Joseph Kim
Analyst · Piper Jaffray. Please proceed with your question
Thanks, Bernie. Good morning, everyone. Last year was the most important in the Company’s history. While as in July Inovio demonstrated for the first time in the field that a DNA active immunotherapy could achieve clinically relevant efficacy using targeted in vivo T cell activation in a large controlled clinical trial. In our randomized, placebo-controlled, double-blind phase II study of over 148 women with high grade cervical dysplasia caused by HPV type 16 or 18; we used three immunization regimens of our SynCon DNA-based immunotherapy called VGX-3100. Evaluating these women 36 after their first treatment, our endpoints were to measure histologic regression of the pre-cancer cervical lesion which is an assessment of the cell and virological clearance. How do we do? Treatment with VGX-3100 resulted in histologic regression of high grade cervical pre-cancer called CIN2/3 down to CIN1, which is a low grade pre-cancer or to no disease meeting the study’s primary end point. In addition, the trial demonstrated clearance of HPV in conjunction with regression of cervical lesions, meeting the secondary endpoint. Robust T cell activity was detected in subjects which received VGX-3100 compared to those who received placebo. Why is this important for women? These results are significant steps for providing women and their physicians a non-surgical approach to treat pre-cancers. By stimulating their immune system to eliminate cells that have been detrimentally altered by HPV as well as any presence of the virus itself, women treated with this immunotherapy can potentially avoid an invasive procedure, eliminates a small but nevertheless real risk of pre-term birth and reduce the risk of recurrence or passing on the virus to others. The data from this proof-of-concept trial is now guiding the planning of our Phase II trial for VGX-3100. The success of which would then bring this product to a vital step closer to clinical use. What do these results mean for Inovio and its pipeline? These Phase II data are vital in planning for the other HPV indications, including cervical and head and neck cancers, for which we have initiated human studies, and in general, pre-cancers and cancers. These are all very important targets. Equally importantly, you can extrapolate these results for all disease applications of our technology. The results of our efficacy trial validate the potential of our SynCon product to be effective, efficient, and safe. Now let me take a step back and briefly expand on our approach to bringing a new type of medicine, DNA-based immunotherapies to the market. Like many sciences, we have long held the view that we should be able to create a new era of immunotherapy technology to not just prevent, but treat challenging diseases. We’ve also asked ourselves the question, is there such a thing as an ideal immunotherapy? What would this look like? Our view point and what we have been striving for through our years of R&D and now late stage clinical development is to advance an immunotherapy with the following important characteristics. We want to help the immune systems recognize and target disease-specific antigens that is proteins unique to a cancer or infectious disease. It should now have to be patient-specific and personalized, why remove cells from the body, modify and then reintroduce them to a patient? Why take on the manufacturing quality control, and cost challenges, if you can do the most important work in the patient? Keep that simple. It must activate functional T cells; CD8 positive killer T cells with the tools necessary to kill the target cells, these tools include for example granzyme and perforin. This immunotherapy must generate robust T cell responses, meaning a significant number of T cells, and we want them to be persistent and durable over time, we call this a memory response. We also do not want to induce any unwanted immune responses against the beneficial agent. We also don’t want medicine to induce toxic inflammatory responses in the patient. Furthermore, in the case of cancer, we want to help the body break its tolerance of cancer cells grown in the body. This is not intended to be a lecture on immunology. However, to understand and differentiate Inovio’s DNA-based immunotherapy technology and its potential, it’s vital to appreciate these variables. The science is driving our technology have decades of experience and they set a high standard as to how to conduct their research and clinical development. We published over 80 preclinical and clinical peer review publications just in the last six years. Our view is that ideal immunotherapies and active immunotherapy that achieves these various factors I just described, a Phase II clinical data has provided significant evidence that we’re on the right path. There are additional factors that define the power, simplicity, and potential of our technology. With just three simple injections over three months, we generated significant killer CD8 positive T cells that are measurable in the blood of significant accomplishment compared to most other immunotherapies. The T cells we generate our then trafficked to the disease tissue, these are often described as tissue infiltrating T cells, and we see a direct correlation between the CD8 T cells and actual clinical efficacy. Finally, let me emphasize the importance of safety. We have now treated over 550 subjects over a 1,300 immunizations across various clinical studies we conducted, and experience -- and we have not experienced a single severe adverse event. Our only common adverse event is the injection site redness, which is a sign that the immune system is actually at work. We sometimes take the idea, do no harm for granted. At Inovio, it is fundamental to our approach. First, we view our VGX-3100 data as the highlight of 2014 and illustrative of the power of our SynCon construct coupled with our proprietary delivery technology. Together, they drive effective T cell responses able to eliminate lesions, and in this case viral level. For us at Inovio, this is about the tip of the iceberg, a fourth coming data in our burgeoning pipeline. As a combination of this particular study and milestone, there is a much deeper and more detail review of our Phase II efficacy and other data coming soon in a medical journal. So next key step as you know is our plan to independently advance VGX-3100 into a phase III registrational study with target patient characteristics and a treatment regimen similar to our Phase II study. Steps we must complete include scaling up commercial-level production of our immunotherapy product and the delivery devices. We expect to complete our end-of-Phase-II meeting with the FDA in 2015 and begin treating women in Phase III study in early 2016, sooner if possible. With this positive data in tackling HPV related diseases, we want to play a significant role in addressing HPV associated diseases. To this end, Inovio has broadened its therapeutic HPV franchise to include other pre-cancers caused by HPV infection such as vulvar, vaginal, and other anogenital neoplasia as well as the cancer -- cancers of the cervix, head and neck, and anogenital areas. Late last year, we initiated Phase I/II clinical studies of INO-3112, which consists of VGX-3100 plus our IL-12 immune activator against HPV-caused cervical cancer and head and neck cancer. Our IL-12 immune activator has been shown to speed the onset and increase the already high levels of antigen-specific T cells generated by the immunotherapy. We expect to report the first interim data from one of these cancer -- first cancer studies in the second half of this year. Can our SynCon technology address other cancers not caused by HPV and that’s resounding yet. The broad evidence in the field is that several way of unleashing and enhancing T cell responses are varying results against various cancers. As we advance our view of an ideal immunotherapy to generate functional killer T cells, we’re well in motion in applying SynCon products to other cancers. You will be hearing from us about our hTERT construct in the months and years ahead. In preclinical studies, we observe significant impact when we target this gene human telomerase reverse transcriptase which is found in many cancers, but is rare in normal cell. We started a Phase I trial of our hTERT immunotherapy alone or in combination with Inovio's IL-12 immune activator in adults with breast, lung, or pancreatic cancer at high risk of relapse after surgery and other cancer treatments. Because high levels of hTERT expression are found in 85% of all human cancers, this immunotherapy candidate holds the potential as a broad spectrum universal cancer therapeutic. Staying with our rich oncology pipeline, our prostate DNA immunotherapy INO-5150 targeting prostate-specific membrane antigen and prostate-specific antigen has achieved regulatory clearance to start a Phase I study and we will soon begin enrolling patients. A preclinical study in monkeys showed that immunization with INO-50 generated strong and robust T-cell immune responses that were the highest generated by a PSA-targeting immunotherapy in animal studies and were very similar to the immune responses we generated in patients with VGX-3100 which generated best-in-class T-cell immune responses. While I’m proud of the cancer pipeline Inovio has filled, let’s not forget the value in our products targeting challenging infectious diseases. I will tell you about four of them: hepatitis B, hepatitis C, Ebola and HIV. First, hep B. Along with providing full funding, Roche entrusted Inovio with the responsibility of running the first study. We have received regulatory clearance to start the INO-1800 Phase I study and will soon begin enrolling patients. The treatment of the first patient in this trial will trigger a milestone payment from Roche. Second, hepatitis C. Inovio’s multi-antigen SynCon immunotherapy targeting hep C virus genotypes 1a and 1b, is called INO-8000, is being studied in a phase I/IIa clinical study in Korea in collaborations with our international affiliate GeneOne Life Sciences. Together we expect to report interim data from this clinical study later this year. Even though there has been recent therapeutic break-throughs for this chronic disease, we think we can bring a safer, more long lasting product to market with our DNA-based hep C therapy. Third is Ebola. We intend to initiate a Phase I study of our Ebola immunotherapy called INO-4212 in the first half of 2015 in collaboration with GeneOne. We will begin this trial with great expectations based on our previous -- preclinical data -- published preclinical data showing 100% protection of animals immunized with our Ebola DNA vaccine. In this brief look at our infectious disease pipeline, all end with HIV. Subsequent to year-end, we reported that a 12-patient Phase I study of HIV therapy, PENNVAX-B, in HIV-infected patients revealed that induced T cell immune responses characteristics were similar to those observed in extremely rare HIV-infected individuals who without treatment do not progress to further stages of disease although these patients are called the long-term non-progressors. Scientists believe that part of their ability to control infection may lie in their unique immune responses, that’s why our DNA-based immunotherapy approach hold so much promise, because it drove the expansion of activated HIV-specific CD8 T cells with functional characteristics similar to those of long-term non-progressors. The knowledge from our PENNVAX-B studies in healthy and HIV-infected people has been used to create our global, multi-clade PENNVAX-GP preventive and therapeutic HIV DNA immunotherapy candidate. Development of this product was funded in part by a $25 million NIH contract over the last five years. We expect to initiate a Phase I study of PENNVAX-GP in the first half of this year. This study will be conducted by the HIV Vaccine Trials Network with funding provided from -- also from the NIH. We are also very pleased to have announced earlier this morning that Inovio and its all-star academic collaborators including the University of Pennsylvania were awarded a new five-year $16 million grant from the National Institute of Allergy and infectious disease, part of the NIH to further support our novel DNA-based HIV immunotherapy development. Under the integrated preclinical, clinical AIDS vaccine development program or IPC AVD, this grant was awarded based on par on the clinical successes of Inovio’s PENNVAX HIV vaccine program. The new grant will fund research to expand PENNVAX coverage of HIV strains as well as to further enhance antibody responses generated by the vaccine. Overall goal of this project is to further build upon this important HIV vaccine approach as well as to gain fundamental insight into new technologies to improve vaccination. As part of this grant consortium, Inovio will bring its expertise in vaccine constructs, developing, and manufacturing of HIV vaccines with researchers of four of the world’s leading academic institutions, including UPenn, Emory University, Duke University and the University of Massachusetts. This new award reinforces Inovio’s position as one of the eminent, global developers of novel HIV therapies to prevent and treat this disease. So on top of the $25 million contracts over the last five years, we will be receiving additional $16 million over the next five years. I’ll close with the quick accounting of our other Company developments. DARPA, the Defense Advanced Research Projects Agency awarded a $12.2 million for a collaborative project to develop Inovio’s DNA-based monoclonal antibodies or dMAbs using technology developed by Inovio and Penn against influenza and antibiotic-resistant bacteria. This research is being conducted by scientists from Inovio, Penn, MedImmune. In this previous -- in previous clinical studies, our dMAbs demonstrated robust virus neutralization and protected treated animals challenged with a lethal virus. I promise you, you will be hearing more about Inovio’s dMAbs going forward. Remember, that conventional monoclonal antibodies have become the most valuable medical product class in recent years. In 2012, worldwide sales of monoclonal antibody products exceeded $50 billion and the top 10 selling pharma drug, 6 of them are monoclonal based products. So we are able to apply our technology to get our large slice of this important product class. On another note, we view as our -- as a non-core asset, our Animal Health business, VGX Animal Health, Inc. We still -- we will still process from this development, but it is now in the hands of a company Plumbline Life Sciences of Korea, who will focus on this asset and move it forward. We granted an exclusive license for animal application of VGX Animal Health is growth hormone-releasing hormone or GHRH technology and animal DNA vaccines plus non-exclusive license for Inovio’s electroporation delivery systems in animals for these applications. Our VGX Animal Health subsidiary will accept -- will receive $2 million in cash in multiple payments, along with 20% of the outstanding shares of Plumbline, as well as the milestone payments, and royalties on product sales. Inovio still retains the human application of its GHRH technology. Now our CFO, Peter Kies, will provide our financial highlights. Peter?