Helen Torley
Analyst · Citizens JMP. Please go ahead
Thank you, Tram, and good afternoon, everyone. Starting on slide three, I'm pleased to report another robust quarter that is a clear demonstration of the strong execution and continued momentum we have across our business. In the second quarter, we achieved multiple key milestones that support our strong growth projections. During the quarter, we added to and further strengthened our ENHANZE IP portfolio. In addition, we announced a new partner product approval and a new indication approval for a second partner, and there were multiple additional clinical and regulatory advancements of our exciting pipeline. These achievements support and drive our growth trajectory, marked the expansion of ENHANZE into new treatment areas and reinforce the predictability of the regulatory and commercial success of our ENHANZE drug delivery technology. As a result of this progress, total revenue in the second quarter grew to $231 million, supporting our full year growth expectations of 13% to 22%. We delivered $125 million in royalty revenue, an increase of 12% from the prior year and our 16th consecutive quarter of double-digit year-on-year royalty growth. This supports our expectation for royalty growth of 16% to 24% for the full year. In the second quarter, our high margin royalty revenue, combined with the efficient operations of our business drove EBITDA growth of 19% to $137 million and non-GAAP diluted earnings per share growth of 23% to $0.91. Annual adjusted EBITDA and non-GAAP diluted earnings per share growth will continue to outpace our top line and support 30% to 44% EBITDA growth and 32% to 46% earnings growth year-over-year. Moving now to slide four and I'll provide some more details on our recent progress. Let me start with the most recent success with regard to our IP portfolio. In June, we were granted a new patent for ENHANZE by the European Patent Office. This patent expressly claims the ENHANZE product that Halozyme provides to its ENHANZE licensees. Based on this new grant, patent coverage in Europe is now extended to March 6, 2029. We have a similar pending reissue patent in the United States, which also, if granted with a similar scope, will extend patent coverage to March 6, 2029. Our strong ability to continue to protect our intellectual property portfolio has directly and positively impacted our growth profile. In June, we raised our five-year outlook based on the new patent and its impact to maintain the DARZALEX subcutaneous and Amivantamab subcutaneous royalty rate at the original starting royalty rate until March 6, 2029 in Europe. Importantly, this results in five additional years of full royalty rates in Europe for DARZALEX subcutaneous. This in turn resulted in an increase in our projected five-year CAGR for royalty revenue to 20%, an increase in adjusted EBITDA growth to 25%, and an increase in non-GAAP diluted earnings per share growth to 23%. We look forward to providing a financial update if the reissue patent, which is pending in the United States, is granted with similar claims to this new European patent. I move now to slide five and review the strong development and regulatory progress that was made in the quarter, all of which support our robust royalty revenue growth outlook. Starting with products approval, we were delighted to announce two new ENHANZE approvals in the quarter. These approvals extended ENHANZE into neurology and expanded our reach in autoimmune diseases, adding to our existing strength in oncology. Roche received EU and UK approval for OCREVUS subcutaneous co formulated with ENHANZE. OCREVUS subcutaneous allows multiple sclerosis patients in those regions to receive their treatment in just 10 minutes, twice a year. For many patients, OCREVUS subcutaneous will allow patient treatment outside the IV infusion facility, potentially allowing new patients to access this important medicine and also allowing treatment closer to home. OCREVUS subcutaneous represents Halozyme 8th partner product. The second approval was for argenx's VYVGART Hytrulo, which received FDA approval for the treatment of chronic inflammatory demyelinating polyneuropathy, or CIDP, and this marks the second FDA approved indication for the subcutaneous version of VYVGART with ENHANZE. VYVGART Hytrulo represents the first novel mechanism of action to treat CIDP in 30 years and offers patients a transformational new treatment option with a 30 to 92nd weekly subcutaneous injection. Moving on to regulatory advancement, Bristol Myers Squibb received regulatory filing acceptance for Nivolumab subcutaneous in the United States. This allowed us to recognize a $15 million milestone payment in the second quarter for this product. In addition, the Nivolumab subcutaneous submission in Europe was accepted by the European Medicines Agency in the quarter, resulting in a $7 million milestone payment to Halozyme. Bristol's Nivolumab subcutaneous has a PDUFA action date of December 29 of 2024. We're also looking forward to potential approvals for Roche's Tecentriq subcutaneous and OCREVUS subcutaneous in the United States in September, based on their September 2024 PDUFA action dates. We are set up for three new US approvals this year for our Wave 3 products, which adds to the 2023 VYVGART Hytrulo first approval in generalized myasthenia gravis, and this supports our exciting revenue growth projections. Another important achievement in the quarter was the result of Johnson & Johnson's Phase 3 PALOMA 3 trial for Amivantamab subcutaneous. The PALOMA 3 data was presented at ASCO in May. Notably, the data demonstrated that the subcutaneous delivery of Amivantamab with ENHANZE resulted in significant potential benefits for lung cancer patients compared to those receiving IV treatment. Firstly, treatment time was reduced to less than five minutes compared to 5 hours for the first infusion of the IV treatment and 2 hours for subsequent IV treatments. Secondly, there was a five-fold reduction in infusion related reactions from 66% with the IV to 13% with the subcutaneous formulation with ENHANZE. Remember that infusion related reactions are a potentially serious adverse event that can lead to treatment interruption or even discontinuation. And thirdly, an exploratory analysis also showed an intriguing improved overall survival rate for the subcutaneous treated patients. It was reported that 65% of patients receiving subcutaneous were still alive at 12 months, compared to 51% who received IV treatment with Amivantamab. These compelling results are another clear demonstration of the high predictability of our technology and the benefits it could provide to patients and to healthcare providers. Following in this strong data, Johnson & Johnson announced that they have submitted subcutaneous Amivantamab for regulatory approvals in both the United States and in Europe. We were also excited to have Acumen dose their first patient in a Phase 1 study of subcutaneous sabirnetug, which is their novel therapeutic that targets soluble amyloid beta oligomers for the treatment of Alzheimer's disease. We're very pleased to be supporting this opportunity for a more convenient and accessible option using ENHANZE for patients suffering from this challenging disease. Moving now to slide six, we remain confident in and are on target to achieve $1 billion in royalty revenue in 2027. This will be driven by the continued strong performance of our Wave 2 products, plus the addition of five new royalty revenue streams following the approval and launch of all five of our Wave 3 products. I'll now provide additional details on the second quarter performance, beginning with the continued momentum from our Wave 2 products, DARZALEX FASPRO and Phesgo. For Johnson & Johnson's DARZALEX, sales in the second quarter were $2.9 billion, an increase of 21.3% year-over-year on an operational basis. This was primarily driven by share gains of 4.6 points across all lines of therapy and continued strong growth in the frontline setting, with share gains of 9.4 points. Johnson & Johnson also commented that there continues to be market growth. With subcutaneous penetration in excess of 90% in the United States and estimated to exceed 80% outside the United States DARZALEX FASPRO with ENHANZE is driving the strong total brand growth. According to analyst estimates, DARZALEX annual sales are projected to exceed $17 billion in 2028. This growth from $9.7 billion in 2023 will be driven by continued growth in the frontline setting. In addition, with Johnson & Johnson commenting on four positive Phase 3 readouts in the quarter, growth is projected to also be fueled by potential new indications. We are pleased to note the FDA approval on July 30 for DARZALEX FASPRO with ENHANZE in newly diagnosed transplant eligible patients with multiple myeloma, further expanding the frontline indications. I'll move now to Phesgo on slide seven. Sales of Roche's Phesgo, which is a fixed dose combination of Perjeta and Herceptin increased 60% to almost CHF800 million in the first six months of this year. With strong growth momentum, the number of launch countries increased to 51 countries and conversion of Perjeta was 41% in the quarter. Roche expects global conversion to reach 50% by 2026. Notably, there remains substantial opportunity with Perjeta revenue of CHF1.9 billion in the first half of this year. Let me now turn to our Wave 3 products and product candidates, which are shown on slide eight. The opportunity for Wave 3 remains meaningful with analysts and companies projections of total parent product sales of approximately $35 billion in 2028. With two of our Wave 3 products already in the market today in at least one major region, we expect launches to continue throughout this year and remain on track to tend partner products with ENHANZE on the market in 2025. Let me start with VYVGART Hytrulo, which is the subcutaneous version of VYVGART with ENHANZE. I will begin with the exciting news of the CIDP indication approval. In June, the FDA approval for CIDP added a second indication for VYVGART Hytrulo in the United States. CIDP is a subcutaneous only indication. argenx also announced that the European regulatory filing for CIDP was submitted to the EMA in June and a decision is anticipated in 2025. VYVGART Hytrulo is the first and only neonatal SC receptor blocker approved for the treatment of CIDP and represents a promising new treatment option that may provide patients with the ability to treat their disease beyond just managing symptoms. The label granted by the FDA supports use across the treatment paradigm. argenx has stated its aspiration for VYVGART Hytrulo to become the standard-of-care for CIDP patients. There are more than 40,000 CIDP patients today in the United States. It has been highlighted that only 24,000 patients are estimated to be receiving some form of treatment for CIDP. Of these, 50% of treated patients are not responding well to the current treatment or are experiencing negative side effects. All of this supports a high unmet need. argenx has been preparing for this launch and has a strong commercial playbook in place. Similarly to generalized myasthenia gravis, they will initially focus on gaining coverage and access by getting pair policies in place. Their commercial strategy will focus on an audience of approximately 10,000 neurologists, of whom about 72% treat both CIDP and myasthenia gravis. Based on the treatment regimen, the annual net revenue per CIDP patient is estimated to be $450,000, which is higher than estimated by analysts, further supporting the brand's growth prospects. I move now to the continued momentum on the generalized myasthenia gravis launch. argenx's VYVGART brand is already a global blockbuster, having generated more than $1 billion in its second year of launch for its first indication in generalized myasthenia gravis, and it remains on a strong growth trajectory. In the second quarter of 2024, argenx reported $478 million in global product sales of VYVGART, a robust 20% quarter-over-quarter growth. VYVGART Hytrulo is in its first full year of launch for [indiscernible], and we're very pleased with the growing adoption and use, with the number of patients and prescribing physicians expanding and use increasing in the earlier lines of treatment for this indication. In the second quarter, argenx reported that more than 50% of the VYVGART Hytrulo patients had switched from orals and 60% of the VYVGART Hytrulo patients were new to VYVGART. This is consistent with the objective to grow the market. We also expect continued ease of access following the granting of the J-Code for Hytrulo in January of this year. We were also excited to hear argenx recently update and highlight that they believe the opportunity for myasthenia gravis is higher than their initial expectations. The opportunity increased 3.5 times from approximately 17,000 patients at launch for the anti acetylcholine receptor antibody positive patients to now up to 60,000 patients, including the expectation for new indications for seronegative and ocular myasthenia gravis, as well as growth driven by the availability of biologics. argenx is also planning to introduce a new, more convenient delivery option for VYVGART Hytrulo with a pre filtering with the goal of supporting additional patient self-administration. An application for US refill three approval for the prefilled syringe for VYVGART Hytrulo ENHANZE in both CIDP and generalized myasthenia gravis was recently submitted. The prefilled syringe is expected to continue to expand and reinforce their momentum as the biologic market continues to grow. argenx also recently initiated two registrational studies evaluating VYVGART Hytrulo with ENHANZE administered by prefilled syringe for thyroid eye disease, representing another attractive future opportunity. Let me move now to Tecentriq subcutaneous with ENHANZE. With approvals already granted in Europe and Great Britain for all approved indications of Tecentriq IV, Roche recently commented on good uptake following the European approval. They highlighted as an example that 32% conversion has already been achieved in the United Kingdom following the late 2023 launch. We're excited for the US approval, which is projected by September 15, 2024, based on the PDUFA action date. Annual sales of Tecentriq IV remained stable and generated CHF1.8 billion year-to-date. Roche's commented that they expect the majority of the subcutaneous use will come from patients switching from Tecentriq intravenous. Moving on to OCREVUS subcutaneous with ENHANZE, as I mentioned earlier, in June, Roche received approval of OCREVUS subcutaneous in Europe for relapsing and primary progressive multiple sclerosis. In the United States, OCREVUS subcutaneous has a PDUFA action date of September 13, 2024. The OCREVUS brand remains a market leader in the US and EU five with 26% global patient share. With 350,000 patients treated to date and 1 million patient years in cumulative exposure, OCREVUS continues to capture a higher retention rate than other multiple sclerosis medicine. In the first half of the year, OCREVUS sales grew 8% to approximately CHF3.4 billion. With the recent European and upcoming US approval for the subcutaneous formulation with ENHANZE, OCREVUS subcutaneous presents a meaningful new opportunity to reach more patients, to reduce the burden for patients receiving treatment, and to relieve pressures on the healthcare system. This will drive both a market growth and a conversion opportunity. On its most recent earnings call, Roche noted that they were already seeing strong uptake in the early launch countries in Europe and reiterated that the [indiscernible] subcutaneous being a standalone blockbuster opportunity with an incremental $2 billion in sales opportunity beyond the IV. Turning now to Bristol Myers Nivolumab subcutaneous with ENHANZE. In the United States, we look forward to potential FDA approval with the updated action date of December 29, 2024. The European submission was accepted in June and we project potential approval in mid-2025. The Nivolumab IV sales grew 16%, excluding FX in the second quarter to $2.4 billion, showing continued strong performance. Subcutaneous Nivolumab has the potential to significantly reduce administration times for patients using vivo by utilizing a single injection in just three to five minutes, supporting BMS expectation that at least 30% to 40% of US patients will convert from IV to subcutaneous with an expectation that the subcutaneous label will cover up to 75% of the IV indications. I'll move now to Amivantamab subcutaneous with ENHANZE. Amivantamab subcutaneous is on track for potential launch in 2025. This could represent our 10th approved product. Johnson & Johnson has commented that this is another blockbuster product opportunity and that Amivantamab will have a significant place in frontline non-small cell lung cancer, given the high unmet need and the strength of the PALOMA 3 data. They recently highlighted the reduced treatment administration time and reduced infusion related reaction as key to supporting this multibillion-dollar opportunity. I will now move to slide nine for a quick highlight of our Wave 4 pipeline, which is expected to contribute to our future growth trajectory with potential launches for Wave 4 in the 2026 to 2027 timeframe. We have six products currently in development reflecting a range of therapeutic areas including oncology, neurology, immune disease and HIV. Two products are currently in Phase 3 development Takeda's immunoglobulin 20%, TAK-881 with ENHANZE and BMS's Nivolumab, Relatlimab fix dose combination subcutaneous with ENHANZE. These Phase 3 studies are continuing to progress. These broadly neutralizing antibody N6LS for HIV advanced into Phase 2 testing several months ago and also continues to progress. Let me now move to new deal progress. I mentioned earlier that we're delighted that Acumen has progressed into Phase 1 testing of a subcutaneous version for their development a product for Alzheimer's disease, sabirnetug. Supporting a trend we're increasingly hearing about the introduction of SC early in development of the product. The goal is to provide a more convenient and accessible option for patients with Alzheimer's disease, which Acumen believes will improve treatment adherence through enhanced flexibility for patients, caregivers and for providers. We continue to discuss terms with companies for ENHANZE. Recall this is the stage that happens prior to negotiating and signing the collaboration and licensing agreement. In addition, technical discussions and evaluations for ENHANZE and for our HVI that I mentioned in our last quarter are ongoing with multiple companies. In terms of the evaluation and decision-making process, as we have described before, each company is unique. They have their own process for technology approval and then for budget approval, each of which moves at a different pace. All of these factors make it difficult to project the exact timing for signing a new deal. As the gold standard for rapid subcutaneous delivery, ENHANZE is clearly recognized as a highly derisked product with a strong safety track record and an unmatched history of global regulatory approvals and commercial success. We were also pleased to note JNJ's recent comments that they believe DARZALEX FASPRO with ENHANZE will fall under a separate timeline for drug price negotiation with regard to the Inflation Reduction Act. As we await the Part B guidance, this fully aligns with our expectations and reinforces another potential benefit for ENHANZE and the recognition of the clinical benefit it can bring for patients. Let me now comment on our commercial portfolio, which continues to demonstrate positive momentum against the backdrop of a very large and growing market opportunity in testosterone replacement treatment. XYOSTED growth remains strong. We continue to see a clear path for our proprietary products to contribute meaningfully to EBITDA in 2028 with greater than $150 million. Let me now hand the call over to Nicole to discuss our financial results in more detail.