James F. Cummings
Thanks, Steven. Thanks to everyone for joining today's call. As a reminder, we are currently conducting a Phase 2b trial of our oral COVID-19 vaccine candidate compared with an mRNA vaccine. The primary endpoint of this study is the relative efficacy of our oral pill vaccine compared with the mRNA vaccine for 12 months post-vaccination. The trial will measure efficacy for symptomatic and asymptomatic disease, systemic and mucosal immune induction, and adverse events in each cohort. Most of you are aware that this trial initially was designed to enroll 400 subjects in a sentinel cohort, designed to assess safety of our oral COVID-19 vaccine candidate, and 10,000 subjects in the KP2 cohort, with half receiving our oral candidate and half receiving an injected mRNA vaccine. We announced in October 2025 that BARDA amended the work order for this trial and is now providing funding for follow-up for the approximately 5,400 subjects enrolled in the trial prior to a stop-work order issued on behalf of BARDA in August 2025. This comprises 400 subjects in the sentinel cohort and approximately 5,000 subjects in the KP2 cohort enrolled in this trial. As COVID-19 continues to impact global health, the need for next-generation solutions remains clear. We expect to report 12-month top-line data from the 400-participant sentinel cohort early in 2026. The actual timing will be determined in collaboration with BARDA. As previously shared, we are contractually required to consult with and receive approval from BARDA regarding the timing and content of all press releases related to this trial. When announced, we expect to include data related to the primary safety endpoints in the sentinel cohort, as well as initial data on efficacy measures. It is important to remember that the 400-person sentinel cohort was established specifically to assess safety and not designed to determine efficacy. The data from the 5,000-subject KP2 cohort will provide efficacy insights, and we expect to report them late in 2026. Here again, the actual timing will be determined in collaboration with BARDA. As I have commented before, we believe the results of this trial will provide important insights into the potential of our COVID-19 candidate as well as our oral pill vaccine platform technology. The former is critical to advancing development of the COVID-19 candidate, while the latter is expected to inform development of our other pipeline assets. Our oral norovirus vaccine candidate is one of those assets. As Steven mentioned at the start of the call, we published a complete data set from the clinical study of our oral norovirus vaccine candidate in lactating mothers in January 2026 in NPJ Vaccines. The Phase 1 multi-center, randomized, double-blind, placebo-controlled, single-dose, dose-ranging study was designed to evaluate the safety, tolerability, and immunogenicity of an orally administered bivalent G11/G24 norovirus vaccine in healthy lactating women. The primary outcomes of the study were safety and reactogenicity, and breast milk and serum norovirus-specific IgA. I will briefly review the information that was provided in our 01/15/2026 press release announcing date of publication. The study enrolled 76 women 18 to 43 years of age at five sites in South Africa. Participants were randomized into high- or medium-dose vaccine or placebo. The data demonstrate that the vaccine was safe and well tolerated, and reports of mild or moderate adverse events, or AEs, were similar between the placebo group and each of the vaccine groups, and no AEs beyond grade 2 were reported. Results for serum and breast milk IgA at day 29 post-vaccination showed that serum norovirus-specific IgA rose an average of 5.6-fold in response to G11 and 4.7-fold in response to G24 in the high-dose group. Breast milk norovirus-specific IgA rose on average 4-fold in response to G11 and 6-fold in response to G24 in the high-dose group, and each of these breast milk increases was statistically significant and maintained through day 180. The passive transfer of IgA to infants was exploratory but a highly compelling outcome. The data show a consistent trend of increased G11- and G24-specific IgA in the stool from the paired infants of vaccinated women at days 29 and 60, and demonstrate a positive association between levels of IgA in maternal breast milk and infant stool, supporting the hypothesis of passive transfer of mucosal immunity. This observed transfer of antibodies suggests that the oral norovirus vaccination could enable a novel approach to confer mucosal anti-virus immunity to infants who are highly vulnerable to norovirus infection. Children under the age of five years can experience severe disease from norovirus infection, particularly in under-resourced areas. The potential to protect infants from severe norovirus-associated disease through oral vaccination of their mothers could have important public health benefits, with respect both to reducing individual morbidity and mortality as well as limiting spread of a highly contagious virus. The results of this study add to the growing body of evidence supporting the potential of our oral norovirus vaccine candidate in addressing a significant unmet public health need as currently there is no approved vaccine for norovirus. I will also remind you of an additional piece of evidence from our norovirus program that we reported in June 2025, which was the result of a Phase 1 trial to compare our second-generation vaccine constructs against the original first-generation oral vaccine to see if the new formula induced stronger immunity. As reported, the study showed that the second-generation constructs produced significantly higher antibody responses, a 141% increase for one strain and a 94% increase for the other, compared to the first-generation vaccines. These data help to advance not only our norovirus program but our oral pill vaccine platform more broadly. The technology underlying our second-generation norovirus constructs has also been incorporated into the other programs in our pipeline, and based on the results of the head-to-head study, we believe that this will increase the immunogenicity of our COVID-19, seasonal and pandemic flu, and HPV vaccine candidates. I will turn the call over to Dr. Sean N. Tucker for an update on our norovirus program, including some of our preclinical research activities. Sean?