image
Healthcare - Biotechnology - NASDAQ - US
$ 23.07
-1.83 %
$ 1.61 B
Market Cap
-7.25
P/E
EARNINGS CALL TRANSCRIPT
EARNINGS CALL TRANSCRIPT 2017 - Q2
image
Executives

Hannah Deresiewicz - Stern Investor Relations Bassil Dahiyat - President and Chief Executive Officer John Kuch - Vice President, Finance.

Analysts

Michael Schmidt - Leerink Partners David Nierengarten - Wedbush Securities Arlinda Lee - Canaccord Genuity Edward Tenthoff - Piper Jaffray.

Operator

Good day, ladies and gentlemen, and welcome to the Q2 2017, Xencor Incorporated Earnings Conference Call. At this time, all participants are in a listen-only mode. Later, we will conduct a question-and-answer session and instructions will follow at that time. [Operator Instructions] As a reminder, this conference call is being recorded.

I would now like to introduce your host for today’s conference Ms Hannah Deresiewicz with Stern Investor Relations. You may begin..

Hannah Deresiewicz

Thank you, operator. Good afternoon. This is Hannah Deresiewicz with Stern Investor Relations. Welcome to Xencor’s second quarter 2017 financial results conference call. This afternoon, we issued a press release which outlines the topics we plan to discuss today. The release is available at www.xencor.com.

Today, on our call, Bassil Dahiyat, Ph.D President and Chief Executive Officer will discuss the company's business highlights and provide an update on Xencor’s clinical programs and pipeline progress. And John Kuch, Vice President of Finance will review the financial results from the second quarter of 2017.

Then, we will open up the call up for your questions.

Before we begin, I would like to remind you that during the course of this conference call, Xencor management may make forward-looking statements including statements regarding the Company's future financial and operating results, future market conditions, the plans and objectives of management for future operations, the Company’s partnering efforts, the Company’s capital requirements, the Company’s future product offerings and the Company’s research and development programs.

These forward-looking statements are not historical facts, but rather are based on Xencor's current expectations and beliefs and are based on information currently available to us.

The outcome of the events described in these forward-looking statements is subject to known and unknown risks, uncertainties and other factors that could cause actual results to differ materially from the results anticipated by these forward-looking statements, including but not limited to, those factors contained in the Risk Factors section of Xencor’s most recently filed Annual Report on Form 10-K and Quarterly Report on Form 10-Q.

With that, let me turn it over to Bassil..

Bassil Dahiyat Co-Founder, Chief Executive Officer, President & Director

Thanks, Hannah, and good afternoon, everyone. Thank you for joining us.

Xencor spent the last several years expanding and advancing a broad pipeline of XmAb antibody drug candidates based on XmAb antibody engineering platform, which is a small set of antibody FC domains and sequences we’ve slightly modified to improve natural antibody functions such as immune regulation and antigen clearance, cytotoxicity, circulating half-life or to create bispecific antibody structures that are stable, long-acting and readily produced.

Today, XmAb-based antibodies are being developed internally by Xencor and by our partners in 11 different clinical stage programs for the treatment of a wide array of diseases. This includes four programs that we are advancing internally, with multiple additional programs we expect to start clinical trials for the next 18 months.

The breadth of this pipeline is enabled by the XmAb platform’s portability, our ability to plug and play an FC domain we’ve engineered for particular property into multiple new antibodies. Now, we had several updates for our internal portfolio in the second quarter.

In May, we announced receipt of orphan drug designation for our lead compound XmAb5871 in patients with IgG4-Related Disease or IgG4-RD. And in June we announce updated interim data from our ongoing study in this indication, which showed the 14 of 15 treated patients responded to the therapy with six achieving remissions.

We expect top-line results in this study later this year and we are engaging with the USFDA to discuss the development plans, future trials and potential registration requirements in this indication.

We also expect top-line results from our subcutaneous administration Phase I study of XmAb7195 by year end and initial data from our Phase I studies of XmAb14045 and 13676 in 2018 pending alignment with our partner Novartis. Overall, we expect to have proof-of-concept data for these four lead programs by the end of 2018.

This will allow us to select the best program or program continually advance into later stages of development as we continue to mature Xencor into a fully integrated biotech company.

And we are planning to file INDs for our next two bispecific oncology programs, XmAb18087 and XmAb20717 in late 2018 and – late 2017 I should say and in 2018 with more programs to follow. With that, I will now get into the specifics of our clinical and preclinical programs.

Starting with XmAb5871, now that’s our first-in-class monoclonal antibody currently in Phase 2 development for IgG4-RD and systemic lupus erythematosus or SLE. Both IgG4-RD and SLE are diseases with a strong rationale for B-cell inhibition in which we can execute efficient Phase 2 trials and potentially address areas of high unmet needs.

5871 works by targeting CD19 with its variable domain, and with our XmAb immune inhibitor Fc domain used to target FcyRIIb, an FC receptor that inhibits B-cell function. As the first known drug candidate to target FcyRIIb, 5871 offers patients a differentiated product profile and a unique mechanism of actions.

It potently and broadly blocks B-cell activation without depleting the B-cells creating a reversible inhibition that can be stopped to help avoid long-term immune suppression.

Now as we announced last quarter, subcutaneous dosing of 5871 is well-tolerated and supports every other week dosing, which offers patients and doctors a simple more flexible treatment option than infusions. We provide an update for 5871 and IgG4-RD in June.

Now this disease, IgG4-RD is a newly defined, fibro-inflammatory autoimmune sort of typically affects multiple organs causing tumor like swelling and variable degree of fibrosis and potentially irreversible organ damage. It’s characterized by a lymphoplasmacytic infiltrate in the affected organs rich in IgG4 positive plasma cells.

Now there is no proved therapies for the approximately 40,000 people affected in the U.S. and Corticosteroids is the current standard of care.

We believe we could be at the forefront of providing a treatment option to these patients and we are discussing future development plans including clinical trial design and potential registration requirements with the FDA this year.

Now at the European – the Annual European Congress of Rheumatology or EULAR Meeting, in June, we reported updated interim data from our ongoing open-label, single-arm Phase 2 study which showed that 14 of 15 treated patients or 93% achieved a responsive therapy with at least a 3 point reduction in the IgG4-RD responder index.

This includes 12 patients or 80% who achieved this response within two weeks of their first dose. Responses continued to deepen over time with six patients achieving remission or responder index of zero. Now 5871 continues to be well-tolerated, with all drug-related adverse event graded as mild or moderate and no AE reported more than two patients.

We are very encouraged by the rapid initial responses of the therapy has observed in our interim dataset and we look forward to reporting top-line data from the trial later this year. We also continue to progress our Phase 2 study in SLE.

As a reminder, this is a randomized, double-blind placebo-controlled multiple dose study design to evaluate XmAb5871’s ability to maintain the improvement in SLE disease activity after a short course of intramuscular steroid therapy and in the absence of immunosuppressant medication.

We designed this study to assess 5871effect on disease activity with a shorter term to endpoint in the fewer patients compared to standard SLE trials and we expect to report data in late 2018 or early 2019.

Turning now to XmAb7195, our first-in-class monoclonal antibody that targets IgE with its variable domain and uses the same XmAb immune inhibitor Fc domain as XmAb 5871 to target FcyRIIb.

In contrast to approved IgE targeting therapies which block IgE receptor binding only, 7195 with its immune inhibitor Fc domain leverages three distinct mechanisms to reduce IgE levels. Its clusters free IgE and blocks its IgE signaling through its receptor.

It also suppresses B-cell differentiation into IgE secreting plasma cells and finally and critically it enables it rapidly clears IgE from the circulation. Now while existing therapies valued IgE as a robust target for reducing asthma symptoms and disability, potentially significant fraction of patients are not addressed due to suboptimal potency.

7195 has induced a rapid and potent suppression of pre-IgE below level of detection from single-doses in 75% of high IgE subjects , subjects typically contraindicative from receiving existing IgE reducing or IgE blocking therapies.

Now based on these results, we believe 7195 has the potential to be an important treatment for allergic diseases and we continue to evaluate our subcutaneously administered formulas of 7195 in a Phase 1b trial and are on track to announce top-line data later this year. Now I will shift to our bispecific oncology pipeline.

Our bispecific antibodies are built on a novel Fc domain, which provides robust scaffold for two or more different antigen binding domains. The result of the single molecular and simultaneously binded multiple targets while preserving important properties of native antibodies like long-circulating half life, stability and ease of manufacture.

Our lead bispecific programs are tumor-targeted antibodies that contain a tumor antigen binding domain on one side, and a cytotoxic T-cell binding domain on the other. They work by activating T-cells at the site of a tumor for highly potent killing in malignant cells.

Now importantly, the format of our bispecifics allows us to tune their potency to balance anti-tumor activity with the reduction of immune toxicity that turns out from T-cell activation. We are currently evaluating in the clinic two bispecific oncology candidates in Phase 1 studies.

The first is XmAb14045 for the treatment of acute myeloid leukemia and other CD-123 expressing hematologic malignancies. Now 14045 engages the immune system by binding CD-123 approaching highly expressed myeloid leukemia stem cells and it is associated also with thorough prognosis.

Now, 14045 binds to CD-3 on the other side of the molecule and that’s approaching on cytotoxic T-cells, and it activates the T-Cells for highly potent and targeted killing of CD-123 expressing tumor cells. The second candidate, XmAb13676 binds the CD3 and CD20, which is a highly expressed antigen on B-cell tumors like CLO and NHL.

Now both programs are partnered with Novartis who licensed ex U.S. commercial rights from us in June of 2016 and pending alignment with them, we expect to report initial data from both studies in 2018. Now our expanding bispecific pipeline also includes XmAb 18087 and XmAb20717.

We’ve planned to file an IND for 18087, which targets SSTR2 or somatostatin receptor 2 and CD3 for the treatment of neuroendocrine tumors, later this year. XmAb20717 is our first candidate that simultaneously target two T-cell checkpoint targets, PD1 and CTLA4 and it’s designed for using multiple oncology indications.

As a dual checkpoint antibody, we believe 20717 can improve the selectivity of combination checkpoint inhibitor therapies and eliminate the need for multiple antibodies and combos. And we look forward to advancing it to the clinic in 2018.

We are also continuing the preclinical development of several additional programs with additional INDs to follow in 2018. Next a quick update on our partnerships. Nine pharmaceutical companies and the NIH are advancing drug candidates either discovered at Xencor or that rely on our proprietary XmAb Fc domain.

This includes seven programs currently undergoing clinical testing. In the second quarter, our partner MorphoSys initiated the pivotal Phase 3 portion of its Phase 2/3 study of MOR208, formerly called XmAb5574 in combination with bendamustine diffuse large B-cell lymphoma. This triggered a milestone payment to Xencor of $12.5 million.

MOR208 uses our Cytotoxic Fc Domain to target CD19 and is in development for B-cell malignancies broadly. Now with this advancement, we now have three partnered programs in Phase 3 testing. The other is being Talacotuzumab, which is in development by CSL Limited and its licensee Janssen and it also utilizes our XmAb cytotoxic Fc domain.

An undisclosed program is in development by Alexion in Phase 3 and that one utilizes our half-life extension Fc domain. Finally, I’d also like to welcome a new team member at Xencor. In the second quarter we welcomed Dr. Raphael Clynes, as Vice President of Translational Biology. In this newly-created role, Dr.

Clynes will focus on the biological mechanisms of our antibody drug candidates with a particular focus on immuno-oncology. Now with that, I will turn the call over to John to review our second quarter and first half financial results. .

John Kuch

Thank you, Bassil. In this afternoon’s press release we reported cash, cash equivalents and marketable securities totaling $378.7 million as of June 30, 2017, compared to $403.5 million as of December 31, 2016. The decrease reflects net spending on operations for the first six months of 2017.

Total revenue for the second quarter 2017 was $13.3 million, compared to $66 million for the same period in 2016. Revenues for the six months ended June 30, 2017 were $17.7 million compared to $73.3 million in the same period 2016.

Revenues earned in the three and six months periods ended June 30, 2017 were primarily milestones received from our CSL and MorphoSys collaborations, compared to revenues for the same period in 2016, which were earned primarily from the company’s Novartis and Amgen collaboration.

Research and development expenses for the second quarter of 2017 were $16.9 million, compared to $14.4 million for the same period in 2016. Total R&D expenses for the six months ended June 30, 2017 were $32 million, compared to $24.4 million in the same period of 2016.

The increased R&D spending in the three and six months ended June 30, 2017 over the same period in 2016, is primarily due to additional spending on Xencor’s pipeline of bispecific oncology candidates. General and administrative expenses in the second quarter of 2017 were $4.1 million, compared to $3 million for the same period in 2016.

Total G&A expenses for the six months ended June 30, 2017 were $8.9 million compared to $7 million for the same period in 2016. The increased spending in G&A in the three and six months ended June 30, 2017 reflects additional charges for stock-based compensation.

Non-cash share-based compensation for the first six months of 2017 was $6.6 million, compared to $4 million for the first six months of 2016.

Net loss for the second quarter 2017 was $6.9 million or $0.15 on a fully diluted per share basis, compared to net income of $47.2 million or $1.13 on a fully diluted per share basis for the same period in 2016.

For the six months ended June 30, 2017, net loss was $21.5 million or $0.46 on a fully diluted per share basis, compared to a net income of $40.8 million or $0.98 on a fully diluted per share basis for the first six months of 2016.

The loss reported for the three and six months ended June 30, 2016 compared to an income reported for the same periods in 2016 is primarily due to milestone revenue received from CSL and MorphoSys in 2017 compared to revenue recognized from our Novartis and Amgen collaborations in 2016.

The total shares outstanding was 46,854,762 as of June 30, 2017, compared to 40,944,080 as of June 30, 2016. The increase in total shares at June 30, 2017 reflects the sale of shares in the December 2016 financing.

Based on our current operating plans, we expect to have cash to fund research and development programs and operations beyond 2020 and to end 2017 with approximately $340 million in cash, cash equivalents and marketable securities. With that, we’d now like to open the call up for your questions.

Operator?.

Operator

Thank you. [Operator Instructions] And our first question comes from Michael Schmidt from Leerink Partners. Your line is open..

Michael Schmidt

Hi, guys. Thanks for taking my questions.

I had a couple on 5871 and Bassil, if you maybe could talk a bit more about what points are that you could clarify with the FDA ahead of initiating the pivotal program? A question on what pivotal trial could like? Will this be a randomized controlled study, - and lastly, is IgG4-Related Disease an indication where one would expect a placebo effect and maybe if you could comment on some of those considerations? Thanks..

Bassil Dahiyat Co-Founder, Chief Executive Officer, President & Director

Sure. So, I guess, the points we really want to clarify with the FDA are, due to the general – does the general approach of whatever trial design we propose is it consistent with their expectations? It’s a brand new disease.

There is no experience directly with this disease and we think dialogues in end of Phase 2 is going to be very important and we learned a lot from it. So, we fully expect there to be a need for randomized controlled trial not a single arm trial.

I think correlates in auto immune disease that could be instructive for this study would be those in vasculitis. For example, the trial that was recently described by Dr. John Stone at ACR last fall for giant cell arteritis which is a form of vasculitis with an antibody drug. IgG4-RD has common features with the vasculitis as it affects most organs.

There is microvascular damage, as organ damage caused sometimes by fibrosis and so, I think those are good metrics. The trials, there is three that aware of that that we are in the vasculitis for antibodies to get – well, in two cases approved, in the third case, a successful Phase 3 announced that they are randomizing on standard of care.

So that’s what we would expect to happen here. They were typically on the order of a couple hundred patients. It all depends on the treatment of that size and that’s one of the things that we are looking at carefully. So we can understand how to size our trial.

We are certain we would want to do a randomized study against standard of care and the question is how do the details I’ll looking at is the kind of points we want to understand best with the FDA.

We want to certainly communicate to them the work has been done to validate and study the IgG4-RD responder index, which is based on the Birmingham Vasculitis Activity Scale or I should say is related to it in sort of we’ve developed using the BVAS as a guidepost and the BVAS of course has been validated by several approved drugs using it.

So, we want to educate them on the endpoints measurement and then of course to find how we are going to measure the endpoint. Now in this case, for IgG4-RD standard of care it’s fairly simple. It’s Corticosteroids that are typically used as rescue upon a flare of disease.

And so, in terms of expecting a placebo effect, I think what we would imagine is that, we are going to be looking at really a flair rate and then the rescue with the Corticosteroid would typically be done in response with increase in responder index or evidence of symptoms or alike.

And so, it’s hard to define a placebo effect when the event you are measuring is essentially going to be done in the context of somebody who has been tapered off of their steroids, because it’s given episodically. You don’t keep people on high does steroids forever.

And so, the placebo when it tends here is the watching and waiting for the next dose of steroids rather than some active control arm. Now, is there going to be a placebo effect as patients are on study that are being monitored more carefully.

I don’t know, we don’t have any experience there and, again, that’s one of the things we will have to look at in terms of powering it properly..

Michael Schmidt

Yes, maybe placebo effect was the wrong choice, but more broad, but I was kind of thinking, is there data that what would one expect into the IgG4 responder index for the control arm for example in this trial?.

Bassil Dahiyat Co-Founder, Chief Executive Officer, President & Director

Yes, I think, what you are going to expect is that, there will be an initial rapid response and an effective response usually, not always, but usually a deep response to Corticosteroids therapy and then, very commonly patients will have a disease flare within some period of time.

And so it’s expected that what we are going to likely do is again based on the similarities to vasculitis and how those trials were run, induce a patient into a response with standard of care and you will follow in maintenance head-to-head against placebo.

So 5871 against placebo and then if the patient has a relapse of disease, you would treat with Corticosteroids as rescue.

And so, in that sense, the design is the efficacy of Corticosteroids will help determine how long before the patient will likely relapse and that will determine the duration of the trial and the effect size that we’d expect to see, there is greatly not that much natural history information.

We are learning a lot from our Phase 2 about how rapidly our drug works, but the natural history on steroids, this is still based on just a few studies in search of experiences with this disease.

I think that the idea that the endpoint is based on the disease the exacerbation is which was what was done in these other areas and we are controlling just with placebo in a sense and the rescues with steroids helps somewhat with the idea that you are masking the disease at least turn that interim after you put a patient into response.

Did that help? I think the giant cell arteritis – the active trial which was presented in November of this past year and was just published in the New England Journal has that kind of approach as did the others and I think that’s instructed. .

Michael Schmidt

Very good. Thanks for all the added information..

Bassil Dahiyat Co-Founder, Chief Executive Officer, President & Director

Thank you, Michael. .

Operator

Thank you. Our next question comes from David Nierengarten from Wedbush Securities. Your line is open. .

David Nierengarten

Thanks for taking my couple questions. First off, I know just, I am not sure if this is a chain language, but the bispecific CD123 antibody looking at both AML and other CD123 expressing hem malignancies.

So just curious you guys are opening it up to BPDC and then other less common hem malignancies? And then, the second question was refresh our memory, if the SSTR2 CD3 bispecific has incorporated any of the CD3 tuning technologies and/or research that you guys have been working on? Thanks. .

Bassil Dahiyat Co-Founder, Chief Executive Officer, President & Director

Sure. Thanks, David.

For the 14045, that was initially in the plan and it’s been in our clinical trial that got entry and believe we’ve stated that publicly I’d have to go look at my exact press releases and notes, but I believe we’ve had this in our public disclosure that from the very beginning we designed the trial for CD123 expressing malignancies and then there is a list of things we include like of course, AML which is by far the most predominant or common of those.

BPDCN, certainly fits that bill. There is certain types of relapsed CML that fits the bill. There is other more rare tumors that do as well. So, that’s not new.

We expect the majority of patients certainly in the Phase 1 dose escalation to be AML because it’s the easiest to find and we just want to accrue this trial rapidly and advance as quickly as we can. So that’s that one.

On the SSTR2 CD3 compound the XmAb18087, we’ve looked in primate models very carefully at the effect of affinity on both sides and we selected one that has – I believe we reported this an affinity in the animal range for the CD3 side and I don’t recall we’ve seen any affinity SSTR2.

But we look very carefully again in primate models as well as in, in vitro with cells to find what we had that window of good activity at hitting the target cells and as well the reasonable cytokine release syndrome that we manage to get with some of our Hem targeting tumors. So, we did certainly go through it.

The answer you end up with in that case will depend on a particular target antigen. So, yes, so we absolutely looked at it and that’s what we guided. I believe we presented much of that at AACR this past year. .

David Nierengarten

As just a back up to the 123, is that under Novartis’ control on how to report out the initial data, because that would be interesting to see if there is any stratification according to CD123 expression since it does overexpress, it is more common in AML but there are certain patients with AML that have higher expression levels of course than others.

So, are there any plans to report on that or discuss those details on the date come out?.

Bassil Dahiyat Co-Founder, Chief Executive Officer, President & Director

Yes, we will certainly try to dive into the different – whatever different tumor types we might have as well as, see if can clean anything from CD123 expression. I believe that from my understanding, there are variations that are seen in AML or typically in the leukemic blast cells.

I don’t know, I could be wrong in this, I don’t know if there is so much on the blast – I am sorry, on the leukemic stem cells rather than some of the blast cells, but we are doing very thorough work characterizing the phenotypes of these patients’ tumors. And so, we’ll see. .

David Nierengarten

All right. Thanks. .

Operator

Thank you. Our next question comes from Arlinda Lee from Canaccord. Your line is open. .

Arlinda Lee

Hello, thanks for taking my questions.

I guess, two things, one on 7195 is that subcutaneous trial seems to have started around the same time as the 5871? Is there – can you line at the design and if there were any differences kick out from maybe why this might take a little bit longer? And then, I guess, on the bispecifics, can you – you mentioned in your press release that you are going to talk a little bit about your tumor microenvironment targeting things pre-clinically.

What else are you guys thinking about, in terms of bispecifics and might you start to see the Amgen CD3, CD38 partnered program in the clinic anytime soon? Thanks. .

Bassil Dahiyat Co-Founder, Chief Executive Officer, President & Director

Sure, so first on 7195, we did started it around the same time as the 5871 subcue trial. Of course, the study design here was a little bit more complex. The 7195 subcue trial was a multi-dose, weekly study done in a series of doses with a dose escalation portion first in healthies and then in atopic patients.

So we could examine different IgE levels and build a robust pharmacokinetic and pharmacodynamic dataset to that IgE reduction response compared to pharmacokinetics subcue, so we could build that across a range of IgE. So it’s a somewhat more complex trial and larger trial than simply enrolling healthy volunteers like we did for 5871.

So the timing is a bit different. That’s why we are still on track to report our top-line results for the end of this year. So, just about a year and maybe a couple months after we started it.

For the tumor microenvironment bispecifics that we hope to have data, I guess, more information and more description of our molecules, later this year hopefully at a scientific conference, we have after our PD-1 x CTLA-4 dual block or the XmAb 20717 which we’ll expect to have the IND filed in 2018, we expect to have other agents.

We’ve talked about these our CTLA-4 lag 3 bispecific blockers is the next one after that and then a PD-1 x Costimulatory molecule bispecific that inhibits PD1 and agonizes the costimulatory molecule that’s also moving forward and we had a candidate that cleared with an XmAb number and hope to have the IND for both of those in 2018.

Does that answer your question? Wasn’t clear on the first part. .

Arlinda Lee

And then, maybe on the lastly on the 13551partnered with Amgen?.

Bassil Dahiyat Co-Founder, Chief Executive Officer, President & Director

Sure, sure. So, the CD38 x CD3 targeting program that was part of our Amgen collaboration. I guess, we did that deal in September of 2015, it’s now two years. I know that they are still active advancing it. I am hopeful that they will have it in the clinics soon.

I can’t really say because, that program is fully outlicensed to them and we are just watching them as they progress it. Yes, we are very excited to see that one can get in the clinic very soon..

Arlinda Lee

Thanks very much..

Operator

Thank you. Our next question comes from Edward Tenthoff from Piper Jaffray. Your line is open..

Edward Tenthoff

Great, thank you. A little higher level question if I may on 7195, first.

With some of the newer agents in I5 and no with the dupilumab data coming, how do you see sort of the biologic asthma landscape changing and how could that change sort of the landscape for your compound?.

Bassil Dahiyat Co-Founder, Chief Executive Officer, President & Director

Yes, I think, severe asthma has been sort of – historically been sort of a absence really biologically active immune modulators like antibodies and then start contrast right in the world of rheumatology where you have after the TNF blockers came out twenty years ago, there was just a flood of other agents that really created a diverse multi-layer treatment paradigm in say, Rheumatoid Arthritis.

And now, say in psoriasis, where you have first-line agents, second-line agents because people typically progress through these agents, either they grow in response or their disease waxes and they have to have something else to hit it with and asthma has been completely absent that with the exception of dissolve there charging along to block IgE and now that’s all changing.

These new agents coming on like the trastuzumab which is an IO4 receptor blocker or the IO5 agent.

Others behind it, I think are going to create this broadening in acceptance of biologics using more expansively in asthma which I think is great for patients and I think, you have a situation that’s against some of the rheumatology have sort of a unclear immune ideology of what’s driving people’s disease there is certainly variability.

We know that for example, the IO4 blockers they typically try to focus on eosinophilic heavy disease. Eosinophils are probably involved in everybody’s allergic asthma, how it expresses in certain patients, certainly differs. Nobody has a full understanding of that.

And so, I think you are going to have a situation that’s going to evolve where use of biologics is more accepted. People with more severe disease are going to be able to taper off of their oral Corticosteroids and manage their diseases better just generally with more biologic agents and I think you are going to have multiple lines of therapies.

I think maybe great for patients and I think you are going to have in that, we believe a strong and central role for the well-established utility of IgE blockades. So, IgE blockade is not driven by any particular biomarker like some of these therapies, but it’s really about the central mediator of the allergic response in disease.

IgE binding to your allergen, right, and blocking that down is a consequence to that. So we think IgE blockers are going to be central to this paradigm of multiple agents, and we think that with a much more effective blockade or reduction of IgE like we can achieve with 7195, we can play an important role. So I think it’s not going to be one biologic.

I think it’s going to be a broad number..

Edward Tenthoff

I think that makes a lot of sense, great.

And the question on 123, obviously, a lot of programs going after that target for AML, how do you sort of your bispecific maybe differentiating, obviously early days, but what your goal to differentiate that program versus some of the other approaches?.

Bassil Dahiyat Co-Founder, Chief Executive Officer, President & Director

Sure, I think there is a two sort of buckets of CD123 targeting therapies. It’s certainly an emerging target where there’s been a lot of interest in the last few years that have now resulted in a handful of clinical programs.

You’ve got, sort of take non-bispecific programs sort of as a baseline, programs like the Talacotuzumab program and that Janssen has going forward in Phase 3 in AML that actually happens to use our cytotoxic Fc domain to recruit natural killer cells, macrophages it seems to us from the reported data to be relatively well tolerated.

It must be showing some responses in our Phase 3 as they publish further little data. You’ve got also advancing the diphtheria tox in conjugate to IL3 itself. IL3 is a natural linking for CD123, that has shown activity. Those was significant - I think toxicities that seem to be mediated by the function of diphtheria toxin itself.

So, I think what you’ve established there is that you can have activity and probably efficacy from CD123 targeting and your toxicity seems to track from your modality, whether it’s diphtheria toxin on the one hand or a fairly well tolerated sort of more traditional antibody on the other hand with a Talacotuzumab.

So, it sort of established that target as one, okay, well, if there is some traction at the Hem target, that looks like you can hit with something pretty hard and hitting that target CD123 itself might not be something that a patient can handle.

Great, so now you got the bispecifics where you have the first programs that we are aware of are for example, a program that is a non-Fc containing bispecific, MacroGenics is developing that has a relatively short half-life, say, relative to say that Fc containing CD123 approach that we have. So relatively short half-lift.

I think it’s something that’s going to be using a multi-day, if not multi-week continuous infusion, which creates challenges for delivery as well as having a very, very high potency in our agents as well as the bispecific Fc containing bispecific agents that Janssen has now reintroduced in Phase 1.

They have a lower potency and that might give you a better window to introduce the drug to patients to get it into them, to get it active without having such a profound immune activation that you have difficulty managing the toxicity. That was the whole thesis for our approach.

Still very highly potent molecule, we have thousand times more potent than a traditional antibody, but tuned down relative to the very high potency first generation bispecifics like the blinatumomab Amgen program or the CD123 that I just mentioned without an Fc from MacroGenics.

But also have longer half-life, so the drug can stay around for days, maybe weeks and not just minutes. I think that profile of having something you can dose simply and have manageable tox to get to hopefully activity that we will see is a great window to be in. .

Edward Tenthoff

Helpful, thanks, Bassil. .

Bassil Dahiyat Co-Founder, Chief Executive Officer, President & Director

Thank you..

Operator

Thank you. [Operator Instructions] And our next question comes from Christopher Marai from Nomura Instinet. Your line is open. Please check that your line is not on mute. Once again, Mr. Marai, if your line is on mute, please unmute your line or pick up your handset. And I am showing no further questions from our phone lines.

I would now like to turn the conference back over to Bassil Dahiyat for any closing remarks..

Bassil Dahiyat Co-Founder, Chief Executive Officer, President & Director

Thank you very much operator and thank you all for your time. We look forward providing further updates as we continue to advance our XmAb pipeline later this year. And thanks again, bye-bye. .

Operator

Ladies and gentlemen, thank you for participating in today’s conference. This does conclude the program and you may all disconnect. Everyone have a wonderful day..

ALL TRANSCRIPTS
2023 Q-4 Q-3 Q-2 Q-1
2022 Q-4 Q-3 Q-2 Q-1
2021 Q-4 Q-3 Q-2 Q-1
2020 Q-4 Q-3 Q-2 Q-1
2019 Q-4 Q-3 Q-2 Q-1
2018 Q-4 Q-3 Q-2 Q-1
2017 Q-4 Q-3 Q-2 Q-1
2016 Q-4 Q-3 Q-2 Q-1
2015 Q-4 Q-3 Q-2 Q-1
2014 Q-4 Q-3 Q-2