Helen Torley
Analyst · JPMorgan
Thank you, Tram, and good afternoon, everyone. Let me begin on Slide 3. Halozyme is a leading drug delivery platform company with a diversified and robust business, which includes our ENHANZE royalty business, our auto-injector technology business and a specialty commercial portfolio. I'm pleased to report that we executed our plan for the first quarter of 2023, achieving total revenue of $162 million, a 38% increase year-over-year. This performance sets us up well for the year, and we expect strong quarter-over-quarter revenue growth throughout 2023 that will result in another record revenue year. Turning now to Slide 4, I am delighted with the bit the momentum of our direct delivery business. Halozyme has established our leadership in rapid subcutaneous drug delivery of ENHANZE and more recently with our differentiated auto-injectors. Our partners are making strong progress with their commercialization and development activities that are expected to result in strong and durable long-term growth. Drivers of this growth include the potential approval of efgartigimod subcu and atezolizumab subcu this year that will bring our approved products generating royalties from 5 products to 7 products. 2 additional blockbuster drugs, OCREVUS subcu and OPDIVO subcu continuing Phase III development with the potential to launch by 2025, and additional 2 products, amivantamab subcu and relatlimab and nivolumab subcu fixed-dose combination also continuing Phase III clinical testing, the final phase before potential launch and royalty generation with the potential to launch between 2025 and 2027. And it is our goal to add to our already robust pipeline by adding 3 new agreements this year for ENHANZE, ENHANZE plus our high-volume auto-injector and also a small volume auto-injector agreement. Turning to Slide 5, let me spend a moment on why so many partners are focused on and are so excited about subcutaneous drug delivery with ENHANZE. ENHANZE when co-formulated with our partner products has demonstrated an ability to differentiate the subcutaneous product from IV. Subcu delivery decreases treatment time and treatment burden for patients. This, in turn, results in an improved patient experience with patients setting a strong preference for subcu in surveys. They may also be, as we saw in the case of DARZALEX subcutaneous, a lower rate of infusion-related reactions. This can also translate into considerable advantages to the health care system. These advantages include less use of more costly hospitals and infusion centers and less use of health care practitioner time, a growing consideration in all regions of the world. Moving now to Slide 6, I'll provide an overview of our ENHANZE pipeline. We described this in terms of waves with Waves 1 and 2, the already launched products, the Wave 3 products, those that have the potential to launch between 2023 and 2025, and the Wave 4 products are those with the potential to launch between 2025 and 2027. I'll go into more detail on Wave 2, 3 and 4 in a moment. But before I do so, let me highlight an exciting event for one of our Wave 1 product. Takeda received FDA approval for an expanded indication for HYQVIA to treat primary immunodeficiency in children. HYQVIA is now available to a broader community impacted by primary immunodeficiency, who may prefer flexible treatment options in the management of these disorders. Enhancing the key value driver for our partners and our extensive development pipeline supports our expectations for royalty revenues to reach approximately $1 billion in 2027, with potential for growth beyond that. This projected growth is driven by new launches and the projected impact of co-formulation patents. Let me now move to Slide 7 for an overview of our royalty revenues. We project $445 million to $455 million in royalty revenue in 2023, 23% to 26% growth over 2022. Quarterly royalty revenue increased 43% year-over-year to $99.6 million, and we project strong quarter-on-quarter growth throughout 2023. 5 partner products using ENHANZE drug delivery technology and commercialize in approximately 100 global markets are contributing to royalty revenue growth to date, with DARZALEX subcu and Phesgo, our Wave 2 products, the key growth drivers. While we project the approval of Efgartigimod subcu and [ centric ] subcu in the United States in 2023, we assume virtually no royalty revenues in 2023 from these products due to launch timing and the standard time it takes for physicians to be confident regarding reimbursement. Also included in our royalty revenue is, revenue from our small volume auto-injector business. This remains stable and largely driven by Teva's generic EpiPen. Moving on to Slide 8, I'll provide more details on DARZALEX. Janssen's DARZALEX continues its amazing growth story, growing approximately 26% year-over-year on an operational basis in the first quarter of 2023 to approximately $2.3 billion. This increase was driven by share gains in all regions, continued growth of the market and strong adoption of DARZALEX FASPRO, the subcutaneous formulation with ENHANZE. J&J expects DARZALEX to continue to grow in the first-line setting. Analysts are now projecting annual DARZALEX sales will reach $16.5 billion in 2028. DARZALEX Subcu is the globally established choice of physicians using DARZALEX for myeloma patients, with the share of 88% in the United States and as last reported by Janssen, now exceeding 80% outside the United States. The key metric we now track is the overall brand performance as this is driven by the subcu. DARZALEX subcutaneous is a key growth driver of our royalty revenues in 2023 and will continue to contribute meaningfully until at least 2030. Turning now to Roche's Phesgo on Slide 9. Phesgo is a combination of Perjeta and Herceptin for subcutaneous injection for patients with early and metastatic HER2-positive breast cancer. This allows for a single 5- to 8-minute subcutaneous treatment compared with a lengthier IV treatment schedule. Most recently reported that 85% of patients preferred Phesgo's subcutaneous administration over the intravenous formulation of Perjeta and Herceptin. Over the first quarter of 2023, Roche reported Phesgo sales of approximately CHF 240 million, an increase of 72% year-over-year. In the NOS 30 launch countries, Phesgo is now 35%, exceeding 40% outside the United States with the U.S. and Germany approaching 20%. Roche with their focus on patient is a pioneer who clearly recognizes the benefits of subcutaneous drug delivery for patients and for the health care system overall. We project continued growth from Phesgo in 2023 and beyond. We should also developing a path for patient self-administration of Phesgo with an on-body injector and expect pivotal Phase I data from this program in the second half of the year. Next up are our Wave 3 products, which are shown on Slide 10. These products represent the next step of royalty revenue opportunities for Halozyme with potential launches projected between 2023 and 2025. The Wave 3 products are subcutaneous Efgartigimod, Atezolizumab, Nivolumab and Ocrelizumab, all of which are proven at least one indication as an IV formulation. This gives us confidence in the likelihood of approval for ENHANZE-enabled subcutaneous versions of these products. I will summarize a key advancement and events occurring this year with this exciting portfolio, where analysts project total sales, including IV and subcu to reach approximately $35 billion in 2028. argenx's subcutaneous at Efgartigimod for generalized myasthenia gravis has an FDA PDUFA date of June 20, 2023. argenx has also submitted in marketing authorization application to the European Medical Agency. Analyst predict potential total Efgartigimod annual revenue of approximately $7 billion in 2028. The launch of the IV formulation is certainly progressing well with a reported $401 million in 2022 and growth of 25% quarter-over-quarter to $218 million in the first quarter of this year. We are excited that subcutaneous Efgartigimod has the potential to be the first of our Wave 3 partner launches with U.S. approval and commercial launch projected midyear 2023. On the recent quarterly call, argenx management commented on the importance of gaining traction in early line patients for the continued trajectory and that the subcutaneous approval may help achieve this. argenx's flagship pipeline product, Efgartigimod, is being developed for the treatment of multiple autoimmune disease indications with subcutaneous development currently in 6 indications. I will note that 4 of these indications to date are subcutaneous only indications. Argenx has announced plans to expand and add additional indications, including a new study planned for thyroid eye disease from later this year. And argenx projects multiple data readouts in 2023. This includes data in chronic inflammatory demyelinating polyneuropathy, now in July of 2023. Two additional Phase III data reads are projected for the fourth quarter of 2023 in 2 additional serious autoimmune conditions, idiopathic thrombocytopenic purpura and pemphigus. I'll move now to Roche. At the beginning of the year, Roche announced their BLA to the FDA for subcutaneous atezolizumab with ENHANZE was accepted with a PDUFA date of September 15, 2023. Subcutaneous atezolizumab has the potential to offer greater convenience for patients and physicians with an approximately 7-minute subcutaneous administration time compared to 30 to 60 minutes for IV treatment. Roche believes this represents a significant advancement for patients a health care system, where resources are constrained as well as for payers. In the first quarter of 2023, Roche reported IV Tecentriq revenues of CHF 928 million, an increase of 15% year-over-year, driven by higher demand in the U.S. and in Europe. Roche also reported first quarter 2023 revenues of CHF 1.6 billion for OCREVUS, which represents an increase of 14% year-over-year and annualizes at over USD 7 billion. OCREVUS is our third Wave 3 opportunity. With more than 300,000 patients treated globally, OCREVUS remains the #1 treatment in the U.S. and EU5, both in terms of total share and use brand share, with a higher retention rate than other therapies for multiple sclerosis. The goal with subcutaneous OCREVUS is to significantly shorten the treatment and observation time compared to the IV, where the IV is currently 3.5 to 6 hours. With the data readout for the Phase III trial of subcutaneous ocrelizumab with ENHANZE expected later this year, subcutaneous delivery could lower the target total administration and observation time for the first and second those to 1 hour and to just 10 minutes for administration and observations for each subsequent dose. Roche is excited that the subcutaneous data will provide an opportunity to expand the market and provide access to patients for whom intravenous building is not viable. Moving now to our fourth Wave 3 product Nivolumab, BMS reported OPDIVO IV sales of $2.2 billion in the first quarter of 2023, an increase of 15% year-over-year, or 17%, excluding FX, BMS believes that subcutaneous delivery of drug [indiscernible] forward and they are progressing with their Phase III registration study of subcutaneous nivolumab, utilizing ENHANZE in patients with renal cell carcinoma. Our Wave 3 products represent substantial de-risk near-term new royalty revenue opportunity for Halozyme driven by 2 potential approvals this year and the Phase III readout of subcutaneous ocrelizumab. The opportunity represented here in terms of analyst projections for total product sales is approximately $35 billion in 2028, which is significantly higher than the opportunity for our Wave 2 products, which are driving our strong royalty revenue growth today. Moving to Slide 11, I'll review our Wave 4 partner product development pipeline with ENHANZE. Our longer-term growth trajectory is further supported by these Wave 4 products with potential launches in the 2025 to 2027 time frame. Wave 4 is comprised of 10 partner products, 2 of which are in Phase III and the remaining 8 are in an ongoing Phase I clinical testing or have completed Phase I. In 2023 and beyond, our goal is to continue to expand the number of products in development and to advance products through development to regulatory approval and launch, adding multiple new royalty revenue streams. The 2 most advanced products at Janssen subcutaneous amivantamab and BMSs fixed dose combination of nivolumab plus relatlimab within ENHANZE. Both are already approved and joined strong growth as IV treatment and are in Phase III clinical testing as subcu version. Janssen initiated their Phase III study of lenvatinib plus amuvatinib with ENHANZE in 2022 in patients with EGFR-mutated advanced to metastatic non-small cell lung cancer. And recently, BMS also initiated the Phase III study RELATIVITY-127 with the goal of demonstrating that drug exposure level of nivolumab plus relatlimab fixed-dose combination with ENHANZE is not in theater to IV administration of the same combination, with the study being done in patients with previously untreated metastatic or unresectable melanoma. Other notable programs in our Wave 4 pipeline include a focus on innovation for HIV. These cabotegravir and Janssen's Rilpivirine both already approved as IM in oral delivery are in Phase I development as subcutaneous drugs with ENHANZE. ViiV stated their goal with subcutaneous delivery is to further extend the diluting interval, thereby further freeing patients with the burden of treatment and the disease, ViiV also in Phase I development with N6LS, a development stage broadly neutralizing antibody for HIV. I'll move now to our new growth opportunities. We remain highly engaged in new partnership discussions for ENHANZE and our auto-injectors. I'm excited that the funnel of discussion is at an all-time high, driven by high interest in subcutaneous drug delivery. While the timing is always difficult to predict, we are confident that we will achieve our goals for 2023 for 1 new in ENHANZE deal and 1 new in ENHANZE plus high-volume auto-injector deal and 1 new small-volume auto-injector deal. We're experiencing strong interest in learning more about our high-volume auto-injector for rapid delivery of up to 10 ml, which is enabled by ENHANZE. This approach will offer a truly differentiated opportunity for patient-friendly, high-volume subcutaneous drug delivery that can be utilized across a spectrum of disease areas for both small molecule drugs and biologics. We have a working prototype ready for clinical testing and expect to initiate and complete human feasibility studies by midyear. We look forward to signing an agreement with a current or a new partner to collaborate on the custom development and are tracking nicely towards this goal. I'll turn now to our commercial portfolio, which includes XYOSTED and TLANDO and are shown on Slide 12. XYOSTED is our weekly virtually painless subcutaneous testosterone replacement treatment, which is patients delivered by auto-injector. Our growth strategy remains focused on converting patients from intramuscular injections, the most common treatment approach to date. In the quarter, we saw strong growth of XYOSTED physician demand, achieving new weekly high average prescription performance every month. We successfully navigated the first quarter resetting of the high deductible for commercial patients through our co-paying card program, helping us sort of affordability was not a barrier for starting or staying on XYOSTED. Sales to wholesaler slightly light demand in the quarter as a result of the change in our 3PL distribution channel. Our goal remains to achieve approximately $100 million in XYOSTED revenue in 2023, representing a 20% increase from the run rate following the acquisition. And we're also still focused on gaining access for TLANDO, our oral testosterone treatment. To date, we have not yet reached agreement with pharmacy benefit managers on an appropriate rebate rate. And until access is established, we are projecting low revenues for TLANDO in 2023. Before I hand the call over to Nicole, let me reiterate our commitment to our strategic growth and capital allocation priorities, which are shown on Slide 13. We are committed to maximizing our revenue growth and durability to create long-term value for all of our stakeholders. We're investing strategically in ENHANZE and our auto-injector technologies while continuing to return capital to shareholders with our share buyback plan. We've completed $500 million of the $750 million 3-year share buyback program, which was approved by the Board of Directors in December of 2021. And this includes a $150 million share buyback completed in the first quarter of 2023. We're also actively evaluating M&A opportunities, taking additional platforms or companies with de-risked assets or platforms or technologies, where we see the opportunity for significant revenue growth and durability. I'll now turn the call over to Nicole to discuss our financial results for the first quarter of 2023. Nicole?