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Earnings call: Altimmune reports progress on pemvidutide trials, financials

EditorAhmed Abdulazez Abdulkadir
Published 2024-11-13, 04:16 a/m
ALT
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Altimmune, Inc. (ticker: NASDAQ:ALT), a clinical-stage biopharmaceutical company, discussed its third-quarter financial results and clinical progress on November 12, 2024. The company focused on its lead product candidate, pemvidutide, which targets Metabolic Dysfunction Associated Steatohepatitis (MASH) and obesity. CEO Dr. Vipin Garg, along with other executives, highlighted the full enrollment of the Phase 2b IMPACT trial for MASH and the alignment with the FDA on a Phase 3 program for obesity. Financially, Altimmune reported a net loss of $22.8 million for the quarter but maintains sufficient funds to support operations into the first half of 2026.

Key Takeaways

  • Altimmune has completed enrollment for its Phase 2b IMPACT trial of pemvidutide for MASH.
  • Top-line efficacy data for the IMPACT trial is expected in Q2 2025.
  • The company is planning an end of Phase 2 meeting with the FDA in Q4 2025.
  • A comprehensive Phase 3 program for obesity, including four pivotal trials, has been aligned with the FDA.
  • Altimmune ended Q3 with $139.4 million in cash, projecting a financial runway into H1 2026.
  • Research and development expenses were $19.8 million, with a net loss of $22.8 million or $0.32 per share.
  • Greg Weaver joined as the new Chief Financial Officer.
  • No diabetes trial is planned for pemvidutide.
  • The company is exploring additional indications for pemvidutide leveraging its glucagon properties.

Company Outlook

  • Altimmune anticipates the initiation of a Phase 2 trial for an additional indication of pemvidutide in H1 2025.
  • The first IND for an additional indication is expected by the end of 2024.
  • Management is confident in the potential of pemvidutide in the competitive metabolic disease market.

Bearish Highlights

  • The company reported an increased net loss of $22.8 million for the quarter compared to $20.7 million in the same quarter of the previous year.
  • No new strategic partnerships have been finalized in the past 12 months.

Bullish Highlights

  • Pemvidutide has the potential to be the first therapy to show both fibrosis improvement and significant weight loss at 24 weeks.
  • The FDA has endorsed the company's comprehensive Phase 3 program for obesity, which includes four pivotal trials.
  • The unique attributes of pemvidutide, such as the potential to preserve lean mass, are attracting interest from potential strategic partners.

Misses

  • Despite ongoing discussions, no new strategic partnerships have been announced during the past year.

Q&A Highlights

  • The sequencing of the four registrational trials for obesity is still under discussion.
  • Additional indications for pemvidutide are being considered, focusing on leveraging its glucagon properties.
  • Safety studies for pemvidutide are not required following comprehensive FDA interactions.
  • The company is committed to advancing pemvidutide and is optimistic about its potential in the metabolic disease landscape.

Altimmune's earnings call underscored the progress of its lead product candidate, pemvidutide, with clinical trials moving forward and a clear plan for FDA interactions. Despite the reported net loss, the company's financial position appears solid, with sufficient funds to continue operations and research into the near future. The company's stock performance and future developments will likely hinge on the successful completion of ongoing trials and the realization of pemvidutide's market potential.

InvestingPro Insights

Altimmune's recent earnings call and financial results can be further contextualized with insights from InvestingPro. Despite the company's reported net loss, ALT's stock has shown remarkable strength, with a 279.6% price total return over the past year. This performance aligns with the InvestingPro Tip indicating a "high return over the last year."

The company's financial position, as discussed in the earnings call, is reflected in the InvestingPro data. ALT holds more cash than debt on its balance sheet, which supports management's assertion of a financial runway into the first half of 2026. This is a positive sign for a clinical-stage biopharmaceutical company investing heavily in research and development.

However, investors should note that ALT suffers from weak gross profit margins, as highlighted by an InvestingPro Tip. This is evident in the reported gross profit margin of -18,956% for the last twelve months as of Q2 2024. This metric underscores the significant costs associated with Altimmune's clinical trials and product development, which is typical for pre-revenue biotech companies.

While the company's progress with pemvidutide is promising, it's important to recognize that analysts do not anticipate the company will be profitable this year, according to another InvestingPro Tip. This aligns with the company's focus on clinical development rather than immediate commercialization.

For investors seeking a more comprehensive analysis, InvestingPro offers additional tips and metrics that could provide deeper insights into Altimmune's financial health and market position. Currently, there are 11 additional tips available on the InvestingPro platform for ALT.

Full transcript - Altimmune Inc (ALT) Q3 2024:

Operator: Good day, ladies and gentlemen, and welcome to Altimmune, Inc. Third Quarter 2024 Financial Results Conference Call. At this time all participants’ are in a listen-only mode. After the speakers’ presentation there will be a question-and-answer session. [Operator Instructions] As a reminder, this call is being recorded. I would now like to introduce your host for today's conference call, Lee Roth of Burns McClellan, Investor Relations Advisors to Altimmune. Lee, you may begin.

Lee Roth: Thanks, operator. Good morning, everyone. And once again thank you for participating on the Altimmune’s third quarter 2024 financial results and business update conference call. On today’s call you will hear from Dr. Vipin Garg, our Chief Executive Officer; Dr. Scott Harris, our Chief Medical (TASE:PMCN) Officer; and Andrew Shutterly, our acting Chief Financial Officer; and Dr. Scot Roberts, our Chief Scientific Officer and Greg Weaver, our newly appointed Chief Financial Officer are on the line as well and will join us for the Q&A session. A press release covering our third quarter of 2024 financial results and corporate update was issued earlier this morning and can be found on the investor relations section of the company's website. Before we begin, I'd like to remind everyone that remarks about future expectations, plans, and prospects constitute forward-looking statements for purposes of the Safe Harbor provision under the Private Securities Litigation Reform Act of 1995. Altimmune cautions that these forward-looking statements are subject to risks and uncertainties that could cause our actual results to differ materially from those indicated. For a full review of the risk factors that could affect the company's future results and operations, we refer you to our filings with the SEC. I'll also direct you to read the forward-looking statements disclaimer in our press release issued this morning, which is now available on our website. Any statements made on this call speak only as of today's date, November 12, 2024, and the company does not undertake any obligation to update any of these forward-looking statements to reflect events or circumstances that occur on or after today. As a reminder, this call is being recorded and will be available for audio replay on the Altimmune website. With that, it's my pleasure to turn the call over to Dr. Vipin Garg, Chief Executive Officer of Altimmune. Vipin?

Vipin Garg: Thank you, Lee. Good morning, everyone, and thank you for joining us for our third quarter corporate update. In the three months since our last conference call, we have achieved several important milestones. These recent accomplishments, coupled with other upcoming catalysts, give us a high degree of confidence that we are in position for 2025 to be a transformational year for Altimmune. First, our Phase 2b IMPACT trial of pemvidutide in MASH is now fully enrolled, and top-line efficacy data is expected in Q2 2025. With a successful readout from IMPACT, pemvidutide would be the first MASH therapy to achieve both fibrosis improvement and significant weight loss at 24-weeks of treatment. Following this readout, we expect to hold an end of Phase 2 meeting for MASH with FDA in Q4 2025. For our obesity program, as announced last week, we achieved alignment with the FDA at our recent end of Phase 2 meeting on a comprehensive Phase 3 registration program designed to leverage the key attributes of pemvidutide. The important strategic takeaway here is that we now have a differentiated Phase 3 ready asset that we believe has the potential to benefit obese and overweight patients and fill gaps in the treatment of the comorbidities of obesity left by existing treatments currently on the market. To realize the full potential of pemvidutide, we have made the strategic decision to expand our R&D investments into development of up to three additional indications that leverage the enhanced glucagon activity and other attributes of pemvidutide. We plan to submit an IND for the first of these indications by the end of 2024 and preparations are underway for the initiation of that Phase 2 clinical trial in H1 2025, in the first-half of 2025. We believe each of these indications represents a substantial commercial opportunity that will create value for our shareholders. Importantly, these indications were chosen as we believe we can develop these indications ourselves, and we expect to provide more details in the coming months. To summarize, our overarching development strategy continues to focus on securing a partnership centered around obesity while moving full speed ahead to advance pemvidutide and MASH and launch development efforts in these additional indications. Upon a positive data readout from Phase 2b impact trial in the second quarter of 2025, we expect to be ready to start a Phase 3 program in MASH by the end of next year. We continue to believe that pemvidutide is a highly differentiated agent from others and -- in the strategically important ways relative to the current metabolic disease landscape. With that, I'll now turn the call over to our Chief Medical Officer, Dr. Scott Harris, to discuss our clinical plans in more details. Scott?

Scott Harris: Thank you, Vipin. As noted, we completed enrollment in the Phase 2b IMPACT trial of pemvidutide and MASH in late September and are on track to report top-line efficacy data in the second quarter of next year. Recall, the trial is evaluating approximately 190 subjects with and without diabetes, randomized 1:2:2 to receive either 1.2 milligrams, 1.8 milligrams of pemvidutide or placebo for 48-weeks. The key efficacy endpoints are MASH resolution or fibrosis improvement at 24-weeks of treatment, with subjects followed for an additional 24-weeks to a total of 48-weeks for safety and biomarker responses. Pemvidutide has the potential to be the first incretin agent to achieve statistical significance in MASH resolution and fibrosis improvement rates at only 24-weeks. Combined with the weight loss achieved with pemvidutide therapy, these results could position pemvidutide to become the standard-of-care in the treatment of MASH at the completion of the Phase 3 Registrational Program. As we continue to analyze the data from our completed clinical trials, it is increasingly clear that pemvidutide not only has a meaningful impact on body weight, but also the cool morbidities associated with obesity. We're particularly excited about the results from our Phase 2 MRI-based body composition sub-study reported at the recent European Association for the Study of Diabetes Conference in September of this year. That study demonstrated class-leading preservation of lean mass of only 21.9% in subjects treated with pemvidutide, as well as a preferential reduction in visceral adipose tissue. This type of fat has been associated with cardiovascular risk. The preservation of lean mass is a key factor in both the quantity -- quality and sustainability of weight loss and will be the focus of one of our four Phase 3 studies. As Vipin discussed, we completed our end of Phase 2 meeting with the FDA last week. This interaction resulted in alignment with the agency on an innovative registration program encompassing four pivotal Phase 3 studies, each designed to leverage a specific attribute of pemvidutide in the setting of weight reduction. Let me recap the plan designed of the four trials that we outlined in last week's press release. Velocity 1, this trial will assess the effects of pemvidutide on body weight in patients with obesity or overweight without diabetes. Other endpoints will include reductions in waist circumference, lipids, and blood pressure. Velocity 2, this trial will assess the effects of pemvidutide on body weight and serum lipids in subjects with obesity or overweight and elevated LDL cholesterol levels. The study population will include a subset of subjects with elevated LDL cholesterol, despite concomitant statin therapy. A large proportion of patients taking statins fail to achieve target LDL levels and in a previous Phase 2 clinical trial in subjects with overweight or obesity, pemvidutide appeared to enhance LDL lowering effects in these subjects. Velocity 3, this trial will assess the effects of pemvidutide on body weight in subjects with obesity or overweight in elevated liver fat. Excess liver fat is highly prevalent in patients with obesity and is associated with an increased risk of cardiovascular disease. Velocity 4, this trial will assess the effects of pemvidutide on body weight and body composition with emphasis on elderly individuals and individuals with sarcopenia at baseline. Functional measures and activities of daily living will also be assessed in this patient population. The Phase 3 Registrational Velocity Program will evaluate three doses of pemvidutide, 1.2 milligrams, 1.8 milligrams, and 2.4 milligrams administered one weekly via subcutaneous injection over a 60-week treatment period. Collectively, the four trials are expected to enroll approximately 5,000 subjects, similar to pass registrational programs in obesity. Our intention is to obtain regulatory approval for each of these doses, allowing patients to start on therapy on a pemvidutide dose with demonstrated efficacy for weight loss. The successful completion of the FDA end of Phase 2 meeting for obesity represents an important milestone in the development of pemvidutide, not only de-risking the regulatory path for approval and obesity, but also positively impacting the development of pemvidutide in MASH and the additional indications we are pursuing. We believe that pemvidutide has broad therapeutic potential beyond obesity and MASH. We are exploring up to three additional indications for which pemvidutide’s profile as a balanced GLP-1-glucogon dual agonist may be ideally suited. We expect to submit an IND application for a Phase 2 clinical trial in the first indication by year-end, with the study expected to initiate in the first-half of 2025. We'll provide further information about these indications as regulatory discussions are completed. With that, I'll now hand over the call to our Acting Chief Financial Officer, Andrew Shutterly, to review our financial results for the third quarter. Andrew?

Andrew Shutterly: Thank you, Scott, and good morning. For today's call, I will be providing a brief overview of Altimmune’s third quarter 2024 financial and operating results. More comprehensive information will be available and are Form 10-Q to be filed with the SEC later today. Altimmune ended the third quarter of 2024 with approximately $139.4 million of cash, cash equivalents, and short-term investments, compared to $198 million at the end of 2023. We project that our existing cash will fund us well into the first-half of 2026, which fully funds our IMPACT trial in MASH, including the expected readout of top line biopsy data in the second quarter of 2025. Research and development expenses were $19.8 million in the third quarter of 2024, compared to $18.4 million in the same period in 2023. Our R&D expenses for the third quarter of 2024 included approximately $12.4 million in direct costs related to development activities for pemvidutide and $0.8 million in direct costs related to additional research and discovery projects. General and administrative expenses were $5 million in the third quarter of 2024 versus $4.5 million in the third quarter of 2023. The increase was due primarily to the $0.4 million increase in professional services costs. Included in the R&D and G&A costs for the third quarter of 2024 are approximately $3.1 million of non-cash stock-based compensation expense, compared to $2.7 million in the same period in 2023. Net loss for the three months ended September 30, 2024 was $22.8 million, or a $0.32 net loss per share, compared to a net loss of $20.7 million or a $0.39 cent net loss per share for the third quarter of 2023. I will now turn it back over to Vipin for his closing remarks. Vipin?

Vipin Garg: Thank you, Andrew. And thank you for everything you have done serving as our Acting CFO over the last several months. As Lee mentioned at the start of the call, Greg Weaver, who joined our team yesterday as Chief Financial Officer, is with us for the Q&A session. Welcome, Greg. Over a distinguished 25-year career, Greg has led the finance function at a number of public and private life sciences companies. We are excited to have him on board and look forward to benefiting from his deep expertise. We are encouraged by the significant strides we have made over the last several months. While we are in a fast-moving and highly competitive space, we are more confident than ever that pemvidutide has the potential to stand out from the crowd, and we believe that we are well equipped to seize the opportunity that lie ahead. That concludes our formal remarks. We would now like to open the lines to take questions. Operator?

Operator: Thank you. [Operator Instructions] Our first question comes from the line of Yasmeen Rahimi from Piper Sandler.

Yasmeen Rahimi: Good morning, team. Congrats on all the updates, and congrats, Greg, for joining a wonderful company and look very much forward to working closely with you. Team, really exciting that you got the Velocity studies aligned with the agency and kicking it off. I guess the question that we have for you is, now that you have the alignment, how important was the alignment in terms of strategic discussion and partnership, that's sort of question one? Question two, are you still planning to -- if you're planning to kick-off the studies, would they be occurring in a sequential order or at the same time? And then the third question is, if you could shed some light on what are these additional indications you're potentially considering for which you're following INDs, that would be helpful. And I'll jump back into the queue. Thank you.

Vipin Garg: Yes, thanks for the question, Yas. In terms of how important it is, this is really a significant and very important milestone for development of pemvidutide. I mean, this was a comprehensive review of our package so far, all of the studies that we have conducted. Very importantly, pemvidutide got a clean bill of safety, and Scott can talk more about that. And we have clear understanding as to what needs to be done. What are the four registrational trials that would lead to approval of the drug? So we think this is a very important milestone for pemvidutide for Altimmune and for our potential partners. Our strategy is to continue to look for a partnership centered around obesity and we're moving full speed ahead with MASH and other indications. In terms of studies, the sequencing of them, you know, ideally, they would all be running in parallel, but Scott can comment more about that, as well as additional indications. We haven't really disclosed the details of additional indications at this point, but what I can say is that these are all designed to leverage the advantages of glucagon and pemvidutide. It's really focused around the properties of glucagon and some of the liver defatting and serum lipid improvement that we have seen from our momentum trial. We'll talk more about these indications once we have had regulatory alignment. We are planning to file our first IND later this year, and hopefully we'll talk more about this 30-days after the IND clears the FDA. Scott, can you provide some more color on the FDA interactions, as well as on the sequencing of the three indications, sorry, the four Velocity trials?

Scott Harris: Sure. So the meeting was extremely successful. A lot of compliments were passed on the line during the meeting. And we have now exposed over 500 subjects to pemvidutide in completed trials. And based on that, the FDA looked at our safety profile and gave us a thumbs up on that exposure. Obviously, the final consideration is what you have at NDA, but no safety signals were identified from that interaction. They also confirmed our plan for the four studies, which did not include a diabetes trial, although we are including diabetics in our program. We'll have an ample number to evaluate, but they felt this was a reasonable approach and really liked the idea of targeting the effects most likely to be impacted by glucagon, including the body composition study. Regarding the launching of the studies, the sequence is still to be determined as we look to operationalize that and hope to have more details for you in the near future.

Yasmeen Rahimi: Thank you so much. I'll jump back to the queue.

Operator: Thank you. [Operator Instructions] Our next question comes from the line of Ellie Merle from UBS.

Unidentified Analyst: Hi, this is [Jasmine] (ph) for Ellie. Thanks so much for taking our question and congratulations on all your progress. So thinking about the recent top line GLP-1 ESSENCE trial data we saw in MASH, we saw there on fibrosis. How are you thinking now about what you'd like to see from IMPACT in [Indiscernible], what is really competitive now for incretins in the MASH space? Thanks.

Vipin Garg: Scott?

Scott Harris: Hi, Jasmine. I think I heard you ask the question about the recently completed ESSENCE trial. Is that correct? Am I correct on that?

Unidentified Analyst: Yes, yes, and just how you're -- how kind of that's impacted your thinking now about, you know, what's competitive for incretin’s and MASH?

Scott Harris: Right. Well, the trial results were as we expected. You have to recognize that the trial went for 72-weeks. It was longer than other trials, so a longer opportunity to see an effect because of the longer treatment. As well, the study power was increased by going over and aboard what was done in another Phase 3 program, so a larger number of subjects in order to show that statistical significance. The treatment effect was modest. This is what we would expect from an agent like semaglutide that exerts its effects on liver fat indirectly through weight loss rather than direct effects on the liver. And as we've seen, when glucagon has been in the mix or when there's a liver-targeted effect like FGF21, the liver fat and the endpoints move up considerably with more robust effects. So moving forward to pemvidutide, the liver fat is what drives the MASH resolution and the fibrosis improvement. That should have been shown repeatedly in trials. We have class-leading liver fat reduction. The FGF21 showed meaningful and statistically significant effects in MASH resolution and fibrosis improvement at 24-weeks. Their liver fat reduction was about 65%. We're at the 76% level. We have preclinical studies demonstrating a direct effect of pemvidutide on fibrosis that's independent of defatting, and we've done a number of other analyses suggesting success to 24-weeks. So, where do we stand in comparison to ESSENCE? If we are successful, and I believe we will, we will be the first incretin-based agent to show statistical significance, that is success, on MASH resolution and fibrosis improvement at only 24-weeks. And combined with the weight loss associated with pemvidutide, the only agent at 24-weeks to offer weight loss because, as you are aware, the current compounds that have shown efficacy at 24-weeks have either been associated with no weight loss or actually even weight gain. And we believe that these combined effects will really put us at the front of the class in terms of the MASH drugs going toward approval.

Unidentified Analyst: Awesome. Thank you [Multiple Speakers]

Vipin Garg: Yes, I just want to add that really combining these two effects provides a complete solution for treating MASH. Not only we are going to show direct effect on the liver, but at the same time it's a good thing in this patient population for patients to lose weight. So this combination, there's a lot of discussion already about combination therapy, that's basically what we are doing with pemvidutide is providing a combination of direct liver acting effect with weight loss.

Unidentified Analyst: Wonderful, thank you.

Operator: Thank you. [Operator Instructions] Our next question comes from the line of Liisa Bayko from Evercore. Your line is now open.

Liisa Bayko: Hi. Thanks for taking the question and congrats on all the progress. Sort of two-line of questions for me. First of all, I guess as it relates to cardiac safety, do you think FDA views this as a class effect and it might be something that, you know, sort of comes up as you talk about, go back to FDA and discuss the fuller Phase 3 program including MASH, which I think is what you intend to sort of prioritize yourselves? I'm just curious about that or is this something where they've seen something specific in the survodutide data? It just seems to me with the ratio that they have versus the ratio you have and the fact that you do have quite a bit of glucose on. I'm wondering if that's something that kind of gets revisited? And then curious about the timing of the additional indications really interesting concept are you going to wait you know for data from, you know, in MASH before initiating those and really taking off or when should we expect to learn more about that? Thanks.

Vipin Garg: Thanks, Lisa. Thanks for the questions. Let's take your first question first. Scott, you want to get started?

Scott Harris: Yeah, Lisa.

Vipin Garg: That's a great question.

Scott Harris: It's a great question. This is not a class effect. Repeatedly in all of our trials, we've seen no evidence of arrhythmias, no evidence of any effects on coronary disease, cardiovascular disease, no MACE effects. And we've also seen no evidence of any changes on EKG intervals or the like. And we've seen this repeatedly in all of our studies. And we laid out all of the data for the FDA, and the FDA came to the same conclusion. So our conclusion would be that what's been described in the survodutide program is probably specific to the compounds. And we achieved confirmation at the FDA that they agree on that opinion. Regarding the timing of the studies, we'll launch the study in the first-half of next year. We'll have to see whether that actual launch goes before or comes after the MASH readout and we'll have more information for you as we get into next year.

Liisa Bayko: Okay, great. One quick follow-up. Just, can you remind us for survodutide, were those signals that they saw the increase in heart rate and all those things, were they early events or late events? In other words, do they happen after six months or earlier in the study? Thanks.

Scott Harris: You know, Lisa, we don't know. What we know, when we went to the FDA, we presented our whole program and they did a comprehensive evaluation of the program. And again, they indicated no safety signals, and like all of the other sponsors that have proceeded in obesity, allowed us to design a program with purely efficacy trials. As you are aware, you need about 5,000 subjects in total to go to NDA and obesity that is exposed for a year. And we and other sponsors have usually achieved that by filling it up with efficacy trials, and that's what Velocity 1, 2, 3, and 4 is. With the survodutide program, they've elected to conduct two smaller efficacy trials and a very large safety trial, which is actually designed to show no harm versus placebo, specifically to cardiac events. One would imagine that, that could be suggestive of a discussion that the company had with FDA, we don't know. So really can't comment about the signal. What we can say is that the design of their program is unusual and is oriented towards showing safety more than it is to show efficacy.

Liisa Bayko: Okay. Thank you.

Vipin Garg: And I think to be very clear, you asked a question about the Phase 3 program, this was a comprehensive interaction with the FDA and there is no requirement for pemvidutide to do additional safety studies.

Liisa Bayko: Got it. Thanks.

Operator: Thank you. [Operator Instructions] Our next question comes from the line of [Zhao Tong Jia] (ph) from Jeffries.

Unidentified Analyst: Hi, team. This is [Fiona] (ph) for Roger from Jeffries. My question is, I have two questions regarding the three additional indications. First is, I think, I remember that you mentioned in the call that these indications you're going to carry forward independently, or is it part of the ongoing conversation regarding partnerships? Thank you. And I have a follow-up.

Vipin Garg: Yes, thank you for the question. Look, these indications have been designed to continue to improve or enhance the value of pemvidutide. The idea, you know, really, as we've said from the very beginning, pemvidutide has the potential for a pipeline in a product, because of its many attributes. So they're all designed to really look at certain comorbidities of obesity, not obesity directly. And we believe they will not only create value for pemvidutide, these are indications we can pursue on our own. And they will be attractive to potential partners as well. So it's really designed to continue those discussions. And if a partnership can be built around these indications, we'll be very, very keen to do so, but we can also develop these on our own. So it really gives us a lot of flexibility, a lot of optionality as to how we move forward with these indications.

Unidentified Analyst: Got it. Thank you. That's very helpful. And my second question is, does the cash runway to one-half on ‘26 cover these three indications? Thank you.

Vipin Garg: Yes. The initial plans, the initial IND filings, as well as the initial Phase 2 type of trials that we would conduct around them that the current cash would be sufficient for us to conduct these.

Unidentified Analyst: Awesome. Thank you. Congrats on the quarter.

Vipin Garg: Thank you.

Operator: Thank you. [Operator Instructions] Our next question comes from the line of [Corinne Johnson] (ph) from Goldman Sachs (NYSE:GS).

Unidentified Analyst: Hi, this is [Omari] (ph) on for Corinne. Also I have a couple of questions on the three indications. How are you thinking about which indications you'll select to move forward? And what are the size of these trials that you anticipated beginning in the first-half of 2025?

Vipin Garg: Scott?

Scott Harris: The three indications are based on targets, which would benefit from glucagon. These are all indications that involve subjects with obesity and overweight. And consequently, it has not only demonstrated an effect on these tree specific targets, but also the effects of pemvidutide body weight. So it has also implications for the obesity program as well. We'll provide further details about the invocations once we have complete regulatory discussions. Hope to have that in the very near future. Regarding the launching of the studies and the size of the studies, you know, we'll provide more information again about that next year. We do expect to file the first IND by the end of this year and to commence activities to launch that trial in the very near future. But I want to emphasize that these will not be Phase 1 studies. These will all be Phase 2 proof-of-concept studies. So we're really moving ahead into mid-stage development into all of these indications once the IND is clear.

Unidentified Analyst: Got it. Thank you.

Operator: Thank you. [Operator Instructions] Our next question comes from the line of Mayank Mamtani from B. Riley Securities.

William Wood: Hi. Good morning, team. This is William for Mayank. Thanks for taking our questions, and congratulations on a great quarter, and congratulations on the recently hiring of Greg. We have a couple of questions, digging a little bit deeper. Just kind of curious about the Phase 3 ESSENCE data that we will be expecting at ASLD coming up. I guess maybe what are you looking for specifically in that data that really could help provide or inform your confidence in your ongoing Phase 2 impact study? Any extra insight there could be helpful? And then I have a follow-up.

Scott Harris: Yes, William. Again, there were a lot of details that were not included in that initial readout, you know, some of the questions about the statistical approaches, completers, and the like. I don't think that really changes the way we view the study. We think the effects were predictable. We think the effects were modest and represented the long duration of treatment and the supersizing of the study power. So it would be of interest to see the details of that study. We certainly will watch the presentation with everyone else, but we really think the effects of the study are modest in that they speak to our having an even better readout to glucagon effects at a much earlier time point showing enhanced efficacy at a time point that could not be hit by semaglutide or just be too soon to see those effects.

William Wood: Got it. And then an additional question on your strategic partnerships. These have been going on for a little while now, beginning around the end of your Phase 2 momentum readout. I'm just kind of curious how your discussions with potential partnerships have evolved over time now that we're getting closer to Phase 2 impact. Obviously, ESSENCE readout and now your three additional indications? Any color on the evolving conversation and if they're now starting to expand across the broader potential of pemvidutide, any color on that would be helpful. Thank you.

Vipin Garg: Yes, absolutely. Ray, do you want to take that question? Our Chief Business Officer Ray is here, so Ray Jordt?

Ray Jordt: Yes, thank you for the question. As you mentioned, the strategic partner discussions we've been engaged with throughout the period of 2024. What's interesting, I think, is in our approach, it's always been to continue to generate data and advance the programs. And why I say that is because the feedback I think we received generally has been from these companies that they're still trying to figure out their own strategic initiatives. How do they leverage their capabilities? What's their strategy to jump into obesity? And I think that feedback is fairly accurate, because there have been no other deals that have been executed for now about 12-months now. So I think the feedback we're receiving is genuine. I think other companies are still trying to figure out how they jump into it. And so I think what's important for us is to continue to generate the data, advance the programs, keep generating value for everyone. And I think things are starting to resonate. So again, the preservation of lean mass. I think that's a very unique attribute for pemvidutide, and that's been a hot topic in this space. The MASH indication, I think, is gaining even more traction, I think, with the RezDiffra launch. I think more attention is being focused there. And again, Scott and Vipin talked about how we believe we'll be positioned there with the combination of direct efficacy, 24-weeks, and weight loss is going to be differentiating. And I think the additional indications is going to be something that will even create more value, broaden the offering [Technical Difficulty] So at a high level, I think these are the things that benefit our strategic partnering discussions as well as Altimmune in general.

Vipin Garg: Thanks, Ray. And I would just add that the conclusion of the end of Phase 2 meeting, successful conclusion of the end of Phase 2 meeting is a very important milestone in moving these discussions forward. The path is clear now. We know, you know, how the program looks and what are the trial designs and how much it's going to cost really to take this to the finish line. So I think all that being in place, we will continue to seek a partnership centered around obesity.

William Wood: Got it. Very helpful. I'll hop back in the queue and congrats again on a very nice quarter.

Operator: Thank you. At this time, I would now like to turn the conference back over to Vipin Garg for closing remarks.

Vipin Garg: Thank you everyone for joining our call today. As always, we sincerely appreciate your continued support and interest in Altimmune as we work diligently to advance pemvidutide. Thank you again for your time. We look forward to updating you on our progress in the near future. Have a great rest of your day.

Operator: This concludes today's conference call. Thank you for participating. You may now disconnect.

This article was generated with the support of AI and reviewed by an editor. For more information see our T&C.

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