Thomas Lingelbach
Analyst · Jefferies. Please go ahead, your line is open
Thank you, Josh, and good afternoon, good day to all of you. Well, 2022 was a year marked by our ability to adapt to a changing environment, and showed our resilience. We achieved several key milestones that underpin our unique value proposition. We made continued progress across the R&D pipeline with our chikungunya vaccine now under BLA review. On Lyme disease, we started the Phase 3 pivotal efficacy study, VALOR, together with Pfizer. On COVID-19, we were the first company to achieve a full marketing authorization by EMA. However, given the changing environment around COVID and the prospect of that vaccine, we decided to not further invest in development and stop manufacturing the COVID. We accelerated our preclinical activities with the aim to build a new exciting R&D pipeline, up and beyond Lyme and chikungunya. We have seen a significant rebound of the commercial business, and we clearly capitalized on the strong recovery in travel segment. And we complimented our commercial portfolio with additional third-party product sales. We have reported strong full-year 2022 revenues and cash position with reviews about €360 million, and product sales year-on-year increase well above 80%. Our cash position at the end of 2022 was close to €290 million. We also strengthened our shareholder base with a successful upsized follow-on offering which included now also our new major long-term shareholders and Pfizer. With that, let me go straight into our programs and into the business update, and I will start with chikungunya, page six of the presentation. By way of reminder, our chikungunya program is the most advanced chikungunya program in development worldwide. It is a live-attenuated vaccine candidate targeting long-lasting high sero-response after a single shot. Basically, the Phase 3 study met all primary endpoints in terms of sero-response rate, but also in terms of lot-to-lot consistency. We reported positive 12-month antibody persistence data and the long-term persistence trial that will measure the sero-response rate over time, targeting at least five years. The adolescents' trial is fully enrolled by now, and we expect first data mid 2023. We are under priority review for the BLA. A PDUFA action date has currently been assigned for end of August, 2023. And we expect to commence other regulatory processes in the second-half of this year, including EMA. The program got also granted FDA Fast Track and Breakthrough and EMA PRIME designations, as you know. In terms of target population and overall geographic reach, we have explained before that we see, of course, the non-endemic countries, and here primarily travelers, military, but also the possibility outbreak preparedness and stockpiling. And on the other hand, the endemic use where we have a partnership agreement with CEPI and Instituto Butantan. From there, let me turn now over to the key data for chikungunya. Sero-response, 99% after a single vaccination; this immunogenicity profile has been sustained even after 12 months. And we have seen a similar sero-response rate in elderly, which is particularly encouraging. And, of course, on the basis of that high sero-response rate, we see also a 100% seroconversion. With regard to safety data, VLA1553 was generally well tolerated. We had, of course, as expected for a vaccine of that class, solicited systemic adverse events, but the majority of solicited adverse events were mild or moderate. And only 2% of study participants reported severe solicited adverse events, most commonly fever. In terms of the future commercialization, as we repeatedly communicated, VLA1553 fits perfectly within our existing commercial infrastructure. And we have a high-caliber team with significant experience in the vaccine space. And we are currently adding a significant amount of talent and people as we are preparing for the commercial launch and market access for this brand new vaccine in a brand new indication. And we are all extremely excited about the prospect of being in a position to launch such a product. Let's go to Lyme. It is again, following our pipeline differentiation around first-only or best-in-class, the only Lyme disease vaccine in advanced clinical development today. It is a multivalent recombinant protein-based vaccine covering the six main serotypes of Lyme borreliosis prevalent in the northern hemisphere. We initiated the Phase 3 study on the back of positive results for three Phase 2 studies, including a pediatric population. You know that as part of the ongoing Phase 3 study, there were GCP issues observed that led the study sponsor and our partner, Pfizer, to actually stop a significant part of the study subjects that were included in the study. Given the seasonality around Lyme development, we have currently a review of the trial design and the associated timeline ongoing. And this is, of course, a process that will still take a bit of time. I think by way of reminder with regards to the data that have always been extremely strong for Lyme, and of course also the GCP issues that we have been facing now as part of the Phase 3 conduct do not change the picture on the underlying science and value of this program. All three Phase 2 studies showed strong immunogenicity. The product has been in more than a thousand people, and as I said, including pediatric population. And we have seen as part of the booster studies, a very strong anamnestic response which is of utmost importance for a product that is expected to be boostered over time. When we look at our pipeline, you basically see that we are currently reviewing most of our or some of our preclinical and previous clinical candidates with regards to next clinical entry. We have Zika candidate for which we conducted a Phase 1 study. We did not progress it further because of the work that we commenced on COVID. However, we are currently evaluating a potential clinical re-entry at the end of this year or very, very early next year. Given that we could leverage one of our existing platforms, and given that WHO made a clear recommendation for Zika vaccines to be based on inactivated whole-virus technologies. hMPV, human metapneumovirus, is a program that we developed throughout the preclinical phase. It has reached the end of the preclinical phase, with the initial preclinical proof of concept being completed. But given that the market is shifting in the development arena towards combination vaccines, RSV hMPV, we've decided to evaluate a potential partnering before taking it potentially into a first trial in humans. Our lead program in our preclinical shop today is Epstein-Barr virus. And we target the completion of the antigen identification for such a quite complex development in an area of very high unmet medical need by the end of 2023. The two other programs that we have in early R&D are Campylobacter and parvovirus. And we are still evaluating whether we put them into the preclinical R&D and development as of now or not. But, this is something that we will decide over the course of this summer. With that, I would like to handover to Peter to provide us the financial reports.