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ReCode Therapeutics Corporate Presentation 39th JP Morgan Healthcare Conference January 2021

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  • ReCode TherapeuticsCorporate Presentation39th JP Morgan Healthcare ConferenceJanuary 2021

  • NON-CONFIDENTIAL

    FIRST-IN-CLASS TARGETED, GENETIC MEDICINES FOR RESPIRATORY DISEASESPowered by Best-in-Class, Non-Viral LNP Delivery Platform

    NON-VIRAL LNP PLATFORMBEST-IN-CLASS & NEW CLASS

    4 Proprietary Classes of LNPs

    • SORT LNPs – Best-in-Class with Tissue-Specific Delivery

    • Engineered for Gene Delivery or Editing

    • Broad Range of Therapeutic Cargos

    Well Positioned to Execute

    • Series A, $80M – March 2020• Strong Patent Protection (2035 plus)• Scalable Manufacturing

    • Proven Management Team, Top Industry Investors and Advisors

    CAPABILITIES

    THERAPEUTIC PROGRAMS FOCUSED ON HIGH, UNMET NEEDS

    FIRST-IN-CLASS

    Genetic Respiratory Diseases

    • Primary Ciliary Dyskinesia (PCD)

    • Cystic Fibrosis (CF)

    2

  • NON-CONFIDENTIAL

    Experienced Drug Development Leadership and Industry Advisors

    3

    DAVID LOCKHART, PhDCEO & President

    VLADIMIR KHARITONOV, PhDSenior Vice President, CMC

    BRANDON WUSTMAN, PhDSenior Vice President of R&D

    MICHAEL TORRES, PhDVice President, R&D, Texas Site Head

    MANAGEMENT

    BOARD OF DIRECTORS SCIENTIFIC ADVISORS and KOLs

    DAVID LOCKHART,PhDReCode Therapeutics

    MICHAEL TORRES, PhDReCode Therapeutics

    HELEN S. KIM,MBAVida Ventures

    PETER THOMPSON,MDOrbiMed

    ED HURWITZ, JD, MBAMPM Capital

    RA SESSION IITaysha Gene Therapies

    ARTHUR JOHNSON,PhDProfessor Emeritus, Texas A&M

    DANIEL SIEGWART,PhDAssociate Professor, UTSW

    PHILIP THOMAS, PhDProfessor, UTSW

    JULIE EASTLAND, MBACFO & COO

    ROBERT BRIDGES, PhDProfessor, RFUM

  • NON-CONFIDENTIAL

    • RE-DOSABLE, TITRABLE

    • NO AAV-RELATED SAFETY ISSUES

    • LARGE PAYLOAD CAPACITY

    • BROAD PAYLOAD DIVERSITY

    • TARGETS SPECIFIC TISSUES AND CELLS

    • SCALABLE MANUFACTURING

    Best-in-Class and NEW Class of Non-Viral LNPs Customizable to Enable Targeted Delivery of Genetic Medicines

    4

    ReCode’s LNPs enable precise gene replacement, silencing, and correction

    ADVANTAGES DIFFERENTIATED

    5-COMPONENT SORT TECHNOLOGY DELIVERS BEYOND THE LIVER

    Lungs LiverSpleen

  • NON-CONFIDENTIAL

    MODALITY TARGET DELIVERY DISCOVERY PRECLINICAL PHASE 1/2 (SAD/MAD/OLE)

    PCDPrimary Ciliary Dyskinesia

    mRNA DNAI1 Inhaled

    mRNA PCD gene 2 Inhaled

    mRNA PCD gene 3 Inhaled

    tRNA PCD nonsense Inhaled

    CFCystic Fibrosis

    tRNA CFTR Inhaled

    mRNA CFTR Inhaled

    Gene Correction

    CFTR(F508del) IV; Lung-SORT

    Platform Non-Viral LNPs Various

    Organs/Tissues IV; Various

    5

    Therapeutic Focus on Genetic Respiratory DiseasesAddress Underlying Genetic Cause in High Unmet Need Diseases with Potential to Transform Patient Lives

    Primary endpoint (change in FEV1) with potential to demonstrate rapid improvement applies to current leads and future PCD and CF programs

    IND in 2022

    IND in 2022

    Indications with established endpoints and clear path to human POC and approval

  • Lead Therapeutic ProgramsPCD and CF

  • NON-CONFIDENTIAL

    PCD: Addressing High Unmet Need with ReCode Solutions

    7

    Targeted Delivery: Epithelial cells of the lower airways

    Repeated delivery of DNAI1 mRNA to the epithelial cells of the conducting airways (e.g., trachea, bronchi, and bronchioles).

    Cells targeted by LNP-formulated mRNA delivered as an aerosol using existing methods and devices.

    DNAI1 is a component of the ciliary axoneme required for ciliary beating

    DNAI1 mutations impair ciliary activity and result in loss of mucociliary clearance (MCC)

    The SolutionThe Cause

    Challenges

    • Gene editing & gene therapy approaches not well-suited: ⎼ Frequent cell turnover (half-life of weeks to months)⎼ Basal (stem) cells difficult to access⎼ Need broad coverage with a single administration to

    a diseased lung with accumulated mucus

  • NON-CONFIDENTIAL

    Rescued human DNAI1-deficient ciliated cells

    Repeat administration well tolerated

    Cellular uptake in the presence of mucus

    Normal beat frequency recovered

    Synchronized wave-like motion restored

    Activity comparable to normal controls

    Ciliary Function Restored in Human Cells and Delivered to the Lung as an Inhaled Aerosol

    8

    Green: Acetylated alpha-tubulin (microtubules)

    Red: HA tagged DNAI1

    Human DNAI1 knock-out cells treated with a single dose of formulated DNAI1-HA and immuno-stained with anti-acetylated tubulin and anti-HA 72 hrs after dosing.

    DNAI1 incorporated into cilia of human respiratory epithelial cells

    Well Tolerated

    Single administration, escalating dose well tolerated

    Expression levels constant with repeat dosing

    Histopathology Results Show No Findings

    Whole-body images of mice treated with luciferase mRNA formulated in a ReCode LNP and nebulized using an

    Aerogen mesh nebulizer

  • NON-CONFIDENTIAL

    PCD and CF Have Clear and Similar Paths for Clinical Development and Approval Endpoints

    9

    Same primary endpoints, same clinical sites & PIs, similar paths to approval *Phase 1/2 study could be the basis of drug approval

    Phase 1/2 Study*Indication / Inclusion criteria Primary Outcome Measures

    − Safety and tolerability− Absolute change in percent predicted

    FEV1

    PCD Lead mRNA Program− Adults− Pathogenic mutation in DNAI1− FEV1 between 40% and 90%

    Placebo Low Dose

    High Dose

    SAD ∙● MAD (6 mo.) ● OLE (6 mo.)

    CF Lead tRNA Program− Adults− CFTR mutation R553X, R1162X, or G542X − FEV1 between 40% and 90%

    − Safety and tolerability− Absolute change in percent predicted

    FEV1

    Placebo Low Dose

    High Dose

    SAD ∙● MAD (3 mo.) ● OLE (9 mo.)

    Precedent for clinical path established by approved drugs for CF

  • CF Therapeutic ProgramFirst-in-Class tRNA Program Targets Subset of the CF Population with No Approved Therapy

  • NON-CONFIDENTIAL

    CF Patients with Nonsense Mutations Do Not Benefit FromApproved Therapies

    Currently No approved drugs to treat patients with CFTR nonsense mutations

    Global CF patients by mutation/genotype

    WW Prevalence 70-100K*

    *Patients identified and tracked through global CF registry (CFTR2.org database)

    **Patient cells with R116X mutation not available; expected that NanoCorrector should work for all arginine nonsense mutations

    Global Patient Population with Nonsense Mutations

    Mutation *Number of patients Addressed by lead tRNA

    G542X 3,475 Yes(demonstrated)

    W1282X 1,552 No

    R553X 1,298 Yes (demonstrated)

    R1162X 612 Yes(expected**)

    11

    Development Path

    Development Path

    Potential to be First-in-Class for targeted subset of patients

    • tRNA program focuses on a subset of ~5% of patients who do not adequately respond to currently approved drugs

    • Trial endpoints well established based on approved therapies

    Prevalence

  • NON-CONFIDENTIAL

    Addressing High Unmet Need in CF

    12

    tRNA NanoCorrectors Restore Full-length Functional CFTR ProteinCF patients with nonsense (premature stop) mutations have no therapeutic options (~5% of CF patients)

    The SolutionThe Need

    The Challenges

    ⎼ Delivery to the right cells in the airway epithelium ⎼ Specificity of read-through: consistent amino acid

    insertion and recognition of true stops

    Full-length functional protein

    Gln Val Arg Val lle

    NanoCorrector tRNAs “read through” the stop mutation and restore full-length functional protein

    NormalGO

    Truncated non-functional protein

    Gln Val

    Arg

    Gln Val Arg Val lle

    Wild-type mRNA

    mRNA with nonsense mutation (C to U

    resulting in “STOP”)

    Restored full-length protein

    LNP + tRNALead program (tRNA) supported by a $3.4M Therapeutic Development Award by the Cystic Fibrosis Foundation (since 2017)

    Repeated delivery of tRNA to the epithelial cells of the conducting airways using existing inhaled aerosol delivery methods and devices

  • NON-CONFIDENTIAL

    tRNA Restores CFTR Function in Patient-derived Cells

    13

    G542X/F508del hBEs(1) tRNA restores function in human bronchial cells (hBEs) derived from

    patients with G542X and R553X nonsense mutations

    Restores current in hBEs comparable to that seen with Lumacaftor (VX-809)

    R553X/F508del hBEs

    1 Heterozygote cell line from patients with G542X and F508del alleles: tRNA is affecting G542X while Lumacaftor is affecting F508del.

  • Non-Viral LNP Delivery Technology

  • NON-CONFIDENTIAL

    ZNPsZwitterionic amino lipid (ZAL)

    lipid nanoparticles

    CSALCationic quaternary ammonium

    sulfonamide amino lipid

    dLNPsDegradable and ionizable amino dendritic

    lipid nanoparticles

    Selective ORgan Targeting(SORT LNPs)

    Utilizes organ targeting (SORT) molecules to redirect LNPs

    • Hybrid 3-component LNPs; multi-organ tropism• Optimized for structured cargos such as tRNA and mRNA;

    nebulized delivery to lungs

    • Traditional 4-component LNPs with programmed degradability

    • Optimized for RNA delivery and gene editing in the liver

    • In vivo POC with repeated administrations shown for a broad range of targets

    • Novel 5-component LNPs

    • Tissue-specific delivery• Optimized for delivery of RNA,

    gene editing agents, and protein delivery in the lungs and spleen (IV), muscle and brain (local).

    Proprietary LNP Platform Based on Decades of Research and Deep Understanding of Lipid ChemistryPlatform Includes Thousands of Novel Lipids

    15

  • NON-CONFIDENTIAL

    Delivery Differentiator: SORT LNPs Deliver a Broad Range of Payloads to Specific Tissues and Cell Types

    16Cheng et al. Nature Nanotechnology 2020, 15, 313.

    • Preferential delivery to lung cells• Rescue of CFTR chloride transport in hBEs• Delivery of CRISPR/Cas9 to endothelium and

    epithelium via IV administration

    • Delivery of CRISPR/Cas9 to the spleen• Editing in T cells, B cells, and macrophages• Editing observed in lymphatic tissue

    • Gene editing in liver hepatocytes (>95%)• Complete knockout of PCSK9 (serum & tissue)• Delivery of Epo, Klotho and IL-10 mRNA

    Exemplary Results (in vivo and in vitro)

    Delivery of Luciferase mRNA

  • NON-CONFIDENTIAL

    Heart

    Lungs

    Liver

    Spleen

    Kidneys

    PBSLung-specific

    SORT LNPLiver-specific

    SORT LNPSpleen-specific

    SORT LNP

    Delivery of CRISPR / Cas9 to tdTom Reporter Mice • Novel 5-component LNPs with unique

    biodistribution and packaging properties

    • Standard 4-component LNP technology limited to liver delivery

    • SORT LNPs utilize novel in vivo mechanisms to access other tissues and cell types

    • Applicable for gene editing by IV administration of Cas9 mRNA or protein (plus sgRNA and donor DNA)

    Proprietary SORT Platform Enables Tissue-specific CRISPR/Cas9 Gene Editing

    17Cheng et al. Nature Nanotechnology 2020, 15, 313.

  • NON-CONFIDENTIAL

    SORT unlocks the future of genetic medicinesImproved Lung Delivery: IV delivery to the lung epithelium bypasses mucus and may further improve delivery in patients with impaired lung functionOpportunities for Curative Therapies: Editing of long-lived stem cells (e.g., basal epithelial cells in the airways)

    SORT Delivery - Potential to Transform Treatment of CF

    18

    Long-term Mid-termNear-term

    Initial focus on patients with nonsense mutations using a tRNA read-through therapy

    CF tRNA for nonsense mutation population

    Broaden CF franchise with mRNA platform

    Potentially address the entire CF patient population with mutation-agnostic mRNA therapy

    Enable durable CF gene correction with SORT

    Transform CF landscape using Selective ORgan Targeting (SORT) delivery of gene editing components to progenitor (basal) cells for a long-lasting CFTR correction

    NEAR-TERM FOCUS

  • NON-CONFIDENTIAL

    Differentiated Non-Viral LNP Technology Delivers Diverse Cargos Beyond the Liver

    19

    ReCode Translate Bio Generation BioArbutus, Acuitas, Arcturus, BioNTech, CureVac, Ethris,

    Genevant, Moderna

    liver extrahepatic liver extrahepatic liver extrahepatic liver extrahepatic

    RNA mRNA, siRNA, miRNA tRNA Gene editingco-delivery of Cas9 mRNA + sgRNA +/- donor DNA

    Gene editingCas9 RNPs* +/- donor DNA Gene therapylarge DNA constructs Class of LNPs 3-, 4-component LNPs,5-component SORTs1,2 3-, 4-components LNPs

    1 ligand conjugated LNPs for cell targeting 4-component LNPs

    1Can be delivered as an inhaled aerosol2Thousands of proprietary lipids available

  • Opportunity and Milestones

  • NON-CONFIDENTIAL

    ReCode Integrated Platform

    Broad Therapeutic and Delivery Platform Enables Partnering Opportunities Outside of Genetic Respiratory Disease

    21

    Applicable Disease Areas

    Genetic respiratory diseases

    Chronic inflammatory lung disease, Pulmonary fibrosis

    CNS (including gene editing)

    Gene therapy targets requiring repeated administration

    Immunodeficiency & autoimmune diseases

    Immuno-oncology

    In vivo CAR T-cell therapies

    Infectious disease/vaccines

    Liver fibrosis and cirrhosis

    Metabolic disorders

    Muscular dystrophies

    Reactivation of tumor suppressors (oncology)

    Diverse Cargo TypesCRISPR(RNA or

    protein)/Cas

    mRNA, tRNA, siRNA, miRNA

    mABs, other proteins

    Small molecules

    Administration Route

    IV

    Inhaled aerosol

    Intramuscular

    Intrathecal

    Target Organs/Tissue

    Lungs

    Spleen

    Lymphatic Tissue

    Liver

    Brain / CNS

    Muscle

    LNP Classes3-component ZALs &

    CSALs

    4-component dendrimer (dLNPs)

    5-component SORT

    RECODE’s Focus

  • NON-CONFIDENTIAL

    Key Upcoming Milestones

    22

    Primary Ciliary Dyskinesia - DNAI1 Therapeutic Program Estimated Timing

    PCD – Formulation Selection in NHPs 1H 2021

    PCD – Clinical Candidate Selection 2H 2021

    PCD – IND-enabling Tox Studies 2H 2021 / 1H 2022

    Platform Technology

    SORT: Biodistribution and Tolerability Studies in NHPs 1H 2021

    SORT: Delivery to Other Organs and Tissues; Gene Editing in Basal Cells Ongoing

    Cystic Fibrosis Therapeutic Programs

    CF – tRNA Formulation/Nebulization Optimization 2H 2021

    CF – mRNA Formulation Selection 1H 2021

    CF – Clinical Candidate Selection 2H 2021

    CF – IND-enabling Tox Studies 2H 2021 / 1H 2022

  • NON-CONFIDENTIAL 23

    ReCode Delivering the Future of Genetic Medicines

    CapabilitiesAbility to Deliver

    • Drug Development Expertise

    • Scalable Manufacturing

    • Seasoned Management Team and Industry-leading Investors and Advisors

    ProgramsFirst-in-Class

    • Genetic Medicines for Patients with High Unmet Needs

    • Drug Development and Approval Paths Clear

    • Platform Technology to Expand Solutions for PCD and CF… and Beyond!

    PlatformBest-in-Class, NEW Class

    • Proprietary Non-viral LNP Technology [SORT]

    • Targeted Delivery

    • Diverse Cargos, Mixed Cargos

  • A Differentiated Therapeutic Company

    Delivering the Future of Genetic Medicines

  • Thank You!

    ReCode Therapeutics Corporate PresentationSlide Number 2Experienced Drug Development Leadership and Industry AdvisorsBest-in-Class and NEW Class of Non-Viral LNPs �Customizable to Enable Targeted Delivery of Genetic MedicinesTherapeutic Focus on Genetic Respiratory Diseases�Address Underlying Genetic Cause in High Unmet Need Diseases with Potential to Transform Patient Lives�Slide Number 6PCD: Addressing High Unmet Need with ReCode SolutionsCiliary Function Restored in Human Cells and Delivered to the Lung as an Inhaled AerosolPCD and CF Have Clear and Similar Paths for Clinical Development and Approval EndpointsSlide Number 10CF Patients with Nonsense Mutations Do Not Benefit From�Approved TherapiesAddressing High Unmet Need in CFtRNA Restores CFTR Function in Patient-derived Cells�Slide Number 14Proprietary LNP Platform �Based on Decades of Research and Deep Understanding of Lipid Chemistry�Platform Includes Thousands of Novel Lipids�Delivery Differentiator: SORT LNPs Deliver a Broad Range of Payloads to Specific Tissues and Cell Types�Proprietary SORT Platform Enables Tissue-specific CRISPR/Cas9 Gene Editing�SORT Delivery - Potential to Transform Treatment of CFDifferentiated Non-Viral LNP Technology Delivers Diverse Cargos Beyond the Liver Slide Number 20Broad Therapeutic and Delivery Platform Enables Partnering Opportunities Outside of Genetic Respiratory DiseaseKey Upcoming MilestonesSlide Number 23Slide Number 24Thank You!