Guardant Health, Inc. Common StockGH
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Guardant Health, Inc. Common Stock Morgan Stanley 24th Annual Global Healthcare Conference

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Transcript

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Kallum TitchmarshVP and Healthcare Equity Analyst

I think we can get started. Callum Tosh here from the life sciences team at Morgan Stanley. Welcome to day 2 of the Morgan Stanley Healthcare Conference. Really pleased today to be joined by the team at Guardant Health. We have AmirAli Talasaz, Co-CEO, and Mike Bell, CFO. Thank you both for being here.

AmirAli TalasazCo-CEO

Thanks, Callum. Thanks for having us.

Kallum TitchmarshVP and Healthcare Equity Analyst

Before we get started, just for disclosure relating to this discussion, please see morganstanley.com/researchdisclosures. A lot to discuss. We've had quite a bit of recent news since those Q2 results, but maybe we can just rehash that Q2. Very strong performance across the board. Would love a little state of the union on Guardant Health to kick off, and then we can go into some specifics from there.

AmirAli TalasazCo-CEO

Yeah, sure. Great to see you guys. Q2 was another fantastic quarter for Guardant Health. The flywheel of Guardant is moving, accelerating, and a bunch of stuff that we work on for a few years, they are all coming to result and contribution for Guardant right now. Overall, we reported greater than 40% revenue growth year-over-year. On the oncology side, volume growth of over 60%. On Shield front, the growth of more than 250%. We reached a point that we are not building CRC screening market with Shield anymore. That category is already out there. We are at the phase of category scaling and developing that market as fast as possible. On oncology side, the smart liquid biopsy and smart platform in general, both on liquid and tissue front, is resonating very well.

AmirAli TalasazCo-CEO

It's helping to develop the market and help us with a bunch of market share gain through a bunch of application that it's enabling for the oncologist to provide some additional actionable clinical information. We are very excited of what we reported.

Kallum TitchmarshVP and Healthcare Equity Analyst

Mike, any standouts from you for the quarter?

Mike BellCFO

I think we just talked about all of the great news on the volume growth, on the revenue growth year-over-year. No, it was just another very strong quarter from Guardant, and yeah, we're really pleased with Q2.

Kallum TitchmarshVP and Healthcare Equity Analyst

Amazing. Let's maybe dive a little deeper into the oncology business first. You have an increasingly well-established product both in liquid and in tissue. How do you see the Guardant360 Liquid and Tissue working together rather than competing modalities just to make Guardant the top choice for oncology practices?

AmirAli TalasazCo-CEO

They are really at large scale complementary to each other. If you look at actually guidelines now for a bunch of cancer types, dual testing with both liquid and tissue is indicated and recommended in those guidelines. What actually the recent FDA approval of Guardant360 Liquid CDx provides us is really simplification of that ordering workflow and making sure that both tissue Guardant360 and our liquid 360 are orderable and accessible for physician, and they're reimbursable for us. The data that's coming out is also supporting this kind of dual use cases. It's more than really competing position. It's complementing on the data front. Also, having both of these two assays really helping us to really enrich the data platform that we have at Guardant.

AmirAli TalasazCo-CEO

When we are looking at, we're literally the only company on the CGP front is providing epigenomic information and capturing that data at scale. There's a lot of apps that we have developed so far and many apps that we have in pipeline enabled with the power of the data that we are capturing.

Kallum TitchmarshVP and Healthcare Equity Analyst

I think it's just helpful given the growth rates you're putting up to just level set on penetration today, across your liquid and tissue categories, not just in the core indications, but also maybe more broadly into some of the new indications you've been looking into as well.

AmirAli TalasazCo-CEO

Yeah. It's a function of different cancer types. But in general, tissue is well penetrated. About 70%, 80% of the market is developed. So really what Guardant360 Tissue with the innovative platform that it has enabling us to do is really the market share gain relative to the competition by providing additional insight to the clinicians. Liquid biopsy still is pretty under-penetrated. When we are thinking about maybe overall, and again, cancer by cancer is different, maybe we have about 40% plus minus market penetration at this time. For a single time point use case for liquid, there's still a lot of room to grow on single time point, and then on the other dimension of really going toward longitudinal monitoring and providing multiple testing per patients.

AmirAli TalasazCo-CEO

Right now, still we are doing 1.2, 1.3 tests per patient in terms of liquid and tissue testing, and that number can grow in a meaningful way. We are also very excited with the recent FDA approval, which really was landmark for liquid biopsy field and especially for Guardant360 platform, to enable longitudinal monitoring of the patients. It's a totally new use case for liquid biopsy testing.

Kallum TitchmarshVP and Healthcare Equity Analyst

And we get pretty positive feedback just on that genomic plus epigenomic info that you create with the CDx platform. What do you think physicians can do today with that product that they perhaps couldn't do a few years back? Maybe just give some use cases from your experiences.

AmirAli TalasazCo-CEO

Yeah. So on the genomic side, it's pretty straightforward that now it has over 700 genes, this CDx versus the prior one was about 10 times smaller. On epigenomic is really where the main differentiation is. I give you maybe an example of an application. So a lung cancer patient who's been diagnosed with non-small cell lung cancer, it's some kind of specific pathway for treatment and management of that disease. We know that some of these patients go from non-small cell cancer type to small cell lung cancer type. At a large scale, this information is hidden to the physician, because in order to get to that information, we need to do rebiopsy of the tissue of the lung, which is not really very typically done. And the treatment paradigm of small cell lung cancer is totally different.

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