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William Blair Growth Stock Conference Corporate Presentation October 2020

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Page 1: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

William Blair Growth Stock Conference

Corporate Presentation

October 2020

Page 2: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

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This release may contain forward-looking statements, within the meaning of applicable securities laws, including the

Private Securities Litigation Reform Act of 1995. Forward-looking statements may involve known and unknown risks and

uncertainties which might cause actual results, financial condition, performance or achievements of Celyad Oncology to

differ materially from those expressed or implied by such forward-looking statements. Such risk and uncertainty includes

the expected date of the Phase 1 trials initiations by year-end 2020, our development of additional shRNA-based

allogenic candidates from our CYAD-200 series towards clinical trial, and the duration and severity of the COVID-19

pandemic and government measures implemented in response thereto. A further list and description of these risks,

uncertainties and other risks can be found in Celyad Oncology’s U.S. Securities and Exchange Commission (SEC)

filings and reports, including in its Annual Report on Form 20-F filed with the SEC on March 25, 2020 and subsequent

filings and reports by Celyad Oncology. These forward-looking statements speak only as of the date of publication of

this document and Celyad Oncology’s actual results may differ materially from those expressed or implied by these

forward-looking statements. Celyad Oncology expressly disclaims any obligation to update any such forward-looking

statements in this document to reflect any change in its expectations with regard thereto or any change in events,

conditions or circumstances on which any such statement is based, unless required by law or regulation.

Forward Looking Statements

Page 3: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

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Celyad Oncology – Novel Perspective on CAR T Development

• Leader in non-gene edited

allogeneic CAR T

development underpinned

by two proprietary

technologies which

leverages our

All-in-One Vector approach

• TIM – TCR Inhibitory

Molecule, i.e. CYAD-101

• shRNA – short hairpin

RNA, i.e. CYAD-211

Differentiation within

Allogeneic CAR T

AML: Acute myeloid leukemia; mCRC: Metastatic colorectal cancer; MDS: Myelodysplastic syndrome; NKG2D: Natural killer group 2D; r/r: relapse/refractory;

TCR: T cell receptor; shRNA: short hairpin RNA.

Pioneer in

NKG2D CAR Ts

• Multiple NKG2D receptor-

based CAR Ts in clinical

development for the

treatment of both solid

tumors (mCRC) and

hematological

malignancies (r/r AML

and MDS)

• Unique opportunity to

drive a “pipeline in a

program” strategy given

NKG2D’s broad

applicability to target

stress ligands across

multiple cell types

• CYAD-101 represents a

first-in-class, clinical-

stage allogeneic CAR T

for the treatment of solid

tumors

• Clinical collaboration with

MSD (Merck & Co.) will

evaluate CYAD-101 with

KEYTRUDA®

for the treatment

of microsatellite stable

mCRC in Phase 1b

KEYNOTE-B79 trial

Ahead of the Class in

Solid Tumors

Robust Intellectual

Property Estate

• Nine foundational U.S.

patents associated with

allogeneic CAR T for the

treatment of cancer

• Additional patents

issued globally

• Strong IP regarding

NKG2D receptor-based

cell therapies

Page 4: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

3

Differentiated Pipeline of Next-Generation CAR T Candidates

TARGET INDICATION PRECLINICAL PHASE 1 PHASE 2 PHASE 3

CYAD-01 NKG2DL r/r AML / MDS

CYAD-02 NKG2DL r/r AML / MDS

TARGET INDICATION PRECLINICAL PHASE 1 PHASE 2 PHASE 3

CYAD-101 NKG2DL mCRC

CYAD-103 NKG2DL Solid tumors

CYAD-211 BCMA r/r MM

CYAD-221 CD19 B-cell

maligancies

CYAD-231 NKG2DL x

Undisclosed

Solid tumors

Allogeneic

Autologous

AML: Acute myeloid leukemia; BCMA: B-cell maturation antigen; mCRC: Metastatic colorectal cancer; MDS: Myelodysplastic syndrome; NKG2DL: Natural killer group 2D ligands; r/r: relapse/refractory.

Page 5: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

CYAD-101 –Allogeneic CAR T

Candidate for mCRC

Page 6: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

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Background on CYAD-101

CYAD-101 – TIM-based Allogeneic CAR T Candidate for mCRC

FOLFOX: Combination of 5-fluorouracil, leucovorin and oxaliplatin; GMP: Good Manufacturing Practice; GvHD: Graft-versus-Host Disease; mCRC: Metastatic colorectal cancer;TCR: T-cell receptor.

• CYAD-101 co-expresses NKG2D receptor, novel allogeneic TCR

Inhibitory Molecule (TIM) and selection marker

• All-in-one vector approach

• Single transduction

• Avoids multiple genetic modifications and cost associated with

additional GMP grade materials

• The expression of TIM results in the competitive inhibition of CD3ζ

and reduces signaling of the TCR complex

• alloSHRINK Phase 1 trial is evaluating CYAD-101 with FOLFOX

preconditioning chemotherapy for the treatment of

recurrent/progressing mCRC with microsatellite stable (MSS)

disease

Page 7: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

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alloSHRINK Phase 1 Trial – Preliminary Results

FX: FOLFOX; FiRi: FOLFIRI; FiRiX: FOLFIRINOX; Cetux: Cetuximab; Pmab: Panitumumab; Bev: Bevacizumab; LTFU: Lost to follow-up.

PR: Partial response; SD: Stable disease; PD: Progressive disease; GvHD: Graft versus Host Disease; mCRC: metastatic Colorectal cancer, mPFS: median Progression Free Survival

(a) Include regorafenib, trifluridine/tipiracil, undisclosed Phase I/II agent, checkpoint inhibitor, aflibercept, binimetinib, encorafenib, liver embolization, internal radiotherapy with Ytrium 90 spheres.

(b) Greater than two metastatic lines of treatment.

Key Takeaways

• Results demonstrate favorable

tolerability profile for CYAD-101

with no DLT nor GvHD

observed in fifteen patients

from dose escalation

• Best overall response includes

two patients with partial

response and two patients with

durable stable disease

• Encouraging disease

control rate of 73%

• mPFS of 3.9 months

• Overall data are HLA-

independent indicating CYAD-

101’s broad potential

Page 8: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

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alloSHRINK Phase 1 Trial – Change in Tumor Burden From Baseline

-100

-90

-80

-70

-60

-50

-40

-30

-20

-10

0

10

20

30

40

% c

hange f

rom

scre

enin

g

in s

um

of ta

rget

lesio

ns

PD(1)PD(1)SD

SD

SDSD SD

PR

PR

SD

SD

SDSD

1x109 cells / infusion

3x108 cells / infusion

1x108 cells / infusion

PD

Mutated

Wild-type

RAS

BRAF UNK UNK

PD

(1) Progression of non-target lesions.

PR: Partial response; SD: Stable disease; PD: Progressive disease; UNK: Unknown.

DLT: Dose-limiting toxicities; GvHD: Graft-versus-Host Disease; TRAEs: Treatment-related adverse events.

• Tumor burden decrease was

observed in eight out of 15

evaluable patients, including six

of nine patients at dose level 3

• Clinical activity observed

across all dose levels

• There was no obvious

correlation between response,

dose-levels nor baseline

characteristics

Key Takeaways

Page 9: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

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CYAD-101 with KEYTRUDA® in Refractory mCRC

• Recently announced clinical trial collaboration with MSD, a tradename of Merck & Co., Inc., to conduct

the Phase 1b KEYNOTE-B79 clinical trial

• KEYNOTE-B79 will evaluate CYAD-101 following FOLFIRI preconditioning chemotherapy, with MSD’s

anti-PD-1 therapy, KEYTRUDA® (pembrolizumab) in refractory metastatic colorectal cancer (mCRC)

patients with microsatellite stable (MSS) / mismatch-repair proficient (pMMR) disease

• We believe the mechanism of actions between NKG2D and anti-PD-1 therapy are highly

complementary

• Checkpoint blockade could enhance the CYAD-101-sculpted tumor microenvironment, thereby

driving a more durable anti-tumor response in solid tumors

• KEYNOTE-B79 provides opportunity to build upon the encouraging clinical activity from ongoing

alloSHRINK trial, in particular the planned expansion segment of trial

• KEYNOTE-B79 trial expected to begin in first half 2021

FOLFIRI: Combination of 5-fluorouracil, leucovorin and irinotecan; mCRC: metastatic Colorectal cancer.

Background on KEYNOTE-B79 Trial

Page 10: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

9CyFlu: Cyclophosphamide and fludarabine; FOLFOX: Combination of 5-fluorouracil, leucovorin and oxaliplatin; FOLFIRI: Combination of 5-fluorouracil, leucovorin and irinotecan;

mCRC: metastatic Colorectal cancer; MSS: microsatellite stable; pMMR: mismatch-repair proficient.

Clinical Development of CYAD-101 – Summary

• Encouraging initial data from

CYAD-101 following FOLFOX

preconditioning chemotherapy

observed to date in refractory

mCRC

• Expansion segment of trial set

to evaluate CYAD-101 (one

billion dose) following FOLFIRI

preconditioning chemotherapy

• On-track to begin in fourth

quarter 2020

• Preliminary data anticipated

by mid-2021

alloSHRINK KEYNOTE-B79 Future Trials

• Evaluate CYAD-101 following

FOLFIRI preconditioning

chemotherapy, with anti-PD-1

therapy, KEYTRUDA®

(pembrolizumab) in mCRC

patients with MSS / pMMR

disease

• Trial expected to begin in first

half 2021

• Opportunity to further assess

CYAD-101’s potential clinical

activity, including:

• Following alternative

preconditioning (i.e. CyFlu)

in mCRC

• Additional solid tumor

indications

Page 11: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

CYAD-200 Series –shRNA-based Allogeneic

Candidates

Page 12: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

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shRNA Platform for Allogeneic CAR T Candidates

• In 2018, the Company entered into an exclusive agreement with Horizon Discovery Group for

the use of its shRNA SMARTVector technology to develop next-generation, non-gene edited

allogeneic platform for CAR T therapies

• shRNA platform provides flexibility to combine with a broad array of CARs

• Leverages a single vector approach to generate allogeneic CAR T cells which builds upon

company’s “All-in-One Vector” approach

• TCR knockdown using shRNA compares favorably to gene editing methods to inhibit TCR

expression

• In vivo protection of GvHD using shRNA knockdown is similar to CRISPR-Cas9 knockout

• In vivo experiments demonstrate that persistence of allogeneic T cells produced with shRNA technology

is superior to cells engineered with gene editing technologies

Developing a Next-Generation, Non-Gene Edited Allogeneic Platform

GvHD: Graft versus Host Disease; shRNA: short hairpin RNA.

Page 13: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

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0 5 10 15 20 25 30 35 40 45 50 55 60 650

50

100

Graft Vs Host Disease

Days after injection

Perc

en

t su

rviv

al

Control T cells

BCMAshCD3ζCAR T cell

0 20 40 600

50

100

Efficacy

Days after tumor cell injection

Perc

en

t su

rviv

al

BCMAshCD3ζCAR T cell

Control T cells

Vehicle

CYAD-211 – Lead shRNA-based Allogeneic Candidate

• anti-BCMA CAR T cells with shRNA targeting CD3ζ component exhibit no signs of TCR

activation with anti-tumor activity in preclinical models

Expression of Single shRNA Hairpin Provides Prolonged TCR Knockdown

BCMA: B-cell maturation antigen; shRNA: short hairpin RNA.

Con

trol T

cells

shRNA C

D3

CRIS

PR C

D3

0

20

40

60

80

100

TC

R a

ctivation

****

**** n.s.

TCR Activation Graft-versus-Host Disease Anti-Tumor Activity

0 5 10 15 20 25 30 35 40 45 50 55 60 650

50

100

Graft Vs Host Disease

Days after injection

Perc

en

t su

rviv

al

Control T cells

BCMAshCD3ζCAR T cell

0 20 40 600

50

100

Efficacy

Days after tumor cell injection

Perc

en

t su

rviv

al

BCMAshCD3ζCAR T cell

Control T cells

Vehicle

Page 14: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

13

CYAD-211 – anti-BCMA CAR-T for Multiple Myeloma

Background on IMMUNICY Phase 1 Trial

• Open-label, Phase 1 dose-escalation trial to determine the recommended dose in multiple

myeloma patients with relapsed or refractory disease

• In addition, set to establish proof-of-concept using shRNA technology for allogeneic CAR T

development with validated target

• Single administration of CYAD-211 following non-myeloablative preconditioning

chemotherapy of cyclophosphamide and fludarabine

• Investigational New Drug (IND) application went into effect with the Food & Drug

Administration (FDA) in July 2020

• Clinical Trial Application received conditional approval by the Federal Agency for Medicines and Health

Products (FAMHP) in September 2020

• IMMUNICY Phase 1 trial on-track to initiate by year-end 2020

BCMA: B-cell maturation antigen; shRNA: short hairpin RNA.

Page 15: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

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• Duplex shRNA hairpin from a single vector enables generation of a homogenous CAR T cell population

through single step enrichment

shRNA Platform – Multiple Gene Knockdown

Efficient Expression of shRNAs Using All-in-One-Vector Approach

gRNA: guide RNA; shRNA: short hairpin RNA.

Control Duplex shRNA CD3ζ + CD52 Duplex gRNA CD3ζ + CD52

Page 16: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

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• Transduced Jurkat cells demonstrate concurrent knockdown of the multiple gene products at the mRNA

and protein levels

Single Multiplexed Vector Enables Knockdown of Four Genes Simultaneously

mRNA: messenger RNA; shRNA: short hairpin RNA.

mRNA Levels Protein Levels

shRNA Platform – Innovative Technology Offers Multiplex Capabilities

no shRNA

1x shRNA

4x shRNA

no shRNA

1x shRNA

4x shRNA

no shRNA

1x shRNA

4x shRNA

no shRNA

1x shRNA

4x shRNA

0.0

0.5

1.0

Fold

ch

ange

CD3ζB2M CD52DGK

no shRNA

1x shRNA

4x shRNA

no shRNA

1x shRNA

4x shRNA

no shRNA

1x shRNA

4x shRNA

no shRNA

1x shRNA

4x shRNA

0.0

0.5

1.0

MFI

fo

ld c

han

ge

TCRCD3HLA-ABC CD52

Next-generation candidates exploring multiple

shRNA knockdowns are currently under development

Page 17: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

CYAD-01 / CYAD-02 –Autologous AML / MDS

Program

Page 18: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

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Broad NKG2D Receptor CAR T r/r AML and MDS Program

First-in-Class CYAD-01

CyFlu: Cyclophosphamide (300 mg/m²) and fludarabine (30 mg/m²); AML: Acute myeloid leukemia; MDS: Myelodysplastic syndrome; r/r: relapse/refractory.

• Currently under investigation in ongoing

expansion cohort of Phase 1 THINK trial

• THINK trial is assessing the safety and clinical

activity of multiple CYAD-01 administrations

without prior preconditioning chemotherapy

• Expansion cohort to assess CYAD-01 cells at

300 million dose level

• Plan to enroll up to ten patients in expansion

phase

• Data from the dose-expansion cohort of the

Phase 1 THINK trial expected by year-end

2020

• CYAD-02 leverages our shRNA technology to

target the NKG2D ligands, MICA and MICB

• Translates to an encouraging increase in vitro

proliferation, in vivo engraftment and anti-tumor

activity

• Phase 1 CYCLE-1 dose-escalation trial

evaluating the safety and clinical activity of

CYAD-02 following preconditioning with CyFlu

• Plan to enroll nine patients across three dose

levels (100 million, 300 million and 1 billion)

• Preliminary data from the dose-escalation

Phase 1 CYCLE-1 trial anticipated by year-end

2020

Next-Generation CYAD-02

Page 19: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

Strategy & Financials

Page 20: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

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Strong Intellectual Property

Key U.S. Patents Strategic Validation

• In May 2017, Celyad granted Novartis a

non-exclusive license for allogeneic

TCR-deficient CAR T cells patents

related to two undisclosed targets

• Deal terms: Undisclosed upfront

payment with $96 million in milestones

plus royalties on commercial U.S. sales

• Celyad retains all rights to grant further

licenses to the undisclosed targets

• Allogeneic T-Cell Technology (1)

• T cell receptor deficient T cell

compositions

• Method of producing T cell receptor

deficient T cells expressing a

chimeric receptor

• Chimeric NK receptor and methods

for treating cancer (2)

(1) Granted U.S. Patents: No. 9,181,527, No. 9,938,497, No. 9,957,480, No. 9,663,763, No. 9,822,340 and No. 9,821,011.

(2) Granted U.S. Patent: No. 9,273,283.

Page 21: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

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Upcoming Anticipated Milestones

Second Half 2020

First Half 2021

CYAD-211 in r/r MM: Initiate first-in-human, dose-escalation Phase 1

trial

CYAD-01 in r/r AML and MDS: Report data from expansion cohort of

Phase 1 THINK trial

CYAD-02 in r/r AML and MDS: Report preliminary data from dose-

escalation Phase 1 CYCLE-1 trial

CYAD-101 in mCRC: Begin expansion cohort of alloSHRINK trial

CYAD-101 in mCRC: Initiate Phase 1b KEYNOTE-B79 trial with

KEYTRUDA®

CYAD-101 in mCRC: Report preliminary data from expansion cohort

of alloSHRINK trial

CYAD-211 in r/r MM: Report proof-of-concept data from initial dose

cohorts of Phase 1 trial

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Financial Snapshot

• Cash, cash equivalents and short-term investments of €26.7 million

($30.0 million) as of June 30, 2020

• Current cash expected to support the company’s activities into third quarter 2021

• Basic Shares Outstanding: 13.942 million

• Ticker: Nasdaq (CYAD) and Euronext Brussels & Paris (CYAD.BR)

Page 23: Corporate Presentation · •CYAD-02 leverages our shRNA technology to target the NKG2D ligands, MICA and MICB •Translates to an encouraging increase in vitro proliferation, in

William Blair Growth Stock Conference

Corporate Presentation

October 2020