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What is a Virus-Specific T cell (VST)? VSTs are highly specialized T cells produced specifically in response to a viral infection. These cells have the ability to recognize and kill infected cells while activating other parts of the immune system for a coordinated response. VSTs persist in the body and activate a rapid immune response if the virus is encountered again. Andrew Khoo; Chief Executive Officer & Co-founder Andrew Khoo Co-founded Tessa, along with Dr. Malcolm Brenner and Mr. Francis Chua, and has been the CEO of Tessa since. An active investor in healthcare and technology-focused start-ups; Mr. Khoo is also a Director of other leading biotechnology companies such as Vyriad and Enleofen Bio. Prior to founding Tessa, Mr. Khoo worked in various roles at global banks including JP Morgan and Citigroup. He began his career at the Singapore Economic Development Board. Mr. Khoo holds a B.S. in Chemistry from Stanford University. Properties of VSTs • Clinical Benefit Complete and partial responses observed in several solid tumor indications, including advanced nasopharyngeal cancer, cervical cancer, and neuroblastoma • Safety Profile Hundreds of patients infused across a variety of settings – VSTs as a single agent, with genetic modifications (including CARs), or as allogeneic therapy – with no cytokine release syndrome (CRS) or central nervous system (CNS) Toxicity. Only grade 1 & 2 toxicities observed. • Persistence Complete responses ongoing at 20 months (cervical cancer). VSTs have been observed to persist over 8 years post-fusion 5 and 29 months (EBV+ lymph proliferative disease). T-Cell Therapy Treatment: How Does it Work? Step 1: Blood Collection The patient’s blood is collected at the hospital site. Step 2: Transportation & Handling The collected blood is transported to Tessa’s central production facility or satellite labs. Step 3: VST Initiation & Expansion The patient’s white blood cells are isolated and the virus-specific T (VST) cell population is selectively activated & expanded. Step 4: Chemotherapy Coinciding with the VST production period, the patient receives chemotherapy. Step 5: Infusion & Monitoring Tessa ships the patient’s VSTs to the hospital site, where the investigational therapy is intravenously infused in the patient and carefully monitored for any adverse reactions. Target Indications Include: • • • Nasopharyngeal Cancer Cervical Cancer Oropharyngeal Cancer How is our VST platform widely applicable? The solid safety profile of VSTs enables our platform to be combined with a wide range of next-generation therapies, broadening the cancer range and enhancing the scalability of our treatments. Allogeneic Therapy Using Tessa’s VST Platform Allogeneic VSTs are generated from healthy donors’ cells to provide an off-the-shelf treatment option to patients. Due to the viral specificity of their TCRs, VSTs do not require TCR or HLA gene editing to ensure a low risk of graft-versus-host disease. SR DECEMBER 2019 27