Halozyme Therapeutics, Inc.

Halozyme Therapeutics, Inc.

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Biotechnology

Halozyme Therapeutics, Inc. (HALO) Q4 2011 Earnings Call Transcript

Published at 2012-03-09 00:00:00
Operator
Greetings, and welcome to the Halozyme Therapeutics Fourth Quarter and Year Ended 2011 Financial Results Conference Call. [Operator Instructions] As a reminder, this conference call is being recorded. It is now my pleasure to introduce your host, Anne Erickson, Executive Director of Investor Relations at Halozyme Therapeutics. Thank you, Ms. Erickson, you may begin your conference.
Unknown Executive
Good morning, and welcome to Halozyme's quarterly update conference call. Joining me on the call today are Gregory Frost, President and Chief Executive Officer; and Kurt Gustafson, Chief Financial Officer. This morning, Halozyme released fourth quarter and year ended 2011 financial results. If you've not received this news release or if you'd like to be added to the company's distribution list, please e-mail me aerickson@halozyme.com. The call is also being webcast live over the Internet at www.halozyme.com and a replay will be available on the company's website for the next 14 days. Before we begin, let me remind you that during this conference call, we'll be making forward-looking statements. The Private Securities Litigation Reform Act of 1995 provides a Safe Harbor for forward-looking statements. All statements made during this conference call that are not statements of historical fact constitute forward-looking statements. The matters referred to in forward-looking statements could be affected by the risks and uncertainty of Halozyme's business, both known and unknown. Such risks inherent in the company's business are described in our filings with the Securities and Exchange Commission, as well as in our news releases. The company's actual results may differ materially from those expressed in or indicated by such forward-looking statements. With that, I'd like to turn the call over to Gregory Frost, Halozyme's President and CEO.
Gregory Frost
Thanks, Ann and good morning to everyone. We appreciate you joining us on our fourth quarter and year end call for 2011. This morning, we'll elaborate on the press release issued this -- earlier this morning. In a few minutes, Kurt Gustafson, Halozyme's CFO, will provide additional details on the quarter and year-end underlying financial results and comment on our outlook for 2012. I'll provide an update on the status for key clinical programs, including significant progress made with our wholly-owned programs, as well as the clinical programs from our collaborators. Before I do that, I want to highlight some new information we announced this morning. Roche's submission of a Line Extension Application for subcutaneous formulation of Herceptin to the European Medicines Agency for the treatment of patients with HER2-positive breast cancer. While this finally triggers a $4 million milestone payment to Halozyme from Roche, it most notably marks a major achievement for the overall subcutaneous Herceptin development program and demonstrates significant progress from our long-standing collaboration. This formulation of Herceptin uses Halozyme's Enhanze Technology to enable the subcutaneous injection, just under the skin, of a full intravenous dose medication. If approved, this would result in faster administration times versus IV administrated Herceptin for both patients and their health care providers. Improving the efficiency and convenience of care with this patient population is very important. Roche is also in clinical studies with pre-filled auto-injected device that could potentially allow some women to self-administer at home. With this device, dosing time could take approximately 5 minutes versus anywhere from 30 to 90 minutes for the IV administration. This may offer a significant advance over having to travel to infusion centers for treatment. In October of last year, we announced positive top line results from Roche's Phase III registration trial. The full data set from this trial will be presented by Roche at the European Breast Cancer Conference on March 23 in Vienna, Austria. We look forward to these data being presented. Everyone at Halozyme is committed to making subcutaneous Herceptin available to patients in Europe as soon as possible and we'll work and continue to work closely with Roche and European Medicines Agency towards that goal. While the subcutaneous Herceptin filing certainly got us off on the right foot for 2012, we're certainly just getting started. For those of you that have followed us throughout 2011, you're aware that we placed a good deal of emphasis on the near-term promise of our late-stage partner programs with Baxter and Roche. We have a PDUFA date nearing for subcutaneous immunoglobulin plus rHuPH20 with Baxter. You may have seen at the recent American Academy of Allergy, Asthma & Immunology or AAAAI annual meeting in Orlando that Baxter announced the proposed brand name for this investigational product HyQvia. At the conference, Baxter presented long-term clinical data from a Phase III extension study that continues to show favorable safety and activity for HyQvia. As the 2 regulatory filings from Roche expected this year, I mentioned in the first filing earlier with the subcutaneous formulation of Herceptin, and we anticipate that a Line Extension Application will also be filed in Europe this year for the subcutaneous formulation of MabThera or rituximab. Additionally, we look forward to progressing many of our own innovative programs in 2012. Through our proprietary pipeline that focuses on research with recombinant human enzymes that alter the extracellular Matrix, we're working on a truly unique set of programs in the therapeutic areas with significant market potential such as diabetes, oncology and dermatology. This diversified structure to research and development, one that balances a partnered and proprietary approach across multiple therapeutic areas, will put us on a growth trajectory beyond what we could achieve if we only focused on proprietary or partner programs alone. This mix allows us to expand our reach, balance financial and technical risk and reward sharing and accelerate revenue. We believe this R&D model could result in a true win-win situation for all of our stakeholders. First for patients, it could mean novel medicines, as well as more convenient administration of current therapies. Payers could see reductions in overall healthcare costs. For investors, it has the potential to increase shareholder value. And for Halozyme, it means improved sustainability for future growth. Now I'd like to turn the conversation over to the progress we made in 2011, as well as touch on additional milestones that we look forward to achieving this year. Reflecting on last year and particularly the last quarter, I'm proud of the numerous accomplishments we were able to realize. Let's start with the highlights from our proprietary programs. In December of last year, we launched HYLENEX. This wholly-owned product of Halozyme's is a formulation of recombinant hyaluronidase, does not contain animal-derived ingredients and is FDA approved for the dispersion and absorption of other injected drugs and fluids. This year, our commercial focus is on hospitals and emergency departments for regional anesthesia, drug extravasation most commonly used in the Nikeo and fluid administration or dehydration patients with difficult venous access. We have an appropriate and experienced commercial infrastructure in place to support this relatively small market, and we believe this product will be profitable. Our next program, Ultrafast Insulin, saw tremendous advancement over the last 12 months. We completed and presented results from 5 clinical programs, we continue to demonstrate the need for a faster acting meal-time insulin for people living with type 1 and type 2 diabetes. With nearly 26 million Americans living with this chronic disease and direct medical costs associated with the disease circling $115 billion, the need for improved therapies that can help people better control their diabetes has never been greater. Our Ultrafast Insulin program combines our lead enzyme PH20 with mealtime analog insulins with a goal of developing a best-in-class, rapid acting insulin that surpasses the current standards of care. We're researching this approach for use with multiple daily injection therapies or MDI, where the product is intended for use in conjunction with basal insulin therapy, as well as with continuous subcutaneous insulin infusion or CSII, where both basal and bolus insulin are delivered at the same site through a pump. All 5 of the clinical studies I mentioned demonstrate a faster in, faster out insulin profile, which led to better control of blood glucose levels. In 2 insulin analogue treatment trials, we demonstrated that the ultrafast rHuPH20 insulin analogue formulation achieved non-inferior A1C, a measure of average blood sugar over 3 months compared to the insulin analogue alone. With superior reductions in postprandial glucose excursions in the rHuPH20 analogue arms. Additionally, rHuPH20 insulin analogue use also resulted in a greater than 50% increase in the proportion of patients able to consistently achieve the American Association of Clinical Endocrinologists guideline target for post prandial glucose, both at the 1 and 2 hours after meals in both type 1 and type 2 patients compared to the insulin analogue alone. This faster in, faster out profile allows the insulin to be absorbed faster, achieving a higher post-meal peak that your body needs most and is eliminated more quickly when your body doesn't need it. We believe this PK profile to better glucose control and could be an important step towards helping people to live with diabetes, maintain good health. With regard to CSII, we presented results from an insulin pump study at the Diabetes Technology Society meeting last year. The data indicated that a single pre-administration of 150 units of rHuPH20 prior to the start of 3 days of NovoLog insulin aspart pump infusion therapy led to consistent ultrafast insulin exposure over the infusion set life and superior glucose control following meals. This is important because in previous studies conducted by Halozyme and others, it was observed that insulin absorption from a pump was quite variable over 3 days. It's worn at a single infusion site, providing a means to achieve more consistent insulin absorption over the infusion set life to provide people who use insulin pump therapy with a more predictable way to control their disease and potentially reduce the risk of hypoglycemic events. We are enthusiastic about the potential of this franchise and what it may mean for patients, health care providers and Halozyme. We believe that both MDI and CSII programs have attractive commercial appeal. When we think about our strategic options for this franchise, we continue to view the 2 programs, Ultrafast Insulin for MDI and for CSII, as distinct product opportunities, which do not have channel complex. We have several options for commercializing this franchise that range from partnering the MDI program, a market that will require commercialization by a large pharmaceutical company with global access to primary care physicians to partnering both MDI and CSII programs, to launching HYLENEX for use in pumps on our own. This represents a more focused, predominately U.S. market that does not require a large commercial infrastructure and is a program for which we can continue to add value for patients. We're exploring the optimal pathway for both programs and anticipate it will have determined the best approach by the second half of the year. Now let's switch gears to our internal program on oncology with pegylated rHuPH20 or PEGPH20. On our last call I mentioned that we initiated a Phase II study with PEGPH20 in patients stage 4 previously untreated pancreatic cancer. The study design looks at the Standard of Care gemcitabine plus PEGPH20 or placebo with the primary endpoint being overall survival. We're currently in the Phase I, the running the trial gemcitabine with PEGPH20 and expect to start the multi-center Phase II trial this year with sites in Europe and the U.S. With this program, we're investigating the ability of PEGPH20 to deplete hyaluronic that surrounds many solid tumors. While accumulation of hyaluronidase found in only 20% to 30% of the most prevalent solid tumors, it's found in the majority of pancreatic ductal adenocarcinomas, a target population for this trial. The hyaluronin forms halos that surround the tumor and creates resistance to such therapies. Through our translational Phase I clinical studies, it is our hypothesis that PEGPH20 reduces the metabolic activity of the tumor, completes the hyaluronin and normalizes the blood flow to these tumors. This may increase the effectiveness of chemotherapy. Through additional Phase II trials, we're also very interested in exploring whether the subpopulations of patients with other cancers that accumulate this hyaluronin-rich Matrix can benefit from PEGPH20. To test this hypothesis, we've been developing companion diagnostic tools that allow us to identify patients with tumors that accumulate hyaluronin. We'll have more details on this approach later this year as we continue to develop and validate the diagnostic tools and acquire more knowledge on the hyaluronin expression in certain tumor types. Turning to our last internal development program. We recently presented interim results from a Phase I proof of concept and tolerability study of HTI-501, our investigational conditionally active recombinant human cathepsin. This trial is in chemo patients with moderate to severe fibrosclerotic panniculopathy, more commonly known as cellulite, a condition that affects nearly 90% of women. Cellulite is believed to be caused by collagen fibrils that anchor the epidermis against the swelling of subcutaneous fat and creates a dimpled appearance associated with the condition. HTI-501 is Halozyme's first conditionally active biologic, meaning its only active at the intended location and for which we can control the duration of the enzyme's therapeutic activity. And it's designed to degrade the collagenous fibers associated with cellulite. In the Phase I portion of the trial, no serious or severe adverse events have been reported, and the injection has been well tolerated. These data support commencement of the Phase II portion of the clinical trial, which we expect to begin soon and anticipate its completion by the end of this year. Now I want to quickly touch on one last partnership program, and that's with ViroPharma. In May of last year, we entered into a worldwide exclusive licensing agreement with ViroPharma for Cinryze plus rHuPH20 to treat patients with hereditary angioedema or HAE, a rare debilitating and potentially fatal genetic disease. Throughout the last few months, we've made significant progress with this program. ViroPharma recently presented positive Phase II data at the annual meeting of the American Academy of Allergy, Asthma and Immunology in Orlando. These data demonstrated that subcutaneous coadministration of Cinryze with rHuPH20 is well tolerated and resulted in sustained physiologically relevant C-1 inhibitor functional concentrations. We're pleased with the results of this trial, and ViroPharma reiterated on their most recent earnings call that these data warrant further clinical development of the program. We anticipate working with our partner to initiate a Phase II dose ranging study this year. Now that we've discussed major milestones from last year and highlighted key milestones for 2012, let's talk about the strategic direction of the company over the coming year. 2011 was an exceptional in terms of execution and laid the groundwork for a transformative 2012. With a PDUFA date nearing, a marketing application filed and another filing anticipated this year, we have true near-term upside, balanced by an innovative pipeline that's evenly distributed across all stages of research and development that will enable sustainable growth for years to come. To continue that momentum, our business is focused around 4 strategic drivers that will ensure that we continually work on the highest value opportunities for the business. Our path is clear. First, we'll continue to secure revenue from existing channels, a regular stream of milestone and royalty payments from our established partnerships and revenue from our wholly-owned product, HYLENEX, will provide a constant source of cash. Second, we'll continue to pursue additional high-value partnerships by leveraging our validated technology to penetrate new markets. At the same time, we'll advance our proprietary pipeline investing in and progressing development programs that leverage our expertise in extracellular Matrix science and position the company for organic growth by commercializing assets where we can continue to add value. Lastly, all of these activities along with strong financial discipline will allow us to drive towards positive cash flow by 2013. With that, I'll turn the call over to Kurt Gustafson who can provide more detail on our financial results released earlier this morning.
Kurt Gustafson
Thanks, Greg, and good morning to everyone. This morning, we announced our financial results for the fourth quarter and the year ended December 31, 2011. The net loss for the fourth quarter of 2011 was $18.4 million or $0.18 per share compared with a net loss for the fourth quarter of 2010 of $16.9 million or $0.17 per share. For the year ended December 31, we reported a net loss of $19.8 million or $0.19 per share compared to a net loss of $53.2 million or $0.56 per share for 2010. Revenue for the fourth quarter of 2011 was $2.4 million compared to $3.6 million for the fourth quarter of 2010. Research and development expenses for the fourth quarter of 2011 were $14.9 million compared with $15.9 million for the fourth quarter of 2010. The decrease is primarily due to decreases in clinical trial activities and partially offset by an increase in manufacturing activities. SG&A expenses for the fourth quarter of 2011 were $5.9 million compared with $4.6 million for the fourth quarter of 2010. The increase is primarily from higher marketing and market research expenses during the quarter. We ended the fourth quarter with a cash balance of $53 million, and our net cash burn for the fourth quarter of 2011 was approximately $13.5 million and for the full year of 2011 was $30 million. So let me switch gears now to our financial guidance for 2012. If we exclude the recent financing, approximately $82 million, we are forecasting that our net cash burn for 2012 will be between $50 million and $55 million. And if you go back to 2011 and exclude the business development deals that we signed in 2011, this net cash burn guidance is in line with what we originally provided to start the year back in 2011. As for operating expense, we expect our operating expense to grow at a mid-teens growth rate relative to the $76 million we spent in 2011. So I'd also like to provide some additional points of clarification. First, as we always have done, our net cash burn includes milestones that we feel have a high probability of occurring. But we do not include any new business development in our guidance. The other point I'd like to make is that we have major increases in the amount of manufacturing-related work that we'll be doing in 2012. We expect to spend approximately $25 million in 2012 building commercial inventory and other manufacturing-related activities. The inventory is for our partners, as well as for our own proprietary compounds. Second, I'd like to spend a little time talking about how we intend to recognize revenue. For HYLENEX, we will recognize sales when we see HYLENEX pull through to the change in the end users. We will not record sales made to wholesalers or rather wait until we see the wholesalers actually sell the product through to the hospitals or other end users. And for our partners for royalty income, we're going to be recording that royalty income on a one-quarter delay. So, for example, if Baxter were to have launched in the first quarter and had sales of HyQvia in the first quarter, we wouldn't record that royalty income from these sales until the second quarter. And as a reminder, this is consistent with when the cash will actually be paid to Halozyme. So with that, I'll turn the call back over to Greg, who can provide some parting thoughts.
Gregory Frost
Thanks, Kurt. Before the close of our prepared remarks, I want to take a moment to acknowledge and thank the employees of Halozyme whose hard work and dedication enabled the numerous accomplishments of 2011. We delivered on some several significant milestones that position us for even greater achievement this year, will help us build long term shareholder value and will enable us to advance patient care through truly innovative therapies. And I'll now ask the operator to open up the lines for questions.
Operator
[Operator Instructions] Our first question is coming from the line of Ying Huang with Barclays Capital.
Ying Huang
My first question is first of all, should we expect any near-term news on the partnership? And then secondly, we know that in the pump use for insulin, sometimes they do -- the end users tend to work upon 1 or 3 days. I was wondering if you have any plans to conduct a trial in this setting for more than 3 days.
Gregory Frost
First with regards to partnership question, obviously, we're always actively involved discussions with folks regarding partnerships, but we don't typically go through and talk about them usually until the 8-K is filed. So that's typically the way we look at that. As far as pump use is concerned, obviously, there is from a used most of the applications where people have these are essentially registered and tested for use for changing infusion sites every 3 to 3.5 days. And so that's not something we have the ability to go through and change as far as changing the entire system of what they're approved for beyond that period of time. There are some -- most of the studies that we've looked try to go through and ensure that we're covering that duration of currently approved use, however.
Operator
Our next question is coming from Eun Yang with Jefferies & Company.
Eun Yang
When did exactly the Roche filed this Line Extension Application for subcutaneous Herceptin?
Kurt Gustafson
Eun, it's Kurt, and the actual date they filed was on March 2.
Eun Yang
So you're going to be booking $4 million in the first quarter?
Kurt Gustafson
Yes, from a revenue standpoint, we would book the revenue in the first quarter.
Eun Yang
Okay. And then, Kurt, in your $50 million to $55 million cash burn guidance for this year, what's your assumption for stock option expenses?
Kurt Gustafson
For stock option expenses?
Eun Yang
Yes.
Kurt Gustafson
That number is going to be fairly similar to what it has been in past year. So I think if you go take a look at, I mean, we don't have a major growth in the number of employees. So I think assuming that it's fairly similar to previous years would be a good starting point.
Eun Yang
So what was the previous year, is it in the...
Kurt Gustafson
I think you look about historically, we're in the 5, 6 sort of range.
Operator
Our next question is coming from the line of Jason Butler with JMP Securities.
Jason Butler
Looking forward to the Herceptin data presentation later this month. Could you maybe walk us through, obviously, the data is positive, Roche have confidence and that they filed off that. What are the key points that you would be focusing on in that data set, and what should we be looking for maybe we're not necessarily expecting?
Gregory Frost
Well, Jason, obviously, as far as detail these presentations are, as you know, are embargoed until presentation. But what I always would go through and direct folks to first and foremost are the primary endpoints of this study. And those are really 2, which co-primaries, one whose focus is upon the exposure of the product relative to the intravenous administration. This was an innovative approach taken by Roche obviously, going to a fixed dose of trastuzumab for all patients versus a variable dose. And the second component, which is the co-primary's the pathologic complete response rate or the percentage of patients experiencing a histologic complete response to therapy. So those are the 2 key components I think that would be most valuable for people to think about this particular program. And, of course, that data sets going to be on the 23rd in Vienna.
Jason Butler
Okay. Great. And then second, I just wanted to come back to your comment about achieving a cash flow positive state in 2013. I assume you don't mean for the full year of 2013 you would be cash flow positive, but could you maybe walk us through, obviously that's growing revenue and new royalty streams, but how do you think about expenses and just broadly strategically, how you get to that state?
Gregory Frost
I'll let Kurt answer that one.
Kurt Gustafson
Yes, Jason. I think that, obviously, as we look forward to Baxter launching and hitting the timeline they've articulated later this year and as we move into 2013, Roche has articulated that they'd be filing Herceptin this year, which we now have seen and that later in the year. Those are assumptions that we'll see product launches for those in 2013. And as we see from the revenues associated with those programs, along with certain milestones, those will drive -- that's what drives us to the cash flow positivity I guess, if that's a word. It's not a function of us really bringing down our expenses, if you will, in 2013. So assuming success of our clinical programs, we're going to continue to spend on these, and so the primary driver here, which kind of dwarfs anything we're going to do on the OpEx side is really that revenue growth.
Operator
The next question is coming from the line of David Moskowitz with Roth Capital Partners.
David Moskowitz
So just have a few questions. One, could you give us a little bit about the market opportunity you guys see for HYLENEX? I think, Greg, in your comments you mentioned a relatively small market. We kind of had an idea what Baxter thought when they have the product. So from you guys in terms of what you think that product could do and also would there be a potential to out license the product? I also want to ask another question with regard to inventory build that you talked about and your cash guidance. Is it possible, Kurt, for you to tease out the inventory build out of your cash guidance? I'd love to hear it with respect to just partnership inventory build. But if you could at least tell us what that cash number is for overall inventory build that would be great?
Gregory Frost
Sure, David. Well, I'll let Kurt handle the questions regarding inventory build, but with regards to HYLENEX first and foremost, the application that we're looking at there's really the first wave of this, which is something that actually Baxter hasn't really looked at, and it's a very simple component in mainly the hospital and ambulatory surgical care market, is simply the use of the enzyme specifically in areas for drug extravasation and filtration and for periocular use. Those 2 applications are relatively small market, but that was really one of the key things that drove these enzymes through the drug shortage list initially, and so it's an important application, but it's a relatively straightforward conversion. And so for that particular application, it's quite small. From that perspective, it's less than $20 million. So we don't typically focus on that as far as what the impact would be to top line revenue. But effectively, it's something where we have an infrastructure in place that we feel comfortable that we'll be profitable. Second, with regards to the use in hydration, this is a use where obviously, there is existing hospitals around formulary where we're going through and introducing that and from the standpoint of that particular use, we'll be doing a tempered analysis of that based upon our introduction into the hospitals and ASEs, specifically for the established uses. So effectively, the way that we look at that first piece is the first piece we feel very comfortable about our ability to go through and be profitable from that, and the second piece on the creation market, if you will, that's something where we're spending the time to look at it. And so we'll go through, and we'll give more updates as we see the progress in those secondary tiers.
David Moskowitz
I heard a $20 million opportunity. Is that what I heard?
Gregory Frost
It's less than a $20 million opportunity if you look at the total application. So it's less than I think 600,000 to 800,000 doses or so that are used annually.
Kurt Gustafson
So, David, on the inventory side, I'm not going to provide any sort of specific breakouts between partnership and what we're building for our own use. But if you kind of think about the message that Greg just gave you, you could imagine that a very significant portion of this is for the partnership given the forecast that we I guess, are not providing for HYLENEX. But I think the other thing that I'd want to just be clear, just so you're kind of following our financial statements and taking a look at building your models out from a standpoint of the accounting treatment on inventory, pre-approval. So anything that we're making for Baxter and for Roche, the material that they have ordered, we will be expensing that as R&D expense up until the point at which that product is approved. It doesn't mean it's not going to be used for commercial purposes. Just from an accounting standpoint, it's going to run through the P&L as an R&D expense and then post-approval, you'll actually show it out, see it come up on the balance sheet as inventory. So I just don't want kind of taking look at first in quarter balance sheet that we'll have and say wow, there's no inventory. There is inventory there. It just was expenses opposed to put on the balance sheet from an accounting standpoint. Does that makes sense?
David Moskowitz
Absolutely. I'm just trying to the cost guidance, 15% increases, I think a little bit more than we were expecting. So I'm just trying to understand out of that percentage increase, how much of that is inventory build overall?
Kurt Gustafson
Yes. So and if you read into then what guidance I just provided you, a significant portion of the inventory that we'll be building obviously is going to be -- going through R&D expense, and so part of that expense figure as opposed to just cash flow that's in the balance sheet.
David Moskowitz
So can you tell us what R&D might look like with and without the inventory? And I'm just trying to understand how much of that factors into the overall increase in cash burn above what one might be -- might have been expecting.
Kurt Gustafson
Yes, I can't provide that, David.
David Moskowitz
Okay, and then just one last question for Greg. Greg, in your prepared comments, I heard you talk about the second half of the year, and I believe you talked about recapping on where you stand with the PH20 insulin asset or franchise. Does that mean that's when we might expect resolution partnership? I mean, it sounds to me like it means there's nothing on the table that's imminent at this point.
Gregory Frost
I wouldn't read anything into that from that nature kind of in light of my first comment, but what I would say is there's 2 pieces here in the equation as far as CSII and MDI. And so from the CSII or pump opportunity that we're looking at we're focusing #1, evaluating and sizing of that market and essentially what that ROI might look like to us. And so we're doing that in parallel with partnership discussions such that we'll be in a position of knowing essentially the value of this asset to someone else versus in our hands versus the combination or separating the 2. And so those really, as far as putting all those together, I think we're running those in parallel. We like what we're seeing so far from the standpoint on the pump side, but we're not done. And from the discussion standpoint, we've run those alongside, and so that we can put all this together and make a decision. So this has been a big investment for what we've done as far as the overall insulin franchise, and we're thinking about this methodically.
Operator
Our next question is coming from the line of Chris Holterhoff with Oppenheimer & Co.
Christopher Holterhoff
Just on HyQvia, could you comment on whether or not you received a payment from Baxter upon the potential approval? I know that I think, under the terms of the agreements, Baxter's obligated to pay up to an additional $37 million or so. But does not -- not sure if any of these are going to be approved or not.
Kurt Gustafson
Yes. So the next milestone for the contract is on first commercial sale. So not specifically approval it's when they actually launch the product. I think just to clarify the number I believe there's actually only $34 million left of milestones from Baxter.
Christopher Holterhoff
Okay. Great and then also on HyQvia, can you just comment kind of on your expectation for when Baxter might launch or you do get approval at the end of April?
Gregory Frost
I think Baxter's going through from the perspective and has articulated some of the things on their strategy. I would kind of guide you back to take a look at what their statements on that.
Christopher Holterhoff
Okay, fair enough. And then last on the accounting treatment for this $4 million milestone payment from Roche in the first quarter, are you likely to recognize that all in the first quarter or could this be kind of spread out over the year?
Kurt Gustafson
For milestone payments so we recognize those during the period in which we achieve them. Q1 even.
Operator
[Operator Instructions] We do have a follow-up question coming from the line of Eun Yang with Jefferies & Company.
Eun Yang
Kurt, you might have mentioned this about the product sales in the fourth quarter, any part of it is coming from HYLENEX?
Kurt Gustafson
There was some sales from HYLENEX in Q4. I mean, we launched this in December. So you can imagine it's not a big number because of the way that we were booking it since we're not booking it based on wholesaler, you didn't get kind of that first bolus based on a wholesaler loading.
Eun Yang
Okay, and then now that Roche have filed a subcutaneous Herceptin and they expected to file for subcu formulation by the end of this year, do you know -- is there any color you can give us when Roche might be moving a third product into late-stage clinical development?
Gregory Frost
No. Well, as you know, Eun, there's kind of 2 different pieces here. One is the way that this relationship is set up there are. Both target specifically for which we have provided exclusivity to Roche on. So, for example, Herceptin covers the HER2 target, and so they have rights to that target with any therapeutic antibody, for example, hitting that target same thing holds true with CD 20 as a target as well. But we received, as far as millstones and things of that nature, only for the first set. So from that perspective, if a follow-on or adjunct were used in the setting of that nature, you'd not hear about it until it became material for Roche. So wouldn't expect anything there. And as far as the new targets and other processes are concerned, that's one that I'd go through and look to Roche for providing additional guidance on.
Operator
The next question is coming from the line of Jonathan Aschoff of Brean Murray, Carret.
Jonathan Aschoff
I was wondering, any reason that you can give us as to why Baxter is so cautious when they talk about the launch pace of HyQ? And certainly a peer of Baxter didn't exactly have a slow launch of their subcu, and I'm just wondering can you help us understand why when they talk about it, they're quite conservative, very, very, very conservative about the pace of that launch.
Gregory Frost
I'll let Kurt comment on that one.
Kurt Gustafson
Yes, I've seen the same stuff out there, Jonathan, and I think Parkinson's been out there making a few comments about the same things like a controlled launch, but I think, at least based on what I've seen, is that they have a situation from a supply standpoint where they took down a fractionation facility, and they're trying to bring that volume back up. And they want to make sure that they're -- I think they're excited about the subcu product and they want to make sure they're not in a situation where if they went out to aggressively that they don't run out of products. I think that they have limited supplies of IgG, and they just want to make sure that they build this thing out in a profitable way. That's the way I read his comments.
Gregory Frost
The only addition I could make to that is as far as the infrastructure I think that seen in place bioscience HyQ. I've been very pleased as far as the planning and it's been put from a marketing perspective on their side. I think this has been very well planned out as far as market introductions concerned, and I'm certainly happy with it.
Jonathan Aschoff
Okay, one final one. So what was the time you gave earlier for the next cellulite data set?
Gregory Frost
Yes. So the first stage of that we gave just top line data was reported because it was at an International World Congress for plastics. And so effectively, as you know, there's kind of both 2 concentrations of activator, if you will, and then there's an escalation of concentration of enzyme. And so we expect to have that trial wrapped up this year and so effectively as it blows out into a 5-field injection, one site is placebo-controlled and one site with 5 injections of activator and then monitoring on that. We'll have the primary reads going through obviously quite quickly on this, but then we will be catching a little bit a follow-up as well. So we'll have that data wrapped up this year.
Operator
Our next question is coming from the line of John Sonnier with William Blair & Company.
John Sonnier
Maybe a question for Greg. You mentioned and I agree you guys have invested a substantial amount of capital over the last few years in the diabetes program, and I feel like this is kind of when the rubber meets the road. You have data basically, a Phase III ready data package. You have a great balance sheet now. I guess, I haven't heard you guys comment in awhile on what exactly you'd expect like structurally what type of transaction do we look for? Historically, I think it was not going to be a clinical Roche-like deal, but what are reasonable expectations for the -- for partnering the diabetes program?
Gregory Frost
Well, John, I've always gone through when you look at the different potential partners that are out there, I look at them both from the standpoint of what the value is that we provide from the perspective of the product opportunity and what it can mean for them. And as far as looking at this on the basis of when you look at commercializing such an asset. In some cases, you're looking on the basis of what's the value of the asset itself in a particular partner's hands. And in some cases, that value can be different based upon the established infrastructure that particular group has, based upon their current experience. So I try and look at this on the perspective of saying I think that the value is very big. I don't go on the basis of what do we see the NPD because it actually does vary based upon in whose hands they have that. But needless to say, I think we've been very thoughtful of how we've modeled this out, and I think the value that we can provide on this is something we could get a better look at when they see the data at ADA.
Operator
[Operator Instructions] Dr. Frost, there are no further questions at that time. I'll turn the floor back over to you for closing comments.
Gregory Frost
This concludes today's conference call. Thanks for joining us. You can disconnect your lines at this time.