Financial Data and Key Metrics Changes - The company exited 2019 with $1.6 billion in cash and investments and plans to end 2020 with approximately $1 billion after repaying $250 million in senior secured notes, resulting in $20 million annual interest savings [27][30] - GAAP revenue for 2020 is expected to be between $140 million and $145 million, including $50 million from new and accelerated milestone payments from BMS [27][28] - R&D expenses for 2020 are projected to range between $475 million and $500 million, with a significant portion allocated to the BEMPEG development program [28][29] Business Line Data and Key Metrics Changes - The company has made a strategic decision to withdraw the NDA for NKTR-181 due to increased regulatory scrutiny and liability concerns in the opioid class [4][5] - The ATTAIN study for ONZEALD did not meet its primary endpoint for overall survival, leading to the cessation of further clinical work on this product [6][7] - The BEMPEG program has expanded to include seven studies in collaboration with BMS, with a focus on melanoma, bladder cancer, and renal cell carcinoma [7][8] Market Data and Key Metrics Changes - The company is advancing its immuno-oncology and immunology pipeline, with NKTR-358 entering multiple clinical studies for autoimmune conditions [7][15] - The BEMPEG program has received FDA breakthrough therapy designation for metastatic melanoma, with ongoing studies expected to yield data in 2021 [9][10] Company Strategy and Development Direction - The company is focusing on immuno-oncology and immunology, believing it can create transformative medicines for patients [6][7] - The revised collaboration agreement with BMS reflects a strong commitment to the BEMPEG program, with plans for expanded studies and significant milestone payments [8][9] - The company is exploring combinations of BEMPEG with other checkpoint inhibitors and mechanisms, indicating a broad development strategy [12][13] Management's Comments on Operating Environment and Future Outlook - Management acknowledged challenges faced in the opioid market and emphasized a strategic pivot towards immuno-oncology and immunology [4][5] - The company expressed confidence in the potential of BEMPEG and its differentiated approach in the cytokine field, setting a high bar for competitors [41][40] - Management is in ongoing discussions with regulatory agencies regarding endpoints for clinical trials, particularly in melanoma [44][45] Other Important Information - The company plans to initiate two Phase II studies for NKTR-358 in autoimmune diseases in 2020, reflecting a commitment to expanding its pipeline [29][15] - An impairment charge related to the NKTR-181 program is expected to be recorded in Q1, amounting to $45 million to $50 million [30] Q&A Session Summary Question: Enrollment progress for BEMPEG programs in lung cancer - Management indicated that enrollment for the pembrolizumab combination study has started, with data expected by the end of the year, while the nivolumab combination study is not yet open [32] Question: Efficacy expectations for NKTR-255 in monotherapy - Management noted that the study involves late-stage patients and will monitor various outcomes, including cellular changes in the bone marrow [34] Question: Potential to shift interim readout in melanoma trial to complete response rate - Management confirmed ongoing discussions with regulatory agencies regarding the use of complete response as an endpoint, but the primary readout remains based on overall response rate [44][45]
Nektar(NKTR) - 2019 Q4 - Earnings Call Transcript