Xbrane Biopharma AB (publ) (XBRANE) Earnings Call Transcript & Summary
July 25, 2023
Earnings Call Speaker Segments
Martin Åmark
executiveThank you, and hello, everybody. My name is Martin, I'm the CEO of Xbrane and thanks for calling in. We wanted to hold this phone conference for investors since we came out with the press release this morning that the license agreement with Bausch + Lomb regarding commercialization of our Lucentis Biosimilar in North America has been terminated. So I wanted to provide a little bit of an overview of the way we see the opportunity for Lucentis Biosimilar in the U.S., an update on the regulatory process and also how we tend to approach the commercialization now when we do no longer have Bausch + Lomb as a partner. And then, of course, I wanted to offer an opportunity for all of you to ask any potential questions that you have. So I'll go through a brief presentation, and then we will be opening up for questions both on audio and then also on the chat. So the license agreement with Bausch + Lomb had been terminated, it was signed in May 2020 as you might recall, and the background to the recent termination is that Bausch + Lomb had a new CEO coming in, in March, and there's been a strategic shift really and refocus of the priorities and a shift away from biosimilars. And this led to Bausch + Lomb communicating to us and our co-development partners started their intention to terminate the agreement, which they had a right to according to the agreement in December 2023, but we then decided it's been started to accelerate the termination because we believe it's now crucial, given that we are less than 12 months away from expected approval and the potential launch of the product to identify another commercialization partner as quickly as possible in order for them and us jointly to be able to do the appropriate preparations for launch. So what this termination does means is that the license for the product for North America is handed back from Bausch + Lomb to Xbrane and STADA and it's then jointly owned 50-50 by Xbrane and STADA and also the intended trademark in the U.S., it's headed back to Xbrane and STADA. It was an upfront payment made when we entered into this agreement in May 2020, which is nonrefundable, but the intended further milestones which we view on FDA approval and the launch are not going to be paid. What this also means is that Xbrane and STADA will resume responsibility over the patent as process, which is essentially a structured process in the U.S. to resolve any potential issues around IP with the originator of the product, which we are developing a biosimilar too. And I should say also that we don't expect that this will have any material impact on the actual regulatory process for the FDA, Xbrane is the applicant for the marketing authorization, and we had regular spot from Bausch + Lomb, but we believe that with the continued support from STADA with our own regulatory team and the consultants we're working with, we're going to be able to navigate through the regulatory process without any delays. And what it also means now is that we are initiating a process to identify a new commercialization partner for North America, and that is still our joint ambition and a primary goal. And it's a process which now is being initiated, and we have the ambition to compute it during the course of this year. And then a little on the timeline from a development perspective here. As you probably recall, we submitted the BLA to FDA in April this year, it was validated and filed by the FDA in June, and we now have a decision date of the first of April 2024. That is when FDA then intends to make a decision on potentially granting an approval for the product in the U.S. And we, as I said, see no delays to this process due to the termination of the license agreement with Bausch + Lomb. In parallel, we're working on scale up on the drug substance side in order to further be able to drive down production costs and increase capacity. And we also are developing a pre-filled syringe, which we intend to bring to market beginning of 2025. So that will come alongside the vial, which we currently are seeking approval for in the U.S. And taking a look at the most recent development in the market for anti-VEGF for retinal disorders, you can see on the left-hand side here, quarterly combined sales of the anti-VEGF approved for the different retinal indications. And it's about USD 8 billion market yearly all in all. You can see here that the recently launched product by Roche, Vabysmo is gaining share in the market. And you can also see that we'll come to this later as well that the biosimilars to Lucentis or having a rather slow uptick, I would be saying, is combined sales of $14.4 million first quarter 2023. And looking at Lucentis specifically, it's about $200 million Q1 2023, so in about $800 million annual market if we directly talk about the reference product. Then looking at this from a volume perspective on the right-hand side, and this annual figures 2022, we have about 7 million units being sold in the U.S. And here, you can see also the off-label usage of Avastin, which constitutes close to close to 40% of the total volumes. So really, the way we view it is that the total addressable market for our Lucentis biosimilar is really an $8 billion market and 7 million units, and we believe apart from taking share directly from the reference product Lucentis, there's an apparent opportunity, particularly in shifting volumes from off-label Avastin to Lucentis biosimilars. Generally speaking, provided the pricing is right and an opportunity we, for sure, are going to exploit. And this is the latest specifically looking only at ranibizumab units originated versus the 2 biosimilars store. On the left-hand side, you can see that in Q1 2023, the biosimilars had an 8% volume market share versus the originator. So it's a rather slow uptick so far in the market also if you compare to biosimilar launches in other therapeutical areas. And we can see from a pricing perspective on the right-hand side that if you were to compare now with Lucentis pricing or average sales price prior to biosimilar launch, which was close to $1,300. Currently if you were to calculate average biosimilar selling price is about $1,173, about a 10% discount versus prelaunch of biosimilar Lucentis pricing. But the average sale price of biosimilar is not fully established it, so we need to give it another quarter or two for that to be established and see the full picture. We can see though that BOE is priced at about 22% below Lucentis pricing pre launch of BOEs. So that's what we can see from a pricing perspective. And I think this is interesting also, and this is from a recent survey done by Cardinal Health with 64 ophthalmologists in the U.S. to really track their familiarity and perspectives on biosimilars now when the first price similar to Lucentis are being launched. I think what we can see from these two graphs on the left-hand side is that ophthalmologists on average are less familiar with biosimilars then in the main other therapeutical areas where biosimilars have been launched. And I think what's happening now is that we're seeing the, comparatively speaking as a slow uptick of biosimilars due to and non-familiarity with biosimilars in ophthalmology community. And there is a need and an ongoing process of education about what biosimilars are, the clinical trials that underpin the approval by the FDA, and why ophthalmologists is to feel comfortable in prescribing and using the biosimilars given the robust clinical and also analytical comparative data. But this is an educational process, which will take some time. And I think this is the reason why the uptake is now being a little bit slower than maybe anticipated. But I do think also given that we were coming a few quarters after the first biosimilar was launched in the U.S. I think this is a good thing for prime and our price candidate since the market is not fully formed yet, and we can take part of the formation process provided that we get an approval and come to market second quarter of next year. I think emerging on the right-hand side here in the survey is that still a given the comparative is speaking rather low level of familiarity, 64% of ophthalmologists are likely to use biosimilars in their practice which I think is a high number and so give confidence in that eventually biosimilars to Lucentis will pick up and take significant share of ours the originated product. I think this question also provides a great insight, which is really as game to which extent the ophthalmologist agree to the statement that availability of Lucentis for Eylea biosimilars will shift utilization away from off-label, obviously, if price discounts are significant enough. And a significant portion of the ophthalmologist agree with that statement. So I believe there is a really meaningful opportunity to -- for Lucentis Biosimilars to take market share from, hopefully, Avastin which is about 2.6 million annual units. It's a huge part of the market, close to 4% of the market, as we saw in the previous slide. So this -- I think this is very interesting. But again, of course, what price discount that are significant enough remains to be proven. But I think that there is an opportunity also for us and for our biosimilar candidate because I'm confident with the ongoing scale-up, we've gone through on the drug substance side that we will have the most competitive production cost and also the best capacity in the industry. So I think we're going to be the provider that to the best extent I believe can benefit from this shift from, off-label Avastin to Lucentis Biosimilars. And some brief perspectives on what we're seeing in the U.S. market for anti-VEGFs for retinal disorders is to summarize a little bit the way we view now the opportunity for our Lucentis Biosimilar North America. It's a sizable market, as we've talked about, in total, $8 billion, only looking at Lucentis, about $800 million. I think still comparatively speaking, is limited by a similar competition to biosimilars approved and launched so far, and we expect will be the third and that there will be no more than three biosimilars to centers in the market in the U.S. Slow uptake so far, the biosimilar market is not fully formed yet. Hence, there is an opportunity for us to take part of the important information process despite us being a little bit late into the market. And I think that we have a particularly strong opportunity in the off-label Avastin portion of the market, given our competitive production cost and the capacity which will allow flexibility on the pricing and for the commercialization partner that we entered into agreement with and then also having the right capacity to be able to these opportunities, of course, also important, which we will have after we come through the drug substance scaleup process. And I believe now it's a meaningful opportunity for us without licensing process. Of course, as I said initially, the upfront paid by Bausch + Lomb is nonrefundable. And now we have an opportunity to since the program now is more advanced, we will come further into the development process, we have submitted the BLA, and we're going through the approval process. I think we have an opportunity to get a better deal essentially speaking compared to what we have in Bausch + Lomb. We have an opportunity for an additional potential upfront payment and milestones upon FDA approval. And I have the hopes that we can get a better deal with regards to the profit share we ultimately end up with getting in the U.S. compared to the agreement with Bausch + Lomb. That's really the priority for us right now together with startup to go through a process of finding a suitable commercialization partner. Of course, we now have been looking back at the material from the recharges we did when we entered a deal with Bausch + Lomb, but of course, we are now reaching out to companies we had a dialogue with at that point in time. And we have the ambition to close the deal during the course of this year and then, of course, get back to all of you with use of that. So that's the brief presentation. And with that, I want to open up for potential questions. So first, let's see if there are any questions from people calling in, and then we'll go to the chat.
Operator
operator[Operator Instructions] The next question comes from Sebastiaan van der Schoot from Van Lanschot Kempen.
Sebastiaan van der Schoot
analystFor the first one, in the press release, you mentioned that commercialization in the U.S. by yourself and STADA is an option. Is that really feasible? Or is the preference going for a partner? Has STADA already have that experience with launching in the U.S.? And then I was also wondering how much you factored in the Ximluci launch in the U.S. towards your guidance on being cash flow positive in 2024? And then I also have a follow-up question.
Martin Åmark
executiveSure. So the first one, our priority is to find a new commercialization partner. In parallel, we've gone through that process. We're also evaluating how it could look like with us commercializing ourselves or expert together with STADA. And STADA they do not have currently infrastructure to sell the market biosimilars in the U.S., but there are companies which can provide, let's say, sales forces as a service and so on. So there could be cost-efficient ways of getting the process initiated in the U.S. But it's a process now of evaluating that alongside trying to find a suitable commercialization partner priority for sure is to find a partner. And then the second question, so sales or proceeds from the U.S. are included in our earlier communicated an ambition to get to income generated from stimulus of USD 100 million in Europe definitely. I do believe that we can get to cash flow positive state without sales from U.S. and that was also what we planned and intended since and approval will come Q2 next year. And effectively, there will be no material sales since approval is expected in April. So that reaching cost of cash for Q2 next year is expected to be realized without sales from the U.S. and only reliant on income coming from Ximluci in Europe and also income from other programs, mainly Ximluci by similar candidate.
Sebastiaan van der Schoot
analystOkay. Got it. And then can you maybe provide some insight on how the launch in Europe has been going by STADA and how many countries is Ximluci now available and can you maybe discuss a little bit on how the scaling up is now ongoing.
Martin Åmark
executiveYes, when it comes to sales progress in Europe, we'll get back to that in connection with the release of our Q2 report, which is due 29th of August, and we'll have a webcast in connection with that. When it comes to the process for scaling up drug substance, it's going according to plan, and we intend to get regulatory approval for the larger scale mid next year and then being able to supply to the market from that larger scale.
Operator
operatorThe next question comes from Dan Akschuti from Pareto Securities.
Dan Akschuti
analystHello, Martin, and thank you for taking my questions. And also thank you for giving a bit of a market update. Just one question considering that this came quite as a surprise because you mentioned to us when approximately Bausch + Lomb kind of mentioned that they would terminate the agreement this year?
Martin Åmark
executiveSure. It was a reason, so it all went very fast now, so just two weeks back or so, and then it went very fast, everything with us kind of wanting to expedite this termination in order to be able to quickly find a new partner.
Dan Akschuti
analystThank you and this is the commercialization by yourself with study in the U.S. an option? Or is that not on the table at all?
Martin Åmark
executiveIt is an option. But frankly speaking, we need to take some time to evaluate this further and further understand how that would look like from kind of an organizational development perspective and what kind of an investment we have to go into such an approach. So we're evaluating that alongside with trying to identify and find and tie up another commercialization partner. So it's something we're evaluating but priority is to find another commercialization partner.
Dan Akschuti
analystOkay. Thank you. And just to take the opportunity to ask on your supply chain, is everything impact there and also development of the prefilled syringe. Do you still expect that to be completed next year?
Martin Åmark
executiveYes. We expect that the previous range can be launched the first quarter of 2025, both in Europe and the U.S. So that's still a planning.
Dan Akschuti
analystOkay. Thank you very much.
Operator
operatorThere are no more questions at this time. So I hand the conference back to the speakers for any written questions.
Martin Åmark
executiveThank you. So I have a couple of questions here in the chat. So let me walk them through, I'll read them up and then do my best to try to answer to them. First one. How likely do you think it is that a new partner has been found for simulation for the U.S. market before the marketing monetization has been granted? I think it's likely. I think it's very likely that we are going to be able to tie another paper up towards the end of the year. We're going to run an excited process. We've already have a list of, let's say, the 10, 15 compounds which could be relevant here. And many of them, we had a dialogue with by the time we entered a deal with Bausch + Lomb and I think that potential commercialization parts will also understand the need to move quickly here because they will also need to prepare properly to take advantage of this opportunity. So I'm confident we're going to be able to close something during the course of this year. Next question. Are negotiations already underway with new parker candidates for the U.S. market? No, negotiations are not underway at this point in time. Next question. Will Xbrane be able to generate positive operating cash flow in 2024? Yes, we discussed that previously, that is the planning and reliant on sales of Ximluci in Europe and also other sources of income. Next question. What are the consequences of terminating the agreement? Will the laws in the U.S. now be delayed? Well, provided that we find another commercialization partner during the course of this year, I do not think that the launch will be delayed. But of course, it's contingent upon that. Next question. Do you expect to delay U.S. launch according to the time needed for preparation when at [indiscernible] partner in order to launch on time. I think that's towards the end of the year. If we sign up a partner towards the end of the year, I think still we're going to be able to keep the planning with regards to timing of a potential launch. How many potential new partners have you identified? Well, as I said, we have now a list of 10, 15 potential partners, which many of them we had a dialogue with in 2019 and 2020 when we did a deal with Bausch + Lomb. Next question. Has STADA no interest in the U.S. market? If not, how come? Well STADA have interest in the U.S. market like we do. So they believe that it's a very good opportunity to generate income from elusive, but they do not have their own sales and marketing infrastructure setup in the U.S. So they do not have a natural infrastructure to source this product to. Next question. Does STADA have a U.S. partner that may be a natural candidate for partnership? Well, I would say STADA have many connections and relationships, which, of course, they will bring to here in process. I don't think that we currently have partnership in the U.S., which could be leveraged for this product. But again, there are many relationships and know most of the companies that are relevant in the U.S. And of course, those relationships will be leveraged. Next question. How much do you count to -- in monetary terms to get to market in North America? I think that this question relates to the investment we need to do in terms of commercializing the product. Well, as I said, the priority is to find a partner. And then the partner would take that investment into commercialization infrastructure, and I mean the idea is to find a partner who already has that set up so they can slot this product into an existing infrastructure. rather than opposite, we are expecting income from this opportunity in terms of out-licensing the rights for North America, getting it upfront payment and also milestones on approval. So that's the intention here and what we try to accomplish. Next question. You have mentioned supply is some sort of bottleneck where -- while sales are accelerating. Have you already manufactured Ximluci that can be used in the U.S.? Or can everything manufacture plan to be manufactured already be sold in Europe? We are producing during the fall batches, which are going to be earmarked to dedicated to a U.S. launch. So that is built into the planning. Next question. How much involved was Bausch + Lomb with the regulatory process ahead of the submission approval? Yes. So we worked intimately with Bausch + Lomb. The regulatory team reviewed the whole BLA and provided their feedback. And of course, the idea was for Bausch + Lomb to be involved in responding to questions coming from the FDA. But so with STADA the regulatory team of STADA, I don't think that the termination of Bausch + Lomb will materially affect the regulatory process. And I think we're well set up to handle that by ourselves and together with STADA. Next question. One of the competitors to experience former [indiscernible] in Germany and they have decided to develop a biosimilar for both Lucentis and Eylea. Both are competing of the ophthalmological products. Do you see any rationale in this decision and have You and Xbrane at any time considered to do the same? No. We at Xbrane didn't have, let's say, the capacity at the time when we will have to have started the development for biosimilar to Eylea. So that, I think, was the main reason for us not going in that direction. Now there is a certain cannibalization effect between the two products, but I wouldn't be so concerned about that. And if I think as a biosimilar developer. And effectively, you can see in our oncology portfolio, we're developing both a biosimilar type to [indiscernible], although they have quite some overlap when it comes to the indications they are approved for and use in treatment of. But for us, it was mainly due to not having the capacity at a time where we will have to have started such a development. Would it be feasible to commercialize Ximluci on your own, or would it require a too large sales force? Well, as I've said, it's something that we're evaluating alongside with the process of finding another commercialization partner. Feasible, I think, yes, based on what I know. But of course, it would come at an initial investment in terms of setting up a team in the U.S. On market access from , but then also sales force. I don't think necessarily speaking, the sales force will have to have -- will have to be so large. But then, then again, good sales persons in the U.S. are quite costly. So still it will be a material investment in taking such an approach, of course. It will come at the benefit of taking the full profit ourselves. Okay. Next question. Will you launch in the U.S. without any partner? I think this is a question we've discussed and something we'll get back to. Should it be so that we're not successful in finding commercialization partner. Does your target of $100 million in annual income function is a three year post launch still stand? Yes, it stands, but it includes the use of opportunity. So getting there is required for us to get approval in the U.S. and also have the product launch in the U.S. Next question. Can it be so that biosimilars in the U.S. are having other legal problems than in Europe for propositions. Are there larger risks regarding adverse events? And I would say that there are, of course, another, let's say, legal environment in the U.S., where there's an opportunity for patients to take legal actions versus physicians in court and if there are any adverse events in the treatment and outlook and then also versus the drug manufacturers, of course, it's certain environment. But I think that if the products are approved by the FDA, they are -- they've really gone through the very strict process of getting a regulatory approval and ophthalmologists to be comfortable with using those products without higher risks of adverse events compared to the originated product. So I would be thinking that this is not a material driver for ophthalmologists in considering using biosimilars or not. Next question. If all doses manufactured are sold in Europe instead of U.S., how much will this generate in cash flow compared to that these would have sold in the U.S. assuming that manufacturing is some sort of bottleneck. Can you comment on this? Well, it's hard to give a precise answer on that one. It's true, as you also saw in this presentation that average sales price of biosimilars in the U.S. are higher than in Europe. Currently, Lucentis biosimilar something sold at about $1,000 and you know that the originator in Europe is priced at about EUR 600. So it's quite some difference there. But then again, to answer this question, we'll have to have sorted out how economical terms would look like with the commercialization partner, and therefore, what our part of the profits will be, and therefore, if we would have higher profits on a unit basis in the U.S. than in Europe. Next question. Did you have other interested partners when you struck a deal with Bausch + Lomb? Yes, we had. So that's the list we're going back to now. Next question. How confident are you on signing a deal? And do you think terms would be worse than the one side with Bausch + Lomb three years ago, given that you, now without market and opportunity, is shrinking due to the success of Vabysmo, which wasn't the base case when the deal was signed? Well, our ambition is actually to do a better deal now than what we did with Bausch + Lomb since the development is further advanced, it's closer to market. And actually, as I alluded to in the presentation, I'm not so concerned of that the product is coming for to market from a biosimilar perspective, since the market is still going through the formation process, and the uptake is lower than anticipated. I'm very encouraged by the meaningful opportunity when it comes to off levels in volumes. Next question. Have you already had interest from any potential partners? Or is it too soon? It's a little bit too soon to say again. And we have a list of partners we believe could be interested. So we'll have to then get back during the course of the remainder of this year with an update when we've been able to do a deal. Next question. Given capacity constraints on your own volumes, how difference will this make to your revenue expectations for 2024, can more volume go to Europe instead? Of course, we're going to have to make the trade-offs of sourcing volumes to Europe versus the U.S., but it's still to early, say, how this can impact the revenue expectations for 2024. We need to give it a year and let us go through this outlasting process, and then we can answer this question more precisely. Next question. Does this affect your thinking of paying convertible shares or cash? Not right now, but of course, can have going forward, dependent again, on our success in this out-licensing process since, of course, getting to cash flow positive stage, we believe we're going to do without sales on the use in Q2, but then, of course, is the magnitude of the cash flow generated, which also contact decision on amortizing the convertible in shares of cash. Next question. When will scale up production be finished? Essentially during the course of this year in terms of the validation campaign. Next question. Are there any negotiations ongoing on the oncology franchise? Can you provide some guidance on when we can expect more news flow on this topic or on Cimzia Biosimilar? Yes, on the oncology pipeline, yes, we are in discussions with few interest process. And again, we've been guiding that we have the intentions and ambitions to close the during the course of this year, and that's still the ambition. It's also a topic we'll have to get back to news flow on Cimzia biosimilar. Here, we are going through a process of scale and production of finical material. I think we'll be able to guide a little bit more on that one in our core in relation to the Q2 report. Next question. How much can Xbrane impact the new partner for the U.S. market? Or is it solely start of the decision? Here, this is a joint decision essentially so it will be both of us, but I think most of the times are aligned and driven by the same interest, so to say, to make the best out of the opportunity for us. Next question. You mentioned that this was a mutual agreement between the parties, what potential upside do you see for Xbrane? The upside I see for us is if we can find a partner with better deal terms. And I mean, Bausch + Lomb was a good partner for us in terms of their focus in ophthalmology, but if they're not prioritized in this specific product, it's not any lower good partner. So the opportunity, of course, is to find a partner with good economical terms. So we hopefully can get a bigger portion of the profits generated in the U.S. and also a partner who really are going to focus on this product we say marketing perspective. Next question. Do you know why Bausch + Lomb do not focus on biosimilars, why they changing their plan? I don't have that insight specifically. It was a shift, as I said initially in the call based on a new CEO coming in, in March this year. Next question. Will the sale of the [indiscernible] franchise, be needed to reach cash flow positivity in Q2 2024? Well, yes, it's needed for us to do a deal with at least the most advanced product of Country pipeline, that is to say the divisible candidate and primarily in order to be able to either we had a license payments or some at a structured share part of the development cost associated with that program. Next question. Will Xbrane have Capital Markets Day in the near future? Yes, this last year, it was highly appreciated. Thanks for that comment, something also I ask that we can get back to in our Q2 call towards the end of August. Okay. So that was all the questions that came in via the chat. So with that said, I think we'll come to the end of this call. I try to do my best to respond to questions. But if something was unclear or if you have further questions, don't hesitate to reach out via e-mail or via phone, and we'll do our best to respond to your questions. And thanks a lot to all of you for calling in on such short notice and also given summer time and vacation period. So thank you very much.
Read the full transcript via the API
You're viewing the first half of this call. Get the complete Xbrane Biopharma AB (publ) transcript — plus 252,000+ transcripts from 12,000+ companies, speaker segments, AI summaries and full-text search — through the EarningsCalls.dev API.
Get the API View API docs →This call discussed
For developers and AI pipelines
Programmatic access to Xbrane Biopharma AB (publ) earnings transcripts and 252,000+ others is available through the
EarningsCalls.dev REST API. Plans from $24.99/month — full transcripts, speaker segments,
full-text search, and the recently-added /api/v1/transcripts/recent polling endpoint for ETL pipelines.