Jaguar Health Q1 2024 Earnings Call Transcript

Quartr
Provided by Quartr
May 14, 2024

There are 3 speakers on the call.

Operator

Before I turn the call over to management, I'd like to remind you that management may make forward looking statements relating to such matters as continued growth prospects for the company uncertainties regarding market acceptance of products the impact of competitive products and pricing industry trends and product initiatives, including products in the development stage, which may not achieve scientific objectives or meet stringent regulatory requirements. Forward looking statements are subject to risks and uncertainties that could cause actual results to differ materially from those contemplated in such forward looking statements. These statements are based on currently available information and management's current assumptions, expectations and projections about future events. While management believes its assumptions, expectations and projections are reasonable and in view of currently available information, you are cautioned not to place undue reliance on these forward looking statements. The company's actual results may differ materially from those discussed during the webcast for a variety of reasons, including those described in the Forward Looking Statements and Risk Factors sections of the company's Form 10 ks for the year 2023, which was filed April 1, 2024, and its other filings with the SEC, which are available on the Investor Relations section of Jaguar's website.

Operator

Except as required by law, Jaguar undertakes no obligation to update or revise any forward looking statements contained in this presentation to reflect new information, future events or otherwise. Additionally, please note that the company supplements its condensed consolidated financial statements presented on a GAAP basis by providing non GAAP EBITDA and non GAAP recurring EBITDA. Jaguar believes that the disclosure items of these non GAAP measures provide investors with additional information that reflects the basis upon which company and management assesses and operates the business. These non GAAP financial measures should not be viewed in isolation or as substitutes for GAAP net sales and GAAP net loss and are not substitutes for or superior to measures of financial performance in conformity with GAAP. Today's conference is being recorded.

Operator

At this time, it's my pleasure to turn the call over to Lisa Conti, Jaguar Health's Founder, President and Chief Executive Officer. Lisa, the floor is yours.

Speaker 1

3, 2, 1, here we go, earnings call for the 1st quarter

Operator

And Peter, just wanted to confirm your line is not on mute.

Speaker 1

321, here we go, earnings call for the Q1 2024. Hello. Thank you all for joining our webcast for the Q1 of 2024. My name is Lisa Conti. I'm the Founder, President and CEO of Jaguar Health and our wholly owned subsidiary, NAPO Pharmaceuticals.

Speaker 1

And I am the Chairman of our Italian subsidiary, NAPO Therapeutics. As usual, I may use the words Jaguar and NAPO interchangeably when I'm referring to our company and our company activities. Following my comments this morning, our CFO, Carol Lizaac, will provide a recap of the financial highlights for the Q1 of 2024. However, I apologize, Carol, I'm going to steal your thunder somewhat because I am so pleased to report our combined Q1 2024 net revenue of approximately $2,400,000 for our prescription and non prescription products increased approximately 20% versus Q1 2023 last year and increased approximately 4% versus the Q4 of 2023. And you'll hear more financial highlights from Carol shortly.

Speaker 1

Now I will once again address what I feel is the burning question that I continue to legitimately hear from shareholders: the timing of the release of results from our on target trial. We are upgrading our timing expectation. We expect the top line results to be imminent, not forthcoming as I've indicated before, but upgrading to imminent. Until the results are released, we at Jaguar remain blinded to them. As a reminder, the on target trial is our pivotal Phase 3 trial of prophylamer, which is our novel plant based prescription drug, trade name Mytesi.

Speaker 1

And the trial is for the prophylaxis or the prevention of cancer therapy related diarrhea, which we refer to as CTD, in patients with all solid tumor types on targeted therapy with or without cytotoxic chemotherapy. And we have referred to that as a basket trial aiming for a broad label based on the results of the trial. We thankfully now live in the age of targeted therapies for cancer treatment. And thanks to these amazing drugs, cancer patients and metastatic cancer patients are now living longer, 5, 10, 20 years. Targeted therapies though can lead to severe side effects.

Speaker 1

I'd like to describe the shifting paradigm we're experiencing in the cancer care community. Metastatic patients, as I mentioned, for example, are living longer. Though living longer on these targeted therapies that they're taking indefinitely. Hence, the side effects often continue indefinitely. Sometimes these side effects become therapy limiting, meaning the patient must go off or reduce their drug to a sub therapeutic level, a sub therapeutic level of their life saving treatment or go off their life saving treatment.

Speaker 1

Side effects are graded in severity from 1 to 4. And even side effects of grade 1 or 2, so the least severe 1 or 2, can dramatically decrease patient comfort, dignity, quality of life and critically, their ability to adhere to their cancer treatment regimen, as I mentioned. Research publications on these therapies often referred to Grade 1 and 2 side effects, not Grade 3 and 4, Grade 1 and 2 side effects as tolerable toxicities. And we have to ask ourselves, tolerable to whom? For example, let's take cancer therapy related diarrhea.

Speaker 1

Grade 2 is 4 to 6 loose watery stools a day with potential incontinence. How is that tolerable? How is that tolerable indefinitely? Oral mucositis, for example, is various levels of pain resembling broken glass in your mouth with a hotness like a habanero pepper. Who wants to live like that?

Speaker 1

Who can live like that indefinitely? A prominent cancer patient advocate, a person living with metastatic lung cancer for 15 years now, speaks about the 21 distinct side effects of cancer treatment that she has managed throughout her continuing battle with cancer. Obviously, there is an abundance of unmet medical need in cancer supportive care. And there are no acceptable toxicities. Our goal is to achieve a leadership role and continue a leadership role in oncology supportive care.

Speaker 1

And we at Jaguar and Napo are evaluating additional commercial opportunities in this area to supplement our efforts in CTD, cancer therapy related diarrhea and now oral mucositis. Oral mucositis, as announced recently, we have expanded Jaguar's commercial footprint beyond HIV supportive care at this moment to include cancer related supportive care with our recent in license of the FDA approved oral mucositis prescription product, GELCLARE. And for the U. S. Market, this is our first building block into this new franchise.

Speaker 1

NAPO exhibited at the Oncology Nursing Society Congress last month in Washington, D. C, where we drove awareness among the oncology nursing community about our expanding focus on cancer supportive care. As nurses play, of course, a vital role in providing integrative supportive care to cancer survivors, cancer patients under treatment to meet the various physical, psychological and social support needs. The reception to Glen Dau Claire at this conference and we had a booth at the ONS conference, was fantastic. Numerous oncology nurses told us how pleased they were to learn that this product, which was available in the U.

Speaker 1

S. A number of years ago, is coming back. GELClare is paradigm shifting and fits with our model of paradigm shifting solutions in supportive care. In addressing mucositis in that it's soothing, it's calming, it's protective to the patient, it's an adhesion to the patient wounds, not just an attempt to numb the mouth to pain as is the approach with current available treatments. It's clear from the conversations we had at the ONS conference with nurses from around the country that JOCLARE is beloved by the training community and patients.

Speaker 1

And we're so pleased to say it's back. The next large oncology event at which we will exhibit is the American Society of Clinical Oncology, ASCO. It's the annual meeting, which always takes place in Chicago this year, May 31 to June 4. It's the largest cancer gathering each year attended by more than 40,000 oncology professionals and from around the world. So I'll now turn to our second shot on goal, our other shot on goal and that for CROFELEMIR.

Speaker 1

And that is our focus on rare disease indications of CROFELEMIR. This is a distinct formulation of prophylamer, distinct from my test C and therefore, a distinct product. It's a highly meant to be a highly concentrated liquid administered. Jaguar has 5 clinical efforts across the globe, North America, Europe and the Middle East, including multiple FDA and international regulatory filings to support clinical testing of Crevelamer for intestinal failure associated with short bowel syndrome and the ultra rare pediatric indication of congenital diarrheal diseases. And very specifically, you'll hear MVID, microvillous inclusion disease, which is a very specific congenital diarrheal disorder.

Speaker 1

I just returned yesterday or actually last week from an overseas trip to meet with professionals and their patients, several of our clinical investigators. And I have to say the humble nature and devotion of these health care professionals to their patients and their patients are frequently on parenteral nutrition for as long as 20 hours a day, 7 days a week. Some of them don't leave hospital care for years at a time. This is catastrophic for the patient. Yet, as I mentioned, the nature of the health care providers was absolutely heartwarming.

Speaker 1

The entire Jaguar NAPO team that I was with couldn't help feeling that these health care professionals are doing God's work. And I mean that in the colloquial sense, not the religious sense, though it is interesting because one of the hospitals that we were visiting was right next to the Vatican. Our goal, our near term clinical benchmark for intestinal failure is to generate clinical proof of concept in both the MVID and the short bowel syndrome patients In support of potential reimbursed early patient access generation in 2024 for CROFLAMER for these rare diseases. And we do have orphan designation for both short bowel syndrome and MBID in the U. S.

Speaker 1

And Europe. But to generate the early patient access in Europe, which is a program that does not exist in the United States. So to wrap this up, through the process of sustainably bringing Cofelamer from a tree in the rainforest to a product, Mytesi, in any pharmacy we want across United States currently for the supportive care indication of adults living with HIV AIDS who have noninfectious diarrhea. We at Jaguar have gained a great deal of experience about educating health care professionals and patients NPAT payers about the paradigm shifting mechanism of action. We learned too from the veterinary and pet parent response to our Crevelamer prescription product, CANALLEVIA, which is conditions CANALLEVIA CA1, which is conditionally approved by the Center of Veterinary Medicine of the FDA for chemotherapy induced diarrhea of dogs.

Speaker 1

We have a deep, deep dedication to patient supportive care. Now is the time. And we look forward to continuing to develop and commercialize prescription pharmaceuticals for essential, supportive care and management of neglected symptoms across multiple complicated disease states for patients in need all around the world. We will now hear from our CFO, Carol Leizak, regarding the financial highlights from the Q1 of 2024. And then I will be back.

Speaker 1

Thank you.

Speaker 2

The combined net revenue for the company's Cresembler prescription products Mytesi and CANALIVIA CA1 and the company's non prescription products was approximately $2,400,000 in the Q1 of 2024, representing an increase of approximately 20% over the combined net revenue in the Q1 of 2023, which totaled approximately $2,000,000 and an increase of approximately 4% over the combined net revenue in the Q4 of 2023, which totaled about $2,300,000 Mytesi prescription volume decreased in the Q1 of 2024 compared to the Q4 of 2023 by 7%, which occurs every year as commercial and Medicare insurance deductibles reset and result in higher co pays for patients in Q1. Prescriptions decreased slightly by 2.5% in the Q1 of 2024 compared to the Q1 of 2023. Prescription volume differs from the invoiced sales volume, which reflects among other factors, varying buying patterns among specialty pharmacies in the closed network as they manage their inventory levels. Loss from operations decreased by $1,600,000 from $9,900,000 in the quarter ended March 31, 2023 to $8,200,000 during the same period in 2024. Non GAAP recurring EBITDA for the Q1 of 2024 and the Q1 of 2023 were a net loss of $7,500,000 $9,000,000 respectively.

Speaker 2

Debt loss attributable to common shareholders decreased by approximately $2,900,000 from $12,200,000 in the quarter ended March 31, 2023 to $9,200,000 in the same period in 2024. That concludes my recap of high level financials for the 1st quarter of 2024. I will now hand the discussion back to Lisa.

Speaker 1

Thank you, Carol, and thank you all who joined this call. I do want to just clarify something that I said earlier, and that's regarding early patient access for cofelimab for intestinal failure in Europe. So I mentioned that it's based on proof of concept results. Those results may start coming in 2024 2025. We would expect the early patient access reimbursed program, therefore, based on those results to occur in 2025.

Speaker 1

And, with that, I want to thank you all again. We're highly, highly energized about all the important near term initiatives, including Nuuly, the launch of upcoming launch of GELClare and what is now imminent results from on target for cancer therapy related diarrhea Phase 3 clinical trial for croshelmir and this is a formulation that we currently have on the market, Mytesi. Thank you all for the support of our mission to develop and commercialize prescription pharmaceuticals, plant based for essential supportive care and management of neglected symptoms across multiple complicated disease states with a very strong focus right now on cancer patients in need around the world. And that's the conclusion of our call for today. Have a good day.

Operator

And this concludes today's call.

Powered by Quartr

Key Takeaways

  • Combined Q1 2024 net revenue reached approximately $2.4 million, a 20% increase year-over-year and 4% quarter-over-quarter.
  • Jaguar expects imminent top-line results from its pivotal Phase 3 “On Target” trial of prophylamer (Mytesi) for cancer therapy-related diarrhea.
  • The company has in-licensed GELClare for oral mucositis, marking its expansion into oncology supportive care beyond HIV-associated diarrhea.
  • Jaguar is advancing crofelemer for rare disease indications—including short bowel syndrome and microvillous inclusion disease—with plans for reimbursed early patient access in Europe by 2025.
  • Loss from operations decreased by $1.6 million year-over-year to $8.2 million in Q1 2024, and net loss attributable to common shareholders fell by $2.9 million.
AI Generated. May Contain Errors.
Earnings Conference Call
Jaguar Health Q1 2024
00:00 / 00:00