Cameron Reynolds
Analyst · Jason McCarthy of Maxim Group. Please proceed with your question
Thank you everyone for joining VolitionRx call today. I especially appreciate that given the busy earnings call season. Let me first start by saying how extremely excited it is to see our field of epigenetics become so mainstream over the past year, which has always been our hope. We have been working for a decade now to develop our epigenetics platform, intellectual property, team and products and so to see this all come together at a time when epigenetics has become so widely accepted one could even say hot is incredibly gratifying and shows the amazing vision of our scientific team. To every one of our team members, I am in owe of your fortitude and grateful for your perseverance particularly given the fact that cutting-edge innovation is really a straight line. I'm happy to say that we have great momentum and have made significant progress on many fronts over the past 12 -months, particularly in assay and platform development with our Nu.Q capture program, our colorectal cancer and lung work, Nu.Q Vet in collaboration with Texas A&M University and most recently with the acquisition of Octamer to expand our capabilities in epigenetics and further our goal of bringing all three components of our test in house. Firstly though given this is our 2019 full-year earnings call; let me start with the financials. We close out 2019 with $17 million in cash and cash equivalents versus $13.4 million at the end of 2018. We continue to enjoy exceptional shareholder support throughout the year receiving $16.6 million in cash proceeds upon the exercise of warrants by existing shareholders. We also further strengthen our balance sheets with additional non-dilutive funding driving $3.3 million from New York stock program and various governmental agencies, taking our total non-delivery funding to date towards $7.6 million. We are really proud to be able to have done all of our work with a consistent and remarkably low monthly cash burn rate of approximately $1.3 million a month throughout 2019. We continue to manage cash very carefully and believe that we are in a solid position with regards to financial runway to achieve our key 2020 milestone. During 2019 and into 2020, our organization grew significantly. Our laboratory team expanded appreciably to include, among others, the appointment of an Assay Validation Expert who has been instrumental in taking our assays forward. We have also added two new operating subsidiaries with the formation of Volition Veterinary Diagnostics in June of last year and the acquisition of our epigenetics reagents subsidiary, Octamer in the early part of 2020. In connection with the formation of Volition Veterinary Diagnostics, we welcomed Nathan Dewsbury as its Chief Executive Officer and through our collaboration with Texas A&M University, Dr. Heather Wilson-Robles to the Nu.Q Vet team as its Chief Medical Officer. In connection with the acquisition of Octamer, we expanded our Scientific Advisory Board to include Dr. Adrian Schomburg, one of the world's leading experts on Nucleosomes and founder and CEO of Octamer. We also welcomed Dr. Phillip Barnes to our Board of Directors. I'm delighted that throughout 2019 and indeed in to early part of this year, we have been able to convert memorandums of understanding into executed contract with price and low math in relation to our first studies in China. Also with the National Taiwan University conduct our first large scale lung cancer study, and with Texas A&M University to collaborate on the development of our Nu.Q Vet products, and most recently, with the completion of our acquisition of the Reagents company, and recovered a nucleus m expert Octamer, which represents the company's first acquisition. I'd like to thank the team for all their hard work in developing relationships with these people and writers and executing on the above transaction. And I'm delighted with all the work underway. And so through our research, development progress, we have completely re-engineered on Nu.Q clinical assay in all six key areas. I will outline shortly. This has led to a step change improvement in analytical performance and, as importantly, made our asset very robust and reproducible, so that they can be adapted to a broad range of platforms in almost any lab in the world. We expect this enhanced analytical performance to translate into improved Clinical performance in the studies be carried out and reported in coming month. Relative to our Elisa plate Nu.Q assay format. The recently developed magnetic particle based assay format demonstrate a 10 to 20 fold improvement in the analytical sensitivity of assay typical within the reproducibility of quantitative test results below 3% previously below 10% decrease in test result turnaround time from six hours to approximately one hour and 20 minutes, allowing much higher throughput, which is crucial for it to be truly a routine tests. The ability to be developed and process on fully automated random access platforms, which enables the use of a wide range of the commercial automated platforms. I'm incredibly proud of the effort the whole team has made in the assay development program over the past two years. We are now very close to finalizing our blood plasma samples pre analytic with these assays and now excited to utilize these automated magnetic chemiluminescence assay in our clinical studies, and aim to start reporting data during the current quarter and throughout 2020. We have continued to create assets in the six key areas referenced earlier, developing recombinant nucleosomes as caliburn, which provides for assay specificity, and reliable quantization. We previously developed synthetic nucleosomes with our partners that have now brought this expertise in house with the recent acquisition of Octamer in January of this year. Also by internalizing key processes such as chemiluminescence antibody labeling, and coating of magnetic b. This secures our supply chain and provides flexibility to speed up or assay development work. Next by moving from a micro tighter plate format to magnetic particles based assay format, this improved assay kinetic and hence assay sensitivity and reduces assay time and increases assay throughput. Moving from a traditional colorimetric endpoint format to Akemi luminescent endpoint. This further reduces background noise, leading to additional improvements in assay sensitivity, as well as greatly extending the usual range of the assays. Moreover, the combination of a chemiluminescence endpoint with a magnetic type assay format greatly improves the specificity of our assays. Finally, moving all these improvements on to an FDA approved automated immuno assay analyzer, which is currently in clinical use across the United States and Europe. This further decreases assay processing time and greatly increases the reproducibility and reliability of as a result. So does the same correct result is produced from any patient sample, regardless of where or when the test is done, or who operates the instrument. And maybe from blood serum to blood plasma as a test sample, which also reduces assay interference. In terms of the all-important clinical accuracy over the past 12 months, as we have been working on the aforementioned assay development, we have completed some proof of concept studies to assess clinical performance. While this work is yet to be completed for the finalized assay, preliminary results were extremely encouraging that for even the development essays, we saw a hot ever area under the curve performance in blood cancer at 91% and in lung cancer at 85%. In addition to reporting positive data in colorectal cancer, as of today, we have four finalized bead based Nu.Q assay and anticipate the further four we've finalized by the end of this quarter. We're excited to then report the clinical performance as both individual assays and in the panel combinations across the range of cancers and expect to release news in the second quarter of 2020 and beyond. By the end of the second quarter of 2020, we also plan to obtain C Mark on the traditional plate format of one of our Nu.Q assays. We believe this will be useful around three hours product. With regard to our large scale clinical studies, collection is well underway in a national town university studies, with over 5,500 samples collected in the colorectal cancer study, and almost a third of the targeted samples already collected in the MTU lung study. In the US, we have currently agreed with the early detection research network of the National Cancer Institute to amend our previous agreement for the gleaned 10 colorectal cancer screening trial. The recent decrease in the incidence of new colorectal cases reduces the number of available qualified subjects for gleaned 10 and we utilize the completion of our study. To address this, DDRN is combining subjects accrued in gleaned 10 with subjects previously collected study glean 7, and has reactivated glean 7 to prospectively collect approximately 400 new colorectal cancer cases under a newly designed the protocol. The aim of the new study design is to collect large cohorts allowing validation of biomarkers for the early detection of colorectal cancer. Our financial contributions to the previous glean 10 studies, which has already been tied by the company will fully satisfied the company's financial obligations for the ongoing glean 7 studies without further payments. The changes to the DDRN studies should not affect our FDA approval strategy, as we still plan to use the study to support our PMA application for colorectal cancer screening product. On the Veterinary side of the business, I'm absolutely delighted with the rapid progress that our team is making. At Texas A&M University, we are now in the process of securing the same machines and automate as we use an absolutely in Belgium, so that the same work can be concurrently carried out on humans and animals at separate locations. This will likely help broaden our knowledge in both human and animal diagnostics, as the work today is proving very similar, associate professor Dr. Heather Wilson with the Texas A&M College of Veterinary medicine, who also work as Chief Medical Officer Evolution Veterinary diagnostics. We are thrilled to formally welcome Heather to the team. It is hard to believe that we only signed the contract with Texas A&M in October of last year. And so much progress has already been made. The preclinical work is almost completed and our first two clinical studies are underway. We plan to get the news out quickly and have a busy conference calendar with a number of abstracts submitted and old presentations already confirmed at some prestigious conferences throughout 2020. So watch this space. I appreciate I've said this on previous calls. But we believe that the Veterinary market presents a significant commercial opportunity for Volition and it creates very little by way of additional costs, given the fact that utilizes the same intellectual property with same assay, the same formats et cetera as we use in our other market. I truly hope that we'll be able to launch our first Nu.Q Vet products during this year. As announced earlier this week, our many years of research in epigenetics have now led to the development of multiple new novel epigenetic tools in our Nu.Q Capture program. For it is only in cancer diagnostics, but hopefully in other areas to. Our team could not be more excited by the potential of these newly developed tools that they believe will lead to a significant shift in epigenetic based blood test. We aim to leverage our technologies to establish a leadership position in epigenetics. We have developed and filed patent applications on our novel Nu.Q Capture based epigenetic tools, in addition to our base Nu.Q assay format to decide for the epigenetic and environmental profiles of cancer nucleosomes with the aim of using this platform in several key areas. Firstly, Nu.Q Capture methods to enrich cancer nucleosomes and simplify sequence based liquid biopsies. Secondly, use our Nu.Q Capture method to isolate and attack nucleosomes from plasma mass spectrometry analysis in the framework of both biomarker discovery and clinical diagnostic. Thirdly, by using our Nu.Q Capture technology to measure global methylation patterns in a simple format, fourthly, use our Nu.Q Capture technology to concentrate nuclear thermal markets prior to our Nu.Q assays with the aim of increasing accuracy. And finally, using our Nu.Q platform to detect and measure circulating nucleosomes and transcription factors, with the potential to be tissue specific, and therefore cancer specific, this if successful, could result in a simple blood test for multiple cancers. This is very exciting. Volition is using these tools to expand diagnostic developments that focus on circulating DNA fragments analysis to a broader and potentially more powerful investigation of the epigenetic status of a patient circulating chromosome fragment. In addition to our ongoing work with this assay base format in a range of cancer. We expect to announce patient data demonstrating the wide utility of these new methods in the coming months and beyond, and are looking forward to abstract, posters and papers to be published as well. Overall, our research and development team has made remarkable progress, while still keeping our cash burn rates low and consistent with prior quarters. I would like to thank our entire team for their tireless efforts. On the intellectual property front, a worldwide portfolio of granted patents that protect various aspects of Volition Nu.Q technology is growing steadily. We believe this is another key differentiator with the many other technologies under the development or available in the market. We have 23 patent families related to our diagnostic test, with a total of 44 patents granted, including eight in United States, nine in Europe and a further 27 worldwide. Additionally, we have 105 patent applications pending including 13 in the U.S., 10 in Europe, and further 82 worldwide. Our patent portfolio also covers veterinary medicine applications. We intend to continue our work in the field of epigenetics through the development of our proprietary Neucleosomics [ph] technology, and will continue to apply for patents for future product development. Our strategy is to protect the technologies and gain market exclusivity with patents in Europe and the United States and in other strategic countries. We believe that the patents on the technology underlying our products should provide broad coverage for each product, including protection through at least 2031. And so, I will now cover the recent past and future plans. We announced in December of last year our intention to acquire epigenetic reagent company Octamer, and we're delighted to quickly close the transaction in early January. This very strategic acquisition helps secure the supply of one of the key components of our Nu.Q test through accommodated nucleosomes use as the calibrant in addition to other know-how and expertise. Since the signing of this agreement just last month, members of our Belgian R&D team have already commenced their training with Dr. Adrian Schomburg and his team at Octamer in Munich, and we're already developing the capability to manufacture recombinant nucleosomes ourselves. We believe that this work will further our goals of becoming one of the world's leading epigenetic companies. In addition to nucleosomes, we plan to manufacture and sell histones, optimas and DNA templates to third parties. These reagents can be used for custom applications in epigenetic research and drug discovery, and help drive early revenue for the company. We also plan to expand our service offerings to run samples with our owned service of our Belgium later this year. Looking ahead to the future, I would like to reiterate our vision and what makes us so excited with the progress in our space. Volition is an epigenetic company focused on advancing the science of epigenetic and exporting these advances in human health. This has been our mission since our founding. And it's come to fruition with our Nu.Q platform at the very heart of epigenetic. But we say the epigenetic is as, if not more important than the genetic DNA in short, it's not DNA is the full chromosome. We believe the last decade of work at Volition with our ever expanding team in epigenetics puts us in an extremely strong position with our expansive IP portfolio to be a significant player in this key field. We also intend to further strengthen our supply chain for key components by bringing them in health. Overall, on so many fronts, without ever growing team and IP I'm delighted with the progress we're making. And I'm excited by the momentum we have developed in this epigenetics field. We look forward to announcing the next and hopefully final step in demonstrating the clinical utility of our Nu.Q capture for both sequencing and our immune assay approach in the first half of this year. Our whole team, including our scientific advisory board, who met just last week, is incredibly excited by the company's future opportunities. With regards to conference abstracts, posters and clinical papers, we hope to be able to release news around some of the major conference this year. Exciting times indeed. We aim with our solid cash position to report throughout this year and beyond several key milestones, including Nu.Q ability to detect a range of cancers in both humans and animals. In addition to our clinical data and Nu.Q Capture. We're absolutely delighted to be working with our collaborators from around the world, all of whom have outstanding reputations and share our aim in improving early diagnosis of cancer and other diseases. I along with the rest of the board, and indeed the whole company, look forward to sharing the results of key studies over the coming year with our optimized platform. We expect 2020 to be most exciting year yet. Thanks for joining the call today. I very much appreciated, given the busy earnings call season. I'm now very happy to take questions. Operator?