Dicerna Pharmaceuticals
Annual Report 2016

Plain-text annual report

DICERNA PHARMACEUTICALS INC FORM 10-K (Annual Report) Filed 03/30/17 for the Period Ending 12/31/16 Address Telephone CIK 87 CAMBRIDGEPARK DRIVE CAMBRIDGE, MA 02140 617 621 8097 0001399529 Symbol DRNA SIC Code Industry 2834 - Pharmaceutical Preparations Pharmaceuticals Sector Healthcare Fiscal Year 12/31 http://www.edgar-online.com © Copyright 2017, EDGAR Online, Inc. All Rights Reserved. Distribution and use of this document restricted under EDGAR Online, Inc. Terms of Use. Table of Contents UNITED STATESSECURITIES AND EXCHANGE COMMISSIONWashington, DC 20549 Form 10-K ☒ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.For the fiscal year ended December 31, 2016or ☐TRANSITION REPORTS PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.For the transition period from                  to                Commission File Number: 001-36281 DICERNA PHARMACEUTICALS, INC.(Exact name of registrant as specified in its charter) Delaware 20-5993609(State or other jurisdiction ofincorporation or organization) (IRS EmployerIdentification No.)87 Cambridgepark Drive Cambridge, MA 02140(Address of principal executive offices and zip code)(617) 621-8097(Registrant’s telephone number, including area code) Securities registered pursuant to Section 12(b) of the Act: Title of Each Class Name of Each Exchange on Which RegisteredCommon Stock, $0.0001 par value The NASDAQ Global Select MarketSecurities registered pursuant to Section 12(g) of the Act:None Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☐ No ☒Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes ☐ No ☒Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90days) Yes ☒ No ☐Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted andposted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submitand post such files). Yes ☒ No ☐Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§ 229.405) is not contained herein, and will not be contained, to the best ofregistrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. ☒Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “largeaccelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one): Large accelerated filer ☐ Accelerated filer ☐Non-accelerated filer ☒ (Do not check if a smaller reporting company) Smaller reporting company ☐Indicate by check mark whether the registrant is a shell company (as defined in Exchange Act Rule 12b-2) Yes ☐ No ☒Based on the closing price of the registrant’s Common Stock on the last business day of the registrant’s most recently completed second fiscal quarter, which was June 30, 2016,the aggregate market value of its shares (based on a closing price of $3.00 per share) held by non-affiliates was approximately $39.3 million. Shares of the registrant’s CommonStock held by each executive officer and director and by each entity or person that owned five percent or more of the registrant’s outstanding Common Stock were excluded inthat such persons may be deemed to be affiliates. This determination of affiliate status is not necessarily a conclusive determination for other purposes.As of March 29, 2017, there were 20,794,193 shares of common stock outstanding.DOCUMENTS INCORPORATED BY REFERENCEPortions of the registrant’s definitive proxy statement for its 2017 Annual Meeting of Stockholders are incorporated by reference into Part III hereof. Such proxy statement willbe filed with the Securities and Exchange Commission not later than 120 days after the end of the fiscal year covered by this Annual Report on Form 10-K. Table of ContentsDICERNA PHARMACEUTICALS, INC.2016 ANNUAL REPORT ON FORM 10-KTABLE OF CONTENTS Page PART I Item 1. Business 5 Item 1A. Risk Factors 33 Item 1B. Unresolved Staff Comments 69 Item 2. Properties 70 Item 3. Legal Proceedings 70 Item 4. Mine Safety Disclosures 70 PART II Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities 71 Item 6. Selected Financial Data 73 Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations 74 Item 7A. Quantitative and Qualitative Disclosures About Market Risk 90 Item 8. Financial Statements and Supplementary Data 91 Item 9. Changes in and Disagreements With Accountants on Accounting and Financial Disclosure 114 Item 9A. Controls and Procedures 114 Item 9B. Other Information 115 PART III Item 10. Directors, Executive Officers and Corporate Governance 116 Item 11. Executive Compensation 116 Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters 116 Item 13. Certain Relationships and Related Transactions, and Director Independence 116 Item 14. Principal Accountant Fees and Services 116 PART IV Item 15. Exhibits and Financial Statement Schedules 117 Item 16. Form 10-K Summary 119 Signatures 120 2 Table of ContentsForward-Looking StatementsThis Annual Report on Form 10-K includes “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, andSection 21E of the Securities Exchange Act of 1934, as amended. All statements other than statements of historical fact are “forward-looking statements” forpurposes of this Annual Report on Form 10-K. In some cases, you can identify forward-looking statements by terminology such as “may,” “could,” “will,”“would,” “should,” “expect,” “plan,” “anticipate,” “believe,” “estimate,” “intend,” “predict,” “seek,” “contemplate,” “project,” “continue,” “potential,” “ongoing”or the negative of these terms or other comparable terminology. These forward-looking statements include, but are not limited to, statements about: • our ability to obtain additional funds for our operations; • the initiation, timing, progress and results of our research and development programs, preclinical studies, any clinical trials and Investigational NewDrug (IND) application, New Drug Application (NDA) and other regulatory submissions; • our ability to identify and develop product candidates for treatment of additional disease indications; • our or a collaborator’s ability to obtain and maintain regulatory approval of any of our product candidates; • the rate and degree of market acceptance of any approved product candidates; • the commercialization of any approved product candidates; • our ability to establish and maintain additional collaborations and retain commercial rights for our product candidates in the collaborations; • the implementation of our business model and strategic plans for our business, technologies and product candidates; • our estimates of our expenses, ongoing losses, future revenue and capital requirements; • our ability to obtain and maintain intellectual property protection for our technologies and product candidates and our ability to operate our businesswithout infringing the intellectual property rights of others; • our reliance on third parties to conduct our preclinical studies or any future clinical trials; • our reliance on third party supply and manufacturing partners to supply the materials and components for, and manufacture, our research anddevelopment, preclinical and clinical trial drug supplies; • our ability to attract and retain qualified key management and technical personnel; • our dependence on our existing collaborator, Kyowa Hakko Kirin Co., Ltd. (KHK), for developing, obtaining regulatory approval for andcommercializing product candidates in the collaboration; • our receipt and timing of any milestone payments or royalties under our research collaboration and license agreement with KHK or arrangement withany future collaborator; • our expectations regarding the time during which we will be an emerging growth company under the Jumpstart Our Business Startups Act; • our financial performance; and • developments relating to our competitors or our industry.These statements relate to future events or to our future financial performance and involve known and unknown risks, uncertainties and other factors thatmay cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied bythese 3 Table of Contentsforward-looking statements. Factors that may cause actual results to differ materially from current expectations include, among other things, those set forth in PartI, Item 1A “Risk Factors” below and for the reasons described elsewhere in this Annual Report on Form 10-K. Any forward-looking statement in this AnnualReport on Form 10-K reflects our current view with respect to future events and is subject to these and other risks, uncertainties and assumptions relating to ouroperations, results of operations, industry and future growth. Given these uncertainties, you should not place undue reliance on these forward-looking statements.Except as required by law, we assume no obligation to update or revise these forward-looking statements for any reason, even if new information becomesavailable in the future.This Annual Report on Form 10-K also contains estimates, projections and other information concerning our industry, our business and the markets forcertain drugs, including data regarding the estimated size of those markets, their projected growth rates and the incidence of certain medical conditions. Informationthat is based on estimates, forecasts, projections or similar methodologies is inherently subject to uncertainties and actual events or circumstances may differmaterially from events and circumstances reflected in this information. Unless otherwise expressly stated, we obtained these industry, business, market and otherdata from reports, research surveys, studies and similar data prepared by third parties, industry, medical and general publications, government data and similarsources. In some cases, we do not expressly refer to the sources from which these data are derived.Except where the context otherwise requires, in this Annual Report on Form 10-K, “we,” “us,” “our,” “Dicerna” and the “Company” refer to DicernaPharmaceuticals, Inc. and, where appropriate, its consolidated subsidiaries.TrademarksThis Annual Report on Form 10-K includes trademarks, service marks and trade names owned by us or other companies. All trademarks, service marks andtrade names included in this Annual Report on Form 10-K are the property of their respective owners. 4 Table of ContentsPART I Item 1.BusinessWe are a biopharmaceutical company focused on the discovery and development of innovative subcutaneously delivered ribonucleic acid interference(RNAi)-based pharmaceuticals using our GalXC TM RNAi platform for the treatment of diseases involving the liver, including rare diseases, chronic liver diseases,cardiovascular diseases and viral infectious diseases. Within these therapeutic areas, we believe our GalXC RNAi platform will allow us to build a broad pipelinewith commercially attractive pharmaceutical properties, including a subcutaneous route of administration, infrequent dosing (e.g., dosing that is monthly orquarterly, and potentially even less frequent), high therapeutic index, and specificity to a single target gene.All of our GalXC drug discovery and development efforts are based on the therapeutic modality of RNAi, a highly potent and specific mechanism forsilencing the activity of a targeted gene. In this naturally occurring biological process, double-stranded RNA molecules induce the enzymatic destruction of themessenger RNA (mRNA) of a target gene that contains sequences that are complementary to one strand of the therapeutic double-stranded RNA molecule. TheCompany’s approach is to design proprietary double-stranded RNA molecules that have the potential to engage the enzyme Dicer, the initiation point for RNAi inthe human cell cytoplasm, and initiate an RNAi process to silence a specific target gene. These proprietary molecules are generally referred to as Dicer Substrateshort-interfering RNAs (DsiRNAs). Our GalXC RNAi platform utilizes a particular Dicer Substrate structure configured for subcutaneous delivery to the liver. Dueto the enzymatic nature of RNAi, a single GalXC molecule incorporated into the RNAi machinery can destroy hundreds or thousands of mRNAs from the targetedgene.The GalXC RNAi platform supports Dicerna’s long-term strategy to retain, subject to the evaluation of potential licensing opportunities as they may arise, afull or substantial ownership stake and to invest internally in diseases with focused patient populations, such as certain rare diseases. We see such diseases asrepresenting opportunities that carry high probabilities of success, with easily identifiable patient populations and a limited number of Centers of Excellence tofacilitate reaching these patients, and the potential for more rapid clinical development programs. For more complex diseases with multiple gene dysfunctions andlarger patient populations, we plan to pursue partnerships that can provide the enhanced scale, resources and commercial infrastructure required to maximize theseprospects.Development ProgramsIn choosing which development programs to advance, we apply scientific, clinical, and commercial criteria that we believe allow us to best leverage ourGalXC RNAi platform and maximize value. To date the Company has launched its efforts directed to four therapeutic programs: DCR-PHXC for the treatment ofprimary hyperoxaluria (PH) type 1 (PH1), DCR-PCSK9 for the treatment of hypercholesterolemia, DCR-HBV for the treatment of chronic hepatitis B virus (HBV)infection, and an additional program against an undisclosed rare disease. The Company has the capacity to launch up to three programs every year, and intends toadvance five programs into the clinic by the end of 2019. We plan to file our first IND application and/or Clinical Trial Application (CTA) for our GalXC productcandidates at the end of 2017, followed by additional INDs in 2018 and 2019. 5 Table of ContentsThe table below sets forth the stage of development of our various product candidates as of March 29, 2017. Our current development programs are as follows: • Primary Hyperoxaluria Type 1 (PH1). We are developing DCR-PHXC for the treatment of PH1. PH1 is a rare inborn error of metabolism in whichthe liver produces excessive levels of oxalate, which in turn causes damage to the kidneys and to other tissues in the body. In preclinical models of PH,DCR-PHXC reduces oxalate production to near-normal levels, ameliorating the disease condition. DCR-PHXC is in preclinical development, and hasadvanced into IND-enabling studies. We plan to file an IND submission and/or CTA for DCR-PHXC in late 2017 and commence human clinical trialsin the first quarter of 2018.To facilitate DCR-PHXC development, we continue to advance our P rimary HY peroxaluria O bservational S tudy (PHYOS), an international,multicenter, observational study in patients with a genetically confirmed diagnosis of PH1. PHYOS is collecting data on key biochemical parametersimplicated in the pathogenesis of PH1. We hope to use the data to better understand the baseline PH1 disease state, which will help guide long-termdrug development plans.In the third quarter of 2016, we announced that we had transitioned our PH1 program to DCR-PHXC from DCR-PH1, a lipid nanoparticle (LNP)formulated RNAi compound. DCR-PH1 was being studied in two clinical trials, DCR-PH1-101 in patients with PH1 and DCR-PH1-102 in normalhealthy volunteers (NHVs). Both studies have been discontinued, and in November 2016, our licensing and collaboration agreement with ArbutusBiopharma Corporation (formerly Tekmira Pharmaceuticals Corporation) (Arbutus) to license Arbutus’ LNP delivery technology for exclusive use inour PH1 development program terminated in accordance with its terms.We presented initial data from the NHV study at the 17th Congress of the International Pediatric Nephrology Association (IPNA) in Iguaçu, Brazil onSeptember 22, 2016. We believe these data provide the proof of concept for the pharmacological activity of RNAi-based therapy in PH1. • Hypercholesterolemia (PCSK9 targeted therapy). We are using our GalXC RNAi platform to develop a therapeutic that targets the proproteinconvertase subtilisin/kexin type 9 (PCSK9) gene for the treatment of hypercholesterolemia. Based on the Company’s candidate development workduring the fourth quarter of 2016, Dicerna is positioned to advance DCR-PCSK9, which targets the PCSK9 gene and is indicated for the treatment ofstatin-refractory patients with hypercholesterolemia, into formal preclinical development. PCSK9 is a validated target for hypercholesterolemia, andthere are United States (U.S.) Food and Drug Administration (FDA)-approved therapies targeting PCSK9 that are based on monoclonal antibody(MAb) technology. Based on preclinical studies, we believe that our GalXC RNAi platform can produce a PCSK9-targeted therapy with moreattractive commercial STAGES OF DEVELOPMENT PRODUCT CANDIDATE INDICATION RESEARCH PRECLINICAL CLINICAL POC STUDIES DCR-PHXC Primary Hyperoxaluria Undisclosed Rare Disease DCR-PCSK9 Cardiovascular Disease DCR-HBV Hepatitis B Virus Undisclosed Cardiovascular Disease Undisclosed Chronic Liver Disease Our 6 Table of Contents properties than existing MAb therapies, based on comparatively smaller subcutaneous injection volumes and less frequent dosing, while providingequal or superior control of serum cholesterol. • An undisclosed rare disease involving the liver. We are developing a GalXC-based therapeutic, targeting a liver-expressed gene involved in aserious rare disease. For competitive reasons we have not yet publicly disclosed the target gene or disease. We have selected this target gene anddisease based on criteria that include having a strong therapeutic hypothesis, a readily-identifiable patient population, the availability of a potentiallypredictive biomarker, high unmet medical need, favorable competitive positioning, and what we believe is a rapid projected path to approval. We planto file an IND and/or CTA for this program in the second quarter of 2018. • Chronic Hepatitis B Virus infection: Based on our candidate development work during the fourth quarter of 2016, we are positioned to advanceDCR-HBV, which targets the HBV directly, into formal preclinical development. We are using our GalXC RNAi platform to investigate potentialpharmaceutical treatments for HBV. Current therapies for HBV rarely lead to a long-term immunological cure as measured by the clearance of HBVsurface antigen (HBsAg) and sustained HBV deoxyribonucleic acid (DNA) suppression. Based on preclinical studies, we believe that our GalXCRNAi platform can produce an experimental HBV-targeted therapy that eliminates HBsAg expression in HBV patients and that has the potential to bedelivered in a commercially attractive subcutaneous dosing paradigm.In addition to our GalXC development programs, we have partnered our early generation, non-GalXC RNAi technology against two targets, the KRASoncogene and an additional undisclosed gene, with the global pharmaceutical company, KHK, to use for development in oncology and formulated using KHK’sproprietary drug delivery system. KHK is responsible for global development of the KRAS program, including all development expenses. For the KRAS productcandidate, we retain an option to co-promote in the U.S. for an equal share of the profits from U.S. net sales. We are also developing, with KHK, a therapeuticcandidate targeting a second cancer-related gene, which we are not identifying at this time. For each product candidate in our collaboration with KHK, we have thepotential to receive clinical, regulatory and commercialization milestone payments of up to $110.0 million and royalties on net sales of each such productcandidate. KHK is responsible for all preclinical and clinical development activities, including the selection of patient population and disease indications forclinical trials. According to information received from KHK, both product candidates are in preclinical development.We also have developed a wholly owned clinical candidate, DCR-BCAT, targeting the b -catenin oncogene. DCR-BCAT is based on an extended version ofour earlier generation Dicer Substrate RNAi technology and is delivered by our LNP tumor delivery system, EnCore TM . We plan to out-license or spin out theDCR-BCAT opportunity, given our focus on our GalXC platform-based programs.StrategyWe are committed to delivering transformative therapies based on our GalXC RNAi platform to patients with rare inherited diseases involving the liver andfor other therapeutic areas involving the liver such as chronic liver diseases, cardiovascular diseases, and viral infectious diseases. We have qualified dozens ofdisease-associated genes in clinical indications where we believe an RNAi-based inhibitor may provide substantial benefit to patients, providing expansivetherapeutic opportunities. In addition, Dicerna has developed hits and/or optimized GalXC conjugate inhibitors against almost 40 of these qualified targets.The key elements of our strategy are as follows. • Create new programs in indication areas with high unmet medical need. We intend to continue to use our proprietary GalXC RNAi technologyplatform to create new, high value pharmaceutical programs. Our primary focus will remain: (1) rare inherited diseases involving the liver; and(2) other therapeutic areas involving the liver such as chronic liver diseases, cardiovascular diseases, and viral infectious diseases. 7 Table of Contents • Validate our product candidates and our platform in clinical proof-of-concept studies. We believe data from the DCR-PH1-102 clinical trial inNHVs provide the proof of concept for the pharmacological activity of RNAi-based therapy in PH1. We intend to demonstrate clinicalproof-of-concept for DCR-PHXC (which focuses on the treatment of PH1 as well) and for our other development programs. Based on precedents inthe RNAi field, we are optimistic that our preclinical data showing the significant knockdown of target mRNA activity lasting for up to three monthsafter the last dose and disease biomarker activity, may translate into clinical results for these programs. • Retain significant portions of the commercial rights for certain rare disease programs. We seek to retain a full or substantial ownership stake andinvest internally in disease areas with focused patient populations, such as certain rare diseases, as we see such diseases representing opportunities thatcarry high probabilities of success, have easily identifiable patient populations and a limited number of Centers of Excellence to facilitate reachingthese patients, and have the potential for more rapid clinical development programs. For more complex diseases with multiple gene dysfunctions andlarger patient populations, we plan to pursue partnerships that can provide the enhanced scale, resources and commercial infrastructure required tomaximize these prospects. • Enter into additional partnerships with pharmaceutical companies either on our GalXC RNAi technology platform or specific indications ortherapeutic areas. We may choose to establish partnerships with pharmaceutical companies across multiple programs or indication areas dependingon the attractiveness of the opportunities. These partnerships may provide us with further validation of our technology platform, funding to advanceour proprietary product candidates, and/or access to development, manufacturing and commercial capabilities. • Continue to invest in our RNAi technology platform and intellectual property. We plan to continue to invest in expanding and improving ourGalXC RNAi platform technology. We believe we have a robust patent portfolio covering our proprietary GalXC RNAi platform and other RNAitechnologies. As of March 29, 2017, our patent estate, not including the patents and patent applications we have licensed, included over 20 issuedpatents or allowed patent applications and over 100 pending patent applications supporting commercial development of our RNAi molecules anddelivery technologies. • Leverage the experience and the expertise of our executive management team. To execute on our strategy, we have assembled an executivemanagement team that has extensive experience in the biopharmaceutical industry. In addition, various members of our management team and ourboard of directors have contributed to the progress of the RNAi field through their substantial involvement in companies such as Cephalon Inc., GentaInc., GlaxoSmithKline plc, Pfizer Inc., Sanofi, Sirna Therapeutics, Inc. (Sirna), and other companies. Our co-founder and chief executive officer,Douglas M. Fambrough III, Ph.D., was a lead venture capital investor and board member of Sirna, an early RNAi company acquired by Merck & Co.,Inc. (Merck) in 2006 for $1.1 billion.Recent DevelopmentsOn March 30, 2017, we entered into a redeemable convertible preferred stock purchase agreement (SPA) with seven institutional investors (Investors), led byfunds advised by Bain Capital Life Sciences L.P. (Lead Investor), pursuant to which we agreed to issue and sell in a private placement 700,000 shares of our newlydesignated Redeemable Convertible Preferred Stock, par value $0.0001 per share (Redeemable Convertible Preferred), at a purchase price of $100.00 per share, fortotal gross proceeds of $70.0 million (Private Placement). Other participants in the financing include EcoR1 Capital, Cormorant Asset Management, RA Capital,Domain Associates and Skyline Ventures, among others. The Private Placement is expected to close on or before April 11, 2017, subject to the satisfaction ofcustomary closing conditions.We plan to file a Certificate of Designation of Redeemable Convertible Preferred Stock (Certificate of Designation) with the Secretary of State of the Stateof Delaware establishing that each share of Redeemable Convertible Preferred will have a stated value of $100.00 (Stated Value). Pursuant to the Certificate ofDesignation, we shall have the right to require the Investors to convert the Redeemable Convertible Preferred 8 Table of Contentsinto common stock (Mandatory Conversion), at any time following the earlier of (i) the second anniversary of the closing of the Private Placement or (ii) theoccurrence of both of the following: (a) (1) the time that we first administer, after the issue date, a dose of a pharmaceutical product candidate (which such productcandidate shall be one of the following candidates, or a variation thereof: DCR-PHXC, DCR-PCSK9 or the undisclosed rare disease program currently in pre-clinical development (each, a Product Candidate)) to a human being pursuant to an IND filed by us with the FDA; or (2) after we have first administered, after theissue date, a dose of a Product Candidate to a human being pursuant to a clinical trial authorization with the Medicine and Healthcare Products Regulatory Agencyin the European Union and an IND relating to such Product Candidate has become effective; and (b) we enter into a partnership or license agreement with a majorcompany in the pharmaceutical or biotechnology industry relating to a non-Product Candidate, pursuant to which such company provides us with an up-front cashpayment of a minimum amount agreed upon by us and the Lead Investor and agrees to customary future milestone and royalty payments, provided, that, in eachcase ((i) and (ii)), the trading price of our common stock exceeds 200% of the Conversion Price, as defined below, for 45 out of the 60 most recent trading days.Our ability to require conversion shall be subject to (i) a 19.99% blocker provision to comply with NASDAQ Listing Rules (19.99% Conversion Blocker), (ii) if soelected by an investor, a 9.99% blocker provision (9.99% Conversion Blocker) that will prohibit beneficial ownership of more than 9.99% of the outstanding sharesof our common stock or voting power at any time, and (iii) applicable regulatory restrictions. The 19.99% Conversion Blocker and the 9.99% Conversion Blockerare hereinafter referred to as the “Conversion Blockers”. “Conversion Price” shall mean an initial price of $3.19 per share, subject to proportionate adjustment forany stock split, stock dividend, combination or other similar recapitalization event.Following the date of a Mandatory Conversion, any shares of Redeemable Convertible Preferred that are not converted as a result of the Conversion Blockersor applicable regulatory restrictions shall continue to be entitled to all of the rights of the holders of Redeemable Convertible Preferred except that they will nolonger be entitled to cumulative dividends, priority distribution of assets upon consummation of a change of control or a liquidation event and certain special votingprovisions.On or at any time following the seventh anniversary of the closing of the Private Placement, (i) we shall also have the right to redeem the RedeemableConvertible Preferred for a cash consideration equal to the sum of the Accrued Value, as of the date of redemption, plus an amount equal to all accrued or declaredand unpaid dividends on the Redeemable Convertible Preferred that have not previously been added to the Accrued Value, and (ii) the holders of a majority of theRedeemable Convertible Preferred shall also have the right to cause us to redeem the Redeemable Convertible Preferred at the same price. “Accrued Value” means,with respect to each share of Redeemable Convertible Preferred, the sum of (i) the Stated Value plus (ii) on each quarterly dividend date, an additional amountequal to the dollar value of any dividends on a share of Redeemable Convertible Preferred which have accrued on any dividend payment date and have notpreviously been added to such Accrued Value.At any time and from time to time at their election, the holders of Redeemable Convertible Preferred will have the option to convert the RedeemableConvertible Preferred into shares of our common stock by dividing (i) the sum of the Accrued Value plus an amount equal to all accrued or declared and unpaiddividends on the Redeemable Convertible Preferred that have not previously been added to the Accrued Value by (ii) the Conversion Price in effect at the time ofsuch conversion. The conversion of shares of Redeemable Convertible Preferred into shares of common stock is subject to the Conversion Blockers.In the event of our liquidation, dissolution or winding up, the holder of each share of Redeemable Convertible Preferred will be entitled to receive, inpreference to the holders of the common stock and any junior preferred stock, an amount per share equal to the greater of (i) the sum of the Accrued Value plus anamount equal to all accrued or declared and unpaid dividends on the Redeemable Convertible Preferred that have not previously been added to the Accrued Value,or (ii) the amount that such shares would have been entitled to receive if they had converted into common stock immediately prior to such liquidation, dissolutionor winding up.Upon consummation of a specified change of control transaction, each holder of Redeemable Convertible Preferred will be entitled to receive in preferenceto the holders of common stock and any junior preferred stock, 9 Table of Contentsan amount equal to the greater of (i) 101% of the sum of the Accrued Value plus an amount equal to all accrued or declared and unpaid dividends on theRedeemable Convertible Preferred that have not previously been added to the Accrued Value, or (ii) the amount that such shares would have been entitled toreceive if they had converted into common stock immediately prior to such event.In addition, for so long as any shares of Redeemable Convertible Preferred remain outstanding, without the approval of holders of a majority of theRedeemable Convertible Preferred, we may not, among other things, (i) amend, modify or fail to give effect to any right of holders of the Redeemable ConvertiblePreferred, (ii) change the authorized number of Redeemable Convertible Preferred or issue additional Redeemable Convertible Preferred or create a new class orseries of equity securities or securities convertible into equity securities with equal or superior rights, preferences or privileges to those of the RedeemableConvertible Preferred in terms of liquidation preference, dividend rights or certain governance rights, (iii) issue shares of common stock or securities convertibleinto common stock while we have insufficient shares to effect the conversion of the Redeemable Convertible Preferred into common stock, (iv) declare or paydividends or redeem or repurchase any capital stock (other than certain repurchases from employees, directors, advisors or consultants upon termination of service)or (v) incur certain indebtedness in excess of $10 million. Except as set forth above or as otherwise required by law, holders of shares of Redeemable ConvertiblePreferred are entitled to vote together with shares of common stock (based on one vote per share of common stock into which the shares of RedeemableConvertible Preferred are convertible on the applicable record date) on any matter on which the holders of common stock are entitled to vote.Upon the effectiveness of the Certificate of Designation, each holder of Redeemable Convertible Preferred will be entitled to receive cumulative dividendson the Accrued Value of each share of Redeemable Convertible Preferred at an initial rate of 12% per annum, compounded quarterly and subject to two ratereductions, of 4% each, upon the occurrence of certain agreed-upon milestone events. Dividends on the Redeemable Convertible Preferred are payable in kind andwill accrue on the Accrued Value of each share of Redeemable Convertible Preferred until the earlier of conversion, redemption, consummation of a change ofcontrol, a liquidation event, or upon failure to mandatorily convert due to the Conversion Blockers or applicable regulatory restrictions.In accordance with the terms of the SPA, on March 28, 2017, our board of directors voted to increase the size of the board from eight directors to ninedirectors and, appointed Adam M. Koppel, M.D., Ph.D., a managing director of the Lead Investor, as a director of our Company, effective immediately following,and contingent upon, the closing of the Private Placement, to fill the resulting vacancy. To the extent such director is not reelected at any time and, so long as theLead Investor owns at least 25% of the Redeemable Convertible Preferred (or underlying common stock) owned by it at the closing of the Private Placement, itshall have the right to designate a board observer.We also expect to enter into an amended and restated registration rights agreement, by and among us and the Investors (Registration Rights Agreement).Pursuant to the Registration Rights Agreement, the Investors will be entitled to certain demand, shelf and “piggyback” registration rights with respect to the sharesof common stock issuable upon conversion of the Redeemable Convertible Preferred, subject to the limitations set forth in the Registration Rights Agreement.The shares of Redeemable Convertible Preferred and the shares of common stock issuable upon conversion of the Redeemable Convertible Preferred areexpected to be offered and sold by us pursuant to an exemption from the registration requirements of the Securities Act provided by Section 4(a)(2) thereunder.Our GalXC RNAi Technology PlatformThe RNAi Therapeutic ModalityAll of our GalXC drug discovery and development efforts are based on the therapeutic modality of RNAi, a highly potent and specific mechanism forsilencing the activity of a targeted gene. In this naturally occurring 10 Table of Contentsbiological process, double-stranded RNA molecules induce the enzymatic destruction of the mRNA of a target gene that contains sequences that arecomplementary to one strand of the therapeutic double-stranded RNA molecule. Our approach is to design proprietary double-stranded RNA molecules that havethe potential to engage the enzyme Dicer and initiate an RNAi process to silence a specific target gene. We refer to these proprietary molecules generally asDsiRNAs. Our GalXC RNAi platform utilizes a particular Dicer Substrate structure configured for subcutaneous delivery to the liver. Due to the enzymatic natureof RNAi, a single GalXC molecule incorporated into the RNAi machinery can destroy hundreds or thousands of mRNAs from the targeted gene.RNAi therapeutics represent a novel advance in drug development. Historically, the pharmaceutical industry has developed small molecules or antibodies toinhibit the activity of disease-causing proteins. This approach is effective for many diseases; nevertheless, many proteins cannot be inhibited by either smallmolecules or antibodies. Some proteins lack the binding pockets small molecules require for interaction. Other proteins are solely intracellular and thereforeinaccessible to antibody-based therapeutics, which are limited to cell surface and extracellular proteins. The novel advantage of RNAi is that instead of targetingproteins, RNAi goes upstream to silence the genes themselves. Rather than seeking to inhibit a protein directly, the RNAi approach is to prevent its creation in thefirst place.We believe our approach to RNAi drug development provides the following qualities and advantages compared to other methods of inducing RNAi. • We initiate RNAi through the Dicer enzyme . Our GalXC molecules are structured to be processed by the enzyme Dicer, the initiation point forRNAi in the human cell cytoplasm. Unlike earlier generation RNAi molecules, which mimic the output product of Dicer processing, all our DsiRNAs,including GalXC molecules, enter the RNAi pathway prior to Dicer processing. This can result in preferential use of the correct strand of a double-stranded RNA molecule, and therefore increase the efficacy of the RNAi mechanism. We have found in animal tests that this benefit both increases thepotency of our GalXC molecules relative to other RNAi-inducing molecules and enables more sequences to be used compared to other RNAi-inducingmolecules. In addition, all our DsiRNAs, including GalXC molecules, have an extended structure relative to conventional RNAi inducing molecules.This extended region presents multiple sites for chemical modification and conjugation compared to earlier RNAi technologies. At these sites, we canuse modifications that enhance the drug-like properties on our molecules. Specifically, we can employ modifications that enhance the pharmacokineticprofile and/or suppress immunostimulatory activity. • Our GalXC RNAi platform enables subcutaneous dosing for delivery to the liver. The GalXC RNAi platform is designed to enable convenientsubcutaneous delivery for our emerging pipeline of liver-targeted RNAi investigational therapies. The GalXC RNAi platform does not involve LNPsor other formulation components that facilitate drug delivery, which simplifies the platform and eliminates any requirement for functional excipients.Instead, our GalXC molecules are stabilized by chemical modifications and utilize a four base sequence known as a tetraloop, where each base isconjugated to a simple sugar, N-acetylgalactosamine (GalNAc), that is specifically recognized by a receptor on the surface of hepatocyte liver cells.With the GalXC RNAi platform, we believe that a full human dose may be administered via a single subcutaneous injection. After injection, theGalXC molecules enter the bloodstream and are exposed to the liver hepatocytes expressing the GalNAc receptor. After binding to the receptor, theGalXC molecules are internalized by the hepatocyte, ultimately enabling the GalXC molecules to access the RNAi machinery inside the hepatocyte.To date, we have demonstrated in vivo gene silencing activity with GalXC molecules after subcutaneous administration against nearly three dozendisease-associated genes in the liver. 11 Table of ContentsOptimization of our GalXC moleculesFor therapeutic use in humans, our GalXC molecules are optimized both with respect to base sequence and chemical modifications to increase stability andmask them from mechanisms that recognize foreign RNAs, inducing immune system stimulation. Our optimization process begins with an analysis of the targetgene sequence using our proprietary GalXC prediction algorithm, which we have developed based on the results of testing thousands of sequences for RNAiactivity. We select the sequences with the highest predicted RNAi activity and apply patterns of chemical modification, including a GalNAc-linked tetraloop stem-loop structure, which design-in enhanced stability and hepatocyte delivery specificity and engineers-out immunostimulatory activity. Our GalXC moleculesroutinely achieve high potencies, with EC50 values in the liver (the amount of material required to silence a target gene by 50 percent) typically in the 0.1 to 1.0milligram per kilogram bodyweight (mg/kg) range in in vivo studies in mice. We have routinely generated GalXC molecules of this potency within 30 days ofdoing the initial algorithmic gene sequence analysis, which allows us to explore a large number of potential target genes when selecting our programs. GalXC molecules yield high-potency gene silencing agents. The data are derived from a single GalXC molecule administered subcutaneously at twodifferent dose levels, resulting in potent gene silencing of the target gene in the liver of monkeys. In this example a dose of either 2.0 (red line) or 4.0 (purple line)milligrams per kilogram bodyweight (mg/kg) yields nearly 90% gene silencing after four monthly subcutaneous doses. At 4.0 mg/kg, the full level of genesilencing was still present three months after the last dose.Our Product CandidatesIn choosing clinical programs to pursue using our GalXC technology, we apply the criteria listed below. We believe that our current development programsmeet most or all of these criteria. • Strength of therapeutic hypothesis. Our current product candidate gene targets, and those we intend to pursue in the future, are a well-understoodpart of the disease process where a therapeutic intervention is likely to have substantial benefit for the patient. • Readily-identified patient population. We seek disease indications where patients can be readily identified by the presence of characteristic geneticmutations or other readily-accessible disease features. In the case of genetic diseases, these are heritable genetic mutations that can be identified withavailable genetic tests. 12 Table of Contents • Predictivity of biomarkers for early efficacy assessment. We seek disease indications where there is a clear relationship between the disease statusand an associated biomarker that we can readily measure. This approach will allow us to determine in early stages of clinical development whether ourGalXC molecules are likely to have the expected biological and clinical effects in patients. • Unmet medical need. We seek to provide patients with significant benefit and alleviation of disease. The indications we choose to approach have highunmet medical need, which is intended to enable us to better access patients and qualify for pricing and reimbursement that justify our developmentefforts. • Competitive positioning. We seek indications where we believe we have the opportunity to develop either a first-in-class product or a clearlydifferentiated therapy. • Rapid development path to approval. To reach commercialization expeditiously and to help ensure our ability to finance development of ourproduct candidates, we have identified indications with the potential for rapid development through marketing approval. Specifically, we believe thatsome of our product candidates have the potential to obtain breakthrough therapy designation as well as accelerated review process from the FDA.DCR-PHXC for PH1In 2016, we announced the first GalXC clinical candidate, DCR-PHXC, which we are developing for the treatment of PH1. PH1 is a rare inborn error ofmetabolism in which the liver produces excessive levels of oxalate, which in turn causes damage to the kidneys and to other tissues in the body. In preclinicalmodels of PH1, DCR-PHXC reduces oxalate production to near-normal levels, ameliorating the disease condition. DCR-PHXC is in preclinical development, andhas advanced into IND-enabling studies. We plan to file an IND and/or CTA for DCR-PHXC in late 2017 and commence human clinical trials in the first quarter of2018.PH is a family of rare, inherited autosomal recessive disorders of metabolism in the liver. The most common and severe form of PH is PH1, which usuallyresults in severe damage to the kidneys. PH1 is caused by the failure of the liver to metabolize a precursor of oxalate, a highly insoluble metabolic end-product inhumans, resulting in excess oxalate production. This oxalate is formed during the metabolic breakdown of hydroxyproline, a naturally occurring component ofcollagen. In individuals with PH1, crystals of calcium oxalate form in the renal tubules, leading to chronic and painful cases of kidney stones and subsequentfibrosis, known as nephrocalcinosis. Despite the typical interventions of a large daily intake of water to dilute the oxalate and other interventions, many patientseventually develop kidney failure (end-stage renal disease, or ESRD) and require transplant. The median age for kidney failure in PH1 patients is 23 years old.While in ESRD, besides having to endure frequent dialysis, patients are afflicted with a build-up of oxalate in the bone, skin, heart, retina, and other tissues withconcomitant debilitating complications, a condition known as systemic oxalosis. Some patients show partial disease amelioration with oral pyridoxinesupplementation, although disease progression usually continues. Supportive care treatments are available, generally with only minor or no effect on diseaseprogression. Currently, aside from dual liver and kidney organ transplantation, there are no highly efficacious therapeutic options for most patients with PH1. Dualliver and kidney transplantation presents a challenge in identifying a donor and is associated with high morbidity and mortality rates. Even in those U.S. patientstreated with dual liver and kidney transplant, five-year post-transplant survival is 64 percent. For patients treated with kidney transplant alone, five-year survival is45 percent.While the true prevalence of PH1 is unknown, according to estimates recently published by the New England Journal of Medicine , the incidence of PH1 isat least one to three per million of population. Based on the frequency of occurrence of disease mutations in the population derived from genome sequencedatabases, the estimated genetic incidence is six and one half (6.5) per million of population, which we believe suggests that PH1 is under-diagnosed. Roughlyconsistent with the genetic incidence estimate, the disease is thought to have an incidence of one per 120,000 live births a year in Europe. Certain populations, forexample in the Canary Islands (Spain) or Kuwait, have higher incidences due to founder effects or consanguinity. We believe over 1,000 13 Table of Contentspatients total are currently in two distinct disease registries in North America and Europe, although these registries do not capture all afflicted patients. Prevalenceis believed to be similar in Asia. Given the severity of PH1, we believe this disease represents a significant market opportunity. The patient advocacy group, theOxalosis and Hyperoxaluria Foundation, based in New York City, New York, seeks to represent patients with PH1.We believe that there is a strong rationale for focusing our RNAi technology on the development of product candidates for the treatment of PH1. Thehydroxyproline breakdown metabolic pathway that is disrupted in PH1 consists of a number of enzymes. The gene encoding the final enzyme in the pathway,alanine-glyoxylate aminotransferase 1 (AGT1), is mutated in patients with PH1. Under normal circumstances, AGT1 metabolizes oxalate precursors into theharmless amino acid glycine, which is then used by the body or excreted. But when AGT1 function is disrupted due to mutation, oxalate begins to build up,resulting in progressive loss of kidney function and, ultimately, kidney failure. DCR-PHXC is designed to block the production of oxalate in patients with PH1.Using DCR-PHXC, and also other GalXC molecules synthesized during the discovery and optimization of DCR-PHXC, we have shown that RNAi can beused to block the production of oxalate in an animal model of PH1. These studies employ mice in which the gene encoding AGT1 has been genetically deleted tocreate an animal model of PH1. Similar to human patients, these mice have elevated levels of oxalate in their urine. A single dose of DCR-PHXC of 5.0 mg/kgdelivered subcutaneously in the animal model of PH1 silences target gene expression by greater than 90% and results in normalization or near normalization ofurinary and plasma oxalate levels. We believe these results, if achievable in patients with PH1, would be highly beneficial.HypercholesterolemiaWe are using our GalXC RNAi platform to develop a therapeutic that targets the PCSK9 gene for the treatment of hypercholesterolemia. PCSK9 is avalidated target for hypercholesterolemia, and there are FDA-approved therapies targeting PCSK9 that are based on monoclonal antibody (MAb) technology.Based on preclinical studies, we believe that our GalXC RNAi platform can produce a PCSK9-targeted therapy with more attractive commercial properties thanexisting MAb therapies, based on comparatively smaller subcutaneous injection volumes and less frequent dosing, while providing equal or superior control ofserum cholesterol.Hypercholesterolemia is characterized by abnormally high blood serum levels of low-density lipoproteins (LDL) and is one of the key known risk factors foratherosclerosis and cardiovascular disease (CVD). Managing hypercholesterolemia by lowering LDL is one of the cornerstones of the strategy to reduce the risk ofCVD morbidity and mortality.The use of statins to lower LDL and reduce CVD morbidity and mortality has been successful although many patients may benefit from additional andalternative therapeutics that more aggressively lower LDL. It is estimated that 35 million U.S. patients are treated with statin therapy with approximately 12 millionof these patients classified as suffering from CVD placing them at higher risk of CVD morbidity and mortality. Roughly 37%, or 4.5 million of these higher riskCVD patients, are not treated to their LDL goal with standard of care therapy: diet and statin drugs. Inhibition of the circulating protein PCSK9 using anti-PCSK9MAb’s has been a strategy utilized to more aggressively lower serum LDL levels than with statin therapy alone.Additional programs under investigation involving the liverIn addition to the programs discussed above, the Company has also launched a program targeting a rare disease with high unmet medical need that webelieve meets most or all of the key elements of our strategy. We are not disclosing the identity of the disease or gene target at this time. We are investigating anumber of diseases associated with genes expressed in the liver as the basis for potential future programs for development by the Company or potentialcollaborators. We have selected these target genes and diseases based on our stated 14 Table of Contentscriteria, including having a strong therapeutic hypothesis, a readily-identifiable patient population, the availability of a potentially predictive biomarker, high unmetmedical need, favorable competitive positioning, and what we believe is a rapid projected path to approval. Dicerna has the capacity to launch up to three programsevery year, and intends to advance five programs into the clinic by the end of 2019.Chronic Hepatitis B Virus infectionWe are currently using our GalXC RNAi platform to investigate potential pharmaceutical treatments that target HBV. Current therapies rarely lead to a long-term immunological cure as measured by the clearance of HBsAg and sustained HBV DNA suppression. Based on preclinical studies, we believe that our GalXCRNAi platform can produce an experimental HBV-targeted therapy that eliminates HBsAg expression in HBV patients and that has the potential to be delivered ina commercially attractive subcutaneous dosing paradigm.According to the Hepatitis B Foundation, globally, HBV is reported to be the most common serious liver infection with over 240 million patients chronicallyinfected, according to an estimate by the World Health Organization. Annual mortality directly linked to chronic HBV infection is estimated to be approximately780,000 people with an estimated 650,000 of these deaths caused by cirrhosis and liver cancer as a result of chronic hepatitis B, and a further 130,000 of thesedeaths from complications associated with acute disease. Chronic HBV is characterized by the presence of the HBsAg for six months or more.Nucleoside analogs and pegylated interferon regimens have been utilized to suppress the virus; however neither of them can offer long-term viralsuppression for the majority of patients. The vast majority of treated patients do not achieve an immunological cure of chronic HBV infection under treatment withthese agents. The chance of achieving a long-term immunological cure as measured by the clearance of HBsAg and sustained HBV DNA suppression may bepossible with the introduction of novel drugs designed to reduce intrahepatic and serum HBsAg, as well as HBV DNA.Intellectual PropertyWe invest significant amounts in research and development. Our research and development expenses were approximately $41.7 million, $44.0 million and$29.5 million in 2016, 2015 and 2014, respectively.We are seeking multifaceted protection for our intellectual property that includes licenses, confidentiality and non-disclosure agreements, copyrights, patents,trademarks and common law rights, such as trade secrets. We enter into confidentiality and proprietary rights agreements with our employees, consultants,collaborators, subcontractors and other third parties and generally control access to our documentation and proprietary information.Patents and proprietary rightsWe own U.S. patents and a number of pending patent applications with claims to methods and compositions of matter that cover various aspects of our RNAitechnology and our discovery technologies, including our proprietary GalXC technology. These U.S. patents include U.S. 8,349,809 (issued in January 2013 with aprojected expiration date of January 2030), U.S. 8,513,207 (issued in August 2013 with a projected expiration date of May 2030) and U.S. 8,927,705 (issued inJanuary 2015 with a projected expiration date of July 2030). We also own numerous patents and patent applications covering specific DsiRNA sequences that driveactivity against high value disease targets, including KRAS (U.S. 8,372,816; issued in February 2013, with projected expiration in April 2030), HAO1, CTNNB1 (b catenin; U.S. 9,428,752; issued in August 2016, with projected expiration in July 2031), Androgen Receptor (U.S. 8,927,515; issued in January 2015, withprojected expiration in September 2031); and Alpha-1-antitrypsin (U.S. 9,458,457; issued October 4, 2016, with projected expiration in July 2034). Further, weown various applications with claims to methods and compositions of matter related to our lipid delivery technology, such as lipid compositions and particleformulations and the EnCore formulation 15 Table of Contentsprocess. We have issued or pending claims to DsiRNA molecules, pharmaceutical compositions/formulations, methods of use, including in vitro and in vivomethods of reducing target gene expression, methods of treatment, methods of inhibiting cell growth and methods of synthesis.We jointly own with KHK U.S. and foreign patent applications pursuant to our research collaboration and license agreement claiming developments made inthe course of the collaboration focused on delivery of KRAS-specific DsiRNA molecules. Depending on the subject matter of future issued claims, we may alsojointly own future patents issuing from patent applications filed under the research collaboration and license agreement with KHK.Our strategy around protection of our proprietary technology, including any innovations and improvements, is to obtain patent coverage in variousjurisdictions around the world with a focus on jurisdictions that represent significant global pharmaceutical markets. Generally, patents have a term of 20 yearsfrom the earliest non-provisional priority date, assuming that all maintenance fees are paid, no portion of the patent has been terminally disclaimed and the patenthas not been invalidated. In certain jurisdictions, and in certain circumstances, patent terms can be extended or shortened. We are obtaining worldwide patentprotection for at least novel molecules, composition of matter, pharmaceutical formulations, methods of use, including treatment of disease, methods ofmanufacture and other novel uses for the inventive molecules originating from our research and development efforts. We continuously assess whether it isstrategically more favorable to maintain confidentiality for the “know-how” regarding a novel invention rather than pursue patent protection. For each patentapplication that is filed we strategically tailor our claims in accordance with the existing patent landscape around a particular technology. There can be no assurancethat an issued patent will remain valid and enforceable in a court of law through the entire patent term. Should the validity of a patent be challenged, the legalprocess associated with defending the patent may be costly and time consuming. Issued patents can be subject to oppositions, interferences, post-grant proceedings,and other third party challenges that can result in the revocation of the patent or limit patent claims such that patent coverage lacks sufficient breadth to protectsubject matter that is commercially relevant. Competitors may be able to circumvent our patents. Development and commercialization of pharmaceutical productscan be subject to substantial delays and it is possible that at the time of commercialization any patent covering the product will have expired or will be in force foronly a short period of time thereafter.We cannot predict with any certainty if any third party U.S. or foreign patent rights, other proprietary rights, will be deemed infringed by the use of ourtechnology. Nor can we predict with certainty which, if any, of these rights will or may be asserted against us by third parties. Should we need to defend ourselvesand our partners against any such claims, substantial costs may be incurred. Furthermore, parties making such claims may be able to obtain injunctive or otherequitable relief, which could effectively block our ability to develop or commercialize some or all of our products in the U.S. and abroad, and could result in theaward of substantial damages. In the event of a claim of infringement, we or our partners may be required to obtain one or more licenses from a third party. Therecan be no assurance that we can obtain a license on a reasonable basis should we deem it necessary to obtain rights to an alternative technology that meets ourneeds. The failure to obtain a license may have a material adverse effect on our business, results of operations and financial condition.We also rely on trade secret protection for our confidential and proprietary information. No assurance can be given that we can meaningfully protect ourtrade secrets on a continuing basis. Others may independently develop substantially equivalent confidential and proprietary information or otherwise gain access toour trade secrets.See Item 1A— “Risk Factors — Risks Related to Intellectual Property” for a more detailed discussion of the risks to our intellectual property.It is our policy to require our employees and consultants, outside scientific collaborators, sponsored researchers and other advisors who receive confidentialinformation from us, to execute confidentiality 16 Table of Contentsagreements upon the commencement of employment or consulting relationships. These agreements provide that all confidential information developed or madeknown to these individuals during the course of the individual’s relationship with us is to be kept confidential and is not to be disclosed to third parties except inspecific circumstances. The agreements provide that all inventions conceived by an employee shall be our property. There can be no assurance, however, that theseagreements will provide meaningful protection or adequate remedies for our trade secrets in the event of unauthorized use or disclosure of such information.Our success will depend in part on our ability to obtain and maintain patent protection, preserve trade secrets, prevent third parties from infringing upon ourproprietary rights and operate without infringing upon the proprietary rights of others, both in the U.S. and other territories worldwide.Strategic PartnershipKHK research collaboration and license agreementIn December 2009, we entered into a research collaboration and license agreement with KHK for the research, development and commercialization of drugdelivery platforms and DsiRNA molecules for therapeutic targets, primarily in oncology (the collaboration agreement). Under the collaboration agreement, weengaged in the discovery of DsiRNA molecules against KRAS and other gene targets nominated by KHK. Since the initiation of the collaboration agreement, of thevarious targets in the collaboration, two target programs, including the initial target KRAS, have been nominated by KHK for formal development studies. Bothprograms utilize our specific RNAi-inducing double-stranded DsiRNA molecules and a lipid nanoparticle drug delivery technology proprietary to KHK. KHK isresponsible for all costs it incurs to develop any compound that is directed against a target included in the collaboration that KHK designates for development,subject to our exercise of our co-promotion option with respect to that compound if that compound is directed against KRAS.We have granted KHK an exclusive license to certain of our technology and patents relating to compounds resulting from the collaboration. KHK hasgranted us certain non-exclusive licenses in its technology as necessary for us to perform research and development activities as part of the research collaboration.Under the terms of the collaboration agreement, we have received total payments of $17.5 million. We are entitled to receive up to an additional$110.0 million for each product candidate resulting from the collaboration of certain clinical, regulatory and commercialization milestones. KHK is also obligatedto pay us royalties on worldwide net sales of products resulting from the research collaboration. The amount of royalty varies depending on the total worldwide netsales and range from percentages of net sales in the high single digits to the teens. None of the previously-paid milestones are subject to reimbursement.We have the option to elect to co-promote the KRAS product in the U.S. for an equal share of the profits resulting from U.S. net sales of the product.If we exercise our option to co-promote a KRAS product in the U.S., the collaboration agreement will remain in effect pursuant to its terms in the U.S. for aslong as any product is being sold by either KHK or us in the U.S. For each country outside of the U.S., the collaboration agreement will remain in effect pursuant toits terms on a product-by-product and country-by-country basis until the later of the last to expire of any patent rights licensed under the agreement applicable tothe manufacture, use or sale of the product or twelve years after the date of the first commercial sale of such product in the applicable country. In the event we donot exercise our option to co-promote a KRAS product in the U.S., the collaboration agreement will remain in effect pursuant to its terms on aproduct-by-product and country-by-country basis until the later of the last to expire of any patent rights licensed under the agreement applicable to the manufacture,use or sale of the product or twelve years after the date of the first commercial sale of such product in the applicable country.KHK may terminate the collaboration agreement at any time upon prior written notice to us until such time as we exercise our option to co-promote underthe collaboration agreement. We may terminate the collaboration 17 Table of Contentsagreement if KHK challenges the validity or enforceability of any patents licensed by us to KHK. Either we or KHK may terminate the collaboration agreement inthe event of the bankruptcy or uncured material breach by the other party.License AgreementsCity of Hope license agreementIn September 2007, we entered into a license agreement with City of Hope (COH), an independent academic research and medical center, pursuant to whichCOH has granted to us an exclusive, royalty-bearing, worldwide license under certain patent rights in relation to DsiRNA, including the core DsiRNA patent (U.S.8,084,599), to manufacture, use, offer for sale, sell and import products covered by the licensed patent rights for the prevention and treatment of any disease inhumans. This exclusive license is subject to a preexisting non-exclusive license which was sublicensed to a third party with respect to patent rights to manufacture,use, import, offer for sale and sell products covered by the licensed patent rights for the treatment or prevention of disease in humans (excluding viruses anddelivery of products into the eye or ear) and is also subject to any retained rights of the U.S. government in the licensed patent rights and a royalty-free right ofCOH to practice the licensed patent rights for educational, research and clinical uses. COH is restricted from granting any additional rights to develop, manufacture,use, offer to sell, sell or import products covered by the licensed patent rights for the prevention and treatment of any disease in humans. In addition, COH hasgranted to us an exclusive, royalty-bearing, worldwide license under the licensed patent rights providing certain rights for up to 20 licensed products selected by usfor human diagnostic uses, provided that COH has not granted or is not negotiating a license of rights to diagnostic uses for such licensed products to a third party.The core DsiRNA patent (U.S. 8,084,599), titled “methods and compositions for the specific inhibition of gene expression by double-stranded RNA,” describesRNA structures having a 25 to 30 nucleotides sense strand, a blunt end at the 3’ end of the sense strand and a one to four nucleotides overhang at the 3’ end of theantisense strand. The expiration date of this patent is July 17, 2027.Pursuant to the terms of the license agreement, we paid COH a one-time, non-refundable license fee and issued shares of our common stock to COH and aco-inventor of the core DsiRNA patent. COH is entitled to receive milestone payments in an aggregate amount within the range of $5.0 million to $10.0 millionupon achievement of certain clinical and regulatory milestones. COH is further entitled to receive royalties at a low single-digit percentage of any net sale revenueof the licensed products sold by us and our sublicensees. If we sublicense the licensed patent rights to a third party, COH has the right to receive a double digitpercentage of sublicense income, the percentage of which decreases after we have expended $12.5 million in development and commercialization costs. We arealso obligated to pay COH an annual license maintenance fee of $0.1 million, which may be credited against any royalties due to COH in the same year, andreimburse COH for expenses associated with the prosecution and maintenance of the license patent rights. The license agreement will remain in effect until theexpiration of the last to expire of the patents licensed under the license agreement.Under the license agreement, we are obligated to use commercially reasonable efforts to develop and commercialize the licensed products in certain majormarkets. COH has the right to terminate the license agreement in its entirety if we fail to enroll patients for clinical trials of one or more licensed products atvarious phases before certain specified deadlines unless we exercise the right to extend the deadlines in one-year increments by making a payment of $0.5 millionto COH for each one-year extension. We have extended one milestone deadline for three one-year extensions, paying an aggregate of $1.5 million to COH for suchextensions.The license agreement will remain in effect pursuant to its terms until all of the obligations under the license agreement with respect to the payment ofmilestones or royalties related to licensed products have terminated or expired. Either party may terminate the license agreement for any uncured material breachby the other party. COH may terminate the license agreement upon our bankruptcy or insolvency. We may terminate the license agreement without cause uponwritten notice to COH. The COH license applies to our collaboration with KHK. 18 Table of ContentsAs of December 31, 2016, total payments made to COH pursuant to the agreement amounted to $5.0 million.Plant Bioscience Limited license agreementIn September 2013, we entered into a commercial license agreement with Plant Bioscience Limited (PBL), pursuant to which PBL has granted to us anominated-target-limited, worldwide, non-exclusive, fee-bearing license to certain of its U.S. patents (the Baulcombe patent estate) and patent applications toresearch, discover, develop, manufacture, sell, import and export, for human diagnostic and therapeutic uses, products incorporating one or more short RNAmolecules (SRM) designed to target and modify the expression of a human gene or genes nominated by us from time to time. We are entitled to nominate multipleSRMs and have so far nominated one gene as the first SRM under the agreement. We are not obligated to nominate any additional genes.We have paid PBL a one-time, non-refundable signature fee and will pay PBL a nomination fee for any additional SRMs nominated by us under theagreement. We are further obligated to pay PBL milestone payments in an aggregate amount of up to $3.85 million for each licensed product upon achievement ofcertain clinical and regulatory milestones. In addition, PBL is entitled to receive royalties at a low single-digit percentage of any net sale revenue of any licensedproducts sold by us. The agreement will expire on a country-by-country basis in each country where any licensed products are used, provided, manufactured or soldupon the date of the last to expire of applicable valid claim. Each party may terminate the agreement for any uncured material breach by the other party. We mayterminate the agreement at any time for convenience upon prior written notice to PBL. The PBL license is applicable to our KHK programs.As of December 31, 2016, total payments made to PBL pursuant to the agreement amounted to $0.2 million.Carnegie Institution of Washington license agreementIn January 2009, we entered into a license agreement with the Carnegie Institution of Washington (Carnegie), pursuant to which Carnegie has granted to us aworldwide, non-exclusive license under certain of its patents and patent applications relating to genetic inhibition by double-stranded RNA molecules for internalresearch, screening and development of product candidates for human and non-human diagnostic and therapeutic uses. We have paid Carnegie a one-time upfrontfee and will in addition pay an annual license fee during the term of the agreement. We are further obligated to make two one-time additional payments in theaggregate amount of $0.1 million upon achievement of the filing with the FDA of a new drug application (NDA) for a licensed product candidate and the firstcommercial sale of a licensed product candidate or licensed method. Carnegie is entitled to receive royalties on any net sales revenue from licensed productcandidates sold by us, with the royalty rate to be further negotiated between Carnegie and us in good faith reflecting customary rates in the industry.The agreement will terminate with respect to each licensed product candidate upon the last to expire of any valid claim within the licensed patent rights.Each party may terminate the agreement upon any uncured material breach by the other party. We may terminate the agreement at any time for any reason uponwritten notice to Carnegie. Any patents associated with this license will expire in 2018, removing any obligations.As of December 31, 2016, total payments made to Carnegie pursuant to the agreement amounted to $0.3 million.Other LicensesIn December 2014, we licensed all of our non-U.S. intellectual property rights to a non-U.S. wholly owned subsidiary. In December 2015, we licensed ourU.S. intellectual property rights to the same non-U.S. wholly owned subsidiary. In December 2016, the same non-U.S. wholly owned subsidiary distributed theU.S. intellectual property rights back to its parent company, Dicerna Pharmaceuticals, Inc. 19 Table of ContentsManufacturing and SupplyWe do not currently own or operate manufacturing facilities for the production of preclinical, clinical or commercial quantities of any of our productcandidates. For each product candidate, we currently contract with drug substance manufacturers and we expect to continue to do so to meet the preclinical and anyclinical requirements of our product candidates. In June 2016, we entered into a supply agreement with a third party for supply of certain products and services.There is no minimum purchase requirement for the services provided by this third party.Currently, some of our drug starting materials for our manufacturing activities are supplied by a single source supplier. We have agreements for the supply ofsuch drug materials with manufacturers or suppliers that we believe have sufficient capacity to meet our demands. In addition, we believe that adequate alternativesources for such supplies exist. However, there is a risk that, if supplies are interrupted, it would materially harm our business. We typically order raw materials andservices on a purchase order basis and do not enter into long-term dedicated capacity or minimum supply arrangements.KHK is responsible for all manufacturing under our collaboration agreement with KHK both for the KRAS DsiRNA and the oncology program selected byKHK for development under the agreement.Manufacturing is subject to extensive regulations that impose various procedural and documentation requirements, which govern record keeping,manufacturing processes and controls, personnel, quality control and quality assurance, among others. Our contract manufacturing organizations manufacture ourproduct candidates under current Good Manufacturing Practice (cGMP) conditions. cGMP is a regulatory standard for the production of pharmaceuticals that willbe used in humans.CompetitionWe believe that our scientific knowledge and expertise in RNAi-based therapies provide us with competitive advantages over the various companies andother entities that are attempting to develop similar treatments. However, we face competition at the technology platform and therapeutic indication levels fromboth large and small biopharmaceutical companies, academic institutions, governmental agencies and public and private research institutions. Many of ourcompetitors have significantly greater financial resources and expertise in research and development, manufacturing, preclinical testing, conducting clinical trials,obtaining regulatory approvals and marketing approved products than we do. These competitors also compete with us in recruiting and retaining qualified scientificand management personnel and establishing clinical trial sites and patient registration for clinical trials, as well as in acquiring technologies complementary to, ornecessary for, our programs.Our success will be based in part upon our ability to identify, develop and manage a portfolio of drugs that are safer and more effective than competingproducts in the treatment of our targeted patients. Our commercial opportunity could be reduced or eliminated if our competitors develop and commercializeproducts that are safer, more effective, are more convenient or are less expensive than any products we may develop.RNA-based therapeuticsTo our knowledge, there are no other companies developing GalXC molecules for therapeutic use. However, there are several companies that are currentlydeveloping RNAi-based therapies for various indications. We believe that Arrowhead Pharmaceuticals, Inc. (Arrowhead), Alnylam Pharmaceuticals, Inc.(Alnylam) and Arbutus through their company specific development or through various partnerships with the aforementioned companies are developing RNAi-based therapies that are competing against our current programs or potential future programs.Among these, Alnylam, in partnership with Genzyme Corporation (a Sanofi company) (Genzyme), is developing multiple genetic rare disease programsincluding its patisiran (ALN-TTR) program, which is an 20 Table of ContentsRNAi-based therapy for the treatment of hereditary transthyretin-mediated amyloidosis with polyneuropathy (hATTR-PN) and is currently in Phase 3 trials.Alnylam has announced the APOLLO study has completed enrollment of 225 patients at 44 sites in 19 countries, between December 2013 and January 2016 and itexpects to announce top-line data from the study in mid-2017. In October 2016, Alnylam discontinued the development of revusiran (ALN-TTRsc), a potentialtreatment for hereditary ATTR amyloidosis with cardiomyopathy (hATTR-CM). Additional genetic rare disease programs are being developed by Alnylam inpartnership with Genzyme including ALN-TTRsc02 for all forms of ATTR amyloidosis; fitusiran (ALN-AT3), for the treatment of hemophilia and rare bleedingdisorders; ALN-GO1 for the treatment of PH1; ALN-CC5 for the treatment of complement-mediated diseases; and ALN-AS1, for the treatment of acute hepaticporphyrias among others. In addition, Alnylam initiated a Phase 1/2 clinical trial with ALN-HBV for the treatment of HBV infection in mid-2016 and previouslyannounced its intention to seek strategic partnerships for its hepatic infectious disease therapeutic area. The Medicines Company (MDCO) and its partner, Alnylam,are advancing an experimental PCSK9 RNAi therapy, inclisiran (formerly PCSK9si), for the treatment of hypercholesterolemia.Arbutus is a clinical-stage biopharmaceutical company developing RNAi-therapeutics for HBV infection. Arbutus has three HBV programs in development.ARB-1467 is in a multi-dose Phase 2 study in chronic HBV patients, which was initiated in December 2015. Arbutus reported interim results from the first twocohorts of the ongoing study in September 2016, and expects to announce final data from cohorts one to three in the first half of 2017. In the first quarter of 2017,Arbutus expects to initiate clinical studies for ARB-1740, its second generation RNAi agent, and for AB-423, its core protein/capsid formation inhibitor program.Arbutus has rights under Alnylam’s intellectual property to develop RNAi therapeutic products.Arrowhead is developing RNAi therapeutics and has multiple programs in preclinical development. In November 2016, Arrowhead announced it would bediscontinuing the development of certain clinical-stage drug candidates, which utilized the intravenously administered DPC iv TM , or EX1, delivery vehicle, andplanned to redeploy its resources and focus toward utilizing the company’s new proprietary subcutaneous and extra-hepatic delivery systems. Arrowhead’spreclinical programs include ARO-HBV for chronic HBV; ARO-AAT to treat liver diseases associated with alpha-1 antitrypsin deficiency; ARO-F12 for factor 12mediated diseases, such as hereditary angioedema and thromboembolic disorders; ARO-HIF2, for the treatment of clear cell renal cell carcinoma associated withHIF-2 a ; ARO-LPA targeting a polipoprotein A for cardiovascular disease; and ARO-AMG1 for an undisclosed genetically validated cardiovascular target.Wave Life Sciences is developing stereopure nucleic acid therapeutics spanning multiple modalities, including antisense, exon-skipping and single-strandedRNAi.In addition to RNAi therapies, there are other intracellular technologies focused on silencing the activity of specific genes by targeting mRNAs copied fromthem. Companies such as miRagen Therapeutics, Inc., Regulus Therapeutics Inc. and Santaris Pharma A/S, which was acquired by Roche in 2014 and is nowknown as Roche Innovation Center Copenhagen, target or inhibit or replace microRNAs, which are approximately 22 nucleotides in length, short, non-codingRNAs, to alter mRNA expression levels.Ionis Pharmaceuticals is discovering and developing RNA-targeted therapeutics based on its antisense technology across multiple therapeutic areas,including severe and rare diseases, cardiovascular diseases, and chronic HBV. The company’s commercial products include KYNAMRO ® (mipomersen sodium)injection for homozygous familial hypercholesterolemia (HoFH) targeting ApoB-100, which is partnered to Kastle Therapeutics, and Spinraza ™ (nusinersen),which received FDA approval for the treatment of spinal muscular atrophy in pediatric and adult patients in December 2016. Biogen is responsible forcommercialization of Spinraza. Ionis has a product pipeline with over three dozen drugs in development. Drugs currently in Phase 3 development includevolanesorsen, a drug Ionis is developing and plans to commercialize through its wholly owned subsidiary, Akcea Therapeutics, that targets Apo-CIII to treatpatients with either familial chylomicronemia syndrome or familial partial lipodystrophy; IONIS-TTRRx, a drug Ionis is developing with GSK to treat patientswith TTR amyloidosis; and alicaforsen, licensed to Atlantic Healthcare, which is in late 21 Table of Contentsstage development for inflammatory bowel disease pouchitis targeting ICAM-1. In addition, Ionis has three programs in Phase 2 development for cardiovasculardisease and two programs in Phase 1 development for HBV.Moderna and other companies are developing a new class of drugs made of mRNA. This new drug modality may be able to direct the body’s cellularmachinery to produce therapeutic proteins of interest that may have therapeutic benefit for the treatment of various diseases. The product candidates beingdeveloped by these companies are currently in preclinical and clinical trials for various indications.If our lead product candidates are approved for the indications for which we undertake clinical trials, they may compete with therapies that are either indevelopment or currently marketed by our competitors.Primary Hyperoxaluria Type 1The current standard of care for treating PH1 is dual-organ transplant, namely a kidney and liver transplant in patients with PH1, which is often difficult toperform due to lack of donors and the threat of organ rejection. Other treatments include pyridoxine regimens and intensive dialysis, as well as treatments generallyused in kidney stone disorders such as high-volume fluid intake and oral citrate. These other treatments do not halt disease progression. OxThera AB has acompeting approach to PH1 treatment, currently in Phase 2 clinical trials, that is not RNAi-based. In January 2016, Alnylam announced its plans to start a Phase 1clinical trial for ALN-GO1, an investigational RNAi therapeutic for the treatment of PH1. Alnylam presented initial Phase 1 clinical data from its NHV portion ofthe study in the third quarter of 2016 at the IPNA.HypercholesterolemiaRepatha ® (evolocumab) was the second PCSK9 MAb inhibitor to receive FDA approval. Developed by Amgen, Inc., Repatha was approved in August 2015for use in addition to diet and maximally-tolerated statin therapy in adults with heterozygous familial hypercholesterolemia, HoFH, or clinical atheroscleroticcardiovascular disease, such as heart attacks or strokes, who require additional lowering of LDL cholesterol.Praluent ® (alirocumab) was approved in July 2015 and launched in the U.S. as a second line treatment for adults with heterozygous familialhypercholesterolemia or clinical atherosclerotic cardiovascular disease whose LDL cholesterol is not adequately controlled by diet and statin treatment. Alirocumabwas the first anti-PCSK9 MAb to receive FDA approval and was developed by Sanofi and Regeneron Pharmaceuticals, Inc. Although the marketing, selling andmanufacturing of Praluent is currently subject to a patent infringement dispute between Sanofi and Regeneron and Amgen, Sanofi and Regeneron are permitted tocontinue marketing, selling and manufacturing Praluent in the U.S. during the appeal process.There are additional anti-PCSK9 MAb therapies in clinical development. Multiple cardiovascular outcome studies are being conducted with the anti-PCSK9MAb therapies to determine if these higher risk patients will have superior cardiovascular outcomes vs. patients treated with standard of care. On February 2, 2017,Amgen announced that the FOURIER (Further Cardiovascular Outcomes Research with PCSK9 Inhibition in Subjects with Elevated Risk) trial studying Repatha’sability to reduce cardiovascular risk in atherosclerotic patients met its primary endpoint. On March 17, 2017, at the American College of Cardiology’s 66 th AnnualScientific Session, Amgen presented positive results showing that Repatha (Evolocumab) decreases LDL-C levels and reduces risk of cardiovascular events.MDCO and its partner, Alnylam, are advancing an experimental PCSK9 RNAi therapy, inclisiran (formerly PCSK9si), which has a similar mechanism ofaction as Dicerna’s GalXC PCSK9 compound. Inclisiran is being studied in a placebo-controlled, double-blind, randomized Phase 2 trial of single or multiplesubcutaneous injections in a total of 501 patients with atherosclerotic cardiovascular disease (ASCVD) or ASCVD-risk equivalents (e.g., diabetes and familialhypercholesterolemia) and elevated LDL-C despite maximum tolerated doses of LDL-C lowering therapies. The primary endpoint of the study, known asORION-1, is the percentage 22 Table of Contentschange in LDL-C levels from baseline at Day 180. Preliminary topline data from the study, presented at the American Heart Association Scientific Sessions inNovember, 2016, show that inclisiran was generally well tolerated and no material safety issue was observed, including no elevations of liver enzymes consideredrelated to study medication and no neuropathy or change in renal function, and that the study met all interim analysis goals.Government Regulation and Product ApprovalGovernmental authorities in the U.S., at the federal, state and local level, and other countries extensively regulate, among other things, the research,development, testing, manufacture, quality control, approval, labeling, packaging, promotion, storage, record-keeping, advertising, distribution, sampling, pricing,sales and marketing, safety, post-approval monitoring and reporting, and export and import of products such as those we are developing. Our product candidatesmust be approved by the FDA through the NDA process before they may be legally marketed in the U.S. and will be subject to similar requirements in othercountries prior to marketing in those countries. The process of obtaining regulatory approvals and the subsequent compliance with applicable federal, state, localand foreign statutes and regulations require the expenditure of substantial time and financial resources and the extensive laws and regulations that apply to drugproducts and product candidates in the United States are subject to change.U.S. government regulationNDA approval processesIn the U.S., the FDA regulates drugs under the Federal Food, Drug, and Cosmetic Act (the FDCA) and implementing regulations. Failure to comply with theapplicable U.S. requirements at any time during the product development or approval process, or after approval, may result in a delay of approval or subject anapplicant to administrative or judicial sanctions, any of which could have a material adverse effect on us. These sanctions could include: • refusal to approve pending applications; • withdrawal of an approval; • imposition of a clinical hold; • issuance of warning or untitled letters; • product recalls; • product seizures; • refusals of government contracts; • total or partial suspension of production or distribution; or • injunctions, fines, restitution, disgorgement, civil penalties or criminal prosecution.The process required by the FDA before a drug may be marketed in the U.S. generally includes the following: • completion of nonclinical laboratory tests, animal studies and formulation studies conducted according to Good Laboratory Practices (GLPs) or otherapplicable laws and regulations; • submission to the FDA of an investigational new drug application (IND), which must become effective before human clinical trials may begin; • approval by an institutional review board (IRB) at each clinical site before each trial may be initiated • performance and inspection of adequate and well-controlled human clinical trials and clinical data according to FDA regulations and Good ClinicalPractices (GCP) to establish the safety and efficacy of the product candidate for its intended use; 23 Table of Contents • submission of an NDA to the FDA and the FDA’s acceptance of the NDA for filing; • satisfactory completion of an FDA inspection of the manufacturing facility or facilities at which the product candidate is produced to assesscompliance with current cGMPs to assure that the facilities, methods and controls are adequate to preserve the product candidate’s identity, strength,quality and purity; • satisfactory completion of an FDA inspection of the major investigational sites to ensure data integrity and assess compliance with GCP requirements;and • FDA review and approval of the NDA.Once a pharmaceutical candidate is identified for development, it enters the preclinical or nonclinical testing stage. Nonclinical tests include laboratoryevaluations of product chemistry, stability, toxicity and formulation, as well as animal studies. An IND sponsor must submit the results of the nonclinical tests,together with manufacturing information and analytical data, to the FDA as part of the IND. Some nonclinical testing may continue even after the IND issubmitted. In addition to including the results of the nonclinical studies, the IND will also include a protocol detailing, among other things, the objectives of theclinical trial, the parameters to be used in monitoring safety and the effectiveness criteria to be evaluated if the first phase lends itself to an efficacy determination.The IND automatically becomes effective 30 days after receipt by the FDA, unless the FDA, within the 30-day time period, places the IND on clinical hold. In sucha case, the IND sponsor and the FDA must resolve any outstanding concerns before clinical trials can begin. A clinical hold may occur at any time during the life ofan IND and may affect one or more specific studies or all studies conducted under the IND.All clinical trials must be conducted under the supervision of one or more qualified investigators in accordance with FDA regulations and GCPs. They mustbe conducted under protocols detailing the objectives of the trial, dosing procedures, research subject selection and exclusion criteria and the safety andeffectiveness criteria to be evaluated. Each protocol and protocol amendments must be submitted to the FDA as part of the IND, and progress reports detailing thestatus of the clinical trials must be submitted to the FDA annually. Sponsors also must timely report to the FDA serious and unexpected adverse reactions, anyclinically important increase in the rate of a serious suspected adverse reaction over that listed in the protocol or investigation brochure or any findings from otherstudies or animal or in vitro testing that suggest a significant risk in humans exposed to the drug. All research subjects or their legally authorized representativesmust provide their informed consent in writing prior to their participation in a clinical trial. An IRB at each institution participating in the clinical trial must reviewand approve the protocol and the informed consent form before a clinical trial commences at that institution, monitor the study until completed and otherwisecomply with IRB regulations. Information about most clinical trials must be submitted within specific timeframes to the National Institutes of Health (NIH) to bepublicly posted on the ClinicalTrials.gov website.Human clinical trials are typically conducted in three sequential phases that may overlap or be combined. • Phase 1—The product candidate is initially introduced into healthy human subjects and tested for safety, dosage tolerance, absorption, metabolism,distribution and elimination. In the case of some product candidates for severe or life-threatening diseases, such as cancer, especially when the productcandidate may be inherently too toxic to ethically administer to healthy volunteers, the initial human testing is often conducted in patients. • Phase 2—Clinical trials are performed on a limited patient population intended to identify possible adverse effects and safety risks, to preliminarilyevaluate the efficacy of the product for specific targeted diseases and to determine dosage tolerance and optimal dosage. • Phase 3—Clinical trials are undertaken to further evaluate dosage, clinical efficacy and safety in an expanded patient population at geographicallydispersed clinical study sites. These studies are intended to establish the overall risk-benefit ratio of the product and provide an adequate basis forproduct labeling. 24 Table of ContentsHuman clinical trials are inherently uncertain and Phase 1, Phase 2 and Phase 3 testing may not be successfully completed. The FDA, the sponsor, or a datasafety monitoring board, may suspend a clinical trial at any time for a variety of reasons, including a finding that the research subjects or patients are being exposedto an unacceptable health risk. Similarly, an IRB can suspend or terminate approval of a clinical trial at its institution if the clinical trial is not being conducted inaccordance with the IRB’s requirements or if the product candidate has been associated with unexpected serious harm to patients.During the development of a new product candidate, sponsors are given opportunities to meet with the FDA at certain points. These points may be prior tothe submission of an IND, at the end of Phase 2 and before an NDA is submitted. Meetings at other times may be requested. These meetings can provide anopportunity for the sponsor to share information about the data gathered to date and for the FDA to provide advice on the next phase of development. Sponsorstypically use the meeting at the end of Phase 2 to discuss their Phase 2 clinical results and present their plans for the pivotal Phase 3 clinical trial that they believewill support the approval of an NDA. If a Phase 2 clinical trial is the subject of discussion at the end of Phase 2 meeting with the FDA, a sponsor may be able torequest a Special Protocol Assessment, the purpose of which is to reach agreement with the FDA on the Phase 3 clinical trial protocol design and analysis that willform the primary basis of an efficacy claim.Concurrent with clinical trials, sponsors usually complete additional animal safety studies and also develop additional information about the chemistry andphysical characteristics of the product candidate and finalize a process for manufacturing commercial quantities of the product candidate in accordance with cGMPrequirements. The manufacturing process must be capable of consistently producing quality batches of the product candidate and the manufacturer must developmethods for testing the safety, identity, strength, purity, and quality of the product candidate. Additionally, appropriate packaging must be selected and tested andstability studies must be conducted to demonstrate that the product candidate does not undergo unacceptable deterioration over its proposed shelf-life. Beforeapproving an NDA, the FDA will inspect the facility or facilities where the product is manufactured and tested and will not approve the product unless cGMPcompliance is satisfactory. The FDA will also typically inspect one or more clinical sites to assure compliance with FDA regulations and GCPs.The results of product development, nonclinical studies and clinical trials, along with descriptions of the manufacturing process, analytical tests and othercontrol mechanisms, proposed labeling and other relevant information are submitted to the FDA as part of an NDA requesting approval to market the product. Thesubmission of an NDA is subject to the payment of user fees, but a waiver of such fees may be obtained under specified circumstances. The FDA reviews all NDAssubmitted to ensure that they are sufficiently complete for substantive review before it accepts them for filing. It may request additional information rather thanaccept an NDA for filing. In this event, the NDA must be resubmitted with the additional information. The resubmitted application also is subject to review beforethe FDA accepts it for filing.Once the submission is accepted for filing, the FDA begins an in-depth review. The FDA reviews an NDA to determine, among other things, whether aproduct is safe and effective for its intended use and whether its manufacturing is cGMP-compliant. The FDA typically requires that an NDA include data from twoadequate and well-controlled clinical trials, but approval may be based upon a single adequate and well-controlled clinical trial in certain circumstances. The FDAmay refuse to approve an NDA if the applicable regulatory criteria are not satisfied or may require additional clinical or other data. Even if such data are submitted,the FDA may ultimately decide that the NDA does not satisfy the criteria for approval. The FDA may refer the NDA to an advisory committee for review andrecommendation as to whether the application should be approved and under what conditions. The FDA is not bound by the recommendation of an advisorycommittee, but it generally follows such recommendations.If a product receives regulatory approval, the approval may be significantly limited to specific diseases and dosages or the indications for use may otherwisebe limited, which could restrict the commercial value of the product. Further, the FDA may require that certain contraindications, warnings or precautions beincluded in the 25 Table of Contentsproduct labeling. In addition, the FDA may condition approval on the completion of post approval studies. Such studies may involve clinical trials designed tofurther assess a product’s safety and effectiveness and may require testing and surveillance programs to monitor the safety of approved products that have beencommercialized. If the FDA determines that it is necessary to ensure the safe use of the drug, the FDA may also condition approval on the implementation of a riskevaluation and mitigation strategy (REMS). The REMS could include medication guides, physician communication plans or elements to assure safe use, such asrestricted distribution methods, patient registries, or other risk minimization tools.Expedited review and approvalThe FDA has various programs, including Fast Track, priority review, breakthrough, and accelerated approval, which are intended to expedite or simplify theprocess for reviewing product candidates. Generally, product candidates that are eligible for these programs are those for serious or life-threatening conditions,those with the potential to address unmet medical needs and those that offer meaningful benefits over existing treatments. A sponsor can request application ofthese programs either alone or in combination with each other, depending on the circumstances. Even if a product candidate qualifies for one or more of theseprograms, the FDA may later decide that the product candidate no longer meets the conditions for qualification or that the time period for FDA review or approvalwill be shortened. None of the expedited approval programs change the NDA approval standard applied to a product.New drugs are eligible for Fast Track status if they are intended to treat a serious or life-threatening disease or condition and demonstrate the potential toaddress unmet medical needs for the disease or condition. Fast Track status entitles such a drug to expedited review and frequent contact with the FDA reviewdivision. Unlike other expedited review programs, Fast Track designation allows the FDA to accept for review individual sections of the NDA on a rolling basis.The FDA may also grant a priority review designation to drugs that offer major advances in treatment, or provide a treatment where no adequate therapy exists. Apriority review means that the goal for the FDA to review an application is six months from filing of an NDA, rather than the standard review of ten months fromfiling under current Prescription Drug User Fee Act guidelines. Most products that are eligible for fast track designation are also likely to be considered appropriateto receive a priority review.Drug products studied for their safety and effectiveness in treating serious or life-threatening diseases or conditions may receive accelerated approval upon adetermination that the product has an effect on a surrogate endpoint that is reasonably likely to predict clinical benefit, or on a clinical endpoint that can bemeasured earlier than irreversible morbidity or mortality, that is reasonably likely to predict an effect on irreversible morbidity or mortality or other clinical benefit,taking into account the severity, rarity, or prevalence of the condition and the availability or lack of alternative treatments. As a condition of approval, the FDAtypically requires that a sponsor of a product candidate receiving accelerated approval conduct post-approval clinical trials. As an additional condition of approval,the FDA currently requires pre-approval of all promotional materials, which could adversely impact the timing of the commercial launch of the product.The FDA may expedite the approval of a designated breakthrough therapy, which is a drug that is intended, to treat a serious or life-threatening disease orcondition for which preliminary clinical evidence indicates that the drug may demonstrate substantial improvement over existing therapies on one or moreclinically significant endpoints, such as substantial treatment effects observed early in clinical development. A sponsor may request that a drug be designated as abreakthrough therapy at any time during the clinical development of the product. If the FDA designates a drug as a breakthrough therapy, the FDA must takeactions appropriate to expedite the development and review of the application, which may include holding meetings with the sponsor and the review teamthroughout the development of the drug; providing timely advice to the sponsor regarding the development of the drug to ensure that the development program is asefficient as practicable; involving senior managers and experienced review staff, as appropriate, in a collaborative, cross-disciplinary review; and taking steps toensure that the design of the clinical trials is as efficient as practicable. 26 Table of ContentsIn December 2016, the 21st Century Cures Act (Cures Act), was signed into law. The Cures Act included numerous provisions that may be relevant to ourproduct candidates, including provisions designed to speed development of innovative and breakthrough therapies. The Cures Act amends the FDCA and the PublicHealth Service Act, to reauthorize and expand funding for the NIH and to authorize FDA to increase spending on innovation projects. Central to the Cures Act areprovisions that enhance and accelerate FDA’s processes for reviewing and approving new drugs and supplements to approved NDAs. The Cures Act also includes aprovision that requires certain manufacturers or distributors of an investigational drug to make their policies on the availability of certain expanded access programspublicly available. Because the Cures Act was enacted recently and the FDA may take several years to develop these policies, it is difficult to know whether or howthe Cures Act will directly affect our business.Patent term restoration and marketing exclusivityDepending upon the timing, duration and specifics of FDA approval of the use of our product candidates, some of our U.S. patents may be eligible forlimited patent term extension under the Drug Price Competition and Patent Term Restoration Act of 1984, referred to as the Hatch-Waxman Act. The Hatch-Waxman Act permits a patent restoration term of up to five years as compensation for patent term lost during product development and the FDA regulatory reviewprocess. However, patent term restoration cannot extend the remaining term of a patent beyond a total of 14 years from the product candidate’s approval date. Thepatent term restoration period is generally one half of the time between the effective date of an IND and the submission date of an NDA, plus the time between thesubmission date of an NDA and the approval of that application. Only one patent applicable to an approved product candidate is eligible for the extension and theapplication for extension must be made prior to expiration of the patent. The U.S. Patent and Trademark Office, in consultation with the FDA, reviews andapproves the application for any patent term extension or restoration. In the future, we intend to apply for restorations of patent term for some of our currentlyowned or licensed patents to add patent life beyond their current expiration date, depending on the expected length of clinical trials and other factors involved in thesubmission of the relevant NDA.Market exclusivity provisions under the FDCA also can delay the submission or the approval of certain applications. The FDCA provides a five-year periodof non-patent marketing exclusivity within the U.S. to the first applicant to gain approval of an NDA for a new chemical entity. A product candidate is a newchemical entity if the FDA has not previously approved any other new product candidate containing the same active moiety, which is the molecule or ionresponsible for the action of the product candidate substance. During the exclusivity period, the FDA may not accept for review an abbreviated new drugapplication (ANDA) or a 505(b)(2) NDA submitted by another company for another version of such product candidate where the applicant does not own or have alegal right of reference to all the data required for approval. However, an application may be submitted after four years if it contains a certification of patentinvalidity or non-infringement. The FDCA also provides three years of marketing exclusivity for an NDA, 505(b)(2) NDA or supplement to an approved NDA ifnew clinical investigations, other than bioavailability studies, that were conducted or sponsored by the applicant are deemed by the FDA to be essential to theapproval of the application, for example, for new indications, dosages or strengths of an existing product candidate. This three-year exclusivity covers only theconditions associated with the new clinical investigations and does not prohibit the FDA from approving ANDAs for product candidates containing the originalactive agent. Five-year and three-year exclusivity will not delay the submission or approval of a full NDA. However, an applicant submitting a full NDA would berequired to conduct or obtain a right of reference to all of the preclinical studies and adequate and well-controlled clinical trials necessary to demonstrate safety andeffectiveness.Orphan drug designationUnder the Orphan Drug Act, the FDA may grant orphan drug designation to product candidates intended to treat a rare disease or condition, which isgenerally a disease or condition that affects fewer than 200,000 27 Table of Contentsindividuals in the U.S. or more than 200,000 individuals in the U.S. and for which there is no reasonable expectation that the cost of developing and makingavailable in the U.S. a product candidate for this type of disease or condition will be recovered from sales in the U.S. for that product candidate. Orphan drugdesignation must be requested before submitting an NDA. After the FDA grants orphan drug designation, the identity of the therapeutic agent and its potentialorphan use are disclosed publicly by the FDA. Orphan drug designation does not convey any advantage in or shorten the duration of the regulatory review andapproval process.If a product candidate that has orphan drug designation subsequently receives the first FDA approval for the disease for which it has such designation, theproduct candidate is entitled to orphan product exclusivity, which means that the FDA may not approve any other applications including a full NDA to market thesame product candidate for the same indication, except in very limited circumstances, for seven years. Orphan drug exclusivity, however, could also block theapproval of one of our product candidates for seven years if a competitor obtains approval of the same product candidate as defined by the FDA prior to us, or ifour product candidate is determined to be contained within the competitor’s approved orphan product candidate for the same indication or disease.Pediatric exclusivity, pediatric use and rare pediatric disease priority review vouchersUnder the Best Pharmaceuticals for Children Act, certain product candidates may obtain an additional six months of exclusivity if the sponsor submitsinformation requested in writing by the FDA (a Written Request) relating to the use of the active moiety of the product candidate in children. The FDA may notissue a Written Request for studies on unapproved or approved indications or where it determines that information relating to the use of a product candidate in apediatric population, or part of the pediatric population, may not produce health benefits in that population.In addition, the Pediatric Research Equity Act (PREA) requires a sponsor to conduct pediatric studies for most product candidates and biologics, for a newactive ingredient, new indication, new dosage form, new dosing regimen or new route of administration. Under PREA, original NDAs, biologics license applicationand supplements thereto must contain a pediatric assessment unless the sponsor has received a deferral or waiver. The required assessment must assess the safetyand effectiveness of the product candidate for the claimed indications in all relevant pediatric subpopulations and support dosing and administration for eachpediatric subpopulation for which the product candidate is safe and effective. The sponsor or the FDA may request a deferral of pediatric studies for some or all ofthe pediatric subpopulations. A deferral may be granted for several reasons, including a finding that the product candidate or biologic is ready for approval for usein adults before pediatric studies are complete or that additional safety or effectiveness data needs to be collected before the pediatric studies begin. After April2013, the FDA must send a noncompliance letter to any sponsor that fails to submit the required assessment, keep a deferral current or fails to submit a request forapproval of a pediatric formulation. PREA does not apply to any drug for an indication for which orphan designation has been granted. However, if only oneindication for a product has orphan designation, a pediatric assessment may still be required for any applications to market that same product for the non-orphanindication(s).Under section 529 of the FDCA, the FDA will award priority review vouchers to sponsors of certain rare pediatric disease product applications. The rarepediatric disease priority review vouchers program was re-authorized by Congress in the Cures Act, extending the program through 2020.Section 529 of the FDCA is intended to encourage development of new drug and biological products for prevention and treatment of certain rare pediatricdiseases. Although there are existing incentive programs to encourage the development and study of drugs for rare diseases, pediatric populations, and unmetmedical needs, section 529 provides an additional incentive for rare pediatric diseases, which may be used alone or in combination with other incentive programs.“Rare pediatric disease” is defined as a disease that: • “primarily affects individuals aged from birth to 18 years, including age groups often called neonates, infants, children, and adolescents,” which isinterpreted as meaning that greater than 50% of the affected population in the U.S. is aged 0 through 18 years; and 28 Table of Contents • is “a rare disease or condition” as defined in FDCA, which includes diseases and conditions that affect fewer than 200,000 persons in the U.S. anddiseases and conditions that affect a larger number of persons and for which there is no reasonable expectation that the costs of developing and makingavailable the drug in the U.S. can be recovered from sales of the drug in the U.S.Under section 529, the sponsor of a human drug application for a rare pediatric disease drug product may be eligible for a voucher that can be used (or sold)to obtain a priority review for a subsequent human drug application submitted under section 505(b)(1) of the FDCA or section 351 of the Public Health Service Actafter the date of approval of the rare pediatric disease drug product. The FDA has issued draft Guidance for Industry for Rare Pediatric Disease Priority ReviewVouchers.Post-approval requirementsOnce an approval is granted, the FDA may withdraw the approval if compliance with regulatory requirements is not maintained or if problems occur after theproduct candidate reaches the market. Requirements for additional Phase 4 (post-approval marketing studies) to confirm safety and efficacy may be imposed as acondition of approval. Later discovery of previously unknown problems with a product candidate may result in REMS or even complete withdrawal of the productcandidate from the market. After approval, some types of changes to the approved product candidate, such as adding new indications, manufacturing changes andadditional labeling claims, are subject to further FDA review and approval. In addition, the FDA may require testing and surveillance programs to monitor theeffect of approved product candidates that have been commercialized, and the FDA has the power to prevent or limit further marketing of a product candidatebased on the results of these post-marketing programs.Any product candidates manufactured or distributed by us pursuant to FDA approvals are subject to continuing regulation by the FDA, including, amongother things: • record-keeping requirements; • reporting of adverse experiences with the product candidate; • submission of periodic reports; • providing the FDA with updated safety and efficacy information; • drug sampling, stability and distribution requirements; • notifying the FDA and gaining its approval of specified manufacturing or labeling changes; and • complying with statutory and regulatory requirements for promotion and advertising.Drug manufacturers and other entities involved in the manufacture and distribution of approved product candidates are required to register theirestablishments and provide product listing information to the FDA and certain state agencies and are subject to periodic unannounced inspections by the FDA andsome state agencies for compliance with cGMPs and other laws.Regulation outside of the U.S.In addition to regulations in the U.S., we will be subject to regulations of other jurisdictions governing any clinical trials and commercial sales anddistribution of our product candidates. Whether or not we obtain FDA approval for a product, we must obtain approval by the comparable regulatory authorities ofcountries outside of the U.S. before we can commence clinical trials in such countries, and approval of the regulators of such countries or supranational areas, suchas the European Union (EU), before we may market products in those countries or areas. The approval process and requirements governing the conduct of clinicaltrials, product licensing, pricing and reimbursement vary greatly from place to place, and the time may be longer or shorter than that required for FDA approval. 29 Table of ContentsUnder EU regulatory systems, a company may submit marketing authorization applications either under a centralized or decentralized procedure. Thecentralized procedure, which is compulsory for certain medicines, including those produced by biotechnology or those intended to treat HIV, AIDS, cancer,neurodegenerative disorders, autoimmune and other immune dysfunctions, viral diseases or diabetes and is optional for those medicines which are a significanttherapeutic, scientific or technical innovation or whose authorization would be in the interest of public health, provides for the grant of a single marketingauthorization that is valid for all EU member states. The decentralized procedure provides for mutual recognition of national approval decisions. Under thisprocedure, the holder of a national marketing authorization may submit an application to the remaining member states. Within 90 days of receiving the applicationsand assessment reports, each member state must decide whether to recognize the approval. If a member state does not recognize the marketing authorization, thedisputed points are eventually referred to the European Commission, whose decision is binding on all member states.As in the U.S., we may apply for designation of a product candidate as an orphan drug for the treatment of a specific indication in the EU before theapplication for marketing authorization is made. Sponsors of orphan drugs in the EU can enjoy economic and marketing benefits, including up to ten years ofmarket exclusivity for the approved indication unless another applicant can show that its product is safer, more effective or otherwise clinically superior to theorphan-designated product.Coverage and ReimbursementSales of our products will depend, in part, on the extent to which the costs of our products will be covered and paid for by third-party payors, such asgovernment health programs, commercial insurance and managed healthcare organizations. Third-party payors may limit coverage to specific products on anapproved list or formulary, which might not include all of the FDA-approved products for a particular indication. Also, third-party payors may refuse to include aparticular branded drug on their formularies or otherwise restrict patient access to a branded drug when a less costly generic equivalent or other alternative isavailable. Third-party payors are increasingly challenging the prices charged for medical products and services. Additionally, the containment of healthcare costshas become a priority of federal and state governments, and the prices of drugs have been a focus in this effort. The U.S. government, state legislatures and foreigngovernments have shown significant interest in implementing cost-containment programs, including price controls, restrictions on reimbursement and requirementsfor substitution of generic products. For example, the current administration has indicated support for possible new measures to regulate drug pricing. Adoption ofprice controls and cost-containment measures, and adoption of more restrictive policies in jurisdictions with existing controls and measures, could significantlylimit our net revenue and results. If these third-party payors do not consider our products to be cost-effective compared to other therapies, they may not cover ourproducts after approved as a benefit under their plans or, if they do, the level of payment may not be sufficient to allow us to sell our products on a profitable basis.The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) imposed new requirements for the distribution and pricing ofprescription drugs for Medicare beneficiaries. Under Part D, Medicare beneficiaries may enroll in prescription drug plans offered by private entities which willprovide coverage of outpatient prescription drugs. Part D plans include both stand-alone prescription drug benefit plans and prescription drug coverage as asupplement to Medicare Advantage plans. Unlike Medicare Part A and B, Part D coverage is not standardized. Part D prescription drug plan sponsors are notrequired to pay for all covered Part D drugs, and each drug plan can develop its own drug formulary that identifies which drugs it will cover and at what tier orlevel. However, Part D prescription drug formularies must include drugs within each therapeutic category and class of covered Part D drugs, though not necessarilyall the drugs in each category or class. Any formulary used by a Part D prescription drug plan must be developed and reviewed by a pharmacy and therapeuticcommittee. Government payment for some of the costs of prescription drugs may increase demand for our products for which we receive marketing approval.However, any negotiated prices for our products covered by a Part D prescription drug plan will likely be lower than the prices we might otherwise obtain. 30 Table of ContentsMoreover, while the MMA applies only to drug benefits for Medicare beneficiaries, private payors often follow Medicare coverage policy and payment limitationsin setting their own payment rates. Any reduction in payment that results from the MMA may result in a similar reduction in payments from non-governmentalpayors.The American Recovery and Reinvestment Act of 2009 provides funding for the federal government to compare the effectiveness of different treatments forthe same illness. A plan for the research will be developed by the Department of Health and Human Services, the Agency for Healthcare Research and Quality andthe NIH, and periodic reports on the status of the research and related expenditures will be made to the U.S. Congress. Although the results of the comparativeeffectiveness studies are not intended to mandate coverage policies for public or private payors, it is not clear what effect, if any, the research will have on the salesof any product, if any such product or the condition that it is intended to treat is the subject of a study. It is also possible that comparative effectiveness researchdemonstrating benefits in a competitor’s product could adversely affect the sales of our product candidates. If third-party payors do not consider our products to becost-effective compared to other available therapies, they may not cover our products as a benefit under their plans or, if they do, the level of payment may not besufficient to allow us to sell our products on a profitable basis.The Patient Protection and Affordable Care Act, as amended by the Health Care and Education Affordability Reconciliation Act of 2010, collectivelyreferred to as the ACA, enacted in March 2010, has had a significant impact on the health care industry by, for example, expanding coverage for the uninsured andseeking to contain overall healthcare costs. With regard to pharmaceutical products, among other things, the ACA contains provisions that may reduce theprofitability of drug products such as expanding and increasing industry rebates for drugs covered under Medicaid programs and making changes to the coveragerequirements under the Medicare Part D program. Recently, the current Administration and U.S. Congress have expressed a desire to modify, repeal, or otherwiseinvalidate all, or certain provisions of, the ACA, which has contributed to the uncertainty of the ongoing implementation and impact of the ACA and alsounderscores the potential for additional health care reform going forward. There is still uncertainty with respect to the impact the current Administration and theU.S. Congress may have, if any, and any changes will likely take time to unfold. Such reforms could have an adverse effect on anticipated revenues from productcandidates that we may successfully develop and for which we may obtain regulatory approval and may affect our overall financial condition and ability to developproduct candidates.In addition, in some non-U.S. jurisdictions, the proposed pricing for a product candidate must be approved before it may be lawfully marketed. Therequirements governing drug pricing vary widely from country to country. For example, the EU provides options for its member states to restrict the range ofmedicinal products for which their national health insurance systems provide reimbursement and to control the prices of medicinal products for human use. Amember state may approve a specific price for the medicinal product or it may instead adopt a system of direct or indirect controls on the profitability of thecompany placing the medicinal product on the market. There can be no assurance that any country that has price controls or reimbursement limitations forpharmaceutical products will allow favorable reimbursement and pricing arrangements for any of our product candidates. Historically, product candidates launchedin the EU do not follow price structures of the U.S. and generally tend to be significantly lower.EnvironmentOur third-party manufacturers are subject to inspections by the FDA for compliance with cGMP and other U.S. regulatory requirements, including U.S.federal, state and local regulations regarding environmental protection and hazardous and controlled substance controls, among others. Environmental laws andregulations are complex, change frequently and have tended to become more stringent over time. We have incurred, and may continue to incur, significantexpenditures to ensure we are in compliance with these laws and regulations. We would be subject to significant penalties for failure to comply with these laws andregulations. 31 Table of ContentsSales and MarketingOur current focus is on the development of our existing portfolio, the initiation and completion of clinical trials and, if and where appropriate, the registrationof our product candidates. We currently do not have marketing, sales and distribution capabilities. If we receive marketing and commercialization approval for anyof our product candidates, we intend to market the product either directly or through strategic alliances and distribution agreements with third parties. The ultimateimplementation of our strategy for realizing the financial value of our product candidates is dependent on the results of clinical trials for our product candidates, theavailability of funds, our ability to obtain adequate coverage and reimbursement of our products, compliance with laws governing our sales and marketingactivities, and the ability to negotiate acceptable commercial terms with third parties.EmployeesAs of December 31, 2016, we had 47 full-time employees, of whom 36 are engaged in research and development and 11 in administration. None of ouremployees are represented by a labor union or covered by a collective bargaining agreement. Geographically, 45 employees are located in Massachusetts, one inColorado and one in New Jersey. We consider our relationship with our employees to be good.Corporate InformationWe were incorporated in Delaware in 2006. We maintain our executive offices at 87 Cambridgepark Drive, Cambridge, MA 02140, and our main telephonenumber is (617) 621-8097. Our website address is www.dicerna.com , which contains information about us. The information contained in, or that can be accessedthrough, our website is not part of, and is not incorporated in the documents we file with the Securities Exchange Commission (SEC).The information in, or that can be accessed through, our website is not part of this Annual Report on Form 10-K. Our annual reports on Form 10-K, quarterlyreports on Form 10-Q and current reports on Form 8-K and amendments to those reports are available, free of charge, on or through our website as soon asreasonably practicable after we electronically file such material with, or furnish it to, the SEC. The public may read and copy any materials we file with the SEC atthe SEC’s Public Reference Room at 100 F Street, NE, Washington, D.C. 20549. Information on the operation of the Public Reference Room can be obtained bycalling 1-800-SEC-0330. The SEC maintains an Internet site that contains reports, proxy and information statements and other information regarding our filings atwww.sec.gov .We are an “emerging growth company” as defined in the Jumpstart Our Business Startups Act of 2012. We will remain an emerging growth company untilthe earlier of: (1) the last day of the fiscal year (a) following the fifth anniversary of the completion of our initial public offering on February 4, 2014, (b) in whichwe have total annual gross revenue of at least $1.0 billion, or (c) in which we are deemed to be a large accelerated filer, which means the market value of ourcommon stock that is held by non-affiliates exceeds $700.0 million as of the prior June 30th, and (2) the date on which we have issued more than $1.0 billion innon-convertible debt during the prior three-year period. We refer to the Jumpstart Our Business Startups Act of 2012 herein as the “JOBS Act,” and referencesherein to “emerging growth company” shall have the meaning associated with it in the JOBS Act. 32 Table of ContentsItem 1A.Risk FactorsWe are providing the following cautionary discussion of risk factors, uncertainties and assumptions that we believe are relevant to our business. These arefactors that, individually or in the aggregate, we think could cause our actual results to differ materially from expected and historical results and our forward-looking statements. We note these factors for investors as permitted by Section 21E of the Securities Exchange Act of 1934, as amended (Exchange Act), andSection 27A of the Securities Act of 1933, as amended (Securities Act). You should understand that it is not possible to predict or identify all such factors.Consequently, you should not consider this section to be a complete discussion of all potential risks or uncertainties that may substantially impact our business.Moreover, we operate in a competitive and rapidly changing environment. New factors emerge from time to time, and it is not possible to predict the impact of allof these factors on our business, financial condition or results of operations.Risks Related to Our BusinessWe will need to raise substantial additional funds to advance development of our product candidates, and we cannot guarantee that we will have sufficientfunds available in the future to develop and commercialize our current or future product candidates.We will need to raise substantial additional funds to expand our development, regulatory, manufacturing, marketing and sales capabilities with otherorganizations to provide these capabilities for us. We have used substantial funds to develop our product candidates and delivery technologies and will requiresignificant funds to conduct further research and development and preclinical testing and clinical trials of our product candidates, to seek regulatory approvals forour product candidates and to manufacture and market products, if any are approved for commercial sale. As of December 31, 2016, we had $45.9 million in cashand cash equivalents and held-to-maturity investments Based on our current operating plan, we believe that our available cash, cash equivalents andheld-to-maturity investments will be sufficient to fund our planned level of operations for at least the next 12 months. Our future capital requirements and theperiod for which we expect our existing resources to support our operations may vary significantly from what we expect. Our monthly spending levels vary basedon new and ongoing development and corporate activities. Because the length of time and activities associated with successful development of our productcandidates is highly uncertain, we are unable to estimate the actual funds we will require for development and any approved marketing and commercializationactivities. To execute our business plan, we will need, among other things: • to obtain the human and financial resources necessary to develop, test, obtain regulatory approval for, manufacture and market our product candidates; • to build and maintain a strong intellectual property portfolio and avoid infringing intellectual property of third parties; • to establish and maintain successful licenses, collaborations and alliances; • to satisfy the requirements of clinical trial protocols, including patient enrollment; • to establish and demonstrate the clinical efficacy and safety of our product candidates; • to obtain regulatory approvals; • to manage our spending as costs and expenses increase due to preclinical studies and clinical trials, regulatory approvals, manufacturing scale-up andcommercialization; • to obtain additional capital to support and expand our operations; and • to market our products to achieve acceptance and use by the medical community in general.If we are unable to obtain funding on a timely basis or on acceptable terms, we may have to delay, reduce or terminate our research and developmentprograms and preclinical studies or clinical trials, if any, limit strategic opportunities or undergo reductions in our workforce or other corporate restructuringactivities. We also could be 33 Table of Contentsrequired to seek funds through arrangements with collaborators or others that may require us to relinquish rights to some of our technologies or product candidatesthat we would otherwise pursue on our own. We do not expect to realize revenue from product sales, milestone payments or royalties in the foreseeable future, if atall. Our revenue sources are, and will remain, extremely limited unless and until our product candidates are clinically tested, approved for commercialization andsuccessfully marketed. To date, we have financed our operations primarily through the sale of securities, debt financings, credit and loan facilities and paymentsreceived under our collaborations and license agreement with KHK. For example, on March 30, 2017, we entered into an SPA with Investors pursuant to which weagreed to issue and sell 700,000 shares of our newly designated Redeemable Convertible Preferred in a Private Placement. The Private Placement is expected toclose on or before April 11, 2017, subject to the satisfaction of customary closing conditions. We will be required to seek additional funding in the future andintend to do so through a combination of public or private equity offerings, debt financings and research collaborations and license agreements. Our ability to raiseadditional funds will depend on financial, economic and other factors, many of which are beyond our control. Additional funds may not be available to us onacceptable terms or at all. If we raise additional funds by issuing equity securities, our stockholders will suffer dilution, and the terms of any financing mayadversely affect the rights of our stockholders. In addition, as a condition to providing additional funds to us, future investors may demand, and may be granted,rights superior to those of existing stockholders. Debt financing, if available, may involve restrictive covenants limiting our flexibility in conducting future businessactivities, and, in the event of insolvency, debt holders would be repaid before holders of equity securities receive any distribution of corporate assets. Our failure toraise capital or enter into such other arrangements within a reasonable timeframe would have a negative impact on our financial condition, and we may have todelay, reduce or terminate our research and development programs, preclinical or clinical trials or undergo reductions in our workforce or other corporaterestructuring activities.We are a biopharmaceutical company with a history of losses, expect to continue to incur significant losses for the foreseeable future and may never achieve ormaintain profitability, which could result in a decline in the market value of our common stock.We are a biopharmaceutical company with a limited operating history, focused on the discovery and development of treatments based on the emergingtherapeutic modality RNAi, a biological process in which RNA molecules inhibit gene expression. Since our inception in October 2006, we have devoted ourresources to the development of DsiRNA molecules and delivery technologies. We have had significant operating losses since our inception. As of December 31,2016, we had an accumulated deficit of $255.7 million. For the years ended December 31, 2016, 2015 and 2014, our net loss was $59.5 million, $62.8 million and$47.9 million, respectively. Substantially all of our losses have resulted from expenses incurred in connection with our research programs and from general andadministrative costs associated with our operations. Our technologies and product candidates are in early stages of development, and we are subject to the risks offailure inherent in the development of product candidates based on novel technologies.To date, we have generated revenue primarily from the receipt of upfront research funding, license and option exercise fees and preclinical payments underour research collaboration and license agreement with KHK. We have not generated, and do not expect to generate, any revenue from product sales for theforeseeable future, and we expect to continue to incur significant operating losses for the foreseeable future due to the cost of research and development, preclinicalstudies and clinical trials and the regulatory approval process for product candidates. The amount of future losses is uncertain. Our ability to achieve profitability, ifever, will depend on, among other things, us or our existing collaborators, or any future collaborators, successfully developing product candidates, obtainingregulatory approvals to market and commercialize product candidates, manufacturing any approved products on commercially reasonable terms, establishing asales and marketing organization or suitable third party alternatives for any approved product and raising sufficient funds to finance business activities. If we or ourexisting collaborators, or any future collaborators, are unable to develop and commercialize one or more of our product candidates or if sales revenue from anyproduct candidate that receives approval is insufficient, we will not achieve profitability, which could have a material adverse effect on our business, financialcondition, results of operations and prospects. 34 Table of ContentsOur quarterly operating results may fluctuate significantly or may fall below the expectations of investors or securities analysts, each of which may cause ourstock price to fluctuate or decline.We expect our operating results to be subject to quarterly fluctuations. Our net loss and other operating results will be affected by numerous factors,including: • variations in the level of expense related to our product candidates or future development programs; • results of clinical trials, or the addition or termination of clinical trials or funding support by us, our existing collaborators or any future collaborator orlicensing partner; • the timing of the release of results from any clinical trials conducted by us or our collaborator KHK; • our execution of any collaboration, licensing or similar arrangement, and the timing of payments we may make or receive under such existing or futurearrangements or the termination or modification of any such existing or future arrangements; • any intellectual property infringement lawsuit or opposition, interference, re-examination, post-grant review, inter partes review, nullification,derivation action, or cancellation proceeding in which we may become involved; • additions and departures of key personnel; • strategic decisions by us or our competitors, such as acquisitions, divestitures, spin-offs, joint ventures, strategic investments or changes in businessstrategy; • if any of our product candidates receive regulatory approval, market acceptance and demand for such product candidates; • if any of our third-party manufacturers fail to execute on our manufacturing requirements; • regulatory developments affecting our product candidates or those of our competitors; • disputes concerning patents, proprietary rights, or license and collaboration agreements that negatively impact our receipt of milestone payments orroyalties or require us to make significant payments arising from licenses, settlements, adverse judgments or ongoing royalties; • expenditures as we respond to and defend against complaints and potential litigation, including Alnylam’s lawsuit alleging misappropriation ofconfidential information; and • changes in general market and economic conditions.If our quarterly operating results fall below the expectations of investors or securities analysts, the price of our common stock could decline substantially.Furthermore, any quarterly fluctuations in our operating results may, in turn, cause the price of our stock to fluctuate substantially. We believe that quarterlycomparisons of our financial results are not necessarily meaningful and should not be relied upon as an indication of our future performance.Our approach to the discovery and development of innovative therapeutic treatments based on novel technologies is unproven and may not result in marketableproducts.We plan to develop subcutaneously delivered RNAi based pharmaceuticals using our GalXC RNAi platform for the treatment of rare diseases involving theliver and for other therapeutic areas involving the liver such as chronic liver diseases, cardiovascular diseases, and viral infectious diseases. We believe that productcandidates identified with our drug discovery and delivery platform may offer an improved therapeutic approach to small 35 Table of Contentsmolecules and monoclonal antibodies, as well as several advantages over earlier generation RNAi molecules. However, the scientific research that forms the basisof our efforts to develop product candidates based on the therapeutic modality RNAi and the identification and optimization of GalXC is relatively new. Further,the scientific evidence to support the feasibility of developing therapeutic treatments based on RNAi and GalXC is both preliminary and limited.Relatively few product candidates based on RNAi have been tested in animals or humans, and a number of clinical trials conducted by other companies usingRNAi technologies have not been successful. We may discover that GalXC does not possess certain properties required for a drug to be effective, such as the abilityto remain stable in the human body for the period of time required for the drug to reach the target tissue or the ability to cross the cell wall and enter into cellswithin the target tissue for effective delivery. We currently have only limited data, and no conclusive evidence, to suggest that we can introduce these necessarydrug-like properties into GalXC. We may spend substantial funds attempting to introduce these properties and may never succeed in doing so. In addition, productcandidates based on GalXC may demonstrate different chemical and pharmacological properties in patients than they do in laboratory studies. Even if productcandidates, such as DCR-PHXC, have successful results in animal studies, they may not demonstrate the same chemical and pharmacological properties in humansand may interact with human biological systems in unforeseen, ineffective or harmful ways. As a result, we may never succeed in developing a marketable product,we may not become profitable and the value of our common stock will decline.Further, the FDA has relatively limited experience with RNAi or GalXC based therapeutics. No regulatory authority has granted approval to any person orentity, including us, to market and commercialize therapeutics using RNAi or GalXC, which may increase the complexity, uncertainty and length of the regulatoryapproval process for our product candidates. We and our current collaborators, or any future collaborators, may never receive approval to market andcommercialize any product candidate. Even if we or a collaborator obtain regulatory approval, the approval may be for disease indications or patient populationsthat are not as broad as we intended or desired or may require labeling that includes significant use or distribution restrictions or safety warnings. We or acollaborator may be required to perform additional or unanticipated clinical trials to obtain approval or be subject to post-marketing testing requirements tomaintain regulatory approval. If our technologies based on GalXC prove to be ineffective, unsafe or commercially unviable, our entire platform and pipeline wouldhave little, if any, value, which could have a material adverse effect on our business, financial condition, results of operations and prospects.The market may not be receptive to our product candidates based on a novel therapeutic modality, and we may not generate any future revenue from the sale orlicensing of product candidates.Even if approval is obtained for a product candidate, we may not generate or sustain revenue from sales of the product due to factors such as whether theproduct can be sold at a competitive price and otherwise accepted in the market. The product candidates that we are developing are based on new technologies andtherapeutic approaches. Market participants with significant influence over acceptance of new treatments, such as physicians and third-party payors, may not adopta treatment based on GalXC technology, and we may not be able to convince the medical community and third-party payors to accept and use, or to providefavorable coverage or reimbursement for, any product candidates developed by us or our existing collaborator or any future collaborators. Market acceptance of ourproduct candidates will depend on, among other factors: • the timing of our receipt of any marketing and commercialization approvals; • the terms of any approvals and the countries in which approvals are obtained; • the safety and efficacy of our product candidates; • the prevalence and severity of any adverse side effects associated with our product candidates; • limitations or warnings contained in any labeling approved by the FDA or other regulatory authority; 36 Table of Contents • relative convenience and ease of administration of our product candidates; • the willingness of patients to accept any new methods of administration; • the success of our physician education programs; • the availability of adequate government and third-party payor coverage and reimbursement; • the pricing of our products, particularly as compared to alternative treatments; • our ability to compliantly market and sell our products; and • availability of alternative effective treatments for the disease indications our product candidates are intended to treat and the relative risks, benefits andcosts of those treatments.With our focus on the emerging therapeutic modality RNAi, these risks may increase to the extent the space becomes more competitive or less favored in thecommercial marketplace. Additional risks apply in relation to any disease indications we pursue which are classified as rare diseases and allow for orphan drugdesignation by regulatory agencies in major commercial markets, such as the U.S., the EU and Japan. Because of the small patient population for a rare disease, ifpricing is not approved or accepted in the market at an appropriate level for an approved product with orphan drug designation, such drug may not generate enoughrevenue to offset costs of development, manufacturing, marketing and commercialization despite any benefits received from the orphan drug designation, such asmarket exclusivity, assistance in clinical trial design or a reduction in user fees or tax credits related to development expense. Market size is also a variable indisease indications not classified as rare. Our estimates regarding potential market size for any indication may be materially different from what we discover toexist at the time we commence commercialization, if any, for a product, which could result in significant changes in our business plan and have a material adverseeffect on our business, financial condition, results of operations and prospects.If a product candidate that has orphan drug designation subsequently receives the first FDA approval for the indication for which it has such designation, theproduct candidate is entitled to orphan product exclusivity, which means that the FDA may not approve any other applications to market the same productcandidate for the same indication, except in very limited circumstances, for seven years. Orphan drug exclusivity, however, could also block the approval of one ofour product candidates for seven years if a competitor obtains approval of the same product candidate as defined by the FDA or if our product candidate isdetermined to be contained within the competitor’s product candidate for the same indication or disease.As in the U.S., we may apply for designation of a product candidate as an orphan drug for the treatment of a specific indication in the EU before theapplication for marketing authorization is made. Sponsors of orphan drugs in the EU can enjoy economic and marketing benefits, including up to ten years ofmarket exclusivity for the approved indication unless another applicant can show that its product is safer, more effective or otherwise clinically superior to theorphan-designated product. The respective orphan designation and exclusivity frameworks in the U.S. and in the European Union are subject to change, and anysuch changes may affect our ability to obtain EU or U.S. orphan designations in the future.Our product candidates are in early stages of development and may fail in development or suffer delays that materially and adversely affect their commercialviability.We have no products on the market and all of our product candidates are in early stages of development. Our ability to achieve and sustain profitabilitydepends on obtaining regulatory approvals, including IRB approval to conduct clinical trials at particular sites, and successfully commercializing our productcandidates, either alone or with third parties, such as our collaborator KHK. Before obtaining regulatory approval for the commercial distribution of our productcandidates, we or a collaborator must conduct extensive preclinical tests and clinical trials to demonstrate the safety and efficacy in humans of our productcandidates. Preclinical testing 37 Table of Contentsand clinical trials are expensive, difficult to design and implement, can take many years to complete and are uncertain as to outcome. The start or end of a clinicalstudy is often delayed or halted due to changing regulatory requirements, manufacturing challenges, required clinical trial administrative actions, slower thananticipated patient enrollment, changing standards of care, availability or prevalence of use of a comparative drug or required prior therapy, clinical outcomes orfinancial constraints. For instance, delays or difficulties in patient enrollment or difficulties in retaining trial participants can result in increased costs, longerdevelopment times or termination of a clinical trial. Clinical trials of a new product candidate require the enrollment of a sufficient number of patients, includingpatients who are suffering from the disease the product candidate is intended to treat and who meet other eligibility criteria. Rates of patient enrollment are affectedby many factors, including the size of the patient population, the eligibility criteria for the clinical trial, the age and condition of the patients, the stage and severityof disease, the nature of the protocol, the proximity of patients to clinical sites and the availability of effective treatments for the relevant disease.A product candidate can unexpectedly fail at any stage of preclinical and clinical development. The historical failure rate for product candidates is high dueto scientific feasibility, safety, efficacy, changing standards of medical care and other variables. The results from preclinical testing or early clinical trials of aproduct candidate may not predict the results that will be obtained in later phase clinical trials of the product candidate. We, the FDA, IRB, an independent ethicscommittee, or other applicable regulatory authorities may suspend clinical trials of a product candidate at any time for various reasons, including a belief thatsubjects participating in such trials are being exposed to unacceptable health risks or adverse side effects. Similarly, an IRB or ethics committee may suspend aclinical trial at a particular trial site. We may not have the financial resources to continue development of, or to enter into collaborations for, a product candidate ifwe experience any problems or other unforeseen events that delay or prevent regulatory approval of, or our ability to commercialize, product candidates, including: • negative or inconclusive results from our clinical trials or the clinical trials of others for product candidates similar to ours, leading to a decision orrequirement to conduct additional preclinical testing or clinical trials or abandon a program; • serious and unexpected drug-related side effects experienced by participants in our clinical trials or by individuals using drugs similar to our productcandidates; • delays in submitting INDs or comparable foreign applications or delays or failure in obtaining the necessary approvals from regulators or IRBs tocommence a clinical trial, or a suspension or termination of a clinical trial once commenced; • conditions imposed by the FDA or comparable foreign authorities, such as the European Medicines Agency (EMA), regarding the scope or design ofour clinical trials; • delays in enrolling research subjects in clinical trials; • high drop-out rates of research subjects; • inadequate supply or quality of drug product or product candidate components or materials or other supplies necessary for the conduct of our clinicaltrials; • greater than anticipated clinical trial costs; • poor effectiveness of our product candidates during clinical trials; • unfavorable FDA or other regulatory agency inspection and review of a clinical trial site; • failure of our third-party contractors or investigators to comply with regulatory requirements or otherwise meet their contractual obligations in a timelymanner, or at all; • delays and changes in regulatory requirements, policy and guidelines, including the imposition of additional regulatory oversight around clinicaltesting generally or with respect to our technology in particular; or • varying interpretations of data by the FDA and similar foreign regulatory agencies. 38 Table of ContentsTo date, our revenue has been primarily derived from our research collaboration and license agreement with KHK, and we are dependent on KHK for thesuccessful development of product candidates in the collaboration.In December 2009, we entered into a research collaboration and license agreement with KHK for the research, development and commercialization ofDsiRNA molecules and drug delivery technologies for therapeutic targets, primarily in oncology. Under the research collaboration and license agreement withKHK, KHK has paid us a total of $17.5 million. During the first two years of the collaboration, we worked together with KHK to optimize KHK’s lipidnanoparticles for tumor delivery and to identify DsiRNAs optimized against oncology and KRAS targets. Based on the results of this research, KHK exercisedoptions to advance two separate DsiRNAs into the development stage, including one with a KRAS target. For each product candidate under the researchcollaboration and license agreement, we have the potential to receive clinical, regulatory and commercialization milestone payments of up to $110.0 million androyalties on net sales of such product candidate. The success of our collaboration programs with KHK depends entirely upon the efforts of KHK. Except for certainco-promotion and profit sharing rights we retain with respect to the KRAS product candidate if it is approved for marketing and commercialization in the U.S.,KHK has sole discretion in determining and directing the efforts and resources, including the ability to discontinue all efforts and resources it applies to thedevelopment and, if approval is obtained, commercialization and marketing of the product candidates covered by the collaboration. KHK may not be effective inobtaining approvals for the product candidates developed under the collaboration arrangement or in marketing, or arranging for necessary supply, manufacturing ordistribution relationships for, any approved products. Under the research collaboration and license agreement, KHK may change its strategic focus or pursuealternative technologies in a manner that results in reduced, delayed or no revenue to us. KHK has a variety of marketed products and product candidates undercollaboration with other companies, including some of our competitors, and its own corporate objectives may not be consistent with our best interests. If KHK failsto develop, obtain regulatory approval for or ultimately commercialize any product candidate under our collaboration or if KHK terminates our collaboration, ourbusiness, financial condition, results of operations and prospects could be materially and adversely affected. In addition, any dispute or litigation proceedings wemay have with KHK in the future could delay development programs, create uncertainty as to ownership of intellectual property rights, distract management fromother business activities and generate substantial expense.If third parties on which we depend to conduct our preclinical studies, or any future clinical trials, do not perform as contractually required, fail to satisfyregulatory or legal requirements or miss expected deadlines, our development program could be delayed with materially adverse effects on our business,financial condition, results of operations and prospects.We rely on third party clinical investigators, contract research organizations (CROs), clinical data management organizations and consultants to design,conduct, supervise and monitor preclinical studies of our product candidates and will do the same for any clinical trials. Because we rely on third parties and do nothave the ability to conduct preclinical studies or clinical trials independently, we have less control over the timing, quality, compliance and other aspects ofpreclinical studies and clinical trials than we would if we conducted them on our own. These investigators, CROs and consultants are not our employees and wehave limited control over the amount of time and resources that they dedicate to our programs. These third parties may have contractual relationships with otherentities, some of which may be our competitors, which may draw time and resources from our programs. The third parties with which we contract might not bediligent, careful, compliant, or timely in conducting our preclinical studies or clinical trials, resulting in the preclinical studies or clinical trials being delayed orunsuccessful.If we cannot contract with acceptable third parties on commercially reasonable terms, or at all, or if these third parties do not carry out their contractualduties, satisfy legal and regulatory requirements for the conduct of preclinical studies or clinical trials or meet expected deadlines, our clinical developmentprograms could be delayed and otherwise adversely affected. In all events, we are responsible for ensuring that each of our 39 Table of Contentspreclinical studies and clinical trials is conducted in accordance with the general investigational plan and protocols for the trial. The FDA and certain foreignregulatory authorities, such as the EMA, require preclinical studies to be conducted in accordance with applicable GLPs and clinical trials to be conducted inaccordance with applicable FDA regulations and GCPs, including requirements for conducting, recording and reporting the results of preclinical studies andclinical trials to assure that data and reported results are credible and accurate and that the rights, integrity and confidentiality of clinical trial participants areprotected. Our reliance on third parties that we do not control does not relieve us of these responsibilities and requirements. Any such event could have a materialadverse effect on our business, financial condition, results of operations and prospects.Because we rely on third party manufacturing and supply partners, our supply of research and development, preclinical studies and clinical trial materials maybecome limited or interrupted or may not be of satisfactory quantity or quality.We rely on third party supply and manufacturing partners to supply the materials, components and manufacturing services for our research and development,preclinical study and clinical trial drug supplies.We do not own manufacturing facilities or supply sources for such components and materials. Our manufacturing requirements include oligonucleotides andcustom amidites, some of which we procure from a single source supplier on a purchase order basis. In addition, for each product candidate we contract with onlyone manufacturer for the formulation and filling of drug product. There can be no assurance that our supply of research and development, preclinical study andclinical trial drugs and other materials will not be limited, interrupted, restricted in certain geographic regions or of satisfactory quality or continue to be available atacceptable prices. In particular, any replacement of our drug substance manufacturer could require significant effort and expertise because there may be a limitednumber of qualified replacements.If we are at any time unable to provide an uninterrupted supply of our products to patients, we may lose patients, physicians may elect to utilize competingtherapeutics instead of our products, and our trials may be adversely affected, which could materially and adversely affect our trial outcome.The manufacturing process for a product candidate is subject to FDA and foreign regulatory authority review. Suppliers and manufacturers must meetapplicable manufacturing requirements and undergo rigorous facility and process validation tests required by regulatory authorities in order to comply withregulatory standards, such as cGMPs. In the event that any of our suppliers or manufacturers fails to comply with such requirements or to perform its obligations tous in relation to quality, timing or otherwise, or if our supply of components or other materials becomes limited or interrupted for other reasons, we may experienceshortages resulting in delayed shipments, supply constraints and/or stock-outs of our products, be forced to manufacture the materials ourselves, for which wecurrently do not have the capabilities or resources, or enter into an agreement with another third party, which we may not be able to do on reasonable terms, if atall. In some cases, the technical skills or technology required to manufacture our product candidates may be unique or proprietary to the original manufacturer andwe may have difficulty, or there may be contractual restrictions prohibiting us from, transferring such skills or technology to another third party and a feasiblealternative may not exist. These factors would increase our reliance on such manufacturer or require us to obtain a license from such manufacturer in order to haveanother third party manufacture our product candidates. If we are required to change manufacturers for any reason, we will be required to verify that the newmanufacturer maintains facilities and procedures that comply with quality standards and with all applicable regulations. The delays associated with the verificationof a new manufacturer could negatively affect our ability to develop product candidates in a timely manner or within budget.We expect to continue to rely on third party manufacturers if we receive regulatory approval for any product candidate. To the extent that we have existing,or enter into future, manufacturing arrangements with third parties, we will depend on these third parties to perform their obligations in a timely manner consistentwith 40 Table of Contentscontractual and regulatory requirements, including those related to quality control and assurance. If we are unable to obtain or maintain third-party manufacturingfor product candidates, or to do so on commercially reasonable terms, we may not be able to develop and commercialize our product candidates successfully. Ouror a third party’s failure to execute on our manufacturing requirements could adversely affect our business in a number of ways, including: • an inability to initiate or continue preclinical studies or clinical trials of product candidates under development; • delay in submitting regulatory applications, or receiving regulatory approvals, for product candidates; • loss of the cooperation of a collaborator; • subjecting manufacturing facilities of our product candidates to additional inspections by regulatory authorities; • requirements to cease distribution or to recall batches of our product candidates; and • in the event of approval to market and commercialize a product candidate, an inability to meet commercial demands for our products.We may not successfully engage in strategic transactions, including any additional collaborations we seek, which could adversely affect our ability to developand commercialize product candidates, impact our cash position, increase our expense and present significant distractions to our management.From time to time, we may consider strategic transactions, such as collaborations, acquisitions of companies, asset purchases and out- or in-licensing ofproduct candidates or technologies. In particular, in addition to our current arrangements with KHK, COH, Carnegie and PBL, we will evaluate and, if strategicallyattractive, seek to enter into additional collaborations, including with major biotechnology or pharmaceutical companies. The competition for collaborators isintense, and the negotiation process is time-consuming and complex. Any new collaboration may be on terms that are not optimal for us, and we may be unable tomaintain any new or existing collaboration if, for example, development or approval of a product candidate is delayed, sales of an approved product candidate donot meet expectations or the collaborator terminates the collaboration. Any such collaboration, or other strategic transaction, may require us to incur non-recurringor other charges, increase our near- and long-term expenditures and pose significant integration or implementation challenges or disrupt our management orbusiness. These transactions would entail numerous operational and financial risks, including exposure to unknown liabilities, disruption of our business anddiversion of our management’s time and attention in order to manage a collaboration or develop acquired products, product candidates or technologies, incurrenceof substantial debt or dilutive issuances of equity securities to pay transaction consideration or costs, higher than expected collaboration, acquisition or integrationcosts, write-downs of assets or goodwill or impairment charges, increased amortization expenses, difficulty and cost in facilitating the collaboration or combiningthe operations and personnel of any acquired business, impairment of relationships with key suppliers, manufacturers or customers of any acquired business due tochanges in management and ownership and the inability to retain key employees of any acquired business. Accordingly, although there can be no assurance that wewill undertake or successfully complete any transactions of the nature described above, any transactions that we do complete may be subject to the foregoing orother risks and have a material adverse effect on our business, results of operations, financial condition and prospects. Conversely, any failure to enter anycollaboration or other strategic transaction that would be beneficial to us could delay the development and potential commercialization of our product candidatesand have a negative impact on the competitiveness of any product candidate that reaches market. 41 Table of ContentsWe face competition from entities that have developed or may develop product candidates for our target disease indications, including companies developingnovel treatments and technology platforms based on modalities and technology similar to ours. If these companies develop technologies or product candidatesmore rapidly than we do or their technologies, including delivery technologies, are more effective, our ability to develop and successfully commercializeproduct candidates may be adversely affected.The development and commercialization of drugs is highly competitive. We compete with a variety of multinational pharmaceutical companies andspecialized biotechnology companies, as well as technology being developed at universities and other research institutions. Our competitors have developed, aredeveloping or will develop product candidates and processes competitive with our product candidates. Competitive therapeutic treatments include those that havealready been approved and accepted by the medical community and any new treatments that enter the market. We are aware of multiple companies that are workingin the field of RNAi therapeutics, including a major pharmaceutical company, Takeda Pharmaceutical Company Limited, and biopharmaceutical companies such asAlnylam, which acquired Sirna from Merck in March 2014, Arbutus, Arrowhead, Silence Therapeutics plc, RXi Pharmaceuticals Corporation, QuarkPharmaceuticals, Inc., Wave Life Sciences, Benitec Biopharma Limited and Arcturus Therapeutics. In particular, Arrowhead holds a non-exclusive license to thesame patent rights of COH and Integrated Data Technologies, Inc. (IDT) as we are licensed under our license agreement with COH. As a result, we cannot rely onthose patent rights to prevent Arrowhead or third parties working with Arrowhead from developing, marketing and selling products that compete directly with someof our product candidates. In March 2015 Arrowhead announced the acquisition of Novartis’ RNAi research and development portfolio and associated assets. Theacquisition includes assignment of certain intellectual property owned or controlled by Novartis, including access to non-delivery Alnylam RNAi IP for 30 targets,and three preclinical RNAi candidates for which Novartis has developed varying amounts of preclinical data. We believe that a significant number of products arecurrently under development, and may become commercially available in the future, for the treatment of conditions for which we may try to develop productcandidates. There are also competitors to our proprietary product candidates currently in development, some of which may become commercially available beforeour product candidates.We also compete with companies working to develop antisense and other RNA-based drugs. Like RNAi therapeutics, antisense drugs target mRNA with theobjective of suppressing the activity of specific genes. The development of antisense drugs is more advanced than that of RNAi therapeutics, and antisensetechnology may become the preferred technology for products that target mRNAs. Significant competition also exists from companies such as Alnylam andArrowhead to discover and develop safe and effective means to deliver therapeutic RNAi molecules, such as DsiRNAs, to the relevant cell and tissue types.Many of our competitors have significantly greater financial, technical, manufacturing, marketing, sales and supply resources or experience than we have. Ifwe successfully obtain approval for any product candidate, we will face competition based on many different factors, including safety and effectiveness, ease withwhich our products can be administered and the extent to which patients accept relatively new routes of administration, timing and scope of regulatory approvals,availability and cost of manufacturing, marketing and sales capabilities, price, reimbursement coverage and patent position of our products. Competing productscould present superior treatment alternatives, including by being more effective, safer, less expensive or marketed and sold more effectively than any products wemay develop. Competitive products may make any products we develop obsolete or noncompetitive before we recover the expense of developing andcommercializing our product candidates. Competitors could also recruit our employees, which could negatively impact our level of expertise and our ability toexecute our business plan.Any inability to attract and retain qualified key management and technical personnel would impair our ability to implement our business plan.Our success largely depends on the continued service of key management and other specialized personnel, including Douglas M. Fambrough, III, Ph.D., ourchief executive officer, Bob D. Brown, Ph.D., our chief scientific officer, John B. Green, our chief financial officer, and James B. Weissman, our chief businessofficer. 42 Table of ContentsThe loss of one or more members of our management team or other key employees or advisors could delay our research and development programs and materiallyharm our business, financial condition, results of operations and prospects. The relationships that our key managers have cultivated within our industry make usparticularly dependent upon their continued employment with us. We are dependent on the continued service of our technical personnel because of the highlytechnical nature of our product candidates and technologies and the specialized nature of the regulatory approval process. Because our management team and keyemployees are not obligated to provide us with continued service, they could terminate their employment with us at any time without penalty. We do not maintainkey person life insurance policies on any of our management team members or key employees. Our future success will depend in large part on our continued abilityto attract and retain other highly qualified scientific, technical and management personnel, as well as personnel with expertise in clinical testing, manufacturing,governmental regulation and commercialization. We face competition for personnel from other companies, universities, public and private research institutions,government entities and other organizations.If our product candidates advance into clinical trials, we may experience difficulties in managing our growth and expanding our operations.We have limited experience in drug development and very limited experience with clinical trials of product candidates. As our product candidates enter andadvance through preclinical studies and any clinical trials, we will need to expand our development, regulatory and manufacturing capabilities or contract withother organizations to provide these capabilities for us. In the future, we expect to have to manage additional relationships with collaborators or partners, suppliersand other organizations. Our ability to manage our operations and future growth will require us to continue to improve our operational, financial and managementcontrols, reporting systems and procedures. We may not be able to implement improvements to our management information and control systems in an efficient ortimely manner and may discover deficiencies in existing systems and controls.If any of our product candidates are approved for marketing and commercialization and we are unable to develop sales, marketing and distribution capabilitieson our own or enter into agreements with third parties to perform these functions on acceptable terms, we will be unable to successfully commercialize anysuch future products.We currently have no sales, marketing or distribution capabilities or experience. If any of our product candidates is approved, we will need to developinternal sales, marketing and distribution capabilities to commercialize such products, which would be expensive and time-consuming, or enter into collaborationswith third parties to perform these services. If we decide to market our products directly, we will need to commit significant financial, legal and managerialresources to develop a marketing and sales force with technical expertise and supporting distribution, administration and compliance capabilities. If we rely on thirdparties with such capabilities to market our approved products or decide to co-promote products with collaborators, we will need to establish and maintainmarketing and distribution arrangements with third parties, and there can be no assurance that we will be able to enter into such arrangements on acceptable,compliant terms or at all. In entering into third-party marketing or distribution arrangements, any revenue we receive will depend upon the efforts of the thirdparties and there can be no assurance that such third parties will establish adequate sales and distribution capabilities or be successful in gaining market acceptanceof any approved product. If we are not successful in commercializing any product approved in the future, either on our own or through third parties, our business,financial condition, results of operations and prospects could be materially and adversely affected.If we fail to comply with U.S. and foreign regulatory requirements, regulatory authorities could limit or withdraw any marketing or commercializationapprovals we may receive and subject us to other penalties that could materially harm our business.The Company, our product candidates, our suppliers, and our contract manufacturers, distributors, and contract testing laboratories are subject to extensiveregulation by governmental authorities in the EU, the United States, and other countries, with the regulations differing from country to country. 43 Table of ContentsEven if we receive marketing and commercialization approval of a product candidate, we and our third-party services providers will be subject to continuingregulatory requirements, including a broad array of regulations related to establishment registration and product listing, manufacturing processes, risk managementmeasures, quality and pharmacovigilance systems, post-approval clinical studies, labeling, advertising and promotional activities, record keeping, distribution,adverse event reporting, import and export of pharmaceutical products, pricing, sales and marketing, and fraud and abuse requirements. We are required to submitsafety and other post market information and reports and are subject to continuing regulatory review, including in relation to adverse patient experiences with theproduct and clinical results that are reported after a product is made commercially available, both in the U.S. and any foreign jurisdiction in which we seekregulatory approval. The FDA and certain foreign regulatory authorities, such as the EMA, have significant post-market authority, including the authority to requirelabeling changes based on new safety information and to require post-market studies or clinical trials to evaluate safety risks related to the use of a product or torequire withdrawal of the product from the market. The FDA also has the authority to require a REMS plan after approval, which may impose further requirementsor restrictions on the distribution or use of an approved drug. The EMA now routinely requires risk management plans (RMPs) as part of the marketingauthorization application process, and such plans must be continually modified and updated throughout the lifetime of the product as new information becomesavailable. In addition, the relevant governmental authority of any European Union member state can request an RMP whenever there is a concern about a riskaffecting the benefit risk balance of the product. The manufacturer and manufacturing facilities we use to make a future product, if any, will also be subject toperiodic review and inspection by the FDA and other regulatory agencies, including for continued compliance with cGMP requirements. The discovery of any newor previously unknown problems with our third-party manufacturers, manufacturing processes or facilities may result in restrictions on the product, manufacturer orfacility, including withdrawal of the product from the market. If we rely on third-party manufacturers, we will not have control over compliance with applicablerules and regulations by such manufacturers. Any product promotion and advertising will also be subject to regulatory requirements and continuing regulatoryreview. If we or our collaborators, manufacturers or service providers fail to comply with applicable continuing regulatory requirements in the U.S. or foreignjurisdictions in which we seek to market our products, we or they may be subject to, among other things, fines, warning and untitled letters, clinical holds, delay orrefusal by the FDA or foreign regulatory authorities to approve pending applications or supplements to approved applications, suspension, refusal to renew orwithdrawal of regulatory approval, product recalls, seizures or administrative detention of products, refusal to permit the import or export of products, operatingrestrictions, inability to participate in government programs including Medicare and Medicaid, and total or partial suspension of production or distribution,injunction, restitution, disgorgement, debarment, civil penalties and criminal prosecution.We have a legal entity physically located in the United Kingdom, which we established in order to conduct clinical trials in EU member states. On June 23,2016, the United Kingdom held a referendum in which voters approved an exit from the EU, commonly referred to as “Brexit.” The withdrawal of the UnitedKingdom from the EU will take effect either on the effective date of the withdrawal agreement or, in the absence of agreement, two years after the United Kingdomprovides a notice of withdrawal pursuant to the EU Treaty. On March 29, 2017, the Prime Minister of the United Kingdom delivered a formal notice of withdrawalto the EU. It appears likely that this withdrawal will involve a process of lengthy negotiations between the United Kingdom and EU member states to determine thefuture terms of the United Kingdom’s relationship with the EU. This could lead to a period of considerable uncertainty and could impact our regulatory process inEurope.Price controls imposed in foreign markets may adversely affect our future profitability.In some countries, particularly member states of the EU, the pricing of prescription drugs is subject to governmental control. In these countries, pricingnegotiations with governmental authorities can take considerable time after receipt of marketing approval for a product. In addition, there can be considerablepressure by governments and other stakeholders on prices and reimbursement levels, including as part of cost containment measures. Political, economic andregulatory developments may further complicate pricing and reimbursement negotiations, and pricing negotiations may continue after reimbursement has beenobtained. 44 Table of ContentsReference pricing used by various EU member states and parallel distribution, or arbitrage between low-priced and high-priced member states, can further reduceprices. In some countries, we or our collaborators may be required to conduct a clinical trial or other studies that compare the cost-effectiveness of our RNAitherapeutic candidates to other available therapies in order to obtain or maintain reimbursement or pricing approval. Publication of discounts by third-party payorsor authorities may lead to further pressure on the prices or reimbursement levels within the country of publication and other countries. If reimbursement of anyproduct candidate approved for marketing is unavailable or limited in scope or amount, or if pricing is set at unsatisfactory levels, our business, financial condition,results of operations or prospects could be adversely affected.Our business entails a significant risk of product liability and our ability to obtain sufficient insurance coverage could harm our business, financial condition,results of operations or prospects.Our business exposes us to significant product liability risks inherent in the development, testing, manufacturing and marketing of therapeutic treatments.Product liability claims could delay or prevent completion of our development programs. If we succeed in marketing products, such claims could result in aninvestigation by certain regulatory authorities, such as FDA or foreign regulatory authorities, of the safety and effectiveness of our products, our manufacturingprocesses and facilities or our marketing programs and potentially a recall of our products or more serious enforcement action, limitations on the approvedindications for which they may be used or suspension or withdrawal of approvals. Regardless of the merits or eventual outcome, liability claims may also result indecreased demand for our products, injury to our reputation, costs to defend the related litigation, a diversion of management’s time and our resources, substantialmonetary awards to trial participants or patients and a decline in our stock price. We currently have product liability insurance that we believe is appropriate for ourstage of development and may need to obtain higher levels prior to marketing any of our product candidates. Any insurance we have or may obtain may not providesufficient coverage against potential liabilities. Furthermore, clinical trial and product liability insurance is becoming increasingly expensive. As a result, we maybe unable to obtain sufficient insurance at a reasonable cost to protect us against losses caused by product liability claims that could have a material adverse effecton our business.Our employees may engage in misconduct or other improper activities, including noncompliance with regulatory standards and requirements, which couldhave a material adverse effect on our business.We are exposed to the risk of employee fraud or other misconduct. Misconduct by employees could include, but is not limited to, intentional failures tocomply with FDA or U.S. health care laws and regulations or applicable laws, regulations, guidance or codes of conduct set by foreign governmental authorities orself-regulatory industry organizations, provide accurate information to any governmental authorities such as FDA, comply with manufacturing standards we mayestablish, comply with federal and state healthcare fraud and abuse laws and regulations, report financial information or data accurately or disclose unauthorizedactivities to us. In particular, sales, marketing and business arrangements in the healthcare industry are subject to extensive laws, regulations, guidance and codes ofconduct intended to prevent fraud, kickbacks, self-dealing and other abusive practices. These laws, regulations, guidance and codes of conduct may restrict orprohibit a wide range of pricing, discounting, marketing and promotion, sales commission, customer incentive program, health care professional, and other businessarrangements. Employee misconduct could also involve the improper use of information obtained in the course of clinical trials, which could result in regulatorysanctions, including debarment or disqualification of those employees from participation in FDA regulated activities, and serious harm to our reputation. It is notalways possible to identify and deter employee misconduct, and the precautions we take to detect and prevent this activity may not be effective in controllingunknown or unmanaged risks or losses or in protecting us from governmental investigations or other actions or lawsuits stemming from a failure to be incompliance with such laws, regulations, guidance or codes of conduct. If any such actions are instituted against us, and we are not successful in defending ourselvesor asserting our rights, those actions could have a significant impact on our business, including the imposition of significant fines, exclusion from governmentprograms, or other sanctions. 45 Table of ContentsOur internal computer systems, or those of our CROs or other contractors or consultants, may fail or suffer security breaches, which could result in a materialdisruption of our product development programs or the theft of Company or patient confidential information.Despite the implementation of security measures, our internal computer systems and those of our CROs and other contractors and consultants are vulnerableto damage from computer viruses, unauthorized access, natural disasters, terrorism, war and telecommunication and electrical failures. Such events could causeinterruptions of our operations. For instance, the loss of preclinical data or data from any future clinical trial involving our product candidates could result in delaysin our development and regulatory filing efforts and significantly increase our costs. Certain data breaches must also be reported to affected individuals and thegovernment, and in some cases to the media, under provisions of the U.S. federal Health Insurance Portability and Accountability Act (HIPAA), as amended by theHealth Information Technology for Economic and Clinical Health Act (HITECH), other U.S. federal and state law, and requirements of non-U.S. jurisdictions,including the European Union Data Protection Directive, and financial penalties may also apply. To the extent that any disruption or security breach were to resultin a loss of, or damage to, our data, or inappropriate disclosure of confidential or proprietary information of the Company or clinical patients, we could incurliability and the development of our product candidates could be delayed.If we do not comply with laws regulating the protection of the environment and health and human safety, our business could be adversely affected.Our research, development and manufacturing involve the use of hazardous materials and various chemicals. We maintain quantities of various flammableand toxic chemicals in our facilities in Cambridge, Massachusetts, that are required for our research, development and manufacturing activities. We are subject tofederal, state and local laws and regulations governing the use, manufacture, storage, handling and disposal of these hazardous materials. We believe ourprocedures for storing, handling and disposing these materials in our Cambridge facilities comply with the relevant guidelines of Cambridge, the Commonwealth ofMassachusetts and the Occupational Safety and Health Administration of the U.S. Department of Labor. Although we believe that our safety procedures forhandling and disposing of these materials comply with the standards mandated by applicable regulations, the risk of accidental contamination or injury from thesematerials cannot be eliminated. If an accident occurs, we could be held liable for resulting damages, which could be substantial. We are also subject to numerousenvironmental, health and workplace safety laws and regulations, including those governing laboratory procedures, exposure to blood-borne pathogens and thehandling of animals and biohazardous materials. Although we maintain workers’ compensation insurance to cover us for costs and expenses we may incur due toinjuries to our employees resulting from the use of these materials, this insurance may not provide adequate coverage against potential liabilities. We do notmaintain insurance for environmental liability or toxic tort claims that may be asserted against us in connection with our storage or disposal of biological orhazardous materials. Additional federal, state and local laws and regulations affecting our operations may be adopted in the future. We may incur substantial coststo comply with, and substantial fines or penalties if we violate any of these laws or regulations.Our information technology systems could face serious disruptions that could adversely affect our business.Our information technology and other internal infrastructure systems, including corporate firewalls, servers, leased lines and connection to the Internet, facethe risk of systemic failure that could disrupt our operations. A significant disruption in the availability of our information technology and other internalinfrastructure systems could cause interruptions in our collaborations with our partners and delays in our research and development work.Our current operations are concentrated in one location and any events affecting this location may have material adverse consequences.Our current operations are located in our facilities situated in Cambridge. Any unplanned event, such as flood, fire, explosion, earthquake, extreme weathercondition, medical epidemics, power shortage, 46 Table of Contentstelecommunication failure or other natural or manmade accidents or incidents that result in us being unable to fully utilize the facilities, may have a materialadverse effect on our ability to operate our business, particularly on a daily basis, and have significant negative consequences on our financial and operatingconditions. Loss of access to these facilities may result in increased costs, delays in the development of our product candidates or interruption of our businessoperations. As part of our risk management policy, we maintain insurance coverage at levels that we believe are appropriate for our business. However, in the eventof an accident or incident at these facilities, we cannot assure you that the amounts of insurance will be sufficient to satisfy any damages and losses. If our facilitiesare unable to operate because of an accident or incident or for any other reason, even for a short period of time, any or all of our research and developmentprograms may be harmed. Any business interruption may have a material adverse effect on our business, financial position, results of operations and prospects.Our ability to utilize our net operating loss carryforwards and certain other tax attributes may be limited.We have incurred substantial losses during our history, do not expect to become profitable for the foreseeable future and may never achieve profitability. Tothe extent that we continue to generate taxable losses, unused losses will carry forward to offset future taxable income, if any, until such unused losses expire. Wemay be unable to use these losses to offset income before such unused losses expire. Under Section 382 of the Internal Revenue Code of 1986, as amended, if acorporation undergoes an “ownership change,” which is generally defined as a greater than 50 percentage point change by value in its equity ownership over athree-year period, the corporation’s ability to use its pre-change net operating loss carryforwards and other pre-change tax attributes to offset its post-changeincome may be further limited. We have not performed an analysis on whether we have experienced any ownership changes in the past. It is possible that we haveexperienced an ownership change, including pursuant to the initial public offering of our common stock, which closed on February 4, 2014, and our net operatinglosses are subject to such limitation. As of December 31, 2016, we had significant U.S. federal and Massachusetts net operating loss carryforwards. Any limit onthese loss carryforwards if we have or do experience an ownership change could have an adverse effect on our business, financial position, results of operations andprospects.The investment of our cash and cash equivalents and held-to-maturity investments is subject to risks which may cause losses and affect the liquidity of theseinvestments.As of December 31, 2016, we had $45.9 million in cash and cash equivalents and held-to-maturity investments. We historically have invested substantiallyall of our available cash and cash equivalents in corporate bonds, commercial paper, securities issued by the U.S. government, certificates of deposit and moneymarket funds meeting the criteria of our investment policy, which is focused on the preservation of our capital. These investments are subject to general credit,liquidity, market and interest rate risks. For example, the impact of U.S. sub-prime mortgage defaults in recent years affected various sectors of the financialmarkets and caused credit and liquidity issues. We may realize losses in the fair value of these investments or a complete loss of these investments, which wouldhave a negative effect on our condensed consolidated financial statements.In addition, should our investments cease paying or reduce the amount of interest paid to us, our interest income would suffer. The market risks associatedwith our investment portfolio may have an adverse effect on our results of operations, liquidity and financial condition.Changes in accounting rules and regulations, or interpretations thereof, could result in unfavorable accounting charges or require us to change ourcompensation policies.Accounting methods and policies for biopharmaceutical companies, including policies governing revenue recognition, research and development and relatedexpenses and accounting for stock-based compensation, are subject to review, interpretation and guidance from our auditors and relevant accounting authorities,including 47 Table of Contentsthe Securities and Exchange Commission. Changes to accounting methods or policies, or interpretations thereof, may require us to reclassify, restate or otherwisechange or revise our financial statements, including those contained in our Annual Reports on Form 10-K.Risks Related to Intellectual PropertyIf we are not able to obtain and enforce patent protection for our technologies or product candidates, development and commercialization of our productcandidates may be adversely affected.Our success depends in part on our ability to obtain and maintain patents and other forms of intellectual property rights, including in-licenses of intellectualproperty rights of others, for our product candidates, methods used to manufacture our product candidates and methods for treating patients using our productcandidates, as well as our ability to preserve our trade secrets, to prevent third parties from infringing upon our proprietary rights and to operate without infringingupon the proprietary rights of others. As of March 29, 2017, our worldwide patent estate, not including the patents and patent applications that we have licensed,included over 20 issued patents or allowed patent applications and over 100 pending patent applications supporting commercial development of our RNAimolecules and delivery technologies. We may not be able to apply for patents on certain aspects of our product candidates or delivery technologies in a timelyfashion or at all. Our existing issued and granted patents and any future patents we obtain may not be sufficiently broad to prevent others from using our technologyor from developing competing products and technology. There is no guarantee that any of our pending patent applications will result in issued or granted patents,that any of our issued or granted patents will not later be found to be invalid or unenforceable or that any issued or granted patents will include claims that aresufficiently broad to cover our product candidates or delivery technologies or to provide meaningful protection from our competitors. Moreover, the patent positionof biotechnology and pharmaceutical companies can be highly uncertain because it involves complex legal and factual questions. We will be able to protect ourproprietary rights from unauthorized use by third parties only to the extent that our current and future proprietary technology and product candidates are covered byvalid and enforceable patents or are effectively maintained as trade secrets. If third parties disclose or misappropriate our proprietary rights, it may materially andadversely impact our position in the market.The U.S. Patent and Trademark Office (USPTO) and various foreign governmental patent agencies require compliance with a number of procedural,documentary, fee payment and other provisions during the patent process. There are situations in which noncompliance can result in abandonment or lapse of apatent or patent application, resulting in partial or complete loss of patent rights in the relevant jurisdiction. In such an event, competitors might be able to enter themarket earlier than would otherwise have been the case. The standards applied by the USPTO and foreign patent offices in granting patents are not always applieduniformly or predictably. For example, there is no uniform worldwide policy regarding patentable subject matter or the scope of claims allowable in biotechnologyand pharmaceutical patents. As such, we do not know the degree of future protection that we will have on our proprietary products and technology. While we willendeavor to try to protect our product candidates with intellectual property rights such as patents, as appropriate, the process of obtaining patents is time-consuming, expensive and sometimes unpredictable.In addition, there are numerous recent changes to the patent laws and proposed changes to the rules of the USPTO which may have a significant impact onour ability to protect our technology and enforce our intellectual property rights. For example, the Leahy-Smith America Invents Act enacted in 2011 involvessignificant changes in patent legislation. The U.S. Supreme Court has ruled on several patent cases in recent years, some of which cases either narrow the scope ofpatent protection available in certain circumstances or weaken the rights of patent owners in certain situations. The 2013 decision by the U.S. Supreme Court inAssociation for Molecular Pathology v. Myriad Genetics, Inc. precludes a claim to a nucleic acid having a stated nucleotide sequence which is identical to asequence found in nature and unmodified. We currently are not aware of an immediate impact of this decision on our patents or patent applications because we aredeveloping nucleic acid products that are not found in nature. However, this decision has yet to be clearly interpreted by courts and by the USPTO. We cannot 48 Table of Contentsassure you that the interpretations of this decision or subsequent rulings will not adversely impact our patents or patent applications. In addition to increasinguncertainty with regard to our ability to obtain patents in the future, this combination of events has created uncertainty with respect to the value of patents, onceobtained. Depending on decisions by the U.S. Congress, the federal courts and the USPTO, the laws and regulations governing patents could change inunpredictable ways that would weaken our ability to obtain new patents or to enforce our existing patents and patents that we might obtain in the future.Once granted, patents may remain open to opposition, interference, re-examination, post-grant review, inter partes review, nullification or derivation actionin court or before patent offices or similar proceedings for a given period before or after allowance or grant, during which time third parties can raise objectionsagainst such initial grant. In the course of such proceedings, which may continue for a protracted period of time, the patent owner may be compelled to limit thescope of the allowed or granted claims thus attacked, or may lose the allowed or granted claims altogether. Our patent risks include that: • Others may, or may be able to, make, use or sell compounds that are the same as or similar to our product candidates but that are not covered by theclaims of the patents that we own or license. • We or our licensors, collaborators or any future collaborators may not be the first to file patent applications covering certain aspects of our inventions. • Others may independently develop similar or alternative technologies or duplicate any of our technologies without infringing our intellectual propertyrights. • A third party may challenge our patents and, if challenged, a court may not hold that our patents are valid, enforceable and infringed. • A third party may challenge our patents in various patent offices and, if challenged, we may be compelled to limit the scope of our allowed or grantedclaims or lose the allowed or granted claims altogether. • Any issued patents that we own or have licensed may not provide us with any competitive advantages, or may be challenged by third parties. • We may not develop additional proprietary technologies that are patentable. • The patents of others could harm our business. • Our competitors could conduct research and development activities in countries where we will not have enforceable patent rights and then use theinformation learned from such activities to develop competitive products for sale in our major commercial markets.Intellectual property rights of third parties could adversely affect our ability to commercialize our product candidates, and we might be required to litigate orobtain licenses from third parties in order to develop or market our product candidates. Such litigation could be costly and licenses may be unavailable oncommercially reasonable terms.Research and development of RNAi-based therapeutics and other oligonucleotide-based therapeutics has resulted in many patents and patent applicationsfrom organizations and individuals seeking to obtain patent protection in the field. Our efforts are based on RNAi technology that we have licensed and that wehave developed internally and own. We have chosen this approach to increase our likelihood of technical success and our freedom to operate. We have obtainedgrants and issuances of RNAi-based patents and have licensed other patents from third parties on an exclusive or non-exclusive basis. The issued patents andpending patent applications in the U.S. and in key markets around the world that we own or license claim many different methods, compositions and processesrelating to the discovery, development, manufacture and commercialization of RNAi therapeutics. Specifically, we own and have licensed a portfolio of patents,patent applications and other intellectual property covering: (1) certain aspects of the structure and uses of RNAi molecules, including their 49 Table of Contentsmanufacture and use as therapeutics, and RNAi-related mechanisms, (2) chemical modifications to RNAi molecules that improve their properties and suitability fortherapeutic uses, (3) RNAi molecules directed to specific gene sequences and drug targets as treatments for particular diseases and (4) delivery technologies, suchas in the field of lipid nanoparticles and lipid nanoparticle formulation, and chemical modifications such as conjugation to targeting moieties.The RNAi-related intellectual property landscape, including patent applications in prosecution where no definitive claims have yet issued, is still evolving,and it is difficult to conclusively assess our freedom to operate. Other companies are pursuing patent applications and possess issued patents broadly directed toRNAi compositions, methods of making and using RNAi and to RNAi-related delivery and modification technologies. Our competitive position may suffer ifpatents issued to third parties cover our products, or our manufacture or uses relevant to our commercialization plans. In such cases, we may not be in a position tocommercialize products unless we enter into a license agreement with the intellectual property right holder, if available, on commercially reasonable terms orsuccessfully pursue litigation, opposition, interference, re-examination, post-grant review, inter partes review, nullification, derivation action, or cancellationproceeding to limit, nullify or invalidate the third party intellectual property right concerned. Even if we are successful in limiting, nullifying, or invalidating thirdparty intellectual property rights through such proceedings, we may incur substantial costs and could require significant time and attention of our personnel.While we believe our intellectual property allows us to pursue our current development programs, the biological process of RNAi is a natural process andcannot be patented. Several companies in the space are pursuing alternate methods to exploit this phenomenon and have built their intellectual property aroundthese methods. For example, Alnylam controls three patent families containing both pending patent applications and issued patents (e.g., U.S. Patent Numbers8,853,384 and 9,074,213, and European Patent EP 1 352 061 B1) that pertain to RNAi. These are referred to in their corporate literature as the “Tuschl family” (e.g.patents and applications claiming priority to WO2002/044321, filed November 29, 2001, and their priority filings) and the “Kreutzer-Limmer family” (e.g. patentsand applications claiming priority to WO 2002/044895, filed January 29, 2000, WO 2002/055693, filed January 9, 2002, and their priority filings). Both familiescontain patent applications still in prosecution, with the applicants actively seeking to extend the reach of this intellectual property in ways that might strategicallyimpact our business. Additional areas of intellectual property pursued by Alnylam and others include oligonucleotide delivery-related technologies (such asconjugation to targeting moieties) and oligonucleotides directed to specific gene targets. In addition, Silence Therapeutics owns patents directed to certain chemicalmodifications of RNAi molecules, including U.S. Patent Number 9,222,092, with a priority date of August 5, 2002.Patent applications in the U.S. and elsewhere are generally published approximately 18 months after the earliest filing for which priority is claimed, withsuch earliest filing date being commonly referred to as the priority date. Therefore, patent applications covering our products or platform technology could havebeen filed by others without our knowledge. Additionally, pending claims in patent applications which have been published can, subject to certain limitations, belater amended in a manner that could cover our platform technologies, our products or the use of our products. Third party intellectual property right holders mayalso bring patent infringement claims against us. No such patent infringement actions have been brought against us. We cannot guarantee that we will be able tosuccessfully settle or otherwise resolve any future infringement claims. If we are unable to successfully settle future claims on terms acceptable to us, we may berequired to engage in or continue costly, unpredictable and time-consuming litigation and may be prevented from or experience substantial delays in marketing ourproducts. If we fail in any such dispute, in addition to being forced to pay damages, we may be temporarily or permanently prohibited from commercializing any ofour product candidates that are held to be infringing. We might also be forced to redesign product candidates so that we no longer infringe the third partyintellectual property rights. Any of these events, even if we were ultimately to prevail, could require us to divert substantial financial and management resourcesthat we would otherwise be able to devote to our business. 50 Table of ContentsAs the field of RNAi therapeutics matures, patent applications are being processed by national patent offices around the world. There is uncertainty aboutwhich patents will issue, and, if they do, as to when, to whom, and with what claims. It is likely that there will be significant litigation in the courts and otherproceedings, such as interference, re-examination, opposition, post-grant review, inter partes review, nullification, derivation action, or cancellation proceedings, invarious patent offices relating to patent rights in the RNAi therapeutics field. In many cases, the possibility of appeal or opposition exists for either us or ouropponents, and it may be years before final, unappealable rulings are made with respect to these patents in certain jurisdictions. The timing and outcome of theseand other proceedings is uncertain and may adversely affect our business if we are not successful in defending the patentability and scope of our pending and issuedpatent claims or if third parties are successful in obtaining claims that cover our RNAi technology or any of our product candidates. In addition, third parties mayattempt to invalidate our intellectual property rights. Even if our rights are not directly challenged, disputes could lead to the weakening of our intellectual propertyrights. Our defense against any attempt by third parties to circumvent or invalidate our intellectual property rights could be costly to us, could require significanttime and attention of our management and could have a material adverse effect on our business and our ability to successfully compete in the field of RNAitherapeutics.There are many issued and pending patents that claim aspects of oligonucleotide chemistry and modifications that we may need to apply to our therapeuticcandidates. There are also many issued patents that claim targeting genes or portions of genes that may be relevant for drugs we wish to develop. Thus, it ispossible that one or more organizations will hold patent rights to which we will need a license. If those organizations refuse to grant us a license to such patentrights on reasonable terms, we may be unable to market products or perform research and development or other activities covered by these patents.We license patent rights from third-party owners or licensees. If such owners or licensees do not properly or successfully obtain, maintain or enforce thepatents underlying such licenses, or if they retain or license to others any competing rights, our competitive position and business prospects may be adverselyaffected.We do, and will continue to, rely on intellectual property rights licensed from third parties to protect our technology. We are a party to a number of licensesthat give us rights to third-party intellectual property that is necessary or useful for our business. In particular, we have a license from COH (on behalf of itself andIDT) to certain patent rights, which provide platform intellectual property for research and development of DsiRNA molecules employed in our collaborativeprograms with KHK. Pursuant to this agreement, we have a worldwide license from COH (subject to the pre-existing non-exclusive license) for the exploitation ofkey intellectual property rights in this respect, and COH and IDT retain ownership of the patents and patent applications to which we are licensed under theagreement. We also may license additional third-party intellectual property in the future. Our success will depend in part on the ability of our licensors to obtain,maintain and enforce patent protection for our licensed intellectual property, in particular, those patents to which we have secured exclusive rights. Our licensorsmay not successfully prosecute the patent applications licensed to us. Even if patents issue or are granted, our licensors may fail to maintain these patents, maydetermine not to pursue litigation against other companies that are infringing these patents, or may pursue litigation less aggressively than we would. Further, wemay not obtain exclusive rights, which would allow for third parties to develop competing products. Without protection for, or exclusive right to, the intellectualproperty we license, other companies might be able to offer substantially identical products for sale, which could adversely affect our competitive business positionand harm our business prospects. In addition, we sublicense our rights under our third-party licenses to KHK and may sublicense such rights to current or futurecollaborators or any future strategic partners. Any impairment of these sublicensed rights could result in reduced revenue under our collaboration agreement withKHK or result in termination of an agreement by one or more of our collaborators or any future strategic partners. 51 Table of ContentsCertain third parties may also have rights in the patents related to DsiRNA included in the license granted to us by COH, including the core DsiRNA patent(U.S. 8,084,599), which could allow them to develop, market and sell product candidates in competition with ours.To the extent that we do not have exclusive rights in the patents covered by the license granted to us by COH, we cannot prevent third parties fromdeveloping DsiRNA based product candidates in competition with certain of our GalXC products. Prior to entering into the license with us, COH had entered into anon-exclusive license with a third party with respect to such patent rights to manufacture, use, import, offer for sale and sell products covered by the licensed patentrights for the treatment or prevention of disease in humans (excluding viruses and delivery of products into the eye or ear). While we believe that suchnon-exclusive license has been terminated, COH has informed us that a sublicensee to that non-exclusive license was permitted to enter into an equivalentnon-exclusive license which, to our knowledge, is subsisting with Arrowhead, as successor to the non-exclusive license holder. As successor to the non-exclusivelicense holder, we believe that Arrowhead has substantially similar access to the same patent rights related to technology granted to us under our license with COH.Arrowhead is developing RNA-based therapeutics for the treatment of diseases of the liver, which may directly compete with our product candidates. In addition,the U.S. government has certain rights to the inventions covered by the patent rights and COH, as an academic research and medical center, has the right to practicethe licensed patent rights for educational, research and clinical uses. If Arrowhead or another party develops, manufactures, markets and sells any product coveredby the same patent rights and technologies that compete with ours, it could significantly undercut the value of any of our product candidates, which wouldmaterially and adversely affect our revenue, financial condition and results of operations.We may be unable to protect our intellectual property rights throughout the world.Obtaining a valid and enforceable issued or granted patent covering our technology in the U.S. and worldwide can be extremely costly. In jurisdictions wherewe have not obtained patent protection, competitors may use our technology to develop their own products and further, may export otherwise infringing products toterritories where we have patent protection, but where it is more difficult to enforce a patent as compared to the U.S. Competitor products may compete with ourfuture products in jurisdictions where we do not have issued or granted patents or where our issued or granted patent claims or other intellectual property rights arenot sufficient to prevent competitor activities in these jurisdictions. The legal systems of certain countries, particularly certain developing countries, make itdifficult to enforce patents and such countries may not recognize other types of intellectual property protection, particularly that relating to biopharmaceuticals.This could make it difficult for us to prevent the infringement of our patents or marketing of competing products in violation of our proprietary rights generally incertain jurisdictions. Proceedings to enforce our patent rights in foreign jurisdictions could result in substantial cost and divert our efforts and attention from otheraspects of our business.We generally file a provisional patent application first (a priority filing) at the USPTO. A U.S. utility application and international application under thePatent Cooperation Treaty (PCT) are usually filed within twelve months after the priority filing. Based on the PCT filing, national and regional patent applicationsmay be filed in the European Union, Japan, Australia and Canada and, depending on the individual case, also in any or all of, inter alia, China, India, South Korea,Singapore, Taiwan and South Africa. We have so far not filed for patent protection in all national and regional jurisdictions where such protection may beavailable. In addition, we may decide to abandon national and regional patent applications before grant. Finally, the grant proceeding of each national or regionalpatent is an independent proceeding which may lead to situations in which applications might in some jurisdictions be refused by the relevant registrationauthorities, while granted by others. It is also quite common that depending on the country, various scopes of patent protection may be granted on the same productcandidate or technology.The laws of some jurisdictions do not protect intellectual property rights to the same extent as the laws in the U.S., and many companies have encounteredsignificant difficulties in protecting and defending such rights in such jurisdictions. If we or our licensors encounter difficulties in protecting, or are otherwiseprecluded from 52 Table of Contentseffectively protecting, the intellectual property rights important for our business in such jurisdictions, the value of these rights may be diminished and we may faceadditional competition from others in those jurisdictions. Many countries have compulsory licensing laws under which a patent owner may be compelled to grantlicenses to third parties. In addition, many countries limit the enforceability of patents against government agencies or government contractors. In these countries,the patent owner may have limited remedies, which could materially diminish the value of such patent. If we or any of our licensors are forced to grant a license tothird parties with respect to any patents relevant to our business, our competitive position in the relevant jurisdiction may be impaired and our business and resultsof operations may be adversely affected.We or our licensors, collaborators or any future strategic partners may become subject to third party claims or litigation alleging infringement of patents orother proprietary rights or seeking to invalidate patents or other proprietary rights, and we may need to resort to litigation to protect or enforce our patents orother proprietary rights, all of which could be costly, time consuming, delay or prevent the development and commercialization of our product candidates, orput our patents and other proprietary rights at risk.We or our licensors, collaborators or any future strategic partners may be subject to third-party claims for infringement or misappropriation of patent or otherproprietary rights. We are generally obligated under our license or collaboration agreements to indemnify and hold harmless our licensors or collaborators fordamages arising from intellectual property infringement by us. If we or our licensors, collaborators or any future strategic partners are found to infringe a thirdparty patent or other intellectual property rights, we could be required to pay damages, potentially including treble damages, if we are found to have willfullyinfringed. In addition, we or our licensors, collaborators or any future strategic partners may choose to seek, or be required to seek, a license from a third party,which may not be available on acceptable terms, if at all. Even if a license can be obtained on acceptable terms, the rights may be non-exclusive, which could giveour competitors access to the same technology or intellectual property rights licensed to us. If we fail to obtain a required license, we or our collaborator, or anyfuture collaborator, may be unable to effectively market product candidates based on our technology, which could limit our ability to generate revenue or achieveprofitability and possibly prevent us from generating revenue sufficient to sustain our operations. In addition, we may find it necessary to pursue claims or initiatelawsuits to protect or enforce our patent or other intellectual property rights. The cost to us in defending or initiating any litigation or other proceeding relating topatent or other proprietary rights, even if resolved in our favor, could be substantial, and litigation would divert our management’s attention. Some of ourcompetitors may be able to sustain the costs of complex patent litigation more effectively than we can because they have substantially greater resources.Uncertainties resulting from the initiation and continuation of patent litigation or other proceedings could delay our research and development efforts and limit ourability to continue our operations.If we were to initiate legal proceedings against a third party to enforce a patent covering one of our products or our technology, the defendant couldcounterclaim that our patent is invalid or unenforceable. In patent litigation in the U.S., defendant counterclaims alleging invalidity or unenforceability arecommonplace. Grounds for a validity challenge could be an alleged failure to meet any of several statutory requirements, for example, lack of novelty, obviousnessor non-enablement. Grounds for an unenforceability assertion could be an allegation that someone connected with prosecution of the patent withheld relevantinformation from the USPTO, or made a misleading statement, during prosecution. The outcome following legal assertions of invalidity and unenforceabilityduring patent litigation is unpredictable. With respect to the validity question, for example, we cannot be certain that there is no invalidating prior art, of which weand the patent examiner were unaware during prosecution. If a defendant were to prevail on a legal assertion of invalidity or unenforceability, we would lose atleast part, and perhaps all, of the patent protection on one or more of our products or certain aspects of our platform technology. Such a loss of patent protectioncould have a material adverse impact on our business. Patents and other intellectual property rights also will not protect our technology if competitors designaround our protected technology without legally infringing our patents or other intellectual property rights. 53 Table of ContentsIf we fail to comply with our obligations under any license, collaboration or other agreements, we may be required to pay damages and could lose intellectualproperty rights that are necessary for developing and protecting our product candidates and delivery technologies or we could lose certain rights to grantsublicenses.Our current licenses impose, and any future licenses we enter into are likely to impose, various development, commercialization, funding, milestone, royalty,diligence, sublicensing, insurance, patent prosecution and enforcement, and other obligations on us. If we breach any of these obligations, or use the intellectualproperty licensed to us in an unauthorized manner, we may be required to pay damages and the licensor may have the right to terminate the license, which couldresult in us being unable to develop, manufacture and sell products that are covered by the licensed technology or enable a competitor to gain access to the licensedtechnology. Moreover, our licensors may own or control intellectual property that has not been licensed to us and, as a result, we may be subject to claims,regardless of their merit, that we are infringing or otherwise violating the licensor’s rights. In addition, while we cannot currently determine the amount of theroyalty obligations we would be required to pay on sales of future products, if any, the amounts may be significant. The amount of our future royalty obligationswill depend on the technology and intellectual property we use in products that we successfully develop and commercialize, if any. Therefore, even if wesuccessfully develop and commercialize products, we may be unable to achieve or maintain profitability.If we are unable to protect the confidentiality of our trade secrets, our business and competitive position would be harmed.In addition to seeking patent protection for certain aspects of our product candidates and delivery technologies, we also consider trade secrets, includingconfidential and unpatented know-how important to the maintenance of our competitive position. We protect trade secrets and confidential and unpatentedknow-how, in part, by entering into non-disclosure and confidentiality agreements with parties who have access to such knowledge, such as our employees,corporate collaborators, outside scientific collaborators, CROs, contract manufacturers, consultants, advisors and other third parties. We also enter intoconfidentiality and invention or patent assignment agreements with our employees and consultants that obligate them to maintain confidentiality and assign theirinventions to us. Despite these efforts, any of these parties may breach the agreements and disclose our proprietary information, including our trade secrets, and wemay not be able to obtain adequate remedies for such breaches. Enforcing a claim that a party illegally disclosed or misappropriated a trade secret is difficult,expensive and time-consuming, and the outcome is unpredictable. In addition, some courts in the U.S. and certain foreign jurisdictions are less willing or unwillingto protect trade secrets. If any of our trade secrets were to be lawfully obtained or independently developed by a competitor, we would have no right to preventthem from using that technology or information to compete with us. If any of our trade secrets were to be disclosed to or independently developed by a competitor,our competitive position would be harmed.We are also subject both in the U.S. and outside the U.S. to various regulatory schemes regarding requests for the information we provide to regulatoryauthorities, which may include, in whole or in part, trade secrets or confidential commercial information. While we are likely to be notified in advance of anydisclosure of such information and would likely object to such disclosure, there can be no assurance that our challenge to the request would be successful.We are currently, and may be in the future, subject to claims that we or our employees or consultants have wrongfully used or disclosed alleged trade secrets ofour employees’ or consultants’ former employers or their clients. These claims may be costly to defend and if we do not successfully do so, we may be requiredto pay monetary damages, may be prohibited from using some of our research and development, and may lose valuable intellectual property rights orpersonnel.Many of our employees were previously employed at universities or biotechnology or pharmaceutical companies, including our competitors or potentialcompetitors. From time to time, we have received 54 Table of Contentscorrespondence from other companies alleging the improper use or disclosure, or inquiring regarding the use or disclosure, by certain of our employees who havepreviously been employed elsewhere in our industry, including with our competitors, of their former employer’s trade secrets or other proprietary information.Responding to these allegations can be costly and disruptive to our business, even when the allegations are without merit, and can be a distraction tomanagement. On June 10, 2015, Alnylam filed a complaint against us in the Superior Court of Middlesex County, Massachusetts, alleging misappropriation ofconfidential information and trade secrets, as well as other related claims, in connection with our hiring of a number of former employees of Sirna, which at thetime was a subsidiary of Merck, and in connection with our discussion with Merck to acquire Sirna, which was subsequently acquired by Alnylam. We may besubject to additional claims in the future that these or other employees of the Company have, or we have, inadvertently or otherwise used or disclosed trade secretsor other proprietary information of their former employers. Litigation may be necessary to defend against these claims. If we fail in defending current or futureclaims, in addition to paying monetary damages, we may lose valuable intellectual property rights, personnel, or the ability to use some of our research anddevelopment. A loss of intellectual property, key research personnel, or their work product could hamper our ability to commercialize, or prevent us fromcommercializing, our product candidates, which could severely harm our business.If our trademarks and trade names are not adequately protected, then we may not be able to build name recognition in our markets of interest and our businessmay be adversely affected.Our trademarks or trade names may be challenged, infringed, circumvented or declared generic or determined to be infringing on other marks. Anytrademark litigation could be expensive. We may not be able to protect our rights to these trademarks and trade names or may be forced to stop using these names,which we need for name recognition by potential partners or customers in our markets of interest. If we are unable to establish name recognition based on ourtrademarks and trade names, we may not be able to compete effectively and our business may be adversely affected.Risks Related to Government RegulationWe may be unable to obtain U.S. or foreign regulatory approval and, as a result, may be unable to commercialize our product candidates.Our product candidates are subject to extensive governmental regulations relating to, among other things, research, development, testing, manufacture,quality control, approval, labeling, packaging, promotion, storage, record-keeping, advertising, distribution, sampling, pricing, sales and marketing, safety, post-approval monitoring and reporting, and export and import of drugs. Rigorous preclinical testing and clinical trials and an extensive regulatory approval process arerequired to be successfully completed in the U.S. and in many foreign jurisdictions before a new drug can be marketed. Satisfaction of these and other regulatoryrequirements is costly, time consuming, uncertain and subject to unanticipated delays. It is possible that none of the product candidates we may develop will obtainthe regulatory approvals necessary for us or our collaborators to begin selling them.We have very limited experience in conducting and managing the clinical trials necessary to obtain regulatory approvals, including approval by the FDA aswell as foreign regulatory authorities, such as the EMA. The time required to obtain FDA and foreign regulatory approvals is unpredictable but typically takesmany years following the commencement of clinical trials, depending upon the type, complexity and novelty of the product candidate. The standards that the FDAand its foreign counterparts use when regulating us are not always applied predictably or uniformly and can change. Any analysis we perform of data frompreclinical and clinical activities is subject to confirmation and interpretation by regulatory authorities, which could delay, limit or prevent regulatory approval. Wemay also encounter unexpected delays or increased costs due to new government regulations, for example, from future legislation or administrative action, or fromchanges in the policy of FDA or foreign regulatory authorities during the period of product development, clinical trials and 55 Table of Contentsregulatory review by the FDA or foreign regulatory authorities. It is impossible to predict whether legislative changes will be enacted, or whether FDA or foreignlaws, regulations, guidance or interpretations will be changed, or what the impact of such changes, if any, may be.Because the drugs we are developing may represent a new class of drug, the FDA and its foreign counterparts have not yet established any definitivepolicies, practices or guidelines in relation to these drugs. While we believe the product candidates that we are currently developing are regulated as new drugsunder the FDCA, the FDA could decide to reclassify them, namely to regulate them or other products we may develop as biologics under the Public Health ServiceAct. The lack of policies, practices or guidelines may hinder or slow review by the FDA or foreign regulatory authorities of any regulatory filings that we maysubmit. Moreover, the FDA or foreign regulatory authorities may respond to these submissions by defining requirements we may not have anticipated. Suchresponses could lead to significant delays in the clinical development of our product candidates. In addition, because there may be approved treatments for some ofthe diseases for which we may seek approval, in order to receive regulatory approval, we may need to demonstrate through clinical trials that the product candidateswe develop to treat these diseases, if any, are not only safe and effective, but safer or more effective than existing products.Any delay or failure in obtaining required approvals could have a material adverse effect on our ability to generate revenues from the particular productcandidate for which we are seeking approval. Furthermore, any regulatory approval to market a product may be subject to limitations on the approved uses forwhich we may market the product or the labeling or other restrictions. Regulatory authority also may impose requirements for costly post-marketing studies orclinical trials and surveillance to monitor the safety or efficacy of the product. In addition, the FDA has the authority to require a REMS plan as part of an NDA orbiologics license application (BLA) or after approval, which may impose further requirements or restrictions on the distribution or use of an approved drug orbiologic, such as limiting prescribing to certain physicians or medical centers that have undergone specialized training, limiting treatment to patients who meetcertain safe-use criteria and requiring treated patients to enroll in a registry. These limitations and restrictions may limit the size of the market for the product andaffect coverage and reimbursement by third-party payors.We are also subject to numerous foreign regulatory requirements governing, among other things, the conduct of clinical trials, manufacturing and marketingauthorization, pricing and third-party reimbursement. The foreign regulatory approval process varies among countries and may include all of the risks associatedwith FDA approval described above as well as risks attributable to the satisfaction of local regulations in foreign jurisdictions. Moreover, the time required toobtain approval may differ from that required to obtain FDA approval. Approval by the FDA does not ensure approval by regulatory authorities outside the U.S.and vice versa.If we or our existing or future collaborators, manufacturers or service providers fail to comply with healthcare laws and regulations, we or they could besubject to enforcement actions, which could affect our ability to develop, market and sell our products and may harm our reputation.We and our collaborators are or may become subject to federal, state, and foreign healthcare laws and regulations pertaining to fraud and abuse and patients’rights. These laws and regulations include, but are not limited to: • the U.S. federal anti-kickback statute, which prohibits, among other things, persons from soliciting, receiving, offering or providing remuneration,directly or indirectly, to induce either the referral of an individual for a healthcare item or service, or the purchasing or ordering of an item or service,for which payment may be made under a federal healthcare program such as Medicare or Medicaid; • the U.S. federal false claims act, which prohibits, among other things, individuals or entities from knowingly presenting or causing to be presented,claims for payment by government funded programs such as Medicare or Medicaid that are false or fraudulent, and which may apply to us by virtue ofstatements and representations made to customers or third parties; 56 Table of Contents • the FDCA and other laws, which prohibit promotion of drugs prior to FDA approval and prohibit dissemination of information about unapproved usesof approved drugs, with very specific and limited exceptions; • HIPAA and HITECH, which prohibit executing a scheme to defraud healthcare programs, impose requirements relating to the privacy, security, andtransmission of individually identifiable health information, and require notification to affected individuals and regulatory authorities of certainbreaches of security of individually identifiable health information; • the federal Physician Payment Sunshine Act (Open Payments) requires that, among others, manufacturers of pharmaceutical and biological drugscovered by Medicare, Medicaid, and Children’s Health Insurance Programs report certain payments and other transfers of value to U.S.-licensedphysicians and teaching hospitals unless an exception applies; and • state laws comparable to each of the above federal laws, such as, for example, state anti-kickback and false claims laws applicable to commercialinsurers and other non-federal payors, requirements for mandatory corporate regulatory compliance or transparency reporting programs, and lawsrelating to patient data privacy and security.If our operations are found to be in violation of any such requirements, we may be subject to penalties, including civil or criminal penalties, monetarydamages, the curtailment or restructuring of our operations, loss of eligibility to obtain approvals from the FDA, or exclusion from participation in governmentcontracting, healthcare reimbursement or other government programs, including Medicare and Medicaid, any of which could adversely affect our financial results.Although effective compliance programs can mitigate the risk of investigation and prosecution for violations of these laws, these risks cannot be entirelyeliminated. Any action against us for an alleged or suspected violation could cause us to incur significant legal expenses and could divert our management’sattention from the operation of our business, even if our defense is successful. Achieving and sustaining compliance with applicable laws and regulations may alsobe costly to us in terms of money, time and resources. In addition, many of the laws with which we must comply contain provisions added or amended by the ACA.The current Administration and the U.S. Congress have expressed a desire to modify, repeal, or otherwise invalidate all, or certain provisions of, the ACA, whichhas contributed to the uncertainty of the ongoing implementation and impact of the ACA and also underscores the potential for additional health care reform goingforward.If we or our collaborators, manufacturers or service providers fail to comply with applicable federal, state or foreign laws or regulations, we could be subjectto enforcement actions, which could affect our ability to develop, market and sell our products successfully and could harm our reputation and lead to reducedacceptance of our products by the market. These enforcement actions include, among others: • adverse regulatory inspection findings; • warning or untitled letters; • voluntary or mandatory product recalls or public notification or medical product safety alerts to healthcare professionals; • restrictions on, or prohibitions against, marketing our products; • restrictions on, or prohibitions against, importation or exportation of our products; • suspension of review or refusal to approve pending applications or supplements to approved applications; • limitations on our ability to secure or maintain adequate coverage and reimbursement for our proprietary product candidates from government(including U.S. federal health care programs) and private payors; 57 Table of Contents • exclusion from participation in government-funded healthcare programs (including Medicare and Medicaid); • exclusion from eligibility for the award of government contracts for our products; • FDA debarment of individuals at our Company; • suspension or withdrawal of product approvals; • seizure or administrative detention of products; • injunctions; and • civil and criminal penalties and fines.Any drugs we develop may become subject to unfavorable pricing regulations, third-party reimbursement practices or healthcare reform initiatives, therebyharming our business.The regulations that govern marketing approvals, pricing, coverage and reimbursement for new drugs vary widely from country to country. Some countriesrequire approval of the sale price of a drug before it can be marketed. In many countries, the pricing review period begins after marketing or product licensingapproval is granted. In some foreign markets, prescription pharmaceutical pricing remains subject to continuing governmental control even after initial approval isgranted. Although we intend to monitor these regulations, our programs are currently in the early stages of development and we will not be able to assess theimpact of price regulations for a number of years. As a result, we might obtain regulatory approval for a product in a particular country, but then be subject to priceregulations that delay our commercial launch of the product and negatively impact the revenues we are able to generate from the sale of the product in that country.Our ability to commercialize any products successfully also will depend in part on the extent to which coverage and reimbursement for these products andrelated treatments will be available from government health administration authorities, private health insurers and other organizations. However, there may besignificant delays in obtaining coverage for newly-approved drugs. Moreover, eligibility for coverage does not necessarily signify that a drug will be reimbursed inall cases or at a rate that covers our costs, including research, development, manufacture, sale and distribution costs. Also, interim payments for new drugs, ifapplicable, may be insufficient to cover our costs and may not be made permanent. Thus, even if we succeed in bringing one or more products to the market, theseproducts may not be considered cost-effective, and the amount reimbursed for any products may be insufficient to allow us to sell our products on a competitivebasis. Because our programs are in the early stages of development, we are unable at this time to determine their cost effectiveness, their coverage prospects, or thelikely level or method of reimbursement, if covered. Increasingly, the third-party payors who reimburse patients or healthcare providers, such as government andprivate insurance plans, are seeking greater upfront discounts, additional rebates and other concessions to reduce the prices for pharmaceutical products. Moreover,legislation and regulations affecting the pricing of pharmaceuticals may change before regulatory agencies approve our proposed products for marketing and couldfurther limit pricing approvals for, and reimbursement of, our products from government authorities and third-party payers. For example, the current administrationhas indicated support for possible new measures related to drug pricing. New government legislation or regulations related to pricing or a government or third-partypayer decision not to approve pricing for, or provide adequate coverage and reimbursements of, our products hold the potential to limit severely market acceptanceof such products. If the price we are able to charge for any products we develop, or the reimbursement provided for such products, is inadequate in light of ourdevelopment and other costs, our return on investment could be adversely affected.We currently expect that certain drugs we develop may need to be administered under the supervision of a physician on an outpatient basis. Under currentlyapplicable U.S. law, certain drugs that are not usually self- 58 Table of Contentsadministered (including injectable drugs) may be eligible for coverage under the Medicare Part B program if certain requirements, including the following, havebeen satisfied: • they are furnished incident to a physician’s services; • they are reasonable and necessary for the diagnosis or treatment of the illness or injury for which they are administered according to acceptedstandards of medical practice; • they are included or approved for inclusion in certain Medicare-designated pharmaceutical compendia; and • they have been approved by the FDA.Under current law, as a condition of receiving Medicare Part B reimbursement (the Medicare program that generally covers physician-administered,outpatient drugs) for a manufacturer’s eligible drugs or biologicals, the manufacturer is required to participate in other government healthcare programs, includingthe Medicaid Drug Rebate Program and the 340B Drug Pricing Program. The Medicaid Drug Rebate Program requires pharmaceutical manufacturers to enter intoand have in effect a national rebate agreement with the Secretary of the Department of Health and Human Services as a condition for states to receive federalmatching funds for the manufacturer’s outpatient drugs furnished to Medicaid patients. Under the 340B Drug Pricing Program, the manufacturer must extenddiscounts to entities eligible to participate in the program. Average prices for drugs may be reduced by mandatory discounts or rebates required by governmenthealthcare programs or private payors and by any future relaxation of laws that presently restrict imports of drugs from countries where they may be sold at lowerprices than in the U.S. Reimbursement rates under Medicare Part B would depend in part on whether the newly approved product would be eligible for a uniquebilling code. Self-administered, outpatient drugs are typically reimbursed by Medicare under Medicare Part D, and drugs that are administered in an inpatienthospital setting are typically reimbursed under Medicare Part A under a bundled payment. It is difficult for us to predict how Medicare coverage andreimbursement policies will be applied to our products in the future and coverage and reimbursement under different federal healthcare programs are not alwaysconsistent. Medicare reimbursement rates may also reflect budgetary constraints placed on the Medicare program.Third-party payors often rely upon Medicare coverage policy and payment limitations in setting their own reimbursement rates. Our inability to promptlyobtain coverage and adequate reimbursement rates from both government-funded and private payors for new drugs that we develop and for which we obtainregulatory approval could have a material adverse effect on our operating results, our ability to raise capital needed to commercialize products and our financialcondition.We believe that the efforts of governments and third-party payors to contain or reduce the cost of healthcare and legislative and regulatory proposals tobroaden the availability of healthcare will continue to affect the business and financial condition of pharmaceutical and biopharmaceutical companies. A number oflegislative and regulatory changes in the healthcare system in the U.S. and other major healthcare markets have been proposed, and such efforts have expandedsubstantially in recent years. These developments could, directly or indirectly, affect our ability to sell our products, if approved, at a favorable price.For example, in the U.S., Congress passed the ACA, which contains provisions that affect companies in the pharmaceutical industry and other healthcare-related industries in a variety of ways. Provisions that may affect pharmaceutical companies include, but are not limited to, the following. • Mandatory rebates for drugs sold under the Medicaid program have been increased, and the rebate requirement has been extended to drugs used inrisk-based Medicaid managed care plans. • The 340B Drug Pricing Program has been extended to require discounts for “covered outpatient drugs” sold to certain children’s hospitals, criticalaccess hospitals, freestanding cancer hospitals, rural referral centers, and sole community hospitals. 59 Table of Contents • Pharmaceutical companies are required to offer discounts on brand-name drugs to patients who fall within the Medicare Part D coverage gap,commonly referred to as the “Donut Hole.” • Pharmaceutical companies are required to pay an annual non-tax-deductible fee to the federal government based on each company’s market share ofprior year total sales of branded drugs to certain federal healthcare programs, such as Medicare, Medicaid, Department of Veterans Affairs andDepartment of Defense. Since we expect our branded pharmaceutical sales to constitute a small portion of the total federal healthcare programpharmaceutical market, we do not expect this annual assessment to have a material impact on our financial condition. • If the FDA were to reclassify any of our existing product candidates or choose to classify any of our future product candidates as biologics, thenmarketing approval for a follow-on biologic product may not become effective until 12 years after the date on which the reference innovator biologicproduct was first licensed by the FDA, with a possible six-month extension for pediatric products. After this exclusivity ends, the FDA may approve abiosimilar product to enter the market, which is likely to reduce the pricing for the innovator product and could affect our profitability if our productsare classified as biologics.In addition, in recent years, the U.S. Congress has enacted various laws seeking to reduce the federal debt level and contain healthcare expenditures. Forexample, the Budget Control Act of 2011 (BCA) called for the establishment of a Joint Select Committee on Deficit Reduction, tasked with reducing the federaldebt level. However, because the Committee did not draft a proposal by the BCA’s deadline, President Obama issued a sequestration order on March 1, 2013 thatimposed automatic spending cuts on various federal programs. Under the Bipartisan Budget Act of 2013 and a bill signed by the President on February 15, 2014,sequestration has been extended through fiscal year 2024. Medicare payments to providers are subject to such cuts, although the BCA generally limited theMedicare cuts to two percent. For fiscal year 2024, however, Medicare sequestration amounts will be realigned such that there will be a 4.0 percent sequester forthe first six months and a zero percent sequester for the second six months.The financial impact of the U.S. healthcare reform legislation over the next few years will depend on a number of factors, including the policies reflected inimplementing regulations and guidance and changes in sales volumes for products affected by the legislation. Moreover, we cannot predict what healthcare reforminitiatives may be adopted in the future. For example, the current Administration and the U.S. Congress have expressed a desire to modify, repeal, or otherwiseinvalidate all, or certain provisions of, the ACA, which has contributed to the uncertainty of the ongoing implementation and impact of the ACA and alsounderscores the potential for additional health care reform going forward. There is still uncertainty with respect to the impact the current Administration and theU.S. Congress may have, if any, and any changes will likely take time to unfold. We cannot assure you that the ACA, as currently enacted or as amended in thefuture, will not adversely affect our business and financial results. Moreover, further federal and state legislative, regulatory, or judicial developments are likely,and we expect ongoing initiatives in the U.S. to reduce healthcare expenditures. Such reforms could have an adverse effect on anticipated revenues from productcandidates that we may successfully develop and for which we may obtain regulatory approval and may affect our overall financial condition and ability to developproduct candidates.The healthcare industry is heavily regulated in the U.S. at the federal, state, and local levels, and our failure to comply with applicable requirements maysubject us to penalties and negatively affect our financial condition.As a healthcare company, our operations, clinical trial activities and interactions with healthcare providers may be subject to extensive regulation in the U.S.,particularly if the Company receives FDA approval for any of its products in the future. For example, if we receive FDA approval for a product for whichreimbursement is available under a federal healthcare program (e.g., Medicare, Medicaid), it would be subject to a variety of federal laws and regulations, includingthose that prohibit the filing of false or improper claims for payment by federal healthcare programs (e.g. the federal false claims act), prohibit unlawfulinducements for the referral of 60 Table of Contentsbusiness reimbursable by federal healthcare programs (e.g. the federal anti-kickback statute), and require disclosure of certain payments or other transfers of valuemade to U.S.-licensed physicians and teaching hospitals (Open Payments). We are not able to predict how third parties will interpret these laws and applyapplicable governmental guidance and may challenge our practices and activities under one or more of these laws. If our past or present operations are found to bein violation of any of these laws, we could be subject to civil and criminal penalties, which could hurt our business, our operations and financial condition.Similarly, HIPAA prohibits, among other offenses, knowingly and willfully executing a scheme to defraud any health care benefit program, including privatepayors, or falsifying, concealing or covering up a material fact or making any materially false, fictitious or fraudulent statement in connection with the delivery ofor payment for items or services under a health care benefit program. To the extent that the Company acts as a business associate to a healthcare provider thatengages in electronic transactions, the Company may also be subject to the privacy and security provisions of HIPAA, as amended by HITECH, which restricts theuse and disclosure of patient-identifiable health information, mandates the adoption of standards relating to the privacy and security of patient-identifiable healthinformation, and requires the reporting of certain security breaches to healthcare provider customers with respect to such information. Additionally, many stateshave enacted similar laws that may impose more stringent requirements on entities like ours. Failure to comply with applicable laws and regulations could result insubstantial penalties and adversely affect the Company’s financial condition and results of operations.Our ability to obtain services, reimbursement or funding from the federal government may be impacted by possible reductions in federal spending.The U.S. federal budget remains in flux, which could, among other things, cut Medicare payments to providers. The Medicare program is frequentlymentioned as a target for spending cuts. The full impact on our business of any future cuts in Medicare or other programs is uncertain. In addition, we cannotpredict any impact that the current Administration may have on the federal budget. If federal spending is reduced, anticipated budgetary shortfalls may also impactthe ability of relevant agencies, such as the FDA or the NIH to continue to function at current levels. Amounts allocated to federal grants and contracts may bereduced or eliminated. These reductions may also impact the ability of relevant agencies to timely review and approve drug research and development,manufacturing, and marketing activities, which may delay our ability to develop, market and sell any products we may develop.If any of our product candidates receives marketing approval and we or others later identify undesirable side effects caused by the product candidate, ourability to market and derive revenue from the product candidates could be compromised.In the event that any of our product candidates receive regulatory approval and we or others identify undesirable side effects, adverse events or otherproblems caused by one of our products, any of the following adverse events could occur, which could result in the loss of significant revenue to us and materiallyand adversely affect our results of operations and business: • regulatory authorities may withdraw their approval of the product or seize the product; • we may need to recall the product or change the way the product is administered to patients; • additional restrictions may be imposed on the marketing of the particular product or the manufacturing processes for the product or any componentthereof; • we may not be able to secure or maintain adequate coverage and reimbursement for our proprietary product candidates from government (includingU.S. federal health care programs) and private payors; • we may be subject to fines, restitution or disgorgement of profits or revenues, injunctions, or the imposition of civil penalties or criminal prosecution; 61 Table of Contents • regulatory authorities may require the addition of labeling statements, such as a “black box” warning or a contraindication; • regulatory authorities may require us to implement a REMS, or to conduct post-marketing studies or clinical trials and surveillance to monitor thesafety or efficacy of the product; we may be required to create a Medication Guide outlining the risks of such side effects for distribution to patients; • we could be sued and held liable for harm caused to patients; • the product may become less competitive; and • our reputation may suffer.Risks Related to Our Common StockWe are an “emerging growth company” and we cannot be certain if the reduced reporting requirements applicable to emerging growth companies will makeour common stock less attractive to investors.We are an “emerging growth company” as defined in the JOBS Act. For as long as we continue to be an emerging growth company, we may take advantageof exemptions from various reporting requirements that are applicable to other public companies that are not emerging growth companies, including (1) not beingrequired to comply with the auditor attestation requirements of Section 404(b) of the Sarbanes-Oxley Act of 2002 (Sarbanes-Oxley Act), (2) reduced disclosureobligations regarding executive compensation in our periodic reports and proxy statements and (3) exemptions from the requirements of holding a nonbindingadvisory vote on executive compensation and stockholder approval of any golden parachute payments not previously approved. We could be an emerging growthcompany for up to five years, although circumstances could cause us to lose that status earlier, including if the market value of our common stock held bynon-affiliates exceeds $700.0 million as of the prior June 30 or if we have total annual gross revenue of $1.0 billion or more during any fiscal year before that time,in which cases we would no longer be an emerging growth company as of the following December 31, or if we issue more than $1.0 billion in non-convertible debtduring any three-year period before that time, in which case we would no longer be an emerging growth company immediately. Even after we no longer qualify asan emerging growth company, we may still qualify as a “smaller reporting company” which would allow us to take advantage of many of the same exemptionsfrom disclosure requirements including not being required to comply with the auditor attestation requirements of Section 404(b) of the Sarbanes-Oxley Act andreduced disclosure obligations regarding executive compensation in our periodic reports and proxy statements. We cannot predict if investors will find our commonstock less attractive because we may rely on these exemptions. If some investors find our common stock less attractive as a result, there may be a less active tradingmarket for our common stock and our share price may be more volatile.Under the JOBS Act, emerging growth companies can also delay adopting new or revised accounting standards until such time as those standards apply toprivate companies. We have irrevocably elected not to avail ourselves of this exemption from new or revised accounting standards and, therefore, will be subject tothe same new or revised accounting standards as other public companies that are not emerging growth companies.Our stock price may be volatile and purchasers of our common stock could incur substantial losses.Our stock price is volatile. From January 30, 2014, the first day of trading of our common stock through March 29, 2017, the high and low closing sale priceof our common stock has ranged from $46.00 and $2.45 per share. The market price for our common stock may be influenced by many factors, including the otherrisks described in this section titled “Risk Factors” and the following: • the success or failure of competitive products or technologies; • results of preclinical studies and clinical trials of our product candidates, or those of our competitors, our existing collaborator or any futurecollaborators; 62 Table of Contents • regulatory or legal developments in the U.S. and other countries, especially changes in laws or regulations applicable to our products; • introductions and announcements of new products by us, our commercialization partners, or our competitors, and the timing of these introductions orannouncements; • actions taken by regulatory agencies with respect to our or our competitors’ products, clinical studies, manufacturing process or sales and marketingterms; • actual or anticipated variations in our financial results or those of companies that are perceived to be similar to us; • the success of our or our competitors’ efforts to acquire or in-license additional technologies, products or product candidates; • developments concerning our or our competitors’ collaborations, including but not limited to those with sources of manufacturing supply andcommercialization partners; • announcements by us or our competitors of significant acquisitions, strategic partnerships, joint ventures or capital commitments; • our ability or inability to raise additional capital and the terms on which we raise it; • the recruitment or departure of key personnel; • changes in the structure of healthcare payment systems; • market conditions in the pharmaceutical and biotechnology sectors; • actual or anticipated changes in earnings estimates or changes in stock market analyst recommendations regarding our common stock, othercomparable companies or our industry generally; • our failure or the failure of our competitors to meet analysts’ projections or guidance that we or our competitors may give to the market; • fluctuations in the valuation of companies perceived by investors to be comparable to us; • announcement and expectation of additional financing efforts; • speculation in the press or investment community; • trading volume of our common stock; • sales of our common stock by us or our stockholders; • the absence of lock-up agreements with the holders of substantially all of our outstanding shares in connection with the follow-on public offering ofour common stock; • the concentrated ownership of our common stock; • changes in accounting principles; • terrorist acts, acts of war or periods of widespread civil unrest; • natural disasters and other calamities; • general economic, industry and market conditions; and • developments concerning complaints or litigation against us.In addition, the stock markets in general, and the markets for pharmaceutical, biopharmaceutical and biotechnology stocks in particular, have experiencedextreme volatility that has often been unrelated to the operating performance of the issuer. These broad market and industry factors may seriously harm the marketprice of our common stock, regardless of our operating performance. 63 Table of ContentsThe future issuance of equity or of debt securities that are convertible into equity will dilute our share capital.We may choose to raise additional capital in the future, depending on market conditions, strategic considerations and operational requirements. To the extentthat additional capital is raised through the issuance of shares or other securities convertible into shares, our stockholders will be diluted. Future issuances of ourcommon stock or other equity securities, or the perception that such sales may occur, could adversely affect the trading price of our common stock and impair ourability to raise capital through future offerings of shares or equity securities. We cannot predict the effect, if any, that future sales of common stock or theavailability of common stock for future sales will have on the trading price of our common stock.The employment agreements with our executive officers may require us to pay severance benefits to officers who are terminated in connection with a change ofcontrol of the Company, which could harm our financial condition.Our executive officers are parties to employment agreements providing, in the event of a termination of employment in connection with a change of controlof the Company, for significant cash payments for severance and other benefits and acceleration of vesting of up to all outstanding stock options. The acceleratedvesting of options could result in dilution to our existing stockholders and reduce the market price of our common stock. The payment of these severance benefitscould harm our financial condition. In addition, these potential severance payments may discourage or prevent third parties from seeking a business combinationwith us.If securities or industry analysts do not publish research or reports about our business, or if they issue an adverse or misleading opinion regarding our stock,our stock price and trading volume could decline.The trading market for our common stock will be influenced by the research and reports that industry or securities analysts publish about us or our business.If any of the analysts who cover us issue an adverse or misleading opinion regarding us, our business model, our intellectual property or our stock performance, orif our target studies and operating results fail to meet the expectations of analysts, our stock price would likely decline. If one or more of these analysts ceasecoverage of us or fail to publish reports on us regularly, we could lose visibility in the financial markets, which in turn could cause our stock price or tradingvolume to decline.Our principal stockholders and management own a significant percentage of our stock and will be able to exert significant control over matters subject tostockholder approval.As of December 31, 2016, our executive officers and directors, together with holders of five percent or more of our outstanding common stock and theirrespective affiliates, beneficially owned, in the aggregate, approximately 57 percent of our outstanding common stock, including shares subject to outstandingoptions and warrants that are exercisable within 60 days after such date, based on the Forms 3 and 4 and Schedules 13D and 13G filed by them with the SEC. As aresult, these stockholders, if acting together, will continue to have significant influence over the outcome of corporate actions requiring stockholder approval,including the election of directors, any merger, consolidation or sale of all or substantially all of our assets and any other significant corporate transaction. Theinterests of these stockholders may not be the same as or may even conflict with the interests of our other stockholders. For example, these stockholders coulddelay or prevent a change of control of our Company, even if such a change of control would benefit our other stockholders, which could deprive our stockholdersof an opportunity to receive a premium for their common stock as part of a sale of our Company or our assets and might affect the prevailing market price of ourcommon stock. The significant concentration of stock ownership may adversely affect the trading price of our common stock due to investors’ perception thatconflicts of interest may exist or arise. 64 Table of ContentsAnti-takeover provisions in our charter documents and under Delaware law could make an acquisition of us, which may be beneficial to our stockholders,more difficult and may prevent attempts by our stockholders to replace or remove our current management.Provisions in our amended and restated certificate of incorporation and our amended and restated bylaws may delay or prevent an acquisition of us or achange in our management. In addition, these provisions may frustrate or prevent any attempts by our stockholders to replace or remove our current managementby making it more difficult for stockholders to replace members of our board of directors. Because our board of directors is responsible for appointing the membersof our management team, these provisions could in turn affect any attempt by our stockholders to replace current members of our management team. Theseprovisions include: • a prohibition on actions by our stockholders by written consent; • a requirement that special meetings of stockholders, which the Company is not obligated to call more than once per calendar year, be called only bythe chairman of our board of directors, our chief executive officer, our board of directors pursuant to a resolution adopted by a majority of the totalnumber of authorized directors, or, subject to certain conditions, by our secretary at the request of the stockholders holding of record, in the aggregate,shares entitled to cast not less than ten percent of the votes at a meeting of the stockholders (assuming all shares entitled to vote at such meeting werepresent and voted); • advance notice requirements for election to our board of directors and for proposing matters that can be acted upon at stockholder meetings; and • the authority of the board of directors to issue preferred stock, such as the Redeemable Convertible Preferred, with such terms as the board of directorsmay determine.Moreover, because we are incorporated in Delaware, we are governed by the provisions of Section 203 of the Delaware General Corporation Law, asamended, which prohibits a person who owns in excess of 15 percent of our outstanding voting stock from merging or combining with us for a period of three yearsafter the date of the transaction in which the person acquired in excess of 15 percent of our outstanding voting stock, unless the merger or combination is approvedin a prescribed manner. These provisions would apply even if the proposed merger or acquisition could be considered beneficial by some stockholders.We incur increased costs as a result of operating as a public company, and our management is required to devote substantial time to new compliance initiativesand corporate governance practices.As a public company, we incur, and particularly after we are no longer an emerging growth company, we will incur significant legal, accounting and otherexpenses that we did not incur as a private company. The Sarbanes-Oxley Act, the Dodd-Frank Wall Street Reform and Consumer Protection Act, the listingrequirements of the NASDAQ and other applicable securities rules and regulations impose various requirements on public companies, including establishment andmaintenance of effective disclosure and financial controls and corporate governance practices. Our management and other personnel need to devote a substantialamount of time to these compliance initiatives. Moreover, these rules and regulations increase our legal and financial compliance costs and make some activitiesmore time-consuming and costly. For example, we expect that these rules and regulations make it more difficult and more expensive for us to obtain director andofficer liability insurance, which in turn could make it more difficult for us to attract and retain qualified members of our board of directors. However, these rulesand regulations are often subject to varying interpretations, in many cases due to their lack of specificity, and, as a result, their application in practice may evolveover time as new guidance is provided by regulatory and governing bodies. This could result in continuing uncertainty regarding compliance matters and highercosts necessitated by ongoing revisions to disclosure and governance practices.We are not currently required to comply with the rules of the SEC that implement Section 404(b) of the Sarbanes-Oxley Act (Section 404(b)), and aretherefore not required to make a formal assessment of the 65 Table of Contentseffectiveness of our internal control over financial reporting for that purpose. Pursuant to Section 404(b), we will be required to furnish a report by our managementon our internal control over financial reporting. However, while we remain an emerging growth company, we will not be required to include an attestation report oninternal control over financial reporting issued by our independent registered public accounting firm. To achieve compliance with Section 404(b) within theprescribed period, we will be engaged in a process to document and evaluate our internal control over financial reporting, which is both costly and challenging. Inthis regard, we will need to continue to dedicate internal resources, potentially engage outside consultants and adopt a detailed work plan to assess and documentthe adequacy of internal control over financial reporting, continue steps to improve control processes as appropriate, validate through testing that controls arefunctioning as documented and implement a continuous reporting and improvement process for internal control over financial reporting. Despite our efforts, thereis a risk that we will not be able to conclude, within the prescribed timeframe or at all, that our internal control over financial reporting is effective as required bySection 404(b). If we identify one or more material weaknesses, it could result in an adverse reaction in the financial markets due to a loss of confidence in thereliability of our financial statements. In addition, if we are not able to continue to meet these requirements, we may not be able to remain listed on The NASDAQGlobal Select Market.Because we do not anticipate paying any cash dividends on our capital stock in the foreseeable future, capital appreciation, if any, will be your sole source ofgain.We have never declared or paid cash dividends on our capital stock. We currently intend to retain all of our future earnings, if any, to finance the growth anddevelopment of our business. As a result, capital appreciation, if any, of our common stock will be sole source of gain of our common stockholders for theforeseeable future.We may incur significant costs from class action litigation due to our historical or expected stock volatility.Our stock price has fluctuated and may fluctuate for many reasons, including as a result of public announcements regarding the progress of our developmentefforts or the development efforts of our collaborators or competitors, the addition or departure of our key personnel, variations in our quarterly operating resultsand changes in market valuations of pharmaceutical and biotechnology companies. This risk is especially relevant to us because pharmaceutical and biotechnologycompanies have experienced significant stock price volatility in recent years. When the market price of a stock has been volatile as our stock price has been andmay be, holders of that stock have occasionally brought securities class action litigation against the company that issued the stock. If any of our stockholders wereto bring a lawsuit of this type against us, even if the lawsuit is without merit, we could incur substantial costs defending the lawsuit. The lawsuit could also divertthe time and attention of our management.Our amended and restated bylaws designates the Court of Chancery of the State of Delaware as the sole and exclusive forum for certain types of actions andproceedings that may be initiated by our stockholders, which could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with us orour directors, officers or employees.Our amended and restated bylaws provide that, subject to limited exceptions, the Court of Chancery of the State of Delaware will be the sole and exclusiveforum for any derivative action or proceeding brought on our behalf, any action asserting a claim of breach of a fiduciary duty owed by any of our directors,officers or other employees to us or our stockholders, any action asserting a claim against us arising pursuant to any provision of the Delaware General CorporationLaw, as amended, our amended and restated certificate of incorporation or our amended and restated bylaws, any action to interpret, apply, enforce or determine thevalidity of our amended and restated certificate of incorporation or our amended and restated bylaws, any action to interpret, apply, enforce or determine thevalidity of our amended and restated certificate of incorporation or our amended and restated bylaws or any other action asserting a claim against us that isgoverned by the internal affairs doctrine. Any person or entity purchasing or otherwise acquiring any interest in shares of our capital stock shall be deemed 66 Table of Contentsto have notice of and to have consented to the provisions of our amended and restated certificate of incorporation described above. This choice of forum provisionmay limit a stockholder’s ability to bring a claim in a judicial forum that it finds favorable for disputes with us or our directors, officers or other employees, whichmay discourage such lawsuits against us and our directors, officers and employees. Alternatively, if a court were to find these provisions of our amended andrestated certificate of incorporation inapplicable to, or unenforceable in respect of, one or more of the specified types of actions or proceedings, we may incuradditional costs associated with resolving such matters in other jurisdictions, which could adversely affect our business and financial condition.Our stockholders may experience significant dilution as a result of future equity offerings and exercise of outstanding options.In order to raise additional capital, we may in the future offer additional shares of our common stock or other securities convertible into or exchangeable forour common stock. We cannot assure you that we will be able to sell shares or other securities in any offering at a price per share that is equal to or greater than theprice paid by our existing shareholders, and investors purchasing shares or other securities in the future could have rights superior to existing stockholders. Theprice per share at which we sell additional shares of our common stock or other securities convertible into or exchangeable for our common stock in futuretransactions may be higher or lower than the price per share paid by our existing stockholders.In addition, we have a significant number of securities convertible into, or allowing the purchase of, our common stock. Subject to the satisfaction ofcustomary closing conditions in our Private Placement, we expect to issue 700,000 shares of Redeemable Convertible Preferred that are convertible at any time intoshares of our common stock at the Conversion Price. As of March 29, 2017, we also had 736,467 shares of common stock reserved for future issuance under ourstock incentive plans. As of that date, there were also stock options and awards to purchase 6,055,178 shares of our common stock outstanding and warrants topurchase 87,901 shares of our common stock outstanding. The exercise or conversion of outstanding options, warrants or other securities having an exercise priceper share or conversion price that is less than the offering price per share paid by our existing stockholders will increase dilution to such stockholders.Future sales of our common stock in the public market could cause our stock price to fall.Sales of a substantial number of shares of our common stock in the public market, or the perception that these sales might occur, could depress the marketprice of our common stock and could impair our ability to raise capital through the sale of additional equity securities. As of March 29, 2017, we had 20,794,193shares of common stock outstanding, all of which shares, other than shares held by our directors and certain officers, were eligible for sale in the public market,subject in some cases to compliance with the requirements of Rule 144, including the volume limitations and manner of sale requirements. In addition, shares ofcommon stock issuable upon exercise of outstanding options and shares reserved for future issuances under our stock incentive plans will become eligible for salein the public market to the extent permitted by applicable vesting requirements and subject in some cases to compliance with the requirements of Rule 144.Risks Related to Our Private Placement and Redeemable Convertible PreferredOur failure to complete the Private Placement could have an adverse effect on our working capital and may require us to delay, reduce or terminate ourresearch and development programs, preclinical or clinical trials.On March 30, 2017, we entered into the SPA with the Investors pursuant to which we agreed to issue and sell 700,000 shares of our newly designatedRedeemable Convertible Preferred for total gross proceeds of $70.0 million in the Private Placement. The Private Placement is expected to close on or about April11, 2017, subject to the satisfaction of customary closing conditions. We cannot assure you that all of the various conditions will be satisfied, or that the PrivatePlacement will be completed on the proposed terms, within the expected timeframe, or at all. 67 Table of ContentsIf the Private Placement is not consummated, we will be required to seek alternative sources of financing and we cannot guarantee you that the Companywill be able to effect another financing option on terms as favorable as the Private Placement. Failure to secure an alternative financing option could have anadverse effect on our working capital and the price of our common stock and may require us to delay, reduce or terminate our research and development programs,preclinical or clinical trials.The issuance of shares of our Redeemable Convertible Preferred would reduce the relative voting power of holders of our common stock, would dilute theownership of such holders and may adversely affect the market price of our common stock.Holders of our Redeemable Convertible Preferred are entitled to vote, on an as-converted basis, together with holders of our common stock on all matterssubmitted to a vote of the holders of our common stock. As a result, the issuance of the Redeemable Convertible Preferred effectively reduces the relative votingpower of the holders of our common stock. Moreover, the conversion of the Redeemable Convertible Preferred to common stock would dilute the ownershipinterest of existing holders of our common stock, and any sales in the public market, following registration pursuant to the registration rights granted to the holdersof the Redeemable Convertible Preferred, of the common stock issuable upon conversion of the Redeemable Convertible Preferred could adversely affectprevailing market prices of our common stock. Sales by such holders of a substantial number of shares of our common stock in the public market, or the perceptionthat such sales might occur, could have a material adverse effect on the price of our common stock.The holders of shares of the Redeemable Convertible Preferred may exercise significant influence over us.Upon closing of the Private Placement, Investors will own approximately 76% of our shares of common stock on an as-converted basis at the time of suchclosing. Holders of our Redeemable Convertible Preferred are entitled to vote, on an as-converted basis, together with holders of our common stock on all matterssubmitted to a vote of the holders of our common stock. As a result, the holders of shares of the Redeemable Convertible Preferred have the ability to significantlyinfluence the outcome of any matter submitted for the vote of the holders of our common stock.In addition, under the terms of the Certificate of Designation that will govern the Redeemable Convertible Preferred, the Redeemable Convertible Preferredgenerally ranks, with respect to liquidation, dividends and redemption, senior to other securities and, so long as any shares of Redeemable Convertible Preferredremain outstanding, the approval of the holders of a majority of the Redeemable Convertible Preferred is required in order for the Company to, among other things,(i) amend, modify or fail to give effect to any right of holders of the Redeemable Convertible Preferred, (ii) change the authorized number of RedeemableConvertible Preferred or issue additional Redeemable Convertible Preferred or create a new class or series of equity securities or securities convertible into equitysecurities with equal or superior rights, preferences or privileges to those of the Redeemable Convertible Preferred in terms of liquidation preference, dividendrights or certain governance rights, (iii) issue shares of common stock or securities convertible into common stock while we have insufficient shares to effect theconversion of the Redeemable Convertible Preferred into common stock, (iv) declare or pay dividends or redeem or repurchase any capital stock (other than certainrepurchases from employees, directors, advisors or consultants upon termination of service) or (v) incur certain indebtedness in excess of $10 million.One of the holders of Redeemable Convertible Preferred will also have the right to nominate a director, subject to the satisfaction of reasonable qualificationstandards and nominating and corporate governance committee approval of the nominee. Notwithstanding the fact that all directors will be subject to fiduciaryduties to us and to applicable law, the interests of the director designated by such holder may differ from the interests of our security holders as a whole or of ourother directors. 68 Table of ContentsThe holders of Redeemable Convertible Preferred will have rights, preferences and privileges that are not held by, and are preferential to, the rights of ourcommon stockholders.Upon our liquidation, dissolution or winding up, the holders of the Redeemable Convertible Preferred will be entitled to receive out of our assets, inpreference to the holders of the common stock and any junior preferred stock, an amount per share equal to the greater of (i) the sum of the Accrued Value plus anamount equal to all accrued or declared and unpaid dividends on the Redeemable Convertible Preferred that have not previously been added to the Accrued Value,or (ii) the amount that such shares would have been entitled to receive if they had converted into common stock immediately prior to such liquidation, dissolutionor winding up. In addition, upon consummation of a specified change of control transaction, each holder of Redeemable Convertible Preferred will be entitled toreceive in preference to the holders of common stock and any junior preferred stock, an amount equal to the greater of (i) 101% of the sum of the Accrued Valueplus an amount equal to all accrued or declared and unpaid dividends on the Redeemable Convertible Preferred that have not previously been added to the AccruedValue, or (ii) the amount that such shares would have been entitled to receive if they had converted into common stock immediately prior to such event. Theseprovisions may make it more costly for a potential acquirer to engage in a business combination transaction with us. Provisions that have the effect of discouraging,delaying or preventing a change in control could limit the opportunity for our stockholders to receive a premium for their shares of our common stock and couldalso affect the price that some investors are willing to pay for our common stock. If there are insufficient assets to pay in full such amounts, then the availableassets will be ratably distributed to the holders of the Redeemable Convertible Preferred in accordance with the respective amounts that would be payable on suchshares if all amounts payable thereon were paid in full. This will reduce the remaining amount of our assets, if any, available to distribute to holders of our commonstock. The holders of Redeemable Convertible Preferred also have a preferential right to receive cumulative dividends on the Accrued Value of each share ofRedeemable Convertible Preferred at an initial rate of 12% per annum, compounded quarterly, and subject to adjustment upon achievement of certain milestones.Dividends on the Redeemable Convertible Preferred are payable in kind and will accrue on the Accrued Value of each share of Redeemable Convertible Preferreduntil the earlier of conversion, redemption, consummation of a change of control, a liquidation event, or upon failure to mandatorily convert due to the ConversionBlockers or applicable regulatory restrictions.In addition, the holders of Redeemable Convertible Preferred also have certain redemption and conversion rights, including the right to request redemptionby the Company after the seventh anniversary of the closing of the Private Placement.Our obligations to the holders of Redeemable Convertible Preferred could limit our ability to obtain additional financing or increase our borrowing costs,which could have an adverse effect on our financial condition. These preferential rights could also result in divergent interests between the holders of shares ofRedeemable Convertible Preferred and holders of our common stock.Sales of shares issued in recent placements may cause the market price of our shares to decline.If the Private Placement is consummated, we will issue 700,000 shares of Redeemable Convertible Preferred which are convertible at any time into shares ofour common stock at an agreed conversion rate. We have agreed to grant the holders of Redeemable Convertible Preferred certain demand, shelf and “piggyback”registration rights with respect to the shares of common stock issuable upon conversion of the Redeemable Convertible Preferred. Upon the effectiveness of suchregistration statements, all shares of common stock issuable upon conversion of the Redeemable Convertible Preferred may be freely sold in the open market. Thesale of a significant amount of these shares in the open market or the perception that these sales may occur could cause the market price of our common stock todecline or become highly volatile. Item 1B.Unresolved Staff CommentsNone. 69 Table of ContentsItem 2.PropertiesOur corporate headquarters are located in Cambridge, Massachusetts, where we lease 37,084 square feet of office and laboratory space. The lease term forour office and laboratory space in Cambridge, Massachusetts, commenced in December 2014 for a lease term of six years.We believe that suitable additional or alternative space will be available as needed on commercially reasonable terms. Item 3.Legal ProceedingsWe are not currently a party to or aware of any proceedings that we believe will have, individually or in the aggregate, a material adverse effect on ourbusiness, financial condition or results of operations.On June 10, 2015, Alnylam filed a complaint against the Company in the Superior Court of Middlesex County, Massachusetts. The complaint allegesmisappropriation of confidential, proprietary, and trade secret information, as well as other related claims, in connection with the Company’s hiring of a number offormer employees of Merck and its discussions with Merck regarding the acquisition of its subsidiary, Sirna, which was subsequently acquired by Alnylam. Thecomplaint seeks, among other things, damages, attorneys’ fees, and an order permanently enjoining the Company from disclosing or using any of Alnylam’sconfidential information or trade secrets. This matter could cause us to incur significant additional legal fees and other costs to defend this action, and anunfavorable resolution could potentially have a material adverse effect on our business, financial condition, and results of operations or prospects, potentially delayor limit our ability to use some of our research and development programs, and potentially result in paying monetary damages. We believe, however, thatAlnylam’s allegations lack merit. We have filed an answer denying all liability, and we intend to continue to vigorously defend all claims asserted. We expect that afinding of liability against us is not probable. Accordingly, we cannot reasonably estimate any range of potential future charges, and we have not recorded anyaccrual for a contingent liability associated with this legal proceeding. Item 4.Mine Safety DisclosuresNot applicable. 70 Table of ContentsPART II Item 5.Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity SecuritiesMarket Information for Common StockOur common stock trades on The NASDAQ Global Select Market under the symbol “DRNA.” The following table sets forth the high and low sale prices pershare for our common stock on The NASDAQ Global Select Market for the periods indicated: Year Ended December 31, 2016: High Low First Quarter $12.05 $4.30 Second Quarter $5.85 $2.69 Third Quarter $6.10 $3.00 Fourth Quarter $5.98 $2.74 Year Ended December 31, 2015: High Low First Quarter $27.33 $16.55 Second Quarter $25.26 $12.50 Third Quarter $15.17 $7.61 Fourth Quarter $15.93 $7.66 Holders of RecordAs of March 29, 2017, there were approximately 13 holders of record of our common stock. Because many of our shares of common stock are held bybrokers and other institutions on behalf of stockholders, we are unable to estimate the total number of stockholders represented by these record holders.Dividend PolicyWe currently intend to retain future earnings, if any, for use in the operation of our business and to fund future growth. We have never declared or paid cashdividends on our common stock and we do not intend to pay any cash dividends on our common stock for the foreseeable future. Any future determination relatedto our dividend policy will be made at the discretion of our board of directors in light of conditions then existing, including factors such as our results of operations,financial condition and requirements, business conditions and covenants under any applicable contractual arrangements. 71 Table of ContentsPerformance GraphThe following graph illustrates a comparison of the total cumulative stockholder return on our common stock since January 30, 2014 (the date our stockbecame publicly traded on The NASDAQ Global Select Market) to the NASDAQ composite and NASDAQ biotechnology indices. The graph assumes an initialinvestment of $100 on January 30, 2014. The stock price performance on the following graph is not necessarily indicative of future stock price performance. Thisperformance graph shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or incorporated by reference intoany of our filings under the Securities Act or the Exchange Act, except as shall be expressly set forth by specific reference in such filing. Recent Sales of Unregistered SecuritiesWe did not sell any securities during the fiscal year ended December 31, 2016 that were not registered under the Securities Act.On March 30, 2017, we entered into an SPA with the Investors pursuant to which we agreed to issue and sell in the Private Placement 700,000 shares of ournewly designated Redeemable Convertible Preferred at a purchase price of $100.00 per share, for total gross proceeds of $70.0 million. The Private Placement isexpected to close on or before April 11, 2017, but remains subject to the satisfaction of customary closing conditions. The sale and issuance of the RedeemableConvertible Preferred to the Investors at the closing of the Private Placement, and the issuance of shares of common stock upon exercise and conversion thereof,are expected to be offered and sold by us pursuant to an exemption from the registration requirements of the Securities Act provided by Section 4(a)(2) thereunder.See “Item 1—Recent Developments” for a more detailed discussion of the Private Placement.Use of Proceeds from Initial Public Offering of Common StockNot applicable.Purchases of Equity Securities by the Issuer and Affiliated PartiesNone. 72 Table of ContentsItem 6.Selected Financial DataDICERNA PHARMACEUTICALS, INC. AND SUBSIDIARIESSELECTED FINANCIAL DATA(In thousands, except for share and per share data) YEARS ENDED DECEMBER 31, 2016 2015 2014 2013 2012 Results of operations data Revenue $295 $184 $— $— $7,015 Operating expenses: Research and development 41,694 43,971 29,453 11,558 11,565 General and administrative 18,349 19,240 15,648 5,820 4,700 Total operating expenses 60,043 63,211 45,101 17,378 16,265 Loss from operations (59,748) (63,027) (45,101) (17,378) (9,250) Other income (expense): Preferred stock warrant re-measurement — — (2,559) 126 469 Loss on extinguishment of debt — — (143) (318) — Interest income 235 188 63 4 2 Interest expense — — (199) (952) (1,342) Total other income (expense) 235 188 (2,838) (1,140) (871) Net loss (59,513) (62,839) (47,939) (18,518) (10,121) Less: accretion and dividends on redeemable convertiblepreferred stock — — 204 2,388 4,097 Net loss attributable to common stockholders $(59,513) $(62,839) $(48,143) $(20,906) $(14,218) Net loss per share attributable to common stockholders—Basicand diluted $(2.87) $(3.09) $(3.00) $(709.57) $(516.00) Weighted average shares outstanding—Basic and diluted 20,719,761 20,320,628 16,070,054 29,463 27,554 Financial condition data Cash and cash equivalents $20,865 $56,058 $26,067 $46,595 $3,670 Held-to-maturity investments $25,009 $38,551 $72,556 $— $— Total assets $51,252 $100,023 $103,605 $49,794 $10,191 Long-term debt—net of current portion $— $— $— $260 $4,660 Total stockholders’ equity (deficit) $41,208 $91,022 $98,340 $(68,919) $(64,719) The preceding selected consolidated financial data have been derived from our audited consolidated financial statements. Our audited consolidated financialstatements as of December 31, 2016 and 2015 and for the fiscal years ended December 31, 2016, 2015 and 2014 are included elsewhere in this Annual Report onForm 10-K. The information set forth above should be read in conjunction with “Management’s Discussion and Analysis of Financial Condition and Results ofOperations,” included in Item 7 of this Annual Report on Form 10-K, and with our consolidated financial statements and notes thereto, included in Item 8 of thisAnnual Report on Form 10-K. The information set forth above is not necessarily indicative of our future results of operations or financial condition. 73 Table of ContentsItem 7.Management’s Discussion and Analysis of Financial Condition and Results of OperationsThe following discussion contains forward-looking statements that involve risks and uncertainties. Our actual results could differ materially from thosediscussed here. Factors that could cause or contribute to such differences include, but are not limited to, those discussed in this section as well as factors describedin Part I, Item 1A—“Risk Factors.”OverviewWe are a biopharmaceutical company focused on the discovery and development of innovative subcutaneously delivered ribonucleic acid RNAi-basedpharmaceuticals using our GalXC TM RNAi platform for the treatment of diseases involving the liver, including rare diseases, chronic liver diseases, cardiovasculardiseases and viral infectious diseases. Within these therapeutic areas, we believe our GalXC RNAi platform will allow us to build a broad pipeline withcommercially attractive pharmaceutical properties, including a subcutaneous route of administration, infrequent dosing (e.g., dosing that is monthly or quarterly,and potentially even less frequent), high therapeutic index, and specificity to a single target gene.All of our GalXC drug discovery and development efforts are based on the therapeutic modality of RNAi, a highly potent and specific mechanism forsilencing the activity of a targeted gene. In this naturally occurring biological process, double-stranded RNA molecules induce the enzymatic destruction of themRNA of a target gene that contains sequences that are complementary to one strand of the therapeutic double-stranded RNA molecule. The Company’s approachis to design proprietary double-stranded RNA molecules that have the potential to engage the enzyme Dicer and initiate an RNAi process to silence a specific targetgene. These proprietary molecules are generally referred to as DsiRNAs. Our GalXC RNAi platform utilizes a particular Dicer Substrate structure configured forsubcutaneous delivery to the liver. Due to the enzymatic nature of RNAi, a single GalXC molecule incorporated into the RNAi machinery can destroy hundreds orthousands of mRNAs from the targeted gene.The GalXC RNAi platform supports Dicerna’s long-term strategy to retain, subject to the evaluation of potential licensing opportunities as they may arise, afull or substantial ownership stake and to invest internally in diseases with focused patient populations, such as certain rare diseases. We see such diseases asrepresenting opportunities that carry high probabilities of success, with easily identifiable patient populations and a limited number of Centers of Excellence tofacilitate reaching these patients, and the potential for more rapid clinical development programs. For more complex diseases with multiple gene dysfunctions andlarger patient populations, we plan to pursue partnerships that can provide the enhanced scale, resources and commercial infrastructure required to maximize theseprospects.Development ProgramsIn choosing which development programs to advance, we apply scientific, clinical, and commercial criteria that we believe allow us to best leverage ourGalXC RNAi platform and maximize value. To date the Company has launched its efforts directed to four therapeutic programs: DCR-PHXC for the treatment ofPH1, DCR-PCSK9 for the treatment of hypercholesterolemia, DCR-HBV for the treatment of chronic HBV infection, and an additional program against anundisclosed rare disease. The Company has the capacity to launch up to three programs every year, and intends to advance five programs into the clinic by the endof 2019. We plan to file our first IND application and/or CTA for our GalXC product candidates at the end of 2017, followed by additional INDs in 2018 and 2019. 74 Table of ContentsThe table below sets forth the state of development of our various product candidates as of March 29, 2017. Our current development programs are as follows: • Primary Hyperoxaluria Type 1. We are developing DCR-PHXC for the treatment of PH1. PH1 is a rare inborn error of metabolism in which theliver produces excessive levels of oxalate, which in turn causes damage to the kidneys and to other tissues in the body. In preclinical models of PH,DCR-PHXC reduces oxalate production to near-normal levels, ameliorating the disease condition. DCR-PHXC is in preclinical development, and hasadvanced into IND-enabling studies. We plan to file an IND submission and/or CTA for DCR-PHXC in late 2017 and commence human clinical trialsin the first quarter of 2018.To facilitate DCR-PHXC development, we continue to advance our PHYOS, an international, multicenter, observational study in patients with agenetically confirmed diagnosis of PH1. PHYOS is collecting data on key biochemical parameters implicated in the pathogenesis of PH1. We hope touse the data to better understand the baseline PH1 disease state, which will help guide long-term drug development plans.In the third quarter of 2016, we announced that we had transitioned our PH1 program to DCR-PHXC from DCR-PH1, an LNP formulated RNAicompound. DCR-PH1 was being studied in two clinical trials, DCR-PH1-101 in patients with PH1 and DCR-PH1-102 in NHVs. Both studies havebeen discontinued, and in November 2016, our licensing and collaboration agreement with Arbutus to license Arbutus’ LNP delivery technology forexclusive use in our PH1 development program terminated in accordance with its terms.We presented initial data from the NHV study at the 17th Congress of the IPNA in Iguaçu, Brazil on September 22, 2016. We believe these dataprovide the proof of concept for the pharmacological activity of RNAi-based therapy in PH1. • Hypercholesterolemia (PCSK9 targeted therapy). We are using our GalXC RNAi platform to develop a therapeutic that targets the PCSK9 gene forthe treatment of hypercholesterolemia. Based on the Company’s candidate development work during the fourth quarter of 2016, Dicerna is positionedto advance DCR-PCSK9, which targets the PCSK9 gene and is indicated for the treatment of statin-refractory patients with hypercholesterolemia, intoformal preclinical development. PCSK9 is a validated target for hypercholesterolemia, and there are FDA-approved therapies targeting PCSK9 that arebased on MAb technology. Based on preclinical studies, we believe that our GalXC RNAi platform can produce a PCSK9-targeted therapy with moreattractive commercial properties than existing MAb therapies, based on comparatively smaller subcutaneous injection volumes and less frequentdosing, while providing equal or superior control of serum cholesterol. • An undisclosed rare disease involving the liver. We are developing a GalXC-based therapeutic, targeting a liver-expressed gene involved in aserious rare disease. For competitive reasons we have not STAGES OF DEVELOPMENT PRODUCT CANDIDATE INDICATION RESEARCH PRECLINICAL CLINICAL POC STUDIES DCR-PHXC Primary Hyperoxaluria Undisclosed Rare Disease DCR-PCSK9 Cardiovascular Disease DCR-HBV Hepatitis B Virus Undisclosed Cardiovascular Disease Undisclosed Chronic Liver Disease Our 75 Table of Contents yet publicly disclosed the target gene or disease. We have selected this target gene and disease based on criteria that include having a strongtherapeutic hypothesis, a readily-identifiable patient population, the availability of a potentially predictive biomarker, high unmet medical need,favorable competitive positioning, and what we believe is a rapid projected path to approval. We plan to file an IND and/or CTA for this program inthe second quarter of 2018. • Chronic Hepatitis B Virus infection: Based on our candidate development work during the fourth quarter of 2016, we are positioned to advanceDCR-HBV, which targets the HBV directly, into formal preclinical development. We are using our GalXC RNAi platform to investigate potentialpharmaceutical treatments for HBV. Current therapies for HBV rarely lead to a long-term immunological cure as measured by the clearance of HBsAgand sustained HBV DNA suppression. Based on preclinical studies, we believe that our GalXC RNAi platform can produce an experimental HBV-targeted therapy that eliminates HBsAg expression in HBV patients and that has the potential to be delivered in a commercially attractivesubcutaneous dosing paradigm.In addition to our GalXC development programs, we have partnered our early generation, non-GalXC RNAi technology against two targets, the KRASoncogene and an additional undisclosed gene, with the global pharmaceutical company, KHK, to use for development in oncology and formulated using KHK’sproprietary drug delivery system. KHK is responsible for global development of the KRAS program, including all development expenses. For the KRAS productcandidate, we retain an option to co-promote in the U.S. for an equal share of the profits from U.S. net sales. We are also developing, with KHK, a therapeuticcandidate targeting a second cancer-related gene, which we are not identifying at this time. For each product candidate in our collaboration with KHK, we have thepotential to receive clinical, regulatory and commercialization milestone payments of up to $110.0 million and royalties on net sales of each such productcandidate. KHK is responsible for all preclinical and clinical development activities, including the selection of patient population and disease indications forclinical trials. According to information received from KHK, both product candidates are in preclinical development.We also have developed a wholly owned clinical candidate, DCR-BCAT, targeting the b -catenin oncogene. DCR-BCAT is based on an extended version ofour earlier generation Dicer Substrate RNAi technology and is delivered by our LNP tumor delivery system, EnCore TM . We plan to out-license or spin out theDCR-BCAT opportunity, given our focus on our GalXC platform-based programs.In oncology, we had been directing our development efforts towards our proprietary product candidate DCR-MYC for the treatment of MYC-related cancers,which was being investigated in two clinical trials: a Phase 1 trial in patients with advanced solid tumors and hematological malignancies, including an expansioncohort in patients with pancreatic neuroendocrine tumors; and a Phase 1b/2 trial in patients with advanced HCC. MYC is an oncogene frequently amplified oroverexpressed in a wide variety of tumor types. However, in September 2016, we announced our plan to discontinue the clinical development programs forDCR-MYC. While preliminary data from the DCR-MYC-101 trial provided evidence of clinical response and molecular knockdown of MYC in patients, the earlyefficacy results from DCR-MYC-101 and DCR-MYC-102 in HCC did not meet the Company’s expectations to warrant further development. Data from thesestudies were presented at the Oligonucleotide Therapeutics Society Conference on September 28, 2016.Recent DevelopmentsOn March 30, 2017, we entered into a SPA with Investors pursuant to which we agreed to issue and sell in the Private Placement 700,000 shares of ournewly designated Redeemable Convertible Preferred, at a purchase price of $100.00 per share, for total gross proceeds of $70.0 million. Other participants in thefinancing include EcoR1 Capital, Cormorant Asset Management, RA Capital, Domain Associates and Skyline Ventures, among others. The Private Placement isexpected to close on or before April 11, 2017, subject to the satisfaction of customary closing conditions. 76 Table of ContentsWe plan to file a Certificate of Designation with the Secretary of State of the State of Delaware establishing that each share of Redeemable ConvertiblePreferred will have a Stated Value of $100.00. Pursuant to the Certificate of Designation, we shall have the right to require the Investors to convert the RedeemableConvertible Preferred into common stock (Mandatory Conversion), at any time following the earlier of (i) the second anniversary of the closing of the PrivatePlacement or (ii) the occurrence of both of the following: (a) (1) the time that we first administer, after the issue date, a dose of a pharmaceutical product candidate(which such product candidate shall be one of the following candidates, or a variation thereof: DCR-PHXC, DCR-PCSK9 or the undisclosed rare disease programcurrently in pre-clinical development (each, a Product Candidate)) to a human being pursuant to an IND filed by us with the FDA; or (2) after we have firstadministered, after the issue date, a dose of a Product Candidate to a human being pursuant to a clinical trial authorization with the Medicine and HealthcareProducts Regulatory Agency in the European Union and an IND relating to such Product Candidate has become effective; and (b) we enter into a partnership orlicense agreement with a major company in the pharmaceutical or biotechnology industry relating to a non-Product Candidate, pursuant to which such companyprovides us with an up-front cash payment of a minimum amount agreed upon by us and the Lead Investor and agrees to customary future milestone and royaltypayments, provided, that, in each case ((i) and (ii)), the trading price of our common stock exceeds 200% of the Conversion Price, as defined below, for 45 out ofthe 60 most recent trading days. Our ability to require conversion shall be subject to the Conversion Blockers and applicable regulatory restrictions. “ConversionPrice” shall mean an initial price of $3.19 per share, subject to proportionate adjustment for any stock split, stock dividend, combination or other similarrecapitalization event.Following the date of a Mandatory Conversion, any shares of Redeemable Convertible Preferred that are not converted as a result of the Conversion Blockersor applicable regulatory restrictions shall continue to be entitled to all of the rights of the holders of Redeemable Convertible Preferred except that they will nolonger be entitled to cumulative dividends, priority distribution of assets upon consummation of a change of control or a liquidation event and certain special votingprovisions.On or at any time following the seventh anniversary of the closing of the Private Placement, (i) we shall also have the right to redeem the RedeemableConvertible Preferred for a cash consideration equal to the sum of the Accrued Value, as of the date of redemption, plus an amount equal to all accrued or declaredand unpaid dividends on the Redeemable Convertible Preferred that have not previously been added to the Accrued Value, and (ii) the holders of a majority of theRedeemable Convertible Preferred shall also have the right to cause us to redeem the Redeemable Convertible Preferred at the same price. “Accrued Value” means,with respect to each share of Redeemable Convertible Preferred, the sum of (i) the Stated Value plus (ii) on each quarterly dividend date, an additional amountequal to the dollar value of any dividends on a share of Redeemable Convertible Preferred which have accrued on any dividend payment date and have notpreviously been added to such Accrued Value.At any time and from time to time at their election, the holders of Redeemable Convertible Preferred will have the option to convert the RedeemableConvertible Preferred into shares of our common stock by dividing (i) the sum of the Accrued Value plus an amount equal to all accrued or declared and unpaiddividends on the Redeemable Convertible Preferred that have not previously been added to the Accrued Value by (ii) the Conversion Price in effect at the time ofsuch conversion. The conversion of shares of Redeemable Convertible Preferred into shares of common stock is subject to the Conversion Blockers.In the event of our liquidation, dissolution or winding up, the holder of each share of Redeemable Convertible Preferred will be entitled to receive, inpreference to the holders of the common stock and any junior preferred stock, an amount per share equal to the greater of (i) the sum of the Accrued Value plus anamount equal to all accrued or declared and unpaid dividends on the Redeemable Convertible Preferred that have not previously been added to the Accrued Value,or (ii) the amount that such shares would have been entitled to receive if they had converted into common stock immediately prior to such liquidation, dissolutionor winding up.Upon consummation of a specified change of control transaction, each holder of Redeemable Convertible Preferred will be entitled to receive in preferenceto the holders of common stock and any junior preferred stock, 77 Table of Contentsan amount equal to the greater of (i) 101% of the sum of the Accrued Value plus an amount equal to all accrued or declared and unpaid dividends on theRedeemable Convertible Preferred that have not previously been added to the Accrued Value, or (ii) the amount that such shares would have been entitled toreceive if they had converted into common stock immediately prior to such event.In addition, for so long as any shares of Redeemable Convertible Preferred remain outstanding, without the approval of holders of a majority of theRedeemable Convertible Preferred, we may not, among other things, (i) amend, modify or fail to give effect to any right of holders of the Redeemable ConvertiblePreferred, (ii) change the authorized number of Redeemable Convertible Preferred or issue additional Redeemable Convertible Preferred or create a new class orseries of equity securities or securities convertible into equity securities with equal or superior rights, preferences or privileges to those of the RedeemableConvertible Preferred in terms of liquidation preference, dividend rights or certain governance rights, (iii) issue shares of common stock or securities convertibleinto common stock while we have insufficient shares to effect the conversion of the Redeemable Convertible Preferred into common stock, (iv) declare or paydividends or redeem or repurchase any capital stock (other than certain repurchases from employees, directors, advisors or consultants upon termination of service)or (v) incur certain indebtedness in excess of $10 million. Except as set forth above or as otherwise required by law, holders of shares of Redeemable ConvertiblePreferred are entitled to vote together with shares of common stock (based on one vote per share of common stock into which the shares of RedeemableConvertible Preferred are convertible on the applicable record date) on any matter on which the holders of common stock are entitled to vote.Upon the effectiveness of the Certificate of Designation, each holder of Redeemable Convertible Preferred will be entitled to receive cumulative dividendson the Accrued Value of each share of Redeemable Convertible Preferred at an initial rate of 12% per annum, compounded quarterly and subject to two ratereductions, of 4% each, upon the occurrence of certain agreed-upon milestone events. Dividends on the Redeemable Convertible Preferred are payable in kind andwill accrue on the Accrued Value of each share of Redeemable Convertible Preferred until the earlier of conversion, redemption, consummation of a change ofcontrol, a liquidation event, or upon failure to mandatorily convert due to the Conversion Blockers or applicable regulatory restrictions.In accordance with the terms of the SPA, on March 28, 2017, our board of directors voted to increase the size of the board from eight directors to ninedirectors and, appointed Adam M. Koppel, M.D., Ph.D., a managing director of the Lead Investor, as a director of our Company, effective immediately following,and contingent upon, the closing of the Private Placement, to fill the resulting vacancy. To the extent such director is not reelected at any time and, so long as theLead Investor owns at least 25% of the Redeemable Convertible Preferred (or underlying common stock) owned by it at the closing of the Private Placement, itshall have the right to designate a board observer.We also expect to enter into a Registration Rights Agreement, by and among us and the Investors. Pursuant to the Registration Rights Agreement, theInvestors will be entitled to certain demand, shelf and “piggyback” registration rights with respect to the shares of common stock issuable upon conversion of theRedeemable Convertible Preferred, subject to the limitations set forth in the Registration Rights Agreement.The shares of Redeemable Convertible Preferred and the shares of common stock issuable upon conversion of the Redeemable Convertible Preferred areexpected to be offered and sold by us pursuant to an exemption from the registration requirements of the Securities Act provided by Section 4(a)(2) thereunder.Critical Accounting Policies and Significant Judgments and EstimatesOur management’s discussion and analysis of financial condition and results of operations is based on our consolidated financial statements, which havebeen prepared in accordance with GAAP. The preparation of our consolidated financial statements requires us to make estimates and assumptions that affect thereported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the consolidated financial statements, as well as therevenue and expenses incurred during the reported periods. On an ongoing 78 Table of Contentsbasis, we evaluate our estimates and judgments, including those related to accrued expenses and stock-based compensation. We base our estimates on historicalexperience and on various other factors that we believe are reasonable under the circumstances, the results of which form the basis for making judgments about thecarrying value of assets and liabilities that are not apparent from other sources. Changes in estimates are reflected in reported results for the period in which theybecome known. Actual results may differ from these estimates under different assumptions or conditions.While our significant accounting policies are described in the notes to our consolidated financial statements appearing in this Annual Report on Form 10-K,we believe that the following critical accounting policies are most important to understanding and evaluating our reported financial results.Stock-based compensationWe account for stock options granted to employees and non-employees as share-based awards at fair value, which we estimate using the Black-Scholesoption-pricing model, which requires the input of subjective assumptions, including: (1) the expected volatility of our stock, (2) the expected term of the award,(3) the risk-free interest rate and (4) expected dividends. Due to the lack of a public market history for the trading of our common stock before and after thecompletion of our initial public offering and a lack of company-specific historical and implied volatility data, we have based our estimate of expected volatility onthe historical volatility of a group of similar companies that are publicly traded. For these analyses, we have selected companies with comparable characteristics toours, including factors such as enterprise value, risk profiles, position within the industry and historical share price information, sufficient to meet the expected lifeof the stock-based awards. We compute the historical volatility data using the daily closing prices for the selected companies’ shares during the equivalent period ofthe calculated expected term of our stock-based awards. We have estimated the expected life of our employee stock options using the “simplified” method,whereby the expected life equals the average of the vesting term and the original contractual term of the option. The risk-free interest rates for periods within theexpected life of the option are based on the U.S. Treasury yield curve in effect during the period the options were granted.We are also required to estimate forfeitures at the time of grant and revise those estimates in subsequent periods if actual forfeitures differ from estimates.We use historical data to estimate pre-vesting option forfeitures and record stock-based compensation expense only for those awards that are expected to vest.Stock-based compensation expense recognized in the financial statements is based on awards that are ultimately expected to vest.Held-to-maturity investmentsWe account for our investment in marketable securities in accordance with FASB ASC 320, Investments — Debt and Equity Securities . We determine theappropriate classification of investments at the time of purchase and re-evaluate such designation as of each balance sheet date. As of December 31, 2016 and 2015,all of our investments were classified as held-to-maturity.Financial Operations OverviewRevenueOur revenue to date has been generated primarily through research funding, license fees, option exercise fees and preclinical development payments underour research collaboration and license agreement with KHK and government grants. We have not generated any commercial product revenue.In the future, we may generate revenue from a combination of research and development payments, license fees and other upfront payments, milestonepayments, product sales and royalties in connection with our collaboration with KHK or future collaborations and licenses. We expect that any revenue we generatewill fluctuate in future periods as a result of the timing of our or a collaborator’s achievement of preclinical, clinical, 79 Table of Contentsregulatory and commercialization milestones, to the extent achieved, the timing and amount of any payments to us relating to such milestones and the extent towhich any of our product candidates are approved and successfully commercialized by us or a collaborator. If we, KHK or any future collaborator fails to developproduct candidates in a timely manner or obtain regulatory approval for them, our ability to generate future revenue, and our results of operations and financialposition, would be materially and adversely affected.Collaboration agreementIn December 2009, we entered into the collaboration agreement with KHK, pursuant to which we granted KHK an exclusive, worldwide, royalty-bearing andsub-licensable license to our DsiRNA molecules and drug delivery technologies and intellectual property for two programs: KRAS and a second undisclosedoncology target. Under the collaboration agreement, KHK is responsible for carrying out activities to develop, manufacture and commercialize the selectedDsiRNA-based compounds and pharmaceutical products containing such compounds. For the KRAS product candidate, we have an option to co-promote in theU.S. for an equal share of the profits from U.S. net sales. In addition, for each product candidate under the collaboration agreement, we have the potential to receiveclinical, regulatory and commercialization milestone payments of up to $110.0 million and royalties on net sales of each product candidate under the collaborationagreement.Since the initiation of the collaboration agreement, of the various targets in the collaboration, two target programs, including the initial target KRAS, havebeen nominated by KHK for formal development studies. Both programs utilize our specific RNAi-inducing double-stranded DsiRNA molecules and a lipidnanoparticle drug delivery technology proprietary to KHK. To date, we have received payments totaling $17.5 million. We did not recognize any revenue inconnection with the collaboration agreement during the years ended December 31, 2016, 2015 or 2014.Grant revenueIn April 2015, the National Cancer Institute (NCI), a division of the NIH, awarded us a grant related to cancer treatment research. The project period for thisgrant covered a six month period which commenced in April 2015, with total funds available of approximately $0.2 million. The payment of the NIH grant awardwas based upon subcontractor and internal costs incurred that are specifically covered by the grant, and where applicable, a facilities and administrative rate thatprovides funding for overhead expenses. In August 2016, the NCI awarded an additional $2.0 million for a second phase of the grant covering the periodSeptember 1, 2016 to February 28, 2018. Of this amount, $1.0 million is committed funding and the additional funding commitment is expected in the third quarterof 2017, subject to NCI approval and availability of funds. The Company recognized $0.3 million and $0.2 million of revenue associated with the NIH grantawards for the years ended December 31, 2016 and 2015, respectively.Research and development expensesResearch and development expenses consist of costs associated with our research activities, including discovery and development of our DsiRNA andGalXC molecules and drug delivery technologies, clinical and preclinical development activities and our research activities under our research collaboration andlicense agreement with KHK. Our research and development expenses include: • direct research and development expenses incurred under arrangements with third parties, such as contract research organizations, contractmanufacturing organizations, and consultants; • platform-related lab expenses, including lab supplies, license fees and consultants; • employee-related expenses, including salaries, benefits and stock-based compensation expense; and • facilities, depreciation and other allocated expenses, which include direct and allocated expenses for rent and maintenance of facilities, depreciation ofleasehold improvements and equipment and laboratory and other supplies. 80 Table of ContentsWe expense research and development costs as they are incurred. We account for nonrefundable advance payments for goods and services that will be usedin future research and development activities as expenses when the service has been performed or when the goods have been received. A significant portion of ourresearch and development costs are not tracked by project as they benefit multiple projects or our technology platform.The process of conducting preclinical studies and clinical trials necessary to obtain regulatory approval is costly and time-consuming. We, KHK or anyfuture collaborator may never succeed in obtaining marketing approval for any of our product candidates. The probability of success for each product candidatemay be affected by numerous factors, including preclinical data, clinical data, competition, manufacturing capability and commercial viability. All of our researchand development programs are at an early stage and successful development of future product candidates from these programs is highly uncertain and may notresult in approved products. Completion dates and completion costs can vary significantly for each future product candidate and are difficult to predict. Weanticipate we will make determinations as to which product candidates to pursue and how much funding to direct to each product candidate on an ongoing basis inresponse to our ability to maintain or enter into collaborations with respect to each product candidate, the scientific and clinical success of each product candidateas well as ongoing assessments as to the commercial potential of product candidates. We will need to raise additional capital and may seek additional collaborationsin the future in order to advance our various product candidates. Additional private or public financings may not be available to us on acceptable terms, or at all.Our failure to raise capital as and when needed would have a material adverse effect on our financial condition and our ability to pursue our business strategy.License agreementsIn connection with our license agreement with COH, entered into in September 2007, we are required to pay an annual license maintenance fee, reimburseCOH for patent costs incurred, pay an amount within the range of $5.0 million to $10.0 million upon the achievement of certain milestones, and pay royalties onany future sales. There were no sublicense or other fees accrued as of December 31, 2016, and 2015. The license agreement will remain in effect until theexpiration of the last patents or copyrights licensed under the agreement or until all obligations under the agreement with respect to payment of milestones haveterminated or expired. We may terminate the license agreement at any time upon 90 days written notice to COH. As of December 31, 2016, we made totalpayments amounting to $5.0 million pursuant to our agreement with COH. We have recorded research and development expenses related to our agreement withCOH of $0.1 million during each of the years ended December 31, 2016, 2015 and 2014.In connection with our commercial license agreement entered into with PBL in September 2013, we paid a one-time, non-refundable fee and agreed to payPBL a nomination fee for any additional SRMs nominated by the Company pursuant to the terms of the related agreement. We are further obligated to pay PBLmilestone payments upon achievement of certain clinical and regulatory milestones. In addition, PBL is entitled to receive royalties of any net sales revenue of anylicensed product candidates sold by us. As of December 31, 2016, we made total payments amounting to $0.2 million pursuant to our agreement with PBL. Wehave recorded research and development expenses related to our agreement with PBL of zero, zero and $0.1 million during the years ended December 31, 2016,2015 and 2014, respectively.In connection with our license agreement entered into with Carnegie in January 2009, we paid Carnegie a one-time upfront fee and agreed to pay an annuallicense fee during the term of the agreement. We are further obligated to make two additional payments of $0.1 million each upon achievement of the filing withthe FDA of a NDA for a licensed product candidate and upon the first commercial sale of a licensed product candidate or licensed method. Carnegie is entitled toreceive royalties on any net sales revenue from licensed product candidates sold by us, with the royalty rate to be further negotiated between Carnegie and theCompany in good faith reflecting customary rates in the industry. Any patents associated with this license will expire in 2018, removing any obligations. As ofDecember 31, 2016, we made total payments amounting to $0.3 million pursuant to our agreement with Carnegie. During each of the years ended December 31,2016, 2015 and 2014, we recorded research and development expenses of $0.03 million related to the agreement with Carnegie. 81 Table of ContentsGeneral and administrative expensesGeneral and administrative expenses consist primarily of salaries and related benefits, including stock-based compensation, related to our executive, finance,legal, business development and support functions. Other general and administrative expenses include travel expenses, professional fees for legal, audit, tax andother professional services and allocated facility-related costs not otherwise included in research and development expenses.Other income (expense)Other income (expense) consists of interest income earned on our cash and cash equivalents, held-to-maturity investments and restricted cash equivalents. In2014, this item also included our preferred stock warrant liability re-measurement, loss on extinguishment of debt and interest expense.Recent Accounting PronouncementsA summary of recent accounting pronouncements that have been adopted or are expected to be adopted by the Company is included in Note 1 to ourconsolidated financial statements (see Item 8 of this Annual Report on Form 10-K). Additional information regarding relevant accounting pronouncements isprovided below.Adopted in 2016Going concernWe adopted the new guidance related to the disclosure of uncertainties about an entity’s ability to continue as a going concern. That guidance initially hasrequired that we perform an assessment as to our ability to continue as a going concern within one year of March 30, 2017 (the date that our consolidated financialstatements are being issued). The same assessment is required to be completed on an interim basis. We are required to provide certain disclosures if conditions orevents raise substantial doubt about our ability to continue as a going concern. Adoption of this guidance did not have a significant impact on our consolidatedfinancial statements.Not yet adoptedRevenue recognitionIn May 2014, the accounting guidance related to revenue recognition was amended to replace current guidance with a single, comprehensive standard foraccounting for revenue from contracts with customers. The new guidance will become effective for us on January 1, 2018, with early adoption permitted beginningon January 1, 2017.The new revenue standard applies to all contracts with customers, and only contracts with a customer are in the scope of the new revenue standard. Once acontractual arrangement is scoped into the new guidance, revenue is recognized based on a model that includes identifying performance obligations anddetermining and allocating the transaction price to the performance obligations identified in the contract. Revenue is recognized as those performance obligationsare satisfied. Entities have the option of using either a full retrospective or a modified retrospective approach to adopt this new guidance.Our evaluation of the impact that the adoption of this guidance will have on our consolidated financial statements will continue into 2017, including adetermination of which adoption method will be utilized. We will evaluate the impact that the new guidance may have on current arrangements with customers,including, as applicable, our collaboration with KHK, and as pertaining to grant income that currently is recognized as revenue in our consolidated financialstatements. 82 Table of ContentsIncome taxesNew guidance issued in October 2016 related to income taxes is aimed at reducing complexity in accounting standards by eliminating the current exceptionthat the tax effects of intra-entity asset transfers (such as intercompany sales or transfers of intellectual property) be deferred until the transferred asset is sold to athird party or otherwise recovered through use. Instead, the new guidance will require a reporting entity to recognize any tax expense from the sale of the asset inthe seller’s tax jurisdiction when the transfer occurs, even though the pre-tax effects of that transaction are eliminated in consolidation. Any deferred tax asset thatarises in the buyer’s jurisdiction would also be recognized at the time of the transfer. This new guidance will be effective for us beginning on January 1, 2018, andwe are currently evaluating the potential impact that this guidance may have on the Company’s consolidated financial statements. We have not recorded anydeferred tax assets or liabilities on our consolidated balance sheet.LeasesIn February 2016, accounting guidance related to leases was issued that will require an entity to recognize leased assets and the rights and obligations createdby those leased assets on the balance sheet and to disclose key information about an entity’s leasing arrangements. This guidance will become effective for us onJanuary 1, 2019, with early adoption permitted. We expect that the adoption of this guidance will impact our consolidated financial statements and notes thereto,resulting, among other factors, from the recognition of a right of use asset and related liability related to our 2014 non-cancelable operating lease arrangement forour office and laboratory space in Cambridge, Massachusetts. As of December 31, 2016, and as presented below, our total future minimum lease obligationassociated with this lease was $6.5 million, and a substantial portion of this commitment will remain outstanding at the time that we adopt the new guidance. Ourevaluation of this guidance and its full impact on our consolidated financial statements will continue into 2017.Stock-based compensationIn March 2016, the accounting guidance related to various aspects of share-based payment transactions was amended, including income tax consequences,classification of awards as either equity or liabilities and classification on the statement of cash flows. Under the new guidance, excess tax benefits and deficienciesare to be recognized as income tax expense or benefit in the income statement as discrete items in the reporting period in which they occur instead of an increase ordecrease to stockholders’ equity. With regard to forfeitures, an entity may make an accounting policy election either to estimate the number of awards that areexpected to vest or account for forfeitures when they occur. This guidance will become effective for us on January 1, 2017, with early adoption permitted. Anyimpact that the adoption of this guidance may have will be dependent upon future prices of our common stock and stock-based compensation exercise and vestingactivity and therefore currently cannot be determined. However, there have been no income tax impacts associated with our share-based payment transactions, nordo we expect that there will be any related tax impacts in the foreseeable future.Statement of cash flowsIn August 2016, the accounting guidance related to the statement of cash flows was amended with the intent of reducing diversity in practice as to theclassification of certain transactions in the statement of cash flows. This guidance will become effective for us on January 1, 2018, with early adoption permitted.Additionally, in November 2016, new accounting guidance was issued related to the statement of cash flows implications related to restricted cash and cashequivalents. This new guidance is effective for us beginning on January 1, 2018, and we will continue to evaluate the impact that the guidance may have on ourconsolidated financial statements, particularly as pertaining to our restricted cash equivalents. 83 Table of ContentsResults of OperationsComparison of the years ended December 31, 2016 and 2015The following table summarizes the results of our operations for the years ended December 31, 2016 and 2015 (in thousands): FOR THE YEARS ENDED DECEMBER 31, INCREASE (DECREASE)         2016                 2015         Revenue $295 $184 $111 60.3% Expenses: Research and development 41,694 43,971 (2,277) (5.2%) General and administrative 18,349 19,240 (891) (4.6%) Total expenses 60,043 63,211 (3,168) (5.0%) Loss from operations (59,748) (63,027) (3,279) (5.2%) Other income 235 188 47 25.0% Net loss $(59,513) $(62,839) $(3,326) (5.3%) RevenueThe Company recognized $0.3 and $0.2 million of revenue associated with the NIH grant awards related to cancer treatment research for the years endedDecember 31, 2016 and 2015, respectively.We do not expect to generate any product revenue for the foreseeable future.Research and development expensesThe following table summarizes our research and development expenses incurred during the years ended December 31, 2016 and 2015 (in thousands): FOR THE YEARS ENDED DECEMBER 31, INCREASE (DECREASE)         2016                 2015         Direct research and development expenses $13,711 $15,529 $(1,818) Platform-related expenses 11,302 14,066 (2,764) Employee-related expenses 13,159 11,340 1,819 Facilities, depreciation and other expenses 3,522 3,036 486 Total $41,694 $43,971 $(2,277) Research and development expenses were $41.7 million and $44.0 million for the years ended December 31, 2016, and 2015, respectively. Direct researchand development expenses were $13.7 million for 2016, compared to $15.5 million for 2015. The decrease of $1.8 million is due to a decrease in manufacturingand toxicology testing activities, partially offset by an overall increase in clinical activities from initiating additional sites and enrolling patients in our discontinuedclinical trials during 2016. Platform-related expenses were $11.3 million for 2016, compared to $14.1 million for 2015. The decrease of $2.8 million was primarilydue to lower spending in discovery and early development as programs have advanced year-over-year into manufacturing and clinical testing, partially offset byadditional preclinical studies for our new GalXC platform in 2016. Employee-related expenses were $13.2 million for 2016, compared to $11.3 million for 2015.The increase of $1.8 million was primarily due to termination benefits incurred during 2016 and to additional headcount in 2016, along with an increase in stock-based compensation of $0.4 million. Facilities, depreciation 84 Table of Contentsand other expenses were $3.5 million for 2016, compared to $3.0 million for 2015. The increase of $0.5 million is due to increased facility costs. We expect ourresearch and development expenses to increase in 2017 as we continue spending on our development programs.General and administrative expensesGeneral and administrative expenses were $18.3 million and $19.2 million for the years ended December 31, 2016 and 2015, respectively. The decrease of$0.9 million was primarily due to a $0.4 million decrease in termination benefits as compared to 2015, a decrease in stock-based compensation of $0.8 million in2016, partially offset by an increase in professional fees of $0.1 million, which in turn related primarily to legal costs incurred in connection with the Alnylamcomplaint.We expect general and administrative expenses to increase in the future as we continue to expand our operating activities and incur additional costsassociated with being a publicly traded company. These increases will likely include legal, accounting and other professional services costs, directors’ and officers’liability insurance premiums and costs associated with investor relations.Other incomeOther income remained relatively stable at $0.2 million for each of the years ended December 31, 2016 and 2015 and represents interest earned from theCompany’s money market accounts and held-to-maturity investments.Comparison of the years ended December 31, 2015 and 2014The following table summarizes the results of our operations for the years ended December 31, 2015 and 2014 (in thousands): FOR THE YEARS ENDED DECEMBER 31, INCREASE (DECREASE)         2015                 2014         Revenue $184 $— $184 — Expenses: Research and development 43,971 29,453 14,518 49.3% General and administrative 19,240 15,648 3,592 23.0% Total expenses 63,211 45,101 18,110 40.2% Loss from operations (63,027) (45,101) (17,926) (39.7%) Other income (expense) 188 (2,838) 3,026 106.6% Net loss $(62,839) $(47,939) $(14,900) (31.1%) RevenueDuring the year ended December 31, 2015, we recognized $0.2 million of revenue associated with the NIH grant award. We did not record any revenue forthe year ended December 31, 2014. 85 Table of ContentsResearch and development expensesThe following table summarizes our research and development expenses incurred during the years ended December 31, 2015 and 2014 (in thousands): FOR THE YEARS ENDED DECEMBER 31, INCREASE         2015                 2014         Direct research and development expenses $15,529 $11,068 $4,461 Platform-related expenses 14,066 9,984 4,082 Employee-related expenses 11,340 7,694 3,646 Facilities, depreciation and other expenses 3,036 707 2,329 Total $43,971 $29,453 $14,518 Research and development expenses were $44.0 million and $29.5 million for the years ended December 31, 2015 and 2014, respectively. For the year endedDecember 31, 2015, direct research and development expenses were $15.5 million compared to $11.1 million in the prior year. The increase of $4.4 million was theresult of increased costs related to preclinical and clinical start-up activities for DCR-PH1, as well as increased costs related to DCR-MYC manufacturing forclinical development and our clinical trials, including our global Phase 1b/2 trial in patients with advanced HCC, which was initiated in the fourth quarter of 2014,offset by a reduction in license fees paid to a collaboration partner. For the year ended December 31, 2015, platform-related expenses were $14.1 million comparedto $10.0 million in the prior year. The increase of $4.1 million was primarily due to increased expenses related to discovery and early development of futureprograms, offset by a decrease to non-employee stock-based compensation of $1.5 million. Employee-related expenses were $11.3 million in 2015 compared to$7.7 million in the prior year. The increase of $3.6 million was primarily due to additional headcount, along with an increase in stock-based compensation of$1.6 million. Facilities, depreciation and other expenses have increased by $2.3 million for the year ended December 31, 2015 due to increased occupancy costs.General and administrative expensesGeneral and administrative expenses were $19.2 million and $15.6 million for the years ended December 31, 2015 and 2014, respectively. The increase of$3.6 million was primarily due to an increase in payroll-related expenses of $0.7 million, an increase in stock-based compensation of $1.5 million, and an increasein professional fees of $1.9 million, primarily from legal costs incurred related to the Alnylam complaint.Other income (expense)Other income (expense) was $0.2 million and $(2.8) million for the years ended December 31, 2015 and 2014, respectively. The change was primarily due toa decrease in expense related to the re-measurement of our preferred stock warrant liability of $2.6 million and a decrease in interest expense of $0.3 millionfollowing debt principal repayments.Liquidity and Capital ResourcesAs of December 31, 2016, we had cash and cash equivalents and held-to-maturity investments of $45.9 million and $1.1 million in cash equivalents held inrestriction.In addition to our existing cash and cash equivalents, for each product candidate under our research collaboration and license agreement with KHK, we areentitled to receive clinical, regulatory and commercialization milestone payments of up to $110.0 million and royalties on net sales of such product 86 Table of Contentscandidate. Our ability to earn these milestone payments and the timing of achieving these milestones is dependent upon the outcome of our research anddevelopment and regulatory activities and is uncertain at this time. Our right to receive the payment of certain milestones under our agreement with KHK iscurrently our only potential source of funds from an existing collaborative arrangement.On October 31, 2016, a universal shelf registration statement on Form S-3 permitting the sale of up to $150.0 million of our common stock and othersecurities was declared effective by the SEC.On March 30, 2017, the Company entered into an SPA with Investors, pursuant to which the Company agreed to issue and sell 700,000 shares of its newlydesignated Redeemable Convertible Preferred, at a purchase price of $100.00 per share, for total gross proceeds of $70.0 million in a Private Placement. ThePrivate Placement is expected to close on or before April 11, 2017, subject to the satisfaction of customary closing conditions.Cash flowsAs of December 31, 2016, we had $45.9 million in cash and cash equivalents and held-to-maturity investments and $1.1 million in restricted cashequivalents.The following table shows a summary of our cash flows for the years ended December 31, 2016, 2015 and 2014 (in thousands). FOR THE YEARS ENDED DECEMBER 31, 2016 2015 2014 Net cash used in operating activities $(48,747) $(48,799) $(34,764) Net cash provided by (used in) investing activities 13,020 33,001 (75,761) Net cash provided by financing activities 534 45,789 89,997 (Decrease) increase in cash and cash equivalents $(35,193) $29,991 $(20,528) Operating activitiesNet cash used in operating activities was $48.7 million and $48.8 million for the years ended December 31, 2016 and 2015, respectively. The $0.1 millionnet decrease in cash used in operating activities is due primarily to a decrease in overall cash research and development expenditures of $2.5 million and a decreasein cash general and administrative expenses of $0.1 million, partially offset by a net decrease of $2.8 million in cash provided by changes in our working capital,which in turn was largely attributable to a net change in accrued expenses and other current liabilities.Net cash used in operating activities for the years ended December 31, 2015 and 2014 was $48.8 million and $34.8 million, respectively. The increase incash used in operating activities of $14.0 million was due primarily to an increase in our net loss of $14.9 million, partially offset by non-cash items and changes inworking capital totaling $0.9 million, including non-cash items of $2.7 million in 2014 for the loss on extinguishment of debt and the increase in the fair value ofpreferred stock warrants, which did not occur in 2015.Investing activitiesNet cash provided by investing activities was $13.0 million and $33.0 million for the years ended December 31, 2016 and 2015, respectively. The$20.0 million decrease in net cash provided by investing activities for 2016, compared to 2015, relates primarily to a decrease in maturities ofheld-to-maturity investments of $21.5 million, offset slightly by a decrease in purchases of property and equipment of $0.7 million. 87 Table of ContentsNet cash provided by investing activities for the year ended December 31, 2015 was $33.0 million compared to net cash used in investing activities of$75.8 million in the year ended December 31, 2014. The increase in net cash provided by investing activities for 2015, compared to 2014, relates to an increase inmaturities of held-to-maturity investments, a decrease in purchases of held-to-maturity investments, a decrease in purchases of property and equipment and adecrease in restricted cash equivalents.Financing activitiesNet cash provided by financing activities was $0.5 million and $45.8 million for the years ended December 31, 2016 and 2015, respectively. In 2015, netproceeds from our follow-on offering were $45.4 million and proceeds from other issuance of common stock were $0.4 million compared to $0.6 million ofproceeds from other issuance of common stock in 2016. Upon closing of the Private Placement, we expect that our net cash provided by financing activities for theyear ended December 31, 2017 will increase significantly.Net cash provided by financing activities for the years ended December 31, 2015 and 2014 was $45.8 million and $90.0 million, respectively. In May 2015,we closed a follow-on offering of 2,750,000 shares of common stock at a price to the public of $17.75 per share, resulting in net proceeds to the Company of$45.4 million, after deducting underwriting discounts and commissions of approximately $2.9 million and other offering costs of approximately $0.4 million. In2014, net proceeds from our initial public offering were $94.1 million, and proceeds from other issuance of common stock were $0.9 million, partially offset bydebt principal payments for $5.0 million.Funding requirementsWe expect that our primary uses of capital will continue to be third-party clinical research and development services and manufacturing costs, compensationand related expenses, laboratory and related supplies, legal and other regulatory expenses, including the costs to defend the Alnylam trade secret misappropriationclaim against us, and general overhead costs. Because of the numerous risks and uncertainties associated with the development and commercialization of ourproduct candidates and the extent to which we may enter into additional collaborations with third parties to participate in their development and commercialization,we are unable to estimate the amounts of increased capital outlays and operating expenditures associated with our current and anticipated development activities.However, based on our current operating plan, we continue to believe that our cash and cash equivalents, excluding any potential option exercise fees or milestonepayments, will be sufficient to meet our anticipated cash requirements for at least the next twelve months. We have based this estimate on assumptions that mayprove to be wrong, and we could utilize our available capital resources sooner than we currently expect.Our forecast of the period of time through which our financial resources will be adequate to support our operations is a forward-looking statement thatinvolves risks and uncertainties, and actual results could vary materially as a result of a number of factors. Our future capital requirements are difficult to forecastand will depend on many factors, including: • the receipt of milestone payments under our collaboration agreement with KHK; • the terms and timing of any other collaboration, licensing and other arrangements that we may establish; • the initiation, progress, timing and completion of preclinical studies and clinical trials for our potential product candidates; • the number and characteristics of product candidates that we pursue; • the progress, costs and results of our preclinical studies and clinical trials; • the outcome, timing and cost of regulatory approvals; 88 Table of Contents • delays that may be caused by changing regulatory requirements; • the cost and timing of hiring new employees to support our continued growth; • the costs involved in filing and prosecuting patent applications and enforcing and defending patent claims; • the costs of filing and prosecuting intellectual property rights and enforcing and defending any intellectual property-related claims; • the costs of responding to and defending ourselves against complaints and potential litigation, including the Alnylam complaint of misappropriation ofconfidential information (see Legal Proceedings); • the costs and timing of procuring clinical and commercial supplies for our product candidates; • the extent to which we acquire or in-license other product candidates and technologies; and • the extent to which we acquire or invest in other businesses, product candidates or technologies.Until such time, if ever, we generate product revenue, we expect to finance our cash needs through a combination of equity offerings, debt financings andresearch collaboration and license agreements. We may be unable to raise capital or enter into such other arrangements when needed or on favorable terms, or atall. Our failure to raise capital or enter into such other arrangements in a reasonable timeframe would have a negative impact on our financial condition, and wemay have to delay, reduce or terminate our research and development programs, preclinical or clinical trials or undergo reductions in our workforce or othercorporate restructuring activities.Please see the risk factors set forth in Part II, Item 1A “Risk Factors” in this Annual Report on Form 10-K for additional risks associated with our substantialcapital requirements.Contractual Obligations and CommitmentsThe following is a summary of our significant contractual obligations as of December 31, 2016 (in thousands). PAYMENTS DUE BY PERIOD CONTRACTUALOBLIGATIONS TOTAL LESS THAN1 YEAR MORE THAN1 YEAR AND LESS THAN 3 MORE THAN 3 YEARS ANDLESS THAN 5 MORE THAN5 YEARS Existing operating lease obligations(1) $6,470 $1,582 $3,307 $1,581 $— (1)Total commitments includes future minimum lease payments under our existing non-cancelable operating lease for our office and laboratory space inCambridge, Massachusetts, as executed on July 11, 2014 with an average rent of approximately $0.1 million per month.We also have obligations to make future payments to COH and PBL that become due and payable on the achievement of certain development, regulatory andcommercial milestones. We have not included these commitments on our balance sheet or in the table above, because the achievement and timing of thesemilestones is not probable and estimable.Off-balance Sheet ArrangementsWe did not have during the periods presented, and we do not currently have, any off-balance sheet arrangements, as defined in the rules and regulations ofthe Securities and Exchange Commission. 89 Table of ContentsSegment ReportingWe view our operations and manage our business as one segment, which is the discovery, research and development of treatments based on our RNAitechnology platform. Item 7A.Quantitative and Qualitative Disclosure About Market RiskThe primary objectives of our investment activities are to ensure liquidity and to preserve principal while at the same time maximizing the income wereceive from our marketable securities without significantly increasing risk. Some of the securities that we invest in may have market risk related to changes ininterest rates. As of December 31, 2016, we had cash and cash equivalents and held-to-maturity investments of $45.9 million. Our primary exposure to market riskis interest rate sensitivity, which is affected by changes in the general level of U.S. interest rates. Due to the short-term maturities of our cash and cash equivalentsand held-to-maturity investments and the low risk profile of our investments, an immediate 100 basis point change in interest rates would not have a material effecton the fair market value of our cash and cash equivalents and held-to-maturity investments. To minimize the risk in the future, we intend to maintain our portfolioof cash and cash equivalents and held-to-maturity investments in a variety of securities, including commercial paper, money market funds, government andnon-government debt securities and corporate obligations. 90 Table of ContentsItem 8.Financial Statements and Supplementary DataDICERNA PHARMACEUTICALS, INC.INDEX TO FINANCIAL STATEMENTS PAGE Report of Independent Registered Public Accounting Firm 92 Consolidated Balance Sheets as of December 31, 2016, and December 31, 2015 93 Consolidated Statements of Operations for the years ended December 31, 2016, December 31, 2015 and December 31, 2014 94 Consolidated Statements of Redeemable Convertible Preferred Stock and Stockholders’ Equity for the years ended December 31,2016, December 31, 2015 and December 31, 2014 95 Consolidated Statements of Cash Flows for the years ended December 31, 2016, December 31, 2015 and December 31, 2014 96 Notes to Consolidated Financial Statements 97 91 Table of ContentsREPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRMTo the Board of Directors and Stockholders ofDicerna Pharmaceuticals, Inc.Cambridge, MassachusettsWe have audited the accompanying consolidated balance sheets of Dicerna Pharmaceuticals, Inc. and its subsidiaries (the “Company”) as of December 31, 2016and 2015, and the related consolidated statements of operations, redeemable convertible preferred stock and stockholders’ equity, and cash flows for each of thethree years in the period ended December 31, 2016. These financial statements are the responsibility of the Company’s management. Our responsibility is toexpress an opinion on the financial statements based on our audits.We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that weplan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. The Company is not required tohave, nor were we engaged to perform, an audit of its internal control over financial reporting. Our audits included consideration of internal control over financialreporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness ofthe Company’s internal control over financial reporting. Accordingly, we express no such opinion. An audit also includes examining, on a test basis, evidencesupporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, as wellas evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.In our opinion, such consolidated financial statements present fairly, in all material respects, the financial position of Dicerna Pharmaceuticals, Inc. and itssubsidiaries as of December 31, 2016 and 2015, and the results of their operations and their cash flows for each of the three years in the period ended December 31,2016, in conformity with accounting principles generally accepted in the United States of America. /s/ Deloitte & Touche LLP Boston, MassachusettsMarch 30, 2017 92 Table of ContentsDICERNA PHARMACEUTICALS, INC.Consolidated Balance Sheets(In thousands, except share data and par value) DECEMBER 31, 2016 2015 ASSETS CURRENT ASSETS: Cash and cash equivalents $20,865 $56,058 Held-to-maturity investments (Note 4) 25,009 38,551 Prepaid expenses and other current assets (Note 5) 1,952 1,532 Total current assets 47,826 96,141 NONCURRENT ASSETS: Property and equipment—net (Note 6) 2,234 2,684 Restricted cash equivalents (Note 12) 1,116 1,116 Other noncurrent assets 76 82 Total noncurrent assets 3,426 3,882 TOTAL ASSETS $51,252 $100,023 LIABILITIES AND STOCKHOLDERS’ EQUITY CURRENT LIABILITIES: Accounts payable $4,318 $2,621 Accrued expenses and other current liabilities (Note 7) 5,726 6,380 Total current liabilities 10,044 9,001 TOTAL LIABILITIES 10,044 9,001 COMMITMENTS AND CONTINGENCIES (Note 12) STOCKHOLDERS’ EQUITY: Preferred stock, $0.0001 par value—5,000,000 shares authorized; no shares issued or outstanding at December 31, 2016or December 31, 2015 — — Common stock, $0.0001 par value—150,000,000 shares authorized; 20,753,001 and 20,594,575 shares issued andoutstanding at December 31, 2016 and 2015, respectively (Note 8) 2 2 Additional paid-in capital (Note 8) 296,962 287,263 Accumulated deficit (255,756) (196,243) Total stockholders’ equity 41,208 91,022 TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY $51,252 $100,023 The accompanying notes are an integral part of these consolidated financial statements. 93 Table of ContentsDICERNA PHARMACEUTICALS, INC.Consolidated Statements of Operations(In thousands, except share and per share data) YEARS ENDED DECEMBER 31,     2016         2015         2014     Revenue (Note 9) $295 $184 $— Operating expenses: Research and development 41,694 43,971 29,453 General and administrative 18,349 19,240 15,648 Total operating expenses 60,043 63,211 45,101 Loss from operations (59,748) (63,027) (45,101) Other income (expense): Preferred stock warrant liability re-measurement — — (2,559) Loss on extinguishment of debt — — (143) Interest income 235 188 63 Interest expense — — (199) Total other income (expense) 235 188 (2,838) Net loss (59,513) (62,839) (47,939) Less: accretion and dividends on redeemable convertible preferred stock — — 204 Net loss attributable to common stockholders $(59,513) $(62,839) $(48,143) Net loss per share attributable to common stockholders—basic and diluted $(2.87) $(3.09) $(3.00) Weighted average shares outstanding—basic and diluted 20,719,761 20,320,628 16,070,054 The accompanying notes are an integral part of these consolidated financial statements. 94 Table of ContentsDICERNA PHARMACEUTICALS, INC.Consolidated Statements of Redeemable Convertible Preferred Stock and Stockholders’ Equity(In thousands, except share data and par value) SERIES A REDEEMABLE CONVERTIBLE PREFERRED STOCK $0.0001 PAR VALUE SERIES B REDEEMABLE CONVERTIBLE PREFERRED STOCK $0.0001 PAR VALUE SERIES C REDEEMABLE CONVERTIBLE PREFERRED STOCK $0.0001 PAR VALUE COMMON STOCK $0.0001 PAR VALUE ADDITIONALPAID-IN CAPITAL ACCUMULATEDDEFICIT TOTAL STOCKHOLDERS’EQUITY SHARES AMOUNT SHARES AMOUNT SHARES AMOUNT SHARES AMOUNT BALANCE—January 1, 2014 855,996 $21,400 1,162,021 $29,050 8,571,417 $59,796 38,226 $1 $16,545 $(85,465) $(68,919) Issuance of Common Stock from initial publicoffering, net of underwriting fees and issuancecosts of $10,751 — — — — — — 6,900,000 1 92,749 — 92,750 Net exercise of common stock warrant — — — — — — 12,702 — — — — Reclassification of warrants to purchase shares ofredeemable convertible preferred stock into awarrant to purchase common stock — — — — — — — — 3,088 — 3,088 Accretion of preferred stock issuance costs — — — — — 204 — — (204) — (204) Conversion of preferred stock to common stock (855,996) (21,400) (1,162,021) (29,050) (8,571,417) (60,000) 10,589,434 1 110,451 — 110,452 Vesting of restricted common stock — — — — — — 4,000 — — — — Stock-based compensation — — — — — — — — 8,237 — 8,237 Exercise of common stock options — — — — — — 239,853 — 824 — 824 Sale of common stock related to employee stockpurchase plan — — — — — — 2,652 — 51 — 51 Net loss — — — — — — — — — (47,939) (47,939) BALANCE—December 31, 2014 — — — — — — 17,786,867 3 231,741 (133,404) 98,340 Issuance of Common Stock from public offering, netof underwriting fees and issuance costs of $445 — — — — — — 2,750,000 — 45,438 — 45,438 Vesting of restricted common stock — — — — — — 6,388 — — — — Stock-based compensation — — — — — — — — 9,732 — 9,732 Exercise of common stock options — — — — — — 29,506 — 149 — 149 Settlement of restricted stock for tax withholding — — — — — — — (1) (75) — (76) Sale of common stock related to employee stockpurchase plan — — — — — — 21,814 — 278 — 278 Net loss — — — — — — — — — (62,839) (62,839) BALANCE—December 31, 2015 — — — — — — 20,594,575 2 287,263 (196,243) 91,022 Vesting of restricted common stock — — — — — — 6,226 — — — — Stock-based compensation — — — — — — — — 9,165 — 9,165 Exercise of common stock options — — — — — — 115,699 — 396 — 396 Settlement of restricted stock for tax withholding — — — — — — — — (27) — (27) Sale of common stock related to employee stockpurchase plan — — — — — — 36,501 — 165 — 165 Net loss — — — — — — — — — (59,513) (59,513) BALANCE—December 31, 2016 — $— — $— — $— 20,753,001 $2 $296,962 $(255,756) $41,208 The accompanying notes are an integral part of these consolidated financial statements. 95 Table of ContentsDICERNA PHARMACEUTICALS, INC.Consolidated Statements of Cash Flows(In thousands) YEARS ENDED DECEMBER 31,       2016             2015             2014       CASH FLOWS FROM OPERATING ACTIVITIES: Net loss $(59,513) $(62,839) $(47,939) Adjustments to reconcile net loss to net cash used in operating activities: Depreciation and amortization 840 727 848 Net amortization of premium/discount on investments 73 134 — Stock-based compensation (Note 8) 9,165 9,732 8,237 Loss on extinguishment of debt — — 143 Increase in fair value of preferred stock warrant — — 2,559 Changes in operating assets and liabilities: Prepaid expenses and other assets (414) (177) (1,171) Accounts payable 1,644 1,384 (97) Accrued expenses and other liabilities (542) 2,240 2,656 Net cash used in operating activities (48,747) (48,799) (34,764) CASH FLOWS FROM INVESTING ACTIVITIES: Changes in restricted cash equivalents — 264 (1,116) Purchases of property and equipment (449) (1,134) (2,013) Maturities of held-to-maturity investments 48,500 70,000 9,995 Purchases of held-to-maturity investments (35,031) (36,129) (82,627) Net cash provided by (used in) investing activities 13,020 33,001 (75,761) CASH FLOWS FROM FINANCING ACTIVITIES: Proceeds from stock option exercises and issuances under Employee Stock Purchase Plan 561 427 875 Proceeds from public offering of common stock, net of transaction costs (Note 8) — 45,438 94,148 Settlement of restricted stock for tax withholding (27) (76) — Repayments of long-term debt — — (5,026) Net cash provided by financing activities 534 45,789 89,997 (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS (35,193) 29,991 (20,528) CASH AND CASH EQUIVALENTS—Beginning of year 56,058 26,067 46,595 CASH AND CASH EQUIVALENTS—End of year $20,865 $56,058 $26,067 NONCASH INVESTING ACTIVITIES: Property and equipment purchases included in accrued expenses $53 $112 $— NONCASH FINANCING ACTIVITIES: Accretion of redeemable convertible preferred stock $— $— $204 SUPPLEMENTAL CASH FLOW INFORMATION: Warrant conversion to common stock $— $— $3,088 Cash paid for interest $— $— $194 The accompanying notes are an integral part of these consolidated financial statements. 96 Table of ContentsDICERNA PHARMACEUTICALS, INC.Notes to Consolidated Financial Statements(tabular amounts in thousands, except share and per share data and where otherwise noted)1. Description of Business and Basis of PresentationBusinessDicerna Pharmaceuticals, Inc. (the Company) is a biopharmaceutical company focused on the discovery and development of innovative subcutaneously deliveredribonucleic acid (RNA) interference (RNAi)-based pharmaceuticals using its GalXC TM RNAi platform for the treatment of diseases involving the liver, includingrare diseases, chronic liver diseases, cardiovascular diseases and viral infectious diseases.Basis of presentationThe accompanying consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States ofAmerica (GAAP) and include the accounts of the Dicerna Pharmaceuticals, Inc. and its wholly owned subsidiaries. All intercompany balances and transactionshave been eliminated in consolidation.Significant judgments and estimatesThe preparation of consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reportedamounts of assets and liabilities, and the disclosure of contingent assets and liabilities at the date of the consolidated financial statements, as well as the revenuesand expenses incurred during the reporting periods. On an ongoing basis, the Company evaluates judgments and estimates, including those related to accruedexpenses and stock-based compensation. The Company bases its estimates on historical experience and on various other factors that the Company believes arereasonable under the circumstances, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not apparentfrom other sources. Changes in estimates are reflected in reported results for the period in which they become known. Actual results could differ materially fromthose estimates.Liquidity riskThe Company’s ability to fund its planned preclinical and clinical operations, including completion of its clinical trials, will depend on its ability to raise capitalthrough a combination of public or private equity offerings, debt financings, and research collaborations and license agreements. If the Company is unable togenerate funding from one or more of these sources within a reasonable timeframe, it may have to delay, reduce or terminate its research and developmentprograms, preclinical or clinical trials or undergo reductions in its workforce or other corporate restructuring activities. Based on the Company’s current operatingplan, including the receipt of proceeds from the issuance of the Company’s Redeemable Convertible Preferred Stock (see Note 15), management believes thatavailable cash, cash equivalents and held-to-maturity investments will be sufficient to fund the Company’s planned level of operations for at least the 12-monthperiod following March 30, 2017, which is the date that the accompanying consolidated financial statements have been issued.2. Summary of Significant Accounting PoliciesCash and cash equivalentsCash and cash equivalents include all highly liquid investments, including money market funds, maturing within 90 days from the date of purchase. 97 Table of ContentsHeld-to-maturity investmentsThe Company determines the appropriate classification of investments at the time of purchase and re-evaluates such designation as of each balance sheet date. Debtsecurities carried at amortized cost are classified as held-to-maturity when the Company has the positive intent and ability to hold the securities to maturity. AtDecember 31, 2016 and 2015, all of the Company’s investments are classified as held-to-maturity.Restricted cash equivalentsAs of December 31, 2016 and 2015, restricted cash equivalents was comprised of a money market collateral account that is restricted and secures the Company’soutstanding letter of credit of $1.1 million for the operating lease for office and laboratory space. The letter of credit is required to be maintained throughout theterm of the Company’s lease which expires on December 1, 2020.Concentrations of credit riskFinancial instruments that subject the Company to significant concentrations of credit risk consist of cash and cash equivalents, restricted cash equivalents andheld-to-maturity investments. All of the Company’s cash and cash equivalents, restricted cash equivalents and held-to-maturity investments are invested in moneymarket funds or U.S. treasury securities that management believes to be of high credit quality. During 2016 and 2015, one counterparty accounted for all of theCompany’s revenue.Property and equipmentProperty and equipment are stated at cost. Major betterments are capitalized whereas expenditures for maintenance and repairs which do not improve or extend thelife of the respective assets are charged to operations as incurred. Depreciation is provided using the straight-line method over the estimated useful lives, as shownbelow. ASSET CATEGORY USEFUL LIVES Office and computer equipment 3-5 years Laboratory equipment 5 years Furniture and fixtures 5 years Leasehold improvements 5 years or the remaining term of lease, if shorter Impairment of long-lived assetsLong-lived assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of the asset may not be recoverable.When such events occur, the Company compares the carrying amounts of the assets to their undiscounted expected future cash flows. If this comparison indicatesthat there is an impairment, the amount of the impairment is calculated as the difference between the carrying value and fair value of the related asset. For the yearsended December 31, 2016, 2015 and 2014, no impairments have been recorded.Segment and geographic informationOperating segments are defined as components (business activity from which it earns revenue and incurs expenses) of an enterprise about which discrete financialinformation is available and regularly reviewed by the chief operating decision maker in deciding how to allocate resources and in assessing performance. TheCompany, through its Chief Executive Officer in his role as chief operating decision maker, views its operations and manages its business as one operatingsegment. All long-lived assets of the Company are located in the United States. 98 Table of ContentsResearch and development costsResearch and development costs consist of expenses incurred in performing research and development activities, including compensation and benefits for full-timeresearch and development employees, an allocation of facility expenses, overhead expenses and other outside expenses. Research and development costs areexpensed as incurred. Research and development costs that are paid in advance of performance are deferred as a prepaid expense and amortized over the serviceperiod as the services are provided.Stock-based compensationThe Company accounts for stock options granted as share-based awards at fair value, which is measured using the Black-Scholes option pricing model. The fairvalue measurement date for employee awards is the date of grant. The fair value measurement date for nonemployee awards is generally the date the performanceof services is completed. Share-based compensation costs are recognized as expense over the requisite service period, which is generally the vesting period, on astraight-line basis for all time-vested awards.For performance-based stock awards, compensation costs are recorded when the Company determines that the achievement of such performance conditions isdeemed probable. This determination requires significant judgment by management. At the probable date, the Company records a cumulative expense catch-up,with the remaining compensation cost being amortized over the remaining vesting period.The Company accounts for restricted stock awards granted to employees at fair value, which is measured based upon the quoted closing market price per share ofthe Company’s common stock on the date of grant, adjusted for assumed forfeitures. The compensation costs are recognized over the vesting period, commencingwhen the Company determines that it is probable that the awards will vest.Share-based awards to non-employees are re-measured at each reporting date and compensation costs are recognized as services are rendered, generally on astraight-line basis. The Company believes that the fair value of these awards is more reliably measurable than the fair value of the services rendered.Income taxesThe Company records deferred tax assets and liabilities for the expected future tax consequences of temporary differences between the Company’s financialstatement carrying amounts and the tax basis of assets and liabilities using enacted tax rates expected to be in effect in the years in which the differences areexpected to reverse. A valuation allowance is provided to reduce the net deferred tax assets to the amount that will more likely than not be realized.The Company also assesses the probability that the positions taken or expected to be taken in its income tax returns will be sustained by taxing authorities. A “morelikely than not” (more than 50 percent) recognition threshold must be met before a tax benefit can be recognized. Tax positions that are more likely than not to besustained are reflected in the Company’s consolidated financial statements. Tax positions are measured as the largest amount of tax benefit that is greater than50 percent likely of being realized upon settlement with a taxing authority that has full knowledge of all relevant information. The difference between the benefitrecognized for a position and the tax benefit claimed on a tax return is referred to as an unrecognized tax benefit. Potential interest and penalties associated withsuch uncertain tax positions are recorded as a component of income tax expense.Net loss per common shareThe Company computes basic net loss per common share by dividing net loss attributable to common stockholders by the weighted average number of commonshares outstanding. During periods where the Company earns net income, the Company allocates participating securities a proportional share of net income 99 Table of Contentsdetermined by dividing total weighted average participating securities by the sum of the total weighted average common shares and participating securities (the“two-class method”). The Company’s preferred stock and vested restricted stock participate in any dividends declared by the Company and are thereforeconsidered to be participating securities. Participating securities have the effect of diluting both basic and diluted earnings per share during periods of income.During periods where the Company incurred net loss, the Company allocates no loss to participating securities because they have no contractual obligation to sharein the losses of the Company. The Company computes diluted net loss per common share after giving consideration to the dilutive effect of stock options, warrantsand unvested restricted stock that are outstanding during the period, except where such non-participating securities would be anti-dilutive.Comprehensive lossThe Company has no comprehensive loss items other than net loss.Guarantees and indemnificationsThe Company is not a guarantor under any agreements.The Company leases office space under an operating lease. The Company has standard indemnification arrangements under these leases that require the Companyto indemnify the landlord against losses, liabilities, and claims incurred in connection with the premises covered by the Company’s lease, the Company’s use of thepremises, property damage or personal injury, and breach of the agreement.Through December 31, 2016, the Company had not experienced any losses related to this indemnification obligation and no claims with respect thereto wereoutstanding. The Company does not expect material claims related to this indemnification obligation, and consequently, concluded that the fair value of thisobligation is negligible and no related liabilities were established.The Company has indemnified, under pre-determined conditions and limitations, a counterparty for infringement of third-party intellectual property rights by theCompany. The Company does not believe, based on information available, that it is probable that any material amounts will be paid under these indemnificationprovisions.As permitted under Delaware law, the Company indemnifies its officers, directors, and employees for certain events or occurrences while the officer or director is,or was, serving at the Company’s request in such capacity. The term of the indemnification is for the officer’s or director’s lifetime.Recent Accounting PronouncementsAdopted in 2016Going concernIn August 2014, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update (ASU) No. 2014-15, Disclosure of Uncertainties about anEntity’s Ability to Continue as a Going Concern (ASU 2014-15), which provides guidelines for determining when and how to disclose going concern uncertaintiesin the financial statements. ASU 2014-15 requires management to perform interim and annual assessments of an entity’s ability to continue as a going concernwithin one year of the date the financial statements are issued. An entity must provide certain disclosures if conditions or events raise substantial doubt about theentity’s ability to continue as a going concern. ASU 2014-15 is effective for the Company for annual periods ending after December 15, 2016, and interim periodsthereafter. Adoption of this guidance did not have a significant impact on the Company’s consolidated financial statements. 100 Table of ContentsNot yet adoptedRevenue recognitionIn May 2014, the FASB issued ASU No. 2014-09, Revenue from Contracts with Customers (Topic 606), which amends the guidance for accounting for revenuefrom contracts with customers, superseding the revenue recognition requirements in Accounting Standards Codification Topic 605, Revenue Recognition , andcreates a new Topic 606, Revenue from Contracts with Customers (Topic 606). Topic 606 is effective for annual reporting periods beginning after December 15,2017, with early adoption permitted, but not before the original public organization effective date (i.e. for annual periods beginning after December 15, 2016). PerTopic 606, two adoption methods are allowed: retrospectively to all prior reporting periods presented, with certain practical expedients permitted, or retrospectivelywith the cumulative effect of initially adopting Topic 606 recognized at the date of initial application. The Company has not yet determined which adoption methodwill be utilized or the effect that adoption of Topic 606 may have on the Company’s consolidated financial statements.Income taxesIn October 2016, the FASB issued ASU No. 2016-16, Accounting for Income Taxes: Intra-Entity Asset Transfers of Assets Other than Inventory (ASU 2016-16),which is part of the FASB’s simplification initiative aimed at reducing complexity in accounting standards. ASU 2016-16 eliminates the current exception that thetax effects of intra-entity asset transfers (intercompany sales) be deferred until the transferred asset is sold to a third party or otherwise recovered through use.Instead, the new guidance will require a reporting entity to recognize any tax expense from the sale of the asset in the seller’s tax jurisdiction when the transferoccurs, even though the pre-tax effects of that transaction are eliminated in consolidation. Any deferred tax asset that arises in the buyer’s jurisdiction would also berecognized at the time of the transfer. ASU 2016-16 will be effective for public business entities in fiscal years beginning after December 15, 2017, includinginterim periods within those years. Management is currently evaluating the potential impact that this guidance may have on the Company’s consolidated financialstatements.LeasesIn February 2016, the FASB issued ASU No. 2016-02, Leases (Topic 842) (ASU 2016-02), which amends the existing accounting standards for lease accounting,including requiring lessees to recognize most leases on their balance sheets and making targeted changes to lessor accounting. ASU 2016-02 will be effectivebeginning in the first quarter of 2019, with early adoption permitted. ASU 2016-02 requires a modified retrospective transition approach for all leases existing at, orentered into after, the date of initial application, with an option to use certain transition relief. Management is currently evaluating the impact of adopting ASU2016-02 on the Company’s consolidated financial statements.Stock-based compensationIn March 2016, the FASB issued ASU No. 2016-09, Compensation—Stock Compensation (Topic 718): Improvements to Employee Share-Based PaymentAccounting (ASU 2016-09), which involves several aspects of the accounting for share-based payment transactions, including the income tax consequences,classification of awards as either equity or liabilities and classification in the statement of cash flows. ASU 2016-09 will be effective for the Company onJanuary 1, 2017, and management is currently evaluating the potential impact that this guidance may have on the Company’s consolidated financial statements.Statement of cash flowsIn August 2016, the FASB issued ASU No. 2016-15, Statement of Cash Flows (Topic 230) (ASU 2016-15), a consensus of the FASB’s Emerging Issues TaskForce (EITF). ASU 2016-15 is intended to reduce diversity in practice in how certain transactions are classified in the statement of cash flows and requirescompanies, among 101 Table of Contentsother matters, to use reasonable judgment to separate cash flows. Specifically, in the absence of specific guidance, ASU 2016-15 prescribes that an entity shouldclassify each separately identifiable cash source and use on the basis of the nature of the underlying cash flows. ASU 2016-15 is effective for fiscal years beginningafter December 15, 2017, and interim periods within those fiscal years. Management is currently evaluating the potential impact that this guidance may have on theCompany’s consolidated financial statements.In November 2016, the FASB issued ASU No. 2016-18, Statement of Cash Flows (Topic 230): Restricted Cash (ASU 2016-18), a consensus of the FASB’s EITF.ASU 2016-18 requires that the statement of cash flows explain the change during the period in the total of cash, cash equivalents and amounts generally describedas restricted cash or restricted cash equivalents. Entities will also be required to reconcile such total to amounts on the balance sheet and disclose the nature of therestrictions. ASU 2016-18 is effective for financial statements issued for fiscal years beginning after December 15, 2017, and interim periods within those fiscalyears. Management is currently evaluating the potential impact that this guidance may have on the Company’s consolidated financial statements.3. Net Loss Per Share Attributable to Common StockholdersThe following potentially dilutive securities outstanding during the period, prior to the use of the treasury stock method or if-converted method, have been excludedfrom the computation of diluted weighted-average common shares outstanding, because such securities had an anti-dilutive impact since the Company has a netloss attributable to common stockholders: AS OF DECEMBER 31, 2016 2015 2014 Options to purchase common stock 5,099,449 4,297,300 2,764,144 Warrants to purchase common stock 87,901 87,901 80,722 Warrants to purchase redeemable convertible preferred stock — — 12,763 Redeemable convertible preferred stock — — 1,015,426 Unvested restricted stock 20,000 68,656 92,932 4. Held-to-Maturity InvestmentsThe Company invests its excess cash balances in short-term and long-term fixed-income investments. The Company determines the appropriate classification ofinvestments at the time of purchase and re-evaluates such designation as of each balance sheet date. Debt securities carried at amortized cost are classified asheld-to-maturity when the Company has the positive intent and ability to hold the securities to maturity.The following tables provide information relating to held-to-maturity investments: AMORTIZEDCOST GROSS UNREALIZEDGAINS GROSS UNREALIZEDLOSSES FAIR VALUE As of December 31, 2016: Held-to-maturity investments U.S. treasury securities $25,009 $— $(5) $25,004 AMORTIZEDCOST GROSS UNREALIZEDGAINS GROSS UNREALIZEDLOSSES FAIR VALUE As of December 31, 2015: Held-to-maturity investments U.S. treasury securities $38,551 $— $(47) $38,504 102 Table of ContentsThe amortized cost and fair value of held-to-maturity investments by contractual maturities as of December 31, 2016, are as follows: HELD-TO-MATURITY AMORTIZEDCOST FAIR VALUE Maturing in one year or less $25,009 $25,004 Total $25,009 $25,004 5. Prepaid Expenses and Other Current AssetsPrepaid expenses and other current assets consists of the following: AS OF DECEMBER 31,     2016         2015     Prepaid clinical, contract research and manufacturing costs $1,028 $649 Prepaid insurance 352 390 Unbilled grant receivable 295 — Interest receivable and other current assets 277 493 Prepaid expenses and other current assets $1,952 $1,532 6. Property and Equipment, NetProperty and equipment, net, consists of the following: AS OF DECEMBER 31,     2016         2015     Laboratory equipment $4,390 $4,161 Office and computer equipment 864 705 Furniture and fixtures 479 477 Leasehold improvements 257 257 Property and equipment—at cost 5,990 5,600 Less accumulated depreciation (3,756) (2,916) Property and equipment—net $2,234 $2,684 Depreciation expense for the years ended December 31, 2016, 2015 and 2014 was $0.8 million, $0.7 million and $0.7 million, respectively.7. Accrued Expenses and Other Current LiabilitiesAccrued expenses and other current liabilities consist of the following: AS OF DECEMBER 31,     2016         2015 Accrued clinical, contract research and manufacturing costs $2,313 $2,820 Accrued compensation and related benefits 2,113 2,092 Accrued professional fees 867 965 Accrued other expenses 433 503 Accrued expenses and other current liabilities $5,726 $6,380 103 Table of Contents8. Common Stock and Stock Option PlanCommon stockIn May 2015, the Company completed the sale of 2,750,000 shares of common stock in a public offering of its common stock at a price to the public of $17.75 pershare, resulting in proceeds to the Company of $45.4 million, after deducting underwriting discounts and commissions of approximately $2.9 million and otheroffering costs of approximately $0.4 million.In February 2014, the Company completed the sale of 6,900,000 shares of common stock in an initial public offering of its common stock at a price to the public of$15.00 per share, resulting in net proceeds to the Company of $92.7 million after deducting underwriting discounts and commissions of approximately $7.2 millionand other offering expenses paid by the Company of approximately $3.5 million.Stock option planOn January 14, 2014, the Board of Directors adopted the 2014 Performance Incentive Plan (2014 Plan). The 2014 Plan authorizes the issuances of up to1,900,000 shares of the Company’s common stock, with an additional 4% of the total outstanding common shares becoming available at each year endingDecember 31. In June 2015, the 2014 plan was amended to increase the replenishment percentage from 4% to 5% of outstanding common shares annually and toallow the reissuance thereunder of awards and grants that expire or are canceled, terminated, forfeited or fail to vest under previous Board-approved stock plans, asamended. The stock options for new hires generally vest 25% after 12 months, followed by ratable vesting over 36 months and expire 10 years from the grant date.During 2014 and 2015, the Company awarded 470,272 and 450,700 stock options, respectively, as grants as an inducement material to individuals entering intoemployment with the Company (Inducement Grants). The Inducement Grants were approved by the Compensation Committee of the Company’s Board ofDirectors and were awarded in accordance with NASDAQ Listing Rule 5635(c)(4) and outside of the 2014 Plan. As such, any shares underlying the InducementGrants are not, upon forfeiture, cancellation or expiration, included in the pool of shares reserved for future issuance.The fair value of each stock option award is estimated on the date of grant using the Black-Scholes option-pricing model that uses the assumptions noted in thetable below. Expected volatility for the Company’s common stock was determined based on an average of the historical volatility of a peer group of similarcompanies due to limited historical volatility of the Company’s own common stock. The Company also has limited stock option exercise information, and as such,the expected term of stock options granted was calculated using the simplified method, which represents the average of the contractual term of the stock option andthe weighted-average vesting period of the stock option. The assumed dividend yield is based upon the Company’s expectation of not paying dividends in theforeseeable future. The risk-free rate for periods within the expected life of the stock option is based upon the U.S. Treasury yield curve in effect at the time ofgrant.The assumptions used in the Black-Scholes option-pricing model for stock options granted, including Inducement Grants (where applicable), during the yearsended December 31, 2016, 2015 and 2014 are as follows: YEARS ENDED DECEMBER 31, 2016 2015 2014 Expected option term (in years) 5.5 – 6.3 5.5 – 6.3 5.5 – 6.3 Expected volatility 71% – 79% 67% – 71% 64% – 65% Risk-free interest rate 1.2% – 2.0% 1.5% – 1.9% 1.7% – 2.0% Expected dividend yield 0.0% 0.0% 0.0% 104 Table of ContentsThe weighted-average grant date fair value of stock options granted during the years ended December 31, 2016, 2015 and 2014 was $4.60, $9.67, and $9.62 pershare, respectively. As of December 31, 2016, there was $13.6 million of unrecognized compensation cost related to unvested employee stock options which areexpected to be recognized over a weighted-average period of approximately 2 years. The intrinsic value of stock options exercised was $0.2 million, $0.4 millionand $3.2 for the years ended December 31, 2016, 2015 and 2014, respectively. Cash received from stock option exercises for the year ended December 31, 2016was $0.4 million.A summary of stock option activity for employee and non-employee awards under the 2014 Plan, as amended, as well as activity related to the Inducement Grants,is presented below: NUMBER OF OPTIONS WEIGHTED- AVERAGE PRICE PER SHARE WEIGHTED- AVERAGE REMAINING CONTRACTUAL TERM (YEARS) OUTSTANDING—January 1, 2016 4,399,425 $12.24 8.1 Granted 1,538,775 7.08 Exercised (115,699) 3.42 Forfeited/Canceled (723,052) 12.80 OUTSTANDING—December 31, 2016 5,099,449 10.80 7.9 EXERCISABLE—December 31, 2016 2,811,975 11.57 7.4 Vested and expected to vest as of December 31, 2016 5,001,694 $10.85 7.9 Under the 2014 Plan, as amended, the Company has reserved 284,620 shares of common stock for future issuance as of December 31, 2016.2016 Inducement PlanOn March 4, 2016, the Board of Directors adopted a plan pursuant to which the Company may grant options to purchase common shares as an inducement toindividuals to join the Company (2016 Inducement Plan). The 2016 Inducement Plan allows the Company to deliver up to 250,000 shares (Share Limit) of itscommon stock to eligible persons, as defined. The Share Limit is subject to adjustment as contemplated by the provisions of the 2014 Plan. No grants were awardedpursuant to the 2016 Inducement Plan during the year ended December 31, 2016.Restricted common stockDuring 2014, the Company issued a total of 44,000 shares of the Company’s restricted common stock, of which 4,000 shares were fully vested at the grant date andthe remaining shares were scheduled to vest in equal tranches over a four-year period on the anniversary date of the related grant. The fair value of these shareswere $0.7 million at the grant date.A summary of the Company’s restricted common stock is presented below: SHARES WEIGHTED- AVERAGE GRANT DATEFAIR VALUE PER SHARE Nonvested—December 31, 2015 30,000 $16.30 Vested (10,000) 16.30 Nonvested—December 31, 2016 20,000 $16.30 105 Table of ContentsRestricted common stock outstanding as of December 31, 2016 is expected to vest as follows: 10,000 shares in January 2017 and 10,000 shares in January 2018.As of December 31, 2016 and 2015 the unrecognized compensation cost related to restricted common stock was $0.2 million and $0.4 million, respectively. Thetotal fair value of restricted stock awards that vested during the years ended December 31, 2016, 2015 and 2014 (measured on the date of vesting) was $0.1 million,$0.2 million and $0.1 million, respectively.Stock-based compensation expense is classified in the Company’s consolidated statements of operations as follows: YEARS ENDED DECEMBER 31,    2016       2015       2014    Research and development expenses $4,467 $4,202 $4,183 General and administrative expenses 4,698 5,530 4,054 Total $9,165 $9,732 $8,237 The following table summarizes information about common stock warrants outstanding at December 31, 2016: EXERCISEPRICE NUMBER OF WARRANTS REMAININGLIFE (YEARS) $250.00 2,198 3.46 $7.00 85,703 1.48 87,901 There was no activity recorded with respect to common stock warrants during the year ended December 31, 2016.9. RevenueNational Institutes of Health (NIH) Grants —In April 2015, the National Cancer Institute (NCI), a division of the NIH, awarded the Company a grant related tocancer treatment research. The project period for this grant covered a six-month period, with total funds available of approximately $0.2 million. In August 2016,the NCI awarded an additional $2.0 million for a second phase of the aforementioned grant, covering the period September 1, 2016 to February 28, 2018. Of thisamount, $1.0 million is committed funding and the additional funding commitment is expected in the third quarter of 2017, subject to NCI approval and availabilityof funds. The Company recognized $0.3 million and $0.2 million of revenue associated with the NIH grant awards for the years ended December 31, 2016 and2015, respectively.Collaboration and License Agreement —In December 2009, the Company entered into a research collaboration and license agreement with Kyowa HakkoKirin Co., Ltd. (KHK) for the research, development and commercialization of drug delivery systems and DsiRNA pharmaceuticals for therapeutic targetsprimarily in oncology (the KHK Agreement). The Company granted KHK an exclusive, worldwide, royalty-bearing and sub-licensable license to the DsiRNA anddrug delivery technologies and intellectual property for certain selected DsiRNA-based compounds. Under the agreement, KHK is responsible for activities todevelop, manufacture and commercialize the selected DsiRNA-based compounds and pharmaceutical products containing such compounds.The Company is entitled to receive up to $110.0 million in regulatory, clinical and commercialization milestone payments, and royalties on net sales of eachproduct candidate under the KHK agreement. Since contract inception, the Company has received payments totaling $17.5 million. The Company has notrecognized any revenue in connection with the KHK Agreement during the years ended December 31, 2016, 2015 or 2014. 106 Table of Contents10. Fair Value MeasurementsFair value is an exit price, representing the amount that would be received from the sale of an asset or paid to transfer a liability in an orderly transaction betweenmarket participants. As such, fair value is a market-based measurement that should be determined based on assumptions that market participants would use inpricing an asset or liability. Valuation techniques used to measure fair value are performed in a manner to maximize the use of observable inputs and minimize theuse of unobservable inputs. As a basis for considering such assumption the accounting literature establishes a three-tier value hierarchy which prioritizes the inputsused in measuring fair value as follows: (Level 1) observable inputs, such as quoted prices in active markets; (Level 2) inputs other than the quoted prices in activemarkets that are observable either directly or indirectly; and (Level 3) unobservable inputs for which there is little or no market data, which requires the Companyto develop its own assumptions.A summary of the Company’s assets that are measured or disclosed at fair value on a recurring basis as of December 31, 2016 and 2015 are presented below: DESCRIPTION AS OF DECEMBER 31,2016 LEVEL 1 LEVEL 2 LEVEL 3 Cash equivalents Money market fund $12,853 $12,853 $— $— Held-to-maturity investments U.S. treasury securities 25,004 — 25,004 — Restricted cash equivalents Money market fund 1,116 — 1,116 — Total $38,973 $12,853 $26,120 $— DESCRIPTION AS OF DECEMBER 31,2015 LEVEL 1 LEVEL 2 LEVEL 3 Cash equivalents Money market fund $45,557 $45,557 $— $— Held-to-maturity investments U.S. treasury securities 38,504 — 38,504 — Restricted cash equivalents Money market fund 1,116 — 1,116 — Total $85,177 $45,557 $39,620 $— The carrying amount of the Company’s cash equivalents, which primarily consist of money market accounts, approximates fair value due to the ability toimmediately convert these instruments into cash with minimal expected change in value. Cash equivalents are classified within Level 1 of the fair value hierarchy,because they are valued using quoted prices as of December 31, 2016 and 2015.The Company’s restricted cash equivalents bore interest at the prevailing market rates for instruments with similar characteristics, and, accordingly, the carryingvalue of these instruments also approximated their fair value. These financial instruments were classified within Level 2 of the fair value hierarchy, because theinputs to the fair value measurement are valued using observable inputs as of December 31, 2016 and 2015.The Company’s held-to-maturity investments bore interest at the prevailing market rates for instruments with similar characteristics. The financial instruments wereclassified within Level 2 of the fair value hierarchy, because the inputs to the fair value measurement are valued using observable inputs as of December 31, 2016and 2015.For the years ended December 31, 2016 and 2015, there were no transfers between Level 1 and Level 2. 107 Table of Contents11. Income TaxesThe Company has no current and no deferred income tax expense for the years ended December 31, 2016 and 2015, respectively. The Company did not record afederal income tax provision or benefit for the years ended December 31, 2016 and 2015.The reconciliation between income taxes computed at the federal statutory income tax rate and the provision for (benefit from) income taxes is as follows: YEARS ENDED DECEMBER 31,     2016         2015         2014     Federal statutory rate 34.0% 34.0% 34.0% Effect of: Impact of foreign rate differential (31.4) (12.6) — Change in valuation allowance — (24.4) (32.0) Research and development tax credit (0.7) 0.9 0.8 Stock-based compensation (0.9) (0.9) (2.6) Other (1.0) 3.0 (0.2) Total 0.0% 0.0% 0.0% The components of the Company’s deferred tax assets are as follows: AS OF DECEMBER 31, 2016 2015 Deferred tax assets: Net operating loss carryforwards $36,727 $37,017 Capitalized research and development costs 1,044 2,431 Research and development credit carryforwards 2,982 3,510 Stock compensation 7,298 5,369 Depreciation and other costs (77) (74) Net deferred tax assets 47,974 48,253 Valuation allowance (47,974) (48,253) Net deferred tax assets $— $— Management has evaluated the positive and negative evidence bearing upon the realizability of the Company’s net deferred tax assets and has determined that it ismore likely than not that the Company will not recognize the benefits of the net deferred tax assets. As a result, the Company has recorded a full valuationallowance at December 31, 2016 and 2015. As of December 31, 2016, the Company had approximately $89.7 million of federal and $77.9 million of state netoperating loss carryforwards, and $2.4 million of federal and $1.6 million of Massachusetts tax credits that expire starting in 2028 and 2023, respectively.Realization of the future tax benefits is dependent on many factors, including the Company’s ability to generate taxable income within the net operating losscarryforward period. Under the provisions of the Internal Revenue Code, certain substantial changes in the Company’s ownership, including a sale of the Companyor significant changes in ownership due to sales of equity, may have limited, or may limit in the future, the amount of net operating loss carryforwards, which couldbe used annually to offset future taxable income.As of December 31, 2016, the Company had $1.2 million of unrecognized tax benefits, of which $1.2 million would affect income tax expense if recognized,before consideration of the Company’s valuation allowance. The Company does not expect the unrecognized tax benefits to change significantly over the next 12months. The 108 Table of ContentsCompany recognizes both interest and penalties associated with uncertain tax positions as a component of income tax expense. As of December 31, 2016 and 2015,the Company had no accrued penalties or provisions for interest.A reconciliation of the gross unrecognized tax benefit is as follows: YEARS ENDED DECEMBER 31,     2016         2015     Unrecognized tax benefits at the beginning of the period $1,430 $1,216 Additions for current tax positions — 421 Changes for previous tax positions (220) (207) Unrecognized tax benefits at the end of the period $1,210 $1,430 The Company files income tax returns in the United States and in the Commonwealth of Massachusetts. The tax years 2007 through 2015 remain open toexamination by these jurisdictions, as carryforward attributes generated in past years may be adjusted in a future period. The Company is not currently underexamination by the Internal Revenue Service or any other jurisdiction for these years. The Company has not recorded any interest or penalties for unrecognized taxbenefits since its inception.12. Commitments and ContingenciesFacility leaseOn July 11, 2014, the Company executed a non-cancelable operating lease for office and laboratory space in Cambridge, Massachusetts. The lease agreement, theterm of which commenced on December 1, 2014, obligates the Company to make minimum payments totaling $9.5 million over a six-year lease term. Rentexpense is recorded on a straight-line basis. As part of the lease agreement, the Company established a $1.1 million letter of credit, secured by a restricted moneymarket account, the balance of which is presented as restricted cash equivalents at December 31, 2016 and 2015.Rent expense was $1.6 million, $1.7 million and $0.7 million for the years ended December 31, 2016, 2015 and 2014, respectively.Future minimum lease payments payable are as follows: PERIOD ENDING DECEMBER 31, OPERATINGLEASES 2017 $1,582 2018 1,629 2019 1,678 2020 1,581 Total $6,470 City of Hope license agreementIn September 2007, the Company entered into a license agreement with City of Hope, an independent academic research and medical center (COH). Inconsideration for the right to develop, manufacture, and commercialize products based on certain of COH’s intellectual property, the Company paid a one-time,non-refundable license fee and issued shares of common stock as consideration for the license.The Company is required to pay an annual license maintenance fee, reimburse COH for patent costs incurred, pay an amount within the range of $5.0 million to$10.0 million upon the achievement of certain milestones, and 109 Table of Contentspay royalties on any future sales. There were no sublicense or other fees accrued at December 31, 2016, and 2015. The license agreement will remain in effect untilthe expiration of the last patents or copyrights licensed under the agreement or until all obligations under the agreement with respect to payment of milestones haveterminated or expired. The Company may terminate the license agreement at any time upon 90 days written notice to COH. Since September 2007, the Companyhas made total payments of $5.0 million pursuant to its agreement with COH. The Company recorded research and development expense related to this agreementof $0.1 million, $0.1 million and $0.1 million during the years ended December 31, 2016, 2015 and 2014, respectively.Plant Bioscience Limited license agreementIn September 2013, the Company entered into a commercial license agreement with Plant Bioscience Limited (PBL), pursuant to which PBL granted to theCompany a license to certain of PBL’s U.S. patents and patent applications to research, discover, develop, manufacture, sell, import and export, productsincorporating one or more short RNA molecules (SRMs).Upon signing, the Company paid PBL a one-time, non-refundable fee and agreed to pay PBL a nomination fee for any additional SRMs nominated by theCompany pursuant to the terms of the related agreement. The Company is further obligated to pay PBL milestone payments upon achievement of certain clinicaland regulatory milestones. During 2014, the Company paid $0.1 million to PBL based on meeting a clinical milestone. In addition, PBL is entitled to receiveroyalties of any net sales revenue of any licensed product candidates sold by the Company. Since September 2013, the Company has made total payments of$0.2 million pursuant to its agreement with PBL. Research and development expense related to this agreement was zero, zero and $0.1 million during the yearsended December 31, 2016, 2015 and 2014, respectively.Carnegie Institution of Washington license agreementIn January 2009, the Company entered into a license agreement with the Carnegie Institution of Washington (Carnegie), pursuant to which Carnegie granted to theCompany a worldwide, non-exclusive license under certain of Carnegie’s patents and patent applications relating to genetic inhibition by double-stranded RNAmolecules for internal research, screening and development of product candidates for human and non-human diagnostic and therapeutic uses. The Company paidCarnegie a one-time upfront fee and agreed to pay an annual license fee during the term of the agreement. The Company is further obligated to make two additionalpayments of $0.1 million each upon achievement of the filing with the U.S. Food and Drug Administration of a New Drug Application for a licensed productcandidate and the first commercial sale of a licensed product candidate or licensed method. Carnegie is entitled to receive royalties on any net sales revenue fromlicensed product candidates sold by the Company, with the royalty rate to be further negotiated between Carnegie and the Company in good faith reflectingcustomary rates in the industry.The agreement with Carnegie will terminate with respect to each licensed product candidate upon the last to expire of any valid claim within the licensed patentrights. Either party may terminate the agreement upon any uncured material breach by the other party. The Company may terminate the agreement at any time forany reason upon written notice to Carnegie. Any patents associated with this license will expire in 2018, removing any obligations. Since January 2009, theCompany has made total payments of $0.3 million pursuant to its agreement with Carnegie. The Company recorded research and development expense related tothis agreement of $0.03 million during each of the years ended December 31, 2016, 2015 and 2014.13. LitigationOn June 10, 2015, Alnylam Pharmaceuticals, Inc. (Alnylam) filed a complaint against the Company in the Superior Court of Middlesex County, Massachusetts.The complaint alleges misappropriation of confidential, proprietary, and trade secret information, as well as other related claims, in connection with the Company’s 110 Table of Contentshiring of a number of former employees of Merck and its discussions with Merck regarding the acquisition of its subsidiary, Sirna Therapeutics, Inc., which wassubsequently acquired by Alnylam. The complaint seeks among other things, unspecified damages, attorneys’ fees, and an order permanently enjoining theCompany from disclosing or using any of Alnylam’s confidential information or trade secrets.The Company believes that these allegations lack merit, has filed an answer denying all liability and intends to continue to vigorously defend all claims asserted. Atthis time, the Company has not recorded a liability in connection with these matters because it believes that any potential loss is neither probable nor reasonablyestimable.From time to time, the Company may be subject to various claims and legal proceedings. If the potential loss from any claim, asserted or unasserted, or legalproceeding is considered probable and the amount is reasonably estimable, the Company will accrue a liability for the estimated loss. There were no litigationliabilities outstanding as of December 31, 2016 and 2015.14. Quarterly Financial Data (Unaudited) FIRST QUARTER SECOND QUARTER THIRD QUARTER FOURTH QUARTER TOTAL YEAR 2016 Revenue $— $— $162 $133 $295 Net loss (15,693) (15,622) (14,176) (14,022) (59,513) Net loss attributable to common stockholders (15,693) (15,622) (14,176) (14,022) (59,513) Net loss per share attributable to common stockholders—basicand diluted $(0.76) $(0.75) $(0.68) $(0.68) $(2.87) FIRST QUARTER SECOND QUARTER THIRD QUARTER FOURTH QUARTER TOTAL YEAR 2015 Revenue $— $184 $— $— $184 Net loss (14,084) (16,176) (16,944) (15,635) (62,839) Net loss attributable to common stockholders (14,084) (16,176) (16,944) (15,635) (62,839) Net loss per share attributable to common stockholders—basicand diluted $(0.79) $(0.86) $(0.82) $(0.76) $(3.09) Net loss per share attributable to common stockholders is based on each reporting period’s weighted average number of shares outstanding, which may differ on aquarter-to-quarter basis. As such, the sum of the quarterly net loss per share attributable to common stockholders amounts may not equal year-to-date net loss pershare.15. Subsequent eventOn March 30, 2017, the Company entered into a redeemable convertible preferred stock purchase agreement (SPA) with seven institutional investors (Investors),led by funds advised by Bain Capital Life Sciences L.P. (Lead Investor), pursuant to which the Company agreed to issue and sell in a private placement 700,000shares of its newly designated Redeemable Convertible Preferred Stock, par value $0.0001 per share (Redeemable Convertible Preferred), at a purchase price of$100.00 per share, for total gross proceeds of $70.0 million (Private Placement). Other participants in the financing include EcoR1 Capital, Cormorant AssetManagement, RA Capital, Domain Associates and Skyline Ventures, among others. The Private Placement is expected to close on or before April 11, 2017, subjectto the satisfaction of customary closing conditions.The Company plans to file a Certificate of Designation of Redeemable Convertible Preferred Stock (Certificate of Designation) with the Secretary of State of theState of Delaware establishing that each share of Redeemable Convertible Preferred will have a stated value of $100.00 (Stated Value). Pursuant to the Certificateof 111 Table of ContentsDesignation, the Company shall have the right to require the Investors to convert the Redeemable Convertible Preferred into common stock (MandatoryConversion), at any time following the earlier of (i) the second anniversary of the closing of the Private Placement or (ii) the occurrence of both of the following:(a) (1) the time that the Company first administers, after the issue date, a dose of a pharmaceutical product candidate (which such product candidate shall be one ofthe following candidates, or a variation thereof: DCR-PHXC, DCR-PCSK9 or the undisclosed rare disease program currently in pre-clinical development (each, aProduct Candidate)) to a human being pursuant to an IND filed by us with the FDA; or (2) after the Company has first administered, after the issue date, a dose of aProduct Candidate to a human being pursuant to a clinical trial authorization with the Medicine and Healthcare Products Regulatory Agency in the European Unionand an IND relating to such Product Candidate has become effective; and (b) the Company enters into a partnership or license agreement with a major company inthe pharmaceutical or biotechnology industry relating to a non-Product Candidate, pursuant to which such company provides the Company with an up-front cashpayment of a minimum amount agreed upon by the Company and the Lead Investor and agrees to customary future milestone and royalty payments, provided, that,in each case ((i) and (ii)), the trading price of the Company’s common stock exceeds 200% of the Conversion Price, as defined below, for 45 out of the 60 mostrecent trading days. The Company’s ability to require conversion shall be subject to (i) a 19.99% blocker provision to comply with NASDAQ Listing Rules(19.99% Conversion Blocker), (ii) if so elected by an investor, a 9.99% blocker provision (9.99% Conversion Blocker) that will prohibit beneficial ownership ofmore than 9.99% of the outstanding shares of the Company’s common stock or voting power at any time, and (iii) applicable regulatory restrictions. The 19.99%Conversion Blocker and the 9.99% Conversion Blocker are hereinafter referred to as the “Conversion Blockers”. “Conversion Price” shall mean an initial price of$3.19 per share, subject to proportionate adjustment for any stock split, stock dividend, combination or other similar recapitalization event.Following the date of a Mandatory Conversion, any shares of Redeemable Convertible Preferred that are not converted as a result of the Conversion Blockers orapplicable regulatory restrictions shall continue to be entitled to all of the rights of the holders of Redeemable Convertible Preferred except that they will no longerbe entitled to cumulative dividends, priority distribution of assets upon consummation of a change of control or a liquidation event and certain special votingprovisions.On or at any time following the seventh anniversary of the closing of the Private Placement, (i) the Company shall also have the right to redeem the RedeemableConvertible Preferred for a cash consideration equal to the sum of the Accrued Value, as of the date of redemption, plus an amount equal to all accrued or declaredand unpaid dividends on the Redeemable Convertible Preferred that have not previously been added to the Accrued Value, and (ii) the holders of a majority of theRedeemable Convertible Preferred shall also have the right to cause the Company to redeem the Redeemable Convertible Preferred at the same price. “AccruedValue” means, with respect to each share of Redeemable Convertible Preferred, the sum of (i) the Stated Value plus (ii) on each quarterly dividend date, anadditional amount equal to the dollar value of any dividends on a share of Redeemable Convertible Preferred which have accrued on any dividend payment dateand have not previously been added to such Accrued Value.At any time and from time to time at their election, the holders of Redeemable Convertible Preferred will have the option to convert the Redeemable ConvertiblePreferred into shares of the Company’s common stock by dividing (i) the sum of the Accrued Value plus an amount equal to all accrued or declared and unpaiddividends on the Redeemable Convertible Preferred that have not previously been added to the Accrued Value by (ii) the Conversion Price in effect at the time ofsuch conversion. The conversion of shares of Redeemable Convertible Preferred into shares of common stock is subject to the Conversion Blockers.In the event of the Company’s liquidation, dissolution or winding up, the holder of each share of Redeemable Convertible Preferred will be entitled to receive, inpreference to the holders of the common stock and any junior preferred stock, an amount per share equal to the greater of (i) the sum of the Accrued Value plus anamount equal to all accrued or declared and unpaid dividends on the Redeemable Convertible Preferred that have not previously been added to the Accrued Value,or (ii) the amount that such shares would have been entitled to receive if they had converted into common stock immediately prior to such liquidation, dissolutionor winding up. 112 Table of ContentsUpon consummation of a specified change of control transaction, each holder of Redeemable Convertible Preferred will be entitled to receive in preference to theholders of common stock and any junior preferred stock, an amount equal to the greater of (i) 101% of the sum of the Accrued Value plus an amount equal to allaccrued or declared and unpaid dividends on the Redeemable Convertible Preferred that have not previously been added to the Accrued Value, or (ii) the amountthat such shares would have been entitled to receive if they had converted into common stock immediately prior to such event.In addition, for so long as any shares of Redeemable Convertible Preferred remain outstanding, without the approval of holders of a majority of the RedeemableConvertible Preferred, the Company may not, among other things, (i) amend, modify or fail to give effect to any right of holders of the Redeemable ConvertiblePreferred, (ii) change the authorized number of Redeemable Convertible Preferred or issue additional Redeemable Convertible Preferred or create a new class orseries of equity securities or securities convertible into equity securities with equal or superior rights, preferences or privileges to those of the RedeemableConvertible Preferred in terms of liquidation preference, dividend rights or certain governance rights, (iii) issue shares of common stock or securities convertibleinto common stock while the Company has insufficient shares to effect the conversion of the Redeemable Convertible Preferred into common stock, (iv) declare orpay dividends or redeem or repurchase any capital stock (other than certain repurchases from employees, directors, advisors or consultants upon termination ofservice) or (v) incur certain indebtedness in excess of $10 million. Except as set forth above or as otherwise required by law, holders of shares of RedeemableConvertible Preferred are entitled to vote together with shares of common stock (based on one vote per share of common stock into which the shares ofRedeemable Convertible Preferred are convertible on the applicable record date) on any matter on which the holders of common stock are entitled to vote.Upon the effectiveness of the Certificate of Designation, each holder of Redeemable Convertible Preferred will be entitled to receive cumulative dividends on theAccrued Value of each share of Redeemable Convertible Preferred at an initial rate of 12% per annum, compounded quarterly and subject to two rate reductions, of4% each, upon the occurrence of certain agreed-upon milestone events. Dividends on the Redeemable Convertible Preferred are payable in kind and will accrue onthe Accrued Value of each share of Redeemable Convertible Preferred until the earlier of conversion, redemption, consummation of a change of control, aliquidation event, or upon failure to mandatorily convert due to the Conversion Blockers or applicable regulatory restrictions.In accordance with the terms of the SPA, on March 28, 2017, the Company’s board of directors voted to increase the size of the board from eight directors to ninedirectors and appointed Adam M. Koppel, M.D., Ph.D., a managing director of the Lead Investor, as a director of the Company, effective immediately following,and contingent upon, the closing of the Private Placement, to fill the resulting vacancy. To the extent such director is not reelected at any time and, so long as theLead Investor owns at least 25% of the Redeemable Convertible Preferred (or underlying common stock) owned by it at the closing of the Private Placement, itshall have the right to designate a board observer.The Company also expects to enter into an amended and restated registration rights agreement, by and among the Company and the Investors (Registration RightsAgreement). Pursuant to the Registration Rights Agreement, the Investors will be entitled to certain demand, shelf and “piggyback” registration rights with respectto the shares of common stock issuable upon conversion of the Redeemable Convertible Preferred, subject to the limitations set forth in the Registration RightsAgreement.The shares of Redeemable Convertible Preferred and the shares of common stock issuable upon conversion of the Redeemable Convertible Preferred are expectedto be offered and sold by the Company pursuant to an exemption from the registration requirements of the Securities Act provided by Section 4(a)(2) thereunder.****** 113 Table of ContentsItem 9.Changes in and Disagreements with Accountants on Accounting and Financial DisclosureNone. Item 9A.Controls and ProceduresDisclosure Controls and ProceduresWe maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in our periodic and current reports thatwe file under the Securities Exchange Act of 1934, as amended (Exchange Act), with the SEC is recorded, processed, summarized and reported within the timeperiods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our management, including our chief executiveofficer and principal financial officer, as appropriate, to allow timely decisions regarding required disclosure.As of the end of the period covered by this Annual Report on Form 10-K, we carried out an evaluation, under the supervision and with the participation ofour management, including the chief executive officer and the chief financial officer, of the effectiveness of the design and operation of our disclosure controls andprocedures pursuant to Exchange Act Rule 13a-15. Based upon, and as of the date of, this evaluation, the chief executive officer and the chief financial officerconcluded that our disclosure controls and procedures were effective. Accordingly, management believes that the financial statements included in this report fairlypresent in all material respects our financial condition, results of operations and cash flows for the periods presented.Management’s Annual Report on Internal Control over Financial ReportingOur management is responsible for establishing and maintaining adequate internal control over financial reporting (as defined in Rules 13a-15(f) and15d-15(f) of the Exchange Act). Under the supervision and with the participation of our management, including our Chief Executive Officer and Chief FinancialOfficer, we conducted an evaluation of the effectiveness of our internal control over financial reporting as of December 31, 2016 based on the guidelinesestablished in Internal Control—Integrated Framework 2013 issued by the Committee of Sponsoring Organizations of the Treadway Commission. Our internalcontrol over financial reporting includes policies and procedures that provide reasonable assurance regarding the reliability of financial reporting and thepreparation of financial statements for external reporting purposes in accordance with U.S. generally accepted accounting principles.Based on that evaluation, management concluded that our internal control over financial reporting was effective as of December 31, 2016.Attestation Report of the Registered Public Accounting FirmThis Annual Report on Form 10-K does not include an attestation report of our independent registered public accounting firm as we are an “emerging growthcompany” as of December 31, 2016, as defined in the Jumpstart Our Business Startups Act of 2012.Changes in Internal Control Over Financial ReportingWe continuously seek to improve the efficiency and effectiveness of our internal controls. This results in refinements to processes throughout the Company.There was no change in our internal control over financial reporting during the quarter ended December 31, 2016, which was identified in connection with ourmanagement’s evaluation required by Exchange Act Rules 13a-15(f) and 15d-15(f) that has materially affected, or is reasonably likely to materially affect, ourinternal control over financial reporting. 114 Table of ContentsInherent Limitations on the Effectiveness of ControlsOur management, including the chief executive officer and chief financial officer, does not expect that our disclosure controls and procedures or our internalcontrol over financial reporting will prevent all error and all fraud. A control system, no matter how well conceived and operated, can provide only reasonable, notabsolute, assurance that the objectives of the control system are met. Because of the inherent limitations in all control systems, no evaluation of controls canprovide absolute assurance that all control issues and instances of fraud, if any, within the company have been detected. These inherent limitations include therealities that judgments in decision making can be faulty and that breakdowns can occur because of simple error or mistake. Additionally, controls can becircumvented by the individual acts of some persons, by collusion of two or more people or by management override of the control. The design of any system ofcontrols also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achievingits stated goals under all potential future conditions. Over time, controls may become inadequate because of changes in conditions, or the degree of compliancewith the policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud mayoccur and not be detected. Item 9B.Other InformationNone. 115 Table of ContentsPART III Item 10.Directors, Executive Officers and Corporate GovernanceThe information required by this item and not set forth below will be set forth in the definitive proxy statement for our 2017 Annual Meeting of Stockholdersto be filed with the SEC pursuant to Regulation 14A (Proxy Statement) not later than 120 days after the end of the fiscal year covered by this Annual Report onForm 10-K, and is incorporated herein by reference.Information regarding our audit committee financial expert will be set forth in the Proxy Statement and is incorporated herein by reference.We have adopted a Code of Business Conduct and Ethics applicable to all employees, including the principal executive officer, principal financial officerand principal accounting officer or controller, or persons performing similar functions. The Code of Business Conduct and Ethics is posted on our website atwww.dicerna.com . Amendments to, and waivers from, the Code of Business Conduct and Ethics that apply to any of these officers, or persons performing similarfunctions, and that relate to any element of the code of ethics definition enumerated in Item 406(b) of Regulation S-K will be disclosed at the website addressprovided above and, to the extent required by applicable regulations, on a current report on Form 8-K. Item 11.Executive CompensationThe information required by this item will be set forth in the Proxy Statement and is incorporated herein by reference. Item 12.Security Ownership of Certain Beneficial Owners and Management and Related Stockholder MattersThe information required by this item will be set forth in the Proxy Statement and is incorporated herein by reference. Item 13.Certain Relationships and Related Transactions and Director IndependenceThe information required by this item will be set forth in the Proxy Statement and is incorporated herein by reference. Item 14.Principal Accountant Fees and ServicesThe information required by this item will be set forth in the Proxy Statement and is incorporated herein by reference. 116 Table of ContentsPART IV Item 15.Exhibits and Financial Statement Schedules (1)Consolidated Financial Statements:The following consolidated financial statements are filed as part of this Annual Report on Form 10-K under Item 8 “Financial Statements and SupplementaryData.” Page Report of Independent Registered Public Accounting Firm 92 Consolidated Balance Sheets 93 Consolidated Statements of Operations 94 Consolidated Statements of Redeemable Convertible Preferred Stock and Stockholders’ Equity 95 Consolidated Statements of Cash Flows 96 Notes to Consolidated Financial Statements 97 (2)Financial Statement Schedules: None (3)Exhibits.Except as so indicated in Exhibit 32.1, the following exhibits are filed as part of, or incorporated by reference into, this Annual Report on Form 10-K. Exhibit Number Description ofDocuments 3.1(1) Amended and Restated Certificate of Incorporation of the Company. 3.2(1) Amended and Restated Bylaws of the Company. 4.1(2) Specimen Common Stock Certificate. 4.2(3) Form of Warrant to Purchase Common Stock. 4.3(3) Form of Warrant to Purchase Preferred Stock. 4.4(3) Amended and Restated Registration Rights Agreement dated as of July 30, 2013, by and among the Company and the investors named therein. 10.1(3) 2007 Employee, Director and Consultant Stock Plan, as amended (the 2007 Plan).++ 10.2(3) Form of Restricted Stock Agreement under the 2007 Plan.++ 10.3(3) Form of Incentive Stock Option Agreement under the 2007 Plan.++ 10.4(3) Form of Non-Qualified Stock Option Agreement under the 2007 Plan.++ 10.5(3) 2010 Employee, Director and Consultant Equity Incentive Plan, as amended (the 2010 Plan).++ 10.6(3) Form of Stock Option Grant Notice and Stock Option Agreement under the 2010 Plan.++ 10.7(3) Form of Restricted Stock Agreement under the 2010 Plan.++ 10.8(2) 2014 Employee Stock Purchase Plan.++ 10.9(2) Form of Indemnification Agreement by and between the Company and each of its directors.++ 10.10(3) Letter agreement dated as of June 2, 2009, by and between the Company and David M. Madden.++ 10.11(3) Letter agreement dated as of February 28, 2011, by and between the Company and Dennis H. Langer M.D., J.D.++ 117 Table of Contents 10.12(3) Transition Agreement dated as of September 8, 2009, as amended by Amendment to Transition Agreement dated as of February 1, 2010 andSecond Amendment to the Transition Agreement dated as of July 29, 2013, by and between the Company and James C. Jenson, Ph.D.++ 10.13(4) Research Collaboration and License Agreement dated as of December 21, 2009, as amended by Amendment No. 1 to Research Collaborationand License Agreement dated as of December 2, 2010, by and between the Company and Kyowa Hakko Kirin Co., Ltd.† 10.14(2) Exclusive License Agreement dated as of September 28, 2007, by and between the Company and City of Hope.† 10.15(2) Commercial License Agreement dated as of September 2, 2013, by and between the Company and Plant Bioscience Limited.† 10.16(5) Lease agreement dated as of July 11, 2014, by and between the Company and King 87 CPD LLC 10.17(6) Letter Agreement dated as of September 12, 2014, by and between the Company and Bruce Peacock.++ 10.18(6) Employment Agreement dated as of November 22, 2014, by and between the Company and Theodore Ashburn, M.D., Ph.D.++ 10.19(7) Underwriting Agreement dated as of May 20, 2015 by and between the Company, Jeffries LLC and Leerink Partners LLC. 10.20(8) Amended and Restated 2014 Performance Incentive Plan.++ 10.21(9) Form of Incentive Stock Option Agreement under the Amended and Restated 2014 Performance Incentive Plan.++ 10.22(9) Form of Non-Qualified Stock Option Agreement under the Amended and Restated 2014 Performance Incentive Plan.++ 10.23(9) Separation Agreement dated as of December 15, 2015 by and between the Company and James E. Dentzer.++ 10.24(9) Offer Letter dated as of January 14, 2016 by and between the Company and John “Jack” Green.++ 10.25(10) Dicerna Pharmaceuticals, Inc. 2016 Inducement Plan.++ 10.26(10) Form of Dicerna Pharmaceuticals, Inc. Non-Qualified Inducement Stock Option Agreement.++ 10.27(10) Form of Non-Plan Inducement Stock Option Agreement.++ 10.28(11) Amended and Restated Employment Agreement dated as of July 8, 2016 by and between the Company and Douglas M. Fambrough, III++ 10.29(11) Amended and Restated Employment Agreement dated as of July 8, 2016 by and between the Company and Bob. D. Brown++ 10.30(11) Amended and Restated Employment Agreement dated as of July 6, 2016 by and between the Company and James B. Weissman++ 10.31(11) Amended and Restated Employment Agreement dated as of November 4, 2016 by and between the Company and John B. Green++ 21.1(6) Subsidiaries of the Company. 23.1(12) Consent of Independent Registered Accounting Firm. 24 Power of Attorney (reference is made to the signature page). 31.1(12) Certification of the Company’s principal executive officer required by Rule 13a-14(a) or Rule 15d-14(a). 118 Table of Contents 31.2(12) Certification of the Company’s principal financial officer required by Rule 13a-14(a) or Rule 15d-14(a). 32.1* Section 1350 Certifications.101.INS(12) XBRL Report Instance Document101.SCH(12) XBRL Taxonomy Extension Schema Document101.CAL(12) XBRL Taxonomy Calculation Linkbase Document101.LAB(12) XBRL Taxonomy Label Linkbase Document101.PRE(12) XBRL Taxonomy Presentation Linkbase Document101.DEF(12) XBRL Taxonomy Extension Definition Linkbase Document †Confidential treatment with respect to specific portions of this Exhibit has been requested, and such portions are omitted and have been filed separately withthe Securities and Exchange Commission.++Management contract or compensatory plan or arrangement.*Exhibit 32.1 is being furnished and shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended(Exchange Act), or otherwise subject to the liability of that section, nor shall such exhibit be deemed to be incorporated by reference in any registrationstatement or other document filed under the Securities Act of 1933, as amended, or the Exchange Act, except as otherwise stated in such filing.(1)Incorporated by reference to the indicated exhibit in the Company’s Current Report on Form 8-K filed on February 5, 2014.(2)Incorporated by reference to the indicated exhibit in the Company’s Amendment No. 3 to Registration Statement on Form S-1 (No. 333-193150) filed onJanuary 28, 2014.(3)Incorporated by reference to the indicated exhibit in the Company’s Registration Statement on Form S-1 (No. 333-193150) filed on December 31, 2013.(4)Incorporated by reference to the indicated exhibit in the Company’s Amendment No. 5 to Registration Statement on Form S-1 (No. 333-193150) filed onJanuary 29, 2014.(5)Incorporated by reference to the indicated exhibit in the Company’s Registrant’s Quarterly Report on Form 10-Q filed on November 6, 2014 (FileNo. 001-36281) for the quarterly period ended September 30, 2014.(6)Incorporated by reference to the indicated exhibit in the Company’s Annual Report on Form 10-K filed on March 12, 2015 (File No. 001-36281) for theannual period ended December 31, 2014.(7)Incorporated by reference to the indicated exhibit in the Company’s Current Report on Form 8-K filed on May 22, 2015.(8)Incorporated by reference to the indicated exhibit in the Company’s Current Report on Form 8-K filed on July 7, 2015.(9)Incorporated by reference to the indicated exhibit in the Company’s Annual Report on Form 10-K filed on March 10, 2016 (File No. 001-36281) for theannual period ended December 31, 2015.(10)Incorporated by reference to the indicated exhibit in the Company’s Registration Statement on Form S-8 filed on March 10, 2016.(11)Incorporated by reference to the indicated exhibit in the Company’s Registrant’s Quarterly Report on Form 10-Q filed on November 7, 2016 (FileNo. 001-36281) for the quarterly period ended September 30, 2016.(12)Filed herewith. Item 16.Form 10-K SummaryNone. 119 Table of ContentsSIGNATURESPursuant to the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto dulyauthorized, in Cambridge, Commonwealth of Massachusetts on March 30, 2017. By: /s/ Douglas M. Fambrough, III Douglas M. Fambrough, III, Ph.D.Chief Executive Officer and Director (PrincipalExecutive Officer) By: /s/ John B. Green John B. GreenChief Financial Officer (PrincipalFinancial Officer and Principal AccountingOfficer) 120 Table of ContentsPOWER OF ATTORNEYKNOW ALL PERSON BY THESE PRESENTS, that each person whose signature appears below constitutes and appoints Douglas M. Fambrough, III,Ph.D. and John B. Green and each of them, as his true and lawful attorneys-in-fact and agents, with full power of substitution and resubstitution, for him and in hisname, place and stead, in any and all capacities, to sign any and all amendments to this Annual Report on Form 10-K and to file the same, with all exhibits theretoand other documents in connection therewith, with the Securities and Exchange Commission, granting unto said attorneys-in-fact and agents and each of them, fullpower and authority to do and perform each and every act and thing requisite and necessary to be done in connection therewith, as fully to all intents and purposesas he might or could do in person, hereby ratify and confirming all that said attorneys-in-fact and agents, or any of them, or their or his substitute or substitutes,may lawfully do or cause to be done by virtue hereof.Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, this report has been signed by the following persons in the capacities andon the dates indicated: Signature Title Date/s/ Douglas M. Fambrough, IIIDouglas M. Fambrough, III, Ph.D. Chief Executive Officer and Director(Principal Executive Officer) March 30, 2017/s/ John B. GreenJohn B. Green Chief Financial Officer(Principal Financial Officer andPrincipal Accounting Officer) March 30, 2017/s/ David M. MaddenDavid M. Madden Chairman March 30, 2017/s/ Martin FreedMartin Freed, M.D. Director March 30, 2017/s/ Brian K. HalakBrian K. Halak, Ph.D. Director March 30, 2017/s/ Stephen J. HoffmanStephen J. Hoffman, M.D., Ph.D. Director March 30, 2017/s/ Peter KolchinskyPeter Kolchinsky, Ph.D. Director March 30, 2017/s/ Dennis H. LangerDennis H. Langer, M.D., J.D. Director March 30, 2017/s/ Bruce PeacockBruce Peacock Director March 30, 2017 121 Table of ContentsExcept as so indicated in Exhibit 32.1, the following exhibits are filed as part of, or incorporated by reference into, this Annual Report on Form 10-K. ExhibitNumber Description ofDocuments 3.1(1) Amended and Restated Certificate of Incorporation of the Company. 3.2(1) Amended and Restated Bylaws of the Company. 4.1(2) Specimen Common Stock Certificate. 4.2(3) Form of Warrant to Purchase Common Stock. 4.3(3) Form of Warrant to Purchase Preferred Stock. 4.4(3) Amended and Restated Registration Rights Agreement dated as of July 30, 2013, by and among the Company and the investors named therein. 10.1(3) 2007 Employee, Director and Consultant Stock Plan, as amended (the 2007 Plan).++ 10.2(3) Form of Restricted Stock Agreement under the 2007 Plan.++ 10.3(3) Form of Incentive Stock Option Agreement under the 2007 Plan.++ 10.4(3) Form of Non-Qualified Stock Option Agreement under the 2007 Plan.++ 10.5(3) 2010 Employee, Director and Consultant Equity Incentive Plan, as amended (the 2010 Plan).++ 10.6(3) Form of Stock Option Grant Notice and Stock Option Agreement under the 2010 Plan.++ 10.7(3) Form of Restricted Stock Agreement under the 2010 Plan.++ 10.8(2) 2014 Employee Stock Purchase Plan.++ 10.9(2) Form of Indemnification Agreement by and between the Company and each of its directors.++ 10.10(3) Letter agreement dated as of June 2, 2009, by and between the Company and David M. Madden.++ 10.11(3) Letter agreement dated as of February 28, 2011, by and between the Company and Dennis H. Langer M.D., J.D.++ 10.12(3) Transition Agreement dated as of September 8, 2009, as amended by Amendment to Transition Agreement dated as of February 1, 2010 andSecond Amendment to the Transition Agreement dated as of July 29, 2013, by and between the Company and James C. Jenson, Ph.D.++ 10.13(4) Research Collaboration and License Agreement dated as of December 21, 2009, as amended by Amendment No. 1 to Research Collaborationand License Agreement dated as of December 2, 2010, by and between the Company and Kyowa Hakko Kirin Co., Ltd.† 10.14(2) Exclusive License Agreement dated as of September 28, 2007, by and between the Company and City of Hope.† 10.15(2) Commercial License Agreement dated as of September 2, 2013, by and between the Company and Plant Bioscience Limited.† 10.16(5) Lease agreement dated as of July 11, 2014, by and between the Company and King 87 CPD LLC 10.17(6) Letter Agreement dated as of September 12, 2014, by and between the Company and Bruce Peacock.++ 10.18(6) Employment Agreement dated as of November 22, 2014, by and between the Company and Theodore Ashburn, M.D., Ph.D.++ 122 Table of Contents 10.19(7) Underwriting Agreement dated as of May 20, 2015 by and between the Company, Jeffries LLC and Leerink Partners LLC. 10.20(8) Amended and Restated 2014 Performance Incentive Plan.++ 10.21(9) Form of Incentive Stock Option Agreement under the Amended and Restated 2014 Performance Incentive Plan.++ 10.22(9) Form of Non-Qualified Stock Option Agreement under the Amended and Restated 2014 Performance Incentive Plan.++ 10.23(9) Separation Agreement dated as of December 15, 2015 by and between the Company and James E. Dentzer.++ 10.24(9) Offer Letter dated as of January 14, 2016 by and between the Company and John “Jack” Green.++ 10.25(10) Dicerna Pharmaceuticals, Inc. 2016 Inducement Plan.++ 10.26(10) Form of Dicerna Pharmaceuticals, Inc. Non-Qualified Inducement Stock Option Agreement.++ 10.27(10) Form of Non-Plan Inducement Stock Option Agreement.++ 10.28(11) Amended and Restated Employment Agreement dated as of July 8, 2016 by and between the Company and Douglas M. Fambrough, III++ 10.29(11) Amended and Restated Employment Agreement dated as of July 8, 2016 by and between the Company and Bob. D. Brown++ 10.30(11) Amended and Restated Employment Agreement dated as of July 6, 2016 by and between the Company and James B. Weissman++ 10.31(11) Amended and Restated Employment Agreement dated as of November 4, 2016 by and between the Company and John B. Green++ 21.1(6) Subsidiaries of the Company. 23.1(12) Consent of Independent Registered Accounting Firm. 24 Power of Attorney (reference is made to the signature page). 31.1(12) Certification of the Company’s principal executive officer required by Rule 13a-14(a) or Rule 15d-14(a). 31.2(12) Certification of the Company’s principal financial officer required by Rule 13a-14(a) or Rule 15d-14(a). 32.1* Section 1350 Certifications.101.INS(12) XBRL Report Instance Document101.SCH(12) XBRL Taxonomy Extension Schema Document101.CAL(12) XBRL Taxonomy Calculation Linkbase Document101.LAB(12) XBRL Taxonomy Label Linkbase Document101.PRE(12) XBRL Taxonomy Presentation Linkbase Document101.DEF(12) XBRL Taxonomy Extension Definition Linkbase Document †Confidential treatment with respect to specific portions of this Exhibit has been requested, and such portions are omitted and have been filed separately withthe Securities and Exchange Commission. 123 Table of Contents++Management contract or compensatory plan or arrangement.*Exhibit 32.1 is being furnished and shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended(Exchange Act), or otherwise subject to the liability of that section, nor shall such exhibit be deemed to be incorporated by reference in any registrationstatement or other document filed under the Securities Act of 1933, as amended, or the Exchange Act, except as otherwise stated in such filing.(1)Incorporated by reference to the indicated exhibit in the Company’s Current Report on Form 8-K filed on February 5, 2014.(2)Incorporated by reference to the indicated exhibit in the Company’s Amendment No. 3 to Registration Statement on Form S-1 (No. 333-193150) filed onJanuary 28, 2014.(3)Incorporated by reference to the indicated exhibit in the Company’s Registration Statement on Form S-1 (No. 333-193150) filed on December 31, 2013.(4)Incorporated by reference to the indicated exhibit in the Company’s Amendment No. 5 to Registration Statement on Form S-1 (No. 333-193150) filed onJanuary 29, 2014.(5)Incorporated by reference to the indicated exhibit in the Company’s Registrant’s Quarterly Report on Form 10-Q filed on November 6, 2014 (FileNo. 001-36281) for the quarterly period ended September 30, 2014.(6)Incorporated by reference to the indicated exhibit in the Company’s Annual Report on Form 10-K filed on March 12, 2015 (File No. 001-36281) for theannual period ended December 31, 2014.(7)Incorporated by reference to the indicated exhibit in the Company’s Current Report on Form 8-K filed on May 22, 2015.(8)Incorporated by reference to the indicated exhibit in the Company’s Current Report on Form 8-K filed on July 7, 2015.(9)Incorporated by reference to the indicated exhibit in the Company’s Annual Report on Form 10-K filed on March 10, 2016 (File No. 001-36281) for theannual period ended December 31, 2015.(10)Incorporated by reference to the indicated exhibit in the Company’s Registration Statement on Form S-8 filed on March 10, 2016.(11)Incorporated by reference to the indicated exhibit in the Company’s Registrant’s Quarterly Report on Form 10-Q filed on November 7, 2016 (FileNo. 001-36281) for the quarterly period ended September 30, 2016.(12)Filed herewith. 124 Exhibit 23.1CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRMWe consent to the incorporation by reference in Registration Statement Nos. 333-202687 and 333-214082 on Form S-3 and in Registration Statement Nos. 333-193795 and 333-210071 on Form S-8 of our report dated March 30, 2017, relating to the consolidated financial statements of Dicerna Pharmaceuticals, Inc. and itssubsidiaries appearing in this Annual Report on Form 10-K of Dicerna Pharmaceuticals, Inc. for the year ended December 31, 2016./s/ Deloitte & Touche LLPBoston, MassachusettsMarch 30, 2017 Exhibit 31.1CERTIFICATIONSI, Douglas M. Fambrough, III, Ph.D., certify that:1. I have reviewed this Annual Report on Form 10-K of Dicerna Pharmaceuticals, Inc. for the year ended December 31, 2016;2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make thestatements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;3. Based on my knowledge, the financial statements and other financial information included in this report, fairly present in all material respects the financialcondition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in ExchangeAct Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant andhave:a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure thatmaterial information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during theperiod in which this report is being prepared;b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, toprovide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance withgenerally accepted accounting principles;c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of thedisclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; andd) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscalquarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’sinternal control over financial reporting; and5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to theregistrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely toadversely affect the registrant’s ability to record, process, summarize and report financial information; andb) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control overfinancial reporting.Date: March 30, 2017 /s/ Douglas M. Fambrough, III, Ph.D.Douglas M. Fambrough, III, Ph.D.Chief Executive Officer and Director Exhibit 31.2CERTIFICATIONSI, John B. Green, CPA, certify that:1. I have reviewed this Annual Report on Form 10-K of Dicerna Pharmaceuticals, Inc. for the year ended December 31, 2016;2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make thestatements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;3. Based on my knowledge, the financial statements and other financial information included in this report, fairly present in all material respects the financialcondition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in ExchangeAct Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant andhave:a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure thatmaterial information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during theperiod in which this report is being prepared;b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, toprovide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance withgenerally accepted accounting principles;c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of thedisclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; andd) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscalquarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’sinternal control over financial reporting; and5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to theregistrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely toadversely affect the registrant’s ability to record, process, summarize and report financial information; andb) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control overfinancial reporting.Date: March 30, 2017 /s/ John B. Green, CPAJohn B. Green, CPAChief Financial Officer Exhibit 32.1SECTION 1350 CERTIFICATIONS*Pursuant to the requirement set forth in Rule 13a-14(b) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and Section 1350 ofChapter 63 of Title 18 of the United States Code (18 U.S.C. § 1350), Douglas M. Fambrough, III, Ph.D., Chief Executive Officer and Director of DicernaPharmaceuticals, Inc. (the “Company”), and John B. Green, Chief Financial Officer of the Company, each hereby certifies that, to the best of his knowledge:1. The Company’s Annual Report on Form 10-K, for the year ended December 31, 2016, to which this Certification is attached as Exhibit 32.1 (the “AnnualReport”), fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and2. The information contained in the Annual Report fairly presents, in all material respects, the financial condition and results of operations of the Companyfor the period covered by the Annual Report.Dated: March 30, 2017 /s/ Douglas M. Fambrough, III, Ph.D. /s/ John B. Green, CPADouglas M. Fambrough, III, Ph.D. John B. Green, CPAChief Executive Officer and Director Chief Financial Officer *This certification accompanies the Annual Report on Form 10-K, to which it relates, is not deemed filed with the Securities and Exchange Commission and isnot to be incorporated by reference into any filing of the Company under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, asamended (whether made before or after the date of the Form 10-K), irrespective of any general incorporation language contained in such filing.

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