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Disclaimer This presentation has been prepared by Sensei Biotherapeutics, Inc. (the "Company," "we," "us") and is made for informational purposes only. The information set forth herein does not purport to be complete or

Key Takeaway: Sensei Biotherapeutics has released a presentation detailing its innovative pipeline focused on conditionally active antibodies for immuno-oncology, specifically targeting the VISTA receptor with its lead program, SNS-101. This program is expected to enter an IND submission phase prior to April 2023, supported by significant financial resources. The company emphasizes the challenges faced in immuno-oncology and the necessity of selective targeting to minimize side effects associated with conventional therapies. The risks associated with their forward-looking statements underline uncertainties in product development and regulatory compliance.

Market Sentiment Analysis

POSITIVE FACTORS

  • Innovative approach with conditionally active antibodies targeting tumor microenvironment.
  • Potential for SNS-101 to selectively block VISTA, aiming for better therapeutic outcomes.
  • Strong cash position through at least the second half of 2025, indicating stability.

CONCERNS & RISKS

  • Forward-looking statements carry inherent risks and uncertainties that may lead to different outcomes.
  • Reliance on third parties and regulatory requirements introduces additional risks.
  • The therapeutic product development process remains complex and uncertain, impacting projections.

Full Press Release Details

Conditionally Active Antibodies for
Immuno-oncology MARCH 2023 | Nasdaq: SNSE Exhibit 99.1
Disclaimer This presentation has been
prepared by Sensei Biotherapeutics, Inc. (the "Company," "we," "us") and is made for informational purposes only. The information set forth herein does not purport to be complete or to contain all of the information you may desire.
Statements contained herein are made as of the date of this presentation unless stated otherwise, and neither the delivery of this presentation at any time, nor any sale of securities, shall under any circumstances create an implication that the
information contained herein is correct as of any time after such date or that information will be updated or revised to reflect information that subsequently becomes available or changes occurring after the date hereof. This presentation
contains estimates and other statistical data made by independent parties and by us relating to market shares and other data about our industry. This presentation also contains "forward-looking" statements as that term is defined in the Private
Securities Litigation Reform Act of 1995 that are based on our management's beliefs and assumptions and on information currently available to management. These forward-looking statements include, without limitation, expectations regarding the
development of our product candidates and platforms, the availability of data from our preclinical studies, the timing of selection of product candidates, the timing of IND submissions to the FDA, and our belief that our existing cash and cash
equivalents will be sufficient to fund our operations at least into the second half of 2025. When used in this presentation, the words and phrases "designed to," "may," "believes," "intends," "seeks," "anticipates," "plans," "estimates," "expects,"
"should," "assumes," "continues," "could," "will," "future" and the negative of these or similar terms and phrases are intended to identify forward-looking statements. Forward-looking statements involve known and unknown risks, uncertainties and
other factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements. Risks and uncertainties that may
cause actual results to differ materially include uncertainties inherent in the development of therapeutic product candidates, such as preclinical discovery and development, conduct of clinical trials and related regulatory requirements, our
reliance on third parties over which we may not always have full control, and other risk and uncertainties that are described in our Quarterly Report on Form 10-Q filed with the SEC on or about November 8, 2022 and our other Periodic Reports filed
with the SEC. Forward-looking statements represent our management's beliefs and assumptions only as of the date of this presentation and include all matters that are not historical facts. Our actual future results may be materially different from
what we expect. Except as required by law, we assume no obligation to update these forward-looking statements publicly, or to update the reasons actual results could differ materially from those anticipated in the forward-looking statements, even if
new information becomes available in the future. Certain information contained in this presentation relates to, or is based on, studies, publications, surveys and other data obtained from third-party sources and the Company's own
internal estimates and research. While the Company 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.
Engineered Selectivity to Extend the
Reach of Immuno-oncology Agents THE CHALLENGE Systemically delivered I/O drugs often fail in the clinic due to on-target/off-tumor effects (TMDD, CRS) OUR FINANCIAL POSITION Ended 3Q 2022: $116.6M* Cash runway into 2H 2025 OUR STRATEGY Conditionally
active antibodies engineered to enable druggability of promising oncology targets OUR LEAD PROGRAM SNS-101 is a pH-sensitive antibody targeting the VISTA receptor with IND expected in or prior to April 2023 *Consists of cash, cash equivalents
and marketable securities
Innovative Pipeline of IO Drugs with
Broad Commercial Potential Program (Target) Indication Discovery IND-enabling Phase 1 / 2 Clinical SNS-101* (VISTA) SNS-102 (VSIG4) SNS-103 (ENTPDase1/CD39) Solid Tumors Solid Tumors Solid Tumors *Sensei has entered into a clinical supply agreement
with Regeneron supporting the planned evaluation of SNS-101 in combination with Regeneron's anti-PD-1 therapy Libtayo (cemiplimab) in a Phase 1/2 clinical trial in solid tumors. *Sensei has entered into a Cooperative Research and
Development Agreement (CRADA) with the National Cancer Institute. The goal of this collaborative effort is to further elucidate the role of VISTA in immune checkpoint resistance and expand the potential of SNS-101 as a combination therapy
The Modern-Day Challenge in
Immuno-Oncology The PD-1/PD-L1 market is big and growing fast1 PD-1/PD-L1 monotherapy does not benefit 70% of patients2 2020 2026 Survival Benefit 20-30% No Survival Benefit 70% 1. Gerber et al., Biochemical Pharmacology 2016 2. Market estimates
from PD-1 and PDL-1 Inhibitors Market Size in 2021 - MarketWatch, 360 Research
Lack of Selectivity is a Major Obstacle
to CI Innovation Industry Problem Sensei's Solution Conventional antibodies target immune checkpoints that are highly expressed in normal tissues, resulting in: Dose-limiting toxicities due to on-target/off-tumor action Pharmacological sink
effect requires higher and more frequent dosing Suboptimal activity due to poor PK and dose-limiting toxicities Conditionally active antibodies are selectively targeted to the tumor microenvironment, potentially providing: Little or no toxicity due
to selective on-target/on-tumor action Lower and less frequent doses by avoiding normal tissue binding Powerful activity selectively focused on the tumor microenvironment Only one new checkpoint inhibitor has been approved since the original CTLA-4
and PD-1/PD-L1 group Ipilimumab (anti-CTLA-4) Pembrolizumab (anti-PD-1) Relatlimab (anti-LAG-3) 2011 2014 2022
pH-sensitive Antibodies Have
Potential to Selectively Bind Their Targets in the Low-pH Tumor Microenvironment Exploits the tumor microenvironment using pH-selective properties Intended to alleviate undesirable properties: Dose-limiting toxicities due to
on-target/off-tumor binding Higher and more frequent dosing due to poor pharmacokinetics (Target-mediated Drug Disposition (TMDD)) Bolsters specific activities Goal is to unlock previously undruggable immune targets TMAb Platform Sensei's
technology identifies pH-sensitive antibodies designed to bind only at the tumor The tumor microenvironment of pH ~6 is lower than physiological pH of 7.4
VISTA: A Potent T cell Checkpoint
Extensively Expressed on Myeloid Cells1 1. Lines et al. Cancer research vol. 74,7 (2014) VISTA is a B7 family member that suppresses T cell function T-cell proliferation & activation
The VISTA:PSGL-1 Interaction is
Selective for low pH Data are based on in vitro assay.
VISTA Checkpoint is Activated at the
Low pH of the Tumor Microenvironment 1. Johnston et al., Nature 2019 VISTA extracellular domain is uniquely rich in histidines Protonated VISTA histidines are required for PSGL-1 binding1
SNS-101: Selectively Targeting VISTA
with a pH-sensitive Antibody pH 6.0 pH 7.4 0.218 132 (~No binding) Key features Selectivity for Active VISTApH6 over VISTApH7.4 Designed to block VISTA's interaction with PSGL-1 and all other T-cell receptors at pH 6.0 IgG1
format Active Fc Development milestones Multi-dose Non-Human Primate (NHP) PK & Toxicology data expected in 1H 2023 IND submission expected in or prior to April 2023 Co-Crystal Structure of SNS-101 and VISTA Monovalent Affinity (KD) [nM]
2.59 Resolution SNS-101 heavy chain SNS-101 light chain Human VISTA (shown in green and red) Human VISTA epitope for SNS-101
SNS-101 Is a Fully Differentiated
Anti-VISTA Antibody Preclinical Phase 1 Phase 1 Phase 1 Phase 1 Preclinical Preclinical (IgG1) (IgG1) (IgG1) (IgG4) (IgG1) Johnston et al., Nature 2019; Kineta website; Snyder et al, AACR Annual Meeting 2016; Pierre Fabre website; Hummingbird
website; Thakkar et al, J of Immunother Cancer, 2022; PharmAbcine website
SNS-101 Strongly Inhibits the
VISTA:PSGL-1 Interaction And All Other Potential Binding Partners at pH 6.0 in In Vitro Assay Receptor IC50 [nM] PSGL-1 7 VSIG3 6 VSIG8 6 Syndecan-2 6 LRIG1 6
No Significant Binding of SNS-101 to
Monocytes, Neutrophils, NK Cells and T-cells in Whole blood at Physiological pH T-cells NK cells FOB 1.57 FOB 2.0 FOB 1.0 FOB 8.75 FOB 12.4 FOB 1.36 Monocytes FOB 9.9 FOB 13.5 FOB 1.4 FOB 2.2 FOB 2.5 FOB 1.0 Neutrophils CYNO HUMAN FOB 7.4 FOB 8.8
FOB 1.0 Clinical mAb #1 Clinical mAb #2 SNS-101 Control FOB 2.0 FOB 2.0 FOB 0.5 Clinical mAb #1 Clinical mAb #2 SNS-101 Control FOB 1.66 FOB 1.9 FOB 0.95 FOB 9.7 FOB 10.7 FOB 1.31
SNS-101 Induced Substantially Lower
Cytokine Release in Whole-blood Assay at Neutral pH Compared to pH-independent VISTA Antibody IFN- IL-8 TNF- IL-6 IL-2 *** *** *** ** * ** ** ** ** ** ** ** ** ** ** Dose ranges: 1, 10, and 100 ug/ml #2
SNS-101 Has Displayed a Favorable
Single-dose PK Profile in Preclinical Studies - No Significant TMDD in Human VISTA KI Mice or Non-human Primates Pharmacokinetics of Single Dose 5 mg/kg SNS-101 in VISTA Knock-in Mice Demonstrated a long mean residence time in the blood, indicating
a lack of significant target-mediated drug disposition (TMDD) and clearance in non-malignant tissues Week 1 Week 2 Week 3 Week 4 Tumor (MB49) in VISTA KI mice VISTA KI mice No Target WT mice SNS-101 displays linear elimination kinetics unlike a
pH-independent anti-VISTA mAb, which demonstrates TMDD and rapid clearance Pharmacokinetics of Single Dose SNS-101 in Cyno monkeys Clinical mAb #1 10 mg/kg
SNS-101 Drove Single-agent Activity
and Deepened Anti-tumor Responses to PD-1 in Human VISTA KI Mice ** ** MC38-7r (Anti-mPD-1 insensitive MC38 clone) *** ** ** * P<0.05; ** P<0.01; *** P<0.001 MC38
SNS-101 with Anti-PD-1 Demonstrated
Strong Combinatorial Anti-tumor Activity in MC38 Model in Human VISTA Knock-in Mice SNS-101 0/10 PD-1 Mono 1/10 Combo 5/10 Isotype Control 0/10 *** ** ** * P<0.05; ** P<0.01; *** P<0.001 *
SNS-101 Increased CD8 T-cells in
Combination With Anti-PD-1 in MC38 Tumors In Vivo CTRL Anti-PD-1 1mg/kg 5mg/kg Anti-PD-1/SNS-101 3mg/kg 10mg/kg 30mg/kg Frequency of Live, CD45+ Population One-way ANOVA, Tukey Post-Hoc Analysis, * p<0.05; ** p<0.01, *** p<0.001, ****
p<0.0001 with Anti-PD-1 with Anti-PD-1
SNS-101 Re-sensitized Anti-PD-1
Insensitive Sarcoma Tumors in Human VISTA Knock-in Mice 5/8 CR 1/8 CR * p<0.05
Preliminary SNS-101 Phase 1/2 Study
Schematic SNS-101 Phase 1 Dose Escalation Monotherapy Projected Scheme * Phase 2 Cohort Expansion *** *** Tumor types, indication and samples size to be determined based on findings from dose-escalation phase and emerging scientific data;
cohorts may run concurrently. SNS-101 + Libtayo Phase 1 Dose Escalation Combination Projected Scheme * Monotherapy RP2D** Combination RP2D** Expansion Cohort A Expansion Cohort B Expansion Cohort X . . . Mono Cohort A Mono Cohort B Mono
Cohort X Combo Cohort A Combo Cohort B Combo Cohort C * Phase 1/2 study design is preliminary and subject to change, including based on feedback from the FDA following submission of IND. ** RP2D = Recommended Phase 2 Dose Sensei and Regeneron have
entered into a clinical supply agreement for Libtayo (cemiplimab) Sensei and NCI have entered into a CRADA to expand the development of SNS-101
VSIG4 is an Immunosuppressive
Receptor with On-Target, Off-Tumor Challenges See references in Appendix A B Tissue macrophages (Kupffer cells) in liver Tumor-associated macrophages in tumor and stroma (inset) In the liver, VSIG-4 Is expressed on Kupffer cells1-2
Appears to drive significant target-mediated drug disposition (TMDD) and clearance In the tumor microenvironment, VSIG-4 Correlates with immunosuppressive "M2" macrophage infiltration3 Inhibits T cell activation4 Promotes tumor growth based
on data from a syngeneic Lewis lung carcinoma model in knockout mice5
Sensei Has Identified pH-sensitive
VSIG4 Antibodies pH-Sensitive VSIG4 Parental Antibodies Selected for Further Optimization Antibody Reference # Ratio of pH Selectivity (6.0 vs 7.4) Blockage of Immobilized VSIG4- T-cell Inhibition Blockage of Cellular VSIG4- T-cell Inhibition 1 1 +
+ 2 7 + + 3 1 + + 4 3 + + 5 3 +/- + 6 25 + + 7 1 + + 8 2 - + * Ratio assessed by flow cytometry on VSIG4 overexpressing cells Program milestones to date: Identified 8 parental antibodies for optimization and are currently testing progeny antibodies;
Identified pH-sensitive antibodies highlighting the potential breadth of the TMAb platform; Identified novel VSIG4 receptors on primary T-cells by Hi-Res proteomics, which are currently in verification stage. Plan to select product
ENTPDase1 (CD39) is the Rate
Limiting Enzyme in the Production of Immunosuppressive Adenosine Figure adapted from: Moesta et al, Nat Rev Immunol. 2020; 20 (12) Hypoxia/cell damage ATP AMP Adeno-sine Blocking CD39 leads to: Immune Activation
Primary function is conversion of extracellular ATP / ADP to adenosine , which exerts immunosuppressive properties through binding to A2a/A2b receptors Expressed on various immune cells in both tumors and normal tissues Development
of a TMAb antibody has potential for improved safety and PK profile compared to competitor CD39 mAbs
Sensei Has Identified pH-sensitive
ENTPDase1 (CD39) Antibodies Program milestones to date: Identified 8 parental antibodies for further optimization Identified pH-sensitive parental antibodies for lead optimization Plan to select lead product candidate in 2023 Antibody Reference
# Ratio of pH Selectivity (6.0 vs 7.4) 1 1 2 6 3 4 4 5 5 18 6 1 7 1 8 1 pH-Sensitive CD39 Parental Antibodies Selected for Further Optimization
SNS-101 (anti-VISTA) 1H 2023:
Multi-dose Non-Human Primate (NHP) PK & Toxicology data In or Prior to April 2023: IND filing SNS-102 (anti-VSIG4) 2023: Select product candidate SNS-103 (anti-ENTPDase1/CD39) 2023: Select product candidate Expected Program Milestones
Engineered Selectivity to Extend the
Reach of Immuno-oncology Agents THE CHALLENGE Systemically delivered I/O drugs often fail in the clinic due to on-target/off-tumor effects (TMDD, CRS) OUR FINANCIAL POSITION Ended 3Q 2022: $116.6M* Cash runway into 2H 2025 OUR STRATEGY Conditionally
active antibodies engineered to enable druggability of promising oncology targets OUR LEAD PROGRAM SNS-101 is a pH-sensitive antibody targeting the VISTA receptor with IND expected in or prior to April 2023 *Consists of cash, cash equivalents and
marketable securities
Proven Team With Deep Experience

Frequently Asked Questions

What is SNS-101 targeting in immuno-oncology?

SNS-101 is a pH-sensitive antibody that targets the VISTA receptor in solid tumors.

What are the benefits of conditionally active antibodies?

They provide selectivity for tumors, reduce toxicity, and allow for lower dosing frequency.

What issues do conventional antibodies face in treatment?

They often cause dose-limiting toxicities due to binding to normal tissues.

When is SNS-101's IND submission expected?

The IND submission for SNS-101 is expected in or prior to April 2023.

How does pH influence SNS-101's effectiveness?

SNS-101 binds selectively at the tumor's low pH, enhancing its therapeutic activity.

Last updated: Mar 13, 2023