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Oncolytics Biotech Inc. (ONCY)

Q4 2022 Earnings Call· Fri, Mar 3, 2023

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Transcript

Operator

Operator

Welcome to Oncolytics Biotech’s Fourth Quarter and Full Year 2022 Conference Call. [Operator Instructions] Please be advised that this call is being recorded at the company’s request. I would now like to turn the call over to Jon Patton, Director of Investor Relations and Communications. Please go ahead.

Jon Patton

Analyst

Thank you, operator and good morning everyone. Earlier this morning, Oncolytics issued a press release providing recent operational highlights and financial results for the fourth quarter and full year of 2022. A replay of today’s call will be available on the Events & Presentations section of the Oncolytics website approximately 2 hours after its completion. After remarks from company management, we will open the call for Q&A. As a reminder, various remarks made during this call contain certain forward-looking statements relating to the company’s business prospects and the development and commercialization of pelareorep, including statements regarding the company’s focus, strategy and objectives, company’s belief as to the potential and mode of action of pelareorep as a cancer therapeutic, the design, aims and anticipated benefits of the company’s current pending clinical trials, and anticipated timing of the release of additional data, the company’s plans and expectations regarding potential registrational studies, company’s business development plans and strategies, company’s financial runway, and other statements related to anticipated developments in the company’s business. These statements are based on management’s current expectations and beliefs and are subject to a number of factors, which involve known and unknown risks, delays uncertainties and other factors not under the company’s control that may cause actual results, performance or achievements of the company to be materially different from the results, performance or expectations implied by these forward-looking statements. Any new forward-looking statement in which Oncolytics expresses an expectation or belief as to future results, such expectations or beliefs are expressed in good faith and are believed to have a reasonable basis, but there can be no assurance that these statement or expectation or belief will be achieved. These factors include results of current or pending clinical trials, risks associated with intellectual property protection, financial projections, actions by regulatory agencies and those factors detailed in the company’s filings with the SEC. Oncolytics does not undertake any obligation to update these forward-looking statements, except as required by applicable laws. Speaking on today’s call will be Oncolytics’ Chief Executive Officer, Dr. Matt Coffey; Chief Medical Officer, Dr. Thomas Heineman; Global Head of Business Development, Andrew de Guttadauro; and Chief Financial Officer, Kirk Look. I will now turn the call over to Matt to begin management’s remarks. Please go ahead, Matt.

Matt Coffey

Analyst

Thanks, Jon and thanks to everyone joining us this morning. Looking back over the past year, it’s clear that 2022 was a transformational time for our pipeline and company and one that has set us up for another exciting year in 2023. Emboldened by the accomplishments that you will be hearing about on today’s call, we are advancing a pipeline that now includes two high-value registrational opportunities for pelareorep or pela, as we’ll call it, with each representing a core pillar of our business and foundation for growth. The first and longest standing of these pillars is of course our HR-positive HER2-negative breast cancer program. Last year, we completed enrollment in the program’s second randomized Phase 2 trial, BRACELET-1, which is approaching a crucial data readout that we anticipate sharing at a major medical meeting next quarter. We expect this readout, which Tom and Andrew will discuss in more detail to provide key data that will validate the program’s prior positive results and help inform the design of subsequent registrational trial. Just to provide some additional company history, our breast cancer program’s prior positive results come from IND-213, a randomized Phase 2 trial that counts as one of the two pivotal studies required for regulatory approval of pela in breast cancer for a special protocol assessment agreed with the FDA. IND-213 showed a statistically significant and clinically meaningful near doubling of overall survival in HR-positive HER2-negative breast cancer patients who received pela plus paclitaxel compared to those who received paclitaxel alone. These data build upon Phase 1 results demonstrating pela’s single-agent activity in HR-positive HER2-negative breast cancer and also inspired the AWARE-1 study, which met its primary endpoint and demonstrated how pela remodels the tumor microenvironment and trains the immune system in ways that may enhance the efficacy of a…

Thomas Heineman

Analyst

Thanks, Matt. I’d like to kick off my portion of the call by setting the stage for what to expect from BRACELET-1’s anticipated readout next quarter. As a reminder, BRACELET-1 is a randomized Phase 2 trial to be conducted in collaboration with Pfizer and Merck KGaA. It enrolled patients with HR-positive HER2-negative metastatic breast cancer into three distinct cohorts. The first two cohorts mirror the ND-213 study that Matt referenced earlier with one cohort evaluating paclitaxel monotherapy and the other evaluating the combination of paclitaxel and pela. In addition, the third cohort evaluates a combination of paclitaxel, pela and the checkpoint inhibitor, avelumab. At a medical meeting next quarter, we anticipate reporting progression-free survival and tumor response results from this trial, which was designed to enroll a total of 48 patients. While enrollment into BRACELET-1 is complete, it should be noted that many patients continue to be followed for critical endpoints. Accordingly, some key results of the study, including overall survival will only come into focus as the data mature. Given its size, BRACELET-1 is not powered to demonstrate statistical significance between the study groups. A successful result from the trial would therefore B2C one or both of the cohorts that include pela numerically outperformed the paclitaxel monotherapy arm. Achieving this result would result in a second randomized dataset supporting pela’s ability to deliver meaningful clinical benefit to HR-positive HER2-negative breast cancer patients further derisking our program as we move towards a registrational study. As we look ahead for our breast cancer program, we are also highly encouraged by recent data presented by our partner, Adlai Nortye at last year’s San Antonio Breast Cancer Symposium. 0These data were from Adlai’s single-arm bridging trial evaluating pela plus paclitaxel in Chinese patients with HR-positive HER2-negative metastatic breast cancer. As you just heard,…

Andrew de Guttadauro

Analyst

Thanks, Tom. I’ll start by building off a point Matt made at the top of the call, noting how 2022 was a transformational year for pela’s potential licensing value proposition. By adding GOBLET’s recent data in pancreatic cancer, alongside IND-213 statistically significant results of breast cancer, we provided pela with a second registration opportunity that is significantly de-risked by differentiated clinical data. Moreover, each of pela’s potential registration programs provides a robust market opportunity for prospective partners. For HR-positive HER2-negative breast cancer, estimates indicate that there will be nearly 300,000 drug-treatable patients across the U.S., Japan and major European markets by 2028. Looking at first-line metastatic pancreatic cancer, the number of drug treatable patients is expected to reach 135,000 in the same time frame. With addressable markets of this size, and clinical data demonstrating pela’s potential to substantially improve upon the standard of care in these indications, we believe we are well positioned as we pursue a single-sensing deal for both of our breast and pancreatic cancer programs. According to feedback from our conversations with potential partners, BRACELET-1’s evolving results will be a crucial component of the data set supporting any deal. As we work towards a licensing agreement for pela’s rights in the U.S., Europe, Japan and elsewhere, we are pleased to have already partnered with Adlai Nortye on its development and potential commercialization in certain Asian territories such as Singapore, South Korea, Macau, Hong Kong, Taiwan and China, which is the world’s second largest and fastest-growing pharmaceutical market. Adlai recently took an important step to accelerate pela’s development in China, thanks to the results from the bridging trial Tom discussed earlier in the call. With these data showing pela’s plus paclitaxel is well tolerated and generated dermal responses in the study, Adlai now has the opportunity to interact…

Kirk Look

Analyst

Thanks, Andrew. It’s my pleasure to report that Oncolytics current cash resources have us in a strong financial position with an anticipated runway into 2024 based on our current projections. This runway is expected to take us past multiple potential value inflection points, including BRACELET-1’s anticipated readout next quarter. Now moving on to our fourth quarter and year end financial results. We ended 2022 with $32.1 million in cash and cash equivalents and marketable securities compared to $41.3 million in cash and cash equivalents as of December 31, 2021. General and administrative expenses for the fourth quarter of 2022 were $3.7 million consistent with $3.8 million for the fourth quarter of 2021. For the full year 2022, G&A expenses were $11.5 million compared to $13.3 million for the full year 2021. This change was mainly due to lower investor relations activities. Consistent with prior quarters in 2022, the global business conditions had negatively impacted market sentiment for the biotech industry and the overall capital markets. So we anticipate this changing in 2023, we limited our IR activities accordingly in 2022. Our research and development expenses for the fourth quarter of 2022 were $4.8 million compared to $3.7 million for the fourth quarter of 2021. For the full year of 2022, research and development expenses were $15.4 million compared to $12.9 million for the full year 2021. The changes from the fourth quarter and full year 2021 to the respective 2022 periods were mainly driven by advanced care GOBLET platform study and higher personnel-related expenses to support our R&D program. The net loss for the fourth quarter of 2022 was $8.6 million compared to $7.8 million in the fourth quarter of 2021, which equates to a net loss of $0.14 per share for both periods on a consolidated basis. And finally, the net loss for the full year 2022 was $24.8 million compared to $26.3 million in the full year 2021, equating to a net loss of $0.43 per share for the 2022 period and a net loss of $0.49 per share for the 2021 period on a consolidated basis. I will now hand the call back to Matt for some closing remarks. Matt?

Matt Coffey

Analyst

Thanks Kirk. First, let me extend my gratitude to our clinical trial participants, employees, partners, investigators and shareholders for their contributions towards our progress over the past year. This progress has brought us to an exciting and crucial point in our corporate evolution. In our HR-positive, HER2-negative breast cancer program, the continued advancement of BRACELET-1 has us closing in on a critical data readout that is positive will bolster our BD prospects and accelerate pela’s path into a registrational study in this indication. And alongside BRACELET-1’s advancement, we collaborated with Roche and AIO to generate compelling data in pancreatic cancer, providing pela with a second clear path towards the registrational study. In addition, our recent data in pancreatic cancer provide a blueprint for how we can efficiently enhance pela’s value proposition by adding near-term value drivers to our pipeline without taking focus away from its core pillars. We will continue to follow this blueprint as we move forward as our primary internal focus will be the advancement of our breast and pancreatic cancer programs so that we can move into a registrational environment with multiple shots on goal and reduced risk of binary events. In parallel, we will use collaborative studies to advance pela in additional highly prevalent indications and to further demonstrate pela’s immunotherapeutic mechanism of action positions it as a platform molecule with expansive therapeutic potential. With world-class collaborators and a talented team that provided their ability to execute the strategy over the last year, we believe we are well positioned for continued success as we work to improve the lives of cancer patients through pela’s development. With that, we will now open up the call for Q&A. Operator?

Operator

Operator

[Operator Instructions] Your first question comes from John Newman from Canaccord Genuity. Please go ahead.

John Newman

Analyst

Hi guys. Thanks for taking the question. I just wondered if you could talk at all about potential design for the two-arm study following GOBLET in pancreatic cancer. Just curious mostly on the control arm, just sort of what you are thinking about there, just in general terms for that study? I know that some of the agents that we rely on in other cancers have not worked as well in pancreatic cancer, so it might not be as suitable for control, but just curious if you can talk about that.

Matt Coffey

Analyst

Sure. It’s Matt, and then I will pass it off to Tom. GOBLET the pancreatic arm looked at pela in combination with nab-paclitaxel, gemcitabine and atezolizumab, and that’s where we saw the 70% objective response rate. The standardized backbone in this population would be FOLFIRINOX or gem- nab-paclitaxel. I think the question really comes is do we look at a third-arm where we had added atezolizumab to the chemo backbone and compare that to that same triplet with the virus added. What we have heard from KOLs is because checkpoint inhibitors have been so well studied in the context of chemo backbone, whether it would be FOLFIRINOX or nab-paclitaxel, that they really haven’t seen any activity with regards to objective response, PFS or OS. So, a lot of our collaborators still would be an ethical to do that triplet without the addition of pela or even to run it as a control-arm because it’s known not to be active, and it is known to be toxic. So, I think we could either just run a simple two-arm study of gem-nab-paclitaxel versus that plus pela plus atezolizumab, we may have to run, we will call it, 15 patients or so of the checkpoint inhibitor plus the chemo just to show a futility just again to reproduce the fact that it’s not active and that it is toxic. But we are hoping ethics and regulators would look at the historical and realized it’s not an active drug combination and allow us not to go forward with that. Tom, do you have anything to add to that?

Thomas Heineman

Analyst

No, not really. I agree. I think the most straightforward path and probably the most valuable to the clinicians would be simply to run a control arm of gemcitabine and nab-paclitaxel. And as Matt alluded to, any design we would have to discuss with our investigators and the regulators first. But I think that would be the path we would prefer to go down as the simplest and probably the most meaningful.

John Newman

Analyst

Okay. Great. Thank you.

Operator

Operator

[Operator Instructions] Your next question comes from Patrick Trucchio from H.C. Wainwright. Please go ahead.

Patrick Trucchio

Analyst

Thanks. Good morning. My first question is around BRACELET-1. I am just wondering if you can discuss the numerical separation you will be looking for PFS and tumor response. And also if you could tell us when you would expect a mature data on overall survival? And if it’s the data set expected next quarter or the mature data that would help guide the path forward for the program. And separately, I am wondering if you can remind us about that agreement with Pfizer. How does it impact the path forward for breast, the timing of when Pfizer can decide to move forward with the program or when you can decide to seek a different collaboration partner for a potential registrational program?

Matt Coffey

Analyst

Tom, I will let you take the first part of the question, and then I will ask Andrew to take the one regarding the relationship with Pfizer and where we are in that process.

Thomas Heineman

Analyst

Okay. So, the – I mean it’s impossible to say exactly what numerical difference we would consider meaningful. But I think we would obviously want a difference that is a clear separation between the arms, 6 months versus 6.2 months or something would not move the needle, but a separation that is, I think substantial on a proportional level would be very meaningful. And so that’s what we would be looking for. With regard to the – that, by the way, applies to both objective response and the PFS because we are looking at both of those endpoints in the media readout that’s coming along. For the overall survival, it’s impossible to predict when that will be mature precisely because patients – it depends on how patients do on the study. But I think that it’s likely that those data would be available in the first quarter, second quarter, third quarter of next year, something in that timeframe.

Patrick Trucchio

Analyst

Tom, could you maybe speak to how that affects our decision-making process in terms of looking at our Phase 3?

Thomas Heineman

Analyst

Sure. Yes, sure. Sorry. Yes. I think that in breast cancer, historically, both objective response rate and even more so, PFS have been very predictive of the overall successive treatments in PFS, as you were probably aware, is in and of itself, a licensable endpoint based on prior experience. So, we would view any objective response and PFS data is very impactful in moving forward and would not consider it necessary to wait for overall survival data to move on to the next step in that program.

Patrick Trucchio

Analyst

Great. And then just as just as a reminder in terms of how the agreement with Pfizer, how that impacts potential collaboration going forward?

Matt Coffey

Analyst

Andrew…?

Andrew de Guttadauro

Analyst

Sure. They had – Pfizer has a period of review where they can review the data before it can be shared with anybody else under confidentiality. That period is over. But that doesn’t mean that Pfizer isn’t still looking at the data because the data is still maturing as Tom mentioned. So, we are now outside that period, so we can under confidentiality agreement, also share the data with other parties besides Pfizer.

Patrick Trucchio

Analyst

Got it. And then earlier just discussed having a competitive process for a potential collaboration, I am wondering if you could elaborate a little bit more on that level of engagement with these potential partners, especially after the initial GOBLET data. And if there is particular interest in breast or pancreatic, and so could one data set or the other be more impactful driver of these collaboration discussions?

Andrew de Guttadauro

Analyst

I think both are equally critical. If I had to bet, I would say breast is a little more so just because we have a broader body of data, but Pfizer – the panc-data really drove some interest in BD. So, we have quite a few companies that are looking at the data across both pancreatic and breast. And I think it’s the fact that you have two shots on goal actually strengthens both your credibility of the data overall, but also allows you to basically drive more interest. So, there are certainly certain companies that are breast or in GI cancers that have more of a bias towards one or the other. But I would say anybody who is interested in one is also asking about the other. I have yet to see anybody who just wants to review panc or breast.

Patrick Trucchio

Analyst

Great. Thank you very much.

Operator

Operator

Thank you. There are no further questions at this time. You may proceed.

Matt Coffey

Analyst

Thanks operator. So, let me conclude by thanking all listening and stressing how pleased we are with our recent progress as well as our excitement for what lies ahead. We look forward to providing an additional updates in the future and wish everyone a great day.

Operator

Operator

Ladies and gentlemen, this concludes your conference call for today. We thank you for participating and ask that you please disconnect your lines.