AETHLON MEDICAL INC 0 Earnings Call
Key Takeaways
- Aethlon Medical is developing the Hemopurifier, a clinical-stage immunotherapeutic device designed to remove harmful extracellular vesicles (EVs) from the bloodstream to enhance the effectiveness of existing cancer therapies.
- The company recently reported encouraging biological observations from a small Australian oncology safety trial involving nine patients failing KEYTRUDA or OPDIVO therapies, showing reductions in EVs and changes in immune biomarkers consistent with their hypothesis.
- Seven of nine patients have been treated in the trial, with no device-related serious adverse events reported so far.
- Aethlon Medical raised approximately $4 million in gross proceeds recently, following $1.9 million raised through ATM sales in the June quarter, strengthening its cash position and extending its runway to complete current and next clinical steps.
- The Hemopurifier was used during the 2014 Ebola outbreak to treat a critically ill patient, reducing viral load and improving organ function, which helped validate the concept of virus removal from bloodstreams.
Outlook
- The company sees potential applications of the Hemopurifier beyond oncology, including infectious diseases such as long COVID and other conditions involving harmful circulating particles.
- Management believes the Hemopurifier platform could address multiple serious diseases by removing disease-promoting particles, not limited to a single disease area.
- There is a current Ebola outbreak in Africa, and the company’s FDA-approved protocol for Ebola treatment remains in place, though no critically ill patients have been brought to the U.S. for treatment.
- The oncology market targeted includes solid tumors treated with KEYTRUDA and OPDIVO, such as head and neck, lung, and skin cancers, with potential future exploration in blood cancers.
Guidance
- The immediate focus is to complete the current Australian oncology safety trial, including statistical analysis of the data.
- Next steps include meetings with the FDA and Australian TGA to discuss the design of the next, larger clinical trial necessary for commercialization.
- Management expects to hit meaningful clinical milestones without needing to raise additional capital soon, given the recent financing and disciplined burn rate reductions.
- Clinical endpoints of importance include safety, changes in EVs, microRNAs, T cell markers, and relevant blood chemistry markers measured at multiple time points up to eight weeks post-treatment.
Executive Comments
- CEO Jim Frakes emphasized that the Hemopurifier is designed to complement existing therapies rather than replace them, enhancing their effectiveness by removing harmful particles from blood.
- He highlighted the encouraging biological signals from the oncology trial as evidence the device is performing as intended.
- Frakes described the company’s strategy as proving the technology in oncology first, then expanding into other indications supported by science.
- He stressed that credibility in biotechnology comes from delivering results through data rather than promises.
- The company is focused on disciplined execution financially and operationally to build long-term shareholder value.
- Frakes noted the company’s strong balance sheet with no debt and a focus on partnerships and licensing opportunities once more clinical data is available.
Q&A
- The most compelling biological mechanisms observed are removal of EVs, relevant microRNAs, and positive changes in T cell immune markers.
- The oncology focus is on solid tumors approved for KEYTRUDA and OPDIVO, with potential interest in blood cancers in the future.
- Emerging viral threats could create opportunities for the Hemopurifier as a first line of defense or salvage therapy in severe cases where vaccines or other treatments have failed.
- Safety is the primary endpoint in the current trial, with efficacy assessed through biomarker changes over time.
- Management expects to complete the current trial soon, analyze data, and engage regulators to plan the next clinical trial.
- The company is open to strategic partnerships but awaits more clinical data to strengthen its negotiating position.
Welcome back, everyone. We have Aethlon Medical, trades on the NASDAQ under the symbol AEMD. It's a medical therapeutic company focused on developing the Hemopurifier, a clinical-stage immunotherapeutic device that is designed to combat cancer and life-threatening viral infections and for use in organ transplantation. Happy to welcome CEO and CFO, Jim Frakes. Welcome back, Jim. We're happy to have you. Let's just jump in. Let's start with the big picture for investors who may be hearing about Aethlon Medical for the first time. Talk about the company's mission and what unmet medical problem you are trying to solve.
Thanks, Anna. It's good to be on your program again. Our mission is to improve outcomes for patients with life-threatening diseases by helping existing therapies work better. Today's cancer treatments have made tremendous progress. Unfortunately, many patients either don't respond or stop responding to those treatments. We believe part of the reason is that tumors release harmful particles into the bloodstream that interfere with the body's immune response. Our lead program is focused on those patients. If we can remove those harmful particles, we believe we may improve the effectiveness of therapies for those patients that are already receiving them. I would say the key takeaway is that we're developing technology designed to enhance existing treatments and not replace them.
Perfect. Hemopurifier is unlike most biotech products because it's a therapeutic device rather than a drug. Explain in simple terms how it works and why it's important.
Right. Think of the Hemopurifier as a specialized blood filtration system. I'm holding our product. It's a medical device called the Hemopurifier. It connects to blood pumps, blood pumping machines like dialysis machines or CRRT machines that are in hospitals and clinics worldwide. Blood circulates through our device during treatment, where it captures targeted disease-promoting particles before returning the blood to the patient. The blood flows from the patient through our device. These particles are pushed out through the little pores in the 20,000 or so little fibers inside the device. The plasma exits little holes, pores in those fibers, then is pushed back in, less those captured particles, and returned to the body. That's the way it works. The circuit runs for about four hours typically.
Because we're removing these harmful particles instead of adding another drug, our approach has the potential to complement many different therapies and technologies across multiple diseases. I believe that's what makes our technology unique.
Perfect. You recently reported encouraging observations from your Australian oncology trial. What stood out most to you from those results?
Personally, I'm very excited. We are running a small nine-ish patient safety trial in Australia for cancer patients that are failing KEYTRUDA or OPDIVO drug therapies. I guess the biggest takeaway is that the biology is moving in the direction we hope to see. We're observing reductions in extracellular vesicles, or EVs, these are those particles I was talking about earlier, and changes in immune system biomarkers that are consistent with our scientific hypothesis. That if our device can remove those extracellular vesicles, or EVs, that are emitted by cancerous tumors, it should reduce metastasis within the patients where the cancer tumors jump to other parts of the body. We all have friends and relatives that have, unfortunately, had that happen. EVs, they help communicate basically within the body. Our hypothesis is if we can remove those EVs, we could help reduce that.
It's still early, we certainly need to complete the study, including statistical analysis, before drawing conclusions. Seeing those biological signals gives us increasing confidence that the device is doing what it was designed to do. For investors, I believe that's exactly what you want to see in early-stage clinical companies.
Absolutely. Assuming the Australian oncology trial continues to produce positive results, what are the next clinical and regulatory milestones?
Anna, our focus is very straightforward. First, we need to complete the current study. We've treated seven patients of the nine. If there are no device-related serious adverse events, it will only be nine. If there is such a situation, and again, we haven't had any, it could be as much as three more. We're two to five patients away from completing the study. Secondly, analyze all of the data, including analyzing the statistics. Third, meet with regulators, the FDA in the U.S., the TGA in Australia, to discuss the design of the next clinical trial. Each study answers important scientific questions and reduces uncertainty. That's a key point I'd like to make here. That's how the development progresses and how value is created over time. I think with every successful milestone, risk is reduced and moves the company closer to commercialization There are many companies developing new cancer therapies.
Where does Aethlon fit into today's oncology landscape, and what makes yours different?
Right. There are many companies developing cancer therapies, and they're almost all drugs. We're taking a completely different approach. Rather than targeting the cancer cells directly with a drug, we're working to improve the environment surrounding the cancer by removing those harmful circulating particles, the EVs, that may interfere with immune function. I believe that that means our technology could potentially be used alongside many existing therapies rather than competing against them.
Beyond oncology, Aethlon has generated encouraging data in long COVID through your collaboration with UCSF. Update investors on the status of that program.
Right. We've had a good relationship with University of California, San Francisco, their long COVID group, which is a preeminent group in that area. The long COVID work continues to produce valuable scientific insights. I believe it's helped us to better understand how persistent viral proteins and inflammatory particles may contribute to symptoms in some patients. I must say, as an aside, every week, fortunately or unfortunately, I get all the queries through our company's website, and I must get at least one query per week from long COVID patients that are just suffering, and there's no approved therapy. It's a huge market eventually. While oncology remains our primary clinical focus, the long COVID research reinforces that this technology may have applications well beyond cancer.
Wonderful. Hemopurifier, it was originally developed to remove viruses from the bloodstream. How broad do you believe the platform opportunity is?
That's true. It was originally developed to remove viruses, I believe one of the exciting aspects of our technology is that it isn't tied to a single disease. Many serious illnesses involve these harmful particles circulating in the bloodstream. I mentioned EVs with oncology. With viruses, most harmful viruses have a glycosylation or sugary carbohydrate surface on the viruses. That is a very similar surface to the surface of EVs. Both of them bind within our device. That's why the device works in both areas. If our clinical work continues to validate the platform, we believe in the future there could be opportunities in oncology, infectious diseases, and potentially other conditions where those particles play an important role. I'd like to think a key takeaway is we are building a platform technology, not just a single-product company.
Many investors may not realize that Hemopurifier was used during the 2014 Ebola outbreak in critically ill patients. Tell us a little bit about that experience.
Sure. In the 2014 outbreak of the Zaire strain, a physician became direly ill in Africa treating Ebola patients, was medevaced to Germany to a hospital in Frankfurt. All of his organs were shutting down, including his kidneys. The nephrologist that was treating him knew of our product, asked us if we'd send some over to treat the patient, and they administered the Hemopurifier in one six-plus hour treatment. It did, shortly thereafter, the kidneys started functioning, other organs, and it reduced his viral load sufficiently that he was able to go home. It was a great result. One patient only, it wasn't a clinical trial, but it did provide valuable experience and helped validate the concept that harmful viruses could be removed from the bloodstream. Shortly after that the patient was treated, the FDA did approve a protocol to treat Ebola patients.
There is a current outbreak of a different strain of Ebola in Africa right now. We have communicated with the FDA, and they confirmed our Ebola protocol is still in place, but there have been no direly ill Ebola patients brought back to the U.S. It's an example of where we could play a role if there are these outbreaks of life-threatening viruses.
The company has previously discussed evaluating strategic alternatives to maximize shareholder value. Is that process still active? How should investors think about strategic partnerships, like licensing opportunities or other transactions as you continue to advance?
Our board does regularly evaluate opportunities. I believe that's a normal progression for a small life science company to eventually partner up with a larger life science company. We don't have a sales force. I just don't think a likely scenario is we become a fully integrated life science company. We're looking and would like to enter into partnerships, licensing opportunities, strategic collaborations, and other business opportunities. As yet, the bigger players want to see the data from our study before having further conversations, and we're not there. We're getting close, as I mentioned earlier, but we're not there yet. The other situations we've run across, the board hasn't felt they gave enough credit for what we've developed. I think we believe our strongest negotiating position will come from generating good clinical data. Our primary focus remains executing our development plan.
We certainly will remain open to opportunities to benefit shareholders. That's our ultimate goal. You recently completed a financing, so discuss why you chose to raise capital now, and how the proceeds strengthen the company, and how investors should think about your cash runway and the needs going forward.
Yeah. I made that call. We had close to a year's worth of cash. It would've gotten us through wrapping up this clinical trial, but not going into the next step of meeting with the regulators, embarking on the second larger clinical trial necessary to obtain commercialization. We did raise about $4 million in gross proceeds earlier this month. That was after raising $1.9 million through ATM sales in the June quarter. We're pretty well-financed at the moment. We will remain disciplined in how we deploy the capital. I've cut the burn rate in half since the board asked me to become CEO in addition to my longtime here as the CFO. We're focused on hitting those milestones that will give us the greatest potential to increase shareholder value.
It did have a short-term negative impact on our stock value, but we are much better capitalized now, can carry the company a long way. Should hit those milestones without needing to raise more capital anytime soon.
Wonderful. You've described the Hemopurifier as a platform technology. What would you say to investors who wonder whether Aethlon is an oncology company, an infectious disease company, or something broader?
Right. I use a very lay person's description of how Aethlon kind of regarded itself, that we were like a bunch of firemen in a firehouse. This is when we were solely focused on infectious diseases, and we were waiting for a fire. For example, that one Ebola patient in 2014, it showed it worked, it could address those kind of life-threatening viruses. I just felt you couldn't run a company being a bunch of firemen in a firehouse. Cancers, every day, unfortunately, people have to deal with that. My sister died from cancer. It is just awful. It's a huge market that those drugs I mentioned, the KEYTRUDA and OPDIVO. Not that I'm suggesting that we'll do anything like this, but something like $25 billion a year in sales.
If we can help those drugs even improve by a few % in terms of their ability to help their patients, that would be great for our shareholders and for society as well. I have focused the company on oncology. It can be used in virology. Long term, we do believe we're developing a platform that can address multiple diseases. Our strategy is simple. Prove the technology in oncology first, then expand thoughtfully into additional indications where the science supports it.
if we're sitting here a year from now, let's say, what do you hope investors will be saying about Aethlon Medical? What milestones might have the potential to be the most meaningful drivers for shareholder value?
I suppose I'd like them to say that we did exactly what we promised. That we completed important clinical milestones, we generated strong, interesting, compelling data, advanced discussions with regulators, and continued executing with discipline, financially and operationally. I believe in biotechnology credibility comes from delivering results, not making promises. We've all seen too much of that. That's how we intend to build long-term shareholder value.
Many small cap biotech companies are competing for investors' attention. If investors remember one thing from today's discussion, what would you want that to be?
I suppose, investors, if they remember one thing, it's that Aethlon isn't simply developing another cancer therapy. We're developing what we believe is a platform technology, again, with our device, with the potential to address multiple serious diseases. Our lead focus today is oncology, where we're seeing encouraging biological observations that support our scientific hypotheses. We also see potential applications in infectious diseases, long COVID, and other conditions where those circulating particles that I mentioned play an important role. As I mentioned, we've strengthened our balance sheet. We have no debt, unlike many small cap companies. I've kept the company away from that. We have meaningful clinical milestones, very meaningful, I believe, clinical milestones ahead, and we're focused on disciplined execution.
Now a few more questions.
Most importantly, if I can just make one more comment, please.
Most importantly, we understand that success in biotechnology must be earned through data. Every study that we complete helps us to better understand the potential of the Hemopurifier, and we believe moves us closer to creating value for our patients and shareholders. Sorry to be long. You're good.
Thank you, Jim. Talk about what biological mechanism has been most compelling in your clinical or pre-clinical work.
In oncology, the removal of EVs. There are many studies about EVs, how they rise and fall with cancer patients. We've seen that we tend to remove the ones that are relevant to cancers. Within those extracellular vesicles, or EVs, there are microRNAs, and some of those microRNAs also are very relevant to cancer, and the data so far seems like those are moving in the right direction as well. EVs, microRNAs, and then finally T cells. That's the most important thing. How does the immune system react to our technology? Some of the critical T cell markers also are moving in the right direction. Again, small study, safety study, but so far so good in terms of the data.
Let's talk about the types of cancers. Which types of cancers do you believe offer the greatest opportunity for the Hemopurifier?
To date, because our hypothesis is to try to help these mainstream drugs like KEYTRUDA and OPDIVO, we focused on solid tumors that they're approved for. I do think blood cancers are interesting. I mean, our device filters blood. We have not yet focused on that. It's been solid tumors that have been approved for KEYTRUDA and OPDIVO. Head and neck cancer, lung cancer, skin cancers, solid tumors like that.
Could emerging viral threats create future opportunities for the Hemopurifier?
Oh, absolutely. I would say that we'll never be a vaccine or a vaccine developer. The technology's evolved with mRNAs. The vaccine development seems to be progressing faster and faster, which is a great thing for society. As a first line of defense, this could absolutely play a role. In, I hate to use this term, but they do use it in medicine, salvage situations, like that poor doctor that contracted Ebola in 2014. I mean, all of his organs were shutting down. It was dire. We could definitely play a role for some of those people, that we wouldn't be able to. I mean, I doubt it would work for all of them, but it could help some. First line of defense as a countermeasure, and then in those salvage situations where more mainstream vaccines or therapies haven't worked. Yes, the answer is yes.
Which clinical endpoints will be most important in demonstrating efficacy?
Well, again, it's a safety trial, so safety's the most important thing. We're not following these patients out five years. It's not a long-term cancer study like that. We're looking at those same markers I discussed during this interview, EVs, microRNAs, and T cell markers. Also some typical blood chemistry things. There are certain markers that are relevant to cancer, we analyze how those move. We're looking at the kickoff point before the treatment starts, how their blood looks, couple of hours into the treatment, after the treatment of four hours, week out, two weeks out, up to eight weeks out. Those are the snapshots in time that our lab at University of Sydney is analyzing from those patients.
Perfect. Well, what closing remarks do you have for our viewers today, Jim?
Well, for those of you that were not familiar with Aethlon, I hope this was somewhat interesting. I'd encourage you to look at our website, which is www.aethlonmedical.com, and I hope you keep us on your radar screen. For our existing long-term investors, I'd like to thank them for their support. We are getting there with this trial. We're seven-ninths of the way through, everything considered. We've come a long way in the last two or three years since I've been CEO. I'm proud of that. Wonderful.
Well, thank you so much. We appreciate you coming back on this conference and giving us this update with your important product. We hope to see you again real soon.
Thank you very much, Anna.
Okay. We'll talk soon. Bye.
Everyone, we'll be right back.
