Adam Gridley
Analyst · Maxim Group. Your line is now open
Thank you, Jon and thanks to everyone for joining the call this morning especially given the challenges we’re all facing due to the spread of COVID-19. We've been rapidly evolving our plans to address the changing government regulations and the spread of the virus around the world. Our priority today is to protect the health of our patients, employees and local communities without creating unnecessary disruptions to the company's primary goals. Before moving into our 2019 business update and corporate objectives for 2020, I want to thank our employees, our investigators, and our patients for their support and participation in our Phase 2 clinical trial for EB613 and osteoporosis. These are clearly unique times and we very much appreciate everyone's continued perseverance and vigilance. When I joined the company in the third quarter of 2019, we committed to our stakeholders that we would be myopically focused on the execution of our most important business objectives. And I believe we’re well positioned financially and operationally to achieve a number of important goals this year. However, we cannot predict the impact of the Coronavirus outbreak will have on our Phase 2 clinical trial and our employees. During 2019, we chose to refocus our efforts where we believe our technology platform will provide patients novel therapeutic options for large disease states and create the most value for our shareholders. To that end, we pivoted to focus on EB613, our orally delivered parathyroid hormone or PTH program and initiated the dose ranging placebo controlled Phase 2 clinical trial in postmenopausal women with osteoporosis or low bone mineral density BMD. We will discuss EB613 and the data we expect to generate in more detail later on the call. But I'm pleased to say that as of today, we've enrolled 98 patients or approximately 60% of the plan trial and until COVID-19 had been on track to meet the timelines we established and communicated in 2019. In September 2019, we also reported positive results from a Phase 2 PK/PD study of our second product candidate EB612, where we confirm that oral PTH is effectively delivered into the bloodstream and activates PTH dependent biological pathways that are inadequately activated in patients with hypoparathyroidism. In addition to advancing our internal PTH programs, we also initiated preclinical work on the first molecule covered by our collaboration with Amgen. We’re pleased with the progress we've made and are working with Amgen to move the R&D program forward in accordance with the Amgen’s project plan and objectives. On the corporate side, we expanded and enhanced our executive team and board of directors and established the new U.S. headquarters just outside of Boston. Our new executives and board members have significant experience in business development and capital rising in the life sciences sector. We were heartened by the broad investor interest in our 2019 $14.3 million private placement, with a final closing in February 2020, generated $13.3 million in net proceeds. Importantly and based on our current operating plan, we believe we have ample funding in place to support our operations into the second quarter of 2021 and we will continue to explore opportunities to further extend our cash runway in light of the ongoing COVID-19 crisis. While 2019 was an eventful year for Entera, we also established a milestone rich plan in 2020 for our lead programs and generated significant investor interest and supporting the advancement of these 2020 objectives. As such, we believe we’re extremely well positioned during 2020, both from a clinical and from a financial perspective. However, providing timelines today for our 2020 objectives is tricky given the significant ongoing uncertainty related to the COVID-19 pandemic. The extent to which COVID-19 pandemic impacts us will depend on the duration and the magnitude of such impact and will depend on numerous factors that the company may not be able to accurately predict. As a result, we cannot guarantee any of the timelines that we described today. However for context, prior to the global outbreak of COVID-19, we communicated the detailed plan in our last quarterly investor call to complete enrolment of the Phase 2 clinical trial for EB613 in the first half of 2020 and we finished the trial in the fourth quarter of 2020. Furthermore, we expected to report the interim three months biomarker data in the second quarter of 2020 with full three and six month BMD data in the third and fourth quarters of 2020 respectively. Importantly, we're on track to achieve all of these milestones until the second week of March, when certain quarantine steps and restrictions related to COVID-19 were introduced in Israel and now in the United States. We have been evaluating contingency plans and employing risk mitigation strategies each day based on the Israeli regulations and the Israel Ministry of Health guidance on travel restrictions, essential health services and quarantine rules along with the rapidly changing guidelines for the conduct of clinical trials. To that end, let me provide some color on the status of the EB613 clinical trial in our broader operations. So we have four investigative sites in Israel, all of which are leading hospitals with patient enrolment fairly distributed across all four sites. The investigators, study coordinators and patients have continued to demonstrate enthusiasm to complete their treatment or in the case of new patients, we have an active and growing backlog of patients to be screened and potentially randomized that would have allowed us to continue enrolment for our original plan. Based on government and institutional directives implemented over the last several days, each of the sites are temporarily suspending on site visits for monitors, canceling all non-essential patient visits and in some cases, rapidly moving resources within hospitals to treat COVID-19 cases. As such, we have complied with the Ministry of Health's request and have temporarily suspended new patient enrolment where until a week ago, we are tracking to enroll the roughly remaining 60 patients over the coming months as originally planned. Depending on the duration and magnitude of COVID-19, we do not know how long the suspension will last. Now for the roughly 100 patients currently enrolled in the study, we are prioritizing patient care and data collection through the approved means possible by the Ministry of Health. These steps include home health care visits, transportation for patients to investigated sites that remain open to serve existing patients on a limited basis, remote monitoring, and courier services to ensure patients can stay on study drug, and we can collect as much data as is feasible. All steps are also documented and within the emergency guidelines permitted by the Ministry of Health. At this juncture, it's still difficult to ascertain the full impact of COVID-19 on our existing patients and our ability to continue their associated data collection, as well as when we may be able to restart the enrolment process for new patients. We anticipate at this time that there may be at least a one quarter delay in completing enrolment, if at all and correspondingly our full three months biomarker endpoints and six months BMD data may be delayed by at least one quarter. However, we do currently anticipate that we will meet our timelines for top line data release of the first 50% of patients with their three month biomarker data in the second quarter of 2020, which we'll discuss shortly in more detail. We will certainly keep everyone updated with any material changes to our timelines and data expectations as new information becomes available, or at the latest in our next quarterly financial results call which is anticipated to be in the next five to six weeks. Before we discuss the importance of the data that we expect to generate from the Phase 2 clinical trial for EB613, I'd like to quickly remind everyone about the opportunity to exist in the osteoporosis market today. There's a clear unmet need in osteoporosis due to the fact that only a small percentage of patients with this disease are actually treated due to cost, convenience and compliance challenges. We continue to believe that we can significantly grow the market by offering physician and patients a once daily oral tablet that increases bone formation and builds bone mass as an alternative to the currently available injectable anabolic drugs that are both expensive to manufacture, costly to the patient and healthcare system and inconvenient. I'd like to now turn the call over to Dr. Arth Santora, our Chief Medical Officer to discuss the Phase 2 trial for EB613. Arth?