Michael Charles A. Booth - Vice President-Investor Relations Hervé Hoppenot - President, Chief Executive Officer & Director Barry P. Flannelly - Executive Vice President & General Manager Richard S. Levy - Chief Drug Development Officer & Executive VP David W. Gryska - Chief Financial Officer & Executive Vice President Reid M.
Huber - Chief Scientific Officer & Executive VP.
Carter Gould - Barclays Capital, Inc. Matthew Roden - UBS Securities LLC Marc Frahm - Cowen & Co. LLC Brittany R. Terner - JPMorgan Securities LLC Maury Raycroft - Jefferies, LLC Christopher N. Marai - Oppenheimer & Co., Inc. (Broker) Michael W. Schmidt - Leerink Partners LLC Liisa A. Bayko - JMP Securities LLC Charles Butler - Guggenheim Securities LLC.
Greetings, and welcome to the Incyte Third Quarter 2015 Financial Results. At this time, all participants are in a listen-only mode. A question-and-answer session will follow the formal presentation. As a reminder, this conference is being recorded. I would now like to turn the conference over to your host, Mr.
Michael Booth, Vice President of Investor Relations for Incyte. Please go ahead..
Thank you, Diego. Good morning, and welcome to Incyte's third quarter 2015 earnings conference call and webcast. The slides used today will be made available for download on the Investor section of incyte.com following the call.
Speaking on today's call will be Hervé Hoppenot, our CEO, who will begin with a few words highlighting our progress during the quarter, and then Barry Flannelly, who leads our U.S. organization, will provide a commercial update on Jakafi.
Rich Levy, who is in charge of Incyte's drug development activities, will update you on our clinical programs, and then Dave Gryska, our CFO, will outline our third quarter financial results. We'll then open up the call for Q&A, for which we'll be joined by Reid Huber, our Chief Scientific Officer, and by Steven Stein, Chief Medical Officer.
We'd like to remind you that some of the statements made during the call today are forward-looking statements, including statements regarding our expectations for 2015 guidance, the commercialization of Jakafi, our development plans for Jakafi and other indications and for other compounds in our pipeline.
These forward-looking statements are subject to a number of risks and uncertainties that may cause our actual results to differ materially, including those described in our 10-Q for the quarter ended June 30, 2015 and from time to time in our other SEC documents. I'd like to now pass the call to Hervé for some introductory remarks.
Hervé?.
Thank you, Mike. And good morning, everyone. I believe that the third quarter of 2015 could be viewed as a period of transformational progress for Incyte.
This belief is driven by two very important announcements we recently made on epacadostat and baracitinib, as these two assets have the potential to push Incyte forward on a global basis over the next several years. Science drives our success here at Incyte, and we aim to create values through the investment we make in innovation.
This investment in innovation has already completed into a unique portfolio of exciting opportunities both in immuno-oncology and across our targeted therapies. There are currently 12 molecules in clinical development in our portfolio, and apart from the recently in-licensed PD-1 antagonist, all have been discovered in Incyte's laboratories.
There are three main benefits that arise from this. Firstly, risk mitigation; having numerous molecules in development reduces our dependence on the success of any one of them. Secondly, our portfolio gives us significant combinatorial optionality.
We can seek to develop our agents alone, as additions to standard of care and we can also seek to develop them in novel-novel combination.
And thirdly, as we look further forward to the potential commercialization of our compound, we believe that the financial benefit to Incyte shareholders may be greater than industry norms because there's a relative lack of third-party payments.
As we review our progress, since we spoke at the end of Q2 we have seen two landmark events in the ongoing transformation of Incyte. The first was the announcement with Merck of our plans to advance the combination of epacadostat plus pembrolizumab into Phase III development for the first line treatment of advanced metastatic melanoma.
This trial is expected to begin in the first half of 2016. The expanded collaboration with Merck shares our financial burden and also demonstrate our shared confidence in the clinical program.
This is a key landmark in the history of Incyte because this would be Incyte's first Phase III program for a compound for which we intend to keep global commercialization rights. The second landmark was a positive outcome of the baricitinib Phase III program with Lilly.
The key announcement here was the bean (4:44) study with data showing oral baricitinib to be superior to Humira, the injectable form of care in controlling the signs and symptoms of rheumatoid arthritis.
The third quarter was also very successful for us commercially, with Jakafi continuing to show strong growth, both from our continuing effort in MF as well as the ongoing launch in PV. Jakafi has fueled our business for the past four years and we expect this will continue for years to come, but Incyte is now entering a new phase in its evolution.
We anticipate having a second variable source of income coming from baricitinib and we can see a path to registration for epacadostat. We also have a clinical portfolio that is rich in optionality and potential synergies.
Combined, I think we can say that Incyte is now on a new track as we continue our transformation into a world-class biopharmaceutical organization. With that overview, I'll pass the call to Barry for some additional details on Jakafi's performance in the quarter..
Thank you, Hervé, and good morning, everyone. Net product revenues for Jakafi during the third quarter were $161 million, an increase of 65% year-over-year. As a result of the continued growth, we are raising our net product revenue guidance for Jakafi for 2015.
We are raising it from a range of $560 million to $575 million to a new range of $580 million to $590 million. When we spoke to you at the end of Q2, we provided a detailed look at the launch of Jakafi for the treatment of patients with polycythemia vera.
I'm very pleased to be able to tell you that the launch in uncontrolled PV remains strong and we are also seeing continued growth in demand from patients with intermediate or high-risk myelofibrosis. The graph on the left of slide eight shows the total number of Jakafi prescribers.
Quarter-by-quarter over the last year, the graphic shows the consistent increase in our prescriber base. We believe that this reflects the ongoing and successful efforts of our U.S. organization to educate physicians about the unmet need in patients with polycythemia vera as well as Jakafi's therapeutic profile in MPNs.
The graph on the right shows the percentage increase Q3 over Q2 in the total number of MF and PV patients taking Jakafi. While we see strong growth in the number of PV patients on Jakafi, it is also good to see continued growth in the use of Jakafi in patients with MF. With that, I'll pass the call to Rich for the clinical highlights..
Thanks, Barry. In the next few slides I'll highlight the key clinical updates, first on epacadostat and then on baricitinib, before providing a summary of the portfolio. First, on epacadostat, our selective IDO1 inhibitor.
We're currently conducting four proof-of-concept studies of epacadostat plus PD-1 axis antagonist, and all these trials are continuing to enroll patients.
In October, we announced the acceptance by the Society of Immunotherapy of Cancer, or SITC, of a late-breaking abstract detailing safety and efficacy data from our Phase I/II study evaluating epacadostat in combination with Merck's pembrolizumab.
This will be the first presentation of data from epacadostat in combination with a PD-1 or PD-L1 directed antibody. As we announced this morning, the embargo on the abstract of the upcoming presentation by Dr. Gangadhar at SITC has now been lifted and we can share those data with you.
At the time of the data cutoff made to generate the abstract, safety information was available for 28 patients and efficacy data was available for 19 patients. In Dr. Gangadhar's presentation on Friday, there will be 56 patients in the safety analysis and efficacy data from 47 patients.
The data in the abstract is summarized on slide 10 and reveal an emerging clinical profile that we're very pleased with. The combination of epacadostat and pembrolizumab was generally well tolerated and the efficacy data suggests promising clinical activity.
We believe that the safety is an important aspect of the product profile, especially compared to the recently approved immuno-oncology doublet in melanoma. On the efficacy slide, and focusing on the melanoma cohort, the data table shows an overall response in four patients of seven patients and disease control in six patients of the seven patients.
We believe these data also compare favorably to historical benchmarks. In the presentation on Friday, there will be efficacy data from 19 evaluable melanoma patients and it is these data that have driven our decision to progress into a Phase III trial.
Moving now to slide 11, I'd like to remind you that we recently announced with Merck that we're expanding our clinical collaboration to include a pivotal Phase III study of epacadostat plus pembrolizumab.
The trial is expected to begin in the first half of next year and will be conducted in the first line treatment of patients with advanced or metastatic melanoma. We'll co-fund the study with Merck. We believe that conducting this study with Merck has numerous advantages. We're able to work alongside a great clinical partner.
Merck has global reach and access to a significant network of melanoma centers. This in turn has the potential to enable rapid recruitment into the study. We also hope that a pivotal trial in melanoma is just the beginning for our plans with epacadostat.
We'll continue to build the clinical databases in different tumor histologies with Merck and with our other clinical collaborators. And if the data warrant it, we'll seek to move as quickly as possible into additional pivotal studies in other indications.
Moving now to baricitinib, we've recently announced with Lilly the results of the two Phase III rheumatoid arthritis studies evaluating baricitinib head to head against two of the most widely-used RA treatments. In RA-BEGIN, baricitinib monotherapy showed efficacy superior to methotrexate monotherapy in treatment-naïve patients.
And in the second study, RA-BEAM, on a background of methotrexate baricitinib showed superior efficacy to Humira, the market-leading biologic for patients with inadequate responses to conventional DMARDs.
In both studies, baricitinib was generally well tolerated and we look forward to the presentation of the detailed efficacy and safety results at the upcoming American College of Rheumatology meeting in San Francisco. The RA-BEGIN presentation is scheduled for November 8, and the RA-BEAM presentation is scheduled for November 10.
Incyte and Lilly will host an investigator conference call and webcast on November 11 to review the results with you and we hope you can participate in that event. We and Lilly agree that these are outstanding results and the Lilly team is now squarely focused on global regulatory submissions.
I'll now discuss a few highlights across our clinical portfolio. JANUS-I, our pivotal Phase III trial of ruxolitinib in pancreatic cancer, continues to enroll patients on schedule. And we continue to expect data in 2016.
We've reached full-target enrollments in the ruxolitinib Phase II trials in breast cancer and in colon cancer, and the data from these studies are also expected during 2016. These are all event-driven studies, and so we're not able to pinpoint the timelines to data with more precision at this stage.
As indicated on slide 13, we had two candidates in clinical trials since we've spoken to you at the end of quarter two. Our pan-PIM kinase inhibitor, 53914, and our newly-acquired PD-1 inhibitor 1210 have both entered proof-of-concept studies in hematologic malignancies and solid tumors respectively.
We've also initiated a Phase II trial of the topical formulation of ruxolitinib in patients with alopecia areata. We've previously studied topical ruxolitinib in patients with psoriasis and this new study builds on published data showing efficacy of oral JAK inhibitors, including ruxolitinib, in alopecia areata.
With that, I'll turn the call over to Dave for an update on our financials..
Thanks, Rich. For the third quarter of 2015, we recorded net product revenues from Jakafi of $161 million and royalties from Novartis on ex-U.S. Jakavi sales of $80 million. Total revenue in the third quarter amounted to $187 million.
R&D expense in the third quarter was $132 million, which included the $25 million upfront payment made to Hengrui related to license agreement for the anti-PD-1 antibody 1210. SG&A for Q3 was $48 million.
In addition, we recorded an unrealized loss of $31 million related to our investment in Agenus, reflecting the change in the Agenus stock price during the quarter. The unrealized loss on the investment in Agenus year-to-date is approximately $4 million. We ended the quarter with $635 million in cash and cash equivalents.
Moving now to financial guidance for the full-year 2015, driven by the strong underlying demand for Jakafi we are updating our full-year 2015 net product revenue guidance. We are now expecting that product revenues for the full year to be between $580 million to $590 million, up from $560 million to $575 million.
During the third quarter of 2015 we recognized a $5 million milestone payment from Novartis in relation to initiation of the Phase II trial for capmatinib in glioblastoma.
We have also recently received notice from Novartis that we have received approval for Jakafi in Japan for PV, which will trigger a $15 million milestone payment from Novartis that we expect to recognize in Q4 of 2015. Accordingly, we now expect our full-year contract revenue to be $78 million, up from our previous guidance of $58 million.
As previously announced, our contract revenue guidance for 2015 also includes the anticipation of an additional $20 million milestone payment from Novartis. This milestone is related to the commercial performance of Jakafi given the year-end sales and sales trends of Jakafi. We expect this milestone to be recognized in the fourth quarter of 2015.
We are leaving our R&D guidance for full-year 2015 unchanged, despite the payment of $25 million to Hengrui in the third quarter. This reflects the changes in timing of other anticipated R&D expenses from Q4 of 2015 into Q4 of 2016. We have tightened the range for full-year 2015 SG&A guidance to an updated range of $200 million to $210 million.
Operator, that concludes our formal remarks. Please open up the call for Q&A..
Thank you. Ladies and gentlemen, we'll now conduct our question-and-answer session. Our first question comes from Carter Gould with Barclays. Please state your question..
Hi, guys. This is Carter on for Jeff (16:33). Thanks for taking the question. First off, congrats on the transformative progress in the third quarter.
First question, will we see the response rates broken out by dose at SITC? And secondly, is there anything you could say about how your approach towards your strategic optionality has changed after the Merck deal? Thank you..
Yeah. So this is Rich. There will be data broken out by dose on both safety and efficacy at SITC. But with that said, I'm not going to get into any of the details until those data are presented there. And this does not really change our strategy with respect to trying to continue to work with multiple partners going forward.
So we have this one arrangement to do a Phase III study in melanoma with Merck. There are many other potential indications and we look forward to doing those studies when the data are fully supportive to make that decision to go forward, either with Merck or with any of our other collaborators..
Thank you. Our next question comes from Matt Roden with UBS. Please state your question..
Great. Congrats on the progress both on the commercial side and on the pipeline side. And thanks for taking the question.
First on IDO, I guess typically when you look at early-stage oncology results, as the sample size increases, as you go into larger trails, you tend to see a little bit of an erosion of response rates and efficacy just as you go into larger patient populations.
I guess the question would be, as we think about the SITC presentation on Friday is this the sort of phenomenon that we should be thinking about in terms of going from 19 patients evaluated up to 47? And then assuming that there is still real differentiation with these data versus the currently available PD-1 axis inhibitors and combinations thereof, at what point do you feel like it warrants consideration for FDA breakthrough designation? Is that something we should be thinking about? And then if I'm allowed I'll come back with a commercial follow-up..
Yeah. Thanks, Matt. This is Rich again. So with respect to the SITC data, it's obviously more robust. I would say that as a very broad statement, there are not major changes in the data from what you're seeing, but you're just going to have to wait for the data per se.
And really not going to comment on our regulatory strategies with respect to breakthrough or not..
Okay. Thanks for taking that. And then I guess on the commercial side, you mentioned consistent growth in your prescriber base. Now it looks like you're up to about 3,500 if I'm reading the graph rate.
How high can this go? What do you think the target prescriber base could be? And then I guess related, Barry, if you can talk about to what extent you're seeing early-year utilization in myelofibrosis into the INT-1 patients on label that I think historically has been a lower penetrated segment. If you can just talk about where you are with that.
Thanks very much..
Sure. So the target for prescriber base that we presented in the slides is really physicians who have prescribed in the last 12 months. There is more physicians who have prescribed. And obviously you know there is somewhere between 10,000 and 11,000 hematologists-oncologists in the United States, some of whom don't practice.
You can only go so high in the total number of prescribers that you have and lots of those oncologists-hematologists may not even see any NPM patients at all. And then in terms of earlier, we certainly have patients now who are being treated who are intermediate-1 myelofibrosis patients. And I think that was it..
Okay. Thanks very much..
Our next question comes from Marc Frahm with Cowen and Company. Please state your question..
Hi, guys. Thanks for taking my questions and congratulations on all the progress.
First of all, with the Phase III trial with the epacadostat, are you going to be selecting patients based on any sort of biomarker of PD-1 or maybe something else? And then along those lines, will we see any of that type of data at SITC?.
I'm really not going to get into the details of the trial until we have finalized it and I'll likely put it up on clinicaltrials.gov. And I'm really not at this point going to go into the details of what will be presented at SITC, beyond what's in the current abstract..
Okay.
And then thinking forward to as hopefully you go to more tumor types than just melanoma, where do you guys see the hurdle being to justify going to a Phase III in say lung cancer? And then if you get to that point, do you see the melanoma collaboration with Merck as kind of a model or would you maybe not go with an exclusive relationship?.
So I'll take the first question. And what we look for is it has to be – generally these studies are going to be done as an add-on to the PD-1, where a PD-1 or PD-L1 has already established to be effective.
So in order for those trials to come out positive, you have to have the expectation that the combination will be more effective than the mono therapy with the PD-1 agent alone.
And then secondly, in terms of our profile in the cases where there is comparator data in the public domain with other doublets such as nivolumab and ipilimumab, we would be looking to at least mirror the efficacy in those trials with a safety advantage or potentially have clear efficacy advantages over those other doublets.
And with respect to the designs of deals around other trials, I mean I'd ask somebody else to take that question..
Yeah. Maybe I can take it. I think you have to think about it as an IDO program, epacadostat program. Our best interest is to develop the product in multiple indication in multiple lines of therapy. So the way the relationship with Merck is working is really specific to the line of therapy in melanoma where the Phase III study is doing.
So we would be obviously looking for other patient groups where we could do Phase III studies. So what I'm saying is that, don't think of this two year of exclusivity as limiting us for other indications, other combinations, other lines of therapy; it's not.
So from a certain standpoint, we could imagine in the future doing different types of relationship with a partner or to have it under the same type that we have seen here. In both cases it would not prevent us from developing IDO broadly in multiple indications in the future if we choose to, and that's really what's important to us..
Okay.
So I mean we really shouldn't look at this as kind of the model that will be applied, maybe with different companies but the same type of structure, but it shouldn't really inform us for other tumor types or other lines of therapy?.
No. I don't see – I think it could be. What I'm saying is that it could be under the same type of relationship or not. In fact, none of that has been decided yet. But in both cases it would not limit us from developing epacadostat in multiple indications in the future if the clinical data justifies doing it and that's really what's important..
Okay. And then one last if I can on the commercial side. On Jakafi guidance I think it kind of implies kind of a slowing in growth, a pretty significant slowing in growth in Q4 compared to what Q3 had. We've seen that there's been maybe about a 4% price increase late in Q3.
So why would we expect the growth to slow so much even if you also have the tailwind of a price increase?.
We think the guidance is prudent. At the high end of guidance it's about a 7% quarter-over-quarter growth. Fourth quarter can be a little bit unpredictable just because of the number of holidays you have in November and December. So again, we just think it's prudent going forward to have that range.
That's now tight, of course, because we're getting to the end of the year.
Okay?.
Okay. Thank you..
Our next question comes from Cory Kasimov with JPMorgan. Please state your question..
Hey, guys, this is actually Brittany in for Cory. Thanks for taking the questions. So you previously talked about the PV launch to be more gradual than MF given I guess less urgency to treat.
Is that still your view? And then secondly, on baricitinib, is there anything that you could say on the potential next steps for the diabetic neuropathy indication? Thanks..
So I'll take the first part of your question, if I heard it correctly.
So you're just saying that the urgency to treat in PV versus MF, is that what you were trying to get at?.
Yeah. Just if you expect to launch to be more gradual in PV still..
Well, I think we said it all long is that PV patients are sometimes perfectly controlled with phlebotomy or aspirin or sometimes with hydroxyurea, but there is lots of patients who are intolerant to hydroxyurea or get inadequate response to hydroxyurea and those patients are coming on Jakafi now.
And we have great expectations for this launch to continue into next year and beyond..
So this is Rich on your second question. So just to clarify, it's diabetic nephropathy, not diabetic neuropathy. It's about the kidney. Second, the decision as to exactly how and if that product will go into registration studies is up to Lilly and they have not announced their intentions as of yet.
And we also have the option to buy into participation in that study as we bought into rheumatoid arthritis. And that period of time in which we make that decision has not come yet until we see the final development plan and cost in addition to the data that we've already seen from the Phase II study.
But those decisions should be made in the next relatively modest period of time..
Okay, great. Thank you..
Thank you. Our next question comes from Maury Raycroft with Jefferies. Please state your question..
Hi. I am on for Brian Abrahams. Congrats on the progress and thank you for taking my question. So just kind of as a follow-up to Matt's question. So it sounds like the response rates may carry through to the larger data set on Friday.
And I was wondering if you have any views into the durability of response and how the IDO plus pembro mechanism may compare to NIVO plus Ipi on a durability standpoint?.
So again, I'm not going to go into the details of how the data that will come out on Friday compared to the data here, other than to say that there are not major differences. And I don't want anybody to over-interpret that and say that there are differences that are just short of major. It's just I'm not really commenting.
With respect to durability, the data are still early with respect to how far out patients have been followed. There will some durability presented, but it's not as long a follow-up as you would see for example from registration trials that already exist.
So you'll get to see the data, but it is less mature in terms of how long these responses or stable disease last..
Okay. Great. Thank you..
Our next question comes from Chris Marai with Oppenheimer. Please state your question..
Hi. Good morning, guys. Thanks for taking the questions. First, I was wondering if maybe you could comment on any mechanist rationale for epacadostat to potentially have a more profound benefit when treating patients in earlier lines of therapy.
And then secondly, maybe on the commercial side, could you comment a little bit about how you may see the eventual cost of therapy going forward for patients? Do you see this as really something of an Ipi replacement and pricing coming into that range? And then maybe more broadly, could you comment on how the pricing potentially of epacadostat fits into your model of certainly combination therapies, whether it's with your own PD-1 eventually down the road or other combination therapies that you're thinking about at Incyte? Thanks..
Yeah, Chris, this is Reid. With respect to your first question about whether there is a mechanistic rationale for IDO1 inhibition to be more effective in earlier lines of therapy, I think that's something we don't yet know.
We learned a little bit about that question from the ipilimumab experience, where we presented some data to indicate that responses were more robust, deeper responses in patients who were naïve to immunotherapy. That perhaps isn't that surprising, but it's the first time we've made that observation.
I think going forward, it's going to have to be something that we continue to monitor in the trials. And I think overall in the field we don't really understand too well what resistance mechanisms are in play as patients unfortunately progress through successive lines of immunotherapy.
And we may learn from those types of studies that there are some mechanisms that are more applicable to patients in earlier lines of treatment and other mechanisms which are more important with respect to the resistant population..
And for your second question, it's a long way away from pricing strategies for epacadostat, but we really believe that we'll continue to create drugs and combinations of drugs that provide real value to patients. So the clinical benefit to patients ultimately will determine the value..
Okay. And just maybe I want to follow up on that resistance mechanism to epacadostat or the epacadostat combos. Is there any reason to believe that you guys would have early hint of that data in the data set presented at SITC or is it just too soon to tell? Thanks..
You'll have to wait to see those data presented before we comment on that, but that's going to be a question that's evolving in the program over time. I think we'll have much more clarity as the program matures than we will at this early stage..
Okay. Thanks. Congrats on the quarter..
Thank you. Our next question comes from Michael Schmidt with Leerink Partners. Please state your question..
Hey, good morning. And thanks for taking my question. I just had a follow-up to the prior speaker.
So the pembrolizumab combination study, is that limited to immunotherapy-naïve patients or are you looking at IO experience patients as well?.
The patients have to be naïve to pembrolizumab, but they can have had some degree of prior treatment with immunotherapies..
Okay, understood.
And then on your proprietary PD-1 inhibitor, can you just speak to your plans there and how do you see that fit into your portfolio?.
Sure. So right now that molecule has entered into Phase I. Patients are now being dosed with it. We will first need to establish the safe dose with that drug and then potentially look at development both as monotherapy and in combination with our internal portfolio of agents that are potentially – are proven to be active in immunotherapy of cancer.
But it is clearly behind and would not cause us to slow down any of our paths to registration with existing PD-1 or PD-L1 therapies..
Great. And then one more on the SITC data set.
Are you in a position to comment on biomarkers in that initial data set, or is that will you not have taken biopsies until later dose expansion cohorts are enrolled?.
I'm just going to really ask that people wait to see the data at the upcoming meeting..
All right. Thanks so much..
Thank you. Our next question comes from Ying Huang with Bank of America. Please state your question..
Hi, everyone. It's Catherine (35:16) for Ying. I just have a couple of quick ones. I know you don't want to comment about the data at this stage.
But can tell us out of the 47 patients how many will be lung? And then have you seen any liver enzyme elevations with the patients as you do with (35:33)? And then lastly, just quick one, can you break out unit growth versus price and inventory this quarter for Jakafi? Thank you..
I'm sorry, I didn't really get your first question.
Of the 47 patients how many are what?.
Are lung patients?.
Oh, lung. You'll have to wait, but it is not an enormous number of patients at this point in time. More data will be coming, and we continue to enroll patients in each of these indications. With respect to LFTs, all I'd say is that we're quite happy with the emerging safety profile and we'd ask you to wait for the detailed data coming.
And the last question was not a development question..
Yeah. Hi, Catherine (36:26), this is Barry. So the unit growth accounted for almost all of the growth quarter-over-quarter. So we took a price increase in the middle of September. So that really only added about $1 million to the sales; almost all of it was unit growth..
Great. Thanks much..
Thank you. Our next question comes from Liisa Bayko with JMP Securities. Please state your question..
Hi. Congrats on the data and most of my questions have actually been answered. But just a question about PV.
Are you seeing the same sort of discontinuation in compliance rate as you have between PV and MF?.
For participancy, we don't have that much data in PV. Obviously we just launched really in January. So you can look to our clinical trials. So if you look to response for example, follow-up on response you had 83% of patients were still on drug at about two years.
In MF, if you looked at the COMFORT trials, you had 50% of patients were still on drug at three years. So we believe that persistency will probably end up being greater with PV, but we still need to accumulate more data. Thanks..
Thank you..
Thank you. Our next question comes from Tony Butler with Guggenheim Securities. Please state your question..
Thanks very much. If we look at what was presented in the abstract from a grade 3-4 immune-related event there was one patient.
And I'm simply trying to extrapolate, and I know it's small numbers, but if we look at nivo, that with the immune-related events were substantially higher, somewhere in the order – depending on the trial of course, at least in melanoma – of as much as 50%.
So I wanted to comment on the safety of epacadostat, which seems to be at least with respect to immune-related events a bit better. And again, it's small numbers I recognize, but I'd love some commentary on it.
And then the next question is again around corporate development to some degree as it relates to your IDO franchise in conjunction with your PD-1. Are there tumor types that you wish to retain that you would not be interested in actually partnering for future studies? Thank you..
This is Rich, on the first question.
So the data that's in the abstract that was released this morning does show that in these patients the rate of all grade 3 or higher events, and they were all only grade 3, was lower than the relatively related grade 3s with the ipilimumab-nivolumab combination and there will be more robust data on that later in the week.
And as we said, our goals here are both to be able to have more effective therapy than the background treatments – in this case, pembrolizumab – and in terms of comparison to establish combinations to either have better efficacy or equivalent efficacy and better safety.
And as we said, we're pleased with the data so far and we look forward to sharing more data with you on Friday..
Thank you for that..
On the second part of your question, on the PD-1 optionality and how it's sort of adding potential for our thoughtful user. Where we think about it is really in different timelines.
The short-term, which is like the next three years, if we see indications where combination with existing approved PD-1 or PD-L1 is possible, we would not delay or retain that in any way. We would go ahead as quickly as we can with epacadostat in combination with this as our product.
Our own PD-1 program is opening a number of different options in term of combination, but not only with epacadostat. It's also true for many of the other products we have in our portfolio and this will come at a later stage. I don't think it would be reasonable to delay or reserve any indication at this point.
If we see a path to registration, if we have a willing partner who would be ready to go with us, I think we will always give priority to the speed at which we can get our epacadostat approved in that indication..
Thank you, Hervé..
Thank you. Ladies and gentlemen, there are no further questions at this time. I will now turn the conference back over to Mr. Hervé Hoppenot for closing remarks. Thank you..
Okay. Thank you. Thank you for your time today. Thank you for your questions. I know a lot of the questions were really to data that is not yet available. So we look forward to seeing you at the SITC or the ACR conferences where a lot of this data will be presented in the next few days.
And I also want to remind you that Lilly and us will have an investor call from ACR in the morning of November 11, where really specifically we'll be speaking about the data that has been presented that day for baricitinib. So thank you and good bye..
Thank you. And this concludes today's conference. All parties may disconnect. Have a good day..