Mitchell Steiner
Analyst · HC Wainwright
Thank you, operator, and good morning. This is Dr. Mitchell Steiner, President and CEO of Veru Inc., and joining me today are Daniel Haines, CFO; and Kevin Gilbert, Senior Vice President, Corporate Development and Legal.
I'm very proud of our team and our accomplishments to date as we transition to a biopharmaceutical company focusing on urology and oncology. Today, we will provide an update on the progress we're making with commercialization of our products and clinical development of our drug pipeline as well as provide financial highlights for the third fiscal quarter.
You may have noticed from the operator's introduction the change in our corporate name to Veru Inc. This name change was just one of several proposals supported by stockholders at our recently completed special meetings -- meeting, and we thank the shareholders for their continued and significant support.
We're no longer reliant on a single product, the FC2 Female Condom, and we're no longer reliant on a single market, the global public sector. We have our key team and organizational structure now in place. We now have a diversified revenue stream, with both FC2 via prescription in the U.S. and PREBOOST sales. We're advancing our deep pipeline of multiple 505(b)(2) and new drug products, including Tamsulosin DRS, Delayed Release Sachet, to which we should see additional revenue in the near term.
For our results so far in 2017, the major highlights and milestones achieved are as follows. As of April, we now have the infrastructure in place and market access to make FC2 available by prescription in the United States since it's fully reimbursable by Medicaid and private insurers. By adding new national distribution contracts, FC2 is now available in 97% of the U.S. retail pharmacies. We have 12 salespeople marketing and selling in the U.S. We launched PREBOOST, our 4% benzocaine topical wipe to prevent premature ejaculation. Positive clinical study results were presented in the American Urological Association in May, and the AUA chose the study to be included in their press conference program on May 30. We're currently in partnership discussions.
In May, we had positive clinical data in Stage 1 of the bioequivalence study for our first pharmaceutical drug, Tamsulosin DRS, the company's novel proprietary slow-release granular formulation of tamsulosin designed for the treatment of BPH, which is benign prostatic hyperplasia, or an enlarged prostate.
Subsequently in July, we announced the initiation of the subject screening process with Stage 2 of the study, and we started manufacturing the NDA-required registration badge, which will be used for FDA submission. We're on track to file the NDA in early 2018 and launch the product in late 2018.
In May, following a pre-investigational new drug application meeting with FDA, we announced that we plan to advance our proprietary drug candidate, VERU-944, which is zuclomiphene, for the treatment of hot flashes in men receiving hormone therapy for prostate cancer into a Phase II clinical trial, utilizing the 505(b)(2) FDA NDA pathway.
Let's start with an update on the FC2 global public sector. Our financial results for the FC2 business has had 5 straight quarters of lower than expected and declining sales. With our new team in place, under the leadership of Denise van Dijk, we are beginning to see the positive results of our new global public health strategy. For fiscal third quarter 2017, we are seeing better sales for the global public sector than during the first half of the year.
We also have the potential to obtain future business with new large tenders announced in Brazil, up to 50 million units over the next year; and South Africa, up to 120 million units over the next 3 years. We believe that we are the only manufacturer that can meet these volume demands. Furthermore, Brazil continues to pay us for its due invoices, which has significantly reduced the Brazil account receivables. We have also signed new partnership agreements for distribution into 8 South American countries and Pakistan. We will continue to do what is necessary to maintain our status as a market global leader for female condoms.
Our diversification strategy has also been making good progress. First, we have positioned FC2 Female Condom from an over-the-counter product to a prescription product in U.S. Second, we have advanced the clinical development of lower risk, lower cost and potentially large market drugs using the expedited 505(b)(2) regulatory pathway. And third, we have initiated the manufacturing of VERU-111, an oral anti-tubulin, a new chemical entity for oncology, which have premium market opportunity.
Next, I would like to comment on our 3 new and near-term revenue programs: FC2 by prescription in the U.S.; PREBOOST; and Tamsulosin DRS. In the United States, we are seeing the realization of new revenues for more prescription commercialization for FC2. We have completed the removal of FC2 from the over-the-counter product channels.
One of the reasons for this change in commercial strategy was because 10 years of investment resulted in minimal OTC sales generated by FC2. The company, in fact, lost money in this channel. In contrast, with less than 6 months of investment in the prescription channel, the FC2 prescription business is already proving to be a way to generate new high margin revenue.
Our commercial team has built the U.S. infrastructure and its creative market access for FC2 via prescription. Strategically, we're connecting the women's desire for sexual protection with both access to the product through retail pharmacies and payer reimbursement. FC2 is covered with no out-of-pocket cost by most insurance plans when dispensed by prescription. Insurance coverage of female contraception, which includes the female condom, is mandated in all 50 states by the Affordable Care Act, which was enacted in 2010.
Well, things were a little uncertain for a while there. We are delighted that the Affordable Care Act has been not been repealed, and women will continue to have access to contraception. We have confirmed that both private and public insurers are indeed reimbursing for the FC2 product dispensed by prescription.
Here are some of the accomplishments of the U.S. FC2 program. One, we have signed several national distribution agreements that make FC2 available in over 97% of retail pharmacies. We have implemented a marketing program with approximately 12 key account managers in very select territories to build awareness among physicians to help generate and support sales of FC2. We have signed a 340B national contract to provide FC2 to HIV and sexually transmitted disease clinics nationwide. There are approximately 56,000 340B entities.
We have implemented a university and college FC2 awareness program so that FC2 will be available to young women from these campus-based clinics and pharmacies. We have initiated a patient assistance program for those women who have no insurance. Through a link in our website, we offer FC2 at a discounted price, and the product will be shipped directly to their home. We are working with a number of telemedicine companies and will shortly be posting a link on our website to provide telemedicine options to allow women to obtain a prescription from a physician online, which would then be sent to their pharmacy of choice or a mail order pharmacy, a specialty pharmacy. We've launched a social media campaign, including Ask Amanda, an FC2 viral video, which is already generating significant awareness.
Another quarter of launch activities -- after another quarter of launch activities, we now have proof of concept that the FC2 prescription business is a viable and potentially profitable business. We have -- we believe the timing of the launch could not have come at a better time. I want to thank the commercial team for successfully and quickly implementing this plan. It's now clear that FC2 prescription business is promotionally sensitive, and as such, we plan to seek marketing partners in addition to our internal team to help grow sales. We plan to provide more information on revenues and prescriptions by next earnings call.
Our second revenue program is PREBOOST, 4% benzocaine topical wipes, which is approved in the United States for the prevention of premature ejaculation. Unlike other currently available OTC products, PREBOOST has results from a recently completed human clinical trial. An independent Phase IV clinical study was conducted by Jed Kaminetsky. Results from this PREBOOST clinical study were presented at the Annual Meeting of the American Urological Association in Boston on May 16 by Dr. Ridwan Shabsigh, Professor of Urology at Weill Cornell Medical College and President of the International Society of Men's Health. The study was also included as part of the press conference program at the AUA meeting.
The Phase IV double-blind randomized placebo-controlled clinical study met its primary endpoint of change in average intravaginal ejaculatory latency time at 2 months as well as secondary outcomes of change in questionnaire assessments, including global rating of the stress, medication assessment and index of premature ejaculation. After treatment with PREBOOST, 82% of men were no longer considered to have PE while being treated and reported a statistically significant better sense of ejaculatory control, confidence, satisfaction, sexual pleasure, increased length of intercourse and reduced frustration. The treatment was well tolerated, and no transfer into the product was reported.
We're using digital and social media to market and sell product into the U.S. In addition, we are in discussions pursuing possible over-the-counter distribution and partnership opportunities both in and outside the U.S.
While these near-term products will continue to provide important revenues, we believe that the future growth of Veru will come primarily from its pipeline of near-term and long-term pharmaceutical product candidates. I'm happy to report that we're advancing at all fronts, and that our pharmaceutical products under development are progressing well. This includes Tamsulosin DRS for BPH; VERU-944 for hot flashes in men with advanced prostate cancer on hormone therapy; VERU-722 for male infertility; and VERU-111 for metastatic prostate, ovarian, breast and other cancers.
Tamsulosin DRS for BPH, our 505(b)(2) drug product, is our first near term opportunity. Tamsulosin DRS is a new slow-release oral granular formulation that addresses the large patient population of men with BPH who have difficulty swallowing pills. We've recently announced a successful completion of a Stage 1 of the bioequivalence clinical study.
Stage 1 was designed to select the optimal formulation of our proprietary Tamsulosin DRS. With Stage 1 successfully completed, we have advanced the selected Tamsulosin DRS formulation to the second and final stage of the BE clinical study. The results from Stage 1 of the BE trial demonstrated that Tamsulosin DRS may have advantages over FLOMAX. Unlike FLOMAX, Tamsulosin DRS is composed of slow-release granular formulation that does not have a food effect and may be taken on an empty stomach, which may aid in avoiding the potential for dizziness and hypotension. The ability to take this product on an empty stomach is an important differentiation, what seems like a very minor change in our label could be a major change in the value of the product.
We announced in July that the company has initiated the screening process for Stage 2 of its bioequivalence study in Tamsulosin DRS. The Stage 2 bioequivalence study is a 21-day single dose comparison of Tamsulosin DRS slow-release granules with FLOMAX capsules in 36 patients, who have either fasted or eaten prior to dosing.
We also announced that we have started contract manufacturing the NDA-required registration badge, which will be used for the FDA submission. Having met these milestones, we're on track for potential approval and launch of Tamsulosin DRS in 2018. We will also meet with the European Medicines Agency and file in Europe next year. We believe this product addresses substantial market need and is a near-term revenue opportunity.
Our initial commercial plan is to launch Tamsulosin DRS into long-term care facilities. Tamsulosin DRS is needed for the treatment of BPH for the 60% of men, who are currently in long-term care facilities who have difficulty swallowing pills. Tamsulosin DRS would be the only slow-release granular formulation for any alpha blocker class of BPH drugs. Based on IMS data, over 3.6 million prescriptions for tamsulosin and other alpha blocker capsules were written for men in long-term care facilities.
There were also about 3.6 million men who cannot swallow pills, and there are no alternative formulations. Many of these men cannot swallow this capsule whether because of stroke, Parkinson's disease or other limitations, and now they're being subjected to surgery, they have to wear diapers or having them dwell in urinary catheter. Urinary catheters are particularly worrisome as they are a common cause of urinary infections, urosepsis and death.
Given this unmet market need, we can expect that Tamsulosin DRS is the only slow granular formulation of the alpha blocker BPH drug would be placed in all of the long-term care pharmacy formularies. Current or branded and generic alpha blocker U.S. market opportunity, in total, is approximately $4 billion annually, and $400 million is in the long-term care market. Let me emphasize that Tamsulosin DRS is not a generic. It's a 505(b)(2) product and will be priced as a brand new drug.
Our next 505(b)(2) drug product is VERU-944, which is being developed to treat hot flashes associated with prostate cancer hormone therapy, also called androgen deprivation therapy in men with advanced prostate cancer. Drugs in this class include Lupron, Elegard, Zoladex and Firmagon. Androgen deprivation therapy works by lowering testosterone to castrate levels. As estrogen in men is derived from testosterone, low testosterone means low estrogen, too. Low estrogen levels lead to hot flashes. Up to 80% of men on androgen deprivation therapy suffer from hot flashes, and up to 40% of hot flashes being moderate to severe.
Hot flashes is a major reason for drug noncompliance. Unlike post-menopausal hot flashes, hot flashes associated with androgen deprivation therapy do not abate with time, with up to 40% of men still suffering from hot flashes 8 years later. There are no drugs currently approved for this indication in the United States. Approximately 700,000 men in the United States on androgen deprivation therapy for prostate cancer.
In May, following a positive pre-investigation on new drug application meeting with FDA, we announced we plan to advance into Phase II clinical trial VERU-944 for the treatment of hot flashes in men receiving hormone therapy for prostate cancer. VERU-944 is a nonsteroidal oral estrogen called Zuclomiphene, which is derived from Clomiphine. Utilizing the 505(b)(2) FDA regulatory pathway, we plan to file the IND by January of 2018 and start to Phase II in the first quarter of 2018. The study has a 12-week treatment period, and we estimate we will enroll around 120 men. We expect Phase II clinical data in 2018. And during our meeting with FDA, FDA expressed enthusiasm for this indication as no FDA approved drug for this condition exists today.
With regard to the progress of our other clinical programs. VERU-722 for male infertility, the FDA invited us to present at a public FDA advisory committee in December 2016. As part of this meeting, they validated our development program and gave us the green light on the clinical trial design. VERU-722 has the potential to be the first oral drug for male infertility.
VERU-111, our novel oral alpha and beta tubulin inhibitor, think of it as an orally-administered chemotherapy. We started the manufacturing process for drug active pharmaceutical ingredients that we need to complete to pre-clinical studies. We plan to file the IND in early 2018 and then start the open label Phase I clinical trial shortly thereafter. We plan to work with the Johns Hopkins Cancer Center and will include metastatic prostate cancer as well as broadly other types of taxane-resistant cancers, including lung, ovarian, breast, colon, pancreatic and head and neck.
I will now turn the call over to Dan Haines, CFO, to discuss the financial highlights. Dan?