Earnings Labs

Decoy Therapeutics Inc. (DCOY)

Q2 2017 Earnings Call· Sat, Aug 5, 2017

$5.45

-0.46%

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Transcript

Operator

Operator

Good day, ladies and gentlemen, and welcome to the Q2 2017 Flex Pharma Incorporated Earnings Conference Call. [Operator Instructions] As a reminder, this call is being recorded. I would now like to introduce your host for today's conference, Elizabeth Woo, SVP, Investor Relations and Corporate Communications. Ma'am, you may begin.

Elizabeth Woo

Analyst

Thank you, Heather. Good morning. Thank you for joining us to discuss Flex Pharma's second quarter 2017 financial results as well as our recent progress and outlook. Earlier today, we issued a press release announcing recent business highlights and detailing our second quarter 2017 results. You can find these documents on our website at flexpharma.com. Today, we will be making certain forward-looking statements about future expectations, plans, events and circumstances, including statements about our strategy, future operations and the development of our consumer and drug product candidates, plans for future potential product candidates and studies and our expectations regarding our capital allocation and cash resources. These statements are based on our current expectations, and you should not place undue reliance on these statements. Actual results may differ materially due to our risks and uncertainties, including those detailed in the risk factors section of our 10-K filed with the SEC and other filings we make with the SEC from time to time. Flex Pharma disclaims any obligation to update information contained in these forward-looking statements, whether as a result of new information, future events or otherwise. We'll provide a brief inner view and then open it up for Q&A. I now pass the call to our CEO, Bill McVicar.

Bill McVicar

Analyst

Thank you, Elizabeth, and good morning, everyone. At Flex Pharma, we are dedicated to delivering novel treatments for neuromuscular disorders to patients in need. It is my honor to lead the company based on foundational science of Nobelist Rod MacKinnon that is focused on alleviating severe, painful and debilitating cramping and spasticity prevalent among severe neurological diseases such as ALS, Charcot-Marie-Tooth and MS. When I joined Flex this past spring as the Head of R&D, I focused our talented team of scientists on operational execution and excellence. Now, as CEO, I'm dedicated to driving our strategy to focus on well-defined orphan patient populations. We have accomplished a number of important development objectives over these past few months. First and foremost, the recent Fast Track designation represents a validation by FDA that cramps are a severe, unmet medical need in ALS. We see greater collaboration with the FDA under Fast Track as an important catalyst in our efforts to accelerate the development of FLX-787 to address the suffering of patients with painful, debilitating cramps as a consequence of their severe neurological disease. We look forward to continuing our collaboration with the FDA to precisely define and accelerate the clinical development of FLX-787. In addition, our IND is now effective, which enables us to expand our clinical program in the US, where we now have initiated our Phase 2 COMMEND trial in ALS. We expect our Phase 2 COMMIT trial in CMT to follow soon with enrollment beginning this quarter. Our COMMEND trial is a Phase 2 study designed to evaluate FLX-787 in patients with motor neuron disease, the M, N and D in COMMEND, and it will primarily enroll ALS who suffer from cramps. The randomized, controlled, double-blind, parallel design trail includes a four-week running period to establish a solid baseline…

Elizabeth Woo

Analyst

Thanks, Bill. Heather, our operator, would you now open the Q&A and give instructions for participants to ask questions?

Operator

Operator

Thank you. [Operator Instructions] Your first question comes from the line of Alina Levchuk with Cantor Fitzgerald. Your line is open.

Alina Levchuk

Analyst

This is Alina Levchuk in for Mara Goldstein with Cantor. So, we just have a quick question about the timelines for the project and the.

Elizabeth Woo

Analyst

Hello?

Elizabeth Woo

Analyst

Yes, can you hear me?

Elizabeth Woo

Analyst

Yes.

Alina Levchuk

Analyst

Great, okay.

Bill McVicar

Analyst

You just dropped out for a second there, Alina, but keep going. And I think we'll get it.

Elizabeth Woo

Analyst

All right. So, we're looking for the timelines around the trial. So, the readout in Australia you said is going to be sometime around mid-2018 for spasticity. Does that overlap with CMT Phase 2 that is planned in the US?

Bill McVicar

Analyst

Actually, the readout for MS, we expect in the first quarter.

Alina Levchuk

Analyst

Okay.

Bill McVicar

Analyst

So, we're going to finish enrolling subjects thus year and then we'll read out the data early in 2018. And then the more robust US CMT trial will read out in summer of 2018.

Elizabeth Woo

Analyst

As well as the ALS.

Bill McVicar

Analyst

Yes, ALS as well.

Elizabeth Woo

Analyst

Yes, well designed Phase 2 under IND.

Alina Levchuk

Analyst

Okay, got it. Thank you that's helpful.

Operator

Operator

Thank you. [Operator Instructions] Your next question comes from the line of Michael Higgins with ROTH Capital Partners. Your line is open. Michael, please check your mute button.

Unidentified Analyst

Analyst · ROTH Capital Partners. Your line is open. Michael, please check your mute button.

Thanks for taking my questions. This is actually Rohit [ph] [indiscernible] in for Michael. I have a couple of quick questions. One about the ALS COMMEND trial, I was wondering if you could tell us how many patients you plan to enroll. I've seen different numbers in different places.

Bill McVicar

Analyst · ROTH Capital Partners. Your line is open. Michael, please check your mute button.

Yes, sure, thank you, Michael - sorry, not Michael. Rohit [ph] Yes. We expect to enroll about 100 patients in that trial. And there's actually a bit more detail on it if you're interested in our clinicaltrials.gov page or information page.

Unidentified Analyst

Analyst · ROTH Capital Partners. Your line is open. Michael, please check your mute button.

Right, right. So, that's where I saw 120 whereas in other places I saw something closer to 100, so that's helpful if anything.

Bill McVicar

Analyst · ROTH Capital Partners. Your line is open. Michael, please check your mute button.

Yes, I think the larger number may have referred to the number of subjects we expect to screen, which sort of officially are in the trial, once they're consented and screened, but the ones that is for completing from which we will gather our dataset is around 100.

Unidentified Analyst

Analyst · ROTH Capital Partners. Your line is open. Michael, please check your mute button.

Okay, okay, thank you. And then another question about the MS program, so you mentioned in your call that you're going to analyze the data from the current Australian trial, and then I am presuming you would initiate a larger trial with this IND [ph] in the US, and would it be with a similar design to what you're doing with the US, the ALS and the CMT trial as well?

Bill McVicar

Analyst · ROTH Capital Partners. Your line is open. Michael, please check your mute button.

That would be my expectation, yes. It's much more likely that we'll do that trial in the US under the US IND. And I mentioned earlier that we would open a separate IND in order to study spasticity in the US So, yes, I think that those are both the case.

Unidentified Analyst

Analyst · ROTH Capital Partners. Your line is open. Michael, please check your mute button.

Okay, okay, thank you. And then a final question about the ALS trial in Australia, the crossover design, so you stopped that trial early at 12 patients. And I'm wondering if data will still be released, and if so, when do you expect that to be available?

Bill McVicar

Analyst · ROTH Capital Partners. Your line is open. Michael, please check your mute button.

We actually don't expect to release data from that study and the reason being, of course, that with the 12 subjects, we can't make any meaningful conclusions. We do hope to learn in particular about the consistency of cramping frequency within an individual patient and then the variability between patients because that helps us sort of double check our power assumptions for the well-designed robust US trials. But we don't have an expectation to report data from that trial specifically.

Unidentified Analyst

Analyst · ROTH Capital Partners. Your line is open. Michael, please check your mute button.

Okay, all right. Thank you very much.

Elizabeth Woo

Analyst · ROTH Capital Partners. Your line is open. Michael, please check your mute button.

Thank you. Great question.

Unidentified Analyst

Analyst · ROTH Capital Partners. Your line is open. Michael, please check your mute button.

Thank you.

Operator

Operator

Thank you. [Operator Instructions] Your next question comes from the line of Roger [indiscernible] with Jefferies. Your line is open.

Unidentified Analyst

Analyst

I'm calling for Matthew Andrews from Jefferies. So, I have two questions about the Australia ALS study. So, I think you have reviewed the data for the 12 ALS patients. And how would you plan to incorporate into your kind of ALS in US trial, the larger well designed trial? The second question is, so considering your focus on the ALS and the CMT for now and how important the MS spasticity data from the Australian data are and bear in mind the study used the liquid formulation and if [ph] not parallel design?

Bill McVicar

Analyst

Yes, good question. So, on the ALS data from Australia, one of the things that's very helpful is to understand what the consistency is in the cramping behavior of individual patients because in the studies in the US, we're using a good, robust four weeks to gather baseline cramping frequencies. And then each subject will be compared back to their four week baseline after they've been treated with the drug for four weeks. So, naturally, there are some assumptions about the consistency particularly within a certain patient that allows us to estimate or confirm our power calculations. So, those data really it's almost the run-in data, Roger, that are more important to us from that ALS trial to kind of validate our power calculations for the US COMMEND trial. And your second question is a good one on MS. I actually think that it could be really important to be able to see a trend of activity in that study. You're exactly right in that, that is one of the studies with, let's say, the older designs, the crossover design, the liquid formulation. But you might recall that we did have some very encouraging results from some liquid formulations including in the FLX-100 study early in our history. So, we believe you can still get activity that way, we just believe that it's more optimized with an orally dissolving tablet. And then, of course, spasticity is a huge and extraordinarily interesting and valuable indication for us, so any hint that this mechanism can impact that, I think we'd be really encouraged by - and I'd ask Tom to just comment briefly on how we think about the mechanism of our drug and sort of its potential for impacting MS spasticity. Tom?

Tom Wessel

Analyst

Yes. So, we certainly see both spasticity and the cramping as flipside of the same coin that is an expression of the underlying hyperexcitability of alpha-motor neurons in the spinal cord. So, as Bill mentioned, in the MS study, we had a number of very important exploratory endpoints that will give us some insight into how patients with different clinical presentations, and that's in terms of their underlying spasticity and their underlying cramp frequency, how they respond to this intervention. This will allow us to sort of gauge for the future whether there is much there and obviously, the treatment of spasticity is a particularly vexing problem. So, if we were lucky enough to see something that is promising in terms of an effect size on the Modified Ashworth Scale or on the Tardieu Scale, the two spasticity scales that are used in the study, or on the numerical rating scale which the patient actually reports, if we were to see any indications of effect there, we would definitely want to pursue that because this is an area of enormous unmet need in the clinic.

Bill McVicar

Analyst

And if I understand correctly, we do think of spasticity as being in the same family of problems where we have a breakdown in the inhibitory signal from the central nervous system that affects this imbalance in tone, in adductor and abductor tone in patients with spasticity.

Unidentified Analyst

Analyst

Got it, very helpful, thank you. I have one last question if I may. So, any change in the level of interest from the strategy since AAN where you, guys, have the opportunity to speak to them on 787.

Bill McVicar

Analyst

I'm sorry, you faded out a little bit there at the end, Roger. What was the question about the?

Elizabeth Woo

Analyst

Something about AAN, we heard.

Unidentified Analyst

Analyst

Right, yes, so any change in the level of interest from the strategic partner since AAN, you have an opportunity to speak with them on the 787?

Bill McVicar

Analyst

Well, we don't normally comment on that but so.

Elizabeth Woo

Analyst

But suffice it to say that we are in regular conversations with potential partners, and I think in fact, you may have spoken to one when you were here.

Unidentified Analyst

Analyst

Yes, got it, thank you.

Bill McVicar

Analyst

You may know more than I do, Roger.

Unidentified Analyst

Analyst

Thank you, that's it.

Operator

Operator

Thank you. And I'm showing no further questions at this time. I'd like to turn the call back over to CEO, Bill McVicar, for closing remarks.

Bill McVicar

Analyst

Well, thank you very much. Thank you, all, for your attention this morning and your interest in Flex Pharma during this very busy time of the season. We look forward to continuing to touch base with you and the rest of our investors over the next few days and we welcome any questions on the information that we've released over the last few days and including our quarterly results. So, with that, thank you, all, for your time and attention.

Operator

Operator

Ladies and gentlemen, thank you for participating in today's conference. This does conclude the program and you, all, may disconnect. Everyone, have a wonderful day.