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KYMERA THERAPEUTICS, INC. PAGE 1
Welcome Justine Koenigsberg Vice President, Investor Relations
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future operations; the delay of any current and future preclinical studies or clinical trials or the development of our drug candidates; the risk that the results of prior preclinical studies and clinical trials may not be predictive of future
results in connection with current or future preclinical studies and clinical trials, including those for KT-474, KT-333, KT-253, KT-621, and KT-294; our ability to successfully demonstrate the safety and efficacy of our drug candidates; the timing
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made in this presentation relating to or based on such internal estimates and research. This presentation contains trademarks, trade names and service marks of other companies, which are the property of their respective owners. 3
Agenda Welcome 10:00 - 10:05 Justine Koenigsberg, Vice President,
Investor Relations Revolutionizing Immunology with Small Molecule Oral Degraders 10:05 - 10:25 Nello Mainolfi, Ph.D., Founder, President and CEO Paving the Way: KT-474, a First-in-Class Oral IRAK4 Degrader 10:25 - 10:35 Jared Gollob, M.D., Chief
Medical Officer Dupilumab-like Activity in a Pill: KT-621, a First-in-Class Oral STAT6 Degrader 10:35 - 10:55 Amy Wang, Ph.D., Senior Director and Program Lead, Immunology Degrading a Proven Target: KT-294, a First-in-Class Oral TYK2 Degrader 10:55
- 11:15 Juliet Williams, Ph.D., Head of Research Closing Remarks: Solving Big Problems with Small Molecules 11:15 - 11:20 Nello Mainolfi, Ph.D., Founder, President and CEO Q&A 11:20 - 12:00 4
Revolutionizing Immunology with Small Molecule Oral Degraders Nello
Mainolfi, Ph.D., Founder, President and CEO 5
Mission Build a global medicines company that harnesses novel modalities
to revolutionize healthcare
What I Will Cover Targeted Protein Degradation: Harnessing a
Game-Changing Novel Modality Demonstrating Reproducible and Scalable Clinical Innovation Our Target Selection Strategy Why Oral Degraders in Immunology Our Two New Programs 7
Harnessing a Game-Changing, Novel Modality Kymera, a Leader in Targeted
Protein Degradation D E G R A D E R Focused on unlocking high value, undrugged targets using TPD Highly productive and reproducible platform for discovery of D I S E A S E - innovative medicines E3 C A U S I N G L I G A S E P R O T E
I N Leading platform and pipeline IP, developed internally Well-capitalized, enabling expansion into areas with large clinical and commercial opportunities Industry Leading Execution Since founding Kymera in 2016:
Advanced four first-in-class programs to the clinic Demonstrated clinical translation of degradation and safety Achieved early clinical POC in I&I and oncology programs Extensive validation of target selection and
molecular design Successful track record delivering multiple new drug mechanisms in U B I Q U I T I N P R O T E A S O M E clinic, expecting up to 10 novel INDs within first 10 years S Y S T E M 8
Target Selection Strategy Focus on First- or Best-in-Class Opportunities
Undrugged or Inadequately Strong Genetic/Pathway Clear Path to Early Clinical Large Clinical/Commercial Drugged targets Validation Differentiation Opportunities Small Molecule Inhibitor Degrader T R A N S C R I P T I O N A R E A S O F A P P R O V E
D D R U G S I N S U P E R I O R I T Y V S F A C T O R S & S I G N I F I C A N T V A L U E S A M E P A T H W A Y P A T H W A Y D R U G S S C A F F O L D I N G P R O T E I N S C R E A T I O N 9
Demonstrating Reproducible and Scalable Clinical Innovation IRAK4
Degradation leads to Early POC STAT3 Degradation Leads to Major Response I R A K 4 S T A T 3 KT - 474 in HS and AD in cHL Patient KT - 333 STAT3 Levels 700 Bone Lesion Size Reduction in cHL Patient Reduction of AN Counts in HS Patients IRAK4 Levels
0 600 -10 500 -19.9 -20 400 -27.4 -31.6 -30 300 -40.6 -40 200 -46.1 -45.4 100 -50 -49.6 -50.7 0 -60 0 7 14 21 28 35 42 Screening Cycle 5 Day 1 Day Degradation of IRAK4 and Ikaros/Aiolos MDM2 Degradation Leads to I R A K I M I D M D M 2 in Humans was
Well Tolerated Major Response in MCC Patient with no Heme-tox KT - 413 KT - 253 GDF15 Levels Lesion Size Reduction in MCC Patient IRAK4 Ikaros Aiolos 10 Mean % Change (+/- S.E. of Mean)
Building a Global Medicines Company Pioneering a Demonstrating
Delivering a new generation new modality early POC of medicines 2016-2020 2021-2023 2024-2028 0 -10 -19.9 -20 -45.4 -27.4 -31.6 -30 -40.6 -40 -46.1 -50 -49.6 -50.7 -60 0 7 14 21 28 35 42 Day Focused on undrugged targets within Advanced four drug
candidates into Focus on large clinical/commercial clinically validated pathways clinic demonstrating clinical activity in opportunities with oral degraders oncology and immunology Forged multiple strategic partnerships to Increase investments in
I&I forward integrate (>$3B total value) Initiated two Phase 2 studies in Complete multiple POC studies in large significant immunology indications with Developed industry leading capabilities in indications and launch several Sanofi TPD and
novel E3s registrational studies Demonstrated biological and clinical Build towards a fully integrated global superiority of degrader vs. SMIs biotech 11 Mean % Change (+/- S.E. of Mean)
The Opportunity in Immunology Immune- Orals inflammation is a $250B WW
Oncology 1 market spanning multiple $171B therapeutic areas. $250B Other $81B Immune- Immunology $156B inflammation $40B Infectious Injectables $72B Disease $131B dominate, comprising >75% of CNS Cardio- the established Metabolic market.
Immune-inflammatory mechanisms = outside of traditional immunology 12
Why Small Molecule Oral Degraders in Immunology Key pathways/cytokines
Oral Degraders Can Offer validated as drivers of many Biologic-like Efficacy in a Pill diseases in I&I Biologics blocking these pathways/cytokines have Patients on Biologics that 1 Would Switch to Orals revolutionized treatment Biologics are
injected, can be 75% inconvenient for patients and costly to manufacture Degraders can provide comparable 2 IL-23 Biologics vs TYK2 SMI pathway inhibition to biologics, PASI 75 in PsO 100 Traditional small molecule 80 convenience of oral dosing,
ease of 60 inhibitors insufficiently block manufacturing and potentially 91% 40 these pathways, limiting efficacy 56% access broader populations 20 0 Guselkumab Deucravacitinib (IL-23 Ab) (TYK2 SMI) 13 PASI 75 (%)* @ Wk 10 - 16
Revolutionizing Immunology with Oral Degraders Our IRAK4 Example B E S
T -IN - P A T H W A Y M E C H A N I S M I R A K 4 S C A F F O L D I N G K I N A S E Clinical pathway validation IL-1, IL-18, IL-33, IL-36 biologics IL-1R/TLR Pathway > Cytokines TLR IL-1, IL-18, Agonists IL-33, IL-36 Human genetics IRAK4 null
adults: healthy > TLRs IL-1R Undrugged/inadequately Scaffolding kinase, only TPD can > Cytoplasm drugged by other technologies address MyD88 Best-in-pathway profile Superior to single cytokine IRAK4 KT-474 Myddosome IRAK1/2 > opportunity
upstream blockers: IL-1/18/33/36 TRAF6 Catalytic Scaffolding Clear path to early clinical Superiority in Phase 1/2 Th1/Th2/Th17 > de-risking Inflammation IRAK4 is master regulator of Access large clinical and HS, AD, RA, Asthma, COPD, IBD, innate
immunity with 1 > commercial opportunities others scaffolding and kinase functions 14
Revolutionizing Immunology with Oral Degraders W H A T W E H A V E L E
A R N E D F R O M K T -474 Strong Early Signs PK/PD of Clinical Correlation Activity Differentiated Safety vs. SMI I R A K 4 S C A F F O L D I N G K I N A S E 15
KT-474: Fidelity of Translation from Preclinical to Clinical Profile
Human PBMC After Oral Dosing QD 0 -20 -40 -60 -80 -92% DC = 3 ng/mL -95% -98% 85 -96% -100 Placebo 25 mg 50 mg 100 mg 200 mg (n = 9) (n = 9) (n = 9) (n = 12) (n = 9) Plasma KT-474 C (ng/mL)
trough C (ng/mL) 16.7 4.4 7.8 11.2 trough PK/PD modeling of observed data predicts comparable DC (~3 ng/mL) in dog and human 85 showing excellent preclinical to clinical translation and predictability of IRAK4 degradation 16 Predicted % IRAK4
Reduction from Baseline Percent IRAK4 Change from Baseline in PBMC + on Day 14 (mean ( s.e.))
Revolutionizing Immunology with Small Molecule Oral Degraders Our Two
New Programs S P E C I F I C I L - 4 / 1 3 S P E C I F I C I L - 2 3 / I F N T R A N S C R I P T I O N F A C T O R S C A F F O L D I N G K I N A S E S T A T 6 T Y K 2 17
STAT6 Degrader: Dupilumab-like Activity in a Pill S T A T 6 B E S T -IN
- P A T H W A Y M E C H A N I S M T R A N S C R I P T I O N F A C T O R IL-4/13 Pathway Clinical pathway validation Dupilumab > Type I IL-4 Type II IL-4 Receptor Receptor IL-4 IL-4 IL-13 Gain of function variants cause Human genetics severe
allergic diseases; IL-4R c IL-4R IL-13R 1 > KO phenotype (mouse) normal Undrugged/inadequately Transcription factor, TPD can fully > Cytoplasm drugged by other technologies block target/pathway STAT6 STAT6
Best-in-pathway profile Dupilumab-like activity with oral KT-621 > opportunity small molecule profile Allergic Th2 Inflammation Clear path to early clinical Phase 1/2 efficacy > de-risking STAT6 is the only specific transcription factor
responsible Dupilumab indications (AD, Asthma, for IL-4/13 signaling Access large clinical and COPD, CRSwNP, EoE, PN, others), > commercial opportunities mega-blockbuster potential 18
STAT6: Significant Potential Across Multiple I&I Indications 1
Dupixent (dupilumab) Global Sales, M A R K E T USD Billions O P P O R T U N I T Y 25,000 2 Total IL-4/IL-13 biologics sales expected $19.8 20,000 to double by 2029 >$10B in 2023 >$23B by 2029 15,000 +12.4% CAGR Currently
approved indications of IL-4/IL- 10,000 13 agents are dominated by biologics $8.7 Oral STAT6 degrader has potential for 5,000 dupilumab-like activity with convenience of an oral pill 0 Oral STAT6 degrader could have broader 2022 2029 Year access
beyond biologics-eligible patients Represents ~12% (adult AD) and ~23% (adult and impact much larger populations 3 asthma) advanced therapy penetration 19 Sales Value
TYK2 Degrader: Degrading a Proven Target for a Best-in-Class Profile T
Y K 2 B E S T -IN - P A T H W A Y M E C H A N I S M S C A F F O L D I N G K I N A S E IL-23 biologics (ustekinumab), IL-12/23/IFN Pathways Clinical pathway validation TYK2 inhibitor (deucravacitinib) > approved, others Type I IL-23 IL-12
interferons LOF variant is protective in Human genetics immunological diseases and > generally normal TYK2 JAK1 TYK2 JAK2 TYK2 JAK2 Undrugged/inadequately drugged Scaffolding kinase, SMIs do not > by other technologies fully block pathway
Scaffolding Scaffolding Scaffolding KT-294 TYK2 degrader recapitulates LOF Best-in-pathway profile phenotype: biologic-like activity Type I IFN & IL-23 inflammation > opportunity and convenience of oral pill Clear path to early clinical TYK2
is a JAK family scaffolding Phase 1 differentiation > de-risking kinase required for Type I IFN, IL- 12 and IL-23 cytokine signaling Access large clinical and IL-23, IFN indications, beyond: > commercial opportunities IBD, PsO, PsA, Lupus,
TYK2: Significant Potential Across Multiple I&I Indications M A R K
E T IL-23 and Type I IFN Annual Market O P P O R T U N I T Y USD Billions 30,000 $26.9 Total IL-23 and Type I IFN 1 biologics sales expected to grow 25,000 >6% by over $9B by 2029 CAGR ~$18B in 2022 20,000 $17.7 ~$27B by 2029
15,000 Currently approved indications dominated by biologics, with oral options challenged by efficacy 10,000 and/or safety 5,000 TYK2 degrader has potential for biologic-like efficacy with 0 convenience of oral pill 2022 2029 Year 21 Sales
Kymera Immunology Oral Degrader Portfolio Complementary, First-in-class
Mechanisms I R A K 4 S T A T 6 T Y K 2 S C A F F O L D I N G T R A N S C R I P T I O N S C A F F O L D I N G K I N A S E F A C T O R K I N A S E IL-1R/TLR Pathway IL-4/13 Pathway IL-12/23/IFN Pathways Cytokines Type I IL-4 Type II IL-4 Type I TLR
IL-1, IL-18, Receptor Receptor interferons: Agonists IL-23 IL-12 IL-33, IL-36 IL-4 IL-4 IL-13 IFN and IFN IL-4R c IL-4R IL-13R 1 TLRs IL-1R Cytoplasm JAK1 JAK2 JAK2 TYK2 TYK2 TYK2 MyD88 Scaffolding Scaffolding
Scaffolding IRAK4 STAT6 STAT6 KT-474 KT-621 Myddosome IRAK1/2 KT-294 TRAF6 Catalytic Scaffolding Type I IFN & IL-23 inflammation Allergic Th2 Inflammation Th1/Th2/Th17 Inflammation IRAK4 is master regulator of STAT6 is the only specific TYK2 is
a JAK family scaffolding innate immunity with transcription factor responsible kinase required for Type I IFN, IL- 12 and IL-23 cytokine signaling scaffolding and kinase functions for IL-4/13 signaling 22
Industry-leading Oral Immunology Pipeline Three Fundamental
Immune-inflammatory Pathways with Large Market Potential High value undrugged/ Next generation oral Building the industry- inadequately drugged drugs with potential leading oral targets best-in-class profiles immunology portfolio I R A K 4 ( K T
-474) S T A T 6 ( K T -621) T Y K 2 ( K T -294) S C A F F O L D I N G K I N A S E T R A N S C R I P T I O N F A C T O R S C A F F O L D I N G K I N A S E Potential AD, Asthma, COPD, IBD, PsO, PsA, Lupus, HS, AD, RA, Asthma,
COPD, 1 CRSwNP, EoE, PN, others Indications others IBD, others Biologic-like activity in Dupilumab-like activity First-in-class broad anti- Opportunity a pill in a pill inflammatory oral degrader Commercial Wholly
owned Wholly owned Up to 50% US with Sanofi, 2 Rights tiered royalties in ROW 23