Opko Health, Inc.

Good day and welcome to the Opco Health Second Quarter 2023 Financial Results Conference Call. All participants will be in a listen-only mode. Should you need assistance, please signal a conference specialist by pressing star then zero. After today's presentation, there will be an opportunity to ask questions. To ask a question, you may press star then one on your touchtone phone. To withdraw your question, please press star then two. Please note this event is being recorded. I would now like to turn the conference over to Yvonne Briggs.

Yvonne Briggs Thank you, Operator. Good afternoon. This is Yvonne Briggs with LHA. Thank you all for joining today's call to discuss Opelko Health's financial results for the second quarter of 2023. I'd like to remind you that any statements made during this call by management other than statements of historical fact will be considered forward-looking and as such will be subject to risks and uncertainties that can materially affect the company's expected results. These forward-looking statements include, without limitation, the various risks described in the company's SEC filings, including the annual report on Form 10-K for the year ended December 31, 2022, and its subsequently filed SEC reports. This conference call contains time-sensitive information that is accurate only as of the date of the live broadcast, August 3, 2023. Except as required by law, OPCO undertakes no obligation to revise or update any forward-looking statements to reflect events or circumstances after the date of this call. Before we begin, let me review the format for today's call. Dr. Philip Frost, Chairman and Chief Executive Officer, will open the call. Dr. Elias Zerhouni, Vice Chairman and President of OPCO, will then provide an overview of OPCO's pharmaceutical business as well as bioreference health. After that, Adam Logel, Opco's CFO, will review the company's second quarter financial results, and then we'll open the call to questions. Now, I'd like to turn the call over to Dr. Frost.

Good afternoon, and thank you for joining us today. In June, we were pleased to announce what we had been expecting for more than a year, FDA approval of Anglena, Our long-acting, once-weekly human growth hormone analog to treat pediatric patients age three and older. Our global commercial partner, Pfizer, has indicated it expects Angela to become available this month for prescribing in the U.S. This approval triggered a $90 million milestone payment from Pfizer and leads to a profit-sharing arrangement that Adam will discuss in more detail. That decision by the FDA adds to Angela's approvals in over 40 countries, with commercial launches today in over 18, including the major markets of Japan, Germany, France, Spain, and the United Kingdom. Pfizer expects to launch Angela in another 18 or more countries during the remainder of this year, covering all priority international markets by year end. With U.S. approval, we expect to see significant ramp-up in sales for NGINLA as market penetration continues to expand globally. With Pfizer's global commercial infrastructure and longstanding experience in this particular market segment, we couldn't have a better partner. On another front, we continue to advance the sophisticated science of our MODX unit toward clinical trials. MODIC's novel approaches are validated by the exclusive worldwide collaboration with Merck that we announced in March to develop our multivalent nanoparticle Epstein-Barr virus vaccine. Our strategy was to secure a large pharmaceutical partner to develop the EBV vaccine, and we have a great one in Merck. Despite the significant prevalence of this virus, and its potential to cause head and neck, stomach, and other cancers, as well as multiple sclerosis, there are currently no FDA-approved vaccines for EBV. At BioReference Health, we continue to drive cost control efforts in parallel with work to enhance innovation and productivity. We look forward to our diagnostic segments returning to profitability in the near future. Our international operations continue to perform well, with both our Ibero-American and FinTech businesses demonstrating profitability and growth this past quarter. With that brief overview, I'll turn the call over to Elias to provide further discussion and commentary on our pharmaceutical and diagnostic businesses.

Elias? Thank you, Dr. Frost, and good afternoon, everyone. As Dr. Frost just mentioned, we were extremely proud to announce the approval of Vangela in the U.S. This long-acting treatment reduces the burden on children with growth hormone deficiency, with injection frequency going from daily administration to once weekly. Upon the upcoming launch later this month in the U.S., Opco will be entitled to a profit-sharing arrangement with Pfizer on a worldwide basis, which is based on regional tiered gross profit on both Angela and genotropin, Pfizer's daily human growth hormone. Now, turning to MODX, as mentioned by Dr. Frost, we are advancing our recently announced collaboration with Merck to develop our Epstein-Barr virus multivalent nanoparticle vaccine. This collaboration is significant in that it addresses an important unmet clinical need, but also validates MODX's innovative multi-targeting technologies. our vaccine targets the four major Epstein-Barr virus proteins known to allow the virus to enter human cells. This multi-targeted approach holds potential to provide complete protection against this virus, which affects up to 95% of the global adult population during their lifetime, with over 200,000 cases of related cancers per year and a strong link to multiple sclerosis. We're now jointly working with Merck on IND-enabling studies to enter the clinic as soon as possible. In addition to the EBV vaccine, our antiviral program is focused on other indications, including the treatment and prevention of HIV and COVID-19. We have a partnership with the NIH to develop a tri-specific candidate to both prevent and treat HIV. And the NIH is providing funding for this program, which is in phase one. In addition, we're working on next-generation candidates that offer up to tenfold improvements in potency and greater breadth of antiviral activity against the majority of global HIV strains. Current HIV medicines still have limitations, including drug toxicity due to lifelong therapy and drug resistance that can impact the efficacy of viral suppression. Additionally, we're working on a COVID multi-specific antibody program to address the emergence of resistant variants on a global basis. We believe the virus will remain in the human population for some time to come and will require novel therapies, especially for at-risk patients who have underlying medical conditions or a suppressed immune system. Since our technology platform is modular, it allows for the rational selection of antibodies to optimize potency against current and future strains and prevent the emergence of viral resistance. This program is partially funded by DARPA, and we are in late-stage preclinical testing. Recently, we applied for further funding from BARDA to support our COVID-19 multispecific antibody program and platform, as well as for seasonal influenza therapy and prevention. Side of our programs, our oncology program focuses on hard to treat solid tumors, but also the treatment of leukemia and lymphoma. As you know, many cancer therapies still fail to achieve or maintain a positive response with a loss of tumor antigen expression as one of the main reasons. Our multi-specific antibody candidates are designed to engage and optimize T cell function while preventing tumor antigen escape. These programs are in the preclinical stage with plans to enter two programs in the clinic in 2024. Moving now to Royalty, our treatment for secondary hyperparathyroidism in adults with stage three or four chronic disease, chronic kidney disease, and low vitamin D levels. The numbers for the quarter break down as follows. The total prescriptions for Royalty in the second quarter of 2023 As reported by IQVIA, we're approximately 13,100, representing an increase of 5.8% from approximately 12,385 in the previous quarter. Riley sales are steadily recovering from the impact of pandemic-related challenges in onboarding new patients. Let me go now to our diagnostic segment at BioReference Health, where our focus remains on improving the performance of the company following the major drop in COVID revenues by driving cost efficiency, by improving revenue cycle management, and achieving volume growth and increasing market access with an ultimate goal of improving operating margins towards profitability in the upcoming quarters. Through these initiatives, we've been able to further reduce our workforce by 7% in the second quarter, with more than 200 positions eliminated. In the laboratories, we have realized further cost reductions by better reagent and supply pricing and utilization, as well as streamlining management structures and operation. In regard to revenue cycle management, we're improving the actual realization on our build services by increasing payer coverage and access, enhancing our pre-authorization procedures, reducing unbillables, and introducing copay and point-of-care collections, as well as bad debt collections. For example, our market access team has succeeded in negotiating contracts that will result in more covered lives and improved payer reimbursement. For example, we received the status of Preferred Lab Network by UnitedHealthcare for 2023. for the fifth consecutive year. We reached a three-year contract agreement with Humana, which includes reimbursement on the 4K score test and negotiated a new amendment with Cigna for additional CPT code coverage. We also reached an agreement with CareSource, which will open up the Ohio, Georgia, Indiana, Kentucky, North Carolina, Arkansas, and West Virginia markets, among others. We have also reorganized our commercial team based on three regions, the Northeast, the Southeast, and the West. The structure will allow us to more effectively address growth opportunities aligned with the local healthcare industry and local market conditions in each region. We continue to focus growth efforts in specialty diagnostics and health systems with growing pipelines in both and begun to develop services for pharmaceutical industry clients. In oncology, for example, we've seen volume growth predominantly led by our molecular genomics oncocytes and oncocyte advanced portfolio, which have been well received and are growing in volume and scope of services. In women's health, last quarter, we introduced Syntec Plus cytology, which is the only FDA-approved triage test that uses HPV dual biomarker technology to triage women with HPV-positive results, with test orders steadily increasing in the second quarter. We also continue to see strong volume growth at OVAL1+, at blood tests that detects ovarian cancer risk. And in women diagnosed with a pelvic mass, we have a planned surgery. Our urology segments remain focused on marketing our proprietary 4K score test, which now is included in the American Urology Association clinical guidelines for urologists. Our expanded health systems commercial team continues to build our hospital and health system business line by increasing our reach in hospital laboratory management, outreach, and reference work, creating meaningful and collaborative solutions that address the challenges many hospitals and health systems are facing currently. In summary, as we keep a disciplined approach to improve margins performance, we're seeing steady progress on our path back towards profitable growth. I will now turn the call over to Adam Logal to discuss our second quarter financial results. Adam?

Thank you, Elias. Starting with our pharmaceutical segment, revenue increased to $138.4 million for the second quarter of 2023 from $123.1 million for the comparable period of 2022. This increase reflects the $90 million milestone payment due from Pfizer related to the approval in the U.S. for Ingenla during the second quarter of 2023 versus $85 billion in milestone payments from Pfizer for the approvals of Ingenla in Japan and the European Union during the 2022 quarter, as well as higher gross profit share payments from Pfizer during the quarter. Revenue from Rialdi and our international pharmaceutical businesses increased by $7.6 million, reflecting improvements in overall prescriptions and net price, as well as gains from currency exchange in Chile and Mexico. Costs and expenses for our pharmaceutical segment were $74.7 million for the second quarter of 2023, compared to $67.7 million for the 2022 period. Research and development expense for the second quarter of 2023 were $17.5 million, compared with $14.8 million for the 2022 period. This increase reflects activities from our MODX development programs partially offset by decreased spending for our NGEN-led development activities. The resulting operating income for the quarter ended June 30th, 2023 was $63.6 million, an $8.2 million improvement from operating income of $55.4 million for the second quarter of 2022. Amortization expense related to intangible assets was $16.5 million and $16.7 million, respectively, for the 2023 and 2022 quarters. Moving to our diagnostic segment, we reported revenue for the second quarter of 2023 of $127 million compared to $186.8 million for the 2022 period. This decline primarily reflects lower COVID testing volumes. As Elias discussed, our focus at BioReference remains to identify profitable growth verticals and to maximize operating efficiency. We've strategically invested in additional commercial resources in our higher growth specialty verticals and expect to begin yielding returns on those investments during the second half of 2023. We continue to execute our reach expense reduction program at BioReference, and as Elias discussed, we have also identified a number of near and medium-term growth programs that we continue to expect through the balance of the year. Operating expense for our diagnostic segment was $44.3 million for the quarter compared to $57.5 million for the prior year. Amortization and depreciation expense included in operating loss were $8.6 million and $10.2 million respectively for the 2023 and 2022 periods. Turning to consolidated financial results for the second quarter, we reported operating income of $7 million compared with an operating loss of $10.7 million for the 2022 quarter. Net loss for the second quarter of 2023 was $19.6 million, or 3 cents per share. This compares to a net loss of $101.7 million, or 14 cents per share, for the 2022 quarter. Net loss for both periods was negatively impacted by the market losses from GDX's stock price declines of $19.9 million, and $71.2 million, respectively, for the 2022 and 2023 periods. As we look at the current quarter, we are providing financial guidance with the following assumptions. For our pharmaceutical segment, we have assumed the U.S. region for Ingenlo will be in the gross profit share commencing in September as Pfizer's U.S. launch is expected to begin in late August. During the first quarter of 2023, the European region shifted to a gross profit share, and going forward, both the European region and Japanese regions will result in gross profit share consisting of genotropin and angela. For the first six months of 2023, Pfizer reported approximately $222 million of global genotropin sales. We assume a stable foreign currency exchange for our ex-U.S. pharmaceutical businesses. We have seen a 10% favorable impact on our businesses over the last 12 months. For costs and expenses related to R&D, we expect to wind down the clinical operations of Ingenela for the pediatric indication as quickly as possible with final clinical site closure visits occurring now through the first half of 2024. The decreases are expected to be offset by increased R&D activities related to our MODX development programs that Elias discussed. Guarding the assumptions for our diagnostic segment, we assume COVID testing volumes remain an insignificant portion of our overall testing volumes. We have also assumed consistent core testing volumes with growth in our higher margin oncology and urology specialty lines, as well as a slight increase in the average per patient collection amounts due to our revenue cycle management initiatives. As a result, we expect the following for the third quarter of 2023. Total revenue between $165 and $180 million. This includes revenue from services between $126 and $135 million, revenue from product sales between $32 and $36 million, and other revenue between $5 and $10 million, inclusive of the estimated Pfizer gross profit share. We expect the Q3 23 costs and expenses to be between $240 and $250 million, including R&D expense of $21 to $24 million, and depreciation and amortization expense of approximately $26 million. That concludes our prepared remarks. Thank you all for your attention. And now, operator, let's open the call for questions.

We will now begin the question and answer session. To ask a question, you may press start, then 1 on your touchtone phone. If you are using a speakerphone, please pick up your handset before pressing the keys. If at any time your question has been addressed and you would like to withdraw your question, please press star then two. At this time, we will pause momentarily to assemble our roster. Our first question comes from Murray Raycroft from Jefferies. Please go ahead.

Hi, this is Kevin on for Maury. Congrats on the quarter and thanks for taking my questions. First question on the NGENMA profit share. I know you mentioned that this would come about likely in September. Do you know when we could get you know, more details on the agreement there, and then also, you know, your latest thoughts on when we could break out the McGinley revenue. Thank you.

Thanks, Kevin, for the question. So, you know, we guided the total revenue coming from the profit share lines to be between $5 and $10 million for the third quarter, which is pretty conservative given that The Pfizer is really just going to start launching in the U.S. region in the next couple of weeks here. So as that continues to develop, we'll provide some better purviews into that. But I think from our overall guide, we've talked about the total potential opportunity is significant. Just in these early days, it's difficult for us to be very specific on how Pfizer is going to launch the product.

Okay. Yeah, thanks, Adam. And then just one on the diagnostics business. So you mentioned returning to profitability in the near future. Are you guiding more specifically in that regard in terms of maybe by the end of this year or by early next year? And then also in terms of returning to profitability, are you also guiding to returning to growth as well? Thanks.

Elias, I don't know if you want any – go with any comments that I can add in.

Well, yeah, sure. I mean, our plans are to basically reach break-even by the end of the year, beginning of 2024, and then have profitable growth in 2024. The question you asked about growth, it's obviously the key to the success here is continuous growth, so Yeah, we're not depending just on cost reductions. We're also, as Adam mentioned, we have made investments actually in the commercial realm and in focused new verticals like the pharmaceutical industry, which I know well, which is a large potential, I believe, and we're working on it, as well as the health systems business line.

Yeah, so maybe I'll just add a You know, on our guide here, we got it 126 to 135 against, you know, the second quarter, which reported 127 million. So from that perspective, Kevin, we do see, you know, there's some upside here in the near term and hope, to Elias's point, continue to build on that into the future quarters.

Makes sense. Great. Thanks for answering my questions.

Our next question comes from Jeffrey Cohen from Leidenberg-Talman. Please go ahead.

Go ahead. Thank you all for taking our questions. Firstly, Adam, could you break out for us service revenue, the cost of service revenue and the cost of product revenue? I actually see your cue just hit momentarily.

Yeah, so the cue's out there. I can break it down for you, Jeff, if you need.

But it's in the queue, yes?

Yeah, it's in the queue.

Okay, perfect. And could you talk, anyone there, a little bit about the OVA Plus test and perhaps some of the traction or pricing or geographical presence that you're generating thus far?

Yeah, OVA Plus, you know, is growing quite a bit, and basically in our Cashman area. at this point where our sales force is present and our women's health presence is strong. I cannot give you specific numbers, but I can certainly follow up with you on that.

Okay, that's helpful. Any commentary specific to reality? I saw 7.7 for the quarter. Any outlook or guidance there on revenues or prescriptions or growth?

So we didn't go specific, but it has continued. Elias did call out the year-over-year prescription growth of just below 6%. So I think, you know, we're continuing to see that build. Consistent with prior years, we see the net reimbursement improve throughout the year for Rialdi. So we should see continued growth sequentially. But we didn't call out any specific guide there.

Just a little clarification. It was 6%. previous quarter, Q2 over Q1, not previous year.

Okay, got it. That's helpful. Adam, I see it in the queue, the revenue from services and products broken out. That's helpful. Okay. And any commentary on margins? Should we expect for some cost reductions to see margins improve on the service side over the balance of this year, or that's more of a 24 issue?

We're working on improving the margins this year. I mean, as you know, I just mentioned, we've reduced the headcount by 7%. We're looking at multiple areas where margins need to be improved. We have renegotiations with payers as well and pricing reviews as well as contribution margins reviews. So my expectation is to So, you know, narrow the margins, improve the margins to narrow and get to break even, hopefully at the end of the year, beginning of first quarter or first quarter 2024. Okay.

And then lastly, Adam, okay for us to use on the cash, the 108.1 plus the 90 expected this month, I think?

Yeah, that's right.

Okay. Perfect. That does it for us. Thank you very much for taking the questions.

Thanks, Jeff.

Thank you, Jeff.

Our next question comes from Yi Chen from HC Wainwright. Please go ahead.

Hey, this is Chase on behalf of Yi Chen. Congrats on all the progress. My first question is on MODX. Any color on the type of cancer indications that you would like to target next year in the phase one

So we have two programs that are the most advanced. One is for solid tumors, and it's going to be tested against a basket of solid tumors to try to see where we get the most response. So the solid tumors are prostate cancer, gastric cancer, pancreatic cancer, and non-small cell lung cancer. So I can't tell you which one will emerge or which once will emerge, but that's the trust of the program on solid tumors. And then we have a program on liquid tumors, leukemias, and lymphomas, which is a parallel program that also will emerge in the clinic hopefully as early as possible in 2024, but we think by the end of 2024 we'll have two cancer programs in the clinic.

Thank you. And the other thing on your diagnostics business, I know you mentioned some of the cost-cutting steps in your prepared remarks. And I'm sorry if I missed it, but could you highlight some of the other growth initiatives that you have planned for that business unit? I know you've mentioned a few, but is there any important ones that you'd like to know?

So basically we're doing a full review of the business and its mechanisms. So in addition to cost reduction, we're also looking at revenue improvements on the business we have. So that's the Revenue Cycle Management Initiative. And that actually is quite promising because it turns out that if you look at the way we were capturing revenues, we had quite a significant loss in terms of billables due to incomplete CPT codes, ICD-10 codes, and preauthorization, which is a common strategy that payers are using. So we put countermeasures to that, and it's paying off. In addition, the company never really focused on point-of-care collections like copay. And if you look at the number of accessions we do, just capturing a few dollars makes a huge difference. So that's, if you will, on wide-sizing the spend versus collections that we make, okay? The second major thrust is obviously growth. When you look at growth, we've grown in oncology, we've grown in women's health, and we continue to focus on these specialty services The one that's emerging, and we make some announcements, I hope, over the next few weeks, is large systems that really are facing very difficult margins. And we, for example, manage now the Westchester Medical Center laboratories and capture an increasing share of the outreach business with that. And we are essentially increasing the funnel We increased our sales force in that category from one, two salespeople before to five, six today. And we're focusing on the regional approach because, as you probably know, the situation of hospitals and the need for laboratory management, outreach services, reference is very different from region to region. And so we are definitely looking at growth in the specialty businesses and the health systems and that's ongoing. And we started a new line of potential revenue which is the pharmaceutical business given the fact that we have a laboratory which can do actually biomarker research as well as data that is very valuable to pharmaceutical biotech companies. We're exploring that obviously. I cannot quantify it at this point but it's certainly a promising line, based on my knowledge of having been a head of R&D in a major pharma company, I know that there is a huge need for that, of having a reliable laboratory that supports clinical trials and development as well as research. So those are the multiple lines of activities we're pursuing on a large front, and I would say so far, so good.

Excellent. Thank you, and congrats again.

Our next question comes from Edward Tenhoff from Piper Sandler. Please go ahead.

Great. Thank you very much, and my congratulations on, again, the approval. Very exciting. And I know it's been a long, long path coming, so that's great to see. My question, actually, I just had a real quick housekeeping one. Adam, I missed what you said. I think it was about R&D, maybe 24 to what was the top end of the guidance?

It's 21 to 24. 21 to 24. Not bad.

Awesome. And then also just a quick accounting question. I don't believe so from the guidance that you mentioned, but the $90 million milestone won't be recognized in the P&L in any way. It's really just going to go straight to the balance sheet.

Is that correct? It was in the P&L in Q2, and so we have a receivable recorded for it. We'll get the cash.

Oh, cool. I didn't see that yet. Awesome. Great. Very exciting, and looking forward to seeing growth from that product and also great progress from the MODX work. So thank you. Thanks, Seth.

Our next question comes from Michael Petusky from Barrington Research. Please go ahead.

So, Adam, and I may have missed this if you reminded people earlier, but what's the cost takeout so far at BRL to this point?

Yeah, so far this year, it's, you know, we had set a target of about $40 million, and we're about at the halfway point for that, probably a little bit ahead. Elias, I don't know if you have the specific number, but I know as Last week we tracked that it was just beyond the halfway point there with more to go throughout the rest of the year.

That is correct. And remember, we took out $100 million before that. Okay.

All right. So given that, you know, and I just flipped through the queue, I mean, it looks like you lost $44 million at the operating line in that business. which was actually sequentially worse than Q1. And it just feels like you're nowhere close to being, you know, sort of on track to get to break even in that business by year end. Can you sort of bridge? And I'm hearing the growth programs and the continuing expense reductions, but, like, where does that – how does that happen? Thanks.

Well, I think that maybe Adam could tell you some of the numbers in Q2 have one-time expenses due to reduction in people. And, you know, with the WARN Act, you have to have one-time costs accounted at the time you do that. So the figure that you're mentioning is a little bit inflated because of these one-time costs. actions that we took to reduce costs, which are costly in themselves. But it's a one-time item. So if you really correct for that, you'll see that the progress is much greater than that. And then when you look at the Q3, Q4, and Q124, because I can't tell you where we will land, we basically have to achieve 10 to 12 million gap closing between the revenue line and the expense line and we think we can reach that we both from the reduction of costs which we have clear line of sight one needed what we need to do plus increasing capture of revenues of the existing business as we speak and the third is obviously the growth the profitable growth that we are trying to not only grow, but also refine and direct towards higher contribution margins business lines.

Yeah, so I'll just add in, Mike, if you don't mind. So, you know, there's a couple of additional things to think about. So Ellie has talked about some of the revenue cycle management initiatives that are going on at Bower Reference, and And those are, of course, dropped straight to the bottom line, so there's not a significant cost takeout associated with those. So as we make good progress on those, we've initiated a significant number of the programs in the first half of the year and expect to start to realize the benefits from that as the year continues to progress. The early days, as Elias mentioned, have shown promise. So assuming we continue to execute there, that's one area. You know, the volume growth that we're targeting to also bring us in line is needed. You know as well as I do that file reference in any lab business is very, very fixed cost in nature, and you've got to bring volumes in to absorb those fixed costs. So, you know, the incremental contribution for an additional dollar of of revenue is it absorbs, you know, 80 or so cents is absorbed into the fixed cost structure and the only 20% variable cost. So, meaningful contributions from the growth initiative that Elias walked through earlier. And then finally, you know, the benefit is that we also talked about the non-recurring cost that occurred during the second quarter and really in the first half of the year as we right-sized the organization. We're going to see those benefits as we continue on a monthly basis throughout the remainder of the year.

Could I just ask you, so on sort of that one-time non-recurring stuff, I mean, if you were to give yourselves full credit for that, is the 44 really something closer to 30 or 35, or like the loss at the operating line? I mean, what magnitude are we talking about in terms of non-recurring?

During the second quarter, we didn't get the benefits from the non-recurring costs because most of them came late in the second quarter. But it's in the magnitude of about $8 million on a gross basis.

So that takes you down to 36. Let me ask this question. What level of revenue do you have to be at based on what you think you take out in terms of costs and the benefits of revenue cycle management? What level of revenue do you have to be at at the end of this year, early next year in that business to sort of be break-even? What's the top-line growth assumption that gets you there?

Yeah, so it comes, again, it's not just volume, Mike. So volume growth has got to come. but the dollars associated with the growth is probably more important to get us to break even. So it's going to depend on how successful we are on each of those programs. You know, we would sit back and say if we can achieve our guidance that we've provided, the top end of our guidance that we've provided in this quarter and continue to see that level of growth, it'll get us to break even, as Elias mentioned, you know, late fourth quarter, early first quarter.

have to be sort of a $600 million annual run rate?

That's right.

Okay. All right. Thank you so much. That's helpful. I really appreciate it. Thanks.

Our next question comes from Yale Jen from Lay Law & Company. Please go ahead.

Good afternoon, and thanks for taking the questions. And I apologize I came in late, so if some of the questions have been answered, I apologize for re-asking that. So my first question is in terms of in general, in terms of the revenue going forward, when you guys may be able to start to break it to a separate line in reporting from the P&L?

Yeah, so, Yali, thanks for the question. Again, once it becomes material, we're going to start talking about it. It's in the $5 million to $10 million guide that we had for our other revenue lines, so it's included in there so you can get the scale. We think, you know, with Pfizer's launch coming in the next couple of weeks, you know, it could be as early as next quarter that we start breaking it out. But at this point, we haven't.

Okay, great. And maybe just one more question here in terms of a modem. The collaboration with Merck for the vaccine, could you give us a little bit update in terms where things are and is there any projections as to when this might start the human studies and the things?

Thank you. So with Merck, we're working very well and collaborating I would say in a very effective way. As you know, we received an upfront payment and Merck covers the cost of our current work, which is designed to bring the product to an IND together. There are some unknowns that relate to the choice of adjuvant for the vaccine that we need to test out. Those can be short or can be, you know, six months. I don't know. That's the unknown. But clearly, if you look at the natural evolution of such a program, we should be in the clinic by next year, for sure, in my mind. But this is, you know, plus minus six months or plus minus three months, depending on how things are going, but it's going well. So that's what we're hoping for, to get into the clinic as soon as we can.

Okay, great. Well, appreciate it and again, congrats on the progress and look forward to speaking with you guys soon.

This concludes our question and answer session. I would like to turn the conference back over to Dr. Philip Frost for any closing remarks.

Well, I'd like to thank you all for attending the conference and we look forward to meeting with you again at the end of next quarter. Thank you all again. Thank you.

The conference has now concluded. Thank you for attending today's presentation. You may now disconnect.