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Atea Pharmaceuticals, Inc. (AVIR)

Q4 2024 Earnings Call· Thu, Mar 6, 2025

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Transcript

Operator

Operator

Good afternoon, everybody, and welcome to Atea Pharmaceuticals' fourth quarter 2024 Financial Results and Business Update Conference Call. At this time, all participants are in a listen-only mode. Following the formal remarks, we will open the call up for your questions. I would now like to hand the call over to Jonae Barnes, Senior Vice President, Investor Relations and Corporate Communications at Atea Pharmaceuticals. Miss Barnes, please proceed.

Jonae Barnes

Management

Good afternoon, everyone, and welcome to Atea Pharmaceuticals' Fourth Quarter and Full Year 2024 Financial Results and Business Update Conference Call. Earlier today, we issued a press release which outlines the topics we plan to discuss. You can access the press release as well as the slides that we will be reviewing today by going to the Investors section of our website at ir.ateapharma.com. With me today from Atea are our Chief Executive Officer and Founder, Dr. Jean-Pierre Sommadossi, Chief Development Officer, Dr. Janet Hammond, John Vavricka, our Chief Commercial Officer, Dr. Arantxa Horga, our Chief Medical Officer, and Chief Financial Officer and Executive Vice President of Legal, Andrea Corcoran. They will all be available for the Q&A portion of today's call. Before we begin the call, and as outlined on slide two, I would like to remind you that today's discussion will contain forward-looking statements that involve risks and uncertainties. These risks and uncertainties are outlined in today's press release and the company's recent filings with the Securities and Exchange Commission, which we encourage you to read. Our actual results may differ materially from what is discussed on today's call. With that, I will now turn the call over to Jean-Pierre.

Jean-Pierre Sommadossi

Management

Thank you, Jonae. Good afternoon, everyone, and thank you for joining us. I will begin on slide three. We made significant progress last year advancing our HCV program with the regimen of bemnifosbuvir and ruzasvir. In December, we reported positive results from our global phase two trial which demonstrated a 98% cure rate in the primary efficacy analysis with a short eight-week treatment. The very high SVR rate demonstrates the robust potency across HCV genotypes. We believe our regimens, if approved, have the opportunity to become a best-in-class hepatitis C treatment and disrupt the global HCV market of approximately $3 billion in annual net sales. The very positive phase two results helped to support a successful end-of-phase two meeting with the FDA which occurred this past January. In addition to the substantial progress that we have made, business updates include recent steps we have taken to further enhance shareholder value. This includes the retention of Evercore, a global investment bank, to assist us in the exploration of strategic partnerships related to our phase three HCV program. We also took cost-cutting actions to enhance efficiency in the management of infrastructure expenditures which Andrea will discuss in further detail. In February, we announced the appointment of a new independent director, Arthur Kirsch, who brings decades of financial and strategic advisory experience to our board of directors. Moving to slide four. Based upon the encouraging results to date, together with the successful outcome of the FDA meeting, we are initiating the global phase three program evaluating the regimen of bemnifosbuvir and ruzasvir and expect enrollment to begin next month. We believe that our phase three program is de-risked with a compelling value proposition. Furthermore, robust phase two results for antiviral therapies have historically led to a high probability of success in phase three…

Dr. Janet Hammond

Management

Thanks, Jean-Pierre. On slide seven, our potential best-in-class regimen is the only one that combines attributes today's HCV patients need. Our regimen combines bemnifosbuvir, which is the most potent nucleotide for HCV yet to have been developed, and ruzasvir, which is a highly potent HCV and HIV NS5A inhibitor. This regimen is differentiated from the approved treatments. It offers a highly personalized pan-genotypic therapy with a short treatment duration along with a low potential for drug-drug interaction and can be taken with or without food. All these attributes address the needs of the prescriber and the patient. Slide eight illustrates that only our regimen has a preferred drug-drug interaction profile. Since approximately 80% of HCV patients are taking concomitant medications, the drug-drug interaction profile of HCV therapy is of particular importance to both patients and prescribers for ease of use. As detailed on this slide, the regimen of bemnifosbuvir and ruzasvir has the cleanest drug-drug interaction profile with commonly prescribed medications such as oral contraceptives, statins, and proton pump inhibitors. On slide ten, I'm excited to share an update for our phase three program. In January, we had a successful end-of-phase two meeting with the FDA. Following the meeting and at the request of the FDA, we submitted the final phase three protocol, which will also be submitted to other regulatory agencies. We are currently in the process of opening up clinical sites and we are targeting over 250 sites worldwide. As Jean-Pierre stated earlier in the presentation, we are initiating the phase three program and expect enrollment to begin in April. On slide eleven, our global HCV phase three program consists of two randomized open-label phase three trials comparing the regimen of bemnifosbuvir and ruzasvir to the regimen of sofosbuvir and velpatasvir in patients with chronic HCV infection. Each…

Andrea Corcoran

Management

Thank you, Dr. Horga. As Jonae mentioned, earlier today, we issued a press release containing our financial results for the fourth quarter and full year 2024. The statement of operations and balance sheet can be found on slides eighteen and nineteen. In 2024, R&D expenses declined quarter over quarter, but increased year over year. The full year increase was primarily driven by higher 2024 external spend related to our COVID-19 phase three Sunrise-3 trial as well as our phase two HCV trial. For SG&A, expenses in 2024 and 2023 were similar quarter over quarter and year over year. Interest income quarter over quarter and year over year decreased due to lower investment balances. In 2025, substantially all our external R&D spend will be related to the advancement of our phase three program. As Jean-Pierre mentioned, at year-end 2024, our cash, cash equivalents, and marketable securities balance was $454.7 million. Continuing our strong financial discipline, we project cash guidance runway into 2028. Moving to slide twenty. As noted in our press release today, we announced a reduction of our workforce by approximately 20-25% in early January. This action is intended to enhance efficiency in the management of infrastructure expenditures and is expected to result in a cost savings of approximately $15 million through 2027. Additionally, we also announced that Arthur Kirsch has joined our board of directors. His extensive financial and strategic advisory experience will further strengthen the Atea board as we advance our strategic priorities. We believe that Arthur's proven track record of executing and overseeing transactions will be invaluable as we pursue opportunities to enhance shareholder value. I'll now turn the call back over to Jean-Pierre for closing remarks.

Jean-Pierre Sommadossi

Management

Thank you, Andrea. In closing, we believe that our global phase three HCV program is de-risked with a high compelling value proposition. This is based on substantial preclinical and mostly clinical data, a well-characterized regulatory pathway, optimized manufacturing processes, a durable multibillion-dollar market, and a long patent runway. We believe that the regimen of bemnifosbuvir and ruzasvir, with its potential best-in-class profile for the treatment of hepatitis C, if approved, provides an opportunity to become the most prescribed treatment and disrupt the global HCV market of approximately $3 billion in annual net sales. Before opening the call to your questions, I would like to thank our talented and dedicated Atea employees. Our team's relentless pursuit of excellence drives our dedication to advancing oral antiviral therapeutics for patients worldwide affected by severe viral diseases. With that, I will turn the call back over to the operator.

Operator

Operator

Thank you. To ask a question at this time, please press. And our first question comes from the line of Isabella Camaj with JPMorgan. Your line is open. Please go ahead.

Isabella Camaj

Analyst

Hi. This is Isabella on for Eric. Just two questions from us here. First, following your meeting with the FDA, are there any specific callouts that they've guided for in the phase three trial design? And then second, what can we expect in terms of the scope of your phase two readout later this half?

Jean-Pierre Sommadossi

Management

Janet, you want to address the first one, and then Dr. Horga will address the second question? Janet?

Dr. Janet Hammond

Management

Thank you, Jean-Pierre. Yes. So with regards to the meeting with the FDA, no, I do not think there are really any specific callouts. They are fully aligned with our approach of going forward with two open-label phase three trials. I think it's somewhat unconventional to run an open-label trial, but I think given the circumstances, the different properties of the drugs, and the population that we are studying, this is completely in agreement with them, and they did not really have any substantive comments around the conduct of the trial.

Jean-Pierre Sommadossi

Management

Dr. Horga?

Dr. Arantxa Horga

Analyst

Yes. I think the question, Isabella, was about the phase two readouts. So we are expecting to present data this summer at EASL in May. And so you will have additional data there in terms of the efficacy and safety and all the other details of the process of the protocol of the study.

Isabella Camaj

Analyst

Great. Thank you.

Operator

Operator

Thank you. And one moment for our next question. Our next question comes from the line of Andy Hsieh with William Blair. Your line is open. Please go ahead.

Andy Hsieh

Analyst · William Blair. Your line is open. Please go ahead.

Oh, great. Three questions from us, if you do not mind. One is on the trial design for the phase three program. I'm curious if you have an estimated number of cirrhotic patients across those two trials. Are they going to be strictly controlled, or is this kind of an estimation based on global and US epidemiology? That's question number one.

Jean-Pierre Sommadossi

Management

Let's take it one question at a time, if you do not mind. So, Janet, you address it, please?

Dr. Janet Hammond

Management

So yes. So there are estimates. We have target numbers of cirrhotic patients that we would like to see enrolled in the trial. But the number of cirrhotic patients, I think, generally worldwide, has declined with the advent of direct-acting antiviral therapies. I think particularly so in the US, they are harder to find than they were when the earlier direct-acting antiviral trials were conducted. But we do anticipate seeing somewhere in the order of just north of 10% probably in our trial, and that's what we are aiming for.

Andy Hsieh

Analyst · William Blair. Your line is open. Please go ahead.

I see. Is there an ability for you to adjust that number if you are seeing maybe a little bit lower or a little higher as the trial is enrolled?

Dr. Janet Hammond

Management

Yes. I think so. You know, as I said, we are setting targets, not absolute numbers. So we do have some flexibility in there. And, obviously, if we can achieve more and get greater experience, I think that will be important. But I do not think there are absolute requirements around that. We want to have sufficient patients enrolled with cirrhosis to be able to justify having that population in our label. But I think we will certainly do the best we can to have enough, but there is flexibility there.

Andy Hsieh

Analyst · William Blair. Your line is open. Please go ahead.

That's helpful. Second question has to do with the modeling, which is very unique on slide sixteen. So I'm curious if you were to plot this with Epclusa, would you expect those two lines to be right-shifted for Epclusa across the non-cirrhotic population?

Jean-Pierre Sommadossi

Management

This model has been developed by Dr. Alan Perelson from Los Alamos. And please check their publications with other direct-acting antivirals for HCV.

Andy Hsieh

Analyst · William Blair. Your line is open. Please go ahead.

Okay. That's helpful. Okay. That's actually, so sorry for the confusion. There's just two questions from us, but thanks for your input.

Jean-Pierre Sommadossi

Management

You're very welcome. Thank you for the questions.

Operator

Operator

I'm showing no further questions, and I would like to hand the conference back over to Jean-Pierre for closing remarks.

Jean-Pierre Sommadossi

Management

Thank you to all of you for joining our fourth quarter 2024 earnings conference call. And thank you for your continued support.

Operator

Operator

This concludes today's conference call. Thank you.