AURO RORA RA P Phase se 3 3 Top-Line ine Result ults December - - PowerPoint PPT Presentation

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AURO RORA RA P Phase se 3 3 Top-Line ine Result ults December - - PowerPoint PPT Presentation

AURO RORA RA P Phase se 3 3 Top-Line ine Result ults December 5, 2019 1 Forward Looking Statements Certain statements made in this press release may constitute forward-looking information within the Forward-looking information by their


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AURO RORA RA P Phase se 3 3 Top-Line ine Result ults

December 5, 2019

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Forward Looking Statements

Certain statements made in this press release may constitute forward-looking information within the meaning of applicable Canadian securities law and forward-looking statements within the meaning of applicable United States securities law. These forward-looking statements or information include but are not limited to statements or information with respect to: completing NDA priority review submissions in a successful and timely manner including the anticipated NDA filing during the first half of 2020; the potential for commercial launch of voclosporin for use in LN in 2021; voclosporin being potentially a best- in-class CNI with robust intellectual property exclusivity; Aurinia’s anticipation that upon regulatory approval, patent protection for voclosporin composition of matter will be extended in the United States and certain other major markets, including Europe and Japan, until at least October 2027 under the Hatch-Waxman Act and comparable laws in other countries and until April 2028 with anticipated pediatric extension; a US patent has also been issued covering the voclosporin dosing protocol with a term extending to December 2037, if the FDA incorporates the dosing protocol used in both the AURA and the AURORA studies into the product label; that the results of the AURORA clinical study are pivotal and a potential game changer for LN patients; that voclosporin may be positioned to become the standard of care for people living with LN; that Aurinia will present AURORA study results at a future scientific conference during 2020. It is possible that such results or conclusions may change based on further analyses of these data. Words such as “anticipate”, “will”, “believe”, “estimate”, “expect”, “intend”, “target”, “plan”, “goals”, “objectives”, “may” and other similar words and expressions, identify forward-looking statements. We have made numerous assumptions about the forward-looking statements and information contained herein, including among other things, assumptions about: the market value for the LN, DES and FSGS programs; that another company will not create a substantial competitive product for Aurinia’s LN, DES and FSGS business without violating Aurinia’s intellectual property rights; the burn rate of Aurinia’s cash for operations; the costs and expenses associated with Aurinia’s clinical trials; the planned studies achieving positive results; Aurinia being able to extend and protect its patents on terms acceptable to Aurinia; and the size of the LN, DES or FSGS markets; Aurinia will be able to obtain all necessary regulatory approvals for commercialization of voclosporin for use in LN on terms that are acceptable to it and that are commercially viable; and that Aurinia’s intellectual property rights are valid and do not infringe the intellectual property rights of other parties. Even though the management of Aurinia believes that the assumptions made, and the expectations represented by such statements or information are reasonable, there can be no assurance that the forward-looking information will prove to be accurate. Forward-looking information by their nature are based on assumptions and involve known and unknown risks, uncertainties and other factors which may cause the actual results, performance or achievements of Aurinia to be materially different from any future results, performance or achievements expressed or implied by such forward-looking information. Should one or more of these risks and uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those described in forward-looking statements or information. Such risks, uncertainties and other factors include, among others, the following: difficulties, delays, or failures we may experience in the conduct of

  • ur clinical trial; difficulties we may experience in completing the development and commercialization of

voclosporin; the market for the LN, DES and FSGS business may not be as estimated; Aurinia may have to pay unanticipated expenses; estimated costs for clinical trials may be underestimated, resulting in Aurinia having to make additional expenditures to achieve its current goals; Aurinia not being able to extend or fully protect its patent portfolio for voclosporin; competitors may arise with similar products; Aurinia may not be able to obtain necessary regulatory approvals for commercialization of voclosporin in a timely fashion, or at all; and Aurinia may not be able to obtain sufficient supply to meet commercial demand for voclosporin in a timely fashion. Although we have attempted to identify factors that would cause actual actions, events or results to differ materially from those described in forward-looking statements and information, there may be other factors that cause actual results, performances, achievements or events to not be as anticipated, estimated or intended. Also, many of the factors are beyond our control. There can be no assurance that forward-looking statements or information will prove to be accurate, as actual results and future events could differ materially from those anticipated in such statements. Accordingly, you should not place undue reliance on forward-looking statements or information. Except as required by law, Aurinia will not update forward-looking information. All forward-looking information contained in this press release is qualified by this cautionary statement. Additional information related to Aurinia, including a detailed list of the risks and uncertainties affecting Aurinia and its business can be found in Aurinia’s most recent Annual Information Form available by accessing the Canadian Securities Administrators’ System for Electronic Document Analysis and Retrieval (SEDAR) website at www.sedar.com or the U.S. Securities and Exchange Commission’s Electronic Document Gathering and Retrieval System (EDGAR) website at www.sec.gov/edgar.

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AURORA Phase 3 Study: Breakthrough Outcomes for Patients

  • Extraordinary data observed in lupus nephritis (LN)
  • A complex, difficult-to-treat disease
  • Testament to the extensive efforts of the Aurinia team
  • Trial achieved statistical significance across the primary and

hierarchical secondary endpoints

  • Safety results were impressive
  • Well-tolerated with no unexpected AEs
  • Working with expediency to prepare and file an NDA to address high

patient need

  • Near term objectives
  • Flawless execution of NDA submission 1H 2020 including CMC and

advisory committee preparations

  • Focus on commercial readiness for 1H 2021
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4 20-25 mg/daily 15-20 mg/daily 10-15 mg/daily 5 mg/daily 2.5 mg/daily

Week 2

4 6 16 24 52 8

AURORA Phase 3 Study Design

52-week global, double-blind, placebo-controlled study to evaluate whether voclosporin added to standard of care can increase overall renal response rates in the presence of low-dose steroids

VOCLOSPORIN 23.7 mg bid

MMF 2 g + oral corticosteroids

PLACEBO

MMF 2 g + oral corticosteroids Primary endpoint 52 weeks Secondary endpoint 24 weeks

1:1 Randomization N=357

Primary endpoint: Renal Response (or CR) at 52-Weeks

2-Year Extension Study

Treatment Arm Control Arm

Rapid Steroid Taper

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Select Demographics and Baseline Characteristics (ITT)

Control (N = 178) Voclosporin 23.7 mg BID (N = 179) Total (N = 357)

Biopsy Class n (%) Class V 33.6 (11.00) 32.8 (10.93) 33.2 (10.96) Other 31.5 31.0 31.0 Sex n (%) Male 26 (14.6) 18 (10.1) 44 (12.3) Female 152 (85.4) 161 (89.9) 313 (87.7) Baseline weight (kg) Mean (SD) 66.55 (16.113) 66.49 (17.074) 66.52 (16.578) Median 63.50 64.60 64.10 Age (years) n Mean (SD) 33.6 (11.0) 32.8 (10.93) 33.2 (10.96) Median 31.5 31.0 31.0 Baseline UPCR (mg/mg) Mean (SD) 3.867 (2.3626) 4.138 (2.7109) 4.002 (2.5428) Median 3.128 3.356 3.216 Regional Distribution Asia Pacific Europe North/Latin Americas 104 (29%) subjects 97 (27%) subjects 149 (42%) subjects

Abbreviations: ITT = intent to treat; BID = twice a day; SD = standard deviation; UPCR = urinary protein to creatinine ratio

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22.5% 40.8%

Control Voclosporin 23.7 mg BID

Primary Endpoint: Week 52 Renal Response (ITT)

n = 178 n = 179

Odds Ratios and p-value

(52 weeks vs. Control) Renal Responders

p-value

Voclosporin 23.7 mg BID 2.65 < 0.001

Renal Response Week 52 ∆ = 18.3%

Abbreviations: ITT = intent to treat; BID = twice a day

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19.7% 32.4%

Control Voclosporin 23.7 mg BID

Secondary Endpoint: Week 24 Renal Response (ITT)

n = 178 n = 179

Odds Ratios and p-value

(52 weeks vs. Control) Renal Responders

p-value

Voclosporin 23.7 mg BID 2.23 0.002

Renal Response Week 24

Abbreviations: ITT = intent to treat; BID = twice a day

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50.0% 51.7% 70.4% 69.8%

Control Voclosporin 23.7 mg BID

Secondary Endpoint: Partial Renal Response (ITT)

n = 178 n = 179 n = 178 n = 179

Week 24 Week 52

Partial Response

Abbreviations: ITT = intent to treat; BID = twice a day

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Measure Result Odds Ratio [95% CI] p-value

Renal Response at 24 weeks Voclosporin 32.4% Control 19.7% 2.23 [1.34, 3.72] 0.002 Partial Renal Response at 24 weeks Voclosporin 70.4% Control 50.0% 2.43 [1.56, 3.79] < 0.001 Partial Renal Response at 52 weeks Voclosporin 69.8% Control 51.7% 2.26 [1.45, 3.51] < 0.001 Time to UPCR ≤ 0.5 mg/mg Voclosporin faster than Control 2.02 [1.51, 2.70] Hazard Ratio < 0.001 Time to 50% reduction in UPCR Voclosporin faster than Control 2.05 [1.62, 2.60] Hazard Ratio < 0.001

Hierarchical Secondary Endpoints (ITT)

Abbreviations: ITT = intent to treat; UPCR = urinary protein to creatinine ratio

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Secondary Endpoint: Change in UPCR (mg/mg) at Week 52 (ITT)

3.87 4.14 1.94 1.35

  • 1.88
  • 2.65

CONTROL VOCLOSPORIN 23.7 MG BID

Change from Baseline in UPCR (mg/mg)

Baseline Week 52 Change from Baseline

Abbreviations: ITT = intent to treat; BID = twice a day; UPCR = urinary protein to creatinine ratio

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Overall Summary of Treatment-Emergent Adverse Events

Control (N = 178) N (%) Voclosporin 23.7 mg BID (N = 178) N (%)

Any Adverse Event (AE) 158 (88.8) 162 (91.0) Any Serious Adverse Event (SAE) 38 (21.3) 37 (20.8)

  • Serious infection

20 (11.2) 18 (10.1) Any treatment-related SAE 8 (4.5) 8 (4.5) Any AE leading to voclosporin/placebo discontinuation 26 (14.6) 20 (11.2) Adverse events leading to death* 5 (2.8) 1 (0.6) Treatment-related AE leading to death Disease-related AE 87 (48.9) 96 (53.9) Disease-related SAE 16 (9.0) 18 (10.1)

* 2 deaths in control group and 1 death in voclosporin group occurred as a result of AEs starting >30 days after discontinuation of study drug.

Abbreviations: BID = twice a day

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AURORA Trial Conclusions

  • The strong risk-benefit observed in AURORA (n=357) confirms the treatment

effect seen in AURA-LV when comparing voclosporin 23.7mg BID combined with background standard of care versus standard of care alone.

  • The odds of achieving Renal Response on voclosporin therapy were 2.65x

greater than control, while maintaining a favorable safety profile. The absolute risk reduction is 18.3%.

  • Substantial efficacy benefit for voclosporin was achieved without any observed

safety penalty over standard of care alone.

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AURO RORA RA P Phase se 3 3 Top-Line ine Result ults

December 5, 2019