Michael Tardugno
Management
The question is where do we stand with our breakthrough status application for GEN-1 in ovarian cancer? This a good question, and we've addressed it, I believe, before, but I think we probably have some more detail to share with you. While we submitted a briefing document to the FDA outlining our intention to submit for breakthrough status in a preliminary meeting to a screening group. The result of that meeting was a very strong encouragement from FDA to continue our clinical research, our clinical review, evaluation of GEN-1 in newly diagnosed ovarian cancer patients. They were very complementary of the primary endpoints in our trial design. But they indicated to us that we may not have enough data for a proper review for breakthrough -- designation. We then took the additional step to compare the single-arm data to a synthetic control arm. We thought the -- matching our patients treated in the Phase I study with patients in control arms who would have otherwise qualified for our study. Matching them to the treatment patients in our Phase I study might provide the FDA with enough assurances that what we were seeing was not random. They -- we did submit a breakthrough therapy application on that basis, again, and a very likely conversation with the agency, a very strong endorsement of our work in ovarian cancer, but they're concerned that a synthetic control arm, not yet validated, might not be the best way to evaluate our proposal for breakthrough consideration. They did encourage us to come back when we had more data from the Phase II study, which you know includes randomized patients. In the meantime, they suggested to us that we applied for our Fast Track Designation, having many of the same advantages as breakthrough designation, not quite as, I guess, as impactful with the investment community. But from a practical standpoint, breakthrough status gives -- I mean, Fast Track status gives us quite a few advantages with the agency. We submitted an application for a Fast Track status. It was approved in short time. We announced that once we had the approval not too long ago. In the meantime, it's our intention, as FDA suggested once we have some additional data and we're getting close. But additional data from the Phase II study, we will consolidate that with the Phase I data and reapply for breakthrough status. So with that, operator, I think we can go on to questions from the attendees, meeting attendees.