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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):  July 10, 2023
 
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 8.01
Other Events.
 
On July 10, 2023, Ionis Pharmaceuticals, Inc. issued a press release announcing positive topline 85-week data from the Phase 3 NEURO-TTRansform study in patients with hereditary transthyretin-mediated amyloid polyneuropathy (ATTRv-PN).
 
A copy of this press release is attached as Exhibit 99.1 to this Current Report and incorporated herein by reference.
 
Item 9.01.
Financial Statements and Exhibits.
 
(d) Exhibits.
 
Exhibit No.
 
Description
 
Press Release dated July 10, 2023.
     
 
Overview of key results from the Phase 3 NEURO-TTRansform 85-week topline analysis.
     
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:  July 10, 2023
By: 
/s/ Patrick R. O’Neil
 
   
Patrick R. O’Neil
 
   
Executive Vice President, Chief Legal Officer and General Counsel
 



EX-99.1 2 brhc20055702_ex99-1.htm EXHIBIT 99.1

Exhibit 99.1

  

 
Eplontersen continued to show improvement in ATTRv-PN through 85 weeks
 

Topline Phase 3 NEURO-TTRansform results show eplontersen continued to halt neuropathy disease progression and improve quality of life through 85 weeks

 
Data further strengthen eplontersen's differentiated profile, positioning it to be an important potential treatment for patients with ATTRv-PN

CARLSBAD, Calif., July 10, 2023 – Ionis Pharmaceuticals (Nasdaq: IONS) today announced positive topline, 85-week data from the Phase 3 NEURO-TTRansform study in patients with hereditary transthyretin-mediated amyloid polyneuropathy (ATTRv-PN).  Ionis and AstraZeneca’s eplontersen continued to show sustained improvements in measures of neuropathy disease and a favorable safety and tolerability profile.

An overview of key results from the 85-week topline analysis is available here. At 85 weeks, eplontersen continued to show a sustained reduction in serum TTR concentration compared to baseline and continued to halt disease progression as measured by the modified Neuropathy Impairment Score +7 (mNIS+7). Eplontersen also showed continued improvement on the Norfolk Quality of Life Questionnaire-Diabetic Neuropathy (Norfolk QoL-DN) compared to baseline. Results from the NEURO-TTRansform primary analysis at 66 weeks were presented earlier this year.

“These positive findings further strengthen eplontersen’s efficacy and safety profile, underscoring its potential to be an important, differentiated advancement for patients with this progressive, debilitating and fatal disease,” said Eugene Schneider, M.D., Ionis’ executive vice president and chief clinical development officer. “A substantial number of eplontersen-treated patients showed improvement in neuropathy impairment and quality of life through 19 months of treatment. ATTRv-PN continues to be an underserved patient population and we look forward to working with regulatory authorities to bring this important new, self-administered treatment to patients.”
 
Results from the 85-week exploratory analysis of NEURO-TTRansform will be submitted for presentation at an upcoming medical meeting. As part of a global development and commercialization agreement, Ionis and AstraZeneca are seeking regulatory approval for eplontersen for the treatment of ATTRv-PN in the U.S. and plan to seek regulatory approval in Europe and other parts of the world. The U.S. Food and Drug Administration accepted the New Drug Application for eplontersen for the treatment of ATTRv-PN with a PDUFA action date of Dec. 22, 2023. Eplontersen was granted Orphan Drug Designation in the U.S.
 
1
Eplontersen is currently being evaluated in the Phase 3 CARDIO-TTRansform study for transthyretin-mediated amyloid cardiomyopathy (ATTR-CM), a systemic, progressive and fatal condition that typically leads to progressive heart failure and often death within three to five years from disease onset.

About Eplontersen

Eplontersen is an investigational LIgand-Conjugated Antisense (LICA) medicine designed to inhibit the production of TTR protein. Eplontersen is being developed as a monthly self-administered subcutaneous injection to treat all types of ATTR. ATTR amyloidosis is a systemic, progressive and fatal disease in which patients experience multiple overlapping clinical manifestations caused by the inappropriate formation and aggregation of TTR amyloid deposits in various tissues and organs, including peripheral nerves, heart, intestinal tract, eyes, kidneys, central nervous system, thyroid and bone marrow. The progressive accumulation of TTR amyloid deposits in these tissues and organs leads to organ failure and eventually death.

About Hereditary Transthyretin-Mediated Amyloid Polyneuropathy (ATTRv-PN)

Hereditary transthyretin-mediated amyloid polyneuropathy (ATTRv-PN) is caused by the accumulation of misfolded mutated TTR protein in the peripheral nerves. Patients with ATTRv-PN experience ongoing debilitating nerve damage throughout their body resulting in the progressive loss of motor functions, such as walking. These patients also accumulate TTR in other major organs, which progressively compromises their function. The damage from misfolded TTR protein accumulation leads to disability within five years of diagnosis and is generally fatal within a decade.

About the NEURO-TTRansform Study

NEURO-TTRansform is a global, open-label, randomized trial evaluating the efficacy and safety of eplontersen in patients with ATTRv-PN at week 35, week 66 and week 85. The final analysis comparing eplontersen to an external placebo group was completed at week 66. All patients were then followed on treatment until week 85 and evaluated four weeks after the last dose in an end-of-trial assessment. Following treatment and the end-of-trial assessments, patients were eligible to enter an open-label extension study to continue receiving eplontersen once every four weeks or enter a 20-week post-treatment evaluation period. For more information on the NEURO-TTRansform study, please visit: https://clinicaltrials.gov/ct2/show/NCT04136184 About Ionis Pharmaceuticals, Inc.

2

For more than 30 years, Ionis has been a leader in RNA-targeted therapy, pioneering new markets and changing standards of care. Ionis currently has four marketed medicines and a promising late-stage pipeline highlighted by cardiovascular and neurological franchises. Our scientific innovation began and continues with the knowledge that sick people depend on us, which fuels our vision to become the leader in genetic medicine, utilizing a multi-platform approach to discover, develop and deliver life-transforming therapies.
 
To learn more about Ionis visit www.ionispharma.com and follow us on Twitter @ionispharma.

Ionis' Forward-looking Statements

This press release includes forward-looking statements regarding Ionis' business and the therapeutic and commercial potential of eplontersen, Ionis' technologies and 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 our commercial products and the medicines in our pipeline, and particularly 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 Dec. 31, 2022, and the most recent Form 10-Q quarterly filing, 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.

Ionis Investor Contact:
D. Wade Walke, Ph.D.
info@ionisph.com
760-603-2331

Ionis Media Contact:
Sophia Patel
ionis_ca@ionisph.com
760-603-4679

3

EX-99.2 3 brhc20055702_ex99-2.htm EXHIBIT 99.2

Exhibit 99.2

 Eplontersen: NEURO-TTRansform Week 85 Topline Results  July 10, 2023  Nasdaq: IONS 
 

 Forward-Looking Statements  This presentation includes forward-looking statements regarding our business and the therapeutic and commercial potential of eplontersen, and Ionis' technologies. 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 but not limited to those related to our commercial products and the medicines in our pipeline, and particularly 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 our Form 10-K for the year ended December 31, 2022, and our most recent Form 10-Q quarterly filing, which are on file with the SEC. Copies of these and other documents are available at www.ionispharma.com.   In this presentation, unless the context requires otherwise, “Ionis,” “Company,” “we,” “our,” and “us” refers to Ionis Pharmaceuticals and its subsidiaries.  Ionis Pharmaceuticals® is a registered trademark of Ionis Pharmaceuticals, Inc.   2 
 

 NEURO-TTRansform Study Designed to Demonstrate Benefit in Patients with ATTRv-PN  A multicenter, open-label study in 168 patients with hereditary TTR amyloid polyneuropathy (ATTRv-PN)  1Benson et al, N Engl J Med (2018) 379:22-3 1. Figure adapted from Coelho et al, Neurol Ther (2021) 10:375-89.  Randomization 6:1  0  Study timeline (weeks)  35  Interim analysis  85  EOT analysis  Patients   with   ATTRv  -  PN  Screening  Eplontersen  (N=144)  NEURO-TTR external placebo control1  (N=60)  Inotersen  (N=24)  Eplontersen  Final analysis  105  Open-label   Extension  (up to 3 years)  Co-Primary Efficacy Endpoints  or   20-week  post-treatment evaluation  Serum TTR: % change from baseline  mNIS+7: Change from baseline   Norfolk QoL-DN: Change from baseline   Co-Primary Efficacy Endpoints  Serum TTR: % change from baseline  mNIS+7: Change from baseline  Key Secondary Efficacy Endpoint  Norfolk QoL-DN: Change from baseline  Key Exploratory Endpoints  Serum TTR: % change from baseline   mNIS+7: Change from baseline   Norfolk QoL-DN: Change from baseline  66  66  3 
 

 Eplontersen Treatment Resulted in Substantial and Sustained Reductions in Serum TTR Concentration Compared to Baseline  LSM: Least Square Mean; LSMD: Least Square Mean Difference  Week 35:Mean = -11.1%  (LSM = -14.5%)  Week 81Last dose  Mean (SE) % Change From Baseline in Serum TTR Concentration  Week 35:Mean = -82.1%  (LSM = -81.1%)  Week 65:Mean = -83.0%  (LSM = -81.7%)  Week 65:Mean = -6.0%  (LSM = -11.2%)  Week 85:Mean = -81.8%  LSMD (95% CI) = -70.4% (-75.2, -65.7)  p<0.0001   −100  −80  −60  −40  −20  0  0  5  8  13  25  35  49  57  65  73  81  85  W  eek  Eplontersen  Placebo  4 
 

 Eplontersen Continued to Halt Neuropathy Progression at Week 85  Substantial number of patients showed improvement in neuropathy impairment through 19 months of treatment  mNIS+7 Composite Score   Worse  Better  Mean (SE) Change From Baseline in   mNIS+7 Composite Score   Week 35:Mean = 9.8  (LSM = 10.0)  Week 35:Mean = -0.04  (LSM = 0.7)  Week 66:Mean = 23.9  (LSM = 25.1)  Week 66:Mean = -0.2  (LSM = 0.3)  Week 85:Mean = -2.9  LSM: Least Square Mean; LSMD: Least Square Mean Difference  LSMD (95% CI) = -24.8 (-31.0, -18.6)  p<0.0001   5 
 

 Eplontersen Continued to Improve Quality of Life at Week 85  Norfolk QoL-DN Total Score   Worse  Better  Mean (SE) Change From Baseline in   Norfolk QoL-DN Total Score   Week 35:Mean = 5.5  (LSM = 8.2)  Week 35:Mean = -4.8  (LSM = -3.6)  Week 66:Mean = 10.8  (LSM = 14.2)  Week 66:Mean = -7.2  (LSM = -5.5)  Week 85:Mean = -6.2  Substantial number of patients showed improvement in quality of life through 19 months of treatment  LSM: Least Square Mean; LSMD: Least Square Mean Difference  LSMD (95% CI) = -19.7 (-25.6, -13.8)  p<0.0001   6 
 

 Eplontersen Continued to Demonstrate a Favorable Safety and Tolerability Profile at 85 Weeks1  At 85 weeks, TEAEs incidence remains consistent with week 66  No TEAEs of special interest led to study drug discontinuation  No imbalance of ocular events excluding vitamin A decrease or deficiency   No SAEs were related to study drug  3 non-drug related deaths in the eplontersen group, all related to known sequelae of ATTR amyloidosis2-6  1External placebo concluded at week 66 while eplontersen patients remained on treatment and could accrue additional events; 2Cavallaro et al, Neurology (2016) 87:750-1; 3Yamada et al, Prog Mol Biol Transl Sci (2012) 107:41-78; 4Yamashita et al, Neurology (2008) 70:123-28; 5Ellie et al, Neurology (2001) 57:135-7; 6Porcari et al, Cardiovasc Res (2023) 118:3517-35.  Incidence, n (%)  Placebo  Eplontersen  Week 66  Eplontersen  Week 85  N  60  144  144  Any TEAE  60 (100)  140 (97.2)  141 (97.9)  Related to study drug  23 (38.3)  53 (36.8)  55 (38.2)  Leading to study drug discontinuation  2 (3.3)  6 (4.2)  8 (5.6)  TEAE of special interest  14 (23.3)  41 (28.5)  43 (29.9)  Ocular events potentially related to Vit A deficiency  12 (20.0)  39 (27.1)  41 (28.5)  Ocular events excluding lab TEAEs of Vit A decrease or deficiency  9 (15.0)  24 (16.7)  26 (18.1)  Thrombocytopenia  1 (1.7)  3 (2.1)  3 (2.1)  Glomerulonephritis  2 (3.3)  0  0  Other TEAE of interest  48 (80.0)  87 (60.4)  93 (64.6)  Any serious TEAE  13 (21.7)  21 (14.6)  27 (18.8)  Related to study drug  1 (1.7)  0  0  Fatal TEAE  0  2 (1.4)  3 (2.1)  Related to study drug  0  0  0  7