Corporate Presentation

A p r i l 2 0 2 4

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Forward-Looking Statements

This presentation and various remarks we make during this presentation contain forward-looking statements of Aileron Therapeutics, Inc. ("Aileron", the "Company", "we", "our" or "us") within the meaning of the Private Securities Litigation Reform Act of 1995, including statements with respect to: future expectations, plans and prospects for the Company; the milestones of the Company; the projected cash runway of the Company; the status and plans for clinical trials, including the timing of data; future product development; and the potential commercial opportunity of LTI-03 and LTI-01. We use words such as "anticipate," "believe," "estimate," "expect," "hope," "intend," "may," "plan," "predict," "project," "target," "potential," "would," "can," "could," "should," "continue," and other words and terms of similar meaning to help identify forward-looking statements, although not all forward-looking statements contain these identifying words. Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors, including risks and uncertainties related to changes in applicable laws or regulations, the possibility that the Company may be adversely affected by other economic, business, and/or competitive factors, including risks inherent in pharmaceutical research and development, such as: adverse results in the Company's drug discovery, preclinical and clinical development activities, the risk that the results of preclinical studies and early clinical trials may not be replicated in later clinical trials, the Company's ability to enroll patients in its clinical trials, and the risk that any of its clinical trials may not commence, continue or be completed on time, or at all; decisions made by the U.S. FDA and other regulatory authorities, investigational review boards at clinical trial sites and publication review bodies with respect to our development candidates; our ability to obtain, maintain and enforce intellectual property rights for our platform and development candidates; our potential dependence on collaboration partners; competition; uncertainties as to the sufficiency of the Company's cash resources to fund its planned activities for the periods anticipated and the Company's ability to manage unplanned cash requirements; and general economic and market conditions; as well as the risks and uncertainties discussed in the "Risk Factors" section of the Company's Annual Report on Form 10-K for the year ended December 31, 2023, which is on file with the Securities and Exchange Commission, and in subsequent filings that the Company files with the Securities and Exchange Commission. These forward-looking statements should not be relied upon as representing the Company's view as of any date subsequent to the date of this presentation, and we expressly disclaim any obligation to update any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by law.

This presentation contains estimates and other statistical data made by independent parties and by us relating to our clinical data, market size and other data about our industry. This data involves a number of assumptions and limitations, and you are cautioned not to give undue weight to such data and estimates. In addition, projections, assumptions and estimates of our future performance and the future performance of the markets in which we operate are necessarily subject to a high degree of uncertainty and risk.

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Clinical-stage Biotech with Pulmonary Pipeline

Therapies for Underserved Fibrosis and Pulmonary Conditions

LTI-03

Phase 1b

Idiopathic Pulmonary

Fibrosis

LTI-01

Phase 2b

Loculated Pleural Effusions

ready

LTI-05

Lead

Cystic Fibrosis

Optimization

  • Preclinical evidence supporting the ability to protect healthy lung epithelial cells and to reduce pro-fibroticsignaling
  • Demonstrated ability to increase sRAGE, a prognostic biomarker of IPF
  • Potentially fatal disease with no approved drugs
  • Completed Phase 1b and Phase 2a trials; similar mechanism to fibrinolytics used off label
  • ENaC inhibitor intended for the 15-20%of CF pts. who do not respond to
    CFTR modulators
  • 100% inhibition and localized activity (safety profile) in preclinical studies

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Multiple Orphan Disease Programs with Upcoming Milestones

Preclinical

Phase 1

Phase 2

Phase 3

Upcoming Milestones

LTI-03

Idiopathic Pulmonary Fibrosis

LTI-01

Loculated Pleural Effusion Follow on

LTI-05

Cystic Fibrosis

Other Programs

Multiple fibrotic indications

Phase 1b topline data Q3 2024

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Led by an Experienced Biotech and Pulmonary Team

Brian Windsor, Ph.D.

President and CEO

Cory H. Hogaboam, Ph.D.

Chief Scientific Officer

(consulting)

Matt Karpen

VP CMC

Joe von Rickenbach

Chairman of the Board

Management and Board of Directors

Bill Fairey

Director

Alan Musso

Director

Reinhard Ambros, Ph.D.

Director

Manuel Aivado, M.D., Ph.D.

Director

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LTI-03: A Novel Treatment for Idiopathic Pulmonary Fibrosis

LTI-03 is a Peptide Region of Caveolin-1 Protein in Development for Idiopathic Pulmonary Fibrosis

  • Multiple preclinical studies support dual mechanism of Cav1 - ability to inhibit multiple pro-fibrotic pathways and protect lung epithelial cells
  • We believe current SOC treatment options offer modest clinical benefit, have significant side effects and intolerance, and are not curative
    o ~100,0001 IPF patients in the U.S. with expected median survival 2-5 years2 from diagnosis
  • Completed Phase 1a randomized, double-blindplacebo-controlled study in healthy normal volunteers
    o Currently in a Phase 1b randomized, double-blindplacebo-controlled study
  • sRAGE - prognostic biomarker of IPF disease preferentially increased in ex-vivo IPF tissue samples and Phase 1a treated patients
    o RAGE is primarily expressed by epithelial cells in lung tissue

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United States National Library of Medicine website.

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2

Nathan et al. Long-term Course and Prognosis of Idiopathic Pulmonary Fibrosis in the New Millennium. Chest Journal Volume 140, ISSUE 1, P221-229, July 2011

Sizeable Global Opportunity in IPF with Potential Upside

Addressable market

Estimated Global

IPF Market

$11.7B by 2031*

Upside Potential: other related lung conditions

Global Opportunity

  • Affects 13 to 20 out of every 100,000 people worldwide **
  • Only 2 drugs approved as of 2024
  • Cost for Ofev oral capsule (100 mg) is approximately $13,695 for a supply of 60 capsules, depending on the pharmacy***

Upside Market Potential

  • Other interstitial lung diseases (ILDs)
  • Possibly other lung conditions

*Source: iHealthcareAnalyst Global Idiopathic Pulmonary Fibrosis Market $11.7 Billion by 2031 January 5, 2024 by iHealthcareAnalyst, Inc. https://www.ihealthcareanalyst.com/global-idiopathic-pulmonary-fibrosis-treatment-market/

**Source: United States National Library of Medicine website. "Idiopathic

Pulmonary Fibrosis," http://ghr.nlm.nih.gov/condition/idiopathic-pulmonary-

fibrosis.

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***Source: Drugs.com https://www.drugs.com/price-guide/ofev#

Caveolin-1 Modulates Multiple Fibrosis-Related Pathways

Adapted from Gvaramia et al, Matrix Biology, 2013

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Simulation of Caveolin-1 Activity via CSD Peptide

  • LTI-03is a seven amino acid peptide encompassing a portion of the Cav1 CSD
  • LTI-03is dosed direct-to-lung by dry powder inhaler

For a review on CSD/CBD binding domain list, see: Byrne et. al. PLOS One 2012

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Aileron Therapeutics Inc. published this content on 15 April 2024 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 15 April 2024 21:52:35 UTC.