Earnings Labs

Insight Molecular Diagnostics Inc. (IMDX)

Q2 2017 Earnings Call· Mon, Aug 14, 2017

$4.21

+9.64%

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Transcript

Operator

Operator

Good day and welcome to OncoCyte's second quarter 2017 financial results conference call. Today’s conference is being recorded. At this time, I would like to turn the call over to, Mr. Michael Polyviou. Please go ahead sir.

Michael Polyviou

Management

Thank you, operator. We appreciate everyone joining us on this afternoon's conference call and webcast to review OncoCyte's financial results for the second quarter of 2017, product development update and experimental milestones. If you have not seen this morning's press release, please visit www.oncocyte.com. Before turning the call over to Bill Annett, OncoCyte's President and Chief Executive Officer, I would like to remind you that during the course of this conference call the company will make projections and forward-looking statements regarding future events. We encourage you to review the company’s filings with the SEC including without limitation the company’s forms 10-K and 10-Q, which identify the specific factors that may cause actual results or events to differ materially from those described in this these -looking statements. These factors may include without limitation, risks inherent in the development or the commercialization of potential diagnostic tests, uncertainty in the results of clinical trials or regulatory certifications, uncertainty in timing of the training reimbursement authorization from third party payers, need and ability to obtain future capital and maintenance of intellectual property rights. Therefore, actual outcomes and results may differ materially from what is expressed or implied by these forward-looking statements. OncoCyte expressly disclaims any intent or obligation to update these forward-looking statements except as otherwise may be required by applicable law. With that, I would like to turn the call over to Bill Annett. Bill, please go ahead.

Bill Annett

Management

Thank you, Michael, and welcome everyone to our conference call to discuss the financial results for the second quarter ended June 30, 2017. Today I am joined by Lyndal Hesterberg, our Senior Vice President, Research and Development; Kristine Mechem, our Vice President of Marketing; and Russell Skibsted, our Chief Financial Officer. They will be available during the question-and-answer session. During the past two years, we delivered a solid record of accomplishment in achieving important milestones and this trend has continued into the second half of this year. Because of our continued progress, we plan for a launch of our lung cancer diagnostic test in the fourth quarter of 2017. I am pleased to announce today that we have selected a brand name for our lung cancer diagnostic, which is DetermaVu. We are very excited about this branding because it directly speaks to what the test will do for clinicians, which is to help them to determine the next diagnostic step for their patients by providing information that isn't available to using only the standard of care, which is low dose CT Scan. To arrive at the DetermaVu branding, our team undertook a thorough traditional branding exercise. During this process, we defined our product's core attributes and hard tests tended to advance the standard of care for lung cancer diagnosis. We will be formally announcing the DetermaVu name at the upcoming CHEST 2017 Annual Meeting in Toronto and I have no doubt we will get quite a lot of attention. To maximize DetermaVu's commercial potential, I am excited to report that we are in the final stages of hiring a Vice President of sales. This individual is an experienced executive who bring many years of sales and marketing leadership within the diagnostics industry. The Vice President of sales will be responsible…

Operator

Operator

[Operator Instructions] We will take our first question from Keay Nakae with Chardan.

Keay Nakae

Analyst

Bill, maybe just starting with your breast cancer test. For the next study, can you tell us any significant differences in either the marker set you are evaluating or the number and types of patients you might be evaluating.

Bill Annett

Management

Sure. So, again, we can't say too much about it because we have submitted the results to a medical conference and we are under data embargo until release. So I will say that it's a somewhat larger study then the earlier study and as we announced previously, the results were successful. So we are happy with the results. And we hope to hear soon from the medical conference about whether we will be able to present them.

Keay Nakae

Analyst

With respect to lung, when you began to conduct the clinical utility studies, I know I think you mentioned more than one, but is there a priority in what you are going to try to demonstrate first or how would the different clinical utility study is different.

Bill Annett

Management

So basically the number of people that we are going to put through the clinical utility study will be dependent on basically the right number to power the study and the bio-statisticians will tell us what that number is. It will still be a significant number of patients. What we will do at a very high level is follow actual patients going through the process, talking to the doctors and getting the information about what the test results are and then what the doctor does. For example, if there is a benign result, does that doctor send the patient home and avoid a biopsy or do they do a biopsy anyway. So that’s the key factor we will be looking at is, is the doctor's actual practice what we anticipate. So that’s the main thing we will be looking at.

Keay Nakae

Analyst

Yes. Maybe let me clarify what I was asking. If you are going to do more than one study, are you going to start with perhaps a specific BIRAD classification then move on to something less certain or what would the first study, clinical utility study look like versus some follow-on you are thinking of doing.

Bill Annett

Management

Okay. I think the primary -- the first [indiscernible] we will be doing will probably be an 8 mm and above nodules, which is the Lung RADS 4 category. The Lung RADS 3 of the 5 to 8 mm will come on along with the later. They will probably take a little longer to do clinical utility on those, on that type.

Operator

Operator

We will take our next question from Raymond Myers with Benchmark.

Raymond Myers

Analyst · Benchmark.

I want to just confirm regarding the progress getting your lab CLIA certified. Are there anymore steps that OncoCyte has to do to get certification or is it simply waiting for the state to come to you with the paperwork.

Bill Annett

Management

It's the latter. We are just waiting on the paperwork at this point. We did recently have, as I mentioned, the state inspector came out and ran through a very thorough inspection and analysis of our lab and our procedures and so on, and we did pass that. As well as the previous review of our applications by the department of the public health. So we have done everything we need to do and as I mentioned in the call, what we are told is that -- again, there is two pieces. There is the state license and then there is the CLIA certificate, both of which are handled by the same group, the department of public health. And we understand from others in the industry that it takes a number of weeks to get the state license and then it takes a month or so t actually get the CLIA certificate.

Raymond Myers

Analyst · Benchmark.

Is that a month or so after you get the state or is the concurrent?

Bill Annett

Management

It's concurrent. It's a month or so after the inspection.

Raymond Myers

Analyst · Benchmark.

Okay. Great. So very soon. So let's move on to the launch plans. Can you outline what investment you intend to make on branding DetermaVu and what investment is necessary for the sales force etcetera.

Bill Annett

Management

So as we have said before, our launch of a diagnostic product is a little different than a launch of a therapeutic product and until we get reimbursement from Medicare and/or the private payers, our revenue will be very constrained. So as a result, we will have a very -- the focus of the launch will really be to populate the clinical utility study and to get brand recognition, to go out and talk with the doctors and so on. It won't be our objective to drive large volumes at this point in time. Later on, once we are closer to reimbursement or get reimbursement, then the focus of the team will be on starting volume. And this is fairly standard in diagnostics. So we will have a relatively small sales team. As I mentioned, we are hiring a head of sales. We have a relatively small sales team who will be focused on clinical utility and regional [indiscernible].

Raymond Myers

Analyst · Benchmark.

Right great. Thank you. And then speaking of reimbursement, have you made any progress towards the coverage with data development half way for this DetermaVu test?

Bill Annett

Management

So basically the Medicare coverage with data development process, first we have to finish the clinical utility study. We have put together the dossier of all of the results of that study, showing the healthcare economics and the decision impact of what the doctor's doing. We sent that CA to CMS and then CMS makes the decision of whether to provide coverage with data development. So as we mentioned, we have gone and we have talked with the Medicare people in kind of preliminary way and discussed what we are doing. But until we actually submit that dossier, the process doesn’t begin until that point in time.

Raymond Myers

Analyst · Benchmark.

Okay. Very good. And then last you said something very intriguing in your comments. You said that you had positive feedback from discussions with payers that represent 77 million lives about the possibility of reimbursing. Can you elaborate on that because that seems very important?

Bill Annett

Management

Sure. So we did a study with ten different insurance companies including Medicare. And we basically took them through results to date. We took them through the clinical protocols and what our plans were going forward and ran that past that. Kind of the way, with the therapeutic, with the drug you would talk with the FDA in advance. And basically said, do you have recommendations, you have suggestions, what do you think and I think there was -- in all ten of the people, the companies that we talk to in Medicare there was a consensus that this product -- if we continue to get the results which we have been getting and if the clinical utility studies are positive. This should be the kind of test which we get reimbursement.

Operator

Operator

We will take our next question from Paul Knight with Janney Montgomery.

Paul Knight

Analyst · Janney Montgomery.

On the blinded study, it's going to be 300 samples in Phase 1 and then how many in the bigger study that you said will also be done in Q4 and necessary for the launch.

Bill Annett

Management

No. Sorry, let me explain. The study which we are doing right now is the CLIA lab validation study and it's 120 samples. These are samples which we ran in the R&D study or the ATS study which we presented at the American Thoracic Society. We are taking 120 of those samples which were run in our R&D lab and we are now running them in our CLIA lab and the purpose of that is just to make sure that we are getting the same results in the CLIA lab on that equipment as we got in the R&D lab. So that is underway and we hope to finish that in Q3. And then when that’s, assuming that it's completed successfully, then we go to the 300 patient clinical validation study. And that study is 300 new sample, they are blinded prospectively and collected at the 50 some odd sites we have around -- the collecting process around the country. And if that is successful, then we would launch DetermaVu. Now in addition past that, and I am sorry for the confusion, but there will be another 200 patient after that. Another clinical validation study. And that is so that we can get the final numbers from the clinical validation study up to 500. Now what that does is it gets our confidence intervals, our [indiscernible] bar smaller so that we can so the physicians and the payers with a high degree of confidence the results of the study.

Paul Knight

Analyst · Janney Montgomery.

And do you think that you should be -- well, I guess the question is, the bronchoscopy price point, can you talk about where you -- are you going to fit before a bronchoscopy? Where do you think bronch competes relative to your test in lung?

Bill Annett

Management

Yes. So we will be before bronchoscopy. So after the low-dose CT scan which shows that there are lung nodules in a patient but before the bronchoscopy or other kinds of lung biopsies. Of course there is three different kinds of lung biopsies. The bronchoscopy, the needle biopsy or the thoracic surgery. So we will be before any of those biopsies and of course to point, the value proposition of our test, is to avoid unnecessary biopsies because the vast majority of lung biopsies, well over 90%, even over 95% in some cases are benign. So we are trying to avoid those expensive and risky and unnecessary biopsies.

Operator

Operator

We will go next to Bruce Jackson with Lake Street Capital Markets.

Bruce Jackson

Analyst

Congratulations on all the progress with the CLIA license. So with regard to the market potential, can I get your latest thinking on the number of physicians that you need to target and their specialties. And then also, what's your current estimate on the number of low-dose CT screenings that are currently being done in United States.

Bill Annett

Management

Okay. So, again, in terms of the physicians we will be focusing on pulmonologists primarily. They are of course the people who manage the care of people with biopsies, and to some degree also radiologists and maybe some thoracic surgeons. But that’s primarily the people we will be focused on. There is about 6,000 pulmonologists in the country and then tend to be grouped into practices and so we will do a standard or have done a standard kind of sales territory, sizing an alignment exercise where you look at the frequency that with which pulmonologists perform the number of cases that they manage and so on. And so there is a 80:20 rule in place there. You get a relatively small number of pulmonologists who provide the majority of the -- care for the majority of lung nodule patients. So we will be focusing our sales team on those pulmonologists. In terms of the number of low-dose CTs in the U.S., it's a little hard to get that information. There are 7 million to 10 million in the U.S. who are at high-risk of lung cancer, who should be getting annual low-dose CT. An independent paper which we saw has shown that they believe by about 2021 and about 40 years from now, something in the area of about 60% or so of the people who should be getting the annual screens will be -- it's not at that level yet, it's only been a couple of years now. About 2.5, 3 years since low-dose CT helping the standard of care and Medicare has only been covering low-dose for about year and half. So that number is increasing. We heard estimates of 20% to 25% of that 7 million to 10 million patient at-risk group, who are currently getting low-dose CTs. We heard anecdotally from the key opinion leaders and the physicians we talked to that the numbers have low-dose CTs that are going up very rapidly. And again, and this independent journal article I mentioned, do anticipate that that will continue various lung patient advocacy groups doing a lot of work in terms or trying to get the message out. If you are high risk for lung cancer, get your lung and your low-dose CT scan and so on. So that’s the best information we have. It's not complete but it is indicative anyway.

Operator

Operator

Thank you. That concludes today's question-and-answer session. I would now like to turn the conference back to Mr. Bill Annett for any additional or closing remarks.

Bill Annett

Management

Well, thanks everyone, again for attending the conference call. I look forward to updating you on our continued progress towards the achievement of our stated goals, including the planned launch of DetermaVu in fourth quarter. Thank you.

Operator

Operator

Thank you. That concludes today's conference. You may now disconnect.