Intellia Therapeutics, Inc. (NTLA)
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Earnings Call: Q3 2019

Oct 31, 2019

Operator

Please stand by. Good morning. My name is Derek, and I will be your conference operator today. Welcome to the Intellia Therapeutics third quarter 2019 financial results conference call. At this time, all participants are in a listen-only mode. Following the formal remarks, we will open the call for your questions. Please be advised that this call is being recorded at the company's request. At this time, I will turn it over to Lina Li, Associate Director of Investor Relations at Intellia. Please proceed.

Lina Li
Associate Director of Investor Relations, Intellia Therapeutics

Thank you, operator. Good morning, and thank you all for joining us today to discuss Intellia's third quarter 2019 operational highlights and financial results. Earlier this morning, we issued a press release outlining our progress this quarter and the topics we plan to discuss on today's call. This release can be found on the investor section of our website at www.intelliatx.com. A replay will also be archived on our website. Before we get started, I would like to remind you that during this call, we may make certain forward-looking statements and ask that you refer to our SEC filings available at sec.gov for a discussion of potential risks and uncertainties. All information in this presentation is current as of today. Intellia undertakes no duty to update this information unless required by law.

Joining me on today's call from Intellia are Dr. John Leonard, our President and Chief Executive Officer, Dr. Laura Sepp-Lorenzino, our Executive Vice President and Chief Scientific Officer, and Glenn Goddard, our Executive Vice President and Chief Financial Officer. Following their prepared remarks, we will be open for Q&A, for which Andrew Schiermeier, our Executive Vice President and Chief Operating Officer, and Jose Rivera, our Executive Vice President and General Counsel, will also be joining. For today's call, John will begin by discussing the company's highlights. Laura will provide an update on our R&D progress, and Glenn will review our financial results from the third quarter of 2019. With that, let me turn the call over to our CEO. John?

John Leonard
President and CEO, Intellia Therapeutics

Thanks, Lina, and welcome everyone to our third quarter earnings call. At Intellia, we're pursuing a full spectrum strategy to rapidly develop a diverse pipeline, including programs that apply genome editing in vivo, where we deliver CRISPR-Cas9 components as the therapy, and ex vivo, where we use CRISPR-Cas9 as a tool to create engineered cell-based therapies. We continue to believe our modular approach and innovative science position us well to translate genome editing into new medicines that address critical areas of unmet medical need. To date, we've generated a robust set of preclinical data supporting our potential to cure genetic diseases with a single administration. We're especially excited about the progress of our ex vivo approach, which we believe can capture the full promise of novel engineered cell therapies for the treatment of cancer and autoimmune disease.

On the in vivo side, with our systemic lipid nanoparticle or LNP-based delivery system, we believe we have unlocked treatment of genetic diseases that have their origin in the liver. We've demonstrated we can selectively knock out disease-causing genes, but we can also precisely insert genes to produce normal human proteins for therapeutic purposes. On the ex vivo side, we focus on engineering lymphocytes that retain normal cell physiology while targeting various hematopoietic and solid tissue cancers. Our approach to engineering lymphocytes is designed to overcome the limitations of most currently available cell-based therapies. In the third quarter and more recently, we've continued to progress our lead programs for transthyretin amyloidosis and acute myeloid leukemia and successfully executed on our objectives as we prepared to enter the clinic. Just last week, we presented data at the 2019 European Society of Gene & Cell Therapy Annual Meeting, or ESGCT.

These results included the first demonstration of a consecutive in vivo gene editing approach to address alpha-1 antitrypsin deficiency. This novel editing strategy provides further validation of our modular approach and importantly, offers yet another proof point for the advantages of our proprietary non-viral delivery system for systemic administration of CRISPR-Cas9. I'll now hand it over to Laura to review our R&D progress in detail. Laura?

Laura Sepp-Lorenzino
EVP and Chief Scientific Officer, Intellia Therapeutics

Thanks, John. Good morning. Indeed, this is an exciting time for us as we continue to validate our novel therapeutic modality and progress our initial programs to the clinic. I would like to first talk about our in vivo pipeline, starting with NTLA-2001, our development candidate for the treatment of transthyretin amyloidosis or ATTR. As you know, ATTR is a progressive and fatal disease that results from the production of misfolded TTR protein in the liver and the deposition of insoluble TTR protein fibrils in multiple organs, leading to diverse disease manifestations, including peripheral neuropathy and cardiomyopathy. Over 120 genetic mutations are known to manifest as hereditary ATTR, which affects approximately 50,000 patients worldwide. Furthermore, in the absence of a genetic mutation, ATTR can also develop spontaneously, known as wild-type ATTR, which affects an estimated 200,000-500,000 patients across the globe.

With NTLA-2001, our goal is to treat patients with ATTR regardless of whether they have either the hereditary or wild-type form of the disease, because we will be knocking out the underlying disease-causing TTR gene. Over the past few years, our peers have made tremendous strides in serving patients with ATTR. They have validated the target and shown that reducing expression of TTR protein is an effective way to achieve clinical benefit. We hope to build on those results as both fundamental to the promise of gene editing with CRISPR-Cas9 and true to our mission, we believe that the potential to provide a one-time, potentially curative treatment meets an address need for patients and represents a key differentiating factor of our approach. To date, we have demonstrated this potential in studies with our lead LNP formulation targeting the TTR gene in non-human primates.

Following a single administration, we achieved an average reduction of greater than 95% of circulating TTR in non-human primates, which is expected to be clinically efficacious. As part of the ongoing durability study, we have demonstrated 10 months of durable liver editing with sustained reduction of circulating TTR protein. We're very pleased with this result and continue to advance our IND-enabling studies. We also note today that we have commenced clinical scale manufacturing for our phase I materials. Importantly, we remain on track to submit an IND application for NTLA-2001 in mid-2020, which we expect to be the first systemically delivered CRISPR-Cas9 therapy in the clinic. As a reminder for this program, we have a 50/50 co-development and co-commercialization agreement with Regeneron, with Intellia as the lead party. Let's now turn to our targeted insertion efforts in the liver.

As discussed on prior calls, we demonstrated the first CRISPR-Cas9 mediated targeted transgene insertion in the liver of non-human primates using factor IX inserted into the albumin box. As a reminder, factor IX encodes the blood clotting protein that is missing or defective in hemophilia B patients. The study used our proprietary hybrid delivery vehicle, which combines our CRISPR LNP delivery system with an AAV vector encoding the factor IX gene. In a nice demonstration of the modularity of our platform, the CRISPR LNP delivery system is the same as the one used in our ATTR program, with the sole change being the guide RNA. We believe our targeted insertion approach provides key advantages over traditional gene therapy in both safety and efficacy. Targeted insertion should reduce the risk of mutagenesis due to random integration of retroviral vectors.

In addition, targeted insertion should provide durable efficacy with single course of treatment and potentially cure the disease. We're working with Regeneron to identify next steps for the hemophilia B program and have been simultaneously exploring the insertion of other transgenes to support the expansion of our in vivo pipeline. As part of this effort, and again highlighting the modularity of our approach, we have exchanged only the DNA template for the gene of interest in the hybrid LNP AAV delivery system. Building on our insertion work with factor IX and alpha-1 antitrypsin, we have now generated in vivo protein expression for two additional genes of interest and are evaluating several more. These results are highly encouraging, we look forward to presenting these innovative science at upcoming scientific meetings.

As John previewed, we reported at the 2019 ESGCT Annual Meeting, the first demonstration of a consecutive in vivo gene knockout and insertion in a mouse model of alpha-1 antitrypsin deficiency, or AATD. This disease requires both a reduction in the level of the disease-causing protein and restoration of the wild type protein to ameliorate the disease. The consecutive edits led to a greater than 98% reduction of the disease-causing protein and sustained restoration of the missing protein to therapeutically relevant circulating protein levels throughout the study. We believe this presents a compelling and differentiated therapeutic approach for AATD, as it addresses both the liver and lung manifestations of the disease. Moreover, this is another example of our leadership in systemic genome editing to treating genetic diseases. We will be moving forward with our consecutive editing strategy for AATD in higher animal species.

Moving on to our engineered cell therapy pipeline, we're designing engineered cells to treat a range of hematological and solid tumors. As we've discussed on prior calls, we have four workstreams towards this end, though our focus today will be on our wholly-owned T cell receptor, or TCR, replacement approach. Initially, we're utilizing this approach to target Wilms' tumor 1 for acute myeloid leukemia, and then potentially a variety of additional liquid and solid tumors. As a reminder, our proprietary and highly efficient TCR-based approach knocks out the endogenous TCRs by eliminating the alpha and beta chain and simultaneously inserts the therapeutic TCR in locus. Notably, the therapeutic TCR we precisely insert is a naturally occurring TCR that can be found in healthy donors.

This approach should enable us to preserve normal T cell physiology, enhance and stabilize expression of the inserted therapeutic TCR and reduce the risk of graft-versus-host disease that could result from mispairing between the endogenous and inserted TCRs. In contrast to CAR Ts, TCRs expand the range of addressable tumor types because they can recognize a broad set of tumor antigens, while CAR Ts typically recognize only surface proteins. In addition, we believe our TCR-directed engineered cell therapy approach offers meaningful efficacy and safety advantages over currently available engineered cell therapy treatments. As you know, acute myeloid leukemia, or AML, is a cancer of the blood and bone marrow with significant unmet medical needs. Generally, outcomes for the majority of AML patients remain poor, and the five-year overall survival rate is less than 30%.

By directing TCRs toward the Wilms' tumor 1 antigen, which is overexpressed in the majority of AML patients, we believe it provides tremendous opportunity to develop a broadly applicable treatment for AML regardless of mutational background of the patient's leukemia. As discussed on our last quarter's call, we're currently conducting functional testing in patient-derived xenograft models of multiple lead WT1 TCR candidates that recognize the primary WT1 epitope of interest in AML with high affinity. Data from these ongoing studies will inform the nomination of our development candidate, which we remain on track to achieve by year-end. In parallel to ongoing studies, we're advancing GMP manufacturing-related development activities in support of a phase I clinical trial. We believe our AML program will lay the foundation to pursue a broader range of cancers, including solid tumors.

As WT1 is highly expressed across many liquid and solid tumor types, there is significant opportunity to target a number of subsequent tumor types with the same TCR. We've begun to generate promising in vitro activity in solid tumor cell lines. We expect this work will unlock new immune oncology opportunities to further expand our pipeline. With that, I would like to turn the call over to Glenn, who will go through the third quarter's financial statement.

Glenn Goddard
EVP and CFO, Intellia Therapeutics

Thank you, Laura. Hello, everyone. Intellia remains in a strong financial position as we advance multiple programs forward into development. Our cash equivalents, and marketable securities as of September 30, 2019, were approximately $295.8 million, compared to $314.1 million as of December 31st, 2018. The decrease was mainly due to cash used to fund operations of approximately $91 million, which was offset in part by $54.1 million of net equity proceeds raised from the company's At the Market agreement, $8 million of funding received under the Novartis collaboration, $7.3 million of ATTR development cost reimbursements made by Regeneron, and $2.8 million in proceeds from an employee-based stock plan. Our collaboration revenue was $10.6 million for the third quarter of 2019, compared to $7.4 million for the same period in 2018. As a reminder, our collaboration revenue is related to our partnership agreements with Novartis and Regeneron.

Regeneron funds approximately 60% of the development costs for our ATTR program. Our R&D expenses were $27.5 million for the third quarter of 2019, compared to $23.2 million for the same period in 2018. This increase mainly relates to the progress of our lead programs and our in vivo and engineered cell therapy platform efforts. Our G&A expenses were $8.4 million for the third quarter, compared to $8.3 million for the same period in 2018. This increase was mainly due to employee-related expenses. Finally, today, we are reconfirming that we expect our cash balances to fund our current operating plans through at least the next 24 months. Now I'll turn the call back over to John to briefly summarize our upcoming milestones and corporate update.

John Leonard
President and CEO, Intellia Therapeutics

Thanks, Glenn and Laura. In summary, we're extremely pleased with the achievements we've made so far in 2019. We continue to demonstrate our leadership in systemic genome editing with a potential first LNP CRISPR program in IND-enabling tox studies and several breakthroughs in editing approaches. In addition, we've seen our TCR-directed engineered cell therapy efforts move forward at a rapid pace. Looking ahead to the balance of the year, our team remains focused on advancing our lead programs for the treatment of ATTR and AML. We remain on track to nominate our development candidate for AML by year-end, and for our ATTR program, we're on track to submit an IND application for NTLA-2001 by mid-2020. We believe there is incredible opportunity ahead as we leverage our CRISPR-based platform and prioritize the next programs to build a robust pipeline of in vivo and engineered cell therapy programs.

We look forward to sharing plans for pipeline expansion in 2020, and I'm confident that we have the team and expertise in place to accomplish our mission. With that, I'd like to thank you all for tuning in today. We'll now open up the line to any questions. Operator?

Operator

Thank you. Ladies and gentlemen, if you'd like to ask a question at this time, please signal by pressing *1 on your telephone keypad. If you are using a speakerphone, please make sure your mute function is turned off to allow your signal to reach our equipment. Again, that is *1 to ask a question.

Your first question comes from the line of Gena Wang with Barclays. Please go ahead.

Gena Wang
Analyst, Barclays

Thank you for taking my questions, and congrats on all the progress, and really glad to hear that IND moving forward. Regarding the WT1 TTR program, I'm just wondering what additional data we will see before you file for IND.

John Leonard
President and CEO, Intellia Therapeutics

Thanks, Gena. It's John. Good morning. As we've said, we're working towards our development candidates. There's a few finishing touches between now and the end of the year. We think we'll be in a position to share that data at an upcoming scientific conference in 2020 sometime. We'll tell you when and where that'll be when we're ready to go.

Gena Wang
Analyst, Barclays

Okay. That's fair. Also, just wondering, given kind of like new emerged technology, wanted to hear your thoughts on, I think it was maybe last week, the Nature publication on the Prime Editing, and how do you see the field evolve over time?

John Leonard
President and CEO, Intellia Therapeutics

Well, all of these technologies are based off of CRISPR-Cas9, which is the core of the work that we do here. We haven't seen any format come out that makes us feel that we're using the wrong work or doing the wrong work or using the wrong technology. I think there's interesting data, but there's a long way to go before any of that will be ready for patient work. We'll follow the field closely as it evolves and continue on with our own programs.

Gena Wang
Analyst, Barclays

The last question is regarding ATTR program. The RMD is mid-2020. I'm just wondering, what could be the initial dose? Are you looking for reaching minimum within the therapeutic window? Will you be thinking about single dose or double dose?

John Leonard
President and CEO, Intellia Therapeutics

Well, we haven't designed the program finally yet with respect to phase I work. Obviously, that's discussions that we'll have with regulators. As we've said previously, this is likely to be a single ascending dose, and it'll be a balance between the appropriate place to begin from a safety point of view, and then we'll see the rate at which we can escalate into areas that would be expected to be therapeutic.

Gena Wang
Analyst, Barclays

Would that be a three plus three trial design?

John Leonard
President and CEO, Intellia Therapeutics

We're not ready to talk about the trial design. There's lots of choices, and we're trying to do one that will enable us to move appropriately in patients as prudently and as quickly as possible.

Gena Wang
Analyst, Barclays

Thank you.

Operator

Thank you. Your next question comes from the line of Maury Raycroft with Jefferies. Please go ahead.

Maury Raycroft
Analyst, Jefferies

Hi, good morning, everyone, and congrats on the progress. First question is just with the starting of your manufacturing of materials for both ATTR and WT1, can you provide more specifics, including anything on the supply chain contingency plans and capacity, and how this might factor into expenses going forward?

John Leonard
President and CEO, Intellia Therapeutics

Hi, Maury. Good to hear from you. We're not giving any substantial details in terms of all of the pieces and how they come together. Obviously, this is an important part of moving the program forward, and we pay a lot of attention to it. We think we put in place a plan certainly for ATTR that will get us well into the clinic so we can establish key data and go forward from that. As WT1 evolves, we're assembling that supply chain as well. I think we have the benefit of learning from others who have gone before us, and we're applying those lessons. More to come.

Maury Raycroft
Analyst, Jefferies

Got it. Okay. For your WT1 TTR program, I know it's autologous. You alluded to the design in your comments. I guess with gene editing capabilities, you've got a lot of options. Just wondering if there's anything else in the works as far as novel modifications to enhance safety and efficacy with the TTR-engineered cells that you're thinking about.

John Leonard
President and CEO, Intellia Therapeutics

Yeah. The first development candidate is, as you point out, autologous. We think that nicely isolates the key variable here, which is the T cell receptor. We presented data on the efficiency, the very high efficiency with which we knock out the alpha and beta chain and the very high efficiency with which we can introduce the TTR of choice, and we're very excited about that. We think that represents a real step forward in terms of this type of work. As we presented elsewhere, there's a series of other things underway to enhance how we can think about allogenicity. That's separate from this particular development candidate, but we're making very good progress there, and when it's appropriate to bring that into this program, we'll do so and share that data.

Maury Raycroft
Analyst, Jefferies

Got it. Last question just on AATD. The data at ESGCT was interesting. Just wondering if you can provide any more specifics on timelines for that program and for the NHP studies. Separately, if you can talk more about the efficacy you're seeing with AATD and also with F9, and if those data are consistent based on the dose with what you're using in ATTR to affirm that you can switch out guides and hit new liver targets.

John Leonard
President and CEO, Intellia Therapeutics

Thanks for asking about that exciting data. We think it's another demonstration of the importance of modularity, and yes, the LNP format and the dose are essentially the same going from a model-to-model system. We're excited about that. First and foremost, it's a demonstration of that. That work was done in a mirroring system. There's work to extend that into non-human primates, and as that data evolves, we'll be talking about it at future presentations. It's moving along very briskly, and we're excited about it.

Maury Raycroft
Analyst, Jefferies

Great. Okay. Thank you very much. Thanks for answering my questions.

Operator

Thank you. Your next question comes from the line of Mani Foroohar with SVB Leerink. Mani, please go ahead.

Speaker 14

Hey, good morning. This is Rick dialing in for Mani. Congrats on all the progress and all the great presentations at ESGCT. My first question is about the cell therapy program. Could you maybe discuss some of the next steps once the lead WT1 candidate is nominated and the anticipated timelines for how long you anticipate that the IND-enabling studies will take to complete?

John Leonard
President and CEO, Intellia Therapeutics

I was waiting for a second question there, but this is the first one. As I said earlier, in the WT1 program, we're in the final stages of selecting our development candidate. I would expect early next year, we'll share more details about what the timeline is for progressing that program. Today's not the right time to be talking about IND timelines.

Speaker 14

Okay, got it. I'll shift over to the alpha-1 antitrypsin program then. Just thinking about the competitive landscape for this disease, there are competitive oligonucleotide programs that are specifically going after the alpha-1 liver disease, and they're designing clinical trials with histological endpoints. I was wondering, are there ongoing animal studies where you're specifically looking at reduction of PiZ protein in the liver or maybe histological improvement? Since these programs are specifically just looking to knock down the PiZ allele, I just maybe hear some of your thoughts on the importance of knocking out diseased PiZ alleles versus restoring expression of wild-type protein in this disease, and what it could mean for competitive positioning for your program.

John Leonard
President and CEO, Intellia Therapeutics

Yes, thanks for the question. As you know, alpha-1 antitrypsin deficiency has two aspects to it. One is the liver disease, which is best addressed by knocking that protein down. Most of the pathology and morbidity and mortality, frankly, comes from lung disease. To deal with that, you need to reconstitute normal levels of protein. The work that we did shows that we can address both, that would be the format that we think is most clinically relevant and one that we would intend to bring forward. To the extent that we achieve those normal levels as we continue our work of circulating protein, we believe that that would constitute the best solution for patients, that's the bar we're setting for ourselves.

Speaker 14

Okay, as far as the histological endpoints for liver disease, is that something you'll be looking at in your ongoing animal studies?

John Leonard
President and CEO, Intellia Therapeutics

We've already shown in mice that you can have an effect. That's certainly something that we'll continue to study as we progress the program.

Speaker 14

Okay, great. Thanks for taking my questions.

John Leonard
President and CEO, Intellia Therapeutics

Okay.

Operator

Thank you. Your next question comes from David Nierengarten with Wedbush Securities. Please go ahead.

David Nierengarten
Analyst, Wedbush Securities

All right, thanks for taking my question. I just had one curiosity. You're a little bit different with AML and having an autologous approach. Are there other safety or other preclinical data we should be looking for when we take a look at your efforts versus some of the other approaches for AML? Thanks. Besides GVHD. Thanks.

John Leonard
President and CEO, Intellia Therapeutics

Yeah. Well, thanks for the question. Our approach with an autologous cell source, we think is one of the very key aspects of addressing safety. The precision with which one can introduce the chosen TTR in locus and eliminate the endogenous TTR chains that could potentially mispair, we think constitutes a real step forward for patients with this particular approach. Obviously we study that in a variety of systems, some of them in vivo, and as we bring our development candidate forward at a future scientific meeting, I will be in a position to share the results of some of those studies with you. At this point, we're very excited about the activity that we're seeing, certainly in AML blasts as well as other solid tumors as we study them in vitro systems.

We expect that we'll have some exciting clinical candidates to investigate here next year and shortly thereafter.

David Nierengarten
Analyst, Wedbush Securities

All right. Maybe just a quick check. There's no difference or any reason to think there'd be any difference besides tumor biology or, I mean, besides solid versus liquid tumor between the candidates for solid and liquid tumors?

John Leonard
President and CEO, Intellia Therapeutics

No.

David Nierengarten
Analyst, Wedbush Securities

Okay. Yeah, just checking. Thanks.

John Leonard
President and CEO, Intellia Therapeutics

Okay.

Operator

Thank you. We'll next go to the line of Amanda Murphy with BTIG Capital. Please go ahead.

Amanda Murphy
Analyst, BTIG

Hi. Good morning. I just had a question on TTR. Obviously, the Pfizer launch seems to be going pretty well there. I just was curious in terms of what the lessons learned are in terms of physician education and diagnosis. It seems like there's a little bit of, obviously the wide range in terms of the market opportunity and a little bit of discussion there. Just curious your thoughts as that market evolves, how big it actually ultimately is both from a mutant and wild type perspective?

John Leonard
President and CEO, Intellia Therapeutics

I'm not sure I heard all of the elements to your question, Amanda. I think you're asking me about the market opportunity and how it's evolving for TTR. We clearly are watching it as it happens. We have some new entrants into that marketplace. As you know, this is a market that didn't exist previously. There's a lot of learning that will take place. Typically, in cases like this, we see the early estimates tend to underestimate what's actually out there as doctors learn to recognize the disease. One might conclude from some of the early Pfizer data that in fact that's happening already.

As we put our program in place, we want to position ourselves, so that we'll be able to address both aspects of this, both neuropathy and cardiomyopathy, or doing it in a way that we can address TTR, whether it's mutated or wild type. A lot of work to do lies ahead, but we're very excited about the opportunity as we understand it better.

Amanda Murphy
Analyst, BTIG

Yeah, that was just what I was asking, just around what we've learned so far in the five-year launch that makes sense. Just another one on the TTR program, and I realize this is early, so I appreciate that this may be too early to ask the question, but obviously you focus on having a modular approach in general. Going forward, longer term, is the right way to think about expansion of indications really focused on WT1 or would we also think about maybe target expansion or use of different targets going forward? Is that a five-year timeline or is that potentially nearer term rather?

John Leonard
President and CEO, Intellia Therapeutics

Right. Modularity is key to all that we're doing here, and that certainly applies on the cell-based side as well. The way I would think about the first step that we're doing with WT1 is to validate the T-cell receptor, and the particular approach that we're taking. That's immediately extendable into solid tumors, and we would hope to be in a position that we could pursue that very quickly or even shortly thereafter the AML program begins. Ways to expand on that include building out the TTR set, and doing that across HLA types, and then moving into other particular TTR targets. We think once you have that basic module in place, there's many opportunities to move forward very broadly and very aggressively.

Amanda Murphy
Analyst, BTIG

Okay, just last one on the bi-directional template insertion concepts. Just curious how, I don't know if the right word protected is that, it seems pretty interesting and makes some sense. Is that something that you're pursuing in terms of patent protection? Just obviously, again, going back to the modularity concept of insertion approaches.

John Leonard
President and CEO, Intellia Therapeutics

Yeah, I'd rather not comment on the particular IP approach that we take. Certainly as we bring our products forward, we expect to have many layers of protection. It's not just one thing or another. It's the various components as they come together for a particular therapeutic approach, and that's the way that we approach all of the potential products that we have here at Intellia.

Amanda Murphy
Analyst, BTIG

Okay. Thanks very much.

Operator

Thank you. Your next question comes from the line of Steven Seedhouse with Raymond James. Please go ahead.

Steven Seedhouse
Analyst, Raymond James

Good morning. I had a question about the AATD strategy and data, at ESGCT, where you're knocking out the diseased allele and then sequencing the second editing step to insert wild type gene at the albumin locus, I think 3 weeks later. I was just curious, what are the pros and cons of sequencing those edits versus just multiplexing them at the same time? Two editing steps are targeting different loci. I guess theoretically, you could multiplex them.

John Leonard
President and CEO, Intellia Therapeutics

The first step was to carry out the experiment in a way that would be very clear. We wanted to show that we had achieved a knockout and that we could then sequentially dose the LNPs, which is an important element of the study by itself, and get an effect, and we demonstrated that. That comes back to the very notion of, or the basic notion of redosability with LNPs, and I think we demonstrated that in this particular program. The optimal timing of when to do this is something yet to be worked out. I think that'll be dependent on additional studies and data as we accumulate it going forward. You should take this first experiment as already very exciting because it has not been subject to much optimization. We're able to get very high levels of protein.

As we think about the ways to control that further, there's many ways to enhance the system and make it more efficient. Work that lies ahead, non-human primate data, et cetera. Stay tuned.

Steven Seedhouse
Analyst, Raymond James

Okay. Appreciate that. One short one on the optimization that you alluded to. What is the percent efficiency for wild type gene insertion at the albumin locus that is getting you already to therapeutic levels of AAT?

John Leonard
President and CEO, Intellia Therapeutics

We haven't presented that data yet. That'll be upcoming work that we do as we pursue various targets. It's early days yet.

Steven Seedhouse
Analyst, Raymond James

Okay. Thank you.

Operator

Thank you. Your next question comes from the line of Madhu Kumar with RW Baird.

Madhu Kumar
Analyst, RW Baird

Good morning, everyone. Thanks for taking our questions. Our first one is, could you generally walk through the remaining steps for NTLA-2001 between now and the mid '20 IND submission? Thinking about a clinical program for NTLA-2001, at a kind of broad strokes level, what is the target TTR suppression level you're looking to achieve? Are you aiming for an Onpattro level of TTR suppression or something deeper? Thank you.

John Leonard
President and CEO, Intellia Therapeutics

Thank you, Madhu. We don't give a step-by-step analysis of our work in the IND. There's general steps I think are broadly understood. Some of this is time-gated work that relates to the tox studies, and we're well into that. There's manufacturing of material, which, as we talked about on the earlier part of the call, we've begun, and all of that stuff is on its way. We expect to hit the targets of 90 of mid 2020 next year. We're all working very diligently to achieve that. With respect to the targeted suppression levels of TTR, we've learned from those that have come before us that levels below 60% are associated with therapeutic activity, and that's certainly foremost in our mind. We want to hit the benchmarks that we think will represent a therapeutic advance for patients.

We are striving to achieve higher levels of suppression and would hope to exceed levels of 80% suppression of TTR, and certainly demonstrate that we can do that in non-human primates. It's all a question of moving into the human clinical situation and collecting data, but that is our benchmark at this point.

Madhu Kumar
Analyst, RW Baird

Excellent. Thanks very much, guys.

Operator

Thank you. Again, ladies and gentlemen, that is star one on your telephone keypad to signal for a question at this time. We'll next go to Jay Olson with Oppenheimer. Please go ahead.

Jay Olson
Analyst, Oppenheimer

Thank you for taking my questions, and congratulations on the impressive AATD day data. At ESGCT, you also presented updated data in a mouse model in primary hyperoxaluria PH. What is your current thinking around the best target gene in between HAO1 and LDHA?

John Leonard
President and CEO, Intellia Therapeutics

We continue to think about PH1. It's in our discovery group, and we've done a fair amount of research. One aspect that we've learned from that is the modularity of our system, and you should think of some of the data that we presented that way. You take the LNP and across all of these different targets in the liver, whether the PH1 targets alpha-1 antitrypsin or TTR, we've demonstrated that that same LNP is useful against all of those targets. Part of the data speaks to that. With respect to the best way to proceed in PH1, we haven't decided, but we've demonstrated that there's more than one way to be successful there. How we advance that program, and if we advance that program, is a function of some of the other choices that we've been working on. Stay tuned.

Jay Olson
Analyst, Oppenheimer

Great. Thank you. With respect to the Novartis collaboration that's coming to an decision point in December 2019, is there any update you can give us or how you think or what the plans are?

John Leonard
President and CEO, Intellia Therapeutics

That's for Novartis to decide, and as appropriate, we'll provide updates, but none today.

Jay Olson
Analyst, Oppenheimer

Great. Thanks for taking my questions.

John Leonard
President and CEO, Intellia Therapeutics

Yeah.

Operator

Thank you. We'll next go to the line of Tash Hasan with RBC Capital Markets. Please go ahead.

Tazeen Ahmad
Analyst, RBC Capital Markets

Hi. Good morning. Thank you for taking my question. Going back to data presented at the Gene and Cell Therapy Conference. In the mouse model of primary hyperoxaluria, it looks like there is a very good correlation between reduction oxalates levels and gene editing percentage. That seems to break down between one milligram and two milligram dose. I would like to hear your thoughts on this, if possible. Thank you.

John Leonard
President and CEO, Intellia Therapeutics

Well, I'm not going to go through all of the details of the data other than to say, generally speaking, there's a relationship between the extent of editing and the effect that you achieve. The extent to which you knock out the gene of interest, that's going to have the attendant physiologic correlate. That's work we've demonstrated across all the targets as, I think, you should expect. It's not surprising.

Tazeen Ahmad
Analyst, RBC Capital Markets

Thank you.

Operator

Thank you. It does appear we have no further questions at this time. I'd like to turn the conference back over to Lina Li for any additional or closing remarks.

Lina Li
Associate Director of Investor Relations, Intellia Therapeutics

Thanks. Thank you all for joining today's call and for your continued interest and support. We look forward to updating you on our progress. Have a great day.

Operator

Thank you. Again, that does conclude today's call. We do thank you for your participation. You may now disconnect.