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What s Possible at Agios

Key Takeaway: What s Possible at Agios David Schenkein, M.D. Chief Executive Officer Cautionary Note Regarding Forward-Looking Statements This 2015 Research & Development Day presentation and various remarks we make during this presentation contain forward-looking statements of Agios Pharm

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What s Possible at Agios
David Schenkein, M.D.
Chief Executive Officer
Cautionary Note Regarding Forward-Looking Statements
This 2015 Research & Development Day presentation and various remarks we make during this presentation contain forward-looking statements of Agios Pharmaceuticals,
Inc. within the meaning of The Private Securities Litigation Reform Act of 1995. Such forward-looking statements include those regarding the potential benefits of Agios product candidates targeting IDH1/IDH2 or pyruvate kinase-R mutations,
including AG-221, AG-120, AG-881, AG-348 and AG-519; its plans and timelines for the clinical development of AG-221, AG-120, AG-881, AG-348 and AG-519; its plans regarding future data presentations; and the benefit of its strategic plans and focus.
The words anticipate, believe, estimate, expect, intend, may, plan, predict, project, potential, hope,
could, would and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words.
Such statements are subject to numerous important factors, risks and uncertainties that may cause actual events or results
to differ materially from Agios current expectations and beliefs. For example, there can be no guarantee that any product candidate Agios is developing will successfully commence or complete necessary preclinical and clinical development
phases, or that development of any of Agios product candidates will successfully continue. There can be no guarantee that any positive developments in Agios business will result in stock price appreciation. Management s expectations
and, therefore, any forward-looking statements in this presentation or the various remarks made during this presentation could also be affected by risks and uncertainties relating to a number of other important factors, including: Agios
results of clinical trials and preclinical studies, including subsequent analysis of existing data and new data received from ongoing and future studies; the content and timing of decisions made by the U.S. FDA and other regulatory authorities,
investigational review boards at clinical trial sites and publication review bodies; Agios ability to obtain and maintain requisite regulatory approvals and to enroll patients in its planned clinical trials; unplanned cash requirements and
expenditures; competitive factors; Agios ability to obtain, maintain and enforce patent and other intellectual property protection for any product candidates it is developing; Agios ability to maintain key collaborations, such as its
agreement with Celgene; and general economic and market conditions. These and other risks are described in greater detail under the caption Risk Factors included in Agios Quarterly Report on Form 10-Q for the quarter ended
June 30, 2015, and other filings that Agios may make with the Securities and Exchange Commission in the future.
Any forward-looking statements contained in this presentation or in remarks made during this presentation speak only as of the date hereof, and Agios expressly disclaims any obligation to
update any forward-looking statements, whether as a result of new information, future events or, except as required by law.
We Are Driven By a Clear Vision and Values
Agios is passionately committed to the fundamental transformation of patients lives through scientific
leadership in the field of cancer metabolism and rare genetic disorders of metabolism
Making a Difference for Patients & Building Long-Term Value
Team/Culture Execution
Building a Great Sustainable Biopharmaceutical Company
Commercial Capabilities Begin to Build
Platform Continues to Expand
AG-221/AG- AG-348 5th Agios
Agios Labs IDH Celgene 120 Proof of Proof of medicine
Open Discovery Partnership Concept Mechanism entering clinic;
2009 2009 2010 2014 2014 2015
Five clinical stage investigational
medicines with possibility to help a large number of genetically identified patients
medicines accelerating towards approval and commercialization
A robust and novel pre-clinical pipeline in both
A organization preparing for commercialization
A passion to help patients and follow great science
Advancing the IDHm inhibitors to
market as quickly and broadly as possible
Design and initiation of AG-221 AML Phase 3 trial (IDHENTIFY)
Design of combination trial with 7 + 3
Design of combination trial with azacitidine
Driving the PK activator program
molecule entering clinical development (AG-519)
Preclinical data to support potential new indications for PK activators Metabolic vulnerabilities as emerging cancer focus
What s Possible: Our Science
Find the Source of the Problem and Correct It
Discovering novel unprecedented targets
Tackling tough chemistry with allosteric inhibitors and activators Requiring a predictive marker prior to development candidate selection Exploiting intersection of several key fields:
metabolism, genomics, epigenetics and immunology Setting a high bar and rewarding answers
Find the Source of the Problem and Correct It
intensity 149.50 Peak (arbitrary
Find the Source of the Problem and Correct It
Patient A (R510Q/G511R)
Screening Randomization Stratified
L) Dosing period Placebo
ATP m 200 15 mg q12hr
lu t con 360 mg q12hr
Phase 1 NHV, ASH 2014
What s Possible: For Patients
What s Possible for IDHm Patients
Relapsed/ Refractory AML
What s Possible for IDHm Patients
Frontline AML Combination trials Maintenance MDS
Other hematologic malignancies
What s Possible for IDHm Patients
All IDHm patients screened and treated with an IDHm inhibitor for the entire course of their disease
Exploration of PK Activation in Other Hemolytic Anemias
Disease Molecular Lesion Red Cell Characteristics
Normal physiology None Biconcave
Pyruvate kinase deficiency PKR mutations Echinocyte
Sickle cell disease HbS mutation Sickled
Beta-thalassemia Microcytic
Mutations in spectrin,
Hereditary spherocytosis
ankyrin, protein 4.2
Novel First-in-Class Clinical Portfolio
Candidate Indication Primary Commercial Rights
Clinical Development Clinical Development
R/R AML Phase 1 Dose Escalation
Expansion 5th Cohort
AG-221 Frontline AML Phase 1b Combinations (Q4 15)
(IDH2m inhibitor) Frontline AML Phase 1/2 Combinations (Q1 16)
MDS/Heme Malig Phase 1 Expansion
Solid Tumors Phase 1 Dose Escalation Agios U.S. Co-promotion and royalty
R/R AML Phase 3 (1H 16)
Escalation Expansion Cohort
AG-120 MDS/Heme Malig Phase 1 Expansion
Frontline AML Phase 1b Combinations (Q4 15) U.S. Rights EX-U.S. Rights
Frontline AML Phase 1/2 Combinations (Q1 16)
Solid Tumors Phase 1 Dose Escalation
AG-881 R/R AML Phase 1 Dose Escalation
inhibitor) Solid Tumors Phase 1 Dose Escalation Joint Worldwide Collaboration
AG-348 PK Deficiency Phase 2
AG-519 PK Deficiency Phase 1 (Q1 2016)
Novel First-in-Class Research Portfolio
Validation Compound Optimization
Two Cancer Metabolism
Multiple Other Oncology Targets
Last updated: Oct 16, 2015