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Edited Transcript of NSTG earnings conference call or presentation 31-Jul-19 8:30pm GMT

Q2 2019 NanoString Technologies Inc Earnings Call

Seattle Aug 22, 2019 (Thomson StreetEvents) -- Edited Transcript of NanoString Technologies Inc earnings conference call or presentation Wednesday, July 31, 2019 at 8:30:00pm GMT

TEXT version of Transcript

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Corporate Participants

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* Douglas S. Farrell

NanoString Technologies, Inc. - VP of IR & Corporate Communications

* K. Thomas Bailey

NanoString Technologies, Inc. - CFO & Treasurer

* R. Bradley Gray

NanoString Technologies, Inc. - CEO, President & Director

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Conference Call Participants

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* Adam Joseph Wieschhaus

Cowen and Company, LLC, Research Division - Associate

* Daniel Gregory Brennan

UBS Investment Bank, Research Division - Senior Equity Research Analyst of Healthcare Life Sciences

* Eleni Maria Apostolatos

JP Morgan Chase & Co, Research Division - Research Analyst

* Thomas Peterson

Robert W. Baird & Co. Incorporated, Research Division - Junior Analyst

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Presentation

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Operator [1]

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Good day, ladies and gentlemen, and welcome to the NanoString 2019 Second Quarter Financial Results Conference Call. (Operator Instructions) As a reminder, today's conference is being recorded.

I would now like to introduce your host for today's conference call, Mr. Doug Farrell. You may begin, sir.

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Douglas S. Farrell, NanoString Technologies, Inc. - VP of IR & Corporate Communications [2]

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Thank you, operator. Good afternoon, everyone. On the call with me today is Brad Gray, our President and CEO; and Tom Bailey, our CFO. Earlier today, we released our financial results for the second quarter of fiscal year 2019.

During this call, we will make a number of statements that are forward-looking, including statements about financial projections, existing and future collaborations, future business growth, trends and related factors, prospects for expanding and penetrating addressable markets, our strategic focus and objectives and the development status, anticipated success of recent and planned product offerings. Forward-looking statements are subject to risks and uncertainties, many of which are beyond our control, including the risks and uncertainties described from time to time in our SEC filings. Our results may differ materially from those projected on today's call, and we undertake no obligation to update these statements.

As a reminder, we'll be participating in the UBS Genomics 2.0 conference in Utah next week, and we look forward to seeing many of you there.

With that, let me turn the call over to Brad.

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R. Bradley Gray, NanoString Technologies, Inc. - CEO, President & Director [3]

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Thanks, Doug. Good afternoon, and thank you for joining us today. I'm looking forward to updating you on our progress. During Q2, we delivered our sixth straight quarter of double-digit growth in product and service revenue as sales of consumables into our expanding nCounter installed base drive consistency in our base business.

In parallel, we continue to build commercial momentum for our GeoMx Digital Spatial Profiler, following the late March launch with high-profile publications, strong order flow and the imminent shipment of our first commercial instruments. This combination of consistency in the core nCounter business and strong demand for GeoMx DSP is making 2019 a very exciting period for NanoString.

During the call today, I'll provide an update on progress towards our strategic objectives for 2019, before turning the call over Tom to review the details of our operating results for the quarter.

As we outlined on our year-end call on March, our first strategic objective for 2019 is to sustain double-digit growth in our core nCounter business. This growth continues to be fueled by our consumable business that leverages the pull-through of our expanding installed base. Our total consumable revenue for the second quarter was $14.4 million, driven by 15% growth in life science consumables. The consumable sales channel continue to perform well and drove growth in both our Panel and our Custom CodeSet business.

Our oncology portfolio continued to account for a majority of this growth, led by our PanCancer and 360 families of panels. Our CAR-T panel is also off to a strong start, with 50 customers worldwide, including a mix of leading academics with CAR-T manufacturing capabilities as well as biotech and biopharma customers.

In addition, our product offerings outside of oncology are making important contributions to growth. Revenue from immunology and neuroscience panels increased by approximately 40% and 80%, respectively, over the prior years and together accounted for about 1/3 of our panel revenue.

In addition, we raised our profile among neurology customers via collaboration with the NIH-funded MODEL-AD consortium to create human and mouse panels for Alzheimer's disease research. Historically, research and drug development for Alzheimer's has been limited by the lack of mouse models that can be used to accurately recapitulate the disease. As part of this collaboration, we're working closely with The Jackson Laboratory to develop a state-of-the-art mouse panel, which can be applied to characterize 5 novel mouse models for Alzheimer's disease.

We're continuing to invest in new panel content to drive top line growth and attract new customers outside the field of oncology. In Q2, we introduced metabolic pathways panels that allow researchers to study the underlying mechanisms behind alterations in metabolism, signaling pathways and cell stress. These panels address large market opportunities with significant NIH funding, including diabetes, endocrinology and hundreds of diseases that involve metabolic dysfunction. Meanwhile, our in vitro diagnostic consumable revenue grew 4% as Prosigna's continued growth in Europe was offset by a moderating demand in North America, where we've seen intense promotional efforts from our competitors.

On the instrument side of our business, we continue to expand our installed base of nCounter systems, which reached approximately 790 systems by the end of Q2 and is now about 18% larger than the prior year. Oncology applications drove demand for about 70% of new instrument placements, with the balance coming from immunology and neuroscience. Throughout the first half, we saw an instrument mix shift towards our high-throughput MAX systems as customers are choosing to pay a premium for higher capacity in anticipation of future GeoMx DSP projects.

Our second strategic objective is to position our GeoMx Digital Spatial Profiler for long-term commercial success. Our market development efforts for GeoMx continue to track ahead of our expectations both in terms of current demand and leading indicators.

We're pleased with the strong demand we continue to see for the GeoMx DSP instruments. Our cumulative GeoMx DSP orders increased to approximately 55 orders in total, as we captured about a dozen new orders during the second quarter. Demand for GeoMx DSP cuts across customer segments and includes a mix that is roughly 60% academic and 40% biopharma and CRO. To date, about 75% of DSP orders have been placed by existing nCounter users, while the other 25% of our GeoMx orders have been placed by new customers, who have pulled through new nCounter instruments.

More importantly, we are tracking multiple leading indicators of future GeoMx demand that continue to strengthen. First, our DSP instrumental funnel continues to expand as we process the leads generated around our launch earlier this year. During the first half of the year, we accumulated more than 2,500 unique customer leads for GeoMx, about half of which have now been qualified and are being triaged by our sales organization. We anticipate that the GeoMx sales cycle will be about 6 months, so we would expect that the majority of the benefit of these lead generation activities will accrue in 2020.

Another strong leading indicator is demand for our DSP Technology Access Program or TAP, which is a service that provides customers an opportunity to run experiments on our prototype DSP instruments. Our TAP service provides an important mechanism for potential customers to evaluate the DSP technology before ordering a GeoMx instrument as evidenced by the increasing percentage of new GeoMx instrument orders that have resulted from our TAP interactions.

During the second quarter, we completed more than 25 TAP projects, resulting in more than $1 million in TAP service revenue. We received orders for more than 30 new projects, including orders for several large projects proposed by biopharma companies and academic medical centers. We now carry a backlog of more than 50 projects, valued at more than $2 million, and we have recently expanded our TAP service staffing and added weekend shifts to keep pace with this growing demand.

A secondary benefit of our Technology Access Program is that it accelerates growth in the body of peer-reviewed literature that demonstrates the scientific utility of the GeoMx DSP. Our collective TAP experience now includes approximately 125 projects that have been completed for about 85 unique customers. These efforts have contributed to 7 peer-reviewed publications so far, and we are tracking another dozen papers that have been submitted. This growing body of high-impact papers continues to create awareness, underscore the unique capabilities of GeoMx and represents a critical form of advertising that you simply cannot buy.

The initial wave of DSP publications focuses on the search for biomarkers and immuno-oncology, a field with more than 1,000 active clinical trials ongoing, and a significant need to accurately identify patients who benefit from immunotherapy.

Two recent and particularly high-impact GeoMx DSP publications nicely illustrate the utility of spatial profiling and immuno-oncology. In June, David Rimm and his team of researchers from the Yale University Medical School published a study in the journal of Clinical Cancer Research that used the GeoMx to identify biomarkers that were predictive for objective response, progress -- progression-free survival and overall survival for patients receiving immunotherapy for metastatic melanoma.

Last week, the prestigious journal, Nature Medicine, published a study that highlighted the use of GeoMx to identify unique biomarkers for unanticipated adverse events in the cohort of metastatic melanoma patients being treated with immunotherapy. By using Digital Spatial Profiling to understand the mechanism of this neurotoxicity, clinicians may be able to develop a test to help inform patient selection. It is worth noting that this was the third GeoMx-related paper to appear in Nature Medicine in just the last 9 months.

Yet another leading indicator of demand for DSP over the long term is interest coming from the clinical diagnostics community. Earlier this week, we announced that we have entered a joint development agreement with Mayo Clinical Laboratories, who will perform a cross-site study using GeoMx DSP to investigate the immune architecture of breast tumor samples. While the path to developing clinical test for GeoMx will take time, we're honored to partner with Mayo Clinical Labs, which is world renowned for developing such state-of-the-art tests.

As we enter the third quarter, we're excited to embark upon a new phase as GeoMx instrument deliveries begin to delight our customers and impact our revenue growth. We're on track to begin shipping the first commercial GeoMx systems in August, recognizing our first DSP instrument revenue later in the quarter. Through the second half of 2019, we expect to recognize revenue on between 25 and 30 of our previously received GeoMx orders. This will start with the delivery of a small number of systems in Q3, followed by a bolus of deliveries in Q4, as we work to get most of our GeoMx Priority Site systems to customers before year-end. Even with the push to deliver systems during the second half, we currently expect to carry a healthy backlog of GeoMx DSP instrument orders into 2020.

I'll close my prepared remarks with an update on our third strategic objective, which is to advance our Hyb & Seq platform towards a commercial launch in 2021. We continue to make steady progress on the Hyb & Seq program and are becoming increasingly focused on the application of Hyb & Seq to infectious disease. This is an area of high unmet need where a simple, fast workflow confers tremendous medical value and competitive advantage.

Infectious disease testing also provides a first application for a more general mid-plex integrated molecular diagnostic platform, opening the potential for diagnostic commercial partnerships in the future. We expect to provide the next major technical update at the Association for Molecular Pathology or AMP conference in November. We plan to highlight updates to our sequencing chemistry that accelerate turnaround time and increase accuracy.

In addition, we plan to highlight culture-independent pathogen identification and rapid phenotypic antibiotic susceptibility testing studies performed in collaboration with the Broad Institute. We look forward to seeing many of you there.

Now I'd like to turn the call over to Tom to review the details of our second quarter results.

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K. Thomas Bailey, NanoString Technologies, Inc. - CFO & Treasurer [4]

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Thanks, Brad. For the second quarter of 2019, product and service revenue was $22.4 million, which was near the high end of our guidance range. Products and service revenue grew approximately 10% year-over-year and included $4.9 million of instrument sales, $11.8 million of life science consumable sales, $2.6 million of Prosigna sales and $3 million of service revenue. Our second quarter revenue growth was driven by a 14% increase in demand for nCounter panels and a 45% increase in service revenue that continue to benefit from strong customer interest in our GeoMx Technology Access Program.

Consumables pull-through was within our guided range at approximately $76,000. Revenue recognized from collaborations was $8 million. Collaboration revenue was impacted in Q3 by the conclusion of our Celgene partnership, which resulted in the accelerated recognition of all remaining deferred revenue from Celgene. We received cash from collaborators during the quarter of $5.5 million.

Gross margin on product and service revenue was in line at 57% compared to 58% in the prior year. Our gross margin was impacted positively by strong consumable sales, offset by investments we are making to expand our manufacturing capacity in our installation and service resources for GeoMx DSP.

R&D expense was $17 million, an increase of 17% over the prior year period. The increase was driven in part by continued investments in GeoMx DSP and in nCounter panels as well as in our Hyb & Seq program, with the Hyb & Seq spending offset by funds received from Lam Research.

SG&A expense was $22.5 million, an increase of approximately 9% as compared to the prior year period. The growth in SG&A expenses was in part due to investment in commercial launch activities related to GeoMx DSP and offset by lower professional fees, which in last year's second quarter were impacted by Sarbanes-Oxley compliance and other audited-related activities.

Both R&D and SG&A expenses were also impacted by higher stock-based compensation expenses recorded during Q2. For the second quarter, stock-based compensation expense was $5.1 million, up from $2.9 million in the prior year.

Depreciation and amortization expenses were $1.2 million. We ended the quarter with over $145 million of cash, cash equivalents and short-term investments. This amount includes an additional $20 million of borrowings incurred during the quarter under our term loan facility with CRG.

Turning to guidance. In today's press release, we reiterated our full year guidance for revenue and gross margin, and we provided an updated full year outlook for operating expenses and GAAP net loss, with changes being primarily due to higher expected stock-based compensation expense.

For the third quarter, we expect our total product and service revenue to be in the range of $24 million to $26 million, which includes approximately $2 million of GeoMx DSP revenue. This revenue range would deliver approximately 13% to 22% growth as compared to the prior year period. We expect approximately $3 million of collaboration revenue in the third quarter, so we're guiding total Q3 revenue to be in the range of $27 million to $29 million.

Now I'll turn the call over to Brad for closing comments.

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R. Bradley Gray, NanoString Technologies, Inc. - CEO, President & Director [5]

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Thanks, Tom. In summary, half way through 2019, the business is performing just as we had expected. Our commercial team is executing well and consistently generating healthy growth in our core nCounter business. Both current and leading indicators of demand for GeoMx DSP are strong, and we're on track to recognize our first commercial revenue for GeoMx DSP systems this quarter. I'm delighted with our recent progress and proud to be a part of the NanoString team who's generating such solid results.

With that, I'll open up the line for your questions.

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Questions and Answers

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Operator [1]

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(Operator Instructions) Our first question comes from Doug Schenkel with Cowen.

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Adam Joseph Wieschhaus, Cowen and Company, LLC, Research Division - Associate [2]

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This is Adam Wieschhaus on for Doug. You increased your cumulative GeoMx orders by, I believe, 12 instruments in Q2, which was a slight increase in orders compared to the 10 that you added in Q1. So do you think this 12-instrument order increase per quarter is the right cadence? Or could it go higher based on the number of leads you've generated so far?

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R. Bradley Gray, NanoString Technologies, Inc. - CEO, President & Director [3]

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Thanks, Adam. Yes, we're really pleased with the order flow. Being in the 10 to 15 per order range is right at what we expect to be at this stage and really to maintain that about a dozen orders per instrument pace through the second half of the year.

Clearly, in the longer term, as the lead generation activity that we started really in the April time frame around our launch begins its -- to work its way through the long sales cycle for capital equipment, we will expect that number to increase in 2020.

But yes, we're delighted with the run rate that we're on right now. And if you kind of just play it forward, ending where we are at about 55 systems, adding another about 25 in the second half, if that's where it ends up delivering, and then actually installing between 25 and 30, you can see your way to a situation where we'll be entering 2020 with a 50-instrument backlog, which takes us a really good way towards where our Street expectations are for instrument revenue on DSP as it currently stands for 2020.

So we think that's a -- we're on a really good cadence. I look for the run rate to remain approximately the same through the second half, but to accelerate in 2020.

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Adam Joseph Wieschhaus, Cowen and Company, LLC, Research Division - Associate [4]

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Okay. That's helpful. And you noted that the TAP programs and the customer base increased again this quarter. Is there a lot of overlap between the customers that participate in that program and those that are in the GeoMx instrument backlog? I'm just trying to understand how enrollment in that program could potentially feed into driving GeoMx placement and awareness?

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R. Bradley Gray, NanoString Technologies, Inc. - CEO, President & Director [5]

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Yes. Adam, one of the most important functions that the Technology Access Program is playing for us is to provide a test drive opportunity for people who are interested in the GeoMx instrument, a sort of drive-before-you-buy program.

In the last quarter, about half of our new DSP instrument orders were from customers who had been part of the TAP program. So that sort of illustrates the importance of TAP and its validity as a leading indicator for our future instrument orders.

So I think in total, perhaps, 40% of our overall orders, which now total about 55 orders, have come through the TAP program, but we see that being an important mechanism going forward. So we'll continue to track and report TAP volumes to you.

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Operator [6]

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Our next question comes from Dan Brennan with UBS.

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Daniel Gregory Brennan, UBS Investment Bank, Research Division - Senior Equity Research Analyst of Healthcare Life Sciences [7]

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So first one is just on the pacing in the back half of the year for GeoMx placements. I guess you said 2 in Q3. Obviously, Brad, you've been pretty clear, you want to delight customers, go real slow, make sure it is right, too. Let's say you're up for a pretty big install in Q4, so just walk us through a little bit about only doing 2 in Q3 and the ability to kind of ramp as much in Q4.

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R. Bradley Gray, NanoString Technologies, Inc. - CEO, President & Director [8]

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Sure. So as you pointed out and I'll reiterate, Dan, the most important thing for us in 2019 is to generate interest and a large sales funnel for the GeoMx DSP and to delight the customers who've taken the risk of being early adopters of the technology.

As part of delighting that -- those customers, we'll start with a very small number of instrument placements in the third quarter. And we've really focused on sites that have had some exposure to GeoMx DSP through the beta instrument program that we had beginning late last year or who are in intensely urgent situations from either a fiscal perspective in terms of needing to spend the money now or -- and from a scientific perspective.

And that will allow us to work any kinks out in those first round of installations. We have already scaled up our installation and support team to be able to deliver the balance of our revenue expectations through Q4. I don't believe that's high risk, but we want to make sure that it goes as smoothly as possible. So we'll start by doing 2 -- approximately $2 million in revenue in Q3, leading between 6 -- sorry, between $4 million and $6 million of revenue to do in the fourth quarter.

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Daniel Gregory Brennan, UBS Investment Bank, Research Division - Senior Equity Research Analyst of Healthcare Life Sciences [9]

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And then, Brad, just related to the kind of order pipeline on GeoMx, just walk us through a little bit the early experience. You've gotten now another 12 orders this quarter, and you've talked about, like, the longer cycle, but there's obviously tremendous excitement over this space. So just walk us through a little bit about, like, what you're hearing from customers, those that -- as you convert them over, how much of it is like funding kind of an issue for them to get? Like, what are they most excited about? Just give us a little flavor for the type commentary and feedback you're getting from the customers as you go through the order process.

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R. Bradley Gray, NanoString Technologies, Inc. - CEO, President & Director [10]

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Yes. I think what we've learned throughout the entire period in the last few years as we've engaged with customers on Digital Spatial Profiling and maybe spatial genomics more broadly is that there's enormous latent need and demand scientifically for technologies that can do spatial profiling. And we've been delighted by just how eager customers are to gain access to this technology even in situations where they've had little or no exposure to it.

Most of our demand to date is coming from the immuno-oncology community, who have long-standing relationships with NanoString through our core nCounter business and really great use cases for identifying biomarkers in terms of immune cell physical infiltration of a tumor.

We've had tremendous success rates with early grant applications. Anecdotally, in the second quarter, we're aware that 3 Howard Hughes Medical Institute researchers submitted grants to Howard Hughes, and all 3 were funded in their first application. That's a really great bellwether for this kind of technology and this need being considered the bleeding edge of science where funding agencies are happy to see their research dollars go to work.

So this is -- everything we see, both in terms of current demand and leading indicators, continues to build our excitement and confidence about the future of this product line.

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Daniel Gregory Brennan, UBS Investment Bank, Research Division - Senior Equity Research Analyst of Healthcare Life Sciences [11]

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And maybe one more on kind of GeoMx. You talked about these leads, 50% of them qualified. Like what are you doing from the standpoint of -- how much of the conversion to orders is a function of just educating customers, having the right team in place to go out and do the necessary kind of demonstrations, things like that? And if that's the case, like just walk us through a little bit how many sales people, how many technicians you have kind of doing this.

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R. Bradley Gray, NanoString Technologies, Inc. - CEO, President & Director [12]

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Yes. So the current orders are largely for people who have been evaluating the potential for a GeoMx instrument purchase for some period of months, generally speaking, even though decision cycles take periods of months. And so we haven't yet begun to see the impact of all the lead generation activity that took around -- took place in February at the AGBT meeting or in March and April at the AACR meeting.

I would expect that as those leads are qualified, meaning, we validate that the customer is the kind of people who are serious and were not just browsing our booth, we determine that they actually have funding and we begin to truly engage them in sales and include them in our sales funnel. And those -- that process will begin to impact us really in 2020.

When I think about the path between interest at a booth or participation or webinar and an actual instrument purchase order, I think of important processes like having our instrument reps go and visit and explain the technology in a face-to-face meeting, so using our existing, I think, properly sized instrument field force. I think of the possibility of bringing in a technical -- a deep technical specialist, which we have about a half-dozen of worldwide now who do nothing but go into the intricacies of spatial profiling. I think about maybe performing a small DSP TAP study to show that on the sample types with the type of science people are doing, that this instrument works. And then I think about hopefully an instrument purchase order thereafter.

That's a cycle that I think we have all the resources in place to execute on. As I mentioned, we've -- we're scaling up that Technology Access Program capacity because we're understanding how important it is. And I think that cycle should take about 6 months' time.

So -- but we're monitoring it closely, Dan. And obviously the DSP demand just -- could justify incremental investments targeted in our channel if we need to make it. And we really reevaluate those things every single quarter and we'll adjust as needed.

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Daniel Gregory Brennan, UBS Investment Bank, Research Division - Senior Equity Research Analyst of Healthcare Life Sciences [13]

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Great. And then maybe final one for me, just kind of on nCounter pull-through was a little bit below kind of our expectation, but obviously within your range. Just kind of walk through kind of any trends in the quarter on that front or just kind of the normal variability quarter-to-quarter.

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R. Bradley Gray, NanoString Technologies, Inc. - CEO, President & Director [14]

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I think I'll take that and let Tom add if he wants. I think when you look at our pull-through, it was around $76,000 per system per year. Really, if you crosswalk that and say which component, if anything, was lower than it had been in the previous quarter, well, I think you'd want to look at Prosigna in North America. Prosigna in North America was off by maybe about $0.5 million below where we would have expected it to be in a period prior to the intense dynamic we're seeing now.

And that accounts for the vast majority of the difference between pull-through rates, call it, at the middle of our range and in the lower half of what we saw. We think that trends in our life science consumables business continue to remain healthy across both panels and custom, both oncology and non-oncology. So we think, overall, in the long run, our consumable revenue will continue to grow and lockstep with our installed base, which has been 18% to 20% in recent quarters.

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K. Thomas Bailey, NanoString Technologies, Inc. - CFO & Treasurer [15]

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Yes. And the only comment I would add to that, Dan, is I think that pursuant to the latter thing you mentioned, there is -- it's a bit of a timing issue as well. Our growth in panels was really strong in the first quarter. It wasn't quite as strong in the second quarter. And I think that has much to do with just quarterly timing than anything else. So it's really Prosigna, it's really the only sort of part of it that's off, the rest of it we feel solid about.

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Operator [16]

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The next question comes from Tycho Peterson with JPMorgan.

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Eleni Maria Apostolatos, JP Morgan Chase & Co, Research Division - Research Analyst [17]

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This is Eleni on for Tycho. First, can you talk about any evolution in the GeoMx order book? Since you've started accepting orders, with which customer segment you have seen the most traction with? And can you give us an early read on utilization? Is it tracking in line or above your initial estimates?

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R. Bradley Gray, NanoString Technologies, Inc. - CEO, President & Director [18]

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Sure. So just to reiterate, the order book is continuing to grow. We grew in the last quarter to 55 cumulative orders as of June 30. That was about a dozen new orders in the second quarter. In totality, about 60% of our orders have come from academic researchers, and 40% from the biopharma and CRO community. That's pretty close to what our nCounter installed base mix is. So that's as expected.

It's too early to talk to utilization. We haven't yet placed any of our commercial instruments, and it'll take some time after we begin to place those instruments in the second half before we have really a good deed on utilization. But as we've mentioned in the past, we would encourage people to model at a pull-through per system that's similar to what we see on nCounter, which is a net $75,000 to $80,000 annualized rate.

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Operator [19]

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(Operator Instructions) Our next question comes from Catherine Schulte with Baird.

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Thomas Peterson, Robert W. Baird & Co. Incorporated, Research Division - Junior Analyst [20]

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This is actually Tom Peterson on for Catherine. Just curious on the Mayo collaboration, what kind of time lines on those 2 studies are we looking at? And is the end goal here to offer these kits similar to Prosigna?

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R. Bradley Gray, NanoString Technologies, Inc. - CEO, President & Director [21]

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Yes. So the Mayo collaboration is really a long-term exploration of how our Digital Spatial Profiling technology could be applied in the clinic. The first study that we described, which is profiling breast cancer tissues for their immune -- in their immune profile is exploratory in nature and designed to identify biomarkers that may one day become clinical tests. So it's really speculative for us to imagine when that particular test could possibly come to market. But I think, yes, we're still several years away from that.

That being said, I mean, Mayo Clinical Lab is one of the absolute world leaders amongst specialized laboratories. Their willingness to take -- to be a very early adopter and to begin to think about how it could be used in the clinic is a great indication of the long-term interest and potential in that market.

And when we think about the size of the clinical market today, immunohistochemistry in the clinic is a $2 billion market, and RNA expression through in situ hybridization is probably another $1 billion. It's a total market, the size of which is at least as large as we characterize the research markets.

Now it'll take us some time before we can get to the clinic. But in terms of the long-term life cycle of the GeoMx platform and spatial profiling in general, we think the clinic is really exciting, and our collaboration with Mayo can only help us come up that curve faster.

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Operator [22]

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I'm not showing any further questions at this time. I'd like to turn the call back over to our host.

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Douglas S. Farrell, NanoString Technologies, Inc. - VP of IR & Corporate Communications [23]

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Excellent. Thank you very much for joining us today. If you did miss any portion of the call, we expect the replay to be available in about 2 hours. For any callers that want to access that, domestic callers, please dial (855) 859-2604. International callers, please dial (404) 537-3406. The conference ID number is the same for both: 5182286.

And with that, thank you very much for joining us today.

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Operator [24]

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Ladies and gentlemen, that does conclude today's presentation. You may now disconnect, and have a wonderful day.