Earnings Labs

Minerva Neurosciences, Inc. (NERV)

Q4 2017 Earnings Call· Mon, Mar 12, 2018

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Transcript

Operator

Operator

Welcome to the Minerva Neurosciences Year End 2017 Conference Call. At this time, all participants are in a listen-only mode. There will be a question-and-answer session following today’s prepared remarks. This call is being webcast live on the Investors section of Minerva’s website at ir.minervaneurosciences.com. As a reminder, today’s call is being recorded. I would now like to turn the call over to William Boni, Vice President of Investor Relations and Corporate Communications at Minerva. Please proceed.

William Boni

Management

Good morning. A press release with the company’s year end 2017 financial results became available at 7:30 a.m. Eastern Time today and can be found on the Investors section of our website. Our annual report on Form 10-Q was also filed electronically with the SEC this morning and can be found on the SEC’s website at www.sec.gov. Joining me on the call today from Minerva are Dr. Remy Luthringer, Executive Chairman and Chief Executive Officer; Mr. Rick Russell, President; and Mr. Geoff Race, Executive Vice President, Chief Financial Officer and Chief Business Officer. Following our prepared remarks, we will open the call for Q&A. Before we begin, I would like to remind you that today’s discussion will include statements about the company’s future expectations, plans and prospects that constitute forward-looking statements for purposes of the Safe Harbor provisions under the Private Securities Litigation Reform Act of 1995. We caution that these forward-looking statements are subject to risks and uncertainties that may cause actual results to differ materially from those indicated. These forward-looking statements are based on our current expectations and may differ materially from actual results due to a variety of factors that are more fully detailed under the caption Risk Factors in our filings with the SEC including our annul report on Form 10-K for the year ended December 31, 2017 filed with the SEC on March 12, 2018. Any forward-looking statements made on this call speak only as of today’s date, Monday, March 12, 2018 and the company disclaims any obligation to update any of these forward-looking statements to reflect events or circumstances that occur after today’s call except as required by law. I would now like to turn the call over to Remy Luthringer.

Remy Luthringer

Management

Thank you, Bill and good morning everyone. Thanks for joining us today. We began 2018 with four clinical trials underway with two product candidates and we are planning to begin a fifth trial with a certain product candidate in the near future. These advancements have been made possible by the extensive preparatory work and regulatory interactions that were completed during 2017. 2018 will be year marked by clinical trial execution leading to data readouts anticipated in 2019. We believe the designs and protocols that we have put in place will help maximize the probability of success in these trials and further defined innovative product profiles for our compounds beginning with MIN-101. I am pleased to inform you that MIN-101 has now been assigned its generic name, roluperidone. I will use this identifier today and going forward instead of MIN-101. In December 2017, we initiated the pivotal Phase 3 clinical trial of roluperidone as monotherapy for negative symptoms in patients diagnosed with schizophrenia. This multi-center randomized, double-blind, parallel-group, placebo-controlled, 12-week study is designed to evaluate the efficacy and safety of 32 milligrams and 64 milligrams of roluperidone in other patients. So 12-week study will be followed by a 14-week open label extension period during which patients on drug will continue receiving their original dose and patients on placebo will receive either 32 milligrams or 64 milligrams of active drug. The effect of roluperidone as compared to placebo will be determined with respect to the primary end point, the change from baseline in negative symptoms using the positive and negative syndrome scale and Marder’s negative symptoms factor score NSFS over the 12-week double blind treatment period. The key secondary endpoint is the effect of roluperidone compared to placebo as measured by the change from baseline in the Personal and Social Performance PSP…

Rick Russell

Management

Thank you, Remy. It’s a pleasure to join the Minerva team and to participate in today’s conference call. The burden of disease and the market potential for each of Minerva’s products are significant. Patients in each of our targeted indications, schizophrenia, MDD, insomnia and Parkinson’s disease are not well-served by existing therapies. We believe our product candidates are differentiated from available therapies. We also believe their novel mechanisms represent innovative approaches to addressing unmet needs. I will focus my brief comments today on the general target market for roluperidone, the company’s most advanced clinical asset. Negative symptoms are ranked by doctors as the number one unmet medical need for patients with schizophrenia according to recent Datamonitor survey information. Number two is improved tolerability for drug treatment. Based on clinical data generated to-date, we believe roluperidone, a product whose administration has resulted in observed improvement in negative symptoms, stability in positive symptoms and a favorable side effect profile addresses these needs directly. Published studies estimate that 1.3 million individuals are diagnosed and treated for schizophrenia in the U.S. This represents 53% of the total population of 2.2 million who suffer from this debilitating condition. Of these, approximately 69% or 920,000 individuals have negative symptoms and approximately 85% of those or 780,000 individuals have varying severity of negative symptoms and are stable over a 6-month period. We also know that positive symptoms can fluctuate and tend to be more episodic with acute episodes of psychosis or hallucinations, which declined in frequency and severity over time. Conversely, negative symptoms are typically more persistent and can increase over time contributing to disability and overall burden of disease. Approved anti-psychotics which directly target the dopamine receptor have shown efficacy only against positive symptoms and none of them are indicated for negative symptoms. Additionally, we believe among prescribers, there is a low level of satisfaction with current treatment options and a growing recognition of the need for new therapies. So given these factors, we believe the target market for roluperidone is substantial and that the drug is differentiated from current treatment states on its mechanism of action, clinical effects and of course the targeted indication. As a monotherapy targeting negative symptoms in the chronic or maintenance phase of the disease, it’s unique in the late stage pipeline of products to treat schizophrenia. And with that, I will turn it over to Geoff.

Geoff Race

Management

Thank you, Rick. Earlier this morning, we issued a press release summarizing our operating results for the first quarter and year ended December 31, 2017. A more detailed discussion of our results maybe found in our Annual Report on Form 10-K filed with the SEC earlier today. Cash, cash equivalents and marketable securities as of December 31, 2017 were approximately $133.2 million compared to $83 million as of December 31, 2016. We expect that the company’s existing cash and cash equivalents will be sufficient to meet its anticipated capital requirements for at least the next 12 months from today and into 2020 based on our current operating plan. The assumptions upon which this estimate is based are routinely evaluated and maybe subject to change. During 2017, the company received approximately $41.6 million in net proceeds from a July public offering of common stock, proceeds of $9.4 million from the exercise of common stock warrants, proceeds of $1.1 million from the exercise of common stock actions and $30 million in an upfront payment in connection with the amendment to the company’s co-development and license agreement with Janssen. Research and development expenses were $6.5 million in the fourth quarter of 2017 and 2016. R&D expenses were $30.3 million for the year ended December 31, 2017 compared to $20.4 million for the year ended December 31, 2016. Of the $30.3 million in R&D expenses, $11.2 million represents accrued and unpaid expenses incurred during 2017 under the collaboration agreement with Janssen. These accrued expenses were forgiven upon the effective date of the amendment to the co-development and license agreement with Janssen, had no cash impact on Minerva and have been included under deferred revenue on the company’s balance sheet at December 31, 2017. The increase in research and development expenses in 2017 primarily reflects…

Operator

Operator

[Operator Instructions] Our first question comes from the line of Joel Beatty with Citi. Your line is now open.

Joel Beatty

Analyst

Hello, good morning and thanks for taking the questions. The first one is on the trial of MIN-101, can you discuss a little bit about how you are able to balance being on track for enrollment with enrolling the types of patients you feel are appropriate for the trial and as you have had to make any adjustments or changes to the types of patients you are enrolling? Thanks.

Remy Luthringer

Management

Thank you, Joel and Remy answering this question. I think this is obviously a great question, because as you know, I mean, we already have a lot of chance, because at the end of Phase 2 meeting we had with the FDA, it was clearly discussed that I mean the Phase 3 should be as close as possible to the Phase 2b study we have run. So obviously, we could really learn a lot from the Phase 2b in order to design the right Phase 3. This said as everybody knows I mean in the Phase 3 we will have around 30% of the patients coming from the U.S. and here we put a lot of efforts in this part in order to ensure that the patients who will be enrolled we have access to their history, because when you are dealing with negative symptoms in schizophrenia, you need really to get a good hint about the history of the patients in order to show the stability of the symptoms. So, all this has really focused – the team has focused a lot on this and I really think that we have the right sites in place in the U.S. in order to come up with the right patients with the same patients as patients we will include in Europe. So, this is really something very important. What we obviously also are doing is that we are following this very carefully, each time a patient is identified screened by the sites, we are really helping the site in order to take the right decisions, obviously, the final decisions phase with the PI of the site, but I mean we are really helping here, because it’s a unique approach here we are doing. And what we are also doing in order to ensure that I mean the quality is the same as one we had in the Phase 2b. We have this continuous control of the key outcomes, particularly obviously the PANSS scale, PSP and the CGI in order to really follow how each site is performing in order to come up with the right patients. So, these are really the key aspects we are really taking into account. It could be much longer, but I do not want to take all the time to explain this, but again, I really thank you for this question, because I mean, this is really the key of success. And again, we are really very pleased that we can in Phase 3 learn a lot from the Phase 2b and really reproduce as the same results.

Joel Beatty

Analyst

Great. Thank you. And then one other question is on seltorexant, could you discuss the mechanism of action of the agent and whether you expect that to help lead to any differentiating features in insomnia or depression and the results that are coming in the first half of next year?

Remy Luthringer

Management

Yes. So, this is also an important question. And obviously, before I mean I started with the team to be interested in seltorexant and to put in place is collaboration with Janssen, we obviously thought a lot about this. And as you know, I mean, our molecule is a specific orexin-2 antagonist, whereas all the other molecules, who are on the market, I mean the molecule and the other molecules in development are dual antagonists, so they are antagonizing orexin-1 and orexin-2 pathway. And I mean, why I was personally so interested in the orexin-2 pathway or just specificity of this pathway is that I think this pathway is enough to induce the effect we hope to see on sleep and here we have already a lot of data coming out from polysomnography, which is objective way to measure sleep. And clearly, it is enough to help patients suffering from insomnia, but more interestingly, it is also already demonstrated with the data we have is that you are able to preserve the sleep physiology and different sleep stages you need to have in order to have what we call restorative sleeps, in other words, deep sleep is maintained. We have no major effect on REM sleeps. All this is really contributing to this restorative sleep that people when they wake up, they function better and they can also be better in terms of cognitive aspects, because with existing treatments, you have often the physiology, which is not there in terms of sleep and you have some impairment during daytime functioning. So, clearly, this was the reason why. What is also interesting is that when you think about dual antagonists we know that the orexin-1 pathway is mostly mediated via dopamine and this brings several side effects by going to mediate…

Joel Beatty

Analyst

Great. Thank you.

Operator

Operator

Thank you. And our next question comes from the line of Jason Butler with JMP Securities. Your line is now open.

Unidentified Analyst

Analyst · JMP Securities. Your line is now open.

Hi, it’s [indiscernible] for Jason. Thanks for taking the questions. I had couple on roluperidone, can you speak to the importance of the personal and social performance secondary endpoint in Phase 3 and then are there any planned interims in that trial?

Remy Luthringer

Management

So, clearly, I mean just to make this extremely clear to everybody, it is really clear that I mean, roluperidone is the Phase 3 primary endpoint which is a moderate negative score is showing the same effect as what we have seen in the Phase 2b study. I mean this is enough in order to get the drug approved. I mean because it has always been stated that any drug which is improving negative symptoms and more important is basically improving negative symptoms which is our case. This is the grant of approval. This said obviously what everybody hopes is by improving negative symptoms you are also improving functioning or the everyday functioning of the patients that is again able to cope with very simple things like standing up in the morning, taking the shower and being engaged in a more active social life. So this is the reason why I mean we have decided to by discussing this obviously with the FDA to include secondary endpoint like PSP. And PSP is really focusing on how good or what is improvement in terms of functioning in the patients. So, obviously if you have – if you are hitting PSP overall score and obviously you have some sub-scores you will understand better what is the overall effect of the molecule. If you have this, this is obviously an additional layer and we will explain to the prescriber, to the patient and to the families of the patient that I mean you are not only improving these symptoms, but you have also some consequences which are really positive in the everyday life. So this is the reason why we put PSP, but again to get the drug approved is only related and the primary endpoint is the secondary is also hitting and that made as you remember is the Phase 2b we had an effect on PSP. So definitely we know that I mean the molecule is improving function already. I think this will be an added value at the end of the day.

Unidentified Analyst

Analyst · JMP Securities. Your line is now open.

Okay, great. And then were there planned interims for that trial?

Remy Luthringer

Management

Can you repeat, I did not understand?

Unidentified Analyst

Analyst · JMP Securities. Your line is now open.

Planned, interims for the Phase 3, do you got kind of any planned interims?

Remy Luthringer

Management

No, we have no interim analysis planned, so if I really got the question this is a 500 patients study and we have no interim analysis planned, definitely not.

Unidentified Analyst

Analyst · JMP Securities. Your line is now open.

I have the same question for seltorexant in the Phase 2b are there any interims in those trials either MDD or insomnia?

Rick Russell

Management

So, for seltorexant, yes indeed I mean there are some interim analyses which are planned, because the objective of one study in depression and the study in insomnia is to better define the dose ranges or the doses which are the doses we will move forward into Phase 3. So indeed for these two studies indeed there is an interim analysis which is planned and you can adapt to those for Part B of the study if necessary. So this is the reason why we have the interim analysis in order to be as adequate as possible in defining the doses which will be used moving forward into Phase 3.

Unidentified Analyst

Analyst · JMP Securities. Your line is now open.

Okay, great. And I had a couple of questions on MIN-117, I know you said you are going to start the Phase 2b shortly, but what’s the gating factor for starting that trial and did you have meetings with the regulators following the Phase 2a?

Remy Luthringer

Management

No, I mean the factor is purely technical, I mean to get these different approvals from the SEP committees and this is not something which is actively going on and there is no good reason why I mean we should not get all these approvals, so it’s purely technical. We have defined the sites. We have defined the split between the U.S. and Europe because this will be a study where we have also U.S. sites. So again, it’s purely time to prepare and to be ready by them and we are very close to have the first patients in this study.

Unidentified Analyst

Analyst · JMP Securities. Your line is now open.

Okay, great. Thank you.

Remy Luthringer

Management

You’re welcome.

Operator

Operator

Thank you. [Operator Instructions] And our next question comes from the line of Biren Amin with Jefferies. Your line is now open.

Biren Amin

Analyst · Jefferies. Your line is now open.

Yes. Hey guys. Thanks for taking my questions. I noticed on clintrials.gov that with seltorexant there was a trial initiated to look at three different formulations recently, can you just talk about that a little bit the objective of that study and what you are trying to optimize there? Thanks.

Remy Luthringer

Management

So, we are not trying to optimize anything to be very clear. I mean, we defiantly are moving forward as the formulation that we have currently using in the Phase 2b studies and the formulation which have been used in the previous trial. This pre-formulation trial is more a technical trial about evaluating particle size of the finer formulation moving forward. So, this is purely a CMC aspect, but I mean, this particle size is to answer and to be prepared for the filing of the molecule in terms of CMC. But again, I mean this does not change as the PKPD and the pharmacokinetic aspect of the molecule, it is purely to have the data necessary for the CMC dossier. So, definitely nothing we want to change in order to change as the clinical efficacy or to manage something, which is related to the indications we are going after. It’s purely for the CMC dossier.

Biren Amin

Analyst · Jefferies. Your line is now open.

Okay. And then for the MDD trials, you are comparing it to quetiapine, how should we think about the objectives? Are you looking at superiority to quetiapine or is non-inferiority the objective for those studies? Thanks.

Remy Luthringer

Management

I think the answer is we are not going after the two aspects. It’s really an exploratory study. This study is a study in order to compare indeed on the descriptive level, the add-on of quetiapine versus the add-on of our molecule in order to have all the elements necessary in order to design the right Phase 3 study. So, this study compared to the two other studies which are extremely well powered. This is an exploratory study in order to pickup the differentiating aspects between seltorexant – sorry, I wanted to say MIN-202, between seltorexant and quetiapine. So, this is the purpose of this study and so clearly to set hypothesis which will be included in the Phase 3 program.

Biren Amin

Analyst · Jefferies. Your line is now open.

Okay. And then just in terms of timelines across the three seltorexant studies, which you anticipate reading out first?

Remy Luthringer

Management

I said it will be too early to say which one is reading out first. What is clear is that I mean the three trials are recruiting well and this is really good news. And I think we should stick to what we have always said for the moment, because we are nevertheless in the early part of the recruitment is that I mean the readout of the study will be the first half of 2019 just for the three studies sorry. So today again, I think it’s too early, but thing are really going very well in terms of recruitment. So, this is I think, but I can say today, I think.

Biren Amin

Analyst · Jefferies. Your line is now open.

Okay, great. Thank you.

Remy Luthringer

Management

Thank you so much.

Operator

Operator

Thank you. And I am showing no further questions. So, this does conclude today’s Q&A session. I would like to return the call to Mr. Remy Luthringer for any closing remarks.

Remy Luthringer

Management

Thank you so much. Thank you for your time and I am really looking forward to give you an update in the very close future. Thank you, again.

Operator

Operator

Ladies and gentlemen, this concludes today’s presentation. Thank you once again for your participation and you may now disconnect. Everyone have a great day.