UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 8-K

 

CURRENT REPORT

Pursuant to Section 13 or 15(d)

of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): July 23, 2018

 

Reata Pharmaceuticals, Inc.

(Exact name of registrant as specified in its charter)

 

 

Delaware 

(State or other jurisdiction of
incorporation or organization)

001-37785

(Commission File Number)

11-3651945
(I.R.S. Employer
Identification No.)

2801 Gateway Drive; Suite 150

Irving, TX 75063

(Address of principal executive offices, including zip code)

(972) 865-2219

(Registrant’s telephone number, including area code)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 

 

 


 

Item 8.01. Other Events.

On July 23, 2018, Reata Pharmaceuticals, Inc. (the “Company”) issued a press release reporting data from two Phase 2 studies of bardoxolone methyl in patients with chronic kidney disease (“CKD”).  The Company reported one-year results for the Phase 2 portion of CARDINAL, a study of bardoxolone in patients with CKD due to Alport syndrome, and final results for the Phase 2 autosomal dominant polycystic kidney disease (“ADPKD”) cohort of PHOENIX. A copy of the press release is attached as Exhibit 99.1 and incorporated herein by reference.

The Company plans to hold a conference call on July 23, 2018, at 8:00 a.m. EDT to discuss these results. Information about how to access the conference call is in the press release attached as Exhibit 99.1. The presentation slides that are to be used in connection with the conference call are attached as Exhibit 99.2 and incorporated herein by reference.

Cautionary Note Regarding Forward-Looking Statements

This Current Report on Form 8-K and oral statements made with respect to information contained in this report may contain certain disclosures that contain “forward-looking statements,” including, without limitation, statements regarding the success, cost and timing of our product development activities and clinical trials, our plans to research, develop and commercialize our product candidates, and our ability to obtain and retain regulatory approval of our product candidates.  You can identify forward-looking statements because they contain words such as “believes,” “will,” “may,” “aims,” “plans,” and “expects.”  Forward-looking statements are based on the Company’s current expectations and assumptions.  Because forward-looking statements relate to the future, they are subject to inherent uncertainties, risks, and changes in circumstances that may differ materially from those contemplated by the forward-looking statements, which are neither statements of historical fact nor guarantees or assurances of future performance.  Important factors that could cause actual results to differ materially from those in the forward-looking statements include, but are not limited to, (i) the timing, costs, conduct, and outcome of our clinical trials and future preclinical studies and clinical trials, including the timing of the initiation and availability of data from such trials; (ii) the timing and likelihood of regulatory filings and approvals for our product candidates; (iii) the potential market size and the size of the patient populations for our product candidates, if approved for commercial use, and the market opportunities for our product candidates; and (iv) other factors set forth in the Company’s filings with the U.S. Securities and Exchange Commission, including its Annual Report on Form 10-K, under the caption “Risk Factors.”  The forward-looking statements speak only as of the date made and, other than as required by law, we undertake no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise.

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Item 9.01. Financial Statement and Exhibits.

 

(d) Exhibits

Exhibit No.

  

Description

 

 

99.1

  

Press release dated July 23, 2018.

99.2

 

Company management presentation slides.

 

 

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SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

 

 

Reata Pharmaceuticals, Inc.

 

 

 

 

Date: July 23, 2018

 

By:

/s/ J. Warren Huff

 

 

 

J. Warren Huff

 

 

 

Chief Executive Officer

 

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Exhibit 99.1

 

 

REATA ANNOUNCES POSITIVE PHASE 2 DATA FOR BARDOXOLONE METHYL IN CKD CAUSED BY ALPORT SYNDROME AND AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE

statistically Significant improvement in kidney function Maintained in alport syndrome patients after 48 weeks of treatment

statistically significant retained benefit of 4.1 ml/min in alport syndrome patients following 48 weeks of treatment and 4 weeks of drug withdrawal

statistically significant improvement in kidney function OBSERVED in adpkd PATIENTS AFTER 12 WEEKS OF TREATMENT

Conference Call with management scheduled for today July 23 rd at 8:00 am ET

IRVING, Texas—July 23, 2018 —Reata Pharmaceuticals, Inc. (Nasdaq: RETA) , a clinical-stage biopharmaceutical company, today announced results from two Phase 2 studies of bardoxolone methyl (bardoxolone) in patients with chronic kidney disease (CKD).  Reata reported positive one-year results for the Phase 2 portion of CARDINAL, a study of bardoxolone in patients with CKD due to Alport syndrome, and positive final results for the Phase 2 autosomal dominant polycystic kidney disease (ADPKD) cohort of PHOENIX.

In the Phase 2 portion of CARDINAL, significantly increased estimated glomerular filtration rate (eGFR) at Week 48 from baseline (n=25) of 10.4 mL/min/1.73 m 2 (p<0.0001) was observed in patients treated with bardoxolone.  Reata collected historical eGFR data for 22 out of the 25 Phase 2 study subjects.  The historical eGFR data demonstrate that the Phase 2 study subjects’ kidney function was declining at an average annual rate of 4.2 mL/min/1.73 m 2 prior to study entry.  The observed 10.4 mL/min/1.73 m 2 improvement after one year of treatment with bardoxolone represents a recovery of approximately two years of average eGFR loss.

Significantly increased eGFR from baseline at Week 52 after withdrawal of active drug for four weeks (the retained eGFR benefit) by a mean of 4.1 mL/min/1.73 m 2 (p<0.05) was also observed with bardoxolone treated patients.  These results provide evidence that bardoxolone may delay or prevent kidney failure.  The U.S. Food and Drug Administration (FDA) has provided Reata with guidance that, in Alport syndrome patients, a significant improvement in placebo-corrected retained eGFR after one year of bardoxolone treatment may support accelerated approval and, after two years of bardoxolone treatment, may support full approval.  

With respect to safety in the Phase 2 portion of CARDINAL, no treatment-related serious adverse events have been reported, and the reported adverse events have generally been mild to moderate in intensity.  Twenty-five patients were available for the analysis, and no discontinuations were due to bardoxolone treatment.

In the Phase 2 ADPKD cohort of PHOENIX, significantly increased eGFR at Week 12 from baseline, which was the primary endpoint of the study, of 9.3 mL/min/1.73 m 2 (p<0.0001) was observed in bardoxolone treated patients.  Reata

 


 

 

 

collected historical eGFR data for 29 of the 31 Phase 2 study subjects.  The historical eGFR data demonstrate that these subjects’ kidney function was declin ing at an average annual rate of 4.8 mL/min/1.73 m 2 prior to study entry.  The observed 9.3 mL/min/1.73 m 2 improvement after 12 weeks of treatment with bardoxolone represents a recovery of approximately two years of average eGFR loss .

With respect to safety in the Phase 2 ADPKD cohort of PHOENIX, no treatment-related serious adverse events were reported, and the reported adverse events were generally mild to moderate in intensity.  Twenty-eight patients were available for the analysis, and only one patient (3%) discontinued for a treatment-related adverse event of fatigue.

“The results announced today add to the large body of clinical evidence that bardoxolone treatment has the potential to prevent or delay kidney failure in rare forms of chronic kidney disease” said Warren Huff, Reata’s President and Chief Executive Officer.  “Importantly, today’s CARDINAL data demonstrate that one year of bardoxolone treatment can improve kidney function in Alport syndrome patients that have had progressive loss of kidney function while on standard of care.  Further, the magnitude of the observed retained eGFR benefit after withdrawal of drug versus the historical rate of eGFR loss suggests that the Phase 3 portion of CARDINAL is conservatively powered with respect to the key secondary endpoint of retained eGFR benefit.  Additionally, the eGFR increase at Week 12 observed in patients with ADPKD suggests that long-term improvements from treatment with bardoxolone in other forms of CKD may translate to patients with ADPKD.”

Reata management will host a call to discuss these results today, July 23, 2018 at 8:00 a.m. ET.

 

CONFERENCE CALL INFORMATION

 

Date:

Monday, July 23, 2018

Time:

8:00 a.m. E.T.

Audience Dial-in (toll-free):

(844) 348-3946

Audience Dial-in (international):

(213) 358-0892

Passcode:

4992288

Webcast Link:

https://edge.media-server.com/m6/p/uyivv65d

About the Retained eGFR Benefit Analysis

FDA has accepted for approval in rare forms of CKD the placebo-corrected “retained eGFR benefit” after withdrawal of drug.  The “on treatment” eGFR improvement is the true clinical benefit to the patient, but FDA requires additional evidence that an intervention may delay kidney failure.  Withdrawal of drug after long-term treatment provides evidence that a drug either protected or harmed the kidney during treatment.  If retained eGFR is higher than placebo, the drug treatment protected kidney function, and if retained eGFR is lower than placebo, the drug treatment harmed kidney function.  A positive retained eGFR benefit provides evidence that drug treatment may delay kidney failure.  In April 2018, the FDA approved tolvaptan for ADPKD on a placebo-corrected (but below baseline) retained eGFR benefit of 1.27 mL/min/1.73 m 2 (tolvaptan: -2.34, placebo: -3.61; Torres et al NEJM 2017).

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About the CARDINAL Clinical Study

CARDINAL is an international, multi-center, Phase 2/3 study enrolling patients from 12 to 60 years old with a confirmed genetic or histological diagnosis of Alport syndrome, baseline eGFR values between 30 to 90 mL/min/1.73 m 2 , and on stable renin-angiotensin-aldosterone system blockade unless contraindicated.  The Phase 2 portion of CARDINAL is open-label and enrolled 30 patients.  The Phase 3 portion of CARDINAL is double-blind, placebo-controlled, and will randomize approximately 150 patients on a 1:1 basis to once-daily, oral bardoxolone or placebo.  

The Phase 3 primary efficacy endpoint is the on-treatment eGFR change from baseline in bardoxolone-treated patients relative to placebo at Week 48.  The key secondary endpoint of the Phase 3 portion of the trial is the change from baseline in retained eGFR benefit after 48 weeks on-treatment and four weeks off-treatment relative to placebo and is designed to demonstrate that bardoxolone has disease-modifying activity in Alport syndrome patients.  Based upon guidance from the FDA, the 52-week retained eGFR benefit data may support accelerated approval under subpart H.  After withdrawal, patients will be restarted on study drug with their original treatment assignments and will continue on study for a second year.  The second-year on-treatment eGFR change will be measured after 100 weeks and the retained eGFR benefit will be measured after withdrawal of drug for four weeks at Week 104.  Based upon guidance from the FDA, the year-two retained eGFR benefit data may support full approval.

About the PHOENIX Clinical Study

The Phase 2 PHOENIX program is studying bardoxolone in patients with ADPKD, IgA nephropathy, focal segmental glomerulosclerosis, and CKD associated with type 1 diabetes. Patients receive bardoxolone open-label, orally, once-daily for 12 weeks, and the primary efficacy endpoint is change from baseline in eGFR after 12 weeks of treatment.  Endpoints will be assessed for each cohort separately.

About Alport Syndrome

Alport syndrome is a rare, genetic form of CKD caused by mutations in the genes encoding type IV collagen, which is a major structural component of the glomerular basement membrane (GBM) in the kidney.  The abnormal expression of type IV collagen causes loss of GBM integrity, abnormal leakage of proteins through the GBM, and excessive reabsorption of protein in the proximal tubules of the kidney.  Like other forms of CKD, excessive reabsorption of protein in the tubules induces oxidative stress, chronic inflammation, and renal interstitial inflammation and fibrosis.

Alport syndrome affects approximately 30,000 to 60,000 people in the United States according to the Alport Syndrome Foundation.  A majority of patients with Alport syndrome develop CKD and approximately 50% of male patients with x-linked disease require dialysis or a kidney transplant by the age of 25.  There are currently no approved therapies to treat Alport syndrome.

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About Autosomal Dominant Polycystic Kidney Disease

ADPKD is a genetic form of CKD caused by mutations in PKD1 and PKD2 genes leading to inflammation that stimulates the formation of fluid-filled cysts in the kidneys that cause pain and progressive loss of kidney function.  ADPKD is the leading inheritable cause of kidney failure with an estimated 400,000 patients in the United States.

About Bardoxolone

Bardoxolone is an experimental, oral, once-daily activator of Nrf2, a transcription factor that induces molecular pathways that promote the resolution of inflammation by restoring mitochondrial function, reducing oxidative stress, and inhibiting pro-inflammatory signaling.  The FDA has granted orphan designation to bardoxolone for the treatment of Alport syndrome and pulmonary arterial hypertension.  The European Commission has granted orphan designation in Europe to bardoxolone for the treatment of Alport syndrome.  In addition to CARDINAL and PHOENIX bardoxolone is currently being studied in CATALYST, a Phase 3 trial for the treatment of connective tissue disease-associated pulmonary arterial hypertension and AYAME, a Phase 3 trial for the treatment of diabetic kidney disease.

About Reata Pharmaceuticals, Inc.

Reata is a clinical-stage biopharmaceutical company that develops novel therapeutics for patients with serious or life-threatening diseases by targeting molecular pathways involved in the regulation of cellular metabolism and inflammation.  Reata’s two most advanced clinical candidates, bardoxolone and omaveloxolone, target the important transcription factor Nrf2 that promotes the resolution of inflammation by restoring mitochondrial function, reducing oxidative stress, and inhibiting pro-inflammatory signaling.

Forward-Looking Statements

This press release includes certain disclosures that contain “forward-looking statements,” including, without limitation, statements regarding the success, cost and timing of our product development activities and clinical trials, our plans to research, develop and commercialize our product candidates, and our ability to obtain and retain regulatory approval of our product candidates.  You can identify forward-looking statements because they contain words such as “believes,” “will,” “may,” “aims,” “plans,” and “expects.”  Forward-looking statements are based on Reata’s current expectations and assumptions.  Because forward-looking statements relate to the future, they are subject to inherent uncertainties, risks, and changes in circumstances that may differ materially from those contemplated by the forward-looking statements, which are neither statements of historical fact nor guarantees or assurances of future performance.  Important factors that could cause actual results to differ materially from those in the forward-looking statements include, but are not limited to, (i) the timing, costs, conduct, and outcome of our clinical trials and future preclinical studies and clinical trials, including the timing of the initiation and availability of data from such trials; (ii) the timing and likelihood of regulatory filings and approvals for our product candidates; (iii) the potential market size and the size of

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the patient populations for our product candidates, if approved for commercial use, and the market opportunities for our product candidates; and (iv) other factors set forth in Reata’s filings with the U.S. Securities and Exchange Commission, including its Annual Report on Form 10-K, under the caption “Risk Factors.”  The forward-looking statements speak only as of the date made and, other than as required by law, we undertake no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise.

 

 

Contact

Reata Pharmaceuticals, Inc.

(972) 865-2219

info@reatapharma.com

http://news.reatapharma.com

 

Investor Relations:

Vinny Jindal

Vice President, Strategy

(469) 374-8721

ir@reatapharma.com

 

Media:

Matt Middleman, M.D.

LifeSci Public Relations

(646) 627-8384

matt.middleman@lifescipublicrelations.com

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SLIDE 1

Management call to discuss phase 2 cardinal and phoenix updates Exhibit 99.2

SLIDE 2

Forward-Looking Statements This presentation contains certain “forward-looking” statements that are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. All statements, other than statements of historical or present facts, are forward-looking statements, including statements regarding our future financial condition, business strategy, and plans and objectives of management for future operations. In some cases, you can identify forward-looking statements by terminology such as “believe,” “will,” “may,” “estimate,” “continue,” “aim,” “assume,” “anticipate,” “contemplate,” “model,” “intend,” “target,” “project,” “should,” “plan,” “expect,” “predict,” “could,” “possible,” “seek,” “goal”, “potential,” “hypothesize,” “likely” or the negative of these terms or other similar terms or expressions that concern our expectations, strategy, plans, or intentions. These statements are based on our intentions, beliefs, projections, outlook, analyses, or current expectations using currently available information, are not guarantees of future performance, and involve certain risks and uncertainties. Although we believe that the expectations reflected in these forward-looking statements are reasonable, we cannot assure you that our expectations will prove to be correct. Therefore, actual outcomes and results could materially differ from what is expressed, implied, or forecast in these statements. Any differences could be caused by a number of factors including but not limited to: the success, cost, and timing of our product development activities and clinical trials; our ability to advance our NRF2 activators and other technologies; our ability to obtain and maintain regulatory approval of our product candidates, and limitations and warnings in the label of an approved product candidate; our ability to obtain funding for our operations, including funding necessary to complete further development and commercialization of our product candidates; our plans to research, develop, and commercialize our product candidates; the commercialization of our product candidates, if approved; the rate and degree of market acceptance of our product candidates; the size and growth potential of the markets for our product candidates, and our ability to identify target patient populations and serve those markets, especially for diseases with small patient populations; the success of competing therapies that are or may become available; our expectations regarding our ability to obtain and maintain intellectual property protection for our product candidates; the ability to license additional intellectual property relating to our product candidates and to comply with our existing license agreements; our ability to contract with third-party suppliers and manufacturers and their ability to perform adequately; our ability to attract collaborators with development, regulatory, and commercialization expertise; our ability to attract and retain key scientific or management personnel; our ability to grow our organization and increase the size of our facilities to meet our anticipated growth; the accuracy of our estimates regarding expenses, future revenue, capital requirements, and needs for additional financing; and regulatory developments in the United States and foreign countries. Additional factors that could cause actual results to differ materially from our expectations can be found in our Securities and Exchange Commission filings. Moreover, we operate in a very competitive and rapidly changing environment. New risk factors emerge from time to time, and it is not possible for our management to predict all risk factors, nor can we assess the effects of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in, or implied by, any forward-looking statements. All forward-looking statements included in this presentation are expressly qualified in their entirety by these cautionary statements. The forward-looking statements speak only as of the date made and, other than as required by law, we undertake no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise.

SLIDE 3

Reata is Developing Bardoxolone in Five Rare Forms of CKD Conducting pivotal Phase 2/3 CARDINAL study in Alport syndrome (AS) Conducting Phase 2 PHOENIX study in ADPKD, IgAN, T1D CKD, and FSGS Collectively impact more than 700,000 patients in US One-third of kidney failure patients in the US have a rare form of CKD Today reported data from both CARDINAL and PHOENIX Phase 2 studies CARDINAL one year on-treatment and retained eGFR benefit in AS PHOENIX full Week 12 eGFR data in ADPKD Inflammation and Fibrosis Loss of Kidney Function ESRD, Dialysis, Transplant Chronic Kidney Disease T1D CKD ADPKD Alport Syndrome IgAN FSGS Hyperglycemia Cyst Formation Glomerular Defects Activated IgA Podocytopathy

SLIDE 4

FDA Has Accepted Retained eGFR Benefit for Approval in Rare Forms of CKD The “on-treatment” eGFR improvement is the full clinical benefit to the patient, but FDA requires additional evidence that it will likely delay kidney failure Withdrawal of drug after long-term treatment provides evidence whether an intervention protected or harmed the kidney during treatment If retained eGFR is higher than placebo, the treatment protected kidney function If retained eGFR is lower than placebo, the treatment harmed kidney function A positive retained eGFR benefit: Provides evidence that drug treatment may delay or prevent kidney failure Suggests drug treatment did not improve kidney function through a damaging mechanism In rare forms of CKD, FDA has accepted for approval the placebo-corrected “retained eGFR benefit” after withdrawal of drug FDA approved tolvaptan for ADPKD on a placebo-corrected (but below baseline) retained eGFR benefit of 1.27 ml/min1,2 1Units of ml/min/1.73 m2 are represented as ml/min throughout this presentation; 2Torres 2017

SLIDE 5

CARDINAL: Phase 2/3 Trial Design CARDINAL Phase 2 is open-label and enrolled 30 patients Reported at ASN 2017 that study achieved primary endpoint of statistically significant eGFR improvement from baseline after 12 weeks of treatment Patients to be followed for two years CARDINAL pivotal Phase 3 enrolling up to 150 patients Same eligibility criteria and treatment schedule as Phase 2 Potential accelerated approval on retained eGFR after one year of treatment and drug withdrawal Potential full approval on retained eGFR after 2 years of treatment and drug withdrawal Primary data expected 2H19 Week12 Week 48 Week 52 Off Study Drug Week 100 Baseline UACR ≤ 300 mg/g Baseline UACR > 300 mg/g Week 104 Off Study Drug Day 1 W/D Placebo (Phase 3 only) Placebo (Phase 3) Bard: 5 mg Bard: 5 mg 10 mg 10 mg 20 mg 30 mg 20 mg Bard: 30 mg Bard: 20 mg R Screen Dose-Titration Period Maintenance W/D Maintenance

SLIDE 6

Baseline Characteristics, Historical eGFR Decline Data and Patient Disposition CARDINAL baseline characteristics representative of AS population Collected historical eGFR data for 3 years prior to study initiation 22 of 25 Phase 2 patients Average annual eGFR loss prior to study of ~4.2 ml/min Historical eGFR trend consistent with AS natural history study demonstrating average annual loss of 4 ml/min1 CARDINAL Phase 2 patients’ kidney function was, on average, actively declining prior to study entry despite receiving standard of care High retention rate through one year in CARDINAL 25/30 (83%) patients available for analysis No discontinuations due to drug-related adverse events Characteristic Total (N=25) Age, years (mean ± SD) 45 ± 12 Baseline eGFR, ml/min (mean ± SD) 56 ± 24 Baseline UACR, mg/g (geometric mean) 129 Receiving ACEi or ARB (n,%) 21 (84%) 1ASN 2016; Poster FR-PO636 CARDINAL Phase 2 Baseline Characteristics Years Prior to CARDINAL Entry -3 -2 -1 Average Mean eGFR Decline (ml/min) -4.3 -3.3 -5.4 -4.2 CARDINAL Phase 2 Historical eGFR (n=22)

SLIDE 7

Statistically Significant eGFR Improvement Observed in Bard Treated Patients That Historically Declined ~4.2 ml/min Improvement after one year of treatment represents recovery of approximately two years of average loss Week 12 eGFR increase positively correlates with Week 48 eGFR increase (r=0.52; p=0.01) CARDINAL Initiation -4.2 ml/min per year (n=22) CARDINAL Historical Average eGFR Decline Bard Week 48 ΔeGFR +10.4 ml/min n=25, p<0.0001

SLIDE 8

Statistically Significant Retained eGFR Benefit Observed in Bard Treated Patients Mean retained eGFR benefit at Week 52 of 4.1 ml/min (p<0.05) Bard treatment demonstrated a retained eGFR benefit after withdrawal of drug suggesting that: Bard protected kidney function during treatment Bard did not improve kidney function through a damaging mechanism Phase 3 modeling1 assumes: Phase 2 retained eGFR benefit of 4.1 ml/min will replicate in Phase 3 Bard patients Phase 2 patients’ observed mean historical eGFR loss of 4.2 ml/min will replicate in Phase 3 placebo patients Phase 3 conservatively powered to detect placebo-corrected retained eGFR benefit of 2.2 ml/min at 150 patients FDA approved tolvaptan in rare form of CKD (ADPKD) based on placebo-corrected retained eGFR of 1.27 ml/min 1Modeled changes are not intended as a forecast of probable results. No assurance is given about the results that will be obtained. CARDINAL Phase 2 Patients Historical Average Yearly Decline Rate: -4.2 ml/min Observed Retained Benefit: + 4.1 ml/min Phase 3 Min. Detectable Difference

SLIDE 9

Urinary Protein Not Significantly Changed at Weeks 48 or 52 Urinary protein (UACR) not significantly different from baseline at Weeks 48 or 52 Lack of increase in urinary protein when adjusted for eGFR suggests initial increase in UACR explained by increase in GFR After initial eGFR-based increase, UACR trends down through Week 48 Mean changes clinically insignificant Injury due to hyperfiltration would cause UACR to increase over time 1Uses log-transformation methodology adopted by NKF/FDA/EMA Scientific Working Group to compute changes in albuminuria; 2KDIGO (Kidney Disease Improving Global Outcomes) 2013 classification of albuminuria UACR Over Time1 W/D A1: Normal (<30) UACR Categories2 A2: Microalbuminuria (30-300) A3: Macroalbuminuria (>300) Nephrotic (>3,500)

SLIDE 10

Patient and Investigator Reported Outcomes Show Improvements Patient reported outcomes are being assessed using a seven-point scale Scale includes no change and three gradations of improvement and worsening Patients and investigators assess patients’ clinical status High proportion of patients and investigators report clinical improvement after 48 weeks of Bard treatment Patient Global Impression of Change (PGIC) at Week 48 Clinician Global Impression of Change (CGIC) at Week 48 Worse 4% Worse 4% Improved 78%

SLIDE 11

Phase 2 Summary of Safety Bard well-tolerated with high retention rate through one year No discontinuations due to drug-related adverse events No drug-related SAEs, changes in blood pressure, or fluid overload-events AEs have been generally mild to moderate in intensity Most commonly reported AE is muscle spasms Associated with reductions in CK No safety concerns have been noted by the data monitoring committee (DMC)

SLIDE 12

CARDINAL Phase 2 Data Summary Observed increases in on-treatment eGFR (+10.4 ml/min) and retained eGFR (+4.1 ml/min) for one year in Bard treated patients that historically declined an average of ~4.2 ml/min annually Improvement above baseline in retained eGFR suggests disease-modifying activity Lack of significant proteinuria increase after one year suggests that on-treatment UACR changes are not due to injury 78% of patients reported that they were clinically improved after one year of treatment Bard has been well-tolerated without any safety concerns noted by the DMC Phase 3 conservatively powered and can detect small, placebo-corrected retained eGFR benefit of 2.2 ml/min at 150 patients Patients who have durable increases in eGFR may never need dialysis or a kidney transplant

SLIDE 13

PHOENIX Trial Design Phase 2, open-label, multi-center, US-only trial Four separate cohorts of patients with ADPKD, IgAN, T1D CKD, and FSGS Targeting enrollment of 25 to 30 patients per cohort Primary endpoint is increase in eGFR from baseline at Week 12 Enrolling large range of eGFR (30-90 ml/min) and age (18-65 years old) Today reporting full primary endpoint data for ADPKD cohort Week12 Baseline UACR ≤ 300 mg/g Baseline UACR > 300 mg/g Day 1 Bard: 5 mg Bard: 5 mg 10 mg 10 mg 20 mg 30 mg 20 mg R Screen Dose-Titration Period Maintenance Week 6

SLIDE 14

Prior to Enrollment, ADPKD Patients had Progressive Loss of Kidney Function PHOENIX ADPKD cohort enrolled 31 patients Historical eGFR data from 3 years prior to enrollment collected for 29 of 31 patients Average annual loss of eGFR of 4.8 ml/min prior to study entry PHOENIX Initiation Characteristic Total (N=31) Age, years (mean ± SD) 47 ± 10 Baseline eGFR, ml/min (mean ± SD) 48 ± 14 Baseline UACR, mg/g (geometric mean) 44.4 Receiving ACEi or ARB (n,%) 25 (81%) -4.8 ml/min per year (n=29) ADPKD Historical Average eGFR Decline

SLIDE 15

Statistically Significant Improved eGFR in ADPKD Patients BL eGFR Change from Baseline in eGFR (n=31) WK4 WK12 Mean ± SE 47.7 ± 2.4 6.7 ± 0.9 9.3 ± 1.4 p-value - p<0.0001 p<0.0001 Final data demonstrate statistically significant, time-dependent increase in eGFR of 9.3 ml/min Increase represents recovery of two prior years of average loss based on historical data

SLIDE 16

Urinary Protein Unchanged in ADPKD Patients In ADPKD, the filtration barrier is not damaged and patients had normal to near-normal levels of urinary protein at baseline The filtration barrier remains relatively impermeable to blood protein Changes in GFR would not be expected to meaningfully affect urinary protein unless the filtration barrier was damaged No change in urinary protein despite the large increase in eGFR Suggests that Bard does not damage the filtration barrier and profile is inconsistent with hyperfiltration UACR Over Time A1: Normal (<30) UACR Categories A2: Microalbuminuria (30-300) A3: Macroalbuminuria (>300) Nephrotic (>3,500)

SLIDE 17

ADPKD Patient and Investigator Reported Outcomes Show Improvements Patient reported outcomes are being assessed in PHOENIX 23/30 (77%) patients self-assessed as improved 23/30 (77%) patients were assessed by their clinician as improved Patient Global Impression of Change (PGIC) at Week 12 Clinician Global Impression of Change (CGIC) at Week 12

SLIDE 18

ADPKD Phase 2 Summary of Safety Bard was well-tolerated with 28/31 (90%) completing treatment Only one patient (3%) discontinued prematurely due to a bard-related AE of fatigue No drug-related SAEs AEs were generally mild to moderate in intensity Most commonly reported AE is muscle spasms Associated with reductions in CK No changes in blood pressure or fluid-overload events

SLIDE 19

PHOENIX Phase 2 ADPKD Data Summary Significantly improved eGFR observed in Bard treated ADPKD patients who historically declined an average of ~4.8 ml/min annually No change in urinary protein 77% of patients reported that they were clinically improved Bard well-tolerated without any drug-related SAEs, changes in blood pressure or evidence of fluid overload In other forms of CKD, acute Week 12 improvements in eGFR significantly correlate with eGFR benefit after one year of treatment Data suggest that long-term eGFR improvements and retained eGFR benefit observed in other forms of CKD may translate to patients with ADPKD Plans being developed to advance the ADPKD program into a pivotal, Phase 3 trial

SLIDE 20

Large Body of Clinical Evidence That Bard Treatment May Delay Kidney Failure in CKD Importantly, today’s CARDINAL data showed a positive on-treatment and retained eGFR benefit in AS patients treated with Bard for one year Provides evidence that Bard treatment may delay or prevent kidney failure Suggests eGFR improvement is not through a damaging mechanism such as hyperfiltration Suggests CARDINAL Phase 3 is conservatively powered for key approval endpoint Today’s PHOENIX Phase 2 data showed improved eGFR in patients with ADPKD treated with Bard for 12 weeks Adds to evidence that Bard’s anti-inflammatory activity targets final common pathway of kidney function loss relevant to many forms of CKD Data suggest that long-term eGFR improvements and retained benefit observed in other forms of CKD may translate to patients with ADPKD

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Bard in CKD: Recent Highlights and Key Upcoming Milestones CARDINAL trial in Alport syndrome Released one year Phase 2 data Phase 3 portion of CARDINAL underway Next milestone: One year, pivotal Phase 3 data in 2H19 PHOENIX trial in rare forms of CKD Released complete ADPKD and interim IgAN data Next milestone: 12-week data from IgAN and T1D CKD cohorts in 3Q18 Phase 3 trial in ADPKD Developing plans to advance the program into a pivotal, Phase 3 trial Phase 3 trial in diabetic CKD Phase 3 AYAME trial underway Next milestone: Data in 1H22

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Q&A