5/7/2026

speaker
Operator
Operator

Hello and welcome to the GenMAP's first quarter 2026 financial results conference call. As a reminder, this conference call is being recorded. During this telephone conference, you may be presented with forward-looking statements that include words such as beliefs, anticipates, plans or expects. Actual results may differ materially, for example, as a result of delayed or unsuccessful development projects. GenMAP is not under any obligation to update statements regarding the future, nor to confirm such statements in relation to actual results, unless this is required by law. Please also note that GenMap may hold your personal data as indicated by you as a part of our investor relations outreach activities in order to update you on GenMap going forward. Please refer to our website for more information on GenMap and our privacy policy. I would like to hand the conference over to our first speaker today, Jan van der Winkel. Please go ahead.

speaker
Jan van der Winkel
Chief Executive Officer

Hello, and welcome to our financial results call for the first quarter of 2026. With me today is our Chief Financial Officer, Anthony Pagano, and our Chief Commercial Officer, Brad Bailey. For the Q&A, we will be joined by our Chief Medical Officer, Tai Yamadi, and our Chief Development Officer, Judith Klimowski. As noted, we will be making forward-looking statements, so please keep that in mind. Let's move to the first quarter highlights. In Q1, 2026, we continue to deliver strong financial performance and make focused progress against our strategic priorities. We grew total revenue by 25%, reflecting continued momentum across our portfolio. And importantly, we continue to invest with discipline in our medicines, in our pipeline, and in our future growth, fully aligned with our capital allocation priorities. Even with these strategic investments, we grew operating profits. The quarter was also marked by progress in our mission to bring innovative medicines to patients. There are a few highlights I would like to mention. At Kinley-Courtain, to build positive momentum, we were very pleased to see the hospitalization recommendation removed from the third-line plus relapsed or refractory diffused large B-cell lymphoma label, and we are on track with the integration of mirrors. And we are approaching this with the same focus and discipline that we brought to Profound Bio. Finally, the breadth, depth, and potential of RINA-S continues to increase. The data we presented at STO in April further supported the promise of RINA-S, including in combination with the standard of care therapies such as Bevacizumab. We are also making significant progress with our development plan, as you can see on the next slide. We anticipate starting two new Phase III trials for RNA-S in the coming months, underscoring our commitment to a comprehensive development plan across ovarian and endometrial cancers. These include a Phase III chemoreplacement trial in platinum-sensitive ovarian cancer, and the first frontline trial for RNA-S in endometrial cancer. And we continue to explore new opportunities for RNA-S outside gynecological oncology with a phase two trial seeking, with a phase two signal-seeking basket trial in advanced gastrointestinal cancers. Finally, I'm pleased to share an update on the ongoing phase three trial in second-line plus platinum-resistant ovarian cancer on the next slide. Because recruitment has been much faster than expected, the Phase III RAINFALL-02 trial has now completed enrollment. This important milestone brings forward the pivotal Phase III data for ARENA-S in platinum-resistant cancer into 2026. This reflects strong investigator engagement, the significant unmet medical needs in this and the strength of our execution on one of our highest priority late-stage programs. So we can now look forward to two data sets in the second half of this year for reNA-S in platinum-resistant ovarian cancer, and the opportunity for broader global regulatory filings earlier than anticipated. For both p2-centimab and epkinley, we are maintaining our guidance on the timing of data, as you see here. So the key takeaway is that 2026 continues to be a very catalyst-rich year for GenMob, with readouts that have the potential to support important launches in 2027 to bring our antibody medicines to many more patients. With that, I'm very pleased to hand you over to Brad for a review of the recent commercial performance for our Kinley and TIFTAC. Brad.

speaker
Brad Bailey
Chief Commercial Officer

Thanks, Jan. Our proprietary portfolio is off to a strong start here in 2026. Sales for the quarter totaled $176 million, representing 43% growth compared to Q1 last year. Momentum for TIBDAC and Deb Kinley reflects effective execution by our teams in the new and established markets to expand utilization, accelerate uptake, and ultimately reach more patients. This performance, combined with our work this year to advance our portfolio, and expand our footprint to reach patients in more markets, positions as well to deliver on our growth ambitions in 2026 and beyond. In the quarter, Epkinley continued to gain notable traction as the only bispecific approved in DOBCL and FL indications. Looking globally, Epkinley grew 52% year-over-year, reaching $137 million in sales. In the U.S., Epkinley continued to expand across both academic and community settings, and this growth reinforces Epkinley's value as a single bispecific option in lymphoma indications, which is resonating well with hospitals and health systems. The recent approval of fixed duration Epkinley plus R-square and Second Line FL has been a growth driver for the brand and contributed positively to Epkinley's growth in the quarter. The recent approval of In the quarter, we're seeing physicians increasingly use this chemo-free combination in academic and community sites, supported by unprecedented data demonstrating powerful efficacy and proven safety with seamless subcutaneous administration. Looking ahead, we expect adoption in the community to continue to expand across both FL and the OBCL, bringing up Kenley-based therapies closer to where patients live. And in March, the FDA revised the label for epikinley and third-line plus VOBCL to remove the recommendation for 24-hour hospitalization following the first full dose. Now the label advises physicians to assess whether outpatient monitoring for hospitalization is appropriate following the first full dose. We do expect this will further broaden use in the community and in the outpatient setting. Beyond the U.S., performance remains strong. In Japan, Epkinley continues to stand out as the only bispecific approved in both third-line plus LBCL and FL with continued year-over-year growth. The FL launch is building positively on the brand's success in large B-cell lymphoma, supported by strong field execution and ongoing site activation. In other markets, through our partner AbbVie, Epkinley continues to grow with approvals in more than 65 countries, which most have dual indications. For the remainder of 2026, we're focused on maximizing our first mover advantage in second line FL in the US, while preparing for expected approvals in this setting in Europe and Japan later this year, and in early lines of DLBCL in the future. As we look ahead, our priority is to accelerate development, including in combination and across early lines of therapy, to continue to build on the already strong clinical data demonstrating Epkinley's versatility, and ultimately, established at McKinley as the core therapy in B-cell malignancies. Turning now to TIBDAC, which is the global standard of care in recurrent or metastatic cervical cancer. TIBDAC grew 18% year-over-year, reaching $39 million in sales in the quarter. This reflects both the significant need for therapies that improve survival for women with advanced cervical cancer and our ability to effectively scale commercialization across markets. In the U.S., the brand delivered steady performance and continues to lead the market, a position that has held since launch nearly five years ago. Outside the U.S., we're seeing encouraging progress in newer launch markets. In both Japan and Europe, where we lead commercialization directly, growth is being driven by strong field execution and expanding site activation. We also made meaningful progress expanding patient access this quarter. In the U.K., TIPDAC launched in February through private prescribing and payer channels, and we're actively engaging NICE and SMC to secure broader availability. At the same time, building upon our work in the UK and our established presence in Germany, we're actively preparing for additional launches, with infrastructure and teams being established across key European markets, including France, Italy, and Spain. Given the significant unmet need in advanced cervical cancer, we look forward to the impact TIBDAC can make for more patients as additional markets gain approval and reimbursement. And more broadly, we're building a strong, scalable presence in gynecologic oncology with a meaningful opportunity to expand our impact over time, particularly with RHNA-S in the future. To wrap up, our Q1 performance positions us well to sustain momentum in 2026. With continued performance and expanding portfolio, we're well positioned to successfully evolve our business and grow through the decade, supported by the strength of our science, including three potential blockbuster assets with F. kinley, RHNA-S, and ptosimptomab, and our proven ability to scale commercialization and successfully launch in markets where we can drive the greatest impact for patients. Overall, we're very pleased with the start to the year and expect 2026 to be another strong year for GemMap.

speaker
Conference Moderator
Investor Relations

With that, I'll turn it over to Anthony to walk through the financials. Thanks, Brad. Before diving into the numbers,

speaker
Anthony Pagano
Chief Financial Officer

As we highlighted last quarter, please note that these results and guidance in our remarks exclude the impact of acquisition-related expenses, including amortization. The reconciliation to our reported results is included in the appendix. In Q1 2026, we delivered growth driven by sustained revenues and the solid market performance of our portfolio. Revenue grew by 25%. driven by strong royalties from Darzalex and Cosimta, and importantly, this growth was also driven by product sales from our own medicines, especially Epkinley, continuing to diversify our revenue base. Our investments remained fully in line with our capital allocation priorities, including significant investments for Epkinley, Rina S., and Pitocentamab. And we made these important investments while growing operating profit by 23%. Moving to tax. As you can see in the appendix of this presentation, we have tax expense of around $21 million, which equates to an effective tax rate of 28.9%. And here, I do want to pause for a moment and note that we are currently evaluating the integration of merits operations from a tax perspective. so our effective tax rate may experience some volatility as integration activities progress. However, we do anticipate that this is going to normalize within the next 12 to 18 months. Overall, the first quarter of 2026 demonstrates the continued strength and quality of GEMMAP's underlying financial performance. With that, let's move to our 2026 financial guidance. We remain on track to achieve our existing financial guidance, with revenue growth that enables strategic investment supporting long-term value creation. At the midpoint, we expect 14% total revenue growth, driven by continued momentum in Epkinley and our royalty portfolio, further enhancing revenue quality. For operating expenses, we expect to be in a range of around $2.7 to $2.9 billion. reflecting planned investments to advance late-stage development for Pitocentimab and Rina S, as well as launch readiness activities to support multiple potential product launches. And even with the strategic step-up, our guidance delivers on our commitment to maintain substantial profitability in 2026. In summary, our performance in the first quarter of 2026 underscores our ability to deliver revenue growth, advance key pipeline assets, and maintain strong profitability through disciplined execution. Looking ahead to the rest of 2026, we will continue to build on our momentum through disciplined prioritization of our investments, continued operating discipline, and expansion of market opportunities. This positions us for sustained growth and long-term value creation. And on that note, I'm going to hand you back over to Jan.

speaker
Jan van der Winkel
Chief Executive Officer

Thank you, Anthony. Let's move on to our final slides. In the first quarter of 2026, our financial performance reinforced the strength of our foundation and the durability of our growth trajectory. that STRENGTH supports a disciplined capital allocation strategy focused on the areas with the greatest potential to create long-term value, accelerating our late-stage pipeline, maximizing the success of our commercialized medicines, and ensuring strong launch readiness for future opportunities. And as we further move into 2026, we also remain focused on integrating MIRRORS so that we can capture the full value of Pitocentrum up. Lastly, we remain committed to deleveraging, targeting gross leverage below three times by the end of 2027, while maintaining balance sheet strength and flexibility. Taken together, GenMob is very well positioned. We have a growing and increasingly diversified revenue base, a powerful late-stage pipeline, and multiple catalysts ahead. And our focus remains clear. to translate our antibody science and development expertise into meaningful breakthroughs for patients and sustainable long-term value for shareholders. So that ends our formal presentation. Thank you for listening. Operator, please open the call now for questions.

speaker
Operator
Operator

Thank you. Dear participants, as a reminder, if you wish to ask a question, please press star 1-1 on your telephone keypad and wait for a name to be announced. To withdraw a question, please press star 1-1 again. To ensure everyone has the opportunity to ask a question today, please limit yourself just to one question. This will take a few moments.

speaker
Operator
Operator

And now we're going to take our first question.

speaker
Operator
Operator

And it comes from Jonathan Chang from Lyrinc. Your line is open. Please ask your question.

speaker
Jonathan Chang
Analyst, Lyrinc

Hi, guys. Thanks for taking my question. On the frontline pedosymptomab head and neck cancer study, It looks like the size of the study has been increased. Can you discuss the rationale behind any changes to the study and implications of those changes? Thank you.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Jonathan, for the question. Thay, why don't you take the first question by Jonathan?

speaker
Tai Yamadi
Chief Medical Officer

Yeah, thank you, Jan, and thank you, Jonathan. Yes, so indeed, we increased the size of the frontline study. I think we had in the past indicated that there were thoughts that we had as it relates to the studies that we want to ensure that they have the highest probability of success. The details, I don't think, are the ones that we want to discuss in a public space. But these trials are being increased based on our insight that we generated during the diligence to ensure that they have the highest probability to our standards. We do not have any anticipation that these changes have any impact on the timelines and steadfast stay with our guidance that one or both of the PATO studies we'll read out this year and we'll provide data this year.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Tai. Let's move on to the next question.

speaker
Operator
Operator

Yes, of course. Now we're going to take our next question. And it comes from Zain Abraham from JP Morgan. Your line is open. Please ask your question.

speaker
Zain Abraham
Analyst, JP Morgan

Thanks a lot. We've got two questions, Zain Abraham, JP Morgan. First question is just a follow-up on the previous one. And it's helpful that you just said you don't expect the increased size of the first-line trial to impact the timing, but just to understand in more detail why that is, given that you're increasing the trial from 500 patients to 700. So have you already completed enrollment of the initial patient population that you're looking to enroll, and how is enrollment progressing, I suppose? And I guess tied to that, whether the increase is for HPV-negative patients, that would be helpful to understand as well. Second question is just on Epkinley first-line DLBCL. You've guided for the readout this year and haven't narrowed out further. So is that the final analysis or are we still waiting on the interim?

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Zain, for the questions. I think, Tai, you can handle both of them and start with the next question and then the Epco first-line trial.

speaker
Tai Yamadi
Chief Medical Officer

Yeah, Zain, I'm sorry. I will have to repeat what I just said, which is, yes, we increased the study from 500 to 700. This was indeed to... to ensure that this trial has the appropriate data that we need for our probability of success, how we feel about the program and what we understand about the program, and this will not impact the timelines and what patient populations it does impact or the timing or the status of a call. I hope you will appreciate that in the context of a very competitive landscape, we are trying to be a little bit more disciplined on what we're sharing, when we're sharing it, So, two things. It will not change the timelines of what we have guided before, and we continue to stay with the statement that one or both of these studies will read out this year. As it relates to diffuse archipelago, again, I think there we have also been very disciplined, and I will try to be continuously disciplined today. We've guided that the frontline diffuse archipelago will read out this year, and we have not commented on interim or final or any of these questions But we stay with the statement that the Diffuse Search B-Self study will have a readout this year.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Sayin. Thanks very much. Thanks, Sayin. Let's move on.

speaker
Operator
Operator

Thank you. And now we're going to take our next question. And it comes from the line of James Gordon from Barclays. Your line is open. Please ask your question.

speaker
James Gordon
Analyst, Barclays

Hello. James Gordon from Barclays. Thanks for taking the question, or two quick ones. One was re-nurse. So there's 01 and 02 coming in H2 this year. So just wanted to confirm, with the two trials reporting so closely together, so a phase two and a phase three, would you definitely report them as separate results? And if the phase two is positive, you'll file it and not wait for the phase three? Or have you discussed that plan with FDA? Or might they say, well, if they're so close together, let's see both? And the other one was just more generally that we've seen more data from B7H4 ADCs in gynecological cancers. How do you think that stacks up versus FOLA ADCs? There seems to be a few people going for this approach as a different target. Gaini?

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, James, for the questions. I will ask Judith to address both the phase 2 and phase 3 PROC trials, Judith, and then the B7H4 versus folate receptor alpha ADCs.

speaker
Judith Klimowski
Chief Development Officer

Yeah, thank you for the question. So for the first part, as we highlighted, the phase 3 accrued ahead of projections. That means that we will have these two data sets this year. Given the change in landscape in PROC, the potential for the Phase 3 submission and approval becomes more relevant. And this is the plan, so we stay behind our guidance that RHNA-S will be launched in PROC in 2027. With these two data sets are supported, but the main data set for filing the phase three that will allow for global submissions, part one. With regard to the competitive landscape, of course, we are very aware of the D7H4, the two in investigation, the Glaxo and Prutisam. As we said several times, we know that this is a hyper-competitive space. We stand behind the strength of the data of RINA in terms of efficacy. safety, durability of the efficacy and clinical development plan and speed to market. So more competitors makes it more competitive but doesn't preclude the fact that we could be not just first in class but best in class given the data so far.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks. Thank you. So it comes down to effective execution, James. And we moved in basically two years from zero phase trees to now five phase trees with the news of today.

speaker
Operator
Operator

Thank you. Now we're going to take our next question. And the question comes line of Shan Deng from UBS. Your line is open. Please ask your question.

speaker
Shan Deng
Analyst, UBS

Hi, I'm from UBS. Thank you for taking my question. So I got a few on Epkinley frontline DL-BCL trials, please. Just wondering, given, you know, the typical PFS curve tend to pretty much, you know, almost start to plateau after, let's say, 18 months or so in a typical, let's say, frontline DL-BCL trial like Polarix, just purely hypothetically, right, doesn't have to be, you know, anything to do with Epkinley, just purely from a statistical point of view, Do you expect a big change in hazard ratio during the last 25% of events, just assuming sort of a typical, let's say, frontline DLBCL12 PFS curve? That's the first question. And the second one is kind of also on that one, is your study is capped at 30% of IPI stage 2 patients. So just wondering if you could give any colors on whether, you know, you've reached this number or your IPR2 patients is actually below this. And just wondering what impact could it have in terms of powering and timing for the primary endpoint. Thank you.

speaker
Jan van der Winkel
Chief Executive Officer

Thank you, Sian. I was always said teach never to answer hypothetical questions, but we'll see. We'll test out whether Tai is willing to do that. Then move into the second part as well. Tai, over to you.

speaker
Tai Yamadi
Chief Medical Officer

Yes, Jan, thank you. So, yeah, so what I can say is you're absolutely right. Classical historical reviews like Spies are all, by the way, not only Polarix. Frontline studies tend to plateau around month 18 to 20, and I think that's my only comment on that question. I'm particularly speculating what I expect. I don't think it's helpful because I actually don't know how these curves are going to behave on this trial until we see the data. The cap is also correct. It's a 30% cap. Again, I don't think it's appropriate at this point to talk about what the actual demographics of the study are. The only other point that I think is important to understand, the primary endpoint is actually IPI 3 to 5, and if IPI 3 to 5 passes certain statistics, then it will read out 2 to 5. And so I think these are my comments on your questions.

speaker
Jan van der Winkel
Chief Executive Officer

Thank you.

speaker
Shan Deng
Analyst, UBS

Thank you. Well, I'll try it. Thank you.

speaker
Jan van der Winkel
Chief Executive Officer

Yes, absolutely. Thank you. On to the next one, operator.

speaker
Operator
Operator

Yes, of course. And now we're going to take our next question. And the question comes from Rajan Sharma from Goldman Sachs. Your line is open. Please ask your question.

speaker
Rajan Sharma
Analyst, Goldman Sachs

Hi. Thanks for taking the question. So first one on AppKindly, just kind of following on the theme there. But what do you think is sort of the relevant benchmark for AppCode DLBCL4? That's a second-line trial, just in the context of the competitive landscape and some of the potential advantages that EPP-Kinley has. And then secondly, just on the new RINA-S trial that you announced, Rainfall 08, is that likely to be a K-truda combination trial? Thanks.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Rajan, for the questions. Thij, why don't you take the first one, and then maybe Judith can go into the new RINA-S trial, one of the new RINA-S trials. Thij?

speaker
Tai Yamadi
Chief Medical Officer

Yes, so this is a question about the second line, if you such be so. And so I think there's a couple of things to be said about the 128 study. First, it is, again, a randomization against RGEMOX. So in the end, that's what the study is going to be compared, and everything else is going to be a cross-study comparison. They're obviously a little bit problematic. But what is the excitement on our end for this particular regimen is that this is a regimen comprised of a oral medication thanalidomide in a subcutaneous administration that hopefully will show positive data and meaningful positive data for patients, and then also comes with a safety profile that is tolerable and differentiated from maybe the chemotherapy combinations with Gemox, but also improved in efficacy vis-a-vis monotherapy. And it's really perfectly suited for the outpatient setting or the community setting. And that's what this trial was intended to do, to generate a regimen that is patient-friendly with increased CR rate that then is appropriate and suitable for the community setting. And so we'll see what the data is, but that's the intent of the trial.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Thijs. And then maybe, Jure, on the combination for Rina.

speaker
Judith Klimowski
Chief Development Officer

The question, can you repeat the question, the combination with VEV, did you ask? Oh, yeah, the data that we present. Okay, so in terms of combinations, the combination with VEV was presented at SGO, and as you can appreciate, If you are there, you know the safety was very well tolerated. The study was meant only for safety, but in terms of efficacy, we are very pleased with the median number of cycles of 10. And even the fact that 15 of the patients were refractory, 85% of the patients got more than six cycles. So this is with Bev. In terms of PEMBRO, we have two cohorts ongoing in different settings. And we will communicate the data when the data is a little bit mature and enrolled. So it's actively enrolling.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Judith. I think that answers your questions, Rajan. Let's move on to the next question.

speaker
Operator
Operator

Yes, of course. And now we're going to take our next question. And the question comes from Michael Schmidt from Guggenheim Partners. Your line is open. Please ask your question.

speaker
Michael Schmidt
Analyst, Guggenheim Partners

Hey, thanks for taking my questions. I had another one on EPCOR DLBCL2. Maybe just in terms of the enrollment of the study, could you just comment on how enrollment has been relative to your expectations when starting the trial? And secondly, I know in the Phase II study, you've evaluated, I believe, a continuous treatment paradigm versus the fixed duration treatment in a Phase III study. And can you speak to your confidence level that the fixed duration paradigm can replicate the Phase II data? Thanks.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Michael. Taheyi?

speaker
Tai Yamadi
Chief Medical Officer

Yeah, generally speaking, I think true for 1 to 8, which is the second 9-diffuse HBs as far as for uh the front and diffuse hbc trials that these trials accrued significantly faster than they were initially projected um and i think that's that's a statement that we've made multiple times um as it relates to the original phase two data in front line where um we continued echoing monotherapy after our job for the full year and the design of the trial, the phase three trial, where it's Archer for six cycles plus Epindi, followed by two monotherapy cycles of Epindi. When we started to generate this data, gosh, in 2020, we were going for the maximum possible exposure if you wanted to. As we generated the data and had the opportunity to see this and also discuss with health authority, it became very clear, partially also because of the Data was presented by Fauci on MRD negativity that you don't actually need to expose these patients to continued therapy. Keep in mind, a significant portion of these patients are cured already without shock. And so that's why we ended up with the design. We feel extremely confident that the, if you will, shorten of duration of GAP kidney, as you framed it, doesn't have any impact on the ability of this combination regimen to achieve CR and even MID negativity at really very high rates, as they have been in the public domain and shared. And we have a reason, as I've discussed many times, to be confident, because we've seen this now in a number of trials at AppKindy, that the phase three trials tend to mimic the original first two data, just because the mechanism is very predictable for AppKindy.

speaker
Operator
Operator

Thank you.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Tai. Thanks, Michael.

speaker
Operator
Operator

Thank you. And now we're going to take our next question. And the question comes from Benjamin Jackson from . If your line is open, please ask a question.

speaker
Benjamin Jackson
Analyst

Brilliant. Thank you for the question. I guess just another one thinking about sequencing of drugs through the lines of therapies and DLBCL. We've heard from some docs that that's probably a very strong salvage option. So when you're speaking to physicians, Are you hearing that there is a preference for biospecifics up front just naturally because of the order that those drugs can come in? So any thoughts that could be a tailwind there would be useful. Thank you.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Ben, for the question. Ty, this one is again for you.

speaker
Tai Yamadi
Chief Medical Officer

Well, I think, yeah, I'll try to answer Benjamin and maybe Brad has to add something. He may add something to that. But from the way I think about this, at least, I think this is also horrible. physicians that we work with and always engage, think about this. The sequencing of drugs, generally speaking, is a function of efficacy and safety. And in particular, in diffuse HIV, it's a front line where our job cures a decent amount of patients. I think the anticipation just has to be that the trial that reads out is going to generate data that is going to have a significant impact on the outcomes for patients. And if it does, then that will need a natural adoption, because the obvious goal in diffuse HB cell is to avoid the relapsed refractory setting, where things become, generally speaking, a little bit harder to manage.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Ty. Brad, do you want to add anything to this, to sequencing of the medicines?

speaker
Brad Bailey
Chief Commercial Officer

I think maybe the only thing to add, Ty said it well, is we do hear from physicians that, you know, and we've said quite a while or all along, that The value of bispecifics are certainly in the earlier lines of therapy where patients are actually treated closer to their home. We're starting to see this really come to fruition with the advent of the second line FL launch just late last year, and that's been a key growth driver. The feedback from physicians, hospitals, and hospitals and health systems has been extremely positive with not only the unprecedented data as Talia referenced, but also the convenience and being able to realize the value closer to the patient's home.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Brad. And Ben, we are super excited about the potential to see both the front line and the second line diffuser of B cell lymphoma data pretty soon for Apkin-Lee or Apcaritumab, so exciting times.

speaker
Operator
Operator

Thank you. Now we're going to take our next question.

speaker
Operator
Operator

And the question comes from Charlie Haywood from Bank of America. Your line is open. Please ask your question.

speaker
Charlie Haywood
Analyst, Bank of America

Hi, Charlie Haywood, Bank of America. Thanks for taking the question. I have two, please. First is on your PITO Phase 2 OS rates. Just wondered if you've taken a two-year OS cut and any directional comment on how that OS curve has trended relative to the first 12-month data that we've seen? Would it be fair to think a similar trajectory to what you've seen at year one, or could you actually see similar to what your competitor saw with faster first 12-month curve decline and then stabilize more thereafter? And then will that data be presented at any time? And then second one is just on RENA-S in second line endometrial. Could you just remind us on timelines of that data? And then frame your excitement in that op relative to, you know, the more imminent second line proc setting. I think potential smaller patient number there, but possibly higher unmet need given lack of, you know, limited ADC presence to date. Thank you.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Charlie, for the questions. Ty, why don't you take the first one on PETO and then Judith can handle the question on renal and then I'll meet you on cancer second line.

speaker
Tai Yamadi
Chief Medical Officer

So if I understood your question correctly, you were asking if we are intending to update the phase two data set for PITO in second line or in front line?

speaker
James Gordon
Analyst, Barclays

In front line, yes.

speaker
Tai Yamadi
Chief Medical Officer

Front line. Well, I mean, we'll probably at some point going to update that curve and present it in the data, but I think the more meaning we got is going to be the actual study. So... You know, we said one or two of them will be out this year. And so that is probably the more meaningful data set and relevant to the brand and to the company.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Ty. And then Judith, maybe there's something more on the timeline for Second Line plus End of Meteor and RINA.

speaker
Judith Klimowski
Chief Development Officer

Yeah, no, thank you for the question. And as you know, the phase three is actively enrolling We haven't guided the VISTA community about readouts, but what I can say is the activation and enrollment is going very well.

speaker
Conference Moderator
Investor Relations

Thanks. Thanks, Judith.

speaker
Judith Klimowski
Chief Development Officer

And to add, just something to add to Tai's first question on the first line, a pito-pembro combination. I think that it's very apparent what we already presented with 17 months follow-up, which is not negligible. And at this time point, around 30% were censored and alive. And this gives you a kind of magnitude of duration. And as Tai alluded, now we are fixated on the phase 3s. which are much more relevant. But I think that the data presented at ASCO is a very good representation of the durability of the effect.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks. Thanks, Jutta. Thanks, Charlie, for the questions. Let's move on to the next question.

speaker
Operator
Operator

Yes, of course. And now we're going to take our next question. And it comes from the land of Eva Forte from Wells Fargo. Your line is open. Please ask your question.

speaker
Eva Forte
Analyst, Wells Fargo

Hi, team. Thanks for taking our question. A quick one from us on PETO as it relates to CRC development. How should we be thinking about timing for any announcements for this tumor type, and are you exploring other mechanisms that would make sense to combine with beyond chemo? Thanks.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Eva, for the question. I think probably Ty can handle this one, CRC updates for PETO in the second half.

speaker
Tai Yamadi
Chief Medical Officer

Yeah, so look, we've answered this question a couple of times. We obviously have looked at the CRC data. We have generated more CRC data. We liked what we saw early on in the diligence. We continue to like what we see. And we will update you a little bit closer, similar to what we did with MENA, to when these studies then go into the public domain on our next steps. So there will be more to come at some point. As it relates to combination with other mechanisms, a number of interesting things that are happening in this space in the subset of patients. And obviously, we are aware of that. And there is a good rationale to combine with PETO. So more to come on that end as well.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Tai. So we keep the cards close to our chest, Eva, because it's a very exciting area and also a very competitive area. So we want to be first and hopefully best here.

speaker
Operator
Operator

Got it. Thanks. Thank you.

speaker
Operator
Operator

Now we're going to take our next question.

speaker
Operator
Operator

And the question comes from Matthew Phipps from William Blair. Your line is open. Please ask your question.

speaker
Matthew Phipps
Analyst, William Blair

Hello. Thanks for taking my question. I'm going to harp on the fetal symptomatic enrollment as well. You know, there are some rumors on whether or not the increase of tumor patients would focus exclusively on HB-negative patients. So can you maybe just remind us on your thought on the breakdown of patients by that baseline characteristic? Has the number of patients needed to conduct the ORR analysis changed, or is this really just patients for the OS analysis? Thank you.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Matt. For the questions, Ty, can you address both of these questions and give some perspective?

speaker
Tai Yamadi
Chief Medical Officer

Matt, I'm going to answer your questions. Good question. I will not go into the specifics. I will stick with the line that I used before, that The increase in the N of the study was intended to increase the overall probability of success of the study as we see it based on what we understood in the diligence. These were decisions made already back then and that we continue to understand about PETO and that none of the things that we're doing right now has any impact on the timelines for the readouts that we anticipate.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Tai. Thanks, Nat, for the questions.

speaker
Operator
Operator

Thank you. And now we're going to take our next question. The next question comes from Yaron Weber from TD Securities. Your line is open. Please ask your question.

speaker
Yaron Weber
Analyst, TD Securities

Great. Thank you so much. I'm just going to maybe ask another question on the LIGER program, maybe a little bit broader. Do you plan on filing with both studies or would you file presumably on second line potentially first? and then frontline, and when you do release the data by year end, do you think it's going to be, let's assume it's going to be in second line first, because you're not continuing to, you're not over-enrolling that study. Would you have kind of, you know, at least the interim OS, and would it even be mature OS at that time? Thank you.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Yaron. Zai, that's another sharp one.

speaker
Tai Yamadi
Chief Medical Officer

Very good question. Unfortunately, my answer will be the same as I did before. Right now, all we guide and have been consistently guiding that we indeed expect one or more of these studies to read out this year. And I will not comment on which one first or second and together all these permutations that may exist.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Sai. Some more to come later, Yaron.

speaker
Operator
Operator

Thank you. Now we're going to take our next question.

speaker
Operator
Operator

Just give us a moment, and the question comes from Suzanne Van Woerhuizen from Van Lanshot Kampen. Your line is open. Please ask your question.

speaker
Susanna Van Woerhuizen
Analyst, Van Lanschot Kempen

Hi, team. This is Romy on for Susanna. One on epkinley. So looking ahead to the phase three readouts and first line, we recently did a survey which found that doctors are projecting epkinley even before seeing this data to be the most dominant first line option. I just want to know your thoughts on what you see as the most important features of Epkinley specifically that drives this enthusiasm. Thank you.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks very much for referring to that very nice survey. We like the data, of course, and I will ask Ty to sum up basically what the key parameters are here for why Epkinley is so advantageous in the first-line setting according to the survey. Okay.

speaker
Tai Yamadi
Chief Medical Officer

Yeah, so I mean, this is like, you know, if you step back, this is also something that we talked about from the very beginning when we engaged on the development program with McKinley, that the CD3C20 mechanism of action of McKinley is a unique and very powerful senior agent mechanism that comes with a safety profile that predominantly is infusion-related reactions and then otherwise is extremely well tolerated. And because of subcutaneous administration, also convenience of administration, that makes it easy for the patient and also for the providers. And so if you start combining Epkinley and CD3-CD20 with chemotherapy, we've already seen this in all kinds of phase two studies or phase three studies, that tends to be a mechanism that is very well combined with chemotherapy and at least additives. And so that's, I think, what's driving the enthusiasm of frontline in terms of what the expectation is around data. And then what drives kidney specifically, of course, is then the observation that A, in very high likelihood, will be the first study to read out in frontline diffuse HIV cell with a significant time advantage. And B, it is the one that comes with a subcutaneous administration. And as Brad was saying earlier, in frontline diffuse HIV cell, the vast majority of these patients I actually treat it in the community setting. And so the fact that there is now a potential readout on a drug that is available for these physicians and these patients in this particular setting, particularly in the US healthcare system, that is labeled, it's the only one that is labeled without restrictions on where it can be provided to the patients. I think that is what's driving the entire enthusiasm on that particular study. And I think why we had, I don't know, six or seven questions from you guys on this study.

speaker
Susanna Van Woerhuizen
Analyst, Van Lanschot Kempen

Great, thank you.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Ty, for the answer. Let's move on to the next question.

speaker
Operator
Operator

Yes, of course. And now we're going to take our next question, and it comes from the line of Victor Flock from BNP Paribas. Your line is open. Please ask your question.

speaker
Victor Flock
Analyst, BNP Paribas

Thanks very much for taking my question. Just one on Epkinley. Epkinley has reported a decent Q1 performance. I was just wondering whether this is driven by the recent label change in the U.S. So, I mean, I was just wondering if you see a material uplift in the academic setting and whether you can comment on the key hurdles that you need to clear to further drive penetration in this setting. Thank you very much.

speaker
Jan van der Winkel
Chief Executive Officer

Absolutely, Victor. So, good question. So, Brad, you can handle both of these, huh?

speaker
Brad Bailey
Chief Commercial Officer

Yeah, no, I think, first of all, thanks for the question. And the strong start to the year is certainly evident by the profile being appreciated by physicians as well as health systems, primarily being, you know, looked at as the only bispecific of the dual indication. And the proven efficacy piece is certainly extremely important, as well as the subcutaneous administrations, which is what Talia mentioned well. Now, as it relates to um the the moving forward into earlier areas of the ability to again have all of these ingredients in place moving quickly into earlier lines featuring combinations as well as fixed dose options is extremely important but then also as you mentioned as it relates to the the performance second line fl we're seeing as a key part of this driver performance and then the hospital uh removal the potential hospitalization update is has been very well received and again looking to remove just additional barriers uh to be able to treat patients closer to where they live uh in the ways uh you know that you're seeing with this extremely important profile from an efficacy safety and uh durable responses along with subcutaneous administration.

speaker
Jan van der Winkel
Chief Executive Officer

Thank you for the question.

speaker
Operator
Operator

Thank you. Now we're going to take our next question. And the question comes line of Kalpit Patel from Wolf Research. Your line is open. Please ask your question.

speaker
Kalpit Patel
Analyst, Wolfe Research

Yeah. Hey, thanks for taking the question. For EPCMLE, the EPCOR DLVCL2 trial in frontline setting, what PFS hazard ratio do you think you need to be clinically meaningful, especially given the context behind Polarix study? And then do you also need to show an OS benefit to potentially drive more meaningful commercial uptake in the first line?

speaker
Jan van der Winkel
Chief Executive Officer

Thanks for the questions. Ty, you can address both of these, huh?

speaker
Tai Yamadi
Chief Medical Officer

Yes, so this question on what hazard ratio we are expecting has come up a lot, and essentially it doesn't make much sense to speculate. What we have said is that based on the public data that is available in Phase 2, there is, of course, and you heard this in the other question earlier, expectation and enthusiasm of what the possible readout of that study. So Phase 3s have, in the past, on a kidney, tended to mimic close phase two data, as I said, because it's a mechanism of action. It's very predictable. And so we're excitingly, as you, awaiting the readout and, of course, are very enthusiastic of how positive this trial could be. But we will see what it is when we have it. As it really relates to OS now, we all know from the ODAC that the FDA will approve frontline diffusers based regimens even without OS benefit set in the path. The ability of showing NOS benefit, of course, is becoming a little bit more challenging in diffuse isophesia in general because of the increasing availability of very effective salvage therapies for particularly the worst patients. In the primary refractory, they have access to quartz. And the bispecifics that are also now penetrating second line are now already very much available in third line. Having said all of that, it's also a function of the effect size that you have on PFS, meaning the larger the PFS has a ratio benefit becomes the larger the opportunity to show an OS benefit. That's kind of like broadly speaking how we think about it.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Tai. Let's move on to the next question.

speaker
Operator
Operator

Yes, of course. And now we're going to take our last question for today. And it comes line of questions. Judah from Morgan Stanley. Your line is open. Please ask a question.

speaker
Judah
Analyst, Morgan Stanley

Yeah, hi. Thanks for squeezing us in here. Just a follow-up on the PDO trial upsizing. Have you said whether that upsizing will occur at already enrolled centers in the trial? Will you be adding any investigation sites? I'm just curious if you are, if any other EGFR bispecifics might be being studied at those sites and what reception might be. Thanks.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Judah, for the question. Ty, can you address the recruitment and the setting for the PITO trial?

speaker
Tai Yamadi
Chief Medical Officer

Yes. What I will answer, Jutta, is that this amendment that increases the N had no impact on additional sites or a need for additional sites. The study is enrolling extremely well, so that's why it won't have an impact on anything.

speaker
Jan van der Winkel
Chief Executive Officer

Thanks, Thij. That, I think, addresses the last question of today. So thank you all for calling in today. And if you have any additional questions, please reach out to the investor relations team of GenMob. We very much look forward to speaking with all of you soon in this super exciting year for the company. Thank you.

speaker
Operator
Operator

This concludes today's conference call. Thank you for participating. You may now disconnect. Have a nice day.

Disclaimer

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