UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 OR 15(d) of the Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): September 9, 2020
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Item 7.01 Regulation FD Disclosure.
Attached hereto as Exhibit 99.1 and incorporated by reference herein is the September 2020 Investor Presentation of Pieris Pharmaceuticals, Inc.
The information set forth under this “Item 7.01. Regulation FD Disclosure,” including Exhibit 99.1 attached hereto, shall not be deemed “filed” for any purpose, and shall not be deemed incorporated by reference into any filing under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, regardless of any general incorporation language in any such filing. except as shall be expressly set forth by specific reference in such filing.
Item 9.01 Financial Statements and Exhibits
(d) Exhibits.
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
| PIERIS PHARMACEUTICALS, INC. | ||||||||
| Dated: September 9, 2020 | /s/ Tom Bures | |||||||
| Tom Bures | ||||||||
| Vice President, Finance | ||||||||
INVESTOR PRESENTATION SEPTEMBER 2020
Forward Looking Statements This presentation contains forward-looking statements as that term is defined in Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. Statements in this presentation that are not purely historical are forward-looking statements. Such forward-looking statements include, among other things, the timing for, and outcome of, the additional in-use and compatibility study for PRS-343 as requested by the FDA; whether data from patients enrolled to date will be sufficient to inform the recommended phase 2 dose for the Company's planned proof of concept study of PRS-343 in gastric cancer; the expected timing and potential outcomes of the reporting by the Company of key clinical data from its programs, references to novel technologies and methods and our business and product development plans, including the advancement of our proprietary and codevelopment programs into and through the clinic and the expected timing for reporting data, making IND filings or achieving other milestones related to our programs, including PRS-060/AZD1402, PRS-343, PRS-344, and PRS-352 and the expected timing of the initiation of the next stage of PRS- 343's development in gastric cancer. Actual results could differ from those projected in any forward-looking statements due to numerous factors. Such factors include, among others, our ability to raise the additional funding we will need to continue to pursue our business and product development plans; the inherent uncertainties associated with developing new products or technologies and operating as a development stage company; our ability to develop, complete clinical trials for, obtain approvals for and commercialize any of our product candidates, including our ability to recruit and enroll patients in our studies; our ability to address the requests of the FDA, including with respect to the additional in-use and compatibility study for PRS-343, and the resolution of the partial clinical hold relating to that drug candidate; competition in the industry in which we operate; delays or disruptions due to COVID-19; and market conditions. These forward-looking statements are made as of the date of this presentation, and we assume no obligation to update the forward-looking statements, or to update the reasons why actual results could differ from those projected in the forward-looking statements, except as required by law. Investors should consult all of the information set forth herein and should also refer to the risk factor disclosure set forth in the reports and other documents we file with the SEC available at www.sec.gov, including without limitation the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2019 and the Company's Quarterly Reports on Form 10-Q. 2
The Anticalin® Protein Platform A Novel Therapeutic Class with Powerful Drug Discovery Platform Favorable Drug-Like Properties Target • Highly diverse libraries • Human – Derived from lipocalins (human extracellular binding • Automated screening proteins) • Protein engineering know-how • Small – Monomeric, monovalent, small size (~18 kDa vs 150kDa Translational Science Expertise to mAbs) Deploy Platform in Meaningful Way • Stable – Inhalable delivery • Immunology expertise underpins IO and respiratory focus • Simple – Bi/multispecific • A leader in 4-1BB-related efforts constructs • Patient phenotyping efforts for improved • Proprietary – Broad IP position on stratification and novel intervention platform and derived products points in, e.g., asthma Anticalin Protein 3
Company Snapshot Pipeline Highlights Anchor Partnerships Upcoming Catalysts • PRS-060: Inhaled IL4-Rα antagonist • Validation through three anchor • Respiratory: for moderate-to-severe asthma partnerships ❑ PRS-060 phase 2a trial initiation (partnered with AstraZeneca) • $120+M in upfront payments and ❑ Data and rationale for advancement • PRS-343: 4-1BB/HER2 bispecific for milestones since January 2017 into IND-enabling studies for wholly- solid tumors • Each partnership includes options for owned inhaled program • Next-generation respiratory: co-development & US-focused • IO: Includes 4 discovery-stage inhaled commercialization rights ❑ PRS-343 complete monotherapy therapeutics programs (2 proprietary, 2 • Value-driving opt-in for PRS-060 after and combination with atezolizumab partnered with AstraZeneca) phase 2a completion phase 1 escalation data at ESMO • 4-1BB-based bispecifics: Multiple ❑ PRS-343 initiation of 2nd line HER2+ proprietary and partnered 4-1BB- gastric cancer PoC study, additive to based programs for IO SoC 4
Partnerships • PRS-060 + 4 additional novel inhaled • Immuno-oncology partnership based on • 3-program partnership based on tumor- Anticalin protein programs antibody-Anticalin bispecific protein fusions localized costimulatory bispecific fusion proteins • Retained co-development and co- • PRS-344: PD-L1/4-1BB antibody-Anticalin commercialization (US) options on PRS- bispecific • Pieris retains opt-in rights for 50/50 global 060 and up to 2 additional programs ✓ Pieris opted in for full U.S. rights profit split and U.S. commercialization rights on one of the programs • $57.5M upfront & 2017 milestone • PRS-352: n.d. antibody-Anticalin bispecific • $30M upfront payment, ~$1.2B milestone • ~$2.1B in milestone potential, plus double- • Pieris planning handover to Servier in potential digit royalties 2020 • Pieris to receive royalties ✓ Achieved $5M milestone payment • AZ funds all PRS-060 development costs for first program, a bispecific tumor- through post-phase 2a co-development • ~$31M upfront payment with significant targeted costimulatory agonist opt-in decision milestone potential • Up to double-digit royalties on non-co- • Access to complementary formulation and ✓ Two preclinical milestones achieved developed products device know-how for inhaled delivery for PRS-344 Strong Partners • Significant Cash Flow • Retained Commercial Rights 5
Pipeline RESPIRATORY CANDIDATE TARGETS PARTNER COMMERCIAL RIGHTS DISCOVERY PRECLINICAL PHASE I PHASE II PRS-060/AZD1402 IL4-Rα Pieris Worldwide Profit-Share Option AstraZeneca Programs* n.d. Pieris Worldwide Profit-Share Option* Proprietary Programs n.d. n/a Pieris Worldwide *4 additional respiratory programs (3 active, 1 forthcoming) in collaboration with AstraZeneca, 2 of which carry co-development and co-commercialization options for Pieris IMMUNO-ONCOLOGY CANDIDATE TARGETS PARTNER COMMERCIAL RIGHTS DISCOVERY PRECLINICAL PHASE I PHASE II HER2/4-1BB n/a PRS-343 Pieris Worldwide + Anti-PD-L1 n/a PRS-344 PD-L1/4-1BB Pieris U.S. Rights PRS-352 n.d. Proprietary IO Programs n.d. n/a Pieris Worldwide Seattle Genetics Program‡ co-stim agonist Pieris U.S. Option‡ ‡3 bispecific programs (1 active, 2 forthcoming) in collaboration with Seattle Genetics, with Pieris retaining US rights for 1 program 6
Anticalin Technology Advantages: Differentiated Respiratory Platform Tear lipocalin (TLC) “template” is abundant in human lung and permeates lung epithelium Very low predicted immunogenicity Stable, monovalent molecules with high melting temperatures and insensitivity to mechanical stress Inhalation pharmacokinetics suitable for once or twice daily administration and compatible with flexible treatment regimes 7
PRS-060: IL-4Rα Antagonist Candidate PRS-060 Inhibiting IL4-Rα (disrupts IL-4 & IL-13 Function/MoA signaling) Indications Moderate-to-severe asthma Phase 1 multiple-ascending dose trial Development ongoing; phase 2a to begin in 2H2020 PRS-060 Co-development and U.S. co-commercialization Commercial Rights rights, including gross margin share 8
PRS-060 Phase I Multiple Ascending Dose Trial Ascertain PK/PD with a reliable biomarker to confirm local target engagement and Strategic Objectives inform Phase II dosage regimen Dosing patients with mild asthma with elevated FeNO levels ( 35 ppb), to receive Trial Design Highlights ≥ inhaled PRS-060 or pbo b.i.d.* over a 10-day period *q.d. on Day 10 Initiated in July 2018 Evaluating safety, tolerability, PK, PD and will also evaluate FeNO reduction vs. placebo Measuring safety, tolerability and FeNO changes days 1-10,17, and 40 Pieris is sponsoring the trial, AstraZeneca is reimbursing Pieris for all associated costs 9
Phase 1b Interim Results: Favorable Safety Profile • All doses of AZD1402/PRS-060 tested in the study were well tolerated • No treatment-related serious AEs were observed Placebo AZD1402/PRS-060c Overall System organ class (N = 12) (N = 30) (N = 42) AE Preferred Termsb n (%) m n (%) m n (%) m Gastrointestinal disorders 4 (33.3) 4 13 (43.4) 14 17 (40.5) 18 Dry mouth 1 (8.3) 1 2 (6.7) 2 3 (7.1) 3 Nausea 1 (8.3) 1 3 (10.0) 3 4 (9.5) 4 Infections and infestations 1 (8.3) 1 7 (23.3) 8 8 (19.0) 9 Upper respiratory tract infection 1 (8.3) 1 3 (10.0) 4 4 (9.5) 5 Nervous system disorders 5 (41.7) 9 13 (43.4) 18 18 (42.9) 27 Headache 3 (25.0) 6 5 (16.7) 7 8 (19.0) 13 Presyncope 0 4 (13.3) 6 4 (9.5) 6 Respiratory, thoracic and mediastinal disorders 6 (50.0) 6 14 (46.7) 15 20 (47.6) 21 Cough 1 (8.3) 1 4 (13.3) 4 5 (11.9) 5 Rhinorrhoea 2 (16.7) 2 1 (3.3) 1 3 (7.1) 3 Wheezing 2 (16.7) 2 4 (13.3) 5 6 (14.3) 7 10
Phase 1b Interim Results: Robust FeNO Reduction PRS-060 Relative FeNO Reduction (Emax Analysis) PRS-060 Relative FeNO Reduction (ANCOVA Analysis) Mean change from baseline in FeNO levels at 0.5h (A) and 2h (B) post-dose on Day 10 in participants with mild asthma Reduction vs. PRS-060, mg n placebo, % (95% p-value (delivered) CI) 2 6 24.0 (1.8–41) 0.04 6 6 24.3 (2.7–41) 0.03 20 12 36.4 (22–48) <0.0001 60 6 30.5 (10–46) 0.005 Placebo 12 11
Phase 1b Interim Results: Pharmacological Versatility pSTAT6 levels over time following inhalation of PRS-060 No systemic target engagement and minimal systemic exposure was observed at the 2mg dose, suggesting that local target engagement by the drug is sufficient to reduce airway inflammation Pharmacological versatility, given low- dose FeNO reduction with no observed systemic activity (pSTAT6) versus high-dose FeNO reduction with systemic activity 12
4-1BB Agonism Offers Promise of Material Clinical Benefit Unique Attributes of 4-1BB Agonism on Tumor-specific T Cells ✓ Increases T-cell proliferation to bolster immune repertoire ✓ Enhances cytotoxicity for tumor killing ✓ Improves metabolic fitness for increased survival of T cells ✓ Drives T-cell memory phenotype for increased durability Pieris’ 4-1BB bispecifics recognize that 4-1BB agonists have proven clinical potency, yet must be kept out of the liver to ensure suitable therapeutic index 13
PRS-343: Proprietary Lead IO Asset HER2-Targeting Antibody Candidate PRS-343 Tumor-targeted 4-1BB agonism and HER2 Function/MoA antagonism Indications HER2+ solid tumors Initiating phase 2 in combination with ramucirumab Development and paclitaxel in second line gastric Commercial Rights Fully proprietary 4-1BB-Targeting Anticalin Proteins Phase 1 escalation data at ESMO 14
PRS-343 Localizes 4-1BB Agonism Within HER2+ Tumors HER2-targeting Antibody HER2-targeting moiety of the drug localizes to the tumor microenvironment and facilitates HER2+ Tumor Cell 4-1BB cross-linking PRS-343 4-1BB cross-linking ameliorates T-cell exhaustion and is critical for Tumor-specific T-cell expansion T Cell 4-1BB-targeting Anticalin Proteins 15
Monotherapy and Combination Studies: Enabled Meaningful Clinical Characterization of PRS-343 Mono Dose Combo Dose Dose (mg/kg) Cohort* Cohort** Snapshot 1 0.0005 (Q3W) - • Patients with HER2+ solid tumors 2 0.0015 - • Monotherapy and combination with atezolizumab • Interim monotherapy data presented at SITC ‘19 3 0.005 - • Initial combtherapy data presented at R&D Day (Nov ‘19) 4 0.015 - 5 0.05 1 Primary Objectives 6 0.15 2 • Characterize safety profile 7 0.5 3 • Identify MTD or RP2D 8 1 4 9 2.5 5 Secondary Objectives 10 5 6 • Characterize PK profile 11 8 7 • Investigate dosing schedule 11b 8 (Q2W) - • Assess potential immunogenicity and PD effects 9-11b: activate dose cohorts in mono study • Investigate efficacy *Additional dose cohorts enrolling in monotherapy study **1200mg flat dose of atezolizumab 16
Single-agent Clinical Benefit and Enhanced Durability in Checkpoint Combination Therapy Monotherapy Clinical Benefit Cohort 11B 11A 10 9 Total Best Response 8mg/kg, Q2W 8mg/kg, Q3W 5mg/kg, Q3W 2.5mg/kg, Q3W Enrolled Patients 8 7 9 6 30 Response Evaluable Patients 7 4 5 5 21 PR 3 - - - 3 SD 3 3 2 2 10 ORR 43% 0% 0% 0% 14% DCR 86% 75% 40% 40% 62% • Additional clinical benefit, including complete response, observed in cohorts beyond 11B (currently enrolling) • Clinical benefit also observed in combination study, including patients with deep partial responses and durable benefit Data cut-off: 11-May-20 for subjects up to Cohort 11b; additional cohorts enrolling 17
Paired Biopsy Analysis Supports 4-1BB-related MoA Biopsy Biopsy Pre-dose PRS-343 PRS-343 Post-dose (Cycle 1 Day 1) (Cycle 2 Day 1) (Cycle 2 Days 2-8) Tumor Biopsy Pronounced increase in CD8+ T cell 17 numbers is observed post-treatment in PD correlates with PK a 16 e + r 8 patients receiving doses ≥ 2.5 mg/kg a D r 6 C o n m o 5 u i t t 2 c u 4 m d m n Patients benefiting from treatment (SD / i 3 s l d l l > 120 days (blue) and PR (green) had Clinical benefit e o 2 c F + T 1 more pronounced increase in CD8 T correlates with PD 0 cell number in tumor vs. stroma Cohort 1-8 Cohort 9-11b Data cut-off: 23-Oct-19 for subjects up to Cohort 11b; additional cohorts enrolling 18
Phase 2 PoC Study in 2nd Line Gastric Cancer Phase 2 Initiation in 2H20 PRS-343 in combination with ramucirumab and paclitaxel for 2nd-line HER2+ gastric cancer Clinical trial collaboration with Eli Lilly; Lilly to supply ramucirumab GC 2L PIVOTAL TRIAL Single-arm, up to 60 patients Primary endpoints: ORR and DCR HER2+ subgroup from RAINBOW trial as comparator enriched w/ RWD 19
PRS-343 PoC Trial Considers Several Value-driving Elements Factor Impact • Vasculature normalization from ramucirumab for improved Biology: environment for T-cell infiltration Synergistic MoA in IO-amenable Patients • Tumor debulking and antigen release from paclitaxel for improved disease control and enhanced immune priming Regulatory: • Straightforward path from PoC to pivotal • Reduced patient enrollment hurdles compared to Additive to Standard of Care monotherapy study Commercial: • Second line gastric cancer market size in US, EU5, and JP is up to $1.7B Meaningful Beachhead Indication • Upside in several other tumors 20
PRS-344: Meaningfully Building on Localized MoA of PRS-343 PD-L1-Targeting Antibody Candidate PRS-344 Function/MoA Localized 4-1BB agonism with PD-L1 antagonism Indications N.D. Development 2021 IND expected (in co-dev with Servier) Opt-in for co-development with full U.S. Commercial Rights commercial rights; royalty on ex-U.S. sales 4-1BB-Targeting Anticalin Proteins 21
Financial Overview (As of 6/30/20) $77.2 M* $0.0 52.4 M Cash & Cash Debt CSO Equivalents non-dilutive capital from anchor $125+ M partnerships *Excludes $5M Seattle Genetics milestone achieved in Q3 22
Recent Milestones and Expected Catalysts 2019 Milestones Upcoming Catalysts • Respiratory: Inhaled IL4-Rα antagonist (PRS-060) Respiratory: ❑ PRS-060 phase 2a trial initiation ✓ SAD phase 1 data at ATS 2019 ❑ Data and rationale for advancement into IND- ✓ MAD phase 1 data, including FeNO reduction enabling studies for wholly-owned inhaled program vs. placebo, at ERS 2019 • IO: • IO: 4-1BB/HER2 bispecific (PRS-343) ❑ PRS-343 complete monotherapy and combination with atezolizumab phase 1 escalation data at ✓ Monotherapy phase 1 data at SITC 2019 ESMO ✓ Initial combination phase 1 data at R&D Day ❑ PRS-343 initiation of focused development in gastric cancer 23
Appendix 24
PRS-343 Monotherapy Treatment-Related Adverse Events Cohorts 9-11b TRAE Number (%) Grade 3 (%) Infusion related reactions 6 (9%) 2 (3%) Nausea and vomiting 8 (12%) 0 Chills 5 (8%) 0 Arthralgias 4 (6%) 1 (2%) Flushing 4 (6%) 3 (5%) Decreased appetite 3 (5%) 0 Hypotension 3 (5%) 1 (2%) Increased Lipase 3 (5%) 1 (2%) Non cardiac chest pain 3 (5%) 1 (2%) No Grade 4 or 5 Treatment-Related AEs Data cut-off: 23-Oct-19 for subjects up to Cohort 11b; additional cohorts enrolling 25
Best Response in Target Lesions Cohorts 9-11b 60% 40% Cohort 9 – 2.5 mg/kg Cohort 10 – 5 mg/kg Disease Progression 20% Cohort 11 – 8 mg/kg Cohort 11b – 8 mg/kg (Q2W) 0% -20% Best change from baseline (%) baseline from change Best Partial Response -40% -60% 9 9 9 11 10 11b 9 11 10 10 11b 10 9 10 10 11b 11b Cohort Data cut-off: 23-Oct-19 for subjects up to Cohort 11b; additional cohorts enrolling 26
Average Time on Treatment with PRS-343 Significantly Increases in Cohort 11b (8 mg/kg Q2W) Duration (Days) Number of Subjects = 28 Cohort 11b – 8 mg/kg (Q2W) Cohort 11 – 8 mg/kg Cohort 10 – 5 mg/kg Cohort 9 – 2.5 mg/kg Partial Response Stable Disease Disease Progression Death Discontinued On-Treatment Clinical Progression 0 21 42 63 84 105 126 147 168 189 210 231 Data cut-off: 23-Oct-19 for subjects up to Cohort 11b; additional cohorts enrolling 27
Case Study #1: Gastric Cancer Patient with Confirmed Partial Response Patient Profile, Treatment History and Treatment Outcome Patient Profile Oncology Treatment History Duration Best Response • Cohort 11b | 8 mg/kg every two weeks • 80-year old woman; initial diagnosis in June 2017 • Stage IV gastric adenocarcinoma Trastuzumab, Pembrolizumab + July 2017 – June 2018 Stable Disease • Metastases to liver, lymph node and adrenal glands Capecitabine/oxaliplatin • HER2 IHC 3+; PD-L1 positive (CPS=3) • NGS: ERBB2 amplification, TP53 mutation, alteration Nivolumab with IDO1 inhibitor Aug 2018 – Jan 2019 Stable Disease of CDK12 and SF3B1 (investigational drug) Lesion Size (mm) Lesions Lesion Site Baseline C2 Post-treatment C3 Post-treatment C4 Post-treatment C6 Post-treatment Target 1 Liver 14 12 10 9 9 Target 2 Liver 20 16 10 8 8 Target 3 Pancreas 19 16 14 14 14 % Change from Baseline -17% -36% -42% -42% Non-target 1 Lung Present Present Present Present Present Non-target 2 Stomach Present Present Present Present Absent Non-target 3 Stomach Present Present Present Present Absent PR, partial response; HER2, human epidermal growth factor receptor 2; PD-L1, Programmed Death Ligand 1; CPS, combined positive score; NGS, next-generation sequencing Data cut-off: 23-Oct-19 28
CD8+ T Cell Numbers Increase Post-Treatment in Responding Gastric Cancer Patient Tumor Stroma CD8 fold change: 5.7 CD8 pre [n/mm2]: 38 CD8 fold change: 4 CD8 pre [n/mm2]: 66 ) 250 ) 2 2 250 200 Pre-Treatment (CD8: Teal | Ki67: Red) 200 150 150 100 100 CD8 + T cells (n/mm cells +T CD8 50 (n/mm cells +T CD8 50 0 0 Pre Post Pre Post Post-Treatment (CD8: Teal | Ki67: Red) CD8+ T cell numbers increase post-treatment. This is more pronounced in tumor tissue and consistent with the predicted MoA of PRS-343. Data cut-off: 23-Oct-19 29
Case Study #2: Fallopian Tube Cancer Patient with Partial Response Patient Profile, Treatment History and Treatment Outcome • 59 year old female, initial diagnosis on September 19, 2017 • Fallopian tube carcinoma Cohort 11b • ERBB2 2+; MSI stable; TMB 4 Muts/Mb; PDL-1 status not known 8 mg/kg PRS-343 (Q2W) • CD8 fold change in tumor: Not known as multiple post- treatment core biopsies did not contain cancer cells Oncology Treatment History Duration Best Response Taxol/Carboplatin October 2017 - November 2017 Stable Disease Taxotere/Carboplatin December 2017 - May 2018 Stable Disease Doxil October 2018 – February 2019 Progressive Disease Lesion Size (mm) Lesions Lesion Site Baseline C2 Post-treatment C4 Post-treatment C6 Post-treatment Target 1 Liver – Dome of left lobe 18 10 12 8 % Change from Baseline -44% -33% -55% Data cut-off: 23-Oct-19 30
Case Study #3: Urothelial Cell Carcinoma Patient with Stable Disease Patient Profile, Treatment History and Treatment Outcome • 92 year old male, initial diagnosis in August 2015 Cohort 9 • Urothelial cell carcinoma Stage 3 2.5 mg/kg PRS-343 (Q3W) • HER2 FISH positive; MSS; TMB high16 mut/Mbp • CD8 fold change in tumor: 5.1 Oncology Treatment History Duration Best Response Cisplatin + gemcitabine September 2015 – September 2015 Toxicity Carboplatin + gemcitabine October 2015 – December 2015 Progressive Disease Atezolizumab December 2016 – June 2017 Stable Disease MEDI-0562 + durvalumab August 2017 – May 2018 Stable Disease Lesion Size (mm) Lesions Lesion Site Baseline C2 Post-treatment C4 Post-treatment C6 Post-treatment Target 1 Left para-aortic lymph node 27 24 24 25 Target 2 Right para-aortic lymph node 17 18 18 18 Target 3 Paraesophageal lymph node 18 19 19 20 % Change from Baseline -1.6% -1.6% 1.6% Data cut-off: 23-Oct-19 31
Baseline Characteristics (Combination Trial) All Subjects (n = 35) Characteristic n (%) Primary Cancer Type n (%) Age, Median (range) 59 (26-87) Breast 12 (34%) Gender Female 19 (54%) Gastroesophageal 6 (17%) Male 16 (46%) Colorectal 5 (14%) ECOG PS Gallbladder/ Biliary 4 (11%) 0 10 (29%) 1 25 (71%) Lung 3 (9%) Prior Therapy Lines Gynecological 2 (6%) 1 6 (17%) 2 5 (14%) Bladder 1 (3%) 3 3 (9%) Carcinoma of Unknown Primary 1 (3%) 4 6 (17%) 5+ 15 (43%) Pancreatic 1 (3%) Data presented at R&D Day in New York on November 19, 2019; data cut-off: 19-Nov-19 32
Treatment-Related Adverse Events (Combination Trial) Cohorts 4-7 TRAE n = 85 % Grade 3 Infusion related reaction 17 (20%) Nausea and Vomiting 7 (9%) Diarrhea 6 (7%) 1 (1%) Fatigue 6 (7%) Rash 4 (5%) Anemia 3 (4%) 1 (1%) Chills 2 (2%) Decreased appetite 2 (2%) Dizziness 2 (2%) Dysgeusia 2 (2%) Malaise 2 (2%) Myalgia 2 (2%) Neutrophil count decreased 2 (2%) 1 (1%) Platelet count decreased 2 (2%) 1 (1%) Pyrexia 2 (2%) White blood cell count decreased 2 (2%) 1 (1%) No Grade 4 or 5 PRS-343 Treatment-Related AEs Data presented at R&D Day in New York on November 19, 2019; data cut-off: 19-Nov-19 33
Best Response in Target Lesions (Combination Trial) Combination Study Cohorts 4-7 (n = 21) 100% 80% 60% 40% Cohort 4 – 1 mg/kg Disease Progression (20%) 20% Cohort 5 – 2.5 mg/kg Cohort 6 - 5 mg/kg 0% Cohort 7 - 8 mg/kg -20% -40% Partial Response (-30%) Best Change from Baseline (%) Baseline Changefrom Best -60% -80% 5 5 4 6 5 6 6 7 4 7 5 5 5 7 6 7 6 7 7 4 6 Cohort Data presented at R&D Day in New York on November 19, 2019; data cut-off: 19-Nov-19 34
Case Study #1: Breast Cancer Patient with Partial Response Patient Profile and Treatment History • 64 year old female, initial diagnosis October 16, 2000 Cohort 4 • Stage 4 breast carcinoma 1 mg/kg PRS-343 (Q3W) + • ER/PR-; HER2 3+ (IHC biopsy collected in Jan 2010), FISH+ atezolizumab 1200 mg • PD-L1, MSI and TMB status not known • CD8 fold change in tumor: 8.5 Oncology Treatment History Duration Best Response AC X4, tamoxifen (X1 yr), arimidex (X5 yrs) 2000-2006 Stable Disease Carboplatin/Taxotere then Taxotere/Herceptin then Xeloda/ Lapatinib then May 2006 – September 2009 Complete Response Herceptin/ Navelbine Vinorelbine and Herceptin February 2010 – May 2011 Unknown Trastuzumab/Lapatinib Ditosylate (Tykerb) May 2011 – May 2012 Progressive Disease Trastuzumab/Gemzar May 2012 – Feb 2013 Unknown ADT (TDM1, Kadcyla) May 2013 – Jun 2015 Stable Disease Trastuzumab/Pertuzumab (Perjeta) Sep 2017 – Dec 2017 Stable Disease ADT (TDM1, Kadcyla) Dec 2017 – Jul 2018 Stable Disease Trastuzumab/Capecitabine (Xeloda) Aug 2018 – Jan 2019 Stable Disease Data presented at R&D Day in New York on November 19, 2019; data cut-off: 19-Nov-19 35
Case Study #1: Breast Cancer Patient with Partial Response Treatment Outcome Lesion Size (mm) Lesions Lesion Site Baseline C2 Post-treatment C4 Post-treatment C6 Post-treatment C8 Post-treatment C12 Post-treatment Target 1 Sub-cranial lymph node 15 8 5 8 8 6 Target 2 Right neck lymph node 15 9 7 7 6 5 % Change from Baseline -43% -60% -50% -53% -63% Data presented at R&D Day in New York on November 19, 2019; data cut-off: 19-Nov-19 36
Case Study #2: Breast Cancer Patient with Stable Disease Patient Profile, Treatment History and Treatment Outcome • 53 year old male, initial diagnosis July 28, 2011 • Stage 4 invasive ductal breast carcinoma (metastatic to Cohort 6 mediastinal lymph nodes, bones and lung) 5 mg/kg PRS-343 (Q3W) + • ER+/PR-, HER2- (IHC), FISH+ (biopsy collected in March atezolizumab 1200 mg 2019) • PD-L1, MSI and TMB status not known • CD8 fold change in tumor: 8 Oncology Treatment History Duration Best Response Trastuzumab + Carboplatin + Docetaxel + Tamoxifen September 2011 – July 2013 not known Trastuzumab + Perjeta + Navelbine August 2013 – January 2016 not known TDM-1 + Fulvestrant November 2017 – March 2018 not known Lapatinib + Capecitabine March 2018 – March 2019 not known Anastrozole + Ibrance April 2019 – May 2019 not known Lesion Size (mm) Lesions Lesion Site Baseline C2 Post-treatment C4 Post-treatment C6 Post-treatment Target 1 Lymph node 16 18 15 13 % Change from Baseline +13% -6% -19% Data presented at R&D Day in New York on November 19, 2019; data cut-off: 19-Nov-19 37
Case Study #3: NSCLC Patient with Partial Response Patient Profile, Treatment History and Treatment Outcome Cohort 6 • 65 year old male, initial diagnosis Feb 6, 2018 • Stage 4 NSCLC squamous 5 mg/kg PRS-343 (Q3W) + • Foundation One HER2 amplification atezolizumab 1200 mg • CD8 fold change in tumor: Results to be presented Oncology Treatment History Duration Best Response Carboplatin/paclitaxel + RT March 2018 – April 2018 Partial Response Stable Disease (treatment ended upon disease Atezolizumab August 2018 – May 2019 progression) Lesion Size (mm) Lesions Lesion Site Baseline C2 Post-treatment C4 Post-treatment Target 1 Lung 42 26 20 Target 2 Lung 16 0 0 % Change from Baseline -55% -66% Non-target 1 Lung Present Absent Absent Non-target 2 Lung Present Present Absent Data presented at R&D Day in New York on November 19, 2019; data cut-off: 19-Nov-19 38
Pieris Pharmaceuticals 255 State Street Zeppelinstraße3 Boston, MA 02109 85399 Hallbergmoos USA Germany IR: kelman@pieris.com BD: niemeier@pieris.com NASDAQ: PIRS www.pieris.com