Alumis Inc. (ALMS)
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M&A Announcement

Feb 6, 2025

Operator

Hello, and welcome to today's call to discuss Alumis's planned merger with Acelyrin. At this time, our participants have been placed in a listen-only mode. As a reminder, this conference call is being recorded, and the press release and slide presentation regarding the transaction are available at the investor relations section of each company's website. The archive replay can be accessed there following the call. I would now like to hand the call over to Martin Babler, President, CEO, and Chairman of Alumis.

Martin Babler
President, CEO, and Chairman, Alumis

Thank you, and good afternoon, everybody. And thank you for joining the call. With me today are Mina Kim, Acelyrin CEO, and John Schroer, Alumis's CFO, and we're excited to share more about our announcement. Before I jump in, I'd like to note that today's discussion will contain statements that are forward-looking. Please refer to each company's website for their publicly available SEC filings and identify certain factors which could cause actual results to differ materially from those projected in any forward-looking statement made today. Investors are therefore cautioned not to rely on these forward-looking statements. The companies do not undertake to update any forward-looking statements as a result of new information or future events. This presentation also includes preliminary financial data subject to the completion of Alumis's and Acelyrin's financial closing procedures for the year ended December 31, 2024, respectively.

Actual financial results that will be reflected in each of Alumis's or Acelyrin's Annual Report on Form 10-K for the year ended December 31, 2024, once filed, may differ from the preliminary results included in this presentation. So let me start a little bit more about this transaction. What particularly is compelling about this transaction, and we'll speak more about this in a moment, is that it creates a highly differentiated late-stage portfolio that we are well-positioned to advance through multiple upcoming milestones with significant combined financial strengths. With that as a backdrop, I'll now spend just a few minutes providing an overview of the transaction terms. In this transaction, the Acelyrin stockholders will receive 0.4274 shares of Alumis stock for each share of Acelyrin they own. This represents a proforma ownership of the combined company of approximately 55% for Alumis stockholders and 45% for Acelyrin stockholders.

As for the leadership post-closing, the current Alumis leadership team will remain in place to lead the combined company, and we will operate under the Alumis name. Our headquarters will remain in South San Francisco. And we look forward to welcoming two additional directors from Acelyrin's board upon closing. Last, finally, we expect to close this transaction in the second quarter of 2025, following approval by both companies' stockholders and satisfaction of certain customary closing conditions. As I mentioned, through this combination with Acelyrin, Alumis will have an expanded portfolio of late-stage therapies, as well as increased financial flexibility and runway. For those of you who are less familiar with Alumis's portfolio, I want to start with a broader overview of who we are and some of our upcoming catalysts in our pipeline.

We're actually a relatively young company, about four years old, and we completed our IPO in July of last year. Our approach at Alumis is all about precision immunology, advancing medicines that move away from broad immunosuppression to very precise inhibition of the drivers of immune dysfunction. We leverage our data analytics and translational insights to better understand the immune system and choose targets, molecules, and indications with the goal of optimizing outcomes for patients. Alumis originally started out by doing a broad assessment of many targets that are associated with immune-mediated diseases, and ultimately, we selected TYK2 because it is a genetically and clinically validated driver of immune dysfunction. We have two next-generation clinical-stage TYK2 inhibitors with potentially best-in-class clinical profiles. Our lead program is ESK-001, and we have an ongoing clinical program in psoriasis and in lupus.

We're currently conducting a phase III ONWARD program consisting of two clinical trials in moderate to severe plaque psoriasis, and we are on track for a top-line data readout in the first- half of 2026. And we expect top-line data from our phase II-B LUMUS trial in systemic lupus erythematosus, in 2026 as well. The phase III ONWARD clinical trial was supported by a phase II clinical trial in which maximal TYK2 inhibition led to high clinical responses in patients with moderate to severe psoriasis and was achieved at the highest dose. And ESK-001 was found to be generally well tolerated at those levels. We believe that ESK-001 is potentially best in class, with broad potential to expand into additional indications and treat a diverse group of immune-mediated diseases.

A5 is our second TYK2 inhibitor, which is a brain-penetrant molecule and the first reported allosteric TYK2 inhibitor that has demonstrated the ability to cross the blood-brain barrier to address inflammation within the central nervous system. A few weeks ago, we announced positive phase I data, and we plan to initiate a phase II clinical trial in multiple sclerosis in the second half of the year. Behind that, we're building a portfolio of other molecules. We expect to file an IND for the third clinical candidate later this year. We're excited that this merger now adds to our portfolio lonigutamab, a subcutaneously delivered anti-IGF-1R for the treatment of thyroid eye disease. I'll talk more about this program shortly. I want to emphasize that the LUMUS program continued as planned. We are looking forward to important key catalysts across our programs, and everything remains on track.

As it relates to lonigutamab, the program is promising and has shown compelling data that may support a best-in-class profile for the treatment of TED. It is the first subcutaneous anti-IGF-1R to have demonstrated robust efficacy in TED patients comparable to the IV-administered standard of care and shown a favorable safety profile. So with that, lonigutamab has unique properties compared to the current standard of care that may enable similar or better efficacy with an improved safety profile. We have done some preliminary work on the lonigutamab program, and in lieu of pursuing Acelyrin's previously planned phase III, we plan to undertake a comprehensive analysis, including reviewing all available data to identify the most capital-efficient plan to confirm differentiation for the program. We look forward to sharing our plan in the future, and basically, we'll continue to review this.

That's the high-level review of the pipeline, and we have a very attractive portfolio that is differentiated late-stage drug candidates with the potential to significantly improve the lives of patients with immune-mediated diseases. In today's environment, we believe that scale and diversity of the portfolio is extremely important, and sufficient capital is critical. Together with Acelyrin, Alumis will be well capitalized with a much stronger financial base to carry us forward beyond the immediate readouts that I just outlined and put us on a strong position as we prepare for potential commercialization for ESK-001. I would like now to turn it over to Mina to share her perspective from the Acelyrin side, and then to John Schroer, and I will then close with the combined portfolio.

Mina Kim
CEO, Acelyrin

Great. Thanks, Martin. This is an important and exciting time for the Immunology space and for Acelyrin. Individually, both Acelyrin and Alumis have made tremendous progress exploring innovative approaches in Immunology, where we have the opportunity to make a clinically meaningful difference for patients relative to standard of care. This merger follows a thorough strategic review process by our Board of Directors and the Management team to determine the best and most value-maximizing path forward for Acelyrin shareholders and our patients. We're pleased with the terms, both the value achieved for Acelyrin stockholders and the development synergies for lonigutamab. As a combined company, Acelyrin and Alumis will leverage the benefits of our diversified pipeline, increased resources, combined development and commercial expertise, and catalyst expansion to drive enhanced value for shareholders.

Alumis has a strong track record of R&D success, and we believe this makes them the right partner to help optimize the development of lonigutamab. Lonigutamab has best-in-class potential in thyroid eye disease, and we will work hard to confirm its differentiation in a capital-efficient manner. I'm deeply grateful to our Acelyrin colleagues whose efforts have made today's exciting milestone possible, and also to the entire Alumis team. I especially wanted to thank Martin and John for their partnership through this process. I'm excited that Alumis shares our mission of providing patients with life-changing new treatment options, and with that, I'll turn it back to Martin.

Martin Babler
President, CEO, and Chairman, Alumis

Thank you, Mina. And as just noted, Acelyrin shares our excitement about the many opportunities ahead of our combined company, as well as our ongoing commitment to capital efficiency. I mentioned this at the very beginning of the call, but being highly efficient with where we spend our dollars to the highest value potential opportunities has proven effective for Alumis and will continue to be our approach post-close. Now, let me hand it over to John Schroer to review our go-forward financial profile.

John Schroer
CFO, Alumis

Thank you, Martin, and I would like to echo your excitement. As we included in our announcement this morning, this afternoon, our respective 2024 cash position gives us a proforma cash position of $737 million at the end of last year. Since our inception, Alumis has prudently managed costs to ensure that every dollar spent generates the greatest return. With our highly disciplined capital approach, Martin outlined, and continued operational discipline, we anticipate the transaction will provide us with cash runway into 2027 beyond our standalone basis of 2026. We are excited about the value creation opportunities that lie ahead for all of our stakeholders and both companies' stockholders. Martin.

Martin Babler
President, CEO, and Chairman, Alumis

Thanks, John. As we wrap it up, it's important to reiterate that we remain focused on executing, again, the key milestones that we have in front of us at Alumis, which will now be fortified with a strong balance sheet and an additional pipeline program that we will evaluate to determine the most capital-efficient path going forward. As a combined company, we have a strong portfolio that brings broad opportunities to make a significant impact for patients with immune-mediated diseases, and we look forward to sharing our progress with you and with that, we can begin the Q&A.

Operator

As a reminder, if you'd like to ask a question at this time, please press star one one on your telephone and wait for your name to be announced. To withdraw your question, please press star one one again. Again, that is star one one to ask a question. Please stand by while we compile the Q&A roster. Our first question comes from a line of Eric Schmidt with Cantor Fitzgerald.

Eric Schmidt
Biotechnology Analyst, Cantor Fitzgerald

Thanks for taking my question. First, just congrats to both parties. This is the type of capital-efficient business combination that we should be seeing a lot more of in biotech, and I applaud both boards and management teams for making this happen. I guess first question, John, for you, the cash that you might be accumulating from Acelyrin at close, do you have an estimate of how much cash burn might be happening at the company between now and, say, I don't know, kind of looking at maybe the mid-year closure? Does that sound right?

John Schroer
CFO, Alumis

We expect the transaction to close sometime during the second quarter. We will be able to provide a bit more detail when the S-4 is available. The two companies will continue to operate independently up to that point of the close, but with an eye towards being capital-efficient. Once we get closer to that time point, we would expect to be able to share more about what the combined company cash burn is and what the closing cash balance would be. But with that, I would reiterate that this transaction bolsters our balance sheet, provides us the cash runway into 2027, and creates the ability for us to read out all of the pivotal milestones that we've laid out on our website in 2026.

Eric Schmidt
Biotechnology Analyst, Cantor Fitzgerald

Okay. I hear you loud and clear. Thank you, and one more housekeeping item. For the ownership combination that yields 55% and 45% to the respective parties, do you have the number of shares outstanding for each party in that ratio?

John Schroer
CFO, Alumis

We'll have more details in the filing, but within that, we are using approximately just under 55 million shares for Alumis, and the total number of shares that will be issued to shareholders of Acelyrin at just around 44.7 million.

Eric Schmidt
Biotechnology Analyst, Cantor Fitzgerald

Thank you very much.

Operator

Our next question comes from a line of Thomas Smith with Leerink Partners.

Thomas Smith
Senior Managing Director and Senior Biotechnology Analyst, Leerink Partners

Hey, guys. Good afternoon. Thanks for taking the questions, and let me add my congrats on the deal. Just on lonigutamab, I was wondering if you could just elaborate a little bit on some of the analyses you intend to undertake here as you think about a potential path forward. What would you need to see to advance this asset, and when do you think you'll be in a position to provide a little bit more clarity there?

Martin Babler
President, CEO, and Chairman, Alumis

Yeah. So as we outlined in our press release, we were planning to reevaluate the development for the program and determine the optimal path forward. I think the most important thing is lonigutamab has some really interesting features. The question is, how can we translate those into advantages and ultimately benefits for patients? And I think we're focused on really figuring out how that differentiation can work and what data will provide us that differentiation.

Thomas Smith
Senior Managing Director and Senior Biotechnology Analyst, Leerink Partners

Understood. And maybe just to follow up on that, is that decision potentially gated by data that's being generated currently, or is that analyses of additional data, Martin?

Martin Babler
President, CEO, and Chairman, Alumis

So we're going to evaluate what is available today, and then we'll basically design our plan accordingly and roll that out. At this point, we don't plan to start a phase III. Ultimately, we want to have the flexibility to evaluate everything and then basically make sure that we can share with everybody what the plan is for lonigutamab.

Thomas Smith
Senior Managing Director and Senior Biotechnology Analyst, Leerink Partners

Understood. That makes sense, and just one last question. I was wondering if you could just provide an enrollment update on the phase III ONWARD program and I guess any notable trends that you're seeing on enrollment here as you guys progress towards the data readout in 2026.

Martin Babler
President, CEO, and Chairman, Alumis

Yeah. On that one, all we can say, we haven't commented on enrollment. We have seen from some of the other oral trials in psoriasis that they enroll generally a little bit faster than the injectable ones, and we would expect that that trend could be similar for us like for others, but we haven't really commented on enrollment exactly.

Thomas Smith
Senior Managing Director and Senior Biotechnology Analyst, Leerink Partners

Got it. That makes sense. All right, guys. Thanks for taking the questions.

Martin Babler
President, CEO, and Chairman, Alumis

Thank you.

Operator

Our next question comes from a line of Katherine Wang with Jefferies.

Katherine Wang
Managing Director and Senior Equity Research Analyst, Jefferies

Hi. This is Kathy on for Akash. So I was just wondering regarding Alumis, why do you think your drug will show a dose response when TYK2 didn't?

Martin Babler
President, CEO, and Chairman, Alumis

If you actually look at the phase I data, I'm assuming you're talking about ESK-001?

Katherine Wang
Managing Director and Senior Equity Research Analyst, Jefferies

Yeah.

Martin Babler
President, CEO, and Chairman, Alumis

Okay. When you actually look at the phase I data, we have a linear dose response in phase I with very little overlap. Our percent CV for that molecule is less than 20% on almost every parameter, and that is not the case for Sotyktu. Sotyktu has a lot of overlap in their PK. And then the other piece is we do believe that when you look at the inhibition level, we actually have very consistent inhibition levels as well, which might be different with Sotyktu. So if you ask me specifically why those two, that's probably the issue.

And when you look ultimately at the phase I data, they did have to dose reduce for phase II and beyond just because of some of the tolerability issues that they had, and we did not have those same tolerability issues and were able to dose all the way to maximal target inhibition.

Katherine Wang
Managing Director and Senior Equity Research Analyst, Jefferies

Great. Thank you.

Martin Babler
President, CEO, and Chairman, Alumis

Thank you.

Operator

Our next question comes from a line of Terence Flynn with Morgan Stanley.

Terence Flynn
Equity Research Analyst, Morgan Stanley

Hi. Thanks for taking the question. I was just wondering if this impacts at all how you think about the commercial build and rollout there, if this would allow you to pull forward any of the planning ahead of a potential launch for Sotyktu. Thank you.

Martin Babler
President, CEO, and Chairman, Alumis

Thank you, Terrence. I don't think it's going to accelerate the launch per se. It gives us maybe a little bit more flexibility in the build, but we have a very judicious build plan that we want to make sure that we have the right resources now that are stage appropriate, and we will continue to pursue that plan until we have the data from the phase III and then decide how we best move forward from there.

Terence Flynn
Equity Research Analyst, Morgan Stanley

Great. Thank you.

Martin Babler
President, CEO, and Chairman, Alumis

Thank you.

Operator

Our next question comes from a line of Yatin Suneja with Guggenheim. Our next question will come from the line of Yasmeen Rahimi with Piper Sandler.

Yasmeen Rahimi
Managing Director and Senior Research Analyst, Piper Sandler

Good afternoon. Thank you for the updates. Obviously, we as analysts were really much rooting for and voting for lonigutamab as it entered phase III. Definitely a surprise for us with this announcement. I guess, team, I know you guys are going through the process to evaluate lonigutamab phase, but could you maybe talk about if you end up not pursuing forward phase III, if the current cash position allows you to really diversify with the portfolio with additional assets? I would love to hear your thoughts on if you don't move forward with that, what the use of the proceeds would be long term, whether it would be towards the Sotyktu programs and pipeline enrichments or potentially evaluating additional assets that could be complementary to the current portfolio.

Martin Babler
President, CEO, and Chairman, Alumis

I would say the first priority for all of us is to advance the programs that we have, and that includes what we have from the Alumis side and lonigutamab. Then there certainly is opportunity within some of those molecules. As you know, there's a lot of opportunity around Sotyktu and a broad opportunity for Sotyktu in multiple indications. We always are looking for additional assets on the outside that would make sense. I wouldn't exclude it, but that is not the focus that we have. At this point, our focus is execution on the Sotyktu programs and really understanding how we can advance lonigutamab and make sure that we have a capital-efficient way to show a competitive differentiator profile.

Yasmeen Rahimi
Managing Director and Senior Research Analyst, Piper Sandler

Okay. Sounds good. Thank you. Congrats.

Martin Babler
President, CEO, and Chairman, Alumis

Thank you.

Operator

Next question comes from Yatin Suneja with Guggenheim.

Yatin Suneja
Senior Managing Director and Biotechnology Analyst, Guggenheim

Hey, guys. Let me add my congratulations as well. Sorry, my phone dropped earlier. Two questions for me. I am not very familiar with Acelyrin pipeline. Is there anything else that they have already in the pipeline that maybe it's a little bit earlier in the stage, in the preclinical side? So that's one. Number two, with regard to the enrollment, I mean, now that you have all this cash, what you could do to sort of further accelerate the enrollment in the psoriasis program? Because as you mentioned earlier, definitely some of the other companies are seeing faster enrollment and now being well capitalized. There should be some avenues to further accelerate that process. Thank you.

Mina Kim
CEO, Acelyrin

Hey, this is Mina. Maybe I'll take the first question just on Acelyrin's pipeline. So we had previously announced that we were pivoting, right, to focus on lonigutamab, and we made that decision late last year, right? And we did recently announce that we were going to be winding down all of our internal efforts around izokibep. And so the program that we'll be moving over to Alumis will be lonigutamab.

Martin Babler
President, CEO, and Chairman, Alumis

Yeah, and in terms of acceleration, we certainly have a strong effort ongoing on making sure that we can enroll this trial fast. I would say in terms of where we are at this point, we'll continue to look at additional ways to accelerate, but the capital piece is not the most essential one in that.

Operator

Our next question comes from a line of Brian Skorney with Baird.

Brian Skorney
Senior Research Analyst, Baird

Hey, good afternoon, everyone. Thanks for taking my question. Yeah, just I wanted to get thoughts on your perception of the thyroid eye disease market. Obviously, Tepezza had a really fantastic launch, but it's sort of backed off peak sales and has been relatively stagnant, just south of $2 billion. Do you see this as an issue with Tepezza, or do you see the U.S. thyroid eye disease market, or is there potential for growth? And I know there's also concerns that most of these patients really only need one cycle of injections. How do you kind of think about the sizing of that thyroid eye disease market overall?

Mina Kim
CEO, Acelyrin

Hey, this is Mina. Maybe I'll take that one, and then I can start, and if Martin has anything to add. I mean, look, we think that there is significant unmet need in thyroid eye disease, and Tepezza was, I think, a real breakthrough for patients, right, and has been an amazing therapy, but as it's kind of gone into the market, we also know that there is significant unmet need, and one of the things that we have been very excited about with lonigutamab is it has shown sort of IV-like efficacy, right, in line with the standard of care, but also a potential for a differentiated safety profile in a very easy-to-use one-ml sort of auto-injector format, and we think that that has the potential to really expand the addressable population, right?

Especially with the possibility of chronic dosing, we think that there is significant unmet need that loni addresses.

Martin Babler
President, CEO, and Chairman, Alumis

Yeah. Brian, I just want to add, we do believe that actually there are market segments that are not appropriately addressed today that you could expand into, as Mina just said. And we actually just brought on board our Chief Commercial Officer, who is very familiar with Tepezza. And so we will certainly spend additional time to think through very carefully on the commercial side, which segments do you want to go after and how to best do that.

Brian Skorney
Senior Research Analyst, Baird

Great. Thank you.

Operator

Our next question comes from a line of Mitchell Kapoor with H.C. Wainwright.

Good afternoon. This is Dan on Mitchell. Thanks for taking our questions, and congratulations on the announcement. We were wondering, what kind of synergies do you expect to see from your combined development team at this point, and how much crossover is there between TED and more classical eye and eye diseases?

Martin Babler
President, CEO, and Chairman, Alumis

So the synergies here, at least early on, will not come from the development because we continue developing all these products. So I think where there will be synergies is probably from combining two companies and not needing basically two infrastructures for a public company. I think we should focus more on the opportunities that we're able to pursue because we have three products in the pipeline, and we will certainly pursue very aggressively the two that have a clear path, and then the third one we'll evaluate and come back to you later on how we move forward. For us, this is about basically enhancing the pipeline and setting ourselves up on very solid financial footing to read out through all the milestones, and that's really what we're focused on.

Awesome. And if I could just follow up.

Maybe just to your second question, at the end of the day, these are all immune-mediated diseases, and we do believe that actually having a good understanding of the immune system will help, and we certainly are bringing together two teams that have a very good understanding of many of those diseases.

Awesome. If I can ask a follow-up, I think this kind of tacks on the questions Eric was asking. I think it was Eric. Regarding modeling, how should we expect operating expenses to develop both before the transaction closes as well as after that? I know we're looking at intelligent capital utilization strategy.

John Schroer
CFO, Alumis

We touched on that a bit earlier. We'll be able to share more of that when the Form S-4 is available. I think we mentioned that both companies would, prior to closing, operate independently with an eye on controlling being efficient with their costs, but we will have a better idea at closing of what we can share with you in terms of the burn after that. I think you can do some math on what that is, considering we've guided cash into 2027, supporting all of the Alumis programs, the two ongoing phase III psoriasis trials, the ongoing phase II-B for lupus SLE, and that those are carried through readout.

All right. Thank you so much.

Thank you.

Operator

As a reminder, if you'd like to ask a question at this time, please press star one one on your touch-tone phone. I'm showing no further questions at this time. I'd like to turn the call back to Martin Babler for closing remarks.

Martin Babler
President, CEO, and Chairman, Alumis

Thank you so much. So thanks again for participating in today's call. We're excited about this merger of Acelyrin and Alumis, as it will strengthen our financial position, our portfolio, and sets us up very strongly for upcoming milestones and for the future. I want to thank you and have a great day.

Operator

This concludes today's conference call. Thank you for participating. You may now disconnect.

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