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Arrowhead Pharmaceuticals, Inc. (ARWR)

Q3 2018 Earnings Call· Wed, Aug 8, 2018

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Transcript

Operator

Operator

Ladies and gentlemen, welcome to the Arrowhead Pharmaceuticals Conference Call. Throughout today's recorded presentation, all participants will be in a listen-only mode. After the presentation, there will be an opportunity to ask questions. I will now hand the conference call over to Vincent Anzalone, Vice President of Investor Relations for Arrowhead. Please go ahead, Vince.

Vincent Anzalone

President

Thank you, Gerome. Good afternoon, everyone. Thank you for joining us today to discuss Arrowhead's results for its fiscal 2018 third quarter ended June 30, 2018. With us today from management are President and CEO, Dr. Christopher Anzalone, who will provide an overview of the quarter; Dr. Bruce Given, our Chief Operating Officer and Head of R&D, who will discuss our clinical programs; and Ken Myszkowski, our Chief Financial Officer, who will give a review of the financials. We will then open up the call to your questions. Before we begin, I would like to remind you that comments made during today's call contain certain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. All statements other than statements of historical fact, including without limitation, those with respect to Arrowhead's goals, plans and strategies are forward-looking statements. These include statements regarding our expectations around the development, safety and efficacy of our drug candidates, projected cash runway and expected future development activities. These statements represent management's current expectations and are inherently uncertain. Thus actual results may differ materially. Arrowhead disclaims any intent and undertakes no duty to update any of the forward-looking statements discussed on today's call. You should refer to the discussions under Risk Factors in Arrowhead's annual report on Form 10-K and the company's subsequent quarterly reports on Form 10-Q for additional matters to be considered in this regard, including risks and other considerations that could cause actual results to vary from the presently expected results expressed in today's call. With that said, I'd like to turn the call over to Christopher Anzalone, President and CEO of the company. Chris?

Christopher Anzalone

President and CEO

Thanks, Vince. Good afternoon, everyone, and thank you for joining us today. Our goal with respect to our pipeline of RNAi therapeutics in the broader TRiM platform that enables it is to be best in the field. We seek to develop effective medicines to work within timelines that others cannot, to have a validated platform that provides a level of derisking before clinical studies even begin, to have the ability to target many cell types and therefore wide varieties of diseases, and to be the partner of choice for RNAi therapeutics. We have made important progress on all these fronts and our accomplishments during the prior quarter and the period since our last conference call include the following. One, we made multiple presentations at the EASL International Congress. This included preclinical data for both ARO-AAT, our second generation candidate for the treatment of alpha-1 antitrypsin deficiency and liver disease. And ARO-HBV, our third generation clinical candidate for the treatment of chronic hepatitis B infection, and additional clinical data on ARC-520, our prior generation compound for HBV. Two, we presented preclinical data on our growing pipeline at several medical meetings, including data on our cardiometabolic candidates ARO-APOC3 and ARO-ANG3 and our first candidate targeting the lung, ARO-ENaC. Three, we completed enrollment in dosing of the single ascending dose portion of the ongoing Phase 1/2 study of ARO-HBV, and began dosing HBV patients in our multiple ascending dose portion of the study. Four, we completed enrollment of the Phase 1 study of ARO-AAT. Five, we received a positive EMA opinion on orphan designation for ARO-AAT. This follows orphan designation that was previously granted by the U.S. FDA. Six, we presented early clinical data on ARO-AAT at the Alpha-1 National Education Conference. This was the first clinical data presented on our TRiM platform.…

Bruce Given

COO

Thank you, Chris. Good afternoon, everyone. On our last quarterly call, I described the design of our two clinical studies for ARO-AAT and ARO-HBV. They both continued to move forward rapidly. To review from both studies the primary outcome measures are safety and tolerability. For ARO-AAT, secondary outcome measures include pharmacokinetics percent change in serum alpha-1 antitrypsin levels and duration of response. For ARO-HBV, secondary outcome measures include pharmacokinetics and an assessment of the change in all measurable viral markers, including s-antigen, DNA, RNA, e-antigen and core-related antigen. I thought it would be helpful today to go through the reviews of, specifically where we are with each study and what data maybe available for the AASLD and late-breaker abstract submission deadline is September and then what data maybe available to present at the meeting in November, should our abstracts be accepted. Let's start with ARO-AAT. The Phase 1 study, called ARO-AAT1001, started enrolling and dosing subjects around the middle of March. In the middle of June, we announced that the study had been fully enrolled and all subjects had received at least their first dose. We also announced at that time that two planned cohorts at a dose of 400 milligram were eliminated because maximal activity appeared to occur at lower doses than expected. So where are we today? 45 subjects have been enrolled and dosed across all cohorts with 20 in the single-dose cohorts and 25 in the multiple-dose cohorts. The single-dose cohorts, at doses of 35, 100, 200, and 300 milligrams, will have as much as 6 months of follow-up for the earliest cohort and approximately 3 months of follow-up for the last cohort at the time of the late-breaker deadline. By the November meeting, there will be approximately 5 to 8 months of follow-up for the single-dose…

Ken Myszkowski

Chief Financial Officer

Thank you, Bruce, and good afternoon, everyone. As we reported today, our net loss for the quarter ended June 30, 2018 was $15.6 million, or $0.18 per share, based on $87.6 million weighted average shares outstanding. This compares with the net loss of $5.5 million, or $0.07 per share, based on $74.8 million weighted average shares outstanding, for the quarter ended June 30, 2017. Revenue for the quarter ended June 30, 2018 was $700,000 compared with $9.3 million for the quarter ended June 30, 2017. Revenue was lowered because revenue from the $30 million upfront payment received from Amgen for the ARO-LPA, now AMG 890 agreement was fully recognized in October 2017. Revenue in the current period primarily relates to the recognition of a portion of the $5 million upfront payment received from Amgen for the ARO-AMG1 agreement. Of the total upfront payments of $35 million, all but $600,000 has been recognized as revenue to date. The remainder is estimated to be recognized in the next quarter. Total operating expenses for the quarter ended June 30, 2018, were $16.6 million compared to $15.1 million for the quarter ended June 30, 2017. This increase primarily is due to toxicity study costs for our ARO-AAT and ARO-HBV candidates. Net cash used an operating activity during the quarter ended June 30, 2018, was $14.4 million, compared with net cash used by operating activities of $10.4 million during the quarter ended June 30, 2017. This increase was due to the progression of our ARO-AAT and ARO-HBV candidates into Phase 1 clinical studies as well as for manufacturing payments related to our other candidates. Turning to our balance sheet, our cash and investments totaled $78.2 million at June 30, 2018, compared to $65.6 million at September 30, 2017. Our common shares outstanding at June 30, 2018, were $87.9 million. With that brief overview, I will now turn the call back to Chris.

Christopher Anzalone

President and CEO

Thanks Ken. At the outset of the call, I said that our goal for our drug candidates and underlying platform is to be the best in the field. I mentioned several parameters that we are focused on within this goal, and we have clear evidence for progress in each. Let's review them. One, develop effective medicines. We have a good start in both ARO-AAT and ARO-HBV, and are optimistic that they could eventually become powerful medicines. Two, work within timelines that others cannot. We started developing TRiM based ARO-HBV and ARO-AAT in the fourth quarter of 2016. If we are accepted at AASLD, we will have gone from concept through presentation of meaningful clinical data in just 2 years for two different programs. We believe is virtually unheard of, and we have several additional candidates to follow. Three, have a validated platform that provides a level of de-risking before clinical studies even begin. This is an area that just requires time. But given the safety and activity profile thus far with ARO-AAT and ARO-HBV, we feel increasingly confident about future and parasite targeted TRiM based candidates. Four, we have been willing to target many cell types and therefore a wide variety of diseases. In addition to parasite targeted candidates, we have good proof of concept in TRiM based lung targeting and solid tumor targeting now and continues to work toward the additional cell types. Five, be the partner of choice for RNAi therapeutics. Everything we have discussed today from our development speed to our encouraging early clinical data and ability to target a variety of tissues reinforces our belief that we can be a powerful partner in RNAi. In addition, we believe that our continued progress with the Amgen partnership, serves as a good proof of concept for this aspect of our business strategy. We believe Arrowhead is on solid footing today and has much more on the horizon. We think we are just in the early stages of a period where we see substantial opportunities to build value through rapid pipeline growth, key data readouts in near-term and midterm, and by exploring opportunities to expand our reach through business developments and partnering. We look forward to giving meaningful update on our progress and plans for our emerging pipeline, including ARO-APOC3, ARO-ANG3, our TRiM enabled inhaled pulmonary platform, including ARO-ENaC and our TRiM enabled solid tumor platform including ARO-HIF2 at our R&D Day in October. Thanks again for joining us today. And I’d now like to open the call for questions. Operator?

Operator

Operator

[Operator Instructions] Our first question comes from the line of Ted Tenthoff with Piper Jaffray. Your line is now open.

Ted Tenthoff

Analyst · Piper Jaffray. Your line is now open

Thanks for the update and excited to see the progress and looking forward to lot of good data readouts in the back half. I want to focus in on HBV, if I may, just with respect to what we could be expecting in terms of readout? And then also how quickly we could move to combination studies that may be a preliminary glimmer of what that might look like?

Unidentified Company Representative

Analyst · Piper Jaffray. Your line is now open

Bruce you want to take that?

Bruce Given

COO

Sure, well, Ted, as we laid out there -- by AASLD will have pretty significant multi-dose data. Our first-in-human trial here only allows a maximum of three doses. But most of the patients will have received three doses maybe we got -- actually, we predict all of them will have received three doses. And we could have significant follow-up for the early cohorts. So there is potentially a lot of data at AASLD assuming they accept the abstract. With respect to going into combination trials, we think the plan would be to go right into long-term combination trials with the goal of trying to find recipes that could start showing some seroclearance. And the only thing holding us back from that right now is the need for a long-term tax. So our six-month rat and our nine-month monkey studies, for both ARO-HBV and ARO-AAT, are ongoing right now and we will finish basically around the end of the year. So with respect to when we could start combination therapy trials in HBV, with the intent of finding regimens that can actually give seroclearance, we would expect that would be in the first half of next year.

Operator

Operator

Thank you. Our next question comes from the line and Maury Raycroft with Jefferies. Your line is now open.

Maury Raycroft

Analyst · Jefferies. Your line is now open

First, Chris, you commented that ARO-HBV is clearly active in s-antigen suppression from CCC and integrated DNA. I think I heard that correctly. And so I’m wondering if you can contextualize this observation and say if what you’re seeing is anecdotal from a few patients, the magnitude of changes of s-antigen and potentially the kinetics around that as well?

Christopher Anzalone

President and CEO

I don’t want to go in depth from that. You can have to wait to see the fuller data sets hopefully ahead AASLD. I didn’t want to be clear that we are seeing activity and we feel good about the drug. But we’re not going to go in depth on midstream data at this point.

Maury Raycroft

Analyst · Jefferies. Your line is now open

And for both HBV and AAT, based on what you’re seeing so far, any thoughts on how potential dosing could work for other program?

Unidentified Company Representative

Analyst · Jefferies. Your line is now open

[Indiscernible]

Christopher Anzalone

President and CEO

Yes. Well, I think, clearly monthly is frequent enough, I think it’s possible that we could be looking at every other month or even quarterly and I don’t want to speculate beyond that, but we’re getting very good duration with this TRiM platform. It really gives us good durability and we just -- we haven't been able to follow these patients out long enough yet to know just how good that durability is going to turn out to be. But it won’t shock me at all if we wide-up with quarterly dosing.

Unidentified Company Representative

Analyst · Jefferies. Your line is now open

And just on ARO-HBV. As Bruce mentioned in the prepared remarks, we have a couple cohorts where we’re testing weekly dosing as well as biweekly dosing in both those still just three doses because that’s we have talked coverage for. But we were interested in that not necessarily because we didn’t have confidence in the durability of that drug. But we were interested to see what happens if you just crushed the virus out of the gate. Because since we don’t know what the best strategy is to get to seroclearance, it’ll be interesting to see what happens with that frequent dosing compared to less frequent dosing.

Maury Raycroft

Analyst · Jefferies. Your line is now open

And last question is just AAT, and what your thoughts are on potential endpoints that could be used for potential approval?

Christopher Anzalone

President and CEO

We still think the most likely situation is that will be using a biopsy endpoint similar to what people are doing in diseases like Nash. There are some other potential ideas that we have, that we’re thinking about. But I think the most likely situation and certainly the first trial that we’re contemplating doing next involves biopsies to look at the ability to change the liver histology. But that’s, I think the most likely case of where the endpoint is going to wind up

Maury Raycroft

Analyst · Jefferies. Your line is now open

Got it. Okay. Congrats again.

Operator

Operator

Thank you. Our next question comes from the line of Madhu Kumar with B. Riley. Your line is now open.

Unidentified Analyst

Analyst · Madhu Kumar with B. Riley. Your line is now open

Hi, thanks. This is Jennifer on for Madhu. I have two questions for you guys. One, based on these Phase 1 healthy volunteer data for ARO-AAT, should we expect similar circulating AAT results from AAT patients in the potential data at AASLD? And second question, can you provide visibility on the timing of IND filings for additional internal cardiovascular programs beyond LPA other way? And third, in light of data to date from ARC-520, what are your expectations for ARO-HBV activities in the potential HBV patient data at AASLD? Thanks.

Christopher Anzalone

President and CEO

Okay. So there is a lot of questions. So what was the first again?

Unidentified Analyst

Analyst · Madhu Kumar with B. Riley. Your line is now open

Sure. The first one was on that just based on the Phase 1 healthy voluntary data from ARO-AAT? Should we expect similar circulating AAT results from the AAT patients in that potential AASLD?

Christopher Anzalone

President and CEO

Right. So to be clear, in this Phase 1 study, we are, for AAT, we're not treating patients, we're only treating healthy volunteers. And so the only data you'll see at AASLD will be healthy volunteer data. The reason for that is that what we found in our prior generation AAT program, the knockdown profile was essentially the same between patients and healthy volunteers. So in other words, 90% knockdown or 80% knockdown in healthy volunteers, was generally equate to 80% or an excellent knockdown patients even though the absolute values, of course, were different. So we do that as predictive and it make sense just to run quickly through this Phase 1 healthy volunteers, and then use patients for the more meaningful Phase 2/3 study. So we expect that value to start in the first quarter or so of in 2019 once we have start coverage for us. So, again, we won't have any patient data this year.

Unidentified Company Representative

Analyst · Madhu Kumar with B. Riley. Your line is now open

Yes, that was for both depth and duration. They really, at the same dose, the curves really overlap each other remarkably well for the patients versus the normal volunteers. So we felt quite comfortable on that regard.

Christopher Anzalone

President and CEO

Your second question had1 to do with filing CTAs for our cardiovascular drugs. We expect to file CTAs for both ARO-APOC3 and ARO-ANG3 around the end of the year. Our guidance hasn't changed on that. And third, you asked about ARC-520, and what we're going to see at AASLD. So here's what was important about the ARC-520 data -- the extension data. It was important that we're starting to prove this theory that field that had that if you can remove or substantially decrease these immunosuppressive forces through RNAi that you could reawaken the new system and enable the body to control the virus and enable dysfunctional cure. So that was a very important study from that standpoint. Our hope has been that ARO-HBV is going to be more complete and more powerful drug in ARC-520, in part, because it is -- it's not only silencing or its designed not only to silence the cccDNA, but also it's designed to silence the integrated DNA or that the viral DNA integrated to the host DNA. So think of surface antigen is coming out of two spigots ARC-520 turned off one spigot, but did not turn off the other, ARO-HBV, should turn off those spigots. And so our hope is that we can see -- what we saw with the s-antigens [indiscernible] by ARC-520 with ARO-HBV, but hopefully in a more consistent manner and maybe in a faster timeframe given that we expect this to be more complete and powerful drug.

Unidentified Company Representative

Analyst · Madhu Kumar with B. Riley. Your line is now open

And across a broader patient population.

Unidentified Company Representative

Analyst · Madhu Kumar with B. Riley. Your line is now open

That’s right.

Unidentified Company Representative

Analyst · Madhu Kumar with B. Riley. Your line is now open

ARC-520 was really limited in the patient population of conserved. We tried to design ARO-HBV to really be relatively agnostic as to the patient's subgroup. And we designed this first study to actually give us information across all of those various patient populations. That's what's really going to be fund to DNA AASLD. And it's hard to forecast exactly how that's going to look because we're really only just started dosing patients not so many weeks ago. So we have enough data now to have come to the conclusion that the drug is active. I don’t think we have enough data now to know exactly what things are going to look like in November. So that's something we really can't forecast.

Operator

Operator

Our next question comes from the line of Keay Nakae with Chardan. Your line is now open.

Keay Nakae

Analyst · Keay Nakae with Chardan. Your line is now open

Yes, just wondering if you can give us a little more info on the design changes you're seeing with ARO-ENaC. Is it -- in terms of the delivery system, the ability to achieve better PK, better tolerability? And is that allowing for design changes in the payload that may be which associate lower doses? Can you just help us to understand that a little better? Thanks.

Christopher Anzalone

President and CEO

Yes, I’ll answer that broadly because we have not disclosed the base -- the specifics of the structure at this point. So all of those changes that we've made -- we've really made sort of [indiscernible] supportive over the last few months. All of those changes have been in that increasing potency. Our goal here is to use as little amount of material as we can. It would be for any drug, but even more so for an inhaled drug. So we have made great strides in potency. And we've been able to achieve good knockdown without using PK enhancer. So it just makes the molecules more structurally simple, easier to manufacture and potentially safer. So we have seen -- again, good [indiscernible] in both in potency and safety profile.

Keay Nakae

Analyst · Keay Nakae with Chardan. Your line is now open

So, say in 2019, can you be any more specific to that first half or second half to start that?

Christopher Anzalone

President and CEO

It's not just point. We can give -- we will give more granular guidance at the R&D Day.

Operator

Operator

[Operator Instructions] Our next question comes from the line of Elemer Piros with Cantor. Your line is now open.

Elemer Piros

Analyst · Elemer Piros with Cantor. Your line is now open

A lot of questions have been answered. Thank you for that. Maybe I have a housekeeping question to Ken, and a strategic question as well. So I’m almost certain that you will recognize the $10 million milestone payment from Amgen next quarter, but I just wanted to verify that.

Ken Myszkowski

Chief Financial Officer

That’s where we expect to recognize the $10 million of revenue next quarter.

Elemer Piros

Analyst · Elemer Piros with Cantor. Your line is now open

And on the operating expense side, Chris or Ken, if you could comment on, how -- to what extent do you see it accelerating beginning in 2019 when you have multiple events stage programs in the clinic and from new one as well?

Ken Myszkowski

Chief Financial Officer

So our expenses will go up, but they’re not can go crazy, because these are still relatively early stage programs. So I think, we’ve been -- we have generally been in between -- bringing between $12 million and $15 million a quarter. I think, we stay pretty close to that.

Elemer Piros

Analyst · Elemer Piros with Cantor. Your line is now open

Thank you. And Chris, how do you think at this stage on partnering opportunities, which of these programs is maybe more suitable for a larger company that has broader reach to eventual markets?

Christopher Anzalone

President and CEO

Yes, that’s a harder question. We can go through them individually. So ARO-ENaC that's something that we would be happy to commercialize ourselves; ARO-AAT, we would be happy to commercialize that ourselves; ARO-APOC3, we will be happy to commercialize that ourselves, we think they’re good orphan opportunities there. But it could also be a mass marketed product. And so we can go either way on that. ARO-ANG3 similar, we could go either way on that. It’s that with the slight bias towards larger markets that really could be addressed maybe better with the larger partner. And then HBV, HBV is probably, at least geographically, is a partner play. We’re not going to go Salesforce in China to go commercialize that. So at the very least, and that makes sense to partner geographically and maybe worldwide. We’ll just see how that goes.

Operator

Operator

Thank you. There are no further questions at this time. I would now like to turn the call back to Chris Anzalone for any further remarks.

Christopher Anzalone

President and CEO

Thanks very much everyone. We look forward to seeing you in October for the R&D Day.

Operator

Operator

Ladies and gentlemen, thank you for participating in today’s conference. This does conclude today’s program. You may all disconnect. Everyone have a great day.