Investor Event Transcript
Rigel Pharmaceuticals Inc (RIGL)
Conference Transcript - RIGL 2026-05-12
Operator
Greetings. Welcome to Rigel Pharmaceuticals VEPANU Licensing Agreement Conference Call. At this time, all participants are in a listen-only mode. A brief question-and-answer session will follow the formal presentation. If anyone should require operator assistance during the conference, please press star zero on your telephone keypad. As a reminder, this conference is being recorded. It is now my pleasure to introduce our first speaker, Ray Fury, Rigel's Executive Vice President, General Counsel, and Corporate Secretary. Thank you, Mr. Fury. You may begin.
Ray Furey, Head of Investor Relations
Welcome to our conference call to discuss Rigel's in-licensing of VEPANU, or VEPDESICRANT. The press release announcing the transaction was issued earlier this morning and can be viewed along with the slides for this presentation in the news and events section. of Investor Relations site on Rigel.com. As a reminder, during today's call, we may make forward-looking statements regarding our plans and timing for the regulatory review of the transaction and development and commercialization of BEPANU. In addition, as noted in the press release issued this morning and here in the presentation, this transaction is subject to customary closing conditions, including review under the Hart-Scott-Rodino Antitrust Improvements Act. The statements made today are subject to risks and uncertainties that may cause actual results to differ from those forecasted. A description of these risks are identified in the slides and in our most recent annual report on Form 10-K for the year ended December 31st, 2025, on file with the SEC and subsequent filings with the SEC, including our Q1 quarterly report on Form 10-Q with the SEC. Any forward-looking statements are made only as of today's date, and we undertake no obligation to update these forward-looking statements to reflect subsequent events or circumstances. At this time, I would like to turn the call over to our President and Chief Executive Officer, Raul Rodriguez. Raul?
Raul Rodriguez, CEO
Thank you, Ray, and thank you all for joining us today. It's an exciting morning. Also with me today are Dave Santos, our Chief Commercial Officer, and Lisa Royker, our Chief Medical Officer. Joel Asaga, our Chief Business Officer, and Dean Shorno, our Chief Financial Officer, are also here today, and they will be available during our Q&A portion of the call. On today's call, we're excited to provide an overview of today's announcement that we are in-licensing Vepanu for the treatment of advanced or metastatic breast cancer. Before I get to that, I am also very pleased that we have Dr. Erica Hamilton as our guest, KOL and Bepdigestrant Phase III Veritech Clinical Trial Principal Investigator on our call. Dr. Hamilton is Chief Development Officer, Late Phase, and Director of Breast Cancer Research at the Sarah Cannon Research Institute. Thank you for being with us today, Dr. Hamilton. I'm beginning on slide five. I want to remind you of Rigel's transformational growth strategy in hematology and oncology. Our strategy is built upon four core strategic objectives. Grow our commercial business, expand our portfolio through licensing or acquisition, advancing our clinical development pipeline, and maintaining financial discipline. These four pillars are interlocking and collectively drive Rigel's long-term growth. Today, we have made a significant advance on the first two of these. Moving on to slide six, we have executed on this strategy since 2020, building Rigel into the profitable company we are now. And today's transaction will help drive continued growth into the next decade. In 2020, Rigel was a single product company, our development pipeline was limited, and we are operating at a cash deficit. Fast forward to 2025, and Rigel is a fundamentally different company. We now have three commercial products approved in four different indications. Tavalis was developed internally. We unlicensed Rips Lydia in 2022 and acquired Gravredo in 2024. Our development pipeline is led by R289. R289. Our Rigel Discover Dual IRAC 1 and 4 inhibitor, R289, is currently being evaluated in patients with lower-risk MDS. We are also in a very strong financial position, which facilitates our in-licensing strategy. Looking ahead to 2030, we are building on the momentum of our three existing commercial products, and we are continuing to advance R289 and lower-risk MDS and potentially other indications. These indications will be areas of significant unmet need in our large commercial opportunities that, again, would be transformational for Rigel. In addition, a core focus of our growth strategy is selectively pursuing late-stage in-licensing or acquisition opportunities to further expand our commercial portfolio to enhance our growth between now and the 2030s and beyond. And I am thrilled to discuss our exclusive global licensing agreement to develop, manufacture, and commercialize Vepagestrin, which has the brand name Vepanil. Vepagestrin, or Vepteg for short, is a novel oral proteolysis targeting chimera, or PROTAC. and on May 1st was approved by the FDA for patients with an ER-positive, HER2-negative, advanced or metastatic cancer with an ESR1 mutation. There is a critical unmet need in this patient population, and we believe that PANU is an important new treatment option in this setting. We are looking forward to bringing this drug to these patients. On slide seven, we believe that growing our commercial products, adding new in-licensed products, and the advancement of our development pipeline will lead to significant revenue growth. We believe that Panu will be a key contributor to our growth in the commercial portfolio and advancement of our transformational growth strategy. It has the potential to become Rigel's largest commercial product and drive long-term revenue growth, supported by an intellectual property estate, including issued patents and potential patent extensions, which, if granted, may extend protection through 2040 and beyond. Now, let's turn to the agreement of Bepanu. On slide nine, metastatic breast cancer is a major oncology market, with approximately 70% of breast cancer cases being ER-positive, HER2-negative, driven in part by the estrogen receptor pathway. Current standard of care in these cases is endocrine therapies. However, up to 50% of patients acquire resistance due to an ESR1 mutation following exposure to endocrine therapy, resulting in a very sizable patient population. There are approximately 20,000 patients with second-line or third-line ER-positive HER2-negative ESR1-mutated metastatic breast cancer who need new treatment options to treat their disease. This population equates to a billion-dollar-plus total market opportunity in the U.S., and we believe this market will continue to grow. Before I hand the call over to Lisa to talk about Vipano's mechanism and differentiation, I want to share why we think this is such a compelling opportunity for Rigel. I'm now on slide 10. Vipano is the first and only approved proteolysis targeting Chimera, or Protech, a new class of targeted agent. It has a novel mechanism of action and potential to be an important new treatment option for the second and third line ER-positive HER2-negative ESR1-mutated metastatic breast cancer. Our proven commercial and medical expertise and organization will enable us to successfully launch Vipanu upon closing. We have successfully integrated both ResLydia and Gavredo into our portfolio, and that experience will serve us well as we integrate this new product. And we believe Epano has potential to become our largest revenue producer. On slide 11, you will see the details of the transaction. Here are the major terms. Upon close of the transaction, Roger will pay an up front of $70 million to Arvinas and Pfizer. There are $15 million in near-term milestones that will be owed to Arvinas and Pfizer, which are related to the successful completion of transition activities. Additional, regulatory and commercial payments total up to $320 million, consisting of $60 million in regulatory milestones and $260 million in commercial milestones. The tiered royalties on cumulative net sales owed to Arbenas and Pfizer will range from mid-teens to mid-twenties. And finally, after the close of the transaction, Pfizer will remain responsible for current ongoing development activities for VepDeg, and RIGEL will contribute $40 million over the next four years in support. On slide 39, you see the various VepDeg clinical trials that are currently active. With the exception of the hepatic study, these trials are no longer enrolling. It's important to note the breadth of the studies that have been conducted. The VERITAC-2 study continues as the OS, overall survival follow-up period, is still ongoing. Additionally, the various combination studies may provide key insights into additional development opportunities for VEPTAG. With that, I will turn the call over to Lisa to talk about VEPTAG's mechanism and differentiation.
Lisa Rojkjaer, Other
Thanks, Raul. On slide 14, I will take you through the unique biology of proteolysis targeting chimeras, or protacs, which are bifunctional small molecules that destroy specific disease-causing proteins rather than just inhibiting them. A protag molecule consists of three parts, a ligand that binds to the target protein, a ligand that binds to an E3 ubiquitin ligase, which tags the target protein for breakdown, and a linker connecting them. The cell's natural waste disposal system, known as the ubiquitin proteasome system, recognizes the ubiquitin tag and degrades the target protein. This target-tag-degrade mechanism of action also frees or releases the protac to act again. Moving to slide 15, leptogestrin is the first and only FDA-approved protac. It simultaneously binds the estrogen receptor, or ER, and an E3 ubiquitin ligase, forming a complex that tags the estrogen receptor for destruction. The proteasome degrades the estrogen receptor, and leptogestrin can be reused to degrade additional estrogen receptors. As you can see on slide 16, the mechanism of action of protax like veptigestrant is clearly differentiated from selective estrogen receptor degraders, or SIRDs, such as fulvestrant. SIRDs bind to the estrogen receptor, affecting the stability of or destabilizing the estrogen receptor, which makes it more prone to degradation. In contrast, PROTACs specifically target the estrogen receptor, marking it for selective destruction by the cell. This efficient and targeted ER degradation by the cell also facilitates the release of the PROTAC for further ER targeting. So conceptually, one CERD molecule binds one estrogen receptor, while one PROTAC molecule can destroy many receptors, so has catalytic activity. Now, I'd like to welcome Dr. Erica Hamilton. Dr. Hamilton is the Chief Development Officer, Late Phase, and Director of Breast Cancer and Gynecologic Cancer Research at the Sarah Cannon Research Institute. Dr. Hamilton was the principal investigator of the Phase 3 Veritac 2 clinical trial, and today she will review the data for you. Dr. Hamilton? Thanks so much. Appreciate you
Erica Hamilton, Analyst — Guest KOL / Principal Investigator, VERITAC-2
inviting me. Let's advance to slide 18. So, I'm going to walk you through the data that was presented last year at the ASCO 2025 conference, and we'll go through these slides that was the registrational trial, the Veritac 2 study. This was looking at beptogestrant, our protac ER degrader versus fulvestrant among patients with advanced breast cancer that was ER positive and HER2 negative. This was a global randomized study. Next slide. So, our key takeaways really were that Degestrant was the first PROTAC to be evaluated in a phase 3 study. It was well-tolerated and demonstrated statistically significant, as well as clinically meaningful improvement in progression-free survival versus Fulvestrant among patients with ESR1 mutations. And the results of this phase 3 Veritec 2 study supported Vepdagastrn as a potential treatment option for previously treated ESR1 mutation, ER-positive advanced breast cancer. Let's advance to slide 20. So, I think you've already heard some background, but essentially, there's no established consensus for treatment of ER-positive advanced breast cancer after progression on first-line endocrine therapy. Pulvestrant is a CERD that's administered intramuscularly due to poor solubility, and it has really shown that it has very limited progression-free survival benefit following progression on endocrine therapy and CDK4-6 inhibitor for our patients, with PFS really in the two-month or less range. Vepdigestrant is a selective oral protac er degrader that targets wild type as well as mutant estrogen receptor in the first in human phase one two study that degustrant was well tolerated and it demonstrated encouraging clinical activity in patients with heavily pre-treated er positive her2 negative advanced breast cancer we've already gone through this unique mechanism of action but essentially directly harnessing the ubiquitin proteasome system to degrade the estrogen receptor. Next slide for 21. This was the design of the Veritac 2 study. Again, it was a global phase 3 trial of the degustrant. These were patients that were at least 18 years old, had ER positive, HER2 negative, advanced or metastatic breast cancer, and all of these patients had already received endocrine therapy in combination with a CDK4-6 inhibitor. They were permitted to receive up to one additional line of endocrine therapy, and their most recent line of endocrine therapy they needed to be on for at least six months. They were not allowed to have a prior CERD, whether that was fulvestrant or elicestrant, and they could not have had prior chemotherapy for metastatic disease. These patients were randomized in a one-to-one fashion to either receive fulvestrant given at approved dosing, which is loading dose given intramuscularly on day one and day 15, and then subsequently every 28 days on day one of each cycle, or degustrant, which is 200 milligrams orally once daily. As you can see, over 600 patients were enrolled to this study. Our primary endpoint was progression-free survival by blinded independent central review. Initially, in those patients that had ESR1 mutations, if this was positive, then we would go on to test progression-free survival among all patients. Secondary endpoints included overall survival, clinical benefit rate, objective response rate, as well as adverse events and tolerability. Next slide. This summarizes the statistical hypothesis testing strategy and explains how the alpha was spent. So, essentially, this was a graphical gatekeeping hierarchical testing. First, we would test progression-free survival among those patients with ESR1 mutations, and three-quarters of the alpha was spent here. If this was positive, then you can see we would go on to test progression-free survival in the intention-to-treat population or all patients. If this was positive, we would go on here to overall survival among patients with ESR1 mutations and then overall survival in the intention-to-treat population. Next slide. So, 624 patients were randomized, again, in a one-to-one fashion. You can see patient disposition here. The majority of patients that came off treatment did so due to progressive disease. And at the time of this data disclosure, about 20 to 30 percent of patients had ongoing treatment at that time. In terms of treatment duration, this was around four months for all patients. And you can see for the patients in the degustrant arm, the treatment duration for those patients with ESR1 mutations was longer at 5.1 months and shorter at 2.8 months for those patients receiving fulvestrant. Next slide, 24. This shows the baseline characteristics. Almost all of the patients that were treated on this study were female. About 80% of them were postmenopausal, and about 50% were Caucasian. Small single digits were African American. We did have quite a few patients that were from Asian heritage and some patients that had an unknown or not reported race. 100% of the patients in the ESR1 mutation obviously had ESR1 mutations, but among all patients, 43% of the patients had an ESR1 mutation. This was a patient population with aggressive disease with over 60% of patients having visceral disease at baseline and about 40% of patients having liver metastases at baseline. Bone-only disease was rare in less than 20% of our patient population. The majority of the patients enrolled on Veritac 2 had seen one prior line of therapy in the metastatic setting at around 80%, while about 20% had seen two prior lines of therapy in the metastatic setting. And again, highlighted in the orange box, you can see that universally everyone had already seen a CDK4-6 inhibitor. And actually, this was pretty well represented across CDK4-6 inhibitors. About half of patients had seen palbocyclyb, about a third of patients had seen ribocyclyb, and about 20 percent of patients had seen abimocyclyb. Next slide. This shows the primary endpoint, which was progression-free survival by blinded independent central review among the patients with ESR1 mutations. Median progression-free survival was 5.0 months for those patients receiving degustrant, where it was only 2.1 months for those patients receiving fulvestrant. This was very in line with what we expected of how fulvestrant would perform in this population. The hazard ratio was 0.57 for a statistically significant p-value of less than 0.001. You can see at the landmark analysis of six months progression-free survival that more than double the percent of patients remained progression-free at six months that were receiving Vepdegastrant compared to those patients receiving Fulvestrant. Next slide. Progression-free survival by blinded independent sensory review in all patients was also tested. This was 3.7 versus 3.6 months and did not meet the primary endpoint in the intention to treat patient population regardless of ESR1 mutation status. Next slide for slide 27. This was investigator-assessed progression-free survival, and you can see on the left among those patients with ESR1 mutations that, in fact, this even appeared a little bit longer with progression-free survival being 5.4 months in the degustrant arm and fulvestrant 2.8 months, again for a hazard ratio of 0.52 that was statistically significant, still with an over doubling of the number of patients that were progression-free at six months. Next slide. When we look at subgroup analyses on slide 28, we can see that the benefit of VEP degustrant extended across all populations, regardless of geographic region, whether patients were pre or postmenopausal, younger or older, whether they had presence or absence of visceral disease, liver disease, or lines of prior therapy. Next slide. For the key secondary endpoint of overall survival, this data was quite immature at the cutoff, with deaths having only occurred in approximately 20% of our patients and was not able to be reported at this time. Slide 30 shows the secondary endpoint's clinical benefit rate, as well as objective response rate by blinded independent central review. On the left, you can see patients, again, that had ESR1 mutations with a clinical benefit rate of more than doubling with Vepdegestrant of 42% compared to 20% with Fulvestrant alone. In terms of objective response rate, this was more than a quadrupling. Only 4% of patients receiving single-agent fulvestrant had an objective response, whereas 18.6% of patients receiving Vepdagastrant had an objective response. Next slide. In terms of safety and tolerability on Veritec 2. In slide 31, we highlight some key findings. Grade 3 adverse events were seen in 23 percent of the patients receiving Vepdigestrant and 18 percent of the patients receiving Fulvestrant, which was pretty comparable. I think what really stood out to me was the AEs leading to either treatment discontinuation or dose reduction. For an investigator and somebody that's treating patients in the clinic daily. I think this is a very helpful statistic that gets at how well patients are really doing on a drug, whether they have to stop the drug, whether they have to dose reduce the drug. We saw only 3% of patients needing to discontinue Vepdegastrant and only 2% of patients having to reduce the amount of Vepdegastrant they were taking, leading us to conclude that this was a very well tolerated drug among the vast majority of our patients. On the right side of the slide, you can see the treatment emergent adverse events that were present in at least 10% of patients in either group. Fatigue was the most common side effect, but you'll see that fatigue was still relatively infrequent. Among any grade fatigue, only a quarter of patients receiving degustrant reported any fatigue. So, said in a different way, three quarters of patients reported no fatigue. We also saw some increased AST-ALT in about 14% of the patients, but again, these were low-grade and only 1% grade 3, grade 4. And notably, what you'll see on this table, 13% any grade nausea with no cases of grade 3-4 nausea. And you do not see diarrhea on this slide because it did not meet the at least 10% threshold to be included in this table. Any grade diarrhea was only 6% for those patients receiving Vepdegastrin. We also did do a QT interval sub-study with 88 patients confirming a very mild increase of 11 milliseconds from a baseline in mean QTCF, indicating that there was no large QT prolonging effect with Vepdegastrant. Next slide. So, in conclusion, at ASCO last year in 2025, we concluded that Vepdagostrant was the first PROTAC to be evaluated in a Phase III study, that it demonstrated statistically significant and clinically meaningful improvement in progression-free survival versus Fulvestrant among patients with an ESR1 mutation and ER-positive HER2-negative advanced breast cancer. Overall survival analyses remained immature, and Vepdegastrant demonstrated a very favorable safety profile evidenced by few adverse events, less than 5%, leading to either dose reduction or discontinuation among patients taking Vepdegastrant. I would now change my last bullet on this slide. As of May the 1st, Vepdegastrant has now been FDA-approved, and this certainly is an option for our patients with ESR1-mutated ER-positive HER2-negative advanced breast cancer moving Thank you very much.
Lisa Rojkjaer, Other
Thanks, Dr. Hamilton. We really appreciate you taking the time to walk us through the data and for all of your efforts to evaluate Vepdegastrant in patients with advanced breast cancer. I'm on slide 34. In summary, an unmet medical need exists for effective, well-tolerated therapies for patients with ER-positive HER2-negative advanced breast cancer who acquire ESR1 mutations following first-line endocrine therapy. Vepdegastrant is an oral protac that is differentiated from other ER-targeting therapies by its mechanism of action. Vepdegastrant contains an ER ligand covalently linked to an E3 ligase, which selectively promotes proteasomal degradation of estrogen receptors. In the pivotal phase 3 Veritac 2 trial, in the population of patients whose tumors had an ESR1 mutation, a statistically significant difference in BICR-assessed PFS for vepdegastrant compared to fulvestrant was observed. Median PFS was five months in the Vepdegastrant arm and 2.1 months in the Fulvestrant arm. In addition, the incidence of treatment emergent adverse events was low and the tolerability profile was favorable. Vepdegastrant thus has the potential to be an important treatment option in this setting. And with that, I'll hand the call over to Dave to discuss the significant unmet need.
Dave Santos, Other
Thank you, Lisa. HER2-ESR1-mutated advanced or metastatic breast cancer. As you can see, there are an estimated 170,000 patients in the U.S. living with metastatic breast cancer. And as Raul said, it is estimated that around 70% of those patients, or 119,000, are ER-positive, HER2-negative. As we've outlined, the standard of care for these patients is to be treated with endocrine therapy and a CDK4-6 inhibitor, and exposure to these therapies over time may lead to an ESR1 mutation in up to 50% of patients. In Veritac 2, 100% of patients had endocrine therapy and a CDK4-6 inhibitor, and 43% of those patients were ESR1 mutated. So, using 40% as a benchmark, more than 47,000 estrogen receptor positive HER2 negative patients could be ESR1 mutated. Based on our internal market research, we believe about 60% of these patients are diagnosed and treated in a year. And since ESR1 mutations are acquired as exposure to endocrine therapy and CDK4-6 inhibitor treatment lengthens, the overwhelming majority of these ESR1 mutated patients are in the second line and later setting. That's how we arrive at approximately 20,000 patients diagnosed and treated each year in the second line and later setting with estrogen receptor positive HER2 negative ESR1 mutated metastatic breast cancer in the U.S. Breaking this down further, we believe that about two-thirds of those patients, or 13,000, are in the second line setting, and one-third of them, or approximately 7,000, are in the third line and later settings. Overall, we believe this market represents more than $1 billion in market opportunity in the U.S. Moving to slide 37, I wanted to provide some background on current treatments for this population of second line and later ER positive HER2 negative ESR1 mutated metastatic breast cancer. First and importantly, in the blue portions of the bar, you can see how oral SIRDS have rapidly become the treatment of choice in the second-line setting, garnering nearly 60% share since they've been introduced. Even in the third-line setting, oral SIRDS make up nearly 30% of treatment. This demonstrates how eager clinicians have been to find new options versus older treatments like fulvestrin, chemotherapy, or other options. And that said, those options still make up more than 40% of treatment in the second-line setting and most of the treatment in the third-line setting. The other thing you'll notice about this slide is that the use of newer oral CERDs in the second-line setting is significantly higher in the academic setting, where patients are routinely tested for ESR1 mutations and awareness of new options to treat ESR1-mutated patients is high. It is important to note that while share of new agents is high in the academic setting, the overall share is much closer to that seen in the community, because that is where the overwhelming majority of metastatic breast cancer is treated in the U.S. We estimate that approximately 80% of patients are treated at community oncology practices, where there is still a significant opportunity to raise awareness of new treatments for second and third line patients with ER positive HER2 negative ESR1 mutated metastatic breast cancer. Overall, we see significant potential for Vepinu as a valuable new option in the treatment armamentarium for both academic and community physicians as they treat second line and later ER positive HER2 negative ESR1 mutated metastatic breast cancer. Moving to slide 38, we believe that Vepinu has the potential to become a market-leading treatment in second line and later estrogen receptor positive ESR1 mutated metastatic breast cancer. In addition to Vepinu being the first and only approved protac with a novel mechanism of action, there are three reasons We believe this. First of all, and most importantly, as you heard from Dr. Hamilton, Vepenu demonstrated impressive efficacy in the Phase 3 Veritac 2 study with a significant improvement in median progression-free survival, a 2.4-fold improvement, or five months with Vepenu versus 2.1 months with Fulvestrin. Secondly, Vepenu demonstrated tolerability in the Phase 3 Veritac 2 study with a manageable safety profile and low rates and severity of GI-related events, namely vomiting and diarrhea, which can be challenging for patients on other metastatic breast cancer treatments. Indeed, as a marker of being well-tolerated, just 3% of patients discontinued veterinary treatment and only 2% required dose reductions. These will become important differentiators in this market. And lastly, we believe that the real-world applicability of the patient population in Veritac 2 will be meaningful to clinicians. The standard of care for ER-positive HER2-negative metastatic breast cancer patients is use of endocrine therapy and a CDK4-6 inhibitor. Vepinu demonstrated efficacy, safety, and tolerability in exactly this setting in Veritac 2, where 100% of patients received a CDK4-6 inhibitor and endocrine therapy as previous treatment for their disease. Overall, we believe this combination of proven efficacy, demonstrated tolerability, and real-world applicability of the data will be compelling to clinicians as they choose treatments for second-line and later ER positive HER2 negative ESR1 mutated metastatic breast cancer. And finally, moving to slide 39, FEPANU represents a strategic addition as the fourth FDA-approved product in our portfolio. Not only does this transaction represent an opportunity to provide benefit to patients and physicians, as well as a compelling commercial opportunity, but it also complements our existing commercial infrastructure and capabilities extremely well. Because we've developed significant expertise over the last four years, acquiring new products, smoothly transitioning them to Rigel, and rapidly having Rigel-labeled product ready for patients and clinics as soon as possible after transition, we are uniquely poised to take on Pepinu, a newly approved product that already has an NCCN listing. and make it available to patients and clinics in just a few months from now. We have an established and highly experienced manufacturing and supply team, which will work closely with our counterparts at Pfizer and Arvindis to have product available in August or September. This team got ResLydia into the channel in just three weeks after FDA approval and ensured Gavretto had a seamless transition to Rigel, with no interruptions in supply after the transitions. We have exactly the right expertise to bring Vepinute to patients as soon as possible. Our commercial and medical affairs teams are already in place and experienced in focused oncology areas. We are already calling on both academic and community oncology practices. With our existing footprint in these accounts, we will be even more efficient to ensure we are able to devote our time, energy, and resources to a successful launch of Vepinu. Further, we have developed comprehensive patient access capabilities with a track record of ensuring strong coverage and reimbursement for targeted therapies and an efficient distribution network which can be leveraged to support commercial launch. We will also leverage our Rigel OneCare team with its reputation for being highly responsive to patients and providers to support a successful VepaNew launch. Against the backdrop of our commercial and medical affairs expertise is our track record of successfully taking newly acquired assets to market quickly and efficiently, and we already have plans underway to soon begin engagement with healthcare providers for this important launch. We feel well-positioned to launch and rapidly grow Vepinu into the largest brand in our portfolio. Assuming the transaction closes in mid-June, we anticipate being well-prepared to also commercially launch Vepinu in August or September. We are tremendously excited and fully committed to bringing Vepinu to clinicians and patients as soon as possible. Now, I'll pass the call back over to Raoul for closing remarks. Thank you, Dave.
Raul Rodriguez, CEO
The in-license of BEPANU allows us to bring an important new therapy to patients in the U.S. with an ER-positive, HER2-negative advanced or metastatic breast cancer with an ESR1 mutation. A population with significant need, BEPANU is the first and only approved PROTAC and brings a novel, unique mechanism of action which differentiates it from other agents. Before we go, I'd like to thank our new partners, Arbenas and Pfizer, for their dedication to bring this important new therapy to these breast cancer patients. We will take the baton from here and make sure that becomes a reality. Slide 41. For Rigel, this is a major step forward in our transformational growth strategy. In licensing, a late-stage, differentiated drug that leverages our Heimol capability is exactly what we have been working towards. Upon deal closing, Bepanil has potential to be Rigel's largest commercial drug, and we anticipate this deal to be accretive. This will allow Rigel to generate additional cash in future years, allowing us to invest more in our pipeline to create additional and larger transformational opportunities in the near future. With that, Operator, we are ready to take questions.
Operator
Thank you. If you would like to ask a question, please press star 1 on your telephone keypad. A confirmation tone will indicate your line is in the question queue. You may press star 2 if you would like to remove your question from the queue. And for participants using speaker equipment, it may be necessary to pick up your handset before pressing the star keys. One moment, please, for our first question. Our first question is from Joe Pangunis with H.C. Wainwright. Please proceed.
Joseph (Joe) Pantginis, Analyst — H.C. Wainwright
Good morning. Very exciting transaction. So two questions, please. So first for Dr. Hamilton. So just curious now with this newly approved drug, what do you consider the important next steps? Of course, education is number one with regard to the readiness of physicians to include that new into the Rx pipeline of these physicians.
Erica Hamilton, Analyst — Guest KOL / Principal Investigator, VERITAC-2
Yeah, I think that's a great question. You know, I think physicians are used to having options in the second line, and luckily, we are also used to having to test for ESR-1. That's not a new paradigm for us, having two other therapeutics that are linked to an ESR1 mutation. So, I think, you know, there is the advantage that that is already becoming quite routine in clinical practice. I think the selling point of that degustrant is really going to be the adverse event profile. You know, I think, you know, SIRDS in general are a pretty well-tolerated compound group, but, you know, if we had to pick something that we don't love about them, it's probably GI toxicity. And that varies from compound to compound, but pretty much all of them in the class, you know, have a little bit of problems with nausea, diarrhea, that type of GI toxicity. And I think that's really where the degustrant in the clinical trial and, you know, obviously through the AE table appears really clean. And I think that's going to be a differentiator
Joseph (Joe) Pantginis, Analyst — H.C. Wainwright
for clinicians and patients. I appreciate that. Thank you very much. And then for the company, if I could fast forward a little bit, obviously you're taking on the global rights as well. And can you discuss whether Arvinas and Pfizer have been in any XUS discussions, and will you be taking over those discussions if they have been in progress?
Raul Rodriguez, CEO
Thank you, Joe. I can answer that. This is Raul. We do have global rights for this product, and there are opportunities for this product given its unique mechanism and the data supporting its approval, both AE and certainly from a GI, as Dr. Hamilton just said. And so I think there's opportunities outside of the U.S. as well. And much like we did with our ResLydia product, we will look for partners outside the U.S. and evaluate those in sequence, put them in place. Our colleagues at Pfizer were really looking for a global deal, and so they really haven't looked into separating this out as yet. So we will begin that process. at the right moment and hopefully be successful in putting partnerships in place. We have, with all our prior products, where we had XUS, right? So I have no doubt we'll succeed in that as well.
Joseph (Joe) Pantginis, Analyst — H.C. Wainwright
Great. Thank you very much. Very exciting.
Raul Rodriguez, CEO
Thank you, Joe.
Operator
Our next question is from Kristen Kleska with Cantor Fitzgerald. Please proceed.
Kristen Kluska, Analyst — Cantor Fitzgerald
Hi, good morning, everybody, and congrats on this deal. So you mentioned a couple times that this product has the potential to be your highest selling product. I'm curious if that includes, you know, commentary based on where the approval is today or if that factors in potential indications. And I know that your partners have some studies ongoing right now, which they're responsible for. But does Rigel intend to launch any potential studies in other indications, settings, excuse me?
Raul Rodriguez, CEO
Yeah, I can answer that. And Lisa would contribute that to the correct. We think this has potential to be our largest product with the current label. I think it's an exciting opportunity for us. It's the basis why we were excited to enter in discussions about acquiring this product. It's a really great fit, as Dave just said, with what we are capable of doing. So our ability to commercialize this product effectively, communicate to the doctor community is, I think, quite good. And we're able to make this product a successful launch in a market that's quite sizable, over a billion-dollar market. So we think that it has tremendous opportunity here. Also, some opportunities outside beyond this, but those are still a bit early. And we will return out to you and say, here's other things we might be able to do with it. Lisa, any commentary?
Lisa Rojkjaer, Other
Yeah, I think, thanks, Raul. I think that as you saw on the table with some of the trials that are wrapping up, there is still some data coming that we think will be useful to clinicians and specifically regarding combination. combination and I think we're going to wait and see the final results of those studies and make
Kristen Kluska, Analyst — Cantor Fitzgerald
some future decisions. Thank you. Thank you and can you comment a little bit about you know the internal work you're going to do to prepare for launch what a sales for this might look like seems like with the oral surge that you know the interest in uptake was quite rapid out of the gate So I'm wondering how much of that really needs to be driven by the Rigel team really getting their foot in the door and pounding the table versus the market just, frankly, being aware of everything going on in this space as well. Thanks again.
Raul Rodriguez, CEO
Thank you, Kristen. Dave, maybe you could comment on that.
Dave Santos, Other
Hi, Kristen. First of all, and thanks for the question, we have been doing diligence on this for quite a while. A number of my commercial medical affairs colleagues have been really looking at this, and we view this as an outstanding opportunity. So we do believe it will become our largest product in our portfolio with the current indication, just to reiterate what Raul said. And, yes, there is a tremendous enthusiasm among clinicians to find new options for treating their metastatic breast cancer patients. And it is evidenced by the fact that adoption of the oral surge has been quite rapid. And so we think that's great because I think they'll be open to a drug that has a proven efficacy profile as well as a outstanding tolerability profile. As Dr. Hamilton has reiterated, that 3% discontinuation rate and 2% of dose reduction rate makes it pretty clear to clinicians that this is a drug that patients will take. And we will really message that efficacy that you have, but without any tradeoffs in terms of your patients being able to take this. And that's a key, not to mention that we have the first and only PROTAC as well that's approved, which is, I think, a new wave of heterobifunctional protein degraders that are coming, as well as that novel mechanism of action. And so these are the differentiators that we can have, and we think we can do that with pretty much our current team. Realize that we are calling on most community practices here in the U.S. with Tavalis. Tavalis is widely used across most oncology practices. And with ResLydia, we have outstanding experience in institutions with our institutional team. We do anticipate small increases to make sure we can cover both ResLydia and Vepenew in the institutions. But we really don't see a major increase in our Salesforce size. And our team, I can tell you, I have tremendous confidence in our team. They are terrific at getting the word out there. And I know they're going to be tremendously excited about this opportunity. So we've got a great product and we have a terrific team. And I think we're going to execute just like we've always done to grow our products. And I think we can continue to do what we've been doing with our current product line. But this becomes the focus. This becomes the energizer for our entire team. And I'm telling you, I really do think we can accelerate uptake and have this become our largest product in our portfolio.
Kristen Kluska, Analyst — Cantor Fitzgerald
Thank you so much.
Raul Rodriguez, CEO
Thank you, Kristen.
Operator
Our next question is from Egal Nokomovic with Citi. Please proceed.
Mika Nokomovic, Analyst — Citi
Hi, guys. Thank you very much for taking the questions, and congrats on this transaction. You sort of answered it a little bit already, but Ro, I'm wanting to expand a little bit on the strategy. Obviously, you've had a strong competence in HEME with the existing portfolio. Could you just talk a little bit more about how you've become comfortable moving into solid tumors with this transaction? And then for the doctor, if you could speak a little bit more about the competitive landscape with some of the other agents that are going to develop Phase III data, I believe, later in the year, palazestrin being one of them. I'm just curious if you could comment on how you see VEPDEG fitting into that landscape.
Raul Rodriguez, CEO
Thanks, Miguel. Let me answer the first one, and I'll ask Dr. Hamilton to answer the question on competitive agents in the area. You know, we initiated our entry into the solid tumor market with the acquisition of Gabretto. So that was our first solid tumor product. And part of the rationale for that is that we looked at our sales force and they had substantial solid tumor experience and relationships with doctors in a variety of different areas. So this solid tumors are not an area that's new to our sales capability at all. And we built some very good relationships based on Gavretto. And in many ways, this allowed us to take on this opportunity. It's an opportunity that's substantially larger and one where I think we have a drug here that could be really a great addition to the armamentarium and the second and third line breast cancer market. And I think we're well prepared to do it. As Dave said, our team has evaluated this product for many months as we did diligence, primary market research, began studying what doctors we need to address in this in preparation for a potential launch. So I think we're in great shape for launching this product in the near future, and I think making it a success and really proud to have been selected by our Venus and Pfizer. They did a great job in taking the product to this point, and now I think we're the ideal commercial partner for them because of what we know about the solid tumor area. And with really fairly small number of ads, we'll be able to commercialize quite effectively. uh dr hamilton the question on other competitive agents in this space maybe you can comment on
Erica Hamilton, Analyst — Guest KOL / Principal Investigator, VERITAC-2
those yeah i mean i i think i kind of already alluded to the fact that you know second third line er positive breast cancer is tricky because it's um you know a complicated space um you know we used to just have fulvestrant and now we're profiling we're looking for pi3 akt p10 alterations we're looking for ESR1 mutations, and then we're also trying to, you know, find something to do with patients that don't have a mutation. So, really, the competitive landscape for patients that have an ESR1 mutation right now, we have two other FDA-approved agents, L-assestrant and Imlunestrant. L-assestrant was kind of first to the party. You know, it's not, it's called a CIRD, It's not technically its CIRT activity isn't quite as high as its CIRM activity for a lot of us that really understand that compound. I think, you know, its benefit has really been when we select for patients that have really benefited on prior endocrine therapy for a very long time. Imlunestrant, you know, it's a little bit hard to compare the Imlunestrant data to L-acestrant or Vepdegastrant, because unlike those two trials, in the Imlunestrant trial, the patients had not all seen CDK4-6 inhibitor. So, when you kind of do the dreaded cross-trial comparison, you'll note that progression-free survival is longer in the Imlunestrant trial, but in fact, you know, the control arm did doubly as well in the Imlunestrant trial, so really not comparing apples to apples. You know, again, I mean, I think the oral have a little bit more GI toxicity, in my opinion, than Vepdegastrant does. Ultimately, I think that gets back to patient tolerability and how they feel, you know, day-to-day on an oral therapy that they're taking at home. And also, you know, in the future to combinability with other agents. The other option patients have is to do something that isn't a single agent, you know, combining, you know, fulvestrant with an abemacyclib or, you know, other combinations like an everolimus. You know, although those regimens can be efficacious, whenever we do combinations, we add toxicity. And so, really, we kind of discuss that with our patients, but a lot of patients really wanting to pick what they're going to feel well on and have the best quality of life on and i think that's really where um single agents shine okay thank you and
Mika Nokomovic, Analyst — Citi
just one quick quick one for the company you mentioned 60 million in additional regulatory milestones i i gather that's uh for other territories outside of the united states could you just clarify please yeah other indications other indications okay our next
Operator
question is from farzeen hack with jeffries please proceed hi good morning congress on the deal and
Farzin Haque, Analyst — Jefferies
thank you for taking my question. Maybe one question for Dr. Hamilton following up on the last response, like from an uptake perspective in the real world use, like use the chemo and then the increasing use of SIRS that you mentioned, so in what patient setting would you prescribe the VAPAN, like primarily in new second-line patients, or will you use it also for patients progressing on the Orserto and Inuria, and also the SIRT chemo, for example. These patients were not part of the clinical design that you mentioned?
Erica Hamilton, Analyst — Guest KOL / Principal Investigator, VERITAC-2
Yeah, I'll try to answer that. I think whether we're talking about chemotherapy or antibody drug conjugates, those drugs should really be reserved for patients when they're no longer appropriate for endocrine therapy. We really should be exhausting our endocrine agents before we move on to those agents. So that's somebody that didn't get benefit from their last line of endocrine therapy and is no longer appropriate to receive more endocrine therapy. We're typically not going to give chemotherapy and come back to an endocrine therapy, again, if we've been systematic and used our endocrine therapies appropriately before we've moved on to chemotherapy. Does that answer your question there? Yeah, that makes it clear.
Farzin Haque, Analyst — Jefferies
And then for the management team, like following the, there's a term loan for $45 million that you retired, and then you had that. So how are you going to fund the $70 million? Is it through the existing cash reserve or through the drawdown of the new $40 million revolving credit?
Raul Rodriguez, CEO
Thanks for that. I'll ask Dean to address that. Dean may have had an issue. Let me address that. We ended the quarter with about $146 million in cash. So it's a very good cash position. We're planning on using that cash to fund this. It should be a comfortable number for us. And, you know, in addition to that, beyond that, if we choose to, we do have a credit facility that we could tap into with METCAP, as we announced a week ago. We restructured that facility to an AR credit line and threw down $8 million for that. So we still have ample capacity there as well. So the combination of the two puts us in a very strong position to do the trial. This is a license.
Farzin Haque, Analyst — Jefferies
Thank you so much.
Operator
Our final question is from Allison Brazell with Piper Sandler. Please proceed.
Ashley Xu, Analyst — Piper Sandler
Good morning, team. Thanks for the question. This is Ashley on for Allie. Congrats on the transaction. Just one question from us. I was just curious to get your thoughts and also hear Dr. Hamilton chime in. With the label requiring an FDA-authorized test for ESR1 mutations, what's the strategy for ensuring broad access to diagnostic testing you know, to facilitate rapid patient identification and uptake. And maybe, Dr. Hamilton, you can expand more on the doc's experience with this. I know there's information in the label itself on FDA-authorized detection tests, but any color around this would be helpful. Thank you.
Erica Hamilton, Analyst — Guest KOL / Principal Investigator, VERITAC-2
Dr. Hamilton? Yeah, so this is the label saying FDA-authorized test is really just alluding to the fact that patients need to have an ESR1 mutation. So they're not specifying that you have to have that, you know, in a certain brand of test, but this is really any commercially available test. And so we have a variety of those available, whether we're talking about tissue-based testing or whether we're also talking about blood-based or liquid biopsies. So there's multiple, you know, vendors that supply those. I actually, and this is Dave, I'll also comment
Dave Santos, Other
that, you know, as I said, we've done a lot of market research in this area, and as I said on my prepared remarks, testing in the academic institutions is very, very high and nearly universal. In the community, it's still pretty high in breast cancer, particularly because this is a CT DNA test that's commercially available, and they also have a team that goes out and talks to them about this test. So it is being done in a majority of community practices. So we don't see testing as necessarily an area that we will focus on and increase the testing rate. We think that's going to grow organically in the community practices. We'll continue to talk about VEPANU there, but we do expect that testing, especially for ESR1 in metastatic breast cancer, will become more prevalent in the community as time moves on.
Ashley Xu, Analyst — Piper Sandler
Got it. Thank you.
Operator
There are no further questions at this time. I would like to turn the floor back over to Mr. Raul Rodriguez for closing comments.
Raul Rodriguez, CEO
Thank you very much, Oper. And thank you for your questions. And thank you very much, Dr. Hamilton. We appreciate your insight and your contributions to this drug. It's really an incredible advance in terms of providing this drug to breast cancer patients. We look forward to taking that step and executing on that in the near future. It's an exciting moment for the company as well as we take the next step in adding to our portfolio, utilizing, leveraging our commercial organization, and increasing the sales base of the company nicely with this transaction. So with that, I'd like to thank you for your interest and your participation on this call. Have a good day.
Operator
Thank you. This does conclude today's teleconference. You may disconnect your lines at this time, and thank you for your participation.