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UroGen Pharma Ltd. (URGN)

Q3 2020 Earnings Call· Mon, Nov 9, 2020

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Transcript

Operator

Operator

Good morning, ladies and gentlemen. Thank you for standing by and welcome to UroGen Pharma's Third Quarter 2020 Financial Results and Business Update Conference Call. It is now my pleasure to turn the call over to Sara Sherman, Head of Investor Relations for UroGen Pharma. Please go ahead.

Sara Sherman

Management

Thank you, Jonathan. Good morning everyone and welcome to UroGen Pharma's third quarter 2020 financial results and business update conference call. Earlier today, we issued a press release providing an overview of our recent corporate highlights and financial results for the quarter ended September 30, 2020. The press release can be accessed on the Investors portion of our website at investors.urogen.com. Joining me on the call today are Liz Barrett, President and Chief Executive Officer; Dr. Mark Schoenberg, Chief Medical Officer; Jeff Bova, Chief Commercial Officer; and Molly Henderson, Chief Financial Officer. Please note that we continue to conducting our calls from different locations, so we appreciate your patience and understanding should we have any technical difficulties. On today's call, Liz, will provide a summary of our recent corporate developments, Mark will share clinical development and regulatory updates, and Jeff will discuss our recent launch of Jelmyto and commercial updates. Molly will then provide an overview of our financial highlights for the second quarter before we open the call for questions. As a reminder, during today's call, we'll be making certain forward-looking statements. Various remarks that we make during this call about the company's future expectations, plans and prospects constitute forward-looking statements for purposes of the Safe Harbor provisions under the Private Securities Litigation Reform Act of 1995. Actual results may differ materially from those indicated by these forward-looking statements as a result of various important factors, including those discussed in the Risk Factors section of UroGen Pharma's Quarterly Report on Form 10-Q filed with the SEC this morning, and other filings that UroGen Pharma makes with the SEC from time to time, as well as any negative effects on UroGen's business and commercialization and product development plans caused by or associated with the COVID-19 pandemic to the extent not disclosed previously. We encourage all investors to read the company's quarterly report on Form 10-Q and the company's other SEC filings. These documents are available under the SEC Filings section of the Investors page of UroGen's website at investors.urogen.com. In addition, all information we provide on this conference call represents our views only as of today and should not be relied upon as representing our views as of any subsequent date. While we may elect to update these forward-looking statements at some point in the future, we undertake no obligation to update any forward-looking statements we may make on this call on account of new information, future events or otherwise. And with that I will now turn the call over to Liz.

Liz Barrett

Management

Thank you, Sara, and thank you all for joining us on our third quarter conference call. Since our last earnings call, UroGen has gained important traction in bringing Jelmyto to patients in need and has continued to execute on our near-term business objectives, and growth strategies for the long-term. We are encouraged by the positive progress we've made to date and our commercial launch of Jelmyto, which was officially launched on June 1st, bringing the first of its kind therapy to patients with low-grade upper tract urothelial carcinoma. In our first full quarter of launch, we have exceeded our internal expectations and reported $3.5 million in net product sales. I think this is a testament to the efforts of our commercial team as well as the positive reception we've received from physicians despite the unprecedented environment we are continuing to operate in. Jeff will provide a more detailed update on our progress shortly, but we're excited about where we are and the outlook for this important medicine. As we previously communicated, we submitted a label update with the final results from the pivotal Phase 3 OLYMPUS of Jelmyto, and we believe the FDA will approve the updated label for Jelmyto in early 2021. We expect the updated label to be similar to the current label, given the final results are consistent with previously shared results. And we anticipate presenting the final OLYMPUS data at a medical meeting by the end of this year. We also continue to progress our uro-oncology pipeline. Our most advanced pipeline program is UGN-102 for the treatment of patients with low grade intermediate risk non-muscle invasive bladder cancer. We see important synergies in the way in which low-grade upper tract urothelial carcinoma and low-grade intermediate risk non-muscle invasive bladder cancer present as well as the way…

Mark Schoenberg

Management

Thank you, Liz. This is certainly an exciting time for UroGen with increased uptake of Jelmyto across the urologic community, as well as key advancements in our programs. As a practicing urologist, I have seen firsthand the impact that Jelmyto is having as my colleagues begin to prescribe this new therapy for their adult patients with low-grade upper tract urothelial cancer. As we look to our pipeline beyond Jelmyto, we continue to follow the Phase 2b OPTIMA II trial of UGN-102 and anticipate final data by the end of the year. In August, we communicated estimated durability of 72.4% based on interim data. In the study, patients are followed with durability up to 12 months post treatment initiation. Regarding the timeline for ATLAS, which is our UGN-102 pivotal Phase 3 trial, we have finalized the design of the study with the FDA and remain on track to initiate the study by year-end. Site identification is well underway in the United States, Europe and Israel for this important global study. As a reminder, ATLAS will be a randomized controlled trial in approximately 600 patients assessing UGN-102 with or without transurethral resection of bladder tumors, or TURBT, versus TURBT alone in patients with low-grade non-muscle invasive bladder cancer at intermediate risk for recurrence. The study is designed to evaluate UGN-102 versus standard of care and patients will be randomized one-to-one to either UGN-102, or TURBT. At the three month time point, patients will be assessed for response. Patients who have demonstrated a complete response to either UGN-102 or TUEBT will continue for long-term follow-up for evidence of recurrence. Patients who demonstrate a recurrence in either arm will undergo TURBT, and then we'll also continue for long-term follow-up for evidence of recurrence. The primary endpoint of the study is disease-free survival or recurrence-free…

Jeff Bova

Management

Thank you, Mark. I'm pleased to be providing you with an update today on the progress of our commercial launch of Jelmyto, which has been underway since June 1st. We've seen significant interest in growing demand for Jelmyto. As Liz mentioned, we have received positive feedback from physicians who have used Jelmyto and we're hearing from these physicians on a daily basis. These early success stories and calls from physicians provide us a firsthand account of how we are making a difference in the lives of patients. These calls are often centered around how pleased physicians are that their patient was able to avoid surgery and we're hearing from some physicians that their first patient achieved a complete response after finishing treatment. Jelmyto is definitely making an impact. I'd like to highlight a few points that help illustrate the success of the launch today. As of November 1, we have increased our activated sites to over 165 sites up from 100 sites at our last earnings call on August 10. These are sites who have either treated patients or are ready to treat patients. We expect this number to keep growing as our sales force of 48 reps continues to target hospital and community accounts where most of the patients are treated and we are relentless in this effort. Just this past weekend at the virtual Large Urology Group Practice Association Annual Meeting, we were the only partner who presented. This meeting alone provided us with the opportunity to engage approximately 500 physicians, nurses, and business managers from large urology practices. The other number that is important to mention is repeat accounts or accounts that have treated more than one patient, as it suggests the physicians are seeing clinical efficacy of the drug, the reimbursement is working and all the…

Molly Henderson

Management

Thanks, Jeff, and hello to everyone on today's call. I'm delighted to have joined UroGen at such an exciting time and look forward to helping the company achieve its near and long-term financial objectives. UroGen reported net product sales of Jelmyto for the third quarter of 2020 of approximately $3.5 million, associated cost of revenues were approximately $309,000, including certain one-time startup costs. In periods prior to receiving FDA approval of Jelmyto and under accounting rules, we recognized inventory and related costs associated with the manufacturing of Jelmyto as research and development expenses. We expect this to continue to have a favorable impact on cost of revenues through the first quarter of 2022 as we produce Jelmyto at costs reflecting the full cost of manufacturing and as we deplete inventories that we had expensed prior to receiving FDA approval. As a result, gross margins would have been 86.7% versus the reported 91.1% in the quarter ended September 30, 2020. Research and development expenses for the third quarter and nine months ended September 30, 2020 were $10.2 million and $34.9 million respectively compared to $9.5 million and $29.2 million for the same periods in 2019. Research and development expenses also included $1.5 million and $5 million in non-cash share-based compensation expense for the third quarter and nine ended September 30, 2020 as compared to $2.1 million and $6.4 million for the same periods in 2019. Selling and marketing expenses for the third quarter and nine months ended September 30, 2020 were $11 million and $34.4 million respectively compared to $30.9 million and $9.7 million for the same period in 2019. The increase in selling and marketing expenses resulted from the increased costs and activities related to the commercial launch of Jelmyto in June 2020, including headcount and related costs associated with…

Operator

Operator

[Opeator Instructions] Our first question comes from the line of Ram Selvaraju from H. C. Wainwright. Your question please.

Ram Selvaraju

Analyst

Thank you very much for taking my questions. Most of these are regarding Jelmyto and the metrics that you have been providing regarding the launch. Firstly, I wanted to know whether you intend on providing these same types of metrics going forward or if that's potentially going to change as we get further and further into the launch. And secondly, I also wanted to ask about the kinetics with which you expect to see more and more centers administering more than one treatment. Is the fact that 13 centers have administered more than one treatment really a factor of when they came online and you're seeing a steady increase in the number of centers that have administered more than one treatment? Or is that a number of centers that have administered more than one treatment growing substantially at a slower rate than the total number of centers that have actually utilized Jelmyto once?

Liz Barrett

Management

Hi, Ram. This is Liz. Thanks for the question. I'll just comment and then turn it over to Jeff that what we'll be providing from a patient perspective is more – is our revenue we won't be providing patient specific data or information on number of patients or number of patient forms – enrollment forms, but we should continued on the same – the things that Jeff talked about this morning. So with that, I'll turn it over to Jeff to add some comments and answer your question more specifically. Jeff?

Jeff Bova

Management

Sure, thanks. So, it's actually the first example you gave. We're seeing a steady increase in offices and accounts finding another patient. I think we had one or two accounts that had two patients out of the gate, but for the most part, you'll see one patient, you'll see the training take place, you'll see hopefully a CR and then you – they go – going through their electronic medical records and find another patient that could benefit from Jelmyto. So it's a steady increase in accounts that have treated more than one patient.

Ram Selvaraju

Analyst

Okay. And then [Technical Difficulty] relative to the J-code, did you already start to see a change in the ease of uptake for Jelmyto in the wake of the C-code? Or do you expect the bulk of the impact to occur when you have the J-code as well? And then the last question I have is relating to the pipeline program, the Phase 1 combination of 201 with zalifrelimab, can you give us a sense maybe of what you're looking to see from a drug activity standpoint with this combo regimen? What you would consider potentially promising indications of therapeutic activity within the context of the Phase 1 study? Thank you.

Liz Barrett

Management

Jeff, why don't you take that first part and then Mark can you answer the question around our combination drug.

Jeff Bova

Management

Sure. So we did see a slight uptick, I always talk about a slight because I really – I don't think it's going to have a major impact once we have the C-code and I was correct. We did have some offices that certainly appreciate having the C-code specific to Jelmyto and that they may have moved forward with the patient. I expect the same with the J-code. The J-code will replace the C-code once it's out. I'm sure there are some offices that have a little bit of anxiety around the miscellaneous code, but I don't – I never talked – I always talk about it being a slight uptick in patients and I would think that would apply here. Mark?

Mark Schoenberg

Management

Yes. Ram, thanks for the question. In reference to activity we do know for example from previous work that there is anti-cancer activity when UGN-201 is applied intravesically as a solitary agent, but because of the nature of Phase 1 studies, which were largely directed at elucidating toxicity related to dose, I think it would be premature to provide very specific information about a therapeutic signal from that experience. Obviously, what we're looking for primarily is safety of the combination. But to put this in context, I will refer you to recent data published about other agents used in this context. And I'm sure you're familiar with the fact that in this very hard to treat population recurrence-free survival hovering in the range of 15% to 20% at a year is considered encouraging from a clinical perspective. So that should give you some sense long-term what the current bar looks like, but obviously we would be aspiring to something higher than that although I can't comment further. And I don't know Liz may want to provide additional comment about this as well.

Liz Barrett

Management

There are no additional comments. Thanks.

Ram Selvaraju

Analyst

Very helpful. Thank you very much.

Operator

Operator

Thank you. Our next question comes from the line of Derek Archila from Stifel. Your question please.

Derek Archila

Analyst

Great. Thanks for taking the questions and congrats on the progress here, just a couple from us. So I guess of the 165 sites that have been activated, do you have a sense of how many UTUC patients are treated at these sites on average on an annual basis? So that's question number one. And then for Liz, maybe you could talk about the ex-U.S. opportunities for Jelmyto. And if you're looking for potential partnerships and is this something we could get some color on in the next12 months? And I have one follow-up.

Liz Barrett

Management

Yes. I’ll talk about ex-U.S. and then Jeff can answer the question. We definitely are very engaged in both Europe and Japan and we've got people that we have engaged with that are experts in those areas, people we know we've worked with in the past. And so, we absolutely are looking at two avenues and Europe continuing to sort of engage with the regulatory agencies and then secondly engage with the payers, the government to understand or try to help them understand the benefit of Jelmyto. And so, we absolutely will know within the next 12 months, but it does take time and it will be a few months before we're able to give you anything specific. In addition, we're very engaged also with Japan and we've gotten some initial feedback back from them as to what we think they might want and our next step is actually to have a meeting with them. So we've had some work done and we think we know what would need to get done. And the next step there is to really have a meeting. So you're right. Once we have that information and really know specifically about what it would take then we may engage partners and we have some that have been potentially interested in those geography. So we would further engage in conversations once we really have a path and understand what the path forward is in those markets for Jelmyto. So with that, Jeff, do you want to answer the question?

Jeff Bova

Management

Sure. With regards to the accounts, most of the accounts that have treated a patient or ready to treat a patient are – obviously your cancer referral center such as MD Anderson, Mayo. Those are referral centers as well as large community practices. So where we've seen an increase in number of patients are the larger community groups, the referral centers, it varies as to – as you know Derek, this is an orphan drug, so the number of patients certainly varies. But if you're looking for a number they treat, anywhere between eight and 12 patients a year, one or two physicians may treat the bulk of those or it could be a little bit more dispersed. You may have a handful of physicians that treat two or three a year. But those are the main – as we expected, most of this is in the community, the large groups with their own surgery center, that's where we were seeing a lot of the patients.

Derek Archila

Analyst

Got it. Thanks, Jeff. And then maybe I'll throw one into Mark here. I know it's early, but I was wondering if you've gotten any sense from physicians utilizing Jelmyto already, whether they would look to incorporate maintenance dosing beyond the initial set of installations.

Mark Schoenberg

Management

I think that is the answer – really, it's probably a little bit too early for us to know the answer to that. We do know that the urology community is really familiar with the concept of maintenance within the context of treating urothelial cancer. So it wouldn't be surprising to me if we learn more about that as more physicians treat more patients, but I can't answer right now.

Derek Archila

Analyst

All right, that's fair. All right thanks guys and again congrats on the progress.

Liz Barrett

Management

Thank you.

Operator

Operator

Thank you. Our next question comes from the line of Leland Gershell from Oppenheimer. Your question please.

Leland Gershell

Analyst

Hi, good morning, Congratulations and thanks for taking my questions. My question actually has to do with any color you can provide on kind of trends of patients coming into their urologist in Q3 versus Q2. Any way you could characterize kind of the resumption in office visits after it was probably a very dry Q2 into Q3 and how that may have impacted with regard to [indiscernible] effect potentially on Jelmyto uptake? Thanks.

Liz Barrett

Management

Yes, I think, I'll let Jeff comment on it. It's a fluid situation, right. It's been interesting to see some areas of the country open and those areas closed other areas that were closed open. So I think it's really hard for us to know what the actual impact of COVID is. I think as you've heard Jeff and Mark both talk in the past, patients can't wait so long before getting in to get treated. So even in the Q2 and into Q3 timeframe, we don't think that there was a huge delay, but Jeff why don't you sort of give some color on what we're seeing in the marketplace, specifically around physician offices and hospitals seeing patients?

Jeff Bova

Management

Sure. So we've seen a steady increase. So what I'll say is depending on where you're in the country and how quickly things are opening up is really dependent on just prioritizing those patients. So we know that the patients that suffer from this are only going to wait a month, two months at best and so urology offices are beginning to open up, beginning to prioritize patients. But I wouldn't say there's any sort of, I think, you mentioned [indiscernible]. It's a steady increase. Our nurses continue to get access to all of the practices that need their assistance, depending on where you are in the country face-to-face is opened back up. And if not, we continue that virtual interaction with the physician and the physician office.

Leland Gershell

Analyst

Great, that's very helpful. And then just a question to drill into kind of willingness to buy into Jelmyto with a buy-and-bill, let's say, after an initial purchase by a group practice. I mean, do you see a trend where there may be some hesitation and then one patient was treated and then following positive reimbursement you see multiple orders because that practice of several urologists is not comfortable with the with the buy-and-bill? Thanks.

Jeff Bova

Management

Now, a great question. So there are a handful of accounts that will treat a patient and are waiting for accurate timely reimbursement, but most are moving forward. They really do understand the value that Jelmyto is bringing and they – though they may have a little, as I always say, undue anxiety around a miscellaneous code, or now a C-code, they are moving forward in treating patients. But do we have a handful of accounts that probably have a patient or two waiting sure. And then once they get reimbursed accurately and timely, they'll move forward.

Leland Gershell

Analyst

All right, great. Thanks very much.

Operator

Operator

Thank you. Our next question comes from the line of Eric Joseph from J.P. Morgan. Your question please.

Eric Joseph

Analyst

Hi. Good morning. Thanks for taking the question. I guess I'm curious to know what you're seeing currently in terms of TURBT procedure rate and what if any impact there is from COVID-19. And to what extent does your expectation of one-year enrollment for ATLAS assume any sensitivity from the ongoing pandemic? I guess given that ATLAS of a global study, are you able to sort of dip the mix of regional enrollment along the way? And then I have a follow-up.

Liz Barrett

Management

Yes, I'll just talk a little bit about what we've done and ensure that the COVID doesn't impact our enrollment and what we did early on was to move toward Eastern Europe frankly and so we've already in the works and have – already have centers ready to go. And we increase the number of centers in the Eastern Europe area, because they don't seem to be having the same issue with COVID. And we felt like they – and their enrollment and the work that we did that the team did early on to ensure that we guide centers that could enroll. They've been very bullish about their ability to enroll the study. So we know that even if – there's some reduction in the U.S. that we can offset that with our European sites. So with that Mark, do you just want to comment on TURBTs? And what you're seeing in the hospital, obviously since you're on the front lines?

Mark Schoenberg

Management

Sure. It's a good question. And the answer is that at least even in the U.S. and I suspect this is probably, as Liz points out, very similar in Europe. We're back to full swing because there was a backlog because of the delay related to the spring – the impact in the spring that pandemic on like the surgery. So right now it's a very busy time in most operating rooms. And I think patients who were getting this surgery, which is often performed in a surgery center or a hospital with the expectation that patients would either go home after surgery or the following day is getting done at a regular or maybe even slightly enhanced ways in order to catch up. So I don't think that there's going to be a problem enrolling patients in this trial based on that specific concern.

Eric Joseph

Analyst

Great. That's helpful. And Liz, I'm wondering if you could – if I could get you to elaborate a little bit on some of the learnings from the BOTOX formulation study that you've noted in your prepared remarks. I guess what were some of the shortcomings were they seen on the efficacy or the safety side? And does the experience there changed at all you're thinking about sort of [Audio Dips] be co-formulated or delivered to…

Liz Barrett

Management

Yes, I think it's a great question. And reality of it is we'll never going to know exactly what happened, because the hypothesis that we have, and I think AbbVie agree is that the BOTOX molecule was just not able to penetrate the urothelium and we believe it's likely because of the size of the molecule. I don't know if you're familiar with the BOTOX molecule, but it's a large, very large, large molecule. So it's about 6 times the size of example, the CTLA-4 that we're putting into RTGel. So that gives you an example, sort of example of what we would be doing. So I think what we learned is that we're not likely to try another large, large molecule. So we'll, we, we think that most, most of the large molecules are more the size of our – again our own CTLA-4, you can kind of look across some molecules, but other toxins, there are other toxins that, and I think BOTOX is well known have – that they're, the properties of BOTOX specifically are very different and sometimes challenging. Think about and promote when that the trying of trying to use it topically, where there are other toxins that are smaller. So I think the plan forward and we – they are not as we talked about before, Abby was very clear that they wanted to keep our arrangement in place in our agreement in place. We were very willing, frankly to get out of the agreement, because we felt like that would give us more freedom to operate, but they believe in the Jel, they were very happy with the way that it worked to deliver the Botox. And so they want to look at it with other toxins in their portfolio, as well as potentially other products in their portfolio outside of toxins. And so they kind of next steps for them is now that they are going through their integration, they're doing their prioritization and their strategy work. And once they come out of that, we'll know whether they are going to move forward with it or not. And we have talked to them about us being more active in that partnership, and if they choose not to, and then we would have the ability to go out and find another potential partner in this space. So we feel like we learned a lot. Mark hates it. When I say that it was a failed study. So I try not to say that when I say because, and the reason is because the, the RT gel delivered when it was supposed to, it delivered the BOTOX into the bladder. It had sustained release, disintegrated over time, it was voided appropriately. So it did what it was supposed to do. Unfortunately, the BOTOX just did not get into the urothelium.

Eric Joseph

Analyst

Okay, great. Thanks for taking the question.

Operator

Operator

Thank you. Our next question comes from the line of Matt Kaplan from Ladenburg Thalmann. Your question please? Matt Kaplan, you might have your phone on mute. We're still not hearing you. All right. We'll move on to the next question. Our next question comes from the line of Paul Choi from Goldman Sachs. Your question, please.

Unidentified Analyst

Analyst

Hi, this is [indiscernible] for Paul. I was hoping you could talk a little bit about which factors you'd expect to play, kind of a driving role in a potential inflection in sales in 2021 and beyond?

Liz Barrett

Management

Yes. I think what we've said, and I think we still really believe this is that you'll see a steady increase in scripts as you would, a typical, any other typical adoption curve. We don't think there is going to be an inflection point all of a sudden tomorrow. And Jeff has mentioned this earlier, J-Code comes and all of a sudden you see an inflection point. We think we'll see steady growth month-over-month and quarter-over-quarter and that's what we would expect and we commented that, we believe that, you'll see sort of a normal traditional adoption curve that you would with the other oncology products. So, Jeff, I don't know if you have anything to add to that.

Jeff Bova

Management

No, that's exactly what we expect.

Unidentified Analyst

Analyst

Okay. And then I was hoping you could talk a little bit more about the interim analyses that are built into the ATLAS study, whether we should expect to get updates from those or how you're going to think about disclosures there?

Liz Barrett

Management

Yes. Because of the – because they're a bit event driven studies, we don't want to sort of hypothesize or project when they might happen. I think that you would – you'll hear about them. You probably or you'll only hear about them if we're in a situation where we would stop a study. Stop the study for efficacy and so I think that's the way I would think about it. So I wouldn't expect there to be specifically in any readout we might share with you that it's – after an analysis that it's continuing but we wouldn't be providing any updates or projections as to when that might be.

Unidentified Analyst

Analyst

Okay. That's helpful. And then last question for me. Just curious, is this quarter a pretty good proxy for cash burn over the next several quarters? Or how are you thinking about that?

Liz Barrett

Management

I'm not sure what the question is, obviously revenue impacts that as well, but when you do – we do think that that from a, if you're talking about it from a spending perspective, obviously I think it is a good proxy, but you have to think about the things that we have upcoming, i.e., our Phase 3 study.

Unidentified Analyst

Analyst

Thank you.

Operator

Operator

Thank you. [Operator Instructions] Our next question comes from the line of Roger Song from Jefferies. Your question, please.

Roger Song

Analyst

Great. Thank you for taking my question. So maybe two from me. So the first one is just drew down a little bit on the Jelmyto kinetic. Maybe just can you comment; Liz or Jeff can comment a little bit on the time from the call identification to the first Jelmyto use and how did that compare to the time to the second prescription? And did you see some acceleration from the first use to the second prescription?

Liz Barrett

Management

Yes, Jeff.

Jeff Bova

Management

Yes. I think it really depends on, if they have a patient eligible. Given the orphan drug or the disease we've seen accounts tree, to answer your first question, it usually takes two to four weeks depending on the institution, they diagnose or the patient is recurrent. That's usually a standard time, depending on again, the sort of the bureaucracy that the institution may have to go through to get Jelmyto. As far as the time to second patient, it's working with the nurse navigators and the accounts to identify these folks. If they've been out there, they've recurred; they're now they now have another treatment option. Other accounts that may have been a couple of months, they treated someone in July. And it's just again a matter of finding the patients given the orphan drug nature and really working with the nurse, the folks that can look at the EMR, the medical records and see who might benefit from Jelmyto. So that, that second question it varies. It can be within days of after treating the first patient or a couple of months.

Operator

Operator

Does that answer your question?

Roger Song

Analyst

Sorry, I was just on mute. Can you hear me now?

Operator

Operator

Yes, we can hear you now.

Roger Song

Analyst

Great, thank you. Maybe my second question is for Mark. So can you comment a little bit on the statistical assumptions for ATLAS? How confident are you about this 600 patients efficient should meet both superiority and a non-inferiority endpoint? And then we noticed you basically have two additional data point can support or change that assumption like the full Phase 2b data readout. And I remember as you say you will do same kind of retrospective chart review for the natural history, so just comment a little bit on the statistical assumption.

Mark Schoenberg

Management

Sure. So we haven't shared the statistical model at a granular level. And I would imagine that we probably aren't going to do that today either. What I can tell you is that we, first of all, discussed all of this with the FDA and agreed upon both the design of the trial as well as the size and the size of the trial is going to provide us with the power we need in order to demonstrate what we believe will be both non-inferiority and superiority. The interim analyses, as Liz pointed out, are event driven. So we don't know when they'll occur and they are obviously designed in order to assess superiority. Non-inferiority is a time point that would occur at the final analysis whenever that occurs at the dataset. So with respect to the databases we've been reviewing, some of the analysis actually are in the process of being submitted as abstracts and papers for public consumption and presentation. And I would anticipate that actually some of those presentations will be made later this year or early next year, although we're waiting to hear about acceptance. So it's probably premature to talk about the actual data and these abstracts. So we, however, have information from those projects and we're going to share. And just generically, I will tell you that the information we've gleaned from those exercises is supportive of what we've used to design the trial. And just to put a fine point on this, remember that in the hard to treat population, we're focused on the intermediate risk low-grade group. The standard of care, which is transurethral resection reduces recurrence-free survival at about 12 months in about 50% of patients. So that is sort of a general ballpark number to keep in mind when you start thinking about our trial and the context in which we're using UGN-102 to treat this group of patients. And remember that in the Phase 2, the complete response rate was 65%. So I realized that's not a complete answer to your question, but that's probably of as much as I feel comfortable sharing right now.

Roger Song

Analyst

That's very helpful. Thank you, Mark. Okay, that's all my question. Congrats again for the progress.

Liz Barrett

Management

Great, thank you.

Operator

Operator

Thank you. And we have a question from Matt Kaplan from Ladenburg Thalmann. Your question please.

Matt Kaplan

Analyst

Hi, good morning guys. Thanks for taking the question. Just wanted to dill in a little bit on reimbursement and what you're seeing there, and have there been any issues of reimbursement that you've had to address along the way? And where are you with respect to that?

Mark Schoenberg

Management

For Jeff…

Liz Barrett

Management

Yes.

Jeff Bova

Management

Sure. So as with anything, we provided better dating to our providers because the miscellaneous code, as I've always said, it's a manual process. So it's a manual submission where we've seen issues. It's simply because the form wasn't filled out correctly originally. So they've had to resubmit certainly the carrier, the MAC carriers need to be educated, have been educated. But again because it's a manual process with a miscellaneous code, now it is only a month in with a C-code. But yes, we have seen offices that have been reimbursed and it's getting more timely now that we see it with a C-code. We'll keep obviously those accounts that treated early in October utilize the C-code. And hopefully, we'll start to see some of those accurately reimbursed here shortly.

Matt Kaplan

Analyst

Okay. That's helpful. And then in terms of you mentioned a dramatic increase in the number of sites that can – that are prepared to use Jelmyto, I guess now you're up to 165 sites. Can you help us to think about kind of the rollout of additional sites? And kind of the uptake at those sites and how we should think about that?

Jeff Bova

Management

Sure. I've always said, we're going to call on around 4,000 to 5,000 urologists with the field force, that's anywhere between 1,300 to 1,500 accounts. My expectation is obviously as things open up as physicians get more used that that number is always going to be increasing. We – obviously we're targeting the key accounts in the community as well as the hospital. Those that have come up and running sooner as opposed to others are maybe quicker to start seeing patients depending on where you are in the country. But yes, I'm happy to see that significant growth. I would expect to see that throughout 2021 that's going to be key because it is important not one or two accounts, aren't going to have a handful of patients, so we need to make sure and we're structured to get to all those accounts to make sure that every physician is aware of Jelmyto as an option for their patients with low grade UTUC.

Matt Kaplan

Analyst

All right. Well, thanks for taking my questions and congrats on the progress.

Jeff Bova

Management

Thanks, Matt.

Operator

Operator

Thank you. This does conclude the question-and-answer session of today's program. I'd like to hand the program back to Liz Barrett for any further remarks.

Liz Barrett

Management

Great. Thank you. Thank you, operator. As we've sort of demonstrated and shared with you, we've made some important progress as a company in 2020. We're very excited about the results that we shared for Q3. And we look forward to our continued positive momentum throughout the remainder of this year. And then we've really successfully transitioned to commercial stage organization and our underlying fundamentals of our business are really strong. So our team continues to work relentlessly to make sure that we can provide Jelmyto to all patients and practitioners in need and we're pleased with the progress on 102 and our early pipeline. So as we start to turn our view onto 2021, it's shaping up to be another busy year for us, and we look forward to providing you further updates. So thanks as always for your continued interest in our company and operator you may now disconnect. Everybody have a great week.

Operator

Operator

Thank you. And thank you, ladies and gentlemen, for your participation in today's conference. This does conclude the program. You may now disconnect. Good day.