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Ocuphire Corporate Presentation January 2021
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use should not be construed as an endorsement of such products. November 6, 2020
Late Clinical Stage Company Targeting Large, Unmet Ophthalmic Markets Significant Clinical
Data and Regulatory Precedents Significant IP Portfolio and Small Molecule CMC Advantages Multiple Near-Term Data Catalysts with Capital Efficient Plan Nyxol eye drops target multiple chronic and acute front of the eye indications addressing
large markets: Dim Light / Night Vision Disturbances (NVD), Reversal of Mydriasis (RM), & Presbyopia (P)APX3330 tablets target chronic back of the eye indications: Diabetic Retinopathy (DR) and Diabetic Macular Edema (DME), a leading cause of
blindness in diabetic patients Nyxol and APX3330 achieved promising clinical data over multiple Phase 1 and 2 trialsNyxol with > 150 patients treated across 7 trialsAPX3330 with > 340 patients treated across 11 trialsFDA End of Phase 2
meeting guidance for Nyxol (all indications) in May 2020 US and global issued patents thru 2034 obtained for both assetsStable, small-molecule drugsNyxol = single-use, preservative-free eye dropAPX3330 = oral pill 4 late-stage trial readouts (2
Phase 3, 2 Phase 2) expected in 1Q through 4Q 2021$20+M financing provides sufficient cash to run capital-efficient ophthalmic-focused operations in 2021Analyst research coverage initiated by Cantor Fitzgerald and Encode IdeasNyxol NDA filing in
one or more indications targeted for early 2023 Ocuphire Opportunity A Late-Stage Clinical Ophthalmic Biotech (Nasdaq Symbol: OCUP) Nyxol APX3330
Ocuphire Management Team Decades of Biotech and Drug Development Experience Amy
Rabourn, CPAVP Finance Daniela Oniciu , PhDHead CMC and Global Clinical Supply Kostas Charizanis, PhD, MBASenior Director Market Strategy and R&D Mitch Brigell, PhDHead Clinical Development and Strategy Laura GambinoProject Management
Drey ColemanDirector Clinical Operations and Vendor Management Charlie Hoffman, MBAVP Corporate Development and Operations Mina Sooch, MBAPresident & CEO and Founder
Large Unmet Opportunities for the Aging Eye Source: GlobalData Market Research Report,
2020 Developing Drugs to Treat Front & Back of the Eye Diseases Back Front PresbyopiaU.S. Prevalence: ~120M Night Vision DisturbancesU.S. Prevalence: 16M adults Reversal of Mydriasis100M pupil dilations per year in
U.S. Nyxol APX3330 $4-10B US Markets $4-10B US Markets Diabetic Macular EdemaU.S. Prevalence: 750K Diabetic RetinopathyU.S. Prevalence: 7M
Product Candidate Indication Development Stage Anticipated
Milestones Pre-clinical Phase 1 Phase 2 Phase 3 Ocuphire-Focused Development 0.75% Nyxol Eye Drop Dim Light or Night Vision Disturbances (NVD) Initiated Phase 3 LYNX-1 trial 4Q2020;Data expected in 3Q21 (n=160) 0.75%
Nyxol Eye Drop Reversal of Mydriasis (RM) Initiated Phase 3 MIRA-2 trial 4Q2020; Data expected in 1Q21 (n=168) 0.75% Nyxol + Low-Dose 0.4% Pilocarpine Eye Drops Presbyopia (P) Initiate Phase 2 VEGA-1 trial 1Q2021;Data
expected in 2Q21 (n=152) APX3330 Oral Pill Diabetic Retinopathy (DR)/ Macular Edema (DME) Initiate Phase 2 ZETA-1 trial 1Q2021;Data expected in 4Q21 (n=100) Partnering-Focused Development APX2009 Intravitreal DME, Wet Age-Related
Macular Degeneration (wAMD) Next steps: IND enabling studies (with partner funding) Combo (0.75% Nyxol + Latanoprost) Eye Drops Glaucoma (16 to 24 mmHg) Next steps: 2nd line add-on Phase 2 trial (with partner
funding) Ocuphire Pipeline & Upcoming Milestones Multiple Phase 3 & Phase 2 Clinical Data Catalysts Expected Throughout 2021 Enrollment Complete Note: 0.75% Nyxol (Phentolamine Ophthalmic Solution) is the same as 1% Nyxol
(Phentolamine Mesylate Ophthalmic Solution)
11Phase 1 & Phase 2 Trials >340Subjects Dosed Exposure in Humans 365 Days Patents
to2034+ Extensive Development on Both Drug Candidates Well-Controlled Phase 1 & Phase 2 Clinical Programs Set Stage for NDA Path NCE Development Pathway Studied in inflammation/hepatitis & cancer patients 7Phase 1 & Phase 2
Trials > 150Subjects Dosed Exposure in Humans28Days Patents to2034+ 505(b)(2) Development Pathway Studied in ocular refractory diseases (NVD) & elderly glaucoma patients Nyxol APX3330
Nyxol Phentolamine Mesylate NVD Night Vision Disturbances P Presbyopia RM Reversal of
Nyxol History & MOA Nyxol's active ingredient, phentolamine mesylate (PM), is currently
approved for 2 indicationsPheochromocytoma (60+ years ago, Regitine ) - intravenous injectionReversal of oral anesthesia (10+ years ago, OraVerse ) - intramuscular injectionPM has been reformulated as a topical eye drop (Nyxol)Nyxol is a
first-in-class non-selective 1 and 2 blocker product candidateMOA of relaxing the iris dilator muscle ( 1)Redness is an on-target 1 effect on sclera vessels (transient, mild) Rationale for Differentiated Product Profile & 505(b)(2)
Path Phentolamine Mesylate Reduces Pupil Size Dilates Blood Vessels (Vasodilation) 1: Smooth Muscle Blockade 1: Iris Dilator Blockade
Improving Vision Pupil Size (moderate miotic) Contrast Sensitivity (night) Near Visual
Acuity (light/dark) Distance Visual Acuity No Systemic EffectsNo Changes in Blood PressureNo Changes in Heart RateTolerated Topical EffectsMild / Transient / Reversible Eye RednessIOP Unchanged or Decreased Intraocular Pressure (IOP) at Normal
Baseline Nyxol Product Candidate Profile First-in-Class Alpha 1/2 Blocker Eye Drop for Refractory Indications Safety Data Efficacy Data Nyxol: Phentolamine 0.75% Ophthalmic SolutionPreservative Free, EDTA Free, and Stable Chronic daily
dosing of Nyxol at bedtime demonstrated no significant daytime redness and durability of effects for more than 24 hours
Moderate-to-Severe NVDs US Patients Night Myopia 10.8M Cortical
Cataracts 4.1M Post-LASIK 500k Post-IOL Implant 300k Total ~16M Night Vision Disturbances (NVD) - Chronic Opportunity Peripheral imperfections scatter light when pupils enlarge in dim light, causing halos, starbursts, and glare that
impair visionThe imperfections may be caused by LASIK surgery, IOL implants, certain types of cataracts (cortical), and natural reasons (especially with age) Symptoms cannot be properly corrected by any type of lens (reading glasses, contact
lenses) or surgical procedures Source: GlobalData Market Research Report, 2020 The Problem Imperfections in the Eye Affect Night Vision in Millions No Currently Approved Therapies NVD I'm no longer comfortable driving at night,
especially with my son in the car. I have a hard time playing beach volleyball in the evenings due to the bright lights at the courts. Post-LASIK, aged 42
Night Vision Disturbances (NVD) - Chronic Opportunity Moderate Decrease in Pupil Size for
scattered light gets blocked by the iris Clinical Effect to potentially improve low contrast night vision as seen in trialsTolerable with a minimal side effect profile Convenient and Durable with chronic once-daily evening dose Nyxol's Potential
Differentiated Solution Peripheral Optical Imperfections Allowing Pupil Modulation as a Solution After Before NVD Once there is a drug and a category, that's when they start looking for the disease. Physician KOL Seeking Treatment
Findings Patients willing to try a new eye drop treatment 67% Patients avoiding driving at night 25%
NVD LYNX-1 Phase 3 Registration Design Randomized, Double-Masked, Placebo-Controlled
Two-Week Trial LYNX-1 Primary: % of subjects with 3 lines of improvement in mesopic low contrast best-corrected distance visual acuity (Day 8)Secondary (Days 8 & 15):Pupil diameterVisual acuity measures (distance and near)Safety and
tolerability (redness) Endpoints Eligibility Screening Randomization 1:1 daily evening dose(14 days) daily evening dose (14 days) 0.75% Nyxol Placebo 15 US sites~160 patients with NVD NVD Phase 3 Initiated in Late 4Q20 Top Line
ORION-1 Phase 2 Trial NYX-SNV Phase 2 Trial Nyxol Demonstrated Clinical Effect in
NVD Key Endpoints Observed in Multiple Phase 2 Trials Improved Low Contrast Distance Visual Acuity* Source: NYXG-201 Durable > 24 hour Pupil Modulation Effect % of Eyes with Mesopic Low Contrast Visual Acuity Improvement Pupil Diameter
Change from Baseline in Mesopic Conditions (Study Eye) Source NYX-SNV % of Subject Eyes p=0.029 p=0.04 p=0.16 Pupil Diameter Change from BaselineANCOVA (mm) Baseline Pupil Diameter: Placebo 4.6mm, Nyxol 4.7mm NVD *NYX-SNV trial was
small and not designed for a statistical 3-line improvement in low-contrast visual acuity; the 20% effect was used for powering and sizing of Phase 3 trial
Reversal of Mydriasis (RM) - Acute Treatment At every annual eye exam and many specialty
visits, pupils are pharmacologically dilated, impairing vision for 6-24 hoursDilated eyes:heightened sensitivity to light inability to focus reading, working, and driving are difficult halos and glare The Problem Annual Exams and Specialty
Visits Involve Dilation to Monitor Eye Health ~100M eye exams / year in US No Currently Approved Therapies RM Source: GlobalData Market Research Report, 2020 I have to stay indoors. They say it only lasts a few hours, but it lasts all day,
and it is very annoying. RM Patient, Aged 51
After Before Reversal of Mydriasis (RM) - Acute Treatment Regulatory Precedent with RevEyes
(an alpha 1 blocker), approved by the FDA in 1990 but shortly thereafter discontinued (not for safety or efficacy reasons)Clinical Effect to potentially reduce pupil size and reverse mydriasis by counteracting the drugs (alpha agonists and
cholinergic blockers) used to dilate the pupilConvenient eye drop given at the office that may allow vision to return to normal soonerTolerable with a minimal side effect profile (unlike cholinergic agonists such as pilocarpine) Nyxol's
Potential Differentiated Solution Single Use Indication Leveraging a Precedent Approval Pathway RM Seeking Treatment Findings Patients likely to request reversal of dilation 45% Eye care providers likely to use reversal
drops 40% Source: GlobalData Market Research Report, 2020
RM MIRA-2 Phase 3 Registration Design Randomized, Double-Masked, Placebo-Controlled, Parallel,
One-Day Trial MydriasisTime -1 Hour MIRA-2 1:1 Mydriatic Agent A, B, or C 0.75% Nyxol Placebo 12 US sites~168 healthy subjects Nyxol drop(s)(1 day) Mydriatic Agent A, B, or C Placebo drop(s)(1 day) Treatment Time 0 (Max
Dilation) RM Primary: % of subjects returning to baseline (within 0.2 mm) pupil diameter at 90 minSecondary:% of subjects returning to baseline at 30min, 1h, 2h, 3h, 4h, 6h, 24hMean change in pupil diameter from mydriatic max at all
timepointsAccommodation (tropicamide)Safety and tolerability (redness) Endpoints Started and Completed Enrollment in 4Q20 - 185 Subjects Top Line Expected 1Q21 Eligibility Screening Randomization Mydriatic Agents: phenylephrine (alpha
agonist), tropicamide (cholinergic blocker), Paremyd (combination) 1:1
Nyxol Demonstrated Clinical Effect in RM Key Endpoints Observed from MIRA-1 Phase 2b
Trial MIRA-1 Phase 2 Trial Nyxol Reduced More Subjects to Pupil Diameter (PD) Baseline Source: MIRA-1 Nyxol Reduced PD Faster Across Phenylephrine & Tropicamide Mydriatic Agents Source: MIRA-1 RM Percent of Subjects Returning to 0.2
mm of Baseline after TreatmentWith either Phenylephrine or Tropicamide Reduction in Pupil Diameter after Patients received eitherPhenylephrine 2.5% or Tropicamide 1.0% in Study Eye Percent of Subjects (%) p=0.1094 p=0.0262 p=0.0001 Pupil
Diameter (mm) *p<0.05; **p<0.01; ***p<0.001; ****p<0.0001 MIRA-2 protocol enhancements:1 2 drops of Nyxol in study eye AND dark irides dark/light irides
Presbyopia - Chronic Opportunity Lens loses ability to change shape when viewing objects up
close as we ageDependence on reading glasses for intermittent and prolonged useGrowing need for therapies that improve, rather than hinder, quality of life Source: GlobalData Market Research Report, 2020 The Problem Aging Population Drives
Demand for Alternatives to Reading Glasses P 120 M Patients No Currently Approved Drug Therapies Effectively everyone over 40 will have the problems with reading. Physician KOL Seeking Treatment Findings Patients requesting
alternative to reading glasses 40% Patients would consider an eye drop alternative 69%
Presbyopia - Chronic Opportunity "Pin-hole" effect of Nyxol and low dose pilocarpine may
improve near vision by increasing depth of focus as validated by other devices/therapiesMore durable combination of two miotics affecting different muscles (iris dilator and sphincter) involved in pupil size modulationTolerable use with minimal
side effects expected with chronic evening use of Nyxol Retinaeyedoctor.com, GlobalData Market Research Report, 2020 Nyxol's Potential Differentiated Solution Pupil Modulation Eye Drops May Replace Reading Glasses Large Pupil Pin-hole
Pupil Near Far In focus In focus P This would just become part of my daily routine for my eyes to be able to see things up close. How convenient is that? Presbyopic Patient, age 49
Presbyopia VEGA-1 Phase 2 Proposed Design Planned Randomized, Double-Masked,
Placebo-Controlled One-Week Trial Visit 1 VEGA-1 Eligibility Screening Randomization 4 arms 0.75% Nyxol Placebo 20 US sites~152 presbyopic patients Visit 2 (3 - 5 Days Later) Screening P Primary: % of subjects with 3 lines of
improvement in distance-corrected near visual acuity comparing Nyxol + LDP vs placebo alone at 1 hourSecondary:% of subjects with 2 and 3 lines gained at time points from 30 min to 6 hours in photopic and mesopic lighting comparing Nyxol +
LDP vs placebo, Nyxol alone, and LDP aloneNo loss of distance vision Pupil diameter at time pointsSafety and tolerability (redness) Endpoints Phase 2 Start Targeted for 1Q21 Top Line Expected 2Q21 LDP= low-dose pilocarpine (0.4%) Treatment
Arms Nyxol + LDP LDP Drop Nyxol Baseline Nyxol Alone No Treatment Nyxol Baseline LDP Alone LDP Drop Placebo Baseline Placebo Alone No Treatment Placebo Baseline
Nyxol Demonstrated Clinical Effect in Presbyopia Key Endpoints Observed from Multiple