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FORWARD-LOOKING STATEMENTS AND NOTES REGARDING THIS PRESENTATION This presentation may contain forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995. Any statement describi

Key Takeaway: Overview of product candidate ACU193 and the ongoing Phase 1 INTERCEPT-AD trial November 2021 Exhibit 99.1 FORWARD-LOOKING STATEMENTS AND NOTES REGARDING THIS PRESENTATION This presentation may contain forward-looking statements within the meaning of The Private Securities Lit

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Overview of product candidate ACU193
and the ongoing Phase 1 INTERCEPT-AD trial November 2021 Exhibit 99.1
FORWARD-LOOKING STATEMENTS AND NOTES
REGARDING THIS PRESENTATION This presentation may contain forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995. Any statement describing Acumen's goals, expectations, financial or other
projections, intentions or beliefs is a forward-looking statement and should be considered an at-risk statement. Words such as "believes," "expects," "anticipates," "could,"
"would," "seeks," "aims," "plans," "potential", "will" and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements
contain these identifying words. Forward-looking statements include statements concerning Acumen's business and the therapeutic potential of Acumen's product candidate, ACU193, including its potential for improved safety and efficacy as
compared to other monoclonal antibodies in development, as well as the expectations concerning the INTERCEPT-AD trial. These statements are based upon the current beliefs and expectations of Acumen management, and are subject to certain
factors, risks and uncertainties, particularly those inherent in the process of discovering, developing and commercializing safe and effective human therapeutics. Such risks may be amplified by the impacts of the COVID-19 pandemic. These
and other risks concerning Acumen's programs are described in additional detail in Acumen's filings with the Securities and Exchange Commission ("SEC"), including in Acumen's Quarterly Report on Form 10-Q for
the quarter ended June 30, 2021, filed with the SEC on August 16, 2021, which is available on the SEC's website at www.sec.gov. Copies of these and other documents are available from Acumen. Additional information will be made
available in other filings that Acumen makes from time to time with the SEC. These forward-looking statements speak only as of the date hereof, and Acumen expressly disclaims any obligation to update or revise any forward-looking statement, except
as otherwise required by law, whether, as a result of new information, future events or otherwise. This presentation discusses Acumen's investigational drug ACU193 that is in an early Phase 1 First in Humans clinical study. ACU193 has not been
approved for marketing by the U.S. Food and Drug Administration or any regulatory authority. Certain information contained in this presentation relates to or is based on studies, publications, surveys and other data obtained from third-party
sources and Acumen's own internal estimates and research. While Acumen believes these third-party sources to be reliable as of the date of this presentation, it has not independently verified, and makes no representation as to the
adequacy, fairness, accuracy or completeness of any information obtained from third-party sources. In addition, all of the market data included in this presentation involves a number of assumptions and limitations, and there can be no
guarantee as to the accuracy or reliability of such assumptions. Finally, while we believe our own internal research is reliable, such research has not been verified by any independent source.
AbOs may consist of 2 to >200 Ab
peptides. Kelley et al. Simulating oligomerization at experimental concentrations and long timescales: A Markov state model approach. J Chem Physics 2008. Quaternary structures of A Oligomers, protofibrils and fibrils Relini et al. Misfolding
of amyloidogenic proteins and their interactions with membranes Biomolecules 2014 Figure 3. Atomic force microscopy images of representative steps of amyloid aggregation: (A) oligomers; (B) protofibrils; (C) mature fibrils. Scan size 1.0
m. Z range (A) 8.0 nm; (B) 15 nm; (C) 20 nm.
Even in the presence of a large excess
of A monomer, binding of ACU193 to A Os is unchanged Highly selective for A oligomers versus A monomers ACU193 is the first mAb developed to selectively target A Os Binding of ACU193 to A Os >500x binding to
A monomer SELECTIVITY ACU193 selective binding to AbOs is preserved even in the presence of a large excess of Ab monomer Log [Competing Antigen] M ACU193 Selectivity ACU193 Selectivity in presence of 5 M monomeric A Data On
File % Percent Control AbOs binding (RLUs) ACU193 Log M
AD Hippocampus ThioS/amyloid plaque AD
Hippocampus ACU193/AbOs ACU193 is highly selective for A Os versus A plaques ACU193 staining in human AD brain slices from hippocampus: ACU193 (red) binds non-Thioflavin S positive Ab (green) SELECTIVITY ACU193 has limited to no binding
to thioflavin S positive fibrillar A plaque in human AD brain tissue Cline E. et al. Synaptic intervention in Alzheimer's disease: soluble A oligomer directed ACU193 monoclonal antibody therapeutic for treatment of early
Alzheimer's disease. J. Prevent. Alzheimer's Dis., 6 (Supplement 1) (2019), p. S151.
PHARMACOLOGY SELECTIVITY After binding
to neurons, AbOs disrupt Long Term Potentiation (LTP) and cause pathologic increases in intracellular calcium that is destructive to cells. A Os bind to neurons and are toxic; the murine IgG1 parent of ACU193 (ACU3B3) prevents toxicity ACU3B3
prevents A O inhibition of hippocampal LTP ex vivo Control A 42 (50 nM) A 42 (50 nM) + ACU3B3 (100 pM) ACU3B3 prevents A O mediated Ca2+ elevation in cell cultures ACU3B3 prevents aberrant neuronal activity caused by AbOs
and prevents AbO mediated disruption of calcium homeostasis in neuronal cultures Data on File and Wang X. et al. An acute functional screen identifies an effective antibody targeting amyloid-beta oligomers based on calcium imaging. Sci Rep.
Murine parent of ACU193 (3B3) was used
to treat younger mice with depositing plaque or older mice with abundant plaque Treatment of a transgenic mouse model of AD results in reduction of behavioral deficits Deficits in younger (5-7 months) transgenic mice are markedly reduced with
treatment PHARMACOLOGY SELECTIVITY Morris Water Maze Deficits in older (9-10 months) transgenic mice are markedly reduced with treatment MWM swim speed abnormality (**p<0.02). Open field total distance measurement, APP-Veh vs. APP-3B3, *p=0.029.
Open Field Dodart JC et al. Passive immunization with the anti-A oligomer antibody ACU-3B3 improves behavioral deficits in hAPPSL tg mice. SfN, Washington, DC 2014. Ma K. et al. Soluble A -Oligomer-Selective Antibody ACU3B3 Reduces
Amyloid Pathology & Improves Multiple Behavioral Domains in a Mouse Model of AD. Alz&Dement.15, (7S Part 11 P2-063).1Jul2019 and Data on File
Phase 1 overview TRIAL DESIGN:
Randomized Placebo Controlled Phase 1 Part A : Single-Ascending Dose Part B : Multiple-Ascending Doses ENROLLMENT CRITERIA: Early AD Mild Cognitive Impairment and Mild Dementia due to AD (amyloid positive by PET) TRIAL OBJECTIVES: Proof of Mechanism
(PoM) Safety and tolerability Pharmacokinetics Target Engagement Exploratory cognition and biomarkers
Randomized Placebo Controlled Phase 1
in Early AD patients: INTERCEPT-AD PART A: SINGLE- ASCENDING DOSE n = 8 per cohort (32 total) PART B: MULTIPLE- ASCENDING DOSE n = 10 per cohort (30 total) COHORT 1: 2 mg/kg ACU193 or Placebo 2mg COHORT 2: 10 mg/kg ACU193 or Placebo 10mg COHORT 3:
25 mg/kg ACU193 or Placebo 25mg COHORT 4: 60 mg/kg ACU193 or Placebo 60mg COHORT 5: 10 mg/kg ACU193 or Placebo (Q4W) 10mg COHORT 6: 60 mg/kg ACU193 or Placebo (Q4W) 60mg COHORT 7: 60 mg/kg ACU193 or Placebo (Q2W) 60mg 1wk 1wk
1wk 1wk 1wk 4wk NCT04931459
Cogstate computerized test battery
Test Domains tested Time (minutes) International shopping list test (immediate) Immediate recall 5 Cogstate brief battery Attention, working memory, learning 15 International shopping list test (delayed) Delayed recall 1 Groton maze learning test
Executive function 7 International digit-symbol substitution test Processing speed 3 Total = 31 Frequency of administration and sensitivity of battery offers improved possibility to observe effects
Arterial Spin Labelling (ASL) as an
MRI outcome MCI patients show hypoperfusion in parietal cortex, precuneus, posterior cingulate cortex and medial temporal lobe AD patients show global hypoperfusion, but especially cingulate, precuneus, parietal lobes and inferior frontal regions
Perfusion correlates with several neuropsychological tests Hypoperfusion can be improved in middle and posterior cingulate cortex with cholinesterase inhibitors and was associated with improvement in ADAS-cog scores Acumen believes additional
literature supports use of ASL to assess hypoperfusion in AD * N. Zhang et al. Cerebral blood flow measured by arterial spin labeling MRI at resting state in normal aging and Alzheimer's disease. Neuroscience and Behavioral Reviews 72 (2017)
Summary Non-clinical data consistent
with toxicity of Ab oligomers and selective binding of ACU193 to Ab oligomers Enrollment in a Phase 1study assessing safety and target engagement is ongoing Although unlikely with this small sample size, the possibility of improvement in cognition
and cerebral blood flow will also be assessed as exploratory outcomes in the Phase 1 study
Thank you! Study participants and
study partners ACU-001 sites Acumen collaborators
Last updated: Nov 10, 2021