Exhibit 99.2
Eblasakimab Phase 2b TREK-AD Topline readout
6 July 2023
Restated 18 August 2023
NASDAQ: ASLN
Eblasakimab Phase 2b TREK-AD Topline readout
6 July 2023
Restated 18 August 2023
NASDAQ: ASLN
Legal disclaimer
This presentation contains forward-looking statements. These statements are based on the current beliefs and expectations of the management of ASLAN Pharmaceuticals Limited (the “Company”). These forward-looking statements may include, but are not limited to, statements regarding the
Company’s business strategy, the Company’s plans to develop and commercialize its product candidates, the safety and efficacy of the Company’s product candidates, including their potential to be best-in-class, the Company’s plans and expected timing with respect to clinical trials, clinical trial enrolment and clinical trial results for its product candidates, the Company’s plans and expected timing with respect to regulatory filings and approvals, the size and growth potential of the markets for the Company’s product candidates, and the potential for eblasakimab as a treatment for atopic dermatitis. The Company’s estimates, projections and other forward-looking statements are based on management’s current assumptions and expectations of future events and trends, which affect or may affect the Company’s business, strategy, operations or financial performance, and inherently involve significant known and unknown risks and uncertainties, which include, unexpected safety or efficacy data observed during preclinical or clinical studies; the fact that results of earlier studies and trials may not be predictive of future trial results; clinical site activation rates or clinical trial enrolment rates that are lower than expected; the impact of the COVID-19 pandemic on the Company’s business and the global economy; general market conditions; changes in the competitive landscape; and the Company’s ability to obtain sufficient financing to fund its strategic and clinical development plans. Actual results and the timing of events could differ materially from those anticipated in such forward-looking statements as a result of these risks and uncertainties, which include, without limitation the risk factors described in the Company’s US Securities and Exchange Commission filings and reports (Commission File No. 001-38475), including the Company’s Form 20-F filed with the U.S. Securities and Exchange Commission (the “SEC”) on March 24, 2023. This presentation discusses product candidates that are under clinical study, and which have not yet been approved for marketing by the US Food and Drug Administration. No representation is made as to the safety or effectiveness of these product candidates for the use for which such product candidates are being studied. Caution should be exercised when comparing data across trials of different products and product candidates. Differences existing between trial designs and patient populations and characteristics. The results across such trials may not have interpretative value on our existing or future results. All statements other than statements of historical fact are forward-looking statements. The words “believe,” “view,” “may,” “might,” “could,” “will,” “aim,” “estimate,” “continue,” “anticipate,” “intend,” “expect,” “plan,” or the negative of those terms, and similar expressions that convey uncertainty of future events or outcomes are intended to identify estimates, projections and other forward-looking statements. Estimates, projections and other forward-looking statements speak only as of the date they were made, and, except to the extent required by law, the Company undertakes no obligation to update or review any estimate, projection or forward-looking statement. 2
Eblasakimab monthly dosing shows potential for best-in-class therapy in positive Phase 2b study in atopic dermatitis (AD)
First monthly dosing regimen with competitive efficacy and safety profile
Potential to become a leading therapy in treating allergic disease, if approved
Eblasakimab dosed once with 600mg every 4 weeks met primary endpoint in TREK-AD, achieving EASI-75 of 52.0%, EASI-90 of 27.6% and vIGA-AD 0/1 of 31.2% Eblasakimab dosed once every two weeks also met the primary endpoint with statistical significance, as well as meeting key secondary endpoints Unique loading dose regimen delivered rapid onset of action with statistically significant improvement in EASI score reduction by week 4 Generally well-tolerated at all dose levels with low rates of conjunctivitis and injection site reactions supporting the potential for a differentiated safety profile Data supports advancement into Phase 3 in 2024
First biologic in moderate-to-severe AD to demonstrate competitive efficacy profile with once-monthly dosing from initiation comparable to once every two weeks By providing dual blockade of IL-4 and IL-13 signaling, has potential to deliver a compelling profile in other major diseases, such as COPD and asthma
3
EASI-75 and EASI-90 figures as restated on 18 August 2023
Significant unmet needs exist despite existing and soon-to-be-approved therapies
Attributes related to
Efficacy
Safety
Dosing and Convenience
Treating comorbidities
Desirable
Dupilumab Tralokinumab Lebrikizumab1 Oral JAKi attributes
Efficacy profile comparable or better than dupilumab2 Rapid onset of disease improvement3 ? Complete inhibition of Type 2 receptor without affecting Type 1 receptor4 Proven to block sensitization of human itch neurons to IL-13 and IL-45 No boxed warning or monitoring6 × Low rates of conjunctivitis and Type 1 driven effects7 Convenient dosing: monthly injection from start of treatment or oral8 Potential for flexible dosing9 Stable at room temperature (no refrigeration required)10 ?
Effective in other atopic diseases11
1. Lebrikizumab is a candidate drug and not approved for AD
2. Based on EASI-75 and IGA endpoints from monotherapy phase 3 studies
3. For approved drugs, whether the label claims any form of fast or rapid effects on disease severity (EASI-75 or IGA). Approved label claim for candidate drugs not yet known.
4. Based on published preclinical and mechanistic data.
5. Based on published preclinical data.
6. For approved drugs, based on label. For candidate drugs, based on monitoring requirements and reports of drug-related SAEs in phase 3
7. For approved drugs, based on label showing monotherapy conjunctivitis rate less than 5%. For candidate drugs, based on monotherapy phase 3 showing conjuncitivitis rates below 5%
8. For approved drugs, based on approved dosing regimens. For candidate drugs, based on regimens tested in phase 3 program at initiation of treatment (after loading doses)
9. For approved drugs, based on adult dosing schedule that can be adjusted according to response, safety or other patient characteristics. For candidate drugs, based on adjustments in dosing tested during monotherapy phase 3 10. For approved drugs, based on storage recommendations in label for periods of one month or longer. Storage requirements for candidate drugs not yet known.
11. Based on clinical trials that have delivered positive data.
For illustrative purposes only. Not a head-to-head comparison. Caution should be exercised when comparing data across trials of different products and product candidates. Differences exist between trial designs and patient populations and characteristics. The results across such trials may not have interpretative value on our existing or future results.
4
Eblasakimab is the only monoclonal antibody in the clinic targeting the IL-13 receptor IL-4 IL-13 Eblasakimab IL-4R 13R 1 Type 2 receptor Allergic inflammation IL-4 and IL-13 are central to triggering allergy and symptoms of atopic dermatitis By targeting the IL-13 receptor, eblasakimab’s novel approach blocks the Type 2 receptor, preventing signaling through both IL-4 and IL-13, whilst sparing the Type 1 receptor Recently published translational data demonstrates blockade of the IL-13 receptor can lead to more efficient reduction of Th2 cytokines without an increase in Th1 cytokines, as compared to blockade of the IL-4 receptor 5
TREK-AD study design LD 300mg Q2W (N 60) LD 400mg Q2W (N 60) Adult moderate-to-severe AD patients Safety LD 400mg Q4W (N 60) randomized 1:1:1:1:1 follow-up (N 300) LD 600mg Q4W (N 60) LD Placebo (N 60) 16 week treatment period 12 week safety follow up Loading dose of 600mg for the Q2W dose groups at week 0 and week 1 Loading dose of 600mg for the Q4W dose groups at week 0, week 1 and week 2 6
TREK-AD study design • Primary endpoint: percent change from baseline in EASI Study endpoints • Secondary endpoints: EASI-75, EASI-90, vIGA-AD 0/1, PROs, BSA, SCORAD EASI 16 vIGA-AD 3 Key inclusion criteria BSA 10% Inadequate response or contraindication to TCS/TCI Trial powered to demonstrate statistical significance at the two-sided 5% significance level for the primary endpoint Continuous endpoints analyzed by MMRM (primary analysis) and ANCOVA with MCMC-MI used to handle missing data (sensitivity analysis). Data following initiation of rescue Statistical methods medication or after treatment discontinuation was set to missing for both analyses Binary endpoints analyzed by CMH method with missing data imputed using MCMC-MI except for patients who took rescue medication or discontinued due to lack of efficacy, who were considered non-responders BSA: body surface area, EASI: eczema area and severity index, vIGA-AD: validated investigator global assessment atopic dermatitis, TCS: topical corticosteroid, TCI: Topical calcineurin inhibitors, MMRM: Mixed model for repeated measures, MCMC: Markov chain Monte Carlo, MI: Multiple Imputation, CMH: Cochran-Mantel-Haenszel 7
Baseline disease characteristics (ITT) Placebo 600mg Q4W 400mg Q2W 300mg Q2W 400mg Q4W (n=57) (n=59) (n=56) (n=58) (n=59) Disease duration (years) - mean (SD) 19.6 (14.5) 22.4 (16.5) 23.5 (17.9) 21.2 (19.0) 22.0 (15.2) Disease onset (years) - mean (SD) 19.4 (19.8) 18.2 (21.2) 17.6 (21.4) 18.6 (17.4) 15.6 (19.2) Prior dupilumab exposure - n (%) 3 (5.3%) 6 (10.2%) 3 (5.4%) 5 (8.6%) 6 (10.2%) EASI score - mean (SD) 28.3 (10.5) 26.6 (11.9) 30.2 (12.4) 26.4 (11.5) 28.0 (11.2) vIGA-AD score - n (%) 3 Moderate 34 (59.7%) 35 (59.3%) 32 (57.1%) 34 (58.6%) 35 (59.3%) 4 Severe 23 (40.4%) 24 (40.7%) 24 (42.9%) 24 (41.4%) 24 (40.7%) BSA (%) - mean (SD) 40.9% (19.1%) 38.5% (20.5%) 43.0% (23.0%) 38.6% (23.0%) 40.0% (20.1%) ITT: intent to treat population was prespecified to exclude 2 patients who were randomized but not dosed (1 patient in placebo arm and 1 patient in 400mg Q4W arm) 8
Primary endpoint: percent change in EASI from baseline at week 16 Week 0 2 4 6 8 10 12 14 16 0 Statistically (%) Dose LS Mean (%) P value -10 600mg Q4W (n=59) significant EASI 300mg Q2W (n=58) in -20 400mg Q2W (n=56) 600mg Q4W -73.0 0.0010 Placebo Q2W (n=57) 400mg Q2W -65.8 0.0294 baseline -30 -40 300mg Q2W -69.8 0.0050 from -50 400mg Q4W -61.9 0.1054 -change -60 Placebo -51.1 - Mean -70 -80 Statistically significant from week 4 P value is calculated versus placebo for least squares mean values by MMRM method 9
Compelling activity with Q4W eblasakimab dosing Eblasakimab Ph1b1 Eblasakimab Ph2b2 Dupilumab Ph2b3 Dupilumab Ph34 PBO 600mg 600mg 400mg 300mg PBO 300mg PBO 300mg QW PBO Q4W Q2W Q2W Q2W Q2W 0 (%) EASI in -20 -27.0 -26.3 baseline -34.3 -40 from -51.1 -60 -65.0 change -65.8 -69.8 -70.8 -70.0 Mean -73.0 -80 For illustrative purposes only. Not a head-to-head comparison. Caution should be exercised when comparing data across trials of different products and product candidates. Differences exist between trial designs and patient populations and characteristics. The results across such trials may not have interpretative value on our existing or future results. 1 Veverka et al (2022) EADV Congress, patients who received rescue treatment as missing data from the time of rescue. LOCF applied to missing data, data from mITT population 2 Patients who received rescue treatment as missing data from the time of rescue. MMRM analysis method 3 Thaci et al (2016) Lancet 387(10013): for patients who received rescue medications, data set to missing from the time of rescue. MMRM analysis method 4 Thaci et al (2019) J Dermatol Sci 94(2):266-275 Patients who received rescue treatment as missing data from the time of rescue in SOLO1 and SOLO2. MCMC-MI applied to missing data 10
60 80 P = 0.0040 P = 0.0050 600mg Q4W (n=59) 300mg Q2W (n=58) P = 0.0360 60 400mg Q2W (n=56) Placebo Q2W (n=57) 40 (%) - 75 40 EASI 20 20 0 0 Placebo 600mg Q4W 400mg Q2W 300mg Q2W 0 2 4 6 8 10 12 14 16 (n=57) (n=59) (n=56) (n=58) Week P value is calculated versus placebo with MCMC-MI EASI-75 figures as restated on 18 August 2023 11
Historical comparisons of EASI-75 80 Eblasakimab Ph1b1 Eblasakimab Ph2b2 Dupilumab Ph2b3 Dupilumab Ph34 69.0 60 52.0 53.1 (%) 51.2 50.3 40 75 43.6 EASI - 20 24.4 15.0 15.2 11.5 0 PBO 600mg PBO 600mg 400mg 300mg PBO 300mg PBO 300mg QW Q4W Q2W Q2W Q2W Q2W For illustrative purposes only. Not a head-to-head comparison. Caution should be exercised when comparing data across trials of different products and product candidates. Differences exist between trial designs and patient populations and characteristics. The results across such trials may not have interpretative value on our existing or future results. 1 Veverka et al (2022) EADV Congress, patients who received rescue treatment as missing data from the time of rescue. LOCF analysis method, data from mITT population 2 Patient considered as non responder after rescue treatment or discontinuations due to lack of efficacy. MCMC-MI applied to other missing data 3 Thaci et al (2016) Lancet 387(10013):40-52 and EPAR, patient considered as non responder after rescue treatment. Non-responder imputation applied to missing data 4 Thaci et al (2019) J Dermatol Sci 94(2):266-275, patient considered as non responder after rescue treatment in SOLO1 and SOLO2. LOCF analysis method for other missing data EASI-75 figures for eblasakimab Ph2b as restated on 18 August 2023 12
EASI-90 and vIGA-AD 0/1 at week 16 40 40 P = 0.0380 P = 0.0327 P = 0.0028 P = 0.0502 32.6 33.1 30 P = 0.0080 30 30.8 31.2 P = 0.0177 27.6 (%) (%) 25.3 0/1 90 20 20 - AD EASI vIGA - 15.1 10 10 7.9 0 0 Placebo 600mg Q4W 400mg Q2W 300mg Q2W Placebo 600mg Q4W 400mg Q2W 300mg Q2W (n=57) (n=59) (n=56) (n=58) (n=57) (n=59) (n=56) (n=58) P value is calculated versus placebo by MCMC-MI EASI-90 figures as restated on 18 August 202313
Historical comparisons of EASI-90 Eblasakimab Ph1b1 Eblasakimab Ph2b2 Dupilumab Ph2b3 Dupilumab Ph34 40 38.0 30 32.8 30.8 29.7 (%) 27.6 90 25.3 EASI - 20 15.0 10 7.9 7.4 3.3 0 PBO 600mg PBO 600mg 400mg 300mg PBO 300mg PBO 300mg QW Q4W Q2W Q2W Q2W Q2W For illustrative purposes only. Not a head-to-head comparison. Caution should be exercised when comparing data across trials of different products and product candidates. Differences exist between trial designs and patient populations and characteristics. The results across such trials may not have interpretative value on our existing or future results. 1 Veverka et al (2022) EADV Congress, patients who received rescue treatment as missing data from the time of rescue. LOCF analysis method, data from mITT population 2 Patient considered as non responder after rescue treatment or discontinuations due to lack of efficacy. MCMC-MI applied to other missing data 3 Thaci et al (2016) Lancet 387(10013):40-52 and EPAR, patient considered as non responder after rescue treatment. Non-responder imputation applied to missing data. 4 Thaci et al (2019) J Dermatol Sci 94(2):266-275, non-responder imputation: patients after rescue treatment or withdrawal from the study were considered as non responders in SOLO1 and SOLO2 EASI-90 figures for eblasakimab Ph2b as restated on 18 August 2023 14
Historical comparisons of vIGA-AD 0/1 60 Eblasakimab Ph1b1 Eblasakimab Ph2b2 Dupilumab Ph2b3 Dupilumab Ph34 IGA vIGA-AD IGA IGA (%) 40 44.0 0/1 37.4 AD 32.6 33.1 31.2 vIGA - 30.0 20 or IGA 15.0 15.1 10.2 0 2.0 PBO 600mg PBO 600mg 400mg 300mg PBO 300mg PBO 300mg QW Q4W Q2W Q2W Q2W Q2W For illustrative purposes only. Not a head-to-head comparison. Caution should be exercised when comparing data across trials of different products and product candidates. Differences exist between trial designs and patient populations and characteristics. The results across such trials may not have interpretative value on our existing or future results. 1 Veverka et al (2022) EADV Congress, patients who received rescue treatment as missing data from the time of rescue. LOCF analysis method, data from mITT population 2 Patient considered as non responder after rescue treatment or discontinuations due to lack of efficacy. MCMC-MI applied to other missing data 3 Thaci et al (2016) Lancet 387(10013):40-52, patients who received rescue treatment or withdrew were considered non-responders 4 Thaci et al (2019) J Dermatol Sci 94(2):266-275, patient considered as non responder after rescue treatment in SOLO1 and SOLO2. LOCF analysis method for other missing data 15
Eblasakimab was generally well-tolerated, consistent with previous studies Placebo All Ebla 600mg Q4W 400mg Q2W 300mg Q2W 400mg Q4W Treatment Emergent Adverse Event (TEAE)1 by category - n (%) (n=57) (n=232) (n=59) (n=56) (n=58) (n=59) Any 33 (57.9) 164 (70.7) 41 (69.5) 43 ( 76.8) 32 (55.2) 48 (81.4) Serious Adverse Event (SAE)2 1 (1.8) 3 ( 1.3) 0 1 ( 1.8) 1 ( 1.7) 1 (1.7) AEs with frequency of 5% or more across treatment arms3: Nasopharyngitis 5 (8.8) 31 (13.4) 8 (13.6) 8 (14.3) 5 (8.6) 10 (16.9) Dermatitis atopic 4 (7.0) 20 (8.6) 3 (5.1) 5 (8.9) 4 (6.9) 8 (13.6) Headache 4 ( 7.0) 16 (6.9) 8 (13.6) 1 (1.8) 1 (1.7) 6 (10.2) Upper respiratory tract infection 3 ( 5.3) 15 (6.5) 3 (5.1) 2 (3.6) 6 (10.3) 4 (6.8) AEs of interest: Injection site reactions 1 (1.8) 11 (4.7) 4 (6.8) 3 ( 5.4) 0 4 (6.8) Conjunctivitis4 1 (1.8) 12 (5.2) 4 (6.8) 5 (8.9) 1 (1.7) 2 (3.4) Herpes infections 2 (3.5) 7 (3.0) 3 (5.1) 0 1 (1.7) 3 (5.1) - Herpes simplex infection5 2 (3.5) 6 (2.6) 3 (5.1) 0 0 3 (5.1) - Herpes zoster infection 0 1 (0.4) 0 0 1 (1.7) 0 1 This includes all adverse events recorded through to week 16 or last dose for completed patients 2 None were deemed as being drug related, all three across active arms were worsening of AD 3 Applies to AEs that map to the Medical Dictionary for Regulatory Activities dictionary term 4 Includes conjunctivitis, noninfectious conjunctivitis and conjunctivitis allergic 5 Includes oral herpes, herpes simplex infection, herpes virus infection, nasal herpes and herpes ophthalmic 16
Our vision: to transform the lives of AD patients First monthly dosing regimen with competitive efficacy and safety profile Potential to be best-in-class treatment for moderate-to-severe AD patients Eblasakimab, if approved, would provide a compelling reason for patients to switch Potential to become a leading therapy in treating allergic disease, if approved Upcoming expected milestones: 1Q 2023 2Q 2023 3Q 2023 4Q 2023 1Q 2024 $20 million financing Eblasakimab Phase 2 Farudodstat Eblasakimab Eblasakimab Eblasakimab led by BVF TREK-DX topline readout Phase 2a PoC licensing Phase 2b TREK-AD additional study in AA deal for TREK-AD topline data: PROs, Eblasakimab TREK-AD Farudodstat Phase 2a completion of enrollment initiation Japan signed data readout biomarkers1 interim topline readout Preparation for Phase 3 1 Expected to be submitted for presentation at a future scientific congress 17
Q&A 18
Our vision: to transform the lives of AD patients First monthly dosing regimen with competitive efficacy and safety profile Potential to be best-in-class treatment for moderate-to-severe AD patients Eblasakimab, if approved, would provide a compelling reason for patients to switch Potential to become a leading therapy in treating allergic disease, if approved Upcoming expected milestones: 1Q 2023 2Q 2023 3Q 2023 4Q 2023 1Q 2024 $20 million financing Eblasakimab Phase 2 Farudodstat Eblasakimab Eblasakimab Eblasakimab led by BVF TREK-DX topline readout Phase 2a PoC licensing Phase 2b TREK-AD additional study in AA deal for TREK-AD topline data: PROs, Eblasakimab TREK-AD Farudodstat Phase 2a completion of enrollment initiation Japan signed data readout biomarkers1 interim topline readout Preparation for Phase 3 1 Expected to be submitted for presentation at a future scientific congress 19
Eblasakimab Phase 2b TREK-AD Topline readout 6 July 2023 Restated 18 August 2023 NASDAQ: ASLN ASLAN PHARMACEUTICALS