8-K

Praxis Precision Medicines, Inc. (PRAX)

8-K 2022-01-10 For: 2022-01-10
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Added on April 08, 2026

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

CURRENT REPORT

Pursuant to Section 13 or 15(d)

of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported):January 10, 2022

PRAXIS PRECISION MEDICINES, INC.

(Exact name of registrant as specified in itscharter)

Delaware 001-39620 47-5195942
(State or other jurisdiction<br><br> <br>of incorporation) (Commission<br><br> <br>File Number) (I.R.S. Employer<br><br> <br>Identification No.)

Praxis Precision Medicines, Inc.

99 High Street, 30th Floor

Boston, Massachusetts 02110

(Address of principal executive offices, includingzip code)

(617) 300-8460

(Registrant’s telephone number, includingarea code)

Not Applicable

(Former Name or Former Address, if Changed SinceLast Report)


Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
¨ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
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¨ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
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¨ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
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Securities registered pursuant to Section 12(b) of the Act:

Title of each class Trade<br><br> <br>Symbol(s) Name of each exchange<br><br> <br>on which registered
Common Stock, $0.0001 par value per share PRAX The Nasdaq Global Select Market

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

Emerging growth company ¨

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨

Item 7.01. Regulation FD Disclosure.

On January 10, 2022, Praxis Precision Medicines, Inc. (the “Company”) posted a revised corporate slide presentation in the “Investors + Media” portion of its website at investors.praxismedicines.com. The presentation has been updated to include, among other things, that, in the first quarter of 2022, the Company plans to initiate the PRAX-114 Phase 2, placebo-controlled, crossover study for daytime treatment of essential tremor (“ET”) to evaluate safety, pharmacokinetics and efficacy of 10 or 20 mg of PRAX-114 and the PRAX-562 Phase 2 trial in the U.S. for treatment of patients with rare adult cephalgias, including a cohort of participants with Short-lasting Unilateral Neuralgiform headache attacks with Conjunctival injection and Tearing and Short-lasting Unilateral Neuralgiform headache with Autonomic symptoms, and a cohort of participants with Trigeminal Neuralgia. The expected timing for topline results from the PRAX-114 Phase 2 trial crossover study for daytime treatment of ET has not changed from the timing previously announced by the Company, and the Company continues to expect topline results in the second half of 2022. A copy of the revised corporate slide presentation is attached to this Current Report on Form 8-K (the “Form 8-K”) as Exhibit 99.1. The Company undertakes no obligation to update, supplement or amend the materials attached hereto as Exhibit 99.1.

The information contained in Item 7.01 of this Form 8-K shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly provided by specific reference in such a filing.

Item. 8.01 Other Information.

The information contained in the first paragraph of Item 7.01 of this Form 8-K (excluding Exhibit 99.1) is incorporated by reference into this Item 8.01.

Forward-Looking Statements

This Form 8-K contains forward-looking statementswithin the meaning of The Private Securities Litigation Reform Act of 1995 and other federal securities laws, including express or impliedstatements regarding the Company’s future expectations, plans and prospects, including, without limitation, statements regardingexpectations, plans and timing for clinical data and clinical trials. The express or implied forward-looking statements included in thisForm 8-K are only predictions and are subject to a number of risks, uncertainties and assumptions, including, without limitation: uncertaintiesinherent in clinical trials; the expected timing of submissions for regulatory approval or review by governmental authorities; regulatoryapprovals to conduct trials; risks, uncertainties and assumptions regarding the impact of the continuing COVID-19 pandemic on the Company’sbusiness, operations, strategy, goals and anticipated timelines, the Company’s ongoing and planned preclinical activities, the Company’sability to initiate, enroll, conduct or complete ongoing and planned clinical trials and the Company’s timelines for regulatorysubmissions; and other risks concerning the Company’s programs and operations described in additional detail in its Annual Reporton Form 10-K for the year ended December 31, 2020, its Quarterly Reports on Form 10-Q and other filings made with the Securities and ExchangeCommission from time to time. Although the Company’s forward-looking statements reflect the good faith judgment of its management,these statements are based only on facts and factors currently known by the Company. As a result, you are cautioned not to rely on theseforward-looking statements. Any forward-looking statement made in this Form 8-K speaks only as of the date on which it was made. The Companyundertakes no obligation to publicly update or revise any forward-looking statement, whether as a result of new information, future developmentsor otherwise.

Item 9.01. Financial Statements and Exhibits.

(d) Exhibits

Exhibit<br><br> <br>No. Description
99.1 Praxis Precision Medicines, Inc. January 2022 Corporate Presentation
104 Cover page from this Current Report on Form 8-K, formatted in Inline XBRL

SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

PRAXIS PRECISION MEDICINES, INC.
Date: January 10, 2022 By: /s/ Marcio Souza
Marcio Souza
Chief Executive Officer

Exhibit 99.1

PAGE 1 CONFIDENTIAL<br>CORPORATE<br>OVERVIEW<br>JANUARY 2 0 2 2<br>PAGE 1
PAGE 2 CONFIDENTIAL<br>Forward-looking statements<br>This presentation may contain “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995 relating to our business, operations, and<br>financial conditions, including but not limited to express or implied statements regarding the current beliefs, expectations and assumptions regarding the future of our business, future<br>plans and strategies, our development plans, our preclinical and clinical results and other future conditions. Words such as, but not limited to, “look forward to,” “believe,” “expect,”<br> “anticipate,” “estimate,” “intend,” “plan,” “would,” “should” and “could,” and similar expressions or words, identify forward-looking statements. Any forward-looking statements in this<br>presentation are based on management’s current expectations and beliefs and are subject to a number of risks, uncertainties and important factors that may cause actual events or<br>results to differ materially from those expressed or implied by any forward-looking statements contained in this presentation, including, without limitation, risks relating to: (i) the<br>success and timing of our ongoing clinical trials, (ii) the success and timing of our product development activities and initiating clinical trials, (iii) the success and timing of our<br>collaboration partners’ ongoing and planned clinical trials, (iv) our ability to obtain and maintain regulatory approval of any of our product candidates, (v) our plans to research, discover<br>and develop additional product candidates, (vi) our ability to enter into collaborations for the development of new product candidates, (vii) our ability to establish manufacturing<br>capabilities, and our and our collaboration partners’ abilities to manufacture our product candidates and scale production, (viii) our ability to meet any specific milestones set forth<br>herein, and (ix) uncertainties and assumptions regarding the impact of the COVID-19 pandemic on our business, operations, clinical trials, supply chain, strategy, goals and anticipated<br>timelines. New risks and uncertainties may emerge from time to time, and it is not possible to predict all risks and uncertainties. Except as required by applicable law, we do not plan to<br>publicly update or revise any forward-looking statements contained herein, whether as a result of any new information, future events, changed circumstances or otherwise. Although<br>we believe the expectations reflected in such forward-looking statements are reasonable, we can give no assurance that such expectations will prove to be correct. Accordingly, readers<br>are cautioned not to place undue reliance on these forward-looking statements.<br>For further information regarding the risks, uncertainties and other factors that may cause differences between Praxis’ expectations and actual results, you should review the “Risk<br>Factors” section of our Annual Report on Form 10-K filed for the year ended December 31, 2020, our Quarterly Reports on Form 10-Q and our other filings with the Securities and<br>Exchange Commission.<br>Certain information contained in this presentation relates to or is based on studies, publications, surveys and other data obtained from third-party sources and our own internal<br>estimates and research. While we believe these third-party sources to be reliable as of the date of this presentation, we have not independently verified, and make no representation as<br>to the adequacy, fairness, accuracy or completeness of, any information obtained from third-party sources. In addition, all of the market data included in this presentation involves a<br>number of assumptions and limitations, and there can be no guarantee as to the accuracy or reliability of such assumptions. Finally, while we believe our own internal research is<br>reliable, such research has not been verified by any independent source.<br>PAGE 2
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PAGE 3 CONFIDENTIAL PAGE 3<br>A P A T I E N T - GUIDED CNS COMPANY<br>DEVELOPING NEW CLASSES OF TREATMENTS<br>INSPIRED BY HUMAN GENETICS
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PAGE 4 CONFIDENTIAL<br>Targeting Common & Rare Diseases<br>Connected By Neuronal Imbalance<br>The biology of epilepsy offers insights into brain function for CNS disorders<br>Targets Elucidated By Genetics<br>SCN1A<br>SCN9A<br>SCN10A<br>SCN11A<br>CACNA1A<br>KCNA1<br>SLC1A3<br>SETX<br>RFC1<br>DRD3<br>HTT<br>FMR1<br>OPA1<br>SYNGAP1<br>SHANK3<br>CDKL5<br>DNM1<br>UNC79<br>TRIM3 CACNA1G<br>GABRB3<br>KCN1A<br>GABRB3<br>KCNT1<br>SCN1A<br>SCN8A<br>SCN2A<br>CACNA1A<br>TPH2<br>FKBP2<br>HTR2A PAIN<br>MOVEMENT DEPRESSION<br>EPILEPSY<br>PAGE 4<br>Hypoexcitability<br>Disease States<br>E/I Balance<br>Hyperexcitability<br>Disease States
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PAGE 5 CONFIDENTIAL<br>Development informed by<br>TRANSLATIONAL<br>TOOLS<br>Targets identified through<br>GENETICS<br>Clinical development paths to POC<br>RIGOROUS and<br>EFFICIENT<br>Development strategies are<br>PATIENT-GUIDED<br>Praxis is built on four key pillars<br>PAGE 5
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PAGE 6 CONFIDENTIAL<br>Broad portfolio of highly differentiated programs<br>across multiple CNS disorders<br>REGISTRATIONAL<br>ENABLING DISCOVERY PRECLINICAL PHASE 1 PHASE 2<br>Figures represent est.<br>worldwide prevalence<br>PAGE 6<br>PROGRAM MECHANISM OF ACTION<br>PRAX-944<br>PRAX-114 PSYCHIATRY<br>Nav1.2<br>downregulation<br>SCN2A<br>PRAX-562<br>PRAX-222*<br>KCNT1<br>INHIBITOR<br>RARE<br>DISEASES<br>FOCUS<br>AREA<br>Small molecule<br>Antisense<br>Oligonucleotide<br>GABAA receptor PAM<br>GABRG2/A1<br>T-type calcium channel blocker<br>CACNA1G<br>Persistent sodium<br>current blocker<br>SCN8A<br>Potassium channel T 1 blocker<br>KCNT1<br>MOVEMENT<br>DISORDERS<br>Small molecule<br>Small molecule<br>Small molecule<br>Nav1.2 upregulation<br>SCN2A<br>SCN2A-LOF**<br>Antisense<br>Oligonucleotide<br>GABAA receptor PAM<br>GABRG2/A1<br>PRAX-114<br>Small molecule<br>Figures represent est.<br>U.S. prevalence<br>PRAX-944<br>Essential<br>Tremor<br>~7M<br>PRAX-114<br>MDD<br>~19M<br>PRAX-114<br>PTSD<br>~11M<br>PRAX-114<br>PMD+<br>~3M<br>PRAX-114<br>Essential<br>Tremor<br>~7M<br>PRAX-944<br>PD<br>~1M<br>PRAX-222<br>SCN2A<br>DEE<br> >2K<br>PRAX-562<br>SUNCT/SUNA<br>~60K<br>KCNT1<br> >2K<br>SCN2A<br>LOF<br> >10K<br>PRAX-562<br>Trigeminal<br>Neuralgia<br> >300K<br>PRAX-562<br>DEE<br> >200K<br>* PRAX-222 is a collaboration with Ionis Pharmaceuticals, Inc. and RogCon Inc; first in patient study intended to be seamless, registrational trial.<br>** SCN2A-LOF is a collaboration with The Florey Institute; collaboration includes 2 additional discovery stage ASOs targeting SYNGAP1 & PCDH19<br>+ Phase 2b trial in women with menopausal and mood symptoms<br>PRAX-114 Phase 2 trial for ET, PRAX-944 Phase 2 trial for PD and PRAX-562 trials for SUNCT/SUNA/TN and for DEEs have not initiated<br>Prevalence based on internal estimates
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PAGE 7 CONFIDENTIAL<br> >$1B<br>Potential Revenue<br> >$1B<br>Potential Revenue<br> >$1B<br>Potential Revenue<br>PRAX-114<br>MDD<br>Ph 2a<br>PRAX-114<br>PTSD<br>Ph 2<br>PRAX-114<br>MDD<br>Ph 2/3<br>PRAX-944<br>ET<br>Ph 2a<br>PRAX-944<br>ET Essential1<br>Ph 2b<br>PRAX-562<br>Ph 1<br>PRAX-562<br>Ph 2 SUNCT/<br>SUNA/TN<br>PRAX-222<br>Preclinical<br>KCNT1<br>Discovery<br>SCN2A<br>LOF<br>PCDH19<br>SYNGAP1<br>2021<br>MATURATION<br>SCN2A<br>LOF<br>SYNGAP1<br>PCDH19<br>PRAX-562<br>Ph 2 SUNCT/<br>SUNA/TN<br>PRAX-562<br>Ph 2<br>DEE<br>PRAX-222<br>SCN2A-DEE<br>Ph 1/2/3<br>KCNT1<br>Preclinical<br>PRAX-114<br>MDD<br>Ph 2a<br>PRAX-944<br>ET<br>Ph 2a<br>2020<br>EXPLORATION<br>PRAX-562<br>Ph 1<br>PRAX-222<br>Preclinical KCNT1<br>Discovery<br>2022<br>GROWTH<br>PRAX-114<br>MDD<br>Ph 3 PRAX-114<br>PTSD<br>Ph 2<br>PRAX-114<br>MDD<br>Ph 2/3<br>PAGE 7<br>Three distinct franchises primed for growth in 2022<br>PSYCHIATRY<br>MOVEMENT<br>DISORDERS<br>RARE<br>DISEASES<br>PRAX-114<br>ET<br>Ph 2<br>PRAX-944<br>ET<br>Ph 2a<br>PRAX-944<br>ET Essential1<br>Ph 2b<br>PRAX-944<br>PD<br>Ph 2
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PAGE 8 CONFIDENTIAL<br>PROGRAM Q4 2022 Q1 2022 Q3 2022 Q2 2022 INDICATION<br>Upcoming catalysts throughout portfolio in 2022<br>PRAX-562<br>PRAX-114<br>PRAX-944 Initiate Phase 2 Trial<br>SUNCT/SUNA/TN<br>DEEs<br>MDD<br>PTSD<br>ET<br>PD<br>Phase 2<br>Topline<br>Phase 2 Acapella Study<br>Topline<br>Phase 2/3 Aria Study<br>Topline<br>Phase 2b Essential1 Study<br>Topline<br>Phase 2a Part B Randomized Withdrawal<br>Topline<br>Initiate Phase 2 Trial<br>Phase 1<br>Topline ASSR Biomarker<br>Initiate Phase 2 Trial<br>ET Phase 2<br>Topline PRAX-114<br>PRAX-944<br>PRAX-222 SCN2A -DEE Initiate Phase 1/2/3 Trial<br>PAGE 8<br>PSYCHIATRY<br>MOVEMENT<br>DISORDERS<br>RARE<br>DISEASES<br>Initiate Phase 2 Trial
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PAGE 9 CONFIDENTIAL PAGE 9<br>DARE for MORE
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PAGE 10 CONFIDENTIAL<br>PSYCHIATRY<br>PAGE 10<br>PRAX-114<br>GABAA Receptor PAM<br>Depression<br>Post-traumatic Stress Disorder<br>1H 2022<br>Ph 2/3 Monotherapy MDD Aria Study Topline<br>1H 2022<br>Ph 2 MDD Dose-Ranging Acapella Study Topline<br>2H 2022<br>Ph 2 PTSD Topline<br>KEY UPCOMING MILESTONES
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PAGE 11 CONFIDENTIAL<br>Major depressive disorder is a growing and debilitating disorder<br>with substantial unmet need despite numerous treatment options<br>Source: Rush et al 2006, Masand et al 2003, Kupfer et 2005, DSM-5 2013, ExpressScripts MDD Report 2020<br>MAJOR<br>DEPRESSIVE<br>DISORDER<br>(MDD)<br>~19 million Americans and an estimated<br>300 million people worldwide affected by MDD<br>Slow onset of action for<br>existing treatment options<br>Low response rate<br>Limiting safety profile can<br>lead to discontinuation of<br>treatment<br>Feeling sad<br>or empty<br>Lack of<br>appetite<br>Thoughts of<br>death or suicide<br>Poor memory,<br>concentration, and<br>decision-making<br>Insomnia or<br>lack of sleep<br>Anger and<br>irritability<br>1<br>2<br>3
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PAGE 12 CONFIDENTIAL<br>Preference for extrasynaptic GABAA receptors has the potential of marked<br>antidepressant effect with an improved tolerability profile<br>GABA: Gamma-aminobutyric acid; GABAA PAMs: GABAA receptor positive allosteric modulators<br>Potentiation<br>Fold<br>Potentiation<br> α4β3δ: extrasynaptic GABAA receptor α1β2γ2: synaptic GABAA receptor<br>* Equivalent of full activation by GABA<br>PRAX-114 shows 10.5-Fold greater<br>potentiation of extrasynaptic than<br>synaptic GABAA receptors<br>Dosing α4β3δ %* α1β2γ2 % α4β3δ/<br> α1β2γ2<br>PRAX-114 Oral 300% 29% 10.5<br>Zuranolone Oral 300% 117% 2.6<br>Ganaxolone IV, Oral 300% 794% 0.4<br>Zulresso IV 300% 306% 1.0<br>Sedation<br>Anxiolysis<br>Antidepressant<br>Synaptic<br>GABAA<br>Receptor<br>Extrasynaptic<br>GABAA<br>Receptor<br>Source: PRAXIS data<br>Source: Praxis Data on file
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PAGE 13 CONFIDENTIAL<br>Extrasynaptic GABAA preference allows PRAX-114 the potential<br>to achieve high-levels of GABAergic activation with improved tolerability<br>PRAX-114 shows robust qEEG signal and target activation<br>No MTD identified up to 80mg<br>Tolerability profile maintained throughout dose<br>escalation<br>Exposure-dependent rates of<br>somnolence resolved 1 to 3 hours post-dosing,<br>consistent with peak concentrations<br>Fold Change<br>relative to baseline<br>Time (hours)<br>0.0<br>1.0<br>2.0<br>3.0<br>0 4 8 12 16 20 24<br>PRAX-114 30 mg beta PRAX-114 60mg beta<br>PRAX-114 30 mg alpha PRAX-114 60mg alpha<br>***<br>*<br>**<br>***<br>N= 7-9 human subjects per dose, PRAX-114 doses compared to placebo control at<br>each timepoint, *p < 0.05, ** p < 0.01, *** p < 0.001<br>1.6x - beta target activation<br>1.7x - 40 mg tablet projected beta
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PAGE 14 CONFIDENTIAL<br>Effect of high-fat meal on pharmacokinetics<br>*FDA Guidance for Industry: Food-Effect Bioavailability and Fed Bioequivalence Studies<br>Increase in exposure<br>with food*<br>No food Effect*<br>Decrease in exposure<br>without food*<br>PRAX-114 Cmax PRAX-114 AUC0-t<br>0.0<br>0.5<br>1.0<br>1.5<br>2.0<br>PRAX-114 Cmax PRAX-114 AUC0-t<br>Fed / Fasted Ratio<br>(90% confidence interval)<br>PRAX-114 suspension (30 mg)<br>PRAX-114 can be dosed at bedtime with or without food
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PAGE 15 CONFIDENTIAL<br>Phase 2a combined* HAM-A anxiety<br>and HAM-D insomnia item results<br>Phase 2a combined* HAM-D monotherapy &<br>adjunctive results<br>Visit<br>HAM-D<br>Monotherapy<br>Mean (SD)<br>N=14<br>HAM-D<br>Adjunctive<br>Mean (SD)<br>N=38<br>Day 1<br>(BL) 25.2 (1.82) 24.7 (2.90)<br>Day 8<br>(CFB) -17.6 (4.77) -13.4 (7.94)<br>Day 15<br>(CFB) -16.6 (5.23) -12.2 (7.02)<br>Visit<br>HAM-A<br>Anxiety Rating<br>Scale<br>Mean (SD)<br>N=52<br>HAM-D<br>Insomnia Item Total<br>(max score of 6)<br>Mean (SD)<br>N=52<br>Day 1<br>(BL) 22.4 (4.16) 4.2 (1.3)<br>Day 8<br>(CFB) -12.4 (7.55) -2.8 (1.9)<br>Day 15<br>(CFB) -11.6 (6.67) -3.1 (1.7)<br>PRAX-114 Phase 2a: rapid and marked improvement in depression scores<br>*Combined results include Part A MDD cohort (N=33; 2-week treatment), Part B PMD cohort (N=6; 2-week treatment) & Part C MDD cohort (N=13; 4-<br>week treatment); results show change from baseline (CFB) at Day 8 & Day 15
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PAGE 16 CONFIDENTIAL<br>Estimated somnolence rate of approximately 10% for 40 mg tablet (1.7x beta power) administered at<br>nighttime<br>Low rates of somnolence with PRAX-114 at targeted exposure level<br> β-EEG Multiple 2.1 2.1 1.7 1.7<br>Somnolence AE %<br>60 mg<br>Daytime/Nighttime<br>Phase 2a Part A<br>(N=13)<br>0<br>10<br>20<br>30<br>40<br>50<br>60<br>60 mg<br>Nighttime<br>Phase 2a Part C<br>(N=13)<br>45 mg<br>Daytime/Nighttime<br>Phase 2a Part A<br>(N=13)<br>40 mg Projected*<br>Nighttime<br>*Estimated somnolence rate for PRAX-114 40 mg tablet is derived by combining somnolence AE data from all 45 mg nighttime dosing cohorts. This estimate does not reflect data from any<br>patients dosed at the 40 mg level and there is no guarantee that actual data for patients dosed at the 40 mg level will reflect such estimates.<br>**Modified Observer's Assessment of Alertness/Sedation Scale (MOAA/S) was administered during the inpatient phase of Part A of the Phase 2a to assess potential for daytime somnolence;<br>one participant in PMD cohort of Phase 2a study discontinued treatment due to AEs of moderate daytime sedation and mild feeling abnormal<br>No evidence of<br>decreased alertness in<br>the morning after<br>administration of PRAX-<br>114 in Phase 2a trial in<br>MDD patients**
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PAGE 17 CONFIDENTIAL<br> • Integration of a placebo control reminder script for patients at every visit<br> • Inclusion of the AiCure smartphone-based adherence monitoring system with structured site<br>intervention 3<br>PRAX-114 clinical program leverages best practices in conduct of MDD trials<br>OPTIMIZED TRIAL<br>DESIGN & EXECUTION<br> • Enrollment of sites with a known track-record of high-quality data generation<br> • Experienced raters, adequate resources, low frequency of operational issues and proven<br>performance in running studies successfully during the pandemic HIGH QUALITY<br>SITE SELECTION<br> • Enrollment of patients with at least one prior episode of MDD (associated with a lower placebo<br>response rate) 1<br> • Two-level subject & data quality procedure using the SAFER independent clinical interview to<br>confirm eligibility 2<br>RIGOROUS PATIENT<br>SELECTION<br>Key Operational Controls<br>1: Sonawalla SB, Rosenbaum JF. Placebo response in depression. Dialogues Clin Neurosci. Mar 2002;4(1):105-13.<br>2: Freeman MP, Pooley J, Flynn MJ, et al. Guarding the Gate: Remote Structured Assessments to Enhance Enrollment Precision in Depression Trials. J Clin Psychopharmacol. Apr<br>2017;37(2):176-181. doi:10.1097/JCP.0000000000000669<br>3: https://aicure.com/
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PAGE 18 CONFIDENTIAL<br>PRAX-114 monotherapy MDD Phase 2/3 Aria Study topline data expected 1H 2022<br>Ph 2/3<br>1:1 RANDOMIZED PLACEBO<br>CONTROLLED IN MONOTHERAPY<br>MDD<br>1 2 3 4 5 6<br>-114 40 mg tablet<br>PLACEBO<br>WEEK<br>KEY SECONDARY<br>ENDPOINT<br>HAM-D17 at Day 29<br>PRIMARY ENDPOINT<br>HAM-D17 at Day 15<br>~200 participants<br>First of two registrational<br>trials for monotherapy MDD<br>KEY INCLUSION CRITERIA<br>Ages 18-65<br>HAM-D17 ≥ 23<br>At least one prior episode of MDD<br>KEY EXCLUSION CRITERIA<br>Treatment-resistant depression<br>Current antidepressant<br>treatment<br>PHASE 2/3<br>OUTPATIENT NIGHTLY DOSING FOLLOW-UP<br>clinicaltrials.gov/ct2/show/NCT04832425; https://theariastudy.com/
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PAGE 19 CONFIDENTIAL<br>PRAX-114 MDD Phase 2 Acapella Study topline data expected 1H 2022<br>Ph 2<br>RANDOMIZED PLACEBO<br>CONTROLLED PRIMARILY IN<br>ADJUNCTIVE MDD<br>1 2 3 4 5 6<br>-114 60 mg tablet<br>PLACEBO<br>WEEK<br>KEY SECONDARY<br>ENDPOINT<br>HAM-D17 at Day 29<br>PRIMARY ENDPOINT<br>HAM-D17 at Day 15<br>~125 participants<br>Dose-ranging study to<br>evaluate safety and efficacy<br>of PRAX-114 at doses of 10, 20,<br>40 and 60 mg<br>KEY INCLUSION CRITERIA<br>Ages 18-65<br>HAM-D17 ≥ 20<br>At least one prior episode of MDD<br>Inadequate response to treatment in<br>current episode of at least 12 weeks<br>KEY EXCLUSION CRITERIA<br>Treatment-resistant depression<br>PHASE 2<br>OUTPATIENT NIGHTLY DOSING FOLLOW-UP<br>clinicaltrials.gov/ct2/show/NCT04969510<br>-114 40 mg tablet<br>-114 20 mg tablet<br>-114 10 mg tablet
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PAGE 20 CONFIDENTIAL<br>PRAX-114 has broad potential in psychiatry disorders<br>POST-<br>TRAUMATIC<br>STRESS<br>DISORDER<br>(PTSD)<br>Dysfunction of GABA pathway is associated with chronic stress and symptoms of PTSD<br>1<br>2<br>Post-traumatic Stress Disorder is<br>a debilitating psychiatric disorder<br>that leads to social, occupational<br>and interpersonal dysfunction<br>Profound unmet need, meaningful<br>link to PRAX-114 MOA, and<br>complementarity to MDD program<br>ADULT PTSD<br>ESTIMATED US PREVALENCE<br>11M<br>Intrusive<br>thoughts<br>Insomnia &<br>Nightmares<br>Flashbacks Anxiety<br>Mood<br>symptoms<br>Negative<br>cognition
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PAGE 21 CONFIDENTIAL<br>Enrollment has started for PRAX-114 PTSD Phase 2 study<br>Ph 2<br>1:1 RANDOMIZED PLACEBO<br>CONTROLLED IN PTSD<br>1 2 3 4 5 6<br>-114 40 mg tablet<br>WEEK<br>PRIMARY ENDPOINT<br>CAPS-5 Total Score at Day 29<br>~80 participants<br>To evaluate safety, tolerability<br>and efficacy of PRAX-114 for<br>treatment of adults with<br>PTSD<br>KEY INCLUSION CRITERIA<br>Ages 18-65<br>CAPS-5 ≥ 30<br>PTSD diagnosis with duration of >6<br>months<br>TOPLINE DATA EXPECTED 2H22<br>OUTPATIENT NIGHTLY DOSING FOLLOW-UP<br>At Day 15, PRAX-114 participants who have<br>not reached a 20% improvement in CAPS-5<br>total score may increase to 60 mg<br>40 or 60 mg tablet<br>PLACEBO
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PAGE 22 CONFIDENTIAL PAGE 22<br>MOVEMENT<br>DISORDERS<br>PRAX-944<br>T-Type Calcium Channel Inhibitor<br>Essential Tremor<br>Parkinson’s disease<br>1H 2022<br>PRAX-944 Ph 2a ET Part B Randomized Withdrawal<br>Topline<br>1H 2022<br>Initiate PRAX-944 Ph 2 PD Trial<br>KEY UPCOMING MILESTONES<br>2H 2022<br>PRAX-944 Ph 2b ET Essential1 Study<br>Topline PRAX-114<br>GABAA Receptor PAM<br>Essential Tremor 2H 2022<br>PRAX-114 Ph 2 ET<br>Topline
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PAGE 23 CONFIDENTIAL<br>Movement Disorder franchise focus for 2022<br>PRAX-944:<br>for Essential Tremor<br>Identify dose for<br>registrational study<br>Essential1 Study<br>Topline Data: 2H2022<br>PRAX-944:<br>for Parkinson’s disease<br>Demonstrate motor<br>improvement<br>Initiate Ph2 Study<br>1H2022<br>PRAX-114:<br>for Essential Tremor<br>Demonstrate well-<br>tolerated GABAA-PAM<br>with daytime dosing<br>Ph2 Study<br>Topline Data: 2H2022
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PAGE 24 CONFIDENTIAL<br>Why Essential Tremor matters<br>Most common movement disorder ~7x the<br>prevalence of Parkinson’s disease1<br>Daytime action tremor that primarily<br>affects the hands3,4<br>~ 50% of patients have a<br>family history2,3<br>Heterogeneous condition with<br>progressive disability3<br>SOURCE: 1. GHOSH (2016) (P.231, C.1, PH.1, L.1-2), 2. LIU (2016) (P.1009, C.1, PH.2, L.1-3 3. ) 3. Elble RJ. Curr Neurol Neurosci Rep. 2013 Jun;13(6):353.<br>4. Putzke JD, et al. J Neurol Neurosurg Psychiatry. 2006 Nov;77(11):1235-7. 5.
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PAGE 25 CONFIDENTIAL<br>ET burden of disease extends beyond the tremor<br>1. LOUIS ED, ET AL. PARKINSONISM RELAT DISORD. 2015;21(7):729-735. 2. HOLDING SJ, ET AL. CHRONIC ILLN. 2015 MAR;11(1):69-71. 3.SHALASH AS, ET AL. TREMOR OTHER<br>HYPERKINET MOV (N Y). 2019;9. 4. JANICKI SC,ET AL. THER ADV NEUROL DISORD. 2013;6(6):353-368. 5. LOUIS ED, ET AL. EUR J NEUROL. 2007 OCT;14(10):1138-46.<br>Social<br>embarrassed by<br>their tremor1,2<br>Mood<br>symptoms of social isolation,<br>depression, and anxiety1-5<br>Self<br>feel negative about<br>themselves1
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PAGE 26 CONFIDENTIAL<br>3M<br>Total Addressable<br>Market<br>Our focus is on elevating the standard of care to capture the $4B+ US ET market<br>7M<br>US Prevalence<br>1.5M<br>Total Treated<br>Market1<br>$4B+<br>US ET Market Opportunity2<br>PRIMARY MARKET RESEARCH AND PRAXIS INTERNAL MODELING AND PROJECTIONS<br>1. CLAIMS ANALYSIS INDICATES THAT 50% OF DIAGNOSED PATIENTS ARE ON TREATMENT; 2. BASED ON MINIMUM OF RANGE FOR NET PRICE ESTIMATES FROM PRAXIS<br>COVERING ANALYSTS AS OF 16-DECEMBER-2021- $3.6K
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PAGE 27 CONFIDENTIAL<br>Praxis treatments could allow patients to fit the right therapy<br>to their needs to realize improved outcomes<br> • Patients could initiate ET<br>treatment sooner<br> • Patients could treat as<br>needed<br> • Patients could<br>maintain ET therapy<br>As needed Chronic<br>PRAX-114 PRAX-944<br>+
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PAGE 28 CONFIDENTIAL<br>Tackling Movement Disorders through two mechanisms of action<br>GABAA RECEPTORS T-TYPE CALCIUM CHANNELS<br>CEREBELLO-THALAMO-CORTICAL (CTC) CIRCUIT<br>PRAX-944 PRAX-114
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PAGE 29 CONFIDENTIAL<br>Mutations in T-type calcium channels<br>(TTCC) are genetically linked to familial ET<br>TTCC drive burst firing in the CTC circuit<br>Burst firing in the CTC circuit correlated<br>with tremor in patients with ET and PD<br>Deep Brain Stimulation reduces burst<br>firing and tremor<br>T-Type calcium channels are gatekeepers of neuronal firing patterns in the CTC<br>circuit<br>SOURCE: BASED ON MILOSEVIC 2018 FIGURE ON ACTUAL ET PATIENT INTRAOPERATIVE REAL-TIME SINGLE-UNIT RECORDINGS OF ACTION POTENTIALS OF INDIVIDUAL NEURONS
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PAGE 30 CONFIDENTIAL<br>PRAX-944 is designed to enable once daily dosing and a<br>well-tolerated safety profile<br>Sustained exposure with blunted MR Cmax allows for<br>potential of sustained efficacy and improved tolerability<br>0<br>5<br>10<br>15<br>20<br>25<br>30<br>35<br>40<br>45<br>50<br>0 6 12 18 24 PRAX<br>-<br>944 Plasma Concentration (ng/mL)<br>Time (h)<br>Mean PRAX-944 Concentration-Time Profiles after single 20 mg Modified Release<br>(MR) oral dose<br>MR formulation is well-tolerated<br>Titration and fit for purpose<br>formulation are key to<br>tolerability profile<br>No MTD identified up to<br>120 mg per day<br>Majority of AEs have been<br>mild, transient and resolved<br>without intervention
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PAGE 31 CONFIDENTIAL<br>KEY TAKEAWAYS<br> • Dose-dependent<br>reduction in sigma-band<br>power<br> • Effect observed over<br> >20x dose range<br> • Provides confidence that<br>PRAX-944 is reaching<br>functionally relevant<br>brain concentrations and<br>targets<br>PRAX-944 showed robust PK:PD relationship to guide dosing<br>SOURCE: PRAXIS STUDY-944-105; PRAXIS DATA ON FILE<br>5mg<br>10mg<br>20mg<br>60mg<br>80mg 100mg<br>120mg
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PAGE 32 CONFIDENTIAL<br>PRAX-944 Phase 2a ET study design<br>DAYS 1-14<br>Safety<br>Follow-<br>up<br>Screening/<br>Baseline<br>PART A<br>DAYS 15-21<br>Completed Open-Label Titration<br>of PRAX-944 up to<br>40 mg<br>CLINICALTRIALS.GOV/CT2/SHOW/NCT05021978<br>DAYS 29-42<br>1:1<br>RANDOMIZATION<br>Open-Label Titration<br>of PRAX-944 up to<br>120 mg<br>Stable Period<br>at High Dose<br>PRAX-944<br>PLACEBO<br>RANDOMIZED WITHDRAWAL<br>(DAYS 43-56)<br>DAYS 57-64 DAYS 1 -28<br>PART B<br>Screening/<br>Baseline<br>Safety<br>Follow-<br>up<br>Preliminary data Topline Results: 1H2022
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PAGE 33 CONFIDENTIAL<br>Percent change in TETRAS score (N=6) Change from baseline in TETRAS score (N=6)<br>PRAX-944 Phase 2a ET Part A data shows dose dependent reduction in tremor<br>amplitude<br>ON TREATMENT WASHOUT<br>PERFORMANCE SCALE (PS) UPPER LIMB (UL) PERFORMANCE SCALE (PS) UPPER LIMB (UL)<br>ON TREATMENT WASHOUT
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PAGE 34 CONFIDENTIAL<br>Preliminary Part B data: TETRAS Combined Upper Limb (CUL) and TETRAS<br>Activities of Daily Living (ADL)<br>Preliminary data as of 10-Dec-2021 cutoff; ongoing CLINICALTRIALS.GOV/CT2/SHOW/NCT05021978<br>* 8 of 12 patients enrolled and dosed completed per protocol ; Part B Patient 1 discontinued after Day 21 assessment, 2 participants discontinued due to protocol violations, 1 participant discontinued<br>due to an AE<br>% CHANGE IN<br>TETRAS CUL<br>80%<br>60%<br>40%<br>20%<br>0%<br>-20%<br>-40%<br>-60%<br>80%<br>60%<br>40%<br>20%<br>0%<br>-20%<br>-40%<br>-60%<br>DAY 21 DAY 42<br>DAY 21 DAY 42<br>% CHANGE IN<br>TETRAS ADL<br>13.0 15.5 18.0 19.5 21.0 21.0 21.5 24.5 35.5 Baseline CUL<br>1* 2 3 4 5 6 7 8 9<br>Improvement<br>Improvement<br>Part B Participants
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PAGE 35 CONFIDENTIAL<br>Key PRAX-944 development questions in ET<br>PRAX-944-221<br>Phase 2a<br>Part B<br>PRAX-944-222<br>Phase 2b<br>Essential1 Study<br>PRAX-944<br>Phase 3<br>Tolerability of PRAX-944 in ET and<br>sufficient evidence of effect<br>Dose ranging safety, tolerability,<br>and efficacy to support dose<br>selection for Phase 3<br>Demonstrate efficacy and<br>safety for registration<br>clinicaltrials.gov/ct2/show/NCT05021991
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PAGE 36 CONFIDENTIAL<br>Dose-ranging study to<br>evaluate safety, tolerability<br>and efficacy of PRAX-944 for<br>treatment of adults with ET<br>KEY INCLUSION CRITERIA<br>Ages 18 or older<br>Diagnosis of ET for at least 3 years<br>TETRAS UL score ≥10<br>TOPLINE DATA EXPECTED 2H22 Randomized, double-blind, placebo-controlled study in ~112 participants<br>Enrollment ongoing for PRAX-944 ET Phase 2b Essential1 Study<br>Day<br>-28 to -1<br>Day 57-70<br>Safety<br>Follow Up<br>PRAX-944<br>20 mg<br>Screening<br>PLACEBO<br>Day 1-56<br>PRAX-944<br>100 mg<br>1:1:1:1<br>Randomization<br>Titration<br>Period<br>Titration Period<br>clinicaltrials.gov/ct2/show/NCT05021991<br>Titration Period PRAX-944<br>60 mg
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PAGE 37 CONFIDENTIAL<br>Movement Disorder franchise focus for 2022<br>PRAX-944:<br>for Essential Tremor<br>Identify dose for<br>registrational study<br>Essential1 Study<br>Topline Data: 2H2022<br>PRAX-944:<br>for Parkinson’s disease<br>Demonstrate motor<br>improvement<br>Initiate Ph2 Study<br>1H2022<br>PRAX-114:<br>for Essential Tremor<br>Demonstrate well-<br>tolerated GABAA-PAM<br>with daytime dosing<br>Ph2 Study<br>Topline Data: 2H2022
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PAGE 38 CONFIDENTIAL<br> α4β3δ %* α1β2γ2 % α4β3δ/<br> α1β2γ2<br>300% 29% 10.5<br>PRAX-114: Evidence suggests central role of extrasynaptic GABAA receptors<br>targeting tremor pathophysiology<br> Α4Β3Δ: EXTRASYNAPTIC GABAA RECEPTOR; Α1Β2Γ2: SYNAPTIC GABAA RECEPTOR; * EQUIVALENT OF FULL GABA ACTIVATION<br>SOURCE: PRAXIS DATA ON FILE<br>Without Extrasynaptic With Extrasynaptic<br>Potentiation<br>Fold<br>Potentiation<br>PRAX-114 has greater<br>potentiation of extrasynaptic<br>GABAA receptors<br> α4β3δ %* α1β2γ2 % α4β3δ/<br> α1β2γ2<br>300% 29% 10.5
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PAGE 39 CONFIDENTIAL<br>PRAX-114 ET Phase 2 study designed to evaluate safety,<br>tolerability, PK and efficacy of daytime dosing<br>KEY QUESTION:<br>Is there a dose that enables<br>reduction in tremor without<br>somnolence or sedation?<br>TOPLINE DATA:<br>2H2022<br>Safety<br>Follow Up<br>PRAX-114<br>10, 20 mg<br>or<br>PLACEBO<br>PERIOD 1 PERIOD 2 PERIOD 3<br>Washout<br>PRAX-114<br>10, 20 mg<br>or<br>PLACEBO<br>PRAX-114<br>10, 20 mg<br>or<br>PLACEBO<br>1:1:1<br>Randomization<br>Study Design: Randomized, double-blind, placebo-controlled, cross-over study<br>N = ~15 participants<br>Washout
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PAGE 40 CONFIDENTIAL<br>Movement Disorder franchise focus for 2022<br>PRAX-944:<br>for Essential Tremor<br>Identify dose for<br>registrational study<br>Essential1 Study<br>Topline Data: 2H2022<br>PRAX-944:<br>for Parkinson’s disease<br>Demonstrate motor<br>improvement<br>Initiate Ph2 Study<br>1H2022<br>PRAX-114:<br>for Essential Tremor<br>Demonstrate well-<br>tolerated GABAA-PAM<br>with daytime dosing<br>Ph2 Study<br>Topline Data: 2H2022
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PAGE 41 CONFIDENTIAL<br>Why Parkinson’s disease matters?<br>Affects ~1 million people in<br>the US, with 85% of patients<br>treated pharmacologically<br>Progressive disability<br>motor and non-motor<br>symptoms<br>Incidence is age related.<br>Average age of onset is early<br>60s. High risk in men.<br>1. HTTPS://WWW.PARKINSON.ORG/UNDERSTANDING-PARKINSONS/STATISTICS 2. GLOBAL DATA REPORT: PARKINSON'S DISEASE - GLOBAL DRUG FORECAST<br>AND MARKET ANALYSIS TO 2029, APRIL 2021 3.CLAIMS ANALYSIS; SECONDARY RESEARCH
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PAGE 42 CONFIDENTIAL<br>PRAX-944 has potential to be a non-dopaminergic therapy for<br>motor function for Parkinson’s disease patients<br>Dopamine<br>promotes<br>movement<br>Dopamine related<br>motor and non-<br>motor<br>complications
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PAGE 43 CONFIDENTIAL<br>Blocking T-type Calcium Channels improves motor<br>activity in 6-OHDA model of Parkinson’s disease<br>Burst firing in STN of 6-OHDA Parkinson’s model BURST FIRING IN STN OF 6-OHDA<br>PARKINSON’S MODEL<br>BLOCK OF BURST FIRING IMPROVES MOVEMENT<br>IN 6-OHDA PARKINSON’S MODEL<br>PAN ET AL (2016) J CLIN INVEST DOI: 10.1172/JCI88170
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PAGE 44 CONFIDENTIAL<br>PRAX-944 study to evaluate motor function in Parkinson’s disease patients<br>expected to initiate in 1H22<br>CLINICAL<br>MEASUREMENTS:<br>Motor function<br>KEY QUESTION:<br>Does PRAX-944<br>demonstrate motor<br>improvement in<br>patients?<br>Safety<br>Follow Up<br>PRAX-944<br>Titration 5 mg to 100 mg<br>DAY 1-49 DAY 50-77<br>PRAX-944<br>Titration Maintenance<br>DAY 78-84<br>PLACEBO PLACEBO<br>2:1<br>Randomization<br>N= ~42
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PAGE 45 CONFIDENTIAL PAGE 45<br>RARE DISEASES<br>PRAX-562<br>Persistent Sodium Channel Blocker<br>Adult Cephalgias<br>Pediatric Epilepsies (DEEs)<br>PRAX-222 (ASO)<br>Nav1.2 downregulation<br>SCN2A-DEE<br>1H 2022<br>PRAX-562 Ph 1 ASSR Biomarker<br>Topline<br>1H 2022<br>Initiate PRAX-562 Ph 2 DEE Trial<br>1H 2022<br>Initiate PRAX-222 Ph 1/2/3 SCN2A-DEE Trial<br>KEY UPCOMING MILESTONES<br>1Q 2022<br>Initiate PRAX-562 Ph 2 SUNCT/SUNA/TN Trial
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PAGE 46 CONFIDENTIAL<br>PRAX-562: Block of persistent sodium current can reduce neuronal<br>hyperexcitability and impact multiple disease states<br>Standard sodium channel blockers target peak sodium<br>current and disrupt AP, leading to side effects<br>Modulation of persistent sodium current<br>reduces hyperexcitability without disrupting AP<br> • Standard sodium channel blockers<br>are an important class of medicines<br>in neurology and psychiatry, broadly<br>used in epilepsy, pain, migraine and<br>bipolar disorder<br> • All standard NaV blockers target<br>peak sodium current<br> • In general, efficacy is limited by side<br>effects<br>Source: Schachter et al. antiseizure drugs UptoDate 2020, Praxis data<br>PRAX-562 Representative AP Traces Carbamazepine Representative AP Traces
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PAGE 47 CONFIDENTIAL<br>PRAX-562 has broad potential in rare CNS conditions<br>Source: Eltze et al. 2013 ; Howell et al 2018<br>SUNCT,<br>SUNA AND<br>TRIGEMINAL<br>NEURALGIA<br>(TN)<br>SUNCT, SUNA & TN are devastating headache disorders with limited treatment options<br>1<br>2<br>SUNCT and SUNA Cephalgias are<br>devastating primary headaches<br>highly responsive to IV sodium<br>channel blockers<br>Trigeminal Neuralgia is<br>characterized by intense,<br>stabbing, electric-shock pain<br>typically in the lower face and jaw,<br>usually on one side of the face
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PAGE 48 CONFIDENTIAL<br>PRAX-562 has broad potential in rare CNS conditions<br>Source: Eltze et al. 2013 ; Howell et al 2018<br>DEVELOPMENTAL<br>AND EPILEPTIC<br>ENCEPHALOPATHY<br>(DEE)<br>DEE is a group of monogenic disorders with severe seizure,<br>developmental delay & high mortality rate<br>1<br>2<br>A pathologic feature of many DEEs is<br>the dysregulated neuronal activity<br>leading to hyperexcitability and seizure<br>This phenomenon is observed in<br>pediatric epilepsies with an identified<br>genetic cause, such as SCN8A, SCN2A<br>and others<br>Caused by a single<br>gene mutation ~40%<br>CHILDREN WITH DEEs<br>WORLDWIDE<br>200K+
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PAGE 49 CONFIDENTIAL<br>PRAX-562 mediated persistent current block<br>protects mice from seizure with a wide therapeutic window in-vivo<br>PRAX-562 shows robust anti-seizure activity without impairment of locomotor activity<br>TD50: 44 mg/kg<br>CD-1 mice;<br>(n=12/group)<br>ED50: 2 mg/kg<br>Veh 1 0.3 1 3 10<br>0<br>20<br>40<br>60<br>M<br>E<br>S<br><br>L<br>a<br>t<br>e<br>n<br>c<br>y<br><br>(<br>s<br>e<br>c<br>)<br>**<br>PRX-562 (mg/kg, PO)<br>**<br>PRAX-562 showed significantly improved TI as compared to currently prescribed sodium channel blockers<br>Molecule Brain Therapeutic Index<br>PRAX-562 16.4x<br>Carbamazepine 5.9x<br>Lamotrigine 4.6x<br>Therapeutic Index (TI) = TC50 / EC50<br>PRAX-562 had an increased ratio<br>between drug levels that<br>demonstrated preclinical anti-seizure<br>activity versus those that caused<br>toxicity<br>Source: Praxis Data as of Sept. 3, 2020
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PAGE 50 CONFIDENTIAL<br>Treatment with PRAX-562 has shown significant reduction of seizures in genetic<br>pediatric epilepsy animal models<br>PRAX-562 elicited dose-dependent<br>prevention of seizures in SCN2A* mouse model<br>PRAX-562 elicited dose-dependent prevention of<br>seizures in SCN8A* mouse model<br>*FDA granted orphan drug and rare pediatric designation for PRAX-562 for treatment of SCN2A-DEE and SCN8A-DEE<br>PRAX-562 inhibition of audiogenic seizures in D/+ mice<br>Plasma [PRAX-562] (ng/mL)<br>100 1000 10<br>0.00<br>0.25<br>0.50<br>0.75<br>1.00<br>Proportion of mice with Seizure<br>EC50= 114 ng/mL<br>post-dose pre-dose<br>0<br>5<br>10<br>15<br>Seizures per 30 minutes<br>Seizure Frequency<br>Baseline seizure frequency was measured for 30 minutes prior to<br>treatment (Pre) and then again 30 minutes after treatment (Post).<br>Symbols represent mean + SEM, n=6-10 per symbol.<br>Vehicle<br>0.3 mg/kg<br>1 mg/kg<br>3 mg/kg<br>10 mg/kg<br>Highest dose<br>(120 mg) in<br>human MAD is<br> >6x mouse<br>EC50 at 24h<br>trough
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PAGE 51 CONFIDENTIAL<br>PRAX-562 development strategy in rare cephalgias and pediatric epilepsies<br>OBJECTIVE<br>Identify PoC and<br>safety in<br>SUNCT/SUNA &<br>Trigeminal Neuralgia<br>while continuing<br>efforts to expand to<br>rare pediatric<br>epilepsies<br>PHASE 1 HEALTHY VOLUNTEERS<br>SAD/MAD, ASSR Biomarker, Food Effect PHASE 2 SUNCT/SUNA & TRIGEMINAL NEURALGIA<br>Clinical Strategy<br>Juvenile tox<br>completed<br>Topline safety, tolerability, PK & preliminary<br>biomarker data reported in 4Q 2021<br>PHASE 2 RARE PEDIATRIC EPILEPSY<br>ONGOING PHASE 1 HEALTHY VOLUNTEERS<br>ASSR Biomarker & 28-day Treatment Duration<br>Topline biomarker data reported in 1H 2022
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PAGE 52 CONFIDENTIAL<br>PRAX-222 is expected to initiate seamless, registrational first-in-patient trial in 1H22<br>PRAX-222: ASO to treat SCN2A GoF Epilepsy<br> • Severe early onset<br>epilepsy estimated to<br>affect thousands of<br>patients worldwide<br> • Antisense<br>oligonucleotide (ASO)<br>to down-regulate<br>SCN2A expression<br>Increased Survival with<br>Single ASO Dose at PN Day 1<br>ASO injection (icv, P15) ASO injections (icv)<br>Untreated (n=21)*<br>Phenytoin 20mg/kg (n=9)*<br>ASO injection (icv)<br>ASO-SCN2A ED80 (n=15)<br>ASO-SCN2A ED50 (n=15)<br>ASO-Ctrl (n=8)<br>ASO-SCN2A ED80 (n=13)<br>ASO-SCN2A ED50 (n=15)<br>ASO-Ctrl (n=11)<br>ASO-SCN2A ED80 (n=49)<br>ASO-SCN2A ED50 (n=22)<br>ASO-Ctrl (n=39)<br>Postnatal days Postnatal days Postnatal days<br>Redosing Significantly<br>Extends Survival<br>Administration Post-Disease<br>Onset Also Extends Survival<br>Source: Praxis Data; *Data separate from experiment **All mice with zero seizure at baseline were excluded from the analysis; If all mice were included, the values<br>would be 273%, -80%, -87%, -83% for vehicle, 30mg/kg, 75mg/kg and 150mg/kg group
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PAGE 53 CONFIDENTIAL<br>PROGRAM Q4 2022 Q1 2022 Q3 2022 Q2 2022 INDICATION<br>Upcoming catalysts throughout portfolio in 2022<br>PRAX-562<br>PRAX-114<br>PRAX-944 Initiate Phase 2 Trial<br>SUNCT/SUNA/TN<br>DEEs<br>MDD<br>PTSD<br>ET<br>PD<br>Phase 2<br>Topline<br>Phase 2 Acapella Study<br>Topline<br>Phase 2/3 Aria Study<br>Topline<br>Phase 2b Essential1 Study<br>Topline<br>Phase 2a Part B Randomized Withdrawal<br>Topline<br>Initiate Phase 2 Trial<br>Phase 1<br>Topline ASSR Biomarker<br>Initiate Phase 2 Trial<br>ET Phase 2<br>Topline PRAX-114<br>PRAX-944<br>PRAX-222 SCN2A -DEE Initiate Phase 1/2/3 Trial<br>PAGE 53<br>PSYCHIATRY<br>MOVEMENT<br>DISORDERS<br>RARE<br>DISEASES<br>Initiate Phase 2 Trial
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