Terry Rosen
Analyst · Cantor
So thank you, Kaytee, and thank you all for joining us today. Many of you know us, but others are newer to Arcus. So I wanted to use this call as an opportunity to remind you of our strategy, update you on our programs and recap the progress we've made since Arcus was founded just 6 years ago. Our strategy from day 1 has been to create highly potent and selective small molecules against well-characterized targets and pathways that have yet to be translated into effective therapies. A great example of that is AB680, our small molecule CD73 inhibitor to which we now refer as quemliclustat or quemli for short. While there are antibodies against this target in development, we have the first and most advanced small molecule CD73 inhibitor in clinical studies. AB680 is a unique and highly potent molecule that may have advantages over the antibodies. Another example is AB521, our HIF-2 alpha inhibitor that addresses a target that has historically represented a difficult challenge for the field, yet we've created a high quality and potentially best-in-class molecule that should advance into the clinic by year-end. To execute on this strategy, we've built a robust small molecule drug discovery capability that has efficiently advanced our molecules from program inception to first IND filing in as little as 18 months. All of our small molecule drug candidates were created start to finish by our internal discovery team and are designed to have ideal pharmacological properties. While it's difficult to differentiate antibody therapeutics, small molecules can be highly differentiated by a number of factors: their potency, selectivity, safety, PK and other characteristics. And our goal is always to create a molecule with best-in-class properties. The second pillar of our strategy has been to secure backbone antibodies to combine with our small molecules in the development of novel, highly differentiated intra-portfolio combinations. Through in-licensing as well as our in-house antibody discovery and development capability, we now have a PD-1 antibody and 2 TIGIT antibodies in clinical development as well as a fourth antibody against CD39 in preclinical development. Having our own backbone antibodies is very enabling, ensuring the accessibility for our clinical studies and actually very significant flexibility in the development and commercialization of our combination therapies. The third component of our strategy has been to create a broad portfolio of molecules, targeting diverse mechanisms. Our small molecule portfolio today encompasses both immuno-oncology targets such as those within the ATP-adenosine pathway as well as cell intrinsic targets such as HIF-2 alpha and AXL. We now have 5 clinical stage drug candidates and we expect our sixth, our HIF-2 alpha inhibitor to enter the clinic before year-end. We also continue to expand our pipeline through the initiation and advancement of new research programs against to date undisclosed targets, including our first non-oncology target that leverages our expertise in immunology. We've assembled a highly experienced development team, which is now leading 6 randomized clinical studies, including a registrational Phase III trial and other registrational studies are in planning. Our approach to clinical development is simple: be aggressive yet thoughtful, and generate randomized data early in the drug's development to ensure timely decision-making and optimal resource allocation. Importantly, our clinical programs are targeting some of the most prevalent cancers, including non-small cell lung, colorectal, prostate and pancreatic. Our molecules represent huge opportunities for us to improve upon the treatment of these difficult-to-treat cancers. Given the magnitude of our market opportunities, we've entered into partnerships to expand upon our own clinical efforts and accelerate the pathway to becoming a fully integrated biopharmaceutical company and doing that in a capital-efficient manner. This includes our 10-year all-in alliance with Gilead, which has provided us with over $650 million in capital today and resulted in Gilead owning a 19.4% equity stake in Arcus. They continue to be a valuable, strategic, operational and thought partner, and we remain very pleased with the ongoing collaboration between our two companies. We're also very excited about our clinical collaboration with AstraZeneca to conduct a Phase III study [indiscernible] TIGIT antibody in combination with their anti-PD-1 antibody, Imfinzi, currently the standard of care in Stage III non-small cell lung cancer. This leverages their leadership in this setting. Activities remain on track to support initiation of this study by year-end. In addition, we are discussing additional clinical collaborations. We also have a partnership with Taiho under which they received an option to our programs in Japan and other countries in Asia, excluding China, and they have already opted into both etruma and zim. This month, Taiho's IND for zim in Japan was cleared, enabling them to initiate their platform study, evaluating zim in combination with other molecules in their portfolio anticipated to begin in the third quarter. Discussions around opt-in to our other clinical stage molecules are also underway. Finally, in China, we have a great partnership with WuXi who manufactures all of our biologics. We also maintain a strong relationship with Gloria, who have the China rights to our PD-1 antibody, zim. They have filed for approval of zim in China for classical Hodgkin's lymphoma and are rapidly advancing a registrational study in cervical cancer in China as well. Underpinning all of this is our extraordinary team, now over 300 employees with approximately 80% in R&D. Our development organization now exceeds 120 staff, most of whom joined us with strong experience from large biopharmaceutical companies. With $805 million of cash and investments at the end of June, we have plenty of capital to prosecute our programs over the near term and expect our current cash balance will fund operations through at least 2023. Now on to our clinical programs. First, our TIGIT program in domvanalimab, or dom, our Fc silent TIGIT antibody. In June, we conducted an interim analysis for ARC-7, a randomized Phase II study in first-line metastatic non-small cell lung cancer with 50% or greater PD-L1 expression. ARC-7 was designed to provide valuable information, and it includes 3 arms: zimberelimab or zim, our PD-1 antibody; zim plus dom or the doublet; zim plus dom plus etruma, our adenosine 2a/2b receptor antagonist or the triplet. ARC-7 has a target enrollment of 50 patients per arm, about twice the size of CITYSCAPE's data set in PD-L1-high patients. As this was an early interim analysis designed for internal decision-making, the data set was inherently immature. Nevertheless, the totality of the data was encouraging for all 3 arms enabled us to make several important decisions. Number one, ARC-7 and ARC-10, our registrational study for dom plus zim in the same population will continue as planned with no changes. Two, we continue to advance our ongoing joint efforts with Gilead to prepare for several Phase III studies for dom where we believe we can be a market leader with an anti-TIGIT antibody with a goal of starting at least one of these studies by year-end. Three, with AstraZeneca, we agreed that PACIFIC-8 preparation will continue as planned with study initiation by year-end. And four, based upon the intriguing data for the triplet, we are actively exploring other opportunities for this combination. On our call to discuss the interim analysis, we mentioned a very important finding. 1/4 of patients that responded in the study did so after 3.5 months, is a frequently seen observation with IO therapies. Therefore, we believe that further data maturity -- with further data maturity, the overall response rates or ORRs for the arms will likely improve over time, particularly since at the time of the interim analysis, several patients have completed only 1 disease assessment. Recall that we are doing disease assessments every 6 weeks. In Roche's CITYSCAPE study in this setting, the ORR for their TIGIT doublet improved from 55% at the time of the abstract based on a median follow-up of 6 months to 66% at the time of the data presentation based on a median follow-up of 11 months, and we could see similar evolution in response rates for the dom combinations over time in ARC-7 with more scans and follow-up. We recognize there's been a lot of interest in understanding the performance of the doublet versus the triplet. While the data sets were small and lacking surety, we were absolutely encouraged by the performance of both of these arms. Regarding the triplet, we included this arm because CD73 expression is known to be high in non-small cell lung cancer. And in fact, our analysis of a panel of lung cancer tumor samples has revealed a strong correlation between high PD-L1 and high CD73 expression. We were therefore quite excited to see the triplet arm performing particularly well across multiple measures, including ORR and depth of response. More mature data will enable us to confirm this activity, assess durability and better understand how much of the triplet activity is driven by dom versus etruma. As I mentioned, based on these data, we are very interested in pursuing other settings with the triplet. In fact, an investigator-sponsored trial was just initiated to evaluate the triplet in non-small cell lung cancer patients previously treated with checkpoint inhibitor therapy. ARC-7 is enrolling well, and we plan to submit data later this year for presentation. Our objective is to present a data set that has high impact for Arcus and the field, and we are considering conferences that occur late this year as well as in the first half of next year. Finally, to round out our discussion of dom, we continue to enroll our Phase III study in the same patient population as ARC-7. This study is designed to enable the potential approval of both zim monotherapy and zim plus dom. We also have an Fc-enabled TIGIT antibody, AB308. We believe we are the only company with TIGIT antibodies of both configurations in clinical development, and having a second TIGIT antibody provides us with a huge amount of flexibility as we think about future clinical collaborations and commercial strategy. We started dose escalation of AB308 with our PD-1 antibody earlier this year and just completed enrollment of the third dosing cohort. So this study has progressed rapidly. In fact, we have selected the recommended dose for expansion and are on track to start 5 planned expansion cohorts in the third quarter. The objectives for these expansion cohorts are to generate signals and tumor types to further inform our Phase III strategy for our anti-TIGIT program and success AB308's safety and activity in certain hematological cancers where we believe that Fc function may be important. We continue to believe that the collective data to date suggests that an Fc-silent TIGIT antibody may be advantageous in solid tumors, and future clinical data set should provide more insight into whether Fc-silent TIGIT antibodies have a more favorable long-term safety profile due to a lack of prolonged long Treg depletion in the periphery. To wrap up our TIGIT discussion, I'll comment briefly on the Gilead opt-in. Gilead has the ability to opt in at any time up until we obtain a data set on a prespecified number of patients. If they decide to trigger their opt-in review period, Gilead will have a certain period of time to make their opt-in decision. We anticipate an opt-in trigger decision by Gilead for our anti-TIGIT program by year-end 2021. Exercise of the opt-in would trigger a $275 million payment to Arcus as well as 50% development cost sharing for both the dom and AB308 programs. Now on to our ATP-adenosine programs. We have established ourselves as a leader and perhaps, the leader in ATP-adenosine biology with 2 first-in-class and potentially best-in-class molecules: etruma and our dual A2a/2b adenosine receptor antagonist; and AB680, also referred to as quemli, our small molecule CD73 inhibitor. These molecules target the second and third nodes in the ATP-adenosine pathway, thereby blocking adenosine formation and its action at its cognate receptors, respectively, in the ensuing suppression of immune cells. We also expect to advance our antibody against CD39, the first node in the ATP-adenosine pathway into clinical development in 2022. We've now presented data from several Phase I/Ib studies, including at ASCO GI, AACR and ASCO in 2021 which provided early clinical evidence supporting the advancement of both etruma and quemli, and our ongoing randomized studies are designed to confirm these findings. For Etruma, we've recently reported encouraging data in 3 settings, 2 of which colorectal and prostate cancer represent tumor types where PD-1s alone have not shown meaningful activity. First, at AACR, we presented data from ARC-3, our Phase I/Ib study that evaluated etruma plus FOLFOX in third-line plus metastatic colorectal cancer. The combination was well tolerated and resulted in a median progression-free survival of 4.2 months, approximately double the 2 months reported for current standard of care therapies in the setting. We also observed the doubling in overall survival as compared to what would be expected with standard of care. These results have generated significant investigator interest in our follow-on study to ARC-3, which we call ARC-9, our randomized Phase II study in metastatic colorectal cancer. This study is evaluating the same combination plus zimberelimab with or without bev versus standard of care in the second and third-line setting. And it has a target enrollment of approximately 200 patients across those 2 settings. We just completed an enrollment of the safety run-in for these cohorts and expect to initiate the randomized portions shortly. The second important data set for etruma came from a cohort of ARC-6, our Phase Ib/II study in castrate-resistant prostate cancer, evaluating etruma plus docetaxel plus zimberelimab versus docetaxel in second-line patients that have progressed following treatment with 1 or more new hormonal agents. At ASCO, we presented encouraging efficacy and safety data from the stage 1 single-arm portion of this cohort. Specifically, in 17 efficacy evaluable patients treated with this etruma combination, we observed a PSA response of 35%, which compares favorably to 25 -- 27% from previous studies of docetaxel alone in a comparable patient population. In a smaller subset of patients with measurable disease, 27% experienced a radiographic response, which compares to -- in the teens for docetaxel on previous studies. In this subset, every patient achieved at least stable disease with almost all patients achieving some tumor shrinkage. This was in an advanced patient population, many of whom had received more than 1 novel hormonal therapy and the vast majority of whom had soft tissue disease. Based upon these data, we opened the randomized portion of the study, which is enrolling well and is anticipated to complete enrollment by year-end. In these studies, the safety profile of the combination was consistent with the known profile of each individual agent, and no significant additive toxicity was observed with the addition of etruma. Finally, while still early, the triplet data from ARC-7 may provide additional evidence supporting the potential clinical activity of etruma. In addition to ARC-6 in prostate, ARC-7 in lung and ARC-9 in colorectal cancers, we are conducting a fourth randomized study for etruma, ARC-4, our Phase II study in patients with EGF receptor-positive lung cancer who have progressed on TKIs. This study is comparing etruma plus zim plus chemo to zim plus chemo, and just recently completed an enrollment with 70 patients treated across both arms. Now on to quemli and ARC-8, our phase I/Ib study in first-line metastatic pancreatic cancer. At ASCO GI, we reported initial data from the dose escalation portion of the study. In the 17 efficacy evaluable patients, quemli plus zim plus gemcitabine and nab-paclitaxel demonstrated a 41% unconfirmed response rate with at least some tumor shrinkage in almost all patients. Since then, we have completed an enrollment of the expansion cohort, and we are now enrolling the randomized portion of the study, which is evaluating quemli plus gem/nab-paclitaxel with and without zim, and we'll inform the design of the Phase III trial. This portion, which will include approximately 90 patients is on track to complete enrollment by year-end, which is ahead of plan. The data continue to look quite promising, particularly the high percentage of patients that experienced tumor shrinkage and the safety profile of the combination. Our focus is now on durability of response, and we look forward to sharing updated data from the study later this year. We've also continued our planning activities to initiate a Phase III study next year in first-line patients. I can't overstate the investigator enthusiasm for this program. With investigator input, we are now initiating an additional cohort in the ARC-8 study, targeting second-line patients previously treated with FOLFIRINOX to further characterize this combination in a setting where basically patients have no meaningful option. And now on to what's expected to be our next clinical program, our HIF-2 alpha inhibitor, AB521. Excitement for this mechanism continues to grow as a result of data generated by Merck's HIF-2 alpha inhibitor in a clear cell, renal cell carcinoma and DHL disease. And at AACR, we presented preclinical data for our program. Based upon these preclinical data, we expect AB521 to have a superior PK profile in humans relative to the Merck molecule, which we believe may give us the ability to inhibit this pathway more effectively and at lower doses. We are on track to initiate a study in healthy volunteers in the fourth quarter. The healthy volunteer study will give us the opportunity to demonstrate potential PK and PD advantages very quickly and enable us to advance AB521 into cancer patients with a very well-characterized dosing regimen. While there is a growing amount of activity targeting HIF-2 alpha, this is a difficult target to drug, and we believe we have created an ideal therapeutic candidate. Also the breadth of our portfolio creates exciting opportunities to develop novel HIF-2 alpha combination. For example, we know that CD73 is up-regulated by hypoxia. Therefore, we are very interested in combining AB521 with etruma or quemli in RCC and other tumor types characterized by a hypoxic gene signature. While we don't have time today to get into our early efforts, our discovery focus remains intense with a full portfolio of programs that will continue to sustain our clinical pipeline. Before we move on to the financials, I want to spend a minute or 2 on our anticipated news flow for the next 12 months. For dom, we plan to submit ARC-7 data this year for presentation at a medical conference, with the actual presentation occurring either late this year or the first half of next year. And as I mentioned earlier, we anticipate an opt-in trigger decision by Gilead for our anti-TIGIT program by year-end 2021. For quemli or AB680, we expect to provide updated data from the ARC-8 study in the first-line pancreatic cancer setting this fall. Given how quickly the randomized portion has enrolled with enrollment on track to complete by year-end, we anticipate presenting ORR in 6-month survival data from the dose expansion as well as initial data from the randomized portion in mid-2022. For etruma, we plan to present data, including on ORR and PFS from our 70-patient randomized study for ARC-4 are studying EGF receptor-positive non-small cell lung cancer in the first half of 2022. We also expect to present randomized ORR and preliminary PFS data from ARC-6 in prostate cancer in 2022. And finally, for AB521, our HIF-2 alpha inhibitor. With information from our healthy volunteer study, we anticipate initiating the Phase I/Ib study in oncology indication in the first half of 2022. We now have 5 ongoing randomized Phase II studies that are designed to provide definitive data sets prior to registrational studies. To preserve the integrity of these studies and to provide meaningful readouts, increasingly, our data readouts will occur after completion of enrollment and achievement of event-driven milestones. Between these studies and our earlier stage studies, as well as the activity of our partners, we expect a very steady flow of news over the coming months and year. And with that, I'm now going to turn the call over to Bob Goeltz, our CFO, to review our financials.