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Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

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Page 1: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Page 2: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Roche Group Unique diversity of approaches

Independent centers for research and early development

gRED

pRED

Chugai

Worldwide execution

Global Product Development

Manufacturing

Commercialisation

Roche Diagnostics

Over 150 partners

Academia & industry

Page 3: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Oncology!

Immunology!

Neuroscience !

Ophthalmology !

Metabolism!

Infectious Diseases!

Collaborator(s)!

Pinatuzumab vedotin (Anti-CD22 ADC)

Polatuzumab vedotin (Anti-CD79b ADC)

Anti-HER3 EGFR DAF

Apitolisib (GDC-0980)

Ipatasertib (GDC-0068)

Pictilisib (GDC-0941)

Quilizumab (Anti-M1 prime)

Rontalizumab (Anti-IFNα)

Crenezumab (Anti-Aβ)

Lampalizumab (Anti-Factor D)

Anti-PCSK9

NME targeting CMV

Anti-ETBR ADC

Anti-MUC16 ADC

Anti-NaPi ADC

Anti-STEAP1 ADC

NME ADC

NME ADC

ChK-1 inh (GDC-0425)

ChK-1 inh (GDC-0575)

PI3K inh (GDC-0032)

PI3K inh (GDC-0084)

NME

Anti-IL17

NME

Phase 1 (13) Phase 2 (12) Early Devt (9) NME

NME

NME

NME

NME

NME

NME

NME

NME

Source: Roche Q3 2013 Investors Update; October 17, 2013

gRED Portfolio 34 molecules from ED to Ph2 (18 with Collaborators)

Page 4: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Genentech Portfolio Strategy

Genentech’s focus is to:!•  Remain the leader in Oncology!•  Continue to deliver diagnostic-based therapies in Immunology!•  Make significant advances in Neuroscience, Infectious Diseases,

Ophthalmology, and other key areas!

R&D highlights:!•  Robust portfolio of “large molecules” and “small molecules”!•  Advances in antibody engineering!•  Personalized Health Care (PHC): right medicine for the right patient!

Page 5: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Expanding Our Leadership in Oncology

HER2!Pathway!

Heme !Franchise!

Anti-angiogenesis!

!

!!

Present:Transformative approaches"

Antibody Drug Conjugates (ADCs)!

Future: Leading in further outcome improvements "

Herceptin Kadcyla Perjeta!

Avastin!

New pathways (MET, PI3K, apoptosis) !

Immunotherapy (anti-PDL1, NMEs)!

Combinations!

Rituxan Gazyva!Bcl-2!ADCs!

Page 6: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Advances in Antibody Engineering

Antibody Drug Conjugate! Dual-Action Antibodies! Monovalent Antibodies!

•  Monovalent (one-armed), monoclonal antibody – can inhibit binding!

!•  Example: Onartuzumab

(MetMAb) for lung and other major cancers!

•  Antibody + linker + cytotoxic agent !

•  Example: Kadcyla for HER2+ breast cancer!

EGFR!

HER3!

EGFR!

HER3!

•  Designed to target two receptors, inhibiting ligand binding to both receptors !

•  Example: Anti-HER3/EGFR DAF for solid tumors!

Page 7: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Oncology

Ophthalmology

Immunology

Neuroscience

Page 8: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Immunogen: License to Maytansinoid Conjugates

‘00 ! ‘01 ! ‘02 ! ‘03 ! ‘05 ! ‘07 ! ‘08 ! ‘09 ! !‘10 ! ‘11!

SGEN: License to Auristatin Conjugates

Nerviano: Anthracycline Conjugates

Positive T-DM1 Ph. II results

Nerviano: Manufacturing anthracycline conjugates

Positive Ph. I SGEN35 results

XXXX, Spirogen, XXXX - MTAs for proprietary DNA-damaging linker-drug reagents

XXXX: MTA for proprietary linker-drug reagents

SGEN: Negotiating amendment to obtain option to name additional targets

Dea

l Act

ivity

C

linic

al

Dat

a

Spirogen:

PBD Conjugates

ADC’s: Multiple Interconnected Alliances

Antibody Drug Conjugates (Armed Antibodies)

Page 9: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Antibody Drug Conjugate (ADC) Portfolio Extensive pipeline of ADCs for oncology indications!

Early Development! Phase I! Phase II! Phase III/!Launched!

Kadcyla*!HER2+ Breast!

RG7600!Pancreatic!

Anti-NaPi2b!Ovarian!

Anti-MUC16! Pancreatic!

Anti-STEAP1!Prostate!

RG7636!Melanoma!

ADC NME!Breast!

* Kadcyla approved in US Feb. 2013!

Solid !Tumors!

Heme!Malignancies! Anti-CD22!

NHL !

Anti-CD79b!NHL !

RG7598!Multiple Myeloma!

Strategy!Expand Heme

franchise"Build on strength in

HER2+ mBC"Extend ADC benefit to additional tumor

types; Explore platform for antibiotics (AAC)"

Antibody Antibiotic!Conjugate NME!

Infectious!Diseases!

Anti-NaPi2b!Lung!

Page 10: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

ADCs in hematology: Anti-CD22 and anti-CD79b Phase I responses in multiple histologies

10

Anti-tumor responses observed by histology

Anti-CD22

Anti-CD79b

CD22

CD79b

ADCs in collaboration with Seattle Genetics Presented at ICML 2013

Page 11: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

ADCs in hematological cancers: Anti-CD22 and anti-CD79b

anti-CD22 ADC + rituximab

anti-CD79b ADC + rituximab

PD

PD

NHL (R/R FL and

2/3 line DLBCL) N=120

anti-CD79b ADC + rituximab

anti-CD22 ADC + rituximab

Primary end-point: Progression Free Survival Expect data: 2014

ROMULUS phase II

Page 12: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Lampalizumab

Anti-factor D in Geographic Atrophy

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Page 13: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Clinical spectrum of AMD

Early AMD Intermediate AMD

Geographic Atrophy

fovea-threatening

fovea-involved

Wet AMD

Advanced AMD

•  Initially, visual acuity minimally affected; signs are anatomic (drusen and pigmentary changes) with symptoms of visual function impairment (e.g, dark adaptation, contrast sensitivity)

non fovea-threatening

Arch Ophthalmol 2001;119:1417-1436

Page 14: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Lampalizumab (anti-factor D): Selective inhibitor of the alternative complement pathway

Molecule •  Fab of a humanized monoclonal

antibody •  Targets complement factor D of the

alternative pathway

Target •  Complement factor D is a rate-

limiting enzyme in the alternative pathway and present in relatively low abundance

C3a

C3b

C5b

C5a

C5

C3b

C3b

C3b

Bb

Bb

Classical pathway

MBL pathway

C3b

C4b

C2a

C4b

C2a

C3

Alternative pathway

fB

fD

fB

fD

fH

fH

Inflammation MAC

Inflammation

Amplification

MAC=Membrane Attack Complex; MBL=mannose-binding lectin

C1q

AFD

AFD

Page 15: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

MAHALO Phase II study

Month 18

Phase Ib Open-label safety run-In

(N=14)

Phase II (N=129)* Randomized 1:2:1:2

Safety follow-up period or Open-label extension study

Lampalizumab 10 mg, every 2 mths

N=44

Lampalizumab 10 mg, monthly

N=43

Sham Monthly N=21

Sham Every 2 mths

N=21

*N = 123 for pre-specified modified intent-to-treat population, which is the primary efficacy analysis population.

•  Mean change in GA area from baseline to Month 18 assessed by fundus autofluorescence (FAF)

Holz FG et al. Am J Ophthalmol. 2007;143:463-72

Study design Primary Endpoint

Page 16: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

19 confirmed loci in pathways related to:

•  Complement •  Lipid metabolism •  Angiogenesis •  Apoptosis •  Extracellular matrix

Fritsche, et al. Nat Gen 2013 45(4):433-9

AMD risk has a strong genetic component Identifying patients that benefit the most

• Genetic factors account for ~55% of total variability in disease risk • Lifetime AMD risk for individual of affected family member 50% compared to 12% for relatives of controls

•  Strong biological rationale for lampalizumab biomarker •  To be presented at AAO, November 16-19

Page 17: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Lampalizumab in Geographic Atrophy (GA) Targeting alternative complement pathway

Progression

AMD (Drusen) Extrafoveal GA Advanced GA

Progression!

Phase 2 MAHALO study demonstrated efficacy in slowing GA area progression •  20.4% benefit in all patients •  44% benefit in biomarker positive subpopulation •  54% benefit in biomarker positive subpopulation with better vision

GA Progression: Patient’s Perspective

ASRS 2013

Page 18: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Etrolizumab

Anti-β7 Integrin in Inflammatory Bowel Disease

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Page 19: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Inflammatory Bowel Disease (IBD) overview Two distinct diseases with high unmet medical need

Ulcerative colitis Crohn’s disease

•  Age of onset 20-30 yrs •  Continuous mucosal distal

disease •  Confined to sigmoid/colon •  Bloody, frequent bowel

movements •  Progressive over time

•  Age of onset 15-30 yrs •  Patchy transmural disease •  Most common in ileum

and ascending colon •  Abdominal pain, diarrhea,

vomiting, weight loss •  Fistulae and strictures

Medical need •  Higher sustained remission rates •  Decreased risk of severe infections •  Avoidance of surgery and hospitalizations

Page 20: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Etrolizumab: Gut-selective anti-β7 integrin with dual mode of action and no expected CNS effect

Lamina propria venule

α4β7

MAdCAM-1

VCAM-1 α4β1

αEβ7

E-cadherin

Intra-epithelial lymphocyte retention

Gut epithelium

Leukocyte trafficking

Etrolizumab: Anti-β7 Blocks leukocyte trafficking and lymphocyte retention

1 2

Vedolizumab: Anti-α4β7 a. Blocks leukocyte trafficking only

No apparent effect on CNS

a

Natalizumab (Tysabri): Anti-α4 a. Blocks leukocyte trafficking only

b. Affects trafficking to CNS, associated with PML

a

b

Page 21: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Etrolizumab phase II study in Ulcerative Colitis Compelling remission rates

0.0% 0.0% 0.0%

8 (20.5%)

7 (43.8%)

1(4.5%)

10.3%

25.0%

4.0%

5 (10.6%)

All-comers TNF-naive TNF-IR

Placebo Etrolizumab 100mg Etrolizumab 300mg+LD

n=41 n=39 n=15 n=16 n=12 n=25 n=22 n=25 n=39

Clinical remission by MCS, Week 10

n=47

TNF-IR patients without response at 10 weeks continued etrolizumab

treatment to 14 weeks *

TNF-IR remitters at week 10 or 14

MCS=Mayo Clinic Score, using central endoscopy reading; * 14 week remission as assessed by partial MCS

Page 22: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

0% 0/5

0% 0/8

19% 3/16

64% 7/11

0%

20%

40%

60%

80%

αE low αE high

αEβ7 may predict remission in TNF-naive patients: Potential for PHC approach

Δ45% Δ35%

Note: ~10% and 40% of patients were missing qPCR and IHC data, respectively

αE by qPCR αE by IHC

Remission at 10 weeks

0% 0/1

0% 0/7

25% 2/8

60% 6/10

0%

20%

40%

60%

80%

αE low αE high

Placebo Pooled Etrolizumab

Page 23: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Phase III outlook

Best-in-disease in Inflammatory Bowel Disease >3000 patients program

•  First subcutaneous gut-selective anti-integrin •  Better safety profile with reduced risk of severe infection or

malignancy •  PHC through αE expression as potential companion

diagnostics •  Further details after discussions with healthcare authorities

FPI 1H 2014. Expect first data 2018

Ulcerative Colitis Crohn’s disease

Page 24: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Nav1.7

Voltage-gated sodium channel for pain indications

24

Page 25: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

COLLABORATION TO PURSUE EMERGING BIOLOGY

•  Upfront payment, research funding

•  Eligible for milestone payments that could reach $650MM

•  Royalties

•  Helped discover human genetic evidence implicating Nav1.7 as compelling pain target

•  Deep expertise in pain and

ion channels

•  Compelling early stage inhibitor molecules

•  Exclusive license to all collaboration compounds

•  Exclusive access to know-how and proprietary research technologies

Integrated collaboration maximizes PTS for first-in-class and/or best-in-class compound for high-priority, highly-competitive target

•  Consider Nav1.7 to be best

novel, biologically validated pain target

•  Pain is re-emerging area, looking to leverage partner’s know-how

Collaboration Structure

Page 26: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Nav1.7: a Voltage Gated Sodium Channel Involved in the Propagation of Pain Signals

++

--

--

++

Na+

Open state Closed state

Pain sensing receptors begin

to depolarize the nerve Pain signal

propagates down the nerve

to the DRG

- 65 mV + 40 mV

--

++ Inactivated state

Peripheral nerve C-fiber

+ + +

- -

Nav1.7 opens In response to a

change in polarization

- 40 mV threshold

Page 27: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Nav1.7 is an Extremely Well Validated Pain Target

1.  Inactivating mutations of Nav1.7 in humans cause complete insensitivity to pain (homozygous)

•  Congenital insensitivity to pain (CIP) •  Besides anosmia, they are otherwise normal

2.  Activating mutations cause spontaneous pain syndromes

•  Inherited Erythromelalgia (IEM) •  Paroxysmal extreme pain disorder (PEPD) •  Small fiber neuropathy (SFN)

3.  Conditional KO of Nav1.7 in mice show effects in traditional pain models of the three categories of pain:

•  Acute (burn-injury-induced pain models) •  Inflammatory (complete Freund’s adjuvant - CFA) •  Neuropathic (L5 spinal nerve transection - SNT)

Ashlyn Blocker, a CIP patient who has complete loss of function of both Nav1.7 alleles

Page 28: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Summary

•  50% of the Genentech portfolio reflects partnering activities

•  Blend of internal and external innovation drives pipeline growth

•  Advancing leadership in Oncology through new Pathways, ADCs, Combination trials and Immunotherapy

•  Transformative clinical outcomes achieved in GA and UC enabled by PHC approach

•  Positioned well to deliver innovative and differentiated therapies to improve patient’s lives

Page 29: Genentech: Pipeline with focus to role of Partnering · Genentech: Pipeline with focus to role of Partnering James Sabry, MD, PhD Senior Vice President of Genentech Partnering

Q&A