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5/12/2026
Thank you. We'll be right back.
Good afternoon, ladies and gentlemen, and welcome to the Capricorn Therapeutics First Quarter 2026 Conference Call. At this time, all participant lines are in listen-only mode. Following the presentation, we will conduct a question-and-answer session. If at any time during this call you require immediate assistance, please press star zero for the operator. This call is being recorded on Tuesday, May 12, 2026. I would now like to turn the conference over to our CFO, AJ Bergman, for the forward-looking statement. Please go ahead.
Thank you, and good afternoon, everyone. Before we start, I would like to state that we will be making certain forward-looking statements during today's presentation. These statements may include statements regarding, among other things, the efficacy, safety, and intended utilization of our product candidates, potential regulatory developments involving our product candidates, our future R&D plans, our anticipated conduct and timing of preclinical and clinical studies, enrollment of patients in our clinical studies, our plans to present or report additional data, our plans regarding regulatory filings, potential regulatory inspections, revenue and reimbursement estimates, projected terms of definitive agreements, manufacturing capabilities, our financial position, our possible uses of existing cash and investment resources, and statements regarding our litigation with Nippon Shin'yaku and NS Pharma Inc., including the nature of the dispute, our expectations regarding any legal proceedings, and our ability to commercialize DERMA-ISL independent of our existing distribution agreements. These forward-looking statements are based on our current information assumptions and expectations that are subject to change and involve a number of risks and uncertainties that may cause actual results to differ materially from those contained in the forward-looking statements. These and other risks are described in our periodic filings with the SEC, including our quarterly and annual reports. We are cautioned not to place undue reliance on these forward-looking statements, and we disclaim any obligation to update such statements. With that, I'll turn the call over to Linda Marvan, CDO.
Good afternoon everyone, and thank you for joining Capricor's first quarter 2026 earning call. To our investors, collaborators, the Capricor team, and especially the Duchenne patient community, thank you for your continued support and belief in our mission. We are at a truly defining moment in this company's history, and I want to take a few minutes to give you a clear picture of where we stand across our three most important priorities. our regulatory path to approval, our commercial readiness, and our legal action against NS Pharma and Nippon Shinnyaku. I'll start with the most significant development. Our biologics license application, or BLA, for Darum ISL is currently under active review by the FDA with a PDUFA target action date of August 22nd, 2026. As a reminder, Following receipt of the complete response letter in July of 2025, we moved quickly and decisively. We submitted our response based on the HOPE III Phase III trial results, which we believe represent one of the most compelling datasets generated for DMD to date. The FDA accepted our response as complete and classified the resubmission as Class II, resuming its full review of the BLA. There has been a significant number of information requests from the FDA to Capricor, all of which we have been able to provide answers to. We look forward to continuing our active dialogue with the FDA and are looking forward to labeling discussions in the very near future. As this is a BLA resubmission review, there will not be a mid-cycle review meeting. Now, the data submitted as a response to the CRL, the HOPE III data, demonstrated statistical as well as clinical significance across a variety of endpoints. To remind you, HOPE III was a pivotal, phase III, multicenter, randomized, double-blind, placebo-controlled study that enrolled 106 patients in a one-to-one randomization scheme. The trial met its primary efficacy endpoint, which was the performance of the upper limb otherwise known as the POLE version 2.0, with an approximate 54% reduction in disease severity at 12 months and a p-value of 0.029, as well as all type 1 error-controlled secondary endpoints also hitting significance. As the current BLA was for the indication of cardiomyopathy, it was very important that the key secondary endpoint of left ventricular ejection fraction demonstrated an approximate 91% slowing of disease progression in all of valuable patients. Further, in a subset of patients with a confirmed diagnosis of cardiomyopathy, the LVEF effect showed an approximate 120% slowing of disease and achieved a p-value of 0.01, further supporting daromyosal's potential to address the DMD-associated cardiomyopathy. We are also pleased that we presented additional HOPE III data at the 2026 MDA, Muscular Dystrophy Association, Clinical and Scientific Conference, also at the American Academy of Neurology and the American Society of Cell and Gene Therapy being held this week. Two highlights are worth emphasizing. The Duchenne video assessment of each 10 bites measure a home-based caregiver-captured video assessment of upper limb function. These showed statistically significant improvement in treated patients versus placebo. This is a real-world, home-based outcome measure that directly reflects independence and quality of life. In addition, The cardiac MRI data demonstrated a significant stabilization in the progression of cardiac fibrosis in treated patients versus placebo. Fibrosis is cumulative and irreversible. Its attenuation before functional symptoms appear is one of the most clinically meaningful things we can demonstrate. These data will be central to labeling discussions and support the case for early treatment initiation. The full HOPE III data set has been submitted for publication in a major peer-reviewed journal, and we look forward to that publication following acceptance in due course. On safety, we have now completed more than 800 intravenous infusions across multiple clinical studies. Daromyosal continues to demonstrate a consistent and well-tolerated safety profile. Several of our young men in the HOPE II open-label extension have been receiving continuous infusions for up to five years, with approximately 90 patients in our collective OLE studies. Importantly, the long-term safety profile of daromyosal is supported by these five years of open-label extension data. This is reassuring for the DMD community, as well as supportive of regulatory approval. Lastly, we also expect to be eligible to receive a priority review voucher upon potential approval. PRVs are transferable and can be monetized through sale, representing a meaningful potential source of non-dilutive capital. We will continue to provide updates to the market on the progress toward the path to approval for DERM-ISL to treat DMD. Now, I'd like to turn your attention to directly address our legal action against Nippon Shinnyaku and its U.S. subsidiary, NS Pharma, which we announced last week on May 7, 2026. We filed suit seeking rescission of our U.S. distribution agreement through an expedited process, requesting a preliminary injunction that would allow Capricorn to distribute Jeremiah Cell to patients either on our own or through other distributors pending FDA approval. Now let me be clear about what drove this decision and why we believe it is both necessary and correct. The core problem is related to pricing. The pricing structure embedded in our commercialization and distribution agreement with NS Pharma contains a fundamental flaw that if left unaddressed would make it economically impossible to deliver Daromyosal to patients covered by Medicare, Medicaid, or private insurance. Providers would face potentially hundreds of thousands of dollars in reimbursement shortfalls per dose. This is not a commercial preference. It is a structural barrier to patient access. We tried to fix the pricing structure, but NS Pharma refused to address the flaw on acceptable terms. After we identified this issue, we engaged in good faith negotiations with senior leaders at NS Pharma to find a resolution acceptable to both parties. But NS Pharma refused to compromise and demanded that Capricor agreed to a structure that would result in Capricor ceding all control of the product we developed, our regulatory relationships, and our commercial and brand identity as a condition for resolution. That arrangement was just not acceptable to us. At the point of the CRL in July of 2025, it was clear that NS Pharma failed to continue the commercial investments needed to ensure a successful launch of Daromyosal upon regulatory approval. NS Pharma did not provide status updates to inform Capricor on their launch planning efforts specific to the commercial interest of Daromyosal, patients, caregivers, HCPs, and payers. These were core requirements of our partnership that they did not uphold. With the PDUFA date of August 22nd, 2026 approaching, we could not allow a flawed contractor and a distributor who was unwilling to fix it stand between DMD patients and DERMA-ISL. Every month of delay for boys and young men with DMD means irreversible loss, muscle destroyed, cardiac function permanently diminished, or independence that may never be returned. We did not rush this decision. After exhausting every alternative to address NS Pharma's inaction, we concluded that litigation was our only acceptable option. The FDA review process and the PDUFA date are unaffected by this lawsuit. And as I mentioned earlier, our BLA remains under active review. Capricor has hired and continues to hire key individuals to support the successful commercialization of Jeremiah's Health. We have been working to ensure that our commercial readiness and a product launch plan that considers patients, healthcare providers, and payers with a focus on seamless patient access. We are thoughtfully scaling our manufacturing capacity to meet the needs of those patients exiting our clinical trials and in preparation for commercialization. Now, our regulatory pathway is only meaningful when we deliver the therapy directly to patients, and that is exactly what we are building towards with the same discipline and urgency we have applied to the science over the past two decades. Now, let me walk you through some of the specifics with respect to manufacturing. First, our in-house GMP manufacturing facility in San Diego successfully completed its FDA pre-license inspection or PLI last year. All form 483 observations were addressed. The facility is operational and positioned to support initial commercial launch for approximately 200 to 250 patients per year. Additionally, we are also well underway with our expansion to the second floor of that same facility adding several additional clean rooms. At full capacity, this expansion will support treatment of approximately 2,000 to 2,500 patients per year, roughly 10,000 doses annually. We're staging the build out deliberately. My goal is to have the facility fully validated and approved by the FDA in the first half of 2027. During the FDA review period, we will continue to produce material and increase capacity as we move through 2027. Finally, our primary manufacturing priority will begin stockpiling commercial doses once we have guidance on the label from the FDA. Since Daromyosil is an ultra-cold chain product, it has to be labeled before it is frozen. FDA has been apprised of this and is working with us on a temporary label solution so that we can begin production of commercial doses. Based on current planning, we will have ample product to support our future launch if approved. While the litigation against NS Pharma probably came as a surprise to many of you, we had become increasingly aware that not only was the deal structure impossible from an economic perspective, but they were seriously lagging behind in commercial planning, as I just mentioned. I have guided multiple times that we were building a small commercial team to provide support to NS when they were going to be the sole distributor. Now that we are gearing up to launch on our own, subject to the court's decision, we have accelerated those efforts and are in the process of building a fully functional commercial team. We already have a senior vice president of market access with significant rare disease experience who is actively preparing the market for Daromyosome. In addition, I am pleased to inform you that we have now secured a chief commercial officer who will join us in the next few weeks. This executive brings direct DMD and rare disease commercial experience and will be an integral member of our launch leadership team. We look forward to introducing him to the investment and DMD community shortly. To that end, we are actively working towards approval and commercialization of Daromyosal, and our current deliverables are to continue to work on hiring key individuals to support the successful commercialization of Daromyosal, to support patients and their caregivers. We are building to ensure commercial readiness and a product launch plan that considers all. with a focus on seamless patient access across all payer segments. We are rapidly building the physician education and disease awareness infrastructure required to support responsible and rapid adoption consistent with our expected label and other rare disease patient populations. And lastly, the building of our patient support and distribution services is underway with a strong commitment to patients and their families while enabling access across all channels for as many eligible patients as possible. The DMD community is small, defined, and engaged, and we know who the prescribers are.
Now turning to our pipeline.
Over many years, Capricorn has been focused on translating the science of Darum-ISL into a potential commercial therapy, marshalling the majority of our resources to advance it from discovery to this pivotal stage. We have developed deep expertise in product development, manufacturing, and clinical development. While we are proud of these accomplishments, pipeline expansion has not been our first priority. However, we have worked at a slow but steady pace in developing exosomes as therapeutic agents, taking advantage of their biological role as cellular delivery vehicles. We continue to explore and develop opportunities for pipeline expansion with CDC-based exosomes, and our patented stealth X technology made from 293 cell exosomes and now being used in vaccine studies in collaboration with the national institutes of allergy or infectious disease. Nyad for coven prevention is important to note that has been a lot of instability and vaccine development over the past year. And so this program has moved a bit more slowly than originally planned. However, the most important milestones were reached, which were manufacturing of clinical-grade vaccine exosomes and an approved CMC from FDA for large-scale manufacturing, as well as showing that an exosome-based vaccine is safe. We are moving away now from vaccine development at this time, and we'll focus on developing therapeutics with both classes of exosomes. We are actively presenting and publishing our rapidly expanding pipeline of exosome-based therapeutics and look forward to providing updates on the clinical development program as they become available throughout this year. In terms of life cycle management of daromyosome, we have spent 20 years developing our therapy and now we'll be actively looking to expand into other indications. Our first target will likely be expansion to the younger DMD patients we are working on now. In addition, We plan to initiate the clinical pathway for Becker muscular dystrophy, which we plan to begin discussing with the FDA immediately following PDUFA for DMD. Expansion of daromyosal outside the United States is also underway, and we expect to meet with the EMA and PMDA later this year. We believe daromyosal should be available to all patients worldwide, and that will be a goal that we actively work towards this year. In addition, we're evaluating opportunities in other rare neuromuscular diseases where inflammation and fibrosis are the primary pathologies. And now with that, I will turn the call over to AJ to review our financial results.
AJ?
Thanks, Linda. As of March 31, 2026, we maintained a strong balance sheet with approximately $279 million in cash, cash equivalents, and marketable securities. We believe our current capital is sufficient to fund anticipated operating expenses and capital expenditures into the fourth quarter of 2027. That expectation excludes potential product revenue or a priority review voucher monetization upon potential approval. There was no revenue recognized for the first quarter of 2026 or 2025. Our total operating expenses for the 1st quarter of 2026 were approximately 36.8M compared to approximately 25M for the 1st quarter of 2025. the increase is primarily driven by continued investment in clinical regulatory and manufacturing activities as well as infrastructure expenditures, supporting our Duchenne program. net loss for the first quarter of 2026 was approximately 33.9 million or 59 cents per share compared to a net loss of approximately 24.4 million or 53 cents per share for the first quarter of 25. our operating expense profile reflects a calibrated investment across our three priority areas of regulatory and clinical activities in support of our BLA manufacturing capacity expansion, and commercial infrastructure build-out, all aligned with our path towards potential approval, and our balance sheet provides the runway for us to execute. With that, operator, let's please open up the line for questions.
Thank you. Ladies and gentlemen, we will now begin the question and answer session. Should you have a question, please press the star followed by the one on your touch-tone phone. You will hear a prompt that your hand has been raised. Should you wish to decline from the polling process, please press the star followed by the two. If you are using a speaker phone, please lift the handset before pressing any keys. One moment please for your first question. Your first question comes from Leyland with Oppenheimer. Please go ahead.
Thank you. Linda, as we continue to digest the news on the lawsuit, I'm wondering if you could share more color. You know, Nippon Shinnyaku, a large company with many products, but NS Pharma is a much more focused company, you know, with one product, which is for tradition and is complementary to Jeremiah Cell. So they would seem to be very well set up to enter the market with your product and would be motivated to do so given the, you know, the money to be made. So I'm just curious if you could share more color or insight on your discussions with NS Pharma as to their reluctance to move at all toward what could be a resolution that would enable their to be sold in such a way that the ASP-based pricing would, you know, work. for the system. Again, given that, you know, end of pharma would not be able to have any return on DERM-ISL until that's worked out to the follow-up. Thank you.
Thank you, Leland. I think that was your longest question ever. So, I appreciate the clarity and the depth to which it's gone. You know, the answer is a little bit of a head scratcher for us as well. As I've been guiding since the filing of the suit on May 7th, We actually entered negotiations with them regarding this very issue in March of 2025. So it's been over a year that we went back and forth and proposed a variety of solutions that we believed, and several sets of lawyers, including some of the lawyers that represented NS Pharma, believed would be a reasonable structure that would allow us to keep the economics essentially in place the way that they had been divided in the original agreement. We don't have a clear answer as to why they were so intransigent on accepting any of these other opportunities. But what I can tell you is that within about one week before we filed the suit, they confirmed by email that the structure that they proposed, which essentially eviscerated Capricorn's brand and Daromyosal and future indications was the only structure that they would accept. So they really left us with no opportunity. Now, having said that, while we would never break an agreement that was being enacted upon appropriately, this gives a great opportunity for Capricorn to become the distributor of Daromyosal. And I think all of you know how passionate we are about Daromyosal, spending nearly 20 or more than 20 years developing it. We know the patients, we know the community, we know the doctors, we know the networks. And so I'm excited by this opportunity, as well as respectful of the terms of the original agreement, which are no longer applicable.
In your statements, you said that Capricorn determined that this would be a non-viable pricing structure. Do you have evidence or admission on NS Pharma's part or Nippon Shinya's part that they also were not aware of the implications of this when they signed the agreement?
Well, I'm assuming that they didn't know the implications of it because they signed the agreement. So I think what, you know, I don't know what was in their head or or, you know, most people don't typically go into a agreement that is non transactable if they know that there is, you know, sort of a killer clause in there. Having said that, you know, we were all made aware of this problem based on the ASP at the exact same time by an independent consultant in the field. So we know that they knew that this was a problem, as I said, starting from March of 2025. So there's definitely not an ignorance is bliss kind of opportunity here.
All right. And lastly, in terms of your planning for commercials, so, you know, you're getting going. You do have, you know, a few months left. until a presumed approval, but, you know, most companies would be well ahead of that in terms of, you know, time to market for these various preparations. Could you maybe share kind of where you expect to be assuming approval in August in terms of launch readiness relative to where you would ideally be, you know, to be launching a rare disease product to turn by? So, thank you.
Yeah, so thank you. And so I think I've stated pretty clearly that we were very disappointed with NS Pharma's approach to launch planning over the past few months, especially since the CRL. They had stated that they were putting pencils down. They didn't pick them back up theoretically again until March of this year, just a few months ago. They were egregiously behind in some of the very critical launch activities, which typically take place twelve to eighteen months before and also pave the way whether or not you have responses from FDA. Having said that, We at Capricorn, new launch was coming. I have been laying the groundwork quietly behind the scenes for many months now. We're building out not only a commercial team with a newly hired chief commercial officer, but we've been working on market access, advocacy, planning, the patient journey, the product journey, getting a distributor, which we believe that we'll be able to secure very quickly. And so I have high hopes for a very strong launch. Most importantly, we have, you know, nearly 100 open-label extension patients that we will be actively working to get over to commercial product and working with the payers to do so. And we remain committed to providing DERMA-SL to as many eligible patients as is possible as soon as possible post-BDUFA.
Thank you. Thank you.
Your next question comes from Ted with Piper Sandler. Please go ahead.
Great. Thank you very much and appreciate all the color on the priorities to get approval launch and then the lawsuit. I have a question just sort of what the depths are from here with respect to the lawsuit. I know you mentioned that you had requested an expedited um lawsuit or i'm i forget the exact words you used how does that play out and if it should go past padufa approval or padufa or the approval comes ahead of the padufa you're in a position where you're manufacturing the drug and you're putting your own sales force in place so you're just going to launch it yourselves is that accurate
So our current plan is to launch their myself. Yes, we have the drug. Yes, we manufacture it and that is what we're working towards here at Capricorn in terms of the timing. It is dependent upon the court for which we have very little. In fact, we have no control. Having said that the reason our lawyers filed a motion for preliminary injunction. But they typically act very quickly on those and will give us some guidance and hopefully will be heard on an expedited basis. We can't provide any other details on the litigation, but what we can tell you is that my plan now is to distribute DERM-ISM on time and well thought out in strategic fashion while this is continuing either in the background or has been resolved.
Great. Well, I wish you all the luck because I do think this drug is best served to patients in your hands. So, thank you for that update.
Thank you, Ted.
Thank you. Your next question comes from Kristen with Cantor. Please go ahead.
Hi, good afternoon, everybody. Thank you for the questions and for all the transparency today. So when the press release first came out last week, I think some investors initially read it as they weren't preparing for a commercial launch appropriately because they didn't have conviction in an approval, but then on the other hand, you know, myself and others read it as, well, if they truly believe that, they would happily just give the Dera-Maisel back to you and move on their way. I guess, can you just clarify that in no way is this, in your opinion, based on them lacking conviction in an approval?
Yeah, thanks. You know, that sort of is icing on the cake in the sense that You know, we were disappointed in the progress they were making. We believe that it shows a lack of belief in their myself from their perspective and a lack of focus on their part. Having said all that, that would not have been the foundation, nor the basis of an action. At this point, we would have tried to work with them. And I think as I guided and have answered in a previous question, we would have just shadow box behind them with our own commercial efforts, trying to support and help them. get this to patients as quickly as possible. I think all of you know that we have great connections within the Duchenne space and relationships with patients and advocates and providers. So, no, the foundation of the lawsuit is really this contractual basis, which really gives us good potential evidence for rescission, which is a decision that each party sort of went about the contract in good faith. It didn't work out and everybody goes back to square one and does their own thing. which would then allow us to have the rights back and we would be, you know, fully engaged as the sole distributor of Daromyosal. But, you know, stay tuned. We don't have any answers from the court yet. Obviously, this is material, so we will provide updates as soon as they become available.
Okay. Thanks, Linda. And then maybe just on the review side, you made the comment that you're nearing potential labeling discussions. Seems a little bit quick. It's usually like a month or two before the PDUFAs. I recognize we're three months out here. So is that just kind of based on the trajectory of the questions that you've been getting? Have they told you one way or another whether these labeling discussions are happening? And then again, appreciate the transparency around the information requests FDA has been giving you. Can you just provide more colors out on like understanding the data, anything specific you can give us there? Thank you so much.
Yeah, so thanks, Kristen. It's always a pleasure to hear from you. So my regulatory lead advises us that, you know, information around labeling should be coming within the next few weeks. We are already in an interim label conversation with them because, as I mentioned in my prepared remarks, when you use an ultra cold chain product, you have to put a label on before you freeze it. We want to start stockpiling for commercial. So they know that this is something we're interested in and working on and we look forward to providing updates as those labeling conversations come to fruition. In terms of the information requests, they have been quite prolific coming from the CMC side. Most of them sort of standard form types of things, you know, asking for extra data or asking for extra clarification. On the clinical side and the statistical side as well, additional data, clarification, when analyses were done, blinding protocols, that kind of information that you would expect FDA to be digging into at this time. So, we remain very optimistic about the review process for daromyosal and DMT.
Thanks, Linda. All the best. Thanks, Kristen. Take care.
Thank you. Your next question comes from Madison with the Riley Securities. Please go ahead.
Hi. Thanks for taking our question. Maybe a couple from us. Maybe could you help us understand any commercial readiness activities that you have either started or planned to start, rather, that were previously being conducted by your partner? For example, payer discussions, has Capicor engaged any third-party logistics distributors, things like that, and then maybe a follow-up afterwards.
Yeah, Madison, absolutely. Great to hear from you. Yeah, so as I mentioned, because we were concerned about the speed and efficiency at which NS was going about commercial planning, we were shadow boxing behind them the whole time. So yes, we have a 3PL identified. we could enter into an independent contract with them and that we're in the process of doing that at this time. Most of the other parameters of launch preparation were being either bird-dogged by CAPRAPOR or in fact led by CAPRAPOR. So there's not really any areas right now that we've identified where NS, you know, had really taken the lead and we were sort of running behind or need to play some catch-up ball. My general hunch is that we're up to speed and and moving as quickly as possible with PDUFA coming right up.
Got it. Understood. And then on the, I guess, interim label related to the cold storage, so if you're able to manufacture around 250 valves per year currently, do you have a sense of how many you could complete between finalizing that interim label and the actual PDUFA date. Thanks.
Yeah, we haven't disclosed that number. We are actively working now, starting to prepare for commercial manufacturing. The lag in time will be that each lot has to be reviewed and approved by FDA, and we expect to do that prior to and getting ready for launch. And so what's most important is we will not delay dosing on any level of our open label extension patients. And we will continue to make sure that we provide access to them and have no plans on delaying based on commercial manufacturing. We're up to speed there. Just one quick correction. It's 200 to 250 patients who each receive four doses. So it will be 1,000 doses per year from our downstairs facility here in San Diego.
Got it. Thanks for that clarification. You're welcome.
Thank you. Your next question comes from Michael with Maxim Group. Please go ahead.
Hey there. Thank you so much for taking my questions today. And I mean, lots of interesting stuff going on here. I would like to see if you could just provide a bit more color on what the basis for a suspension or an injunction of the commercial agreement would be. And then if there's any sort of precedents For a court issuing an injunction to allow the manufacturer to distribute the drug while the IP or the some sort of licensing agreement is under dispute.
Yeah, thanks. Those are those are really clear questions. I'm going to take the 2nd, when I might ask you to repeat the 1st, 1, because the 2nd, 1 was kind of intense. So. Yeah, so there are precedent cases of rescission, not exactly similarly where you have a product, a drug product that is allowed to be manufactured and distributed while the other one is not able to. Part of the reason for that is the structure that NS proposed to us has literally never been done in U.S. biopharma. It's only been done in generics once the drugs are off patent, so a patented product has never been and this type of agreement that NS had proposed. Our current plan is to continue to wait to hear the results of the injunction. Typically in situations like this where the drug is potentially life-saving, life-extending, or certainly disease-modifying, the lawyers think that the courts pretty much would not stop the distribution of the drug because of the need by patients. And we provided up to five affidavits with our lawsuit from patients and physicians stating that their micelle should be available to patients regardless of who distributes it because of its importance to patients. So we don't anticipate being shut down on that level. And we look forward to the results of the preliminary injunction and also to potential rescission. That was your second question. What was your first one again, Michael? I'm sorry, I forgot.
Hi there. I'm not sure if you can hear me. I think my connection might be a little bit bad here. But I just, I think you actually answered the first part of that question with the second part of the question. So I think we're clear on that.
Well, I'll take it as a two-for-one special. Thank you so much.
Thank you. Your next question comes from Catherine with Jones.
Please go ahead. Hi.
I guess, you know, can you expand on the definition of the private label distributor? You know, what would that entail for Capricor, whether this would, in your view, constitute a breach of contract on their part?
So, we don't have a private label distribute distributor agreement in place. We never did the agreement that we have in place was a sales marketing and distribution agreement and the foundational aspect of it, which has led to this lawsuit is the. Transfer price that was originally built into the deal where NS Pharma would give Capricor a portion, and just a portion, by the way, of the COGS in order to defray expenses. And then NS Pharma would take X number of doses, distribute them, and then give us back our share of the royalties minus that small transfer price. So pretty clear opportunity. Seemed like a rational deal structure at the time, except this transfer price would then set the average sale price. which would be disastrous, as I've said many times. So there is no PLD relationship or agreement in place, and therefore there's no breach. The problem is that we can't agree on the structure. They want a PLD, and we would have liked a co-commercial agreement.
Okay, got it. And then I recall there were some milestone payments that they were owed to you on approval. They're unwilling to walk away from the contract. you know, are they still required to pay those milestones? What happens if they choose not to, you know, if a lawsuit is going on?
So, well, and I'm not a lawyer. So I will say that please take my answer is not from the perspective of a lawyer, but from the CEO guiding the company through this very challenging but exciting time. And so what we have been made to understand from the lawyers is that the agreement as a stand is non-transactable. That means everything in the agreement is at this point not able to be acted upon. So we are assuming that they're not going to be paying the milestones. We're not expecting them to pay the milestones. And in fact, you know, one of the things that we have actively considered is if there is rescission, we will probably pay them back the $50 million that they've paid us in initial upfront payments and then the two milestone payments. So we're ready to do that. Happy to do that, actually, if that becomes necessary. And we're not expecting any future payments from them at this time.
Got it. Thanks.
Thank you. Your next question comes from Matthew with AGP Global Partners. Please go ahead.
Hey, guys. Thank you for taking my questions. So first, is $60 million kind of a fair estimate of what would need to be paid back to NS Pharma in the event that both of you guys just kind of shake hands, you know, as you put it, divorce and walk away? or would it maybe be a little bit less? I know they've already paid you the $50 million, so a caller on that would be great.
We're expecting that if we have to pay something back, it would be the $50 million, but we don't know. We don't know what agreement we're going to come to. We don't know what the court is going to say. We stand ready to do so, certainly, if that becomes part of the ruling in the case.
Understood. And then just Pivoting a little bit to the opportunity in Becker, if you could give us just an idea of the market size, what your work already has been in reaching out maybe to patients or providers for Becker. And the Seva Semten, it's in phase three clinical studies right now for Becker. would there might still be an additive on to this potentially approvable drug? And has that been something that you guys have been looking into in Becker?
Yeah, so we're very much looking forward to the opportunity of Becker muscular dystrophy. I've been kind of eyeballing it for a bit. You know, the pathophysiology of Becker is literally identical to DMD. It's just the slower progressor. The primary cause of death in those men with Becker is the cardiomyopathy. and our cardiology key opinion leaders tell us that if you give them an MRI of a Becker patient and of a Duchenne patient, you can't tell them apart. So we have a drug that treats the cardio as well as the skeletal muscle myopathy and therefore think it would be ideal for Becker. The market size in the US is about 5000 patients per per year. So I think it's considered an ultra rare group and it's a very slow progress. So, you know, I have some idea of what I'd like to go after with FDA. 1 of my 1st goals post will be to meet with them on Becker. The reason that I'm waiting till after is strategic because. We qualify for a PRV, and for a PRV, a priority review voucher, you have to be treating solely a pediatric condition. So, I don't want to sort of cloud it with an adult-based disease until we have clarity on our PDUFA for Duchenne and get our PRV and are able to use that to provide a source of non-dilutive capital to the company.
Great. Thanks. And just on the Sevis-Empson question, very quickly, is that... Yeah, is that something you guys are looking at? Or, you know, is that part of the plan?
So, yeah, we feel like there myself is additive to literally any of the other products that are on the market right now, or could be on the market and are in the clinical evaluation stage. given its activity, bioactivity, and efficacy in the heart. And that's in patients, by the way, with a diagnosed cardiomyopathy, not just healthy hearts. And then in addition to that, you know, the ability to control inflammation and fibrosis can only help those other therapies be more effective. So we look forward to partnering with the other drugs that will become part of the polypharmacy to treat DMD and, of course, Becker in the future.
Great. Thank you guys for taking my questions and best of luck going forward.
Thanks, Matthew. Have a good day. Thank you.
Thank you. Your next question comes from with Ross Capital Partners. Please go ahead.
Hi. Good afternoon. Thanks for taking my questions. So maybe a couple from us. Firstly, I wanted to start or maybe delve a little deeper between MFP and ASP. So maybe can you provide some context in terms of what the difference between average selling price and the maximum sale price for a drug like Daramacil or maybe for rare disease drugs in general?
Yeah, we haven't really been disclosing any of that information yet. We're still working on gathering that information. As I said, you know, we are working now actively to build our commercial planning strategies. And so please stay tuned for more information on AST, MST, that kind of thing as it comes available.
All right. And then I think somebody in your press release, it states that, NS Pharma demanded that Capicor give up the control of regulatory relationships. So my understanding is that NS Pharma has brought in to sell, market, or distribute Daramiacel in the hospital settings. So why are they heavy-handed on regulatory relationship? Because it looks like, I mean, I don't know, whether they just wake up one day and decided to meddle in regulatory aspects of Daramiacel as well, so maybe any color on that?
Yeah. It was really a situation where, what was, oh, the, AJ can take this question.
Yeah, I think they were focused, thanks, Babalan, on, with respect to the PLD that they were looking to propose for us. some of the regulatory relationships would fall under the guise of that potential agreement, which, of course, we're not comfortable with. So that's kind of the root of your question, I believe. And so that's fundamentally one of the reasons why, of course, it didn't work for us.
And then maybe one last. I think somewhere in the 8K, it says that although the distribution agreement is no longer binding, blah, blah, blah, and then the distributor may interfere with Caprico's relationship with third parties. So I just feel that this text, it appears, you know, NS Pharma has been in the driver's seat throughout the process, and Capicor is playing a defensive game, even though, you know, Capicor is the innovator of the drug. So curious, you know, why, if the distribution agreement is no longer binding, where does the concern of interference come from?
Yeah, first of all, we don't feel like we're on the defensive. We feel like we're equal-weighted partners that we're actively interested in commercializing during myself together, each of us playing to our individual strengths. Unfortunately, that relationship is no longer possible based on the existing agreement, and we're prepared now to launch on our own. In terms of interaction with vendors, of course, in an 8K, it's incumbent upon the company to put forth all of the potential risk factors. Boots on the ground, we haven't really had any problems with any vendors. In fact, they like working with us. We're efficient. We're smart. We're well-informed and strategic. So, in practice, we're not seeing any problems with vendors. In theory, if one occurred, we would just find a different vendor to work with. There's lots of different vendors out there to take advantage of for commercializing a product.
All right. Thank you. Have a great day.
Thank you. Your next question comes from Michael with Maxim Group. Please go ahead.
Hey there. Sorry, I got bumped off there before. I just had one follow-up I wanted to ask. You seem to be making great progress on prepping a commercial for us, but there's a pretty quick time window that you have before the PDUFA date. So my question is, first, are you expecting that you will be able to hit the ground running, assuming this gets approved right on time and launch shortly thereafter, and then What gives you confidence that you will be able to build a sales force capable of addressing this market?
I think the second part first, the sales force becomes a relatively easy question to answer. In a rare disease, especially like Duchenne, with a very connected set of patients, physicians, providers, it really becomes less about getting a big sales force and we're not going after adult heart disease. but what we are going after is efficiency. And so I have a lot of confidence that we'll be able to build a good sales force. We have a good reputation in the community and get it out there. In terms of the distribution of DERM-ISL, You know, we are the ones that have been getting ready to do so. We expect that we will, you know, launch in a time-efficient manner. We hadn't announced date for launch, and by the way, neither had NS, so we're not gearing or guiding towards an actual launch date as yet. We're working towards PDUFA. We're guaranteeing drug in an uninterrupted format to the open label extension patients and perhaps the other patients as the information becomes available and we'll update the street on our potential launch data as we get some clarity there.
All right, thank you very much and best of luck. I think it's abundantly clear to anyone who's seen the data just how important getting access to this is as quick as possible.
Thank you so much, Michael. That means a lot. We feel the same way. Thank you.
I will now turn the call back to Capricorn Management for final thoughts.
Yeah, thank you again for joining us today and for your continued support. Again, for the boys and young men living with Duchenne and their families who have waited alongside them, we are eagerly anticipating the approval of Daromyosal to treat DMD. The science is strong, the data are strong and before the FDA, and we are wholly focused on ensuring that when approved, Daromyosal will be made available to every eligible patient as quickly and as broadly as possible. For our investors, the thesis is straightforward, a potential first-in-class approval in defined rare disease populations, proprietary in-house manufacturing, a growing pipeline, and a leadership team with the conviction and capital to execute. We believe that we are building something that will create meaningful value for patients and for this company and for shareholders who have believed in this mission. We look forward to a transformational summer.
Thank you. You may now disconnect.
Ladies and gentlemen, this concludes today's conference call. Thank you for participating. You may now disconnect.
