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Erasca R&D Day September 2022
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to the discovery and development of product candidates based on our singular focus on shutting down the RAS/MAPK pathway, a novel and unproven approach; we are early in our development efforts and have only three product candidates in early clinical
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Company Overview Erasca pipeline and
drug development strategy Key scientific hypotheses and supportive preclinical data Dr. David Hong, MD Anderson Cancer Center Discussant Future directions Key milestones and clinical trial readouts Closing Remarks Q&A Session ERAS-007 / ERAS-601
Preliminary Results Retrospective pooled efficacy analysis Preliminary safety and pharmacokinetic assessment Clinical development plan for combinations Erasca R&D Day Agenda
* Post-Osimertinib resistant population
shown for EGFRm NSCLC except for SCLC transformation ** Co-occurring activating MAPK pathway alterations exclude EGFR overexpression Source: SEER database (2020), ECIS database (2020), GLOBOCAN database (2020), The AACR Project GENIE Consortium
version 8.1 (2020), TCGA Research Network: https://www.cancer.gov/tcga, Tyner JW et al. (2018) PMID: 30333627, Brenner CW et al (2013) PMID: 24120142, Chen J et al. (2020) PMID: 32015526, and Ostrom QT, et al. (2020) PMID: 33123732 New cases
estimated worldwide per annum (thousands; numbers may not add up due to rounding) Blue ocean opportunities Red ocean opportunities Alterations GBM HNSCC NSCLC CRC Melanoma PDAC Other solid tumors AML US EU ROW Global EGFR*/FLT3 125 513 184 338 - - -
61 82 222 917 1,220 NF1 25 58 98 35 33 1.9 434 3.2 75 159 453 687 KRAS G12C - 2.8 240 57 - 5.0 45 0.1 36 82 232 350 KRAS G12D 0.2 4.7 68 238 0.5 178 200 1.2 65 171 456 692 Other KRAS 0.4 9.4 183 465 1.2 242 326 3.5 114 299 817 1,230 NRAS 0.5 8.4
11.7 72 71 1.0 116 13.8 42 82 170 295 HRAS 0.2 45 7.8 0.4 3.0 0.2 57 - 11 24 80 114 BRAF V600E/K 2 1.9 23 180 93 1.4 158 0.4 63 127 271 461 BRAF Class 2 0.4 3.8 17.6 6.9 5.3 0.5 58 - 10.8 23.1 58 92 BRAF Class 3 0.1 0.9 11.7 16.8 2.5 - 29 0.2 6.1
14.8 40 61 Other BRAF - - 3.9 - 1.9 0.3 0.5 - 0.7 1.0 4.9 6.6 MEK 0.2 1.9 11.7 8.8 4.6 0.2 22 - 5 11 33 50 Co-occurring activating MAPK pathway alterations** 1.4 10.3 62 59 37 7.1 84 3.0 33 69 162 264 US 12 29 93 114 77 51 153 11 542 EU 34 76 194
398 116 124 324 18 1,285 Rest of World 109 555 635 964 60 264 1,053 57 3,696 Global 155 660 923 1,476 253 438 1,530 86 5,522 ~5.5m lives at stake annually worldwide with RAS/MAPK pathway alterations Over 70% of unmet needs are
"Blue Oceans" with no approved targeted therapies
Erasca's tissue specific and
tissue agnostic trials target multiple indications New cases estimated worldwide per annum (thousands; numbers may not add up due to rounding) Blue ocean opportunities Red ocean opportunities Alterations GBM HNSCC NSCLC CRC Melanoma PDAC Other solid
tumors AML US EU ROW Global EGFR*/FLT3 125 513 184 338 - - - 61 82 222 917 1,220 NF1 25 58 98 35 33 1.9 434 3.2 75 159 453 687 KRAS G12C - 2.8 240 57 - 5.0 45 0.1 36 82 232 350 KRAS G12D 0.2 4.7 68 238 0.5 178 200 1.2 65 171 456 692 Other KRAS 0.4
9.4 183 465 1.2 242 326 3.5 114 299 817 1,230 NRAS 0.5 8.4 11.7 72 71 1.0 116 13.8 42 82 170 295 HRAS 0.2 45 7.8 0.4 3.0 0.2 57 - 11 24 80 114 BRAF V600E/K 2 1.9 23 180 93 1.4 158 0.4 63 127 271 461 BRAF Class 2 0.4 3.8 17.6 6.9 5.3 0.5 58 - 10.8
23.1 58 92 BRAF Class 3 0.1 0.9 11.7 16.8 2.5 - 29 0.2 6.1 14.8 40 61 Other BRAF - - 3.9 - 1.9 0.3 0.5 - 0.7 1.0 4.9 6.6 MEK 0.2 1.9 11.7 8.8 4.6 0.2 22 - 5 11 33 50 Co-occurring activating MAPK pathway alterations** 1.4 10.3 62 59 37 7.1 84 3.0 33
69 162 264 US 12 29 93 114 77 51 153 11 542 EU 34 76 194 398 116 124 324 18 1,285 Rest of World 109 555 635 964 60 264 1,053 57 3,696 Global 155 660 923 1,476 253 438 1,530 86 5,522 * Post-Osimertinib resistant population shown for
EGFRm NSCLC except for SCLC transformation ** Co-occurring activating MAPK pathway alterations exclude EGFR overexpression 1 Triple wildtype CRC is KRASwt, NRASwt, and BRAFwt Source: SEER database (2020), ECIS database (2020), GLOBOCAN database
(2020), The AACR Project GENIE Consortium version 8.1 (2020), TCGA Research Network: https://www.cancer.gov/tcga, Tyner JW et al. (2018) PMID: 30333627, Brenner CW et al (2013) PMID: 24120142, Chen J et al. (2020) PMID: 32015526, and Ostrom QT, et
al. (2020) PMID: 33123732 184 240 72 180 465 125 238 242 178 HERKULES-3 007 + palbociclib HERKULES-3 007 + encorafenib & cetuximab (EC) HERKULES-1 & FLAGSHP-1 ERAS-007 + ERAS-601 (our first MAPKlamp); 601 + cetuximab (triple WT CRC1 and HPV-
HNSCC) HERKULES-2 007 + osimertinib THUNDERBBOLT-1 801 HERKULES-3 007 + palbociclib HERKULES-2 007 or 601 + sotorasib
Erasca's clinical development
plan generates multiple ways to win for patients 1 Currently approved standard of care Indication Benchmark1 Regimen tested Erasca trial(s) HERKULES-2 Sub-study 1 EGFRm NSCLC post-osi ERAS-007 + osimertinib ORR 29%, mDOR 4.2 mos. HERKULES-3
Sub-study 1 BRAFm CRC EC-na ve ERAS-007 + encorafenib + cetuximab ORR 20%, mDOR 6.1 mos. HERKULES-3 Sub-study 1 BRAFm CRC EC-treated ERAS-007 + encorafenib + cetuximab ORR ~2%, mDOR NA HERKULES-3 Sub-study 2 KRASm/ NRASm CRC ERAS-007 +
palbociclib ORR ~2%, mDOR NA FLAGSHP-1 KRASwt/ NRASwt/ BRAFwt 3L CRC ERAS-601 + cetuximab ORR 20%, mDOR 5.4 mos. THUND- ERBBOLT-1 EGFR altered rGBM ERAS-801 monotherapy ORR 26%, mDOR 4.2 mos. HERKULES-2 Sub-study 2 KRAS G12C NSCLC ERAS-007 or
ERAS-601 + sotorasib ORR 36%, mDOR 10 mos. ERAS-3490 AURORAS-1 (planned) HERKULES-1 RAS/MAPK altered solid tumors ERAS-007 + ERAS-601 (our first MAPKlamp) SOC is largely chemo ERAS-007 (alternative schedules) ERAS-601 (alternative schedules)
FLAGSHP-1 100% of CRC FLAGSHP-1 HPV-negative HNSCC ERAS-601 + cetuximab ORR 13%, mDOR 5.8 mos.
Are there more responsive subsets
within the Blue Ocean where promising combination approaches can be particularly effective? ? Key scientific hypotheses and supportive preclinical data
Reminder: ERAS-007 & ERAS-601
target key downstream and upstream RAS/MAPK nodes P P MAPK pathway RAS-GTP GRB2 SHP2 GAP GDP GTP P1 NF1 SOS1 RAF MEK ERK RAS-GDP EGFR/ FLT3 Other RTKS MYC GEF ERAS-601 ERAS-007 SU2C = Stand Up To Cancer Potent, selective, orally bioavailable SHP2
inhibitor in clinical development in FLAGSHP-1 and HERKULES-2 Potent, selective, orally bioavailable ERK inhibitor in clinical development in HERKULES-1, -2, -3 and SU2C
ERK inhibition with CDK4/6 or SHP2
inhibition offers two compelling approaches to target solid tumors with MAPK pathway alterations P P MAPK pathway RAS-GTP GRB2 SHP2 GAP GDP GTP P1 NF1 SOS1 RAF MEK ERK RAS-GDP EGFR/ FLT3 Other RTKS MYC GEF Scientific Hypothesis #1: Dual inhibition
of RAS/MAPK and the cell cycle pathways in KRASm/NRASm CRC and KRASm PDAC Enhance tumor cell killing due to deeper inhibition of cell cycle progression and cell growth Overcome compensatory reactivation of the RAS/MAPK pathway ERAS-601 ERAS-007
CDK4/6 CDK4/6 inhibitor ERAS-007 + ERAS-601 "MAPKlamp" Scientific Hypothesis #2: Simultaneous inhibition of upstream and downstream RAS/MAPK pathway nodes Induce stronger pathway suppression and tumor cell killing than either agent alone
Overcome compensatory reactivation of the RAS/MAPK pathway ERAS-007 ERAS-007 + palbociclib
Dual inhibition of cell cycle and
MAPK pathways enhanced tumor shrinkage in PDX models of KRAS/NRAS mutant CRC Modified from AACR 2021; Courtesy of Scott Kopetz, MD, PhD (MD Anderson Cancer Center) Regimen: Vehicle Palbociclib100 mpk QD Trametinib0.25 mpk QD Combo100/0.25 mpk QD
C1047 KRas G12V B8093 NRas Q61K C1035 KRas G12V C1012 KRas A146V B1008 KRas G12D C0997 NRas Q61K F3008 KRas G12C C1151 KRas A146T C1138 KRas G13D B1011 KRas A146D Tumor volume change (%) Treatment time (days) Inhibition of MEK and CDK4/6 represented
highly active combination regimen in vivo
ERK directly phosphorylates the p90
ribosomal S6 kinase protein (RSK) so RSK phosphorylation (P-RSK) serves as a biomarker of ERK and ultimately RAS/MAPK pathway activity Source: Unpublished data ATP-competitive ERK inhibitors were more robust in shutting down RAS/MAPK pathway
reactivation than allosteric MEK inhibitors; ERAS-007 was most robust SW1463 (KRAS G12C CRC) Selumetinib (1 M) Binimetinib (1 M) SW1463 (KRAS G12C CRC) Trametinib (30 nM) Ulixertinib (1 M) ERAS-007 (1 M) a a P MEK P ERK RSK P
ERAS-007 + palbociclib enhanced
tumor growth inhibition (TGI) in KRASm CRC and PDAC models Combination was tolerated in mice (e.g., no dose holidays, deaths, or euthanizations) ERAS-007 and palbociclib were dosed orally and continuously TGI in KRAS G13D CRC CDX LoVo TGI in KRAS
G12D PDAC PDX PAN026
Scientific Hypothesis #2:
"MAPKlamp" inhibition of upstream and downstream RAS/MAPK pathway nodes has potential for deeper, more durable responses P P MAPK pathway RAS-GTP GRB2 SHP2 GAP GDP GTP P1 NF1 SOS1 RAF MEK ERK RAS-GDP EGFR/ FLT3 Other RTKS MYC GEF
ERAS-601 ERAS-007 + ERAS-601 "MAPKlamp" Scientific Hypothesis #2: Simultaneous inhibition of upstream and downstream RAS/MAPK pathway nodes Induce stronger pathway suppression and tumor cell killing than either agent alone Overcome
compensatory reactivation of the RAS/MAPK pathway ERAS-007
ERAS-007 + ERAS-601 MAPKlamp showed
increased in vivo tumor growth inhibition in two KRAS mutant NSCLC CDX models MAPKlamp combination showed activity in both models and was tolerated in mice (e.g., no dose holidays, deaths, or euthanizations) ERAS-007 and ERAS-601 were dosed orally
and continuously TGI in KRAS G12A NSCLC CDX NCI-H2009 TGI in KRAS G12V NSCLC CDX NCI-H441
ERAS-007 + ERAS-601 MAPKlamp showed
increased in vivo tumor growth inhibition in two KRAS mutant PDAC PDX models MAPKlamp combination showed activity in both models and was tolerated in mice (e.g., no dose holidays, deaths, or euthanizations) ERAS-007 and ERAS-601 were dosed orally
and continuously TGI in KRAS G12D PDAC PDX PAN031 TGI in KRAS G12D PDAC PDX PAN092
ERAS-007 + ERAS-601 MAPKlamp showed
consistent combination activity in BRAF class 3 models that had differing sensitivities to single agents MAPKlamp combination showed activity in both models and was tolerated in mice (e.g., no dose holidays, deaths, or euthanizations) ERAS-601
showed regression as a monotherapy in NCI-H508 while ERAS-007 showed regression as a monotherapy in LUN023 ERAS-007 and ERAS-601 were dosed orally and continuously TGI in BRAF Class 3 NSCLC CDX NCI-H508 TGI in BRAF Class 3 NSCLC PDX
ERAS-007 + ERAS-601 MAPKlamp showed
promising combination activity in two NF1 loss of function (LoF) models MAPKlamp combination showed activity in both models and was tolerated in mice (e.g., no dose holidays, deaths, or euthanizations) ERAS-007 and ERAS-601 were dosed orally and
continuously TGI in NF1 LoF melanoma CDX MeWo TGI in NF1 LoF NSCLC NCI-H1838
Are there more responsive subsets
within the Blue Ocean where ERK + cell cycle or ERK + SHP2 inhibition can be particularly effective? ? Preliminary clinical data
CRC Segmentation framework to
identify more responsive subsets within the Blue Ocean for prioritized combination development Non-CRC Evaluation of combinations addressing these mechanisms is ongoing in HERKULES-3 (and combination addressing triple wildtype CRC is ongoing in
FLAGSHP-1) Phase 1/1b monotherapy responses used to inform prioritized combination development "Blue Ocean indications" of solid tumors with RAS/MAPK alterations and no approved targeted therapies Less sensitive to monotherapy inhibition
due to more RAS/MAPK reactivation and bypass pathway activation
CRC Segmentation framework to
identify more responsive subsets within the Blue Ocean for prioritized combination development Non-CRC Evaluation of combinations addressing these mechanisms is ongoing in HERKULES-3 (and combination addressing triple wildtype CRC is ongoing in
FLAGSHP-1) Targetable, more responsive subset of patients prioritized for combination development "Blue Ocean indications" of solid tumors with RAS/MAPK alterations and no approved targeted therapies Less sensitive to monotherapy
inhibition due to more RAS/MAPK reactivation and bypass pathway activation Phase 1/1b monotherapy responses used to inform prioritized combination development
Retrospective Pooled Analysis All
trials assessing ERAS-007 or ERAS-601 as monotherapies: ASN007-101, HERKULES-1, FLAGSHP-1 Methodology for retrospective pooled efficacy analysis for ERAS-007 and ERAS-601 in solid tumors with RAS/MAPK pathway alterations* * The clinical data
presented in the following slides are based on a retrospective analysis of pooled data across multiple clinical trials with different designs, inclusion criteria, and dosing regimens. Results across such clinical trials cannot be directly compared.