EX-99.2 3 d182889dex992.htm EX-99.2 EX-99.2

Exhibit 99.2 Nasdaq: CBIO CATALYST BIOSCIENCES Corporate Overview 19 July 2021 CatalystBiosciences.com © Catalyst BiosciencesExhibit 99.2 Nasdaq: CBIO CATALYST BIOSCIENCES Corporate Overview 19 July 2021 CatalystBiosciences.com © Catalyst Biosciences


Forward looking statements Certain information contained in this presentation and statements made orally during this presentation include forward-looking statements that involve substantial risks and uncertainties. All statements included in this presentation, other than statements of historical facts, are forward- looking statements. Forward-looking statements include, without limitation, statements about the product candidates of Catalyst Biosciences, Inc. (the “Company”) and the benefits of its protease engineering platform, potential markets for and advantages of MarzAA and DalcA; plans to enroll a pivotal Phase 3 registration study of MarzAA; the dosing of a first patient in a Phase 1/2 trial in patients with FVII Deficiency, Glanzmann Thrombasthenia, and patients treated with Hemlibra; MarzAA as possibly the first prophylactic for FVII Deficiency and Glanzmann Thrombasthenia; the potential for MarzAA and DalcA to effectively and therapeutically treat hemophilia subcutaneously; the potential markets for and advantages of the Company's complement product candidates, including CB 2782-PEG, CB 4332 and complement degraders; plans for the Company's collaboration with Biogen; and plans to enroll the CB 4332 observational trial in mid-2021 and to conduct human clinical trials and report pK and biomarker data for CB 4332 in 2022. Actual results or events could differ materially from the plans, intentions, expectations and projections disclosed in the forward-looking statements. Various important factors could cause actual results or events to differ materially, including, but not limited to, the risk that trials and studies may be delayed as a result of COVID-19 and other factors, that trials may not have satisfactory outcomes, that human trials will not replicate the results from earlier trials, the risk that costs required to develop or manufacture the Company’s products will be higher than anticipated, including as a result of delays in development and manufacturing resulting from COVID-19 and other factors, the risk that Biogen will terminate its agreement with the Company, competition and other risks described in the “Risk Factors” section of the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission ( SEC ) on March 4, 2021, on Form 10-Q filed with the SEC on May 6, 2021, and in other filings with the SEC. The forward-looking statements in this presentation represent the Company's view as of the date of this presentation and the Company does not assume any obligation to update any forward-looking statements, except as required by law. © Catalyst Biosciences 2Forward looking statements Certain information contained in this presentation and statements made orally during this presentation include forward-looking statements that involve substantial risks and uncertainties. All statements included in this presentation, other than statements of historical facts, are forward- looking statements. Forward-looking statements include, without limitation, statements about the product candidates of Catalyst Biosciences, Inc. (the “Company”) and the benefits of its protease engineering platform, potential markets for and advantages of MarzAA and DalcA; plans to enroll a pivotal Phase 3 registration study of MarzAA; the dosing of a first patient in a Phase 1/2 trial in patients with FVII Deficiency, Glanzmann Thrombasthenia, and patients treated with Hemlibra; MarzAA as possibly the first prophylactic for FVII Deficiency and Glanzmann Thrombasthenia; the potential for MarzAA and DalcA to effectively and therapeutically treat hemophilia subcutaneously; the potential markets for and advantages of the Company's complement product candidates, including CB 2782-PEG, CB 4332 and complement degraders; plans for the Company's collaboration with Biogen; and plans to enroll the CB 4332 observational trial in mid-2021 and to conduct human clinical trials and report pK and biomarker data for CB 4332 in 2022. Actual results or events could differ materially from the plans, intentions, expectations and projections disclosed in the forward-looking statements. Various important factors could cause actual results or events to differ materially, including, but not limited to, the risk that trials and studies may be delayed as a result of COVID-19 and other factors, that trials may not have satisfactory outcomes, that human trials will not replicate the results from earlier trials, the risk that costs required to develop or manufacture the Company’s products will be higher than anticipated, including as a result of delays in development and manufacturing resulting from COVID-19 and other factors, the risk that Biogen will terminate its agreement with the Company, competition and other risks described in the “Risk Factors” section of the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission ( SEC ) on March 4, 2021, on Form 10-Q filed with the SEC on May 6, 2021, and in other filings with the SEC. The forward-looking statements in this presentation represent the Company's view as of the date of this presentation and the Company does not assume any obligation to update any forward-looking statements, except as required by law. © Catalyst Biosciences 2


The Protease Medicines Company Harnessing the catalytic power of proteases Novel differentiated medicines Robust complement portfolio Clinical-stage assets Unique expertise in protease engineering © Catalyst Biosciences 3The Protease Medicines Company Harnessing the catalytic power of proteases Novel differentiated medicines Robust complement portfolio Clinical-stage assets Unique expertise in protease engineering © Catalyst Biosciences 3


Catalyst protease platform Unique expertise enables design of optimized & differentiated protease candidates Discovery Platform Our Proteases + Functionally enhance Protease Protease natural proteases in Scaffold Candidate the complement & coagulation cascades + Engineer novel protein degraders in the complement cascade + Modulate or target biological activation or inactivation Structure Guided Design Engineered Regulation Molecular Evolution Pharmacokinetic Improvement 4Catalyst protease platform Unique expertise enables design of optimized & differentiated protease candidates Discovery Platform Our Proteases + Functionally enhance Protease Protease natural proteases in Scaffold Candidate the complement & coagulation cascades + Engineer novel protein degraders in the complement cascade + Modulate or target biological activation or inactivation Structure Guided Design Engineered Regulation Molecular Evolution Pharmacokinetic Improvement 4


Proteases are ideal for high abundancy targets & cascades A better way to regulate biological processes compared with antibodies & small molecules Therapeutic target neutralization Protease Efficient regulation at low concentrations of therapeutic protease Antibodies Requires high concentrations in excess of the target Small molecules / peptides Requires high concentrations & frequent dosing © Catalyst Biosciences 5Proteases are ideal for high abundancy targets & cascades A better way to regulate biological processes compared with antibodies & small molecules Therapeutic target neutralization Protease Efficient regulation at low concentrations of therapeutic protease Antibodies Requires high concentrations in excess of the target Small molecules / peptides Requires high concentrations & frequent dosing © Catalyst Biosciences 5


Pipeline Hemostasis R PC P1/2 P2 P3 SQ Marzeptacog alfa (FVIIa) MarzAA” Hemophilia A or B with inhibitors – ToB FVIID/Glanzmann/Hemlibra – ToB Complement IVT CB 2782-PEG C3 degrader for Dry AMD SQ CB 4332 Enhanced CFI C4b Degrader Additional programs Hemostasis SQ Dalcinonacog alfa (FIX) “DalcA” Hemophilia B CB 2679d-GT Hemophilia B FIX Gene Therapy © Catalyst Biosciences 6Pipeline Hemostasis R PC P1/2 P2 P3 SQ Marzeptacog alfa (FVIIa) MarzAA” Hemophilia A or B with inhibitors – ToB FVIID/Glanzmann/Hemlibra – ToB Complement IVT CB 2782-PEG C3 degrader for Dry AMD SQ CB 4332 Enhanced CFI C4b Degrader Additional programs Hemostasis SQ Dalcinonacog alfa (FIX) “DalcA” Hemophilia B CB 2679d-GT Hemophilia B FIX Gene Therapy © Catalyst Biosciences 6


CB 2782-PEG (nM) Catalyst protease platform Validated across three programs Marzeptacog alfa Dalcinonacog alfa CB 2782-PEG (activated) 90% reduction Achieved sustained Best-in-class profile for dry AMD in annualized bleed rate & high target levels of FIX Extended pharmacodynamics 6 10000 Normal clotting levels 5 1000 4 50% 100 3 Mild Hemophilia 10 2 5% 1 1 Moderate Hemophilia 1% 0 0.1 Severe Hemophilia 0 10 20 30 40 50 Before treatment On treatment Days Engineered Engineered Novel rFVIIa protease rFIX protease C3 degrader 7 C3 Concentration (nM)CB 2782-PEG (nM) Catalyst protease platform Validated across three programs Marzeptacog alfa Dalcinonacog alfa CB 2782-PEG (activated) 90% reduction Achieved sustained Best-in-class profile for dry AMD in annualized bleed rate & high target levels of FIX Extended pharmacodynamics 6 10000 Normal clotting levels 5 1000 4 50% 100 3 Mild Hemophilia 10 2 5% 1 1 Moderate Hemophilia 1% 0 0.1 Severe Hemophilia 0 10 20 30 40 50 Before treatment On treatment Days Engineered Engineered Novel rFVIIa protease rFIX protease C3 degrader 7 C3 Concentration (nM)


Marzeptacog alfa (activated) – MarzAA: SQ rFVIIa Designed to address a clear unmet need in hemophilia & other bleeding disorders Data* indicate a 9-fold higher activity vs NovoSeven RT P129A T128N + Potency allows for SQ dosing that prolongs half-life + NovoSeven RT is administered IV Preclinical efficacy of SQ episodic ToB M298Q + HA mouse after tail cut; HA dog; HA rat P2 proof of concept & preliminary safety in HA or HB Q286R with inhibitors – prophylactic ToB + 46 patients treated including: single dose IV, up to 3 SQ doses/day, & daily SQ up to 97 days – no ADA Increased FDA Fast Track designations procoagulant activity + HA/HB with inhibitors, episodic ToB + FVIID, episodic ToB *Pre-clinical and clinical trials © Catalyst Biosciences 8Marzeptacog alfa (activated) – MarzAA: SQ rFVIIa Designed to address a clear unmet need in hemophilia & other bleeding disorders Data* indicate a 9-fold higher activity vs NovoSeven RT P129A T128N + Potency allows for SQ dosing that prolongs half-life + NovoSeven RT is administered IV Preclinical efficacy of SQ episodic ToB M298Q + HA mouse after tail cut; HA dog; HA rat P2 proof of concept & preliminary safety in HA or HB Q286R with inhibitors – prophylactic ToB + 46 patients treated including: single dose IV, up to 3 SQ doses/day, & daily SQ up to 97 days – no ADA Increased FDA Fast Track designations procoagulant activity + HA/HB with inhibitors, episodic ToB + FVIID, episodic ToB *Pre-clinical and clinical trials © Catalyst Biosciences 8


SQ MarzAA is a large commercial opportunity SQ MarzAA profile Global NovoSeven sales breakdown by indication (2020) + SQ is patient-preferred & eliminates IV barrier to fast & effective treatment + Ideal for pediatrics & patients with venous $126M access issues $53M + Long half-life without high Cmax for $545M optimal control of bleeds $74M $1.08B + In vitro data support combination with $71M Hemlibra without increased thrombogenicity $213M + Prophylaxis opportunity demonstrated in P2 Hem A Inh (50.3%) Hem B Inh (11.7%) Other (19.7%) FVII Def (4.9%) Glanzmann (6.9%) AHA (6.5%) Source: Adivo Associates market research; Catalyst Biosciences market research. Data on file. © Catalyst Biosciences 9SQ MarzAA is a large commercial opportunity SQ MarzAA profile Global NovoSeven sales breakdown by indication (2020) + SQ is patient-preferred & eliminates IV barrier to fast & effective treatment + Ideal for pediatrics & patients with venous $126M access issues $53M + Long half-life without high Cmax for $545M optimal control of bleeds $74M $1.08B + In vitro data support combination with $71M Hemlibra without increased thrombogenicity $213M + Prophylaxis opportunity demonstrated in P2 Hem A Inh (50.3%) Hem B Inh (11.7%) Other (19.7%) FVII Def (4.9%) Glanzmann (6.9%) AHA (6.5%) Source: Adivo Associates market research; Catalyst Biosciences market research. Data on file. © Catalyst Biosciences 9


MarzAA could be the first prophylaxis for Glanzmann & FVIID Growing number of Glanzmann Thrombasthenia and FVIID patients treated with NovoSeven $144M $131M $121M 9% total 2017 2018 2019 increase in patients Global NovoSeven on demand sales Unmet need in over 3 years Glanzmann Thrombasthenia, FVIID prophylaxis Source: Catalyst Biosciences, Adivo Associates Market Research, Data on file. *Note: 2019 estimates Treated patients may be counted multiple times as patients may have multiple bleeding events per year needing factor treatment © Catalyst Biosciences 10MarzAA could be the first prophylaxis for Glanzmann & FVIID Growing number of Glanzmann Thrombasthenia and FVIID patients treated with NovoSeven $144M $131M $121M 9% total 2017 2018 2019 increase in patients Global NovoSeven on demand sales Unmet need in over 3 years Glanzmann Thrombasthenia, FVIID prophylaxis Source: Catalyst Biosciences, Adivo Associates Market Research, Data on file. *Note: 2019 estimates Treated patients may be counted multiple times as patients may have multiple bleeding events per year needing factor treatment © Catalyst Biosciences 10


Unmet need for a long-acting SQ episodic treatment for bleeds NovoSeven MarzAA + Patients reported needing an + MAA-102: PK MarzAA levels average of 6 hours and 3 support SQ ToB infusions of NovoSeven to + Target therapeutic levels are resolve bleeds rapidly achieved w/o a high Cmax + Some bleeds take longer than + Target levels can be maintained for 1,2,3 72 hours to resolve 18 hours with a single SQ dose of 60 μg/kg Clinical PK MarzAA levels support Current bypass agents require multiple SQ ToB infusions over the course of hours 1 2 3 Source: NovoSeven PI Rev 7/2020; Adivo Associates market research; Catalyst Biosciences’ market research; Data on file; Neuman et al. ISTH 2020 © Catalyst Biosciences 11


Crimson 1 Phase 3 study: Treatment of episodic bleeding Hemophilia A or B with inhibitors, ABR ≥ 8 Primary endpoint N = 30 N = 30 + Non-inferior hemostatic efficacy: MarzAA SQ SoC IV standard 4-point scale at 24 h 60 µg/kg 1-3 doses ≤5 bleeds ≤5 bleeds 1-3 doses per patient per patient Secondary endpoints + Time to bleed resolution; number of doses; rescue meds 130 bleeds 130 bleeds per sequence per sequence Safety + Adverse events, anti-drug antibodies (ADA); thrombosis MarzAA SQ SOC IV 60 µg/kg 1-3 doses Statistics ≤5 bleeds ≤5 bleeds 1-3 doses per patient per patient + SoC estimate 85% Excellent/good treatment of bleeds + Non-inferiority margin of 12% 114 bleeds per 114 bleeds sequence per sequence + 2.5% significance, one-sided + 90% power © Catalyst Biosciences 12Crimson 1 Phase 3 study: Treatment of episodic bleeding Hemophilia A or B with inhibitors, ABR ≥ 8 Primary endpoint N = 30 N = 30 + Non-inferior hemostatic efficacy: MarzAA SQ SoC IV standard 4-point scale at 24 h 60 µg/kg 1-3 doses ≤5 bleeds ≤5 bleeds 1-3 doses per patient per patient Secondary endpoints + Time to bleed resolution; number of doses; rescue meds 130 bleeds 130 bleeds per sequence per sequence Safety + Adverse events, anti-drug antibodies (ADA); thrombosis MarzAA SQ SOC IV 60 µg/kg 1-3 doses Statistics ≤5 bleeds ≤5 bleeds 1-3 doses per patient per patient + SoC estimate 85% Excellent/good treatment of bleeds + Non-inferiority margin of 12% 114 bleeds per 114 bleeds sequence per sequence + 2.5% significance, one-sided + 90% power © Catalyst Biosciences 12


MAA-202 Phase 1/2 study design FVII deficiency, Glanzmann Thrombasthenia and HA on Hemlibra: N = 8 each Phase 1 Phase 1 PK Phase 2 ToB + Primary endpoint: MarzAA IV MarzAA SQ Pharmacokinetics each cohort 1-3 doses + Secondary endpoint: Pharmacodynamics FVIID ≥30 bleeds Single dose Phase 2 ToB + Primary endpoint: MarzAA SQ Hemostatic efficacy at 24 hours + Secondary endpoints: GT ≥30 bleeds Single dose escalation Effective hemostasis at successive timepoints; doses needed; rescue meds + Safety: Adverse events and ADA Multiple dose Q3H HA ≥15 bleeds © Catalyst Biosciences 13MAA-202 Phase 1/2 study design FVII deficiency, Glanzmann Thrombasthenia and HA on Hemlibra: N = 8 each Phase 1 Phase 1 PK Phase 2 ToB + Primary endpoint: MarzAA IV MarzAA SQ Pharmacokinetics each cohort 1-3 doses + Secondary endpoint: Pharmacodynamics FVIID ≥30 bleeds Single dose Phase 2 ToB + Primary endpoint: MarzAA SQ Hemostatic efficacy at 24 hours + Secondary endpoints: GT ≥30 bleeds Single dose escalation Effective hemostasis at successive timepoints; doses needed; rescue meds + Safety: Adverse events and ADA Multiple dose Q3H HA ≥15 bleeds © Catalyst Biosciences 13


Growing Complement Pathway Protease PlatformGrowing Complement Pathway Protease Platform


Complement is a perfect fit to develop protease therapeutics The complement pathway is driven by a protease cascade CP LP AP Damaged/altered/foreign cells and debris Exacerbation Exacerbation ? Neoepitopes/ autoepitopes FP DAMP MBL Fcn CL NAb AAb Tick-over Immune ? MASP1 MASP2 C1qR C1q modulation C1r C1s FI FH MASP3 C3* C3 C3b C1-INH pFD FD FB C4 C2 FD FB FP C4a C3*Bb Circulation FH FI % C4BP C4b2b FI turnover Extrinsic C3 C3bBb FP protease FD FP 80 Immune C3aR C3a C3bBb modulation Amplification C3 convertase FB C3a-dR C3b CD55 CPN of the complement FI FH Adhesion CR1 CR1 FP C4b2b3b FH FI C3bBb3b Immune cascade is regulated C5a-dR C5 convertase CR46 C3b modulation CD46 CPN Chemotaxis, Extrinsic C5 by proteases FH FI inflammatory proteases C5aR2 signaling and C5a CR1 C5aR1 cell Phagocytosis CR4 activation C5b iC3b Trafficking CR3 Signaling C6 C7 CR1 FI C9 n C8 Lysis, cell Adaptive MAC CD59 C3dg CR2 damage signaling Terminal Breakdown pathway pathway Reference: Figure adapted from Mastellos et al., Clinical promise of next-generation complement therapeutics. Nature Reviews. 2019 © Catalyst Biosciences 15Complement is a perfect fit to develop protease therapeutics The complement pathway is driven by a protease cascade CP LP AP Damaged/altered/foreign cells and debris Exacerbation Exacerbation ? Neoepitopes/ autoepitopes FP DAMP MBL Fcn CL NAb AAb Tick-over Immune ? MASP1 MASP2 C1qR C1q modulation C1r C1s FI FH MASP3 C3* C3 C3b C1-INH pFD FD FB C4 C2 FD FB FP C4a C3*Bb Circulation FH FI % C4BP C4b2b FI turnover Extrinsic C3 C3bBb FP protease FD FP 80 Immune C3aR C3a C3bBb modulation Amplification C3 convertase FB C3a-dR C3b CD55 CPN of the complement FI FH Adhesion CR1 CR1 FP C4b2b3b FH FI C3bBb3b Immune cascade is regulated C5a-dR C5 convertase CR46 C3b modulation CD46 CPN Chemotaxis, Extrinsic C5 by proteases FH FI inflammatory proteases C5aR2 signaling and C5a CR1 C5aR1 cell Phagocytosis CR4 activation C5b iC3b Trafficking CR3 Signaling C6 C7 CR1 FI C9 n C8 Lysis, cell Adaptive MAC CD59 C3dg CR2 damage signaling Terminal Breakdown pathway pathway Reference: Figure adapted from Mastellos et al., Clinical promise of next-generation complement therapeutics. Nature Reviews. 2019 © Catalyst Biosciences 15


Multiple, high-value complement programs Future Degraders NextGen Degraders Our Lead Candidate Novel Engineered Degrader Partnered with Biogen C3a C4b CB 2782-PEG CB 4332 C3b C5a Established Catalyst Biosciences in complement Leads expansion into systemic complement in CFI Specific & potent degraders dysregulation target classical & alternative Broadens Catalyst complement disorders with Biosciences footprint in large-market potential the complement space © Catalyst Biosciences 16Multiple, high-value complement programs Future Degraders NextGen Degraders Our Lead Candidate Novel Engineered Degrader Partnered with Biogen C3a C4b CB 2782-PEG CB 4332 C3b C5a Established Catalyst Biosciences in complement Leads expansion into systemic complement in CFI Specific & potent degraders dysregulation target classical & alternative Broadens Catalyst complement disorders with Biosciences footprint in large-market potential the complement space © Catalyst Biosciences 16


Unique targeted approach to complement regulation Cascade initiation Cascade regulation Terminal complement C4b Degraders NextGen Degraders CB 2782-PEG C3b Degraders Other programs CB 4332 C2 C1r Classical C4b C3a pathway C1s C4 Immune response inflammation Lectin C3b C3 C5a C5 MASP pathway C3 Alternative C3b FB C5b FD (H O) pathway 2 Membrane attack complex (MAC) 17Unique targeted approach to complement regulation Cascade initiation Cascade regulation Terminal complement C4b Degraders NextGen Degraders CB 2782-PEG C3b Degraders Other programs CB 4332 C2 C1r Classical C4b C3a pathway C1s C4 Immune response inflammation Lectin C3b C3 C5a C5 MASP pathway C3 Alternative C3b FB C5b FD (H O) pathway 2 Membrane attack complex (MAC) 17


CB 2782-PEG (nM) CB 2782-PEG (nM) CB 2782-PEG: Best-in-class C3 degrader for dry AMD Protease advantage demonstrated in vivo CB 2782-PEG degrades C3 levels in the eye for at Catalytic advantage of proteases least 28 days in a non-human primate model + One therapeutic molecule 6 10000 neutralizes 1000s 5 1000 + Fast & potent response 4 + Extended pharmacodynamic effect 100 3 + Can activate or degrade 10 therapeutic targets 2 + Engineered novel protein 1 1 degraders “sweep away” difficult to drug targets 0 0.1 0 10 20 30 40 50 Days Days 18 C3 Concentration (nM) C3 Concentration (nM)CB 2782-PEG (nM) CB 2782-PEG (nM) CB 2782-PEG: Best-in-class C3 degrader for dry AMD Protease advantage demonstrated in vivo CB 2782-PEG degrades C3 levels in the eye for at Catalytic advantage of proteases least 28 days in a non-human primate model + One therapeutic molecule 6 10000 neutralizes 1000s 5 1000 + Fast & potent response 4 + Extended pharmacodynamic effect 100 3 + Can activate or degrade 10 therapeutic targets 2 + Engineered novel protein 1 1 degraders “sweep away” difficult to drug targets 0 0.1 0 10 20 30 40 50 Days Days 18 C3 Concentration (nM) C3 Concentration (nM)


CB 2782-PEG: Long acting anti-C3 protease for dry AMD Geographic atrophy Best-in-class C3 Biogen is a high unmet need degrader for dry AMD collaboration + Advanced stage of dry age-related + Generated from Catalyst’s + $15M upfront, up to $340M in macular degeneration (dAMD) proprietary protease milestones & tiered royalties up engineering platform to low double digits + dAMD affects ~1M people in the US & >5M WW, no currently + Potent, selective & long acting, + Catalyst: fully funded pre-clinical approved therapy degrades C3 into inactive & manufacturing activities fragments + Global market ~ >$5B + Biogen: IND-enabling activities, + NHP PK & PD data* predict WW clinical development & + C3 is a clinically validated target best-in-class human intravitreal commercialization (randomized P2) for dAMD dosing 3 or 4 times a year *Furfine et al. ARVO 2019 © Catalyst Biosciences 19


CB 4332: SQ Enhanced Complement Factor I Development candidate to restore regulation Rationale & unmet need + Rebalance the complement system in patients with dysregulated CFI + No specific therapies exist to correct CFI dysregulation + Targets population with no + Engineered for an extended half-life treatment or who respond + Once weekly SQ therapy – no PEG 1,2 poorly to current treatments + In vitro & Ex vivo activity comparable to native CFI + Classical & alternative pathway regulation + High yield production process 1 2 References: Bienaime et al. Kidney Int. 2010; Ferreira et al. Nefrologia. 2016; Note: CFH = Complement factor H; Structural model based on PDB 2XRC. © Catalyst Biosciences 20CB 4332: SQ Enhanced Complement Factor I Development candidate to restore regulation Rationale & unmet need + Rebalance the complement system in patients with dysregulated CFI + No specific therapies exist to correct CFI dysregulation + Targets population with no + Engineered for an extended half-life treatment or who respond + Once weekly SQ therapy – no PEG 1,2 poorly to current treatments + In vitro & Ex vivo activity comparable to native CFI + Classical & alternative pathway regulation + High yield production process 1 2 References: Bienaime et al. Kidney Int. 2010; Ferreira et al. Nefrologia. 2016; Note: CFH = Complement factor H; Structural model based on PDB 2XRC. © Catalyst Biosciences 20


CB 4332: To address CFI deficiency at the root cause Designed to provide unique advantages CB 4332 Unmet needs in CFI deficiency Designed to address Blocks complement-initiated cell destruction in the circulation Directly addresses root cause of disease Addresses extravascular hemolysis Preserves normal immune functions, e.g. to fight off infections Convenient weekly SQ administration 21CB 4332: To address CFI deficiency at the root cause Designed to provide unique advantages CB 4332 Unmet needs in CFI deficiency Designed to address Blocks complement-initiated cell destruction in the circulation Directly addresses root cause of disease Addresses extravascular hemolysis Preserves normal immune functions, e.g. to fight off infections Convenient weekly SQ administration 21


Screening & natural history of disease studies ConFIrm & ConFIdence: preparing for Phase 1/2 Identifies Target Population / Feeds ConFIdence Study / Discovers Undiagnosed Disease The ConFIrm Study CB CB 4 43 33 32 2 CB 4332 Ph Pha ase se 1 1//2 2 Phase 1/2 Tr Triia alls s Trials Sc Scr re ee en niin ng g The ConFIdence Study Prospective Clinical & Biomarkers Assessment of CFI-Deficiency Disease While on SoC Identification of CFI-deficient patients & key investigators for CB 4332 trials Discover undiagnosed disease, create program awareness & inform on biomarkers 22Screening & natural history of disease studies ConFIrm & ConFIdence: preparing for Phase 1/2 Identifies Target Population / Feeds ConFIdence Study / Discovers Undiagnosed Disease The ConFIrm Study CB CB 4 43 33 32 2 CB 4332 Ph Pha ase se 1 1//2 2 Phase 1/2 Tr Triia alls s Trials Sc Scr re ee en niin ng g The ConFIdence Study Prospective Clinical & Biomarkers Assessment of CFI-Deficiency Disease While on SoC Identification of CFI-deficient patients & key investigators for CB 4332 trials Discover undiagnosed disease, create program awareness & inform on biomarkers 22


CB 4332: Phase 1/2 - First in human study Study parts Study design + Phase 1 open-label, single & multiple ascending SQ doses & extended duration proof of concept Single Ascending Doses (N=up to 12) + Population: CFI-deficient patients Proposed starting dose + 0.5 mg/Kg Multiple Ascending Doses (N=up to 9) Goals + Safety & tolerability + PK characterization Extended treatment to assess + Assessment of complement biomarkers (C3, FB, FBb, proof of concept Bb/FB ratio, iC3b, C3d, C3dg, AP50/AH50) (N=up to 15) + Establish a Recommended Dose Regimen within the CFI normal range 23CB 4332: Phase 1/2 - First in human study Study parts Study design + Phase 1 open-label, single & multiple ascending SQ doses & extended duration proof of concept Single Ascending Doses (N=up to 12) + Population: CFI-deficient patients Proposed starting dose + 0.5 mg/Kg Multiple Ascending Doses (N=up to 9) Goals + Safety & tolerability + PK characterization Extended treatment to assess + Assessment of complement biomarkers (C3, FB, FBb, proof of concept Bb/FB ratio, iC3b, C3d, C3dg, AP50/AH50) (N=up to 15) + Establish a Recommended Dose Regimen within the CFI normal range 23


Diseases with CFI mutations have tremendous potential CFI Deficiency US / EU5 market opportunity Current development CFI Deficiency targets Recurrent Chronic First indication infections inflammation C3G aHUS IC-MPGN IC-MPGN $500M+ Market opportunity in C3G Geographic atrophy CFI deficient populations Potential aHUS targets Specific systemic therapies in development Autoimmune 0 for patients with dysregulated CFI disorders Therapies addressing the root cause of disease 0 Approved treatments for C3G, IC-MPGN, CFID 0 Note: aHUS = atypical Hemolytic Uremic Syndrome, C3G = Complement 3 Glomerulopathy, IC-MPGN = Immune-Complex Membranoproliferative Glomerulonephritis, CFID = Complement Factor I Deficiency References: Bresin et al. JASN. 2013; Fremeaux-Bacchi et al. ASN. 2013; Rui-Ru et al. Jour Rare Dis Res. 2018; Servais et al. Kidney Int. 2012; Iatropoulous et al. Mol Immunol. 2016; Hou et al. Kidney Int. 2014; Alba-Domiguez et al. J rare Dis. 2012. El Sissy et al. Front. Immunol. 2019; Shields et al. Front Immunol. 2019; Naesens et al. Jour Allergy & Clin Immunol. 2020. Yan et al. Clin Epi 2020; Smith et al. 24 Nature Reviews. 2019; Noris et al. Clin J Am Soc Nephrol. 2010; CBIO KOL interviews


Our protease platforms are tailored to specific indications Tuning functionality to restore complement homeostasis & immunoregulation ProTUNE™ ImmunoTUNE™ Nephrology Hematology C3b-C4b C3a-C5a oncology Neurology C4b C3a C5a C3b ProTUNE™ ImmunoTUNE™ PLATFORM PLATFORM Immunology Autoimmune 25Our protease platforms are tailored to specific indications Tuning functionality to restore complement homeostasis & immunoregulation ProTUNE™ ImmunoTUNE™ Nephrology Hematology C3b-C4b C3a-C5a oncology Neurology C4b C3a C5a C3b ProTUNE™ ImmunoTUNE™ PLATFORM PLATFORM Immunology Autoimmune 25


C3b-C4b degraders significantly reduce inflammation in vivo Significantly decrease in inflammatory markers involved in IgA nephropathy Inflammatory markers in IgA nephropathy Rat model of complement-mediated inflammation ✱✱✱✱ 100 5000 ✱✱✱ 4000 80 3000 60 Baseline 2000 40 1000 20 Baseline 0 0 1, 2 Reduction of IFNγ & TNF⍺ involved in kidney damage & proteinuria in IgA nephropathy patients 1. Yano, N. et al. Phenotypic Characterization of Cytokine Expression in Patients With IgA Nephropathy. J Clin Immunol 17, 396–402 (1997). 2. Lim, C. S. et al. Th1/Th2 predominance and proinflammatory cytokines determine the clinicopathological severity of IgA nephropathy. Nephrol Dial Transpl 16, 269–275 (2001). Values are mean +/- SEM, ***p<0.001 using One Way or Two-way ANOVA. 26 Vehicle CB4775 Vehicle CB4775 IFNγ (pg/mL) TNFα (pg/mL)C3b-C4b degraders significantly reduce inflammation in vivo Significantly decrease in inflammatory markers involved in IgA nephropathy Inflammatory markers in IgA nephropathy Rat model of complement-mediated inflammation ✱✱✱✱ 100 5000 ✱✱✱ 4000 80 3000 60 Baseline 2000 40 1000 20 Baseline 0 0 1, 2 Reduction of IFNγ & TNF⍺ involved in kidney damage & proteinuria in IgA nephropathy patients 1. Yano, N. et al. Phenotypic Characterization of Cytokine Expression in Patients With IgA Nephropathy. J Clin Immunol 17, 396–402 (1997). 2. Lim, C. S. et al. Th1/Th2 predominance and proinflammatory cytokines determine the clinicopathological severity of IgA nephropathy. Nephrol Dial Transpl 16, 269–275 (2001). Values are mean +/- SEM, ***p<0.001 using One Way or Two-way ANOVA. 26 Vehicle CB4775 Vehicle CB4775 IFNγ (pg/mL) TNFα (pg/mL)


C3b-C4b degraders for IgA nephropathy patients Dual targeting of alternate & lectin pathways Classical Lectin Alternate Differentiation pathway pathway pathway + Dual targeting mode of action: lectin & C3(H O) alternate pathways MBL C1q 2 C1r Rationale for IgA nephropathy MASPs CFD CFB C1s Clinically validated + Both lectin & alternate pathways are Clinically validated target for IgAN target for IgAN involved in IgA nephropathy & correlate C4 C2 1, 2, 3 with severe clinical manifestation Clinically validated targets C3b Bb C4b 2b C3 + Inhibition of only MASP2 or Factor B may be insufficient to reduce proteinuria in IgA nephropathy patients C4b C3b ProTUNE™ PLATFORM 1. Medjeral-Thomas et al. Kidney International Reports (2018); 2. Bi et al. BMC Nephrology (2019); 3. Roos et al. J Am Soc Nephrol (2006) 27C3b-C4b degraders for IgA nephropathy patients Dual targeting of alternate & lectin pathways Classical Lectin Alternate Differentiation pathway pathway pathway + Dual targeting mode of action: lectin & C3(H O) alternate pathways MBL C1q 2 C1r Rationale for IgA nephropathy MASPs CFD CFB C1s Clinically validated + Both lectin & alternate pathways are Clinically validated target for IgAN target for IgAN involved in IgA nephropathy & correlate C4 C2 1, 2, 3 with severe clinical manifestation Clinically validated targets C3b Bb C4b 2b C3 + Inhibition of only MASP2 or Factor B may be insufficient to reduce proteinuria in IgA nephropathy patients C4b C3b ProTUNE™ PLATFORM 1. Medjeral-Thomas et al. Kidney International Reports (2018); 2. Bi et al. BMC Nephrology (2019); 3. Roos et al. J Am Soc Nephrol (2006) 27


C3a-C5a degraders: Efficacy in an acute LPS-induced ARDS model CFx improves respiratory function & reduces cell infiltrates Respiratory functions & cell infiltration at 24 h Mouse LPS model of lung inflammation ✱ ✱ 9 1000 3×10 800 9 2×10 600 CFx 7-fold lower dose vs. 400 9 1×10 anti-C5 200 0 0 CFx outperforms anti-C5 antibody in reducing inflammatory cell infiltration CFx compares well on respiratory functions with anti-C5 antibody 28 Vehicle CPN-HSA CFx Anti-C5 Ab Vehicle CPN-HSA CFx Anti-C5 Ab PenH (% change from baseline) Leukocyte CountC3a-C5a degraders: Efficacy in an acute LPS-induced ARDS model CFx improves respiratory function & reduces cell infiltrates Respiratory functions & cell infiltration at 24 h Mouse LPS model of lung inflammation ✱ ✱ 9 1000 3×10 800 9 2×10 600 CFx 7-fold lower dose vs. 400 9 1×10 anti-C5 200 0 0 CFx outperforms anti-C5 antibody in reducing inflammatory cell infiltration CFx compares well on respiratory functions with anti-C5 antibody 28 Vehicle CPN-HSA CFx Anti-C5 Ab Vehicle CPN-HSA CFx Anti-C5 Ab PenH (% change from baseline) Leukocyte Count


C3a-C5a degraders: Potential for ANCA-AAV patients Dual targeting of both C3a & C5a with one protease medicine Classical pathway Lectin pathway Alternate pathway Differentiation + Degrade activation products of C3 (C3a) & C5 (C5a) that are inflammatory mediators C3 convertase + May provide beneficial function via C5L2 pathway C3 Rationale for ANCA-AAV C3a C3b + Both C3a & C5a are higher in active AAV 1, 2 patients C3aR C3 convertase Clinically validated targets C5aR + Inhibition of C5a or C5aR may be C5 C3a C5a insufficient to increase remission rates in ImmunoTUNE™ C5a C5b PLATFORM ANCA-AAV patients Clinically validated targets for ANCA 1. S. Moiseev et al. British Society for Immunology, Clinical and Experimental Immunology (2020); 2. Gou et al. Kidney International (2012). 29C3a-C5a degraders: Potential for ANCA-AAV patients Dual targeting of both C3a & C5a with one protease medicine Classical pathway Lectin pathway Alternate pathway Differentiation + Degrade activation products of C3 (C3a) & C5 (C5a) that are inflammatory mediators C3 convertase + May provide beneficial function via C5L2 pathway C3 Rationale for ANCA-AAV C3a C3b + Both C3a & C5a are higher in active AAV 1, 2 patients C3aR C3 convertase Clinically validated targets C5aR + Inhibition of C5a or C5aR may be C5 C3a C5a insufficient to increase remission rates in ImmunoTUNE™ C5a C5b PLATFORM ANCA-AAV patients Clinically validated targets for ANCA 1. S. Moiseev et al. British Society for Immunology, Clinical and Experimental Immunology (2020); 2. Gou et al. Kidney International (2012). 29


CB 4332 spearheads a deep pipeline in complement Next development candidate in 2022 Indication 2021 2022 CFI Deficiency Screening & Natural History Study CB 4332 Natural History Preclinical IND Phase I CFI Deficiency CB 4332 Biomarker Data Partial Deficiency Phase I/II CB 4332 IC-MPGN/aHUS/C3G Non-Deficiency Indication Selection Phase I/II CB 4332 Expansion Indications Discovery IgA Nephropathy C3b-C4b Development Candidates for Each Program Discovery ANCA-AAV C3a-C5a 30 Platform CFI-HSA Technology ReplacementCB 4332 spearheads a deep pipeline in complement Next development candidate in 2022 Indication 2021 2022 CFI Deficiency Screening & Natural History Study CB 4332 Natural History Preclinical IND Phase I CFI Deficiency CB 4332 Biomarker Data Partial Deficiency Phase I/II CB 4332 IC-MPGN/aHUS/C3G Non-Deficiency Indication Selection Phase I/II CB 4332 Expansion Indications Discovery IgA Nephropathy C3b-C4b Development Candidates for Each Program Discovery ANCA-AAV C3a-C5a 30 Platform CFI-HSA Technology Replacement


Milestones 2021 2022 MAA 304 final DSMB CB 4332 observational trial MAA 202 PK data MAA 304 ToB data MAA 304 first DSMB MAA 202 ToB data C4b degrader updates CB 4332 P1/2 C4b degrader updates CB 2782-PEG CB 2782-PEG Systemic complement MarzAA (FVIIa) CB 2782-PEG (dAMD) © Catalyst Biosciences 31Milestones 2021 2022 MAA 304 final DSMB CB 4332 observational trial MAA 202 PK data MAA 304 ToB data MAA 304 first DSMB MAA 202 ToB data C4b degrader updates CB 4332 P1/2 C4b degrader updates CB 2782-PEG CB 2782-PEG Systemic complement MarzAA (FVIIa) CB 2782-PEG (dAMD) © Catalyst Biosciences 31


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