Core Insights - Denali is focused on delivering biotherapeutics to the entire body, including the brain, for individuals with serious diseases [2][3] Group 1: Company Overview - Denali was founded to harness the potential of biotherapeutics for comprehensive treatment [2] - The company is presenting highlights of its enzyme transport vehicle technology at the WORLDSymposium in San Diego [1] Group 2: Technology Introduction - Denali has engineered the binding of the Transferrin receptor into its TransportVehicle [2]

Denali Therapeutics Update Summary Company Overview - **Company**: Denali Therapeutics (NasdaqGS:DNLI) - **Focus**: Development of biotherapeutics targeting serious diseases, particularly those affecting the brain and body Key Points from the Call Enzyme Transport Vehicle Technology - Denali has engineered a binding mechanism using transferrin receptor to cross the blood-brain barrier, allowing for systemic delivery of therapeutics [2][3] - The company has three main franchises: Enzyme Transport Vehicle, Oligo Transport Vehicle, and Antibody Transport Vehicle [2] Clinical Programs and Data - **Tividenofusp alfa (TIVI)**: - Focused on treating Hunter syndrome, with a phase 1/2 study showing an 80% mean reduction in CSF heparan sulfate and significant biomarker improvements [4][10] - Anticipated BLA filing and potential accelerated approval in 2027 based on interim data [4][22] - Long-term follow-up data showed sustained reductions in biomarkers and improvements in cognitive and behavioral outcomes [10][15] - **DNL126**: - Designed for MPS IIIA, with preliminary data showing an 80% reduction in CSF heparan sulfate after 49 weeks [22] - Safety profile consistent with established enzyme replacement therapies, with no serious adverse events reported [20][22] - Ongoing evaluation for potential accelerated approval based on biomarker data [22] - **DNL952**: - Investigational therapy for Pompe disease, showing enhanced delivery of GAA to muscle and nervous system [23][24] - Preclinical data indicated significant reductions in glycogen accumulation in muscle and nervous system tissues [26] Safety and Efficacy - Safety profiles for both TIVI and DNL126 were generally manageable, with infusion-related reactions being the most common adverse events [20][22] - The efficacy of TIVI was highlighted by improvements in hearing thresholds and cognitive skills across different age groups [10][15] Future Directions - Denali is preparing for the launch of TIVI, with a PDUFA date set for April 5, 2027 [4] - The company is also exploring the potential for breakthrough designation for TIVI based on the promising data [38] - Ongoing discussions with the FDA regarding trial designs and potential accelerated approvals for both TIVI and DNL126 [80] Market Context - Denali's therapies address significant unmet medical needs in rare diseases, particularly those with neurological manifestations, positioning the company favorably in the biopharmaceutical landscape [16][22] Additional Insights - The data presented at the WORLD Symposium emphasized the potential of Denali's therapies to not only stabilize but also improve patient outcomes over time, particularly in younger populations [10][15] - The company is actively engaging with regulatory bodies to ensure the timely advancement of its clinical programs [80] This summary encapsulates the critical aspects of Denali Therapeutics' recent developments, focusing on their innovative therapeutic approaches and the promising data emerging from their clinical trials.

February 5, 2026 Analyst Call This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements do not relate strictly to historical or current facts and they may be accompanied by such words as "anticipate," "believe," "could," "estimate," "expected," "forecast," "intend," "may," "plan," "potential," "possible," "future," "will" and other words and terms of similar meaning. All statements other than statements ...

Core Insights - Denali Therapeutics Inc. presented data on its Enzyme TransportVehicle™ (ETV) platform at the 22nd Annual WORLDSymposium™, showcasing its potential for delivering enzyme replacement therapies (ERT) for Hunter syndrome, Sanfilippo syndrome type A, and Pompe disease [1][2] Denali Therapeutics Overview - Denali is focused on developing biotherapeutics that can cross the blood-brain barrier using its proprietary TransportVehicle™ platform, aiming to address neurodegenerative and lysosomal storage diseases [19] Hunter Syndrome (MPS II) - Tividenofusp alfa (DNL310) showed significant reductions in cerebrospinal fluid heparan sulfate and urine heparan sulfate, with improvements in clinical endpoints maintained through Week 201 [3][6] - The Biologics License Application (BLA) for tividenofusp alfa is under Priority Review by the FDA, with a decision expected by April 5, 2026 [3][6] - A case study of two siblings with non-neuronopathic MPS II supports the therapy's potential to address the full disease spectrum [4] Sanfilippo Syndrome Type A (MPS IIIA) - DNL126 (ETV:SGSH) is fully enrolled in a Phase 1/2 study, showing an 80% mean reduction in cerebrospinal fluid heparan sulfate and an 83% reduction in urine heparan sulfate at Week 49 [5][8] - The FDA has indicated that cerebrospinal fluid heparan sulfate may serve as a surrogate endpoint for accelerated approval, with a BLA submission expected in 2027 [8][15] Pompe Disease - DNL952 (ETV:GAA) is in a Phase 1 clinical study designed to evaluate its safety and efficacy in late-onset Pompe disease, with preclinical data showing improved glycogen reduction compared to second-generation ERTs [9][17] - The study will assess various dose regimens and includes treatment-naïve patients [9] Regulatory and Developmental Progress - Denali is collaborating with regulatory authorities to advance its ETV platform and is preparing for the commercial launch of tividenofusp alfa [2][6] - The company is also planning a global Phase 3 confirmatory study for DNL126 [8][15]

Core Insights - The fourth-quarter 2025 reporting cycle for the Medical sector is commencing, with major firms expected to release earnings results in the coming weeks, primarily in the pharma/biotech and medical device segments [1] - Johnson & Johnson's strong performance has set a positive tone, while Roche faced challenges due to unfavorable foreign-exchange impacts, particularly from a weak U.S. dollar [1] - Sanofi reported mixed results, beating earnings estimates but slightly missing sales expectations [1] Earnings Trends - As of January 28, 11.7% of Medical sector companies, representing 26% of the sector's market capitalization, have reported quarterly earnings, with 42.9% beating both earnings and revenue estimates [2] - Year-over-year earnings decreased by 15.5%, while revenues increased by 10.3% [2] - Overall, fourth-quarter earnings for the Medical sector are expected to decrease by 2.4%, while sales are projected to rise by 8.7% compared to the previous year [3] Company Highlights - **Zoetis (ZTS)**: Expected to report earnings on February 12, with a consensus estimate of $1.40 per share and revenues of $2.37 billion. The company has an Earnings ESP of +0.84% and a Zacks Rank of 3. Recent performance has been driven by strong demand for companion animal products, although sales of certain monoclonal antibody products may have declined [7][8] - **Pacira BioSciences (PCRX)**: Anticipated to report earnings soon, with a consensus estimate of 85 cents per share and revenues of $196.99 million. The company has an Earnings ESP of +7.38% and a Zacks Rank of 2. Revenue growth is expected from its pain-management product, Exparel, and other products [9][10] - **Apellis Pharmaceuticals (APLS)**: Expected to report earnings soon, with a consensus estimate of a loss of 41 cents per share and revenues of $194.37 million. The company has an Earnings ESP of +4.52% and a Zacks Rank of 3. Revenue growth is likely driven by its geographic atrophy drug, Syfovre [11][12] - **Acadia Pharmaceuticals (ACAD)**: Set to report earnings soon, with a consensus estimate of 12 cents per share and revenues of $292.64 million. The company has an Earnings ESP of +14.92% and a Zacks Rank of 3. Revenue growth is expected from its lead drug, Nuplazid, and its second product, Daybue [13][14] - **Denali Therapeutics (DNLI)**: Expected to report a loss of 75 cents per share and revenues of $18.47 million. The company has an Earnings ESP of +6.11% and a Zacks Rank of 3. Revenue expectations are based on collaboration revenues, with updates on pipeline programs anticipated [15][16]

Core Viewpoint - Denali Therapeutics Inc. is set to showcase its Enzyme TransportVehicle™ (ETV) programs at the 22nd Annual WORLDSymposium™, highlighting the potential of ETV in delivering enzyme replacement therapies throughout the body, including the brain [1]. Company Overview - Denali Therapeutics Inc. is a biotechnology company focused on developing biotherapeutics that can cross the blood-brain barrier using its proprietary TransportVehicle™ platform [2]. - The company has a clinically validated delivery platform and a diverse portfolio of therapeutic candidates at various stages of development, aiming to provide effective treatments for neurodegenerative diseases, lysosomal storage disorders, and other serious conditions [2].

Core Insights - Denali Therapeutics Inc. is set to present clinical and preclinical data from its Enzyme Transport Vehicle™ (ETV) programs at the 22nd Annual WORLDSymposium™ from February 2-6, 2026, showcasing the potential of ETV for delivering enzyme replacement therapies throughout the body, including the brain [1] Group 1: Clinical Data Presentations - Two oral presentations will cover follow-up data from the Phase 1/2 clinical study of tividenofusp alfa (DNL310) for Hunter syndrome (MPS II) and preliminary data from the ongoing Phase 1/2 study of DNL126 (ETV:SGSH) for Sanfilippo syndrome type A (MPS IIIA) [2][5] - The U.S. FDA is conducting a Priority Review of the Biologics License Application (BLA) for tividenofusp alfa, with a decision anticipated by April 5, 2026 [2] Group 2: Presentation Details - The platform presentations include a study on intravenous tividenofusp alfa for MPS II and preliminary results from the DNL126 study in children with MPS IIIA, both scheduled for February 5, 2026 [3] - Poster presentations will cover various topics, including a retrospective cohort study on unmet needs in Hunter syndrome, enhanced correction of skeletal muscle and brain pathology in a Pompe mouse model, and a case study involving a male sibling pair with MPS II [4][6] Group 3: Satellite Symposium - Denali will sponsor a satellite symposium titled "Transforming Patient Care in MPS II" on February 5, 2026, featuring expert speakers [7] Group 4: TransportVehicle™ Platform - Denali's TransportVehicle™ platform is designed to cross the blood-brain barrier, enabling the delivery of large therapeutic molecules, including antibodies and enzymes, to the brain, demonstrating significantly improved brain exposure compared to traditional methods [8] - The platform has been clinically validated, with five TV-enabled programs currently in clinical development [8] Group 5: Company Overview - Denali Therapeutics is a biotechnology company focused on developing biotherapeutics that can cross the blood-brain barrier, aiming to transform the lives of individuals with neurodegenerative and lysosomal storage diseases [9]

Core Insights - The biotech sector has experienced a resurgence after a decade of stagnation, attracting increased investor interest [1] - Growth in other economic sectors has resulted in elevated valuations for those sectors compared to the biotech sector [1] Industry Summary - Investors are focusing on top biotech names in the market, indicating a shift in investment strategy towards biotech [1] - The current market conditions suggest that biotech valuations may appear more attractive relative to other sectors [1]

Core Insights - Denali is focused on delivering biotherapeutics to the brain and has expanded its technology to target other regions of the body [2] - The company has seen significant maturation in both clinical and preclinical data, highlighting the effectiveness of using transferrin receptor technology for biotherapeutics [3] Company Overview - Denali was founded with the mission to develop biotherapeutics that can effectively access the brain [2] - The company is positioned in a competitive field, indicating a growing interest and activity in biotherapeutics targeting the central nervous system [3]

Denali Therapeutics FY Conference Summary Company Overview - **Company**: Denali Therapeutics (NasdaqGS:DNLI) - **Industry**: Biotechnology, focusing on biotherapeutics for neurological diseases Key Messages and Core Points 1. **Transport Vehicle Technology**: Denali emphasizes its transport vehicle technology as a validated and clinically proven platform for delivering biotherapeutics across the blood-brain barrier (BBB) [3][4][12] 2. **Market Potential**: The company anticipates capturing a market exceeding $1 billion with upcoming launches for treatments targeting rare diseases such as Hunter syndrome and Sanfilippo [3] 3. **Clinical Programs**: Denali is advancing multiple clinical programs, including: - TIVI for Hunter syndrome, with a BLA filing and a PDUFA date set for April 5, 2026 [16][33] - OTV MAPT and ATV A beta for Alzheimer's disease, with clinical studies expected to start soon [4][27] - DNL126 for Sanfilippo, aiming for accelerated approval by 2027 [18][44] Financial and Market Strategy 1. **Launch Strategy for TIVI**: The company plans a seamless transition for patients currently on standard care, focusing on engaging centers of excellence and ensuring payer coverage [34][38] 2. **Revenue Expectations**: Minimal revenues are expected in 2026 due to the nature of rare disease launches, with a significant increase anticipated in 2027 as coverage expands [37] 3. **Pricing Strategy**: Denali aims to price TIVI at a premium compared to current treatments, ensuring broad access and affordability for patients [38] Clinical Data and Safety 1. **TIVI Clinical Data**: Safety data shows a decline in infusion-related reactions over time, with normalization of biomarkers indicating efficacy in halting neurodegeneration [15][16] 2. **Sanfilippo Program**: The ongoing phase one-two study for DNL126 is designed to leverage learnings from TIVI, with a focus on CSF heparan sulfate as a surrogate biomarker [41][44] 3. **Alzheimer's Programs**: ATV-A shows promise in reducing amyloid-related imaging abnormalities (ARIA) and improving plaque reduction compared to standard treatments [23][25] Research and Development Focus 1. **Broad Portfolio**: Denali is expanding its portfolio to include treatments for lysosomal storage diseases and common neurodegenerative diseases, with a focus on both enzyme replacement and oligonucleotide therapies [6][22] 2. **Innovative Approaches**: The company is committed to advancing its transport vehicle technology to enhance drug delivery across the BBB and improve treatment outcomes [11][52] Competitive Landscape 1. **Market Position**: Denali acknowledges the competitive nature of the field but believes its unique technology and clinical validation position it favorably [2][3] 2. **Future Opportunities**: The company is exploring additional indications for its transport vehicle platform, prioritizing diseases with well-understood biology and significant unmet needs [52] Conclusion Denali Therapeutics is poised for significant growth with its innovative transport vehicle technology, targeting both rare diseases and common neurodegenerative conditions. The company is strategically positioned to launch its products, engage with the medical community, and ensure patient access while navigating the complexities of the biotechnology market.