NASDAQ:DARE Daré Bioscience Q1 2024 Earnings Report $2.98 +0.05 (+1.71%) Closing price 05/2/2025 04:00 PM EasternExtended Trading$2.97 -0.01 (-0.34%) As of 05/2/2025 04:08 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 Daré Bioscience EPS ResultsActual EPS-$0.84Consensus EPS -$0.72Beat/MissMissed by -$0.12One Year Ago EPS-$1.08Daré Bioscience Revenue ResultsActual Revenue$0.01 millionExpected Revenue$0.52 millionBeat/MissMissed by -$510.00 thousandYoY Revenue GrowthN/ADaré Bioscience Announcement DetailsQuarterQ1 2024Date5/14/2024TimeAfter Market ClosesConference Call DateTuesday, May 14, 2024Conference Call Time4:30PM ETUpcoming EarningsDaré Bioscience's Q1 2025 earnings is scheduled for Tuesday, May 13, 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)SEC FilingEarnings HistoryCompany ProfilePowered by Daré Bioscience Q1 2024 Earnings Call TranscriptProvided by QuartrMay 14, 2024 ShareLink copied to clipboard.There are 6 speakers on the call. Operator00:00:00Welcome to the conference call hosted by Dare Bioscience to review the company's First Quarter Financial Results and to provide the general business update. This call is being recorded. My name is Alex, and I will be your operator for today. With us today from Dare are Sabrina Martucci Johnson, President and Chief Executive Officer and Martie Haring Layton, Chief Accounting Officer. Ms. Operator00:00:25Johnson, please proceed. Speaker 100:00:28Thank you. Good afternoon, and welcome to the Dare Bioscience financial results and business update call for the quarter ended March 31, 2024. Today, we'll review our Q1 results and discuss developments and expectations from our pipeline and portfolio. I would like to remind you that today's discussion will include forward looking statements within the meaning of the federal securities laws, which are made pursuant to the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. Any statements made during this call that are not statements of historical fact should be considered forward looking statements. Speaker 100:01:03Actual results or events could differ materially from those anticipated or implied by these statements due to known and unknown risks and uncertainties. You should not place undue reliance on forward looking statements. Forward looking statements are qualified in their entirety by the cautionary statements in the company's SEC filings, including our Form 10 Q for the quarter ended March 31, 2024, which was filed today. I would also like to point out that the content of this call includes time sensitive information that is current only as of today, May 14, 2024. Dare undertakes no obligation to update any forward looking statements to reflect new information or developments after this call, except as required by law. Speaker 100:01:43Before we begin today's update, I'd like to take a minute to remind those of you who may be newer to the Dare story of our purpose and mission. We believe Dare is the only publicly traded company focused solely on women's health, pharmaceutical product development broadly and we remain dedicated to advancing disruptive products for the health and well-being of women through clinical development, regulatory review and ultimately to market. Our commitment and focus is to improve health outcomes and the lives of women by leveraging the basic science pharmacology that is understood about certain active pharmaceutical ingredients and marketed products to accelerate innovative treatments that women want and need by boldly addressing existing therapeutic gaps. We seek to optimize these treatments for our target indications to enhance outcomes, convenience and side effect profile or to address a novel indication where the pharmacology is well suited but has not been previously applied to the indication in question for women. We believe we have assembled the broadest portfolio of potential high impact, 1st in category product candidates, many of which have already demonstrated proof of concept and that our robust pipeline positions us well for the short, medium and long term. Speaker 100:03:05On our recent full year 2023 financial results and update call, we discussed the strides we made last year to advance innovative therapies for women and the key milestones anticipated for 2024. So today, in addition to the continued commercialization by our collaborator Organon of Xochiatoclindamycin Phosphate Vaginal Gel 2%, the 1st FDA approved product to emerge from our portfolio and a treatment for anticipated 2024 milestones focused on our 1st in category product candidates relating to continued progress toward a Phase III clinical trial of sildenafilcraine 3.6 percent in female sexual arousal disorder for which there are no FDA approved treatments and enrollment in our Phase III study of Ovaprene, our potentially first in category hormone free monthly intravaginal contraceptive candidate. Today, we're going to cover our Q1 2024 accomplishments as well as some important recent highlights, including the $22,000,000 non dilutive strategic royalty financing we announced a couple of weeks ago. We'll also review our progress against the anticipated 2024 milestones, providing context and metrics that are important to our current and future shareholders with a focus on those Phase III candidates, Ovaprene and Speaker 200:04:38sildenafiliprene. Before I do, I'm going to first turn it over to our Chief Accounting Officer, Marty, to review our Q1 financial results. Thanks, Sabrina, and thanks, everyone, for joining us today. I would now like to summarize Dare's financial results for the quarter ended March 31, 2024, which I will refer to as the Q1. As Sabrina mentioned, Dare's business strategy is to assemble and advance a portfolio of differentiated product candidates that address meaningful unmet needs we've identified in women's health and then to monetize the value of our portfolio's clinical and regulatory advances over the near and long term. Speaker 200:05:14The investment required to build and advance a portfolio includes corporate overhead, portfolio acquisition and maintenance costs and ongoing research and development or R and D expenses. During the 2024, our general and administrative expenses were approximately $2,700,000 Our R and D expenses, which vary from period to period based on clinical, preclinical, manufacturing, regulatory and other R and D activities across our entire portfolio, were approximately $3,300,000 for the Q1, which is a 34% decrease compared to Q1 2023. Closeout costs related to the Phase 2b RESPOND clinical study of sildenafil Cream and other clinical studies conducted in 2023 contributed significantly to our Q1 R and D expenses, which will not be the case in future quarters. Until we commence a sildenafil Cream Phase 3 clinical study, we expect R and D expenses for future quarters to be lower than the Q1 R and D expenses. Our comprehensive loss for the quarter was approximately $6,800,000 We ended the Q1 with approximately $3,600,000 in cash and cash equivalents and had approximately 101,000,000 shares of common stock outstanding as of May 13. Speaker 200:06:30We recently announced a royalty monetization transaction with Zoma in which Dare received $22,000,000 in gross proceeds and following a pre specified total return to Zoma, Zoma will make upside sharing milestone payments to Dare equal to 50% of all remaining cash flows sold to Zoma under the transaction. This monetization of future net royalty and net milestone payments accelerates potential cash flows from the future commercial success of Xatiado and ensures that Dare and our shareholders have the opportunity to participate meaningfully in Xochitl Economics as commercialization progresses. This non dilutive financing provides significant capital to help achieve our objectives and importantly allows us to focus on advancing our Phase 3 investigational products Ovaprene and sildenafil Cream, both of which represent large market first in category opportunities. The structure of this transaction also underscores the significant potential of Ovaprene and sildenafil Cream with Dare retaining the significant majority of future economics and the ability to achieve attractive margins through retained net sales and all commercial milestones. In addition to this financing, we received total grant funding of approximately $800,000 in January April under our grant agreements with the foundation in support of our investigational contraceptive DARE LARP1 and to fund activities related to bacteria based live biotherapeutic product development. Speaker 200:07:59Dare may receive up to a total of approximately $49,000,000 under our grant agreement relating to DARALARK 1 to advance development of investigational new drug application with the FDA, approval of which is required to begin testing in humans. To date, Dare has received approximately $29,400,000 under the DARALARK 1 grant agreement. Together, the royalty financing and latest installment in grant funding represent our commitment to being creative, collaborative and opportunistic in seeking the capital needed to meet our objectives and to build shareholder value. We encourage investors to review the more detailed discussion of our financials, our financial condition, liquidity, capital resources and risk factors in our quarterly report on Form 10 Q for the quarter ended March 31, 2024, which we filed this afternoon, as well as in our annual report on Form 10 ks for the year ended December 31, 2023, which was filed on March 28, 2024. I would now like to turn the call back over to Sabrina. Speaker 100:09:06Thank you, Marty. I'm now going to talk through our Q1 2024 accomplishments and some anticipated 2024 milestones with a focus on our Phase III assets Sildenafil Cream and Ovaprene. But first, I'll provide an update on our on market assets Xochitl, clindamycin phosphate vaginal gel 2% or just Xochitl. As a reminder, Xochitl is indicated for the treatment of bacterial vaginosis in females 12 years of age and older. It's a colorless single dose vaginal gel that can be applied at any time of day and it's formulated with the goal of limiting leakage and increasing vaginal retention time known as time spent in place. Speaker 100:09:49In the Q1 of 2024, through our commercialization agreement with Organon, Xatiado became available by prescription across the United States. The Organon women's health sales team continues to see strong acceptance from clinicians who have tried with their patients multiple uses of Xatiatto in their practice. This progressive ramp up of trial from key health care provider targets continues to build momentum as we move through the 1st full year of launch. I'll now talk about Sildenafil Cream 3.6%. During the Q1, we also announced the successful completion of an end of Phase II meeting with the FDA on the development of Sildenafil Cream as a treatment for female sexual arousal disorder. Speaker 100:10:39In terms of market and revenue potential, there are currently no FDA approved treatments for any form of sexual arousal disorder in women, meaning Sildenafil Cream has the potential to be the first. Sildenafil is the active ingredient in tablet form for oral administration currently marketed under the brand name Viagra for the treatment of erectile dysfunction in men, which was undoubtedly one of the most successful prescription products ever launched. Market research suggests that approximately 20,000,000 women in the United States experience symptoms of low or no sexual arousal. In terms of probability of success, we've already demonstrated that Sildenafil Cream increased genital tissue blood flow in quantitative studies. And as we most recently shared during our full year 2023 results call, we also completed all study analyses of data from the exploratory Phase IIb RESPOND clinical study of Sildenafil Cream. Speaker 100:11:40The patient population and the endpoints identified in the Phase 2b study and proposed to the FDA for Phase 3 clinical development were those where post hoc analyses of the Phase 2b study data showed that sildenafil Cream demonstrated both statistically significant and meaningful within patient improvement. We are continuing to interact with the FDA as the agency reviews specifically the data generated on the proposed endpoints to take forward into Phase which would be the first ever Phase III pivotal study of a therapeutic candidate for the treatment of arousal disorder in women. We look forward to providing updates on the FDA's feedback, Phase III study design and plans as well as any relevant updates on our collaboration strategy as available this year. And now to Ovaprene. We also want to provide an update on the Phase III study of Ovaprene, which is our novel investigational hormone free monthly intravaginal contraceptive whose U. Speaker 100:12:56S. Commercial rights are under a license agreement with Bayer. Non hormonal contraception represents a significant commercial market opportunity, and there are currently no monthly hormone free contraceptives approved by the FDA. Ovaprene has the potential to be a disruptive product in the contraceptive category and an important option for women who cannot use hormone based birth control products or prefer not to do so. Based on market research, approximately 35,000,000 women in the U. Speaker 100:13:29S. Are potential candidates for Ovaprene. Working with study collaborators at the Eunice Kennedy Shriver National Institute of Child and Human Development or NICHD of the National Institute of Health or NIH, we commenced patient enrollment in Ovaprene pivotal Phase III clinical study in December 2023. Recruitment is currently underway at 18 sites across the United States and is supported by a central advertising campaign for the study that launched in March of this year. You can find a link to the campaign materials by visiting our website homepage. Speaker 100:14:08We were thrilled to see how many women responded immediately to our call to join the hormone free revolution when we launched the campaign in March by checking if they qualified to participate in the study. We plan to provide updates on anticipated timing for study completion, which involves 12 months of product use as enrollment progresses and will also provide recruitment and any relevant data updates in the coming quarters. Based on communications to date with the FDA, if successful, we believe that just a single registration study will be required to support a premarket approval application submission with the FDA. And lastly, we announced in the first quarter that we achieved technological proof of concept for our preclinical candidate that Marty was talking about earlier, DARLARC 1, and importantly for its underlying innovative drug delivery platform, which is designed to store and precisely deliver therapeutic platform's transformative potential in not only women's health but as well as various conditions outside of women's health where treatment requires frequent dosing or regular injections. We are developing the Deerlark 1 implant, which utilizes this proprietary drug delivery platform as a user controlled long acting reversible contraceptive solution designed to combine the benefits of long acting reversible contraceptives with the flexibility of shorter acting methods. Speaker 100:15:50But we see the potential of this drug delivery platform technology to transform treatment for certain other chronic conditions as well. So with this milestone, we are excited to begin strategic discussions with pharmaceutical companies working to address chronic conditions such as diabetes, obesity and other conditions requiring precise and prolonged treatment, leveraging the platform's potential to precisely deliver a wide array of active pharmaceutical ingredients over longer durations with a lower burden for patients. And as Marty mentioned earlier, current development of DARLARC 1 implant technology is supported by an up to $49,000,000 foundation grant. DARE LARK 1 and our other grant funded product candidates, they enhanced our portfolio and we look forward to providing relevant updates on Deerlark 1 and the other ongoing grant funded programs as relevant this year. So in summary, we're excited about the progress we've made year and are looking forward to providing more updates as we work to advance some of the most potentially disruptive candidates for the health and well-being of women in decades, collaborating with leading companies including Organon for Zaciado and Bayer for Ovaprene to commercialize and deliver these treatments to as many women as possible. Speaker 100:17:10So I'd now like to turn the call over to the operator for Q and A. Operator00:17:15Thank you, Sabrina. We will now begin the question and answer session. Of Douglas Tsao with H. C. Wainwright. Operator00:17:50Please go ahead. Speaker 300:17:54Hi, good afternoon and thanks for taking the questions. I guess, Irina, you're looking now for some additional feedback from FDA on sildenafil Cream. I mean, can you just maybe help us walk through some of the steps that would be needed to initiate that Phase 3? Thank you. Speaker 100:18:11Yes, Doug, thanks. Great question. So yes, so as I mentioned, we're waiting for some feedback so that we can make sure we're aligned on the final Phase 3 design and the endpoints for that and important things like endpoint hierarchy and all of that. But to your question, what we're trying to do is make sure that all of the other activities that are required to start up a clinical trial, that we're doing everything we can to make sure that we are ready. So those activities include things such as selecting your CRO, right, and having your study budget and materials in place, making sure we have a clear line of sight into these sites that we want to use. Speaker 100:18:54Now obviously, we had the experience of the Phase 2b study, so that's helpful in terms of selecting sites because we know the sites we used in that study and who we want to continue. But just making sure we're ready from that regard, making sure that we're ready with clinical supplies, materials, right, the investigational product and placebo to test in the trial. So those are the activities that are underway and that we really started earlier this year, quite frankly, and that are well underway to make sure that as soon as we get the feedback from the FDA that we are ready to move as quickly as reasonable to proceed and there isn't some other, right, some other gating activity that we had not yet completed. Speaker 300:19:44Okay, great. That's helpful. And then just maybe on Ovaprene, maybe just help us understand when we should sort of start to think about sort of getting initial data or just the final readout from a timing standpoint? Thank you. Speaker 100:20:02Yes, great question. So the trial for those who may not be as familiar, so the trial is a 12 month study, meaning the subjects in the study, our goal is to follow them to have them use Ovaprene over the course of 12 months. And we'd like to have around 200, 250 women complete 12 months of use with the product. And so we started as I mentioned, we started enrolling the subjects at the end of last year. And the advertising campaign, which is important, in studies like this, it went live in March. Speaker 100:20:44And as I mentioned in my comments, we were definitely very happy with how much responsiveness we saw to the advertisement campaign, which really leverages, like as you can imagine, social media platforms to make sure people are aware of the study and can reach out to express their interest and then match them to sites. So with the ads campaign just going live in March, it's a little bit early for us to give very specific guidance, which we do want to do, and give some perspective on timelines and when we advertising campaign. And the meaning everyone is single arm, everyone is on Ovaprene. And so obviously having a line of sight into how enrollment is going gives us an opportunity to understand if there's an opportunity to look at interim data and when that will happen and when the final data will come. So at this point, what I can say definitively given that we didn't start recruiting until the end of last year is that we certainly we don't anticipate to have final data this year. Speaker 100:22:03That wouldn't really be feasible given the timeline of the study. But we definitely hope to have some meaningful updates that we can share this year. And then as we get a little bit further with the live enrollment with the ad campaign, we'll be able to give better guidance as to exactly when we expect when we would anticipate last patient out. Speaker 300:22:23Okay, great. Thank you so much. That's really helpful. Speaker 100:22:26Yes. Thank you. Operator00:22:29Your next question comes from the line of Kempe Bolivar with Brookline Capital Markets. Please go ahead. Speaker 400:22:39Okay. Thank you. I want to ask a couple of questions regarding the your balancing act now between your current funding and your plans because there's some language in the 10 Q that's pretty sober regarding the cash runway. But at the same time, your current spending levels in theory could get you past 12 months and possibly to the Ovaprene readout Based on the step down, we'll likely see an R and D expense and the fact that you really don't have much you have a small remaining obligation for the ovaprene trial. Speaker 100:23:26So how Speaker 400:23:26should we think about the spending and what the where you're able to get into where you're able to get with the readouts with the particularly with the Zoma financing in place? Speaker 100:23:38Yes. Thank you, Jim. Great question. And so as Marty mentioned in her comments and you noted, R and D spending until we start the Sildenafil trial because of the nature of our arrangement on Ovaprene and the funds we had already remitted to the NIH under our collaborative research agreement, as you noted, there's not a lot left that we've already committed to spend on that. There's another $500,000 payment on that. Speaker 100:24:08But otherwise, right, the R and D a Sildenafil Phase 3 study. And as I was mentioning, a Sildenafil Phase 3 study. And as I was mentioning in the response to Doug's question, we want to be prepared to move on that as quickly as we can. And a single Phase 3 study, our expectations at this point, at least based on what we know today, around $15,000,000 So when you look at just our baseline burn, which we in our last call had provided some guidance that our expected G and A this year was about 10,000,000 dollars for the year, right? When you start just taking all of that into considerations, Marty, dollars 22,000,000 is absolutely impactful and to your point, really gets us to some very important milestones in terms of ovaprene, progressing opportunities potentially to look at some of that interim data timing and even to your point depending on how enrollment goes even further than that. Speaker 100:25:21But we want to be very clear, right, in our communication that a single Sildenafil trial is $15,000,000 In the scheme of things, is that a lot when you think about the potential of like what Viagra did? In the marketplace, no, but we do want to make sure we're being clear in our communication given that dollar amount in relation to the 22 Speaker 400:25:46$1,000,000 That's very helpful. And to be clear, does that $15,000,000 include the activities you're engaged in now prior to initiation? Speaker 100:25:59It does because the $15,000,000 does include things like manufacturing, right, the cost of manufacturing the product for the clinical trials, certain start up, right, site start up activities. It's what we expect the all in number to be. Speaker 400:26:16Okay. And assuming the feedback from FDA is not surprising and there are only minor hiccups along the way with preparation, When do you when is a reasonable expectation for initiating the trial? Because it looks like that early 2025 is reasonable, but maybe you can start early in 2024? Speaker 100:26:43Yes. That's definitely our hope. That's a great way to look at it, right? Like we're trying to just make sure that we've checked all the boxes that we can check until we have that final protocol and then being able to move as quickly as we can once we have the protocol. But there's startup activities, right? Speaker 100:27:01You got a contract with all the sites. There's things we can't do until we have a final protocol. So our intent is to move as fast as we possibly can. That's our objective. That's our goal. Speaker 100:27:14And so we'd love to be in a position to do that this year. But it definitely, to your point, is predicated on timing and getting the comments back from the FDA. And hopefully, they're clear, as you noted, so that we can move very quickly. But like I said upfront, we're trying to make sure that we have ticked off every other activity so that we're right at Sprint. Speaker 400:27:37Okay. And you have the flexibility to delay initiating the trial until you have, say, more certainty around your runway? Speaker 100:27:50Absolutely. It's all within our control, right? So the things that we're doing now are not significant in terms of expenses, but they're important activities so that we are ready to go at our choice, right? At timing completely 100% in our discretion. Speaker 400:28:10Great. Thank you. Speaker 100:28:12Yes. Thank you for the great questions. Operator00:28:14Your next question comes from the line of Katarina Novak with Jones Research. Please go ahead. Speaker 500:28:22Hi, good afternoon. Just another one on the sildenafil trial, the potential Phase 3 trial. Can you remind us what you are still waiting on with regard to feedback? We know that you were aligned previously on indication and study population. So what endpoints are you proposing? Speaker 500:28:43And then the timing, is this a 12 week study? Or are you would it potentially be longer or shorter? What's the duration? Speaker 100:28:52Yes. Great question and great reminder to sort of refresh everyone on where we feel we already have great clarity from the FDA based on our December meeting and where really given that this is the first Phase 3 study of its kind where reasonably the FDA needs a little more time to go through all of the information we provided. So to your question, so first of all, importantly, the patient population and the indication statement and the duration of the efficacy period have all been agreed with the FDA. So the indication statement is treatment of female sexual arousal disorder, so very straightforward. The patient population are women with female sexual arousal disorder, including women who may, as a result, right, of their arousal disorder have a decrease in desire. Speaker 100:29:47That's very common. It's not only common in female sexual arousal disorder, it's the same that happens in erectile dysfunction. So very common for an arousal dysfunction to lead to a decrease in desire. So that's the patient population. And then in terms of the duration of the efficacy assessment, the FDA guidance document for conditions of this nature, it actually includes a few different sexual dysfunctions, but arousal disorder is in there, suggests that 24 week studies may be necessary for Phase 3. Speaker 100:30:26But based on our end of Phase 2 meeting with the FDA and frankly just the number of sexual events that women had in our study and our ability to show how much data you can capture in a 12 week period in terms of experiences with the product. FDA was comfortable that an adequately powered 12 week efficacy study would be sufficient. So those are places where we've got good clarity and that does, by the way, give us a lot in terms of that's part of why we're able to get so much prepped right now because that tells you a lot in terms of funding, right, things like that for the duration that are needed. Where we still have some outstanding questions are in a couple areas. One is just really understanding what ultimately may be necessary also to support safety and exposure data on the product. Speaker 100:31:22So we included partners, for instance, in our Phase 2b study to see exposure to partners, right? We have 12 week safety data from that. So we want to make sure we're clearly aligned on any expectations in that regard. And then second, we want to make sure that we're clearly aligned on the endpoints. And so your question was around, so what have we suggested? Speaker 100:31:46So just as a reminder, the Phase 2b study, the primary endpoint in the sections of a questionnaire called the sexual function questionnaire. We asked specifically the arousal sensation questions from that questionnaire as part of our co primary. It's 4 questions about genital sensations of arousal. So physical things that a woman is going to be feeling in her genital tissue. There are questions that are really highly to what happens when you get increased blood flow to the area, which is what Sildenafil does. Speaker 100:32:29But we also asked a particular question about distress. So the diagnostic criteria for erectile dysfunction and female sexual arousal disorder include that inability to attain or maintain the physical genital arousal response in men or women respectively of those indications. But also in both cases also indicates that that dysfunction causes personal distress. So in our Phase 2b, we had a question about distress. So part of what we've and then we had a number of exploratory endpoints, questions about desire, questions about orgasm, and lots of other different particular questions about distress. Speaker 100:33:09We chose in the Phase 2 be a particular question about concern, but that same questionnaire has questions about guilt and feeling inadequate and being stressed about the condition. It has 15 total questions. So part of what we presented to the Phase for the Phase 3 to the FDA is a very robust analysis of the Phase 2b data that includes what's called the psychometric analysis. It's part of validating all these different patient reported outcomes. And we've made our recommendation of the hierarchy, right, of this is arousal disorder, so obviously the arousal sensations should continue to be a part of the primary. Speaker 100:33:51But other than that, what really belongs in the secondary? And we saw improvements in orgasm, we saw improvements in desire, we saw improvements in multiple questions from the interpersonal difficulty and distress scale. So we'd like to have an opportunity to collect and include in our trial and include as potential to include in the label as many of these other aspects of the condition as possible. So that is what the FDA is reviewing right now is and for each of those, we've established through exit interviews from our Phase 2, what is a clinically meaningful improvement? It's not just enough to have a statistical improvement, but what matters to the woman. Speaker 100:34:40And so that's what the FDA is looking at right now. Our proposal for arousal sensations clearly should be primary, but then what goes into secondary? And if there's a hierarchy, what's that hierarchy? And our focus has been on all these different aspects of the sexual experience where we saw a clinically meaningful improvement. We're interested in including those in our Phase 3 study if possible. Speaker 100:35:09So sorry for the long response, but hopefully that helps very clearly outline why we're excited about the data we generated in Phase II, but also why it takes a little time for the FDA to go through, right, go through all of this. This is all brand new. We're the 1st sponsor that ever did anything like this. Yes. Speaker 500:35:31No, thanks. That's helpful. Looking forward to FDA feedback hopefully later this quarter. And then just one more question on the DARI LARC. That's a really interesting technology. Speaker 500:35:47And I'm just curious, what is the clinical program like that look for like that? Is it comparable to, let's say, what Implanon or Nexplanon looked at? Or are you also trying to test the pause and resuming dosing aspect of it? Speaker 100:36:09Yes, that's a great question. So we've started to obviously do work on what the ultimate clinical program looks like and started to map out kind of that engagement with the FDA around that. But to the first part of your question, the contraceptive effectiveness part is yes, it's going to look very much like what an explant, right, any sort of implant hormone releasing implant product looks like where you're able to establish through Phase I what your relevant doses of those hormones are and then typically move straight into a contraceptive effectiveness study because you've demonstrated that you have the hormones at the right level and then you continue to you do have to study. So similar to like what those products do is you tend to like get your approval in increments, right? So you might first go after a 1 year, 2 year, 3 year, right, duration and then you keep following the women to keep extending your years, of effectiveness. Speaker 100:37:13So very analogous to what the hormone releasing products have done and Mike's next one on as well going for their 5 year. So that's so from that piece, the piece that and then non clinically, we've already demonstrated like the pause open on demand component of the pause resume, but that will be a piece that will definitely be part of the FDA in terms of what, demonstration of that in vivo, right? Is this will be sufficient to show that in Phase 1, right? Or would that be need to be part of any Phase 3 regimen as well? Speaker 500:37:56Got it. Okay. Thanks for taking my questions. Speaker 100:38:01Great. Thank you. Operator00:38:03That concludes the question and answer session. I would like to turn the call back over to Sabrina Martucci Johnson for any additional or closing remarks. Speaker 100:38:13Thank you. Well, I really appreciated the great questions and I do have some closing comments. First of all, to thank everyone for taking the time to hear about the recent updates and our ongoing commitment to drive value all of our DARI stakeholders by identifying and advancing potential new therapies to provide additional choices, enhanced outcomes and ease of use for women. And building on the momentum of 2023, there's no doubt that it's an incredible time to be working in women's health quite frankly. We continue to be excited about the increased attention on this space through the various White House initiatives and our active participation in them, including the ARPA H ideation event that we attended in February of this year, the executive order signing at the White House in March. Speaker 100:39:02And additionally, we're thrilled to see the recent unveiling of a bipartisan Senate bill that would authorize $275,000,000 to boost research, training and public awareness around menopause specifically and midlife women's health issues, an area that is often stigmatized and overlooked and underfunded and that is particularly relevant to us, given that our work on DARE HRT1, which while it was not the focus of today's call, is a program that we are also preparing for Phase 3. It's a potential first vaginal monthly therapy for the vasomotor symptoms of menopause, as well as our Phase 2 ready DARE VVA1, our hormone free candidate for sexual pain related to menopause. So we're looking forward to seeing continued progress in the menopause space and the potential progress of this new bill. Earlier this month, we were also selected as a member spoke of the Investor Catalyst Hub, which is the regional hub of ARPA Net Age, the nationwide health innovation network launched by ARPA Age. Through our participation, we get access to potential funding and flexible contracting for faster award execution compared to traditional government contracts. Speaker 100:40:19We can provide input on ARPA H challenge areas and priorities and really help to ensure that women's health remains at the forefront of innovation. So these moments truly show just how much can be accomplished by bringing focus the Speaker 400:40:40rest Speaker 100:40:44of this year holds for Dare. As we look ahead to the rest of the year, we expect several milestones this year, including as we've been talking about ovaprene and the pivotal study updates, as we're working to complete, what we expect to be the single registration study and are definitely looking forward to giving updates on our discussions with the FDA and the activities to commence our Phase 3 for our potential 1st in category treatment option for female sexual arousal disorders, Sildenafil Cream. So our unique model and the support of our commercial DARE stakeholders. And we look forward to keeping you updated on our progress toward the milestones we discussed today. So thank you. Operator00:41:35Gentlemen, that concludes today's call. Thank you all for joining. YouRead morePowered by Conference Call Audio Live Call not available Earnings Conference CallDaré Bioscience Q1 202400:00 / 00:00Speed:1x1.25x1.5x2x Earnings DocumentsPress Release(8-K)Quarterly report(10-Q) Daré Bioscience Earnings HeadlinesDrug Development Is Slowing Down After Cuts at the FDAApril 17, 2025 | msn.comDare Bioscience to present on expanded business strategy at Jones ConferenceApril 8, 2025 | markets.businessinsider.comWarning: “DOGE Collapse” imminentElon Strikes Back You may already sense that the tide is turning against Elon Musk and DOGE. Just this week, President Trump promised to buy a Tesla to help support Musk in the face of a boycott against his company. But according to one research group, with connections to the Pentagon and the U.S. government, Elon's preparing to strike back in a much bigger way in the days ahead.May 4, 2025 | Altimetry (Ad)Maxim Group Keeps Their Hold Rating on Daré Bioscience (DARE)April 5, 2025 | markets.businessinsider.comQ4 2024 Dare Bioscience Inc Earnings CallApril 1, 2025 | finance.yahoo.comDaré Bioscience, Inc. (NASDAQ:DARE) Q4 2024 Earnings Call TranscriptApril 1, 2025 | msn.comSee More Daré Bioscience Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like Daré Bioscience? Sign up for Earnings360's daily newsletter to receive timely earnings updates on Daré Bioscience and other key companies, straight to your email. Email Address About Daré BioscienceDaré Bioscience (NASDAQ:DARE), a biopharmaceutical company, identifies, develops, and markets products for women's health in the United States. It develops therapies in the areas of contraception, reproductive health, menopause, fertility, and sexual and vaginal health. The company offers XACIATO for the treatment of bacterial vaginosis in female patients 12 years of age and older. It is developing Ovaprene, a hormone-free, monthly intravaginal contraceptive; Sildenafil Cream, a cream formulation of sildenafil for topical administration to the female genitalia on demand for the treatment of female sexual arousal disorder; DARE-HRT1 to treat moderate to-severe vasomotor symptoms in menopausal hormone therapy; DARE-VVA1 for the treatment of moderate-to-severe dyspareunia or pain during sexual intercourse; and DARE-CIN to treat cervical intraepithelial neoplasia and other human papillomavirus related pathologies. The company is also developing DARE-PDM1 for the treatment of primary dysmenorrhea; DARE-204 and DARE-214, an injectable formulations contraception of etonogestrel designed to provide contraception over 6-month and 12-month periods; DARE-FRT1, an intravaginal ring designed to deliver bio-identical progesterone for luteal phase support as part of an in vitro fertilization treatment plan; and DARE-PTB1 for the prevention of preterm birth. In addition, it is developing DARE-LARC1, a contraceptive implant delivering levonorgestrel with a woman-centered design that controlled contraceptive option; DARE-LBT, a novel hydrogel formulation for vaginal delivery of live biotherapeutics to support vaginal health; DARE-GML, a multi-target antimicrobial agent; DARE-RH1, a novel approach to non-hormonal contraception for men and women by targeting the CatSper ion channel; and DARE-PTB2 for the prevention and treatment of idiopathic preterm birth through inhibition of a stress response protein. Daré Bioscience, Inc. is headquartered in San Diego, California.View Daré Bioscience 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. 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There are 6 speakers on the call. Operator00:00:00Welcome to the conference call hosted by Dare Bioscience to review the company's First Quarter Financial Results and to provide the general business update. This call is being recorded. My name is Alex, and I will be your operator for today. With us today from Dare are Sabrina Martucci Johnson, President and Chief Executive Officer and Martie Haring Layton, Chief Accounting Officer. Ms. Operator00:00:25Johnson, please proceed. Speaker 100:00:28Thank you. Good afternoon, and welcome to the Dare Bioscience financial results and business update call for the quarter ended March 31, 2024. Today, we'll review our Q1 results and discuss developments and expectations from our pipeline and portfolio. I would like to remind you that today's discussion will include forward looking statements within the meaning of the federal securities laws, which are made pursuant to the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. Any statements made during this call that are not statements of historical fact should be considered forward looking statements. Speaker 100:01:03Actual results or events could differ materially from those anticipated or implied by these statements due to known and unknown risks and uncertainties. You should not place undue reliance on forward looking statements. Forward looking statements are qualified in their entirety by the cautionary statements in the company's SEC filings, including our Form 10 Q for the quarter ended March 31, 2024, which was filed today. I would also like to point out that the content of this call includes time sensitive information that is current only as of today, May 14, 2024. Dare undertakes no obligation to update any forward looking statements to reflect new information or developments after this call, except as required by law. Speaker 100:01:43Before we begin today's update, I'd like to take a minute to remind those of you who may be newer to the Dare story of our purpose and mission. We believe Dare is the only publicly traded company focused solely on women's health, pharmaceutical product development broadly and we remain dedicated to advancing disruptive products for the health and well-being of women through clinical development, regulatory review and ultimately to market. Our commitment and focus is to improve health outcomes and the lives of women by leveraging the basic science pharmacology that is understood about certain active pharmaceutical ingredients and marketed products to accelerate innovative treatments that women want and need by boldly addressing existing therapeutic gaps. We seek to optimize these treatments for our target indications to enhance outcomes, convenience and side effect profile or to address a novel indication where the pharmacology is well suited but has not been previously applied to the indication in question for women. We believe we have assembled the broadest portfolio of potential high impact, 1st in category product candidates, many of which have already demonstrated proof of concept and that our robust pipeline positions us well for the short, medium and long term. Speaker 100:03:05On our recent full year 2023 financial results and update call, we discussed the strides we made last year to advance innovative therapies for women and the key milestones anticipated for 2024. So today, in addition to the continued commercialization by our collaborator Organon of Xochiatoclindamycin Phosphate Vaginal Gel 2%, the 1st FDA approved product to emerge from our portfolio and a treatment for anticipated 2024 milestones focused on our 1st in category product candidates relating to continued progress toward a Phase III clinical trial of sildenafilcraine 3.6 percent in female sexual arousal disorder for which there are no FDA approved treatments and enrollment in our Phase III study of Ovaprene, our potentially first in category hormone free monthly intravaginal contraceptive candidate. Today, we're going to cover our Q1 2024 accomplishments as well as some important recent highlights, including the $22,000,000 non dilutive strategic royalty financing we announced a couple of weeks ago. We'll also review our progress against the anticipated 2024 milestones, providing context and metrics that are important to our current and future shareholders with a focus on those Phase III candidates, Ovaprene and Speaker 200:04:38sildenafiliprene. Before I do, I'm going to first turn it over to our Chief Accounting Officer, Marty, to review our Q1 financial results. Thanks, Sabrina, and thanks, everyone, for joining us today. I would now like to summarize Dare's financial results for the quarter ended March 31, 2024, which I will refer to as the Q1. As Sabrina mentioned, Dare's business strategy is to assemble and advance a portfolio of differentiated product candidates that address meaningful unmet needs we've identified in women's health and then to monetize the value of our portfolio's clinical and regulatory advances over the near and long term. Speaker 200:05:14The investment required to build and advance a portfolio includes corporate overhead, portfolio acquisition and maintenance costs and ongoing research and development or R and D expenses. During the 2024, our general and administrative expenses were approximately $2,700,000 Our R and D expenses, which vary from period to period based on clinical, preclinical, manufacturing, regulatory and other R and D activities across our entire portfolio, were approximately $3,300,000 for the Q1, which is a 34% decrease compared to Q1 2023. Closeout costs related to the Phase 2b RESPOND clinical study of sildenafil Cream and other clinical studies conducted in 2023 contributed significantly to our Q1 R and D expenses, which will not be the case in future quarters. Until we commence a sildenafil Cream Phase 3 clinical study, we expect R and D expenses for future quarters to be lower than the Q1 R and D expenses. Our comprehensive loss for the quarter was approximately $6,800,000 We ended the Q1 with approximately $3,600,000 in cash and cash equivalents and had approximately 101,000,000 shares of common stock outstanding as of May 13. Speaker 200:06:30We recently announced a royalty monetization transaction with Zoma in which Dare received $22,000,000 in gross proceeds and following a pre specified total return to Zoma, Zoma will make upside sharing milestone payments to Dare equal to 50% of all remaining cash flows sold to Zoma under the transaction. This monetization of future net royalty and net milestone payments accelerates potential cash flows from the future commercial success of Xatiado and ensures that Dare and our shareholders have the opportunity to participate meaningfully in Xochitl Economics as commercialization progresses. This non dilutive financing provides significant capital to help achieve our objectives and importantly allows us to focus on advancing our Phase 3 investigational products Ovaprene and sildenafil Cream, both of which represent large market first in category opportunities. The structure of this transaction also underscores the significant potential of Ovaprene and sildenafil Cream with Dare retaining the significant majority of future economics and the ability to achieve attractive margins through retained net sales and all commercial milestones. In addition to this financing, we received total grant funding of approximately $800,000 in January April under our grant agreements with the foundation in support of our investigational contraceptive DARE LARP1 and to fund activities related to bacteria based live biotherapeutic product development. Speaker 200:07:59Dare may receive up to a total of approximately $49,000,000 under our grant agreement relating to DARALARK 1 to advance development of investigational new drug application with the FDA, approval of which is required to begin testing in humans. To date, Dare has received approximately $29,400,000 under the DARALARK 1 grant agreement. Together, the royalty financing and latest installment in grant funding represent our commitment to being creative, collaborative and opportunistic in seeking the capital needed to meet our objectives and to build shareholder value. We encourage investors to review the more detailed discussion of our financials, our financial condition, liquidity, capital resources and risk factors in our quarterly report on Form 10 Q for the quarter ended March 31, 2024, which we filed this afternoon, as well as in our annual report on Form 10 ks for the year ended December 31, 2023, which was filed on March 28, 2024. I would now like to turn the call back over to Sabrina. Speaker 100:09:06Thank you, Marty. I'm now going to talk through our Q1 2024 accomplishments and some anticipated 2024 milestones with a focus on our Phase III assets Sildenafil Cream and Ovaprene. But first, I'll provide an update on our on market assets Xochitl, clindamycin phosphate vaginal gel 2% or just Xochitl. As a reminder, Xochitl is indicated for the treatment of bacterial vaginosis in females 12 years of age and older. It's a colorless single dose vaginal gel that can be applied at any time of day and it's formulated with the goal of limiting leakage and increasing vaginal retention time known as time spent in place. Speaker 100:09:49In the Q1 of 2024, through our commercialization agreement with Organon, Xatiado became available by prescription across the United States. The Organon women's health sales team continues to see strong acceptance from clinicians who have tried with their patients multiple uses of Xatiatto in their practice. This progressive ramp up of trial from key health care provider targets continues to build momentum as we move through the 1st full year of launch. I'll now talk about Sildenafil Cream 3.6%. During the Q1, we also announced the successful completion of an end of Phase II meeting with the FDA on the development of Sildenafil Cream as a treatment for female sexual arousal disorder. Speaker 100:10:39In terms of market and revenue potential, there are currently no FDA approved treatments for any form of sexual arousal disorder in women, meaning Sildenafil Cream has the potential to be the first. Sildenafil is the active ingredient in tablet form for oral administration currently marketed under the brand name Viagra for the treatment of erectile dysfunction in men, which was undoubtedly one of the most successful prescription products ever launched. Market research suggests that approximately 20,000,000 women in the United States experience symptoms of low or no sexual arousal. In terms of probability of success, we've already demonstrated that Sildenafil Cream increased genital tissue blood flow in quantitative studies. And as we most recently shared during our full year 2023 results call, we also completed all study analyses of data from the exploratory Phase IIb RESPOND clinical study of Sildenafil Cream. Speaker 100:11:40The patient population and the endpoints identified in the Phase 2b study and proposed to the FDA for Phase 3 clinical development were those where post hoc analyses of the Phase 2b study data showed that sildenafil Cream demonstrated both statistically significant and meaningful within patient improvement. We are continuing to interact with the FDA as the agency reviews specifically the data generated on the proposed endpoints to take forward into Phase which would be the first ever Phase III pivotal study of a therapeutic candidate for the treatment of arousal disorder in women. We look forward to providing updates on the FDA's feedback, Phase III study design and plans as well as any relevant updates on our collaboration strategy as available this year. And now to Ovaprene. We also want to provide an update on the Phase III study of Ovaprene, which is our novel investigational hormone free monthly intravaginal contraceptive whose U. Speaker 100:12:56S. Commercial rights are under a license agreement with Bayer. Non hormonal contraception represents a significant commercial market opportunity, and there are currently no monthly hormone free contraceptives approved by the FDA. Ovaprene has the potential to be a disruptive product in the contraceptive category and an important option for women who cannot use hormone based birth control products or prefer not to do so. Based on market research, approximately 35,000,000 women in the U. Speaker 100:13:29S. Are potential candidates for Ovaprene. Working with study collaborators at the Eunice Kennedy Shriver National Institute of Child and Human Development or NICHD of the National Institute of Health or NIH, we commenced patient enrollment in Ovaprene pivotal Phase III clinical study in December 2023. Recruitment is currently underway at 18 sites across the United States and is supported by a central advertising campaign for the study that launched in March of this year. You can find a link to the campaign materials by visiting our website homepage. Speaker 100:14:08We were thrilled to see how many women responded immediately to our call to join the hormone free revolution when we launched the campaign in March by checking if they qualified to participate in the study. We plan to provide updates on anticipated timing for study completion, which involves 12 months of product use as enrollment progresses and will also provide recruitment and any relevant data updates in the coming quarters. Based on communications to date with the FDA, if successful, we believe that just a single registration study will be required to support a premarket approval application submission with the FDA. And lastly, we announced in the first quarter that we achieved technological proof of concept for our preclinical candidate that Marty was talking about earlier, DARLARC 1, and importantly for its underlying innovative drug delivery platform, which is designed to store and precisely deliver therapeutic platform's transformative potential in not only women's health but as well as various conditions outside of women's health where treatment requires frequent dosing or regular injections. We are developing the Deerlark 1 implant, which utilizes this proprietary drug delivery platform as a user controlled long acting reversible contraceptive solution designed to combine the benefits of long acting reversible contraceptives with the flexibility of shorter acting methods. Speaker 100:15:50But we see the potential of this drug delivery platform technology to transform treatment for certain other chronic conditions as well. So with this milestone, we are excited to begin strategic discussions with pharmaceutical companies working to address chronic conditions such as diabetes, obesity and other conditions requiring precise and prolonged treatment, leveraging the platform's potential to precisely deliver a wide array of active pharmaceutical ingredients over longer durations with a lower burden for patients. And as Marty mentioned earlier, current development of DARLARC 1 implant technology is supported by an up to $49,000,000 foundation grant. DARE LARK 1 and our other grant funded product candidates, they enhanced our portfolio and we look forward to providing relevant updates on Deerlark 1 and the other ongoing grant funded programs as relevant this year. So in summary, we're excited about the progress we've made year and are looking forward to providing more updates as we work to advance some of the most potentially disruptive candidates for the health and well-being of women in decades, collaborating with leading companies including Organon for Zaciado and Bayer for Ovaprene to commercialize and deliver these treatments to as many women as possible. Speaker 100:17:10So I'd now like to turn the call over to the operator for Q and A. Operator00:17:15Thank you, Sabrina. We will now begin the question and answer session. Of Douglas Tsao with H. C. Wainwright. Operator00:17:50Please go ahead. Speaker 300:17:54Hi, good afternoon and thanks for taking the questions. I guess, Irina, you're looking now for some additional feedback from FDA on sildenafil Cream. I mean, can you just maybe help us walk through some of the steps that would be needed to initiate that Phase 3? Thank you. Speaker 100:18:11Yes, Doug, thanks. Great question. So yes, so as I mentioned, we're waiting for some feedback so that we can make sure we're aligned on the final Phase 3 design and the endpoints for that and important things like endpoint hierarchy and all of that. But to your question, what we're trying to do is make sure that all of the other activities that are required to start up a clinical trial, that we're doing everything we can to make sure that we are ready. So those activities include things such as selecting your CRO, right, and having your study budget and materials in place, making sure we have a clear line of sight into these sites that we want to use. Speaker 100:18:54Now obviously, we had the experience of the Phase 2b study, so that's helpful in terms of selecting sites because we know the sites we used in that study and who we want to continue. But just making sure we're ready from that regard, making sure that we're ready with clinical supplies, materials, right, the investigational product and placebo to test in the trial. So those are the activities that are underway and that we really started earlier this year, quite frankly, and that are well underway to make sure that as soon as we get the feedback from the FDA that we are ready to move as quickly as reasonable to proceed and there isn't some other, right, some other gating activity that we had not yet completed. Speaker 300:19:44Okay, great. That's helpful. And then just maybe on Ovaprene, maybe just help us understand when we should sort of start to think about sort of getting initial data or just the final readout from a timing standpoint? Thank you. Speaker 100:20:02Yes, great question. So the trial for those who may not be as familiar, so the trial is a 12 month study, meaning the subjects in the study, our goal is to follow them to have them use Ovaprene over the course of 12 months. And we'd like to have around 200, 250 women complete 12 months of use with the product. And so we started as I mentioned, we started enrolling the subjects at the end of last year. And the advertising campaign, which is important, in studies like this, it went live in March. Speaker 100:20:44And as I mentioned in my comments, we were definitely very happy with how much responsiveness we saw to the advertisement campaign, which really leverages, like as you can imagine, social media platforms to make sure people are aware of the study and can reach out to express their interest and then match them to sites. So with the ads campaign just going live in March, it's a little bit early for us to give very specific guidance, which we do want to do, and give some perspective on timelines and when we advertising campaign. And the meaning everyone is single arm, everyone is on Ovaprene. And so obviously having a line of sight into how enrollment is going gives us an opportunity to understand if there's an opportunity to look at interim data and when that will happen and when the final data will come. So at this point, what I can say definitively given that we didn't start recruiting until the end of last year is that we certainly we don't anticipate to have final data this year. Speaker 100:22:03That wouldn't really be feasible given the timeline of the study. But we definitely hope to have some meaningful updates that we can share this year. And then as we get a little bit further with the live enrollment with the ad campaign, we'll be able to give better guidance as to exactly when we expect when we would anticipate last patient out. Speaker 300:22:23Okay, great. Thank you so much. That's really helpful. Speaker 100:22:26Yes. Thank you. Operator00:22:29Your next question comes from the line of Kempe Bolivar with Brookline Capital Markets. Please go ahead. Speaker 400:22:39Okay. Thank you. I want to ask a couple of questions regarding the your balancing act now between your current funding and your plans because there's some language in the 10 Q that's pretty sober regarding the cash runway. But at the same time, your current spending levels in theory could get you past 12 months and possibly to the Ovaprene readout Based on the step down, we'll likely see an R and D expense and the fact that you really don't have much you have a small remaining obligation for the ovaprene trial. Speaker 100:23:26So how Speaker 400:23:26should we think about the spending and what the where you're able to get into where you're able to get with the readouts with the particularly with the Zoma financing in place? Speaker 100:23:38Yes. Thank you, Jim. Great question. And so as Marty mentioned in her comments and you noted, R and D spending until we start the Sildenafil trial because of the nature of our arrangement on Ovaprene and the funds we had already remitted to the NIH under our collaborative research agreement, as you noted, there's not a lot left that we've already committed to spend on that. There's another $500,000 payment on that. Speaker 100:24:08But otherwise, right, the R and D a Sildenafil Phase 3 study. And as I was mentioning, a Sildenafil Phase 3 study. And as I was mentioning in the response to Doug's question, we want to be prepared to move on that as quickly as we can. And a single Phase 3 study, our expectations at this point, at least based on what we know today, around $15,000,000 So when you look at just our baseline burn, which we in our last call had provided some guidance that our expected G and A this year was about 10,000,000 dollars for the year, right? When you start just taking all of that into considerations, Marty, dollars 22,000,000 is absolutely impactful and to your point, really gets us to some very important milestones in terms of ovaprene, progressing opportunities potentially to look at some of that interim data timing and even to your point depending on how enrollment goes even further than that. Speaker 100:25:21But we want to be very clear, right, in our communication that a single Sildenafil trial is $15,000,000 In the scheme of things, is that a lot when you think about the potential of like what Viagra did? In the marketplace, no, but we do want to make sure we're being clear in our communication given that dollar amount in relation to the 22 Speaker 400:25:46$1,000,000 That's very helpful. And to be clear, does that $15,000,000 include the activities you're engaged in now prior to initiation? Speaker 100:25:59It does because the $15,000,000 does include things like manufacturing, right, the cost of manufacturing the product for the clinical trials, certain start up, right, site start up activities. It's what we expect the all in number to be. Speaker 400:26:16Okay. And assuming the feedback from FDA is not surprising and there are only minor hiccups along the way with preparation, When do you when is a reasonable expectation for initiating the trial? Because it looks like that early 2025 is reasonable, but maybe you can start early in 2024? Speaker 100:26:43Yes. That's definitely our hope. That's a great way to look at it, right? Like we're trying to just make sure that we've checked all the boxes that we can check until we have that final protocol and then being able to move as quickly as we can once we have the protocol. But there's startup activities, right? Speaker 100:27:01You got a contract with all the sites. There's things we can't do until we have a final protocol. So our intent is to move as fast as we possibly can. That's our objective. That's our goal. Speaker 100:27:14And so we'd love to be in a position to do that this year. But it definitely, to your point, is predicated on timing and getting the comments back from the FDA. And hopefully, they're clear, as you noted, so that we can move very quickly. But like I said upfront, we're trying to make sure that we have ticked off every other activity so that we're right at Sprint. Speaker 400:27:37Okay. And you have the flexibility to delay initiating the trial until you have, say, more certainty around your runway? Speaker 100:27:50Absolutely. It's all within our control, right? So the things that we're doing now are not significant in terms of expenses, but they're important activities so that we are ready to go at our choice, right? At timing completely 100% in our discretion. Speaker 400:28:10Great. Thank you. Speaker 100:28:12Yes. Thank you for the great questions. Operator00:28:14Your next question comes from the line of Katarina Novak with Jones Research. Please go ahead. Speaker 500:28:22Hi, good afternoon. Just another one on the sildenafil trial, the potential Phase 3 trial. Can you remind us what you are still waiting on with regard to feedback? We know that you were aligned previously on indication and study population. So what endpoints are you proposing? Speaker 500:28:43And then the timing, is this a 12 week study? Or are you would it potentially be longer or shorter? What's the duration? Speaker 100:28:52Yes. Great question and great reminder to sort of refresh everyone on where we feel we already have great clarity from the FDA based on our December meeting and where really given that this is the first Phase 3 study of its kind where reasonably the FDA needs a little more time to go through all of the information we provided. So to your question, so first of all, importantly, the patient population and the indication statement and the duration of the efficacy period have all been agreed with the FDA. So the indication statement is treatment of female sexual arousal disorder, so very straightforward. The patient population are women with female sexual arousal disorder, including women who may, as a result, right, of their arousal disorder have a decrease in desire. Speaker 100:29:47That's very common. It's not only common in female sexual arousal disorder, it's the same that happens in erectile dysfunction. So very common for an arousal dysfunction to lead to a decrease in desire. So that's the patient population. And then in terms of the duration of the efficacy assessment, the FDA guidance document for conditions of this nature, it actually includes a few different sexual dysfunctions, but arousal disorder is in there, suggests that 24 week studies may be necessary for Phase 3. Speaker 100:30:26But based on our end of Phase 2 meeting with the FDA and frankly just the number of sexual events that women had in our study and our ability to show how much data you can capture in a 12 week period in terms of experiences with the product. FDA was comfortable that an adequately powered 12 week efficacy study would be sufficient. So those are places where we've got good clarity and that does, by the way, give us a lot in terms of that's part of why we're able to get so much prepped right now because that tells you a lot in terms of funding, right, things like that for the duration that are needed. Where we still have some outstanding questions are in a couple areas. One is just really understanding what ultimately may be necessary also to support safety and exposure data on the product. Speaker 100:31:22So we included partners, for instance, in our Phase 2b study to see exposure to partners, right? We have 12 week safety data from that. So we want to make sure we're clearly aligned on any expectations in that regard. And then second, we want to make sure that we're clearly aligned on the endpoints. And so your question was around, so what have we suggested? Speaker 100:31:46So just as a reminder, the Phase 2b study, the primary endpoint in the sections of a questionnaire called the sexual function questionnaire. We asked specifically the arousal sensation questions from that questionnaire as part of our co primary. It's 4 questions about genital sensations of arousal. So physical things that a woman is going to be feeling in her genital tissue. There are questions that are really highly to what happens when you get increased blood flow to the area, which is what Sildenafil does. Speaker 100:32:29But we also asked a particular question about distress. So the diagnostic criteria for erectile dysfunction and female sexual arousal disorder include that inability to attain or maintain the physical genital arousal response in men or women respectively of those indications. But also in both cases also indicates that that dysfunction causes personal distress. So in our Phase 2b, we had a question about distress. So part of what we've and then we had a number of exploratory endpoints, questions about desire, questions about orgasm, and lots of other different particular questions about distress. Speaker 100:33:09We chose in the Phase 2 be a particular question about concern, but that same questionnaire has questions about guilt and feeling inadequate and being stressed about the condition. It has 15 total questions. So part of what we presented to the Phase for the Phase 3 to the FDA is a very robust analysis of the Phase 2b data that includes what's called the psychometric analysis. It's part of validating all these different patient reported outcomes. And we've made our recommendation of the hierarchy, right, of this is arousal disorder, so obviously the arousal sensations should continue to be a part of the primary. Speaker 100:33:51But other than that, what really belongs in the secondary? And we saw improvements in orgasm, we saw improvements in desire, we saw improvements in multiple questions from the interpersonal difficulty and distress scale. So we'd like to have an opportunity to collect and include in our trial and include as potential to include in the label as many of these other aspects of the condition as possible. So that is what the FDA is reviewing right now is and for each of those, we've established through exit interviews from our Phase 2, what is a clinically meaningful improvement? It's not just enough to have a statistical improvement, but what matters to the woman. Speaker 100:34:40And so that's what the FDA is looking at right now. Our proposal for arousal sensations clearly should be primary, but then what goes into secondary? And if there's a hierarchy, what's that hierarchy? And our focus has been on all these different aspects of the sexual experience where we saw a clinically meaningful improvement. We're interested in including those in our Phase 3 study if possible. Speaker 100:35:09So sorry for the long response, but hopefully that helps very clearly outline why we're excited about the data we generated in Phase II, but also why it takes a little time for the FDA to go through, right, go through all of this. This is all brand new. We're the 1st sponsor that ever did anything like this. Yes. Speaker 500:35:31No, thanks. That's helpful. Looking forward to FDA feedback hopefully later this quarter. And then just one more question on the DARI LARC. That's a really interesting technology. Speaker 500:35:47And I'm just curious, what is the clinical program like that look for like that? Is it comparable to, let's say, what Implanon or Nexplanon looked at? Or are you also trying to test the pause and resuming dosing aspect of it? Speaker 100:36:09Yes, that's a great question. So we've started to obviously do work on what the ultimate clinical program looks like and started to map out kind of that engagement with the FDA around that. But to the first part of your question, the contraceptive effectiveness part is yes, it's going to look very much like what an explant, right, any sort of implant hormone releasing implant product looks like where you're able to establish through Phase I what your relevant doses of those hormones are and then typically move straight into a contraceptive effectiveness study because you've demonstrated that you have the hormones at the right level and then you continue to you do have to study. So similar to like what those products do is you tend to like get your approval in increments, right? So you might first go after a 1 year, 2 year, 3 year, right, duration and then you keep following the women to keep extending your years, of effectiveness. Speaker 100:37:13So very analogous to what the hormone releasing products have done and Mike's next one on as well going for their 5 year. So that's so from that piece, the piece that and then non clinically, we've already demonstrated like the pause open on demand component of the pause resume, but that will be a piece that will definitely be part of the FDA in terms of what, demonstration of that in vivo, right? Is this will be sufficient to show that in Phase 1, right? Or would that be need to be part of any Phase 3 regimen as well? Speaker 500:37:56Got it. Okay. Thanks for taking my questions. Speaker 100:38:01Great. Thank you. Operator00:38:03That concludes the question and answer session. I would like to turn the call back over to Sabrina Martucci Johnson for any additional or closing remarks. Speaker 100:38:13Thank you. Well, I really appreciated the great questions and I do have some closing comments. First of all, to thank everyone for taking the time to hear about the recent updates and our ongoing commitment to drive value all of our DARI stakeholders by identifying and advancing potential new therapies to provide additional choices, enhanced outcomes and ease of use for women. And building on the momentum of 2023, there's no doubt that it's an incredible time to be working in women's health quite frankly. We continue to be excited about the increased attention on this space through the various White House initiatives and our active participation in them, including the ARPA H ideation event that we attended in February of this year, the executive order signing at the White House in March. Speaker 100:39:02And additionally, we're thrilled to see the recent unveiling of a bipartisan Senate bill that would authorize $275,000,000 to boost research, training and public awareness around menopause specifically and midlife women's health issues, an area that is often stigmatized and overlooked and underfunded and that is particularly relevant to us, given that our work on DARE HRT1, which while it was not the focus of today's call, is a program that we are also preparing for Phase 3. It's a potential first vaginal monthly therapy for the vasomotor symptoms of menopause, as well as our Phase 2 ready DARE VVA1, our hormone free candidate for sexual pain related to menopause. So we're looking forward to seeing continued progress in the menopause space and the potential progress of this new bill. Earlier this month, we were also selected as a member spoke of the Investor Catalyst Hub, which is the regional hub of ARPA Net Age, the nationwide health innovation network launched by ARPA Age. Through our participation, we get access to potential funding and flexible contracting for faster award execution compared to traditional government contracts. Speaker 100:40:19We can provide input on ARPA H challenge areas and priorities and really help to ensure that women's health remains at the forefront of innovation. So these moments truly show just how much can be accomplished by bringing focus the Speaker 400:40:40rest Speaker 100:40:44of this year holds for Dare. As we look ahead to the rest of the year, we expect several milestones this year, including as we've been talking about ovaprene and the pivotal study updates, as we're working to complete, what we expect to be the single registration study and are definitely looking forward to giving updates on our discussions with the FDA and the activities to commence our Phase 3 for our potential 1st in category treatment option for female sexual arousal disorders, Sildenafil Cream. So our unique model and the support of our commercial DARE stakeholders. And we look forward to keeping you updated on our progress toward the milestones we discussed today. So thank you. Operator00:41:35Gentlemen, that concludes today's call. Thank you all for joining. YouRead morePowered by