PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION

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PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
PRF By The Numbers

                                                                  Produced by Leslie B. Gordon, MD, PhD; Medical Director
Please Do Not Reproduce Children’s Photographs Without Express Permission From PRF                    July 1, 2022
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
Table of Contents
                                   Introduction and Collaborations                         3 – 10
                                   Overview Data                                          11 -20
                                   International Progeria Registry                        21 – 24
                                   PRF Diagnostics Program                                25 – 28
                                   PRF Cell & Tissue Bank                                 29 – 38
                                   PRF Medical & Research Database                        39 – 43
                                   Weighing – In Program                                  44 – 47
                                   Clinical Trials                                        48 – 58
                                   PRF Grants Program                                     59 – 64
                                   Scientific Meetings and Workshops                      65 – 68
                                   Publications                                           69 - 71

© 2022 The Progeria Research Foundation. All Rights Reserved.               July 1, 2022
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
PRF By The Numbers: A Data Sharing Tool

                                  PRF By The Numbers is a data sharing tool originating from
                                    The Progeria Research Foundation’s programs and services.

                                  We translate information collected within our programs and
                                    services, and develop charts and graphs which track our
                                    progress from year to year.

                                  This allows you to assess where we’ve been, and the
                                    improvements we’ve made for children with Progeria.

© 2022 The Progeria Research Foundation. All Rights Reserved.           July 1, 2022
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
Why Sharing Data Is Essential

                               According to the National Institutes of Health:
                                    “data sharing is essential for expedited translation of research
                                    results into knowledge, products, and procedures to improve
                                    human health.”
                                    http://grants.nih.gov/grants/guide/notice-files/NOT-OD-03-032.html

                               In other words, everyone benefits by knowing and learning as
                                 much as possible about Progeria - the scientific and medical
                                 communities, the public, and the children.

© 2022 The Progeria Research Foundation. All Rights Reserved.                         July 1, 2022
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
PRF By The Numbers…Here’s How It Works

                             We take raw data collected through our programs and services,
                             remove any personal information to protect the participant, and
                             present it to you in a format that is engaging and informative.

                              PRF programs and services include:

                                              The PRF International Registry
                                              The PRF Diagnostics Program
                                              The PRF Cell & Tissue Bank
                                              The PRF Medical & Research Database
                                              PRF Research Grants
                                              Scientific Workshops
                                              Clinical Trial Funding and Participation

© 2022 The Progeria Research Foundation. All Rights Reserved.                    July 1, 2022
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
Our Target Audience

                              PRF By The Numbers is intended for a broad array of users
                                           Families and children with Progeria
                                           The general public and nonscientists of all ages
                                           Scientists
                                           Physicians
                                           The media
                              This means that different types of slides will be of interest depending
                               on who is looking at the information. We have designed this slide
                               set so that you can pull out what is most important to you.
                             We love suggestions - if you don’t see some facts and figures here
                              that you think would be informative, please let us know at
                                                            info@progeriaresearch.org

© 2022 The Progeria Research Foundation. All Rights Reserved.                           July 1, 2022
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
PRF Programs: It All Starts With The Children
                                                                            Patient
                                                                                                                 Our participants
                                                                                                               come from all over
                                                                                                              the world. They find
                                                                            Referral
                                                                                                                  us through our
                                                                                                               outreach – the PRF
                                                                           Internation
                                                                           al Progeria
                                                                                                                   website, our
                                                                            Registry                               publications,
                                                                                                                    television
                                                                           Diagnostic                         documentaries, their
                                                                           s Program
                                                                                                               doctors, neighbors,
                                                                                                               friends and family.
                                                                 Cell &                     Medical &
                                                                 Tissue                     Research
                                                                 Bank                       Database

                                                                                                          Weighing-
                                                   Preclinical
                                                   Research                                              In Program

                                                                          Clinical Trials

© 2022 The Progeria Research Foundation. All Rights Reserved.                                  July 1, 2022
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
Program Collaborations For Success

                                                                PRF Medical & Research Database
                                                                    PRF Cell & TissueBank
                        PRF Cell & Tissue Bank Core                PRF Diagnostics Program                           PRF Cell & Tissue Bank :
                                Laboratory                                                                            Lymphoblast Cell Line
                                                                                                                          Generation

                             PRF Diagnostics Program
                              Sequencing Laboratory                                                              PRF Clinical Trials

                       PRF Cell Bank Submission:                                                                 PRF Cell & Tissue Bank : iPS Cell
                     Immortalized Fibroblast Cell Lines           Non-HGPS Progeroid Patient                            Line Generation
                                                                         Diagnosis

© 2022 The Progeria Research Foundation. All Rights Reserved.                                     July 1, 2022
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
Our Program Collaborators
                     Our collaborating institutions are crucial to our ability to help children with Progeria.
                     We are extremely grateful for these ongoing partnerships:

                                     Brown University
                                         Location of The PRF Medical & Research Database
                                         Program IRB approval

                                     Hasbro Children’s Hospital
                                        Location of The PRF Cell & Tissue Bank
                                        Program IRB approval

                                     PreventionGenetics
                                         CLIA*-approved genetic sequence testing

                                     Rutgers University Cell and DNA Repository
                                         CLIA*-approved lymphoblast generation and distribution

                                     University of Ottawa
                                         Induced Pluripotent Stem Cell (iPSC)
                                         CLIA*-approved generation and distribution

© 2022 The Progeria Research Foundation. All Rights Reserved.                  July 1, 2022
PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
Our Clinical Trial Collaborators
                                       Our collaborating institutions are crucial to our ability
                                                  to help children with Progeria
                                                   Harvard University – Associated Hospitals:
                                                        Boston Children’s Hospital
                                                        Brigham and Women’s Hospital
                                                        Dana Farber Cancer Institute

                                                  NIH – funded Clinical and Translational
                                                  Study Unit at Boston Children’s Hospital

© 2022 The Progeria Research Foundation. All Rights Reserved.                        July 1, 2022
Number of Living PRF-Identified Cases

                                                            July 1, 2022:

                        Total Number of Children with HGPS and PL** Worldwide:                                        203
                        131                HGPS* worldwide:           138
                                           HGPS* in the United States:                18
                                                                                      /              65
                                           Progeroid Laminopathies** worldwide:

                                           Progeroid Laminopathies** in the United States:                            12
                           *Children in the HGPS category have a progerin-producing mutation in the LMNA gene

                           ** Those in the Progeroid Laminopathy category have a mutation in the lamin pathway
                               but don’t produce progerin

© 2022 The Progeria Research Foundation. All Rights Reserved.                                          July 1, 2022
Afghanistan                      PRF-Identified People living with HGPS & PLs         Japan
      Algeria                                                                         Kazakhstan
    Argentina
     Australia
                                               Reside In 50 Countries                     Libya
                                                                                     Luxembourg
   Bangladesh                                                                           Mexico
     Belgium                                                                             Nepal
       Brazil                                                                        Netherlands
     Canada                                                                              Oman
       China                                                                        Palestine-Gaza
    Colombia                                                                            Pakistan
    Denmark                                                                               Peru
Dominican Republic                                                                    Philippines
       Egypt                                                                             Poland
     England                                                                             Russia
      France                                                                             Serbia
     Guyana                                                                          South Africa
    Germany                                                                          South Korea
    Honduras                                                                              Spain
       India                                                                           Suriname
    Indonesia                                                                           Sweden
        Iran                                                                           Tajikistan
        Iraq                                                                             Turkey
      Ireland                                                                           Ukraine
       Israel                                                                              USA
        Italy                                                                          Vietnam

  © 2022 The Progeria Research Foundation. All Rights Reserved       July 1, 2022
…and Speak 31 Languages
                      Arabic              English               Indonesian   Nepali            Serbian     Urdu
                      Bengali             Filipino              Italian      Pashto            Spanish
                      Cebuano             French                Japanese     Polish            Tagalog
                      Chinese             German                Kannada      Portuguese        Tamil
                      Danish              Hebrew                Korean       Punjabi           Turkish
                      Dutch               Hindi                 Marathi      Russian           Ukrainian
                                                           прогерии исследовательский фонд

                                                                                       조로증 연구 재단
                                      ‫خايشال ثاحبأ ةسسؤم‬

                             早衰症研究基金會                                                      Progeria Araştırma Vakfı

                          Progeria रिसिच फाउं डे शन                                     早老症研究財団

                        బాలుడ బాలికవయస్సముదరుకండానేవృద్ాాప్యరూప్ంలోనికి
                                              వచ్చుటరీసెర్చుఫ ండేషన్
© 2022 The Progeria Research Foundation. All Rights Reserved.                             July 1, 2022
Every
                                                                          EveryYear
                                                                               Year OurOur Numbers
                                                                                       Numbers Grow Option Grow
                                                     Living Children PRF has identified with Progeria and the countries they reside in from 2000 - 2016
                                          120
                                                                                                                                                                      112
                                                                                                                                                              107
                                                      Countries
                                                                                                                                                       100
                                          100         Progeria Cases*
                                                      Column1                                                                                   90
       Number of Children and Countries

                                                                                                                                  86     86

                                          80                                                                               78

                                          60
                                                                                                             52     54

                                                                                        44     45     46                                                      46     44
                                                                                 41                                                                    43
                                                                          37                                                                   39
                                          40                       35                                                                   35
                                                           34
                                                 30                                                         29     30     31     29
                                                                                                     26
                                                                                              22
                                                         17       17     18     19     19
                                          20    16

                                           0
                                                2000     2001     2002   2003   2004   2005   2006   2007   2008   2009   2010   2011   2012   2013    2014   2015   2016

* Progeria cases: Total number of known cases include both HGPS & PL                                        Year
* When a child passes away, numbers are decreased.                                                                                      July 1, 2022
Every
                                                                       EveryYear
                                                                            Year OurOur Numbers
                                                                                    Numbers Grow Option Grow
                                                Living Children PRF has identified with Progeria and Progeroid Laminopathies and the countries they
                                            160                                     reside in from 2017 – 2022*

                                                    Countries                                                                                       138
                                            140
                                                                                                                  131              132
                                                    HGPS                                      128
                                                    PL                       120
                                            120
         Number of Children and Countries

                                                         112

                                            100

                                            80
                                                                                                                                          64              65
                                            60                                                                           57
                                                                                         51                  52               50               50
                                                                        48
                                                    45
                                                                                    36               38
                                            40
                                                                32

                                            20

                                             0
                                                         2017                2018             2019                2020             2021         Jul,2022

* Total number of living children are added from year to year.                                        Year
* When a child passes away, numbers are decreased.
Tracking Children with Progeria Through Prevalence

                                How does PRF estimate how many children we are searching for,
                                   and in what countries? We use population prevalence.

                                 Prevalence is the proportion of children with Progeria per total
                                    population.

© 2022 The Progeria Research Foundation. All Rights Reserved.         July 1, 2022
How Prevalence Is Estimated

                                    At PRF, we use a formula based on the number of children
                                       we’ve identified in the US. We then expand that out to the
                                       world population.

                                    We do this because we have the most complete reporting for
                                       the US and since Progeria has no gender, ethnic, or other
                                       biases, we assume that the prevalence in the US is the
                                       same prevalence in other countries.

                                    PRF estimates prevalence for years when the official US
                                       census provides a reliable population number.

© 2022 The Progeria Research Foundation. All Rights Reserved.           July 1, 2022
USA Prevalence of Progeria

                                                   July, 2022 population statistics:
                                  The US population was:

                                  334,895,508 people
                                  Number of PRF-identified children with
                                  HGPS in the US:

                                                     18
                                  Prevalence of HGPS in the US:
                                  18 in 335 million is about

                               1 in 19 million people
                     *estimates routinely fall between 1 in 18 - 1 in 20 million people.

© 2022 The Progeria Research Foundation. All Rights Reserved.                              July 1, 2022
Prevalence and World Population of Progeria

                                            Given the world population July, 2022

                     There are between 350 and 450 children living with Progeria worldwide

© 2022 The Progeria Research Foundation. All Rights Reserved.                       July 1, 2022
Using Prevalence To Find Children In A Certain Country
                          We can now use the total population estimates for any given country, in order to
                           understand whether we have found most or all children in a particular country.

                                                 For example, as of July 2022:

                                                                Brazil’s population was estimated as

                                                                     215,598,479 people
                                                                Using Prevalence, the number of children living
                                                           with Progeria in Brazil is 215,598,479/19,000,000 =    11
                                                              PRF has identified 7 of these 11 children, and is
                                                           searching for the 4 others

                                                          * Data based on the latest Worldometers estimates

© 2022 The Progeria Research Foundation. All Rights Reserved.                            July 1, 2022
International Progeria Registry*

                                    Program Goals:

                                     Patient identification
                                     Outreach to patient families and their physicians
                                     A springboard for program enrollment

                             Registry forms available at
                             https://www.progeriaresearch.org/international-registry-2/

                            *PRF International Registry includes those with genetically confirmed or
                            clinically suspected Progeria, as well as those with other possible progeroid
                            syndromes

© 2022 The Progeria Research Foundation. All Rights Reserved.                July 1, 2022
356 Children Have Been Registered With PRF
                                           380
                                                                                                                                                                          356
                                           360                                                                                                                      349
                                           340
                                                                                                                                                              319
                                           320
                                           300                                                                                                          285
                                           280
                   Number of Registrants
                                                                                                                                                  269
                                           260                                                                                              254
                                                                                                                                      241
                                           240
                                                                                                                                224
                                           220                                                                            208
                                           200                                                                      193
                                                                                                              181
                                           180
                                                                                                        160
                                           160                                                    151
                                           140                                              129
                                                                                      118
                                           120
                                                                                102
                                           100
                                                                           82
                                            80
                                                                      61
                                            60                   54
                                                            36
                                            40
                                                  20   20
                                            20
                                             0
                                                 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 Jul,
                                                                                                       Year                                               2022

© 2022 The Progeria Research Foundation. All Rights Reserved.                                                             July 1, 2022
From 70 Countries and 1 Territory
       Algeria                                                                                  Libya, Luxembourg
      Argentina                                                                                  Malaysia, Mexico
      Australia                                                                                   Morocco, Nepal
     Bangladesh                                                                                    Netherlands
 Belgium, Bolivia                                                                                 Oman, Pakistan
  Brazil, Bulgaria                                                                                   Palestine
   Canada, Chile                                                                               Papua New Guinea
 China, Colombia                                                                                      Panama
  Czech Republic                                                                                 Peru, Philippines
      Denmark                                                                                    Poland, Portugal
Dominican Republic                                                                                  Puerto Rico
  Ecuador, Egypt                                                                                 Romania, Russia
 England, Finland                                                                                  Saudi Arabia
 France, Germany                                                                               Serbia, South Africa
Guatemala, Guyana                                                                                  South Korea
      Honduras                                                                                    Spain, Sri Lanka
     Hong Kong                                                                                  Suriname, Sweden
 India, Indonesia                                                                                   Switzerland,
      Iran, Iraq                                                                                     Tanzania
   Ireland, Israel                                                                                Thailand, Togo
    Italy, Japan,                                                                                 Turkey, Ukraine
    Kazahkstan,                                                                                   USA, Venezuela
     Kyrgyzstan                                                                                      Vietnam

                © 2022 The Progeria Research Foundation. All Rights Reserved.   July 1, 2022
…And All Continents
                                                         Participation (%) By Continent

                                                           Africa              Australia
                                                           6.7%                 1.7%
                                                            N=24                     N=6

                                                                         South America
                                                                             15.4
                                                                              N=55

                                                                                   Europe
                                                                 Asia              15.7%
                                                                                     N=56
                                                                36%
                                                                N=128

                                                                        North America
                                                                           24.5%
                                                                            N=87

© 2022 The Progeria Research Foundation. All Rights Reserved.                      July 1, 2022
PRF Diagnostics Program
                         Program Goal:
                            Genetic Sequence Testing for Progeria-causing mutations

                         Pre-requisites for Testing:
                            Registration with PRF International Registry
                            One or more of the following
                                     Family history – proband, prenatal
                                     Phenotypic presentation – proband, postnatal
                                     Relative of positive proband
                                     Testing information available at:
                                     https://www.progeriaresearch.org/the-prf-diagnostic-testing-program/

© 2022 The Progeria Research Foundation. All Rights Reserved.                  July 1, 2022
Diagnostics Testing Summary
                                                                July, 2022:

                                     Total Number of Proband Tests Performed:                                              164
                                           Exon 11 (HGPS) Mutations:                             114

                                           Other Progeroid Laminopathies (Exons 1 – 12):                                     13
                                           Zmpste24 Mutations :                        2
                                           Average Number of Patients Tested Per Year :                                     8.2

                                      All tests are performed in a Clinical Laboratory Improvement Amendments (CLIA) certified facility.

© 2022 The Progeria Research Foundation. All Rights Reserved.                                         July 1, 2022
Mutations Identified Through PRF Diagnostics Program
                                                                                                             Progerin     Number
                                DNA Mutation                Amino Acid Effect           Zygosity
                                                                                                            Producing?   Diagnosed
                                                                      Classic HGPS – LMNA Mutation
                        1824 C>T, exon 11                           G608G             heterozygous             Yes          100
                                                                   Non Classic HGPS– LMNA Mutation
                        1822 G>A, exon 11                           G608S             heterozygous             Yes           4
                        1821 G>A, exon 11                           V607V             heterozygous             Yes           2
                        1868 C>G, exon 11                           T623S             heterozygous             Yes           1
                        1968+5 G>C, intron 11                       ---------         heterozygous             Yes           2
                        1968+1 G>C, intron 11                       ---------         heterozygous             Yes           3
                        1968+2 T>A, intron 11                                         heterozygous             Yes           1
                        1968+1 G>A, intron 11                                         heterozygous             Yes           1
                                                                 Progeroid Laminopathy– LMNA Mutation
                        1579 C>T, exon 9                            A527C             heterozygous             No            1
                        1579 C>T, exon 9                            A527C              homozygous              No            6
                        1580G>T, exon9                              A527L              Homozygous              No            2
                        1619 T>C, exon 10                           M540T              homozygous              No            3
                        331 G>A, exon 1                             G111L             heterozygous             No            1
                                                                Progeroid Laminopathy– Zmpste24 Mutation
                        1274T>C, exon 10                            L425P              homozygous              No            2

© 2022 The Progeria Research Foundation. All Rights Reserved.                                July 1, 2022
Longitudinal Testing Data for PRF Diagnostics Program

                     Number of Affected Children/Adults Tested and the Number Testing
                                     Positive for LMNA Gene Mutation*

                                      Total Testing LMNA Negative        Total Testing LMNA Positive      Total Clinically Affected Tested by PRF

                                     180                                                                                                       164
                                                                                                                                         159
                                     160                                                                                     148   152
                                                                                                               139     141
                                     140                                                                127
                                                                                                  123
                     Number Tested

                                                                                           116
                                     120                                             111
                                                                               105
                                                                          99
                                     100                            88                                                                   122   127
                                                           80                                                                113   116
                                                      75                                                       107     108
                                     80         67                                                94    97
                                                                                     82     87
                                           54                             71    76
                                     60                             62
                                                      51   56
                                     40         46
                                           37
                                     20                                                                        32      33    35    36    37     37
                                                21    24   24       26    28    29   29     29    29    30
                                           17
                                      0
                                           2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021                      Jul,
                                                                                                                                               2022
                    *Graph does not include Parents/Siblings tested                        Year
© 2022 The Progeria Research Foundation. All Rights Reserved.                                           July 1, 2022
PRF Cell & Tissue Bank

                   Program Goals:

                             Provide a resource for researchers
                              worldwide
                             Ensure the sufficient availability of
                              genetic and biological materials
                              essential for research aimed at
                              understanding the pathophysiology of
                              disease and the links between
                              Progeria, aging and heart disease

                             Obtain long-term clinical data

         Resource information available at: https://www.progeriaresearch.org/cell-and-tissue-bank/

© 2022 The Progeria Research Foundation. All Rights Reserved.      July 1, 2022
PRF Cell & Tissue Bank Holdings
                                                           As of July, 2022

                                                        Total Number of Participants:                         333*

                        74         Dermal Fibroblast Lines from 49 affected and 25 parents

                          6        Immortalized Fibroblast Cell Lines from 1 affected and 5 parents

                       124        Lymphoblast Lines from 71 affected, 45 parents and 8 siblings

                        10        Induced Pluripotent Stem Cell Lines from 5 affected and 5 parents
                                                                                * Participants may have donated multiple times
© 2022 The Progeria Research Foundation. All Rights Reserved.   * Additional sample types are available for special projects upon request
Mutations Available in PRF Cell & Tissue Bank
                                                                                       Progerin          Cell Type
               DNA Mutation                     Amino Acid Effect       Zygosity                   DFN=Dermal Fibroblast
                                                                                      Producing?   LBV= Lymphoblast
                                              Classic HGPS – LMNA Mutation
c.1824 C>T, exon 11                                   p.G608G          heterozygous      Yes          DFN, LBV, iPSC
                                             Non Classic HGPS– LMNA Mutation
c.1822 G>A, exon 11                                   p.G608S          heterozygous      Yes              DFN, LBV
c.1821 G>A, exon 11                                    p.V607V         heterozygous      Yes                DFN
c.1868 C>G, exon 11                                    p.T623S         heterozygous      Yes                LBV
c.1968+5 G>C, intron 11                                 ---------      heterozygous      Yes                DFN
c.1968+5 G>A, intron 11                                 ---------      heterozygous      Yes                DFN
c.1968+1 G>A, intron 11                                 ---------      heterozygous      Yes                LBV
c.1968+2 T>C, exon 11                                   ---------      heterozygous      Yes                DFN
c.1968+2 T>C, exon 11 & c.1968+2 T>A, exon 11           ---------      heterozygous      Yes                DFN
                                           Progeroid Laminopathy– LMNA Mutation
c.1579 C>T, exon 9                                    p.A527C          heterozygous      No                  LBV
c.1579 C>T, exon 9                                    p.A527C          homozygous        No                  LBV
c.1580 C>T, exon 9                                     p.A527L         homozygous        No                  LBV
c.1619 T>C, exon 10                                   p.M540T          homozygous        No                  DFN
c.1762 T>C, exon 11                                   p.C588R          heterozygous      No                  DFN
c.412G>A                                               p.E138K         heterozygous      No                  DFN
c.973 G>A, exon 6                                      p.A325A         heterozygous      No                  DFN
c.1824 C>T, exon 11 & SMC3 c.562 A>G            p.G608G & p.K188E      heterozygous      Yes                 DFN
                                         Progeroid Laminopathy– Zmpste24 Mutation
c.1274 T>C, exon 10                                    p.L425P         homozygous         No              DFN, LBV
c.743 C>T, exon 6 & c.1349 G>A, exon 10          p.P248L & p.T450S     heterozygous       No                DFN
PRF Cell & Tissue Bank Distribution
                                                     As of July 1, 2022:

                        218         Research Teams From             26     Countries Have Received

                                                Cell Lines

                                              DNA Samples

                                              Tissue, plasma, serum               Senescent Progeria
                                              and other biological samples        Fibroblasts in Culture

                                           Lonafarnib Samples

© 2020 The Progeria Research Foundation. All Rights Reserved.
Number Of Cell Lines By Year
                                                                    Total Cell Lines Parents/Siblings Cumulative
                                                                    Total Cell Lines Affected Cumulative
                                                                    Total Number of Cell Lines
                                               250

                                                                                                                                           209 212 212 213 214
                                                                                                                                     203
                                                                                                                         197
                                               200                                                           190 194 194                   123   124   124   125   125
                                                                                                                                     121
                        Number of Cell Lines

                                                                                                                   116   116   118
                                                                                                       165   112
                                                                                                 153
                                               150                                                     100
                                                                                           126   92
                                                                                     116
                                                                               108
                                                                          98               80
                                                                     90              74
                                               100                             69
                                                               79         62
                                                          62         54                                                                    86    88    88    88    88
                                                               44                                            78    78    78    79    82

                                               50    37   29                                     61    65

                                                                                     42    46
                                                     17        35    36   36   39
                                                          33
                                                     20
                                                0

                                                                                                        Year

© 2022 The Progeria Research Foundation. All Rights Reserved.
Cumulative Number of Biological Samples Distributed

2500
              Fibroblast Lines                                  Lymphoblast Lines                                 iPSC Lines
              Immortalized Fibroblast Lines                     Plasma, serum, tissue, buffy coat, urine          DNA
                                                                                                                                                      2087
                                                                                                                                               2042
              Lonafarnib                                        # = Total Distributed
2000                                                                                                                                    1899
                                                                                                                                 1798

                                                                                                                          1528
1500                                                                                                               1385

                                                                                                           1116

1000
                                                                                                    871

                                                                                             692
                                                                                      579
                                                                               517
500                                                                     422
                                                         330     359
                                                  251

                             90     107    119
                40    58
       20
  0
       2002    2003   2004   2005   2006   2007   2008   2009    2010   2011   2012   2013   2014   2015   2016    2017   2018   2019   2020   2021   Jun-22
USA Cell & Tissue Bank Recipients
                  Recipient              Institution                             Recipient                  Institution
                  H. Erbil Abaci         Columbia University Medical Center      Dennis Discher             U. of Pennsylvania
                  Mansoor Amiji          Northeastern University                 Martin Dorf                Harvard Medical School
                  Angelika Amon          Massachusetts Institute of Technology   Stephen Doxsey             U. of Massachusetts Medical School
                  Stelios Andreadis      U. of Buffalo                           Jack Elias                 Brown University School of Medicine
                  Samuel Beck            MDI Biolab                              Mike Erdos                 National Institutes of Health
                  Shelley Berger         U of Pennsylvania                       Jed Fahey                  Johns Hopkins University
                  Bruce Blazer           U. of Minnesota                         Toren Finkel               NIH
                  Joseph Bonventre       Brigham and Women’s Hospital            Shridar Ganesan            Cancer Institute of New Jersey
                  Demetrios Braddock     Yale University                         Abhimanyu Garg             U. of Texas Southwestern Medical Center
                  Jonathan Brown         Vanderbilt University                   Glenn Gerhard              Temple University
                  Ted Brown              Institute for Basic Research (IBR)      David Gilbert              Florida State University
                  Mark Burkhard          University of Wisconsin-Madison         Thomas Glover              U.of Michigan Medical School
                  Judy Campisi           Buck Institute                          Robert Goldman             Northwestern University
                  Kan Cao                U. of Maryland                          Susana Gonzalo             St. Louis School of Medicine
                  Suet Nee Chen          University of Colorado                  Lilian Grigorian           Cedars Sinai Medical Center
                  Li Chai                Harvard University                      Gregg Gundersen            Columbia University Medical Center
                  Francis Collins        National Genome Research Institute      Taekjip Ha                 Johns Hopkins University School of Medicine
                  Lucio Comai            U. of Southern California               Curtis Harris              National Institutes of Health
                  Daniel Conway          Virginia Commonwealth University        Martin Hetzer              Salk Institute
                  John Cooke             Houston Methodist Research Institute    Camila Hochman-Mendez      Texas Heart Institute
                  Mauro Costa-Mattioli                                           Liam Holt                  NYU Institute for Systems Genetics
                                         Baylor College of Medicine
                  Adrienne Cox           U. of North Carolina at Chapel Hill     Steve Horvath              UCLA
                  Greg Crawford          Duke University Medical Center          Johnny Huard               U. of Texas Health Science Center at Houston
                  Antonei Csoka          Howard University                       Jay Humphrey               Yale University
                  Kris Dahl              Carnegie Mellon University              Kohta Ikegami              The University of Chicago
                  George Daley           Boston Children's Hospital              Vishwanath Iyer            U. of Texas Austin
                  Channing Der           U. of North Carolina at Chapel Hill     Jose Jalife                University of Michigan
                  Mohanish Deshmukh      U. of North Carolina at Chapel Hill     David Kaplan               Tufts University

© 2022 The Progeria Research Foundation. All Rights Reserved.                                            July 1, 2022
USA Cell & Tissue Bank Recipients
Recipient              Institution                               Recipient                                Institution
Timothy Kowalik        U. of Massachusetts Medical School        John Sedivy                              Brown University
Dmitri Krainc          Massachusetts General Hospital            Christian Sell                           Drexel University College of Medicine
Jan Lammerding         Harvard University                        Jerry Shay                               UT Southwestern Medical Center
Dudley Lamming         U of Wisconsin-Madison                    Jamila H Siamwala                        Brown University
Jeanne Lawrence        U. of Massachusetts Medical School        Andrew Sonis                             Boston Children's Hospital
Joan Lemire            Tufts University School of Medicine      Alexander Soukas                          Massachusetts General Hospital
Kam Leong              Columbia University                      Kristoffer Svensson                       Avidity Biosciences, Inc
Jason Lieb             U. of North Carolina at Chapel Hill      Ronald St-Louis                           OVIBIO Corporation, Inc.
David Liu              Harvard University                       Earl Stadtman                             National Heart, Lung & Blood Institute
Chengzu Long           New York University School of Medicine   Dylan Taatjes                             U. of Colorado
Shigemi Matsuyama      Case Western Reserve University          Marc Tatar                                Brown University
Rachel Patton McCord   University of Tennessee                                                            Sanford Burnham Prebys Medical
                                                                  Alexey Terskikh                         Discovery Institute
Andrew Mendelsohn      Regenerative Sciences Institute            Rajarajan Amirthalingam Thandavarayan   Houston Methodist Research Institute
Susan Michaelis        John Hopkins University School of Medicine Eduardo Torres
                                                                                                          U of Massachusetts Medical School
Jeffrey Miner          Washington University                      George Truskey                          Duke University
Tom Misteli            National Cancer Institute                  Tetsuro Wakatsuki                       InvivoSciences, Inc
Ashby Morrison         Stanford University                        Alan Waldman                            University of South Carolina
Marsha Moses           Boston Children’s Hospital                 Kenneth Walsh                           University of Virginia
Elizabeth Nabel        National Heart, Lung & Blood Institute     Steve Warren                            Emory University School of Medicine
Timothy Osborne        Sanford Burnham Medical Research Institute Howard Worman                           Columbia University
Junko Oshima           U. of Washington                         Lucile Wrenshall                          Wright State University
Bryce Paschal          U. of Virginia                           Tom Wight                                 Hope Heart Institute
Hamel Patel            U. Of California, San Diego              Joseph Wu                                 Stanford University
Mary Patti             Joslin Diabetes Center                   Feng Zhang                                The Broad Institute
Taihao Quan            University of Michigan                   Ke Zhang                                  Northeastern University
Joseph Rabinowitz      Temple University                        Yu Shrike Zhang                           Brigham and Women's Hospital
Ana Robles             National Cancer Institute                Alessandra Zonari                         OneSkin Technologies
David Sabatini         Whitehead Institute                      You Zou                                   East Tennessee University
International Cell & Tissue Bank Recipients
Recipient               Institution                              Country       Recipient            Institution                                          Country
AndreaAblasser          Global Health Institute                  Switzerland   Lino Ferreira        Center for Neuroscience and Cell Biology (CNC)       Portugal
Vicente Andrés Garcia   Centro Nacional de Investigaciones       Spain         Marco Foiani         Instituto FIRC di Oncologia Molecolare               ItalyMartin
                        Cardiovasculares
Samuel Benchimol        York University                          Canada        Alain Garnier        Université Laval                                     Canada
Martin Bergö            Karolinska Institutet                    Sweden        Yosef Gruenbaum The Hebrew University of Jerusalem                        Israel
Enrico Bertini          Ospedale Pediatrico Bambino Gesù         Italy
                                                                               Nady El Hajj    Hamad bin Khalifa University                              Qatar
Michael Blank           Bar Ilan University                      Israel        Robert Hegele   University of Western Ontario                             Canada
Antonio Campos de       Federal University of Rio de Janeiro     Brazil        Andreas Hermann University of Dresden                                     Germany
Carvalho
Ana Carrera             Centro Nacional de Biotecnologia         Spain         Corinne Hoesli       McGill University                                    Canada
Gordon Chan             University of Alberta                    Canada        Junho K Hur          Kyung Hee University                                 Republic of Korea

                        INEBIR- Instituto par el estudio de la                 Anthony Hyman        Max-Planck-Institute of Molecular Cell Biology and   Germany
Mario D. Cordero        Biologia de la Reproduccion Human        Spain                              Genetics
Lynne Cox               University of Oxford                     England       Maria
                                                                               Ikonomopoulou IMDEA Food Institute                                                Spain
Thomas Dechat           Medical University of Vienna             Austria       Ulrich auf dem                                                            Denmark
                                                                               Keller               Technical University of Denmark
Annachiara DeSandre-    Laboratoire de Génétique Moléculaire     France        Jan Korbel           European Molecular Biology Laboratory                Germany
Giovannoli
Jerome Dejardon         Institute of Human Genetics              France        Leonard Kubben       Institute for Molecular Biology                      Germany
Karima Djabali          TU-Munich                                Germany        Christian Kubisch    Institute of Human Genetics                         Germany
Ma Dongrui              Singapore General Hospital               Singapore     Varun Kumar          Uniklinikum Heidelberg                               Germany
J. El Molto             Molecular World, Inc                     Canada        Kirsztian Kvell      University of Pecs                                   Hungary
Maria Eriksson          Medicinsk Naringslara                    Sweden        Taejoon Kwon         Ulsan National Institute of Science & Technology     Korea
Christopher Eskiw       Saskatchewan University                  Canada        Chiara Lanzuolo      CNR Institute of Cellular Biology &                  Italy
                                                                                                    Neurobiology
Gerardo Ferbeyre        Université de Montréal                   Canada
International Cell & Tissue Bank Recipients
Recipient                 Institution                                    Country        Recipient                 Institution                        Country

Caterina La Porta         University of Milan                            Italy          Bum-Joon Park             Pusan National University          South Korea
                                                                                                                  Center for Neuroscience and
Delphine Larrieu          University of Cambridge                        England        Luis Pereira de Almeida   Cell Biology (CNC)                 Portugal
Lucia Latella             National Research Council(CNR)                 Italy          Fiorella Piemonte         Ospedale Pediatrico BambinoGesù    Italy
Giovanna Lattanzi         ITOI-CNR Unit of Bologna                       Italy          Neale Ridgway             University of Halifax              Canada
                          Seoul National University, College of
Chul-Hwan Lee             Medicine                                       South Korea Claudia Ruebe                Saarland University                Germany
Jean-Marc Lemaitre        Institute of Functional Genomics              France          Kanaga Sabapathy          National Cancer Centre Singaport   Singapore
Davor Lessel              Institute of Human Genetics                   Germany         Isabella Saggio           Sapienza University of Rome        Italy
Nicolas Levy              Génétique Médicale et Développement            France         Kanda Sangthongpitag      Experimental TherapeuticsCentre    Singapore
                          Ulsan National Institute of Science and
Chunghun Lim              Technology                                    South Korea     Rafaella Santoro          University of Zurich                 Switzerland
Baohua Liu                Shenzhen University                           China           Yasuhiro Shimoyima        Shinshu University                 Japan
Elsa Logarinho            Instituto de Biologia Molecular e Celular     Portugal        Ok Sarah Shin             Korea University Guro Hospital     Korea
Jun Lu                    Northeast NormalUniversity                     China          Sanjay Sinha              University of Cambridge            England
Frank Lyko                German Cancer Research Institute               Germany        Michael Speicher          Medical University of Graz         Austria
Thorston Marquart         University of Münster                          Germany        William Stanford          University of Toronto              Canada
Felipe AlonsoMassó        National Institute of Cardiology Ignacio                      Michael Walter            University of Münster              Germany
Rojas                     Chávez                                        Mexico
Scott Maynard             Danish Cancer Society Research Institute       Denmark        Herbert Waldman           Max Planck Institute               Germany
Ohad Medalia              University of Zurich                           Switzerland    Miguel Weil               Tel Aviv university                Israel
Denis Mottet               University of Liège                            Belgium       Jesús Vazquez Cobos       Haoyue Zhang                       Spain
                          Institute for Basic Science, Center for Genomic
                                                                                        Ulrich auf dem Keller     Maastricht University              The Netherlands
Kyungjae Myung            Integrity (IBS-CGI)                             South Korea
Rivka Ofir                Dead Sea and Arava Science Center             Israel          Haoyue Zhang              Shenzhen Bay Laboratory            China
Silvia Ortega-Gutiérrez   Universidad de Complutense de Madrid          Spain           Alex Zhavoronkov          Federal Clinical Research Centre   Russia
                          Max Perutz Labs, Medical Universityof
                                                                                        Zhongjun Zhou             University of Hong Kong            China
Selma Osmanagic-Myers     Vienna                                        Austria
PRF Medical & Research Database

                    Program Goals:

                             Collect the patient health records for living and
                              deceased children with Progeria

                             Obtain long-term clinical data
                             Abstract data for longitudinal and cross-
                              sectional analyses
                             Better understand the clinical disease process
                              in Progeria and aging related diseases

                             Develop treatment strategies and
                              recommendations for health care professionals
                              and families

© 2022 The Progeria Research Foundation. All Rights Reserved.         July 1, 2022
How The PRF Medical & Research Database Works

                          Project staff obtain the patient’s medical records and film
                           studies from birth throughout the participant’s lifespan.

                          Medical records include visits to: primary care physicians,
                           specialty physicians, hospital emergency rooms, hospital
                           admissions, dentists, physical therapy, occupational therapy
                           and school health records.

                               Retrospective data abstraction protocol allows for
                               specifically targeted or broad spectrum of data.

                    Enrollment information available at: https://www.progeriaresearch.org/medical-
                    database/

© 2022 The Progeria Research Foundation. All Rights Reserved.          July 1, 2022
Medical & Research Database Participation
     Argentina             206 Participants are enrolled from               countries and   US territory      Libya, Mexico
     Australia                                                                                              Morocco, Nepal
    Bangladesh                                                                                                 Netherlands
   Belgium Brazil                                                                                           Oman, Pakistan
   Canada, Chile                                                                                            Peru, Philippines
 China, Columbia                                                                                            Poland, Portugal
     Denmark                                                                                                   Puerto Rico
Dominica Republic                                                                                           Romania, Russia
  Egypt, England                                                                                             Senegal, Serbia
 France, Germany                                                                                               South Africa
    Guatemala,                                                                                                 South Korea
      Guyana                                                                                                Spain, Sri Lanka
  Honduras, India                                                                                          Suriname, Sweden
Indonesia, Ireland                                                                                           Tanzania, Togo
    Israel, Italy                                                                                            Turkey, Ukraine
Japan, Kazakhstan                                                                                           USA, Venezuela
                                                                                                                 Vietnam

           © 2022 The Progeria Research Foundation. All Rights Reserved.   July 1, 2022
Medical & Research Database Longitudinal Enrollment

                                                    250                                                                         Cumulative Number of Countries
                                                                                                                                Cumulative Number of Participants
                                                                                                                                                                                                                                                          206
                   Number of Participants and Countries

                                                                                                                                                                                                                                                    199
                                                    200                                                                                                                                                                                       187
                                                                                                                                                                                                                                        183
                                                                                                                                                                                                                                  176
                                                                                                                                                                                                                            164
                                                                                                                                                                                                                      152
                                                                                                                                                                                                                147
                                                    150
                                                                                                                                                                                                         132
                                                                                                                                                                                              126
                                                                                                                                                                                   117
                                                                                                                                                                        111
                                                                                                                                                              99
                                                    100
                                                                                                                                                    85
                                                                                                                                          77
                                                                                                                                70
                                                                                                                      59
                                                                                                            48
                                                          50                                      43
                                                                                        31                                                                                                                                          51    51    53    53
                                                                                                                                                                                                                         47   48
                                                                                                                                                                                         39         41         42   43
                                                                    20        20                                                                         34        35         36
                                                                                                                           27        27        31
                                                                                   13        16        17        22
                                                               11        11
                                                           0
                                                               2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 Jul,
                                                                                                                                                                       2022
                                                                                                                                                                   Year

© 2022 The Progeria Research Foundation. All Rights Reserved.                                                                                                                                        July 1, 2022
Types Of Data Collected

                           Participants with Medical Records Reports:        166

                           Participants with Radiology Studies:   65

                                                                          160°

© 2022 The Progeria Research Foundation. All Rights Reserved.      July 1, 2022
PRF Weighing-In Program
                           A sub-program of The PRF Medical & Research Database
                           Collects weight-for-age data prospectively:

                                                  Home scale provided by PRF
                                                  Parents weigh child weekly or monthly
                                                  Report weights electronically

© 2022 The Progeria Research Foundation. All Rights Reserved.
Weighing-In Program Participation
              122        Participants are enrolled from                       countries and                US territory
   Argentina                                                                                                                 Nepal
    Australia                                                                                                               Pakistan
  Bangladesh                                                                                                                  Peru
    Belgium                                                                                                                Philippines
      Brazil                                                                                                                 Poland
     Canada                                                                                                                 Portugal
      China                                                                                                               Puerto Rico
   Colombia                                                                                                                 Romania
    Denmark                                                                                                                  Russia
Dominion Republic                                                                                                           Senegal
    England                                                                                                               South Africa
    Germany                                                                                                               South Korea
   Guatemala                                                                                                                  Spain
   Honduras                                                                                                                 Sri Lanka
      India                                                                                                                   Togo
   Indonesia                                                                                                                Tanzania
     Ireland                                                                                                                 Turkey
      Israel                                                                                                                Ukraine
                                                                         Weighing in Participants Around the World
       Italy                                                                         As of July 1, 2019                        USA
      Japan                                                                                                                Venezuela
     Mexico                                                                                                                 Vietnam
    Morocco

         © 2022 The Progeria Research Foundation. All Rights Reserved.                    July 1, 2022
Participants Enrolled In The PRF Weighing-In Program and
                                                    Countries of Residence

                                                                                              Number of Countries
                                                     140
                     Number Enrolled and Number of                                            Number Enrolled                                              118
                                                                                                                                                                      122
                                                     120
                                                                                                                                                106
                        Countries (Cumulative)

                                                                                                                                      99
                                                     100
                                                                                                                            88
                                                                                                        77        80
                                                      80                                      74

                                                      60                            56
                                                                          49
                                                                44
                                                      40                                                                                                         43
                                                                                                                                           39         42
                                                                                                                       34        37
                                                                                         29        30        31
                                                      20             24        26
                                                           20
                                                       0
                                                           2008      2009      2010      2011      2012      2013      2014       2015     2016       2017       2018
                                                                                                             Year

© 2022 The Progeria Research Foundation. All Rights Reserved.                                                               July 1, 2022
Clinical Trials And The Weighing-In Program

  Data from this program were key in the development of
   primary outcome measure for the first drug treatment trial for
   Progeria.

  As of December 1, 2018,   children from The PRF
   Weighing-In Program have entered clinical treatment trials
   using this data.

               Failure to Thrive Starts Towards End of Year One
PRF-Funded Clinical Treatment Trials

© 2022 The Progeria Research Foundation. All Rights Reserved.   July 1, 2022
Clinical Drug Treatment Trials
                    Goals:
                             To define the natural history of
                              HGPS in quantifiable terms
                              that will expand our ability to
                              measure treatment outcome

                             To assess the safety of new
                              treatments for HGPS

                             To measure effects of
                              treatments for children with
                              HGPS on disease status,
                              changes in health, and survival

© 2022 The Progeria Research Foundation. All Rights Reserved.    July 1, 2022
Current Therapeutic Intervention Strategies
                                                                                                 Key Properties of
                                                                                                 Preprogerin/Progerin

                                                                                                 not farnesylated;
                                                                Farnesyl-PP + Preprogerin 1      terminal CaaX box

                                                                                    Farnesyl
                                                                Lonafarnib
                                                                                  transferase

                                                                        Preprogerin 2            farnesylated

                                                                                  Zmpste24

                                                                                                 farnesylated;
                                                                        Preprogerin 3            terminal aaX cleaved

                                                                                  ICMT

                                                                                                 farnesylated;
                                                                                                 carboxymethylated
                                                                 mTOR
                                                Autophagy                    Progerin
                                                                Everolimus

                   Post-translational processing and medications currently under investigation in clinical treatment trials for
                   Progeria. Items in green = enzymes. Items in red = clinical trial medications that inhibit corresponding
                   enzymes. Lonafarnib is a farnesyltransferase inhibitor. Everolimus is a rapamycin analogue that inhibits
                   mTOR and promotes cellular autophagy. FT=farnesyltransferase.

© 2022 The Progeria Research Foundation. All Rights Reserved.                                   July 1, 2022
PRF Funds Clinical Treatment Trials

Year      Drug(s)       Phase         Location       #         Countries
 2007-
          Lonafarnib        2          Boston       29              16
 2010

          Lonafarnib
 2009     Pravastatin   Feasibility    Boston        5              2
          Zoledronate

          Lonafarnib
 2009 -
          Pravastatin        2         Boston       45              24
 2013
          Zoledronate

2014 -
          Lonafarnib        2          Boston       71              32
2021
 2016 –   Lonafarnib
                           1/2         Boston       60              27
present   Everolimus

 2018 -                                          55 from 28 countries enrolled
          Lonafarnib        2          Boston
present                                          as of July 1, 2022
Participation in PRF Clinical Trials
   Argentina                                                                                          Morocco
    Australia        99      Children have participated in PRF Clinical Trials from 40 countries       Pakistan
     Belgium                                                                                             Peru
      Brazil                                                                                         Philippines
     Canada                                                                                             Poland
      China                                                                                            Portugal
    Colombia                                                                                          Romania
    Denmark                                                                                             Russia
Dominican Republic                                                                                      Serbia
      Egypt                                                                                         South Africa
     England                                                                                        South Korea
    Germany                                                                                              Spain
   Honduras                                                                                           Sri Lanka
      India                                                                                           Suriname
      Israel                                                                                           Sweden
       Italy                                                                                          Tanzania
      Japan                                                                                              Togo
      Libya                                                                                             Turkey
     Mexico                                                                                            Ukraine
                                                                                                          USA
                                                                                                     Venezuela

                     © 2022 The Progeria Research Foundation. All Rights Reserved.   July 1, 2022
Clinical Treatment Trial Efficacy Results
                Lonafarnib, a type of farnesyltransferase inhibitor (FTI) is our
                                 first treatment for Progeria.

             Results showed improvement in:
                  Rate of weight gain
                  Increased vascular distensibility
                  Improved bone structure
                  Better neurosensory hearing
                  Increased Lifespan
                                                                Gordon et al, PNAS, 2011

© 2022 The Progeria Research Foundation. All Rights Reserved.       July 1, 2022
Positive Effects of Lonafarnib (Zokinvy) on Progeria:
        Results of PRF’s Clinical Treatment Trials

          Average increased lifespan of 2.5 years
          Increased vascular distensibility
          Improved bone structure
          Better neurosensory hearing
          Modest increase in rate of weight gain

    Gordon et al., PNAS, 2011 and
    Gordon et al., JAMA, 2018
© 2022 The Progeria Research Foundation. All Rights Reserved.   April 1, 2022
3 Ways to Access Lonafarnib (Zokinvy)

Zokinvy (lonafarnib) is an FDA approved drug in
the US. It is the current standard of care for
those with Progeria. It is available through
   1. Prescription in the US
   2. PRF’s clinical treatment trials
   3. The manufacturer’s (Eiger) Managed
      Access Program in select non-US
      countries

We are far from finished!
We must forge ahead with increased intensity
and collaborative efforts to find additional
treatments, and the cure!
Treatment Trial Collaborations For Success
                           The children are seen by physicians from:
                                      Boston Children’s Hospital
                                      Dana-Farber Cancer Institute
                                      Brigham and Women’s Hospital

                           Data were also generated by scientists from:
                                      Alpert Medical School at Brown University
                                      Brown University School of Public Health
                                      University of California Los Angeles
                                      National Human Genome Research Institute
                                      Schering-Plough Research Institute

                           Lonafarnib generously provided by Eiger
                           Everolimus generously provided by Novartis
© 2022 The Progeria Research Foundation. All Rights Reserved.                July 1, 2022
Clinical Trial Publications
                   Drug Effect:
                         Association of Lonafarnib Treatment vs No Treatment With Mortality Rate in Patients With Hutchinson-Gilford Progeria Syndrome.
                         Gordon et al, JAMA, 2018, 319(16):1687-1695.

                         Survey of Plasma Proteins in Children with Progeria Pre-therapy and On-Therapy with Lonafarnib. Gordon et al, Pediatric Research,
                         2018 Jan 17. Epub Ahead of Print.

                         Clinical Trial of the Protein Farnesylation Inhibitors Lonafarnib, Pravastatin, and Zoledronic Acid in Children With Hutchinson-Gilford
                         Progeria Syndrome. Gordon et al, Circulation, 2016 Jul 12;134(2):114-25.

                         Seeking a Cure for One of the Rarest Diseases: Progeria. Collins FS. Circulation, 2016 Jul 12;134(2):126-9.

                         Impact of Farnesylation Inhibitors on Survival in Hutchinson-Gilford Progeria Syndrome. Gordon et al, Circulation, 2014 Jul 1;130(1):27-
                         34.

                         Moving from Gene Discovery to Clinical Trials in Hutchinson-Gilford Progeria Syndrome. King et al, Neurology, 2013 Jul 30;81(5):408-9.

                         Clinical Trial of a Farnesyltransferase Inhibitor in Children with Hutchinson-Gilford Progeria Syndrome. Gordon et al, Proceedings of the
                         National Academy of Sciences, 2012 Sep 24.

                         Neurologic Features of Hutchinson-Gilford Progeria Syndrome after Lonafarnib Treatment. Ullrich et al, Neurology, 2013, 81:427-430.
                   General:
                         Phenotype and Course of Hutchinson-Gilford Progeria Syndrome. Meredith et al, New England Journal of Medicine, 2008, 358(6): 592-
                         604.

                         Pubertal Progression in Adolescent Females with Progeria. Greer et al, Journal of Pediatric and Adolescent Gynecology, 2017 Dec 17.
                         Epub Ahead of Print.

                         Clonal hematopoiesis is not prevalent in Hutchinson-Gilford progeria syndrome. Díez-Díez, et al., GeroScience. published online ahead
                         of print, 2022 Jun 25.
                    Dermatology:
                         Initial Cutaneous Manifestations of Hutchinson-Gilford Progeria Syndrome. Rork et al, Pediatric Dermatology,2014,1-7.

© 2022 The Progeria Research Foundation. All Rights Reserved.                                             July 1, 2022
Clinical Trial Publications Continued
                  Dental:
                        Hutchinson-Gilford Progeria Syndrome: Oral and Craniofacial Phenotypes. Domingo et al, Oral Diseases, 2009, 15(3):187-195.
                  Cerebrovascular:
                        Imaging Characteristics of Cerebrovascular Arteriopathy and Stroke in Hutchinson-Gilford Progeria Syndrome. Silvera et al, American Journal of
                        Neuroradiology, 2013 May;34(5):1091-7.
                  Cardiology:
                        Cardiac Abnormalities in Patients With Hutchinson-Gilford Progeria Syndrome. Prakask, et al, JAMA Cardiology, 2018, Apr 17;115(16):4206-4211.

                        Mechanisms of Premature Vascular Aging in Children with Hutchinson-Gilford Progeria Syndrome. Gerhard-Herman M, et al., Hypertension. 2012
                        Jan;59(1):92-97; Epub 2011 Nov 14.
                  Skeletal:
                        Hutchinson-Gilford progeria is a skeletal dysplasia. Gordon,et al., Journal of Bone and Mineral Research. 2011Jul;26(7):1670-9.

                        A Prospective Study of Radiographic Manifestations in Hutchinson-Gilford Progeria Syndrome. Cleveland et al, Pediatric Radiology, 2012 Sep;42(9):1089-
                        98. Epub 2012 Jul 1.

                        Craniofacial Abnormalities in Hutchinson-Gilford Progeria Syndrome. Ullrich et al, American Journal of Neuroradiology. 2012 Sep;33(8):1512-8.

                        Extraskeletal Calcifications in Hutchinson-Gilford Progeria Syndrome. Gordon, CM et al. Bone. 2019 Aug;125:103-111. Epub 2019 May 8.

                        . Skeletal maturation and long-bone growth patterns of patients with Progeria: a retrospective study. Tsai, A et al,The Lancet. Child and Adolescent Health.
                        2021. ePub 2021 Feb 28.
                  Ophthalmology:
                        Ophthalmologic Features of Progeria. Mantagos et al., American Journal of Ophthalmology, 2017 Jul 27.
                  Audiology:
                        Otologic and Audiologic Manifestations of Hutchinson-Gilford Progeria Syndrome. Guardiani et al, The Laryngscope, 2011, 121(10): 2250-2255.
                        Microbiome at Sites of Gingival Recession in Children with Hutchinson-Gilford Progeria Syndrome. Bassir et al.
                        Journal of Periodontology. 2018, 89(6): 635-644.
© 2022 The Progeria Research Foundation. All Rights Reserved.                                                 July 1, 2022
PRF Grants Program
                    Program Goals:
                           Attract high level researchers to the field of Progeria, and
                            provide the ability for them to thrive in the field
                           Foster researchers of interest to PRF’s mission
                           Encourage high quality publications
                           Stimulate novel research that will lead to larger grants from
                            other resources such as NIH, Ellison Foundation, and others
                           Projects that are likely to lead to clinical treatment trials
                            within 5 years
                           Development of gene and cell based therapies to treat
                            Progeria
                                                  Grants program information available at
                                     https://www.progeriaresearch.org/research-funding-opportunities/
© 2022 The Progeria Research Foundation. All Rights Reserved.             July 1, 2022
PRF Medical Research Committee
                                  Volunteer MRC Reviews Grant Applications Semi-annually

                                      Back Row (L to R): Tom Glover PhD, Vicente Andrés Garcia PhD, Tom Mistelli PhD, Maria
                                      Eriksson PhD, W Ted Brown MD, PhD, Frank Rothman PhD (emeritus), Bryan Toole PhD(chair)

                                      Front Row (L to R): Monica Kleinman MD, Christine Harling-Berg PhD, Judy Campisi PhD,
                                      Leslie Gordon MD, PhD, Marsha Moses PhD

© 2022 The Progeria Research Foundation. All Rights Reserved.                                 July 1, 2022
PRF Granting Structure
                          PRF’s research focus is highly translational. Topics must fall within the following research
                          priorities:

                               Projects that are likely to lead to clinical treatment trials within 5 years. This includes the
                                discovery and/or testing of candidate treatment compounds in cell-based or animal models
                                of HGPS. Only proposals that test compounds in a progerin-producing animal or cell model
                                will normally be considered. Analyses in non progerin-producing models are acceptable,
                                but only as a comparison to progerin-producing models and with strong justification.

                               Development of gene-and cell-based therapies to treat Progeria

                               Assessment of natural history of disease that may be important to developing outcome
                                measures in treatment trials (preclinical or clinical)

                          Phase I Proposals: Awards are typically for 1-2 years in the range of $75,000/year. PRF will
                          conduct a thorough cost analysis for each project during evaluations of submissions.

                          Required Qualifications. Principal investigators must hold a faculty appointment or equivalent.
                          Awards will be granted only to applicants affiliated with institutions with 501(c)3 tax-exempt
                          status, or the equivalent for foreign institutions.

                          Letter of Intent (LOI). A letter of intent is required and must be approved before a full application
                          will be considered. Instructions to submit a Letter of Intent and grant application information, can
                          be found at https://www.progeriaresearch.org/grant-application/.

© 2022 The Progeria Research Foundation. All Rights Reserved.                          July 1, 2022
Grant Funding Rates And Topics
                        As of March 31, 2022, The PRF funding rate is 31%
                          Since inception 274 grant application received and 82
                            funded
                          PRF has funded 68 principal investigators from 54
                            institutions in 14 countries
                                             Lamina A, progerin, Lamin B in HGPS and aging
                                             Genetics and nuclear function

                                             Preclinical Drug Therapy
                                             Molecular Abnormalities and Therapies
                                             Vascular Pathology

                                             Mouse Models
                                             Stem Cell Investigations and Therapy
                                             Clinical Trials

© 2022 The Progeria Research Foundation. All Rights Reserved.   * Submissions include Letters of Intent and Full Grants
USA PRF Grantees
                   GRANTEE NAME          INSTITUTION                                     GRANTEE NAME           INSTITUTION
                   Richard Assoian       University of Pennsylvania                      Joan Lemire            Tufts University of Medicine
                   Jemima Barrowman      Johns Hopkins University                        Jason Lieb             University of North Carolina
                   Juan Carlos Belmonte Salk Institute for Biological Studies             David Lui             Broad Institute
                                        The Institute for Basic Research in Developmental
                   Ted Brown            Disabilities                                      Monica Mallampalli    The Johns Hopkins School of Medicine
                   Abigail Buchwalter    University of California, San Francisco         Susan Michaelis        The Johns Hopkins School of Medicine
                   Kan Cao               NIH; University of Maryland                     Thomas Misteli         National Cancer Institute
                                                                                                                Harvard Medical School; Boston Children’s
                   Christopher Carroll   Yale University                                 Marsha Moses           Hospital
                   Francis Collins       National Institute of Health                    Junko Oshima           University of Washington
                   Lucio Comai           University of Southern California               Bryce Paschal          University of Virginia
                   John P. Cooke         Houston Methodist Research Institute            Joseph Rabinowitz      Temple Medical School
                   Kris Dahl             Carnegie Mellon University                      John M. Sedivy         Brown University
                   Jed W. Fahey          Johns Hopkins School of Medicine                Dale Shumaker          Northwestern University
                   Toren Finkel          NIH                                             Michael Sinensky       East Tennessee State University
                   Loren Fong            UCLA                                            Brian Snyder           Beth Israel Hospital
                   Michael Gimbrone      Brigham & Women's Hospital                      Dylan Taatjes          University of Colorado
                   Thomas W. Glover      University of Michigan                          Jakub Tolar            University of Minnesota
                   Robert Goldman        Northwestern University                         Katherine Ullman       University of Utah
                   Leslie B. Gordon      Tufts University School of Medicine; Brown U.   Thomas Wight           Benaroya Research Institute
                   John Graziotto        Massachusetts General Hospital                  Katherine Wilson       Johns Hopkins University
                   Brian Kennedy         Buck Institute for Research on Aging            Stephen Young          UCLA

                   Jan Lammerding        Cornell University                              Yue Zou                East Tennessee State University
                   Dudley Lamming        University of Wisconsin Madison
© 2022 The Progeria Research Foundation. All Rights Reserved.                                    July 1, 2022
International PRF Grantees

                   GRANTEE NAME                            INSTITUTION                                                         COUNTRY
                   Vicente Andrés Garcia                   Centro Nacional de Investigaciones Cardiovasculares                 Spain
                   Samuel Benchimol                        York University, Toronto                                            Canada
                   Martin Bergö                            Karolinska Institute                                                Sweden
                   Claudia Cavadas                         University of Coimbra                                               Portugal
                   Jesús Vázquez Cobos                     Centro Nacional de Investigaciones Cardiovasculares                 Spain
                   Mario Cordero                             Biomedical Research and Innovation Institute of Cadiz (INIBICA)   Spain
                   Thomas Dechat                           Medical University of Vienna                                        Austria
                   Karima Djabali                          Technical University of Munich                                      Germany
                   Maria Eriksson                          Karolinska Institute                                                Sweden
                   Gerardo Ferbeyre                        Université de Montreal                                              Canada
                   Célia Ferreira de Oliveira Aveleira     University of Coimbra                                               Portugal
                   Roland Foisner                          Medical University of Vienna                                        Austria
                   Chiara Lanzuolo                         Instituto Nazionale Genetica Molecolare                             Italy
                   Giovanna Lattanzi                       University of Bologna                                               Italy
                   Elsa Logarinho                          University of Porto                                                 Portugal
                   Evgeny Makarov                          Brunel University                                                   England
                   Silvia Ortega-Gutiérrez                 Universidad Complutense de Madrid                                   Spain
                   Bum-Joon Park                           Pusan National University                                           Korea
                   Isabella Saggio                         Sapienza University of Rome                                         Italy
                   Charlotte Sorenson                      Centro Nacional de Investigaciones Cardiovasculares                 Spain
                   William Stanford                        University of Toronto                                               Canada
                   Colin Stewart                           Institute of Medical Biology                                        Singapore
                   Ricardo Villa-Bellosta                  Instituto de Investigación Sanitaria - Fundación Jiménez Díaz       Spain
                   Anthony Weiss                           University of Sydney                                                Australia
                   Zhongjun Zhou                           University of Hong Kong                                             China
© 2022 The Progeria Research Foundation. All Rights Reserved.                                            July 1, 2022
PRF Scientific Meetings
                Meeting Goals:
                        To promote
                         collaboration
                         between basic and
                         clinical scientists
                         toward progress in
                         Progeria,                               13
                         cardiovascular, and
                         aging research PRF
                           has held      13
                           international
                           scientific meetings.
                          2020 PRF Workshop
                          Webinar

© 2020 The Progeria Research Foundation. All Rights Reserved.
International Workshops Promoting Global Interest In Progeria,
                                            Cardiovascular Disease And Aging

                         These are large multi-day workshops open to all scientists. Clinical and basic
                           researchers spend intense days sharing data and planning new
                           collaborations for progress towards treatments and cure.

                         Various NIH Institutes have funded all international workshops through R13
                           and other granting mechanisms

                         Other organizations have also generously sponsored workshops

© 2022 The Progeria Research Foundation. All Rights Reserved.
Growth of Global Interest In PRF Workshops

                             400               Number of Posters                                                                                                     377

                             350               Registrant Countries
                             300
                                               Registrant Number
                             250
                    Number

                             200                                                                                     180             173
                                                                                                                                                     156
                                                                                                     140
                             150
                                                                                     100
                                                                      90
                             100
                                                       56                                                  56                              52                   50
                                          46                                                                               46
                             50                                            30              36
                                                            20                                                  18              14              14
                                      3            5             10             10              10
                              0
                                     2001        2003        2005           2007            2010            2013            2016            2018              2020
                                                                                PRF Workshop Year                                                          2020 was a webinar.
                                                                                                                                                           Posters N/A

© 2022 The Progeria Research Foundation. All Rights Reserved.                                                          July 1, 2022
Subspecialty Scientific Meetings
                       Small, focused meetings designed to promote and support work in areas of high
                                                    interest for Progeria

                             First Genetics Consortium Meeting – “Searching
                             for the Progeria Gene”, August 23, 2002, Brown
                             University, Providence, RI

                             Second Genetics Consortium Meeting – “Post-
                             gene Discovery”, July 30, 2003, Bethesda, MD

                             Bone Marrow Transplant Meeting – “Forging
                             Ahead by Exploring Potential Treatments”, April
                             25-26, 2004, National Institutes of Health,
                             Bethesda, MD

                             New Frontiers in Progeria Research (2012),
                             Boston, MA

© 2022 The Progeria Research Foundation. All Rights Reserved.                           July 1, 2022
PRF–cited Scientific Publications
                                                                As of July 1, 2022:
                                Scientific articles have been published citing The Progeria Research Foundation
                       174
                                Grants Funding Program

                       108      Scientific articles have been published citing PRF Cell & Tissue Bank resources:

                        99               Publication list at www.progeriaresearch.org/prf-cell-and-tissue-bank-
                                         publications/
                        30       Scientific articles have been published citing The PRF Medical & Research Database:
                                        Publication list at www.progeriaresearch.org/medical-database/

                        24      Scientific articles have been published from clinical trial data

                                        See slide #57 and #58

                         4       Scientific articles have been published concerning PRF Scientific Workshops

                       23

© 2022 The Progeria Research Foundation. All Rights Reserved.
Progeria Clinical Care Handbook

                       The Progeria Handbook 2nd Edition. A
                       Guide for Families & Health Care
                       Providers of Children with Progeria. The
                       Progeria Research Foundation. Leslie B. Gordon
                       MD, PhD; Medical Director (editor) 2019.

                                    Provided in Chinese, English,
                                    Japanese and Spanish

                                    Expert contributors from Boston
                                    Children’s Hospital
                                   Number of Progeria Care Handbooks distributed to
                                   families of those with Progeria and their care givers:      857

© 2022 The Progeria Research Foundation. All Rights Reserved.                   July 1, 2022
The Progeria Research Foundation
                      Finding…
                                          Diagnosing…
                                                                     Studying…
                                                                                  Treating…
                                                                                              CURING

                                            Together We WILL Find The Cure!
                                                                www.progeriaresearch.org
© 2022 The Progeria Research Foundation. All Rights Reserved.
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