Delivering gene therapy to patients FORWARD-LOOKING STATEMENTS This presentation contains forward-looking statements that involve substantial risks and uncertainties. All statements, other than statements of historical facts, contained in this presentation, including statements regarding our strategy, future operations, future financial position, future revenues, projected costs, prospects, plans and objectives of management, are forward-looking statements. The words “anticipate,” “believe,” “estimate,” “expect,” “intend,” “may,” “plan,” “predict,” “project,” “target,” “potential,” “will,” “would,” “could,” “should,” “continue,” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. We may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements, and you should not place undue reliance on our forward-looking statements. Actual results or events could differ materially from the plans, intentions and expectations disclosed in the forward-looking statements we make. The forward-looking statements contained in this presentation reflect uniQure’s current views with respect to future events, and uniQure assumes no obligation to update any forward-looking statements except as required by applicable law. These forward-looking statements include, but are not limited to, statements regarding the risk of cessation or delay of any of the ongoing or planned clinical studies and/or development of our product candidates, the risk of delay or failure to successfully commercialize or obtain further regulatory approval of Glybera, and the risk that our collaborations with Chiesi or our other collaboration partners will not continue or will not be successful. Our actual results could differ materially from those anticipated in these forward-looking statements for many reasons, including, without limitation, risks associated with our clinical development activities, regulatory oversight, product commercialization, intellectual property claims, and the risks, uncertainties and other factors described under the heading “Risk Factors” in uniQure’s form 20-F and the prospectus dated February 5, 2014, both documents filed with the Securities and Exchange Commission. 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, or to update the reasons why actual results could differ materially from those anticipated in the forward-looking statements, except as required by law. 2 Glybera - 1st Approved Gene Therapy in the EU Glybera for Lipoprotein Lipase Deficiency 3 Gene Therapy and uniQure: Changing the Future of Medicine 1 time interventions Long term effect Highest possible patient benefit Highly disruptive* Cutting edge science Manufacturing leadership Modular portfolio development Regulatory expertise Commercialization experience Strong management team 4 Gene therapy – a real opportunity uniQure has all the building blocks A new chapter in the history of medicine *) MIT Review / Fierce 15: uniQure among 50 most disruptive companies in 2013 Establish Gene Therapy Leadership Build a Portfolio Milestones Glybera – Gene Therapy for an Orphan Disease Single intervention to restore lipoprotein lipase enzyme Chronic disease with severe symptoms > > > High unmet medical need > > > > > > Severe and life-threatening complications Extreme levels of pain and quality of life impact Threatens mother and child during pregnancies Daily symptoms Extreme diet restrictions Significant cost burden to the medical system Treatment goal with AAV1 gene therapy > > > 6 Hyperchylomicronemia Recurrent abdominal pain and pancreatitis Diabetes/Atherosclerosis Restore LPL function Prevent complications Control symptoms Restoration of LPL Activity Leads to Improved Lipid Clearance 1 Yr Post a Single Intervention Depiction (3H-Palmitic acid tracer) of appearance and removal of newly formed chylomicrons from the blood after a standardized meal [3H] activity in CMs (per cent ID per 100ml plasma) 5/5 patients pre-intervention (N=5) 3/3 patients post-intervention, week 52 (N=3) 0,8 5/5 patients post-intervention, week 14 (N=5) 0,7 Pre 0,6 0,5 0,4 0,3 52 wks. Post 0,2 0,1 14 wks. Post 0,0 0 5 10 Time after meal (hours) 15 20 NB: Tritium activity in centimorgans (cM) is an indirect measure of chylomicrons 7 25 3 year post treatment follow-up suggests reduction in incidence and severity of pancreatitis events 6 yr follow-up head line data released in 03/2014 confirm 3 year follow-up No. of ICU(1) stays Pancreatitis Patient 4 6 7 8 9 11 14 15 20 1001 1002 2001 Total Pre-treatment2) No. of Hospitalization(1) Post-treatment2) Severe Mild Severe Mild Pre-treatment Post-treatment Pre-treatment Post-treatment 0 2 1 1 0 1 7 2 1 0 1 0 3 0 1 1 8 2 9 11 6 14 23 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 1 0 1 0 2 1 0 0 2 6 1 1 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 2 2 8 3 16 13 7 14 24 8 0 0 0 0 0 0 1 0 2 1 0 1 16 86 0 5 17 0 102 5 ZERO severe pancreatitis events in 6 years post a single intervention ZERO ICU stays in 6 years post a single intervention Reduction in acute pancreatitis resulting in fewer ICU stays and hospitalization days (1) (2) 8 Table represents only ICU / hospitalizations resulting from definitive / probable pancreatitis; the overall number of ICU / hospitalizations is significantly larger Pre-treatment = life before treatment, post-treatment = life post treatment EU Post-approval Commitments Foundation for US Filing US filing planned based on EU-post approval commitments Post-approval commitments Clinical trials leading to EU Glybera approval Registry (incl. natural history) Post-approval study EU approval under exceptional circumstances 2012 9 2013 2014 2015 2016 2017 uniQure Retains Rights in Attractive Key Markets uniQure retains key markets including North America and Japan Commercialization in North America by uniQure Distribution agreements in other geographies based on business case vs. own organization Chiesi have European commercialization rights > > EUR 31 m down payment 20 – 30% royalty from Chiesi uniQure Territories Chiesi Territories 10 Glybera EU Launch Preparations Led by Chiesi Preparations for launch in mid-2014 1st wave: Germany, UK, Holland, Sweden and Austria > Product released for patient treatment > Centers of Excellence prepared for first LPLD patients Site preparations including Registry set-up finalized Health care staff training on track LPLD patients identified, consent procedure ongoing > European Pricing Strategy and implementation plan finalized In Germany negotiation between hospital and sick fund (in-patient) in progress > AMNOG process for out-patient treatment, core value dossier close to final 11 Gene Therapy Platform Building Blocks Gene “Blueprint” Vector THERAPEUTIC DELIVERY VEHICLE 12 Manufacturing GENE / VECTOR COPIES Administrating “Protein Factory” in the body GENE/VECTOR COPIES INTO THE CELLS PROTEIN FACTORY uniQure’s Vector Platform Evolution TROPISM natural AAV AAV1 Exclusive for LPLD in Muscle AAV2 AAV5 Exclusivity for LIVER / CNS AAV6 AAV8 AAV9 13 DIRECTED EVOLUTION optimized AAV 4D Therapeutics Synthetic Synthetic AAV Mutants Synthetic AAV Mutants Synthetic AAV Mutants Synthetic AAV Mutants Synthetic AAV Mutants Synthetic AAV Mutants Synthetic AAV Mutants Synthetic AAV Mutants Synthetic AAV Mutants AAV Synthetic AAV Mutants Super Mutants uniQure’s Leading Manufacturing Platform uniQure Baculo-based Plasmid-based adherent cultures Plasmid-based Suspension cultures Herpes-based Adenovirus-based Suspension Cell Culture ++ - ++ + ++ Efficiency DNA Transfection ++ + - ++ ++ Scalability ++ -- - + ++ Safety ++ - - concerns concerns Low COGs ++ - - + + EU Regulatory Approved ++ - - - - FTO / IP Protection ++ - - complex complex 14 World-leading Manufacturing Capabilities in EU and US Building the world’s largest dedicated AAV manufacturing unit in the US US manufacturing site > Lexington, Ma > 2 x 500 L (expansion to 2 x 2000 L possible) > Copy/scale of exisitng technology > Estimated time of completion for test batches end of 2014 Amsterdam, NL > 2 x 50 L, EMA approved facility 15 Establish Gene Therapy Leadership Build a Portfolio Milestones Pipeline 2014 PRECLINICAL I II III GLYBERA EU GLYBERA US HEMOPHILIA B ACUTE INTERMITTENT PORPHYRIA SANFILIPPO B PARKINSON’S DISEASE 6 PRECLINICAL incl. (HEMOPHILIA A, …. uniQure sponsored 17 investigator led MARKET Hemophilia B Spontaneous bleeds, joint damage, compliance 18 Hemophilia B Gene therapy can become treatment of choice Preferred therapy today: enzyme replacement > 2 treatments / week / patient = > 6,000 treatments over a lifetime > Total number of hospital days over 10 years (156 severe hemophilia patients, 1989–1999)* = On demand: 320 hospital days/10 years = Prophylaxis: 246 hospital days/10 years > Cost per severe patient: > US$ 300 k p.a./patient = > US$ 15 million Future: Gene Therapy, single interventions, long lasting effect * On-demand vs. prophylactic treatment for severe haemophilia in Norway and Sweden: differences in treatment characteristics and outcomeK. STEEN CARLSSON et al, Haemophilia (2003), 9, 555–566 19 AAV8/FIX Single Intervention Using uniQure Gene Cassette Reduces Need for Prophylactic Treatment(1) St Jude/UCL trial started 4 yrs. ago demonstrated sustained, dose dependent effect: after single treatment 6/8 patients off prophylaxis, 2/8 significantly lower frequency % Expression of normal Mid-dose Low-dose 12 11 10 9 8 7 6 5 4 3 2 1 High-dose Presented in New England Journal of Medicine 12/2011 Mild Moderate 1 2 3 4 5 Patient 1) Third party trial conducted by St. Jude’s Children Research Hospital and UC London 20 Oral Presentation Disease Severity 6 7 8 Severe AAV5/FIX Phase I/II Dose Escalation Study in 2014 AAV8 mammalian cell-based AAV5 insect cell production Population > > High (2.0 × 1013) Dose (gc/kg) uniQure Objectives > > uniQure Mid (2.0 × 1012) ST Jude ST Jude Low (2.0 × 1011) 21 ST Jude ≦ 1% of normal plasma factor IX levels On prophylactic therapy Assess safety/tolerability Define optimal therapeutic dose Key efficacy assessments > > > > Factor IX plasma levels Need for FIX replacement therapy Incidence of spontaneous bleeding Health related quality of life AAV5/FIX - Efficacy in Primates h F IX p ro te in A M T - 0 6 0 in C y n o m o lg u s m o n k e y s 100 in C y n o m o lg u s m o n k e y s 100 22 1 0 .1 1 h F IX p ro te in 10 h F IX p ro te in h F IX p ro te in (% o f n o rm a l h u m a n le v e ls ) (% o f n o rm a l h u m a n le v e ls ) h F IX p ro te in 100 Preclinical data suggests AAV5 works as well as AAV8 10 100 10 A M T - 0 6 0 in C y n o m o lg u s m o n keys Porphyria Porphyria A M T - 0 6 0 in C y n o m o lg u s m o n k e y s 100 (% o f n o r m a l h u m a n le v e ls ) Human AAV5/FIX levels in dose escalating GLP tox study show linear dose response A M T -0 6 0 AMT-060 A M T -0in6 0Cynomolgus in C y n o m oMonkeys lg u s m o n k e y s AMT-060 in Rhesus Monkeys 10 1 Key (% o f n o rm a l h u m a n le v e ls ) Human AAV5/FIX expression levels in macaques similar to those achieved in humans from current AAV8 clinical study (UCL/St Jude’s) (% o f n o rm a l h u m a n le v e ls ) 1 0 .1 10 0 50 100 150 5 e 1 1 g c /k g D a y s a fte r v e c to r in fu s io n 5 e 1 2 g c /k g 5 e 1 1 g c /k g 1 5 e 1 1 g c /k g 5 e 1 2 g c /k g 5 e 1 1 g c /k g 5 e 1 2 Porphyria g c /k g 2 .5 e 1 3 g c /k g 5 e 1 2 g c /k g 2 .5 e 1 3 g c /k g 2 .5 e 1 3 g0c.1 /k g 9 .3 e 1 3 g c /k g 9 .3 e 1 3 g c /k g 9 .3 e 1 3 g c /k g 0 .1 0 0 .1 01 2 503 100 50 100 150 D a1y5s0a fte r v e c to r in fu s io n 2 .5 e 1 3 g c /k g 9 .3 e 1 3 g c /k g AAV5/FIX Competitive Position uniQure timeline puts AA5-FIX as first to market – no other gene therapy competitor has full FTO or validated manufacturing uniQure validated and scalable Competitors: uniQure AAV5 manufacturing exclusive Spark, from Baxter, NIH Dimension, Biomarin process uniQure gene cassette exclusive from St. Jude 23 Hemophilia Enzyme Replacement Market Big market volume to protect for current ERT competitors Market Volume (in US$ bn) Market: US$ 8 bn Growth Hemophilia A Hemophilia B 6% p.a. Sources: Morningstar Estimates 24 Establish Gene Therapy Leadership Build a Portfolio Milestones Raised net proceeds of US$ 85 m in NASDAQ IPO to reach multiple clinical milestones 2014 H1 Glybera – EU launch Porphyria results 2015 H2 H1 2016 H2 Sanfilippo B results 26 H2 Hemophilia B results Glybera Data to Support U.S. Filing H1 Gene therapy and uniQure: Changing the future of medicine 1 time interventions Long term benefit Highest possible patient benefit Highly disruptive* Cutting edge science Manufacturing leadership Modular portfolio development Regulatory expertise Commercialization experience Strong management team 27 Gene therapy – a real opportunity uniQure has all the building blocks A new chapter in the history of medicine *) MIT Review / Fierce 15: uniQure among 50 most disruptive companies in 2013 The Leader in Gene Therapy Chiesi – strategic partner for EU commercialization Chiesi – strategic focus on advanced therapeutics > > €1.1 bn in revenues, 3,800 employees Acquired Cornerstone (US) Sep 2013 (for $250m), Zymenex in Aug 2013 EU-focused partnership for Glybera and Hemophilia B Key partnership terms > > Effective June 2013 Financial terms Development-related €17m / (US$22m) Equity Investment €14m / (US$18m) Upfront Glybera 20-30% Hemophilia B 25-33% Estimated uniQure share of Net Sales Milestones > > 29 Up to €42m / (US$57m) Glybera (Commercial) Full commercialization costs to be born by Chiesi Chiesi carries 50% of HemB development cost 1 2 3 uniQure’s leading manufacturing capability Safe Manufacturing System Serum-free manufacturing system No need for using pathogenic viruses Cost-effective Platform Yield per production cell equal or higher than such as herpes simplex or adenovirus for AAV production No co-production of replication competent AAV (regulatory requirement) uniQure manufacturing Platform High Degree Of Validation By EU Regulators and Pharma Meeting requirements of Good Manufacturing Improved Quality Product Low ratio of so-called "empty 30 mammalian cell based production systems Suspension cell line that can be grown at high densities leading to high volumetric yields Easily scalable technology No need for expensive raw materials No need for stable cell lines (difficult to make) Significantly less FTEs required particles” (without need for centrifugation steps) Favorable impurity profile Monomeric duplex technology (double stranded, self-complementary) 1 2 3 Practices (GMP) Licensed by EMA Cell line and baculovirus technology accepted by FDA (approved BLA from Protein Sciences) FTO / Strong IP position AAV5/FIX Competitive Landscape uniQure timeline puts AA5-FIX as first to market - no other gene therapy competitor has validated manufacturing Gene Therapy Non-gene Therapy Products Marketed BeneFIX® RT (Pfizer) Nonafact® (Sanquin) Rixubis (Baxter) rFIXFc (Biogen / Syntonix) rIX-FP (CSL Behring) N9-GP (NN7999) (Novo Nordisk) Phase III BAY86-6150 (FVIIa) Bayer Phase I / II IB1001 (Inspiration Bio) AAV8-hFIX (CH Philadelphia / Spark Therapeutics – Phase I/II to October 2019) PF-05280602 (FVIIa) Pfizer AAV8-FIXco (St Jude CH – Phase I to Feb 14) AAV8-FIX’ (AskBio / Baxter – Phase I/III to Aug 17) AAV5-FIX (uniQure) Pre-clinical ZFP Hemophilia Program (Shire / Sangamo) Enzyme Replacement 31 Non-final product Full freedom-to-operate
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