MoonLake Immunotherapeutics

R&D Day Webcast

Presentation Document - Results ARGO trial November 2023

© 2023 | Proprietary | MoonLake TX

W: moonlaketx.com | E: info@moonlaketx.com

Welcome to our R&D Day

Date: November 6th, 2023

Topic

Sub-topics

Lead

Timing

Time: 8am EDT

Intro

- Key messages

Jorge

5 mins

Location: Nasdaq (Webcast)

Santos da

Silva

PsA - ARGO

- ARGO's profile, incl. baseline

Kristian

30 mins

trial Primary

- Efficacy data at primary &

Reich

Endpoint

secondary endpoints

Readout

- Safety data & other secondaries

- Discussing impact of ARGO in PsA

Moving

- Conclusions

Jorge

10 mins

Forward

- Overall value of MLTX

Santos da

- Path forward

Silva

Q&A

Matthias

To end

Bodenstedt

Source:

MoonLake Corporate

© 2023 | Proprietary | MoonLake TX

2

Disclaimer

Forward Looking Statements

Certain statements in this presentation may constitute "forward-looking statements" within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements include, but are not limited to, statements regarding our expectations, hopes, beliefs, intentions or strategies regarding the future including, without limitation, statements regarding: plans for clinical trials and research and development programs, including our MIRA trial in HS; the anticipated timing of the results from those trials expected near-term catalysts with respect to our clinical trials; and expectations regarding the time period over which our capital resources will be sufficient to fund our anticipated operations. In addition, any statements that refer to projections, forecasts, or other characterizations of future events or circumstances, including any underlying assumptions, are forward-looking statements. The words "anticipate", "believe", continue", "could", "estimate", "expect", "intend", "may", "might", "plan", "possible", "potential", "predict", "project", "should", " strive", "would" and similar expressions may identify forward-looking statements, but the absence of these words does not mean that such statement is not forward looking. Forward- looking statements are based on current expectations and assumptions that, while we and our management consider reasonable, as the case may be, are inherently uncertain. New risks and uncertainties may emerge from time to time, and it is not possible to predict all risks and uncertainties. Actual results could differ materially from those anticipated in such forward-looking statements as a result of various risks and uncertainties, which include, without limitation, risks and uncertainties associated with our business in general and limited operating history, the risk that past results may not be predictive of future results, difficulty enrolling patients in clinical trials, and reliance on third parties to conduct and support our clinical trials, and the other risks described in or incorporated by reference into our Annual Report on Form 10-K for the year ended December 31, 2022 and subsequent filings with the Securities and Exchange Commission. Nothing in this presentation should be regarded as a representation by any person that the forward-looking statements set forth herein will be achieved or that any of the contemplated results of such forward-looking statements will be achieved. You should not place undue reliance on forward-looking statements in this presentation, which speak only as of the date they are made and are qualified in their entirety by reference to the cautionary statements herein. We neither undertake nor accept any duty to release publicly any updates or revisions to any forward-looking statements to reflect any change in our expectations or in the events, conditions or circumstances on which any such statement is based. This presentation does not purport to summarize all of the conditions, risks and other attributes of MoonLake Immunotherapeutics.

Industry and Market Data

Certain information contained in this presentation relates to or is based on studies, publications, surveys and our own internal estimates and research. In this presentation, we rely on, and refer to, publicly available information and statistics regarding market participants in the sector in which we compete and other industry data. Any comparison of us to any other entity assumes the reliability of the information available to us. We obtained this information and statistics from third-party sources, including reports by market research firms and company filings. In addition, all of the market data included in this presentation involve 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 internal research is reliable, such research has not been verified by any independent source and we have not independently verified the information.

Trademarks

This presentation may contain trademarks, service marks, trade names and copyrights of other companies, which are the property of their respective owners. Solely for convenience, some of the trademarks, service marks, trade names and copyrights referred to in this presentation may be listed without the TM, SM © or ® symbols, but we will assert, to the fullest extent under applicable law, the rights of the applicable owners, if any, to these trademarks, service marks, trade names and copyrights.

Source:

MoonLake Corporate

© 2023 | Proprietary | MoonLake TX

3

Instructions for this session

Please take note of the disclaimer on the prior page

You can submit your questions through the Q&A function - we will address as many questions as possible at the end of this session

The presentation and a replay will be made available on our IR website

For any technical issues during the webcast, please also use the Q&A function to request support

Other requests should be directed to ir@moonlaketx.comor media@moonlaketx.com

Source:

MoonLake Corporate

© 2023 | Proprietary | MoonLake TX

4

Introduction

© 2023 | Proprietary | MoonLake TX

5

PsA: IL-17F dependent multi-domain disease in difficult-to-reach tissues

PsA is a multi-domaindeep-tissue disease…

…with 3x IL-17F vs IL-17A1

…and causing devastating damage

Plaques

Peripheral

Psoriasis

arthritis

ACR50

PASI

90

IL-17A PsA

Disease Activity

Joint & spine disease

(PsA starts as

Nail Psoriasis

Axial

Nail

Enthesitis

Dactylitis

disease

psoriasis

enthesitis2, with IL-17F

producing cells in

associated plaques3 and

IL-17FPsAaxial disease4-6, and with 80% of patients suffering

from nail psoriasis7)

Market size

Unmet Needs

Global

USD bn sales

or more patients

skin involvement in

80% with multiple

10%

0.5% prevalence

10+ beyond 2030

PsA patients -

disease domains

severe skin disease

is still standard

20% ACR level of improvement

1 van Baarsen LG, et al. Arthritis Res Ther. 2014; 16:426-436; 2 Schett G, et al. Nature Reviews Rheumatology. 2017; 13:731-741; 3 Prinz JC, et al. J Exp Med. 2020 Jan 6;217(1):e20191397; 4 Sweet K, et al. RMD Open 2021;7e001679; 5 Shao M, et al. Clin Immunol 2020;213:108374; 6 Lories RJ and McInnes IB, Nature Medicine. 2012; 18:1018-1019; 7 Reich K. J Eur Acad Dermatol Venereol. 2009; 23 Suppl 1:15-21; Clinical pictures K. Reich

Source:

MoonLake Medical, Clinical pictures K. Reich

© 2023 | Proprietary | MoonLake TX

6

The key messages

MLTX's ARGO trial is a SUCCESS

  • Joints: ACR50 primary endpoint met at wk 12 for 60mg and 120mg induction doses - up to 47% ACR50 (p<0.01 vs placebo)
  • Skin: PASI90 secondary endpoint met at wk 12 also for 60mg and 120mg induction doses - up to 77% PASI90 (p<0.001 vs placebo)
  • Other secondary end points met at wk 12, wk16 data indicated continued improvement- impact of SLK for PsA patients is clear (e.g., PASI100, ACR70, MDA)
  • No new safety signals - continues to indicate favorable safety profile

MLTX's SLK Nanobody® continues to open a new era in therapy

  • Differentiating on multi-domain responses - consistency across skin & joint scores
  • Potential to use both doses (60mg and 120mg), advantageous for label
  • Highest numbers on higher level outcomes (e.g., ACR70, PASI100) at week 12
  • Impact in important disease activity scores as early as week 12
  • Differentiating with favorable safety profile

MLTX positioned to become a leader in I&I

  • Our view: SLK now a leading potential asset in HS, PsA & PsO (all multi-bn markets)
  • A wealth of potential indications to further pursue ($30bn+)
  • Soon Ph3-readyin 3+ TAs - expected to start Ph3s in 2024

Source:

MoonLake Corporate

© 2023 | Proprietary | MoonLake TX

7

ARGO Trial

Results

© 2023 | Proprietary | MoonLake TX

8

ARGO: Phase 2 trial design

Part A

Nov 6th R&D Day

Week 12

SLK 120mg

SLK 60mg

SLK 60mg

NI

PLC

ADA 40mg

Focus of today's

results

Key design elements of ARGO

  • Global study with approx. 50 sites, with 207 patients randomized
  • Double-blind,placebo-controlled, active reference arm
  • Active PsA (TJC68 ≥3, SJC≥3, current active PsO and/or confirmed PsO)
  • ACR50 as primary endpoint, PASI90 as key secondary endpoint
  • ITT-NRI primary analysis; Stratification by sex, previous bio use
  • Groups 1 ("SLK 120mg" with induction) and 2 ("SLK 60mg" with induction) are doses previously used in SLK trials
  • Group 3 ("SLK 60mg NI", no induction) was used to support requirement for induction dosing

Notes: 1 Randomization stratified by sex and prior exposure to biologics; 2 At Week 0/Day 1, all eligible participants were randomized 1:1:1:1:1; 3 In the cross-over period, starting at Week 12, participants on sonelokimab 120 mg who did not achieve an adequate response switched to adalimumab 40 mg Q2W until Week 24; participants on sonelokimab 60 mg (started at baseline Q2W or Q4W) who did not achieve an adequate response switched to sonelokimab 120 mg Q4W until week 24; participants on adalimumab who did not achieve an adequate response switched to sonelokimab 120 mg Q4W until Week 24; an adequate response is defined as a reduction of the tender and swollen joint count of ≥20%. Participants on placebo at Week 12 were switched to sonelokimab Q4W until Week 24

Source:

MoonLake Clinical

© 2023 | Proprietary | MoonLake TX

9

Baseline: All arms of the ARGO trial are well balanced

Patient characteristics

Age, yrs, mean

Female, %

BMI, kg/m2, mean

Duration of PsA, yrs, mean

Prior biologic use, %

Concomitant non-biologic DMARD, %

Concomitant MTX, %

Tender Joint Count (TJC68), mean Swollen Joint Count (SJC66), mean

Affected BSA ≥ 3%, %

PASI (BSA ≥ 3%), mean

Nail psoriasis (mNAPSI > 0), %

mNAPSI, mean

Presence of enthesitis (LEI > 0), %

LEI score, mean

Presence of dactylitis, %

Patient Pain (PtAAP), mean

PsA Impact of Disease (PsAID) 12, mean

Overall

ARGO

(n=207)

49

49

29.0

5.4

17

70

67

17

9

69

7.2

55

13.4

32

2.4

12

58

4.2

Main arms

Active reference

Placebo

Sonelokimab 60mg NI

Sonelokimab 60mg

Sonelokimab 120mg

Adalimumab

(n=40)

(n=41)

(n=41)

(n=43)

(n=42)

47

50

48

50

48

48

51

49

49

50

27.9

29.6

27.7

30.3

29.3

5.7

6.0

6.2

4.9

4.1

15

20

17

19

17

68

81

63

67

69

65

78

56

67

67

17

18

17

17

16

9

11

9

9

10

67

78

63

63

76

7.1

6.7

8.0

7.2

7.3

55

59

54

40

67

15.2

16.0

11.5

14.4

10.5

36

34

39

26

24

1.9

2.9

2.9

2.7

1.6

13

10

12

12

12

56

60

60

55

58

3.9

4.3

4.6

3.9

4.5

Source:

MoonLake Clinical

© 2023 | Proprietary | MoonLake TX

10

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Moonlake Immunotherapeutics published this content on 07 November 2023 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 17 November 2023 14:18:08 UTC.