Gregory Frost
Analyst · William Blair
Thanks, Anne, and good afternoon to everyone. We appreciate you joining us on our first quarter call for 2012. Elaborating on the press release from today, I will outline the progress we've made with some of our near-, mid-, and longer-term value drivers, and Kurt Gustafson, Halozyme's CFO, will review the quarter's underlying financial results with you.
Before I update you on the progress we've made with our development programs, I'd also like to share some recent news regarding our general patent portfolio. As many of you know, we have multiple patent applications on file with the European Patent Office, or EPO, that protect our rHuPH20 enzymes through 2024 and beyond. As noted in prior filings, one of our core granted patents in Europe was opposed with proceeding schedule for this month. I'm happy to report that this opposition has been withdrawn, the hearing canceled and the EPO has acknowledged the patentability of the claims.
In our interactions with the EPO, we agreed to make some minor changes to the patent claims and description. We anticipate the next steps for the EPO to issue a final written decision affirming the claims. This is very positive news, as it will mean that the rHuPH20 enzyme, part of our core technology, will have patent protection exclusivity until at least 2027 in the U.S. and at least 2024 in Europe.
Now regarding the recent development activities within the first quarter, we've already achieved 2 major milestones that we set for the year, both which involve a near-term value driver with our partner, Roche, the subcutaneous Herceptin program.
First, in early March, we announced that Roche submitted the Line Extension Application for the subcutaneous formulation of Herceptin to the European Medicines Agency for the treatment of patients with HER2-positive breast cancer. This formulation of Herceptin uses Halozyme's Enhanze Technology to enable the subcutaneous injection of a full intravenous dose of medication. This was a pivotal milestone in the subcutaneous Herceptin development program, and we're confident in the strength of the regulatory application submitted for review. Notably, on Roche's recent earnings call, they communicated that discussions with the European regulators were going well and progressing as expected.
Secondly, a few weeks ago, Roche presented the Phase III subcutaneous Herceptin registration data from 596 patients at the European Breast Cancer Conference with a median follow-up of 12 months. The trial, called HannaH, met its co-primary endpoints of PK based upon blood serum levels and efficacy, based upon pathologic complete response or complete eradication of the tumor cells in the breasts. Efficacy results were comparable, with 45.4% of patients in the subcutaneous arm achieving pathologic complete response and 40.7% of patients in the IV arm achieving pathological complete response. As for PK, measured by drug concentrations in the blood just before surgery, the subcutaneous administration is compared to the IV formulation at 69 micrograms per mL in the subcutaneous arm and 51.8 micrograms per mL in the IV arm.
Additionally, the HannaH trial also demonstrated that the overall safety profile of subcutaneous Herceptin was consistent with a known safety profile of the current standard IV formulation. We're very excited about this program and believe the subcutaneous formulation of Herceptin may provide tangible benefits to patients, healthcare providers and payers.
Patients may benefit from a therapy that has increased convenience over IV administration. Subcutaneous Herceptin will offer a less invasive route of administration, as well as a shorter duration of administration, 5 minutes versus 30 to 90 minutes, and provide a more efficient route of administration as a fixed-dose regimen.
Additionally, patients deemed eligible may have the option for at-home self-administration of their therapy with a fixed-dose device Roche is developing. We believe that Roche is taking the right steps to adequately address any questions that physicians may have about self-administration and is putting significant resources behind a program to help patients make the transition from IV to subcutaneous as smooth as possible. In fact, Roche recently announced a large clinical trial called SafeHer, where approximately 2,500 patients across 60 countries will self-administer their therapy under the supervision of a physician to compare the safety of assisted and self-administered subcutaneous Herceptin, using both the device and vial.
In terms of healthcare provider benefits, physicians could see increased convenience as well, as a subcutaneous administration requires lower resource utilization. For example, pharmacists will be able to provide a ready-to-use fixed-dose administration device instead of preparing an infusion that will allow physicians and nurses to conduct fewer infusions in the hospital, freeing up resources for other procedures. For payers, less resource utilization results in reduced healthcare costs, making subcutaneous Herceptin an attractive option for reimbursement.
The other near-term value driver we have with Roche is also progressing very well. In Roche's latest earnings call, they reiterated an on-track status for a 2012 submission of MabThera, or rituximab, Line Extension Application to the European Medicines Agency. That submission will be a key milestone for the rituximab development program and an important step for patients living with non-Hodgkin's lymphoma, chronic lymphocytic leukemia and follicular lymphoma.
Moving on to our other late-stage partner programs, I want to comment on the recent update with our partner, Baxter, on the HyQ biologics license application. FDA recently requested additional information regarding the investigational therapy, HyQ, in order to complete its review of the application to treat patients with primary immunodeficiency.
As a reminder, HyQ is a product that is co-administered and includes Baxter's immunoglobulin and Halozyme's recombinant human hyaluronidase, for which a BLA was submitted to FDA for the treatment of primary immunodeficiency. We continue to work closely with Baxter to clarify FDA's questions, development an action plan and generate data to satisfy their request. FDA indicated in the request that additional information could be satisfied, through pre-clinical or clinical studies, the clarifying discussions will be required before we can provide a more definitive timeline. However, currently we anticipate the potential approval of timeline to extend beyond 2012.
In closing out our update on the HyQ regulatory status, I want to reiterate that along with Baxter, we remain optimistic about the HyQ development program and believe it could offer an important new treatment option for patients with primary immunodeficiency.
Halozyme has many years of experience researching and developing the rHuPH20 enzyme and has conducted longer-term repeat-dose trials combining rHuPH20 with other agents, such as insulin, and in partner with other recombinant products. For example, through various clinical studies, we've accumulated safety data on approximately 1,200 patients dosed with rHuPH20 for more than 6 months and nearly 940 patients dosed for one year. Specifically, in studies with Roche, the combination of rHuPH20 in Herceptin has been studied with repeat dosing every 3 weeks for one year, with the safety profile of subcutaneous Herceptin having been shown to be consistent with that of IV-administered Herceptin. Details of this 2-arm trial were presented in Vienna last March. Additionally, with 2 large-scale trials that Roche recently announced they're initiating, the 400-patient PrefHer trial and the 2,500-patient SafeHer trial, will continue to build out the established safety profile of the rHuPH20 enzyme.
Now let's turn the conversation to our proprietary revenue stream, Hylenex, our wholly owned product, a low unit-dose liquid formulation of recombinant human hyaluronidase. We’re starting to gain a foothold within hospitals and emergency departments for applications such as drug extravasations, most commonly used in the NICU in regional blocks. Hylenex is FDA-approved for the dispersion and absorption of other injected drugs and fluids. And while we're initially focusing on drug extravasation, we'll work to expand sales in the future through regional anesthesia and fluid administration indications in the hospital with patients with difficult venous access.
In working closely with FDA, we also recently received approval on the supplemental NDAs that update the Hylenex label to include instructions for pre-administration of the enzyme in advance of other injected or subcutaneously infused drugs, as well as to include information from the multiple non-clinical studies that provide further data on the safety profile of Hylenex. As a reminder, we have an appropriate and experienced commercial infrastructure in place to support this relatively small market, and we believe this product will be profitable.
Switching gears now, let's talk briefly about our mid-term value driver, our diabetes platform. I'd like to quickly review our presence at the upcoming 72nd Scientific Sessions of the American Diabetes Association that will be held June 8 through 12 in Philadelphia. We're excited to have a robust showing at the meeting, and I'm pleased to announce that we have 4 abstracts accepted, including one leg breaker. Once ADA lifts the embargo, we'll post the titles of the abstracts to our corporate website. Of particular note, Halozyme management will be hosting an analysts' cocktail reception during the conference to review meeting highlights from our diabetes development programs. The reception will be held at ADA in Philadelphia. We'll provide more information regarding this event in the near future. We look forward to seeing you in Philadelphia.
Also we're pleased to announce that on October 2 of this year, we'll host an analysts' day in Manhattan, where you'll hear more about the company's overall business strategy, as well as our specific plans for Hylenex in the insulin pump market. We'll provide more details regarding this event in the near future.
Lastly, I want to take a quick minute to review some of the catalysts from our longer-term value drivers. Throughout the remainder of the year, we expect to present results from the HTI-501 Phase II clinical trial in patients with moderate to severe fibrosclerotic panniculopathy, more commonly known as cellulite. That portion of the trial has begun and we anticipate data by end of the year.
Our PEGPH20 program in patients with stage 4 previously untreated pancreatic ductal adenocarcinoma is advancing well in the 1b run-in portion. We've also decided to expand the numbers on the run-in portion of the trial in order to gain more experience with the drug at higher doses before moving into the randomized placebo-controlled phase. This will ensure we maximize the opportunity for patients in the randomized phase and have more unblinded data before doing so. We expect to wrap up the run-in phase before the end of the year. Additional PK and PD data from the single-agent Phase I trial will also be presented at ASCO this year.
Finally, earlier in the year, our partner, ViroPharma, announced that based upon positive Phase II data, the clinical development program for Cynrize with rHuPH20 warrants further development. They recently announced that they expect to begin a larger Phase II dose-ranging study this summer.
Through our proprietary pipeline that focuses on research with recombinant human enzymes that alter the extracellular matrix, Halozyme is working on a truly unique programs in therapeutic areas with significant market potential and value for patients. Our diversified R&D structure, one that's balanced evenly between partnered and proprietary programs, enables us to expand our reach, as well as balance financial and technical risk. While regulatory delays like with the HyQ program are certainly disappointing. We believe Halozyme's pipeline is appropriately structured to provide long-term value and sustainable growth for our shareholders.
Our focus remains the same. We will continue to secure revenue from existing channels, pursue additional high-value partnerships, work diligently to advance our proprietary pipeline, all what's driving towards positive cash flow.
With that, I'll now turn the call over to Kurt Gustafson, who'll provide more detail on our financial results for the first quarter of 2012.