Morgan Stanley
Morgan Stanley
February 29, 2016
Editas Medicine
Starting A Gene Editing Revolution
Industry View Stock Rating
In-Line Equal-weight Price Target
$28.00
We initiate at EW with a $28 PT; Despite our LT optimism for the
promise of gene editing, two near-term headwinds are likely to keep
EDIT range bound - IP uncertainty and a lack of clinical catalysts until
2017. Over the long term, however, we see Editas as the premier
gene editing company.
We initiate at EW with a $28 PT: Editas is using a new technology called
CRISPR/Cas9 to edit (replace/remove) bad genes with good genes and achieve
a therapeutic benefit in patients with genetic diseases. This approach differs
from the more commonly known gene therapy in that it can accurately remove
and replace genes instead of inserting a new gene sequence without specificity
as happens in gene therapy. Thus, the potential of CRISPR is broad with
-6,000 genetic diseases of which less than 5% have treatments. At odds with
our positive long-term view of Editas and CRISPR technology are two
headwinds which we see as keeping EDIT in check: (1) Over the course of the
next 1-2 years Editas and its academic parters are going to engage in a
substantive IP battle over CRISPR technology versus other companies, namely,
Intellia and Crispr Therapeutics, which is likely to limit stock appreciation; and
(2) initial clinical data is unlikely to be available until late 2017 at the earliest,
limiting any significant derisking events for the platform.
CRISPR is a compelling technology and we see Editas as best positioned
to realize its potential: We have high hopes that the potential for CRISPR
can be translated into clinical benefit across a wide variety of diseases. Key to
our optimism is that CRISPR has been used in many labs across many
academic institutions with strickingly similar outcomes, suggesting that many
of the key technical hurdles in small systems are understood. We believe Editas
has a strong analytic process dedicated to addressing each of the main
components of development. Thus, we ultimately see Editas as being
successful in delivering therapeutic candidates. Importantly, for the lead clinical
program in Leber's disease, we see it as the right first target given that it is
relatively easier to deliver therapy to the photoreceptors, and the closed
system of the eye limits potential safety risks.
IP a key area of debate over the next 1-2 years: Editas, along with its
academic partners from whom it licensed its foundational IP, is currently
engaged in a interference proceeding to determine which claims, if any, from
its IP can stand versus the competing party (University of California and its
licensees). This proceeding is likely to play out over the course of the next 1-2
years. While we expect the outcome is likely to be one which requires both
sides to share IP, there are tail scenarios which could lead Editas to have no
freedom to operate. Editas Medicine] February 29. 2016
MORGAN STANLEY RESEARCH
MORGAN STANLEY & CO. LLC
Matthew Harrison
'1212 761-8055
David N Lebowitz, MPH. CFA
'1212 761-0324
Cyrus Amoozegar, M.D., Ph.D.
.1212 761-6009
Editas Medicine ( EDIT.O, EDIT US )
Biotechnology / United States of America
Stock Rating
Industry View Equal-weight
In-Line
Price target $28.00
Shr price, close (Feb 26, 2016) 527.49
Mkt cap, curr (mm) 5133
52-Week Range $2940.12,57
Fiscal Year Ending 12/14 12/15e 12/16e 12/17e
ModeiWare EPS (S) (4.79) (233) (1.16) (L81)
Prior ModelWare EPS
(1)
P/E NM NM NM NM
Consensus EPS ($)1
Div yld (%)
Unkst oihemiie noted, all metrics am based on Mogan sanity mocloWaie frarnenork
- ContanT.os data ,s pronle:l by Thomson Rauuns E clm ems
a - Montan Staab, R{,{.I0.4 mimamt
QUARTERLY MODELWARE EPS (S)
Quarter 2015e
2014 Prior 2015e 2016e
Current Prior 2016e
Current
Q1 (1.00) (0.70)a (0.21)
Q2 (1.00) (0.68)a (0.24)
Q3 (1.36) (0.69)a (0.29)
Q4 (1.89) (0.26) (0.41)
• Macron Sun by Research estmaiet a • ActualCompany /opened data
Morgan Stanley does and seeks to do business with
companies covered in Morgan Stanley Research. As a result
investors should be aware that the firm may have a conflict
of interest that could affect the objectivity of Morgan
Stanley Research. Investors should consider Morgan
Stanley Research as only a single factor in making their
investment decision.
For analyst certification and other important disclosures,
refer to the Disclosure Section, located at the end of this
report.
EFTA01100261
Morgan Stanley Editas Medicine] February 29. 2016
MORGAN STANLEY RESEARCH
Lack of near-term clinical data and IP dispute likely to keep EDIT range
bound: Despite our positive view of CRISPR, we see the lack of near-term
derisking clinical data as limiting potential upside to EDIT in the near-term.
Further, while we expect the outcome of the IP dispute to be some sort of cross
licensing agreement similar to what we have seen with antibodies, the tail
scenarios present sizable risk and thus are likely to also limit upside.
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Morgan Stanley Editas Medicine I February 29. 2016
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Risk Reward
Demonstration of safe administration in humans, IP resolution, and LCA10 success drive risk/reward
BO
70
00 $7200(.210%1
50
40
30
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Source: Thomson Reuters. Morgan Stanley Research
Price Target $28
Bull
DCF
Base
DCF • Oen Ste Pis
Our PT is derived from a DCF that uses a 15% discount rate and a
0% terminal growth rate beyond 2032E.
$72 Editas is able to develop and commercialize therapies that
receive widespread uptake. The LCA10 therapy launches in the
US and EU in 2024E, treats and cures —80-90% of the addressable
LCA10 population, commands premium pricing and generates
peak sales of -4130M in both the US (2026E) and EU (2027E).
Editas is also able to realize -568, in sales by 2032E from additional
therapies in CAR-T applications, non-malignant hematology, DMD,
and CF.
$28 The LCA10 therapy proves successful, but additional
therapies obtain modest success. The LCA10 therapy launches
in 2024E in the US and EU. and treats and cures —70-80% of the
addressable LCA10 population to generate -585M in peak sales in
both the US and EU (2028E). While Editas is able to develop
successful therapies for CAR-T, hematology, DMD, and CF, it
achieves lower market share for total additional annual re✓enues of
-438 by 2032E.
Bear $5
DCF (Cash/share) Pipeline programs fail. Editas is not able to commercialize any
therapies. and the resulting valuation is cash / share. Investment Thesis
■ We are Equal-weight Editas Medicine. The CRISPR
gene editing platform has been derisked from an
operational standpoint, and can be geared towards
numerous disease targets. Howe✓er, the delivery
and long-term safety of administering dinically
relevant doses in humans needs to be proven.
■ Editas has a systemic, modular approach that may
allow for differentiation over competitors
■ The first disease being targeted (LCA10, an
inherited retinal dystrophy) lowers the initial risk of
proving that gene editing can work in humans, as
the eye is immune privileged and provides a small,
contained area in which sufficient quantities of
vector can be delivered safely
■ Overall, we see significant long-term potential for
Editas, but remain equal-weight while initial
therapies are derisked in the dinic and the IP battle
plays out over the next 1-2 years.
Key Value Drivers
■ Resolution to IP interference proceedings
■ Progressing the LCA10 program into the dinic
■ Advancing current discovery stage programs into
the clinic such as for hematologic diseases and
genetic diseases of the lung & liver
Potential Catalysts
■ Initiation of Phi LCA10 trial in 2017
■ Interference proceedings in 2016/2017
■ Entering additional therapies into the clink in
2017/2018
Risks to Achieving Price Target
■ IP outcome that limits Editas' freedom to operate
■ Development risk associated with early nature of
pipeline, and the timeline is long to initial data (first
data in humans is expected from the LCA10 Phi
study in 2017)
■ Competitors that could influence investor
perception of the stock
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Morgan Stanley Editas Medicine I February 29. 2016
MORGAN STANLEY RESEARCH
Investment Case
Summary & Conclusions
We are initiating coverage of Editas with a 528 PT and an Equal-weight rating. Our rating is based on
two near-term factors at odds with our longer term view of CRISPR as a platform: (1) Over the course of the
next 1-2 years Editas and its academic parters are going to engage in a substantive IP battle over CRISPR
technology versus other companies, namely, Intellia and Crispr Therapeutics which is likely to limit stock
appreciation; and (2) initial clinical data is unlikely to be available until late 2017 at the earliest, limiting any
significant derisking events for the platform. Thus, while we continue to view CRISPR as one of the more
compelling next-generation technologies to address a wide variety of disease targets, we think the stock is likely
to remain range bound ahead of clarity on both IP and clinical activity.
Note: The authors of this material are not acting in the capacity of attorneys, nor do they hold themselves out as
such. This material is not intended as either a legal opinion or legal advice. The information provided herein
does not provide all possible outcomes or the probabilities of any outcomes. The result of any legal dispute or
controversy is dependent on a variety of factors, including but not limited to, the parties' historical relationship,
lows pertaining to the case, relative litigation talent trial location, jury composition, and judge composition.
Investors should contact their legal advisor about any issue of law relating to the subject matter of this material.
Key Investment Points
1. CRISPR is a compelling technology and we believe Editas is best suited to translate the technology
into therapeutic benefit - We are positive about the potential for CRISPR to be translated into clinical benefit
across a wide variety of diseases. Key to our optimism is that CRISPR has been used in many labs across many
academic institutions with similar outcomes, suggesting that many of the key technical hurdles in small systems
are understood. That said, there are still many key risks and challenges that need to be overcome including
identifying efficient edits for each target, appropriate delivery to the tissue, expanding the platform's
applicability across a range of different types and kinds of gene edits and various other engineering challenges.
However, we believe Editas has a strong analytic process dedicated to addressing each of the main components
of development. Thus, we ultimately see Editas as being successful in delivering therapeutic candidates.
2. IP battle will remain an overhang, but we continue to see cross licensing as the most probable
outcome - The P in the CRISPR space is complicated, varied and nuanced. Thus, it is not surprising that various
academic institutions believe they each have foundational P. Early in January 2016, foundational patents which
Editas has licensed from Harvard, the Broad Institute and MIT were named in a patent interference proceeding
with the University of California, University of Vienna, and Emanuel Charpentier. These patents are held by
Caribou Biosciences and licensed to Intellia. Crispr Therapeutics also has rights to the same IP as Intellia though
the second scientific founder, Dr. Doudna. The debate between the parties, which we discuss further in this
report, is whether the initial discovery of CRISPR in prokaryotic cells is easily translated into mammalian cells
(Broad was first to discover in the latter category while UoC in the former). Given the complexity of the P — 11
patents are named in the interference —we believe a plausible outcome is one where certain claims in Editas IP
are narrowed (right now Editas is the only company with granted IP) and certain claims in the Caribou P are
granted, but overall both parties would need rights to the other party, similar to the situation which developed
from the foundational antibody IP. We assume modest royalties which generally cancel each other out.
Nonetheless, the uncertainty created by this situation — including the fact that one outcome could be that Editas
would have no freedom to operate if all its IP was overturned — is likely to keep EDIT range bound as the
interference proceeds.
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Morgan Stanley Editas Medicine] February 29. 2016
MORGAN STANLEY RESEARCH
Exhibit 1: Indicative Timeline for IP Interference Proceedings
12 months -C14 days
4-6 weeks
6 weeks
3 weeks
6 weeks
6 weeks
3 months
3 months Declaration of Interference
Initial Papers
Motions Lists I Call with APJ
TP1 Motions
TP2 Responsive Motions
TP3 Oppositions
TP4 Replies
Oral Argument
Decisions on Motions Cross-Examination
Cross-Examination
Period for Observations
Motion to Exclude,
Records
Source. Company Dili Morgan Stank] ROttilth
3. Clinical data is the key upside driver, but is not due until late 2017 at the earliest- Editas and its
CRISPR platform has the ability to target a wide variety of diseases with over 6,000 diseases caused by a genetic
mutation and 95% having no approved therapy. Key targets include muscular dystrophy, cystic fibrosis, various
malignant and non-malignant hematologic diseases and other liver direct targets. Thus, the universe of available
diseases is large; however, all of these programs are currently in preclinical development and unlikely to move
into the clinic in the near-term. The most advanced program is for a eye disease called Leber congenital
amaurosis (LCA), which impacts a patient's retina and leads to blindness. This program is likely to enter clinical
testing in 2017. Importantly, we view this as an appropriate target for an initial clinical program. Based on the
literature -10-20% of the photoreceptors in the eye need to be edited to produce a therapeutic response (i.e.,
maintenance of some vision) and since the eye is a closed body, both delivery is likely achievable and off target
toxicity is likely to be limited. Thus, we see the overall risk to be more modest with the LCA10 program. Despite
our positive view of this program, the timeline is likely to limit stock appreciation given clinical data is unlikely
until late 2017.
4.Business development has the potential to be a near-term upside driver - Editas has already completed
one licensing deal with Juno in the CAR-T space. While we think that partnership can drive value for both
companies, the timelines are not near-term. Further, we have seen other companies like Crispr Therapeutics
strike partnership deals with Vertex and Bayer. Thus, there is clearly interest in CRISPR therapies by larger
companies. Unlike Crispr Therapeutics, we believe Editas' management strategy is better suited to preserving
shareholder value and would expect management to target deals where the assets are well defined (i.e., no
open-ended target deals) and either the time to market or the basic knowledge in the therapeutic category (i.e.,
neurology) could be accelerated by the larger party. Thus, we do expect business development and expect it to
be positive for EDIT, but the timing is hard to predict
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Morgan Stanley Editas Medicine I February 29,2016
MORGAN STANLEY RESEARCH
Exhibit 2: Correction of mRNA Expression in
Cells from LCA10 Patients
0 • Normal MMutant
Conti'01
Source:Company DaIs Guide Pair 1 Guide PaIr2
Exhibit 4: Recent Gene Editing Deals
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Introor Exhibit 3: Editas Pipeline
Program Target Gene Star
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Source: Company Data. Morgan Stanley Research
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S.Given the early stage of development Editas is tough to value, but we think a unique approach is
warranted - We value Editas using a two pronged approach. As is typical, we value the defined clinical
programs - in this case LCA10 - and assign a value. However, separately, we also try to value the potential
upside associated with the platform. Here our approach is unique as we take our revenue models for DMD,
Cystic Fibrosis, CAR-T and non-malignant hematology and assume Editas could penetrate that market starting
in 2025 and reach peak share of 30% of that market by 2030. We than assume a 10% probability of success as a
way to gauge the potential of the platform across a wide variety of targets and diseases.
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Morgan Stanley Editas Medicine I February 29. 2016
MORGAN STANLEY RESEARCH
Exhibit 5: Bear to Bull Case Bridge for Editas Valuation
Oral
Sou r<* Ngorgan Stanley Reseagch
Key Upcoming Catalysts 2$
Hale arse A.:39 LCAIG
72
Ilu
The key upcoming catalysts for Editas include updates to the interference proceeding, updated preclinical data at
the ASGCT conference in May and an IND filing on its first clinical candidate for LCA10. Obviously, general
developments in the CRISPR space are likely to occur as well and could have an impact on Editas.
Exhibit 6: Editas Catalyst Calendar
Milestones Timing
Updated preclinical data at ASGCT 2016 May 4-7, 2016
Potential new business development 2016
Potential interference proceedings and updates 2016/2017
Initiation of Phase I LCA10 study 2017
Additional therapies enter the clinic 2017/2018
End of Juno collaboration 2020
ou roe: Company Data. Morgan mangey lirnatth
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Morgan Stanley Editas Medicine I February 29, 2016
MORGAN STANLEY RESEARCH
Valuation
Exhibit 7: DCF drives valuation
ac Oct NO, 0.0 ae 001, On0 a.m 'on on nu ion inn ion isn
a an out aon aro ant an (% on ma on n. M, to pn Sill II"
Source: Company Data, Morgan Stanley Research
Sum of Discounted CF ($3.4) $1,009
Net Cash $203
Equity Value $1,213
Equity Value Per Share $28
Discount Rate 15%
Terminal Growth Rate 0%
Time of Valuation 2016
Shares Outstanding (millions) 43
Our S28 price target includes -43.38 in peak (2032E) global revenue. We derive our price target from a
discounted cash flows (DCF) analysis that uses a WACC of 15.0% and a terminal growth rate of 0%.
Valuation Methodology: We prefer the use of a DCF analysis to value biotechnology companies. Given the
defined patent life for each product, we believe a DCF fully captures both the upfront investment period as well
as the long-term earnings power. While investors do look at biotechnology on a multiples basis (PIE), we prefer
a DCF as it is more rigorous and requires more explicit assumptions about the long-term prospects of a
company.
Discount Rate: We use a 10% discount rate for all commercial companies, a 12.5% rate for companies with
randomized Phil data and a 15% rate for all development stage companies. Given the stage of development we
use a 15.0% discount rate for EDIT.
Terminal Growth Rate: We model explicit revenues through 2032E with a 0% terminal growth rate
Revenue: We model 5-25% penetration of the LCA10 market in the US and 3-17% in the EU starting in 2024.
We assume $1M pricing in the US, increasing 1.5% annually. We assume a $900k price in the EU, increasing 1%
annually. For other products we assume a blend of revenues from CAR-T, non-malignant hematology, DMD, and
CF with the company capturing a small fraction of sales and having a 10% probability of success. Total
estimated peak sales (2032) are -$3.38.
Economics: Editas maintains worldwide commercial rights to many of its product candidates, except for their
CAR-T program. We expect the company to retain global rights and launch their products themselves.
COGS: We model COGS as a continuous 17%.
Operating Expenses: We assume R&D of $25M in 2016E growing to -$80M in 2021E and -5250M in 2032E.
R&D growth is expected to be aggressive in the next few years to account for the simultaneous development of
several products. We assume SG&A of -$25M in 2016E, growing to -556M in 2021E and -$210M by 2032E,
assuming product launches starting in 2024E.
Key Risks To Our Price Target Include: (1) Lack of freedom to operate driven by losses int he interference
proceeding around CRIS PR IP; (2) Inability to deliver CRSIPR candidates to the correct tissue or inability to
achieve high editing efficiency; (3) Lack of efficacy with initial clinical data or unknown safety.
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Morgan Stanley Editas Medicine] February 29. 2016
MORGAN STANLEY RESEARCH
Debate 1- What is CRISPR/Cas9?
Overview: CRISPR is a new technology that may not be familiar to many investors. While the new wave
of genetherapy companies - where a gene sequence is inserted into a viral carrier (typically lenti or AAV)
and then incorporated into the body's genes - has educated investors on that technique, many have
heard about CRISPR, but do not know all of the details. CRISPR is a protein-RNA complex where guide
RNAs locate a specific gene sequence and then allow cas9 nucleases to "edit" that sequence. It is a
precise way to edit a specific gene sequence, potentially curing the patient of the disease caused by the
genetic defect. Significant academic success has been made with the CRISPR/Cas9 system, though all the
work has been completed in animal models. The first in-human testing is to be completed by Editas and
its competing commercial entities.
Street's take: Overall, we believe consensus recognizes that CRISPR is a significant new technology that
could have a large impact on the treatment of genetic diseases. We believe most investors understand
the significant potential of CRISPR and the debate centers around how effectively it can be implemented,
if the technology is ready to be used in humans and if it is derisked enough yet for an equity investment
As is to be expected, some investors see near-term potential while others would prefer to wait for greater
clinical experience.
Our take: We believe CRISPR is likely to play a major role in gene repair and modification long-term.
While we are not entirely sure how long and what the path to clear therapeutic effect will involve, we do
believe CRISPR as a technology is proven from a technical perspective and now needs to be translated
into humans. Thus, we see great promise in the platform and believe CRISPR has the best chance to
create durable, functional cures of many genetic diseases.
Gene therapy vs Gene editing?
Gene therapy differs from gene editing in both the approach and the possible results seen. Gene therapy
generally involves the addition of a new gene to a genome. These new genes can be to replace a defective gene
or to add a new gene. The original genes remain intact. Gene editing involves changing the genome, which can
involve the addition, deletion, or substitution of components of the genome. CRISPR/Cas9 is not a genetherapy
and is a gene editing platform.
What is CRISPR/Cas9?
CRISPR/Cas9 is a novel method of genetic engineering that uses guide RNA to edit DNA by allowing the
enzyme Cas9 to cut and insert the desired genome sequences.
The CRISPR/Cas system is formed from CRISPR arrays and CAS genes. CRISPR arrays are clustered, regularly
interspaced short palindromic repeats found in certain prokaryotic genomes. CRISPR arrays involve sections of
repeated base pair sequence separated by non-repeating spacer sequences. Both the repeated sequences and
the spaces come in a large number of variations. Many CRISPR-genes also contain domains associated with
DNA manipulation and many of the spacer sequences contained plasm id or phage-derived DNA.
CAS, or CRISPR-associated genes, are almost always found adjacent to the repeat arrays. CAS genes come in a
variety of subtypes. The CAS9 subtype gene encodes the RNA-guided endonuclease Cas9 which can cleave
double stranded DNA. CRISPR RNA (crRNAs) guides with Cas9 proteins and can lead to cleavage of specific sites
on DNA and the introduction of templates for gene insertion, as demonstrated in the illustration below.
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Morgan Stanley Editas Medicine] February 29. 2016
MORGAN STANLEY RESEARCH
Exhibit 8: Illustration of Gene
Editing Using CRISPR/Cas9
DNA target
Cas9 CRISPR/Cas9 has the advantage of being cheaper, faster, and easier
to use than other techniques. The system is easy to configure between
species and allows for an increased precision of insertion. Overall the
CRISPR/Cas9 system allows for greater control than usual gene
augmentation from gene therapy.
The CRISPR/Cas9 technology has seen rapid uptake in a number of
academic laboratory groups due to the relative low cost and ease of
use. The technology was initially designed for prokaryotic cells but was
later adapted to eukaryotic cells, and has since been demonstrated to
work in Mammalian cells. A useful review of the history of CRISPR by
gado RNA Lander can be found in Celt 164. January 14, 2016.
Source: Company Data
What other approaches are available for gene editing?
Zinc finger nucleases — These are restriction enzymes designed to cleave specific target sequences on DNA.
They involve a zinc finger DNA binding domain with site specificity and a DNA-cleavage domain for cutting the
phosphodiester bone between nucleic acids in DNA strands. By taking advantage of a cell's intrinsic DNA repair
mechanisms, zinc finger nucleases can be used for gene editing. Zinc finger nucleases are being commercialized
by Sangamo Biosciences (not covered).
Exhibit 9: Illustration of Gene Editing Using Zinc Finger Nucleases (Codon Identification)
5' -ACAAGGAGAGATTICAA TTGAAGAAGTGAAAGA11-3'
3' -1VTICCTCTCTAAAGIT AAA -5'
Source: [tont. Physool.. 11 April 1010, 'Emerging gene editing strategies for Duchenne muscular dystrophy targeting stern cells: Carmen leflant.
Department of Neurology. David Geffen School of Medicine. Unriersity of California Los Angeles
Engineered meganucleases — Meganucleases are naturally occurring proteins that can recognize and cleave
specific DNA sequences. They have a DNA recognition sequence that can be modified, thus allowing for
engineered meganucleases that can target specific DNA sequences of genetic disorders.
Exhibit 10: Illustration of Gene Editing Using Meganucleases
Source: [tont. Physeal . 11 April 1014, "Emerging gene editing strategies for Duchenne muscular dystrophy targeting stern cells; Carmen Defiant.
Department of Neurology. David Geffen School of Medicine. Un iwesity of California Los Angeles
Transcription -activator like effector nucleases (TALENs) — Transcription activator-like effectors (TALEs) are
proteins that bind promoter genes and can enhance gene expression. TALEs have a central repeat domain that
confers the ability of TALEs to recognize specific DNA sequences along genomes. TALENs are engineered
proteins that involve fusing a TALE and a DNA cleavage domain.
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Morgan Stanley Editas Medicine I February 29, 2016
MORGAN STANLEY RESEARCH
Exhibit 11: Illustration of Gene Editing Using TALENs (Nucleotide Identification)
III I 0 111111111111 5' -ACAAGGAGAGATTTCAA YEGAAGAAGTGAAAGAA- '
Source: Front. Physiol.. 21 April 2014, 'Emerging gene editing strategies for Duchenne muscular dystrophy targeting stem cells,' Carmen Berton*:
Department of Neurology. David Geffen School of Medicine. Un ',many of California Los Angeles
What is Editas's approach to gene editing?
Editas's approach to gene editing has four components:1) nuclease engineering; 2) delivery; 3) control and
specificity; and 4) directed editing. Each of these components can be independently optimized in order to
develop the best therapeutic candidate. We see Editas as using a comprehensive analytical approach to
systematically build a library of CRISPR/Cas9 for a variety of editing approaches. We outline the key features of
Editas* approach below.
1. Nuclease Engineering - The CRISPR/Cas9 system involves both a Cas9 protein and an RNA guide molecule.
Both of these components can be tailored to allow Editas' gene editing platform to comprehensively target a
wide variety of diseases. Editas is developing Cas9 variants tailored to specific genetic defects, and is also
making targeted gRNA chemical and structural modifications to build a library of guide RNAs that will allow for
enhanced targeting. Additionally, Editas is also using iterative in silico design and high-throughput screening to
identify optimal Cas9 / guide RNA combinations. This approach could allow Editas to perform gene editing
through various methodologies to address most disease-causing mutations.
Exhibit 12: Approaches Available to Gene Editing for Editas
CUT & REVISE CUT & REMOVE
TGCACCTGAArH
t TGCACCTGAAXXXGGCA "I irzi.-4 TGAATGGrA ,—
_ 4 IS° TGGCA CUT & REPLACE
CCTGAATGCCA
4 -V TAGTCGCATCCCGCA
Source: Company Data
2. Delivery - Different disease indications will involve different cell types and tissue structures and thus delivery
mechanisms will need to be specifically designed for each disease type. Editas's CRISRP/Cas9 system is
adaptable to different delivery modalities, and the company intends to use existing delivery technologies for in
vivo and ex vivo delivery through modalities including viral vectors, nanoparticles, and electroporation.
Preclinical data for both ex vivo and in vivo genome editing has provided encouraging early results, as
demonstrated below. Next-generation delivery methods will be studied based on product needs going forward.
3. Control & Specificity — One of the largest advantages of gene editing techniques over conventional gene
therapy techniques is the high level of specificity available when altering, deleting, or inserting new genetic
material. The specific DNA cut sites must be optimized in order to deliver optimal therapy. Cellular exposure to
the Cas9-guide/RNA complex can also affect the outcome and can be optimized to provide maximal benefit.
Editas is exploring codon optimization for Cas9, to be able to identify the ideal codon set for each tissue. The
company is also working to identify tissue-specific promoters for both guide RNAs and Cas9 proteins. Specific
methodologies the company is exploring to control the editing process include self-targeting gRNAs to turn
expression off, developing small molecule modulators of Cas9, and incorporating functional motifs and 11
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Exhibit 14: Ex vivo: mRNA & RNP Delivery of PD- Exhibit 13: In viva Factor VII Gene Knockdown in
1 Targeted Cas9 in T-Cells the Liver with AAV
so
40
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-o
20
10
0
Source: Company Data d Day 2 Day 3 Untreated
harkat
developing variants to control cellular Cas9
degradation.
4. Directed editing — There are several mechanisms by
which the CRISPR/Cas9 system and the cell's intrinsic
repair systems can work together to cut and repair the
target cell's DNA. Non-homologous end joining (NHEJ) Source Company Data
is a method of DNA repair that occurs in the absence of
a DNA template for each cell to copy that leads to small insertions and deletions. This is the best option when
treatment requires the deletion of gene segments. The difficulty of using this mechanism increases as the length
of DNA requiring deletion increases. Homologous directed repair (HDR) is a method of DNA repair that occurs
in the presence of a DNA template. This method leads to the replacement of defective sequences with functional
ones. This technique is the best option for inserting new genes. Editas is studying the impact that Cas9 variants
and different cutting approaches have on the NHEJ and HDR repair pathways, and is working to enhance the
efficiency of HDR by using donor DNA modifications.
Important Papers in CRISPR/Cas9's development
The development of CRISPR/Cas9 for Human Cells
"Multiplex Genome Engineering Using CRISPR/Cas Systems" - L Cong, et al. In Science 2013
This paper demonstrates that RNA-guided Cas9 nucleases can be engineered that precisely target genomic loci
in mammalian cells and cause double stranded breaks in mammalian chromosomes.
"RNA-Guided Human Genome Engineering via Cas9" - P Mali, et al. In Science 2013
This paper focuses on the development and testing of engineered CRISPR/Cas9 with a custom guide RNA in
human cells. This paper established that this technology was capable of human genome engineering. These tests
were done in vitro.
Improving Delivery
"Cationic lipid-mediated delivery of proteins enables efficient protein-based genome editing in vitro and in vivo"
Zuris, et al. In Nature Biotechnology 2014
This paper discusses a delivery system that can be applied to the CRISPR/Cas9 system proteins. Experiments
were performed both in vitro and in vivo that demonstrated that the Cas9 system could be delivered and would
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modify the target genome. Editas Medicine] February 29. 2016
MORGAN STANLEY RESEARCH
"In vivo genome editing using Staphylococcus aureus Cas9" - F Ran et al. In Nature 2015
Earlier studies of Cas9 mainly relied on Streptococcus pyogenes derived Cas9s (SpCas9). These are larger
proteins and limit the useful applications. This paper demonstrated that the significantly smaller Cas9 from
Staphylococcus aureus can achieve similar efficacies to SpCas9, while maintaining specificity and efficacy.
Improving Characterization
"GUIDE-seq enables genome-wide profiling of off-target cleavage by CRISPR-Cas nucleases" - S Tsai et al. In
Nature Biotechnology 2014
This paper highlights a detection system for identifying off-target DNA double strand breaks caused by
CRISPR/Cas9 nucleases. Experiments with 13 CRISPR systems in 2 human cell lines demonstrated a high level of
variability in off-target activities that were not detected by other computational and experimental detection
methods. It was also shown that truncated RNA guides led to a reduction in off target double strand breaks.
in vivo interrogation of gene function in the mammalian brain using CRISPR-Cas9" - L Swiech et al. In Nature
Biotechnology 2014
In this study an AAV vector was used to deliver CRISPR/Cas9 derived from Streptococcus pyogenes to adult
mouse brain cells targeting specific genes. The genome editing resulted in biochemical, genetic, electrophysical,
and behavioral changes.
Improving Specificity
"Double Nicking by RNA-Guided CRISPR Cas9 for Enhanced Genome Editing Specificity" - F Ran et al. In Cell
2013
This paper discusses the use of paired RNA guides to introduce double strand breaks into target DNA. By using
two guides with known spacing the specificity of the DNA cuts drastically increases. These experiments were
performed in mouse zygotes.
"Improving CRISPR-Cas nuclease specificity using truncated guide RNASs" - Y Fu et al. In Nature Biotechnology
2014
In this paper, researchers compare guide RNAs with truncated guide RNAs in terms of off-target effects. They
demonstrate that the truncated guide RNAs have as much as a 5000-fold decrease in undesired mutagenesis
without affecting on-target editing.
"Fusion of catalytically inactive Cas9 to Fokl nuclease improves the specificity of genome modification" -.I
Guilinger et al. In Nature Biotechnology 2014
The fusion of inactive Cas9 and Fokl nuclease improves DNA cleavage specificity. These fused Cas9 complexes
had a significantly higher specificity than WT Cas9 proteins.
"Dimeric CRISPR RNA-guided Fokl nucleases for highly specific genome editing" - S Tsai et al. In Nature
Biotechnology 2014
This paper describes dimeric RNA-guided Fokl nucleases that have high efficacy and specificity in their DNA
targets by recognizing extended genetic sequences. This system uses two guide RNAs with fixed and known
spacing to ensure specificity.
"Engineered CRISPR-Cas9 nucleases with altered PAM specificities" - B Kleinstiver et al. In Nature 2015
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The range of sequences that can be identified with a Cas9 protein is determined by the specific protospacer
adjacent motifs (PAM) on the targeted DNA. This paper demonstrates that the specificity of the CRISPR/Cas9
system for PAMs can be altered so that a wider range of targets is available to therapy.
"High Fidelity CRISPR-Cas9 nucleases with no detectable genome-wide off target effects" - B Kleinstiver et al. In
Nature 2015
This paper describes a variant of SpCas9 that minimized non-specific DNA contacts that results in the retention
of on-target activity while rendering nearly all off target effects undetectable.
"Rationally engineered Cas9 nucleases with improved specificity - I Slaymaker et al in Science 2015
In this paper, structure-guided protein engineering is used to alter and improve the specificity of SpCas9. These
altered Cas9 proteins reduced off-target effects while still maintaining on-target editing.
Key Academic Institutions with CRISPR/Cas9 Progams
The development of CRISPR/Cas9 technology provides a model for what can be done through incremental
progress in science. In the late 1980s/early 1990s, Dr. Francisco Mojica, a post doctoral student at the University
of Alicante in Spain, noticed a unique/repeating genetic sequence in Haloferax mediterranei. It altered between a
repeat sequence of 30 base pairs followed by -36 spacer base nucleotides. Dr. Mojica initially called the finding
short regularly spaced repeats (SRSRs), eventually renaming it to clustered regularly interspaced palindromic
repeats or CRISPR. This finding from a microbe usually found in salty environments, and noted for its ability to
tolerate excessively high salinity, marks the beginning of an incremental set of advances that eventually led to
the gene editing technologies being pursued by Editas and its competitors.
Post the early discovery in Spain, there was a great deal of work that needed to be done to determine the
purpose (if any) of these repeat sequences. After years of work, Dr. Mojica noted that these spacers were noted
in E. coli strains with bacterial resistance leading to the hypothesis that CRISPR's purpose was part of the
adaptive immune system offering a way for cells to adapt to their environment. While Dr. Mojica made some
early findings, many others contributed new discoveries at a rapid pace. From Horvavth, Barrangou and
Moineau who discovered that Cas nucleases contributed to this adaptive response to Marrafani and Sontheimer,
who discovered that CRISPR specifically targeted DNA. As more incremental advances occurred it became
increasingly apparent that not only is CRISPR, and in particular the Cas9 nucleotide, an important component of
the adaptive immune system but also that it could be utilized as a gene editing tool. Such a tool would have
immense potential for treating a massive array of diseases and disorders. Below we outline the key academic
institutions who claim to have IP for CRISPR/Cas9 and their corporate affiliation.
Broad Institute, Massachusetts Institute of Technology, Harvard University
• Contribution: Dr. Feng Zhang, one of the founders of Editas and a principal scientist in the
intellectual property dispute, conducted his research at the Broad Institute/MIT. Zhang's
team examined CRISPR-Cas9 and in partnership with Dr. George Church from Harvard
University learned that the nuclease Cas9 could be used to cut DNA in a highly specific
location. This work was published in January 2013 in the journal Science. Dr. Zhang's team
demonstrated that the cut DNA was replaceable with another piece of DNA, changing the
overall sequence of the gene. Zhang and team also discovered Cpfl, which could also have
similar application with the advantage of being a smaller protein than Cas9. Dr. George
Church of Harvard University, and also a Broad Institute researcher, conducted work
concurrently with Dr. Zhang and reported similar findings. Dr. Church's work was also
published in the January 2013 issue of Science. It is important to note that both Church and
Zhang also were able to translate the use of CRISPR/Cas9 into mammalian cells.
■ Intellectual Property Status: The Broad Institute filed for patents through the Prioritized
Patent Examination Program, a fast-track review program. In December 2015, only six
months after application, the US Patent and Trademark Office (USPTO) issued 23 patents 14
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with respect to CRISPR/Cas9, 13 of which were issued to the Broad Institute, MIT and Dr.
Feng Zhang. Harvard University was issued 4 patents relating to CRISPR.
■ Affiliation: Editas Therapeutics
University of California, Berkeley, University of Vienna
• Contribution: Dr. Jennifer Doudna of the University of California at Berkeley partnered with
Dr. Emmanuelle Charpentier from the University of Vienna. Much of their work together was
focused on Cas9. They made similar discoveries as Dr. Zhang and Dr. Church's team,
demonstrating that the enzyme could be used to cut DNA. Dr. Doudna was one of the
original founders of Editas; although, she left the company to start Caribou Biosciences, a
company that eventually cofounded Intellia Therapeutics.
■ Intellectual Property Status: Doudna and Charpentier submitted a patent application for
the UC Berkeley and the University of Vienna to the USPTO seven months ahead of Zhang.
However, the application was submitted via the normal track as opposed to the fast tracked
Zhang application. As such, the Broad Institute teams were granted broad Cas9 patents. UC
Berkeley & University of Vienna initiated multiple Suggestions of Interference proceedings to
challenge the Broad Institute patents.
• Affiliation: Intellia Therapeutics and CRISPR Therapeutics are affiliated with Dr. Doudna and
Dr. Charpentier, respectively.
University of Vilnius
■ Contribution: Dr. Virginijus Siksnys of the University of Vilnius also concurrently conducted
and published work evaluating Cas9 activity. In this work, it was demonstrated that Cas9
could be targeted to cut double stranded DNA exactly three nucleotides from the
protospacer adjacent motif (PAM) sequence. Dr. Siksnys submitted his work for publication, a
month before the Doudna/Charpentier paper had been published (after it was fast-tracked
through Science's review process)
• Intellectual Property Status: Dr. Siksnys filed patent application in March of 2012 based on
this work.
• Affiliation: Dupont for agricultural purposes.
The Rockefeller University
• Contribution: Dr. Luciano Marraffini is affiliated with the Rockefeller University. In his work he
determined that CRISPR specifically targets DNA. In his work, he concluded that CRISPR was
a programmable restriction enzyme that could potentially be employed as a gene editing
technology.
■ Intellectual Propery Status: The Rockefeller University is a joint patent applicant on certain
patent applications along with the Broad Institute.
• Affiliation: Intellia Therapeutics
ToolGen, Inc.
• Contribution: Affiliated with Seoul National University in South Korea, ToolGen has
developed genetic tools based on zinc finger engineering technology, with technology
ultimately evolving toward the use of Cas9 nucleases. The company has also refined a
process called double-nicking approach with zinc finger nucleases to clip the DNA. The belief
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is that this will reduce off-target modification.
• Intellectual Propery Status: ToolGen has filed Suggestions of Interference claims that two of
their patents interfere with five Broad Institute patents. UC Berkeley has filed a similar claim
on these five Broad Institute patents.
• Affiliation: Thermo Fisher Scientific
Exhibit 15: Various Academic Institutions and Players With CRISPR/Cas9 Programs
Academic institution Contribution iP Status /41/6.0.1
Massachuswts Institute of
Technology (MIT) - Broad Institute
Harvard University- Broad Institute Dr. Zhang lad one effort to develop Cas9 for the purpose
of gene editing. Granted initial Patents in large Part due
TO decision to apt* through USPTO Prioritized Patent
F commotion Program, leading to 6-month review
process.
Dr. Church of Harvard and Broad Institute conducted
work on Cas9 concurrently with Dr. 2hang. First to be granted Patents i /X
CRISP'', Cas9 gene editing
technology m December 2015
Granted multiple initial patents
in tandem WW1 MIT - Broad
Institute. (Odes
(dila,
UC Berkeley ntellia
University of Vienna Dr. Doudna conducted similar work on Cass for gene
editing in unrelated effort. An original founder of f ditas,
left to form Caribou Biosciences which co-founded
Intellia.
Dr. Charpentret worked in partnership with Dr. Doudna
in Cas9 research. She is a founder of CRISPR
Therapeutics Applied for Cas9 patents 7
months ahead of thong's team
However, fell behind because
Zhang's fast-tracked process.
Filed multiple Suggestions of
rnterference claims.
Univensty of Vienna was
named as part of VC Berkety's
patent application and is
included in Suggestion of
Interference claims. Intelba
University of Vilnius Dr. Siltsnys of the Unwersity of Vilnius showed that Cas9
could be targeted to cut double stranded DNA exactly
three nucleotides from the protospacer adjacent motif
(PAM) sequence. His work was submitted for
publication l'month before Doudnagharpentier's
efforts were published. Filed for patents in 2012. Dupont
The Rockefeller University Dr. Marrahni conducted much work on CRISPR, being
one of the first to determine it actually targeted DNA
and suggesting it could be a gene editing technology Rockefeller is named on five
Broad Institute Patents.
Though they received nO rights
as part of Broad's license
agreement with Editas. 'MOM
ToolGen, Inc. A Korean company affiliated with Seoul National
University that used zinc finger technology in CRISPR
research, moving eventually toward Cas9. Employs
double-nicking to potentially reduce off target effects rnitiated Suggestion of
Interference Proceeding
regarding five Broad Institute
patents Thermo Fisher Scientific
Source: Cell 164, January 14, 2016 and Morgan Stanley
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Debate 2 - What Is Going On With IP And What Potentially Can be a
Plausible Outcome?
Overview: In early January, an interference proceeding was declared between the Broad
Institute/Harvard/MIT (from whom Editas has licensed its IP) and University of California, University of
Vienna and Emmanuelle Charpentier (from whom Intellia and Crispr Therapeutics have licensed IP). At
the core of the debate is who was first to invent the use of CRISPR/Cas9 in eukaryotic cells (particularly
mammalian cells). The Broad has 12 issued patents named in the interference proceeding versus a yet to
be issued University of California patent. Because California claims to have invented first it has been
named the senior party while the Broad the junior party, though those designations could change. The
total interference proceeding is expected to play out over the next two years. Potential outcomes could
be that the Patent Trial and Appeal Board (PTAB) invalidates the Broad's IP, leaving Editas without
freedom to operate, that the PTAB does not award a patent to the University of California, meaning Editas
has the only granted IP for CRISPR/Cas9, or a limiting of claims for both parties with issued IP for both
sides. An appeal is also possible after the initial ruling.
Street's take: Investors have seen a few interference proceedings before, namely, Gilead versus Idenix
for sofosbuvir and Biogen versus Forward Pharma related to Tecfidera IP. However, neither case has
been potentially so central to the investment debate on the stock. Thus, for many investors this is an area
they find hard to completely derisk. Despite that, we believe the prevailing opinion is either to invest
broadly across the CRISPR/Cas9 space, thereby having investments in both parties or assuming, as do
we, that given the breadth of the Editas IP, while some IP may be narrowed, the likelihood that all IP will
fall is low.
Our take: We believe a plausible outcome of the interference could be that both parties would end up
with issued IP for CRISPR/Cas9, requiring both parties to engag
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