Stanley C. Erck
Analyst · Ladenburg
Thanks, John, and good morning, everyone. Thanks for joining us this morning. As usual, I will first discuss our recent accomplishments and expectations for 2013, and then I'll turn the call over to Fred to summarize the quarterly and year-end financial results. And after that, we will take questions. Over the last year, Novavax has made significant progress across our entire business. We have generated positive clinical data for our key programs, we've entered into important partnerships, which strengthened the company's balance sheet, distributing our cash all the way to 2015. Building on this success, we have significant momentum entering into 2013, and we're in the strongest position ever to realize the clinical and commercial potential of our pipeline programs with vaccine technology platforms. Turning to specific programs. I'll start with our RSV program. We have 2 clinical trials underway now. We expect to report top line clinical data in April for our Phase II dose-ranging study of women at childbearing age. We have made significant progress in this program during 2012. In the past year, we've presented clinical and pre-clinical data at several meetings, including the 8th Annual International Respiratory Virus Symposium and the International Society for Respiratory Vaccines. Importantly, we were able to show that the levels of neutralizing the antibodies, which is the benchmark of the vaccines immunogenicity, were up to 8-fold higher with our vaccine candidate than those levels identified as being protective. We also demonstrated that the immune response to the RSV-F vaccine target the clinically validated palivizumab bindings side. These palivizumab antibody levels induced by our vaccine appear to be well in excess of the levels of those shown to prevent hospitalizations in high-risk, premature infants. As a reminder, palivizumab is the [indiscernible] antibody marketed by MedImmune's Synagis, which is effective in the prevention of RSV. The demonstration of this combination of immunomeasures is the first for a clinical stage RSV vaccine and provides a strong rationale moving forward into more advanced clinical trials. In July, we entered into a research collaboration with PATH, an international nonprofit organization, whose goal is to transform global health with sponsorship of innovative technologies. PATH is committed to the development of an RSV vaccine, which will be given to the mother to protect the very vulnerable infants from RSV during the first few months of life, an approach better known as maternal immunization. Maternal immunization is standard in health care and parent health care practice to protect both the mother and/or infant from influenza, pertussis, and tetanus. Our collaboration with PATH, provided approximately $2 million of nondilutive initial funding to support our Phase II dose-ranging clinical trial on women of childbearing age. The study was initiated in early October and was fully enrolled in less than 2 weeks. Trial was randomized, blinded, placebo-controlled Phase II clinical trial designed to evaluate the safety and immunogenicity of 2 dose-levels of our RSV vaccine candidate, with and without aluminum phosphate as an adjuvant. The study enrolled 330 nonpregnant women of childbearing age who received either 1 or 2 intramuscular injections at each dose-level of vaccine or placebo at Day 028. Safety and immunogenicity will be evaluated over a 6-month period. On this day, we expect to determine the appropriate dose to be used in our vaccine. We anticipate reporting the results from the trial through Day 56 observations in April. Although PATH's initial funding was just for this trial, our expectation is that PATH will continue to support the ongoing development of our RSV vaccine candidate for maternal immunization. As part of our agreement, PATH can elect to continue to collaborate on additional phases to develop the vaccine for maternal immunization, potentially funding 50% of Novavax's external clinical development cost through to licensure. We had also initiated a Phase I dose-ranging clinical trial of our RSV vaccine in elderly patients, and this study is also fully enrolled as well. This trial is randomized, blinded, placebo-controlled study where we will evaluate the immunogenicity and safety of 2 dose levels of our RSV candidate, with or without aluminum phosphate as an adjuvant. The study enrolled 220 adults, 60 years of age or older, will receive a single intramuscular injection of RSV vaccine or placebo, plus a single dose of licensed influenza vaccine or placebo at Day 028. Safety and immunogenicity will be evaluated for up to 1 year, and we expect to report top line results with the study next quarter, the second quarter of 2013. We would also like to highlight 2 recent peer-review publications. First, in December, based from our Phase I clinical trial, we're published in the journal, Vaccine. This publication had a more in-depth look at the data we have presented in September at the RSV 2012 meeting I mentioned previously. Also, the journal PLOS ONE recently published data from pre-clinical studies, which indicated that immunization with [indiscernible] RSV nanoparticle vaccine induced high levels of specific palivizumab and neutralizing antibodies to provide protection in this [indiscernible]. As you can probably tell, there is tremendous excitement, both internally and externally, around our RSV program. We believe that we're ahead of all other companies in the development of a vaccine that will address this major unmet medical need. Moving now to our pandemic influenza program. The highlight of the fourth quarter was the positive top line results from the 2 Phase I clinical trials conducted under our contract with BARDA. These 2 trials were identical, other than using 2 different adjuvants. A total of 666 healthy adults, 18 to 49 years, were enrolled in the 2 trials. So these studies provided statistically significant data results. Although these are Phase I trials, it's important to note that they were large Phase I trials, which improved our confidence about the results. We were able to demonstrate a number of characteristics about our pandemic influenza vaccine candidate that we believe to be very important. First, we met our primary objectives, which were to demonstrate that all vaccine adjuvant combinations and unadjuvanted vaccines have a suitable safety profile that generated robust immune responses. Importantly, the unadjuvanted vaccines have 45 micrograms per dose induced immune responses that exceeded the FDA criteria for approval after 2 doses, an unprecedented result compared to the other unadjuvanted H5N1 vaccines. In addition, the administration of the unadjuvanted VLP vaccine formulations resulted in high antivirus responses in significant antigen dose parity, down even to the lowest dose of 3.75 micrograms, at which over 90% of the subjects developed immune responses considered likely to be protected. We also saw activity which suggests that our vaccine may be protected even when the vaccine's strain did not perfectly match the pandemic virus strain, which is an important consideration in the emerging response to an antidote. So in summary, with these trials, we have demonstrated that we can produce antigens from candidate pandemic influenza strains that are at least as or more immunogenic, as Amy described in the medical literature today. We believe the results will sufficiently foster to allow us to advance our pandemic influenza vaccine program into later-stage clinical testing and we're now working with BARDA on developing that clinical pathway forward. So moving from our pandemic to our seasonal vaccine program. In July, we announced positive top line results from the Phase II dose-ranging clinical trial for a quadrivalent vaccine. We reviewed these results in detail on our last call, so I'll just remind you that our quadrivalent vaccine met the FDA's 0 protection requirements for all 4 viral strains, with 0 conversion levels of 3 out of 4 strains with a good safety profile. Prior to entering into late-stage clinical trials, we're taking the time to optimize our upstream and downstream manufacturing processes and to optimize our portfolio of [indiscernible]. We're going to continue to work with BARDA to provide our clinical pathway for licensure and begin GMP manufacturing of the quadrivalent vaccine, with the expectation that we will return to clinical as we will improve the B strain immunogenicity. Importantly, BARDA recently completed an In-Process Review or IPR of Novavax' s contract covering our seasonal and pandemic programs, which, as you know, is a $179 million contract. A team of U.S. government experts including representatives from BARDA, the FDA, NIH and CDC reviewed the program. Based on the results of the IPR, a milestone decision has been made to continue the contract for both the seasonal and pandemic influenza programs. This was an expected decision, but it's always nice to have a positive feedback on the progress we've made today. Now looking forward in 2013, we expect to achieve several key milestones. First, as I've discussed previously, we will announce top line results for our ongoing Phase II trial of our RSV vaccine in women of childbearing age in April. This will be followed by top line results of the vaccine in the Phase I study in the elderly later in the second quarter. Based on these 2 clinical trials, we'll determine the future path of both of these programs. As a result of the January 2013 IPR with BARDA, we will advance our clinical -- our research activities and move our seasonal, influenza and pandemic vaccine candidates into later-stage clinical trials. The timing of these trials will be based on the data generated over the next couple of months. These data will help us to find the timing and pathway that our product candidates will take toward licensure. We expect to report on these results and time line at midyear. I am pleased to report that CPLB, our joint venture partner in India, is expected to initiate a clinical trial for a recombinant nanoparticle rabies vaccine candidate in India. The vaccine candidate has passed toxicology parameters, and we're now awaiting final regulatory approval for trial initiation. Rabies is a huge problem in India, China and other countries where it's not common practice to vaccinate pets. Our hope and expectation is that our recombinant vaccine candidate may add significant benefit over current treatments. Beyond that, we expect to continue our research collaboration with CPLB in India, LG Life Sciences in Korea, and we expect to complete our expansion into our manufacturing and office facilities in Gaithersburg, Maryland. So before I turn the call over to Fred, let me leave you with the following key takeaway points. First, we believe our RSV vaccine candidate is in the lead clinical development position in the industry today. And with the clinical data to be soon released, we plan to maintain that lead throughout 2013. Second, we're confident that we will complete our manufacturing optimization and improve the B strain in immunogenicity for a seasonal influenza candidate by midyear and be prepared to advance it into later-stage clinical trials. And finally, and most importantly, we believe that we've made dramatic advances in the development of our team. Over the last 2 years, we've assembled a highly-proficient scientific medical and operational team. It's hard to overstate the importance of our new human infrastructure. We are now poised to advance and broaden the product pipeline and thereby, enhance shareholder value. With that, I'll turn the call over to Fred to review the fourth quarter and year end 2012 financial results.