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Healthcare - Biotechnology - NASDAQ - US
$ 2.05
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$ 428 M
Market Cap
-1.68
P/E
EARNINGS CALL TRANSCRIPT
EARNINGS CALL TRANSCRIPT 2017 - Q4
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Executives

McDavid Stilwell - Vice President of Corporate Communications and Investor Relations Sandy Macrae - Chief Executive Officer Curt Herberts - Chief Business Officer Kathy Yi - Chief Financial Officer Ed Conner - Chief Medical Officer Michael Holmes - Vice President of Research.

Analysts

Charles Duncan - Piper Jaffray Maury Raycroft - Jefferies Gena Wang - Barclays Yanan Zhu - Wells Fargo.

Operator

Good afternoon, and welcome to the Sangamo Therapeutics teleconference to discuss fourth quarter and full year 2017 financial results. This call is being recorded. I will now pass you over to the coordinator of this event, McDavid Stilwell, Vice President of Corporate Communications and Investor Relations..

McDavid Stilwell

Good morning, and thank you for joining us today. As we begin, I'd like to point out that we will be referring to a slide presentation this morning. You may find a link to the slide presentation on our website, sangamo.com, on the Events and Presentations page of the Investors and Media section of the site.

I'd also like to remind everyone that the projections and forward-looking statements that we discuss during this conference call are based upon the information that we currently have available. This information will likely change over time.

By discussing our current perception of the market and the future performance of Sangamo with you today, we are not undertaking an obligation to provide updates in the future. Actual results may differ substantially from what we discuss today, and no one should assume at a later date that our comments from today are still valid.

We alert you to be aware of risks that are detailed in documents that we file with the Securities and Exchange Commission, specifically, our annual report on Form 10-K and our quarterly reports on Form 10-Q.

These documents include important risk factors that could cause the actual results of the company's operations to differ materially from those contained in our projections or forward-looking statements.

Forward-looking statements stated today are made as of this date, and Sangamo undertakes no duty to update such information, except as required under applicable law.

With me this morning on this call are several members of Sangamo senior management, including Sandy Macrae, Chief Executive Officer; Kathy Yi, Chief Financial Officer; Ed Conner, Chief Medical Officer; Michael Holmes, Vice President of Research; Curt Herberts, Chief Business Officer; and Heather Turner, Senior Vice President and General Counsel.

Again, we'll refer to a slide presentation during this call. Those slides are to be found on the Events and Presentations page of the Investors and Media section of the Sangamo website. And now, I'll turn the call over to Sandy..

Sandy Macrae

Thank you, McDavid, and good morning, everyone. I'm very pleased to announce today that Sangamo and Kite, a Gilead company, have entered into a collaboration to develop gene-edited cell therapy products for oncology. Next-generation autologous and allogeneic CAR-T and T-cell receptor therapies require precise, efficient and specific genome editing.

Kite is investing heavily to win in this emerging field, and we're thrilled to be their chosen partner supplying gene-editing technology for the developments in new CAR-T and T-cell receptor treatments for patients with cancer.

In a few moments, Curt will provide more details of this agreement and what it will mean for the evolution of Sangamo's business strategy. But first, I want to reflect on how the development of the technology has enabled this collaboration.

Our zinc finger engineering capabilities have advanced rapidly in the last few years with improved zinc finger nuclease architectures.

Novel enhancements have resulted in a 300-fold increase in potential design options for a given genetic sequence, yielding higher, on-target modification activity with ex vivo editing efficiencies now reaching as high as 99.5%, an off-target cleavage consistently below the level of detection.

We have also made great strides towards industrializing production of ZFNs, which helps expedite our research and meets the needs of partners. The adjacencies of computing and sequencing technology enable rapid screening and the development of lead candidates.

It takes us 10 days, 8, if we work through the weekend, to produce a 96-well plate of options that can be further tuned to increase efficiency and remove nonspecific binding contacts to reduce off-target cleavage to undetectable levels.

We are combining these advancements in our technology with our experience spanning two decades in preclinical and clinical research in this field. To my delight, soon after joining Sangamo nearly 20 months ago, I learned that the science here is even better than I expected. It is a remarkable technology.

And it's second standard for what therapeutic genome editing should be, precise, efficient, specific. We are delighted that when Kite came looking for an editing partner, they chose Sangamo and that they chose zinc fingers.

And we are equally pleased to our search for an optimal collaborator in oncology has brought us to Kite because we sought a partner with the financial strength and clear determination to win. No other company is investing as heavily to bring the new products forward.

This collaboration fits very nicely with our strategy to partner technology for applications that require special expertise or resources. Oncology is an incredibly competitive therapeutic area, and genome editing is just one of the several important inputs into these new cellular therapies.

We believe the dedication of Kite to this space greatly increases the probability of success for the development, commercialization of zinc finger nucleases across a range of products in oncology.

This announcement builds on the momentum of last year, in which we made significant progress, transitioning Sangamo from its previous research focus to a sustainable, fully-integrated company that aims to translate cutting-edge science into genomic medicines to transform patients' lives.

With new management, a clear strategy, the validation of multiple external collaborations, a strengthened balance sheet and with core values that make our patients a central focus of everything we do, Sangamo is now operating with an urgency and efficiency to pursue the vast opportunities presented by our technology platform. 2017 was foundational.

2018 promises to be transformative. We now have five active clinical programs across our gene therapy, genome editing and cell therapy platforms, and expect to see progress in patient enrollment across all our studies, and most importantly, efficacy data begin to read out throughout the year.

We recently provided safety data updates from our MPS II clinical study at the 2018 World Symposium Congress and expect preliminary efficacy data readouts from our MPS and hemophilia A clinical trials towards the first half of this year.

Furthermore, we recently strengthened our leadership team with the appointment of Heather Turner as our Senior Vice President and In-house General Counsel; and Dr. Duncan McKay, our new Vice President and General Manager of Sangamo Europe, who will base in the U.K. I'm pleased to welcome both Heather and Duncan to Sangamo.

Heather has deep biotech experience, having worked at Cooley, and also as an in-house general counsel for the last 15 years. She will help us tremendously, as we advance to the late-stage development and on to commercialization.

And as we establish our footprint in Europe and plan the strategic expansion of clinical development and other operations abroad, Duncan's role is critical to execution of our 2018 goals.

He's already begun planning for our clinical operations in the U.K., and we're working closely with Ed on European clinical trial initiation for MPS and hemophilia B. I've known Duncan for more than 20 years and worked with him closely during much of that time. He knows the industry well and is someone who just gets things done.

I'll now turn the call over to Curt, who will discuss in greater detail our newly announced oncology collaboration with Kite and provide an overview of our evolving business strategy for 2018.

Curt?.

Curt Herberts

Thanks, Sandy, and good morning, everyone. We're excited to announce that we will work with Kite, a Gilead company, on the development of new gene-edited cell therapies for cancer. Gene editing is a critical component in the development of next-generation autologous and allogeneic cell therapies.

Sangamo has more than a decade of experience, developing cell therapy products and translating this cutting-edge research into clinical trials. As Sandy pointed out, in recent years, our technology has advanced very rapidly along the three critical dimensions of precision, efficiency, and specificity.

We are now able to rapidly assemble ZFNs to precisely target any nucleoside in the genome. We have increased our ex vivo on-target efficiency to consistently above 90%. We have learned to engineer away nonspecific binding between the ZFN and the DNA, reducing off-target cleavage to below undetectable levels.

This unique profile is being recognized by partners as setting the standard for what good looks like in terms of therapeutic genome editing.

It enabled the recent gene regulation collaboration with Pfizer for C9ORF-linked ALS and frontotemporal lobar degeneration, and it was certainly recognized by Kite in the optimal way to gene edit cell therapies for cancer.

After careful consideration, we determined that building an oncology business requires specialized and dedicated expertise and that patients will be best served by Sangamo lining ourselves with a leading partner in the oncology field with the resources, relationships and capabilities to advance new therapies rapidly into global development and commercialization.

With the Kite collaboration, we believe we are working with the company most committed to transforming the space of new cell therapies and oncology. And we think this collaboration will optimally benefit both patients living with cancer and the use of Sangamo technology within this field.

We are also excited that Kite, after publicly stating their interest in partnering with the gene-editing company, made the active choice of zinc fingers and Sangamo for the next generation of cell therapy and oncology. We are pleased with the scope in the strong financial terms.

Kite is paying Sangamo $150 million upfront to gain an exclusive license for the use of ZFNs for gene editing of T-cells and NK, or natural killer, cells to create CAR-T, TCR and NKR products in oncology.

We are eligible to receive over $3 billion in milestone payments, that is $300 million per product in development, regulatory, first commercial sale, and commercial sales milestone payments for 10 or more products. We are also eligible to receive tiered royalties on sales of future products resulting from the collaboration.

All Sangamo internal FTE and external passthrough expenses under the oncology research plan will be reimbursed by Kite.

Sangamo will be primarily responsible for developing and optimizing the cell therapy genome editing process, including delivering ZFNs to knock out specific target genes and AAVs to deliver CARs, TCRs and NKRs for autologous and allogeneic T-cell and NK cell products.

Sangamo has significant know-how from its prior experience in building genome-edited cell therapies and will be leveraging this expertise with the goal of helping Kite build best-in-class products for patients living with liquid and solid tumor cancers.

All of this experience can be directly translated to Sangamo's strategy and product development efforts in cell therapy outside of the oncology field and this was a critical aspect of the collaboration. This is an important day for the evolution of Sangamo's business.

We are executing on our stated strategy to externalize product development in highly competitive markets, such as hematology, where specialized expertise, capabilities and resources are required to become competitive such as in oncology.

We will continue to collaborate and externalize product development rights along these criteria and expect in the future to strike additional partnerships across both the in vivo area in different tissue types and the ex vivo cell therapy area for different therapeutic cell types of interest.

Turning to Slide 12, we plan to retain and build out our own therapeutic area businesses in rare inherited metabolic disorders, such as MPS I, MPS II and Fabry disease, where we believe we will have differentiated treatments and where the commercial strategy will involve serving patients through specialized centers of excellence focused on these indications.

We are also evaluating forward integration around other opportunities where we may be able to develop a significant, competitive and technical advantage, such as genome-edit cell therapy for autoimmune disorders, a promising field that is still emerging similar to where immuno-oncology was a few short years ago, and precisely, where we can leverage our deep experience and know-how.

These are exciting times and we are thrilled to be working in therapeutic areas where the understanding of the genetics and biology is improving rapidly and we have the optimal genomic toolkit to build great products for patients in need.

Overall, we believe this diverse therapeutic area and diversified product strategy creates significant long-term value by enabling the broad development of therapeutic applications made possible by the zinc finger platform.

It also allows us to build valuable business franchises ourselves, such as the previously mentioned inherited metabolic disorders and the emerging ex vivo genome-edited cell therapy in non-oncology indications, such as autoimmune.

Very importantly, for Sangamo, it is also consistent with our fundamental core values and getting the technology out there and in the right hands, which compels us to urgently develop new genomic medicines to change the lives of patients. I'll now turn the call over to our CFO, Kathy Yi, for a summary of our 2017 financial results.

Kathy?.

Kathy Yi

Thank you, Curt. Good morning, everyone. Detailed financial results for the fourth quarter and full year 2017 were included in the press release we issued earlier this morning. They are summarized on Slide 15.

I will briefly review the most important components of our financials today, and we'll focus on primary drivers of our growth and spending for 2018. We ended the fourth quarter with a strong balance sheet with $244.6 million in cash, cash equivalents and investments.

The total net loss for the fourth quarter of 2017 was $13.1 million or $0.15 per share, compared with $9.6 million or $0.14 per share for the same period in 2016. Turning to today's announcement on the oncology collaboration agreement. This deal with Kite is significant from both financial and strategic considerations.

It provides incremental cash of $150 million to further invest in new therapeutic areas beyond our current pipeline with fully funded R&D and manufacturing costs for oncology programs.

As discussed earlier by Sandy and Kurt, we believe there are also tremendous opportunities for independent value creation in cell therapies outside of oncology, such as autoimmune disorders.

In addition to investing in these new therapeutic areas, we intend to expand our clinical operations into Europe and build out our own GMP manufacturing capabilities in our new corporate headquarters in, Brisbane, California.

Therefore, we expect a directional increase in R&D, clinical and manufacturing expenses, and also in G&A, as our organization grows to support expansion of our pipeline. We ended the year with $244.6 million, and since then, have received $12 million of funds from Pfizer.

Once the Kite collaboration receives HSR clearance, we will receive an additional $150 million. We expect our cash resources will last into the second half of 2020. We will provide additional color and updated financial guidance in the next earnings call, as we incorporate the impact of the oncology deal.

Our balance sheet is very strong as we enter this exciting next phase of Sangamo's growth. We have significant potential, corporate and clinical catalysts this year and next, including expected proof-of-concept data from 7 genome editing, gene therapy, and cell therapy clinical trials.

Over the next few years, we will continue to advance new programs toward IND. While we plan to retain some programs to take forward ourselves, our strategy will also continue to include partnerships for certain programs, which may provide additional potentially significant sources of upfront cash and milestone payments in the future.

And with that, I'll now turn the call over to Ed for clinical update..

Ed Conner

Thank you, Kathy, and good morning to everyone on the call. We expect 2018 to be a very exciting year for Sangamo's clinical team, with data readouts from our lead programs expected throughout the year.

We now have five clinical programs, and I'd like to begin by reviewing recent progress from our three clinical-stage, in vivo, genome-editing programs in MPS I, MPS II and hemophilia B, starting with the CHAMPIONS' MPS II clinical study for SB-913.

This is a dose-ascending study, enrolling up to nine adults with attenuated MPS II into three dose cohorts.

As a quick reminder, our gene-editing [ph] programs use our zinc finger nuclease technology to target a precise position in the DNA just downstream of the albumin promoter in liver cells to create a space to allow for insertion of new DNA as shown on Slide 17. In the case of MPS II, this new DNA codes for IDS, the enzyme deficient in MPS II patients.

The goal then is to have liver cells produce a steady and consistent level of enzyme, which circulates throughout the body, enters into cells and performs its normal functions for the lifetime of the patient. Turning to Slide 18.

As Sandy mentioned, we presented preliminary safety data on the first subject in the CHAMPIONS' study at the World Symposium in San Diego in early February. As of December 27, the subject has shown no drug-related severe adverse events and their liver function tests remained within the normal range.

To date, two subjects have been treated in the first dose cohort and the infusion of a dose of 5.00E 12 vg/kg of SB-913 appears to be safe and well tolerated. We expect to dose the next patient early next month.

For our MPS I program using SB-318 on Slide 19, we currently have five sites open and we have two patients in screening who have passed initial lab assessments. Other patients are advancing through the screening process. I expect patient enrollment to advance steadily throughout 2018 and that we will have initial data from this program this year.

If you recall, on our third quarter call last November, we discussed our focus on enrollment of pediatric patients, the patient population where we believe medical need is greatest for our therapies. We will include adolescents and children in the current Phase I/II studies once we have collected appropriate safety data in adults.

We will expand enrollments in these studies to Europe where EU authorities encouraged us to file a CTA for pediatric studies. Moving on to Slide 20. Our hemophilia B program [technical difficulty] continues to be a challenge to enroll. We are in the process of initiating two additional study sites in the U.S. as well as expanding enrollment to Europe.

The CTA for this study was filed at the beginning of the year and we expect to activate sites in the U.K. and enroll patients by the end of the year. I look forward to working with Duncan, our new VP and General Manager of Sangamo Europe, to initiate the study arms in adolescent and pediatric patients in the U.K.

and begin enrollment there across the MPS I, MPS II and hemophilia B programs. Turning to Slide 22 to our hemophilia A clinical program, SB-525, being developed in collaboration with Pfizer. SB-525 is based on our AAV cDNA gene therapy approach to deliver a functional copy of the Factor VIII gene to the nucleus of liver cells.

We currently have eight sites open for the trial and three patients dosed so far with another to be dosed shortly. We expect to release top line efficacy data from the SB-525 programs at the Scientific Meeting sometime in mid-2018. Next, a quick update from our ST-400 Phase I/II clinical program for beta-thalassemia on Slide 24.

Our ST-400 cell therapy candidate is a differentiated approach to treating beta-thalassemia, mimicking naturally-occurring genetic variance in the human body to boost fetal hemoglobin expression.

The manufacturing of ST-400 involves ex vivo non-viral mRNA delivery of ZFNs, a potential strategic advantage of a randomly integrating lentiviral-based approaches currently being developed. The first site for the ST-400 study will be initiated soon. The study is designed to enroll a total of six patients, all to be treated with the same dose.

We expect to enroll the first patient in the second quarter of this year. Subsequent patients can undergo apheresis while prior patients are enrolled and cell product is being manufactured. We do this to ensure the shortest possible enrollment time between patients.

I would like to reiterate our strategy for rolling out clinical data from our ongoing clinical trials. Rather than release efficacy data on a per-patient basis, our plan is to release data once it has matured with appropriate post-treatment follow-up time, so that we may disclose data we believe to be both clinically meaningful and reliable.

To close, I'm pleased with the progress our clinical team has made in 2017 and very excited about the prospects of accelerating our genome-editing studies into the pediatric patient populations.

We remain on track with our clinical milestones for 2018, and I look forward to preliminary data readouts from our hemophilia A and MPS II studies in the next few months. I'll now turn the call over to Michael Holmes, our Head of Research.

Mike?.

Michael Holmes

Thanks, Ed, and good morning. I want to take this opportunity to state how proud I am to see the hard work and achievements made by Sangamo's R&D teams being recognized with important collaborations exemplified by today's Kite announcements, as well as the C9ORF72 and hemophilia A deals with Pfizer.

I've been at Sangamo now 17 years, focused on the development of our zinc finger protein base, genome editing and gene regulation platforms for the treatment of patients with significant unmet medical needs. Our technology has progressed over my tenure. In the last few years, it has advanced by leaps and bounds.

I'm extremely proud of how our team continues to lead this field and the strong validation that our work has received recently from external parties.

And I just want to stop here and say it's truly incredible what we've accomplished, especially over the last 12 months, and that these advancements are a result of the innovative and collaborative effort of our R&D teams. With that, I want to bring attention to a few of our scientists, whose teams have contributed to these collaborations.

Ed Rebar's team for the enhanced architectures, which we have recently begun to sketch, which allow for the rapid generation of highly precise, efficient and specific zinc fingers. Gary Lee and his team for their exciting improvements in ZFN-mediated T-cell multiplex editing for next-generation CAR-T and TCR cell therapies.

Bryan Zeitler's group for their recent work in gene regulation for CNS diseases that set the foundation for the C9ORF72 partnership.

And Brigit Riley, for establishing a potentially best-in-class gene therapy approach for hemophilia A, which demonstrated the diversification of Sangamo's technical capabilities in the gene therapy and led to the first partnership with Pfizer last year. Turning to Slide 26.

In the liver, where we've focused our in vivo genome editing and gene therapy approaches to treat rare diseases requiring protein replacement. Our Fabry disease gene therapy program, ST-920, advances towards the clinic.

We are currently completing the preclinical data package, including a study in nonhuman primates and remain on track to submit the IND application to the FDA later this year. Turning to Slide 29.

At the Keystone Symposia meeting emerging cellular therapies earlier this month, Sangamo presented data demonstrating highly efficient, multiplex gene editing in human T-cells with ZFNs.

Multiplex editing is the ability to make multiple genetic changes in a single step and is critical for the development of next-generation cellular therapies to treat liquid and solid tumors in cancer.

It enables simultaneous knockout of certain genes to prevent the body from rejecting the treatment and knocking the mutant genes to equip the modified T-cells with targeted antitumor functions.

Sangamo scientist, Sumiti Jain, presented recent work in which we performed four edits simultaneously, all at greater than 90% efficiency resulting in 76% of modified cells containing all four edits.

In addition to preparing to work closely with our new partner to accelerate Kite's development of new cell therapies in oncology, Gary and his team are now exploring how to leverage our gene-edited cell therapy expertise into other therapeutic areas outside of oncology where we'll obtain full rights, including autoimmune diseases, a promising area where cell therapy research is just beginning.

Another key therapeutic area we are focused on involves combining our ZFP-TF gene regulation platform with novel AAVs engineered across the blood-brain barrier in order to deliver ZFP-TF broadly to CNS and regulate target gene expressions. Turning to Slide 31. We've initiated our C9ORF72 program for ALS with Pfizer.

In this program, we used ZFP-TF to distinguish the mutant allele from wild type and to selectively downregulate the expression of the mutant form of the gene.

Also, on our gene regulation work, we've been exploring the ability of ZFP-TFs to identify and downregulate expression of tau, an area that is increasingly receiving interest in the scientific, medical and pharmaceutical research community.

This year, we are continuing our preclinical work in this program testing the safety and tolerability, and also the efficiency and specificity of our ZFP-TFs in novel AAVs and nonhuman primates. We've completed the initial pilot studies in monkeys and the treatment was well tolerated.

The results of these in other follow-on nonhuman primate studies will read out later this year. In closing, I want to reiterate what a remarkable time this is for Sangamo research. The labs are buzzing with excitement and energy, as we see our work create value for the company and our collaborations and in programs entering the clinic.

I'll now turn the call back over to Sandy. .

Sandy Macrae

Thank you, Mike. These are indeed exciting times in the field of genome medicine and gene therapy, and especially, at Sangamo. We're thrilled to partner with Kite for oncology and believe this program will advance most quickly with the strong partners to reach the greatest number of patients.

That, we believe, is the right thing to do for patients and for shareholders. We are a unique company. We have a history that extends back more than two decades.

A history that includes many first in this field, the first to edit cells in vitro, the first to treat a patient with ex vivo-edited cells, the first to infuse a patient with an in vivo genome-editing treatment. We're very proud of this history, and also believe it's a firm foundation on to which to build the Sangamo of the future.

From our experience, we have a deep knowledge of our field and have developed a diversified platform with nearly limitless possibilities. It's such an exciting time in genomic medicine and a thrilling time to be at Sangamo. Thank you. Operator, we are now ready for questions..

Operator

Thank you. [Operator Instructions] And the first question will come from the line of Charles Duncan with Piper Jaffray. Your line is now open..

Charles Duncan

Thanks for taking my questions, and secondly, congratulations on a [indiscernible] transaction with Kite. So, question for you, Sandy or Curt.

I guess, this is almost a silly question, but can you provide us a little bit more color on the diligence process? And whether or not that deal with Kite was a competitive thing? Were they considering other technologies?.

Sandy Macrae

I'm delighted too. Because as you can imagine, over the past six months with Kite becoming part of the Gilead family, it's been a fascinating process, and truly, a competitive one.

Curt, do you want to get some color on that?.

Curt Herberts

Sure. Charles, it's a great question. So, I think as publicly stated by both Kite and Gilead and John and Norbert at Gilead, they scoured the field.

A lot of the data that our team has been working on and publicly presenting, including Gary Lee as well as Sumiti, really has been best-in-class in terms of trying to look at multiplex genome editing for target knockout as well as target insertion. So, we're very excited about the overall process. .

Sandy Macrae

And Gilead, as you know, has got a reputation for doing really important transactions and choosing carefully where they invest. So, it's like pleasing the Sangamo that they partnered with..

Charles Duncan

Yes. I imagine it's been a rigorous process. So, congrats to you on that transaction.

I guess, I'm wondering when would you anticipate the first opportunity to gauge progress on your selection of a candidate? Or what that might mean out of that collaboration?.

Curt Herberts

Yes. Great question, Charles, and we expected those. So, we're going to let Kite take the first shot of that. But what we can tell you is there are some specific programs that we're working on. .

Sandy Macrae

And we have been working on that will make this a very smooth start..

Charles Duncan

Okay, sounds good. We'll look to them to be able to provide some additional visibility. Quick question for Kathy.

When would you anticipate the Brisbane facility to be ready for visitors, or more importantly, you folks moving in and occupying it?.

Kathy Yi

End of 2018..

Curt Herberts

By the end of the year, we hope - we look forward to hosting you..

Kathy Yi

Yes..

Charles Duncan

Super. We'll raise our hands. And then finally, for Ed, I'm really intrigued with the idea of using technology in pediatric patients.

I'm wondering if you could provide a little bit more color on when that might be? And any additional information on your discussion with the European regulatory authorities that have encouraged you to move into those types of patients?.

Ed Conner

Yes. So, we've met with the EU authorities twice and they've both been very excited about the prospect of moving into pediatrics.

So, having filed the CTA for the Factor IX program, we expect to get sites up and running for that program, as well as for the MPS I, MPS II programs this year and expect to enroll adult and pediatric patients in those programs. .

Curt Herberts

In Europe. .

Ed Conner

Yes. .

Charles Duncan

Very good. Thanks for taking my questions. Congrats on that pretty interesting collaboration..

Sandy Macrae

Thanks Charles..

Operator

Thank you. And the next question will come from the line of Maury Raycroft with Jefferies. Your line is now open..

Sandy Macrae

Good morning Maury..

Maury Raycroft

Hi good morning Sandy and team and congrats on the update. Excellent news this morning.

To start, I'm wondering if you can provide any specifics on how the process for the selection of the 10 products will work? Will Sangamo and Gilead have an equal opinion in those decisions?.

Sandy Macrae

I don't think how to describe. That's a good question. And in fact, one has to be very clear and honest that it's Kite, Gilead, that will be driving forward in the choice of the products.

And part of the reason that we did this partnership was because we are - we want to work with a company that's in the oncology field, knows what oncologists and patients need and want. We bring a lot of technical experience to that and so can help them in the selection, but this will be driven by the Kite, Gilead..

Maury Raycroft

Got it. Thank you. And second, just to clarify, this is for CAR-Ts, TCRs and NK cell receptors. So, this leaves you with B-cells, dendritic cells and other immune cell types to edit.

I'm wondering if you can talk about the potential for those other immune cell types, particularly in autoimmune disease and maybe in other indications too? And I'm wondering if you'd still have the option to edit B-cells in oncology indications?.

Sandy Macrae

So, let me get two different answers or two similar answers, complementary answers for this.

Curt, can you talk about the deal terms? And Mike, can you talk about where this takes us? So, Curt?.

Curt Herberts

Sure. Absolutely. So, you're right. It's focused on - in terms of the cell types both T-cells as well as NK cells, and then you mentioned all the right target moieties, the CARs, the TCRs, and the NKRs. And that is all within the focus of oncology.

So outside of those cell types and outside of those targeting moieties, basically we have the freedom to operate there. Mike can talk about other cell types and other therapeutic areas of interest..

Michael Holmes

So happy to.

And sort of hopefully, I'm providing a complementary answer where - I think this leaves open where we can edit other hematopoietic cells and you certainly raised all the important ones that include T-cells and B-cells, as well as other types of blood cell types that you see for other non-oncology indications, such as autoimmune diseases and in infectious disease.

So, I think this really leaves open a variety of areas for us to move into. And certainly, we will be providing more details in further calls..

Sandy Macrae

And Maury, the way I thought about it or the teams thought about it when we constructed this deal is, we want to be absolutely clear that for T-cells and NK cells and oncology, our relationship is with Gilead and Kite and they will make this successful.

But because of our experience in HIV and our ex vivo editing capability, it opens up a whole universe of other cell types for other indications and allow Sangamo, both to partner and to drive something forward ourselves, which is the essence of who we are. .

Maury Raycroft

Great. That’s very helpful. Thank you very much and congrats again..

Sandy Macrae

Thanks Maury..

Operator

Thank you. [Operator Instructions] And the next question will come from the line of Gena Wang with Barclays. Your line is now open..

Sandy Macrae

Good morning, Gena..

Gena Wang

Hi, good morning. Thank you for taking my questions, and I also like to add my congrats as well, this is great news. Just maybe wanted to follow a little bit on the Kite collaboration.

Could you give us a little more color in terms of like the single-digit royalty? Would that we in the low single-digit range or mid- to high single-digit range?.

Curt Herberts

So, it's a great question. What we've disclosed in 8-K is escalating tier growth repayments that are not double digits, so it's on the single digit and that's extends between the two companies, so we can't say anymore..

Gena Wang

Okay, okay.

And also, within how many years does Kite have to choose all these 10 products?.

Curt Herberts

So, again, that - there is a specified research term under the collaboration, but I don't believe we've disclosed that in the 8-K. .

Sandy Macrae

But to be more humanely positive about this, we've already started to talk about what the targets are. We already have people at Sangamo, who are planning how to do this, and so this deal will happen - the consequence of this deal will happen very quickly.

And this is a field and we need to - both Sangamo and Kite, Gilead, need to get going on this promptly..

Gena Wang

Okay, I think that makes sense. And then regarding the ongoing clinical programs, just wondering for the hem A program, you already dosed the third patient.

Can you tell us which dose did the third patient receive?.

Michael Holmes

So, we're not disclosing the dose information at this time. We will be looking to release our efficacy and safety data at a conference mid-year in 2018..

Gena Wang

Okay.

Will we be able to see data from more than four patients for the hem A program, mid, you know, [indiscernible]?.

Michael Holmes

It will depend on the timing of enrollment. .

Gena Wang

Okay. And also, quick question regarding the MPS II.

So, the midyear update, will you also report some biomarker data such as GAG reduction?.

Michael Holmes

Yes. The data that we would expect to report would be the IDS activity levels in the serum as well as urine GAGs. .

Gena Wang

Okay, okay. And then lastly, very quick question regarding the cell therapy, allogeneic cell therapy multiplexed genome-editing data.

Just wanted to confirm the editing efficiency mentioned in the slides, are these biallelic editing?.

Curt Herberts

Mike, you want to comment on that?.

Michael Holmes

Yes. No. So certainly the frequencies that are recorded here are total amounts of - total number of alleles modified. But as you can see, that as you are approaching numbers that are getting close to 100%, it is starting to achieve a point where it's also reporting on the number of cells that are biallelically modified. .

Gena Wang

Okay. Thank you very much..

Operator

Thank you. And the next question will come from the line of Jim Birchenough with Wells Fargo. Your line is now open..

Sandy Macrae

Good morning, Jim..

Yanan Zhu

Hi. This is Yanan in for Jim. Thank you for taking the question and congratulations on the deal. So just first question is in terms of the targets for the gene editing for oncology purposes.

I think you have reported preclinical data on four targets from your preclinical studies, including CISH, TCR, beta-2M and in terms of the collaboration, I imagine there - more targets might be involved, like the TCR approach may involve TCR other than CAR-T construct. And also, the NKR program probably involves additional receptors.

Have you had any preclinical data working on those novel - on those targets thus far that you haven't reported?.

Sandy Macrae

So, thank you for your question. I think the best way to think about that is to step further back.

The reason we and Kite and Gilead chose this partnership rather than it being - mentioning specific targets is because we all believe that there is both - the targets are known now and targets that will be developed as this field evolves at such a rapid pace.

And so, although the first few targets may be ones that we've all heard of, they and we wanted the opportunity for us to evolve with the field to be able to choose new targets that are learned from the exploration of this very new field and for Sangamo to provide editing capabilities for them, no matter what happens, whether it was checkpoint inhibitor switches, if that's necessary, novel targets.

So, we are delighted to have a truly creative partnership rather than it being on target by target.

Curt, you would agree?.

Curt Herberts

I would agree. And the data that Sumiti and Gary have presented recently is spot on in terms of, kind of, leading the field..

Yanan Zhu

Got it. That's very helpful. And also, just curious, in terms of the ability to sort cells after the genome editing process - I was just curious what would that - capability is in terms of both positively sort cells and negatively sort out cells.

Just trying to get a sense because the genome editing efficiency is a key parameter, but also through sorting, I think, there's another level of enrichment that can be provided..

Sandy Macrae

Mike, can you take that..

Michael Holmes

No. Certainly, I'm happy to take this one. As we've talked about, in our recent presentations, the levels of editing are approaching 99% or higher. So, in some sense, we know we can achieve levels of editing that may not really require any type of sorting or purification after the fact.

And so, obviously, we are not at this point able to go into detail, but well I think that is a possibility, and certainly, the levels of editing that we're seeing right now, it wouldn't require much in the way of enrichment to really achieve a 100% of the population being edited..

Yanan Zhu

Got it.

And also, for that program, is the approach remaining to be mRNA delivery for a number of targets, and then combined with AAV delivery for the CAR-T construct, for example, a two-delivery approach?.

Michael Holmes

Right. So, I think, all the work that we've shown, has involved the use of ZFN mRNA delivery in the T-cells combined with AAV delivery of the donor. And that has certainly achieved best-in-class levels of genome editing. And certainly, we would see, for the foreseeable future, to keep with that type of delivery modality..

Yanan Zhu

I see. Last question. You mentioned potential areas in autoimmune diseases. I think that we've heard mainly something on Tregs, for example, that could be potentially an area for genome editing. Could you characterize the landscape for that field and the general progress that's being made in that field? Thank you..

Michael Holmes

Yes, I don't think I can probably, at this point in time, summarize the field with regards to Tregs and other cell types that people are using for autoimmunity. Tregs is certainly one. The field has also looked at cell types, such as mesenchymal stem cells as ways to use their natural properties to suppress the immune system.

And certainly, you can see that the field is really looking at the potential for genome editing to further enhance, and re-target these different cells to try and further reduce or suppress the activity of immune system to recognize self-antigens.

And so, this is something that we'll obviously be talking about more in subsequent calls, but this is based off of our expertise in oncology, as well as all the previous work in HIV.

We're certainly looking at how we can leverage what we built so far in building this best-in-class genome-editing technology to move into areas, such as autoimmune diseases. .

Sandy Macrae

And we've got - I'd like to say we've got a great team and Gary and Sumiti and the team, and we just need to apply them to the next big problem. So, exciting times. But thank you for your questions..

Yanan Zhu

Thanks..

Operator

Thank you. At this time, I would like to turn the conference back over to Mr. McDavid Stilwell, Vice President of Corporate Communications and Investor Relations, for further remarks..

McDavid Stilwell

Thank you, everybody, for joining us today. We look forward to further updates in the future. Goodbye..

Operator

Ladies and gentlemen, thank you for participating in today's conference. This does conclude your program. You may all disconnect. Everyone, have a great day..

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