Anavex Life Sciences - Q3 2023

Transcript

Clint Tomlinson (VP of Corporate)

Good morning, welcome to the Anavex Life Sciences Fiscal 2023 third quarter conference call. My name is Clint Tomlinson, I will be your host for today's call. At this time, all participants are in a listen-only mode. Later, we will conduct a question and answer session. During the session, if you would like to ask a question, please use the Q&A box or raise your hand. Please note this conference is being recorded. The call will be available for replay on Anavex's website at www.anavex.com. With us today is Dr. Christopher Missling, President and Chief Executive Officer, and Sandra Boenisch, Principal Financial Officer. Before we begin, please note that during this conference call, the company will make some projections and forward-looking statements. These statements are only predictions based on current information and expectations and involve a number of risks and uncertainties.

We encourage you to review the company's filings with the SEC. This includes, without limitation, the company's forms 10-K and 10-Q, which identify the specific factors that may cause actual results or events to differ materially from those described in these forward-looking statements. These factors include, without limitation, risks inherent in the development and/or commercialization of potential products, uncertainty in the results of clinical trials or regulatory approvals, need and ability to obtain future capital, and maintenance of intellectual property rights. With that, I would like to turn the call over to Dr. Missling.

Christopher Missling (President and CEO)

Thank you, Clint. Good morning, everyone. Thank you for being with us today to review our most recently reported financial results and to provide our quarterly business update. We are very excited to be entering an important phase of the company with several key data readouts within the remainder of 2023 for blarcamesine. First, in Rett syndrome, in June, we announced the completion of the placebo-controlled EXCELLENCE phase 2/3 clinical trial, RS-003, in pediatric patients with Rett syndrome, and we're looking forward to the top-line data of this potentially pivotal clinical trial in the second half of 2023. On June 12th, we announced the publication of a new peer-reviewed study in the American Journal on Intellectual and Developmental Disabilities with relevance to this clinical trial, entitled Rett Syndrome Behaviour Questionnaire in Children and Adults with Rett syndrome, Psychometric Characterization, and Revised Factor Structure.

In the EXCELLENCE clinical trial, the Characterized Rett Syndrome Behavioral Questionnaire, RSBQ, together with the Clinical Global Impression Improvement Scale, CGI-I, represents the co-primary efficacy endpoints of the trial. This psychometric study is timely and significant as it provides additional support for the use of the RSBQ in children and adults, as well as reference values and revised subscales for its improved use. We have also been further encouraged for the results of this upcoming data readout based on recent long-term clinical trial results from the US ANAVEX 2-73 RS-001 clinical trial, which we announced end of June. The long-term data demonstrated disease-modifying effects of blarcamesine for adult patients with Rett syndrome.

Results from pharmacometric modeling of the full clinical data from baseline of the double-blind study to the end of the open-label extension study indicated that the data are best characterized by a combined symptomatic and disease-modifying drug effect model, meaning that blarcamesine exhibited both symptomatic and disease-modifying effects in the treatment of Rett syndrome in a clinical setting. Continued improvement from the drug, as measured with the RSBQ total score, was observed from the start of the double-blind study to the end of the open-label extension for patients continuing on blarcamesine. Additionally, disease progression, which is defined as the change in Rett syndrome disease severity with time, was also reduced with long-term treatment with blarcamesine. In Alzheimer's disease, we look forward to presenting, including in a scientific journal, once available, the complete data set of the recently completed phase 2/3 Alzheimer's disease trial of blarcamesine.

With newly available preliminary efficacy results of surrogate biomarkers, we intend to initiate discussions with regulatory agencies in the context of the ongoing clinical development of blarcamesine in this indication, with a goal of providing a much-needed treatment for the millions of patients living with Alzheimer's disease in a convenient, once-daily oral treatment. We expect to be able to announce this data also within the second half of 2023. Following on the encouraging results of our Parkinson's and dementia clinical trial, including the results of the 48-week open-label extension of this trial, which we announced at the end of March, we tend to use the same endpoints in a forthcoming pivotal study of blarcamesine in Parkinson's disease, which is currently in the planning stages, and we look forward to announcing the significant milestones of this clinical trial initiation as they are executed.

Further, pipeline expansions of the Anavex platform using gene biomarkers of response, applying precision medicine for neurological disorders is expected, including a planned initiation of blarcamesine imaging-focused Parkinson's disease clinical trial, sponsored by the Michael J. Fox Foundation, a planned initiation of a potential pivotal blarcamesine Phase 2/3 clinical trial in Fragile X syndrome, and a planned initiation of a Phase 2 clinical trial in ANAVEX 3-71 in schizophrenia. We also are planning an initiation of a potential pivotal blarcamesine trial, phase 2, slide 3, for the treatment of a new rare disease indication, which we announced accordingly. We continue to expect clinical publications involving ANAVEX 2-73, blarcamesine, and ANAVEX 3-71. In conjunction with these planned clinical developments, we continue to strive to remain at the forefront of innovation.

In June, we announced we entered into a strategic partnership with Partex Group to leverage artificial intelligence for drug development and healthcare sales marketing, potentially involving a digital healthcare sales marketing pharma platform, with the overall ambition to reshape the future of the biopharma business model. By combining Anavex innovative small molecule precision medicine, drug development platform, and Partex disruptive approach of AI-enabled drug development and healthcare sales marketing, this collaboration is intended to drive efficiency, effectiveness, and innovation across the value chain with patients-centric focused at every step. Additionally, we continue to expand and strengthen our patent portfolio for blarcamesine with a new US patent awarded, expanding Anavex patent coverage of certain crystal forms of blarcamesine compositions, process of preparation, and uses thereof.

Now I would like to direct the call to Sandra Boenisch, Principal Financial Officer of Anavex, for a brief financial summary of the recently reported quarter.

Sandra Boenisch (Principal Financial Officer and Treasurer)

Thank you, Christopher. Good morning to everyone. I am pleased to share with you today our third quarter financial results. During our most recent quarter, our general and administrative expenses remained consistent year-over-year at $3.2 million. Our research and development expenses for the quarter were $10.3 million, as compared to $9.3 million in the comparable quarter of fiscal 2022. The increase in research and development costs year-over-year was primarily a result of our expanded team, as well as a sustained increase in drug manufacturing activities and development for future clinical and potential market supply. Overall, we reported a net loss of $11.3 million, which is $0.14 per share, inclusive of $3.9 million in non-cash items. Our cash position at June thirtieth was $154.8 million.

During the quarter, we utilized cash and cash equivalents of $7.7 million to fund operations. At our current cash utilization rate, we believe we have continued to have sufficient cash runway to fund our operations and clinical programs beyond the next 4 years. Thank you. Now I will turn it back over to you, Christopher.

Christopher Missling (President and CEO)

Thank you, Sandra. This is a really exciting time for the company, and we remain on track to, for readouts of completed clinical trials and initiation of additional biomarker-driven precision medicine clinical trials as planned. I would now like to turn the call back to Clint for Q&A.

Clint Tomlinson (VP of Corporate)

Thank you. We will now begin the Q&A session. If you have a question, raise your hand or enter it into the Q&A box. Our first question is coming from Sumit Roy at Jones Research. You can go ahead and speak, Sumit.

Soumit Roy (Analyst)

Hi, good morning, everyone, and congratulations on the solid quarter and all the progress. A question on the Alzheimer program. Are the patients continuing on a long-term study, and any progress on the confirmatory study to initiate on?

Christopher Missling (President and CEO)

Yep, excellent question. The patient on the extension study actually has given was given a name. It's called the ATTENTION-AD study, it's going over 96 weeks. We have been heard from KOLs that actually this extension study could be the confirmation study of the ANAVEX 2-73, phase 2, phase 3 study itself. We want to basically put this in context and see how this will progress accordingly. We might already have started this confirmatory study with that open label study, it will be determined in discussion with regulatory agencies. We would, of course, be able to, without a problem, initiate a study, if so required, at any time.

Soumit Roy (Analyst)

I see. Do you have any date in mind when the FDA conversation could happen if this study can translate into a confirmation study?

Christopher Missling (President and CEO)

Yeah, we are planning to do this, once the data is available, which is expected this year. Thereafter, you know, agency is able to address things with data as well. That's what will happen with data, in presence of data.

Soumit Roy (Analyst)

Okay. The, the biomarker, study data, is that... Could you give us some color on how many patient results going to present an expectation? Because this is not a targeted agent towards them, about cloud. What should be Street's expectations, and could you refine the timeline? Is it going to be later, like in November timeline, or could be earlier in third quarter?

Christopher Missling (President and CEO)

I would say we keep the, we want to surprise the market, so it's the second half of this year, and we be able to then provide the data once it's available. Regarding the color, so it will be the entire-... participants of the trial, and the majority of them have received, blood biomarker assessment before and after, as well as MRI assessment. A smaller sample size has also received, CSF samples. This is right now the, the, the entire population of the trial.

Soumit Roy (Analyst)

Wow, that is really helpful. One last question on the Rett program. Clearly, you are heading towards getting the top-line data from the EXCELLENCE study. How are you thinking path forward? Are you thinking about commercializing yourself, or is it going to be a partnership program? If it's going to be by Anavex, the commercialization part, when should we start thinking about hiring the commercial team?

Christopher Missling (President and CEO)

Yeah, excellent question. With the collaboration with Partex, we already initiated the strategizing on the sales force numbers, the expansion of marketing strategies. Also we received unsolicited interest from across the globe in all regions of the world, from all regions of the world, to either co-market or to license blarcamesine for Rett syndrome already. We have multiple options open, and we try to make a decision based on shareholder value. What will create more shareholder value accordingly? We will base that decision on, based on that information once we are able to get terms on the table, which will likely happen after the data is out.

Soumit Roy (Analyst)

Thanks. Well, thank you again for taking all the questions, and congratulations on all the progress.

Christopher Missling (President and CEO)

Thank you.

Clint Tomlinson (VP of Corporate)

I don't see any other analyst questions, Dr. Missling. If there's anything that you want to add here, you're more than welcome to.

Christopher Missling (President and CEO)

Thank you very much. I think the question from Sumit was very comprehensive. Again, we like to very much point out that we're looking forward to a very excited second half of this year. We are very excited about the potential, what we built. We're expecting further publications and of our biomarker-driven precision medicine studies, which have all significant unmet need and economic burden. We remain focused on execution as we prepare for a pivotal year ahead of us, potentially involving meaningful advances in our neurodevelopmental, in neurodegenerative precision medicine portfolio. Thank you very much and stay tuned. Looking forward.

Clint Tomlinson (VP of Corporate)

Thank you, Dr. Missling. Ladies and gentlemen, that will conclude our call for today. We appreciate your participation, and you may now disconnect.