Alnylam Pharmaceuticals, Inc. · NASDAQ:ALNY
Alnylam Pharmaceuticals — Investor Presentation (October 2014)
39 slides from Alnylam Pharmaceuticals's investor presentation, October 2014
Slide 1: Corporate Overview
Corporate Overview October 2014
Slide 2: Alnylam Forward Looking Statements
Alnylam Forward Looking Statements This presentation contains forward-looking statements, within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. There are a number of important factors that could cause actual results to differ material
Slide 3: RNA Interference (RNAi): A New Class of Innovative Medicines
RNA Interference (RNAi) A New Class of Innovative Medicines RNAi Therapeutics Harness natural pathway » Catalytic mechanism » Mediated by small interfering RNA or “siRNA” Therapeutic gene silencing » Any gene in genome » Distinct mechanism of action vs. other drug classes » Unique opportunities
Slide 4: RNAi Human Translation Achieved
RNAi Human Translation Achieved Multiple Alnylam Clinical Programs; IV and SC Delivery Human Proof of Mechanism: Human Safety and PK ALN-VSP >2,000 Doses administered RNAi-mediated target » Includes >2 years gene cleavage duration confirmed in biopsy Generally well tolerated samples Human Proo
Slide 5: Alnylam 5x15
Alnylam 5x15 TM Focused Product Development Pipeline for Genetic Medicines RNAi therapeutics as genetic medicines In 2011: 5 Key products in clinical development through 2015 Expect to exceed 2011 guidance » 6-7 Clinical-stage products » At least 2 in Phase 3 » 5-6 Human POCs 12 Programs discl
Slide 6: Global Commercialization Strategy for Value Creation
Alnylam 5x15 TM Global Commercialization Strategy for Value Creation Transformational alliance to expand and accelerate global product value Alnylam retains North America and EU » Leads development and commercialization Genzyme obtains ROW and certain additional rights » Includes co-development
Slide 7: Alnylam Development Pipeline
Alnylam Development Pipeline Discovery Development Phase 1 Phase 2 Phase 3 Patisiran (ALN-TTR02) TTR-Mediated Amyloidosis ALN-TTRsc Hemophilia and Rare Bleeding Disorders ALN-AT3 Complement-Mediated Diseases ALN-CC5 Hypercholesterolemia ALN-PCSsc Hepatic Porphyrias ALN-AS1 Alpha-1 Antitrypsin Defici
Slide 8: Transthyretin-Mediated Amyloidosis (ATTR) Program
Transthyretin-Mediated Amyloidosis (ATTR) Program Unmet Need and Product Opportunity RNAi to treat genetic disease ATTR is significant orphan disease » ~50,000 Patients worldwide Clinical pathology » Onset ~40 to >60 yr; fatal within 5-15 years » Two predominant forms – Familial amyloidotic poly
Slide 9: Patisiran (ALN-TTR02)
Patisiran (ALN-TTR02) Familial Amyloidotic Polyneuropathy (FAP) Patisiran in clinical development International Nonproprietary Name designation for ALN-TTR02 = Patisiran (Pa-TEE-sa-ran) Orphan drug status in US/EU Fast track designation by FDA Administered by IV infusion Positive Phase 1 r
Slide 10: Patisiran Phase 2 Study Results
Patisiran Phase 2 Study Results Robust knockdown of both wild-type and mutant TTR in ATTR patients Open label, multi-center, multi-dose, dose escalation study Results (n=29) show up to 96% TTR knockdown; 84% and 87% mean TTR knockdown after 1 st and 2nd doses in 0.30 mg/kg IV q3w cohort (p<0.001
Slide 11: Patisiran Open-Label Extension (OLE) Study
Patisiran Open-Label Extension (OLE) Study FAP patients dosed in Phase 2 trial eligible for Phase 2 OLE study Clinical endpoints evaluated every 6 months for up to 2 years » Clinical endpoints same as APOLLO Phase 3 study » Dosing at 0.30 mg/kg IV every 3 weeks Study objectives » Primary: Safety
Slide 12: Patisiran Phase 2 OLE Preliminary Study Results
Patisiran Phase 2 OLE Preliminary Study Results Serum TTR Knockdown Patisiran achieves robust and sustained TTR knockdown out to 9 months Target level of 80% TTR knockdown achieved in pre-dose samples Up to 89.6% TTR knockdown in post-dose samples No difference in TTR knockdown in patients on
Slide 13: Patisiran Phase 2 OLE Preliminary Study Results
Patisiran Phase 2 OLE Preliminary Study Results Change in mNIS+7 at 6 Months (N=19) Neuropathy Impairment Score (mNIS+7) stable after 6 months treatment with patisiran Mean decrease of 0.95 points observed Compares favorably with an up to 10 point increase estimated from historical data sets S
Slide 14: Phase 3 Trial of Patisiran in FAP
Phase 3 Trial of Patisiran in FAP Study Ongoing Randomized, double-blind, placebo-controlled, global study Sample size and randomization » N=200 » 2:1, Patisiran vs. placebo Key eligibility criteria » V30M and non-V30M FAP » Baseline FAP stages 1 and 2 Treatment regimen » Patisiran 0.30 mg/kg
Slide 15: ALN-TTRsc
ALN-TTRsc Familial Amyloidotic Cardiomyopathy (FAC) ALN-TTRsc in clinical development Subcutaneous delivery Completed GLP tox studies confirming wide therapeutic index Positive Phase 1 study results » Normal healthy volunteer study in UK Pilot Phase 2 study ongoing study ongoing » Screenin
Slide 16: ALN-TTRsc Phase 1 Study Results
ALN-TTRsc Phase 1 Study Results Randomized, double-blind, placebo-controlled SAD and MAD study in healthy volunteers Rapid, dose-dependent, consistent, and durable knockdown of serum TTR with SC dosing » Significant knockdown of serum TTR (p<0.01) up to 94% TTR knockdown; Mean knockdown up to 92.4
Slide 17: ALN-TTRsc Phase 2 Study
ALN-TTRsc Phase 2 Study Study Design Open-label, multi-dose study in TTR cardiac amyloidosis » Includes patients with FAC and senile systemic amyloidosis (SSA) 25 Patients 5 mg/kg SC dose (qd x5 load, qw x5 maintenance) Primary Objective Assess safety and tolerability Secondary Objective O
Slide 18: ALN-TTRsc Phase 3 Study
ALN-TTRsc Phase 3 Study Trial Design Considerations Alnylam FAC/SSA natural history study Retrospective study of ~400 FAC and SSA patients Data on multiple endpoints including death, hospitalization, NYHA class, 6-minute walk distance, cardiac biomarkers Analysis to be presented at future meet
Slide 19: Hemophilia and Rare Bleeding Disorders Program
Hemophilia and Rare Bleeding Disorders Program Unmet Need and Product Opportunity RNAi to treat hemophilia and rare bleeding disorders (RBD) Hemophilias are recessive X-linked monogenic bleeding disorders » Hemophilia A: loss of function in Factor VIII – >40,000 Patients in EU/US » Hemophilia B: l
Slide 20: Antithrombin and ALN-AT3 Program
Antithrombin and ALN-AT3 Program Intrinsic system Extrinsic system Antithrombin (AT) is genetically defined Hemophilia B FVIIa FVII FX target FIX FIXa AT is key natural anticoagulant Hemophilia A » Inactivates factors Xa and thrombin FVIII FVIIIa » Attenuates thrombin generation FXa AT Human AT
Slide 21: Genetic Validation for ALN-AT3
Genetic Validation for ALN-AT3 Co-Inheritance of Type 3 VWD and AT Deficiency Human genetic data support targeting AT for treatment of hemophilia and rare bleeding disorders Sib Sib Type 3 von Willebrand disease (VWD) 1 2 is severe genetic bleeding disorder Recently reported study of two Type 3
Slide 22: ALN-AT3 Pre-Clinical Efficacy
ALN-AT3 Pre-Clinical Efficacy Potent AT Knockdown and Normalization of Thrombin Generation Potent AT knockdown and normalized thrombin generation in non-human primates (NHP) Weekly SC doses for >5 months result in potent, dose-dependent, and durable AT knockdown In NHP hemophilia “inhibitor” mod
Slide 23: ALN-AT3 Pre-Clinical Efficacy
ALN-AT3 Pre-Clinical Efficacy Potent AT Knockdown and Normalization of Thrombin Generation Potent AT knockdown and normalized thrombin generation in non-human primates (NHP) Weekly SC doses for >5 months result in potent, dose-dependent, and durable AT knockdown In NHP hemophilia “inhibitor” mod
Slide 24: ALN-AT3 Phase 1 Study
ALN-AT3 Phase 1 Study Part Dose-Escalation Study in Two Parts A Part Study Design B Study Design Randomized, single-blinded, Open-label, MAD study in placebo-controlled SAD study in subjects with moderate to severe healthy volunteers hemophilia A or B (N=up to 18) Max allowable knockdown of 40
Slide 25: Complement Disease Program
Complement Disease Program Unmet Need and Program Opportunity Complement-Mediated Diseases Excessive complement activity drives disease pathophysiology in many indications » Paroxysmal nocturnal hemoglobinuria (PNH) » Atypical hemolytic uremic syndrome (aHUS) » Neuromyelitis optica (NMO) » Myasthe
Slide 26: Complement C5 and ALN-CC5 Program
Complement C5 and ALN-CC5 Program Alternative Pathway Classical Pathway Lectin Pathway Initiation C3 C1 Complement C5 is genetically validated target C3 Key component of terminal pathway C4 and C2 » C5 cleavage releases C5a; initiates membrane C3 Convertase Factor B attack complex (MAC) formation
Slide 27: ALN-CC5 Pre-Clinical Efficacy
ALN-CC5 Pre-Clinical Efficacy Potent C5 Knockdown and Hemolytic Activity Inhibition SC Administration of ALN-CC5 in non-human primates Potent dose-dependent C5 knockdown up to 99% » Mean knockdown of 97.9% » Confirms that vast majority of serum C5 is liver derived Potent inhibition of complement
Slide 28: ALN-CC5 Pre-Clinical Efficacy
ALN-CC5 Pre-Clinical Efficacy Potent C5 Knockdown and Hemolytic Activity Inhibition SC Administration of ALN-CC5 in non-human primates Potent dose-dependent C5 knockdown up to 99% » Mean knockdown of 97.9% Hill et al., Blood;106:2559-2565 (2005) » Confirms that vast majority of serum C5 is liver d
Slide 29: Alnylam 5x15: Additional Genetic Medicine Programs
Alnylam 5x15™ Additional Genetic Medicine Programs Acute Intermittent Porphyria Loss of function mutations in porphobilinogen deaminase (PBGD); key step in heme synthesis Ultra-rare orphan disease » ~5,000 Patients with annual attacks/~500 patients with recurrent attacks in US/Europe ALN-AS1 t
Slide 30: ALN-PCSsc Program
ALN-PCSsc Program PCSK9 1.0 3.0 6.0 10.0 -20 % PCSK9 Knockdown (relative to pre-bleed) 0 20 40 Hypercholesterolemia Elevated LDL-C validated risk factor 60 >500,000 Patients with severe hypercholesterolemia 80 Multiple genetically defined patient subgroups ALN-PCSsc 100 0 20 40 60 80 100 Tar
Slide 31: Other Cardio-Metabolic Programs
Other Cardio-Metabolic Programs ALN-ANG, ALN-AC3, ALN-AGT Mixed Hyperlipidemia and Severe Hypertriglyceridemia Mixed hyperlipidemia is genetic disease with high levels of cholesterol and triglycerides Severe hypertriglyceridemia includes familial chylomicronemia syndrome » Ultra-rare orphan dise
Slide 32: HBV Program
HBV Program Plasma Viral Load (bDNA) siRNA (mg/kg) 0.125 0.25 0.50 1 0 (relative to average pre-dose) Log10 Δ Viral Load -1 Chronic HBV infection is significant WW problem -2 400M Patients chronically infected WW -3 » 1-2M in US Clinical manifestations severe -4 A C B D » Chronic inflammation le
Slide 33: Alnylam 5x15 Strategy
TM Alnylam 5x15 Strategy A Reproducible and Modular Path for Genetic Medicines 2. POC achieved in Phase 1 Blood-based biomarker with strong disease correlation » e.g., Serum TTR, thrombin GCCCCUGGAGGG generation, hemolytic activity, LDL-C, HBsAg levels 3. Definable path to approval and market Es
Slide 34: Financials and Goals
Financials and Goals ay ZL Alnylam.
Slide 35: Financial Summary
Financial Summary 2014 Q2 Financial Results Cash ~$956M GAAP Revenues $7.3M » Takeda, Monsanto, The Medicines Company and others Total GAAP Operating Expenses ~$52M » Research and Development Expense $44.7M » One-time reduction for In-Process R&D Expense $3.9M – For acquisition of Sirna RNAi a
Slide 36: Updated Alnylam 5x15 Pipeline Guidance
Updated Alnylam 5x15 Pipeline Guidance 6-7 Clinical Programs, at Least 2 in Phase 3, and 5-6 Human POC by End ’15 2014 2015 Subsequent 1-3 Years Patisiran Phase 2 OLE D D D TTR-FAP Human POC Phase 3 FAP “APOLLO” D Phase 3 ALN-TTRsc Pilot Phase 2 D Phase 3 FAC TTR-FAC D Phase 3 Human POC ALN-AT3
Slide 37: Alnylam 2014 Goals
Pipeline Goals 2014* Alnylam 2014 Goals Early Mid Late APOLLO Phase 3 Accrual Patisiran (ALN-TTR02) Phase 2 OLE Accrual TTR-FAP Initial Phase 2 OLE data Phase 2 OLE data ALN-TTRsc Phase 2 FAC data Phase 2 OLE start TTR-FAC Phase 3 FAC start ALN-AT3 Phase 1 SAD start Phase 1 MAD start Initial
Slide 38: Select Scientific and Clinical Meetings
Select Scientific and Clinical Meetings Mid to Late ’14 High Blood Pressure Research (HBPR) Alnylam 5x15 September 9-12, San Francisco, CA International Complement Society Workshop (ICSW) ALN-CC5 September 14-18, Rio de Janeiro, Brazil Patisiran American Neurological Association (ANA) Oc
Slide 39: Thank You
Thank You www.alnylam.com
Alnylam Pharmaceuticals — Investor Presentation (October 2014) on 6ix