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EyePoint Pharmaceuticals, Inc. (EYPT)

Q2 2016 Earnings Call· Mon, Feb 8, 2016

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Transcript

Operator

Operator

Good day, ladies and gentlemen, and welcome to the pSivida Second Quarter 2016 Earnings Conference Call. At this time all participants are in a listen-only mode. Later we'll conduct a question-and-answer session and instructions will be given at that time. [Operator Instructions] As a reminder, this conference call is being recorded. I would now like to introduce your host for today's conference, Ms. Lori Freedman, Vice President of Corporate Affairs. Ms. Freedman, you may begin.

Lori Freedman

Analyst

Thank you, Andrea. Good afternoon, everyone and thank you for joining us. Earlier this afternoon, we released our second quarter financial results for fiscal 2016. A copy of this release is available in the Investor section of our website at www.psivida.com. On the call with me today are Dr. Paul Ashton, President and Chief Executive Officer; and Len Ross, Vice President of Finance. Before I hand the call over to Paul, I need to remind everyone that some of our prepared remarks are, and answers to your questions maybe, forward-looking in nature. Forward-looking statements are inherently subject to risks and uncertainties. All statements other than statements of historical facts are forward-looking statements and we cannot guarantee that the results and other expectations expressed, anticipated or implied will be realized. Actual results could differ materially from those anticipated, estimated or projected in the forward-looking statements. For a more detailed discussion of risk factors that could impact our future results and financial condition, I refer you to our filings with the SEC, including our Annual Report on Form 10-K for the year ended June 30, 2015. We undertake no obligation to update any forward-looking statements in order to reflect events or circumstances that may arise after this conference call. With that, I'd like to turn the call over to Paul.

Paul Ashton

Analyst

Thank you, Lori, and good afternoon everyone as we discuss the results for our fiscal 2016 second quarter. This was a really great quarter for us. The principal highlight was of course the truly extraordinary topline results from our first Phase 3 clinical trial for Medidur for posterior uveitis. These great results will pave the way for an expected acceleration of our application for EU marketing approval to later in 2016 by using the results from only the one Phase 3 clinical trial. And finally coming off these favorable results, we completed an underwritten stock offering in the first week of January increasing our expected cash runway into the fourth quarter of calendar 2017 and enhancing our investor base with well-regarded institutional investors. Now, let's get into the details. The topline results from our first Phase 3 trial for Medidur for posterior uveitis was truly spectacular. This trial was a 129-patient, multi-center, randomized, and double-masked study in which 87 eyes were treated with Medidur and 42 control eyes received a sham injection. The trial met its primary end point for efficacy, which was the prevention of recurrence of disease at six months with extraordinarily high statistical significance at p-value of less than 0.00000001. Only 18.4% of Medidur treated eyes had a recurrence of disease in the first six months compared to 78.6% of control eyes. In exploratory analyses of the data, we also saw very favorable effects on visual acuity through six months follow-up. All Medidur-treated eyes showed improved visual acuity i.e. gaining 15 or more letters from baseline at month six compared to controls that was statistically significant and few Medidur-treated eyes experienced a loss of 15 or more letters from baseline anytime through six months and that was also statistically significant. In another exploratory analyses, we also saw…

Len Ross

Analyst

Thank you, Paul, good afternoon, everyone. I will briefly review our second quarter fiscal 2016 results reported earlier today, starting with our financial position. As Paul noted, at December 31, 2015, we had cash, cash equivalents and marketable securities of $21.1 million, compared to $24 million at the end of the previous quarter. Together with the estimated net proceeds of $16.4 million from our January 2016 share offering, we believe our capital resources are sufficient to fund our current and planned operations into the fourth quarter of calendar 2017 without taking into account any potential future amounts that we might receive under our ILUVIEN collaboration agreement. Net cash usage of $2.9 million in the fiscal 2016 second quarter was lower than the $4.5 million in the previous quarter, primarily due to the timing of CRO payments for the Medidur clinical development, proceeds from exercise of stock options and refundable foreign research and development tax credits, and the absence of incentive compensation awards that were paid in the prior quarter. We currently expect net cash used in operating activities during the remainder of fiscal 2016 to average close to $5 million per quarter, primarily reflecting expected higher CRO payments and costs associated with our planned future regulatory filings for Medidur. As noted previously, we expect cash used from operations to be variable quarter-to-quarter, particularly with respect to the timing and amounts of the CRO payments. Turning now to our second quarter of fiscal 2016 results, revenues totaled $526,000 for the quarter ended December 2015, compared to $521,000 for last year's quarter. Research and development expense totaled $3.7 million in the fiscal 2016 second quarter, an increase of $954,000 or 34%, compared to $2.8 million in the prior year period. This increase was primarily attributable to higher CRO expense accruals for the…

Paul Ashton

Analyst

Great, thanks, Len. To sum up it was a really good quarter. Key points are one, our Medidur program for posterior uveitis is looking extremely good with the first trial hitting its primary efficacy endpoints with high statistical significance and positive safety data. In light of the outstanding topline results, we plan to file for EU approval based on only one Phase 3 trial with a plan of filing in Europe by the end of 2016. We also plan to meet with the FDA to confirm its requirements for an NDA, with a filing based on the results of two trials expected in the first half of 2017. With respect to severe osteoarthritis of the knee, we expect the investigator-sponsored study to begin enrollment this summer following submission by the investigator of the requested stability data for the implants. Three, work with both our Tethadur and Durasert development programs continues on pace. And, four, with $21 million in cash at the end of December and $16.4 million from our recent financing, our cash position is strong. At this point, we would be happy to take your questions. Operator, would you please initiate the Q&A portion of the call?

Operator

Operator

Absolutely [Operator Instructions] And our first question comes from the line of Suraj Kalia with Northland Securities. Your line is open.

Suraj Kalia

Analyst

Good afternoon, everyone. So, Paul, a few questions on Medidur's posterior uveitis trial and one question on the osteoarthritis product. You mentioned in your prepared remarks that you would be talking to the FDA about filing for an NDA. I guess the question I have Paul, is can you give us some directional color or confidence levels you'll see for the FDA reverting their stance and saying this study, the results were so compelling we can move ahead? Or they would still need the second Phase III study?

Paul Ashton

Analyst

That's a great question and it's a question that we shall be asking. I wouldn't want to speculate as to what they might say at this point.

Suraj Kalia

Analyst

Fair enough. And hey Paul, obviously from an Alimera perspective, we have seen how ILUVIEN over the years, you and I have talked many times about this in the past. You'll have obviously seen, admittedly it's in a different indication for ILUVIEN, when you think about going direct with Medidur, what do you think are things that you all can improvise, put in place right now so that when you'll get an NDA you'll hit the ground running and some of the past mistakes that's my opinion, mistakes are avoided?

Paul Ashton

Analyst

Well, we're beginning the presses now of engaging a whole team of advisors to help us with those decisions as to what needs to be in place one. So this is not rocket science. People launch products all the time. Our job is to talk to as many people as possible, or as many good people as we possibly can and to simply listen to the advice that we get.

Suraj Kalia

Analyst

How many feet on the ground would you need? Let's assume first half Calendar '17 is when you'll get NDA approval how many feet on the ground? Can you give us some directional color of your thought process?

Paul Ashton

Analyst

Well, I am assured by various people that it's an off-the-cuff estimate is around 25 to 30 sales reps. Now, that's a good off-the-cuff estimate no doubt, but I am much more interested in understanding when people have had a chance to dig into the market more carefully to come up with exactly how many that needs to be. And perhaps at least as importantly, ensuring the product is reimbursed as quickly as possible because I think getting reimbursement is quite crucial.

Suraj Kalia

Analyst

Fair enough. Two other questions, Paul and I'll hop back in queue. Just continuing on Medidur, for my edification, Paul, obviously the results was spectacular on the first Phase 3. We don't see any reason why the second Phase 3 should be any different. Just from a science perspective Paul, how do you, when you have loss of visual acuity in the treatment arm, how do you reconcile that with the recurrence of posterior uveitis? The reason I ask is only 4.6% of the Medidur eyes lost visual acuity, but 18.4% had recurrence. Is it just the math that's -- that way it works? Or is this a more underlying thing that we should keep an eye out for?

Paul Ashton

Analyst

That is 4.6% losing at least 15 letters. It doesn't mean to say that some didn't lose. Basically just didn't raise to the 15-letter mark and the FDA typically regards 15 letters as being something in the line in the sand. So by protocol, it's certainly possible for someone to have a recurrence of uveitis, but not having without having lost 15 letters.

Suraj Kalia

Analyst

Okay. Okay. So it's primarily math. Okay. Got it. And finally Paul, just going on to osteoarthritis, you guys know about Carbylan and Flexion and Anika There is a lot of interest in the space. I think it's about fair to say six months a year ago, together these companies were trading probably more than $1 billion in market cap on the promise of products relieving pain in osteoarthritis. So I can understand the enthusiasm that -- and you guys probably have some idea about how the Durasert-type of product would work in osteoarthritis. Paul at least from my perspective, what are the things that you're seeing to the extent that you can share that could help us get some comfort level on -- because some of these competing studies, there is either a question of placebo effect. There is either a question of efficacy or the duration of efficacy. One of the things that specifically comes to mind is you're putting an insert right in the knee, how do you segregate any intermittent pain or acute pain, or whatever, simply by the process of having a physical object in there? Any color on this would be great. Thank you for taking my questions.

Paul Ashton

Analyst

Hey, great. So the implant itself is it's a screw, so it's inserted away from any load-bearing joints. So it should be painless. There should be no foreign object sensation when the patient has one of these things put in. Another thing to emphasize here is that we're targeting patients who have severe disease. These are people who are potentially in fact certainly, in the queue for a total joint replacement. So it's not a moderate thing. So a minor tweak or relatively small discomfort in the knee, those are not the patients we're going after. We're going after people with severe disease. Unfortunately, there is a lot of them, at least 700,000. So I think the combination or I should also add that regarding the technology we know, in inverted commas, “that the technology will release drugs for a very, very long time”. We also know, in inverted commas, “that the drug we're choosing to release dexamethasone, does work”. So a lot of the variables, shall I say, that you perhaps have with some other technologies really aren't there in this case. So I hope that answers the question.

Suraj Kalia

Analyst

Thank you.

Operator

Operator

Thank you. Our next question comes from the line of Matt Kaplan with Ladenburg Thalmann. Your line is open.

Matt Kaplan

Analyst · Ladenburg Thalmann. Your line is open.

Hey, Paul, thanks for taking my question. Just quickly, can you give us a sense in terms of where you are with second Phase 3 in India and how that trial is enrolling?

Paul Ashton

Analyst · Ladenburg Thalmann. Your line is open.

Yes, that's enrolling. It's one of those things we'll know when it's fully enrolled, when it's fully enrolled. It's been about according to schedule.

Matt Kaplan

Analyst · Ladenburg Thalmann. Your line is open.

Great. And then -- go ahead.

Paul Ashton

Analyst · Ladenburg Thalmann. Your line is open.

And frankly, some of how that proceeds will be a function of any guidance we get from the FDA.

Matt Kaplan

Analyst · Ladenburg Thalmann. Your line is open.

Sure. And then in terms of the European filing, what do you need to complete to be able to, additional work that you need to complete to facilitate that filing in Europe? And I guess secondly, will that information that you are able to generate, will that help you in U.S. potentially as well?

Paul Ashton

Analyst · Ladenburg Thalmann. Your line is open.

And the answer to the second part of that is absolutely, it's essentially the same data. We need to complete our CMC, chemistry, manufacturing and control data. We need to be able to show that we can manufacture these implants to scale under the appropriate conditions. We obviously can, but generating the voluminous amount of paperwork to support your validations and all those things is going to take a time. And frankly, that is likely to rate determining. We also need data from our soon-to-be-initiated study of our new inserter that allows the implants to be injected down a 27-gauge needle, that will not be rate determining. So basically both, obviously both of those pieces of information are needed to support the NDA as well. So there is not additional data. It's just for the NDA. It's just -- that part is the same.

Matt Kaplan

Analyst · Ladenburg Thalmann. Your line is open.

The second was the NDA. Great. And I guess -- and then just a quick update on your Durasert pre-clinical program if you could, when you -- any visibility in terms of getting that into the clinic?

Paul Ashton

Analyst · Ladenburg Thalmann. Your line is open.

That is the AMD work, I presume.

Matt Kaplan

Analyst · Ladenburg Thalmann. Your line is open.

Exactly.

Paul Ashton

Analyst · Ladenburg Thalmann. Your line is open.

Yes, we're screening compounds now and when we come -- when we determine the dose that we'll need and the agent that's best, we'll go forward. So that's -- yeah, we're in the middle of screening. We'll know when we see it.

Matt Kaplan

Analyst · Ladenburg Thalmann. Your line is open.

Perfect. And then just last question going back to Medidur in terms of your meeting with the FDA, when should we -- can you give us a sense, in terms of when that could potentially occur?

Paul Ashton

Analyst · Ladenburg Thalmann. Your line is open.

Probably we'll be able to announce something in May. It rather depends on one, when you have the meeting and two, perhaps most importantly, when you get the minutes back from the meeting but we -- I'm expecting May will be appropriate.

Matt Kaplan

Analyst · Ladenburg Thalmann. Your line is open.

Well, congrats on terrific data and the progress.

Paul Ashton

Analyst · Ladenburg Thalmann. Your line is open.

Great. Thank you.

Operator

Operator

Thank you. And our next question comes from the line of Vernon Bernardin with FBR & Company. Your line is open.

Paul Ashton

Analyst · FBR & Company. Your line is open.

Hi, Vernon?

Thomas Yip

Analyst · FBR & Company. Your line is open.

Hey good afternoon, everyone. This is actually Thomas Yip asking a couple of questions for Vernon. He's out-of-pocket today. Just want to make sure that the NDA submission in the first half of 2017, just wondering if that assumes the FDA will require data from only one Phase 3 trial?

Paul Ashton

Analyst · FBR & Company. Your line is open.

No, that's assuming the FDA will want data two Phase 3 trials

Thomas Yip

Analyst · FBR & Company. Your line is open.

Okay. So in that case, would there be any additional say CMC studies or any other small studies that will be required if they -- if the FDA mandates only one Phase 3 trial data?

Paul Ashton

Analyst · FBR & Company. Your line is open.

No. Well we're doing the CMC work anyway.

Thomas Yip

Analyst · FBR & Company. Your line is open.

Okay.

Paul Ashton

Analyst · FBR & Company. Your line is open.

We're doing the -- yes, we're doing the inserter study anyway. If the FDA wants to see data from a second Phase 3, then we will give them that data.

Thomas Yip

Analyst · FBR & Company. Your line is open.

Okay. So I…

Paul Ashton

Analyst · FBR & Company. Your line is open.

That is just another thing we're doing anyway.

Thomas Yip

Analyst · FBR & Company. Your line is open.

I see. So assuming the best case scenario where the FDA requires only -- there is very impressive Phase 3 data that you already have, is it safe to assume that the NDA will proceed shortly after your talks complete with the FDA?

Paul Ashton

Analyst · FBR & Company. Your line is open.

No. As I alluded to earlier, it will take until Q4 to generate the CMC section. So the data that the Europeans want, which is CMC inserter data, etcetera, that's essentially the same package of information that the FDA will need.

Thomas Yip

Analyst · FBR & Company. Your line is open.

Okay. I got it. Thanks very much.

Paul Ashton

Analyst · FBR & Company. Your line is open.

The FDA will need that and they may, and currently to be clear, our last communication with them was that they would require data from the second Phase 3 trial, as well. I will see if that's still the case.

Thomas Yip

Analyst · FBR & Company. Your line is open.

Okay. Just one final question regarding Durasert, can you tell us a little bit about the nature of the data that will be required to file an NDA on osteoarthritis?

Paul Ashton

Analyst · FBR & Company. Your line is open.

It’s the standard -- standard stability data. Accelerated storage and that kind of good stuff.

Thomas Yip

Analyst · FBR & Company. Your line is open.

Sure.

Paul Ashton

Analyst · FBR & Company. Your line is open.

For the Ophthalmics group, they've often, almost always, have accepted stability data from non-clinical batches. The folks reviewing the osteoarthritis want to see stability data from the actual batch that is going to be used in the clinical trial. So it's not a big thing. It slows things down a little.

Thomas Yip

Analyst · FBR & Company. Your line is open.

Okay. So really nothing out of the ordinary which is good. Okay. That's all the questions I have. Thank you so much again for taking my questions and I hope you have another great quarter.

Paul Ashton

Analyst · FBR & Company. Your line is open.

Great, thank you.

Operator

Operator

Thank you. And this does conclude today’s Q&A session. I would now like to turn the call back over to Mr. Paul Ashton for closing remarks.

Paul Ashton

Analyst

Great, thank you. Well again I'd like to thank you all for joining us today and I look forward to speaking with you again on the next quarter. In the meantime of course, if you have any additional questions, please feel free to contact us. Thank you. Bye-bye.