Summary of Ionis Pharmaceuticals Conference Call Company Overview - **Company**: Ionis Pharmaceuticals (NasdaqGS:IONS) - **Date of Conference**: November 13, 2025 - **Key Speakers**: Beth Hougen (CFO), Kyle Jenne (Chief Global Product Strategy Officer) Key Industry and Company Insights Commercial Performance - **Tryngolza**: Launched for FCS (Familial Chylomicronemia Syndrome) with sales guidance of **$85-$95 million** for the full year, exceeding expectations [2][10] - **Donidalorsen**: Recently approved for HAE (Hereditary Angioedema), showing strong early market enthusiasm [2][3] - **Olezarsen**: Phase three data indicates a potential billion-dollar opportunity for SHTG (Severe Hypertriglyceridemia) [3][4] Clinical Data Highlights - **Olezarsen Efficacy**: Achieved up to **72% placebo-adjusted reduction in triglycerides**, leading to an **85% reduction in acute pancreatitis risk** [7][8] - **Safety Profile**: Slight increases in liver enzymes and fat observed, but no clinical sequelae reported [9] - **Patient Population**: Targeting **3,000 high-risk SHTG prescribers** in the U.S. with a broader potential market of **3.4 million** SHTG patients [10][12] Market Strategy - **Targeting High-Risk Patients**: Focus on patients with a history of acute pancreatitis and those over 80 years old, with a strategy to reach **20,000 HCPs** [14][16] - **Regulatory Timeline**: Anticipating filing for sNDA by the end of the year, with a potential approval in **October next year** [18] Pricing Strategy - **Pricing Range**: Expected to be in the **$10,000-$20,000** range to maximize patient access and minimize payer restrictions [24] - **Market Demand**: HCPs indicate a strong need for therapies that lower triglycerides, regardless of historical events [20][21] HAE Market Insights - **Market Dynamics**: Approximately **75% of identified HAE patients** are on prophylactic therapy, indicating a switch market with **20% annual switching** due to efficacy, tolerability, and convenience [25][26] - **Donidalorsen Expectations**: Projected peak sales of **greater than $500 million**, with an initial consensus of **$8 million** for the end of the year [29][31] Financial Outlook - **Projected Peak Sales**: Anticipated annual peak sales of **$5 billion or more**, with **$3 billion** from wholly owned pipeline and **greater than $2 billion** in royalties from partnered programs [41][42] - **Break-even Target**: Aiming for positive cash flow break-even by **2028** [41][43] Additional Important Points - **Market Research**: Ongoing discussions with HCPs and payers to determine optimal pricing and market positioning [24][35] - **Competitive Landscape**: The TTR (Transthyretin Amyloidosis) market is expected to grow significantly, with projections exceeding **$20 billion** globally [33][34] This summary encapsulates the key points discussed during the conference call, highlighting Ionis Pharmaceuticals' current market position, product pipeline, and financial outlook.

香 港 交 易 及 結 算 所 有 限 公 司 及 香 港 聯 合 交 易 所 有 限 公 司 對 本 公 告 的 內 容 概 不 負 責，對其準確性或完整性亦不發表任何聲明，並明確表示，概不對因本公告全部 或任何部份內容而產生或因倚賴該等內容而引致的任何損失承擔任何責任。 Laekna, Inc. 來凱醫藥有限公司 （於開曼群島註冊成立之有限公司） （股份代號：2105） 內幕消息 與齊魯製藥就LAE 002 (AFURESERTIB)簽訂 中國地區的獨家許可協議 本公告由來凱醫藥有限公司（「本公司」，連同其附屬公司統稱「本集團」）根據香港 聯合交易所有限公司證券上市規則（「上市規則」）第13.09條及香港法例第571章證 券及期貨條例第XIVA部項下的內幕消息條文（ 定義見《上市規則》）的規定作出。 緒言 本公司董事（「董事」）會（「董事會」）欣然宣佈，於2025年11月12日，本集團與齊魯 製藥有限公司（「齊魯製藥」）已訂立獨家許可協議（「許可協議」）。 許可協議的主要條款 據 本 公 司 所深 知 及 確 信 ， 齊 魯 製 藥及 其 股 東 均 獨 立 於 本公 司 及 其 關 連 人 士（ 定 義 ...

Core Viewpoint - Weijian International Holdings Limited has submitted an application for H-share listing on the Hong Kong Stock Exchange, with Huatai International as the sole sponsor [1] Group 1: Company Overview - Weijian International is a comprehensive pharmaceutical company focused on the treatment of kidney and blood diseases, with a diverse product portfolio that also extends to respiratory and skin diseases [2] - The company has the largest number of commercialized original research drugs for kidney diseases among Chinese pharmaceutical companies, with a product portfolio that includes over 20 commercialized drugs and one candidate drug [2] Group 2: Financial Performance - The company's revenue for the years 2022, 2023, 2024, and the first half of 2025 was approximately RMB 724 million, RMB 887 million, RMB 902 million, and RMB 798 million respectively, showing significant revenue fluctuations [2][3] - Net profit figures for the same periods were approximately RMB -93 million, RMB -17 million, RMB 8.6 million, and RMB 24 million, indicating notable volatility in profitability [2][3] Group 3: Client Base and Revenue Concentration - The main clients of Weijian International include pharmaceutical product distributors and companies seeking promotional services, with the top five clients contributing approximately RMB 435 million, RMB 487 million, RMB 539 million, and RMB 487 million to total revenue in the respective years, accounting for 60.2%, 54.8%, 59.8%, and 61.1% of total revenue [4] - The revenue from the largest client was approximately RMB 109 million, RMB 160 million, RMB 170 million, and RMB 205 million, representing 15.0%, 18.0%, 18.9%, and 25.7% of total revenue [4] Group 4: Strategic Developments - In September 2024, Weijian International completed the acquisition of Xiehe Qilin China, gaining exclusive rights to develop, produce, and commercialize five original research drugs, along with approximately 43,000 square meters of production facilities and self-production capabilities [4] - The company may face challenges in successfully identifying, discovering, acquiring, licensing, or developing new candidate products to maintain its product pipeline [4]

Financial Data and Key Metrics Changes - In Q3 2025, the company recognized $0.1 million in revenue from a licensing agreement, with no revenue from Palsanafy due to the timing of its approval [25][26] - Research and development expenses increased to $90.5 million from $80.3 million in the previous quarter, reflecting ongoing investments in clinical programs [26] - Selling, general, and administrative expenses rose to $52.3 million from $49.8 million, driven by launch-related investments [26] - The company ended the quarter with $1.1 billion in cash and equivalents, maintaining guidance for net cash used in operations between $340 million and $370 million for 2025 [27][26] Business Line Data and Key Metrics Changes - The launch of Palsanafy is progressing well, with significant early adoption among patients switching from other therapies and some newly diagnosed patients starting treatment [8][10] - The company aims to make Palsanafy the first-line treatment for acromegaly, with a focus on transitioning patients from injectable therapies [11][20] Market Data and Key Metrics Changes - The company is actively engaging with both community and academic healthcare providers, with 70% of prescriptions coming from community settings [22][37] - Payers have shown favorable responses, with prior authorizations being processed quickly and some approvals extending up to 12 months [23][50] Company Strategy and Development Direction - The company is focused on establishing Palsanafy as foundational care for acromegaly and plans to expand efforts to reach previously diagnosed patients who have discontinued therapy [12][28] - The strategy includes a three-phase approach to improve patient care, starting with switching current patients, then re-engaging those lost to follow-up, and finally enhancing diagnosis awareness [11][12] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the positive feedback from patients, physicians, and payers regarding Palsanafy, indicating a strong launch trajectory [28][52] - The company anticipates significant data readouts from ongoing clinical trials in the coming months, which are expected to drive further value [28][29] Other Important Information - The company has delayed IND timelines for certain candidates due to identified weaknesses, prioritizing the best backup molecules [13] - The clinical pipeline is expected to expand in 2026, with new candidates entering clinical trials [13][29] Q&A Session Summary Question: Inquiry about PFS data in NANETS patients with Paltuzatine - Management discussed the known effects of somatostatin receptor ligands on neuroendocrine tumors and the expectation of similar outcomes for Paltuzatine [31] Question: Clarification on the Graves' disease candidate - Management confirmed that the decision to delay was due to idiosyncratic findings unrelated to on-target activity [32] Question: Details on prescriber engagement and patient demographics - Management noted that 95% of top priority prescribers have been engaged, with a mix of community and academic prescribers showing positive initial responses [33][36] Question: Demand dynamics between community and centers of excellence - Management highlighted that community practices are more nimble, leading to quicker adoption compared to academic centers [39] Question: Insights on Quick Start program and reimbursement - Management indicated that benefit verification is ongoing, with a goal to expedite the process while ensuring patients receive treatment [48][42] Question: Overview of launch experience and payer segments - Management reported a balanced mix of commercial, Medicare, and Medicaid patients, with positive feedback across all segments [53]

Financial Data and Key Metrics Changes - In Q3 2025, Liquidia reported $51.7 million in net product sales of Utrepia, marking a significant achievement in its first full quarter post-launch [11] - The company recorded a net loss of $3.6 million, but on a non-GAAP basis, it generated positive adjusted EBITDA of $10.1 million, ahead of previous profitability guidance [11][12] - Cash on hand at the end of the quarter totaled $157.5 million, with September marking the first month of positive net cash flow, adding $5 million [11][12] Business Line Data and Key Metrics Changes - Utrepia has received over 2,000 unique prescriptions and initiated therapy for over 1,500 patients, with a referral-to-start ratio of approximately 85% [6][11] - The majority of prescriptions are for PAH, with a steady growth in PH-ILD usage, indicating a balanced uptake between new patients and those transitioning from other therapies [6][7] Market Data and Key Metrics Changes - The company has established a strong market presence with over 600 healthcare practitioners prescribing Utrepia across the U.S., and October was noted as the highest month for referrals [6][11] - The competitive landscape shows that Utrepia is gaining traction against existing therapies, with a significant portion of prescriptions coming from patients switching from oral therapies [7][33] Company Strategy and Development Direction - Liquidia aims to translate early commercial success into long-term sustainable growth by broadening Utrepia's clinical utility and exploring additional indications such as IPF and PPF [8][9] - The company is focused on innovation, execution, and reinvestment, with plans to optimize inhaled treprostinil through the development of L606, a sustained-release formulation [9][13] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the product profile of Utrepia, which is rapidly influencing the standard of care and is expected to continue driving growth [5][8] - The company anticipates maintaining a positive trajectory into 2026, focusing on profitability while reinvesting in R&D [12][13] Other Important Information - Liquidia has signed contracts with the three major commercial payers, ensuring patient access to Utrepia without significant barriers [23][24] - The company is actively managing inventory levels and has settled into a normal level of channel loading, indicating effective supply chain management [40] Q&A Session Summary Question: What is driving the uptake of Utrepia and the breakdown between PAH and PH-ILD? - Management noted strong demand driven by Utrepia's unique product profile, with PAH accounting for the majority of prescriptions while PH-ILD is steadily growing [15][16] Question: What percentage of revenues is associated with contracted versus non-contracted reimbursement? - Management confirmed that they have contracts with the three major commercial payers and emphasized the importance of patient support services in converting referrals to prescriptions [21][23] Question: How many patients were in the 28-day voucher period and the average time from prescription to shipment? - Over 50% of new patients utilized the voucher program, with average prescription fulfillment occurring within a few weeks [27][29] Question: What is the current status of care coverage and competition? - Management indicated that they have achieved parity in commercial coverage and are confident in their strategy moving forward [37][39] Question: How does ongoing litigation affect demand for Utrepia? - Management stated that physicians are primarily focused on patient benefits rather than litigation, and the robust commercial environment reflects strong demand for Utrepia [47][49] Question: What are the potential outcomes of the litigation? - The range of possible remedies varies widely, and the company is awaiting the judge's decision, which could impact future operations [60][63]

Financial Data and Key Metrics Changes - Insmed reported $28 million in net sales for Brensupri in its first partial quarter of launch, reflecting a strong initial reception [32] - ARIKAYCE achieved its largest quarter of revenue ever, up 22% year-over-year, with growth in all geographic regions [39] - The company raised its full-year global ARIKAYCE net revenue guidance to $420 to $430 million, indicating a 15% to 18% increase over 2024 revenues [41] Business Line Data and Key Metrics Changes - Brensupri's launch has seen approximately 2,550 new patients starting treatment and about 1,700 physicians prescribing it, indicating broad initial adoption [32] - ARIKAYCE continues to perform well, with an 11% growth in the U.S. despite the focus on Brensupri's launch [39] Market Data and Key Metrics Changes - The early days of Brensupri's launch have shown broad patient access, with most prescriptions approved for coverage without formal contracts [36] - International business for ARIKAYCE set a new all-time high, growing more than 50% compared to the same quarter last year [40] Company Strategy and Development Direction - Insmed aims to position Brensupri alongside leading respiratory launches in the industry, targeting significant commercial opportunities [9] - The company plans to expand its pipeline with multiple late-stage and commercial programs, including potential launches in the EU, UK, and Japan for Brensocatib [10][12] Management's Comments on Operating Environment and Future Outlook - Management expressed cautious optimism regarding the Brensupri launch, emphasizing the need for more data from the first full quarter to assess long-term trends [51] - The company is focused on ensuring a frictionless market access experience for Brensupri, with ongoing discussions with payers to simplify prior authorization processes [56] Other Important Information - Insmed's pipeline is expected to deliver more catalysts over the next 18 months than in the previous period, with several clinical trials and regulatory submissions planned [10][12] - The company has a strong cash position of approximately $1.7 billion, allowing it to support upcoming launches and clinical programs [41][43] Q&A Session Summary Question: Early feedback on physician experience with Brensupri - Management noted positive feedback from physicians, with enthusiasm for the medicine and a generally straightforward reimbursement process [47][49] Question: Thresholds for payer coverage - The company aims for clear and non-burdensome criteria for approval, focusing on patients with confirmed diagnoses and multiple exacerbations [54][56] Question: Frictionless launch experience - Initial experiences have been positive, with manageable documentation requirements for physicians, and the company is working to ease the process further [60][62] Question: Patient journey and awareness - There is clear enthusiasm from patients, with social media activity reflecting excitement about the new treatment, while physician awareness is also high [66] Question: Investments needed for European launch - The strategy involves cautious investment in Europe, ensuring reimbursement processes are favorable before significant additional investments [70]

Financial Data and Key Metrics Changes - Insmed reported $28 million in net sales for Brensupri in its first partial quarter of launch, reflecting strong early reception [32] - ARIKAYCE achieved its largest quarter of revenue ever, up 22% year-over-year, with U.S. growth of 11% despite Brensupri's launch [39] - The company raised its full-year global ARIKAYCE net revenue guidance to $420 to $430 million, up from $405 to $425 million previously [41] Business Line Data and Key Metrics Changes - Brensupri's launch has seen approximately 2,550 new patients starting treatment and about 1,700 physicians prescribing it [32] - ARIKAYCE's international business, including Japan and Europe, grew more than 50% compared to the same quarter last year [39] Market Data and Key Metrics Changes - The early days of Brensupri's launch have resulted in broad prescribing patterns, with physicians initially prescribing to a small number of severe patients [33] - The company has achieved broad patient access from day one, with most prescriptions approved for coverage on both Medicare and commercial sides [35] Company Strategy and Development Direction - Insmed aims to position Brensupri alongside leading respiratory launches in the industry, targeting significant revenue potential [9] - The company plans to expand Brensocatib's reach in the EU, UK, and Japan, with potential launches expected in early 2026 [12][13] - Insmed is focused on executing multiple clinical and commercial opportunities over the next 18 months, including new Phase 3 programs [30] Management's Comments on Operating Environment and Future Outlook - Management expressed cautious optimism regarding the Brensupri launch, emphasizing the need for more data from the upcoming full quarter [53] - The sentiment from physicians regarding Brensupri is positive, with enthusiasm noted during recent conferences [49][50] - The company remains well-capitalized with approximately $1.7 billion in cash and equivalents, positioning it strongly for future investments [41] Other Important Information - Insmed's pipeline includes multiple late-stage programs and a growing number of early-stage therapies, with expectations for significant clinical catalysts in the near term [10][12] - The company has been recognized as the number one employer on Science Magazine's Top Employers list for five consecutive years [31] Q&A Session Summary Question: Feedback on physician experience with Brensupri - Management noted positive feedback from physicians, with enthusiasm for the medicine's potential and straightforward reimbursement processes in the early days of launch [49][50] Question: Thresholds for payer coverage - The company aims for a frictionless launch with clear and manageable criteria for approval, focusing on patients with confirmed diagnoses and multiple exacerbations [66][68] Question: Dynamics of patient journey for Brensupri - There is clear enthusiasm from patients, with social media activity reflecting excitement about the new treatment, while physicians are aware of the medicine's arrival [84] Question: Investment needed for European launch - The strategy in Europe involves cautious investment until reimbursement is confirmed, with some preparatory actions already taken [91] Question: Design considerations for Phase 3 trials - The company is ramping up production and believes it can overcome orphan drug exclusivity challenges based on strong efficacy and safety data [102][104]

Financial Data and Key Metrics Changes - In Q3 2025, the company generated $157 million in revenue, a 17% increase year-over-year, and for the first nine months, revenue totaled $740 million, reflecting a 55% increase compared to the prior year [23][24] - TRYNGOLZA product sales reached $32 million, representing a nearly 70% increase over the second quarter [23][24] - Royalty revenues increased by approximately 13% to $76 million in Q3, driven by contributions from SPINRAZA and WAINUA [24] - The company raised its 2025 financial guidance, now expecting total revenue between $875 million and $900 million, an increase of $50 million from prior guidance [25][26] Business Line Data and Key Metrics Changes - TRYNGOLZA, the FDA-approved treatment for familial chylomicronemia syndrome, continues to show strong momentum with significant sales growth [5][14] - DAWNZERA, approved for hereditary angioedema, has seen strong early adoption, with initial prescriptions being filled shortly after approval [19][20] - The company anticipates two additional independent launches next year, with olzarsen for severe hypertriglyceridemia and zilganersen for Alexander disease [6][10] Market Data and Key Metrics Changes - The U.S. prophylactic HAE market is well established, with approximately 20% of patients switching treatments annually, indicating a significant opportunity for DAWNZERA [20] - The severe hypertriglyceridemia (sHTG) patient population is estimated to exceed 1 million in the U.S., with many patients struggling to manage triglyceride levels with current treatments [16][17] Company Strategy and Development Direction - The company is focused on executing its commercial strategy for TRYNGOLZA and DAWNZERA while preparing for upcoming launches of olzarsen and zilganersen [22][27] - The company aims to achieve cash flow breakeven by 2028, driving long-term value creation [26][27] - The commercial team is expanding outreach to healthcare providers and enhancing patient identification efforts to maximize the potential of its therapies [15][17] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the continued success of TRYNGOLZA and DAWNZERA, highlighting the strong early feedback from physicians and patients [19][20] - The company is optimistic about the upcoming data presentations and regulatory submissions, which are expected to further validate its pipeline and market potential [9][11] - Management emphasized the importance of addressing unmet needs in serious diseases and the potential for multi-billion dollar revenue from its pipeline [7][10] Other Important Information - The company announced the retirement of Richard Geary, Chief Development Officer, recognizing his contributions over the past 30 years [28] - The company is preparing for a significant data presentation at the American Heart Association (AHA) conference, which is expected to highlight the efficacy of olzarsen [38][39] Q&A Session Summary Question: What is the expected launch curve for olzarsen in sHTG? - The company anticipates strong interest from healthcare providers and plans to target approximately 20,000 HCPs covering around 360,000 patients with sHTG [31][33] Question: Any concerns regarding acute pancreatitis events in olzarsen studies? - Management expressed confidence in the groundbreaking results and emphasized that the data will be presented at AHA, with no significant concerns noted [37][38] Question: What are the peak revenue expectations for olzarsen and DAWNZERA? - Peak sales for DAWNZERA are expected to exceed $500 million, while olzarsen is anticipated to surpass $1 billion [39][40] Question: What is the pricing strategy for olzarsen? - The company is still evaluating pricing and will announce final pricing upon approval of the sHTG indication [44][45] Question: How is the early adoption of DAWNZERA progressing? - Early adoption is strong, with both switching patients and newly diagnosed patients starting treatment [72] Question: What is the source of revenue growth for WAINUA? - The revenue growth is primarily driven by new patient identification and the product's performance in improving quality of life [73]

Financial Data and Key Metrics Changes - In Q3 2025, the company generated $157 million in revenue, a 17% increase year over year, and $740 million for the first nine months, reflecting a 55% increase compared to the prior year [23][24] - Tringolsa reported $32 million in net product sales, representing a nearly 70% increase quarter over quarter [13][23] - Royalty revenues increased by approximately 13% to $76 million in Q3, driven by contributions from Spinraza and Waylivra [24] - The company raised its 2025 financial guidance, now expecting total revenue between $875 million and $900 million, an increase of $50 million from prior guidance [25][26] Business Line Data and Key Metrics Changes - Tringolsa's launch is gaining momentum, with a significant increase in prescribers and patient identification efforts [15][16] - Donzera, approved for hereditary angioedema, is seeing strong early adoption, with patients switching from prior therapies and treatment-naive patients starting on Donzera [18][19] - Olzarsen showed a significant reduction in triglycerides and acute pancreatitis events, positioning it for a strong launch next year [9][10] - Zilganersen demonstrated a disease-modifying effect in Alexander disease, with plans for an independent launch next year [10][11] Market Data and Key Metrics Changes - The company anticipates targeting approximately 20,000 healthcare providers (HCPs) for Olzarsen, covering around 360,000 patients with severe hypertriglyceridemia (SHTG) [32] - The U.S. prophylactic HAE market is well established, with many patients dissatisfied with current therapies, indicating a significant opportunity for Donzera [19][66] Company Strategy and Development Direction - The company is focused on executing its commercial strategy for Tringolsa and Donzera while preparing for upcoming launches of Olzarsen and Zilganersen [22][28] - The pipeline includes multiple late-stage programs, with expectations for four key launches from the partnered pipeline by the end of 2027 [6][12] - The company aims to achieve cash flow breakeven by 2028, driving long-term value creation [26][28] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the ongoing momentum across the business, with strong performance from independent launches and a robust pipeline [4][28] - The company is optimistic about the potential of Olzarsen and Zilganersen to address significant unmet medical needs [10][11] - Management highlighted the importance of patient identification and education efforts to maximize the impact of new therapies [15][16] Other Important Information - The company plans to submit a new drug application for Zilganersen in Q1 2026 and is initiating an expanded access program in the U.S. [11] - The company has a strong balance sheet, expecting to end the year with over $2.1 billion in cash [26] Q&A Session Summary Question: Thoughts on the launch curve for Olzarsen in SHTG - Management indicated strong interest from HCPs and plans to target approximately 20,000 HCPs covering 360,000 patients, expecting strong uptake based on phase 3 data [32] Question: Concerns regarding acute pancreatitis events in Olzarsen studies - Management reassured that the data is groundbreaking and will be presented at AHA, with no significant concerns regarding acute pancreatitis events [36] Question: Peak revenue potential for Donzera and Olzarsen - Management expects peak sales for Donzera to exceed $500 million and for Olzarsen to exceed $1 billion [38] Question: Pricing strategy for Olzarsen - Management is still working on pricing and expects to provide more clarity next year [40] Question: Early prescriptions for Donzera - Management reported strong early adoption, with switches from existing therapies and newly diagnosed patients [66]

Core Viewpoint - The company, Changfeng Pharmaceutical, is set to launch its IPO from September 26 to October 2, 2025, with a focus on inhalation technology and drugs for respiratory diseases [1] Group 1: IPO Details - The company plans to globally offer 41.198 million H-shares, with 10% allocated for Hong Kong and 90% for international sales [1] - The offering price is set at HKD 14.75 per share, with trading expected to commence on October 8, 2025 [1] Group 2: Business Focus - The core business involves the research, development, production, and commercialization of inhalation technology and drugs, primarily targeting respiratory diseases [1] - The company has received approvals for six products from the National Medical Products Administration and the FDA, generating sales revenue from these products [1] Group 3: Fund Utilization - The estimated net proceeds from the fundraising are approximately HKD 525 million [1] - 40% of the net proceeds will be allocated to the research, clinical development, and commercialization of inhalation formulation candidates [1] - 20% will be used for preclinical research, 30% for production facilities, equipment procurement, and management system upgrades, and 10% for working capital and general corporate purposes [1]