Financial Data and Key Metrics Changes - Total revenues for the full year 2025 were $216.1 million, a 9% increase compared to $198.8 million for 2024 [18] - Net product sales for Fanapt were $117.3 million, a 24% increase from $94.3 million in 2024 [18] - The company recorded a net loss of $220.5 million for 2025, compared to a net loss of $18.9 million in 2024 [21] - Operating expenses for 2025 were $367.3 million, up from $239.4 million in 2024 [24] Business Line Data and Key Metrics Changes - Fanapt's total prescriptions increased by 28% in 2025 compared to 2024 [19] - HETLIOZ net product sales were $71.4 million for 2025, a 7% decrease from $76.7 million in 2024 due to generic competition [20] - Ponvory net product sales were $27.4 million for 2025, a 2% decrease from $27.8 million in 2024 [21] Market Data and Key Metrics Changes - The total addressable market for the antipsychotic category is estimated at approximately $20 billion in 2025 [7] - The long-acting injectable antipsychotic market is projected to be in the $6 billion-$7 billion range for 2025 [12] Company Strategy and Development Direction - The company plans to initiate a dedicated phase III program for Nereus in the first half of 2026, targeting the GLP-1 agonist market [7] - Vanda aims to strengthen its psychiatric franchise with the anticipated approval of Bysanti for bipolar I disorder and schizophrenia [17] - The company is focused on expanding its commercial infrastructure and brand visibility through targeted sponsorships and marketing programs [26][36] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the commercial launch of Nereus and the potential for significant market opportunities in motion sickness [6] - The company expects total revenues of $230 million-$260 million from current marketed products in 2026, indicating continued growth [40] - Management highlighted the importance of addressing unmet medical needs in major depressive disorder and social anxiety disorder through innovative therapies [10][12] Other Important Information - The company recorded a one-time, non-cash income tax charge of $113.7 million for the valuation allowance against deferred tax assets [22] - Cash, cash equivalents, and marketable securities as of December 31, 2025, were $263.8 million, a decrease of $110.8 million compared to the previous year [26] Q&A Session Summary Question: Can you provide updates on Bysanti's FDA review and commercial strategy? - Management indicated optimism for an on-time approval and mentioned that commercialization would begin in Q3 2026 if approved [48] Question: What is the expected commercial infrastructure for Imsidolimab? - A small specialty sales force will be dedicated to marketing Imsidolimab, focusing on dermatologists and advocacy organizations [50] Question: Can you elaborate on promotional activities for Fanapt and Bysanti? - Current direct-to-consumer campaigns focus on Fanapt and Ponvory, with plans for a dedicated campaign for Bysanti upon its launch [52] Question: When will Nereus be commercially available? - Nereus is expected to be commercially available by late Q2 or early Q3 2026 [54] Question: What is the pricing strategy for Nereus? - While a specific price has not been communicated, it is expected to be at a premium compared to existing treatments for motion sickness [71]

Financial Data and Key Metrics Changes - In Q2, the company achieved a milestone of $150 million in net sales for the first time, with $120 million from Avelity, indicating a trajectory towards $500 million in annualized sales [5] - The company reported a strong balance sheet with over $300 million in cash, positioning it for cash flow positivity [5][6] - The gross-to-net discount for Q2 was in the mid-50s range, showing slight improvement from Q1, and is expected to remain stable for the second half of the year [46][47] Business Line Data and Key Metrics Changes - Avelity for major depressive disorder (MDD) is tracking close to $500 million in sales, with peak sales potential estimated between $1 billion to $3 billion [30][31] - Sunosi generated $30 million in sales, with two-thirds of scripts coming from obstructive sleep apnea (OSA) [62] - The newly launched product, Symbravo, recognized approximately $400,000 in sales during its initial weeks [5] Market Data and Key Metrics Changes - The company has expanded its covered lives for Avelity to 83%, with a national direct-to-consumer campaign planned to further increase brand awareness [31][32] - The Medicare channel has shown significant growth, with Rexulti scripts growing over 40% year-over-year, indicating a robust market for Alzheimer's disease agitation treatments [14][15] Company Strategy and Development Direction - The company is focused on expanding its product portfolio with a robust pipeline, including potential indications for Alzheimer's disease agitation, smoking cessation, ADHD, and binge eating disorder [4][63] - The strategy includes optimizing the sales force by integrating Alzheimer's disease agitation into the existing MDD sales team and potentially expanding into long-term care [27][28] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the fundamentals of the company, stating that the current environment is favorable for growth [4] - The company is focused on top-line growth while also improving cash flow, with a significant reduction in losses year-over-year [84][85] Other Important Information - The company is in dialogue with the FDA regarding the submission package for Avelity in Alzheimer's disease agitation, with a focus on providing robust clinical data [18][19] - The patent for Symbravo extends to 2041, providing a strong competitive position in the market [60][61] Q&A Session Summary Question: Are you still on track to file an sNDA for Alzheimer's disease agitation in Q3? - Yes, the company is on track to file [6] Question: What is the commercial opportunity in Alzheimer's disease agitation? - There is a substantial unmet need, with potential peak sales estimated between $1 billion to $3 billion [8][9] Question: How is the sales force structured for Avelity and Alzheimer's disease agitation? - The sales force has expanded to approximately 300 reps, with plans to integrate Alzheimer's disease agitation into the existing MDD team [27][28] Question: What is the expected gross-to-net discount at steady state? - The company expects to maintain a mid-50s gross-to-net discount for the remainder of the year [46][47] Question: What are the goals for the launch of Symbravo? - The focus is on gathering clinician feedback and improving access for patients [49][51] Question: What is the peak sales potential for ADHD indications? - The peak sales potential for ADHD is estimated between $1 billion to $3 billion [71]