Vaxart(VXRT) - 2023 Q4 - Earnings Call Transcript

Financial Data and Key Metrics Changes - Revenue for 2023 was $7.4 million, a significant increase from $0.1 million in 2022, primarily driven by work performed under a grant from the Bill & Melinda Gates Foundation and non-cash royalty revenue from increased sales of Inavir in Japan [28] - Vaxart ended 2023 with cash, cash equivalents, and investments totaling $39.7 million, excluding approximately $15 million in net proceeds raised in early 2024, with an anticipated cash runway into the fourth quarter of 2024 [28] Business Line Data and Key Metrics Changes - The company made solid progress on its oral vaccine platform, completing two Phase 2 clinical studies for norovirus oral vaccine candidates, establishing proof of concept in challenge studies for both respiratory and gastrointestinal viruses [8][12] - The COVID-19 program received a $9.27 million contract from BARDA to prepare for a 10,000-subject Phase 2b clinical trial, indicating strong governmental support for Vaxart's differentiated approach [17][18] Market Data and Key Metrics Changes - The company believes it has the most advanced norovirus vaccine candidate in clinical development, which is formulated for oral administration and designed for gastrointestinal delivery, addressing a significant economic burden from norovirus [13] Company Strategy and Development Direction - Vaxart is focused on advancing its mucosal vaccine technology, aiming to provide faster, easier, and pain-free vaccination options without the need for cold chain storage or trained medical professionals [9] - The appointment of Steve Lo as the new CEO is expected to elevate the company and create value for shareholders, leveraging his extensive experience in biopharma [14][15] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's trajectory, highlighting 2023 as a transformational year and emphasizing the need for better vaccines that harness mucosal immunity to combat evolving viruses [11][12] - The company plans to meet with the FDA in Q2 2024 to discuss data on potential correlates of protection and the next steps for its norovirus program [26][27] Other Important Information - The company is preparing to initiate a Phase 2b trial for its COVID-19 vaccine candidate, which may start as early as Q2 2024, and is working to secure additional funding for this study [19][20] Q&A Session Summary Question: Can you talk about the lactating mother study and its potential impact? - The study aims to see antibodies in breast milk that could protect infants, potentially blocking transmission in the community [30][31] Question: What are the economics of the BARDA NextGen funding? - The BARDA contract provides funding for the Phase 2b COVID-19 trial, with potential for additional funds as milestones are met [34][35] Question: How would protection correlates impact the Phase 3 study plan? - Establishing correlates of protection could reduce the number of subjects needed for testing in a Phase 3 study and bridge different age groups [36][37] Question: What are the key considerations for the potential Phase 2 G24 challenge study? - The necessity of the study will be clarified after discussions with the FDA [39] Question: How fast could a challenge study be initiated? - The timeline depends on FDA guidance, but preparations are in place to move quickly if required [44]