Operator
Operator
Good day, ladies and gentlemen, and welcome to the Q4 Exelixis Conference Call. My name is (Kim) and I'll be your coordinator for today. At this time, all participants are in listen-only mode. We will be facilitating a question-and-answer session towards the end of today's conference. (Operator Instructions) I would now like to turn the presentation over to your host for today's conference, Mr. Charles Butler. Please proceed, sir. Charles Butler – Investor Relations: Thank you for joining us this afternoon for our fourth quarter and full year 2011 financial results conference call. Joining me on today's call is Mike Morrissey, our President and CEO; Frank Karbe, our Executive Vice President and CFO; and Gisela Schwab, our Executive Vice President and Chief Medical Officer. As usual, Mike will start off with a brief overview and then turn the call over to Frank who will review our performance over the financial reporting period, then Gisela will provide a research and development update before the team takes questions. As a reminder, during the course of this presentation, we will be making forward-looking statements regarding future events or the future performance of the company. Actual events or results of course could differ materially. We refer you to the documents that Exelixis files from time-to-time with the Securities and Exchange Commission, specifically, the company's most recent Form 10-Q filed on October 27, 2011. These documents contain and identify under the heading Risk Factors, important factor that could cause actual results to differ materially from those contained in any forward-looking statements, including risk related to the potential failure of cabozantinib to demonstrate safety and efficacy in clinical testing, Exelixis' ability to conduct clinical trials of cabozantinib sufficient to achieve a positive completion; the sufficiency of Exelixis' capital and other resources, and the uncertainty of the FDA review and approval process. And with that, I will turn the call over to Mike. Mike Morrissey – President and Chief Executive Officer: Okay, thank you Charles and thanks everyone joining us on the call today. Fourth quarter of 2011 and the first six weeks of 2012 have been very productive for Exelixis. We continue to maintain our similar focus on advancing cabozantinib or cabo for short in a rationale, expeditious and cost efficient manner to further our goal to maximize its value for patients, physicians and shareholders. We are executing across all experts of the business including clinical development, manufacturing, business development, and finance. I'll give a quick overview today to start things off and then Frank and Gisela will follow up with more details in a moment. The key takeaway message is that we have made significant progress throughout 2011 and during the last 10 weeks since our R&D Day in December. The clinical and commercial opportunity for cabozantinib is both deep and broad. As we highlighted previously, we are seeing objective partial responses per resist in 12 of 13 tumor types to-date, and we've also seen robust tumor reduction of primary and metastatic disease in lymph nodes, visceral organs, the CNS, and more recently, bone. Our challenge is to maximize the probability of success and ultimately the commercial value of the cabozantinib franchise across the multiple tumor indications in which we have seen activity to-date. As many of you know, metastatic prostate cancer remains the primary focus of our internal clinical development activities. Metastatic CRPC is a large commercial opportunity and despite multiple recent advances provides ideal opportunities to convert cabo's unique profile into a commercially differentiated product that could potentially bring a range of clinical benefits to patients. Our pivotal trial program in prostate cancer is designed to meaningfully differentiate cabozantinib by quantifying its potential to prolong overall survival and provide rapid and durable relief, reduction of discontinuation of narcotics, and to employ a bone scan response as a pharmacologic marker of cabo's clinical activity. No currently approved oncology agent in the CRPC space can make these claims and it's our goal to make cabo the first. We planned to achieve this goal by effectively executing our initial pivotal trials in metastatic CRPC, a process that is well underway. As we announced at our R&D Day in December, we'll currently focus on finalizing the plans for our overall survival trial previously known as 307 study now formally named COMET-1 which stands for cabozantinib, MET inhibition, CRPC efficacy trial. We remain on track to initiate that trial in the first half of 2012. As discussed at JPMorgan in early January, we initiated the pain palliation study in December of 2011. We referred to this study in the past as the 306 study and we are now formally naming it COMET-2. Gisela will provide additional details on these prostate cancer pivotal trials in a few minutes. As the prostate cancer clinical development program moves forward, a growing body of data for cabo and other tumor types continues to provide a signal of clinically meaningful activity. Our initial Phase 2 efforts, including the randomized discontinuation trial had successfully identified a wide range of tumor types sensitive to cabozantinib. Since late last year, investigators have made four presentations outside of the metastatic CRPC indication, specifically on differentiated thyroid cancer, metastatic breast cancer, liver cancer, and most recently advanced renal cell carcinoma. While we focus our internal efforts on metastatic CRPC, we continue to implement our plans to maximize cabo's potential in additional tumor indications through external collaborations, such as our Cooperative Research and Development Agreement or CRADA, NCI’s Cancer Therapeutic Evaluation Program or CTEP. Gisela will again provide brief recaps on the new data outside of CRPC and update you on our progress with CTEP shortly. In addition, we have used the last two months to collect and analyze key data from the broad range of cabo development efforts in preparation for the 2012 ASCO Annual Meeting in June. Nine abstracts were submitted last week covering CRPC and other tumor indications for cabo. While we won’t know which abstracts are accepted until mid-March, we’re planning to have a significant presence in Chicago this during with a broad update on cabozantinib covering the latest data in multiple indications. We’ve also continued to execute on the financial side of the business. In the fourth quarter of 2011, we largely completed our restructuring activities as started early last year. As a result, Exelixis is appropriately sized from a staffing and talent perspective to take cabo through the late stages of development in MTC and metastatic CRPC, while concurrently advancing the range of additional tumor indications and two collaborations. Alongside the restructuring, we have also completed our PI3K isoform selective discovery collaboration with Sanofi. This move gives us even tighter focus on the cabo opportunity. Our financial performance has kept pace with the achievements of the cabozantinib development effort. We started 2012 with over $200 million in cash and Frank will provide the details for the quarter and year end in a moment. From a financial perspective, we see multiple avenues to bring in additional cash in 2012 with milestones from existing collaborations, a capital markets and potential business development activities as viable options to provide additional financial resources to advance our clinical efforts for cabo. It’s been a busy couple of months with the initiation of our first metastatic CRPC pivotal trial, presentation of multiple additional dataset outside of CRPC and continued into progress. So with that, I’ll turn the call over to Frank to review the Q4 and year end financial. Frank? Frank Karbe – Executive Vice President and Chief Financial Officer: Thanks Mike. As usual, I will focus my comments on the highlights of our financial performance and refer you to our financial results press release issued earlier today for additional details and our 10-K which will be filed within the next few weeks will of course include additional information regarding our performance in 2011. So, apart from making a lot of progress with cabo in 2011, as you just heard from Mike, we’re also substantially completed our restructuring activities which we initiated in 2010. At the end of 2011, our headcount was down to approximately 200 employees. We completed the discontinuation of all development activities other than cabo. We ended most of our collaborations, under which we are still performing work at the beginning of the year. We signed two more sub-leases for excess space. And we out-licensed our PI3K delta program tomorrow. These accomplishments are reflected in our 2011 financial results, most notably in a significant decrease in operating expenses, which we accomplished despite a continued expansion of the development program for cabo. Revenues for the fourth quarter were up substantially year-over-year to $93.3 million mainly due to the acceleration of approximately $54 million in deferred revenue as a result of the wind-down of the Sanofi PI3K discovery collaboration in December 2011. Revenue for the full year also increased substantially to $289.6 million driven primarily by the acceleration of deferred revenue in connection with the early termination of BMS collaboration for XL281 in October 2011 as well as the wind-down of the Sanofi collaboration I just mentioned. Obviously, both of these events significantly reduced our deferred revenue balance, which you will see reflected in our revenue guidance for 2012. R&D expenses for the quarter were down year-over-year by about 27% to $30.8 million and down 26% to $156.8 million for the full year. Again, I think it is worth pointing out that we are able to accomplish these substantial decreases in expenses despite a significant increase in development costs for cabozantinib. This truly reflects the impact of our restructuring activities in 2010 and 2011 as well as the termination of some of our remaining collaborations that I mentioned a moment ago. Operating expenses were down year-over-year for the quarter by 24% to $31.7 million and down 28% to $200.1 million for the full year. These reductions again mainly reflect the impact of our restructuring activities. The increasing revenues and the decreasing expenses for both the fourth quarter and the full year, we saw that in significant increases to our bottom line. We are earnings positive for both the quarter and the full year with net income of $46.3 million or $0.35 per share for the quarter and $75.7 million or $0.58 per share fully diluted for the full year. We ended the quarter and the year with cash of $283.7 million, including a tax reimbursement from Sanofi of approximately $7 million received in December, but excluding the $12 million upfront payment from Merck in connection with PI3K-delta deal and excluding a payment of $15.3 million from Sanofi in connection with the wind-down of the PI3K discovery collaboration. Both of these deals were signed in December, but we did not receive the respective payments until January 2012. Taking into account these payments, we started 2012 with over $300 million in cash. Let me now turn to our financial guidance for the full year 2012, we expect revenues in the range of $40 million to $60 million. Again, the reduction in revenue as compared to 2011 is mainly due to the reduction in our deferred revenue balance mentioned earlier. We expect operating expense to remain in line with our 2011 expenses in the range of $190 million to $220 million. And with regard to cash we’re targeting to end the year with at least $200 million, which is based on certain assumptions about cash inflows from new business development activities, milestone payments from the system collaborations, and the potential financing activities, including accessing the capital markets among other things. And with that, I will turn the call for Gisela. Gisela Schwab – Executive Vice President and Chief Medical Officer: Thank you, Frank. As Mike said in his upfront remarks, the past few months have been very productive months for the Exelixis' clinical development team. I'll take a few minutes to provide further details on our work on the CRPC pivotal trial program in the rapidly maturing datasets and indications outside of CRPC and our plans for our CTEP collaboration. Cabozantinib's unique clinical profile allows for strong differentiation and our pivotal trial program in prostate cancer is designed to give us the evidence needed to differentiate the compound commercially and to make a meaningful contribution to the treatment of prostate cancer. Our planned pivotal trial program is comprised of two studies that we now have named COMET-1 and COMET-2. We continue our detailed planning for COMET-1. This trial will investigate cabozantinib's ability to prolong overall survival in CRPC patients who have progressed following treatment with docetaxel and abiraterone or MDV-3100. Since R&D Day, we have continued our feasibility evaluation. And the study is meeting with a high level of interest from investigators and we have identified a large number of sites to conduct the trial. The protocol is fully developed and we are on track to initiate this study in the first half of this year. As you may recall, COMET 1 will involve 960 patients who will be randomized two-to-one to receive over 60 milligrams of cabozantinib daily or single-agent prednisone. We are projecting rapid enrollment in the study with top line results for COMET-1 in the first half of 2014. At R&D Day, I outlined our rationale for what we believe cabozantinib has the potential to improve overall survival in this important trial. Our belief is predicated on three points. First, we are seeing substantial anti-tumor activity across multiple tumor types including the improvement of progression-free survival in the CRPC cohort of our randomized discontinuation trial and the profound effect on progression-free survival in our pivotal medullary thyroid cancer trial. Second, emerging data from our non-randomized extension cohort in CRPC support cabozantinib's ability to significantly reduce circulating tumor cells or CTCs and convert patients CTC count for above five to below five. As you know, reductions in CTCs in conversion to below five CTC in patients with elevated CTCs and baseline has been correlated with improved survival in prostate cancer and other studies. And finally, pain and anemia have been recognized as important factors predicting for overall survival as shown by (indiscernible) and others years ago and observed in more recent studies including The Cougar 301 study. Also pain improvement has been associated with improved overall survival in the TAX 327 licensure study for docetaxel as reported by Berthold and others. Our RDT and NRE experience shows that cabozantinib improves pain, narcotics use, and anemia in CRPC patients, as published in ASCO 2011 and AACR-EORTC-NCI in 2011. As planning and startup activities continue for COMET-1, COMET-2 has been initiated. COMET-2 is the randomized, controlled double-blinded trial that test cabozantinib's ability to deliver a durable pain response in CRPC patients who have progressed following treatment with docetaxel and abiraterone or MDV3100. We initiated the first site in December of 2011 and additional sites continue to come online. We're targeting a total trial involvement of 246 patients who will be randomized 121 to receive either 60 milligrams of cabozantinib daily or a combination of mitoxantrone and prednisone. Based in our internal planning, we are projecting a read out from the trial in the first half of 2014. As you heard from the prostate cancer expert panel at R&D day, pain palliation is an unmet medical need in late-stage prostate cancer. Among then, we'll previously receive docetaxel, 66% reported pain related to bone metastasis, and 90% noted that it interfered with their enjoyment of life. So, there is a clear opportunity for cabozantinib to meaningfully impact the lives of prostate cancer patients if the trial is successful. Collectively from a two and COMET-1 provided an opportunity to commercially differentiate cabozantinib and uniquely position it as an anti-cancer agent with demonstrated impact on overall survival and pain palliation. We believe that this will give us a compelling advantage in the crowed and rapidly evolving CRPC landscape. We are therefore focusing on the execution of the COMET pivotal trials with the aim of irrevocably establishing cabozantinib unique profile in the setting. We've also continue to evaluate the data on lower doses of cabozantinib. We are closed to completing enrollment in the 40 mg dose cohort of our non-randomized extension cohort and the low dose trial currently underway at Massachusetts General Hospital Cancer Center under Dr. Matthew Smith and fully involved the 40 milligram expansion cohort. Based on the early data from Dr. Smith's study, demonstrating profound activity at the low dose of 40 milligrams on bone scan response with a greatly improved tolerability profile with no dose reduction suspensions or discontinuation, we expect longer term follow-up data to be consistent with clinical benefit similar to that of observed at higher doses. I will now speak for a few minutes about the rapidly maturing datasets in our non-CRPC indications. As Mike mentioned earlier, there have been four data update for cabozantinib outside the CRPC indication in the last few months. These datasets speak to cabozantinib’s broad potential in a variety of indications as well as its differentiated profile. For a brief recap at the American Thyroid Association's Annual Conference in October 2011, Dr. Maria Cabanillas and co-authors presented data on a cohort of 15 patients with differentiated thyroid cancer. Differentiated thyroid cancer including papillary, follicular, and turtle cell cancer is the most common form of thyroid cancer. It's in advanced stage as it's typically treated with radioiodine. There is no standard therapy available for patients who fail radioiodine treatment, but tyrosine-kinase inhibitors, including sorafenib has shown responses in approximately 20% to 30% of patients. Dr. Cabanillas reported a 53% confirmed response rate with cabozantinib and anti-tumor activity was similar in patients who had received prior TKIs, including sorafenib or sunitinib and TKI-naïve patients. Importantly, tumor responses were durable. At the San Antonio Breast Cancer Symposium in early December, Dr. Sarah Tolaney of Dana Farber Cancer Institute presented preliminary data from a cohort of 45 patients with metastatic breast cancer participating in the cabozantinib Phase 2 randomized discontinuation trial. This was a heavily pre-treated patient population. Most patients had hormone receptor-positive disease and had received and failed prior hormonal therapy. Additionally, more than 70% of patients had received prior anti-cyclins. Of 44 evaluable patients, there were 6 confirmed partial responses for a 14% response rate. 26 patients had stable disease and 9 patients had progressive disease as their best response. The week 12 disease control rate was 48%. Next, at the 2012 ASCO GI Cancer Symposium in mid-January, Dr. Allan Lee Cohen of the Rocky Mountain Cancer Center presented positive preliminary data from the hepatocellular or liver cancer cohort of the Phase 2 randomized discontinuation trial. The dataset included 41 patients in the cohort. The week 12 disease control rate made up of partial responses and stable disease was 68% and evidence of objective tumor regression was observed in 78% of patients. Two patients achieved confirmed partial resist responses during the lead-in phase of the trial and another confirmed response was seen after the patient completed the lead-in phase and moved to the randomized component of the trial. An additional 32 patients reported stable disease. Importantly, the median progression-free survival was 4.2 months in both sorafenib pre-treated and sorafenib-naïve patients, an encouraging result given the advanced nature of the disease in this population. And finally, just a few days ago, at the 2012 ASCO GU Conference, Dr. Tony Choueiri of the Dana Farber Cancer Institute presented encouraging data from an advanced renal cancer cohort treated with cabozantinib. The patient population in this study was heavily pre-treated with 88% having received prior anti-VEGF therapy and 64% of patients having received two or more prior anti-cancer agents. 7 of 25 patients or 28% achieved a confirmed partial response and 13 additional patients had stable disease as their best response. A 72% disease control rate at week 16 was observed. Perhaps the most intriguing result was the median progression-free survival, which was 14.7 months. Importantly, in three indications of these four, DTC, breast cancer, and renal cell cancer, we observed individual patients with bone metastases achieving bone scan resolution on cabozantinib treatment and some patients requiring narcotic medication for bone pain associated with the bone metastases, experienced alleviation of symptoms allowing for reductions in narcotic use. So, as you have noted, there are some common threads in this interim datasets that I’ve just described and those include tumor regression that was seen in the majority of patients with numerous observed, confirmed, partial responses and many more cases of stable diseases across multiple tumor types. Progression-free survival is generally longer than that that would be expected free treated patient populations and it appears to be independent of prior therapy. Continued evidence of cabozantinib's ability to resolve bone metastases as valuable by bone scan emerges across tumor indications. These findings are consistent with what we have previously seen in our phase 2 CRPC cohort as well as the low dose CRPC trial. Now to follow-up on the encouraging observations outlined and to maximize cabozantinib's potential in these and other indications, we have CRADA with CTEP as well as our own investigated sponsor trial program. On the CRADA front, remember that this agreement allows us through the CEPT funding mechanism to advance further research in a variety of other areas for which cabozantinib has shown promise, while focusing our own internal efforts on medullary thyroid cancer and CRPC. In December, the NCI notified its investigative base of the opportunity to work with cabozantinib and began soliciting proposals for studies. We are excited about the high level of interest and the steering committee with CTEP and Exelixis’ leadership has begun to review study proposals. Two trials have already been approved and will be conducted by the NCI, a single agent study in bladder cancer and a second phase 1 study of cabozantinib in combination with docetaxel in CRPC. We are working on reviewing and approving additional studies and it is our hope to include trials in hepatocellular cancer, renal cell cancer, differentiated thyroid cancer and metastatic breast cancer in the trial roster, along with many other studies. With regard to our IST program, we have improved 17 clinical trials, two such studies Dr. Smith’s study in CRPC and Dr. Higgins and Baselga study in breast cancer already actively treating patients and yielding important data. Other studies are moving through the IRB and regulatory process with one trial in chemotherapy-naive CRPC patients and another trial evaluating the combination of cabozantinib and abiraterone being furthest advanced. So, we expect to see the initiation of a number of trials in the short-term. Now before closing the R&D update, I would like to comment on our progress and our first NDA filings for medullary thyroid cancer. With FDAs approval of rolling NDA filing, we have initiated the NDA filing in late December of 2011 with the submission of the preclinical section of the NDA and we are on track to complete the filing in the first half of 2012. With this, I would like to turn the call back to Mike. Mike Morrissey – President and Chief Executive Officer: Hi Gisela, thank you very much. We had a detailed update today, so I simply close the call by thanking all of our employees for their hard work and dedication and then open the call up for questions. Operator?