Palatin Technologies, Inc. (0KF3) Earnings Call Transcript & Summary
July 27, 2020
Earnings Call Speaker Segments
Operator
operatorLadies and gentlemen, good morning, and welcome to the Palatin Technologies conference call to discuss the return of Vyleesi, Palatin's FDA-approved treatment for HSDD. As a reminder, this conference is being recorded. Before we begin our remarks, I would like to remind you that statements made by Palatin that are not historical facts may be forward-looking statements. These statements are based on assumptions that may or may not prove to be accurate, and actual results may differ materially from those anticipated due to a variety of risks and uncertainties discussed in the company's most recent filings with the Securities and Exchange Commission. Please consider such risks and uncertainties carefully in evaluating these forward-looking statements and Palatin's prospects. Now I'd like to turn the call over to today's host, Dr. Carl Spana, President and Chief Executive Officer of Palatin Technologies. Please go ahead, sir.
Carl Spana
executiveThank you. Good morning and welcome to the Palatin Technologies conference call. I'm Dr. Carl Spana, CEO and President of Palatin. With me on the call today is Steve Wills, Palatin's Executive Vice President, Chief Financial Officer and Chief Operating Officer. If we sound a little muffled, it is because we are wearing masks and we are social distanced in our conference room. So I apologize for that. But as we go forward, we'd like to sincerely hope that you and your families are safe and healthy as you deal with the life-altering changes brought about by the COVID-19 pandemic. Like many of you, there are members of the extended Palatin family that are working on the frontline selflessly taking care of patients. And to them, we are eternally grateful and applaud their dedication and pray for their safety. As you know, we announced earlier today that Palatin and AMAG have mutually agreed to terminate the North American Vyleesi licensing agreement. What this means is that Palatin has regained the North American rights to Vyleesi and all associated assets have now been transferred to Palatin. We are excited to have Vyleesi back. It's an opportunity to have an FDA-approved product with a good label that addresses an unmet medical need. Our objective today is to provide an overview of the primary details of the termination agreement and some of the initial next steps that we will be taking to demonstrate the value of Vyleesi that we believe will support its future relicensing. Today, Steve will provide details on the termination agreement, and I will focus my discussion on some of the near-term steps we will be taking with Vyleesi. Steve?
Steve Wills
executiveThank you, Carl, and good morning, everyone. Under the terms of the termination agreement, Palatin regained all North American development and commercialization rights for Vyleesi. AMAG will make a $12 million payment to Palatin at closing and a $4.3 million payment to Palatin on March 31, 2021. Palatin will assume all Vyleesi manufacturing agreements and AMAG will transfer all information, data and assets related exclusively to Vyleesi, including, not limited to significant existing inventory. AMAG will provide certain transitional services to Palatin for a period of time to ensure continued patient access to Vyleesi during the transition back to Palatin. Palatin will reimburse AMAG for the cost of the transition services during this time. And to be clear, there are no other monies owed AMAG. Carl?
Carl Spana
executiveThank you, Steve. To begin, let me remind you that Vyleesi was approved by the FDA in June 2019 and is the first and only on-demand treatment for premenopausal women with acquired hypoactive sexual desire disorder, a condition that affects 1 in 10 premenopausal women. Our immediate priority with Vyleesi is to build upon the initial launch activities with the objective of demonstrating its commercial value and, at a future point, relicensing Vyleesi to a committed partner. Unfortunately, the AMAG launch activities for Vyleesi were significantly scaled back within the first 60 days of the launch due to a change in strategic direction at AMAG, which was then followed by the highly disruptive COVID pandemic. As Steve mentioned, we have entered into a transitional services agreement with AMAG that covers all commercial and regulatory functions to ensure there will be no disruption to physicians' or patient access to Vyleesi. In preparation for the return of Vyleesi, we have assembled a core team of experts in the pharmaceutical commercial operations to assist with demonstrating the value of Vyleesi. This team will be expanded as needed. Key aspects of the Vyleesi launch were the use of telemedicine, social media and select digital advertising to patients and health care providers. Our due diligence and data review indicate these approaches were able to generate substantial interest in Vyleesi, and initial prescriptions quickly exceeded AMAG's base forecast. However, with the significant reduction of Vyleesi marketing activities by AMAG and the pandemic, current prescriptions have decreased by more than 50% per month. We have identified a number of readily addressable issues concerning Vyleesi distribution, patient and physician communications and patient access that have the potential to quickly improve the value of Vyleesi. Our initial efforts will be focused on correcting these issues while we work to implement our strategy and ongoing operational plan. Some of the basics of the strategy will be the following: we will use an informed and highly targeted approach and an important activity will be to continue to expand Vyleesi patient access and reimbursement coverage. We believe we can increase coverage to 65% to 70% of covered lives. Marketing activities will build on the early demonstrated success of telemedicine, social media and select digital advertising to patients and physicians. This will be coupled with a targeted advertising effort in regional areas supported by high Vyleesi prescribers. The overall goal is to demonstrate that there is a viable market for Vyleesi and a level of interest that will support its eventual relicensing to a partner focused on female health and committed to growing Vyleesi. As Steve said -- noted, Palatin will also be reassuming control of Vyleesi manufacturing. As a reminder, the Palatin manufacturing group was responsible for selecting Vyleesi's manufacturers, vendors in establishing the commercial manufacturing process of Vyleesi. So we are well positioned to supply Vyleesi to our current partners, Fosun Pharma and Kwangdong Pharmaceuticals. Control of manufacturing also puts us in a better position as we move to conclude additional partnerships. In conclusion, we are very excited by the tremendous opportunity that has been created by the reacquisition of Vyleesi. We understand the product and are looking forward to demonstrating the value we believe Vyleesi has as a treatment for the millions of premenopausal women suffering with hypoactive sexual desire disorder. We look forward to updating you as we continue to make progress. Thank you. We will now open the call for questions.
Operator
operator[Operator Instructions] Our first question comes from Joe Pantginis with H.C. Wainwright.
Joseph Pantginis
analystVery nice announcement to be able to take this asset cleanly forward. So thanks for the visibility here. First thing, when you have your decision tree now about where to take the drug next, obviously, you're talking about relicensing it. So I'm assuming that could go down multiple avenues, whether it's North America again or even beyond that North America and Europe. So number one, is that a safe assumption? And number two, as part of your decision tree, I guess does any part of your internal discussions involve potentially keeping the asset for North America?
Carl Spana
executiveJoe, this is Carl. Thanks for the question. Certainly, with regards to licensing the product, anything's -- everything's on the table. We're going to obviously be opportunistic and look for the best licensing partner that we can when it's appropriate for us to reenter into a licensing agreement for the product. With regards to would we keep the product, we don't have a clear answer on that. I think it really depends on what we can do with it. Does it make sense for Palatin where Palatin is in the future? I mean, I think right now, we're really going to be focused on correcting the -- there are a number of things that we can easily address that will make Vyleesi a much more valuable asset that AMAG did not have time to do because of the pullback. We want to get those things done, and we want to really show the responsiveness of this product to marketing activities. And at that juncture, we'll begin to make some additional decisions on which way we go. I don't know, Steve, if you want to add a few more comments to that.
Steve Wills
executiveYes. I mean I absolutely echo Carl's comments. And whether we put it in the press release or it was on our script, the -- everything is on the table. We're -- we now have the status where the product is back. So some of the preliminary discussions we've -- that have been taking place can be a lot more substantive as we advance. With our very limited commercial infrastructure, it was absolutely key and critical for us to come to a transitional services agreement with AMAG so that all the functionality is covered. Anything that was done last week when a woman wanted a script or an HCP wanted to reach out, those -- that functionality remains in place. So our strategy is to use an informed, creative and -- approach. As we go forward, we will be doing some marketing, what we call very targeted, very, very data-driven. There's -- a lot of good things happened during the launch, during the initial phase before things changed from a strategic standpoint with AMAG. So there's some excellent data out there that we're going to utilize for our marketing approach as we go forward with the plan to make Vyleesi much more of a performing asset and a valuable asset and something that Palatin could be interested in further or third parties. So we're very excited at this stage.
Joseph Pantginis
analystThat's really helpful. And my second and last question, if you don't mind is, I guess I would link my marketing question to everything you just disclosed to your comments with regard to also taking on existing inventory. So I guess where does the inventory and your commercialization plans sort of link up along the continuum? And what I mean by that is what is the depth of the current inventory? And how much of that inventory do you anticipate still to be part of the initial sampling periods?
Carl Spana
executiveI'm going to let the Chief Operating Officer handle that.
Steve Wills
executiveYes. I -- hopefully, you picked up in my inflection that the -- in addition to everything being transferred, a critical aspect is the existing inventory. We have existing inventory, an existing inventory being defined as the API, the various supplies, final drug product, final drug product already packaged, albeit with, you call it, sampling. We actually do some -- or AMAG did do some sampling, but for the most part, it was for the first dose with the patients. We have, frankly, enough for several years. There is a very significant amount. And when I say several years, that's on the high end there. Depending on how much we're able to increase the script and the usage, there is absolutely no concern with the inventory, the existing inventory. We don't have to do anything for 2, 3 years as we go forward.
Operator
operatorOur next question comes from Michael Higgins with Ladenburg Thalmann.
Michael Higgins
analystCongrats from me as well. I know you wanted this product back. It increases your optionality on partnering. If you could help us with a bit more on the formulary coverage for Vyleesi. You mentioned the target of 65%, 70% of covered lives. Can you give us a sense for where it's at now? Do you plan on hiring account managers? The people you're bringing over, are there people that you need to hire to continue that effort?
Carl Spana
executiveYes. They're halfway there. They have good formulary coverage. They have 2 major groups that we're already covering. And we actually have identified in our -- and have brought in actually a group that will help us deal with and expand that out. Typically, for these types of products, we should be in that 65% range. And then in addition to that, what we really want to make sure is that we are working with our specialty pharmas and other distributors to make sure that patients coming in that have coverage get all of their prior authorization and everything lined up so that we actually get paid for the scripts that are being done. And I'm going to pass it over to Steve. He may give you a little more color on that.
Steve Wills
executiveYes. Just to -- directly that we're moving very quickly immediately on this, as Carl stated, the -- 2 of the -- to a certain extent, the low-hanging fruit are expanding the formulary coverage. And we're going to be doing that quickly. We have a core team already in place. And from a commercial infrastructure, we can leverage some of the functionality that AMAG is going to provide to Palatin during the transitional services period. And these are something -- these are some items we can move very quickly. As Carl mentioned, the -- making sure the pre-authorizations are in place as you're moving forward with the script to make sure we're -- when you want to call it making money, it's more about the cash flow and making it more traditional from an infrastructure standpoint.
Michael Higgins
analystThat's helpful. And then just a follow-up to that. If you can give us some sense of the OpEx run rate in the back half of the year, launch you'll have with this product back in. And any help you can provide on that revenue guidance will be helpful as well.
Steve Wills
executiveYes. This is Steve, Michael. At this point, we're -- we just got it back. There are certain things that are still under confidentiality and certain things we want to spend a bit more time on. So we would anticipate, whether it's in August or September, having a follow-up call to give a lot more detail. Suffice to say, the initial launch numbers were actually above the AMAG's base forecast for the first few months before some strategic direction changes at AMAG. And they're less than 50% now. So there's definitely some work that needs to be done, but they decrease for very specific reasons. And those specific reasons we think are absolutely addressable in that we are going to be marketing the -- Vyleesi as we go forward and, again, a bit more select and targeted than going across national. And where we expect to give a lot more guidance, I'm not sure if we're going to go all the way to revenue guidance. I mean we're just getting it back, but we will be giving more comprehensive detail at our follow-up call, albeit in August or September.
Michael Higgins
analystThat's great. I look forward to that, and that's fair. I just want to know where your heads are at with that. The other question here, just on your comments of ongoing targeted data-driven marketing approaches. Can you give us any further details as to what those are? I believe you've got an HSDD awareness website. There's certainly a Vyleesi website. Are there targeted ads for certain websites that women are trafficking? Can you give us any information on those?
Carl Spana
executiveSure. I mean we will be doing some of that work. I mean that strategy is now being implemented. I mean there are certain things that we -- before we really get a little more aggressive with the targeted marketing, I think there are certain things that we would like to have in place, as we've been alluding to, such as making sure our specialty pharmacies are working well, that they're translating incoming scripts and referrals actually into product going back out the door. We're making sure that we've got our reimbursement extended and that we're making sure that we got our pre-authorization. So there are a number of basic things that we want to have in place so that when we begin to spend marketing dollars and we drive demand in, that those patients are happy and those physicians are happy, that they have all the information they need and the communications they need. And these are some of the things that we've identified as things that AMAG would have addressed had they kept the product but did not address. So -- and when we talk about targeted, there are a fair number of physicians that do write a decent number of scripts. We would be looking to build around in those geographic areas where we know that we have 1 or 2 high prescription writers that we can leverage off of our marketing campaign. So -- and we certainly will be looking again at distribution. Do we want to add more specialty pharmacies on? And do we need to add more telemedicine partners on as well? But these are some of the things that are -- we just got it back. It was a negotiation to do that. And Steve led that. He did a great job. So now that we are able to begin to focus on these things from an operating standpoint, a strategy standpoint, that's what we'll be doing.
Steve Wills
executiveYes. Just -- Michael, just to add that the -- a number of contracts were assigned to Palatin during this process. So we're going to be able to hit the ground running in a number of aspects, notwithstanding some of the functionality in the transitional services agreement. Some other agreements, we're actually in the process of negotiating. And then there's also some new agreements that we're advancing. And it's all about the -- following the data. There is some very rich data. Certain things were working well. Certain things were not working as well. So we're obviously going to target on the things that were working well and how to enhance it. And frankly, the things that weren't working as well, how we can mediate and correct those.
Michael Higgins
analystMakes sense. Can you give us a sense for the timing on some of the items you mentioned to get set before you begin to invest some marketing money? You talked about the spec pharmas. There are just those targeting RXs that are coming in to revenue out the door. When do you start to invest in the marketing spend? Was that more of a Q4 event?
Steve Wills
executiveNo. This is Steve. Some of the items are starting right now today at a lower -- let's just say, a lower level. Working with the SPs, making sure we have as good a relationship as we can. The current SPs -- this is all public. There's 2 specialty pharmacies that AMAG has utilized, BioPlus and Avella. So that relationship will continue. But there are some things that we think we can do in conjunction with those 2 pharmacies to make the experience with the patients and the HCPs better. The formulary adding that coverage, that's going to take a little time, but we're not going to slow up the marketing. So we would anticipate latter third quarter, say, within the next 30 to 60 days where we would be in a position where our somewhat evolving plan regarding that marketing approach will get some more data and some more specificity and granularity around it. So takeaway is some things are being done right now, but over the next 30, 60 days, a lot more; and then going into the fourth quarter, probably enhance it from there. And overriding on that, just continued discussions with potential third-party collaborators where, as Carl mentioned, I like the phrase, "Everything is on the table for discussion." And we're very excited. We think we have a valuable asset.
Michael Higgins
analystRight. I appreciate it. Just one last one here. Outside of bremelanotide in -- on PL-8177, are the plans still to start in Q4, the Phase II in 176 patients?
Carl Spana
executiveMichael, I just want to be clear. Yes, we're in the process now of manufacturing doses and finalizing our protocol. So those are -- that's our plan. Obviously, this is a difficult time, assuming that our manufacturers and everybody meets their time line. I also want to be clear, we are looking for additional support for that program. And we'll be making final decisions a little bit later. There are -- as I said, this -- I think in our -- as you see on our updated website, which should be updated shortly, if it isn't already updated, we want to be very clear. The pandemic and treatment options, vaccines, everything is moving so fast. Clinical trial sites, the way these patients are being treated, new therapeutics coming in. So we will be -- we're moving forward as quickly as we can. And we're looking to make sure that we gather as much third-party assets as we can to help us identify clinical trial sites, get us into the right clinical trial sites. So the answer to your question is yes, but with the caveats that we are looking for third-party support to help move forward. And it's a fluid situation. We're going to be -- as Steve likes to say, we're always data-driven. If the data makes a substantial change, then we'll have to adjust. But now our plan is to continue to move forward, and we are manufacturing doses right now. And we will assume that the manufacturers will meet their time lines.
Operator
operatorAt this time, we have no further questions. So I'll turn it back to Dr. Spana for closing comments.
Carl Spana
executiveOkay. Well, I'd like to thank everyone that participated on the call and the insightful questions that help us to add more transparency to what we're doing. As Steve has said and I'll reiterate, this is an exciting time. This is a good product with a good label. We know from the initial data that many women that have tried this product like it. We have our work cut out for us. And as Steve has said, we will be focusing on that immediately with the return of all the assets that we've got. So we'd like to thank you, and we look forward to updating you when we have our next call. So have a great day. Please be safe. Social distance and masks work. And wash your hands and don't touch your face. Anyway, have a great day. Talk to you soon.
Steve Wills
executiveThank you. Take care, everyone.
Operator
operatorThank you. Ladies and gentlemen, this concludes the Palatin Technologies conference call. You may disconnect your phone lines, and thank you for joining us this morning.
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