Helen Torley
Analyst · Wells Fargo. Your line is open
Thank you, Tram. Good afternoon, everyone. I will begin on Slide three. We're very pleased with our second quarter 2023 results where we delivered strong year-over-year top line and bottom line growth. With our partners we annex multiple milestone bearing Valley increasing events for the next wave of subcutaneous products that we project will deliver meaningful royalty revenues of Wave 3 products, most notably argenx's VYVGART Hytrulo that is coformulated with ENHANZE received FDA approval for generalized Myasthenia Gravis in June, making this the sixth approved product utilizing ENHANZE. We're excited that co-formulated products using Halozyme’s ENHANZE technology continue to deliver substantial potential benefits for patients and for the healthcare system. In another notable event in the quarter was the publication on June 30 of the final CMS guidance for the Medicare Drug Price Negotiation program, which was created under the inflation Reduction Act. The final guidance applies to 2026 and to Medicare Part D drugs. The final guidance treats fixed combination products, which includes two or more active ingredients are monitored as distinct drugs, for the purposes of applying the Negotiation provision. A combination product will be treated as different from a product that contains only one of the combination product active ingredients. We believe that if a single ingredient product becomes subject to negotiation at a capped price, the fixed combination product will be subject to its own separate negotiation eligibility timeline. Today our fixed combination products, our healthcare practitioner administered and covered under Medicare Part B. In light of the Part D final guidance, our assessment remains that if CMS continues this approach regarding combination products when the Part D drugs become eligible for negotiation, our partner subcutaneous drugs, which are co-formulated with ENHANZE will be treated as separate from the IV versions of these drugs. We believe a kept price imposed [ph] on maybe IV version of the drugs would then not apply to the ENHANZE combination product. And then the ENHANZE combination product would be subject to its own negotiation eligibility timeline. We believe this outcome is appropriate because of the added patient benefit that is represented by the ENHANZE combination product. Our ENHANZE enzyme rHuPH20 is listed by the FDA as an active ingredient in various combination products. Closing out these highlights. I'm also delighted to announce that our clinical tests of a high volume auto-injector was a success, confirming both the feasibility and tolerability of rapid injection of 10 milliliters of a biologic with our high volume auto-injector. All of this progress strengthens our confidence in achieving our updated full year 2023 financial guidance, where we have raised our non-GAAP EPS range and increase the lower end of the range for total revenue and for EBITDA. With that summary, let me provide some details on the events during the quarter that are driving revenue in 2023 and beyond. Turning to Slide four. Halozyme is a leading drug delivery platform company with a diversified and robust portfolio, which includes our ENHANZE royalty business, our auto-injector technology business and our specialty commercial products. As an established leader and rapid subcutaneous drug delivery with ENHANZE and their differentiated auto-injector technology, we remain the partner of choice across the industry. Moving now to Slide five. In the second quarter, our partners make significant progress with their commercialization and development activities related to our Wave 3 product. Wave 3 is comprised of four products that are projected to launch between 2023 and 2025, and which are expected to result in strong and durable long-term growth for Halozyme. On June 20, the first of our Wave 3 product VYVGART Hytrulo with ENHANZE for generalized Myasthenia Gravis received FDA approval and launched shortly thereafter. The approval and launch resulted in milestone revenue to Halozyme in the quarter. Halozyme will also receive royalties on net product sales. Shortly thereafter, on July 17, argenx it's positive data update ADHERE study, which evaluated VYVGART Hytrulo, with ENHANZE in patients with chronic inflammatory demyelinating polyneuropathy, or CIDP. With the 61% reduction in risk of relapse versus placebo, this marks the second positive readout of the six indications for VYVGART Hytrulo that are currently being evaluated. Moving now to the second of our Wave 3 products that had positive clinical study results in the quarter. On July 13, Roche reported that their Phase III OCARINA II study of OCREVUS, subcutaneous co-formulated with ENHANZE will met the primary and secondary endpoints in patients with relapsing forms of multiple sclerosis, or with primary progressive multiple sclerosis. This study evaluated subcutaneous OCREVUS total treatment time in 10 minutes, which compares with multiple hours of treatment time with CID. We are excited by all of this progress and what it can mean for patients, as you will see summarized on Slide six. ENHANZE which is an active ingredient with independent actions, when co-formulated with our partner product allows for rapid subcutaneous delivery of large volume drugs. In multiple publish studies, subcutaneous delivery decreases treatment time and treatment burden for patients resulting in an improved patient experience. And as we saw with DARZALEX subcutaneous than we also be in the rate of potentially life threatening infusion related reactions, which is a clear clinical benefit for patients. Subcutaneous delivery of drugs co-formulated with ENHANZE have also been demonstrated to translate into meaningful cost savings and advantages to the healthcare system, including decreased healthcare practitioner time and resource utilization, greater patient throughput and decreased drug wastage. As global infusion clinic capacity constraints become more acute subcutaneous delivery can play a vital role in allowing more patients to be able to access therapy and to receive their planned treatment on time. I'll now provide an overview of our financial performance. For the quarter we reported total revenues of $221 million representing a 45% year-over-year increase. The key driver of revenue and revenue growth is our royalty revenues which are shown on Slide seven. Second quarter 2023 royalty revenue increased 31% year-over-year to a record $111.7 million. We project continued quarter on quarter growth of royalty revenues throughout the years. For the full year, we're maintaining our projection of $445 million to $455 million in royalty revenue, representing 23% to 26% growth over 2022. DARZALEX FASPRO and Phesgo our Wave 2 products are the 2023 royalty revenue growth drivers. And also included in the royalty revenues is the contribution from our small volume auto-injector business which remains stable and largely driven by Teva’s Generic EpiPen. I will note that for 2023, we are assuming nominal royalty revenues for VYVGART Hytrulo and no Tecentriq subcutaneous royalty revenue. And this is based on the timing of approvals, and the timeline it takes for physicians to be confident regarding reimbursement. Moving on to DARZALEX, on Slide eight. Cancers DARZALEX growth remains impressive with combined IV and subcutaneous revenue increasing approximately 23% year-over-year on an operational basis in the second quarter of 2023 to approximately $2.4 billion. This increase was driven by shared gains in all regions and continued growth of the market, which was previously reported with the result of increased penetration into the front line treatment setting. Analysts project annual DARZALEX sales of $16.7 billion in 2028. DARZALEX subcutaneous is a globally established choice for physicians who are using DARZALEX for the treatment of multiple myeloma patients with 90% share in the United States and an estimated 80% share outside the United States. With the overall brand performance now driven by the use of the subcutaneous formulation, total DARZALEX brand growth, which was 23% year-over-year is also the key metric to measure DARZALEX subcutaneous growth and performance. Turning now to Roche’s Phesgo, which is shown on Slide nine. Phesgo is the combination of Perjeta and Herceptin for subcutaneous injections for patients with early and metastatic HER-2 positive breast cancer. This allows for a single five to eight minutes’ subcutaneous treatment compared with a much lengthier IV treatment schedule. Of note, 85% of patients preferred Phesgo’s subcutaneous administration over the IV formulation of Perjeta and Herceptin. For the first half of 2023, Roche reported Phesgo’s sales of CHF517 million. An increase of 69% year-over-year. Phesgo is no longer than 38 countries, of recent increase of eight countries and represents 35% share, which Roche recently commented that they're expecting to grow to 50% share over time. Roche also reasonably highlighted that [indiscernible] is 92% and the U.S. share continues to grow. We're also anticipating a potential path for patient self-administration of Phesgo with an on-body injector with Pivotal Phase 1 data from Roche’s study expected in the second half of the year. I'll turn now to our Wave 3 products which is shown on Slide 10. As noted earlier, these products represent the next group of royalty revenue opportunities for Halozyme with four potential launches projected between this year and 2025. Let me start with Efgartigimod, the launch of organics is lifeguard intravenous formulation in patients with Generalized Myasthenia Gravis is progressing well, with growth of 24% quarter-over-quarter to $269 million in the second quarter of this year. Analysts predict that Efgartigimod will be a multi-billion-dollar annual revenue brand in 2028. The recent FDA approval on launch of VYVGART Hytrulo with ENHANZE provides the new 30 to 90 second healthcare practitioner administered subcutaneous injection option with a shorter monitoring time for patients with Generalized Myasthenia Gravis. Efgartigimod is argenx’s flagship pipeline product and is being developed with ENHANZE on a total of six autoimmune disease indications to-date, and four of these indications are being developed as a subcutaneous only delivery. Data in the first of these subcutaneous only indications was recently reported by Argenx. On July 17, argenx immense positive top line data from the ADHERE study, evaluating VYVGART Hytrulo with ENHANZE for chronic inflammatory demyelinating polyneuropathy. This study met its primary endpoint with a statistically significant P value of 0.000039 and demonstrated a 61% reduction in the risk of relapse with VYVGART Hytrulo compared to placebo. The safety and tolerability profile were consistent with the confirm safety profile of VYVGART. And we look forward to argenx presenting detailed data from the study at an upcoming medical meeting and for preparing for global regulatory submissions. Argenx I commented that work is now underway to evaluate the size of the addressable CIDP population and the opportunity which is informed by the positive ADHERE study data. We continue to project two additional study readouts for VYVGART Hytrulo with ENHANZE this year, with beta idiopathic thrombocytopenic, purpura, and pemphigus expected in the fourth quarter. Moving now to Roche, we're looking forward to the potential approval of Tecentriq subcutaneous with ENHANZE in the third quarter with Roche's U.S. PDUFA date of September 15 2023. Subcutaneous atezolizumab has the potential to offer greater convenience for patients and physicians within approximately seven minutes that became its administration time, which compares to 30 to 60 minutes for the IV treatment. We believe this represents a significant advancement for patients, healthcare providers and prepares. For the first half of 2023, Roche reported IV Tecentriq revenues of CHF1.9 billion, an increase of 12% year-over-year, which is driven by growth in the accident, non-small cell lung cancer and frontline hepatocellular cancer. Moving now to OCREVUS. This is the third of the four Wave 3 opportunities that have no events positive Phase III data with ENHANZE. The OCARINA II study met the primary and secondary endpoints supporting proceeding with regulatory findings for OCREVUS subcutaneous injection, co-formulated with ENHANZE, demonstrating the potential for treatment in just 10 minutes, which compares to hours for the intravenous formulation. We look forward to Roche sharing detailed results of the trial at an upcoming management meeting and submitting data for regulatory approvals to help authorities globally. OCREVUS as an ID continues its impressive growth trajectory. In the first half of the year, Roche reported OCREVUS revenues of CHF3.2 billion, which represents an increase of 15% year-over-year, and annualizes now to greater than $7 billion. With a 22% share of patients globally and with more than 300,000 patients treated, OCREVUS remains the market leader in the U.S. and EU 5. Roche expects further market share gains with the approval of subcutaneous administration of OCREVUS, creating the possibility for patients to receive treatment in additional multiple sclerosis centers, doses that don't have IV infusion infrastructure over their ID capacity constraints, potentially adding new growth opportunity for the brand. The fourth Wave 3 product, is subcutaneous Nivolumab. Bristol Myers Squibb is also progressing with their Phase III registration study of subcutaneous Nivolumab utilizing ENHANZE in patients with renal cell carcinoma. BMS reported Opdivo IV sales of $2.1 billion in the second quarter of 2023, an increase of 5% year-over-year excluding FX. We are delighted with the advancements and pending regulatory approval for our Wave 3 pipeline. In total, these products represent substantial near term new royalty revenue opportunity for Halozyme. Analyst projections for the total product sales for these products is approximately $35 billion in 2028, including the IV in subcu formulation. I will note that this 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 touch on some highlights from our Wave 4 partner product development and pipeline with ENHANZE. Our longer term growth to get through is supported by these Wave 4 products with its development continues potential for launches in the 2025 to 2027 timeframe. Wave 4 is comprised of 10 partner products, two of which are in Phase III, and the remaining eight are in ongoing Phase 1 clinical testing or have completed Phase 1 study. Our goal is to continuously expand the number of products in development and to advance products through development to regulatory approval and launch, adding multiple sustainable new royalty revenue streams. The two most advanced products are Janssen subcutaneous formulation of amivantamab and Bristol Myers Squibb excellent combination of nivolumab plus relatlimab with ENHANZE. Both are already approved with IV designing treatments. And the subcutaneous tuff formulations are in Phase III clinical testing. Notably, Janssen presented data at ASCO this year from their Phase 1 PALOMA study. For subcutaneous amivantamab in solid malignancies. The study was designed to identify the Phase II dose. Also reported, the data that showed a reduction in all grade infusion related reactions from 67% with the IV regimen to just 16% with subcutaneous amivantamab with ENHANZE. This data point reinforces the opportunity to drive clinical benefit for patients with our ENHANZE technology. Let me comment now on new deal. We remain highly engaged in new partnerships discussions for ENHANZE and for our auto-injector technology. It remains our goal to sign a new ENHANZE deal, a new high volume auto-injector deal and a new small volume auto-injector deal this year. We believe that clarity on the IRA and the recent results of our HVI clinical study will serve to further enhance and expand these discussions. Turning now to Slide 12, I'll provide a review of the high level results of the HVI clinical study. We were delighted that it was such a success. The results demonstrated the feasibility of administering a subcutaneous injection of 10ml of a representative biologic, which is immune globulin, 10% with ENHANZE in approximately 30 seconds using our high volume auto-injector. The injector was delivered successfully was well tolerated and all 23 subjects, they said that they would be willing to have the injection via the auto-injector again. No one today to our knowledge had been able to effectively inject 10ml of a biologic subcutaneously in approximately 30 seconds. With a combination of our two proprietary and differentiated technologies, ENHANZE and our auto-injector technology, we're in a unique position to demonstrate that this could be done. With these positive results, we expect to advance the strong interests that we have already garnered. The high volume auto-injector will offer a truly differentiated solution for patient friendly high volume, subcutaneous for delivery that can be utilized across the spectrum of disease areas for both small molecule drugs and for biologics. Let me turn now to our commercial portfolio. XYOSTED is our weekly, virtually painless subcutaneous testosterone replacement treatment, which is delivered by auto-injector. Our strategy is to convert patients who are not achieving their treatment goals with intramuscular injections of their testosterone replacement treatment. In the second quarter, we saw strong sequential demand growth, with 38% demand growth in the first half of 2023, compared to the first half of 2022. Our goal remains to keep approximately $100 million in XYOSTED revenue in 2023, representing a 20% increase from the run rate following the acquisition. And we also remain focused on gaining access for TLANDO, our oral testosterone treatment. At this time, we have not yet reached agreement with pharmacy benefit managers on an appropriate rebate rate. And until this access is established, we're continuing to project low revenues for TLANDO in 2023. I’ll move now to our capital allocation priorities which are shown on slide 13 and our focus on our approach to growth through M&A. Investing in M&A is a key strategy to maximize our revenue growth and durability, which we believe will create long term value for all of our stakeholders. We're continuing to focus on evaluating platforms and technologies that can extend our leadership and drug delivery with clear line of sight to increasing and expanding the durability of our revenues. We’re focused on technologies that can be broadly licensed, leverage our demonstrated expertise in partnering with biopharma companies. Now with that, I'm going to turn the call over to Nicole, who will discuss the financial results for the second quarter of 2023. Nicole?