Full Press Release Details
Corporate Presentation September 2025
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Positioned for Execution & Growth Suppressing Hunger to Treat Rare Metabolic Diseases and Obesity Rare Disease Hyperphagia in Prader-Willi Syndrome Obesity Epidemic Goal to address limitations of existing therapies Validated Market Opportunities Populations with severe unmet medical needs Balance Sheet Funded into 2027 Upcoming Data Readout Phase 3 HERO trial topline expected Q3 2026 Novel Mechanism Oral drug targeting root cause of hunger
Expert Leadership Spans Clinical, Scientific, & Commercial Tien Lee Bryan Jones Our Team Our Board Founder and Chief Executive Officer Chief Operating Officer Manasi Jaiman Chief Medical Officer Nelson Sun Chief Financial Officer Zhenhuan Zheng Chief Research Officer Timothy Kieffer Chief Scientific Officer Danny Villeneuve Chief Commercial Officer Christian Zapf General Counsel Tien Lee Founder and Chief Executive Officer Victor Tong, Jr. Managing Director, Decheng Capital Jeffrey Chi Senior Consultant, Vickers Venture Partners Susan Graf Entrepreneur in Residence Locust Walk Partners Roy Baynes Chief Medical Officer Eikon Therapeutics
Hunger vs Appetite: Distinct Neural Pathways Appetite Hunger Penalty avoidance Mediated by local gut hormones like CCK Signaling through the Gut-Brain Axis Reward-based Mediated by circulating hormones like GLP-1 Targeted systemically through the bloodstream CCK, cholecystokinin; GLP-1, glucagon-like peptide-1
HERO TRIAL Hyperphagia ARD-101 Population & Indication Prader-Willi Syndrome PHASE 3 Trial Ongoing Key Goals Expand treatment options Treat high unmet medical need POWER TRIAL Weight Maintenance ARD-201 Population & Indication Obesity PHASE 2 Trial Development Key Goals Weight rebound prevention Improve tolerability STRENGTH TRIAL Weight Loss ARD-201 Population & Indication Obesity PHASE 2 Trial Development Key Goals First-line treatment Enhance GLP-1RA efficacy Driving Innovation Across Indications
ARD-101 for Hyperphagia: Prader-Willi Syndrome
Prader-Willi Syndrome: Unmet Medical Need PWS is a rare genetic disorder characterized by hyperphagia (insatiable hunger) and abnormalities in hormone regulation Building on a Proven Precedent Currently, only one FDA-approved product to treat hyperphagia 10,000-20,000 Initially Addressable PWS Patients in U.S. Market(1) 350-400K Worldwide Cases of PWS(2) >$450,000 Annual Price of Approved Therapy(3) >$4.6B Annual U.S. Market Opportunity w/ One Approved Drug(4) $ (1) Numbers rounded to nearest 1,000.(2) Butler, M. G., and T. Thompson. 2000. Prader-Willi Syndrome: Clinical and Genetic Findings, Endocrinologist, 10:3S-16S. (3) Managed Healthcare Executive, March 2025. (4) Calculated by diagnosed PWS patients and expected annual cost of only approved therapy. Validated Market Potential Rapid high patient adoption confirms unmet need Early payer adoptions indicate favorable market access The Central Challenge in PWS Hyperphagia is the main driver of physical, behavioral, and emotional disruption in PWS Onset of hyperphagia dramatically increases caregiver burden Current treatments have limitations, and many patients continue to face challenges
ARD-101 is Designed to Address Root Cause of Hyperphagia Activation of Gut-Localized Hormone Secretion ARD-101 binds to intestinal TAS2Rs Endogenous release of key gut-hormones like CCK Activates gut-brain signaling to inhibit hunger (1) Moran, T. H., and S. Bi. 2006. Hyperphagia and obesity in OLETF rats lacking CCK-1 receptors, Philos Trans R Soc Lond B Biol Sci, 361: 1211-8. (2) Cleveland Clinic, Cholecystokinin. 2024. (3) Br J Pharmacol. 2004 Apr;141(8):1275-84. doi: 10.1038/sj.bjp.0705769. (4) Physiol Behav. 2015 Nov 1;151:198-206. doi: 10.1016/j.physbeh.2015.07.009. (5) Sci. Direct, Neuroendocrinology. 2024. doi.org/10.1016/j.yfrne.2024.101122. DISRUPTS SATIETY FEEDBACK Impaired CCK signaling may lead to compulsive eating & hyperphagia(1) HEIGHTENED STRESS RESPONSE Reduced CCK may contribute to anxiety, distress, and emotional dysregulation(2) GI & METABOLIC DYSFUNCTION CCK deficiency affects digestion, inflammation, and fat accumulation(3-5) Dysregulated CCK in Key PWS Features ARD-101's unique mechanism of action, stimulating the secretion of local gut-hormones, including CCK, is being investigated for its potential to address the root cause of hyperphagia and its most debilitating symptoms of PWS
- PWS Program in Advanced Development PHASE 2 Hunger reduction observed 13 patients on a fixed dose and 6 patients on a dose escalation were enrolled(2) 4 patients on dose escalation protocol were na ve to ARD-101, 2 were re-dosed from the fixed dose cohort Hunger was assessed by the Hyperphagia Questionnaire for Clinical Trials (HQ-CT) Preliminary improvements in fat and lean mass REGULATORY Orphan Drug Designation granted by FDA Phase 3 to have Open Label Extension SUMMARY Phase 1 First-in-Human COMPLETE Phase 2 Open-Label COMPLETE Phase 3 HERO Trial ONGOING Well-tolerated at all doses 99% restricted to the gut Minimal systemic exposure Open-label trial Well-tolerated at all doses 1 grade 2 AE, others were grade 1, and all resolved without sequelae 8.5-point decrease in HQ-CT 9 score in 28 days(1) 18 patients completed dosing(2) Optimized study design for improved controls 12-week treatment period Data readout expected in Q3 2026 (1) Average of overall per protocol HQ-CT 9 is -8.5 from baseline to day 28. N=11 (2) 19 patients were enrolled and are included in the Safety Analysis Sets, but 18 patients completed dosing. Of the 18, 2 patients were re-dosed. 1 patient was excluded from the efficacy analysis due to missing data for the primary endpoint
Baseline Day 15 200 mg BID Day 28 200 mg BID Baseline Day 8 400 mg BID Day 15 600 mg BID Day 28 800 mg BID Fixed Dose Cohort(1, 2) Dose Escalation Cohort(3) Withdrawal -9 -7.8 (1)Only HQ-CT 9 is plotted, similar findings for HQ-CT 13 were recorded (2)Day 15 n=6 as subject 100-103 did not have day 15 HQ-CT (3)2 subjects were found to have protocol deviations related to the endpoint and were removed from Per Protocol analysis Both graphs are the mean point change in HQ-CT 9 from each treatment visit compared to baseline Withdrawal Treatment Hyperphagia Severity Correlates with Drug Exposure Both cohorts showed measurable reductions in hyperphagia after 28 days of treatment with ARD-101 with symptoms returning within two weeks of treatment cessation Treatment ARD-101 CLINICAL PHASE 2 PWS
Directional Consistency in Dose Response ARD-101 CLINICAL PHASE 2 PWS Within-Subject Comparison Two subjects were enrolled in both cohorts 800 mg BID Dose Rationale Maximize target engagement Minimize potential food dilution Dose Escalation Produces Greater Day 28 Response(1) (1)Percent change from baseline to Day 28 was calculated to enable direct comparison between subjects. One subject completed a longer version of the assessment, and normalization by percent change ensured comparability across dose levels.
HERO Hunger Elimination or Reduction Objective EVALUATING Change in Hyperphagia Questionnaire for Clinical Trials (HQ-CT) Score RANDOMIZATION SCREENING OLE PWS Patients W/ Hyperphagia 13 years & older Open-Label Extension BASELINE MEASUREMENT WEEK 12 N=45 Treatment Arm A ARD-101 Treatment Arm B Placebo N=45 Currently Enrolling: Phase 3 Design ARD-101 CLINICAL PHASE 3 Primary endpoint: change in HQ-CT score from baseline to Week 12, analyzed by MMRM in ITT patients with HQ-CT 13.
Challenges Highlight Need for Additional Options (1) Soleno Phase 3 data (DCCR, Prader-Willi Syndrome): 7-point clinically meaningful HQ-CT threshold achieved at 26 weeks (~6 months) (2) Butler MG et al., Front Endocrinol (2023). doi: 10.3389/fendo.2023.1168648 (3) Prescribing Information, VYKAT XR (Diazoxide Extended Release) (4) VYKAT XR Prescribing Information, Table 3, Section 5.2 (5) Manzardo AM et al., Curr Diab Rep (2020). doi: 10.1007/s11892-020-1284-5 Currently Approved Hyperphagia Treatment RENAL & HEPATIC RESTRICTIONS Not recommended in ~20% of adults with PWS(2) SAFETY RISKS Risk of hyperglycemia and ketoacidosis; ~10-25% already have T2D(5) ADVERSE REACTIONS 36% experience hypertrichosis(3), 27% with edema, including pulmonary edema(4) Need for Innovation BROADER ACCESS Expand options for those with comorbidities or label restrictions IMPROVED PATIENT EXPERIENCE Minimizing risks that add to existing health challenges with fewer side effects TARGETING CORE CHALLENGE Therapies that restore satiety and metabolic balance EARLIER ONSET OF BENEFIT Signals of efficacy that could support increased quality of life sooner DELAYED EFFICACY Pre-approval trial required up to ~6 months to reach meaningful HQ-CT threshold(1)
Real-World Challenge in Obesity Treatment The global GLP-1RA weight loss drugs market size was estimated at USD 13.84B in 2024 and is projected to reach USD 48.84B by 2030, growing at a CAGR of 18.54% from 2025 to 2030(1) Limitations of GLP-1RA Therapies LONG-TERM COMPLIANCE ~50% of patients discontinue GLP-1RA drugs within 3 months(2) GASTROINTESTINAL SIDE EFFECTS Nausea, vomiting, diarrhea, and constipation are prevalent POST-DISCONTINUATION REGAIN ~2/3 of weight loss regained within one year of GLP-1RA withdrawal(3) Need for Innovation NEW EFFECTIVE ALTERNATIVES Need for effective treatment with improved long-term benefits IMPROVED SAFETY/TOLERABILITY Lower side effect burden and more tolerable patient experience WEIGHT LOSS MAINTENANCE Durable, sustainable weight control following GLP-1RA discontinuation (1)GLP-1 Agonists Weight Loss Drugs Market Size, Share & Trends Analysis (Grand View Research, 2025) (2) Issue Brief (Real-World Trends in GLP-1 Treatment Persistence and Prescribing for Weight Management, May 2024) (3) STEP 1 Trial Extension (Weight Regain after Semaglutide Withdrawal, Aug 2022)
- Differentiating ARD-201 in Obesity ARD-201 Fixed-dose combination of the TAS2R agonist in ARD-101 and a DPP-4 inhibitor TAS2R activation stimulates gut-brain satiety signals (e.g., CCK, GLP-1) to reduce hunger Sitagliptin extends the biological activity of gut hormones, including GLP-1 Translational findings support ARD-201 as mono-, combo-, and post-GLP-1RA therapy opportunities SUMMARY Preclinical Translational Model Phase 2A Obesity ARD-101* Phase 2 POWER Trial ARD-201 Phase 2 STRENGTH Trial ARD-201 ARD-201 *Evaluated ARD-101 as a single agent, no DPP-4 enhancement added (1)CoEQ, Control of Eating Questionnaire 19% weight loss in 30 days 30% weight loss with tirzepatide Prevented weight rebound Well-tolerated Reduced hunger in 28 days (CoEQ(1)) Completed, findings de-risk ARD-201 Weight maintenance Post GLP-1RA induced weight loss Expected initiation: 2H 2025 Weight loss ARD-201, + combo therapy with GLP-1RA Expected initiation: 1H 2026
ARD-201 Induces Transformational Weight Loss ~19% WEIGHT LOSS Gold-standard diet-induced obesity mouse model ARD-201 induced ~19% weight loss in 30 days Relative potency translationally predictive(1) ARD-201 PRECLINICAL (1)DIO-B6 Mouse Model (Diet-Induced Obese B6 Mouse Model, Taconic Biosciences) DIO-B6 MOUSE MODEL
ARD-201 Prevents Weight Regain & Enhances GLP-1RA Efficacy Off Drug Weight Regain ARD-201 is comparable to continued tirzepatide treatment Combination with ARD-201 exceeds effect of tirzepatide alone ~30% WEIGHT LOSS TIRZEPATIDE INDUCED WEIGHT LOSS* TIRZEPATIDE WITHDRAWAL* ARD-201 PRECLINICAL (*)DIO-B6 Mouse Model (Diet-Induced Obese B6 Mouse Model, Taconic Biosciences) DIO-B6 MOUSE MODEL
POWER Trial Potential maintenance-phase solution as an off-ramp for GLP-1RA therapy responders Target high-risk window when patients are vulnerable to weight regain and metabolic reversal Weight Maintenance STRENGTH Trial Potential oral alternative for patients who are hesitant, intolerant, and/or unresponsive to GLP-1RA therapy Combination with GLP-1RA to address weight loss ceiling & potential to reduce GLP-1RA dose exposure Weight Loss Positioning ARD-201 Across the Obesity Paradigm Targeted clinical trial designs to address gaps in current obesity treatment landscape
Advancing a De-Risked, Multi-Indication Pipeline Differentiated Approach Targeting biological pathways to alleviate hunger Strategic Deployment Core IP unlocks both single agent and combination approach Key Data Readout PWS Phase 3 trial topline data expected Q3 2026 Significant Unmet Need Demonstrated path to commercial value in hyperphagia and obesity Runway into 2027 Balance sheet supports developments into 2027 Experienced Leadership Track record of driving approvals, acquisitions, and global launches
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