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VolitionRx Limited (VNRX)

Q1 2016 Earnings Call· Fri, May 13, 2016

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Transcript

Operator

Operator

Good day and welcome to the VolitionRx Ltd First Quarter 2016 Earnings and Business Update Conference Call. Today’s conference is being recorded. At this time, I would like to turn the conference over to Scott Powell, Vice President of Investor Relations. Please go ahead.

Scott Powell

Management

Thank you, Vicky. And welcome everyone to today’s earnings conference call for VolitionRx Limited. This call will cover Volition’s financial and operating results for the first quarter ended March 31, 2016, along with a discussion of our key upcoming 2016 and 2017 milestones. Following our prepared remarks, we will open up the conference call to a question-and-answer session. Also on our call today are Mr. Cameron Reynolds, Chief Executive Officer of VolitionRx, and Mr. David Kratochvil, Chief Financial Officer. Before we begin our formal remarks, I’d like to remind everyone that some of the statements on this conference call may be considered forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, that concern matters that involve risks and uncertainties that could cause actual results to differ materially from those anticipated or projected in the forward-looking statements. Words such as expects, anticipates, intends, plans, aims, targets, believes, seeks, estimates, optimizing, potential, goal, suggests, and similar expressions identify forward-looking statements. These forward-looking statements relate to the effectiveness of the Company’s bodily fluid-based diagnostic tests, as well as the Company’s ability to develop and successfully commercialize such test platforms for early detection of cancer. The Company’s actual results may differ materially from those indicated in these forward-looking statements due to numerous risks and uncertainties. For instance, if we fail to develop and commercialize diagnostic products, we may be unable to execute our plan of operations. Other risks and uncertainties include the Company’s failure to obtain necessary regulatory clearances or approvals to distribute and market future products in the clinical IVD market; a failure by the marketplace to accept the products in the Company’s development pipeline, or any other diagnostic products that the Company might…

Cameron Reynolds

Management

Thank you, Scott. And thank you, everyone for joining VolitionRx’s first quarter 2016 earnings conference call. I’d like to thank you all for taking an interest in VolitionRx, and it’s very exciting time for us. Firstly, I will start with the review of important Q1 events from this year. We continue to make excellent progress with our clinical trials. As a summary, we made good progress in colorectal cancer where we announced our best adenoma detection rates to-date in a targeted clinical trial of 430 patients conducted with Hvidovre Hospital and the University of Copenhagen in Denmark. Our panel of five NuQ biomarker assays in age adjusted algorithm accurately detected 75% of high-risk colorectal adenomas, those most likely to become cancer and 86% of stage 1 colorectal cancers. Last month, we also released results for our prostate cancer study conducted in collaboration with the Surrey Cancer Research Institute at the University of Surrey in United Kingdom. A single NuQ biomarker assay detected 71% of early stage 1 prostate cancers at 73% specificity. This is significantly higher than the most common blood tests currently used to detect prostate cancer, the PSA, the Prostate Specific Antigen, and which is reported to detect only 53% of prostate cancers at 73% specificity. In addition, we also released data from our first non-cancer clinical trial in Q1. Our NuQ blood tests detected 86% of subjects with a deadly lung disease called IPS or Idiopathic Pulmonary Fibrosis. This is a first set of results from a non-cancer trial of VolitionRx’s NuQ assays which demonstrated the technology’s potential as a diagnostic test for other diseases, which is very exciting for us. Also, as of today, we have more than 50 antibody programs in development. These are monoclonal antibodies, which are key components in our assays and our…

Operator

Operator

[Operator Instructions] And go first to Bruce Jackson with Lake Street Capital Markets.

Bruce Jackson

Analyst

So, if we could just run through the U.S. timeline in a bit more detail. So, tell us about the 510(k) strategy, so what’s your predicated device going to be and what gives you the confidence that a 510(k) regulatory approval is going to be acceptable to the FDA? And then, just run through the some of the interim milestones. So, when do you plan to set up the U.S. trial; when do you think you are going to done; and how long do you think this submission is going to take?

Cameron Reynolds

Management

Yes, very good questions Bruce. So, as I am sure you are aware, there is two ways you can get FDA approval with the 510(k), either predicates or the de novo reclassification. So, the predicates, as I am sure you are aware in this space, possibly epigenomics, but I think more likely where we would go for is the de novo reclassification, which I think you are probably also familiar [indiscernible] has just done on their ovarian cancer tests. So that’s the path we’re going down as an adjunct initially. I think obviously we’re in the process of working through the process of a PMA trial as well. So, I think we would like to get -- in colorectal is approved, in both aspects but the quickest way to market would be as an adjunct symptomatic tests which is what that would be. So, as far as timelines, we’re in the process now of discussing with a range of CROs to be de novo reclassified as a 510(10). We need approximately 600 patients. So, the amount of time to run those trials also long, that kind of patient population, you can collect in six months. So, if you add that on to all the other timings of setting it up and then running it and then go to the FDA process, you have to add only 12 months to that. So, I think the minimum would be somewhere in the 18 months timescale. So, I think it’s something which is very well doing. I think there is a very much demand for adjunct tests in the initial steps and definitely in the cancers we’re looking at, its’ a very big need in lung, pancreatic colorectal and prostate because none of them have by any means an ideal test for them.…

Bruce Jackson

Analyst

And just one follow-up then. How does this dovetail with what you are doing in Europe with the two Danish studies and then setting up the algorithm? So, how close are we actually getting the tests panel that you get…

Cameron Reynolds

Management

As you know we’ve released data with an algorithm, which gets around 80%, 80%, which is very good result of -- far more accurate than any blood tests out there. We’re just beholding on because we’re doing more and more assays all the time to see how much better we can get with the panel. So, we’ve said we’re launching around next few months, we’re going to be picking the best panel we have to launch, so we’re going to have it ready by the end of the year. So, we’ve just been testing more different assays in the symptomatic population. So, the algorithm we use in Europe to launch the CE mark, sort of symptomatic population would be very similar with the same what we launched in the U.S. with the CRO trials through the 510(k) de novo reclassified tests. The 14,000 prospectus would be a European self screening test meaning we’re directly competing with the -- or comparing to the fecal test, the FIT, not with some colonoscopy. So that would be very useful and we’re going to get a separate CE mark, certainly the aim is to get a separate CE mark to be used in that context in the European screening, either -- in order to replace or be complementary to an FIT test and that will always to be data driven. So, that’s the process we’ll go through the first CE mark in symptomatic population in Europe and then apply -- use that same algorithm in the U.S. and then get a screening population in the European sense and CE mark that and then go through the process of the U.S. PMA trial attempting to get screening population in the U.S. But obviously that takes -- as you’ve seen from other companies, it takes quite a long time. So, we’ve got that process with everything else that’s going.

Bruce Jackson

Analyst

And so, it’s the prospective 14,000 patient study that you are going to use with the screening dedication in Europe, okay.

Cameron Reynolds

Management

Yes, in Europe and some -- screening is -- the frontline test is very, very rare in colonoscopy. So, the U.S. screening population, which an exact properly [indiscernible] and we would need to do if we are going for the same sort of population, we certainly at the high water mark, we need about 10,000 patients because the prevalence is about half of a percent. [Ph] So, to get 50, you need 10,000 patients where in Europe, there is not the frontline screening with the colonoscopy. What you are doing which is what we’re doing in this trial is going head to head with FIT positive and FIT negatives in a very large study. So that is an ideal study for the European screening market. And that would be a -- it remains to be seen how different the panels are, and could be a very similar panel to the symptomatic and could be exactly the same or it could be different that will be driven by the data. But if you got to the antibody program, what I talk about the ISO Certification and antibody program, I mean you can -- it just takes 20 seconds to say it, but it’s amazing amount of work that team has done, developing huge banks of monoclonal antibody, which allow us not only to produce a much lower cost product in antibodies but one which can be used forever. Once you have a monoclonal line, you can produce the antibodies forever and at much lower cost but also secure to the Company. So, having such a large bank of monoclonal antibodies means we can very quickly adapt new panels with new antibodies or for different cancers or the different uses within the same cancer, different antibodies that would develop. So, we have complete security of those one developed and much lower cost and much more adaptability at testing different antibodies and producing them. So, it’s a huge outcome for us and gives us much more flexibility to move ahead because we’ve relied in the past on both antibodies, which although that can be easy get, if it’s polyclonal, the issue is then that they are not reproducible further, once that amount is finished, it’s finished, because as you probably know, they are made from mass, [ph] so, you can only get so much of mass. [Ph] And the second, when you reproduce the polyclonal line, you’ve got to from scratch with new mass. [Ph] So, it’s a whole problem. So, we spend a lot of time in developing antibodies and the whole process so that we can be very -- much more nimble and much more board ranging what we do going forward.

Operator

Operator

[Operator Instructions] We’ll go next to Brian Marckx with Zacks Investment Research.

Brian Marckx

Analyst

Relative just to the de novo pathway, it seems that that would certainly be appropriate, given that you are going to seek as an adjunct. But, have you had specific discussions with FDA and has FDA given you the green light that de novo is appropriate?

Cameron Reynolds

Management

No, we haven’t started those discussions. Basically, we wanted to make sure we went to them full armed because, as said in the presentation and as I mentioned, the very good example what exactly just kind of panel has been used to de novo reclassification. But, we want to make sure we go fully armed with all the trail results and the CE mark process being completed; we’re very close to it. And then in every single cancer, I’m sure you are aware there’s currently a test or a blood test. And using an adjunct forward is a very good way to get into the market very quickly and very successfully. If you look at something -- if you look at every one of the cancers, so colorectal has older existing markers, things like CA, for pancreatic there is CA19-9, obviously in colorectal is also fecal test, in ovarian CA-125. In every cancer, there is some sort of process involved. And this has actually been a big influence of Dr. Terrell who is actually an MD, not a PhD, like the rest of our doctors. And he very strongly advices, doctors are very keen to get more information, and it’s much lower marketing hurdle to be solved with what’s currently there, so just as a brand new test. We are now seeing that’s just a fantastic and incredibly revolutionary but the safest and easiest way to get into the market is to be an adjunct to whatever is there. And if we can show that ours possibly existing test is more accurate and I think that’s exactly what we are doing, if you look at our test trails, then it’s a real no-brainer for the doctor. If you are doctor Brain, and our test, say for example pancreatic where we’ve…

Brian Marckx

Analyst

On the new pancreatic cancer study that you just announced, is it -- will that be using any or all of the assays that were in the two pilot studies, will it be using anymore additional assays other than that and will also be incorporating the CA19-9?

Cameron Reynolds

Management

Yes, we aim to use the ones which are so successful in other clinical trials as well as some new ones. As you have seen form our clinical trials, we’re getting better and better at picking the best biomarkers within our IP. I think you probably remember that we -- there is thought to be around or more than a 1,000 biomarkers on new treatments. And we’re running 28 in clinical trials so far and we’re finding actually some very good ones now in addition to the ones we’ve been using. So, that’s the process. And yes, we aim -- there is typically in any pancreatic study, the pancreatic patients do have CA19-9 performed on them. I guess that’s 46 million every year. So we’ll do some ourselves and take some of the existing data. So, the short answer is yes, we will use CA19-9; yes, we will use all the ones that work so well in the pilot studies; and yes, we will look to do some of the new ones, which is why if you’ve noticed we’ve got 50 antibody programs underway and we’re adding at least four or five every month now. So, we’re going to have a massive bank of antibodies. And we actually aim to get to well into the 100 in a few years, which will give us a very unique asset and very unique library. That on top of our IP, on top of all the clinical trials and our knowledge will put us in an incredibly position to really dominate in this entire field. So that when we look at a new cancer or when something new comes up, we can use the existing antibodies, we have very well defined monoclonal line, or we can develop a new through the processes we have to target that one, whatever the new structure is to add to our panels. And going forward, the clinical trials what we do prospectively, we’re going to be clicking quite a bit more -- than we’ve been, so that when we do get new biomarkers, we can test it on the population very quickly. So, everything is getting a lot quicker and easier in what we do, as we develop a lot of knowledge in this field, a unique knowledge, we’re still not aware of anyone who has done any real work in the [indiscernible] on top of all the other things we do. It should give us, if we play our strategy right, extremely dominant position in this whole field going forward.

Brian Marckx

Analyst

When do you expect you will have at least some preliminary data on the 750 pancreatic study?

Cameron Reynolds

Management

They are already collected. So, it’s -- I would be very surprised if it wasn’t this year. It’s going to be quick. And don’t forget, we’re also getting the pan cancer study started, the process. So, we’ll have data in 27 cancers by this time next year in about 20, 25 different biomarkers. So, we’re developing a lot of information very, very quickly. So, we expect to see pancreatic. Now, if that goes well, there is absolutely no reason we can’t launch in Europe next year in pancreatic. And again, it’s very hard to tell what the FDA is going to do, but where there is such an unbelievable need in pancreatic cancer and you have something -- if it does continue to go anywhere as well the other [ph] than these studies, I think we could do a U.S. trial pretty quickly, given small number of patients in it and the high risk population to get to market. And I think I would imagine the FDA would be very helpful with us. If the tests are going as well as they look to be going that we tremendously help patients. So, I wouldn’t expect that much resistance from the FDA. Colorectal is a little different because its’ quite a crowded market; there is a lot of things out there, obviously Exact and Epigenomics and existing biomarkers in colonoscopy, the fecal test; where in lung and pancreatic, it really isn’t much. So, I would expect I guess we will find out when once we get through, finished through the process But, I would expect quite a bit of support, especially from key opinion leaders as well because they’re really quite…

Brian Marckx

Analyst

Great, thanks Cameron.

Operator

Operator

We’ll go next to Yi Chen with H.C. Wainwright.

Yi Chen

Analyst

My question is how large a sales team do you think you would need to marketing the colorectal test in the U.S. versus in putting efforts in Europe?

Cameron Reynolds

Management

So, basically I’ll just go through Europe and U.S. and contrast them. Europe is 28 countries, 31, 32 if you include some of the other ones like Turkey and other and each one is a bit different. So, we are targeting the bigger countries first where we have home advantage, obviously England. Louise Day, our new Communications and Marketing Director is very knowledgeable about the FDA and as some of our team because they’ve been working in England, so there is some really good strong local advantage. And we’ve been working with the consultants now for the long time. We also have -- that would be a very obvious one to start and that’s what we are doing a lot of work in now. We obviously have a good home advantage in Belgium as well, particularly the French area, we’ve been very strongly supported by the government there, and we’ve been working through that process. And we’ve done large trails in Denmark and Germany now, so those countries. It comes down more than a sales force. Ultimately the government is -- 80%, 90% of the market in all the European countries. So, it’s a matter of convincing the processes as reimbursement or insurance for the government programs. So, it’s not like exactly you need a large sales force in Europe because you are not selling directly to doctors. You are sort of keeping this ultimately the big -- more of a lobbying role, if you will. There is a private [ph] market in Europe but it’s typically in single digits of the entire market in this country. So, it’s much more of a few key people are lobbying in the European countries. So, we’ll start with those countries and then roll it out. So, we do not need a large…

Operator

Operator

[Operator Instructions] And we have no more questions at this time. So, I’ll turn the call back over to our speakers for any additional or closing remarks.

Cameron Reynolds

Management

Okay. Thank you, Vicky. And thank you everyone for joining us today to VolitionRx’s first quarter 2016 earnings conference call. We really appreciate your interest in us and look forward to speaking to you again in the future and reporting our next results for the second quarter of 2016. Thank you. Good morning, good bye.

Operator

Operator

That does conclude today’s conference. We thank you for your participation.