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):  November 9, 2022
 
IONIS PHARMACEUTICALS, INC.
(Exact Name of Registrant as Specified in Charter)
 
Delaware
(State or Other Jurisdiction of Incorporation)
 
000-19125
 
33-0336973
(Commission File No.)
 
(IRS Employer Identification No.)

2855 Gazelle Court
Carlsbad, CA 92010
(Address of Principal Executive Offices and Zip Code)
 
Registrant’s telephone number, including area code: (760) 931-9200


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:

Title of each class
 
Trading symbol
 
Name of each exchange on which registered
Common Stock, $.001 Par Value
 
IONS
 
The Nasdaq Stock Market, LLC

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

 
Emerging growth company

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


Item 2.02
Results of Operations and Financial Condition.
 
On November 9, 2022, Ionis Pharmaceuticals, Inc. (the “Company”) issued a press release announcing the Company’s financial results for the quarter ended September 30, 2022.  In addition to disclosing results that are determined in accordance with Generally Accepted Accounting Principles (“GAAP”), the Company also discloses pro forma or non-GAAP results of operations, which are adjusted from GAAP to exclude non-cash compensation expense related to equity awards, costs related to the Company’s merger transaction with Akcea Therapeutics, Inc. (“Akcea”), and costs related to the Company’s restructured commercial operations and the related tax effects. The Company is presenting pro forma information excluding non-cash compensation expense related to equity awards, costs related to the Akcea merger, and costs related to the restructured commercial operations and related tax effects because the Company believes it is useful for investors in assessing the Company’s operating results compared to the prior year.  A copy of the release is furnished with this report as an exhibit pursuant to “Item 2.02. Results of Operations and Financial Condition” of Form 8-K in accordance with SEC Release Nos. 33-8216 and 34-47583.
 
The information in this Current Report on Form 8-K and the Exhibit attached hereto shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934 (the “Exchange Act”) or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933 or the Exchange Act, regardless of any general incorporation language in such filing.
 
Item 9.01.
Financial Statements and Exhibits.
 
(d) Exhibits.
 
Exhibit No.
Description
Press Release dated November 9, 2022.
   
104
Cover Page Interactive Data File (embedded within the Inline XBRL document).


SIGNATURE
 
Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
 
 
Ionis Pharmaceuticals, Inc.
   
Dated:  November 9, 2022
By:
/s/ Patrick R. O’Neil
   
Patrick R. O’Neil
   
Executive Vice President, Chief Legal Officer and General Counsel




Exhibit 99.1


Ionis reports third quarter financial results
Advanced key priorities: initiated manufacturing infrastructure project to support growth
 
Increased 2022 cash and investments guidance
 
CARLSBAD, Calif., November 9, 2022 – Ionis Pharmaceuticals, Inc. (Nasdaq: IONS) (the “Company”) today reported financial results for the third quarter of 2022. Financial results are summarized below:
 
   
Three months
ended
September 30,
   
Nine months
ended
September 30,
 
   
2022
   
2021
   
2022
   
2021
 
   
(amounts in millions)
 
Total revenue
 
$
160
   
$
133
   
$
435
   
$
370
 
Operating expenses
 
$
219
   
$
219
   
$
637
   
$
621
 
Operating expenses on a non-GAAP basis
 
$
195
   
$
185
   
$
562
   
$
499
 
Net loss
 
(47
)
 
(82
)
 
(217
)
 
(253
)
Net loss on a non-GAAP basis
 
(23
)
 
(48
)
 
(142
)
 
(131
)

Financial Highlights

Revenue increased 20% for the third quarter of 2022 and 18% on a year-to-date basis compared to the same periods last year driven by significant partner payments earned across multiple programs
 
Non-GAAP operating expenses increased 5% for the third quarter of 2022 and 13% on a year-to-date basis compared to the same periods last year driven by advancing Phase 3 pipeline
 
Entered into a long-term lease in October 2022 to construct a new manufacturing facility supporting continued growth
 
Entered into a sale-leaseback transaction in October 2022 for several real estate assets, generating net proceeds of $240 million plus full funding to expand R&D campus
 
Reaffirmed 2022 P&L guidance; increased cash and investments guidance to approximately $2.0 billion
 
Late-Stage Pipeline Highlights

Presented positive data from the Phase 3 NEURO-TTRansform study of eplontersen in patients with polyneuropathy caused by hereditary TTR amyloidosis; on track to file U.S. New Drug Application this year
 
Expanded enrollment in the Phase 3 CARDIO-TTRansform study of eplontersen in patients with ATTR cardiomyopathy; data still expected first half of 2025
 
NDA for tofersen was accepted and granted priority review by the FDA; Prescription Drug User Fee Act date of April 25, 2023
 
Initiated CORE2, a confirmatory Phase 3 study of olezarsen in patients with severe hypertriglyceridemia (SHTG)
 
Initiated ESSENCE, a supporting Phase 3 study of olezarsen in patients with SHTG or hypertriglyceridemia and cardiovascular disease
 
1

Mid-Stage Pipeline Highlights

GSK presented positive end of study data from the Phase 2b B-Clear study of bepirovirsen demonstrating potential for functional cures in patients with chronic hepatitis B; GSK plans to advance bepirovirsen into Phase 3 development in the first half of 2023
 
Presented positive data from the Phase 2 study of IONIS-FB-LRx in patients with immunoglobulin A nephropathy; Roche plans to advance IONIS-FB-LRx into Phase 3 development in the first half of 2023
 
Bayer presented positive data from the Phase 2b study of fesomersen in patients with end-stage renal disease; Ionis regained rights to fesomersen from Bayer and is assessing next steps
 
Roche presented the Phase 2 GENERATION HD2 study design of tominersen in Huntington’s disease patients; Roche plans to begin enrollment in early 2023
 
Reported ION449 (AZD8233) targeting PCSK9 met the primary endpoint in Phase 2b SOLANO study in patients with hypercholesterolemia; based on pre-specified efficacy criteria, AstraZeneca is not advancing ION449
 
“We have made significant progress on our key priorities this year, building our commercial pipeline, delivering an abundance of new medicines to the market and expanding and diversifying our technology. We delivered positive data from eight key programs, positioning us to potentially add two new marketed medicines to our portfolio and expand our rich Phase 3 pipeline to eight medicines next year. Additionally, we have recently begun work on a manufacturing facility to support our pipeline growth,” said Brett P. Monia, Ph.D., chief executive officer of Ionis. “As we advance our near-term opportunities, including filing the NDA this year for eplontersen, and expanding our rich late-stage pipeline, we are well positioned to drive increasing value for all stakeholders.”
 
2

Third Quarter 2022 Financial Results
 
Revenue

Ionis' revenue was comprised of the following:

   
Three months ended
September 30,
   
Nine months ended
September 30,
 
   
2022
   
2021
   
2022
   
2021
 
Revenue:
 
(amounts in millions)
 
Commercial revenue:
                       
SPINRAZA royalties
 
$
62
   
$
67
   
$
175
   
$
199
 
TEGSEDI and WAYLIVRA revenue, net
   
6
     
15
     
23
     
47
 
Licensing and royalty revenue
   
5
     
3
     
25
     
9
 
Total commercial revenue
   
73
     
85
     
223
     
255
 
Research and development revenue:
                               
Amortization from upfront payments
   
18
     
17
     
54
     
57
 
Milestone payments
   
15
     
28
     
60
     
48
 
License fees
   
35
     
-
     
37
     
-
 
Other services
   
1
     
3
     
6
     
10
 
Collaborative agreement revenue
   
69
     
48
     
157
     
115
 
Eplontersen joint development revenue
   
18
     
-
     
55
     
-
 
Total research and development revenue
   
87
     
48
     
212
     
115
 
Total revenue
 
$
160
   
$
133
   
$
435
   
$
370
 
                   
Total revenue for the three and nine months ended September 30, 2022 increased 20 percent and 18 percent compared to the same periods last year, respectively. The increase was driven by significant payments Ionis earned across multiple partnered programs. R&D revenue for the nine months ended September 30, 2022 included $85 million from Biogen for advancing several neurology disease programs, $63 million from Roche for licensing and advancing IONIS-FB-LRx and $55 million from AstraZeneca for its share of the global Phase 3 development costs for eplontersen.

Commercial revenue for the three and nine months ended September 30, 2022 decreased 15 percent and 13 percent compared to the same periods last year, respectively. SPINRAZA royalties for the three and nine months ended September 30, 2022 decreased 7 percent and 12 percent compared to the same periods last year, respectively. In the U.S., SPINRAZA sales were flat in the first nine months of 2022 compared to the same period last year. Outside of the U.S. SPINRAZA royalties were lower due to lower SPINRAZA product sales primarily due to decreased pricing, foreign currency exchange and competition. TEGSEDI and WAYLIVRA revenue was also lower due to the shift to distribution fees in 2021.

Operating Expenses
 
Ionis’ non-GAAP operating expenses increased for the three and nine months ended September 30, 2022 compared to the same periods in 2021, in line with expectations. For both periods, higher R&D expenses were driven by the expanded number of Phase 3 studies the Company is conducting, which doubled from three to six studies in 2021. SG&A expenses increased for the three months ended September 30, 2022 compared to the same period last year driven by Ionis’ go-to-market activities for eplontersen, donidalorsen and olezarsen. SG&A expenses were lower for the nine months ended September 30, 2022 compared to the same period last year largely due to the substantial savings the Company achieved from integrating Akcea and restructuring its commercial operations in 2021.

3

Balance Sheet

As of September 30, 2022, Ionis had cash, cash equivalents and short-term investments of $2.0 billion, compared with $2.1 billion at December 31, 2021. Ionis’ debt obligations and working capital did not change significantly from December 31, 2021 to September 30, 2022.

In October 2022, Ionis entered into a sale and leaseback transaction for several of its real estate assets. Under the agreement, Ionis will receive net proceeds of approximately $240 million plus full funding to expand the Company’s R&D campus. The net proceeds reflect the Company’s extinguishment of its mortgage debt for the related properties. Ionis’ fourth quarter financial results will reflect the impact this transaction.

2022 Financial Guidance

The Company reaffirmed its full year 2022 guidance for total revenue, operating expenses and net loss, on a non-GAAP basis. The Company’s 2022 operating expense guidance, compared to the prior year, includes increasing R&D expenses between 25% and 30% and consistent SG&A expenses. Ionis expects to recognize a substantial gain on the sale of its real estate assets in the fourth quarter. The gain will not impact the Company’s non-GAAP results since the sale was non-recurring and not part of the Company’s normal business operations.

The Company increased its full year 2022 cash and investments guidance to approximately $2.0 billion from the previous guidance of $1.7 billion.

Full Year 2022 Guidance
Current
As of 3Q22
Previous
As of 2Q22
Revenue
>$575 million
>$575 million
Operating expenses on a non-GAAP basis
$825-$850 million
$825-$850 million
Net loss on a non-GAAP basis
<$275 million
<$275 million
Cash, cash equivalents and short-term investments
~$2.0 billion
~$1.7 billion

“Our strong year-to-date results, including year-over-year revenue growth of nearly 20 percent, keep us on track to meet our 2022 P&L guidance,” said Elizabeth L. Hougen, chief financial officer of Ionis. “Additionally, we recently bolstered our balance sheet when we unlocked net proceeds of approximately $240 million plus full funding to expand our R&D campus by capitalizing on the favorable life sciences real estate market and monetizing several of our facilities through a sale and leaseback transaction. As a result, we are increasing our 2022 cash and short-term investment guidance to approximately $2 billion.”

Webcast

Management will host a conference call and webcast to discuss Ionis’ third quarter 2022 results at 11:30 a.m. Eastern time on Wednesday, November 9, 2022. Interested parties may access the webcast here. A webcast replay will be available for a limited time at the same address. To access the Company’s third quarter 2022 earnings slides click here.

About Ionis Pharmaceuticals, Inc.
 
For more than 30 years, Ionis has been the leader in RNA-targeted therapy, pioneering new markets and changing the standards of care with its novel antisense technology. Ionis currently has three marketed medicines and a premier late-stage pipeline highlighted by industry leading cardiovascular and neurological franchises. Our scientific innovation began and continues with the knowledge that sick people depend on us, which fuels our vision of becoming a leading, fully integrated biotechnology company.

4

To learn more about Ionis visit www.ionispharma.com or follow us on Twitter @ionispharma.

Ionis’ Forward-looking Statement
 
This press release includes forward-looking statements regarding Ionis’ business, financial guidance and the therapeutic and commercial potential of SPINRAZA (nusinersen), TEGSEDI (inotersen), WAYLIVRA (volanesorsen), eplontersen, olezarsen, donidalorsen, ION363, pelacarsen, tofersen, Ionis' technologies and Ionis’ other products in development. Any statement describing Ionis’ goals, expectations, financial or other projections, intentions or beliefs is a forward-looking statement and should be considered an at-risk statement. Such statements are subject to certain risks and uncertainties, including those related to the impact COVID-19 could have on our business, and including those inherent in the process of discovering, developing and commercializing medicines that are safe and effective for use as human therapeutics, and in the endeavor of building a business around such medicines. Ionis’ forward-looking statements also involve assumptions that, if they never materialize or prove correct, could cause its results to differ materially from those expressed or implied by such forward-looking statements. Although Ionis’ forward-looking statements reflect the good faith judgment of its management, these statements are based only on facts and factors currently known by Ionis. As a result, you are cautioned not to rely on these forward-looking statements. These and other risks concerning Ionis' programs are described in additional detail in Ionis' annual report on Form 10-K for the year ended December 31, 2021, and most recent Form 10-Q, which are on file with the Securities and Exchange Commission. Copies of these and other documents are available from the Company.

In this press release, unless the context requires otherwise, “Ionis,” “Company,” “we,” “our” and “us” all refer to Ionis Pharmaceuticals and its subsidiaries.

Ionis Pharmaceuticals® is a registered trademark of Ionis Pharmaceuticals, Inc. Akcea Therapeutics® is a registered trademark of Akcea Therapeutics, Inc. TEGSEDI® is a registered trademark of Akcea Therapeutics, Inc. WAYLIVRA® is a registered trademark of Akcea Therapeutics, Inc. SPINRAZA® is a registered trademark of Biogen.

Ionis Pharmaceuticals Investor Contact:
760-603-2331

Ionis Pharmaceuticals Media Contact:
760-603-4679

5

IONIS PHARMACEUTICALS, INC.
SELECTED FINANCIAL INFORMATION
Condensed Consolidated Statements of Operations
(In Millions, Except Per Share Data)

   
Three months ended,
September 30,
   
Nine months ended
September 30,
 
   
2022
   
2021
   
2022
   
2021
 
   
(unaudited)
 
Revenue:
                       
Commercial revenue:
                       
SPINRAZA royalties
 
$
62
   
$
67
   
$
175
   
$
199
 
TEGSEDI and WAYLIVRA revenue, net
   
6
     
15
     
23
     
47
 
Licensing and royalty revenue
   
5
     
3
     
25
     
9
 
Total commercial revenue
   
73
     
85
     
223
     
255
 
Research and development revenue:
                               
Collaborative agreement revenue
   
69
     
48
     
157
     
115
 
Eplontersen joint development revenue
   
18
     
-
     
55
     
-
 
Total research and development revenue
   
87
     
48
     
212
     
115
 
Total revenue
   
160
     
133
     
435
     
370
 
Expenses:
                               
Cost of sales
   
2
     
3
     
10
     
9
 
Research, development and patent
   
183
     
185
     
525
     
464
 
Selling, general and administrative
   
34
     
31
     
102
     
148
 
Total operating expenses
   
219
     
219
     
637
     
621
 
Loss from operations
   
(59
)
   
(86
)
   
(202
)
   
(251
)
                                 
Other expense (income)
   
12
     
2
     
(12
)
   
(3
)
Loss before income tax benefit (expense)
   
(47
)
   
(84
)
   
(214
)
   
(254
)
                                 
Income tax benefit (expense)
   
-
     
2
     
(3
)
   
1
 
                                 
Net loss
 
(47
)
 
(82
)
 
(217
)
 
(253
)
                                 
Basic and diluted net loss per share
 
(0.33
)
 
(0.58
)
 
(1.53
)
 
(1.80
)
Shares used in computing basic and diluted net loss per share
   
142
     
141
     
142
     
141
 

6

IONIS PHARMACEUTICALS, INC.
Reconciliation of GAAP to Non-GAAP Basis:
Condensed Consolidated Operating Expenses, Loss From Operations, and Net Loss
(In Millions)
 
   
Three months
ended
September 30,
   
Nine months ended
September 30,
 
   
2022
   
2021
   
2022
   
2021
 
   
(unaudited)
 
As reported research, development and patent expenses according to GAAP
 
$
183
   
$
185
   
$
525
   
$
464
 
Excluding compensation expense related to equity awards
   
(18
)
   
(23
)
   
(55
)
   
(72
)
Excluding Akcea merger and restructured commercial operation costs*
   
-
     
(2
)
   
-
     
(8
)
Non-GAAP research, development and patent expenses
 
$
165
   
$
160
   
$
470
   
$
384
 
                                 
As reported selling, general and administrative expenses according to GAAP
 
$
34
   
$
31
   
$
102
   
$
148
 
Excluding compensation expense related to equity awards
   
(6
)
   
(7
)
   
(19
)
   
(26
)
Excluding Akcea merger and restructured commercial operation costs*
   
-
     
(1
)
   
-
     
(16
)
Non-GAAP selling, general and administrative expenses
 
$
28
   
$
23
   
$
83
   
$
106
 
                                 
As reported operating expenses according to GAAP
 
$
219
   
$
219
   
$
637
   
$
621
 
Excluding compensation expense related to equity awards
   
(24
)
   
(31
)
   
(75
)
   
(98
)
Excluding Akcea merger and restructured commercial operation costs*
   
-
     
(3
)
   
-
     
(24
)
Non-GAAP operating expenses
 
$
195
   
$
185
   
$
562
   
$
499
 
                                 
As reported loss from operations according to GAAP
 
(59
)
 
(86
)
 
(202
)
 
(251
)
Excluding compensation expense related to equity awards
   
(24
)
   
(31
)
   
(75
)
   
(98
)
Excluding Akcea merger and restructured commercial operation costs*
   
-
     
(3
)
   
-
     
(24
)
Non-GAAP loss from operations
 
(35
)
 
(52
)
 
(127
)
 
(129
)
                                 
As reported net loss according to GAAP
 
(47
)
 
(82
)
 
(217
)
 
(253
)
Excluding compensation expense related to equity awards
   
(24
)
   
(31
)
   
(75
)
   
(98
)
Excluding Akcea merger and restructured commercial operation costs*
   
-
     
(3
)
   
-
     
(24
)
Non-GAAP net loss
 
(23
)
 
(48
)
 
(142
)
 
(131
)

7

*In October 2020, Ionis completed a merger transaction with Akcea such that following the completion of the merger Akcea became a wholly owned subsidiary of Ionis. Additionally, in December 2020 and April 2021, Ionis restructured its European operations and its North American TEGSEDI operations, respectively, as a result of entering into distribution agreements with Sobi. The Company excluded the Akcea merger and restructured commercial operation costs from its non-GAAP amounts for the applicable periods.
 
Reconciliation of GAAP to Non-GAAP Basis
 
As illustrated in the Selected Financial Information in this press release, non-GAAP operating expenses, non-GAAP loss from operations, and non-GAAP net loss were adjusted from GAAP to exclude compensation expense related to equity awards and the related tax effects. Compensation expense related to equity awards are non-cash. In 2021 all non-GAAP amounts also excluded expenses related to the Akcea merger and restructured commercial operations. Expenses related to the Akcea merger and restructured commercial operations included: severance costs, retention costs and other costs related to commercial operations. Ionis has regularly reported non-GAAP measures for operating results as non-GAAP results. These measures are provided as supplementary information and are not a substitute for financial measures calculated in accordance with GAAP. Ionis reports these non-GAAP results to better enable financial statement users to assess and compare its historical performance and project its future operating results and cash flows. Further, the presentation of Ionis' non-GAAP results is consistent with how Ionis' management internally evaluates the performance of its operations.
 
8

IONIS PHARMACEUTICALS, INC.
Summary of the Financial Impacts of the Eplontersen Collaboration with AstraZeneca
For the Nine Months Ended, September 30, 2022
(Unaudited)

Collaboration
Activities
 
Financial
Statement Line
 
Impact of Cost-Sharing Provisions
on Ionis’ Statement of Operations
             
Phase 3 Development: Ionis leads and conducts
 
Eplontersen Joint Development Revenue
(R&D Revenue)
 
$55M
 
55% of Total Phase 3 development expenses, including internal+external costs & CMC costs, net of Ionis’ share of AstraZeneca’s Phase 3 development expenses
           
 
Development Expenses
(R&D Expenses)
 
$107M
 
100% of Ionis’ Phase 3 development expenses

Ionis’ financial results for the nine months ended September 30, 2022 reflected the cost-sharing provisions related to its collaboration with AstraZeneca to develop and commercialize eplontersen for the treatment of ATTR. Under the terms of the collaboration agreement, AstraZeneca is paying 55 percent of the costs associated with the ongoing global Phase 3 development program. Because Ionis is leading and conducting the Phase 3 development program, Ionis is recognizing the 55 percent of cost-share funding AstraZeneca is responsible for, net of Ionis’ share of AstraZeneca’s development expenses, as R&D revenue in the same period Ionis incurs the related development expenses. For the nine months ended September 30, 2022 Ionis earned $55 million in joint development revenue under this collaboration.
 
Because AstraZeneca is responsible for the majority of the medical affairs and commercial costs in the U.S. and all costs associated with bringing eplontersen to market outside the U.S., Ionis is recognizing cost-share funding it receives from AstraZeneca related to these activities as a reduction of its medical affairs (R&D expenses) and commercialization expenses (SG&A expenses). For the nine months ended September 30, 2022 Ionis recognized $1.4 million and $1.5 million of medical affairs expenses and commercialization expenses for eplontersen, respectively, net of cost-share funding from AstraZeneca. Ionis expects its medical affairs and commercialization expenses to increase as this collaboration progresses.
 
9

IONIS PHARMACEUTICALS, INC.
Condensed Consolidated Balance Sheets
(In Millions)

   
September 30,
2022
   
December 31,
2021
 
   
(unaudited)
       
Assets:
           
Cash, cash equivalents and short-term investments
 
$
1,982
   
$
2,115
 
Contracts receivable
   
7
     
62
 
Other current assets
   
164
     
168
 
Property, plant and equipment, net
   
181
     
178
 
Other assets
   
88
     
89
 
Total assets
 
$
2,422
   
$
2,612
 
                 
Liabilities and stockholders’ equity:
               
Other current liabilities
 
$
184
   
$
143
 
Current portion of deferred contract revenue
   
100
     
98
 
0% convertible senior notes, net
   
621
     
619
 
0.125% convertible senior notes, net
   
544
     
542
 
Long-term obligations, less current portion
   
84
     
86
 
Long-term deferred contract revenue
   
295
     
352
 
Total stockholders’ equity
   
594
     
772
 
Total liabilities and stockholders’ equity
 
$
2,422
   
$
2,612
 

10

2022 Pipeline Milestones(1)

Anticipated 2022 Regulatory Updates
Program
Regulatory Action
Anticipated Indication
H1
H2
Tofersen
NDA acceptance
SOD1-ALS
 
Eplontersen (TTR)
NDA filing
ATTRv polyneuropathy
 

Anticipated Key 2022 Data Readouts
Program
Data Readout
Anticipated Indication
H1
H2
Eplontersen (TTR)
Phase 3
ATTRv polyneuropathy
 
Tofersen
Phase 3 OLE
SOD1-ALS
 
Tominersen (HTT)
Phase 3 post hoc
Huntington’s disease
 
ION449 (PCSK9)
Phase 2b (ETESIAN)
Cardiovascular disease
 
Bepirovirsen (HBV)
Phase 2b
Hepatitis B virus infection
 
Donidalorsen (PKK)
Phase 2
HAE
 
IONIS-C9Rx (BIIB078)
Phase 1/2
C9-ALS
 
Fesomersen (FXI)
Phase 2b
Thrombosis
 
IONIS-FB-LRx
Phase 2
Immunoglobulin A nephropathy
 
ION449 (PCSK9)
Phase 2b (SOLANO)
Cardiovascular disease
 
Donidalorsen (PKK)
Phase 2 OLE
HAE
 
IONIS-AGT-LRx
Phase 2b
Treatment-resistant hypertension
 
Cimdelirsen (GHR)
Phase 2 (monotherapy)
Acromegaly
 

Anticipated Key 2022 Study Initiations
Program
Phase
Anticipated Indication
H1
H2
Sapablursen (TMPRSS6)
2
Polycythemia vera
 
ION904 (AGT)
2
Uncontrolled hypertension
 
IONIS-MAPTRx (BIIB080)
2
Alzheimer’s disease
 
ION717 (PRNP)
1/2
Prion disease
 

Anticipated Key 2022 Technology Advancements
Program
Anticipated Advancement
H1
H2
SMA
Advance follow-on program
 
Muscle LICA
Advance into preclinical development (IND-supporting)
 
MsPA Backbone
Advance into preclinical development (IND-supporting)
 

✓ = achieved      • = planned


(1)
Timing expectations based on current assumptions and subject to change.

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