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Operator
Good morning, ladies and gentlemen. Thank you for standing by. Welcome to Volition Rx Limited's fourth quarter and full year 2021 earnings conference call. During today's presentation, all parties will be in a listen-only mode. Following the presentation, the conference call will be open for questions. If you have a question, please press the star key followed by the number one on your touchtone phone. If you'd like to withdraw your question, please press the star key followed by the number two. If you're using speaker equipment, Please lift the handset before making your selections. This conference is being recorded today, March 31st, 2022. I'd now like to turn the conference call over to Scott Powell, Executive Vice President of Investor Relations.
Scott Powell
Please go ahead.
spk06
Thank you and welcome everyone to today's earnings conference call for VolitionRx Limited. This call will cover Volition's financial and operating results. for the fourth quarter and full year of 2021, along with a discussion of our recent activities and key upcoming milestones. Following our prepared remarks, we will open the conference call to a question and answer session. Also on our call today are Mr. Cameron Reynolds, President and Chief Executive Officer, Mr. Terry Cuse, Chief Financial Officer, and Dr. Tom Butera, Chief Executive Officer of our Volition Veterinary Subsidiary. Before we begin, I'd like to remind everyone that some of the information discussed on this conference call will include forward-looking statements covered under the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. These statements are based on our beliefs as well as assumptions we have used based upon information currently available to us. Because these statements reflect our current views concerning future events, these statements involve risks, uncertainties, and assumptions. Actual future results may vary significantly based on a number of factors that may cause the actual results or events to be materially different from future results, performance, or achievements expressed or implied by these statements. we have identified various risk factors associated with our operations in our most recent annual report on Form 10-K, quarterly reports on Form 10-Q, and other filings with the Securities and Exchange Commission. We do not undertake an obligation to update any forward-looking statements made during the course of this call. I would now like to turn the call over to our President and Chief Executive Officer, Mr. Cameron Reynolds. Cameron?
Cameron Reynolds
Thanks, Scott, and thank you everyone for joining Volition's full year 2021 earnings call today. We especially appreciate your time given the busy earnings call season. We will come to our review of 2021 and financial statements shortly, but given all the activities surrounding VolitionVet, we are delighted to start the call with Dr. Tom Butera, Chief Executive of Volition Veterinary. Then we will do a review of all our other exciting ongoing work. Before I hand over to Tom, I would just like to say that on a personal note, that I honestly could not be prouder of the team's achievements in securing a global licensing and supply contract with one of the industry's leading companies, the Hesker Corporation. Good deals take time, and this is a very good deal, and I could not be happier. And with that, I'll hand over our presentation to Dr. Tom Butera.
Scott
Tom, over to you. Thanks very much, Cameron. And hello, everybody. 2021 and this first quarter of 2022 really has been a breakthrough time for Volition Veterinary. And I'm so proud to update all of you on the call today. I fully appreciate everyone will be eager to hear all about our recent announcements regarding the licensing and commercialization of our new QVet test. But firstly, I would like to quickly reflect on the team's many other achievements. I first became involved with Volition as an investor. I was attracted to the nucleosomics platform and thought the technology could be extremely versatile. Fast forward a little while, and I was honored to join Volition's board of directors as an independent director in December of 2020, and just a few months later, delighted to join the company full-time as chief executive officer of the Volition veterinary subsidiary. But the hard work started long before I arrived, and so I would like to pay tribute to the whole Volition team. who have worked diligently over the last 10 years or more to develop the technology, the product, the branding, and the momentum for everything we have today. It's remarkable to me that the Memorandum of Understanding with Texas A&M University was signed a little under three years ago, and our announcement at the time was simply to explore the feasibility of a collaborative research relationship. Wow, we've come a long way in a very short period of time. We went on to establish a subsidiary, finalize our collaboration agreement with Texas A&M, publish a paper on pre-analytics, conduct our pivotal clinical studies, and beta launch the test in Texas, all within a two-year period. Some quick footwork for sure. In 2021, Dr. Heather Wilson-Robles published two peer-reviewed papers reporting the detection rates for a NUQ Vet cancer screening test in two common canine cancers. We believe that this simple, easy-to-use blood test addresses a huge unmet need in the veterinary market. As I have said on previous calls, cancer screening is not yet as commonplace in animal health as it is in human health, but I firmly believe blood tests like the NUQ Vet cancer test could significantly help transform how veterinarians manage cancer in companion animals. Despite this initial success, our clinical work didn't stop with the screening test. Dr. Wilson-Robles and team have been working on expanding the range of cancers our test detects and also on expanding the potential use of NUQVet for the monitoring of diseases. In the fourth quarter of 2021, I was excited that the first data in relation using the NUQVet test as a monitoring tool was published. Not to get too technical here, but the data presented at the Veterinary Cancer Society Conference in late 2021 demonstrates that NuQVet may serve as a more sensitive measurement of both minimal residual disease and remission, and could be very useful monitoring tests for dogs with cancer. We believe that being able to use the NuQVet test to not only screen for cancer as per our current product, helping identify disease earlier, but also then to be able to help monitor the disease progression as an early indication that a dog is coming out of remission will meet a real unmet need in the market. The first data regarding the new cuvette test monitoring capabilities was really terrific, and I know that Dr. Wilson-Robles and the whole team are excited to finish the study of over 100 dogs early in 2022, submit the study again for peer-reviewed publication, and then progress on to an expected launch later this year. The clinical team has also completed the analysis of over 600 canine subjects, 504 cancer patients, and 135 healthy control dogs. Unfortunately, I cannot say too much on the call today as this data has been accepted for publication at a widely read veterinary journal and is currently under review. But I am happy to say that nucleosome levels were evaluated in plasma samples from patients with seven of the most common canine cancers so we expect to broaden our marketing claims in the coming months, so please watch this space for further data updates on this multi-cancer topic. These studies, papers, and conference publications, while time-consuming, are helping to build our profile and credibility with KOLs, oncology specialists, GP doctors, and importantly, our current and potential licensing partners. I firmly believe this will position us in a leadership position within the veterinary oncology space long-term. And so, speaking of licensee partners, I honestly could not be prouder of our achievement in securing global licensing and supply contract with one of the industry's leading companies, Heska Corporation. Heska is a leading global provider of advanced veterinary diagnostic and specialty products and is dedicated to developing the next generation of rapid, low-cost, point-of-care diagnostics for companion animals. It has a worldwide distribution and partnering network. Heska very much shares our philosophy, our work ethic, and vision as to how NuQVet can really help save lives and improve outcomes for millions of pets worldwide. Our executive agreement with Heska provides exclusive rights to sell Volition NuQVet cancer tests for companion animals at the point of care, non-exclusive rights to sell the NuQVet cancer tests for companion animals via Heska's reference laboratories, and exclusive rights to canine cancer monitoring and feline lymphoma tests, as well as certain rights to potentially commercialize a wider test menu for companion animals, again at the point of care. This multi-year global supply and license agreement totals up to $28 million in milestone payments, in addition to ongoing payment for kits and kit components. The exclusive part of this agreement is providing the new QVet test at the point of care for companion animals. The plan is to transfer the new QVet cancer test onto HESCA's point of care platform, the Element I Plus Immunodiagnostic Analyzer. As background, HESCA's Element I Plus Immunodiagnostic Analyzer is a point of care platform providing veterinarians with rapid, accurate, low cost, and easy to use testing which support their clinical decision, making in real time at the point of care in the doctor's office. In the future, veterinarians in both hospital and clinical settings will be able to detect cancer early and monitor treatment response by testing within their very own practice. Both Volition and Heska firmly believe this will help improve outcomes for both pets and pet owners. The agreement also provides a non-exclusive license to HESCA for the provision of the new QVET test for companion animals through the reference lab route. Whilst Volition and HESCA are starting with canine cancer detection, our focus is also likely to include disease monitoring in the near term and other companion animals such as felines in the midterm. Given the party's belief that the market potential and likely breadth of use of the new QVET technology is significant, The negotiation and due diligence process has been extensive and therefore time consuming. And so we thank you for your patience and awaiting this news, but we are absolutely delighted. It has been fantastic getting to know the HESCA team, and we very much look forward to a long and fruitful relationship. And secondly, as a reminder, as it seems some time ago now, but in December, 2021, we also appointed Sage Healthcare, to serve as a non-exclusive licensee and distributor for Volusion NUQVET cancer screening test in centralized labs in Singapore, followed by expansion in conjunction with Sage Healthcare into centralized labs and other key Asian markets. Launch preparations at Sage are well underway, and I look forward to providing updates on future earnings calls. We remain in advanced negotiations with other potential licensing partners in our efforts to make NUQVET as accessible as possible worldwide, and so please watch this space for further details in 2022. All in all, an incredibly busy time for the whole Volition veterinary team and many of the Volition executives too. I would like to publicly commend and sincerely thank the team for their hard work. A great job. Well done. And I truly think all of our efforts will be worth it. In the near term, for canine cancer, some statistics to demonstrate the opportunity. One in four dogs will develop cancer. Almost 50% of dogs over the age of 10 will develop cancer. Six million new cancer diagnoses are made in dogs each year in the United States alone. And 470 million dogs live as pets worldwide, and the number continues to increase year on year. To help us access these opportunities, I am delighted to say that in the first quarter of 2022, we have added significant strength to the Volition Veterinary subsidiary with the appointment of a product manager to help drive our product development program, a marketing manager to continue to build the awareness and credibility of NewQVet, and a global account manager to work with our partners and key accounts to drive the business. Welcome to the team, Daniel, Devin, and Christy. And so to the future and what's coming up next. Negotiations continue for other potential licensing opportunities in our efforts to make the new cuvette as accessible as possible worldwide. And we expect to announce further developments along those lines in 2022. I am also delighted to say that for all the cat lovers out there that we have started collection for our feline cancer study. Feline samples are notoriously more challenging to collect, but the study is now underway. And we look forward to reporting study results in due course. We continue to have a busy conference schedule having already attended and presented at both VMX and WVC in 2022. And with some important upcoming events in Europe, as we start to spread our wings and build awareness in other countries with conference attendance planned in Italy, Germany, France, and the UK. I'd like to thank you for your attention and indeed for your interest in Volition Veterinary. With our published data and now the execution of our licensing and supply agreement with HESCA, along with our supply and license agreement with Sage Healthcare, we are really gaining momentum. I, along with the whole team, and indeed our partners, believe that our new QVet test meets a significant unmet need in the market and could eventually be one of the most popular diagnostic tests utilized by the veterinary community in the future. And with that, I'll pass it back to Cameron.
Cameron Reynolds
Thanks Tom for that very comprehensive update and thanks to the VET team and indeed the whole Volition team for their hard work in reaching this fantastic milestone. I am delighted with the progress we have made in this key area as we've progressed strongly from purely a research and development company to one with a wide range of products. It is an exciting, fast-moving part of our business with clear potential to generate significant revenue for the company in terms of both milestone payments and an ongoing revenue stream from the sales of kits and key components to Hesca and Sage Healthcare, both at a very healthy margin. And now onto other aspects of our business review, starting with what I believe is the most important element, our people. Throughout 2021, and indeed into the first quarter of 2022, we've expanded our team and strengthened the bench with some incredibly talented recruits. To support our commercial expansion, we welcome Tereg Hughes as our Chief Financial Officer, Gail Fortere as our Chief Commercialisation Officer, and Dr. Tom Batera as the Chief Executive of our VET subsidiary. In addition, we also hired our Chief General Counsel, Nick and moved Catan Michelle to head up our U.S. operations as our Chief Operating Officer to accelerate development of Volition America. The caliber, experience, and expertise that Nick, Tereg, Gael, Tom, and Catan collectively bring to Volition's leadership team put the company in a strong position, and certainly their skill set was showcased during the recently announced HESCA agreement. Meanwhile, Dr. Terry Kelly was promoted to Chief Innovation Officer and works from our California lab. Terry is doing an excellent job building a team focused on cutting-edge discovery research at our new innovation hub, which opens in California this month, to help drive work in our cutting-edge capture program and other exciting areas. And as you heard earlier from Tom, our expansion has continued into the first quarter with new appointments to the VET team. People are at the heart of everything we do. I'd like to welcome our newest colleagues and congratulate our team members on their promotions. And I'd like to thank the entire team for all their efforts and many achievements in 2021. Our next key element of the company is our patents. As of year end 2021, our patent portfolio included 29 patent families and a total of 84 patents granted related to our diagnostic test. including veterinary applications, with 12 patents granted in the US, 14 in Europe, and a further 58 worldwide. Additionally, we have a total of 93 other patent applications currently pending worldwide. Our next key element of the company is our products. We have five product pillars, one of which Tom covered earlier with regards to NUQ Vet. Our next pillar is NUQ NETS. During 2021, we put significant efforts towards developing a new product, NUQ-NETS, to detect mitosis. Data published at conferences thus far show that the level of circulating NETS, as measured using our NUQ-NETS assays, correlates with current disease severity and mortality in COVID-19 patients. In addition, the studies show that our NETS-based tests could be used to predict future disease severity and guide treatment selection in patients on admission. We intend to register on UQNet's product with a broad, almost CRP-style claim for the detection and evaluation of infection, tissue injury, inflammatory disorders, and disease associated with mitosis. We believe that not only is this broad claim achievable, it also gives us the largest possible market opportunity Further, we have established proof of concept for NUQ NETS as an effective test to monitor response to a novel treatment for sepsis. The development of NETS once again underlines the breadth of the NUQ platform technology, which is supported by our robust intellectual property portfolio. We have a product manager in place and are driving forward our plans for commercialization, aiming to CE mark NUQ NETS across multiple platforms this summer. We're also developing a US clinical study plan geared towards FDA approval of our NUQ-NETS product, which we expect to start a pilot study later this year. Next up, NUQ-Discover. And I'm delighted to report some very strong progress in the commercialization of this product pillar in recent months. As a reminder, NUQ-Discover gives clinicians, patients, and researchers access to a range of state-of-the-art assays built on our proprietary nucleosomics platform for rapid epigenetic profiling in disease model development, preclinical testing and clinical trials. Our H3.1 assay is also available for purchase as a research kit. Our assays, run in our SilverOne facility in Belgium or on site, can be used to answer clinical questions such as measuring treatment efficacy or on-target and off-target effects in drug development. Applications include biomarker discovery in oncology, inflammatory conditions, diabetes and more. Existing and potential customers include both pharmaceutical companies and academic research institutions. I am very happy to announce today that we hit our milestone of signing our first NewQ Discover agreement in 2021. We've enjoyed excellent momentum so far in 2022, having signed a further five additional agreements worth an aggregate of a little over $200,000 on a full year basis. This has been a great few months with six deals in total being signed. Interestingly, the Grimms involve five separate organizations and are a real mix of pharma and academic research customers from a wide range of disciplines. We believe that this really demonstrates the amazing adaptability of our NewQ platform beyond our core work. We currently estimate the total addressable market for Nuclear Discover to be over 200 million per annum worldwide. That is a tough area to get good visibility on revenues going forward due to the wide range of studies we aim to be working with. The opportunity is calculated using publicly available drug pipeline data, the number of clinical trials and the average failure rates for relevant epigenetic targets. On average, we estimate revenues are in the region of 40,000 for the preclinical phase, 150,000 for phase one, 200,000 for phase two, and over 750,000 for phase three. And clearly, if the drug is subsequently registered and commercialized, then larger additional ongoing revenue would be expected. Now these are quite large numbers, but they would only be expected over quite a significant period. For example, it takes an average of 10 years to go from preclinical phase to commercialization. Also, these numbers, including our estimated total addressable market, are, of course, subject to fluctuations based on numerous assumptions, which, if proven correct, could materially impact our estimations and results. So a fairly significant, if somewhat unpredictable, revenue stream, but we're delighted to get up and running with our first wide-ranging contracts. And talking of revenue, I will now pass over to our Chief Financial Officer, Terry Hughes, to provide a summary of the financial report of our full fiscal year 2021, in addition to updating you on other financial related projects. Tarek will also provide an overview of what we estimate our total addressable markets to be across our multiple product pillars. Tarek, over to you.
Tom
Thanks Cameron, and thank you everyone for joining our earnings call today. I'll now provide a summary of the key financial results for the year ended 31st of December 2021. We closed out the year with cash and cash equivalents of approximately $20.6 million, compared with $19.4 million at the end of 2020. I'll just take a moment to recap our financing activities for the year. You may recall that back in January 2021, we announced the award of approximately $4 million in non-dilutive funding from the Walloon region and Namur Invest in Belgium. That funding supported the purchase and fit-out of Silver One, our new production facility in Belgium, as well as a number of ongoing cutting-edge research and development projects. That was followed in February by an underwritten public offering of our common stock, which raised net proceeds of approximately $18.9 million, Last but not least, through the course of the year, we also received net receipts of approximately $4.6 million from equity sales through our at-the-market equity distribution programs. We continue to manage our expenditure carefully, and whilst there is some quarterly variation, and indeed the overall level of expenditure has increased in 2021 as compared to prior periods, we have an underlying cash burn of approximately $2 million per month. We expect that may increase slightly in the first quarter of 2022 as it did in the first quarter of 2021. Moving on to the P&L, the net loss for the full fiscal year 2021 was $27 million versus $20.4 million loss for the prior year. Research and development spending was $15.5 million in 2021, an increase of approximately $1 million as compared to 2020, and was primarily impacted by higher personnel costs due to new hires. General and administrative expenses were $8.8 million in 2021, an increase of approximately $3.1 million as compared to 2020, and were primarily driven by higher non-cash-based compensation costs which partly reflected one-off charges to extend option expiration periods from six to ten years to align with market norms. Sales and marketing costs were $4.1 million in 2021, an increase of approximately $3.1 million as compared to 2020, and were primarily impacted by higher personnel costs as we built out our commercial team. Grant income recorded in 2021 was $1.5 million compared with $0.6 million in 2020. From a revenue perspective, we recorded $90,000 in 2021, the majority of which was from sales of the NewQ vet test related to our beta launch with a single lab at Texas A&M University, and the remainder from initial sales of NewQ Discover to customers in Europe. So to recap, we close the year out with a strong balance sheet with cash and cash equivalents of approximately $20.6 million. Subsequent to year end, and as discussed by both Cameron and Tom, we are delighted to have executed a licensing and supply agreement with Hesker Corporation for the new QVET cancer test. To reiterate, under the Hesker agreement, Volition will receive an upfront payment of $10 million and up to $18 million based upon the achievement of near and mid-term milestones, and payment for kits and key components at pre-agreed prices, which we expect will provide a significant future revenue stream with margins that reflect the value of our intellectual property. This is fantastic news for the company, and like Cameron and Tom, I'd like to offer my congratulations to the whole team. It is great to feel we are now up and running on our commercial journey. In terms of our revenue outlook, it's hard to predict with any certainty the ramp up in product sales this year. So erring on the side of caution, we would say, including the upfront payment from the HESCA deal, we would expect full year revenues to be around $10.5 million, with expectations of a significant ramp up in product sales from the start of 2023 onwards. And so here might be a good point to provide a summary of our markets and their size. We estimate our total annual addressable market, or TAM, to be approximately $70 billion worldwide, including NUQ Vet, NUQ Discover, NUQ Nets, and NUQ Cancer. This estimate of our annual TAM is broken down with key assumptions as follows. We estimate the NUQ Vet TAM to be approximately $11 billion annually worldwide. based on global canine and feline populations that are eligible for screening and monitoring, and a price assumption of $50 per test to the consumer. For NUQ Discover, we estimate our opportunity to be over $200 million per annum on a worldwide basis. We estimate this using drug pipeline data of registered clinical trial programs for relevant epigenetic targets. Moving to our future product launches, We estimate the UQ net TAM to be approximately $22 billion annually on a worldwide basis. Unfortunately, sepsis remains all too prevalent, accounting for approximately 20% of deaths worldwide. Our TAM was calculated based on estimated hospital admissions and discharges for sepsis and the associated average length of stay. And last but not least, we estimate our new Q cancer TAM to be approximately $37 billion annually on a worldwide basis. This was calculated based on eligible populations for annual screening, target participation rates, and incidence and prevalence of specific cancers and risk stratification use cases. Price per test assumptions for new Q and new Q nets range from $120 for the U.S., to $50 for Europe and $25 for the rest of the world. Given the product range we believe we can develop from our proprietary Nucleosomics platform, we believe our addressable markets are significant and we look forward to accessing those opportunities and reporting in due course. Please note, however, that these numbers, including our estimated total addressable markets, are, of course, subject to fluctuations based on numerous assumptions, which, if proved incorrect, could materially impact our estimations and results. We have made strong progress on many fronts in 2021, laying the foundations for our commercialization journey, where we have already seen our first success in the first quarter of 2022. And with that, I will hand back to Cameron for his update on the future product pipeline and upcoming milestones. Cameron?
Cameron Reynolds
Thanks very much, Tereg, for that comprehensive financial report and for highlighting the tremendous commercial opportunity we have before us. I appreciate, given all the news, this is quite a long call. But before we wrap up, I'd like to provide a quick update on another one of our pillars, our NUQ Cancer Program. Overall, the impact of the pandemic on our business has been most notably limited to delaying collections of studies and supply issues. For example, our US studies have encountered delays. With the NHL study, we took the opportunity to alter the study protocol to upgrade the platform to a high-throughput platform from plates, which will help us facilitate an FDA-compliant product, and are shifting away from frozen to fresh samples. We currently anticipate the US NHL study collection will begin in the second quarter of this year and I'll be sure to keep you abreast of developments as we move through the year. The US colorectal cancer study, led by the EDRN, the Early Detection Research Network, re-initiated enrolment in June of 2021 and has continued to enrol subjects during the pandemic at a steady but unfortunately decreased rate. As government healthcare agencies begin to relax pandemic restrictions, the actual rate is expected to increase accordingly. The EDRN still estimates the study completion dates to be at the end of 2022. The brightest note in this product pillar during the pandemic is Asia, where we not only reached our target patient cohorts for both colorectal cancer studies and the lung cancer study, all collected in conjunction with the National Taiwan University, but have also presented initial data from the colorectal cancer study at the prestigious ASCO GI meeting held earlier this year. It is great to have this first data out, and we look forward to sharing more analysis in the future. The lung team has also completed their preliminary analysis and submitted abstracts for the lung cancer study for two conferences to be held later this year. So please watch this space for that. And so to our last product pillar, NUQ Capture. As I have said on previous calls, we believe the NUQ Capture technology will be transformational as a DNA enrichment technology which could potentially aid diagnosis, treatment selection and both treatment and disease monitoring when used in combination with either sequencing, mass spectrometry and or NUQ assays. The NUQ Capture program now has several other strands of technology which either essentially removes background noise thereby amplifying the signal or looks to identify the signal in a novel way. Further strands of the NUQ capture technology involve isolating various chromatin fragments, including nucleosomes and transcription factors, from plasma from analysis by mass spectrometry and next generation DNA sequencing. So together, we're currently actively working on four different strands for NUQ capture in Belgium and in our new California lab, all of which are potentially very exciting product areas. In 2021, a novel method utilizing UQ capture and mass spec was published and demonstrates the detection and quantification of histone modifications present in the circulating nucleosomes in the blood of cancer patients. Furthermore, the use of our UQ capture technology may open up the possibility of using mass spec not only for biomarker discovery, as demonstrated in this paper, but also as a high-throughput platform for screening and or diagnostics when used in a combination with either sequencing or un-UQ assays. This has progressed to the stage whereby we are now working on setting up a large 1,000-plus patient study in lung cancer and colorectal cancer, and I look forward to updating you on this later this year. It is incredibly exciting, potentially IP-rich breakthrough technology, and we expect to report and publish further findings throughout 2022 and beyond. And so in conclusion, I'm delighted with the significant progress we made on many of our product pillars in 2021. In particular, in continuing to strengthen both our intellectual property portfolio and our exceptional team. I am of course, incredibly proud of the team's achievement in securing a global licensing and supply contract with one of the industry's leading companies, the Heska Corporation. A great job, well done. Heska and Sage very much share our philosophy our work ethic and vision as to how NuQVet can really help save lives and improve outcomes for millions of pets worldwide, and we're excited to move forward to the next phase. As Tom said, negotiations continue for other potential licensing opportunities in our efforts to make NuQVet as accessible as possible worldwide, and we expect to announce further developments along those lines this year. I, along with the rest of the board, and indeed the whole company, Very much look forward to sharing further news regarding VolitionVet and our other subsidiaries, as well as the results of our key clinical studies, publications, and milestones over the coming months and quarters. Thanks so much for joining the call today. We very much appreciate it, given the earnings call season. We're happy to take questions now. Operator?
Operator
Thank you. And at this time, we will be conducting a question and answer session. Again, if you would like to ask a question, please press star 1 on your telephone keypad. A confirmation tone will indicate your line is in the question queue. You may also press star 2 if you would like to remove your question from the queue. For participants using speaker equipment, it may be necessary to pick up your handset before pressing the star keys.
Scott Powell
One moment, please, while we pull for questions. Our first question comes from the line of Ross Osborne with Cancer Fitzgerald. Please proceed with your question.
Ross Osborne
Ross Osborne Hi, good morning. I'm on the progress. Thank you. So, starting off, I know you're not giving quarterly guidance, but could you help us think about how the year should progress to the 10.5 million you guided? Any clarity there would be helpful.
Scott Powell
Yes, Derek, do you want to take that? Yes, sure.
Tom
So as Cameron mentioned earlier, the new Q Discover revenue can be somewhat unpredictable, but we do have a number of contracts already signed. So that will form part of the revenue that we see through the balance of the year. And as we said, we've taken a fairly conservative approach in terms of the ramp up of the product sales on the VET product, expecting the commercial launch to be somewhere towards the end of the year or beginning of next year. And therefore, we would expect that to ramp up much more significantly next year. So I think what you'll see is a stream of growing quarterly revenues from the other products, and then perhaps some small amounts of revenue coming in from the VET products towards the end of the year. Sorry, I can't give a more clear answer on the quarter by quarter at this point, but it's just a little bit unpredictable.
Cameron
Yeah, and I think just to talk about just in general as well, I think it did surprise us. I think all the models were what we thought, which was, you know, be kind of a slow year for any revenue. So getting this upfront payment, which goes straight to the bottom line of $10 million, it's already arrived in our account. So I think we're already 110 times last year's revenue with one check. So that's 11,000% gain. So that's a good start to the year. There may be some other milestone payments late this year or from the three more milestone payments to a total of 18 coming in from HESCA if those milestones are achieved and I think they're all quite achievable either this year or next. And as you can see, the nuclear discovers certainly picked up a lot. Six deals is absolutely fantastic. The dam kind of burst. We sorted out the IP issues and we had to make sure we had all the quality we needed for all the things we're doing. And now we have and sorted out the contractual issues. That was a fantastic outcome. To go from one to now six in a few months, which together is also more than double last year's revenue or two or three times last year's revenue. The sales, we're not quite sure, as Tarek said, because it depends on the ramp-up, and that's now in the hands of several external companies. But Sage's launch is coming in a few weeks, so they'll start selling the vets in Singapore. Texas A&M is still selling the tests, of course. And then this contract, and we're also hoping to sign some of the large reference labs contracts sometime soon, so that's possibly going to come in this year as well. But we don't really know until they've been signed. So we're being conservative, but I think that conservative figure is far, far bigger than anyone was expecting for the entire year. But given the nature of it all, it can be lumpy with the discoverer and these milestone payments. So it's a little hard to predict, but we just could not be happier that we're in March now and we're already 110 times in one check what we got last year. So it's a great start, but we'll guide as it becomes more obvious to us what the revenue is. But the aim is to get the big payments in and also increase the incremental revenue solidly quarter on quarter as it ramps up.
Ross Osborne
Okay, great. Thanks for the additional color there. Congrats. Sounds like also a great start. So maybe one more for me, and then I'll jump back into Q. So just given the lockdowns in China – you know, has that adjusted your Asia commercialization plans broadly stage? And then, you know, what countries will you initially target post the beta launch in Singapore?
Cameron
Yes, so it certainly affected China. We've been working with a large company there. They've been fantastic. But obviously, China's quite focused on COVID still. Where Singapore is coming out of it, the launch is in a few weeks' time. So keep an eye out for that. And SAGE is more focused in the short term on Southeast Asia. And they're quite rapidly lifting their lockdowns now as well. So I think it definitely has affected the Chinese market. but the Southeast Asia where I think Sage and we will focus in the short term is really starting to move now. And sorry, Ross, what was the second part of that question?
Ross Osborne
Nope, you addressed it. And thanks for your question. Congrats again.
Scott Powell
Thank you. Thanks for your questions. Have a great day. And our next question comes from the line of Bruce Jackson with the benchmark company. Please proceed with your questions.
Bruce Jackson
Hi, everybody. Thanks for taking my questions. Just a few more vet questions. You've discussed maybe getting some more contracts in the lab space. HESCA does have a bit of a footprint in Europe. Are you going after any of the other labs in Europe?
Cameron
Yes, so I guess the whole background to it all, and then I guess Tom can answer from the European side, but it's been, as Tom said, it's a fantastic outcome from HESCA, but they are focused on point of care. They do have some reference labs, and I believe they're intending to launch in those. We do have very active negotiations with the big vet companies. and they've gone well, so that could be news in the short term. But as with Sage, part of the answer could well be regional players throughout the world, and we're in discussions with a few of those beyond the big players. And I think to really get to our vision of being in as many labs as possible, in front of as many owners as possible worldwide, to reach as many of those half a billion dogs as there are in the world, we should be as many deals as we can. So there'll be some more news on that later this year. Tom, do you want to speak to this?
Scott
Yeah, I was just going to add to that, Cam, that we have a significant European strategy currently underway. We've had tremendous interest from the European reference labs as well, and we anticipate that there will be agreements signed with them as well during the course of 2022 and going into 2023. Great.
Bruce Jackson
Okay, great. And then in terms of the feline testing, so collecting samples right now, realistically, when could that test be on the market and have some impact on revenue? Is this more of a 2024 type of product, or could it contribute to 2023?
Scott
Yeah, I think realistically, we're going to be doing a lot of the collection in 2022, the latter part of 2022, the initial validation tests and the initial validation work will be done in 2022. So anticipation would be at least our goal is to in 2023 try to bring that test to market.
Tom
Okay.
Cameron
Which would probably mean 2024 revenue is sort of a year behind. I think this year is about signing the deals and getting it available and launching Some good revenues, but I think it'll really ramp up next year. So I guess that will be on the dog side. So I guess that would be more a 24-storey for the cat market for revenue from the test. Yeah, apart from upfront payments and things like we have in the dog market, but the actual product revenue would be more 2024.
Scott Powell
But exciting. It's really coming together very well.
Bruce Jackson
Yeah, absolutely. Moving over to the EBRM study in the United States. when they say they're going to finish, does that mean the collection of samples and then you do the testing or is the testing ongoing right now. So in terms of the timeline.
Cameron
Yeah, that's a 23, 24 story. Yeah, that's the one thing. I think what we've done now has been a tremendous validation and vindication of our strategy in the vet space and the ptosis to really push that now. The human cancer space in the U.S. has been slower because of the pandemic. Understandably, people don't want to go part of a trial when the hospitals are closed or, you know, the fear is out there. So that has slowed. But I think, as you can see, we've used our time very wisely. So I think that will be a 23, 24 story for the EDR inside.
Bruce Jackson
Okay, got it. And then last question for me. On the burn, you've been running at maybe about $2 million a month. Is that going to tick up slightly this year with the Dexter hires and everything, or should we still be modeling that roughly $2 million per month burn rate? Sure.
Tom
Yeah, I think, yes, it's currently running on average two in a month. The first quarter will be a bit higher, as it always is, and throughout the year we can expect it to tick up a little bit as activities ramp up.
Bruce Jackson
All right, great. Thank you so much, and congratulations on all the progress.
Scott Powell
Thank you. Thank you for your time, Bruce. Thank you. Our next question comes from the line of Nathan Weinstein with Aegis Capital. Please proceed with your question.
Bruce
Hi, good morning, Cameron and the Militia team. Thanks for taking my questions. And firstly, congratulations on securing this licensing deal with Tesco, a very well-established and highly respected vet diagnostics company. So I was really excited to see that press release come across. And I guess I'll just start with the question, the new QVET side. Just prior to revenues ramping there from product sales, like how, you know, how do we track sort of the progress of the partnership over the next year? So will that be around milestone announcements, or how do we keep an eye on that?
Cameron
I think we'll update as a corporation on the quarterly calls. But, you know, we are hitting the ground running. They had the kickoff meeting call yesterday. So Hesk is really keen to get it out there quickly. We've spent a lot of time working with them, adapting to their Element I Plus platform, And they're looking also to launch as a lateral flow test, like a snap test. So that's in constant development. And they also, of course, have the rights to launch it in their laboratories as well, in their reference labs. So I think there'll be lots of things going on. They're very serious about hitting it running. I think showing $28 million in payments, including 10 on signing. shows that they think it's a very big product. And as you said, I think it's a great deal for everyone. It's exactly the deal I like. It's good for us, it's good for Hesca, it's good for dogs, potentially cats, and it's good for everyone because it's a real need in the market. And I think they're a very dynamic company. They're really looking to dominate the point of care space. And I think they've made a very good decision in working with us to launch this test at the point of care. So we'll update big events on the earnings calls and updates as it goes through the year. And also, of course, there are three milestone payments totaling $18 million to come, which we think are very achievable this year and next. So that'll be the big ones, I guess. And as the revenue comes in, From then, and as I said, Sage is also launching this month, sorry, in April in a few weeks' time. So there will be a steady drumbeat of different things happening.
Bruce
Okay, fair enough. And then just turning to MewQ Discover, obviously signing several agreements there worth a couple hundred thousand dollars. That number is starting to get interesting. I guess can you sort of break out how those dollar figures go up as you have a customer that's further along in clinical trials as it because they're ordering more product or different products later in the trial?
Cameron
Typically, it's the same. It depends on – so it's about half universities and half pharma companies. So as you – they order a few kits, and then that works. They order a few more. So sometimes they go from $5,000 or $10,000 to $40,000, and then it can jump to the hundreds of thousands to be part of the next stage. And then if it becomes part of the product and the companion or very key in the drug development or the research program, it can be worth a lot of money. So it's been interesting. We've really learned a lot about our assays and what the whole industry... It's serving a few purposes. It's a nice source of early revenue. A few hundred thousand dollars from this alone sort of more than doubles our revenue from last year from everything. So it's interesting just for incremental revenue growth. It also shows the versatility of the platform, but I think also it really allows us to kind of understand what's going on in epigenetics. We have big aims to be at the heart of epigenetics and provide a lot of tools for a lot of people. So working with different groups in different areas really allows us to be at the heart of what's going on in this incredibly exciting space. So it is the revenue, and that's been very nice, but it's also really keeping track of a lot of different things so we can better understand epigenetics ourselves and our own products and also really help them through this process.
Bruce
Okay, fantastic. And then just one final question for me, and sorry to jump around, but there's a lot of different projects you're working on, so I really do want to ask about new QNets, if you don't mind. And you did discuss new QNets at length, but... Maybe just remind us or summarize what are the next prospective catalysts in that program?
Cameron
Yeah, actually, that's really been growing extremely strongly below the surface. We've hired team members to really drive it. So, mitosis, which just to remind everyone, is what kills the majority of people in COVID, but also sepsis, which is one of the biggest killers, if not the biggest killers in hospitals. And it's very hard to detect, particularly early, quickly, cheaply, easily, what we do. So we're incredibly excited about this product platform. It's exactly the same platform we've been using. And so we're expecting our first CE marks quite soon. The regulations are changing in Europe in a few months' time, so we're trying to get some of them before the regulations change. So in this sort of summer timeframe, we'd expect a few CE marks on different platforms. Why different platforms? For different purposes. Sometimes you want it run in a lab, on a lab machine. Sometimes you want it at the point of care. Sometimes you want plates. And if we are going to get to something like CRP, which is 85 million tests a year, There's an inflammation marker, which notosis is, of course, partly inflammation. We need to go on different platforms. So the next sort of wave of news will be the C marks for the European launches. Sorry, the development of the products and then launches. And the U.S., part of what I was doing in the U.S. this last trip when I was in the States was really work sitting down on the U.S. regulatory side. So expect to see some key highs in the U.S. on the regulatory side. In the short term, I think some quite exciting people are going to be joining us to really help us drive the U.S. regulatory side. And we think beyond the cancer processes we're in now, the really exciting one is the U.K. nets, particularly aiming at sepsis, which is also a tragic killer. So expect to see a lot of information on how we intend to launch in the US and the TOSIS products, which we expect to be fantastic blockbusters, later this year. So over the summer, the C-Mark in Europe, and later this year, the US strategy, and a lot more data and a lot more information coming out And we're also working with companies to be companion diagnostic. Obviously, diagnosing is one thing, helping to treat nets is another. So expect to see some information on that this year as well. So, yeah, there is a lot going on and we can do it because we have a very versatile, adaptable, very simple platform that can be used in many areas. And UQ nets will be a very big part of that in the second half, over the summer and the second half of this year, we think.
Bruce
Okay, great. Thank you so much for taking my questions, Cameron. And congrats to you, Dr. Butera, and the whole team at Volition on all the progress, especially on the vet side.
Scott Powell
Thanks very much. Thanks, Nathan.
Operator
And again, as a reminder, if anyone has any questions, you may press star 1 on your telephone keypad to join the queue. Our next question comes from the line of Michael Okunowich with Maxim. Please proceed with your question.
Michael Okunowich
Hey, guys. Thanks for taking my questions. Thank you. So I wanted to ask regarding the HESCA point-of-care diagnostics platform, how wide-reaching is that as it stands? And is their base platform widely available at vet labs and clinics?
Scott Powell
Tom, do you want to answer that?
Scott
Yeah. It's Michael. Michael, the HESC is the number one. Their entire focus is point-of-care diagnostics. That's where they have their strongest emphasis, and that's where they have their biggest footprint. Just to kind of give you an idea, on a U.S. basis alone, pretty close to 70% of the veterinary hospitals that are out there have in-house laboratories, and HESC is probably has at least 15% of that market. And with the introduction eventually of our point-of-care test with them, and especially with reference to cancer, it's going to be something that veterinarians are going to very much gravitate to. So the anticipation is that, especially with reference to their LMNI and the no-assay analyzer that we spoke about, it's going to be probably a significant uptick for them in terms of use in the in-house lab market.
Scott Powell
Thank you.
Cameron
And, Michael, don't also forget it's not just the machine. This is a point-of-care license. So I believe they are serious developing lateral flow tests as well, which do not need a machine and can be run anywhere as well. So I think they're all about an entire point-of-care solution. So the machines are obviously a big part of it, and the machine they use is fantastic. a very accurate, very viable platform. But they're also, I think, looking to move into more disposable tests as well so that it's really viable worldwide through the machines and also through snap tests or lateral flow.
Michael Okunowich
All right, thank you. I appreciate the extra color. I'd just like to see also if you could provide a bit more granularity on... the economics behind sales through Tesco and the point of care setting, as well as the milestones, what those are for, those largely development milestones, sales milestones. Could you talk a bit about that?
Cameron
Yeah, so obviously we've got to be a little careful. We're negotiating with two other companies at the moment, so we don't want to give too much away of it all. First of all, we're very happy. I think it's a good deal for us and for them, for all the reasons we talked about. So the milestone payments are fantastic. There's 18 million more coming in milestone payments if we achieve those milestones. And I think there's a reasonable chance, a good chance we could do them all, the three of them, by the end of next year. And they pertain to the product launches and also to the feline. as we discussed. And as far as what we've said, obviously we've got to be careful for all the reasons we talked about, but we're very happy with the deal we have. For the kits, we're looking at about $10 coming to us. And if the price is sort of $50 to the end user, A HESCA would expect to get about half of that and we would get what we said from us. And if we're selling components, it's cheaper than the kit because obviously we don't have to put together a kit. So it's less than $10 for us, but it's $10 for the kit and reduced for the components. So that's, I think, a very healthy percentage for us and it really shows our strategy of silver one and producing the key components allow us to provide a big part of the solution to the vet company so they don't have to do any development work and they don't need to produce anything themselves. We sell the antibodies and the controls. which are very, very good ones we produce now. I think we produce the best in the world, certainly the recombinant nucleosomes, and Synhetka can adapt it to their machines or to the other point-of-care platforms or collateral flows. So we get the milestone payments and then, I think, a very reasonable percentage of the revenue because we provide not only the IP, we also provide fantastic key components, which means they don't have to develop them.
Scott Powell
Is that how you see it, Tom? Yes, it is, Ken. Yeah, thank you very much.
Michael Okunowich
I also wanted to touch on the netosis program. You mentioned you're going for a broad CRP-style claim and that you're potentially getting a C mark over the summer. So after you secure that claim, what would be the next steps for NewQNet to drive its adoption as a clinical product?
Cameron
Very good question. So we're now in the process, as I said, we've taken on an anatosis product lifecycle manager and it's his job to put together the team to launch the product in Europe and we're working on the US strategy. So a C mark means you can sell it for that purpose and if you want a clinical adoption, you have a wide range of proof that it works very well. So we're working with some great key opinion leaders, some great world-renowned hospitals and universities showing how useful it is in a clinical setting. So the clinical product will be used in publications, in trials, and showing a really strong background in how well it works. Also, clinical adoption is partly driven by being on a lot of different platforms. As I said, some people want a centralized lab. If you're not in a hurry, taking four or five hours in a lab is fine. If you've got someone in emergency or intensive care, you want something pretty quick, that's when you go for a point of care. And this is where the whole business lives off each other and helps each other. The point of care platform for the vet space can also help us in the human space and vice versa. So to get adoption, we're getting the regulatory approval, then we're getting a lot of great key opinion leaders behind the product and showing how well it works, and that they back it and will use it, and then we make it available on as many platforms as possible so that it's easily at hand, if you will, to whoever's looking for the test to be run. And as I said, it's something which we think is incredibly useful, and the total addressable market looks at People have been giving it every day when they're in emergency, which I think is a very valid assumption, given how deadly sepsis is, and knowing you're starting to get sepsis or how bad it is is incredibly important. And I think even everyone who goes into hospital on the first and last day, knowing if NETS is becoming a problem, because it is such a massive killer. So I think we're working through the strategies now, and we'll update on the coming quarters. But I think we've got a very good indication now of the path forward, and we're working through that process.
Michael Okunowich
All right. Thank you so much, and congratulations on all the progress.
Scott Powell
Thank you. It was very exciting.
Operator
And we have reached the end of the question and answer session. I'll now turn the call back over to Cameron Reynolds for closing remarks.
Cameron
So thank you, everyone. And I know it's been a long call, but as you can hear, we have a tremendous amount happening at Volition. And if you go through all the things we're doing, it's going to be a tremendously exciting year. I'd like to congratulate Tom and the entire vet team for a fantastic outcome with the first very big deal signed and the first revenue in. And I think it's going to be a fantastic 2022. So please keep a close eye on what's going on. And thank you again for your time.
Operator
Thank you again for participating in today's conference call. You may disconnect your lines at this time.
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