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. We have filed a registration statement (including a prospectus) with the Securities and Exchange Commission, or SEC, for the offering to which this presentation relates. Forward-looking statements represent our management’s beliefs and assumptions only as of the date of the prospectus. You should read the prospectus, including the Risk Factors set forth therein, and the documents that we have filed as exhibits to the registration statement, of which the prospectus is a part, completely and with the understanding that our actual future results may be materially different from what we expect. We have included important factors in the cautionary statements included in the prospectus, particularly in the Risk Factors section, that we believe could cause actual results or events to differ materially from the forward-looking statements that we make. Except as required by law, we assume no obligation to update these forward-looking statements publicly, or to update the reasons why actual results could differ materially from those anticipated in the forward-looking statements, even if new information becomes available in the future. We have filed a registration statement (File No. 333-193158), including a prospectus, with the SEC for the offering to which this communication relates. Before you invest, you should read the prospectus in that registration statement and other documents the issuer has filed with the SEC for more complete information about the issuer and this offering. You may get these documents for free by visiting EDGAR on the SEC website at www.sec.gov. Alternatively, the issuer, any underwriter, or any dealer participating in the offering will arrange to send you the prospectus if you request it by calling Jefferies LLC at 1-877-547-6340 or Leerink Partners LLC at 1-800-808-7525. 2 Gene therapy and uniQure: Changing the future of medicine ! Life changing ! Disruptive* ! Validated ! Cutting edge science ! Manufacturing leadership ! Modular portfolio development ! Regulatory expertise ! Commercialization experience ! Strong management team 3 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 3 core strategies to build world leader in gene therapy 3 2 1 Establish gene therapy 4 Develop gene therapy portfolio Maintain gene therapy leadership Building blocks of gene therapy Gene “Blueprint” Vector THERAPEUTIC DELIVERY VEHICLE 5 Manufacturing GENE / VECTOR COPIES 1 2 3 Administrating “Protein Factory” in the body GENE/VECTOR COPIES INTO THE CELLS PROTEIN FACTORY Modular concept Product development with reduced time to patient, lower cost Muscle Liver CNS Building blocks Functional Gene Vector LPLD Porphyria Hemophilia B Sanfilippo B LPL PBGD Factor IX NaGlu AAV1 AAV5 Manufacturing Administration 6 Insect Cell Manufacturing Intramuscular (IM) Intravenous (IV) 1 2 3 Intra-cranial / CSF Lipoprotein lipase deficiency – an orphan disease Glybera – single intervention to restore lipoprotein lipase enzyme ! Chronic disease with severe symptoms > Hyperchylomicronemia > Recurrent abdominal pain and pancreatitis > Diabetes/Atherosclerosis ! 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 > Restore LPL function > Prevent complications > Control symptoms 7 1 2 3 What evidence has been collected over 8 years? Introduction of the LPL gene leads to consistent results Gene Protein ! ! 8 ! Vector DNA in muscle sustained after single dose ! Restoration of LPL enzyme activity documented ! LPL mediated lipid uptake re-established Improvement of postprandial chylomicron metabolism Enzyme Function ! Clinical improvement ! Strong safety profile EU regulatory approval of manufacturing platform established 1 2 3 Reduction in risk of acute pancreatitis, hospital and ICU stay Restoration of LPL activity leads to improved lipid clearance post treatment 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 9 1 2 3 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 Pancreatitis Patient Pre-treatment2) No. of ICU(1) stays No. of Hospitalization(1) Post-treatment2) Severe Mild Severe Mild Pre-treatment Post-treatment Pre-treatment Post-treatment 4 6 7 8 9 11 14 15 20 1001 1002 2001 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 Total 16 86 0 5 17 0 102 5 Reduction in acute pancreatitis resulting in fewer ICU stays and hospitalization days (1) (2) 10 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 1 2 3 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 11 2013 2014 2015 1 2 3 2016 2017 3 core strategies to build world leader in gene therapy 3 2 1 Establish gene therapy 12 Develop gene therapy portfolio Maintain gene therapy leadership Pipeline 2014 Preclinical I II Glybera EU Glybera US Hemophilia B Acute Intermittent Porphyria Sanfilippo B Parkinson’s Disease 6 Preclinical Programs (Hem A, ….) 13 1 2 3 III Market AAV8/FIX containing uniQure gene cassette results in marked reduction of prophylactic treatment(1) St Jude/UCL trial started 4 yrs. ago shows sustained, dose dependent effect: 6/8 patients off prophylaxis, 2/8 significantly lower frequency after single treatment % Expression of normal Mid-dose Low-dose 12 11 10 9 8 7 High-dose Oral Presentation Presented in New England Journal of Medicine 12/2011 Mild 6 5 4 3 2 1 Moderate 1 2 3 4 5 6 Patient 1) Third party trial conducted by St. Jude’s Children Research Hospital and UC London 14 Disease Severity 1 2 3 7 8 Severe AAV5/FIX Phase I/II dose escalation study in 2014 AAV8 mammalian cell-based AAV5 insect cell production High (2.0 × 1013) uniQure ! Population > 1% of normal plasma factor IX levels > On prophylactic therapy ! Objectives Dose (gc/kg) > Assess safety/tolerability > Define optimal therapeutic dose uniQure Mid (2.0 × 1012) ! > Factor IX plasma levels > Need for FIX replacement therapy ST Jude ST Jude Low (2.0 × 15 Key efficacy assessments > Incidence of spontaneous bleeding > Health related quality of life ST Jude 1011) 1 2 3 AAV5/FIX efficacy in primates, dose dependent efficacy 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 16 1 1 100 10 1 Key 50 5 e 1 1 g c /k g 01 50 9 .3 e 1 3 g c /k g 0 .1 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 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 100 9 .3 e 1 3 g c /k g 50 100 150 D a1y5s0a fte r v e c to r in fu s io n 1 0 0 D a y s1 5a 0fte r v e c to r in fu s io n 1 0 0D a y s1 5a 0fte r v e c to r in fu s io n D a y s a fte r v e c to r in fu s io n 2 .5 e 1 3 g c /k g 5 e 1 1 g c /k g 2 503 5 e 1 2 g c /k g 1 10 0 0 .1 0 10 9 .3 e 1 3 g c /k g 0 .1 0 .1 0 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 ) 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 10 Preclinical data suggests AAV5 works as well as AAV8 100 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 10 (% 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 0 100 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 h F IX p ro te in ! 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 ) ! 2 .5 e 1 3 g c /k g 9 .3 e 1 3 g c /k g 3 core strategies to build world leader in gene therapy 3 2 1 Establish gene therapy 17 Develop gene therapy portfolio Maintain gene therapy leadership Vector design - evolution of uniQure’s vector platform TROPISM natural AAV DIRECTED EVOLUTION 4D Therapeutics AAV1 Muscle 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 AAV2 AAV5 Exclusivity for LIVER / CNS AAV6 AAV8 AAV9 18 optimized AAV 1 2 3 Manufacturing – uniQure’s leading 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 19 1 2 3 World-leading manufacturing capabilities in EU and US Building the world’s largest dedicated AAV manufacturing unit in the US ! 2x 500 Liters (Expansion up to 2x 2,000 Liters) Amsterdam Plant (EU) 1x 50 Liters (Expansion up to 250 Liters) Capacity Lexington Plant (US) 20 1 2 3 Building out US facility > Lexington, MA > Copy / scale up existing technology > Hiring of 50 experienced employees planned > Estimated time of completion of facility qualification and ready for first test batches by end of 2014 Raised net proceeds of US$ 82 m in NASDAQ IPO to reach multiple clinical milestones 2014 H1 Glybera – EU launch Porphyria results 2015 H2 H1 2016 H2 " " Sanfilippo B results " 21 H2 " Hemophilia B results Glybera Data to Support U.S. Filing H1 " Gene therapy and uniQure: Changing the future of medicine ! Life changing ! Disruptive* ! Validated ! Cutting edge science ! Manufacturing leadership ! Modular portfolio development ! Regulatory expertise ! Commercialization experience ! Strong management team 22 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
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