Jim Walsh
Analyst · Sidoti and Company. Please go ahead
Thank you, Kevin. I’ll take the opportunity now to update you on our cardiac development programs. In particularly I’ll provide you with a detailed update on our Troponin FDA submission and an overview of our clinical trial data and of our recent communications with the FDA. I’ll also provide a brief update on our Meritas BNP product, which as you know is currently undergoing clinical trials to support an FDA’s 510(k) application. So, starting with Troponin, firstly let me give you a brief reminder of the excellent clinical performance we observed in our U.S. trials. I have discussed this data with you on a number of recent calls, so today I will provide just a very high level reminder. In our recent U.S. clinical trial the Meritas product demonstrated an admission sensitivity in whole blood of 66% and a corresponding specificity of 94%. I’ll put this data into context for you by comparing our results against two of the market leading products currently approved and widely in use in the USA today, mainly the Abbott i-STAT point-of-care Troponin products and the Abbott architect central lab Troponin products. According to the manufacturers package insert, the admission sensitivity of the current FDA approved Abbott Architect Central Lab System is 60% with a corresponding specificity of 95%. In studies carried out at Hennepin County, the Abbott i-STAT point-of-care product was determined to have admission sensitivity of 32% with the specificity of 92%. The Meritas point-of-care product does speeds the market does beats the market leading Abbott i-STAT products by 35 percentage points in sensitivity, while the Meritas also beats the Abbott Architect Central Lab System by 6 percentage points in sensitivity. However, you will remember that although these results look excellent for Meritas, you still need to keep in mind that we’re still not actually comparing like-with-like. In accordance with FDA guidance the Meritas MI patient cohort consisted of 57% type 1 MIs and 43% type 2 MIs, whereas our competitors would have relied predominantly on type 1 MIs. If I were to re-compute our clinical performance on type 1 MIs only, our time zero sensitivity rises from 66% to 75%, which is in fact substantially better than most of the data central lab Troponin systems. Although this is a very brief summary of our performance, it should serve to provide you with the confidence that the Meritas product is demonstrating exceptional clinical performance. Moving on now to our interactions with the FDA, you know of course that on December 17 we submitted a 510(k) application to the FDA for our Troponin product. To the very best of our knowledge, Meritas is the first point of care Troponin product ever to be submitted for clearance under the new FDA guidelines. In third week of January, the formal review process commenced and the review clock actually started ticking. In April, as I explained on our last call we received the firm response to our submission from the FDA providing us the detailed list of questions and comments. I’ll take a couple of minutes now to remind you of the type of questions and comments we received. However, you would remember I said that we thought all questions we received were reasonable and fair and that there were no show stoppers or red line items. The good news of course was that our pivotal ACS trail, which as you know consistent of close to 1,500 patients at multiple trials sites around the U.S.A. followed by a very complicated adjudication process received very little comments. This would indicate that the trail was sufficiently powered; it represented the appropriate racial and ethnicity profile. Had sufficient geographical spread and most importantly met the definition of an all-comers trial, with the appropriate mix of type 1 and type 2 MIs. The questions in general could be segregated into three categories. The first and by far the largest category were questions and comments for the FDA have asked for further clarification are more information relating to certain points. Essentially, this is information required in order to ensure the completeness of our file. Work on all these questions is now complete. The second category of question is where the FDA had asked for extra data to be generated to support or expand certain claims. This work could be carried out in-house by our own technical staff and what’s fully under our own control and therefore not under critical path. You may remember the two examples of this were related to expanding the list of potentially interfering substances and widening the hematocrit range for whole blood samples. Again work on all these questions are now fully complete. The third category of question was where the FDA had requested extra data to be generated? However, this data required to be generated at external sites. Thus this data generation was driving the critical path. [indiscernible] we had only one new question in this category and it was in relation to our point of care precision study. The FDA had suggest that our data be enhanced at further three sites and that at each site patient whole blood at medium high and low Troponin levels should be run with each sample to be tested with one of the blood sample being taken. They had also suggested Troponin controls to be run over a three-week period at the same sites. On our last call I told that we had applied for IRB approval at each of the three sites and that we would have the necessary data generated and ready for submission with the FDA at the end of July. At this stage, we still got a week or a week and a half’s work of data to be collected, which makes the FDA planned – now planned for August. But what it’s worth however the data generated at least of our eyes looks very, very encouraging. In summery therefore, we think the questions we received from the FDA are reasonably. There were no red line issues. Data collection is adversely complete and we plan to submit a complete set of answers to the FDA in August, which is well within the time allowed by the FDA. Once received, the FDA will then recommence their review process. Pending that review and of course depending on the number and type of follow up questions, we believe that it is feasible that the Meritas Troponin products may obtain FDA clearance even before the end of 2016. Accordingly, Meritas will be the only point of care of Troponin product demonstrating market leading clinical performance to be cleared for sale in the U.S. in accordance with the new MI guideline. I’ll move on briefly now to discuss Meritas BNP. As you know, BNP levels in the blood stream increase as the severity of heart failure increases. Thus BNP has emerged as a principal biomarker in the diagnosis of acute and chronic heart failure. I mentioned on our last call that following our discussion with the FDA last year, we agreed to expand the number of trial sites to 10. The adoption of this strategy we believe will help the smoother review of process with the FDA. The aim of the study by the way is to recruit 1,450 patients approximately 700 with heart failure and 700 without heart failure. At this time with the trial sites actively recruiting, we’re past the 90% point in patient recruitment. Patient enrolment will be completed very shortly with submissions for our 510(k) clearance planned for Q3 2016. The chemical data generated today, it looks very good and we are quite pleased that the product looks to be demonstrated at the same performance characteristics that we observed in our CE marketing trials last year. And with that, I conclude and now handover to Ronan.
Ronan O’Caoimh: Thank you, Jim. And I’m now going to briefly review our revenues for the quarter before opening the call to question-and-answer session. Our revenues for quarter were $26.3 million compared with $24.3 million in quarter two of 2015, which is an increase of 8.4%. However, when the impact of foreign currency exchange movements is removed, revenues would have been 26.6 million this quarter thus representing an increase of 10%. Point-of-care revenues for the quarter were $4.8 million compared with $3.4 million in the comparable quarter, which represent an increase of 41%. This increase is almost entirely attributable to higher HIV sales in Africa during the quarter with Tanzania, Uganda, Mozambique, South Africa and Malawi performing strongly. In the United States, our HIV sales increased 5% over the prior quarter with hospital sales performing strongly aided by the fact that we're now selling the HIV 1, HIV 2 combination product. Our public health HIV sales were flat against the backdrop of reduced public health spending on HIV in the states. Meanwhile sales of our point of care product in the U.S. were approximately $350,000, which is an increase of 350% on the current funding quarter last year. However, although, we believe that the product has large potential, the fact is that public health departments move slowly and the evaluation, training, funding and purchasing cycle takes a significant amount of time. We believe that this will be a significant product for us, but it will take 2 to 3 years to reach its full potential. Moving onto clinical laboratory, our revenues for the quarter were $21.5 million, up from $20.9 in the corresponding quarter last year. However, on a constant currency basis, revenues were $21.8 million, which represents an increase of 4.6% compared with the prior quarter. Our hemoglobin, diabetes and variance businesses performed strongly with revenues increasing 9%. We had strong premier instrument placements in all of our principal markets with 83 instruments being placed during the quarter leaving us on target to exceed 350 placements for the year. The exception is Brazil where we made negligible placement this quarter despite strong demand for the product. This arises due to the weakness of the Brazilian real. However, we plan to reenter this market when we increase our level of manufacturing activity in Brazil thereby saving on import duties and on sales taxes and by creating an addition of natural hedge. In addition, we are seeking price increases against the backdrop of a high inflationary environment. Another positive factor is that the Brazilian real have strengthened considerably over the past few months and has now recovered from a rate of 4 to a level of 3.25 today against the U.S. dollar. And at this level we are in a position to tentatively reenter the market on a selective pricing basis during the current quarter. Moving onto infectious disease, this business grew 3% compared with the prior quarter. Our infectious disease in the United States performed well with Lyme sales strong on the back of a mild winter. China performed particularly well with our revenues in Canada, Turkey, Russia and Colombia to name just a few, continue to suffer due to the weakness of these currencies against the dollar. Monoclonal sales in our Fitzgerald subsidiary were flat when compared to the revenues from the corresponding quarter last year. Meanwhile sales of our autoimmune product in Immco performed strongly with revenues increasing 8% when compared to the corresponding quarter last year. Reagent revenues in Europe and the United States perform strongly. Sjogren revenues were $700,000 approximately while the outlook for these revenues have improved significantly following the signing of the contract with one of the U.S. mega labs during the past quarter. With that, I'll now hand you back to the operator for our question-and-answer session.