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Rigel Pharmaceuticals, Inc. (RIGL)

Q4 2016 Earnings Call· Tue, Mar 7, 2017

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Transcript

Operator

Operator

Good afternoon, and welcome to Rigel Pharmaceutical's Earnings Conference Call for the Fourth Quarter and Year End of 2016. All participants are in listen-only mode. We will be facilitating a question-and-answer session at the end of today's conference. [Operator Instructions] I would like to remind you that this call is being recorded for replay purpose from Rigel's website. [Operator Instructions] And now, I will turn this conference over to our first speaker, Dolly Vance, who is Rigel's Executive Vice President, Corporate Affairs and General Counsel. Go ahead.

Dolly Vance

Analyst

Hello and welcome to our financial results and business update conference call. The financial press release for the fourth quarter and year end of 2016 was issued a short while ago and can be viewed in the news and events section of our Investor Relations page on our website, www.rigel.com. Joining me on the call today from Rigel are Raul Rodriguez, our CEO; Ryan Maynard, our CFO; and Anne-Marie Duliege, our Chief Medical Officer. As a reminder, during today's call, we may make forward-looking statements regarding our financial outlook and our plans and timing for regulatory and product development. These statements are subject to risk and uncertainties that may cause actual results to differ from those forecasted. A description of these risks can be found in our most recent Annual Report in Form 10-K on file with the SEC. Any forward-looking statements are made only as of today's date, and we undertake no obligation to update these forward-looking statements to reflect subsequent events or circumstances. At this time, I would like to turn the call over to our CEO, Raul Rodriguez.

Raul Rodriguez

Analyst

Thanks, Dolly, and welcome everyone. Thank you for your time this afternoon. As most of you know 2016 was a pivotal year for Rigel. We achieved significant milestones with our lead product candidate fostamatinib and restructured our company which positioned us for success as we move fostamatinib through the regulatory process and we hope to a commercial launch. Looking ahead our goal is to transform Rigel with a specialized focused commercial organization aimed at providing new therapeutics with patients with chronic immune thrombocytopenia also known as ITP as well as other indications. We've been very encouraged by the completion of our FIT Phase 3 clinical program of fostamatinib and ITP because the studies are remarkably consistent across all three trials. In a subset of patients, fostamatinib was shown to have a clear clinical benefit which is important as these are difficult to treat patients with chronic ITP. I'll share a summary of a more recent accomplishments related to fostamatinib and ITP. Later Anne-Marie will provide additional background on the three FIT Phase 3 clinical trials, which include the pivotal 047 and 048 studies as well as our open label long-term extension study of 049. In August and October of 2016, Rigel reported results from the three FIT Phase 3 clinical trials, which demonstrated that patients who responded to fostamatinib have a timely, robust and sustained response to treatment. The rapid response provides an early feedback as to whether fostamatinib maybe a viable treatment option for that patient's ITP. The enduring benefit gives patients and their clinicians confidence that their disease is under control in the long term. During the post study, our post study analysis of the FIT data for our NDA submission, we characterized an additional patient population in the fostamatinib group that shows a meaningful platelet response, but…

Anne-Marie Duliege

Analyst

Thank you, Raul. As Raul stated earlier, we have continued our analysis of results from the FIT Phase 3 clinical program. Overall, we believe that the predictable efficacy profile of fostamatinib combined with the safety profile will make fostamatinib, if approved and a trusted treatment option for those patients with chronic ITP that are in need of [indiscernible] therapy. This data will be presented to the FDA in the new drug application that we're currently preparing. Fostamatinib's unique mechanism of action provides a potential benefit to people with chronic ITP. As a reminder, fostamatinib is a SYK inhibitor and targets the underlying cause of ITP. SYK kinase is a key player in the immune system destructions of platelets in ITP. ITP patients can have platelet counts that for below 30,000, the level at which they are generally considered at risk for spontaneous or trauma induced hemorrhage. And chronic ITP is difficult to treat disease. This patient population is very heterogeneous, so it is hard to predict which patient will respond to which of the currently available treatment, if any. There are approximately 60,000 to 125,000 patients with chronic ITP in the U.S. and it qualifies as an orphan disease. Turning towards the slide presentation, I will now review some of the key data points related to fostamatinib in ITP. Let's look at Slide 10, the FIT Phase 3 program consisted of two identical placebo control studies, 047 and 048, combined 150 adult patients with chronic or persistent ITP were enrolled with 49 of them assigned to placebo. Patients indeed were randomized into fostamatinib or placebo in a two to one ratio and then dose for up to 24 weeks. The primary endpoint was the achievement of the stable platelet count equal to greater than 50,000 per microliter on at least…

Ryan Maynard

Analyst

Thanks, Anne-Marie. For the fourth quarter of 2016, we reported a net loss of $15.6 million or $0.16 per share compared to a net loss of $12.7 million or $0.14 per share in the fourth quarter of 2015. Revenues from collaboration were 3 million in the fourth quarter which was comprised of a milestone payment received from Bristol-Myers Squibb. We reported total cost and expenses of 18.8 million in the fourth quarter of 2016 compared to 21.3 million in the fourth quarter of 2015. This decrease was primarily due to reduction in workforce in September of 2016 offset by an increase in stock-based compensation expense as well as increasing costs related to the NDA submission with fostamatinib in ITP. For the year ended December 31, 2016, we reported contract revenues from collaborations of 20.4 million and a net loss of 69.2 million or $0.73 per share compared to contract revenues from collaborations of 28.9 million and a net loss of 51.5 million or $0.58 per share in 2015. Contract revenues from collaborations in 2016 were mainly comprised of the upfront payment amortization and a milestone payment from our collaboration with BMS. As of December 31, 2016, we had cash, cash equivalents and short-term investments of 74.8 million compared to 126.3 million as of December 31, 2015. In February of 2017, we completed an underwritten public offering that brought in 43.0 million in cash proceeds after discounts commission and offering expenses. We also received a milestone payment of 3.3 million in February of 2017 from BerGenBio due to their advancement of BGB324, its small molecule AXL kinase inhibitor into a Phase 2 clinical study. Therefore, we expect that our current cash amounts will be sufficient to support our projected spending requirements including preparation of the potential commercial launch of fostamatinib for at least the next 12 months. We also continue to evaluate ex-U.S. partnerships for fostamatinib and other partnering opportunities across our pipeline. Now I'll turn it back over to Raul who'll provide some concluding thoughts before we open up the call for questions.

Raul Rodriguez

Analyst

Thank you, Ryan. So, before turning the call over to questions, I'd like to just take a minute and step back a bit and make a few observations. So as we've got in the detail and need to take a breath and see where we're. The last 13 months have really been monumental for Rigel, and we made a major transition. We completed a Phase 3 program that showed that fostamatinib may be a viable treatment for ITP patients. So, we actually feel like we've a product here. We met with ITP patients also last year and what they told us is that this disease places a tremendous burden on their lives and that they have a need for new treatment options, and this made us all the more determined about doing what we're doing. So, we refocused the Company and that allowed us to invest in regulatory and commercial readiness. We completed a fundraise which gave us additional resources to execute on that plan. So, all this positions us very well for moving forward. This year, we're going to manage the NDA towards the potential approval. We're going to get ready for our commercial launch in the U.S. in the first part of next year, and we're going to work on expanding our pipeline. So, we're really excited about where we're at this point in the Company’s history. So, at this time I'll open your calls up for questions.

Operator

Operator

[Operator Instructions] Our first question comes from the line of Josh Schimmer from Piper Jaffray.

Josh Schimmer

Analyst

Anne-Marie, the color on bleeding events in the Phase 3 FIT trials was very interesting, wondering if you had data on either minor bleeding events in the FIT trials or more serious bleeding in the extension trials that would further support the clinical benefit of the drug? Thank you.

Anne-Marie Duliege

Analyst

So, there were definitely more minor bleeding episodes, more in the form of minor [indiscernible] petechiae. That would be expected to see in both groups. And then in the long-term extension program, there were some serious adverse events of bleeding that were truly expected and did not change our analysis that happened in the non-responder groups and did not change our analysis of what I've provided on the slide.

Josh Schimmer

Analyst

So just to be clear in the long-term extension those bleeding as they used were in patients who switched over from the placebo arm and did not respond or were there any that this current in responder population?

Anne-Marie Duliege

Analyst

So, those one [indiscernible] that occurred on day one of fostamatinib treatment. You wouldn't expect that fostamatinib worked as quickly on day one. So, we start comment on a responder that was early and another patient who had a gastric abnormality that led to bleeding even in the context of a response, but that was again totally expected. Fostamatinib doesn't always prevent all form of bleeding, but prevents few of these at very low platelet count.

Operator

Operator

Thank you. Our next question comes from the line of Eun Yang from Jefferies. Your line is open.

Eun Yang

Analyst

So, you're planning to on your own track to file an NDA this quarter. I'm wondering, if you have had a recent interaction with the FDA, and if so, do they tell you that there is going to be an outcome moving in the fourth quarter?

Anne-Marie Duliege

Analyst

So, the answer is we're definitely planning to file an NDA on time. Second is we have not had any additional contact with the FDA. The FDA is aware of our filings and aware of our filing timelines that's all. We would not expect at this time that they would provide any comments.

Raul Rodriguez

Analyst

And we've incurred nothing on a potential outcome.

Eun Yang

Analyst

So, is that kind of normal that you file in NDA without kind of some sort of agreement with the FDA or discussion? I mean, you mentioned that they are aware of your potential filing, but is that how you normally have it done?

Anne-Marie Duliege

Analyst

So, we had met with FDA back prior to the results to discuss the nature and the content of the filings should the results support the filing. That was on prior results. In addition and as we put it, we have sent our top line results to the FDA in writing shortly after we got both trial results. And we indicated to them that we were planning to file in NDA based on these results. And they have not gotten back to us specifically with any comments or questions about our results, but they have acknowledged our e-mail and they understand that we will be filing at the end of Q1.

Eun Yang

Analyst

So, you haven't got any response from the FDA after you submitted the data, that FDA said, hey we received the data, we're okay with your filing?

Anne-Marie Duliege

Analyst

You're correct. You're correct the FDA did not make any comment on our data. We're always expecting them to make comments. They are very busy with other submission and right now they just know that we're filing based on 2.12 that have showed a clear treatment effect.

Eun Yang

Analyst

Okay, so when you file, do you think that there is a -- and I don't understand, is there a possibility that FDA would say, hey, refusal to file and they show letter?

Anne-Marie Duliege

Analyst

We don't want to -- I don't want to speak on behalf of the FDA. Really, I will never try to do that. But the FDA usually will issue a refusal to file, if they believe there was no enough substance in this, in the document or there were major problems with the organization of the filing. We have made sure and will continue to make sure that none of these two circumstances happened. We have also shared our results with consultant on a regulatory perspective who agreed with us that there's a clear and consistent treatment effect across three files. With two of them having met the formal P value of significant that we have a well defined safety profile and that we're addressing an orphan drug disease with a population of severe patients with chronic ITP that have an unmet medical need, and that in this context it is very reasonable for us to submit on these data and engage in a dialogue with the FDA.

Eun Yang

Analyst

And then autoimmune hemolytic anemia, I mean you're just saying, hey, your data in 2017. Can you give us kind of status to how many patients in Phase 1 are you planning to enroll by '17, how many patients have been enrolled to date?

Raul Rodriguez

Analyst

The goal of that stage is as you were corrected 17 patients, more important is that we feel confident we'll enough patients in our belt 17 or whatever even if it's short of that to make a call this calendar year, and we'll be able to release that for you. So, we're not going to where we were and give updates on a regular basis, but simply wait we have enough to make something definitive, and then we'll make that statements. But we're confident that it'll happen this year.

Eun Yang

Analyst

And then last question is on cancer immunotherapy with the Bristol. In the first quarter of last year, Bristol identified a TGF beta receptor kinase inhibitor for IND enabling toxic studies. When do you think you would move into Phase 1 and along the way is there any milestone payment from Bristol and if so how much would that be?

Raul Rodriguez

Analyst

Fortunately that they collaborated -- you're actually right they did select the molecule and we did receive a payment, but in terms of future we really can't comment on that. Really, it's their program and they have shared with us confidential information on the plan. And unfortunately, we're not allowed to disclose that to others. But they're working very hard, I can say that, I think it's an excellent collaboration, and we and I believe they're very enthusiastic about the program. And we'll keep you updated as dated as we receive milestones or able to disclose something.

Operator

Operator

[Operator Instructions] We'll be taking our next question from the line of Anupam Rama from JPMorgan.

Eric Joseph

Analyst

It's Eric in for Anupam this evening. Thanks for taking the questions. Just the first on the NDA, just wondering, if you could walk us through the remaining kind of gating factors here ahead of the following this quarter, and whether given the fact that you have accrued some refractory patients in the FIT study whether you see tend to seek priority review in your filing? And then I have a follow-up.

Raul Rodriguez

Analyst

So, what I did -- thanks for your question. This is going to be one of the largest NDAs that the FDA will submit in I think certainly in this division will be monumental in terms of the size because we have so much legacy data. And that's really what's taking up a fair amount of work. I think we're very confident that we're in very good shape to file it. I mean there's a lot of QC-ing going on, et cetera, in terms of doing all of that work and it's a tremendous effort. And I'd like to just take a minute, if I can just to commend our folks in regulatory here who have been working 7 days a week to get this accomplished. And they lead a broad effort that this is undertaken by the entire company in support of that. So really a tremendous amount of work, but as you can imagine, there's still the rest of this month to get work done and they're extraordinarily busy. There's really to characterize it as the key this and that step, there's just so many steps that are required, it would be unfair to so diminish it. So a fair amount of work a lot of work here is remaining to still be done, but we're confident on our ability to meet that target.

Eric Joseph

Analyst

Maybe, if I could just follow up with a question on IgA nephropathy. I'm just curious to know what kind of feedback you're getting from docs on the initial data disclosure in January? And whether there are any learnings from kind of the first cohort that in execution might allow for kind of better patient randomization in the second cohort?

Anne-Marie Duliege

Analyst

So, we have shared the data with few key opinion leaders in IgA nephropathy and they are encouraged because they don't see too many situations of decrease in proteinuria. One of the strengths of the trial that we're looking for mostly in for the second cohort, actually right now the results are very limited is having a histology, so a renal biopsy at study entry and at 24 weeks, which is something that the nephrologists will look for with great interest. In terms of the randomization, there's hardly anything that one can do when we there's so small numbers. We know that randomization doesn't work very well. And so we hope that the second cohort will sort of decrease a little bit this imbalance, but these are small numbers and there's hardly anything we can do about it.

Operator

Operator

Our next question comes from the line of Do Kim from BMO. Your line is open.

Unknown Analyst

Analyst

This is Al. A quick follow-up on the timeline, it's hard to believe this is a little bit, but the comments for fostamatinib in ITP. Just to clarify. Is there a specific time by which you should hear from the FDA regarding the possibility of an outcome?

Anne-Marie Duliege

Analyst

Yes, so, we first rendered the first two months after submission of our and NDA will be through the FDA to review and make sure that they truly actually themselves want to formally review it. That will be the acceptance of our submission. We expect that within two to three months after that, we may have some indications as some of the FDA's questions about the organizing of the file and then start getting into more discussions that with us. So, that should be mostly something over the summer that we would expect to hear about potential ODAC. Clearly, we'll be there for in ODAC prior to that anyway.

Unidentified Analyst

Analyst

And then moving a little bit later could you talk about how you think physicians will use fostamatinib given the Phase 3 study population and whether it could be ahead of TPO agents immediately or how long it'll take to sort of get to an expanded patient population?

Raul Rodriguez

Analyst

I think the label that the trial that we did allows for a broad label for the product and I think one thing that we learned from this Phase 3 program is that the product works about equally well across a wide range of patients with clinical, different clinical backgrounds that is TPO experience as well as TPO naïve, splenectomized, not splenectomized with toxin experience, not experience as well, I mean though that's not approved. So, really across a wide range of patient populations, and so it's available to benefit all those types of patients, I think our exact positioning of the product and how we'll be used at launch might be one thing and certainly our effort would be to expand the utility of the product so that clinicians and their patients have access to this product. Because keep in mind if it works for you it works really well and I think patients who benefit from the product do so quite profoundly, and so that's something that we want to communicate, exactly where it'll be used is yet to be defined depending on a variety of different things. But we'll keep you up-to-date in terms of our thoughts on that. I think as this year progresses and our positioning of the product and forecast becomes a bit more refined, we'll be able to share some of thoughts with you with more detail.

Unidentified Analyst

Analyst

And maybe just one more question on IgA trial. If you could provide any more details on the strength of the positive trend you're seeing and as it appears the fostamatinib benefitted on some patients or was it fairly consistent across all patients?

Anne-Marie Duliege

Analyst

It was definitely some patients had more of a decrease in proteinuria and others had none. So, it didn't not -- was not a consistent decrease for all patients and this represented average across all our patients. We were not -- we are not part of the study -- we intended for the study to show anything significant in terms of asset, but just even this indication of the trend was for us encouraging enough in the context of no new safety signal to then support the continuation and the completion of enrollment of the second cohort in which by of course we hope to see more of efficacy treatment.

Raul Rodriguez

Analyst

Keep in mind we usually see a stronger efficacy signal or a more robust signal at 150 milligram BID than we do at a 100 milligram, which is kind of the basis of what have been researched. We expect to see something more robust in the currently enrolling cohort.

Operator

Operator

Thank you. That's all the questioners that we have in the queue at this time. So, I'd like to turn the call back over to Raul Rodriguez for closing remarks.

Raul Rodriguez

Analyst

Well, thank you very much, and thank you for your questions. It's been a very productive quarter and year for Rigel. I think the either upcoming year will be exciting as well and we'll continue to make substantial transition for the Company. We'll give you regular updates on our regulatory milestones and on our pipeline as appropriate. And we thank you, as always, for your support and interest in the Company.

Operator

Operator

Ladies and gentlemen, thank you again for your participation in today's conference. This now concludes the program and you may now disconnect at this time. Everyone have a great day.