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Positioned for Growth
Sara Non-small cell lung cancer ARIAD clinical trial patient
November 16, 2016 Jefferies London Healthcare Conference
This presentation contains forward-looking statements, which are generally statements that are not historical facts. Forward-looking statements can be identified by the words “expects,” “anticipates,” “believes,” “intends,” “estimates,” “plans,” “will,” “outlook” and similar expressions. Forward-looking statements are based on managements’ current plans, estimates, assumptions and projections, and speak only as of the date they are made. We undertake no obligation to update any forward-looking statement in light of new information or future events, except as otherwise required by law. Forward-looking statements involve inherent risks and uncertainties, most of which are difficult to predict and are generally beyond our control. Actual results or outcomes may differ materially from those implied by the forward looking statements as a result of the impact of a number of factors, many of which are discussed in more detail in our Annual Report on Form 10-K and our other reports filed with the Securities and Exchange Commission.
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Clear vision, building from core strengths in precision small molecule therapies and rare cancers
• Expertise in medicinal chemistry, structure-based drug design and predictive mutational screens
Positioned for potential increase in addressable population from 1,000 - 2,000 to ~16,000 – 18,000 U.S. patients:
• Rapid near-term revenue growth through potentially becoming a two product commercial company in 2017
• Mid-term revenue growth from potential market expansion of Iclusig and brigatinib
• Longer-term growth potential from AP32788 and new opportunities from discovery platform, including immuno-oncology program
Rapid progress in transforming company strategy, culture and financial position
• Product and royalty revenue guidance for 2016 – $170-180 million
• OPEX guidance for 2016 – $295-305 million
• Projected cash balance at December 31, 2016: $280-290 million
Completed comprehensive corporate review
• Divested EU operations, licensed EU rights for Iclusig to INCY
• Scale up of US field force to increase promotion of Iclusig and strengthen preparation for brigatinib launch
Where we are today
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Our Vision is to become the leader in the discovery, development, and commercialization of precision therapies for patients with rare cancers.
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Core strength: Rare cancers
• Currently account for around a quarter of all cancer diagnoses and deaths*
• Expected to increase in importance as more molecular subsets of common cancers are identified*
ARIAD Focus:
• Address rare cancers/patient populations with high-value precision therapies
• Patient-centric development and commercial model
Incident Number of Patients (US)
Orphan Threshold (prevalence)
Rare Cancer Threshold**
– 200,000
– 45,000
*Lancet, February 2016 **NCI Epidemiology and Genetics Research
ALK+NSCLC
Exon 20 EGFR/HER2 NSCLC
CML/Ph+ALL
– 8,000
– 6,000
– 3,300
ARIAD Current/Potential Markets
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Core strength: Robust and fully integrated discovery platform
Precisely designed kinase inhibitors to overcome mutational resistance and drive differential efficacy
Precisely defined groups of patients who have limited, or no other, options and will receive greatest benefit
Validated targets – low target-based risk
Rapid clinical proof-of-concept
Streamlined development: ~5 years first-in-human to approval
AP32788 Rimiducid Bellicum
out-license
Ridaforolimus Merck, Medinol
Partnerships
Ponatinib Brigatinib
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ARIAD’s strategy
Commercial Maximization
• US direct commercialization • Leverage Iclusig to continue growth • Planned successful 2017 launch of brigatinib • Ex-US revenues with minimal costs
Development/Pipeline
• Earlier lines of treatment for brigatinib and Iclusig • AP32788 – EGFR/HER2 lung cancer • Share development costs through ex-US partnerships
Science & Discovery
• Engine for new potential products – expand development pipeline • World-class capability in designing precision cancer therapies • Expanding platform into small molecule immuno-oncology
Lean, Cost-efficient Structure
• Rare cancer model designed for efficient commercialization/R&D • Operations limited to US • Lean G&A/headquarter functions
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Commercial Maximization
• US direct commercialization • Leverage Iclusig to continue growth • Planned successful 2017 launch of brigatinib • Ex-US revenues with minimal costs
ARIAD’s strategy
Development/Pipeline
Science & Discovery
Lean, Cost-efficient Structure
Commercial Maximization
• US direct commercialization • Leverage Iclusig to continue growth • Planned successful 2017 launch of brigatinib • Ex-US revenues with minimal costs
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Geographic strategy: US focus with global reach through partners
Rationale
• US represents majority of industry oncology profits based on ~50% of global sales
• Can retain significant share of ex-US value through partnerships
• Maintain strategic optionality
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Key Terms
Incyte acquired ARIAD EU operations and licensed Iclusig for the region (EU countries plus others, including Russia, Turkey)
Financials:
• $140 mil upfront & 32-50% royalties to ARIAD
• $14 mil in development cost sharing for OPTIC/OPTIC2L
• $135 mil potential milestones in oncology indications
ARIAD acquirer may terminate license following change of control
• Incyte receives financial payments & ongoing royalty from acquirer
Major Benefits
Significantly improves cash position/financial profile
Operating costs reduced by ~ $65 mil annually
Continuity of Iclusig commercialization– ongoing ARIAD royalties
Strategic flexibility
Incyte transaction: Execution of strategy
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Iclusig
Katie Olson Chronic myeloid leukemia
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Key Drivers of Forward Growth
• Field team expansion
• 4-year PACE data; expected label update
• Increasing clinical experience
• Patient retention programs
Iclusig Global Sales & Royalties
Iclusig: Steady growth is expected to continue
0
2016 Guidance
2014 Actual 2015 Actual
$50M
$150M
$200M
$100M
CAGR +77%
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Brigatinib
BRIGATINIB
Andy Bonnet Non-small cell lung cancer ARIAD clinical trial patient
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Brigatinib: Overview
NDA accepted in crizotinib-resistant metastatic ALK+ NSCLC
• Breakthrough Therapy designation from FDA
• PDUFA date of April 29, 2017
Pivotal data suggests differentiated efficacy
• PFS 12.9 months* (vs. competitors 6-9 months)
Preparing for anticipated US launch in 2017
Development for front-line indication under way
BRIGATINIB
*Secondary endpoint, comparison not head-to-head
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2016 global ALK inhibitor market: Annualized market approaching $800 mil
$283 $348
$349
$420
$0.0
$100.0
$200.0
$300.0
$400.0
$500.0
$600.0
$700.0
$800.0
$900.0
2015 Q1 2016 Annualized
Ex-US In M
illi
on
s $
Global ALK Inhibitor Market
Ex-US
US US
$632
$768 Analysts projecting market growth toward ~$2 billion by 2020
34% Q1/16 vs. Q1/15 growth
Source: Pfizer 2016 Q1 Performance For Xalkori, Novartis 2016 Q1 Performance for Zykadia, Roche 2016 Q1 Performance for Alecensa
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Development/Pipeline
• Earlier lines of treatment for brigatinib and Iclusig • AP32788 – EGFR/HER2 lung cancer • Share development costs through ex-US partnerships
ARIAD’s strategy
Lean, Cost-efficient Structure
Development/Pipeline
• Earlier lines of treatment for brigatinib and Iclusig • AP32788 – EGFR/HER2 lung cancer • Share development costs through ex-US partnerships
Science & Discovery
Commercial Maximization
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Iclusig
OPTIC & OPTIC 2L
Brigatinib
ALTA and ALTA 1L
AP32788
Phase I/II
Core development programs
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1st Line 6,000
2nd Line 1,900
3rd Line 920
T315i+ 200
Total 3rd line + 1,400
Iclusig: Development programs
OPTIC & OPTIC 2L Goals
Improve Iclusig benefit-risk profile through lower doses
• Evaluate 30mg and 15mg starting doses
Expand market potential through earlier lines of treatment
2L indication more than doubles available market
Demonstrate superior efficacy to drive market share
Other Considerations
Incyte partnership provides $14 million funding, plus significant potential milestones related to OPTIC 2L
Current eligible pool 1000-2000 patients
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Iclusig: Dose-ranging OPTIC trial
Trial enrolling patients
Adult CP-CML patients resistant to 2 TKIs, N=450 Primary endpoint: MCyR by 12 months
Minimum follow-up of 2 years
1:1:1 Randomization
Dose reduction to 15 mg upon achievement of MCyR
Ponatinib 15 mg Ponatinib 45 mg Ponatinib 30 mg
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Iclusig: Second-line 3 OPTIC-2L trial
Trial enrolling patients
Adult CP-CML patients resistant to imatinib, N=600 Primary endpoint: MMR by 12 months
Minimum follow-up of 5 years
Ponatinib 30 mg Ponatinib 15 mg
Nilotinib 400 mg
Dose reduction to 15 mg upon achievement of MMR
Dose reduction to 10 mg upon achievement of MMR
1:1:1 Randomization
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ALTA 1L Goals
• Expand market potential through first line indication
• Potential for long duration of treatment enhances revenue potential
• H2H superiority data would further strengthen efficacy positioning
• Confirmatory study for FDA approval
Brigatinib: Development programs
1st Line 4,300
2nd Line 2,500
3rd Line+ 1,300
Annual Incidence/ Number of Switches*
SOURCE: *SEER Cancer Statistics Review 1975-2010; UpToDate; 2012 SEER Data (Cancer Statistics Review, 1975-2008); Cancer.gov; ARIAD internal assumptions, Applies mutation and testing rate. Stage IV only and assumes 85% testing by 2017, Kantar Health Epi Report 2015; eligible patients is reflective of all patients who would be candidates for ALK treatment
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ALTA-1L: Phase 3 study in TKI-naïve ALK+ NSCLC patients
• Locally advanced or metastatic ALK+ NSCLC
• ALK TKI naïve
Brigatinib 180 mg qd* (Arm A)
Crizotinib 250 mg bid (Arm B)
• PD† • Toxicity • Other
discontinuation criteria
Stratify by: • Baseline CNS metastases (yes vs no) • Prior chemotherapy (yes vs no)
Additional key inclusion criteria: ECOG PS 0-2, measurable disease, ≤1 prior regimen of systemic therapy in the advanced setting
Primary endpoint: IRC-assessed PFS per RECIST 1.1
N = 270 patients
Planned interim analyses at 50% and 75% of total expected events
*With 7-day lead-in at 90 mg. †Arm B crossover to brigatinib allowed at progression. SOURCE: https://clinicaltrials.gov/show/NCT02737501.
R 1:1
Disease assessment q8w (including brain MRI for all patients)
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AP32788 program
Potential orally active TKI precision therapy
Unique profile demonstrated against EGFR and HER2 Exon 20 mutations
No current approved targeted treatments
Estimated 6,000 US patients
Phase I/II clinical study underway
• Initial data expected next year Crystal structure of EGFR in complex with AP32788
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Looking ahead: Expanding addressable patient populations
AP32788 NA ~6,000
Potential Future
Eligible US Patient Population (Incidence)
Current/Initial
~1,000-2,000 ~3,000-4,000
Brigatinib ~4,000 ~7,000-8,000
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Science & Discovery
• Engine for new potential products – expand development pipeline • World-class capability in designing precision cancer therapies • Expanding platform into small molecule immuno-oncology
ARIAD’s strategy
Development/Pipeline
Science & Discovery
• Engine for new potential products – expand development pipeline • World-class capability in designing precision cancer therapies • Expanding platform into small molecule immuno-oncology
Lean, Cost-efficient Structure
Commercial Maximization
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Innovative chemistry
Resistance mapping
Integrated automated assays and informatics
In-house structural biology and biophysics
Structure-based drug design
• Lead optimization
• Library design
Rapid chemical analoging and parallel synthesis
Predictive mutational resistance screens
Tight downstream collaborations, fast handoffs
• DMPK, Pharmacology, Manufacturing
Core strength: Robust and fully integrated discovery platform
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ARIAD: Strong internally developed pipeline
* Includes investigator-sponsored trials.
PRECLINICAL PROOF OF CONCEPT
APPROVED
Ponatinib
PIVOTAL
Brigatinib (AP26113) Non-small cell lung cancer (ALK) – Resistant
AP32788 Non-small cell lung cancer (EGFR Exon 20, HER2 Exon 20)
CML, Ph+ ALL (refractory)
AML (FLT3)
Ph+ ALL (with chemo, 1st, 2nd line)
Lung cancer (FGFR, RET)
CML (2nd line)
Non-small cell lung cancer (ALK) – 1st line
CML (dose-ranging)
Immuno-kinase program Undisclosed programs
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Lean, Cost-efficient Structure
• Rare cancer model designed for efficient commercialization/R&D • Operations limited to US • Lean G&A/headquarter functions
ARIAD’s strategy
Development/Pipeline
Science & Discovery
Commercial Maximization
• Rare cancer model designed for efficient commercialization/R&D • Operations limited to US • Lean G&A/headquarter functions
Lean, Cost-efficient Structure
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Incyte transaction: $65 mil annual operating cost savings
Reinvested in new customer-facing positions
• Doubled the US customer facing roles – 2016 vs. 2015
Focused R&D activities centered on bringing innovative therapies to patients with rare cancers
Shared development costs with partners (Incyte and Otsuka)
Reduced G&A expenses in-line with a leaner, more efficient organization
Lean, cost-efficient structure
All trademarks, service marks, trade names, trade dress, product names and logos are the property of their respective owners.
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2016 financial guidance
Iclusig revenue $170 - $180
Selling, general and administrative expenses $120 - $125
Research and development expenses $175 - $180
Operating expenses $295 - $305
Cash, cash equivalents, marketable securities as of 12/31/16
$280 - $290
(dollars in millions)
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ARIAD: Catalysts and upcoming milestones
Start 1st line brigatinib
trial
Announced outcomes
of strategic review
Advance AP32788 into development
NDA filed for brigatinib
Received marketing approval of
Iclusig in Japan
Present pivotal ALTA data on brigatinib at
ASCO
Q2 Q3 Q4 H1 2017
Anticipated US launch of
brigatinib
Q1 2016
Initiation of strategic
review
Anticipated product
launch of Iclusig in
Japan
4 year US label update
for Iclusig
ALTA data update at
WCLC
MAA filing for
brigatinib
Brigatinib NDA accepted;
Priority Review