Earnings Labs

Molecular Partners AG (MOLN)

Q4 2021 Earnings Call· Wed, Mar 16, 2022

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Transcript

Operator

Operator

Good morning and thank you for standing by. Welcome to the Publication of Full Year Results 2021. [Operator Instructions] Please be advised that today’s conference may be recorded. I would now like to hand the conference over to your speaker today, Seth Lewis, Head of IR. Please go ahead.

Seth Lewis

Analyst

Thank you, and welcome. Welcome everybody, to Molecular Partners’ 2021 year end results conference call. My name is Seth Lewis, Head of Investor Relations. And we are joined this morning by Patrick Amstutz, Chief Executive Officer; and Andreas Emmenegger, our Chief Financial Officer. If you do not have a copy of today’s results presentation, you may find it on the Investors section of our website, www.molecularpartners.com under the Events tab, and it is also available on the webcast link, if you are listening to us on the webcast today. Management will be making a few brief prepared remarks, and then we will open for your questions. If you’re planning to ask a question, please be sure you are dialed into the call as the webcast is listen-only. And please note that management will be making certain forward-looking statements during today’s call, and these forward-looking statements may differ materially from future events and will be reflected to certain words such as anticipate, believe, could, expect, and words similar to this, but not including all of those. Some key facts may differ materially than our expectations, and we would refer you to our most recent filings on our website, as previously noted. If you’re listening to this on replay, please note that the call was recorded on March 16, 2022. And we would encourage you to refer to our website for the most recent announcements in public filings that they may have changed since a recording of this call. With that, I will turn the call over to Patrick. Please go ahead.

Patrick Amstutz

Analyst

Thanks, Seth, for the introduction also for the nice disclaimer, and I want to kick off with a very warm welcome from my side. I’ll give you also a moment to bring up the slides on our – that are on our homepage. We’ll keep the presentation for this year very short. And Chris, that we have more time for your questions I think that’s where we can add more value. 2021 was an amazing year, and I do want to start the call by thanking my team and all parts of the team that made this an amazing year, and we will work through all the accomplishments, which were really many. And that was only possible by teamwork and having really skilled experts working together and really bringing forward drug candidates in all stages of development. And that, just to remind us during a global pandemic that at this point in time might be a bit less in front of us also because other things are more in front of us. But I do think it’s far too early to call it a day on the global pandemic, and that will also be part, I guess, of the Q&A section, especially around ensovibep. So let’s go to Slide #3. I hope you have the time to pull up the slides. Slide #3 are the accomplishments of the last year. And I do want to start with the R&D section. There, just to remind us, we advanced in ensovibep from a preclinical compound within 1 year to the Phase 2 readout called empathy with Novartis, with those amazing results showing that we can inhibit the virus, that we can knock down viral load and protect around 4 out of 5 patients from going to the emergency room going to the…

Andreas Emmenegger

Analyst

Very good. Thank you, Patrick. So I’m now on Slide 6 and I am happy to tell you more about the ‘21 financials and also maybe more important, the outlook for this and coming years on the finance side. I only cover some highlights, so you find many more details in the appendix of the presentation and of course, in the Annual Report that’s available on our website. So the numbers for ‘21 do not include anything surprising. It’s always in the latest public guidance and also within our own internal budget. We recognized total revenues and other income of CHF9.8 million compared to CHF9.3 million the year before. We incurred total expenses of CHF73.2 million, which means we invested about CHF5.5 million more than the year before. This led to an operating loss of CHF63.4 million compared to CHF58.3 million the year before. Net financial loss was just – was CHF0.4 million compared to CHF4.4 million the year before. This is rather volatile year-to-year because of the related to unrealized currency losses on our U.S. dollar and euro cash position, it’s unrealized. And we do not do active hedging because we – I plan to keep the currencies in the size and amount that we expect to be needed going forward to execute on our plans. Bottom line, this resulted in a net loss of CHF63.8 million, which is CHF1 million more than the year before. Net cash used for operating activities in 2021 was CHF91 million, which is about CHF20 million more than our P&L expenses due to our contribution to the manufacturing of commercial supply of ensovibep. We ended the year with a solid cash balance of CHF132.8 million and 163 FTEs on our payroll. I move to Slide 7 with our balance sheet as per the…

Seth Lewis

Analyst

Thanks, Andreas. I appreciate it both. Operator, we’re okay to go for questions now, please.

Operator

Operator

Thank you. [Operator Instructions] Our first question comes from Richard Vosser with JPMorgan. Your line is open.

Richard Vosser

Analyst

Hi, thanks for taking my questions. A couple – Patrick, I know you mentioned the process of EUA is with Novartis, but any insight, any help you can give us on timing or progress of that process? That would be question one. Secondly, just on the EMPATHY trial and the move to subcutaneous versions of ensovibep, could you give us an update on Part B, has that started and recruitment there and where that trial may be recruiting and the subcutaneous version thoughts on progress there? And then, finally, maybe just the Virology Day, can we see progress on other virology candidates this year? I know it’s not part of your targets or news flow, but just thoughts there, please. Thanks very much.

Patrick Amstutz

Analyst

Hi, thanks, Richard, all really great questions and I’ll be happy to elaborate on as much as I can. So the EUA, as you know, was filed. It’s in the hands of Novartis, and it is an active process, and they are working very closely with the agency on this. And from what we hear, this discussion is going well, and there is real interest, I guess, from the agency to dig into this. I can’t guide you on the time. I don’t think there is a stop date. I think this is definitely something that kind of both sides are navigating. So we don’t know. And we – if we would, we couldn’t share what the timing is, and I don’t think there is a fixed timeline. On the EMPATHY side, I think I can just speak maybe a bit in general terms. You were asking about the Part B and the subcu part or, let’s say, injection that would then definitely also add, let’s call it, a more broad application opportunity for ensovibep. I think what we all saw is that with Omicron the situation changed in that, that many more people now have COVID, but also less are ending up in the hospital. So to repeat Part A and Part B on the outcomes is quasi impossible as you will have less hospitalization. So either you have a huge number of patients or you move to other endpoints or you have to wait for a next variant that I think will come and then you’re back. And I think those discussions are all ongoing. And I know also Novartis internally plus the agency, how to deal with this. Here, nothing has been decided. There is no active trial at the moment. So ACTIV-2 actually also was winding…

Richard Vosser

Analyst

Great. Thank you very much.

Patrick Amstutz

Analyst

Thanks.

Operator

Operator

Thank you. Our next question comes from Georgi Yordanov with Cowen & Company. Your line is open.

Georgi Yordanov

Analyst · Cowen & Company. Your line is open.

Thank you so much and congratulations on all the progress. So on ensovibep, but what additional data might be required from regulatory agencies ahead of receiving EUA approval? Is there – do you expect anything kind of like clinical that the agency would need? And I guess if you plan to submit additional follow-up data showing efficacy against Omicron? And then on 317, what have we learned from 310 that might be applicable to the development of 317 specifically for the monotherapy trial? Do you expect any monotherapy activity? And then may be if you can talk about the potential partnership opportunities? And lastly, on 533, maybe if you can just briefly talk about some of the challenges we’ve seen to date with bispecific antibodies in AML, co-targeting CD33 or CD123 with CD3. Have you identified any structural trade-offs of combining multiple DARPins?

Patrick Amstutz

Analyst · Cowen & Company. Your line is open.

Yes. Hi, thanks. All great questions. So I’ll start with Enso and data. So I mean, all would be so the data that we could show the agency or Novartis can show the agencies all additional data from Part A as Part B is not going on. And so, I think that is just safety data after day 29. There is just more there is efficacy data, so call it maybe long COVID data that might be showing up there. So those are the data pieces that Novartis is collecting, but also additional data that we didn’t have then. For sure, I mean, the sample of 400 patients that is not the largest trial. So we definitely are looking forward when we can start Part B and gather just more data in patients with ensovibep moving forward, especially as also Richard was pointing out, to be to go into a subcu formulation that would definitely be the best for application. So I think that the subcu is an important part, but that’s not linked to the EUA. You were also asking about Omicron. So that data is all preclinical. And from what we know and also how the agency has seen that the preclinical data, so live-virus but [indiscernible] virus data is good enough to expand the label for the variants. So this was also done for a Lilly antibody that did show positive effects in specific settings, but not on Omicron patients, but in vitro on Omicron. So we believe our data that we have from the lab is strong enough to cover also for the clinical setting. And then, hopefully, that’s also for future variants that could come from Omicron. I heard it is now paired with Deltacron and who knows what the next variants will be. I…

Seth Lewis

Analyst · Cowen & Company. Your line is open.

Right.

Patrick Amstutz

Analyst · Cowen & Company. Your line is open.

Now at the same time, we have a molecule that binds these targets with low affinity. So on the healthy cells where you have a low expression, you do have expression, but maybe just one and not two, and at a lower level, you are not killing those cells. And then on the AML cells on the blast, but especially on the leukemic stem cells, you find high expression of at least two of these targets that we are targeting. And we see very nice killing, but we also see at the same time that we are not having the side effect on the healthy blood cells. And this therapeutic window that we hope to open is really the differentiation angle of this approach. I hope that was helpful, and please follow-up if I did not cover your questions.

Georgi Yordanov

Analyst · Cowen & Company. Your line is open.

Thank you so much, incredibly thorough and answered all the questions. Thank you and congratulations again.

Patrick Amstutz

Analyst · Cowen & Company. Your line is open.

Thanks.

Operator

Operator

Thank you. Our next question comes from Jo Walton with Credit Suisse. Your line is open.

Jo Walton

Analyst · Credit Suisse. Your line is open.

Thank you. Just a few clarification questions, please. Your EUA progress, you talked about the agency, but can we assume that this is both the U.S. and the European agencies. And on the timeline that you understand, would it be sensible for us to model a 2Q ‘22 approval in at least one of those regions? Can I ask – historically, you said that you thought you would need about 1,700 patients in EMPATHY B, given the change in the market background and you – fewer people needing to go to hospital, are you suggesting that this would have to be materially higher than that in order to get the data that you wanted? And is it possible for you to do a subcut smaller study or do you have to start EMPATHY B before you can start the subcut with it because the subcut clearly is the one with a particular sort of commercial need, I would have thought? Can I ask on abicipar, if you can give us any hint of what was said in your meetings with the FDA in the sense of whether we would be expecting to see effectively a rerun of a Phase 3 study? So, a really material additional study that would be required that may help us work out our probabilities of you getting a partner on that? And my final question is one on finance. In your 20-F, it says that you have got a University of Zurich royalty payment to make, which is tiered on the royalties that you get. If we were lucky enough to see material ensovibep revenues this year, would we see a royalty go out that would take that net contribution of 22% down materially this year? And if you could also just help us on any other elements that might come into your P&L if ensovibep comes on, you mentioned that you had some manufacturing costs last year. Would we see any manufacturing costs this year or is it just a simple royalty relationship where Novartis would just pay you effectively, all of that is now done by them? Many thanks.

Patrick Amstutz

Analyst · Credit Suisse. Your line is open.

Hi. Thanks Jo. And I will try our best to kind of cover all those questions. So, the first is the EUA. And I think formally speaking, yes, and Novartis is going to look for global approval as fast as they can for ensovibep. I think it is not called an EUA in Europe or other legislations, I think there is a more rolling review. And yes, Novartis has started those discussions, including Europe, including Switzerland, including the U.S. And just historically speaking, the U.S. is usually the fastest in those discussions and maybe also the most meaningful for potential government contracts. So, that’s why I was hinting more towards the U.S., but you are absolutely right, this is going to be a global approach. On how and…

Seth Lewis

Analyst · Credit Suisse. Your line is open.

But to be specifically clear – sorry Pat, to be specifically clear to her question, the application for the EUA is with the FDA that’s where that – there is no EUA application in Europe, submitted well, A because of Patrick’s saying, it’s true that they don’t have that exact process, but that has yet to come. There has not been an official filing in Europe at this moment.

Patrick Amstutz

Analyst · Credit Suisse. Your line is open.

Yes. But the discussions obviously predate that. And then the model, I think that I have to leave to you, how you model that and the timelines and how you see that. I would rather go toward the patients. And yes, the way I think we see it at the moment, if you run an Omicron patients and you want the same endpoint as in Part A, for Part B, you would need more patients. I think that is rather logic or you change the endpoints and go for viral load reduction or symptom reduction. So, I think you can go both ways. And Novartis is debating everything, and they will definitely update us and the public once they have made progress on that discussion. How to bridge subcut, is a good question. I think there is many ways how to deal with that. I cannot comment on them. Also, I think is it a bridging trial, is it more a PK trial, is it a PD trial, I wouldn’t know what the best strategy today is and Novartis will give us both updates once they know more. Let’s quickly go to the abicipar question, which is a good one. So, just to remind us what kind of – the pace of the program, so we have partnered that 10 years ago with Allergan. They had run a Phase 2/3 – sorry, Phase 3 called CEDAR and SEQUOIA. So, two Phase 3 trials that actually had a positive readout for the every two and every three monthly dosing, but we have this inflammation rate of 15%. Allergan improved the material in the first step and brought that down to below 10% in a MAPLE trial. That was a smaller Phase 2 trial. And then AbbVie took over and further improved…

Andreas Emmenegger

Analyst · Credit Suisse. Your line is open.

Yes. Thank you, Joe, for the question. So, on the University of Zurich, no, we do not hold any fees or sub-royalties for ensovibep, because the base patent expired last fall. So, we don’t owe them anything. However, maybe also in the 20-F, we paid CHF1.5 million to the University of Utrecht, because they supported us a lot on this project and that engagement for that, we paid the CHF1.5 million that was paid also last year. So, that is on that question. The other one on ensovibep, yes, it’s a pure royalty play this year. We do not expect any further costs on our side. Actually it’s – on the contrary, we were able to recharge Novartis CHF13 million out of the CHF20 million investment we made into commercial supply. So, that is a partial recharge that is still – that will be paid very soon and we also can recharge the direct FTEs on our side working on the project. Obviously, this is going down now very fast, but we can recharge a direct FTE. So, it’s a pure royalty play.

Jo Walton

Analyst · Credit Suisse. Your line is open.

Thank you very much.

Patrick Amstutz

Analyst · Credit Suisse. Your line is open.

Thank you.

Operator

Operator

[Operator Instructions] Our next question comes from Daina Graybosch with SVB Leerink. Your line is open.

Daina Graybosch

Analyst · SVB Leerink. Your line is open.

Hi. Thank you for the questions. There has been a lot of good discussion already, so perhaps two on ensovibep for me. One I think you mentioned Lilly’s recent approval of beb – not approval, emergency use authorization for bebtelovimab. And I am wondering if you could talk about the data package they had holistically compared to ensovibep. Any similarities and are there any differences that could make it different – ensovibep different than Lilly’s for the agency? And my second question is, I wonder how you are thinking about endemic COVID and whether you are working on additional follow-on DARPins that you maybe could pull out if a variant emerges that is resistant to ensovibep and sort of what that process looks like internally?

Patrick Amstutz

Analyst · SVB Leerink. Your line is open.

Hi. Thanks Daina. And I will keep it very top line on Lilly as I am not the expert. I don’t know exactly kind of all the data parts there. I would say kind of, let’s say, what is similar and what less. I think what is similar is that the Lilly antibody also binds can neutralize Omicron. And I think a deep understanding also by the agency that a next variant is likely going to also come from that variant. So, a need for us to have something that is active on Omicron and enso, it’s maybe even broader applicable than an antibody. So, I think it is not while speculate, but I would hope that the agency sees our lines through all the variants, while the Lilly antibody, yes, it works on Omicron, but I think antibodies now have a history of also losing activity on new variants. I think that’s the similarity. The exact data they had, I can’t speak to, I don’t know the data. I do know that the agency definitely was very open to speak with Lilly. And I think that is maybe a bit different that obviously, Lilly had a first antibody has a large database for that antibody and an active discussion. So, I would see that they could hit the street running with the agency and have more data to reference than us. And I think that is just the way it is and I think those are the obvious things. But let’s say, on the positive side, a clear need to be creative to get an emergency use authorization for a molecule that can be actually saving many lives if the next variant comes. And I think that’s exactly where we position ourselves. Your question to endemic COVID is a…

Daina Graybosch

Analyst · SVB Leerink. Your line is open.

Great. Thank you.

Patrick Amstutz

Analyst · SVB Leerink. Your line is open.

Thanks.

Operator

Operator

Thank you. And we have a question from Rupin [indiscernible] with SUW. Your line is open.

Unidentified Analyst

Analyst

Thanks a lot for taking my questions. I am surprised your guidance for operating expenses of is a relatively low considering you have a lot of cash and your cash burn rate into ‘25 suggests that you are not planning to materially increase those expenses. In the middle of this year, you are going to present virology candidate or potential candidate – potential programs? Is it – is your planning that you give us now based on the assumption at ensovibep sales? And do you have a second planning in case of ensovibep is a success and then you will come up and say, okay, now we double all our expenses because we expect a lot of more cash?

Patrick Amstutz

Analyst

Thanks Rupin for a very good question and one that we are also turning up and down here. I think you see – the honest answer is that our programs that we are investing in are still early. And even if we double the number of those, the cash impact is not that high as the expensive part comes later. And it would mean if we really want to change that we would heavily invest in 317 or in 310 ourselves. So, that’s why we could spend more money, but that’s also where we don’t think we can make a big difference. And we have to be strategic with where we invest our money. So, as much as we would like to turn up the spend and invest more, at this point in time, our pipeline is not built to do too much of that. And having said that, I do think if we would then get, let’s call it, massive funds more, we will have to really think hard how to invest that money going forward. And I don’t want to kind of start any speculations, but we will definitely also turn the stones internally and see what we can do, be it on the manufacturing side of DARPins and others, maybe to invest more in pandemic readiness, things like that are definitely something we are being approached by many and things like that. But I do think at this point in time, let’s call it, our conservative spend is not that conservative. It just more reflects the stages of the molecules we have. And if we would like to invest, I think it would almost mean that we acquire a molecule that is further ahead than ours.

Unidentified Analyst

Analyst

Thanks.

Operator

Operator

Thank you. And there are no other questions in the queue. I would like to turn the call back to Patrick Amstutz for closing remarks.

Patrick Amstutz

Analyst

Sure. I will kick off and then Seth can close the call. So hey, thanks, everyone, for joining the call. Also thanks to all our analysts for also these really good questions that allow us to kind of go a bit deeper, and we wanted to spend time on the questions. I think that’s where we can work together and build the understanding of where this company is and how it’s going forward. And I do want to thank all our collaborators, especially Novartis, for a great collaboration on ensovibep and then all my coworkers in Molecular Partners for an amazing year. So, hard work out there and just so much comradeship working through those moments that were not always easy and really delivering the value for patients, but then also shareholders over the last year. So, thanks for that.

Seth Lewis

Analyst

Thanks Patrick. Thank you all for joining us today. Really appreciate it. Happy to follow-up with any questions that you still have, and we will make sure that we are available for that throughout the day and in the coming days from here. Look forward to updating you at future events coming up, including the Virology Day, which we discussed, we will be coming out with the actual date for that in the near future. But that will be occurring in the first half of this year. And please let us know if there is anything else we can help you with. Have a great day. Thanks everybody.

Operator

Operator

This concludes today’s conference call. Thank you for participating. You may now disconnect.