AGEN
Published on 04/15/2026 at 12:30 pm EDT
Agenus Corporate Overview | April 2026
Botensilimab + Balstilimab ("BOT+BAL") is a Differentiated ICI Combo with Multiple Value Drivers Across Development, Registration, and Expansion Opportunities
Late-Line BLA
Submission Planned
Accelerated approval potential based on
Phase 1b & Phase 2 late-line MSS mCRC NLM dataset
Phase 3 Underway
Registrational, randomized controlled trial
(RCT; "BATTMAN") with Overall Survival endpoint enrolling at ~100 sites across Canada, France, Australia & New Zealand
Expansion in Early
Disease Settings
Strong rationale for Phase 3 Neoadjuvant
Colon Study based on significant pathologic responses and no relapsesa in two Phase 2 investigator-sponsored trials (NEST and UNICORN)
2 ICI, immune checkpoint inhibitor; MSS mCRC NLM, microsatellite-stable metastatic colorectal cancer and no active liver metastases.
aMedian follow-up 6-18 months.
1
Rising CRC Burden
Colorectal cancer (CRC) is now the
leading cause of cancer-related death among Americans under 501
~150k new cases annually in US2
~2M new cases annually worldwide3
16% 5-year survival rate for mCRC4
2
Most CRC lacks effective
immunotherapy options
Microsatellite stable (MSS) accounts for 85-95% of CRC cases5,6
No major immune checkpoint inhibitor (ICI) advances in MSS CRC in
>20 years6
MSS CRC remains unaddressed by first-generation ICI6
Colorectal Cancer (CRC) Faces Two Urgent Challenges: Rising Burden of Disease and Limited Innovation - Especially in Microsatellite Stable (MSS) Disease
3
1. Siegel RL, et al. JAMA. 2026;335(7):632-634. 2. Siegel RL, et al. CA Cancer J Clin. 2025;75(1):10-45. 3. Bray F, et al. CA Cancer J Clin. 2024;74(3):229-263. 4. National Cancer Institute. SEER Cancer Stat Facts: Colorectal Cancer. Bethesda, MD: National Cancer Institute. Available at: https://seer.cancer.gov/statfacts/html/colorect.html. 5. Buchler T. Front Oncol. 2022;12:888181. 6. Guven DC, et al. Oncologist. 2024;29(5):e580-e600.
Immunotherapy: A Proven Path to Long-Term Survival with Curative Potential
Long-term survival "tails" have been observed with dual checkpoint blockade
Theoretical example
Immunotherapy Approach
Long-term survival "tails" have been
observed with dual checkpoint blockade
% Survival
Immunotherapy can enable durable, treatment-free survival by activating the immune system to continuously kill cancer cells1-2
New immunotherapies are needed to "raise the survival tail" & enable long-term survival for more patients
Time
4 1. Larkin J, et al. N Engl J Med. 2019;381(16):1535-1546. 2. Wolchok JD, et al. N Engl J Med. 2025;392(1):11-22. 3. Haslam A, Olivier T, Prasad V. Int J Cancer. 2025;156(12):2352-2359.
Corporate Overview | April 2026
Botensilimab (BOT): A Differentiated Anti-CTLA-4 Designed to Overcome Resistance and Activate Anti-Cancer Immunity1-5
Botensilimab
APCs
X Complement
Factors
T Cell
Treg NK Cell
Fc-Enhanced
BOT ± BAL* is active in cold & treatment-refractory tumors
*Balstilimab (BAL): Agenus' PD-1 inhibitor with properties comparable to approved PD-1 inhibitors
Activates APCs/Myeloid Cells
Enhances T cell Priming, Activation & Memory
Reduces Intratumoral Regulatory T cells
Avoids Difficult-To-Treat Immune-Related AEs
5 1. Bullock AJ, et al. Nat Med. 2024;30(9):2558-2567. 2. Waight JD, et al. Cancer Cell. 2018;33(6):1033-1047.e5. 3. Chand D, et al. Cancer Discov. 2024;14(12):2407-2429. 4. O'Malley DM, et al. Gynecol Oncol.
2021;163(2):274-280. 5. O'Malley DM, et al. J Clin Oncol. 2022;40(7):762-771.
BOT+BAL Is Uniquely Effective in Driving Durable Anti-Cancer Immunity and Converting Tumors from "Cold" (Immune Evading) to "Hot" (Immune Activated)
"Cold" Tumors1
Hidden from the immune system
Poor/no response to approved immunotherapy
"HOT" Tumors2
Detectable by the immune system
Sensitive to immunotherapy
BOT+BAL TURNS COLD TUMORS INTO HOT TUMORS2-3
BOT "lights up" the tumor, while BAL drives sustained anti-cancer killing response
Immunosuppressive cells
Tumor-killing immune cells
Dying tumor cell
Treg
Myeloid cell
CD8 T cell
NK cell
6 1. Khosravi GR, et al. Cancer Commun (Lond). 2024;44(5):521-553. 2. Chand D, et al. Cancer Discov. 2024;14(12):2407-2429. 3. Waight JD, et al. Cancer Cell. 2018;33(6):1033-1047.e5.
BOT + BAL
Potential of Immunotherapy Approach with BOT+BAL
Examples of 100% tumor regression
After 1 dose of BOT + 2 doses of BAL with no concurrent nor prior therapy; from ongoing neoadjuvant Phase 2 trials (NEST and NEOASIS)
MSS Colorectal Cancer5
Chemotherapy-free option
Manageable safety profile
Organ-sparing potential
Considers quality of life (especially important in early-onset cancer)
7 weeks
Merkel Cell Carcinoma6
6 weeks
7
Corporate Overview | April 2026
Single-patient images; images shared with patient consent.
NON-CONFIDENTIAL
1. Gordon MS, et al. Oral Presentation at ESMO Annual Meeting. Berlin, Germany. 2025. 1517MO. 2. Schlechter BM, et al. Poster presented at the ESMO GI Congress. Barcelona, Spain. 2025. Poster 8P. 3. Hissong E, et al. Poster presented at the ASCO GI Congress. Chicago, IL, USA. 2025. Abstract 207. 4. Ghelardi F, et al. Poster presented at the ASCO GI Congress. Chicago, IL, USA. 2025. Poster F20. 5. Kasi P, et al. Oral presentation at the ESMO GI Congress. Munich, Germany. 2024. Presentation 743. 6. Chalabi M, et al. Oral presentation at AACR. Chicago, IL, USA. 2025. Abstract CT130.
BOT+BAL Represents a Large and Growing Market Opportunity, with ~$10B+ in Peak Annual Global Revenue Potential in MSS CRC
$>25B
$2-3B
$8-10B
Annual patients
~10,000 US | 35,000 Global
Annual patients
~35,000 US | 200,000 Global
Data in 9+ tumor types including NSCLC, HCC, ovarian, sarcoma, breast, and melanoma
8
Durable Survival with BOT+BAL Beyond Historical Expectations in MSS mCRC, where ≥2 yr Survival is Rare
BOT+BAL R/R MSS mCRC1
100
90
80
Overall Survival Probability (%)
70
BOT + BAL
Median OS: 20.9 months 2-Year Survival Rate: 42%
Benchmarks
3L+ Standard of Carea
Median OS: 10-14 months Long-term survival uncommon
Best Supportive Care (BSC)b
Median OS: 3.5-5 months
60
50
40
30
20
Censored
10
R/R MSS mCRC NLM (N=123)
0
0 3 6 9 12 15
18 21 24 27 30 33 36 39 42
45 48 51 54
No. at risk
123 119 105 89 78 63
Time Since Start of Therapy (Months)
47 37 26 22 14 7 5 2 1
1 1 1 0
9 aRegorafenib, trifluridine/tipiracil ± bevacizumab, or fruquintinib in patients without active liver metastases.2-4 bNo systemic anticancer therapy; the control arm in ongoing BATTMAN Phase 3 RCT. Reference values from the CO.26 trial5-6
1. Schlechter BM, et al. Poster presented at the ESMO Gastrointestinal Cancers Congress 2025. Barcelona, Spain. 2025. Poster #8P. 2. Cohen R, et al. Eur J Cancer. 2024;207:114160. 3. Tabernero J, et al. Poster presented at the ASCO
Annual Meeting. Chicago, IL, USA. 2024. Abstract #3584. 4. Garcia-Carbonero R, et al. Poster presented at the ASCO Annual Meeting. Chicago, IL, USA. 2024. Poster 520P. 5. Chen EX, et al. JAMA Oncol. 2020;6(6):831-838. 6. Chen EX, et al.
Selected BATTMAN (Ph3) Dose
Safety event, n (%)
1 mg/kg (n=228)
2 mg/
kg (n=183)
Overall (N=411)
Any grade TRAE
Grade 1-2 TRAEs
Grade ≥3 TRAEs
85%
57%
28%
86%
48%
38%
85%
53%
32%
Grade 1 or 2
Grade ≥3
Grade 1 or 2
Grade ≥3
Grade 1 or 2
Grade ≥3
Any treatment-related imAEa,b
24%
18%
27%
27%
25%
22%
Most common (≥3%) treatment-related imAEsa
Diarrhea/colitisc
17%
10%
21%
19%
19%
14%
Thyroidd
8%
0%
8%
0%
8%
0%
Hepatitise
2%
1%
3%
4%
2%
2%
Skinf
1%
1%
3%
2%
2%
1%
Pneumonitisg
1%
1%
2%
1%
1%
1%
Safety signals consistent across trials
The most common imAEs were GI-related, which were reversible
There was a low incidence of visceral toxicities outside the GI tract
No treatment-related deaths were observed (grade 5)
Data cutoff: 13-MAR-2025. Safety analysis set (N=411; participants who received ≥1 dose of study drug).
aimAEs were medically adjudicated. bGrade 4 imAEs (n=1 each) of colitis (2 mg/kg group), autonomic neuropathy (1 mg/kg group), diabetic ketoacidosis (2 mg/kg group), and thrombocytopenia (1 mg/kg group) were reported; no other grade ≥4 imAEs occurred. cGrouped term that included preferred term events of autoimmune colitis, colitis, diarrhea, duodenitis, enteritis, enterocolitis, and immune-mediated enterocolitis. dGrouped term that included preferred term events of blood thyroid stimulating hormone increased, hyperthyroidism, hypothyroidism, immune-mediated hypothyroidism, immune-mediated thyroiditis, and thyroiditis. eGrouped term that included preferred term events of AST increased, ALT increased, autoimmune hepatitis, blood alkaline phosphatase increased, and immune-mediated hepatitis. fGrouped term that included preferred term events of immune-mediated dermatitis, lichen sclerosus, linear IgA disease, rash, rash erythematous, and
rash maculo-papular that were treated systemically. gGrouped term that included preferred term events of immune-mediated lung disease, and pneumonitis.
BATTMAN: Phase 3 RCT Designed to Confirm Survival Benefit in R/R MSS mCRC; FDA Aligned to Support Registration (NCT07152821)
Patients with pMMR (MSS)
Advanced CRC (N=834)
BOT + BAL
BOT: 75 mg IV Q6W x 4 doses BAL: 450 mg IV Q3W
Primary Endpoint:
Overall Survival
Select Secondary Endpoints:
Randomize
•
1:1
•
Refractory to available
agents
Unresectable
~100 sites across Canada, France,
Australia and New Zealand
Best Supportive Care (BSC)
No systemic anticancer treatment; care focuses on symptom management and quality of life.
Progression-Free Survival
Overall Response Rate
Clinical Benefit Rate
Quality of Life
Safety and Toxicity
Strong Clinical Activity Observed Previously with BOT+BAL Compares Favorably to BSC Benchmarks, Supporting High Probability of Success for Phase 3 BATTMAN Trial
R/R MSS Metastatic CRC
BATTMAN Primary Endpoint: Overall Survival (N=834)
Population
BOT+BAL Phase 1b Data
Best Supportive Care (BSC)
Benchmark Data
(CO.26 Study)
3L+ without active liver mets (NLM)
20.9 months
Median OS (n=123)1
~5 months Median OSa
3L+ with active liver mets (LM)
7.5 months
Median OS (n=25)2
~3.6 months Median OSa
aBest supportive care arm in CO.26 trial conducted by CCTG; Chen EX, et al. JAMA Netw Open. 2023;6(12):e2346094.
12 1. Schlechter BM, et al. Poster presented at the ESMO GI Congress. Barcelona, Spain. 2025. Poster #8P. 2. Bullock et al. Nat Med. 2024;30(9):2558-2567.
Expanding From Late-Line R/R MSS mCRC into the Earlier Disease Neoadjuvant Setting with Curative Intent with BOT+BAL
NEST Study
(Cornell Univ.)1
UNICORN Study
(11 Centers, Italy)2
BOT+BAL
~4 weeks to surgery
0%
BOT+BAL
~8 weeks to surgery
BOT + BAL
5 weeks to surgery
0%
BOT
5 weeks to surgery
% Tumor Regression
-25% -25%
-50%
Pathologic
(≥50%)
-50%
-75%
-100%
Major
Pathologic (≥90%)
Complete Pathologic (100%)
-75%
-100%
No recurrences to date with any patients treated with BOT+BAL (median follow-up 6-18 months)
13 1. Hissong E, et al. Poster presented at the 2025 ASCO GI Congress. Chicago, IL, USA. Abstract #207. 2. Ghelardi F, et al. Poster presented at the 2025 ASCO GI Congress. Chicago, IL, USA. Poster #F20.
Consistently Favorable Safety Profile with BOT+BAL in Neoadjuvant CRC and No Impact on Surgical Feasibility
NEST1
UNICORN2
NEST-1 (n=10)
NEST-2 (n=14)
Total population (n=56)
Any Grade ≥3 2 (20%) 1 (7%)
Grade ≥3 imAEs 2 (4%)
No delays in surgery due to imAEs 1 surgery delay <4 weeks
Among 70 Patients:
Low rate of grade ≥3 imAEs No unresolved imAEs
One delay of less than 4 weeks due to treatment-related hyperthyroidism
14 1. Hissong E, et al. Poster presented at the ASCO Gastrointestinal Cancers Congress. Chicago, IL, USA. 2025. Abstract #207.
2. Ghelardi F, et al. Poster presented at the ASCO Gastrointestinal Cancers Congress 2025. Chicago, IL, USA. 2025. Poster #F20.
Strong BOT+BAL Neoadjuvant Activity Supports Rationale for Expansion into Phase 3 Trial
Rational for Phase 3 RCT Neoadjuvant Trial in Stage III, Resectable, Locally Advanced MSS CRC
Primary Endpoint: Event-Free Survival
Population
Prior BOT+BAL Phase 2 Data1-2
Historical Benchmark Data
Neoadjuvant (Stage III) MSS colon cancer
0% recurrence at 6-18-month follow-up
(n=38)
28%-35% recurrence
at 3 yearsa
36%-41% major pathological response rate
8% major pathological response rate equivalentb
aAdjuvant FOLFOX in MOSAIC trial; André T, et al. N Engl J Med. 2004;350(23):2343-2351.
bNeoadjuvant FOLFOX in the FOxTROT trial (based on complete plus marked regression rates); Morton D, et al. J Clin Oncol. 2023;41(8):1541-1552.
BOT+BAL Clinical Activity Observed Across Multiple Metastatic Solid Tumor Types
>9 tumor types
with activity
2-year OS of 39-43%
across cohorts1,2
Consistent efficacy
across overall R/R and late-line MSS mCRC cohorts2
Clinical Outcome
Pan Tumor Population (Efficacy Evaluable)1
n=339
Previously Reported MSS mCRC NLM
R/R Patients2 n=123
Late-Line R/R Patients2
n=37b
24-month OS
(95% CI)
39%
(33-45)
42%
(32-52)
43%
(25-59)
Median OS
(95% CI)
17.2 months
(14.8-20.9)
20.9 months
(16.2-26.6)
16.2 months
(9.7-NR)
Confirmed ORR
n (95% CI)
17%
58 (13-22)
20%
24 (13-28)
19%
7 (8-35)
DCRa
n (95% CI)
66%
222 (60-71)
69%
85 (60-77)
70%
26 (53-84)
16 aDCR defined as complete response, partial response, or stable disease for ≥6 weeks. bPreviously received at least one regimen of regorafenib, trifluridine/tipiracil ± bevacizumab, or fruquintinib.
Gordon MS, et al. Oral Presentation at ESMO Annual Meeting. Berlin, Germany. 2025. #1517MO. Data cutoff: 13-MAR-2025.
CSocrhploercahtteeOr BveMrv,ieewt a|l.APporisl t2e0r2p6resented at the ESMO Gastrointestinal Cancers Congress. Barcelona, Spain. 2025. Poster #8P. Data cutoff: 13-Mar-2025.
Zydus Partnership Strengthens Balance Sheet, Reduces Burn, and Supports Manufacturing Readiness
Sharper financial profile
Transaction-related benefits and operating discipline reduced annualized operating burn to approximately $50M
Program Expansion
AAC Expanded to 3 Tumor
Types, NPP to New Markets
The French regulatory authority approved BOT+BAL for paid reimbursement in MSS CRC, sarcomas, and ovarian cancer in January 2026
High Interest
Documented HCP and Patient
Interest
France AAC and self-pay markets indicate that patients and physicians will seek BOT+BAL where access is available
Regulatory context
Unmet Need Remains Evident
Paid pre-approval use does not substitute for
clinical evidence, but it underscores urgency of access and real-world interest in treatment
Large Safety Database
>1,200 patients treated with BOT+BAL combo
Consistent safety across trials
Efficacy Benefit
Consistent long-term efficacy in R/R MSS mCRC NLM setting
N=245 patients across Ph1+Ph2
21.2 mo mOS (vs. SOC mOS of 10-14 mo)
42% 2-yr survival rate
19% ORR (vs. SOC reported ORR of 3-8%)
Regulatory Context
Rapidly evolving FDA; focus on patient access
Urgency is building: FDA leadership is calling for innovation, as CRC has become the leading cause of cancer deaths in Americans under 50 yrs of age
Rationale supporting a BLA submission through accelerated approval pathway
Ongoing Phase 3 BATTMAN trial will be meaningfully enrolled by time of potential PDUFA date
Mature data demonstrating long-term survival that is unprecedented relative to existing therapies
Clear and growing patient unmet need validated by Paid Compassionate Access programs
Changes at FDA focused on innovative therapies
Clinical
Momentum
Phase 3 BATTMAN trial is underway with
first patient in, activated sites, and ongoing screening
Neoadjuvant data in MSS CRC and other solid tumors continuing to mature favorably
Existing sponsored data and ongoing ISTs supporting expansion across metastatic and neoadjuvant settings
Market Interest &
Commercial Readiness
Early HCP and patient interest
demonstrated through French AAC and NPP programs
Near-term realized income through paid access pathways
Zydus partnership strengthens balance sheet and secures manufacturing and submission support
Long-Term Value
& Durability
Expansion opportunities across multiple
tumor types in metastatic and neoadjuvant settings, including MSS CRC, ovarian, sarcoma, breast, HCC, and NSCLC
Patent life for BOT and BAL through 2036-2038, with extensions to 2040-2042
Disclaimer
Agenus Inc. published this content on April 15, 2026, and is solely responsible for the information contained herein. Distributed via Public Technologies (PUBT), unedited and unaltered, on April 15, 2026 at 16:29 UTC.