Lucid Diagnostics Inc. Common Stock Canaccord Genuity's 46th Annual Growth Conference
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Community Growth Conference. I'm Kyle Mikson. I cover life science tools and diagnostics for Canaccord. Please welcome me to a fireside chat with Lucid Diagnostics. The company offers the first of its kind diagnostic test for a pre-cancer to esophageal cancer called Barrett's Esophagus. From the company, we have Lishan Aklog, CEO. Thanks, Lishan, for joining us today.
Yeah. Thanks for having me.
Appreciate it. So maybe just for investors who aren't as familiar with the story, could you just quickly give a brief overview of the company and how your platform fits the overall diagnostic landscape?
Yeah. Great. So, thanks again. Great to be here. Thank you all for joining. So Lucid Diagnostics is a cancer prevention company. We're in the esophageal cancer space. Esophageal cancer is a very deadly cancer. It's the second most deadly cancer. Highly lethal. It's essentially a death sentence with about an 80% mortality rate. The only way to actually prevent cancer deaths is to actually detect the pre-cancerous conditions. The condition, as Kyle mentioned, called Barrett's Esophagus. When you do that, you can actually do surveillance and treat the late pre-cancerous conditions and actually prevent cancer. So, Lucid has a test called EsoGuard. It's a non-invasive molecular diagnostic test, an NGS test, that is performed on a sample collected in about a 45-second procedure that can be done in an office setting.
That test has extensive clinical evidence base that demonstrates very high negative predictive value at ruling out the precancerous conditions as well as cancer. It is utilized as a triage test in a well-defined population who are at risk of having this precancerous condition. It, as part of a broader program, serves as an early detection program that can prevent esophageal cancer.
Excellent. Okay. Maybe, just quickly, the standard of care today, what's the current paradigm to do this type of Great.
Yeah. You know? What's great about this, and why this has been a great opportunity from the beginning, is that the entire paradigm has actually been well established prior to the introduction of this technology.
The target population's been well defined. As I mentioned, the algorithms for surveillance and for treatment of precancer, all of that had been very well established. The standard of care was upper endoscopy. The limitation at that time, over the last couple of decades, and the reason why this cancer still exacts a heavy burden, is that compliance with upper endoscopy, which is established in guidelines, is extremely poor. It's less than 10%, probably closer to zero, actually. That's where we fit in.
That was the one missing link, and as an alternative to standard of care that's underutilized upper endoscopy, we offer this molecular diagnostic test in a non-invasive setting that fills in that final gap.
Got you. Okay. What about the other ways to manage this area of disease, like PPIs?
Yeah. There's really no other effective way to reverse this precancerous condition, Barrett's Esophagus. There is some evidence that PPIs, NEXIUM- Proton pump proton pump inhibitors that can be obtained over the counter that lower acid, have some effect at slowing the progression, but they certainly don't eliminate it, and they don't eliminate the risk of developing later stage pre-cancer dysplasia as well as cancer.
The only opportunity really to prevent this cancer is to identify these patients in the pre-cancerous stage and to do surveillance and do treatment before they develop cancer. I should just note one of the things in our clinical evidence that is unique, it's very hard, it's not very common to have molecular tests that can detect pre-cancerous conditions, particularly early pre-cancerous conditions, at that high level of performance, 99% predictive value. You can detect advanced adenomas at sort of 50% sensitivity and levels like that. But it actually is quite unprecedented to be able to detect this early pre-cancerous condition using a molecular test.
Awesome. Now to maybe the results and the performance, your ability to drive adoption of this test. You reported your 2Q results, I think on Thursday. But your first quarter results, it's been pretty consistent in terms of the volume. You've been throttling the volume until you get Medicare coverage, which we'll totally get to later. What has been the strategy, I guess, to maintain test volume at maybe 2,000 to 3,000 a quarter, basically?
Yeah. What's the sales team doing right now, if you have a material team?
Yeah. The way we decided to approach this, knowing full well that the path to reimbursement in this space, it could be difficult and prolonged, was that we decided to proceed with building a commercial team, but at a very sort of established, like you said, a fixed kind of low throttle level where we can begin engaging with commercial payers, generating test volume. We have done about 60,000 tests to date and targeting about 2,500 to 3,000 tests per quarter. What you are hinting at is that our early efforts in this, in order to generate volume and to have enough commercial activity that we could engage with commercial payers, we utilized a strategy that was focused on health fairs, testing events, particularly with fire departments and others, which gave us the ability, with a relatively limited sales force, to generate that steady volume that we have been seeking.
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