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TCR2 Therapeutics
Corporate Presentation
June 2019
Disclaimer
2
This presentation has been prepared by TCR2 Therapeutics Inc. (“we,” “us,” or “our”) and contains forward-looking statements within the meaning of the
Private Securities Litigation Reform Act of 1995 and other federal securities laws. Forward-looking statements are neither historical facts nor assurances
of future performance. Instead, they are based on our current beliefs, expectations and assumptions regarding the future of our business, future plans
and strategies, our development plans, our clinical results and other future conditions. All statements, other than statements of historical facts, contained
in this presentation, including express or implied statements regarding our expectations for the planned Phase 1/2 clinical study of TC-210, our
expectations for the safety and efficacy of our product candidates, including TC-210, compared to current T-cell therapy approaches, and our
expectations regarding the estimated patient populations in TC-210’s targeted indications, are forward-looking statements. These statements are based
on management’s current expectations and beliefs and are forward-looking statements which involve risks and uncertainties that could cause actual
results to differ materially from those discussed in such forward-looking statements.
Such risks and uncertainties include, among others: the possibility that positive results from preclinical studies may not necessarily be predictive of the
results of our planned clinical trials, including the Phase 1/2 clinical trial of TC-210; the risk that the results from the planned Phase 1/2 clinical trial of TC-
210 will not support further development and marketing approval; the risk that we may be unable to gain approval of TC-210 and our other product
candidates on a timely basis, if at all; the risk that we have over-estimated the potential patient population for TC-210, if approved; and the other risks set
forth under the caption “Risk Factors” in our final prospectus filed on February 15, 2019 pursuant to Rule 424(b) of the Securities Act of 1933, as
amended, in our Quarterly Report on Form 10-Q for the quarter ended March 31, 2019, as filed with the SEC on May 13, 2019, and in our future filings
with the SEC available at the SEC’s website at www.sec.gov. New risks and uncertainties may emerge from time to time, and it is not possible to predict
all risks and uncertainties. You should not place undue reliance on any forward‐looking statements, which speak only as of the date they are made.
While we may elect to update these forward-looking statements at some point in the future, we assume no obligation to update or revise any forward-
looking statements except to the extent required by applicable law. Although we believe the expectations reflected in such forward-looking statements are
reasonable, we can give no assurance that such expectations will prove to be correct. Accordingly, readers are cautioned not to place undue reliance on
these forward-looking statements. No representations or warranties (expressed or implied) are made about the accuracy of any such forward-looking
statements.
TCR2 – Clinical Stage T-Cell Therapy Company
3
Multiple Near-Term Clinical Readouts
Overcomes Limitations of CAR-T and TCR-T Cells
Programs Targeting Solid Tumors and Hematology
World Class Management Team and Partners
Ample Cash To Execute Key Milestones
Unique T-Cell
Platform
Harnessing the Full TCR
Independent of HLA
Recent Developments at TCR2
4
TC-210 – Lead TRuC-T Cell Candidate in Solid Tumors Targeting Mesothelin Positive Cancers
• Phase 1/2 clinical trial initiated in the first quarter of 2019
• Granted U.S. Patent No.: 10,208,285 covering TRuC-T cells that express anti-mesothelin TCR fusion proteins, including
TC-210
• FDA granted orphan drug designation to TC-210 for the treatment of mesothelioma
• Poster presentation at AACR demonstrating superior in vivo anti-tumor activity with TC-210 compared to mesothelin-
targeting CAR-T cells
TC-110 – Lead TRuC-T Cell Product Candidate in Hematology Targeting CD19 Positive Cancers
• Pre-IND meeting with the FDA in February 2019; on track to submit an IND for TC-110 in 2H19
• Poster presentation at AACR demonstrating superior in vivo anti-tumor activity with TC-110 compared to CD19-targeting
CAR-T cells
Corporate and Platform Progress
• First peer-reviewed data in Nature Communications demonstrating superior anti-tumor activity and reduced cytokine
release by TRuC-T cells compared to CAR-T cells
• Took occupancy of TCR2 manufacturing suite in the UK; on track to be operational in 2H19
• $192M cash, cash equivalents, and investments as of March 31, 2019
• IPO in February 2019, with net proceeds of $80.2M including full exercise of underwriters’ over-allotment option
A Wholly-Owned Pipeline With Several Near-Term Milestones
5
Indicat ions DiscoveryLead
Opt imizat ionIND
Enabling Phase 1 Phase 2 IND FilingInitial Data(Expected)Phase 3
Ovarian cancer,Pancreatic cancer
Ovarian cancer
NSCLC: non-small cell lung cancer, MPM: malignant pleural/ peritoneal mesothelioma, aALL: adult acute lymphoblastic leukemia, DLBCL: diffuse large B-cell lymphoma, NHL: other non-Hodgkin lymphoma (NHL)subtypes including follicular lymphoma (FL), mantle cell lymphoma (MCL), primary mediastinal B-cell lymphoma (PMBCL)
aALL, DLBCL, NHL
aALL, DLBCL, NHL
Ovarian cancer,NSCLC, MPM,Cholangiocarcinoma
Programs
Solid Tumors
Hematological
Malignancies
TC-210
TC-220
TC-410
Target : Mesothelin
Dec. 2018(Cleared)
2H 2019(Expected)
1H 2020(Expected)
2H 2019
2H2020
1H 2021Target : MUC16
Targets: Mesothelin& MUC16
TC-110
TC-310
Target : CD19
Targets: CD19 & CD22
Leadership With Outstanding and Relevant Accomplishments
• Extensive operational and transactional expertise
• Previously served in the C-suite of three healthcare
companies and co-founded another
• Integral in development of Bavencio, one of the
first PD-L1 inhibitors
• Extensive CAR-T and TCR-T expertise
• Clinical lead for Novartis’s development of
Kymriah and GSK’s Adaptimmune collaboration
• Wall Street research analyst with two decades
covering leading immunotherapy companies
Robert Hofmeister, PhDChief Scientific Officer
Garry Menzel, PhD, MBAPresident and
Chief Executive Officer
Alfonso Quintás Cardama, MDChief Medical Officer
M. Ian SomaiyaChief Financial Officer
Patrick Baeuerle, PhDFounder
MPM Capital
Mitch Finer, PhDChair of Scientific Advisory Board
Senior Leadership Experience Expertise
6
Man
ag
em
en
tB
oard
M
em
bers
Neil Gibson, PhDDirector
Andrew Allen, MD, PhDDirector
Overcoming Limitations of CAR-T and TCR-T Cells
Our Novel TRuCTM
-T Cell Platform
Migration ProliferationCytokine secretionTumor cell killing Persistence
T-Cell Response Is Managed Through the T-Cell Receptor
Natural TCR
Complex
HLA-Dependent Binding
ζ ζ
α
γδε ε
β
Activation motif
Regulatory motif
T cell
catalyzing a highly complex signaling cascade
that leads to the killing of the T-cell target
Each subunit plays a distinct role
8
Tumor cell
Peptide/HLA
complex
HLA restricted binding
Modified
TCRα and β
TCR-T Cells
Efficacy in solid tumors and hematology
Addressable patients limited by HLA matching
HLA downregulation leads to lack of response
ζ ζ
α
γδε ε
β
Current T-Cell Therapy Approaches Have Limitations
9
Use only one TCR subunit
Remarkable efficacy in some hematologic cancers
Lack of regulation leads to severe toxicity
Lack of efficacy in solid tumors
Antibody
binder
Costimulatory
domain
CAR-T Cells
ζ ζζ ζ
Migration Cytokine secretionTumor cell killing Persistencepotent controlledfaster longer
TRuC T-Cells
Broad and controlled T cell responses by utilizing all TCR
subunits
10
εεreplacing the native CD3ε subunit
TRuCTM construct integrates into the TCR
Full regulatory and activation domains
HLA-independent binding
Superior anti-tumor activity
Lower cytokine release
ζ ζ
α
γδε ε
β
TRuC-T Cells Designed to Combine Best Features of CAR-T and TCR-T
Compared to CAR-T cells we engineered with the same antigen binder
TRuC-T Cells Exhibit Improved Properties Compared to CAR-T Cells*
11
Reduced
Cytokine
Release
Long-Lasting
Anti-Tumor
Activity
Enhanced
Metabolism
Preferential
Killing
Faster T-Cell
Migration
Increased
Homing
Receptors
CONTROL
TRAFFICKING
TARGETING
MICRO-
ENVIRONMENTPERSISTENCE
*All comparisons to CAR-T cells have been conducted in preclinical models against CAR-T cells we engineered to have the same binder as our TRUC-T Cells
TRuC-Ts Display Broader Signaling vs. CAR-T Cells
Uniquely Up- and Down-Regulated Genes
Increased TCR activation and chemokine signaling
12
Key Changes in Genes Critical for T-Cell
Signaling
Down-regulated
in TC-110Down-regulated
in 28ζ-CAR
Up-regulated
in TC-110Up-regulated
in 28ζ-CAR
1339 20
859 107
Refs: Baeuerle, Patrick A., et al. “Synthetic TRuC Receptors Engaging the Complete T Cell Receptor for Potent Anti-Tumor
Response.” Nature Communications, vol. 10, no. 1, 2019, doi:10.1038/s41467-019-10097-0.
TRAFFICKING
TARGETING
13
5%
10%
15%
20%
25%
TC-210
MSLN
CAR-T
Cells Expressing CXCR3(tumor homing receptor)
16%
2%
TC-210 MSLN CAR-T
Day 7
TRuC-T Cells Traffic More Effectively into the Tumor TRAFFICKING
TARGETING
T-Cell Accumulation(day 7)108
107
106
T-C
ell
Lu
min
esce
nce
(ph
oto
ns/s
ec/c
m2)
MSLN
CAR-T
TC-210
Migration associated with higher proportion of CXCR3+ cells
14
TRAFFICKING
TARGETING
Tu
mo
r V
olu
me
(m
m3)
2010 30-10 0Study Day
2000
1500
1000
500
2010 30-10 0
2000
1500
1000
500
MSLN-28ζ CAR-T Cells
T cells
Control TC-2102000
1500
1000
500
T cells
2010 30-10 0
Control
20 30 40
1000
2000
3000
4000
Study Day
Tu
mo
r V
olu
me
(m
m3)
10
CD19-28ζ CAR
10 20 30 40
1000
2000
3000
4000
CD19-BBζ CAR
10 20 30 40
1000
2000
3000
4000
TC-110
10 20 30 40
1000
2000
3000
4000
Compared to CD-19 CAR-Ts (Raji Lymphoma Model) and MSLN-28ζ CAR-Ts (Mesothelioma Model)
Superior anti-tumor activity
Identical anti-MSLN binder used in MSLN CAR-T cells and TC-210
TRuC-Ts Exhibit Superior Tumor Clearance vs. CAR-Ts
PERSISTENCE
RESPIRATORY
CAPACITY
OXIDATIVE
PHOSPHORYLATION
MEMORY PHENOTYPE
GLYCOLYSIS
In collaboration with Greg Delgoffe – University of Pittsburgh
TRuC-T Signaling CAR-T Signaling
15
↑
↑
↑
↑
↑
↑
↑
↑
↑
↑
Mitochondrial Respiratory
Spare Capacity
MICROENVIRONMENT
PERSISTENCETRuC-T Cells Have an Enhanced Metabolic Profile
MSLN
-CAR
TC-2
100
500
1000
1500
Sp
are
Resp
irato
ry C
ap
acit
y
(OC
Rm
ax - O
CR
basal)
*
Less Tonic Signaling, a Cause of T Cell Exhaustion
16
TC-110 Showed Markedly
Lower Activation
Increased antigen-independent (tonic) signaling
CD19-
28ζ CAR T
TC-110
CD19-
BBζ CAR T
pC
D3
ζM
ea
n F
luo
resce
nce
In
ten
sity
800
600
400
200
PERSISTENCE
MICROENVIRONMENT
Refs: Baeuerle, Patrick A., et al. “Synthetic TRuC Receptors Engaging the Complete T Cell Receptor for Potent Anti-Tumor
Response.” Nature Communications, vol. 10, no. 1, 2019, doi:10.1038/s41467-019-10097-0.
Levels of phosphorylated CD3ζ are indicative of tonic signaling
Naïve mice
TC-210
Re-challenge
60 70 80 90
Functional Persistence on Tumor Re-challenge at Different Injection Site
-10 0 10 20 30 40 50
500
1000
1500
2000
2500
3000
Study Day
MS
TO
MS
LN
Tum
or
Volu
me
(mm
3)
T-cell injection
17
Re-challenge
with new tumor
Control
TC-210
PERSISTENCE
TC-210 Cells Demonstrate Preferential Killing of High Mesothelin Expressing Cells
-10 0 10 20 30 40
500
1000
1500
2000
2500
3000
T cell injection
Tumor cell injection
TC-210 cleared mesothelioma expressing
high amounts of mesothelin low amounts of mesothelinBut had limited effect on mesothelioma expressing
18
-10 0 10 20 30 40
500
1000
1500
2000
2500
3000
Study Day
T cell injection
TC-210
Unmodified
T-Cells
Tumor cell injection
Tum
or
Volu
me
(mm
3)
TARGETING
CONTROL
Systemic Cytokine Levels from TRuC-T Cells Lower than CAR-T Cells in vivo
IFN𝛾 IL-2 IL-4 IL-5 GM-CSF
19
5 10 15 20
50
100
150
5 10 15 20
5
10
15
20
5 10 15 20
2000
3000
4000
5000
1000
5 10 15 20
500
1000
1500
2000
2500
5000
7500
10000
5 10 15 20Study Day
TC-210
MSLN
CAR-T
Seru
m C
oncentr
atio
n
(pg
/ml)
CONTROL
TRuC-T cells have consistently exhibited
lower release of inflammatory cytokines May translate to lower rates of adverse
events in patients
TC-210
TRuCTM
-T Cell Solid Tumor Therapy Targeting Mesothelin
Stage of Development: Initiated Phase 1/2 Clinical Trial
Expression Patterns Clinical Data
Mesothelin Is a Significant Solid Tumor Target
Up to 81,000 potentially addressable
U.S. patients in TC-210’s
lead indications
Overexpression linked
to worse outcomes
Mesothelin is highly
expressed on tumors
Lower expression in normal
tissue, confined to
mesothelium in pleura,
peritoneum and pericardium
No expression in vital organs
21
Clinical Need
Target validation from
competitor programs, including:
• Atara/ MSKCC CAR-T
• Novartis/ UPenn CAR-T
• Bayer antibody-drug conjugate
• BMS antibody-drug conjugate
22
TCR-T Persistence and
Lower CRS Rates
• Prolonged persistence with central
memory and stem-cell memory
phenotypes
• Low rates of CRS (<10% Grade 3+)
and no reported neurotoxicity
Continued Target
Validation for Mesothelin
• 63% ORR and 80% 12-month
survival in patients treated with
mesothelin CAR-T and at least 3
doses of anti-PD1
• No CAR T-related toxicities higher
than grade 2 observed
TIL Efficacy in Solid
Tumors
• 44% ORR in 26 cervical cancer
patients
• 38% ORR in 55 heavily pre-treated
melanoma patients (100% refractory
to anti-PD1 therapy)
Clinical Data Support TCR Approach in Solid Tumors and Validate MSLN Target
Ref: Adusumilli et al ASCO 2019 Presentation
Abstract #2511
Ref: ASCO 2019 Abstracts 2518 and 2538 Ref: Diangelo et al. Cancer Discov. 2018 Aug;8(8):944-957.
Mackall et al. ASCO 2016 Abstract 3040
10%
20%
30%
31%
40%
50%
55%
58%
66%
76%
Breast cancer
Endometrial cancer
Esophageal cancer
NSCLC
Gastric cancer
Cholangiocarcinoma
Colorectal cancer
Ovarian cancer
Pancreatic cancer
Malignant pleural mesothelioma
Percent of Patients with Mesothelin Surface Expression
*
*
*
*
Patients with Mesothelin Surface
Expression (U.S., 2018)
1,700
13,000
77,000
11,000
4,000
37,000
5,000
13,000
26,000
62,000
*Indications in our Phase
1/2 clinical trial
81,000 mesothelin
positive patients in our
target indications
NSCLC, Non-small cell lung cancer Refs: Inaguma 2017, SEER Statistics, Morello 2016 23
Up to 81,000 Patients in TC-210’s Target Indications
Ongoing TC-210 Phase 1/2 Trial in MSLN+ Cancers
24LD, Lymphodepletion; RP2D, Recommended Phase 2 dose; MPM, Malignant Pleural/Peritoneal Mesothelioma; NSCLC, Non-Small Cell Lung Cancer
Indications with potential
for accelerated approval
RP2D
PHASE 1: Dose Finding PHASE 2: Expansion
Patient population
Patients with mesothelin-positive solid tumors:
• NSCLC
• Ovarian cancer
• Cholangiocarcinoma
• MPM
Dose level 4+/-LD
Dose level 1+/-LD
Dose level 2+/-LD
Dose level 3+/-LD
NSCLCN=8
TC-210
MPMn=10
TC-210
NSCLCn=12
TC-210 + anti-PD-1
Ovarian cancern=10
TC-210
Cholangiocarcinoman=10
TC-210
NSCLCn=8
TC-210
24
Safety Efficacy
TC-210 Phase 1/2 Trial: Clinical Endpoints & Translational Research
• Endpoint: determine
recommended Phase 2 dose
• Main adverse events (AEs):
•Dose limiting toxicity (DLT)
•AEs of special interest:
• CRS
• Neurotoxicity
• On-target/ off-tumor
toxicity
25
Correlative Data
• Main Objective:
• Overall response rate
(RECIST v1.1)
• Secondary Objectives:
• Time to response
• Duration of response
• Event free survival
• Progression free survival
• Overall survival
• TC-210 T cell
• Expansion
• Persistence
• Phenotype
• Functionality
• Cytokine levels
• Serum mesothelin levels
• TC-210 T cell infiltration
TC-110
TRuCTM-T Cell Hematology Therapy Targeting CD19
Stage of Development: IND in 2H 2019
Current CD19 CAR-T Therapies Leave Room for Improvement
Limited Efficacy
37-41%6 month response rates
in relapsed DLBCL
Significant
Adverse Events
severe CRS
13-23%
severe neurotoxicity
12-28%
Limited Market Penetration
A smaller share actually receive treatment,
<1,000 commercially treatedU.S. patients annually
27
Antigen-escape is a
major cause of relapse
to CAR-T therapy
TC-110 could expand addressable population with new indications
and by reducing adverse events that limit current CAR-T use
Current CAR-T addressable U.S. patientsa
limited to ~8,000a small share of the total market
a Currently indicated for relapsed/ refractory DLBCL and relapsed/ refractory pediatric ALL
R/R patients with:
• aALL
• DLBCL
28R/R: relapsed/refractory; aALL: adult acute lymphoblastic leukemia; DLBCL: diffuse large B-cell lymphoma; PMBCL: primary mediastinal B-cell
lymphoma; TFL: transformed follicular lymphoma; NHL: non-Hodgkin lymphoma; MCL: mantle cell lymphoma; RP2D: recommended phase 2 dose
TC-110 Clinical Trial Design
• TFL
• Indolent NHL
• MCL
• PMBCL
PHASE 1: Dose Finding PHASE 2: Expansion
DL 3
DL 2
DL 1
DL 0
DL -1
DL -2
Aggressive NHL
Indolent NHL
aALL
RP2DNHL/aALL
29
Additional Programs and Capabilities
30
Dual TRuCs for Improved Tumor Targeting
Rationale: Combat tumor heterogeneity and avoid
antigen escape
IndicationsProgram Targets
TC-310
TC-410
CD19 and CD22Follicular Lymphoma
DLBCL
Adult ALL
Mesothelin and MUC16Ovarian Cancer
Pancreatic Cancer
“Off-the-shelf” to simplify manufacturing
and reduce costs of therapy
Allogeneic TRuCs
Building on Our Flexible Platform with Innovative Approaches
Accessories
PD-1 switch and other enhancements to
combat the tumor microenvironment
31
Semi-automated and functionally closed cGMP
process
✓ Produced IND clinical lots
✓ Same manufacturing platform for all product candidates
✓ Cryopreserved input and output, simplifying logistics
✓ Small footprint, amenable to decentralized manufacturing
Additional Agreed Capacity Planned Build-out
Commercial
scale
Total capacity
for nearly
400 annual
treatments
2020+20192018
Access to
capacity for up to
100 annual
treatments
CDMO Partners
32
Manufacturing Process and Future Capacity Options
-UK
33
20202019Q4Q3Q2Q1Q4Q3Q2Q1Q4Q3
2018Q2Q1
2021
1H212H20
TC-210Phase 2
TC-220Phase I
TC-110Phase I
4 Data readouts
7in up to indications
INITIAL CLINICAL TRIAL DATA
TC-210Phase 1
1H202H19
TC-210 TC-110 TC-220
IND
FILINGS3
Multiple Anticipated Near-Term Milestones
Filed Dec. 2018
Net proceeds from IPO
$80M
Existing cash resources expected to fund operations to
clinical data readouts for TC-210, TC-110, and TC-220
Runway
34
Strong Financial Position: Cash Expected to Fund Operations into 2022
20202019
Q4Q3Q2Q1Q4Q3Q2Q1 Q4Q3Q2Q1Q4Q3Q2Q1
2018 2021
1Q 2019 cash and
investments
$192M
Corporate Highlights – Clinical Stage T-Cell Therapy Company
35
Overcomes Limitations of CAR-T and TCR-T Cells
Programs Targeting Solid Tumors and Hematology
Multiple Near-Term Clinical Readouts
World Class Management Team and Partners
Ample Cash To Execute Key Milestones
Unique T-Cell
Platform
Harnessing the Full TCR
Independent of HLA
Thank You