Faron Pharmaceuticals Oy (AIM:FARN)
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Earnings Call: H2 2021

Mar 25, 2022

Markku Jalkanen
CEO, Faron

Hello, everyone. I'm Faron CEO, Markku Jalkanen. Welcome to our Annual Results 2021 presentation. I'm here with our CFO, Toni.

Toni Hänninen
CFO, Faron

Hey, everybody.

Markku Jalkanen
CEO, Faron

As you know, we are a public company, and I would like to start just showing and reminding you about the disclaimer. We will be making also forward-looking statements, and it's important that you understand that. We have been focusing on our immune system and health conditions where we build up a life-threatening conditions. We do have three different target molecules. We can activate our immune system, and that is the key asset we have at the moment. That is in the middle of this graph, the target molecule being Clever-1, and we can inhibit or block the activation of that receptor by using a humanized antibody called bexmarilimab, call it Bex to be more simple. That I spend most of time on when I'm talking about the progress we have made in 2021.

On top we have second target molecule called CD73. That is a local producer of anti-inflammatory compound called adenosine. It's a key and gatekeeper to break down the ATP and ADP from our circulations. Those are really dangerous molecules to have, especially if you have inflammation and escalation of that ongoing. Obviously the Traumakine project is the key there, and then we will discuss a little bit about that as well. We have a third one. We have learned to multiply the hematopoietic stem cells, and that project is called Haematokine. We believe that we have made significant progress, and we probably will have hopefully news this year and really even think about it to get to the clinic. We come to that one later on this year and not spend too much time on it. With that, I let Toni to continue.

Toni Hänninen
CFO, Faron

Thank you, Markku. Faron at a glance, just to have a recap. Faron, we are dual listed here in London, where we are today, and also in Helsinki since 2019. Our market cap hovers around EUR 160 million. We have raised all in all, since the inception of the company, EUR 150 million, but being public after 2015, roughly EUR 100 million. Most recently, at the end of February, we announced a debt funding agreement with IPF for EUR 30 million or up to EUR 30 million, or maybe EUR 10 million. We are located in three locations. Our headquarters is in Turku, in Finland. We have last year started to build our U.S. entity significantly.

We have currently three people in the U.S., and we are hiring there, mainly clinical people, clinical staff, regulatory staff, as well as IR functions, as we speak. Our total headcount is 40 people, and we've been in business since 2006. If you look at last year's key financial and corporate information. Our cash balances at the end of the year were EUR 6.9 million, up from EUR 4.1 million a year ago. Despite, especially in the second half of last year, we had a very challenging biotech capital markets, as most of you have also seen. We managed to raise more funds than we burned in our operations. The loss for the period was EUR 21 million.

Mainly the increase driven compared to prior years with the acceleration of the pipeline based R&D expenses. Our net assets at the end of the year were positive EUR 2.9 million, compared to negative a year ago, as of the year before. We did two fundraisers last year, raising EUR 25.6 million, the first one being in February and the second one being in October of last year. Post-period, at the end of February, as mentioned, we entered an agreement with IPF Partners for up to EUR 30 million debt funding through EUR 10 million, and there's further EUR 20 million available subject to certain conditions met. From our team, we are very fortunate to have top specialists and top scientists in our team.

To highlight here, Sirpa Jalkanen, Maija Hollmén, and most recently, Marie-Louise Fjällskog who joined us in the beginning of January as CMO in Boston. She's located in our Boston office, but today actually here in London. She brings along roughly 30 years of experience in clinical oncology and really the experience from the industry, and we are extremely fortunate to have her on board. Further, we are supported by the scientific advisory board that comes with a significant experience in a sense. With that, back to Markku.

Markku Jalkanen
CEO, Faron

Thank you, Toni. Really moving on to Bex, very typical humanized antibody blocking the function of Clever-1. Antibody have a strong IP around it in most of the territories. Very recently also in Europe, the patent extension will go to 2037, and it may be even beyond that. Proprietary target molecule and no direct competition at the moment. What is really interesting about this situation, what we have in the cancer biology at the moment, and also the treatments, we are all appreciating the fact that we have new immuno-oncology products really treating people, but the limit here is the responder rates. In general, we have roughly 20% of the people who have a permanent benefit out of these current immuno-oncology treatments, mainly targeting PD-1 or PD-L1, target molecules. Why is that, and can that be changed?

This also has a significant opportunity because if you look at these refractory populations, what they are in indications-wise, it's roughly 160,000 failed treatments alone with the PD-1 inhibitors in U.S. and EU. The main reason for that is a silent immune system. These treatments cannot activate the patient immune system other than the existing T-cells. They do not generate an additional elements which are required to ignite the immunity. That is really important that we should provide that also for these treatments in order to really increase the response rates. There have been a lot of combination studies ongoing, but that builds up a significant risk of having serious side effects. That is, for example, seen if you have two immuno-oncology products that are used at the same time to really increase all kind of side effects.

We believe that Bex is really well-positioned to really provide now the ignition of the immunity and then provide the treatment success also for these previously refractory patient populations. Obviously, that just alone in the existing treatment pool is a significant business opportunity, and that's what we are after really in the future. The Clever-1 has a control over the phenotype of these myeloid cells that migrate to the tumor and hide the tumor from the host immune system. This hide-me signal is practically produced only by two cell types, regulatory T cells, but they are hosted and nursed by these myeloid cells. It's a combination of two cell types. If you don't activate the myeloid cells, well, like the way tumor wants to, you cannot build this hide-me signal around the tumor cells.

What Bex does, it blocks the Clever-1 and completely reprogram these myeloid cells to become activator of the immune system. We have seen this in many ways, including the increased secretion of cytokines needed for immune activation. Also, phagocytic capacity of these cells to the different antigen material will increase and a number of other activations. We convert the immune hiding signal to immune activation. This is a critical thing in those patients where tumor has already taken over the patient immune system in order to keep it silent. This is another schematic view on it. We have now information today at the very detailed level how this takes place. It's really a look at the degradation pathways of these cells, which are part of this mTOR signaling pathways.

This keeps the hide me signal and degrades all the material, which they are not available for the antigen presentation. With Bex treatment, you inactivate that one and activate, like I said earlier, completely different gene transcriptions. Very dramatic change, and it just shows the plasticity of these cells, which are meant to be around us to control our immune system in both ways. But here we need to activate the immune system, and that is the reason why we want to really do it. In the cancer patients, this benefit could be extended also to remote locations because we know that there is a soluble form of Clever-1 that actually could be T cell inhibitor also in the remote locations. With this concept, we have really carried out MATINS, Phase I/II trial.

You have heard about it, and we are pretty much at the end of this development today. We already know today that it's very safe. We have first efficacy cohorts identified, very significant number wise, because if you read 30%-40% of clinical benefit rates in the patient pool, which is the last line and had no options anymore, that is a very significant clinical indication that we may have a successful further progressing with our program. Currently, we are finalizing the dosing. That is really important to understand, and we need to look also a number of biomarker data from this patient pool with roughly 200 patients and then draw the conclusions for the optimal dosing and then move on. As you can see, I'm already indicating a melanoma on the right-hand side.

I put it up for the very clear reason. We have some exciting data on melanoma, but not claiming yet that that would be the only one and we would be focusing on it. As we have the data, I would like to share that with you. Now thinking to 2021, I think that we have been able to confirm all the earlier key findings we have been telling to the markets. Bex definitely is well-tolerated and safe. There are no grade 4 or 5 adverse events related to the treatment. We have seen all the immune cases, which is typical to be expected, but they have been able to control with the steroids. Clinical benefit, as I mentioned, I will focus on that with a few additional slides.

It's very interesting that you have a pool of patients who actually respond already at this stage. Obviously, that has led us to understand what is the immune markers you actually could look at to really pinpoint and identify the best responders. We have very promising data really to focus on baseline levels of interferon gamma, TNF alpha, and also interleukin-6 and interleukin-8. Then we also have now finally [solved]. It was challenging to get a good staining also in the physiological settings. The most exciting one and very clear one is the pregnancy. In order to isolate the embryo from mother's host immune system, we need to prevent the activation against the embryonic material because that's foreign to the mother. It could be totally foreign in the normal family cases, it's like half genes from mother and half from father.

There's no immune reaction. What happens is that these same cells now with tumors have picked up to benefit themselves, are also used in this physiological setting and build the immune barrier. That's the reason why women can have a pregnancy, healthy baby can be born. Very important, there's no side effects of this reaction. Maybe that partially explains why we have so good safety with bexmarilimab. Very important part. The few immune reactions I mentioned earlier that they have been possible to really control with the steroids. Now looking at the efficacy, on the left-hand side, you can see these 10 different cohorts. We had completely negative ones. We were a bit surprised that with the uveal melanoma, we have no responders whatsoever. We are not really necessarily giving it up yet, but this is not the focus item today.

The most promising ones, we have already said them earlier. They are listed here in bold, melanoma, cholangiocarcinoma, breast cancer, hormone positive breast cancer, hepatocellular cancer, and the gastric cancer. On the right-hand side, you can see these spider plots. You can see that they advance. In some of these cancers, we have really stabilization of the tumor. In some of them, it's already decreasing. This is really a clinical benefit, which we can see in the last line, patients had no options anymore. The reason why we know that if you look at this picture on the left-hand side, this is the progression-free survival shown on the left, and you can see red curve and the blue curve. You can see that they are pretty much aligned, similar ones.

Now, if you look at the right-hand side, now the red one is the ones who actually got the clinical benefit. You can see that we increased the overall survival significantly. We have a really this is now a six month data cut post the first imaging, meaning that it's probably reaching almost nine months with some of the patients already 12 months. We haven't really reached the median survival rate, and we know that it's already with the other population which are not responding around 15%. This is a remarkable thing that this is a monotherapy alone, last line. Remember also that we do have 21-day wash out period before we take them in the treatment. There shouldn't be any previous effect from any other treatments.

Having said that, many of these patients already had gone through the immuno-oncology treatments I referred to at the very beginning. In other words, the patients we are looking at the moment, they have been refractory to the current immuno-oncology treatments. Who are these patients? We, as said, really started to look the biomarkers, and this analysis is still ongoing, but we already know that these patients have really low baseline level of interferon gamma. That tells us that the immune levels, the immunity level is really low. That's confirmed with the TNF alpha and also interleukin-6. If you look at these three markers alone and make a statistical analysis, we are able to predict the outcome with 9% certainty. It's extremely high.

I do not have that analysis slides in here, but that is a very significant, and there may be even further on, because, as said earlier, we now have this immunohistology capacity really to stain all the patient material that come to the trial. Now when it's verified and applied to this commonly used VENTANA system, every pathology laboratory on this planet can actually really do these stainings. This was important milestone for ourselves, and now we are really set it up, and we can really use it in other patients. From the MATINS patients, we have roughly 50-60 paired samples, pre-dosing and post-dosing levels, and that data accumulate at the moment, and it definitely something that we plan to publish on the Q2 of this year.

People are using often cold tumor and hot tumor definitions. The cold tumor means that you have very low level of our immune cells in the tumor, and that just shows that there has not been the immune activation. What happens if you have that tumor and if we can now ignite the immunity, we saw it earlier in the peripheral blood samples. Now we have seen it in the tumors, and we are collecting additional data. That means that now we have activated the immune system and get the immune cells into the tumor. Interferon beta gamma is one example of that activation, but there are a number of other immune markers and obviously that is something we follow on also during the next few months and so.

Having all this data available on the first half of this year, we really make the decision how we are going to move about with the MATINS platform trial. We have two options. We make a single arm study. That's the option one. We make a randomized study, and the randomization could be against standard of care, and doctor can determine whatever they want to do with their. This is very critical to get the approval and opinion from the regulators. Our goal is really to go to in the Q3 visit FDA after filing the package prior to that and get the feeling and understanding what they see we can do. Both options are as important as they can. The size determination will be obviously based on the prediction of the outcome and event rates in those trials.

As said earlier, we are just getting data really to get the understanding on dosing and the best outcome of those trials. We are just about to initiate in collaboration with the principal investigators in San Antonio and Texas the first line combo. This is the first line setting where the PD-1 inhibition is already as a standard of treatment. We will initiate this trial in a typical way, increase the Bex dosing and then see what the outcome will be. Having said that, we are very interested in additional combinations, and I will give a few examples why we want to do that. Before getting there, I'd like to also talk about the very exciting AML example. The myeloid means that these leukemia cells have a similar background as these tumor associated macrophages.

They come from the same hematopoietic stem cell lineage. That is the reason why they express Clever-1 to their surfaces. Now we have a very dramatic malignancy, and we have a Clever-1 target on surface of these cells. You would think that we have a marvelous possibility really to influence on the behavior of those cells. On the right-hand side you can see the red color. It's not so visible for me because I'm a green-red color blind, but hopefully you can see. Those are the different forms of these myeloid leukemia we can see in humans, and all of them are Clever-1 positive. This is a very significant. In the middle, there is an evidence already that if you have a high expression of Clever-1, that will build resistance. Even the most modern treatment, which is the BCL-2 inhibitor called venetoclax.

This is very encouraging to us, because if we now can really take down the Clever-1 expression, that would definitely increase the outcome of the patients treatments in these populations. In ex vivo settings, we know that if you block Clever-1 expression, we practically block the replication of these cells in few days. It's indicating that, yes, maybe we can really control. This is pretty much ready to start as well, first in Europe and soon after also on the U.S. side. MD Anderson in Houston is involved in that study as well. Very exciting. Back to the solid tumors. Checkpoint refractory melanoma, as I said, is here. We have first histological stainings. Here you can see a PD-1 resistant refractory samples. You can see there are a lot of M2s.

They are Clever-1 positive, and there are no T-cells in that tumor. Typical example of cold tumor, no T-cells infiltrated in that. It's understandable that they cannot fight against this tumor. These graphs on below those histological pictures, you can see five examples of these melanoma patients. Three blue ones with high baseline of interferon gamma. Two red ones where we can see that we initiate the baseline from much lower values. Those with the lower values, we can see a significant increase in the interferon gamma levels. It stays up roughly 20 days and then start to come down. Out of those 10 cohort patients in this group, the graph on the right-hand side shows the overall survival. There were three patients in that group. I'm happy to say that I checked yesterday, these three patients are still alive.

This is a previous, younger picture from the cutoff data, but they're still alive. Here we have a situation that 30% of the patients in this group already have very extended survival rate. Obviously this is very encouraging to us. We also know that if you look at the data in the literature, it's already known that the patients who have low interferon gamma level, they do not do very well in the immuno-oncology treatments. That's the red curve on top panel. The ones who have already existing interferon gamma, they do respond. Obviously now if you think about the Bex treatment, it's the other way around. We really now have the opportunity to move the PD-1 blockade resistant population into a responder group.

If that like takes really place, this is a significant opportunity really for bexmarilimab market-wise. Just to summarize, early clinical benefit observed in the last-line settings as standalone treatment, good safety, biomarker data building up, possibility really to select the patients. As having good safety in all the combinations, we should be really quite relaxed, not really building up a safety problem over there. Now we have clear pathways to move on with the development. I really would like to thank Marie-Louise joining us and building up the program and really bringing in really good opinions. We are really on the way really to maximize all our effort at the moment, take this forward with the resources, additional resources we got to the company. Few words about Traumakine. You remember, this is the intravenous interferon beta.

We have believed from the very beginning that the only kind of acceptable route of administration is intravenous interferon beta. This is roughly 150 to 200 fold higher bioefficacy per microgram when you do it. If you look at the effect in our key central organs, like lung, kidneys or liver. I know, and you know that there have been subcutaneous administration, and it's still used for MS. There is an inhaled version of it, and that is okay maybe to the local activities, but to have a systemic benefit, it has to be intravenous. We have built the program really to influence on the presence of CD73 on the surface of these capillary endothelial cells. That is the intravenous system we have.

It makes a lot of sense really to have intravenous administration of the drug so that we have a direct effect and effect that actually activates the CD73. On the right-hand side, you can see that there are a significant number of conditions where this really is needed. They could be natural ones, but they could also be man-made. Man-made examples are all cell-based therapies we actually apply today for the cancer patients. Obviously, CAR-T is a very good example of it, but there is an increase in number where we manipulate our immune cells and give them back to the patients. That could drive the cytokine storm.

This cytokine release syndrome is something that actually could prevent the use of these in higher level of patients and could produce a problem, especially if you then need to use steroids to shut down that actually would immunosuppress everything. It's not very useful. Having an agent that actually could upregulate CD73, that is the gatekeeper for the local production of the adenosine. Interferon beta is the one that is undoing it. It is our endogenous peptide hormone. Remember that. You can compare that to insulin, which is required for diabetes patients. Here we need interferon beta to activate and maintain CD73 on the surface of endothelial cells. If you lose that, you lose the capillary integrity, and you lose your central organs. We also have looked at this in settings where the trauma is very evidently causing the syndrome.

If you do not upregulate CD73 in these open aortic surgery patients, they all die. However, if you activate CD73, they survive 100%. It's a clear indication that this is a kind of a defense mechanism against trauma caused by infections or other injuries. CD73 is really required. You may recall also that in the INTEREST trial, we noticed that there is a mutation that actually could guide two key hormones for these traumatic conditions. First one is interferon beta, and the second one are corticosteroids. There is a polymorphism within the interferon beta receptor that actually could divide the combination of interferon beta and corticosteroids into two different signaling pathways.

This worse existing form that provides a mechanism that corticosteroids activate interferon gamma expression and other inflammatory mechanisms, and not activate the mutation-induced pathway which is protecting us and including the CD73 expression. There is a significant difference in the mortality outcome. Obviously this means that we cannot really do trials where corticosteroids are present among these treatment groups, or we need to select them to really identify the patients who have this, what we call TT polymorphic form, who are sensitive for corticosteroids, instead of having CT who are resistant to corticosteroids. It's very interesting that population-wise, the ethnic groups do have a different profile in this. This protective form is very rare among the Asian populations, meaning that they are very sensitive for this combination use of these two drugs.

I think this should be really considered in the future when people are treating anything. Really important, kind of a mechanisms really to support our survival in this rather rough environment. I'm not really referring to a man-made conditions. These are the threats are coming from other biological systems surrounding us. Bex, really our key focus, we are accelerating that as much we can. We are really focusing at Traumakine back to the original where we have been and then really build up experienced people really to do the further development. Then Toni takes care of the building up further financing the company.

Having said that, we then could move on to the Q&A and you can see that you can type your question, the box and just click it so that we can see it and then we'll be questioned. Maybe at this stage, I would really ask the first question from the room. We have Julie Simmonds here from Panmure. So Julie?

Julie Simmonds
Analyst, Panmure

I have a couple of questions. I suppose firstly, just on Traumakine, we've just been talking about that. When do you expect data? Do you have any view on how recruitment is going? I know you're not actively running the trial, but.

Markku Jalkanen
CEO, Faron

It's slow. The biggest challenge has been to get a corticosteroid-free patients to the trial. We built what we call a door model in order to have a person already at the emergency unit, really to identify the patients who the GPs or other doctors have not really initiated steroid use. It has been slow and we hope to come up with some of the information later this spring.

Julie Simmonds
Analyst, Panmure

The plan is still to do an interim analysis of that one, is it?

Markku Jalkanen
CEO, Faron

Yes, as far as it really goes.

Julie Simmonds
Analyst, Panmure

Okay. Excellent. You sort of indicated earlier that you were looking at cutaneous melanoma as sort of likely the first indication for Bex going forward. Why specifically that one? Why are you so confident about that?

Markku Jalkanen
CEO, Faron

Our understanding is that currently the melanoma patients are almost 100% treated with the current immuno-oncology treatment, so they are really refractory ones. Some of the other tumor types have national differences in their treatments. That would be very unified trial kind of a protocol where you can actually spread easily and we are spreading our sites to new countries while we speak, even including Australia, because the melanoma is quite, you know, often the cancer what we can see over there, and they have really good clinical treatment groups over there. It makes a lot of sense. Having said that, if you look at the last line, we could actually think about also having all those five, the best cohorts, and take them as an all comers, and then build a single arm.

You can even use the what they call synthetic arm to compare. You can actually buy those from certain organizations who have built a historical outcome for those patients and then use that one. FDA has approved some of the trials, and even results to the market approval point. Yet, having said that, also the randomization could become, but that definitely will then be a higher in size-wise than if move on that one.

Julie Simmonds
Analyst, Panmure

Interesting. Just wondering on the sort of histology that you're now doing with these. Now you're able to identify Clever-1. Obviously, you've got sort of the cancers that you haven't seen any benefit in and those that you have. Are you being able to see a histological difference between those cancer groups?

Markku Jalkanen
CEO, Faron

Yeah, even within the one single group. What wonders me a lot, for example, is the pancreatic cancer. There is a tremendous number of Clever-1 positive macrophages, yet we didn't see anything. We all know that that is a very aggressive cancer. Even that 21-day washout period within the trial could actually have an impact on the outcome because having nothing really to slow down the pancreatic cancer cells, and then you go in, you may actually have lost the patient already at that point. We need to really think about going earlier in and see and then look at also the staining results.

We hope to be able to, you know, use the data as much as we can, but really to focus on the first one where we believe has the most successful and most speedy outcome, obviously is the target for us at the moment.

Julie Simmonds
Analyst, Panmure

Excellent. Just a financial question. Obviously, last year, you got a number of grants that were sort of rolling through. I'm guessing that some of those are still there for 2022 because. How much have you got left of that that's still coming?

Toni Hänninen
CFO, Faron

Out of the grants we have for the EU, there's another EUR 60,000 coming, and that's for the bex mainly. Then from Business Finland , we have several smaller ones, and there's some up to, you know, a few hundred thousand.

Julie Simmonds
Analyst, Panmure

Okay. Thank you.

Markku Jalkanen
CEO, Faron

All right. Thank you, Julie.

Toni Hänninen
CFO, Faron

Thank you, Julie.

Markku Jalkanen
CEO, Faron

Questions from.

Speaker 4

Yeah. A bunch came in, so I'll start with the sort of consolidation of a couple for Toni. Update on current cash position, 2022 run rate, and any news on the US stock listing.

Toni Hänninen
CFO, Faron

Okay. I can touch on the cash run rate. As we mentioned, we had EUR 6.9 million at the end of the year, and we did this IPF funding debt agreement at the end of February, and that's the EUR 10 million that we drew out of that immediately. Currently, we have the EUR 6.9 million + EUR 10 million. As of now, obviously burning all the time. With that, we are funded until Q4 of this year. On the second part, maybe on the stock listing.

Markku Jalkanen
CEO, Faron

Well, we have said that we are building up activities on the U.S. side. The focus has been in the clinical group, and Marie-Louise is in charge of really building it up. We will have a significant but not many hires also on the Q2 of this year. It's clinical, regulatory, but also the Wall Street capabilities and the timing of really moving on as a U.S. company is not really decided yet, but obviously that is very big interest to the company at the moment.

Speaker 4

Okay. There was another one sort of capital allocation. It appears that alongside funding the trials, the biggest challenge in front of you is deciding which exciting trial or indication to back. Where do you see the priorities for Bex development now? Neoadjuvant, pivotal trial, monotherapy, combination, or all of the above?

Markku Jalkanen
CEO, Faron

The monotherapy would allow probably the fastest way to the market. You may get the conditional approval and then get the completion advised by the regulators. The combination could be also a really very fast, and especially this myeloid malignancy is something where we have an open structure. If you start to see really the outcome rather fast, that could be really fast to the market. We could learn that as soon as we give the first dose to those patients, and that should take place on the Q2 of this year, so rather soon.

Speaker 4

All right. There's one sort of digging into the MATINS trial a bit. We've treated approximately 193 patients to date. Is that still sort of the number? And then, you know, there were five indications that show between 30%-40% disease control rate. Do we expect those to be the five, or are there other tumor types that we're still looking at? And then when would we expect data collection to be finalized or stopped in this phase of MATINS?

Markku Jalkanen
CEO, Faron

Yeah, I mean, the MATINS dose testing and escalation is; it's pretty much the recruitment completed. There are not that many patients anymore to run. Before you get the data and analyze everything, that will take us maybe to mid-summer, maybe the end of June. And obviously then build the package to send to FDA and then have a meeting with them. That probably is the Q3 . So yeah, we are getting there. These just take time. You don't get all the patients at once. Yeah, it's just you need enrollment. I want to really thank the sites for doing it. They have been really excited, and one motivation for them is the safety profile, because they are not worried about causing any additional problems to the patients, and they are very motivated to take them further.

What would then be the final kind of a selection of the cohort? I indicated that it could be melanoma, but it could be pool of these most promising cancer types. Honestly, I also believe that in the future, maybe the classification of the tumors are not anymore based on the tissue origin. Today we talk pancreas, liver and so on, but maybe we start to profile them totally differently, and that could actually determine the way we treat them. We have already seen this because we've seen low interferon gamma patients in all of these indications, not only in melanoma. Meaning that they do have immune activation really declined, and there is no really kind of immune cells actively migrating around us or on our, on the patient's blood, meaning that there is no surveillance.

That has to be generated again in order to have the immune activation really take place. Really important decisions to be made on the Q2 , but we are ready to do those.

Speaker 4

That's a great lead into this next question, which is really around biomarkers and number one, when can we expect to see more biomarker data? And then how confident are you that the strong correlations observed in the two biomarkers is logically explained by the underlying cancer biology? And then the last piece is, do you expect the next round of trials to include a biomarker for patient inclusion? And if so, would it be interferon gamma?

Markku Jalkanen
CEO, Faron

First one, the timing Q2 is the key for us. I have not been aware of additional cancer treatments who actually would predict the outcome this well as Bex biomarkers are now doing. Even with the PD-1, you have certain guidance where you have 50%+ presence of PD-L1 in the tumor T-cells. Then you know, treatment from 1 to 50 is, you know, doctor's opinion, and below one is. Do we have an extremely high probability to predict? It would be foolish if we do not use that, I would say it that way. We absolutely will be using some sort of ways really to incorporate that data in our statistical plans or even to the selections. Both ways is just accepted by the regulators.

Speaker 4

Are we planning to generate additional Bex data this year? Which, yes, I know that's certainly additional data from that. Are there any updates on licensing negotiations and, you know, how that new data might impact the licensing strategy?

Markku Jalkanen
CEO, Faron

Well, we are building up the data, and everybody's always waiting the data. The final dosing regulator opinion, for example, if they already approve the plan all the way to the pivotal stage, those are the things which are very attractive for the partnering. The value of the Bex, it's important for us, and that is the reason why we would like to kind of progress with additional data to understand how we can apply this treatment to the patients. If you think about that all cancer patients would have some sort of immune inactivation taking place, and that allows the tumor to grow either locally or then forming the metastasis. You would even think that PD-1s would be very beneficial to all the patients.

Having said that, I know that we need to start with certain populations, but I don't want to do a partnering deal at the point where we cannot really convincingly spell out the full potential of this treatment. It's not the benefit for the shareholders. Please wait few more, you know, quarters and we will have the data and having been informed on the numerous discussions it's ongoing already, I expect something to happen over there. This is not the focus at the moment. The focus is really to generate additional data and build the package to the regulators to move on, and then we have outcome really for the discussions with the potential partners. We also have no desire to limit the combinations in one or two compounds.

We actually would rather have a situation where everybody else would like to run the combination with bex, because that would maximize also the outcome. Maybe at one point, some of the big pharma companies actually could become a little bit nervous if they actually lose this possibility to treat the patients who have no response anymore, because that would cut out quite a number of revenue stream for them.

Speaker 4

There was just one more, and I guess it's specific to the AGM press release that went out this morning. If you could just give a quick comment on, you know, how you see if Mr. Ostrowski joining the board and what role he would play and sort of what skills he brings to the company.

Markku Jalkanen
CEO, Faron

He is a very experienced CFO from the biotech side. He has been also a CFO of a company that was European originally, and then was dual-listed. That was Summit Therapeutics. We at the board level wanted to have support to our CFO, Toni, to have a discussion partner to follow the steps and move more close to the Wall Street. This was carefully thought out and really to have additional kind of way understanding what is critical for the European company to move to U.S. side. Toni, you can be able to say what you feel about it.

Toni Hänninen
CFO, Faron

No, I'm excited to have Eric and, you know, as a support for the whole company, not just for myself. You know, he has done an AIM listing company, taking that to dual listing in the U.S. and also been a CFO or is CFO of a U.S. listed company at the moment. Very excited to have that support for us, as our team, to work to expand our next developments.

Speaker 4

That's it in terms of questions that were submitted, Markku.

Markku Jalkanen
CEO, Faron

All right. If there is no additional comments, I just want to thank you, everybody, and keep following us. I think it's a really exciting year for us. Thank you.

Toni Hänninen
CFO, Faron

Thank you.

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