Earnings Labs

Sangamo Therapeutics, Inc. (SGMO)

Q3 2019 Earnings Call· Wed, Nov 6, 2019

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Transcript

Operator

Operator

Good afternoon, and welcome to the Sangamo Therapeutics Teleconference to discuss Third Quarter 2019 Financial Results. This call is being recorded. I will now pass you over to the coordinator of this event McDavid Stilwell, Senior Vice President of Corporate Communications and Investor Relations. You may begin.

McDavid Stilwell

Management

Hello, and thank you for joining us. As we begin, I'd like to point out that we've posted our updated corporate presentation to our website and we'll be referencing several of those slides today. A link to the slide presentation may be found on our website sangamo.com on the Events and Presentations page of the Investors and Media section of the site. I'd also like to remind everyone that the projections and forward-looking statements that we will discuss during today's conference call are based upon the information that we have available today. Forward-looking statements include, but are not limited to, statements related to the timing and scope of Sangamo's genomic medicine platform and products, the potential for Sangamo's product candidates to provide clinical benefit to patients, Sangamo's development and manufacturing plans, and Sangamo's expectations regarding its financial performance. Actual results may differ substantially from what we discuss today and no one should assume at a later date that our comments from today are still valid. These forward-looking statements are not guarantees of future performance and are subject to risks and uncertainties, and assumptions that are detailed in documents that the Company files with the Securities and Exchange Commission, specifically in our most recent Annual Report on Form 10-K and in our most recent quarterly report on Form 10-Q. The forward-looking statements stated today are made as of this date and Sangamo undertakes no duty to update such information, except as required under applicable law. With me this afternoon on this call are several members of the Sangamo senior management team, including Sandy Macrae, Chief Executive Officer; the newest member of our executive leadership team, Sung Lee, Chief Financial Officer; Stephane Boissel, Head of Corporate Strategy; Adrian Woolfson Head of Research and Development; Bettina Cockroft, Chief Medical Officer; and Gary Loeb, General Counsel. And again, during this call, we'll refer to several slides in our corporate presentation and those slides may be found on the Events and Presentations page of the Investors and Media section of our website. And now, I'll turn the call over to Sandy.

Sandy Macrae

Management

Thank you, McDavid, and good afternoon to everyone on the call. Thank you for joining us. At Sangamo, our mission is to translate our ground-breaking science into genomic medicines that transform patients' lives. We are realizing this vision by developing capabilities that allow us to design therapeutic approaches to resolve the underlying genetic causes of disease using whatever technology is best suited to deliver that treatment, including gene therapy, ex vivo gene-edited cell therapy, in vivo genome editing and in vivo gene regulation. As we move ahead with a robust pipeline of genomic medicines across these various platforms, we understand that investors would like further insights into the many programs that are helping to define the future of Sangamo. Accordingly, we would like to share how we prioritized drug development and research targets as well as the strategy that we utilize to help realize the full potential of our suite of technologies through our partner programs and wholly owned pipeline. We plan to cover all these topics and more at Sangamo's R&D Day on Tuesday, December 17th in New York City. Over the past three years and in nearly all levels of the organization, Sangamo has transformed into a fully integrated clinical stage biotech company. The capabilities we have developed allows to move our growing pipeline of product candidates forward from the research labs through preclinical development into the clinic. We were no driving studies forward in delivering clinical results, one study at a time. R&D Day will provide an opportunity for us here an in-depth look at the technological, clinical and organization evolution that has taken place at Sangamo and to demonstrate what makes us a truly unique and innovative genomic medicine company. Numerous speakers from across the Company, including our leadership team and some of our lead scientists…

Adrian Woolfson

Management

Thank you, Sandy, and good afternoon. This morning the American Society of Hematology posted several abstracts on their website that I would like to highlight this afternoon. These will be shown as posters at their Annual Conference in Orlando, Florida next month and include data from our SB-525 hemophilia A gene therapy clinical program and also our ST-400 ex vivo gene-edited cell therapy program for beta thalassemia. I would now like to provide some more context on what you should expect to see in those posters and our perspective on the abstract data. Please note, that due to the ASH embargo rules, we will not be able to discuss the data at this time beyond the scope of what was shown in the abstracts that were published this morning. The abstracts were submitted in early August. First, I'd like to discuss SB-525, our hemophilia A gene therapy candidate, which is partnered with Pfizer. The poster at ASH will contain updated patient follow-up data from the ALTA study, a Phase I/II open label, dose-ranging study in adult patients with severe hemophilia A. You will recall that our last data follow-up was at ISTH in July 2019 where we showed data from the first four subjects at the high dose, 313, [indiscernible] had been followed for 24 weeks. At ASH we will have updated data and analysis including Factor VIII levels, bleeding rates and factor usage for all five, high dose patients with follow-up ranging from approximately four to 11 months. We continue to believe that the data published in the abstract presented - that was presented at ASH, including the observed rapid kinetics, durability of the responses thus far and the relatively low intra cohort variability as well as the cessation of bleeding events and the elimination of exogenous factor replacements…

Bettina Cockroft

Management

Thank you, Adrian, and good afternoon. I'm very pleased to have joined Sangamo as Chief Medical Officer, and I spent the past few weeks meeting the various project teams and bringing myself up to speed with pipelines, clinical development program. I was attracted to Sangamo by Sandy's genomic medicine vision, but also by upcoming flow of readouts from the ongoing clinical trials and the second wave of promising pipeline candidates that will enter the clinic over the next few years. Today I'm going to discuss the progress that we've made in several of our clinical programs. First, I'll discuss our hemophilia A gene therapy candidate, which is partnered with Pfizer. Activities for transitioning the IND to Pfizer are underway and progressing well. We expect to complete the transition in the first quarter of 2020. The manufacturing technology transfer to Pfizer has been completed and the Phase III drug supply is anticipated to be ready by the time Pfizer begins its Phase III registrational study. Pfizer announced it has enrolled its first patient in the six-month Phase III lead-in study for hemophilia gene therapy. The data from the study are expected to provide baseline information for patients with subsequently enrolled into the registrational Phase III study, which is anticipated to be initiated in 2020. Pfizer has been an excellent development partner throughout the process and we're excited to have them take this product forward into late-stage development. It is our hope that positive results from this program will deliver our first license product. Turning now to our other gene therapy program, ST-920 for Fabry disease. ST-920 was recently granted US orphan drug designation by the FDA and received approval of the clinical trial authorization application, allowing expansion of the study into the UK. Our Phase I/II study now has four sites…

Stephane Boissel

Management

Thank you, Bettina. Good afternoon to all. It has been my pleasure to serve as Interim CFO for the last six months. I'm very excited to welcome Sung Lee as our new CFO. Sung has formally taken the role and will reap up the financial section on future calls. And before I discuss the financial update, I would like him to say a few words. Sung?

Sung Lee

Management

Thank you, Stephane, and good afternoon everyone. It's day five at Sangamo for me and I'm very excited about the opportunities that are ahead. I see tremendous potential in the technology platform at Sangamo and the right talent to execute on the pipeline. I'm pleased to join the leadership team and look forward to speaking with you in the future. Back to you, Stephane.

Stephane Boissel

Management

Thank you, Sung. For the third quarter result, detailed financial statements were included in the press release that we issued this afternoon, as well as in the Form 10-Q that we filed just before this call. Accordingly, I will only address the highlights. Revenues for the third quarter were $22 million compared to $23.6 million for the same period in 2018. The decrease of $1.6 million was primarily driven by the decrease of $7 million in revenue related to the Pfizer Factor VIII collaboration and $1.4 million related to royalty revenue, offset by an increase of $6.5 million in revenue related to the Sanofi collaboration. As anticipated, operating expenses increased in the third quarter, affecting the Company's goals, including increased US headcount in support of the preclinical pipeline on the clinical development program as well as manufacturing readiness activities. Total operating expenses for the third quarter were $51.2 million compared to $39.8 million for the same period in 2018. R&D expenses were $36.3 million for the third quarter of 2019 compared to $28.8 million for the same period in 2018. The increase is primarily due to increase of higher compensation cost from headcount growth, higher facility expenses related to our new Brisbane facility and higher manufacturing expenses related to our clinical activities. G&A expenses were $14.9 million in the quarter compared to $11 million for the same period in 2018. The increase was primarily due to increased compensation costs due to headcount growth and increased facility expenses. Construction of our in-house GMP unit in Brisbane is proceeding on schedule and we still expect to commence qualification procedures early next year. As at the end of September 2019, the Company had cash, cash equivalents and investments in the amount of $408.3 million. In line with our financial guidance for 2019, we continue to project operating expenses in the region of $210 million to $220 million for the year. We also expect that current cash, cash equivalents and investments should provide funds for operations through the end of the year 2021. I will now turn it back to Sandy for closing remarks.

Sandy Macrae

Management

Thank you, Stephane. The primary focus at Sangamo is the programs are currently in the clinic. SB-525 and hemophilia A continues to generate promising data and has been met with great interest from both the patient and physician communities, as well as from investors. This is a really important moment for us as we transition SB-525, our lead asset, to Pfizer for late-stage registrational development. It has also been instrumental in guiding our future programs, most notably in Fabry disease where we have a wholly owned gene therapy candidate for which we expect to enroll our first patient this year. While gene therapy continues to be a near-term value driver for Sangamo, we are the zinc finger company and we are also excited about the upcoming pipeline that utilizes the ZFN's an ex vivo gene-edited cell therapy and finally for in vivo genome-editing and gene regulation using the ZFP transcription factors, which we still believe is the ultimate goal of a genomic medicine company and which will define us in the future of clinical medicine. Thank you for joining us on the call today. Operator, please open the call to questions.

Operator

Operator

[Operator Instructions] Our first question comes from the line of Maury Raycroft with Jefferies. Your line is open.

Maury Raycroft

Analyst

Hi, everyone. Congrats on the progress and thanks for taking my questions, and welcome to the - the new additions to the team. First question is just on the three patients discussed in the ST-400 abstract. Just wondering if the different per kg doses are related to their genotype or is there another reason for the different doses and what would the third patient get after ST-400?

Sandy Macrae

Management

Good afternoon, Maury. So if I understand your question correctly, you're asking about dosing as a cell number and the indels and the CF use? The manufacturing process for each patient is a bespoke process. And so what you do is you added the sales that you can recover from that patient which varies from patient to patient and then put back as many as you can. And so the process itself will evolve with time and with learning and with experience rather than it being a dose response experiment as in other gene therapies or other gene-editing projects.

Maury Raycroft

Analyst

Got it. That makes sense. So basically, you're going to use the number of cells that you have available for the patient then?

Sandy Macrae

Management

That's correct.

Maury Raycroft

Analyst

Okay. And then for the first patient that was treated, can you talk more about why the patient started to need transfusions after six weeks. The rate of intermittent transfusions and any thoughts on whether this patient would stop requiring transfusions going forward.

Sandy Macrae

Management

So we're happy to do that. Can I pass that one over to Adrian?

Adrian Woolfson

Management

Yes. Thanks for the question. We are pleased and just like to reiterate, obviously, we can't say too much about the data itself because of the ASH embargo. I think the important points that you will see from what we said today that we've got evidence that we've seen successful editing with the zinc finger nucleases, they are safe that we've got on-target indels in BCL11A in the PBMCs. We've seen increasing HBF and successful hematopoietic reconstitution. To specifically address your question, I think really, as we said on the call, I mean it's really early days and I think we need to leave sufficient time for this data to evolve. If you look at the supplementary information in New England Journal paper that got [ph] published, you'll see that it can take very variable amounts of time for the full effect to kick in. So I think we just need to watch this data evolve and it's a little bit early to make any definitive comments on that.

Sandy Macrae

Management

And we look forward to showing more data over the course, later 2020 when we will have data from all six of the patients.

Maury Raycroft

Analyst

Got it. Okay. And then you may have mentioned this, but for the DMSO, just wondering if you watch that out for the second patient that was dosed and if that's the plan to watch that out going forward.

Sandy Macrae

Management

It's not as much a matter of washing it out. It's making sure the patients are protected and we give them tylenol and anti-histamine now routinely and this patient had had previous reactions to DMSO in platelets. So we haven't seen it in any other patients.

Maury Raycroft

Analyst

Got it. Okay. And then just I guess one last question based on the baseline transfusion rate versus competitors. You guys mentioned that CRISPR/Cas9 company that's also in this space. If you could just provide any perspective into how we should compare and contrast data and I'm wondering if regulators weigh the data differently based on the baseline transfusion rate.

Sandy Macrae

Management

I think both companies are at very early stage and we only have a handful of patients who have six by the end of next year. I don't know how far along our friends are at CRISPR. I think you do need to pay greater attention to the genotype and phenotype of the patient as there can be a great range in transfusion requirements. We have chosen patients with really significant disease. The CRISPR patients are milder. But I think until there is a substantial body of evidence for both companies, it would be premature to compare and contrast.

Maury Raycroft

Analyst

Got it, understood. Thanks for taking my questions.

Operator

Operator

Thank you. Our next question comes from the line of Gena Wang with Barclays. Your line is open.

Gena Wang

Analyst · Barclays. Your line is open.

Thank you for taking my questions. I also have a few questions regarding the beta thalassemia data. So we do understand beta zero-beta zero is more severe patient population. Just wondering, did you see any significant reduction in itself?

Sandy Macrae

Management

Adrian, can you take this?

Adrian Woolfson

Management

Yes. Again, I think we have to be very careful about mentioning any specific data on this call because of the ASH embargo. So if you don't mind, we will defer that to December. But thank you for the question.

Sandy Macrae

Management

Gena, we're trying to be very careful to follow the guidance of ASH and we will show as much data as we can in December.

Adrian Woolfson

Management

Yes. What I can say though is, we've been very happy with the hematopoietic reconstitution that we've seen so far.

Gena Wang

Analyst · Barclays. Your line is open.

Okay. And I don't know if you can comment, did you see comparable efficiency across three patients so far?

Sandy Macrae

Management

We'll show you that - we show you whatever we can in December at ASH.

Gena Wang

Analyst · Barclays. Your line is open.

Okay. Another question regarding the Fabry disease. So you expect your first patient by the end of this year. Just wondering with the initial dose we within the therapeutic window and what will be the timing for the data update?

Sandy Macrae

Management

Bettina? So, we're expecting the first patient, Bettina, we hope to enroll the first patient this year?

Bettina Cockroft

Management

That's correct. We hope to enroll the first patient this year. We are currently screening patients. So the start of the study is underway. I think that's all we can say at this stage.

Sandy Macrae

Management

Yes. And as always, the first time you go into a clinical trial, we hope to give as much benefit as possible to the patient and until we see the results of the clinical trial, we can't tell.

Adrian Woolfson

Management

You probably saw our ASGCT data with the GLA knockout model and you saw that we achieved super therapeutic levels of alpha GalA and I don't think we've announced the doses that we plan to use. So I won't disclose those on this call.

Sandy Macrae

Management

We've just said low, medium and high.

Adrian Woolfson

Management

Yes.

Gena Wang

Analyst · Barclays. Your line is open.

Okay. And the timing for data update, is it fair to say like second half next year we should start to anticipate some data coming?

Sandy Macrae

Management

I think we've guided to the latter part of 2020 for biochemical data. We hope the trial run smoothly and recruits quickly and this is an important event for Sangamo. So we look forward to talking about it at the end of next year.

Gena Wang

Analyst · Barclays. Your line is open.

Okay, great. Thank you.

Operator

Operator

Thank you. Our next question comes from the line of Whitney Ijem with Guggenheim Securities. Your line is open.

Whitney Ijem

Analyst · Guggenheim Securities. Your line is open.

Hi guys, thanks for taking my question and congrats on the new roles. Just had another question on beta thalassemia. I know at the April update you kind of commented around 30% fetal hemoglobin. How are you thinking about the desired level fetal hemoglobin you want see going forward and are there any leverage can pull to in the treatment of new patients increase for that?

Sandy Macrae

Management

So, thank you for your question and also thank you for acknowledging our new staff. I'm really pleased with the quality of people that we're now able to attract both with Bettina and with Sung, and it's great that the management team is now complete. We are all at very early stage of understanding of the effect of editing BCL11A. I think the data that will accumulate over the coming year to 18 months will be essential to educate us on whether on the utility of this as an approach.

Whitney Ijem

Analyst · Guggenheim Securities. Your line is open.

Got it. And I have a follow-up on the manufacturing transfer to Pfizer. I understand it's complete, is there anything you can say on potential changes that occurred during the process as it's being transferred?

Sandy Macrae

Management

So, thank you for that question. And I know this is something that a number of you have asked. Our friends at Pfizer are very pleased with the transition. They are - they want everyone to know that it is all under control and there is nothing remarkable happening. They are keeping close how they are manufacturing it, but I just want to reassure everyone the transition has gone smoothly and there is nothing remarkable happening.

Whitney Ijem

Analyst · Guggenheim Securities. Your line is open.

Got it. And one last question from me, can you comment on whether any patients have been treated in the sickle cell trial?

McDavid Stilwell

Management

Hey, it's McDavid. So that's up to Sanofi to comment on. We've just been able to say that they are recruiting the study.

Whitney Ijem

Analyst · Guggenheim Securities. Your line is open.

Got it. Thanks for taking my questions.

Operator

Operator

Thank you. Our next question comes from the line of Debjit Chattopadhyay with H.C. Wainwright. Your line is open.

Unidentified Analyst

Analyst · H.C. Wainwright. Your line is open.

Hi guys, congrats on all the progress. This is Aaron on for Debjit. And I just wanted to ask, of the few liver enzyme elevations that you've seen from SB-525, can you tell if there has been any correlation with Factor VIII activity and the intensity at the liver enzyme elevation?

Sandy Macrae

Management

So, I can only talk about the data that we've seen so far where - or that we've shared so far, which has shown we haven't lost Factor VIII activity. I'm very pleased with my clinical team here. They do a great job of monitoring the patients closely and quickly treating with steroids and as the data that's publicly available, we have not seen any loss of activity.

Unidentified Analyst

Analyst · H.C. Wainwright. Your line is open.

Okay. Yes, that's great. And then - so the initial increase in hemoglobin that you saw from treatment from ST-400 which seems to perhaps have diminished somewhat, do you think that could be explained by transaction of short-term precursors that just quickly died off and then you really need to wait for the longer term hematopoietic stem cells to replace them or do you think it simply enough?

Sandy Macrae

Management

As I said - so, thanks for the question. I think we're all learning about what happens when you edit this enhancer repressor complex. I think we're all learning about what happens when you do the transplantation of the cells back and I think we're learning about the various populations of short-term and long-term progenitor cells that will hopefully gradually populate this patient's marrow and lead to a long-lasting cure or in long-lasting need not to have transfusions, but let's wait and see over the next 12 to 18 months with six patients and we will know so much more.

Unidentified Analyst

Analyst · H.C. Wainwright. Your line is open.

Okay. Looking forward to it. Thank you.

Operator

Operator

Thank you. Our next question comes from the line of Ritu Baral with Cowen. Your line is open.

Ritu Baral

Analyst · Cowen. Your line is open.

Good evening, everyone. Thanks for taking my question, and hello to all the new folks at Sangamo. My first question is on the Fabry program. Sandy, you said that you'd present - is that the data when you had a full set of data, and then you mentioned a bunch of biomarkers; alpha-Gal, Gb3 - like the Gb3. What do the full set of data means for you? Is it a full patient cohort? Is it comparing one dose cohort versus the next and are we going - are you going to wait until ERT withdrawal before you present something?

Sandy Macrae

Management

Alright. Thank you for your question. You know us very well. We have - in the past by releasing data from a quarter at a time. I would much prefer to show you the full range of a study. I understand that there are some long-term measures that will be too late for sharing. And so we'll try and give you the data when all patients have been dosed and we'll try and give you as much of that as possible, but we think we are of the opinion that it's better for you and better for us and better for patients if we give a more rounded complete picture.

Ritu Baral

Analyst · Cowen. Your line is open.

Got it. And is biopsy - could be biopsy part of this protocol?

Sandy Macrae

Management

We haven't commented on biopsy. I think we both know of the FDA change in guidance where they've said that biopsy [indiscernible] earlier registration and we too are interested in that and we will work with the clinical team and our regulatory people to understand where we make biopsy part of the study.

Ritu Baral

Analyst · Cowen. Your line is open.

Got it. And apologies for the noise, but you also mentioned in your hemophilia A data that you are seeing signals that your treatment 525 is differentiated. Can you comment on without upsetting the ASH embargo?

Sandy Macrae

Management

I'll pass it to Adrian to see as carefully as possible.

Adrian Woolfson

Management

Yes, and just remember, I'm principally addressing data from ISGH [ph] and a tiny little bit extra data at the time of the abstract release. But if you recall, it was from the data in Melbourne. I think what we're seeing here is a therapy that is well tolerated which - the highest dose, which we believe is, you know, the therapeutic dose, we see no bleeding events, no factor usage. And the data we showed a degree of correction that puts the patients into the normal range. We get a couple of transient and very benign Grade 1 ALT elevations which are rapidly managed and which do not in any way impact the degree of Factor VIII expression. We see relatively low inter subject variability within the high dose cohorts. Remember also by the way, we're using half the dose of Vourox at 313, that is 6013 in the data, ISGH [ph] using durability; you're also seeing very highly differentiated kinetics. We are getting out there into normal range within seven to 10 days versus 20 days with Vourox [ph]. We showed you a clear threshold effect and a clear dose response. And you also, if you recall, saw sustained activity in cohort 3, up to a year at that time. So for all of the above reasons, I think we're still in a position where we can confidently believe that we have the potential to deliver a differentiated hemophilia A gene therapy going forward.

Sandy Macrae

Management

Thanks, Adrian. And we just need to ask you all to be patient to see the data at the end of this year and then to hold hands with us over the coming six months as the data evolves and hopefully it gives everyone confidence that the efficacy has remained in the Sangamo product, which would be the biggest differentiating feature.

Adrian Woolfson

Management

And it's also worth mentioning, all the patients that you saw, because I can only talk about those obviously, had significant disease burden. They were truly severe diseased and I think that's important to recall as well.

Ritu Baral

Analyst · Cowen. Your line is open.

Sandy, do you think it's more important to be differentiated on safety or efficacy versus the BioMarin product?

Sandy Macrae

Management

I think safety is the thing that is [indiscernible], everyone must have it because it's important to the patients. And I think the efficacy question that everyone is asking, all of you ask when we meet with you is will it persist. Patients are looking for a medicine the lasts a sufficient length of time. I think we're lucky that so far, the medicines have all been relatively safe for such a fundamental benefit to patients. Both our products and Vourox has been remarkably safe and now what the patients are looking for is consistency of effect.

Ritu Baral

Analyst · Cowen. Your line is open.

Got it. Thanks for taking my questions.

Operator

Operator

Thank you. [Operator Instructions] Our next question comes from the line of Eric Joseph with JP Morgan. Your line is open.

Eric Joseph

Analyst · JP Morgan. Your line is open.

Hi, guys, thanks for taking the questions. I guess a follow-up on that last - your last point, Sandy, with the importance being around persistency. I'm curious I get your current view on sort of the import of the duration that you're seeing with the 1e13 dose. How strong [indiscernible] through do you think that has to persistency at the higher 3e13 dose and also whether we would see an updated look on Factor VIII persistency at that lower dose at ASH? And then I have a follow-up.

Sandy Macrae

Management

So it's encouraging dose persists and we have seen no sign of its lagging, which is excellent and we'll show you more data project cash that is currently embargoed with the data we've got it's in the public is all that we can talk about and ash will give you some more months. So the 313 will be up to almost 11 months' worth of data and the 1e13 will be continue to we'll show you that. And the question I've been asked by some people. Is it something about the more efficacious do is more taxing to liver and so I think all of the 1e13 is encouraging? It really is a 3e13 that everyone wants to see and we look forward to showing you in next month.

Eric Joseph

Analyst · JP Morgan. Your line is open.

Got it. That's helpful and then just on fab raise - understanding your point around - your conservatism around disclosing doses. I guess if there are there different safety considerations in the February of population that you're recruiting when it comes to dose selection compared to [indiscernible] particularly around liver sensitivity and also curious to know whether you're employing prophylactic steroid use.

Sandy Macrae

Management

Adrian?

Adrian Woolfson

Management

Yes. Now, we're are not really expecting the safety profile to be any different. We're using the same hepatite-trophic AV6 factor, which we believe played a key role in the success of SB-525. We're also using a construct which is nearly identical. So we believe that will be read through both safety and efficacy. And yes, we can - We obviously can't disclose the dose, other than to reference the mouse data, which was very compelling and sorry was the one that was - one other thing you said…

Sandy Macrae

Management

No. I think he asked with - haven't commented. Yes.

Eric Joseph

Analyst · JP Morgan. Your line is open.

Got it. Final question if I could, if you don't mind. I guess what - how should we be thinking about a clinically meaningful reduction in plasma Gb3 or lesser dose [ph] as we, I guess, as that might informed Phase II dose selection.

Sandy Macrae

Management

My goodness. It's great to be thinking about the next phase of development. We will learn and watch what happens I think we've all been interested in the approved bio data if where they should and some reduction in plasma levels and significant effects in the kidney, suggesting that we're all learning about the relationship between the pharmacokinetics and the tissue effect of this. So we will show you the data as we go and the most important thing is, can the patients come off of their ERT and that really is the goal that we're all trying to aim for.

Eric Joseph

Analyst · JP Morgan. Your line is open.

Got it. Thanks for taking the questions guys.

Operator

Operator

Thank you. Our next question comes from the line of James Birchenough with Wells Fargo Securities. Your line is open.

Yanan Zhu

Analyst · Wells Fargo Securities. Your line is open.

Hi, thanks for taking the questions. This is Yanan in for Jim. So, at first, I was just wondering for the Pfizer Phase III study, will - will it not use prophylactic steroid or have you commented on that.

Sandy Macrae

Management

We haven't commented in Pfizer, no, we will be responsible for talking about it. So we are very careful to respect their privilege.

Yanan Zhu

Analyst · Wells Fargo Securities. Your line is open.

Got it. And then could you talk about the interest in for the enrollment of the Fabry Study and particularly if you can shed some light on the relative preference for different gene therapy approaches that will be helpful. Thank you.

Sandy Macrae

Management

Can you repeat the question to make sure we understand it, please?

Yanan Zhu

Analyst · Wells Fargo Securities. Your line is open.

Yes, so the interest from physicians and patients in participating in the Fabry AAV gene therapy as the - especially for with the context of other gene therapy approaches for Fabry such as a lengthy viral approach. All right. So you would have to ask them what I can say is we, since our last set of clinical trials, we have a new Head of Clinical Operations a remarkable women who has made a great job of setting the study up and we have had a lot of interest from investigators who are looking for something to bring to patients.

McDavid Stilwell

Management

Got it. And lastly, just on TX-100, wondering if you plan to use [indiscernible] for that kidney transplant setting and if so what regimen and also for broad - for your future more broader development in autoimmune disease. How do you think of - in the setting of the therapy? Thanks.

Sandy Macrae

Management

Adrian, do you have to start on that?

Adrian Woolfson

Management

Yes, I think I think honestly at this point, I would. I mean I know it's a great question. But I would rather not disclose details of how we plan to. Yes, as you know is becoming suddenly a very, very competitive area. We've not disclosed any of those types of details. And I think if it at this juncture, it would be prudent for us not so, if you don't mind, but obviously a very relevant question.

Yanan Zhu

Analyst · Wells Fargo Securities. Your line is open.

Got it. Thank you. Thank you for taking all the questions.

Operator

Operator

Thank you. I'm not showing any further questions. I would now like to turn the call over to Sandy Macrae for closing remarks.

Sandy Macrae

Management

Thank you, and thanks again to everyone for joining the call and for all your questions. We hope you will join us for the R&D Day next month in December 17, and we look forward to keeping you updated on future developments. Have a good day.

Operator

Operator

Ladies and gentlemen, that concludes today's conference. Thank you for participating. You may now disconnect. Everyone have a wonderful day.