Summary of Amicus Therapeutics (FOLD) FY Conference Call - June 10, 2025 Company Overview - **Company**: Amicus Therapeutics - **Core Business**: Development of therapies for rare diseases, primarily focusing on Galafold for Fabry disease and Pombility for Pompe disease - **Sales Projections**: Expected to surpass $500 million in sales for Galafold and $100 million for Pombility in 2025 [3][4] Key Points and Arguments Financial Performance and Growth - **Galafold**: - Projected to achieve $1 billion in peak sales with a growth rate of 10% to 15% in 2025 [4] - Currently in a $2 billion global market, expected to grow to $3 billion over the next decade [8][9] - **Pompe Disease Therapies**: - Pombility and Upholda projected to achieve $100 million in sales with a growth rate of 50% to 65% [4] - Anticipated to reach $1 billion in sales in the future [4] - **New Asset - DMX200**: - Licensed from Dimerix for FSGS, a rare kidney disease, with potential blockbuster status [5] - Expected to contribute to significant revenue growth by 2028 [5] Market Position and Competitive Landscape - **Macro Environment**: - Company believes it is well-positioned to navigate macroeconomic challenges affecting the sector [7][8] - Emphasizes the undervaluation of Galafold and the potential for increased diagnoses in the Fabry disease space [8][9] - **Launch Dynamics**: - Initial launch delays due to COVID-19 impacted market entry for Pompe therapies [37] - Positive trends observed in the U.S. market with increasing patient switches from competitors [39][41] Regulatory and Operational Considerations - **Impact of Tariffs and Regulations**: - Minimal impact from tariffs due to low cost of goods for Galafold, which is manufactured in Switzerland [16][18] - Company is adapting to regulatory changes and believes it is insulated from potential negative impacts [20][22] - **FDA Dynamics**: - New leadership at the FDA is expected to support rare disease regulatory reforms, potentially benefiting Amicus [23][24] Guidance and Future Outlook - **Profitability Expectations**: - Guidance for GAAP profitability in the second half of 2025, with revenue growth projected at 15% to 22% [25][26] - Operating expenses expected to remain flat or increase slightly, allowing for positive free cash flow [27][29] - **Long-term Strategy**: - Focus on maintaining financial discipline while expanding the product portfolio [6][12] - Plans to leverage cash flow for new development opportunities in rare diseases [80] Additional Important Insights - **Market Dynamics**: - The company is seeing strong uptake in initial launch countries, with market shares reaching 20-30% in key markets [47] - New countries like the Netherlands are expected to significantly contribute to revenue through patient switches [50][52] - **Patient Diagnosis Trends**: - Increased diagnosis rates for Fabry disease due to lower costs of genetic testing and newborn screenings [64][66] - Potential for significant patient population growth as awareness and testing improve [67][70] Conclusion Amicus Therapeutics is positioned for strong growth in the rare disease market, with a focus on financial discipline and strategic expansion. The company anticipates achieving profitability in the near term while navigating macroeconomic challenges and regulatory changes. The potential for increased patient diagnoses and successful product launches underpins a positive outlook for future revenue growth.

Core Viewpoint - Fosun Pharma has received approval from the National Medical Products Administration for its self-developed drug, Luwo Meitini tablets, making it the first drug in China for the treatment of adult patients with Langerhans cell histiocytosis (LCH) [1][3] Group 1: Drug Approval and Indications - Luwo Meitini tablets are approved for two indications: treatment of adult patients with LCH and treatment of symptomatic, inoperable plexiform neurofibromas (PN) in children and adolescents aged 2 years and older with Neurofibromatosis Type 1 (NF1) [3] - LCH and Erdheim-Chester disease (ECD) are rare hematological tumors, with over 80% of patients affected by multi-system involvement, leading to severe symptoms and poor prognosis due to limited effective treatment options [1] Group 2: Mechanism of Action - Luwo Meitini tablets act as a highly selective MEK1/2 inhibitor, blocking the abnormal activation of the MAPK signaling pathway, thereby inhibiting tumor cell proliferation and inducing apoptosis [1] Group 3: Ongoing Clinical Trials - Fosun Pharma is expanding the indications for Luwo Meitini tablets, with ongoing Phase III clinical trials for adult NF1 in China and Phase II trials for low-grade gliomas, extracranial arteriovenous malformations, and pediatric LCH [3]

Core Viewpoint - The approval of the injection drug Velaglucerase beta (brand name: Gorynin) by the National Medical Products Administration (NMPA) marks a significant milestone as it is the first domestically developed enzyme replacement therapy for Gaucher disease in China, targeting adolescents and adults aged 12 and above with Type I and III Gaucher disease [1][2]. Group 1: Product Approval and Significance - Velaglucerase beta is the only locally developed enzyme replacement therapy for Gaucher disease in China, making it a unique addition to the treatment options available [1]. - The drug is noted for having the broadest range of indications among Gaucher disease treatments currently available [1]. Group 2: Disease Background and Treatment - Gaucher disease is a rare genetic lysosomal storage disorder, with clinical manifestations including hepatosplenomegaly, anemia, bone pain, and neurological complications, potentially leading to life-threatening conditions [2]. - The global prevalence of Gaucher disease is estimated at 0.7 to 1.75 cases per 100,000 people [2]. - Enzyme replacement therapy (ERT) has been the standard treatment for Gaucher disease for 30 years, showing significant efficacy in improving non-neurological symptoms and enhancing the quality of life for patients [2]. Group 3: Development and Technology - The development of Gorynin was facilitated by collaborative efforts with partners like WuXi Biologics, which helped reduce development costs and ensure the drug is safe and effective for patients [2]. - The drug's development utilized second-generation innovative technology, resulting in over a 110-fold increase in production yield and more than a 50% enhancement in enzyme activity, significantly lowering production costs [2]. - WuXi Biologics also developed a cell-based activity assay for quality control, addressing the unique challenges of testing enzyme-based drugs [2].

Financial Data and Key Metrics Changes - At the end of Q1 2025, the company had over $172 million in cash and short-term investments [23] - A $200 million debt facility was executed with Hercules, providing a cash runway into the second half of 2027 [23] Business Line Data and Key Metrics Changes - The company is focused on a single development program for a rare disease called autoimmune pulmonary alveolar proteinosis (APAP) [2] - The Phase III pivotal clinical trial IMPALA two showed statistically significant improvement in DLCO compared to placebo at week 24, with sustained improvement at week 48 [7][8] - 97% of patients completed the double-blind treatment period, with no withdrawals due to drug-related adverse events [8] Market Data and Key Metrics Changes - The diagnosed prevalence of APAP in the U.S. is estimated at approximately 3,600 patients, with an additional 3,700 likely undiagnosed patients [13][14] - The potential market opportunity in the U.S. is significant, with a total of over 7,000 patients identified [15] Company Strategy and Development Direction - The company aims to establish relationships with pulmonologists and treatment centers to gain visibility into the patient population before the launch of Molbrevi [17] - A U.S. commercial team is being built prior to approval, consisting of 25 to 30 individuals responsible for patient profiling and disease awareness campaigns [22] - The pricing power for Molbrevi is projected between $300,000 and $500,000 per patient per year, aligning with other orphan drug analogues [24] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the potential of Molbrevi, highlighting the lack of approved medicines for APAP in the U.S. and Europe [4][11] - The company anticipates a potential PDUFA date around November if priority review is granted by the FDA [11] - There is a strong interest from U.S. pulmonologists and payers regarding Molbrevi, with 83% of pulmonologists likely to prescribe it [18][19] Other Important Information - The company launched a free blood antibody test called APAP ClearPath to facilitate quicker diagnosis of APAP [20] - The test has been piloted at an interstitial lung disease clinic, aiming to identify undiagnosed APAP patients [21] Q&A Session Summary Question: What is the current status of the regulatory submission for Molbrevi? - The company completed the submission of the BLA to the FDA and is awaiting feedback within a 60-day window [11] Question: How many patients does the company aim to reach by launch? - The company aims to have line of sight to 1,000 known APAP patients by launch, with a goal to confirm the total of 3,600 patients [15][17] Question: What are the expectations regarding payer coverage for Molbrevi? - 87% of payers indicated they intend to provide coverage with simple pre-authorization criteria, recognizing the disease burden of APAP [19]

Financial Data and Key Metrics Changes - In Q1 2025, the company reported net revenue of $20.4 million, with $17.1 million from MyPlifa, $0.1 million from Olpruva, and $2.3 million in net reimbursements from the French EAP for Aramcholamol [29][30] - Operating expenses for Q1 were $22.8 million, a decrease of $0.6 million compared to the same quarter last year [30] - The net loss for Q1 2025 was $3.1 million, compared to a net loss of $16.6 million in the same quarter a year ago [30][31] - Total cash, cash equivalents, and investments as of March 31, 2025, were $68.7 million, a decrease of $6.8 million from December 31, 2024 [30][31] Business Line Data and Key Metrics Changes - MyPlifa's launch has exceeded expectations, with 122 prescription enrollment forms received since launch, indicating that approximately one-third of diagnosed NPC patients in the U.S. have been enrolled [20][21] - Olpruva received a total of 28 prescription enrollment forms since its initial availability, with five forms received in Q1 2025 [12][27] - The company has achieved 38% of covered lives for MyPlifa, which is in line with expectations at this stage of the launch [21][22] Market Data and Key Metrics Changes - The company is focusing on expanding MyPlifa's availability outside the U.S., with plans for a marketing authorization application in Europe in the second half of the year [11] - The European market for NPC is well established, with approximately 1,100 people estimated to be living with the disease [11] Company Strategy and Development Direction - The company is executing on four strategic pillars: commercial excellence, pipeline and innovation, talent and culture, and corporate foundation [5][8] - The focus is on bringing innovative therapies to patients with rare diseases, with a strong emphasis on MyPlifa as a cornerstone treatment for NPC [17][33] - The company is also assessing strategic alternatives for its Phase III ready asset KP1077 for rare sleep disorders [6] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the early success of MyPlifa and the refined marketing strategy for Olpruva, indicating a strong position for future growth [33] - The company believes it is well positioned to support its strategic priorities and execute on its long-term vision, independent from capital markets [31][32] Other Important Information - The company has successfully monetized its Pediatric Rare Disease Priority Review Voucher, adding $148.3 million of non-dilutive capital to its balance sheet [8][31] - The company is committed to patient access and comprehensive patient services through its in-house program, Amplify Assist [27] Q&A Session Summary Question: Details on the number of patients on MyPlifa and reimbursement status - The company received 122 enrollments since launch, with the majority of patients actively on the drug, while some are in the benefits investigation process [36] Question: Reasons for reimbursement denials for MyPlifa - Initial denials are common for rare disease products, primarily due to prior authorization requirements, but the company has been successful in securing coverage through medical exception processes [39][40] Question: Visibility on patient cohorts and enrollment cadence - The company estimates around 600 undiagnosed patients and 300 diagnosed patients, with ongoing efforts to raise awareness and facilitate treatment [47][59] Question: Inventory levels at the end of the quarter - The company is managing inventory closely and maintaining target levels as it supports patient needs during the early launch phase [50] Question: Qualitative metrics on refill rates and patient retention - The majority of patients receiving active drug have continued to refill, reflecting the clinical benefit and durability of MyPlifa [54] Question: Coverage details and impact on patient access - 38% of covered lives have access to MyPlifa, with ongoing efforts to increase this percentage as more plans evaluate the product [63][64]

Financial Performance - Revenue increased by RMB 225 million, a 184% year-over-year increase, primarily due to the commercialization of Nerlynx® in Taiwan in December 2020 and Hunterase® in mainland China in May 2021[134, 145] - R&D expenses decreased by RMB 1165 million, a 424% year-over-year decrease, mainly due to decreased payments to licensing partners[135, 145] - Cash balance increased by RMB 385 million, a 368% year-over-year increase, primarily attributed to the initial public offering in 2H 2021[133, 160] - Administrative expenses increased by RMB 27 million, a 50% year-over-year increase, primarily due to increased administrative employee costs and office expenses[145, 160] - The company's loss for the period was RMB 249 million in 1H 2022[146] Pipeline and Clinical Development - CANbridge identified 539 MPS II patients, and Hunterase has entered into 47 commercial insurance programs[37, 44, 135] - CAN108 NDA has been filed in mainland China and Taiwan for ALGS[41, 62] - The first patient was dosed in the Phase 1/2 trial for CAN103 in adult and adolescent patients with Gaucher disease in July 2022[47, 104] - CAN106 Phase 1 SAD study showed complete blockade of complement function, encouraging further studies in patients with PNH[70, 82] Strategic Initiatives - CANbridge opened a US-based Gene Therapy R&D center in Burlington, MA[47] - CANbridge formed a Complement Disease Scientific Advisory Board[47, 87]

Summary of Zevra Therapeutics (ZVRA) Conference Call Company Overview - **Company**: Zevra Therapeutics - **Focus**: Developing and commercializing therapies for rare diseases - **Key Product**: MyPlifa for Niemann Pick type C, launched in late 2024 [1][2] Core Points and Arguments Product Launch and Performance - **MyPlifa**: First FDA-approved therapy for Niemann Pick disease type C, launched in September 2024 [6][10] - **Clinical Profile**: Demonstrated a two-point difference in disease progression compared to Miglustat alone, with a strong safety profile [6][7] - **Patient Population**: Approximately 900 patients in the U.S., with 300-350 diagnosed [10] - **Expanded Access Program (EAP)**: Transitioned 70-80 patients from EAP to commercial therapy, supporting long-term data on efficacy and safety [11][12] Physician Feedback and Education - **Physician Insights**: Initial hesitance from physicians regarding prescribing due to the need for more data; however, long-term data has built confidence [14][15] - **Education Efforts**: Focus on educating physicians and patients about the disease and available therapies, including media campaigns to raise awareness [19][20] Market Dynamics and Opportunities - **Diagnosis Rate**: Low diagnosis rate in the U.S. compared to Europe, where a higher prevalence of diagnosed patients exists due to prior approved therapies [21][22] - **Market Potential**: Total addressable market (TAM) estimated to be similar in the U.S. and Europe, with expectations for faster penetration in Europe due to existing familiarity with Miglustat [30] Financial Position and Strategy - **Cash Position**: Strong cash balance of $217 million post-PRV sale, enabling continued support for MyPlifa launch and other programs [32][33] - **Strategic Focus**: Emphasis on executing current commercial strategies and exploring additional assets for future growth [34][36] Other Products and Pipeline - **Opruva**: Relaunched with a focus on clinical differentiation; ongoing efforts to improve physician engagement and product awareness [39][40] - **Soliprolol**: Phase three program for Vascular Ehlers Danlos Syndrome (VEDS) with a focus on rapid enrollment due to unmet medical needs [41][42] Additional Important Content - **Patient Engagement**: The company has seen a significant level of engagement from patients and families, which is crucial for transitioning to commercial therapy [12][18] - **Regulatory Plans**: Plans to file for marketing authorization in Europe in the second half of the year, leveraging existing data and EAP experiences [29][30] This summary encapsulates the key points discussed during the conference call, highlighting the company's strategic direction, product performance, market opportunities, and financial health.

Financial Data and Key Metrics Changes - As of December 31, 2024, Spero had cash and cash equivalents of $52.9 million [22] - Total revenue for Q4 2024 was $15 million, down from $73.5 million in Q4 2023; total revenue for the year ended December 31, 2024, was $48 million compared to $103.8 million in 2023 [23] - R&D expenses for Q4 2024 were $28.8 million, up from $16.6 million in Q4 2023; for the year, R&D expenses were $97 million compared to $51.4 million in 2023 [24] - The company reported a net loss of $20.7 million for Q4 2024 and a net loss of $68.4 million for the year [25] Business Line Data and Key Metrics Changes - The tebipenem HBr program is the most advanced, currently in a Phase 3 trial aimed at treating complicated urinary tract infections [7] - SPR720, a novel gyrase B inhibitor, did not meet its primary endpoint in a Phase IIa proof-of-concept study [10][11] - Development of SPR206 has been discontinued following a thorough review and reprioritization [12] Market Data and Key Metrics Changes - There are an estimated 3.4 million episodes of complicated UTIs reported annually in the U.S., which are a leading cause of hospitalizations [14] - Complicated UTIs are often caused by multidrug-resistant pathogens, highlighting the need for effective treatments [15] Company Strategy and Development Direction - The primary focus for 2025 is the advancement of the tebipenem program, which could change the treatment paradigm for complicated UTIs by providing an oral option [8] - Following the completion of the tebipenem HBr Phase 3 trial, GSK is expected to take over regulatory and commercialization responsibilities [12] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about completing the interim analysis for the tebipenem trial in Q2 2025 and the potential for significant milestones from GSK [13][45] - The company is assessing the full data set from the SPR720 trial to determine next steps, indicating a cautious but proactive approach to its pipeline [41] Other Important Information - The company has approximately $47.5 million in earned and noncontingent development milestones from GSK, which will support operations into Q2 2026 [22] Q&A Session Summary Question: Does the trial get unblinded if the interim is successful? - Yes, if the interim is successful, the independent data monitoring committee will manage the unblinding process [29] Question: Is there any reason to keep running the trial longer even if the trial is positive early on? - Management cannot speculate on that until the interim analysis is completed [32] Question: What are the potential paths forward for SPR720? - The first step is to complete the data analysis of the full 25 patients dosed in the trial, which will inform the next steps [40]