Broad-spectrum Host- directed Therapeutics: CD45 Inhibitor as Antiviral

July 2024

NASDAQ: TNXP

Version P0576 July 15, 2024 (Doc 1476)

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Tonix Awarded $34M Contract from DTRA/DoD

DTRA contract is expected to advance development of Tonix's broad-spectrum oral antiviral program (TNX-4200) for medical countermeasures

• Other Transaction Agreement (OTA) with a potential for up to $34 million over five years

Objective: Develop an orally available small molecule that reduces CD45 enzymatic activity, with broad-spectrum protection against a range of viral families through the completion of Phase 1 clinical evaluation

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DoD Moves Beyond "One Drug, One Bug" Approach1,2

  • The US Department of Defense (DoD) is moving beyond the traditional "one drug, one bug" approach to antivirals, and embracing the "one drug, multiple bugs" approach to protect against viral illness in warfighters
  • The Defense Threat Reduction Agency (DTRA) is a division of the DoD that supports research to protect the warfighter
    • DoD/DTRA collaborate with commercial partners to translate fundamental discoveries into products

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1Vergun, D. DOD News. January 10, 2023. DoD aims to shield warfighters from novel biological agents. https://www.defense.gov/News/News-Stories/Article/Article/3261095/dod-aims-to-shield-warfighters-from-novel-biological-agents

2US Department of Defense, Chemical and Biological Defense Program, "Approach for Research, Development and Acquisition of Medical Countermeasure and Test Products, Dec. 2022.4https://media.defense.gov/2023/Jan/10/2003142624/-1/-1/0/APPROACH-RDA-MCM-TEST-PRODUCTS.PDF

© 2024 Tonix Pharmaceuticals Holding Corp.

© 2024 Tonix Pharmaceuticals Holding Corp.

Broad-spectrum Host Directed Antiviral Drug Development vs Virus-specific Approaches

Conventional Approach

Broad Spectrum Antivirals1

Single Virus Family

Broad Spectrum

Virus-Targeted2

Virus-Targeted

Host-Targeted

Drug

Virus

Drug

Virus

Drug

Virus

Biktarvy®

HIV

Veklury®

COVID

Intron-A®

Hep-C

tenofovir/

Remdesivir

SARS-CoV-2

Pegasys®

emtricitabine

interferon-alpha

Sovaldi®

Hep-C

Paxlovid®

COVID

Sofosbuvir

nirmatrelvir

SARS-CoV-2

/ritonavir

Valtrex®

Herpes simplex

Ribavirin

Hep-C, RSV

Valacyclovir

and varicella

Arestvy®

Smallpox

Tembexa®

Smallpox

Tecovirimat

brincidofovir

Tamiflu®

Influenza

oseltamivir

Host-targetedbroad-spectrum antivirals is a new and emerging category

1Bekerman E, and Einav, S. Science. 2015 348(6232):282-3. doi: 10.1126/science.aaa3778.

2Examples: not a complete list

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Enhancing Viral Immunity Has the Potential to Protect Against Viral Diseases

Too Little

Immune Suppression

Humira (adalimumab)

Enbrel (etanercept)

Rituxan (Rituximab)

Dupixent (dupilumab)

Keytruda (pembrolizumab)

Opdivo (nivolumab)

Intron A (interferon alpha -2a)

Pegasys (interferon alpha -2a)

Spectrum of Immunity

Therapeutic Zone

Tone down the

Rev up the

immune system

immune system

to treat:

to treat:

Autoimmunity examples:

Cancer examples:

Humira®

Keytruda®

Enbrel®

Opdivo®

Rituxan®

Viral disease examples:

Allergy examples:

Intron A®

Dupixent®

Pegasys®

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Too Much

Autoimmunity

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© 2024 Tonix Pharmaceuticals Holding Corp.

Enhancing Viral Immunity by Inhibiting CD45 Phosphatase

  • CD45 is a transmembrane protein tyrosine phosphatase (PTPase) expressed on most hematopoietic cells, including T lymphocytes
  • CD45 regulates receptor signaling pathways, particularly T cell activation
    • It dephosphorylates the negative regulatory tyrosine kinases (e.g., lck and src)
  • Decreased levels of CD45 enhance antiviral1 and antibacterial immunity in animals2
  • Oral small-molecule inhibitors of CD45 have the potential to enhance antiviral immunity3-5

Goal: Develop an orally available small molecule that reduces

CD45 enzymatic activity

CD45 modulating host-directed antivirals would be an entirely new class of medicines

1Panchal RG, et al., Cell Host Microbe. 2009 6(2):162-73. doi: 10.1016/j.chom.2009.07.003. PMID: 19683682.

2Panchal RG, et al. J Biol Chem. 2009 284(19):12874-85. doi: 10.1074/jbc.M809633200

3Miski M, et al. Bioorg Med Chem Lett. 1995 5(14):1519-22. doi: 10.1016/0960-894X(95)00250-W.

4Hamaguchi T, et al. Bioorg Med Chem Lett. 2000 10(23):2657-60. doi: 10.1016/s0960-894x(00)00539-4. PMID: 11128645.

5Carr G, et al. Methods. 2014. 65(2):229-38, doi: 10.1016/j.ymeth.2013.09.007.

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Kinases Enhance and Phosphatases Modulate Immune Responses

Kinasesenhance

CD45 phosphatase

immune responses

modulates

immune responses

Kinasesadd phosphate "P" to

CD45 phosphatase

removes phosphate "P"

signaling molecules

From signaling molecules

Panchal RG, et al., .J Biol Chem. 2009 May 8;284(19):12874-85. doi: 10.1074/jbc.M809633200. Epub 2009 Mar 6.PMID: 19269962

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Phosphatase Inhibitors Decrease Enzymatic Activity of CD45 and Potentially Enhance Viral Immunity

CD45 phosphatase

Kinasesenhance immune responses

Panchal RG, et al. J Biol Chem. 2009 284(19):12874-85. doi: 10.1074/jbc.M809633200.© 2024 Tonix Pharmaceuticals Holding Corp.

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TNX-4200: Orally Available CD45 Antagonists

  • Tonix is exploiting regenerative AI and computational biology to identify modulators of CD45 expression and inhibitors of CD45 function to develop candidate broad- spectrum antiviral drugs1

Goal: broad spectrum antivirals

CD45 modulating host-directed antivirals would be an entirely new class of medicines

  • Drugs that strengthen the body's immunity and protect against viral illness are called "host-directed" antivirals2,3

1Panchal RG, et al. J Biol Chem. 2009 284(19):12874-85. doi: 10.1074/jbc.M809633200

2Radoshitzky SR, et al., PLoS Pathog. 2016 Mar 31;12(3):e1005466. doi: 10.1371/journal.ppat.1005466. eCollection 2016 PMID: 27031835

3Loureiro ME, et al., PLoS Pathog. 2018 Jul 12;14(7):e1007125. doi: 10.1371/journal.ppat.1007125. eCollection 2018 Jul.PMID: 30001425

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Tonix Pharmaceuticals Holding Corp. published this content on 15 July 2024 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 16 July 2024 16:41:05 UTC.