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Addex Pharmaceuticals
  Investor Relations Slides
       January 2010
Disclaimer

These materials do not constitute or form part, or all, of any offer or invitation to sell or issue,
neither in the United States of America nor elsewhere, or any solicitation of any offer to purchase
or subscribe for, any securities, nor shall part, or all, of these materials or their distribution form
the basis of, or be relied on in connection with, any contract or investment decision in relation to
any securities.

These materials contain forward-looking statements based on the currently held beliefs and
assumptions of the management of Addex Pharmaceuticals Ltd, which are expressed in good
faith and, in their opinion, reasonable. Forward-looking statements involve known and unknown
risks, uncertainties and other factors, which may cause the actual results, financial condition,
performance, or achievements of Addex Pharmaceuticals Ltd, or industry results, to differ
materially from the results, financial condition, performance or achievements expressed or
implied by such forward-looking statements. Given these risks, uncertainties and other factors,
recipients of this document are cautioned not to place undue reliance on these forward-looking
statements. Addex Pharmaceuticals Ltd disclaims any obligation to update these forward-looking
statements to reflect future events or developments.

These materials are strictly confidential and must not be disclosed or distributed to third parties.
The Company
• Goal: allosteric modulators for human health
• Focus: CNS, inflammation, metabolic disorders
• Proprietary allosteric modulator discovery platform
  -   Unique chemical library (~70,000 compounds)
  -   Proprietary biological screening tools
• Pipeline
  -   ADX48621 starts Phase II in PD-LID in 4Q10 (Ph I completed in 2009)
  -   ADX71149 Phase I program (initiated June 2009) by Ortho-McNeil-Janssen
  -   13 preclinical/discovery programs
• Pharma validation
  -   Drug development deals with Merck & Co., Inc. and Ortho-McNeil-Janssen
  -   Equity investments by GlaxoSmithKline (5%) and Roche
• 145 staff / founded 2002 in Geneva, Switzerland
                                                                          3
Financials
 •   Cash: about CHF75m* (€62m / US$89m) at end 2009
 •   2010/11 cash burn guidance: CHF35-40m
 •   Market cap (6 Jan 10): CHF82m (€55m / US$80m)
 •   SIX Swiss Exchange: ADXN (ISIN:CH0029850754)
 •   5,862,492 shares outstanding as of June 30, 2009
 •   Five analysts covering:
             Piper Jaffray                Sam Fazeli & Michael Aitkenhead
             Jefferies                    Peter Welford & Philippa Gardner
             Helvea                       Olav Zilian
             Bank Vontobel                Andrew C. Weiss & Silvia Schanz
             Bank am Bellevue             Bob Pooler

*assuming midpoint of cash burn guidance for CHF43-47m was achieved          4
Pipeline
                                Assay Dev &                Lead
Mechanism         Partner                   Hit-to-Lead              Preclinical                 Phase I    Phase II      Milestone
                                 Screening              Optimization
mGluR5 NAM                      ADX48621 Parkinson’s disease levodopa induced dyskinesia (PD-LID)                      Start Ph II 4Q10
mGluR2 PAM          J&J*        ADX71149 Anxiety / Schizophrenia              funded & developed by J&J
                                                                                                                        not disclosed
mGluR5 PAM      Merck & Co.     ADX63365 Schizophrenia‡funded & developed by Merck                                      not disclosed
GABAB PAM                       ADX71943 Pain / Urinary Incontinence / GERD                                            Start Ph I 4Q10
FSH    NAM                      ADX68692 Endometriosis / Prostate Cancer                                               Start Ph I 1Q11
mGluR2 NAM                      Alzheimer’s / Depression
mGluR4 PAM      Merck & Co.     Parkinsons’s disease‡
mGluR7 NAM
                                                         with Merck funding

                                Depression / Post Traumatic Stress Disorder                                               CNS
Orexin 2R NAM                    Sleep disorders
GLP-1 PAM                       Type II diabetes
GIPR    PAM                     Type II diabetes                                 Metabolic Disorders
TNF-R1 NAM                      Rheumatoid Arthritis, Psoriasis, Alzheimer’s, Multiple Sclerosis
A2A     PAM                     Psoriasis, Osteoarthritis                                                 Inflammation
IL-1R1 NAM                      Gout, Type II diabetes
NAM = negative allosteric modulator (an inhibitor)
PAM = positive allosteric modulator (an activator)
                                                     *Ortho-McNeil-Janssen Pharmaceuticals Inc., a Johnson & Johnson company 5
                                                     ‡ undisclosed additional indications
Deals to Date
                                                                  Status      Upfront Cash
        Partner              Product         Indication(s)                                 Milestones
                                                                at signing       (Date)


Ortho-McNeil-Janssen  ADX71149                Anxiety &                         €3 million1       not
                                                               Hit-to-Lead
  (a J&J company)    mGluR2 PAM             schizophrenia                      (Dec 2004)     disclosed2


                                             Parkinson’s                        $3 million4     $167.5
  Merck & Co., Inc.      mGluR4 PAM                            Hit-to-Lead
                                              disease3                         (Dec 2007)       million2

                          ADX63365                               Clinical      $22 million       $680
  Merck & Co., Inc.                         Schizophrenia3
                         mGluR5 PAM                             Candidate      (Jan 2008)       million2
1€4.2  million in research funding were paid to Addex during the research collaboration, which completed
in 2007. Addex received an additional €1 million milestone when ADX71149 started Ph I testing.
2 plus royalties on sales
3 & other undisclosed indications
4 After the first two preclinical milestones were achieved (totaling $750k) the collaboration was extended
in late 2009 and Merck agreed to add $1.8 million in research funding in addition to original terms
                                                                                                      6
ADX48621 for
Parkinson’s Disease
Why PD with mGluR5 NAM?
• Loss of dopamine producing cells leads to
 excess glutamatergic stimulation

• Inhibition of mGluR5 has been shown to
 reduce glutamatergic stimulation and have
 anti-Parkinsonian effects in animal models

Conclusion: mGluR5 inhibition may be a
 levodopa sparing strategy                    8
ADX48621 efficacy in HIC
• Haloperidol induced catalepsy (HIC) is a model of PD
                    ADX48621 dose-dependently reversed HIC in 3 independent experiments
                    This effect was statistically significant and comparable to MTEP
• ADX48621 effects in HIC suggest that it
                    should be tested further as a potential drug for PD
                    has potential to be a dopamine sparing agent
                                                                                                 1st experiment
                                   **p<0.01, ***p<0.001 versus vehicle group                     2nd experiment
                    90                                                                           3rd experiment
                    80
                    70
                    60
    Latency (sec)




                    50
                                                                              **
                    40                                                  **                             ***
                                                                   **
                    30                                                             *** *** ***            ***
                                                                                                 ***
                    20
                    10
                     0
                         Vehicle    ADX48621, 1   ADX48621, 3    ADX48621, 10 ADX48621, 30        M TEP, 30
                                      mg/kg         mg/kg           mg/kg        mg/kg              mg/kg
                                                      + 1 mg/kg haloperidol                                       9
ADX48621
                                        works in MPTP model
                       ADX48621 is the first product to reduce both Chorea & Dystonia in this model

                       Significant effects on Chorea                                 Significant effects on Dystonia
                  15                                                            15




                                                            dystonia (0-2 hr)
chorea (0-2 hr)




                  10                                                            10
                                                   **
                   5                                                             5
                                                                                                               *

                   0                                                             0
                        vehicle     3      10       30                               vehicle     3     10      30
                                    ADX48621 (mg/kg)                                             ADX48621 (mg/kg)

                                  L-DOPA (100%)                                                L-DOPA (100%)
                                                                                                                    10
ADX48621 Perspectives
•   ADX48621 has the potential to be a best-in-class for PD/PD-LID
     – Potential effects on PD symptoms
     – Potential levodopa sparing agent
     – Potential effects on dystonia & chorea in PD-LID

•   Evidence supporting mGluR5 inhibition for PD as well as PD-LID
     – Our rodent HIC data suggest ADX48621 potentiates the anti-parkinsonian effect of levodopa
     – mGluR5 blockade reverses PD symptoms/deficits in rodents (Breysse et al 2003, Armetero et al 2006)
     – mGluR5 blockade may also have beneficial effects on cognitive deficits induced by dopamine depletion (De
         Leonibus et al 2009)
     –   mGluR5 effects on central pain processing may reduce pain symptoms in PD / PD-LID / dystonia
     –   Gastrointestinal dysfunction is a frequent and occasionally dominating symptom of PD, and mGluR5
         blockade, might also address these symptoms
     –   mGluR5 blockade may also be interesting for the treatment of co-morbid anxiety


•   Potential first treatment for dystonia
     – Parkinson’s disease
     – Generalized dystonia
     – Tardive dyskinesia
     – Levodopa non-responsive PD syndrome
     – Multiple system atrophy                                                                              11
ADX48621 PD–LID
                    Phase II Plan
•   Study ADX48621-201 (about 150 to 200 patients)
•   Goal: dose escalation study to find median effective dose
•   Placebo-controlled, randomised, multi-center study in EU and U.S.
•   One to two week run in baseline dyskinesia and PD symptom evaluation period
•   12 weeks dosing with study medication
•   Dose escalation over the first 4 weeks
•   Symptoms evaluated on a stable dose regimen over the subsequent weeks 5-12
•   Outcome measures would include
     –   UPDRS subscales 32 and 33 movement rating
     –   Abnormal Involuntary Movement Score (AIMS)
     –   Levodopa Induced Dyskinesia rating scale (LIDS – still undergoing validation)
     –   Patient reported outcome of “good on time”
     –   Evaluation of other anti-Parkinsonian effects
          – Overall UPDRS
          – Activities of Daily Living
          – Global Clinical Impression
     – Safety and tolerability
•   Scheduled start: 4Q10
•   Data: 1H12
                                                                                         12
ADX71149 mGluR2 PAM
   • ADX71149 is a positive allosteric modulator of mGluR2
          – mGluR2 activation is clinically validated in anxiety1 & schizophrenia2
          – Our mGluR2 PAM will be differentiated from mGluR2/3 agonists in
               development at Eli Lilly

   • ADX71149 Phase I testing started in June ’09 by our partner
         Ortho-McNeil-Janssen (a J&J company)

   • ADX71149 is a high priority for J&J
          – It is one of the most exciting products for schizophrenia today
          – J&J markets Risperdal
          – Eli Lilly markets Zyprexa and has an mGluR2/3 agonist in Ph II testing

   • ADX71149 is the first PAM of an mGluR to enter humans
                                                                                     13
1http://bit.ly/JOtTb 2http://bit.ly/54lKd
ADX63365 mGluR5 PAM
•   Merck & Co., Inc. is performing preclinical development of ADX63365 and
    multiple mGluR5 PAM backups

•   mGluR5 PAM have demonstrated efficacy in animal models of schizophrenia
     – mGluR5 PAM reversed schizophrenia-like brain activity induced in animals by
       NMDA receptor antagonists
     – mGluR5 PAM reverse both the effects of excess dopamine and NMDA receptor
       hypofunction in schizophrenia models
     – mGluR5 PAM reversed psychosis in preclinical testing
     – mGluR5 PAM reversed cognitive dysfunction in preclinical testing

•   mGluR5 PAM will be highly differentiated if they address cognitive deficit in
    schizophrenia clinical testing
     –   Many schizophrenia patients are unable to learn skills or support themselves
     –   Marketed drugs and most drugs in development can reduce psychosis BUT have
         not been shown to improve cognitive function
     –   FDA has recognized that cognitive deficit is an unmet medical need in
         schizophrenia

                                                                                    14
ADX71943 GABAB PAM

•   GABAB receptor is a clinically validated target
    –   Baclofen, GABAB agonist, is marketed to treat spasticity
         • off-label use in pain and other indications
         • experimental GABAB agonists efficacious in Phase II clinical GERD
           trials(XP19986/Xenoport & AZD3355/AstraZeneca)

• ADX71943 is differentiated
  – Allosteric mechanism may avoid dose dependent CNS side effects
        (somnolence/dizziness) seen with orthosteric agonists
    –   Allosteric mechanism may avoid desensitization and open the possibility
        of oral chronic use thus allowing potential to treat pain (i.e. osteoarthritis)




                                                                                     15
ADX71943 analgesic-like effects
                      in preclinical models
       Analgesic-like effect of ADX71943 in the                                          Analgesic-like effect in the writhing
       CFA* model in rats after oral administration                                        test of oral ADX71943 in mice

                                              Vehicle                                         22    vehicle                    ADX71943               Baclofen
                                  25
           Withdrawal Threshold




                                              1 mg/kg ADX-71943                               20                                                Experiment 1
                                              3 mg/kg ADX-71943                               18




                                                                          Number of writhes
                                                                                                                                                Experiment 2
                                              10 mg/kg ADX-71943                                                                                Experiment 3
                                  20                                                          16

                                                                      *
                                                                                                                                                Experiment 4
                                              30 mg/kg ADX-71943                              14


                                                           ***
                                                                                                                                            **
                                  15
                                              30 mg/kg Naproxen
                                                                     *                        12                                     *
                                                                                                                                                **




                                                                                                   Baclofen

                                                                                                              ADX71943
                                                                                              10                                          *** *** *
                                                                                                                                               ***
                                                                                              8                                      **                 **     +++
                                  10                                                          6
                                                                                              4
                                  5                                                           2
                                                                                              0
                                                                                                                         0.3   1     3     10   30    100      3
                                  0
                                       non-CFA CFA       1 hr      2 hr                                                            mg/kg               mg/kg

                                         Time post-dose (hr)                  *p<0.05, **p<0.01, ***p<0.001 vs. JQ-02 vehicle;
                                                                              +++p<0.001 vs. 1%CMC vehicle
       ADX71943 caused a dose-dependent increase in the withdrawal            ADX71943 caused a dose-dependent reduction of
       threshold in the CFA induced mechanical hypersensitivity test in       acetic acid-induced writhing in mice with a minimum
       rats, with a minimum effective dose of 10 mg/kg p.o.                   effective dose between 3 and 10 mg/kg p.o.

                                                                                                                                                                     16
*CFA = Complete Freund's Adjuvant                                                                                                                                         16
ADX68692 FSH NAM
                                                   •   FSH in females
S.F. Betz, J.Med.Chem., 2008




                                                        – involved in folliculogenesis
                                                        – induces maturation of ovarian follicles
                                                        – & production of estrogen and progesterone
                                                   •   FSH in males
                                                        – stimulates Sertoli cell proliferation
                                                        – supports spermatogenesis
                                                        – LH stimulates testosterone production

                Potential applications include:
                • Contraception                    • Hormone-dependent cancer (add-on therapies)
                • Osteoporosis                     • Prostate cancer
                • Endometriosis                    • Breast cancer
                • Uterine fibroids                 • Ovarian cancer
                • Precocious puberty               • Hormone-dependent benign diseases
                • Polycystic ovarian disease       • Benign prostate hyperplasia
                • Dysfunctional uterine bleeding                                                      17
ADX68692
             stops ovulation in female rats
•   Treatment with ADX68692 at                                                                                            Control group




                                             Total number of animals in Proestrus/Estrus stage
    pharmacological and multiple of                                                              18
                                                                                                 16
    pharmacological doses for 4 weeks                                                            14
    was well tolerated                                                                           12
                                                                                                 10
•   Treatment for 4 weeks with the FSH                                                            8
                                                                                                  6
    NAM ADX68692 reduced the                                                                      4
    number of female rats in the                                                                  2
                                                                                                  0
    estrus/proestrus phase (ovulatory                                                                 -14 -11   -8   -5   -2   2   5   8   11   14   17   20   23   26   29
    phase), and increased the number of
                                                                                                                                            Day of treatment
    female rats in the diestrus phase,
    indicating disruption of menstrual
                                                                                                                 ADX68692: 20 mg/kg/day
    cycle.                                                                                       18

•   Eventually at the highest dose,
                                                                                                 16
                                                                                                 14
    animals were found in persistent                                                             12
                                                                                                 10
    diestrus                                                                                      8
                                                                                                  6
•   Histopathological examination                                                                 4
                                                                                                  2
    showed follicular atresia which is the                                                        0
    consequence of the FSH function                                                                   -14 -11   -8   -5   -2   2   5   8   11   14   17   20   23   26   29
    blockade (blockade of ovulation)                                                                                                        Day of treatment

•   Estradiol levels were lowered, even in                                                                         Treatment start                                  18
    the proestrus phase                                                                                   Synchronisation
ADX68692
    Summary / Prospectives
•   In vivo & in vitro data show                                     ADX68692 effects on testosterone in male rats
    ADX68692 is a potent NAM with                                    Treatment for 4 weeks with the FSH/LH NAM ADX68692 lowered
                                                                        circulating testosterone levels but did not have any other
    dual action on FSH and LH                                 25.0
                                                                         significant effects on the male rat reproductive system

    receptors




                                     Testosterone (nnmol/L)
                                                              20.0
•   ADX68692 is a small molecule
    with a good develop-ability &                             15.0

    drug-like profile                                                                       ***
                                                              10.0                                     ***
•   ADX68692 is able to block FSH
                                                               5.0
    action in vivo after oral
    administration                                             0.0
                                                                               After 3-week treatment with ADX68692
•   Good rational for
                                                                     Group 1 (0 mg/kg/day)            Group 2 (2 x 10 mg/kg/day)
     – women’s health indications                                    Group 3 (2 x 30 mg/kg/day)       Group 4 (2 x 100 mg/kg/day)
          like endometriosis
     – hormone refractory prostate
          cancer                                                                                                           19
Addex Pharmaceuticals
       ~~~~~~~~
 Allosteric Discovery &
 Optimization Platform


                          20
Allosteric Modulation Explained
                                                                                arketed
                                                                   NB: Most m
                                                                                hosteric.
                                                                  drugs are ort
                                                                               s ligands
                                                                   Endogenou
                                                                                 ctivators
                   orthosteric drugs compete
                     orthosteric drugs compete                     are natural a
                   with endogenous ligands for
                    with endogenous ligands for                         in the body.
                   the active site on a receptor
                     the active site on a receptor




                                   allosteric drugs
                                     allosteric drugs
                                  bind another site
                                    bind another site
                                  on same receptor
                                    on same receptor




    Unlike orthosteric drugs, allosteric modulators are non-competitive.
        Therefore, their effects on signal transduction are observed
          primarily when endogenous ligands bind the active site.
                                                                                    21
Orthosteric ≠ Allosteric
                                   Orthosterics are steady state
                                                                        Advantages include:
                                                                        • Greater specificity than orthosteric molecules
             Biological response




                                                Agonist                        Less toxicities from “off-target” interactions compared to more
                                                                            promiscuous orthosteric molecules
                                                Natural ligand                 Greater specificity leads to greater productivity
                                                                        • Non-competitive mechanism
                                                Antagonist                    Intellectual property space relatively un-exploited
                                                                              Lower doses required
                                                                                 –less dose related toxicity
                                                   Time                          –lower COGs
                                                                        • Acts like a dimmer not an “on/off” switch
                                   Allostery preserves natural rhythm         Body maintains control – physiological rhythm preserved
                                                                              Less tolerance/desensitization
                                                                              Potentially fewer side effects vs orthosteric drugs at same target
Biological response




                                              PAM + natural ligand
                                                                        • Can target receptors considered “intractable” or only
                                             Natural ligand             addressable with peptide/protein drugs
                                                                               Lower COGs and lower administration cost (beats biosmilars!)
                                                                               Better compliance with oral drugs
                                             NAM + natural ligand              Potential safety, tolerability and efficacy advantages with
                                                                            allosteric mechanism

                                                    Time
                                                                                                                                       22
Industrializing Allostery

Addex is pioneering the industrialization of allosteric
 drug discovery and optimization
• Addex has built a unique allosteric modulator focused library (70k
  compounds & growing)
• Addex has built tailored proprietary screening tools capable of
  direct detection of allosteric modulators (facilitates discovery and
  medicinal chemistry)
• Allosteric modulators have broad potential as therapeutics targeting
  GPCRs & other types of receptors, including type I single pass
  transmembrane proteins (i.e. cytokine receptors)


                                                                 23
Addex AM focused library:
     Comparative Structural Analysis
  Marketed Drugs




Addex Library




                   Addex corporate library occupies a unique
                   Addex corporate library occupies a unique
                   structural space while sharing many other
                   structural space while sharing many other
                    drug-like properties with marketed drugs
                    drug-like properties with marketed drugs   24
Building of an Allosteric
             Fragment Database
 • Establish virtual AM fragment database: from literature and in-house data

               D                                              D
                                                          C                    G
           C                                     A    B                                     H
                        G                                                          F
  A    B
                            F   H                                          E
                       E

 • Generate signature fragments (identification of privileged structural motifs by
 machine learning)



examples of privileged motifs



                                                                                       25
Addex targets allosteric sites in
     GPCR families 1, 2 & 3
   Family 1                         Family 2                     Family 3
   (e.g. Orexin & FSH)              (e.g. GLP-1R, GIPR)          (e.g. mGluR1-8, GABABR)




From P.J. Conn, A. Christopoulos and C. Lindsley, Nature Reviews Drug Discovery, 2009, 8, 41-54.   26
Proprietary Novel Assays
         G-Protein Coupled Receptors

• Phoenyx: a cAMP dynamic non stop assay

• FBBA: Fluorescence-Based Binding Assay measuring
  bi-molecular interactions (GLP1)

• ADX-tags series 1: Proximal & dynamic assays for
  functional measurements of all types of GPCRs
  (GLP1, GIP)


                                                     27
Addex targets allosteric sites in
type 1 single-pass transmembrane proteins



 TNFR family




                                                                      Pathogens
                IL-1α/IL-1β
                IL- /IL-      IL-33
                              IL-     IL-1F6/8/9
                                      IL-          IL-18
                                                   IL-



 IL-1R family
                                                              TIR
                                                            domains
                                                   IL18R1
                                                   IL18R2
                   IL1R1
                   AcP




                              AcP



                                         RP2
                                         AcP
                              ST2




                                                                       Toll-like
                                                                       Toll-
                                                                      receptors
                                                                                   28
Proprietary Novel Assays
     type 1 single-pass transmembrane proteins

•   APRA: Accessory Protein Relocalization Assays (TNF R1)

•   ADX-tags series 1: Proximal & dynamic assays for
    functional measurements.
    – Measures activation-dependent association or dissociation of
      binding partners (IL-1R)


•   ADX-tags series 2: measures conformational changes or
    multimerization changes that lead to an activation signal
    (TNF R1, IL-1R)

                                                                     29
The Addex Platform
                 Clinical Development
               Non-Clinical Development




                                          Metabolic
Inflammation             CNS              Disorders




                      Core Biology
                     Core Chemistry
                                                      30

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Addex Pharma Jan 2010 Investor Slides

  • 1. Addex Pharmaceuticals Investor Relations Slides January 2010
  • 2. Disclaimer These materials do not constitute or form part, or all, of any offer or invitation to sell or issue, neither in the United States of America nor elsewhere, or any solicitation of any offer to purchase or subscribe for, any securities, nor shall part, or all, of these materials or their distribution form the basis of, or be relied on in connection with, any contract or investment decision in relation to any securities. These materials contain forward-looking statements based on the currently held beliefs and assumptions of the management of Addex Pharmaceuticals Ltd, which are expressed in good faith and, in their opinion, reasonable. Forward-looking statements involve known and unknown risks, uncertainties and other factors, which may cause the actual results, financial condition, performance, or achievements of Addex Pharmaceuticals Ltd, or industry results, to differ materially from the results, financial condition, performance or achievements expressed or implied by such forward-looking statements. Given these risks, uncertainties and other factors, recipients of this document are cautioned not to place undue reliance on these forward-looking statements. Addex Pharmaceuticals Ltd disclaims any obligation to update these forward-looking statements to reflect future events or developments. These materials are strictly confidential and must not be disclosed or distributed to third parties.
  • 3. The Company • Goal: allosteric modulators for human health • Focus: CNS, inflammation, metabolic disorders • Proprietary allosteric modulator discovery platform - Unique chemical library (~70,000 compounds) - Proprietary biological screening tools • Pipeline - ADX48621 starts Phase II in PD-LID in 4Q10 (Ph I completed in 2009) - ADX71149 Phase I program (initiated June 2009) by Ortho-McNeil-Janssen - 13 preclinical/discovery programs • Pharma validation - Drug development deals with Merck & Co., Inc. and Ortho-McNeil-Janssen - Equity investments by GlaxoSmithKline (5%) and Roche • 145 staff / founded 2002 in Geneva, Switzerland 3
  • 4. Financials • Cash: about CHF75m* (€62m / US$89m) at end 2009 • 2010/11 cash burn guidance: CHF35-40m • Market cap (6 Jan 10): CHF82m (€55m / US$80m) • SIX Swiss Exchange: ADXN (ISIN:CH0029850754) • 5,862,492 shares outstanding as of June 30, 2009 • Five analysts covering: Piper Jaffray Sam Fazeli & Michael Aitkenhead Jefferies Peter Welford & Philippa Gardner Helvea Olav Zilian Bank Vontobel Andrew C. Weiss & Silvia Schanz Bank am Bellevue Bob Pooler *assuming midpoint of cash burn guidance for CHF43-47m was achieved 4
  • 5. Pipeline Assay Dev & Lead Mechanism Partner Hit-to-Lead Preclinical Phase I Phase II Milestone Screening Optimization mGluR5 NAM ADX48621 Parkinson’s disease levodopa induced dyskinesia (PD-LID) Start Ph II 4Q10 mGluR2 PAM J&J* ADX71149 Anxiety / Schizophrenia funded & developed by J&J not disclosed mGluR5 PAM Merck & Co. ADX63365 Schizophrenia‡funded & developed by Merck not disclosed GABAB PAM ADX71943 Pain / Urinary Incontinence / GERD Start Ph I 4Q10 FSH NAM ADX68692 Endometriosis / Prostate Cancer Start Ph I 1Q11 mGluR2 NAM Alzheimer’s / Depression mGluR4 PAM Merck & Co. Parkinsons’s disease‡ mGluR7 NAM with Merck funding Depression / Post Traumatic Stress Disorder CNS Orexin 2R NAM Sleep disorders GLP-1 PAM Type II diabetes GIPR PAM Type II diabetes Metabolic Disorders TNF-R1 NAM Rheumatoid Arthritis, Psoriasis, Alzheimer’s, Multiple Sclerosis A2A PAM Psoriasis, Osteoarthritis Inflammation IL-1R1 NAM Gout, Type II diabetes NAM = negative allosteric modulator (an inhibitor) PAM = positive allosteric modulator (an activator) *Ortho-McNeil-Janssen Pharmaceuticals Inc., a Johnson & Johnson company 5 ‡ undisclosed additional indications
  • 6. Deals to Date Status Upfront Cash Partner Product Indication(s) Milestones at signing (Date) Ortho-McNeil-Janssen ADX71149 Anxiety & €3 million1 not Hit-to-Lead (a J&J company) mGluR2 PAM schizophrenia (Dec 2004) disclosed2 Parkinson’s $3 million4 $167.5 Merck & Co., Inc. mGluR4 PAM Hit-to-Lead disease3 (Dec 2007) million2 ADX63365 Clinical $22 million $680 Merck & Co., Inc. Schizophrenia3 mGluR5 PAM Candidate (Jan 2008) million2 1€4.2 million in research funding were paid to Addex during the research collaboration, which completed in 2007. Addex received an additional €1 million milestone when ADX71149 started Ph I testing. 2 plus royalties on sales 3 & other undisclosed indications 4 After the first two preclinical milestones were achieved (totaling $750k) the collaboration was extended in late 2009 and Merck agreed to add $1.8 million in research funding in addition to original terms 6
  • 8. Why PD with mGluR5 NAM? • Loss of dopamine producing cells leads to excess glutamatergic stimulation • Inhibition of mGluR5 has been shown to reduce glutamatergic stimulation and have anti-Parkinsonian effects in animal models Conclusion: mGluR5 inhibition may be a levodopa sparing strategy 8
  • 9. ADX48621 efficacy in HIC • Haloperidol induced catalepsy (HIC) is a model of PD ADX48621 dose-dependently reversed HIC in 3 independent experiments This effect was statistically significant and comparable to MTEP • ADX48621 effects in HIC suggest that it should be tested further as a potential drug for PD has potential to be a dopamine sparing agent 1st experiment **p<0.01, ***p<0.001 versus vehicle group 2nd experiment 90 3rd experiment 80 70 60 Latency (sec) 50 ** 40 ** *** ** 30 *** *** *** *** *** 20 10 0 Vehicle ADX48621, 1 ADX48621, 3 ADX48621, 10 ADX48621, 30 M TEP, 30 mg/kg mg/kg mg/kg mg/kg mg/kg + 1 mg/kg haloperidol 9
  • 10. ADX48621 works in MPTP model ADX48621 is the first product to reduce both Chorea & Dystonia in this model Significant effects on Chorea Significant effects on Dystonia 15 15 dystonia (0-2 hr) chorea (0-2 hr) 10 10 ** 5 5 * 0 0 vehicle 3 10 30 vehicle 3 10 30 ADX48621 (mg/kg) ADX48621 (mg/kg) L-DOPA (100%) L-DOPA (100%) 10
  • 11. ADX48621 Perspectives • ADX48621 has the potential to be a best-in-class for PD/PD-LID – Potential effects on PD symptoms – Potential levodopa sparing agent – Potential effects on dystonia & chorea in PD-LID • Evidence supporting mGluR5 inhibition for PD as well as PD-LID – Our rodent HIC data suggest ADX48621 potentiates the anti-parkinsonian effect of levodopa – mGluR5 blockade reverses PD symptoms/deficits in rodents (Breysse et al 2003, Armetero et al 2006) – mGluR5 blockade may also have beneficial effects on cognitive deficits induced by dopamine depletion (De Leonibus et al 2009) – mGluR5 effects on central pain processing may reduce pain symptoms in PD / PD-LID / dystonia – Gastrointestinal dysfunction is a frequent and occasionally dominating symptom of PD, and mGluR5 blockade, might also address these symptoms – mGluR5 blockade may also be interesting for the treatment of co-morbid anxiety • Potential first treatment for dystonia – Parkinson’s disease – Generalized dystonia – Tardive dyskinesia – Levodopa non-responsive PD syndrome – Multiple system atrophy 11
  • 12. ADX48621 PD–LID Phase II Plan • Study ADX48621-201 (about 150 to 200 patients) • Goal: dose escalation study to find median effective dose • Placebo-controlled, randomised, multi-center study in EU and U.S. • One to two week run in baseline dyskinesia and PD symptom evaluation period • 12 weeks dosing with study medication • Dose escalation over the first 4 weeks • Symptoms evaluated on a stable dose regimen over the subsequent weeks 5-12 • Outcome measures would include – UPDRS subscales 32 and 33 movement rating – Abnormal Involuntary Movement Score (AIMS) – Levodopa Induced Dyskinesia rating scale (LIDS – still undergoing validation) – Patient reported outcome of “good on time” – Evaluation of other anti-Parkinsonian effects – Overall UPDRS – Activities of Daily Living – Global Clinical Impression – Safety and tolerability • Scheduled start: 4Q10 • Data: 1H12 12
  • 13. ADX71149 mGluR2 PAM • ADX71149 is a positive allosteric modulator of mGluR2 – mGluR2 activation is clinically validated in anxiety1 & schizophrenia2 – Our mGluR2 PAM will be differentiated from mGluR2/3 agonists in development at Eli Lilly • ADX71149 Phase I testing started in June ’09 by our partner Ortho-McNeil-Janssen (a J&J company) • ADX71149 is a high priority for J&J – It is one of the most exciting products for schizophrenia today – J&J markets Risperdal – Eli Lilly markets Zyprexa and has an mGluR2/3 agonist in Ph II testing • ADX71149 is the first PAM of an mGluR to enter humans 13 1http://bit.ly/JOtTb 2http://bit.ly/54lKd
  • 14. ADX63365 mGluR5 PAM • Merck & Co., Inc. is performing preclinical development of ADX63365 and multiple mGluR5 PAM backups • mGluR5 PAM have demonstrated efficacy in animal models of schizophrenia – mGluR5 PAM reversed schizophrenia-like brain activity induced in animals by NMDA receptor antagonists – mGluR5 PAM reverse both the effects of excess dopamine and NMDA receptor hypofunction in schizophrenia models – mGluR5 PAM reversed psychosis in preclinical testing – mGluR5 PAM reversed cognitive dysfunction in preclinical testing • mGluR5 PAM will be highly differentiated if they address cognitive deficit in schizophrenia clinical testing – Many schizophrenia patients are unable to learn skills or support themselves – Marketed drugs and most drugs in development can reduce psychosis BUT have not been shown to improve cognitive function – FDA has recognized that cognitive deficit is an unmet medical need in schizophrenia 14
  • 15. ADX71943 GABAB PAM • GABAB receptor is a clinically validated target – Baclofen, GABAB agonist, is marketed to treat spasticity • off-label use in pain and other indications • experimental GABAB agonists efficacious in Phase II clinical GERD trials(XP19986/Xenoport & AZD3355/AstraZeneca) • ADX71943 is differentiated – Allosteric mechanism may avoid dose dependent CNS side effects (somnolence/dizziness) seen with orthosteric agonists – Allosteric mechanism may avoid desensitization and open the possibility of oral chronic use thus allowing potential to treat pain (i.e. osteoarthritis) 15
  • 16. ADX71943 analgesic-like effects in preclinical models Analgesic-like effect of ADX71943 in the Analgesic-like effect in the writhing CFA* model in rats after oral administration test of oral ADX71943 in mice Vehicle 22 vehicle ADX71943 Baclofen 25 Withdrawal Threshold 1 mg/kg ADX-71943 20 Experiment 1 3 mg/kg ADX-71943 18 Number of writhes Experiment 2 10 mg/kg ADX-71943 Experiment 3 20 16 * Experiment 4 30 mg/kg ADX-71943 14 *** ** 15 30 mg/kg Naproxen * 12 * ** Baclofen ADX71943 10 *** *** * *** 8 ** ** +++ 10 6 4 5 2 0 0.3 1 3 10 30 100 3 0 non-CFA CFA 1 hr 2 hr mg/kg mg/kg Time post-dose (hr) *p<0.05, **p<0.01, ***p<0.001 vs. JQ-02 vehicle; +++p<0.001 vs. 1%CMC vehicle ADX71943 caused a dose-dependent increase in the withdrawal ADX71943 caused a dose-dependent reduction of threshold in the CFA induced mechanical hypersensitivity test in acetic acid-induced writhing in mice with a minimum rats, with a minimum effective dose of 10 mg/kg p.o. effective dose between 3 and 10 mg/kg p.o. 16 *CFA = Complete Freund's Adjuvant 16
  • 17. ADX68692 FSH NAM • FSH in females S.F. Betz, J.Med.Chem., 2008 – involved in folliculogenesis – induces maturation of ovarian follicles – & production of estrogen and progesterone • FSH in males – stimulates Sertoli cell proliferation – supports spermatogenesis – LH stimulates testosterone production Potential applications include: • Contraception • Hormone-dependent cancer (add-on therapies) • Osteoporosis • Prostate cancer • Endometriosis • Breast cancer • Uterine fibroids • Ovarian cancer • Precocious puberty • Hormone-dependent benign diseases • Polycystic ovarian disease • Benign prostate hyperplasia • Dysfunctional uterine bleeding 17
  • 18. ADX68692 stops ovulation in female rats • Treatment with ADX68692 at Control group Total number of animals in Proestrus/Estrus stage pharmacological and multiple of 18 16 pharmacological doses for 4 weeks 14 was well tolerated 12 10 • Treatment for 4 weeks with the FSH 8 6 NAM ADX68692 reduced the 4 number of female rats in the 2 0 estrus/proestrus phase (ovulatory -14 -11 -8 -5 -2 2 5 8 11 14 17 20 23 26 29 phase), and increased the number of Day of treatment female rats in the diestrus phase, indicating disruption of menstrual ADX68692: 20 mg/kg/day cycle. 18 • Eventually at the highest dose, 16 14 animals were found in persistent 12 10 diestrus 8 6 • Histopathological examination 4 2 showed follicular atresia which is the 0 consequence of the FSH function -14 -11 -8 -5 -2 2 5 8 11 14 17 20 23 26 29 blockade (blockade of ovulation) Day of treatment • Estradiol levels were lowered, even in Treatment start 18 the proestrus phase Synchronisation
  • 19. ADX68692 Summary / Prospectives • In vivo & in vitro data show ADX68692 effects on testosterone in male rats ADX68692 is a potent NAM with Treatment for 4 weeks with the FSH/LH NAM ADX68692 lowered circulating testosterone levels but did not have any other dual action on FSH and LH 25.0 significant effects on the male rat reproductive system receptors Testosterone (nnmol/L) 20.0 • ADX68692 is a small molecule with a good develop-ability & 15.0 drug-like profile *** 10.0 *** • ADX68692 is able to block FSH 5.0 action in vivo after oral administration 0.0 After 3-week treatment with ADX68692 • Good rational for Group 1 (0 mg/kg/day) Group 2 (2 x 10 mg/kg/day) – women’s health indications Group 3 (2 x 30 mg/kg/day) Group 4 (2 x 100 mg/kg/day) like endometriosis – hormone refractory prostate cancer 19
  • 20. Addex Pharmaceuticals ~~~~~~~~ Allosteric Discovery & Optimization Platform 20
  • 21. Allosteric Modulation Explained arketed NB: Most m hosteric. drugs are ort s ligands Endogenou ctivators orthosteric drugs compete orthosteric drugs compete are natural a with endogenous ligands for with endogenous ligands for in the body. the active site on a receptor the active site on a receptor allosteric drugs allosteric drugs bind another site bind another site on same receptor on same receptor Unlike orthosteric drugs, allosteric modulators are non-competitive. Therefore, their effects on signal transduction are observed primarily when endogenous ligands bind the active site. 21
  • 22. Orthosteric ≠ Allosteric Orthosterics are steady state Advantages include: • Greater specificity than orthosteric molecules Biological response Agonist Less toxicities from “off-target” interactions compared to more promiscuous orthosteric molecules Natural ligand Greater specificity leads to greater productivity • Non-competitive mechanism Antagonist Intellectual property space relatively un-exploited Lower doses required –less dose related toxicity Time –lower COGs • Acts like a dimmer not an “on/off” switch Allostery preserves natural rhythm Body maintains control – physiological rhythm preserved Less tolerance/desensitization Potentially fewer side effects vs orthosteric drugs at same target Biological response PAM + natural ligand • Can target receptors considered “intractable” or only Natural ligand addressable with peptide/protein drugs Lower COGs and lower administration cost (beats biosmilars!) Better compliance with oral drugs NAM + natural ligand Potential safety, tolerability and efficacy advantages with allosteric mechanism Time 22
  • 23. Industrializing Allostery Addex is pioneering the industrialization of allosteric drug discovery and optimization • Addex has built a unique allosteric modulator focused library (70k compounds & growing) • Addex has built tailored proprietary screening tools capable of direct detection of allosteric modulators (facilitates discovery and medicinal chemistry) • Allosteric modulators have broad potential as therapeutics targeting GPCRs & other types of receptors, including type I single pass transmembrane proteins (i.e. cytokine receptors) 23
  • 24. Addex AM focused library: Comparative Structural Analysis Marketed Drugs Addex Library Addex corporate library occupies a unique Addex corporate library occupies a unique structural space while sharing many other structural space while sharing many other drug-like properties with marketed drugs drug-like properties with marketed drugs 24
  • 25. Building of an Allosteric Fragment Database • Establish virtual AM fragment database: from literature and in-house data D D C G C A B H G F A B F H E E • Generate signature fragments (identification of privileged structural motifs by machine learning) examples of privileged motifs 25
  • 26. Addex targets allosteric sites in GPCR families 1, 2 & 3 Family 1 Family 2 Family 3 (e.g. Orexin & FSH) (e.g. GLP-1R, GIPR) (e.g. mGluR1-8, GABABR) From P.J. Conn, A. Christopoulos and C. Lindsley, Nature Reviews Drug Discovery, 2009, 8, 41-54. 26
  • 27. Proprietary Novel Assays G-Protein Coupled Receptors • Phoenyx: a cAMP dynamic non stop assay • FBBA: Fluorescence-Based Binding Assay measuring bi-molecular interactions (GLP1) • ADX-tags series 1: Proximal & dynamic assays for functional measurements of all types of GPCRs (GLP1, GIP) 27
  • 28. Addex targets allosteric sites in type 1 single-pass transmembrane proteins TNFR family Pathogens IL-1α/IL-1β IL- /IL- IL-33 IL- IL-1F6/8/9 IL- IL-18 IL- IL-1R family TIR domains IL18R1 IL18R2 IL1R1 AcP AcP RP2 AcP ST2 Toll-like Toll- receptors 28
  • 29. Proprietary Novel Assays type 1 single-pass transmembrane proteins • APRA: Accessory Protein Relocalization Assays (TNF R1) • ADX-tags series 1: Proximal & dynamic assays for functional measurements. – Measures activation-dependent association or dissociation of binding partners (IL-1R) • ADX-tags series 2: measures conformational changes or multimerization changes that lead to an activation signal (TNF R1, IL-1R) 29
  • 30. The Addex Platform Clinical Development Non-Clinical Development Metabolic Inflammation CNS Disorders Core Biology Core Chemistry 30