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Incyte

incy · NASDAQ Healthcare
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Ticker incy
Exchange NASDAQ
Sector Healthcare
Industry Biotechnology
Employees 501-1000
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FY2008 Annual Report · Incyte
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Incyte Corporation 
Experimental Station  
Rt. 141 & Henry Clay Road 
Building E336 
Wilmington, DE  19880 
302.498.6700 

Tel 
Web  www.incyte.com 

Dear Shareholder: 

The past year was extremely difficult with respect to the capital markets.  Incyte’s valuation 
was no exception.  Despite this, we advanced our key programs and prioritized in a clear 
manner those which we believe we can afford to develop.  As such, our focus in 2009 will 
be to initiate pivotal trials in myelofibrosis with our lead product candidate, the JAK1/2 
inhibitor, INCB18424, while continuing clinical development of this compound in the other 
myeloproliferative disorders, polycythemia vera and essential thrombocythemia.  We also 
intend to continue development of the topical formulation of INCB18424 in psoriasis and 
take a second JAK1/2 inhibitor, INCB28050, into a dose-ranging Phase II trial in rheumatoid 
arthritis.  A Phase IIb trial in type 2 diabetes with our 11beta-HSD1 inhibitor, INCB13739, 
will complete this summer while the Phase II program in breast cancer patients for our 
sheddase inhibitor, INCB7839, continues.  

Although we ended 2008 with enough cash to advance our lead drug candidates, an 
important objective in 2009 is to secure additional funds through the establishment of 
partnerships for a number of programs.  We are receiving serious interest in them from 
other pharmaceutical companies and I am optimistic that partnerships represent a realistic 
source of capital.   

I am also confident our focus on programs that can create the greatest near-term value and 
on partnering certain of them is prudent and should expedite our transition from a pure 
discovery company to one that can successfully develop and commercialize important new 
medicines.      

Summary of 2008 Achievements  

JAK inhibitors are a new class of drugs we believe will be useful in treating a variety of 
cancers and chronic inflammatory conditions. Our most advanced JAK1/2 inhibitor, 
INCB18424, is being developed as a treatment for myeloproliferative disorders (MPDs), a 
closely related group of hematological malignancies that include myelofibrosis (MF), 
polycythemia vera (PV) and essential thrombocythemia (ET).  MPDs represent a highly 
concentrated market with significant unmet medical needs which we believe we can 
effectively reach on our own in the U.S. and possibly Europe.  With pivotal Phase III trials in  

 
 
 
 
 
 
 
 
 
MF expected to begin this year, and the possibility for an expedited review and approval 
process, this program represents our nearest-term commercial opportunity.  

Key Accomplishments in the Myeloproliferative 
Disorders Program  

(cid:131) 

Submitted a special protocol assessment to secure 
agreement to begin pivotal Phase III trials in the         
first half of 2009  

(cid:131)  Orphan status granted in the U.S. and Europe for 

MF, including primary MF, post PV-MF and post 
ET-MF  

(cid:131) 

(cid:131) 

Presented positive Phase II results at several 
scientific meetings demonstrating that INCB18424 
treatment results in rapid and durable clinical 
benefits in MF patients 

Initiated an open-label multiple-dose Phase II trial 
to determine the safety and efficacy of INCB18424 
in patients with advanced PV and ET, which could 
expand our market opportunity in MPDs   

Myeloproliferative disorders affect 
approximately 200,000 people in the 
United States and a larger number in 
Europe.  These disorders tend to be 
treated by hematologists and oncologists 
who could be efficiently reached through 
our own sales and marketing efforts.  We 
have already established strong 
relationships with many key opinion 
leaders in these specialties and have 
conducted initial market research among 
them confirming the clinical and 
commercial potential of INCB18424 in this 
disease area.   

A topical formulation of INCB18424 achieved positive clinical results in our early Phase IIa 
trials involving 42 mild to moderate psoriasis patients.  A Phase IIb three-month dose-
ranging trial involving over 200 patients should complete this summer and the results will be 
used to determine the future development and partnering goals for topical INCB18424.  

INCB28050, our lead oral JAK inhibitor compound for systemic inflammatory indications, 
has completed single- and multiple-dose Phase I studies in healthy volunteers.  In a 28-day 
Phase I drug-interaction study in patients with rheumatoid arthritis, INCB28050 was safe 
and well-tolerated and showed impressive efficacy.  We expect to begin the Phase II 
development program in May of this year.  INCB28050 has therapeutic potential in multiple 
indications including rheumatoid arthritis as well as other types of inflammatory arthritis, 
inflammatory bowel disease such as Crohn’s disease, dry eye and another ocular 
inflammatory disease, anterior uveitis.  Because of these multiple opportunities, and 
because of our objective to remain competitive by advancing these indications in parallel as 
opposed to in series, we are seeking to partner this program.  Based on the clinical results 
seen with INCB28050 and other JAK inhibitors in development, it is clear that these oral 
compounds have the potential to be equally efficacious if not superior to the highly effective 
anti-TNF biologics.        

Our 11beta-HSD1 inhibitor, INCB13739, which is being developed for type 2 diabetes, 
achieved positive Phase IIa trial results in 2008.   As I mentioned above, the double-blinded, 
placebo-controlled, dose-ranging, three-month Phase IIb clinical trial is now completely 
enrolled with results expected this summer.  As has been our objective since we began this 
program, if these results are positive, we intend to secure a partner for INCB13739.   

Our sheddase inhibitor, INCB7839, which is being developed for breast cancer is in an 
ongoing Phase II trial in combination with Herceptin®.  We have seen encouraging early 
results in a well-defined subset of breast cancer patients and similar results in additional 
patients would define a clear and potentially rapid path forward for regulatory approval.     

In 2008, we filed investigational new drug applications (INDs) for two new oncology 
programs involving, respectively, oral inhibitors of c-MET and indoleamine 2, 3-
dioxygenase.  Both INDs have been cleared by the FDA.  We intend to initiate clinical trials 
for these compounds once we secure additional funding from one or more corporate 
partners.  

We have several other programs that we believe warrant further development, including our 
CCR2 inhibitor for multiple sclerosis, our CCR5 inhibitors for HIV and our HM74 agonist for 
type 2 diabetes.  These are now outside our core focus in oncology and inflammation and 
we are looking to out-license these programs.  

Last year’s appointment of Pat Andrews as Incyte’s executive vice president and chief 
commercial officer reflected our decision to begin building the capabilities and infrastructure 
to commercialize our first product.  Pat’s pharmaceutical industry experience and expertise 
in launching and marketing new oncology therapies and in business development are 
especially valuable to us as we advance INCB18424 into registration studies and expand 
our partnering activities. 

Finally, I want to express my gratitude to Matthew Emmens for his service to Incyte as a 
member of our board of directors.  We wish him well in his new position at Vertex 
Pharmaceuticals.  

In closing, I want to thank our employees for their many contributions to our goal to 
discover, develop and commercialize important new medicines.  I have great confidence 
that their ongoing efforts and hard work in 2009 and beyond will yield substantial value to all 
of our key stakeholders. 

Sincerely, 

Paul A. Friedman, M.D. 

President and Chief Executive Officer 
April 2009 

Forward-looking Statements 
Except for the historical statements contained herein, the statements contained in this annual report, including without limitation, 
statements as to our transition from a pure drug discovery company, the expected timing and other information regarding our 
preclinical and clinical  trials, the likelihood of initiating pivotal trials of and receiving expedited review for our JAK inhibitor for 
myelofibrosis, the potential usefulness of our compounds in treating disease and commercial potential, and our plans to seek 
partnerships or out-licensing opportunities and to commercialize certain programs on our own, are forward-looking statements within 
the meaning of the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995. The forward-looking statements 
are based on our current intent, belief and expectations, using information currently available to us, and are therefore subject to 
certain risks, uncertainties, and assumptions that may cause actual results to differ materially, including the high degree of risk 
associated with drug development and clinical trials, the uncertainty of the FDA and European approval process, results of further 
research and development, the impact of technological advances and competition, our ability to enroll a sufficient number of patients 
for our clinical trials, unanticipated delays in programs or uses of capital, and other risks discussed in our Annual Report on Form 
10-K for the year ended December 31, 2008, and in our filings with the Securities and Exchange Commission. These forward-
looking statements speak only as of the date hereof. Incyte disclaims any intent or obligation to update these forward-looking 
statements.