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BioAtla, Inc. (BCAB)

Q4 2022 Earnings Call· Thu, Mar 23, 2023

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Transcript

Operator

Operator

Greetings. And welcome to the BioAtla Fourth Quarter and Full Year 2022 Earnings Conference Call. At this time, all participants are in a listen only mode. [Operator Instructions] Please note this conference is being recorded. I’ll now turn the conference over to your host, Bruce Mackle. You may begin.

Bruce Mackle

Analyst

Thank you, operator and good afternoon, everyone. With me today on the phone from BioAtla are Dr. Jay Short, Chairman, CEO and Co-Founder; Richard Waldron, Chief Financial Officer. And following today’s call, Philippe Martin, Chief of Clinical Development and Operations; Eric Sievers, Chief Medical Officer and Sheri Lydick, Senior Vice President, Commercial Strategy will be joining Jay and Rick for a short Q&A. Earlier this afternoon, BioAtla released financial results and a business update for the fourth quarter and full year ended December 31, 2022. A copy of the press release is available on the company’s website. Before we begin, I’d like to remind everyone that statements made during this conference call will include forward-looking statements, including, but not limited to, statements regarding BioAtla’s business plans and prospects, potential selective licensing collaborations and other strategic partnerships, whether our clinical trials will be potentially registrational, results, conduct, progress and timing of our research and development programs and clinical trials; expectations with respect to enrollment and dosing in our clinical trials, plans regarding future data updates, clinical trials, regulatory meetings and regulatory submissions, the potential regulatory approval path for our product candidates; expectations about the sufficiency of our cash and cash equivalents and expected R&D and G&A expenses. These statements are subject to various risks, assumptions and uncertainties that can cause actual results to differ materially and are described in the filings made with the SEC, including the most recent annual report on Form 10-K and subsequent quarterly reports on Form 10-Q. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of today, March 23, 2023, and BioAtla disclaims any obligation to update such statements to reflect future information, events or circumstances, except as required by law. With that, I’d like to turn the call over to Jay Short. Jay?

Jay Short

Analyst

Thank you, Bruce. And thanks to everyone for joining us for our fourth quarter and full year 2022 BioAtla earnings call. BioAtla has made significant progress in 2022 across our five ongoing Phase 2 trials for our two latest stage first-in-class CAB-ADC product candidates BA3011 and BA3021 targeting multiple solid tumor types. We continue the positive trajectory in 2023, intently focus on further advancing the development of our innovative clinical and preclinical programs across our platform, leveraging the broad applicability of our CAB technology across several clinical stage antibody types, including AXL and ROR2 ADC targeted CTLA-4, IO naked antibody, and our first dual CAB bispecific EpCAM and CD3 T cell engager. Before providing the update, I'd like to remind everyone that additional details related to what I'm going to present are available on our website as part of our updated company presentation that may be helpful to you. We are excited by the promising clinical responses to date that are generally meeting and, in several cases, exceeding our interim study target responses. However, we recognize the resulting impact from providing incremental data updates on small sample sizes. In view of the near year term completion of these studies going forward, we plan to release more mature data sets across our programs. As a reminder, we are using these studies to provide sufficient data to allow us to set study parameters that maximize the company's likelihood of success for our Phase 2, potentially registrational studies. While this communication approach will modestly affect our data updates for Q2, we do not anticipate that this will delay the overall program development timelines while we advance what I believe will be a transformational platform in the treatment of solid tumors. Let's now move to our clinical, operational and financial updates for 2023, as…

Richard Waldron

Analyst

Thank you, Jay. As of December 31, 2022, we had $215.5 million in cash and cash equivalents, compared to $245 million as of December 31, 2021. We expect current cash and cash equivalents will be sufficient to fund planned operations, including all ongoing CAB product development and programs, into 2025. As a reminder, we control all CAB product market rights in the US, Europe and Japan. Our business strategy includes advancing commercial preparations in key global markets while exploring opportunities to extend our cash runway by generating upfront cash through the selective licensing of product rights in certain territories or collaborations with other biopharmaceutical companies that could also provide to us development milestones and royalties upon regulatory approval and commercialization and create additional value for stockholders. For the full year ended December 31, 2022, we reported a net loss of $106.5 million compared to a net loss of $95.4 million in the same period of 2021. Research and development expenses were $79.3 million for the full year ended December 31, 2022, compared to $58.3 million for the same period in 2021. The year-over-year increase of $21.1 million was primarily driven by our clinical product development efforts. We expect our R&D expenses to remain variable from quarter-to- quarter and generally increase as we continue to invest in R&D activities to advance our product candidates and our clinical programs. General and administrative expenses were $28.8 million for the year ended December 31, 2022, compared to $38.4 million for the same period in 2021. The $9.6 million change was attributable to a decrease in stock-based compensation for the 2022 period. We expect our G&A expenses to moderately increase to support development of our product candidates, advance our intellectual property portfolio, support focused pre-commercialization activities for our product candidate BA3011 and satisfy requirements as a public company. Net cash used in operating activities for the 12-months ended December 31, 2022 was $90.4 million compared to net cash used in operating activities of $62.2 million for the same period in 2021. The increase in net cash used in operating activities for the 12-months of 2022 is primarily due to an increase in research and development expenses related to our program development efforts as compared to the 12-months of 2021. And now back to Jay.

Jay Short

Analyst

Thank you, Rick. We are pleased with the progress we have made in 2022 and our cumulative results that continue to support both the preliminary efficacy and safety from our differentiated proprietary CAB platform. We are excited with the compelling clinical profile that is beginning to emerge in treatment refractory UPS and non-small cell lung cancer and are eager to continue advancing the Phase 2 studies with the addition of more frequent dose intensive regimens and providing clinical updates when more robust data sets become available. We also remain encouraged by the continued execution of our other promising CAB assets and multiple cancer indications and are well poised to reach several value creating milestones and key inflection points in the next several months. BioAtla remains confident about the future, with the goal of pursuing indications of high unmet medical need that we feel will have significant impact for patients and our shareholders worldwide. With that, we will turn it back to the operator to take your questions.

Operator

Operator

[Operator Instructions] Our first question comes from the line of Brian Cheng with JPMorgan.

Brian Cheng

Analyst

Hey, Jay and team, thanks for taking my question today. A couple of questions. Maybe just first on your AXL program and especially in the non-small cell lung cancer piece. And so maybe just one on your latest thinking about the pivotal trial design. Can you provide some color on your latest thinking about the pivotal trial design? What are the patients mix that you intend to enroll? And secondly, is that you're waiting for your feedback from the FDA, any gating factor that could potentially come up between now and your start time for the pivotal trial. And then one more point is that are we expecting any ESMO updates for your ongoing non-small cell lung cancer study? And then I have a couple of follow ups. Thank you.

Jay Short

Analyst

Hey. Thanks, Brian. So we are preparing a request for feedback to the FDA as we speak, and we intend to have that in later in this first half. Obviously, a gating factor is feedback from that FDA discussion, and that'll be the gating factor for Phase 2, part 2. What was nice about this timeframe is that we were able to take the learnings from third quarter in our discussions, in part from the UPS discussions also with our increasing number of patients, so that we could do a more thorough exposure response analysis. We put those together, realized that we could bring in this more frequent dose intense treatment in the same timeframe that we're working with and discussing with the FDA. So when you step back and answer the question about what's the next readout, we think the best time to do that is after we get the FDA feedback, because we will have not only the Q2W dosing data completed, which we feel very positive about, but we'll also now have an opportunity to compare that to the 2Q3W and the 3Q4W more frequent dosing. And so this gives us a chance to really make sure that we're going into the registrational portion of the trial. And of course, it's registrational that the FDA will allow us to do that. So that's some of the feedback we need to get yet. But that's how we're looking at it. And our job is to make sure we've maximized our potential for success. So we think we have a good baseline with the Q2W, and we have a chance for upside with these other doses, and we'll be comparing them. I don't know if that answers your question, Brian, but hopefully gives you a little flavor on it.

Brian Cheng

Analyst

Yes, that was very helpful. And then maybe just on one on the ROR2 side, we're curious what you saw in the initial couple of patients that you dose in the non- small cell lung cancer piece. I don't know if you can shed any light on just the efficacy that you saw. And given that you already are doing some work with the AXL non-small cell lung cancer, can you shed some light on how the ROR2 program in lung cancer efficacy profile compared to what you saw with the AXL program?

Jay Short

Analyst

Well, we can only do that for Phase 1. We don't have enough patients yet. Originally, we were targeting to report out on our Q1 earnings call, which, just to be clear, this is the Q4 earnings call. So the Q1 earnings call is in May. But given the fact that we have the opportunity to bring in the more frequent, dose intensive information in comparison, what we've done is that's the one milestone or timeline that we pushed out in terms of reporting it, actually doesn't change our overall Phase 2 timeline in terms of the pivotal side at all, but it allows us to now make a comparison between these more frequent dosing and the Q2W. So today we don't have enough data to make a comment, but I think we'll have a much better picture as we wait to the second half. And our goal of course, is to have the information required to go back into the FDA for ROR2 and get a picture of that. We also should have, we're going to update in May, but we're hoping to have a much better picture of what our recruitment rate is in the head and neck. And then of course, we'll hopefully get a snapshot of what's happening on the circulating tumor cell assay and melanoma.

Brian Cheng

Analyst

Great, thank you. Thanks for taking my question.

Jay Short

Analyst

By the way, Brian, just one thing. We have to submitted to one of the upcoming conferences. We haven't got feedback yet from the meeting, but we intend to present the exposure response analysis data as soon as possible so people can get a flavor and get under the hood on these other more frequent, dose intense regimens.

Brian Cheng

Analyst

For the ROR2.

Jay Short

Analyst

For ROR2 and AXL.

Operator

Operator

Our next question comes from the line of Kelly Shi with Jefferies.

Kelly Shi

Analyst · Jefferies.

Thank you for taking my questions. My first question is about AXL program in UPS. You mentioned at a more frequent dosing, 3Q4W.The DLT window has been cleared for first six patients in LMS subtype. I'm curious, would you share the efficacy outcome for the six patients in near term and also for the Phase 2, part 2, you're going to evaluate two different dosing, 3Q4W, and a 2Q3W in the first 40 patients. I'm curious, does FDA require another meeting after these 40 patients and talking about efficacy and safety for the decision on the dosing regimen for the next 40 patients in part 2? Thank you.

Brian Cheng

Analyst · Jefferies.

Thank you, Charlie. I'm going to let Philly help me on this one a little bit, but I'm going to start by saying you did get snapshot in January of the first scan of one of the patients at the 3Q4W when we reported out in Leiomyosarcoma that we saw 29.6% tumor reduction on first scan. So that was the first patient. But we are moving toward 10 to 15 patients, and we believe that we're just going to wait until we get those because we think they'll come in in a timely fashion for second half of this year. But obviously, we're very hopeful that we're going to see some interesting data coming out of that. But Philly, maybe you can add to this answer.

Philippe Martin

Analyst · Jefferies.

Yes. With regard to the timelines for the 3Q4W LMS score, we'll wait until we have approximately 15 patient worth of data, which is expected in second half of this year, as Jay mentioned. And then your question about FDA requirement. FDA does not require us to meet with them after the first 40 patients, but that's certainly our intention is to meet with them and to make sure that we align on the dose we are selecting for the next 40 patients to be enrolled, because that will be the dose we ask to be registered. And so we'll be planning on having a meeting with the agency once we have the first 40 patient enrolled in UPS.

Kelly Shi

Analyst · Jefferies.

Okay, thank you very much. I also have a follow up, if I may. So for the UPS Phase 2, do you plan to provide any data updating this year? And also at the moment, would you be able to share the information regarding how many sites have been activated?

Jay Short

Analyst · Jefferies.

Philip, if you –

Philippe Martin

Analyst · Jefferies.

Yes, so the data we just provided in this update is the data on all the UPS patient we've treated to date. The median PFS has evolved from the last time we reported the data. We are now at approximately 11 months and which I think the last time we reported date we were at about 6.8 months, something like that. So the PFS is evolving positively. Some patients are still on treatment, so that might continue to evolve. But I think you got a very basically, the data we are reporting today is very close to the final data in UPS. What was your other question? I'm sorry.

Kelly Shi

Analyst · Jefferies.

Yes, so I meant for the Phase 2, the potentially pivotal trial. Do you plan to have another data update this year? And at the moment, how many sites have been activated, study site?

Philippe Martin

Analyst · Jefferies.

I don't believe we anticipate to have data update. This is a registration study. Patients are being randomized. So we're not planning on giving data update, but will certainly provide enrollment updates. And what was good with this study is that we were able to leverage all the UPS, all the soft tissue sarcoma and bone sarcoma sites we had for initiated for Phase 2, part 1. So these sites are being transitioned to the second part of this phase, which is about 40 sites altogether in the US, Hong Kong and Taiwan.

Operator

Operator

Our next question comes from the line of Tony Buter of EF Hutton.

Tony Buter

Analyst

Yes, thanks very much. So a question around the CTLA-4 program in clintrials.gov, and one would anticipate clearly there's been dosing for a variety of tumors. So the first question is, has enrollment been, has it included and have the patients have all of the tumors which are listed on clintrials.gov been dosed in your early dosing schedule? And importantly, and if not, that's fine, but has it been skewed to one particular tumor or another? That's question one, number two is in the same program, what actually could you, enunciate which parameters that you're simply looking for? Is it just simply DLT? And then when do you think that you will get to an appropriate dose that you can then start looking at efficacy? Will that be within this first half? Do you think it takes the entire year? Thanks very much.

Jay Short

Analyst

I'm going to split this with Philly. But so I think that when you're at when 1 mg/kg, you're in an approved dose race, especially in combination with 3 mg/kg PD-1. So we passed that cohort. We just passed the 3 mg/kg in combination with 3 mg/kg of PD-1. So there's another cohort that's in that efficacy range. We're enrolling now for the 5 mg/kg in combination with 3mg/kg PD-1. So everything on out in the last two cohorts have the potential for looking at efficacy, and of course, we will look at that. But I think so this study in general, I think, is on track to be done in times such that we can actually kick off or initiate our Phase 2 trial in the BA3071 with the CTLA-4. So it's on a very good pace, and we're thrilled to see the data is coming in the way we hoped it would so far. But there were some other questions about the tumor types and maybe even a comment or two regarding efficacy readouts and so forth that maybe would be better for Philip to answer.

Philippe Martin

Analyst

Yes. Thanks, Jay. So I think the only tumor type we have not enrolled is HCC at this point. All the other tumor types have been enrolled. We're seeing quite a bit of activity and quite a bit of patients coming to our study in all the tumor types that we have listed. And so, as Jay mentioned, we've really surpassed efficacy threshold levels that we were expected, Ipilimumab is approved at 1 mg/kg in combination with nivolumab at 3 mg/kg in certain indication, 3 mg Ipilimumab plus 1 mg nivolumab other indications. So we have reached level with these cohorts where we certainly expect to see efficacy, but we'll also be looking at other markers of efficacy, such as CTDNA, tumor burden, so on and so forth, to also help us make a decision on which dose to take forward into the Phase 2 part of the study.

Operator

Operator

Our next question comes from the line of Arthur He with H.C. Wainwright.

Arthur He

Analyst · H.C. Wainwright.

Hey. Good afternoon, Jay and Team. Thanks for taking my question. So just follow up on the CTLA-4 program. So far in your study, could you give us a little bit of color on the average of repeating dosing of the study 3071 and how about the maximum repeated dosing have been so far reached?

Philippe Martin

Analyst · H.C. Wainwright.

Yes, we're starting to get in the read but we've had patients have been on treatment for quite some time and by quite some time I mean 11 cycles. But again we got to look at each cohort individually and see what is going on with these patients. But so far, the drug is even at doses that are above the doses approved with ipi plus nivo, there's really nothing to report. We've only had one SEA so far that was unrelated to treatment and was in one of the early cohorts, so far, the drug is very well tolerated, patients are able to stay on treatment. Again, we need more time to be able to tell you exactly how long patients are able to stay on treatment at a specific cohort. But what we can say is that so far, no DLT is really not much to report from safety or efficacy standpoint.

Arthur He

Analyst · H.C. Wainwright.

Great. Thanks for the color. And regarding the AXL program for the sarcoma part of the study, I'm just curious what's the rationale to testing more frequent and intensive dose regimen in the LMS cohort? Why not go for the other subtype of the sarcoma? Just curious.

Jay Short

Analyst · H.C. Wainwright.

I think. Well, first off, it's worth mentioning that these more frequent dosing, more intense dosing, actually, from those that like to follow Cmax and Cmin, it actually on the 3Q4W were lowering the Cmax, which is often associated with any toxicity, but we're also increasing the Cmin. So from a modeling standpoint, this is very exciting. So the other side of it is, I think, when you look back at our Phase 1 data, we saw some PRs in the line of myosarcoma, and those came in the Phase 1 study where we used Q2W and 2Q3W. So what was interesting was we didn't see a PR in the Phase 2 using the kind of Q2W. And so this we felt by going into LMS, we certainly could answer the safety question quickly. And the FDA was agnostic, in which indication we went to. So it gave us a chance to look at LMS to see if we could also tease out PRS, which really could open up a broad in the future, a potential broad soft tissue sarcoma expansion study. And it also answers the safety question. So you kind of kill two birds in one stone, and of course, those six wouldn't have counted for the UPS portion of our first part of our Phase 2, part 2 potentially registrational study. And so it just really was a way to optimize a whole bunch of questions very quickly without in any way delaying the UPS potentially registrational study.

Operator

Operator

Our next question comes from the line of Reni Benjamin with JMP Securities.

Reni Benjamin

Analyst · JMP Securities.

Hey, guys, thanks for taking the questions. I guess just sticking with the more frequent dosing regimens, can you talk a little bit about what you'd like to see before declaring a go forward dose? Are you looking for just improvements in ORR or just deeper responses? Or is it primarily from a safety perspective that will lead you to declare go forward dose? And I guess related to that, if you don't see anything meaningful or of course something that doesn't meet your hurdle, how do you choose the appropriate dose kind of going forward into the registrational study?

Jay Short

Analyst · JMP Securities.

So I'm going to start on this one and let Philly add to it. But first, it's important to recognize the reason we even have the freedom to use this more frequent, intense dose regimen and added in is because of the CAB technology. So we're expecting all three of these different does regimens, Q2W to Q3W, and 3Q4W to all be safe. That's not the question we're exploring. In fact, the CAB allow us that free to do it. And the FDA was extremely supportive of that UPS study. Our reason for exploring it is we have a chance to potentially even drive greater efficacy, and we're happy with the efficacy we're seeing on Q2W. So don't misinterpret that. But if you have a chance to increase efficacy and you can do it in a way that does not extend your overall development timelines, it was a great opportunity to do that. And in the UPS setting, we did it inside the part 2 of the Phase 2 study. Fortunately, in the actual in ROR2 setting for lung, we're able to do it in the part 1. So we're getting that done while we're in the same time in the process, at least for AXL, having discussions with the FDA, and likewise ROR2 has always been six months or so behind AXL, and so it has no delay effect on it, and it gives us a chance to really potentially see even more efficacy and stronger responses. So, Philly, do you want to add to that?

Philippe Martin

Analyst · JMP Securities.

Yes, I mean just to add to the first part of your question, which is which one do you if the 3Q4W doesn't work or doesn't meet our criteria, or does it, or meets about the same as what we've seen with the other dosing regimen. And that's fine. We are happy with the other dosing regimen, and we'll move forward with the 2Q3W and the Q2W at that point in time and select a dose. It's not that we have to have the 3Q4W work for us to move forward. We're just trying to maximize the efficacy we can get and leverage the CAB platform. That's it.

Reni Benjamin

Analyst · JMP Securities.

Got it. Just two other questions, I guess. The first, can you comment or just let us know are the patients who responded in non-small cell lung cancer, in the non-small cell lung cancer study, are they still responding now?

Philippe Martin

Analyst · JMP Securities.

Jay, do you want to take that?

Jay Short

Analyst · JMP Securities.

I think you should take that one.

Philippe Martin

Analyst · JMP Securities.

Yes. I mean, we have decided not to update the data, but I can tell you that some of the patients are still responding. Yes.

Reni Benjamin

Analyst · JMP Securities.

Excellent. And then just switching gears to the EpCAM bispecific, as I look at kind of the clinical trial design, it seems kind of complicated to me with a standard titration and then a standard titration with timing. I guess I'd love to just get some feedback or some commentary on where you think the therapeutic dose might be and how these, what's the, I guess point or how these titrations help you get to what's the ideal dosing, I guess, for this asset.

Jay Short

Analyst · JMP Securities.

Yes, I'll start and Philly, you can add into this but in group A we're thinking that the 125 mg/kg, you might see efficacy below that but that's around the EC 50 level. So we think that's a dose level that you could really start to see some things. Obviously, we think it could go above that given our safety profile and our preclinical studies but Philip, you can add some additional to that. Maybe you could also add in some of the logic around what the FDA is wanting to see with respect to the group B titration.

Philippe Martin

Analyst · JMP Securities.

Yes, so it is atypical. There hasn't been that many but so far it is a typical design for a bispecific CD3 T cell engager. The FDA is particularly concerned about cytokine release storm that have been observed with some other CD3 bispecific and so this is all set up to try to mitigate all this and make sure that we're not putting patients at risk. We have not seen any during our talk study neither have we seen neurotoxicity or even infusion reactions but we still have to follow that type of design in case we were to see grade two and above cytokine release syndrome. So that's really all done to manage that. The accelerated titration phase is fast. It is one patient per cohort is it a 14 days DLT observation period. So we can go through it relatively quickly and then move into a more standard titration at those levels that we believe will be efficacious. These drugs are extremely potent and so that is why we're starting at that low of a dose to begin with. But that is not, all of this is not atypical, is what I'm trying to tell you.

Operator

Operator

And we have reached the end of the question and answer session. I'll now turn the call back over to Jay Short for closing remarks.

Jay Short

Analyst

Well, I want to thank everyone for their time today and also thank the BioAtla team. And we look forward to speaking with you again, at least in May with our next quarterly earnings call. Thank you.

Operator

Operator

And this concludes today's conference. And you may disconnect your lines at this time. Thank you for your participation.