Paul Stoffels
Analyst · RBC Capital Markets. Please ask your question
Thank you all for joining today's webcast. I would like to take a moment to look at the turnaround we are realizing and how we set up the company for future growth and value creation. First of all, we redesigned our scientific approach and now we have a patient-centric focus on two therapeutic areas, immunology and oncology. In our core therapeutic areas, we pursue best-in-class medicines with multiple modalities. Today, we are a pure-play biotech with strong end-to-end R&D capabilities. We focus on breakthrough medicines and high unmet medical needs. We took a fresh look at our early-stage discovery work and broadened our modalities beyond small molecules. Our aim is to nominate a set of preclinical candidates this year that have the potential to enter the clinic next year. We also expanded our scope to bringing in external innovation as we believe that combining internal and external innovation is the best approach to accelerate our pipeline. Importantly, last year, we embarked on a strategic review of our commercial product Jyseleca and now transferred the product, the dedicated teams and related activities to Alfasigma. We strongly believe that our transformation to a pure-play biotech company allows us to focus on our research and development efforts. We have expanded our end-to-end R&D capabilities, especially in our more recently added therapeutic area of oncology. Today, we are a smaller, focused organization with approximately 700 employees. As a result of the organization measures we took, we were able to significantly bring down our cash burn. Thad will come back on how this frees up resources to redeploy in future growth. Conclusion, we believe that we have made significant progress in resetting the company to drive value in 2024 and going forward. As I mentioned, we have broadened our biological scope from small molecules to cell therapy and biologics. We have a long history and strong legacy of small molecule research and development in immunology and we have now expanded our small molecule efforts into oncology. Thanks to the acquisition of AboundBio and CellPoint in 2022, we added cell therapy and biologics to our capabilities. In cell therapy, we have an innovative decentralized manufacturing platform for CAR-T, a clinical pipeline and groundbreaking research capabilities. We will continue to build expertise to discover novel biologics. The teams are working hard to progress our discovery and development efforts across the three modalities with a laser-sharp focus on finding solutions for high unmet medical needs with an aim to accelerate time to patients. Now let's have a look at our pipeline today. In immunology, you can see that filgotinib has been removed following the transfer of Jyseleca. We have trials running with our selective TYK2 inhibitor 3667 in dermatomyositis and SLE. Recruitment is progressing and we are on track for Phase II readouts in '25 and '26, respectively. For strategic reasons, we decided to discontinue the development of our CD19 CAR-T in refractory SLE. We have seen multiple players entering this area in a short time frame. The field has become highly competitive and in light of the risk benefit and time to develop, we made this decision. We believe that the cell therapy approach will be a game changer for patients with autoimmune diseases, but for the long term success, it will be important to have an approach providing CD19 CAR-T like benefits with an optimal safety profile. Summary, we remain committed to immunology as a core therapeutic area and in our early research, we are working on multiple preclinical targets with small molecules and other modalities and continue to pursue external opportunities. In oncology, we made important progress with our three clinical-stage programs, the CD19 CAR-T 5101 in non-Hodgkin lymphoma, the CD19 CAR-T 5201 in chronic lymphocytic leukemia and Richter's transformation patients, and also with our program in BCMA-directed CAR-T 5301 in multiple myeloma. I'll come back to very encouraging preliminary data in NHL and CLL in a moment. Also in oncology, we are progressing multiple targets across modalities and are on track to nominate preclinical candidates over the course of 2024. At ASH, in December last year, we presented encouraging safety and efficacy data for our EUPLAGIA program in CLL and Richter's transformation with 5201 in a heavily pretreated patient population. I will not go off of the results in detail, but summarizing, we observed an objective response rate of 93% and a complete response rate up to 63% at dose level 2. Moreover, at dose level 2, 100% of the Richter's transformation patients responded to treatment. We also observed encouraging safety results with no CRS higher than or equal to Grade 3 and no ICANS reported. The data informed our decision to select dose level 2, 100 million cells as a recommended dose for the Phase II part of the study. The study is ongoing and we continue to collect more follow-up data. We now have the first patient in an ongoing response for over one year. Turning to our ATALANTA program in NHL for which we presented Phase I and II data at ASH last year, we observed encouraging efficacy in patients with multiple subtypes of relapse or refractory NHL, again in heavily pretreated patients. Overall, an objective response rate of 86% was observed with high rates of complete response. Also, for ATALANTA, we observed an encouraging safety profile. The study is ongoing and we are collecting data on more patients with longer follow-up time. We now have the first patients also in this study in an ongoing response for over one year. 2023 was also a busy year in building out a global point-of-care network. You will remember that we have an exclusive global license with Lonza for the Cocoon point-of-care device in blood cancers. We started the tech transfer to our first U.S. site, Landmark Bio, and hope to finish this in the coming months. This is an important step in the roll out of our clinical trials as the tech transfer data will be part of the anticipated IND submission with the FDA. We recently entered into a strategic collaboration agreement with Thermo Fisher out of the Bay Area and we aim to sign on additional manufacturing sites in the near future. Our aim is to establish a proximity network of sites that can deliver to hospitals in the vicinity. In Europe, we have five clinical trial centers up and running across three countries, Spain, Belgium, and the Netherlands, and we are actively working on opening additional centers. Late December, we launched our third clinical study on the Cocoon with the BCMA CAR-T 5301 in multiple myeloma. Internally, we also strengthened and continue to strengthen our capabilities in oncology. This includes quality assurance, clinical, and regulatory talent both in Europe and the U.S. I would now like to hand it over to Thad for the operational and financial update. Thad?