Thomas Lingelbach
Analyst · Jefferies
Thank you so much, Josh and good day. Welcome to our 9 months financial report and general business update. Let me start with our R&D highlights. We are progressing full steam towards potential licensure of the world's first chikungunya vaccine, where we foresee the PDUFA date towards the end of this month. On Lyme disease, the Phase III study, VALOR with Pfizer continues, cohort 1 completed its first tick season and current cohort 2 is nicely enrolling. As previously discussed, we have reinitiated the Zika vaccine development and anticipated clinical trial starts early next year. On the commercial business, with total product revenues of more than EUR 100 million, we have seen an almost 2x increase on non-COVID sales as compared to prior year period. And as such, we are on track to meet our 2023 sales guidance of EUR 130 million to EUR 150 million. We remain to have a strong cash position with cash of EUR 171.3 million at the end of September. Let me go straight to chikungunya, as you know, this is our product candidate called VLA1553, a live-attenuated vaccine candidate under FDA priority review. It is the first chikungunya vaccine that reported positive Phase III data and met all trial endpoints. We submitted the BLA. In the meantime, also filed with the European Medicines Agency and Health Canada and the vaccine has very distinct features. We demonstrated long-lasting high seroresponse after a single shot. We see already 100% response after 14 days and a favorable safety profile, regardless of prior infections as recently reported as part of the study in children in Brazil. We are preparing for launch. We are investing in making sure that we can supply the product as early as possible. And as previously described, VLA1553, especially from a travelers' perspective, fits perfectly within our existing commercial infrastructure but also in the industrial infrastructure. By way of reminder, we see different markets on that, nonendemics, meaning travelers, military and outbreak preparedness in the Western world, endemic use in LMIC, where we have partnered with CEPI and Instituto Butantan. You may remember that, of course, the single largest short-term reward on this development program is the potential award and sale of the PRV upon BLA approval, which we have still included in our financial projections, to the level of roughly $100 million. The ongoing study in Brazil in adolescents, we reported already positive initial safety data and final immunogenicity and safety data on the so-called Part A, it's still expected this month. With regards to the development outlook, we continue to work collaboratively with FDA to align on our postapproval Phase IV program. And we have additional studies ongoing, meaning antibody persistence study that we will really follow through for at least 5 years. And the 2-year time point is still expected towards the latter part of this year and the adolescent trial data is expected to support the potential label expansion and licensure in Brazil. But also supported to really add onto the existing licensure processes, especially with the European Medicines Agency. Anticipated future trials will include co-vaccination in pediatric special population and as mentioned, Phase IV effectiveness. Turning onto Lyme, Page #8. This is our multivalent recombinant protein-based vaccine candidate addressing Lyme disease. It's the only Lyme disease program in advanced clinical development today. It's exclusively worldwide partnered with Pfizer and we have the Phase III well underway, which is sponsored by Pfizer and supported by positive results of 3 Phase II clinical studies including the first pediatric and adolescence data, including PRIME boost and anamnestic response data. It is, as we have reported multiple times, hexavalent or 6 valent vaccine that addresses the most prevalent serotypes causing Lyme disease in the Northern Hemisphere and that's why this vaccine really targets people living in risk areas, Lyme disease on both sides of the Atlantic. It is a rather program since it follows established modes of action for Lyme disease vaccine candidates that were shown earlier on and fast track designated by U.S. FDA. The Phase III efficacy study, we have shown it in the past, 9,000 participants in the final target population, meaning everyone above 5 years of age, randomized one-to-one vaccine against placebo and 2:1 in between North America and the European side, primary endpoint [indiscernible] confirmed Lyme disease after 2 consecutive ticks seasons, meaning after the PRIME boost and secondary endpoints include the rate of Lyme disease after the initial first Lyme season, meaning primary vaccination or in other words, 3 primary doses and then other secondary endpoints as defined in the [indiscernible] protocol. We have 2 cohorts. As mentioned before, the cohort 1 is entirely enrolled, is now expecting the next booster shot prior to the season 2024. And the enrollment of cohort 2 is well, well underway. If everything goes to plan, Pfizer aims to submit regulatory applications in the United States and Europe in 2026. In terms of trial updates, we have 2 studies that are currently ongoing. The VALOR vaccine efficacy study as I just described. And basically, here, we expect the last subject out towards the end of the ticks season 2025 when also the first initial readout is expected. In parallel, there's also the safety study ongoing with the subjects in -- achieved in December last year. The enrollment was completed in summer this year. It's more than 3,000 children there and we target completion by the end of this year, then there will be the follow-through period as well. Turning to Zika, Page 11 of the presentation. We have decided to reactivate this development of a Zika virus vaccine candidate following the and our experience on vector diseases but also diseases that may be developed under an accelerated pool pathway. Zika viral disease remains a significant, a very significant unmet medical need. And we believe that given the special target population for a potential Zika vaccine that our technology, leveraging the proven and licensed platforms for IXIARO on the one hand side but also the COVID vaccine VLA2001 may provide an excellent vaccine solution for this disease. And as mentioned before, we plan to reinitiate Phase I early next year based on updated formulations that we have. Looking overall at the pipeline of Valneva, Page 12, you see we focus strongly on the 2 late-stage assets that we just mentioned, put Zika back into the active clinical development program. We continue to evaluate partnerships for our hMPV candidate that successfully completed the preclinical proof of concept and are currently focusing our preclinical resources mainly on the Epstein-Barr virus. And with that, overall business update, especially focusing on R&D, I would like to hand over to Peter.