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BioCardia, Inc. (BCDA)

Q3 2023 Earnings Call· Wed, Nov 8, 2023

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Transcript

Operator

Operator

Ladies and gentlemen, thank you for standing by and welcome to the BioCardia 2023 Third Quarter Conference Call. At this time, all participants are in a listen-only mode. [Operator Instructions] After today’s presentation, there will be an opportunity to ask questions. [Operator Instructions] Participants of this call are advised that the audio of this conference call is being broadcasted live over the Internet and is also being recorded for playback purposes. A webcast replay of this call will be available approximately one hour after the end of the call. I would now like to turn the call over to Miranda Peto of BioCardia Investor Relations. Please go ahead, Miranda.

Miranda Peto

Analyst

Good afternoon, and thank you for participating in today’s conference call. Joining me from BioCardia’s leadership team are Peter Altman, Ph.D., President and Chief Executive Officer; and David McClung, our Company’s Chief Financial Officer. During this call, management will be making forward-looking statements including statements that address BioCardia’s expectations for future performance and operational results, references to management’s intentions, beliefs, projections, outlook, analogies and current expectations. Such factors include, among others, the inherent uncertainties associated with developing new products, technologies and obtaining regulatory approvals. Forward-looking statements involve risks and other factors that may cause actual results to differ materially from those statements. For more information about these risks, please refer to the risk factors and cautionary statements described in BioCardia’s reports on Form 10-K filed on March 29, 2023, and in the company’s subsequently filed quarterly reports on Form 10-Q. The content of this call contains time-sensitive information that is accurate only as of today, November 08, 2023. Except as required by law, the company disclaims any obligation to publicly update or revise any information to reflect events or circumstances that occur after this call. It is now my pleasure to turn the call over to Peter Altman, Ph.D, BioCardia’s President and CEO. Peter, please go ahead.

Peter Altman

Analyst

Thank you, Miranda, and good afternoon to everyone on the call. BioCardia’s current efforts are focused on advancing its autologous and its allogeneic cell therapy platforms to treat significant unmet cardiovascular and pulmonary diseases, specifically ischemic heart failure, chronic myocardial ischemia, and acute respiratory distress syndrome. All of our cell-based therapies involve local delivery of the therapeutic to the heart or lungs, where we intend them to act locally. This mission has not changed and all of these programs are still viable. This third quarter we were thrown a curveball when the Data Safety Monitoring Board for the CardiAMP heart failure trial or BCDA-01 recommended that we pause enrollment in the study. We have followed the Data Safety Monitoring Board recommendation and the last patients were randomized from the study in October. We continue to monitor patients enrolled in this clinical study in which both patients and evaluating physicians are blinded to the treatment group and expect to complete follow up in this study in October 2024. We have since come to understand that the trial design and endpoint we were advancing were unlikely to be successful. Even as we have become aware that there were strong trends toward benefits across all patients with a 37% relative risk reduction on heart death equivalent and an 18% relative risk reduction in major adverse cardiac and cerebral vascular events or MACE, which are at the top of the list. In addition, the available interim data showed that for an important subset of patients who presented at the screening baseline visit with higher levels of NT-proBNP, a well-established biomarker of increased heart failure and stress to the heart. The reduction in heart-death equivalent in MACE were even greater. Of note, all current leading heart failure trials where we have looked require elevated NT-proBNP…

Operator

Operator

Thank you. [Operator Instructions] Your first question comes from Joe Smith [ph] with Alpha Street [ph]. Please go ahead. Hi Joe, your line is live and so call for your question.

Unidentified Analyst

Analyst

Hello, can you hear me?

Peter Altman

Analyst

Yes, hello Joe.

Unidentified Analyst

Analyst

Oh this is [indiscernible] for Joe Pantginis from H.C. Wainwright.

Peter Altman

Analyst

Yes.

Unidentified Analyst

Analyst

Thanks for taking our questions. So first of all, so for the original CardiAMP trial, what’s the plan regarding the patients that are still in the follow up period? These will be analyzed and reported. What’s the expectation when the totality of the data have been collected?

Peter Altman

Analyst

The plan is to follow all patients out to at least the one year endpoint Joe and then we will report out the full results for the trial. The expectation is that last patient will reach their endpoint in October of 2024, so late 2024 we should have some interesting data to review.

Unidentified Analyst

Analyst

Okay, perfect. Thank you, got it. And for the new CardiAMP patent trial, what’s the number of high level m? What’s the number of high level proBNP patients that were identified to benefit from the treatment?

Peter Altmans

Analyst

So for the CardiAMP heart failure two trial, that’s actually a design that’s been proposed to the Agency. We don’t yet have feedback there yet Joe. But what we are -- as we looked at our current interim data, more than half the patients actually were high NT-proBNP in our study. And so we’ve looked at that interim data that’s available to us and analyzed it a number of different ways and it’s actually pretty robust that the patients with high NT-proBNP are just phenomenal responders. As we’ve looked at this, the study design we have, we’ve looked at our previous study designs and we did not include NT-proBNP as a prerequisite in either our Phase 1 or Phase 2 work. However, in today’s climate, almost all trials out there that we’re aware of are requiring NT-proBNP levels to be elevated. So we are not entirely sure if perhaps by not including it we wound up having patients filtered out of our trial and sent to other trials that did require high NT-proBNP. But our sense is including it going forward is likely to have a pretty significant impact on the results, particularly if the data that we have is in line with the data that we will generate ahead.

Unidentified Analyst

Analyst

Awesome, got it. Thanks for clarifying.

Peter Altmans

Analyst

I appreciate the questions Joe.

Operator

Operator

[Operator Instructions] There are no further questions at this time and I’ll hand it back to Peter for closing remarks.

Peter Altmans

Analyst

Thank you, kindly, Rachel. I want to thank everyone for participating in today’s call and for your interest in BioCardia and our primary mission to treat heart disease. We look forward to sharing our continued progress. Thank you. Stay healthy, be kind and have a wonderful day.

Operator

Operator

The conference call has now concluded. Thank you for attending today’s presentation. You may now disconnect.