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Innoviva, Inc. (INVA)

Q3 2009 Earnings Call· Tue, Oct 27, 2009

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Transcript

Operator

Operator

I would like to welcome everyone to the Theravance Conference Call to review results for the quarter ended September 30, 2009. During the presentation, all participants will be in a listen-only mode. A question-and-answer session will follow the Company’s formal remarks. (Operator instructions) I will repeat these instructions after management completes their prepared remarks. Today’s conference call is being recorded. Now, I would like to turn the call over to Mike Aguiar, Senior Vice President and Chief Financial Officer. Please go ahead, sir.

Mike Aguiar

Management

Good afternoon everyone, and thank you for joining us. With me on the call today is Rick Winningham, our Chief Executive Officer. Today's call will be in three parts. First, Rick will review highlights from the quarter and provide an update on our clinical programs, then I will review our financial results, and finally we will open up the call for questions. Earlier today, Theravance issued a press release detailing third quarter 2009 financial results and recent corporate developments. A copy of the press release can be downloaded from our website or you can call Investor Relations at 650-808-4100, and we will be happy to assist you. Before we get started, we would like to remind you that this conference call contains forward-looking statements regarding future events and the future performance of Theravance. Forward-looking statements include anticipated results, and other statements regarding Theravance's goals, expectations, strategies, and beliefs. These statements are based upon the information available to the Company today, and Theravance assumes no obligation to update these statements as circumstances change. Future events and actual results could differ materially from those projected in the Company's forward-looking statements. Additional information concerning factors that could cause results to differ materially from our forward-looking statements are described in greater detail in the Company's most recent 10-Q filed with the SEC. I will now turn the call over to Rick Winningham, our Chief Executive officer. Rick?

Rick Winningham

Chief Executive Officer

Thanks Mike. Good afternoon everyone. This has been a very exciting time for Theravance with the recent US and Canadian approvals of VIBATIV for the treatment of adult patients with complicated skin and skin structure infections caused by Gram-positive bacteria including MRSA. VIBATIV's approval is a significant accomplishment for Theravance and it validates our drug-discovery and development strategy as well providing concession for the new treatment options for patient with these serious infections. In the Horizon program, GSK and Theravance announced this morning the initiation of the Phase 3 program in chronic obstructive pulmonary disease another important milestone for Theravance and our collaboration with GSK. Now I'll provide you with more details on these developments and then Mike will walk you through the financials later in the call. First let turn to our Horizon program with GSK. GSK and Theravance reported in a press release this morning that the first patient was dosed in the Horizon Phase 3 program. The goal of which is to develop a next generation combination treatment for patients with COPD. This program consists of a broad range of large scale Phase 3 studies to evaluate the combination of investigational once-daily long-acting beta agonists 444 and the once-daily inhaled corticosteroid fluticasone furoate or F. The overall program which will study more than 6,000 patients, includes two 12-month exacerbation studies; two, six-month efficacy and safety studies and a detailed lung function profile stud, and studies to assess the potential for superiority of the fixed combination of '444 and FF versus other strip treatments for COPD. The Phase 3 program is designed to generate data comprehensive enough to meet global registration requirement. The initiation of the Phase 3 program in COPD is important due to the significant unmet medical need for better and more convenient treatment options for…

Rick Winningham

Operator

Thanks Mike. We had a great third quarter with the approval of VIBATIV in the US and Canada, the initiation of the Horizon Phase 3 program in COPD, which we announced today. We are also pleased with the significant progress we have made on both the regulatory and clinical front in our other programs since our last quarterly update. I would like to express my appreciation to the Theravance’s team of about 200 employees. The Theravance team has shown incredible dedication in bringing VIBATIV to the market, while advancing a significant number of programs in both discovery and development. Hurdles, challenges, obstacles are constant in this industry. I have great respect for the ability of this team to handle every challenge, every hurdle, every obstacle placed in its ways or along our path of bringing new medicines to patients. Now, I’d like to turn the call over to the conference facilitator and open the call for questions.

Operator

Operator

(Operator Instructions) We'll take our first question from Tom Russo with Baird.

Tom Russo - Baird

Analyst · Baird

Congrats for starting COPD. I was hoping first to start with exacerbations and ask if there is any signs or data that you can share on the correlation between FEV1 coverage in reducing exacerbations, basically what would generate yours and Glaxo's confidence in bridging from what you've shown in Phase 2 to the primary endpoint in Phase 3 ,where we haven't seen anything yet?

Rick Winningham

Operator

Tom, I think this has been a standard pathway for looking at medicines to treat COPD. I think given the airway expansion that we've showed in the Phase 2b studies, in particular the 600 patients that clearly were quite confident in the Phase 3 program and the Phase 3 design and the ability of the combination of 444 and FF as well as well as a 444, a monotherapy to demonstrate the benefit in the study, so it's a standard. We are following a relatively standard path to approval here, and I think the Phase 2 data supports the design of the studies, as well as the probability for being successful.

Tom Russo - Baird

Analyst · Baird

Then last quarter, three months ago Glaxo made some comments about asthma and kind of what was left to resolve with FDA, and it didn't sound like much. Can you give any color now that three months have gone by and it sounds like it's kind of at a similar status, is there anything you can share on that front, the asthma front?

Rick Winningham

Operator

Other than what we both companies said in the press release, there's not much more that I can share. I think the tone in the press release was meant to convey a sense of optimism and the fact that we look forward to talking about the asthma program in the upcoming months.

Tom Russo - Baird

Analyst · Baird

Are there any new obstacles, or is it just kind of working through what was already there last time we heard?

Rick Winningham

Operator

I would say that the discussions with the FDA are ongoing, and we look forward to updating the public in the upcoming months.

Mike Aguiar

Management

One quick comment I'd like to add Tom. While we continue to remain quite optimistic about the ultimate outcome in asthma, the most important indication for us really was, whatever the first indication was principally due to the royalty structure that we enjoy, which is that we get the majority of our royalties in the first $3 billion worth of sales. So, we were extremely pleased to have COPD started. That has the potential to take us largely, if not all the way through that first tier. So that has been probably the single-most important event that we've had occur here lately, and we're extremely happy about that. With that being said, we continue to remain confident that we're going to get to the right place with asthma.

Tom Russo - Baird

Analyst · Baird

Then the last question, I'll jump out. On telavancin, can you give any color on the latest interactions with FDA on mortality? What's your confidence is in being able to pull trials and have an inclusive timeframe for mortality? Then also, what mechanism do you expect to see for FDA to give itself some more time beyond November 26th?

Rick Winningham

Operator

I think relative to the mechanism, we'll have to see whether it's an extension or a complete response or whatever. Not being November 26, I don't know what it's going to be, and historically with applications here. We’ve experienced both complete response in this, than just deferrals of action. I think relevant to the mortality; I think the confidence that we’ve expressed before the overall study, not showing us statistical difference in mortality with non-inferiority margins being acceptable from what was talked about in April. Then also just to draw people’s attention back to the April presentation by Steve Barriere from our clinical group and the treatment was not associated with higher mortality. So I think we feel today we’re in pretty good shape and certainly are preparing much in the same way that we prepared for the skin advisory committee to be successful and to be able to answer any question that the advisory committee may have on mortality.

Operator

Operator

Our next question comes from Michael Aberman with Credit Suisse.

Michael Aberman - Credit Suisse

Analyst · Credit Suisse

Congratulations concerning the COPD trial. Can you give us any more color on whether or not the potential of superiority or something the FDA asked for? Is that going to be a rate limiting either in US or in Europe for filing approval.

Rick Winningham

Operator

Superiority is not a rate limiting factor for either regulatory approval. I think superiority versus the studies that will have superiority as an end point are important studies for us and for GSK and really the 3B program to properly position the agents for payors.

Michael Aberman - Credit Suisse

Analyst · Credit Suisse

Then on the asthma side of things, have you heard anything from the FDA that whether you would need to go show any benefit over short-acting beta agonist and some of the outcomes that come up in previous panel is that the reason or could that be a contributor to delay or do you think that’s not the case.

Rick Winningham

Operator

I’m not exactly sure, I mean do we have to show a benefit versus short-acting beta agonist I would assume so given that its just maintaining history you would have to do that.

Michael Aberman - Credit Suisse

Analyst · Credit Suisse

I guess on the more, harder outcomes other than just exacerbations or hospitalizations such as mortality outcomes etcetera?

Rick Winningham

Operator

We are not done with discussions with the FDA, we haven’t started, but I think clearly our expectation with regard to the asthma program is clearly within sort of broad historical ranges. So, that’s really all we can provide now, Mike.

Mike Aguiar

Management

I think even I will add Michael, I’m not sure that I think it’s highly likely there will be a mortality component versus some of other beta agonist. I’m not a statistician, but Glaxo has expressed they should do that given the historic rate their may have been in some of the earlier studies in the [small] study for example. It would take something in the order of couple of hundred thousand patients to show that. So, it feels unlikely that particular one is there. So, I think really we would like to just wait until we get some more definitive feedback from them, whether it just purely a sizing issue or whether it there is something else they're ruffling through, but again I think we are little unclear on exactly what the final outcome is going to be.

Michael Aberman - Credit Suisse

Analyst · Credit Suisse

Final question on Horizon, the decision to use a single-dose for 444 from the previous [profile], I don’t see it looked pretty good at 25 doses well with perhaps less change in heart rate or better heart rate profile than the safety, anything you can comment on that decision.

Rick Winningham

Operator

Yeah. I think clearly with 25 micrograms we saw a very good efficacy and as you mentioned it very good tolerability profile against the range of parameters and also you know giving a pretty broad therapeutic index is that you really didn't see much at 50 micrograms either and I think that decision really was based on strong efficacy in the COPD population at 25 and having a very good therapeutic index in other words doubling the dose related do anything the adverse event profile. So it’s a strong, we think it’s a very, very, a dose with a very strong ability to show solid efficacy in both as mono-therapy and as in combination with FF and I think we ended up with the right place with the dose primarily because the time was spent in a extraordinarily large Phase 2b study.

Mike Aguiar

Management

Just to capitalize one more time on this, the 25 really was the dose we wanted and the biggest reason was because we saw such good safety across the board and really there wasn't a whole lot of difference on the safety side between these doses. By picking the 25 say versus 12.5 that gives us the best opportunity to capitalize on some of these key secondary endpoints that we think have the ability to show that this is really a different medication. So we are talking about on these in the past, the time to onset, the peak area under the curve, things like that and the 25 really gives us a terrific opportunity to capitalize on that and I think this is also due to inherent properties of the compound, which is that today its look pretty good in the studies from the safety perspective and we are not getting a lot of systemic absorptions, so we have a pretty broad therapeutic index.

Operator

Operator

Our next question comes from Brian Skorney with ThinkEquity.

Brian Skorney - ThinkEquity

Analyst · ThinkEquity

My first question, I'll just ask about telavancin. It appears that [ADAC] has two meetings in December scheduled. Have you guys talked to the FDA, how come you're not one of those? I mean, it seems like that both drugs that were filed after or one of them was filed after telavancin for hospital-acquired pneumonia, the other one should stay more of a workshop. How about we talk about that first?

Rick Winningham

Operator

I think when we get formal notice of an advisory committee, Brian of course we'll announce it, but we don't have that notice right now and I really can't provide any insight into what the [anti-infective] division is considering for the December meetings other than what they published on the website.

Brian Skorney - ThinkEquity

Analyst · ThinkEquity

Then talking about the Horizon, just kind to get a general idea of how long this study is going to take. In which of the trials do you and GSK think that you can submit an NDA? Do you have to wait for the full twelve month exacerbation study to read out, or is there an opportunity to file off of just the six month efficacy study?

Rick Winningham

Operator

We really view this as a package of the studies in terms of registration that we announced today. So, the rate-limiting step, the filing is really the completion of the 12-month studies.

Operator

Operator

We'll go next to John Stephenson with Summer Street Research.

John Stephenson - Summer Street Research

Analyst · Summer Street Research

In terms of the asthma indication, looking at the dose curve from the prior presentations, it looks like in the COPD studies you had some dose effect on I believe on one whereas in the asthma trial you didn’t really see much of a dose effect from 12.5 microgram to 50 and I was wondering whether or not A, you believe its likely you go with the same dosage shrink for asthma you have in COPD and then B, whether or not there is any question or potential question about whether or not you found a lowest effective dose for asthma?

Mike Aguiar

Management

With regard to the lowest effective dose, you may recall there are couple doses that were in addition to the doses that we put on to this slide, that has now reached statistical significance, so there were lower doses studies, specifically there was a 6.25 and that’s 3 microgram in that study. The question of lowest effective dose, I don’t think is particularly high on our radar screen at this juncture. With regard to the specific dosing that we were going to go to the FDA and I think I would just say we’ll wait till we get a little further through regulatory process. We obviously put a lot of common thinking into this and have an opinion on it, but until we get to a conclusion with them, I think I’ll hold off to make any comments. Rick?

Rick Winningham

Operator

I would just add that, one has to be a little bit careful in looking at bars in the slide that have been presented and looking across COPD and asthma and trying to see a dose response effective. The confident intervals in the COPD study from 12.5 to 50 all overlap, so while there looks like a bit of a dose effect there, it wasn’t something, it was statistical based, statistical difference. Then secondly, FEV1 at that trough is really one metric that we looked at and choosing the dose and clearly other metrics that we discussed before GSK discussed before such a kind of peak, absolute peak an area under the curve for bronchodilation over 24 hours, those were very important pieces of information of a dose selection for the COPD studies.

John Stephenson - Summer Street Research

Analyst · Summer Street Research

Just one another follow-up, in terms of the path indication, I know you guys have presented the data on the pooled analysis of the mortality in the all-treated population and I was wondering if you could make any comment as to what the non-inferiority margin for mortality were met in both of the trials in the, both in the all-treated, on the modified all-treated and on the microbiological evaluable population, because I haven’t seen the MAT or ME population.

Rick Winningham

Operator

John as you pointed out we presented the pool data and we've also presented data that said when you look across the studies and do some different types of statistical analysis the treatment wasn’t a contributing effect to mortality. We didn’t do mortality studies, number one, while our primary endpoints were clinical cure in the all-treated population in the clinically evaluable population and of course in both studies and in the pool we get both of those. We did not collect mortality in the studies as an efficacy endpoint. We collected mortality as a safety endpoint. We have presented the pool studies because in order to get a statistical representative sample you needed roughly as it has been discussed in a couple of different meetings, somewhere in the neighborhood of 15,000 patients and that as in fact the total number of patients that we have had in the studies. So, that we believe if the strongest evidence of mortality, given that we didn’t really do a mortality study. We did a study to evaluate clinical cure and I think on the basis of that, plus the other statistical analysis that we have done, that will again is the basis for being confident in being able to discuss both with the FDA and the Advisory Committee should they chose to apply mortality as an endpoint in these studies.

Mike Aguiar

Management

John. The reason we have gaffed and thrown out all kinds of other metrics there, to be totally honesty, we are not sure where they are going to settle in, and I'm not sure that its really worth our time to go out and start fishing around and throwing out a bunch of different metrics. If it turns out that we start to get some indication, the FDA is settling at any particular number where we might be able to add some value to a public discussion or if there were some data point that came up that would change our prior guidance, that might be a point of where we need to put out some additional data. I think absent one of these events happening probably the next time, that we would have additional data would be in a briefing package for an Advisory Committee is most likely.

John Stephenson - Summer Street Research

Analyst · Summer Street Research

Just to check, the one last thing I wanted to ask. Have you actually run the numbers for MAT and ME or no?

Rick Winningham

Operator

We look at the total sample size of both studies of 1,500 patients. Again, just to reconfirm what the type of studies that we've done. We didn't do the mortality study. We did a study based on clinical cure and again, in the AT and the CE populations, and collective mortality as the safety endpoint.

Operator

Operator

We'll go next to Biren Amin with FTN Equity Capital.

Biren Amin - FTN Equity Capital

Analyst · FTN Equity Capital

Thanks for taking my questions. I had a question on the definition of exacerbation in the Phase 3 horizon COPD program, so how is GSK defining exacerbation in Phase 3, and also is the company looking at total number of exacerbations or time the first COPD exacerbation?

Mike Aguiar

Management

I'm going to have to get back to you on that, Biren. I don't have the precise definition in the protocol in front of me.

Biren Amin - FTN Equity Capital

Analyst · FTN Equity Capital

I guess a question on VIBATIV. I noticed you disclosed a price, and I was just running the numbers. It seems that on a milligram for milligram basis, VIBATIV is charged, or it gets about a 15% to 18% premium over Cubicin. So I just wanted to, I guess the company's thoughts on the pricing strategy, considering Cubicin is pretty well ingrained, I guess I would have assumed that VIBATIV would have come in at slight discount to Cubicin to try to capture some market share.

Mike Aguiar

Management

Biren when you think about pricing, obviously we are a weight dependent dosing, which reflects directly into the pricing, and as a result, is a little bit hard to say exactly where you are at a premium or a discount because it can vary pretty broadly, particularly for Daptomycin based upon our indication and things like that. So I think where we are, we've done a ton of work here, and we've looked at all kinds of various pricing curves and demand curves, elasticity curves, and came to a conclusion that the best price was right in the middle, but toward the upper end of where the other branded products are, kind of given the combination of both of the two indications. With regard to coming in at a slight discount, it doesn't do a whole lot for you. You don't pick up a tremendous amount there, and quite frankly, I'm not sure we've ever been to a place that thinks that the best place to compete is on price. I would rather compete on attributes as a product. So on this, we spent a ton of time, I mean just as some ballpark numbers, a single 750 takes you up to about 155 pounds, and then up between 155 pounds and 220 pounds would be 750 plus 250. So again, it depends entirely upon the patient's size as well as their renal status in terms of where the ultimate price point is.

Rick Winningham

Operator

I'd just say, we're clearly looking at the product with not only the indications that we have to date with telavancin or VIBATIV, but the indications that we may be able to achieve in the future.

Operator

Operator

(Operator Instructions) We’ll take our next question from Ian Sanderson with Cowen & Company. Ian Sanderson - Cowen & Company: Just a couple; first on the housekeeping question, the $20 million milestone from Astellas, will that be booked in Q4 or amortized? Then secondly on the Horizon program, will one of the active competitors in the superiority studies possibly be Advair? The n third, related to that, we’re hearing that one of the potential therapeutic benefit of once-daily dosing profile in COPD may be reduction of lung hyperinflation and would that actually show up in exacerbation scores or if not how may you show that?

Mike Aguiar

Management

I’ll let Rick take the two questions that you given him on the Horizon program. Just quickly on the milestone, we should see that this quarter and they will be treated like all of our other milestones, the day which is they will be hung up and amortized over a period of time. So with that I will turn it to Rick on the Horizon question.

Rick Winningham

Operator

The hyperinflation of the airways may lead to exacerbations in COPD in the moderate to severe patient population, so that may show up within the exacerbations end point. What was your second question, active competitor. The active competitor, we’ll talk about that when we launch these studies, but clearly we are interested in – we and GSK are interested in positioning the Horizon product as a superior agent in the field. So, I would just look at the agents that are currently being marketed for COPD and those are the agents that are under consideration for active comparator. Ian Sanderson - Cowen & Company: With those active comparator trials most likely include both, exacerbation and FEV1 endpoints.

Rick Winningham

Operator

Its likely that yes, they would.

Operator

Operator

It appears we have no further questions on the phone. I’d now like to turn the conference back over to Mr. Winningham. Please go ahead sir.

Rick Winningham

Operator

Okay, I would like to thank everyone on the line for joining us for and sharing a very positive third quarter and month of October and hope you all have a very good day. Thank you.

Operator

Operator

This does conclude today's conference call. We thank you for your participation. You may now disconnect.