Kura Oncology 3Q 2025 Earnings Call - Confident Commercial Readiness and Robust Pipeline Amid Imminent Zifduminib FDA Review
Summary
Kura Oncology’s third-quarter 2025 call spotlighted rapid advancement toward the November 30 FDA PDUFA date for Zifduminib, their menin inhibitor targeting relapsed/refractory NPM1-mutated AML. Clinical data reveal a compelling benefit-risk profile, with upcoming ASH presentations expected to showcase deeper efficacy, safety, and MRD negativity insights. The company is aggressively expanding frontline trials (COMET-017), enrolling globally to capture up to half of new AML cases, including combinations with intensive and non-intensive chemotherapies and targeted agents like FLT3 inhibitors. Commercial preparations are in high gear with a trained, unified sales force alongside partner Kyowa Kirin, anticipating a seamless launch and meaningful payer access. Meanwhile, their farnesyl transferase inhibitors show promising combinational activity across multiple oncology indications, representing a significant growth pillar. Financially, Kura reported solid cash reserves bolstered by collaboration milestones, fueling confidence in sustained operations through 2027 and advancement of their dual-pronged oncology strategy. Management acknowledges a competitive menin inhibitor landscape but trusts that Zifduminib’s safety and dosing convenience, combined with strong clinical results, will overcome incumbent advantages and establish market leadership.
Key Takeaways
- Zifduminib FDA review on track for November 30, 2025 PDUFA date, supported by open and constructive FDA communications.
- COMET-001 data underscore Zifduminib's differentiated benefit-risk profile with high complete remission and MRD negativity rates in relapsed/refractory NPM1 mutant AML.
- Two COMET-017 phase 3 trials underway targeting frontline AML in intensive and non-intensive chemotherapy contexts, with global enrollment accelerating over 150 sites.
- New trials combining Zifduminib with FLT3 inhibitor quizartinib in FLT3ITD NPM1 mutant AML show robust early enrollment and anticipated preliminary phase 1 data in 2026.
- ASH oral presentations will provide updated and more comprehensive Zifduminib data including longer follow-up, granular MRD negativity analysis, and subgroups.
- Commercial launch preparations are advanced: unified sales force (Kura and Kyowa Kirin), completed training, pre-certifications, and payer engagement aiming for rapid uptake.
- Farnesyl transferase inhibitors (darlefarinib and tebufarinib) demonstrate promising safety and efficacy in combinations with PI3K inhibitors, KRAS inhibitors, and TKIs across multiple cancers.
- Strong financial position with $609.7 million pro forma cash including milestone payments, projected to fund operations through 2027.
- Management confident Zifduminib’s safety profile, simple once-daily dosing, and combinability will help overcome second-mover disadvantage against first-to-market competitors.
- Regulatory and clinical discussions remain positive despite FDA organizational changes, with no anticipated impact on approval timeline or review quality.
Full Transcript
Danny, Conference Operator: Good day, everybody. My name is Danny, and I will be your conference operator today. At this time, I would like to welcome you to the Kura Oncology Third Quarter 2025 conference call. All lines have been placed on mute to prevent any background noises. After the speakers’ remarks, there will be a question-and-answer session. If you would like to ask a question during this time and have joined via the webinar, please use the raised hand icon, which can be found at the bottom of your webinar application. To allow everybody the opportunity to participate, we ask that you please limit yourself to one question and then re-enter the queue for any follow-ups. At this time, I would like to turn the call over to Greg Mann from Kura Oncology. Thank you.
Greg Mann, Unknown, Kura Oncology: Thank you, Danny. Good morning and welcome to Kura Oncology’s third quarter 2025 conference call. Joining the call today are Dr. Troy Wilson, President and Chief Executive Officer; Tom Doyle, Senior Vice President, Finance and Accounting; Dr. Mollie Leoni, Chief Medical Officer; and Brian Powell, Chief Commercial Officer, are also on the call and available to answer questions. Before I turn the call over to Dr. Wilson, we remind you that today’s call will include forward-looking statements based on current expectations. Such statements represent management’s judgment as of today and may involve risks and uncertainties that cause actual results to differ materially from expected results. Please refer to Kura’s filings with the SEC, which are available from the SEC or on the Kura Oncology website for information concerning risk factors that could affect the company. With that, I’ll turn the call over to Troy.
Troy Wilson, President and Chief Executive Officer, Kura Oncology: Thank you, Greg. Good morning, and thank you all for joining our Third Quarter Financial Results Conference Call. Over the past quarter, we’ve continued to significantly advance both our clinical pipeline as well as preparations for the anticipated commercial launch of Zifduminib, our once-daily investigational menin inhibitor for acute myeloid leukemia. I’ll begin with an update on Zifduminib, followed by brief remarks on our commercial readiness and our farnesyl transferase inhibitor program. The FDA review of Zifduminib for treatment of patients with relapsed and refractory NPM1-mutated AML remains on track, with a PDUFA target action date of November 30, 2025. Communication with FDA continues to be open and constructive, and we remain focused on achieving a successful review outcome.
Based on clinical data from the COMET-001 study, which has been presented at major medical meetings and published in the Journal of Clinical Oncology in September, we’re confident Zifduminib has a differentiated and favorable benefit-risk profile, and if approved, Zifduminib could potentially reset the commercial landscape and become the menin inhibitor of choice for eligible patients. While the regulatory review process for Zifduminib progresses, our clinical team continues to execute on a strategic development plan targeted at addressing the large unmet need beyond the relapsed refractory setting, where we believe Zifduminib’s benefit-risk profile will be even more competitive and more impactful for patients. At EHA earlier this year, we reported updated combination data for Zifduminib with 7+3 intensive chemotherapy in newly diagnosed NPM1 mutant and KMT2A rearranged AML.
These data were very encouraging, showing high rates of complete remission and MRD negativity in over 70 patients across the combination cohorts, with a safety profile consistent with what is expected in patients treated with 7+3 alone. These results highlight Zifduminib’s potential as an early intervention, offering a meaningful opportunity to improve patient outcomes. Yesterday, we announced acceptance of two oral presentations at ASH, which will feature data on Zifduminib in combination with venetoclax and azacitidine chemotherapy. Both abstracts, one in the newly diagnosed setting and the second in the relapsed refractory setting, reported high response rates and MRD negativity, with a safety profile consistent with previous reports. The abstracts used data cutoff of June 25, 2025, and updated results reflecting additional follow-up will be reported in the oral presentations next month.
We plan to host a virtual investor and analyst event to discuss these ASH presentations on Monday, December 8, at 12:30 P.M. Eastern Time. Details will be available on our website. Encouraged by these positive results, we’ve advanced rapidly into our COMET-017 frontline phase 3 trials. COMET-017 comprises two randomized, double-blind, placebo-controlled trials to evaluate Zifduminib in combination with both intensive 7+3 and non-intensive venetoclax-azacitidine chemotherapy regimens in patients with newly diagnosed NPM1 mutant or KMT2A rearranged AML. The program aims to advance Zifduminib to the frontline setting, with potential to treat patients earlier in their disease course when the opportunity to alter its trajectory is greatest. We’re targeting enrollment at over 150 global sites, with a large proportion in the U.S. Each COMET-017 trial includes dual primary endpoints to support potential U.S. accelerated and full approvals.
The intensive chemotherapy combination study evaluates MRD negative complete response, or CR, and event-free survival. The non-intensive chemotherapy combination study assesses CR and overall survival. Site activation is accelerating in each of these company-sponsored registrational trials, and patient enrollment is progressing well. Continuing this momentum, last month we opened a trial cohort to assess Zifduminib combined with 7+3 induction chemotherapy and quizartinib, an approved FLT3 inhibitor in patients with newly diagnosed AML harboring FLT3ITD NPM1 mutant co-mutations. FLT3 mutations represent one of the most common and challenging genetic mutations in AML, with limited durable treatment options. Our preclinical studies suggest Zifduminib and quizartinib synergize to enhance activity without undue toxicity. Note, this effort also builds on our clinical experience with the combination of Zifduminib and gilteritinib in the relapsed/refractory NPM1 mutant setting.
Enrollment in that trial has been robust, and we intend to present preliminary phase 1 data at a major medical meeting next year. With these studies now underway, Zifduminib development is active in all three major frontline settings, collectively representing up to 50% of incident AML cases in the U.S. Turning now to commercial preparations, our teams are launch-ready and confident in our execution plan. Across the commercial organization, from marketing, market access, as well as patient support and sales analytics, field operations, and sales, our teams are fully mobilized and prepared to execute as soon as Zifduminib is approved. Our disease awareness campaigns have exceeded their targets. Our pre-approval information exchanges with key payers and other market decision-makers are complete, offering us confidence that we will facilitate rapid access and uptake. Our limited distribution network is fully aligned and ready to support product upon approval.
Our team of experienced oncology account managers is already engaged in profiling target accounts. In early October, we and our partner, Kyowa Kirin, held a joint launch readiness meeting where our two field teams of Kura and Kyowa Kirin, what we fondly call 1K, completed their training and pre-certification. The excitement and alignment across both organizations is palpable, and the 1K team stands ready to deliver upon approval. Turning now to our farnesyl transferase inhibitor portfolio, last month we presented new clinical data highlighting the potential of FTIs to safely combine with major classes of targeted therapies, including PI3 kinase alpha inhibitors, KRAS inhibitors, and anti-angiogenic tyrosine kinase inhibitors, to overcome resistance pathways and enhance anti-tumor activity.
In our FIT-001 phase 1 trial evaluating darlefarinib, our next-generation FTI, in combination with cabozantinib in patients with renal cell carcinoma, we observed a manageable safety profile across multiple dose levels of each agent, including at the full-labeled dose of cabozantinib. Anti-tumor activity was seen across all dose combinations, including in patients with prior exposure to cabozantinib. The. Objective response rate, or ORR, was 33-50% in clear cell renal cell carcinoma and 17-50% in patients with prior cabozantinib exposure. The current HN trial evaluates tebufarinib, our first-generation FTI, with alpelisib in patients with PIK3CA-dependent head and neck squamous cell carcinoma. This combination also demonstrated a manageable safety profile and robust anti-tumor activity in a heavily pretreated patient population, where meaningful benefit would not be expected from either agent alone.
An ORR of 47% was observed at a dose of tebufarinib of 1,200 milligrams per day and alpelisib at 250 milligrams per day. We see tremendous promise in darlefarinib and the broader potential of farnesyl transferase inhibition as a differentiated mechanism to extend the reach of precision oncology. With the potential to enhance activity of PI3 kinase alpha inhibitors, KRAS inhibitors, and TKIs, darlefarinib represents a very substantial commercial opportunity, with the potential to address more than 200,000 incident patients annually in the U.S. alone. We view our FTI platform as a strategically important pillar of growth that complements our leadership in menin inhibition. Our dual pipeline strategy positions Kura with two clinically validated mechanisms that address some of the most pressing needs in precision oncology.
We expect to have more to share regarding our FTI clinical development plans and business development strategy in 2026, supported by a steady cadence of data presentations at medical meetings throughout the year. Kura remains in a strong financial position to execute across our pipeline, advance the development of Zifduminib, and support our commercialization activities. Our partnership with Kyowa Kirin has enabled us to invest in a robust, expansive, and accelerated development plan for Zifduminib. We recently received two $30 million milestone payments, payable for the first patient’s dose in the two COMET-017 phase 3 trials, which brings the total milestones received this year to $105 million. We expect approximately $315 million more in near-term milestone payments, including a substantial milestone payment associated with commercial launch of Zifduminib.
This is consistent with the $420 million in near-term milestones we announced at the inception of the partnership with Kyowa Kirin last November. We reported pro forma cash of $609.7 million for the period. This figure includes milestone payments received in October and November 2025 and reflects a strong capital position to advance our pipeline through key clinical and regulatory milestones. I’ll now turn it over to Tom, who will review the third-quarter financial results.
Tom Doyle, Senior Vice President, Finance and Accounting, Kura Oncology: Thank you, Troy. Collaboration revenue from our Kyowa Kirin partnership for the third quarter of 2025 was $20.8 million compared to no revenue for the third quarter of 2024. Research and development expenses for the third quarter of 2025 were $67.9 million compared to $41.7 million for the third quarter of 2024. General and administrative expenses for the third quarter of 2025 were $32.8 million compared to $18.2 million for the same period of 2024. Net loss for the third quarter of 2025 was $74.1 million compared to a net loss of $54.4 million for the third quarter of 2024. This included non-cash share-based compensation expense of $11 million compared to $8.3 million for the same period in 2024. As of September 30, 2025, Kura had cash, cash equivalents, and short-term investments of $549.7 million compared to $727.4 million as of December 31, 2024.
As adjusted for the $60 million in COMET-017 milestone payments under our collaboration agreement with Kyowa Kirin, Kura had, on a pro forma basis, $609.7 million in cash, cash equivalents, and short-term investments as of September 30, 2025. Based on our current operating plans, we believe that our cash, cash equivalents, and short-term investments as of the end of the third quarter will be sufficient to fund our current operating expenses end of 2027. If we include anticipated collaboration funding under the Kyowa Kirin agreement, Kura’s financial resources should support advancement of our Zifduminib AML program through top-line results in our frontline combination program. With that, I’ll turn the call back over to Troy.
Troy Wilson, President and Chief Executive Officer, Kura Oncology: Thank you, Tom. Before we open the call for questions, let me just briefly highlight the key milestones we expect over the coming months and into next year. For Zifduminib and our menin inhibitor programs, we look forward to continued engagement with FDA reviewers as we approach our PDUFA target action date of November 30 for Zifduminib as a monotherapy for patients with relapsed refractory NPM1 mutant AML. Present preliminary clinical data in newly diagnosed NPM1 mutant AML and updated clinical data in relapsed refractory NPM1 mutant and KMT2A rearranged AML from our COMET-007 cohorts evaluating Zifduminib in combination with Venetoclax at the ASH annual meeting to be held next month in Orlando. Finally, presenting preliminary clinical data from the COMET-008 cohort evaluating Zifduminib in combination with the FLT3 inhibitor Gilteritinib in patients with relapsed refractory NPM1 mutant AML in 2026.
For our farnesyl transferase inhibitor programs, we expect to initiate one or more expansion cohorts of Darlefarinib and Cabozantinib in patients with advanced renal cell carcinoma in the first half of 2026. To present updated dose escalation data from the combination of Darlefarinib and Cabozantinib in advanced renal cell carcinoma in 2026. To present clinical data from the combination of Darlefarinib and Adagrasib in patients with KRAS G12C mutated solid tumor indications in 2026. With that, Danny, we’re ready to begin the question and answer session.
Danny, Conference Operator: Thank you. We will now move to our question and answer session. If you have joined via the webinar, please use the raised hand icon, which can be found at the bottom of your webinar application. When you are called upon, please unmute your line and ask your question. We will now pause for a moment to assemble the queue. Once again, we ask that you please limit yourself to one question and then re-enter the queue for any follow-ups. Thank you. Our first question today comes from Jonathan Chang at Lyric Partners. Jonathan, please unmute your line and ask your question. Thank you.
Good morning. This is Albert Agustinez, on for Jonathan Chang. Thank you for taking my questions. What do you foresee will be the makeup of account types that you are trying to penetrate for Zifduminib launch? Are there any particular account types that you are focusing on? Also, are there any plans to include Zifduminib in the NCCN guideline? Thank you.
Troy Wilson, President and Chief Executive Officer, Kura Oncology: Sure. Thanks, Albert. In general, we’re going to try to limit it to one question. The second one is easy, but please, if folks can limit it to one question so we can get everybody. Brian, let me ask you if you can take Albert’s two questions in turn.
Tom Doyle, Senior Vice President, Finance and Accounting, Kura Oncology: Sure. Absolutely. Thanks, Albert, for the questions. Our expected account types here are typically going to be the specialty hematologists. We anticipate a mix of large academic institutions as well as in some of the larger community oncology practices. It’s going to be similar. I think we’ll get into our overall targeting strategy, but probably about 4,000 HCPs that we’re targeting. Within that range, I’d say probably 70%-80% of that is going to be the academic setting, and then the rest of the focus will be on the community oncology practices that are treating those AML patients and particularly the relapsed refractory patients. To your second question, just to quickly answer, yeah, our plans are to submit the COMET-001 data on the basis of our approval. Soon after approval, you can’t submit to the NCCN for a listing until you have FDA approval.
Our plans are to submit that within days of approval.
Danny, Conference Operator: Thank you. Our next question comes from Lee Watts at Cantor Fitzgerald. Please unmute your line and ask your question, Lee.
Hey, guys. Congrats on the progress. Maybe just one on the ASH update. Can you just talk about what we should expect for the actual oral presentations versus what’s in the abstract released yesterday?
Troy Wilson, President and Chief Executive Officer, Kura Oncology: Yeah. Thanks, Lee, for the question. Mollie, do you want to take that one?
Sure. As Troy pointed out, the data cut was back in June for what was submitted to ASH. Obviously, we’ve got many months more worth of data. You’ll see not only more evaluable patients being able to be reported and the evolution of responses across the whole patient population. You’ll also see new information about MRD negativity, as well as just longer follow-up and safety information in general.
Danny, Conference Operator: Our next question comes from Salim Zayed at Mizuho Securities. Salim, please unmute your line and ask your question. Thank you.
Great. Thanks for the question, guys. I love the revised format of the call. Appreciate it. I guess one for us, Troy, maybe just on the new label that we got from Syndex, which includes Torsades now in the black box. Just curious, it seems to be very imbued if this actually matters or not. Just what does it mean for you? What does it mean for the space as you think about your own NPM1 launch and also as you progress here towards first line in particular, which I guess there’s a view out there that it doesn’t matter because first line maybe is. You wouldn’t see the Torsades as much. Curious to just get your view as the space evolves here. Thank you.
Troy Wilson, President and Chief Executive Officer, Kura Oncology: Yes. Salim, thanks for the question. Glad you’re appreciating the new format. There’s a lot that I think we can talk about here. We’ll have more to say if and when we get approval of Zifduminib here coming up very quickly on our PDUFA action date. A few thoughts. I’m going to give my comments, and then I’m going to ask Mollie for hers because she really needs to speak to this from a clinical perspective. First of all, Salim, maybe the magnitude of the risk. This is a box warning. A box warning is as serious as one can have as far as warnings and precautions. It isn’t so much the frequency. It is the severity. Particularly Torsades, right? Torsades, for everyone on the call, I mean, we’re talking about a risk of sudden cardiac death.
There are numbers that are getting bandied around that it’s one in a thousand. It’s not. You don’t typically see this as much in younger patients, so you really need to focus on the NPM1 population. We’re looking at maybe somewhere between one in a hundred or perhaps even more frequent than that. I guess I would just put it to anyone, right? If you have two agents, both of which are efficacious, but one of which has a one in a hundred or more chance of sudden cardiac death, what are you going to choose? I think that’s where we feel increasingly confident based on the clinical data that’s been presented at major medical meetings, it’s published in JCO. We’re going to have a differentiated and favorable benefit-risk profile. I think that’ll start in the relapsed refractory setting.
To the comment about it’s less relevant in the frontline, the risk doesn’t go away. In fact, what you’re dealing with is those patients are healthier, and they’re presumably going to stay on therapy for much longer. If anything, you want a more favorable benefit-risk profile in that population, which means I think the ability to differentiate on a favorable safety profile that doesn’t have a box warning for QTc prolongation and Torsades becomes even more significant. Let’s see. The last thing I’ll say before I turn it over to Mollie is the ASH abstract, there was a giant data dump. Despite comments from some others that there’s really no room for another menin inhibitor, there’s a lot of activity in the menin inhibitor space from us and from other competitors. You can parse through the abstracts.
What I think you’ll see is that the benefit-risk profiles of the different agents are continuing to be defined as we go. I would draw your attention not only to the activity, and all of these agents are very active, and that’s good for patients, but the safety and tolerability is also coming much more into focus. I would invite you to look at the various combinations. Mollie, let me invite you to add any thoughts or comments, maybe to build on mine.
Absolutely. As Troy said, it’s not the black box warning that in and of itself is something to focus on. It’s what it means the data has shown. One of the best ways of understanding that is to look at the FDA’s actual guidance document on the topic. It is very clear that once a drug causes at least a 20-millisecond change in the QTc prolongation, it is now considered to be significantly more likely to cause sudden cardiac death. It’s not just Torsades we’re looking at. It’s any ventricular arrhythmia. The risk just becomes so much more increased that that is why they put the black box.
It’s understanding what data requires a black box warning that becomes really important in this situation and to patients who are trying to decide between options of what risks they are willing to take on and what risks they would rather avoid if they have the option to do so. As Troy pointed out, while something like differentiation syndrome is very well mitigated in earlier lines with combination therapy, you would actually potentially expect more issues with the ability to handle, or at least equal issues with the ability to handle, QTc prolongation just because of the various medications that are going to be given as concurrent therapies and as additional oncology therapies for these patients’ treatment. It becomes more complex when deciding how to administer a drug with QTc black box warning with other drugs that have QTc prolongation.
Dosing and monitoring become extraordinarily important versus if you’re going to administer it as a monotherapy in the relapsed/refractory setting. Again, as Troy said, the right denominator for looking at this is really your elderly patients, where in some of our competitors, we see almost a 50% rate of QTc prolongation. That is going to be your NPM1 mutant patient population. Your NPM1 mutant patient population becomes the denominator that really is more appropriate for looking at these more severe QTc prolongations and episodes of Torsades and sudden cardiac death.
Danny, Conference Operator: Thank you. Our next question comes from Charles Yu at LifeSize Capital. Charles, unmute your line, please, and ask your question. Thank you.
Great. Hello. Can you hear me?
Troy Wilson, President and Chief Executive Officer, Kura Oncology: We can. Hi, Charles.
Danny, Conference Operator: Oh, perfect. Okay, great. Good morning, everyone. Thanks for the call and for taking the questions. I guess with all of that in mind, for one, what kind of level of penetration or market share would you either expect or hope to achieve relative to your first mover competitor in the space, at least in the near term, the relapsed/refractory setting? Can you also perhaps give a little bit more color around the ongoing points of FDA regulatory engagement that seem to be continuing on as you head close to your PDUFA date? Thank you.
Troy Wilson, President and Chief Executive Officer, Kura Oncology: Charles, I do not want to scold you. You asked two questions. We will answer the first one, and then if there is time after others, we will come back and get the second one. Brian, could you please speak to Charles’ first question relating to penetration and sort of how we are going to compete with our competitor who is out there with a first mover advantage?
Tom Doyle, Senior Vice President, Finance and Accounting, Kura Oncology: Yeah. Thanks, Charles, for that question. We haven’t guided on our market share penetration expectations quite yet. What I can do is kind of just share some of the feedback and expectations we have. We’ve conducted extensive engagements with treating physicians, KOLs, community practitioners, academics, and tested our profile relative to others. I think that the benefit-risk balance between a strong efficacy safety efficacy profile with good safety and tolerability that allows patients to be able to be well managed, along with the combinability and even the convenience of a once-daily oral medication, all come out to factors that suggest that Zifduminib has a best-in-class profile and that we’ll be confident we’ll be able to communicate on that best-in-class profile coming into the market.
Without really guiding on any share calls quite yet, we anticipate, we give credit that we have a competitor who’s already in the market, but we recognize that. We anticipate both the skill of our team that we’ve hired that are ready to go and are ready to launch this product and the profile of the product are really going to help us to capture a majority share in this space.
Troy Wilson, President and Chief Executive Officer, Kura Oncology: Thanks, Brian. Danny, can we move on to the next question?
Danny, Conference Operator: Thank you. Yes. As a gentle reminder, we please ask that you limit yourself to one question and then re-enter the queue for any follow-ups. Thank you. Our next question comes from Roger Song at Jefferies. Roger, please unmute your line and ask your question. Thank you.
Hey, team. This is Nabeel on for Roger. Thanks for taking my question. Just a quick one on the ASH data. So the early data look pretty encouraging with CR rates and MRD negativity. As we head into the meeting, what other analyses or long-term outcomes are we expecting to see? Like durability? Will we have also subgroup insights? Thank you.
Troy Wilson, President and Chief Executive Officer, Kura Oncology: Yeah. Thanks, Nabeel, for the question. Mollie, do you want to take Nabeel’s question?
Sure. As I said, the biggest thing you’ll see is much longer follow-up. You’ll see more granularity around the MRD negativity, breaking it down so that you have maybe some comparisons that you can make to previous venetoclax data to understand if there is additional impact with a targeted agent added on. You’ll see more durability, etc. Yes, we will be breaking it down by subgroups. You’ll understand what our FLT3 patients look like that were in the trial, what our IDH patients look like that were in the trial.
It should just be a much more even, comprehensive view of the data that we have seen thus far in our rather large patient pool that we’re being able to present in both the relapsed/refractory and the frontline setting where you’re going to see 30-70 patients, which is extremely robust and able to really show you more, maybe the truth of what these patient populations look like. We’re excited to share it with you.
Danny, Conference Operator: Thank you. Our next question comes from Jason Zamanski at Bank of America. Jason, please unmute your line and ask your question. Thank you.
Troy Wilson, President and Chief Executive Officer, Kura Oncology: Good morning. Congrats on the great progress, and thank you for taking our question. Troy, I wanted to ask a follow-up regarding the commercial launch in NPM1. But is having a differentiated label enough to overcome the second mover advantage? When you think about sort of prescriber inertia. Is it more so that just, I guess, getting drug to patients? I mean, how do you overcome some of the hurdles here just given kind of the timelines? Thanks. Sure. Maybe I’ll just make a quick comment, and then I’ll let Brian take it because he’s really the one who should speak to this. These physicians, I mean, you all talk to them, right? They are very sophisticated, constantly taking in new data and looking for options that offer the best benefit-risk for their patients. The patients are also extremely sophisticated. They have all sorts of access to information.
They are, again, others might say it’s efficacy, efficacy, efficacy. Yeah, that’s important. All of these agents are efficacious, right? That’s the great thing for patients. We should all celebrate the fact that patients have multiple options. These docs are now having conversations with their patients about the risk-benefit. There’s a striking difference between the relapsed refractory setting where a number of these patients are inpatient versus the frontline setting where our hope is that we send them home and they’re able to stay on continuation therapy for months or even years. Jason, I mean, I’m not going to deny there is an advantage to an incumbent, but I think when you’re coming forward, as we believe we are with a superior benefit-risk profile in a very competitive space, I think we will see the market reach its equilibrium. Brian, what thoughts would you like to add to my comments?
Tom Doyle, Senior Vice President, Finance and Accounting, Kura Oncology: Thanks, Troy. I mean, you captured it well, I think. I want to maybe just add just a couple of points. The advantage, I think, right now that you’re seeing, there’s a one-year advantage in the market potentially, but it’s a few weeks, five weeks at most, advantage in the NPM1 space. Our teams are out there, as I mentioned. We’ve been engaging. We’ve been spending the last year working with payers to ensure that there is not going to be any kind of blocking available. The profile of Zifduminib, I think, really has resonated where payers wouldn’t see a need to do something like that. From an access perspective, we think that we’ll have kind of a very powerful, strong position in that space. Our goal is to build a distribution model that is seamless and easy for physicians and their practices to prescribe Zifduminib.
One of the things that might be even more simplistic, as we talked about the simplicity, is that we’ll have one SKU. We’re not going to have multiple SKUs of different products that they have to worry about inventory and dosing challenges, things like that. There may be some advantages we think that we’ll be able to capitalize on in the near term. I would just go back finally to say that the field team that we’ve hired has extensive experience with these practices. They are itching to be out there to speak about Zifduminib, and they’re ready to go. I feel like that if you give us the time for launch, I think you’ll see that the profile that Troy outlined and our ability to execute is going to be on par or better than anyone in the industry.
I’m very confident we’ll have an opportunity to really overcome any second mover disadvantage that may be perceived.
Troy Wilson, President and Chief Executive Officer, Kura Oncology: Thank you, Brian. That was great. Let me just add just a couple more thoughts, Jason, to your question. We are going to be promoting on-label. The label is going to be relapsed refractory NPM1 mutant AML, clearly the adult population. As we indicated in the prepared remarks and as you’ve seen, I think we have now the most comprehensive and I would argue the most aggressive overall development program. We have two phase 3s underway in intensive and non-intensive. We’re combining with both FLT3 inhibitors. We have combinations with LDAC, with FLAG-IDA. As Mollie said, we’re coming forward not with a handful of patients. We’re coming forward with 20, 30, 40, 70, 100 patients at a time. We’re really giving, which is why I think we have two. Our two presentations at ASH are both orals. We have a massive development and medical affairs effort supporting our commercial launch.
We won’t be able to promote, and those will be publishing, we’ll be educating, we’ll be collaborating. Everyone is looking forward to combinations. Everyone’s looking forward to earlier lines of therapy. This is not. We’re not looking at one quarter or even two quarters. Our goal is how do we make Zifduminib the cornerstone therapy throughout the treatment continuum? I think we have the right strategy to do that. As Brian said, a few weeks coming behind isn’t really going to make much of a difference at all. Appreciate the question.
Danny, Conference Operator: Thank you. As a reminder, if you would like to ask a question during this session, please use the raised hand icon, which can be found at the bottom of your application window. Our next question comes from Renny Benjamin at JMP Securities. Renny, please unmute your line and ask your question. Thank you.
Great. Thank you. Congrats on all the progress. Thanks for taking the questions. I guess, Troy, you had mentioned in your prepared remarks regarding the joint launch meetings. I’d love to, can you provide any sort of color in kind of what goes on in these meetings, how many people, kind of what’s the split between you and KK? Do you wait for the, do you hit the ground running as soon as you get approval? Do you wait until next year? Just any sort of color as to how this will move forward. Thanks.
Troy Wilson, President and Chief Executive Officer, Kura Oncology: Yeah. Yeah, Ren, thanks for the question. This was the best launch meeting I’ve ever attended. It was electrifying. It really was. I mean, people are so excited to bring this therapy forward. Let me turn it over to Brian, who can maybe give you a bit more specificity about what the goals of the launch meeting were and how the two teams came together as one K to really move this forward. Brian?
Tom Doyle, Senior Vice President, Finance and Accounting, Kura Oncology: Yeah, sure. Thanks, Troy. Yeah, Renny, so this launch meeting, and as typically what you’ll do as you prepare, is to bring the field teams together so that they’re well-trained and ensure that they’re ready to go in case we have an approval. Timing of a launch meeting, you can do them after you get approval. You can do them before. We tried to build a bit of a buffer where we thought October gives us an opportunity for the teams to be ready as close as possible to a potential approval. Essentially, this is a team where we had all of the field members that are both from Kyowa Kirin and from Kura that not just for our sales organizations that are going to be working together.
We’ll have the two field forces that are going to be putting their efforts towards raising awareness and selling Zifduminib to the target physicians. We put that group together as well as our field market access teams, our field medical teams. We spent several days just working through understanding the role of menin in AML, the challenges for patients with relapsed/refractory AML. Did some certifications, pre-certifications for the teams so they’re ready to go and are prepared. As soon as we get to an anticipated FDA approval, the teams will then recertify on that final prescribing information and will be able to get out in the field immediately. We’ve been planning our organizational readiness in case of an early approval.
The teams that I can say have been ready to go for at least since that meeting in October and probably even before that, we had all the rest of our organizational readiness put together. We’ve been trying to pull together that full team. As Troy said, it was a really well-executed meeting between both companies. There’s a tremendous amount of energy and readiness for that anticipated approval as soon as by end of November is our target PDUFA day, we’ll be ready to go.
Danny, Conference Operator: Thank you. Our next question comes from Peter Lawson at Barclays. Peter, you may unmute your line and ask your question. Thank you.
Troy Wilson, President and Chief Executive Officer, Kura Oncology: Hey, guys. It’s Alex. I’m from Peter. Thanks for taking our question. Just a quick one for me on what the label could look like. I guess, is there any potential for the monitoring requirements, the differentiation syndrome, to be different from other AML drugs?
Alex, you’re asking, let me make sure I’m reading your question back. Are you asking, is there going to be a, potentially a difference in the monitoring requirements for DS in the label? Is that your question?
Yeah.
Yeah. Mollie, do you want to?
Yeah, or how to address it just versus prior drugs. Yep. Thank you.
Mollie Leoni, Chief Medical Officer, Kura Oncology: Yeah.
Yeah, absolutely. Obviously, I don’t want to comment on ongoing discussions. We’re still nearing our PDUFA date, and obviously things are still evolving. However, our differentiation syndrome guidance has been laid out in our protocols and in our IB for years now, and it is unchanged. I don’t think that it is any additional monitoring that would be unexpected for this patient population in general who is regularly getting labs tested, etc. Let’s wait and see and have a more fulsome discussion once we actually have, hopefully, the approval in hand.
Troy Wilson, President and Chief Executive Officer, Kura Oncology: Thank you.
Thanks, Alex.
Danny, Conference Operator: Thank you. Our next question comes from David Dye at UBS. David, unmute your line, please, and ask your question.
Troy Wilson, President and Chief Executive Officer, Kura Oncology: Great. Thanks for taking my questions. I just want to kind of come back to that. Sort of the market dynamics between you and the competitors. Troy, I’m wondering, just based on your pre-launch work you and Kyowa Kirin have been doing, could you maybe share some initial feedback from physicians on how they’re viewing Zifduminib’s efficacy and tolerability versus competitor medications in the space, the NPM1 space?
Yeah, David. I’m going to ask Brian to speak to that. As you can imagine, we’ve done kind of a lot of market research and sought the opinions of KOLs and practicing physicians. Brian, maybe you can speak to the lessons learned thus far about our Zifduminib’s profile relative to our competitors.
Tom Doyle, Senior Vice President, Finance and Accounting, Kura Oncology: Sure. Thank you, David, for that question. I’ll speak to the feedback we’ve received. I really kind of align it around four key parameters or pillars, you could call them. First is the efficacy. We’ve tested the profiles of Zifduminib relative to other potential medication competition, and it seems that the view is that the efficacy is kind of a table stakes to get in. You’ll see that the CR, CRh, duration of response, things like that are seen to be relatively similar. Safety and tolerability is something that did stand out as a differentiator between Zifduminib and other products, which that alone, as Troy said, is—safety is not something that wins on a product, but it’s that balance of benefit and risk and the tolerability of that really kind of things can tip the scales.
The other two pillars around that we found really helped to differentiate Zifduminib is one around the combinability with current concomitant medications. As Troy mentioned, we’re going to be focusing on our on-label use promotionally, which is going to be in that relapsed refractory monotherapy space. Those patients typically get concomitant meds like azoles and others to manage the challenges of being a relapsed refractory AML patient. The combinability, the simplicity of a dose where you don’t have to do a lot of modifications, seems to be meaningful for physicians as well and for patients because it’s more straightforward. Finally, the third was around simplicity. Once a day daily dosing, there’s one dose that each—most patients or all patients really need is at that 600 milligram dose, is very straightforward.
Imagine for an NPM1 relapsed refractory patient who is typically in the elderly population, the simplicity of having that once daily dose is also meaningful. That’s really kind of what we’ve heard is that there are—of course, we’ve also heard, as Troy said, any therapies for these patients are really going to be important that can deliver some efficacy. When you have choices, that’s when you start to parse out what those differences may be. That’s where we feel pretty confident in the profile of Zifduminib as a differentiated agent coming into the market.
Danny, Conference Operator: Thank you. We will now allow follow-up questions. Our first follow-up question is from Lee. Lee, with Stack at Cantor Fitzgerald, please unmute your line and ask your follow-up. Thank you.
Hey, guys. Thanks for taking my second question. I guess just given the recent disruptions at FDA, including within CDER, just curious, have you noticed or anticipate any changes in terms of cadence and discussions with the agency?
Troy Wilson, President and Chief Executive Officer, Kura Oncology: Short answer, Lee, we haven’t noticed any difference. We don’t anticipate any difference. We’re on track for our November 30th PDUFA date. I think we characterize the interactions with the agency as open and constructive. We don’t know what we don’t know, but I think at this point, we feel like we’re in good shape and we’re tracking toward a positive review outcome. The path to approval in AML is much better precedented than some of these other instances. The fact that we have a competitor who was just approved in the same indication just a few weeks before, I think, gives us good confidence that we’re on track. Obviously, we’ll continue to stay vigilant, and Mollie and her regulatory team are doing a terrific job. So far, it’s all systems are go.
Danny, Conference Operator: There are no further questions at this time. So I would now like to turn the call back over to Troy Wilson for our closing remarks. Thank you.
Troy Wilson, President and Chief Executive Officer, Kura Oncology: Thank you, Danny. Thank you all once again for joining the call today and for your questions and the discussion. We’ll be participating in the Jefferies Investor Conference in London later this month. Just as a reminder, we’ll also be hosting a virtual analyst and investor event on December 8th at the Ash Annual Meeting in Orlando. We look forward to speaking with many of you at these events. As we move forward, our focus remains on executing with discipline, investing wisely, and advancing a pipeline designed to make a real difference for patients. With our pipeline, our experienced, passionate team, and a strong balance sheet, we think we’re well positioned to deliver long-term value for both our patients and our shareholders. Until our next update, if you have any additional questions, you know how to find us. Please reach out.
Thank you all once again, and we hope you all have an enjoyable Tuesday morning and a productive day. With that, we’ll adjourn the call. Thanks, everyone.