8/7/2025

speaker
Operator

Stand by, your program is about to begin. Hello and welcome everyone joining today's second quarter 2025 Cura Oncology Inc. Financial Results Conference call. At this time all participants are in a listen-only mode. Later you will have an opportunity to ask questions during the question and answer session. You may register to ask a question at any time by pressing star and 1 on your telephone keypad. Please note this call is being recorded. I am standing by should you need any assistance. It is now my pleasure to turn the meeting over to Greg Mann, SVP of Investor Relations and Corporate Affairs. Please go ahead.

speaker
Greg Mann

Thank you, Brittany. Good afternoon and welcome to Cura Oncology's second quarter 2025 conference call. Joining the call today are Dr. Troy Wilson, President and Chief Executive Officer, Dr. Molly Leone, Chief Medical Officer, Brian Powell, Chief Commercial Officer, and Tom Doyle, Senior Vice President of Finance and Accounting. Before I turn the call over to Dr. Wilson, we remind you that today's call will include forward-looking statements based on current expectations. Such statements represent management's judgment as of today and may involve risks and uncertainties that cause actual results to differ materially from expected results. Please refer to Cura's filings with the SEC which are available from the SEC or on the Cura Oncology website for information concerning risk factors that could affect the company. With that, I'll turn the call over to Troy.

speaker
Wilson

Thank you, Greg. Good afternoon and thank you all for joining us. At Cura, we're committed to transforming outcomes for patients with AML. Today, we'll provide updates on our global development progress for our lead programs of demented, regulatory status of our new drug application, preparations for commercialization with our partners at KiwaKiran, and advances in our pipeline including Mennon inhibitors for treatment of GIST and diabetes as well as barnesyl transferase inhibitors or FTIs for solid tumors. Starting with development, we were thrilled to present positive monotherapy data from the COMET001 trial at ASCO. Zipdementib showed promising results in relapsed or refractory NPM1 mutated AML, offering hope for this heavily pretreated population. We're also encouraged by Zipdementib's consistent safety and tolerability profile in this setting. We were pleased to announce FDA accepted our NDA for Zipdementib in adults with relapsed or refractory NPM1 mutant AML, granting priority review with a PDUFA target action date of November 30th, 2025. We're encouraged by the FDA's engagement and are focused on achieving a successful review outcome by our PDUFA date. In the frontline setting, we reported updated combination data for Zipdementib with intensive chemotherapy in newly diagnosed AML and EHA. These results highlight Zipdementib's potential as an early intervention, offering a meaningful opportunity to improve patient outcomes. Building upon the EHA data as well as emerging data for Zipdementib combined with Venetoclax, Anaseocytidine, or Venasa, which we plan to share later this year, we're accelerating development of Zipdementib in frontline AML. For this end, we are in study startup for the two Phase III frontline trials under the COMET 017 protocol. Along with the opportunity to treat FLIT3 mutant AML patients, these two Phase III trials could open up the opportunity to impact up to 50% of patients with AML. Molly will expand on our development activities for Zipdementib later in this call. On pre-commercial activities, we're actively preparing for potential approval by building commercial supply and quality systems, advancing pre-approval inspection readiness for CM&C and manufacturing, and recruiting and training our sales force as well as collaborating with our partner, Kyua Kirin, on launch planning. Brian will elaborate on our commercial readiness later in the call. Our partnership with Kyua Kirin continues to bolster the global development and commercialization of Zipdementib. We're aligned on advancing both relapsed refractory and frontline programs, and we value our shared commitment to bringing Zipdementib to patients. Beyond Mennon inhibitors, we're making strong progress with our fully owned next generation Farnesyl transferase inhibitor, KO2806. We're excited to announce three clinical abstracts from our FTI program have been accepted for presentation at the 2025 ESMO Congress. Molly will share more of the details on the upcoming presentations a bit later. We're also thrilled to welcome Greg Mann to our leadership team as our Senior Vice President Investor Relations and Corporate Affairs. Greg brings an extensive biotechnology and pharmaceutical experience with a proven track record of strategic communications and investor engagement, fostering strong relationships with analysts, investors, and key stakeholders. As of June 30th, 2025, CURRA had $630.7 million in cash, cash equivalents, and short-term investments. Under our Kioa-Kuren collaboration, we stand to receive up to $375 million in additional near-term milestones, including significant milestones tied to initiation of our Phase 3 frontline trials, as well as first commercial sale of Zipdementib in the relapsed refractory setting. As our data continues to demonstrate, we believe Zipdementib represents a potential -in-class Mennon inhibitor for AML and GIST. And with our cash reserve, our current cash reserves and anticipated milestones, we're well-funded to become the market leader, continue to advance our Zipdementib AML program through to commercialization in the frontline setting, and drive our pipeline to multiple value inflection points. With that overview, let's dive in, starting with Zipdementib. I'll turn it over to Molly to highlight our development activities. Molly?

speaker
Zipdementib

Thank you, Troy. Let's begin with highlights from our Zipdementib development program. At ASCO 2025, Dr. Eunice Wang of Roswell Park presented data from the COMET001 trial evaluating Zipdementib monotherapy in 92 heavily pretreated relapsed refractory patients with NPM1 mutant AML. The trial achieved a CRCRA trait of 23% for passing historical controls with consistent activity across pre-specified subgroups, including those with prior transplant, prior renetic lax, those with numerous prior therapies, and those with FLIT3 or IDH commutations. At the time of the data cut, 63% of responders were MRD negative. Zipdementib's consistent safety and tolerability profile, including effective management of differentiation syndrome, low rate of myelosuppression, lack of clinically significant QTC prolongation, and absence of drug-drug interactions underscores favorable benefit risk profile for patients with relapsed refractory NPM1 mutated AML. We're progressing through regulatory milestones for our NDA submission, including information requests and pre-approval inspections in line with timelines for priority review. As Troy noted, our interactions with FDA remain collaborative and constructive. Zipdementib's favorable safety profile supports its broad use in combinations in both the relapsed refractory and frontline settings. Comet 007 and Comet 008 are evaluating Zipdementib in combination with various standards of care in patients with both newly diagnosed and heavily pretreated disease. At the 2025 EHA Congress, Dr. Harry Erba of Duke University presented phase 1A, 1B data from the Comet 007 trial testing Zipdementib at a 600-milligram once daily dose plus intensive chemotherapy in newly diagnosed NPM1 mutant and KMT2A rearranged AML. Despite available therapies, it's important to remember that up to 70% of AML patients relapsed within three years, highlighting a substantial unmet need and only a third are alive at the five-year mark. Comet 007 data were highly encouraging with rates of complete remission and MRD negativity across the 7 plus 3 cohorts and a safety profile consistent with previous reports. The safety profile observed with Zipdementib in combination with intensive chemotherapy was actually similar to what is expected in patients treated with 7 plus 3 alone. Zipdementib's continuous daily dosing was maintained through count recovery and consolidation therapy as well as maintenance without delaying neutrophil or platelet recovery or causing any additional mild suppression. A single case of grade 3 differentiation syndrome in a patient with KMT2A rearranged AML was successfully managed. Composite complete remission rates were 93% for patients with NPM1 mutant and 89% for KMT2A rearranged AML. Complete remission rates were 84% and 74% respectively at the time of this data cut. 96% of NPM1 mutated and 88% of KMT2A rearranged patients remained alive and on study with a median follow-up of 25 and 16 weeks respectively. MRD negativity was achieved in 68% of NPM1 mutant and 83% of KMT2A rearranged patients with a composite CR at medians of 4.7 and 4.1 weeks respectively. We anticipate presenting preliminary clinical data from the COMET 007 trial evaluating Zipdementib at 600 milligram dose with the netoclax and azacytidine in both newly diagnosed and relapsed refractory AML patients in the second half of this year potentially at ASH. Last quarter we broke new ground aligning with FDA and EMA on the COMET 017 protocol which comprises two independent randomized double-blind placebo controlled phase 3 trials. The first is COMET 017 IC which is Zipdementib with 7 plus 3 intensive chemotherapy and the second is COMET 017 NIC Zipdementib with vanetic lax and azacytidine or non-intensive chemotherapy. FDA alignment on the use of MRD negative CR and CR as dual primary endpoints for accelerated approval in both trials could substantially shorten development timelines. The single protocol design streamlines trial startup and is attractive to clinical sites because it accommodates nearly all eligible frontline patients. COMET 017 is now in study startup and on track for initiation in the second half of this year. Turning our attention to Zipdementib in combination with imatinib for patients with advanced gastrointestinal stromal tumors or GIST. Approximately 4,000 to 6,000 new cases of GIST are diagnosed each year in the United States and advanced GIST patients have limited treatment options. Imatinib, the current frontline standard of care for advanced GIST, targets KIT via tyrosine kinase inhibition but resistance often develops due to secondary KIT mutations. The COMET 015 trial will be combining a dose escalation to evaluate the safety, tolerability, and preliminary anti-tumor activity of Zipdementib in combination with imatinib in adults with GIST who are currently on or have previously been treated with imatinib. We're advancing in dose escalation and we will share clinical data updates as it becomes appropriate. Progress also continues in our next generation Mennon inhibitor program for diabetes. We see strategic potential to expand Mennon inhibition to diabetes and cardiometabolic disease. We've nominated a next generation development candidate for diabetes and will share development plans and timelines in a future update. Moving now from Mennon to our FTI development programs. Our FIT 001 trial evaluating our next generation for nestle transferase inhibitor, KO 2806 is progressing significantly. Our innovative approach combines FTIs with targeted therapies to overcome resistance and enhance response durability, reshaping the FTI story and expanding the use of these combinations. As Troy mentioned, three clinical abstracts from our FTI program were accepted for presentation at the 2025 ESMO Congress covering KO 2806 with Cabozatinib and renal cell carcinomas, KO 2806 monotherapy and advanced RAS mutant solid tumors, and TIPI-Farnib and Opeliceb in patients with PIC3CA mutant head and neck sclamic cell carcinoma. We'll plan to host a virtual event in concordance with the ESMO Congress in October to discuss the emerging clinical data and we'll share more details ahead of that conference. We're also evaluating KO 2806 and Adagr acid in patients with KRAS G12C mutant solid tumors and are already encouraged by the data being generated in dose escalation. We will look to share data from this combination likely next year. And with that, I'll turn it over to Brian to discuss our commercial readiness activities.

speaker
Brian

Thank you, Molly. With the Zip to Minute PDUFA date of November 30th well on site, our pre-commercial activities continue at a brisk pace. We're confident KUR's commercial organization will be fully prepared for launch ahead of potential approval. As Molly noted, the COMET 01 and COMET 007 clinical data were well received by the clinical community. We're encouraged by positive feedback from the KOLs, highlighting four key aspects of Zip to Minute in the relapse refractory setting. First is efficacy, strong CRH rates and durable responses in heavily pretreated patients with overall survival among responders exceeding the KOLs expectations. Second, simplicity. The once daily dosing facilitates adoption and integrates seamlessly into patient care, benefiting both providers and patients. Third, compatibility. No clinically meaningful drug-drug interactions with CYP3A4 inhibitors enable combination with anti-fungals or other concomitant medications. And fourth, safety. The low rates of QTC prolongation eliminate the need for burdensome weekly cardiac monitoring and alleviate concerns of combining with other agents known to prolong QT. This KOL feedback reinforces Zip to Minute's potentially best in class profile in the relapse refractory space and their enthusiasm for its use in combination with frontline standard of care therapy in patients with newly diagnosed AML. On commercial readiness, our team is focused on raising awareness about men in inhibition and NPM1 mutated AML, ensuring access and upon approval, communicating Zip to Minute's best in class potential to accelerate adoption and build trust with patients and providers. Our medical affairs and market access teams are fully staffed to engage thought leaders, payers, and group purchasing organizations or GPOs. We're executing educational initiatives on disease awareness and men in inhibition in NPM1 mutant AML, alongside ongoing pre-approval information exchanges with key stakeholders, including payers, GPOs, and other market decision makers. We've recently onboarded our sales team, selected through a rigorous nationwide screening process. The group has deep experience in hematology oncology with over 21 years average experience in sales and over seven years average experience in hematology. As they deploy, they will work alongside the experienced Kiwa-Kiran U.S.-based field team. As the lead party in the U.S., we're building capabilities across commercial functions while working collaboratively with Kiwa-Kiran on field operations, account planning, training materials, and team building. Our market access trade and distribution team has identified patient support needs and is designing programs to help eligible patients navigate their treatment journey. Finally, we're implementing a focused distribution network to maximize Zipdementive access at oncology centers, enhance provider satisfaction, and drive early uptake to ensure a rapid launch of Zipdementive upon FDA approval. Together with Kiwa-Kiran, we're confident in our commercial readiness and ability to deliver Zipdementive to eligible patients at launch. The relapse refractory AML population is our initial market entry and a critical step toward building a successful commercial product. Zipdementive's potential -in-class profile in NPM1 mutant AML gives us confidence in capturing robust market share in this high unmet need population. We estimate the total addressable market for NPM1 mutated relapse refractory AML is between $350 million to $400 million annually, driven by a patient population that can reach up to 30% of relapse refractory AML patients who could benefit from an average of six months of treatment. Zipdementive's efficacy, safety, tolerability, and convenience position it for market leadership share in this setting. Our launch planning for the NPM1 mutated relapse refractory AML market lays the groundwork for the substantial opportunity we see in the frontline AML space. For transformative impact, a therapy must deliver deep, durable responses to the maximum number of patients with a tolerable profile for extended use. Zipdementive's data, unhindered by complex dosing, excessive myelo suppression, or burdensome monitoring, support its potential -in-class profile. Of the 22,000 newly diagnosed AML cases in the US, we believe men and inhibitors can reach 50% of patients where the KMT2A pathway is a driver of their disease. This includes both NPM1 mutated and KMT2A rearranged. Our comprehensive development plan is designed to address multiple populations where patients may benefit from Zipdementive for 12 to 24 months or more of Zipdementive, leading to a total addressable US market potential of over $7 billion per year. I will now turn it over to Tom to provide the second quarter financial highlights. Tom? Thank you, Brian,

speaker
Tom

and good afternoon, everyone. Collaboration revenue from our current partnership for the second quarter of 2025 was $15.3 million compared to no revenue for the second quarter of 2024. Research and development expenses for the second quarter of 2025 was $62.8 million compared to $39.7 million for the second quarter of 2024, driven by spending on our Zipdementive combination clinical trials. General and administrative expenses for the second quarter of 2025 were $25.2 million compared to $16.7 million for the second quarter of 2024. This increase was predominantly due to pre-commercial activities. Net loss for the second quarter of 2025 was $66.1 million compared to a net loss of $50.8 million for the second quarter of 2024. This included non-cash share-based compensation expense of $6.9 million compared to $8.4 million for the same period in 2024. As of June 30, 2025, Cura had cash, cash equivalents, and short-term investments of $630.7 million compared to $727.4 million as of December 31, 2024. Based on our current plans, we believe that our cash, cash equivalents, and short-term investments as of June 30 will be sufficient to fund our current operating expenses into 2027. If we include anticipated collaboration funding and milestones under our Keele-Keran agreement, Cura's financial resources should support advancement of our Zipdementive AML program into commercialization in the frontline combination setting. I'll now turn the call back over to Troy for final comments. Thank

speaker
Wilson

you, Tom. Before we jump into the question and answer session, let me just lay out our anticipated upcoming milestones. For Zipdementive and our MEN and Inhibitor programs, we look forward to continued engagement with FDA reviewers as we approach our PDUFA target action date of November 30. For Zipdementive is monotherapy for patients with relapsed refractory NPM1 mutant AML. Initiating COMET 017 are two independent Phase III registration enabling trials in frontline intensive and non-intensive AML in the second half of 2025. And presenting preliminary clinical data from the COMET 007 Phase 1B expansion cohort evaluating Zipdementive with phenendoclaxinase acetidine at a medical meeting in the second half of 2025. For our Frenesyl Transbrace Inhibitor programs, we expect the following milestones. We initiate one or more expansion cohorts of KO2806 and calboxanthidin in patients with advanced renal cell carcinoma in the second half of 2025. We also plan to have a strong presence at the 2025 ESMO Congress this October with three presentations. Data from the FIT 001 Phase 1 monotherapy dose escalation of KO2806 in patients with RAS mutations. Data from the FIT 001 Phase 1 trial evaluating KO2806 and calboxanthinib in patients with renal cell carcinoma. And finally, data from the current HN trial evaluating tippifarna and delpelicib in PIC3C and mutant Hedonexguamia cell carcinoma. As Molly mentioned, we expect to host a virtual event around the time of the ESMO Congress in October to discuss the clinical data for our FDI programs, more details, and a safe date to come. With that, Brittany, we're now ready for questions.

speaker
Operator

Thank you. If you'd like to ask a question, press star 1 on your keypad. To leave the queue at any time, press star 2. Once again, that is star and 1 to ask a question. Our first question comes from Jonathan Chang with Learneuk Partners. Please go ahead. Your line is now open.

speaker
Jonathan Chang

Hi, guys. Thanks for taking the questions. A couple. First, can you give us some color on how the regulatory interactions on ZIFTO MENEB have progressed as we look towards the BDUFA date later this year? And then second question, how are you thinking about the scope of the for Farnesal transfraze inhibitor opportunity between the possible combinations and tumor types? What do you see as an area or areas that Cura can move forward with alone and which do you see as areas better suited for potential partner? Thank you.

speaker
spk06

Jonathan, thanks for the questions.

speaker
Wilson

Let's take them in turn with respect to any additional color on the regulatory interactions. Molly, would you like to comment to the extent that we can?

speaker
Zipdementib

Yeah, sure. And as Troy's alluding to, we're currently within our active NDA review. And so we can't really provide details about every evolving interaction with the FDA, but the interactions have all been collaborative. They've been very constructive, a lot of back and forth and everything we've seen to date is in alignment with the timeline for a priority review with an approval of November 30th. So again, we're very encouraged by the way things have progressed thus far.

speaker
Wilson

Yeah, thanks, Molly and Jonathan on your second question, maybe I'll take a crack at it. And then again, I'll ask Molly to add her comments. As she said, I think in her prepared remarks, what I think you're going to see is really a reshaping of the FTI story. So we're showing you data not only with 2806 as a monotherapy, but in two of the three possible opportunities. So renal cell carcinoma, where there's obviously been a lot of activity with HIF2 alpha and TKIs, as well as PI3 kinase alpha, where again, we've seen work from Scorpion, from Relay, and really a lot of interesting opportunity. The third one where hopefully we'll have something to share next year is of course in the KRAS space. And we've put out a lot of preclinical data that's available on our website. You'll see us set the context and I think help analysts and investors set expectations as we get closer to ESMO. But suffice it to say, with each of these areas, RCC, PI3 kinase, and KRAS, they all have the common problem of innate and adaptive resistance. That's what we're looking to address and we're looking to share further data with you. Molly, anything you'd add to

speaker
Zipdementib

that? No, that was a good segue. I was actually going to comment that not only does this reshape the FTI field, it also reshapes these other targeted agencies, the target agents, excuse me, as we look to prevent or prolong these patients' ability to respond to these drugs. And there's no reason to think that the results from one particular combination wouldn't be generalizable to similar drugs in the same class. So we're very excited to see where this leads.

speaker
Jonathan Chang

Understood. Thanks for taking the questions. Thank

speaker
Brian

you, Jonathan.

speaker
Operator

Thank you. We'll go next to Lee Wacic with Cancer Fitzgerald. Please go ahead. Your line is now open.

speaker
Lee Wacic

Hey, guys, congrats on the progress. Maybe a little curious about your thoughts on the MEN and CLAS launch so far. Looks like even in CMT-2A patients, the market opportunity could be quite sizable. Any resuit to your own launch of the MENEP? And then in terms of phase three trial starts in the second half of this year, wondering if you can elaborate a little bit more in terms of the progress that you made since last quarter and then your confidence that you could still potentially be first in class in the frontline?

speaker
Wilson

Sure. Yeah, Lee, thanks for the questions. Again, let's take them in turn. So, Brian, could you address Lee's first couple of questions, which is our impression of the KMT-2A relapse refractory market opportunity and some of the results we've seen from some of our competitors and perhaps any read through to our own thinking or our own program.

speaker
Brian

Thanks, Troy, and thanks, Lee, for the question. Yeah, I think we've obviously been watching closely, as you have on understanding kind of the launch, first launch in the KMT-2A space of the MEN and CLAS. I mean, I think our first impression is that it's great news for patients that there is a new class of therapies available that could help to target a broader range of patients with a high end MEN need. The KMT-2A population has, as we know, is a smaller population in incidence relative to the MPM-1 mutated population. And I think we're encouraged to see the preliminary uptake and activity of our competitor. When we think about what that means as we read it through into Zipto MEN-IB, we first we understand that this will be a competitive space. We feel pretty confident, as we mentioned in our prepared remarks, that Zipto MEN-IB has the properties that we believe of the potential of being the best in class as their profile across both the efficacy, the safety, the combinability of the drug, and also the convenience. We think that as we bring our or hopefully get to our FDA approval, our commercial, our medical and market access teams will be able to quickly begin communicating and be able to be competitive in this space where we see a very high end MEN need for this population who are in need of new therapies.

speaker
Wilson

Thanks, Brian. And Molly, for you on the maybe on the second question, I'm just going to restate it. Looking at the phase three starts here in the second half of the year for Commodore 17, can we elaborate on the progress since the last quarter and what gives us confidence will be potentially first and best in class in those combinations? Yeah,

speaker
Zipdementib

I mean, I think I'd like to remind just what the O07 data has taught us. It taught us how much need there is for this patient population, how quickly these patients enroll, how much these sites want dedicated trials to treat these types of AML. So with O17, we have put both trials under a single protocol. So what does that do? That makes it easier for every single site, every IRB, all of your contracting resource resources to go through one contracting process and not laboriously go through multiple stages or multiple negotiations and not have to choose one trial over another. So choosing one trial gives choosing our O17 trial gives you access to two trials in one. We hear enormous amounts of excitement coming from all of our sites that has kind of put their hands up to participate. We continue to make a lot of progress. It does take time to get a study started. We have to work out all of the contracts and everything else, as you know, but it's going quickly and I have no doubt that we will start that trial the second half of this year. And I have no doubt that the enrollment will be really impressive and will get us to that 2028 additional high level data that we've been talking about all along. And keep in mind, this really does allow any patient with a KMT2A or NPM1 mutation, well, almost any patient with those mutations to have a place to go in their frontline treatment setting. So I think that the potential patient population that we will be able to address is going to be enormous. So I look forward to very robust enrollment and broad patient base to be able to treat in this

speaker
Brian

particular O17 trial. Thank you, Molly. Thanks, Lee, for the questions.

speaker
Operator

Thank you. We'll take our next question from Roger Song with Jeffreys. Please go ahead. Your line is open.

speaker
Roger Song

Great. Thanks for the question. So in your upcoming milestone, you talk about the RCC expansion cohort since you already made a decision. If that's the case, what's the criteria for the expansion cohort? And then what will be the next step in time for the RCC and then KRAS and the program? And the second question relates to the regulatory interaction. Given all the changes within FDA, have you have any recent interaction with the FDA regarding your Phase III pivotal design and understanding you're about to start by any last minute kind of feedback you're getting from the FDA? Thank you.

speaker
Wilson

Yeah, Roger, if we may, Molly is going to answer both of those questions. Molly, maybe we can take them in reverse order. Let's start with the first one, which is any recent interactions with the agency on the Phase III designs for Commodore 17.

speaker
Zipdementib

No, and thank you for that. No, it's the usual interactions, just making sure we're all in agreement on even the nitty gritty. But overall, it was agreed to back months ago what the design would be. And now it's really just operationalizing. There hasn't been any additional concern or additives by people coming or going from the FDA. So it all is holding pretty steady for us.

speaker
Wilson

Yeah, and maybe just to build on that Roger on Molly's comment, I mean, this is nothing new in oncology, right? When the agency gives you the pathway to accelerated approval, whether that's monotherapy or in combo, the condition is always that you come back with the data. I think maybe what's different here is there's a recognition in AML that it may not be, or it isn't in the best interest of patients to wait around for survival endpoints in some cases. And so there's a real willingness on the part of the FDA to consider accelerated approvals or pathways to accelerate approval. And that's what Molly and her team were so skilled in coordinating with the FDA. So everything is on track from our perspective. Molly on the first question, it's probably a little early, but Roger asked, you know, what's our decision making process for RCC for K rest? You want to speak a little bit to that? I know it's early in where we are.

speaker
Zipdementib

Yeah, it's early. I'll focus on RCC, because that's probably the easier story to explain at this point. So we were going through our dose escalation, of course, and we had our go, no, go criteria that we established prior to starting. The study, I will say that we've not really shared publicly our go, no, go criteria, but we had no problems in meeting that. And currently, when we talk about our expansion cohort, it's really with the thought of. Correctly fulfilling project optimist and giving them the data that they want. So we will expand out to at least two doses and look to see which dose is best tolerated and most efficacious at the same time. And at that time, obviously, we will be, you know, we will look for convincing data that you're seeing more than just a Cabo monotherapy activity, which these patients that have already failed Cabo shouldn't be that hard to demonstrate. Similarly, with that aggressive as we keep on with the does escalation will probably proceed in a very similar fashion.

speaker
Brian

Thank you, Molly. Thanks, Roger, for the questions. Thank you.

speaker
Operator

We'll take our next question from Jason with Bank of America. Your line is now open.

speaker
spk08

Great. Good afternoon. Thanks for taking our questions and congrats on the progress. Maybe a high level question for you, Troy. Now that the die has been cast regarding timelines, so to speak. Can you speak to some of the puts and takes regarding the commercial dynamics in the relapse refractory NPM one setting? You know, how much is your your competitors first to market advantage and current inroads as as a hurdle? I mean, ultimately, how quickly do you think you can overcome any residual or at least initial finish physician inertia here? And they may be secondarily. What are your expectations regarding the evolution of NCC and guidelines for for the class, whether they include ZIFTO specifically or sort of just reference the larger men and inhibitor class? Thanks.

speaker
Wilson

Yeah, Jason. Thanks for the thanks for the questions. Let me maybe I'll just make a couple of overarching comments and then I'm going to ask Brian to speak to your question. I think if I were to fill your question down, it's really like, what's the what's the meaning of a first mover advantage? Right? What does that mean here? What I'd say is everything we're seeing, I think, is good for patients. We see strong interest and strong uptake in men and inhibitors. As you've heard us say, ZIFTO is potentially best in class. I think not only in NPM one mutated AML, but increasingly, as you'll see in combination, we think it's going to be very competitive in the KMT to a rearranged subset. And we're looking forward to giving physicians and patients options for therapy. These patients are in desperate need and I'll let Brian speak really to the feedback that we've heard from KOLs and sort of the positioning. And then we'll come back to your question on NCCN and when he's done with that. Brian, could you maybe build on my comments?

speaker
Brian

Thanks, Troy, and thanks Jason for the for the great question. Yeah, I think as Troy said, we've been working towards, I think, building that first, our presence and first approval in this market. As he said, we're happy that patients may have a number of options available for them. Our team has been working for really the last two years to start to begin this preparation. We've actually, from a medical perspective, have been engaging with KOLs, with our MSL team over the last two years or more. Our market access team has actually been out in the field and engaging with payers through pre-approval information exchanges over the last year. And we're really building a strong reputation among those teams. A lot of that's actually built, I would say, as current oncology based on the strong reputation that Molly and her team have really built and executing on these clinical trials and how quickly they've been able to enroll patients and really partner strongly with them. With a number of the US physicians. So I think that there will be, of course, we recognize there'll be some competition coming forward between potentially two approved agents in the space. We're confident in the profile that Zipto Menopaz has that we'd be able to rapidly engage with physicians upon approval. Our sales teams will actually begin some profiling once they finish their training in the short time frame between now and as they get closer to the approval so they could start to engage and get to introduce and engage on Kura's behalf as we get closer to our approval. So we think that we're going to we're doing all the right things that a company like Kura needs to do. And while there may be some initial awareness from some of the competitors, we think that the need is substantially high and the enthusiasm we've heard around Zipto Menopaz continues to be high that we'll be in a good position once we get that approval.

speaker
Wilson

Thanks, Brian. Brian, do you want to just add to that and address Jason's second question, which is around how do we think about the evolution of the NCCN guidelines? Is it Menon as a class? Is it Zipto? Any color you want to use? Yeah, absolutely. I mean, I

speaker
Brian

would say at the highest level, Jason, since we only have external visibility to what the NCCN AML committee does, we can't really comment as to when they will be. Addressing the NPM one mutated population, our intent within our team is as soon as our data are published and we have our approval, we'll be submitting the application to NCCN for consideration on the guidelines as soon as possible. It's one of those key early launch metrics that we'll be putting towards to get Zipto Menopaz on those guidelines. Molly, would you want to add anything else to that?

speaker
Zipdementib

Yeah, I thought the question about whether they would list out individual drugs or Menon as a class is an interesting one. I mean, obviously we don't know, but as we are the only two companies that will really have strong data packages already produced, I would think at least for the foreseeable future, it would be named Menon inhibitors in the guidelines rather than just a class.

speaker
spk08

Yeah, got it. Thanks so much for the good color. Appreciate it.

speaker
Brian

Thanks,

speaker
spk08

Jason.

speaker
Operator

Thank you. We'll take our next question from Ellen Horst with TD Cowan. Please go ahead. Your line is open.

speaker
Ellen Horst

Hi, guys. Congrats on such an exciting quarter and thanks for taking the question. I'm just wondering what you think are the biggest potential risks to the pivotal program timelines. If there's anything that could potentially push initial data out past 2028. And then is there any risk to running combined studies with both the KMT 2A population and the NPM one population?

speaker
Wilson

Thanks. Yeah, thanks, Ellen, for the questions. Molly, you want to speak to that risks to timeline sort of getting extended or risks to running the blended populations? Yeah,

speaker
Zipdementib

I mean, obviously we can't predict the future and if something really unexpected happens, obviously it could push out the read out dates, but we're very, very conservative. And so we only released that 2028 date when we felt very confident in our ability to be able to meet it with regards to mixing of the populations. Again, I will go back to our O7 trial. It has taught us so much. We understand what these patients now look like in these settings to a great extent with very robust data sets. So the mixing of the populations doesn't frighten us and we've obviously approached it from many different scenarios to make sure that this was the appropriate way for us to proceed as a company. So O7 really was the best building block

speaker
Brian

for this big trial. Thanks, Molly. Thank you, Ellen, for the questions.

speaker
Operator

Thank you. We'll take our next question from Peter Lawson with Barclays. Please go ahead. Your line is open.

speaker
Peter Lawson

Great. Thank you so much. I've joined late, so I apologize if the question's already been asked just around about your FDA dialogue, how that's proceeding, if it's changed in frequency or any emphasis has changed around that. The second question would be around the importance of the AML maintenance setting. And do you think you have the ability to kind of capture that market as well?

speaker
Wilson

Yeah, Peter. Molly, can you just maybe summarize the FDA dialogue

speaker
Zipdementib

for

speaker
Wilson

Peter? Sure,

speaker
Zipdementib

sure. You know, we're under active review. We are regularly interacting as you would expect being on a priority review timeline. And we really haven't seen any change in the quality, the quantity, or the frequency of interactions with the agency. So things have been progressing as expected.

speaker
Wilson

And then, Molly, maybe you can take the second question around how one thinks about maintenance. And then Brian, I'll probably ask you to build on that from a commercial perspective. But, Molly, do you want to start? No.

speaker
Zipdementib

So obviously in our OO-1 trial, we're not pursuing a maintenance indication. But obviously, as we've heard, there are folks that would expect some use in that setting already. But OO-7 has taught us again, taught us a lot. And while most of our MPM-1 patients don't need to go to transplant in that frontline setting, the ones that do have in general come back onto a maintenance protocol. And the KMT-2As especially are very apt to come back to trial. So I think the maintenance indication that has been built in to the OO-17 design is going to be extremely valuable in appropriately capturing that patient population.

speaker
spk06

Brian, is there anything you'd like to add on Peter's

speaker
Wilson

question around maintenance?

speaker
Brian

Thanks, Troy. Maybe just to add on that, I think that the way we view it from a commercial perspective, a lot of the post-transplant maintenance or extended -post-transplant, that would likely be something we would observe or expect to see in the newly diagnosed setting. So as COMETO-117 builds out, we think that gives us an opportunity for significant durations of treatment in both the IC and the non-IC setting. That could lead to anywhere from 12 to 24 months of continuous therapy for patients. In the relapse refractory space, based on what we've seen in the market so far, KMT-2As, there may be more patients who would go to transplant relative to the older population of MPM-1 mutated patients in the relapse refractory setting. So we're observing and we'll be following to see, but we expect that to be a lower rate of transplant for those relapse refractory MPM-1 mutated patients. But we'll be tracking that and try to understand. And our goal, of course, will be to get patients on therapy and to stay on therapy for a longer period of time.

speaker
Brian

Thanks, Brian. Thanks, Peter, for the questions.

speaker
Operator

Thank you. We'll take our next question from Charles Zhu with LifeSci Capital. Please go ahead. Your line is open.

speaker
Charles Zhu

Hi, this is Peter on for Charles. A couple of questions from my end. First of all, for the 2806 data in RCC at ESMO this fall, just wondering if you could provide some color on patient baselines, how heavily pretreated rates of prior cabozantinib exposure. And then second question, as you're looking down the nose of approval in relapse refractory MPM-1 for -MEN-IB, just wondering what your plans are, if any, for additional data disclosures in that setting. For example, at ASH or in a journal release. Thanks and congrats on all the progress.

speaker
Wilson

Thanks, Peter. Molly, do you want to take those questions? I mean, we don't want to go into too much detail, but any additional color we can give on RCC?

speaker
Zipdementib

That's exactly what I would say is I don't want to preempt the abstracts, but they will be sharing all of that data with you. But you can expect a typical phase one patient population where initially it could be your most heavily pretreated and then as investigators feel more comfortable, you come further and further in line. So you'll see a variety of patients at baseline.

speaker
Wilson

Great. And Molly, what about Peter's second question about any additional disclosures on the monotherapy? Could the COMETO-01 study for people to look forward to?

speaker
Zipdementib

Additional data disclosures? Well, we should be expecting obviously. Yes, that's that was what I was getting at. Yeah. So you should expect a publication within the coming months.

speaker
Brian

Thanks, Peter. Thanks so much. Thanks. Yeah, our pleasure.

speaker
Operator

Thank you. We'll take our next question from Salam Sayin with Muzizow. Please go ahead. Your line is now open.

speaker
spk06

Hi, thanks for taking our question. This is Eric on for Salim. I just wanted to get your thoughts on potential launch ramp as you get into the relapse refractory NPM1M, given what we've seen with the KMT2A launch here recently. And, you know, given that there was no really good reason to expect any warehousing of patients with KMT2A are in the relapse refractory, but might there be a bit with the NPM1M population?

speaker
Wilson

Thanks. Yeah, thanks, Eric. Brian, you want to address Eric's question about any launch dynamics?

speaker
Brian

Eric, thanks. Thanks for that question. I mean, I think that, you know, we're, I don't think we're ready to disclose what our expected launch ramp up will be. What I can tell you is the focus that we've been working towards right now is to immediately get product available for patients, get access from with our payers and build on the work the team is working on so far and really communicating around the areas where we see ZipDementive as different. And we've differentiated, as I've said before, around our robust efficacy, the safety and tolerability, the convenience and the ability to have a kind of simplicity of dosing without some significant additional monitoring challenges as some of the competition may have. So our our expectation, your second question around whether or not you would expect to see a bolus, we haven't actually, we don't expect to see a large bolus. This is not a patient population where patients are are waiting for a new therapy to come forward. Unfortunately, because of this very high and met need. These are going to be elderly relapse refractory patients that have probably been significantly pretty treated and may not have the expected, you know, the expected life expectancy in this space is pretty short. Unfortunately, so I think the there's less of a dynamic of a of a pool of patients. We think that have already been kind of taken up by other therapies by the time we get to approval. I hope that helps with some clarity.

speaker
Wilson

Yeah, and they're very helpful to build on just to build on Brian's comments. And another thing you'll look forward to is, you know, as Molly indicated, we're going to give an update on on the combinations of zip to with phonetic lacks. We're also looking at combinations with other standards of care, including guilt written if all of that data is coming, while we'll be promoting on label. You know, we're looking really to publish as much data as possible to help inform physicians and patients and those those four pillars that Brian hit on. I think that's really ultimately going to going to allow as if demented to potentially become the market leader. The efficacy, the safety, the compatibility and the convenience. So, you know, we're excited to get out there and and and offer more options to patients. It's going to be an exciting next few

speaker
Brian

quarters. All right, thank you. Okay. Yes, thank you.

speaker
Operator

Thank you. We'll take our next question from G McCargy with BTIG. Please go ahead. Your line is now open.

speaker
spk17

Great. Thank you for taking my question. Just to follow up on maybe your comments previously just any sense from your investigators about their willingness to use off label frontline or perhaps in the. Relapse refractory setting in combination pending potential approval. And my second question was, can you provide any commentary on the percent site overlap you have with your approved competitor at least among your current clinical trials? Thank you.

speaker
spk06

Yeah, so, so

speaker
Wilson

let's tease those two questions apart. Molly, do you do you want to speak to the feedback from we've heard from KOLs on a on a cheat? I think your question was sort of a willingness to combine a willingness to

speaker
Zipdementib

to

speaker
Wilson

to combine with other standards of care.

speaker
Zipdementib

Yeah, I mean, what we hear is ultimately they're going to do what's best for the patient. If they have a safe way to administer our drug in combination that would they feel would be more beneficial to the patient, then they would with regards to in the frontline. They have the option of putting them on our trial. So I'm hoping that they will they will do that so that we can fill up just as quickly as we plan to. But yes, we do hear not just our investigators, but but other KOLs discuss liking to have the information available to be able to safely use drugs in combination. Oh, and then only on the sites. Yeah, yeah, the site overlap.

speaker
Brian

Yep.

speaker
Zipdementib

That's all right. So for one, the monotherapy study, it was very few. You know, a handful, probably mostly in the United States with oh, seventeen, you can expect that number to drop precipitously because sites don't have the capability of conducting multiple phase three studies in the same or similar indication.

speaker
Brian

Yeah, just to

speaker
Wilson

build on that. Yeah, just to build on that. I mean, that's part of why we, why we designed those seventeen the way that we did, because it's really a one stop shop for these clinical sites. And, you know, we, we were really looking to build relationships with many of the leading centers all over the world. And if they can treat nearly all eligible patients in the frontline with one trial, they've, they've, they've, they've shown us that that's what they're going to do. So we're not to leave earlier question. We're not overly concerned. It's not really first patient in. It's going to be last patient in and who gets the data. And I think we're very well positioned to compete on that. So appreciate your questions.

speaker
Operator

Thank you. We'll take our next question from David day with UBS. Please go ahead. Your line is now open.

speaker
spk07

Hi, this is Eric, asking for David. Thanks for asking taking our question about the commercial readiness. Could you share some more details about how cure existing commercial Salesforce could help expedite the commercial execution? How many sales people do you think will be needed for a successful launch? And then just a quick follow up on that. Jane, just initiated a three trial for black and front line. How are you planning to catch up potentially?

speaker
Wilson

Yeah, thanks, Eric, for the two questions. Let's start with the commercial readiness question and the relationship with killer. Karen Brian, do you want to, you want to address Eric's question?

speaker
Brian

Sure, sure. Thank you, Eric, for that question. Yeah, so the our team, our commercial team has been, as I mentioned, has been fully built out our sales organization. We'll share probably as we get up to launch a bit more details of the size of that field force and and how they'll be working with with KK. What I can say is that our team is building out based on the target, the target positions that we've outlined for the space. We'll have a national coverage of with current field representatives, and they'll partner very closely with the national team that that KK already has in the field. You may know that they have a product that they currently are promoting in the lymphoma space, which has a pretty significant overlap at an account level with the population. So what we're working on is have their team will have a portion of their effort focused on on the other rest of their effort will be focused on their other product. And for Zip to minute, they will be partnering very closely with our team to essentially give a broader depth and breadth of our ability to reach positions. Then we would, if we were to be alone. So we think this is going to be a significant advantage for zip to minute as we launch, because we'll have a field force that is maybe maybe broader, more dedicated to to extend to more positions. To have more frequent interactions and contacts so that we'll be able to communicate our messages and support patients who are in the community who may need to. Or have that potential to get Zip to minute. So as we're working towards that launch, we'll be able to provide a little bit more detail, but I could tell you that the teams have been working very well together. They're going through their training to be ensured that as we get to our launch, they'll be ready to go and start to communicate both from the cura side as well as our partners at KK.

speaker
Wilson

Thanks, Brian and Eric, I'll take your second question around the timelines for Yance and I mean, everyone knows the answer is a formidable development organization. I think, though, the answer is kind of in your question, right? You mentioned the two phase three trials to our knowledge. They've only initiated the one Camelot study in the frontline Vanessa. And as Molly indicated, I mean, we've just seen overwhelming enthusiasm and enrollment in both O seven and enthusiasm for 17. So I think we'll be very well positioned to compete with them in terms of enrollment globally. And you'll see us initiate those trials here shortly in the second half. And we're looking forward to it. Thanks for the questions.

speaker
Operator

Thank you. At this time, this concludes our question and answer session. I will now turn the meeting back over to Troy Wilson.

speaker
Wilson

Thank you, Brittany. Thank you all once again for joining the call today. We'll be participating in several investor conferences over the next couple of months, as well as the ESMO Congress in Berlin. Whereas Molly mentioned, we're planning to hold a virtual investor event to discuss our presentations of clinical data from our program. In the meantime, if you have any additional questions, please feel free to reach out. So thank you all again and have a good evening,

speaker
Operator

everyone. This brings us to the end of today's meeting. We appreciate your time and participation. You may now disconnect. Thank you.

Disclaimer

This conference call transcript was computer generated and almost certianly contains errors. This transcript is provided for information purposes only.EarningsCall, LLC makes no representation about the accuracy of the aforementioned transcript, and you are cautioned not to place undue reliance on the information provided by the transcript.

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