Earnings Labs

Sangamo Therapeutics, Inc. (SGMO)

Q4 2014 Earnings Call· Wed, Feb 11, 2015

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Transcript

Operator

Operator

Good afternoon, and welcome to the Sangamo BioSciences teleconference to discuss fourth quarter and full year 2014 financial results. This call is being recorded. I will now pass you over to the coordinator of this event, Dr. Elizabeth Wolffe, Vice President of Corporate Communication.

Elizabeth Wolffe

Management

Thank you, operator. Good afternoon, and thank you for joining Sangamo’s management team on our conference call to discuss the company’s fourth quarter and full year 2014 financial results. Also present during this call are several members of Sangamo senior management, including Edward Lanphier, President and Chief Executive Officer; Ward Wolff, Executive Vice President and Chief Financial Officer; Philip Gregory, Senior Vice President of Research and Chief Scientific Officer; and Dale Ando, Vice President of Development and Chief Medical Officer. Following this introduction, Edward will highlight recent activities and the significant events from the past quarter. Ward will then briefly review fourth quarter and full year financial results for 2014, as well as our financial guidance for 2015. Philip will provide an update on our ZFP therapeutic programs, and finally, Edward will update you on our goals for 2015 and beyond. Following that, we will open up the call for questions. As we begin, I’d like to remind everyone the projections and forward-looking statements that we discuss during this conference call are based upon the information that we currently have available. This information will likely change over time. By discussing our current perception of the market and the future performance of Sangamo with you today, we are not undertaking an obligation to provide updates in the future. Actual results may differ substantially from what we discussed today, and no one should assume at a later date that our comments from today are still valid. We alert you to be aware of risks that are detailed in documents that the company files with the Securities and Exchange Commission, specifically our Quarterly Reports on Form 10-Q and our Annual Report on Form 10-K. These documents include important factors that could cause the actual of the company’s operations to differ materially from those contained in our projections of forward-looking statements. Now, I’d like to turn the call over to Edward.

Edward Lanphier

Management

Thank you, Liz, and thank you all for joining us for our conference call to discuss our fourth quarter and full year results for 2014, as well as our near and mid-term plans for the development of our ZFP therapeutics pipeline. The fourth quarter is characteristically a busy time of year for Sangamo, and 2014 was no different. Specifically, we filed two of the three new investigational new drug, or IND, applications that we submitted this year in the fourth quarter. The most recent was for our beta thalassemia program that we are developing in collaboration with Biogen Idec. As we noted in the press release that we issued last week, with the acceptance of the IND by the FDA, we can now begin clinical trials of our novel and potentially curative approach. As you know, we are using ZFN genome editing technology to knock out a gene in long-lasting hematopoietic stem progenitor cells, or HSPCs. The aim is to provide, in a single treatment, a lasting therapeutic solution or a potential cure for both beta thalassemia and sickle cell disease. We are now working hard to open clinical sites, which, amongst other things, requires obtaining IRB approvals, and our goal is to initiate this multicenter Phase I/II clinical trial as soon as possible. The trial is designed to primarily assess safety and tolerability. However, as we will be enrolling and treating transfusion-dependent beta thalassemia patients, we will also be evaluating measures of efficacy. I’ve asked Philip Gregory, our chief scientific officer, to provide you with more details about the approach that we are taking in this program later in the call. In collaboration with City of Hope, they also filed an IND to begin an investigator-sponsored trial as part of our HIV program. This program uses exactly the same…

Ward Wolff

Management

Thank you, Edward, and good afternoon everyone. As you know, after the close of the market today, we released our financial results for the fourth quarter ended December 31, 2014, and I am pleased to review the highlights of those results with you now. Revenues in the fourth quarter of 2014 were $15 million compared to $6.9 million for the same period in 2013. Fourth quarter 2014 revenues comprise revenue from Sangamo’s collaboration agreements with Shire, Biogen Idec, Sigma-Aldrich, and Dow Agrisciences, enabling technology agreements, and approximately $400,000 of revenue from research grants. The increase in collaboration agreement revenues was primarily due to our partnerships with Shire and Biogen. In the fourth quarter of 2014, Sangamo recognized $6.9 million of revenues related to research services provided under the collaboration agreement with Shire and $2.4 million of revenues related to research services performed under the collaboration agreement with Biogen. In addition, pursuant to the agreements entered into with Shire in January 2012 and Biogen in January 2014, Sangamo received upfront payments of $13 million and $20 million respectively. These payments are being recognized as revenue on a straight line amortization basis over the initial six-year research term for Shire and approximately 40 months for Biogen. The company recognized $0.5 million of the Shire upfront payment and $1.6 million of the Biogen upfront payment as revenue for the fourth quarter of 2014. Total operating expenses for the fourth quarter of 2014 were $19.4 million compared to $15 million for the same period in 2013. Research and development expenses were $15 million in the fourth quarter of 2014 compared to $10.8 million for the fourth quarter of 2013. The increase was primarily due to increases in external research associated with our preclinical programs and personnel related expenses including stock based compensation. General and…

Edward Lanphier

Management

Thank you, Ward. As you have heard, we ended 2014 with approximately $227 million and are guiding to ending 2015 with at least $180 million in cash. This assumes no additional financing activity or agreements beyond our existing collaborations. As Ward mentioned, with the progress that we have made advancing our ZFP therapeutic pipeline, including bringing two new programs into the clinic, we expect our operating expenses to increase this year. However, with our ongoing funding and future milestones from our collaborations with Shire and Biogen, and CIRM research awards, our current balance sheet provides a very solid basis from which to work and will enable us to complete our ongoing clinical trials and to file numerous IND applications by the end of 2015. These include both programs partnered and funded by Shire and Biogen as well as our proprietary programs in Hunters and Hurler syndrome that have significantly benefited from our partner-funded work. So, let’s turn to those programs. I’ve asked Philip to briefly outline the approach that we are taking forward with Biogen for both beta thalassemia and sickle cell disease, to summarize the data that we presented at the annual meetings of both ASH and SFN, and to highlight why we believe that our approaches to treatment of these diseases have significant advantage over currently available therapies and those under development. I’ve also asked him to outline the reasons why mRNA delivery is such a good fit for our technology and potential avenues for expansion of its applications in vivo. Philip?

Philip Gregory

Management

Thanks, Edward. As Edward mentioned, we are excited to be in a position to begin a clinical trial in our Biogen-partnered beta thalassemia program, and we believe that our strategy to develop a one-time, lasting therapy has significant advantages over both existing therapies and those currently under development. Let me provide some background on the diseases that we’re addressing in our collaboration with Biogen. Both beta thalassemia and sickle cell disease are results of mutations in the gene encoding beta globin, a subunit of the hemoglobin protein that is found in red blood cells, or RBCs, and enables them to carry oxygen from the lungs to the tissues. The gene defect responsible for beta thalassemia results in poor production of RBCs, leading to life-threatening anemia; enlarged spleen, liver, and heart; and bone abnormalities. Beta thalassemia major is a severe form of thalassemia that requires regular, often monthly, blood transfusions and subsequent iron chelation therapy to treat the resulting iron overload. Both diseases have been treated by a bone marrow transplant of hematopoietic stem and progenitor cells, or HSPCs, from a matched donor, a so-called allogeneic transplant. However, this therapy is quite limited due to the scarcity of matched donors and the significant and serious risk of graft versus host disease after transplantation of the foreign cells. The ultimate goal of our ZFP therapeutic approach, which is based on our highly specific ZFN genome editing platform, is to provide a safe, lasting therapeutic solution for both sickle cell disease and beta thalassemia. We make use of the fact that these patients actually already have a normal, functional copy of a form of hemoglobin in their genome, fetal globin, which can be substituted for the mistake-carrying adult beta globin. Neither sickle cell disease nor beta thalassemia patients are born with symptoms of…

Edward Lanphier

Management

Thanks, Philip. As you can see, we expect 2015 to be a year of very significant progress in delivering on the power of ZFP therapeutics. We will complete our ongoing 1401 Phase II clinical trial in our SB-728-T HIV/AIDS program and our goal is to begin the Phase I/II clinical trial of this same approach in HSPCs in the first half of this year. With positive data from these studies, we plan to partner the HIV program for further development and commoditization. We expect to have initial data from the 1401 study later in the year and we will provide an update on data from ongoing clinical studies in this program at this year’s Conference on Retroviruses and Opportunistic Infections, or CROI, in February. We also expect to initiate our multicenter Phase I/II clinical study in beta thalassemia in the first half of 2015. While this program is partnered with Biogen, Sangamo is responsible for carrying out the first human clinical trial. We should also note that Biogen will take the lead role in prosecution of the sickle cell disease IND application filing and trial. We have ambitious goals for our pipeline progress in 2015. This year, our goal is to file INDs for our factor nine hemophilia B program and our Huntington’s program partnered with Shire. Although, as I have said before, as evidenced by the timing around our factor eight hemophilia A IND submission, ultimately, we don’t control that timing. In addition, our goal is to file two INDs for our proprietary IVPRP LSD programs in Hunter and Hurler syndrome by the end of 2015. We also expect that data from the CERE110 Phase II Alzheimer’s study that will be acquired from Ceregene will read out this year. We have leveraged the work funded by our partner programs…

Operator

Operator

[Operator instructions.] The first question comes from Charles Duncan.

Charles Duncan

Analyst

I guess a couple of quick ones on HIV. I don’t know if you can answer this, Ed, but for the 1401 study that’s going to read out this year, what level of efficacy are you going to look for to catalyze adequate partnering interest?

Edward Lanphier

Management

Well, I think it’s too early to say what will catalyze partnering interest. I can tell you that the discussions we’ve had with several partners, and we keep updated on this, is a function not only of reduction in viral load but it’s a function of durability of that reduction and then the long term reduction of the viral reservoir. So it’s really a combination of those three elements that I think are of greatest interest to companies, particularly in the context of antiretroviral therapies that have a good effect in terms of acute viral load control, but have no effect on viral reservoir. So it’s a multidimensional answer, and one that I think we’re looking for in both the ongoing studies as well as the 1401 study.

Charles Duncan

Analyst

So it sounds like maybe we shouldn’t expect, the week after the data, for a partnership to materialize?

Edward Lanphier

Management

Well, I think that’s a reasonable thing to say. [laughs] Thank you for being so reasonable.

Charles Duncan

Analyst

And then how much of the discussions do you think depend on the City of Hope trial and the new Penn study? I assume they’re going to play into the discussion.

Edward Lanphier

Management

I think that’s a good question, and again, it’s a qualitative versus quantitative answer. I know I’m looking forward to data from the City of Hope study, but I can tell you, I think the principal driver, the vast majority, and again, this is qualitative, not quantitative, but the vast majority of the driver around the discussions we’re having are really based upon the T-cell program that we’re conducting and the data we’re generating in the previous studies as well as the 1401 study.

Operator

Operator

The next question comes from Ritu Baral from Cowen.

Ritu Baral

Analyst

A question on your beta thalassemia study. Can you give us any more detail as to the design, number of patients, where you might be enrolling, what sort of centers, etc.? And how do you think of the bogey in that trial, given the landscape of beta thalassemia gene editing and gene therapy right now?

Edward Lanphier

Management

I’ll give you a high level comment, and I’ll ask Philip or Dale if they want to add anything at this point. Our plan is to present in some detail the specifics that you’re asking for after the first patients have been treated, and we’ll come back and talk about that at that time and give a little bit more color on that. In terms of the level of efficacy or the bogey that we’re looking for in terms of fetal production, Philip, maybe you could talk a little bit about what we’ve previously presented, or what we’ve talked about in that?

Philip Gregory

Management

Sure. So, we believe, based on our preclinical studies and data that actually identified BCL-11A as a critical master regulator of the fetal to adult switch that on a per-cell basis, a cell that carries the genetic signature that we can generate will express sufficient fetal globin to functionally restore the erythropoiesis and the ability to make red blood cells. And so from our perspective, the challenge, if you will, and we’ve already presented, I should say, at ASH, I guess now almost two years ago, the ability to do that, modification at a very high frequency on a full clinical scale. So the challenge is then transplanting those cells into patients with sufficient numbers to achieve the desired outcome and that number is really driven by the chimeric transplant literature which suggests that chimeric patients that have 10% to 20% of their bone marrow deriving from normal [unintelligible] cells that have been transplanted in, thus efficient to drive 80% to 90% of the erythroid cells in those patients, being sort of derived from those cells. And so actually the transplant barrier is not fantastically high, but we obviously need to make sure we get enough of those cells to engraft. And so as we thought about the design of this study, one aspect is the number of cells that we have that carry the desired signature, so the number of BCL-11A mutated cells, and the second is how to condition the patients appropriately to achieve that degree of transplant and chimerism.

Ritu Baral

Analyst

So you’re thinking more in terms of engraftment success versus overall hemoglobin F levels at this point?

Philip Gregory

Management

Yeah, so that’s how I think about it, because I’m sort of from the genome editing side, and so I think about how many edited cells we have and getting those cells to engraft. And at least in the studies we’ve done preclinically, cells that have that signature essentially always provide sufficient fetal globin to drive normal erythropoiesis. So I think that the genetic signature, we think is, if you will, fully [unintelligible] to correct the disease. And so I view this as a transplant problem. You could also view this as what are the levels of hemoglobin that you have to alter to archive a therapeutic effect. Dale do you want to comment on that?

Dale Ando

Analyst

Most of these patients will have hemoglobins of six or so, so it will take an increment of about three to four [grams] to get them to therapeutic level that we’re trying to shoot for with the [unintelligible] cell transfusions. This is a really complicated equation, because it includes the production of the cells, the half-life of the cells, and reaching a new steady state. So nobody really has any good idea of how to extrapolate that from the tissue culture to the in vivo situation. So I think the engraftment of 10% to 15% is enough to actually cure thalassemia using an allo transplant is sort of the number we’re looking at.

Operator

Operator

The next question comes from Ryan Martins from Jefferies.

Ryan Martins

Analyst

I was going to ask a similar question. As a proportion of total hemoglobin, what proportion do you think fetal hemoglobin needs to be when you have it engrafted, etc.?

Philip Gregory

Management

The way I view that is it’s more a function of the percentage engraftment than the total F levels, if you will. In beta thalassemia patients, essentially all of their self-derived blood cells by definition have activated F. Otherwise, they wouldn’t have made it through erythropoiesis. I don’t mean to be cagey here, but it’s a slightly strange setting, because we’re not putting in a separate trans-gene that you can measure. It’s a slightly strange number to give. And that’s why we’ve really focused on that engraftment number, that we think that the genetics that we’re generating are fully penetrant. And so the question is, how many of those cells do we need to engraft to achieve a therapeutic level of erythropoiesis. And as Dale just mentioned, we think that’s going to be in the 10% to 15% range.

Ryan Martins

Analyst

And maybe one question on the guidance for revenues. Is that assuming IND filing for factor nine in Huntington’s?

Edward Lanphier

Management

We haven’t specifically indicated that, but we’re modeling based on what we think is a conservative end of the spectrum for that. But yes, you can assume that there is some assumption in there with respect to IND filings.

Operator

Operator

Your next question comes from Cory Kasimov of JPMorgan.

Cory Kasimov

Analyst

How quickly do you think you can get proof of concept data from the beta thalassemia trial? I know we’re getting a little bit ahead of ourselves there. And then I guess the second part of that, who controls the data release? Since you guys are running the trial, can you just release the data as you see fit? Or does Biogen play a role there?

Edward Lanphier

Management

I’ll take the latter part first, and then Philip and Dale can answer the second. No, this is a partnered program, so it will definitely be a conversation with Biogen as to when and where we present data from both the beta thalassemia study as well as the future data from the sickle cell study. Philip or Dale, you want to take the first part of that?

Philip Gregory

Management

So with respect to speed, I think that the best analogue out there is probably the Blue Bird data with respect to transplant and erythropoiesis from the transplanted cells. And so we don’t believe that the ZFN approach should be any different in that regard, and so that’s certainly the working hypothesis here, although obviously no one’s put a ZFN modified stem cell into a thalassemia patient before. So there could be a difference in the kinetics, although we don’t anticipate that.

Operator

Operator

[Operator instructions.] And there appear to be no further questions.

Edward Lanphier

Management

We’d like to thank you for joining us, and we look forward to speaking with you again when we release our first quarter 2015 financial information. We’ll be available later today if there are any follow up questions. Thank you.