Earnings Labs

Abeona Therapeutics Inc. (ABEO)

Q2 2018 Earnings Call· Fri, Aug 10, 2018

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Transcript

Operator

Operator

Good morning, and welcome to the Abeona Therapeutics, Inc. Second Quarter 2018 Earnings and Business Update Conference Call. Today's call is being recorded. At this time, all participants are in a listen-only mode. A brief question-and-answer session will follow the formal presentation. For opening remarks and introductions, I would like to now turn the call over to Christine Silverstein, Senior Vice President, Finance and Investor Relations.

Christine Silverstein

Management

Thank you and good morning, everyone. Today's call will be led by Carsten Thiel, our CEO. Following Carsten, Tim Miller, our President and CSO will present preclinical activity. After the update, Juan Ruiz, our CMO will join the question-and-answer portion. Before I turn the call over to them, I need to remind our listeners the comments made during this call may contain forward-looking statements that involve risks and uncertainties. Forward-looking statements on this call are made pursuant to the safe harbor provisions of the federal securities laws. Information contained in the statements is based on current expectations and is subject to change, and actual results may differ materially from forward-looking statements. Some of the factors that could cause actual results to differ are discussed in the reports filed with the SEC. These documents are available on our website at www.abeonatherapeutics.com. With that said, it is now my great pleasure to introduce to you Dr. Carsten Thiel. Carsten, you have the floor.

Carsten Thiel

Management

Thank you, Christine, and good morning everyone. The second quarter was marked with continued progress in our clinical, preclinical and corporate initiatives, which are critical to our continued success and mission to serve patients. And they aligned well with our strategic intent to deliver long-term growth and increased value for our shareholders. The strength of lead programs, which continue to demonstrate robust and durable clinical effects is underscored by the achievement of additional regulatory designations and the recent appointments of key executives. Notably, the opening of our in-house GMP manufacturing facility in Cleveland reinforces Abeona's ongoing commitments to confirming patients' lives and bolsters our position for commercial readiness. In a moment, I'll provide more details on the quarter's events, before turning the call over to my colleagues for additional updates on our programs, quarter financials and investor related events, we'll then open the floor for questions. But first, I'd like to take a moment to acknowledge the recent important leadership changes taking place at our company. In laying the ground work for the next stage of Abeona's growth, it is paramount to our future and we continue to established strong world class expertise and leadership in all functions of our company. The following changes are part of our transformation. I'm very pleased that earlier this month Max Colao, joined the company as our new Chief Commercial Officer. Max has more than 20 years of global pharmaceutical and biotechnology experience. Having most recently served as the Senior Vice President of U.S Commercial Operations at Alexion Pharmaceuticals. Over the past years, Max has led some of the most successful product launches of rare disease therapies in U.S history. I'm excited to welcome Max to the Abeona team as we look forward to key milestones in our rare genetic disease programs this year…

Tim Miller

Management

Thank you, Carsten. It's been an exciting quarter for our preclinical programs. In the second quarter we achieved an additional regulatory designation from the EMA for our ABO-202 program in CLN1 disease also know infantile Batten disease, an inherited genetic disease in new born that progresses very rapidly. Infantile Batten is our fourth lysosomal storage disease to receive multiple orphan product designations and has advanced to an INDA enabling study. So far there have been no safety signals and we anticipate that the study will be completed by year-end. The orphan drug disease designation given to the program by the EMA is the program's third regulatory designation. In preclinical studies, ABO-202, has demonstrated improved survival, cognition and muscle function in CLN1 mice with the disease that have been treated with a combination of intrathecal or intravenous delivery compared to mice administered with either an intrathecal or intravenous delivery alone. Our INDA enabling studies also continue for our CLN3 program, which has also received orphan drug disease designation by the FDA and EMA. As we near the clinical stage, we are enthusiastic to work with the leading Batten medical centers in the world University of Rochester and University of Humber. These clinical sites have devoted years of work in evaluating the Natural History Studies of patients with CLN3 and CLN1 and this Natural History Study data will be critical to evaluate efficacy in the upcoming clinical trials. We continue to expand and advance our aim at the platform with close to over 100 AAV capsids that has demonstrated enhanced selectivity for specific tissues compared to naturally occurring AAV capsids viable to multiple routes to administration. This has enabled our in-house pipeline development to expand and we look forward to continue to discuss these programs in more detail in the future. Large animal studies utilizing the drug ongoing where we are assisting different capsids for their potential to also provide second to third generation treatment approaches in patients that may have neutralizing antibodies to AAV stereotypes. This will enable next generation potentially clinically superior leading therapy approaches to gene editing and replacement strategies for rare diseases. Now that we have internal AAV vector core capabilities, we have concepts to commercial GNP manufacturing in-house to provide economies of scale for preclinical, for late stage clinical product. We look forward to being able to continue our product development in-house at our facility in Cleveland. It will be an exciting second half of the year. I'll now turn the call back over to Christine, who will review our second quarter financials. Christine?

Christine Silverstein

Management

Thanks, Tim. I remind the listeners that we have recently filed the Form 10-Q where you can get all the specific details on our financial results. But in summary our cash, cash equivalents and marketable securities as of June 30, 2018 were $120 million compared to $132 million as of the end of the first quarter March 31, 2018. Net cash used in operations for the capital expenditures for the three months ending June 30, 2018 was $9 million compared to $5 million in the same period of 2017, an increase of $4 million. Cash outflows were offset by inflows of approximately $600,000 from proceeds of the exercise of outstanding options and more. The total net cash outflow for the quarter was $8.4 million. From a revenue perspective, our revenues were $819,000 for the second quarter of 2018 compared to $217,000 for the similar quarter the year prior. A portion of the increased quarterly revenues consistent of a recognition of foundation grants that were announced in the fourth quarter of 2017. A portion of these grants were seasoned in the second quarter of 2018 and the amount recognized is matched against the corresponding expenditures. Additional revenues consistent of royalties from marketed products, primarily MuGard. Loss per share was $0.25 per share for the second quarter of 2018 compared to $0.21 per share in the comparable period in 2017. Total number of common shares outstanding as of the date we filed the 10-Q on August 9th was about 47.9 million shares. That's the summary of financials. We'll also be participating in several healthcare conferences throughout the remainder of this year, particularly coming up the Citi Biotech Conference in Boston September 5th through the 6th and in Jefferies Gene Therapy Summit on September 27th. And with that, I will turn it back over to Carsten.

Carsten Thiel

Management

Thank you Christine. In summary I'm excited about the progress that we have made across our pipeline over the recent quarter and even more excited about the upcoming work ahead of us that includes important milestones for our company. I want to thank our hard working staff, our investors, our clinical investigators and most of all our patients for working with us to develop potentially curative therapies for their devastating diseases. I will now turn over to the operator to open up for questions. Thank you.

Operator

Operator

Thank you. We will now be conducting a question-and-answer session. [Operator Instructions] Our first question comes from the line of Liav Abraham with Citi. Please proceed with your question.

Liav Abraham

Analyst

Good morning. Carsten or Tim, can you provide a little bit more granularity on maybe an update on your EB-101 trial. My understanding was that you meant to start the pivotal trial around mid-year. Where are you in this process? Maybe you can comment a little bit on your discussions with FDA? And any gating factors that have prevented you starting the trial thus far and when you anticipate starting this trial?

Carsten Thiel

Management

Yes. Good morning, Liav and thanks for the question on EB. Yes, I want to emphasize how important the EB program is for us. We're very pleased with the results of the Phase 1 study. We have communicated the impressive would-healing effect and look forward to making progress with this program. With respect to the Phase 3 trial. We have previously disclosed the second half and we are working diligently with our team in Cleveland, with the team in Stanford around our principal investigator, also with LCGM who provides the material for the Phase 3 trial, and together with FDA and finalizing the product and getting ready for this trial. So far, I can say we're very pleased with the progress. The conversations and the dialogue with FDA are very constructive. And I personally was delighted to see that the guidance or the draft guidance from FDA on clinical trials in EB patients has been consistent with our protocol development. Specifically with the endpoints, with patient reported outcomes and how the trial should look like. The second piece of confidence for us is that patients have gone through screening for the trial already. So we are on a good way for the initiation of the trial. The third piece is really getting ready from a manufacturing point of view. There is an enormous set of complex activities going on from essay development from training - hiring staff, training staff and test runs to get the site in Stanford ready for this trial. And as we progress to further milestones, we will disclose.

Liav Abraham

Analyst

Thank you. And then one additional question on your MPS IIIA program. I think you mentioned two additional patients enrolled versus your previous disclosed number. Can you provide the ages of those patients?

Carsten Thiel

Management

Yes, so the MPS III program or IIIA program is really our second lead program. It is very encouraging the progress that we have made. And I must say, our investigators in the U.S. and Spain and in Australia the collaboration with patients and parents has been just amazing. And the result so far that we have disclosed are very, very encouraging. I'll let Juan speak in a moment and give more color on patient identification and screening. But I want to highlight how important the changes that we agreed with FDA on the protocol to lower the age from two years down to six months. And for two reasons. One, it allows us to investigate this unique treatment in a broader age range. Secondly, it allows us to in the third cohort, which is most likely the dose that we are looking at for commercialization. In that dose that we can include patients at a younger age. And remember in the natural history study those patients at younger age are the ones who are not yet progressed on the pathological decline in neurocognitive function. So we haven't disclosed the individual ages of patients, but I'll let Juan provide a bit more context around the recent progress we had made.

Juan Ruiz

Analyst

Thank you so much, Carsten and thank you, Liav for this relevant question. As Carsten mentioned we have not disclosed the ages of the two additional patients that we have enrolled recently. But I cannot bang that they are on the younger side. And as you know based on the excellent safety record of the trial and the encouraging data, the efficacy data, with the agreement of our PIs and the [indiscernible] we proposed on the approved an amendment to enroll children down to six months of age. And there is a wide consensus in the medical and scientific community that younger children have better chances of getting benefit from the treatment. And so we are very, very pleased to be able to enroll the best potential candidates in our trial.

Liav Abraham

Analyst

Okay, thank you very much.

Operator

Operator

Our next question comes from the line of Justin Kim with Cantor Fitzgerald. Please proceed with your question.

Justin Kim

Analyst · Cantor Fitzgerald. Please proceed with your question.

Good morning. Thank you for taking the questions. Since enrollment of the first Sanfilippo B patient at the end of last year, could you share any feedback or progress that's been made since?

Carsten Thiel

Management

Yes, absolutely thank you, Justin. So the phase - the MPS IIIB trial is our third clinical trial very important for us because it's a second one in lysosome storage disease and important for us also from perspective of synergy with the IIIA program because we're looking at similar diseases, similar investigators and also fairly similar endpoints. I'll let Juan speak a bit about the progress we're looking at over the next couple of months. But for me, I think one of the most encouraging observations we have made even in the first patient is that we have seen no safety signals that would be of concern. We have seen preliminary efficacy results so far that are consistent with what we have seen in the IIIA program. And we've seen both on the side of substrate reduction, and enzyme activity remarkable effects even shortly after the treatment with a 300 fold increase in enzyme activity. So Juan why don't you give a bit more color what are the next steps in trial?

Juan Ruiz

Analyst · Cantor Fitzgerald. Please proceed with your question.

Yes. Thank you, Carsten. Justin our efforts are focused on actively screening candidates in the current clinical site of Nationwide Children's Hospital in Columbus, Ohio. But at the same time we are working significantly in opening additional new sites in Europe, which we are confident that as a result will increase our ability to reach and treat more patients on this particular condition. But as you know probably is less prevalent that Sanfilippo A or MPS IIIA and this provide additional holding. But as I said opening new sites in Europe during the second half of the year will help us to increase our ability to enroll and reach these patients.

Justin Kim

Analyst · Cantor Fitzgerald. Please proceed with your question.

Okay, great. And then maybe just to touch on that have there been any preliminary observation with respect to screen failure rates and how they may differ from the IIIA program?

Carsten Thiel

Management

Yes I think that - I push it on to you, Juan.

Juan Ruiz

Analyst · Cantor Fitzgerald. Please proceed with your question.

Yes, thank you. Well we have seen a similar rate of screen failures mainly associated with prevalence of antibodies for AAV9 as we have seen in the IIIA program, no differences on this regard except the prevalence is lower and this delay is obviously the identification of potential candidates.

Justin Kim

Analyst · Cantor Fitzgerald. Please proceed with your question.

Okay, great. Thank you for taking the question.

Operator

Operator

Our next question comes from the line of Maury Raycroft with Jefferies. Please proceed with your question.

Maury Raycroft

Analyst · Jefferies. Please proceed with your question.

Hi, good morning and congrats on the progress. First, I'm wondering if you can discuss recent FDA issued guidance for EB therapy development, including use of PROs. And maybe talk about recommendations from [indiscernible] related to the gene therapy manufacturing endpoints. How should we be thinking about some of these recent updates?

Carsten Thiel

Management

Yes, thank you for the question. So the guidance from FDA on EB trials is fairly high level. And as I mentioned before, the key components of the guidance in endpoints and in particular in patient reported outcomes is very consistent with the conversations we had with FDA on our protocol for the Phase 3 study. I think you can recognize an emphasis on the patient experience in particularly pain and itch. Remember the patients suffer for many years from excruciating pain cannot sleep. And so these outcomes that we are building in our protocol incredibly important. We've also seen that FDA representatives were very eager to understand the patient experience and feedback better in recent meetings earlier in the year. So for us, this is very encouraging. I think, I don't mean to speak for the regulator, but our understanding of the statements on gene therapies and EB is an enormous support, a detailed understanding of the disease. But on the other hand, clearly consistent expectations on CMC and entire GMP manufacturing process.

Maury Raycroft

Analyst · Jefferies. Please proceed with your question.

Great, that's very helpful. And next, I apologies if you mentioned this earlier in the call. But I'm wondering if you're planning on a meeting with FDA this half. Maybe if you can provide any granularity as to when this - that could happen? And then what are the goals of the meeting and how do you plan on disclosing the outcomes of that meeting, that's related to MPS IIIA?

Carsten Thiel

Management

Okay. IIIA, so for the IIIA program, the regulatory interactions are happening both on the FDA side as well as on the EMA side, with EMA being the scientific advice approach. The interactions on the U.S. side will include a FDA meeting focused on a number of questions we have not and won't disclose those questions. But I think it's the emit designation gives us a unique opportunity to engage with FDA on critical questions for the regulatory path going forward. So in the second half of this year, we expect to progress. And we'll share that after it has happened.

Maury Raycroft

Analyst · Jefferies. Please proceed with your question.

Okay. And the last question is just on Natural History Data, I was wondering if it's possible to go through an MPS IIIA patient's medical history. It wasn't included in the formal natural history study and wasn't treated with the therapy and potentially include some of those data on an ad hoc basis to build out your natural history database. Any thoughts around that?

Carsten Thiel

Management

Are you speaking specifically about the Natural History Study in MPS or in EB?

Maury Raycroft

Analyst · Jefferies. Please proceed with your question.

Yes, for MPS.

Carsten Thiel

Management

Yes. So the Natural History Study that we have completed with 25 patients for both IIIA and IIIB included 15 patients for IIIA. That Natural History Study provided a good age spread from younger patients all the way to patients at the age of eight. And the benefit of that Natural History Study is that we are able to create a matching control at the same age range as we have in our Cohort 1 and 2 and to a large extent for Covert 3. Obviously when you come to very young patients, that are potentially prior to the development of symptoms that's a different story and the limitation of National History Studies. But what has been published is a very robust data set so far. We will learn through the interactions with regulators whether that is sufficient or requires more. So far we haven't heard that there is a need for additional data on the Natural History Study.

Maury Raycroft

Analyst · Jefferies. Please proceed with your question.

Okay, thank you very much. Thanks for taking the questions.

Operator

Operator

Our next question comes from the line of Ram Selvaraju with H.C. Wainwright. Please proceed with your question.

Ram Selvaraju

Analyst · H.C. Wainwright. Please proceed with your question.

Hi, thanks very much for taking my questions. Just a couple of quick ones for me. Firstly, can you provide an update on the current status of the Batten Disease program? And also, could you comment on some recent findings in the CRISPR/CAS9 space and whether or not that is at this juncture leading you to evaluate other gene editing paradigms that could potentially be more precise, and therefore at least theoretically safer? Thank you.

Carsten Thiel

Management

Yes, thanks, Ram. So let me address both questions. The two Batten's Disease programs, CLN1 and CLN3 as Tim highlighted are making good progress. We're encouraged by what we've seen so far. And we're looking at both the opportunity of our AIM vector platform, obviously, as well as the comparison within the AAV9 capsids. So, we're also looking at different modes of administration to identify the best way to treat these patients who have really no existing approved or effective therapy. So these are devastating diseases and I think we are extremely motivated to progress both programs forward to help those patients. With respect to CRISPR/CAS9, I have the feeling every two weeks, there's an up and then there's a down movement with the off target discussions and it is kind of difficult for everyone to come to a conclusive sense, where this is heading. I continue to be motivated by the progress in the field. And we are definitely seeing this technology CRISPR/CAS9 and gene editing as a promising future way to address diseases that cannot be addressed through gene therapy approaches. So there's probably other experts in the field and other companies who do only CRISPR/CAS9 and are more experience in addressing your question. But I think so many people are working on this field now and finding solutions that I see it as one of the major opportunities for the future.

Ram Selvaraju

Analyst · H.C. Wainwright. Please proceed with your question.

Thank you.

Operator

Operator

Our next question comes from the line of Kennen MacKay with RBC Capital Markets. Please proceed with your question.

Unidentified Analyst

Analyst · RBC Capital Markets. Please proceed with your question.

Hi, this is Justin on for Kennen. Thanks for taking the question and congratulations on the quarter and recent expansion of the senior leadership team. Given the recent leadership changes, I was hoping you could help us understand sort of the vision at the senior leadership level and whether there are any other additional senior level roles that you're looking at expanding in the near-term? Thank you.

Carsten Thiel

Management

Yes. Thank you, Justin for the question. So our ambition is clearly to build Abeona to a leading fully integrated gene and cell therapy company. And the company has made amazing progress so far. But it is very clear to me that going forward, we need to add functional expertise at various levels. The company had not any commercial leadership in the past. So, the addition of Max Colao is important timely and will make a big difference on the way looking forward. I do see additional areas of expertise that we want to add to our team and we will disclose those as we progress, one step at a time. But it is clearly our ambition to be that company that has functional expertise in all aspects what we do. And it's critical for us because we've a strong portfolio in the clinic, in the preclinic, our own vector platform and our own manufacturing facility.

Unidentified Analyst

Analyst · RBC Capital Markets. Please proceed with your question.

Excellent, thanks for taking the question.

Operator

Operator

That is all the time we have for questions. This does conclude today's teleconference. Thank you for your participation. You may disconnect your lines at this time, and have a wonderful day.