Altimmune, Inc. Common StockALT
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Altimmune, Inc. Common Stock Wells Fargo 21st Annual Healthcare Conference

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Mohit BansalBiotech and Pharma Analyst

Awesome. Thank you very much for joining us today. My name is Mohit Bansal. I am one of the biotech and pharma analysts at Wells Fargo, and I am very happy to have Altimmune management team with us today. We are joined by Jerome Durso, the Chief Executive Officer, Greg Weaver, the CFO of the company, and Christophe, the Chief Medical Officer of the company. Thank you very much for joining us today.

Jerry DursoCEO

Thanks for having us, Mohit.

Mohit BansalBiotech and Pharma Analyst

Awesome. Why don't we start with those who are new to the story. There have been some changes in the story since last year. Talk a little bit about your journey as a CEO and the story for those who are not familiar.

Jerry DursoCEO

Thanks. At Altimmune, we are a company focused on liver disease. I have been the CEO since the beginning of 2016. The main focus of our efforts is around pemvidutide, which is a balanced glucagon GLP agonist. We think is well-positioned for liver diseases based on the overall clinical profile that's evolved. We have spent quite a bit of time this year, as we have transitioned to a late-stage development company. Really happy last month to announce that our phase III MASH is enrolling after a lot of work to deliver the phase II data and to raise appropriately to transform the balance sheet in order to support execution of the phase III trial in MASH, which is called PERFORMA. Also importantly, recently we announced very positive phase II data from our AUD trial, alcohol use disorder.

Jerry DursoCEO

Again, another opportunity with a high unmet need in the market and real important differentiation that we're beginning to see with pemvidutide. We think we're positioned well as we, again, continue to really focus on the execution now. Maybe Greg can touch a minute on the balance sheet, which is an Yeah important part of where we are.

Jerry DursoCEO

Then hopefully through the conversation, we can talk about why we're excited about pemvidutide and again, the important differentiation that we think pemvidutide can bring. We've had, I think, a great amount of progress to date as we think about the year. It's been a busy year, but we're clear on the work to do ahead.

Mohit BansalBiotech and Pharma Analyst

Got it. Very interesting. Talk a little bit about, this is where for MASH market, the question is because as of now, there are two different agents out there. Obviously you have approaches which do not lower weight, and then you have GLP-1 approaches as well. What your agent brings to the table and how differentiated it is from what is out there?

Jerry DursoCEO

Mohit, as you know, we've been talking for a long time in MASH about the complexity of the disease. It's a multifactorial disease, and for a long time now, the KOLs, the investigators have talked about the importance of potentially bringing combination therapy to the table. Why? Because the disease is complex. You have different manifestations ultimately leading to liver complications. A combination approach like pemvidutide is where you're bringing, again, the direct action on the liver, and Christophe can go into some detail, perhaps, along with the benefits of GLP, the metabolic benefits. We know that we're driving weight loss. We see good indicators in phase II of the impact on fibrosis and MASH resolution, and also importantly, when you think about chronic therapy, the real need to keep patients on the drug at the right dose.

Jerry DursoCEO

We think we saw in our phase II MASH trial that the profile of pemvidutide probably is well-suited to the real world, where we know patients have difficulty staying on some of the existing therapies. As the MASH market evolves, we think that drugs like pemvi that can bring multiple benefits to the table, but do it in a balanced and patient-friendly way, are going to be important. Again, we think that the phase II data that we've generated thus far starts to talk about that differentiation. I've always believed that the MASH market treatment will end up maturing like every other big chronic class where you have multiple mechanisms at play as patients progress in severity of diseases.

Jerry DursoCEO

We always think about the opportunity for pemvi for a robust segment of patients where we think the benefit of pemvi is different than some of the other options that are out there.

Jerry DursoCEO

Got it. But the importance to bring the benefits of both the direct liver effects and the metabolic effects in GLP, we think is one of the important dimensions of pemvidutide.

Mohit BansalBiotech and Pharma Analyst

Just basically GLP plus. Glucagon plus.

Mohit BansalBiotech and Pharma Analyst

Okay, glucagon plus. Sorry. Yeah.

Christophe Arbet-EngelsChief Medical Officer

The importance of glucagon. First we know that GLP takes a long time- to have the effect because it's an indirect effect.

Christophe Arbet-EngelsChief Medical Officer

The direct effect of glucagon on the liver is important in these patients early on, so that they can see the benefits of this. Then the GLP-1, it's also treating the cause for what's driving that MASH. When you suppress the cause and you treat directly the liver impairment aspect, either the steatosis, the inflammation, or clearly the fibrosis, now you see the full benefits of what you can bring for these patients. In addition, again, the adherence, as Jerry was highlighting, is critical because it's a chronic disease. If the patients cannot, because the titration is difficult, cannot reach an efficacious dose, or these patients drop out after six months, fibrosis is not something that you get rid of in just a few weeks. It takes a long time.

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