Biogen FY Conference Summary Company Overview - **Company**: Biogen (NasdaqGS:BIIB) - **Date of Conference**: September 24, 2025 Key Points Alzheimer's Disease and LEQEMBI - Biogen is experiencing positive momentum with the launch of LEQEMBI, particularly following the approval for subcutaneous maintenance therapy, which offers patients the option to self-administer at home [2][10] - The company is also pursuing a rolling submission for subcutaneous initiation therapy, expected to provide patients with more treatment options [2][10] - The approval of blood-based biomarkers by the FDA is seen as a significant advancement, increasing testing and potentially improving patient outcomes [3] Revenue Growth and R&D Focus - Year-on-year revenue growth from new products is offsetting declines from multiple sclerosis (MS) products, indicating a strategic shift towards growth products [4] - Biogen is focusing on high-value, high-probability success programs in its R&D pipeline, with several late-stage programs expected to yield registrational data soon [4][5] Pipeline Developments - Biogen is advancing several programs into Phase 3 trials, including treatments for lupus and rare nephrology conditions [5][6] - The company is also exploring new modalities and collaborations, such as with Stoke Therapeutics for Dravet syndrome [6][7] TAU ASO and CELIA Study - The TAU ASO (BIIB080) is in Phase 2 trials, with hopes to demonstrate significant reductions in TAU levels and clinical benefits [11][12] - The CELIA study aims to evaluate the impact of reducing all TAU isoforms on biomarkers and clinical outcomes [12] GLP-1 and Alzheimer's - Biogen acknowledges the potential of GLP-1 therapies in addressing neuroinflammatory pathways in Alzheimer's, despite mixed results from other trials [15] AHEAD Trials - The AHEAD 3 and AHEAD 4, 5 trials are designed to address pre-symptomatic stages of Alzheimer's, focusing on preventing further amyloid accumulation and cognitive decline [17][18] SMA and SPINRAZA - Biogen continues to focus on spinal muscular atrophy (SMA) with SPINRAZA, which remains a critical therapy despite competition from gene therapies [22][23] - The company is pursuing a high-dose version of SPINRAZA and a new antisense oligonucleotide, Salinursin, with promising early data [24][25] Lupus Opportunities - Lupus is identified as a significant market opportunity, with only two biologics currently available and a high unmet need [27][28] - Biogen is advancing Dapirolizumab pegol and litifilimab through multiple Phase 3 trials, targeting different lupus manifestations [29][30] Felsardimab and Rare Kidney Indications - Felsardimab is being explored for several rare kidney conditions, with ongoing Phase 3 trials and a focus on addressing unmet needs in these areas [39][40] - The company is optimistic about the potential of Felsardimab in conditions like AMR and IgAN, despite a crowded competitive landscape [41][42] IRAK4 Program - The IRAK4 program is in early development stages, with plans for a Phase 2 program to explore its potential in various inflammatory conditions [48] Overall R&D Strategy - Biogen's R&D strategy emphasizes a diversified pipeline with multiple high-value programs, aiming for significant market impact across various therapeutic areas [50] - The company is committed to innovation and disciplined cost management while expanding its portfolio through both internal and external collaborations [50] Conclusion - Biogen is positioned for growth with a robust pipeline across neurology, immunology, and rare diseases, focusing on high unmet needs and innovative therapies [50]

Core Viewpoint - Algernon Pharmaceuticals Inc. is rebranding to Algernon Health to focus on the Alzheimer's Disease diagnostic market and establish specialized neuroimaging clinics across North America [1][2] Company Strategy - The new clinics will utilize FDA-cleared, optimized brain-specific Positron Emission Tomography (PET) scanning systems to detect amyloid plaques, offering significantly lower radiation than standard PET/CT machines [2][5] - The PET scans will be covered by Medicare, Medicaid, and private insurance in the U.S., providing a clear revenue pathway for the company [5][11] Market Opportunity - There is a growing demand for Alzheimer's diagnostics, with 162 AD drugs currently under development, creating additional revenue opportunities for Algernon through imaging services for drug development companies and clinical trials [7][6] - The majority of existing PET/CT scanners in the U.S. are dedicated to cancer and cardiac imaging, leading to a shortage for brain-specific scanning, which Algernon aims to address [6][5] Future Plans - Algernon will soon announce its expansion and growth plans, including the location of its first U.S. flagship neuroimaging clinic [8] - The company continues to advance its subsidiary, Algernon NeuroScience, which is investigating a proprietary form of DMT for stroke and traumatic brain injury [9][11]

Core Insights - BioArctic AB's partner Eisai has initiated a rolling submission of the Supplemental Biologics License Application (sBLA) to the U.S. FDA for Leqembi Iqlik (lecanemab-irmb) as a subcutaneous autoinjector, following the FDA granting Fast Track Status [1][15] - Leqembi Iqlik, if approved, would be the first anti-amyloid treatment allowing at-home injection from the start, enhancing treatment accessibility for Alzheimer's disease patients [1][2] Company Overview - BioArctic AB is a Swedish biopharma company focused on innovative treatments for neurodegenerative diseases, having developed Leqembi, the first drug proven to slow Alzheimer's disease progression [11] - The collaboration between BioArctic and Eisai dates back to 2005, with Eisai responsible for clinical development and commercialization, while BioArctic retains rights for commercialization in the Nordic region [4][10] Product Details - Leqembi is indicated for treating Alzheimer's disease in patients with Mild Cognitive Impairment (MCI) or mild dementia, and is currently approved in 48 countries, with regulatory reviews ongoing in 10 countries [2][7] - The sBLA submission is based on Phase 3 clinical studies evaluating subcutaneous administration of lecanemab, which could offer a weekly starting dose as an alternative to bi-weekly intravenous dosing [2][3] Clinical Development - Eisai's ongoing Phase 3 clinical study (AHEAD 3-45) involves individuals with preclinical Alzheimer's disease and aims to assess the efficacy of lecanemab [9] - The Tau NexGen clinical study for Dominantly Inherited Alzheimer's Disease (DIAD) is also ongoing, incorporating lecanemab as a key anti-amyloid therapy [9] Treatment Mechanism - Leqembi targets both amyloid plaque and protofibrils, which are believed to contribute to cognitive decline in Alzheimer's disease [3][14] - The subcutaneous formulation of Leqembi has the potential to reduce healthcare resource utilization associated with intravenous dosing, streamlining the treatment pathway for Alzheimer's disease [2]

Core Insights - Eli Lilly and Company (LLY) has significantly increased its market value over the past 2-3 years, primarily due to the success of its GLP-1 drugs, Mounjaro for type II diabetes and Zepbound for obesity [1] Drug Approvals and Revenue Contributions - Lilly has received approvals for several new drugs, including Omvoh for ulcerative colitis and Crohn's disease, Jaypirca for mantle cell lymphoma and chronic lymphocytic leukemia, Ebglyss for atopic dermatitis, and Kisunla for early symptomatic Alzheimer's disease, all contributing to revenue growth [2] - In the first half of 2025, Omvoh generated $111.9 million, while Ebglyss, Kisunla, and Jaypirca contributed $147.1 million, $70.1 million, and $215.3 million, respectively [3] Future Growth Potential - These drugs are being evaluated for additional indications and label expansions, with Ebglyss in phase III trials for perennial allergens and chronic rhinosinusitis, and Jaypirca being studied for earlier lines of therapy [4] - Lilly anticipates that Omvoh, Ebglyss, Kisunla, and Jaypirca will continue to drive revenue growth in the second half of 2025 [5] Upcoming Drug Approvals - A new drug, imlunestrant, is under review for treating ER+HER2-metastatic breast cancer in the US and EU [6] Competitive Landscape - Omvoh faces competition from AbbVie's Humira, Skyrizi, and Rinvoq, as well as J&J's Stelara, while Kisunla competes with Eisai/Biogen's Leqembi [7][8] - Jaypirca competes with older BTK inhibitors like Imbruvica and Calquence, and Ebglyss faces competition from Dupixent [9] Stock Performance and Valuation - Lilly's stock has declined by 4.6% this year, contrasting with a 1.3% increase in the industry [10] - The combined revenue from Omvoh, Ebglyss, Kisunla, and Jaypirca exceeded $540 million in H1 2025, with EPS estimates for 2025 and 2026 rising to $22.97 and $30.95, respectively [11] - Lilly's stock is currently trading at a price/earnings ratio of 25.87, higher than the industry average of 14.78, but below its 5-year mean of 34.54 [13] Consensus Estimates - The Zacks Consensus Estimate for 2025 EPS has increased from $22.04 to $22.97 over the past 30 days, while the estimate for 2026 has risen from $30.88 to $30.95 [14]

Core Insights - Biogen has received FDA approval for a subcutaneous autoinjector version of Leqembi, named Leqembi Iqlik, which will serve as a weekly maintenance dosing option for early Alzheimer's disease treatment [1][9] - Patients can transition to Leqembi Iqlik after completing an 18-month course of biweekly infusions or choose a monthly intravenous dosing regimen that was previously approved [2] - The new subcutaneous version significantly reduces administration time from nearly one hour for IV infusions to about 15 seconds, allowing for at-home use [3][9] - Clinical studies support that the weekly maintenance dosing with Leqembi Iqlik maintains clinical and biomarker benefits similar to continued IV dosing, with a commercial launch planned for October 6, 2025 [4] - Leqembi was initially approved in 2023 for biweekly dosing in early Alzheimer's patients, with a similar approval in the European Union in April [5] Company Collaboration - Biogen developed Leqembi in collaboration with Eisai, which leads clinical development and regulatory submissions, while both companies co-commercialize the drug [6] Market Performance - Biogen's stock has underperformed compared to the industry year to date [7] - Leqembi sales showed significant growth, with Eisai reporting nearly $160 million in global revenues in Q2 2025, up from $96 million in the previous quarter, indicating strong market potential [10] Competitive Landscape - Currently, the FDA has approved two drugs for Alzheimer's disease: Leqembi and Kisunla, developed by Eli Lilly, both targeting early symptomatic Alzheimer's [11][12] - Kisunla has also seen rapid uptake, with sales increasing from $21.5 million to $48.6 million in the second quarter, reflecting a positive launch trajectory [13]

Eisai and Biogen received US regulatory approval for a new self-injected form of their Alzheimer’s drug Leqembi, in a move that could make a complicated treatment regimen more convenient for patients taking the drug long term https://t.co/3TkmmUjTiT ...

Core Insights - BeyondSpring Inc. reported Q2 2025 financial results and highlighted significant clinical and corporate milestones, focusing on its lead asset, Plinabulin, which is positioned to redefine cancer treatment by leveraging the immune system [1][2]. Clinical Developments - Plinabulin is a first-in-class agent that matures dendritic cells, potentially offering new hope to 60% of non-small cell lung cancer (NSCLC) patients whose disease progresses after checkpoint inhibitor therapy [2]. - In the global Phase 3 trial (Dublin-3), the combination of Plinabulin and docetaxel showed durable survival benefits and reduced chemotherapy-induced neutropenia compared to standard docetaxel alone [2]. - New data from a Phase 2 study indicated that the combination of pembrolizumab, Plinabulin, and docetaxel in metastatic NSCLC patients demonstrated a median progression-free survival (PFS) of 6.8 months and an overall survival (OS) of 78% at 15 months [5]. - A collaboration with MD Anderson highlighted Plinabulin's rapid dendritic cell activation across eight cancer types, reporting an objective response rate (ORR) of 23% and a disease control rate (DCR) of 54% [5]. Corporate Milestones - SEED Therapeutics, in which BeyondSpring is a founding shareholder, received FDA clearance for its RBM39 molecular glue degrader, ST-01156, targeting aggressive cancers [2][4]. - Dr. Bill Desmarais joined SEED Therapeutics as CFO and CBO, bringing over 20 years of biotech leadership experience [6]. Financial Performance - For the six months ended June 2025, BeyondSpring reported a net income of $1 million, an improvement from a net loss of $2.6 million in the same period of 2024 [7]. - Research and development (R&D) expenses increased to $1.9 million for the six months ended June 2025, compared to $1.6 million in the prior year, primarily due to higher professional service fees [9]. - General and administrative (G&A) expenses decreased to $2.7 million for the six months ended June 2025, down from $3.1 million in the same period of 2024 [9]. Financial Position - As of June 30, 2025, cash and cash equivalents stood at $9.5 million, a significant increase from $2.9 million as of December 2024 [9]. - Current assets totaled $15.7 million, down from $25.3 million as of December 2024, reflecting the impact of discontinued operations [9].

Summary of Earnings Call Records Industry Overview - **Industry**: Pharmaceuticals and Biotech Sectors - **Companies Discussed**: AbbVie, Biogen, Bristol Myers Squibb, Bio-Rad Laboratories, Neurocrine Biosciences, Takeda Pharmaceutical, Chugai Pharmaceutical, PeptiDream, Nxera Pharma Key Points by Company AbbVie - **Sales Performance**: Humira sales decreased by 58.1% year-over-year due to biosimilar competition, but this was offset by strong sales of Skyrizi, which increased by 62.2% to $4.4 billion, driven by market share growth in psoriasis and inflammatory bowel disease [1] - **Product Strategy**: Many patients switched from Humira to Skyrizi and Rinvoq instead of biosimilars. AbbVie plans to increase production capacity for Skyrizi in the long term [1] - **New Developments**: The obesity treatment ABBV-295 may address muscle and bone loss when used with other AbbVie drugs [1] Biogen - **Market Share**: Leqembi, an Alzheimer's treatment, maintains a 70% market share despite competition from Eli Lilly's Kisunla [3] - **Testing Growth**: Monthly PET testing for Alzheimer's has increased fivefold, and blood-based biomarker testing has tripled in the past year [3] - **Future Expectations**: Biogen anticipates interim data readout for the AHEAD 3-45 study in 2028 [3] Bristol Myers Squibb - **Sales Growth**: Sales of Opdivo's subcutaneous formulation increased by 7% year-over-year to $30 million, while the intravenous formulation rose to $2.56 billion [6] - **New Product Launch**: Cobenfy, a schizophrenia treatment, generated $35 million in sales with over 2,000 weekly prescriptions [6] - **Direct-to-Patient Model**: The company plans to sell Eliquis directly to patients at a discount of over 50% below the list price [6] Bio-Rad Laboratories - **Sales Performance**: Reported sales of $652 million, up 2% year-over-year, but operating profits fell by 24% to $77 million due to weak demand in biotech and academic research markets [8] - **Market Challenges**: The demand for instruments has been particularly weak, impacting overall sales [8] Neurocrine Biosciences - **Sales Growth**: Total sales reached $688 million, up 16% year-over-year, with operating profits flat at $146 million [10] - **Future Studies**: Plans to initiate a Phase 2 study of NBI-570 in H2 2025, with Phase 1 data readouts expected for NBI-567 and NBI-569 [10] - **Market Positioning**: Neurocrine is exploring differentiation opportunities in muscarinic receptor agonists, which may be better suited for elderly patients [10] Implications for Japanese Companies - **Takeda Pharmaceutical**: Entyvio retains a top share among first-line therapies for ulcerative colitis but is losing market share in second-line settings due to competition [2] - **Chugai Pharmaceutical and PeptiDream**: Both companies are developing myostatin inhibitors to counteract muscle mass loss associated with long-term GLP-1 receptor agonist use [2] - **Nxera Pharma**: The company is positioned positively due to its licensing of muscarinic receptor agonists to Neurocrine, although earnings contributions may not be reflected in share prices until Phase 3 study results are available [11] Additional Insights - **Market Trends**: The aggressive advertising by competitors is impacting market shares of established products like Entyvio [2] - **Direct Sales Models**: There is a growing trend among overseas pharmaceutical companies to adopt direct-to-patient sales models, which Japanese companies have yet to fully embrace [7] This summary encapsulates the key insights and data from the earnings calls of the discussed companies, highlighting their performance, strategies, and implications for the broader industry.

Core Insights - Biogen reported strong second-quarter 2025 results, with adjusted earnings per share (EPS) of $5.47, significantly exceeding the Zacks Consensus Estimate of $3.93, and a 4% year-over-year increase in earnings [1] - Total revenues for the quarter reached $2.65 billion, up 7% year over year, surpassing the Zacks Consensus Estimate of $2.32 billion [2] Revenue Breakdown - Product sales were $1.9 billion, a slight decline of 1% year over year, while revenues from anti-CD20 therapeutic programs increased by 5% to $467 million [3] - Contract manufacturing and royalty revenues surged 124% year over year to $245 million, and Alzheimer's collaboration revenues rose to $55 million from $12 million in the previous year [4][5] Performance of Key Products - Sales of Biogen's multiple sclerosis (MS) drugs totaled $1.1 billion, down 4% year over year, primarily due to generic competition for Tecfidera and biosimilar competition for Tysabri [7] - Tecfidera sales fell nearly 23% to $193.6 million, while Vumerity sales increased by around 30% to $212.2 million [8] - Spinraza sales declined 8.5% to $392.7 million, missing estimates, while rare disease drug Skyclarys generated $130.3 million, up 5.2% sequentially [12] New Product Performance - New drugs Leqembi, Skyclarys, and Zurzuvae showed strong demand and sequential sales growth, with Leqembi generating $63 million in U.S. sales, a 20% increase [5][11] - Zurzuvae recorded $46.4 million in sales, up 68% sequentially, driven by increased demand [13] Cost and Guidance Updates - Adjusted R&D expenses decreased by 13% to $394 million, while SG&A expenses rose 7% to $579 million [16] - Biogen raised its 2025 EPS outlook to $15.50-$16.00, reflecting a stronger business outlook, and expects total revenues to be flat compared to 2024 [18] Market Reaction and Future Outlook - The positive guidance and strong sales of Leqembi boosted investor confidence, leading to a more than 5% rise in pre-market trading [20] - Despite rising competitive pressure on MS drugs, new products have the potential to drive growth, although it remains uncertain if they can offset declines in existing products [21]

Core Insights - BioArctic AB's partner Eisai presented significant findings on lecanemab (Leqembi®) at the Alzheimer's Association International Conference, highlighting its clinical efficacy and safety profile over four years of treatment [1] Group 1: Clinical Efficacy - Four years of lecanemab treatment helped patients remain in the early stage of Alzheimer's disease longer compared to the natural disease course, with a 27% slowing of clinical decline as measured by the CDR-SB scale [2] - Among patients who completed the core study, 95% chose to continue in the open-label extension study, demonstrating a 1.01-point less decline over three years and a 1.75-point less decline after four years compared to expected decline in other cohorts [3] - In a tau PET sub-study, 69% of participants with low tau levels showed improvement or no decline after four years of treatment, indicating sustained long-term benefits [4] Group 2: Safety Profile - No new safety findings were observed in the open-label extension study, with rates of amyloid-related imaging abnormalities (ARIA) decreasing after the first 12 months and remaining consistent throughout four years [5] - Interim real-world data indicated that 84% of patients on lecanemab either remained stable or clinically improved, with a safety profile consistent with phase 3 data [6] Group 3: Treatment Administration - Subcutaneous dosing of lecanemab is being explored as a new treatment option, with a weekly maintenance dose of 360 mg showing comparable clinical and biomarker benefits to intravenous administration [9][10] - The safety profile of the 360 mg weekly subcutaneous maintenance dose was consistent with intravenous therapy, with systemic injection reactions occurring in less than 1% of patients [11] - Subcutaneous dosing allows for easier home administration, potentially reducing the need for infusion center visits and enhancing patient compliance [12] Group 4: Commercialization and Collaboration - Eisai leads the global development and regulatory submissions for Leqembi, with BioArctic holding rights for commercialization in the Nordic region [13][17] - BioArctic has no development costs for lecanemab and is entitled to payments related to regulatory approvals and sales milestones [17] - The collaboration between BioArctic and Eisai has been ongoing since 2005, focusing on the development and commercialization of Alzheimer's disease treatments [16]