EX-99.1 2 arna-ex991_17.htm EX-99.1 arna-ex991_17.pptx.htm

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March 19, 2017 Etrasimod Phase 2 in Ulcerative Colitis OASIS Clinical Trial Results Exhibit 99.1

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Forward-Looking Statements This presentation includes forward-looking statements that involve a number of risks and uncertainties, including statements about our investigative stage drug candidate etrasimod, including its potential to become best-in-class, profile, and phase 3 program and other development planning; our pipeline of drug candidates; expected data readouts and initiation of new clinical trials; our focus, goals, strategy, plans, timelines and guidance; and other statements that are not historical facts, including statements that may include words such as “paves way for,” “support,” “potential,” “expected,” “planning,” “may,” “will,” “can,” “intend,” “believe” or other similar words. For such statements, we claim the protection of the Private Securities Litigation Reform Act of 1995. Actual events or results may differ materially from expectations, and you are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the time they were made. Factors that could cause actual results to differ materially from such statements include, without limitation: topline data may not accurately reflect the complete results of a particular study or trial; results of clinical trials and other studies are subject to different interpretations and may not be predictive of future results; clinical and nonclinical data is voluminous and detailed, and regulatory agencies may interpret or weigh the importance of data differently and reach different conclusions than Arena or others, request additional information, have additional recommendations or change their guidance or requirements; the timing and outcome of research, development and regulatory review is uncertain; we expect to need additional funds to advance all of our programs, and you and others may not agree with the manner in which we allocate our resources; our drug candidates may not advance in development or be approved for marketing; risks related to developing, seeking regulatory approval and commercializing drugs; unexpected or unfavorable new data; Arena's and third parties' intellectual property rights; clinical trials and other studies may not proceed at the time or in the manner expected or at all; data and information related to our programs may not meet regulatory requirements or otherwise be sufficient for further development, regulatory review, partnering or approval; competition; risks related to commercializing drugs, including regulatory, manufacturing, supply and marketing issues and their availability and use; reimbursement and pricing decisions; risks related to relying on partners and other third parties; and satisfactory resolution of litigation or other disagreements. Additional factors that could cause actual results to differ materially from those stated or implied by our forward-looking statements are disclosed in our filings with the Securities and Exchange Commission (SEC), including under the heading “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2017, filed with the SEC on March 14, 2018. We disclaim any intent or obligation to update these forward-looking statements, other than as may be required under applicable law.

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March 19, 2017 Etrasimod Phase 2 in Ulcerative Colitis OASIS Clinical Trial Results

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Etrasimod Phase 2 Trial in Ulcerative Colitis (OASIS) Week 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Randomized, double-blind, placebo-controlled, parallel-group, dose-ranging study 12-Week Induction Phase Exit/Transition to Extension Study 12-Week Treatment Period 1 mg q.d. etrasimod 2 mg q.d. etrasimod Placebo Transition Directly into 36-Week Extension Study (APD334-005) 120 to 160 Patients Randomized 1:1:1 Week 14 Follow-up Safety Visit Exit/End of Study ~28-Day Screening Period Follow-up Key Measurements: Endoscopy & Physician’s Global Assessment performed during screening and at week 12 Stool Frequency and Rectal Bleeding PROs collected daily using electronic patient diaries

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Endpoints Reported Today Primary Endpoint: Change in 3-component Mayo Clinic Score (score ranging from 0 to 9; stool frequency, rectal bleeding, and findings on endoscopy) at Week 12 Secondary Endpoints: Proportion of patients who achieve endoscopic improvement at Week 12 Change in 2-component Mayo Clinic Score (score ranging from 0 to 6; rectal bleeding, and findings on endoscopy) at Week 12 Change in Total Mayo Clinic Score (score ranging from 0 to 12; stool frequency, rectal bleeding, findings on endoscopy, and physician’s global assessment) at Week 12 Exploratory Endpoints: Change from baseline in lymphocyte counts at Weeks 1, 2, 4, 8, and 12 Proportion of patients achieving clinical remission at Week 12

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Statistical Analysis Plan ANCOVA* model used to estimate changes in Mayo Clinic Score Mantel-Haenszel method** used to estimate proportion difference for dichotomous parameters Missing individual Mayo Clinic subscores impacting efficacy measures were imputed using multiple imputation methodology Observed case analysis for sensitivity Statistical testing pre-specified as one-sided p < 0.025 reflects conventional statistical significance Hierarchical closed testing procedure for Primary and Secondary endpoints at 0.05 alpha level * Model estimated treatment difference by adjusting current oral corticosteroid use, prior exposure to TNF-alpha antagonists, and baseline value. ** Method estimated treatment difference by adjusting current oral corticosteroid use, prior exposure to TNF-alpha antagonists.

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Patient Disposition Placebo Etrasimod 1 mg Etrasimod 2 mg Received Study Treatment, N 54 52 50 Completed Study, n (%) 48 (88.9) 47 (90.4) 46 (92.0) Early Discontinuation, n (%) 6 (11.1) 5 (9.6) 4 (8.0)

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Baseline Characteristics Placebo (N=54) Etrasimod 1 mg (N=52) Etrasimod 2 mg (N=50) Mean Age, Years 44.8 43.2 40.4 Sex, n (%) Male 32 (59.3) 30 (57.7) 27 (54.0) Female 22 (40.7) 22 (42.3) 23 (46.0) Race, n (%) White 51 (94.4) 48 (92.3) 49 (98.0) Non-White 3 (5.6) 4 (7.7) 1 (2.0) Mean Weight, kg 75.76 73.68 70.37 Duration of UC, years (mean ± SD) 8.6 ± 7.16 7.0 ± 6.11 6.2 ± 4.69 Mean Total Mayo Clinic Score 8.7 8.8 8.9 Mean 3-Component Mayo Clinic Score (rectal bleeding, stool frequency, endoscopy) 6.5 6.5 6.6 Concomitant Oral Corticosteroids Use, n (%) 16 (29.6) 13 (25.0) 18 (36.0) Previous Medication Use, n (%) Aminosalicylate 53 (98.1) 49 (94.2) 46 (92.0) TNF antagonist 18 (33.3) 15 (28.8) 17 (34.0) Integrin antagonist 12 (22.2) 4 (7.7) 7 (14.0) Immunosuppressive agent 33 (61.1) 17 (32.7) 26 (52.0)

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Overall Safety & Tolerability Placebo (N=54) Etrasimod 1 mg (N=52) Etrasimod 2 mg (N=50) Number (%) of Patients with any TEAE 27 (50.0) 31 (59.6) 28 (56.0) Number (%) of Patients with TEAE Leading to Discontinuation of Study Drug 0 3 (5.8) 4 (8.0) Number (%) of Patients with Serious TEAE 6 (11.1) 3 (5.8) 0 Number (%) of Deaths of Any Reason 0 0 0 Etrasimod was generally safe and well tolerated Adverse events were predominantly mild to moderate There were no serious adverse events (SAEs) at the 2 mg dose

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Cardiac Safety Summary Impact on HR and AV conduction was low throughout the study with no discontinuations related to bradycardia or AV block No SAEs related to HR changes or AV block were recorded Hourly ECGs on Day 1 demonstrated no mean changes in HR ≥ 10 bpm in either etrasimod group at any timepoint ECGs at subsequent visits demonstrated no mean changes in HR ≥ 6 bpm in either etrasimod group through 12 weeks 1 patient developed asymptomatic transient 1st degree AV block on day 1 at hour 2 which resolved at hour 3 1 patient developed asymptomatic transient 2nd degree AV Block type 1 on day 1 at hour 2, associated with bradycardia, which resolved at hour 8 AE = Adverse Event; AV = Atrioventricular; bpm = Beats per Minute; ECG = Electrocardiogram; HR = Heart Rate; SAE = Serious Adverse Event

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Adverse Events of Special Interest No increases in liver function tests compared to placebo No reports of macular edema No reports of abnormal pulmonary function tests

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Primary Endpoint: 3-Component Mayo Clinic Score Change on 9-Point Scale Including Rectal Bleeding, Stool Frequency, Endoscopy LS=least square; Δ LS mean difference from placebo. LS mean was estimated using an ANCOVA model that includes current oral corticosteroid therapy at baseline and previous exposure to TNFα antagonists, baseline measure, and treatment group. Δ = -0.43 (p = 0.146) Δ = -0.99 (p = 0.009)

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Secondary Endpoint: Endoscopic Improvement Proportion of Patients with Mayo Clinic Subscore of 0 or 1 points Δ=% difference from placebo estimated using Mantel-Haenszel method adjusted with current oral corticosteroid use and prior exposure to TNFα antagonists. Δ = 4.1% (p = 0.306) Δ = 24.4% (p = 0.003)

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Secondary Endpoints: 2-Component Mayo Clinic Score & Total Mayo Clinic Score 2-Component Mayo Clinic Score: Change on 6-point Scale (Rectal Bleeding, Endoscopy). Total Mayo Clinic Score: Change on 12-point scale (Rectal Bleeding, Stool Frequency, Endoscopy, PGA). LS=least square; Δ LS mean difference from placebo. LS mean was estimated using an ANCOVA model that includes current oral corticosteroid therapy at baseline and previous exposure to TNFα antagonists, baseline measure, and treatment group. Δ = -0.60 (p = 0.128) Δ = -1.27 (p = 0.010) Δ = -0.39 (p = 0.086) Δ = -0.84 (p = 0.002)

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Lymphocyte Reduction Mixed effects model with current oral corticosteroid use, previous exposure to TNFa antagonists, treatment, week and treatment-by-week interaction, as factors and baseline value as covariate. All values p < 0.001

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Clinical Remission (3-Component) Proportion of Patients with Endoscopy, Rectal Bleeding and Stool Frequency Mayo Clinic Subscore of ≤ 1 point and Stool Frequency Improvement of ≥ 1 point Δ=% difference from placebo estimated using Mantel-Haenszel method adjusted with current oral corticosteroid use and prior exposure to TNFα antagonists. Δ = 7.1% (p = 0.136) Δ = 25.8% (p < 0.001)

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Clinical Remission (Total MCS) Proportion of Patients with Total Mayo Clinic Score ≤ 2 points and No Subscore > 1 point MCS = Mayo Clinic Score Post-hoc analysis. Δ=% difference from placebo estimated using Mantel-Haenszel method adjusted with current oral corticosteroid use and prior exposure to TNFα antagonists. Δ = 8.7% (p = 0.077) Δ = 18.7% (p = 0.004)

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Endoscopic Improvement in UC Studies of S1P Modulators Proportion of Patients with Mayo Clinic Subscore of 0 or 1 points Etrasimod: Δ=% difference from placebo estimated using Mantel-Haenszel method adjusted with current oral corticosteroid use and prior exposure to TNFα antagonists. Ozanimod: Sandborn, et al. NEJM 2016 Δ = 24% (p = 0.003) Δ = 22% (p = 0.002) Δ = 21% (p = 0.005) Pbo N=65 Pbo N=54 1mg N=67 2mg N=50 Pbo N=65 1mg N=67 Note: No direct head-to-head data available - Caution advised when comparing data across clinical studies

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Endoscopic Improvement in UC Studies Proportion of Patients with Mayo Clinic Subscore of 0 or 1 points Etrasimod: Δ=% difference from placebo estimated using Mantel-Haenszel method adjusted with current oral corticosteroid use, prior exposure to TNFα antagonists. Sources: Ozanimod: Sandborn, et al. NEJM 2016; Xeljanz: Sandborn, et al. NEJM 2012. Sandborn, et al. NEJM 2017; Entyvio: Feagan, et al. NEJM 2013; Humira: Sandborn, et al. Gastroenterology 2012; Remicade: Rutgeerts, et al. NEJM 2005 Δ = 22.0% Δ = 16.8% Δ = 16.1% Δ = 28.1% Δ = 24.4% Δ = 7.9% Pbo N=65 Pbo N=112 Pbo N=149 Pbo N=121 Pbo N=246 Pbo N=54 1mg N=67 10mg N=429 300mg N=225 5mg/kg N=121 160/ 80mg N=248 2mg N=50 Note: No direct head-to-head data available - Caution advised when comparing data across clinical studies

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Clinical Remission (Total MCS) in UC Studies of S1P Modulators Proportion of Patients with Total Mayo Clinic Score ≤ 2 points and No Subscore > 1 point Total MCS = Mayo Clinic Score Etrasimod: Post-hoc analysis. Δ=% difference from placebo estimated using Mantel-Haenszel method adjusted with current oral corticosteroid use and prior exposure to TNFα antagonists. Ozanimod: Sandborn, et al. NEJM 2016 Δ = 18.7% (p = 0.004) Δ = 10.3% (p = 0.048) Δ = 14.7% (p = 0.01) Pbo N=65 Pbo N=54 1mg N=67 2mg N=50 Pbo N=65 1mg N=67 Note: No direct head-to-head data available - Caution advised when comparing data across clinical studies

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Clinical Remission (Total Mayo Clinic Score) in UC Studies Proportion of Patients with Total Mayo Clinic Score ≤ 2 points and No Subscore > 1 point Etrasimod: Post-hoc analysis. Δ=% difference from placebo estimated using Mantel-Haenszel method adjusted with current oral corticosteroid use and prior exposure to TNFα antagonists. Sources: Ozanimod: Sandborn, et al. NEJM 2016; Xeljanz: Sandborn, et al. NEJM 2017; Entyvio: Feagan, et al. NEJM 2013; Humira: Sandborn, et al. Gastroenterology 2012; Remicade: Rutgeerts, et al. NEJM 2005 Δ = 10.3% Δ = 10.3% Δ = 11.5% Δ = 7.2% Δ = 23.9% Pbo N=65 Pbo N=112 Pbo N=149 Pbo N=121 Pbo N=246 Pbo N=54 1mg N=67 10mg N=429 300mg N=225 5mg/kg N=121 160/ 80mg N=248 2mg N=50 Δ = 18.7% Note: No direct head-to-head data available - Caution advised when comparing data across clinical studies

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Etrasimod 2 mg Demonstrated Statistically Significant Improvements in Multiple Clinical Endpoints MCS = Mayo Clinic Score. Placebo adjusted mean changes from baseline in endpoints. Statistical testing for each clinical endpoint utilized single sided testing, with significance set at p < 0.025. Endoscopic Improvement 57% (p < 0.001) 24.4% (p = 0.003) 0.99 (p = 0.009) 25.8% (p < 0.001) Lymphocyte Reduction Reduction in 3-Component MCS Clinical Remission (3-Component MCS)

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Etrasimod Phase 2 Results Reflect a Strong Development Program and Paves Way for Phase 3 We believe etrasimod has: Best S1P receptor selectivity and pharmacodynamics in the class Phase 2 data supporting best-in-class potential Clinical utility across multiple immune and inflammatory conditions Favorable efficacy results Statistical significance met for primary and all secondary endpoints Significant improvement in clinical remission at 12 weeks 25.8% placebo-adjusted remission (3-component Mayo Clinic Score) 18.7% placebo-adjusted remission (Total Mayo Clinic Score) Safety and tolerability profile as expected with no surprises No Serious Adverse Events seen at clinically efficacious dose of 2 mg First-dose heart rate and AV conduction impact is low, further supports no titration No increase in LFTs compared to placebo No reports of macular edema or PFT abnormalities Phase 3 planning for IBD underway Phase 2 work in other indications ongoing