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Developing a pipeline of innovative therapeutics and vaccines that deliver on the promise of gene-based medicine Jefferies 2015 Global Healthcare Conference June 4, 2015

Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

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Page 1: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Developing a pipeline of innovative therapeutics and vaccines that deliver on the promise of gene-based medicine

Jefferies 2015 Global Healthcare Conference June 4, 2015

Page 2: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Statements herein relating to future financial or business performance, conditions or strategies and other financial and business matters, including expectations regarding future revenues and operating expenses, are forward-looking statements within the meaning of the Private Securities Litigation Reform Act. GenVec cautions that these forward-looking statements are subject to numerous assumptions, risks and uncertainties, which change over time. Factors that may cause actual results to differ materially from the results discussed in the forward-looking statements or historical experience include risks and uncertainties, including the failure by GenVec to secure and maintain relationships with collaborators; risks relating to clinical trials; risks relating to the commercialization, if any, of GenVec’s proposed product candidates (such as marketing, regulatory, patent, product liability, supply, competition and other risks); dependence on the efforts of third parties; dependence on intellectual property; and risks that we may lack the financial resources and access to capital to fund our operations. Further information on the factors and risks that could affect GenVec’s business; financial conditions and results of operations are contained in GenVec’s filings with the U.S. Securities and Exchange Commission (SEC), which are available at www.sec.gov. The forward-looking statements speak only as of the date of this presentation, and GenVec assumes no duty to update forward-looking statements.

Safe Harbor Statement

Jefferies 2015 Global Healthcare Conference June 4, 2015 1

Page 3: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

• Pioneering biotechnology company focused on leveraging its proprietary adenovector gene delivery platform to develop a pipeline of cutting-edge therapeutics and vaccines

• Clinical stage hearing loss program partnered with Novartis

• GenVec therapeutics and vaccines safely administered to over 3,000 clinical study subjects

• Technology platform provides multiple opportunities for product development and licensing and is supported by strong IP

Investment Highlights

Jefferies 2015 Global Healthcare Conference June 4, 2015 2

Page 4: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

GenVec Pipeline

Preclinical Phase 1 Phase 2 Phase 3 Approved

Vaccines

Respiratory Syncytial Virus (RSV)

Herpes Simplex Virus 2 (HSV-2)

Therapeutics

Foot & Mouth Disease in Cattle [DHS, USDA. Commercial license – Merial, a Sanofi co.]

Malaria [Navy, LMIV]

Discovery

Enterovirus-D68 (EV-D68)

Hearing Loss [Novartis]

Neural Stem Cell (NSC) Therapeutics [TheraBiologics]

Jefferies 2015 Global Healthcare Conference June 4, 2015 3

Page 5: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

• Hearing loss is a multi-billion dollar market opportunity

• Disabling conditions with high and increasing prevalence worldwide

• An estimated 1 in 5 Americans over the age of 12 suffer from hearing loss

• 90% of hearing loss is sensorineural

• No current pharmaceutical treatment options

Hearing and Balance Program The Opportunity

Jefferies 2015 Global Healthcare Conference June 4, 2015 4

Page 6: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

How We Hear

Jefferies 2015 Global Healthcare Conference June 4, 2015 5

Page 7: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

• Age Related • Infection

• Drug Induced • Sound Trauma

The Problem Loss of Sensory Cells

Jefferies 2015 Global Healthcare Conference June 4, 2015 6

Page 8: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Deliver the Atonal gene to the supporting cells using an

adenovector

Produce Atonal protein in supporting cells

Trigger conversion of supporting cells into sensory cells

The Solution Generate New Sensory Cells

Sensory cell

Supporting cell

Jefferies 2015 Global Healthcare Conference June 4, 2015 7

Page 9: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Regeneration of Sensory Cells

Data taken from Izumikawa et al. study, Nature Medicine, 2005, 11(3): 271-276

Damaged and Untreated Damaged and Treated

Jefferies 2015 Global Healthcare Conference June 4, 2015 8

Page 10: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Restoration of Hearing

Data taken from Izumikawa et al. study, Nature Medicine, 2005, 11(3): 271-276

Jefferies 2015 Global Healthcare Conference June 4, 2015 9

Page 11: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Sensory Cell Count

0

500

1,000

1,500

2,000

2,500

Control Damaged Damaged & Treated

Schlecker et al. Gene Therapy, 2011, 18: 884-890

Regeneration of Sensory Cells

Jefferies 2015 Global Healthcare Conference June 4, 2015 10

Page 12: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Restoration of Balance

Mice improved swim test scores 8 weeks after Atonal gene delivered

(Untreated) (Treated)

Baker et al. 2009. Adv. Otorhinolaryngol. 66: 52-63 Jefferies 2015 Global Healthcare Conference June 4, 2015 11

Page 13: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Control

Damaged Damaged & Treated

Sensory Cells (red)

Neurons (green)

Schlecker et al. Gene Therapy, 2011, 18: 884-890

Regenerated Sensory Cells Attract Nerves

Jefferies 2015 Global Healthcare Conference June 4, 2015 12

Page 14: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

• Novartis responsible for worldwide development and commercialization

• Up to $206.6 million in milestone payments ($5.6 million realized to date)

• Royalties on sales

• GenVec qualified by Novartis to support program

Novartis Collaboration Overview

Jefferies 2015 Global Healthcare Conference June 4, 2015 13

Page 15: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Lead Clinical Candidate Vector Schematic

E1 region replaced with transgene

expression cassette

E4 region replaced

with spacer

Adenovirus Serotype 5

GFAP promoter

E3 region deleted

Hath1 SV40 polyA

Ad5.GFAP.Hath1 CGF166

E1 E3 E4 E2

• Vector backbone safely administered to over 3,000 subjects • E1, E3, E4-deleted adenovirus serotype 5 (Ad5) vector • Replication-incompetent, non-integrating vector • Engineered to deliver the human atonal transgene expressed under the

control of a cell specific promoter to restrict expression to inner ear supporting cells

Jefferies 2015 Global Healthcare Conference June 4, 2015 14

Page 16: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

CGF166 Preclinical Testing Sensory Cell Regeneration Data

Jefferies 2015 Global Healthcare Conference June 4, 2015 15

Page 17: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

CGF166 Preclinical Testing Hearing Functional Restoration

ABR

Thre

shol

d Re

cove

ry (d

B)

ABR

Thre

shol

d Re

cove

ry (d

B)

Frequency: 32 kHz Injured + Ad5.GFAP.Math1 Injured + CGF166 (HATH 1)

5.5 x 106 5.5 x 107 5.5 x 108 5.5 x 106 5.5 x 107 5.5 x 108 0

5

10

15

20

25

* *

Mean ± SEM; *P<0.05, n = ~15

0

5

10

15

20

25

*

Frequency: 32 kHz

Jefferies 2015 Global Healthcare Conference June 4, 2015 16

Page 18: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Post Ad5.CMV.GFP – green marker shows transduced supporting cells, no sensory hair cells evident

Post CGF166 - red Anti-myosin VIIa hair cell marker shows regenerated sensory hair cells in human tissue

CGF166 Preclinical Testing

Neomycin + Ad5.CMV.GFP 1 x 107 vp/µl

Neomycin + CGF166 1 x 107 vp/µl

Untreated

Untreated tissue - human inner ear, schwannoma patient

Sensory Cell Regeneration in Human Tissue

Jefferies 2015 Global Healthcare Conference June 4, 2015 17

Page 19: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Clinical Plan Overview Trial Design

• Multicenter trial of 26 to 45 patients with severe to profound hearing loss

• Single, 3-patient cohort • Dose: 20 µl Part A: Safety

• 2-5 cohorts of 3 patients each • Dose volume between 20 µl and 90 µl

Part B: Dose Volume Escalation

• Single cohort of 20 patients at dose determined by Part B

• Option to resize Part C: Efficacy

Jefferies 2015 Global Healthcare Conference June 4, 2015 18

Page 20: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Primary Endpoints

• Change from baseline in pure tone audiometry measured at frequencies between 0.5 and 16 kHz

Secondary Endpoints

• Speech recognition

• Balance function measurements

Exploratory Endpoints

• Jacobson Dizziness Handicap Inventory (DHI)

• Hearing Handicap for Adults (HHIA)

• Tinnitus Reaction Questionnaire (TRQ)

Clinical Endpoints

Jefferies 2015 Global Healthcare Conference June 4, 2015 19

Page 21: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

• The minimum criteria for efficacy are an “inversion” of established criteria for ototoxicity

• A 10 dB change is considered meaningful

dB Level Noise Source 10 Normal breathing

20 Rustling leaves

30 Quiet conversation

50 Normal conversation

60 Loud television

80 Noisy office

100 Loud car horn

120 Jet plane take-off (100 feet)

130 Threshold of pain

Change in dB Level

Impact

1 dB Generally not perceptible

3 dB Just barely perceptible

5 dB Clearly noticeable

10 dB Twice or ½ as loud

20 dB Four times or ¼ as loud

Efficacy Criteria

Jefferies 2015 Global Healthcare Conference June 4, 2015 20

Page 22: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Key Inclusion Criteria

• Patients 18-75 years old with acquired bilateral hearing loss

• Minimal residual hearing (< 110 dB)

• Stable pure tone thresholds for at least 6 months

• Pure tone threshold > 50 dB for lower frequencies and > 70 dB for higher frequencies.

• Patients eligible for general anesthesia and surgery

Key Exclusion Criteria

• Known genetic disease associated with hearing loss

• Known cause of hearing loss that is associated with structural damage

• Unilateral vestibular dysfunction in the non-treatment ear

Key Inclusion/Exclusion Criteria

Jefferies 2015 Global Healthcare Conference June 4, 2015 21

Page 23: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Drug Delivery Intra-Labyrinthine (IL)

Jefferies 2015 Global Healthcare Conference June 4, 2015 22

Page 24: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Drug Product Infusion Device Infusion Pump

CGF166 Delivery System

Jefferies 2015 Global Healthcare Conference June 4, 2015 23

Page 25: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

CGF166 Overview A Novel Therapy for Hearing Loss

• Demonstrated ability to deliver material to cochlea and vestibular system

• Demonstrated efficacy in various models (explants and in vivo)

• Ongoing Phase 1/2 clinical study designed to evaluate safety and efficacy

Jefferies 2015 Global Healthcare Conference June 4, 2015 24

Page 26: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Adenovectors and Packaging Cell Lines

GenVec Technology

• Adenovectors with superior performance characteristics for therapeutics and vaccines

• Additional viral gene deletions enhance safety and provide large packaging capacity for transgenes

• GenVec has significant vector construction and manufacturing expertise

• Proprietary cell lines supported by FDA master file

Jefferies 2015 Global Healthcare Conference June 4, 2015 25

Page 27: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Applications of Adenovectors

GenVec Technology

Applications of

Adenovectors

Targeted Gene

Delivery

Vaccines

Onco-lytics

Regen-erative

Medicine

Delivery of RNAi

Gene Editing

Cell Therapy

Jefferies 2015 Global Healthcare Conference June 4, 2015 26

Page 28: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Proprietary Vectors, Excellent Performance

Non-Human GC Vectors

• Discovered and developed proprietary novel adenoviral vectors with outstanding properties

• Productive pre-IND meetings with the FDA for two product candidates

• GC vectors include gorilla vectors with distinct advantages for molecular vaccines High-level, durable antibody responses High-level T cell responses Repeat administration boosts responses

Jefferies 2015 Global Healthcare Conference June 4, 2015 27

Page 29: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

16

32

64

128

256

512

1024

0 2 4 6 8 10 12 14 16 18 20 22 24 26

PRN

T tit

er (I

C50

)

Weeks post-immunization

GC46.F0 109 pu

Single Administration

Superior Antigen Responses High-level, Durable Antibody Response

Jefferies 2015 Global Healthcare Conference June 4, 2015 28

Page 30: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Superior Antigen Responses

Malaria genetic vaccine

%

CD

8+ IF

Nγ+

T-C

ells

0 2

4 6

8 10

12

AdNull Ad5 GC44 GC45 GC46

Single administration

High-Level T Cell Response

Jefferies 2015 Global Healthcare Conference June 4, 2015 29

Page 31: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Superior Antigen Responses Repeat Administration Boosts Response

Ad Prime

Ad Boost

GC45 1E9

-

-

GC45 1E9

GC45 1E9

GC45 1E9

0

10

20

30

Prime/Boost 12 Week Interval %

CD8

+ IF

Ng+

T C

ells

Jefferies 2015 Global Healthcare Conference June 4, 2015 30

Page 32: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

RSV Vaccine A Critical, Unmet Medical Need

• RSV infection is a significant cause of serious respiratory illness globally

• Most affected are children, elderly, and high-risk adults

• No approved vaccine available

• Market is only partially addressed by Synagis®, which provides passive immunity and is indicated only for high-risk infants

Jefferies 2015 Global Healthcare Conference June 4, 2015 31

Page 33: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

GC Vector for RSV Vaccine Durable Neutralizing Antibody from a Single Dose

16

32

64

128

256

512

1024

0 2 4 6 8 10 12 14 16 18 20 22 24 26

PRN

T tit

er (I

C50

)

Weeks post-immunization

GC46.F0 109 pu

GC46.F0 107 pu

FI-RSV

RSV Genetic Vaccine

Jefferies 2015 Global Healthcare Conference June 4, 2015 32

Page 34: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Single Administration Protects Upper and Lower Airways Against RSV Challenge

Serum neutralizing antibody

Day 0 Day 28 Day 56

109 GC46.F0

(pu)

RSV FFB Control

FI-RSV 4

5

6

7

8

10

9

• Lung and nasal titers of RSV were reduced to undetectable levels

GeoM

ean

Log 2

Tite

rs (I

C-60

)

Protection against RSV

109 GC46.F0

(pu)

RSV FFB Control

FI-RSV 2.0

2.5

3.0

3.5

4.0

5.0

4.5

5.5

Lung Nasal

Lung LOD Nasal LOD

GeoM

ean

Log1

0 Ti

ters

(pfu

/g)

Jefferies 2015 Global Healthcare Conference June 4, 2015 33

Page 35: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

RSV Genetic Vaccine Summary

• Encouraging preclinical data Upper and lower respiratory tracts protected Good breadth of RSV neutralization No evidence of RSV disease potentiation Intra-muscular route of administration effective

• Lead vaccine (GV2311) selected • Productive pre-IND meeting with FDA

Jefferies 2015 Global Healthcare Conference June 4, 2015 34

Page 36: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Enterovirus Vaccine EV-D68 Vaccine

• EV-D68 infection is a growing problem: Causes severe respiratory illness in some children Cases confirmed in 49 states in 2014 No effective antiviral available

• GenVec EV-D68 program will leverage success with similar picornavirus, FMDV: Rapid induction of protective immunity following a single

administration of vaccine Durable long-lasting immunity Economically feasible

Jefferies 2015 Global Healthcare Conference June 4, 2015 35

Page 37: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

Financial Summary

• 17.3 million shares Common Shares Outstanding1

• NASDAQ: GNVC Exchange: Symbol

• $40.1 million Market Capitalization2

• $12.7 Cash and Investments3

• 13 Employees 1As of April 30, 2015; 2Stock price as of June 1, 2015; 3As of March 31, 2015

Jefferies 2015 Global Healthcare Conference June 4, 2015 36

Page 38: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

• Pioneering biotechnology company focused on leveraging our proprietary adenovector gene delivery platform to develop a pipeline of cutting-edge therapeutics and vaccines

• Clinical stage hearing loss program partnered with Novartis

• GenVec therapeutics and vaccines safely administered to over 3,000 clinical study subjects

• Technology platform provides multiple opportunities for product development and licensing and is supported by strong IP

Investment Highlights

Jefferies 2015 Global Healthcare Conference June 4, 2015 37

Page 39: Jefferies 2015 Global Healthcare Conference · Jefferies 2015 Global Healthcare Conference . June 4, 2015 ... Herpes Simplex Virus 2 (HSV-2) Therapeutics ... • Hearing loss is a

www.genvec.com