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Voyager Therapeutics, Inc. (VYGR)

Q3 2016 Earnings Call· Thu, Nov 10, 2016

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Transcript

Operator

Operator

Good morning and welcome to the Voyager Therapeutics third quarter 2016 financial and operating results conference call. At this time, all participants are in a listen-only mode. Following the formal remarks, we will open up the call for your questions. Please be advised that this call is being recorded at the company's request. At this time, I’d like to turn the call over to Matt Osborne, Voyager’s Head of Investor Relations and Corporate Communications. Please proceed.

Matt Osborne

Management

Thank you. Good morning and welcome to Voyager Therapeutics third quarter 2016 financial and operating results conference call. This morning, we issued a press release which outlines these results. The release is available at voyagertherapeutics.com. Today, on our call, Dr. Steve Paul, Voyager’s President and CEO, will discuss the program highlights. Jeff Goater, Voyager’s CFO, will review the financial results and then we’ll open up the call for your questions. Dr. Bernard Ravina, Voyager’s VP of Clinical Development, will join us on the call for the Q&A period. Before we begin, just a reminder that the estimates and other forward-looking statements included in this call represent the company’s view as of today, November 10, 2016. Voyager disclaims any obligation to update these statements to reflect future events or circumstances. Please refer to today’s earnings release as well as Voyager’s filings with the SEC for information concerning risk factors that could cause actual results to differ materially from those expressed or implied by such statements. With that, let me pass the call over to Steve.

Steven Paul

Management

Thank you, Matt. And good morning, everyone. The third quarter for Voyager was a very productive one as we continued to advance our lead program for advanced Parkinson's disease, moved our earlier-stage programs closer to the clinic and completed a licensing deal for a group of novel AAV capsids that should increase our ability to deliver genes more efficiently to the brain and spinal cord. This creates strong momentum for the company as we begin to report preliminary clinical data for our lead program in early December and into 2017 and begin to move our second program towards the clinic. Let’s turn first to our lead program, VY-AADC01 for the treatment of advanced Parkinson's disease. As you know, our goal with this treatment is to turn back the clock on the treatment of motor symptoms for the estimated 100,000 plus patients in the US alone who suffer from the advanced stages of the disease and to allow them to now respond levodopa the way they initially did during the earlier stages of their disease. Levodopa is the most efficacious treatment for Parkinson's disease and gets converted in neurons in the brain to dopamine by an enzyme called aromatic L-amino acid decarboxylase or AADC. But as the disease progresses, patients lose their ability to convert levodopa to dopamine as neurons in the mid-brain that contain AADC die. These later-stage patients have erratic short-lived responses to levodopa and related drugs and subsequently experience worsening and debilitating symptoms of immobility, such as rigidity, falling, difficulty with speech and swallowing, with patients often requiring the daily assistance of a caregiver. Consequently, these advanced patients require higher and more frequent doses of levodopa, but it’s often difficult to find a medication schedule that provides consistent relief of their motor systems symptoms throughout the day. And…

Jeff Goater

Management

Thanks, Steve. The company exited the third quarter with a strong balance sheet and continued to execute on all aspects of the business, as Steve just discussed. In this morning's press release, we reported a GAAP net loss for the third quarter of 2016 of approximately $9 million or $0.35 per share compared to a net loss of $6.9 million or $5.25 per share for the same period in 2015. R&D expenses for the third quarter of 2016 were approximately $10.3 million compared to $6.5 million for the same period in 2015. The increase in expenditures was primarily due to R&D, manufacturing and personnel costs associated with Voyager pipeline progress. G&A expenses were approximately $3.4 million for the third quarter of 2016 compared to $2.5 million for the same period in 2015. The increase was largely due to G&A personnel associated with the growth of the company, as well as expenses related to operating as a public company. We reported cash, cash equivalents, and marketable securities totaling approximately $191 million as of September 30, 2016, compared to approximately $204 million at the end of the second quarter of 2016. Voyager now expects to end 2016 with cash, cash equivalents and marketable securities of approximately $170 million to $175 million, modestly above our previous year-end projected cash balance of approximately $160 million. The adjustment to our year-end cash guidance is primarily due to decreased spending related to pipeline prioritization activities for VY-SMN101 and the timing of certain payments for planned R&D expenses and facilities expansion. Voyager continues to project that its cash, cash equivalents and marketable securities will be sufficient to fund operating expenses and capital expenditure requirement into 2019. With that, we would now like to open the call up for questions. Operator?

Operator

Operator

Thank you. [Operator Instructions] Our first question comes from Phil Nadeau with Cowen & Company. Your line is open.

Phil Nadeau

Analyst

Good morning. Thanks for taking my questions. I guess, first one on the posterior trajectory study or cohort, a skeptic would say that maybe you haven’t seen what you wanted from the first patients in cohort 2 and that’s why you feel you need to go to a higher dose or at least aren’t concerned about going to a higher dosing coverage in terms of side effects. How would you dissuade a skeptic of that notion?

Bernard Ravina

Analyst

Hi. Thanks, Phil. This is Bernard. Good question. Just to take a step back, so we’ve made tremendous progress in terms of delivery. So, the data that we’ve released for Cohort 2 with 34% coverage, that’s probably five to seven-fold better coverage than has been achieved in any previous gene therapy trial. And we went from 21% in the first cohort to 34% in that second cohort. So, we feel very good about the progress we’ve made on delivery. And as you know, we’ll be putting out topline clinical data from those first two cohorts with six months of follow-up in December. In terms of the posterior trajectory study, really, the goal there is to make the delivery even more efficient than we’ve done already. So, what we do with that posterior delivery [Audio Gap] the cannula, better with the long access of the putamen, which is sort of an overall structure. So, what we think we’ll be able to accomplish there is fill the putamen perhaps even more, but do it more efficiently with the fewer capsids of the cannula. So, really, what we're looking to is to sort of optimize the delivery approach to put us in the best possible position for efficient surgeries across several sites that we would use to start the next clinical trial.

Steven Paul

Management

Phil, this is Steve. Let me just add. This posterior trajectory study was actually preplanned. We had planned this awhile back. And as Bernard said, our goal is really to – in this summer – next summer, to get to the point where we've said, look, this is the dose and this is the surgical protocol or trajectory that we’re going to use in our pivotal trial. And so, we want to spend as much time as we can from now till then optimizing it, but in no way, shape or form are we doing that study because we've seen data that's discouraging at this point in time. Obviously, we can’t talk of what that data is. We will in a matter of few weeks, if you will. But it's not anything due to that. Anything we can do to optimize things before we pull the trigger on a sham controlled or placebo controlled trial, all the better from our standpoint. So, we're working really in parallel, not in series at this point.

Phil Nadeau

Analyst

That’s clear. And maybe one follow-up on the comments that this will be more efficient. I take that to mean maybe the patient could be immobilized for less time. Do you have a sense or a guess as to how for the average patient this could decrease the time that they are undergoing a procedure?

Bernard Ravina

Analyst

Certainly, the idea is it could make it a shorter surgery and we will just have to see how it goes to see how much time we take off. But that's really the general idea, is make it more efficient and have it as optimized as we possibly can by the time we start that randomized trial.

Steven Paul

Management

And let me just say that the current protocol may be the one that we ultimately use, but we really do – we’re excited by some of the data that we've seen on this posterior trajectory and we really do want to explore it before we make a final decision, as to which exact protocol we go with.

Phil Nadeau

Analyst

Okay, perfect. And then one follow-up on the Caltech licensing activity, do you plan to or – maybe is it possible that you could use some of those vectors in the next pipeline programs? So, could SOD101, for example, use one of the Caltech vectors?

Steven Paul

Management

Yeah. I think that we’ll probably – further along with our SOD1 program as far as the first-generation vectors go in terms what we will ultimately use, and as we've said I think already, intrathecal administration probably makes the most sense there. We are very encouraged by our ability to deliver genes to the spinal cord motor neurons to sensory neurons in the dorsal root ganglia at least in mice, Phil. And my guess is that we could switch over if we see encouraging data in non-human primates pretty quickly because I think we're all feeling better about liver exposure for some of these vectors. And I can tell you that in mice the data on delivery to those central sites in the spinal cord and brain are really spectacular, to be honest, so compared to current vectors like AAV9. So, we’re quite encouraged about those vectors and we’ll just have to see how that plays out for other programs and when to basically move forward with one of those capsids.

Phil Nadeau

Analyst

Got it. Thanks for taking my questions. And congratulations on the progress.

Steven Paul

Management

Thanks.

Operator

Operator

Our next question comes from Jim Birchenough with Wells Fargo. Your line is open.

Unidentified Analyst

Analyst · Wells Fargo. Your line is open.

Hi. Thanks for taking our questions. This is Yunnan Yin [ph] for Jim today. A couple of questions on the posterior trajectory method. Does this method – could it increase the coverage of the posterior putamen, which is the reason I think was highlighted before to be more important for the disease pathology?

Bernard Ravina

Analyst · Wells Fargo. Your line is open.

Yeah, it’s a very good question. It certainly could. Like, we mentioned in response to Phil’s question, we’re very pleased with the coverage we’ve gotten so far and we’re certainly getting coverage within the target range that we intended of about a third of the putamen or greater. But it absolutely could enhance our ability to cover the posterior putamen, which is where a lot of the motor fibers do kind of run through. And the reason for that is because the angle of entry really passes directly through that posterior putamen. So, the overall goal, as we said, is to make it a more efficient surgery that would be able to roll out to several sites. We could use the current approach, but there's potential for greater coverage and greater coverage in the posterior putamen.

Steven Paul

Management

Let me just add that if we see good data with the parietal, top-of-the-head sort of approach, we get more like 50%, 60% coverage with the posterior occipital approach and good safety in just a few patients. That would be a very encouraging sign as far as moving forward. So, we don't look at it as in any way, shape or form influencing what we've done so far, but really saying, ‘okay, well, maybe for the pivotal trial. Now, we’re going to go in this posterior, particularly if it does reduce surgical time and also enhance coverage.’ So, I think it's a very prudent and important thing for us to be doing and could put us in a great position, say, in the middle of 2017 as we continue to design and implement and eventually initiate that Phase II/III study.

Bernard Ravina

Analyst · Wells Fargo. Your line is open.

And it’s worth mentioning that this route for passive entry is one that surgeons already use for other surgical procedures. So, there’s quite a bit of experience with it and there’s quite a bit of experience with this same posterior approach in the real-time MRI guided surgeries. So, same hardware, same software has been used with this surgical trajectory. So, we feel very confident about it.

Unidentified Analyst

Analyst · Wells Fargo. Your line is open.

Got it. So, you’ve kind of touched upon my second question already, but just to clarify. So this trajectory, is it more challenging to administer? And also, for the site that you selected, is it the same site, i.e. UCSF and Pittsburgh, or is it being started at some different site?

Bernard Ravina

Analyst · Wells Fargo. Your line is open.

Good question. So, as we finish this current Cohort 3 – a very good question. So, just to take those consecutively, you asked if it was more challenging, no, it's really the same overall thinking and overall surgical procedure. The reason we started with that sort of top-of-the-head approach is that it’s one that was used for deep brain stimulation. So, there is experience with that comfort level, but this is a natural progression to move to the posterior trajectory. And people use that posterior trajectory for certain epilepsy surgeries, for which they also use the real-time MRI. In terms of the surgical sites, so, yes, we will continue with our two sites in this posterior trajectory, Pittsburgh and UCSF. And we’re adding two additional sites in the US, both very experienced with the real-time MRI and with experience with this posterior trajectory as well. So, we feel this will fit in very well with those sites and with the kinds of surgeries they’ve been doing. Was there another question in there?

Unidentified Analyst

Analyst · Wells Fargo. Your line is open.

No, no. Just one last question from us regarding the data readout in December, do we still expect – could we still expect three-month efficacy from at least one patient or perhaps more from Cohort 3?

Bernard Ravina

Analyst · Wells Fargo. Your line is open.

So, we’re going to focus the readout on Cohort 1 and Cohort 2. We really want to make sure that anything we present, there’s enough of it to be interpretable. So, that'll be the focus. Cohort 3, we’ve made excellent progress on. So, we started Cohort 3 in August. We expect to finish Cohort 3 no later than early next year. So, in terms of the pace of enrollment and surgery, that's going extremely well. But in terms of understanding clinical readouts, it’s just too soon to present that.

Steven Paul

Management

Yeah. We’re looking towards six-month data on those patients sort of towards the middle of next year. And I think as Bernard says, we could talk about one or two patients, but that could be misleading either way. We really think we need a good five patients to really make a strong statement as to what we’re seeing, both on the safety side, but also on the efficacy side of it.

Unidentified Analyst

Analyst · Wells Fargo. Your line is open.

Yeah, got it. Thank you very much. That’s very helpful.

Operator

Operator

[Operator Instructions]. Our next question comes from Katherine Breedis with Stifel. Your line is open.

Katherine Breedis

Analyst · Stifel. Your line is open.

Great. Thank you very much for taking my questions. Just to clarify again about Cohort 3, you had, as you know, previously mentioned that you will be showing potentially data from one to two patients of Cohort 3 in connection with the proof of concept readout that we’re now expecting in early December. Has anything changed your mind about why you may not show that data that would perhaps change your confidence in what that data may readout because, obviously, you’ve dosed a couple of them by now and would have some indication of how that may look on a comparative basis?

Steven Paul

Management

Yeah. Katherine, Steve here. No, nothing’s changed our mind. We’re going to have a lot of data on the first two cohorts. And as I said earlier, it's better for us, I think, to have all five patients dosed in that third cohort and to be able to make a more definitive statement. We’re excited about the fact that we’re going to be able to have that data and that we continue going up on the dose-response curve. Again, the goal here is that by the middle of next year, with both that data and posterior trajectory data, we should be in a good position to make the call as to what will the design of the sham-controlled, placebo-controlled trial look like. And that’s the whole purpose of what we're doing here. But we think we’re going to have enough data here on the first ten subjects, Cohort 1 and 2, to keep everybody busy, if you will, early in December.

Bernard Ravina

Analyst · Stifel. Your line is open.

Yeah. Also, we’re in the fortunate position, Katherine, of having a very data rich study of biomarkers around head skin [ph] and levodopa dosing that can really assess whether or not the mechanism and the pharmacology is active or number of clinical end points. And so, you need enough numbers per cohort to interpret those. And we’ll certainly speak to the observed safety in Cohort 3 to date. And we’ll let everybody know if we get any safety signals.

Steven Paul

Management

Yeah. If we saw some significant safety issue in Cohort 3, we’d have to make a statement about that. So, rest assured, that would occur, if it occurred. So, we will probably give you some understanding, if you will, of the safety on Cohort 3 too, along with the safety data on Cohort 1 and 2.

Katherine Breedis

Analyst · Stifel. Your line is open.

That’s great. Well, then two quick follow-up questions. Could you provide us some thoughts on how many patients you expect to enroll in the Phase I posterior trajectory trial? And secondly, could you also please provide us an update on your manufacturing of commercial-ready material in the event the shame-controlled study starting in the fourth quarter of 2017 could qualify for pivotal study?

Bernard Ravina

Analyst · Stifel. Your line is open.

So, we expect to – we have an upper limit in that posterior trajectory study of 16. I think within a cohort’s worth of subject. So, let’s say, approximately five subjects, we’ll have a good understanding of what kind of coverage and how the surgical procedure goes. So, that’s something that we hope to speak to by the middle of next year. I think we’ll be able to comment with good understanding on that. With that, we want to keep the sites while we get the rest of the data in, the six-month data from Cohort 3 in this study. We want to – and prepare for the start of the randomized controlled trial. We will keep our surgical teams operating to get more safety experience and get more overall experience with doing the surgeries. So, I would expect by the end of next year, we’d have somewhere between eight to ten subjects with that posterior delivery.

Steven Paul

Management

And, Katherine, on production, we’re making good progress. We don't anticipate any delays in having clinical trial material or commercial material for this program moving forward. As you know, we’re using a Sf9 process. We think this is a competitive advantage for the company and we’re very mindful of making sure that we can produce high quality GMP vector for all of our programs beginning with our Parkinson’s program.

Katherine Breedis

Analyst · Stifel. Your line is open.

And will that material be used in the – in any other patients prior to the fourth quarter start of the sham-controlled study or is that when it would first be applied?

Bernard Ravina

Analyst · Stifel. Your line is open.

Yes. We intend to use that in some of the posterior trajectory subjects.

Katherine Breedis

Analyst · Stifel. Your line is open.

Excellent. Great. Thank you very much.

Operator

Operator

And I’m showing no further questions. I’ll now turn the call back over to Steve Paul for closing remarks.

Steven Paul

Management

That concludes our call. We want to thank everyone for attending this morning and for your very thoughtful questions. We look forward to updating you on our progress in the very near future. Thanks to everyone.

Operator

Operator

Thank you, ladies and gentlemen. That does conclude today’s conference. You may all disconnect. And, everyone, have a great day.