CASI Pharmaceuticals, Inc. (CASIF) Earnings Call Transcript & Summary
November 9, 2020
Earnings Call Speaker Segments
Operator
operatorGood afternoon, ladies and gentlemen, and welcome to the CASI Pharmaceuticals Third Quarter Financial Results and Business Update Conference call. [Operator Instructions] I would like to hand the call over to Cynthia Hu from CASI for a preliminary statement. Please go ahead.
Cynthia Hu
executiveThank you, operator. Good afternoon, and welcome to CASI's Third Quarter Conference Call. Earlier today, CASI issued a press release providing the details of the company's financial results for the quarter ended September 30, 2020. The press release is available in the Investor Relations section of the company's website. Today's call will be led by Dr. Wei-Wu He, our Chairman and CEO. He, along with Dr. Alex Zukiwski, our Chief Medical Officer; Dr. Jim Goldschmidt, our Senior Vice President of Business Development; and I will also be available during the Q&A portion of this call. As a reminder, our remarks today will include forward-looking statements, including our business plans, objectives and milestones. These forward-looking statements are not guarantee of future performance, and therefore, you should not put undue reliance upon them. These statements are subject to numerous risks and uncertainties that could cause actual results to differ materially from those projected or implied in our forward-looking statements. For a description of important factors that could cause actual results to differ, we refer you to our statements in today's press release and in our SEC filings. Now it is my pleasure to turn the call over to our Chairman and CEO, Dr. Wei-Wu He. Dr. He, please proceed.
Wei-Wu He
executiveThank you, Cynthia. Good afternoon, everyone, and thank you for joining us today. I will begin the call with a general update, followed with an update on our lead programs. And Alex will help give people some color on our pipeline, and then I will conclude with the third quarter financial highlights. Let me begin by saying that we are very pleased with the progress we have made in the third quarter from both a clinical and corporate perspective. I'm extremely proud of our team across all functions for their continued dedication and focus. There's no doubt in my mind that we are well on our course in building a leading biopharmaceutical company. We will continue the momentum generated from our most recent in-license BI-1206 and from our underwritten public offering completed in the third quarter. With your support and our strong balance sheet, we will continue to make incremental progresses with our product portfolio and continue to aggressively pursue additional assets. A few words about how we go about our pursuit of assets. We are pursuing assets with proven targets and a low clinical and biological risk, but we will be opportunistic in our hunt for what we like to call diamonds to add to our pipeline. We are interested in products that fit our core competency in global drug development, allowing us to leverage China clinical development and the large patient population in China. We look at business development opportunities with an entrepreneurial eye. Specifically, we not only look at an asset's fundamental global development potential, but we also look at our partners' investment potential. Our business development execution typically includes an investment component in our partner. We believe this additional layer of investment deepens our collaboration with our partners and signals our confidence and trust. This venture approach has proven effective in developing all our cross-cultural global relationships and also provides our shareholders additional upside in the potential return on equity. For example, in connection with our CAR-T 19 commercial asset, CASI, through our China subsidiary, is also a major shareholder in our partner, Juventas. We believe Juventas, a China therapy -- cell therapy leader with a pipeline of innovative cellular-based product, could potentially capture significant value from the Asian capital markets. Their access to the Asian capital markets could unlock significant value for its shareholders, including CASI. Similarly, CASI will be a shareholder of BioInvent, our partner for BI-1206. BioInvent is a publicly traded company on the NASDAQ Stockholm Exchange and has a validated proprietary platform that generates promising new drug candidates to fuel its pipeline. In addition, CASI also is a shareholder of a spin-off company of Black Belt Therapeutics from which we acquired global rights to CID-103. We believe our style of venture medicine, that is investing in our partners while jointly developing an asset together, one, greatly enhances our collaboration; and two, gives our shareholders an additional opportunity to capture value. This approach also reflects the deep experience and core expertise of our executive management and Board in both drug development and pharma investments. With this approach, we will continue to build our pipeline, one asset at a time. I will now address our commercial product, and then Alex will address our pipeline. EVOMELA. We recorded EVOMELA revenues of $4.2 million for the third quarter. For the full year 2020 revenue, which is really our first full year of commercial activity, we expect to exceed $14 million in revenue. This exceeds what we have previously forecasted. As you recall, EVOMELA is approved in China for the use as a high-dose conditioning treatment prior to hematopoietic stem cell transplantation in patients with multiple myeloma. Melphalan was previously not available in China, and EVOMELA is not just melphalan. It is a proprietary formulation with patent protection until at least 2030. It is currently the only form of melphalan commercially available in China. And based on our front-line work with hospitals and medical centers, we have witnessed firsthand the strong endorsement of this product from our KOLs and physicians. We expect that autologous transplant will continue to be increasingly adopted as a standard first-line treatment for multiple myeloma. Our EVOMELA postmarket study is in progress. So far, the data we are seeing is consistent with published studies of EVOMELA. We expect to complete enrollment for this required study by the end of this year. Through EVOMELA as our first commercial product, we have built a commercial sales team that has been thoroughly tested with the successful launch of EVOMELA and now stands ready, not just to expand EVOMELA, but also ready to launch additional products such as our CAR-T 19 therapy. We will keep doing this, launching one product after another. With that, I'm going to turn to Alex, and Alex will give us an update on our pipeline drugs. Alex?
Alexander Zukiwski
executiveThank you, Wei-Wu. Good afternoon. I'm Alex Zukiwski, the Chief Medical Officer of CASI. And for the next few minutes, I'm going to give you an update on the CASI pipeline. Let me first start with CNCT19, our CD19 CAR-T asset. Our partner, Juventas, is making great progress with its current Phase I studies in B-NHL and B-ALL. These 2 trials are single-arm, open-label, nonrandomized dose escalation Phase I studies to determine the safety and efficacy in the relapsed or refractory settings. So far, we are seeing a level of activity that is extremely encouraging. Based on the progress of the Phase I trials, we understand that Juventas expects to initiate the Phase II registration trials by the end of 2020. This is earlier than previously forecast. Needless to say, we are excited about -- with the progress that Juventas has made to date. Another factor to highlight a little about CNCT19. There are currently no approved CD19 CAR-T therapy products in China, either produced by a foreign or domestic manufacturer. CNCT19 will be -- is locally developed and manufactured, which greatly distinguishes it from other CAR-T 19 therapies developed and manufactured outside of China. As you are aware, drug pricing still remains a substantial issue for patients in China, particularly for premium and innovative products. Comparable CD19 therapies that are developed, manufactured outside of China are subject to ex China CMC and cost of goods, making the cellular therapy price point significantly higher than what we believe CNCT19 can be priced at. Next, I will address our most recent pipeline addition, BI-1206. We recently announced our in-licensing of BI-1206, a novel anti-Fc gamma RIIB antibody for the Greater China market. BI-1206 has a novel mode of action, blocking the single inhibitory antibody checkpoint receptor, the Fc gamma RIIB, to unlock anticancer immunity in both hematological malignancies and solid tumors. Fc gamma receptors are antibody checkpoints that modulate efficacy of tumor-directed targeting antibodies and immune checkpoint targeting antibodies used in cancer immunotherapy. BI-1206 can potentially be used in all therapeutic monoclonal antibodies that rely on ADCC and or CDC for efficacy. It is BioInvent's lead drug candidate and is being investigated by BioInvent in a Phase I/II trial in combination with the anti-PD-1 therapy, KEYTRUDA, generic name pembrolizumab, and in solid tumors in a Phase I/IIA trial in combination with rituximab for the treatment of non-Hodgkin's lymphoma. We believe that BI-1206 has broad clinical application with the potential to be used across multiple tumor types in many first-line indications and the refractory setting, which we plan to explore. Together with BioInvent, we plan to develop BI-1206 in both liquid and solid malignancies with CASI responsible for the development and commercialization in Greater China. Our lead indication will be BI-1206 in combination with rituximab in patients with relapsed/refractory non-Hodgkin's lymphoma. We are now in the process of establishing our Joint Steering Committee to kickstart our development plans in China, starting with our regulatory submission to the Chinese NMPA. We are excited to work with our new colleagues at BioInvent, and we'll have more to update at our next teleconference. Now let me move on to CID-103, which is the anti-CD38 antibody. CID-103 is a fully human IgG1 anti-CD38 monoclonal antibody, which recognizes a unique epitope. It was selected to have strong ADCC activity against CD38-positive malignant cells with a reduced CDC activity, thus resulting in a potential reduction of infusion reactions, which are observed with existing anti-CD38 treatments. Preclinical data demonstrated that CID-103 has enhanced activity against a broad array of malignancies expressing CD38 and potentially a better safety profile when compared to other CD38 monoclonal antibodies. In addition, the results of in vivo studies have shown promising data that CID-103 outperforms what is currently available, and the data from the in vivo efficacy models and preclinical toxicology studies have shown higher anti -- higher CD38 killing, high ADCC activity, which recognizes a unique epitope, improved safety profile with no overt related infusion reactions, less cytokine release, decreased binding to human RBCs and the potential for shorter administration time versus the competitors. We have recently completed a preclinical study in collaboration with the New York Blood Center. The study investigated the impact of CID-103 on RBC pretransfusion test methods, utilizing daratumumab as a positive control. CID-103 demonstrated very low binding to RBCs that was not detected by most blood bank test methods, independent of the concentration of drug. CID-103 demonstrated significantly less RBC interference relative to daratumumab. While these observations are encouraging for laboratory testing of patients needing RBC transfusions, confirmation will be undertaken in the CID-103 Phase I clinical study. Based on this and other data we have observed so far, we remain encouraged that CID-103 has the potential to be a best-in-class anti-CD38 antibody, and I look forward to initiating our clinical study in the very near future. As we guided last quarter, the COVID-19 pandemic impacted the targeted start time of our CID-103 phase I trial, but our expectations remain on track with what we have reported last quarter. We have filed our IMPD application to the MHRA, the British Health Authority; and to the ANSM, the French Health Authority, and we expect to initiate our Phase I study in sites in both the U.K. and France as soon as the institutions are open for clinical activities, and we expect to start in Q1 2021. As reported, the Phase I study of CID-103 will be a dose-escalation study with an expansion phase to determine the safety and preliminary activity of CID-103 in patients with relapsed/refractory multiple myeloma. The trial protocol is designed to test a priming dose as well as dose escalation with the objective to reduce the infusion duration as recommended by the Data Review Committee. This completes the update for our 3 lead assets in our pipeline. Let me take you through a few of the other assets, which we have previously reported on. Our other assets included in the pipeline are also progressing well. Our registration trial for octreotide long-acting injection is on track to be initiated this fourth quarter 2020. And our registration trial for Thiotepa is in the planning stages and is on track to be initiated in 2021. We are also making progress with regards to our Wuxi manufacturing facility. We have started the early phase of construction and land improvements with fuller-scale, long-term construction plans in current discussions with the local Wuxi government. Please find additional information by referring to our website and filings. We are also happy to address any questions during our Q&A session. With regard to COVID-19, the pandemic is still ravaging the global community, including our colleagues around the globe taking care of patients. Within China, we are observing a semi balance and return to normalcy due to the tight and centralized response systems in place. We believe, overall, the impact of COVID-19 to our operations will be manageable as we close out the year and head into 2021. However, there is no assurance that the still-evolving pandemic will not impact our supply, resources transportation, the hospitals where the studies are being conducted, our clinical sites, in which event we will quickly respond and adapt. At this point in time, I'll turn the call back over to Wei-Wu.
Wei-Wu He
executiveThank you, Alex. So I'll give everybody some financial highlights. A few words on our financial highlights for our third quarter. Our press release contain details of our financial results. Rather than read through all of these details, my comments today will be -- will address the key highlights. For the 3 months ending September 30, CASI recognized $4.2 million revenues, consisting primary of product sales of EVOMELA that launched in August 2019. For the full year 2020 revenue, we expect to reach at least $14 million, performing better than previously forecasted. Our costs of revenue this quarter were reduced compared to last quarter due to transition to a newer manufacturer, resulting in decrease in the unit cost of inventories of EVOMELA. As of September 30, 2020, cash and cash equivalents totaled approximately $74.6 million compared to $44.9 million as of June 30, 2020. As previously reported, the company did an underwritten public offering in July 2020, generating gross proceeds of approximately $43.7 million. This financing brought in additional long-term health care-dedicated financial institutions. Taking into consideration the cash and cash equivalents balance as of September 30, 2020, the company has sufficient resources to fund its operations at least through 2021. We continue to be extremely thoughtful on how we deploy our cash with a focus on building shareholder value. Before we turn this call back to the operator, we hope to have conveyed to you our optimism and CASI's positive outlook. The bottom line is we are committed to building a major integrated biopharmaceutical company using China as our initial market. We intend to increase our pace of acquiring assets, and we will be tactical and entrepreneurial about it, coupling clinical development partnerships with venture investment in our partners. And we will continue to build and strengthen our R&D capacities, further strengthen our sales and marketing team and expand the reach of our business development activities. It is an exciting time to be part of CASI, and we look forward to future updates as we hit our milestones. I will now turn it to the operator for questions. Operator?
Operator
operator[Operator Instructions] Your first question comes from the line of Sean Lee.
Xun Lee
analystSo we see EVOMELA revenues picking up. I was wondering whether you can provide with the -- or provide us with a bit more color on the commercial opportunity there. For example, what percentage of hospitals and doctors on your target -- that you're targeting have you reached out to? What -- maybe what percentage of them have already ordered or used the drug? Like where do you see the room for growth over the next 1 to 2 years?
Wei-Wu He
executiveActually, I -- actually, our President, Larry, probably can address that question much better. Unfortunately, it's a very early morning time in China. He's not on the call. I will take a shot at it, as I understand it. We think this is still a very early phase of launching EVOMELA in China because, thanks to a few very mature multiple myeloma company in China, they historically have convinced physician that transplant is secondary to autologous -- transplant should be -- the drug is already as good as transplant. But -- so we are doing almost a reeducation of the physicians in China that, for many patients, transplant should be the first-line treatment, and it has much better clinical outcome for many, many patients. So I think that the -- in terms of the commercialization of this drug and the -- it's still at the very early phase of its commercialization. And the second comment I want to make is the potential of autologous transplant is still limited by the limited availability of transplant centers in China. For the top academic center, I'm pretty confident we probably have already detailed a majority of it. But we are seeing signs that even secondary hospitals are building out transplant centers. So we believe that the potential of this molecule and -- or the potential of the autologous transplant procedure is much larger in China than probably we anticipated. And there's also potentially other utility of melphalan in other indications, and we are kind of starting to explore. I don't know if that answers your question, Sean. Thank you so much for your -- always for your support.
Xun Lee
analystThat was very helpful. My second question is on BI-1206. It's nice to see that it's a very unique molecule. So I was wondering whether you can elaborate a little more on the exact structure of the deal. While CASI has the commercial rights to the Greater China, do you guys -- are you guys solely responsible for development in the area as well? Or is the development going to be a partner process between you guys and BioInvent?
Alexander Zukiwski
executiveSo Wei-Wu He, do you want to address that? Or shall I take it?
Wei-Wu He
executiveYes, you can take it. Yes.
Alexander Zukiwski
executiveSo the deal is for us that we are responsible for the development in the Greater China area. However, this is a true collaboration. As we look forward to registering the drug under the import drug registration pathway, our programs will be hand in glove with BioInvent. So the Joint Steering Committee will dictate how the studies are being conducted, the targets, et cetera. So it will be a true collaboration in terms of the clinical development program on a global basis.
Xun Lee
analystIs that -- should I take that as the drug will be developed more in the U.S. until it's ready for a pivotal study, either in China or in the U.S. or both before you take it for registration in China, I mean?
Alexander Zukiwski
executiveSean, I would say that, that's not entirely correct. We are working towards a true collaboration with BioInvent to establish and contribute to the Phase II program as soon as feasible. So we will be working towards filing all of the regulatory documents, which will enable us to participate in a global development program, which may not be a registration at this point in time. It may be an exploratory or signal-searching study, et cetera.
Xun Lee
analystUnderstood. What...
Wei-Wu He
executiveSean, maybe I will -- yes, Sean, maybe I will inject a little bit comment here because I think there's still an under-appreciation of the vast patient population in China, especially in oncology space, because China probably today is the #1 cancer incidence country in the world. And also, the Chinese regulatory agency, finally, is part of the ICH. It's really -- actually, I always say, this is the first time in the 5,000 years, China is part of the ICH. People probably are not quite really grasp the importance of that. So I think we are going to experimenting a clinical development strategy with some of our partner, which is, for instance, this drug, if they -- if the BioInvent took this company into a global Phase II trial, we probably, you mean CASI, in China, we will become part of the global Phase II clinical trial. But we might be able to enroll certain patients faster and cheaper and more efficient than a lot of oncology centers in other countries. And that is -- we think that actually can add tremendous value to adding clinical data to important molecules like the Fc receptor inhibitor. So does that make any sense?
Xun Lee
analystYes. That is very helpful. And maybe you can tell us about -- a little more about the cost sharing on the clinical development.
Wei-Wu He
executiveCan you say that again? I didn't catch that.
Xun Lee
analystSorry. Maybe you can elaborate a little more on what's the cost-sharing structure between you and BioInvent for the clinical development.
Wei-Wu He
executiveAlex, you want to make a comment on that? Or I can take a shot on -- the understanding is that, I mean, the cost in China, we will bear some of the cost in China.
Alexander Zukiwski
executiveYes. We'll bear the cost for the development program. Jim?
James Goldschmidt
executiveYes. This is Jim Goldschmidt. Yes. The -- CASI will be responsible for all clinical costs incurred in China since that is our territory. But as Wei-Wu said, we will also have the right to participate in all global clinical trials. And the sites that we get up and running and the patients that we recruit and enroll into those trials in China will be our cost.
Xun Lee
analystGreat. My final question is a bit of a higher-level one. Now with a good -- like a good stable of drugs already in your portfolio, I was wondering whether you are still looking to in-licensing additional products. And if so, what's the expected timing for these? And also, are you only going to be -- going forward, are you only going to be looking to in-license products for the Greater China area or maybe for the China and the U.S. markets both?
Wei-Wu He
executiveWe are very open minded, right? So the -- if you look at our CID-103, we actually got the global rights of the CD38 CID-103. So we're not limited to China, but we think China is a great kind of starting market for us because we see the global arbitrage opportunity of China, 1.4 billion people aging and has a high demand for innovative products globally. But China is also a wonderful clinical development market. And -- but we are not going to limit ourselves to China market per se. Ideally, we love to have multibillion-dollar global assets, right? So that's the -- and so CID-103 is a great example that we own the global rights of CID-103. And we, by the way, own the global rights of our CAR-T 19. The question is do we really want to launch a CAR-T in the U.S. with already 2 products approved in the U.S. It's unlikely, right? But that drug, in other cost-sensitive market, might be actually a pretty good drug. And another comment is we probably will be extremely aggressive to add more drugs to our pipeline. That's -- we have stated in many shareholder meetings, and CASI is going to be more aggressive moving forward to bring in assets into the pipeline.
Operator
operatorOur next question comes from the line of Beth Senko.
Elizabeth Senko
analyst2 quick questions. Sean managed to get a lot of mine in. The $4 million in EVOMELA sales, is that something we should consider a normalized run rate, given what's going on with COVID and things starting to happen and things still on and off? Is that $4 million, $4.5 million a good base to grow from modeling going forward?
Wei-Wu He
executiveWe think so. I mean the China is pretty normalized with regard to the COVID-19 situation. And so we are only going to grow from this pace, right? So this is only the first year we launched a product for CASI. So there's still a lot of kinks we're working out. We built a commercial team last year. So it's a brand-new team. It's a global standard team. And they -- our team did a beautiful job for a niche drug like EVOMELA. We're targeting over $14 million in the first year, but that's really just the beginning, right? It's the first full year -- you can argue that's CASI's first drug ever in its history, right? So, yes. So it's a very beginning. It's a very beginning of our commercial effort. So I personally expect to see number far better than this quarter, right? Yes.
Elizabeth Senko
analystCertainly. Certainly. I just wanted to make sure that we're not expecting -- that there wasn't extra channel till this quarter and that the normal run rate is $3 million. So just minor, minor thing in the big figure. Bigger in the big picture, would you be willing to update us on what you see as potential market size in terms of patients for some of these new drugs? I think when we last spoke, the CAR-T 19, you were thinking 30,000 patients sort of annual incidence rate.
Wei-Wu He
executiveYes. That's the total market, right? That's the total market, right? And CAR-T 19 is still going to be relatively a expensive drug, right? So the -- so -- and it's -- initially, it's probably unlikely will be reimbursed by the government because it's high price. So we still -- we have not given out any guidelines -- guidance yet. But you look at Gilead's drug, it's doing -- I think they're on the run rate of doing about $1 billion a year. And obviously, their pricing is much higher. We think that the initial number should be comparable to what Gilead is doing, right? So -- because China is 5x more population, 4 to 5x population, but pricing will be low. So there's still a lot of variable in terms of pricing. And we are very actively following the drug ahead of us and our competitive drug. So -- but the good thing is, clinically, we are really, really moving forward. So I think we probably will be a little bit more comfortable to give you guidance a little bit further into the market.
Elizabeth Senko
analystAbsolutely. Absolutely. So of course, my follow-up would be do you have any thoughts in terms of target market size for some of the other drugs, but my guess is you're going to say, "No. Too early."
Wei-Wu He
executiveYes. It's probably too early. I think for our CD38, I mean the big if is after we dose 20, 30 patients next year, are we confident this is indeed the best-in-class molecule, right? If everything we see in preclinical holds true, then I'll be probably a lot more optimistic about this molecule, right? And we all know J&J dara is doing about $3 billion on CD38 already. It's a big molecule, right? So we probably will be a lot more confident about this molecule after we dose a few patients, basically, right?
Elizabeth Senko
analystCan you remind me the length of time for those studies on the off chance that this latest wave of COVID pushes out clinical studies in the U.K. and France for another 6 months or something? What's the start to finish time?
Alexander Zukiwski
executiveSo the...
Wei-Wu He
executiveAlex -- yes.
Alexander Zukiwski
executiveYes. The sites in France appear to be operating without too much interference from the COVID-19 pandemic at the present time. In the U.K., that's a different story. They felt the burden of the pandemic. But we anticipate the first quarter, the first patient will be in. And by the end of the year, we will be substantially through the dose-escalation study, which will carry on probably into 2021.
Elizabeth Senko
analystOkay. And when do you expect to report out on that, give some midterm report?
Alexander Zukiwski
executiveSo we will report out at some point in time the ongoing study, just the status of it, but we will not provide any data until we finish the dose-escalation portion of the study.
Operator
operator[Operator Instructions] Your next question comes from the line of [ Leland Bruchel ].
Unknown Analyst
analystI wanted to just ask about EVOMELA, a few more questions. In terms of good drivers there, I wanted to ask if you're seeing any use in the setting or if that's really all driven by transplant in myeloma. And also want to ask about gross margins. With the improvement, are you reaching kind of steady-state gross margin? Or should we expect continued improvement going forward? And then I have a follow-up.
Wei-Wu He
executiveSo Alex, do you want to make comments on this? Or you want me to do it?
Alexander Zukiwski
executiveSure. [ Leland ], unfortunately, we don't have the specific data on the use of EVOMELA for patients with relapsed/refractory multiple myeloma that are not undergoing transplant at this point in time. But that analytical data gathering is of high interest to us. There is also other potential off-label uses, which we are not promoting at all. We're promoting per label. And we're trying to carefully track that to understand who's using the product, et cetera. But unfortunately, we can't give you a detailed breakdown in terms of the number of -- the percentage of cases relative to a transplant versus nontransplant setting for patients with multiple myeloma.
Unknown Analyst
analystOkay. And gross margin?
Wei-Wu He
executiveYes. In terms -- yes. In terms of cost of goods sold, you can see it in this quarter, our cost of goods sold has reduced quite dramatically. It's because when we first launched our drug, we used a manufacturer who was actually being wind down. And we kind of backed them to manufacture last batch for us to get the drug approval and everything. But we -- our team has done a wonderful job of -- after we launched the drug, now we shifted to a lower-cost manufacturer. And I think our margin has improved dramatically. It probably will only get better. So -- but there might still be room for us to improve margin, but we'll keep you updated on that.
Unknown Analyst
analystOkay. Great. And then one question I have just on strategy with potential out-licensing of geographic opportunities that are outside of China, for which you have the rights presumably for CID-103. You may look to flip the ex Greater China rights to another commercial organization. Just wondering if you have any time lines in mind for when that might happen for these types of programs or if it's really dependent on the data and the level of interest that you get from the potential suitor as to when you might transfer other rights to another company.
Wei-Wu He
executiveYes. We probably will be opportunistic a little bit. I think -- because depending on what we are betting on, right, so right now, we're betting on the CID-103 is a better molecule than the molecule on the market regarding to infusion reactions, the red blood cell binding and the easeness -- ease of administration. So if those -- we think right now, that's our -- we believe that, but that -- not until we see some real patient data, but it's probably going to be hard to convince a large pharmaceuticals to make a bet -- big bet on it. So we probably are willing to bite the bullet and move forward and see how it goes. That's why I think for CID-103, next year is going to be a very pivotal year for us. So -- but we will be opportunistic. And if a large company that do truly believe this is what we believe in, it doesn't prohibit us to do a deal earlier, right? So -- but obviously, with clinical data, it will be a lot easier to convince a large player. And we'll be strategic because we are building a commercial team in China. So we have access to market in China, but we don't necessarily have access to market in Japan or in Europe in the multiple myeloma space. So we probably would love to find partners has strong market access to those markets, right?
Operator
operatorWe have reached the end of the question-and-answer session. I would now like to hand the conference back to CASI Chairman and CEO, Dr. He, for closing remarks.
Wei-Wu He
executiveWell, I think this is -- thank you very much for joining the call. We believe CASI is at the very big -- it's really at the very beginning of building a fully integrated pharmaceutical company, leveraging global innovation, China cancer patient population and the new regulatory innovation in China. The sky is the limit. China has 1.4 billion people aging, and people are also getting wealthier. The life sciences innovation we look at globally, man, I think we're living in such a wonderful time since are getting -- being invented literally every day. You guys hear about the vaccine story for COVID-19 today. And so I think we're living in an extremely exciting time. And we are grateful for the investors' trust in CASI. Our team is doing a great job, and we're here to diligently execute our milestones to show to our shareholders that by investing in CASI, we may be able to do wonders. And thank you so much.
Operator
operatorLadies and gentlemen, this concludes today's conference call. Thank you for participating. You may now disconnect.
Wei-Wu He
executiveThank you.
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