company overview jefferies healthcare conference th june 2017 · this presentation contains...
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Company Overview
Jefferies Healthcare Conference
6th June 2017
Revolutionizing Medicine Through Genome Editing
This presentation contains forward-looking statements as defined in
the Private Securities Litigation Reform Act of 1995, as amended.
All statements contained in this presentation other than statements
of historical facts are forward-looking statements. The words
‘‘anticipate,’’ ‘‘believe,’’ ‘‘continue,’’ ‘‘could,’’ ‘‘estimate,’’ ‘‘expect,’’
‘‘intend,’’ ‘‘may,’’ ‘‘plan,’’ ‘‘potential,’’ ‘‘predict,’’ ‘‘project,’’ ‘‘target,’’
‘‘should,’’ ‘‘would,’’ and similar expressions are intended to identify
forward-looking statements, although not all forward-looking
statements contain these identifying words. These statements relate
to the Company’s strategy, intellectual property position, future
operations, future financial position, potential revenue, projected
costs, prospects, plans, objectives of management and expected
market growth, and involve known and unknown risks, uncertainties
and other factors that may cause the Company’s actual results,
levels of activity, performance or achievements to be materially
different from any future results, levels of activity, performance or
achievements expressed or implied by these forward-looking
statements.
The Company has based these forward-looking statements on
management’s current expectations, assumptions, estimates and
projections. While the Company believes these expectations,
assumptions, estimates and projections are reasonable, such
forward-looking statements are only predictions and involve known
and unknown risks, uncertainties and other important factors, many
of which are beyond the Company’s control and may cause actual
results, performance or achievements to differ materially from those
expressed or implied by any forward-looking statements. These
risks and uncertainties include, without limitation, risks and
uncertainties related to the initiation, timing, progress and results of
the Company’s research and development programs and future
preclinical and clinical studies; the Company’s ability to develop
viable product candidates, achieve regulatory approval for any such
product candidate, or market and sell any product candidates; the
Company’s ability to advance its therapeutic delivery capabilities;
the timing or likelihood of regulatory filings and approvals; the timing
or likelihood of any potential commercialization of the Company’s
product candidates, if approved; the pricing and reimbursement of
the Company’s product candidates, if approved; negative public
opinion and increased regulatory scrutiny of gene editing therapies
and the related effects on public perception and the Company’s
ability to obtain regulatory approval for its product candidates; the
implementation of the Company’s business model, including
strategic plans for the Company’s business, product candidates and
technology; the scope of protection the Company is able to establish
and maintain for intellectual property rights covering the Company’s
product candidates and technology; potential third-party claims of
intellectual property infringement against the Company, its licensors
or its collaborators; the Company’s needs for additional financing;
the Company’s ability to establish, maintain and execute under
strategic collaborations and other third-party arrangements; the
Company’s financial performance; and developments relating to the
Company’s competitors and the Company’s industry.
These and other risks and uncertainties are described in greater
detail under “Risk Factors” section of the Company’s Annual Report
on Form 10-K, which is on file with the U.S. Securities and
Exchange Commission (SEC), and in other filings that the Company
may make with the SEC in the future. The forward-looking
statements in this presentation are made only as of the date hereof,
and except as required by law, the Company undertakes no
obligation to update any forward-looking statements contained in
this presentation as a result of new information, future events or
otherwise.
2
Intellia Therapeutics Legal Disclaimers
3
Accelerating The Development of Life Transforming
Therapies
Breakthrough Scientific
Discovery for DNA Editing
Potentially Curative
One-Time Treatment
Revolutionizing Medicine – New
Tx Paradigm
Treating Underlying
Genetic Cause of Disease
Curative Potential – Single or Limited
Dosing Paradigm
Personalized Genetic Approach
Targets the Underlying Genetic Driver of
Disease
Broad Application – Mono or Polygenic
Diseases
Scalable For Large Patient Populations
Intellia’s Approach
Genome Editing
4
Revolutionizing Medicine Through Genome EditingCurrent Therapeutic Modalities Do Not Treat Underlying Genetic Cause of Disease
Mostly Palliative Not Curative
Non-Personalized Approach
Multiple or Chronic Dosing Regimens
Does Not Address Underlying Genetic Cause of Disease
Current Standard of Care
SmallMolecules
Biologics Gene Therapy
Evolution of Medicine
CRISPR/Cas9: The Ideal Genome Editing Technology
CRISPR/Cas9 ZFN TALEN
Targeting Mechanism RNA Protein Protein
Targeting Site 22bp 18-36bp 30-40bp
Size of Components Small Smaller Large
Engineering Difficulty Minimal High High
Targeting Efficacy High Moderate Moderate
Multiplex Capability? Yes Difficult Difficult
5
Benefits of Using CRISPR
High Cleavage Efficiency
Easy to Engineer
High Selectivity
Rapid Scalability
Simple Optimization
Process
Efficient Path to Proof-of-
Concept
Broad TxApplicability
Multiplex Opportunity
CRISPR/Cas9
Targeting Mechanism RNA
Targeting Site ~18-24bp
Size of Components Smaller
Re-Targeting Difficulty Low
Targeting Efficiency High
Multiplex Capability Easy
Natural System
Potential Single
Curative Treatment
Multiple Genome Editing ApproachesAddressing the Underlying Genetic Driver of Disease
6
Disease Defined DNA Editing
Cas9/RNA
Permanent Modifications
X
Non-Permanent Modifications
InsertionInsert new DNA
sequence to manufacture
therapeutic protein
RepairCorrection of “misspelled”
disease driving DNA sequence
KnockoutInactivation/deletion of disease causing
DNA sequence
CRISPRa(Activation)
Transient activation of DNA sequence
expression
CRISPRi(Inhibition)
Transientinactivation of targeted DNA
expression
e.g. ATTR, HBV, AATD e.g. AATD, IEMs e.g. IEMs
Current Focus Future Potential
7
Broad Platform to Accelerate Therapeutic Development: Expansion Ready
Diversified Pipeline
First company to demonstrate, with a single dose in an animal model, ~97% reduction of serum TTR protein levels using CRISPR/Cas9
Proprietary Delivery Approach
Scalable Application
Commercial
RightsPrograms Type of Edit
Hematopoietic Stem Cells (HSCs)
KnockoutRepair
Insertion
Chimeric Antigen Receptor T Cell (CAR-T)
KnockoutInsertion
Immuno-OncologyKnockoutInsertion
Autoimmune and Inflammatory Diseases (AIID)
KnockoutInsertion
Ex Vivo In Vivo
Commercial Rights
Sentinel Indications Type of Edit
Transthyretin Amyloidosis (ATTR)
Knockout
Hepatitis B Virus (HBV) Knockout
Alpha-1 AntitrypsinDeficiency (AATD)
KnockoutRepair
IEM – Initial focus on Primary Hyperoxaluria Type 1 (PH-1)
KnockoutRepair
Insertion
Diversified Approach Maximizes CRISPR PotentialCapturing Both Ex Vivo and In Vivo Opportunities
* Intellia division 8
*
Attributes: Proprietary Lipid Nanoparticle Delivery System
9
Lipid Nanoparticles (LNPs)
Adeno-Associated Virus (AAV)
Effective Targeting
Broad in vivo
Application via infusion
Transient Expression
Synthetic Scalable
Manufacturing
Efficient delivery &
robust expression
Limited capacity for
delivery
Vector can persist for
years
Immunogenic potential
• Natural affinity to liver
• Potential to be modified to target other organs
• Option to redose if necessary
• Ideal for systemic and local dosing
• Favorable safety profile
• Metabolic clearance of LNP and cargo
ensures transience
• Simple chemical nature limits immunogenicity
• Standard chemical manufacturing
• Straightforward specifications
Diverse Lipid Library for Cas9 Delivery
0 sites28%
1 sites18%
2 sites14%
3 sites10%
4 sites7%
≥ 5 sites23%
10
High Rate of Specific CRISPR/Cas Guides
• >25% of highly-active guides
have no detectable off-target
cutting
• Combining informatic guide selection with
accurate off-target assessment enables
identification of guides with no off-target activity
Human therapeutic liver target sgRNAs
• On-Target
• Off-TargetE
MX
1V
EG
FA
2
No Identified Off-Target Activity
Cu
ttin
g fre
qu
en
cy 10,000
1,000
100
10
1
Long Term Strategic ApproachMaximize Potential To Develop Liver Therapies & Leverage Insights to Expand to Other
Organs and Disease States
11
ATTR
HBVAATD
PH-1
Liver
LIVER
The liver is a target-rich opportunity and also provides important clinical insights that allow for expansion into additional organs and disease states
Expanding Beyond the Liver Liver Indications Provide Insights for Pipeline Expansion
12
Initial focus on 2-3 proprietary liver indications with
unmet need, generating foundational preclinical data
Rapid expansion into other liver indications & edit types
Data from our R&D & delivery evaluation informs continued pipeline expansion
In vivo franchise expansion into other organs including eye, CNS & muscle directly, or indirectly, through business development
Initial Validation in ATTR: Rare Liver Disease
13
Hereditary Transthyretin Amyloidosis
Accumulation of toxic protein –cardiovascular (FAC) & neuronal (FAP) phenotypes
50,000 ATTR patients worldwide, over 100 reported TTRmutations
Onset ~20-70 years, typically fatal within 2-15 years
Current standard of care severely limited
ATTR
Genome Edit
Knockout of TTR gene
Delivery Mechanism
LNP delivery to hepatocytes
Biomarker Readout
Circulating plasma TTR
Intellia’s Approach
High Knockdown & Edit Efficiency After One DoseFirst To Show ~97% TTR Knockdown in vivo Using CRISPR/Cas9
14
~97% Decrease in Serum TTR ~70% Editing of TTR Gene in Liver
High liver editing efficiency after one dose
Editing almost completely stops TTR protein production
Undetectable Cas9 messenger RNA (mRNA) and guide RNA (gRNA) in the liver at 72 hours post administration
Results That Empower Future Development
Concentr
ation (
ng/m
g)
0 .0 0 .2 0 .4 0 .6 0 .8 1 .0
0 .0 0 1
0 .0 1
0 .1
1
1 0
1 0 0
1 0 2 0 3 0
L iv e r C a s 9 + G 2 0 9
T im e (h o u rs )
Co
nc
en
tra
tio
n (
ng
/mg
liv
er)
C a s 9
G 209
0 .0 0 .2 0 .4 0 .6 0 .8 1 .0
0 .0 0 1
0 .0 1
0 .1
1
1 0
1 0 0
1 0 2 0 3 0
L iv e r C a s 9 + G 2 0 9
T im e (h o u rs )
Co
nc
en
tra
tio
n (
ng
/mg
liv
er)
C a s 9
G 209
Time (h)
Rapid Clearance of Cargo In Liver
3 m
pk
1 m
pk
0.3
mpk
0
20
40
60
80
Liver Editing1 Week Post-Dose Cohort
% E
ditin
g
3 m
pk
1 m
pk
0.3
mpk
0
50
100
150
200
Serum TTR
% o
f p
re-d
os
e T
TR
15
Liver Editing Durable at Least 6 MonthsLow Serum TTR Levels Persist
Durable and stable liver editing for at least6 months
Ongoing study (1 year duration)
Stem cell editing may drive durability
Cas9 Expression Is Transient, With Durable Editing Effect
High Durability In Vivo After Single DosePersistent Effect for at Least 6 Months in Ongoing Study
Edited Liver Cell Population Linked To Durability
GS (Glutamine Synthetase)
mRNA Delivered by LNP
3 mpk
1 mpk
0.3 mpk
16
G531 G533 G534 G531 G533 G534
• Sprague Dawley rats
• Single administration
• 7 day time point
Dose Responsive Editing in Rat LiverUp to 66% liver editing and 91% reduction serum TTR
Low Serum TTR Levels Liver Editing
Maximizing Future Opportunities in Other IndicationsPursuing CRISPR’s Application in Other Diseases
17
HBV Intellia’s Approach
240 million chronic HBV patients worldwide, leading cause of liver cirrhosis & cancer
Current standard of care controls viral replication but rarely eradicates virus
Knockout viral covalently closed circular DNA (cccDNA)
Potential to cure disease through eradication of viral DNA
Multiple potential therapeutic applications through HSC editing
Relatively low quantity of available stem cells for treatment
Deliver CRISPR/Cas9 ex vivo
Ex vivo edited target genes & re-engraftment
HSCs Intellia’s Approach
• Over 400 guides screened against the HBV genome in HepAD38 cells
• Editing hotspots observed in the HBV genome
• Targeted genomic disruption induces fetal hemoglobin expression
0 2 5 5 0 7 5 1 0 0 1 2 5 1 5 0 1 7 5 2 0 0 2 2 5 2 5 0 2 7 5 3 0 0 3 2 5 3 5 0 3 7 5 4 0 0 4 2 5
0
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
1 0 0
%
Ed
itin
g
Guide Reference #
Induction of HbF Cells
% a
lle
lic e
ditin
g
100
control Lead guide 1
Lead guide 2
80
60
40
20
0
CD34+ HSPC Gene Editing
0
control Lead guide 1
Lead guide 2
% H
bF
+ c
ells
(backgro
und
subtr
acte
d)
30
20
10
* *
Mean ± S.D., n=3
*P<0.001 one way ANOVA with Dunnett’s post hoc test versus Mock
Induction of HbF Cells
% a
lle
lic e
ditin
g
100
control Lead guide 1
Lead guide 2
80
60
40
20
0
CD34+ HSPC Gene Editing
0
control Lead guide 1
Lead guide 2
% H
bF
+ c
ells
(backgro
und
subtr
acte
d)
30
20
10
* *
Ex V
ivo
In V
ivo
Differentiated Partnership StrategyEnhances Intellia’s R&D Capabilities and Pipeline Growth
18
Multi-year initial collaboration
Product-focused discovery for CAR-Ts and HSCs
Draft pick process for HSC targets
Multi-year initial collaboration
Up to 10 in vivo targets
Two component deal
Liver-centric product development
Platform development
Partnership with leading pharmaceutical company
ATTR first selected co-co target
Intellia access to:
Regeneron Genetics Center
Animal model development
Tools & reagents
Compelling economics
Up to $320M milestones per target
High single-digit to low-teen royalties
$75M upfront
$50M equity investment
Co-development and commercialization options
Compelling economics
Up to $230M in milestone payments per product
Mid single-digit royalties
Up to $50M in committed collaboration funding
$18M equity investment
Leading CAR-T & HSC pharma provides near term access to CAR-T & HSC development
Access to:
LNP library utilized in in vivoprogram
HSC expansion technology utilized in ex vivo program
Regulatory & manufacturing expertise
Ex V
ivo
In V
ivo
19
Intellia Enters Research Collaboration:To Generate Genome-Edited Cell Therapies for Cancer
• 3-year research collaboration with Ospedale San Raffaele, Milan, Italy under
the direction of Professor Chiara Bonini
– Prof. Bonini is the Head of San Raffaele’s Experimental Hematology Unit and
Deputy Director of the Division of Immunology, Transplantation and Infectious
Diseases
• Research collaboration harnesses Intellia’s CRISPR/Cas9 genome editing
technology to engineer improved T-cell therapies targeting unmet needs in
hematological and solid tumors
• This agreement marks the first external partnership for eXtellia
– eXtellia, a division of Intellia, was established in 2016 and has identified its initial
areas of focus as immuno-oncology and auto-immunity
– eXtellia’s strategy is focused on advancing new generations of engineered cell
therapies through unique and proprietary applications of CRISPR genome editing
20
Intellia-Developed or Licensed IP
• LNP for delivering CRISPR/Cas9
• Chemically modified guide RNA
• Program-specific IP
• Analytical methods
• Alternative Cas9
Current and future CRISPR/Cas9-
related IP for human therapeutics
Collaboration IP
• Program-specific IP
• Platform improvements
LNP and HSC Technology;
Collaboration IP
• CAR-T program IP
• HSC program IP
• Platform improvements
UCal/Vienna/Charpentier IP
Intellia sublicenses U Cal / U Vienna’s
rights:
• CRISPR/Cas9 for genome editing
• Claims allowed or granted in multiple
jurisdictions
Caribou-Developed IP
Portfolio includes:
• Cas9 guide variants
• Cas9 protein variants
Other In-Licensed IP
Includes:• DuPont CRISPR-Cas9 IP • Vilnius IP
Leading Intellectual Property Position
Building Broad IP Portfolio Across Product Continuum Enables Intellia to Capture Greater Market Opportunity
21
Intellia’s global IP strategy positions for strong protection beyond the Platform IP
Site specific nuclease technology
LNP and other delivery methods for editing cargo
Structural & chemical modifications of guide RNAs
Scale-up, purification & analytics
Indication-specific patents
PreclinicalAsset
CommercialProduct
Final product composition
R&D Programs & Pipeline*
22
ProgramsCommercial
RightsType of Edit Delivery Status Comments
In V
ivo
Transthyretin Amyloidosis
(ATTR)Knockout LNP
• 2017 NHP Studies
Hepatitis B Virus
(HBV)Knockout LNP
Alpha-1 Antitrypsin Deficiency
(AATD)
Knockout
RepairLNP
Inborn Errors of Metabolism Primary Hyperoxaluria (PH-1)
Knockout
Repair
Insertion
LNP
Ex V
ivo
Hematopoietic Stem Cells
(HSC)
Knockout
Repair
Insertion
Electroporation
Chimeric Antigen Receptor
T Cells (CAR-T)
Knockout
InsertionElectroporation
Late Stage Preclinical
Development
Preclinical
Development
• 2017 Positioned to
commence animal
model studies
Commencing
NHP Studies
In vitro Guide
Evaluation
Guide Design
& Evaluation
Guide Design
& Evaluation
• 2H17 - 1H18
IND-Enabling Studies
* The table sets identify Intellia’s (including collaboration) principal discovery programs and pipeline opportunities as of March 31, 2017
23
Investment ThesisAccelerating the Development of LifeTransforming Therapies
Industry Leader
Robust, Global IP Strategy
Committed Partnerships
Proprietary Delivery System
Strong Balance Sheet
Diversified Pipeline
Nasdaq: NTLA
www.intelliatx.com