Defeating neurodegeneration

through Human Endogenous

Retroviruses ("HERVs")

October 2023

Leveraging

Lean and

unique HERV

experienced

platform

team

Three

Delivering

independent

results in the

high-potential

short and

programs

medium term

Disclaimer

This presentation has been prepared by GeNeuro solely for use in the context of a general information meeting. All persons accessing this document must agree to the restrictions and limitations set out below. This material is given in conjunction with an oral presentation and should not be taken out of context.

This presentation has been prepared for information and background purposes only and the information contained herein (unless otherwise indicated) has been prepared by GeNeuro S.A. (the "Company"). It includes only summary information and does not purport to contain comprehensive or complete information about the Company and is qualified in its entirety by the business, financial and other information that the Company is required to publish in accordance with the rules, regulations and practices applicable to companies listed on Euronext Paris. No reliance may be placed for any purposes whatsoever on the information or opinions contained in this document or on its accuracy or completeness.

This presentation includes "forward-looking statements." Any assumptions, views or opinions (including statements, projections, forecasts or other forward-

looking statements) contained in this presentation represent the assumptions, views or opinions of the Company as of the date indicated and are subject to change without notice. All information not separately sourced is from internal Company data and estimates. Any data relating to past performance contained herein is no indication as to future performance. The information in this presentation is not intended to predict actual results, and no assurances are given with respect thereto. By their nature, such forward-looking statements involve known and unknown risks, uncertainties and other important factors that could cause the actual results, performance or achievements of the Company to be materially different from results, performance or achievements expressed or implied by such forward-looking statements. Such forward-looking statements are based on numerous assumptions regarding the Company's present and future business strategies and the environment in which the Company will operate in the future. These forward-looking statements speak only as of the date of this presentation. Investors are urged to consider these factors carefully in evaluating the forward-looking statements in this presentation and not to place undue reliance on such statements.

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2 |

GeNeuro's lean and experienced team

Jesús Martin-GarciaMBA

Chief Executive Officer - Co-founder

Prof. David LeppertMD

Chief Medical Officer

Dr. Hervé PerronPhD, HDR

Chief Scientific Officer - Co-founder

Dr. Alois B LangPhD

Chief Development Officer

Miguel Payró

Chief Financial Officer

Strong track-record in creating value in high technology start-ups

20+ years experience in MS, in charge of R&D and clinical development

Made the initial key discoveries in the field of human endogenous retroviruses while at INSERM and bioMérieux

Over 30 years experience in translational science and drug development

Experience in international groups

  • expertise as CFO of a Swiss listed company in the medical sector

More than 20 years of

MBA from Harvard

experience as founder and

Business School

investor in successful

Master in Law by

startups

University of Geneva

Global Development Team

MD from Zürich University &

Leader at Roche, then

research fellowships in

Therapeutic Area Head

neuroimmunology and

Neuroinflammation at Novartis

neurophysiology at UCSF

Has published over 120

PhD in virology and a

peer-reviewed papers

professorial thesis in

and patents, mostly on

neuroimmunology

HERVs

Chief of Research &

PhD in Immunology from

Immunology at Berna

ETH Zürich, post-doctoral

Biotech, Professor of

work at Zürich University

Immunology at

Hospital

University of Bern

Previously CFO of

Degree in business

Groupe Franck Muller &

administration from the

Unilabs, among others

University of Geneva

3 |

Defeating neurodegeneration through Human Endogenous Retroviruses ("HERVs")

  • GeNeuro is a clinical stage company headquartered in Geneva, with R&D facilities in France
  • Founded in 2006 as an Institut Mérieux spin-off, based on 20 years of research on human endogenous retroviruses (HERVs) conducted within Institut Mérieux and bioMérieux
  • Leader in the fight against HERV-mediated diseases, supported by a unique network of partnerships with leading Academic Institutions worldwide (NINDS, Karolinska, HHU, CIRI, FondaMental, etc.)
  • Three active programs
    • Neurodegeneration in Multiple Sclerosis: successful Phase II data with temelimab on key MRI and liquid biomarkers of neurodegeneration
    • Ongoing Phase II study of Temelimab against severe neuropsychiatric syndromes post-COVID in CH, I and E
    • Amyotrophic Lateral Sclerosis: partnership with NINDS to bring to IND a new diagnostic -> treatment for sporadic ALS

Shareholding structure (December 2022)

GeNeuro is listed on Euronext Paris (ISIN: GNRO) since 2016

P&L and cash balance

1H

1H

FY

2023

2022

2022

(in € '000)

Income

-

-

-

R&D

(5,316)

(3,402)

(8,007)

G&A

(1,747)

(1,487)

(3,222)

Operating loss

(7,063)

(4,889)

(11,229)

Cash & Equivalents

7,398

-

5,593

4 |

Human Endogenous Retroviruses (HERVs)

Ancestral retroviral genomic (DNA) insertions

HERV elements are latent in human genome

  • Represent approximately 8% of total human genome
  • Genetic transposition leads to variable copy number, with non-ubiquitous copies in individuals
  • HERVs are normally latent but may be de-repressed and transcribed to produce viral proteins

Missing link between viral infections and poorly understood autoimmune / neurodegenerative diseases

  • Strong epidemiology data associates environmental viruses with diseases such as Epstein Barr Virus (EBV) in MS
  • Environmental viruses are not sufficient in disease development
  • They can activate HERV genes upon infection of permissive cells
  • Pathogenic HERV proteins have been suggested as potential causal factors in autoimmune / neurodegenerative diseases

Sources: Regulatory evolution of innate immunity through co-option of endogenous retroviruses; Science, Vol. 351, Issue 6277 Discovery of unfixed endogenous retrovirus insertions in diverse human populations. Proc Natl Acad Sci U S A. 2016 Human Endogenous Retrovirus Type W Envelope Protein Inhibits Oligodendroglial Precursor Cell Differentiation; Ann Neurol. 2013;74(5)A

Other repeats

DNA

transposons

3%

3%

Non-LTR

Other non-coding

retrotransposons

35%

DNA

48%

Protein-coding

HERVs

genes

8%

3%

The enemy within:

dormant retroviruses awaken

Engel & Hiebert,

Nature Medicine, 2010

5

5 |

HERVs: the missing link between viral infection and autoimmune / neurodegenerative diseases ?

The enemy within:

dormant retroviruses awaken

Engel & Hiebert,

Nature Medicine, 2010

Viruses from our environment can activate HERV expression from our DNA in target cells /organs (dependent on virus- specific tropism)

HERV proteins may continue to be expressed long after the initial viral trigger is resolved

Some HERV proteins have well documented pathogenic properties and may play a key role in neurodegenerative and autoimmune diseases

6 |

Existing IP portfolio & constant efforts to protect new discoveries place GeNeuro in a strong competitive position

  • Mérieux Group & GeNeuro have been working for more than 25 years in the HERV field
  • Key granted patents on temelimab filed from 2008 (NCE) to 2014 (on progression)
  • Strong IP development strategy to continue protecting temelimab beyond 2034 (2039 w. SPC)
  • 17 families of patents in HERV-W including the following 3 broad categories:

MSRV* ligand

SEP 16 family

TLR4 family

3 successive families

Background including

Antibody against TLR4

Product patents, therapeutic

HERV-W sequences

HERV-W Envelope agonist

compositions & disease areas

* previous name of HERV-W ENV

  • New anti-HERV-K patent co-owned with and in-licensed from NIH, filed in 2017

7 |

GeNeuro seeks to deliver results

from three programs in areas of high unmet medical need

Program

Indication

Status

Pre-clinical Phase I

Phase II

Phase III

HERV

Biology

applied to

Nervous

System

Diseases

Neurodegeneration

Finalization of

/ remylenation in

Phase II

Results

Phase III

Multiple Sclerosis

strategy

Completed

Presented

Temelimab

With partners or

Karolinska/ASC trial

ECTRIMS

independently

MAb against

Oct. 2022

Pivotal

HERV-W ENV

Neuropsychiatric

Biomarker-

Phase II

Results

syndromes

based 6-month

launched

expected

of Long-COVID

Phase II trial

2Q2024

GNK301

Sporadic

Preclinical POC

GMP

Biomarker-

Amyotrophic

production

based

achieved through

and formal

MAb against

Lateral Sclerosis

6-month Phase

NINDS

preclinical

(ALS)

I/II

partnership

package to

IND

trial

HERV-K ENV

IND

Program launch subject to completion of additional funding

8 |

2

Temelimab status against neurodegeneration in MS

A novel pathway to specifically target neurodegeneration and disability progression in MS

Phase II results open path to combination trial of temelimab with high-efficacyanti-inflammatory drug

In partnership discussions

9

80% of RRMS patients develop progressive forms over time. No available drug prevents this evolution.

Despite effective treatments against relapses,

80% of MS patients suffer disability progression over time

2.8 million people worldwide suffer from MS

80% of them suffer from disability progression despite the availability of efficacious anti-inflammatory drugs

HERV-WENV protein (W-ENV) is consistently found in MS brains

W-ENV contributes to neurodegeneration through the activation of microglia and the inhibition of the brain's remyelination capacity

Neutralizing W-ENVis an attractive strategy against neurodegeneration, which is the key market opportunity for the next decade in MS

Benign MS Primary Progressive MS

10 |

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GeNeuro SA published this content on 20 October 2023 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 20 October 2023 09:52:03 UTC.