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Forward-Looking Statements This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. We intend such forward-looking statements to be covered by the

Key Takeaway: The presentation outlines forward-looking statements regarding the company's genetic medicine developments and therapeutic strategies. It highlights the potential of their gene therapy and gene editing platforms, including the GTx-mAb platform. While the firm emphasizes its leadership in the field and plans for upcoming clinical milestones, it also acknowledges several financial and operational risks that could affect its progress. The company is actively pursuing collaborations and aims to advance its pipeline of genetic medicine candidates.

Market Sentiment Analysis

POSITIVE FACTORS

  • The company is recognized as a leader in developing genetic medicines.
  • They have an exclusive AAVHSC platform aimed at advancing gene therapy.
  • Multiple strategic collaborations and funding support from reputable partners like Pfizer and Novartis.

CONCERNS & RISKS

  • Current financial losses and a need for additional funding could impact future operations.
  • The early stage of development could lead to significant risks and delays in clinical trials.
  • Potential serious adverse side effects of product candidates may arise during their development.

Full Press Release Details

Corporate Presentation January 2023
Forward-Looking Statements This
presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. We intend such forward-looking statements to be covered by the safe harbor provisions for forward-looking statements
contained in Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements contained in this presentation that do not relate to matters of historical fact should be
considered forward-looking statements, including, without limitation, statements regarding: our expectations surrounding the potential, safety, efficacy, and regulatory and clinical progress of our product candidates; the potential of our gene
therapy and gene editing platforms, including our GTx-mAb platform; our plans and timing for the release of additional preclinical and clinical data; our plans to progress our pipeline of genetic medicine candidates and the anticipated timing for
these milestones; our expectations surrounding our relationship with Oxford Biomedica Solutions; our competitive position, business strategy, prospective products, timing, design, results and likelihood of success of studies and/or clinical trials;
our position as a leader in the development of genetic medicines; and our plans to engage in future collaborations and strategic partnerships. The words "believe," "may," "will," "estimate,"
"potential," "continue," "anticipate," "intend," "expect," "could," "would," "project," "plan," "target," and similar expressions
are intended to identify forward-looking statements, though not all forward-looking statements use these words or expressions. These statements are neither promises nor guarantees, but involve known and unknown risks, uncertainties and other
important 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, including, but not limited to,
the following: the impact of the COVID-19 pandemic on our business and operations, including our preclinical studies and clinical trials, and on general economic conditions; we have and expect to continue to incur significant losses; our need for
additional funding, which may not be available; failure to identify additional product candidates and develop or commercialize marketable products; the early stage of our development efforts; potential unforeseen events during clinical trials could
cause delays or other adverse consequences; risks relating to the regulatory approval process; interim, topline and preliminary data may change as more patient data become available, and are subject to audit and verification procedures that could
result in material changes in the final data; our product candidates may cause serious adverse side effects; inability to maintain our collaborations, or the failure of these collaborations; our reliance on third parties, including for the
manufacture of materials for our research programs, preclinical and clinical studies; failure to obtain U.S. or international marketing approval; ongoing regulatory obligations; effects of significant competition; unfavorable pricing regulations,
third-party reimbursement practices or healthcare reform initiatives; product liability lawsuits; securities class action litigation; failure to attract, retain and motivate qualified personnel; the possibility of system failures or security
breaches; risks relating to intellectual property; and significant costs incurred as a result of operating as a public company. These and other important factors discussed under the caption "Risk Factors" in our Quarterly Report on Form
10-Q for the quarter ended September 30, 2022 and our other filings with the Securities and Exchange Commission could cause actual results to differ materially from those indicated by the forward-looking statements made in this presentation. Any
such forward-looking statements represent management's estimates as of the date of this presentation. While we may elect to update such forward-looking statements at some point in the future, we disclaim any obligation to do so, even if
subsequent events cause our views to change. This presentation also includes statistical and other industry and market data that we obtained from industry publications and research, surveys and studies conducted by third parties or us. Industry
publications and third-party research, surveys and studies generally indicate that their information has been obtained from sources believed to be reliable, although they do not guarantee the accuracy or completeness of such information. All of the
market data used in this presentation involves a number of assumptions and limitations, and you are cautioned not to give undue weight to such estimates. While we believe these industry publications and third-party research, surveys and studies are
reliable, we have not independently verified such data. The industry in which we operate is subject to a high degree of uncertainty, change and risk due to a variety of factors, which could cause results to differ materially from those expressed in
the estimates made by the independent parties and by us.
Homology is a Leader in Genetic
Medicines, Developing One-Time, Potentially Life-Changing Therapies for Patients, Caregivers and Families By leveraging Homology's AAV technology, including our exclusive AAVHSC platform, we aim to: Deliver best-in-class gene editing therapies
by utilizing homologous recombination-based integration Replace chronic therapies with one-time GTx-mAb treatments Advance gene therapy with targeted capsid selection coupled with optimized design Pursue strategic partnerships to
progress and expand the platform
Fully Integrated Gene Therapy and Gene
Editing Company With Clinical Programs Rare Disease Experience Team's prior experience includes developing and/or launching 11 rare disease drugs with >$2B in annual revenue Technology 15 novel AAVHSCs; potential to expand Equity
investments from Pfizer and Novartis Extensive I.P. portfolio AAV Process Development and Manufacturing Expertise Co-owned Manufacturing and Innovation Business, Oxford Biomedica Solutions Research and Development Phase 1 gene editing in PKU Phase 1
gene therapy in Hunter syndrome Phase 1/2 gene therapy in PKU Discovery, Research & Development 5 development candidates
Flexible AAVHSC Platform Designed to
Address Rare Genetic Disorders and Diseases With Larger Patient Populations Promoter Corrective Gene Enters the Cell's Nucleus Promoter-Driven Tx-mAb Enters the Cell's Nucleus Episome with Promoter + Tx-mAb DNA mRNA Tx-mAb Continuous +
Sustained Systematic mAb Levels Homology Arm Homology Arm Corrective Gene Enters the Cell's Nucleus Episome with Promoter & Corrective Gene Mutated Gene mRNA Mutated Protein Mutated Gene Homologous Recombination Functional Gene mRNA
Protein Gene Therapy (Adds a Gene) Gene Therapy (GTx-mAb) Gene Editing (Nuclease-Free)
Homology's In Vivo AAVHSC Genetic
Medicines Pipeline Indication Research Preclinical Phase 1 Phase 2 Phase 3 Gene Editing (Nuclease-Free) Adult/Pediatric Phenylketonuria (PKU) Human Stem Cells Gene Therapy Adult PKU MPS II (Hunter syndrome) Metachromatic Leukodystrophy (MLD)
Partnering Opportunity GTx-mAb Platform Paroxysmal Nocturnal Hemoglobinuria (PNH) Undisclosed Ophthalmic Target HMI-103 - Ph 1 Trial in Adults HMI-102 - Ph 1/2 Trial* HMI-203 - Ph 1 Trial HMI-204 HMI-104 *Paused enrollment
Gene Editing Candidate HMI-103 for
Effective PKU Treatment Remains a High
Unmet Medical Need Phe target levels: Vockley J et al. Genetics in Medicine 2014; Levy H et al. Molecular Genetics and Metabolism 2019; van Spronsen FJ et al. Lancet Diabetes Endocrinol 2017. PKU is One of the Largest Established Rare Disease
Commercial Markets Only ~10% of Patients Treated With a Therapeutic Global Market: 50K pts 1-1.5K incidence U.S. Market: 16.5K pts 350 incidence Inborn error of metabolism caused by variants in PAH gene Results in loss of function of
phenylalanine hydroxylase responsible for metabolism of phenylalanine (Phe) If untreated, toxic levels of Phe accumulate and result in progressive and severe neurological impairment PKU Onerous low-Phe diet has poor compliance Diet not sufficient to
reduce Phe levels to recommended targets Approved therapeutics do not reconstitute normal biochemical pathway for ~95% of patients; all require chronic dosing Physicians, patients seek new treatment options Unmet Need
HMI-103: AAVHSC-Mediated Gene Editing
Inserting a Promoter and Functional PAH Gene at the Target Location 2 copies of non-functional PAH gene Non-functional mRNA Non-functional PAH enzyme PAH gene and liver-specific promoter flanked by homology arms Functional PAH enzyme Homologous
recombination Integrated, functional PAH gene using liver-specific promoter HMI-103 Functional mRNA Functional PAH enzyme Episome with PAH gene and liver-specific promoter Functional mRNA Integrated Promoter and Gene Provide PAH Expression
Integration knocks out mutated allele Potential for long-term correction Reduces non-functional PAH Episomes Provide PAH Expression Designed to maximize PAH expression in all transduced liver cells
Preclinical Data Supported
Advancement of HMI-103 Into Clinical Trials Similar mRNA Expression and On-Target Integration Observed in Both Murine and Humanized Models mRNA Expression On-Target Integration HMI-103 in Humanized Liver Murine Model Sustained Normalization of Phe
in Pahenu2 Model of PKU Long-Read Sequencing Method Surveyed Entire Genome No De Novo Mutations at Integration Site No Off-Target Integrations mRNA/10 ng RNA
Optimization of Gene Editing
Candidate HMI-103 Increased In Vivo Potency in Murine enu2 Model Potency Consistent Across all Timepoints Tested Reduction in Phe Dose (vg/kg) HMI-103 optimization included: vector and homology arms design, integration of promoter, packaging, etc.
HMI-102 Murine surrogate of HMI-103 Gene Editing Vector 10X More Potent than Gene Therapy Vector in Murine PKU Model Studies Conducted in Murine Pahenu2 Model Analysis compared dose at which 50% Phe reduction was achieved in Pahenu2 model
The pheEDIT Clinical Trial with
HMI-103 in Adults with PKU
pheEDIT Phase 1 Trial Evaluating
Investigational HMI-103 Gene Editing Candidate for PKU Dose 3 Dose 2 Cohort 2 n = up to 3 Dose 1 Cohort 1 n = up to 3 Cohort 3 n = up to 3 Dose-escalation trial evaluating safety and efficacy of single I.V. administration of HMI-103 in adults with
uncontrolled classical PKU 82-day screening / run-in period to assess pre-treatment Phe levels over time Stagger between patient dosing Prophylactic, steroid-sparing immunosuppressive regimen, including T-cell inhibitor (tacrolimus)
T-Cell Inhibitor with Steroids
Reduced Anti-AAVHSC nAb Response and Increased mRNA Expression in Non-Human Primates Increased mRNA Expression Reduced nAb Response Dexa = Dexamethasone Tacro = Tacrolimus Prophylactic Immunosuppression Regimen with T-Cell Inhibitor Tacrolimus and
Shorter Course of Steroids Being Utilized in pheEDIT and juMPStart Clinical Trials * P 0.05 *** P 0.001
pheEDIT Trial Objectives Evaluate
Safety and Tolerability of HMI-103 Evaluate Preliminary Efficacy: Effect on Phe Levels Primary Objectives Effect of Phe Levels at Different Timepoints, Dietary Intake Secondary Objectives Exploratory Objectives Additional Biomarkers
Participant Recently Dosed in
pheEDIT Trial, and Initial Data Expected Mid-Year First participant recently dosed; additional participants in screening Nine clinical sites, including key PKU KOLs More sites expected to be initiated Initial trials in adults with plans for younger
patients once safety and efficacy established in adults pheEDIT Initial Clinical Data Expected Mid-Year 2023
Gene Therapy Candidate HMI-203 for
High Unmet Need for Hunter Syndrome
Treatment That Addresses Peripheral and Cognitive Effects *WORLDSymposium 2022. Haroldson J, et al. *National MPS Society. "A Guide to Understanding MPS II." Patients on existing ERT continue to experience: Increased mortality,
sleep apnea, chronic and joint pain, lung and cardiac conditions, hearing loss, limited mobility/range of motion Anxiety caused by uncertainty of disease progression Shortened life expectancy ERT does not cross blood-brain-barrier (BBB);
Neuronopathic patients experience**: Decreased cognitive function, seizures, cerebrospinal fluid accumulation, carpal tunnel syndrome Life expectancy into the second decade Caused primarily by IDS gene mutations Leads to toxic lysosomal
accumulation of glycosaminoglycans (GAGs) Severe form includes progressive debilitation and intellectual decline followed by death in 10-20 years Prevalence: 1 in 100,000 to 1 in 170,000; primarily males MPS II (Hunter syndrome) All People
with MPS II Experience Peripheral Disease Manifestations
HMI-203: Homology's In Vivo
Gene Therapy Approach to Hunter Syndrome in juMPStart Trial One-time, in vivo gene therapy candidate Designed to deliver functional copies of IDS gene to peripheral organs and central nervous system (CNS) First systemic gene therapy to be evaluated
in clinical trial for Hunter syndrome I2S enzyme made and continuously expressed by the liver Promoter IDS Gene Episome with Promoter & IDS Gene Enters the Cell's Nucleus Non-Functional IDS Gene mRNA Non-Functional I2S Protein I2S Protein
Leads to Cross-Correction HMI-203
Glycosaminoglyan Heparan Sulfate
(GAG-HS) ( g/mL) HMI-203 Demonstrated Biochemical and Phenotypic Correction in MPS II Murine Model * p>0.05; ** p>0.01; *** p>0.001; "ns" = no significance. ASGCT 2021 and WORLDSymposium 2022. Smith, et al.
Biochemical Correction Phenotypic Correction HMI-203 Tissue GAG-HS (at 52 Weeks) Paw and Ankle Width CSF GAG-HS Levels (at 12 Weeks) Glycosaminoglyan Heparan Sulfate (GAG-HS) ( g/mL) WT - Vehicle MPS II - Vehicle MPS II - HMI
203 - Dose A MPS II - HMI 203 - Dose B MPS II - HMI 203 - Dose C MPS II - Vehicle MPS II - HMI-203 WT - Vehicle Zygomatic Arch Width
The juMPStart Clinical Trial with
HMI-203 in ERT-Treated Adults with Hunter Syndrome
juMPStart Phase 1 Trial Evaluating
Investigational HMI-203 Gene Therapy Candidate for Hunter Syndrome Dose 3 Dose 2 Cohort 2 n = up to 3 Dose 1 Cohort 1 n = up to 3 Cohort 3 n = up to 3 Dose-escalation trial evaluating safety and efficacy of single I.V. administration of HMI-203 in
ERT-treated adults with Hunter syndrome Stagger between patient dosing Prophylactic, steroid-sparing immunosuppressive regimen, including T-cell inhibitor (tacrolimus) ERT = Enzyme replacement therapy
juMPStart Trial Objectives Evaluate
Safety and Tolerability of HMI-203 Evaluate Preliminary Efficacy: Effect on MPS II Biomarkers Primary Objectives Evaluate Biomarkers, Functional Measures, Use of ERT Secondary Objectives Exploratory Objectives Evaluate Joint Range of Motion;
Quality-of-Life Assessments
juMPStart Initial Clinical Data
Expected 2H 2023 juMPStart Initial Clinical Data Expected 2H 2023 5 clinical sites in U.S. and Canada, including key Hunter syndrome KOLs More sites expected to be initiated Initial trials in adults with plans for younger patients once safety
and efficacy established in adults
Pipeline Updates and 2023
In Vivo GTx-mAb Candidate, HMI-104,
for the Treatment of PNH PNH Caused by Variants in PIGA gene Results in intravascular hemolysis (red blood cell destruction) caused by uncontrolled activation of complement system Chronic dosing with anti-C5s imperfect; patients struggle with:
Fatigue Anemia (~25%) Repetitive infusions (~25%) Hospitalizations Infection risk HMI-104
HMI-104 GTx-mAb Development

Frequently Asked Questions

What are forward-looking statements?

Forward-looking statements involve expectations about future performance and developments.

What is the GTx-mAb platform?

The GTx-mAb platform focuses on gene therapy and gene editing using AAV technology.

What conditions does Homology's pipeline address?

The pipeline includes treatments for PKU, Hunter syndrome, and Metachromatic leukodystrophy.

What is HMI-103 designed to treat?

HMI-103 targets phenylketonuria (PKU) through gene editing to restore enzyme function.

What is the primary goal of Homology's therapies?

To provide potentially life-changing one-time treatments for rare genetic disorders.

Last updated: Jan 4, 2023