J. Joseph Kim
Analyst · Stifel. Please go ahead
Good afternoon everyone. I’ll start by saying that I expect 2017 to be an excellent year for Inovio. Building on key accomplishment in 2016, there are three reasons for this. Number one is clinical trial data, in just to last half year, we announced encouraging new human data from our head and neck cancer, MERS and Zika immunotherapy and vaccine. You can expect clinical data from six of our cancer and infectious disease program in 2017. We expect to see our MERS and Zika data published and we were also report on clinical trials for Ebola, Hepatitis B, HIV and prostate cancer. Number two, we are initiating important clinical studies including our Phase 3 program with VGX-3100 and two separate immuno-oncology combination study. In 2016, after extensive preparation, we were ready to start our Phase 3 study of cervical dysplasia in the fourth quarter of last year. The FDA asked us to submit additional information regarding our brand-new delivery device which has not previously been tested in a clinical study and placed a program on clinical whole before it was started. We are preparing that response and expect to be able to initiate Phase 3 activities in the first half of the year. We also look forward to initiating two separate cancer trials that combine an Inovio multi-antigen DNA immunotherapy with a checkpoint inhibitor which could create an all-important one-two punch with the potential to take the valuable data outcomes achieved by the checkpoint inhibitors alone to a whole new level. These efficacy measuring cancer studies will place Inovio as a unique player on the immuno-oncology map. Finally, number three is the potential for more business development steps. In the fourth quarter alone, we announced $15 million in non-diluted grants being awarded to fund Inovio programs for MERS and Zika through collaborators. We started this year with the announcement of a valuable collaboration for VGX-3100 for Greater China that represents a proactive path to pursue that large and undeveloped market opportunity. This deal is also position to inject up to $50 million into our strategy in the near term. With consistently strong and robust human immune response data that we have reported and the various products we have ready for the next stage of clinical development, I believe we are strongly positioned for additional funding front and collaborations with third party. I’ll just touch on a few important steps in 2016 that provide the basis for what we believe will be another very productive year in 2017, I will now recount all of the important advancements of last year. There are reiterated in the yearend news release, we put out before this call today. I will however, makes this point. I cannot be more pleased about where Inovio is sitting today. Our foundation of research and development is expensive and predicts an expanding number of human studies and advancing studies over the next years. We often state that we have tested our immunotherapies and vaccine in over 1,300 subjects with over 3,800 different immunizations without a single related serious adverse event. This is an enviable record. What we haven't said before is that we have also generated a measured significant antigen specific immune responses in almost 1,000 patients and subjects to date. We have truly remarkable immunotherapy platform and never has this company had so much advancement, so much moment, so much validating confirmation of the merit and the potential of this platform. Furthermore, our expertise, our conviction and our capacity is at the greatest level ever. [Technical difficulty] ….specific killer T-cells. It is clear that large pharma and various funding agencies are increasingly intrigued with Inovio's consistently positive immune activation. We're obviously pleased to see their interest, but clearly we are as impatient as anyone to see our various products advance to a later stage of clinical development where we can assess the impact of these immune responses on targeted diseases, and we are on the cusp of important steps on that front. I'll now discuss the clinical [ph] initiation we expect this year. First VGX-3100, I understand the uncertainty created by the Phase 3 clinical hold, but I also emphasize that we fully expect to successfully fulfill the FDA's request for additional information. Let me reiterate the situation and our efforts to resolve this. First, it was imperative that we used the new CELLECTRA 5PSP, electroporation delivery device in conjunction with VGX-3100 in this Phase 3 study, this sophisticated fully automated device were designed for commercial use. Since our immunotherapy and delivery device will be reviewed as a combination by the FDA when we do file for marketing approval, we must therefore use this device in the Phase 3. In 2016, we completed key logical steps for immunotherapy in our delivery device to start the Phase 3 program, we submitted a comprehensive package to the FDA last fall which included a proposed trial design, our chemistry manufacturing and control CMC data relating to our biologic product or the vaccine and extensive information regarding the new device. In October, the FDA informed us that they concur with our trial design and CMC of the product. This was an important accomplishment. However, in the initial notification and subsequent formal letter in November, before we started a trial the FDA indicated they were delaying the start of the study to request additional information regarding the new device. Part of their request included more data regarding stability and shelf life of the single use disposable tip. I want to be very clear, we had not started a trial, so there were no observed trial related safety issues, rather the FDA's questions and comments specifically related to this device -- to this new device only. This has been a priority project for our team and I am pleased with our progress on generating necessary data and preparing our full response to the FDA's comments and questions. We are continuing to work towards the goal of starting the Phase 3 study in the first half of this year. This year, we are also planning to initiate a Phase 2 study to evaluate the efficacy of VGX-3100 in patients with precancerous lesions at the vulva. The current therapy for women with vulva precancer is surgery that causes disfigurement, pain and distress with an overwhelming 50% recurrence rate. Inovio's immunotherapy could potentially be the first licensed non-surgical option for women with this condition in addition to our initial cervical dysplasia indication. Moving on to our cancer studies, Inovio and MedImmune will soon launch an efficacy trial against an HPV caused cancer. This trial will combine Inovio's INO-3112 and MedImmune's PDL-1 inhibitor, that combination incorporate are T-cell generator with Medi checkpoint inhibitor in a go to strength tumors and increased survival. I'm a huge believer in these one two punches against cancer. First generate a significant amount of antigen specific killer T-cells, let them infiltrate into tumors or what is been reference at turning tumors from cold without T-cells to hot with T-cells using Inovio's cancer vaccine and then knock down the defensive mechanism of the cancer cells with a checkpoint inhibitor. We think that’s a powerful combination, one that can be effective and fitting multiple tumors going forward. In this regard, we've already seen that INO-3112 could turn a cool head and neck cancer into a hot one in our Phase 1 monotherapy study. Now I also want to make a point, checkpoint inhibitor therapies have been highly effective with less side effects than traditional cancer therapies. So, Bristol-Myers first Merck and now Genentech/Roche have approved products in this field. MedImmune's PDL-1 products should be the fourth one, and there're about half of those another PD-1 or PDL-1 inhibitor products in Phase 1 or Phase 2 clinical studies. Within the next three to five years I believe the checkpoint inhibitor PD-1, PDL-1 space is going to be extremely crowded and commoditized. Moreover, we check for melanoma in a handful and small of the cancers, the overall response rate with all PD-1 and PDL-1 inhibitors in cancer patients across the board have been circling around 20%, strongly indicating there is lot of room to improve in the market still projected to be about $50 billion. A couple of key questions from big pharma developers, the PD-1, PDL-1 inhibitors. Number one, how will you differentiate yourself when there are 10 other players with similar checkpoint inhibitors? Number two, how do you try to improve beyond 20% efficacy threshold? I think MedImmune already answered these questions by combining with Inovio's 3112 cancer vaccine with the goal of more capably generated hot tumors and increasing the overall effectiveness of checkpoint inhibition. So, Inovio will also play the other side of the strategy. We will partner our antigen specific therapies with multiple checkpoint inhibitor manufacturers, the first being with MedImmune. To that end, I want to speak further about INO-5401 which includes a powerful new combination of multiple cancer antigens. The National Cancer Institute highlighted these antigens WT1, hTERT and PSMA among a list of attractive antigens for cancer immunotherapy development with WT1 at the top of the list. Molecular Therapy recently published our preclinical data showing that our SynCon WT1 antigen broke tolerance in multiple animal species. Immunized mice exhibited smaller tumors and prolonged survival in a tumor challenged study. We previously reported similar results for our SynCon hTERT and PSMA cancer antigens. We believe this product which combines all these three antigens INO-5401 has the potential as a universal cancer immunotherapy against multiple cancer types in combination with different checkpoint inhibitors. I expect that in the first half of the year we will provide more details about our planned Phase 1/2 immuno-oncology combination study with INO-5401 and a checkpoint inhibitor. I also expect that in 2017 you'll hear from us about additional clinical collaboration with other checkpoint molecule developers events our immuno-oncology strategy. Staying on the tactic of collaboration, let me speak further about business development. Last month Inovio entered into a collaboration in license agreement providing China's ApoloBio Corporation with exclusive rights to develop in commercialized VGX-3100 within Greater China. This deal is worth up to 70 million in upfront milestone and equity payment and includes all development cost for this market and double digit royalty. We are very pleased to have this valuable opportunity to pursue what is perhaps the world's largest under developed markets for this type of product with a highly capable partner. On the cancer front, I believe our surgical dysplasia efficacy data plus preliminary head and neck cancer T-cell immune response data, strongly positions Inovio for new collaborations particularly for combination therapy. We are working toward more relationships of this nature. On the infectious disease side of thing, the receptivity of our MERS and Zika vaccine data at safety really highlight where we are at. Our data stands out, our technology and products stands out. As referenced recently in an MIT technology review article, the newly form Safety [ph] which has already raised almost $500 million aims to use synthetic DNA vaccines as part of their approach to emerging potential pandemics. Inovio is the undisputable leader in DNA vaccine and we have offered our services to help achieve this promising organization ambitious goal. Now, [Technical Difficulty].