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ERADICATING INNOVATIVE HPV INFECTION IMMUNOTHERAPIES BEFORE TO IT CAUSES CERVICAL DISEASES CANCER AND CANCER FIGHT INFECTIOUS MODIFIEZ STYLE DU TITRE...
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ERADICATING INNOVATIVE HPV INFECTION IMMUNOTHERAPIES BEFORE TO IT CAUSES CERVICAL DISEASES CANCER AND CANCER FIGHT INFECTIOUS

MODIFIEZ STYLE DU TITRE CorporateLE Presentation June 2016 1

DISCLAIMER This document has been prepared by Genticel (the "Company") and is for information purposes only. The information and opinions contained in this document are provided as of the date of this document only and may be updated, supplemented, revised, verified or amended, and thus such information may be subject to significant changes. The Company is not under any obligation to update the information or opinions contained herein which are subject to change without prior notice. The information contained in this document has not been subject to independent verification. No representation, warranty or undertaking, express or implied, is made as to the accuracy, completeness or appropriateness of the information and opinions contained in this document. The Company, its subsidiaries, its advisors and representatives accept no responsibility for and shall not be held liable for any loss or damage that may arise from the use of this document or the information or opinions contained herein. This document contains information on the Company’s markets and competitive position, and more specifically, on the size of its markets. This information has been drawn from various sources or from the Company’s own estimates. Investors should not base their investment decision on this information. This document contains certain forward-looking statements. These statements are not guarantees of the Company's future performance. These forward-looking statements relate to the Company's future prospects, developments and marketing strategy and are based on analyses of earnings forecasts and estimates of amounts not yet determinable. Forward-looking statements are

subject to a variety of risks and uncertainties as they relate to future events and are dependent on circumstances that may or may not materialize in the future. Forward-looking statements cannot, under any circumstance, be construed as a guarantee of the Company's future performance and the Company’s actual financial position, results and cash flow, as well as the trends in the sector in which the Company operates, may differ materially from those proposed or reflected in the forward-looking statements contained in this document. Even if the Company’s financial position, results, cashflows and developments in the sector in which the Company operates were to conform to the forward-looking statements contained in this document, such results or developments cannot be construed as a reliable indication of the Company's future results or developments. The Company does not undertake any obligation to update or to confirm projections or estimates made by analysts or to make public any correction to any prospective information in order to reflect an event or circumstance that may occur after the date of this document. This document does not constitute an offer to sell or subscribe or a solicitation to purchase or subscribe for securities in France, the United States or any other jurisdiction. Securities may not be offered or sold in the United States absent registration under the US Securities Act of 1933, as amended, or an exemption from registration thereunder. No public offering of securities may be conducted in France or abroad prior to the delivery by the French Autorité des marchés financiers (Financial Markets Authority) of a visa on a prospectus that complies with the provisions of Directive 2003/71/CE as amended. No offering of securities is contemplated in France or any jurisdiction outside France.

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COMPLEMENTARY AND EXPERIENCED MANAGEMENT TEAM Benedikt Timmerman

PhD, MBA • Founder, CEO

PhD in Molecular Genetics – Ghent University, Belgium & MBA - INSEAD, France. 20 years of experience in Academia & Industry. Management positions in R & D and Business Development in Biotechnology and Life Science companies, including Sandoz and Novartis

Martin Koch

Marie-Christine Bissery PhD, Pharm.D

MD, Gynecologist

PhD, Immunology

• Chief Financial Officer

• Chief Development Officer

• Chief Medical Officer

• Chief Scientific Officer

Sales Director, Oncology Cephalon Pharma France (2006 – 2007) and Controlling and Finance Director functions at Elan & Zeneus Pharma UK (2001 – 2005)

International Director of Oncology (2007 – 2008) and Deputy Head of Oncology (2005- 2007) at Sanofi-Aventis; Sr. Director of Experimental Therapeutics and Translational Research, Aventis Pharma (2000 – 2004)

Pediatrics Scientific Coordinator for the European Medicines Agency (notably vaccines), UK (2009-2014) and Senior Director Women’s Health & Bone Repair, Worldwide Project Leader, Wyeth Clinical Research & Development, USA (20012009) & France (1996 – 2000)

20 years of Research Management at GlaxoSmithKline, notably as Head Chronic Disorder Immunotherapeutic Program (2009- 2015) and as Head Cancer Preclinical Immunotherapeutics and Director, R & D, North America, GSK Biologics, Canada (2006-2009)

MsEng, MBA

Sophie Olivier

Rémi Palmantier

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ADVISED BY INDUSTRY EXPERTS & KEY OPINION LEADERS Supervisory Board

Dr Thierry HERCEND President

Ed. De Rothschild Inv. Partners Raphael WISNIEWSKI

Prof. Pierre Van Damme, MD, PhD University of Antwerp

Bpifrance Investissement Dr Olivier MARTINEZ

Prof. Diane Harper, MD, MPH, MS University of Louisville

Kurma Life Sciences Partners Dr Philippe PELTIER Wellington Partners Dr Rainer STROHMENGER Dr Gerald MOELLER Vice President

Clinical Advisory Board

Dr Didier HOCH Mary TANNER Caroline LAPLANE

Emeritus Prof. Chris Meijer, MD University Medical Center Amsterdam Prof. Anna-Barbara Moscicki, MD University of California, San Francisco Emeritus Prof. Margaret Stanley, BSc, PhD OBE University of Cambridge Dr Xavier Bosch, MD, MPH Catalan Institute of Oncology, Barcelona

Industry experience of the Supervisory Board

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SOLID CASH BALANCE

15,554,666 shares outstanding*

€70.1 million raised since inception,

incl. €34.7 million at IPO (04/2014) Cash balance: € 18.8 million* Corresponding to 2 year of financial visibility (mid-2018)

* As at March 31, 2016 5

AN ANTIGEN DELIVERY VECTOR SUITED TO DEVELOP IMMUNOTHERAPIES IN MULTIPLE INDICATIONS CyaA platform

CyaA,

(adenylate cyclase), a breakthrough vaccine carrier licensed from Institut Pasteur based on Bordetella Pertussis (cause of whooping cough)

Unique mechanism of action that triggers both killer and helper T cells

Binding domain targets an integrin receptor of antigen-presenting cells

X

Chosen antigen Recombinant CyaA protein incorporating the antigen of choice

6

A BREAKTHROUGH ANTIGEN DELIVERY VECTOR WITH DUAL MECHANISM OF ACTION Killer cells eliminate cells that contain the antigen

The recombinant CyaA protein delivers the antigen TO and INTO human immune sentinel cells

Helper T cells

Chosen antigen

CyaA + adjuvant

Killer T cells

Eradication of infected cells Antigen Presenting Cell (APC)

The chosen antigen is incorporated in the CyaA protein

Sentinel cells activate antigenspecific immune killer * T cells and helper T cells * cytotoxic

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GTL001, A “FIRST-IN-CLASS” THERAPEUTIC VACCINE TARGETING THE 2 MOST ONCOGENIC HPV TYPES  HPV 16 and 18 together cause 70% of cervical cancer cases  GTL001consists of 2 CyaA proteins  one carrying the E7 antigen of HPV 16  the other carrying the E7 antigen of HPV 18 CyaA-HPV16-E7 16E7

GTL001 first-in-class first-in-indication therapeutic vaccine

+

CyaA-HPV18-E7 18E7

+

Adjuvant (imiquimod cream 5%)  

2 inter-dermal injections 6 weeks apart 2 applications of imiquimod cream 5%, 15 minutes and 24 hours after each injection

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GTL001 PHASE 2 TRIAL (RHEIA-VAC)

HALFWAY THROUGH 24-MONTH PROTOCOL CONDUCT PHASE 2 PROOF OF CONCEPT STUDY  222 HPV16 +/- 18 positive women (25-50)  W Europe - 7 countries GER, UK, FIN, SP, FR, BE, NL  39 centers

Last patient in

H1 16

Nov 14

600 µg + imiquimod

Viral clearance at M6 & 12

H1 17 Viral clearance at M15 & 18

Maintenance of viral clearance

< 6 weeks >

Placebo + imiquimod < 6 weeks >

n =111 M12

M18

M24

n =111

STUDY POPULATION

 Women 25-50 yrs infected by HPV 16 and/or 18 with NILM, LSIL or ASCUS cytology, exclusion of CIN2+ by colposcopy/histology

EFFICACY ENDPOINTS

Primary endpoint at M12  Efficacy of GTL001 + imiquimod to clear HPV 16 and 18 cervical infection as compared to placebo Main secondary endpoints  Sustained clearance at M24  Progression to CIN2+

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18 MONTH INTERIM RESULTS AND CONCLUSIONS OF GTL001 PHASE 2 STUDY IN EUROPE

Interim Conclusions

Good Safety Profile No unexpected safety events

 Expectations at 24 months

Reactions are mostly local, as expected All reactions are transient ( $2 billion per year 1

2

 Initial revenue received in 2015,

next step H2 16

WHO: Weekly epidemiological record, 85, 2010 (http://www.who.int/wer); Klein et al., New England Journal of Medicine, 367(11), 2012; Koepke, Journal of Infectious Disease, 210, 2014; [2] Cheung et al., Infection and Immunity, 74(12), 2006

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VAXICLASE - MECHANISM OF ACTION IN DEVELOPMENT OF IMMUNOTHERAPIES AND VACCINES VAXICLASE AS ANTIGEN VECTOR  USE BY GENTICEL FOR GTL002 

Antigen inserted in N-terminal domain



Delivers antigen to sentinal cells of immune system



Activates antigen-specific T Killer1 cells and T Helper cells



Eradicates cells carrying targeted antigen



Safety confirmed by GTL001 of vectors based on CyaA

X

Y A

VAXICLASE AS ACTIVE INGREDIENT (PERTUSSIS ANTIGEN2)  USE BY SIIL FOR GTL003 

Vaxiclase alone as CyaA recombinant protein with no exogenous antigens.



Vaxiclase induces anti-CyaA antibodies  CyaA neutralization of pertussis



Increases production of antibodies against other antigens, e.g., DTaP4



Induces TH1/TH17 cellular response  “memory” immune response

Z

Vaxiclase with other antigens 1 2 3 4

Vaxiclase without exogenous antigens Cytotoxic Whooping cough is caused by B. pertussis CyaA = Adenylate Cyclase; DTaP= Diphtheria, Tetanus, acellular Pertussis

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NEXT STEPS 2015

License agreement on Vaxiclase signed with SIIL*

02/15

In vivo results for GTL001 show ability to treat & protect

04/15

In vivo preclinical proof of concept of GTL002

05/15

2016

Agreement with Roche to evaluate the cobas® test for use in GTL001 Phase 3

Q1



GTL001 Phase 2 efficacy data at M12

Q1





GTL001 Additional results at 12 months of phase 2 trial

T2





GTL002 in-vivo immunology data (EUROGIN 2016)

T2



H1



GTL001 Phase 2 efficacy data at M 15 & 18

T2



GTL001 US phase 1 tolerability results

H2

Vaxiclase 1st milestone with SIIL*

H2

GTL001 End of phase 2 at M24

Q1





FDA Clearance for U.S. Phase 1 trial of GTL001

06/15

US patent protecting use of platforms to treat cancer

09/15



1st US patient vaccinated with GTL001

10/15



 

2017 * Serum Institute of India Ltd

GTL001 Commercialized HPV tests validated Five-year stability demonstrated

Increase business development activities

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STRATEGIC UPDATE FOR 2016  Continue GTL001 phase 2 trial until end at 24 months* (january 2017) and reevaluate program at that point in time.

Cash Preservation  Continue reducing expenses to extend Company’s funding beyond mid 2018.

 Maintain core assets in immunology and clinical development

Focus on business development activities

 Strengthen partnership with Serum Institute of India Ltd  Pipeline expansion: gain access to innovative development-stage molecules with a strong market potential.

* Under the condition that DSMB approves continuation during its next scheduled for early July 2016

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APPENDICES ▌ FINANCIALS – 2015 ANNUAL RESULTS ▌ GTL001, CLINICAL DATA ▌ IMIQUIMOD AS VACCINE ADJUVANT

17

FINANCIALS (31/12/15)

18 18

INCOME STATEMENT (IFRS) Figures in line with company’s expectation

Audited data in K€ Revenues

Advance on GLT001 phase 2 in EU Initiation of a phase 1 in the U.S.

Non-recurring expenses (€0.7 million)3

Interest earned from investing funds 1

2 3

2014 financial statements have been amended in application of IAS 8 (please refer to half-year 2015 financial statements for detailed information) Research tax credit (crédit d’impôt recherche) in France Onetime recruitment costs, ad-hoc market access studies, Intellectual Property management expenses

20141

2015 -

178

(11,190)

(10,935)

Subsidies (CIR2)

2,904

2,940

G&A expenses

(2,763)

(3,599)

Operating result

(11,049)

(11,417)

105

223

(10,944)

(11,193)

(0.79)

(0.72)

R&D expenses

Financial result Net income Net income per share

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BALANCE SHEET (IFRS) €5.2 million of capitalization contract Incl. €2.9 million of Research Tax Credit 2015 €5.0 million in short time deposits Total cash position of €21,8 million2 in line with pipeline development advances

Audited data in K€

20141

2015

Non current assets

10,303

5,501

3,172

3,706

Current financial assets

12,557

5,022

Cash & equivalents

10,170

11,660

TOTAL ASSETS

36,202

25,889

Shareholders equity

30,217

20,335

380

322

Financial debts

2,158

2,522

Other liabilities

3,447

2,710

36,202

25,889

Current receivables

Employee LT Obligation

Repayable advances for €2.6 million Trade payables for €1.9 million

TOTAL LIABILITIES 1

2014 financial statements have been amended in application of IAS 8 (please refer to half-year 2015 financial statements for detailed information)

2

Total cash position results from €11,7 M in cash & equivalents, €5,1 M in non current assets (capitalization contract) and €5 M in current financial assets (term deposits) in accordance with IFRS standards.

20

CASH FLOW STATEMENT (IFRS) Audited data in K€

20141

2015

Cash flow from operating activities

(9,847)

Cash flow from investing activities

(22,573)

12 585

38,752

649

Opening cash & equivalents

3,839

10,170

Variation

6,331

1,490

10,170

11,660

Cash flow from financing activities

Closing cash & equivalents

(11,744)

Breakdown of change in WCR Audited data in K€ Other non-current financial assets

20141

2015

17

(7)

Inventories (net inventory impairment)

(13)

21

Other receivables

588

514

Trade payables and related accounts

(740)

776

Tax & social security liabilities

(192)

(37)

18

(1)

(322)

1,266

Other creditors & miscellaneous liabilities Total change

Growth in WCR (€1.2 million in 2015 versus -€0.3 million in 2014) mainly due to decrease in trade payables between 2014 and 2015 (versus increase between 2013 et 2014)

2014 financial statements have been amended in application of IAS 8 (please refer to half-year 2015 financial statements for detailed information) 1

21

GTL001, CLINICAL DATA ▌

PHASE 1



PHASE 2 AT 12 MONTHS

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GTL001, PHASE 1 COHORTS Cohort 1 Open-label N=5 GTL001 100 µg solution + imiquimod

Safety review

Cohort 2 Open-label N=5 GTL001 600 µg solution + imiquimod

Safety review

Published in June 2016 Clinical Cancer Research

Cohort 3 Randomized, double-blind N = 28 2:1:1 randomization

GTL001 GTL001 600 µg solution + 600 µg solution + imiquimod placebo cream

Safety review

Placebo injection + imiquimod

Cohort 4 Open-label N=9 GTL001 600 µg powder + imiquimod

Safety review 23

GTL001, EU PHASE 1 STUDY PC10VAC01 DESIGN 

Patients: HPV16 and/or 18-infected women with normal cytology



Study Objectives 

Primary: general safety and local tolerance ● Incidence of general and local adverse events ● Changes in cervical cytology and HPV virology



Secondary: cellular and humoral immunogenicity

● Peripheral blood E7-specific T cell response (IFNg ELISPOT) ● Anti-CyaA and anti-E7 antibody responses (ELISA) 



2 GTL001 formulations tested 

Liquid form (5 x 0.2 ml id) - Powder form (1 x 0.2 ml id)



4 cohorts, including one randomized cohort

NB: not powered for statistical significance, no statistical analysis performed 

Viral clearance and clearance maintenance for indicative purposes only

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GTL001, TOLERABILITY IN PHASE 1 

Local reactions  Mostly erythema, induration, pain  Generally mild to moderate and short-lived (less than 7 days)  More severe after second injection  Severe reactions reported by 5-15% of patients



Systemic reactions  Include flu-like symptoms (fever, headache, arthralgia/myalgia, and fatigue)  Mostly mild to moderate

 No drop-out from the study  Minimal concomitant medication due to local or systemic reaction was (1 patient

took one dose of Tylenol)

 Vaccines administered i.d., such as BCG or rage vaccines, also report transient

severe local reactions

25

GTL001 PHASE 1 STUDY COMPELLING RESULTS

ON 47 HPV 16 AND/OR 18 POSITIVE WOMEN (1) – NILM ONLY RESULTS PUBLISHED IN JUNE 2016 IN CLINICAL CANCER RESEARCH



Demonstrated safety profile

More patients treated with GTL001 eradicated their HPV



 No dose-limiting toxicity  No treatment-related Serious Adverse Effects (SAE)  No patients stopped trial participation (no drop-outs)  Reactions are mostly local, generally mild or moderate, as expected

0

n=6

62%

GTL001

n = 18

Placebo

0



20

n=3

40

60

80

100

43% (2)

20

40

60

80

100

More patients treated with GTL001 and followed for > 12 months remained virus free

n=9

17%

74%

Placebo

n=7

 All reactions are transient (

n =20

 US - 4 centers  Diane Harper, MD, lead investigator

H1 16

M3

2 cohorts: 25-50 and 50-65 years of age

STUDY POPULATION

 Women 25-65 yrs. infected by HPV 16 and/or 18 with Normal, LSIL or ASCUS cytology, exclusion of CIN2+ by colposcopy/histology

ENDPOINTS

Primary endpoint at M3  Tolerability of GTL001, notably in the age group 50-65 (not studied previously) Secondary endpoint  Immune response at M3 Warning: as with any phase 1 study, the study is not designed to provide statistically significant efficacy data.

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Q2 2016: COMPLETION OF TWO MAJOR MILESTONES IN PREPARATION FOR PHASE 3 PROGRAM OF GTL001

1

GLOBAL CLINICAL PROGRAM: NEED FOR A WIDELY AVAILABLE HPV GENOTYPING TEST    

cobas® HPV test, only test both EU-labeled and FDA-approved Only test approved in the US as first-line primary screening in women 25 years of age and older instead of cytology Extensively tested in the Athena trial1 (more than 47,000 women) HPV 16/ 18 genotyping (+ 12 other high-risk HPV)

TEST CONFIRMED, ABILITY TO USE CLINICALLY VALIDATED HPV TESTS

2

REGISTRATION STUDIES: NEED FOR SUFFICIENT PRODUCT STABILITY EQUIVALENT TO FUTURE MARKETED PRODUCT. 5 YEAR SHELF LIFE OF GTL001 DEMONSTRATED Wright et al. Dépistage du cancer cervical primaire avec le virus du papillome humain : Fin de résultats de l'étude ATHENA utilisant HPV comme test de dépistage en première ligne , Gynecol Oncol 2015: 136; 189-197

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IMIQUIMOD AS VACCINE ADJUVANT

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IMIQUIMOD CREAM 5% SAFE AND EFFECTIVE TOPICAL ADJUVANT  Imiquimod (Aldara Cream) activates TLR7/TLR8 in humans  Binds to intracellular TLR7 in Antigen Presenting Cells (APC)

leading to a TH1 cytokine profile promoting an effector T cell response  Immune response modifier marketed for topical applications on the skin (i.e., external genital and perianal warts and superficial basal cell carcinomas in adults)  Several generic versions available in the US

 Application at the site of GTL001 ID injection (upper thigh)  Used at doses < to normal approved usage

 Acknowledged by FDA as an adjuvant in GTL001 IND submission 31

REFERENCES - IMIQUIMOD AS VACCINE ADJUVANT

Imiquimod, a low molecular weight compound in the imidazoquinoline family, is a toll-like receptor (TLR) agonist that binds TLR7 and TLR8 in humans (Stary et al 2007; Schön and Schön 2008) but only binds to TLR7 in mice. Animal and human studies have previously demonstrated that immune responses to a T cell protein-based vaccine can be enhanced by the topical application of imiquimod (Rechtsteiner et al 2005; Othoro et al 2009; Vasilakos and Tomai 2013; Fehres et al 2014; Adams et al 2008; Firbas et al 2010).



Stary G, Bangert C, Tauber M, et al. Tumoricidal activity of TLR7/8activated inflammatory dendritic cells. J Exp Med. 2007;204(6):1441-51



Schön MP and Schön M. TLR7 and TLR8 as targets in cancer therapy. Oncogene. 2008;27(2):190-9.



Rechtsteiner G, Warger T, Osterloh P, et al. Cutting edge: priming of CTL by transcutaneous peptide immunization with imiquimod. J Immunol. 2005;174(5):2476-80.



Othoro C, Johnston D, Lee R, et al. Enhanced immunogenicity of Plasmodium falciparum peptide vaccines using a topical adjuvant containing a potent synthetic Toll-like receptor 7 agonist, imiquimod. Infect Immun. 2009;77(2):739-48.



Vasilakos JP, Tomai MA. The use of Toll-like receptor 7/8 agonists as vaccine adjuvants. Expert Rev Vaccines. 2013;12(7):809-19.



Fehres CM, Bruijns SC, van Beelen AJ, et al. Topical rather than intradermal application of the TLR7 ligand imiquimod leads to human dermal dendritic cell maturation and CD8+ Tcell crosspriming. Eur J Immunol. 2014;44(8):2415-24.



Adams S, O'Neill DW, Nonaka D, et al. Immunization of malignant melanoma patients with full-length NY-ESO-1 protein using TLR7 agonist imiquimod as vaccine adjuvant. J Immunol 2008;181:776784.



Firbas C, Boehm T, Buerger V, et al. Immunogenicity and safety of different injection routes and schedules of IC41, a Hepatitis C virus (HCV) peptide vaccine. Vaccine. 2010;28(12):2397-407.

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CONTACTS GENTICEL Valerie Leroy [email protected] +33 (0)1 82 82 00 20

US INVESTORS Brian Ritchie [email protected] +1 (212) 915 2578

MEDIA Caroline Carmagnol [email protected] +33 6 64 18 99 59

Copyright Genticel 2016

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