BCAB November 13, 2025

BioAtla Q3 2025 Earnings Call - FDA Alignment Secures OSV Phase 3 Registrational Trial for OPSCC with Strategic Partnering in Sight

Summary

BioAtla’s third quarter 2025 earnings call delivered a critical update: FDA alignment on the phase 3 OSV registrational trial design for second-line plus oropharyngeal squamous cell carcinoma (OPSCC), focusing on dual primary endpoints for accelerated and full approval. This clears a pivotal regulatory hurdle and sets the stage for trial initiation early next year, supported by an impending strategic partnership aimed at maximizing market potential in an underserved and growing patient population. The company also spotlighted promising clinical progress with its dual CAB EpCAM T-cell engager and MCV programs, reinforcing the differentiated therapeutic profile of its CAB platform. Financially, BioAtla reported a net loss increase due to lack of collaboration revenue year-over-year and a non-cash warrant liability charge, offset by sharply reduced R&D and G&A expenses following workforce optimization, with a cash position strengthened by a recent $2 million milestone from Context Therapeutics. Looking ahead, key data readouts and clinical milestones in 2026 underpin a narrative of potential commercial and clinical breakthroughs across multiple programs.

Key Takeaways

  • BioAtla achieved FDA alignment on the phase 3 OSV registrational trial design combining overall response rate and overall survival as dual primary endpoints in second-line plus OPSCC.
  • The OSV phase 3 study targets a poorly served, growing patient population with HPV-positive OPSCC, a cancer subtype projected to become the most common in head and neck cancers by 2030.
  • Estimated worldwide peak sales for OSV in second-line plus OPSCC is approximately $800 million, with the broader OPSCC market expected to reach $3 billion by 2032.
  • BioAtla is nearing finalization of a strategic partnership expected by year-end to support phase 3 trial initiation and commercialization efforts.
  • Dual CAB EpCAM T-cell engager (BA3182) preliminary phase 1 data show manageable safety and encouraging anti-tumor activity with selective tumor microenvironment targeting to reduce off-tumor toxicity.
  • Mecbotamab vedotin (MCV) phase 2 data in treatment-refractory soft tissue sarcomas indicate median overall survival of 21.5 months, surpassing approved therapies, supporting its therapeutic potential.
  • The company received a $2 million milestone payment from Context Therapeutics tied to the dual CAB NECTIN-4 TCE license agreement, providing non-dilutive funding and validating platform biology.
  • BioAtla’s R&D expenses declined 42% year-over-year due to clinical prioritization and workforce reductions, with G&A expenses also lowered, reflecting operational tightening.
  • Cash and cash equivalents stood at $8.3 million as of September 30, 2025, not including the subsequent October milestone payment, with a strategic focus on sustaining operations and advancing key programs.
  • Upcoming clinical updates on OSV phase 3 enrollment, dual CAB EpCAM T-cell engager dose expansion, and additional MCV data are anticipated in the first half of 2026, marking a critical year for clinical and commercial milestones.

Full Transcript

Speaker 4: Good day, everyone, and welcome to today’s BioAtla third quarter 2025 earnings call. At this time, all participants are in a listen-only mode. Later, you may have the opportunity to ask questions during the question-and-answer session. I will be standing by should you need any assistance. It is now my pleasure to turn the conference over to Julie Miller with LifeSci Advisors. Please go ahead.

Julie Miller, Investor Relations, LifeSci Advisors: Thank you, Operator. Good afternoon, everyone. With me today on the phone from BioAtla are Dr. Jay Short, Chairman, CEO, and co-founder; Dr. Eric Sievers, Chief Medical Officer; Sheri Lydick, Chief Commercial Officer; and Richard Waldron, Chief Financial Officer. Earlier this afternoon, BioAtla released financial results and a business update for the quarter ended September 30, 2025. A copy of the press release is available on the company’s website. Before we begin, I’d like to remind everyone that statements made during this conference call will include forward-looking statements, including but not limited to statements regarding BioAtla’s business plans and prospects, potential selective licensing, collaborations, and other strategic partnerships.

The potential for our clinical trials to be registrational, results, conduct, progress, and timing of our research and development programs and clinical trials, expectations with respect to enrollment and dosing in our clinical trials, the anticipated clinical benefits, safety, efficacy, and market potential of our product candidates, plans and expectations regarding future data updates, clinical trials, regulatory meetings, and regulatory submissions, the potential regulatory approval path for our product candidates, expectations about the sufficiency of our cash and cash equivalents, and expected R&D and G&A expenses. These statements are based on current expectations and assumptions and are subject to various risks and uncertainties that can cause actual results to differ materially from those expressed or implied. These risks and uncertainties are described in our filings made with the SEC, including the most recent quarterly report on Form 10-Q and other subsequent filings.

You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of today, November 13, 2025. BioAtla disclaims any obligation to update or revise such statements to reflect new information, future events, or circumstances, except as required by law. With that, I’d like to turn the call over to Jay Short. Jay?

Jay Short, Chairman, CEO, and Co-Founder, BioAtla: Thank you, Julie. And thanks to everyone for joining us for our third quarter 2025 BioAtla earnings call. First and foremost, it is important to update that we are currently in advanced stages to finalize a strategic transaction with a potential partner by year-end. Further, in September, I’m pleased to report that we achieved FDA alignment on the phase 3 OSV registrational trial design, including dosing regimen, comparator arm, and approval endpoints for the treatment of second-line plus oropharyngeal squamous cell carcinoma, or OPSCC. OPSCC represents a sizable and steadily growing patient population poorly served by EGFR inhibitors and other standard-of-care regimens. Importantly, this randomized phase 3 trial will evaluate dual primary endpoints of overall response rate and overall survival. And this dual endpoint design provides the opportunity for achieving accelerated approval followed by full approval.

We are currently preparing for initiation of the OSV phase 3 study and remain on track to advance this program. We also recently presented compelling data with multiple programs, including our dual CAB, EpCAM, TCE, or BA3182, and MCV, which further validates the potential of our CAB platform to deliver differentiated therapies for patients with difficult-to-treat cancers. In a few moments, Eric will provide an overview of these data. I’m also pleased to share that we achieved a development milestone under our license agreement with Context Therapeutics related to the dual CAB, NECTIN-4 TCE program. This milestone not only provides non-dilutive capital but also further validates the underlying biology and its impact on improving the therapeutic index of our CAB T-cell engager platform.

We continue to be encouraged overall by our CAB T-cell engager results, including this milestone achievement as well as the promising interim data from BA3182 recently presented at ESMO. Finally, our MCV program continues to distinguish itself with the potential for increasing overall survival compared with approved treatments in soft tissue sarcoma recently presented at CTOS. These overall survival data are analogous to the prolonged overall survival data we observe in mutant KRAS non-small cell lung cancer patients. With that, I would now like to turn the call over to Sheri to provide an overview of the substantial market opportunity for OSV, our CAB ROR-280C. Sheri?

Sheri Lydick, Chief Commercial Officer, BioAtla: Thank you, Jay, and good afternoon, everyone. OSV has demonstrated compelling clinical activity in heavily pretreated patients with HPV-positive OPSCC, a population with a poor prognosis. OPSCC is a steadily growing indication primarily driven by prior HPV infection. Up to 80% of OPSCC cases in the U.S. are caused by HPV, and by 2030, OPSCC is projected to become the most common subtype of head and neck cancer in the U.S. The unmet need is significant, and current standards of care, including EGFR inhibitors, provide minimal benefit in this setting. This epidemiology underscores the urgency of advancing new therapies. From a commercial perspective, the opportunity is significant. We estimate worldwide peak sales of OSV to be approximately $800 million in second-line and later OPSCC alone. The total worldwide OPSCC market is projected to reach $3 billion by 2032.

When you consider the broader HPV-positive solid tumor market, including cervical cancer, the value exceeds $7 billion globally. We continue preparations for enabling initiation of the phase 3 study with the goal of advancing the study with a strategic partner early next year. With that, I would now like to turn the call over to Eric for additional clinical and program updates. Eric?

Dr. Eric Sievers, Chief Medical Officer, BioAtla: Thank you, Sheri. Phase 3 trial preparations for OSV continue as we achieved alignment on the phase 3 registrational trial design with the potential for accelerated approval followed by full approval with its dual endpoint design. Importantly, OSV offers a differentiated profile in HPV-positive OPSCC as overexpression of the ROR-2, the target of the ADC, is driven by oncoproteins associated with HPV infection forming a cancer axis that is associated with poor prognosis and resistance to chemo and immunotherapies. We have seen OSV’s potential with our strong phase 2 data in late-line patients demonstrating an overall response rate of 45% and a median overall survival of 11.6 months compared to the historical response rates of only 0%-3.4% and median overall survival of only 4.4 months with standard therapies. Beyond OSV, we continue to make exciting progress with our dual CAB, EpCAM, T-cell engager.

EpCAM is broadly expressed across adenocarcinomas of the colon, stomach, pancreas, biliary tract, lung, breast, prostate, and thyroid, making it a compelling bispecific T-cell engager target. However, EpCAM is also broadly expressed on healthy epithelial tissues, and this broad expression is associated with on-target, off-tumor toxicities when targeted by traditional antibodies. We believe we have a notable advantage with our dual CAB, EpCAM, T-cell engager as it is designed to selectively bind within the acidic tumor microenvironment and eliminate on-target, off-tumor toxicity. We recently presented preliminary data from our phase I trial with our dual CAB, EpCAM, T-cell engager in advanced adenocarcinomas at the annual 2025 European Society for Medical Oncology Congress. Overall, data indicate that the safety profile is manageable.

In addition, we are continuing to see encouraging preliminary signs of tumor reductions across a broad range of indications and notable prolonged tumor control with a confirmed partial response at the 0.6 milligram dose. This responding patient with intrahepatic cholangiocarcinoma, a particularly challenging cancer of the biliary tract, remains on treatment without progression now for more than six months. We also remain encouraged by the performance of mecbotamab vedotin, or MCV. Data from our phase 2 trial of MCV alone and in combination with nivolumab in patients with treatment-refractory soft tissue sarcomas were recently presented at the Society for Immunotherapy of Cancer annual meeting. Data from 44 evaluable patients with leiomyosarcoma, liposarcoma, and undifferentiated pleomorphic sarcoma showed median overall survival of 21.5 months compared to median overall survivals of only 11.5-13.6 months reported for approved agents in similar advanced soft tissue sarcoma populations.

Further, these overall survival observations are directionally consistent with prior experience in mutated KRAS non-small cell lung cancer from our other ongoing phase 2 trial of MCV and support its potential utility as a treatment for solid tumors. The safety profile of MCV as a monotherapy and in combination with an anti-PD-1 antibody was manageable and is consistent with conditional binding of the AXL target restricted to the tumor microenvironment. No new safety signals were identified. I shall now hand it over to Rick to review the third quarter 2025 financials. Rick?

Richard Waldron, Chief Financial Officer, BioAtla: Thank you, Eric. As of September 30, 2025, we had $8.3 million in cash and cash equivalents. In October 2025, Context Therapeutics triggered a $2 million milestone payment to us under the license agreement for the dual CAB, NECTIN-4 TCE. The payment was received recently and reflects continued progress and validation of BioAtla’s differentiated T-cell engager platform. Of note, our third quarter cash and cash equivalents do not include this payment or any R&D funding from the collaboration. For the third quarter ended September 30, 2025, we reported a net loss of $15.8 million compared to a net loss of $10.6 million in the same quarter of 2024, which included $11 million in collaboration revenue from our license with Context Therapeutics.

The increase in net loss was primarily due to the collaboration revenue recorded in 2024 and a $2.1 million non-cash loss on warrant liability recorded in the third quarter of 2025 related to warrants issued in the December 2024 financing, offset by decreases in R&D and G&A expense. Research and development, or R&D expenses, were $9.5 million for the quarter ended September 30, 2025, compared to $16.4 million for the same quarter in 2024. The $6.9 million decrease was primarily driven by reduced program development costs due to prioritization of clinical programs, low headcount-related expenses following the workforce reduction announced in March 2025, and lower non-cash stock-based compensation. We continue to expect R&D expenses to decline through the remainder of 2025 as we continue to concentrate resources on our prioritized programs.

General and administrative, or G&A expenses, were $4.2 million for the quarter ended September 30, 2025, compared to $5.9 million for the same quarter in 2024. The $1.7 million decrease was primarily attributable to reduced personnel costs related to the workforce reduction in March 2025 and lower stock-based compensation expense. Now, back to Jay.

Dr. Eric Sievers, Chief Medical Officer, BioAtla: Thank you, Rick, and thank you all for joining us today. As we look ahead, BioAtla is entering an exciting phase. Now, with FDA alignment on our phase 3 trial design for OPSCC, we are poised to begin enrolling our registrational phase 3 trial early next year. This program not only addresses a critical unmet need in oncology but also represents a substantial commercial opportunity. In addition, we believe our dual CAB, EpCAM, TCE program represents one of the broadest pan-cancer opportunities since PD-1, with the potential to treat over 1 million adenocarcinoma cancer patients per year in high unmet need areas. Not surprisingly, the potential of this program is attracting numerous early discussions with both investors and potential future partners. We expect a key clinical trial readout in the first half of next year, with several important events related to this program throughout 2026.

Finally, we remain focused on our prioritized programs for delivering meaningful therapies to patients and value to shareholders. We appreciate your support and look forward to sharing further updates in the exciting months ahead. With that, we will turn it back to the operator to take your questions.

Speaker 4: At this time, if you would like to ask a question, please press the star and one on your telephone keypad. You may withdraw yourself from the queue at any time by pressing star two. Again, for your questions, that is star and one. We’ll pause a moment to allow any questions to queue. Once again, that is star and one. We’ll take our first question from Arthur Hay, with CU. Line is open.

Arthur Hay, Analyst, CU: Hey, good afternoon, Jay and team. Thanks for taking my question. Maybe for Eric, for the ROR-2 program, the phase 3 study design-wise, could you give us more color around what’s the patient number side by the agency to getting accelerated approval readout there? Also, for the control arm, is there any stratification according to different treatments the patient could receive?

Dr. Eric Sievers, Chief Medical Officer, BioAtla: Thank you, Arthur. Your first question is about what would be the number of patients for an accelerated approval. I want to refer everyone to slide 42 on our corporate deck, where we discuss the phase 2 meeting key outcomes. Here, we talk about the pivotal trial design, where for full approval, we’re looking at approximately 300 patients that are prospectively randomized and stratified. For accelerated approval, it would be an interim analysis roughly about the time of the full enrollment of patients, but obviously, that look would be much earlier. Your second question is about stratification factors for the two arms. We haven’t disclosed that, but P16 would be one of them, and then it would have to do with local regional disease, yes or no.

Stratification factors are to ensure that there’s equal distribution of patients based on important prognostic factors across the two arms.

Arthur Hay, Analyst, CU: Thanks, Eric. Maybe for the 3182, could you tell us a little bit more what kind of data we could expect from next year, the readout-wise?

Dr. Eric Sievers, Chief Medical Officer, BioAtla: Sure. As you know from the ESMO dataset, we presented 35 patients, all receiving subcutaneous dosing, and then a pretty fulsome accounting of the patients and their experience in slide 23, which is the swimmer’s plot showing the confirmed partial response and where we are in the dose escalation. For the next data output, we would anticipate it would be in the first half of next year, and we would be reporting pretty comprehensively on the additional dose and schedule evaluations that we’ll be doing over the course of the next few months to try to provide a really fulsome accounting of the experience altogether. Jay, did you want to add anything?

Richard Waldron, Chief Financial Officer, BioAtla: No, I think that captures it, Eric. I do not really have anything to add on that. I think certainly, I think we will be able to meet the timeline of being in the first half.

Arthur Hay, Analyst, CU: Okay. Awesome. Thanks, Jay, and congrats on the progress.

Richard Waldron, Chief Financial Officer, BioAtla: Yeah. Thank you, Arthur.

Speaker 4: Once more, for your questions, that is star and one. We’ll pause just a moment. It does appear that there are no further questions at this time. I would now like to turn the call back to Jay Short for any additional or closing remarks.

Richard Waldron, Chief Financial Officer, BioAtla: I’d just like to say I think it’s a very exciting time for the company, and we’re very much looking forward to the key readouts that are just around the corner. Thank you for your continued support and for listening today. Bye-bye.

Speaker 4: This does conclude today’s program. Thank you for your participation. You may disconnect at any time and have a wonderful rest of your day.