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CTMX

CytomX Therapeutics, Inc.

CytomX Therapeutics, Inc. Q1 FY2024 earnings call

May 8, 2024 · fiscal period ended 2024-03

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Summary

Generated 2024-05-08

Management highlights

• CytomX is focused on oncology using the Probody therapeutic platform, with over 15 active programs including 3 clinical stage molecules. • Progress on CX-904 Phase I study: Positive initial dose escalation data, showing limited cytokine release syndrome (CRS), immune effector cell-associated neurotoxicity syndrome (ICANS), and manageable EGFR toxicities; confirmed partial responses in pancreatic cancer patients. • Updates on other programs: CX-2051 Phase I study first dose cohort cleared, anticipates data in H1 2025; CX-801 Phase I study initiation with Merck agreement for KEYTRUDA combination, anticipates data in 2025. • Collaborations: Earned $10M milestone from Astellas collaboration, working with partners like Bristol-Myers Squibb, Amgen, etc. • T-cell engager strategy: Masking strategy to reduce toxicities in normal tissues and enhance tumor localization by using unique peptides and protease cleanable substrates to improve the therapeutic window.

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Segment performance

No detailed financial segment performance provided in the transcript; focus is on pipeline and clinical progress rather than revenue by product segments.

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Guidance

• Anticipate continued progress in 2025, including data from CX-2051 and CX-801 in 2025. • Plan to aggressively pursue the signal from CX-904 in pancreatic cancer and expand enrollment to other EGFR positive tumor types (e.g., lung, upper GI, head and neck cancers). • Intend to provide additional CX-904 update later in 2024.

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Risks

• Inherent uncertainties in forward-looking statements related to clinical trial outcomes, regulatory approvals, and market acceptance. • Risks associated with toxicities and side effects in T-cell engager therapies, though masking strategy aims to mitigate some toxicities (e.g., CRS, ICANS).

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Q&A highlights

Q: Can the masking benefit extend to other T-cell engagers and is pancreatic cancer special?

A: Sean believes the masking benefit can likely extend to other programs, noting 904 is a strong start. Pancreatic cancer is interesting as it's typically immunologically cold but CX-904 shows activity, while other tumor types are in early stages of study.

Q: Dose relationship and balance between efficacy and tolerability?

A: There's a dose response, and the safety profile allows for higher dosing. Phase Ib is likely to use step strategies to explore further dose and schedule options.

Q: EGFR-mediated toxicities and pancreatic cancer progression?

A: EGFR toxicities are manageable, with mostly Grade 1/2 rash. A pancreatic cancer patient's progression involved new lesions and growth of target lesions.

Q: Baseline characteristics predictive of response and duration of stable disease?

A: No clear patient characteristic predictors of response, but early data shows stable disease in some patients with varying durations, and pretreatment biopsies with high CD8-positive T cells were intriguing.

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Key numbers

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Transcript

May 8, 2024

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