Idorsia Ltd (SWX:IDIA)
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Earnings Call: H1 2020

Jul 23, 2020

Operator

Dear ladies and gentlemen, welcome to the Idorsia conference call. At our customer's request, this conference will be recorded. As a reminder, all participants will be in a listen-only mode, and after the presentation, there will be an opportunity to ask questions. If any participant has difficulties hearing the conference, please press star followed by zero on your telephone for operator assistance. I will now hand you over to Andrew Weiss, who will lead you through this conference. Please go ahead

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Thank you, Aurelia. Good afternoon, good morning, everyone to wherever you're calling in from. My name is Andrew Weiss. I want to welcome you all to our first half 2020 financial results call. Today, we will be talking about the performance over the first half, as well as progress that has been made and how we look at the rest of the year. With me on the call, as usual, are our CEO, Jean-Paul Clozel, our CFO, André Muller. I'm also pleased to welcome Simon Jose, our Chief Commercial Officer to the call. Since the positive results of both our pivotal trials for daridorexant, many people have been asking, how is Idorsia intending to commercialize daridorexant? Simon has joined in this call to give his first impressions on how we see the insomnia market. Then he will be able to take questions later on. Next slide, please.

Before handing the microphone, I need to remind everyone that we will be making forward-looking statements. You therefore have been appropriately warned about the risks and opportunities of investing in Idorsia shares. Next slide. Jean-Paul, the floor is yours.

Jean-Paul Clozel
CEO, Idorsia

Slide three. The first half of 2020 has been a tough beginning of the year, of course, because of this COVID crisis. Despite the COVID crisis, Idorsia has moved forward in a tremendous fashion. I think that I would like to tell you that the whole company is now working very hard to prepare the filing of our NDA for the end of the year, hopefully before the end of the year. Next slide. The first half of 2020 has been marked by a remarkable achievement. I've mentioned the positive two phase III results with daridorexant, but we have also achieved a licensing agreement with Neurocrine. We have issued 11 million new shares, raising our cash liquidity. Also, this is important for Idorsia, Janssen submitted an NDA both at the FDA and at the EMA for ponesimod in multiple sclerosis.

We believe that the ponesimod is substantially differentiated from other S1P1 receptor agonists, and we are really very hopeful that it will be a commercial success. I remember that we get 8% royalty on the sales of ponesimod. What is also important is that, slide five. Sorry. Despite the COVID crisis, we are moving rapidly our pipeline forward. During this crisis, only one project was more or less on hold. This is the clazosentan because clazosentan patients hospitalized in intensive care units, and we wanted, in conjunction with investigators, to really keep these intensive care rooms for patients with COVID. Now, the project has restarted and all other phase III programs are moving forward.

We got a delay. It's very difficult for me to tell you how much is the delay because all will depend how fast the hospitals can reopen, how fast the traveling, because we need to be able to go to see the patients in the centers or, and the investigators. All depend how well the countries are going to be able to deal with this crisis. What is very reassuring for me is to see recruitment picking up now with some of our phase III projects. For example, I'm confident that we will get the results of lucerastat next year. Next slide. I think we are on track within Idorsia to achieve the goals that we have given to us when, three years ago, we were created.

First thing was to get three products on the market, and you see with daridorexant, but with lucerastat, with aprocitentan, with clazosentan following rather rapidly after daridorexant, I believe this goal is achievable. The second goal was to build a commercial organization, and very soon, Simon will tell you what is going on about this goal. The third point was to bring Idorsia to a sustainable profitability. When we think of the future income of ponesimod, of daridorexant, and all the other phase III program which are coming, I think that this profitability should be able to be achieved in a reasonable timeline. What is very important was not only to reach profitability, but to be able to grow for the next 10 years or 15 years, and to have brought to the market sales with a potential of CHF 5 billion sales, and I think we are on good track.

Finally, what is important, and this is going to be extremely important for the launch of daridorexant, we want to use all state-of-the-art technologies, not only for research, not only for development, but also for marketing. I think people speak about digital launch. I believe that you cannot only launch 100% digitally, but these digital means are going to be very helpful to make from daridorexant a success. Slide seven. Next slide. Slide seven. We have discussed in length, and I will not come back on that, the fantastic results we got with daridorexant. We are continuing since the two last webcasts to analyze these two studies, and I would say we have not had any disappointment. We discover more and more, I would say, gems in this huge data mine that we have.

This product, daridorexant, is really an outstanding product. I think it's going to be really changing the life of many patients with insomnia. Not only they will be able to sleep quicker, to sleep longer, to sleep, I would say, better, but I'm convinced that we have evidence to show that with this drug, people can function better during the day. We are soon going to show the results at a scientific conference. The first result will be shown in August, of course, there are, I would say, tens of papers to be written based on the huge database that we have. Now, we must not do the mistake. Now next slide. We must not do the mistake to believe that even we saw fantastic results, a drug can sell by itself. We need to explain the differentiation of daridorexant.

We need to explain what are going to be the benefits of this drug. This is going to be the goal of the launch, which is now orchestrated and prepared by Simon Jose, who is our Chief Commercial Officer. Simon has now been with us for more than a year. He has a fantastic experience for not only, but for this type of products. He got his experience with GSK, and he's going to tell you what is happening on the commercial front. Please, Simon.

Simon Jose
EVP and CCO, Idorsia

Thanks, Jean-Paul. Good morning, good afternoon, everybody. I'm very pleased to join today's webcast and provide you with a short update on our commercial strategy. Obviously, following the positive phase III results with daridorexant, we're moving full speed now to prepare for a successful launch. As you've seen, we've established the U.S. affiliate and already appointed a talented leadership team with deep experience of the U.S. market. To give you an idea, they collectively have 178 years of experience and have worked on 40 launches between them. Daridorexant is the first sleep medicine to demonstrate not only an improvement in sleep onset and sleep maintenance, but also, as Jean-Paul has said, in daytime functioning, all without compromising safety. With this outstanding profile, we believe daridorexant will be clearly differentiated from existing orexin receptor antagonists and the older, widely prescribed sedating sleep agents.

While we're clearly excited about the phase III results, I'd like to take just a few minutes to share with you why we're also excited about the opportunity we have in front of us in the insomnia market. Next slide, please. The insomnia market is huge, with an estimated 20 million adults in the U.S. alone suffering from chronic insomnia, and with more than twice that number experiencing poor sleep. Insomnia at night affects every aspect of a person's day, including reduced productivity and greater work absenteeism than healthy sleepers. Relationships with family, friends, and coworkers can suffer too. The impact goes beyond quality of life. Insomnia costs the global economy approximately CHF 100 billion a year. Furthermore, there's growing evidence that chronic insomnia is associated with increased risk of other diseases such as cardiovascular and cerebrovascular disease. Despite this substantial burden, the insomnia market is underserved.

Existing products all have limitations, whether that be insufficient efficacy through the night-Next morning residual effects or other well-known adverse events. All in all, there is a high unmet need in a very large patient population. Next slide, please. One of the things that gives us confidence in the magnitude of the unmet need is the prescribing patterns in the U.S. that we've seen over the last 15 years or so. As you can see from the chart, there's been a significant decline in the use of the Z-drugs following the FDA dose change and safety warnings in 2013. With the addition of the black box for complex sleep behaviors last year, we expect the shift away from the Z-drugs to continue. Since 2013, we've also seen a corresponding increase in the use of trazodone.

We're doing more analysis on this, we estimate that 70%-80% of trazodone scripts are written at doses primarily used to treat sleep complaints. This, despite trazodone not being licensed for insomnia and the American Academy of Sleep Medicine guidelines explicitly recommending against its use. This clearly suggests there is a large unmet need and a big opportunity for a product that is specifically developed to treat insomnia, that can deliver the desired efficacy without compromising safety. As an aside, these data also remind us that we need to account for this large and growing off-label use of trazodone in order to get the true picture of market potential. Next slide. I'd like to finish by sharing our commercial approach of launches and how that applies to daridorexant.

First, although there's a real opportunity to transform and modernize the insomnia market, we cannot approach it in a standard way. We need to bring innovative approaches to our launch, including predictive analytics, and as Jean-Paul has said, the use of digital channels and wearables, and an overweighted focus on the patient given the disease area we're entering. Second, we believe daridorexant will have a clearly differentiated profile. I've spoken to this already, as has Jean-Paul, that the effect on daytime functioning and the safety profile of daridorexant are two obvious and important areas that stand out for their difference to existing sleep products. Daridorexant has the potential to bring patients suffering from insomnia what they want, to sleep longer at night and feel better during the day. Third, we need to be flexible and nimble in how we build commercial organization.

We'll build global brands with consistent positioning and claims and use best-in-class platforms and ways of working. Since we're building our organization from scratch, we have an opportunity to design this in from the beginning, allowing us to move fast, make quick decisions, and grow in a cost-effective way. Finally, when we look across our pipeline, all our late-stage assets are in the specialty area, except for daridorexant, where as you all know, a large volume of insomnia prescriptions are in primary care. We're confident we can build the capabilities we need to successfully launch our specialty assets, and they do not require large infrastructure. For daridorexant, in order to capture the full potential of the product, we need to effectively reach the primary care market. We will do so through selective partnerships.

As you know, we have already announced a partnership with Mochida in Japan, and we are currently in discussions with a leading contract sales organization in the U.S. to partner for our launch there. This partnership strategy allows Idorsia to retain control of the product and build our own core capabilities while leveraging our partner's experience and track record of launching products in the primary care market. In closing, daridorexant is the first asset we will commercialize globally from our robust pipeline. We're very excited about the phase III results and believe we have a product that will enable Idorsia to lead the much-needed modernization of the insomnia market. Our launch preparations are well underway, and we're ramping up the recruitment of our team.

Our partnering strategy to reach primary care is clear, and I very much look forward to providing you with updates on our progress over the next year. With that, I'll hand over to André. Thank you.

André Muller
CFO, Idorsia

Thank you, Simon. Good afternoon or good morning to everyone on this call. With no further ado, I will go directly to the next slide 13. Let me start here with the P&L and how our results came about. On the left side, you see the revenues of CHF 58 million. This relate to a $48 million corresponding to the portion recognized in the P&L of the $57 million paid by Neurocrine for the rights to develop our calcium T-channel blocker, develop and commercialize of course, and a two-year research collaboration for backups or follow-ons. Out of this $57 million, $5 million were already paid in Q4 2019, and $52 million were paid in Q2 2020 following the IND granted by the FDA for this calcium T-channel blocker.

The rest is CHF 10 million, and it's a deferred revenue with the previous collaboration already announced, Janssen with aprocitentan, CHF 5.5 million, Roche with a research collaboration, CHF 2.5 million. And Mochida, CHF 1.8 million. The collaboration that Simon Jose alluded to in Japan as a co-marketing for Dalbivitin. I will detail the CHF 193 million non-GAAP OpEx in a minute, and go directly to the next bucket, which is the, I would say, usual D&A, CHF 10 million, stock-based compensation, CHF 11 million. These are usually the main differences between non-GAAP and U.S. GAAP, around CHF 40 million on a full year basis. You see here that we are well on track. There is here, and you see it in this bucket, other of CHF 24 million. There's another difference between non-GAAP and U.S. GAAP, which is relating to an accrual in connection with an ongoing arbitration.

Bear with me because I think it's worth spending some time to really explain you what is this all about. This CHF 24 million accrual is relating to clazosentan. Idorsia currently develops clazosentan. As you know, we have almost completed the Japanese registration trial, and the ongoing REACT trial will also be hopefully completed by end of next year. We should commercialize clazosentan across the globe if the drug is approved. Clazo was acquired by Actelion through an SPA, a share purchase agreement with a company called Axovan. The Axovan vendors were entitled or are entitled to CHF 115 million potential regulatory and sales milestone if and when due. Out of these vendors, 65 of these Axovan vendors entered into an arbitration claiming that the J&J transactions. Here I use the accrual to encompass the J&J acquisition of Actelion, but also the prior spin-out of Idorsia.

The claimants believe that this transaction triggered the change of control and therefore that they are entitled to the accelerated payment of all outstanding milestones. This would mean CHF 75 million relating to clazosentan, and they even claim another CHF 5 million for another compound that was discontinued many years before the merger. Remaining Axovan vendors included Actelion for 7%, or CHF 8 million. This is Idorsia now, and we will never have to pay this milestone. It's left pocket, right pocket. 28 that decided not to join the arbitration. In H1 2020, Idorsia acquired from this 26% of these 28% non-claimants all their future potential milestones, around CHF 30 million, for cash consideration of CHF 9 million. Obviously, the non-claimants, two seasoned and reputable venture capitalists, considered that this deal is a fair deal considering the probability of success and of course, their cost of capital.

The CHF 9 million is in essence an accelerated milestone and therefore was booked as an R&D expense, as you will see in the next slide. Before, I would like also to recall that the same offer was also made to the remaining 2% non-claimants. Some of them have already taken our unconditional offer, but we also extended this offer to the 65% claimants. Such settlements being under certain conditions, notably the claimants bearing all arbitration and lawyer fees. Should these 67 remaining vendors, two non-claim, 65 claimants, take our offer, Idorsia would pay a one-time payment of $24 million in lieu of 77 staggered milestones. This $24 million accrual is also booked in R&D expense. The total impact in H1 2020 is an expense of $32 million.

For further details, please refer to the legal update of the press release or the Note 12 of our interim consolidated financial statement. To finish with this slide, you have also below EBIT, a CHF 11 million item. This CHF 11 million item is mainly relating to the interest paid on the CHF 200 million convertible bond that has a coupon of 75 basis points. Our deposits, we have a negative yield on the Swiss deposits, almost compensated, by the way, by the positive yield on the US dollar deposits. We have also a CHF 4 million accretion expense on the J&J CHF 445 million convertible loan and CHF 4 billion unrealized loss on the 1.3 million Fonterra shares that we hold and that are valued on a quarterly basis mark to market. We can go now to the next slide, number 14. As you can see here, we see a non-GAAP operating expenses.

We spent much less in H1 2020 than in H1 2019. If you exclude the CHF 9 million milestone, the spend was CHF 184 million, so 50% less than in H1 2019. Going from right to left, we already discussed the CHF 9 million milestone. You see a small increase of CHF 3 million in G&A, which was mainly driven by IT systems, because we need to prepare the supply chain and commercial systems and processes to enable us and to enable Simon and his team to launch the product, starting with daridorexant across the globe. Commercial went up from CHF 5 million to CHF 7 million, with now the core team recruited in H2 with Simon and also in the U.S. with the GM, Patty Torr. You see that the clinical developments went up from CHF 101 million to CHF 151 million, CHF 50 million more.

That's mainly due. More than CHF 40 million out of the CHF 50 million increase is due to the pivotal trial for daridorexant, which came to an end, at least for the pivotal trial. There's still a lot of work to do, but in H2 2020. Drug discovery went also slightly down, from CHF 56million- CHF 49 million, mainly due to some projects that were postponed. There is clearly also in the numbers of the first half of 2020, an impact due to COVID-19. A clear underspend really relating to COVID-19, which is around CHF 30 million, CHF 40 million. Let's go to the next slide, 15. Let's hear how our cash flow came about. We started the year with CHF 739 million liquidity. We spent CHF 193 million non-GAAP OpEx, as we just discussed.

We cashed in CHF 59 million milestones. It was the CHF 50 million from Neurocrine, the CHF 9 million from Mochida. We had limited CapEx, CHF 4 million, an increase in working capital requirements, mainly CHF 16 million. As Jean-Paul already mentioned, we raised CHF 330 million gross with the issuance of 11 million new shares, at CHF 30 per share or CHF 323 million net after the 1% stamp duty on any capital increase in Switzerland after lawyers' and bankers' fees. We enter the second half with a strengthened balance sheet with CHF 908 million liquidity. Let's move to the next slide, number 16. This slide briefly gives you the breakdown of our liquidity with various durations to offset the negative interest rate environment on the Swiss Franc deposits.

As you can see, our liquidity is mainly held in CHF to avoid any currency risks. CHF 146 million are also held in US dollars to cover our forecasted expenses in US dollars. Next slide, please, number 17. I will finish with the revised guidance. Before giving you more color on this guidance of CHF 490 million non-GAAP and CHF 530 million US GAAP, keep in mind that it excludes additional milestone payments. In this guidance, the CHF 9 million are included, of course, and any potential award granted in the ongoing arbitration. The arbitration is substantially completed. Witnesses hearings took place a few weeks ago. We can now reasonably expect the decision of the arbitration panel before year-end. The CHF 24 million accrual that we also discussed a few minutes ago will be reversed, and the final award will be booked in the R&D expenses.

The final award is almost binary. It will be zero if the arbitration panel concludes, as we believe, that there was no change of control triggered by the Change A transaction. It could go up to CHF 92 million if the arbitration panel concludes that there was a change of control that would then trigger the acceleration of the milestone, CHF 75 million for Tarlho and possibly CHF 5 million for the second compound. On top, you would have statutory interest for late payment, CHF 12 million as of end of June. Should we lose the arbitration, of course, we would pay the same award to any remaining non-claimants. They are below 2% now, so it would be less than CHF 2 million by now. As I told you, we have some non-claimants that have already taken the offer we made.

In the worst-case scenario, the total impact could be up to CHF 94 million, plus additional statutory interest for late payment between end of June and the final judgment, plus potentially arbitration cost. We believe that no change of control occurred, and therefore the arbitration panel should not award any claim to the claimants, who will still be entitled, of course, to CHF 75 million targets and milestones if and when due. Back to the guidance. The CHF 490 million, or let's exclude the CHF 9 million, the CHF 480 million guidance. This means that with roughly CHF 183 million paid in H1, this would mean that we will spend CHF 300 million in the second half of 2020. First half explained, there is an underspend in Q2 due to COVID-19 crisis, and most of it should be spent in H2.

We also plan for some significant drug substance and drug product supply, around CHF 25 million for daridorexant. In order to have enough finished product for the launch of daridorexant, starting with U.S. We also plan for a significant increase with some commercial or marketing and selling expenses, fixed but also variable. It's another CHF 25 million in order to really prepare the market for the launch of daridorexant. We have another bucket, which is around CHF 20 million, where we are preparing for the phase III of our main phase II assets, i.e. cenerimod and selatogrel. Yes, it looks like a huge spend. The CHF 300 million looks like a huge spend in the second half of 2020. There is a catch-up due to the lower spend due to COVID-19 in the first half.

Also some one-offs in order to properly prepare the launch of daridorexant and the supply with finished products. With this, I hand over to Jean-Paul for his concluding remarks. Operator, please, next slide.

Jean-Paul Clozel
CEO, Idorsia

Slide 18. Thank you, André. Thank you, Simon. I hope you have seen that the company is moving forward, getting ready for a successful launch of daridorexant. It's always difficult because I have seen the data. You have not seen the data of daridorexant. In August, you will start to have a first look, and I think that you will not be disappointed. What you have also to remember, that until the end of the year, a lot of events, not only you will see the data of daridorexant, but there will be a lot of results that we will get. In the second half of this year, we are going to have the result of clazosentan in Japan. We are going to have maybe the phase II results of daridorexant in Japan. A lot of new information will come.

I say stay tuned because it's going to be an exciting second half of 2020. Thank you.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Thank you, Jean-Paul. With that, we've come to the end of our prepared remarks. Next slide, please. Now we can go into the Q&A session. Operator, please prepare the lines.

Operator

Ladies and gentlemen, we will now begin our question and answer session. If you have a question for our speakers, please dial zero and one on your telephone keypad now to enter the queue. Once your name has been announced, you can ask a question. If you find your question is answered before it is your turn to speak, you can dial zero and two to cancel your question. If you are using speaker equipment today, please lift the handset before making your selection. One moment, please, for the first question. The first question is from James Gordon, JPMorgan. Your line is now open. Please go ahead, sir.

James Gordon
Analyst, JPMorgan

Hello. Thanks a lot for taking the question. James Gordon, JPMorgan. First question was about orexin competition and J&J. We recently saw that J&J sold their stake in Idorsia, and that decision seemed to come quite shortly after they got full rights to their Orexin 2, seltorexant returned to them. Two elements to the question. One is, how do you think daridorexant stacks up against selto? Based on what we've seen so far in insomnia, is that a significant competitor we should worry about?

I think they're quite bullish about their orexin for use in depression rather than just in insomnia. Are you thinking about also doing Daridore for depression? Could that be an interesting opportunity? That was the first question. Second question would just be on partnering. I know Idorsia wants to take Daridore to market itself, or maybe you're using some sales organization, but in terms of other assets in the pipeline, do you still think that you'd necessarily want to take everything yourself? Now that Daridore is literally nailed on, could you actually say, "Well, something else we consider licensing to someone?" Could you monetize other things like the ponesimod royalty stream? Is there anything else that you might do more collaborative actions on?

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Okay. Let me just summarize your question. On the one hand, competition in the orexin environment, you're looking for comments on what do we think about seltorexant and whether we are interested in developing Daridorexant in the direction of depression. The second question is with regards to partnering. On the one hand, we acknowledge Daridorexant, we look for marketing muscle. Your question goes to whether we'd be inclined to partner out other things. Do I summarize that correctly?

James Gordon
Analyst, JPMorgan

Exactly. Partner out other things-

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

All right.

James Gordon
Analyst, JPMorgan

Even could you divert-.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Jean-Paul, do you want to take the question, please?

Jean-Paul Clozel
CEO, Idorsia

I think you have a very good question, James, about depression and sleep. It was a choice we had, let's say three or four years ago. Should we try to niche our product into a small indication, or should we go to the very large indication, which we did? At this time, we had also some discussion with the FDA and so we know a little bit what is their mind. I think frankly, it was very clear to me of why to go for a small niche indication if you have the whole big indication. Frankly, somebody who cannot sleep with depression can take daridorexant any day. There is no barrier and there is no reason why you should not take it.

How you can really make money if you go to a niche indication when somebody with supposedly a lower price will have cover your indication in addition to all the other indications. We always thought that there is no possibility to go to a niche first. Of course, because of our very good results, it doesn't exclude at all that we cannot start studies. I don't think this will be a registration study, but certainly scientifically valid studies in many different type of patients, and this might include, of course, depression, but this might include also patients with sleep apnea, where every type of indication you can think of. That's our strategy. First let's get the bigger label, and then show the benefit in a much more concrete way in subgroup of patients. This is, of course, a program which we are designing now.

I think that for seltorexant, frankly, what we have seen, it's a selective orexin. We do believe we need to block both receptor to get the whole benefits. The first results were not really convincing, so I'm not sure what is going to do Janssen with this drug.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Do you want to comment on our appetite for partnering other drugs than Daridorexant?

Jean-Paul Clozel
CEO, Idorsia

Yeah, I think that because we now know that Daridorexant is going to be put on the market, we are a little bit more relaxed to be able to find a partner. However, now we have also revenues, and so we know that we are closer to profitability than before. Frankly, we will partner and we are in discussion with some partners, but we need to have really good conditions because it's not a few CHF 2 million milestone which is going to change anything for Idorsia. We need either a very large partnership or no partnership.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Thank you, Jean-Paul.

James Gordon
Analyst, JPMorgan

Thank you.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Next question, please.

Operator

The next question is from Jamil Dash. Barclays, your line is now open. Please go ahead.

Speaker 7

Hi, everyone, it's Jamil Dash from Barclays. Apologies if I missed this in the call, but can you firstly remind us of your timing estimation just for clazosentan's REACT study and on aprocitentan phase III as well? Two more questions. Firstly, could you outline the potential implications that your daridorexant commercial plan will have on the company's capital requirements? Do you expect to raise more funds? Thirdly, what's your long-term vision for your subsidiary which now holds the full amount of Vaxxilon? Are there any R&D projects of interest that you might want to call out that are going on in there? Thank you.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Okay. Thank you, Jamil. I understood your second and your third question. What are our additional funding requirements and how does Vaxxilon potentially impact going forward? Those are two finance questions. I would defer those to André. Could you repeat your first question, please?

Jamil Dash
Analyst, Barclays

Sure. It was just an update on your timing estimations for the REACT study for clazosentan and on aprocitentan phase III.

Jean-Paul Clozel
CEO, Idorsia

Aprocitant.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Okay.

Jean-Paul Clozel
CEO, Idorsia

REACT is restarted. As we said, it was really stopped the recruitment. The Japanese studies are finished recruitment. We get the result this year. The REACT study is restarting, and frankly, it depends of what is going to happen in the U.S. and in some countries, because of the COVID. We know more about the timing exactly, I would say, at the end of the year. I know some patients have been recruited already. Frankly, is there a second wave in September or not? That's going to be the key. Our intention is to finish recruitment the whole next year.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Yeah.

Jean-Paul Clozel
CEO, Idorsia

By the end of the year, next year. We should have finished recruitment of REACT at the end of next year. You have to count three months of follow-up, so that the beginning of 2022, we should. It all depends on this COVID crisis. aprocitentan is moving well. We are opening a lot of new centers because we really want to compensate for these COVID delays. A lot of these patients come from United States. Who knows what is happening in United States, frankly. We are difficult to give you some timelines. We are more than halfway through. What is very important for you to know is that both for REACT and aprocitentan, of course, the patients continue to be treated during this COVID crisis, our safety assessments were continuing during this COVID crisis.

We had, for both of the program mentioned, DSMB looking at the data, and to my knowledge, no negative information came to us. The studies are continuing, which I think is very good because I have no doubt that, for example, aprocitentan works on blood pressure. Its safety is always a very important element to be informed.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Thank you, Jean-Paul. André, do you want to pick up on the funding requirements and Vaxxilon, please?

André Muller
CFO, Idorsia

Let me start by the smaller one, Vaxxilon. Yeah, as you've seen, we acquired the minority 26% equity stake. Also subordinated debt of CHF 12 million for an upfront of CHF 1.5 million. We also terminated with Max Planck the license around the synthetic carbohydrate vaccines. We fully integrate Vaxxilon in our drug discovery organization. There are two programs ongoing, one on CD30 and one on Klebsiella pneumoniae, that will require some more funding to go to the end of phase I, around CHF 10 million-CHF 15 million. If we enter in phase II, then the minority shareholders would be entitled to an amount of CHF 3.6 million, only if both would enter into a phase II. You're right, we are not a vaccine company.

We believe that if we have compelling results after phase I, we should seek for a partner for these two assets and maybe also the know-how developed by the Vaxxilon team. That's your third question. Regarding the second one and the funding gap. Yes, with the CHF 330 million, we have a strengthened balance sheet. As Jean-Paul said, this also allows us not to take offers from potential collaboration if we believe do not reflect the real value or potential value of some of the assets. We have some discussion on some of our assets as we had one concluded with Neurocrine for the calcium T-channel blocker. Clearly, also ahead of the launch, like the one of daridorexant that will require a set up of the commercial organization and pre-launch marketing and selling expenses. Yes, we are definitely not funded to break even.

Here, we want to remain nimble and to see if and when we want to raise cash, either through equity capital market or equity-linked capital market. You also alluded to royalty monetization deals. You have an ideal candidate now with the 8% revenue sharing we are entitled to regarding ponesimod. Of course, out-licensing deals with hopefully upfront payments and sharing of the development costs that would also reduce this funding gap. Yes, not funded until break even. We will need, in one way or the other, we need to raise more cash.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Thank you, André. Thank you, Jamil. Operator, next question, please.

Operator

Yes, the next question is from Ram Selvaraju, H.C. Wainwright. Your line is now open. Please go ahead.

Ram Selvaraju
Analyst, H.C. Wainwright

Thanks very much for taking my questions. Just two very quick ones. If we look at daridorexant and the commercial considerations for this molecule, is your thinking that if you were to pursue the commercialization of daridorexant exclusively independently, that having one product in the bag of the sales rep would be sufficient? Do you believe that it's potentially best to optimize daridorexant's commercial chances by having it be paired with additional products?

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Thank you, Ram. Simon?

Simon Jose
EVP and CCO, Idorsia

Yeah, I'll take that. If you look at it purely through a financial lens, often people will conclude that having a second product clearly allows you to amortize the cost of the sales force. Conversely, we also know that when people are very focused on one disease area, one product, they actually are way more effective. Right now, when we launch daridorexant with the sales force, it will just be carrying daridorexant. If in the future there is a call for other primary care support for a future asset, clearly we can build that into the sales force. When we launch, it will just be with daridorexant and insomnia.

Ram Selvaraju
Analyst, H.C. Wainwright

Okay. Just very quickly on approach and just a clarification question on the timeline. Is the revised timeline or the timeline that you talked about today of mid-2022 taking into account sort of a full resolution of the COVID-19 situation and its impact that you have seen so far on enrollment? Are you assuming sort of continuation of the COVID-19 impact throughout the course of next year? Just wanted some clarity on that, please. Thank you.

Jean-Paul Clozel
CEO, Idorsia

Yeah. I think we are not so optimistic to believe this is going to resolve. I don't think that until we get a vaccine, I think unfortunately we have to live with that. Many countries reopen, many countries seem to be able to cope with it and can now recruit patients, include patients. What we told is that we are anticipating the problems of COVID and, for example, increasing the number of centers because we think that the output of the centers is going to decrease from what we had planned. The timing that mentioned, it's difficult, really difficult to be precise. The timing is including continuation of the crisis. The question, of course, is which geographical areas is it going to get worse or better? Some studies, for example, lucerastat, maybe more European studies where we can't really recruit patients in Europe.

In Japan, we have also done the lucerastat study. It's possible. For some disease, U.S. is very important. U.S. surprisingly, in my mind, but surprisingly, is in bad shape for the COVID crisis in the present time.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Thank you, Ram. Operator, next question, please.

Operator

The next question is from Graig Suvannavejh, Goldman Sachs. Your line is now open. Please go ahead.

Graig Suvannavejh
Analyst, Goldman Sachs

Yeah, thanks. Good morning, good afternoon. Thanks for taking my questions. I've got two today. The first, I really want to go back to the phase III data for daridorexant, and the plan to pool the data from the two studies. I just want to clarify, is your understanding that pooling of the data is something that the agency will accept? In other words, did you need to show two separate positive phase III studies, or is it pre-specified that you could pool the data together in order to have an integrated view of the efficacy of the product? That's my first question. My second question really speaks to the commercialization efforts around daridorexant.

I'm just wondering, at this stage in the game, if I could ask, what does the company think the key critical success factors are for a successful launch in this space, in light of the fact that there is heavy use of non-branded products like trazodone, as you pointed out. You will be the third DORA to the market and differentiation versus the other two DORAs. I'm just trying to get a better sense of how the company is thinking where Darido can really differentiate, not only versus other DORAs, but just generally in the market. Thank you.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Great questions, Graig. Thank you. Jean-Paul, you want to take the one on the pre-spec?

Jean-Paul Clozel
CEO, Idorsia

Yeah, I will take the one and half of the second one. I give half to Simon. First one is, first of all, we don't need to pool. The two studies are positive. When you see the data, there is no doubt. The FDA wants to know what is the dose, and we know that 50 mgs, everything was positive. Frankly, in 25 mgs, a lot of elements are positive in both studies. I think there is no doubt that this 25 milligrams doesn't need the pooling. The pooling is just going to precise for the FDA the extent of the effect, because we have a very clear confirmation of how much is the 25 mg efficacy. There is no doubt. The 25 milligram works, and there is no doubt that the 25 mgs has an effect on the functioning.

Just for your information, 10 mgs, which was suvorexant, which was approved by the FDA, has never been tested in phase III. Never. The FDA doesn't really want to have two studies. They can even approve a dose which has never been tested. They want to know if the drug works and what is the dose, and we have given to the FDA, we are going to give them the best data they have read with the sleeping agent, where we know that the 10 mg really has a minimum effect. It's a very small effect. While with 50 mg is fantastic, gets everything we want. While 25 mg is between the two, and frankly, I think that with that and with incredible safety, which is very interesting because 50 is even, I would say, at least as safe as 25.

Really, I have absolutely no doubt that the FDA will be very happy to see this data. Of course, the pooling is very nice, but it's a cherry on the cake because frankly, I don't think it's even needed. We'll do it. It has been pre-planned, and the FDA knows that we are going to do it. Of course, this is going to be interesting information. Just before Simon answer, it's interesting because you say it's a third of the product, it's a third of the thing. There are 20 generics or 30 generics company. The most important is what is really, do you have the right product? You can have 40, 50, 100 products. If they are not the right product, it doesn't matter. You need to have the right product, the best product, the product which does the job.

Frankly, we have it. This is the first time in the sleep market you will see a drug which can make you sleep faster, better, longer and doesn't have safety consequences, and even more, can improve your functioning in the day. No drug can do it because it took us 22 years to get it there. It didn't come by chance. We fought it so much. We made 30,000 products in order to get this one. Frankly, it was so difficult because you needed the perfect pharmacokinetic, the perfect affinity over the receptors. It's going to be really disruptive. Now, starting from the big product, there is a lot of things to be done, and Simon is going to tell what is going to be important.

Simon Jose
EVP and CCO, Idorsia

Thanks, Jean-Paul. There's no doubt that just because we're another DORA, they are very different in their PK profile. You only have to look at the dose response we get on efficacy and the lack of dose response we see with our adverse event profile. That is a very different product than suvorexant or lemborexant. In a way, I think that flips into the access point because we're obviously aware that we're entering a largely generic market. The first thing is we've got to have a differentiated product, which we absolutely have. Secondly, I think unlike many generic markets where people, by the way, can still succeed, we know that there's a systemic concern about the use of the generic agents at the moment. I think the reason we're seeing people moving to trazodone is because they don't have other options.

When you start using the off-target effect of an unlicensed medication in preference to the licensed medications, to me, that just tells us that we've got a big opportunity in front of us. Obviously, we're working through all the activities around market access and payers and everything else, but I think we're confident with the profile of the product and the growing concern about the agents that are in the market right now. That will not be a barrier to us being successful.

Jean-Paul Clozel
CEO, Idorsia

Also as we say, the preparation, the pre-marketing, the market access, this was mentioned, there are a lot of other activities. A launch is a huge enterprise, and I would say the most important success factor, because you are going to ask me, is the experience of people who have made successful launch. You cannot invent what is needed to successfully launch. I think that we have a good team, and really, we have the most important, it's a fantastic product.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Thank you, Jean-Paul. I hope that satisfies your questions, Graig. We've come to the top of the hour operator, are there more questions?

Operator

We do have another question from Nick Nieland from Citi.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Great.

Operator

The line is now open. Please go ahead.

Nick Nieland
Analyst, Citi

Thanks for taking the questions. They're quick ones. I note that the second DORA to the market looks to have been launched at a price discount to BELSOMRA, and I wondered whether you could comment on whether you think the profile you've demonstrated for daridorexant would command a price premium. Secondly, on daridorexant, I wonder how much of the marketing is going to be direct to consumer and how much that might be part of your costs in 2021. Thirdly, just on the CHF 300 million cash burns for the second half of 2020, is that a realistic run rate for 2021? I wonder if you could just talk about the moving parts of your costs in 2021, and whether we can use that CHF 300 million as a run rate or will that be lower? Thank you.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Thank you, Nick. The first two, I think, for Simon, and then the third one on the cash burn run rate, coming out of the second half of the year.

Jean-Paul Clozel
CEO, Idorsia

André, do you want to comment on 2021 after Simon?

Simon Jose
EVP and CCO, Idorsia

Sure. Thanks, Nick. Good questions. You have to obviously ask Eisai about why they've gone 25% lower than Suvorexant. It's early days for us to be talking about price, we certainly plan to price the product according to the value that we're bringing to the marketplace. On the second thing with regard to DTC, we absolutely see the patient and the consumer being critical in this launch and this product. I think DTC now, we should not be just thinking of big television spend. I think there's an awful lot now of different channels where we can get to patients through digital technology, omni-channel marketing, much more targeted, much more personalized messaging, and that certainly would be part of our plan. In 2021, obviously, there'll be no branded activity because we won't be approved. We would expect to be starting our pre-launch activity as Jean-Paul's referred to.

Jean-Paul Clozel
CEO, Idorsia

Just before we go to the finance and André maybe answer the last question, I'd like really to make a quick scientific explanation why it's so important to have a short half-life and a reproducible absorption. I think that what you see with Eisai product is a huge problem related to a half-life of 14 hours or 15 hours and a huge variability into the absorption. In order to avoid, you are between the rock and a hard place if you want to get good efficacy, you are going to get long-term side effects because people won't be able to wake up. If you don't want side effects, you have to have a low efficacy. The worst of it is you don't know how to choose a dose because from one patient to the other, there is a huge overlap between the two plasma concentration. You are stuck.

This is why we took so much time for us to find the right kinetic, short half-life, good absorption, reproducibility, no drug interactions, because that allows to perfectly titrate each patient to the right plasma concentration and also to avoid the remaining efficacy of the drug in the morning. What can you do if you are still sleeping in the morning? You cannot avoid that. The only way is to give less, and if you give less, you have less efficacy. There is really a huge importance of the pharmacokinetics for this product, and you have to remember that. This is why we have a unique drug. Now, maybe André can discuss. Because we are not in the guidance of 2021, I suspect, but maybe André, you can give some answer.

André Muller
CFO, Idorsia

No, I always agree with my CEO. We are definitely not giving a guidance for 2021. What is clear and what was quite transparent, there are some one-offs in the second half catch up due to delays of COVID-19 and one-offs because of significant drug substance and drug product. Those will be for Daridorexant plus some extra costs to prepare for the phase III of selatogrel and cenerimod. I would rather not take the second quarter, the second half, as a basis for 2021. We could spend up to CHF 480, excluding key milestone. CHF 480 for sure next year, we will go down in R&D because we finish some very expensive phase III trial with Daridorexant. Depending when we will initiate the phase III for cenerimod and selatogrel, this will have an impact.

For sure, globally, I would expect to be low, but for sure, Simon will have to properly assess market by market, starting with U.S. Not so much with the commercial organization, but also with all the pre-launch marketing expenses, which will be a one-off, how much would we spend in 2021 ahead of the launch that should take place at beginning of 2022 with the current timelines. We're not willing to make any commitments. The only thing I can tell you is that there will be a shift between R&D and G&A in favor of additional costs in commercial. That's the price to pay in order to size what we believe is a huge opportunity in the insomnia market.

Jean-Paul Clozel
CEO, Idorsia

Thank you, André. Operator, do we have questions left?

Operator

We have one final question from Barbora Blaha, Credit Suisse. Your line is now open. Please go ahead.

Barbora Blaha
Analyst, Credit Suisse

Hi. Thank you for taking my questions. I have two very quick questions. First, for daridorexant, can you remind us of the filing and commercialization plans in Europe? Do you intend to file here and also launch with a partner, et cetera? Other question is regarding cenerimod. Do you plan to do the phase III trial with a partner and share the R&D costs, or do you prepare it to do it by yourself? Thank you.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Okay. With regards to European launch, Simon, it would be nice to have a comment from you. On cenerimod, the future of the phase III, Jean-Paul, maybe.

Simon Jose
EVP and CCO, Idorsia

We see a big opportunity in Europe, actually. All of the issues we've talked about today, although focused on the U.S., are all there in Europe in terms of the prevalence of the use of the Zs and the benzos. In fact, I think there's increased concern from the regulators in Europe about the use of these agents, and they're restricting use to much shorter timelines than we see in the States. We do see an opportunity in Europe. Obviously, it's a heterogeneous market, so the countries look different in terms of which products are predominant, and also the concentration of the prescription. In terms of your question on partnership, that's something that we're looking at.

As we've said, with both Japan and the U.S., where we believe we require to get into primary care, then we'll look for somebody to work with regard to sales force support to do that. We would continue to remain in control of the core commercial capabilities and the asset across Europe.

Jean-Paul Clozel
CEO, Idorsia

For cenerimod, you have seen, I think that lupus becomes more and more exciting. I think that there were many candidates in phase III. You have seen some many failures now recently, and therefore, the value of cenerimod increased. I think we are closer to the results, and it's going to be difficult for people to partner a drug a few weeks or months before getting the results. I think that we first should see the results, and then we see the strategy, because I think that it's very difficult because it's a very big product. It would be a very large milestones or amount of money, and it's difficult to pay for such a milestone a few months or before the results.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Thank you, Jean-Paul. Thank you, Barbora.

Barbora Blaha
Analyst, Credit Suisse

Thank you.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Operator, I assume we don't have no more questions.

Operator

That's correct. We have no questions left.

Andrew Weiss
Head of Investor Relations and Corporate Communications, Idorsia

Thank you, Ali. With that, we come to the end of today's first half conference call. Thank you very much for your ongoing interest in Idorsia. As Jean-Paul said, it is going to be a very busy second half, stay tuned. Operator, please close down the lines.

Operator

Ladies and gentlemen, thank you for your attendance. This call has been concluded. You may disconnect.