Laurence Cooper
Analyst · Laidlaw & Company. Your line is now open
Thank you, Chris, and good afternoon everyone. We are pleased to have the opportunity to speak with you today and we welcome those of you who are new to Ziopharm. By way of introduction, we took dramatic steps forward in 2019 to build upon our plan to offer treatment to patients with solid tumors. We believe Ziopharm stands alone in the vision to be able to treat all solid tumors. We have advanced multiple innovative technologies that have been widely published based upon convincing preclinical and clinical data. We have Phase 1 and 2 INDs across each of our clinical programs and have alignments to execute on them with world-class partners. Finally, we are addressing the largest possible oncology markets by going after solid tumors. With approximately $177 million in our treasury, Ziopharm is now in its strongest fundamental position to date under my tenure. Our balance sheet gives us the ability to accelerate toward the size and scale needed to successfully execute on our vision. It has been just 16 months since we forged our corporate independence and could truly focus on solid tumors. We've accomplished a great deal during this time period and I will highlight a few. In addition to having multiple trials and INDs for all of our programs, we have secured contracts and cooperation with MD Anderson expanding into TCRT, we have a licensed critical intellectual property, and we have expanded our business developments in Wall Street outreach. We also spent much of 2019 working with well-known third parties to gain a deeper understanding of the long-term valuation proposition for each of our core assets. We are using that information to develop our blueprint for 2020 and beyond. Based on feedback, anticipated need and competitive analysis, we are accelerating our ability to manufacture T-cell products. Our path to commercial viability starts and finishes with the requirements of controlled manufacturing. This is true whether it'd be for our upcoming clinical trials or our longer term plans to offer commercial therapy. Since 2019, we've been investing in talent and infrastructure to produce T-cell products for ourselves and are accelerating these efforts in Houston, Texas. We have leased facilities from MD Anderson Cancer Center and we'll open additional laboratory space within the next two months. We have already begun to execute on expanding our manufacturing plans for TCR-T which will include scaling up for GMP manufacturing and we will share more details about this work this year. At JP Morgan in January, we had multiple A-tier meetings with the buy side, sell side and large pharma. It is readily apparent that going after solid tumors is the dominant T-cell oncology theme for 2020 and we have five areas of competitive advantage that collectively we believe is unique to us. First, we are infusing T-cell to attack and kill cancer cells. As a reminder, the administration of T-cells has a proven ability to eliminate kilograms of tumor. Second, we are using TCRs to target neoantigens which are present in multiple types of solid tumors and are there Achilles' heel. Third, we are genetically modifying T-cells from the peripheral blood which have the staying power to recycle killing function to eliminate tumor. Fourth we harness cytokines to engage and control via immune response. And fifth, we use non-viral manufacturing based on DNA plasmids from the Sleeping Beauty system to achieve the scale needed to address multitudes of patients with different types of solid tumors. We are in the right place with the right assets and executing on our plan with a strong financial base. Especially as we gain clinical data, we have tremendous upside potential as a public company right now and throughout the year. Laying out the agenda for this call, I will update the timelines for each of our core programs, our CFO, Sath Shukla, will then discuss the recent financing, as well as our Q4 2019 financial returns and then, our President, David Mauney will conclude the prepared remarks, before turning the call over to the operator for questions. With that, let me start with an update on our TCR-T program. The Phase 2 IND with Dr. Steve Rosenberg at the NCI is the first of several game-changing trials to come for Ziopharm. We recognize the delays relative to past guidance in dosing the first patients on this trial and therefore wanted to provide more granular information on the study status that why we remain and the NCI remains excited by this study. Thus, I'll provide an update on where we stand based on our most recent feedback to relieve concern about this trial starting. In recent months, we have learned a great deal about the NCI process. After an NCI IND is cleared, there are several steps that puts -- that the NCI puts in place for any trial before the first patient is enrolled. This includes transfer of production from research group to the manufacturing team. As we near patient enrollment, Dr. Rosenberg and his group have been working diligently with Dr. Drew Denninger and our team and have identified improvements to the manufacturing process, used to produce Sleeping Beauty modified TCR-T. These new learnings benefit not only the study at the NCI but also the production of T-cells, which will be undertaken in our clinical program at MD Anderson. I have reviewed these data and they significantly build upon the use of the Sleeping Beauty system. This is exactly what we want our partners to do as they are a proven engine of ingenuity. Their efforts have also helped derisk the TCR-T trial as Ziopharm lose the control of our own program at MD Anderson. I'm happy to report that the NCI is moving toward the final engineering runs which when completed will ready them to enroll the first patient. In the interim, patients who come to the NCI continue to be evaluated and considered for this study. The most appropriate candidates are going through the TCR procurement process with their tumors resected, neoantigens identified and TCRs made. Based on the very recent input from the NCI, we estimate that Dr. Rosenberg will treat the first patient in the first half of this year. We are confident with the updates to the NCI process and plans for enrollment and we're eager to share news as the first patient enrolled. As mentioned in January's webcast update, we are also implementing plans to bring the TCR-T program under our control. One of last year's important milestones was our announcement on October 28 of an expanded research and development agreement with MD Anderson to encompass our TCR-T program and which provides a new home for our growing team and interest in Houston. The relationship with MD Anderson is a significant competitive differentiator as it enables us to execute on two Ziopharm led approaches infusing TCR-T for solid tumors. One users TCR's existing in a library to target neoantigens occurring in hotspots. The other is based on the work at the NCI and the IND to target personalized neoantigens. Both approaches use the same methodology to produce TCR-T using the Sleeping Beauty system developed at the NCI. These two paths provide us and patients the best chance to treat many types of solid tumors. At MD Anderson, we can enroll patients with a variety of solid tumors and we anticipate significant patient flow to our TCR-T program. Indeed our set of licensed TCRs and the NCI is already enough to begin enrollment to the hotspot trial. The access to patients and tissues will accelerate the expansion of the library of TCRs targeting neoantigens in hotspots. We continue to work on our regulatory roadmap and are currently engaging FDA on our two approaches targeting neoantigens in solid tumors. We believe that already having an open Phase 2 IND with the NCI provides us with a head start and a template for these discussions. We will provide updates. Regarding the protocols and timing as those discussions progress. The TCR-T program is a tremendous opportunity for patients and the Company. With everything we've seen to date, we believe we have a strong chance to success and tremendous value creation. Next, I will touch on our IL-12 program. In 2019, we made considerable clinical progress in our Controlled IL-12 program and received positive FDA feedback granting us fast track designation and in Europe, where we received an orphan drug designation. We have completed enrollment to our two recurrent glioblastoma or GBM Phase 1 studies with 36 patients in the monotherapy expansion study and 21 patients in the dose escalation combination study with OPDIVO which included an additional 12 patients treated at the highest dosing level. Beginning in the third quarter of 2019, we commenced the Phase 2 study for recurrent GBM in combination with Regeneron's Libtayo and that study should complete enrollment in the first half of 2020. Since our last quarterly call, five additional clinical sites have come online with now seven of 10 sites enrolling patients. In total, more than 95 patients with recurrent GBM have been treated at the desired 20 milligram dosing of veledimex with over 80 patients enrolled since 2018 alone. More than three-quarters of those patients received low dose steroids, which we believe helps IL-12 achieve an immune-mediated anti-tumor effect. The encouraging results we have seen to date and the expected data from these additional patients will help inform our decision on later stage clinical studies in recurrent GBM and potentially expand the program outside of recurrent GBM. We believe that if IL-12 can meaningfully improve patient outcomes in this cancer then it can be effective in many other indications either alone or in combination with immune checkpoint inhibitors. Considerable data were published and presented from these studies during 2019 including at ASCO in June and at the Society for Neuro-Oncology or SNO in November. Results from the Phase 1 monotherapy main trial were also published in the journal Science Translational Medicine last August. Links to these presentations can be found on our website. Our team's presentation at SNO a few months ago provided evidence for the first time of regression of glioblastoma based on imaging. We also presented confirmatory data demonstrating 16 months median overall survival in patients with recurrent unifocal disease receiving low dose steroids. We are pleased to note that the Ziopharm team received the Top 5 award at SNO based on these data and we are encouraged by the increasing enthusiasm among the investment community and potential partners in this program. This interest is also consistent with our meetings at JP Morgan. We continue to monitor the patients enrolled in these studies and anticipate providing additional updates with the potential for submission of multiple abstracts at major medical meetings in the first half of this year. I will conclude with an update on our CAR-T program. In another important 2019 milestone, we announced in October that the FDA had cleared an investigator-initiated IND for a Phase 1 clinical trial to be conducted at MD Anderson. As we have previously stated, this study will evaluate infusion of donor derived CAR-T created through rapid personalized manufacturing or RPM in patients with CD19 expressing leukemias and lymphomas who have relapsed after allogeneic bone marrow transplantation. Under the RPM process we can dose patients as soon as the day after gene transfer including verification that the CAR-T meets release criteria. During our last quarterly call, we said our team was working hard with MD Anderson to get the trial started by the end of 2019. As a reminder, MD Anderson is manufacturing the product for this study. And as we rounded out the year some delays were experienced as the technology transitioned to their GMP facility. But I'm pleased to tell you things have gone well since. Final qualification batches are under way with the required regulatory steps referred to as the site initiation visit or SIV planned in the coming weeks. Indeed, the first patient is being identified by our principal investigator for this trial and initiation of this study is an important near-term milestone for our Company and we look forward to sharing news with you in the first half of this year. There are two additional recent items to mention regarding our use of the Sleeping Beauty system to reprogram T-cells. Last month, we published in the journal Blood encouraging long-term outcome data after infusion of Sleeping Beauty modified CAR-T based on a prior generation of this technology. This described outcomes of patients with relapsed or refractory B-cell lymphoid malignancies, all of whom had received CD19 specific CAR-T infused after autologous bone marrow transplantation. Four patients demonstrated sustained persistence of CAR-T many years after infusion. Five year progression-free survival and overall survival was 71% and 86% respectively. Last December, our team presented at the 2019 ASH Annual Meeting new preclinical data validating rapid personalized manufacturing with TCR. These results show that T-cells genetically modified using DNA plasmids from the Sleeping Beauty system to express TCR with membrane bound IL-15 exhibited anti-tumor effects. These data build on our approach to reduce the cost and complexity of T-cell therapies. Finally, an update on our joint venture Eden BioCell. Things continue to progress well with our colleagues in Greater China. The tech transfer for the RPM technology is largely complete, the GMP manufacturing facility is staffed and equipped and the scientists are currently conducting test runs of the RPM process. They have also commenced discussions with the Taiwanese FDA as we expect the first trials to start at a large hospital in Taipei. Our partners at Eden BioCell advise us the IND for the autologous RPM CD19 CAR-T trial will be filed this year. It is worth noting that the travel restrictions with new coronavirus in China have to date not prevented Eaton's ability to work in Taiwan and while the situation will continue to be monitored, we are not experiencing significant delays. In summary, over the past 16 months we have assembled the technology, people and funds and made significant progress in all our programs. This bodes well for the future as throughout the year, we expect to have data on TCR-T deeper clinical insight into controlled IL-12 and RPM for CAR-T. These programs provide significant value-creating opportunities and this breadth of upside potential appears unique to Ziopharm. And now I will hand the call to our CFO, Sath Shukla.