NASDAQ:AGEN Agenus Q4 2023 Earnings Report $1.69 -0.09 (-5.06%) Closing price 04/15/2025 04:00 PM EasternExtended Trading$1.78 +0.09 (+5.27%) As of 07:00 AM Eastern Extended trading is trading that happens on electronic markets outside of regular trading hours. This is a fair market value extended hours price provided by Polygon.io. Learn more. Earnings HistoryForecast Agenus EPS ResultsActual EPS-$2.60Consensus EPS -$0.40Beat/MissMissed by -$2.20One Year Ago EPSN/AAgenus Revenue ResultsActual Revenue$83.80 millionExpected Revenue$54.21 millionBeat/MissBeat by +$29.59 millionYoY Revenue GrowthN/AAgenus Announcement DetailsQuarterQ4 2023Date3/14/2024TimeN/AConference Call DateThursday, March 14, 2024Conference Call Time8:30AM ETUpcoming EarningsAgenus' Q1 2025 earnings is scheduled for Tuesday, May 6, 2025, with a conference call scheduled at 8:30 AM ET. Check back for transcripts, audio, and key financial metrics as they become available.Q1 2025 Earnings ReportConference Call ResourcesConference Call AudioConference Call TranscriptPress Release (8-K)Annual Report (10-K)Earnings HistoryCompany ProfilePowered by Agenus Q4 2023 Earnings Call TranscriptProvided by QuartrMarch 14, 2024 ShareLink copied to clipboard.There are 10 speakers on the call. Operator00:00:00Good morning. My name is Audra, and I will be your conference operator today. At this time, I would like to welcome everyone to the Agenus, Inc. 4th Quarter and Full Year 2023 Results Conference Call. Today's conference is being recorded. Operator00:00:15All lines have been placed on mute to prevent any background noise. After the speakers' remarks, there will be a question and answer session. Speaker 100:00:31At this time, I Operator00:00:32would like to turn the conference over to Zach Arman, Head of Investor Relations. Please go ahead. Speaker 200:00:37Thank you, Audra, and thank you all for joining us today. Today's call is being webcast and will be available on our website for replay. I'd like to remind you that this call will include forward looking statements, including statements regarding our clinical development, regulatory and commercial plans and timelines, as well as timelines for data release and partnership opportunities, among other updates. These statements are subject to risks and uncertainties and we refer you to our SEC filings available on our website for more details on these risks. Joining me today are Doctor. Speaker 200:01:12Garo Armen, Chairman and Chief Executive Officer Doctor. Stephen O'Day, Chief Medical Officer and Christine Klaskin, Vice President of Finance. Doctor. Robin Taylor, Chief Commercial Officer and Doctor. Todd Yancey, Chief Strategic Advisor will be participating in the Q and A session. Speaker 200:01:29Now I'd like to turn the call over to Garo to highlight our progress in 2023 and to speak to our outlook for 2024. Thierry? Speaker 300:01:38Thank you very much. Ladies and gentlemen, today it is with great enthusiasm that we gather to share the remarkable strides Agenus has made over the past year. Our journey has been marked by significant achievements, pivotal milestones and a steadfast commitment to innovation in the field of oncology. In 2023, Agenus reached crucial milestones, particularly with our Battelle program, a cornerstone of our operational focus. BotVal Therapy has undergone rigorous testing in over 900 patients, demonstrating promising activity in cancers that represent significant unmet medical needs, notably colon cancer, where we are poised for potential first approval. Speaker 300:02:35The impressive response rates, sustained durability and overall clinical efficacy observed across multiple challenging cancer types have garnered attention and excitement from leading experts in the field. It is essential to note that the patients enrolled in our trials have exhausted available standard treatments, making clinical responses achieved all the more meaningful. Our achievements in the past year underscored the Indian potential immense and or chemotherapy. All of these trials are currently ongoing. The presentation of our data at 6 prestigious scientific forms and publication in 5 peer reviewed journals is a testament to the robustness and significance of our findings. Speaker 300:03:42Doctor. O'Day will delve into the clinical data shortly, providing more detailed insights during this call. The resounding feedback from over 1,000 physicians we engaged with over the past year underscores the transformative impact of our work and the impact it could have on patient care. Furthermore, the Fast Track designation granted by the FDA acknowledges the urgent need for new treatments in our lead indications, which is refractory, MSS CRC in non liver metastatic patients. As we stand on the threshold of a clinical and a critical phase in our regulatory journey, our focus is squarely on advancing activities for a potential accelerated approval filing. Speaker 300:04:41Our immediate efforts are directed towards ensuring that our development strategies align seamlessly with the FDA's rigorous standards. In 2024, our primary objective is to pursue a global regulatory strategy for bac bile in our fast track indication. Following alignment with the FDA, we intend to initiate the submission of our Biologics License Application, otherwise known as a BLA, for potential accelerated approval. Subsequently, pending feedback from scientific and regulatory advice in Europe, we plan to submit to the European Medicines Agency known as the EMA in 2025. To achieve our regulatory objectives, we are intensifying our efforts to provide regulatory authorities with a comprehensive data package that demonstrates the safety, efficacy and clinical pharmacology of Battelle in refractory MSS CRC. Speaker 300:05:54Our Phase 2 study completed in October 20 23 or I should say completed enrollment in 2023 was meticulously designed to evaluate Macbeth Bio's dosage and the contribution of its components. Additionally, by the end of 2024, we anticipate initiating a Phase 3 study in the patient population of our proposed indication. Our commitment to transparency and stakeholder engagement remains unwavering as we progress towards delivering these potentially life altering treatments to patients. Looking ahead, our mission to enhance the lives of cancer patients to the power of the immune system remains steadfast. That's been our mission from day 1, 30 years ago. Speaker 300:06:47Of course, today with Magbio leading the charge in our dynamic portfolio of agents. To expedite this transformative journey, we are actively exploring strategic partnerships. Our ongoing collaborations have already yielded significant returns, exemplified for example, by the recent $25,000,000 milestone payment from BMS triggered by the commencement of a Phase 2 study with BMS 986,442. This is a TIGIT bispecific antibody discovered and the early development was done by Agenus and it was licensed to BMS. We have received a total of $250,000,000 from this collaboration thus far. Speaker 300:07:37Moreover, we are progressing our efforts to monetize non core assets and explore royalty financing and project funding opportunities with the potential to generate an additional $100,000,000 to $200,000,000 in the relatively near term. Furthermore, we're engaged in discussions with several prospective pharmaceutical partners exploring avenues for core marketing and co development agreements, specifically for continued support and confidence in Agenus. Together, we are pioneering a new era in cancer treatment, one that offers hope and healing to patients worldwide. Doctor. O'Day? Speaker 400:08:39Thank you, Garo. Together with our investigators and key opinion leaders, we presented updates from BAW Development Program at ASCO GI, Society of Gynecologic Oncology, ESMO GI, CTAS and at a corporate event hosted during the ESMO Congress in October. Throughout 2023, new clinical data was presented for nearly all of our programs. And I refer you to our press release issued today that provides a comprehensive summary of our 2023 clinical development updates. Today, I'd like to share a selection of our data updates from the last year, which highlights some of the compelling opportunities we have to transform care for patients. Speaker 400:09:35Starting with safety, we continue to observe a manageable safety profile. As of May 2023 data cut from our solid tumor Phase 1b study with doses of 1 milligram per kilo or 2 milligrams per kilo of bonesilumab in combination with balsilumab. The most common adverse events were immune related and the most common of these were diarrhea and colitis. Grade 3 or greater treatment related diarrhea or colitis occurred in 14% of patients. These findings are consistent with the mechanism of action of BOT and bowel as both are immuno oncology agents. Speaker 400:10:24Now turning to our CRC development program for BOTT and BOW where we have made significant progress. As of our latest update during our corporate event in October 2023, our Phase 1b expanded cohort of 70 evaluable patients had a median follow-up now of 12.3 months and Rhesus confirmed overall response rate of 24%. Based on literature review, the response rate in a similar population treated with standard of care therapies ranges from 1% to 6%. In addition, patients in our trial showed a 12 month overall survival rate of 74%. Median overall survival has not been reached. Speaker 400:11:19We anticipate having top line data from the Phase 2 trial publicly available in the second half of twenty twenty four to align with our planned regulatory timeline and allow for sufficient data maturation. At ASCO GI in January of this year, data was presented from an investigator sponsored trial being conducted by Doctor. Pashtun Khasi at Weill Cornell Medical Center, in which 12 patients with colorectal cancer were treated with one dose of BOT at 75 milligrams and 2 doses of balsalumab at 2 40 milligram in a neoadjuvant therapy window of opportunity setting. Surgery was performed on average 4 weeks after the initiation of immunotherapy. All 3 of 3 MSI high colorectal patients had complete or near complete pathologic responses. Speaker 400:12:28And even more importantly, 6 out of 9 patients with MS stable colorectal cancer had pathologic responses of 50% or greater including 2 complete pathologic responses. None of the 12 patients had tumor growth during the treatment interval and no surgeries were delayed during delayed due to immune related toxicities. There were only 2 instances of Grade 3 treatment related adverse events, diarrhea and fatigue, which were reversible. These results represent an important opportunity to move into earlier non metastatic lines of therapy and potentially change the treatment paradigm, particularly for early stage MS stable colorectal cancer. This IST is currently adding an additional 24 patients. Speaker 400:13:31The expansion extends dosing of immunotherapy and the timing of surgery from 4 to 6 to 8 weeks, which is more reflective of traditional neoadjuvant therapy studies. Depending on the data, we plan to prioritize neoadjuvant development and are evaluating study designs for further pivotal studies. And lastly, in second line pancreatic cancer, we reported data on 6 patients with the combination of botanecilumab with 2 chemotherapy agents gemcitabine and abraxane as a triplet therapy. All six patients had progressed following the most aggressive first line metastatic regimen of FOLFIRINOX chemotherapy and all 6 had liver metastases. 4 of the patients achieved marked and sustained tumor marker reductions. Speaker 400:14:32We reported 2 of the 4 patients achieving a partial response at 16 weeks with a confirmed target lesion reductions of 47% 37%, which was pending confirmation at the time the data was reported. 2 other patients showed stable disease at their first 8 week scan with tumor reductions of 20% 13 percent respectively. A randomized Phase 2 study is currently enrolling and we anticipate preliminary data being available in the second half of this year. These results demonstrate clear activity of botanselimab in cold tumors in both the refractory setting and in early disease, combining botanselimab with either balsilumab or chemotherapy. And this offers hope for patients and families where current standards provide limited benefit. Speaker 400:15:35We remain committed to improving patient outcomes and are grateful in the support of our team, trial participants and stakeholders. Now I'll turn the call over to Christine to discuss financials. Speaker 500:15:50Thank you, Steven. For the year ended December 31, 2023, we recognized revenue of $156,000,000 and incurred a net loss of $257,000,000 or $0.69 per share. For the Q4 ended December 31, 2023, we recognized revenue of $84,000,000 and incurred a net loss of $49,000,000 or $0.13 per share. Revenue primarily includes revenue under our collaboration agreements, including milestones achieved and revenue related to non cash royalties earned. We ended the year with $76,000,000 in cash, subsequent to which in January 2024, we received the $25,000,000 milestone payment from BMS triggered by the commencement of a Phase 2 study with BMS-nine hundred and eighty six thousand four hundred and forty two, the Agenus discovered TIGIT bispecific antibody. Speaker 500:16:50Additionally, we've progressed in monetizing non strategic assets and future milestones and royalties from ongoing partnerships. These efforts are expected to yield significant cash proceeds by mid-twenty 24. Accordingly, we anticipate being funded through 2024. In parallel, we're pursuing potential partnership discussions with 5 biopharmaceutical parties to further expand our cash resources. I'll now turn the call back to Garo. Speaker 300:17:20Thank you, Steven and Christine. As we look ahead, of course, we're excited about the opportunities that will bring both cancer patients and Agenus in 2024. Our steadfast dedication remains centered on providing cancer patients with enhanced treatment options, a mission that not only benefits patients, but also enhances shareholder value and secures the long term prosperity of our company through continued innovation. Innovation has been critical to our existence and our growth and it will continue to be. This year, a paramount objective for us is to present a compelling data package to the FDA, seeking their consent to initiate the filing of our biologics license application. Speaker 300:18:14Agenus pioneering advancements in oncology has been more than a mission for us. It's been our enduring commitment for many years. We extend our heartfelt gratitude to our shareholders, partners and the entire Agenus team for their unwavering support. Together, we stand at the threshold of a transformative journey, one poised to make a profound impact on the lives of patients worldwide with the ultimate aim of delivering chemotherapy free treatment options. Operator00:18:58Thank you. We'll take our first question from Emily Bodnar at H. C. Wainwright. Speaker 100:19:12Hi, good morning. Thanks for taking the question. My first one is on the neoadjuvant CRC study. You mentioned that you're extending the treatment period from 4 weeks to 6 to 8 weeks. So I was curious if you could discuss how you think the longer treatment period may impact efficacy and if there are certain metrics that you think could improve with a greater treatment period. Speaker 100:19:35And also if you're following patients in that study post surgery to eventually look at their surgical outcomes. And then second question on MSS CRC, could you just confirm the timing of the BLA submission? I believe you were previously saying mid-twenty 24. So is that still option abstract or is that looking more like second half now? Thank you. Speaker 300:20:00So Emily, I'll start with the last question on the timing of the BLA submission. So as we've guided investors before, the very first step for us is to meet with the FDA, which we're planning on doing mid year and they're giving their specific guidance on our BLA submission. So we do not want to jump the gun ahead of that meeting and provide different guidance than what we will get out of that FDA meeting. So bear with us. I think we're talking about only a few months from now that we will be able to give you a much more specific guidance on our BLA solution. Speaker 400:20:44Guillermo, would you like me to Speaker 300:20:49Neoadjuvant, very exciting neoadjuvant data, very exciting. And in fact, when I was talking to one of our long term advisors yesterday, the first thing he mentioned in the conversation was how remarkable this new adjuvant data has been because of all the reasons you cited Emily and Doctor. O'Day will elucidate further. Speaker 400:21:14Thank you, Garik. Emily, yes, I mean, given that MS stable colorectal cancer immune therapy has not previously been effective, The 4 week window period was what surgeons were comfortable with allowing, which was essentially no delay in the surgery. And these results are remarkable in terms of the percentage of patients with deep tumor regressions in 4 weeks. So the extension of the study will allow now a proper 6 to 8 week treatment period. And we do anticipate that over that time we will see further deepening of responses. Speaker 400:21:55So we're looking forward to that. The study is looking at surgical outcomes and obviously post surgery relapses. So this will be a comprehensive neoadjuvant study. Operator00:22:15We'll go next to Mayank Mamtani at B. Riley Securities. Speaker 600:22:26So maybe just on the Phase 2 MSF CRC data, are you able to comment on what statistically we should be focused on? And if the slide push out here is relating to you wanting to have OS data or mature durability data, which I could see make sense if you are thinking about Phase 3 design. And maybe if you can also comment on thinking and timing for launching that Phase 3, should we be aware of any planned regulatory meetings, discussions around that? Then I have a couple of follow-up. Speaker 300:23:01Yes. So as you know, we have as we said before, we've completed enrollment in October. And typically 80% of the patients respond within 6 months of the first dose. So when we complete enrollment by the time the patients get the first dose, you're talking about November. And by the time we get the 6 months readout for 80% of responses, it's sometime around May. Speaker 300:23:39Now needless to say, we have already started cleaning up the data and all of the nitty gritty process so that we can provide all of the outcomes as soon as possible. So it will be in the next few months. And our first step is to share this data with the FDA because the timing of the data generation and the FDA meeting will be very close. And then after the FDA meeting, we plan on making top line data public appropriately. Speaker 600:24:14Phase III design timing of launch, if you could comment on that or amortization? Speaker 300:24:21Stephen, would you like to take that piece? Speaker 400:24:24Yes. I mean, our plans with the Phase 3 trial is in the same line of therapy as the Phase II and we anticipate getting that trial started by the end of the year, so it can be substantially enrolled at a potential FIDUSA date in 2025. Speaker 600:24:44Got it. And then you're being a bit more precise about your biopharma strategic discussions than you've been before. Gal, could you comment on what areas of more or less alignment that could unlock the COCO deal structure that it looks like you're prioritizing? And maybe how much does the new adjuvant CRC opportunity kind of play a role because it obviously expands the market, but it also comes with a commitment of doing a long term study. Speaker 300:25:18I think it's very important to address your question in a way that doesn't violate any confidentiality. So we have, as you know, talked about partnering, but Bell for the last couple of years. Now of course, when we started our discussions with prospective partners, we had a fraction of the data we have today, fraction of the data. And thanks to our enthusiastic physicians, investigators and of course patient inquiries, We have had an explosive growth in our clinical trial enrollment. I mean, if you look at, for example, our Phase II trial enrollment, we enrolled 2 30 patients in less than 5 months, which is a record that has surprised many people. Speaker 300:26:23Now with all of that, you would expect of course that there's a fair amount of enthusiasm by prospective pharmaceutical companies, amidst as we've talked about earlier, all of the fascination with treatments that result in weight reduction and radiobiopharmaceuticals as well as ADCs. But when I ask a question to experts, I say, do ADCs and biopharmaceuticals cure cancer? The answer is often not, no. Now, of course, we don't know if we're curing cancer. We don't know that. Speaker 300:27:04And the term curing cancer is a very dicey term because how do you demonstrate it? How do you clinically demonstrate curing cancer? And the only thing that we know for sure is that there is a product called Yervoy that has cured de facto cured a slice of melanoma patients, but it's been mostly restricted to melanoma. In fact, Doctor. O'Day was one of the pioneers in clinical development of Yervoy. Speaker 300:27:37Now of course, one of the attributes of Yervoy is that it binds to CTLA-four, a very important receptor in the activation of the immune system, specifically T cells. Now we also know that our bodesilumab binds to CTLA-four, but it does so many other things. So we are hopeful, hopeful that eventually otenolizumab's activity will be broader than what Yervoy's activity has been in melanoma. And so with that, of course, we're excited about what we're going to be doing with it. And that makes the question of a like minded partner that will put in the resources to develop potemciliomab and moxilumab for the kinds of cancer patients that deserve it, deserve it meaning that our aim is that once we get the regulatory buy in and we go for our first BLA filing, Our aim is an explosive expansion for the development of botanilumab. Speaker 300:28:58Explosive expansion because as you know, we've said across 9 different indications with varying denominators of 900 patients in total, we've seen some remarkable activity. There is no two ways about it, remarkable activity. And that is of course the basis for why the right partner that will be selected hopefully in the next several months would be the partner not just for us, but for the benefit of the patients to develop this product in the way it deserves to be developed. So again, we have I think Christine slipped a number of active discussions. There are a number of active discussions right now that are going on. Speaker 300:29:55And unfortunately, on one hand these discussions take a long time. Our longest corporate discussion that has resulted in a significant partnership has taken nearly 2 years. The shortest one was a year. So I'm not suggesting that partnership is going to be a year from now, but I just want to give you guidance that these things take time. Speaker 600:30:23Very helpful, Garo. And just maybe lastly on that remarkable activity, just on the pancreatic and this TKI factory lung cohort data which seems new. Could you talk to what patient numbers you're expecting to have in your mid or second half update for pancreatic and maybe lung, if you could just comment on that? Thanks again for taking my question. Speaker 300:30:46If I may ask either Stephen or Todd to address this question. And if you have more specific clarification for the questions, please feel free to ask. Speaker 400:31:03So yes, Lauren, in terms of PANCREZ, we have a randomized Phase C trial and we expect to treat 60 patients total, 30 on each arm and that trial is actively accruing for further proof of concept. In terms of the lung data, we have expanded the cohort as we've said to approximately 50 patients. This data is maturing. We're showing you the preliminary TKI data in our press release today. You can see in a very refractory TKI population of 7 patients, we had 2 patients have responses and both of them were complete. Speaker 400:31:46The overall data continues to mature and we'll have more data in the second half of the year to report. Speaker 600:31:55Great. Thanks for taking my questions. Speaker 300:31:57Thank you, Mayank. Operator00:32:02Next, we'll go to Colleen Cusi at Baird. Speaker 700:32:06Hi, good morning. Thanks for taking our questions. Speaker 500:32:09Can you just comment what are some of Speaker 700:32:11the outstanding items you think you need FDA feedback prior to the MSS CRC filing? Speaker 300:32:25The question, what are the alignments with the FDA that will prompt a potential BLA filing? Speaker 500:32:34Yes. Speaker 300:32:36Okay. So we want to first of all, we've made a strategic decision because we were moving, as I said earlier, we were enrolling our clinical trials rapidly, our, for example, Phase 2 trial enrolled very rapidly and it was a very important trial for us to go to the agency with because of the dose selection as well as the contribution of the elements. And of course, we had also a small reference arm. Now, of course, mind you, this trial is not powered statistically to show any differentiation between the arms. However, it is designed to address the Project Optimus questions. Speaker 300:33:21And so the question was for us, if we go to the agency and ask them a question in an abstract form, what if this, what if that? The answer is likely to be, well, when you have the data come back to us, present it to us and we'll give you an intelligent answer. And so in order to for us to be able to get to that point, we made a strategic decision, Colleen, that we would wait until all the data matured to the point where we had a compelling package with to present to the FDA. So that's the reason why we are waiting until the data matures, which will begin somewhat before the middle of this year. And as you know, procedurally requesting meetings and being granted meetings sort of a discussion with a comprehensive data package takes a little time. Speaker 300:34:19So we are planning on asking for the meeting very soon and planning on having the meeting sometime around mid year, plus or minus a month. Speaker 700:34:33Great. Thanks. And then, just one follow-up on the pancreatic development program. I know we'll have data from the Phase II trial mid year. What would the next steps look like in the development path towards approval there? Speaker 300:34:46For the pancreatic? Yes. Okay. So just to recap, the data package that we will go to the FDA with for the CRC indication is approximately 150 patients in our Phase 1 trial and the 2 30 patients in our Phase 2 trials. Now with pancreatic, the next step for us, and I will ask Doctor. Speaker 300:35:19Steven O'Day to elucidate more, but the next step for us is to look at the randomized data result from the expansion cohort of the existing trial. As you know, we observed some remarkable activity in second line pancreatic cancer patients that were treated with FOLFIRI and then relapsed. And the standard of care for them is gemabraxane. Now the standard of care unfortunately is not curative and these patients relapse within a short period of time. And furthermore, the response rates for these patients according to the experts and published information is in the range of 10% to 15%. Speaker 300:36:07So we're talking about reference arm being 10% to 15% with response rates being very short in duration. Now of course, the denominator of the data that we presented is small, But the fact that all patients have seen a significant drop in their cancer counts. And all patients have seen a shrinkage in tumor. Now mind you, not all of them are classified as responses, but patients have seen a shrinkage in their tumor size has given us a high level of confidence that the trial should be expanded and this is what we're doing. So we have enrolled, I believe around 30 patients in a randomized trial now. Speaker 300:37:00That data is maturing. And as the data matures and we confirm the results from the smaller denominator of the initial patients, then I think we will have reason to go to the FDA and ask them for the requirements for a potential accelerated approval for this indication. Now we have also, as our colleagues may have said before, other indications that are potentially, potentially indications that we will go for approval. 1 is, again, all of these will be subject to extension of our trials to confirm the initial results from a smaller denominator. But the smaller denominator results are so compelling that for example in lung cancer, in EGFR mutant patients, we will investigate. Speaker 300:37:55In fact, there's a subset of a specific EGFR mutation that we will expand that cohort to understand and verify the profound reduction in tumor size that we have seen in our earlier trials. So that will be similar to what J and J did for a larger patient population with their bispecific. And the last report that I show is for a patient population that is about 10th of the size of what we may be pursuing. The estimates for their product is in the billions in sales. So there are opportunities that we will pursue that are driven by small trials, very specific patient populations that will yield very high response rates and typically de facto biomarker driven identification of these patient populations And that applies to lung cancer, certain subsets of lung cancer and that applies also in a different format for the neoadjuvant. Speaker 300:39:12And in this particular case, what we have seen in our neoadjuvant trial is a surgery sparing. And when we talk about surgery sparing, we're talking about surgeries that will be debilitating for the patient. Removal of the rectum is a debilitating outcome, particularly in the younger patient population, particularly I mean, it's debilitating for all patients. But if you're in your 20s 30s and you have a lower colon, lower left colon tumor that is closest to the rectum and that's going to yield a radical surgery that would be horrible. So if we can prevent that with our new adjuvant strategy, we believe that's a tremendous opportunity. Speaker 300:40:15So we're looking at all of these options and more, of course, and stay tuned. Speaker 700:40:24That's very helpful. Thank you. One really quick follow-up if I can. Just on the new adjuvant the next new adjuvant setting study, will that allow for the potential to get surgery altogether or will all Speaker 500:40:35of those patients proceed to surgery? Speaker 300:40:37Well, okay. So I'll let Doctor. Jose elaborate, but I know at least one patient after a complete response refused to have surgery. Now of course, that's a tricky situation because they're ethical considerations and don't have an approved product in that indication yet. And hence, that recommendation cannot be made by a physician for ethical reasons right now, right now. Speaker 300:41:08But if a patient refuses to have surgery, it's their prerogative, it's their life. So but you are seeing that kind of a potential develop. And of course, I want to stress the fact that everything has to be done properly with appropriate regulatory guidance and everything has to be done in an ethical way so that we don't jeopardize the well-being of patients. Speaker 700:41:38Great. Thank you for taking our questions. Operator00:41:43We'll go next to Matthew Phipps at William Blair. Speaker 800:41:49Thanks for taking my questions. So just curious when you said data in the second half from the Phase 2 colorectal study, Do you think you'll have PFS data by that point? It seems like given the poor prognosis of this patient that could be possible. Speaker 300:42:04So I will defer it to our regulatory experts that PFS in these patients relative to OS is such a short interval difference that I think OS is the gold standard, PFS is much less so. Steven, Todd, do you have any comments on that? Yes. Matt, Speaker 400:42:38yes. I mean obviously we'll have response rate, duration of response, PFS and preliminary survival in these patients as they mature over the course of the year from their last from when they were accrued. So obviously it's a composite endpoints. But to Garo's point, clearly response and duration of response is what drives and prolonged stable disease drive the survival curve. So our primary endpoints are obviously response, duration response and then ultimately the gold standard survival. Speaker 800:43:21Thanks, Stephen. And I guess just curious, Carol, why not disclose at least some indication of the top line results, I guess, in May, given the 6 months follow-up by that point. Why wait till after you meet with the FDA to at least, I guess, say whether or not or our endpoint has been met or something like that? Speaker 300:43:42It's strictly regulatory courtesy. I think it would be not appropriate if we're ready to present that data to the FDA to make that public right before our FDA meeting. Speaker 800:44:00Okay. And I assume then you'll make disclosures publicly after receiving the minutes from that FDA meeting, so adding a little bit of time for that. Speaker 300:44:09That's right. Speaker 800:44:11Okay. Thank you. Operator00:44:16And next we'll move to Kelly Hsieh at Jefferies. Speaker 900:44:21Hi, good morning. This is Clara on for Kelly. Thanks for taking my question. So one quick question on non small cell lung cancer. So for the next update, given you've shown 36% overall response data in 9 patients Speaker 300:44:37Kelly, your voice is coming very faint and there's some crackling in the line, if you can speak closer to the microphone. Speaker 900:44:47How about now? Speaker 300:44:48Yes, better. Speaker 900:44:50Okay, got it. So just one question on the lung cancer update, given you've shown 50% overall response data in 9 patients, wondering what would be the efficacy you need to see, on the next update to advance the program into the next stage of development? And if so, what would be the going forward plan for lung cancer? And also just wondering, can you remind us what other data disclosure we should expect in 2024? I believe the VMS partner TIGIT data is also expected this year as well. Speaker 900:45:34Just wanted to confirm. Thank you. Speaker 300:45:36Sure. So a couple of things here. On the lung cancer, as you know, we slowed down overall enrollment in the trial. So what we're doing right now, having dissected the data and looked at subsets of patients that have had significant responses. When I say significant response, I'm talking about complete responses, rapid complete responses at our low dose level. Speaker 300:46:06That to us is a significant outcome. So we're in the process of now defining how we would proceed, as I said earlier, with those subsets of biomarker identifiable patients. And so that's our next step in lung cancer, but that's going to happen very quickly. With regard to data for the balance of this year, we have data coming mature data coming from larger cohorts of pancreatic cancer patients in a randomized trial. That would be sometime maybe preliminary data will be by mid year, but more mature data by the year end. Speaker 300:46:47We'll have more mature data on melanoma. We will provide the sustainability of responses in sarcoma. And of course, you will see substantially more data in colon cancer shortly after our regulatory meetings. Speaker 900:47:10Thank you. Super helpful. Operator00:47:16And there are no further questions at this time. I would like to turn the conference over to Gero Arman for closing remarks. Speaker 300:47:22Thank you very much, Audra, and thank you very much for your attentiveness and for fantastic questions actually. And I think we've covered a great deal here. And I just want to make sure that our stakeholders are in ensured of our commitment to make sure that we stay focused first of all, because we're in a very unique environment, where the resources are not as abundant as they were in the past. And so that maybe that's a good thing because it forces companies, not just us, but the industry to do things more rationally. So we intend on delivering outcomes with efficiency. Speaker 300:48:08We are poised to be able to potentially launch product both from a CMC perspective as well as from a commercial perspective. We have a terrific team in each category to do this. In addition to that, we have assembled a very, very competent medical affairs team so that we can drive our processes through education, Education of the system, patients, regulators, as well as physicians that will eventually prescribe our medicines. So we are pretending to all of these very important components. We are a small large company in that sense and an old young company in many ways. Speaker 300:49:02But, thank you very much for your attentiveness and we will communicate with you appropriately at the next time. Operator00:49:11And this concludes today's conference call. Thank you for your participation. You may now disconnect.Read moreRemove AdsPowered by Conference Call Audio Live Call not available Earnings Conference CallAgenus Q4 202300:00 / 00:00Speed:1x1.25x1.5x2xRemove Ads Earnings DocumentsPress Release(8-K)Annual report(10-K) Agenus Earnings HeadlinesAgenus (NASDAQ:AGEN) vs. Exelixis (NASDAQ:EXEL) Financial ReviewApril 16 at 1:11 AM | americanbankingnews.comContrasting Passage Bio (NASDAQ:PASG) and Agenus (NASDAQ:AGEN)April 9, 2025 | americanbankingnews.comTrump’s betrayal exposed Trump’s Final Reset Inside the shocking plot to re-engineer America’s financial system…and why you need to move your money now.April 16, 2025 | Porter & Company (Ad)Agenus to Present New BOT/BAL Data in Two Presentations at AACR 2025March 25, 2025 | businesswire.comAgenus Unveils Colorectal Cancer Survey Findings, Highlighting the Urgent Need for Treatment ...March 19, 2025 | gurufocus.comAgenus Unveils Colorectal Cancer Survey Findings, Highlighting the Urgent Need for Treatment InnovationMarch 19, 2025 | businesswire.comSee More Agenus Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like Agenus? Sign up for Earnings360's daily newsletter to receive timely earnings updates on Agenus and other key companies, straight to your email. Email Address About AgenusAgenus (NASDAQ:AGEN), a clinical-stage biotechnology company, discovers and develops immuno-oncology products in the United States and internationally. The company offers Retrocyte Display, an antibody expression platform for the identification of fully human and humanized monoclonal antibodies; and display technologies. It develops QS-21 Stimulon adjuvant, a saponin-based vaccine adjuvant. The company also develops Balstilimab, an anti-PD-1 antagonist that has completed Phase II clinical trial to treat second line cervical cancer; AGEN1181, an antigen 4 (CTLA-4) blocking antibody that is in Phase 2 clinical trial for the treatment of pancreatic cancer and and melanoma; AGEN2373, a CD137 monospecific antibody that is in Phase 1b clinical trial; AGEN1423, a CD73/TGFß TRAP antibody; AGEN1571, an ILT2 monospecific antibody that is in Phase 1 clinical trial; and BMS-986442, a TIGIT bispecific antibodies. In addition, it develops INCAGN1876, a GITR agonist; INCAGN2390, a TIM-3 monospecific antibody; INCAGN2385, a LAG-3 monospecific antibody; MK-4830, a monospecific antibody targeting ILT4 that is in Phase 2 clinical trial; UGN-301, a zalifrelimab intravesical solution for the treatment of cancers of the urinary tract that is in a Phase 1 clinical trial; and AGEN1884, a first-generation anti-CTLA-4 monospecific antibody. The company operates under Agenus, MiNK, Prophage, Retrocyte Display, and Stimulon trademarks. It has collaborations with Bristol-Myers Squibb Company, Betta Pharmaceuticals Co., Ltd., Incyte Corporation, Merck Sharpe & Dohme, and Gilead Sciences, Inc. The company was formerly known as Antigenics Inc. and changed its name to Agenus Inc. in January 2011. Agenus Inc. was founded in 1994 and is headquartered in Lexington, Massachusetts.View Agenus ProfileRead more More Earnings Resources from MarketBeat Earnings Tools Today's Earnings Tomorrow's Earnings Next Week's Earnings Upcoming Earnings Calls Earnings Newsletter Earnings Call Transcripts Earnings Beats & Misses Corporate Guidance Earnings Screener Earnings By Country U.S. Earnings Reports Canadian Earnings Reports U.K. Earnings Reports Latest Articles Johnson & Johnson Earnings Were More Good Than Bad—Time to Buy? 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There are 10 speakers on the call. Operator00:00:00Good morning. My name is Audra, and I will be your conference operator today. At this time, I would like to welcome everyone to the Agenus, Inc. 4th Quarter and Full Year 2023 Results Conference Call. Today's conference is being recorded. Operator00:00:15All lines have been placed on mute to prevent any background noise. After the speakers' remarks, there will be a question and answer session. Speaker 100:00:31At this time, I Operator00:00:32would like to turn the conference over to Zach Arman, Head of Investor Relations. Please go ahead. Speaker 200:00:37Thank you, Audra, and thank you all for joining us today. Today's call is being webcast and will be available on our website for replay. I'd like to remind you that this call will include forward looking statements, including statements regarding our clinical development, regulatory and commercial plans and timelines, as well as timelines for data release and partnership opportunities, among other updates. These statements are subject to risks and uncertainties and we refer you to our SEC filings available on our website for more details on these risks. Joining me today are Doctor. Speaker 200:01:12Garo Armen, Chairman and Chief Executive Officer Doctor. Stephen O'Day, Chief Medical Officer and Christine Klaskin, Vice President of Finance. Doctor. Robin Taylor, Chief Commercial Officer and Doctor. Todd Yancey, Chief Strategic Advisor will be participating in the Q and A session. Speaker 200:01:29Now I'd like to turn the call over to Garo to highlight our progress in 2023 and to speak to our outlook for 2024. Thierry? Speaker 300:01:38Thank you very much. Ladies and gentlemen, today it is with great enthusiasm that we gather to share the remarkable strides Agenus has made over the past year. Our journey has been marked by significant achievements, pivotal milestones and a steadfast commitment to innovation in the field of oncology. In 2023, Agenus reached crucial milestones, particularly with our Battelle program, a cornerstone of our operational focus. BotVal Therapy has undergone rigorous testing in over 900 patients, demonstrating promising activity in cancers that represent significant unmet medical needs, notably colon cancer, where we are poised for potential first approval. Speaker 300:02:35The impressive response rates, sustained durability and overall clinical efficacy observed across multiple challenging cancer types have garnered attention and excitement from leading experts in the field. It is essential to note that the patients enrolled in our trials have exhausted available standard treatments, making clinical responses achieved all the more meaningful. Our achievements in the past year underscored the Indian potential immense and or chemotherapy. All of these trials are currently ongoing. The presentation of our data at 6 prestigious scientific forms and publication in 5 peer reviewed journals is a testament to the robustness and significance of our findings. Speaker 300:03:42Doctor. O'Day will delve into the clinical data shortly, providing more detailed insights during this call. The resounding feedback from over 1,000 physicians we engaged with over the past year underscores the transformative impact of our work and the impact it could have on patient care. Furthermore, the Fast Track designation granted by the FDA acknowledges the urgent need for new treatments in our lead indications, which is refractory, MSS CRC in non liver metastatic patients. As we stand on the threshold of a clinical and a critical phase in our regulatory journey, our focus is squarely on advancing activities for a potential accelerated approval filing. Speaker 300:04:41Our immediate efforts are directed towards ensuring that our development strategies align seamlessly with the FDA's rigorous standards. In 2024, our primary objective is to pursue a global regulatory strategy for bac bile in our fast track indication. Following alignment with the FDA, we intend to initiate the submission of our Biologics License Application, otherwise known as a BLA, for potential accelerated approval. Subsequently, pending feedback from scientific and regulatory advice in Europe, we plan to submit to the European Medicines Agency known as the EMA in 2025. To achieve our regulatory objectives, we are intensifying our efforts to provide regulatory authorities with a comprehensive data package that demonstrates the safety, efficacy and clinical pharmacology of Battelle in refractory MSS CRC. Speaker 300:05:54Our Phase 2 study completed in October 20 23 or I should say completed enrollment in 2023 was meticulously designed to evaluate Macbeth Bio's dosage and the contribution of its components. Additionally, by the end of 2024, we anticipate initiating a Phase 3 study in the patient population of our proposed indication. Our commitment to transparency and stakeholder engagement remains unwavering as we progress towards delivering these potentially life altering treatments to patients. Looking ahead, our mission to enhance the lives of cancer patients to the power of the immune system remains steadfast. That's been our mission from day 1, 30 years ago. Speaker 300:06:47Of course, today with Magbio leading the charge in our dynamic portfolio of agents. To expedite this transformative journey, we are actively exploring strategic partnerships. Our ongoing collaborations have already yielded significant returns, exemplified for example, by the recent $25,000,000 milestone payment from BMS triggered by the commencement of a Phase 2 study with BMS 986,442. This is a TIGIT bispecific antibody discovered and the early development was done by Agenus and it was licensed to BMS. We have received a total of $250,000,000 from this collaboration thus far. Speaker 300:07:37Moreover, we are progressing our efforts to monetize non core assets and explore royalty financing and project funding opportunities with the potential to generate an additional $100,000,000 to $200,000,000 in the relatively near term. Furthermore, we're engaged in discussions with several prospective pharmaceutical partners exploring avenues for core marketing and co development agreements, specifically for continued support and confidence in Agenus. Together, we are pioneering a new era in cancer treatment, one that offers hope and healing to patients worldwide. Doctor. O'Day? Speaker 400:08:39Thank you, Garo. Together with our investigators and key opinion leaders, we presented updates from BAW Development Program at ASCO GI, Society of Gynecologic Oncology, ESMO GI, CTAS and at a corporate event hosted during the ESMO Congress in October. Throughout 2023, new clinical data was presented for nearly all of our programs. And I refer you to our press release issued today that provides a comprehensive summary of our 2023 clinical development updates. Today, I'd like to share a selection of our data updates from the last year, which highlights some of the compelling opportunities we have to transform care for patients. Speaker 400:09:35Starting with safety, we continue to observe a manageable safety profile. As of May 2023 data cut from our solid tumor Phase 1b study with doses of 1 milligram per kilo or 2 milligrams per kilo of bonesilumab in combination with balsilumab. The most common adverse events were immune related and the most common of these were diarrhea and colitis. Grade 3 or greater treatment related diarrhea or colitis occurred in 14% of patients. These findings are consistent with the mechanism of action of BOT and bowel as both are immuno oncology agents. Speaker 400:10:24Now turning to our CRC development program for BOTT and BOW where we have made significant progress. As of our latest update during our corporate event in October 2023, our Phase 1b expanded cohort of 70 evaluable patients had a median follow-up now of 12.3 months and Rhesus confirmed overall response rate of 24%. Based on literature review, the response rate in a similar population treated with standard of care therapies ranges from 1% to 6%. In addition, patients in our trial showed a 12 month overall survival rate of 74%. Median overall survival has not been reached. Speaker 400:11:19We anticipate having top line data from the Phase 2 trial publicly available in the second half of twenty twenty four to align with our planned regulatory timeline and allow for sufficient data maturation. At ASCO GI in January of this year, data was presented from an investigator sponsored trial being conducted by Doctor. Pashtun Khasi at Weill Cornell Medical Center, in which 12 patients with colorectal cancer were treated with one dose of BOT at 75 milligrams and 2 doses of balsalumab at 2 40 milligram in a neoadjuvant therapy window of opportunity setting. Surgery was performed on average 4 weeks after the initiation of immunotherapy. All 3 of 3 MSI high colorectal patients had complete or near complete pathologic responses. Speaker 400:12:28And even more importantly, 6 out of 9 patients with MS stable colorectal cancer had pathologic responses of 50% or greater including 2 complete pathologic responses. None of the 12 patients had tumor growth during the treatment interval and no surgeries were delayed during delayed due to immune related toxicities. There were only 2 instances of Grade 3 treatment related adverse events, diarrhea and fatigue, which were reversible. These results represent an important opportunity to move into earlier non metastatic lines of therapy and potentially change the treatment paradigm, particularly for early stage MS stable colorectal cancer. This IST is currently adding an additional 24 patients. Speaker 400:13:31The expansion extends dosing of immunotherapy and the timing of surgery from 4 to 6 to 8 weeks, which is more reflective of traditional neoadjuvant therapy studies. Depending on the data, we plan to prioritize neoadjuvant development and are evaluating study designs for further pivotal studies. And lastly, in second line pancreatic cancer, we reported data on 6 patients with the combination of botanecilumab with 2 chemotherapy agents gemcitabine and abraxane as a triplet therapy. All six patients had progressed following the most aggressive first line metastatic regimen of FOLFIRINOX chemotherapy and all 6 had liver metastases. 4 of the patients achieved marked and sustained tumor marker reductions. Speaker 400:14:32We reported 2 of the 4 patients achieving a partial response at 16 weeks with a confirmed target lesion reductions of 47% 37%, which was pending confirmation at the time the data was reported. 2 other patients showed stable disease at their first 8 week scan with tumor reductions of 20% 13 percent respectively. A randomized Phase 2 study is currently enrolling and we anticipate preliminary data being available in the second half of this year. These results demonstrate clear activity of botanselimab in cold tumors in both the refractory setting and in early disease, combining botanselimab with either balsilumab or chemotherapy. And this offers hope for patients and families where current standards provide limited benefit. Speaker 400:15:35We remain committed to improving patient outcomes and are grateful in the support of our team, trial participants and stakeholders. Now I'll turn the call over to Christine to discuss financials. Speaker 500:15:50Thank you, Steven. For the year ended December 31, 2023, we recognized revenue of $156,000,000 and incurred a net loss of $257,000,000 or $0.69 per share. For the Q4 ended December 31, 2023, we recognized revenue of $84,000,000 and incurred a net loss of $49,000,000 or $0.13 per share. Revenue primarily includes revenue under our collaboration agreements, including milestones achieved and revenue related to non cash royalties earned. We ended the year with $76,000,000 in cash, subsequent to which in January 2024, we received the $25,000,000 milestone payment from BMS triggered by the commencement of a Phase 2 study with BMS-nine hundred and eighty six thousand four hundred and forty two, the Agenus discovered TIGIT bispecific antibody. Speaker 500:16:50Additionally, we've progressed in monetizing non strategic assets and future milestones and royalties from ongoing partnerships. These efforts are expected to yield significant cash proceeds by mid-twenty 24. Accordingly, we anticipate being funded through 2024. In parallel, we're pursuing potential partnership discussions with 5 biopharmaceutical parties to further expand our cash resources. I'll now turn the call back to Garo. Speaker 300:17:20Thank you, Steven and Christine. As we look ahead, of course, we're excited about the opportunities that will bring both cancer patients and Agenus in 2024. Our steadfast dedication remains centered on providing cancer patients with enhanced treatment options, a mission that not only benefits patients, but also enhances shareholder value and secures the long term prosperity of our company through continued innovation. Innovation has been critical to our existence and our growth and it will continue to be. This year, a paramount objective for us is to present a compelling data package to the FDA, seeking their consent to initiate the filing of our biologics license application. Speaker 300:18:14Agenus pioneering advancements in oncology has been more than a mission for us. It's been our enduring commitment for many years. We extend our heartfelt gratitude to our shareholders, partners and the entire Agenus team for their unwavering support. Together, we stand at the threshold of a transformative journey, one poised to make a profound impact on the lives of patients worldwide with the ultimate aim of delivering chemotherapy free treatment options. Operator00:18:58Thank you. We'll take our first question from Emily Bodnar at H. C. Wainwright. Speaker 100:19:12Hi, good morning. Thanks for taking the question. My first one is on the neoadjuvant CRC study. You mentioned that you're extending the treatment period from 4 weeks to 6 to 8 weeks. So I was curious if you could discuss how you think the longer treatment period may impact efficacy and if there are certain metrics that you think could improve with a greater treatment period. Speaker 100:19:35And also if you're following patients in that study post surgery to eventually look at their surgical outcomes. And then second question on MSS CRC, could you just confirm the timing of the BLA submission? I believe you were previously saying mid-twenty 24. So is that still option abstract or is that looking more like second half now? Thank you. Speaker 300:20:00So Emily, I'll start with the last question on the timing of the BLA submission. So as we've guided investors before, the very first step for us is to meet with the FDA, which we're planning on doing mid year and they're giving their specific guidance on our BLA submission. So we do not want to jump the gun ahead of that meeting and provide different guidance than what we will get out of that FDA meeting. So bear with us. I think we're talking about only a few months from now that we will be able to give you a much more specific guidance on our BLA solution. Speaker 400:20:44Guillermo, would you like me to Speaker 300:20:49Neoadjuvant, very exciting neoadjuvant data, very exciting. And in fact, when I was talking to one of our long term advisors yesterday, the first thing he mentioned in the conversation was how remarkable this new adjuvant data has been because of all the reasons you cited Emily and Doctor. O'Day will elucidate further. Speaker 400:21:14Thank you, Garik. Emily, yes, I mean, given that MS stable colorectal cancer immune therapy has not previously been effective, The 4 week window period was what surgeons were comfortable with allowing, which was essentially no delay in the surgery. And these results are remarkable in terms of the percentage of patients with deep tumor regressions in 4 weeks. So the extension of the study will allow now a proper 6 to 8 week treatment period. And we do anticipate that over that time we will see further deepening of responses. Speaker 400:21:55So we're looking forward to that. The study is looking at surgical outcomes and obviously post surgery relapses. So this will be a comprehensive neoadjuvant study. Operator00:22:15We'll go next to Mayank Mamtani at B. Riley Securities. Speaker 600:22:26So maybe just on the Phase 2 MSF CRC data, are you able to comment on what statistically we should be focused on? And if the slide push out here is relating to you wanting to have OS data or mature durability data, which I could see make sense if you are thinking about Phase 3 design. And maybe if you can also comment on thinking and timing for launching that Phase 3, should we be aware of any planned regulatory meetings, discussions around that? Then I have a couple of follow-up. Speaker 300:23:01Yes. So as you know, we have as we said before, we've completed enrollment in October. And typically 80% of the patients respond within 6 months of the first dose. So when we complete enrollment by the time the patients get the first dose, you're talking about November. And by the time we get the 6 months readout for 80% of responses, it's sometime around May. Speaker 300:23:39Now needless to say, we have already started cleaning up the data and all of the nitty gritty process so that we can provide all of the outcomes as soon as possible. So it will be in the next few months. And our first step is to share this data with the FDA because the timing of the data generation and the FDA meeting will be very close. And then after the FDA meeting, we plan on making top line data public appropriately. Speaker 600:24:14Phase III design timing of launch, if you could comment on that or amortization? Speaker 300:24:21Stephen, would you like to take that piece? Speaker 400:24:24Yes. I mean, our plans with the Phase 3 trial is in the same line of therapy as the Phase II and we anticipate getting that trial started by the end of the year, so it can be substantially enrolled at a potential FIDUSA date in 2025. Speaker 600:24:44Got it. And then you're being a bit more precise about your biopharma strategic discussions than you've been before. Gal, could you comment on what areas of more or less alignment that could unlock the COCO deal structure that it looks like you're prioritizing? And maybe how much does the new adjuvant CRC opportunity kind of play a role because it obviously expands the market, but it also comes with a commitment of doing a long term study. Speaker 300:25:18I think it's very important to address your question in a way that doesn't violate any confidentiality. So we have, as you know, talked about partnering, but Bell for the last couple of years. Now of course, when we started our discussions with prospective partners, we had a fraction of the data we have today, fraction of the data. And thanks to our enthusiastic physicians, investigators and of course patient inquiries, We have had an explosive growth in our clinical trial enrollment. I mean, if you look at, for example, our Phase II trial enrollment, we enrolled 2 30 patients in less than 5 months, which is a record that has surprised many people. Speaker 300:26:23Now with all of that, you would expect of course that there's a fair amount of enthusiasm by prospective pharmaceutical companies, amidst as we've talked about earlier, all of the fascination with treatments that result in weight reduction and radiobiopharmaceuticals as well as ADCs. But when I ask a question to experts, I say, do ADCs and biopharmaceuticals cure cancer? The answer is often not, no. Now, of course, we don't know if we're curing cancer. We don't know that. Speaker 300:27:04And the term curing cancer is a very dicey term because how do you demonstrate it? How do you clinically demonstrate curing cancer? And the only thing that we know for sure is that there is a product called Yervoy that has cured de facto cured a slice of melanoma patients, but it's been mostly restricted to melanoma. In fact, Doctor. O'Day was one of the pioneers in clinical development of Yervoy. Speaker 300:27:37Now of course, one of the attributes of Yervoy is that it binds to CTLA-four, a very important receptor in the activation of the immune system, specifically T cells. Now we also know that our bodesilumab binds to CTLA-four, but it does so many other things. So we are hopeful, hopeful that eventually otenolizumab's activity will be broader than what Yervoy's activity has been in melanoma. And so with that, of course, we're excited about what we're going to be doing with it. And that makes the question of a like minded partner that will put in the resources to develop potemciliomab and moxilumab for the kinds of cancer patients that deserve it, deserve it meaning that our aim is that once we get the regulatory buy in and we go for our first BLA filing, Our aim is an explosive expansion for the development of botanilumab. Speaker 300:28:58Explosive expansion because as you know, we've said across 9 different indications with varying denominators of 900 patients in total, we've seen some remarkable activity. There is no two ways about it, remarkable activity. And that is of course the basis for why the right partner that will be selected hopefully in the next several months would be the partner not just for us, but for the benefit of the patients to develop this product in the way it deserves to be developed. So again, we have I think Christine slipped a number of active discussions. There are a number of active discussions right now that are going on. Speaker 300:29:55And unfortunately, on one hand these discussions take a long time. Our longest corporate discussion that has resulted in a significant partnership has taken nearly 2 years. The shortest one was a year. So I'm not suggesting that partnership is going to be a year from now, but I just want to give you guidance that these things take time. Speaker 600:30:23Very helpful, Garo. And just maybe lastly on that remarkable activity, just on the pancreatic and this TKI factory lung cohort data which seems new. Could you talk to what patient numbers you're expecting to have in your mid or second half update for pancreatic and maybe lung, if you could just comment on that? Thanks again for taking my question. Speaker 300:30:46If I may ask either Stephen or Todd to address this question. And if you have more specific clarification for the questions, please feel free to ask. Speaker 400:31:03So yes, Lauren, in terms of PANCREZ, we have a randomized Phase C trial and we expect to treat 60 patients total, 30 on each arm and that trial is actively accruing for further proof of concept. In terms of the lung data, we have expanded the cohort as we've said to approximately 50 patients. This data is maturing. We're showing you the preliminary TKI data in our press release today. You can see in a very refractory TKI population of 7 patients, we had 2 patients have responses and both of them were complete. Speaker 400:31:46The overall data continues to mature and we'll have more data in the second half of the year to report. Speaker 600:31:55Great. Thanks for taking my questions. Speaker 300:31:57Thank you, Mayank. Operator00:32:02Next, we'll go to Colleen Cusi at Baird. Speaker 700:32:06Hi, good morning. Thanks for taking our questions. Speaker 500:32:09Can you just comment what are some of Speaker 700:32:11the outstanding items you think you need FDA feedback prior to the MSS CRC filing? Speaker 300:32:25The question, what are the alignments with the FDA that will prompt a potential BLA filing? Speaker 500:32:34Yes. Speaker 300:32:36Okay. So we want to first of all, we've made a strategic decision because we were moving, as I said earlier, we were enrolling our clinical trials rapidly, our, for example, Phase 2 trial enrolled very rapidly and it was a very important trial for us to go to the agency with because of the dose selection as well as the contribution of the elements. And of course, we had also a small reference arm. Now, of course, mind you, this trial is not powered statistically to show any differentiation between the arms. However, it is designed to address the Project Optimus questions. Speaker 300:33:21And so the question was for us, if we go to the agency and ask them a question in an abstract form, what if this, what if that? The answer is likely to be, well, when you have the data come back to us, present it to us and we'll give you an intelligent answer. And so in order to for us to be able to get to that point, we made a strategic decision, Colleen, that we would wait until all the data matured to the point where we had a compelling package with to present to the FDA. So that's the reason why we are waiting until the data matures, which will begin somewhat before the middle of this year. And as you know, procedurally requesting meetings and being granted meetings sort of a discussion with a comprehensive data package takes a little time. Speaker 300:34:19So we are planning on asking for the meeting very soon and planning on having the meeting sometime around mid year, plus or minus a month. Speaker 700:34:33Great. Thanks. And then, just one follow-up on the pancreatic development program. I know we'll have data from the Phase II trial mid year. What would the next steps look like in the development path towards approval there? Speaker 300:34:46For the pancreatic? Yes. Okay. So just to recap, the data package that we will go to the FDA with for the CRC indication is approximately 150 patients in our Phase 1 trial and the 2 30 patients in our Phase 2 trials. Now with pancreatic, the next step for us, and I will ask Doctor. Speaker 300:35:19Steven O'Day to elucidate more, but the next step for us is to look at the randomized data result from the expansion cohort of the existing trial. As you know, we observed some remarkable activity in second line pancreatic cancer patients that were treated with FOLFIRI and then relapsed. And the standard of care for them is gemabraxane. Now the standard of care unfortunately is not curative and these patients relapse within a short period of time. And furthermore, the response rates for these patients according to the experts and published information is in the range of 10% to 15%. Speaker 300:36:07So we're talking about reference arm being 10% to 15% with response rates being very short in duration. Now of course, the denominator of the data that we presented is small, But the fact that all patients have seen a significant drop in their cancer counts. And all patients have seen a shrinkage in tumor. Now mind you, not all of them are classified as responses, but patients have seen a shrinkage in their tumor size has given us a high level of confidence that the trial should be expanded and this is what we're doing. So we have enrolled, I believe around 30 patients in a randomized trial now. Speaker 300:37:00That data is maturing. And as the data matures and we confirm the results from the smaller denominator of the initial patients, then I think we will have reason to go to the FDA and ask them for the requirements for a potential accelerated approval for this indication. Now we have also, as our colleagues may have said before, other indications that are potentially, potentially indications that we will go for approval. 1 is, again, all of these will be subject to extension of our trials to confirm the initial results from a smaller denominator. But the smaller denominator results are so compelling that for example in lung cancer, in EGFR mutant patients, we will investigate. Speaker 300:37:55In fact, there's a subset of a specific EGFR mutation that we will expand that cohort to understand and verify the profound reduction in tumor size that we have seen in our earlier trials. So that will be similar to what J and J did for a larger patient population with their bispecific. And the last report that I show is for a patient population that is about 10th of the size of what we may be pursuing. The estimates for their product is in the billions in sales. So there are opportunities that we will pursue that are driven by small trials, very specific patient populations that will yield very high response rates and typically de facto biomarker driven identification of these patient populations And that applies to lung cancer, certain subsets of lung cancer and that applies also in a different format for the neoadjuvant. Speaker 300:39:12And in this particular case, what we have seen in our neoadjuvant trial is a surgery sparing. And when we talk about surgery sparing, we're talking about surgeries that will be debilitating for the patient. Removal of the rectum is a debilitating outcome, particularly in the younger patient population, particularly I mean, it's debilitating for all patients. But if you're in your 20s 30s and you have a lower colon, lower left colon tumor that is closest to the rectum and that's going to yield a radical surgery that would be horrible. So if we can prevent that with our new adjuvant strategy, we believe that's a tremendous opportunity. Speaker 300:40:15So we're looking at all of these options and more, of course, and stay tuned. Speaker 700:40:24That's very helpful. Thank you. One really quick follow-up if I can. Just on the new adjuvant the next new adjuvant setting study, will that allow for the potential to get surgery altogether or will all Speaker 500:40:35of those patients proceed to surgery? Speaker 300:40:37Well, okay. So I'll let Doctor. Jose elaborate, but I know at least one patient after a complete response refused to have surgery. Now of course, that's a tricky situation because they're ethical considerations and don't have an approved product in that indication yet. And hence, that recommendation cannot be made by a physician for ethical reasons right now, right now. Speaker 300:41:08But if a patient refuses to have surgery, it's their prerogative, it's their life. So but you are seeing that kind of a potential develop. And of course, I want to stress the fact that everything has to be done properly with appropriate regulatory guidance and everything has to be done in an ethical way so that we don't jeopardize the well-being of patients. Speaker 700:41:38Great. Thank you for taking our questions. Operator00:41:43We'll go next to Matthew Phipps at William Blair. Speaker 800:41:49Thanks for taking my questions. So just curious when you said data in the second half from the Phase 2 colorectal study, Do you think you'll have PFS data by that point? It seems like given the poor prognosis of this patient that could be possible. Speaker 300:42:04So I will defer it to our regulatory experts that PFS in these patients relative to OS is such a short interval difference that I think OS is the gold standard, PFS is much less so. Steven, Todd, do you have any comments on that? Yes. Matt, Speaker 400:42:38yes. I mean obviously we'll have response rate, duration of response, PFS and preliminary survival in these patients as they mature over the course of the year from their last from when they were accrued. So obviously it's a composite endpoints. But to Garo's point, clearly response and duration of response is what drives and prolonged stable disease drive the survival curve. So our primary endpoints are obviously response, duration response and then ultimately the gold standard survival. Speaker 800:43:21Thanks, Stephen. And I guess just curious, Carol, why not disclose at least some indication of the top line results, I guess, in May, given the 6 months follow-up by that point. Why wait till after you meet with the FDA to at least, I guess, say whether or not or our endpoint has been met or something like that? Speaker 300:43:42It's strictly regulatory courtesy. I think it would be not appropriate if we're ready to present that data to the FDA to make that public right before our FDA meeting. Speaker 800:44:00Okay. And I assume then you'll make disclosures publicly after receiving the minutes from that FDA meeting, so adding a little bit of time for that. Speaker 300:44:09That's right. Speaker 800:44:11Okay. Thank you. Operator00:44:16And next we'll move to Kelly Hsieh at Jefferies. Speaker 900:44:21Hi, good morning. This is Clara on for Kelly. Thanks for taking my question. So one quick question on non small cell lung cancer. So for the next update, given you've shown 36% overall response data in 9 patients Speaker 300:44:37Kelly, your voice is coming very faint and there's some crackling in the line, if you can speak closer to the microphone. Speaker 900:44:47How about now? Speaker 300:44:48Yes, better. Speaker 900:44:50Okay, got it. So just one question on the lung cancer update, given you've shown 50% overall response data in 9 patients, wondering what would be the efficacy you need to see, on the next update to advance the program into the next stage of development? And if so, what would be the going forward plan for lung cancer? And also just wondering, can you remind us what other data disclosure we should expect in 2024? I believe the VMS partner TIGIT data is also expected this year as well. Speaker 900:45:34Just wanted to confirm. Thank you. Speaker 300:45:36Sure. So a couple of things here. On the lung cancer, as you know, we slowed down overall enrollment in the trial. So what we're doing right now, having dissected the data and looked at subsets of patients that have had significant responses. When I say significant response, I'm talking about complete responses, rapid complete responses at our low dose level. Speaker 300:46:06That to us is a significant outcome. So we're in the process of now defining how we would proceed, as I said earlier, with those subsets of biomarker identifiable patients. And so that's our next step in lung cancer, but that's going to happen very quickly. With regard to data for the balance of this year, we have data coming mature data coming from larger cohorts of pancreatic cancer patients in a randomized trial. That would be sometime maybe preliminary data will be by mid year, but more mature data by the year end. Speaker 300:46:47We'll have more mature data on melanoma. We will provide the sustainability of responses in sarcoma. And of course, you will see substantially more data in colon cancer shortly after our regulatory meetings. Speaker 900:47:10Thank you. Super helpful. Operator00:47:16And there are no further questions at this time. I would like to turn the conference over to Gero Arman for closing remarks. Speaker 300:47:22Thank you very much, Audra, and thank you very much for your attentiveness and for fantastic questions actually. And I think we've covered a great deal here. And I just want to make sure that our stakeholders are in ensured of our commitment to make sure that we stay focused first of all, because we're in a very unique environment, where the resources are not as abundant as they were in the past. And so that maybe that's a good thing because it forces companies, not just us, but the industry to do things more rationally. So we intend on delivering outcomes with efficiency. Speaker 300:48:08We are poised to be able to potentially launch product both from a CMC perspective as well as from a commercial perspective. We have a terrific team in each category to do this. In addition to that, we have assembled a very, very competent medical affairs team so that we can drive our processes through education, Education of the system, patients, regulators, as well as physicians that will eventually prescribe our medicines. So we are pretending to all of these very important components. We are a small large company in that sense and an old young company in many ways. Speaker 300:49:02But, thank you very much for your attentiveness and we will communicate with you appropriately at the next time. Operator00:49:11And this concludes today's conference call. Thank you for your participation. You may now disconnect.Read moreRemove AdsPowered by