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Preliminary Proxy Statement
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Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2))
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Definitive Proxy Statement
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Definitive Additional Materials
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Soliciting Material Pursuant to §240.14a-12
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Ionis Pharmaceuticals, Inc.
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(Name of Registrant as Specified In Its Charter)
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(Name of Person(s) Filing Proxy Statement, if other than the Registrant)
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Payment of Filing Fee (Check the appropriate box):
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No fee required.
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Fee computed on table below per Exchange Act Rules 14a-6(i)(1) and 0-11.
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Title of each class of securities to which transaction applies:
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Aggregate number of securities to which transaction applies:
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(3)
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Per unit price or other underlying value of transaction computed pursuant to Exchange Act Rule 0-11 (set forth the
amount on which the filing fee is calculated and state how it was determined):
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Proposed maximum aggregate value of transaction:
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(5)
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Total fee paid:
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Fee paid previously with preliminary materials.
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Check box if any part of the fee is offset as provided by Exchange Act Rule 0-11(a)(2) and identify the filing for
which the offsetting fee was paid previously. Identify the previous filing by registration statement number, or the Form or Schedule and the date of its filing.
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Amount Previously Paid:
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Form, Schedule or Registration Statement No.:
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Filing Party:
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Date Filed:
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Business Strategy: Ionis is a multi-product commercial
company with a pipeline of first-in-class and/or best-in-class medicines discovered by Ionis that are designed to treat a broad range of diseases including neurological disease, cardiovascular disease, rare diseases, infectious
diseases and cancer. Ionis has created an efficient, broadly applicable, drug discovery platform called antisense technology with the potential to treat diseases where no other therapeutic approaches have proven effective or ever
existed. Ionis is committed to creating long-term value through innovation based on the efficiency of antisense technology. Ionis has been recognized as one of the top innovative companies in the biotechnology industry, based on number of granted patents, scientific
strength, industry impact, technology strength and research intensity.
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Organizational Strategy: A key component of our business and organizational strategy is to maintain an optimal size to continue to foster innovation. We are able to maintain an optimal size by
licensing our medicines at key value inflection points during development, thus avoiding the need to build the large, complex, inefficient organizations associated with fully integrated pharmaceutical companies. Ionis has an
innovation-focused, science-driven culture that couples with the technology and business model to ensure long-term productivity and a commitment to patients and stockholders. With more than 1,800 issued patents (over three per
employee) that provide substantial control of key elements of the technology for many years to come and a pipeline of more than 40 first-in-class and/or best-in-class medicines (one medicine in development per 11 employees), we, by design, demand more of
every employee at Ionis, particularly the middle and senior level leaders, and we do not tolerate mediocrity.
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Our TSR outperformed the
median of the Nasdaq Biotechnology Index over the previous one-, three- and five-year periods. Outperforming the median of the Nasdaq Biotechnology Index for 2018 was a performance objective and measure set for management at the
beginning of 2018. As such, Ionis met the pre-defined, objective, stock
price performance measure set for the year. Over the previous one-year period, our TSR also
outperformed the Russell 3000 index and the peer group of 20 life science companies (the “Peer Group”) that the Compensation
Committee of our Board (the “Compensation Committee”) uses for evaluating Ionis’ compensation.
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We obtained approval to market TEGSEDI in the U.S., EU and Canada
for the treatment of a devastating disease – polyneuropathy caused by hereditary TTR amyloidosis.
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As further described below, we earned an all-time high for
revenue, substantially exceeding our 2018 financial guidance and achieving our third consecutive year of non-GAAP1 operating income, despite receiving a Complete Response Letter for a medicine we hoped to commercialize in
2018.
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We achieved these financial successes while advancing a diverse
pipeline of over 40 potentially transformative medicines, ten of which are advancing toward pivotal studies by the end of 2020, with four of those expected to enter pivotal studies by the end of 2019.
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While successfully advancing our pipeline and technology, we
aggressively invested in commercializing TEGSEDI globally, achieving sales of over $2 million in the first partial quarter of being on the market.
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Ionis and Biogen received the prestigious International Prix Galien Award for the Best Biotechnology Product in 2018 for SPINRAZA.
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We ended 2018 in a very strong financial position, with 2018 revenues of $600 million, an increase of more than 15% from 2017, and Ionis’ seventh consecutive year of revenue growth.
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For the third year in a row, we were profitable, with non-GAAP operating income in 2018 of $70 million. This success is driven
by the strength of our business strategy, which leverages numerous sources of revenue, with multiple opportunities for upside, while reducing risk.
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We ended 2018 with a strong balance sheet with more than $2 billion in cash and short-term investments, making this the sixth year out of seven that we have been cash accretive. Our strong balance sheet provides us with the financial wherewithal to invest in expanding and advancing
our pipeline, in commercializing our medicines through commercial affiliates, and advancing our technology.
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Simply put, we demand great performance and
pay for that performance. The Compensation Committee has structured the various components of our compensation system to reflect accountability for the successes and failures (both long-term and short-term) of Ionis, which
means that a significant proportion of executive officers’ compensation is “at risk” in the form of performance-based cash
payments through our annual Performance Management By Objective Program (“Performance MBO Program”) and long-term equity awards tied to stock price. We pay our senior management team for results and their use of judgment in
executing the strategies established at the beginning of each year.
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Our executive compensation program is designed
to align with our strategic focus, organizational strategy and the creation of long-term stockholder value. Drug discovery and development across a portfolio of many medicines is a long process that spans many years, where
decisions we make today can have a positive or negative consequence five years, ten years, and even further into the future. As such, it is essential we set goals that incentivize our employees to execute our long-term strategy,
because we believe our long-term strategy should continue to reward our stockholders into the future. For us to retain our technology leadership and effectively manage the technical complexity and broad scope of our pipeline, our
most senior executives and the members of their teams must advance multiple drug development strategies and collaborative partnerships in parallel and consistently over many years, versus emphasizing one or two at the expense of
others that deserve attention.
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Our Performance MBO Program includes
aggressive results-driven corporate objectives with objective measures, no guaranteed payouts, and maximum payout limits, and the Compensation Committee has negative discretion to reduce payouts after considering one-, three- and
five-year total stockholder returns. At the beginning of each year, the Compensation Committee approves annual performance objectives on which we believe our executive officers should focus during the year in order to
achieve our business goals, including financial, operating and/or strategic plans, and we monitor and review progress against these objectives during and after each year. These objectives are aggressive results-driven corporate
objectives and include objective measures for each objective.
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The Compensation Committee annually considers
the appropriate mix of equity awards and continues to believe that time-vested stock options and restricted stock unit (“RSU”) awards are the appropriate mix for the following reasons:
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During the past several years, Ionis has discussed the use of time-vested stock options and RSU awards with
our institutional stockholders, many of which acknowledged the prevalence of stock options in the biopharmaceutical industry and agreed that we had the right mix of equity vehicles for our industry and stage.
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Stock options are inherently performance-based compensation. For the recipient of a stock option to recognize any economic value, the
stock price must appreciate following the grant date and prior to vesting and exercise. Similarly, in the same way our stockholders’ returns increase and decrease based on our stock’s performance, the value to our employees of RSUs
increases and decreases based on our stock’s performance.
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Time-vested stock options and RSUs facilitate a focus on the totality of Ionis’ ongoing and future activities as potential contributors to
stock price appreciation. Performance-based equity awards could promote excessive risk-taking that could adversely impact Ionis or its drug discovery and development efforts.
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Our executive compensation program also reflects strong corporate
governance attributes. The Compensation Committee, with assistance from our independent compensation consultant, provides
comprehensive oversight of our executive compensation program. The Compensation Committee regularly evaluates the economic, strategic and organizational challenges facing Ionis and periodically modifies our executive compensation
program to address these and other factors that evolve over time. For example, in response to requests from some of our stockholders who asked that we provide more disclosure around the goal-setting process for our bonus program to
demonstrate how the goals translate into measurable results, we recently have been providing more disclosure around our Performance MBO Program. We also maintain stock ownership and holding guidelines, have a strict policy
prohibiting hedging and pledging, maintain a clawback policy, impose minimum vesting requirements for equity awards, do not provide tax gross-up payments other than for relocation, and do not guarantee bonuses or base salary increases
or provide perquisites for any employees.
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SPINRAZA significantly surpassed sales goals, generating 2018 global sales of over $1.7 billion, and is now the standard of care for all
patients with spinal muscular atrophy, or SMA;
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Regulatory authorities in the U.S., EU and Canada approved marketing applications for TEGSEDI (inotersen) and Akcea launched the product in
the U.S. and EU; and
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Ionis revenues for 2018 increased by more than 15% compared to 2017, the Company achieved non-GAAP operating income for the third
consecutive year, and ended the year with more than $2 billion in cash and short-term investments on its balance sheet.
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Evaluation of 2018 Corporate Objectives
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Objective & Pre-Approved Objective Measures
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Evaluation
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1
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SPINRAZA – Achieve successful commercialization:
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Ionis exceeded this objective:
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• 2018 sales ≥ $1.5 billion
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• Ionis and Biogen significantly exceeded this goal, generating 2018 global sales of over $1.7 billion
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• Implement successful plan with Biogen for development of a new SMA medicine by achieving Development Candidate acceptance
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• Under Ionis’ new collaboration with Biogen to discover new antisense medicines with enhanced properties to treat SMA, Ionis and Biogen successfully formulated a development plan
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WAYLIVRA (volanesorsen) – Approval and successful launch for FCS:
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Ionis did not meet this objective, with one exception:
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• 2018 sales ≥ a specified sales target following approval in US, EU and Canada
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• Ionis and Akcea received a Complete Response Letter for WAYLIVRA in the 3rd quarter; Ionis and Akcea are engaged in ongoing discussions with FDA regarding a path forward
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• Organization in place and ready to launch in US, Canada, Germany, UK and France by approval dates
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• Ionis and Akcea continued to conduct the BROADEN study, a Phase 3 clinical trial, with data expected in 2019. The study completed enrollment in 2018.
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• Plan for certain dosage strength agreed with regulators
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• Achieve defined pricing objectives in US, Canada and EU
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• Negotiate feasible REMS and RMP and have effective monitoring process in place at launch.
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• Complete enrollment in FPL study
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Evaluation of 2018 Corporate Objectives | ||
Objective & Pre-Approved Objective Measures | Evaluation | |
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TEGSEDI (inotersen) – Approval and successful launch for hATTR polyneuropathy
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Ionis met this objective:
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• 2018 sales ≥ a specified sales target
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• Despite delayed PDUFA, Ionis and Akcea nevertheless generated $2 million in sales following approval in the 4th
quarter
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• US and EU approval
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• TEGSEDI was approved in the US, EU and Canada
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• Organization in place and ready to launch in US by approval dates
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• Ionis and Akcea built the infrastructure necessary for launch in the US and Canada
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• Achieve defined pricing objectives in US, Canada and EU
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• Ionis and Akcea achieved defined pricing objectives in US and EU
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• Negotiate feasible REMS and RMP and have effective monitoring process in place at launch.
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• Ionis and Akcea negotiated a feasible REMS and RMP and implemented an effective monitoring process, including robust patient support resources and mobile phlebotomy
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• Supply chain in place at launch
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• Ionis and Akcea implemented a supply chain with minimal delay
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• Expanded access program rapidly executed in accordance with plan
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• Ionis and Akcea executed an expanded access program, affording certain patients the opportunity to obtain medicine prior to approval
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• Complete EU transaction and successfully work with partner to ensure rapid launch
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• Ionis licensed to Akcea and is working with Akcea to successfully commercialize TEGSEDI in EU
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• Develop plan for regulatory approval/launch in key non-US/EU regions, including Brazil launch in 2019
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• Ionis and Akcea developed a plan for launch in key non-US/EU regions and completed a transaction with PTC Therapeutics to commercialize TEGSEDI in Latin America. Regulatory filing accepted by ANVISA
in Brazil and received priority review.
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Establish and implement aggressive development plan for AKCEA-TTR-LRx:
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Ionis met this objective:
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• Establish development plan for all forms of TTR amyloidosis with US and EU regulatory support
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• Ionis and Akcea established a development plan for hATTR and wtATTR and had constructive meetings with FDA in early 2019 regarding agreement on design of pivotal study for 2019
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• Initiate Phase 1 study
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• Ionis initiated a Phase 1/2 study for AKCEA-TTR-LRx
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Make Novartis relationship successful:
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Ionis met this objective:
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• AKCEA-APO(a)-LRx dose-ranging study complete with positive data
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• Phase 2 dose-ranging study showed statistically significant dose-dependent reductions of Lp(a) compared to placebo at all dose levels and demonstrated favorable safety and tolerability profile
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• Positive end of Phase 2 meeting with FDA
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• Ionis and Akcea had a positive end of Phase 2 meeting with FDA
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• Platelet monitoring frequency as per standard Phase 3 studies
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• Phase 2 dose-ranging study demonstrated favorable safety and tolerability profile, supporting standard (non-ASO) platelet monitoring frequency
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• Trigger Novartis option exercise process.
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• Completion of Phase 2 dose-ranging study with positive data and end of Phase 2 meeting with FDA triggered process for option decision
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• Complete enrollment for dose-ranging study for AKCEA-APOCIII-LRx
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• Ionis and Akcea continued to conduct the dose-ranging study for AKCEA-APOCIII-LRx, with data expected in 2020.
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Evaluation of 2018 Corporate Objectives | ||
Objective & Pre-Approved Objective Measures | Evaluation | |
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Complete Biogen strategic transaction:
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Ionis exceeded this objective:
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• Terms consistent with 2018 budget
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• Ionis and Biogen entered into a new strategic collaboration to develop novel medicines for a broad range of neurological diseases and received a $1 billion upfront payment, comprised of $625 million
stock purchase at 25% premium and $375 million cash, with the potential to receive up to $270 million for each medicine that achieves marketing approval and royalties up to the 20% range.
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• Successful collaboration launch and add four new targets to collaboration
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• Ionis and Biogen added eleven new targets to this collaboration
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Make Biogen relationship successful:
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Ionis met this objective:
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• Achieve enrollment target for IONIS-MAPTRx in Phase 1/2 study
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• Ionis initiated a dose escalation study for IONIS-MAPTRx in patients with mild Alzheimer’s disease, with data expected in 2020. Although the study did not achieve the desired enrollment in
2018, it remains on track to report data in 2020.
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• Initiate Phase 1/2a study for IONIS-C9Rx
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• Ionis initiated a Phase 1/2 study in ALS patients with a mutation in the C9ORF72 gene, advancing a novel approach to a disease for which there is no cure
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• Initiate second ALS target screen
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• Ionis initiated a second ALS target screen
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• Achieve ≥ 2 new target sanctions
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• Ionis achieved two new target sanctions.
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• Identify ≥ 1 development candidates
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• Ionis made significant progress in identifying a development candidate
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• Achieve revenue target across all Biogen collaborations (excluding SPINRAZA)
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• Ionis exceeded the revenue target across all Biogen collaborations
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Evaluation of 2018 Corporate Objectives | ||
Objective & Pre-Approved Objective Measures | Evaluation | |
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Make AstraZeneca oncology relationship successful:
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Ionis met this objective:
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• Positive results from danvatirsen (formerly IONIS-STAT3-2.5Rx) Phase 1b study with advancement to next stage of development with milestones
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• Phase 1b/2 study evaluating danvatirsen in combination with AstraZeneca’s durvalumab, in recurrent metastatic head and neck cancer was successfully completed, earning a $17.5 million
milestone payment
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• Positive completion of Phase 1 study for an oncology candidate with advancement to next stage of development
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• Candidate did not advance
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• Development candidate approval for IONIS-AZ7-2.5Rx
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• Ionis achieved development candidate approval for IONIS-AZ7-2.5Rx
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Make AstraZeneca CVMD relationship successful:
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Ionis exceeded this objective:
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• Achieve one development candidate milestone approval
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• Ionis achieved two development candidate approvals
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• Achieve two target sanctions, one involving a novel LICA strategy
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• Ionis achieved two new target sanctions, one of which involved a novel LICA strategy
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Achieve revenue target across AstraZeneca oncology and CVMD collaborations:
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Ionis exceeded this objective:
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• Ionis exceeded the revenue target across all AstraZeneca collaborations
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Regulatory:
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Ionis met this objective:
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• Obtain agreement from FDA and major European regulators on platelet monitoring for frequency similar to standard (non-ASO) clinical studies for LICA programs
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• Regulators acknowledged the favorable safety and tolerability profile of the Phase 2 dose-ranging study for AKCEA-APO(a)-LRx and were supportive of standard (non-ASO) platelet
monitoring frequency for LICA programs
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Advance pipeline:
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Ionis exceeded this objective:
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• Initiate 1 Phase 3 trial
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• Ionis made substantial progress toward initiating Phase 3 trial for RG6042 (formerly IONIS-HTTRx) in patients living with symptoms of Huntington’s disease, with first patient
enrolled in January 2019
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• Initiate first Phase 2 trials on ≥ 4 medicines
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• Ionis initiated Phase 2 clinical trials for four medicines
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• Positive clinical proof-of-concept on ≥ 5 medicines
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• Ionis completed studies that demonstrated positive clinical proof-of-concept for six medicines
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• Initiate Phase 1 trials on ≥ 5 medicines
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• Ionis initiated Phase 1 clinical trials on six medicines
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• Add ≥ 5 new medicines into the pipeline
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• Ionis added six new medicines to its development pipeline
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• Add ≥ 5 target sanctions
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• Ionis achieved target sanction on eight medicines
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• Ribo to initiate Phase 2 in China for IONIS-GCGRRx
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• Preparations underway for Phase 2 study of IONIS-GCGRRx in China and study expected to commence in the second quarter of 2019
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Evaluation of 2018 Corporate Objectives | ||
Objective & Pre-Approved Objective Measures | Evaluation | |
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Achieve key technology advancements:
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Ionis met this objective:
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• Plan and validate blood collection device to facilitate platelet monitoring for 2019 commercial use
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• Collaboration underway for device to enable clinical use in 2019
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• Confirm that modulation of protein interactions result in improved in vivo properties
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• Ionis achieved this objective
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• Initiate Phase 1 study with no identified safety issues for first Generation 2.5 medicine for respiratory diseases
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• Ionis initiated a Phase 1 study with no identified safety issues on the first Generation 2.5 medicine for respiratory diseases
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• Complete toxicology study on a specific development candidate incorporating a novel delivery approach to support dosing in first human subject in 2018
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• Ionis completed a toxicology study on a specific development candidate incorporating a novel delivery approach and first human subject dosed in 2018
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• Advance first Generation 2.5 LICA medicine into clinical testing
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• Ionis advanced the first Generation 2.5 medicine into clinical testing
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14
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Meet budget/projections
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Ionis exceeded this objective:
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• Ionis significantly exceeded its financial guidance for 2018 and ended 2018 in a very strong financial position
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• Ionis improved upon its budget
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15
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Establish a near-, mid- and long-term tax strategy and implementation plan
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Ionis met this objective:
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• Ionis established a near-, mid- and long-term tax strategy and implementation plan
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Increase stock price performance by a percentage greater than or equal to median of the companies
listed in the Nasdaq Biotechnology Index
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Ionis exceeded this objective:
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• Ionis’ stock price outperformed the median stock price change for companies listed in the Nasdaq
Biotechnology Index
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Achieve successful management transitioning
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Ionis met this objective:
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• New senior leaders contributed meaningfully to Ionis’ and Akcea’s success in 2018
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• Ionis successfully established a Translational Medicine group
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Unplanned Accomplishments for 2018
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18
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Ionis licensed the worldwide rights to commercialize TEGSEDI and AKCEA-TTR-LRx exclusively to Akcea
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19
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Ionis licensed the worldwide rights to develop and commercialize IONIS-FB-LRx for the treatment of
complement-mediated diseases exclusively to Roche and received a $75 million upfront payment
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Biogen exercised its option to obtain a worldwide, exclusive royalty-bearing license to develop and commercialize
IONIS-SOD1Rx (BIIB067) and paid Ionis a $35 million upfront payment
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21
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Ionis strengthened its clinical development team by completing significant hires
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IONIS-HTTRx (RG6042) demonstrated positive correlation between mHTT reduction and clinical outcomes in
Phase 1/2 study
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Akcea licensed the rights to commercialize TEGSEDI and WAYLIVRA in Latin America exclusively to PTC Therapeutics
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Phase 1 study of IONIS-SOD1Rx (BIIB067) demonstrated robust clinical benefit in aggressive form of ALS
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Ionis licensed the worldwide rights to develop and commercialize IONIS-RHO-2.5Rx for the treatment of
autosomal dominant retinitis pigmentosa exclusively to ProQR Therapeutics
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Ionis successfully developed a plan for a new corporate communications brand
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