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Wedbush PacGrow Healthcare Conference August 11, 2015
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Page 1: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

Wedbush PacGrow Healthcare Conference!August 11, 2015!

!

Page 2: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!Forward Looking Statements!

Any statements in this presentation about future expectations, plans and prospects for Epizyme, Inc. and other statements containing the words "anticipate," "believe," "estimate," "expect," "intend," "may," "plan," "predict," "project," "target," "potential," "will," "would," "could," "should," "continue," and similar expressions, constitute forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995. Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors, including: uncertainties inherent in the initiation of future clinical studies or expansion of ongoing clinical studies; availability and timing of data from ongoing clinical studies; whether interim results from a clinical trial such as the results referred to in this presentation will be predictive of the final results of the trial or the results of future trials; expectations for regulatory approvals to conduct trials or to market products; development progress of the Company’s companion diagnostics, availability of funding sufficient for the Company’s foreseeable and unforeseeable operating expenses and capital expenditure requirements; other matters that could affect the availability or commercial potential of the Company’s therapeutic candidates or companion diagnostics; and other factors discussed in the "Risk Factors" section of the company’s Form 10-Q filed with the SEC on August 6, 2015, and in our other filings from time to time with the SEC. In addition, the forward-looking statements included in this presentation represent the Company's views as of the date hereof. The Company anticipates that subsequent events and developments will cause the Company's views to change. However, while the Company may elect to update these forward-looking statements at some point in the future, the Company specifically disclaims any obligation to do so. These forward-looking statements should not be relied upon as representing the Company's views as of any date subsequent to the date hereof. !

2!

Page 3: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!

3!

Epizyme Highlights!Leadership in

HMT Inhibition

First-in-class Inhibitors

Advancing Tazemetostat

Advancing Our Pipeline

IP

Financial Position

Pioneers and leaders in HMT field; pipeline of novel HMT inhibitors!

Two first-in-class HMT inhibitors already in the clinic!

Demonstrated PRs and CRs in DLBCL, FL and INI1-negative tumors; !Registration-supporting Phase II trials underway!

Proprietary efforts and partnerships with leading pharmaceutical companies to advance multiple new targets: Celgene, Eisai, GSK!

Novel compositions of matter through at least 2032!

Ended 2Q15 with $237 million in cash and equivalents: runway through at least the end of 2Q17!

Page 4: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!

4!

Seasoned Management Team with Deep Industry Expertise!

•  20 years at Merck in positions of increasing leadership, including VP of Licensing and External Research!

•  Former Director of Novel Therapeutics at the Broad Institute of MIT and Harvard !

•  B.A. from Spring Arbor College, Ph.D. from University of Iowa!

Robert Gould, Ph.D.!President and CEO!

•  Former Vice President, Cancer Biology at GSK!

•  Held scientific positions of increasing leadership at Merck and BMS!

•  Held faculty position at University of Chicago Pritzker School of Medicine!

•  B.S. from Seton Hall University, Ph.D. from Princeton University !

•  Former Vice President of Oncology Development at J&J!

•  Former Senior Vice President of Oncology at GSK!

•  Former fellow at Dana-Farber, NCI and FDA!

•  B.A. from Johns Hopkins, M.D. and Ph.D. from Yale University School of Medicine!

•  Nearly 20 years of financial experience, with 15 years in life sciences field!

•  Former Managing Director, Healthcare Investment Banking in Life Sciences Group at RBC Capital Markets!

•  B.A. from Yale University, M.B.A. from Harvard Business School!

Robert Copeland, Ph.D.!President of Research!

and CSO!

Andrew Singer!Chief Financial Officer!

Peter Ho, M.D., Ph.D.!Chief Development Officer!

Page 5: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!

5!

Incoming Chief Executive Officer, Rob Bazemore (as of September 10, 2015)!

•  Chief Operations Officer of Synageva through its acquisition in July 2015!

•  President of Janssen Biotech, an immunology and oncology business with over $7 billion in revenues!

•  Extensive experience leading J&J’s largest franchise pipeline strategy, through:!

–  New white space area strategy!–  NME identification & selection!–  Clinical development strategy!–  Product lifecycle management!

•  Experience leading Business Development & Partnership efforts to build a robust Oncology portfolio, including:!

–  Integration of Cougar Biotechnology, and launch of ZYTIGA®!–  Development & commercial partnership with Pharmacyclics, and launch of

IMBRUVICA®!

•  Led some of the most successful launches in Immunology & Oncology!

Rob Bazemore, President and CEO

Designate!

Page 6: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!

•  HMTs are part of a regulatory system that controls gene expression, called epigenetics!

•  HMTs turn gene expression off and on by placing methyl marks on histones!

6!

Pioneers and Leaders in HMT Inhibitors!

Lysine Methyl Transferases (KMTs)!

PRDM14: Breast!

WHSC1: !Multiple Myeloma!

WHSC1L1: Lung, Breast!

NSD1: AML!

SUV39H1:!Colon!

SETDB1:!Melanoma!

EHMT1/2: Lung,

Prostate, HCC!

MLL4: Pancreatic, Glioblastoma!

MLL: Leukemia!

SMYD2: Esophageal Squamous!

SMYD3: Breast, Liver, Colon,

Gastric!

EZH2: NHL, INI1, !Breast, Prostate, Colon, Gastric, Bladder, Liver,

Melanoma!

Arginine Methyl Transferases (RMTs)!

CARM1: Breast,!Prostate!

PRMT1: AML, Glioblastoma!

PRMT5:!Lymphoma! DOT1L: MLL-r!

AML, ALL!

NSUN2:!Breast!

PRMT7:!Breast!

Source: Richon et al. 2011 Chem. Biol. Drug Desi;,Copeland 2011 Drug Discov. Today Ther. Strat., Copeland 2013 Clinical Cancer Research!

EZH1 SETD7! PRMT8!

PRMT3!PRMT6!

•  Epizyme proprietary inhibitors in published patents and applications or submitted abstracts

•  HMT with literature association with cancer

•  Genetic alterations can impact HMT activity, making them oncogenic due to misregulated gene expression!

•  96-member target class!

Page 7: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!Pipeline of First-In-Class Epigenetic Therapeutics: Tazemetostat!

Phase 1 Dose Escalation and Dose Expansion:!NHL and Advanced Solid Tumors!

Tazemetostat (EPZ-6438)!

Clinical Pharmacology: Food Effect!

Phase 2 NHL: 5-Arm Study in Relapsed/Refractory NHL!

Clinical Pharmacology: Drug-Drug Interaction!

Phase 2: Adult INI1-Deficient Tumors!

Phase 1: Pediatric INI1-Deficient Tumors!

2015 Initiation Planned!

n=38 fully enrolled!

n=12 initiation upon completion of enrollment in food effect study!

n=12 initiated March 2015!

n=150!

7!

Phase 1! Phase 2!Preclinical Development!

Initiated!

n=30!n=30!n=30!n=30!n=30!

1.!Germinal Center DLBCL!

Wild type EZH2!

2.! Mutant EZH2!

3.!Follicular Lymphoma!

Wild type EZH2!

4.! Mutant EZH2!

5! Non-Germinal Center DLBCL!

A 5-arm, registration-supporting phase 2 trial of tazemetostat now enrolling patients

Page 8: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!

8!

Pipeline of First-In-Class Epigenetic Therapeutics: Pinometostat & Additional Targets!

Pinometostat (EPZ-5676)!

Phase 1 Dose Escalation and Dose Expansion: Pediatric Acute Leukemias!

GSK Targets!

PRMT5 (and two undisclosed targets)!

Three Undisclosed Targets!

Novel HMT Targets!Solid Tumors and Hematologic Malignancies!

Dose escalation: Under enrollment!

Phase 1! Phase 2!Preclinical Development!

8!

Celgene Targets!

Epizyme is a leader in HMT chemical biology, generating robust matter against 8 novel targets and continuing work on proprietary pipeline against chromatin remodeling targets.

Preclinical Development!

Initiated!

Page 9: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!Multiple Genetic & Pharmacological Factors May Sensitize B-Cell Lymphomas to EZH2 Inhibitors!

9!

Concurrent Treatment with Corticosteroids!

Concurrent Treatment with

BCL2 & 6!Inhibitors!

Concurrent Treatment with !

B-Cell!Signaling Inhibitors!

EZH2!ê!

H3K27me3!

MLL!LoF Muts!

HAT!LoF Muts!

KDM6A!LoF Muts!

EZH2!Hot Spot Muts!

PRC2 Subunit Amp/!Overexpression!

Wild- Type!EZH2!

Wild-Type!EZH2!

Wild- Type &!Mutant!EZH2!

Page 10: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!EPZ-6438 (tazemetostat):Potent and Highly Selective EZH2 Inhibitor!

Selective for EZH2

PKMTs

PRMTs

Novel Structure, Potent Target Inhibition

EPZ-6438: Ki <2.5 nM Selectivity >20,000-fold (100-fold for EZH1) Rodent oral bioavailability: 15-55%

In Vivo Efficacy with Oral Dosing

EZH2 mutations: Sneeringer 2012, Majer 2012, Swalm 2014 EPZ-6438: Knutson 2013, Knutson 2014

0 34

114 324

1140

mg/kg QD

10!

EZH2 Mutations are Gain-of-Function

Page 11: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!

•  EPZ-6438: oral dosing from 100 mg to 1600 mg BID!•  Population: relapsed or refractory B-cell lymphoma or solid tumors!•  Study design: 3+3 dose-escalation!

–  Expansion cohorts at 800 mg (n=6 planned) and 1600 mg (n=6 planned)!–  Food effect sub-study at 400 mg (n=12 planned)!

•  Primary endpoint: determination of RP2D/MTD!•  Secondary endpoints: safety, PK, PD and tumor response (every 8 wks)!•  Data cut-off: 8-Jun-2015!

Dose

(mg BID)!Patients

(n=45)!

Solid tumors

(n=26)!B-cell NHL (n=19)!

100* 6 5 1

200 3 1 2

400 3 2 1

800 14 6 8

1600 12 8 4

Food Effect 7 4 3

First-in-human Phase 1 Trial E7438-G000-001 (NCT01897571)

* 2 formulations

11!

Page 12: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!Patient Tumor Types!

Relapsed or refractory NHL n=19 *

Diffuse large B-cell lymphoma (DLBCL)

GCB 4

non-GCB 6

undetermined 3

Follicular lymphoma (FL) 5

Marginal zone lymphoma (MZL) 1

Relapsed or refractory solid tumor n=26

INI1-deficient tumor 10

GI malignancy 7

GU malignancy 5

Sarcoma 3

CNS tumor 1

* 14 NHL patients tested to date: 13 WT + 1 mutant by cobas® EZH2 Mutation Test (in development, Roche Molecular Systems, Inc.)

12!

Page 13: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!NHL Patient Demographics!

Characteristic Patients (n=19) n (%)

Median age, years (range) 61 (24 - 84)

Sex (M / F) 14 (74) / 5 (26)

# of prior therapeutic regimens

1 2 (10)

2 1 (5)

3 7 (37)

4 2 (10)

>5 7 (37)

Refractory to last prior regimen 7 (37)

Prior autologous hematopoietic cell transplant 5 (26)

13!

Page 14: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!Pharmacokinetics!

•  Rapid absorption (tmax = 1-2 h) with a mean terminal t1/2 = 3 - 5 h •  Dose-proportional Cmax and AUC0-12h at steady-state (day 15) through 1600 mg BID •  Decrease in systemic exposure between day 1 and day 15 with no further reduction

afterwards ‒  42% decrease in AUC0-12h on day 15 vs. day 1 at 800 mg BID ‒  Ctrough levels reach steady-state by day 15

D a y 1 1

2 h

D a y 15 0

h

D a y 15 1

2 h

D a y 29 0

h0

1 0 0

2 0 0

3 0 0

4 0 0

T ro u g h p la s m a c o n c . a t R P 2 D 8 0 0 m g B ID

EP

Z-6

43

8 p

las

ma

co

nc

. (n

g/m

L)

0 3 6 9 1 21

1 0

1 0 0

1 0 0 0

1 0 0 0 0

D a y 1 5

T im e (h )

EP

Z-6

43

8 p

las

ma

co

nc

. (n

g/m

L)

1 0 0 m g (s u s p ) , n = 31 0 0 m g ( ta b ) , n = 32 0 0 m g , n = 34 0 0 m g , n = 38 0 0 m g , n = 1 31 6 0 0 m g , n = 1 1

14!

Page 15: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!

Basale

PK-PD: EZH2 Inhibition in Surrogate Tissue H3K27Me3

Evidence of target inhibition in skin: •  Reduction of H3K27-Me3 IHC signal

observed at week 4 at all doses •  Exposure-dependent reductions in H3K27-

Me3 IHC signal •  Differential effects by epithelial layer

‒  Minimal changes to stratum basale ‒  Pronounced changes in stratum spinosum ‒  Full epithelium represents composite signal

of stratum spinosum and basale

Screening Stratum Spinosum

Stratum Basale

Stratum Spinosum

Stratum Basale

Week 4

Full Epithelium

Full Epithelium

1 0 0 1 0 0 0 1 0 0 0 00 . 4

0 . 6

0 . 8

1 . 0

1 0 0 1 0 0 0 1 0 0 0 00 . 6

0 . 8

1 . 0

1 . 2

1 . 4

1 0 0 1 0 0 0 1 0 0 0 00 . 4

0 . 6

0 . 8

1 . 0

Full Epithelium

Frac

tio

nal

ch

ang

e fr

om

bas

elin

e o

f %

H3

K2

7M

e3 p

osi

tive

cel

ls

Spinosum

100 mg

200 mg

400 mg

800 mg

1600 mg

Day 15 AUC0-last (h*ng/mL) 15!

Page 16: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!Adverse Events!n = 45!

All Events! Treatment-Related!All Grades *! Grade >3! All Grades! Grade >3 ‡

Any patient with AE 42 13 29 5

Asthenia 23 1 10 0

Anorexia 11 2 4 1

Anemia 9 1 4 0

Dyspnea 9 0 0 0

Nausea 8 0 6 0

Constipation 7 0 2 0

Vomiting 6 0 3 0

Thrombocytopenia 6 2 4 1

Dyspepsia 5 0 5 0

Muscle spasm 5 0 2 0

Hypertension 4 1 2 1

Neutropenia 2 1 2 1

Transaminase ↑ 2 1 1 1

Patients with:

DLT (thrombocytopenia) = 1

Dose reduction = 1

Drug discontinuation = 1

Dose interruption = 7

* >10% of patients ‡ all patients

16!

Page 17: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!Overall Best Response: NHL 9/15 Evaluable Patients Have CR+PR!

months 0 6 12 18

Evaluable Patients (n=15)

DLBCL (n=9)

FL (n=5)

MZL (n=1)

CR+PR * 5 3 1

SD 0 1 0

* Cheson criteria / International Working Group

Remains on-study GCB non-GCB

G N

17!

Page 18: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!Target Lesion Activity: NHL!Evolution of Response!

weeks

DLBCL FL MZL

% c

han

ge

fro

m b

asel

ine

months * truncated

*

18!

Page 19: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!CR in Primary Mediastinal B-Cell Lymphoma!

Baseline

Week 40: CR

23 y.o. male 200 mg BID

PD PR Week 16: PR 2014 2013

PD 2015

EPZ-6438: ongoing response week 78

PD Week 40: CR

19!

Page 20: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!CR in Follicular Lymphoma (EZH2wt)!Baseline

78 y.o. male 800 mg BID

Week 60: CR

EPZ-6438: ongoing response week 60

2015 2002 2008 2006 2012 2014 PD PD PR CR Week 16:

PR Week 8:

SD Week 32:

CR CR PD PD

20!

Page 21: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!Response in DLBCL (EZH2Y646H)!

PD PR PR Week 16: PR 2014 2011 2010

SD 2012 2013

PD SD SD 2015 PD

EPZ-6438: ongoing response week 24

53 y.o. female 800 mg BID

Baseline Week 16: PR

Mutant by cobas® EZH2 Mutation Test (in development). Confirmed Y646H by NGS.

21!

Page 22: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!SWI/SNF & PRC2 Effect Chromatin Remodeling in Opposing Manners!

22!

PRC2

SWI/SNF

AEBP2&

SUZ12&RbAp48&

SAM&

SAH&

EZH2&&&&&

EED&

ARID1A/B INI1

SMARCA2/4

ATP ADP

PRC2

SWI/SNF

AEBP2&

SUZ12&RbAp48&

SAM&

SAH&

EZH2&&&&&

EED&

ATP

X

(A) Normal Cells: Balance between PRC2 & SWI/SNF Remodeling of Chromatin

(B) INI1-Deficient Tumors: INI1 Loss Abrogates SWI/SNF Activity. Cells now addicted to PRC2

ARID1A/B

SMARCA2/4

X

INI1 X

Page 23: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!CR in INI1-Negative Malignant Rhabdoid Tumor!

Baseline Week 4

55 y.o. male 800 mg BID

Baseline Week 8

6.7 mm: CR

Week 20 Week 8 Baseline

PD

Surgery + XRT

CR Week 8: CR 2014 2015

Diagnosis

2013

EPZ-6438: ongoing response week 58

23!

Page 24: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!Study Conclusions!

•  EPZ-6438 has an acceptable safety profile!

•  800 mg BID dose confirmed as Recommended Phase 2 Dose!–  Supported by PK, PK/PD in surrogate tissue, safety, efficacy!

•  Impressive efficacy, with 9 of 15 patients NHL patients demonstrating CR or PR!–  PR first observed as early as 2 months and as late 10 months !–  Evolution of objective response (SD → PR, PR → CR) seen in 7 patients!–  Relapsed DLBCL (both GCB and non-GCB) and FL!–  Responses in patients with EZH2 wild-type and mutant tumors!

•  Phase 2 study for DLBCL (GCB and non-GCB) and FL now enrolling!–  Five parallel cohorts based on Cell of Origin and EZH2 mutation status!–  First patient enrolled on 10-June-2015; First patient dosed 9-July-2015!–  Continuing to add countries and study sites!

24!

Page 25: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!Phase 2 NHL Study Initiated; Phase 1 and 2 INI-Negative / Synovial Sarcoma Studies Planned!

25! *Incidence figures for major markets!

Phase 2 Study of EPZ-6438 in Relapsed/Refractory (R/R) B-Cell Non-Hodgkin

Lymphoma!n=150; 800 mg BID!

Initiated: 2Q15 in Europe, Australia!Incidence: 155,000 patients*

R/R Germinal Center DLBCL! Wild-Type EZH2!

n=30!Incidence: 24,000* !

R/R Germinal Center DLBCL!Mutant EZH2!

n=30!Incidence: 6,000*!

R/R Follicular Lymphoma! Wild-Type EZH2 !

n=30!Incidence: 30,000* !

R/R Follicular Lymphoma !Mutant EZH2 !

n=30!Incidence: 6,000*!

R/R Non-Germinal Center !DLBCL !n=30!

Incidence: 89,000*!

!Phase 2 Study of EPZ-6438 in Adult INI1-Negative Tumors and Synovial

Sarcoma!Expected initiation: 2H15!

Incidence: 1,700*

!Phase 1 Study of EPZ-6438 in Pediatric

INI1-Negative Tumors and Synovial Sarcoma!

Expected initiation: 2H15 !Incidence: 700*!

Page 26: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!

•  Strong synergy with:!

–  Corticosteroids!–  Inhibitors of

kinases along B-cell signaling pathway!

26!

Strong Synergy Between Tazemetostat and Multiple Nodes of B-Cell Signal Transduction!

Page 27: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!

27!

Tazemetostat Combination Studies!

•  R-CHOP is standard of care front line therapy for DLBCL !–  R-CHOP components are rituximab, cyclophosphamide, doxorubicin, vincristine and

prednisone!•  Plan to initiate additional trials:!

–  R-CHOP combination!

–  Combination with a B-cell signaling agent or other emerging targeted therapy!

!

Source: Knutson et al (2014) PLOS One!

Page 28: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!

•  Mechanism of Action:!–  DOT1L inhibition (and target H3K79 methyl mark reduction) results in

anti-leukemic effects in cancers with MLL genetic alterations!–  No effects in cancers without MLL alterations!

•  Target indications: MLL-r AML and ALL!–  MLL-r primary indication – genetically defined subset of AML and ALL,

adult and pediatric!–  Orphan drug designation granted in US and EU!

•  Phase 1 MLL-r pediatric patient trial initiated in May 2014!–  Enrolling patients between the ages of 3 months and 18 years to

evaluate safety, PK, PD, with preliminary assessment of efficacy!–  PK modeling from study presented at ASH Annual Meeting 2014!!!

28!

Pinometostat (EPZ-5676)First-in-Class Small Molecule Inhibitor of DOT1L!

Page 29: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!

Inhibitors for >13 targets

Epizyme: A Rich Portfolio of HMT Inhibitors

96 HMTs identified

Genetic ablation techniques Chemical biology

Understanding the pathobiological roles of HMTs in cancer

Impact of small molecule HMT inhibitors

Proprietary collection of small molecule HMT inhibitors

HMT enzymology and structural biology

Pipeline of novel HMT inhibitors

29!

Page 30: Wedbush PacGrow Healthcare Conference - Epizyme · Wedbush PacGrow Healthcare Conference! August 11, ... presentation will be predictive of the final results of the trial or the

11 AUGUST 2015!

2013 Accomplishments!

30!

•  $131 million to date, including equity!•  Worldwide option on two HMT targets and

ex-US option on one HMT target !•  Up to $610 million in potential milestones for

each selected option program !­  $75 million developed-based license payments!­  $365 million regulatory-based milestone

payments!­  $170 million sales-based milestone payments!­  Royalty to low double-digits!

•  Global partnership on pinometostat (EPZ-5676)!­  Epizyme retains all US rights and funds Phase

1 studies!­  Celgene retains ex-US rights and pays royalties

to mid-teens!­  $35 million remaining in potential clinical

milestone payments!­  $100 million remaining in potential regulatory

milestone payments!

Significant Strategic Partnering!

•  Epizyme has global development and commercialization rights ex-Japan!

•  Epizyme made $40 million upfront payment to Eisai!

•  Epizyme pays up to $20 million in clinical milestones and up to $50 million in regulatory milestones!

•  Epizyme pays a mid-teens royalty for sales ex-Japan!

•  Eisai pays a mid-teens royalty for sales in Japan!

•  Partnership completed; $53 million to date!

•  Epizyme delivered compounds against three targets, including first-in-class PRMT5 inhibitor!

•  GSK has global development and commercialization rights!

•  $620 million in remaining potential milestone payments for all three targets!­  $18 million in potential

preclinical milestone payments!­  $109 million in potential clinical

milestone payments!­  $275 in potential regulatory

milestone payments!­  $218 in potential sales-based

milestone payments!•  WW royalties up to low double

digits!!

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11 AUGUST 2015!

2013 Accomplishments!Epizyme Financial Overview!

•  Ended 2Q2015 with $237 million in cash and cash equivalents!

–  No debt!

–  Expected runway through at least the end of second quarter 2017!

•  Shares outstanding as of June 30, 2015: 41.2 million!

•  Fully diluted shares outstanding as of June 30, 2015: 44.5 million!

!

31!

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11 AUGUST 2015!

2013 Accomplishments!Multiple Catalysts throughout 2015!ü  Completed accrual of 14 patients in EPZ-6438 phase 1 dose expansion cohorts!

ü  Presented updated dose escalation data and initial dose expansion data June 20 at ICML !

–  Present dose expansion data in INI1-negative solid tumors and synovial sarcoma at ESMO on September 26, 2015!

–  Present additional phase 1 data in NHL before the end of 2015!

ü  Presented discovery research on HMT targets at AACR annual meeting: CARM1, SETDB1, SMYD3, PRMT6!

ü  Initiated EPZ-6438 phase 2 studies!ü  Five-arm NHL study with prospective stratification of EZH2 mutant and wild type patients,

germinal and non-germinal center: initial data expected mid-2016!

–  Initiate INI1-negative and synovial sarcoma phase 2 adult study and phase 1 pediatric study later in 2015!

•  Complete enrollment in food effect study and initiate drug-drug interaction study; present data from both studies 2H15!

•  Complete enrollment in EPZ-5676 phase 1 pediatric study expected in 2H15!–  Present data in late 2015 / early 2016!

•  Patent publications and issuances expected in 2015!!

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11 AUGUST 2015!

2013 Accomplishments!

www.epizyme.com!


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