First of 4+ Ionis programs expected to advance to pivotal studies this year

Ionis earns $35 million milestone payment

CARLSBAD, CA, USA I January 28, 2019 I Ionis Pharmaceuticals, Inc. (NASDAQ: IONS), the leader in antisense therapeutics, today announced that its partner Roche, also known as Genentech in the United States, has enrolled the first patient in a pivotal study of RG6042 (IONIS-HTTRx) for people living with symptoms of Huntington’s disease (HD), a hereditary neurodegenerative disorder for which there is currently no approved disease-modifying treatment. RG6042 is the first therapy in pivotal trials designed to target the underlying cause of HD by reducing production of the toxic mutant huntingtin protein (mHTT). Ionis has earned a $35 million milestone payment for the initiation of the study.

“We are pleased that RG6042 has progressed to a Phase 3 study. It is the first of four or more Ionis programs that we anticipate will advance to pivotal studies this year, further proof that we are realizing the potential of our novel antisense technology to deliver transformative medicines to those who need them,” said Brett P. Monia, Ph.D., Ionis’ chief operating officer. “Our commitment to developing antisense medicines for neurological diseases has led to the commercialization of SPINRAZA, the standard of care treatment for people with all forms of spinal muscular atrophy. Enrollment of the first patient in this pivotal trial represents substantial hope for people living with Huntington’s disease and their families.”

HD is a devastating and ultimately fatal, hereditary disease resulting in deterioration in mental abilities and physical control. In the U.S., there are approximately 30,000 people with symptomatic HD and more than 200,000 people at risk of having inherited HD.

About Ionis/Roche Collaboration

Roche and Ionis are collaborating to develop antisense drugs to treat HD. In December 2017, Roche licensed IONIS-HTTRx from Ionis and has renamed the investigational molecule RG6042. In total, Ionis has generated $135 million in up-front, milestone and license payments and is eligible to receive additional milestone payments as RG6042 progresses in development, as well as royalties on sales of the medicine if it is commercialized. Roche is responsible for all RG6042 development, regulatory and commercialization activities and costs. Additional information about clinical trials of RG6042 may be found at

In October 2018, Ionis and Roche announced a collaboration to develop IONIS-FB-LRx, an antisense medicine using Ionis’ advanced LIgand Conjugated Antisense (LICA) technology, for the treatment of complement-mediated diseases. Ionis is eligible to earn additional payments as IONIS-FB-LRx progresses in development, as well as royalties on sales of the medicine if it is commercialized.

About Ionis Pharmaceuticals

As the leader in RNA-targeted drug discovery and development, Ionis has created an efficient, broadly applicable, proprietary antisense technology platform with the potential to treat diseases where no other therapeutic approaches have proven effective. Our drug discovery platform has served as a springboard for actionable promise and realized hope for patients with unmet needs – such as children and adults with spinal muscular atrophy (SMA). We created SPINRAZA® (nusinersen)* and are proud to have brought new hope to the SMA community by developing the first and only approved treatment for this disease.

Our sights are set on all the patients we have yet to reach with a pipeline of more than 40 drugs with the potential to treat patients with cardiovascular disease, rare diseases, neurological diseases, infectious diseases and cancer. We created TEGSEDI™ (inotersen) the world’s first RNA-targeted therapeutic approved for the treatment of polyneuropathy of hereditary transthyretin (TTR) amyloidosis (ATTR) in adult patients that our affiliate Akcea Therapeutics is commercializing. Together with Akcea, we are also bringing new medicines to patients with cardiometabolic lipid disorders.

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*Spinraza is marketed by Biogen.

SOURCE: Ionis Pharmaceuticals