BGBIO Q3-2023 Earnings Call - Alpha Spread
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Earnings Call Transcript

Earnings Call Transcript
2023-Q3

from 0
M
Martin Olin
executive

Good morning. My name is Martin Olin, and with me today I have Cristina Oliva, the Chief Medical Officer of BerGenBio. Today, we will provide you with an update on our business and our Q3 financial report. And we will provide you with some insight into what we consider to be a very novel approach to address a significant unmet medical need in non-small cell lung cancer.

I'll just remind the audience about the formalities on forward-looking statements.

So to recap BerGenBio what we're doing, it is known that AXL, a cell surface protein, plays a key role in the progression of cancer, including non-small cell lung cancer. And we are focused entirely on developing our lead compound, bemcentinib, for selective inhibition AXL to delay chemo-resistance and also potentiate immunotherapy in non-small cell lung cancer, two of the known pure prognostic factors in a large subset of non-small cell lung cancer patients that today doesn't respond very well to standard of care, which consists of chemotherapy and immune checkpoint inhibition.

We have shown and seen some very encouraging both preclinical, but also clinical data when we combine bemcentinib with the checkpoint inhibitor, pembrolizumab or KEYTRUDA. And what we saw was actually a very meaningful improved survival versus what you would expect in second-line non-small cell lung cancer.

In particular, we saw an extended benefit in those patients that have a high expression of AXL, the target that we are inhibiting, which is very encouraging. But we also saw some very interesting data in patients that have a low expression of PD-L1, which is the target for checkpoint inhibition or pembrolizumab, and this is very encouraging.

We also saw some very encouraging early data in patients that have so-called hard-to-treat mutations. Those are patients that have a mutational driver that doesn't respond to standard of care.

Our data that we have generated in totality guide us to focus on the first-line setting in non-small cell lung cancer, which is a significant market opportunity. And we have received a fast-track designation from the FDA, recognizing the unmet medical need in this setting.

We have recently and over time rightsized our burn significantly and extended the runway so we can support the future value inflection points that we believe inherently lies in the program that we are pursuing. We also see potential upside from additional programs, earlier programs, and also from out-licensed programs.

Let me remind you about the devastating outlook for lung cancer patients. More than 2 million people, so kind of twice the size of Oslo, get diagnosed with lung cancer each year. 85% of that is non-small cell lung cancer, and unfortunately, only 25% of these patients are alive after 5 years. That's a pretty devastating outlook. And it continues to be the largest cause for cancer-related deaths worldwide with an increasing incidence due to the rise of smoking in developing countries. Unfortunately, patients are diagnosed too late so the disease has come -- become metastatic. And also over the last few years, it has become known that there is a number of mutational drivers that leads to the patient not responding to today's standard of care therapy.

If we look at how non-small cell lung cancer patients are treated today, it's basically a molecular-driven disease therapy. So first of all, patients will be tested for their PD-L1 expression, which will reasonably suggest how likely it is that you are going to respond to a checkpoint inhibition or KEYTRUDA, which is standard of care in first line today. And while 30% of the patients have a high expression of PD-L1, the majority of the patients are either low or negative in terms of PD-L1 expression, i.e., they don't respond particularly well to the therapy.

In addition to this, there are a number of mutational drivers, some of which cannot be addressed with targeted therapies. But again, the majority of mutational drivers are not being addressed by available therapies today.

And amongst that, there is a significant portion, STK11-mutated patients, which account for 20% of first-line non-small cell lung cancer patients that, in particular, have a significant unmet medical need. There is a vast majority of real-world data showing that these patients do not respond to well. And as a patient with an STK11 mutation in front-line therapy, you could expect to be on treatment for less than 4 months and have a median overall survival of around 10 months, which is significantly worse than if you do not have the STK11 mutation.

And very interestingly, these patients actually have a number of characteristics that we believe fits very well in terms of applying bemcentinib or treating them bemcentinib. First of all, there are no targeted therapies for the patients today. They universally have a high expression of AXL, and as I said before, that is what we have seen that these patients with a high AXL expression actually are those patients that respond particularly well to bemcentinib.

We also have shown together with UT Southwestern in the U.S. that AXL inhibition improves the response to checkpoint inhibition in preclinical models. And we have seen some very encouraging early signs of efficacy in our second-line study or the BGB008 (sic) [ BGBC008 ] study.

If we look at this significant unmet medical need, it actually translate into a very large market opportunity, which today is characterized by being a white space, i.e., there is no targeted or available therapies for these patients. And we believe that we are one of the frontiers in addressing this significant unmet medical need by our BGB016 (sic) [ BGBC016 ] study, our Phase Ib/IIa study in front-line therapy for STK11 with these patients.

I'll now hand over to Cristina to walk you through the data and where we are going.

C
Cristina Oliva
executive

Thank you, Martin. Good morning, everyone. I'm Cristina Oliva, I'm the Chief Medical Officer of BerGenBio. And over the next few slides, I would like actually to show you the recent data that have been recently presented at some major scientific conferences and also an update on how we are proceeding with our focused strategy in first-line non-small cell lung cancer.

We really believe that bemcentinib as a small molecule and orally available can actually represent a very attractive opportunity that would allow us to address some significant unmet medical need, as you have heard just now from Martin.

So what are the interesting characteristic of our lead compound, which is bemcentinib? First of all, it's a highly differentiated AXL inhibitor. It has actually an improved potency, which means that there are less off-target adverse events, so a better tolerability.

Interestingly enough, it concentrates a lot and very highly in lung and it's able to cross the blood-brain barrier, which is particularly relevant in non-small cell lung cancer patient that unfortunately very often have brain lesion at initial diagnosis.

We have demonstrated across multiple indications that bemcentinib has monotherapy effect and this actually corroborate our structure to combine bemcentinib with chemo-immunotherapy.

In the next few slides, I will also show you actually what has been already proven, which is that bemcentinib can be combined either with immunotherapy, namely, pembrolizumab or targeted therapies. We have several evidences that have been published in combination with targeted therapies and the standard chemo, but also with checkpoint inhibitor.

The FDA has granted bemcentinib for the STK11-mutated non-small cell lung cancer patient population a fast drug (sic) [ fast track ] designation. What does it mean? That we will actually have access to very quickly and frequent interactions with the regulators. This is a designation that is only given to indications where there is a very high unmet need and where the current therapies are not bringing benefit to patients.

And then I want to remind you that we have an extensive IP through 2042.

So what is actually the role of AXL and why we believe that the inhibition of AXL could be relevant? AXL is over-expressed in many cancer types. And its over-expression actually is correlated with aggressiveness of the disease, but is also correlated to the occurrence of treatment resistance. AXL definitely plays a multifaceted role in cancer therapy resistance. And in particular, it has been shown that AXL receptor is also associated with a very peculiar characteristic of cells, which is called epithelial cell plasticity, which actually gives the cells the ability to invade and metastasize.

AXL is expressed not just in the tumor cells, but also in the tumor microenvironment. And its inhibition actually is able to reduce this aggressiveness of cancer, to -- also to reduce the DNA damage and cell death, and at the same time, could -- and we have shown it in clinical is able to reactivate the innate immunity.

So being actually AXL clearly defined now as a protumoral, prometastatic and with a very clear resistance role. There have been several investigations about how to target it. And in this cartoon, we have tried actually to summarize the very active field of trying to identify the best inhibitor of AXL. As you see, there is a wide variety of compounds. One is an antibody drug conjugate, for instance, but we go actually into the naked antibodies as well, or for instance, the inhibition of the GAS6, which is actually the main ligand for AXL inhibition. And then we move it actually into a very selective field, which is actually the bemcentinib selectivity and inhibition.

Not many of the completed studies with AXL inhibitors have been published. But sometimes, actually, there have been the data reported that the off-target toxicity actually was required in the modification of the study design.

So going back to actually AXL inhibition and the STK11 patient population. Bemcentinib as of today, is the only AXL inhibitor that is in clinical development for a very specific patient population, which is actually the STK11-mutated patient population. You've heard how dire the prognosis is for these patients. And just our study, Phase Ib/IIa is targeting specifically the STK11 population with the others that I have reported here that you can read at your leisure actually have a more variegated patient selection.

Over the months, the recent months, there has been a constant increase of the role of STK11 as poor prognostic factor in non-small cell lung cancer. And at the very recent medical international conference I had the pleasure to attend, there is now clearly an awareness across the medical community of the role of STK11 in non-small cell lung cancer. And because of this, bemcentinib actually has grown interest and we have several paper and publications accepted specifically trying actually to define the role of bemcentinib in poor prognostic patients.

So what are the -- actually the foundation for moving forward? Over the next few slides, I would like actually to summarize with you what's been the foundation for BerGenBio to move from a second-line indication into a front-line indication. We have -- sorry, extensive data that really substantiates our move into first line, namely, 2 Phase II studies that have tested bemcentinib in second-line non-small cell lung cancer, over 100 patients have been exposed to this. And the outcome of this study has been in the combination with pembrolizumab a meaningful progression-free survival and overall survival.

We have then observed that patients that actually they have a high expression of AXL, indeed, can live longer when treated with bemcentinib and pembro.

We have also interestingly observed a response -- clinical responses in patients that usually do not respond well to immunotherapy who are those with low PD-L1 status.

There is also initial benefit of the role of bemcentinib not just in STK11, but also in additional very hard-to-treat mutations and I will give you a few insights. We have just presented the data just a few days ago at the SITC conference.

So what is the compelling rationale beyond the Phase Ib/IIa study that is an international study actively enrolling? Number one is to try and target a very high unmet medical need in this patient population. The ability to potentially actually move the response of a mutated driver into the wild type outcomes, which usually is much better for patients.

So as we studied bemcentinib and the role of AXL specifically, we have noticed that most patients, roughly 88%, are actually indeed AXL-positive, and as you can see from this slide, have it significantly longer.

Moreover, if we actually take a look at the patients with negative or low PD-L1 status that are this group of patients that cannot or has not yet benefit properly from the use of checkpoint inhibitors, you actually see that they respond to bemcentinib and pembrolizumab. And that's actually kind of a reassuring clinical demonstration that bemcentinib might be able actually to remodulate the immune system in these patients.

Our analysis actually are expanding into better understanding the role of bemcentinib also in other mutations. As you have heard from Martin, the non-small cell lung cancer field is really based on biomarker-driven solution. So the effort actually of identifying prognostic or predictive biomarkers is in constant evolution.

We have recently reported actually at SITC, as I said, just a few days ago. The analysis that we performed on the samples from the second-line study, so the BGB008 (sic) [ BGBC008 ] study, and we compared our results to the kind of a data set, the MSK-mined data set just to have an understanding of the mutation frequency of some of this hard mutation, namely, STK11, KEAP1 and KRAS and PD-L1 and also to try and identify what's the impact of our treatment intervention, bemcentinib and pembro, on this patient population.

If you want to actually take a look at the poster, you will see that actually there has been a kind of a consistent message that pembro and bemcentinib seems actually to have an equal impact on wild type and mutated patients. So in other words, the intervention of bem and pembro seems actually to reverse the mutated status into the wild-type status, hence, enhancing the clinical outcome.

We have also reported, it was just the end of October, if I'm not mistaken, the very final results of the BGB008 (sic) [ BGBC008 ] study, the pembro and bemcentinib study. And out of this, I just wanted to put in a comparison, in a kind of a modern and contemporary comparison, what we have observed in 008 in patients who had been treated with I/O, chemo or chemo and I/O. And you see that actually in ESMO there was a lot of debate about the role -- the results, sorry, of the SAPPHIRE study in second-line I/O in patients pretreated with I/O. And you see that actually our all-comer results, but also our AXL selective results well compare to the most recent approach in second line.

Safety is very important. Safety is really, really important in any combinatorial regimens, but also in monotherapy and we are actually pleased to report that the combination of bemcentinib and pembrolizumab has a favorable comparable profile to what's been observed with pembrolizumab alone. No new safety signals have been identified. The majority of adverse events were mild or moderate, so Grade 1 or 2, and reversible and manageable.

I also want to remind the audience that 008 used a different treatment regimen where bemcentinib was applied with a loading dose of 100 milligram then followed by a maintenance of 200. In the future actually studies, we will have a significantly lower dose, which is really based on the simulation and the target engagement that we have observed. So we really expect an even better tolerability of bemcentinib.

So let's move now to the past and into the present and the future of BerGenBio, which is really the delivery of the BGB016 (sic) [ BGBC016 ] study. This is an ongoing multi-center, international, open-label study in first-line non-small lung cancer. It's made actually of 2 parts. The Phase Ib will actually test the safety, of tolerability of pemetrexed, carboplatin and pembrolizumab in association with 3 different doses of bemcentinib. For now, they are 75, 100 and 100 milligram. Once actually the 2 best doses are identified, we will move into the 2 way.

What's the main difference between these 2 parts? The Ib is going to be in all comers. So regardless of the PD-L1 status, regardless of the STK11 status, patients are only required not to have actionable mutation that should be treated with some currently targeted therapies approved.

When we move into the IIa, we will enroll only STK11-mutated patients. I just want to remind the audience also that in many countries and most of the sites, STK11 is part of the normal panels that are used at the site to identify if a patient can be treated with the targeted therapies.

So there are also additional complications, let's say, in this patient population, which is that actually there are co-mutational status that could impact significantly the clinical outcomes of these patients. There are actually several datas that are coming out of the real-world ability to gather clinical outcome information where actually we know what the STK11 gives a poor prognostic condition to patients. But if STK11 mutation also co-associated with other hard-to-treat mutations, the prognosis is even worse.

So this differential outcome, of course, would require a kind of a study control that take into consideration all the different permutations, but it's not really very easily implemented. And why? Because first of all, we are in a very early stage of the development of this combinatorial drug. Regardless of this, we have decided to include in the IIa study an approach that is called a synthetic control Arm.

What is a synthetic control arm? Synthetic control arm actually enables from real-world databases that are fully validated the extraction of digital twins. So every patient in the IIa study, the 40 patients that we will actually enroll in the interventional phase, will be matched with the same patient that will be treated in the real-world setting, same patient characteristic, disease status, same therapy and we will actually try and extrapolate the added value of bemcentinib to this.

Why are we going to do this? Because we really want to strengthen our observation and really try and compare as early as possible the benefit of the quadruple combinations versus the current therapy.

So all in all, I think I have -- I hope I have actually walked you through the observations that this year has brought us, really strengthening our understanding of the mechanism of action of bemcentinib, also the understanding of the mechanism of action of bemcentinib in combination with different treatment agents.

We are trying really to target a very significant unmet medical need. You see the PFS is really dismal and the OS doesn't ever reach the 12-month mark.

We know now that there is actually highly immunocompromised and toxic tumor microenvironment. There have been a lot of effort in understanding the role of tumor microenvironment in creating immune resistance.

We know that AXL is nearly universally expressed in non-small cell lung cancer and that by inhibiting this protumoral and prometastatic [ axis ], we should be able -- we will be able to reactivate the antitumor immune response, but also to delay the chemo resistance as long as possible. So we really believe that actually we'll be able to move the 016 study with speed and quality, and the medical community has been really thoroughly engaged with us. Martin?

M
Martin Olin
executive

Thank you, Cristina, and thank you for a very encouraging review of the data we have generated and where we're going.

This slide summarizes the news flow that we have delivered in the first half of this year. So as we previously announced, we have enrolled the first patient and we are enrolling more patients into the Ib study, which is in the U.S., but also now in Europe. We have presented the very encouraging data on STK11 loss at AACR. We've also shown some very promising early indicative data in the first-line setting.

And going forward, the singular focus we have on the BGB016 (sic) [ BGBC016 ] study will allow us to hopefully generate some very encouraging data in the first-line non-small cell lung cancer STK11 patient population that really deserves a treatment option that they don't have today. And I think all the data are -- pretty much all the data we have generated so far point to the same direction is that AXL inhibition actually activate or reactivate or remodulate the innate immune system, and therefore, allows both chemotherapy, but also checkpoint inhibition to work better in a setting where it's not really benefiting the patients.

We are going to continue to present our data, but most importantly, we are going to continue to progress our BGB016 (sic) [ BGBC016 ] study, which is the completion of the Ib part and taking 2 doses into the Phase IIa part, which is for the STK11-mutated patient populations.

We have also announced other news. These indications are not part of the priority for the company in the present situation, but they all point to the same evidence, which is that inhibition of AXL [indiscernible] actually makes a difference for the patients. We have seen monotherapy activity. We have seen some less encouraging activity. One might ask in melanoma, but if you analyze the data, maybe the patient enrollment was a little bit skewed and we had some bad patients in that study. But overall, we did not expect to see a huge benefit and that's, of course, easy to say in hindsight, but I think that was the notion when the study was recruited.

The impact of the restructuring and the focus of the company really comes out now in the Q3 financials. So the burn in the third quarter, operational loss was less than NOK 30 million compared to an average of around NOK 60 million in the previous quarters, which is a significant reduction. And we expect that the current level is going to be at about or so the level that the company will have going forward. Of course, there are some quarterly variations that will, by all means, mainly be related to the enrollment activity and the purchase of KEYTRUDA in those countries where it's not reimbursed as standard of care therapy.

The cash flow for the quarter was somewhat higher than the operational loss, but it also reflects a reduction -- a significant reduction over the last year in short-term liabilities. So short-term liabilities now is at a much lower level. And therefore, we'd expect that the operational loss and the cash flow is going to be closer to each other going forward.

We ended the quarter with NOK 169 million. And with a burn at the current level, we expect the current financials to take us through the end of '24.

And of course, we have the warrant element, which is that for every 2 shares that was subscribed for in the rights issue, there was a warrant which can be exercised. And that warrant window actually opens tomorrow and it's the first warrant window. I should mention that the warrants are actually tradable with the ticker of BGBIS. And the first window opens tomorrow at 9:00 a.m. and closes on the 28th of November at 4:30 p.m. CET.

The exercise price for the warrants will be set on the weighted volume average price in the days from the 10th to the 14th of November and will -- less 30%. However, not less than NOK 0.10 and not more than NOK 0.13, and the exercise price will be announced tomorrow morning before the market opens.

And there are some -- here is a time line for the exercise period of the warrants, and I think it's relevant to inform the market that all the primary insiders of BerGenBio are going to and have committed to exercise all their warrants in the first window, which is opening tomorrow.

Here are some alternative procedures on how to exercise your warrants. You can either follow the link here or you can complete and return an exercise form before the end of the exercise period. And if you have any questions, don't hesitate to reach out to the company or Carnegie or Arctic that will be more than willing to assist you in the exercise of the warrants.

So in summary, BerGenBio, a very focused approach in non-small cell lung cancer, a significant unmet medical need. We have a strong IP protection, but we also have a differentiated approach compared to what we see other companies are doing. We expect to have the Ib readout early next year, and therefore, we will be able to initiate the Phase IIa also in the first half of next year.

Our cash position takes us into the end of '24. But the warrant element that was issued in connection with the rights issue, if fully exercised, may actually finance the company into the second half of '25 and enable the company to have a mature data set in the first line STK11 non-small cell lung cancer setting, which we hope would showcase the opportunity that bemcentinib represents in this setting.

Thank you very much for listening. And I think we will now go to the Q&A session.

U
Unknown Executive

Yes. we have some questions related to the first-line lung study. So how do you identify the STK11-mutated patient? And how will they be enrolled into the trial?

C
Cristina Oliva
executive

Thank you. Very good question. So as I mentioned in my presentation, in most of the sites, we have actually identified and selected and some of them already activated. STK11 is part of a panel, it's called a panel, where actually multiple mutations need to be identified or potentially excluded.

So the patients receive these actually biopsy. Over this biopsy, which could be liquid or solid biopsy, actually there is a panel that develop and identify which mutation the patient has. Most of them are nonactionable, some of them are actionable and this will influence the enrollment into our study or to receive other treatment.

U
Unknown Executive

Next question is how confident are you in the possibility to enroll the trial? And what makes you excited about it?

C
Cristina Oliva
executive

So I have actually been really lucky to visit all the sites so far that have been activated, and the interest on the scientific actually rationale, but also the engagement has been really, really encouraging. Sites actually are very keen to evaluate the value of bemcentinib with this unmet medical need. The medical community, as I said, has identified this as a very poor prognostic marker with nothing available, no therapies. And I think we have the right sites, the right support and the right investigators with us actually pushing for these enrollment to move as fast as we can.

U
Unknown Executive

What defines success of the trial, in your opinion?

C
Cristina Oliva
executive

What defines success of the trial, in my eyes. So for me, success of the Ib would be actually to be able to identify 2 doses according to the Project Optimus that the FDA is really moving forward. So safety should be not only acceptable, but safety actually should be promising and the early signs of activities that we will actually be able to observe.

What's success for me in the second part is clearly to identify a significant clinical outcome that actually will compare to what this patient can receive now. And actually to have this synthetic control arm built in so that we will really be able to try and dissect the role of bemcentinib in this patient population.

U
Unknown Executive

Then it's a question about the warrants and funding. Will you be able to get final readout from the trial if all the warrants are exercised? Or do you need additional capital?

M
Martin Olin
executive

It's a very good question. Of course, we hope that the patients will live very long. But we will be able to deliver a mature data set based on a full exercise of the warrants. If the patients live really long, we might be in a situation where we would need a little bit extra funding to take us into '26. But that's a dream scenario, Cristina, if the patients would live that long. Yes.

C
Cristina Oliva
executive

It is. Yes.

M
Martin Olin
executive

But I think the answer is with the warrant exercise being exercised, the company is funded to complete the study and have a decent assessment of a mature data set.

C
Cristina Oliva
executive

Yes.

U
Unknown Executive

And then have been a few questions on partnering discussions. So why don't you have a partner at this point? And what are partners looking for?

C
Cristina Oliva
executive

I can take, let's say, the first part of it. There have been a lot of discussions about this. And I want actually to take us back to where we are now, which is we are actually exploring a completely new treatment regimen. We haven't established the treatment yet. We are in the phase of doing it and we are trying to do it as quickly and as safely as we can.

A partner in a first-line indication is looking for an established treatment, as established as it will be, okay, with some initial insight on the clinical outcomes. So I would say at this stage it's not particularly surprising to actually be left independent, I would say, to develop this treatment. I don't know what you think, Martin.

M
Martin Olin
executive

No, I fully agree with that. I also think that we have to realize that oncology over the last year has been crowded with a number of combination trials. I still think there is over 1,000 trials ongoing with KEYTRUDA, different combinations. And the bar has been raised because there's been a number of significant disappointments for these combination studies.

Although we have monotherapy activity, we've not really shown it in non-small cell lung cancer. I think that's also the evidence in addition to the safety profile and the established regimen that a partner would look for. But personally, I also think that it may not be the best time for the company to partner the asset at this time. I think there is a significant value incremental to be delivered by the company keeping independent and executing the study and showing that the role of bemcentinib actually does matter in this setting.

U
Unknown Executive

And a follow-up question on out-licensing. Is there any update on the process of out-licensing tilvestamab?

M
Martin Olin
executive

There is an update and the update is that we have ongoing discussions, but we have no conclusion at this point.

U
Unknown Executive

Then it's a question about some preclinical work. So Cancer Research UK has given the first preclinical package award in fighting pancreatic cancer, combining chemo and bemcentinib. Can you comment on the reality of bem being chosen by authorities, both in the U.K. and the U.S.?

C
Cristina Oliva
executive

So that's a good question. So we had some -- among our investigator-led studies, we had actually conducted a clinical trial in pancreatic cancer, PDAC. Unfortunately, that's a disease that is very hard to treat and there is a huge effort of the medical community to try and identify any therapy that actually could prolong the survival of these patients.

Having said that, we know preclinically that actually AXL is over-expressed in pancreatic cancer cells. So there is a rationale actually for this combination. We have decided not to pursue the pancreatic indication because we just want to be focused on the first-line non-small cell lung cancer.

U
Unknown Executive

Then it's a question about the cost reduction. And can you discuss if you have the right organization to move forward?

M
Martin Olin
executive

We do believe we have the right organization. That was part of the rightsizing exercise we did in connection with the rights offering this summer. So the answer is yes, we do have the adequate organization to execute on the BGB016 (sic) [ BGBC016 ] study.

U
Unknown Executive

And a question about if you have control about the costs, the currently cost burn.

M
Martin Olin
executive

I think the third quarter really shows that we have adequate control over our burn.

U
Unknown Executive

Yes. A quick question about the status of drawing facility from Meteva to BerGenBio.

M
Martin Olin
executive

So back in '22, Meteva and BerGenBio entered into a loan facility agreement of up to NOK 100 million as a loan facility. And that loan facility that was part of the terms would disappear in the event of a significant offering, which was, by definition, achieved with the rights issue this summer. So the company does not have any loan agreement facility with Meteva as of that date.

U
Unknown Executive

And a question about the variance between the operational loss on NOK 28 million and the cash flow, which is significantly higher. Can you us give the...

M
Martin Olin
executive

That's primarily driven by the payment of short-term liabilities, which is actually really linked to the closure of previous conducted studies. So going forward, as I said, we expect the operational loss to be much closer tied to the cash burn on a quarterly basis going forward.

U
Unknown Executive

Thank you, Martin and Cristina. That finalize the Q&A.

M
Martin Olin
executive

Thank you. Thanks for listening.

C
Cristina Oliva
executive

Thank you.