NASDAQ:EYEN Eyenovia Q4 2023 Earnings Report $1.09 -0.04 (-3.54%) Closing price 04/25/2025 04:00 PM EasternExtended Trading$1.10 +0.01 (+1.38%) As of 04/25/2025 06:27 PM 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 Eyenovia EPS ResultsActual EPS-$13.60Consensus EPS -$13.60Beat/MissMet ExpectationsOne Year Ago EPS-$13.60Eyenovia Revenue ResultsActual RevenueN/AExpected Revenue$0.50 millionBeat/MissN/AYoY Revenue GrowthN/AEyenovia Announcement DetailsQuarterQ4 2023Date3/18/2024TimeAfter Market ClosesConference Call DateMonday, March 18, 2024Conference Call Time4:30PM ETUpcoming EarningsEyenovia's Q4 2024 earnings is scheduled for Wednesday, May 21, 2025Conference Call ResourcesConference Call AudioConference Call TranscriptSlide DeckPress Release (8-K)Annual Report (10-K)Earnings HistoryCompany ProfileSlide DeckFull Screen Slide DeckPowered by Eyenovia Q4 2023 Earnings Call TranscriptProvided by QuartrMarch 18, 2024 ShareLink copied to clipboard.There are 8 speakers on the call. Operator00:00:00Greetings, and welcome to the Eyenovia 4th Quarter and Full Year 2023 Earnings Call. At this time, all participants are in a listen only mode. A brief question and answer session will follow the formal presentation. As a reminder, this conference is being recorded. It is now my pleasure to introduce your host, Eric Ribner of Investor Relations. Operator00:00:29Thank you. You may begin. Speaker 100:00:32Good afternoon, and welcome to Eyenovia's Q4 and full year 2023 earnings conference call and audio webcast. With me today are Eyenovia's Chief Executive Officer, Michael Roe Chief Financial Officer, John Gandolfo and Chief Operating Officer, Bren Kern. This afternoon, we issued a press release announcing financial results for the 3 12 months ended December 31, 2023. We encourage everyone to read today's press release as well as Eyenovia's quarterly report on Form 10 ks the year ended December 31, 2023, which was filed with the SEC. The company's press release and annual report are also available on our website at www.inovia.com. Speaker 100:01:20In addition, this conference call is being webcast to the company's website and will be archived there for future reference. Please note that on today's call, we will be discussing products, product concepts and candidates, some of which have yet to receive FDA approval. Please also note that certain information discussed on the call today is covered under the Safe Harbor provisions of the Private Securities Litigation Reform Act. We caution listeners that during the call, Eyenovia's management will be making forward looking statements. Actual results could differ materially from those stated or implied by these forward looking statements due to risks and uncertainties associated with the company's business. Speaker 100:02:01These forward looking statements are subject to a number of risks, which are described in more detail in our annual report on Form 10 ks. This conference call contains time sensitive information that is accurate only as of the date of this live broadcast, March 18, 2024. Eyenovia undertakes no obligation to revise or update any forward looking statements to reflect events or circumstances after the date of this conference call, except as may be required by applicable securities law. With that said, I'd like to turn the call over to Michael Rowe, Eyenovia's Chief Executive Officer. Michael, the floor is yours. Speaker 200:02:41Thanks, Eric, and welcome everyone to our Q4 and full year 2023 financial results conference call. Last quarter, I talked about how Innovia has 3 levers to pull on as we continue our growth into a development and commercial organization. Those levers were revenues, agreements and sources of capital. Today, I will share with you how we have been executing against these three levers, particularly in terms of our advancing commercial strategy, which continues to accelerate with 2 approved products and 2 in Phase 3. I will also share news about us entering into 2 significant agreements that will complement our own sales efforts as well as provide an update on our plans for dry eye. Speaker 200:03:27Bren will then take us through the build out of our manufacturing capabilities, which are now fully integrated and producing commercial supply of MidCombi. And finally, John will provide an update on the 3rd lever, our financials and the options we are exploring towards ultimately reaching a breakeven for the company. So let's dive right into it with our 2 FDA approved products, suspension 0.05% and Midcombi. As you may recall, the U. S. Speaker 200:03:59Commercial rights for clobetasol were acquired from Taiwan based Formosa Pharmaceuticals last August. Just last week, we transferred the NDA for clobetasol from Formosa over to Eyenovia. Clobetasol was approved just 2 weeks ago on March 4. This unique post ocular surgery steroid is the first product developed using Formosys proprietary APNT nanoparticle formulation platform. That technology reduces an active pharmaceutical ingredients particle size with high uniformity and purity, thereby allowing penetration to relevant compartments in the eye and ultimately enhancing bioavailability. Speaker 200:04:41Cobezol is a potent steroid indicated for pain and inflammation following ocular surgery. This is the first time that this molecule is available in ophthalmology. Its efficacy and safety profile is highly desirable with nearly 9 out of 10 patients achieving complete absence of postsurgical pain and 6 out of 10 achieving total absence of inflammation within 15 days post ocular surgery. Clobetasol has an advantageous dosing profile of twice a day without titration versus existing treatments, which require dosing up to 4 times a day. This is particularly important as eye surgery patients are often on multiple drugs during recovery. Speaker 200:05:23So any advancement which simplifies the treatment regimen would be welcomed by eye doctors and patients alike. And in terms of safety, side effects we're seeing in no more than 2% of patients. And our label mentions that some of these side effects could have been the result of the surgical procedure itself. You can find additional information and full prescribing information at clobebasolbid dotcom. It is estimated there are more than 7,000,000 ocular surgeries in the U. Speaker 200:05:54S. Each year, most of which are treated with topical ocular steroids and steroid combinations currently totaling $1,300,000,000 in sales. This is a very significant market opportunity and one that we think we can capture a mid single digit market share over the next 3 to 4 years. We view clobetasol as a key addition to our commercial product portfolio, which will allow us to further leverage our existing sales force. Together with midcombi, our mydriasis product, we believe that we can bring significant value to eye care offices and surgical centers. Speaker 200:06:30And we are working toward a robust commercial launch of clobetasol as soon as our partner has received their Taiwanese export license later this year. Longer term, we see a potential opportunity to develop a formulation of flobetasol for our OptoJet dispenser as a potential treatment for dry eye, a market estimated to be worth over 3,600,000,000 dollars To that end, we plan to engage with the FDA in the coming months to discuss a path forward in that indication. While obedazole is a great product for us, it is only half of our revenue story. Midcombi is the other half. As you know, Midkombe is the 1st and only FDA approved fixed combination of 2 pupil dilation drugs, tropicamide and phenylephrine, and the first ophthalmic spray using the OptoJET platform. Speaker 200:07:22When our sales force talks with customers, they highlight how our products can help bookend the surgery by using medcombi as their mydriatic agent pre surgery and clobetasol as their steroid post surgery. We have now hired, trained and deployed half of our 10 person field sales force with the remainder set to come on board in the coming weeks. Also, we continue to make excellent progress satisfying state commercial licensing requirements where required with the condi now licensed for sale in 16 states, representing more than half of the U. S. Targeted population. Speaker 200:07:57We have a dozen other license applications in process. In terms of manufacturing, in November, we were very pleased to announce that our contract manufacturer, Coastline International, was approved by the FDA for Midkombe commercial manufacturing. We also recently announced FDA approval of our Redwood City facility as a commercial manufacturing facility. With Redwood City, Reno and Coastline now all online, we have commenced the manufacture of commercial supply of the commie and we now have finished product moving into and out of our warehouse. Bren will provide a more detailed manufacturing update in a moment. Speaker 200:08:36Customer feedback on Midkombe has been excellent. And to further illustrate that point, we are very pleased to announce that VisionSource, a leading network of approximately 3,000 locally owned optometry offices, has added midcombi as an approved product for its membership. We have great expectations for this sales channel as midcombi has particular benefits for those offices that are patient focused and choose to incorporate midcombi to enhance the comprehensive eye exam experience of their patients. As we like to say, these offices and doctors use midgomni because they care for their patients. The current U. Speaker 200:09:16S. Market for pupil dilation is valued at approximately $250,000,000 and we feel we are well poised to take a good portion of that market share over the coming years, especially when we move to our next generation device. Staying on the topic of midcombi for a moment, we recently completed a study to determine if there was a lower dose that could be effective to achieve pupil dilation for drug sensitive patients. The study was conducted by Doctor. Denise Pencil of the State University of New York School of Optometry. Speaker 200:09:4729 subjects were treated with a half dose of Bikombe, which is 8 microliters per eye. In that study at 30 minutes post dose, clinically relevant pupil dilation was achieved in approximately 2 thirds of patients and that percentage increased by 60 minutes. Almost all patients returned to a pupil size of less than 5 millimeters between 3.5 hours and 6 hours post installation. This is similar to the time seen in published studies of patients exposed to tropicamide eyedrops and a mydriasis reversal drug. The dose was well tolerated with minimal adverse events reported with 3 subjects reporting mild installation site pain and one with mild dry eye upon installation. Speaker 200:10:32Given that a standard of care mydriasis agent phenylephrine may present safety risks in a few older patients, the greater dosing flexibility enabled by MidConvy and the OptoGen could address an unmet need among the approximately 100,000,000 comprehensive and diabetic eye exams and over 4,000,000 cataract surgeries performed in the U. S. Each year. We plan to publish the full results in a peer reviewed journal later this year. As previously mentioned, we will soon have 10 sales representatives and 2 sales directors in the field to commercialize FITCOMBI and clobetasol. Speaker 200:11:09Half of this team is already trained and in place working every day to present the benefits of our products and pull the revenue lever. Additionally, we recently announced a co promotion agreement with NovaBay, a leading developer of anti infective eye products. Per the terms of that agreement, NovaBay will promote obedasol to hundreds of eye care professionals that our salespeople are not calling on through its telephone based salespeople. They will also conduct outreach to eye doctors in those geographic areas that our salespeople are not currently covering. Meanwhile, our field sales force will promote their prescription Avenova antimicrobial lid and lash solution to our doctors, who can include this product in their suite of pre and post surgical offerings. Speaker 200:11:55In addition to the benefit of additional promotion and potential sales for both sides, each party will also get a percentage of the sales that they generate. This is an extremely cost effective way to boost our commercial sales reach. We believe this agreement will be very beneficial to both parties. In summary, we are actively promoting Midkombe and we'll be leveraging our new agreement with VisionSource. We are preparing to commercialize clobetasol and we'll leverage our new agreement with NovaBay. Speaker 200:12:24And we are reloading our pipeline by bringing MicroPine back through reacquiring the commercial and development rights this past January for the U. S. And Canada from Bausch and Lomb. MicroPine is an investigational 8 microliter ophthalmic spray of atropine delivered by the OptoGen. MicroPine is being evaluated as a potential treatment for pediatric progressive myopia or worsening near sightness, which is characterized by elongation of the sclera and retina. Speaker 200:12:54We estimate that more than 25,000,000 children in the U. S. Suffer from myopia and of these 5,000,000 are believed to be at high risk for progressive myopia. If left untreated, progressive myopia can ultimately lead to significant vision loss and potential blindness. Prior studies have demonstrated that atropine can slow myopia progression by as much as 60% and there is a significant unmet need for safe and effective FDA approved pharmaceutical treatment options. Speaker 200:13:24In terms of next steps, we are continuing to advance the Phase 3 CHAPRONE study and we plan to meet with the FDA to explore options to expedite development and registration of MicroPine in a capital efficient manner. One option we are working on is a planned interim look at the CHAPRONE data later this year. If that interim analysis is successful, we could potentially be looking at a substantially de risked program that could be very attractive either for us alone or for a commercialization partner. Lastly, we are maintaining MicroLine or ApoSure in our portfolio should the presbyopia market show signs of improvement. Right now, our opinion is that we can make better use of our capital elsewhere in our portfolio, but we can turn very quickly back to this product candidate if the situation should change. Speaker 200:14:14So this gives us line of sight to 3 and possibly 4 commercial revenue generating products. We continue to explore development of novel therapeutics levering the OptoJet for dry eye, glaucoma and other large market indications as part of our second lever towards success. These potential partnerships are moving forward and we anticipate sharing more information when they reach the stage of a full development agreement after all of the device compatibility work has been completed. At this point, I'd like to turn the call over to our Chief Operating Officer, Bren Kern, for our manufacturing update. Bren? Speaker 300:14:53Thank you, Michael. During the Q4 and through early this year, we continue to execute on our strategy to maintain control of our manufacturing processes, ensuring our products meet high levels of reliability and sterility. As a reminder, we use contract manufacturers to supply us with drug substance, which we then use to fill our cartridges at our Redwood City facility. These cartridges are then married with our electronic base units, which are manufactured at our Reno, Nevada facility. We are now fully capable of supporting our current anticipated mid combi commercial demand as well as the needs for ongoing micro pine development in 2024. Speaker 300:15:32More specifically, last month, we are very pleased to receive FDA approval of our Lynnwood City facility with no significant concerns raised on the part of the agency. This approval will provide Redwood City with the ability to perform final assembly, packaging and labeling activities in support of mid combi and complements our Reno facilities and contract manufacturers. As previously announced, Coastline International also received FDA approval and is now producing MidCombi commercial supply. Redwood City will also be the manufacturing site of our Gen 2 device, which has significantly fewer parts than our existing device, making its manufacturing easier and more reliable. We are targeting midcombi as the first product that will be available in Gen 2 and our Redwood City facility is actually making product to begin engineering stability studies and registration batches before the end of the year. Speaker 300:16:28Our strategy for moving from the GEN-one to the GEN-two will be the subject of an FDA meeting this summer. And assuming we come to an agreement, demonstrating comparability between the two devices should provide a path for Eyenovia to introduce the Gen 2 platform into the commercial market. Our Reno facility is also producing the Optejet Ejector and base in support of MYCOMBI and continues to expand production capabilities by refining our state of the art equipment. When complete, the capabilities of this new facility will provide significant increase in injector manufacturing capacity, enabling fulfillment of both our commercial and clinical product needs. As noted earlier this year, Eyenovia has reacquired the rights to MicroPine. Speaker 300:17:13MicroPine is an investigational 8 microliter ophthalmic spray of atropine delivered by Eyenovia's proprietary OptoJET device being evaluated as a potential treatment for pediatric progressive myopia characterized by elongation of the retina. We are actively uplifting our MicroPine clinical management capabilities in this regard, which we expect to be complete in mid April of this year. With MicroPine under our management, Eyenovia will be speaking with the FDA to discuss opportunities to accelerate the completion of the study. I continue to be excited about our recent successes and the progress we are making. We now have 2 FDA approved manufacturing sites that we manage, preparing us to meet the market demands for our products. Speaker 300:17:57I'm looking forward to expanding on these significant achievements to be made in this year. I would now like to turn the call over to our Chief Financial Officer, John Gandolfo to provide a financial update. Speaker 200:18:09John? Thank you, Brent. Speaker 100:18:13For the Q4 of 2023, we reported net loss of approximately $8,000,000 or $0.18 per share and approximately 45 point 4,000,000 weighted average shares outstanding. This includes a $0.02 loss related to the one time repatriation costs for bringing MicroPheme back to Eyenovia from Bausch. This compares to a net loss of $6,100,000 or $0.17 per share and approximately 35,900,000 weighted average shares outstanding for the Q4 of 2022. For the full year 2023, we reported a net loss of approximately $27,300,000 or $0.66 per share and approximately 41,000,000 weighted average shares outstanding. This compares to a $28,000,000 $0.83 per share and approximately 33,600,000 weighted average shares outstanding for the full year 2022. Speaker 100:19:14Research and development expenses totaled approximately $4,100,000 for the Q4 of 2023 and this compares to $2,200,000 for the Q4 of 2022, an increase of 84.6%. For the full year 2023, research and development expenses decreased approximately 3% to $13,000,000 and this compares to $13,400,000 for the full year 2022. The full year decrease was driven primarily by lower direct clinical and non clinical expenses as well as deferral of costs related to the future delivery of clinical supply to our licensed partners. For the Q4 of 2023, general and administrative expenses were approximately $3,400,000 as compared to $3,200,000 for the Q4 of 2022, an increase of 7.3%. For the full year 2023, G and A expenses decreased approximately 8.1 percent to $12,400,000 as compared to $13,500,000 for the full year 2022. Speaker 100:20:27The full year decrease was driven by reduction in legal expenses and executive recruitment costs on a year over year basis. Total operating expenses for the Q4 of 2020 3 were approximately $7,500,000 as compared to $5,400,000 for the same period in 2022. This represents an increase of approximately 39%. Total operating expenses for the full year 5.6 percent to $25,400,000 as compared to $26,900,000 for the full year 2022. As of December 31, 2023, company's cash balance was approximately $14,800,000 as compared to $22,900,000 as of December 31, 2022. Speaker 100:21:22We are currently reviewing evaluating various structures and alternatives to increase our cash resources in order to fund our corporate strategy going forward. I'll now provide an update on our existing licensing agreement with Arctic Vision for all three of our products in China and South Korea. Regarding our prior partnership with Faschelon, as Michael mentioned earlier, we reacquired the development and commercial rights to MicroPine and have taken over continued execution of the ongoing Phase 3 CHAPERONE trial. Our agreement with Arctic Vision covers MicroPine, MicroLine and Midcombi and provides us sales royalties in addition to development milestones. MicroPine in particular is a significant opportunity in China for pediatric myopia. Speaker 100:22:14If approved, MicroPine could be a potentially meaningful source of non dilutive funding for our company over the long term. To date, our license agreements have generated approximately $16,000,000 in license fees and we have the potential to earn $25,000,000 in net license and development milestones for Arctic Vision over the next 3 to 4 years. If our products are approved on commercialization, Eyenovia is also eligible to earn significant sales royalties as well. We are continuing to assess potential pipeline expansion opportunities similar to our Formosa agreement, and we will continue to leverage the OptoGen technology to address unmet needs and additional large ophthalmic indications beginning with dry eye. In conclusion, we are very pleased with our performance in the Q4 of 2023 as well as the subsequent period. Speaker 100:23:10To summarize our key highlights today, we reacquired the development and commercialization rights to MicroPine in the U. S. And Canada from bastion alone. MicroPine is a face is in Phase 3 as a potential treatment for progressive pediatric myopia, a potential blockbuster opportunity for the company. We announced FDA approval of clobetasol for the treatment of pain and inflammation following ocular surgery. Speaker 100:23:38We announced 2 important agreements to complement their own sales efforts, 1 with VisionSource for midcombi and 1 with NovaBay for flabetasol and Avenova. We finalized the build out of our manufacturing capabilities to support Midcomy production with Coastline Manufacturing and our Redwood City facility is now online in addition to our facility in Reno. And finally, our licensing agreement with Arctic Vision is progressing well and remains a promising avenue for significant development and regulatory milestones as well as the potential for sales royalties and commercialization. That concludes our prepared remarks. We would now like to turn the call over for questions. Speaker 100:24:22Operator? Operator00:24:26Thank you. We will now be conducting a question and answer session. Thank you. Our first question comes from the line of Tim Lugo with William Blair. Please proceed with your question. Speaker 400:25:04Thanks for the question. Now that MicroPine has been brought back into the company and you have the rights, can you talk about this accelerating the development of the program? I know in the prepared remarks you mentioned you'll engage with the agency about this possibility. So maybe I'd love to hear some initial thoughts around what you could do for this acceleration of development? Speaker 200:25:29Yes, Tim. Thank you for the question. Our intent is to do a protocol amendment and put in an interim analysis later this year when we believe we would have And we'll be talking to the FDA about that as well. Because if we do that and if we are successful as a placebo controlled study, we may be able to make the argument that it's really not ethical to continue as it is with a placebo arm if we can show that we already have a significant event. And that could shave a number of years off the study and enable us to bring it to an NDA that much faster. Speaker 200:26:17So the strategy is to do the interim analysis towards the end of this year. And if that is successful, to talk to the FDA about how we can close that study earlier so that we can move to an NDA. Speaker 400:26:30That's very helpful. Thank you. You're welcome. And regarding the half dose study, is that something that OpRegen can adjust to or do you need to submit an sNDA to get this onto the label? Speaker 200:26:48Well, to get that onto the label, we would have to submit to the FDA. That study was done to answer a very specific medical question for a specific population. So we are able to adjust to that with the OptoGen because we did want to get that answer to see if you could go lower for this particular need. Speaker 400:27:08Okay, fair enough. And for the NovaBay co promotion, could you again and maybe you had this in my comments I missed it, but can you just kind of scope out what capabilities they're bringing to the margin of ClubAdvisor? Speaker 200:27:24They are bringing an in house sales force that's very experienced doing telephone sales into cataract surgeons. They do it now for their product, Abenova. So they would take that experience and do the same for clobetasol in those areas where we do not have salespeople. So essentially, they will extend our reach into those offices. And every time they're successful, they will get a percentage of that sale. Speaker 200:27:51And likewise, we can hand carry their product Avenova into cataract surgeons where we do have salespeople, because it is part of many of their practices and where we are successful, we get a portion of that. So basically, it's a way to extend our promotional reach with no additional cost and the opportunity to pick up some money at the same time. Speaker 400:28:14Understand. That makes sense. Thank you. Speaker 200:28:17Thank you. Operator00:28:22Our next question comes from the line of Matt Kaplan with Ladenburg Thalmann. Please proceed with your question. Speaker 500:28:29Hey, guys. Good evening and thanks for taking the questions and congrats on the progress. Just wanted to first focus on your commercial programs. Can you help us understand the kind of potential launch trajectories for both clobetasol and midcombi and what we should expect, I guess, this year and going into next specifically? Speaker 200:28:55Yes. Hi, Matt. It's good to have your call. John, I believe that there have been analysts out there that have spoken to this. I know we haven't given guidance, but maybe you can talk to what our reaction has been to the analysts? Speaker 100:29:08Yes. So we're the analysts do have numbers in their model out there and we're very comfortable with the analysts' estimates that are out there for the balance of 2024. At this point, we're not going to give revenue guidance ourselves. We'll reevaluate that at the end of the year after these products have been in the market for a while. But overall, I think we're comfortable with the analyst estimates that are out there. Speaker 500:29:39Okay. That's helpful. And maybe just to focus in on a little bit with your new lease signed agreement with VisionSource. You mentioned that there are about 3,000 offices that are associated with that. Should we expect more or additional deals or collaborations such as these kind of going forward as you continue to launch of MidConvy and Clobetasol? Speaker 200:30:04Yes, absolutely. So this is the first one that's signed. We do have others that are in the Signature phase, and they're a mix. Some of them are like VisionSource, whereas for the retail optometrists, Others are with large institutions, where they are looking to replace their disposable use of of mydriatic agents. What they do now is they use IMbodum once and they throw it away and it's costly to them. Speaker 200:30:34It's like $15 every time they do this to a patient. So they would replace that with Midkomib and we are working right now to get some of these agreements signed where we would essentially be on their formulary replacing what they're doing now. Speaker 500:30:52Great. And then just shifting to your pipeline, your 2nd generation device, can you tell us a little bit more about that and how it differs from the 1st gen and when we should expect the Combi in the marketplace? Speaker 200:31:12Yes. Brad, would you like to give a high level discussion about Gen 2? Speaker 300:31:19Absolutely. So our Gen 2 products offers simplification from a manufacturing capability, enabling us to produce these more easily with a higher reliability, With Midkomby being the 1st platform that we're going to take that into, we're actually actively working our registration batches to be completed this year. And then we'll be speaking with the FDA on getting the JAN-two platform into mid COMBI, hopefully early next year after we get the registration batches put up. Speaker 500:31:53Okay, great. And then with respect to your dry eye program, can you tell us a little bit more about that and when we do you expect to move that into the clinic this year? Speaker 200:32:05Yes. We actually have 3 things that we're working on. We have acute dry eye that we're in discussions with Formosa For glabenozole, we have chronic dry eye that we're actually actively collaborating with a company where we're working on taking their drug and putting it into the option and making sure it's entirely compatible. And then we have a third one that we're also would be in chronic, a different molecule that we're working on. So what we want to do is we have collaboration agreements in place. Speaker 200:32:40And what's happening in that collaboration agreement is we're working out all of the CMC issues of how do we get your drug over to our facility in a sterile fashion and how do we make sure it's compatible with our device. All of that takes anywhere between 4 6 months. When that's done, that leads to an option for a development agreement and that's when we'll talk about it publicly. Speaker 500:33:07Okay, great. Well, thanks again for taking the questions. Speaker 100:33:11Thanks, Matthew. Thank you. Operator00:33:16Our next question comes from the line of Matthew Caulfield with H. C. Wainwright. Please proceed with your question. Speaker 600:33:24Hey, Michael and team. Thanks for taking our question. So with clobetasol plans for OptoGen development in dry eye, are there any comparable advantages to ultimately utilizing OptoJet within the approved indication for post operative pain? Speaker 200:33:41Thank you, Matthew, for that question. The answer is yes, it would be a lot easier for cataract and other post surgical patients to use the OptoGen in my opinion than an eyedropper and we could certainly go back and look at that again. What we would have to do basically is run a pain study, although only one of them, pain and inflammation, because according to the FDA, the OpRegET delivers an ophthalmic spray, which is a different form than ophthalmic solution. So it requires a Phase 3 study. Why that's a good thing is that it makes it impossible to replace the OptoJet with an eye drop. Speaker 200:34:19So from a generic point of view, you can't simply take a molecule we put into the OptoJet and replace it with something that's in an eye drop form. So that's a good thing. But on the other hand, it causes us a little bit more time to get something approved. So the strategy was, let's get this additional indication for dry eye, which is a much bigger indication for the product. And then we can make the decision to pivot back and redo a pain and inflammation one study to add that onto the OptoGen and then ultimately just beyond the OptoGen platform. Speaker 600:34:56Understood, very helpful. And then with the 14,800,000 in cash and equivalents through year end 2023, I don't know if I missed this, but did you give any sense of the current cash runway just for the near term? Speaker 200:35:09John, would you Speaker 400:35:10like that? Speaker 100:35:12Yes. Yes, I'll take that. So as I mentioned in the prepared remarks, we're actually evaluating all different opportunities that we have and we'll do raise cash in order to fund the company's strategy going forward. The historical burn has been about $4,500,000 to $5,000,000 per quarter on an operating basis. We don't expect that to change at all. Speaker 100:35:37We will see some decrease in R and D expenses, some increase associated with the MicroPine study. So that's basically where we think the operating burn will come in for the year. We are expecting close to 2,000,000 dollars from Arctic Vision as well for a product development milestone going forward. So that gives you somewhat of a sense of where we see us from a cash standpoint. Operator00:36:21Our next question comes from the line of Kempe D'oliver with Brookline Capital Markets. Please proceed with your question. Speaker 700:36:29Thanks. I have two questions. First, with regard to Aperture, what needs to change for you to start advancing that program again? Speaker 200:36:43Thank you. It's good to have you on the call and a good question. So right now that market is pretty stable and, Veuity is selling about $14,000,000 or $15,000,000 maybe not even that high per year. So to be successful in this market is going to require, in my opinion, a strong promotional effort to basically do a relaunch of this. So if I look at it, if we do it, it's $1,000,000 to do the registration batches, it's $4,000,000 to file the NDA. Speaker 200:37:11So that's market. And that's pretty pricey in the market right now that's doing less than $15,000,000 So there is already one approved product that's waiting on the sidelines, an eye drop to come in. There's another one that's in Phase 3. I think in the end, there may be multiple eye drop competitors in the market, but we would be the only OptoJet. So if 1 or 2 of them come in and they're able to resurrect this market, we are entirely comfortable with letting someone else do that and coming in with what we perceive as the better product, better for patients and better for the doctors as well and coming in after they do the heavy lifting. Speaker 200:37:57So we'll be happy to take our money and use it elsewhere and then wait and know that we can pivot to this at any time. Speaker 700:38:08Is this something you would partner out possibly? Speaker 200:38:13We would, and we certainly could be talking with people, but I don't think at the moment there's a tremendous amount of interest in the market. So again, I think there's a lot of the big players are waiting by the side to see what happens as well. Speaker 700:38:30Great. Thank you. And second question is with on clobetasol and with your market share guidance, just to take the other side of the thought process. So you have a product with superior dosing. What's the gating factor with the update given that or the uptake given that advantage? Speaker 200:38:54So if you look at the glaucoma market as a surrogate, because it's very similar, you basically have 80% or 85% of the units are actually sold are generics. And then you have a small group of branded products that make up 15% of the units, but they make up about 50% of the value. So it would be very similar in the steroid market. There's one other brand that's in there that I think does about $35,000,000 a year and it's been out there maybe 2 years. So we would be coming in to that. Speaker 200:39:29So we do have a better product, but we're always going to be up against people who will want to go with the generic option. And this is why we are pricing our product basically at the same as a generic co pay, so that the economics do not become an issue when using us. And we're going to see what happens over the next 2 years by doing this strategy of what we call value pricing. And if it takes off the way we suspect after talking with customers, then I would be very happy to come back here a year or 2 from now and say that number is much higher than I thought. Speaker 700:40:08And have you started speaking with payers? Do you have any progress to report yet? Speaker 200:40:14We're doing the entire thing cash. We're working with an e pharmacy as well as getting the wholesale licenses because about 85% of ophthalmic surgeons sell the steroid right out of their office. And so the way we're doing this is as a wholesaler, we'll be supplying the physician offices and for individual patients, they'll be using an e pharmacy, one they're very familiar with and the entire thing is cash, again the same as a branded co pay. So there's no insurance issues, There's no callbacks. There's none of the things that are both timely and costly for the physicians. Speaker 200:40:57Great. Thank you. Thank you. Operator00:41:03Thank you. We have reached the end of our question and answer session. And with that, I would like to turn the floor back over to Michael Rowe for closing comments. Speaker 200:41:13Thank you, and thank all of you for joining us today. And that concludes today's call. We are very pleased with our progress to date, and we are very well positioned to continue our current momentum as our long term commercial plan and strategy continues to emerge. So thank you again for joining us and we look forward to talking again with you for our Q1 update in the spring. Operator00:41:41This concludes today's teleconference. You may disconnect your lines at this time. Thank you forRead morePowered by Conference Call Audio Live Call not available Earnings Conference CallEyenovia Q4 202300:00 / 00:00Speed:1x1.25x1.5x2x Earnings DocumentsSlide DeckPress Release(8-K)Annual report(10-K) Eyenovia Earnings HeadlinesEyenovia provides development update on Optejet UFDApril 11, 2025 | markets.businessinsider.comEyenovia Provides Development Update on Optejet User Filled Device (UFD)April 10, 2025 | globenewswire.comWarning: “DOGE Collapse” imminentElon Strikes Back You may already sense that the tide is turning against Elon Musk and DOGE. Just this week, President Trump promised to buy a Tesla to help support Musk in the face of a boycott against his company. But according to one research group, with connections to the Pentagon and the U.S. government, Elon's preparing to strike back in a much bigger way in the days ahead.April 27, 2025 | Altimetry (Ad)Eyenovia enters non-binding LOI to effect reverse merger with BetaliqMarch 21, 2025 | markets.businessinsider.comEyenovia Shares Drop 14% Amid Betaliq Merger TalksMarch 21, 2025 | finance.yahoo.comEyenovia Plans All-Stock Reverse Merger With BetaliqMarch 20, 2025 | marketwatch.comSee More Eyenovia Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like Eyenovia? Sign up for Earnings360's daily newsletter to receive timely earnings updates on Eyenovia and other key companies, straight to your email. Email Address About EyenoviaEyenovia (NASDAQ:EYEN), an ophthalmic technology company, engages in the development of therapeutics based on its proprietary microdose array print platform technology. The company's product candidates include MicroPine, which is in Phase III clinical development program with indications for pediatric myopia progression (near-sightedness); MicroLine, which is in Phase III clinical development program with indications for the improvement in near vision in people with presbyopia; and Mydcombi, which is in Phase III clinical development program with indications for pharmaceutical mydriasis. It has a license agreement with Bausch Health Ireland Limited to develop and commercialize MicroPine in the United States and Canada; a license agreement with Arctic Vision (Hong Kong) Limited to develop and commercialize MicroPine, MicroLine, and Mydcombi in China and South Korea; and Senju Pharmaceutical Co., Ltd. to develop and commercialize MicroPine, MicroLine, and Mydcombi. The company was formerly known as PGP Holdings V, Inc. and changed its name to Eyenovia, Inc. in May 2014. Eyenovia, Inc. was incorporated in 2014 and is based in New York, New York.View Eyenovia 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 Markets Think Robinhood Earnings Could Send the Stock UpIs the Floor in for Lam Research After Bullish Earnings?Market Anticipation Builds: Joby Stock Climbs Ahead of EarningsIs Intuitive Surgical a Buy After Volatile Reaction to Earnings?Seismic Shift at Intel: Massive Layoffs Precede Crucial EarningsRocket Lab Lands New Contract, Builds Momentum Ahead of EarningsAmazon's Earnings Could Fuel a Rapid Breakout Upcoming Earnings Cadence Design Systems (4/28/2025)Welltower (4/28/2025)Waste Management (4/28/2025)AstraZeneca (4/29/2025)Mondelez International (4/29/2025)PayPal (4/29/2025)Starbucks (4/29/2025)DoorDash (4/29/2025)Honeywell International (4/29/2025)Regeneron Pharmaceuticals (4/29/2025) Get 30 Days of MarketBeat All Access for Free Sign up for MarketBeat All Access to gain access to MarketBeat's full suite of research tools. 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There are 8 speakers on the call. Operator00:00:00Greetings, and welcome to the Eyenovia 4th Quarter and Full Year 2023 Earnings Call. At this time, all participants are in a listen only mode. A brief question and answer session will follow the formal presentation. As a reminder, this conference is being recorded. It is now my pleasure to introduce your host, Eric Ribner of Investor Relations. Operator00:00:29Thank you. You may begin. Speaker 100:00:32Good afternoon, and welcome to Eyenovia's Q4 and full year 2023 earnings conference call and audio webcast. With me today are Eyenovia's Chief Executive Officer, Michael Roe Chief Financial Officer, John Gandolfo and Chief Operating Officer, Bren Kern. This afternoon, we issued a press release announcing financial results for the 3 12 months ended December 31, 2023. We encourage everyone to read today's press release as well as Eyenovia's quarterly report on Form 10 ks the year ended December 31, 2023, which was filed with the SEC. The company's press release and annual report are also available on our website at www.inovia.com. Speaker 100:01:20In addition, this conference call is being webcast to the company's website and will be archived there for future reference. Please note that on today's call, we will be discussing products, product concepts and candidates, some of which have yet to receive FDA approval. Please also note that certain information discussed on the call today is covered under the Safe Harbor provisions of the Private Securities Litigation Reform Act. We caution listeners that during the call, Eyenovia's management will be making forward looking statements. Actual results could differ materially from those stated or implied by these forward looking statements due to risks and uncertainties associated with the company's business. Speaker 100:02:01These forward looking statements are subject to a number of risks, which are described in more detail in our annual report on Form 10 ks. This conference call contains time sensitive information that is accurate only as of the date of this live broadcast, March 18, 2024. Eyenovia undertakes no obligation to revise or update any forward looking statements to reflect events or circumstances after the date of this conference call, except as may be required by applicable securities law. With that said, I'd like to turn the call over to Michael Rowe, Eyenovia's Chief Executive Officer. Michael, the floor is yours. Speaker 200:02:41Thanks, Eric, and welcome everyone to our Q4 and full year 2023 financial results conference call. Last quarter, I talked about how Innovia has 3 levers to pull on as we continue our growth into a development and commercial organization. Those levers were revenues, agreements and sources of capital. Today, I will share with you how we have been executing against these three levers, particularly in terms of our advancing commercial strategy, which continues to accelerate with 2 approved products and 2 in Phase 3. I will also share news about us entering into 2 significant agreements that will complement our own sales efforts as well as provide an update on our plans for dry eye. Speaker 200:03:27Bren will then take us through the build out of our manufacturing capabilities, which are now fully integrated and producing commercial supply of MidCombi. And finally, John will provide an update on the 3rd lever, our financials and the options we are exploring towards ultimately reaching a breakeven for the company. So let's dive right into it with our 2 FDA approved products, suspension 0.05% and Midcombi. As you may recall, the U. S. Speaker 200:03:59Commercial rights for clobetasol were acquired from Taiwan based Formosa Pharmaceuticals last August. Just last week, we transferred the NDA for clobetasol from Formosa over to Eyenovia. Clobetasol was approved just 2 weeks ago on March 4. This unique post ocular surgery steroid is the first product developed using Formosys proprietary APNT nanoparticle formulation platform. That technology reduces an active pharmaceutical ingredients particle size with high uniformity and purity, thereby allowing penetration to relevant compartments in the eye and ultimately enhancing bioavailability. Speaker 200:04:41Cobezol is a potent steroid indicated for pain and inflammation following ocular surgery. This is the first time that this molecule is available in ophthalmology. Its efficacy and safety profile is highly desirable with nearly 9 out of 10 patients achieving complete absence of postsurgical pain and 6 out of 10 achieving total absence of inflammation within 15 days post ocular surgery. Clobetasol has an advantageous dosing profile of twice a day without titration versus existing treatments, which require dosing up to 4 times a day. This is particularly important as eye surgery patients are often on multiple drugs during recovery. Speaker 200:05:23So any advancement which simplifies the treatment regimen would be welcomed by eye doctors and patients alike. And in terms of safety, side effects we're seeing in no more than 2% of patients. And our label mentions that some of these side effects could have been the result of the surgical procedure itself. You can find additional information and full prescribing information at clobebasolbid dotcom. It is estimated there are more than 7,000,000 ocular surgeries in the U. Speaker 200:05:54S. Each year, most of which are treated with topical ocular steroids and steroid combinations currently totaling $1,300,000,000 in sales. This is a very significant market opportunity and one that we think we can capture a mid single digit market share over the next 3 to 4 years. We view clobetasol as a key addition to our commercial product portfolio, which will allow us to further leverage our existing sales force. Together with midcombi, our mydriasis product, we believe that we can bring significant value to eye care offices and surgical centers. Speaker 200:06:30And we are working toward a robust commercial launch of clobetasol as soon as our partner has received their Taiwanese export license later this year. Longer term, we see a potential opportunity to develop a formulation of flobetasol for our OptoJet dispenser as a potential treatment for dry eye, a market estimated to be worth over 3,600,000,000 dollars To that end, we plan to engage with the FDA in the coming months to discuss a path forward in that indication. While obedazole is a great product for us, it is only half of our revenue story. Midcombi is the other half. As you know, Midkombe is the 1st and only FDA approved fixed combination of 2 pupil dilation drugs, tropicamide and phenylephrine, and the first ophthalmic spray using the OptoJET platform. Speaker 200:07:22When our sales force talks with customers, they highlight how our products can help bookend the surgery by using medcombi as their mydriatic agent pre surgery and clobetasol as their steroid post surgery. We have now hired, trained and deployed half of our 10 person field sales force with the remainder set to come on board in the coming weeks. Also, we continue to make excellent progress satisfying state commercial licensing requirements where required with the condi now licensed for sale in 16 states, representing more than half of the U. S. Targeted population. Speaker 200:07:57We have a dozen other license applications in process. In terms of manufacturing, in November, we were very pleased to announce that our contract manufacturer, Coastline International, was approved by the FDA for Midkombe commercial manufacturing. We also recently announced FDA approval of our Redwood City facility as a commercial manufacturing facility. With Redwood City, Reno and Coastline now all online, we have commenced the manufacture of commercial supply of the commie and we now have finished product moving into and out of our warehouse. Bren will provide a more detailed manufacturing update in a moment. Speaker 200:08:36Customer feedback on Midkombe has been excellent. And to further illustrate that point, we are very pleased to announce that VisionSource, a leading network of approximately 3,000 locally owned optometry offices, has added midcombi as an approved product for its membership. We have great expectations for this sales channel as midcombi has particular benefits for those offices that are patient focused and choose to incorporate midcombi to enhance the comprehensive eye exam experience of their patients. As we like to say, these offices and doctors use midgomni because they care for their patients. The current U. Speaker 200:09:16S. Market for pupil dilation is valued at approximately $250,000,000 and we feel we are well poised to take a good portion of that market share over the coming years, especially when we move to our next generation device. Staying on the topic of midcombi for a moment, we recently completed a study to determine if there was a lower dose that could be effective to achieve pupil dilation for drug sensitive patients. The study was conducted by Doctor. Denise Pencil of the State University of New York School of Optometry. Speaker 200:09:4729 subjects were treated with a half dose of Bikombe, which is 8 microliters per eye. In that study at 30 minutes post dose, clinically relevant pupil dilation was achieved in approximately 2 thirds of patients and that percentage increased by 60 minutes. Almost all patients returned to a pupil size of less than 5 millimeters between 3.5 hours and 6 hours post installation. This is similar to the time seen in published studies of patients exposed to tropicamide eyedrops and a mydriasis reversal drug. The dose was well tolerated with minimal adverse events reported with 3 subjects reporting mild installation site pain and one with mild dry eye upon installation. Speaker 200:10:32Given that a standard of care mydriasis agent phenylephrine may present safety risks in a few older patients, the greater dosing flexibility enabled by MidConvy and the OptoGen could address an unmet need among the approximately 100,000,000 comprehensive and diabetic eye exams and over 4,000,000 cataract surgeries performed in the U. S. Each year. We plan to publish the full results in a peer reviewed journal later this year. As previously mentioned, we will soon have 10 sales representatives and 2 sales directors in the field to commercialize FITCOMBI and clobetasol. Speaker 200:11:09Half of this team is already trained and in place working every day to present the benefits of our products and pull the revenue lever. Additionally, we recently announced a co promotion agreement with NovaBay, a leading developer of anti infective eye products. Per the terms of that agreement, NovaBay will promote obedasol to hundreds of eye care professionals that our salespeople are not calling on through its telephone based salespeople. They will also conduct outreach to eye doctors in those geographic areas that our salespeople are not currently covering. Meanwhile, our field sales force will promote their prescription Avenova antimicrobial lid and lash solution to our doctors, who can include this product in their suite of pre and post surgical offerings. Speaker 200:11:55In addition to the benefit of additional promotion and potential sales for both sides, each party will also get a percentage of the sales that they generate. This is an extremely cost effective way to boost our commercial sales reach. We believe this agreement will be very beneficial to both parties. In summary, we are actively promoting Midkombe and we'll be leveraging our new agreement with VisionSource. We are preparing to commercialize clobetasol and we'll leverage our new agreement with NovaBay. Speaker 200:12:24And we are reloading our pipeline by bringing MicroPine back through reacquiring the commercial and development rights this past January for the U. S. And Canada from Bausch and Lomb. MicroPine is an investigational 8 microliter ophthalmic spray of atropine delivered by the OptoGen. MicroPine is being evaluated as a potential treatment for pediatric progressive myopia or worsening near sightness, which is characterized by elongation of the sclera and retina. Speaker 200:12:54We estimate that more than 25,000,000 children in the U. S. Suffer from myopia and of these 5,000,000 are believed to be at high risk for progressive myopia. If left untreated, progressive myopia can ultimately lead to significant vision loss and potential blindness. Prior studies have demonstrated that atropine can slow myopia progression by as much as 60% and there is a significant unmet need for safe and effective FDA approved pharmaceutical treatment options. Speaker 200:13:24In terms of next steps, we are continuing to advance the Phase 3 CHAPRONE study and we plan to meet with the FDA to explore options to expedite development and registration of MicroPine in a capital efficient manner. One option we are working on is a planned interim look at the CHAPRONE data later this year. If that interim analysis is successful, we could potentially be looking at a substantially de risked program that could be very attractive either for us alone or for a commercialization partner. Lastly, we are maintaining MicroLine or ApoSure in our portfolio should the presbyopia market show signs of improvement. Right now, our opinion is that we can make better use of our capital elsewhere in our portfolio, but we can turn very quickly back to this product candidate if the situation should change. Speaker 200:14:14So this gives us line of sight to 3 and possibly 4 commercial revenue generating products. We continue to explore development of novel therapeutics levering the OptoJet for dry eye, glaucoma and other large market indications as part of our second lever towards success. These potential partnerships are moving forward and we anticipate sharing more information when they reach the stage of a full development agreement after all of the device compatibility work has been completed. At this point, I'd like to turn the call over to our Chief Operating Officer, Bren Kern, for our manufacturing update. Bren? Speaker 300:14:53Thank you, Michael. During the Q4 and through early this year, we continue to execute on our strategy to maintain control of our manufacturing processes, ensuring our products meet high levels of reliability and sterility. As a reminder, we use contract manufacturers to supply us with drug substance, which we then use to fill our cartridges at our Redwood City facility. These cartridges are then married with our electronic base units, which are manufactured at our Reno, Nevada facility. We are now fully capable of supporting our current anticipated mid combi commercial demand as well as the needs for ongoing micro pine development in 2024. Speaker 300:15:32More specifically, last month, we are very pleased to receive FDA approval of our Lynnwood City facility with no significant concerns raised on the part of the agency. This approval will provide Redwood City with the ability to perform final assembly, packaging and labeling activities in support of mid combi and complements our Reno facilities and contract manufacturers. As previously announced, Coastline International also received FDA approval and is now producing MidCombi commercial supply. Redwood City will also be the manufacturing site of our Gen 2 device, which has significantly fewer parts than our existing device, making its manufacturing easier and more reliable. We are targeting midcombi as the first product that will be available in Gen 2 and our Redwood City facility is actually making product to begin engineering stability studies and registration batches before the end of the year. Speaker 300:16:28Our strategy for moving from the GEN-one to the GEN-two will be the subject of an FDA meeting this summer. And assuming we come to an agreement, demonstrating comparability between the two devices should provide a path for Eyenovia to introduce the Gen 2 platform into the commercial market. Our Reno facility is also producing the Optejet Ejector and base in support of MYCOMBI and continues to expand production capabilities by refining our state of the art equipment. When complete, the capabilities of this new facility will provide significant increase in injector manufacturing capacity, enabling fulfillment of both our commercial and clinical product needs. As noted earlier this year, Eyenovia has reacquired the rights to MicroPine. Speaker 300:17:13MicroPine is an investigational 8 microliter ophthalmic spray of atropine delivered by Eyenovia's proprietary OptoJET device being evaluated as a potential treatment for pediatric progressive myopia characterized by elongation of the retina. We are actively uplifting our MicroPine clinical management capabilities in this regard, which we expect to be complete in mid April of this year. With MicroPine under our management, Eyenovia will be speaking with the FDA to discuss opportunities to accelerate the completion of the study. I continue to be excited about our recent successes and the progress we are making. We now have 2 FDA approved manufacturing sites that we manage, preparing us to meet the market demands for our products. Speaker 300:17:57I'm looking forward to expanding on these significant achievements to be made in this year. I would now like to turn the call over to our Chief Financial Officer, John Gandolfo to provide a financial update. Speaker 200:18:09John? Thank you, Brent. Speaker 100:18:13For the Q4 of 2023, we reported net loss of approximately $8,000,000 or $0.18 per share and approximately 45 point 4,000,000 weighted average shares outstanding. This includes a $0.02 loss related to the one time repatriation costs for bringing MicroPheme back to Eyenovia from Bausch. This compares to a net loss of $6,100,000 or $0.17 per share and approximately 35,900,000 weighted average shares outstanding for the Q4 of 2022. For the full year 2023, we reported a net loss of approximately $27,300,000 or $0.66 per share and approximately 41,000,000 weighted average shares outstanding. This compares to a $28,000,000 $0.83 per share and approximately 33,600,000 weighted average shares outstanding for the full year 2022. Speaker 100:19:14Research and development expenses totaled approximately $4,100,000 for the Q4 of 2023 and this compares to $2,200,000 for the Q4 of 2022, an increase of 84.6%. For the full year 2023, research and development expenses decreased approximately 3% to $13,000,000 and this compares to $13,400,000 for the full year 2022. The full year decrease was driven primarily by lower direct clinical and non clinical expenses as well as deferral of costs related to the future delivery of clinical supply to our licensed partners. For the Q4 of 2023, general and administrative expenses were approximately $3,400,000 as compared to $3,200,000 for the Q4 of 2022, an increase of 7.3%. For the full year 2023, G and A expenses decreased approximately 8.1 percent to $12,400,000 as compared to $13,500,000 for the full year 2022. Speaker 100:20:27The full year decrease was driven by reduction in legal expenses and executive recruitment costs on a year over year basis. Total operating expenses for the Q4 of 2020 3 were approximately $7,500,000 as compared to $5,400,000 for the same period in 2022. This represents an increase of approximately 39%. Total operating expenses for the full year 5.6 percent to $25,400,000 as compared to $26,900,000 for the full year 2022. As of December 31, 2023, company's cash balance was approximately $14,800,000 as compared to $22,900,000 as of December 31, 2022. Speaker 100:21:22We are currently reviewing evaluating various structures and alternatives to increase our cash resources in order to fund our corporate strategy going forward. I'll now provide an update on our existing licensing agreement with Arctic Vision for all three of our products in China and South Korea. Regarding our prior partnership with Faschelon, as Michael mentioned earlier, we reacquired the development and commercial rights to MicroPine and have taken over continued execution of the ongoing Phase 3 CHAPERONE trial. Our agreement with Arctic Vision covers MicroPine, MicroLine and Midcombi and provides us sales royalties in addition to development milestones. MicroPine in particular is a significant opportunity in China for pediatric myopia. Speaker 100:22:14If approved, MicroPine could be a potentially meaningful source of non dilutive funding for our company over the long term. To date, our license agreements have generated approximately $16,000,000 in license fees and we have the potential to earn $25,000,000 in net license and development milestones for Arctic Vision over the next 3 to 4 years. If our products are approved on commercialization, Eyenovia is also eligible to earn significant sales royalties as well. We are continuing to assess potential pipeline expansion opportunities similar to our Formosa agreement, and we will continue to leverage the OptoGen technology to address unmet needs and additional large ophthalmic indications beginning with dry eye. In conclusion, we are very pleased with our performance in the Q4 of 2023 as well as the subsequent period. Speaker 100:23:10To summarize our key highlights today, we reacquired the development and commercialization rights to MicroPine in the U. S. And Canada from bastion alone. MicroPine is a face is in Phase 3 as a potential treatment for progressive pediatric myopia, a potential blockbuster opportunity for the company. We announced FDA approval of clobetasol for the treatment of pain and inflammation following ocular surgery. Speaker 100:23:38We announced 2 important agreements to complement their own sales efforts, 1 with VisionSource for midcombi and 1 with NovaBay for flabetasol and Avenova. We finalized the build out of our manufacturing capabilities to support Midcomy production with Coastline Manufacturing and our Redwood City facility is now online in addition to our facility in Reno. And finally, our licensing agreement with Arctic Vision is progressing well and remains a promising avenue for significant development and regulatory milestones as well as the potential for sales royalties and commercialization. That concludes our prepared remarks. We would now like to turn the call over for questions. Speaker 100:24:22Operator? Operator00:24:26Thank you. We will now be conducting a question and answer session. Thank you. Our first question comes from the line of Tim Lugo with William Blair. Please proceed with your question. Speaker 400:25:04Thanks for the question. Now that MicroPine has been brought back into the company and you have the rights, can you talk about this accelerating the development of the program? I know in the prepared remarks you mentioned you'll engage with the agency about this possibility. So maybe I'd love to hear some initial thoughts around what you could do for this acceleration of development? Speaker 200:25:29Yes, Tim. Thank you for the question. Our intent is to do a protocol amendment and put in an interim analysis later this year when we believe we would have And we'll be talking to the FDA about that as well. Because if we do that and if we are successful as a placebo controlled study, we may be able to make the argument that it's really not ethical to continue as it is with a placebo arm if we can show that we already have a significant event. And that could shave a number of years off the study and enable us to bring it to an NDA that much faster. Speaker 200:26:17So the strategy is to do the interim analysis towards the end of this year. And if that is successful, to talk to the FDA about how we can close that study earlier so that we can move to an NDA. Speaker 400:26:30That's very helpful. Thank you. You're welcome. And regarding the half dose study, is that something that OpRegen can adjust to or do you need to submit an sNDA to get this onto the label? Speaker 200:26:48Well, to get that onto the label, we would have to submit to the FDA. That study was done to answer a very specific medical question for a specific population. So we are able to adjust to that with the OptoGen because we did want to get that answer to see if you could go lower for this particular need. Speaker 400:27:08Okay, fair enough. And for the NovaBay co promotion, could you again and maybe you had this in my comments I missed it, but can you just kind of scope out what capabilities they're bringing to the margin of ClubAdvisor? Speaker 200:27:24They are bringing an in house sales force that's very experienced doing telephone sales into cataract surgeons. They do it now for their product, Abenova. So they would take that experience and do the same for clobetasol in those areas where we do not have salespeople. So essentially, they will extend our reach into those offices. And every time they're successful, they will get a percentage of that sale. Speaker 200:27:51And likewise, we can hand carry their product Avenova into cataract surgeons where we do have salespeople, because it is part of many of their practices and where we are successful, we get a portion of that. So basically, it's a way to extend our promotional reach with no additional cost and the opportunity to pick up some money at the same time. Speaker 400:28:14Understand. That makes sense. Thank you. Speaker 200:28:17Thank you. Operator00:28:22Our next question comes from the line of Matt Kaplan with Ladenburg Thalmann. Please proceed with your question. Speaker 500:28:29Hey, guys. Good evening and thanks for taking the questions and congrats on the progress. Just wanted to first focus on your commercial programs. Can you help us understand the kind of potential launch trajectories for both clobetasol and midcombi and what we should expect, I guess, this year and going into next specifically? Speaker 200:28:55Yes. Hi, Matt. It's good to have your call. John, I believe that there have been analysts out there that have spoken to this. I know we haven't given guidance, but maybe you can talk to what our reaction has been to the analysts? Speaker 100:29:08Yes. So we're the analysts do have numbers in their model out there and we're very comfortable with the analysts' estimates that are out there for the balance of 2024. At this point, we're not going to give revenue guidance ourselves. We'll reevaluate that at the end of the year after these products have been in the market for a while. But overall, I think we're comfortable with the analyst estimates that are out there. Speaker 500:29:39Okay. That's helpful. And maybe just to focus in on a little bit with your new lease signed agreement with VisionSource. You mentioned that there are about 3,000 offices that are associated with that. Should we expect more or additional deals or collaborations such as these kind of going forward as you continue to launch of MidConvy and Clobetasol? Speaker 200:30:04Yes, absolutely. So this is the first one that's signed. We do have others that are in the Signature phase, and they're a mix. Some of them are like VisionSource, whereas for the retail optometrists, Others are with large institutions, where they are looking to replace their disposable use of of mydriatic agents. What they do now is they use IMbodum once and they throw it away and it's costly to them. Speaker 200:30:34It's like $15 every time they do this to a patient. So they would replace that with Midkomib and we are working right now to get some of these agreements signed where we would essentially be on their formulary replacing what they're doing now. Speaker 500:30:52Great. And then just shifting to your pipeline, your 2nd generation device, can you tell us a little bit more about that and how it differs from the 1st gen and when we should expect the Combi in the marketplace? Speaker 200:31:12Yes. Brad, would you like to give a high level discussion about Gen 2? Speaker 300:31:19Absolutely. So our Gen 2 products offers simplification from a manufacturing capability, enabling us to produce these more easily with a higher reliability, With Midkomby being the 1st platform that we're going to take that into, we're actually actively working our registration batches to be completed this year. And then we'll be speaking with the FDA on getting the JAN-two platform into mid COMBI, hopefully early next year after we get the registration batches put up. Speaker 500:31:53Okay, great. And then with respect to your dry eye program, can you tell us a little bit more about that and when we do you expect to move that into the clinic this year? Speaker 200:32:05Yes. We actually have 3 things that we're working on. We have acute dry eye that we're in discussions with Formosa For glabenozole, we have chronic dry eye that we're actually actively collaborating with a company where we're working on taking their drug and putting it into the option and making sure it's entirely compatible. And then we have a third one that we're also would be in chronic, a different molecule that we're working on. So what we want to do is we have collaboration agreements in place. Speaker 200:32:40And what's happening in that collaboration agreement is we're working out all of the CMC issues of how do we get your drug over to our facility in a sterile fashion and how do we make sure it's compatible with our device. All of that takes anywhere between 4 6 months. When that's done, that leads to an option for a development agreement and that's when we'll talk about it publicly. Speaker 500:33:07Okay, great. Well, thanks again for taking the questions. Speaker 100:33:11Thanks, Matthew. Thank you. Operator00:33:16Our next question comes from the line of Matthew Caulfield with H. C. Wainwright. Please proceed with your question. Speaker 600:33:24Hey, Michael and team. Thanks for taking our question. So with clobetasol plans for OptoGen development in dry eye, are there any comparable advantages to ultimately utilizing OptoJet within the approved indication for post operative pain? Speaker 200:33:41Thank you, Matthew, for that question. The answer is yes, it would be a lot easier for cataract and other post surgical patients to use the OptoGen in my opinion than an eyedropper and we could certainly go back and look at that again. What we would have to do basically is run a pain study, although only one of them, pain and inflammation, because according to the FDA, the OpRegET delivers an ophthalmic spray, which is a different form than ophthalmic solution. So it requires a Phase 3 study. Why that's a good thing is that it makes it impossible to replace the OptoJet with an eye drop. Speaker 200:34:19So from a generic point of view, you can't simply take a molecule we put into the OptoJet and replace it with something that's in an eye drop form. So that's a good thing. But on the other hand, it causes us a little bit more time to get something approved. So the strategy was, let's get this additional indication for dry eye, which is a much bigger indication for the product. And then we can make the decision to pivot back and redo a pain and inflammation one study to add that onto the OptoGen and then ultimately just beyond the OptoGen platform. Speaker 600:34:56Understood, very helpful. And then with the 14,800,000 in cash and equivalents through year end 2023, I don't know if I missed this, but did you give any sense of the current cash runway just for the near term? Speaker 200:35:09John, would you Speaker 400:35:10like that? Speaker 100:35:12Yes. Yes, I'll take that. So as I mentioned in the prepared remarks, we're actually evaluating all different opportunities that we have and we'll do raise cash in order to fund the company's strategy going forward. The historical burn has been about $4,500,000 to $5,000,000 per quarter on an operating basis. We don't expect that to change at all. Speaker 100:35:37We will see some decrease in R and D expenses, some increase associated with the MicroPine study. So that's basically where we think the operating burn will come in for the year. We are expecting close to 2,000,000 dollars from Arctic Vision as well for a product development milestone going forward. So that gives you somewhat of a sense of where we see us from a cash standpoint. Operator00:36:21Our next question comes from the line of Kempe D'oliver with Brookline Capital Markets. Please proceed with your question. Speaker 700:36:29Thanks. I have two questions. First, with regard to Aperture, what needs to change for you to start advancing that program again? Speaker 200:36:43Thank you. It's good to have you on the call and a good question. So right now that market is pretty stable and, Veuity is selling about $14,000,000 or $15,000,000 maybe not even that high per year. So to be successful in this market is going to require, in my opinion, a strong promotional effort to basically do a relaunch of this. So if I look at it, if we do it, it's $1,000,000 to do the registration batches, it's $4,000,000 to file the NDA. Speaker 200:37:11So that's market. And that's pretty pricey in the market right now that's doing less than $15,000,000 So there is already one approved product that's waiting on the sidelines, an eye drop to come in. There's another one that's in Phase 3. I think in the end, there may be multiple eye drop competitors in the market, but we would be the only OptoJet. So if 1 or 2 of them come in and they're able to resurrect this market, we are entirely comfortable with letting someone else do that and coming in with what we perceive as the better product, better for patients and better for the doctors as well and coming in after they do the heavy lifting. Speaker 200:37:57So we'll be happy to take our money and use it elsewhere and then wait and know that we can pivot to this at any time. Speaker 700:38:08Is this something you would partner out possibly? Speaker 200:38:13We would, and we certainly could be talking with people, but I don't think at the moment there's a tremendous amount of interest in the market. So again, I think there's a lot of the big players are waiting by the side to see what happens as well. Speaker 700:38:30Great. Thank you. And second question is with on clobetasol and with your market share guidance, just to take the other side of the thought process. So you have a product with superior dosing. What's the gating factor with the update given that or the uptake given that advantage? Speaker 200:38:54So if you look at the glaucoma market as a surrogate, because it's very similar, you basically have 80% or 85% of the units are actually sold are generics. And then you have a small group of branded products that make up 15% of the units, but they make up about 50% of the value. So it would be very similar in the steroid market. There's one other brand that's in there that I think does about $35,000,000 a year and it's been out there maybe 2 years. So we would be coming in to that. Speaker 200:39:29So we do have a better product, but we're always going to be up against people who will want to go with the generic option. And this is why we are pricing our product basically at the same as a generic co pay, so that the economics do not become an issue when using us. And we're going to see what happens over the next 2 years by doing this strategy of what we call value pricing. And if it takes off the way we suspect after talking with customers, then I would be very happy to come back here a year or 2 from now and say that number is much higher than I thought. Speaker 700:40:08And have you started speaking with payers? Do you have any progress to report yet? Speaker 200:40:14We're doing the entire thing cash. We're working with an e pharmacy as well as getting the wholesale licenses because about 85% of ophthalmic surgeons sell the steroid right out of their office. And so the way we're doing this is as a wholesaler, we'll be supplying the physician offices and for individual patients, they'll be using an e pharmacy, one they're very familiar with and the entire thing is cash, again the same as a branded co pay. So there's no insurance issues, There's no callbacks. There's none of the things that are both timely and costly for the physicians. Speaker 200:40:57Great. Thank you. Thank you. Operator00:41:03Thank you. We have reached the end of our question and answer session. And with that, I would like to turn the floor back over to Michael Rowe for closing comments. Speaker 200:41:13Thank you, and thank all of you for joining us today. And that concludes today's call. We are very pleased with our progress to date, and we are very well positioned to continue our current momentum as our long term commercial plan and strategy continues to emerge. So thank you again for joining us and we look forward to talking again with you for our Q1 update in the spring. Operator00:41:41This concludes today's teleconference. You may disconnect your lines at this time. Thank you forRead morePowered by