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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 20549

 


 

FORM 8-K

 


 

CURRENT REPORT
Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

 

Date of report (Date of earliest event reported):  October 4, 2017

 

Catabasis Pharmaceuticals, Inc.

(Exact Name of Registrant as Specified in Charter)

 

Delaware

 

001-37467

 

26-3687168

(State or Other Jurisdiction
of Incorporation)

 

(Commission
File Number)

 

(IRS Employer
Identification No.)

 

One Kendall Square
Bldg. 1400E, Suite B14202
Cambridge, Massachusetts

 

02139

(Address of Principal Executive Offices)

 

(Zip Code)

 

Registrant’s telephone number, including area code:  (617) 349-1971

 

 

(Former Name or Former Address, if Changed Since Last Report)

 


 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

 

o            Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

o            Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

o            Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

o            Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

 

Emerging growth company               x

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.       x

 

 

 



 

Item 8.01.  Other Events.

 

On October 4, 2017, Catabasis Pharmaceuticals, Inc. (the “Company”) issued a press release and made publicly available a slide presentation announcing data from the open-label extension of the Company’s MoveDMD clinical trial.   The press release and the slide presentation are filed as Exhibits 99.1 and 99.2, respectively, to this Current Report on Form 8-K, and the information contained therein is incorporated herein by reference.

 

Item 9.01.  Financial Statements and Exhibits.

 

(d)           Exhibits

 

The Exhibits to this Current Report on Form 8-K are listed in the Exhibit Index below.

 

Cautionary Note Regarding Forward-Looking Statements

 

This Current Report on Form 8-K, including the press release and the slide presentation filed as Exhibits 99.1 and 99.2, respectively, contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements, other than statements of historical facts, contained in this Current Report on Form 8-K, including statements regarding the Company’s plans to commence a single global Phase 3 trial in Duchenne muscular dystrophy, or DMD, in the first half of 2018 to evaluate the efficacy and safety of edasalonexent for registration purposes, the Company’s plans to report top-line results from this trial in 2020 and the Company’s plans to continue to evaluate data from the open-label extension of the Company’s MoveDMD clinical trial of edasalonexent for the treatment of DMD, are forward-looking statements. The words “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “plan,” “potential,” “predict,” “project,” “should,” “target,” “would” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words.  The Company may not actually achieve the plans, intentions or expectations disclosed in these forward-looking statements, and you should not place undue reliance on these forward-looking statements. Actual results or events could differ materially from the plans, intentions and expectations disclosed in these forward-looking statements as a result of important risks and uncertainties, including uncertainties inherent in the initiation and completion of preclinical studies and clinical trials and clinical development of the Company’s product candidates, including the final trial design of the Company’s planned Phase 3 clinical trial in DMD; availability and timing of results from preclinical studies and clinical trials, including the availability of top-line results from the Company’s planned Phase 3 clinical trial in DMD in 2020; whether interim results from a clinical trial will be predictive of the final results of the trial or the results of future trials; expectations for regulatory approvals to conduct trials or to market products, including the Company’s expected target product profile for edasalonexent in DMD; the Company’s ability to obtain financing on acceptable terms and in a timely manner to fund the Company’s planned Phase 3 clinical trial in DMD to evaluate the efficacy and safety of edasalonexent for registration purposes; availability of funding sufficient for the Company’s foreseeable and unforeseeable operating expenses and capital expenditure requirements; other matters that could affect the availability or commercial potential of the Company’s product candidates; and general economic and market conditions and other factors discussed in the Company’s most recent Quarterly Report on Form 10-Q, particularly in the “Risk Factors” section, which is on file with the Securities and Exchange Commission.  Except as otherwise required by law, the Company disclaims any intention or obligation to update any forward-looking statements as a result of developments occurring after the date of this Current Report on Form 8-K.

 

2



 

EXHIBIT INDEX

 

Exhibit
Number

 

Description of Exhibit

 

 

 

99.1

 

Press release issued by the Company on October 4, 2017

 

 

 

99.2

 

Slide presentation disclosing data from the open-label extension of the Company’s MoveDMD clinical trial

 

3



 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

 

 

CATABASIS PHARMACEUTICALS, INC.

 

 

 

Date: October 4, 2017

By:

/s/ Jill C. Milne

 

 

 

 

 

Jill C. Milne

 

 

President and Chief Executive Officer

 

4


Exhibit 99.1

 

 

Catabasis Pharmaceuticals Reports Positive Results from Open-Label Extension of Phase 2 MoveDMD® Trial Evaluating Edasalonexent in Duchenne Muscular Dystrophy and Plans to Initiate Phase 3 Clinical Trial in First Half 2018

 

— Edasalonexent Substantially Slowed Duchenne Muscular Dystrophy Disease Progression through 36 Weeks

 

— Improvements Across Multiple Assessments of Muscle Function and Measures of Muscle Health

 

— Conference Call October 4 at 8:30am ET —

 

 

CAMBRIDGE, Mass., October 4, 2017 — Catabasis Pharmaceuticals, Inc. (NASDAQ:CATB), a clinical-stage biopharmaceutical company, today reported new positive efficacy results showing sustained disease-modifying effects in the MoveDMD trial open-label extension following 24 and 36 weeks of treatment with edasalonexent. Across all key assessments of muscle function, improvements were observed in the rate of decline after 24 and 36 weeks of oral 100 mg/kg/day edasalonexent treatment compared to the rate of change in the control period for boys prior to receiving edasalonexent treatment. These data provide clinically meaningful evidence that edasalonexent substantially slowed the progression of Duchenne muscular dystrophy (DMD).

 

Additionally, supportive changes in measures of muscle health were seen, consistent with positive edasalonexent treatment effects. Muscle enzymes significantly decreased compared to baseline at 12 weeks and later time points (p<0.05) and lower leg muscle MRI T2 rate of change was significantly improved in comparison to progression during the control period

 



 

(p<0.05). Edasalonexent continued to be well tolerated with no safety signals observed in the trial.

 

Based on the consistency of the MoveDMD results and supportive regulatory input from FDA, Catabasis plans to initiate a single global Phase 3 trial with edasalonexent in patients with DMD regardless of mutation type in the first half of 2018 with top-line results expected in 2020. The data were presented today in a late breaking session at the World Muscle Society Conference and will be discussed, along with the Phase 3 clinical trial plan, on a conference call today, October 4, 2017.

 

“We are extremely excited to see edasalonexent change the trajectory of disease in the MoveDMD trial with substantially slowed disease progression,” said Jill C. Milne, Ph.D., Chief Executive Officer of Catabasis. “Boys treated with edasalonexent stabilized; they experienced meaningful improvements in muscle function compared to the rates of change observed during the control period. Importantly, other supportive positive measures of muscle health were observed. We look forward to advancing edasalonexent as a disease-modifying therapy in a single Phase 3 pivotal trial as soon as possible with the goal of providing a meaningful impact on disease progression for all boys affected by Duchenne.”

 

“Our goal in treating boys with Duchenne is to slow the progression of the disease. It is tremendously encouraging to see boys taking edasalonexent stabilize in their functional abilities and MRI T2 measures along with its continued safety profile,” said Richard Finkel, M.D., Chief, Division of Neurology, Department of Pediatrics at Nemours Children’s Health System and a Principal Investigator for the study. “I look forward to continuing to investigate edasalonexent as a potential therapy for the many boys affected by this devastating disease.”

 

In the MoveDMD trial, a substantial slowing of the disease progression of DMD was seen in boys treated with edasalonexent compared to the rates of change during the control period. Through 36 weeks of treatment, the 100 mg/kg/day treatment group showed clinically meaningful numerical improvements in rates of decline compared to rates of change during the control period across all three timed function tests (10-meter walk/run, 4-stair climb and time to stand), as well as the North Star Ambulatory Assessment (NSAA), an integrated global assessment of muscle function. Control period changes were measured prior to boys receiving edasalonexent, either prior to Phase 2 or in the placebo group, for time periods averaging 39 weeks. In the 100 mg/kg/day treatment group, 16 boys commenced edasalonexent either at the beginning of Phase 2 or at the beginning of the open-label extension. At the time of the open-label extension data analysis, all 14 boys continuing to participate had received 100 mg/kg/day for 24 weeks and 11 had completed 36 weeks of 100 mg/kg/day edasalonexent treatment. Results are detailed for the 100 mg/kg/day treatment group as all boys are now taking this dose in the open-label extension.

 

Additional supportive measures of muscle health were also consistent with a positive edasalonexent treatment effect. Four muscle enzymes (creatine kinase, alanine aminotransferase, aspartate aminotransferase and lactate dehydrogenase) were significantly decreased compared to baseline following edasalonexent treatment at 12 weeks and later time

 



 

points (p<0.05), consistent with the ability to slow muscle degeneration and improve muscle integrity. Rate of change in lower leg MRI T2 significantly improved at 12 weeks and at last observation on treatment compared to control period (p<0.05), consistent with a reduction of inflammation in the muscle.

 

Edasalonexent continued to be well tolerated with no safety signals observed to date in the MoveDMD trial. The majority of adverse events (AEs) have been mild in nature with no serious AEs. There have been no dose reductions and no drug-related discontinuations. The most common AEs were gastrointestinal, primarily mild and transient diarrhea. Height, weight and BMI growth patterns were similar to standard growth curves for unaffected boys in the age range of MoveDMD subjects. Boys with DMD in this age range typically have resting tachycardia, a heart rate that exceeds the normal resting rate, and heart rate of the boys treated with edasalonexent decreased toward age-normative values during treatment. We believe these clinical heart rate observations are intriguing and warrant follow-up.

 

Catabasis plans to commence a single global Phase 3 trial in DMD in the first half of 2018 to evaluate the efficacy and safety of edasalonexent for registration purposes. The planned design of the randomized, double-blind, placebo-controlled trial is informed by discussions with FDA. Catabasis plans for the Phase 3 trial to have many elements in common with the Phase 2 trial including the patient population and endpoints. The trial is anticipated to enroll approximately 125 patients ages 4 to 7 who have not been on steroids for at least 6 months. The primary efficacy endpoint will be change in the North Star Ambulatory Assessment score after 12 months of treatment with edasalonexent compared to placebo. Key secondary endpoints are planned to include age-appropriate timed function tests. Catabasis expects to report top-line results from this trial in 2020.

 

“We are excited to see positive effects on muscle function with edasalonexent, as we know from research that effects on muscle function are the most important aspect of a therapy for Duchenne for the affected patients and their families,” said Pat Furlong, Founding President and Chief Executive Officer of Parent Project Muscular Dystrophy (PPMD). “We look forward to learning more about edasalonexent as Catabasis begins its Phase 3 trial. With the disease-modifying effects and safety and tolerability profile observed to date for edasalonexent, it has the potential to be a foundational therapy for all people affected by Duchenne.”

 

Conference Call and Webcast

 

Catabasis will host a conference call and webcast today, October 4, 2017, at 8:30am ET to discuss the open-label extension results from the MoveDMD trial and the Phase 3 clinical trial plan for edasalonexent.

 

Participant Toll-Free Dial-In Number:

 

(877) 388-2733

 

 

 

Participant International Dial-In Number:

 

(541) 797-2984

 

 

 

Pass Code:

 

90435261

 

Please specify to the operator that you would like to join the “Catabasis MoveDMD Results Call.”

 



 

Interested parties may access a live audio webcast of the conference call via the investor section of the Catabasis website, www.catabasis.com. Please connect to the Catabasis website several minutes prior to the start of the broadcast to ensure adequate time for any software download that may be necessary. The webcast will be archived for 90 days.

 

About the MoveDMD Phase 2 Trial

 

The MoveDMD trial included a randomized, double-blind, placebo-controlled Phase 2 trial with 31 ambulatory boys enrolled between ages 4 and 7 years with a genetically confirmed diagnosis of DMD across a range of dystrophin mutations. The boys were all steroid naive. The open-label extension was initiated in July 2016 and is evaluating longer term safety and efficacy with the same clinical endpoints as the placebo-controlled portion. Based on Phase 2 results, all boys who were on the lower dose (67 mg/kg/day) were transitioned to the higher dose (100 mg/kg/day) because a greater treatment effect was observed with the higher dose, consistent with a dose response. Catabasis expects to submit additional data for presentation to scientific meetings in 2018.

 

About Edasalonexent (CAT-1004)

 

Edasalonexent (CAT-1004) is an investigational oral small molecule that is being developed as a potential disease-modifying therapy for all patients affected by DMD, regardless of their underlying mutation. Edasalonexent inhibits NF-kB, a protein that is activated in DMD and drives inflammation and fibrosis, muscle degeneration and suppresses muscle regeneration. We are currently conducting the MoveDMD trial, a three-part clinical trial investigating the safety and efficacy of edasalonexent in boys enrolled at ages 4 — 7 affected with DMD (any confirmed mutation). The third part of the trial, an open-label extension with edasalonexent, is ongoing. The FDA has granted orphan drug, fast track and rare pediatric disease designations and the European Commission has granted orphan medicinal product designation to edasalonexent for the treatment of DMD. For a summary of clinical results reported to-date, please visit www.catabasis.com.

 

About Catabasis

 

At Catabasis Pharmaceuticals, our mission is to bring hope and life-changing therapies to patients and their families. Our SMART (Safely Metabolized And Rationally Targeted) Linker drug discovery platform enables us to engineer molecules that simultaneously modulate multiple targets in a disease. We are applying our SMART LinkerSM platform to build an internal pipeline of product candidates for rare diseases and plan to pursue partnerships to develop additional product candidates. For more information on the Company’s drug discovery platform and pipeline of drug candidates, please visit www.catabasis.com.

 

Forward Looking Statements

 

Any statements in this press release about future expectations, plans and prospects for the Company, including statements about future clinical trial plans including, among other things, statements about our plans to commence a single global Phase 3 trial in DMD in the first half of 2018 to evaluate the efficacy and safety of edasalonexent for registration purposes, our plans to report top-line results from this trial in 2020 and our plans to continue to evaluate data from the

 



 

open-label extension of our MoveDMD® clinical trial of edasalonexent for the treatment of DMD, and other statements containing the words “believes,” “anticipates,” “plans,” “expects,” “may” and similar expressions, constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995.  Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors, including: uncertainties inherent in the initiation and completion of preclinical studies and clinical trials and clinical development of the Company’s product candidates, including the final trial design of our planned Phase 3 trial in DMD; availability and timing of results from preclinical studies and clinical trials, including the availability of top-line results from our planned Phase 3 trial in DMD in 2020; whether interim results from a clinical trial will be predictive of the final results of the trial or the results of future trials; expectations for regulatory approvals to conduct trials or to market products; our ability to obtain financing on acceptable terms and in a timely manner to fund our planned Phase 3 trial in DMD to evaluate the efficacy and safety of edasalonexent for registration purposes; availability of funding sufficient for the Company’s foreseeable and unforeseeable operating expenses and capital expenditure requirements; other matters that could affect the availability or commercial potential of the Company’s product candidates; and general economic and market conditions and other factors discussed in the “Risk Factors” section of the Company’s Quarterly Report on Form 10-Q for the period ended June 30, 2017, which is on file with the Securities and Exchange Commission, and in other filings that the Company may make with the Securities and Exchange Commission in the future.  In addition, the forward-looking statements included in this press release represent the Company’s views as of the date of this press release.  The Company anticipates that subsequent events and developments will cause the Company’s views to change.  However, while the Company may elect to update these forward-looking statements at some point in the future, the Company specifically disclaims any obligation to do so.  These forward-looking statements should not be relied upon as representing the Company’s views as of any date subsequent to the date of this release.

 

###

 

Investor and Media Contact

Andrea Matthews

Catabasis Pharmaceuticals, Inc.

T: (617) 349-1971

amatthews@catabasis.com

 


Exhibit 99.2

MoveDMD® Open-Label Extension Edasalonexent is an oral small molecule designed to inhibit NF-kB for the treatment of Duchenne muscular dystrophy October 4, 2017

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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, including statements regarding our expectations and beliefs about our business, future financial and operating performance, clinical trial plans, product development plans and prospects, including statements about future clinical trial plans including, among other things, statements about our plans to commence a single global Phase 3 trial in Duchenne muscular dystrophy, or DMD, in the first half of 2018 to evaluate the efficacy and safety of edasalonexent for registration purposes, our plans to report top-line results from this trial in 2020 and our plans to continue to evaluate data from the open-label extension of our MoveDMD® clinical trial of edasalonexent for the treatment of DMD. The words “believe”, “anticipate”, “plans,” “expect”, “could”, “should”, “will”, “would”, “may”, “intend” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. The forward-looking statements contained in this presentation and in remarks made during this presentation and the following Q&A session are subject to important risks and uncertainties that may cause actual events or results to differ materially from our current expectations and beliefs, including: uncertainties inherent in the initiation and completion of preclinical studies and clinical trials and clinical development of the Company’s product candidates, including the final trial design of our planned Phase 3 trial in DMD; availability and timing of results from preclinical studies and clinical trials, including the availability of top-line results from our planned Phase 3 trial in DMD in 2020; whether interim results from a clinical trial will be predictive of the final results of the trial or the results of future trials; expectations for regulatory approvals to conduct trials or to market products, including our expected target product profile for edasalonexent in DMD; our ability to obtain financing on acceptable terms and in a timely manner to fund our planned Phase 3 trial in DMD to evaluate the efficacy and safety of edasalonexent for registration purposes; availability of funding sufficient for the Company’s foreseeable and unforeseeable operating expenses and capital expenditure requirements; other matters that could affect the availability or commercial potential of the Company’s product candidates; and general economic and market conditions and other factors discussed in the “Risk Factors” section of the Company’s Quarterly Report on Form 10-Q for the period ended June 30, 2017, which is on file with the Securities and Exchange Commission, and in other filings that the Company may make with the Securities and Exchange Commission in the future. In addition, the forward-looking statements included in this presentation represent our views as of the date of this presentation. We anticipate that subsequent events and developments will cause our views to change. However, while we may elect to update these forward-looking statements at some point in the future, we specifically disclaim any obligation to do so. These forward-looking statements should not be relied upon as representing our views as of any date subsequent to the date of this presentation. 2

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Topics of Today’s Call 3 Duchenne Muscular Dystrophy and Edasalonexent Overview MoveDMD Open-Label Extension Results Phase 3 Edasalonexent Phase 3 Clinical Trial Plan Question and Answer Session

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Topics of Today’s Call 4 Duchenne Muscular Dystrophy and Edasalonexent Overview MoveDMD Open-Label Extension Results Phase 3 Edasalonexent Phase 3 Clinical Trial Plan Question and Answer Session

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Duchenne Muscular Dystrophy Unmet Need Continues  Rare disease with well identified patient population – Approximately 15,000 patients in US and 19,000 in EU  Initial marketed therapies for small subsets of the patient most patients do not have a targeted therapy available population,  Standard of care, corticosteroid treatment, has significant associated adverse events – Including Cushing’s syndrome, obesity, behavioral changes, pubertal delay, osteoporosis and fractures  Research shows that effects on muscle function are the most important aspect of a therapy for Duchenne for the parents of affected boys – Parent Project Muscular Dystrophy (PPMD) 5

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DMD Is Characterized by a Predictable Cascade of Discrete Losses of Function and Mobility Milestones Typical DMD Disease Progression o Loss of ambulation eath 0 5 10 15 20 25 30 DMD Patient Age, Years 6 Dr. Craig McDonald, Investor Day 2016 Impaired ability t hop run jump Loss of rise from Loss floor of stair climb Loss of upp er limb function Loss of mobility and function Ventilation D

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The Opportunity: Target Product Profile for Edasalonexent 7 Indication Foundational treatment of Duchenne muscular dystrophy halting disease progression in boys ages 4+ Mechanism of action Small molecule that inhibits NF-kB Dosing Oral soft gel capsules 3 times per day with meals Efficacy Disease modifying, with impact on functional abilities, with potential to further delay loss of activities Safety Well tolerated and safe Differentiation – Use as monotherapy as well as in combination with other classes of therapies – Ability to enhance dystrophin expression in combination with dystrophin targeted therapies – Effective regardless of DMD mutation type – No steroid-like side effects

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Topics of Today’s Call 8 Duchenne Muscular Dystrophy and Edasalonexent Overview MoveDMD Open-Label Extension Results Phase 3 Edasalonexent Phase 3 Clinical Trial Plan Question and Answer Session

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MoveDMD Phase 2 Trial Design Phase 2 n=31 12 weeks n=17 7 days n=16 Average 39 weeks OPEN-LABEL EXTENSION 16 boys continued 1 boy did not Phase 1 Baseline Phase 2 Baseline Phase 2 Week 12 31 Boys Randomized 15 Boys Newly Enrolled   Enrolled 31 boys ages 4 to 7 with confirmed DMD not on corticosteroids 12-week Phase 2 data analysis showed overall safety and trend toward greater improvement for 100 mg/kg dose, therefore patients on 67 mg/kg dose were transitioned to 100 mg/kg dose  16 boys commenced 100 mg/kg edasalonexent at week 0, either at the beginning of Phase 2 or at the beginning of open-label extension, all dosed for 12 weeks –At the time of this data analysis, all 14 boys continuing to participate had received 100 mg/kg for 24 weeks and 11 had completed 36 weeks of 100 mg/kg/day edasalonexent treatment 9 Placebo n=11 Off-Treatment Period 67 mg/kg n=10 Phase 1 100 mg/kg n=10

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Improvementsin Assessments of Muscle Function 10

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Prespecified Analysis Approach to Open-Label Assessments of Muscle Function  Changes during the control period were measured prior to commencing edasalonexent, either prior to Phase 2 or for the placebo group at the start of the open-label extension, for time periods averaging 39 weeks  Comparison of control period to on-treatment period assumes that the rate of decline remains linear –However, DMD natural history data indicates a more rapid decline as boys get older 0.20 5 Solid line represents average of actual control period observations for boys in the 100 mg/kg treatment group (n=12) ntrol 0.18 0.16 Dashed line represents extension of control period observations 0.14 0.12 10 -36 Weeks -24 -12 Time of edasalonexent 12 24 36 treatment initiation 11 Time (Seconds) Speed (1/Seconds) Co

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10-Meter Walk/Run Speed Stabilized with Edasalonexent Treatment 10-Meter Walk/Run 0.20 5 0.18 0.16 0.14 0.12 10 -36 -24 -12 0 Weeks 12 24 36 Disease progression on edasalonexent improved compared with rate of change on control 12 Means ± SEM shown Time (Seconds) Speed (1/Seconds) Edasalonexent 100 mg/kg

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4-Stair Climb Speed Stabilized with Edasalonexent Treatment 4-Step Climb 0.4 0.3 5 0.2 0.1 10 15 -36 -24 -12 0 Weeks 12 24 36 Disease progression on edasalonexent improved compared with rate of change on control 13 Means ± SEM shown Time (Seconds) Speed (1/Seconds) Edasalonexent 100 mg/kg

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Time to Stand Speed Stabilized with Edasalonexent Treatment Time to Stand 0.3 5 0.2 10 0.1 15 -36 -24 -12 0 Weeks 12 24 36 Disease progression on edasalonexent improved compared with rate of change on control 14 Means ± SEM shown Time (Seconds) Speed (1/Seconds) Edasalonexent 100 mg/kg

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North Star Ambulatory Assessment Score Stabilized with Edasalonexent Treatment North Star Ambulatory Assessment 25 20 15 10 5 -36 -24 -12 0 Weeks 12 24 36 North Star is a composite endpoint evaluating physical function across 17 tests Disease progression on edasalonexent improved compared with rate of change on control 15 Means ± SEM shown Score Edasalonexent 100 mg/kg

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OtherSupportiveChangesin Measures of Muscle Health 16

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Muscle Enzymes Significantly Decreased from Baseline on Edasalonexent  Consistent with positive impact on muscle, and supportive of a benefit of edasalonexent Creatine Kinase Alanine Aminotransferase 5000 100 0 0 -5000 10000-15000-20000--100 * -200 12 24 36 12 24 36 Weeks on Edasalonexent Aspartate Aminotransferase Lactate Dehydrogenase 100 200 0 0 -200 -400 -100 -600 -200 -800 12 24 36 12 24 36 Weeks on Edasalonexent 17 Means ± SEM shown; * p<0.05 for change from baseline after 12 weeks IU/mL IU/mL IU/mL IU/mL * * *

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Edasalonexent Significantly Improved Rate of Change of MRI T2 Lower Leg Composite of 5 Muscles Control Period Compared with  MRI T2 increases over time in DMD, as shown for the control period MRI T2 Lower Leg Muscle Composite 0.15  Consistent with positive impact on muscle and a reduction in inflammation and supportive of a benefit of edasalonexent 0.10 0.05 ion 0.0 0.05-Control Week 12 Week 24 Week 36 MRI T2 was measured for the 5 muscles in the lower leg, and changes in the composite of these 5 muscles was the primary endpoint for Phase 2 18 Means ± SEM shown; * p<0.05 for comparison with pre-treatment period Rate of Change/Week * For last observat *

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WellToleratedwith No Safety Signals 19

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No Safety Signals and Well Tolerated   No safety signals in MoveDMD trial to date Well tolerated, with majority of adverse events being mild in nature, mostly gastrointestinal –Most common treatment-related adverse events were mild diarrhea –No serious treatment-related adverse events or dose reductions  ECG heart rate decreased toward age-normative values –Patients with DMD typically have resting tachycardia, including at ages 4-7 –Tachycardia is the first cardiac manifestation in boys with DMD   Growth: Weight, height and BMI changes age-appropriate No adverse trends in hematology, chemistry, renal or adrenal function, calcium and phosphate 20

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Age-Appropriate Growth Similar to Standard Growth Curves While on Edasalonexent Weight 100 50 BMI 100 0 12 24 36 Weeks on Edasalonexent 50 Height 100 0 12 24 36 Weeks on Edasalonexent 50  Boys treated with edasalonexent had age-appropriate increases in height and weight 0 12 24 36 Weeks on Edasalonexent 21 Percentile Percentile Percentile

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Open-Label Extension Results: Edasalonexent Substantially Slowed DMD Disease Progression  Disease progression on edasalonexent improved compared to rate of change in control period – North Star Ambulatory Assessment – Timed function tests 10-meter walk/run, 4-stair climb and time to stand Additional measures provide further support for positive edasalonexent treatment effects – Muscle enzymes significantly decreased from baseline at 12 weeks and later time points – Rate of change of lower leg muscle MRI T2 significantly improved compared to control period progression   Safety profile – No safety signal and well tolerated – Heart rate decreased toward age-normative values – Height, weight and BMI growth patterns continued to be similar to unaffected boys  Endpoints evaluated have regulatory support for ages 4-7 22

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Topics of Today’s Call 23 Duchenne Muscular Dystrophy and Edasalonexent Overview MoveDMD Open-Label Extension Results Phase 3 Edasalonexent Phase 3 Clinical Trial Plan Question and Answer Session

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Positive MoveDMD Data Support Planned Global Phase 3 Registration Trial for Edasalonexent Primary Endpoint   Design informed by discussions with FDA Key Phase 3 trial components including patient population and endpoints previously evaluated in Phase 2 trial  Study Population –Anticipated to be all mutations, age 4 to 7 steroid naïve or off steroids for >6 months Endpoints consistent with FDA draft guidance –At 12 months –Primary: Change in North Star Ambulatory Assessment –Key secondary: Age-appropriate assessments of muscle function Enrollment of approximately 125 boys, 2:1 randomization Planned to start in H1 2018 with top-line results in 2020    24 12-month, randomized, double-blind placebo-controlled trial Open-label extension Placebo Edasalonexent Edasalonexent, 100 mg/kg/day Edasalonexent

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Thank You Thank you to the boys and parents involved in the MoveDMD trial, the trial site staff, patient groups and members of the Duchenne community for their support 25

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Edasalonexent: Potential to Slow Disease Progression for All Boys with DMD  Investigational oral disease-modifying product candidate for all patients with DMD, regardless of mutation type  Edasalonexent substantially slowed DMD disease progression through 36 weeks  Path to registration defined based on MoveDMD positive data and supportive regulatory input –Phase 3 expected to start in H1 2018, top-line results expected in 2020  Developing as monotherapy and also exploring potential to combine with dystrophin-targeted and other therapies 26

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Topics of Today’s Call 27 Duchenne Muscular Dystrophy and Edasalonexent Overview MoveDMD Open-Label Extension Results Phase 3 Edasalonexent Phase 3 Clinical Trial Plan Question and Answer Session

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i \catabasis

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