Cameron Reynolds
Analyst · The Benchmark Company
Thanks very much, Tom, for that comprehensive update, and thanks to all the veterinary team for their hard work this quarter. It's an exciting, fast-moving part of our business, with significant potential for not only helping man's best friend, but also in generating significant revenue for the company. I look forward to our first deal signed and the launch of our second product in the cancer treatment monitoring expected in 2022. And from one exciting part of our business to the other, Nu.Q NETs, NETosis. I'm delighted that our team is involved in such cutting-edge research with several internationally renowned institutions. As a reminder, we believe our Nu.Q NETs assays have wide applicability for monitoring diseases with a NETs component such as COVID-19, influenza, sepsis, autoimmune disease and even cancer, and potentially to risk stratify patients for treatment selection. During this quarter, our new product manager, [Remy Rebus], joined the team and is spearheading the NETosis product development and has immediately focused on defining the intended use of the product and our regulatory strategy. I am delighted to announce that we expect to register CE marks on our first Nu.Q NETs product across multiple platforms, including ELISA plate, automated beads, and a proof of concept on very high throughput platform by the summer of 2022. These are ambitious but achievable targets, given the huge amount of background work we have done on our platform. We intend to register our Nu.Q NETs product with a broad, almost C.R.P. tyle claim for the detection and evaluation of infection, tissue injury, inflammatory disorders and disease associated with NETosis. We believe that not only is this broad claim achievable, it also gives us the largest possible market opportunity. By way of example, C.R.P., C-reactive protein, is used extensively around the world with approximately 85 million tests each year. We are also in process of developing our U.S. clinical study plan, which is likely to start with a pilot study in the second half of 2022, using the CE mark product as a base. But more details of this will be announced in the coming months. Other NETosis-related activities this quarter included the publication of data at an International Congress by two collaborators from leading U.K. hospitals using the Nu.Q NETs assays in COVID-19 studies. These posters included early safe data, showing that the results for the Nu.Q NETs test on admission could predict future COVID-19 disease severity and that serial results correlated with disease progression, a fantastic result and great for the data to be reported at such a prestigious congress. We are pleased to be making progress in our more rigorous approach to present data where we can in either peer-reviewed papers or at conferences. However, it does mean a lag in time from study results to publication. By way of example, the data from these studies was finalized in February-March, however, only released at the end of July. That said, these studies resulted in strong findings, and I'm delighted to say we have further large studies completed in COVID-19 in sepsis, which are now awaiting the finalization of data analysis and publication, as well as studies in other diseases in progress with the results expected in the coming quarters. So to summarize where we are in what I think is an extremely exciting new area of our use of our proprietary Nu.Q platform. We have had excellent results to date with a range of different world-class collaborators, with more results to be published, and we are now shifting gears to focus on the regulatory registration to transform these results into a range of products worldwide starting in Europe. Given the broad use claim that we have identified to date and our expectation for further identified uses, we have already expanded the team to include a very experienced industry professional to help us with this process. We anticipate our first CE Mark NETs product in the summer of 2022 across several platforms, and to outline the full strategy for an FDA approval of NETs products in the next few months. Moving on from Nu.Q NETs to our work in human cancer. As I have said on previous calls, unfortunately, given the pandemic, some, but thankfully not all, of our studies have been affected due to the very difficult collection and enrollment environment, and we have pivoted to those areas we can still make progress during lockdowns. The brightest note in this pillar during the pandemic is Asia, where we have reached our target patient cohorts for both colorectal and lung cancer, all collected in conjunction with the National Taiwan University, a fantastic effort by the team there. We are excited to have completed preliminary analysis of the colorectal cancer study, both asymptomatic and symptomatic populations, and have submitted these findings for presentation at a conference in early 2022. We are excited to have just completed preliminary analysis of the lung cancer study and also look forward to reviewing with Professor Chen and his team ahead of publication either through a clinical paper or a conference abstract. As previously reported, collection for the U.S. EDRN study reinitiated enrollment in June of this year. The latest update is that enrollment has been slow but steady. The EDRN have diverted some efforts to drive recruitment. And as announced during the last earnings call, we anticipate study completion in the fourth quarter of 2022. Our two U.S. blood cancer studies have also been impacted to varying degrees by the pandemic due to collection and protocol issues. The smaller proof-of-concept monitoring study is ongoing, and interim analysis of a small subset is promising so far. However, due to missing samples, we are not in a position to publish data yet and so the collection continues. And we look forward to analyzing a more complete data set in 2022. Given the pandemic delays in the larger NHL study of over 1,000 subjects, we have taken the opportunity to alter the study protocol and are in the process of upgrading the platform through a high throughput platform, which will help facilitate an FDA-compliant product. Consequently, we now expect the study to initiate recruitment in the first quarter of 2022, with the study completion anticipated in 2023. Something that became more apparent during the pandemic and in particular in relation to the U.S. studies is that we have been under-resourced in the U.S. from a personnel perspective. And so now we are really shifting gears to expand our U.S. operations. The delays have been primarily due to lockdowns. However, we are using the time to greatly strengthen our U.S. team and operations to be robust enough to handle multiple FDA studies in both human cancer and NETosis, and we are outsourcing an FDA-compliant U.S. production facility for a range of products. Dr. Gaetan Michel, our Chief Operating Officer, has recently relocated to the U.S. and have started building out the team with roles expected to be filled in the quality, regulatory and manufacturing functions. He is a brilliant operator, having built the Belgian Volition team up from 10 people to about 50 and commissioning both our R&D and production facilities in Belgium. Now he has been tasked with upgrading our U.S. operations. Dr. Terry Kelly has also continued to recruit team members for our innovation hub in San Diego, many of whom are concentrating on our next pillar to discuss Nu.Q Capture. As I've said on previous calls, we believe the Nu.Q Capture technology will be transformational as a DNA enrichment technology, which could potentially aid diagnosis, treatment selection and both treatment and disease monitoring and used in combination with either sequencing and/or our Nu.Q assays. We have made great progress this quarter in the Nu.Q Capture program, having now identified multiple methods for enrichment and have continued to conduct experiments in studies utilizing different applications such as mass spectrometry, and Tom mentioned earlier on the call, we have recently published a poster with the Vet Cancer Society meeting using our Nu.Q Capture technology in dogs with lymphoma. It is exciting to see our pillar of Nu.Q Capture branching out in terms of research from humans to veterinary users as well. We feel this extremely cutting-edge use of our Nu.Q platform will be a key part of the product development from next year on. And lastly, to reiterate, as part of the U.S. team expansion, we've added a number of hires to our early research innovation team based in California State University in San Diego, another gearshift for sure, and so I look forward to sharing publications and data on that front in the coming quarters. We have made significant amount of progress on many of our pillars this year. It really is shaping up to be quite an amazing year for us despite the challenges of the pandemic. To wrap up the call, I will now pass over to our Chief Financial Officer, Terig, for the all-important financial report. Terig?