Phil Gomez
Analyst · factors that could cause results to differ, please see the company's filings with the Securities and Exchange Commission including without limitation the company's annual report on Form 10-K for the year ended December 31st, 2022 and its subsequent reports on Form 10-Q and Form 8-K. It is now my pleasure to introduce you to Phil Gomez CEO. Please go ahead
Thank you for taking the time to join today's call. Today I'm joined by Dan Luckshire, our CFO. We are pleased to have this opportunity to provide a business and financial update to our shareholders. We'll then be happy to take questions. I'd like to start the call by recapping annual performance for 2022. On our prior year end investor call in March of 2022, we highlighted that 2022 would be a transition year with no significant expirations of oral TPOXX in the US Strategic National Stockpile or SNS. I'm pleased to report we ended this past year with approximately $111 million in revenue for the year, thanks to a diversification of our revenue base. This diversification has been years in the making. And as a result we were prepared to respond to the global mpox or monkeypox outbreak. Our preparation included approval for treatment of mpox by the EMA in January of 2022 and our proactive build of inventory to be able to deliver TPOXX immediately to customers. Overall, 2022 revenues included $71 million of sales took more than 10 international customers, the first sale of intravenous formulation of TPOXX to the US Government, and the first sales totaling approximately $7 million of oral TPOXX to the US Department of Defense. As a frame of reference prior to 2022 the company had only one international customer, cumulative international sales of approximately $15 million over the two-year time period of 2020 and 2021, and it only sold oral TPOXX to one buyer within the US Government. Additionally, it should be noted that 2022 was the first year since the start of TPOXX deliveries in 2013 in which the company had substantial positive cash flows without the benefit of any sales of oral TPOXX to the Strategic National Stockpile. We believe the trend of financial diversification that SIGA emphasizes the growing recognition by governments in different regions of the world of the overall importance of health security preparedness. As noted in our last investment call in November, we believe that broadened procurement of TPOXX is being generally driven by a combination of SIGA business development activities and long-term trends that have been building for a while. Specifically, in connection with 2022 sales of TPOXX, we believe the diversification of international sales was at least partly driven by the initial government responses to the 2022 mpox outbreak. With respect to the mpox outbreak, in which there have been approximately 86,000 global cases and 30,000 US cases since May of 2022, the outbreak has highlighted the importance of TPOXX, given that TPOXX was used to compassionately treat more than 6,500 mpox cases in the US and many cases internationally and approximately seven clinical trials have been launched, as well as another four scheduled to be launched to study the use of TPOXX for mpox, many of which are randomized placebo-controlled trials, that are sponsored by government agencies or NGOs. To reiterate what I said in November, in the November investor call, with regard to the trial, the timing and the ultimate number of participants of the trials will depend on the path of the mpox outbreak and the general speed of enrollment. Hence the timing and the likely ultimate enrollment levels of these trials especially the randomized placebo-controlled trials continues to be currently unknown. In turn, this means the timing and composition of an FDA submission for an mpox label for TPOXX is also currently unknown. While it should be acknowledged that global cases has significantly decreased since the third quarter of 2022, we continue to believe that, it is likely that mpox will continue to have a global presence going forward. While the short-term path of the mpox outbreak is uncertain, what we have seen and learned to date indicates, there is a high probability that the United States and other countries across the world will have to deal with mpox cases in the future. It is just unknown as to the ultimate magnitude of the cases, the scope of the cases across different communities, and whether case levels become consistent or whether case levels come and go periodically. We believe that in most scenarios, there will be a need for TPOXX. Looking forward, we expect the company's streak of positive financial performance will continue into 2023 and 2024. We believe a key driver for sales during this period will be procurement by the US Government. There are two key reasons for our view. First, it should be noted that while there were no scheduled TPOXX expirations in the Strategic National Stockpile during 2022, we estimate there will be substantial TPOXX product expirations in the Strategic National Stockpile during '23 and '24. As a reminder, when BARDA issued the 19C contract in 2018, it contained four procurement options for oral TPOXX, in which each option was valued at approximately $112.5 million. Oral TPOXX has a seven-year shelf life, and as we saw in 2020 and 2021, BARDA exercise procurement options as stockpiled products that have been manufactured in 2013 and 2014 expired. In substance, we replenished the US Government stockpile with deliveries of oral TPOXX in those calendar years. As such with the scheduled expiration of a substantial number of stockpiled TPOXX courses in 2023 and 2024, such courses being manufactured in 2016 and 2017, we believe the US Government will order a substantial amount of oral TPOXX in 2023. We expect to get a more specific view of the likely order size in the second quarter. Additionally, we believe the US Government would need to exercise procurement options under the 19C contract in 2024 or make orders under a new procurement contract in order to at least maintain historical unexpired TPOXX levels, within the Strategic National Stockpile. A second key reason we believe the US Government sales will be a substantial source of revenue in the near term is that, in addition to the company working with the Administration for Strategic Preparedness and Response or ASPR, the SNS and BARDA to get options exercised under the 19C contract. We have continued to engage stakeholders on the benefit of a long-term 10-year contract with annual options to smooth out deliveries and better manage budgets and supply chain. And as a part of this conversation about a new contract, we've been focused on ensuring that the requirements for postexposure prophylaxis or PEP use of TPOXX are also considered by the US Government. As a quick reminder, PEP has an expected 28-day course regimen, which contrasts with a 14-day regimen for the treatment indication. This difference would require a substantial increase in procurement and stockpiling, in order to fully protect 1.7 million Americans, which is the targeted number of course as noted in prior government RFP. In terms of the ultimate sizing of the stockpile as stated in prior investor calls, we believe that clinical results from the PEP program could play an important role. On this front, I am pleased to report that the PEP clinical trials made substantial progress over the last 12 months with the immunogenicity trial recently completing enrollment and the expanded safety trial on track to meet target enrollment in March of this year. Currently we are performing the immunogenicity testing of the patient samples from the TPOXX Geneos immunogenicity study. Going forward, we are targeting a data readout in connection with the immunogenicity trial within the next 90 days. At the next investor call, Dr. Dennis Hruby, our Chief Scientific Officer will join the call to provide a more detailed update on the PEP program. The goal for the PEP program is to make an FDA submission in early 2024 for a PEP Label Expansion for oral TPOXX. I'd like to highlight that a PEP Label Expansion for oral TPOXX would continue an impressive regulatory streak for SIGA. Since the beginning of 2022, the company has achieved regulatory approvals from the EMA in Continental Europe and the MHRA of the United Kingdom for a broad indication for oral TPOXX for the treatment of smallpox mpox, cowpox and vaccinia complications following vaccination against smallpox. Additionally, we achieved regulatory approval in May 2022 from the FDA for the intravenous formulation of TPOXX for the treatment of smallpox. At this point, I'd like to hand the call over to Dan for the financial update.