NASDAQ:INO Inovio Pharmaceuticals Q2 2025 Earnings Report $1.86 +0.24 (+14.81%) Closing price 08/15/2025 04:00 PM EasternExtended Trading$1.90 +0.03 (+1.88%) As of 08/15/2025 07:59 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. ProfileEarnings HistoryForecast Inovio Pharmaceuticals EPS ResultsActual EPS-$0.61Consensus EPS -$0.63Beat/MissBeat by +$0.02One Year Ago EPSN/AInovio Pharmaceuticals Revenue ResultsActual RevenueN/AExpected Revenue$0.01 millionBeat/MissN/AYoY Revenue GrowthN/AInovio Pharmaceuticals Announcement DetailsQuarterQ2 2025Date8/12/2025TimeAfter Market ClosesConference Call DateTuesday, August 12, 2025Conference Call Time4:30PM ETConference Call ResourcesConference Call AudioConference Call TranscriptPress Release (8-K)Quarterly Report (10-Q)Earnings HistoryCompany ProfilePowered by Inovio Pharmaceuticals Q2 2025 Earnings Call TranscriptProvided by QuartrAugust 12, 2025 ShareLink copied to clipboard.Key Takeaways Positive Sentiment: Inovio has completed design verification testing of the Selectra 5 PSP device and requested a rolling BLA submission for INO-3107, targeting file acceptance by year-end and a potential PDUFA date in 2026. Positive Sentiment: Peer-reviewed publications (Nature Communications and The Laryngoscope) report that INO-3107 achieved a 72% reduction in surgeries in year one and 86% in year two, supporting its potential as a new standard of care for RRP. Positive Sentiment: Inovio is preparing a placebo-controlled confirmatory trial with 100 RRP patients across ~20 US sites, aligning with FDA and European regulator feedback to validate surgical reduction endpoints. Positive Sentiment: Q2 2025 results show a 31% year-over-year drop in operating expenses, a 27% reduction in net loss, and a strengthened cash position (runway into 2026) following a $22.5M public offering. Neutral Sentiment: Beyond INO-3107, Inovio highlighted progress on next-generation DNA medicine platforms (dMAb and DProp) and is seeking partnerships to advance these programs into the clinic. AI Generated. May Contain Errors.Conference Call Audio Live Call not available Earnings Conference CallInovio Pharmaceuticals Q2 202500:00 / 00:00Speed:1x1.25x1.5x2xThere are 11 speakers on the call. Operator00:00:00Good afternoon, ladies and gentlemen, and welcome to the Inovio Second Quarter twenty twenty five Financial Results Conference Call. At this time, all lines are in listen only mode. Following the presentation, we will conduct a question and answer session. This call is being recorded on Tuesday, 08/12/2025. I would now like to turn the conference over to Jenny Wilson. Operator00:00:31Please go ahead. Speaker 100:00:33Good afternoon, and thank you for joining the Inovio Second Quarter twenty twenty five Financial Results Conference Call. Joining me on today's call are Doctor. Jackie Shea, President and Chief Executive Officer Doctor. Mike Sumner, Chief Medical Officer Peter Keyes, Chief Financial Officer and Steve Ege, Chief Commercial Officer. Today's call will review our corporate and financial information for the quarter ended 06/30/2025, as well as provide a general business update. Speaker 100:01:02Following prepared remarks, we will conduct a question and answer session. During the call, we will be making forward looking statements regarding future events and the future performance of the company. These events relate to our business plans to develop Inovio's DNA medicines platform, which include clinical and regulatory development and timing of clinical data readouts and planned regulatory submissions, along with capital resources and strategic matters. All of these statements are based on the beliefs and expectations of management as of today. Actual events or results could differ materially. Speaker 100:01:34We refer you to the documents we file from time to time with the SEC, which under the Risk Factors heading identify important factors that could cause actual results to differ materially from those expressed by the company verbally, as well as statements made within this afternoon's press release. This call is being webcast live, and a link can be found on our website, ir.inovio.com, and a replay will be made available shortly after this call is concluded. I will now turn the call over to Inovio's President and CEO, Doctor. Jackie Hsieh. Speaker 200:02:03Good afternoon, and thank you for joining today's call. I'd like to start today by highlighting the important progress we've made so far this year as we work to achieve our key strategic priorities. Most importantly, I'm very pleased to report that we remain on track to submit our BLA for INO-three thousand 107 in the second half of this year, thanks to several key accomplishments. We have completed the design verification or DV testing of our Selectra five PSP device, which allows us to move forward with the next key regulatory milestones for this program. Utilizing the breakthrough therapy designation awarded by the FDA to 03/2007, we have also requested rolling submission of our BLA. Speaker 200:02:54Our goal is to complete the submission and receive file acceptance by year end. We plan to request a priority review of our BLA, which, if accepted, would provide a six month review of the file, potentially providing for a PDUFA date around the 2026. I'm also pleased to report that in addition to the publication of our Phase onetwo clinical data in Nature Communications earlier this year, data from our retrospective study on the long term clinical effect of three thousand one hundred and seven have been published in the Laryngoscope, the leading journal for physicians who treat RRP. These data are an integral part of our BLA submission package and core to our belief that 3,107 could become the preferred product for patients and providers alike. Mike and Steve will provide further details shortly. Speaker 200:03:52While we continue to drive progress on the regulatory front, we have also continued working to advance our commercial plans, ensuring that we are prepared for a swift and efficient launch should 3,107 be approved. That includes engaging in further market research and continuing to refine our go to market plans. And finally, while we are primarily focused on the BLA submission for our lead asset 3107, we are excited about the potential of our broader pipeline. Most recently, we've had opportunities to highlight the broad therapeutic potential of our next generation DNA medicine technology, including sharing the top line data from a phase onetwo trial of our DNA encoded monoclonal antibody or dMAb technology in a preprint on Research Square and featuring dMAbs and our DNA encoded protein replacement or Dprop technology in a presentation at the Orphan Drug Summit in Boston this past July. We believe there are multiple diseases or medical conditions that our Dprop platform could successfully target, and we are actively seeking partnerships to advance this technology into the clinic. Speaker 200:05:11I look forward to sharing more on our progress there in the coming months. With that, I'll turn it over to Mike for an update on our progress with 03/2007. Speaker 300:05:21Thanks, Jackie. As Jackie highlighted, we have made significant progress so far this year towards our primary goal, which is to submit a BLA for INO-three thousand one hundred seven in the 2025. With DV testing for the Selectra five PSP device complete and non device related modules of the BLA ready for submission, we have moved forward with the next phase of our regulatory plans, requesting rolling submission of our BLA from the FDA in July. Rolling submission is one of the options available to candidates like 3,107 that have been granted breakthrough therapy designation. We aim to complete our BLA submission over the next several months and request a priority review. Speaker 300:06:10If granted, this would allow for a six month review period leading to a potential PDUFA date in the 2026. We are now focused on finalizing the device related sections of the BLA and updating our active IND so that we can commence enrollment for our placebo controlled randomized confirmatory trial, which will include 100 RRP patients and be conducted at approximately 20 sites across The United States. Amidst our focus on preparing for our BLA submission, I'm also pleased to report that the FDA inspection of Inovio as clinical sponsor of the phase onetwo trial was successfully completed. This is an important step in the regulatory process that's designed to assess compliance with FDA regulations for the conduct of clinical trials. And finally, we've continued to add to the body of research demonstrating the transformational potential of thirty one zero seven. Speaker 300:07:14In addition to the immunology and clinical data from our phase one two trial published in Nature Communications earlier this year, Data from our retrospective study, RRP two, investigating the long term clinical efficacy in patients treated with thirty one zero seven have just been published in a peer reviewed journal, The Laryngoscope, which targets the key physicians who treat RRP. As a reminder, we conducted this separate retrospective trial to collect long term efficacy data on twenty eight of the original thirty two patients with a median follow-up of two point eight years. We first announced the data in December and later presented it at the combined otolaryngology spring meeting, otherwise known as COSM. It demonstrates that three thousand one hundred seven provided significant clinical benefit to RRP patients as measured by reduction in surgery that continued to improve in almost all patients through year two and into year three following initial treatment. More specifically, in the first year, seventy two percent of patients saw a fifty to one hundred percent reduction in the number of surgeries after starting treatment with thirty one zero seven. Speaker 300:08:40With no additional dosing, this number increased to eighty six percent in the second twelve month period or year two, with half of the patients requiring no surgeries at all, an increase from twenty eight percent in year one. Focusing on the mean number of surgeries per year, you can see here that they continue to drop from four point one surgeries in the year prior to receiving thirty one zero seven to one point seven for year one to zero point nine for year two. Although we only have partial data for year three, the improvement seems to be holding steady, and we believe this presents an opportunity to consider a longer term treatment strategy that leverages one of the core strengths of our DNA medicine platform, which is the ability to administer additional doses to continue to drive and amplify strong T cell based immune responses without having to worry about the impact of an anti vector response. With that approach, we could potentially maintain complete and partial responses or extend clinical improvement, including the potential for nonresponders to mount a clinical response. Collectively, we believe this research illustrates some of the foundational strengths of our RRP program, strengths that potentially position 3107 as a new standard of care for RRP and the preferred treatment by patients and their health care providers. Speaker 300:10:17First, there is a significant unmet need for a therapeutic option that reduces the number of surgeries patients face to control this debilitating rare disease. Aside from posing risks for permanent vocal cord damage and burdening patients with emotional and financial costs, these surgeries don't address the underlying disease, and that's where the potential of 3,107 comes in. Our treatment is designed to reduce the need for surgery for a broad range of patients by teaching their immune system to fight the human papillomavirus causing their disease. In the Nature Communications paper, we described our proposed mechanism of action, showing that three thousand one hundred seven was able to elicit an antigen specific T cell response against both HPV six and HPV eleven proteins, the two strains known to cause the vast majority of RRP cases. That T cell response correlated to the reduction in surgery we observed in the trial. Speaker 300:11:25Looking at our RRP-one and two clinical trials together, we have demonstrated that treatment with three thousand one hundred seven resulted in long term surgery reduction for patients, indicating that three thousand one hundred and seven, if approved, could be an effective treatment option for RRP with the potential to change the trajectory of patients' disease. And finally, we are working to initiate the confirmatory trial, which is a randomized placebo controlled trial that takes into account both FDA feedback and patients focus on reduction in surgery and is designed for patients who have had two or more surgeries in the year prior to treatment initiation. The design of the trial also aligns with feedback from European regulators, which is important for future development plans. With that, I'll turn it over to our Chief Commercial Officer, Steve Eggie, for some additional commercial insights. Steve? Speaker 300:12:27Thanks, Mike. I'd like Speaker 400:12:28to take a few moments to highlight how we're leveraging and building on those foundational strengths that Mike just described in our commercial strategy and why they're central to our belief that 3,107 will become the preferred product for patients and providers. Let's start with the patients in the market opportunity. In The US, the most widely cited US epidemiology data published in 1995, estimated there were fourteen thousand active adult and juvenile cases and about one point eight per one hundred thousand new cases of RRP in adults each year. However, research and our own claims data analysis indicates that these estimates are likely underrepresenting the prevalence of the disease. Because HPV vaccination rates are plateauing, and because the majority of the adult population remains unvaccinated, the risk of RRP remains steady. Speaker 400:13:21In fact, HPV experts believe the HPV vaccine is unlikely to have a significant impact on RRP prevalence in adults for at least a generation. As Mike noted earlier, 3,107 was designed with the understanding that every surgery matters, because every surgery carries both a risk and a cost to the patient. We believe 3,107 has the potential to address a significant unmet need by targeting the underlying cause of RRP to reduce the number of surgeries these patients face. We also see potential to provide continuation of therapy with three thousand one hundred seven, meaning additional dosing over time to maintain or extend patient outcomes, which is important in a chronic lifelong disease. So not only is there significant market opportunity here, our market research continues to tell us that patients and providers find the combination of efficacy, tolerability, and simplicity that three thousand one hundred seven offers very compelling. Speaker 400:14:20With respect to efficacy, the vast majority of patients saw significant benefit from three thousand one hundred seven. And for many of them, that benefit continued to improve over time. The physicians we spoke to were most interested in the overall response rate, seventy two percent in year one, with increased to eighty six percent in year two. And they noted while the complete response rate is good, a fifty percent to one hundred percent reduction in surgeries in eight out of ten patients is most compelling. Similarly, when laryngologists look at the tolerability data, they see a generally well tolerated treatment that would have a limited impact on patients return to daily life, which is important when a patient is receiving four doses over a relatively short period of time. Speaker 400:15:07And finally, with respect to the treatment regimen itself, three thousand one hundred seven can be administered in the physician's office. There's no need to refer patients out to an infusion center, so the physician maintains control. The device is also simple to use and with three thousand one hundred seven, there is no requirement for scoping or surgeries during the treatment window. This is important because again, every single surgery carries both a risk and a cost to the patient. These market insights have been critical as we continue to advance our launch preparations. Speaker 400:15:40Key progress so far includes building our distribution and channel strategy and identifying partners. We signed a contract with a 3PL provider and are in the process of negotiating contracts with our specialty pharmacy, specialty distributor and patient hub partners. We have also conducted research with payers and developed our initial pricing strategy, as well as developed our physician and patient targeting segmentation and product positioning work supporting positive differentiation. I look forward to providing more updates on our progress next quarter as we finalize our go to market model and plan the further build out of the commercial organization. With that, I'll turn it over to Peter for a financial update. Speaker 500:16:21Thanks, Steve. Today, I'd like to provide an overview of Inovio's financial results for the second quarter twenty twenty five and provide a financial snapshot of the year so far. Our goal is to ensure that Inovio's resources are strategically aligned to advance our lead candidate, 03/2007. I am pleased to report that in the second quarter, we've continued to work efficiently and with fiscal responsibility to support the important progress my colleagues have highlighted today. As you can see here, we've been able to significantly reduce our operating expenses over the past year. Speaker 500:17:04Our operating expenses dropped from $33,300,000 in the 2024 to $23,100,000 in the 2025, a 31% decrease. When you look at the 2025, we've reduced operating expenses by 26% compared to the same period last year. Again, this is due to a strategic effort to manage our resources with the efficiency and precision needed to support progress for the 3107 program. Inovio's net loss for the 2025 dropped 27% to $23,500,000 from a net loss of $32,200,000 in the 2024. On per share basis, both basic and dilutive, the net loss for the 2025 dropped 49% to $0.61 per share from $1.19 per share for the 2024. Speaker 500:18:17You can see similar reductions in our net loss for the entire six months of 2025 versus 2024, as we continue to conserve our resources to support the 3,107 program. We finished the 2025 with $47,500,000 in cash, cash equivalents and short term investments compared to $94,100,000 as of 12/31/2024. This excludes efforts to strengthen our balance sheet with an underwritten public offering of common stock and warrants in July 2025. Net proceeds from the offering after deducting underwriter discounts, commissions and operating offering expenses were approximately $22,500,000 Including the funds from the public offering, we estimate our cash runway to take us into the 2026. This projection includes an operational net cash burn estimate of approximately $22,000,000 for the 2025. Speaker 500:19:28These cash runway projections do not include any further capital raising activities that we may undertake. As a reminder, you can find our full financial statements in this afternoon's press release, as well as in our quarterly report, Form 10 Q filed today with the SEC. And with that, I'll turn it back over to Jackie. Speaker 200:19:52Thanks, Peter. While we spent most of today's call talking about our focus on 03/2007, we are very excited about the potential of our overall pipeline that continues to make progress through the power of our partnerships. Of particular note, the ongoing exciting research at the Basis Center at the University of Pennsylvania on the potential for INO-five thousand four hundred one to prevent cancer in people with BRCA1 and BRCA2 mutations has recently been highlighted in the news. While our partner, Apollo Bio, in China have continued to advance the phase three development of VGX-three thousand one hundred for HPV sixteen and eighteen related cervical HCL for that marketplace. And as I mentioned earlier, we and our partners at the Wistar Institute and University of Pennsylvania announced top line clinical data for our promising next gen dMAb programs. Speaker 200:20:53It's worth noting that our BLA for 3107 would be the first filed for DNA medicine in The United States and if approved, could open the door for future partnerships and development opportunities across our pipeline, both in The US and globally. I'd now like to open up the call to answer any questions you might have. Operator? Operator00:21:17Thank Your you. First question is from Ted Tenthoff from Piper Sandler. Please go ahead. Speaker 600:21:59Great. Thank you very much and congrats on the update and looking forward to continued progress, not just with, the lead asset, but also the pipeline as you outlined. I'm wondering as you start to wrap up the filing, are you anticipating having a advisory committee meeting? And what kind of prep work are you doing for a potential advisory AdCom? Thanks. Speaker 200:22:36Hi, Ted. It's nice to hear from you. I'll hand over to Mike to to talk about the advisory committee potential. Mike? Yes. Speaker 200:22:44Thank you. Speaker 300:22:44Hi, Ted. I mean, at the based on all our interactions with the agency to date, there's certainly been zero indication that this will go to an outcome. And I think when I look at the sort of overall risk benefit of the data we're presenting, I don't think there will be any requirement for the the agency, but obviously that is their their call. But I think the chance of it is relatively low. Gotcha. Speaker 600:23:15And then just in terms of preparation and anything going on, any thoughts in terms of the upcoming regulatory decision for your competitor and how that can either set the stage or potentially prime the pump for your eventual launch, hopefully next year? Thanks. Speaker 200:23:40Yeah, thanks, Ted. That's a good question. And I think it's important to bear in mind that there are quite a lot of differences between their program and ours. For instance, the way they conducted their initial clinical study was very different. As you know, they conducted scoping and surgeries during their dosing window to maintain minimal residual disease and we didn't do that. Speaker 200:24:08With our focus on every surgery matters for patients, we counted every surgery after day zero, after we started dosing. So real differences in the way the trials were conducted. And I think also real differences as well in the candidates. So candidate 3,107 is based on DNA medicines technology. We don't have a viral vector involved. Speaker 200:24:39So very different technologies there. I think their vector this will be the first time this particular vector has gone to a BLA filing. So, differences there. Then finally, in terms of the confirmatory trial, we're going for very different confirmatory trial designs. We're going for a placebo controlled design. Speaker 200:25:01We're aiming that trial at patients who've had two or more surgeries in the prior year, and then in contrast they're going for a single arm design, and I think they're targeting patients who've had three or more surgeries in the prior year. So some real differences between the programs. Mike, Steve, anything you want to add to that? Speaker 300:25:23No, I think that was Speaker 400:25:24comprehensive, Jackie. Speaker 600:25:28Great. Thank you for the color. Operator00:25:34Your next question is from Jay Olson from Oppenheimer. Please go ahead. Speaker 700:25:41Hey, this is Chung on the line for Jay. Thanks for taking the questions and congrats on the progress. Just on the DV testing, first, congrats on the completion of that. It just appears to us that maybe the prior guidance was to complete the DV testing in the first half. So we're just wondering if there's like any delays there or anything that may have changed regarding your interaction with the regulators. Speaker 700:26:06And then we have a follow-up question. Thanks. Speaker 200:26:10Yeah. I I think that's a that's a great question. So I think the important thing to bear in mind is our overall timelines. So we remain on track for submitting our BLA in the second half of this year with the goal of file acceptance by year end. The DV testing is quite a complicated process. Speaker 200:26:32We had to work with multiple external vendors, so that wasn't entirely within our control. But I'm pleased to say we're now past that point. We're very much focused on the rolling submission of our BLA and we're looking forward to those future milestones. Speaker 700:26:51Got it, and thanks for the color. And again, congrats on the recent data on the long term surgery reduction results from RRP-two. And I think there's still pretty good protection at year three, so I'm just wondering your thinking around maybe a redosing strategy for 3107 based on the new data. Thank you. Speaker 300:27:15Mike? Yeah. No. So I mean, we've mentioned this partly in the call today. I mean, are seeing a sort of stabilization of the clinical effect as we go into the third year. Speaker 300:27:27And, you know, one of the benefits of our DNA medicine platform, and we I think in the last call, we talked about data from our 3100 program that really shows that we can boost that cytotoxic T cell response. So we're definitely going to move forward with a redosing strategy, most likely something relatively simple such as annual dosing so that it's easy for patients and physicians to remember. And then hopefully that should enhance the clinical effect that we're already very excited about. Speaker 200:28:03Yeah. And think it's important to note that RRP can be a chronic, often lifelong disease. So I think it's going to be really important that once patients are starting to see this clinical benefit of reduction of surgery, that we're able to maintain that benefit and even potentially improve upon it. So I think that's really a key strength of our technology. Speaker 700:28:27Got it. Just a quick follow-up on that. It's a redosing strategy that will be part of the following, or do you need some additional data or evidence to show that? Thank you. Speaker 300:28:38We will start discussing that strategy with the agency after we've submitted a BLA. Speaker 700:28:46Okay, thanks so much. Operator00:28:53Your next question is from Sudan Lokathanian from Stephens Inc. Please go ahead. Speaker 800:29:02Hi, Inovio team. Thank you for the update and congrats on your progress towards the filing for INO-three thousand one hundred seven. First, I wanted to ask, know, was great to see the long term year two data for 3107 get published. Can you remind me what the median number of prior surgeries these patients had that were enrolled in your trial? Speaker 300:29:23Yes, certainly. Hi, Sudan. So the patients in the original study had a median of four surgeries. You will see that we've presented mean surgeries in the latest long term follow-up and that mean was 4.1. And so when you look at the mean surgeries over time, that dropped to 1.7 in the original phase one to twelve month period, and then had a further reduction down to 0.9 in the year two, the second twelve month period year two. Speaker 800:30:01Got it, great. I appreciate that. And secondly, with the potential approval by the end of this month for PRESIGENS asset and RRP, do you anticipate any headwinds to enrolling the 100 patients that you need for the confirmatory trials, since there would be a potentially approved option on the market? And would you be open to including patients in your confirmatory trial that were previously dosed on PRESIGENCE twenty twelve asset? Speaker 300:30:27Thank you. So obviously, I mean, Prussian is not on the market at the moment, it'd be a long time before those patients came into the trial. But we have gone with a strategy that's included sites across the entire United States. Even if Precigen are approved, there is usually a lag between this coverage in the people's insurance policy. And also, you know, unfortunately, there'll be many patients that still won't have the ability to be covered by medical insurance or be able to afford the out of pocket expenses. Speaker 300:31:05So I still feel with, you with the prevalence of this disease that we're seeing, there'll sizable be population that will be still accessible for our clinical trial. Speaker 200:31:17I think it's also important to remember that this trial isn't particularly large trial. We're looking at recruiting about 100 patients, across about 20 different clinical sites in The US. So we think it's very achievable even if they are approved. Operator00:31:42Your next question is from Yi Chen from H. C. Greenlight. Please go ahead. Speaker 800:31:51Hi, this is Eduardo on for Yi. I guess maybe to get some understanding on how diffuse these physicians are that treat these RRP patients and the commercial infrastructure you guys would need to execute and deploy in order to get a meaningful launch? You get some color there. Speaker 400:32:11Dave? Yes, sure. So I believe we've mentioned before, there's 300 to 400 laryngologists that we believe treat the majority of RRP patients out there. It's a mix of these large kind of academic medical centers. It's probably sixty five percent, seventy percent of the patients seek care there. Speaker 400:32:33And then there's also large community based practices, laryngology practices that are treating these patients. So the numbers overall are small. The patients are treated in a very kind of concentrated fashion. So, terms of the commercial organization required to go after that, it's quite small. We haven't kind of guided to specific numbers there. Speaker 400:32:58But when you think about medical science liaisons, an access team, a sales team, it's a very small kind of cost efficient commercial organization that's needed to get out and to promote to 300 to 400 laryngologists that live in a very narrow set of locations in The US. Speaker 800:33:22Got it, that's really helpful. And then going back to the confirmatory trial design, one of the questions earlier mentioned the fact that you had 4.1 average prior surgeries in the initial trial, now you're going to drop that down to, I understand it's around two prior surgeries in prior year. Do you have any data from your initial trial with patients in that subgroup with the fewer surgeries that you could potentially extrapolate to understand the relative impact and reduction of surgeries that you anticipate for the confirmatory trial? Speaker 300:33:56Yeah, so that was the mean number of surgeries. In the original trial, we actually had patients from two up to eight, and actually had a very sort of good spread of those surgeries across the entire population. And we saw clinical benefit regardless of how we cut the number of surgeries, pre treatment. So we're very confident this will carry forward into our confirmatory trial. Speaker 200:34:25Yeah. And I think it's important to note that the reason why we're focused on patients who've had two or more surgeries in the prior year is it's really important to intervene early with RRP. Every surgery comes at a cost and risk to the patient, so the sooner that we can come in with a non surgical therapeutic alternative, the better chance we have of minimizing permanent damage to the vocal cords. So we believe it's very important to start treating these patients as early as possible. Speaker 800:34:58Got it. And do you have an estimate in terms of what fraction of current RRP patients meet that clinical criteria? Speaker 400:35:10Sure. Yeah, this is Steve. So the 14,000 that we referenced, the widely published data, we do think that's an underestimate and we do believe that it's best to try to treat early in the disease to kind of change the direct trajectory of the disease. We said, every surgery matters. The 14,000 published data, they did not provide kind of a segment of patients, kind of how they break out in terms of surgical burden. Speaker 400:35:45But I think what Mike just shared, we in the phase one, phase two, we treated patients the range of surgeries from two to eight with a median of four and that that may be representative of what the general kind of RRP population looks like. And that's really the kind of prevalent population of patients. But keep in mind, there's also an incident population, newly diagnosed patients every year that also kind of adds to the opportunity. And then, as we mentioned earlier, we do expect there'll be an opportunity for continued treatment or additional doses over time, which also expands the commercial opportunity. Speaker 800:36:25Got it. That's really helpful. Thanks for taking the question. Speaker 200:36:28The Operator00:36:33next question is from Yoroi Buchanan from Citizen. Please go ahead. Speaker 900:36:40Great. Thanks for taking the questions. Just I wonder if you can provide maybe greater detail on the timelines for the next major events. And more importantly, I guess, which ones you're going to announce. So I'm thinking FDA is okay for the rolling submission, the IND revision acceptance, start of the confirmatory trial and BLA acceptance? Speaker 200:37:01Yeah, great questions, Royce. So, we said in the call, we requested rolling submission in July, so we would expect to hear back from the FDA on that rolling submission sometime in August. And then once we hear back, we have modules that are available to submit pretty much immediately. We're working on updating the device sections of our IND to enable enrollment to start within the confirmatory trial. And then we're aiming to complete the submission of all of our modules of the BLA in the second half of this year with sufficient time to allow us to receive acceptance of the file by the FDA by year end. Speaker 200:37:49So that's the overall timeline. We're working as quickly as we can to try and get through those steps. Speaker 900:37:58Okay, great. Do you think you'll announce all those publicly? Speaker 200:38:02Yep. We're we're certainly committed to using our normal channels of communication to provide updates as they occur. Speaker 900:38:11Okay. Perfect. And then interactions with the SBA since the last report. I guess, any impacts from some of the volatility around Doctor. Prasad on those interactions? Speaker 200:38:21Yeah. So we're very focused on the things that we can control, and our interactions with the FDA to date have continued as normal. So we're just very focused on the work that we need to do to get our submission in. Speaker 900:38:39Okay, And then last couple. I noticed a publication from yesterday, that full year three results were from six out of the twenty eight patients. Are you going to present data from the additional patients completed in year three, maybe this year? And then one for Steve, any change to the pricing outlook from your prior comments? Thanks. Speaker 300:39:00Yeah, so in terms of the data, we obviously have, because it was a single retrospective look. We have variable lengths of data depending on when they originally entered into the original study. We have provided some of the data in press release, but because it becomes because there is different amount of data for different patients, it becomes more difficult to interpret. I think sort of digging into that third year data just isn't the best sort of scientific approach, which is why the publication really focused on year two, where we have a complete set of data and we can present the complete picture of the original population. Speaker 200:39:52Then I think your second question about pricing. So there, we're think we previously guided to OXIVIO as a potential analogue there and we're, you know, not expecting any changes in our thoughts around pricing. We're expecting rare disease pricing. In discussions with payers, they seem to believe that this is appropriate, so really no changes there. Steve, anything you want to add? Speaker 400:40:24No, with respect to price, mean, you know, we've commented there earlier. We did a fair amount of research with payers reviewing the product profile. As Jackie mentioned, rare disease pricing certainly is appropriate. And then the SpringWorks Therapeutics product, OXIVIO, that's priced at $360,000 a year. That's kind of the range of pricing that we're thinking and that we've shared with payers. Speaker 400:40:47Obviously, we can't give more specifics than that, but that's kind of the guidance that we've provided thus far. Speaker 900:40:56Perfect. Thank you. Operator00:41:01Your next question is from Leanne Greg from Jefferies. Please go ahead. Speaker 1000:41:07Great. Thanks for taking our questions. This is Leanne Chang for Roger. So, quickly touch on the confirmatory study. So, understanding that study has about 20 sites across The United States, and also you have aligned your study plan with probably UK regulators. Speaker 1000:41:24So how should we think about your ex US strategy regarding the confirmatory study? Thank you. Speaker 300:41:32Yeah, so, I mean, we've mentioned we were very strategic in making sure that our confirmatory trial in The United States will meet the requirements of the European and UK regulators. So we don't anticipate any difference in terms of how we would structure any study or design it. The two patients was fully in line with what we studied in our phase onetwo study. As we've said, they've requested along with the FDA that to have an inclusion criteria of two surgeries, you need to provide placebo controlled data. Speaker 1000:42:19And maybe quickly, so for ex US, are there any differences in current practice of treating RRP? Speaker 300:42:30So the one difference that I will note is obviously the majority of European surgeries are actually conducted in the Operating Theater. And because access to Operating Theater time in Europe can often be a little longer. They tend to actually have a slightly lower number of surgeries, which is again having the inclusion criteria of just two surgeries was actually important for Europe to make sure that we could include as many European patients in the future onto 03/2007. Speaker 1000:43:12Great. Thanks for the insights. Operator00:43:37There are no further questions at this time. Please proceed with closing remarks. Speaker 200:43:44Thank you. Before we close today, I'd like to take a moment to note that Inovio will continue the scientific and medical outreach strategy we outlined last quarter with a full schedule of presentation opportunities this fall. We'll be focused on continuing to illustrate the strengths of our RRP program and the potential of 03/2007, as well as the great potential we see for our next generation dMAb and dProc technologies. I'd also like to briefly mention the key catalysts we are focused on. First and foremost, submitting our BLA for 3107 on a rolling basis, updating our active IND for our confirmatory trial with our completed device data, and continuing to advance our commercial preparations so that we'll be ready to launch 3107 quickly and efficiently if approved. Speaker 200:44:37And finally, I would like to emphasize what's at the heart of the progress I've outlined here today: the potential to change the treatment paradigm for RRP, a debilitating rare disease. We continue to be driven by the fact that every day and every surgery matters to RRP patients and to our mission. Thank you for your attention and good evening everyone. Operator00:45:05Ladies and gentlemen, this concludes your conference call for today. We thank you for participating and ask that you please disconnect your lines.Read morePowered by Earnings DocumentsPress Release(8-K)Quarterly report(10-Q) Inovio Pharmaceuticals Earnings HeadlinesInovio Pharmaceuticals (NASDAQ:INO) Earns Neutral Rating from HC WainwrightAugust 16 at 2:59 AM | americanbankingnews.comCitizens JMP Sticks to Its Buy Rating for Inovio Pharmaceuticals (INO)August 15 at 5:48 PM | theglobeandmail.comGenerate up to $5,000/month with 10X less money?The secret to retiring without a million-dollar nest egg. I'm talking about generating enough monthly income to cover housing, healthcare, food, and fun... With a fraction of what you probably think you need.August 16 at 2:00 AM | Investors Alley (Ad)Inovio Pharmaceuticals (INO) Receives a Buy from Piper SandlerAugust 15 at 5:48 PM | theglobeandmail.comInovio Pharmaceuticals Second Quarter 2025 Earnings: US$0.61 loss per share (vs US$1.19 loss in 2Q 2024)August 15 at 5:48 PM | finance.yahoo.comInovio Pharmaceuticals Inc. Research & Ratings | INO | Barron'sAugust 14 at 7:35 AM | barrons.comSee More Inovio Pharmaceuticals Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like Inovio Pharmaceuticals? Sign up for Earnings360's daily newsletter to receive timely earnings updates on Inovio Pharmaceuticals and other key companies, straight to your email. Email Address About Inovio PharmaceuticalsInovio Pharmaceuticals (NASDAQ:INO), a biotechnology company, focuses on the discovery, development, and commercialization of DNA medicines to treat and protect people from diseases associated with human papillomavirus (HPV), cancer, and infectious diseases. Its DNA medicines platform uses precisely designed SynCon that identify and optimize the DNA sequence of the target antigen, as well as CELLECTRA smart devices technology that facilitates delivery of the DNA plasmids. Its products in pipeline include VGX-3100 for the treatment of HPV-related cervical high-grade dysplasia; INO-3107 for HPV-related recurrent respiratory papillomatosis and is under Phase 1/2 trial; INO-3112 for the treatment of HPV-related Oropharyngeal Squamous Cell Carcinoma and is under Phase 2 trial; INO-5401 for the treatment of glioblastoma multiforme and is under Phase 2 trial; INO-4201 for Ebola Virus Disease and is under Phase 1b trial; INO-4800 for COVID-19 and is under Phase 3 trial; and INO-6160 for the treatment of human immunodeficiency virus and is under Phase 1 trial. Its partners and collaborators include Advaccine Biopharmaceuticals Suzhou Co, ApolloBio Corporation, AstraZeneca, The Bill & Melinda Gates Foundation, Coalition for Epidemic Preparedness Innovations, Defense Advanced Research Projects Agency, The U.S. Department of Defense, HIV Vaccines Trial Network, International Vaccine Institute, Kaneka Eurogentec, National Cancer Institute, National Institutes of Health, National Institute of Allergy and Infectious Diseases, the Parker Institute for Cancer Immunotherapy, Plumbline Life Sciences, Regeneron Pharmaceuticals, Richter-Helm BioLogics, Thermo Fisher Scientific, the University of Pennsylvania, the Walter Reed Army Institute of Research, and The Wistar Institute. The company was incorporated in 1983 and is headquartered in Plymouth Meeting, Pennsylvania.View Inovio Pharmaceuticals 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 Green Dot's 30% Rally: Turnaround Takes Off on Explosive EarningsElbit Systems Jumps on Record Earnings and a $1.6B ContractBrinker Serves Up Earnings Beat, Sidesteps Cost PressuresWhy BigBear.ai Stock's Dip on Earnings Can Be an Opportunity CrowdStrike Faces Valuation Test Before Key Earnings ReportPost-Earnings, How Does D-Wave Stack Up Against Quantum Rivals?Why SoundHound AI's Earnings Show the Stock Can Move Higher Upcoming Earnings Palo Alto Networks (8/18/2025)Medtronic (8/19/2025)Home Depot (8/19/2025)Analog Devices (8/20/2025)Synopsys (8/20/2025)TJX Companies (8/20/2025)Lowe's Companies (8/20/2025)Workday (8/21/2025)Intuit (8/21/2025)Walmart (8/21/2025) 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 11 speakers on the call. Operator00:00:00Good afternoon, ladies and gentlemen, and welcome to the Inovio Second Quarter twenty twenty five Financial Results Conference Call. At this time, all lines are in listen only mode. Following the presentation, we will conduct a question and answer session. This call is being recorded on Tuesday, 08/12/2025. I would now like to turn the conference over to Jenny Wilson. Operator00:00:31Please go ahead. Speaker 100:00:33Good afternoon, and thank you for joining the Inovio Second Quarter twenty twenty five Financial Results Conference Call. Joining me on today's call are Doctor. Jackie Shea, President and Chief Executive Officer Doctor. Mike Sumner, Chief Medical Officer Peter Keyes, Chief Financial Officer and Steve Ege, Chief Commercial Officer. Today's call will review our corporate and financial information for the quarter ended 06/30/2025, as well as provide a general business update. Speaker 100:01:02Following prepared remarks, we will conduct a question and answer session. During the call, we will be making forward looking statements regarding future events and the future performance of the company. These events relate to our business plans to develop Inovio's DNA medicines platform, which include clinical and regulatory development and timing of clinical data readouts and planned regulatory submissions, along with capital resources and strategic matters. All of these statements are based on the beliefs and expectations of management as of today. Actual events or results could differ materially. Speaker 100:01:34We refer you to the documents we file from time to time with the SEC, which under the Risk Factors heading identify important factors that could cause actual results to differ materially from those expressed by the company verbally, as well as statements made within this afternoon's press release. This call is being webcast live, and a link can be found on our website, ir.inovio.com, and a replay will be made available shortly after this call is concluded. I will now turn the call over to Inovio's President and CEO, Doctor. Jackie Hsieh. Speaker 200:02:03Good afternoon, and thank you for joining today's call. I'd like to start today by highlighting the important progress we've made so far this year as we work to achieve our key strategic priorities. Most importantly, I'm very pleased to report that we remain on track to submit our BLA for INO-three thousand 107 in the second half of this year, thanks to several key accomplishments. We have completed the design verification or DV testing of our Selectra five PSP device, which allows us to move forward with the next key regulatory milestones for this program. Utilizing the breakthrough therapy designation awarded by the FDA to 03/2007, we have also requested rolling submission of our BLA. Speaker 200:02:54Our goal is to complete the submission and receive file acceptance by year end. We plan to request a priority review of our BLA, which, if accepted, would provide a six month review of the file, potentially providing for a PDUFA date around the 2026. I'm also pleased to report that in addition to the publication of our Phase onetwo clinical data in Nature Communications earlier this year, data from our retrospective study on the long term clinical effect of three thousand one hundred and seven have been published in the Laryngoscope, the leading journal for physicians who treat RRP. These data are an integral part of our BLA submission package and core to our belief that 3,107 could become the preferred product for patients and providers alike. Mike and Steve will provide further details shortly. Speaker 200:03:52While we continue to drive progress on the regulatory front, we have also continued working to advance our commercial plans, ensuring that we are prepared for a swift and efficient launch should 3,107 be approved. That includes engaging in further market research and continuing to refine our go to market plans. And finally, while we are primarily focused on the BLA submission for our lead asset 3107, we are excited about the potential of our broader pipeline. Most recently, we've had opportunities to highlight the broad therapeutic potential of our next generation DNA medicine technology, including sharing the top line data from a phase onetwo trial of our DNA encoded monoclonal antibody or dMAb technology in a preprint on Research Square and featuring dMAbs and our DNA encoded protein replacement or Dprop technology in a presentation at the Orphan Drug Summit in Boston this past July. We believe there are multiple diseases or medical conditions that our Dprop platform could successfully target, and we are actively seeking partnerships to advance this technology into the clinic. Speaker 200:05:11I look forward to sharing more on our progress there in the coming months. With that, I'll turn it over to Mike for an update on our progress with 03/2007. Speaker 300:05:21Thanks, Jackie. As Jackie highlighted, we have made significant progress so far this year towards our primary goal, which is to submit a BLA for INO-three thousand one hundred seven in the 2025. With DV testing for the Selectra five PSP device complete and non device related modules of the BLA ready for submission, we have moved forward with the next phase of our regulatory plans, requesting rolling submission of our BLA from the FDA in July. Rolling submission is one of the options available to candidates like 3,107 that have been granted breakthrough therapy designation. We aim to complete our BLA submission over the next several months and request a priority review. Speaker 300:06:10If granted, this would allow for a six month review period leading to a potential PDUFA date in the 2026. We are now focused on finalizing the device related sections of the BLA and updating our active IND so that we can commence enrollment for our placebo controlled randomized confirmatory trial, which will include 100 RRP patients and be conducted at approximately 20 sites across The United States. Amidst our focus on preparing for our BLA submission, I'm also pleased to report that the FDA inspection of Inovio as clinical sponsor of the phase onetwo trial was successfully completed. This is an important step in the regulatory process that's designed to assess compliance with FDA regulations for the conduct of clinical trials. And finally, we've continued to add to the body of research demonstrating the transformational potential of thirty one zero seven. Speaker 300:07:14In addition to the immunology and clinical data from our phase one two trial published in Nature Communications earlier this year, Data from our retrospective study, RRP two, investigating the long term clinical efficacy in patients treated with thirty one zero seven have just been published in a peer reviewed journal, The Laryngoscope, which targets the key physicians who treat RRP. As a reminder, we conducted this separate retrospective trial to collect long term efficacy data on twenty eight of the original thirty two patients with a median follow-up of two point eight years. We first announced the data in December and later presented it at the combined otolaryngology spring meeting, otherwise known as COSM. It demonstrates that three thousand one hundred seven provided significant clinical benefit to RRP patients as measured by reduction in surgery that continued to improve in almost all patients through year two and into year three following initial treatment. More specifically, in the first year, seventy two percent of patients saw a fifty to one hundred percent reduction in the number of surgeries after starting treatment with thirty one zero seven. Speaker 300:08:40With no additional dosing, this number increased to eighty six percent in the second twelve month period or year two, with half of the patients requiring no surgeries at all, an increase from twenty eight percent in year one. Focusing on the mean number of surgeries per year, you can see here that they continue to drop from four point one surgeries in the year prior to receiving thirty one zero seven to one point seven for year one to zero point nine for year two. Although we only have partial data for year three, the improvement seems to be holding steady, and we believe this presents an opportunity to consider a longer term treatment strategy that leverages one of the core strengths of our DNA medicine platform, which is the ability to administer additional doses to continue to drive and amplify strong T cell based immune responses without having to worry about the impact of an anti vector response. With that approach, we could potentially maintain complete and partial responses or extend clinical improvement, including the potential for nonresponders to mount a clinical response. Collectively, we believe this research illustrates some of the foundational strengths of our RRP program, strengths that potentially position 3107 as a new standard of care for RRP and the preferred treatment by patients and their health care providers. Speaker 300:10:17First, there is a significant unmet need for a therapeutic option that reduces the number of surgeries patients face to control this debilitating rare disease. Aside from posing risks for permanent vocal cord damage and burdening patients with emotional and financial costs, these surgeries don't address the underlying disease, and that's where the potential of 3,107 comes in. Our treatment is designed to reduce the need for surgery for a broad range of patients by teaching their immune system to fight the human papillomavirus causing their disease. In the Nature Communications paper, we described our proposed mechanism of action, showing that three thousand one hundred seven was able to elicit an antigen specific T cell response against both HPV six and HPV eleven proteins, the two strains known to cause the vast majority of RRP cases. That T cell response correlated to the reduction in surgery we observed in the trial. Speaker 300:11:25Looking at our RRP-one and two clinical trials together, we have demonstrated that treatment with three thousand one hundred seven resulted in long term surgery reduction for patients, indicating that three thousand one hundred and seven, if approved, could be an effective treatment option for RRP with the potential to change the trajectory of patients' disease. And finally, we are working to initiate the confirmatory trial, which is a randomized placebo controlled trial that takes into account both FDA feedback and patients focus on reduction in surgery and is designed for patients who have had two or more surgeries in the year prior to treatment initiation. The design of the trial also aligns with feedback from European regulators, which is important for future development plans. With that, I'll turn it over to our Chief Commercial Officer, Steve Eggie, for some additional commercial insights. Steve? Speaker 300:12:27Thanks, Mike. I'd like Speaker 400:12:28to take a few moments to highlight how we're leveraging and building on those foundational strengths that Mike just described in our commercial strategy and why they're central to our belief that 3,107 will become the preferred product for patients and providers. Let's start with the patients in the market opportunity. In The US, the most widely cited US epidemiology data published in 1995, estimated there were fourteen thousand active adult and juvenile cases and about one point eight per one hundred thousand new cases of RRP in adults each year. However, research and our own claims data analysis indicates that these estimates are likely underrepresenting the prevalence of the disease. Because HPV vaccination rates are plateauing, and because the majority of the adult population remains unvaccinated, the risk of RRP remains steady. Speaker 400:13:21In fact, HPV experts believe the HPV vaccine is unlikely to have a significant impact on RRP prevalence in adults for at least a generation. As Mike noted earlier, 3,107 was designed with the understanding that every surgery matters, because every surgery carries both a risk and a cost to the patient. We believe 3,107 has the potential to address a significant unmet need by targeting the underlying cause of RRP to reduce the number of surgeries these patients face. We also see potential to provide continuation of therapy with three thousand one hundred seven, meaning additional dosing over time to maintain or extend patient outcomes, which is important in a chronic lifelong disease. So not only is there significant market opportunity here, our market research continues to tell us that patients and providers find the combination of efficacy, tolerability, and simplicity that three thousand one hundred seven offers very compelling. Speaker 400:14:20With respect to efficacy, the vast majority of patients saw significant benefit from three thousand one hundred seven. And for many of them, that benefit continued to improve over time. The physicians we spoke to were most interested in the overall response rate, seventy two percent in year one, with increased to eighty six percent in year two. And they noted while the complete response rate is good, a fifty percent to one hundred percent reduction in surgeries in eight out of ten patients is most compelling. Similarly, when laryngologists look at the tolerability data, they see a generally well tolerated treatment that would have a limited impact on patients return to daily life, which is important when a patient is receiving four doses over a relatively short period of time. Speaker 400:15:07And finally, with respect to the treatment regimen itself, three thousand one hundred seven can be administered in the physician's office. There's no need to refer patients out to an infusion center, so the physician maintains control. The device is also simple to use and with three thousand one hundred seven, there is no requirement for scoping or surgeries during the treatment window. This is important because again, every single surgery carries both a risk and a cost to the patient. These market insights have been critical as we continue to advance our launch preparations. Speaker 400:15:40Key progress so far includes building our distribution and channel strategy and identifying partners. We signed a contract with a 3PL provider and are in the process of negotiating contracts with our specialty pharmacy, specialty distributor and patient hub partners. We have also conducted research with payers and developed our initial pricing strategy, as well as developed our physician and patient targeting segmentation and product positioning work supporting positive differentiation. I look forward to providing more updates on our progress next quarter as we finalize our go to market model and plan the further build out of the commercial organization. With that, I'll turn it over to Peter for a financial update. Speaker 500:16:21Thanks, Steve. Today, I'd like to provide an overview of Inovio's financial results for the second quarter twenty twenty five and provide a financial snapshot of the year so far. Our goal is to ensure that Inovio's resources are strategically aligned to advance our lead candidate, 03/2007. I am pleased to report that in the second quarter, we've continued to work efficiently and with fiscal responsibility to support the important progress my colleagues have highlighted today. As you can see here, we've been able to significantly reduce our operating expenses over the past year. Speaker 500:17:04Our operating expenses dropped from $33,300,000 in the 2024 to $23,100,000 in the 2025, a 31% decrease. When you look at the 2025, we've reduced operating expenses by 26% compared to the same period last year. Again, this is due to a strategic effort to manage our resources with the efficiency and precision needed to support progress for the 3107 program. Inovio's net loss for the 2025 dropped 27% to $23,500,000 from a net loss of $32,200,000 in the 2024. On per share basis, both basic and dilutive, the net loss for the 2025 dropped 49% to $0.61 per share from $1.19 per share for the 2024. Speaker 500:18:17You can see similar reductions in our net loss for the entire six months of 2025 versus 2024, as we continue to conserve our resources to support the 3,107 program. We finished the 2025 with $47,500,000 in cash, cash equivalents and short term investments compared to $94,100,000 as of 12/31/2024. This excludes efforts to strengthen our balance sheet with an underwritten public offering of common stock and warrants in July 2025. Net proceeds from the offering after deducting underwriter discounts, commissions and operating offering expenses were approximately $22,500,000 Including the funds from the public offering, we estimate our cash runway to take us into the 2026. This projection includes an operational net cash burn estimate of approximately $22,000,000 for the 2025. Speaker 500:19:28These cash runway projections do not include any further capital raising activities that we may undertake. As a reminder, you can find our full financial statements in this afternoon's press release, as well as in our quarterly report, Form 10 Q filed today with the SEC. And with that, I'll turn it back over to Jackie. Speaker 200:19:52Thanks, Peter. While we spent most of today's call talking about our focus on 03/2007, we are very excited about the potential of our overall pipeline that continues to make progress through the power of our partnerships. Of particular note, the ongoing exciting research at the Basis Center at the University of Pennsylvania on the potential for INO-five thousand four hundred one to prevent cancer in people with BRCA1 and BRCA2 mutations has recently been highlighted in the news. While our partner, Apollo Bio, in China have continued to advance the phase three development of VGX-three thousand one hundred for HPV sixteen and eighteen related cervical HCL for that marketplace. And as I mentioned earlier, we and our partners at the Wistar Institute and University of Pennsylvania announced top line clinical data for our promising next gen dMAb programs. Speaker 200:20:53It's worth noting that our BLA for 3107 would be the first filed for DNA medicine in The United States and if approved, could open the door for future partnerships and development opportunities across our pipeline, both in The US and globally. I'd now like to open up the call to answer any questions you might have. Operator? Operator00:21:17Thank Your you. First question is from Ted Tenthoff from Piper Sandler. Please go ahead. Speaker 600:21:59Great. Thank you very much and congrats on the update and looking forward to continued progress, not just with, the lead asset, but also the pipeline as you outlined. I'm wondering as you start to wrap up the filing, are you anticipating having a advisory committee meeting? And what kind of prep work are you doing for a potential advisory AdCom? Thanks. Speaker 200:22:36Hi, Ted. It's nice to hear from you. I'll hand over to Mike to to talk about the advisory committee potential. Mike? Yes. Speaker 200:22:44Thank you. Speaker 300:22:44Hi, Ted. I mean, at the based on all our interactions with the agency to date, there's certainly been zero indication that this will go to an outcome. And I think when I look at the sort of overall risk benefit of the data we're presenting, I don't think there will be any requirement for the the agency, but obviously that is their their call. But I think the chance of it is relatively low. Gotcha. Speaker 600:23:15And then just in terms of preparation and anything going on, any thoughts in terms of the upcoming regulatory decision for your competitor and how that can either set the stage or potentially prime the pump for your eventual launch, hopefully next year? Thanks. Speaker 200:23:40Yeah, thanks, Ted. That's a good question. And I think it's important to bear in mind that there are quite a lot of differences between their program and ours. For instance, the way they conducted their initial clinical study was very different. As you know, they conducted scoping and surgeries during their dosing window to maintain minimal residual disease and we didn't do that. Speaker 200:24:08With our focus on every surgery matters for patients, we counted every surgery after day zero, after we started dosing. So real differences in the way the trials were conducted. And I think also real differences as well in the candidates. So candidate 3,107 is based on DNA medicines technology. We don't have a viral vector involved. Speaker 200:24:39So very different technologies there. I think their vector this will be the first time this particular vector has gone to a BLA filing. So, differences there. Then finally, in terms of the confirmatory trial, we're going for very different confirmatory trial designs. We're going for a placebo controlled design. Speaker 200:25:01We're aiming that trial at patients who've had two or more surgeries in the prior year, and then in contrast they're going for a single arm design, and I think they're targeting patients who've had three or more surgeries in the prior year. So some real differences between the programs. Mike, Steve, anything you want to add to that? Speaker 300:25:23No, I think that was Speaker 400:25:24comprehensive, Jackie. Speaker 600:25:28Great. Thank you for the color. Operator00:25:34Your next question is from Jay Olson from Oppenheimer. Please go ahead. Speaker 700:25:41Hey, this is Chung on the line for Jay. Thanks for taking the questions and congrats on the progress. Just on the DV testing, first, congrats on the completion of that. It just appears to us that maybe the prior guidance was to complete the DV testing in the first half. So we're just wondering if there's like any delays there or anything that may have changed regarding your interaction with the regulators. Speaker 700:26:06And then we have a follow-up question. Thanks. Speaker 200:26:10Yeah. I I think that's a that's a great question. So I think the important thing to bear in mind is our overall timelines. So we remain on track for submitting our BLA in the second half of this year with the goal of file acceptance by year end. The DV testing is quite a complicated process. Speaker 200:26:32We had to work with multiple external vendors, so that wasn't entirely within our control. But I'm pleased to say we're now past that point. We're very much focused on the rolling submission of our BLA and we're looking forward to those future milestones. Speaker 700:26:51Got it, and thanks for the color. And again, congrats on the recent data on the long term surgery reduction results from RRP-two. And I think there's still pretty good protection at year three, so I'm just wondering your thinking around maybe a redosing strategy for 3107 based on the new data. Thank you. Speaker 300:27:15Mike? Yeah. No. So I mean, we've mentioned this partly in the call today. I mean, are seeing a sort of stabilization of the clinical effect as we go into the third year. Speaker 300:27:27And, you know, one of the benefits of our DNA medicine platform, and we I think in the last call, we talked about data from our 3100 program that really shows that we can boost that cytotoxic T cell response. So we're definitely going to move forward with a redosing strategy, most likely something relatively simple such as annual dosing so that it's easy for patients and physicians to remember. And then hopefully that should enhance the clinical effect that we're already very excited about. Speaker 200:28:03Yeah. And think it's important to note that RRP can be a chronic, often lifelong disease. So I think it's going to be really important that once patients are starting to see this clinical benefit of reduction of surgery, that we're able to maintain that benefit and even potentially improve upon it. So I think that's really a key strength of our technology. Speaker 700:28:27Got it. Just a quick follow-up on that. It's a redosing strategy that will be part of the following, or do you need some additional data or evidence to show that? Thank you. Speaker 300:28:38We will start discussing that strategy with the agency after we've submitted a BLA. Speaker 700:28:46Okay, thanks so much. Operator00:28:53Your next question is from Sudan Lokathanian from Stephens Inc. Please go ahead. Speaker 800:29:02Hi, Inovio team. Thank you for the update and congrats on your progress towards the filing for INO-three thousand one hundred seven. First, I wanted to ask, know, was great to see the long term year two data for 3107 get published. Can you remind me what the median number of prior surgeries these patients had that were enrolled in your trial? Speaker 300:29:23Yes, certainly. Hi, Sudan. So the patients in the original study had a median of four surgeries. You will see that we've presented mean surgeries in the latest long term follow-up and that mean was 4.1. And so when you look at the mean surgeries over time, that dropped to 1.7 in the original phase one to twelve month period, and then had a further reduction down to 0.9 in the year two, the second twelve month period year two. Speaker 800:30:01Got it, great. I appreciate that. And secondly, with the potential approval by the end of this month for PRESIGENS asset and RRP, do you anticipate any headwinds to enrolling the 100 patients that you need for the confirmatory trials, since there would be a potentially approved option on the market? And would you be open to including patients in your confirmatory trial that were previously dosed on PRESIGENCE twenty twelve asset? Speaker 300:30:27Thank you. So obviously, I mean, Prussian is not on the market at the moment, it'd be a long time before those patients came into the trial. But we have gone with a strategy that's included sites across the entire United States. Even if Precigen are approved, there is usually a lag between this coverage in the people's insurance policy. And also, you know, unfortunately, there'll be many patients that still won't have the ability to be covered by medical insurance or be able to afford the out of pocket expenses. Speaker 300:31:05So I still feel with, you with the prevalence of this disease that we're seeing, there'll sizable be population that will be still accessible for our clinical trial. Speaker 200:31:17I think it's also important to remember that this trial isn't particularly large trial. We're looking at recruiting about 100 patients, across about 20 different clinical sites in The US. So we think it's very achievable even if they are approved. Operator00:31:42Your next question is from Yi Chen from H. C. Greenlight. Please go ahead. Speaker 800:31:51Hi, this is Eduardo on for Yi. I guess maybe to get some understanding on how diffuse these physicians are that treat these RRP patients and the commercial infrastructure you guys would need to execute and deploy in order to get a meaningful launch? You get some color there. Speaker 400:32:11Dave? Yes, sure. So I believe we've mentioned before, there's 300 to 400 laryngologists that we believe treat the majority of RRP patients out there. It's a mix of these large kind of academic medical centers. It's probably sixty five percent, seventy percent of the patients seek care there. Speaker 400:32:33And then there's also large community based practices, laryngology practices that are treating these patients. So the numbers overall are small. The patients are treated in a very kind of concentrated fashion. So, terms of the commercial organization required to go after that, it's quite small. We haven't kind of guided to specific numbers there. Speaker 400:32:58But when you think about medical science liaisons, an access team, a sales team, it's a very small kind of cost efficient commercial organization that's needed to get out and to promote to 300 to 400 laryngologists that live in a very narrow set of locations in The US. Speaker 800:33:22Got it, that's really helpful. And then going back to the confirmatory trial design, one of the questions earlier mentioned the fact that you had 4.1 average prior surgeries in the initial trial, now you're going to drop that down to, I understand it's around two prior surgeries in prior year. Do you have any data from your initial trial with patients in that subgroup with the fewer surgeries that you could potentially extrapolate to understand the relative impact and reduction of surgeries that you anticipate for the confirmatory trial? Speaker 300:33:56Yeah, so that was the mean number of surgeries. In the original trial, we actually had patients from two up to eight, and actually had a very sort of good spread of those surgeries across the entire population. And we saw clinical benefit regardless of how we cut the number of surgeries, pre treatment. So we're very confident this will carry forward into our confirmatory trial. Speaker 200:34:25Yeah. And I think it's important to note that the reason why we're focused on patients who've had two or more surgeries in the prior year is it's really important to intervene early with RRP. Every surgery comes at a cost and risk to the patient, so the sooner that we can come in with a non surgical therapeutic alternative, the better chance we have of minimizing permanent damage to the vocal cords. So we believe it's very important to start treating these patients as early as possible. Speaker 800:34:58Got it. And do you have an estimate in terms of what fraction of current RRP patients meet that clinical criteria? Speaker 400:35:10Sure. Yeah, this is Steve. So the 14,000 that we referenced, the widely published data, we do think that's an underestimate and we do believe that it's best to try to treat early in the disease to kind of change the direct trajectory of the disease. We said, every surgery matters. The 14,000 published data, they did not provide kind of a segment of patients, kind of how they break out in terms of surgical burden. Speaker 400:35:45But I think what Mike just shared, we in the phase one, phase two, we treated patients the range of surgeries from two to eight with a median of four and that that may be representative of what the general kind of RRP population looks like. And that's really the kind of prevalent population of patients. But keep in mind, there's also an incident population, newly diagnosed patients every year that also kind of adds to the opportunity. And then, as we mentioned earlier, we do expect there'll be an opportunity for continued treatment or additional doses over time, which also expands the commercial opportunity. Speaker 800:36:25Got it. That's really helpful. Thanks for taking the question. Speaker 200:36:28The Operator00:36:33next question is from Yoroi Buchanan from Citizen. Please go ahead. Speaker 900:36:40Great. Thanks for taking the questions. Just I wonder if you can provide maybe greater detail on the timelines for the next major events. And more importantly, I guess, which ones you're going to announce. So I'm thinking FDA is okay for the rolling submission, the IND revision acceptance, start of the confirmatory trial and BLA acceptance? Speaker 200:37:01Yeah, great questions, Royce. So, we said in the call, we requested rolling submission in July, so we would expect to hear back from the FDA on that rolling submission sometime in August. And then once we hear back, we have modules that are available to submit pretty much immediately. We're working on updating the device sections of our IND to enable enrollment to start within the confirmatory trial. And then we're aiming to complete the submission of all of our modules of the BLA in the second half of this year with sufficient time to allow us to receive acceptance of the file by the FDA by year end. Speaker 200:37:49So that's the overall timeline. We're working as quickly as we can to try and get through those steps. Speaker 900:37:58Okay, great. Do you think you'll announce all those publicly? Speaker 200:38:02Yep. We're we're certainly committed to using our normal channels of communication to provide updates as they occur. Speaker 900:38:11Okay. Perfect. And then interactions with the SBA since the last report. I guess, any impacts from some of the volatility around Doctor. Prasad on those interactions? Speaker 200:38:21Yeah. So we're very focused on the things that we can control, and our interactions with the FDA to date have continued as normal. So we're just very focused on the work that we need to do to get our submission in. Speaker 900:38:39Okay, And then last couple. I noticed a publication from yesterday, that full year three results were from six out of the twenty eight patients. Are you going to present data from the additional patients completed in year three, maybe this year? And then one for Steve, any change to the pricing outlook from your prior comments? Thanks. Speaker 300:39:00Yeah, so in terms of the data, we obviously have, because it was a single retrospective look. We have variable lengths of data depending on when they originally entered into the original study. We have provided some of the data in press release, but because it becomes because there is different amount of data for different patients, it becomes more difficult to interpret. I think sort of digging into that third year data just isn't the best sort of scientific approach, which is why the publication really focused on year two, where we have a complete set of data and we can present the complete picture of the original population. Speaker 200:39:52Then I think your second question about pricing. So there, we're think we previously guided to OXIVIO as a potential analogue there and we're, you know, not expecting any changes in our thoughts around pricing. We're expecting rare disease pricing. In discussions with payers, they seem to believe that this is appropriate, so really no changes there. Steve, anything you want to add? Speaker 400:40:24No, with respect to price, mean, you know, we've commented there earlier. We did a fair amount of research with payers reviewing the product profile. As Jackie mentioned, rare disease pricing certainly is appropriate. And then the SpringWorks Therapeutics product, OXIVIO, that's priced at $360,000 a year. That's kind of the range of pricing that we're thinking and that we've shared with payers. Speaker 400:40:47Obviously, we can't give more specifics than that, but that's kind of the guidance that we've provided thus far. Speaker 900:40:56Perfect. Thank you. Operator00:41:01Your next question is from Leanne Greg from Jefferies. Please go ahead. Speaker 1000:41:07Great. Thanks for taking our questions. This is Leanne Chang for Roger. So, quickly touch on the confirmatory study. So, understanding that study has about 20 sites across The United States, and also you have aligned your study plan with probably UK regulators. Speaker 1000:41:24So how should we think about your ex US strategy regarding the confirmatory study? Thank you. Speaker 300:41:32Yeah, so, I mean, we've mentioned we were very strategic in making sure that our confirmatory trial in The United States will meet the requirements of the European and UK regulators. So we don't anticipate any difference in terms of how we would structure any study or design it. The two patients was fully in line with what we studied in our phase onetwo study. As we've said, they've requested along with the FDA that to have an inclusion criteria of two surgeries, you need to provide placebo controlled data. Speaker 1000:42:19And maybe quickly, so for ex US, are there any differences in current practice of treating RRP? Speaker 300:42:30So the one difference that I will note is obviously the majority of European surgeries are actually conducted in the Operating Theater. And because access to Operating Theater time in Europe can often be a little longer. They tend to actually have a slightly lower number of surgeries, which is again having the inclusion criteria of just two surgeries was actually important for Europe to make sure that we could include as many European patients in the future onto 03/2007. Speaker 1000:43:12Great. Thanks for the insights. Operator00:43:37There are no further questions at this time. Please proceed with closing remarks. Speaker 200:43:44Thank you. Before we close today, I'd like to take a moment to note that Inovio will continue the scientific and medical outreach strategy we outlined last quarter with a full schedule of presentation opportunities this fall. We'll be focused on continuing to illustrate the strengths of our RRP program and the potential of 03/2007, as well as the great potential we see for our next generation dMAb and dProc technologies. I'd also like to briefly mention the key catalysts we are focused on. First and foremost, submitting our BLA for 3107 on a rolling basis, updating our active IND for our confirmatory trial with our completed device data, and continuing to advance our commercial preparations so that we'll be ready to launch 3107 quickly and efficiently if approved. Speaker 200:44:37And finally, I would like to emphasize what's at the heart of the progress I've outlined here today: the potential to change the treatment paradigm for RRP, a debilitating rare disease. We continue to be driven by the fact that every day and every surgery matters to RRP patients and to our mission. Thank you for your attention and good evening everyone. Operator00:45:05Ladies and gentlemen, this concludes your conference call for today. We thank you for participating and ask that you please disconnect your lines.Read morePowered by