Earnings Labs

Addex Therapeutics Ltd (ADXN)

Q2 2022 Earnings Call· Thu, Aug 18, 2022

$6.58

-0.15%

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Transcript

Operator

Operator

Good day and thank you for standing by. Welcome to the Addex Therapeutics to Announce Half Year 2022 Financial Results and provide Corporate Update Conference Call. At this time, all participants are in listen-only mode. After the speakers' presentation, there will be a question-and-answer session. [Operator Instructions]. Please be advised that today's conference is being recorded. I would now like to hand the conference over to your first speaker today, Tim Dyer. Please go ahead.

Tim Dyer

Analyst

Thank you. Hello, everyone. I'd like to thank you all for joining our Q2 2022 financial results conference call. I'm here with Roger Mills, our Chief Medical Officer; and Robert Lütjens, our Head of Discovery, Biology. I draw your attention to the press release and the financial statements issued earlier today, which are available on our Web site. I also draw your attention to our disclaimer. We will be making certain forward-looking statements that are based on the knowledge we have today. I will start this conference call by giving a quick overview of our recent achievements, before handing over to Roger and Robert, who will review our clinical and preclinical pipeline. I will then review our financial results. Following that, we will open the call for Q&A. During the second quarter of this year, we had to take the difficult decision to terminate the development of dipraglurant in dyskinesia associated with Parkinson's disease. This was due to the slow patient recruitment which was attributed to the impact of COVID-19 on the interest of Parkinson's patients to join our clinical study as well as staffing challenges and staff turnover at clinical trial sites. This decision has significantly delayed the development of dipraglurant for PD-LID and negatively impacted the prospects of a marketing approval for dipraglurant. In addition, the inconclusive results from our blepharospasm clinical study was also a significant disappointment, and as a result we have terminated [the development of] (ph) dipraglurant in dystonia. We continue to believe in dipraglurant and are currently evaluating its future development in PD-LID and a number of other disease areas, including pain, substance use disorder, neurodevelopmental disorders and stroke rehabilitation. Despite these setbacks in the development of dipraglurant, we continue to make excellent progress towards achieving our other strategic objectives. Our partner Janssen continues…

Roger Mills

Analyst

Thank you, Tim. I'd like to talk about our drug ADX71149 for epilepsy, which is partnered with Janssen Pharmaceuticals, a J&J company. In the epilepsy market, it's a large market and it is projected to reach approximately $20 billion by the year 2026. The market leader is Keppra and the branded drug is treating over 2 million patients, recognizing over €800 million per year. Obviously, there is extensive generic treatment with the drug as well, which really extends the market further. So a high proportion of refractory patients and a quarter of new patients are refractory to treatment. Current combination of treatments have limited therapeutic effect. Therefore, there's a large underserved patient population in need of improved treatment options. 71149 is a selective oral mGlu2 PAM positive allosteric modulator with a clear mechanism of action in epilepsy. Preclinical models have showed a 35-fold increase in Keppra efficacy when combined with 149, and therefore there's a potential to both reduce Keppra dosing, which will improve efficacy and reduce side effects. In terms of development, 149 has been extensively explored in the clinic with nine Phase 1 and two Phase 2 studies in other indications. Janssen have also recently completed their Phase 1 program in Japan. Currently, the proof of concept study which is ongoing with top line data Tim mentioned expected in Q1 2023. Also, Janssen have recently started a two-year open label extension study, which started this quarter in 2022 and will be open to eligible patients who complete the Phase 2 randomized study. In terms of the partnership, Addex is eligible to receive €109 million in prelaunch milestones and double digit royalties. On this slide, you can see the preclinical efficacy using a pharmaco-resistant mouse epilepsy model, which has high translational value and is strongly predictive of clinical utility.…

Tim Dyer

Analyst

Thanks, Robert. I'll now switch to an overview of the financials. Starting with the income statement, we recognized 200,000 in revenue and income in Q2 2022 compared to 1 million in Q2 of 2021. The primary source of revenue is research funding from our collaboration with Indivior, which we expect to reduce in 2022, as drug candidates move to late stage clinical candidate selection and our partner takes over more of the operational execution of the development. In terms of expenses, R&D expenses of 5.7 million are primarily related to research and development activities on our dipraglurant program and to a lesser extent, our GABAB PAM, mGlu2 and M4 PAM programs. R&D expenses have increased by 2 million compared to the second quarter in 2021, primarily due to the increased activities in dipraglurant clinical development activities related to PD-LID blepharospasm. G&A expenses were 1.5 million in the second quarter compared to 1.8 million in the second quarter of 2021. The decrease of 300,000 is due to the reduced professional fees, which were abnormally high due to one-off expenses of setting up our U.S. shelf registration and At-the-Market American Depository Share Equity Sale program, and which we incurred in the second quarter of 2021. Finance loss of 100,000 in the second quarter of this year related primarily to exchange rate losses on U.S. dollar cash deposits, due to the strengthening of the Swiss franc. Now onto the balance sheet, our assets are primarily held in cash and we completed the second quarter of this year with CHF 8.8 million of cash held in Swiss francs and U.S. dollars. Other current assets 2.1 million relate primarily to prepaid insurance and retirement benefits. Current liabilities of 4 million are consistent with prior years and relate primarily to R&D payables and accruals. Non-current liabilities of 200,000 relate to retirement benefit obligation calculated under IFRS. The decrease compared to prior periods is driven by an increase in the discount rate applied in the calculation. So in summary, Addex has made notable progress in the second quarter. We have a number of programs marching towards the IND-enabling studies. We have an experienced team. We have a pioneering technology platform which has delivered a pipeline. We have a significant IP estate. We have a strong foundation with partnerships, with industry, strong U.S. investors, dual listed on the Swiss Stock Exchange and the U.S. NASDAQ. And we have an exciting news flow coming forward for the rest of the year and into 2023. This concludes the presentation. I will now open the call for questions.

Operator

Operator

[Operator Instructions]. Dear speakers, we have several questions on the audio. Would you be happy to take them?

Tim Dyer

Analyst

Yes.

Operator

Operator

Thank you very much. Now we're going to take our first question. Please stand by. And the first question comes from the line of Raghuram Selvaraju from HC Wainwright & Co. Your line is open. Please ask your question.

Raghuram Selvaraju

Analyst

Thank you so much for taking my questions. I have two principal ones. With respect to the 71149 clinical data readout, I was wondering if you could frame for us what you think would be a slam dunk as it were result coming from this clinical trial? And how we should think about the way that might be quantified from an efficacy perspective? And how that might be framed in the context of the current competitive landscape within the target indication?

Tim Dyer

Analyst

Yes. Thanks very much for the question. Roger, would you like to handle this one?

Roger Mills

Analyst

Yes. Thanks, Tim. So we've not -- the drug is being developed by Janssen. In terms of the reduction in seizures as expected, we've not described that yet. But I think what we're looking at are patients who are -- the design of the study actually it's really related to much more clinical practice than perhaps traditional endpoints in studies. So we are really looking at patients who have quite extensive seizures and reducing the frequency of seizures over time. And I think it's an exciting program. I think we will see a fairly marked improvement in the active arm or the reporting will be down to Janssen.

Raghuram Selvaraju

Analyst

Thank you. And then the second question was with respect to dipraglurant. Assuming that you identify an appropriate partner to take forward this asset, what would be some of the core attributes of such a partner, particularly with respect to the way in which they advance the asset and the extent to which they explore its clinical utility?

Tim Dyer

Analyst

Okay. Yes, an interesting question. We are discussing with a number of parties across the spectrum of larger to smaller entities. And there is a body of clinical data out there using other mGlu5 negative allosteric modulators, in particular mavoglurant, and it will really depend on -- at the moment, it will depend on the appetite of the partner and their primary interest. We believe in dipraglurant PD-LID. We also believe in the substance use disorder data that's been generated by mavoglurant. We think that's pretty robust. And we're also pretty excited by the rationale in stroke rehabilitation. Neurodevelopmental disorders, we are -- while there's some rationale there, I think there's a lot to be done around the selection of patients and the selection of the endpoint you would measure. But I think at the moment, the discussions are very early stage to really give you much more clarity on what a partner would concretely look like.

Raghuram Selvaraju

Analyst

Okay, that's really helpful. And if I could just sneak one other one in, if I may. You had commented in your prepared remarks about potential interest in the neuralgia space, if I recall -- if I heard correctly. And I was just wondering whether you had thoughts around how specifically to stratify that patient population as well as potentially design development programs, even if you might not necessarily be the ones conducting those programs directly, in order to specifically deal with the issue that historically has arisen multiple times in such clinical trials in these indications, namely high and unpredictable magnitude of placebo response?

Tim Dyer

Analyst

Yes. Back in 2007, Addex ran an acute migraine study and generated positive data with ADX10059, which was a predecessor mGluR5 negative allosteric modulator. So we do have some experience in the migraine field. And again, we do believe in this disease area. Now, as we've said, we are currently evaluating. And again, this is -- the decision to terminate dipraglurant development in PD-LID is pretty recent. So we are very much at an early stage of evaluating the different disease areas. We could go into -- as you know, it's a lot more than just the scientific rationale. It's also the complexity of development, the competitive landscape, and then in parallel, the discussions with potential partners in order to secure a backer to help finance and the operational execution of the development going forward. So I can't really concretely answer your question to what a trial would look like in trigeminal neuralgia. Now there is a -- basimglurant is currently in a trigeminal neuralgia study. So I think there is quite a lot of information available on ClinicalTrials.gov about what their trial looks like.

Raghuram Selvaraju

Analyst

Thank you.

Operator

Operator

Thank you. Now we're going to take our next question. Please stand by. And the next question comes from the line of Bob Pooler from valuationLAB AG. Your line is open. Please ask your question.

Bob Pooler

Analyst

Thank you for answering my questions. A few questions for me. First, starting with dipraglurant. Although there were a low amount of patients treated, did you see any signals in this patient?

Tim Dyer

Analyst

We are really looking at the data and we're not ready to disclose anything at the moment. But we will do it in due course.

Bob Pooler

Analyst

Okay. And then on the potential monetizing and partnering of dipraglurant, do you prefer a front ended deal or a back ended deal?

Tim Dyer

Analyst

We prefer a front ended deal.

Bob Pooler

Analyst

Okay. And 149 on positive results in the first quarter of next year, would that trigger a milestone?

Tim Dyer

Analyst

No.

Bob Pooler

Analyst

Okay. And then on the Indivior products, there too I think you're having several products probably also potentially going to the clinic with Indivior. Would you also see some milestone payments coming from that part too? In other words, all about to limit your cash reach going forward?

Tim Dyer

Analyst

Yes. So we've talked about having 330 million of milestone payments. We have also mentioned that there are sales milestones included in there. We've also said that it's a pretty balanced conventional structure of a deal. However, we have not given any guidance on the timing of milestones. We are expecting to deliver molecules, development candidates for Indivior by March next year. We announced the extension of the agreement. And in addition to the additional funding, we disclosed that the agreement had been extended until the 31st of March. So I think you can read into that that we are at very advanced stages of clinical candidate selection. And that Indivior is expecting to be able to select its development candidates by the 31st of March. And they will then take over the operational execution of that program and advance it into IND-enabling studies, and then into Phase 1 in 2024.

Bob Pooler

Analyst

Okay, in 2024. Okay, thank you for answering my questions.

Operator

Operator

Thank you. [Operator Instructions]. Dear speakers, there are no further questions. Please continue.

Tim Dyer

Analyst

Thank you very much. Maybe just a few closing remarks. As you can see, we've made excellent progress in the preclinical portfolio despite the disappointment in the dipraglurant development. We're certainly very excited about seeing the readout from the ADX71149 epilepsy program, which is being operationally executed by Janssen. And as I said, we've revised slightly guidance into Q1 of 2023. I would just like to remind you that we are -- one of our strategic priorities is to execute partnerships across the portfolio as you can see with the progress that's been made in the preclinical portfolio with the number of programs now delivering clinical candidates. I think this is a very reasonable objective to achieve. So we're very confident in getting this executed by the end of the year. So thank you very much for attending our call. And I wish you all a very nice day.

Operator

Operator

That does conclude our conference for today. Thank you for participating. You may all disconnect. Have a nice day.