Carl Hansen — Chairman, President and CEO, AbCellera
Thanks, Tryn, thank you everyone for joining us today. 2026 has the potential to be a big year for AbCellera. We started the year in a strong financial position with our platform and large infrastructure projects substantially complete and with our internal pipeline set up for multiple catalysts over the next 24 months. Our key priorities for the year include delivering top-line data readouts for ABCL635 and ABCL575, advancing ABCL688 and ABCL386 through IND-enabling activities, and adding at least 1 new development candidate to our pipeline. In January, on the strength of early biomarker data and safety data, we announced that our lead program, ABCL635, had moved into phase II testing. By far, the most important data readout in 2026 will be the top-line readout of this study, which is anticipated in Q3.
On today's call, we are excited to present interim phase I data for this program. As a reminder, ABCL635 is a potent antagonist of NK3R, a GPCR target that has been clinically validated for the treatment of vasomotor symptoms, also known as hot flashes. It is the first GPCR-targeting antibody from our platform to advance into clinical testing and is being developed as a potential first-in-class antibody medicine for the non-hormonal treatment of moderate to severe hot flashes associated with menopause. We believe ABCL635 has potential to address a large need and market opportunity in women's health. For most women, hot flashes are the most problematic symptoms of menopause. They can be highly disruptive to sleep, to work, and to family life, and present a significant burden that persists for a median of over four years.
At any given time, it is estimated that more than 12 million women in the U.S. experience moderate to severe VMS, of which more than 6 million will seek treatment. Menopause hormone therapy, which is an effective treatment and currently the standard of care, is unsuitable for at least an estimated 20% of these women because of contraindications, tolerability, and other factors. As a result, we believe there are over 1 million women in the U.S. who could benefit from safe and effective non-hormonal treatments. Assuming only price parity with approved small molecule NK3R antagonists, we estimate the total addressable U.S. market for non-hormonal VMS treatments to be at least $6 billion annually. From this, we believe there is upside potential in pricing as well as in broader use by patients who experience VMS caused by cancer treatments that reduce hormone levels.
This includes patient populations in breast, ovarian, and prostate cancers. ABCL635 aims to provide a treatment option that has efficacy comparable to small molecules, a differentiated safety profile without the need for liver enzyme monitoring, and an advantage in dosing convenience with once-monthly subcutaneous self-injection. Now I'll ask Sarah to present details about the program and our interim phase I results. Sarah?
Sarah Noonberg — Chief Medical Officer, AbCellera
Thank you, Carl. I'll now discuss the phase I data that led us to advance ABCL635 into phase II development. The phase I first-in-human trial was a randomized, double-blind, placebo-controlled, two-part study designed to evaluate the safety, pharmacokinetics, and pharmacodynamics of ABCL635 in healthy volunteers. In part A, single ascending doses of ABCL635 or placebo were evaluated in 40 healthy men and post-menopausal women divided into 5 cohorts. Each cohort contained 8 participants, 6 randomized to ABCL635 and 2 randomized to placebo, and each cohort included both men and women. Participants were administered a single subcutaneous dose of study drugs ranging from 30 milligrams to 900 milligrams and followed for approximately 20 weeks. The unblinded data from the single ascending dose portion is available and will be discussed today.
In part B, multiple ascending doses of ABCL635 or placebo were evaluated in 16 post-menopausal women. Participants received monthly doses of 300 mg or 600 mg every month for three months and then followed for 20 weeks after the final dose. Data from the multiple ascending dose cohorts are still blinded as the final follow-up visits are still ongoing. This slide outlines key demographic characteristics of our study population in the single ascending dose group. Of the 40 healthy participants, there were 30 participants across five escalating dose cohorts in the total ABCL635 group and 10 participants in the pooled placebo group. The study targeted healthy adults between the ages of 40 and 65, with a median age in the mid-fifties across treatment and placebo groups.
We included both men and post-menopausal women in the study, and while the total ABCL635 population had a greater % of women and the pooled placebo group had a greater % of men, it is important to note that every individual cohort included at least 2 male participants treated with ABCL635, which is important for evaluating pharmacodynamic endpoints. The vast majority of participants across all cohorts were Caucasian. Baseline body mass index, or BMI, was consistent across most groups, with the exception of the 900 milligram group, where we observed a lower median weight and accordingly a lower BMI. We don't believe this difference had a meaningful impact on the study's overall conclusions. In terms of safety, across all cohorts, treatment with ABCL635 was generally well-tolerated. To date, there have been no reports of serious adverse events, severe adverse events, or adverse events leading to discontinuation.
Notably, we have observed no adverse events of liver toxicity, which is an important differentiator for this program. The overall incidence of any adverse event occurring in the study was 50% in both the total ABCL635 treatment group as well as the pooled placebo group. The vast majority of reported adverse events were grade 1. The table displays all adverse events reported in at least 2 participants over the study period, regardless of relationship to study drug. The only potential signal identified was self-limiting headache, specifically clustered in the 900 mg cohort. These events were generally mild in severity, typically occurred within the first 1 to 2 days post-administration, and resolved without complication. It is noteworthy that there were no adverse events of headache reported in the 600 mg cohort.
Injection site-related adverse events were infrequent across both treatment groups, and gastrointestinal symptoms such as diarrhea occurred at low frequencies and showed no clear dose dependency or increase over placebo. In addition, a blinded safety review of the ongoing multiple ascending dose portion of the study suggests no new safety signal. As with the single ascending dose portion, to date, there have been no reports of serious adverse events, severe adverse events, adverse events leading to discontinuation, or liver-related adverse events. Looking a bit closer at liver-related safety, this slide displays liver function laboratory tests over time following treatment with escalating doses of ABCL635 in the single ascending dose portion of the study. Overall, mean AST, ALT, and bilirubin values remained stable following administration of ABCL635, with no dose-dependent findings.
The dotted lines on each graph represent the mean upper limit of normal, so these values are very reassuring, as are blinded reviews of liver function tests in the multiple ascending dose portion of the study. Switching gears to pharmacokinetic data, we see that ABCL635 exhibited favorable linear pharmacokinetics across doses with overall low variability. As illustrated in the left panel, the systemic exposure of ABCL635 is approximately dose proportional, providing a predictable profile for dose selection in future studies. The estimated half-life of ABCL635 is approximately 24 days, which we believe supports a monthly dosing schedule. The right panel displays the data from our multiple ascending dose portion of the study, with 300 milligrams administered every four weeks. The profile confirms that ABCL635 behaves consistently upon repeating doses, and analysis of our 600 milligram repeat dose cohort is currently underway.
While immunogenicity assays have not yet been run, the overall PK profile and general consistency in observed clearing rates is reassuring. Before moving into phase I data on pharmacokinetics, it is worth reviewing the biology of NK3R, particularly in the KNDy neurons located in the hypothalamus. In addition to being centrally involved in the physiology of VMS, KNDy neurons are centrally involved in the regulation of the sex hormones through their effect on pulsatile GnRH secretion. GnRH then acts on the pituitary to release FSH and LH, which then stimulate estrogen and testosterone release from gonadal tissues. These KNDy neuron functions are mediated by neurokinin B binding to the NK3 receptor. Therefore, the ability to block NKB/NK3 receptor signaling can be measured by evaluating the downstream effects of blocking GnRH release, namely circulating levels of estrogen or testosterone.
While measuring estrogen levels in post-menopausal women is challenging due to low and variable levels within and between individuals, measuring testosterone levels in men provides a more stable surrogate marker to evaluate NK3R target engagement of KNDy neurons. Use of testosterone levels in men was previously validated as a biomarker of NK3R target engagement in the early development of the oral small molecule fezolinetant as part of phase I studies. The figure on the right, adapted from the 2016 paper, shows dose-dependent testosterone suppression following a single administration of fezolinetant at doses ranging from 12 milligrams to 180 milligrams. This data provides a useful benchmark of NK3R target engagement and then along with subsequent phase II studies allows us to evaluate how doses associated with different degrees of NK3R target engagement have translated into efficacy on VMS outcomes.
Carl Hansen — Chairman, President and CEO, AbCellera
Thank you, Sarah. Obviously, we are more than pleased with the phase I data for ABCL635, and we look forward to top-line results for the ongoing phase II study, which remains on track for Q3. Turning to the broader portfolio, the top-line phase I readout for our second clinical program, ABCL575, is expected in Q4 of this year. As previously discussed, ABCL575 is a potential best-in-class OX40L antagonist. From the outset, our strategy has been only to complete phase I studies prior to partnering it. At present, we have no plans to develop it past phase I. Beyond ABCL635 and ABCL575, we are on track to have up to three additional clinical stage programs by the end of 2027. This includes our two undisclosed programs, ABCL688 and ABCL386, both of which we believe are compelling opportunities in large markets.
We expect both programs will start clinical development in phase I, II studies with a clear path to achieving early proof of concept in patients. We'll disclose more information on these programs as they enter clinical studies. Finally, we are working towards selecting our fifth development candidate in the first half of this year. Although we still have work to complete, we are on track to deliver on this goal. With that, I will hand it over to Andrew to discuss our financials. Andrew?
Andrew Booth — CFO, AbCellera
Thanks, Carl. As Carl pointed out, AbCellera continues to be in a strong liquidity position with approximately CAD 530 million in cash and equivalents, and with roughly CAD 125 million in available committed government funding to execute on our strategy. We are continuing to execute on our plans with a focus on internal programs and leveraging our process development and clinical manufacturing investments. Looking at revenue and expenses, revenue for the quarter was around CAD $8 million compared to a total revenue of approximately CAD $4 million in the same quarter of 2025. In both periods, consisting mostly of research fees. With respect to research fee revenue, as we have indicated in the past, we expect this to generally trend lower as we focus on our internal pipeline.
Our research and development expenses for the quarter were approximately $47 million, approximately $4 million more than last year, and this expense reflects the focus of investment in our internal programs. In sales, general, and administration, expenses were approximately $12 million, compared to roughly $19 million last year. The greater than 35% decrease in SG&A expenses relates to the conclusion of our intellectual property litigation and to changes in teams following the focus of our internal pipeline. Looking at earnings, we are reporting a net loss of roughly $43 million for the first quarter of 2026, compared to a loss of about $46 million a year earlier. In terms of earnings per share, this result works out to a loss of $0.14 per share on a basic and diluted basis.
Turning to cash, operating activities for the first quarter used approximately $34 million in cash and equivalents, excluding marketable securities and all other investment activities, and amounted to only $3 million in the quarter. This is consistent with the substantial completion of our large investments in facilities and manufacturing capabilities that finished in 2025. As a part of our treasury strategy, we have $428 million invested in short-term marketable securities, and our investment activities for the quarter included a $23 million investment in these holdings. Altogether, we finished the quarter with $531 million of cash equivalents, and marketable securities, a $30 million decrease in cash for the first quarter of 2026.
As a reminder, we have received commitments for funding for the advancement of our internal pipeline from the Government of Canada Strategic Innovation Fund and the Government of British Columbia. This available capital does not show up on our balance sheet. With over $530 million in cash and equivalents and the unused portion of our secured government funding, we have approximately $655 million in available liquidity to continue to execute on our strategy. In addition, we have further available liquidity from our ownership of another Vancouver lab-based lab and office building, as well as our GMP facility. With respect to the overall company expenditures, our capital needs are very manageable. We continue to believe that we have sufficient liquidity to fund at least the next three years of pipeline investments. With that, we'll be happy to take any questions. Operator?
Stephen Willey — Managing Director, Stifel
Good afternoon. Thanks for taking the question, and thanks for providing the granularity here. Just curious as to, you know, as you look at the level of testosterone suppression you're able to achieve with both the 3 and 600 mg doses. I know you talked about maybe there being a loading dose strategy that could be pursued. I guess I'm just interested in now that you've seen the testosterone suppression, and I guess what you know about the testosterone as a pharmacodynamic marker in terms of, in terms of what we've seen from some of the small molecule antagonists. What is your opinion as to whether or not you think that those drugs are leaving efficacy on the table?
You know, do you think that a rationale for better efficacy could be potentially displayed in the 4-week VMS severity and frequency data. Thanks.
Carl Hansen — Chairman, President and CEO, AbCellera
Great questions, Stephen. Carl here. First, you know, I wanna highlight that, you know, this study is really focused on evaluating target engagement on NK3R in the infundibular nucleus. We think that the biomarker reading reports on that directly, but it is not a direct report on efficacy. You know, speculating on what the ultimate efficacy will be, you know, it's difficult to resist that, but that's exactly what we're running the phase II study for and what we're gonna know in Q3.
Furthermore, you know, our view, our base TPP and our commercial assessment is that, you know, what is really a winning product and potentially a blockbuster would be a product that has efficacy that is comparable or equal to the small molecules, a cleaner safety profile without liver monitoring, and a more convenient 1-monthly subcutaneous injection. From that perspective, you know, that's the bar. If we see that or something that is that supports that, in Q3, we are celebrating. We do think that there's a strong scientific case based on the target engagement that we've seen that we might do better, but there's still science that needs to be crossed, and I don't wanna get in front of that because that's precisely why we're doing the study, that reads out in Q3.
Stephen Willey — Managing Director, Stifel
All right. Understood. Maybe just a quick follow-up. As you think about what the next development step for ABCL635 might be, I know you're talking about this being, quote-unquote, "late stage development," but do you feel like you will have done a sufficient amount of dose optimization work to potentially move directly to a phase III study, in 2027? Thanks.
Sarah Noonberg — Chief Medical Officer, AbCellera
Hi, Stephen. This is Sarah. you know, I think we will take a look at that proof of concept phase II readout. Part of the reason that we're following subjects for 12 weeks is that we really can build a robust PK/PD model looking at efficacy over time as drug concentrations continue to fall. That will give us a good sense of how these drug concentrations relate to efficacy. We believe with that data in hand and with a clear validated mechanism of action, we have a great position to stand on to engage regulators with a late-stage development program.
It may be that regulators may want us to test an additional dose in phase III, which I don't think we would be completely averse to, although I doubt that we're gonna need to do that with the data at hand, but that'll be a regulatory discussion.
Stephen Willey — Managing Director, Stifel
All right. Thanks for taking the questions.
Evan David Seigerman — Managing Director and Head of Healthcare Research, BMO Capital Markets
Hey, guys. Thank you so much for taking my question. Two from me. One, the testosterone data you shared are obviously very strong. Help us contextualize how this could translate into benefit in patients with VMS. You had mentioned potentially expanding indications beyond VMS into oncology. How should we think about that potential opportunity? Thank you, guys.
Carl Hansen — Chairman, President and CEO, AbCellera
Thanks, Evan. Pardon me, Evan. This is Carl here. I'll start with the first question, then I'll hand it off to Sarah. You know, your question is similar to Steve's. If you look at the published clinical development data from fezolinetant, there's pretty good data to make a correlation between target engagement as measured by suppression of testosterone levels and efficacy. That is data that we've been looking at, and it's one of the reasons we think there's a strong case for increased target engagement giving better efficacy. The caveat on that is that those experiments are done with small molecules, the correlation that is seen with small molecules may or may not translate to an antibody.
That's particularly the case because there is NK3R expressed in another part of the brain that is relevant, that's the preoptic nucleus, where we don't have a direct read on target engagement. While we are very encouraged, and we believe we are hitting NK3R on the critical neurons, which are the KNDy neurons, there is still scientific risk to cross. That's, as I said to Steve, that's why we're running the phase II. If that data comes in the way that we would like, then I feel the program is highly de-risked, and then we would be moving quickly to develop further. I think that's the second part of your question that I'll hand off to Sarah.
Sarah Noonberg — Chief Medical Officer, AbCellera
Next steps from here, in addition to moving into late-stage development in VMS associated with menopause, we also believe there's considerable upside and value for patients in treating induced menopause that's associated with various cancer treatments. For breast cancer, this would be treatment with tamoxifen or aromatase inhibitors or oophorectomy, where you have a chemically or surgically induced state of menopause, which can give rise to particularly severe VMS symptoms. In prostate cancer, treatment with androgen deprivation therapy and really androgen receptor antagonists and other therapies that decrease hormonal levels similarly give rise to the same symptoms of hot flash. We believe, and the oral small molecules have also begun to evaluate this further as well, that there is benefit for patients beyond those associated with naturally occurring menopause.
Evan David Seigerman — Managing Director and Head of Healthcare Research, BMO Capital Markets
Great. Thank you.