5/12/2025

speaker
Operator
Conference Operator

Welcome everyone to the first quarter 2025 Regenexx Bio earnings conference call. At this time all participants are in a listen only mode. After the speakers prepared remarks we will conduct a question and answer session. To ask a question please press star 1 1. To remove yourself from the queue please press star 1 1 again. As a reminder this call may be recorded. At this time I would like to turn the conference over to Patrick Christmas, Chief Legal Officer of Regenexx Bio. Please go ahead.

speaker
Patrick Christmas
Chief Legal Officer, Regenexx Bio

Good afternoon and thank you for joining us today. Earlier this afternoon Regenexx Bio released financial and operating results for the first quarter and it March 31st 2025. The press release is available on our website at .regenexbio.com. Today's conference call will include forward looking statements regarding our financial outlook in addition to regulatory and product development plans. These forward looking statements are subject to risks and uncertainties that may cause actual results to differ from those forecasted and can be identified by words such as expect, plan, will, may, anticipate, believe, should, intend and other words of similar meaning. Any such forward looking statements are not guarantees of future performance and involve certain risks and uncertainties. These risks are described in the risk factors in the management discussion and analysis section of Regenexx Bio's annual report on form 10K for the full year ended December 31st, 2024 and comparable risk factors sections of Regenexx Bio's quarterly reports on form 10Q which are on file with the Securities and Exchange Commission and available on the SEC's website. Any information we provide on this conference call is provided only as of the date of this call May 12th, 2025 and we undertake no obligations to update any forward looking statements we may make on this call on account of new information and future events otherwise. Please be advised that today's call is being recorded and webcast. In addition, any unauthenticated or pro-forma financial information that may be provided is preliminary and does not purport to reject financial positions or operating results of the company. Actual results may differ materially. I'll now turn the call to Curran Simpson, President and CEO of Regenexx Bio. Curran?

speaker
Curran Simpson
President and CEO, Regenexx Bio

Thank you, Patrick, and thank you everyone for joining us today. We've had an impressive start to the year at Regenexx Bio and are in store for an exciting remainder of 2025. Today you will hear about our strong late stage clinical progress which sets us up to potentially bring multiple first or best in class gene therapies to patients over the coming years. We will also discuss other key elements that we believe position us to successfully transition to commercial stage, including our U.S. based in-house commercial ready manufacturing and broad potential to secure non-dilutive funds. With me on today's call are Dr. Steve Picola, our Chief Medical Officer, and Mitch Chan, our Chief Financial Officer. I'll start with a review of recent business highlights, then turn it over to Steve and Mitch for clinical and financial updates. Then I'll have a few closing remarks before opening the call for Q&A. Starting with our most advanced program, RGX121 or Chlamyzzogine Lemparvovac, the potential first gene therapy and one-time treatment for MPS2 or Hunter syndrome, a devastating disease that affects approximately 2,000 patients worldwide. Any day now we expect the FDA acceptance of the BLA, which we submitted under the accelerated approval pathway in March 2025. RGX121 remains on track for potential FDA approval in the second half of this year. Earlier this year we established a key strategic partnership with Nippon Shinjuku to commercialize our neurodegenerative franchise, including RGX121 and RGX111 for severe MPS1, and commercial preparations are progressing well. Together with Nippon, our goal is to deliver RGX121 to patients beginning in the first half of 2026. Accelerating quickly, right behind RGX121 is RGX202, our next generation candidate for Duchenne muscular dystrophy. I am pleased to report that our pivotal study continues advancing rapidly. We have surpassed 50% enrollment for our pivotal data set. We're seeing increased interest and enthusiasm from the patient community about RGX202 and its differentiated profile, and we remain on track to submit a BLA in mid-2026 and seize our unique second to market or fast follower opportunity in Duchenne. Positive input from our growing investigator community supports our belief that RGX2 has the potential to be a preferred and differentiated treatment option. It's important to keep in mind that, one, RGX202 is the only investigational next generation DMD gene therapy in pivotal study, and the only investigational therapy with both robust microdystrophin and functional data available. Two, RGX202 has the potential to be approved for patients aged one to three who currently have no access to gene therapy. And last, DMD represents a large addressable market with over half of the prevalent DMD population projected to remain untreated as of 2027, the expected year of RGX202's commercial launch. Given our strong and rapid clinical progress, conviction in our differentiated profile, and in recognition of the ongoing unmet need, we will begin producing RGX202 commercial supply at our manufacturing innovation center here in Rockville, Maryland in the third quarter of this year. With full clinical and planned confirmatory supply already in hand, we will build commercial inventory to be prepared for a smooth launch and meet patient needs immediately upon the approval of RGX202. As a reminder, our manufacturing innovation center is a state of the art integrated GMP facility that can produce up to 2500 doses of RGX202 annually, enough to treat approximately one fifth of the estimated North American DMD population, all while delivering industry leading purity levels in Duchenne with over 80% full capsules. We look forward to sharing additional Phase I-II functional data for RGX202 in the first half of this year as we aggressively advance towards commercialization. Moving to our retinal programs, we continue to work closely with our partner, ABV, to 314 is advancing in two pivotal studies for subretinal wet AMD, one Phase II study for suprachroidal wet AMD, and preparations for a pivotal program are underway in diabetic retinopathy or DR using suprachroidal delivery. We remain on track to be the first gene therapy on the market for wet AMD with a product that compelling durability and strong patient interest. Both wet AMD and DR represent large, multi-billion dollar commercial opportunities, and we believe 314 has the potential to preserve vision and serve as a meaningful alternative to today's standard of care. In summary, we remain excited for and are well positioned to deliver on the opportunities ahead of us. With that, I would like to now turn the call over to Steve for an update on our clinical program. Steve?

speaker
Dr. Steve Picola
Chief Medical Officer, Regenexx Bio

Thank you, Curran. I'll start with RGX202, a potential one-time gene therapy for the treatment of Duchenne. RGX202 uses the NAV-AVA vector and is the only microdystrophin construct to include the C-terminal domain, a key element of naturally occurring dystrophin critical to protecting muscle from contraction-induced damage. This novel construct, combined with the highest purity levels in the field, make 202 a potential -in-class gene therapy for Duchenne. As Curran mentioned, I'm pleased to share that today we announced the pivotal phase of the Affinity Duchenne trial is beyond 50% enroll. Our accumulating Phase 1-2 results are showing impressive evidence of differentiation on safety, biomarkers, and functional outcomes. This is driving increased excitement throughout the Duchenne community, giving us further confidence as we move toward our target of completing pivotal enrollment in the second half of this year. This trial is enrolling ambulatory patients aged 1 and above, generating data where limited results exist for Duchenne gene therapy. Based on the clinical profile and in partnership with our investigators, we expanded the inclusion criteria to a broader range of exon mutations. Additional trial sites continue opening in the U.S. and Canada, and we are making great strides in our pivotal strategy to enroll across a wider age range with an aim to secure a broad label supported by a clear and robust product profile. In November, we reported positive safety and efficacy data from the Phase 1-2 study, including positive functional outcomes from the first five participants at 9 and 12 months. These results presented last November showed 202 recipients exceeded external and natural history control and established benchmarks for clinical outcomes. Specifically, we observed functional improvements in all five evaluated patients, including those at Dose Level 2, consistent robust expression, transduction, and localization of our differentiated 202 microdistributin in muscle with all participants above 10% expression. We have also seen a favorable safety profile with no serious adverse events or AEs of special interest. Building on this data in March at the 2025 MDA Conference, we presented new biomarker data from two patients, including the first data from our cohort of patients under four years of age. This patient, age 3 at dosing, had a microdistributin expression level of 122% of control. Patients aged 1 to 3 represent a significant portion of the prevalence Duchenne population, yet this group has no access to approved gene therapy. Overall the Phase 1-2 data show consistent microdistributin expression in all 12 patients spanning all age groups, functional improvements, and evidence of altering the trajectory of disease and a favorable safety profile. As the program advances, we expect an increased focus on the Dose Level 2 cohort as these patients receive the commercial dose level. We look forward to sharing additional data from the Phase 1-2 study in the first half of this year. Now on to our retina franchise, 314, which is being developed in collaboration with AbbVie to treat wet AMD and diabetic retinopathy, or DR. I'll start with 314 for DR being evaluated in the Phase 2 Altitude trial using in-office suprachoroidal delivery. Like wet AMD, DR is a progressive disease that causes vision loss and ultimately blindness if not treated appropriately. As we've shared, we completed our end of Phase 2 meeting with the FDA in the fourth quarter of last year and are actively working with AbbVie on plans for our Phase 3 clinical program that would support global regulatory piloting. We look forward to sharing more on that program as preparations progress. In wet AMD, we are evaluating 314 via two different delivery forms, subretinal and suprachoroidal. Within subretinal, we have two ongoing pivotal trials, atmosphere and ascent, in the US, Europe and Japan. These trials continue to progress well. As we've announced in January, enrollment of both pivotal trials is expected to complete this year and we expect to share top-line data in 2026. 314 is on track to be the first gene therapy on the market for wet AMD and is poised to deliver a compelling product profile based on the impressive safety and durability seen in our Phase 1-2A trial. In this trial, 314 achieved meaningful reduction in treatment burden and sustained treatment effect through four years. Overall, we remain encouraged by the ongoing progress with 314. I'd like to particularly highlight the differentiated safety profile observed in our in-office suprachoroidal program. This is particularly notable in the setting of short course, seven-week prophyloxy steroid eye drops, a significantly shorter regimen than those used in other gene therapy trials. This continues to support the potential of 314 as a meaningful treatment option for patients and physicians. Finally, turning to our MPS program, it's an incredibly exciting time for RegeneX file in the Hunter Syndrome community with the recent submission of our VLA for RGX121. This filing is supported by data from the campsite trial, which met its primary pivotal with high statistical significance. In addition, we previously reported that 80% of pivotal dose patients either discontinued enzyme replacement therapy or remain treatment-aided, along with evidence of neurodevelopment improvement sustained through four years post-dosing. 121 represents a potential significant advancement, not only improving patient outcomes, but also improving the daily lives of patients and families. As a one-time gene therapy, 121 has the potential to achieve these benefits while also reducing the treatment burden and the significant amount of time families spend getting weekly enzyme replacement therapy. We look forward to an anticipated FDA approval decision in the second half of 2025. To conclude, we are making significant progress with data updates and trial progression across all programs in our pipeline. I'd like to thank all of the patients, families, clinicians, and patient advocacy representatives who have been involved in and supported all of these trials. With that, I'll turn the call over to Mitch to review our financial guidance.

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

Mitch? Thank you, Steve.

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

Regenexx

speaker
Dr. Steve Picola
Chief Medical Officer, Regenexx Bio

file ended

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

the quarter on March 31, 2025 with cash equivalent and marketable securities of $272 million, compared to $245 million as of December 31, 2024. The increase was primarily driven by the $110 million upfront payment received under the NAPONS-CINDACTO collaboration and was partially offset by cash used to fund operating activities during the first quarter of 2025. R&D expenses were $53 million for the quarter ended March 31, 2025, compared to $54.8 million for the quarter ended March 31, 2024. The decrease was primarily due to clinical trial expenses for RGX 314 and RGX 202. We expect the balancing cash, cash equivalent, and marketable securities of $272 million as of March 31, 2025 to fund our operations into the second half of 2026. This cash runway guidance is based on the company's current operational plans and excludes the impact of any future potential relative income associated with RGX 121. If we include additional non-deluted financing, we expect the cash runway to potentially extend well beyond 2026. For instance, some examples of our non-deluted financing options include development and sales milestones, reversion of our relative income, and the potential sale of our priority review voucher for RGX 121, if approved, which has recently sold for at least $150 million. Collectively, we have many non-deluted financing optionalities that could extend our cash runway well beyond the second half of 2026. With that, I turn the call back to Curran to provide final thoughts.

speaker
Curran Simpson
President and CEO, Regenexx Bio

Thanks, Mitch. As you heard today, there's tremendous momentum and strong execution across our pipeline to advance our programs towards key milestones. To recap, we have submitted our first PLA and our partnership with Nipah and Shinjaku for our MPS programs is off to a strong start. We look forward to a potential FDA approval of RGX 121 this year. The pivotal study of RGX 202 is moving rapidly and we believe remains well positioned to potentially serve as the next and preferred gene therapy in Duchenne. We are planning for success and will initiate commercial supply manufacturing in the coming months in anticipation of a 2027 commercial launch. We also plan to share updated functional data in the first half of this year. And with enrollment more than halfway through, we expect to complete enrollment of the pivotal study this year and share top line data in the first half of 2026. Our partnership with AVI is advancing towards multiple large global commercial opportunities. We expect to complete enrollment of two global pivotal trials for subretinal wet AMD and are working with AVI on a pivotal study in diabetic retinopathy in 2025. As we lead the way in AAV gene therapy, our team is looking forward to presenting at ASGCT this week. Our presentations in New Orleans highlight our in-house -to-end capabilities and deep translational expertise. Presentations will include preclinical research supporting the novel construct of RGX 202, including the C-terminal domain, capsid discovery research, and the RGX 202 manufacturing process development enabling industry-leading purity levels in Duchenne gene therapy. We are in a very unique position in our industry. Each of our assets represent one-time treatments with the potential to transform the trajectory and management of disease for patients in need of new and better options and are demonstrating beneficial differentiation against standard of care and available treatments. And we have a balance sheet that enables us to better navigate the current macro environment and execute against our near-term and exciting milestones. With that, thanks everyone for your time today. I'll turn the call over for questions. Operator?

speaker
Operator
Conference Operator

Thank you. As a reminder, to ask a question, please press star 11. If your question has been answered and you'd like to remove yourself from the queue, please press star 11 again. Our first question comes from Manny Farrour with Learing Partners. Your line is open.

speaker
Manny Farrour
Analyst, Learing Partners

Hey guys, thanks for taking the call. I've got two quick ones. I think first is around timing for the Hunter BLA. You mentioned this month I had a couple of people who've reached out around timing and I admit to doing this math myself. With 60 days, March out from March 13th should be right around now. Is that math too close or are we thinking about it wrong? I think there's a little bit of sensitivity around any hypothetical FDA delay or is it just we're not taking into account federal holidays? And then I have a follow-up.

speaker
Curran Simpson
President and CEO, Regenexx Bio

Hi, Manny. Thanks for the call and the question. Yeah, we're certainly pointing towards imminent in terms of timing around the BLA acceptance. I think we feel really good about where the review stands. We've been getting regular interactions, a few areas, the information requests that normally come in as part of the review. Also, we do orientation meetings early on regarding the submission and the BLA contents. All of that is pretty much business normal. We haven't gotten any questions that would lead us to believe otherwise. I think you'll expect to hear from us soon about hopefully an acceptance.

speaker
Manny Farrour
Analyst, Learing Partners

Great. Moving on, I have a little more substantive. Obviously, you and others have watched closely as your competitor, Sarepta, has had some stumbles both commercially and from a regulatory perspective and there have been changes at the helm of CBER which have driven a lot of debate around the space. I'm not the first or the second or one thousandth to ask that question. How do you think about the bar for approvability in DMV on an accelerated basis? Expectations around biomarker data versus functional data, where is that conversation and how does it evolve with the additional input of what we've seen from Sarepta as well as any potential changes at the helm of CBER?

speaker
Curran Simpson
President and CEO, Regenexx Bio

Yeah, thanks. I think from the very beginning on the program, we've pointed towards accelerated approval pathway. Those were discussions we had with FDA in our end of phase two meeting which were very positive and productive. Our intention from the beginning has been to provide functional corollary, if you will, to microdystrophin as part of the filing and review process. And so, we feel really good about our data, the strength of the data in terms of safety profile and initial functional data that we provided. We really look forward to additional functional updates first half of this year to continue that story. And I think we've seen nothing but continued and maybe increased opportunity for us given the benefit to risk ratio we think we're developing and the existence of what we think will be a very sizable, prevalent market upon potential approval in 2027. So I think our conviction and our opportunity only continues to increase as the program evolves. And I think in terms of how FDA would view that, I think certainly Dr. McCary provided good context on rare disease development and the support for programs like ours where I think we can provide benefit to patients.

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

Great. Thanks for that clarity, guys.

speaker
Curran Simpson
President and CEO, Regenexx Bio

Thanks.

speaker
Operator
Conference Operator

Thank you. Our next question comes from Gina Wang with Barclays. Your line is open.

speaker
Gina Wang
Analyst, Barclays

Thank you for taking my questions. I will follow Manny's questions. I will also ask a few more. So giving reason, I love this safety event. So I will ask a very specific question. It's like, do you expect any changes from the FDA regarding requirement of the safety profiles? And also for your pivotal study, any changes in terms of enrollment speed and the patient type? My second question, lastly, after a recent appointment of a new C-Bar director, do you expect any changes on your accelerated approval path that was previously aligned with the FDA?

speaker
Curran Simpson
President and CEO, Regenexx Bio

I think I'll take the last one. I think it's very early to project any potential changes in accelerated approval, but we certainly don't see any signs of that to date. Our program in terms of enrollment is absolutely on track with how we projected it. We feel highly confident that we will enroll the study this year, the pivotal study of N equals 30. We'll continue to do enrollment throughout the remainder of the year as well to support our confirmatory study as well. And I think from the beginning of the program, I've been pointing towards during the time of submission and review, having substantial functional data to accompany that. So I think I don't see anything emerging in some of the dialogue that we've heard from FDA that's contrary to that approach. So I think our plan is unaltered at this point regarding that. I do think that the strong functional data we reported in November coupled with the safety profile to date that we've been able to portray in our earnings and press releases really points towards potential improvement in benefit to risk for Duchenne patients. And we think that will be something that will be interesting to the review team as we complete our filing next year. I do think that this points towards our immune suppression regimen, which is, I think, innovative in the sense of proactively addressing known SAE types for Duchenne patients treated with high dose AAV. I think looking at that approach today is directly in line with potentially better outcomes for patients is what we've seen so far in terms of not just the experience during treatment, but then the post-treatment monitoring. And maybe I'll let Steve elaborate a bit on that from the clinical perspective.

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

Hi, Gina. Thanks

speaker
Dr. Steve Picola
Chief Medical Officer, Regenexx Bio

for the question. It's certainly an area of high interest in the Duchenne community given the recent death, unfortunately, with the elevitas program. I'd say the overarching aspect is that I think you've heard and seen and we certainly have seen this both at MDA and in our subsequent -on-one discussions is this just brightens the spotlight on safety. So I think even before this event, safety is king. And I think that's why a lot of the points that Curran mentioned are only giving greater comfort to our investigators and the patient families that they speak to about the differentiated aspects of our program. So I think this is why we designed the construct that we did. This is why over the years we've advanced and we're very proud of our high purity level with the highest full to empty capsid ratio in the field and also the robust immune modulation regimen that Curran mentioned. So I think those factors are giving us and the community comfort and that's why we're absolutely on track

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

with our recruitment.

speaker
Unknown
Unknown

Thank you.

speaker
Curran Simpson
President and CEO, Regenexx Bio

I think I'd also point to the imminent review and outcome of the hopeful acceptance of the 121 program. I think that'll be sort of an early data point on accelerated approval. As you know, the Hunter program is following an accelerated approval pathway. In that case, we had a pre-BLA meeting that was also supportive for that program. So assuming that we conclude with an acceptance of that BLA in the near term, I think that'll be a first data point to support that that pathway is still viable and an active process in FDA.

speaker
Operator
Conference Operator

Thank you. Our next question comes from Judah Frommer with Moran. Thanks, Steve. Your line is open.

speaker
Judah Frommer
Analyst, Moran

Yeah. Hi, guys. Congrats on the progress. Thanks for taking the questions. First, I was hoping we could get a little incremental color on the planning process along with the for the diabetic retinopathy phase three trial, any updated thinking on timing or potential impacts to probability of recognizing that milestone and then separately, just more broadly on interactions with FDA given how many programs you have that you are interacting with them on. Any changes recently you'd point to or is it sort of business as usual and contact with the same individuals as you'd anticipate? Thank you.

speaker
Curran Simpson
President and CEO, Regenexx Bio

Thanks. Yeah, I think I can probably comment on the second question first, which is we are actually having a pretty significant number of interactions with FDA both on submissions that have already been filed and information requests that are being provided. The only way I can really characterize it right now is that it is very much business normal. So without getting into detail on the type or the details of information requests, none of them are questioning the broader strategy of the program or the clinical data that was provided. It is more customary questions about the CMC process, etc. I think I would characterize it as business normal. The review teams seem to be quite intact in terms of good continuity with the teams that we met with last year. And like I said, with the HUNTER program, we are going to have a very near-term outcome in terms of BLA acceptance, we hope, which will confirm that we are on track for a late fall potential approval. On DR, we are continuing to collect the final feedback that as we pointed to early in the year, Abby and we have obtained feedback from US, EU, Japan, regulatory agencies. As you know, in DR, there are choices to be made in terms of endpoints that have already been established, two steps worsening, two steps improvement. So all of those are being considered as part of developing a final pivotal protocol. And once that is complete, we will begin site activation, etc. We are still pointing towards first patient dose this year. And we will be more specific on timing as

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

we

speaker
Curran Simpson
President and CEO, Regenexx Bio

get near

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

that event.

speaker
Unknown
Unknown

Thank you. Our

speaker
Operator
Conference Operator

next question comes from Ellie Merle with UBS. Your line is open.

speaker
Tejas
Representative for Ellie Merle (UBS)

Hi, guys. This is Tejas on for Ellie. I guess just some of the incremental updates we can expect this year in DMD. So you mentioned some additional functional data in 1H. Am I correct in assuming that's not at ASGCT? And then is there an arena you'd expect to present that at or should we expect a press release of that data? And then you also mentioned starting commercial supply manufacturing later this year. You know, it's supply, but is it the same process that you're using in your current trials? And will you be able to provide any color on the CMC process with the FDA or any other meetings you might have on the statistical plan throughout the year? Thank you.

speaker
Curran Simpson
President and CEO, Regenexx Bio

Sure. So let me start with the CMC process. So yes, we did point to initiation of commercial production this year. So that's a combined effort. Number one, the batches that are produced as part of our first commercial production are also batches that will be submitted as part of the plan mid-26 BLA. And the process that will be validated as part of that exercise is the exact same process that's in the clinic today. So no changes anticipated to what patients are being dosed currently in our pivotal program as we move to our commercial process. And as we pointed out, we have a quite mature CMC approach off our platform, NavExpress process, which we think FDA will really regard highly. In fact, it's the same process that they've reviewed in other programs and actually toured on site as part of FDA training in the last couple of years. We feel really strongly that we have a very low-risk approach to CMC with a process that produces very high-purity capsid, which FDA has been clear as an expectation, and not any significant changes required to get to commercial, in which we can produce 2,500 doses per year. Back to the first question. In terms of data, so we expect, so there's only, I think, six weeks left in first half 25. I think you could expect likely a press release around the additional data. And the focus of the data will really be on expanding the dose level two patients that were treated in the phase one two study out to 12 months. A larger number of patients out that far and showing all the same functional outcomes that we did in November. So just trying to enlarge the data set there and as well update on any biomarker data that may have come in recently. But it really will be focusing on the pivotal level dose and how those patients are doing. And I think just in general, the feedback we're getting from sites and from investigators is really positive right now.

speaker
Tejas
Representative for Ellie Merle (UBS)

Thanks. And just quickly, those pivotal, those patients in the phase one two will be included in the pivotal data set for filing in mid-26, correct?

speaker
Curran Simpson
President and CEO, Regenexx Bio

Yeah. All patients that qualify for the inclusion criteria of the pivotal program would be included in the pivotal data set. Thanks.

speaker
Operator
Conference Operator

Thank you. Our next question comes from Annabel Samimi with Stiefel. Your line is open.

speaker
Annabel Samimi
Analyst, Stiefel

Hi. Thanks for taking my question. Just to go back to regulatory bodies and changes there. Just given the FDA's focus on safety with gene therapy, I guess we've been talking a lot about the rare conditions and how the carrier is very focused on the rare diseases and life threatening conditions. Does that make it potentially harder for gene therapy and non-life threatening conditions like retinal disease, for example? And are there any issues related to that for the DR indication? Any delays there? And then one last question regarding regulatory bodies. RFK Jr. just asked the HHS committee on genetic screening. So can you tell us how this might affect not MPS but rather DMD in trying to get into the younger population and whether there are any complications there? Thanks.

speaker
Curran Simpson
President and CEO, Regenexx Bio

Sure. I can take the second one. But I think maybe first I'll let Steve comment on whether or not we're seeing any change in FDA stance regarding retinal programs. But I think what I would convey before Steve speaks is I think we know that safety in non-rare is an absolute focus. And I think that's probably the incredible promise of the subretinal program, the safety profile in the data that we've seen today looks excellent. Maybe I'll let Steve elaborate on that a little bit.

speaker
Dr. Steve Picola
Chief Medical Officer, Regenexx Bio

Sure. Hi, Annabel. So on retina, I think another broad aspect is that's not an accelerated approval pathway. So there's not a request for greater flexibility. So fortunately there we know the regulatory route and we're already executing on that, for example, in subretinal. And we have a to do the same in supercoroidal. On the safety side, just as Kern mentioned, we feel very good about the safety package that we'll have for subretinal and supercoroidal. And that's because we've intentionally selected routes of administration for 314 that are compartmentalized and that decrease the risk of the types of safety findings, specifically inflammation, that have really hounded other routes of administration like intrabitrials. So we feel very well set up not only in our rare programs, but also in the common retina indications that we're looking

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

at when it comes to safety.

speaker
Curran Simpson
President and CEO, Regenexx Bio

And

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

Annabel,

speaker
Curran Simpson
President and CEO, Regenexx Bio

to come back to the question on genetic screening, newborn screening, we're working closely with the MPS Society and with Duchenne advocacy groups on newborn screening. And their approach largely is at a state level to advance and increase the number of states that provide that. So I think it would be ideal if all entities were working together in concert on that, but that doesn't mean that if one group is not supporting it, the others won't be able to fill that gap and move forward. So we see that as a priority in rare disease and it's something we'll work with the advocacy groups to support.

speaker
Annabel Samimi
Analyst, Stiefel

Okay, and if I can just ask one quick follow-up to be clear on the last question about ASGCT, you will not be presenting functional data there, correct? I understood it to be a PR within the next six weeks?

speaker
Curran Simpson
President and CEO, Regenexx Bio

Yes, it will not be at ASGCT, so no need to book your flight. We'll definitely likely provide that as a press release in the near term.

speaker
Annabel Samimi
Analyst, Stiefel

Great, thank you.

speaker
Operator
Conference Operator

Thank you. Our next question comes from Alex Stranahan with Bank of America. Your line is open.

speaker
Matthew
Representative for Alex Stranahan (Bank of America)

Hey guys, thanks for taking our questions. This is Matthew on for Alex. Maybe just double clicking on a previous point, has there been any change in baseline characteristics, patient age, etc. that you've seen for the DMT trial? And then maybe second, what's the percentage of purity for your PrEPs that you're comfortable with or looking for as you're moving forward with manufacturing?

speaker
Curran Simpson
President and CEO, Regenexx Bio

Yeah, we actually, that is something that will be shown at ASGCT. We have a presentation on the CMC process that I think will give quite a nice level of detail for people to see. We're very proud of it, but the purity level for the product is 80% or greater. And I think just as important, consistency between batches, which we've heard others struggle with, is also highly consistent between batches. So that's what we would point to. In terms of, I think your question was around enrollment of the pivotal study. We're quite pleased so far with not just the pace of enrollment, but the breadth of patient ages that are enrolling in the study to date. So as we look at it today and as we look out towards the remainder of the year, we feel like we will have a very balanced number of patients across the ages to support a broad label. When

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

we file.

speaker
Unknown
Unknown

Thank you. Our next

speaker
Operator
Conference Operator

question comes from Luca Icy with RBC Capital Markets. Your line is open.

speaker
spk12

Oh, great. Hi, team. This is Shelby on for Luca. And thanks for taking the question. Maybe on wet AMD subretinal, you have shown recently that the fellow eye can be treated safely, confirming that the eye is somewhat immune privileged. Are you planning on filing that data? And is your initial label going to reflect bilateral dosing? Any color there, much appreciated. Thanks.

speaker
Curran Simpson
President and CEO, Regenexx Bio

Hi, Shelby. Nice to see you. Steve is part of the joint development committee that plans sort of the strategy around the file. Maybe he can comment on that question.

speaker
Dr. Steve Picola
Chief Medical Officer, Regenexx Bio

Sure. Hi, Shelby. Great question. This is actually something that we prospectively addressed even as early as our end of phase two meeting because it's very relevant in wet AMD where most patients do have bilateral disease. So it would be very advantageous if both eyes ultimately could be treated. And we, again, always saw that our safer routes of administration where you would expect less immune response would be more amenable to being able to treat both eyes. And that's why we prospectively addressed this explicitly with the FDA. And that's what led to our fellow eye study. And as you mentioned, we're seeing that we're in a good position as far as fellow eye. So yes, I confirm that that's certainly our intent, that this is certainly part of any package that would go in that would inform clinicians on being able to treat both

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Unknown
Unknown

eyes.

speaker
Operator
Conference Operator

Thank

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Unknown
Unknown

you.

speaker
Operator
Conference Operator

Our next question comes from Paul Choi with Goldman Sachs. Your line is open.

speaker
Paul Choi
Analyst, Goldman Sachs

Hi. Thank you. Good afternoon and thanks for taking our questions. I would ask first on RGX121 at Hunter's with the imminent expectations of an imminent acceptance of your BLA. I just want to see if you're also potentially assuming an adcom given that this could potentially be the first approved gene therapy for the condition. And then second, regarding the RGX202 Duchenne Phase 1, Phase 1-2 functional data update that you referenced earlier, can you maybe just comment on, again, how many patients we expect to follow up for and how current the data cut might potentially be for that functional update that's coming up soon? Thank you.

speaker
Curran Simpson
President and CEO, Regenexx Bio

Sure. Yeah, I can comment on the first question around adcom. We are planning as if we need an adcom from an internal perspective. We have a team working on being ready for that should it be requested. We don't have a final answer from FDA as to whether one is required yet. Initial discussions we're hinting towards no, but we're waiting to get confirmation one way or another through the review process. But we will be prepared if one is needed ahead of time. For 202, in terms of

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

just coming back to...

speaker
Curran Simpson
President and CEO, Regenexx Bio

Oh, I'm sorry. Yeah, about the next upcoming functional release. So we are planning on enlarging the data set to four, possibly five patients dosed at DL2 as part of the functional update. Not all of them may be out to 12 months, but minimally they would be out to nine months. And so that's still something that we're pulling together, QC-ing the data and looking forward to getting out before the first half of the year.

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

Okay, great. Thank you for that.

speaker
Operator
Conference Operator

Thank you. Our next question comes from Brian Scorny with Baird. Your line is open.

speaker
Luke
Representative for Brian Scorny (Baird)

This is Luke on for Brian. Thanks for the question. Sorry if this was already asked, but on the 202 commercial build out, has the team set a goal for the quantity of product that you expect to be available by the time of a potential launch?

speaker
Curran Simpson
President and CEO, Regenexx Bio

It's a great question. We're actually going through that process of review now as we evaluate our commercial strategy in total. I would just remind you that in the course of one year, we can produce 2,500 doses. And so we'll come to a point as we get closer to review of the VLA to talk a little bit more about how many doses we would have at launch. We would certainly want to be in a position to quickly address the prevalent market with a significant number doses. We would estimate the prevalent market could be in the ambulatory side of the market, something in the order of 5,000 to 7,000 patients. And we would want to be prepared to quickly be able to address that market. So we'll get more specific on the number of doses available at launch. But we're in a unique position to be able to build a significant amount of doses in the ambulatory ahead of 2027.

speaker
Luke
Representative for Brian Scorny (Baird)

Great. Thanks. And just one more quick one. On your 314 YAMD studies, has the availability of PEPVLU impacted enrollment pace at all or are these generally unique groups of patients an indication?

speaker
Curran Simpson
President and CEO, Regenexx Bio

Thanks for that one. I think I'll ask Steve, he's a little closer to that particular question.

speaker
Dr. Steve Picola
Chief Medical Officer, Regenexx Bio

Yeah, across different agents that are out there, either on the market or investigational, we over time haven't seen any of that impact our recruitment. So we're at a good clip. So that's why we keep reiterating our guidance. So we're excited to finish enrollment this year, excited to have top line

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

results next year. Awesome. Thank you.

speaker
Unknown
Unknown

Thank you.

speaker
Operator
Conference Operator

Our next question comes from Sean McCutchen with Raymond James. Your line is open.

speaker
Sean McCutchen
Analyst, Raymond James

Hey, guys. Thanks for taking the question. Just to build on wet AMD, can you provide some detail on how you're thinking about the superproidol opportunity? Obviously, we're looking forward to the start of the NPR phase three, but I think we're all curious on the dose necessary to move forward in wet AMD and how you're thinking about that value proposition on the heels of subretinal.

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

Hi, I

speaker
Curran Simpson
President and CEO, Regenexx Bio

think I'll let Steve answer that question.

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

Sure. So this is obviously

speaker
Dr. Steve Picola
Chief Medical Officer, Regenexx Bio

a massive market. So if you look at the retina space driven by the anti-VEGF target mechanism and treatments thereof, we're at 18 billion and continuing to grow. So I think there's a lot of opportunity across the VEGF driven retinopathies. We in AvVee, are advancing, as we were just saying, on the subretinal global program for wet AMD. So we're obviously excited about subretinal delivery for that indication. We do see increased optionality and opportunities with the one time in office superproidol, and that's why we both are advancing that space. I think DR in particular is compelling when you consider the reality that patients with non-proliferative diabetic retinopathy who have not developed the site threatening complications like DME and like proliferative disease, that these patients really are going to need an in-office one time treatment option that even if you have greater durability agents, if you're going to need repeat injections indefinitely for the rest of your life, that's not going to be a very compelling opportunity. So that's why we in AvVee are so excited about the opportunity of a one time in-office treatment to really address that unmet need of

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

DR.

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Unknown
Unknown

Thank

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Unknown
Unknown

you.

speaker
Operator
Conference Operator

Thank you. As a reminder, to ask a question, please press star 11. Our next question comes from Yi Chen with HC Wainwright & Company. Your line is open.

speaker
Eduardo
Representative for Yi Chen (HC Wainwright & Company)

Hi there. Good afternoon. This is Eduardo on for Yi. Just a quick question if you had any thoughts on the recent announcement about this morning, I think the last night about potential pricing on branded drugs. Do you feel like that's going to have a significant impact on your ability to price your gene therapies across these indications?

speaker
Curran Simpson
President and CEO, Regenexx Bio

Yeah, I think it's early to tell. I think if you look at some of the commentary by John Crowley from Bio or the Alliance for Regenerative Medicine, I think that initially the impact to cell and gene therapy in general might be less than could be for broader branded therapies. It's too early to tell. So I think from our perspective, there's no immediate impact to anything that we're doing, but certainly something we have to pay attention to in sort of the macro environment as we get closer to an approval.

speaker
Mitch Chan
Chief Financial Officer, Regenexx Bio

Got it. Thanks. That's really helpful.

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Unknown
Unknown

Thank

speaker
Operator
Conference Operator

you. I'm showing no further questions at this time. This does conclude the question session and you may now disconnect. Everyone enjoy the rest of your day.

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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