CAPR Capricor Therapeutics, Inc.

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Capricor Therapeutics, Inc. Q3 F2026 Earnings Call Transcript

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Conference Operator
Operator
Good afternoon, ladies and gentlemen, and welcome to the Capricor Therapeutics 3rd Quarter 2026 Conference Call. If at any time during this call you require immediate assistance, please press star 0 for the operator. This call is being recorded today, Tuesday, November 10, 2026. I would now like to turn the conference over to CFO AJ Bergmann for the forward-looking statement. Please go ahead.
A.J. Bergmann
Chief Financial Officer
Thank you. Good afternoon. Before we begin, I'd like to remind you that any statements made during today's call are not historical and are considered to be forward-looking statements. Actual results may differ materially from those indicated by these statements as a result of various important factors, including those discussed in the risk factors section of our most recent annual report on Form 10-K, our most recent quarterly reports on Form 10-Q, as well as other reports filed with the SEC. Any forward-looking statements represent our views only as of today, November 10th, 2026. A replay of the call will be available on our website following its completion. With that, I'll turn the call over to Linda Marbán, CEO.
Linda Marbán
Chief Executive Officer
Good afternoon, everyone, and thank you for joining us. Let me remind you that as Duchenne muscular dystrophy progresses, boys and young men lose the use of their arms and hands, the ability to feed themselves, use a phone or computer, are handling everyday tasks to keep them independent. The loss of independence is what DARE-MIFL is designed to slow and is the focus of the refined indication now under FDA review. This quarter, we took important steps to strengthen that case, and I will walk you through them today. Our BLA for DARE-MIFL is in the final stages of FDA review. Out of respect for that process, I will keep my comments on our interactions with the agency to what is already public. Today, I will cover four areas, our regulatory status, our data, our commercial and manufacturing readiness, and our dispute with NS Pharma. And then we will close with a brief pipeline update before handing it off to Ajay. First, let me talk about our regulatory status. Following the advisory committee meeting, we held discussions with the agency. FDA then agreed to review additional data and a major amendment to our VLA and extended the PDUFA target action date to November 22, 2026. In August, we submitted that amendment, which included approximately 30,000 pages of documents, reports, tables, listings, and files, and data sets. It included the 24-month open label extension data from HOPE III, along with additional sensitivity and robustness analyses. It also included an integrated summary of efficacy combining HOPE II and HOPE III efficacy data. Taken together, we believe these data support the refined indication, the treatment of upper limb impairment in patients with DMD ages greater than nine years old. The population studied in HOPE III and the focus of its primary endpoint. At this time, all requested information has been submitted to FDA and the review remains ongoing. Now let me turn to our data. I would like to walk you through the full data set in chronological order. The one-year randomized results, the two-year data we provided in the amendments, and what we believe the totality of the evidence tells us. The full HOPE III results published in the Lancet this past July following extensive peer review showed that the trial met its primary efficacy endpoint, a statistically significant slowing of upper limb disease progression as measured by the performance of the upper limb 2.0, a validated measure of shoulder, arm, and hand function with a p-value of 0.029. The trial was designed to detect a difference of approximately one point, a threshold that physicians who treat Duchenne and the FDA have described as clinically meaningful. And that is what we saw. The absolute difference between the DERM-ISL and placebo groups was 1.1 points, a result that was both clinically meaningful and statistically significant. For a boy who can no longer walk, a single point on this scale can mean keeping the ability to feed himself, bring a hand to his mouth, or operate his wheelchair or telephone. Other secondary endpoints measuring upper limb function, such as the mid-level performance of the upper limb and the Duchenne video assessment, told the same story. Hope 3 also evaluated cardiac outcomes. This past weekend, Dr. Jonathan Soslow of Vanderbilt University presented the HOPE III cardiac data at the American Heart Association Scientific Sessions in Chicago. As we announced yesterday, the abstract received the American Heart Association's Outstanding Research Award in Pediatric Cardiology. This is a significant achievement, and to our knowledge, a first for research in DMD cardiomyopathy. As a reminder, and the slides are available on our website. Compared with placebo, Daromyosal slowed the progression of heart muscle scarring as measured by LGE on cardiac MRI. Across all patients, the difference in ejection fraction did not reach statistical significance. However, in patients with existing cardiomyopathy, ejection fraction improved by approximately 2.8 percentage points relative to placebo. of note, patients with pre-existing cardiomyopathy were a pre-specified subgroup in the HOPE III clinical trial. The findings were also supported by a post hoc comparison to the natural history data set collected by the Duchenne Muscular Dystrophy Cardiac Care Consortium and led by Dr. Soslow. Now, let me discuss the open label extension data from year two of our HOPE III clinical trial. In October, We presented the 24-month HOPE III data at the World Muscle Society Congress in Hiroshima, Japan. In the second year, all patients were eligible to be rolled over into an open-label study, and 82 patients received ARMY-SL for a full year, which led us to ask a simple question. What happens when patients on placebo start treatment? In their first year, Patients on placebo lost about two points on the performance of the upper limb, which is consistent with natural history. However, when those same patients started on Daromyosal, their decline in their second year slowed to about half a point, a difference of 1.56 points, comparable to a clinically meaningful change observed in the randomized phase of HOPE III. This also represents a 76% slowing of disease progression from year one on placebo to year two on daromyosal. In other words, disease progression slows substantially once patients initiated daromyosal treatment. Importantly, patients who started on daromyosal in the randomized portion of the trial lost less than one point in year one, and maintained a similarly slow rate of decline in year two, supporting the durability of the treatment effect. We also compared both groups at two years to what natural history would predict for a similar patient population using two well-known data sets. By month 24, both groups had declined less than predicted. 3.4 points against the predicted 5.9 points in the group treated from the start and 3.8 points against 5.4 points in the group that started on placebo. The slide depicting this data is available on our website and the HOPE III OLE presentation from the World Muscle Society. Most importantly, the placebo group had a similar slope of decline to the natural history group until they went on daromyosal. And then the difference was striking. While these open label results are descriptive, they are consistent with our randomized data and support the potential of daromyosal to slow Duchenne muscular dystrophy progression. FDA has increasingly recognized the role of real-world evidence and has recently approved several products where natural history data played an important role in establishing efficacy. That brings me to the full body of evidence and to its strengths because we know the advisory committee left many people with questions. The concern we heard most was fragility, the worry that a result might depend on a few patients or a single analysis choice. So we put our data to the test, and we shared that work with FDA in terms of these robustness analyses. The answer was clear. The size and direction of the benefit held up across the analyses. For instance, the robustness analyses submitted to FDA ran more than 900 different reanalyses using the HOPE III data to answer one question. How fragile were the results? The analyses addressed multiple questions raised by the FDA and the advisory committee, including how missing data is handled, which patients are included, and how progression is defined. If the results were fragile, the benefit would shrink or disappear. However, in the large majority of these analyses, the result was at or near statistical significance with a p-value of p equals or less than 0.05. Across the analyses, the estimated benefit stays centered on about one point on Poll 2.0, a level that is clinically meaningful, and every analysis favored Daromyosal, not one favored placebo. We also included an Integrated Summary of Efficacy, or ISE, in the major amendment, which brings together data from HOPE II and HOPE III. An ISE is generally included in BLA submissions. In the ISE, we analyzed the data from our two placebo-controlled trials, HOPE-2 and HOPE-3, which used the same dosing and the same assessments. With more patients, the picture became clearer. At 12 months, measurement of skeletal muscle function using the same pull measures showed that those patients on placebo lost about two points of upper limb function, while the patients on daromyosome lost less than one. a combined difference of 1.29 points and a p-value of 0.0087. All eight sensitivity analyses pointed the same way. On the cardiac side, the integrated analysis of ejection fraction across both trials favored Daromyosal by about 2.2 percentage points and the direction held across the sensitivity analyses. Put simply, the data tell a consistent story. One year, two years, two randomized trials, and a decade of clinical experience. All points in the same direction. We do not believe that this is a case that rests solely on unmet medical need, secondary endpoints, or regulatory flexibility. HOPE III met its primary efficacy endpoint. The long-term data show the same trajectory. The natural history comparison suggests DERM-ISL slows the progression of the disease. Safety continues to be a core strength of this program. Across three clinical trials, more than 125 patients with DMD have received over 1,300 infusions of Daromyosal. More than 80 patients continue in our open-label extension studies, some for more than five years, and Daromyosal has been generally well-tolerated throughout. Others have reached similar conclusions. The HOPE III results were published in The Lancet. The cardiac data received the American Heart Association's Outstanding Research Award in Pediatric Cardiology. The data were presented at the World Muscle Society. And at the Advisory Committee meeting, 26 speakers in the open public hearing urged that DARE MyFL be made available to people living with DMD. As many of you may have seen, Dr. Craig McDonald and 27 other Duchenne clinicians and researchers, including the HOPE III investigators, sent a letter to FDA, which they have since made public. In it, they explained why they believe FDA should approve DRM-ISL based on the strength of the data, not just the unmet medical needs. Now, let me turn to our commercial readiness and manufacturing. Approximately 15,000 people in the U.S. are living with DMG, and we estimate that roughly two-thirds are ages nine and older. The population our proposed refined indication would address. Most boys lose the ability to walk by their early teens, and from then on, their arms and hands are what keep them independent. If there is no therapy approved specifically to preserve upper limb function. HOPE III was designed for exactly this group. including those who are primarily non-ambulance, patients who have historically been underrepresented in Duchenne clinical trials. We are continuing our commercial readiness activities in a disciplined way, pacing spend as the regulatory timeline evolves. Launch planning is underway across all critical functions including distribution, patient support, market access, medical affairs, and physician education. Payer discussions have begun and we will share more at the appropriate time. In terms of manufacturing, our San Diego GMP facility is up and running and ready to supply an initial launch if Jeremiah Cell is approved. Build out of the second floor of our facility is progressing with validation targeted for the first half of 2027. Once complete, we expect this facility to support 2,000 to 2,500 patients or up to 10,000 doses per year operating at full capacity. giving us room to grow based on demand. Now turning to our dispute with NS Pharma, we continue to pursue our contractual dispute with Nippon Shinyaaku and NS Pharma regarding the Daramaya cell distribution agreement. As we have previously shared, we withdrew our motion for a preliminary injunction without prejudice to resolve the dispute in arbitration following the FDA's decision. And we expect the arbitration hearing to commence in mid-2027. Our position on the underlying dispute has not changed, and we will share more updates on this as they become available. Finally, our pipeline and organization. To keep our resources focused on Jeremiah fell, we have moderated the pace of pipeline work, not directly tied to it until we have further regulatory clarity. As part of that same discipline, we reduced our workforce by approximately 10% in the third quarter to align our organization with our near-term priorities. These were not easy decisions, and we are grateful to the colleagues who contributed to CapiaCorps and have gone in different directions now. Outside the U.S., we have initiated regulatory engagement in Europe and Japan. Evaluating DERM-IFL in younger boys with CMD and Becker muscular dystrophy remain an area of focus, with next steps to be informed by the outcome of the U.S. review. We look forward to sharing more about our longer-term pipeline vision as the DERM-IFL review progresses, and I will now hand it over to AJ to walk through the financials.
A.J. Bergmann
Chief Financial Officer
Thank you, Linda. As of September 30th, 2026, Capricor's cash, cash equivalents, restricted cash, and marketable securities totaled approximately $198.5 million. No shares were sold under our ATM program this year, and there has been no revenue recognized for the third quarter of 2026 or 2025. Turning to operating expenses for the third quarter of 2026 were approximately $44.7 million compared to approximately $26.3 million for the third quarter of 2025. The increase was primarily driven by pre-commercial activities and manufacturing scale-up. Net loss for the third quarter of 2026 was approximately 42.7 million, or 73 cents per share, compared to a net loss of approximately 24.6 million, or 54 cents per share, for the third quarter of 2025. For the nine months ended September 30th, 2026, our net loss was approximately 117.3 million compared to approximately 74.9 million for the same period of 2025. We continue, as Linda mentioned, to pace commercial spending to the regulatory timeline, and our workforce reduction further aligns our cost structure with our priorities. Based on our current operating plan, we believe our existing cash, cash equivalents, and marketable securities are sufficient to fund operations for at least the next 12 months. and with that we'll now open up the line for Q&A.
Conference Operator
Operator
Thank you. Ladies and gentlemen, we will now begin the question and answer session. Should you have a question, please press star followed by the number one on your touchstone phone. You will hear a prompt that your hand has been raised. Should you wish to decline from the polling process, please press star followed by the number two. If you're using a speakerphone, please lift the handset before pressing any keys. One moment please for your first question. Our first question comes from the line of Leland Gershel from Oppenheimer. Please go ahead. Leland Gershel, Oppenheimer, Great.
Leland Gershell
Senior Analyst, Oppenheimer
Thank you very much for the update and taking our questions, and congrats on receiving the AHA award. Just actually a question on the cardiomyopathy data. Wondering, Linda, you know, even though you didn't show significance on the overall population as evaluated for LDEF and the secondary, But did on the cardiomyopathy cell group. Just wondering if from the data that you have to date comprehensively, if you can offer perspective on how long DermISL could delay the onset of clinical cardiomyopathy in patients who don't yet have it, you know, should they begin treatment perhaps before they actually have clinical cardiomyopathy? Thanks.
Linda Marbán
Chief Executive Officer
Yeah, thanks, Melinda. You raised some really important points. I'd like to highlight that in the intent-to-treat population of the HOPE III study, which was not designed specifically to evaluate cardiomyopathy, therefore inclusion-exclusion criteria were not designed around cardiomyopathy, approximately one-third of the patients were healthy or had ejection fractures well within the normal range, and you can't make a healthy heart healthier, so to speak. So, in fact, the fact that we were nearing significance in the full ICT population portended the value of the therapeutic and those with cardiomyopathy. And those with cardiomyopathy, unequivocally, which was two-thirds of the population in the HOPE III study, unequivocally we saw clinical and statistically significant benefit. So, that's very important to note that in the patients with cardiomyopathy, Daromyosal definitely shows a benefit and is similar to the benefit already shown in the HOPE II clinical trial. In terms of your very important question, which is, you know, can we delay the progression of cardiomyopathy long-term and prevent the development of long-term functional consequences? This will require longer-term evaluation in these patients in terms of ejection fraction. What we know from our clinical leaders in cardiology, including John Soslow, who presented the data, that we had a reduction in the amount of scar in the heart. And that was evident from pretty early on. and what we know is that kids get scar pretty young. So if we can get Garamaisel to their hearts early, prevent the development of the scar, it's likely that it will delay the progression of the onset or continuation of the cardiomyopathy. And we look forward to having that opportunity both commercially and clinically to continue that program of understanding the cardiomyopathy associated with Duchenne.
Leland Gershell
Senior Analyst, Oppenheimer
All right. That's very helpful.
A.J. Bergmann
Chief Financial Officer
Thanks. Thanks, Leland.
Conference Operator
Operator
Our next question comes from the line of Ted Dentoff from Piper Sandler. Please go ahead.
Ted Tenthoff
Analyst, Piper Sandler
Great. Thank you so much for taking the questions. And fingers crossed, coming up with the Pidufidate, I really hope the FDA sees the value that everybody recognizes in this drug. I know you went through some details with respect to launch prep on the positive outcome What can you tell us in terms of manufacturing supply now and how that will expand going forward? Thank you.
Linda Marbán
Chief Executive Officer
Yeah, thanks, Ted. Obviously, you know, it's been really one of the important aspects of our clinical development program was to have manufacturing come along behind and development of our GMP facility here in San Diego was critical in that it passed PLI inspection and the first floor clean room is ready to go to be able to meet the needs of 250 patients per year or You know, numbers of doses that are equivalent to that around a thousand doses per year, which is important because remember patients typically get a dose every quarter. So you can actually have a lot more patients that are treated without hitting that year mark. Our second floor facility is pretty much built out. We're going to be finishing clean rooms sort of in sequential order as demand implies. And that facility, as I stated, can meet the needs of about 2,500 patients annually. And so we don't anticipate that supply will be a problem either in early stages of launch or as we continue commercial development. If we are lucky enough to get approval in the U.S., we're poised to continue the expansion of our manufacturing footprint into a new facility in San Diego, which we've already tentatively agreed to occupy and build out should the need prevail.
Ted Tenthoff
Analyst, Piper Sandler
Great. Thank you very much.
A.J. Bergmann
Chief Financial Officer
Good luck. Thank you, Ted. Take good care.
Conference Operator
Operator
Our next question comes from the line of Kristen Pliska from Cantor Fitzgerald. Please go ahead.
Ayaan
Analyst, Cantor Fitzgerald
Hi, this is Ayaan on Kristin's line. Thank you for taking our questions here. With the arbitration hearing expected to begin mid-2027 next year, I'm just wondering how you see this potentially impacting bringing Dara Myersell to market if approved later this month?
Linda Marbán
Chief Executive Officer
So regardless of how the dispute is resolved, we're prepared. Our San Diego facility is operational, as I just mentioned moment. We're building outpatient support, market access, and med affairs. We will share more on our specific commercialization plans following the FDA's decision. Obviously, if it's positive, commercialization will become our key focus and then we'll have updates to the street. We don't anticipate that the arbitration or its continuance or conduction will impact our ability to bring Daromyosal to patients, and that's going to be our goal. We want to take care of those boys and young men with DMT.
Ayaan
Analyst, Cantor Fitzgerald
Sounds good. Thanks for that, Carla Linder. I just want more from us. With the July inspection, which you indicated that you've already submitted a response, I'm just wondering if the FDA could proceed with an approval before formally responding. I'm just wondering your thoughts on this.
Linda Marbán
Chief Executive Officer
Yeah, that's in the hands of FDA. I don't know exactly how they manage it. We have had no further follow-up or questions related to that inspection. We sent in all the requisite documents and they closed out the actual inspection itself. So, in terms of how FDA will manage that information in terms of the timelines of approval is really in the hands of FDA.
Ayaan
Analyst, Cantor Fitzgerald
All right. Thank you, Linda. Oh, if I could just sneak in one more, I'm sorry. If I recall correctly, The FDA previously inspected the San Diego facility in 2025. I'm just wondering if you anticipate any additional inspections ahead of the PDUFA date here?
Linda Marbán
Chief Executive Officer
Well, the PDUCA date is in 12 days, so they better hurry up with their gluten. No, no, no, I'm being a little silly. No, we don't anticipate anymore. I think what we've heard is that they've conducted the inspections that they need to. They have the data that they seem to need, and we haven't heard anything. So, obviously, we'll update the streets should anything become, you know, clear that they need to do anymore. But right now, we're thinking we're done.
Ayaan
Analyst, Cantor Fitzgerald
Sounds good. Thank you, Linda, and we're voting for you.
A.J. Bergmann
Chief Financial Officer
Thank you. Tell Kristen we said hi.
Conference Operator
Operator
Our next question comes from the line of Madison Alsati from B Riley Securities. Please go ahead.
Madison El-Saadi
Analyst, B. Riley Securities
Hey, guys. Thank you for taking our question. One from us. Would you expect any of the cardiomyopathy subgroup data, the LGE results, to appear anywhere in a potential label, even though the focus now is on upper limb, or do you think this really even matters in terms of the potential launch? Maybe manufacturing is the greater constraint on scaling? I appreciate any color there.
Linda Marbán
Chief Executive Officer
Thanks, Madison. Yeah, so we're not disclosing the label information at this point. What I can tell you is I'm very bullish personally and professionally on the cardiomyopathy data and whether it's in the label now or will be a future of label expansion is something that we'll update people on later. But that data is good and the patients definitely deserve it.
A.J. Bergmann
Chief Financial Officer
Understood. Thanks for taking our questions and good luck. Of course, thanks, Madison.
Conference Operator
Operator
Our next question comes from the line of Rick Binkowski from Leidenberg. Please go ahead.
Reni Benjamin
Analyst, Ladenburg Thalmann
Hey, good afternoon, and thanks for taking the question. So the press release mentioned the list of preparations that were being made for the commercial launch, including distribution, patient support, et cetera. And it seemed like it was a pretty comprehensive list for launching a drug solo. So my question is, once we get to the other side of arbitration, what do you see as the role of NS Pharma here? And could any of these responsibilities eventually fall on NS?
Linda Marbán
Chief Executive Officer
Yeah, thanks for the question. Right now, because the dispute is ongoing and The agreement is written by our interpretation. Interpretation of our lawyers is non-transactable. We are going independently in preparation for launch and commercialization of NIRM-ISL without the participation of NS Pharma at this point in any way. Having said that, you know, the arbitration panel obviously has important opportunities to direct how things go. And so in the future, if we work with NS, we will definitely disclose that and talk about that. There's nothing better than being prepared, right?
A.J. Bergmann
Chief Financial Officer
So we'd rather be prepared to go than unprepared. All right. That's it for me. Thank you. Thank you.
Conference Operator
Operator
As a reminder, if you have any questions, please press star 1. Our next question comes from the line of Catherine Novak from Jones. Please go ahead.
Catherine Novack
Analyst, JonesTrading
Hi, afternoon. Thanks for taking my question. I'm just curious, in light of AHA's response to the cardiac data from HOPE III, can you give us a sense of what additional data they saw that maybe FDA didn't have access to when they wrote the briefing documents going to the adcom? You know, what do you think the most notable outcome was from AHA's perspective? and then, you know, how many of the information requests that you got from FDA were related to anything cardiac? Thanks.
Linda Marbán
Chief Executive Officer
Yeah, so thanks for that. You know, in terms of AHA, I think there was a totality of the data that drove them. observation that DMD cardiomyopathy is an important problem and seems to be addressed by Jeremy Eiffel. I think AHA also, and this is all supposition obviously, but just based on my own experience with AHA, thought that the combination of SCAR data, LGE data, Combined with function data was a really, really powerful tool. And so, you know, I think it was sort of all taken together. In terms of the additional data, I think what FDA now has, but was not part of the original review, is the open-label extension data compared to the natural history data, John Soslow's data set, and then all the robustness analyses, which weren't really covered very much by the AHA data, but taken together, you know, it's a much stronger data set showing long-term safety and efficacy. In terms of IRs from FDA, which was the second part of your question, as I mentioned at the beginning, due to the sensitivity of the review process, we're really not disclosing what's communication between Capricorn and FDA at this time.
Bubalan Pachaiyappan
Analyst, Roth Capital Partners
Got it.
A.J. Bergmann
Chief Financial Officer
Well, thanks, Linda. Thank you. Take good care.
Conference Operator
Operator
Our next question comes from the line of Joe Pantinis from HC Wainwright. Please go ahead.
Joseph Pantginis
Managing Director and Senior Biotechnology Analyst, H.C. Wainwright
Hey guys, good afternoon. Thanks for taking the question and all the details today. So first, with regard to NS, what are the terms to potentially part ways here pending arbitration versus being able to just move on to potentially find someone else, number one? And then obviously you made some thoughtful and required pipeline moves here, but are there any outstanding or ongoing ISTs with regard to the exosome programs that we can expect to hear some work or data from.
Linda Marbán
Chief Executive Officer
Yeah, so in terms of NS, you know, we really are focusing now on independent launch and preparation for commercialization. That's going very smoothly, and we stand poised and ready to do an effective launch should we be lucky enough to achieve approval. We're not looking, obviously, for another partner. I think that if we're lucky enough to achieve separation from NS, We'll do it on our own. It's a rare disease and we're perfectly capable at this point in time of doing that and I'm excited to have a good team in place to do so. In terms of exosome pipeline opportunities, You know, we are working diligently in the background, as you know. We've talked about this for a long time. We've de-emphasized the pipeline to conserve cash over time and focus on Jeremiah Cell. We continue to do that, although we have some pretty exciting opportunities coming along in terms of the exosomes. We're successfully able to manufacture them to clinical and commercial scale now. We have GMP manufacturing of exosomes, and we have targeting and loading opportunities that we did not have before. And so I can tell you that we're still excited about them. We think that they are the future of drug delivery in many ways and look forward to sharing that as it moves forward.
Conference Operator
Operator
Great. Thanks, Linda.
A.J. Bergmann
Chief Financial Officer
Thanks, Joe.
Conference Operator
Operator
Our next question comes from the line of Bubalan Pachayapan from Roth Capital Partners. Please go ahead.
Bubalan Pachaiyappan
Analyst, Roth Capital Partners
Hi, thanks for taking your questions. So I wanted to revisit the July outcome, which voted on cardiomyopathy rather than the operative medication you're proposing now. So I'm just curious, you know, whether during your interactions with the FDA, did they indicate that they can reach a decision using their existing vote or whoever they have advisors that are, do you think there is a chance for a second outcome focusing on
Linda Marbán
Chief Executive Officer
Well, they'd have 12 days to organize, conduct, and get adcom together if they stick with the current PDUFA dates. I don't think that's very likely. They use advisory committees in order to give them information or clarity in topics in which they don't feel they have enough information to render a decision. I think they got a lot of information from the adcom. We tend to disagree with many of the ways that the adcom was organized, including the question that was asked, which was probably the worst part of the entire decision process for the advisors and was evidenced by their comments made post-vote. And so, no, I don't think that there'll be another adcom within the next 12 days, but if there is, I suppose we'll be ready.
Bubalan Pachaiyappan
Analyst, Roth Capital Partners
All right, maybe just one more very quickly. Let's just say you receive CRL and then the FDA wants you to do another trial. What would you need to see in the FDA's feedback to justify additional investment, and what would the likely timeline could look like? Thank you.
Linda Marbán
Chief Executive Officer
Yeah, that is a really important question, and it's one that we've been debating internally. If the FDA issues us a CRL, obviously we will very carefully take in the information included in that CRL and what they ask for and then we'll make the decisions prudently based on if we think that there's a way to establish greater efficacy and or safety doing another clinical trial. What I can tell you is we believe that DRM-IFL works to make Duchenne less impactful to these boys and young men in terms of upper limb function. We've seen it year over year and in multiple clinical studies and many independent peer reviewers have seen it as well. So I'm reluctant to say goodbye to DRM-ISL if it would require some simple clinical work that could further support it. Having said that, internally, we are focusing primarily on approval. We believe the FDA has enough data to make a positive decision and look forward to sharing that if and when it comes.
Bubalan Pachaiyappan
Analyst, Roth Capital Partners
Great. Thanks for taking our questions and good luck.
A.J. Bergmann
Chief Financial Officer
Thanks, Gugulan.
Conference Operator
Operator
I will now turn the call over to management for closing remarks.
Linda Marbán
Chief Executive Officer
Thank you so much for joining us today. Since the advisory committee meeting in July, we have submitted the two-year open label data from HOPE III to FDA, presented new results at the World Muscle Society and the American Heart Association. The validation of work by our external review has continued to strengthen our confidence in the data. We recognize the urgent unmet need in Duchenne, but we are not asking for a pass because of it. We have run this program with rigor and transparency, and we believe the evidence stands on its own. We are encouraged by FDA's focus on rare disease, including the agency's recently launched Rare Disease Framework Initiative, which recognizes the challenge of developing therapies for small, heterogeneous patient populations like Duchenne. We appreciate FDA's engagement throughout this review, and we respect this process. To the Duchenne community, the patients, families, clinicians and advocates, thank you, thank you, thank you. We hear you and we are working tirelessly to bring Garamaisel to approval.
A.J. Bergmann
Chief Financial Officer
You may now disconnect.
Conference Operator
Operator
Ladies and gentlemen, this concludes our conference call for today. Thank you for your participation. You may now disconnect. . .