Charlie Albright
Analyst · Morgan Stanley. Your line is now open
Thanks, Katrine. We’re excited about the year ahead for our programs in ocular and engineered cell medicines. But before I discuss our programs, I want to start with our translational work on immunogenicity of Cas9. The potential immunogenicity of Cas9 has been on our radar since the founding of Editas. And to address this question, we formed a research collaboration with scientists at the FDA in 2016. As part of this collaborative work, we developed sensitive and specific assays to detect anti-Cas9 antibodies in humans and preclinical species. We shared some of the details of these assays in the fourth quarter of last year. And more recently, we presented data using these assays at the Keystone Precision Genome Editing Symposia. In this study, we tested serum from 200 human donors for preexisting antibodies to either Cas9 for streptococcus pyogenes or staphylococcus aureus. While the data is still being evaluated, we estimate that 10% or less of these samples had antibodies of either species of Cas9. This low level of anti-Cas9 antibodies gives Editas confidence that immunogenicity is unlikely to be a significant issue for the development of CRISPR-based medicines. And we continue to work in this area and look forward to sharing more of the data set at upcoming medical conferences. Our work on the immunogenicity of Cas9 is the one example of the types of questions that need to be addressed as we translate the exciting academic work on CRISPR gene editing in the medicines, and we continue to invest in these types of translational research. Moving onto our ocular pipeline. We are advancing EDIT-101 for LCA10 towards clinical trials and continue to project a mid-2018 IND filing. As we approach the filing, we’re also conducting a clinical natural history study to inform our interventional trial design and facilitate enrollment. The study is progressing and we expect to report initial data in the first half of next year. Beyond EDIT-101, our broader pipeline of ocular medicines is emerging nicely to address additional inherited retinal diseases and infectious diseases of the eyes. Starting with inherited retinal diseases, Usher Syndrome type 2a or USH2a is inherited retinal dystrophy and that causes degeneration of photoreceptors, leading to severely impaired vision. Progressive vision loss begins in adolescence or adulthood, starting with night vision loss and then followed over time by ever-narrowing tunnel vision. We’ll plan to present results generated with our collaborators from Massachusetts Eye and Ear that validate a potential gene editing approach for USH2a patients in the upcoming months. We talk about how advances in our first experimental medicine can be leveraged to develop future medicines. As an example, we expect that the medicine for USH2a will leverage several features of EDIT-101, our experimental medicine for LCA10. In particular, we expect the USH2a medicine to use staphylococcus aureus Cas9, AAV5 to deliver the editing machinery and the subretinal delivery of the entire approach. Turning into infectious diseases affecting the eye. Herpes simplex virus type 1 or HSV-1 is the leading cause of infectious corneal blindness. HSV-1 is most commonly recognized as a cause of cold sores, the same virus that often infects the eye leading to a late pool of virus in trigeminal neurons. The reactivation of this latent virus in these neurons can cause ocular keratitis, where viral replications leads to a destructive inflammatory response in the cornea. Repeated reactivation episodes lead to scarring and blindness. And though there are treatments for ocular keratitis, the current standard of care failed to block latent virus reactivation for many patients. To address this unmet medical need, we developed a CRISPR-based approach to target latent HSV-1 genomes and thereby reduce reactivation in ocular keratitis. At the Association for Research in Vision and Ophthalmology meeting, next month, we’ll show in vivo proof-of-concept in a rabbit model that our approach reduces viral reactivation and corneal scar. These data are encouraging and we continue to advance this program. Switching gears to our programs in engineered cell medicine, I’d like to start by sharing progress in our collaboration with Juno Therapeutics to develop engineered T cell medicines to treat cancer. As you appreciate, existing engineered T cell medicines use chimeric antigen receptors or CARs to recognize tumor antigens. Unfortunately, chimeric antigen receptors are limited to tumor antigens expressed on cell surface. To recognize tumor antigens inside the cell, engineered T cell receptors are needed instead of CARs. These intracellular antigens, include the majority of known tumor-specific antigens including antigens such as human papillomavirus associated solid tumors. To develop a medicine for papillomavirus-associated solid tumors, Juno scientists identified an engineered T cell receptor for papillomavirus and introduced this receptor to T cell. To maximize the expression of this engineered T cell receptors, Editas scientists optimized CRISPR molecules to knock out the endogenous T cell receptor. Junior scientists then showed that the loss of the endogenous T cell receptor significantly increased both the expression and function of the engineered T cell receptor. Juno expects to begin IND-enabling studies this year and aims to be in the clinic next year. We are encouraged by our approach on this program, both because of the potential to address the unmet need for papillomavirus-induced tumors and because of the likely applicability of T cell receptor knockouts to all medicines containing engineered T cell receptors. Juno’s been an outstanding partner as evidenced by the strong progress we’ve made in advancing engineered T cell medicines for cancer. Some of you may be wondering about the implication of Celgene’s pending acquisition Juno for our collaboration. Let me say, we are enthusiastic continue working with the newly combined company which we believe has the potential to further accelerate and expand our work on engineered T cells for oncology. In addition to our progress on engineered T cells, we continue to make progress toward a superior medicine for patients with sickle cell disease and beta-thalassemia. We’re pursuing multiple differentiated approaches including edits increase fetal gamma-globin and edits to restore adult beta-globin expression by targeted integration. In contrast to others that are targeting the BCL11A erythroid enhancer to increase fetal gamma-globin, we are interrogating novel genomic excites for a more potent and durable globin expression. We plan to present our latest progress in the first half of the year. Now, I’ll turn the call over to our Chief Financial Officer, Andrew Hack to discuss how are building the business and to review the financial results we reported earlier today.