Feb 13, 2014 Press Release for Alnylam
Alnylam Pharmaceuticals Reports Fourth Quarter and Full Year 2013 Financial Results and Highlights Recent Period Activities
Feb 13, 2014
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- Initiated APOLLO Phase 3 Study with Patisiran (ALN-TTR02) for the Treatment of Transthyretin (TTR)-Mediated Amyloidosis (ATTR) in Patients with Familial Amyloidotic Polyneuropathy (FAP) -
- Initiated Phase 2 Study with ALN-TTRsc in ATTR Patients with TTR Cardiac Amyloidosis -
- Initiated Phase 1 Study with ALN-AT3 for the Treatment of Hemophilia and Other Rare Bleeding Disorders -
- Advanced Additional "Alnylam 5x15"
- Maintained Strong Balance Sheet with
"The full year 2013 and the first weeks of 2014 were transformational
for Alnylam and our continued efforts to advance RNAi therapeutics as a
whole new class of medicines. We believe our recent alliance with
Genzyme is a game changer in our efforts to bring RNAi therapeutics to
patients with rare diseases as potential breakthrough genetic medicines.
The new collaboration crystallizes Alnylam's strategy to develop and
commercialize our products in
"In addition to highlights noted above, we also made significant
advancements with other pipeline programs and in other business
development efforts. Specifically, we advanced Development Candidates
for two ‘Alnylam 5x15' programs in this past quarter: ALN-AS1 for the
treatment of hepatic porphyrias, and ALN-PCSsc for the treatment of
hypercholesterolemia. We also presented promising data with ALN-CC5 for
the treatment of complement-mediated diseases, and expect to have a
Development Candidate selected in early 2014. Across these three
programs, we expect to file investigational new drug applications for
two in late 2014 and one in early 2015. Further, we're pleased to have
recently updated and expanded our original ‘Alnylam 5x15' pipeline
guidance, where we now expect to end 2015 with six to seven programs in
clinical development, including at least two programs in Phase 3 trials,
and five to six programs having achieved human proof-of-concept
results," said
Cash,
At
Net Loss
The net loss according to accounting principles generally accepted in
the U.S. (GAAP) for the fourth quarter of 2013 was
Revenues
Revenues were
Research and Development Expenses
Research and development (R&D) expenses were
General and Administrative Expenses
General and administrative (G&A) expenses were
Investment in Regulus Therapeutics
Equity in loss of joint venture was zero for the fourth quarter and year
ended of 2013 and
Benefit from Income Taxes
The company had a provision for income taxes of
2014 Financial Guidance
Alnylam expects that its cash, cash equivalents, and total marketable
securities balance will be greater than
"Alnylam continues to maintain a solid balance sheet, with approximately
Fourth Quarter 2013 and Recent Significant Corporate Highlights
Key "Alnylam 5x15" Program Highlights
-
Advanced Patisiran (ALN-TTR02) into Phase 3 for the Treatment of
Transthyretin (TTR)-Mediated Amyloidosis (ATTR) in Patients with
Familial Amyloidotic Polyneuropathy (FAP).
-
Initiated APOLLO Phase 3 Trial with Patisiran. The APOLLO
trial is a randomized, double-blind, placebo-controlled, global
study designed to evaluate the efficacy and safety of patisiran in
up to 200 ATTR patients with FAP. The primary endpoint of the
study is the difference in the change in neuropathy impairment
score, or "mNIS+7," between patisiran and placebo at 18 months.
Secondary endpoints include: Norfolk Quality of Life-Diabetic
Neuropathy (QOL-DN) score; NIS-weakness; modified BMI; timed
10-meter walk; and COMPASS-31 autonomic symptom score. Patients
will be randomized 2:1, patisiran:placebo, with patisiran
administered at 0.30 mg/kg once every three weeks for 18 months.
All patients completing the APOLLO Phase 3 study will be eligible
to enroll in a Phase 3 open-label extension (OLE) study. In
addition, Alnylam announced that the
U.S. Food and Drug Administration (FDA) granted Fast Track designation to patisiran for the treatment of FAP. - Continued Dosing in Phase 2 OLE Study with Patisiran. The Phase 2 OLE study is an open-label study where patients that were enrolled in the patisiran Phase 2 study are eligible to receive continued dosing. The primary objective of this study is to evaluate the long-term safety and tolerability of patisiran administration. The study will also measure a number of clinical endpoints, which are the same as those measured in the APOLLO Phase 3 study. The company expects to present data from the Phase 2 OLE study approximately once a year, with an initial data report in late 2014.
-
Reported Positive Results from Phase 2 Trial in FAP Patients. At
the IXth International Symposium on FAP (ISFAP) in
November 2013 , Alnylam presented results showing that multiple doses of patisiran led to robust and statistically significant knockdown of serum TTR protein levels of up to 96%, with mean levels of TTR knockdown exceeding 85%. Knockdown of TTR, the disease-causing protein in ATTR, was found to be rapid, dose dependent, and durable, and similar activity was observed toward both wild-type and mutant protein. In addition, patisiran was found to be generally well tolerated in this study.
-
Initiated APOLLO Phase 3 Trial with Patisiran. The APOLLO
trial is a randomized, double-blind, placebo-controlled, global
study designed to evaluate the efficacy and safety of patisiran in
up to 200 ATTR patients with FAP. The primary endpoint of the
study is the difference in the change in neuropathy impairment
score, or "mNIS+7," between patisiran and placebo at 18 months.
Secondary endpoints include: Norfolk Quality of Life-Diabetic
Neuropathy (QOL-DN) score; NIS-weakness; modified BMI; timed
10-meter walk; and COMPASS-31 autonomic symptom score. Patients
will be randomized 2:1, patisiran:placebo, with patisiran
administered at 0.30 mg/kg once every three weeks for 18 months.
All patients completing the APOLLO Phase 3 study will be eligible
to enroll in a Phase 3 open-label extension (OLE) study. In
addition, Alnylam announced that the
-
Initiated Phase 2 Clinical Trial with ALN-TTRsc, a Subcutaneously
Administered RNAi Therapeutic Targeting TTR for the Treatment of ATTR
Patients with Cardiac Amyloidosis. The pilot Phase 2 trial is
aimed at evaluating the tolerability and preliminary clinical activity
of ALN-TTRsc in approximately 15 patients with familial amyloidotic
cardiomyopathy (FAC) - which is caused by autosomal dominant mutations
in the TTR gene - or senile systemic amyloidosis (SSA) - which is
caused by idiopathic accumulation of wild-type TTR in the heart. In
addition, the study will assess preliminary clinical activity as
measured by knockdown of serum TTR levels and additional exploratory
tests, such as cardiac imaging (including echocardiography and cardiac
MRI), circulating cardiac biomarkers (NT-proBNP and troponins T and
I), 6-minute walk test,
New York Heart Association (NYHA) classification, and measures of heart failure symptoms and quality of life (Kansas City Cardiomyopathy Questionnaire and EQ-5D QOL). The company expects to present data from the Phase 2 trial in late 2014. Patients completing the Phase 2 trial will be eligible to participate in an OLE study for further assessment of general tolerability and clinical activity with long-term dosing; the ALN-TTRsc Phase 2 OLE study is expected to be initiated in mid-2014. Assuming positive results, Alnylam expects to begin a Phase 3 trial in TTR cardiac amyloidosis patients by the end of 2014. -
Initiated Phase 1 Clinical Trial with ALN-AT3, a Subcutaneously
Administered RNAi Therapeutic Targeting Antithrombin (AT) for the
Treatment of Hemophilia and Rare Bleeding Disorders (RBD). The
Phase 1 study is being conducted in the
U.K. as a single- and multi-dose, dose-escalation study comprised of two parts. Part A will be a randomized, single-blind, placebo-controlled, single-dose, dose-escalation study, enrolling up to 24 healthy volunteer subjects. The primary objective of this part of the study is to evaluate the safety and tolerability of a single low dose of ALN-AT3, with the potential secondarily to show changes in AT plasma levels at sub-pharmacologic doses. Part B of the study will be an open-label, multi-dose, dose-escalation study enrolling up to 18 people with moderate to severe hemophilia A or B. The primary objective of this part of the study is to evaluate the safety and tolerability of multiple doses of subcutaneously administered ALN-AT3 in hemophilia subjects. Secondary objectives include assessment of clinical activity as determined by knockdown of circulating AT levels and increase in thrombin generation at pharmacologic doses of ALN-AT3; thrombin generation is known to be a biomarker for bleeding frequency and severity in people with hemophilia (Dargaud, et al., Thromb Haemost; 93, 475-480 (2005)). The company expects to present initial data from the Phase 1 study in late 2014. At the 55th Annual Meeting of theAmerican Society of Hematology (ASH) held inDecember 2013 , new pre-clinical data were presented demonstrating that ALN-AT3 has an expanded therapeutic index in the hemophilia setting and can correct the activated partial thromboplastin time (aPTT), a measure of blood coagulation, in mice with hemophilia A. -
Advanced ALN-CC5, a Subcutaneously Administered RNAi Therapeutic
Targeting Complement Component C5 for the Treatment of
Complement-Mediated Diseases. ALN-CC5 is a subcutaneously
administered RNAi therapeutic targeting complement component C5 for
the treatment of complement-mediated diseases, such as paroxysmal
nocturnal hemoglobinuria (PNH), atypical hemolytic-uremic syndrome
(aHUS), myasthenia gravis, neuromyelitis optica, amongst many others.
At the ASH Meeting held in
December 2013 , the company presented pre-clinical data demonstrating that subcutaneous administration of ALN-CC5 in non-human primates (NHPs) led to an up to 98% knockdown of serum C5 and an up to 94% inhibition of serum hemolytic activity. This level of complement activity inhibition exceeds the 80% inhibition threshold that has been validated as being associated with clinical benefit in patients with PNH (Hillmen et al.,N. Engl . J. Med. (2004) 350:552-559). The company expects to identify its final Development Candidate for ALN-CC5 in early 2014 and to file an Investigational New Drug (IND) application or IND equivalent in late 2014 or early 2015. -
Selected Development Candidate for ALN-AS1, a Subcutaneously
Administered RNAi Therapeutic Targeting Aminolevulinate Synthase-1
(ALAS-1) for the Treatment of Hepatic Porphyrias. New pre-clinical
research findings, presented at the 9th Annual Meeting
of the
Oligonucleotide Therapeutics Society (OTS) held inOctober 2013 , showed that subcutaneous administration of a GalNAc-siRNA targeting ALAS-1 led to rapid, dose-dependent, and long-lasting knockdown of the ALAS-1 mRNA and complete inhibition of the toxic intermediates that mediate the symptoms and pathology of acute intermittent porphyria (AIP). Based on these findings, including results in non-human primate studies, the company has selected its ALN-AS1 Development Candidate and expects to file an IND or IND equivalent application for this RNAi therapeutic in late 2014 or early 2015. -
The Medicines Company and Alnylam Selected a Development Candidate
for ALN-PCSsc, a Subcutaneously Administered RNAi Therapeutic
Targeting PCSK9 for the Treatment of Hypercholesterolemia. New data
from non-human primate studies, presented at the
American Heart Association (AHA) Scientific Sessions held inNovember 2013 , showed that ALN-PCSsc administration results in up to 95% knockdown of plasma PCSK9 and up to 67% lowering of LDL cholesterol (LDL-C) in the absence of statins. Pre-clinical durability data support the potential for every-two-week dosing and possibly every-four-week dosing. Alnylam anticipates submitting an IND or IND equivalent application for ALN-PCSsc in late 2014 or early 2015. In addition, Alnylam and collaborators published complete study results from a Phase 1 trial with ALN-PCS02, an intravenously administered RNAi therapeutic targeting PCSK9, in The Lancet. The paper (Fitzgerald, et al., The Lancet, doi:10.1016/S0140-6736(13)61914-5) reports the results of a study evaluating single intravenous dose administration of ALN-PCS02, in the absence of concomitant lipid-lowering agents such as statins. Specifically, ALN-PCS02 administration resulted in rapid, dose-dependent, and durable knockdown of plasma PCSK9 of up to 84% relative to baseline and placebo, with a corresponding reduction in serum levels of LDL-C - a clinically validated endpoint - of up to 57% relative to baseline and placebo. In addition, ALN-PCS02 was found to be generally well tolerated in this study. -
Advanced Additional "Alnylam 5x15" Programs. Alnylam continued
to advance additional programs as part of its "Alnylam 5x15" and
genetic medicine product strategy, including ALN-AAT, an RNAi
therapeutic targeting alpha-1 antitrypsin (AAT) for the treatment of
liver disease associated with AAT deficiency; ALN-TMP, an RNAi
therapeutic targeting TMPRSS6 for the treatment of beta-thalassemia
and iron overload disorders; and ALN-ANG, an RNAi therapeutic
targeting angiopoietin-like 3 (ANGPTL3) for the treatment of genetic
forms of mixed hyperlipidemia and severe hypertriglyceridemia. New
data were presented for: ALN-AAT
at the 64th Annual Meeting of the
American Association for the Study of Liver Diseases (AASLD, "The Liver Meeting") held inNovember 2013 ; ALN-ANG at the AHA Scientific Sessions held inNovember 2013 ; and ALN-TMP at the ASH Meeting held inDecember 2013 .
Business and Organizational Highlights
-
Formed Transformational Alliance with Genzyme for RNAi Therapeutics as Genetic Medicines. Genzyme and Alnylam have formed an alliance to accelerate and expand the development and commercialization of RNAi therapeutics across the world. The alliance is structured as a multi-product geographic alliance in the field of rare diseases. Alnylam retains product rights inNorth America andWestern Europe , while Genzyme obtains the right to access Alnylam's current "5x15" and future genetic medicines pipeline in the rest of the world (ROW), including co-development/co-commercialization and/or global product rights for certain programs. In addition, Genzyme becomes a major Alnylam shareholder through an upfront purchase of$700 million of newly issued stock at approximately$80 /share, representing an approximately 12% ownership position. Upon closing, this alliance significantly bolsters Alnylam's balance sheet to over$1 billion in cash, enabling an increased investment in the company's RNAi therapeutics pipeline and is expected to secure Alnylam's financial independence through to multiple product launches. This transaction has been approved by the boards of both companies, and is subject to customary closing conditions and clearances under the Hart-Scott Rodino Antitrust Improvements Act. -
Acquired Investigational RNAi Therapeutic Assets from Merck,
Including Sirna Therapeutics. The acquisition, which includes
Merck's wholly owned subsidiary
Sirna Therapeutics, Inc. , provides Alnylam with intellectual property and RNAi assets including pre-clinical therapeutic candidates, chemistry, siRNA-conjugate and other delivery technologies. Under the terms of the agreement, in exchange for acquiring the stock ofSirna Therapeutics , Alnylam will pay Merck an upfront payment of$175 million in cash and equity ($25 million cash/$150 million in Alnylam common stock). In addition, Merck is eligible to receive milestones and royalties based on advancement of certain pre-clinical candidates discovered by Merck and on Alnylam products covered by theSirna Therapeutics patent estate. This transaction is subject to customary closing conditions, including the requirements under the Hart-Scott Rodino Antitrust Improvements Act. -
Earned Additional Milestone Payments from Genzyme for Advancement
of Patisiran. Per the terms of the original agreement entered into
in
October 2012 between Alnylam and Genzyme, Alnylam earned a$7 million milestone from Genzyme for achieving Phase 2 success with patisiran. In addition, Alnylam announced today that it has received an additional$4 million milestone from Genzyme associated with the initiation of dosing in the APOLLO Phase 3 trial with patisiran. -
Expanded Management Team. Alnylam announced today that
Jeffrey Cehelsky has been promoted to Vice President, Clinical Operations, from Senior Director, Clinical Operations, a position he held since shortly after joining the company in 2005.
Conference Call Information
Management will provide an update on the company, discuss fourth quarter
and 2013 results, and discuss expectations for the future via conference
call on
About RNA Interference (RNAi)
RNAi (RNA interference) is a revolution in biology, representing a breakthrough in understanding how genes are turned on and off in cells, and a completely new approach to drug discovery and development. Its discovery has been heralded as "a major scientific breakthrough that happens once every decade or so," and represents one of the most promising and rapidly advancing frontiers in biology and drug discovery today which was awarded the 2006 Nobel Prize for Physiology or Medicine. RNAi is a natural process of gene silencing that occurs in organisms ranging from plants to mammals. By harnessing the natural biological process of RNAi occurring in our cells, the creation of a major new class of medicines, known as RNAi therapeutics, is on the horizon. Small interfering RNA (siRNA), the molecules that mediate RNAi and comprise Alnylam's RNAi therapeutic platform, target the cause of diseases by potently silencing specific mRNAs, thereby preventing disease-causing proteins from being made. RNAi therapeutics have the potential to treat disease and help patients in a fundamentally new way.
About
Alnylam is a biopharmaceutical company developing novel therapeutics
based on RNA interference, or RNAi. The company is leading the
translation of RNAi as a new class of innovative medicines with a core
focus on RNAi therapeutics as genetic medicines, including programs as
part of the company's "Alnylam 5x15TM" product strategy.
Alnylam's genetic medicine programs are RNAi therapeutics directed
toward genetically defined targets for the treatment of serious,
life-threatening diseases with limited treatment options for patients
and their caregivers. These include: patisiran (ALN-TTR02), an
intravenously delivered RNAi therapeutic targeting transthyretin (TTR)
for the treatment of TTR-mediated amyloidosis (ATTR) in patients with
familial amyloidotic polyneuropathy (FAP); ALN-TTRsc, a subcutaneously
delivered RNAi therapeutic targeting TTR for the treatment of ATTR in
patients with TTR cardiac amyloidosis, including familial amyloidotic
cardiomyopathy (FAC) and senile systemic amyloidosis (SSA); ALN-AT3, an
RNAi therapeutic targeting antithrombin (AT) for the treatment of
hemophilia and rare bleeding disorders (RBD); ALN-CC5, an RNAi
therapeutic targeting complement component C5 for the treatment of
complement-mediated diseases; ALN-AS1, an RNAi therapeutic targeting
aminolevulinate synthase-1 (ALAS-1) for the treatment of hepatic
porphyrias including acute intermittent porphyria (AIP); ALN-PCS, an
RNAi therapeutic targeting PCSK9 for the treatment of
hypercholesterolemia; ALN-AAT, an RNAi therapeutic targeting
alpha-1-antitrypsin (AAT) for the treatment of AAT deficiency liver
disease; ALN-TMP, an RNAi therapeutic targeting TMPRSS6 for the
treatment of beta-thalassemia and iron-overload disorders; ALN-ANG, an
RNAi therapeutic targeting angiopoietin-like 3 (ANGPTL3) for the
treatment of genetic forms of mixed hyperlipidemia and severe
hypertriglyceridemia; and other programs yet to be disclosed. As part of
its "Alnylam 5x15" strategy, as updated in early 2014, the company
expects to have six to seven genetic medicine product candidates in
clinical development - including at least two programs in Phase 3 and
five to six programs with human proof of concept - by the end of 2015.
The company's demonstrated commitment to RNAi therapeutics has enabled
it to form major alliances with leading companies including Merck,
Medtronic, Novartis, Biogen Idec, Roche, Takeda, Kyowa Hakko Kirin,
Cubist, GlaxoSmithKline, Ascletis, Monsanto, The Medicines Company, and
Genzyme, a Sanofi company. In
About "Alnylam 5x15™" and Genetic Medicines
The "Alnylam 5x15" strategy, launched in
Alnylam Forward-Looking Statements
Various statements in this release concerning Alnylam's future
expectations, plans and prospects, including without limitation,
Alnylam's expectations regarding its "Alnylam 5x15" product strategy,
Alnylam's views with respect to the potential for RNAi therapeutics,
including patisiran (ALN-TTR02) and ALN-TTRsc, ALN-AT3, ALN-CC5,
ALN-AS1, ALN-PCSsc, ALN-AAT, ALN-TMP, and ALN-ANG, its expectations with
respect to the timing, execution, and success of its clinical and
pre-clinical trials, the expected timing of regulatory filings,
including its plan to file IND or IND equivalent applications and
initiate clinical trials for ALN-TTRsc, ALN-CC5, ALN-AS1, and ALN-PCSsc,
its expectations regarding reporting of data from its clinical studies,
including its studies for patisiran, ALN-TTRsc, and ALN-AT3, as well as
other research programs and technologies, its plans regarding
commercialization of RNAi therapeutics, Genzyme's participation in the
development and commercialization of RNAi therapeutics, Alnylam's views
with respect to the potential value of the assets being acquired from
Merck and its ability to further its efforts to build a new class of
medicines, the potential timing of the closing of the Genzyme and Merck
transactions, its expected cash position on a pro forma basis
following the closing of the Genzyme transaction and as of
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| Unaudited Condensed Consolidated Statements of Comprehensive Loss | ||||||||||||||||
| (In thousands, except per share amounts) | ||||||||||||||||
| Three Months Ended | Year Ended | |||||||||||||||
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| 2013 | 2012 | 2013 | 2012 | |||||||||||||
| Net revenues from collaborators | $ | 10,847 | $ | 8,495 | $ | 47,167 | $ | 66,725 | ||||||||
| Operating expenses: | ||||||||||||||||
|
Research and development (1) |
32,106 | 21,678 | 112,957 | 86,569 | ||||||||||||
| General and administrative (1) | 8,333 | 10,166 | 27,152 | 44,612 | ||||||||||||
| Restructuring of Tekmira license agreement | - | 65,000 | - | 65,000 | ||||||||||||
| Total operating expenses | 40,439 | 96,844 | 140,109 | 196,181 | ||||||||||||
| Loss from operations | (29,592 | ) | (88,349 | ) | (92,942 | ) | (129,456 | ) | ||||||||
| Other income (expense): | ||||||||||||||||
| Equity in loss of joint venture (Regulus Therapeutics Inc.) | - | (881 | ) | - | (4,522 | ) | ||||||||||
| Gain on issuance of stock by Regulus Therapeutics Inc. | - | 16,084 | - | 16,084 | ||||||||||||
| Interest income | 285 | 222 | 1,069 | 977 | ||||||||||||
| Other (expense) income | (29 | ) | 164 | (47 | ) | 331 | ||||||||||
| Total other income (expense) | 256 | 15,589 | 1,022 | 12,870 | ||||||||||||
| Loss before income taxes | (29,336 | ) | (72,760 | ) | (91,920 | ) | (116,586 | ) | ||||||||
| (Provision for) benefit from income taxes | (3,021 | ) | 10,572 | 2,695 | 10,572 | |||||||||||
| Net loss | $ | (32,357 | ) | $ | (62,188 | ) | $ | (89,225 | ) | $ | (106,014 | ) | ||||
| Net loss per common share - basic and diluted | $ | (0.51 | ) | $ | (1.20 | ) | $ | (1.45 | ) | $ | (2.11 | ) | ||||
| Weighted average common shares used to compute basic and diluted net loss per common share | 62,909 | 51,821 | 61,551 | 50,286 | ||||||||||||
| Comprehensive loss | ||||||||||||||||
| Net loss | $ | (32,357 | ) | $ | (62,188 | ) | $ | (89,225 | ) | $ | (106,014 | ) | ||||
| Unrealized (loss) gain on marketable securities, net of tax | (7,451 | ) | 15,554 | 4,055 | 15,827 | |||||||||||
| Comprehensive loss | $ | (39,808 | ) | $ | (46,634 | ) | $ | (85,170 | ) | $ | (90,187 | ) | ||||
| (1) Non-cash stock-based compensation expenses included in operating expenses are as follows: | ||||||||||||||||
| Research and development | $ | 3,277 | $ | 1,684 | $ | 14,369 | $ | 8,041 | ||||||||
| General and administrative | 2,129 | 1,038 | 6,334 | 4,319 | ||||||||||||
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| Unaudited Condensed Consolidated Balance Sheets | ||||
| (In thousands, except share amounts) | ||||
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| 2013 | 2012 | |||
| Cash, cash equivalents and total marketable securities |
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| Billed and unbilled collaboration receivables | 4,248 | 104 | ||
| Prepaid expenses and other current assets | 3,910 | 2,641 | ||
| Property and equipment, net | 16,448 | 19,799 | ||
| Investment in equity securities of Regulus Therapeutics Inc. | 45,452 | 38,748 | ||
| Total assets |
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| Accounts payable and accrued expenses |
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| Total deferred revenue | 126,090 | 132,291 | ||
| Total deferred rent | 4,037 | 5,198 | ||
|
Total stockholders' equity (63.7 million and 52.5 million common
shares issued and outstanding and at |
270,347 | 134,053 | ||
| Total liabilities and stockholders' equity |
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This selected financial information should be read in conjunction with
the consolidated financial statements and notes thereto included in
Alnylam's Annual Report on Form 10-K which includes the audited
financial statements for the year ended
Vice
President, Investor Relations and
or
Vice President, Finance and Treasurer
Source:
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Chief Corporate Communications Officer media@alnylam.com 617-682-4340
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VP, Investor Relations & Corporate Communications investors@alnylam.com 617-551-8276
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