# EDGAR Filing Document

**Accession Number:** 0001781983
**File Stem:** 0001104659-23-006731
**Filing Date:** 2023-1
**Character Count:** 40978
**Document Hash:** b2b8f1e4816ea07a7da11eeee732b699
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001104659-23-006731.hdr.sgml**: 20230126

**ACCESSION NUMBER**: 0001104659-23-006731

**CONFORMED SUBMISSION TYPE**: 8-K

**PUBLIC DOCUMENT COUNT**: 46

**CONFORMED PERIOD OF REPORT**: 20230126

**ITEM INFORMATION**: Other Events

**ITEM INFORMATION**: Financial Statements and Exhibits

**FILED AS OF DATE**: 20230126

**DATE AS OF CHANGE**: 20230126

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Aprea Therapeutics, Inc.
- **CENTRAL INDEX KEY:** 0001781983
- **STANDARD INDUSTRIAL CLASSIFICATION:** PHARMACEUTICAL PREPARATIONS [2834]
- **IRS NUMBER:** 000000000
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 8-K
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-39069
- **FILM NUMBER:** 23553938

**BUSINESS ADDRESS:**
- **STREET 1:** 535 BOYLSTON STREET
- **CITY:** BOSTON
- **STATE:** MA
- **ZIP:** 02116
- **BUSINESS PHONE:** 6095104718

**MAIL ADDRESS:**
- **STREET 1:** 535 BOYLSTON STREET
- **CITY:** BOSTON
- **STATE:** MA
- **ZIP:** 02116

?xml version="1.0" encoding="utf-8"?

**UNITED STATES**

**SECURITIES AND EXCHANGE COMMISSION**

**Washington, D.C. 20549**

**FORM 8-K**

**CURRENT REPORT**

**Pursuant to Section 13 or 15(d)**

**of the Securities Exchange Act of 1934**

**January 26, 2023**

Date of Report (Date of earliest event reported)

**Aprea Therapeutics, Inc.**

(Exact name of registrant as specified in its charter)

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|:---|:---|:---|:---|
| &nbsp;&nbsp;**Delaware** | &nbsp;&nbsp;**001-39069** | &nbsp;&nbsp;**001-39069** | &nbsp;&nbsp;**84-2246769** |
| &nbsp;&nbsp;(State or other jurisdiction<br> of incorporation) | &nbsp;&nbsp;(Commission<br> File Number) | &nbsp;&nbsp;(Commission<br> File Number) | &nbsp;&nbsp;(IRS Employer<br> Identification No.) |
| &nbsp;&nbsp;**3805 Old Easton Road**<br> **Doylestown** **, PA**<br> (Address of principal executive offices) | &nbsp;&nbsp;**3805 Old Easton Road**<br> **Doylestown** **, PA**<br> (Address of principal executive offices) | &nbsp;&nbsp;<br> **18902**<br> (Zip Code) | &nbsp;&nbsp;<br> **18902**<br> (Zip Code) |

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&nbsp;&nbsp;Registrant's telephone number, including area code: **(617) 463-9385**<br>(Former name or former address, if changed since last report):<br>

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

◻ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

◻ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

◻ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

◻ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

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|:---|:---|:---|
| **Title of each class** | **Trading Symbol(s)** | **Name of each exchange on** <br> **which registered**  |
| Common stock, par value $0.001 per share | APRE | NASDAQ Global Select Market |

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

Emerging growth company ⌧

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

**Item 8.01 Other Events.**

On January 26, 2023, Aprea Therapeutics, Inc. (the "Company") will be presenting at the 6<sup>th</sup> Annual DDR Inhibitors Summit, held in Boston, Massachusetts. Copies of the presentation slide decks that the Company will use at the 6<sup>th</sup> Annual DDR Inhibitors Summit are filed herewith as Exhibit 99.1 and Exhibit 99.2, respectively, and are hereby incorporated by reference herein.

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| **Item 9.01.** | **Financial Statements and Exhibits.** |

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(d) <u>Exhibits</u>.

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|:---|:---|
| **Exhibit<br> Number** | **Description** |
| [99.1](tm234468d1_ex99-1.htm) | [Aprea Therapeutics, Inc. Presentation.](tm234468d1_ex99-1.htm) |
| [99.2](tm234468d1_ex99-2.htm) | [Aprea Therapeutics, Inc. Presentation.](tm234468d1_ex99-2.htm) |
| 104 | Cover Page Interactive Data File (embedded within the Inline XBRL Document). |

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**SIGNATURES**

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

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|:---|:---|:---|
|  | **Aprea Therapeutics, Inc.** | **Aprea Therapeutics, Inc.** |
| Dated: January 26, 2023 | By: | /s/ Oren Gilad |

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Name: Oren Gilad <br> Title: President and Chief Executive Officer

## Exhibit 99.1

**Exhibit 99.1**

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img001.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;© 2023 Aprea Therapeutics, Inc. All Rights Reserved. 1 January 24 - 26 , 2023 \| Boston, MA \| ddr - inhibitors - summit.com  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img002.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;2 Adding On to Monotherapy: Combining DDR Inhibitors January 2023  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img003.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Forward - Looking Statements Certain information contained in this presentation includes "forward - looking statements", within the meaning of Section 27A of t he Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, related to our clinic al trials, regulatory submissions and strategic plans. We may, in some cases use terms such as "predicts," "believes," "potential," "con tin ue," "anticipates," "estimates," "expects," "plans," "intends," "may," "could," "might," "likely," "will," "should" or other words th at convey uncertainty of the future events or outcomes to identify these forward - looking statements. The forward - looking statements are ba sed on current beliefs and expectations of our management team that involve risks, potential changes in circumstances, assumption s, and uncertainties. Any or all of the forward - looking statements may turn out to be wrong or be affected by inaccurate assumptions ou r management team might make or by known or unknown risks and uncertainties. These forward - looking statements are subject to risks and uncertainties including, without limitation, risks related to the success and timing of our clinical trials or othe r s tudies and the other risks set forth in our filings with the U.S. Securities and Exchange Commission, including our Annual Reports on Fo rm 10 - K and Quarterly Reports on Form 10 - Q. Forward - looking statements regarding our product candidates are also subject to additional risks and uncertainties, including without limitation, with respect to: our dependence on additional financing to fund our op era tions and complete the development and commercialization of our product candidates, and the risks that raising such additional capi tal may restrict our operations or require us to relinquish rights to our technologies or product candidates; our limited history an d preclinical status of the assets we acquired from Atrin Pharmaceuticals Inc.; our business plan or the likelihood of the suc ces sful implementation of such business plan; the timing of initiation of planned clinical trials for our product candidates; the fut ure success of such trials; the successful implementation of our research and development programs and collaborations and the interpretat ion of the results and findings of such programs and collaborations and whether such results are sufficient to support the future su cce ss of our product candidates; the success, timing and cost of our anticipated clinical trials for our current product candidates; t he timing of initiation, futility analyses, data presentation, reporting and publication and receipt of interim results (including, withou t l imitation, any preclinical results or data); any statements about our understanding of product candidates mechanisms of action and interpretation of preclinical and early clinical results from its clinical development programs and any collaboration studies ; a nd other factors, including legislative, regulatory, political and economic developments not within our control. For all these reasons , a ctual results and developments could be materially different from those expressed in or implied by our forward - looking statements. You are cautioned not to place undue reliance on these forward - looking statements, which are made only as of the date of this presentati on. We undertake no obligation to update such forward - looking statements to reflect subsequent events or circumstances, except to th e extent required by law or regulation.© 2023 Aprea Therapeutics, Inc. All Rights Reserved. 3  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img004.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Combinations to combat emerging resistance: identifying combination agents© 2023 Aprea Therapeutics, Inc. All Rights Reserved. 4  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img005.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Potential Benefits For Combination Therapy: • Overcome Resistance • Increase Efficacy • Reduce Toxicity • Indication Expansion Drug Target 1 Cancer mutation Drug Target 2 SL SL SL Drug Combination SL Approach  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img006.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Combining DDR Inhibitors with PARPi : Standard of Care  |

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|:---|:---|
| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img007.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;PARP inhibitor – based combination treatment strategies Broad categories of PARP inhibitors: combination treatment strategies© 2023 Aprea Therapeutics, Inc. All Rights Reserved. Pilié et al., Clin Cancer Res. 2019;25(13):3759 - 3771  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img008.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Comparison of PARP inhibitors under clinical development Including toxicity profile© 2023 Aprea Therapeutics, Inc. All Rights Reserved. Pilié et al., Clin Cancer Res. 2019 ; 25 (13): 3759 - 3771  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img009.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;9 Parameter AstraZeneca AZD6738 (1)(2) Bayer BAY1895344 (3) Repare / Roche (4) RP - 3500 (5) Route Of Administration Oral Oral Oral Clinical Studies Chosen (MTD/RP2D) , Dose Schedule 160mg BID, 2 - weeks - on, 2 - weeks - off , or: Continuous dosing (1) 40mg BID, 3 - days - on/4 - days - off 160mg QD, 3 - days - on/4 - days - off Main Grade ≥3 Hematological toxicities reported at Chosen Dose Schedule (MTD/RP2D), in clinical studies Patriot 1, Escalation Phase, 160mg, BID (2) : Anemia (1/6, 17%) Patriot 2, Expansion Phase (1) : Fatigue, anemia, nausea & thrombocytopenia (not differentiated) (1) : (4/6, 67%) with c ontinuous dosing (3/15, 20%) with 2 - week - on, 2 - week - off Anemia (2/2, 100%) Neutropenia (1/2, 50%) Anemia (23/95, 24%) Neutrophil count decreased (10/95, 11%) Platelet count decreased (5/95, 5%) Note: Head - to - head studies with ATRN - 119 have not been conducted (1) Phase I study of ATR inhibitor, AZD6738, as monotherapy in advanced solid tumors (PATRIOT part A, B), Dillon et al, Volum e 3 0, October 2019, Pages v165 - v166 (2) Poster CT084: A Phase I dose - escalation study of ATR inhibitor monotherapy with AZD6738 in advanced solid tumors (PATRIOT Pa rt A), AACR 2017 (3) First - in - Human Trial of the Oral Ataxia Telangiectasia and RAD3 - Related (ATR) Inhibitor BAY 1895344 in Patients with Advance d Solid Tumors, Yap et al, Cancer Discov 2021;11:80 - 91 and 2019 ASCO Poster, De - Bono et al. (4) Repare announced a worldwide license and collaboration agreement with Roche on June 1, 2022 (5) Preliminary Phase 1 Data From Ongoing First - in - Human Phase 1/2 TRESR Study of RP - 3500, AACR 2022 ATR Landscape: Current ATRs Structurally Similar in Backbone, and Toxicity Profile Potential overlapping toxicity in combination with other agents may limit therapeutic affect© 2023 Aprea Therapeutics, Inc. All Rights Reserved.  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img010.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;10 Parameter ATRN - 119 (1) Route Of Administration Oral Clinical Studies Chosen (MTD/RP2D) , Dose Schedule continuous once - daily dosing (dose TBD in Phase 1) (1) Hematological toxicities in preclinical studies Pre - Clinical, Toxicology Studies: • In 28 - day GLP tox study in dogs, hematological changes were of small magnitude with complete recovery • In a head - to - head comparative tolerability study, ATRN - 119 demonstrated significantly less toxicity than another oral ATRi that is currently in clinical development Note: ATRN - 119 has not yet been tested clinically (1) ATRN - 119, Phase 1/2a Clinical Study Protocol ATRN - 119: Potential Best - in - Class Oral ATR Inhibitor With Structurally Differentiated Core, Backbone, and Toxicity Profile ATRN - 119 potential for reduced toxicity could make it a preferred ATR inhibitor as a single agent, as well as a candidate for combination with standard of care therapies© 2023 Aprea Therapeutics, Inc. All Rights Reserved.  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img011.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;ATRN - 119 + PARPi Shows Negligible Weight Loss Over Time ATRN - 119 + PARPi Inhibits Ovarian Tumor Growth Over Time ATRN - 119 + Olaparib (Lynparza®): Regression of BRCA2 - Deficient Ovarian (HGSOC) Tumors© 2023 Aprea Therapeutics, Inc. All Rights Reserved. 11 Pre - clinical studies with ATRN - 119 Human Ovarian PDX - PARPi & ATRi Tumor Size Based on pre - clinical results to date, the combination of ATRN - 119 and PARPi has shown potentially compelling tumor growth inhibition ATRN - 119 + PARPi Shows Negligible Body Weight Loss During Treatment Based on pre - clinical results to date, the combination of ATRN - 119 and PARPi potentially appears to be well tolerated  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img012.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;12 Leading WEE1i are potent but off - target PLK1, PLK2 and PLK3© 2023 Aprea Therapeutics, Inc. All Rights Reserved. AZD - 1775 (1) ZN - c3 Leading WEE 1 i are potent but off - target PLK 1 , PLK 2 and PLK 3 On - Target IC 50 (nM) Off - Target Inhibition at 1 m M (%) WEE1 PLK1 PLK2 PLK3 ZN - c3 (1) 3.8 79 96 92 AZD - 1775 (12) 3.9 70 101 91 1. Huang et al, J Med Chem , 2021 2. AstraZeneca announced discontinuation of AZD - 1775 development on June 29, 2022  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img013.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;ATRN - W1051 is potentially differentiated from other WEE1 inhibitors© 2023 Aprea Therapeutics, Inc. All Rights Reserved. 13 (1) Head - to - head studies have not been conducted. (2) Huang et al, J Med Chem, 2021 On - Target IC 50 (nM) Off - Target Inhibition at 1 m M (%) WEE1 PLK1 PLK2 PLK3 ATRN - W1051 2.2 17 33 12 ZN - c3 (1) 3.8 79 96 92 AZD - 1775 (1) 3.9 70 101 91 PLK 1 IC 50 = 2,550 nM No - drug 500 250 125 62 15 8 2 1 1,000 Tubulin pCDK1 ATRN - W1051 (nM) 4 31 ATRN - W 1051 IC 50 for PLK 1 inhibition is > 1000 - fold higher than for WEE 1 inhibition  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img014.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;ATRN - W1051 potently inhibits OvCa cell proliferation both alone and in combination© 2023 Aprea Therapeutics, Inc. All Rights Reserved. 14 -3 -2 -1 0 1 2 3 4 5 6 0 2 4 6 Days Post Initial Treatment ATRN - W1051 (125nM) + low - dose ATRN - 119 (ATRi) in OVCAR8 Vehicle ATRN - 119 ATRN - W1051 Combination -5 -4 -3 -2 -1 0 1 2 3 4 5 0 2 4 6 Cumulative Cell Doublings Days Post Initial Treatment ATRN - W 1051 dose response, OVCAR 8 Vehicle 8 nM 15.6 nM 31.6 nM 62.5 nM 125 nM 250 nM 500 nM -4 -3 -2 -1 0 1 2 3 4 5 6 0 2 4 6 Days Post - Initial Treatment ATRN - W1051 (100 nM) + Gemcitabine (50 nM) in OVCAR8 Vehicle Gem ATRN - W 1051 Combination  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img015.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;ATRN - W1051 has potentially compelling PK and anti - tumor activity© 2023 Aprea Therapeutics, Inc. All Rights Reserved. 15 1. Head - to - head studies have not been conducted. 2. Data from study in normal mice 3. Data from study in A - 427 NSCLC xenograft model as reported in Zentalis Corporate Overview, March 2022© 2022 Aprea Therapeutics, Inc. All Rights Reserved. 15 ATRN - W 1051 (1,2) ZN - c3 (13) AZD - 1775 (13) Dose (mg/kg/d) 10 20 40 80 20 40 80 C max , ng/mL 1219 1167 1997 5100 635 2460 4703 T max , hr 2 1 1 1 1 1 1 AUC 0 - 24 , ng\* hr /mL 14,211 4863 17,088 39,722 1494 6,313 13,408 Tumor concentration, ng/mL 9000 ng/gr (@ 15 mg/kg/d) 10.5 48 811 BQL BQL 6.95 OVCAR 3 CCNE 1 - amplified xenograft model Anti - tumor activity of ATRN - W1051 – Oral administration 0 200 400 600 800 1,000 1,200 1,400 1,600 0 10 20 30 Tumor Volume (mm 3) Days Post Treatment ATRN - W 1051 30 mg/kg/d Vehicle 0 200 400 600 800 1,000 1,200 1,400 1,600 0 10 20 30 Tumor Volume (mm ³) Days Post Treatment Vehicle ATRN - W1051 15 mg/kg/d + Aprea 2 nd Gen ATRi 15 mg/kg/d Preclinical data highlight potentially favorable PK properties of ATRN - W 1051  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img016.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Summary • Numerous ongoing trials investigating inhibitors in Synthetic Lethality and DDR as monotherapy or in combination • PARP inhibitors are approved as standard of care • Toxicity remains a major challenge in the development of new therapies as single agents and in combination • ATRN - 119 ' s potential for reduced toxicity could make it a preferred ATR inhibitor as a single agent, as well as a candidate for combination with standard of care therapies • ATRN - W 1051 is a potent WEE 1 i (2.2 nM IC 50) with low off - target inhibition of PLK 1 , PLK 2 and PLK 3 • ATRN - W 1051 has the potential to become a promising therapeutic candidate as a singly agent and in combination with ATRi ..© 2023 Aprea Therapeutics, Inc. All Rights Reserved. 16© 2022 Aprea Therapeutics, Inc. All Rights Reserved. 16  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-1img017.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;ATRN - 119 causes recruitment of factors previously shown to be SL with ATRi In collaboration with Aprea Therapeutics Yap et al .. , Cancer Discov ery, 2021 Ngoi et al .. , Trends Cancer , 2021 Chen et al .. , Molecular Cancer , 2009 Wang et al .. , Oncogene , 2019 Zimmerman et al .. , Cell Report, 2022  |

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## Exhibit 99.2

**Exhibit 99.2**

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|:---|:---|
| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-2img001.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;© 2023 Aprea Therapeutics, Inc. All Rights Reserved. 1 January 24 - 26, 2023 \| Boston, MA \| ddr - inhibitors - summit.com  |

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|:---|:---|
| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-2img002.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;2 Understanding DDRi's In the Clinic: Why is Toxicity Such a Big Issue? January 2023  |

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|:---|:---|
| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-2img003.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Forward - Looking Statements Certain information contained in this presentation includes "forward - looking statements", within the meaning of Section 27A of t he Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, related to our clinic al trials, regulatory submissions and strategic plans. We may, in some cases use terms such as "predicts," "believes," "potential," "con tin ue," "anticipates," "estimates," "expects," "plans," "intends," "may," "could," "might," "likely," "will," "should" or other words th at convey uncertainty of the future events or outcomes to identify these forward - looking statements. The forward - looking statements are ba sed on current beliefs and expectations of our management team that involve risks, potential changes in circumstances, assumption s, and uncertainties. Any or all of the forward - looking statements may turn out to be wrong or be affected by inaccurate assumptions ou r management team might make or by known or unknown risks and uncertainties. These forward - looking statements are subject to risks and uncertainties including, without limitation, risks related to the success and timing of our clinical trials or othe r s tudies and the other risks set forth in our filings with the U.S. Securities and Exchange Commission, including our Annual Reports on Fo rm 10 - K and Quarterly Reports on Form 10 - Q. Forward - looking statements regarding our product candidates are also subject to additional risks and uncertainties, including without limitation, with respect to: our dependence on additional financing to fund our op era tions and complete the development and commercialization of our product candidates, and the risks that raising such additional capi tal may restrict our operations or require us to relinquish rights to our technologies or product candidates; our limited history an d preclinical status of the assets we acquired from Atrin Pharmaceuticals Inc.; our business plan or the likelihood of the suc ces sful implementation of such business plan; the timing of initiation of planned clinical trials for our product candidates; the fut ure success of such trials; the successful implementation of our research and development programs and collaborations and the interpretat ion of the results and findings of such programs and collaborations and whether such results are sufficient to support the future su cce ss of our product candidates; the success, timing and cost of our anticipated clinical trials for our current product candidates; t he timing of initiation, futility analyses, data presentation, reporting and publication and receipt of interim results (including, withou t l imitation, any preclinical results or data); any statements about our understanding of product candidates mechanisms of action and interpretation of preclinical and early clinical results from its clinical development programs and any collaboration studies ; a nd other factors, including legislative, regulatory, political and economic developments not within our control. For all these reasons , a ctual results and developments could be materially different from those expressed in or implied by our forward - looking statements. You are cautioned not to place undue reliance on these forward - looking statements, which are made only as of the date of this presentati on. We undertake no obligation to update such forward - looking statements to reflect subsequent events or circumstances, except to th e extent required by law or regulation.© 2023 Aprea Therapeutics, Inc. All Rights Reserved. 3  |

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|:---|:---|
| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-2img004.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;How much inhibition is needed? On Target Vs Off Target Toxicological Effects: • Lesson learned from ATR inhibitors© 2023 Aprea Therapeutics, Inc. All Rights Reserved. 4  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-2img005.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Target Coverage Ngoi et al., Trends in Cancer, 2021  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-2img006.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;ATR - On Target Toxicological Effects E liminatinIgI ATRI inI adultI miceI leadsI toI defectsI inI tissueI homeostasisI andI theI rapidI appearanceI ofI aIge - relatedI phenotypes,I suchI asI hairI IgrayinIg,I alopecia,I kyphosis,I osteoporosis,I thymicI involution,I fibrosis,I andI otherI abnormalities. Figure 2. ATR deletion leads to hair graying, alopecia, kyphosis and osteoporosis. (A) ATR deletion following TAM treatment leads to pervasive hair graying and patchy hair loss and kyphosis in ATR mKO mice. (B) Age-related abnormalities in the skin of ATR mKO mice. Thinning of the subcutaneous adipose layer (A), thickening of the epidermis (E), loss of hair follicles (F) and sebaceous gland cell hypertrophy (S) were observed in ATR mKO mice (n = 19) but not in control mice (n = 22). Sections from sex-matched mice are shown. (C) Increased kyphosis and osteoporosis in ATR mKO mice. Control and ATR mKO mice were X-rayed 1 year after TAM treatment (left panel). Increased kyphosis over controls was observed in all ATR mKO mice analyzed (n = 6). To analyze bone volume and cross-sectional area, femurs from ATR mKO and Ruzankina et al. Page 15 Cell Stem Cell .. Author manuscript; available in PMC 2010 August 12. NIH-PA Author ManuscriptNIH-PA Author ManuscriptNIH-PA Author Manuscript Ruzankina et al. Cell Stem Cell .. 2007  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-2img007.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;ATR - On Target Toxicological Effects ATRI hypomorphic suppressionI hasI aI minimalI impactI onI normalI tissueI homeostasis.I Schoppy et al. J Clin Invest 2012 research article The Journal of Clinical Investigation http://www.jci.org Volume 122 Number 1 January 2012 243 Remarkably, no significant decline in ATR Δ /seckel cells was observed in the intestinal epithelium and skin for up to 16 months after ATR fl deletion (Supplemental Figure 5). Among the tissues ana - lyzed, only the bone marrow exhibited some demonstrable level of decrease in ATR Δ /seckel representation, which began to occur approximately 6 weeks after ATR suppression. However, this rate of decline is in stark contrast to the rapid replacement (1–2 weeks) that occurs in the bone marrow and intestine following mosaic deletion of ATR in ATR mKO mice (31). Consistent with the limited effects of ATR hypomorphic suppression, the bone marrow and Figure 2 ATR hypomorphic suppression has a minimal impact on normal tissue homeostasis. (A) H&E-stained sections of humeral bones from tamoxifen- treated mice at the indicated time points after initial treatment. Original magnification, × 200. (B) Absolute number of myeloid cells (Mac1 + Gr1 +) obtained from 4 hind limb bones of mice at the indicated time points (n = 5–15 mice per genotype, per time point). (C) H&E-stained sections of intestines from tamoxifen-treated mice at the indicated time points after initial treatment. Original magnification, × 200. (D) Weight of mice at the indicated time points. (E and F) Abundance of the ATR fl - recombined allele (ATR Δ) in the bone marrow (E) and intestines (F) of tamoxifen-treated mice. Time points represent the number of days after tamoxifen treatment. The frequency of ATR fl recombination was determined by qPCR ampli - fication of the ATR fl allele from genomic DNA isolated from each tissue (n = 5–15 mice per genotype, per time point). Data show mean ± SEM.  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-2img008.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;ATR - On Target Toxicological Effects ATRI hypomorphic suppressionI affectsI tumorI Igrowth Schoppy et al. J Clin Invest 2012 research article The Journal of Clinical Investigation http://www.jci.org Volume 122 Number 1 January 2012 245 contrast, the appreciable genomic instability induced by complete deletion of ATR causes significant delays in tissue regeneration and organism-level synthetic lethality when it is combined with p53 deletion (8). These effects were associated with the accumu - lation of highly damaged, ATR-deleted cells in several prolifera - tive tissues, including the bone marrow; thus, p53 absence did not accelerate the elimination of ATR-deleted cells. This study indicated that the degenerative effects of ATR and p53 loss were not due to a cell-autonomous lethal effect, but rather to the accumulation of functionally compromised cells that inhibit effective tissue renewal (8, 11). These studies also implied that the previously demonstrated cell-lethal effects of combining p53 defi - ciency with ATR pathway inhibition may be manifested only in con - junction with additional exogenous DNA-damaging agents (2–6) because such cell synthetic–lethal effects were not observed in vivo upon combining these deletions alone (8, 11). These findings indi - cate that any genome-destabilizing effect of this interaction in the absence of exogenous DNA damage agents is not sufficiently caus - tic to overwhelm the survival benefit conferred by p53 loss. With these prior results in mind, we wished to determine wheth - er partial suppression of ATR expression, which caused only subtle deleterious effects over time (Figure 3C), would be altered by p53 deficiency. ATR fl/seckel Cre-ERT2 + mice were crossed onto a p53-null background, and ATR expression was repressed through Figure 4 ATR reduction potently suppresses the growth of p53-null fibrosarcomas driven by H-ras G12V and increases genomic instability. (A) Quantification of correctly spliced mouse (ATR fl) and human (ATR seckel) ATR transcript in p53 –/– ATR fl/seckel CreERT2 + cell lines expressing H-ras G12V .. Relative transcript quantity was measured through qRT-PCR analysis of RNA isolated from the indicated cultures (n = 4 independent cell lines). Data represent mean ± SEM. (B) Representative images of tamoxifen-treated ATR fl/+ CreERT2 + (top panel) or ATR fl/seckel CreERT2 + (bottom panel) tumors 10 days following the initiation of treatment. TAM, tamoxifen. (C) Measurement of fibrosarcoma growth following ATR fl deletion. Tumors were allowed to grow to 100–200 mm 3 before initiation of tamoxifen treatment to recombine the ATR fl allele. Tamoxifen treatment days are indicated by arrows. \* P < 0.01 (n = 4–13 tumors per genotype, per measurement). Percentages listed above at specific time points indicate the abundance of the ATR fl - recombined allele (ATR Δ) in tumors isolated from that time point (n = 1–3 tumors per genotype/measurement). Data represent mean ± SEM. (D) H&E-stained sections (left panels) or γ H2AX/DAPI–stained sections (right panels; γ H2AX, green; DAPI, blue) of H-ras G12V –expressing tumors (A – C) isolated 10 days after initial ATR fl deletion. Enlarged cells with aberrant nuclei are indicated with arrows. Original magnification, × 200. (E) Quantification of γ H2AX-positive cells in H-ras G12V –expressing tumors (A – C) isolated 9–10 days after initial ATR fl deletion. The abundance of γ H2AX-positive cells was determined from 10 high power field images (HPF, × 200) from each tumor type (n = 4–6 tumors per genotype). Only nucleated (DAPI-positive) cells were scored in this analysis. Data represent mean ± SEM.  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-2img009.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Target Coverage: Daily dosing is desirable 9© 2023 Aprea Therapeutics, Inc. All Rights Reserved. •I LackI ofI dailyI dosinIgI mayI contributeI toI formationI ofI resistance •I MostI ofI theI druIgsI inI DDRI carryI aI shortI halfI life •I Assumption:I CancerI cellsI proliferateI atI anI estimatedI rateI ofI oneI cellI cycleI perI day DruIgI "On" Cancer cell death/ decreased rate of proliferation Cancer cell proliferation DruIgI "On" DruIgI "Off"  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-2img010.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Potential Off Target Toxicological Effects 10 Note: Hexaxd - to - hexaxd stuxdies with ATRN - 119 hxave not been conxductexd (1) Atrin xdxatxa reportexd for HCT116 - Bcl/XL cell line; (2) Foote et xal (2018), J Mexd Chem; (3) Lücking et xal (2020), J Mexd Chem; (4) Roulston et xal (2022) Mol Cxancer Ther On - Target Cellular IC 50 (nM) Fold Difference in IC 50 for Off - Target PIKK Inhibition ATRi ATM DNA - PK mTOR ATRN - 119I (1) 4 >I 600x >I 2000x >I 2000x BerzosertibI (1) 61 31x >I 200x >I 50x AZD - 6738I (2) 74 >I 400x >I 400x 70I – 310x BAYI 1895344I (3) 36 39x 9x 61x RP3500I (4) 0.33 >I 20000x >I 20000x 30x© 2023 Aprea Therapeutics, Inc. All Rights Reserved. § CompoundsI thatI areI hiIghlyI potentI withI hiIghI selectivityI mayI potentiallyI limitI off - tarIgetI toxicity § OtherI tarIgets,I outsideI ofI PII ogKK,I mayI alsoI contributeI toI offI tarIgetI toxicityI § ATRN - 119I isI hiIghlyI potentI andI selectiveI toI potentiallyI limitI off - tarIgetI toxicityI § IInI pre - clinicalI studies,I ATRN - 119I hasI shownI potentialI toI haveI lowerI hematoloIgicalI toxicityI thanI otherI ATRi § M1774I potentiallyI aI derivativeI ofI Berzosertib  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-2img011.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;11 Parameter AstraZeneca AZD6738 (1)(2) Bayer BAY1895344 (3) Repare / Roche (4) RP - 3500 (5) Route Of Administration Oral Oral Oral Clinical Studies Chosen (MTD/RP2D) , Dose Schedule 160mg BID, 2 - weeks - on, 2 - weeks - off , or: Continuous dosing (1) 40mg BID, 3 - days - on/4 - days - off 160mg QD, 3 - days - on/4 - days - off Main Grade ≥3 Hematological toxicities reported at Chosen Dose Schedule (MTD/RP2D), in clinical studies Patriot 1, Escalation Phase, 160mg, BID (2) : Anemia (1/6, 17%) Patriot 2, Expansion Phase (1) : Fatigue, anemia, nausea & thrombocytopenia (not differentiated) (1) : (4/6, 67%) with c ontinuous dosing (3/15, 20%) with 2 - week - on, 2 - week - off Anemia (2/2, 100%) Neutropenia (1/2, 50%) Anemia (23/95, 24%) Neutrophil count decreased (10/95, 11%) Platelet count decreased (5/95, 5%) Note: Hexaxd - to - hexaxd stuxdies with ATRN - 119 hxave not been conxductexd (1) Phxase I stuxdy of ATR inhibitor, AZD6738, xas monotherxapy in xaxdvxancexd solixd tumors (PATRIOT pxart A, B), Dillon et xal, Volum e 3 0, October 2019, Pxages v165 - v166 (2) Poster CT084: A Phxase I xdose - escxalxation stuxdy of ATR inhibitor monotherxapy with AZD6738 in xaxdvxancexd solixd tumors (PATRIOT Pxart A), AACR 2017 (3) First - in - Humxan Trixal of the Orxal Atxaxxdnaixa Telxangiectxasixa xanxd RAD3 - Relxatexd (ATR) Inhibitor BAY 1895344 in Pxatients with Axdvxancexd So lixd Tumors, Yxap et xal, Cxancer Discov 2021;11:80 - 91 xanxd 2019 ASCO Poster, De - Bono et xal. (4) Repxare xannouncexd xa worlxdwixde license xanxd collxaborxation xagreement with Roche on June 1, 2022 (5) Preliminxary Phxase 1 Dxatxa From Ongoing First - in - Humxan Phxase 1/2 TRESR Stuxdy of RP - 3500, AACR 2022 ATR Landscape Current ATRs Structurally Similar in Core, Backbone, and Toxicity Profile© 2023 Aprea Therapeutics, Inc. All Rights Reserved.  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-2img012.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;12 Parameter ATRN - 119 (1) Route Of Administration Oral Clinical Studies Chosen (MTD/RP2D) , Dose Schedule continuous once - daily dosing (dose TBD in Phase 1) (1) Hematological toxicities in preclinical studies Pre - Clinical, Toxicology Studies: • In 28 - day GLP tox study in dogs, hematological changes were of small magnitude with complete recovery • In a head - to - head comparative tolerability study, ATRN - 119 demonstrated significantly less toxicity than another oral ATRi that is currently in clinical development Note: ATRN - 119 hxas not yet been testexd clinicxally (1) ATRN - 119, Phxase 1/2xa Clinicxal Stuxdy Protocol ATRN - 119: Potential Best - in - Class Oral ATR Inhibitor With Structurally Differentiated Core, Backbone, and Toxicity Profile ATRN - 119 potential for reduced toxicity could make it a preferred ATR inhibitor as a single agent, as well as a candidate for combination with standard of care therapies© 2023 Aprea Therapeutics, Inc. All Rights Reserved.  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-2img013.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;0 200 400 600 800 0 5 10 15 20 25 30 Tumor Volume (mm 3) Time (Days) 100 mg/kg n=8 ATRN - 119 Preclinical Profile § Nanomolar potency in vitro across a broad spectrum of cancer cell lines § Based on pre - clinical studies, strong tumor control observed in vivo , including in challenging genetic backgrounds 13 HCT - 116 p53 null (KRAS mut , p53) 0 500 1000 1500 0 5 10 15 20 Tumor Volume (mm 3) Time (Days) ATRN - 006 - B1: ATRN - 119 Antitumor Activity Against Colon Cancer in Female Mouse CDX: Human Colorectal Carcinoma Cell Line HCT116 (KRAS G13D) p53null Mean Vehicle p.o. (n=4) Mean 119 100mg/kg p.o. (n=4) (p = .00026) Control n=8 Pancreatic (CAPAN - 1) (KRAS mut , BRCA2)© 2023 Aprea Therapeutics, Inc. All Rights Reserved. Pre - clinicxal stuxdies with ATRN - 119  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-2img014.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;ATRN - 119 + Olaparib (Lynparza®): Regression of BRCA2 - Deficient Ovarian (HGSOC) Tumors 14 Human Ovarian PDX - PARPi & ATRi Tumor Size Based on pre - clinical results to date, the combination of ATRN - 119 and PARPi has shown potentially compelling tumor growth inhibition ATRN - 119 + PARPi Inhibits Ovarian Tumor Growth Over Time ATRN - 119 + PARPi Shows Negligible Weight Loss Over Time ATRN - 119 + PARPi Shows Negligible Body Weight Loss During Treatment Based on pre - clinical results to date, the combination of ATRN - 119 and PARPi potentially appears to be well tolerated© 2023 Aprea Therapeutics, Inc. All Rights Reserved. Pre - clinicxal stuxdies with ATRN - 119  |

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| &nbsp;&nbsp;![GRAPHIC](tm234468d1_ex99-2img015.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Summary • Multiple DDR inhibitors have been shown to cause hematologic toxicity • However, genetic models of ATR suppression showed tumor can be targeted with limited toxicity • This leads to the hypothesis that selectivity can help limit toxicity for ATR inhibitors • ATRN - 119 shows decrease hematologic toxicity yet is therapeutic at allometric concertation in mice • Phase 1 human clinical t rial of ATRN - 119 are ongoing© 2023 Aprea Therapeutics, Inc. All Rights Reserved. 15© 2022 Aprea Therapeutics, Inc. All Rights Reserved. 15  |

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