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Oncolytics Biotech Inc. (ONCY)

Q4 2019 Earnings Call· Thu, Mar 5, 2020

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Transcript

Operator

Operator

Good afternoon. My name is Mike, and I’ll be your conference operator today. At this time, I would like to welcome everyone to the Oncolytics Biotech Fourth Quarter and Year End 2019 Results Conference Call. All lines have been placed on mute to prevent any background noise. After the speakers’ remarks, there will be a question-and-answer session for analysts and institutional investors. [Operator Instructions] I will now turn the call over to your host, Michael Moore, Vice President, Investor Relations and Corporate Communications. Mr. Moore, please go ahead.

Michael Moore

Analyst

Thank you, Mike. Good afternoon, ladies and gentlemen, and thank you for joining us on our call today to discuss our fourth quarter and year end 2019 financial results and corporate update, including our update on our clinical programs as well as our updated catalyst and milestones. With me on the call this afternoon from Oncolytics are Dr. Matt Coffey, President and Chief Executive Officer; and Kirk Look, Chief Financial Officer. On today’s call, Dr. Coffey will review our clinical and operational progress since the beginning of 2019 and provide an update on our clinical development plans and strategy, including our significant critical mass of catalyst and milestones. Mr. Look will speak to our operating results and strong financial position and Mr. Andrew de Guttadauro, Global Head of Business Development for Oncolytics will be available for the Q&A session at the end of the call. I’d like to point out, certain statements made on this call, such as those relating to our clinical development plans and business development plans are forward-looking within the meaning of applicable security laws. Please refer to our fourth quarter press release and most recent MD&A for important assumptions and cautionary statements related to forward-looking information. I will turn the call over to Dr. Matt Coffey. Matt?

Matt Coffey

Analyst

Hello, and welcome to our year end 2019 and corporate update conference call. 2019 was an incredibly productive year for Oncolytics and that momentum has carried over at the beginning of 2020. We’re very pleased with our execution over this time. It was the year of laying groundwork for multiple studies as well as building on our capital market strategy as we put in tremendous efforts to increase our liquidity and balance sheet. Cumulatively, this work now sets the stage for an extremely important year ahead. I like to use this call to frame a significant progress we’ve made and how this progress positions us for a catalyst rich future with the first of these announcements coming before the end of this month. I’ll also outline our ongoing programs, how these programs are evolving and additional indications we may investigate it in the future. Let me start with some highlights that have built the foundation of where we are now. And to be clear, everything has evolved from significant clinical results with pelareorep, particularly the Phase 2 randomized IND-213 study in metastatic breast cancer, but also recent findings from pancreatic cancer and multiple myeloma studies. The results we have demonstrated in a broad range of both solid and liquid tumors are based on pelareorep’s ability to treat systemically through intravenous delivery and create an unprecedented amount of viral replication. We started 2019 with a very strong set of collaborative studies involving Roche’s Tecentriq in breast cancer, Merck’s Keytruda in pancreatic cancer and Bristol Myers Squibb AK BMS’s Opdivo in multiple myeloma. After identifying our biomarker at the beginning of 2019, we entered into a co-development agreement with Pfizer and EMD Serono to study their PD-L1 checkpoint inhibitor Bavencio in the same setting we had the strong results in previously. That…

Kirk Look

Analyst

Thank you, Matt. And hello everyone. Before I touch on our financial results, I want to start by saying how encouraged we are with the value creation we are seeing in the biotech market through business development today. Just on Monday, Gilead announced their acquisition of 47 for $4.9 billion. This was a $2.5 billion increase from their market cap on Friday. We have seen Trillium, another immuno oncology company successfully improve their evaluation to almost $400 million this week from under $50 million late last year. And only a few months ago, Takeda stepped into the viral space and licensed Turnstone with $1 billion licensing deal that included an upfront payment of $120 million. We believe now more than ever that with our promising clinical development plans and strong industry relationships that we too are poised to create tremendous value for our own shareholders as we continue to execute our plan. Now let me run through our financial results reported in Canadian dollars and as Matt alluded to, I’ll take a few moments at the end to highlight the strengths of our balance sheet and our cash runway as a result of our current activities in 2020. Most importantly at December 31, 2019 we reported better than expected cash and cash equivalents of $14.1 million, which will fund our continued operations. Now before going into our expenditures for the year, I’d like to touch on our reported net loss of $33 million, which includes a $12.6 million non-cash charge. With the close of our unit offering back in August, the warrants for financial statement purposes are to be treated as a financial instrument and reported as a liability using an estimate of fair value. So with any change in the fair value, we are required to record a non-cash…

Matt Coffey

Analyst

Thank you, Kirk. The oncolytic virus space has made great progress in the last several years and has garnered increased and sustained interest among larger biopharma players. As we’ve discussed before, deals that have transpired have largely been predicated on previous collaborative studies that led to partnerships or M&A and we’re now working on collaborative studies with Pfizer, EMD Serono, Merck, Roche, and BMS. With additional indications potentially in our future we look to either expand with additional pharma relationships or strengthen the ones already in place, possibly both. We know that pelareorep’s distinct competitive advantage relative to intratumoral and/or modified oncolytic virus makes us very attractive to large pharma and we’ve built an impressive database demonstrating pelareorep safety, clinical activity and efficacy across multiple studies and in various indications to support our position. Our clinical strategy remains focused on advancing the breast cancer program into a Phase 3 registrational study in metastatic breast cancer. But we recognize additional opportunities are right in front of us. We have seen increased interest in GI indications where we have seen positive results with pelareorep, and importantly these are indications where checkpoint inhibitors are already approved, provided a much cleaner development path that creates additional interest for pharma. We will have data from our pancreatic cancer study this year, as well as our multiple myeloma studies and we’ll provide updates on those programs when final data is announced. Until then we remain focused but we will continue to explore additional opportunities where there’s an unmet need and strong clinical rationale for combining pelareorep with immunotherapy and target oncology treatments. We now have an unmatched set of catalysts more than any other oncolytic virus company, and they begin before the end of this month. And importantly, as Kirk mentioned, with close to C$30 million in the bank, we no longer have a financial overhang putting us in a very strong position to capture the value of each and every one of these catalysts as we execute on these programs. I’d now like to open the lines to take some of your questions. Operator?

Operator

Operator

[Operator Instructions] Your first question comes from Wangzhi Li from Ladenburg.

Wangzhi Li

Analyst

Hi, thanks for taking my questions. Just two clarifying questions. One is when you get to the final data for AWARE-1 mid of this year, when do you make the decision on the Phase III? Or you want to wait further for the Phase III data?

Matt Coffey

Analyst

The AWARE-1 actually really allows us to start making a case for, I think, the addition of a biomarker. We are seeing that the addition of the checkpoint inhibitor seems to lower the threshold for response. So in the primary setting it’s doing what it’s supposed to be doing and demonstrating the activity. But we’ll take some of that to an end of Phase 2 meeting with the agency to discuss the biomarker, how we’d include it in the Phase 3. But BRACELET is still a very important study to us because it’s actually in the intended patient population for the Phase 3. So it allows us to validate the biomarker in the correct setting and basically becomes the run into a Phase 3. So AWARE-1 allows us to start the process with the FDA, but BRACELET certainly confirms it.

Wangzhi Li

Analyst

Got it. Okay. That’s helpful. And then another clarify question on the financial part. So the operating expense in the first quarter seems higher. Is that – you mentioned that – Kirk you mentioned that, is that – how do we think about going forward? Is this just a onetime kind of phenomena or we have maintained this level of G&A costs going forward?

Kirk Look

Analyst

Yes, Wangzhi it’s Kirk. So do expect an overall increase in our in our development costs and our operating costs. So we are forecasting a $20 million, $20 million to $22 million expenditure next year. So things will level off, and level off, and we do see a slight increase, though.

Wangzhi Li

Analyst

Got it. Okay. Thanks for the clarification.

Matt Coffey

Analyst

Thanks Li.

Operator

Operator

Your next question comes from John Newman from Canaccord.

John Newman

Analyst

Hey guys, thanks for taking my question. Just wondering if you could talk a little bit more about the interim biomarker data that we could see this year for AWARE-1. Just curious if that data will include information on T cell clonality or if there will be other things that you’ll be looking for there?

Matt Coffey

Analyst

Yes, we’ve been planning a little bit closer to chest, John, just so that these guys have the ability to present the data. They’ve already submitted an abstract for ESMO breast cancer in Berlin, so hopefully we’ll see you there. But what they’ll be presenting, there does seem to be a correlation between T cell clonality and the amount of cell tumor inflammation in the tumor. We’ve done a great deal of work with multiplexing to define which T cell populations are in the tumor, some concept of the temporal aspect of when those T cells are brought in and the NK cells. But also there’ll be an overview of the cytokine response being elicited within the tumor mass and additional information as to what these T cells are directed against viral or tumor epitope. So it’s a much more complete analysis than we’ve given. And again, we’re just seeing some of this data coming in now. It will all be presented in May. But it will also allow us to start presenting the case on why we think a checkpoint inhibitor, especially in the HR+ / HER2- group is so attractive to the company. So it will be quite a fulsome presentation. Certainly, on the first two cohorts of our intended patient population for the Phase 3 the HR+ / HER2- group.

John Newman

Analyst

Okay, great. And then if I could ask just one additional question for the NCI-9603 study in multiple myeloma, you referenced potential interim data at ASCO, just curious as to, generally speaking, what you might look to focus on there? If there will also be significant emphasis on biomarkers or if it will be just sort of the typical efficacy readouts that we’d have there? Thanks.

Matt Coffey

Analyst

It will actually be both biomarker and efficacy. What’s interesting about this, Dr. Hofmeister from Emory, was involved in the KOL earlier this year, January, and what he alluded to is patients on that study, 9603 have failed proteasome inhibitor in the last treatment round, then put on the virus plus the proteasome inhibitor, they found, and they’re seeing some very, very dramatic responses very, very quickly. Some of them even on the spectrum of the cytokine release syndrome that you would see with CAR-Ts it’s manageable, but it’s the first time we’ve really seen that rapid of a response within the tumor. And it’s really quite dramatic. We don’t see it in solid tumors. We think that the virus is much more able to synchronously infect a much larger number of cells, just because it doesn’t have to basically negotiate all of the pressure that you would have in a solid tumor or the connective tissues or the national barriers that exist in solid tumors, but it’s certainly going to be taking a look at immunogenically what cells are brought to the site of the disease, the timing of that, the activity of that as well as some multiplex, and again to really look which support cells, which professional antigen-presenting cells are there as well as some gene marker profiling. And again, we should have some TCR sequencing data available for ASCO in June.

John Newman

Analyst

Okay, great. Thank you.

Operator

Operator

[Operator Instructions] Your next question comes from Jonathan Aschoff from Roth Capital Partners.

Jonathan Aschoff

Analyst

Thank you. I was wondering what percentage of patients kind of overall, do you think are going to show and expanded T cell clonality and, therefore, what percentage of them are perhaps better candidates for pelareorep? And kind of that same question for low CEACAM6 expression?

Matt Coffey

Analyst

Yes. I’ll take the TCR sequence first. With BRACELET’s, what we’re seeing or what we expect to see is because it’s second line as opposed to where we looked at second, third, fourth and fifth line on IND213. We’re anticipating that about 80% of the patients will have adequate immunological reserve to be eligible for the Phase 3. And I’m anticipating in that setting, 70% to 80% of the cells showing a strong vaccination effect, which we can see with increased clonality. So the goal here is to use it for the eligibility criteria, but to stratify after cycle one. So we’re working with Pfizer on some algorithms that would suggest what the cutoff for response would be, and we’ll apply that from lessons learned in the BRACELET stay to the Phase 3 program. So we’re thinking 80% of the patients should be eligible at baseline, and we anticipate 70% to 80% of them having a strong vaccination effect.

Jonathan Aschoff

Analyst

And then on the CEACAM6.

Matt Coffey

Analyst

CEACAM6, that one has actually used a fair bit or looked at a fair bit within the context of GI malignancy, low expression, which we’re looking for occurs at about 60% of pancreatic cancer, similar numbers for colorectal and anal. In terms of breadth, there is some work done in CEACAM6 expression in breast cancer, but it looks very preliminary. And we are exploring now on the AWARE setting, we will with BRACELET as well, see if there’s any correlation between improved PFS and OS in patients expressing low CAM 6 in breast cancer. But the focus really in that study is the immunological response using TCR sequencing.

Jonathan Aschoff

Analyst

Thanks. You certainly have enough interest already. But I was curious, what other interest are you seeing out there from companies that are considering working with you in combination from those, you say anything broad, maybe nonspecific other than that?

Matt Coffey

Analyst

Yes, it’s an awesome question because I always feel like we’re a Swiss Army Knife. Our BD guy likes to say, and I’ll get Andrew to jump in here afterwards. But it really depends what you want to use it as we’ve had outreach from CAR T companies in the solid tumor space that want to see whether we can – or they can use the virus to locate those CAR-Ts to the solid tumor because the virus does cause such a migration of inflammatory cells into the tumor. And that’s really stymie like CAR-Ts and solid tumors as you can get the CAR-Ts there, but they’re just not located to where you need them. The one that we made allusion to because the virus in infected cells releases so much interfere on what we are getting is very high level expression of PD-L1. And that’s just simply a factor of if you bath the cell in interferon, it’s going to express PD-L1. We can use that to prime patients to becoming eligible in indications like triple-negative breast cancer where a threshold level of PD-1 is required. So we’ve actually had outreach from a number of parties to look at priming patients prior to treatment in TNBC so again, using the virus more as a primer in CAR-Ts to locate the T cells there. And then a lot of the interest really is in generating these T cell populations that are auto reactor to the tumor, which are required for checkpoint blockade, which unfortunately, checkpoint blockade doesn’t prime tumors very well on the immune system very well. I mean, what people have to keep in mind is checkpoint blockade doesn’t target the disease that targets the immune system so if you want to have the effective therapy, you have to have pre-existing T cell populations that are auto reactive to the tumor. And unfortunately, checkpoint blockade doesn’t provide that, whereas we do. So I think you have to really look at the clinical program or the clinical problem we want to solve and apply the virus with the correct strategy. But we have patients – we have groups looking at us with CDK4/6, CAR-T groups, some specific form of antibodies bidirectional antibodies as well as a lot of interest with checkpoint blockade. Andrew, are you on the line, did you want to jump in there and provide a little more color?

Andrew de Guttadauro

Analyst

You mean about the checkpoint blockade opportunity?

Matt Coffey

Analyst

Or just what other groups are interested in looking out with this combination outside of breast cancer.

Andrew de Guttadauro

Analyst

Yes. I mean, I think, obviously, the most obvious group, the most immediate opportunity that we’ve been targeting our companies with approved checkpoint PD-1, PD-L1 products just because that’s the most immediate opportunity. Having said that, we do see a second ring of opportunity within the – that just the PD-1, PD-L1 space. I’ll get to the CAR-Ts, other potential I-Os in a minute. But the other major group within that, that PD-1, PD-L1 milieu is all the companies that are in oncology, and may not care what checkpoint with – our product is used with. They see it more as a backbone play where they say, look, dealers’ choice by the prescribing oncologists, which PD-1, PD-L1 works. If the data comes in, showing that we are agnostic to the checkpoint, which I think is likely, given the studies we’re working on. If we’re going to work with one, we’re probably going to work with all in that particular tumor target. If we can show, we work on a couple of tumor targets pressed, obviously, being the lead. But as Matt mentioned, there’s others we’re examining and with different checkpoints, then all of a sudden, the checkpoint backbone opportunity grows because all of a sudden, you’re talking about what’s now a $16 billion in growing checkpoint market. And if you can show that we can do improve opportunities there, be it raising PD-L1 levels so that more patients are eligible for the checkpoints or working in particular areas where the check went on its own wouldn’t work. HR-positive, HER2 negative is an example of that. Then, obviously, for a lot of these companies, if they see this as a high-priced specialty product that is added and – in considerable – even in 10% of patients within this class of drugs, it’s a huge multibillion-dollar opportunity. Beyond that, as Matt already alluded to, CAR-Ts are potential opportunity based on our mechanism of action. Potentially other I-Os as well, just that we haven’t – that we’ve looked at, CDK4/6 is probably the one in PARP inhibitors, where we have promising preclinical data. So you can see it’s really a chance to be a bit of that Swiss Army Knife, if some of the data matures in the way we’re hoping.

Jonathan Aschoff

Analyst

Thank you. Thanks. Two little mid picking question. Was that – how many more shares are left on the ATM?

Kirk Look

Analyst

Our facility is – it’s a $30 million facility, and we just have over $10 million left.

Jonathan Aschoff

Analyst

Okay. $10 million. Thanks. And I’m assuming that half of your SG&A in the fourth quarter was noncash. Is that about right?

Kirk Look

Analyst

$12.5 million is noncash.

Jonathan Aschoff

Analyst

No, no, no. Of the SG&A, the four point whatever million, half of that is noncash, correct?

Kirk Look

Analyst

There being an element. I don’t think it’s that high.

Jonathan Aschoff

Analyst

Okay. But it’s somewhere in that ballpark, right? Your SG&A is like $1.8, $1.8, $1.8, and then $4.113. So is it half about the ballpark for noncash for the fourth quarter for SG&A?

Kirk Look

Analyst

Well, the – no, we did see an increase in SG&A costs in the fourth quarter.

Jonathan Aschoff

Analyst

Okay. Thank you very much.

Kirk Look

Analyst

Thanks, Jonathan.

Operator

Operator

That was our last question at this time. I will turn the call back over to the presenters.

Matt Coffey

Analyst

Just a quick thank you to everyone who participated, who listen to this, and we very much appreciate your time, especially in such a tumultuous week with the markets being what they are. So again, everyone, thank you for your time. Thank you for your interest, and we look forward to updating you on our progress here in the very near future.

Operator

Operator

Ladies and gentlemen, this concludes today’s conference call. Thank you for participating. You may now disconnect.