UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549



FORM 6-K



 REPORT OF FOREIGN PRIVATE ISSUER
PURSUANT TO RULE 13A-16 OR 15D-16 UNDER
THE SECURITIES EXCHANGE ACT OF 1934

For the month of March 2024

Commission File Number: 001-38283


InflaRx N.V.
(Translation of registrant’s name into English)



Winzerlaer Str. 2
07745 Jena, Germany
(Address of principal executive office)



Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.

Form 20-F ☒
Form 40-F ☐


EXPLANATORY NOTE

As previously announced, on March 21, 2024, InflaRx N.V. (the “Company”) issued a press release titled “InflaRx Reports Full Year 2023 Financial and Operating Results.” In connection with such announcement, on March 21, 2024, the Company hosted a conference call and presented its corporate presentation on immuno-dermatology where the Company provided details and developments on its oral C5aR inhibitor INF904 and on the development of vilobelimab in pyoderma gangrenosum. A copy of the corporate presentation is attached hereto as Exhibit 99.1 and is incorporated by reference herein.

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EXHIBIT INDEX

Exhibit No.
Description
Corporate Presentation, dated March 21, 2024

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SIGNATURES

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, thereunto duly authorized.

 
INFLARX N.V.
   
Date: March 21, 2024
By:
/s/ Niels Riedemann
 
Name:
Niels Riedemann
 
Title:
Chief Executive Officer


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Exhibit 99.1
 
 CORPORATE PRESENTATION  MARCH 2024 
 

 Important Notice and Disclaimer  This presentation has been prepared by InflaRx N.V. (“InflaRx” or the “Company”). This presentation is made for informational purposes only and does not constitute an offer to sell or a solicitation of an offer to buy securities. This presentation may not be relied upon in connection with the purchase or sale of any security and should not be construed as investment advice.  Forward-Looking Statements  This press release contains forward-looking statements. All statements other than statements of historical fact are forward-looking statements, which are often indicated by terms such as “may,” “will,” “should,” “expect,” “plan,” “anticipate,” “could,” “intend,” “target,” “project,” “estimate,” “believe,” “predict,” “potential” or “continue,” among others. Forward-looking statements appear in a number of places throughout this release and may include statements regarding our intentions, beliefs, projections, outlook, analyses and current expectations concerning, among other things, the receptiveness of GOHIBIC (vilobelimab) as a treatment for COVID-19 by COVID-19 patients and U.S. hospitals and related treatment recommendations by medical/healthcare institutes and other third-party organizations, our ability to successfully commercialize and the receptiveness of GOHIBIC (vilobelimab) as a treatment for COVID-19 by COVID-19 patients and U.S. hospitals or our other product candidates; our expectations regarding the size of the patient populations for, market opportunity for, coverage and reimbursement for, estimated returns and return accruals for, and clinical utility of GOHIBIC (vilobelimab) in its approved or authorized indication or for vilobelimab and any other product candidates, under an EUA and in the future if approved for commercial use in the U.S. or elsewhere; our ability to successfully implement The InflaRx Commitment Program, the success of our future clinical trials for vilobelimab’s treatment of COVID-19 and other debilitating or life-threatening inflammatory indications, including PG, and any other product candidates, including INF904, and whether such clinical results will reflect results seen in previously conducted pre-clinical studies and clinical trials; the timing, progress and results of pre-clinical studies and clinical trials of our product candidates and statements regarding the timing of initiation and completion of studies or trials and related preparatory work, the period during which the results of the trials will become available, the costs of such trials and our research and development programs generally; our interactions with regulators regarding the results of clinical trials and potential regulatory approval pathways, including related to our MAA submission for vilobelimab and our biologics license application submission for GOHIBIC (vilobelimab), and our ability to obtain and maintain full regulatory approval of vilobelimab or GOHIBIC (vilobelimab) for any indication; whether the FDA, the EMA or any comparable foreign regulatory authority will accept or agree with the number, design, size, conduct or implementation of our clinical trials, including any proposed primary or secondary endpoints for such trials; our expectations regarding the scope of any approved indication for vilobelimab; our ability to leverage our proprietary anti-C5a and C5aR technologies to discover and develop therapies to treat complement-mediated autoimmune and inflammatory diseases; our ability to protect, maintain and enforce our intellectual property protection for vilobelimab and any other product candidates, and the scope of such protection; our manufacturing capabilities and strategy, including the scalability and cost of our manufacturing methods and processes and the optimization of our manufacturing methods and processes, and our ability to continue to rely on our existing third-party manufacturers and our ability to engage additional third-party manufacturers for our planned future clinical trials and for commercial supply of vilobelimab and for the finished product GOHIBIC (vilobelimab); our estimates of our expenses, ongoing losses, future revenue, capital requirements and our needs for or ability to obtain additional financing; our ability to defend against liability claims resulting from the testing of our product candidates in the clinic or, if approved, any commercial sales; if any of our product candidates obtain regulatory approval, our ability to comply with and satisfy ongoing obligations and continued regulatory overview; our ability to comply with enacted and future legislation in seeking marketing approval and commercialization; our future growth and ability to compete, which depends on our retaining key personnel and recruiting additional qualified personnel; and our competitive position and the development of and projections relating to our competitors in the development of C5a and C5aR inhibitors or our industry; and the risks, uncertainties and other factors described under the heading “Risk Factors” in our periodic filings with the SEC. These statements speak only as of the date of this press release and involve known and unknown risks, uncertainties and other important factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements. Given these risks, uncertainties and other factors, you should not place undue reliance on these forward-looking statements, and we assume no obligation to update these forward-looking statements, even if new information becomes available in the future, except as required by law. 
 

 Important Notice and Disclaimer  Information and Sources  Certain information contained in this presentation relates to or is based on studies, publications, surveys and other data obtained from third-party sources and InflaRx’s own internal estimates and research. While InflaRx believes these third-party sources to be reliable as of the date of this presentation, it has not independently verified, and makes no representation as 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 number of assumptions and limitations, and there can be no guarantee as to the accuracy or reliability of such assumptions. Further, while we believe our own internal research is reliable, such research has not been verified by any independent source.  Avacopan Data  We have not conducted a head-to-head comparison of Avacopan to INF904 in a clinical trial but have compared the published data for Avacopan to data from our Phase 1 clinical trial of INF904. For the purpose of conducting pre-clinical studies (hamster neutropenia study), we synthesized Avacopan and did a side-by-side comparison. While we believe this comparison to Avacopan to be useful and appropriate, the value of this and other comparisons to Avacopan in this presentation may be limited because they are not derived from a head-to-head trial and they are from trials that were conducted under different protocols at different sites and at different times. Without head-to-head data, we are unable to make comparative claims between INF904 and Avacopan.  About InflaRx  InflaRx GmbH (Germany) and InflaRx Pharmaceuticals Inc. (USA) are wholly owned subsidiaries of InflaRx N.V. (together, “InflaRx”).  InflaRx (Nasdaq: IFRX) is a biotechnology company pioneering anti-inflammatory therapeutics by applying its proprietary anti-C5a and anti-C5aR technologies to discover, develop and commercialize first-in-class, potent and specific inhibitors of the complement activation factor C5a and its receptor C5aR. C5a is a powerful inflammatory mediator involved in the progression of a wide variety of inflammatory diseases. InflaRx’s lead product candidate, vilobelimab, is a novel, intravenously delivered, first-in-class, anti-C5a monoclonal antibody that selectively binds to free C5a and has demonstrated disease-modifying clinical activity and tolerability in multiple clinical studies in different indications. InflaRx was founded in 2007, and the group has offices and subsidiaries in Jena and Munich, Germany, as well as Ann Arbor, MI, USA. For further information, please visit www.inflarx.com. 
 

 Harnessing C5a/C5aR for Controlling Inflammation in the I&I Space  InflaRx Highlights  Uniquely targeting complement C5a/C5aR, a validated mechanism and critical part of the inflammation cascade with:  First-in-class and highly potent anti-C5a monoclonal antibody (vilobelimab + second generation IFX-2)  Best-in-class potential oral C5aR inhibitor INF904:  Addressing limitations of marketed comparator (clearly differentiated plasma PK profile and inhibitory potential in phase I study)  Pipeline-in-a-drug with potential to address several large markets in immuno-dermatology and broader I&I  A targeted development focus on immuno-dermatology where InflaRx can drive pipeline value in larger markets and has strong core IP and medical use IP coverage  Vilobelimab in late-stage development for PG an unmet need with no approved drug in the US or Europe  INF904 to initially demonstrate pipeline-in-a-drug potential in large markets of CSU and HS; expected to start Phase II development in 2024  Large upside potential in additional indications in I&I for proprietary drugs with options for collaborations  Strong balance sheet with enough cash to fund operations into at least 2026 and advance programs toward next milestones  Team with proven track record of delivering clinical and regulatory successes  CSU [chronic spontaneous urticaria. HS [hidradenitis suppurativa]. PG [pyoderma gangrenosum]. I&I [inflammation and immunology].  Page 4 
 

 Significant Opportunity in Immuno-Dermatology  Page 5  Potential to target several attractive, billion-dollar+ commercial markets  InflaRx has identified unmet medical needs that INF904 could strongly address  Strong rationale for the role of C5a/C5aR based on mechanism of action, pre-clinical and clinical data  Established endpoints with the ability of INF904 to potentially achieve a clinical edge and prove to be a differentiated competitor  INF904 is an oral drug with no known safety concerns and potential broad therapeutic index  As a C5aR antagonist, INF904 acts on a differentiated pathway with a MoA not currently addressed by any other treatment approaches in the immuno-dermatology field  Established network of experts and in-house trial expertise  Strong IP coverage for C5aR inhibition in certain immuno-dermatological diseases  Why Immuno-Dermatology 
 

 Key initial development focus and area to demonstrate potential of INF904  Potential for future development or development in collaboration with a partner  Immuno-dermatology  Neurology  Nephrology & Hematology  Chronic spontaneous urticaria (CSU)  Hidradenitis suppurativa (HS)  others  Chronic inflammatory demyelinating polyneuropathy (CIDP)  Dermatomyositis  Anti-C3 glomerulopathy (C3G)  Atypical haemolytic uraemia syndrome (aHUS)  Immunoglobulin A nephropathy (IgAN)  ANCA-associated vasculitis (AAV)  Page 6  Focus INF904 on Immuno-Dermatology: I&I Pipeline-in-a-Drug Potential 
 

 Page 7  Late-Stage Pipeline Targets Multiple Sizable Markets  vilobelimab  C5a Inhibitor  IFX002  C5a Inhibitor   INF904   Oral C5aR Inhibitor  IMMUNO-DERMATOLOGY   vilobelimab  C5a Inhibitor  OTHER  INF904   Oral C5aR Inhibitor  chronic spontaneous urticaria  Phase IIa “basket study” anticipated by YE 2024  Data anticipated in 2025  Indications  PreClin  Phase I  Phase II  Phase III  MARKET  STATUS & Milestones  pyoderma gangrenosum  Enrollment ongoing  Interim analysis for adaptation and futility anticipated in 2025  critical COVID-19  broader ARDS  US EUA granted; EU MAA under review  ARDS “Phase III ready”  hidradenitis suppurativa  Phase IIa “basket study” anticipated by YE 2024  Data anticipated in 2025  other immuno-dermatology  Additional indications in immuno-dermatology  vilobelimab  life-cycle approach  For optimized use in chronic inflammatory indications  various  Additional chronic indications in I&I including neurology, nephrology and hematology and others 
 

 Vilobelimab [C5a monoclonal antibody]  INF904 [oral C5aR inhibitor]  C5a/C5aR: A Strategic Position in the Inflammatory Cascade 
 

 Anaphylatoxin C5a is upstream of the cytokine network   Boosting effect on various pro-inflammatory cytokines  IL-17, IL-6, IL-8, IL-1 and others  Strong activator of neutrophils and macrophages  Chemotaxis of neutrophils   O2 radical generation + granular enzyme release  NETosis (neutrophil extracellular traps)  Essential role in many inflammatory conditions  Acute and chronic inflammation and other conditions  Over 6,000 publications on role in numerous diseases  C5a/C5aR are Validated Targets Promoting Inflammation  Page 9  C5a  strong amplifierof inflammation  C5aR  expressed on many immune cells  and upregulated in many tissues under disease conditions  Targeting strong pro-inflammatory mechanisms  vilobelimab intravenous mAB  INF904  oral small molecule  Targeting C5 (e.g. marketed C5 blockers) does not prevent enzymatic C5a formation, but only complement pathway mediated cleavage (classic, lectin, alternative)    not suitable for tightly controlling C5a/C5aR1-driven inflammation  C5 
 

 Vilobelimab for Ulcerative Pyoderma Gangrenosum (PG) 
 

 Highly selective anti-C5a mAB  Blocks C5a biological effects up to 100% in human blood  Leaves MAC formation intact  Fast binding / high affinity to the newly discovered epitope  Commercially validated / available under Emergency Use Authorization in certain severely ill COVID-19 patients  Vilobelimab: A First-in-Class Anti-C5a Monoclonal Antibody  Page 11  new epitope  Vilobelimab Key Features  Development Areas in Acute and Sub-Acute Inflammation  As a fast acting highly specific monoclonal antibody infused, vilobelimab delivers:  Strong and immediate C5a inhibition in blood  Fast onset of inhibition of neutrophil activation in human blood  Potential disease modifying activity for diseases in which C5a signaling may play a key role 
 

 PG: An Autoimmune Condition With High Unmet Need  Page 12  PG Overview and Unmet Need  Clinical features  PG is a rare but potentially life-threatening skin disorder that can lead to chronic, difficult-to-treat wounds  Patients frequently suffer from other autoimmune disorders, e.g. ulcerative colitis, rheumatoid arthritis and hematological diseases   Patients suffer from severe pain, long healing times and frequent relapses  Incidence and market potential  Rare – estimated that up to 50,000 patients in the US and Europe are affected  Significant market potential – premium pricing expected based on performed market study  Current treatment and medical need  No drugs currently approved in the US or EU  For less severe cases, topical or intralesional treatments can be used, including topical steroids  Use of systemic immunosuppression in rapidly progressing cases  Mixed reports about efficacy; long treatment durations and relapses are frequently seen  Strong rationale for treatment with vilobelimab: PG associated with neutrophilic skin infiltration in affected areas and lesions, potentially triggered by C5a 
 

 C5a Levels in PG Wound Fluid Correlate With NETosis   The etiology of PG is believed to be linked to the dysregulation of the immune system, specifically, altered neutrophil function  Evidence suggest that complement activation and C5a play an important role in the disease development:  High C5a levels were detected in the wound fluids from PG patients  C5a levels correlated well with elastase levels in wound fluids, a NETosis marker  C5a/C5aR axis activation may be a key driver for NETosis in PG  C5a Induces NETosis in Control Neutrophils   PG Pathogenesis: Potential Role of the C5a/C5aR Axis  Page 13  Con  C5a (20 nM; 1hr)  Extracellular DNA Staining  Wang et al 2024. J invest Derm. 144; TW = Trauma Wound 
 

 PG Phase IIa Showed No Safety or Tolerability Concerns and Dose-Dependent Drug Activity   Page 14  Clinical Response  High-dose group showed highest rate of target ulcer closure and clinical remission (86%)  Out of 17 evaluable patients at end of treatment visit or day of last drug administration  Clinical remission (PGA ≤ 1) reported in 9 patients (53%)  Clinical response (PGA ≤ 3) reported in 1 additional patient (6%)  Slight improvement (PGA = 4) reported in 7 patients (41%)  Safety  No infusion-related reactions observed  For 2 patients, related SAEs were reported  Erysipelas leading to hospitalization (judged as non-related by sponsor)   Rash due to delayed hypersensitivity reaction  Observed AE profile in line with patients’ underlying diseases  No dose-related AEs detected  Phase III Initiated Based on Feedback From FDA  Orphan Drug and  Fast Track Status  US FDA  Orphan Drug Status EMA 
 

 PG Study Phase IIa – Treatment Examples Patient Case Studies   Page 15  Target Ulcer Developed While on Adalimumab   MH: PG since August 2020, Psoriasis since 2017  Previous PG medication: None  Cohort 3: 2400 mg Q2W up to Day 85 -> exclusion after 9 doses due to delayed availability of pos. baseline TB testing result (no TB activation)  Concomitant medication: Adalimumab for psoriasis 40mg q2w since 2017   Target Ulcer Reappeared  MH: PG since 2019, Hypertension since 1998  Previous PG medication: Methylprednisolone only in Jun 2019, Dapsone Jun 2019 - Aug 2020, Cyclosporine Oct 2019 - Aug 2020 -> ulcer healed and reappeared after discontinuation of immunosuppressants  Cohort 2: 1600 mg Q2W, individual up-titration to 2400 mg at D57, treatment completed  Concomitant medication: Prednisone 10 mg for PG since October ‘20  Day 89  PGA = 1  Area: not yet available  Baseline  Area: 1136 mm2  Day 85  PGA = 1   Area: 0.00 mm2  Day 189  PGA = 1  Area: 0.00 mm2  Baseline  Area: 3695 mm2  Day 99  PGA = 1   Area: 0.00 mm2 
 

 PG Phase III Study Design: Interim Analysis Expected in 2025  Page 16  Treatment: 26 Weeks  Follow up: 12 Weeks  Safety Follow Up  Prednisone tapered off  Prednisone tapered off  Randomization  vilobelimab 2400 mg Q2W (13 doses)  EOT (W 26)  Safety Follow Up  Patient Level Stopping Criteria  progression (any time) or no improvement at defined time points  22  20  18  16  14  12  10  0  2  4  6  8  placebo Q2W (13 doses)  24  Week  Dosing  26  Arm 1  Arm 2  Arm 1  Arm 2  n approx. = 15   n approx. = 15   Interim Analysis*set rules for size adjustment or futility stop by IDMC   Total number of patients to be adjusted between 50 – 100**   Primary endpoint: complete target ulcer closure  Adaptive Design  * Blinded except for independent data safety monitoring committee / **Adjustment of randomization ratio to 2:1 (Arm 1 to Arm 2) after blinded interim analysis  Screening 
 

 INF904: An Oral Highly Selective C5aR Inhibitor With Best-in-Class Potential 
 

 INF904: Oral C5aR Antagonist With Best-in-Class Potential  Page 18  INF904 Key Features  Focusing on Immuno-Derm, Other Options Possible  Favorable drug profile supported by preclinical studies and data reported from InflaRx’s Phase I SAD and MAD trials  Phase I PK/PD profile that could open significant market opportunities for the C5aR oral inhibitor class  well-tolerated and no safety signals over entire tested dose range (no reported SAEs, AE lower than in placebo group)  evidence of broad therapeutic index, BID and QD dosing  Has ~3-fold higher Cmax and ~10-fold higher AUClast versus published avacopan data, for comparable doses (3, 10, 30 mg)  Significantly increased blocking activity of C5a-induced neutrophil activation than avacopan’s published data  Higher plasma exposures and >90% blocking of C5a activity  Achieves therapeutic exposures fast which may be needed to successfully treat chronic immuno-inflammatory diseases  Potential for broad range of dosing  Higher drug strength with reduced capsule intake potential  Much weaker inhibitor of CYP3A4/5 than avacopan  Strong IP position, with US patent issued in October 2021  Immuno  Dermatology  Neuro  Inflammation  Others   Nephrology  Hematology  As a small molecule orally available C5aR inhibitor, INF904 has the potential to deliver…  Favorable tissue penetration and plasma concentrations  Sustained long-term control over C5a/C5aR activation in a variety of chronic inflammatory diseases  Convenient oral administration  …to multiple large commercial markets 
 

 INF904: Oral C5aR Antagonist With Best-in-Class PotentialINF904 Has Double the Inhibitory Effect in Vivo in a Pre-clinical Model Compared to Avacopan  Page 19  Inhibition of in vivo neutrophil activation by INF904 compared to avacopan-like molecule*  Experiment: Challenge of rodents with C5a leads to neutrophil activation and consequent adherence (sticking) of neutrophils to the endothelial cell wall of vessels = mimicking a neutropenia (vehicle). This effect can be completely inhibited when C5aR activation is blocked.  Note: INF904 dosing within this experiment exerts an approximately 4.5-fold higher plasma level 8 h after dosing when compared to the identical dosing with avacopan*  Plasma Concentration   Sampled at 8 hours:  INF904 = 538 ng/mL  Avacopan-like molecule = 119 ng/mL   INF904 doubled the in vivo inhibitory effect at comparable dose when tested head-to-head with avacopan.  The strongly improved PK features of INF904 (plasma exposure) may drive the ability to increase efficacy in vivo.  Source: InflaRx data on file.   *Avacopan synthesized based on the published structure and publicly available data.  
 

 INF904: Oral C5aR Antagonist With Best-in-Class PotentialPK Results From Single Ascending Dose (SAD) Phase 1  Page 20  Parameter  Unit  Dose  INF904  Avacopan*  AUCinf  h.ng/ml  3 mg  285  25  10 mg  1264  130  30 mg  5956  628  AUClast  h.ng/ml  3 mg  254  23  10 mg  1117  122  30 mg  5197  557  Cmax  ng/ml  3 mg  21.5  9  10 mg  74.8  25  30 mg  289  79  tmax  hr  3 mg  3.5  1.2  10 mg  4  1.7  30 mg  5.01  1.7  INF904 240mg  INF904 60mg  INF904 30mg  INF904 120mg  Avacopan* 30mg  INF904 240mg  INF904 60mg  INF904 30mg  INF904 120mg  Source: Bekker et al. 2016, PLoS One; 11(10): e0164646   *Please note: Avacopan data taken from Bekker et al. 2016, PLoS One; 11(10): e0164646 are superimposed in graph for orientation. Avacopan was not included as a comparator in INF904 Phase I study.   In comparison to published data for avacopan INF904 is approximately 3-fold higher in Cmax and 10-fold higher in systemic exposure (AUClast) for comparable doses (3, 10, 30 mg) 
 

 PD MAD results confirm strong >90% C5a inhibition at C5a levels found in human diseases – this is clearly differentiated from reported avacopan results which have shown approximately 50% inhibition at a lower challenge of 10nM C5a (7 day dosing – trough)**   Upon stimulation with 12.6 nM rhC5a (levels observed in disease state)  24 h  144 h (Day 6)  168 h (Day 7)  312 h (Day 13)  336 h (Day 14)  C5a (nM)  30QD  30BID  90BID  30QD  30BID  90BID  30QD  30BID  90BID  30QD  30BID  90BID  30QD  30BID  90BID  Blockade (%)   80  94  90  93  95  94  95  97  97  96  92  97  90  95  97  EC50 (nM)  35.6  106.2  145.6  52.4  134.7  160  74.2  149.0  268.2  92.4  126.3  465.7  94.6  110.9  238  INF904: Oral C5aR Antagonist With Best-in-Class PotentialC5a-Mediated CD11b Upregulation on Neutrophils Ex Vivo up to 14-day Dosing  Page 21  *EC50 (nM) is the half maximal effective C5a concentration ** Bekker et al. 2016, PLoSOne; 11(10): e0164646  INF904: 30 mg QD   INF904: 30 mg BID   INF904: 90 mg BID  
 

 Page 22  Investing Into INF904 Development  Phase IIa Expected to Begin by EOY 2024  Initial Phase IIa – demonstrating pipeline-in-a-drug potential of INF904  Open-label PK / PD “basket study” to explore initial efficacy signals  4-week treatment period in 2 immuno-derm indications CSU and HS with established endpoints  Safety and PK / PD assessment planned for at least 3 different doses  Expected catalysts  Phase IIa expected to begin by EOY 2024  Phase IIa data anticipated in 2025  Larger and longer-term Phase IIb study expected to begin in 2025 
 

 INF904 for Chronic Spontaneous Urticaria (CSU)  
 

 A Strong Rationale for Developing INF904 in CSU  C5aR Signaling is Involved in Histamine Release in an IgE Independent Manner   Increasing scientific evidence suggests that C5aR signaling is involved in histamine release from mast cells and basophils in CSU in an IgE independent manner. This mechanism may play an important role for both described endotypes in CSU:  Type I (IgE mediated) and   Type IIb (IgG autoantibody mediated)  Despite availability of current treatment options such as anti-histamines and anti-IgE therapy, approximately 30-60%* of these patients are estimated to remain non-responsive or symptomatic.  INF904 could be a convenient oral therapeutic option for those underserved with current therapies.  CSU market potential is estimated to exceed $3 Bn by 2032**  * Metz et al, Clin Rev Allergy Immunol. 2020; 59(1): 38–45. ** GlobalData and Leerink analyst report  Page 24 
 

 Chronic Spontaneous Urticaria (CSU)  CSU Overview and Unmet Need  Clinical features  An immune-mediated chronic inflammatory skin disorder, with dysregulated inflammatory cascades that leave patients predisposed to symptom development: debilitating and intensely itchy hives / wheals for > 6 weeks and often associated with angioedema  Burden of disease is high and impacts sleep, mental health, QoL and productivity due to absences from school and work  Co-morbidities include atopic disorders, depression, autoimmune and thyroid disorders  Epidemiology  Estimated prevalence is around 1% of the general population   20% of this population experiences symptoms for more than 5 years  20 to 40 year-olds are most affected, with women impacted 2x more than men  Current treatment and medical need  Therapies such as 2nd-generation antihistamines are not effective in a significant number of patients  Options such as anti Ig-E therapy and immunosuppressants also do not adequately serve the CSU population  Page 25 
 

 CSU Endotypes - Type 1 Auto-Allergens and Type IIb Autoimmunity  Two major endotypes of CSU described as activation of mast cells include:  Maurer et al. Clinical reviews in allergy and clinical immunology. 2022.  1  2  Type I autoallergens (IgE mediated)  Type IIb autoimmunity (IgG mediated; ~30% of CSU)  C5a is activated by the binding of IgG-anti-FcεRI or IgG-anti-IgE to FcεRI on mast cells and basophils  C5aR signaling is suggested to be involved in both, type I and type IIb endotypes  1  2  Page 26 
 

 C5a in CSU and its Role in IgE-Independent Histamine Release  Page 27  CSU patients show evidence of complement activation in the skin  CSU patients have elevated C5a levels   46.9 ng/ml  20.1 ng/ml  N=95  N=42  p = 0.004  C4d staining in skin biopsy  C5a (ng/mL)  C5a induces histamine release from basophils in a dose-dependent manner  Histamine release (percentage) from donor basophils stimulated with increasing levels of C5a   C5a mediated histamine release is independent of the IgE pathway  C5a stimulation of histamine releases is not affected by IgE pathway / SYK inhibitor GSK2646264  Human Skin ex vivo Model: microdialysis tubing into the ex vivo human skin with 1nM C5a   Bhatia et al. 2024 Asia Pacific Allergy 14 ;   Aghdam et al. 2021 Clin Transl Allergy. 11   Kikuchi, 2002 J Allergy Clin Immunol:109  Molina et al; 2019 Br J Pharmacol: 176  
 

  C5a-Induced Histamine Release is Important for Both, IgE Dependent Pathway and IgE Independent Pathway  C5a/C5aR Contributes to Histamine Release in an IgE Independent Manner   Anti-IgE Stimulus pos. (>20% HR)  Anti-IgE Stimulus neg.   C5a generation in CSU may be amplified by the activation of the coagulation pathways (tissue factor [TF] release) in addition to the auto-antibody trigger  Basophils isolated from CSU patients  C5a stimulation leads to dose-dependent histamine release  Basophils isolated from CSU patients  C5a stimulation leads to dose-dependent histamine release  Matsubara et al. Front Immunol 2022, 13.  Page 28 
 

 INF904 Development in CSU  Page 29  Conclusion:  C5aR signaling is involved in histamine release from mast cells / basophils in CSU   This C5a-mediated histamine release is independent of the IgE pathway and has been suggested to play a role in both subtypes of CSU  C5aR inhibition represents a novel mechanism of action (MoA) to address an unmet medical need in CSU  INF904 as an oral potent C5aR inhibitor is ideally positioned for development in CSU 
 

 INF904 for Hidradenitis Suppurativa (HS) 
 

 A Strong Rationale for Developing INF904 in HS  New Mechanisms are Needed  New mechanisms are needed to address the disease more completely  E.g. moderate to severe patients with active draining disease currently have limited approved treatment options which have proven to be effective for them  and response to treatment with approved anti-TNF-alpha or anti-IL17 agents is known to wane over time in a significant number of cases  HS patients have a preference for oral medications over injections (and surgical incisions)*  INF904 is an oral C5aR inhibitor with:  A mechanism of action which inhibits the known C5a induced effects on neutrophil activation and tissue accumulation of immune cells including induction of NETosis – mechanisms which have been suggested to be involved in HS progression and specifically in HS lesion formation  Clinical evidence existing that blocking the C5a/C5aR pathway reduces lesion counts in HS  A favorable PK/PD profile with a broad dose range for systemic exposure in patients   HS market potential is attractive, with a market size estimated with >$3.9 Bn by 2032**  * Willems, D., Hinzpeter, EL., Van der Zee, H.H. et al. Patient 16, 153–164 (2023)  ** GlobalData and Leerink / Guggenheim analyst reports  Page 31 
 

 Hidradenitis Suppurativa (HS)   HS Overview and Unmet Need  Clinical features  A chronic, recurring, debilitating neutrophil-driven inflammatory disease, that can persist for years  Characterized by abscesses, nodules and draining tunnels (dTs) with purulent or bloodstained discharge, that can flare and cause scarring  Predilection for intertriginous sites such as axillae, groin, buttocks and inframammary areas  Associated with severe bacterial infections, tremendous QoL impairment and functional disability  Epidemiology  Prevalence in the US and EU is estimated to be 0.7% - 1.2%  Though estimates vary widely, we estimate there are clearly more than 200,000 moderate to severe HS patients in the US alone  Current treatment and medical need  Current treatments including pain management, antibiotics, corticosteroids and biologics  Current approved therapies have shown a waning of effect in a significant number of patients over time  In addition, high-unmet medical need exists in affected patients with active draining disease  Page 32 
 

 An Important Role for C5a/C5aR is Recognized in HS Pathogenesis   van Straalen KR Front. Immunol. 13:953674.doi: 10.3389/fimmu.2022.953674  Mechanism in HS development:   Follicular occlusion of the folliculo-pilosebaceous unit, followed by follicular rupture, leading to immune responses which involve complement activation including C5a/C5aR engagement, resulting in the development of clinical HS lesion   Page 33 
 

 Page 34  Strong Rationale for Developing an Anti-C5a/C5aR in HS   HS Patients Have Elevated C5a, a Major Neutrophil Activator That Can Be Blocked by an Anti-C5a/C5aR  Kanni et al, 2018  HS patients have significant complement activation with elevated C5a levels   C5a/C5aR activation is a key neutrophil activator in HS patient plasma   Guo et al. 2019 Aug. US Patent No. 10,376,595  Source: InflaRx in house data on file  HS patient plasma strongly provokes neutrophil activation in healthy donor blood: this effect could be completely blocked by the addition of:  Vilobelimab (anti-C5a antibody) and  INF904 (anti-C5aR inhibitor)  Concentrations of C5a in the plasma of 14 healthy controls and of 54 patients with HS. P-values symbolize significant differences between patients and controls. 
 

 Enhanced C5aR Staining in Biopsies From HS Patients at All Disease Stages  Page 35  C5aR1 Staining  HF: Hair follicles   S: Suppurative   Hurley stage I patient with extensive deep dermal and subcutaneous suppurative abscessing inflammation, surrounding hair follicles with hyperkeratosis. C5aR1 staining positive – neutrophils  T: Tunnel   R: Tunnel rupture  PEH: Psoriasiform   epidermal hyperplasia  Hurley stage II patient with tunnel formation and tunnel rupture area with epithelium surrounded by sheets of neutrophils. C5aR1 staining positive – neutrophils  T: Tunnel   G: Granuloma  F: Fibrosis  Hurley stage III patient with tunnel formation and surrounding granulomatous inflammation with foreign body giant cells. C5aR1 staining positive – neutrophils, histiocytes and giant cells  H&E Staining  Van Straalen et al. 2022. Front Immunol 21. 
 

 Clinical Evidence for the Role of C5a/C5aR Signaling in HS  Page 36  Vilobelimab (anti-C5a mAb)  SHINE Phase IIb study in moderate-severe HS patients resulted in various signals of efficacy for high dose treatment group (1200mg EOW) including an overall inflammatory lesion reduction *  In SHINE, dT reduction was higher in patients with tightly controlled C5a levels *  Key learning from SHINE: a higher dose of vilobelimab was needed to adequately control C5a/C5aR signaling and increase efficacy in lesion reduction  Avacopan (oral C5aR inhibitor)  At standard dose of 30 mg BID, a p-value positive efficacy signal was detected in severe HS patients (Hurley III) on HiSCR with clear separation from placebo group emerging at week 12 **  Of note: in ANCA vasculitis patients steady-state levels of avacopan at 30 mg BID were only reported to be achieved at approx. 3 mths ***  30 mg BID dosing regimen may have been too low for adequate HS treatment and late accumulation of avacopan may have prevented earlier onset of efficacy  * InflaRx data on file  ** Data from Chemocentryx presentation on AURORA trial results, October 28, 2020: note: overall results were not stat. significant for HiSCR in all moderate to severe HS patients (primary endpoint )  *** Data from avacopan NDA filing for ANCA-associated vasculitis 
 

 Avacopan Data in Phase II Clinical Trial Shows Efficacy Emerging Only at W12  Page 37  Results From Avacopan in HS Patients (Hurley III)*  Avacopan’s efficacy (separation from placebo group) in HS only starts to emerge at W12 – please note: steady state reported from ANCA patients was only reached at approx. 3 months due to prolonged drug accumulation (x4)   Avacopan’s 30mg BID dosing regimen may be too low to show adequate clinical efficacy in HS  *Data from Chemocentryx presentation on AURORA trial results, October 28, 2020: note: overall results were not stat. significant for HiSCR in all moderate to severe HS patients (primary endpoint) 
 

 Avacopan Data in ANCA Patients Shows Steady State Reached by 13 Weeks  Page 38  Avacopan reported plasma trough PK data in ANCA Patients*  Steady state plasma levels of avacopan 30mg BID are reached by 13 weeks and the accumulation is approximately 4-fold  Mean steady state plasma exposure estimates of avacopan are: 3466 h*ng/mL for the (AUC0-12hr) in ANCA patients receiving 30 mg BID  Plasma accumulation may be a prerequisite for reaching blocking activity of C5aR1 on neutrophils, to sufficiently prevent activation and migration into tissue in order to show clinical efficacy  *Data from avacopan NDA filing for ANCA-associated vasculitis: represented graphically.  
 

 Vilobelimab* and Avacopan** Provide Evidence for Efficacy in HS Patients  Page 39  Conclusion:  There is a strong scientific rationale for the role of C5aR in HS  C5a/C5aR signaling inhibition has resulted in signals of efficacy in HS patients  Tight control over C5aR signaling is required to achieve optimal efficacy – dosing is important in HS!  INF904 is ideally positioned as an oral C5aR inhibitor with optimized PK / PD profile to address an existing high unmet medical need in HS patients  * Source: InflaRx data on file. ** Source: Data from Chemocentryx presentation on AURORA trial results, October 28, 2020  
 

 Gohibic (vilobelimab) Critical COVID-19 & ARDS 
 

 Emergency Use Authorization (EUA) Granted for Gohibic  Page 41  Gohibic (vilobelimab) has not been approved, but has been authorized for emergency use by FDA under an EUA*, for the treatment of COVID-19 in hospitalized adults when initiated within 48 hours of receiving IMV**, or ECMO**  MAA under review at EMA / CHMP in Europe, discussions with US FDA ongoing related to future BLA submission  Authorization granted based on results from a Phase III clinical trial in critically ill, mechanically ventilated COVID-19 patients in which Gohibic treatment reduced mortality by 23.9% vs. placebo​.  Gohibic is the first authorized therapeutic targeting C5a as potential key player in the inflammatory host response  Gohibic has been launched by InflaRx in the US under the EUA:  Building an experienced and highly focused commercial team and creating awareness with different healthcare players  Building a robust supply chain to allow for uninterrupted supply of Gohibic to US hospitals  (vilobelimab)  * The emergency use of GOHIBIC is only authorized for the duration of the declaration that circumstances exist justifying the authorization of the emergency use of drugs and biological products during the COVID-19 pandemic under Section 564(b)(1) of the Act, 21 U.S.C. § 360bbb-3(b)(1), unless the declaration is terminated or authorization revoked sooner  ** IMV = invasive mechanical ventilation, ***ECMO = extracorporal membrane oxygenation  For additional and important safety information, please visit www.gohibic.com  
 

 Email: IR@inflarx.com  Tel: +49-3641-508180  Fax: +49-3641-508181  www.inflarx.com  InflaRx N.V.  Winzerlaer Str. 207745 Jena, Germany