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Earnings Call: Q4 2020
Mar 29, 2021
Good day and thank you for standing by. Welcome to the Amcherella 2020 Business Update Conference Call. At this time, all participants are in a listen only mode. After the speakers' presentation, there will be a question and answer session. I would now like to hand the conference over to Trim stand by.
Thank you. Please go ahead.
Good afternoon, and welcome to Accelera's first earnings conference call And our 2020 Annual Business Update. We are pleased to have you with us today, where we will discuss the results announced in our press release issued after the market closed today, which you can find on our Investor Relations website. With me on the call today are Doctor. Carl Hansen, AcelRas' President and Chief Executive Officer and Andrew Booth, AcelRas' Chief Financial Officer. For those of you who have accessed the streaming portion of the webcast, please be aware that there may be a delay and that you will not be able to post questions via the web.
This presentation may contain forward looking statements pursuant to the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. Any forward looking statements are based on management's current expectations and are subject to certain risks and uncertainties. Please review our will be in the SEC filings for risk factors that could impact our future performance. A presentation and SEC filings are available on our Investor Relations website. Note that all dollars referred to during our call today are U.
S. Dollars. Now, I am pleased to turn the call over to Carl Hansen.
Thank you, Trim, and thank you everyone for joining us today. 2020 was a breakout year for Accelerate on all fronts. We secured financing, expanded our technology platform and in December began trading on the NASDAQ. I'm excited to tell you about 2020 And where we will be going in 2021 and beyond. Briefly, through our work in pandemic response, we proved the power of our and our business model discovering bamlanivimab, the first therapeutic antibody against COVID-nineteen at world record speed.
Bamlanivimab was granted emergency use authorization in November and has already been used to treat more than 400,000 patients. At the same time, we continue to invest in our platform and build capacity, including almost doubling our headcount and acquiring key technologies, including a proprietary humanized rodent platform and a bispecific engineering platform. We also secured funding for and began work on the build out of CMC and GMP manufacturing capabilities. Finally, We ended the year with nearly $600,000,000 in cash and over $200,000,000 in accounts receivable. This provides a strong cash position with which we will execute our plans for future growth.
Since this is our first earnings call, I'd like to highlight how we are executing on our vision to develop new technologies and new business models that accelerate drug discovery across the industry. At Cellar was founded on the philosophy that pushing back the frontiers of technology is the surest way to transform drug development and that the impact of these technologies is amplified by business models that are centered around partnerships. Working at the interface of computation, engineering and biology, Accelerate is redefining the process of how drugs are are covered. We have spent the last 9 years building an operating system that can search, decode and analyze natural immune systems define rare antibodies that can be developed into treatment. Our unique business model brings our operating system to the industry Through partnership, over the past 6 years, we have partnered on over 100 therapeutic antibody discovery programs, working with companies that span the gamut from early stage biotech are to some of the world's largest and most enabled biopharmaceutical companies.
By partnering with Accellera, these groups can move more quickly, reduce costs And tackle some of the toughest problems in antibody discovery. Typically, our partners come to us when they have identified a disease target. We then apply our technology to discover high quality potent antibodies that are suitable for development and we return these antibodies to our partners for final preclinical development and clinical testing. While our work on COVID-nineteen has attracted a great deal of attention, the vast majority of our programs are in other therapeutic areas. This includes partnerships in oncology, inflammation, cardiovascular disease, pain, neurodegeneration and many more.
We structure our agreements in a way that aligns our interests with the success of our partners and ultimately with the patients they serve. Our partnership agreements include technical access fees and research payments, clinical and commercial milestones and royalties on net sales of approved products. It is worth noting that while we work in the biotech sector, we do not consider ourselves to be a biotech company. That is because we are not focused on developing our own pipeline of are proprietary drugs to the clinic. We are also not a tools company.
We do not sell instruments and devices. Rather, We have established a centralized business model where we invest in teams, technology and facilities and provide access to these capabilities through partnerships. By working with others, we believe we can lift up the entire biologics industry. We believe our technology advantage comes from combining 3 things: proprietary technologies that can generate massive multidimensional antibody datasets, custom software systems to aggregate, store and maintain data and artificial intelligence and powerful computational tools to extract actionable information from this data. Our stack weaves together proprietary technologies from microfluidics, single cell analysis, genomics, protein engineering, machine learning, robotics and automation.
Together these tools provide core functionality to source, search, find, analyze and engineer therapeutic antibodies. This process generates millions of data points with each program. Our growing data set allows our platform to become more powerful and more accurate with each program. Data generated through our discovery partnerships provides the basis for training AI algorithms that lead to new insights into antibody responses improve the next round of data generation. As we scale our business, this flywheel effect will lead to continuous and accelerating technological advantage.
We believe our platform and business model solves 2 orthogonal technology problems. 1st, we opened up important target have been outside the reach of legacy technologies. 2nd, our centralized model democratizes access to these technologies, Which enables our partners to start programs without delay and prosecute them at maximum speed. For example, are at the cutting edge of what is possible. This has traditionally been our beachhead market and where we continue to invest in technologies that we believe can open up large swaths On the other side of the spectrum, we partner with smaller companies that typically do not have access to the requisite technology, expertise and bandwidth could go from idea to a therapeutic lead.
For these companies, working with us removes the redundancy of attempting to set up their own discovery capabilities. This empowers them to move programs forward immediately and to focus on the innovation that is novel and unique to them, their target biology or their unique technologies. As an example of how Accelerate can be the operating system for quickly launching new companies, we recently announced a partnership with Adera, a precision oncology company working on a class of drugs that use antibodies armed with radioisotopes to destroy cancer cells. As another example, in 2020, we announced a partnership with Invitex, a biotech company at the forefront of developing antibody treatments for Companion animals and pets. We subsequently announced an expansion of this collaboration after successfully completing the initial programs.
A highlight of our work in 2020 was our response to the current pandemic that led to the discovery of bamlanivimab, the first monoclonal antibody for COVID-nineteen. We believe that this is a time compressed example of how our technology and business model can bring treatments to patients faster. In March of last year, we We mobilized our technology to find solutions for COVID-nineteen. At the beginning of this response, we made a decision to develop a single antibody, Emphasizing speed and scalability, so that we would be able to help as many patients as quickly as possible. That decision has saved lives.
Over the past 4 months, bamlanivimab has been used to treat approximately 400,000 high risk COVID-nineteen patients in the U. S. Alone, more than any other COVID-nineteen We believe this has kept thousands of people out of hospital and it saved thousands of lives. The speed of developing bamlanivmab is a testament both to our technology and to the efforts of all teams involved, including our collaborators at the Vaccine Research Center at the NIH and Eli Lilly. When the entire world mobilized against COVID-nineteen, we started several months after other well enabled groups, Yes, we succeeded in bringing the 1st monoclonal antibody therapy to the clinic and we're the 1st to be authorized by the FDA.
Today, in the U. S. Has been evaluated both alone and together with other antibodies in more than 5,000 patients across multiple clinical trials and is currently authorized in more than 15 countries. Bamlanivimab alone has been shown to reduce hospitalization by 70% in high risk patients with early COVID-nineteen infection And prevent COVID-nineteen in nursing homes by reducing the risk of contracting the virus by up to 80%. Because of its potency, bamlizumab also provides a therapeutic have a backbone for new combination therapies to expand the protection against viral variants.
The first disease, bamlanivimab together with aducivimab has been authorized in the U. S. And within the European Union and is predicted to be effective against 99% of variants currently circulating in the U. S. Recent Phase 3 data showed that this antibody therapy reduces COVID-nineteen related hospitalizations and deaths by 87%.
Most importantly, across all patients treated with antibody therapy in these clinical trials, there has yet to be a single observed COVID-nineteen related death. I'd like to emphasize that again. Not a single COVID-nineteen related death has been observed in patients treated with bamlanivimab either alone or together with edasimab. In January, It was also announced that familimumab is being evaluated together with VER-seven thousand eight hundred and thirty one to treat COVID-nineteen in low risk patients. Just this morning, top line data released from the Phase 2 BLAZE 4 trial showed that the 2 monoclonal antibodies demonstrated a 70% relative reduction in persistently high viral load at day 7 compared to placebo.
While the speed and manufacturing scalability was the most important criteria early in the response, we anticipated that next generation antibodies would be needed to to combat emerging variants. For that reason, over the past year, we have continued to screen patient samples, are identifying thousands of human antibodies and generating massive amounts of information about how the human immune system responds to COVID-nineteen. In January, following the emergence of the South African variant, we screened our human antibody database to find a next generation antibody. In neutralization assays, this second antibody called 1404 is significantly more potent than any other antibody reported to date And it's predicted to neutralize all circulating variants, including the South African strain, the U. K.
Strain, the New York, Brazil and California are in. In late January, Lilly moved 1404 into preclinical development and manufacturing. We expect we will reach the clinic in Q2 of this year and have a goal of reaching emergency use authorization by mid year. Given the breadth and potency of 1404, we believe this antibody has potential to be a best in class therapeutic. We also believe antibody therapies are an important complementary approach to vaccines both now and in the likely scenario that COVID-nineteen becomes an endemic problem.
In summary, over the past 12 months, we've applied our technology to discover what we believe could be the 2 most potent antibodies against COVID-nineteen yet reported. We have proven that we are able to respond in real time with solutions that evolve along with pandemic. Pandemics will happen again. And when they do, we'll be here and we'll be ready. Despite the massive impact of this work, I'd like to emphasize that Accelerate is not a COVID-nineteen company.
In fact, our work in COVID-nineteen represents only 2 programs in our portfolio. We have more than 100 programs with a variety of partners that stand nearly every indication and we're just getting started. We see our work in COVID-nineteen as a proof point of how long term investments in technology and teams can help make a difference in how new treatments get to patients And that this is best done in a partnership model. In 2020, we drove several initiatives to further our competitive advantage, including upstream and downstream integration to our technology stack and expanding our capabilities. Our strategy is to continue investing are ready to deepen and expand our technology platform.
And in 2020, we made 2 key acquisitions. The first was OrtheMap, are a clinically validated protein engineering platform that allows for any 2 human antibodies to be recombined into a single molecule that can simultaneously engage with 2 targets. These antibodies known as bispecifics continue to be one of the fastest growing subclasses of biologics. We believe Orthemab when coupled with our discovery engine have the potential to be a best in class technology. The second was the acquisition of Treani.
This is a modern version of humanized rodents, which have been by far the richest source of new therapeutics. The Triani mouse, the flagship is one of a very few in the industry that contain all the human genes that have been inserted into the genome in a controlled way. This acquisition is already paying off. It was recently announced that Novorock Therapeutics was granted approval for their Phase 1 study And is the result of work performed by Novorox through a licensing agreement in early 2018. We plan to use the training platform to do further R and D to bring next generation mice that are suited for generating antibodies against the toughest problems in the industry.
We are currently developing 4 next gen mice and are building up capabilities for additional expansion. We have also licensed access to the flagship mouse to large well enabled partners are continuing to negotiate new licensing deals. We are also excited to make long term investments in the forward integration of our workflow, Which includes the development of translational sciences, CMC and GMP manufacturing capabilities. We expect that those investments, Which will play out over the next 2 to 3 years will allow us to support smaller companies right from Target through the IND all within a single integrated solution. At Accelera, team is everything.
This year we doubled our team to scale with our business growth ending the year with 2 have been 6 employees, up from 107 in 2019. We expect this growth in our workforce to continue through 2021. The work we've done in 2020 provides numerous proof points for our founding philosophy. We believe that by expanding technology capabilities and assets, We can help accelerate the development of new therapies to patients and lift up the antibody discovery industry. Over the next few years, we will further extend our technological lead, investing in our platform technology, expanding our capacity with people and facilities, And deepening our relationship across the industry.
Before I turn it over to Andrew,
I would like to take
a moment to acknowledge our team. This year has been unlike any we have ever faced. Your unwavering dedication and courage has made a difference to patients. Thank you all for your work this year. And now, I'll turn it over to Andrew Booth, our CFO to provide an overview of our 2020 financials.
Thanks, Carl. I'll start by looking at our KPIs. We ended 2020 with 103 programs under contract with 27 different partners. That's a 72% increase in programs under contract as compared to how we had ended the end of 2019. In 2020, we added 9 program starts to the cumulative 43 starts we had at the end of 2019.
We believe that the lion's share of the economic value in our partnerships is connected with our shared participation in the success of the therapeutics that we discover that are discovered by our platform. Since 2018, we have only accepted programs with downstream participation. And in 2020, we actually converted some existing programs without royalties to now include downstream participation as we have expanded our collaboration with certain partners. Looking at revenue, Revenue in 2020 grew 20 fold over 2019 to $233,000,000 We have significant royalties and several milestone check business. While our business model emphasizes participation in downstream economics, we earned research fees of approximately $20,000,000 which were attributable to the range of discovery programs we worked on for our partners.
This represents 71% growth over 2019. The research fees reflect work on new programs with new and existing partners as well as activities from ongoing projects. We achieved royalty revenue of $198,000,000 and milestone payments of $15,000,000 attributable to bamlanivimab achieving milestones all the way from Phase 1 through to 1st commercial sale by Lilly in the United States. In terms of bamlanivimab, we are eligible to receive royalties on all sales, whether it is used alone or together with another antibody. We are also eligible to receive royalties on all sales of 1404, whether used alone or together with another antibody Directly attributable to the $198,000,000 in royalty revenue we earned from Lilly's sales of bamlanivimab were $27,000,000 in royalty fees payable to the NIH.
The net impact of royalties on income from operations in 2020 was therefore $171,000,000 This net amount is in line and as expected with our disclosed terms under the agreement with Lilly We view these royalties as a non dilutive source of funding for the company. While we will not be giving forward guidance in the future, Given that we're only 2 days away from the end of the quarter, we can give you some insight into what we are expecting for revenues. Based on the publicly available shipment data of bamlanivimab and calculating our associated royalty, we expect that our Q1 2021 total revenues will be between $190,000,000 $210,000,000 Looking at operating expenses, our operating expenses further reflect the continued investment in our platform and infrastructure to grow our business. Our research and development spend in 2020 was $29,000,000 We are continuing to expand our R and D team's capabilities and capacity. This allows us to deliver on our partner programs as well as to enhance our technology stack organically.
I'd like to call out 2 expense items in R and D that are not are expected to repeat in the future. The first is the expense of $4,000,000 from in process R and D from the acquisition of the Orthemab platform provide specific antibodies. This was an important inorganic move to add to our technology stacks capabilities. The second is an expense for liability classified options Or LCO, related to changing our functional currency to U. S.
Dollars from Canadian dollars in 2020, where the strike price from options was still in Canadian dollars. This is a non cash expense that will be settled in equity when employees exercise the associated options. All option holders have since converted strike price to U. S. Dollars in the Q1 of 2021, so we won't expect to see this expense in the future.
We are also extending the reach and capacity of our business development team as reflected in sales and marketing expenses of nearly $4,000,000 in 2020. This $2,600,000 or 3 times increase was primarily driven by the expansion of the team. It also supported additional marketing in the quarter will be in the
range of $1,000,000,000 We
will continue to invest and grow this function to address the demand that we see from business development. In general and administration expenses for 2020, there were $12,000,000 The increase from 2019 was driven by strengthening of the team and other activities to support the overall growth of the company and to prepare for being a listed entity. This amount also includes nearly $2,000,000 in costs incurred in connection with our preferred share financing and IPO in 2020. There are 3 other items on the income statement that I would like to mention. Depreciation and amortization increased by $3,200,000 to $4,800,000 That increase is as expected, reflecting the strong investment in the business, Including amortization of intangibles related to the Triani acquisition.
Much of the interest and other expense of $6,500,000 was incurred in relation to the OrbiMed credit agreement and an earlier credit facility, both of which we've retired during the year. We ended the year with no commercial debt. Going forward, we expect interest expense to be nominal given our strong liquidity position and the debt that you see on our balance sheet is from a Canadian government repayable funding program that carries 0 interest. Finally, Grants and incentives in 2020 saw a $6,500,000 increase from 2019 to $8,300,000 This is mostly related to cost recovery from the Government of Canada funding our Strategic Innovation or SIFT project. In 2020, we secured total SIF funding of $126,000,000 over 5 years, which is dedicated to future infrastructure investments, including CMC and small scale GMP manufacturing capabilities.
Any additional cash from the SIFT project that we receive for eligible capital expenditure activities will result in the recognition of a deferred credit on the balance sheet for future periods. 2020 was also the 1st year in which we incurred an income tax expense. In total, our provision for income taxes was $39,000,000 Looking at net earnings, our net earnings in 2020 jumped to $119,000,000 from a $2,000,000 loss in 2019. This is of course in large part due to the success of bamlanivimab. In terms of earnings per share, this works out to a basic earnings of $0.53 per share and diluted earnings of $0.45 per share.
Excluding the 3 non recurring items I mentioned above, The liability classified options, the Duologix IPR and D expense and financing costs, Our basic EPS would have been about $0.60 per share and $0.49 on a diluted basis. Looking at cash, operating activities contributed another $23,000,000 Consistent with the capital efficiency that we have demonstrated in the past. In 2020, we were successful in multiple rounds of financing, from our December IPO as well as $75,000,000 raised from our Series A2 $90,000,000 from our convertible note issuance earlier in the year in facilities and equipment to strengthen our teams and technology platform. We finished 2020 with $594,000,000 of cash and equivalents. Of note, after the year ended, we have received $198,000,000 of accrued accounts receivable balance into cash.
Overall, we are now in a strong liquidity position, which will allow us to continue to build capacity, expand platform capabilities and pursue business development initiatives. With that, we'll now take your questions. Operator?
Your first question is from Thiago Fox with Credit Suisse.
Thank you for taking the questions and congrats on the progress. So can you just contextualize historically your presence and efforts in the And now with greater access to capital, how will that move forward? What's your current capacity in terms of new program starts per year? How quickly can that
And perhaps the follow-up to that would be the communication run with the investor community. I know a lot of that is out
of your hands. It's in the hands of partners. But How can investors expect to hear updates on the advancement of the preclinical portfolio? And perhaps based on historical rates,
Alessi, I'll go. Karl Anton here. Thank you for the question. Maybe I'll answer there were a few questions wrapped up together there. Maybe I'll answer the last one that you asked And then give some background on the business development team, then hand off to Andrew in terms of future expectations for business So starting with the last part of your question, our business model is predicated on 4 gs partnership to connect our success with that of our partners.
We typically do that by bringing their programs in house, applying our technology and then handing back include those in preclinical development and through the clinic, and then we collect milestone and royalty payments as those molecules move through development. We typically do not have good insight into the stage of those programs as they reach the clinic. Of course, when they do reach the clinic And we received milestone payments. We know the progress and we will be reporting on those. Coming to the first part of the question, which was about business development activities.
In the early years of Accelerab, business development was, I'd say, modestly resourced. That was largely because the company was growing quickly Inorganically, recently we have changed posture and begun to build out that business development team. That's included several new hires And we will be establishing a presence in the U. S. And perhaps also in Europe in the near term.
With that, I'll hand over to Andrew to give some color on the rest of your question. Just a quick correction. Carl said in the early years, we were growing inorganically actually. I think he meant we were growing The team and really that has been to accommodate the demand that we're seeing. So our business development pipeline I think has never been stronger In the 8 year history of the company.
And so we anticipate, as we have talked about on previous calls, Really making sure we're staffing and resourcing that team appropriately. You talked about capacity there. I just wanted to point out that When you look at the programs we have under contract and then the ones we've started on, it would be a mistake take to think that that's a backlog that we're dealing with. It is actually more that we have signed more multi year, multi target deals where it's completely normal To have our customers calling those programs over time and agreeing on a statement of work, arranging reagents and then for the programs to start, We really view that more as almost sales that we have secured in advance And we have as of yet not been in a position where we did not have capacity in order to start any of the programs that were called And we'll continue to make sure we're making the investments, so that's the case.
Great. Thank you so much for your help. Appreciate
it. Your next question is from Stephen Willey with Stifel.
Yes, good afternoon. Thanks for taking the questions. I was wondering if you could maybe just provide a little bit more color around 1404. I know that you and again, I'm not sure to what extent you're constrained and what you might be able to say, but you did highlight the significant increase Just wondering if you can maybe speak to some of the other biochemical properties of the antibody. And I guess, I'm specifically interested in whether or not this has been kind of prospectively developed with the intention to make sure that you have a
Thanks, Steve. Karl Hansen here. I'll take that question. So 1404, as I mentioned in my prepared remarks, was the result of going back deliberately into a large library of antibodies that we have assembled since the beginning of the pandemic, searching for one that has That rare combination of ultra potency and breadth against all the variants that have emerged. We're at a position now that the pandemic has been going on for a year And we've got a pretty good idea of what are the most mutated regions of the virus and ones that have occurred and created an issue With existing therapeutics.
1404 fits that bill perfectly. So in our internal neutralization assays, We have benchmarked this against bamlanivimab, which in our hands is the most potent antibody of any that's out there in neutralization assays. And it performs appear to that antibody and considerably better than others that are out there. And it also, as I mentioned, has very broad Reactivity across all the strains that are currently of concern. Given the potency of this antibody, we believe And its behavior thus far in preclinical studies, which of course are not finished yet.
We believe this antibody has High potential for one that could be administered subcu. And I'll also note the importance of the potency of that antibody on are manufacturing because of course given a fixed amount of manufacturing, the more potent antibody and the lower the dose that's possible, The more people that can be helped. So we're very excited about this molecule. I want to just temper that with a statement that this molecule is still in preclinical development. And so until it is in the clinic and has been tested in patients, we don't yet know It's potency and that's why we need to make sure that those clinical trials proceed as quickly as possible.
Understood. That's helpful color. And then I was just maybe wondering if you could provide a little bit of color with respect to where you are on the litigation with Berkeley and Just whether or not we should be anticipating any kind of material updates there throughout the year. And thanks.
Sure. The litigation with Berkeley Lights is proceeding. It's proceeding as expected. We don't have any material updates, but of course, If there are updates, we will be disclosing those to the public.
All right. Thanks for taking the questions.
Thanks, Steve.
Your next question is from Gal Munda with Berenberg.
Hi, there. Thanks for taking my questions. I just have a couple. Maybe if I can just start a little bit about the success you've had over 2020 when you added more than 40 new programs are under contract and then in terms of the program starts as well seeing good progression. Do you have any indication of what we could reasonably expect for 2021 in those fronts?
Is that a good way to kind of continue to track progress within the year.
I'd say that is the right KPI to be looking at. We again, we have been are stressing programs under contract as the leading indicator of the long term success of the business model. We will be giving those updates As we progress through the year, so once we finalize contracts and agree on a press release with our partner In the ordinary course, we will be issuing press releases accordingly. So that would absolutely be the thing to watch out for Gal. So and thanks for the question.
Then of course, we will continue to on a quarterly basis report out with the programs are contract that have been secured for the period that we'll be reporting on. So in future earnings releases, we will make sure we highlight will take those
as we go through the year.
Karl Hansen here, just to add one more bit of color on that. I think it is fair to say that the business development pipeline has never been stronger. I believe that that's a combination Of the success of the IPO, the profile that we've built with the program on COVID-nineteen, which has underscored the power of the platform, And also with the continual expansion of our capabilities of both internal R and D and Inorganically and the recognition of that from the industry. So we are very bullish on continuing to grow the business.
That's really helpful. Thank you. And then just as a follow-up, what I noted, effectively, if you look at the number of programs and number Partners that you've added, that number of programs per partner has increased by about 1 on average, right, from almost 3 to almost 4. Is that a trend that you continue to see to expand going forward considering the fact that you kind of is that a good proof of concept that the partners are adding more comes with you and that's something that we could continue to expect in the future as well.
Absolutely. So we're of course always interested in are connecting with new firms, high quality firms across the entire spectrum
of the
industry. But through our existing partnerships, When we are successful, we are able to expand those partnerships, as we've done recently, as I mentioned with Invitex and we have some other ones that are in discussion along that along those lines as well. So in terms of the numbers, it may not always be the case that the number Programs per partner increases on a quarter to quarter basis because of course some firms have only a small number of programs to do. But we absolutely are excited to deepen our interaction with high quality firms that have the need to build a large pipeline off into the future.
Are Puneet Souda with SVB Leerink.
Yes. Hi, Karl, Andrew. Thanks for taking the questions. So, and first of all, congrats on the progress and Thank you, mate here through Benelino and Bob. My first one is on, just wanted to clarify on project adds or program adds that were in the Q4.
Can you just remind us again what was the exact addition? And also, given Karl's comments about the pipeline has been really strong. Maybe can you provide us any sort of metrics? I know in the guide you're providing the guide Your revenue guide, but maybe can you provide us any of the in terms of at least for the Q1 sort of
What sort of a number that
we should expect here for in total program adds? And how How should we think about that number sort of going forward as a metric? Is that a metric that you can provide in terms of the guide?
Thanks, Puneet. Karl here. I'll take a first pass at that one. I don't have in front of me The accurate numbers for how many additional programs were added in the Q4 of last year. So that's one that I'll have to get back Thank you, Juan.
Andrew may know. In terms of what has happened in Q1 of this year, as I mentioned, We've had strong business development. We're working on several negotiations. The way that our business development cycle normally works As we first engage in a scientific discussion, we ultimately come to terms and then there is some time involved in contracting. That is unpredictable.
But we have several Contracts right now that are underway and we will be reporting on those as they are finalized, hopefully coming up in Q2 here.
Okay. And then in terms of bamlanirumab, Bob, I appreciate you're providing the guide here for the Q1. Maybe could you elaborate maybe Andrew can elaborate on in terms of what's the split in the bamlanimumab Royalty versus Research Programs in the Q1. And then, just a quick follow-up on bamlanimab. Just given what we have seen in terms of the vaccination rates overall improving and also COVID therapeutics, Combos and cocktails that are being approved here, some of the variants that obviously where bamilimab is not effective and some of the impact that we have seen From ASPR stopping the monotherapy.
The key question in the near term is, what are the best Expectations for bamlanimab royalty as we go through the rest of the year and with 1404 Also adding to that, maybe just walk us through that. And I know that's not an easy question to answer, but what can you provide us that gives us comfort that The full year, at least the Street numbers are numbers that we are comfortable with.
Yeah. Yes. Thanks Puneet for the question. It's Andrew here. I'll start out on that.
So with regards to the Q1 number we gave, seeing as we're only a few days from As I mentioned, we've taken the publicly available information from Lilly on the shipments of bamlanivimab. And in terms of the splits, I think you could expect to see it very similar to what we saw in the Q4. So if you look at just the Q4 numbers, I think Overall, our Q1 numbers will look very similar. With regards to the vamlanivimab and its effectiveness against the variance, etcetera and the remainder of your question, I'll hand over to Carl. Sure.
So the question was about the prospects for bamlanivimab in terms of How it will continue to be relevant or important as a therapeutic this year and often in the future. With that, the first thing I'll say is, you did mention the variants that have come up and it was Announced that bamlanivimab as a monotherapy will no longer be sold in the U. S. That is largely because we are shifting over To the combination of bamanevumab and etasivumab, shipments of that have already gone out and of course the emergency use authorization was That combination currently addresses 99% of the variance that exist in the U. S.
Balenivimab remains a therapy that is being shipped to other countries where they do not have variants that are resistant to bamlanivimab at at a significant prevalence and the long term plan is to also shift those over to combination therapy. Pardon me, 1404 when it comes online is a very potent and broadly reactive antibody and one that we expect would be a great candidate to bring into that combination. The ultimate decision of which antibodies to put together, both in clinical trials and ultimately commercially is one that is being made by Eli Lilly, of course, in close collaboration with us And it will depend upon how variants continue to emerge out in the market. So I wouldn't out in the world, pardon So I wouldn't speculate too much on that. In terms of the long term prospects for bamlanivimab for 1404 And for antibody therapies in general, we believe that there is a likely scenario that COVID-nineteen certainly peaks this year, but that it does not go to 0 and that COVID-nineteen becomes an endemic problem for many years.
Given the current options that exist for the treatment of COVID-nineteen, a very strong case would be made that if you get sick, you should receive antibody therapy as early as possible. So we believe that there will be an important use case, perhaps both in prophylaxis and in treatment of mild to moderate are in the range of 2 years to come. And we are doing everything we can to bring forward the very best solutions for patients, of which bamlanivimab has already had an impact and
Your final question is from Do Kim with BMO.
Hi, good afternoon. Thanks for taking my questions And congrats on all the progress you had last year. I wanted to ask about your 52 cumulative program starts. Could you provide us how many of those programs do you participate in the downstream economics? It looks like from your graph that some of those programs without downstream completed last year.
I just want to get a sense of the number of the ones that do participate in the downstream economics. And I can appreciate that you have limited visibility when your partner takes over the development of a program. But could you tell us how many programs are currently in your partner's hands and passed the discovery stage? And the contracts that haven't started. What's the gating factor for a partner to move forward and start the program?
Yes. Thanks, Joe. Andrew here. I'll take the start of that question. So in terms of the program starts in 2020, how many of them Have downstream milestones and royalties or downstream economics.
I believe that all of them do in 2020. As I mentioned on the call, in 2018, we stopped executing on contracts that didn't have downstream milestones and royalties. That's not to say there are cases like for Bill and Melinda Gates Foundation, etcetera, that where we would do additional programs with them, but we haven't had any of those in 2020. You'll even see that we converted some of the programs which we had previously worked on in a renewal or an increase in the contract or an expansion of the contract that previously did not have downstream milestones and royalties, we even converted them into ones that do have it. Overall, under the 103 programs under contract, 80 of those programs have got downstream milestones and royalties.
And really going forward, the program starts will really all be of those You asked what is the constraint in terms of doing more programs. Normally in these multi year, multi target deals, say, an 8 target deal over 3 or 4 years, it would be the plan that the customer would be calling Two targets a year for us to work on. So that's where I say really that 103 programs under contract that secured future work for us to do, it's not a backlog. It is that's how we would be anticipating to take the platform to market. And we will be waiting for the Customer to call a target agree on a statement of work with our R and D team, arrange reagents and then we would actually start the discovery work on that program.
To date, we haven't been capacity constrained. So we haven't been in a situation where a customer has asked us to start and we didn't have the capacity to do so. So And with our investments, we hope to say that's always going to be the case with building out the capacity in the teams, etcetera, in facilities. Now the last question that you asked, which was about how do we get information on once we have handed programs off to our customer, How do we get information about their progress through preclinical? I'll maybe pass that over to Carl to give you a bit of color.
Yes. I think that question is close to a question that was asked earlier. It depends on the nature of the relationship. If it's an ongoing collaboration with multiple targets, then it's very likely that we have an are going dialogue about the status of molecules as they're moving through preclinical development. That is more and more the case.
It wasn't always the case in the early years. So when we have insights, then we keep a close eye on that. And of course, again, once Molecules reach defined either technical or clinical milestones, then contractually we get an update on that. And To the extent that we can, we will be reporting that back publicly.
I just wanted to clarify one of your answers. On the 50 Two program starts that you have accumulated to the end of 2020, how many of those Have downstream participation. Is it 30 out of the 52? Just want to get a number on that.
Yes. From the graph, I think it looks to be about 30, and that sounds about right. I'm looking at the graph as well as you are. So that 30, 32, it might be like 20 programs that don't and then the remainder that do as best I
can tell. So that's about Okay. And a follow-up on the economics that you have with these partners.
Is there a level of variability
of the agreements in terms of The size of the milestone payments and the size of the deal and what determines the differences in economics? Is it the indication that these partners are going for or the partners' requirement of using the full stack of technologies or just part of it?
There's several factors. Karl Hansen here. I'll take that one. The first is that it is not the case that every deal is Same. So we right sized the terms according to the value that we're bringing to the partner.
And a few things to sort of add color on to that. Over the course of the last few years, we've seen a trend upwards In terms of the terms and in particular in the royalties, which we view as the most important part and the most important term in terms of value to us are in any agreement. We've also seen differences in terms depending on the class of target or the difficulty of the discovery program. We've worked on, as I mentioned, some of the toughest programs in the industry successfully. That includes targets such as GPCRs and ion channels.
Naturally, for those very difficult targets, you would expect that success would be connected to a larger stake in the ultimate development and sales of those products. The other element which you alluded to is as we continue to add technologies such as the addition of humanized rodents through Treani, Programs that include bispecifics to the ORTHIMAV platform and increase both the amount of data and the forward integration of our development, Then naturally, we expect that the terms of those deals will reflect that and will move upwards. And so for all those reasons, we are have seen a growth in the size of business terms and our participation in success. And that is one that we keep a close eye on. And as I mentioned, for us, the most important of those is, of course, the royalty.
And there are no further questions at this time. I'll turn the call back over to Carl Hansen for closing remarks.
Thank you all for joining us today. This is an exciting time for Accelera and we are looking forward to keeping you updated on our progress on future calls. Thanks everyone.