Dr. Christopher Anzalone
Analyst · RBC Capital Markets. Your line is now open
Thanks, Vince. Good afternoon everyone and thank you for joining us today. I'd like to start the call by addressing the weakness we've seen in the broader markets, and in particular within the biotech sector. It has been a difficult start of the year for the overwhelming majority of biotech companies and we at Arrowhead have been frustrated that our stock price does not properly reflect what we see as our true value. That is unfortunate and currently uncomfortable, but this is a cyclical issue not a structural problem in our view. There have always been cycles in the biotech capital markets and while the field is in a difficult cycle now, this will pass. This is a normal part of working in the sector and as long as we plan for such disruptions, have a flexible cost structure, and are going after important diseases in novel ways, we can build value during these times. I have always thought that we could get through anything as long as we could say four things. They are one, our technology works; two, we are working to solve real medical problems; three we have capital now; and four we have access to additional growth capital. We believe that all of these are true today. Let us look at the past quarter and the period since our last conference call through that lens. This was a pivotal period for Arrowhead in terms of providing further validation of our technology and setting up the rest of the year with multiple milestones and therefore value inflection points. We presented important data from our ARC-520, our drug candidate against chronic hepatitis B infection, showing that it does what it is designed to do and more broadly, that our proprietary DPC delivery platform can effectively and consistently silence target genes in humans. This is a critical step for us and allows us to enter the next stage of growth for Arrowhead. The next step for ARC-520 is multiple dose Phase 2 studies. We have begun 5 separate Phase 2 studies at 25 sites and counting, spanning 4 continents. During 2016 we expect to have over 200 patients on various multiple dose regimens, and we also intend to add cohorts including at least one clinical collaboration with an additional novel agent. This is a large number of patients, so ARC-520 is ultimately helpful in enabling functioning cures. I believe we have a good chance of seeing evidence this year. Now, what are the chances that we see something exciting? I believe quite good. Based on human and animal data that we presented over the last few months at our Analyst Day, and AASLD in HEP DART, ARC-520 is highly active against cccDNA derived mRNA transcripts, and thus can dramatically reduce the production of all HBV proteins. In fact, I believe we set a new single dose knockdown record for RNAi. In addition, our long-term study in chimpanzees showed that after repeat dosing, seven of nine animals treated with ARC-520 exhibited signs of immune reactivation. Interestingly, it took as few as three doses of ARC-520 to begin to see these signs. Further, given ARC-520's mode of action, it makes intuitive sense that it could be part of a therapy that leads to functional cures. Evolution drives towards efficiency so we think that expression of all HBV proteins is likely important for normal function of the virus and maintenance of chronicity. Put another way, we would expect a silence in all viral proteins, would make it increasingly difficult for the virus to continue to evade immune control, particularly with an otherwise healthy immune system or one that is stimulated by another agent. Taken together, these and other evidence give us confidence that ARC-520 will play a role in enabling functional cures. If we do see encouraging data in 2016 and beyond, when can investors expect to see this? This of course is a difficult question because if we do see functional cures we do not know how long patients will need to be on therapy to experience them. However, the 2001 extension study which is open to most of the patients in the 2001 single and two dose study, and the MONARCH study are both open label. We see unblinded data in nearly real-time and have flexibility as to how and when we communicate them. We intend to present data at relevant medical meetings, but upstream of that, we will look for opportunities to give updates on what we are seeing which may happen at any time. So stay tuned. Remember that there are no available therapies that lead to a reasonable number of functional cures and consequently even relatively infrequent functional cures during the early exploratory phases of our studies will be very exciting for Arrowhead, and for the approximately 350 to 400 million patients worldwide who are chronically infected with HBV. What about competitors? As with any clear unmet medical need, there is now meaningful competition and the space, and big pharma has recently focused on the opportunity. However, we are substantially ahead of our competitors. We have the strong advantage of data from the long-term chimp study and dozens of patients. Our safety profile has looked good and we do not require steroid pre-treatment that brings its own AEs, and immuno suppresses a patient at the exact time that a therapy is trying to enable the immune system to reconstitute itself. Given where we are in multiple phase 2 studies now, we believe that if it breakthrough in HBV is going to happen in the next 12 months it should come from us. Turning to ARC-521, the second drug in our HBV portfolio, we intend to accomplish some important steps during 2016. We previously reported that our clinical studies and our chimpanzee study showed the e-antigen negative patients and those on chronic anti-viral therapy tend to have lower levels of viral cccDNA. We also learned that DNA that integrates into the patient's genome can become a significant source of s-antigen production. ARC-521 is designed to hit mRNA transcripts deriving from both HBV cccDNA, and integrated HBV DNA. This means ARC-520 may be optimal in patient populations with higher levels of cccDNA, such as e-antigen positive NUC naive patients. And ARC-521 maybe optimal in patients with lower levels of cccDNA. We'll have to see what the various clinical studies show, but we think having both drugs should allow us to address all of the HBV market in a powerful way. ARC-521 uses the same DPC delivery vehicle as ARC-520 and ARC-AAT, so we have good amount of experience with it clinically. Today it has been well tolerated at all dose level study, which gives us great confidence as we prepare to initiate clinical studies of ARC-521 during 2016. We have an aggressive plan for the development of ARC-521 that includes accelerated first and manned Phase 1/2 design intended to get us into multiple dose study in patients quite rapidly. We will talk more about this design as we get closer to the initiating study which has planned regulatory submissions toward the end of the second quarter 2016. In addition to ARC-520 and ARC-521, we have an equally eventful year planned for ARC-AAT. Our drug against liver disease associated with a rare genetic disorder that causes alpha-1 antitrypsin deficiency, or AATD. We recently announced that ARC-AAT was granted orphan drug designation in Europe and previously was granted the same designation in US in 2015. We are currently conducting a Phase 1 single ascending dose study that consists of part A in healthy volunteers and part B in patients with AATD. During 2015 we achieved a predetermined level of AAT knockdown in healthy volunteers, which triggered the study to transition into patients. We have since been enrolled patients at several sites in Australia and Europe. We decided that it would be useful to compare AAT knockdown in healthy volunteers at the same therapeutic dose levels as patients are or will be receiving. Because of this we have added additional cohorts in part A of Phase 1 in parallel with part B, and we have continued to dose escalate in healthy volunteers alongside patients. We intend to complete enrollment and release top line results from the expanded part A and part B this year, and then report full data at a relevant medical meeting. We think that AATD is great target for an RNAi based intervention, and one that has relatively low target risk. AATD is caused by a genetic mutation that leads to the production of a misfolded AAT, produced primarily in the liver. This misfolded protein is not efficiently secreted and accumulates in the hepatocytes, which is thought to be the cause of progressive liver disease. Patients with mutations that make no AAT have normal livers. It seems like a very straight line between knocking down production of this protein in the liver and an ultimate clinical benefit for patients. We're preparing to begin a pilot Phase 2A multiple dose study that we expect to initiate and hopefully fully enroll this year. The biology of the disease is clear so we believe that ARC-AAT Phase 2A study, combined with the results from the Phase 1 study may represent clinical proof of concept. Once that has achieved we can discuss with regulators the potential endpoints of a pivotal study. Having orphan drug designation in the US and Europe allows us to have expanded interaction with regulators, which we intend to leverage to identify the best path to marketing authorization and ultimately to patients with AATD. As you’ve heard, there are a lot of potential impactful events for our lead clinical programs planned for 2016, and many more beyond that. It is our greatest priority to ensure that these are properly resourced, because they are our key near-term value drivers. We've clear leadership positions in HBV and liver disease associated with AATD, and we have the potential to be both first and best in class. We are building on success -- on this success through a pipeline that includes ARC-F12, ARC-HIF2 and ARC-LPA that address other high impact diseases. In order to support the development of these drugs and continued improvements to our underlying platforms, which now includes subcutaneous and extra-hepatic delivery constructs, we have expanded the company and our capabilities over the last few years in terms of headcount, facilities and equipment. We have taken these steps because we are confident that our DPC and all the nucleo type platforms will give us numerous opportunities to create drugs that change the way important diseases are treated, and at the same time create lasting value for our shareholders. We have not only had our foot on the gas over the past few years, we have had it on the floor. Our lead programs ARC-520, ARC-AAT and ARC-521 are now at important points in their development, when substantial value inflections are possible. Pushing through those points is critical to us as a company and want to ensure that we have the capital for this, particularly during this time of uncertainty in the broader markets. In order to keep our foot on the gas with these more mature programs we are easing up a bit on some of our earliest stage programs. We created a flexible cost structure that enables us to move quickly, but also to dial down spending on a program by program basis. And we're taking advantage of that now in order to fully resource HBV and AAT. All earlier programs continue to move forward, but some will just move at a slower pace for now. This is a good strategy and we are quite confident that there will be ample opportunities to fully fund these and other programs through various shareholder friendly methods. So what do we have now and where is a guess? Today we reported total cash resources of $76.6 million at the end of Fiscal 2016 first quarter. We expect this gives us sufficient liquidity to fund our programs as described above through at least 12 months from now. This is important because we have many important milestones we expect to reach within this window. With that review, I would now like to turn the call over to Dr. Bruce Given, our COO and Head of R&D. Bruce?