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Compugen Ltd. (CGEN)

Q4 2021 Earnings Call· Thu, Feb 24, 2022

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Transcript

Operator

Operator

Ladies and gentlemen, thank you for joining us today. Welcome to Compugen's Fourth Quarter and Full Year 2021 Results Conference Call. At this time, all participants are in a listen-only mode. An audio webcast of this call is available in the investor's section of Compugen's website, www.cgen.com. As a reminder, today's call is being recorded. I would now like to introduce Yvonne Naughton, Head of Investor Relations and Corporate Communications. Yvonne, please go ahead.

Yvonne Naughton

Management

Thank you, operator. And thank you all for joining us on the call today. Joining me to present our prepared remarks are Dr. Anat Cohen-Dayag, President and CEO and Ari Krashin, Chief Financial and Operating Officer. For the Q&A session, we will also be joined by Henry Adewoye, Chief Medical Officer and Dr. Eran Ophir, Vice President Research & Drug Discovery. Before we begin, we'd like to remind you that during this call, the company may make projections or forward-looking statements regarding future events, business outlook, development efforts and their outcomes, the company's discovery platform, anticipated progress, results and timelines for our programs, financial and accounting-related matters, as well as statements regarding our cash position. We wish to caution you that such statements reflect only the company's current beliefs, expectations, and assumptions, but actual results, performance, or achievements of the company may differ materially. These statements are subject to known and unknown risks and uncertainties, and we refer you to the SEC filings for more details on these risks, including the company's most recent annual report and filed form 20-F filed with the SEC on February 25, 2021. The company undertakes no obligation to update projections and forward-looking statements in the future. With that, I now turn the call over to Anat.

Anat Cohen-Dayag

Management

Thank you, Yvonne. Good morning and good afternoon, everyone. And welcome to our fourth quarter and full year 2021 update. I'm proud to say that Compugen made excellent progress in 2021. Our fundamentals have improved and we're delivering on our promises. Compugen has done groundbreaking work on the biology of the key targets of the DNAM axis PVRIG and TIGIT. This is evidenced by our numerous publications and patent filings. We are pioneers in an uncharted territory. We're the first to test in the clinic two agents never combined before primarily focus focused on PD-1 non responsive patients. Our differentiated clinical strategy with our potential first in class anti-PVRIG antibody, COM701 is to lead the next wave of innovation by executing a unique combination approach to realize the full potential of TIGIT and PVRIG. Immune checkpoint inhibitors have become multibillion dollar drugs, and are having a major impact on cancer care. However, as most patients do not respond to immunotherapy, there is a need for new drugs for these cancer patients. At Compugen, we believe that immune checkpoint inhibitors that target the DNAM axis has the potential to be a game changer in the treatment of cancer. As we continue as leaders in the DNAM axis by unlocking the potential of both PVRIG and TIGIT pathways with a vision to deliver the next transformational drugs, we're excited to see the growing interest in this phase by major pharma companies providing further validation of our hypothesis and the possibility of opening additional opportunities for us in the future. Data from our clinical studies presented in 2021 with COM701 and COM902 support our hypothesis that treatments that targeted the DNAM axis could be effective in inflamed or even more exciting, less inflamed tumors. Our studies show early signals of anti-tumor activity with…

Ari Krashin

Management

Thank you, Anat. I'm happy to summarize our financial results. I'll start with our cash balance. As of December 31, 2021, we had approximately $118 million in cash compared with approximately $124 million as of December 31, 2020. The company has no debt. Our cash balance reflects Bristol Myers Squibb’s strategic investment of $20 million and $6 million milestone payments from AstraZeneca received during the fourth quarter. Going into 2022, we expect our cash burn to be in the range of between $44 million to $46 million. Financially disciplined we are a company targeting our extensive and unique knowledge in this space on specific tumor types and comprehensive clinical strategy to increase our probability of success of our drugs to help patients. At the current level of operations, we expect current cash will be sufficient to fund our operating plans into 2024. For revenue, we reported no revenue for the fourth quarter of 2021 and of $6 million for the year ended December 31, 2021, compared with $2 million dollars for each of the comparable periods in 2020. 2021 revenues are related to the milestone payments from AstraZeneca for those in the first patient in their Phase 1/2 study of the TIGIT bispecific monoclonal antibody derived from our COM902. With respect to R&D, R&D expenses for the fourth quarter and year ended December 31, 2021, were $5.8 million and $28.7 million, respectively, compared with $8.1 million and $22.8 million dollars for the comparable period in 2020. The increase in R&D expenses during 2021 is attributed mainly to higher expenses associated with our various clinical studies, as well as increase in headcount as we continue to grow our U.S.-based clinical team to support the expansion of our studies. The decrease in the quarterly period is due to a decrease in manufacturing and related expenses. Our G&A expenses for the fourth quarter and year ended December 31, 2021, were $2.7 million and $10.9 million, respectively, compared with approximately $2.7 million and approximately $9.8 million for the comparable period in 2020. The increase is mainly due to increased D&O insurance premium cost that affected the overall industry. During the fourth quarter of 2021 we reported a net loss of $8.6 million, or $0.10 per basic and diluted share, similarly to a net loss of $8.6 million, or $0.10 for basic and diluted share in the comparable period of 2020. Net loss for the year ended December 31, 2021, was $34.2 million, or $0.41 per basic and diluted share, compared with a net loss of $29.7 million or $0.37 per basic and diluted share in the comparable period of 2020. Now, I ‘ll turn the call back to Anat.

Anat Cohen-Dayag

Management

Compugen has done groundbreaking work on the discovery of the PVRIG pathway and the DNAM axis hypotheses, and we're well positioned to maintain our leadership in this new area of cancer immunotherapy. We're actively enrolling in three important combination studies that will guide our registration strategy and we expect to report the first clinical results in Q4 2022. We have a solid balance sheet with a cash balance of $118 million that will support our clinical program and our operations into 2024. I'm very enthusiastic for what's to come for Compugen, and look forward to updating you on our progress throughout the year. I want to send a special thank you to the amazing team at competition, whose dedication has amazing our remarkable accomplishment, and to you all, for joining us today and taking time to follow the company. And with that we'll now open the call for questions.

Operator

Operator

[Operator Instructions] The first question is from Stephen Willey of Stifel.

Stephen Willey

Analyst

Can you maybe just share with us what your current expectations are regarding efficacy data that will be emerging out of the colorectal cohort by year-end? And I guess what needs to be seen potentially to form a go forward decision? And then second to that, can you make that decision about going forward before you see combo data from the 701, 902 combo in the same tumor type?

Anat Cohen-Dayag

Management

Thank you Steve, and I'll just refer this question to Henry. I'll just say that in general for all the most of the tumor types that we're addressing, and these are tumor types that are not responses to checkpoints and their patients do not have many options. So we think that the bar is not very high in terms of numbers. Obviously, this is a very hard to treat patient population. I’ll let Henry relate to more specifics.

Henry Adewoye

Analyst

Yeah, thank you very much Anat. And thanks Steve for the question. Yeah, I just want to remind you and everybody else listening, that these are signals seeking studies, even though they’re expansion cohorts. So we have 20 subjects in each of this – 20 patients in each of this cohorts that you're mentioning. So it's actually what we're looking for a combination of various things. So number one, we're looking for efficacy in terms of a partial response. We're also looking for anti-tumor activity in terms of stable disease and the durability of a stable disease. So it would be premature to start assigning numbers that will be of interest to us. With that being said, I think it bears mentioning just like Anat mentioned in her prepared comments that a particular tumor type when you see a patient with a partial response, for example, colorectal cancer, that stays on for 44 weeks is actually notable. It is notable for the following reasons and one of it being that this tumor is typically not responsive to immune checkpoints or they have very limited activity. So that in itself shows that we have a signal, that's the more important piece. And the other reason that's important is the fact that also disclosed that at ASCO just last year, the caliber of the patients that were enrolled into the colorectal cancer cohort, of the 12 patients we enrolled, we saw patients -- this is also listed in our summer plot, those patients that actually surpassed, which is typical for the median progression free survival in this patient cohort. So that's different parameters that we're interested in. And we'll continue to [include] to all other cohorts, and then see what the results are and be able to make a more informed judgment as to anti-tumor activity and the next steps for Compugen.

Anat Cohen-Dayag

Management

Stephen, I’ll just add one more thing that relates not only to get clinical data, but also, as you know, we have a comprehensive translational program that we apply on all the different studies in -- on all the cohorts. So we really look also on the translational data as a very important parameters. So this will be taken into consideration as well. And obviously, for COM701 and COM902 combination, the data it's open studies, we see the data. So definitely, this is a parameter that will take into consideration.

Stephen Willey

Analyst

And then maybe just lastly is the year-end '23 guidance that you're providing here for completing enrollment in all cohorts. Is that in any way rate limited by the diagnostic work that you're doing to establish a PVRL2 expression for enrollment into the basket cohort?

Anat Cohen-Dayag

Management

That's not limited, the program is ongoing. We're doing a lot of work in order to make sure that we have the samples and then we can test the expression profiles of the DNAM axis members, specifically PVRL2. So at the time, that we feel that we have enough in order to correlate expression to response, we will start the basket study.

Operator

Operator

The next question is from Reni Benjamin of JMP Securities.

Reni Benjamin

Analyst

I guess just starting off, the timing for the dose expansion studies has kind of thrown me off a little bit. Can you just give me a sense as to what are the factors that are leading you to think that enrollment would only be complete by the end of 2023? I always assumed that once the dose expansion was done, that the expansion studies would enroll a lot quicker, so if you can give us a sense of that and then I have a follow-up.

Anat Cohen-Dayag

Management

Sure. Basically, there are two parameters. The enrollment rate that is very different for different indications and CRC by nature is more prevalent, less rare treatment, so it is enrolled faster. There are indications that are harder to enroll, and the pace is slower. So this is one parameter. And also I want to remind everyone, through these studies, these significant study, and we have 20 patients -- per cohort, but we have many cohorts and many studies ongoing. So the total number of patients that we're enrolling is very large So it is important for us to make sure that we do this analysis of the DNAM axis in a way where we maximize the opportunities, and that we maintain the leadership in this -- evaluating this axis and also to make sure that these are not only significant studies, so we can really relate to the contribution of components. But let's make sure that we remember that these are not small studies, and we're really enrolling faster, we're on execution. And we restart sharing data in Q4, and these studies will continue to enroll, and we will continue to share guidance and data, but that's the two promises: the enrollment and the size of the studies.

Reni Benjamin

Analyst

And just as I think about news flow, have a sense of obviously, how the news flow from the company is coming out. Could you talk a little bit about maybe your partnership programs, and any sort of a sense as to when we might see news flow from those programs? And I understand, these are partner programs, you might not have as much control or insight into that. I guess just related, you have an early pipeline, I think you have some myeloid candidates and the like, can you give us an update as to how those might be progressing, and when we might see an IND for a new agent?

Anat Cohen-Dayag

Management

Sure. So for the partner program said, there's the AstraZeneca program, which is a bispecific that is based on our COM902, it's a TIGIT/PD-1 bispecific. And it just recently started clinical studies, and it's obviously, I'd say that now and it's also related to Bayer and you rightly -- so you mentioned that, the progress of this program is really dependent on our partners, and the sharing of information is dependent on our partner. So obviously, we cannot relate to it, but they're progressing. And the Bayer program, the last update that we shared was the fact that it is being tested in combination with their KEYTRUDA. So it has there two antibodies that is being tested in combination with their KEYTRUDA. And Bayer is focusing on first line IO naïve head and neck squamous cell carcinoma. And again, in this case, the progress is dependent on Bayer and they control the news flow, but this program progressing as well. With respect to our early stage pipeline, so yes, we did not share information about it. I repeat what you were saying and I’ll relate to the reasons why we're not discussing it in the public domain. But basically, we're focusing these and number of programs. We're focusing all of the programs that were predicted by our computational discovery capabilities. Remember, we're not a me too company. We're focusing on modulating the immune suppressive cells in the tumor microenvironment. And we will share information about these programs depending on their development stage and also depending on the competitive landscape. And it is clear to us that it's like PVRIG, right, at the time that we shared information about PVRIG. The clock starts ticking with respect to competition. And you now see it is validating as well the various competitions on new targets that we identified, but we also want to make sure that the development stages as such that we can maintain our leadership.

Operator

Operator

The next question is from Mark Breidenbach of Oppenheimer.

Unidentified Analyst

Analyst

This is [Jacqueline] for Mark from Oppenheimer. Thanks for taking our questions. My first question is, are you taking any steps to limit the number of prior therapies for patients enrolling in the expansion cohort versus what we saw in the all-comers study population at the SITC conference?

Anat Cohen-Dayag

Management

Henry, I guess you'll address that one.

Henry Adewoye

Analyst

We are not taking any active steps to limit the number of prior therapies. If you -- what we're doing actively is sticking with the investigators in ensuring that the subject, the patients were enrolled onto this clinical trials, patients who need all the eligibility criteria for the particular studies that we're doing. And in addition to that, we are also ensuring that they're fitting us for the eligibility for the clinical trial. And then the other thing that we're also doing is ensuring that the appropriate therapies have been administered to these patients before they come on to the study. And we look within the investigators very, very frequently, and we review each patient before they come on. Now, if you remember, and I'll just go back to the guidance documents by the FDA. For Phase 1 studies where we're testing, investigation on new drugs, the guidance from the FDA is that the patients who are enrolled onto this studies must have exhausted all available standard-of-care therapies. Therefore, you can see that depending on the tumor type, the number of prior therapies that patients have been exposed to, it will vary. So including in those instances, where the standard-of-care is shifting, even as we conduct the study. So for example endometrial cancer, where the standard-of-care has now shifted to patients receiving lenvatinib and pembrolizumab. We do encourage the investigators to do and this is why we speak to them is that when patients have exhausted those available standard-of-care therapies that they consider the clinical trials that we're doing, and they seriously considering this. So I think that's where the change will come from. So that they are offered the opportunity to enroll on our clinical trials earlier on before they receive other investigational agent. So for example, for the COM902 studies that we're doing, we're ensuring this for the triplet study that we're doing, the same thing for the COM701 pembrolizumab study. So it's ongoing engagement with the investigators that we're insuring.

Unidentified Analyst

Analyst

And my second question is R&D expenses were chopping down in 4Q. How should we think about modeling going forward in 2022?

Ari Krashin

Management

We had a slight reduction in the fourth quarter, it's mostly shifting between quarters, it's a good question. And basically going forward, you should assume that the run rate would be more similar to the third quarter, which was roughly $8 million, $9 million and that's fairly what you're going to see in 2022 as well.

Unidentified Analyst

Analyst

That's it for me. Thank you for taking my questions.

Ari Krashin

Management

Thank you.

Operator

Operator

The next question is from Tony Butler of ROTH Capital.

Tony Butler

Analyst

Couple of questions, if I may. The basket trial for -- with the PVRL2 to high level. How are you defining or please remind us how you're defining high? And then I have two follow ups, if I may.

Anat Cohen-Dayag

Management

So yes, Tony, thank you. This is exactly what we do now. So we need to explore what does it mean high and low for enrollment. And this is defined in correlation with anti-tumor activity. So we're now evaluating the expression levels as compared to response in all the studies that we have. And when we will set the threshold, we will then initiate enrolling for the basket study. So this is still not being enrolled.

Tony Butler

Analyst

In the doublet for non small cell lung cancer, it's interesting to enroll the cohort and treat them with the double assuming that they have of course failed prior PD-1 therapy, but I am curious, why it may not also be in the triplet? And the second -- and part B to that question, do you think that anti-PD-1 actually drives at least in combination with anti-TIGIIT in anti-PVRIG actually drives increased exhaustion for T-cells? In other words, they become no longer I guess, CD8, CD28 positive?

Anat Cohen-Dayag

Management

So, I would relate to the triplet first and/or maybe as you eluded from the doublet of the COM701, COM902, there is an PD-1 three regimen. For the triplet, we focused on the triplets on tumor types that are not responsive to PD-1 inhibition other than the head and neck that is more inflamed as compared to the other indications that we have. We limited the study. It does not mean that we will not expand triplet assessment in non small cell lung cancer but at this point in time we're not assessing non small cell lung cancer in the triplet. Later on related to the triplet or blocking with the free pathways with respect to driving increased exhaustion. Eran?

Eran Ophir

Analyst

Yes, so, overall, PD-1 like many other checkpoints are reinvigorating exhausted cells. And PVRIG, actually which fits also an exhaustive cells like other checkpoints. But what's interesting is PVRIG in a more dominant expression is tested earlier differentiation. And these cells are normally have higher [indiscernible] space. So if you block PVRIG and we start to see some clear early signals into clinical trials, you're able to enhanced interaction of early memory cells less exhausted with dendritic vertical. This could induce additional ways of effector cells as we penetrate to micro environment. And over there the cells probably will adopt a PVRIG and PD-1 triple expression and the triple blockade or maybe in some cases there would be less dominance of cells depart -- maybe the specific doublet could be meaningful. Overall, I think that PVRIG could bring to TIGIT and PD-1 or maybe in some cases, even in the absence of PD-1, to bring treatment options to patients that normally are not responding to checkpoints, because of this unique expression profile and this is now truly biologically clinical.

Tony Butler

Analyst

Last question is around abscopal effects, especially in CRC? I don't know and I don't think this has been addressed. But were any of the patient stage 4 cohort of cancer patients is previously treated importantly to assuming then by definition, they have liver mets? Has it been determined at all or observed that those mets also were in fact stable and/or were maybe part of that partial response patient that was observed in the previous cohorts of CRC patients?

Anat Cohen-Dayag

Management

Henry?

Henry Adewoye

Analyst

So I will not be able to point to specific patients. But what I can point to is to go back and remember -- remind all of us about the way the assessments are conducted, and that will probably provide a reasonable answer to your question. Just remember to me, when we're using to -- what the investigators are using to determine responses on this various studies that we're doing, and in particular colorectal cancer is to look a resist version 1.1. So in that case, they're looking at patients who have especially in the expansion cohort, patients who have target lesions. So all the patients that we have enrolled in the colorectal cancer cohorts, now by definition four disease, so it's the four disease, that means they are disease sometimes in the liver, or sometimes in the lungs, and other particularities also. So, those target lesions then accounted for in terms of the assessments. So what we've observed, actually in some of the patients is that investigators have selected some of the stagnations that are either in the liver or in the lungs, and then they measure this lesions and follow them. And this accounts for how the patients responses assessments are then reported with that stable disease, meaning there's no appreciable increase in the size of this target lesions. Whether there is a reduction as in the partial response, we have -- we observed, we reported in that patient with colorectal cancer microsatellite stable, or whether there was progression. So that's the way it's assessed. And sometimes, some other lesions that are non-target lesions are also reviewed, to see if there is any -- is there any increase in terms of subjectivity for this lesions. So we cannot rule out the abscopal effect in these patients. But certainly, we're looking -- we're using more refined and more established criteria in the assessment of responses in these patients.

Eran Ophir

Analyst

Maybe just to add in this regard and actually linking this to the previous comment about the PVRIG expression on every memory cell. So we have recently actually presented the industrial pre-patient to responding clinically. We follow-up that in non-treating biopsy taken from liver metastasis, which is normally an immunosuppressive environment and we have seen a dramatic immune modulation, we have presented that in the last SITC summit. So we see actually huge increase of an influx of new multi-cell clones penetrating that specific lesion in the liver. And we saw increasing tolerability, increasing immune activation. And this is one of the observations I mentioned, preliminary observation that supports, especially in this indication that normally you wouldn't expect to see this kind of modulation in liver alone. So this is very encouraging to see such a new modulation and increasing infiltration in such liver [Indiscernible] patients.

Operator

Operator

The next question is from Daina Graybosch from SVB Leerink.

Daina Graybosch

Analyst

I'm going to make a statement that I've been thinking about, and I think a lot of the questions are thinking about, you're enrolling a lot of patients, approximately 220. And I think our worry is collectively, that you've set the ambition bar so high, because of your belief and being able to have PVRIG stimulate an immune response. And it's harder to treat patient populations, whether it’d be like colorectal or ovarian, or in lung after they've exhausted other IO treatment. So I think the risk that I and I think a lot of us are considering is could you have a good hypothesis and a good treatment, but then you enroll all these patients, and we’d still fail to see a really strong signal, because the threshold is so high? And I wonder, as you look at that, can you point to any cohort or combination where you think the threshold is not so high, that we are more likely to see a signal? And I'll make an example like with TIGIT, these cohorts had been a role for TIGIT? I don't think we'd be where we are with TIGIt today. We're excited about TIGIT, because Roche’s Genentech did a frontline study, which they could, because they were combining on top of standard-of-care, in which you guys also have standard-of-care Opdivo that you could do a strategy like that with the combinations that include Opdivo, but have chosen not to. So just I’d love for you to react to that statement and tell us all where we could have some optimism that you haven't set the threshold too high.

Anat Cohen-Dayag

Management

So Daina, thank you. And it's a very good question, obviously as always. We picked this strategy of going after the mainly the non-responsive patient population, the less inflamed tumor types, the PD-1 nonresponders and yes, in a data driven manner that is based on the -- what we believe is the groundbreaking science that we have in hand. So that's correct and this is the plan. Yes, we do have more inflamed tumor types that are the head and neck and then also certain cancer. But yes, these are -- in head and neck we have IO naïve arm, but indeed this is targeting less inflamed. I will say that as we move forward, all options are on the table for us also to make sure to pursue inflamed tumor types. It was very important for us with this studies that we pursued this time to go ahead and try to address what we think is the edge that we -- that PVRIG may bring to the table. But it is a higher risk. And as a company, we are considering various options and to also lower the risk and all options are on the table now.

Operator

Operator

This concludes our Q&A session. I will now turn the call back to Compugen's President and CEO, Dr. Cohen-Dayag. Would you like to make a concluding statement?

Anat Cohen-Dayag

Management

Yes. Thank you, operator. Thank you for joining us today and your continued support. Stay safe and healthy.

Operator

Operator

Thank you. This concludes the Compugen Ltd. fourth quarter 2021 financial results conference call. Thank you for your participation. You may go ahead and disconnect.