimmune conditions affect as much as 4.5% of the world’s population*; 24M+ individuals in the US alone are affected by autoimmune diseases** The current standard of care is broad immunosuppression, which is associated with side effects and leaves patients vulnerable to serious infection and malignancies There is a significant need for antigen-specific therapies that can induce immune tolerance to pathogenic autoantigens without the need for chronic and systemic immune suppression cTHE Challenges *Autoimmune Disease, by the Numbers" in Scientific American 325, 3, 31-33 (September 2021), doi:10.1038/scientificamerican0921-31 **https://www.niehs.nih.gov/health/topics/conditions/autoimmune/index.cfm
![slide10](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat010.jpg)
10Selecta Biosciences Investor Presentation – January 2023 ImmTOR-IL : ImmTOR plus IL-2 receptor agonist ImmTOR-IL Treg-selective agonist IL-2 receptor • Synergistic mechanism of ImmTOR and a Treg-selective IL-2 • Identified an interleukin-2 (IL-2) cytokine with plans to advance it through the next stage of development • Observed to greatly increase the magnitude and durability of antigen-specific Treg expansion when compared to either ImmTOR or IL-2 alone • Proof of concept human data in which we observed ImmTOR alone and IL-2 alone lowers the translational risk and provides further confidence in the clinical utility of this potentially synergistic approach • Potential to enable lower and fewer doses of ImmTOR Evolution of the ImmTOR Platform ImmTOR IL-2 mutein ImmTOR ImmTOR-IL Induce Treg Expand existing Tregs Antigen-specific Expansion of all pre-existing Tregs Induction of target antigen-specific Tregs Induction and expansion of antigen- specific Tregs
![slide11](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat011.jpg)
11Selecta Biosciences Investor Presentation – January 2023 Induction and expansion of antigen-specific Treg Observed a significant expansion of antigen-specific Treg* with a single dose of ImmTOR in combination with an IL-2 mutein + antigen 0 10 20 30 40 50 60 70 Antigen-specific Treg 0 10 20 30 40 50 60 70 Total splenic Tregs ImmTOR IL-2 mutein + + + + + + + + + +Ovalbumin + + + + + + + + + + *study conducted in wildtype mice after adoptive transfer of ovalbumin specific transgenic T-cells With superior expansion and durability of total Tregs, Selecta potentially has a best-in-class IL-2 therapy Data believed to show an approximately 3-fold increase in antigen-specific Tregs, and an opportunity to enable a “first in class” therapy for autoimmune disorders
![slide12](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat012.jpg)
12Selecta Biosciences Investor Presentation – January 2023 ImmTOR-IL mitigates immunogenicity of high vector dose AAV gene therapy ImmTOR + 4 monthly doses of IL-2 mutein inhibits anti-AAV antibodies at 5E13 vg/kg dose 12 19 33 47 61 75 89 103 117 131 0.0 0.5 1.0 1.5 Days AAV post-Infusion 12 19 33 47 61 75 89 103 117 131 0.0 0.5 1.0 1.5 Days AAV post-Infusion 12 19 33 47 61 75 89 103 117 131 0.0 0.5 1.0 1.5 Days AAV post-Infusion 12 19 33 47 61 75 89 103 117 131 0.0 0.5 1.0 1.5 Days AAV post-Infusion N=6N=6N=6N=6 AAV8-SEAP +/-ImmTOR +/-IL-2 mutein +/-IL-2 mutein +/-IL-2 mutein +/-IL-2 mutein Day 0 Day 28 Day 56 Day 84 200 g ImmTOR 9 g IL-2 mutein No immunotherapy ImmTOR IL-2 mutein ImmTOR+ IL-2 mutein Preclinical data presented at ASGCT 2022, Poster title: Combination of ImmTOR Tolerogenic Nanoparticles and IL-2 Mutein Synergistically Inhibits the Formation of Anti-AAV Antibodies
![slide13](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat013.jpg)
13Selecta Biosciences Investor Presentation – January 2023 Initial autoimmune disease focus: Primary Biliary Cholangitis (PBC) ImmTOR + PDC-E2 antigen has the potential to address underlying autoimmune disease 1. Ursodeoxycholic acid, 2. Obeticholic acid 3. Purohit & Cappell (2015) 4. Lu et al (2018); Lammers et al (2014); Marzioni et al (2019); 5. Floreani & Mangini (2018) • PBC is a rare T-cell mediated autoimmune liver disease • It is driven by a well-defined pathogenic antigen: PDC-E2 • Leads to bile duct damage, progressive inflammation, scarring (cirrhosis) and • Current therapies do not address underlying disease or key symptoms • 30 - 40% of patients are intolerant / unresponsive to current SoC (UDCA1), and OCA2 is marred by high AE rates and black box warnings • Our approach has the potential to directly address underlying disease • In preclinical studies ImmTOR induced a strong tolerogenic environment and showed hepatoprotective properties in liver injury models • Co-administration of ImmTOR with PDC-E2 has the potential to restore immune tolerance in the liver ~130,0003 Prevalence of PBC in US 90 – 95% women3 ~80% People with symptoms needing treatment4 Intolerant / unresponsive to UDCA5 ~30 – 40% There is a significant need for new therapies in PBC
![slide14](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat014.jpg)
14Selecta Biosciences Investor Presentation – January 2023 Hepatic regulatory T cells Tolerogenic liver sinusoidal endothelial cells We believe ImmTOR is ideally suited to address the root cause of PBC PBC is a T-cell mediated disease driven by a well-defined antigen, ImmTOR designed to biodistribute to the liver and induce a tolerogenic environment, ImmTOR observed to exhibit hepatoprotective properties in liver injury models1 An ImmTOR-based approach to treating primary biliary cholangitis (PBC) Selecta intends to co-administer ImmTOR with PDC-E2, the autoantigen implicated in PBC 0 5 10 15 **** ImmTOR Untreated 0 5 10 15 * ImmTOR Rapamycin Untreated 0 100 200 300 400 500 700 * Con A Con A + ImmTOR Hepatoprotective in Con A liver inflammation model 1. https://rarediseases.org/rare-diseases/primary-biliary-cholangitis/ * P=0.05, ****P=0.0001
![slide15](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat015.jpg)
15 Gene Therapy
![slide16](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat016.jpg)
16Selecta Biosciences Investor Presentation – January 2023 AAV gene therapies are coming of age but still have challenges Selecta has platform technologies to potentially address many key challenges facing the modality ImmTOR and Xork offer independent value creation opportunities with existing and new partners • ImmTOR – Human proof of concept shows the possibility for ImmTOR to inhibit the formation of NAbs to AAV vectors. Extensive preclinical work shows the potential for improved and more durable transgene expression upon the first dose and potential hepatoprotective benefits • Xork – Cleaves human IgG specifically, efficiently and shows low cross reactivity to human sera potentially opening a potential treatment window for those with pre-existing immunity to AAV vectors *Flotte TR. 2020. Hum Gene Ther 31:398-399. cTHE Solution While most gene therapy trials use AAV vectors, the formation of neutralizing antibodies (NAbs) after AAV vector administration prevents redosing • Adverse patient events related to high vector doses is inextricably linked to immunogenicity* • Pre-existing immunity to AAV vectors excludes significant numbers of patients cTHE Challenges
![slide17](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat017.jpg)
17Selecta Biosciences Investor Presentation – January 2023 Aiming to have the leading toolkit to power AAV gene therapies “High doses are needed to ensure therapeutic benefit” “Patient eligibility is limited”“Gene therapy is a one time only treatment” Low transduction efficiency and lack of organ specificity requires higher doses to ensure therapeutic benefit Xork can cleave IgG potentially opening a therapeutic window for gene therapy treatment and enable redosing The ImmTOR platform has shown the ability to mitigate the formation neutralizing antibodies (NAbs) to empty capsids in humans Selecta has partnered with a leading synthetic biology company to engineer next generation capsids with improved transduction and organ specificity Preventing the formation of NAbs could enable redosing of gene therapies Increasing patients eligible for gene therapies can bring hope to those without treatment alternatives and make programs more commercially viable
![slide18](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat018.jpg)
18Selecta Biosciences Investor Presentation – January 2023 Time after initial AAV treatment (d) ImmTOR has been observed to enhance transgene expression after first and second doses of AAV Repeat dosing enabled by ImmTOR is dose sparing 5e11 vg/kg AAV-SEAP 5e11 vg/kg AAAV-SEAP + ImmTOR 25e11 vg/kg AAV-SEAP Day 0 Day 70 5e11 vg/kg AAV-SEAP 5e11 vg/kg AAV-SEAP + ImmTOR 25e11 vg/kg AAV-SEAP 19 61 77 151 0 10000 20000 30000 40000 AAV dose (x 1011 vg/kg) 5 5 25 Two doses of 5e11 vg/kg with ImmTOR provides comparable expression as single dose of 25e11 vg/kg ImmTOR could enable safer, more efficacious gene therapy treatments ImmTOR is designed to be dose sparing – a key safety consideration and manufacturing benefit Ilyinskii et al., Science Advances, 2021*study conducted in wildtype mice
![slide19](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat019.jpg)
19Selecta Biosciences Investor Presentation – January 2023 Aiming to simultaneously address two key challenges in AAV gene therapy + ImmTOR Xork Xork IdeS 0.00 0.25 0.50 0.75 1.00 1.25 1.50 1.75 IdeS Xork Human IgG + + + + + Cleavage of human IgG Pre-existing anti-IgG protease Antibodies in human serum Intact IgG Cleaved F(ab’)2 The combination of ImmTOR and Xork could make gene therapy both accessible and re-dosable *IdeS is an IgG protease derived from the common human pathogen Streptococcus pyogenes • Mitigate NAb formation • Address re-dosing issues • Enhance expression • Cleave pre-existing IgG Potential to make gene therapy both accessible & re-dosable Xork is an IgG protease derived from a non-human pathogen
![slide20](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat020.jpg)
20Selecta Biosciences Investor Presentation – January 2023 SEL-399 (empty-AAV8 capsid) Phase 1 dose-escalation study Total healthy volunteers enrolled: 23 (14 males and 9 females) All subjects with anti-AAV8 NAb titers <1:5 at baseline Randomized, placebo controlled and double-blind study n=3 0 15 30 45 60 75 90 Placebo* + Empty Capsid (2E12 vp**/kg) Study Day Placebo + Empty Capsid (2E12 vp/kg) ImmTOR (0.15 mg/kg) + Empty Capsid (2E12 vp/kg) n=3 n=9 Placebo + Empty Capsid (2E12 vp/kg) ImmTOR (0.3 mg/kg) + Empty Capsid (2E12 vp/kg) n=2 n=6 Drug Infusions Neutralizing antibodies (NAb) measurement ** vp=viral particles * Placebo=saline infusion
![slide21](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat021.jpg)
21Selecta Biosciences Investor Presentation – January 2023 Single dose ImmTOR observed to inhibit anti-AAV8 NAb formation at day 30 2000 1000 100 10 Titer 1:5 Titer 1:25 1 Log10 Scale 2000 1500 1000 500 0 Linear Scale Empty Capsid (n=8) Empty Capsid + 0.15 mg/kg ImmTOR (n=9) Empty Capsid + 0.3 mg/kg ImmTOR (n=6) Antibody levels may interfere with efficient re-dosing** Titers too high for re-dosing Patients eligible for re-dosing* * May be dependent on gene therapy dose ** Ancillary approaches such as IgG protease pre-treatment may be required for re-dosing 1-50 50-200 200+ Target Intermedia te Failure Target For Redosing
![slide22](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat022.jpg)
22Selecta Biosciences Investor Presentation – January 2023 Summary and conclusions • We observed AAV8 empty capsids eliciting a strong immune response with peak median anti-AAV8 NAb titers of 1:6875 • We observed ImmTOR inhibiting the formation of anti-AAV8 NAb in a dose-dependent manner at Day 30 • -treated subjects showed delayed formation of NAb reaching control levels by Day 90 • Animal studies suggest that if NAb are inhibited at Day 30, administration of two additional monthly doses of ImmTOR may maintain control of NAb beyond 90 days • Safety findings included AEs previously observed with ImmTOR (Stomatitis & Rash). Asymptomatic and transient laboratory changes in subjects receiving ImmTOR were seen in 2 subjects with mild to moderate thrombocytopenia and 1 subject with grade 3 hypertriglyceridemia • This promising study in healthy volunteers provides support for the potential use of ImmTOR for the inhibition of NAbs to AAV8 in gene therapy clinical trials
![slide23](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat023.jpg)
23Selecta Biosciences Investor Presentation – January 2023 SEL-302 - Gene therapy program for the treatment of MMA Phase 1 start expected in Q4 2022 • Methylmalonic acidemia (MMA) is a rare monogenic metabolic disease with a potential live birth incidence of between 1:25,000 and 1:48,0001 • Majority of patients have mutations in the mitochondrial methylmalonyl- CoA mutase (MUT) gene • Metabolic instability, particularly in the liver, can cause hyperammonemia and production of other toxic metabolites • Metabolic crisis can cause irreversible neurocognitive damage, stunted growth, chronic kidney disease and premature death • Only effective treatment is liver transplantation at an early age • Selecta is developing an AAV gene therapy combined with ImmTOR for the treatment of MMA (SEL-302) Mitochondria Cytoplasm branch chain amino acids odd chain fatty acids propionate propionyl-CoA D-methylmalonyl-CoA L-methylmalonyl-CoA succinyl-CoA PCC MCEE MUT Citric Acid Cycle 2-methylcitrate methylmalonic acid 1. https://www.genome.gov/Genetic-Disorders/MMA-Study-General-Information
![slide24](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat024.jpg)
24Selecta Biosciences Investor Presentation – January 2023 ImmTOR ImmTOR ImmTOR MMA Clinical Trial Design: Schedule of Events for Individual Subjects Key Biomarker Evaluations POBT sMMA NAb Pre-dose, Day, 21, 42, 70, and 84 Pre-dose, Day 7, 21, 42, 63, 70, 77, and 84 Pre-dose, Day 14, 28, 42, 56, 70, and 84 Day 1 28 56 84 168 364. Pre-Screening Screening Interim Endpoint* 4-year follow-up Drug Administration MMA-101 Primary Endpoint Clinical endpoints monitored throughout trial (hospitalizations, metabolic crises, growth/diet, patient- & caregiver-reported outcomes) Cohort 1: Adolescents (n=3) Cohort 2: Children (n=3) MMA-101 (1.0E13 vg/kg) ImmTOR (0.15 or up to 0.3 mg/kg) POBT=1-13C -sodium propionate oxidative capacity using breath tesevaluationt; sMMA= serum methylmalonic acid levels; NAb=neutralizing anti-AAV8 antibodies *Interim Endpoint= Data cutoff for Data Safety Monitoring Board
![slide25](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat025.jpg)
25 Biologics
![slide26](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat026.jpg)
26Selecta Biosciences Investor Presentation – January 2023 cTHE Challenges Many biologics can be highly immunogenic resulting in suboptimal responses to the standard of care due to the development of anti-drug antibodies (ADAs) after multiple treatments Patients that develop an immune response to the current standard of care may be forced to discontinue treatment or experience adverse reactions ImmTOR designed to enhance biologic therapies Unlocking their full potential by potentially ameliorating unwanted immune responses ImmTOR, co-administered with immunogenic therapeutic enzymes, has the potential to ameliorate an immune response to the biologic treatment allowing patients to stay on therapy longer Extensive human data and significant safety database across multiple biologics demonstrates broad potential applicability and a promising approach to minimize the healthcare and economic burden of ADAs cTHE Solution Sands, E., Kivitz, A., DeHaan, W. et al. Tolerogenic nanoparticles mitigate the formation of anti-drug antibodies against pegylated uricase in patients with hyperuricemia. Nat Commun 13, 272 (2022). https://doi.org/10.1038/s41467-021-27945-7
![slide27](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat027.jpg)
27Selecta Biosciences Investor Presentation – January 2023 Pegadricase is a highly immunogenic enzyme with most patients treated with pegadricase alone developing anti-drug antibodies within 2 weeks after a single treatment 5 monthly doses SEL-212* Pegadricase 0.2 mg/kg ImmTOR 0.1 or 0.15 mg/kg * Data from 5 monthly dosing cohorts of the SEL-212/201 trial **Data from pegadricase alone cohorts from the SEL-037/101, SEL-212/101, and SEL-212/201 trials ImmTOR was observed to ameliorate the immune response to pegadricase and was generally well-tolerated resulting in sustained control of serum uric acid (SUA) Pegadricase alone** Pegadricase 0.2 or 0.4 mg/kg Pegadricase alone 15% (3/19) 66% (21/32) SEL-212 (combination of pegadricase + ImmTOR) SEL-212 is a late-stage enzyme therapy program in chronic refractory gout ImmTOR markedly improved patient response to the enzyme pegadricase in a Phase 2 trial Only 15% of patients treated with pegadricase alone maintain control of serum uric acid (SUA) after four weeks of therapy
![slide28](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat028.jpg)
28Selecta Biosciences Investor Presentation – January 2023 1. Number of patients with tophi with Responder Assessment 2. Treatment difference = SEL-212 percent responder - pegloticase percent responder. Rounded to nearest integer Evaluation Period (Month) Data Set SEL-212 pegloticase Treatment Difference2 Percentage ptsn1 Responder Percent n1 Responder Percent Month 3 and 6 combined PP 26 58% 26 39% 19 ITT 35 57% 34 42% 16 Patients with tophi at baseline: • Represent the most severely affected population of gout patients • Are less likely to achieve target SUA levels on conventional oral lowering therapies and have increased gout-related emergency room visits, hospitalizations, gout-related surgeries, and co-morbidities • Have increased prevalence of swollen and tender joints and chronic kidney disease • Have increased risk of mortality Sources: Khanna et al Arthr Rheumatol 2016, 68, suppl 10; Edwards et al, Rheumatol 2019; Vincent et al J Rheumatol 2017; Perez-Ruiz, Ann Rheum Dis 2014 Patients most in need reaped greater benefits with SEL-212 Observed a delta of 19% points for SEL-212 versus pegloticase for patients with visible tophi at baseline
![slide29](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat029.jpg)
29Selecta Biosciences Investor Presentation – January 2023 SEL-212 phase 3 DISSOLVE program design Evaluating SEL-212 in a pivotal phase 3 program vs. placebo, joint topline data expected in Q1 2023 • 2 double blinded placebo-controlled trials of SEL-212 (0.1 mg/kg & 0.15 mg/kg ImmTOR) Both studies have a 6-month primary endpoint of serum uric acid (SUA) < 6 mg/dL at month 6, and DISSOLVE I has a 6-month safety extension; secondary endpoints include tender and swollen joint counts, tophus burden, patient reported outcomes of activity limitation and quality of life and gout flare incidence • Randomized 1:1:1 against placebo with 265 treated subjects across both studies STUDY 2 STUDY 1 Baseline SEL-212 - 0.1/0.2 mg/kg SEL-212 - 0.15/0.2 mg/kg 6 Months: Primary Efficacy Endpoint Placebo Placebo SEL-212 - 0.15/0.2 mg/kg SEL-212 - 0.1/0.2 mg/kg 12 Months
![slide30](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat030.jpg)
30Selecta Biosciences Investor Presentation – January 2023 Opportunity to address unmet medical needs for the treatment of IgAN • Immunoglobulin A nephropathy (IgAN) is a leading cause of chronic kidney disease (CKD) and renal failure with 30-40% of patients reaching end-stage renal disease; approximately 100,000 patients in the U.S. and only one approved therapy • Caused by deposits of the protein immunoglobulin A (IgA) inside the filters (glomeruli) in the kidney • Current treatments fail to address the root cause of the disease and are focused on protecting the kidney from further damage • Selecta is developing an entirely new class of IgA protease from a commensal bacteria in collaboration with IGAN Biosciences for the treatment of IgAN • Combining ImmTOR with an IgA protease has the potential to mitigate the formation of new ADAs and address the underlying pathophysiology of the disease
![slide31](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat031.jpg)
31Selecta Biosciences Investor Presentation – January 2023 Combining ImmTOR with IgA protease for the treatment of IgAN Building on the clinical data from the SEL-212 program and strong preclinical data in IgA Saline IgA protease 5mg/kg IV Glomerular IgA1 deposits Complement deposition Fibronectin Adapted from Lechner et al., , 2016. HEMATURIA Pre Post Pre Post 1.25 mg/kg IgA protease 5 mg/kg IgA protease • IND enabling studies underway for next generation Immunoglobulin A (IgA) protease to address IgA nephropathy • Mice expressing human IgA1 and sCD89 develop spontaneous IgA nephropathy • Treatment with IgA protease clears glomerular IgA1 deposits and associated inflammation and hematuria
![slide32](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat032.jpg)
32 Corporate
![slide33](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat033.jpg)
33Selecta Biosciences Investor Presentation – January 2023 Peter G. Traber, M.D. Chief Medical Officer Experienced management team positions Selecta for success Lloyd Johnston, Ph.D. Chief Operations Officer Carsten Brunn, Ph.D. President and CEO Kei Kishimoto, Ph.D. Chief Scientific Officer Kristen Baldwin Chief People Officer Blaine Davis Chief Financial Officer Matthew Bartholomae General Counsel
![slide34](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat034.jpg)
34Selecta Biosciences Investor Presentation – January 2023 1. Unaudited 2. Includes cash, cash equivalents, marketable securities and restricted cash. Key 2023 milestones: Licensed next-generation IgG protease candidate, Xork, for development with AT845, Astellas Gene Therapies’ investigational product for the treatment of Pompe Disease Report top-line data from Phase 3 DISSOLVE I & II programs of SEL-212 in chronic refractory gout in Q1 2023 Preliminary Phase 1 SEL-302 data in gene therapy for MMA Initiate IND enabling studies with the selected IL-2 candidate to further advance and expand the immune tolerance platform in autoimmune disease Initiate IND enabling studies with the selected IgA protease candidate from IGAN Biosciences Positioned for growth in 2023 ~$148.0 MILLION(1) Cash on hand as of September 30, 2022(2) Current funding expected to extend into mid 2024 and is expected to support anticipated development across pipeline programs including:
![slide35](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat035.jpg)
35Selecta Biosciences Investor Presentation – January 2023 Diversified pipeline of novel therapeutic candidates; proof of concept in biologics and gene therapy, expanding into autoimmune disease 1 2 3 4 Strong balance sheet, positioned to reach multiple value inflection points with expected runway into mid-2024 5 ImmTOR® and ImmTOR-IL™ immune tolerance platforms have potentially broad applicability to address the challenges of autoimmunity and immunogenicity Topline Phase 3 data for SEL-212 in chronic refractory gout expected in Q1 2023, with additional value-generating milestones anticipated in 2023 Multiple strategic partnerships designed to validate platform and maximize its potential
![slide36](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat036.jpg)
36 Appendix
![slide37](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat037.jpg)
37Selecta Biosciences Investor Presentation – January 2023 Subjects treated with a single dose of ImmTOR developed delayed NAb formation by day 90 Titer 1:25 Day 90 Day 30 Empty Capsid (n=8) Empty Capsid + 0.15 mg/kg ImmTOR (n=9) Empty Capsid + 0.3 mg/kg ImmTOR (n=6) Titer 1:5
![slide38](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat038.jpg)
38Selecta Biosciences Investor Presentation – January 2023 Empty capsid data in-line with single dose ImmTOR NHP data at day 90 Three monthly doses of ImmTOR provide inhibition of NAbs in NHP Antibody levels may interfere with efficient re-dosing** Titers too high for re-dosing Patients eligible for re-dosing* * May be dependent on gene therapy dose ** Ancillary approaches such as IgG protease pre- treatment may be required for re-dosing AAV8-EC + ImmTOR D0 Single dose Human AAV8-SEAP + ImmTOR D0 AAV8-SEAP + ImmTOR D0, 28, 56 Single Dose Three Doses Nonhuman Primate1 1-50 50-200 200+ Target Intermediate Failure 1. ESGCT 2021 Poster 003 1 10 100 1000 10000 100000 1 10 100 1000 10000 100000 1000000 Target For Redosing
![slide39](https://capedge.com/proxy/8-K/0001453687-23-000037/selb_corporatexpresentat039.jpg)
39Selecta Biosciences Investor Presentation – January 2023 Cohort 2 Children (n=3) Day 336 448 672560 Assumes 1 month (28 days) between Day 84 cutoff and subsequent participant enrollment to allow for DSMB report generation and review. MMA-101 (1.0E13 vg/kg) Cohort 1 Cohort 1: Adolescents (n=3) Day 1 DSMB DSMB 84 112 308 336196 224 No ImmTOR; steroid prophylaxis ImmTOR; no steroid prophylaxis MMA-101 (1.0E13 vg/kg) ImmTOR (0.15 mg/kg) MMA-101 (1.0E13 vg/kg) ImmTOR (0.15 or up to 0.3 mg/kg) DSMB MMA-101 (1.0E13 vg/kg) ImmTOR (0.15 mg/kg) MMA-101 (1.0E13 vg/kg) ImmTOR (0.15 or up to 0.3 mg/kg) MMA-101 (1.0E13 vg/kg) ImmTOR (0.15 or up to 0.3 mg/kg) DSMB DSMB DSMB MMA Clinical Trial Design: Schedule of Events