Michael Weiss
Analyst · Cantor Fitzgerald. Your line is now live
Great. Thanks, Sean. And thanks, Jenna, of course. And thank you all for joining us this morning. I know I can speak for everyone at TG in saying, we're all super excited about the developments thus far this year. With the achieving of many key milestones, top on the list, of course, has been the significant progress made with our Marginal Zone Lymphoma program, including the release of positive top line results and the receipt of breakthrough designation and orphan drug designation. Moving forward, we believe further clarity on our potential MZL NDA filing, hopefully, by year-end, along with the presentation of final data also toward the end of the year has the potential to unlock significant value for our shareholders. And once that occurs, we believe the other layers of potential approvals and combinations within our robust B-cell pipeline will come into focus for investors, highlighting the value we are bringing to patients with B-cell cancers and further translating into significant additional value to our shareholders. With that, let's start the call by highlighting some of the notable achievements thus far in 2019. In January, we received breakthrough therapy designation from the FDA for umbralisib for the treatment of Marginal Zone Lymphoma or MZL. Also in January, we announced publication of clinical data from the Phase 1 triple therapy combination of ublituximab, plus umbralisib, plus ibrutinib in Lancet Haematology. In February, we launched a first-in-human Phase 1 trial of TG-1801, our CD47/CD19 bispecific antibody in patients with a relapsed or refractory B-cell lymphoma. And later that month, we announced the most important news of the quarter. The positive outcome from the UNITY-NHL Phase 2b pivotal trial of umbralisib monotherapy in patients with a relapsed or refractory Marginal Zone Lymphoma, following which as Sean noted, we secured approximately $85 million in equity and debt financings. We then kicked off the month of March by announcing positive DSMB reviews of both the UNITY-CLL and the UNITY-NHL trials where no safety issues requiring study modification were reported and that the UNITY-CLL had successfully cleared a fertility PFS analysis. We opened up April with the oral presentation given by Dr. Nathan Fowler of the MD Anderson Cancer Center at AACR annual meeting, reporting positive interim data from the MZL Cohort from the UNITY-NHL trial. Shortly after, we received orphan drug designation from the FDA for umbralisib for the treatment of MZL. And just this week, we announced long-term follow-up safety data from the open label extension study of the Phase 2 trial of ublituximab in multiple sclerosis, demonstrating that ublituximab remains well tolerated with median duration of follow-up of 97.5 weeks, and no patients discontinuing from the open label extension study due to an adverse event. Now, let me quickly provide some highlights from the ongoing pivotal trials. Again, let's start with the UNITY-NHL study, where Marginal Zone Lymphoma has taken center stage. The MZL Cohort includes 69 patients treated with single agent umbralisib, and the primary endpoint for this single-arm study is overall response rate as confirmed by an Independent Review Committee or IRC. As I already mentioned, there had been a few very important developments with this program during the first quarter. And again, the most significant of which is that the overall response rate for the entire treated population of 69 patients met the study's primary endpoint as well as our internal target overall response of 40% to 50%. Next step for us is to meet with the FDA to discuss a potential accelerated approval filing. If all goes well, our goal would be -- to be to file for accelerated approval by year-end. Next, let me provide some highlights from our UNITY-CLL trial, which is a randomized study of U2, that's umbralisib plus ublituximab in patients with both treatment naive and relapsed or refractory Chronic Lymphocytic Leukemia or CLL. The DSMB, as I noted above, recently met and reviewed safety from this study and again determined there were no safety issues requiring modification of this trial. It's worth noting that a significant portion of the patients in this trial are treatment naive patients with CLL, and there are no other PI3K deltas approved in first line CLL in large part due to safety concerns. The primary endpoint for this trial is progression-free survival, which is an event-driven endpoint. Meaning, that we need to see a certain number of patients who have progressed or passed away before we can call the study complete and analyze PFS. This of course, makes predicting precisely when the study will complete somewhat challenging, which we've been talking about for several quarters now. That said, our current estimate is PFS can read out before the end of this year if our original power assumptions of approximate 40% to 50% improvement in PFS are realized, and the control arm forms in line with recent studies using that same control arm. Otherwise, if events take longer than expected, the study could push into 2020. We remain extremely optimistic about this study and the prospects for a successful PFS result. As mentioned earlier, the DSMB recently conducted a successful interim PFS futility analysis and recommended that we continue this study. We continue to believe U2 is a very attractive treatment option for patients with CLL, providing an important alternative to BTK-based therapies, especially in those patients who are not good candidates for or who otherwise have tolerability issues on BTK therapy. Next, I'd like to highlight some aspects of our MS program, which we continue to believe is not fully appreciated by investors. Last week at AAN, we presented data from the open label extension or OLE of the Phase 2 trial, which continues to show that ublituximab is well tolerated now with the meeting follow-up of 97.5 weeks. Additional highlights from the final Phase 2 data included annualized relapse rate of 0.07 and a 100% reduction in gad-enhancing lesions. We believe the Phase 2 results are highly supportive of our ongoing ultimate Phase 3 program and I believe that ublituximab can deliver a best-in-class profile that includes comparable to better efficacy, comparable safety, convenience and price over available MS therapies. As a quick reminder, the ultimate one and two Phase 3 trials in MS are comparing ublituximab to an active control of teriflunomide in subjects with relapsing forms of MS known as RMS. The primary endpoint for each study is annualized relapse rate following 96 weeks of treatment. Both trials have completed enrollment, and we expect data in mid 2020. It's also worth noting that we had some great KOL meetings at AAN, and there was great interest in ubli and its value proposition. We continue to be impressed with the enthusiasm for the one-hour infusion and the potential we have to strategically price ubli to enhance access to patients. It's worth noting that ofatumumab, the only city 20 currently approved for MS is anticipated to generate approximately $4 billion in revenue in 2019 and only its second full year of launch. Clearly, this represents a very large market potential for CD20 in MS and even a small portion of this market would result in significant value to shareholders. And finally, as mentioned earlier in addition to our exciting pivotal data, we currently have and continue to build a robust portfolio of early clinical drug candidates that in combination with U2 -- we can believe -- we believe can drive us closer and closer to our goal of curing certain populations of patients with B-cell cancers, adding another layer of growth and value for our shareholders, including -- included in an early pipeline, our TG-1501, our anti-PD-L1 antibody, TG-1701, our novel BTK inhibitor and our most recently licensed compound, TG-1801, our novel anti-CD47/CD19 bispecific antibody. We plan to share more about these compounds as the year progresses and it is possible that one or more of these compounds can advance into pivotal trials in 2020. With that, I'd like to turn the call over to conference operator to begin the Q&A session, following which I'll return and provide some concluding remarks.