Garo Armen1:17
Thank you very much, Stephanie, and thank you everyone for joining us today. We've had patients and families, physicians, researchers, partners, and shareholders—of course, all of them are our stakeholders. We appreciate your time and your continued engagement with Agenus, because Agenus is on a very important mission, and we'll be talking about the details of that during the course of our session today. As we enter 2026, we're doing so with greater clarity. Clarity means lack of uncertainty, certainly some of the uncertainty that we experienced in the second half of last year with the delayed closing of one of our important transactions. With the recent closing of our collaboration transaction, which involved the sale of our facility in Emeryville as well as our sale of equity at a significant premium to market price with Zidus Life Sciences, Agenus has strengthened our ability to go about our business. This collaboration secures long-term US-based biologics manufacturing capacity for us, because it's the facility that we built and it's the team that helped build that facility and operationalize some of the wonderful capabilities of that facility, that will allow us to supply clinical and authorized access programs and support future commercialization, all with the same expert team. And just as importantly, it provides the capital that we need in order to be able to have a level of resilience to be able to execute our strategy with a high level of discipline and focus, and we've already started doing that in the first weeks of this year. As you know, we've talked about this, and I don't think the constituency that looks at us understands the full power of our accelerating momentum for patient access. This started in last September with the surprise to the world of France's reimbursed AAC program. This is a program where every French citizen who is eligible for access to botbal can have access to it, with the French government providing full reimbursement for it. And what began with colorectal cancer in this program has now, in the last few weeks, expanded to include sarcoma and ovarian cancer. Even though colorectal cancer is the largest indication, sarcoma and ovarian cancer patients who have exhausted other means have a very significant potential benefit from botbal. We've of course published and presented this data at a major setting at ESMO in Berlin. It was an important plenary session presented by Michael Gordon, who was one of the participants in our previous webcast program. These decisions, namely patient access, reflect more than regulatory flexibility. They reflect urgency and a recognition that innovation must reach patients who are in need while the confirmatory trials continue. They're a very important consideration because, as you know, confirmatory trials can take a long time, and while we're pursuing those as well, access to patients before based on the data that we have generated, significant data for that matter, is very important. So the urgency that we feel, the urgency that patients feel, is well-founded. When we speak about historically resistant cancers, we're talking about very specifically microsatellite stable tumors. And microsatellite stable tumors are in the form of many different types of cancers, and they represent more than 80% of all solid tumors and importantly, more than approximately 95% of colorectal cancers. I just want to note that, for example, with colorectal cancer, you may have heard in the headlines that there are products such as PD-1s and PD-L1s that have shown some very impressive activity in colorectal cancer patients, but remember, those are less than 5% of the patients. The other 95% of patients targeted by our botbal are the kinds of cancers that don't respond to these other currently approved products. So at the same time, the societal burden of colorectal cancer is accelerating. Just last week, many of you may have heard that the American Cancer Society and Journal of the American Medical Association, JAMA, reported that CRC, unfortunately, is now the leading cause of cancer-related deaths in people under 50. We were expecting this to happen by 2030, but unfortunately for patients and for the overall population, reaching this milestone is now four years ahead of expectations. This is not just a medical challenge. It's a societal crisis, and some countries including France are recognizing both the urgency and the potential value of immunotherapy in responding to it. And lastly, we have the BATMAN randomized trial. It's an important trial for us, of course, and this is a trial that is going to be launched very soon. It is a trial rigorously designed for a global phase three study in the MSS metastatic colorectal cancer, a population as we talked about long considered beyond the reach of currently approved immunotherapies. Of course, the level of engagement we're seeing from investigators and cooperative groups reflects a shared understanding that we're very hopeful about the quick enrollment of the randomized trial. The early efficacy from a large phase one and phase two trials is driving this. When I talk about large phase one and phase two trials, we're talking about close to 500 patients worth of data that has been generated. And now this will be tested in a randomized setting, which is next on the roster for us. Now looking ahead, taken together, these developments shape our priorities for 2026: expanding appropriate patient access through authorized pathways, a very important initiative. You're going to hear a lot more about that during the course of this session and beyond. Preparing for global regulatory filings informed by both clinical trials and real-world evidence. Now, previously, as you know, we've had our challenges with the US FDA in terms of filing for accelerated approval in the US. Well, there are also changes in the regulatory environment in the US. So, we're going to diligently pursue filing in the US for accelerated approval once again. And in Europe, things have been a bit more optimistic, of course, with the progressive way of thinking in Europe. We've had meetings with the European regulators and they have been a lot more receptive for conditional approval possibility than historically what we have faced in the US. Advancing BATMAN with urgency and rigor is a very, very important priority as well. And to be able to accomplish all of this, we're scaling up as we speak our medical affairs capabilities. And this is going to support growing physician and patient interest and responsibility. Our medical affairs team is represented by Dr. Jose Galacias today, and you're going to hear from him both during the webcast session as well as during our Q&A. So unquestionably the role of immunotherapy is expanding. There's no question about it because chemotherapy and some of the other toxic therapies are archaic treatments, and we're confident that they will be either displaced completely by the new generation of treatments like immunotherapies, or they're going to be used as adjunctive treatments to immunotherapy in the future, which is fine. And our responsibility to patients must expand with the expanding immunotherapy usage. And with that, let's begin.