Exhibit 99.2
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InflaRx - virtual R&D event INF904: oral C5aR inhibitor with best-in-class potential in the immuno-dermatology and broader I&I space June 5, 2024 – 12 p.m. EST (US) / 6pm CET (EU)
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Important Notice and Disclaimer This presentation has been prepared by InflaRx N.V. (“InflaRx” or the “Company”). This presentation is made for informational purposes only and does not constitute an offer to sell or a solicitation of an offer to buy securities. This presentation may not be relied upon in connection with the purchase or sale of any security and should not be construed as investment advice. Forward-Looking Statements This press release contains forward-looking statements. All statements other than statements of historical fact are forward-looking statements, which are often indicated by terms such as “may,” “will,” “should,” “expect,” “plan,” “anticipate,” “could,” “intend,” “target,” “project,” “estimate,” “believe,” “predict,” “potential” or “continue,” among others. Forward-looking statements appear in a number of places throughout this release and may include statements regarding our intentions, beliefs, projections, outlook, analyses and current expectations concerning, among other things, the receptiveness of GOHIBIC (vilobelimab) as a treatment for COVID-19 by COVID-19 patients and U.S. hospitals and related treatment recommendations by medical/healthcare institutes and other third-party organizations, our ability to successfully commercialize and the receptiveness of GOHIBIC (vilobelimab) as a treatment for COVID-19 by COVID-19 patients and U.S. hospitals or our other product candidates; our expectations regarding the size of the patient populations for, market opportunity for, coverage and reimbursement for, estimated returns and return accruals for, and clinical utility of GOHIBIC (vilobelimab) in its approved or authorized indication or for vilobelimab and any other product candidates, under an Emergency Use Authorization (EUA) and in the future if approved for commercial use in the U.S. or elsewhere; our ability to successfully implement The InflaRx Commitment Program, the success of our future clinical trials for vilobelimab’s treatment of COVID-19 and other debilitating or life-threatening inflammatory indications, including pyoderma Gangraenosum (PG), and any other product candidates, including INF904, and whether such clinical results will reflect results seen in previously conducted pre-clinical studies and clinical trials; the timing, progress and results of pre-clinical studies and clinical trials of our product candidates and statements regarding the timing of initiation and completion of studies or trials and related preparatory work, the period during which the results of the trials will become available, the costs of such trials and our research and development programs generally; our interactions with regulators regarding the results of clinical trials and potential regulatory approval pathways, including related to our Marketing Authorization Application (MAA) submission for vilobelimab and our biologics license application submission for GOHIBIC (vilobelimab), and our ability to obtain and maintain full regulatory approval of vilobelimab or GOHIBIC (vilobelimab) for any indication; whether the US Food and Drug Administration (FDA), the European Medicines Agency (EMA) or any comparable foreign regulatory authority will accept or agree with the number, design, size, conduct or implementation of our clinical trials, including any proposed primary or secondary endpoints for such trials; our expectations regarding the scope of any approved indication for vilobelimab; our ability to leverage our proprietary anti-C5a and C5aR technologies to discover and develop therapies to treat complement-mediated autoimmune and inflammatory diseases; our ability to protect, maintain and enforce our intellectual property protection for vilobelimab and any other product candidates, and the scope of such protection; our manufacturing capabilities and strategy, including the scalability and cost of our manufacturing methods and processes and the optimization of our manufacturing methods and processes, and our ability to continue to rely on our existing third-party manufacturers and our ability to engage additional third-party manufacturers for our planned future clinical trials and for commercial supply of vilobelimab and for the finished product GOHIBIC (vilobelimab); our estimates of our expenses, ongoing losses, future revenue, capital requirements and our needs for or ability to obtain additional financing; our ability to defend against liability claims resulting from the testing of our product candidates in the clinic or, if approved, any commercial sales; if any of our product candidates obtain regulatory approval, our ability to comply with and satisfy ongoing obligations and continued regulatory overview; our ability to comply with enacted and future legislation in seeking marketing approval and commercialization; our future growth and ability to compete, which depends on our retaining key personnel and recruiting additional qualified personnel; and our competitive position and the development of and projections relating to our competitors in the development of C5a and C5aR inhibitors or our industry; and the risks, uncertainties and other factors described under the heading “Risk Factors” in our periodic filings with the US Securities and Exchange Commission (SEC). These statements speak only as of the date of this press release and involve known and unknown risks, uncertainties and other important factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements. Given these risks, uncertainties and other factors, you should not place undue reliance on these forward-looking statements, and we assume no obligation to update these forward-looking statements, even if new information becomes available in the future, except as required by law.
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Important Notice and Disclaimer Information and Sources Certain information contained in this presentation relates to or is based on studies, publications, surveys and other data obtained from third-party sources and InflaRx’s own internal estimates and research. While InflaRx believes these third-party sources to be reliable as of the date of this presentation, it has not independently verified, and makes no representation as to the adequacy, fairness, accuracy or completeness of, any information obtained from third-party sources. In addition, all of the market data included in this presentation involves a number of assumptions and limitations, and there can be no guarantee as to the accuracy or reliability of such assumptions. Further, while we believe our own internal research is reliable, such research has not been verified by any independent source. About InflaRx N.V. InflaRx (Nasdaq: IFRX) is a biopharmaceutical company pioneering anti-inflammatory therapeutics by applying its proprietary anti-C5a and anti-C5aR technologies to discover, develop and commercialize first-in-class, potent and specific inhibitors of the complement activation factor C5a and its receptor C5aR. C5a is a powerful inflammatory mediator involved in the progression of a wide variety of inflammatory diseases. InflaRx’s lead product candidate, vilobelimab, is a novel, intravenously delivered, first-in-class, anti-C5a monoclonal antibody that selectively binds to free C5a and has demonstrated disease-modifying clinical activity and tolerability in multiple clinical studies in different indications. InflaRx was founded in 2007, and the group has offices and subsidiaries in Jena and Munich, Germany, as well as Ann Arbor, MI, USA. For further information, please visit www.inflarx.com.
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Content Page 4 Presentation of today’s speakers and company introduction Current understanding of the C5a/C5aR1 biology Prof. Dr. med. Jörg Köhl The Role of C5aR in chronic spontaneous urticaria (CSU) Prof. Dr. med. Marcus Maurer The Role of C5aR in hidradenitis suppurativa (HS) Prof. Chris Sayed, MD Next clinical development steps for INF904 Commercial considerations Summary and conclusion Q&A Q&A
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Today’s presenters Prof. Niels RiedemannFounder and CEO Camilla Chong, MDCMO Prof. Renfeng GuoFounder and CSO Dr. Thomas TaapkenCFO Jan MedinaVP Investor Relations Prof. Dr. med. Marcus Maurer Managing Director, Institute for Allergy Research, Charité University Hospital, Berlin, Germany Prof. Dr. med. Jörg Köhl Director, Institute for Systemic Inflammation Research (ISEF)University of Lübeck, Germany Dr. Chris Sayed, MD Prof. of Dermatology UNC School of Medicine, Dermatology, Chapel Hill, NC Secretary, HS Foundation, USA Page 5
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Late-stage pipeline targets multiple sizable markets vilobelimab C5a Inhibitor IFX002 C5a Inhibitor INF904 Oral C5aR Inhibitor IMMUNO-DERMATOLOGY vilobelimab C5a Inhibitor OTHER INF904 Oral C5aR Inhibitor chronic spontaneous urticaria Phase IIa “basket study” anticipated by YE 2024 Data anticipated in 2025 Indications PreClin Phase I Phase II Phase III MARKET STATUS & Milestones pyoderma gangrenosum Enrollment ongoing Interim analysis for adaptation and futility anticipated in 2025 critical COVID-19 broader ARDS US EUA granted; EU MAA under review ARDS “Phase III ready” hidradenitis suppurativa Phase IIa “basket study” anticipated by YE 2024 Data anticipated in 2025 other immuno-dermatology Additional indications in immuno-dermatology vilobelimab life-cycle approach For optimized use in chronic inflammatory indications various Additional chronic indications in I&I including neurology, nephrology and hematology and others Page 6
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IFRX strategic focus: why immuno-dermatology Strong rationale for the role of C5a/C5aR based on mechanism of action, pre-clinical and clinical data Potential to target several attractive, billion-dollar+ commercial markets with an attractive new MoA which is not currently addressed by any other drug under development in this space For CSU and HS: Established endpoints with the ability of INF904 to potentially achieve a clinical edge and prove to be a differentiated competitor INF904 is an oral drug with no known safety concerns related to the MoA and potential broad therapeutic index Established network of experts and clinical development expertise Page 7
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INF904 – highly selective C5aR1 inhibitor with “best in class” potential Favorable drug safety profile supported by preclinical studies and data reported from InflaRx’s Phase I SAD and MAD trials Other favorable features compared to avacopan: Higher drug strength with potential for reduced capsule intake Much weaker inhibitor of CYP3A4/5 in pre-clinical studies INF904 240mg INF904 60mg INF904 30mg INF904 120mg Avacopan* 30mg INF904 240mg INF904 60mg INF904 30mg INF904 120mg Superior PK/PD profile in Phase I SAD and MAD studies compared to reported data from marketed comparator avacopan: ~3-fold higher Cmax and ~10-fold higher AUClast (at comparable dosing levels) Significantly increased blocking activity >90% blocking of C5a activity Faster achievement of therapeutic exposures with broad therapeutic index, BID and QD dosing These properties allow for exploring a significantly more potent C5aR1 inhibition in patients and this, ultimately, may lead to higher clinical efficacy for INF904 This could open significant additional market opportunities *InflaRx data on file: PK Results From Single Ascending Dose (SAD) Phase 1 study – note: Avacopan data (Becker et al, 2016, PLoS One) are superimposed in graph for orientation. Avacopan was not included as a comparator in INF904 Phase I study ** InflaRx data on file: PD Results from multiple ascending dose (MAD) Phase 1 study. Page 8
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Current understanding of the C5a/C5aR1 biology Prof. Dr. Jörg Köhl Why target C5aR1 in the immuno-dermatologic space?
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Zhang and Köhl Expert Rev Clin Immunol 2010 Complement translates danger signals into a broad range of cellular responses High/ Moderate Laumonnier et al Mol Immunol 2017 Low Mast cell C5L2/C5aR2 C5a C5adesArg C5aR1 G-protein ßarrs G-protein ßarrs Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 10
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Local immune cell activation and function The multiple sources of C5 / C5a and its systemic and cellular functions Gosh and Rana Int. Immunopharmacol 2023 C5 Singh and Kemper Eur. J. Immunol.2023 Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 11
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Gosh and Rana Int. Immunopharmacol 2023 Multi-functional roles of C5a in distinct myeloid cells via C5aR1 activation Wang et al. J. Invest. Dermatol. 2024 / C5aR1 drives NETosis Neutrophil Critical driver of inflammation in Neutrophilic Skin Diseases (Hidradenitis suppurativa, Pyoderma gangrenosum) Silva et al J Clin Invest 2023 / Byrd et al. Sci. Immunol. 2019 Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 12
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The C5a/C5aR1 axis synergizes with other innate immune receptors to promote a pro-inflammatory environment TLR Synergistic effects on Inflammation Autoimmunity Infection Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 13
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Monocyte LPS PGE2 IL-6, TNF-a, IFN-g C5aR1 C5aR1 Myeloid cell C5aR1 signaling induces pro-inflammatory patterns in myeloid immune cells Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 14
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C5a/C5aR1 axis activation in macrophages drives Th17 development Hashimoto et al. J. Exp. Med. 2010 HS = Hidradenitis suppurativa; PG = Pyoderma gangrenosum Th17 responses are frequently found in neutrophilic skin diseases such as HS and PG. IL-17 promotes neutrophil migration into affected skin areas. Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 15
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Infectious Diseases Cardiovascular Diseases Neoplastic Diseases Allergic Diseases Neurodegenerative Diseases C5aR1 C5a Kidney Disease Autoimmune Diseases Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 16
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C5aR1 As a Target in the Complement System Prof. Dr. Jörg Köhl
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Key Mediator of Inflammation involved in many inflammatory pathways and upstream of the cytokine network scissile bond C5a/C5aR1 signaling inhibition: the importance of a targeted approach MG7 domain C5a C5aR1 1.) through C5 convertases (complement mediated) 2.) through enzymatic cleavage at scissile bond (thrombin, trypsin, elastase, etc.) Classical Lectin Alternative Complement Pathways Antibody binding Mannose binding Foreign surfaces C3 activation C5-convertases Targeting C5 (e.g. marketed C5 blockers) does not prevent enzymatic C5a formation, but only complement pathway-mediated cleavage (classic, lectin, alternative) not suitable for tightly controlling C5a/C5aR1-driven inflammation Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 18
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Autoimmune Diseases Infectious Diseases Cardiovascular Diseases Neoplastic Diseases Allergic Diseases Neurodegenerative Diseases C5aR1 C5a Kidney Disease Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 19
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Ahrens et al., Am J Pathol 2012 C5ar1-/- mice are protected from the development of anaphylaxis Kordowski et al. Allergy 2019 Ovalbumin induced allergic / anaphylactic gut permeability increase leading to diarrhea Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 20
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Activation of the C5a/C5aR1 axis drives the development of anaphylaxis at several levels: The regulation of the B cell response in male mice that leads to the production of antigen-specific IgE. 1 2 3 The enhancement of FcR1-dependent degranulation of MCs. The sensitization of the vascular system towards the MC mediator histamine. C5aR1-mediated induction of anaphylaxis via mast cell activation Kordowski et al. Allergy 2019 Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 21
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Yanase et al. Cells 2021 Mast cell activation and its role in chronic spontaneous urticaria (CSU) addressed by Prof. Maurer Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 22
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Autoimmune Diseases Infectious Diseases Cardiovascular Diseases Neoplastic Diseases Allergic Diseases Neurodegenerative Diseases C5aR1 C5a Kidney Disease Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 23
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Neutrophilic skin diseases are associated with activation of C5aR1 Hidradenitis suppurativa* Pyoderma gangraenosum** Pemphigoid diseases*** Increased systemic C5a levels Increased local C5aR1 expression Skin microbiota expressing C5-cleaving enzyme High levels of local C5a in wound fluid C5a drives strong NET formation and elastase production Increased local C5aR1 expression Complement deposition at the dermal/epidermal junction Increased local C5aR1 expression in skin lesions C5aR1 deletion or targeting protects from the development of skin lesions in preclinical BP models Addressed by Prof. Sayed * Grand et al. Exp. Dermatol. 2019 ** Flora et al. Exp. Dermatol. 2021 / Wang et al. J. Invest. Dermatol. 2024 *** Papara et al. Front Immunol. 2022 / Emtenani et al. Front. Immunol. 2022 Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 24
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The hypothesis of bacterial-induced C5aR1 / TLR cross-talk driving skin inflammation The bacterium Porphyromonas in the oral cavity cleaves C5 into C5a and activates TLR2 to subvert complement/TLR-driven anti-microbial responses. This leads to a dysbiotic microbial community activating complement and PRRs* to induce inflammatory cytokines (IL-6, IL-23) promoting Th17 cell expansion and neutrophil recruitment. The feedforward loop connecting dysbiosis and inflammation is self-sustained and contributes to chronicity. Microbiome studies identified Porphyromonas in HS as strongly associated with disease activity.** Maladaptive Th17 immunity is a critical driver of disease in HS. Of note: the C5a/C5aR1 controls Th17 development in experimental arthritis. Mastellos et al. Nat Rev Immunol 2024 * PRR = pattern recognition receptor **Ring et al. JAMA Dermatol. 2017 / Guet-Revillet et al. Clin Infect Dis 2017 Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 25
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Neutrophilic skin diseases are associated with activation of C5aR1 Hidradenitis suppurativa* Pyoderma gangraenosum** Pemphigoid diseases*** Increased systemic C5a levels Increased local C5aR1 expression Skin microbiota expressing C5-cleaving enzyme High levels of local C5a in wound fluid C5a drives strong NET formation and elastase production Increased local C5aR1 expression Complement deposition at the dermal/epidermal junction Increased local C5aR1 expression in skin lesions C5aR1 deletion or targeting protects from the development of skin lesions in preclinical BP models Addressed by Prof. Sayed * Grand et al. Exp. Dermatol. 2019 ** Flora et al. Exp. Dermatol. 2021 / Wang et al. J. Invest. Dermatol. 2024 *** Papara et al. Front Immunol. 2022 / Emtenani et al. Front. Immunol. 2022 Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 26
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Neutrophilic skin diseases are associated with activation of C5aR1 Hidradenitis suppurativa* Pyoderma gangraenosum** Pemphigoid diseases*** Increased systemic C5a levels Increased local C5aR1 expression Skin microbiota expressing C5-cleaving enzyme High levels of local C5a in wound fluid C5a drives strong NET formation and elastase production Increased local C5aR1 expression Complement deposition at the dermal/epidermal junction Increased local C5aR1 expression in skin lesions C5aR1 deletion or targeting protects from the development of skin lesions in preclinical BP models Addressed by Prof. Sayed * Grand et al. Exp. Dermatol. 2019 ** Flora et al. Exp. Dermatol. 2021 / Wang et al. J. Invest. Dermatol. 2024 *** Papara et al. Front Immunol. 2022 / Emtenani et al. Front. Immunol. 2022 Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 27
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Neutrophilic skin diseases are associated with activation of C5aR1 Hidradenitis suppurativa* Pyoderma gangraenosum** Pemphigoid diseases*** Increased systemic C5a levels Increased local C5aR1 expression Skin microbiota expressing C5-cleaving enzyme High levels of local C5a in wound fluid C5a drives strong NET formation and elastase production Increased local C5aR1 expression Complement deposition at the dermal/epidermal junction Increased local C5aR1 expression in skin lesions C5aR1 deletion or targeting protects from the development of skin lesions in preclinical BP models Addressed by Prof. Sayed * Grand et al. Exp. Dermatol. 2019 ** Flora et al. Exp. Dermatol. 2021 / Wang et al. J. Invest. Dermatol. 2024 *** Papara et al. Front Immunol. 2022 / Emtenani et al. Front. Immunol. 2022 Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 28
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Pathophysiologic role of the C5a/C5aR1 axis in pemphigoid disease Structural proteins of the dermal/epidermal junction (DEJ) as targets of auto-antibody formation in Pemphigoid Disease Schmidt and Zillikens, Lancet, 2013 Role of C5a/C5aR1 in blister formation and skin inflammation Epidermolysis Bullosa Acquisita (EBA) Miyamoto et al., An Bras Dermatol., 2022 Papara et al., Front Immunol., 2022 Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 29
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The C5a/C5aR1 axis controls neutrophil migration into the skin B6.s C5ar1-/- Week-2 Week-4 Week-6 Week-8 B6.s C5ar1-/- Ly6G Kenno et al. (unpublished work from the Köhl lab) Immunization-induced „active“ model of EBA C5aR1 controls neutrophil migration into the skin Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 30
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C5aR1 controls the early generation of auto-antigen-specific IgG Abs and their inflammatory potential IgM AAbs IgG1 AAbs Reduced switch from IgM to IgG auto-antibodies in C5ar1-/- mice Kenno et al. (unpublished work from the Köhl lab ) / Verghese et al. JCI Insight 2018 / Cumpelik et al. Nat Immunol 2021 The data are in line with a critical role for C5aR1 in the Germinal Center B cell formation and point towards a more general role for C5aR1 in auto-antibody formation C5aR1 may also regulate auto-antibody formation in CSU Auto-antibody (AAb) formation IgG AAb-driven ROS release from neutrophils C5aR1 controls IgG Fc (FcgR)-driven ROS* release from neutrophils – i.e. enhances the inflammatory potency of auto-antibodies *ROS = Reactive Oxygen Species Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 31
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C5aR1 drives disease development in experimental EBA at several levels The recruitment of neutrophils into the skin. The early generation of Type VII collagen-specific IgG Aabs. The inflammatory potential (ROS) of Type VII collagen-specific IgG Aabs. Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 32
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Summary
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Key Messages Why target C5aR1 in the immuno-dermatologic space? Key Message 1 Evidence for local C5a and C5aR1 expression in disease Key Message 2 C5aR1 activates and controls key effector cells (neutrophils, eosinophils, basophils, MCs), the B cell response and Th17 development Key Message 4 Tailored targeting effect: Blocking C5aR1 leaves upstream and downstream complement pathways intact Key Message 3 Targeting C5aR1 in preclinical skin disease models strongly reduces disease development Prof. Dr. Jörg Köhl – Current understanding of the C5a/C5aR1 biology Page 34
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35 Thank you for your attention
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The role of C5aR in chronic spontaneous urticaria (CSU) Prof. Dr. Marcus Maurer
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Page 37 Objectives for CSU session Introduction to CSU disease, epidemiology and current unmet medical needs Pathophysiology of the disease : Type I & IIb endotypes The role of C5a/C5aR signaling : IgE dependent and independent pathways The potential role of INF904 in the future treatment landscape Prof. Dr. Marcus Maurer – The role of C5aR in chronic spontaneous urticaria (CSU)
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Chronic Spontaneous Urticaria (CSU) CSU Overview and Unmet Need Clinical features An immune-mediated chronic inflammatory skin disorder, with dysregulated inflammatory cascades that leave patients predisposed to symptom development: debilitating and intensely itchy hives / wheals for > 6 weeks and often associated with angioedema Burden of disease is high and impacts sleep, mental health, QoL and productivity due to absences from school and work Co-morbidities include atopic disorders, depression, autoimmune and thyroid disorders Epidemiology Estimated prevalence is around 1% of the general population 20% of this population experiences symptoms for more than 5 years 20- to 40-year-olds are most affected, with women impacted 2x more than men Current treatment and medical need Therapies such as 2nd-generation antihistamines are not effective in a significant number of patients Options such as anti Ig-E therapy and immunosuppressants also do not adequately serve the CSU population Page 38 Prof. Dr. Marcus Maurer – The role of C5aR in chronic spontaneous urticaria (CSU)
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CSU Endotypes : type I auto-allergens and type IIb autoimmunity C5aR signaling is suggested to be involved in both Type I and Type IIb endotypes Page 39 Activated Coagulation Factors II and X generate C5a from C5 Modified from Kaplan AP et al Clin Exp Allergy 2009 and Yanase Y, J Allergy Clin Immunol 2021 Type I autoallergens (IgE mediated) Close contact of two Fc regions of the IgG anti-FcERI or IgG anti-IgE FcERI complex activate complement factor C1 Type IIb autoimmunity (IgG mediated) C5a is activated by the binding of IgG-anti-FcεRI or IgG-anti-IgE to FcεRI on mast cells and basophils ~30% of CSU 1 2 Prof. Dr. Marcus Maurer – The role of C5aR in chronic spontaneous urticaria (CSU)
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Page 40 ** CSU healthy controls Munoz M. Charite Berlin Data on file C5aR is upregulated in the skin of CSU patients Prof. Dr. Marcus Maurer – The role of C5aR in chronic spontaneous urticaria (CSU)
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C5a levels are increased in CSU: an important new mechanism for histamine releases Page 41 CSU patients show evidence of complement activation in the skin CSU patients have elevated C5a levels 46.9 ng/ml 20.1 ng/ml N=95 N=42 p = 0.004 C4d staining in skin biopsy C5a (ng/mL) C5a induces histamine release from basophils in a dose-dependent manner Histamine release (percentage) from donor basophils stimulated with increasing levels of C5a Bhatia et al. 2024 Asia Pacific Allergy ; Aghdam et al. 2021 Clin Transl Allergy. Kikuchi, 2002 J Allergy Clin Immunol:109 Prof. Dr. Marcus Maurer – The role of C5aR in chronic spontaneous urticaria (CSU)
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Page 42 INF904 can effectively block C5a-mediated histamine releases (IgE-independent) InflaRx Data on file C5a-mediated histamine release from human basophils can be effectively inhibited by INF904 Prof. Dr. Marcus Maurer – The role of C5aR in chronic spontaneous urticaria (CSU)
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C5a drives mast cell attraction, activation and degranulation Page 43 Elieh-Ali-Komi D, Metz M, Kolkhir P, Kocatürk E, Scheffel J, Frischbutter S, Terhorst-Molawi D, Fox L, Maurer M. Chronic urticaria and the pathogenic role of mast cells. Allergol Int. 2023 Jul;72(3):359-368 The chemoattractant nature of C5a for mast cells explains their accumulation at inflammation sites Mast cells amplify this cross talk by producing complement proteins and activating them via their released tryptase C5a is also produced by the extrinsic coagulation pathway activated by Tissue Factor Prof. Dr. Marcus Maurer – The role of C5aR in chronic spontaneous urticaria (CSU)
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Current treatment landscape including Phase 3 clinical compounds Page 44 Therapy MoA Efficacy: 12 weeks Limitations Xolair® (omalizumab) marketed Anti-IgE mAb 300 mg Q4w Placebo UAS7 (CFB) ~-21 ~-8 UAS7=0 36% 9% Black box warning 1 SC injection > 30 % remain symptomatic 5 Dupixent® (dupilumab) Phase 3 Anti-IL4/13 mAb 300 mg Q2w Placebo UAS7 (CFB) -16 -9 Q2W SC injections Lack of efficacy in Xolair failures 2 Remibrutinib Phase 3 completed BTK inhibitor 25 mg BID Placebo UAS7 (CFB) -20.2 -7.9 UAS7 (CFB) -20.1 -13.8 UAS7 (CFB) -19.6 -11.7 BTK is expressed on haematopoietic cells including B cells, myeloid cells, platelets3 potential long-term safety concern [Fenebrutinib – same MoA – on clinical hold by FDA] Barzolvolimab Phase 3 Anti-cKIT mAb 150 mg Q4w Placebo UAS7 (CFB) -23 -10.5 SC injection c-KIT is expressed on haematopoetic stem cells, melanocytes, CNS and germ cells 4 Hair discolouration, urticaria, neutropenia Unknown impact of long-term mast cell depletion NB. Apart from anti-histamines, anti-IgE therapy is the only approved therapy for CSU patients. Off label usage include cyclosporin, hydroxychloroquine, etc 1. Xolair label 2. Sanofi PR 29/07/21 3. Russkamp et al Experimental Haematology 2021;95:31-45 4. Garg N et al J Clin Med 2022;11(20)6039 5. Metz 2020 Prof. Dr. Marcus Maurer – The role of C5aR in chronic spontaneous urticaria (CSU)
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There are opportunities for another novel MoA such as anti-C5aR with INF-904 Page 45 Opportunities Ease of administration to address patient preference and adherence: Oral capsules (BD or QD dosing) New mechanism of action to treat all affected CSU patient populations: Type I IgE mediated and Type IIb autoimmune non-IgE mediated Anti-Ig E naïve and refractory patients Excellent benefit-risk profile Fast onset of action to alleviate itch and hives within 4 weeks or earlier Durability of response No Black Box warning No hair or skin discoloration during and after treatment No issues with neutropenia or thrombocytopenia No recurrence of urticaria Prof. Dr. Marcus Maurer – The role of C5aR in chronic spontaneous urticaria (CSU)
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Predictor of efficacy from Phase 2 UAS7 data change from baseline (CFB) at 4 weeks Page 46 Historical UAS7 placebo rates at 4 weeks have ranged from -5.4 to – 9.6 (with an average of -7) UAS7 efficacy results at 4 weeks show that those who did not achieve a min. CFB vs placebo of -9 have not succeeded in a longer-term Phase 2B study of 12 weeks or longer Saini S et al J Allergy Clin Immunol. 2011, Maurer M et al. J Allergy Clin Immunol. 2022, Metz M et al. Nat Med. 2021, Altrichter S et al. Br J Dermatol. 2024, Altrichter S et al. J Allergy Clin Immunol. 2022, AAAI 2024 Prof. Dr. Marcus Maurer – The role of C5aR in chronic spontaneous urticaria (CSU)
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A strong rationale for developing INF904 in CSU Page 47 Conclusion: C5aR signaling is involved in histamine release and mast cell/basophil activation in CSU This C5a-mediated histamine release is independent of the IgE pathway and has been suggested to play a role in both subtypes of CSU C5aR inhibition represents a novel mechanism of action (MoA) to address an unmet medical need in CSU INF904 as an oral potent C5aR inhibitor is ideally positioned for development in CSU Prof. Dr. Marcus Maurer – The role of C5aR in chronic spontaneous urticaria (CSU)
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Charité Berlin Team Page 48 Prof. Dr. Marcus Maurer – The role of C5aR in chronic spontaneous urticaria (CSU)
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The Role of C5aR in Hidradenitis Suppurativa Dr. Chris Sayed, MD Prof. of Dermatology
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Disease background Dr. Chris Sayed, MD Prof. of Dermatology
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Hidradenitis Suppurativa (HS) HS Overview and Unmet Need Clinical features A chronic inflammatory disease characterized by abscesses, nodules and draining tunnels (dTs) with purulent and bloody drainage in sites such as axillae, groin, buttocks, and breasts Flares are unpredictable and cause permanent disfigurement and disability with need for surgery Epidemiology Prevalence in the US and EU is estimated to be 0.7% - 1.2% with more than 200,000 moderate to severe patients in the US alone Current treatment and medical need Current treatments include pain management, antibiotics, corticosteroids and biologics Response rates for most medications average less than 50%, and many patients with standard HiSCR response still have high QOL impact Surgery is often necessary for patients with draining tunnels despite current medical management, creating a high unmet need to better manage draining tunnels Dr. Chris Sayed, M.D. Prof. of Dermatology – The Role of C5aR in Hidradenitis Suppurativa Page 51
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PATHOPHYSIOLOGY – what’s new Chris Sayed, MD Prof. of Dermatology
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C5a is elevated in HS and has a role in HS pathogenesis van Straalen KR Front. Immunol. 13:953674.doi: 10.3389/fimmu.2022.953674 Mechanism in HS development: Follicular inflammation and an altered microbiome trigger complement activation including C5a/C5aR engagement Inflammation and dysregulated wound healing lead to chronically inflamed and draining tunnels This reaction can be blocked by: Vilobelimab (anti-C5a antibody) and INF904 (anti-C5aR inhibitor) Dr. Chris Sayed, M.D. Prof. of Dermatology – The Role of C5aR in Hidradenitis Suppurativa Page 53
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Neutrophils play a critical role in HS pathogenesis especially in draining tunnels (DTs) Neutrophils infiltrate inflammatory lesions in HS, including within tunnels and the surrounding tissue T: Tunnel G: Granuloma F: Fibrosis Hurley stage III patient with tunnel formation and surrounding granulomatous inflammation with foreign body giant cells. C5aR1 staining positive – neutrophils, histiocytes and giant cells Of note: C5aR positive staining on neutrophils is found in all 3 Hurley stages NE: Neutrophil Elastase Van Straalen et al. 2022. Front Immunol 21. C5a is a key Chemoattractant and a strong activator of neutrophils (which have high C5aR density) leading to Neutrophil Extracellular Traps (NET) which are believed to be a disease driver in HS Navrazhina et.al, J Allergy Clin Immunol, 2021 Dr. Chris Sayed, M.D. Prof. of Dermatology – The Role of C5aR in Hidradenitis Suppurativa Page 54
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What have we learned from C5a/C5aR signaling inhibition in HS Dr. Chris Sayed, MD Prof. of Dermatology
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Phase 2a open label study vilobelimab in HS : HiSCR results 0% 0% 50% 42% 67% 75% 83% 0% 40% 20% 60% 80% Baseline Day 22 Day 29 Day 36 Day 43 HiSCR response in HS patients Day 50* Day 134 DESIGN EFFICACY OUTCOME SAFETY / TOLERABILITY RESULTS Open label / single center / 12 patients / 1 dose group with weekly i.v. 800 mg until week 8 (plus one additional loading dose on day 4) 75% of patients HISCR responders at week 8 and 83% at end of trial (late-stage patients who previously failed to respond to SOC incl. TNF- alpha blockade) Repeated high dose i.v. administration of vilobelimab was well tolerated with a good safety profile * Last vilobelimab administration Male 8 (66.7%) Age [y] 48 ± 15 50 (22; 69) Hurley Stage III 12 (100%) BMI 27.3 ± 4.9 26.6 (19.6; 34.5) Weight [kg] 82.2 ± 14.7 78.0 (63.0; 105.0) Duration of HS [y] 20 ± 9 20 (3; 35) AN count 6.4 ± 2.5 6 (3; 11) Failure to TNF-alpha blockade 9/12 Dr. Chris Sayed, M.D. Prof. of Dermatology – The Role of C5aR in Hidradenitis Suppurativa InflaRx data on file Page 56
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Day 1 Day 22 Hypogastrium Day 1 Day 22 Left axilla Phase 2a open label study vilobelimab in HS: visual result examples Dr. Chris Sayed, M.D. Prof. of Dermatology – The Role of C5aR in Hidradenitis Suppurativa InflaRx data on file Page 57
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Day 1 Day 134 Gluteal fold Right inguiinal Day 1 Day 134 Phase 2a open label study vilobelimab in HS: visual result examples Day 1 Day 134 Scrotum Dr. Chris Sayed, M.D. Prof. of Dermatology – The Role of C5aR in Hidradenitis Suppurativa InflaRx data on file Page 58
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Vilobelimab in HS: Phase 2b SHINE study details Important Note: Patients entering the OLE remained blinded to their initial therapy Test a dose-dependent effect of vilobelimab on HiSCR* response at week 16 (primary endpoint) Assess long-term safety of vilobelimab Test durability of response with lower maintenance therapy in OLE Main Goals Placebo n=36 Vilobelimab minimal dose Vilobelimab low dose Vilobelimab medium dose Vilobelimab high dose Screening 28 weeks (24 weeks treatment + 4 weeks observation) 16 weeks (double blind) Total treatment time: 9 months (week 40) + 1 month observation (week 44) Open Label Extension Period (OLE): n = 156 Main Period: n = 179 enrolled, 177 treated (400 mg q4w) n=34 (800 mg q4w) n=35 (800 mg q2w) n=36 (1200 mg q2w) n=36 Week 16 HiSCR Responders: Vilobelimab low dose Week 16 HiSCR Non-Responders: Vilobelimab medium dose (800 mg q4w) 67/72(93%) finished (800 mg q2w) 54/84(64%) finished *HiSCR response defined as: At least 50% reduction in total AN count (abscesses & inflammatory nodules) with no increase in the number of abscesses from baseline and no increase in the number of draining fistulas from baseline Dr. Chris Sayed, M.D. Prof. of Dermatology – The Role of C5aR in Hidradenitis Suppurativa Page 59
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SHINE STUDY: primary endpoint HiSCR response not achieved with unusually high placebo response rate (week 16) An unusually high placebo response rate Secukinumab (anti-IL17A) 2 x phase 3 placebo n=180 -183 (mean in graph) / Kimball et al, Lancet 2023 Bimekizumab (anti-IL17A&17F) 2 x phase 3 placebo n=72 – 74 (mean in graph) /Kimball et al, Lancet 2024 Povorcitinib (oral JAK inhibitor) phase 2; placebo n=52 / Kirby et al, Acad Dermatol. 2024 Guselkumab (IL-23 inhibitor) phase 2, placebo n=62 / Kimball et al, J Eur Acad Dermatol Venereol. 2023 Risankizumab (IL-23 inhibitor) phase 2, placebo n=80 / Kimball et al, Dermatol Ther (Heidelb). 2023 Vilobelimab (anti-C5a) phase 2, placebo n=36 Dr. Chris Sayed, M.D. Prof. of Dermatology – The Role of C5aR in Hidradenitis Suppurativa InflaRx data on file Page 60
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Secukinumab (anti-IL17A) phase 3 Sunshine n=180 / Kimball et al, Lancet 2023 Secukinumab (anti-IL17A) phase 3 Sunrise n=180 / Kimball et al, Lancet 2023 Bimekizumab (anti-IL17A&17F) phase 2 n=44 / Glatt et al, JAMA Dermatol. 2021 Bimekizumab (anti-IL17A&17F) q2w phase 3 n=289 / Kimball et al, Lancet 2024 Bimekizumab (anti-IL17A&17F) q2w phase 3 n=291 / Kimball et al, Lancet 2024 Sonelokimab 120 (anti-IL17A&17F) n=66 phase 2 / Kimball et al. EADV 2023 Adalimumab (anti-TNFα) Phase 3 Pioneer 1 n= 153 / Kimball et al, N Engl J Med. 2016 Adalimumab (anti-TNF α) Phase 3 Pioneer 2 n= 163 / Kimball et al, N Engl J Med. 2016 Povorcitinib (oral JAK inhibitor) phase 2; n=52 / Kirby et al, Acad Dermatol. 2024 Upadacitinib (oral JAK inhibitor) phase 2; n=47 / Kimball et al; JAAD 89(3), Supplement, AB42 Vilobelimab (anti-C5a) 1200 mg n=36 phase 2 HiSCR50 comparison from reported positive studies (week 16 or week 12) to vilobelimab outcome Dr. Chris Sayed, M.D. Prof. of Dermatology – The Role of C5aR in Hidradenitis Suppurativa Page 61
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HiSCR 50% response in the OLE suggests that non-responders gain response (42%) on vilo and that 71% keep response on low dose vilo maintenance treatment HiSCR response rate (%) per visit* (OLE) – with 95% CI * Full analysis set Responders (n = 72) Non-responders (n = 84) sub-optimal doses (low or medium dose) in OLE phase All OLE patients Dr. Chris Sayed, M.D. Prof. of Dermatology – The Role of C5aR in Hidradenitis Suppurativa InflaRx data on file Page 62
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SHINE Study: Patients who completed the OLE phase (w 40) showed substantial inflammatory lesion reductions when compared to observed placebo count reductions from the double-blind main period (w 16) * Full analysis set (unadjusted) Relative reduction (% mean) of counts / scores compared to respective baseline (Day1)* Placebo patients on week 16 placebo group week 16 OLE patients week 40 All OLE patients on week 40 (n=116) Dr. Chris Sayed, M.D. Prof. of Dermatology – The Role of C5aR in Hidradenitis Suppurativa InflaRx data on file Page 63
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SHINE STUDY: outcome of ANdT count and IHS4 score (week 16) * Full analysis set baseline adjusted p= 0.0279 Relative Change % n = 32-36 patients/group ANdT Count Change (LS means)* p= 0.0202 Relative Change % Dr. Chris Sayed, M.D. Prof. of Dermatology – The Role of C5aR in Hidradenitis Suppurativa InflaRx data on file Page 64
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SHINE STUDY: evidence of inflammatory lesion reduction under C5a inhibition (w 16) * Full analysis set baseline adjusted, LS Means % Reduction in Number of Draining Tunnels DT Count Change Week 16 (LS means)* p= 0.0359 Placebo 400 Q4W 800 Q4W 800 Q2W 1200 Q2W % patients with DT 100 response Complete resolution of DT (DT100) ** Placebo 1200 Q2W absolute delta to placebo = 27.9% = 3.1 x relative DT100 responder improvement ** Patients with at least 1 DT at baseline, placebo n=23, vilobelimab n=22 p= 0.0195 Dr. Chris Sayed, M.D. Prof. of Dermatology – The Role of C5aR in Hidradenitis Suppurativa InflaRx data on file Page 65
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Evidence for efficacy of C5aR inhibition in HS: Avacopan data * Reported outcome results at clinicaltrials.gov, Chemocentryx, Avacopan HS phase II trial (AURORA) ** Data from Chemocentryx presentation on Avacopan HS phase II trial (AURORA) results, October 28, 2020: note: overall results were not stat. significant for HiSCR in all moderate to severe HS patients (primary endpoint) AN count reduction (w12)* Absolute change IHS-4 count change (w12)* Absolute change placebo Avacopan 10mg bid Avacopan 30mg bid Efficacy Evidence in Total Data Set* Primary outcome** Dr. Chris Sayed, M.D. Prof. of Dermatology – The Role of C5aR in Hidradenitis Suppurativa Page 66
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What have we learned from C5a/C5aR inhibition in HS Dr. Chris Sayed, MD Prof. of Dermatology
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Summary and rationale for developing INF904 as potent oral C5aR inhibitor in HS Learnings: Both C5a as well as C5aR signaling inhibition have resulted in clear signals of efficacy (reduction of inflammatory lesions + established scores) in moderate to severe HS patients Both treatment attempts (vilobelimab and avacopan) were likely underdosed. Of note: avacopan has been reported to have a long accumulation pattern, reaching steady state only at week 13* INF904 is ideally positioned as an oral C5aR inhibitor with optimized PK / PD profile to address C5aR signaling in HS * Source: Data from avacopan NDA filing for ANCA-associated vasculitis. Dr. Chris Sayed, M.D. Prof. of Dermatology – The Role of C5aR in Hidradenitis Suppurativa Page 68
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Q&A Experts panel Page 69
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Next clinical development steps for INF904 Dr. Camilla Chong, MD CMO
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Phase 2a open label basket study in CSU and HS Page 71 To determine the appropriate dosing regimen in CSU & HS with safety, PK and efficacy measurements in order to progress to a larger placebo-controlled Phase 2b clinical program. Basket study approach has been agreed with FDA for a single IND submission. FPI scheduled for Q4 2024 with preliminary results expected in Summer 2025. Clinical development strategy
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Phase 2a open label basket study concept Page 72 Primary and Secondary endpoints are the same in determination of safety and PK measurements in CSU and HS study population Exploratory clinical endpoints including PROs will be specific to each disease Arm 1 Arm 2 Arm 3 HS 4 weeks treatment (n=10 per arm) arm INF904 30 mg BID INF904 60 mg BID INF904 90 mg BID R 1:1:1 Baseline Arm 1 Arm 2 Arm 3 CSU 4 weeks treatment (n=15 per arm) INF904 30 mg BID INF904 60 mg BID n=10 Anti-IgE non responders INF904 90 mg BID R 1:1 Baseline INF904 90 mg BID
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Page 73 Exploratory Endpoints Change of the weekly Urticaria Activity Score 7 (UAS7) , Hives Severity Score (HSS7) and Itch Severity Score (ISS7) Biomarkers : Tryptase, IgE, IgG, anti-TPO Patient Reported Outcome (PRO) Endpoints: Urticaria Control Test (UCT7) Angioedema Activity Score (AAS 7) Chronic Urticaria Quality of Life Questionnaire (CU-Q2oL) Primary Endpoint: Frequency, severity, and relatedness of treatment-emergent adverse events (TEAEs), serious adverse events (SAEs) using MedDRA classification. Secondary Endpoints: Plasma PK parameters of INF904 will be calculated as appropriate from observed data for Cmax, Cmin, T max and systemic exposure AUC0-24, AUC 0-last Arm 1 Arm 2 Arm 3 CSU 4 weeks treatment (n=15 per arm) 4 weeks follow-up INF904 30 mg BID INF904 60 mg BID n=10 Anti-IgE non responders INF904 90 mg BID R 1:1 Baseline EOT EOS INF904 90 mg BID Study design for CSU
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Page 74 Main inclusion criteria for CSU Patients diagnosed with moderate to severe CSU and inadequately controlled by second generation H1-antihistamines at the time of randomization as defined in the following: The presence of itch and hives for ≥6 consecutive weeks prior to screening in spite of use of non-sedating H1-antihistamines according to local treatment guidelines during this time period UAS7 score (range 0-42) ≥16 and UCT7 <12 during 7 days prior to randomization (Day 1) Arm 3: non-responder to Anti-IgE therapy as defined by previous treatment with at least 300 mg (q4w) anti-IgE therapy for at least 4 months (minimum of 4 injections) and who had an inadequate response resulting in anti-IgE therapy discontinuation, as confirmed by investigator assessment CSU diagnosis for ≥ 6 months
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Page 75 Exploratory Endpoints (all change from baseline, CFB): Total Abscess (A), Inflammatory Nodule (N) and draining tunnels (dT) Count (ANdT, AN and separate counts for each lesion), HS lesions related scores (HiSCR –various, modified-HiSCR, IHS-4) Clinician’s Global Impression of Change (CGI-C) Patient Reported Outcome (PRO) Endpoints (all CFB): Global Impression of Change in General Quality of Life related to HS (PGI-C QoL) Global Assessment of Skin Pain (NRS) Dermatology Life Quality Index (DLQI) Primary and Secondary Endpoints on Safety and PK are similar to CSU Arm 1 Arm 2 Arm 3 HS 4 weeks treatment (n=10 per arm) 4 weeks follow-up INF904 30 mg BID INF904 60 mg BID INF904 90 mg BID R 1:1:1 Baseline EOT EOS Study design for HS
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Main inclusion criteria for HS Page 76 Moderate or severe hidradenitis suppurativa (with Hurley Stage II or III), and an Abscess and Nodule (AN) count ≥ 5. Inflammatory lesions should affect at least 2 distinct anatomic areas Diagnosis of HS based on clinical history and physical examination for at least 6 months prior to the Baseline visit; diagnosis must be verifiable through medical notes and documentation Patients must have had an inadequate response to at least a 3-month (90 days) trial of oral antibiotics for treatment of HS (or demonstrated intolerance to or have a contraindication to oral antibiotics for treatment of their HS)
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Commercial Opportunity Dr. Thomas Taapken CFO
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Focus on immuno-dermatology – attractive and rapidly growing market opportunity Page 78 The immuno-dermatology market is witnessing robust growth, driven by the increased incidence of disease, emerging targeted therapeutics and improved diagnostic capabilities Market growth rates are attracting several pharmaceutical companies to this area, with a noticeable increased focus on immuno-dermatology by companies active in the overall I&I field With the right product profile, there is the potential to address multiple multi-billion-dollar market opportunities in several diseases in this category
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Strong commercial potential based on differentiated profile of INF904 Oral availability provides for ease of administration and patient acceptance Favorable drug metabolism, PK and toxicology profile positions INF904 as a potential strong alternative to other drug classes INF904 could address areas of high unmet medical need given its strong emerging profile CSU: mechanism of action that suggests impact on IgE-dependent and -independent disease phenotypes CSU and HS: Maintenance / durability of response HS: treatment of draining disease / draining tunnels in HS CSU and HS: safe mechanism of action not associated with known serious side effects MoA is highly relevant in several immuno-dermatology indications, including most neutrophilic dermatoses Unique mechanism could provide a strong alternative to biologic therapies and may offer advantages to currently developed oral approaches Differentiation also applies to other inflammation & immunology disease areas beyond immuno-dermatology Page 79
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CSU market dynamic and INF904 commercial opportunity Overall CSU US market size* estimated to be US$ 1.1 Bn in 2024 and growing at 10% CAGR to US$ 3.1 Bn by 2035, mainly driven by new therapies for severe disease entering the market incidence approx. 400k patients p.a. (US) anti-histamine refractory; approx. 85k (US, eligible for treatment with biologics and other “advanced therapies”) – numbers estimated for 2035 Overall maximum market potential for INF904 in CSU could exceed US$ 1 Bn p.a. – based on primary market research conducted for IFRX, including physician interviews and additional research *IFRX proprietary market research, Clarivate POTENTIAL DRIVERS strong efficacy clean safety profile efficacy in omalizumab-refractory convenient oral dosing Page 80
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HS market dynamic and INF904 commercial opportunity Overall HS US market size* estimated to be US$ 1.3 Bn in 2024 and growing at 15% CAGR to US$ 6 Bn by 2035, mainly driven by new therapies for severe disease entering the market incidence approx. 320k patients p.a. (US) 2nd line treatment options benefiting approx. 115k patients p.a. (US, biologics and other advanced therapies) – numbers estimated for 2035 Overall maximum market potential for INF904 in HS could exceed US$ 1.5 Bn p.a. – based on primary market research conducted for IFRX, including physician interviews and additional research *IFRX proprietary market research, Clarivate strong efficacy oral, QD dosing potential draining tunnels reduction potential best-in-class MoA potentially first in class in HS POTENTIAL DRIVERS Page 81
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Role of C5aR inhibition spans well beyond immuno-dermatology “Pipeline in a drug” potential of INF904 C5aR inhibition could be developed broadly in different I&I indications Initial focus on HS and CSU but other indications (e.g., renal diseases) are likely areas for development This opportunity could provide INF904 with multiple multi-billion-dollar market opportunities Partnering could provide upside potential Infectious Cardiovascular Neoplastic Allergic Neurodegenerative C5aR1 C5a Renal Autoimmune Possible disease areas in which C5aR has relevance Page 82
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Conclusions and next steps Page 83 InflaRx has sufficient resources to complete Phase 2a basket study in HS and CSU Cash position as of Q1 2024 was EUR 85.8M (~$93M) – a runway into 2026 Expected start of Phase 2a open label study by year-end 2024, with data in summer 2025 Goal is to generate additional safety and PK data, as well as show meaningful improvements in relevant disease activity measures in CSU and HS Open label design may allow for interim read-out and to solidify planning for Phase 2b trials currently planned for 2025 May accelerate development timelines and/or partnering discussions
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Summary Prof. Dr. Niels C. Riedemann CEO
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Summary and conclusions from today’s presentation Page 85 Thank you for your attention! The new oral C5aR inhibitor INF904 has best-in-class potential and has been developed to become a pipeline-in-a-drug in the immuno-dermatology space and broader I&I space Supported by cutting-edge science, there is significant market potential for INF904 in CSU, HS and beyond Special thanks from the entire InflaRx team to our experts on the call and supporters: Prof. Jörg Köhl, Prof. Marcus Maurer and Prof. Chris Sayed!
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Q&A all presenters Page 86
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Email: IR@inflarx.com Tel: +49-3641-508180 Fax: +49-3641-508181 www.inflarx.com InflaRx N.V. Winzerlaer Str. 207745 Jena, Germany