Field Trip Health Ltd
TSX:FTRP

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Field Trip Health Ltd
TSX:FTRP
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Price: 2.9 CAD 1.75% Market Closed
Updated: May 18, 2024

Earnings Call Transcript

Earnings Call Transcript
2022-Q3

from 0
Operator

Greetings and welcome to Field Trip Fiscal Third Quarter 2022 Earnings Results Conference Call. [Operator Instructions] As a reminder, this conference is being recorded.I'd now like to turn the conference over to your host, Kathleen Heaney of KCSA. Please go ahead.

K
Kathleen Heaney

Thank you. Good morning, everyone and welcome to Field Trip Fiscal Third Quarter 2022 Financial Results Conference Call. Before we begin the call, I'm obligated to remind everyone that during the course of this conference call, management may be making some forward-looking statements that are based on current expectations and are subject to a number of risks and uncertainties that may cause actual results to differ materially from expectation. These results are outlined in the Risk Factor section of the filings and our disclosure material.Any forward-looking statements should be considered in light of these factors. Please also note a safe harbor, any outlook we present is as of today and management does not undertake any obligation to revise any forward-looking statements in the future. Presenting today will be Joseph del Moral, Co-founder and Chief Executive Officer; Ronan Levy, Co-Founder and Executive Chairman and Donna Wong, Chief Financial Officer. I will now turn the call over to Joseph to provide an update on Field Trip in particular, the Discovery business.

J
Joseph del Moral
Co

Thank you, Kathleen, and welcome to everyone joining us this morning. Field Trip has continued to build its innovative drug research and development programs, as well as deliver high-quality patient services through its best-in-class clinic network. We are proud of the progress our team has made in developing Field Trip into a leading psychedelic-assisted psychotherapy provider and highly recognized brand at the forefront of the psychedelic medicine movement, as we further our mission to deliver innovative treatments for patients in need.We are also particularly pleased to see strong growth in patient revenues in the third fiscal quarter of 2022. The strategic review of our corporate structure that we announced on the last earnings call is still under way. As a reminder, we commenced this review to ensure that each operating unit is bet positioned, optimally resourced and focused to provide maximum long-term value to all stakeholders. We will provide further updates as appropriate.Moving on to Field Trip Discovery, our drug development business. During the quarter, Field Trip discovery progressed on the development of our lead novel psychedelic compound FT-104. This work is advancing us closer to the development of FT-104 as a more convenient, consistent and practical psychedelic treatment than is expected to be available through psilocybin and MDMA should they be approved. FT-104 has the potential to change the lives of those suffering from postpartum depression and treatment-resistant depression. FT-104 is a pro-drug of 4-HO-DiPT, a psychedelic substance identified by Alexander Shulgin as a fast-acting intent psychedelic, providing a subjective experience similar to psilocybin.FT-104 has improved drug absorption, more reproducible pharmacokinetic profiles and improved bioavailability relative to 4-HO-DiPT, making it potentially a superior drug candidate. During the quarter, the company expanded consideration for the Phase I trial sites to include Australia in addition to the Netherlands, to mitigate against possible delays related to regional differences and reactions to the latest COVID surge.As of January, the company finalized agreements with interested parties in Australia to pursue Phase I studies and site selection is nearly finalized. The company has received the results of its animal studies, which continue to be reviewed and tabulated. One additional preclinical study remains to be completed and the company expects initiation of Phase I to commence on the time lines previously disclosed. We are currently targeting ethic submission before the end of the current calendar quarter. We will keep you apprised of our advancement into Phase I.In early January, we received a Notice of Allowance for our patent application for claims related to FT-104 and formerly known as Isoprocin Glutarate. We continue to anticipate that the patent will be issued in Q2. On a separate note, we also progressed our early-phase research toward identifying a lead candidate in the FT-200 group. This group has provided potential candidates, which are strong 5HT2A agonist with improved selectivity relative to the serotonin 2B anti-target.Reducing off-target serotonin 2B receptor activity reduces the risk of cardiovascular toxicity and so allowing for potentially safer medications that would have greater flexibility of dosing, such as aligning frequent or chronic dosing, including micro-dosing administration. We are initiating in vivo behavioral screening tests to determine the activity of these compounds in rodent models of depression. During the quarter, we also filed our first provisional patent application related to the FT-200 group to protect new chemical competitions, potential formulations and uses. This is a very exciting time for Field Trip as we continue to lead the way in developing the next generation of psychedelic treatments.I will now hand the call over to Ronan to provide an update on the clinics business.

R
Ronan Levy
Co

Thank you, Joseph, and welcome, everyone. In less than 2 years, we have grown Field Trip into a leading operator of psychedelic treatment centers with a well-recognized brand at the forefront of the psychedelic medicine use of movement. We pride ourselves on delivering innovative and effective treatments to patients that are [ filter ] call centers with their program showing success as reflected in patient testimonials and clinic data.Importantly, we continue to get better and more efficient as we take the learnings from the past 18 months, when we began opening clinics and apply them to all of our locations. We've been focused on improving the patient experience, while driving process improvements within our clinical operations. For example, we recently launched an innovative team treatment model, which has increased patient capacity within the clinics.We also launched a new digital screening tool to facilitate booking which has decreased call center cost and improved conversion rates through some of our channels. We are continuing to refine our service offerings, while driving operational excellence measures within our clinic network. And combined with our effective marketing activities, these measures have resulted in tracking new patients and driving revenue growth. To that end, we are pleased to report that the third quarter patient services revenues were up 50% sequentially and more than 300% over the comparative period in the prior year.Vicki Reed, who joined us as Chief Growth Officer during the quarter has also been instrumental in driving the improvements in the clinics business. In addition, we invested in our digital platform portal to allow Field Trip Health to communicate more efficiently with patients, collect data more easily and make our processes more efficient. We anticipate that additional features will be released in the next quarter to allow for improved patient experience and additional client engagement through portal.On the clinic front, we opened our Seattle location during the quarter. We also opened a clinic in Fredericton, New Brunswick and most recently in Vancouver, British Columbia. Having best-in-class clinics has enabled us to look for additional ways to utilize them. To that end, we launched our site management organization or SMO services in December. The new offering enables companies and researchers developing psychedelic therapies to use our facilities and expertly trained medical and therapy teams to conduct clinical trials.The SMO services are led by Stephan Cote, who is our new Head of Quality. While still in the early stages, we are excited about this new opportunity. We're also always trying to better serve our patients. You may be aware, Health Canada recently amended its special access program, the SAP to enable access to psilocybin and MGMA through the SAP and we're pleased to announce that we assisted one of our patients to submit one of the first applications in Canada to the SAP.The SAP provides physicians treating patients suffering serious or life-threatening conditions, with the ability to request access to drugs that have not been approved for sale in Canada, when conventional therapies have failed or unsuitable or are unavailable. As the largest provider of psychedelic-assisted therapies in Canada, we are uniquely positioned to help Canadians access the SAP for psilocybin and MDMA.The clinics are an important vehicle for us in which we are able to build brand awareness, increase our market share and continue to earn patient services revenue. In that respect, we are extremely pleased to report that according to Meltwater, Field Trip alone has 58% of the Share Of Voice in the psychedelic industry in the US, Share Of Voice is a metric that assesses brand awareness relative to all competitors and as a gauge of brand visibility. To conclude, I want to reiterate that we are very focused on creating value for our shareholders, patients and employees.I will now turn the call over to Donna Wong, CFO, to discuss our financial results.

D
Donna K. Wong
Chief Financial Officer

Thank you, Ronan, and good morning, everyone. As a reminder, all figures that I will be discussing are in Canadian dollars and the third fiscal quarter of 2022 corresponds to the 3 month period ended December 31st, 2021. During the quarter, we earned patient services revenue of CAD 1.4 million from our clinics, an increase of CAD 1 million or 330% over the comparative quarter in the prior year.The San Diego clinic began generating revenues in December 2021. By contrast, third fiscal quarter 2021 patient services revenues were generated from 3 clinics. We are pleased with the 50% sequential increase in revenues. This was due in part to the 3 additional clinics as compared to the prior quarter, as well as the steps the company has taken to further improve and drive business growth, as Ronan has previously mentioned.For the 9-month period, revenue was CAD 3.1 million, an increase of CAD 2.7 million over the same period of the prior fiscal year. This reflects a significant increase in the number of clinics we had operating, 10 in the most recent quarter compared to 3 in the same period of the prior year. We expect to scale our revenue as the number of patients treated at our clinics continue to grow.Moving on now to a discussion of costs. Total operating costs in the quarter were CAD 15.6 million, up from CAD 5.9 million in the same period of the prior year and reflects our continued investments in growing and scaling our drug discovery business and clinics. General and administration expenses of CAD 9.1 million are our largest operating expenditures and were up from CAD 3 million in the same quarter of the prior year. The increase was primarily due to increased operating cost reflecting the larger number of clinics opened in the quarter as compared to the prior year, as well as those under construction and an increase in public company-related expenses.G&A costs also included non-cash items comprised of share-based payments of CAD 2.1 million and depreciation and amortization of CAD 1 million. Other operating costs include patient services expenses of CAD 2.5 million, research and development expenses of CAD 1.4 million and sales and marketing expenses of CAD 1.1 million.Our R&D costs increased 44% over the prior year primarily due to ramping up of development costs as we work to further progress our activities related to FT-104 and our FT-200 pipeline, as you just heard from Joseph. Our marketing costs nearly doubled from the prior year as we increased paid social, search and public relations expenditures to build patient interest in our brand. This had the desired result as we saw steady growth in client acquisitions and patient services and validates the steps we have undertaken to improve the business and drive efficiencies.Net loss for the quarter of CAD 14.9 million was primarily due to total operating cost of CAD 15.6 million, which I just discussed, as well as a foreign exchange loss of CAD 0.5 million. This compares with a net loss of CAD 8.3 million in the same quarter of the prior year. The increase from the prior year primarily reflects the company's focus on growing the business and continued investment in our drug development pipeline and clinic infrastructure, as well as our digital tools.Turning next to the balance sheet. Field Trip remains well capitalized. As at December 31st, 2021, we had unrestricted cash and cash equivalents, funds held in trust and short-term investments totaling $74.5 million. Our solid financial position enables us to continue executing upon our key strategic priorities and furthering our mission to bring innovative psychedelic-based treatments to patient in needs. This ends the portion of our prepared remarks.I'll now ask the operator to open the lines for the Q&A session.

Operator

[Operator Instructions] We have our first question from the line of Andrew Partheniou with Stifel.

A
Andrew Partheniou
Analyst

Could you provide any kind of update, if possible, on the strategic review, where are you in the process? And are you considering have you moved forward on any considerations?

J
Joseph del Moral
Co

Yes, we're pleased with the way the process is going. We're in the middle of the strategic review right now. We're considering a number of different options in that strategic review as we've mentioned. We don't have any sort of further updates that we can share right now, but we will update when we have those.

A
Andrew Partheniou
Analyst

All right. Maybe discussing on the FT-104 patent. You mentioned the prior art claim, could you discuss a little bit of the background on that? What consequences if any this may have, what options you have going forward? And what makes you confident that you'll still be granted the composition of matter patent in Q2?

J
Joseph del Moral
Co

Thanks, Andrew, for that. I will hand it over to Nathan Bryson.

N
Nathan Bryson
Chief Scientific Officer

Right now, I think we'd like to keep that in-house, it's with our legal counsel, who is handling the issue. And I think we'll get -- we'll get back to you fairly soon on that. We don't expect this to hinder the granting process and we fully expect it to be granted before Q2 '22.

A
Andrew Partheniou
Analyst

Okay. I'll get back in the queue.

Operator

We have next question from the line of Patrick Trucchio with H.C. Wainwright.

P
Patrick Ralph Trucchio

I have a couple of follow-up questions on FT-104. I guess the first is just can you tell us what additional studies such as neurotox, cardiotox or additional potential -- additional potential studies could be necessary for FT-104 and if these studies could be needed as part of an IND filing for a Phase II program?

J
Joseph del Moral
Co

Sure. We actually did neurotox and cardiotox as part of our package now and I'd say everything looks satisfactory for us to go forward. And in most respects -- in all respects the clinical -- preclinical work that we've done so far is setting us up very well to start in our Phase I. We've achieved an AO oleic and AOEL and like lowest non-adverse event dose. And so I think we're poised to go. We will have additional nonclinical studies as we go pass Phase I, as we start looking at specific indications.You can easily see that if we're going to develop in PPD, we'll have to look at developmental and reproductive talks and things of that nature. Those are the kind of things we'll have to look at as we go forward, but they are not needed right now for Phase I with a single dose.

P
Patrick Ralph Trucchio

Yes, that's helpful. And then can you tell us your latest thoughts on potential Phase II trial design for TRD and/or PPD? And in addition, should we expect those studies could enroll simultaneously? Or would one program such as TRD be prioritized? And if all goes to plan with your Phase I trial, when would be the earliest you'd anticipate starting Phase II program?

R
Ronan Levy
Co

Honestly, I think some of those questions are a little premature for us. We are stepping back, I mean, we're finishing up getting ready for the Phase I. So really, we're focused on that 100% right now. I'd say as soon as that's up and running, we'll set back and we'll be working on those designs and I think we could share a little bit more information with you then. I can't say to which indication we develop first, I think that is still something that's in discussion. And if we take the data to the FDA, that may also help clarify some of that. We're looking at it going to do a pre-IND as the Phase I is headed forward and I think that will give us the information and we'll have to make those selections and help make those designs more efficient and tailored to what the agency is looking.

Operator

We have next question from the line of Sepehr Manochehry with Eight Capital.

S
Sepehr Manochehry
Research Analyst

It was great to hear you guys mention that you've already gone an applicant through the SAP program, which seems like a transformative change for the space. So I'd love to gain some color on the workflow process there, is that translated to incoming interest? Or have you been more so mining your own data to assess patients that may qualify?

J
Joseph del Moral
Co

Hi, Sep, thank you for the question. It's -- we definitely have received a significant amount of inbound interest, I don't have the numbers off hand from patients seeking treatment with psilocybin and MDMA. As you know, we currently provide psilocybin-assisted psychotherapy at our clinic in the Netherlands. So we have the protocols, we have well-trained therapists. We have the processes in place to be able to provide that sort of therapy.So I think we are well positioned to help patients with these types of therapies in Canada, as well as it becomes hopefully more available. So it's early stages yet, but we're in a good position to be administering these types of therapies for patients. And you had to answer your question, we have had significant amount of inbound interest on both MDMA and psilocybin therapy to the SAP program.

S
Sepehr Manochehry
Research Analyst

Great. That's really helpful. And just maybe, obviously, you guys have a reach across multiple jurisdictions, so there's jurisdiction-based differences in payers and payer mix. So just wanted to get maybe some rough understanding of your typical success rate that you see for reimbursement? And if there is people being reimbursed for psychotherapy, if there's more heavily weighted in certain jurisdictions versus others, at least for the psychotherapy component of your program?

J
Joseph del Moral
Co

Right. So the way you've heard is right, we do get -- most patients get more reimbursement for the psychotherapy than they do for the ketamine dosing itself. In Canada, we tend to find, I believe, the higher percentage reimbursement in Canada than we do in the [indiscernible] and the US patients also get reimbursement for the psychotherapy through out-of-network coverage if they have it. Although, I think it's at a lower percentage than what we see in Canada right now.

S
Sepehr Manochehry
Research Analyst

Okay. Could you kind of characterize the ballpark of like is there a typical window that you expect when you guys are putting filings through and are the patients like you characterize what the potential for reimbursement is when you speak to patients?

J
Joseph del Moral
Co

Well, we do is, we create a super bill for the patient that breaks out the costs into the ketamine dosing versus the psychotherapy preparation and integration sessions. So they can see where the cost is split. It's around 55% or so is the psychotherapy portion of the bill and that's the part that they can get reimbursed mostly get reimbursed on through their insurance providers. If you wanted to get into more detail on that, I have to -- we'd have to get back to you, so we can have to have a follow-up on that and...

S
Sepehr Manochehry
Research Analyst

Yes, yes and there might be a KPI you guys maybe report moving forward as to kind of payer mix because that does help inform the outlook for the clinics business, certainly. So that's helpful. But yes, I appreciate the insight on the kind of divergence between Canada and U.S.

Operator

We have next question from the line of David Martin with Bloom Burton.

D
David C. Martin
MD & Head of Equity Research

Yes. So first question is the SAP program, does that just provide access to treatment? Or does it pay for the patients to get the treatment?

R
Ronan Levy
Co

It does not pay for the patients to get the treatment, so that the patients will be paying for treatment. We're still in the process of sort of figuring out our own internal processes and how we're going to deal with that -- the financial aspect of this. So we'll have more details on that as we progress further as the program develops. But it's not -- I don't think it's contemplated that they would get reimbursed for this through the government.

D
David C. Martin
MD & Head of Equity Research

Okay. And why not Ketamine, since that's your main drug?

R
Ronan Levy
Co

So ketamine is available as we develop right drug and so SAP is meant to give access to patients for drugs that are not currently approved for sale, who have tried all other options.

D
David C. Martin
MD & Head of Equity Research

Okay. Got it. And then if you were using SPRAVATO in the clinics, would there be more reimbursement available? And if there would, why the decision not to go the SPRAVATO route so far?

R
Ronan Levy
Co

That's an area that we've looked at in some detail, happy to have a more detailed conversation on it. It is a -- SPRAVATO is an expensive product, not everybody gets coverage from it. It's also a medical question that our medical team is looking at whether we can create the same sort of psychedelic experiences that we strive to create for our patients. So it's one we've explored and continue to explore whether it would make sense to add it as an offering at the clinics. And today, we haven't decided to, but it's -- we'll continue to look at.

D
David C. Martin
MD & Head of Equity Research

Okay. And if I could just one more question. You had to get manufacturing and material prior to the Phase I starting. Is that still on schedule?

R
Ronan Levy
Co

I'll hand that over to Nathan.

N
Nathan Bryson
Chief Scientific Officer

Yes, that is.

Operator

We have next question from the line of Elemer Piros with ROTH Capital.

E
Elemer Piros
MD & Senior Research Analyst

Yes. Congratulations on the growth in the clinic business. And I just wanted to ask maybe couple of housekeeping questions. I've seen that quarter-over-quarter total expenses were kept in check, roughly equal between second and third fiscal quarter. But some of the line items like occupancy costs, sales and marketing and R&D actually declined. I was wondering if Donna would be able to help us to project these numbers into the future. It's just somewhat complicated here.

J
Joseph del Moral
Co

I'll hand that question over to Donna.

D
Donna K. Wong
Chief Financial Officer

Sorry, was on mute. So I guess what I would like to say is that the -- the R&D numbers are going to be chunky depending on the specific statement of works that we have with the CROs and CMOs. So while you might have seen a slight decrease in Q3 over Q2 from an R&D perspective, you can expect to see those numbers to ramp over the next several quarters as we move into our Phase I clinical trials.In terms of the decrease in Q-over-Q for our sales and marketing expenses, with the hiring of Vicki Growth of Vicki Reed as our Chief Growth Officer, we've started to take a detailed look at sort of our different acquisition channels from a marketing perspective. And so we are refining our -- we're refining our searches, our digital and paid searches. And so we've actually received most of our leads or references through our digital acquisition channel and through organic growth as opposed to paid search channel.So that's why you see the decrease in the sales and marketing. As we are refining our business model and focusing on the clinics that we think that need more marketing and also changing the mix of the type of market sales and marketing services that are required. And I think from the occupancy cost, it's based on IFR 16, IFRS 16 accounting. So that number there excludes the depreciation and amortization of the right-of-use assets. But if you look at sort of the occupancy cost on a cash basis in terms of the leases that we have, you will see an increase. Does that explain that?

E
Elemer Piros
MD & Senior Research Analyst

Yes, yes, it does. And Donna, would you please share the weighted average share count that was used and the -- also the shares outstanding by the end of December, please?

D
Donna K. Wong
Chief Financial Officer

Yes, so for the quarter, the weighted average share number that we used was CAD 57.8 million on both basic and diluted basis.

E
Elemer Piros
MD & Senior Research Analyst

Okay.

D
Donna K. Wong
Chief Financial Officer

Do you need it on the 9-month end period?

E
Elemer Piros
MD & Senior Research Analyst

No and that's okay. But -- and is this the share count by the end of December 31 as well?

D
Donna K. Wong
Chief Financial Officer

Yes, that is correct.

E
Elemer Piros
MD & Senior Research Analyst

Okay, okay. And maybe just a general question about the site management organization services. What would you need to do some additional work that would qualify these sites both in Canada and in the US to conduct clinical trials there?

J
Joseph del Moral
Co

Elemer, we've been -- so as you know, Stephan Cote came on as our Head of Quality and he's been working to help prepare sites for these types of trials. So we're fortunate that we already sort of have the -- most of the staffing needed at each of the clinics to conduct these types of clinical trials. So we're in the process of putting together the SOPs and back-office systems and insurance and et cetera, setting all that sort of thing up, as well as in parallel to that, having discussions with potential partners who want to conduct trials at our clinics.

E
Elemer Piros
MD & Senior Research Analyst

And just a last question about the FT-200 group, are you thinking about potentially chronic administration, potentially micro-dosing? What sort of indications would you have in mind for that research effort?

J
Joseph del Moral
Co

I'll hand that over to Nathan.

N
Nathan Bryson
Chief Scientific Officer

Joe, it's probably still a little bit early to make any declarative statements on that. But yes, we are -- it does open up the possibility of more frequent dosing without the risk of this cardiotoxicity kind of progression to take hold. We'll still have to do additional work in animal model studies to look how we use this. But imagine, for example, that it could be a maintenance therapy post-treatment with either ketamine or FT-104, where you could actually administer it once a week or even more frequently than not, if you were in the micro-dosing situation or even micro-dosing. So it's sort of that kind of concept. I think it could get more widespread use and more frequent use.

Operator

[Operator Instructions] We have next question from the line of Jason McCarthy with Maxim Group.

M
Michael Okunewitch
Senior Research Analyst

Hey, guys. This is Michael Okunewitch on the line for Jason. Congrats on the growth in the quarter. So I'd like to see for the further revenue growth, could you give a bit more color on the proportion of the growth that was from the 2 most mature clinics in New York and Toronto and how much of that came from the number of other clinics that you've opened? Is it largely driven by [ san ] and site or the addition of new sites, which have started to gain traction?

J
Joseph del Moral
Co

I'll let Donna provide any color, she like on that and I can add comments after.

D
Donna K. Wong
Chief Financial Officer

For the quarter, we experienced growth across all our clinics, not just our Toronto and New York clinics.

M
Michael Okunewitch
Senior Research Analyst

All right. And then...

J
Joseph del Moral
Co

A shift towards more organic growth -- from [Technical difficulty] growth. That's a result of the efforts of our very successful brand building and PR campaigns that we have and really word-of-mouth people coming through our clinics have often very positive experiences and they like to talk about it with their family and friends. And so we get a lot of word-of-mouth referrals as well now. So now you can see that a clinic with a larger base of clients such as our more established clinics, also get more organic word-of-mouth referrals.So that's the way we sort of see the evolution of a clinic is it takes more -- put more of an effort behind marketing and especially paid marketing in the early months of a clinics development to build the base out and then as it has more and more clients and awareness built around it, we can reduce that and continue growing the organic needs.

M
Michael Okunewitch
Senior Research Analyst

All right. And then one more from me. Regarding the P1, would you be looking at PK characteristics which would help indicate how long a PPD patient may have to give a breastfeeding and what sort of target you would have to meet to have a competitive advantage over standard of care on that specific metric of clearance from [ modelifluids ].

J
Joseph del Moral
Co

Yes, good question. We've already looked at most of the pharmacokinetics at least in rodents and I'd say the primary drug plus all metabolites are cleared within I'd say about 4 hours. And if we look at the half-life, we could project most of the metabolites and the primary active molecule would be gone definitely within 12.So putting some safety margin on that, that might be 24%, but those are hypothetical. You're right, we'll confirm that through the human study. But the -- I'm going to say the PK profile and the duration of the psychoactive experience in a rodent does look to map very well with what is reported for the illicit substance for hydroxy DiPT, being in the range of at 2 to 3 hour window, which is what we see with the rodent.So we think it's going to map what we saw in the metabolism of the animals, we're going to see with man. Beyond that, we're going to have to confirm all that not just through pharmacokinetics, but through macular transfer studies, those can be run in animals at first and then we'll capture milk in our PPD studies as we go forward, either through a specific study or as part of our Phase II program, we'll capture the milk and then do our analysis looking for our metabolites to confirm all that and then build the story.But the pharmacokinetics and the washup kinetics right now definitely look favorable to that. If I compare that to the standard of care, the current standard of care is either chronic SSRIs, which don't work very well, take too long to kick in. So I sort of push that aside, this is a mother that needs help immediately. It's not necessarily going to be happy with an SSRI, it takes 6 to 8 weeks to kick in.So the other standard of care which is the only other drug approved on the market is ZULRESSO, which already the phase of treatment itself is 3 days and then you have to wait at least 2 weeks for the drug to watch out. So you're looking at minimum of 2 weeks if not more that you're going to have to deal with a washout. And their future drug from Sage is a 14-day treatment with an additional 2 weeks on the back end of it.So you're looking at nearly a month without breastfeed. Those kinds of things are not good for the bonding between the mother and the child, especially if it's necessary and wanted by the mother and not being able to do it sometimes as a failure. So being able to get mothers back to their children very quickly for those that want of our feet is very important and I think FT-104 meets that. We just had to do the work.

Operator

We have next question from the line of Andrew Partheniou with Stifel.

A
Andrew Partheniou
Analyst

Hi, and I apologize if you mentioned this previously. I might have been disconnected. But could you talk or give a little bit more color about what triggered choosing the additional site for Phase I? And why was Australia the jurisdiction?

J
Joseph del Moral
Co

Both Australia and the Netherlands have very lean means of getting into Phase I, they're still very rigorous, but the whole approval process is -- relies highly on the investigator themselves. So from a selection standpoint, there's not a lot of difference between the 2, I will say there's an additional benefit in Australia is there's like we have in Canada, a certain amount of financial reimbursement for using people -- for working with people in the country and that can be put back into the program.So it makes for some economical saving. But overall, part of the reason was just the fact that both of them could do on the same kind of time line. Beyond that, we've had experience with the group in Australia before in previous lives in the 4 Field Trip. And so we had comfort with the group that we're looking at. And then the other factor that we were trying to weigh at was what was going on with the COVID situation. And with Omicron high numbers in Europe and the site was having to shut down a couple of times, mainly because personnel who were getting sick and they didn't have enough personnel to staff the system.We looked at both sites and actually we felt that it was a little bit safer and better controlled in Australia. And so looking at the overall, it didn't change anything to move to Australia, gain additional security and of additional comfort. So we made that switch, we signed with the group. The site selection is -- I'm going to say pretty much finalized, we know where we're going and we're getting ready to submit our protocol to Ethic. So we're on our pathway to Phase I without actually having changed or have -- without increasing the risk, we feel like we've reduced the risk.

Operator

We have next question from the line of Patrick Trucchio with H.C. Wainwright.

P
Patrick Ralph Trucchio

Hi, just a few more on FT-104. Just from the commentary and the release which you noted that as a prodrug FT-104 converts rapidly and completely after administration and combine these properties resulted in improved drug absorption, more reproducible pharmacokinetic profile and improved bioavailability making it a superior drug candidate. I'm just wondering if you can further elaborate on the data that's been generated to demonstrate those attributes. And if further details on that data is expected to be released at some point in the future?

J
Joseph del Moral
Co

Of course, I do think we'll eventually publish the data we generated in animals, so that you could see that. I don't know what additional color I can give you. I mean, I know, for example, when we did pharmacokinetics in rodents and this is in our presentation. When we administer FT-104 in the bloodstream, all we see is hydroxytryptamines. We don't -- we see very, very little of the FT-104. Now when we do the Phase I in humans, we'll be looking for both obviously, we'll design the trial to look for it, but we know that it cleaves very fast, we see that in vitro. We see that in vivo and we can compare it to what happens in biological matures that come from humans and we can compare that to the rodents and we see a very, very close comparison, maybe even more so than when we did pharmacokinetics and other higher species.So we're very comfortable with the way it cleaves. We have some information from in vitro studies to know what is the mechanism of cleavage and what promotes the cleavage within the biological matrix, at least we have some very strong submission and we know we can inhibit those things that actually cleave it. So we've got a very good description I think of what's going on in terms of how FT-104 gets converted to hydroxy DiPT, gets into the system and then all the pharmacokinetics that surround the molecules and then all the metabolism.So that's part of that preclinical package that we've prepared. We've already shared it with some early -- with the PI that would be running the study. They're very comfortable with it. It's very clear and quite complete. If that was all you were looking for, that's about as far as I can go right now, we definitely will publish it sometime in the future.

P
Patrick Ralph Trucchio

Yes, that's helpful. And then just as part of the Phase I program, I'm wondering if you would expect to gather additional data regarding the psychedelic experience itself, in addition to the length of the experience? And if so, what are your expectations around that data?

J
Joseph del Moral
Co

Absolutely, we're going to capture that. We're going to use some of the standardized questioners that have been used with psychedelic substances in the past and maybe it flies in slightly different ways, but very, very closely the things like ASC and EQ, which is a standardized alternate space of consciousness and the mystical experience questionnaire which has been related to outcomes in depression.So we'll capture not only intensity of the experience a little bit of the flavor, nature of the experience, but also the duration. And so yes, that totally is going to be captured, recognized it's going to be in healthy volunteers and volunteers who had some experience with psychoactive substances before, so they'll likely be able to characterize it quite well. And then we'll use that as information to decide on our doses that will go into Phase II with. Obviously, the experience that a patient might be slightly different than that in healthy adults, but we feel like that's going to give us a very, very good window into the therapeutic doses that will be used in patients, it did for psilocybin, I think it will for FT-104 since the pharmacology is very, very similar.

Operator

We take the last question from the line of David Martin with Bloom Burton.

D
David C. Martin
MD & Head of Equity Research

Yes. What percent of the patients you treat are reimbursed right now? And what percent of those who seek treatment would you say have to walk away because there is no reimbursement for them? And are there steps you can take to increase coverage in addition to case-by-case efforts?

J
Joseph del Moral
Co

Thanks for the question, David. This is, I guess, the second question on the payer percentage of mix, so it's maybe one that we'll put some more focus on in our next quarter. But I don't have the exact percentages, so maybe we can follow up with you on that one. But I do know that it is -- it is private pay and cost is definitely one of the reasons why people not to proceed with the treatment. It's one of the barriers and one that we're hopeful that over time there'll be increasing coverage. We're seeing glimmers of that in different areas at coverage for military veterans in Canada already. There are some signs of increased openness from employers and different groups in the US and people with different coverage plans. So we're starting to see that or starting to see that, but it's already days still. But our hope is that over the next few years, we'll see a greater percentage of people get coverage for these types of therapies. In terms of the exact mix right now, it's something that we can follow up with and look into those numbers for you.

D
David C. Martin
MD & Head of Equity Research

Okay. And I did have one last question, kind of linked to the last one. Will you use depression scales in the Phase I because I know these are healthy volunteers, but everyone can potentially feel a little better. I know they're not getting the psychotherapy associated with the drug, but would you apply a depression scale in the Phase I?

J
Joseph del Moral
Co

No, that wouldn't be appropriate. I mean a person that came in and actually had depression probably wouldn't be considered healthy and allowed into the study just from an exclusion standpoint. And a person that came in as healthy, not depressed, numbers would be so low, there wouldn't be lot of room for calculation and statistical analysis. So no, I don't think that's appropriate in face upon.

D
David C. Martin
MD & Head of Equity Research

Okay. All right. I didn't think so, but thought I'd ask.

Operator

Thank you. Ladies and gentlemen, we have reached the end of the question-and-answer session. And I'd like to turn the call back to Ronan Levy for closing remarks. Over to you, sir.

R
Ronan Levy
Co

Thank you, operator, and thank you to our investors for their support and to all the analysts for your questions today. The Field Trip team is proud of the business we have built as a leading psychedelic-assisted psychotherapy provider and highly recognized brand at the forefront of the psychedelic medicine movement. We continue to execute upon our strategic priorities, building our innovative drug research and development pipeline, as well as delivering and helping patients through our best-in-class clinic network. With that, I'll ask the operator to close the lines.

Operator

Thank you very much. Ladies and gentlemen, this concludes today's conference call. You may now disconnect your lines at this time. Thank you for your participation.

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