Amar Sawhney
Analyst · Oppenheimer. Your line is open
Thank you, Brad. Good morning everyone, and thank you for joining us today for our third quarter 2014 earnings call. Before we begin, I would like to welcome all of our new shareholders. If we have not yet had a chance to meet you personally, we look forward to having that opportunity in the near-term. For those of you who may be new to our story, Ocular Therapeutix is focused on the development and commercialization of innovative therapies for diseases and conditions of the eye, including both front of the eye and back of the eye, using our proprietary bioresorbable hydrogel technology platform. Our product candidates are designed to provide sustained delivery of therapeutic agents to the eye. The products we currently have in development address a $9 billion market opportunity in the U.S., and a market that is growing rapidly. Front of the eye diseases and conditions were developing therapy to replace the standard-of-care eye drop regimens without innovative drug eluting punctum plugs. These plugs are non-invasively inserted into a natural opening called the punctum, located in the inner portion of the eyelid near the nose and reside comfortably in the canaliculus below the punctual opening. Eye drop therapy presents numerous limitations, including significant peaks and values of drug concentration, lack of patient compliance, difficulty in administration, and side effects due to high concentrations of drug and presence of preservatives. We believe that our candidates will improve the compliance due to long-term sustained delivery, provide a more uniform amount of drug presence on the surface of the eye and ultimately increase treatment efficacy and reduce to these progression associated with patient noncompliance. We also believe that our product candidates can provide an improved safety profile, compared to eye drop regimens due to the lack of preservatives as well as our ability to avoid the peaks associated with high dosage and valleys associated with low dosage with topical eye administration. We have a late-stage product pipeline with several product candidates in Phase 2 and Phase 3 clinical development. Our lead sustained-release product candidate OTX-DP is in Phase 3 clinical development for the treatment of post-surgical ocular inflammation and pain. We recently enrolled the first patient in our Phase 2b trial for our OTX-TP product candidate for the treatment of glaucoma and ocular hypertension, with the first patients enrolled in the trial this past week. Additionally, we just completed a Phase 2 trial for OTX-DP for the treatment of allergic conjunctivitis, and I will discuss those results in a moment. We're also in the early stages of evaluating sustained-release injectable anti-VEGF drug depots for back-of-the-eye diseases, including wet age related macular degeneration, or wet AMD. These development efforts are in early stage. But if our upcoming feasibility studies are successful, this could represent another exciting opportunity for Ocular. Our first product, ReSure Sealant, received FDA approval earlier this year for sealing corneal incisions following cataract surgery. The product have marketed to us select network of local independent sales agents. We have not been investing the resources to build out a commercial organization in support of ReSure and do not anticipate making this investment until we are closer to an approval for our first sustained-release punctum plug drug candidate, assuming favorable clinical results. As a result, we expect sales growth of ReSure Sealant to be modest for the next several quarters. We are a clinical development organization at present and are investing the majority of our resources on our drug delivery platform and related product candidates. Speaking of which, I'm pleased with the progress that we have made this quarter and advancing our lead clinical programs. Last month, we announced the completion of enrollment in two Phase 3 clinical trials, evaluating our OTX-DP product candidate for the sustained-release of the corticosteroid dexamethasone for treatment of ocular inflammation and pain following cataract surgery. These are not only our first Phase 3 clinical trials for a sustained-release pharmaceutical, but we believe that these are the first Phase 3 trials ever to be conducted for a sustained-release drug eluting punctum plug. We expect to have results from these trials in the first quarter of 2015 and assuming favorable results expect to submit an NDA to the FDA in the second quarter of 2015. At the American Academy of Ophthalmology meeting in October this year, Dr. Thomas Walters from Austin, Texas, an investigator on our recent Phase 2 OTX-DP clinical trial, had the opportunity to present data from the Phase 2 trial of our OTX-DP product candidate for the treatment of ocular inflammation and pain following cataract surgery. The data showed that the patients who were treated with OTX-DP experienced significantly less pain and inflammation compared to placebo. We were pleased that following the presentation, the AAO issued a press release summarizing the data presented by Dr. Walters. This release can be found on the AAO website at aao.org/newsroom. Ocular Therapeutix presented three posters, two paper, and a video from our sustained-release dexamethasone plug and our ReSure Sealant. For additional details on our presence of the meeting, please refer to the 2014 AAO annual meeting section on the AAO website. As I mentioned earlier, our clinical pipeline continues to advance. This morning, we announced top line data for our Phase 2 clinical trials for OTX-DP, a sustained dexamethasone release dexamethasone product, for the treatment of allergic conjunctivitis. Prospective, multicenter, randomized, double-mask study evaluated OTX-DP versus a placebo vehicle at two clinical sites in the United States. The company used a modified conjunctival allergen or CAC model to accommodate for the longer therapeutic effect of a one-time administered sustained-release drug product. The well controlled trial enrolled 68 patients to be intent to treat for reactions to a variety of allergens over a 42 day period. The primary effectiveness measure was ocular itching and conjunctival redness at 14 days post insertion. OTX-DP treated patients to present it significantly, statistically significantly lower ocular itching and conjunctival redness course than the placebo group at all three time points, measured on day 14, 28, and 42, after insertion. As compared to placebo, patients in the OTX-DP treatment group achieved a mean difference of more than 0.5 units on a five point scale, which went from zero to four, at day 14, for both ocular itching and conjunctival redness. That trial did not achieve a mean difference of 1.0 units at the major majority of time points for ocular itching and conjunctival redness. OTX-DP met one of the two criteria for treatment success previously established by the FDA for anti-allergy drops in the traditional CAC model. There were no serious treatment related adverse events noted. OTX-DP treatment was well tolerated overall. Although, we have continued to analyze the available data from this trial, we believe that these top line results support the continued development of this drug product candidate for the treatment of allergic conjunctivitis. By year end, we expect to fully analyze additional data regarding secondary efficacy measures and safety results, including more detailed aggressive end information. Thereafter, we plan to submit this clinical data and meet with the FDA to discuss next steps for this clinical program. Although, effective for treatment of allergic conjunctivitis, topical corticosteroids are often limited in use due to potential side effects such as increased intraocular pressure. A low-dose sustained-release corticosteroid may alleviate the symptoms of allergic conjunctivitis without unwanted side effects. The Phase 2 trial provided valuable insight into the advantages of utilizing a modified CAC model which we may incorporate into future prior design. As I mentioned previously, we also just announced the first patients enrolled in our Phase 2b clinical trial of OTX-TP Sustained-release travoprost, a prostaglandin analog for the treatment of glaucoma. We expect to have data from this study in the third quarter of 2015. This Phase 2b trial is a prospective, randomized, parallel-arm, double-mast, active controlled study consisting of approximately 80 patents who will receive either OTX-TP and placebo drops or a placebo punctum plug and Timolol drops. In the first quarter of 2015, we also anticipate completion of feasibility studies for our anti-VEGF hydrogel depot. Ocular Therapeutix has had ongoing agreements with three pharmaceutical companies to evaluate the feasibility of using our hydrogel depot to achieve sustained-release of their anti-VEGF drugs, in early stage pre-clinical models. In addition, we recently find an early stage agreement with another pharmaceutical company to discuss the likelihood of achieving sustained-release of several of their drugs in a hydrogel depot. We have additional interest from other pharmaceutical companies in our drug delivery program. Depending on the outcome of these studies, we will determine our forward development path and assuming a positive outcome, we would potentially explore a broader strategic alliance with one of these partners. Again, we have not established any expectations for this program as it is at an early stage of development and still carries high risk. But given the market size, it could be a potentially large opportunity. Since our closing of our IPO in July, we have had an exciting and busy few months with the company. We are pleased with the progress that we have made with the lead product candidates in our pipeline and look forward to the coming months. I will now turn the call back over to Brad, who will review the third quarter 2014 financials.