Gregory M. Glenn
Analyst · Piper Jaffray
Thanks, Stan, and good afternoon, everyone. During 2014, we announced a number of clinical and preclinical accomplishments. Our efforts have built a strong foundation for moving our key programs into later-stage development. As Stan mentioned, 2015 will be a busy and exciting year with several important clinical data readouts. I'll start with a review of our accomplishments and focus first on our comprehensive RSV program. The first major achievement I'd like to highlight is the Phase II clinical trial of our RSV F vaccine in elderly adults that we initiated in the fourth quarter of 2014. This trial is a randomized, observer-blinded, placebo-controlled trial of 1,600 elderly adults over 60 years of age, which is being conducted at 10 U.S. based sites. The trial is designed to evaluate the safety and immunogenicity of 135-microgram dose of the RSV F vaccine compared with placebo and the incidence of all respiratory illnesses due to RSV, including medically attended respiratory illness due to RSV and hospitalizations for respiratory illness due to RSV in community-living elderly adults. The trial will also estimate the efficacy of the RSV F vaccine in reducing the incidence of respiratory illnesses due to RSV. Another major achievement occurred in the third quarter of 2014 when we initiated the Phase II trial of RSV F vaccine in pregnant women as the next step in our maternal immunization program. This trial is a randomized, blinded, placebo-controlled Phase II study enrolling 50 healthy women in their third trimester of pregnancy. The trial evaluates the safety of the vaccine in mothers and their infants. It also studies the transfer of RSV-specific antibodies from mother to infant and assesses the RSV antibody half-life in the infants of immunized mothers. This trial is continuing to enroll, and we expect to provide top line data in the third quarter of this year. In addition, in November 2014, we initiated a Phase I clinical trial of our RSV F vaccine in children. The trial, which is being conducted in Canada, is a randomized, observer-blinded, dose-ranging Phase I study to evaluate the safety and immunogenicity of the RSV F vaccine with or without aluminum phosphate in children aged 2 to 6 years of age, who are seropositives to RSV. In addition to the trial's primary goal of evaluating safety in this population, the trial is also designed to evaluate the immunogenicity as measured by concentrations of serum IgG antibodies to the RSV fusion or F-Protein, the palivizumab competing antibody titers and RSV microneutralizing titers. Importantly, in this Phase I trial, we're evaluating the immunogenicity of the vaccine outside the RSV season and obtaining safety data through the following season. We have found that enrolling children prior to the 2014/'15 RSV season proceeded more slowly than we have expected. It's unlikely that enrollment could be completed before the season, so we've elected to delay any further recruitment in this trial until after the end of the season in 2015 in Canada. Our plan is to restart recruitment later this year prior to the next RSV season and, in doing so, incorporate our learnings about pediatric recruitment to avoid some of the enrollment issues we have faced. With respect to RSV program, I want to note that our clinical and preclinical data sets have continued to grow and garnered significant interest for the medical community. On our last quarter's call, I described in detail our presentations at the 8th International Society of Vaccine Congress and at the 54th Interscience Conference on Antimicrobial Agents and Chemotherapy known as ICAAC. In addition to those conferences, we recently presented a number -- a variety of our clinical and preclinical data at the 9th International RSV Symposium held last November in South Africa. Our topics included immunization of pregnant baboons demonstrated placental transfer of functional anti-RSV antibodies in their infants, along with similar data in rabbit and guinea pig models; presentation of our clinical data from our Phase II trial in healthy women of childbearing age; preclinical studies demonstrating protection against RSV wild-type strain and palivizumab escape mutants; and the relevance of our RSV vaccine immunogenicity, including palivizumab competing antibodies. These presentations are all posted on our website for your review. Last quarter, I noted that RSV is increasingly being recognized in the past year with great importance. Globally, RSV is second only to malaria as a leading cause of death in children under 1 year of age. In the U.S., nearly all children become infected with RSV before they are 2 years of age, and it is the #1 cause of hospitalization of children 0 to 12 months old. It's estimated that as many as 17,000 elderly and high-risk adults die of RSV infection or its complications annually in the U.S. and up to 180,000 hospitalization for serious -- hospitalized for serious respiratory disease. I want to note that in the New England Journal published today, there was a study that enrolled 2,638 children, 89% who all had -- who had radiographically evidence of pneumonia. Their annual incidence of pneumonia was 15 cases per 10,000. Children with the highest rates were younger than 2 years of age and had 62 cases per 10,000. And in this study, RSV was the most common pathogen detected and was with the greatest burden of hospitalization observed among children younger than 2 years of age. So that is in the 26 February New England Journal, today as I mentioned. Our view of the importance of RSV -- of an RSV vaccine has been recently validated also by the FDA who granted RSV vaccine Fast Track Designation for protection of infants by maternal immunization. We believe this reflects the agency's recognition of the importance of this unmet medical need, their support for maternal immunization as an approach to protect the infants from this respiratory pathogen and the potential of our RSV F vaccine. Now moving to our influenza program. Last -- in the fourth quarter, we initiated a Phase II clinical trial of a recombinant quadrivalent seasonal VLP vaccine. As a reminder, this trial has been conducted over the company's contract with BARDA, which was recently extended an additional 24 months through September 2016, and we were awarded with additional $70 million in funding. This Phase II trial is a randomized, observer-blinded, dose-ranging trial designed to evaluate the safety and immunogenicity of our quadrivalent seasonal VLP vaccine in 400 healthy adults. The primary outcomes of the trial will assess safety and tolerability of the seasonal VLP -- influenza VLP vaccine and quantify immune responses to each of the 4 influenza strains based on hemagglutinin inhibition titers. In addition, the secondary outcomes will evaluate neuraminidase inhibition antibody titers for all influenza strains. We believe this vaccine has the potential to provide a differentiated immune response in the presentation of both hemagglutinin and the intact neuraminidase antigen, and that a differentiated immune response has the potential to deliver a more robust protection against infection. Before we're moving on, I want to remind you that during this year, we were also pleased to receive word from the FDA that our pandemic H7N9 VLP vaccine was also granted FDA Fast Track Designation. Similar to RSV, we believe this designation underscores the FDA's recognition of the risk of H7N9 influenza, the lack of approved vaccines and the strength of our vaccine. So lastly, we announced a significant update in our Ebola program. Earlier this month, enrollment began in our Phase I clinical trial of our Ebola vaccine candidate, adjuvant with the Matrix-M in healthy adults. As a reminder, we initiated the development of our Ebola vaccine shortly after the publication of the genetic sequence of 2014 Ebola Makona strain responsible for the current Ebola epidemic in West Africa. The Ebola GP Vaccine clinical trial, which is being conducted in Australia, is a randomized, observer-blinded, dose-ranging Phase I trial to evaluate the safety and immunogenicity of the vaccine with and without Matrix-M adjuvant in 230 healthy adults between 18 to 50 years of age. In addition to the trial's primary goal of evaluating safety in this population, the study will also evaluate immunogenicity as measured by concentrations of serum IgG to the Ebola Makona strain glycoprotein. In less than 5 months, Novavax validated its Ebola vaccine with prevailing animal data, including 100% protection against the lethal Ebola challenge in nonhuman primates. In this study, nonhuman primates received 2 injections of a 5-microgram dose of the Ebola GP vaccine with Matrix-M, and they were challenged with a lethal dose of the Ebola virus. Predictably, the challenge is lethal for the control animal, while 100% of the immunized animals were protected. The rapid progression to a Phase I clinical trial was further supported by Novavax GMP process, which is detailed in the February online publication of the BioProcessing Journal. So with that summary, I'll now turn the call back to Stan.