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Investor Presentaiton

Etrasimod: A Selective S1P1, S1P4, and S1P5 Receptor Modulator Etrasimod is a novel oral, selective sphingosine 1- phosphate (S1P) receptor modulator in development for immuno-inflammatory diseases S1PR modulators induce internalization and degradation of the S1P receptor, selectively reducing migration of T and B lymphocytes out of lymphoid organs into blood Etrasimod's unique specificity for the receptor subtypes S1P1, S1P4, and S1P5 may contribute to its clinical benefit:risk profile Why Etrasimod is Potentially Best-In-Class Agent Differentiated pharmacology Lower first-dose HR effect Etrasimod is a potent agonist of the S1P1R and a partial agonist of S1P4R and S1P5R, differentiated from other S1Ps Modest, transient, and asymptomatic first-dose heart rate effect which does not require dose titration Rapid onset/offset Rapid depletion of circulating lymphocytes and rapid recovery upon treatment cessation of effect No long-acting active metabolites No active metabolites with long t₁/2 nor any significant DDI liabilities Pfizer Inflammation & Immunology 6
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