Goldman Sachs 46th Annual Global Healthcare Conference June 11, 2025 Cautionary Note Regarding Forward-Looking Statements This presentation includes forward-looking statements. These forward-looking statements generally can be identified by the use of words such as "anticipate," "expect," "plan," "could," "may," "will," "believe," "estimate," "forecast," "goal," "project," and other words of similar meaning. These forward-looking statements address various matters including Novavax's corporate strategy and ...

Summary of Vaxide Conference Call Company Overview - Vaxide was co-founded twelve years ago, based on a proprietary cell-free protein synthesis platform originally developed at Stanford [3][4] - The company holds exclusive rights to this technology for vaccine development, focusing on a 31-valent pneumococcal conjugate vaccine [4][5] Industry Context - The pneumococcal vaccine market is currently valued at $8 billion, with a significant portion of sales historically in the pediatric segment [4][29] - The current standard of care vaccine only covers about 50% of circulating pneumococcal diseases, while Vaxide's 31-valent vaccine aims to cover 95-98% [8][34] Key Developments - Vaxide is preparing to initiate Phase III trials for its 31-valent vaccine for adults, with expectations to start mid-2025 [44][49] - The adult vaccination landscape is evolving, with the U.S. now vaccinating adults starting at age 50 instead of 65, which is expected to drive future growth [30][33] Regulatory Environment - Recent changes in CDC and FDA policies have created uncertainty, but the management believes the underlying substance of these changes is less impactful than the headlines suggest [15][16] - Vaxide has received breakthrough therapy designation from the FDA, allowing for more frequent interactions and potentially accelerated review processes [25][49] Competitive Landscape - Pfizer has historically dominated the pneumococcal vaccine market with its Prevnar franchise, but new entrants like Merck are increasing competition [28][35] - Vaxide's technology allows for higher valency vaccines without the issue of carrier suppression, which has limited competitors [36][39] Clinical Data and Pipeline - Vaxide's VAX 24 showed positive results in pediatric studies, with good immune responses and tolerability, despite some noninferiority misses [57][62] - The company is optimistic about its VAX 31 infant study, which is currently underway, and expects to have data by mid-next year [64][66] Manufacturing and Commercialization Strategy - Vaxide has partnered with Lonza for manufacturing, ensuring commercial-scale production readiness ahead of product launch [55][56] - The company plans to commercialize independently in the U.S. and major markets, with potential partnerships in regions where establishing a commercial presence may be challenging [53][54] Future Opportunities - Vaxide is also exploring other vaccine candidates, with the group A strep vaccine seen as having the most promise due to high unmet need and potential for success [79][80] - The company aims to leverage its technology to address antimicrobial resistance through vaccines, which is a growing global concern [82] Conclusion - Vaxide is positioned to capitalize on the growing pneumococcal vaccine market with its innovative technology and upcoming clinical trials, while also exploring additional vaccine opportunities to address significant health challenges.

Investment Rating - The report maintains a "Buy" rating for several healthcare stocks, including Wuxi Apptec and Eyebright, based on their strong growth potential and market positioning [11]. Core Insights - The EU's planned restrictions on Chinese medtech firms' access to public procurements over EUR 5 million are expected to have limited impact on the covered companies, as most do not participate in such procurements and have manageable revenue exposure to the EU market [3]. - The healthcare indices in China showed positive performance, with HSHCI rising by 4.1% and HSHKBIO by 4.5% during the week of June 2-6, 2025, indicating a favorable market trend [2]. - Recent approvals in the drug sector include Akeso's cadonilimab for cervical cancer and Hansoh's aumolertinib for NSCLC in the UK, showcasing ongoing innovation and regulatory progress in the industry [4][5]. Summary by Sections Market Access and Regulatory Environment - The EU's International Procurement Instrument investigation concluded that China has limited EU medical device producers' access to government contracts, leading to the proposed restrictions [3]. - Companies like Mindray and MGI Tech have established local manufacturing facilities, which may help mitigate the impact of these restrictions [3]. Drug Approvals and Developments - Akeso's cadonilimab received approval for treating first-line cervical cancer, while Innovent and Hutchmed's sintilimab + fruquintinib application was accepted for renal cell carcinoma [4]. - Hansoh's aumolertinib has been approved in the UK for specific NSCLC patients, indicating a strong pipeline for innovative therapies [4]. Stock Performance and Recommendations - The report highlights top picks in the healthcare sector, including Wuxi Apptec and Eyebright, based on their expected solid fundamental recovery and market share potential [11]. - The report notes that the chemicals sector outperformed healthcare indices, with a 1.7% increase in A shares and a 3.8% increase in H shares [12].

Summary of Vaxart Conference Call Company Overview - **Company**: Vaxart - **Industry**: Vaccine Development - **Key Products**: Oral vaccines, including those for COVID-19 and norovirus Core Points and Arguments 1. **Unique Oral Vaccine Platform**: Vaxart is developing an oral vaccine that can be self-administered, contrasting with traditional injected vaccines which require appointments and can have side effects [2][3][4] 2. **Scientific Advantages**: The oral vaccine elicits both systemic immune responses (IgG) and mucosal immune responses (dimeric IgA), which may provide better protection against variant strains [5][6][31] 3. **Health Economic Benefits**: The oral vaccine eliminates the need for cold chain storage and reduces medical waste, potentially lowering overall healthcare costs [8][10] 4. **COVID-19 Program**: Vaxart received over $450 million in funding from BARDA for a study comparing its oral vaccine to an mRNA vaccine, with a 10,000 participant study currently underway [11][12][33] 5. **Study Design**: The study includes both symptomatic and asymptomatic COVID-19 infection tracking, with a follow-up period of 12 months [15][16][19] 6. **Funding Structure**: The funding agreement is milestone-driven, with $240 million immediately available to support the study [33][34] 7. **Norovirus Vaccine Development**: Norovirus causes significant health issues, particularly in vulnerable populations, and Vaxart aims to develop a vaccine targeting this virus, with no approved vaccines currently available [41][42] 8. **Second Generation Norovirus Vaccine**: Vaxart is advancing a second-generation vaccine with improved immunogenicity and manufacturing efficiency, with data expected mid-year [44][46][49] 9. **Market Potential**: The financial impact of norovirus in the U.S. is estimated at $10 billion annually, indicating a significant market opportunity for a vaccine [41] 10. **Partnership Opportunities**: Vaxart is in discussions with various companies for potential partnerships to support its vaccine programs, particularly for norovirus [72][73] 11. **Influenza Programs**: Vaxart is also developing vaccines for seasonal and pandemic influenza, with promising preclinical results [66][68] Other Important Content - **Regulatory Environment**: The company has maintained a good relationship with the U.S. government, which has allowed it to proceed with its studies without major changes [12][36] - **Safety Monitoring**: An independent Data Safety Monitoring Board has recommended proceeding with the study without modifications, indicating confidence in the study's design [25][26] - **Cross-Reactivity and Viral Shedding**: The oral vaccine shows potential for cross-reactivity against various strains and may reduce viral shedding, which is critical for controlling pandemics [31][32][60] - **Runway and Future Funding**: Vaxart's current financial runway extends into the first quarter of the following year, with plans to seek additional funding based on positive study results [74][75]

Core Insights - Valneva SE announced positive six-month antibody persistence and safety data for its Phase 2 clinical trial of the chikungunya vaccine IXCHIQ in children, supporting the initiation of a pivotal Phase 3 study in early 2026 [1][2][8] Company Overview - Valneva is a specialty vaccine company focused on developing, manufacturing, and commercializing vaccines for infectious diseases, with a strong track record in advancing multiple vaccines from early R&D to approvals [10][11] - The company currently markets three proprietary travel vaccines, including the world's first and only chikungunya vaccine, and has a pipeline that includes candidates for Lyme disease, Shigella, and Zika virus [12] Clinical Trial Results - The Phase 2 trial (VLA1553-221) involved 304 healthy children aged one to eleven years, demonstrating that a full dose of the vaccine elicited a more robust immune response compared to a half dose, with a 96.5% seroresponse rate at Day 180 [2][3][8] - The vaccine was well tolerated across all age groups tested, with no safety concerns identified, supporting the selection of the full dose for the upcoming Phase 3 trial [4][5][8] Market Context - Chikungunya poses a significant health risk, particularly in endemic areas, with Brazil reporting over one million cases from January 2019 to July 2024, and India reporting 370,000 cases during the same period [5][7] - The World Health Organization has identified chikungunya as a major public health problem, with the economic impact expected to grow due to climate change and the geographical spread of mosquito vectors [7]

Core Insights - Valneva SE, a specialty vaccine company, is set to present and hold investor meetings at various conferences in the US and Europe in June 2025 [1][2] Group 1: Upcoming Conferences - Valneva will participate in the Jefferies Global Healthcare Conference on June 5, 2025, in New York, featuring a fireside chat and investor meetings [4] - The company will also attend the Goldman Sachs 46th Annual Global Healthcare Conference on June 9, 2025, in Miami, FL, with a similar format [4] - Additionally, Valneva will engage in investor meetings at the Oddo BHF Nextcap Forum on June 12, 2025, and the BNP Paribas SMID Cap Conference on June 18, 2025, in Paris, France [5][6] Group 2: Key Discussion Topics - The discussions will focus on Valneva's commercial stage vaccines and its differentiated portfolio, particularly VLA15, which is the leading Lyme disease vaccine candidate partnered with Pfizer [2][8] - VLA15 is currently undergoing a pivotal Phase 3 trial, with the company expecting to release the first data by the end of 2025 [2] Group 3: Company Overview - Valneva specializes in developing, manufacturing, and commercializing prophylactic vaccines for infectious diseases, addressing unmet medical needs [7] - The company has a strong track record of advancing multiple vaccines from early R&D to approvals and currently markets three proprietary travel vaccines [8] - Valneva's pipeline includes the only Lyme disease vaccine candidate in advanced clinical development, the world's most clinically advanced Shigella vaccine candidate, and candidates against the Zika virus and other public health threats [8]

Core Viewpoint - Evaxion A/S has initiated a one-year extension of its ongoing phase 2 trial for its personalized cancer vaccine EVX-01, aimed at treating advanced melanoma, leveraging its AI-Immunology™ platform to explore the vaccine's long-term clinical and immune benefits [1][2][4]. Group 1: Trial Details - The first patient has been dosed in the one-year extension of the trial, which will involve two additional doses of EVX-01 as monotherapy [3]. - The initial two years of the trial involved EVX-01 in combination with standard anti-PD-1 therapy, and the extension phase allows for evaluation of EVX-01 as a standalone treatment [4][5]. - The trial extension incurs minimal costs since trial sites are already operational and the vaccine has been produced [2][10]. Group 2: Clinical Data and Results - Interim one-year data presented at the ESMO Congress in September 2024 showed a 69% Overall Response Rate, with tumor target lesions reduced in 15 out of 16 patients [8]. - At the AACR Annual Meeting in April 2025, it was reported that 80% of EVX-01's vaccine targets triggered a targeted immune response, indicating favorable outcomes compared to other treatment approaches [9]. - The completed phase 1/2a clinical trial demonstrated that 67% of metastatic melanoma patients had objective clinical responses, highlighting the predictive power of the AI-Immunology™ platform [12]. Group 3: Product and Technology Overview - EVX-01 is a personalized peptide-based cancer vaccine designed to engage the patient's immune system against tumors, tailored to each individual's unique tumor profile [6][11]. - The AI-Immunology™ platform is central to Evaxion's approach, enabling the development of novel immunotherapies for various diseases, including cancer [13].

Core Viewpoint - Vaxart, Inc. is proposing a reverse stock split to avoid delisting from Nasdaq due to its current share price being below the minimum requirement of $1.00 [2][8] Group 1: Reverse Stock Split Proposal - The reverse stock split is necessary for Vaxart to regain compliance with Nasdaq's minimum bid price requirement [2] - The proposed reverse stock split ratio is between 1-for-5 and 1-for-50, with the intention to select a ratio only high enough to resolve the Nasdaq deficiency [5] - The company prefers to achieve compliance through stock price appreciation rather than executing the reverse stock split if possible [5] Group 2: Impact on Investments - The reverse stock split will not change the aggregate value of a stockholder's investment or their percentage ownership in the company [3][11] - There will be no dilution of Vaxart's stock as the reverse split affects all issued shares uniformly [4] Group 3: Benefits of the Reverse Stock Split - Anticipated benefits include maintaining Nasdaq listing, increasing market visibility, and enhancing long-term value through increased trading volume and financing opportunities [8][10] - Independent proxy advisory firms, ISS and Glass Lewis, recommend stockholders support the reverse stock split proposal due to the risk of delisting [9] Group 4: Company Strategy and Future Plans - The reverse stock split aligns with Vaxart's overall strategy to progress its clinical stage programs for COVID-19 and norovirus while advancing its preclinical pipeline [13] - Vaxart is exploring non-dilutive funding options and partnerships to enhance stockholder value [15]

Investment Rating - The report does not explicitly state an investment rating for the vaccine industry Core Insights - The overall trend in the vaccine industry shows a decline in batch approvals for most vaccine types in Q1 2025, with some exceptions showing recovery or growth in demand [7][29][46] Summary by Category Multi-Component Vaccines - In Q1 2025, multi-component vaccines saw a total of 17 batch approvals, a decrease of 26% compared to the previous year [11][15] - The five-component vaccine maintained its batch approval at 17, while the four-component vaccine had no approvals [15][12] Pneumonia Vaccines - Total batch approvals for pneumonia vaccines in Q1 2025 were 23, down 30% year-on-year [19][21] - The 13-valent pneumonia vaccine had 19 approvals, remaining stable, while the 23-valent vaccine saw a significant drop to 4 approvals, down 71% [24][19] HPV Vaccines - HPV vaccine approvals increased to 57 batches in Q1 2025, a growth of 63% [29][27] - The two-valent HPV vaccine saw a remarkable increase of 367%, with all approvals coming from Wantai Biological Pharmacy [29][32] Influenza Vaccines - Influenza vaccine approvals totaled 29 batches, a significant increase of 263% year-on-year [34][38] - The three-valent influenza vaccine had 28 approvals, while the four-valent vaccine had only 1 approval, down 67% [38][41] Rabies Vaccines - Batch approvals for rabies vaccines increased to 223 in Q1 2025, a growth of 37% [46][48] - The freeze-dried rabies vaccine accounted for the majority of approvals, with Chengda Biological achieving 105 approvals, a 110% increase [48][46] Varicella Vaccines - Varicella vaccine approvals slightly decreased to 83 batches, down 2% [53][54] - The largest contributor was Baike Biological, with 33 approvals, marking a 38% increase [54][53] Hib Vaccines - Hib vaccine approvals fell to 7 batches, a decrease of 50% [59][58] EV71 Vaccines - EV71 vaccine approvals continued to decline, with only 4 batches approved, down 69% [64][63] Rotavirus Vaccines - Rotavirus vaccine approvals totaled 21 batches, a decrease of 46% [68][67] DTP Vaccines - DTP vaccine approvals increased to 18 batches, a growth of 167% [72][73] Meningitis Vaccines - Meningitis vaccine approvals totaled 85 batches, down 34% [78][79] - The AC polysaccharide vaccine accounted for 55 approvals, a decrease of 47% [84][79] Hepatitis B Vaccines - Hepatitis B vaccine approvals increased to 87 batches, a growth of 28% [91][90] IPV Vaccines - IPV vaccine approvals totaled 22 batches, a decrease of 33% [93][92]

Financial Performance - Valneva reported total revenues of €49.2 million for Q1 2025, a 50.3% increase from €32.8 million in Q1 2024 [8][28] - Product sales reached €48.6 million, up 51.2% from €32.1 million in the same period last year [8][28] - The company incurred a net loss of €9.2 million in Q1 2025, compared to a net profit of €58.9 million in Q1 2024, which included €90.8 million from the sale of a Priority Review Voucher [8][42] - Adjusted EBITDA loss was €0.6 million in Q1 2025, down from a profit of €73.0 million in Q1 2024 [8][41] - Operating cash burn was reduced by 71% to €8.1 million in Q1 2025 from €28.4 million in Q1 2024 [8][44] Product Sales and Growth - Sales of the Japanese Encephalitis vaccine IXIARO/JESPECT increased by 65.5% to €27.5 million in Q1 2025, driven by demand from travelers and the U.S. Department of Defense [6][29] - DUKORAL sales grew 9.4% to €12.3 million, supported by a supply agreement with the French government [9][30] - IXCHIQ sales rose significantly to €3.0 million from €0.2 million in Q1 2024, with most doses shipped in April 2025 [10][30] Cash Position and Financial Outlook - Cash and cash equivalents stood at €153.0 million as of March 31, 2025, down from €168.3 million at the end of 2024 [8][47] - The company confirmed its financial guidance for 2025, expecting product sales to grow to €170-180 million and total revenues to reach €180-190 million [2][8] - Total R&D investments are projected between €90-100 million for 2025, partially offset by grant funding and anticipated R&D tax credits [8] Clinical and Regulatory Developments - Valneva is anticipating the first data from its Lyme disease Phase 3 program by the end of 2025 [2] - The company received marketing authorization for IXCHIQ in the UK and Brazil, marking significant milestones for its chikungunya vaccine [11][12] - IXCHIQ has also received label extensions in the EU for adolescents and is under review in multiple countries [11][12] Strategic Partnerships and Future Plans - Valneva has entered into an exclusive license agreement with the Serum Institute of India to supply its chikungunya vaccine in Asia [12] - The company is focusing on ramping up sales and expanding its vaccine portfolio in additional countries [11] - Valneva aims to reduce third-party sales to less than 5% of overall product sales by 2026/2027 to improve gross margins [16]