Michael Weiss
Analyst · Cantor Fitzgerald. Please proceed with your question
Great. Thank you, Sean. And thank you, Jenna. Thanks to all of you for joining us this morning. 2021 is certainly off to an exciting start with the recent accelerated approval of our first medicine, umbralisib, now called UKONIQ, for the treatment of relapsed or refractory marginal zone and follicular lymphoma. This was an incredible achievement for the team and we are thankful to everyone who helped along the way to reach this exciting milestone. With UKONIQ approval, our company has transformed into a fully integrated commercial organization, and we are incredibly proud of the progress already made under the leadership of Adam Waldman, our Chief Commercialization Officer, will join us shortly to provide some color around the early commercialization efforts. Before I hand it over to Adam, I want to highlight some of the important accomplishments for 2020 that have positioned us for an exciting 2021 and beyond. I want to give special thanks to the TG team for working tirelessly to achieve these important milestones. With that let’s review some of these significant developments over the past 12 months or so. First and foremost, I mentioned at the outset of these prepared remarks, we received the exciting news early last month that the FDA granted accelerated approval of UKONIQ for the treatment of adult patients with relapsed or refractory marginal zone lymphoma or received at least one prior anti-CD20 based regimen and adults with relapsed or refractory follicular lymphoma, who have received at least three prior lines of systemic therapy On the data front, December was about as good as it gets for us at TG. At ASH, we presented pivotal results from both our UNITY-NHL trial, as well as our UNITY-CLL trial. For the UNITY-NHL study, the data showed that umbralisib monotherapy demonstrated an overall response rate of 49.3% in patients with relapsed or refractory marginal zone lymphoma and 45.3% overall response rate in patients with relapsed or refractory follicular lymphoma. For UNITY-CLL, we presented data demonstrating that U2 achieve the primary endpoint of improving progression-free survival over standard of care chemoimmunotherapy and those results were consistent for patients with treatment naïve CLL, as well as relapsed or refractory CLL. In addition, there was a significant improvement in overall response rate, the secondary end point. Finally at ASH, we also present the data from the triple combination of U2 plus venetoclax in patients with relapsed or refractory CLL, and also triple combo data from U2 plus TG-1701 in patients with relapsed refractory CLL or other B-cell lymphomas. I do encourage investors to carefully review both of those presentations. In the U2 ven study in the 19 patients who completed 12 cycles of treatment, essentially 12 months of treatment, we reported a 100% overall response rate with 96% of the patients achieving undetectable MRD in the peripheral blood and 77% of those patients achieving undetectable MRD in the bone marrow. Also, folks should take another look at the TG-1701 data, our BTK inhibitor. In addition to the U2 plus TG-1701 combination data, which looked very promising. I would note that the single agent overall response was 95% in the 20 CLL patients treated at the 200 milligrams once daily dose level. So clearly a very active agent. I would also encourage folks to look at the safety and tolerability of that same 200 milligram dose and compare that to the tolerability and tox profile of the best BTK inhibitors both covalent and non-covalent. I think you’ll find it pretty interesting and potentially could be a differentiator. Also in December, just a few days after the ASH conference, where we presented all that exciting B-cell cancer data, we were excited to announce the much anticipated top-line results of our three – of our two Phase 3 studies of ublituximab and relapsing forms of multiple sclerosis, our ULTIMATE I and II studies. Both trials met their primary endpoint of significantly reducing annualized relapse rate with a P-value of less than 0.005 in each study. Our particular interest was that an annualized relapse rate of less than 0.10 was achieved in both studies in the ublituximab arms. Something that has been described by KOLs as breaking an important barrier, one that has not been achieved before in any previous MS Phase 3 trial. As you can imagine, we are very excited about these top line results and we’re working hard to finalize the full data for presentation, including safety and secondary analysis, which is targeted for the first half of this year. That will be used to support in UBLI, RMS, BLA submission, which is targeted for midyear. As noted the initial feedback from the KOL community has been very positive and supports our confidence that MS is an important opportunity for TG. Finally, also in December, based on the positive UNITY-CLL data, we announced that we commenced the rolling BLA submission for ublituximab in combination with UKONIQ, that’s our U2 combination for patients with CLL, for which we are targeting completion of this submission in the first half of this year. 2020 was also a year, where TG’s drugs were recognized by a number of high impact medical journals for publication. Including the final Phase 2 results of ublituximab in multiple sclerosis in the multiple sclerosis journal, the final Phase 2 data evaluating umbralisib in patients with CLL, who are intolerant to prior BTK or PI3K inhibitors in the journal blood, the final results from the Phase 3 GENUINE trial evaluating ublituximab plus ibrutinib in patients with relapsed or refractory high-risk CLL was published in The Lancet Haematology. And finally, on the preclinical side, data describing the unique immunomodulatory effects of umbralisib was published in Blood Advances, a journal of the American Society of Hematology. And last but certainly not least in 2020, we stress into our cash position and as Sean mentioned, we were able to end the year with approximately $600 million in cash. And we also strengthened our team with the addition of approximately 140 new full-time TG team members dedicated to our long-term vision of developing and commercializing novel treatment options for patients with B-cell diseases. As you can see, 2020 was a data rich regulatory driven year, where we grew our organization and paved the way for impactful milestones to be achieved in 2021, starting with the approval last month of UKONIQ, in both relapsed or refractory marginal zone and follicular lymphoma. But that is a segue, I’m excited to turn the call over to our Chief Commercialization Officer, Adam Waldman, to share some thoughts on the launch of UKONIQ, following which the operator will begin the Q&A session. Adam?