NASDAQ:INMB INmune Bio Q3 2023 Earnings Report $7.76 +0.17 (+2.24%) Closing price 05/2/2025 04:00 PM EasternExtended Trading$7.76 0.00 (0.00%) As of 05/2/2025 04:05 PM Eastern Extended trading is trading that happens on electronic markets outside of regular trading hours. This is a fair market value extended hours price provided by Polygon.io. Learn more. Earnings HistoryForecast INmune Bio EPS ResultsActual EPS-$0.48Consensus EPS N/ABeat/MissN/AOne Year Ago EPSN/AINmune Bio Revenue ResultsActual Revenue$0.04 millionExpected RevenueN/ABeat/MissN/AYoY Revenue GrowthN/AINmune Bio Announcement DetailsQuarterQ3 2023Date11/1/2023TimeN/AConference Call DateWednesday, November 1, 2023Conference Call Time4:30PM ETUpcoming EarningsINmune Bio's Q1 2025 earnings is scheduled for Thursday, May 8, 2025, with a conference call scheduled at 4:30 PM ET. Check back for transcripts, audio, and key financial metrics as they become available.Q1 2025 Earnings ReportConference Call ResourcesConference Call AudioConference Call TranscriptPress Release (8-K)Quarterly Report (10-Q)Earnings HistoryCompany ProfilePowered by INmune Bio Q3 2023 Earnings Call TranscriptProvided by QuartrNovember 1, 2023 ShareLink copied to clipboard.There are 7 speakers on the call. Operator00:00:00Greetings, and welcome to the Immune Bio Third Quarter 2023 Earnings Call. At this time, all participants are in a listen only mode. A question and answer session will follow the formal presentation. As a reminder, this conference is being recorded. A transcript will follow within 24 hours of this conference call. Operator00:00:31At this time, it is my pleasure to introduce Mr. David Mas, CFO of Immune Bio. David, the floor is yours. Speaker 100:00:39Thank you, Claudia, and good afternoon, everybody. We thank you for joining us for the for Immune Bio's Q3 2023 financial results. With me on the call is Doctor. R. J. Speaker 100:00:50Tessie, CEO of Immune Bio and Doctor. Mark Liddell, Chief Scientific Officer of Immune Bio, we'll provide an update on IncBune, our memory like natural killer cell oncology platform. Before we begin, I remind everyone that except for statements of historical fact, the statements made by management and responses to questions on this conference call are forward looking statements under the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. These statements involve risks and uncertainties that can cause actual results to differ materially from those in such forward looking statements. Please see the forward looking statements disclaimer on the company's earnings press release as well as risk factors in the company's SEC filings, including our most recent quarterly filings with the SEC. Speaker 100:01:37There is no assurance of any specific outcome. Undue reliance should not be placed on forward looking statements, which speak only as of the date they are made as the facts and circumstances underlying these forward looking statements may except as required by law, Immune Bio disclaims any obligations to update these forward looking statements to reflect future information, events or circumstances. With that behind us, now I'd like to turn the call over to Doctor. R. J. Speaker 100:02:04Tessie, CEO of Inmubio. R. J? Speaker 200:02:08Thank you, David, and thank you, everyone, for joining the call. As usual, I will arrange my remarks to highlight the key takeaways for the Q3 and the subsequent period and include updates on our platform programs. I will start by reviewing our developments of Expro before passing it over to Mark Waddell, who will provide an update on Incmune and then David Moss will conclude with a discussion of our financial results and provide an update on upcoming and new milestones, then we move to Q and A. During the Q3, our primary focus remained enrollment of patients in the 8,002. Our blinded randomized Phase 2 trial in patients with early Alzheimer's disease with inflammation and we focus on increasing our geographic footprint of that trial. Speaker 200:03:02We had notable success on both fronts. The MHRA, the U. K. Equivalent of the FDA, approved our clinical trial application in August. 5 of the 6 sites in the U. Speaker 200:03:14K. Are already screening and enrolling patients into 8,002. The U. K. Is an ideal jurisdiction to expand our Alzheimer's disease trial, given it possesses one of the highest rates of Alzheimer's disease in the Western world, coupled with Recognition Health, our lead vendor in the U. Speaker 200:03:40K, has 5 memory centers with a large Rolodex of clinical trial ready patients. This provides a ready pool of patients to screen for participation in the trial. Rekognition Health has a history of enrolling a large number of patients and are incentivized to find the right patients to enroll in our program. Australia, where the trial is furthest advanced, continue to see patients who have completed the 6 month blinded trial opts in to the Phase 2 open label extension program. We have also submitted regulatory dossiers to additional countries we remain on track with the FDA to meet the conditions necessary to lift the clinical hold. Speaker 200:04:35We believe the hold will be lifted before the end of the year. There are 2 main themes from the just completed CTAD or Clinical trials Alzheimer's disease meeting in Boston, earlier treatment and better treatments. As you can imagine, we heard a lot about the anti amyloid little new was presented and no matter how they cut the data, there is no change in safety or efficacy of the various anti amyloid products. Unsurprisingly, a meta analysis demonstrated all three drugs aducanumab, lukanumab and donamimab performed the same. This is shaping up to be an interesting marketing battle debating features, Not benefits. Speaker 200:05:23In my opinion, the desire for earlier treatments is driven by the frustrating results from anti amyloid monotherapy, that is if the results of anti amyloid drugs were better, there may be less talk about earlier treatment. Both of these themes, the limit efficacy of anti amyloid drugs in the early treatment, play to EXPAREL's strengths. The universe of therapies for Alzheimer's disease is expanding, targeting neuroinflammation is high on everyone's list. Doctor. Howard Fillett, the Chief Scientific Officer of the Alzheimer's Drug Discovery Foundation, highlighted the role of inflammation in aging and cognitive decline. Speaker 200:06:12In a recent Fierce Biotech interviewed, Doctor. Philip Points out that at autopsy, beta amyloid is present in the brains of many elderly individuals that have died with normal cognitive function. Only those and this is the key point, only those with both amyloid and inflammation have dementia. In other words, the immune response to his comments highlights our long standing position. Without inflammation, there is no cognitive decline in patients with amyloid pathology. Speaker 200:06:59Combination therapy with the anti amyloid drugs was much discussed at CTAD, but no data was presented. Once again, the desire for combination therapy reflects a re frustration with the current results. Combination therapies must improve safety or efficacy, ideally both, because the major safety problem with anti amyloid class of drugs is neuroinflammation, we believe EXPAREL plays a role in combination therapy, Immune Bio has initiated preclinical studies testing combination therapy In animal models, I emphasize the combination therapy is preclinical and in no way dilutes our focus on the Phase 2 trial currently enrolling patients. The discussion on early diagnosis focused on blood tests aiming to produce a simple, accurate, cost effective triage system. Our view is simple. Speaker 200:08:07Cognitive decline is predicted by biomarkers of neuroinflammation and neurodegeneration. Blood amyloid is a biomarker of disease, the disease of Alzheimer's disease. Staging, by staging, I mean the severity of the disease requires a different set of biomarkers. In my opinion and many of those at the meeting, the most promising duo is GFAP, was glial fibrillary acidic protein, a biomarker of astrocyte activation and phospho tau-two seventeen, a biomarker of neurodegeneration, are promising. Although we do not use GFAB or PTAU-two seventeen as screening biomarkers for enrollment in the Phase 1 trial, they were measured as part of the biomarker response package. Speaker 200:09:01Both biomarkers decreased in patients after treatment with EXPAREL. We hope to show that this decrease correlates with clinical response in the Phase II trial, we are persistent in our belief that cognitive decline is the sum of synaptic dysfunction and nerve cell death. Phospho tau is an excellent measure of neurodegeneration or nerve cell death in patients with Alzheimer's disease. Measuring synaptic function is more complicated. A small group of Alzheimer's patients used a self administered EEG using the novel system from Cumulus Neuroscience. Speaker 200:09:41The study confirmed in the small number of patients the feasibility of collecting high quality EEG signals at home. The patients liked it And there was evidence of benefit as demonstrated by acute and chronic changes in the P300 amplitude on EEG after treatment with EXPAREL. While the group is small and the data are early, we believe this work is further evidence of activity with cognitive function and pharmacodynamic responses to DNTNF. This type of home testing may be a key element to CNS drug development in the future. 2 other applications of the DNTNF family of drugs are worth mentioning. Speaker 200:10:33New data using MBO-three to treat cancer will be presented at the 38th Annual Society of Immunotherapy Meeting in San Diego later this week. MBO-three has been shown to be an innate immune checkpoint inhibitor that down regulates SERP alpha. SERP alpha, that is SIRP alpha, is signal regulatory protein ALKS, ADCT, which is antibody dependent cellular phagocytosis, a key but often ignored effector of anticancer antibody therapy. Recent data from the the MD program confirms the potency of the 10 kilodalton pSAR, dNTNF in mouse models of the disease. As a reminder, the pSAR DNTNF compounds are the sons of VEXPRO with similar biologic activity that allows ImmuneBio to expand applications we have a number of questions for the DNTNF class of compounds beyond CNS. Speaker 200:11:36The goal of the MBO-three cancer program and the DMD program is to out license these promising drugs. Some of you are wondering how a single drug, dominant negative TNF inhibitors, can be useful in the treatment of cancer and the treatment of Alzheimer's disease. Macrophage function is the glue that holds this story together. Microglia are tissue based macrophages of the brain, TAMs or tumor activated macrophages are tissue based macrophages in the TME of cancer. In disease, chronic inflammation, shall we say, stuns the macrophages into not working. Speaker 200:12:16In the brain, chronic neuroinflammation causes the microglia to become a dysfunctional phenotype that produces destructive cytokine, does not nephagocytize cellular and myelin debris and does not prune synapses appropriately. This results in nerve cell loss, demyelination and synaptic dysfunction, the hallmarks of neurodegenerative disease, including Alzheimer's. DNTNF converts the destructive microglia phenotype into a reparative cell type that promotes nerve cell survival, remyelination and synaptic plastivity. The remodeling and repair we've seen in the brains of patients with Alzheimer's disease treated with EXPAREL reflect the normalization of microchaleal function caused by EXPAREL. In cancer, soluble TNF produced by tumor cells causes expression of MUC4, SIRPalpha and other immunosuppressive cytokines that polarize TAMs to an immunosuppressive phenotype that promotes and protects tumor growth and metastasis. Speaker 200:13:25These elements also promote resistance to immunotherapy. EXPAREL neutralizes soluble TNF resulting in M2 macrophages that do not express SIRPalpha kill tumor cells promote ADCP. On the tumor, Xpro down regulates MUXFOR to expose the tumor to immune attack. In summary, EXPAREL improves the function of innate immune cells needed to defeat the ravages of neurodegenerative diseases of the brain and cancer and the macrophage is the common denominator to these effects. I will now pass this to Mark Liddell, the Founder and CSO of Vemu Vael to update the progress on the Incynium program. Speaker 200:14:16Mark? Speaker 300:14:18Thank you very much, RJ. And once again, I'd like to pass my thanks to those that are listening in and joining this Q3 report. So as you know from the last quarter report, we filed an IND with the FDA in April this year for a U. S. Trial of InqMune in metastatic castration resistant prostate We received subsequent clearance in May for the use of IncynMune in a Phase I, Phase II open label trial across multiple U. Speaker 300:14:43S. Centers. And the response since then from potential clinical sites has really been overwhelming. We have 8 sites already selected to participate in the trial. The first two sites will be initiated within 2 weeks' time in November, meaning that we're ahead of schedule for the planned first patient treatment before the end of the year. Speaker 300:15:02The other sites will come online in the Q1 of 2024. Most importantly, the batch IMQMUNE has already been manufactured for the treatment of the 1st U. S. Cohort and is just about to be shipped to Amplify Bio, the U. S. Speaker 300:15:16Distribution center. Patients at each dose level will receive all three doses of inkmeone as an outpatient treatment during the 6 months trial. And this is really critical to our future development of the drug. 2 types of immuno efficacy will be measured, immunological efficiency and therapeutic efficacy. In immunologic We'll measure the increase in these memory like NK cells that IMCU generates in the blood of the patient and how long those cells remain in the patient's blood after treatment, Just as we have done in the MDS patients in the RORA trial. Speaker 300:15:48Therapeutic efficacy will measure tumor response to immune therapy using biomarkers of prostate cancer tumor burden, such as changes in blood PSA level, PMSA scan and circulating tumor DNA. In addition, traditional measures of disease progression will be measured, including progression free survival, changes in resist criteria using CT scan and bone scan. But as you might imagine, these are not expected to change in such a short 6 month study. In the U. K. Speaker 300:16:16And Europe, managed to advance the LAUREL trial in MDS and AML. I'm sure you would be you shared us with us this extreme frustration In the lack of recruitment in the U. K. To that trial, and this has been due to the changes in the clinical management of these patients in the U. K. Speaker 300:16:32In the new, what we like to call, post COVID era. As a man who got COVID for the first time in August, we're planning not post COVID. At a meeting of the trial safety committee held earlier this year, the enrollment safety criteria was modified in an attempt to limit screening failures. A protocol amendment was submitted to the MHRA back in May And filing was approved last week. So we've submitted the revised protocols to the 2 U. Speaker 300:16:55K. Clinical sites for immediate initiation And the largest cancer center in the U. K, the Royal Marsden Hospital has just come online and will be initiated soon. Meanwhile, the complexities of importing Inc. Union to Greece for the Greek trial and establishing local laboratory monitoring of patients have all been resolved over the summer And the first batch of drug is ready to be delivered to the hospital in Athens. Speaker 300:17:18A patient has completed screening and is going to be reviewed on the 3rd November, for determination Finally, of suitability for inclusion and treatment. So we hope to close the 1st cohort with that patient. We remain very excited about the potential platform as it begins its transition into the treatment of solid tumors. And I remind you, those are the tumors that account for approximately 90% of human cancer. For reasons we understand, most cell therapies currently focus on that 10% of cancers that are hematological tumors. Speaker 300:17:50But our confidence in the use of IMCU in solid tumors is based on good biology. In vitro data in solid tumors from my lab Shows that the immune arms natural killer cells to override the immunosuppression of hypoxia and regulatory cells in the solid in the tumor microenvironment of solid the company presented the data on the inkling driven memory like NK cells in the Presidential Symposium at the Annual Conference we continue to follow-up those data to study, inkmunofectoral NK Cells at the molecular level. You'll hear more on this in the future. In my previous role as Director of the Cell and Gene Therapy Facility at the Royal Free Hospital and University College London, I spent over 30 years producing cell therapies for academic and small spin out company clinical trials. When these therapies attempted to enter the commercial world, many failed due to manufacturing issues. Speaker 300:18:49As I'm sure you know from the CAR T story, manufacturing of cell therapies is difficult to do at scale. But we've solved that problem with a robust and scalable process for Inpune. We've been successful in upscaling the manufacturing process and have completed the validation of that new process to cGMP. We've since signed a contract with a commercial contract manufacturing site and the installation of equipment for that site has now started. So we are ready to move out into a commercial manufacturing setting. Speaker 300:19:17This investment paves the way for ambitious plans for trials in other solid tumors, including ovarian, renal and nasopharyngeal cancer as we acquire more and more and more of the relevant supporting data. The company remains committed to execute on its vision of moving Inpune forward towards commercialization. That ends my update on the Inc. Meon platform. And I'd like to turn the call over to David Moss, CFO to discuss the financials. Speaker 300:19:42Thank you, David. Speaker 100:19:44Super. Thank you, Mark. I'll provide a brief overview of our financial results and upcoming milestones before we head to the Q and A session. Net loss attributable to common stockholders for the quarter ended September 30, 2023 was approximately $8,600,000 quarter ended September 30, 23 compared with approximately $5,200,000 for the comparable period in 2022. General and administrative expense was approximately $2,600,000 for the quarter ended September 30, 2023, Compared with approximately $2,400,000 for the comparable period in 2022. Speaker 100:20:29At September 30, 2023, the company had cash and cash equivalents of approximately $41,800,000 Based on our current operating plan, we believe cash is sufficient to fund our operations until late 2024. As of November 1, 23, the company had approximately 18,000,000 shares of common stock outstanding. As highlighted in the prior quarter's investor call, we continue to focus on achieving our primary clinical trial objectives, while remaining cost prudent with the potential to recover a portion of R and D expenses in Now I'd like to move on to our list of upcoming and important milestones. 1st milestone that we have, which is we hope to have before year end is the removal of the FDA hold. 2nd, we expect top line results from our Phase 2 early AD program towards the end of 2024. Speaker 100:21:24Upon release of the FDA hold, we'll initiate a Phase 2 trial of EXPAREL in patients with treatment resistant depression. Additional open label Phase 1 data of inkboon in high risk MDS and AML in 2024 And the initiation of a Phase III program in metastatic castration resistant prostate cancer with the first patient treated before year end and open label data in 2024. We expect an upcoming webinar on the use of EXPAREL to prevent Remyelination in neurodegenerative disease. And finally, wearing my business development hat for a moment, the DMD market with inconsistent results in gene therapy and confirmatory trials for access skipping drugs still long underway is confusing. We feel that EXPAREL could be a novel solution to replace corticosteroids in DMD. Speaker 100:22:22Corticosteroids, including one approved last week, target the same Glutocorticoid receptor pathway and have the same immunologic metabolic and cosmetic side effects and paradoxically cause muscle atrophy. Targeting soluble TNF with DNTNF prevents inflammation and muscle degeneration and promotes muscle regeneration in animal models without evidence of off target safety issues seen with the use of corticosteroids or non selective TNF inhibitors. Interestingly, TNF is over expressed in DMD at early stages of the disease where inflammation induces muscle degradation. Because corticosteroids are the most common drug used to treat DMD, a strategy that provides the benefit of corticosteroids without the side effects we'll benefit all patients with DMD regardless of age, stage of disease or concomitant therapy. This is what excites us about the DMTNF platform for DMD. Speaker 100:23:28As always, I think our shareholders understand that we continue to pursue business development, partnership opportunities for DNTNF in DMD and potentially other applications, but there can be no assurance that the company can complete any of these transactions as they're complex and difficult. In summary, management feels that the company has 2 great platforms and as a small organization with limited resources, we will try to expand the applications of these we will update investors should material business development events occur. At this point, I'd like to thank you for your time and attention. I'd like to turn it back to Claudia to poll for questions. Claudia? Operator00:24:10Thank you very much sir. At this time, we will be conducting a question and answer session. For participants using speaker equipment, it may be necessary for you to pick up your handset before pressing the star keys. One moment please while we poll for the first question comes from Joel Beatty from Baird. Please proceed with your question, Joel. Speaker 400:24:58Hi. Thanks for taking the questions and congrats on the progress. My first question is on EXPAREL. Could you discuss a little bit more about what gives you confidence that the clinical hold will be lifted by the end of the year? Speaker 200:25:12Yes. Thank you, Joel. RJ here. Although it took a while to get to an agreement with the FDA, as I I highlighted at the last call, they gave us a list of things they wanted done. Obviously, those That list was different than any of the other regulatory agencies, and we have gone through that list. Speaker 200:25:34And the data is been completed. It is being packaged and will be sent to the FDA for to meet the goal to have Soft hold by the end of the year, right? They ultimately gave us quite a clear list And we have fulfilled it. Speaker 400:26:00Okay. Great. And then as a follow-up for the AD002 study in early Alzheimer's, are you able to provide any more information on where you're at in enrollment Or what the approximate geographic split could end up looking like? Speaker 200:26:16Yes. I think we mentioned this last time, we're changing our geography so quickly that we've been reluctant to really give names, numbers and names Yes. I think later early in 2024 will when things have kind of settled down, I guess that's the way to describe it. We'll be able to give clear Direction on where we are outside of as far as clinical sites, how many sites are involved. But I would be willing to bet there'll be more than 50 sites open by the end of this process. Speaker 200:27:02I won't promise that any will be in the U. S. Because we're really expanding so quickly outside of the U. S. But as we said last time, this is really setting us up for the Phase 3 trial. Speaker 200:27:14I mean, it's global, multiple continents. And I know this has been a very frustrating But the one thing we are careful about is we don't want to when we give you information, we want it to be Perfect. In other words, we want to be able to back it up. And things are just changing so quickly and quite frankly, to our advantage, and I think the U. K. Speaker 200:27:43Is a good example, we have we're ahead of where we expected to be in the U. K. They had a great backlog of patients that hopefully will all be screened and many of those will end up in the trial. So all I can say is you all hang tough and I think right now we have not changed our guidance. We still expect to be able to provide top line data by the end of the 2024. Speaker 200:28:08And I can tell you that everyone in this company is busting a gut to get us there. Speaker 400:28:14That makes sense. Great. Thank you. Operator00:28:19Thank you. The next question comes from Tom Schrader from BTIG. Please proceed with your question, Tom. Speaker 500:28:27Good afternoon. Thanks for holding the call. We enjoyed your CTAD presentations. Just to follow-up on Joel's Line of questioning. The late 2024 data, could that be done with no U. Speaker 500:28:41S. Participation or are they linked? Speaker 200:28:44So, yes, it could be done. We're driving forward, Tom. And by the way, Tom, this is RJ. Thank you for the question. No, it could be done without U. Speaker 200:28:54S. Participation. I mean, remember from the time Let me give you let me use the prostate cancer trial that we're running as a great example. Mark said we got The green light in, I believe it was May, and we didn't do any front loading planning there because That's expensive. And as you know, we're careful with our money. Speaker 200:29:19So from the time we got the green light to the time we're going to get our 1st enrolled patient enrolled Will be 6 to 7 months, right? That's just what it takes if you go from a standing start, right? So in the U. S, that's what will happen. Once we get off hold, we'll start casting the U. Speaker 200:29:39S. Net. But by the time those sites get ready to go, we may have enrolled the trial. Now there's a lot of other things we can do. We don't want to But I couldn't I think I've said it before or maybe I've just said it privately. Speaker 200:29:59One of the things that frustrates us is that clearly what the FDA is doing is different from what the other regulatory agencies are doing. All these other countries, their patients are getting access to what we think is a pretty good Drug Expro for Alzheimer's disease. The U. S. Patients are sitting on the sidelines because of a regulatory challenges, but with the FDA. Speaker 200:30:26I can promise you the U. S. Will be involved in the Phase III trial we'll probably be the main driver of the Phase 3 trial. But I wouldn't be surprised if we complete the Phase 2 trial without U. S. Speaker 200:30:39Patients. Speaker 500:30:41Got it. And if I can follow-up, given we have Mark on the line. Mark, in the Incomimmune Prostate cancer trial, who are these patients? Are they post taxing? And I guess is the trial monotherapy? Speaker 500:30:55And the final question is, the oncology world has bent over backwards to try to get prostate cancer to be an immunoreactive Tumor that Xtandi and Nivo went on for years and now it's Nivo ipi. And do you see Incmune playing there that it might be the final piece To make prostate cancer nivo reactive, is that interesting to you or is this pretty much a monotherapy endeavor for at least a while? Speaker 300:31:24That's a really, really excellent question. And I would love to spend a long time with slides and put my academic hat on. So I think the first question is, yes, these are going to be post taxane patients. They're end stage patients That's what you always do in a Phase I trial. But the question about failure of The checkpoint inhibitors. Speaker 300:31:49Every immunotherapy that's been tried in prostate so far has targeted T cell responses. And the immunosuppressive microenvironment of the tumor is high. And whether that be checkpoint inhibitors or whether it be antibody conjugates, they failed. If you look if you read the literature and if you go and speak to a histopathologist, they'll tell you that very few if you look at patients who do well In conventional therapy in prostate cancer, there are patients who have a large NK cell infiltrate in their tumor. There isn't an association with a T cell infiltrate. Speaker 300:32:29What we're targeting on the cells are already in the tumor. We're just trying to switch them on to be better like we are in AML and MDS. And we know that the sort of dirty little secret about solid tumors is this thing called neutrophil extracellular traps that coat the tumor and they inhibit NK cell activity, it means the NK cells and the T cells can't get to the tumor. Well, we're targeting tumor infiltrating NK cells that are already there. So that overcomes part of that problem. Speaker 300:32:57But the really interesting thing about these neutrophil and extracellular traps that stop particularly T cells invading from the peripheral blood, is that they are broken down by M2 macrophages. So one of the great things that might come out of the EXPAREL trial is that IMD-three is that you could actually combine those 2 drugs in a very, very nice way to break down the traps to enhance the T cell entry into the tumor and then respond to the initial response that's generated by the NK cells that are there. So I think that's a really Combination trial that I'd love to do. That could also be combined with a checkpoint conventional T cell checkpoint inhibitor because once the T cells are there, You want to make certain they're not inhibited further by the inhibitory checkpoints in the tumor. So Yes, I'd love to think further down the line, we would look at combination therapy. Speaker 300:33:55The immune system never works on a single cell. There's never been a single approach has worked. So it would be really, really nice to think that we could provide long term benefit by combining these. Speaker 500:34:08Great. Thank you. Operator00:34:13Thank you. The next question comes from Daniel Carlson from Tailwinds Research. Please proceed with your question, Daniel. Speaker 600:34:29Hey, guys. Just a couple of follow-up questions here. Regarding Inc. Mune, And I just saw that Amgen pulled a drug from clinical trials yesterday and prostate wrote down about $600,000,000 I was wondering if you could Comment on how that impacts your thinking about your program at all, if at all? Speaker 300:34:50Yes. If I have a I think much as I said just now, I don't think T cells immediately are the answer in prostate cancer. And the Anti CD47 antibody you're talking about is a good example of that. The checkpoint inhibitors haven't worked. The anti CD3 Combination antibodies haven't worked. Speaker 300:35:11So I think we need to look at excuse me. We need to look at activating the cells that are actually there. And so it just makes me more enthusiastic about the prospects we're in. Speaker 600:35:27Great. That's what I thought. Thanks, Mark. And then a question about Sarepta missed their top line Yesterday as well, I know they're the leader in DMD. Is this something that you think might push them Working with you guys or how do you see that all unfolding at Sarepta? Speaker 200:35:51David? Speaker 100:35:54You're asking me to guess what Sarepta is going on. I can tell you they're going through probably a pipeline reorganization. I think that you recently had a steroid that was approved that's supposed to be a slightly better steroid than the current standard of care. As I spoke about earlier, we believe that EXPAREL going down a completely different pathway than what steroids pathway Provide significant benefit over a lot of the problems that we are that are associated with steroids. DMD is really an interesting space because The exon skipping drugs all have confirmation trials, which are still ongoing. Speaker 100:36:34They're kind of a long they've been taking a long time while they keep It's going to be interesting to see what the FDA does with the fact that the confirmation trial for the gene therapy That, Sarepta ran is, failed. And there There is some thought on The Street that they keep the program on the market. I don't know what's going to happen. My guess is With what the FDA has done with regard to that program have been wrong. So I wouldn't hold any Bottom line is that we feel that there needs to be a new approach to DMD beyond exon skipping, beyond steroids and beyond gene therapy and we think that DNTNF is a really great approach. Speaker 100:37:23We like it a lot. Speaker 600:37:27Thanks, David. That's it for me guys. All my other questions were asked already. So thank you. Operator00:37:36Thank you very much. Ladies and gentlemen, we have reached the end of the question and answer session. And I'd like to turn the call back to RJ for closing remarks. Thank you, sir. Speaker 200:37:47Sure. Thank you. Immune Bio is making progress on two fronts. Each of our platforms we have had a significant increase in, shall we say, profile in the last quarter. With X we hope to have a therapy that stops the progression of cognitive decline in patients with ADI with Alzheimer's disease. Speaker 200:38:10That's very different than what is offered patients today. With InchMune and metastatic castrate resistant prostate cancer, we hope to control a disease that in many men can be quiet and indolent, but in many is lethal. We are confident in these ambitious goals, we thank you for your attention today. And to those of you that are shareholders, we thank you for your continuing support. With that, have a good day. Operator00:38:42Thank you. This concludes today's conference. You may disconnect your lines at this time and thank you very much for your participation.Read morePowered by Conference Call Audio Live Call not available Earnings Conference CallINmune Bio Q3 202300:00 / 00:00Speed:1x1.25x1.5x2x Earnings DocumentsPress Release(8-K)Quarterly report(10-Q) INmune Bio Earnings HeadlinesAnalysts Set INmune Bio, Inc. (NASDAQ:INMB) Target Price at $22.80May 4 at 1:57 AM | americanbankingnews.comINmune Bio Receives Favorable Patentability Opinion for CORDStrom™ Platform TechnologyApril 16, 2025 | markets.businessinsider.comThink NVDA’s run was epic? You ain’t seen nothin’ yetAsk most investors and they’ll probably tell you Nvidia is the undisputed AI stock of the decade. In 2023, it surged 239%. And in 2024, it soared another 171% on the year… But what if I told you there was a way to target those types of “peak Nvidia” profit opportunities in 24 hours or less?May 4, 2025 | Timothy Sykes (Ad)INmune Bio receives favorable patentability opinion for CORDStrom platformApril 16, 2025 | markets.businessinsider.comINmune Bio partners with Cell, Gene Therapy Catapult to scale up CORDStromApril 14, 2025 | markets.businessinsider.comINmune Bio Partners with Cell and Gene Therapy CatapultApril 14, 2025 | msn.comSee More INmune Bio Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like INmune Bio? Sign up for Earnings360's daily newsletter to receive timely earnings updates on INmune Bio and other key companies, straight to your email. Email Address About INmune BioINmune Bio (NASDAQ:INMB), a clinical-stage immunology company, focuses on developing drugs to reprogram the patients innate immune system to treat disease in the United States. It intends to develop and commercialize product candidates to treat hematologic malignancies, solid tumors, and chronic inflammation. The company's development programs include INKmune, which is in Phase 1 for the treatment of patients with high-risk myelodysplastic syndrome; and INB03, a mucinous polyglucan on the surface of some epithelial cancer cells that appears to predict resistant to immunotherapy, including women with MUC4 expressing HER2+ breast cancer and other MUC4 resistant cancers. It also provides XPro1595 for the treatment of Alzheimer's disease and treatment resistant depression. It has license agreements with Xencor, Inc.; Immune Ventures, LLC; and University of Pittsburg. INmune Bio, Inc. was incorporated in 2015 and is headquartered in Boca Raton, Florida.View INmune Bio ProfileRead more More Earnings Resources from MarketBeat Earnings Tools Today's Earnings Tomorrow's Earnings Next Week's Earnings Upcoming Earnings Calls Earnings Newsletter Earnings Call Transcripts Earnings Beats & Misses Corporate Guidance Earnings Screener Earnings By Country U.S. Earnings Reports Canadian Earnings Reports U.K. Earnings Reports Latest Articles Amazon Earnings: 2 Reasons to Love It, 1 Reason to Be CautiousMeta Takes A Bow With Q1 Earnings - Watch For Tariff Impact in Q2Palantir Earnings: 1 Bullish Signal and 1 Area of ConcernVisa Q2 Earnings Top Forecasts, Adds $30B Buyback PlanMicrosoft Crushes Earnings, What’s Next for MSFT Stock?Qualcomm's Earnings: 2 Reasons to Buy, 1 to Stay AwayAMD Stock Signals Strong Buy Ahead of Earnings Upcoming Earnings Palantir Technologies (5/5/2025)Vertex Pharmaceuticals (5/5/2025)Realty Income (5/5/2025)Williams Companies (5/5/2025)CRH (5/5/2025)Advanced Micro Devices (5/6/2025)American Electric Power (5/6/2025)Constellation Energy (5/6/2025)Marriott International (5/6/2025)Energy Transfer (5/6/2025) Get 30 Days of MarketBeat All Access for Free Sign up for MarketBeat All Access to gain access to MarketBeat's full suite of research tools. Start Your 30-Day Trial MarketBeat All Access Features Best-in-Class Portfolio Monitoring Get personalized stock ideas. Compare portfolio to indices. Check stock news, ratings, SEC filings, and more. Stock Ideas and Recommendations See daily stock ideas from top analysts. Receive short-term trading ideas from MarketBeat. Identify trending stocks on social media. Advanced Stock Screeners and Research Tools Use our seven stock screeners to find suitable stocks. Stay informed with MarketBeat's real-time news. Export data to Excel for personal analysis. Sign in to your free account to enjoy these benefits In-depth profiles and analysis for 20,000 public companies. Real-time analyst ratings, insider transactions, earnings data, and more. Our daily ratings and market update email newsletter. Sign in to your free account to enjoy all that MarketBeat has to offer. Sign In Create Account Your Email Address: Email Address Required Your Password: Password Required Log In or Sign in with Facebook Sign in with Google Forgot your password? Your Email Address: Please enter your email address. Please enter a valid email address Choose a Password: Please enter your password. Your password must be at least 8 characters long and contain at least 1 number, 1 letter, and 1 special character. Create My Account (Free) or Sign in with Facebook Sign in with Google By creating a free account, you agree to our terms of service. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
There are 7 speakers on the call. Operator00:00:00Greetings, and welcome to the Immune Bio Third Quarter 2023 Earnings Call. At this time, all participants are in a listen only mode. A question and answer session will follow the formal presentation. As a reminder, this conference is being recorded. A transcript will follow within 24 hours of this conference call. Operator00:00:31At this time, it is my pleasure to introduce Mr. David Mas, CFO of Immune Bio. David, the floor is yours. Speaker 100:00:39Thank you, Claudia, and good afternoon, everybody. We thank you for joining us for the for Immune Bio's Q3 2023 financial results. With me on the call is Doctor. R. J. Speaker 100:00:50Tessie, CEO of Immune Bio and Doctor. Mark Liddell, Chief Scientific Officer of Immune Bio, we'll provide an update on IncBune, our memory like natural killer cell oncology platform. Before we begin, I remind everyone that except for statements of historical fact, the statements made by management and responses to questions on this conference call are forward looking statements under the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. These statements involve risks and uncertainties that can cause actual results to differ materially from those in such forward looking statements. Please see the forward looking statements disclaimer on the company's earnings press release as well as risk factors in the company's SEC filings, including our most recent quarterly filings with the SEC. Speaker 100:01:37There is no assurance of any specific outcome. Undue reliance should not be placed on forward looking statements, which speak only as of the date they are made as the facts and circumstances underlying these forward looking statements may except as required by law, Immune Bio disclaims any obligations to update these forward looking statements to reflect future information, events or circumstances. With that behind us, now I'd like to turn the call over to Doctor. R. J. Speaker 100:02:04Tessie, CEO of Inmubio. R. J? Speaker 200:02:08Thank you, David, and thank you, everyone, for joining the call. As usual, I will arrange my remarks to highlight the key takeaways for the Q3 and the subsequent period and include updates on our platform programs. I will start by reviewing our developments of Expro before passing it over to Mark Waddell, who will provide an update on Incmune and then David Moss will conclude with a discussion of our financial results and provide an update on upcoming and new milestones, then we move to Q and A. During the Q3, our primary focus remained enrollment of patients in the 8,002. Our blinded randomized Phase 2 trial in patients with early Alzheimer's disease with inflammation and we focus on increasing our geographic footprint of that trial. Speaker 200:03:02We had notable success on both fronts. The MHRA, the U. K. Equivalent of the FDA, approved our clinical trial application in August. 5 of the 6 sites in the U. Speaker 200:03:14K. Are already screening and enrolling patients into 8,002. The U. K. Is an ideal jurisdiction to expand our Alzheimer's disease trial, given it possesses one of the highest rates of Alzheimer's disease in the Western world, coupled with Recognition Health, our lead vendor in the U. Speaker 200:03:40K, has 5 memory centers with a large Rolodex of clinical trial ready patients. This provides a ready pool of patients to screen for participation in the trial. Rekognition Health has a history of enrolling a large number of patients and are incentivized to find the right patients to enroll in our program. Australia, where the trial is furthest advanced, continue to see patients who have completed the 6 month blinded trial opts in to the Phase 2 open label extension program. We have also submitted regulatory dossiers to additional countries we remain on track with the FDA to meet the conditions necessary to lift the clinical hold. Speaker 200:04:35We believe the hold will be lifted before the end of the year. There are 2 main themes from the just completed CTAD or Clinical trials Alzheimer's disease meeting in Boston, earlier treatment and better treatments. As you can imagine, we heard a lot about the anti amyloid little new was presented and no matter how they cut the data, there is no change in safety or efficacy of the various anti amyloid products. Unsurprisingly, a meta analysis demonstrated all three drugs aducanumab, lukanumab and donamimab performed the same. This is shaping up to be an interesting marketing battle debating features, Not benefits. Speaker 200:05:23In my opinion, the desire for earlier treatments is driven by the frustrating results from anti amyloid monotherapy, that is if the results of anti amyloid drugs were better, there may be less talk about earlier treatment. Both of these themes, the limit efficacy of anti amyloid drugs in the early treatment, play to EXPAREL's strengths. The universe of therapies for Alzheimer's disease is expanding, targeting neuroinflammation is high on everyone's list. Doctor. Howard Fillett, the Chief Scientific Officer of the Alzheimer's Drug Discovery Foundation, highlighted the role of inflammation in aging and cognitive decline. Speaker 200:06:12In a recent Fierce Biotech interviewed, Doctor. Philip Points out that at autopsy, beta amyloid is present in the brains of many elderly individuals that have died with normal cognitive function. Only those and this is the key point, only those with both amyloid and inflammation have dementia. In other words, the immune response to his comments highlights our long standing position. Without inflammation, there is no cognitive decline in patients with amyloid pathology. Speaker 200:06:59Combination therapy with the anti amyloid drugs was much discussed at CTAD, but no data was presented. Once again, the desire for combination therapy reflects a re frustration with the current results. Combination therapies must improve safety or efficacy, ideally both, because the major safety problem with anti amyloid class of drugs is neuroinflammation, we believe EXPAREL plays a role in combination therapy, Immune Bio has initiated preclinical studies testing combination therapy In animal models, I emphasize the combination therapy is preclinical and in no way dilutes our focus on the Phase 2 trial currently enrolling patients. The discussion on early diagnosis focused on blood tests aiming to produce a simple, accurate, cost effective triage system. Our view is simple. Speaker 200:08:07Cognitive decline is predicted by biomarkers of neuroinflammation and neurodegeneration. Blood amyloid is a biomarker of disease, the disease of Alzheimer's disease. Staging, by staging, I mean the severity of the disease requires a different set of biomarkers. In my opinion and many of those at the meeting, the most promising duo is GFAP, was glial fibrillary acidic protein, a biomarker of astrocyte activation and phospho tau-two seventeen, a biomarker of neurodegeneration, are promising. Although we do not use GFAB or PTAU-two seventeen as screening biomarkers for enrollment in the Phase 1 trial, they were measured as part of the biomarker response package. Speaker 200:09:01Both biomarkers decreased in patients after treatment with EXPAREL. We hope to show that this decrease correlates with clinical response in the Phase II trial, we are persistent in our belief that cognitive decline is the sum of synaptic dysfunction and nerve cell death. Phospho tau is an excellent measure of neurodegeneration or nerve cell death in patients with Alzheimer's disease. Measuring synaptic function is more complicated. A small group of Alzheimer's patients used a self administered EEG using the novel system from Cumulus Neuroscience. Speaker 200:09:41The study confirmed in the small number of patients the feasibility of collecting high quality EEG signals at home. The patients liked it And there was evidence of benefit as demonstrated by acute and chronic changes in the P300 amplitude on EEG after treatment with EXPAREL. While the group is small and the data are early, we believe this work is further evidence of activity with cognitive function and pharmacodynamic responses to DNTNF. This type of home testing may be a key element to CNS drug development in the future. 2 other applications of the DNTNF family of drugs are worth mentioning. Speaker 200:10:33New data using MBO-three to treat cancer will be presented at the 38th Annual Society of Immunotherapy Meeting in San Diego later this week. MBO-three has been shown to be an innate immune checkpoint inhibitor that down regulates SERP alpha. SERP alpha, that is SIRP alpha, is signal regulatory protein ALKS, ADCT, which is antibody dependent cellular phagocytosis, a key but often ignored effector of anticancer antibody therapy. Recent data from the the MD program confirms the potency of the 10 kilodalton pSAR, dNTNF in mouse models of the disease. As a reminder, the pSAR DNTNF compounds are the sons of VEXPRO with similar biologic activity that allows ImmuneBio to expand applications we have a number of questions for the DNTNF class of compounds beyond CNS. Speaker 200:11:36The goal of the MBO-three cancer program and the DMD program is to out license these promising drugs. Some of you are wondering how a single drug, dominant negative TNF inhibitors, can be useful in the treatment of cancer and the treatment of Alzheimer's disease. Macrophage function is the glue that holds this story together. Microglia are tissue based macrophages of the brain, TAMs or tumor activated macrophages are tissue based macrophages in the TME of cancer. In disease, chronic inflammation, shall we say, stuns the macrophages into not working. Speaker 200:12:16In the brain, chronic neuroinflammation causes the microglia to become a dysfunctional phenotype that produces destructive cytokine, does not nephagocytize cellular and myelin debris and does not prune synapses appropriately. This results in nerve cell loss, demyelination and synaptic dysfunction, the hallmarks of neurodegenerative disease, including Alzheimer's. DNTNF converts the destructive microglia phenotype into a reparative cell type that promotes nerve cell survival, remyelination and synaptic plastivity. The remodeling and repair we've seen in the brains of patients with Alzheimer's disease treated with EXPAREL reflect the normalization of microchaleal function caused by EXPAREL. In cancer, soluble TNF produced by tumor cells causes expression of MUC4, SIRPalpha and other immunosuppressive cytokines that polarize TAMs to an immunosuppressive phenotype that promotes and protects tumor growth and metastasis. Speaker 200:13:25These elements also promote resistance to immunotherapy. EXPAREL neutralizes soluble TNF resulting in M2 macrophages that do not express SIRPalpha kill tumor cells promote ADCP. On the tumor, Xpro down regulates MUXFOR to expose the tumor to immune attack. In summary, EXPAREL improves the function of innate immune cells needed to defeat the ravages of neurodegenerative diseases of the brain and cancer and the macrophage is the common denominator to these effects. I will now pass this to Mark Liddell, the Founder and CSO of Vemu Vael to update the progress on the Incynium program. Speaker 200:14:16Mark? Speaker 300:14:18Thank you very much, RJ. And once again, I'd like to pass my thanks to those that are listening in and joining this Q3 report. So as you know from the last quarter report, we filed an IND with the FDA in April this year for a U. S. Trial of InqMune in metastatic castration resistant prostate We received subsequent clearance in May for the use of IncynMune in a Phase I, Phase II open label trial across multiple U. Speaker 300:14:43S. Centers. And the response since then from potential clinical sites has really been overwhelming. We have 8 sites already selected to participate in the trial. The first two sites will be initiated within 2 weeks' time in November, meaning that we're ahead of schedule for the planned first patient treatment before the end of the year. Speaker 300:15:02The other sites will come online in the Q1 of 2024. Most importantly, the batch IMQMUNE has already been manufactured for the treatment of the 1st U. S. Cohort and is just about to be shipped to Amplify Bio, the U. S. Speaker 300:15:16Distribution center. Patients at each dose level will receive all three doses of inkmeone as an outpatient treatment during the 6 months trial. And this is really critical to our future development of the drug. 2 types of immuno efficacy will be measured, immunological efficiency and therapeutic efficacy. In immunologic We'll measure the increase in these memory like NK cells that IMCU generates in the blood of the patient and how long those cells remain in the patient's blood after treatment, Just as we have done in the MDS patients in the RORA trial. Speaker 300:15:48Therapeutic efficacy will measure tumor response to immune therapy using biomarkers of prostate cancer tumor burden, such as changes in blood PSA level, PMSA scan and circulating tumor DNA. In addition, traditional measures of disease progression will be measured, including progression free survival, changes in resist criteria using CT scan and bone scan. But as you might imagine, these are not expected to change in such a short 6 month study. In the U. K. Speaker 300:16:16And Europe, managed to advance the LAUREL trial in MDS and AML. I'm sure you would be you shared us with us this extreme frustration In the lack of recruitment in the U. K. To that trial, and this has been due to the changes in the clinical management of these patients in the U. K. Speaker 300:16:32In the new, what we like to call, post COVID era. As a man who got COVID for the first time in August, we're planning not post COVID. At a meeting of the trial safety committee held earlier this year, the enrollment safety criteria was modified in an attempt to limit screening failures. A protocol amendment was submitted to the MHRA back in May And filing was approved last week. So we've submitted the revised protocols to the 2 U. Speaker 300:16:55K. Clinical sites for immediate initiation And the largest cancer center in the U. K, the Royal Marsden Hospital has just come online and will be initiated soon. Meanwhile, the complexities of importing Inc. Union to Greece for the Greek trial and establishing local laboratory monitoring of patients have all been resolved over the summer And the first batch of drug is ready to be delivered to the hospital in Athens. Speaker 300:17:18A patient has completed screening and is going to be reviewed on the 3rd November, for determination Finally, of suitability for inclusion and treatment. So we hope to close the 1st cohort with that patient. We remain very excited about the potential platform as it begins its transition into the treatment of solid tumors. And I remind you, those are the tumors that account for approximately 90% of human cancer. For reasons we understand, most cell therapies currently focus on that 10% of cancers that are hematological tumors. Speaker 300:17:50But our confidence in the use of IMCU in solid tumors is based on good biology. In vitro data in solid tumors from my lab Shows that the immune arms natural killer cells to override the immunosuppression of hypoxia and regulatory cells in the solid in the tumor microenvironment of solid the company presented the data on the inkling driven memory like NK cells in the Presidential Symposium at the Annual Conference we continue to follow-up those data to study, inkmunofectoral NK Cells at the molecular level. You'll hear more on this in the future. In my previous role as Director of the Cell and Gene Therapy Facility at the Royal Free Hospital and University College London, I spent over 30 years producing cell therapies for academic and small spin out company clinical trials. When these therapies attempted to enter the commercial world, many failed due to manufacturing issues. Speaker 300:18:49As I'm sure you know from the CAR T story, manufacturing of cell therapies is difficult to do at scale. But we've solved that problem with a robust and scalable process for Inpune. We've been successful in upscaling the manufacturing process and have completed the validation of that new process to cGMP. We've since signed a contract with a commercial contract manufacturing site and the installation of equipment for that site has now started. So we are ready to move out into a commercial manufacturing setting. Speaker 300:19:17This investment paves the way for ambitious plans for trials in other solid tumors, including ovarian, renal and nasopharyngeal cancer as we acquire more and more and more of the relevant supporting data. The company remains committed to execute on its vision of moving Inpune forward towards commercialization. That ends my update on the Inc. Meon platform. And I'd like to turn the call over to David Moss, CFO to discuss the financials. Speaker 300:19:42Thank you, David. Speaker 100:19:44Super. Thank you, Mark. I'll provide a brief overview of our financial results and upcoming milestones before we head to the Q and A session. Net loss attributable to common stockholders for the quarter ended September 30, 2023 was approximately $8,600,000 quarter ended September 30, 23 compared with approximately $5,200,000 for the comparable period in 2022. General and administrative expense was approximately $2,600,000 for the quarter ended September 30, 2023, Compared with approximately $2,400,000 for the comparable period in 2022. Speaker 100:20:29At September 30, 2023, the company had cash and cash equivalents of approximately $41,800,000 Based on our current operating plan, we believe cash is sufficient to fund our operations until late 2024. As of November 1, 23, the company had approximately 18,000,000 shares of common stock outstanding. As highlighted in the prior quarter's investor call, we continue to focus on achieving our primary clinical trial objectives, while remaining cost prudent with the potential to recover a portion of R and D expenses in Now I'd like to move on to our list of upcoming and important milestones. 1st milestone that we have, which is we hope to have before year end is the removal of the FDA hold. 2nd, we expect top line results from our Phase 2 early AD program towards the end of 2024. Speaker 100:21:24Upon release of the FDA hold, we'll initiate a Phase 2 trial of EXPAREL in patients with treatment resistant depression. Additional open label Phase 1 data of inkboon in high risk MDS and AML in 2024 And the initiation of a Phase III program in metastatic castration resistant prostate cancer with the first patient treated before year end and open label data in 2024. We expect an upcoming webinar on the use of EXPAREL to prevent Remyelination in neurodegenerative disease. And finally, wearing my business development hat for a moment, the DMD market with inconsistent results in gene therapy and confirmatory trials for access skipping drugs still long underway is confusing. We feel that EXPAREL could be a novel solution to replace corticosteroids in DMD. Speaker 100:22:22Corticosteroids, including one approved last week, target the same Glutocorticoid receptor pathway and have the same immunologic metabolic and cosmetic side effects and paradoxically cause muscle atrophy. Targeting soluble TNF with DNTNF prevents inflammation and muscle degeneration and promotes muscle regeneration in animal models without evidence of off target safety issues seen with the use of corticosteroids or non selective TNF inhibitors. Interestingly, TNF is over expressed in DMD at early stages of the disease where inflammation induces muscle degradation. Because corticosteroids are the most common drug used to treat DMD, a strategy that provides the benefit of corticosteroids without the side effects we'll benefit all patients with DMD regardless of age, stage of disease or concomitant therapy. This is what excites us about the DMTNF platform for DMD. Speaker 100:23:28As always, I think our shareholders understand that we continue to pursue business development, partnership opportunities for DNTNF in DMD and potentially other applications, but there can be no assurance that the company can complete any of these transactions as they're complex and difficult. In summary, management feels that the company has 2 great platforms and as a small organization with limited resources, we will try to expand the applications of these we will update investors should material business development events occur. At this point, I'd like to thank you for your time and attention. I'd like to turn it back to Claudia to poll for questions. Claudia? Operator00:24:10Thank you very much sir. At this time, we will be conducting a question and answer session. For participants using speaker equipment, it may be necessary for you to pick up your handset before pressing the star keys. One moment please while we poll for the first question comes from Joel Beatty from Baird. Please proceed with your question, Joel. Speaker 400:24:58Hi. Thanks for taking the questions and congrats on the progress. My first question is on EXPAREL. Could you discuss a little bit more about what gives you confidence that the clinical hold will be lifted by the end of the year? Speaker 200:25:12Yes. Thank you, Joel. RJ here. Although it took a while to get to an agreement with the FDA, as I I highlighted at the last call, they gave us a list of things they wanted done. Obviously, those That list was different than any of the other regulatory agencies, and we have gone through that list. Speaker 200:25:34And the data is been completed. It is being packaged and will be sent to the FDA for to meet the goal to have Soft hold by the end of the year, right? They ultimately gave us quite a clear list And we have fulfilled it. Speaker 400:26:00Okay. Great. And then as a follow-up for the AD002 study in early Alzheimer's, are you able to provide any more information on where you're at in enrollment Or what the approximate geographic split could end up looking like? Speaker 200:26:16Yes. I think we mentioned this last time, we're changing our geography so quickly that we've been reluctant to really give names, numbers and names Yes. I think later early in 2024 will when things have kind of settled down, I guess that's the way to describe it. We'll be able to give clear Direction on where we are outside of as far as clinical sites, how many sites are involved. But I would be willing to bet there'll be more than 50 sites open by the end of this process. Speaker 200:27:02I won't promise that any will be in the U. S. Because we're really expanding so quickly outside of the U. S. But as we said last time, this is really setting us up for the Phase 3 trial. Speaker 200:27:14I mean, it's global, multiple continents. And I know this has been a very frustrating But the one thing we are careful about is we don't want to when we give you information, we want it to be Perfect. In other words, we want to be able to back it up. And things are just changing so quickly and quite frankly, to our advantage, and I think the U. K. Speaker 200:27:43Is a good example, we have we're ahead of where we expected to be in the U. K. They had a great backlog of patients that hopefully will all be screened and many of those will end up in the trial. So all I can say is you all hang tough and I think right now we have not changed our guidance. We still expect to be able to provide top line data by the end of the 2024. Speaker 200:28:08And I can tell you that everyone in this company is busting a gut to get us there. Speaker 400:28:14That makes sense. Great. Thank you. Operator00:28:19Thank you. The next question comes from Tom Schrader from BTIG. Please proceed with your question, Tom. Speaker 500:28:27Good afternoon. Thanks for holding the call. We enjoyed your CTAD presentations. Just to follow-up on Joel's Line of questioning. The late 2024 data, could that be done with no U. Speaker 500:28:41S. Participation or are they linked? Speaker 200:28:44So, yes, it could be done. We're driving forward, Tom. And by the way, Tom, this is RJ. Thank you for the question. No, it could be done without U. Speaker 200:28:54S. Participation. I mean, remember from the time Let me give you let me use the prostate cancer trial that we're running as a great example. Mark said we got The green light in, I believe it was May, and we didn't do any front loading planning there because That's expensive. And as you know, we're careful with our money. Speaker 200:29:19So from the time we got the green light to the time we're going to get our 1st enrolled patient enrolled Will be 6 to 7 months, right? That's just what it takes if you go from a standing start, right? So in the U. S, that's what will happen. Once we get off hold, we'll start casting the U. Speaker 200:29:39S. Net. But by the time those sites get ready to go, we may have enrolled the trial. Now there's a lot of other things we can do. We don't want to But I couldn't I think I've said it before or maybe I've just said it privately. Speaker 200:29:59One of the things that frustrates us is that clearly what the FDA is doing is different from what the other regulatory agencies are doing. All these other countries, their patients are getting access to what we think is a pretty good Drug Expro for Alzheimer's disease. The U. S. Patients are sitting on the sidelines because of a regulatory challenges, but with the FDA. Speaker 200:30:26I can promise you the U. S. Will be involved in the Phase III trial we'll probably be the main driver of the Phase 3 trial. But I wouldn't be surprised if we complete the Phase 2 trial without U. S. Speaker 200:30:39Patients. Speaker 500:30:41Got it. And if I can follow-up, given we have Mark on the line. Mark, in the Incomimmune Prostate cancer trial, who are these patients? Are they post taxing? And I guess is the trial monotherapy? Speaker 500:30:55And the final question is, the oncology world has bent over backwards to try to get prostate cancer to be an immunoreactive Tumor that Xtandi and Nivo went on for years and now it's Nivo ipi. And do you see Incmune playing there that it might be the final piece To make prostate cancer nivo reactive, is that interesting to you or is this pretty much a monotherapy endeavor for at least a while? Speaker 300:31:24That's a really, really excellent question. And I would love to spend a long time with slides and put my academic hat on. So I think the first question is, yes, these are going to be post taxane patients. They're end stage patients That's what you always do in a Phase I trial. But the question about failure of The checkpoint inhibitors. Speaker 300:31:49Every immunotherapy that's been tried in prostate so far has targeted T cell responses. And the immunosuppressive microenvironment of the tumor is high. And whether that be checkpoint inhibitors or whether it be antibody conjugates, they failed. If you look if you read the literature and if you go and speak to a histopathologist, they'll tell you that very few if you look at patients who do well In conventional therapy in prostate cancer, there are patients who have a large NK cell infiltrate in their tumor. There isn't an association with a T cell infiltrate. Speaker 300:32:29What we're targeting on the cells are already in the tumor. We're just trying to switch them on to be better like we are in AML and MDS. And we know that the sort of dirty little secret about solid tumors is this thing called neutrophil extracellular traps that coat the tumor and they inhibit NK cell activity, it means the NK cells and the T cells can't get to the tumor. Well, we're targeting tumor infiltrating NK cells that are already there. So that overcomes part of that problem. Speaker 300:32:57But the really interesting thing about these neutrophil and extracellular traps that stop particularly T cells invading from the peripheral blood, is that they are broken down by M2 macrophages. So one of the great things that might come out of the EXPAREL trial is that IMD-three is that you could actually combine those 2 drugs in a very, very nice way to break down the traps to enhance the T cell entry into the tumor and then respond to the initial response that's generated by the NK cells that are there. So I think that's a really Combination trial that I'd love to do. That could also be combined with a checkpoint conventional T cell checkpoint inhibitor because once the T cells are there, You want to make certain they're not inhibited further by the inhibitory checkpoints in the tumor. So Yes, I'd love to think further down the line, we would look at combination therapy. Speaker 300:33:55The immune system never works on a single cell. There's never been a single approach has worked. So it would be really, really nice to think that we could provide long term benefit by combining these. Speaker 500:34:08Great. Thank you. Operator00:34:13Thank you. The next question comes from Daniel Carlson from Tailwinds Research. Please proceed with your question, Daniel. Speaker 600:34:29Hey, guys. Just a couple of follow-up questions here. Regarding Inc. Mune, And I just saw that Amgen pulled a drug from clinical trials yesterday and prostate wrote down about $600,000,000 I was wondering if you could Comment on how that impacts your thinking about your program at all, if at all? Speaker 300:34:50Yes. If I have a I think much as I said just now, I don't think T cells immediately are the answer in prostate cancer. And the Anti CD47 antibody you're talking about is a good example of that. The checkpoint inhibitors haven't worked. The anti CD3 Combination antibodies haven't worked. Speaker 300:35:11So I think we need to look at excuse me. We need to look at activating the cells that are actually there. And so it just makes me more enthusiastic about the prospects we're in. Speaker 600:35:27Great. That's what I thought. Thanks, Mark. And then a question about Sarepta missed their top line Yesterday as well, I know they're the leader in DMD. Is this something that you think might push them Working with you guys or how do you see that all unfolding at Sarepta? Speaker 200:35:51David? Speaker 100:35:54You're asking me to guess what Sarepta is going on. I can tell you they're going through probably a pipeline reorganization. I think that you recently had a steroid that was approved that's supposed to be a slightly better steroid than the current standard of care. As I spoke about earlier, we believe that EXPAREL going down a completely different pathway than what steroids pathway Provide significant benefit over a lot of the problems that we are that are associated with steroids. DMD is really an interesting space because The exon skipping drugs all have confirmation trials, which are still ongoing. Speaker 100:36:34They're kind of a long they've been taking a long time while they keep It's going to be interesting to see what the FDA does with the fact that the confirmation trial for the gene therapy That, Sarepta ran is, failed. And there There is some thought on The Street that they keep the program on the market. I don't know what's going to happen. My guess is With what the FDA has done with regard to that program have been wrong. So I wouldn't hold any Bottom line is that we feel that there needs to be a new approach to DMD beyond exon skipping, beyond steroids and beyond gene therapy and we think that DNTNF is a really great approach. Speaker 100:37:23We like it a lot. Speaker 600:37:27Thanks, David. That's it for me guys. All my other questions were asked already. So thank you. Operator00:37:36Thank you very much. Ladies and gentlemen, we have reached the end of the question and answer session. And I'd like to turn the call back to RJ for closing remarks. Thank you, sir. Speaker 200:37:47Sure. Thank you. Immune Bio is making progress on two fronts. Each of our platforms we have had a significant increase in, shall we say, profile in the last quarter. With X we hope to have a therapy that stops the progression of cognitive decline in patients with ADI with Alzheimer's disease. Speaker 200:38:10That's very different than what is offered patients today. With InchMune and metastatic castrate resistant prostate cancer, we hope to control a disease that in many men can be quiet and indolent, but in many is lethal. We are confident in these ambitious goals, we thank you for your attention today. And to those of you that are shareholders, we thank you for your continuing support. With that, have a good day. Operator00:38:42Thank you. This concludes today's conference. You may disconnect your lines at this time and thank you very much for your participation.Read morePowered by