Radiopharmaceutical R&D Update May 28, 2025 Mike Rossi President and Chief Executive Officer Natalie Tucker SVP, Radiopharmaceutical Business Unit Head Norman LaFrance, MD Chief Medical and Development Officer Additional Team Members Available During Q&A Disclaimer Forward-Looking Statements This presentation contains forward-looking statements within the meaning of the US Private Securities Litigation Reform Act of 1995. The forward-looking statements involve substantial risks and uncertainties. All statem ...

Core Insights - Perspective Therapeutics, Inc. is advancing its clinical-stage radiopharmaceuticals targeting various cancers, with a focus on expanding manufacturing capabilities and patient recruitment for ongoing trials [2][38]. Clinical Development - The company is conducting a Phase 1/2a trial of [Pb]VMT-α-NET for patients with unresectable or metastatic somatostatin receptor type 2-positive neuroendocrine tumors, having received Fast Track Designation from the FDA [3][4]. - As of April 2025, 40 patients have been enrolled in Cohort 2 of the VMT-α-NET trial, with no dose-limiting toxicities observed [6][12]. - The VMT01 program, targeting MC1R in melanoma, has also progressed, with initial dosing completed and ongoing patient recruitment [10][12]. - PSV359, targeting FAP-α in solid tumors, has achieved first-in-human dosing, indicating progress in the company's clinical pipeline [17][18]. Financial Overview - As of March 31, 2025, the company reported cash, cash equivalents, and short-term investments of approximately $212 million, expected to fund operations into late 2026 [6][28]. - Research and development expenses increased to $14.3 million for Q1 2025, up from $7.5 million in Q1 2024, reflecting the company's commitment to advancing its clinical programs [34]. - General and administrative expenses rose to $7.8 million in Q1 2025, compared to $5.9 million in the same period of 2024, primarily due to increased personnel costs [35]. Manufacturing and Supply Chain - The company is expanding its U.S. manufacturing capabilities, with two existing sites and plans for three additional facilities to meet growing clinical and commercial demands [20][21]. - A purchase order with the U.S. Department of Energy for thorium (Th) procurement has been established, ensuring a sufficient supply for clinical trials through 2026 [25][26]. Patent and Intellectual Property - The patent portfolio has been strengthened with the allowance of two key patent applications related to the generation of Pb and the VMT-α-NET compound, with expiration dates extending to 2044 and 2041, respectively [27].

Financial Performance - Lantheus reported first quarter 2025 revenues of $3728 million, a 08% increase compared to $369975 million in the first quarter of 2024[62, 78] - Adjusted EPS for the first quarter of 2025 was $153, a 95% decrease compared to $169 in the first quarter of 2024[17, 79] - The company's net income for 1Q 2025 was $72945 million, a 443% decrease compared to $131066 million for 1Q 2024[78] Strategic Initiatives - Lantheus is integrating Evergreen Theragnostics Inc and planning to acquire Life Molecular Imaging Ltd to strengthen radiodiagnostic and therapeutic capabilities[17, 24] - The company is divesting its SPECT business to SHINE Technologies, LLC, with the transaction expected to close by the end of 2025[17, 24] - Lantheus has a strong cash position with $9385 million in cash on hand and $750 million available in revolving credit[17, 66] Product Performance and Market Outlook - PYLARIFY net sales were $2577 million in 1Q 2025, representing a 05% decrease compared to 1Q 2024[37, 62] - DEFINITY net sales were $792 million in 1Q 2025, a 35% increase year-over-year[47, 62] - The PSMA PET market may exceed $35 billion by the end of the decade, with an annual scan potential of approximately 750,000[40, 41]

Core Insights - Lantheus Holdings, Inc. reported a slight increase in worldwide revenue for Q1 2025, totaling $372.8 million, compared to $370.0 million in Q1 2024, reflecting a 0.8% growth [3][5] - The company experienced a significant decline in GAAP net income, which fell to $72.9 million from $131.1 million year-over-year, representing a 44.3% decrease [3][5] - Adjusted net income also decreased by 7.5% to $109.5 million, with adjusted fully diluted earnings per share dropping to $1.53 from $1.69, a 9.5% decline [3][5] Financial Performance - GAAP fully diluted earnings per share for Q1 2025 were $1.02, down from $1.87 in Q1 2024, marking a 45.5% decrease [3][5] - Free cash flow for the first quarter was reported at $98.8 million [5] - Operating income decreased by 4.3% to $102.1 million, while adjusted operating income fell by 7.1% to $144.3 million [6][27] Business Development - The company completed the acquisition of Evergreen Theragnostics and is in the process of acquiring Life Molecular Imaging, which is expected to close soon [2][10] - Lantheus announced a planned divestiture of its SPECT business to focus on PET radiodiagnostics and microbubbles [10] - Positive data from two pivotal studies of MK-6240 were reported, with plans to file a New Drug Application (NDA) in Q3 2025 [10] Revenue Breakdown - Sales of PYLARIFY were $257.7 million, a slight decrease of 0.5% from the previous year [6][24] - DEFINITY sales increased by 3.5% to $79.2 million [6][24] - Total revenues from strategic partnerships and other sources rose significantly by 65.1% to $10.7 million [24] Guidance and Outlook - The company provided updated guidance for FY 2025, projecting revenue between $1.550 billion and $1.585 billion, and adjusted fully diluted EPS between $6.60 and $6.70 [11]

Core Insights - Perspective Therapeutics, Inc. has initiated a Phase 1/2a dose-finding trial for its radiopharmaceutical [Pb]PSV359, targeting solid tumors expressing fibroblast activation protein alpha (FAP-α) [1][4] - The trial aims to assess the safety and preliminary anti-tumor activity of [Pb]PSV359, with patient selection based on SPECT imaging [1][4] - The company emphasizes the innovative design of [Pb]PSV359, which is optimized for preferential uptake in tumors and rapid clearance from healthy tissues [2][3] Company Overview - Perspective Therapeutics is focused on developing advanced radiopharmaceutical treatments for various cancers, utilizing alpha-emitting isotopes to deliver targeted radiation to cancer cells [6] - The company is also working on complementary imaging diagnostics to personalize treatment and improve patient outcomes through a "theranostic" approach [6] - Current clinical programs include treatments for melanoma, neuroendocrine tumors, and solid tumors, all in Phase 1/2a trials [7] FAP-α Significance - FAP-α is a protein commonly expressed in the tumor microenvironment of many epithelial cancers, and its higher expression is associated with poor prognosis in several solid tumors [5] - The targeting of FAP-α by [Pb]PSV359 aims to provide new treatment options for patients with advanced solid tumors [3][5]

Core Insights - Lantheus Holdings, Inc. has completed the acquisition of Evergreen Theragnostics, enhancing its position in the radiopharmaceutical market [1][2][3] - The acquisition includes OCTEVY™, a PET diagnostic imaging agent for neuroendocrine tumors, and a portfolio of theranostic pairs, which complements Lantheus' existing therapeutic candidate PNT2003 [2][3] - This strategic move aims to strengthen Lantheus' capabilities across the entire radiopharmaceutical value chain, from development to manufacturing and commercialization [3] Company Overview - Lantheus is a leading company in the radiopharmaceutical sector, focused on improving patient outcomes through innovative solutions [4] - The company has over 65 years of experience in providing radiopharmaceutical solutions and operates in multiple locations including Massachusetts, New Jersey, Canada, and Sweden [4] - Evergreen Theragnostics specializes in radiopharmaceuticals for cancer treatment and offers CDMO services, with a strong foundation in theragnostic radiopharmaceutical manufacturing [5]

Core Viewpoint - Monopar Therapeutics Inc. reported a productive year in 2024, highlighted by the in-licensing of ALXN1840, initiation of two Phase 1 clinical trials, and a strengthened balance sheet with over $55 million in net proceeds from financings [2][3]. Recent Program Developments - The company plans to submit a New Drug Application (NDA) for ALXN1840 targeting Wilson disease in early 2026, following a successful Phase 3 clinical trial [3]. - ALXN1840 is a potent copper binder and mobilizer, addressing a rare genetic condition that leads to toxic copper accumulation [3]. - Monopar has executed a worldwide exclusive license for ALXN1840 with Alexion, which included a cash payment of $4 million and a 9.9% equity stake in Monopar [3]. Clinical Trials - MNPR-101 is currently enrolling in Phase 1 imaging and therapeutic oncology trials, targeting aggressive cancers through its imaging agent MNPR-101-Zr and therapeutic agent MNPR-101-Lu [4]. Recent Financings - In Q4 2024, Monopar raised over $55 million through various financings, including public offerings and private placements [5]. - The company dosed its first patient with MNPR-101-Lu in December 2024 and presented promising clinical data at the EANM 2024 Annual Congress [5]. Financial Results - As of December 31, 2024, Monopar reported cash and short-term investments of $60.2 million, sufficient to fund operations through at least December 31, 2026 [6]. - The net loss for Q4 2024 was $10.9 million, compared to $1.8 million in Q4 2023, while the annual net loss for 2024 was $15.6 million, up from $8.4 million in 2023 [7]. Research and Development Expenses - R&D expenses for Q4 2024 were $9.9 million, significantly higher than $1.0 million in Q4 2023, primarily due to the in-licensing of ALXN1840 [8]. - For the year ended December 31, 2024, R&D expenses totaled $13.0 million, compared to $5.6 million in 2023, reflecting increased investment in clinical programs [9]. General and Administrative Expenses - G&A expenses for Q4 2024 were $1.2 million, up from $0.9 million in Q4 2023, attributed to increases in personnel salaries and consulting fees [10]. - For the full year 2024, G&A expenses remained stable at $3.2 million compared to 2023 [11].

Summary of Perspective Therapeutics Conference Call Company Overview - **Company**: Perspective Therapeutics (CATX) - **Event**: Conference Call discussing VMT Alphanet clinical data at the 2025 ASCO GI Symposium - **Date**: January 24, 2025 Key Points Industry and Company Focus - Perspective Therapeutics is focused on developing next-generation targeted therapies, particularly in oncology, with a broad pipeline of radiopharmaceuticals aimed at treating various tumors [6][11] - The company emphasizes the potential of its platform technology to disrupt current treatment paradigms in oncology [6] Clinical Programs and Pipeline - The **VMT Alphanet program** has received fast track designation from the FDA based on strong preclinical results [15] - The program is currently in human clinical trials for neuroendocrine tumors, with ongoing dose-finding studies [15][19] - The **VMTA-one program** is in human clinical trials for melanoma, with both combination and monotherapy arms [10][11] - A **FAP targeted agent** is expected to initiate human clinical trials by mid-2025 [11] Clinical Data and Efficacy - Initial results from the VMT Alphanet program show promising safety profiles, with no dose-limiting toxicities observed in early cohorts [21][34] - Among the first nine patients, there were no serious adverse events, and renal function remained stable [21][23] - Tumor response data indicate significant reductions in tumor size, with one patient showing a 57% reduction [24][25] - The nature of neuroendocrine tumors may lead to delayed responses, with some patients showing continued tumor shrinkage after treatment [30][60] Safety and Tolerability - The safety profile of VMT Alphanet appears favorable compared to existing treatments, with no significant adverse events reported [34][80] - The company is exploring higher dose levels based on the encouraging safety data [33][34] Regulatory and Future Plans - The company plans to submit data to the FDA in 2024 and is considering expanding into other SSTR2 positive tumor types [33][35] - Ongoing discussions with regulators will shape the strategy for future cohorts and dosing regimens [40][46] Market Position and Competitive Landscape - Perspective Therapeutics aims to differentiate its therapies from existing agents like Lutathera by focusing on the unique properties of its radiopharmaceuticals, which may offer better safety and efficacy profiles [86] - The company is aware of other SSRT targeted programs and is positioning itself to compete effectively in the market [15] Additional Insights - The call highlighted the importance of long-term follow-up in assessing the efficacy of treatments for neuroendocrine tumors due to their slow growth rates [24][60] - The company is committed to generating high-quality data to support its clinical programs and regulatory submissions [45][68] Conclusion - Perspective Therapeutics is making significant strides in the development of targeted therapies for oncology, with promising early clinical data and a strong focus on safety and efficacy. The company is well-positioned to advance its clinical programs and explore new indications in the future.