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Earnings call · FY2025 Q1
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Hello everyone and welcome to Arcus Biosciences First Quarter 2025 Earnings and Financial Results Call. My name is Lydia and I'll be your operator today. After the prepared remarks will be an opportunity to ask questions. If you'd like to participate in the Q&A you can do so by pressing star followed by one on your telephone keypad. I now hand you over to Pia Eats, Vice President of Investor Relations to begin. Please go ahead.
Good afternoon and thank you for joining us on today's conference call to discuss ARCIS's first quarter 2025 financial results and pipeline updates. I'd like to remind you that on this call, management will make forward-looking statements, including statements about our cash runway, our projected 2025 revenue, and our expected clinical development milestones and timelines. All statements other than historical facts reflect the current beliefs and expectations of management and involve risks and uncertainties that may cause our actual results to differ from those expressed. Those risks and uncertainties are described in our most recent quarterly report on Form 10-Q that is filed with the SEC. Today, you'll hear from our CEO, Terry Rosen, CMO Richard Marcus, COO Jennifer Jarrett, and CFO Bob Gels. We'll also be joined by our President, Juan Hain, for questions after the prepared remarks. With that, I'll turn it over to Terry.
Thanks very much, Pia, and thanks to all of you for listening in today. While the world around us has been somewhat or maybe definitely tumultuous, at Arcus we've really remained focused on execution. And that execution goes with speed, efficiency, and most importantly rigor. And so before we get into the details, I want to emphasize three points that will be apparent in our discussion today. So first off, our late stage portfolio is rich, but our number one priority is unequivocally cast data fan so far the more data that we generate the better it looks so our goal is simple to bring cast to market into patients as quickly as possible and create maximal value for this program second we are well capitalized and our long-term strategy has positioned us well to advance dom quimley and cast through their respective initial phase three readouts nonetheless we're always cognizant of the macro environment we're committed to ensuring our resource deployment reflects our ongoing assessment of priorities so that our cash runway extends as long as possible third we expect to have a steady flow of data for cast data fan over the next couple of years that will reinforce its advantages relative to both those do STATAPHAN and TKI monotherapy. In that vein, we're thrilled that our abstract describing initial data from the CAS plus CABO cohort of ARC-20 was accepted for an oral presentation at ASCO. This is the same combination we're evaluating in our first phase data should provide further support for the study. This will also be the third oral presentation of CAS STATAPHAN data at a major medical conference in just seven months. there are a lot more to come okay now some important granularity around the cast data fan program in our phase 1b our 20 study we now have eight cohorts evaluating different dosing regimens combinations and settings for cast and clear cell RCC this is why our 20 will generate meaningful data over the next two years that will serve several important purposes first continued elucidation of cast data fans differentiated efficacy profile relative to the out of bills suda fan and de-risking of our first phase three study peak one second continuing to drive the already extraordinary investigator enthusiasm for peak one to support its rapid enrollment in third demonstrating the opportunity for kiss data fan in earlier line settings the CAS has the potential to ultimately displace TKIs. Before I turn the call over to Richard, I'd like to touch on a few additional topics, starting with our development plan and our long-term vision for CAS data fans. Our phase three trial peak one, we'll evaluate CAS plus CABO versus CABO and clear cell RCC patients who have received prior immunotherapy. For our first registrational trial, we chose to combine CAS with CABO because CABO is the gold standard and most widely used TKI in the setting. In fact, in our ARC-20 model therapy cohorts, 78% of patients receive prior CABO. That's greater than three times more than any other TKI. Clinicians are extremely comfortable administering and managing the toxicities of CABO, and because of this, there's an extraordinary amount of interest in peak one. Also, because HIF2-alpha inhibition affords a relatively benign safety profile, with the primary AEs being on-target anemia and hypoxia, we do not believe casts will have meaningful overlapping toxicities with CABL. As such, the key objectives of our upcoming ASCO presentation are to clearly demonstrate these two molecules can be safely combined and that we can add efficacy to that of kabo monotherapy we expect the data shared at ASCO will demonstrate exactly this longer term given the strength of CAS's efficacy and safety profile a vision is to develop tasks in TKI free regimens and even to displace TKIs in earlier lines of RCC treatment. TKIs have been very effective in treating RCC. Almost every RCC patient receives a TKI during the course of their treatment, but TKIs come with debilitating side effects that meaningfully impact quality of life. This cannot be overstated. So we believe there's a huge opportunity to develop CAS in earlier lines, driving a long-sought paradigm shift, and enabling patients to avoid TKI therapy for as long as possible. This, in fact, reflects a core element of ARKIS's high-level strategy in oncology, driven by the advances in the understanding of tumor biology in the last decade, being the leader in the development of innovative cancer therapeutics with improved efficacy that preserve quality of life during treatment. Specifically, we're collaborating with AstraZeneca to combine CAS with their anti-PD-1, anti-CTLA-4 bispecific antibody for rustamate to create the first TKI-free HIF-2-alpha combination option for first-line RCC. I want to repeat that. This will be the first TKI-free HIF-2-alpha combination option looked at in first-line RCC. Anti-PD-1, anti-CTLA-4 is one of the most commonly and widely used first-line regimens, particularly in academic centers, because it is TKI-free and conveniently prolonged survival. AstraZeneca will operationalize the study as part of their evolved portfolio, so this collaboration enables us to develop CAST in the first-line setting in extremely cost and resource-efficient manner, and with a world-class drug developer in oncology. The study is designed to demonstrate the safety of the combination to support late-stage development. This provides another opportunity to generate confidence-enhancing data for castataphan-based regimens over the next 18 to 24 months. Beyond Evolve, we've added three cohorts to ARC-20 to evaluate CAS and other early-line TKI-free settings. These are CAS plus VIM, our NIPD1 antibody, and first-line all-comer clear-cell RCC, CAS monotherapy in first-line favorable risk patients, and CAS monotherapy in patients that have received prior IO but have not yet received a TKI. all three cohorts recently opened for enrollment and have generated significant interest in the investigator community demonstrating and building on the robust interest in cast and in TKI free regiments as a result these cohorts should enroll quickly and generate efficacy data over the next couple of years informing future development opportunities while cast has moved front and center in our portfolio our two other registrational programs which are targeting massive patient populations with substantial unmet need, continue to advance towards data. For our FC-silent antigen antibody, Domvanilumab, the first phase three study to read out will be STAR 221, for which we have guided to 2026. This study is evaluating DomZim plus chemo versus Nevo plus chemo, the standard of care, and first-line gastric cancer. later this year we'll be sharing overall survival data OS data from the corresponding phase two study at gastric this is evaluating the same regimen in the same setting to start to to one we expect these data to reinforce confidence and start to to one which has an overall survival primary endpoint the competitive landscape in this field has seen a dramatic shift of the last six months with the FC silent anti-tigit antibodies specifically ours and AstraZeneca's anti-tigit anti-PD-1 bispecific antibody now dominating the phase 3 landscape these two molecules have generated similar positive data and phase 2 studies in both lung and GI cancers AstraZeneca is now enrolling 10 different phase three studies with FD silent antigen antibody in addition prism one our phase three trial of quenly our small molecule CD 73 inhibitor in combination with chemotherapy and first-line pancreatic cancer is enrolling rapidly there's been a tremendous enthusiasm for prism one and as a result we anticipate the study will now be fully enrolled by the end of 2025 less than 12 months after initiation this is our second global phase three study that will complete enrollment well ahead of initial expectations and our goal is to replicate the success with the enrollment of peak ones this brings me to my final key point today we have a strong balance sheet with a billion dollars in cash and investments this is not an accident While there has been a dramatic shift in the macroeconomic environment, we are always scrutinizing our capital allocation, prioritizing our molecules and programs, and leveraging strategic collaborations, for example, those with Gilead, Taiho, and AstraZeneca, to maintain a strong balance sheet. This will be particularly true going forward to ensure that our capital stretches as long as possible and to enable us to continue funding our small molecule research programs. The discovery of Casdanaphan, an exceptionally high quality molecule against an extremely intractable target, is a reflection of the secret sauce of ARCIS, which is our research organization and small molecule drug discovery capability. Our next INDs are likely to come from our inflammation and immunology programs, which have been quietly but rapidly advancing in our focus on the creation of potential first and best-in-class small-molecule drug candidates against validated targets. We're going to share more about these programs later in this year. With that, I'd like to turn a call over to Richard to speak about CasStatafan in greater detail.
Thanks, Terry. I'll first recap the highlights of our recent ASCO-GU presentation for Cas monotherapy in late-line clear-cell renal cell carcinoma. After that, I'll speak about our upcoming data presentations and near-term development plans for Cas. I'll start with a reminder of the study design of ARC-20 on slide 9. ARC-20 now includes eight cohorts evaluating CAS monotherapy or CAS combinations in clear cell RCC. As a reminder, our ESCO-GU presentation included data from three of the monotherapy cohorts in lateline clear cell RCC. I also want to highlight here the cohort evaluating 100 milligrams of CAS plus 60 milligrams of cabozatinib, and this is the same combination and dosing regimen we will evaluate in PEEK-1 and the cohort that is subject of the data presentation at this year's ASCO. Patients in this cohort are all previously treated and have received one or two prior lines of therapy, with their most recent prior line being an anti-PD-1, and patients did not need to have received prior TKI therapy, so this is a very similar population to that of PEEK-1. On slide 14, we compared the efficacy assessments for the monotherapy cohorts relative to data from LightSpark V, the Phase III study of BELT-sudafan. Importantly, we enrolled a more advanced patient population than that of LightSpark V. In fact, approximately one-third of our patients would not have been eligible for LightSpark V. So we recognized the limitations of cross-trial comparisons. CAST performed better on every efficacy measure in every cohort, despite this more advanced patient population. Rates of primary progressive disease were close to half that of belzutafan. Confirmed ORR was consistently higher than that of belzutafan, and two cohorts achieved confirmed ORRs greater than 30%. The ORRs for belzutafan monotherapy studies have ranged from 18 to 21.9%. So, the castatophant ORR is trending about 50% higher. For disease control rate or DCR, over 80% of patients should benefit from castatophant versus just 61% for belzutafan. Lastly, the median PFS of 9.7 months for the 50 milligram BID cohort was meaningfully longer than the 5.6 months for belzudafan, and the median PFS had not even been reached for the 50-milligram QD and 100-milligram QD cohorts. However, when we pooled data from the 50-milligram BID and 50-milligram QD cohorts, the median PFS was 13 months, so significantly longer than that of belzudafan. Slide 11 shows the waterfall and spider plots for the 100-milligram QD dose, and these data give us confidence in the selection of 100 milligrams QD as the dose for our phase 3 studies of CAS. On slide 12, we show the spider plots for the 50 milligram BID and 50 milligram QD cohorts, which highlight the durability of castatophan's efficacy. Across all three cohorts, remarkably, only two of the 26 confirmed responders have progressed, and many of the stable disease patients clearly derive benefit and will therefore contribute meaningfully to the median PFS. We have a number of upcoming data presentations for ARC-20 and these are summarized here on slide five. First up will be initial data from our CAS plus CABO cohort at ASCO. A key objective of this data set will be to demonstrate that these molecules can be safely combined. In addition, given that we had approximately 25 patients enrolled by the end of the year, we plan to present overall response rate for data for those patients who are eligible for two or more scans at the data cutoff. So to be clear, the ORR denominator will include all patients who were enrolled at least 12 weeks prior to the data cutoff, regardless of the number of scans actually recorded. I also want to point out that the data included in the ASCO abstract are from a prior data cut, and the ASCO oral presentation will feature data from a more recent data cut later in the year we expect to present more mature data from all four monotherapy cohorts of arc 20 in late line clear cell rcc in 2026 we plan to share more mature data from the cas plus cabo combination cohort as well as an initial data from the newly added cohorts evaluating the tki free regimens in early line settings now on to the development plan slide 16 which shows the design of PEEK-1, where we are evaluating CAS plus CABO versus CABO in I-O experienced patients who had one prior line of immunotherapy. Targeted enrollment is 700 patients, and we expect that the study will enroll quickly for several reasons. First, as Terry mentioned earlier, we are using CABO, the most widely used and preferred TKI, in both arms of the study. Second, patients will be randomized two-to-one between the experimental arm and the control arm. And third, there's already very substantial awareness of CAS in the clinician community, and we expect to include multiple ARC-20 sites in the PEEK-1 study. Merck is running a somewhat similar study called LightSpark 11, which is evaluating belzutafan plus a TKI, and is now expected to read out in 2027. However, there are some important differences I'd like to highlight. First, while PIK1 has CABO in both study arms, LightSpark 11 has lenvatinib in the experimental arm, but CABO in the control arm, and using different TKIs in the same experiment could add risk to the trial outcome for LightSpark 11. In addition, we are using a single primary endpoint of PFS in PIK1 rather than a dual endpoint of OS and PFS, which is being used in LightSpark 11. And given how quickly we expect PECO1 to enroll and the anticipated timing of the PFS primary endpoint, we have significantly narrowed the gap between our readout and layout of LightSpark 11. Meanwhile, in the IO-naive setting, our strategy is very different. In this setting, Merck is evaluating Beludifan in combination with PEMBRO and Labatinib. In contrast, we are collaborating with AstraZeneca to evaluate Casp-Testival Rustamig, AstraZeneca's anti-PD-1 CTLA-4 bispecific. And as Terry mentioned, this is a highly attractive TKI-free combination that may enable patients to remain on therapy for several years while avoiding TKI-related toxicities. We have not yet disclosed the design of the study, but we expect to share more information very soon, and we think you'll be excited about our strategy in this setting. I'd now like to turn the call over to Jen to speak about the market opportunity for Caustatica.
Thank you, Richard. RCC is a unique oncology market in that metastatic patients can remain on therapy for many years. In fact, five years survival is becoming the norm in this disease, and patients will cycle through multiple treatments, often staying on treatment for well over a year, even in the second-line setting. As a result, we believe the revenue opportunity for a good RCC drug is very substantial. On slide 17, we highlight the total market opportunity for the first two settings we are pursuing for CAS. First, we show the IO-98 patient population, which we are addressing with CAS plus polis. The addressable population here is about 13,000 patients in the U.S. and 20,000 in other major markets. Given that most of these patients progress and go on to subsequent therapies, the addressable patient population for the IEO experience setting is very similar. With a two-plus year duration of therapy in IEO-naive patients and a 12-month-plus duration of therapy in IEO-experience patients, we believe the total market opportunity from these two settings combined is $5 billion. dollars. With a better molecule than valutafan and differentiated combinations and development plans, we should capture a significant share of this market. On slide 18, we show U.S. market share by regimen. TKI-based regimens dominate the clear shell RCC market with approximately 65% share in first line and 75% in the second line setting. This explains why our first phase three study will focus on a CAST-TKI combination, and you can see here why we chose CAVO as our combination partner. We believe there is a strong clinician. However, as Cherry described earlier, her vision is that over time, the statafans will move up in lines of therapy and take shares from TKI-based regimens, either as monotherapy or in combination with IR treatments, particularly given CAST's low rate of primary progressive disease relative to the one competitor, Belzutifan. We believe Belzutifan's high rate of primary progressive disease is a key reason why it's used today primarily in the third line setting. I will now turn the call over to Bob to review our financials.
Thanks Jen. Our cash as of the end of the first quarter was one billion dollars as compared to 992 million as of the end of 2024. Our cash position was bolstered by 150 million dollar equity financing, which we completed in February 2025. We expect our CASH and existing facilities will enable us to fund operations through our initial pivotal readouts for DOM, QAMLI, and CAS, which include the PEEK-1 readout. Given the faster-than-anticipated enrollment of our PRISM-1 trial in pancreatic cancer and the completion of enrollment of STAR 221 last year, we expect 2025 to be a peak year for development expenses. We expect both our DOM-related and aggregate development expenses to decline meaningfully in 2026 and 2027, inclusive of our investment in CAS data fans. As Terry mentioned, we have also carefully scrutinized our capital allocation and have made pipeline prioritization decisions to ensure we maintain our strong financial position. Turning to our P&L, we recognize gap revenue for the first quarter of $28 million, which compares to $36 million for the fourth quarter of last year. Our revenue is primarily driven by our collaboration with Gilead. We expect to recognize gap revenue of $75 to $90 million for the full year 2025. Our R&D expenses for the first quarter are stated net of reimbursements from Gilead, and were $122 million as compared to $111 million in the fourth quarter of last year. G&A expenses were flat at $28 million for the first quarter compared to the fourth quarter. Total non-cash stock-based compensation was $16 million for the first quarter compared to $17 million for the fourth quarter. For more details regarding our financial results, please refer to our earnings press release from earlier today and our 10-Q. I will now turn it back to Terry.
Thanks everyone for joining us. We appreciate your interest and your continued support of Arcus and we'll now open the call for questions.
Thank you. Please press star followed by the number one if you'd like to ask a question and ensure your devices are muted locally when it's your turn to speak. Our first question comes from Peter Lawson with Barclays. Your line's open, please go ahead.
Great, thank you so much. I guess the first question was just off the And back in your comments about pipeline reprioritization, I wonder if you could talk through that a little bit more, and then whether you're exploring the adenosine inhibitor further, if that's the program ended.
Thanks, Peter, and I'll answer that all together. So as I mentioned, we're always doing this, and in the context of your question about the adenosine modulator, and I think you're probably speaking to the A2 receptor antagonist E-TRUMA, that's a perfect example. So we did have a meeting, and quite good meeting, actually, with the FDA on that. There's a path forward, but our plans right now are not to move forward at this time, at least. The way I think you should look at our portfolio, we have those three layers. Our number one priority, of course, is cast data fan articulated. It's on its natural trajectory. We're excited about data coming, but spend is winding down. Prism-1 are a related molecule, so the CD73 inhibitor will be fully enrolled this year, so that'll be heading towards data shortly. Keep in mind, the standard of care there has an OS on the order of 10 months, so we're going to get to a readout pretty quick on that. And then on the other side of things, our early stage portfolio, we've been evolving that too. We still have a number of oncology targets, but we've been quietly, as I described, pushing along some really great inflammation and immunology. Close those, and you'll find those exciting as well. So the way you can kind of look at it is nothing overly the middle in more investment but with really that secret source of arc is to generate the next IND candidates beyond those we talked about now.
Gotcha and then on the oral presentation ask what should we expect to see in the abstract versus the oral presentation and what do you kind of press release beyond the abstract?
I'm wondering if someone planted that question. It's one we think is important. So I think you should recognize, everyone should recognize the abstract is more of a placeholder abstract. And so the data cut that we'll be sharing at ASCO will be much more recent. And what it will include is, you can think about as two populations. First, the safety population will be about 40 patients. And then we'll also want to give you, so even though I'm a follow-up is four months, what we've done is we've assembled all the patients who've had at least two opportunities that potentially have had a confirmed response and will be sharing efficacy data for that 25 or so patients. You'll see a waterfall plot. Obviously, the data are far too mature to talk about maturity, and I think the The data, you know, I think you'll find them compelling, but you should recognize given that they are early, they will likely continue to improve beyond what we share at this conference.
Thank you so much.
Thank you, Peter.
Our next question comes from Dana Graybosch with Lear Inc. Your line's open.
Thank you. I have two really different questions. First, on TIGIT, as you pointed out, the TIGIT Phase 3s are dominated by the EPSI silent, yours, and ASTRA by specific. And let's say we assume, as I think you believe, that EPSI silent is really the key to maximizing TIGIT benefit. Are you underinvesting and feeding leadership to ASTRA? Can you just remind us what you're learning in Phase 2? And is there a gate of success that you might actually ramp investment back up? And then I have one on Cass after that.
Yeah, I think, so first of all, I think we feel very, very good about the bets that we've made because they're targeting some of the largest IO markets out there. So our study in lung, STRA121 is targeting all-comer lung cancer patients, obviously the biggest market there is for anti-PD-1. And then, you know, our other base rate study, Part 221, is targeting all-comer gastric cancer patients, which is another really, really good market. So we feel like those are two great bets to make. You know, we do have active discussions going on all the time about other things that we would want to do if those studies read out positively. So I said there's other things that are teed up and ready to go if our first base rate readouts are positive. But we agree with what you're saying. And then the other study to point out, Charice just reminded me, is the stage three lung cancer study that we're doing with AstraZeneca, which AstraZeneca is operationalizing PAC-8. And so, you know, they've obviously seen a lot of our data because we have that partnership on PAC-8. And so we do think that that's something else that's given them even more conviction in their own PD-1 digit program.
Awesome. And then on CAS and the potential for CAS mono to replace TKI in second line, you have that R20 cohort. Is there any particular bar for efficacy you're looking for that would give you conviction to go head-to-head versus a TKI?
Well, I think at this point, we would look at those as a little bit more exploratory. They're different. In the monotherapy, keep in mind in those favorable risk patients, basically the standard these days would be more just watch and wait. If you see reduction, meaningful reductions in tumor, given the safety profile, we think that could encourage people to want to invest in this. And keep in mind, those patients could be a couple years. So the idea of how it looks in those favorable risk patients, I know that's not a patient population that's getting TKI, but that's sort of where we're, you know, one of those areas where we don't necessarily have something numerically in mind, but we're looking to see if there's a signal, and we think there's a really good opportunity there.
Yeah, I think, you know, like our settings that are out there for TKI mono, you know, range anywhere from sort of high teens, 20%. It's a very high end of the range, 40%. You know, so if we could be in line with that, with a better safety profile, we think that would be really exciting for clinicians. We were actually just talking to a clinician yesterday that's one of the high end rollers in our CAF-CABO cohort. She just put her first patient on the cohort that you were asking about, second line patients, and she was very excited about how that patient was doing. And so we look forward to hearing more anecdotes like that.
I think the thing is, is even if you look at our late line study, it's already pointing to something that, you know, would tell you you've got a good chance to be better than TKI. And the enthusiasm there really does two things, the fact that it is TKI-free in the safety profile, but also because of the low rate of primary progression. That's probably why you haven't seen Bells be able to go there. And, you know, that's really important as you go to the earlier lines. but we feel like we're already seeing numbers opportunity going earlier as a model. Great.
Thank you.
Next question comes from with Citigroup. Your line's open. Please go ahead.
Hi. Thanks. Can you just talk about the timing for peak one PFS primary? And then you said LightSpark is going to be dual. So do we know which of these is coming first? And if LightSpark hits on OS and PFS, then what's the plan to answer the OS question for Peak 1, and under what timeframe would that happen relative to Mark? Thanks.
Yeah, so there's a lot of questions in there. So first of all, you know, it's too early for us to give…no, it's all very good questions. So on Peak 1, yeah, I think it's too early, given we're just about to start the study to to give guidance on when we might see PFS data. You know, we've talked to some of you, you could probably do some back of the envelope math just based on, you know, how likely you think it would take to complete enrollment based on other RCC studies, you know, and then what the PFS is that you would expect to see in the control arm. And you could kind of get to when you might expect to see a readout, so it's not in the too far distance because we do think this is a study that's gonna roll quickly and because it is a PFS readout. On your question on OS and what we're doing, OS is a key secondary endpoint, so to your point, you know, we do think it's important to collect that information, and it is a key secondary endpoint in our study, so that data will be collected. You know, as far as LightSpark 011, they had it as a dual primary endpoint of OS and PFS, so if they hit on one of those, then the study would be successful. you do have to split alpha in that case because there's two different endpoints versus what we're doing which is the sole primary you know so that can work against you um but you know if they are waiting for that osm point that is what's giving us the opportunity to really catch up to them and near that gap between when our readout might occur versus theirs you know um just to put something out there that is out there um you know merck recently pushed out that um study on clinical trials.gov for a second time out to 2027 so whenever you do your back of the envelope
calculations while we haven't given guidance that even that potential delta is you know dramatically closed from when we first started contemplating this and we actually do feel we're going to have you know jen didn't comment on this but we've got real tailwinds as we launch this study The investigator enthusiasm not only is very strong, but from a practical standpoint, because we've invested pretty heavily in these monotherapy cohorts, not only have we engendered a lot of enthusiasm, all kind of anecdotal studies, every, you know, one of these investigators has their own interesting story of what they've seen, so they want to jump on this. But the other practical matter is potentially into peak one. So I think we're really going to be hitting the ground running in an unusual way versus going from a standing start.
So having the ASCO presentation of the CAVO cohort is obviously perfect timing. You know what I think the investigators are particularly interested in seeing. Efficacy is obviously important, but I think everyone believes we're going to add efficacy. But they really want to see safety and just make sure there's no additional toxicities or overlapping toxicities or drug discontinuations, et cetera, to worry about. And so that will be a very important part of the data presentation.
And then, you know, post the Gilead decision on CAS, is the plan now to just fund this to completion yourselves, or would you entertain, you know, help from another partner, potentially?
Yeah. So the first thing I want to mention, because I think it's an important point because of a lot of the questions that were out there right at that time. These new data, you know, are new. So this will give you yet another look. The CASCABO data are, you know, we think quite exciting. And obviously they were not mature data when Gilead made their decision. um getting to the specific question um you know we feel really confident in our abilities for some of the reasons we were just talking about you know we've been working with the molecule be working with the sites we've got a steering committee that's you know couldn't be better they're excited um we feel we're in a great position to execute this um not only from a capital position as we talked about we have the resources but from the people standpoint you know our team has been working with this all along so our plans are to execute peak one on our own with that said could there be some other collaborations we as we mentioned we'd like to use collaborations in an efficient manner. As an example, the AstraZeneca collaboration, we might, you know, do other things like that. And, of course, on an opportunistic basis, there could be other things we would do. But the basic case you should be thinking about is that we feel very good about our ability to execute this trial in a very efficient and… Thank you, Terry. Thanks, John.
The next question comes from Umur Rafat with Evercore. Please go ahead.
Hi, guys. Thanks for taking my question. I have a few here, if I may. Perhaps, first, the choice of dose being 100 milligrams for your first phase three, which admittedly is a Cabo combo. Is there anything to read into the choice of that 100 milligram dose relative to any early data you're seeing on the 150 and 200 milligrams? And I have a couple of follow-ups.
Okay. And you can have as many questions as you like, Umar. So nothing based upon any new data that we've seen. We had a really good discussion with the FDA in the context of Project Optimus. The 100 milligram dose, we talked about that. We talked about potentially 150. We talked about potentially 50. Safety profile of the 100 looked great. We feel, based upon all the data we've seen, that the 100 is essentially on the asymptote for efficacy. What we're seeing with 150, I think we'll share that at the end of the year, but I would just foreshadow that you're going to see something that looks pretty similar, and we'll see just how things play out. One thing that's important to note, for our 50 and 100 milligram doses, We still do not have medium PFS. Maybe as we get towards the end of the year and we're sharing data, we'll be there. But, you know, obviously we'll, you know, have some sort of landmark PFS. And it may be that there's a bit of more AE creeping in on the 150. I couldn't even say that with certainty now. So I think the way to look at the 100-milligram dose is everything we've seen is essentially maxing out efficacy there, and it's a very safe profile. So there's not a whole lot of rationale to even be thinking about the 150.
And what about 200?
Yeah, same. I mean, we only looked at 200 in the dose escalation, didn't see any DLTs, which was good, but we haven't looked at it beyond the dose escalation. And I think, you know, as Terry was saying, you know, based on everything we've seen so far, so we now have, you know, 30 patients worth of 50 mg, 100 mg, 150 mg data, and I think that all gives us a lot of confidence that 100 mg is the right dose.
I think the other thing that we're actually thrilled about, it's not a surprise, but and will draw your attention when you look at the CAS-CABO data is, you know, an important aspect of that is being able to keep patients on therapy. And the data look, you know, we think pretty compelling, even though they're early and obviously with time you might see otherwise but I think you'll come away feeling like efficacy on those patients that have you know had two scans looking good waterfall looks good and the AEs look like Cabo by itself cast by itself and you know very well tolerated combination yeah I think one of the really exciting opportunities about the combination too is that if you're just getting TKI mono and you get hand-foot-mouth syndrome or greater hypertension, whatever it is,
it would typically have to come off your TKI for a bit. In this case, even though you're coming off the TKI, you're still getting a HIF-12 inhibitor, so you're still getting an active drug, and that's one of the things that I think positions the combination to perform very well relative to cabomonotherapy because throughout, you know, in most cases, patients are going to be getting at least one of those two drugs. So if you do get TKI-related toxicity, they will stay uncapped.
Got it. So I guess that brings me to my sort of main question here, which is what exactly is the makeup of this post-IO cohort in ARC-20 that we're going to see at ASCO or the cohort in general? And I ask because you could have double IO experienced or you could have IO plus VEGF TKI experienced. And my understanding is ORR is a little lower when it's IO plus VEGF TKI versus dual IO. So, what exactly is that? And is there any data to read into from your CAS mono arm, which is also second-line plus and may presumably have some of these post-IO patients as well?
Yeah. So, you're right. It's going to be a mix, and we'll disclose that mix. And it's in line, actually, with the LightSpark 003 study that looked at CAS plus combo. You know, one thing that I would mention, when you look at patients that got IO, IO versus patients that got IO plus VEGF. So far, the ORRs actually look very similar. So there's not seen to be a difference if patients had gotten prior TKI versus just prior IO. Does that make sense?
Okay. And Jen, do you acknowledge about 30? Right.
And would you acknowledge from CABO point trial about low 30s in ORR is the comp for CABO monotherapy Yeah, I think the CABA alone, right, has a range of ORRs, depending on what study you look at and what data source you have, so kind of in the 20 to 40, so if you pick 30, you know, that's one of the choices, I'd say, but, you know, it's quite a range across the different data sets there for CABA alone.
You know, the one other relevant data set is there was a Bell's Cabo arm, and that, again, on the ORR front, came in just over 30%, and it's PFS in that study. Obviously, we won't have PFS to compare to yet, but the PFS there was on the order of 13 months.
And again, just so I'm clear, we talked about 20 to 40 being the range, maybe 30-ish being the midpoint, which is also consistent with the Cabo Point trial. But the critical thing is, you guys are emphasizing safety, not an efficacy advantage. Is that reasonable? Or do you want to have higher ORR as well?
No, I think we'll call it absolutely to have both. We're just saying both is important, and we're just trying to make the point that safety is going to feed into efficacy, because you want to keep patients on drug, you want to avoid dose reductions. So the more we think we can safely combine these two drugs, that should further enhance efficacy. The goal is absolutely to show an improvement on both those metrics. No, sorry, on efficacy and safety that you aren't getting additive toxicity or even worse toxicity.
Thank you so much. Thanks, Uber.
Next, we have Astica Gunawadin with Truist. Your line's open.
Hi, this is Karina for ASTIQA. Thanks for taking my question. I had a question on costatophane. So, beyond the AstraZeneca study with a bullish stomach, are there any plans to initiate registrational studies, potentially in combinations with PD-1s or ZAMDA in Frontline?
So, nothing registrational that we've disclosed so far. So, as Trey talked about on the call, we did just open a cohort in AHRQ-20 where we're combining CAS with our anti-PD-1, cimbarillimab, and first-line patients. So, that's something, you know, we could ultimately initiate a registrational study for, some sort of, you know, more NCCN guideline enabling study. But that's the combination we're super excited about, investigators are super excited about. We think that cohort is going to enroll incredibly quickly because, again, yeah, I think there's a lot of interest in avoiding TKIs in the frontline setting when patients are still feeling really good and are relatively healthy. Yeah, so we'll see how that goes. Some of these other cohorts that we started, and those could be future registrational studies for sure.
I think the way you should think about our approach is that basically we're not just going to be throwing a bunch of spaghetti up on the wall where we jump. You know, we think we have a great molecule, but we're not just going to start peppering the world with Phase III studies. So we're going to do, you know, early work to ensure that any Phase III study we do really make sense.
Thank you.
The next question comes from Lee Watzek with Cantor Fitzgerald. Please go ahead.
Hey, this is Dan on for Lee. I was wondering if you could kind of set expectations for your combination with VolRU and what you're looking for in the IO-NAE setting and for a potential pivotal frontline trial, what would you be comparing your doublets to?
There are a lot of good questions, and it's a lot of information that we just haven't disclosed yet for competitive reasons. And as Richard alluded to on the call, probably around mid-year, which I'm getting close to, we should be able to talk a lot more about that study. And so right now, really, all we can disclose is that the plan is to combine CAS with BullRue in the first-line setting. The big issue with ipinevo and people on CTLA-4s is that you do have a very high rate of primary progressive disease. So about 25 to 30 percent of patients don't respond to ipinevo and just flow right through therapy. And so that's why today, actually, ipinevo is typically used in patients that don't have really aggressive disease, so, you know, more slower growth tumors. And so one of the reasons why I think Astra was very excited about combining Ball Road CAS is that opportunity to bring down the rate of primary progressive disease, given we're seeing a very low rate of primary progressive disease so far with CAS. And so what we will be looking for initially is obviously that you can safely combine these two mechanisms, which today we have no reason to believe you couldn't. And we will be looking, you know, at some of these early signs of efficacy, particularly the rate of PD. And then eventually, you know, we'll be looking at ORRs, etc. But, you know, we do think that PD rate could be particularly interesting to look at because you do have that high rate of primary progressive disease with iphonevo. There's a huge amount of interest in that combination. We talked a lot about the call. We just actually did some market research, and I think we were actually even surprised about how much interest there is in investigator community to combine these two mechanisms and to try to avoid TKIs in the front line.
Okay, great. Thank you.
Our next question is from Salveen Richter with Goldman Sachs. Your line's open.
Great. Thanks. This is Matt on for Salveen. Maybe first just on CAS to follow up on a prior question. Is it fair to say you guys would consider a commercialization partnership post-peak one or when you're close to reading out peak one, or is that no longer of interest to you? And then on the broader portfolio, any thoughts on the newly announced CBER director from just kind of a portfolio risk perspective? Thank you.
Yeah. So on the first question, our intent is to commercialize. We want to fully leverage the opportunity. We think this is really huge for Arcus. I think we'd probably consider a partner in Europe, but we feel really good about, you know, taking this forward, commercializing it. The whole piece for us seems very manageable. I don't have any comments on the latter. I don't think anyone here does so i would just i would even elevate that you know our our when it comes to what we're doing what we're executing um you know as far as we can tell so uh you know what's happening in the news from a practical standpoint um we're pretty comfortable with everything we're doing right now that it's it's for one year ago our next question is from eva forteo with wells bargo please go
Hi. Thanks for taking our questions. A couple from us. First, on the fall 2025 update forecast, can you just provide a bit more color on like expectations here in terms of like the different cohorts, number of patients, and duration of the follow-up? And the second question, as you mentioned, an emerging INI franchise. When should we expect to learn more about this?
Would this be more towards the end of the year in an R&D day type of event? yeah i could just the first part of the question at least with regards to the uh follow-up in the fall and it's really looking again at the monotherapy data we had at asco gu i will have more mature data coming so we'll have another data cut there we haven't stated uh or selected you know if this will be at a medical conference or other ways of sharing that data but we will be able to provide updates to that data since it'll have matured a fair bit since the uh cut at the beginning of this year and on the um immunology inflammation front i think the way
to think about that is you know conceptually whether it's an r d day or part of one of our other releases um you know we'll find a form uh breadth of what we're doing and where we sit and i think it's a an exciting portfolio it takes advantage of you know what we do well And I think that'll be highlighted, you know, the small molecules for challenging targets where, you know, the targets are highly validated, but there's not a great molecule. So we've been building on that. You know, I'll remind you, because we're like a real company in terms of with people, you know, we have biology group. We have a med chem group and all of the assumptions that there is. But our biology is actually more immunology. You know, immuno-oncology has, we have a strong immunology group. And in fact, you know, have invested in that. And, you know, now we're getting to the point where we can start to talk about those programs with, you know, We like to talk about things when we've got tangible matter, not glint in the eye and we have machines.
We'll take one more question before ending and our final question comes from Emily Bodnar with HC Wainwright. Please go ahead.
Hi, thanks for taking the questions. My first one for CAS, the monotherapy doses, can you comment on how the 100 meg QD cohort is progressing thing relative to the 50-meg BID cohort, and if you're starting to see similar results in terms of median PFS, if you could just comment on timing for the STAR 1-2-1 trial for DOM in lung cancer, and if there's any timing updates for the top-line results.
Dr. Timothy Stenzel, Yeah, so there's really no timing update yet on one-to-one study. you know, two things, it's still enrolling, and then it has a, you know, OS for the standard care is, you know, over 20 months, so it's premature. It's obviously enrolled well and will continue to enroll, but we haven't said anything on timing there. Nothing to say yet really on the maturing data, other than to point out that we haven't reached a median PFS. And so I think as we get towards the end of the year, we don't even know for sure that we'll be there. But if we're not, we still will be sharing data and it would then undoubtedly include some sort of landmark PFS.
All right. Got it. Thank you. thank you thank you this concludes our q a session today as well as the call thank you everyone for joining you can now disconnect your line thank you goodbye
SEC filing · Item 2.02
Filed May 6, 2025 · complete as-filed document
SEC periodic report
Filed May 6, 2025 · complete as-filed document