Simon Pimstone
Analyst · Canaccord. Your line is open
Thanks very much, Jodi, and good afternoon everyone. Thank you all for joining Xenon on our conference call and our webcast today. We're very pleased with our progress in 2015. We executed well on our pipeline partnering and financial management strategies, while continuing to operate in a capital-efficient manner in order to achieve our near-term goals. We believe we are very well-positioned to build on our accomplishments going forward, and anticipate multiple milestone opportunities in 2016. These include data readouts and pipeline progress to fuel the growth and the expansion of our development portfolio. We believe that our business model of leveraging partnerships to participate in large market indications such as pain, combined with our focus on rare or orphan indications in our proprietary programs such as severe childhood epilepsy disorders enables us to pursue multiple diverse therapeutic and commercial opportunities. In this way, we intend to continue to grow and mature our company to expand our pipeline and to bring novel treatments to patients. To review our accomplishments in 2015, I'll start with our proprietary pipeline. We made very good progress with our lead proprietary development program, XEN801, a promising potential treatment for patients with moderate-to-severe acne. At the end of 2015, we completed the Phase 1 study. In February of this year, we achieved a major milestone by initiating the Phase 2 trial. By brief way of background, XEN801 is a novel, topically-administered selective small-molecule inhibitor of the enzyme known as stearoyl-Co-A desaturase-1 or SCD1, an enzyme involved in lipid synthesis that is expressed in sebaceous glands in the skin. We believe that XEN801 can have an impact on acne via two very distinct mechanisms. Firstly, by reducing monounsaturated fatty acids to reduce the production of sebum lipids, these are the lipids produced by sebaceous glands. And secondly, by inducing apoptosis or cell death of the sebaceous glands, thereby reducing their size and number, essentially limiting the factory of lipid production in the skin. We have tested this mechanism in human sebocyte cell lines, and have demonstrated an ability of XEN801 to increase levels of important transcriptional regulators of apoptosis, such as the gene known as Lipocalin, or NGAL. This is the mechanism by which the retinoic acid products have their effect in treating acne. However, XEN801 achieves this endogenously, and not through high-dose retinoids. We believe that these data supported differentiated mechanism of XEN801 compared to other drugs that are either approved or that are in development for acne. Our Phase 1 trial was conducted in 48 healthy volunteers. Doses were either a 14 or 21-day treatment period. A number of different dose volumes of the 1% XEN801 drug product were evaluated, with dosing on the back and the face to determine the maximum tolerated dose. We selected a Phase 2 dose based on favorable tolerability and skin drug concentrations. While maximal plasma concentrations of XEN801 were low, importantly the median skin concentration of XEN801 was above the drug concentration predicted for efficacy for all those volumes evaluated. The Phase 2 trial underway is a randomized double-blind vehicle-controlled parallel group study designed to evaluate the efficacy, safety, tolerability, and systemic exposure of XEN801. We expect to enroll approximately 150 patients with moderate-to-severe acne, and anticipate top-line results in the fourth quarter of this year. We believe that XEN801 is a promising novel treatment for acne, which we anticipate could be better tolerated, and without the serious side effects that often limit the use of currently approved retinoid treatments. Moving on, our program to develop a potent and selective inhibitor of the sodium channel Nav1.6 for the treatment of rare childhood epilepsy disorders such as the orphaned disease, Dravet Syndrome, continues to progress well. In addition to this Dravet Syndrome, which is a channelopathy caused by Nav1.1 loss of function. We are also extremely interested in other cases of pediatric encephalopathy, such as SCN8A epilepsy, which is caused by a gain-of-function mutations in the sodium channel Nav1.6. We have identified potent, selective Nav1.6 inhibitors, and results from early in vivo studies have been very encouraging, where we have seen preclinical efficacy in an animal seizure models. We expect to identify a development candidate in 2016, with a compelling preclinical package in order to file an IND application in the first half of 2017. We believe that the progress we are making with both XEN801 and our Nav1.6 inhibitor programs underscores the value and productivity of our Extreme Genetics, an ion channel drug discovery platform. We are continuing to leverage these capabilities to identify validated drug targets and develop new product candidates in 2016, which could provide opportunities for additional partnering as well as expansion of our proprietary development portfolio. Now I'll discuss our advancing programs in our partnerships with Teva and Genentech. In our pain collaboration with Teva, the development of TV-45070 in neuropathic pain is continuing as planned. TV-45070 targets both targets both Nav1.7 and other sodium channels to treat conditions of chronic pain. Teva is conducting a randomized double-blind placebo-controlled Phase 2b trial in approximately 300 patients with post-herpetic neuralgia. Results from this trial are expected in the second-half of this year. Teva continues to invest broadly in TV-45070, and in addition to the PHN study, has completed a drug-drug interaction clinical study, and a clinical maximal human use study. Both of which were completed with no concerns identified. Teva is also continuing all the necessary non-clinical and CMC [ph] activities to support late-stage clinical development of the TV-45070 product. Our partnership with Genentech, to development orally active selective small-molecule inhibitors of Nav1.7 for the treatment of pain is also progressing well. Genentech is currently conducting two Phase 1 clinical trials, one for the product GDC-0276, and the other for GDC-0310, two differentiated inhibitors of Nav1.7. We expect that pending a full assessment of the results from both Phase 1 trials, Genentech intends to initiate a Phase 2 trial in 2016. As we have noted before, we believe Nav1.7 is an important pain target, and having two Nav1.7 inhibitors in clinical development by our partner underscores the significant potential of this novel class of compounds as a new way to treat pain. And also underscore the productivity of our broad Nav1.7 focused discovery and development partnership with Genentech. We are also proud of the progress we have made in our second collaboration with Genentech, in which we are focused on the discovery of novel pain targets in rare human pain disorders, where individuals have either an inability to perceive pain or where individuals have non-precipitated spontaneous severe pain. In September, last year, we announced that we successfully discovered and identified a novel pain target, thus triggering a milestone payment. Considering the critical medical need for non-opioid-based mechanisms to treat pain, we are excited by the advancements we have made in this pain-genetics collaboration. We believe that we are well-positioned to lead the discovery of additional promising targets and mechanisms that can significantly enhance treatment options for pain. In reviewing 2015, we are thus encouraged by our considerable progress we have achieved last year, and our track record of execution. I'm also proud to report that we continue to attract world-class talents across our teams. Most recently, we hired Dr. Jim Empfield as our Senior Vice President of Drug Discovery. With prior experience at organizations such as Vertex and AstraZeneca, Jim comes to us with a strong track record of identifying and delivering high-quality drug candidates into development. We believe that we have advanced our pipeline in 2015, managed our resources carefully, and maximized our ability to execute broadly and well. Looking ahead, key to our growth as a company is the parallel strategy of advancing both our partnered and our proprietary programs as well as continued cultivation and mining our discovery platform as a source of novel target for development. The remainder of the year, we expect to continue to advance in a numerous important milestone opportunities. We look forward to completion of the 150-patient Phase 2 trial of XEN801 in patients with moderate-to-severe acne, with results expected later in the year. We are on track to identify a development candidate to address severe forms of childhood epilepsy within our Nav1.6 sodium channel inhibitor program followed by filing of an IND application in the first half of 2017. We also expect continued progress towards identifying our next target for drug discovery and development. We anticipate results in the second half of 2016 from Teva's ongoing Phase 2b clinical trial for TV-45070 in patients with post-herpetic neuralgia. We anticipate completion of the GDC-0276 and GDC-0310 Phase 1 clinical trials being conducted by Genentech followed by an assessment of results and progression to Phase 2 this year. We expect to continue to make progress in our pain genetics collaboration with Genentech. And we look forward to providing additional updates as they become available on the commercial launch of Glybera in the EU by our licensee uniQure's commercial partner Chiesi. I believe that Xenon is well positioned to continue to advance, expand, and diversify our pipeline, and look forward to 2016 being a year of significant continued growth and progress. Now, before opening the call up for questions, I would like to ask my colleague, Ian Mortimer to review our financial performance for 2015. Ian?