Kura Oncology Q1 2025 Earnings Report

Kura Oncology EPS Results

• Actual EPS: -$0.66
• Consensus EPS: -$0.51
• Beat/Miss: Missed by -$0.15
• One Year Ago EPS: N/A

Kura Oncology Revenue Results

• Actual Revenue: $14.11 million
• Expected Revenue: $39.08 million
• Beat/Miss: Missed by -$24.97 million
• YoY Revenue Growth: N/A

Kura Oncology Announcement Details

• Quarter: Q1 2025
• Date: 5/1/2025
• Time: After Market Closes
• Conference Call Date: Thursday, May 1, 2025
• Conference Call Time: 4:30PM ET

Kura Oncology (NASDAQ:KURA), a clinical-stage biopharmaceutical company, develops medicines for the treatment of cancer. The company's pipeline consists of small molecule product candidates that target cancer. Its lead product candidates are ziftomenib, an orally bioavailable small molecule inhibitor of the menin-KMT2A interaction for the treatment of genetically defined subsets of acute leukemias, including acute myeloid leukemia and acute lymphoblastic leukemia; tipifarnib, an orally bioavailable farnesyl transferase inhibitor combination with alpelisib for patients with PIK3CA-dependent HNSCC; and KO-2806, a farnesyl transferase inhibitor for the treatment of solid tumors. It has a clinical collaboration with Novartis Pharma AG to evaluate the combination of tipifarnib and alpelisib in patients with head and neck squamous cell carcinoma whose tumors have HRAS overexpression and/or PIK3CA mutation and/or amplification. The company was founded in 2014 and is headquartered in San Diego, California.

Kura Oncology Q1 2025 Earnings Call Transcript

Presentation

[Operator]

Please standby. Your program is about to begin. If you need assistance during your conference today, please press 0. Good day everyone and welcome to today's First Quarter twenty twenty five CURA Oncology Financial Results Conference Call. At this time, all participants are in a listen only mode.

[Operator]

Later, you will have the opportunity to ask questions during the question and answer session. You may register to ask a question at any time by pressing star one on your telephone keypad. You may withdraw yourself in the queue by pressing star 2. Please note this call may be recorded, and I will be standing by if you should need any assistance. It is now my pleasure to turn the conference over to Aparva Shaloui.

[Operator]

Please go ahead.

[Executive]

Thank you, operator. Good afternoon, and welcome to Curra Oncology's first quarter twenty twenty five conference call. Joining me on the call are Doctor. Troy Wilson, President and Chief Executive Officer Doctor. Molly Leone, Chief Medical Officer Brian Powell, Chief Commercial Officer and Tom Doyle, Senior Vice President of Finance and Accounting.

[Executive]

Before I turn the call over to Doctor. Wilson, I'd like to remind you that today's call will include forward looking statements based on current expectations. Such statements represent management's judgment as of today and may involve risks and uncertainties that could cause actual results to differ materially from expected results. Please refer to CURA's filings with the SEC, which are available from the SEC or on the CURA Oncology website for information concerning risk factors that could affect the company. With that, I'll turn the call over to Troy.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Thank you, Apoorva. Good afternoon, and thank you all for joining us. Over the past quarter, we've made substantial progress executing against our pipeline. We've achieved important clinical and regulatory milestones, which have clinically and financially derisked our preparations to commercialize ZIFTOMENIB in acute myeloid leukemia or AML, including the recent NDA submission for Ziftamenib as a monotherapy in relapsed or refractory NPM1 mutant AML. The Ziftamenib monotherapy Phase II registrational data were accepted for oral presentation at the twenty twenty five ASCO Annual Meeting, which will be the first of multiple clinical data updates we anticipate presenting at major oncology medical meetings throughout this year.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Earlier this week, we announced the first patients with advanced gastrointestinal stromal tumors or GIST after imatinib failure were dosed with the combination of ziftermenib and imatinib. Our FTI program continues to advance and we expect to share preliminary clinical data from multiple Phase one cohorts later this year, evidencing the potential of FTIs as combination therapies. As we continue to build Kura into a fully integrated organization, we're pleased to announce the appointment of Sameer Vatompadam to our leadership team as Senior Vice President, Global Program Leadership. Sameer joins Kura with more than twenty years of experience in the biotech and pharmaceutical industry, including extensive leadership of global program teams, have driven the development and commercialization of 16 novel medicines and indications across 13 diseases, primarily in oncology and hematology. As adjusted for the $45,000,000 milestone payment under our collaboration agreement with Curecuren, upon receipt by FDA of the NDA submission for ZYPTEMEDIB, Kura had on a pro form a basis $703,200,000 in cash, cash equivalents and short term investments as of 03/31/2025.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Accounting for the $45,000,000 milestone payment, we stand to receive an additional $375,000,000 in near term anticipated milestones. This strong cash position provides sufficient capital to fund our ZYFTOMENEV AML program to commercialization in the frontline setting as well as advance our pipeline to multiple value inflection points. With that overview, let's now dive in, starting with ZiftoMenib. On March 31, we submitted our New Drug Application, or NDA, for ZiftoMenib, our once daily oral investigational menin inhibitor. As a reminder, ziftomenib is the first and only investigational therapy to be granted breakthrough therapy designation for treatment of relapsed or refractory NPM1 mutant AML.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

There are no FDA approved therapies targeting NPM1 mutant AML, which represents approximately thirty percent of new AML cases annually and is a disease of significant unmet need. Priority review was requested, which if granted would provide a target FDA review period of six months from from NDA acceptance. FDA has been a collaborative and supportive partner. And although it's early days in our review cycle, we've not experienced any disruptions or delays due to the changes underway at Health and Human Services or FDA. We look forward to continuing to work closely with the agency throughout the review process and are optimistic about the potential for zyftamentid to impact patients with relapsedrefractory NPM1 mutant AML.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

With that introduction, I'd like to turn it over to Molly to walk through updates to our development pipeline and programs. Molly?

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

Thank you, Troy. First, let's start with our Ziftamenib development program. Earlier this year, we announced COMMENT001, our Phase II registration directed trial of Ziftamenib in patients with relapsedrefractory MPM1 mutant AML had achieved its primary CRCRH endpoint. And we are pleased the data will be shared in an oral presentation at the upcoming twenty twenty five ASCO Annual Meeting in Chicago. The benefitrisk profile for ziptimedib in this patient population is highly encouraging.

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

And the safety profile remains consistent with data shared previously. We believe the combination of favorable safety and tolerability profile and clinical activity in this once daily oral medication support a competitive profile in the relapsedrefractory setting as well as clinical development in the critical frontline indications. Our plan is to socialize the data among scientific and medical communities in The U. S. And Europe between the oral presentation at ASCO, as well as an ENCORE presentation of the data at the twenty twenty five EHA Congress, ahead of potential marketing approval.

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

Moving to the combinations, we continue to see robust enrollment in both the COMMENT-seven and eight studies, which are evaluating ziftaminib in combination with various standards of care. We are pleased to announce the preliminary clinical data from the Phase 1b expansion cohort evaluating the combination of Ziftamenib with intensive chemotherapy in the frontline setting has been accepted for an oral presentation at EHA. And we anticipate presenting preliminary clinical data from the seven Phase Ib expansion cohort evaluating Zivtomenib in combination with venetoclax and azacitidine in the frontline setting in the second half of the year. These will be important updates as they will help inform the safety, tolerability, and potential clinical activity of the triplet combinations and directly inform the design and conduct of the Phase III frontline trials under the COMMIT-seventeen protocol. In addition, we announced last quarter we had reached alignment with FDA and EMA for the design and conduct of this trial.

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

Notably, we also announced we had broken new ground to use MRD negative CR and CR respectively as primary endpoints for accelerated approval in The United States in the intensive and non intensive chemotherapy frontline trials respectively. As a reminder, the global protocol comprises of two independent randomized double blind placebo controlled phase three trials to evaluate Ziftermenib in combination with both intensive and non intensive combination regimens in patients with newly diagnosed MPM1 mutant and our KMT2A rearranged AML. We have received feedback from institutions, investigators, and their study teams that the design of COMMIT-seventeen with two independent phase three trials under a single protocol is very attractive to clinical sites because it simplifies trial startup and conduct and provides a single option to nearly all of their eligible frontline patients. COMMENT-seventeen is now in study startup and we remain on track to initiate the studies in the second half of this year. Turning our attention to solid tumors.

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

Earlier this week, we announced the first patients dosed in our Phase one COMET 15 trial to evaluate the safety, tolerability, and preliminary tumor and antitumor activity in Ziftovenib in combination with imatinib in adults with GIST who are currently on or have previously been treated with imatinib therapy. Approximately four thousand to six thousand new cases of GIST are diagnosed each year in The US. And advanced GIST patients have limited treatment options. The current frontline standard of care regimen in these advanced patients is imatinib, which targets KIT inhibition. The challenge is most patients eventually develop resistance to imatinib due to the development of secondary KIT mutations.

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

TKIs,

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

such

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

as sunitinib, target imatinib resistant genotypes and are approved in later lines. The response rates and long term outcomes are modest, so new therapeutic options are needed. Ziftamenib offers potential to shift the treatment paradigm in GIST. Although we could certainly pursue development in advanced GIST patients who have failed imatinib treatment, this novel mechanism of action potentially permits Ziftamenib to prevent resistance to imatinib in the frontline setting, an approach which builds on the strength of imatinib itself and is not addressed with current therapies. The dosing of the first patients marks a significant milestone to develop a new combination treatment to potentially improve outcomes and address a meaningful unmet need for GIST patients.

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

We look forward to sharing clinical updates as it becomes appropriate. Moving from our ZIFTA MENNEB development programs to our FTI development programs, We continue to make significant progress in the FIT one trial, evaluating our next generation for nestled transferase inhibitor KO2806 as both monotherapy and importantly in combination. Our approach is a revolutionary one, where FTIs are used in combination with targeted therapies to either blunt or overcome resistance and potentially drive deeper and more durable responses, reshaping the FTI story. We expect to share combination data for two thousand eight hundred and six plus cabozantinib in renal cell carcinoma in the second half of twenty twenty five. We also anticipate sharing data from the phase one monotherapy dose escalation of two thousand eight hundred and six in patients with RAS mutations in the second half of twenty twenty five.

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

We are pleased to report the momentum continues in the FIT-one trial and we expect to initiate one or more expansion cohorts of two thousand eight hundred six and cabozantinib in patients with advanced renal cell carcinoma in the second half of twenty twenty five. We also continue to evaluate the combination of two thousand eight hundred and six and adagrasib in patients with KRAS G12C mutant solid tumors. And finally, we are pleased to share that the current HN Phase I trial that was evaluating tipifarnib in combination with alpaloceb in patients with recurrent or metastatic PIK3CA dependent head and neck squamous cell carcinoma is now closed to enrollment. We anticipate sharing clinical data later this year and are evaluating the next steps for that combination and the program. And with that, I will turn it back over to Troy.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Thank you, Molly. Regarding the dynamic macro landscape in which we're now operating, we continue to monitor developments and remain vigilant to the rapidly evolving situation and we're prepared to adapt as needed. At this time, we believe the impact from tariffs would be negligible. And additionally, all of our intellectual property is domiciled in The United States. Importantly, in this challenging market, our strategic partnership with Kewa Kirin provides us with greater development, commercial and operational resources, as well as increased financial stability.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Our partnership and cash resources enable our team to stay focused and execute on our pre commercial and launch preparation efforts as well as our efforts to create a clinically meaningful impact in other areas such as GIST, renal cell carcinoma and other solid tumors. I'll now turn it over to Tom to provide the first quarter financial highlights. Tom?

[Tom Doyle, Senior Vice President of Finance and Accounting at Kura Oncology]

Thank you, Troy, and good afternoon, everyone. Collaboration revenue from our KyowaCurrent partnership for the first quarter of twenty twenty five was $14,100,000 compared to no revenue in the first quarter of twenty twenty four. Research and development expenses for the first quarter of twenty twenty five were $56,000,000 compared to $36,300,000 for the first quarter of twenty twenty four. General and administrative expenses for the first quarter of twenty twenty five were $22,800,000 compared to $18,200,000 for the same period in 2024. Net loss for the first quarter of twenty twenty five was $57,400,000 compared to a net loss of $49,500,000 for the first quarter of twenty twenty four.

[Tom Doyle, Senior Vice President of Finance and Accounting at Kura Oncology]

This included non cash share based compensation expense of $7,800,000 compared to $8,500,000 for the same period in 2024. As of 03/31/2025, Kura had cash, cash equivalents, and short term investments of $658,200,000 compared to $727,400,000 as of 12/31/2024. As adjusted for the $45,000,000 NDA submission milestone payment under our collaboration agreement with Kyowa Kirin, Kura had on a pro form a basis $703,200,000 in cash, cash equivalents and short term investments as of 03/31/2025. Based on our current operating plans, we believe that our cash, cash equivalents and short term investments as of the end of the first quarter will be sufficient to fund our current operating expenses into 2027. If we include anticipated collaboration funding and milestones under the QOA agreement, Kura's financial resources should support advancement of our zyptomenib AML program through commercialization in the frontline combination setting.

[Tom Doyle, Senior Vice President of Finance and Accounting at Kura Oncology]

With that, I'll turn the call back over

[Tom Doyle, Senior Vice President of Finance and Accounting at Kura Oncology]

to Troy.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Thank you, Tom. Before we jump into the question and answer session, let me lay out our anticipated upcoming milestones. For zifdemenib and our menin inhibitor programs, we look forward to presenting full data for COMET-one in Q2 twenty twenty five in an oral presentation at ASCO and an ENCORE presentation at EHA present preliminary clinical data from the COMMENT-seven Phase Ib expansion cohort evaluating ziftamenib with intensive chemotherapy or seven plus three in the frontline setting at EHA presenting preliminary clinical data from the COMMENT-seven Phase Ib expansion cohort evaluating ZIFTOMENIB with venetoclax and azacitidine in the frontline setting at a medical meeting in the second half of twenty twenty five initiating COMMENT-seventeen, two independent Phase III registration enabling trials in frontline intensive and non intensive AML in the second half of twenty twenty five and nominating a development candidate for a next generation menin inhibitor program in diabetes in mid-twenty twenty five. For our farnesyl transferase inhibitor programs, we expect the following milestones: initiate one or more expansion cohorts of KO-two thousand eight hundred six and capozantinib in patients with advanced renal cell carcinoma in second half twenty twenty five present data from the FIT-one Phase I trial evaluating 2,806 and cabozantinib in patients with renal cell carcinoma in the second half of twenty twenty five present data from the FIT-one Phase I monotherapy dose escalation of two thousand eight hundred and six in patients with RAS mutations in second half twenty twenty five And finally, to present data from the current HN trial evaluating tipifarnib and delpelisib in PIK3CA mutant head and neck squamous cell carcinoma in the second half of twenty twenty five.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

With that, Jess, we're now ready for questions.

[Operator]

Thank you, sir. We will move first to Lee Watsik with Cantor Fitzgerald.

[Analyst]

Hi, team. This is Dan on for Lee. Congrats on the progress and the milestone payment. Can you maybe set the expectations for the combo data coming later this year, especially the cohort? What do you need to show us to be competitive?

[Analyst]

It looks like some of your competitors have kicked off a Phase III trial here. Just update us a little bit as well what you're thinking about in terms of initiating the frontline trial. Thanks.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Yeah, thanks, Dan, for the questions. So just to recap, so what are we looking for from the ASA VEN cohort and then really timing of initiation of that trial relative to the competition. Molly, would you like to take Dan's questions?

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

Sure. As I'll remind you, we're always looking for, especially in these preliminary data presentations, safety as our first, second and third priorities. So the ability to safely combine our Ziptamenib with the Venaza in the frontline is what we really wanna establish. And obviously now being able to finally see the data in these frontline patients, we'll be able to see some additional characteristics about time on treatment and overall patients' responses to therapy. So, we look forward to being able to show you the combinability of Zifterman with these agents that can be difficult to combine with if there was to be any added toxicity or any adverse events on combination.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

And Dan, with respect to your question around timing, we remain on track to start the study in the second half of twenty twenty five.

[Analyst]

Okay. Thank you.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Sure.

[Operator]

We'll go to Jonathan Chang with Leerink Partners.

[Jonathan Chang, Senior Managing Director at Leerink Partners]

Hi, guys. Thanks for taking my questions. First question, can you discuss how the changes at the regulatory agency have impacted or not the potential approval process and timelines for ceftobemab?

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Yeah, they have

[Jonathan Chang, Senior Managing Director at Leerink Partners]

That's the question.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Yeah, go ahead, Jonathan. Go ahead.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

I'm sorry. Second part. No, no, go ahead.

[Jonathan Chang, Senior Managing Director at Leerink Partners]

Oh, the second question, can you help set expectations for the upcoming ASCO presentation of the COMMENT-one results? And how should we be thinking about what will be in the abstract versus the full presentation? Thank you.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Yes. Thanks, Jonathan. Thanks for that. So as for any changes underway at FDA, As we said in the prepared remarks, we're not seeing any impact at all. The agency has been responsive, collaborative, productive.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

So we're not seeing any effects at all. We requested priority review. We'll be able to give guidance. We would expect to receive notification from FDA on whether the application has been accepted for review and the PDUFA date here in the second quarter and we can communicate that at that time. But at this point, it's business as usual.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

I'll just add Jonathan, recall that we have breakthrough therapy designation in NPM1 mutant AML. And as we said at the time, this is when that designation matters, because agents that have breakthrough therapy designation generally get a higher priority and more resources within FDA, because of course they are directed at significant unmet needs and needs for which there's no available therapy. And so whether or not that's playing into the fact that we're not seeing any impact at all, I can't say. But I think we feel today pretty good about where we are with FDA. With respect to the second part of your question about the monotherapy data, again, we've answered this question many times.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

The CRCRH rate will be between twenty percent and thirty percent. We'll also look at time on treatment, safety and tolerability, all the key considerations. You'll see much of that articulated in the abstract. The ASCO presentation will have a more fulsome data set, of course, because you can go much beyond the abstract. The timing of those two, they'll be as of the same data cut off, But of course, the oral presentation will have more data, of course, relative to the abstract.

[Jonathan Chang, Senior Managing Director at Leerink Partners]

Got it. Thanks for taking my questions.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Sure, happy to.

[Operator]

We'll go next to Salim Syed with Mizuho.

[Salim Syed, Managing Director, Equity Research at Mizuho Securities]

Great. Thanks for the question and commentary today, Troy and team. I guess one just for your upcoming expected launch in the NPM1 setting. A lot of people I think are thinking here that at least in terms of CRH rates here that these two menin inhibitor molecules seem more or less the same. Just curious what your updated market share work is sort of telling you Troy, how these are going to sort of get used once if and when they're both on the mark in the relapsed refractory setting.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Yes, let me Selim, it's a good question. Let me comment and then I'd actually ask Brian to maybe add his thoughts. Obviously, let's have that conversation, I think. I understand why you're asking the question. We keep emphasizing safety, tolerability, clinical activity.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

It is the whole package. It's important as a monotherapy. It becomes increasingly important as one goes into combination. We have of course done internal demand studies. I don't think we've ever made that public.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

But we do believe that ZYFTOMENIB will be very competitive in the relapsed refractory setting. And we're obviously seeing very strong enrollment in the combo settings, which I think again speaks to its ability to treat more patients and ideally get them to better outcomes overall. But Brian, anything you'd add?

[Brian Powl, Chief Commercial Officer at Kura Oncology]

I think you answered that. Thank you, Troy. I think you answered that pretty well. I would just maybe add, as you said, we've been doing our demand studies trying to get a better understanding of where we see the potential profile differences between agents that come forward. I think that what we're seeing is that this will be a competitive space as we expected, but that we have a very good confidence I think in the strength of our profile that we will be able to be competitive in that monotherapy launch and we're going to put the resources behind to support that as well.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Yes. And Salim to that point, this is one of the advantages of our partnership. We know we're going to be competing for patients, right? This is it's an area of high unmet need. It will be we think be a competitive dynamic, but we're planning and we haven't, we'll provide greater color on this as we get later in the year.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

But Brian and his team are working very thoughtfully with our colleagues at Kilachearen. And we expect to bring the resources and the focus to bear on competing for every single patient. So, and we're doing that ideally in the relapsed refractory setting, but also ultimately we do we are optimistic that you're going to see use of these menin inhibitors in earlier lines of therapy and in combination. So there's a lot of education to be done.

[Salim Syed, Managing Director, Equity Research at Mizuho Securities]

Okay, perfect. Thanks so much.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Of course.

[Operator]

We'll move next to Jason Zemanski with Bank of America.

[Cameron Bozdog, Equity Research Associate at Bank of America]

Hey, team. This is Cameron on for Jason. Congrats on the updates, and thanks so much for taking our question. So, the dots from some of your earlier comments, as you look to additional combination data from seven at EHA starting with the FIT population, what in your view would constitute a win from the seven plus three combo, specifically on response rates in KMT2A and MPM1? How does that change now that we should see data in non adverse risk patients?

[Cameron Bozdog, Equity Research Associate at Bank of America]

And then as we start to get additional insights into MRD negativity, what would drive confidence here in a potential pathway to accelerate approval for ZIFTO ultimately?

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Yeah, that's really good questions, Cameron. Let me ask Molly if she can speak to those.

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

Sure. As we've shown our frontline FIT data in the past, we're obviously seeing really high rates of response, even in the adverse risk patient. It would be hard to improve upon the 100% response rates we were seeing, nor did we expect to maintain that perfection. But throughout the literature, what we've seen is that in these patient populations, you expect to see anywhere from a sixty to a ninety percent CRC rate. So, maintaining and not interfering with the efficacy of the backbone and hopefully augmenting it, of course, is the goal.

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

How do you augment an ORR rate that's that impressive? Well, you don't exactly target the ORR rate. As you referenced, we're looking at other signs as well. Usually, most of these patients will become relapsedrefractory within a year. You're gonna see data on patients that are approaching a year's worth of therapy so that you can get an idea of maybe the durability of these patients' responses to this combination of therapy.

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

And obviously, we will be showing MRD data as well. However, I'm not sure if we will be able to show a centralized version at the time of the presentation. So, it'll still be a mix of both bone marrow and peripheral blood, which will make interpretation slightly more difficult. But of course, in bone marrow you expect maybe forty percent of patients to achieve MRD negativity. So, that should be an anchoring point for looking at the data.

[Cameron Bozdog, Equity Research Associate at Bank of America]

Great, thank you.

[Operator]

Thanks, We'll go next

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

to Charles Yu with LifeSci Capital.

[Charles Zhu, Managing Director, Senior Biotechnology Research Analyst at LifeSci Capital, LLC]

Hey, everyone. Thanks for taking the question. I'll start off by saying congratulations on submitting your NDA in MPM1 AML. Interesting timeline relative to your competitor's sNDA, even though they hit top line months before you did. But anyways, on to the question.

[Charles Zhu, Managing Director, Senior Biotechnology Research Analyst at LifeSci Capital, LLC]

I'll ask one actually on foreign eszyltransferase inhibitors regarding KO-two thousand eight hundred and six. How do you envision the longer term in combination development with VEGF TKIs in RCC? Just given the movement in that space with next gen VEGF TKIs, HIF2ALF, both checkpoint inhibitors and how do you see KO2806 fitting into that as it shapes out longer term? Thank you.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Yeah, Charles, thanks for the question. Molly, do you want to answer Charles' question about how we see 02/1400 fitting into the evolving RCC landscape?

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

Of course. So, I mean, as you point out, there are thankfully new therapies coming into this area of high unmet need. But none of them are going to be curative. And so until there's a cure, there's always gonna be the need for additional therapies. We see the combination of 02/2006 with cabo to be highly synergistic with the way physicians are currently comfortable treating.

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

So they will be able to make use of a drug they're comfortable with, that they've seen high rates of response with. And hopefully with the addition of two eight hundred and six, they'll see deeper, longer and higher rates of response for these patients. So, we see a very big potential for two thousand eight hundred and six to really augment the current treatment paradigms.

[Charles Zhu, Managing Director, Senior Biotechnology Research Analyst at LifeSci Capital, LLC]

Got it, great. Thank you.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Thanks, Charles.

[Operator]

We'll go next to Ellen Horst with TD Cowen.

[Ellen Horste, Equity Research Associate at Cowen]

Great. Thank you for taking the question. And congrats on the NDA. Super exciting. Couple of questions.

[Ellen Horste, Equity Research Associate at Cowen]

What is Q1 current strategy to capture the share of the NPM1 market and overcome Zipto's second to market position? And what points of differentiation do you think will resonate most with investors?

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Yeah, so maybe I can take issue just with the thesis of the question. It's not obvious to us at the moment that we'll be second to market. We've disclosed that we submitted our NDA in March, admittedly March, let's call it end of Q1. We've requested priority review and we have breakthrough therapy designation. We're just as you are, we're waiting to see kind of where our competitors are in terms of their submission timelines and regulatory review.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

I think under any scenario, it's going to be very, very close. That's just our operating hypothesis. If you go back not that long ago, I was hearing from people that we were a year behind or two years behind. Kudos to our development and regulatory teams for closing that gap. Unfortunately, there isn't a large prevalent population of relapsedrefractory NPM1 mutant patients.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

I wish we wish there were, but that actually speaks to the significant unmet medical need. These patients progress and unfortunately pass away within days or weeks if you don't get them on therapy. So, what I think where you're going to end up is a competitive dynamic where physicians have choices. And choice is always good for patients. And as Brian said in his prepared remarks to the earlier question, we're going to mount a significant we lead commercial strategy and we and Kyowa Kirin are working together.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

We're going to be fighting for every patient. And we're going to be looking both to promote within the relapsedrefractory setting and then to educate about the potential for menin inhibitors in earlier lines of therapy and in combination. That's why you see a comprehensive approach to us moving ZYPTOMENIB to what we believe will be first in class and best in class throughout the treatment continuum. This is the first step. It's an important step.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

And we're feeling pretty good about it.

[Ellen Horste, Equity Research Associate at Cowen]

Thank you, Troy. That's helpful.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Yeah, pleasure.

[Operator]

We will move next to Peter Lawson with Barclays.

[Peter Lawson, Analyst at Barclays Capital]

Thanks for taking my questions. Troy, just on the GIST side of things, what patient segments do you think are going to be more responsive to the combination, and the particular subgroups you are going to be focused on, whether it's imatinib refractory or naive?

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

So, Peter, that's actually one of the beauties of this program, but I'll let Molly fill in the details. That's a great question. And it actually, I think you put your finger on sort of what is potentially so transformational about this MOA. Molly?

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

Yeah, that's exactly what I was thinking, Troy, that's what makes this approach so revolutionary and potentially transformative is that it will be mutationally agnostic. So, we do not have to worry about picking the appropriate combination partner for each line of therapy. Using it with imatinib, whether the patient is currently on imatinib or has already failed imatinib and had additional previous lines of therapy, the combination should still work. Affect, was it the we affects the KIT transcription and the imatinib affects the KIT stability. So overall, these highly KIT dependent cells are then deprived of what they need to continue being oncogenic from two different mechanisms.

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

And as I said, that should be independent of what the KIT mutation is. So we would of course, start to show ourselves that it works in a second line plus setting. But we hope to move into the frontline setting as well because we really think we could be a superb adjunct to imatinib therapy which physicians are already so comfortable with and which patients tolerate so well.

[Peter Lawson, Analyst at Barclays Capital]

How do you think that plays out? Does that play out in ORR or PFS? And what are the goals, I think, or the go forward decisions around those I know it's early, but around ORR and PFS?

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

Yeah, so as we look at our preclinical data, we think it'll be a combination of both. We think that we'll see, it's very rare you see a complete response in a GIST patient. So we're hoping to see potentially deeper responses, longer lasting responses. And again, if we see a response in a patient where imatinib has has now failed or is starting to fail, then we can save that response. That's also a very clear sign that this potential mechanism truly is synergistic and is what these patients need.

[Peter Lawson, Analyst at Barclays Capital]

Thank you so much.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

And Peter, I just want to pick up on something that Molly said. And this is in response to your question as well as Charles' question. What you see as you look across our portfolio is we're taking these targeted therapies and ideally layering them on to standard of care that is either generic or will be generic by the time we get to market. So chemotherapy and AML potentially cabozantinib and RCC, imatinib and GIST that if we can take opportunities where the market is very well understood, it's physicians first choice and we can make a claim that we can actually do better for your patients. And you don't you have the ability to drive premium pricing as well because you're not layering on top of another novel therapy.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

We see that as a really compelling opportunity across both liquid tumors and solid tumors. So we haven't talked much about the pipeline. There's just been so much focus on ZIFTO, but that is the theme that you're beginning to see come together And we'll have much more to talk about this in the second half of the year and on into next year.

[Peter Lawson, Analyst at Barclays Capital]

Perfect. Thank you so much.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Sure.

[Operator]

We'll go next to David Dye with UBS.

[David Dai, Director at UBS Group]

Great. Thanks for taking my questions. And I also want to add my congratulations to a great quarter. So just focusing on Phase three COMMISS-seventeen trial, what are some of gating steps before you're able to initiate the trial in second half? And then just more specifically around that, so how are the site activations going?

[David Dai, Director at UBS Group]

And what are some earliest reception from trial investigators on these efdomainibs profile that could really accelerate your initiation in that trial?

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Yes. David, thanks for the question. Maybe I'll take the first half and then I'll ask Molly to speak to what we're hearing from sites and investigators. We've said we're in study startup. There's a lot that has to happen for a global Phase III contracting, budgeting, as you say site initiation.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

We haven't been more granular on our guidance beyond saying it's second half. The team is doing everything it can to pull those timelines in. But as I like to say, it's first patient in matters, last patient in arguably matters more. So, team I think increasingly has shown an ability to execute at a very high level. Development, regulatory, clinical operations, hopefully soon to be commercial.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

So we'll give you more color around these trials as we get into the second half of the year. In terms of what we're hearing about ZiftoMetib in the context of 17, let me ask Molly if she can speak to some of what she and her team are hearing from investigators.

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

Sure. I mean, really we have such a good preview of 17 from our seven trial that it gives us a real good insight into how both the treaters and the patients are feeling. And one of the things we hear most often is that they don't realize they're taking another medication. They feel the same or better than they did on the backbone therapies. So, we don't really see that there's going to be much opposition to including the addition of Zithrombin within these backbone therapies as well.

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

There's a lot of excitement. We get contacted directly from people that wanna participate. And I think as we share more data from the seven trial, the excitement will only build. So, it's all been very positive so far.

[David Dai, Director at UBS Group]

Thank you so much.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Thanks, David.

[Operator]

We'll move next to Jeet Mirkoji with BTIG.

[Jeet Mukherjee, Vice President & Biotechnology Analyst at BTIG]

Great. Thank you for taking the question and congrats again on the NDA submission. So my first question was, we do hear anecdotal off label use of other currently approved Menin inhibitors in relapsedrefractory NPM1 patients. So my question was what do you think is perhaps needed to pull clinicians who are perhaps familiar and comfortable with one agent over to ZIFTO following a potential approval? Thanks.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Yeah, Gee, thanks for the question. Let me ask Brian if he can speak to it.

[Brian Powl, Chief Commercial Officer at Kura Oncology]

Yeah, thanks, Gee.

[Brian Powl, Chief Commercial Officer at Kura Oncology]

So I've heard and we've seen reports around some of the competitor agents having some off label usage of NPM1. I think to what Troy's point earlier is that there may we anticipate there may be some experimentation and use other therapies in this setting, which I think demonstrates the very high unmet need in this space. To the point that Troy made earlier, we don't anticipate that there is a large pool of patients that are just waiting for a therapy to be available. So if there are patients that are currently being prescribed another Menin inhibitor, we think that there will still be patients as we get, as we move forward to approval that will still be available for us. And I think our objectives and goals will be able to appropriately communicate the risk benefit profile of our therapy relative to other competitors, so that we can understand and give physicians the information they need, that what we understand and we think may be a favorable profile relative to others.

[Brian Powl, Chief Commercial Officer at Kura Oncology]

So I think on the one hand, I'm glad that physicians are excited about the introduction of menin inhibition and the treatments, and on the other, I think that gives us a good position for us as we prepare for a launch to kind of be ready to, you know, go out there and get every patient possible to put on the ZYPTOMINA.

[Jeet Mukherjee, Vice President & Biotechnology Analyst at BTIG]

Great, thanks. Maybe just a quick follow-up with all that's going on in the STI franchise between RCC, RAS mutations, and head and neck as well. Just are you looking to advance all these indications in parallel? Or what will it take to make you have a gono go decision with all these indications? Thanks.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

That's actually a very, very good question and very forward looking. Thank you. Just so this goes back to a comment that I made earlier after Peter's question. I think it's important that biopharma companies of our size have a compelling sort of standalone proposition that one can finance and execute on independently. And then if you can add on to that and drive increasing uptake in revenue, that's great.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

What does that mean? We think we'll be in a position if the data supports moving forward into RCC and admittedly it's early days. We haven't shown you any clinical data. You've seen, I think pretty compelling preclinical data, clinical data coming in the second half of the year. If there's an opportunity, we could arguably do that alone because by the time we reach the market, the partner compound in this case cabozantinib would be likely generic.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

That's not true for well, may be true for example, PI3 kinase alpha inhibitors or KRAS inhibitors. There you're more likely going to need to partner with either a large company or a small company to find the path forward. And I would put that in the bucket of Jeet of nice to have. I don't think you want to have your company's strategy necessarily dependent on a partner. I think you want to have that as optional and a really high commitment from both parties.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

But what you're seeing again, we're in a great place Kuaqirin and AML. I think we'll look forward in the future to sharing data in GIST with you. We'll talk about FTIs. We are trying to identify those products, product opportunities, I. The combinations, which Kura can take forward on its own or in the case of Zipto with Kyowa Kirin.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

That's how we'll that's at a high level, Jeet, how we'll think about prioritizing it. Below that then you ask, what are the best agents? Who are the partners? How do we think about working together? But it will be very much a starting with what is best for Kura, for our patients and for our shareholders.

[Operator]

Go to George

[Operator]

Farmer with Scotiabank.

[George Farmer, Managing Director at Scotiabank]

Hi, thanks for taking my questions. Troy, given that you do have BTD with ZYPTO and MPM1 disease, shouldn't you have a good feel about whether you can get priority review by now? Also, do you think you'll need that FDA will want to convene an ODAC meeting. And also regarding the co primary endpoint in your phase three's of MRD negativity and CRCH, do you need to hit both of those in order for a win or can you just hit one or the other? Thanks.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Yeah, George, I'll take the first two questions and I'll let Molly take the endpoint questions. Can't look, we've said we're feeling good. There have been no disruptions. The agency has been responsive. I think at this point we've said as much as we can say.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Next stop is hopefully the dossier is accepted for review and we're assigned to PDUFA date. We'll communicate that when it happens. Your second question was, forgive me. The I think it would be unusual. I don't think we're expecting an ODAC here, given this is a palliative setting, given that the agencies expressed a willingness for to grant full approval for agents in relapsed refractory AML.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

And given George quite frankly that the safety and tolerability profile to Molly's point really I think is very strong in the case of ZIFTOMENIB. You would never say never, but I don't think we're anticipating an ODAC. Molly, do you want to I don't know if you want to add anything Molly to my first two answers, but could you speak to George's questions about the endpoints on the Phase III?

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

Sure. No, I mean, I think your first two answers are spot on. We'll find out about priority review when they formally accept the dossier. As for the co primaries, what I wanna correct is they're not actually co primary endpoints, they're dual primary endpoints. So, even if you, for some reason did not win on your accelerated endpoint, so your CR or your MRD negative CR, you could still win in the overall trial with the survival based endpoint.

[Mollie Leoni, Chief Medical Officer at Kura Oncology]

So, that being the EFS or the OS. So you can hit both or just the overall survival endpoint and still have a win.

[George Farmer, Managing Director at Scotiabank]

Okay, thank you.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Yeah, thanks George.

[Operator]

We'll go next to Roger Song with Jefferies.

[Roger Song, Senior Equity Research Analyst at Jefferies]

Great, thanks for the update and then taking our questions. So, the first is a clarification. Maybe, Troy, I'm not sure I misheard that. You say the ASCO abstract and the presentation will be the same data cut. So, just can you just confirm that?

[Roger Song, Senior Equity Research Analyst at Jefferies]

And then also, you're ready to your 17, the first line combination pivotal. How should we think about enrollment given you will soon have approved the drug and you already have approved the drug and then soon, as if the mannib will be approved in the RNR setting, how should we think about the pivotal first line enrollment timeline?

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Thank you. Yeah, Roger, thank you for the questions. So, yes, the abstract and presentation will have the same data cut. And as I said, the full presentation is a more expansive tour through the data. As far as your second question Roger around the dynamic between a potentially approved ZYFTOMENIB product and the frontline trial, there really shouldn't be well, let me put it this way.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

There shouldn't be a drag on enrollment in the frontline trials because obviously that's a patient population for which no menin inhibitor is approved. And as Molly indicated in her answers to a couple of questions, we continue to see very robust enrollment in both the intensive and non intensive setting. I think maybe the reciprocal question of will there be an impact of the frontline studies on the relapsed refractory setting that I don't think we know the answer to that. We'll be watching for that, but I think it's too early to say at this point whether they'll have any impact of frontline development on the availability of patients in the commercial setting in the relapsed refractory excuse me, in the relapsed refractory setting.

[Roger Song, Senior Equity Research Analyst at Jefferies]

Yes, that's fair. Thank you.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Thank you.

[Operator]

It appears that we have no further questions at this time. I will now turn the program back over to Troy Wilson for any additional or closing remarks.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Thank you, Jess, and thank you all once again for joining our call today. We'll be participating at several medical and investor conferences over the next couple of months including ASCO and EHA and look forward to seeing many of you there. We also plan to host a virtual investor event following our oral presentation at ASCO. So look for more details in the coming weeks. In the meantime, if you have any additional questions, please feel free to reach out.

[Troy Wilson, Chairman, CEO & President at Kura Oncology]

Thank you and have a good afternoon and a good evening, everyone.

[Operator]

Thank you, sir. This does conclude today's program. We thank you for your participation. You may disconnect at any time.

Participants

Executives

• Troy Wilson, Chairman, CEO & President
• Mollie Leoni, Chief Medical Officer
• Tom Doyle, Senior Vice President of Finance and Accounting
• Brian Powl, Chief Commercial Officer

Analysts

• Executive
• Analyst
• Jonathan Chang, Senior Managing Director at Leerink Partners
• Salim Syed, Managing Director, Equity Research at Mizuho Securities
• Cameron Bozdog, Equity Research Associate at Bank of America
• Charles Zhu, Managing Director, Senior Biotechnology Research Analyst at LifeSci Capital, LLC
• Ellen Horste, Equity Research Associate at Cowen
• Peter Lawson, Analyst at Barclays Capital
• David Dai, Director at UBS Group
• Jeet Mukherjee, Vice President & Biotechnology Analyst at BTIG
• George Farmer, Managing Director at Scotiabank
• Roger Song, Senior Equity Research Analyst at Jefferies