# EDGAR Filing Document

**Accession Number:** 0001724979
**File Stem:** 0001104659-23-014882
**Filing Date:** 2023-2
**Character Count:** 32335
**Document Hash:** c5b9fdcdcc0befc6d65a048d3053aefa
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001104659-23-014882.hdr.sgml**: 20230209

**ACCESSION NUMBER**: 0001104659-23-014882

**CONFORMED SUBMISSION TYPE**: 8-K

**PUBLIC DOCUMENT COUNT**: 36

**CONFORMED PERIOD OF REPORT**: 20230209

**ITEM INFORMATION**: Other Events

**ITEM INFORMATION**: Financial Statements and Exhibits

**FILED AS OF DATE**: 20230209

**DATE AS OF CHANGE**: 20230209

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Rain Oncology Inc.
- **CENTRAL INDEX KEY:** 0001724979
- **STANDARD INDUSTRIAL CLASSIFICATION:** PHARMACEUTICAL PREPARATIONS [2834]
- **IRS NUMBER:** 821130967
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 8-K
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-40356
- **FILM NUMBER:** 23601084

**BUSINESS ADDRESS:**
- **STREET 1:** 8000 JARVIS AVENUE
- **STREET 2:** SUITE 204
- **CITY:** NEWARK
- **STATE:** CA
- **ZIP:** 94560
- **BUSINESS PHONE:** (510) 953-5559

**MAIL ADDRESS:**
- **STREET 1:** 8000 JARVIS AVENUE
- **STREET 2:** SUITE 204
- **CITY:** NEWARK
- **STATE:** CA
- **ZIP:** 94560

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** Rain Therapeutics Inc.
- **DATE OF NAME CHANGE:** 20171211

?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**

**Date of Report (Date of earliest event reported): February 9, 2023**

**Rain Oncology Inc.**

**(Exact name of registrant as specified in its charter)**

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| **Delaware** | **001-40356** | **82-1130967** |
| **(State or other jurisdiction**<br> **of incorporation)** | **(Commission**<br> **File Number)** | **(IRS Employer**<br> **Identification No.)** |

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**8000 Jarvis Avenue, Suite 204**

**Newark, CA 94560**

**(Address of principal executive offices, including zip code)**

**(510) 953-5559**

**(Registrant's telephone number, including area code)**

**Not Applicable**

**(Former name or former address, if changed since last report)**

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

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

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

¨ 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<br> Symbol(s)** | **Name of each exchange<br> on which registered** |
| **Common Stock, par value $0.001 per share** | **RAIN** | **The 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. ◻

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| **Item 8.01** | **Other Events.** |

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On February 9, 2023, Rain Oncology Inc. (the "Company") will participate in a fireside chat at the Guggenheim Healthcare Talks Oncology Day Conference. A copy of the corporate presentation that will be referenced during such presentation is filed as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated by reference herein. In the corporate presentation, the Company has updated the timing for expected topline data from its Phase 3 MANTRA trial and the expected commencement of its Phase 1/2 MANTRA-4 trial.

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

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(d) *Exhibits*.

**<u>EXHIBIT INDEX</u>** 

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|:---|:---|
| **Exhibit**<br> **No.**<br>| **Description** |
| [99.1](tm236048d1_ex99-1.htm) | [Rain Oncology Inc. Corporate Presentation, dated February 2023](tm236048d1_ex99-1.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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|:---|:---|:---|
|  | **Rain Oncology Inc.** | **Rain Oncology Inc.** |
| Date: February 9, 2023 | By: | /s/ Avanish Vellanki  |
|  |  | Avanish Vellanki |
|  |  | *Chairman and Chief Executive Officer* |

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## Exhibit 99.1

#### Exhibit 99.1<br>

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|:---|:---|
| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img001.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Rain Oncology Inc. C O R P O R AT E P R E S E N TAT I O N – F e b 2 0 2 3 |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img002.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 2 Forward Looking Statements This presentation contains "forward-looking statements" within the meaning of the federal securities laws, which statements are subject to substantial risks and uncertainties and are based on estimates and assumptions. Other than statements of historical facts, all statements included in this presentation are forward-looking statements, including statements concerning the ability of our clinical trials to demonstrate safety and efficacy of our product candidates and other positive results, the timing and focus of our ongoing and future preclinical studies and clinical trials, the design of those studies and trials, and the reporting of data from those studies and trials, the timing for enrollment of trials, our plans relating to commercializing our product candidates, if approved, including the geographic areas of focus and sales strategy, the size of the market opportunity for our product candidates, including our estimates of the number of patients who suffer from the diseases we are targeting, our expectations regarding the approval and use of our product candidates as first, second or subsequent lines of therapy or in combination with other drugs, the success of competing therapies that are or may become available, our estimates of the number of patients that we will enroll in our clinical trials, the beneficial characteristics, safety, efficacy and therapeutic effects of our product candidates, the timing or likelihood of regulatory filings and approvals, including our expectation to seek an accelerated approval pathway and special designations, such as orphan drug designation, for our product candidates for various diseases, our ability to obtain and maintain regulatory approval of our product candidates, and our plans relating to the further development of our product candidates, including collaborations with research partners and additional indications we may pursue. In some cases, you can identify forward-looking statements by terms such as "may," "might," "will," "objective," "intend," "should," "could," "can," "would," "expect," "believe," "design," "estimate," "predict," "potential," "plan" or the negative of these terms, and similar expressions intended to identify forward-looking statements. These statements involve known and unknown risks, uncertainties and other factors that could cause our actual results to differ materially from the forward-looking statements expressed or implied in this presentation including our limited operating history, the significant losses that we have incurred since inception, the substantial additional capital that we will require to finance our operations in the future, our ability to identify and acquire or in-license products, our dependence on our lead candidates, our ability to enroll patients in our clinical trials, the fact that interim results of our clinical trials may not be indicative of future results and those risks described in "Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" in our Annual Report on Form 10-K for the year ended December 31, 2021 and subsequent filings with the Securities and Exchange Commission. We cannot assure you that we will realize the results, benefits or developments that we expect or anticipate or, even if substantially realized, that they will result in the consequences or affect us or our business in the way expected. Forward-looking statements are not historical facts, and reflect our current views with respect to future events. Given the significant uncertainties, you should evaluate all forward-looking statements made in this presentation in the context of these risks and uncertainties and not place undue reliance on these forward-looking statements as predictions of future events. All forward-looking statements in this presentation apply only as of the date made and are expressly qualified in their entirety by the cautionary statements included in this presentation. We disclaim any intent to publicly update or revise any forward-looking statements to reflect subsequent events or circumstances,except as required by law. We obtained the industry, market and competitive position data used throughout this presentation from our own internal estimates and research, as well as from industry and general publications, and research, surveys and studies conducted by third parties. Internal estimates are derived from publicly available information released by industry analysts and third-party sources, our internal research and our industry experience, and are based on assumptions made by us based on such data and our knowledge of the industry and market, which we believe to be reasonable. In addition, while we believe the industry, market and competitive position data included in this presentation are reliable and based on reasonable assumptions, we have not independently verified any third-party information, and all such data involve risks and uncertainties and are subject to change based on various factors. These and other factors could cause resultsto differ materially from those expressed in the estimates made by the independent parties and by us. This presentation contains information on commercial products as well as discussions of investigational products that are under preclinical or clinical investigation and which have not yet been approved for marketing by the U.S. Food and Drug Administration (FDA). Investigational products are currently limited by Federal law to investigational use, and no representations are made as to their safety or effectiveness for the purposes for which they are being investigated. C O R P O R A T E P R E S E N T A T I O N  |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img003.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 3 Rain's Corporate Leadership Robert Doebele, MD, PhD Cofounder, President & Chief Scientific Officer Richard Bryce, MBChB Executive VP & Chief Medical Officer Vijaya Tirunagaru, PhD Senior VP, Head of Research Mehdi Paborji, PhD Senior VP, Head of Technical Operations Nora Ku, MD Vice President, Clinical Development Tina Kim-Hafken Vice President, Head of Global Regulatory Affairs C O R P O R A T E P R E S E N T A T I O N Nelson Cabatuan, CPA Senior VP, Finance & Administration Avanish Vellanki, MBS, MBA Cofounder, Chairman and Chief Executive Officer Lucio Tozzi Senior VP, Head of Clinical Operations |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img004.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 4 Rain Oncology Overview Milademetan (RAIN-32), an oral inhibitor of the p53-MDM2 complex, represents a "pipeline in a program" ATTRACTIVENESS OF REGULATING P53-MDM2 COMPLEX Loss of the transcription factor p53 can facilitate tumor growth, with elevated levels of MDM2 facilitating wildtype p53 loss Up to 50% of cancers may be addressable by impeding the p53- MDM2 interaction and restoring p53 and its protective properties PRECISION ONCOLOGY STRATEGY Milademetan offers an opportunity to treat a significant number of cancers across multiple tumor types with an oral, small molecule inhibitor of the p53-MDM2 complex MILADEMETAN STRATEGY ADDRESSES HISTORICAL PITFALLS OF THE CLASS Perturbances of the p53-MDM2 complex in blood cells leads to on-target cell death and cytopenias, predominately thrombocytopenia Milademetan represents the first potential NDA filing for an inhibitor of the p53-MDM2 complex in the US, with a novel dose schedule devised to address historical on-target limitations C O R P O R A T E P R E S E N T A T I O N  |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img005.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 5 p53-MDM2 Axis & Milademetan MoA Source: Rain Oncology Wildtype p53 responds to normal cellular injury to protect against cancer via induction of cellular apoptosis or senescence • Mutated p53 incapable of target gene binding and function Dysregulated MDM2 can facilitate or support oncogenicity • MDM2 gene amp • MDM2 over-expression • MDM2 regulator loss (CDKN2A/p14ARF) As an inhibitor of the p53-MDM2 interaction, milademetan restores wildtype p53 C O R P O R A T E P R E S E N T A T I O N  |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img006.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 6 Rain anticipated clinical studies Rain Oncology: Overview With proforma cash of $147 million\*, and a cash runway into 2025, Rain is well-financed to complete several trials for milademetan, including the phase 3 registrational study in liposarcoma INDICATION MANTRA PRECLINICAL PHASE 1 PHASE 2 PHASE 3 PARTNER PLANNED DATA 2022 ELIGIBLE ANNUAL US POP DD Liposarcoma -- - 2Q 2023 ~1,400 MDM2-amp Basket 2 - - ~8,000 CDKN2A loss, p53 WT Adv Solid Tumors 4 - ~45,000 Mila monotherapy Mila monotherapy Mila + atezolizumab Enrollment Completed Enrolling Planned: Mid 2023 INDICATION PRECLINICAL PHASE 1 PHASE 2 PHASE 3 PARTNER PLANNED DATA 2022 ELIGIBLE ANNUAL US POP HRD+ Tumors - - Milademetan (RAIN-32) RAD52 Research Program C O R P O R A T E P R E S E N T A T I O N \* Proforma cash balance as of 9/30/2022 and includes proceeds from registered direct equity offering in November 2022. |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img007.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Milademetan (L i p o s a r c o m a) |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img008.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 8 Drug Company Approved Mechanism Efficacy in DD LPS (mPFS) 2015 DNA binding / alkylator 2.2 mo8 2016 Microtubule targeting 2.0 mo9 Liposarcoma Overview PFS is the primary outcome measured in most sarcomas DDLS WDLS T O T A L A D D R E S S A B L E M A R K E T A P P R O V E D T H E R A P I E S I N L P S Tumor Scan Liposarcoma is 20% of all sarcomas2 1 TM Mack. Cancer, 1995 Jan 1;75(1 Suppl):211-44. 2 Bock et al., Int. J. Environ. Res. Public Health 2020, 17, 2710. 3 Pedeutour et al., Genes Chromosomes Cancer 24:30–41, 1999. 4 Italiano et al., Int. J. Cancer: 122, 2233–2241 (2008). 5 Kashima et al., Modern Pathology volume 25, pages 1384–1396(2012) 6 The Cancer Genome Atlas Research Network, Cell 171, 950–965, November 2, 2017 7 Newly diagnosed adv DD LPS, unresectable early DD LPS, resectable disease progressing to adv DD LPS, and WD LPS progressing to DD LPS 8 Demetri et al., J Clin Oncol 34:786-793, 2015 9 Demetri et al., J Clin Oncol 35:3433-3439. 2017 WD/DD is 65% of LPS and p53 WT & MDM2 amplified in nearly 100% of WDLS/DDLS cases3-6 DD LPS incidence ~2,300 Annual US Addressable Market7 TAM in DD LPS ~1,400 ~3,500 Liposarcoma US annual incidence 1 C O R P O R A T E P R E S E N T A T I O N  |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img009.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 9 Phase 3 Registrational Trial • 72 sites • US, Europe, Asia Patient Enrollment • Commenced July 2021 • Closed July 2022 • N = 175 Unresectable or metastatic DD liposarcoma\* Milademetan 260mg QD 3/14 Trabectedin 1.5 mg/m2 as 24-hour IV infusion D1 Q3W Stratification: ECOG PS and number of prior treatments DCR, disease control rate; DOR, duration of response; ECG, electrocardiogram; HRQoL, health-related quality of life; ORR, objective response rate; OS, overall survival; PD, progressive disease; PFS, progression free survival; PK, pharmacokinetics; PO, by mouth; QD, once per day; Q3W, every three weeks R 1:1 Overview • Patients with de-differentiated (DD) LPS with or with well-differentiated LPS component • ≥ 1 prior systemic treatment, including at least 1 prior anthracycline • Treatment until PD or intolerability Endpoints • PFS (Primary): Approximately 105 events by blinded central review to trigger primary analysis • OS, ORR, DCR, DOR, • HR QoL, Safety Statistical Assumptions • HR = 0.5; 94% powered • mPFS: trabectedin (3.0 mo) / milademetan: (6.0 mo) N = 175 \* Includes with or without a well differentiated (WD) component MANTRA (Phase 3): Unresectable / Metastatic DD Liposarcoma Safety and Efficacy of Milademetan vs. Yondelis® (trabectedin) |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img010.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 1 0 Milademetan Phase 1 (U101) Trial Select Treatment Emergent Adverse Events Organ Class n (%) Schedule A, B, and C Cohorts (n=78) Schedule D All doses (n=29) All Grades Grade ≥ 3 All Grades Grade ≥ 3 All drug-related TEAEs 74 (95) 43 (55) 25 (86) 5 (17) Blood and lymphatic disorders Thrombocytopenia 52 (67) 27 (35) 13 (45) 4 (14) Anemia 33 (42) 14 (18) 5 (17) 0 Neutropenia 10 (13) 8 (10) 2 (7) 1 (3) Gastrointestinal disorders Nausea 57 (73) 2 (3) 20 (69) 0 Vomiting 22 (28) 2 (3) 13 (45) 1 (3) Diarrhea 26 (33) 0 9 (31) 0 General disorders Fatigue 36 (46) 3 (4) 12 (41) 0 Schedule D 260mg (n=20) All Grades Grade ≥ 3 18 (90) 4 (20) 9 (45) 3 (15) 4 (20) 0 1 (5) 1 (5) 16 (80) 0 10 (50) 1 (5) 5 (25) 0 8 (40) 0 Dosing Schedule for 4 Cohorts Schedule A: QD 21/28 Schedule B: QD 28/28 Schedule C: QD 7/28 Schedule D: QD 3/14 Source: Gounder et al., 2022 CTOS Annual Meeting; Gounder et al., 2020 EORTC-NCI-AACR (ENA) Conference |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img011.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 1 1 Milademetan Phase 1 (U101) Study Observed Progression-Free Survival C O R P O R A T E P R E S E N T A T I O N A l l P a t i e n t s (n = 1 0 7) Source: Gounder et al., 2023 JCO DD LPS Non-LPS D D L P S P a t i e n t s (n = 5 3) Treatment naive Relapsed Treatment naive (n=17) Relapsed (n=36) Median PFS, mo (95% CI) 14.6 (3.8 – NE) 5.9 (3.5 – 10.0) 0 0 10 20 30 40 50 60 70 80 90 4 8 12 16 20 24 28 32 36 40 100 Progression-free survival (%) Time (months) Time (months) 0 0 10 20 30 40 50 60 70 80 90 54 100 Progression-free survival (%) 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 Non-LPS (n=34) DD LPS (n=53) Median PFS, mo (95% CI) 3.4 (1.8 – 5.6) 7.2 (3.8 – 10.1) + Censored + Censored All Doses & Treatment Schedules |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img012.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 1 2 Milademetan Phase 1 (U101) Study Of the four (4) dose schedules evaluated, Schedule D (QD 3/14), 260mg was identified to have the most favorable efficacy / safety profile, and to serve as the basis of milademetan dosing in subsequent studies C O R P O R A T E P R E S E N T A T I O N L P S P a t i e n t s (S c h d D , 2 6 0 m g) Source: Gounder et al., 2023 JCO 1 One or more prior therapies 2 Rain data on file Schd D, 260mg Schd A/B (n=30) Schd C/D (n=23) Schd D, 260mg (n=16) Median PFS, mo (95% CI) 6.3 (3.8 – 10.0) 7.4 (2.7 – 14.6) 7.4 (1.8 – 14.6) Schd A/B Schd C/D Treatment naive (n=5) Relapsed (n=11) Median PFS, mo (95% CI) 7.42 (1.8 – NE) 8.0 (1.8 – 27.7) QD 21/28 & 28/28 QD 7/28 & 3/14 QD 3/14 0 0 10 20 30 40 50 60 70 80 90 3 6 9 12 15 18 21 24 27 39 100 Progression-free survival (%) 0 0 10 20 30 40 50 60 70 80 90 54 100 Progression-free survival (%) 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 Time (months) Time (months) L P S P a t i e n t s b y C o h o r t 30 33 36 + Censored + Censored Treatment naive Relapsed |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img013.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Milademetan P h a s e 2 M A N T R A - 2 (M D M 2 A m p B a s ke t) |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img014.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 1 4 M D M 2 A M P C O N F E R S P O O R P R O G N O S I S E L I G I B L E M D M 2 A M P P A T I E N T S (C N ≥ 8) Total cases Number deceased Median OS (Months) MDM2 CN<8 6072 1514 117.8 MDM2 CN≥8 126 54 49 MDM2 CN < 8 MDM2 CN ≥ 8 Log-rank test P<0.0001 MDM2 Amplified Solid Tumors: Rationale Overall survival (months) Probability of Survival TCGA v23 data from GDC data portal Tumor Type % Frequency1 Total Eligible Patients2 Breast 1.6% 2413 NSCLC 1.5% 2249 Bladder (Urothelial) 6.2% 1874 Stomach 2.6% 433 Esophageal 2.6% 413 Melanoma 1.1% 367 Prostate 0.2% 125 Cholangiocarc. 2.0% 110 Pancreatic 0.2% 107 CRC 0.1% 100 Salivary Gland 1.3% 23 Cervical 0.2% 16 Total 8,230 Approximately 8,000 patients per year exhibit MDM2 CN ≥ 8 1 Caris Real World Analysis (01 Sep 2021 – 30 Sept 2022) 2 Rain internal analysis based on NCI SEER, Oct 2022 |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img015.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 1 5 Milademetan 260mg QD 3/14 MDM2 Amplified, WT TP53 Advanced Solid Tumors (copy number ≥ 8) • Selecting patients with MDM2 gene copy number (CN) of ≥ 8 • Of 17 patients enrolled, 15 have received first dose of milademetan1 ‒ Of 15 patients receiving at least one dose of milademetan, 10 patients evaluable for efficacy2 • Patients enrolled based on local NGS for CN, centrally confirmed by Rain's diagnostic partner, Tempus • Evaluable tumor types included: lung, breast, biliary, pancreatic and other solid tumors 1 As of Oct 26, 2022 2 Of patients unevaluable for efficacy, one (1) patient not yet received first scan, two (2) withdrew consent for reasons unrelated to study drug and two (2) did not have central CN confirmation (CN <8) Note: Data shown reflects interim analysis, and is preliminary, subject to change Phase 2 Solid Tumor Basket • Targeting n = 65 patients • 10 active sites Patient Enrollment • Commenced: Nov 2021 MANTRA-2 (Phase 2): MDM2 Amp Advanced Solid Tumor Basket Determine Safety and Efficacy Of Milademetan In Patients With Relapsed / Refractory Advanced / Metastatic MDM2 Amplified Solid Tumors With Wildtype TP53 Overview N = 65 |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img016.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 1 6 Patient Tumor Diameter Change Interim MANTRA-2 Analysis: Patient Outcomes Two (2) Partial Responses and two (2) near-PRs observed of 10 evaluable patients 25% 5% 0% -4% -7% -27% -29% -30% -34% -40% -30% -20% -10% 0% 10% 20% 30% NSCLC EGFR del19 KRAS G12D Pancreatic KRAS G12D Biliary IDH2 R172W Breast PIK3CA E542K Bladder RB1 loss Gastric CDH1 loss ACC MYB-NFIB Adrenal CTNNB1 I35T UPS None 1 2 At interim assessment, 9/10 efficacy evaluable patients had post-baseline tumor assessment 1 Patient died post first scan due to COVID; response will not be confirmed 2 Response pending confirmation and treatment ongoing Note: Data cutoff as of 26 Oct 2022, and reflects interim analysis subject to change |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img017.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 1 7 0 8 16 24 32 40 3202-1010-012 3202-1010-007 3202-1006-010 3202-1006-014 3202-1006-013 3202-1006-011 3202-1006-005 3202-1003-009 3202-1010-004 3202-1010-003 1 Interim MANTRA-2 Analysis: Duration on Therapy Two (2) Partial Responses and two (2) near-PRs observed of 10 evaluable patients Note: Data cutoff as of 26 Oct 2022, and reflects interim analysis subject to change 1 Includes five (5) efficacy evaluable patients, one (1) patient dosed but not at first scan, and two (2) patients recently enrolled as of the data cutoff 2 Patient died post first scan due to COVID; response will not be confirmed A total of eight (8) patients are actively enrolled in MANTRA-2 1 Safety in-line with prior milademetan clinical studies suggestive of potential best-in-class tolerability 003 004 009 005 011 013 014 010 007 012 Pancreatic NSCLC Biliary Breast Bladder Gastric UPS ACC Adrenal Liver Sarcoma Weeks 2 Consent Withdrawn PR PD Death Treatment Ongoing Near-PR Near-PR PR PR Patient Treatment Duration |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img018.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Milademetan P h a s e 1 / 2 M A N T R A - 4 (C D K N 2 A L o s s / W T p 5 3 B a s ke t) |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img019.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 1 9 Error bars represent Median with 95% CI MDM2 CN >12 \* Homozygous CDKN2A loss MANTRA-4: IO Combo in CDKN2A Loss, p53 WT Adv Solid Tumors In the US, there are an estimated 45,000 patients1 annually with advanced cancers exhibiting p53 WT and CDKN2A loss Normal Cancer p14ARF CDKN2A gene Exon 1ß MDM2 Proteosomal degradation p14ARF p53-induced cellular apoptosis or senescence p53 MDM2 Mechanism: CDKN2A Loss Increases MDM2 Activity 1 10 100 1,000 10,000 IC50 (nM) No CDKN2A loss CDKN2A loss\* & WT TP53 N=146 N=35 N=30 CDKN2A loss\* & Mutant TP53 Milademetan Cmax: 1625 ng/ml (2.6 µM) Partial p53 activity TP53 low expression/ mutation Milademetan Antiproliferative Potency2 CDKN2A gene Source: Rain Oncology C O R P O R A T E P R E S E N T A T I O N 1 NCI SEER, Globocan, TCGA based on loss of 2 copies of CDKN2A 2 Ishizawa et al., Cancer Res. 2018 May 15;78(10):2721-2731; Mutation/CN: CCLE database |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img020.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N T H E R A P E U T I C S 2 0 DLT, dose-limiting toxicity; RP2D, recommended Phase 2 dose. 1 Subject to subsequent discussions with Roche and outcome of the Phase 1 safety study. DOSE LEVEL DOSE LEVEL Evaluate efficacy, safety and tolerability in patients with CDKN2A loss, p53 WT advanced solid tumors Evaluate safety of milademetan and atezolizumab combination in a dose de-escalation design to determine RP2D Phase 1 (n=3-18) Phase 2 (n=12-27) DLT 0 DLT Milademetan: 200mg QD 3/14 Atezolizumab 1680mg iv q4w (n=3-6) Milademetan: 160mg QD 3/14 Atezolizumab 1680mg iv q4w (n=3-6) Milademetan: 260mg QD 3/14 Atezolizumab 1680mg iv q4w (n=3-6) 0 1 2 Milademetan RP2D QD 3/14 Atezolizumab 1680mg iv q4w Combo Rationale: • CDKN2A loss leads to MDM2 dependency1 • CDKN2A loss is associated with poor outcomes on ICI2 • p53 reactivation induces immune surveillance via increased antigen presentation, IFNg signaling and other mechanisms3 Phase 2 Opportunities: If safety is deemed acceptable, the milademetan / checkpoint inhibition combination may be evaluated in additional tumors1 including: • MDM2 gene-amplified cancers, • Other checkpoint inhibitor sensitive, WT p53 cancers MANTRA-4: Milademetan + TECENTRIQ® (Phase 1/2) Rain and Roche will evaluate the safety of p53-MDM2 complex inhibition with milademetan and PD-L1 inhibition with TECENTRIQ® (atezolizumab) in patients with CDKN2A loss and WT p53 1 Tirunagaru et al., ASCO 2022 2 Adib et al., Clin Can Research 2021; Gutiontov et al., Scientific Reports 2021; Brenner et al., Nat Communications 2020 3 Zhou et al., Can Discovery 2021; Braun and Iwakuma, Transl Cancer Res 2016;5(6):692-697; Wang et al., Can Res 2021 Tiirunagaru et al., ASCO 2022 |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img021.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 2 1 Key Takeaways and Anticipated Milestones Up to 50% of cancers with WT p53 targetable either via monotherapy or combination strategies MDM2 amp (MANTRA-2): Enrolling CDKN2A loss (MANTRA-4): Commencing in mid 2023 Exploring activity of milademetan in adv solid tumors with WT TP53 MANTRA-4 Trial Start: Mid 2023 Prior clinical study identified 260mg QD 3/14 as an optimized dose and schedule Optimized schedule suggests potential best-in-class safety for milademetan Milademetan is most advanced inhibitor of the p53-MDM2 complex in development Median PFS of 7.2 months (n=53) and 7.4 months in optimized cohort (n=16) compares favorably to 2.2 months median PFS for standard of care (trabectedin) May enable first NDA filing of a p53-MDM2 complex inhibitor MANTRA Phase 3 Topline Results: 2Q 2023 MANTRA: DD Liposarcoma Pipeline in a Program Tumor Agnostic Basket Trials MANTRA-2 / MANTRA-4 Dose Scheduling: Addressing Historical Challenges 01 02 03 04 |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img022.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Appendix |

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| &nbsp;&nbsp;![GRAPHIC](tm236048d1_ex99-1img023.jpg) | &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;R A I N O N C O L O G Y I N C . 2 3 Rain's Corporate Governance Avanish Vellanki, MBA Chairman & CEO, Rain Oncology Aaron Davis, MBA CEO, Boxer Capital Gorjan Hrustanovic, PhD Managing Director, BVF LP Peter Radovich, MBA COO, Mirum Franklin Berger, CFA FMB Research Tran Nguyen, MBA CFO & COO, Prothena Stefani Wolff COO & EVP of Product Development, Nurix Robert Doebele, MD, PhD President & CSO, Rain Oncology Trever Bivona, MD, PhD Professor in Residence, UCSF Lori Kunkel, MD Former CMO, Loxo & Pharmacyclics Chris Kirk, PhD President & CSO, Kezar Simon Powell, MD, PhD Memorial Sloan Kettering Board of Directors Scientific Advisory Board Nick Saccomano, PhD Former CSO, Array BioPharma C O R P O R A T E P R E S E N T A T I O N  |

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