Financial Data and Key Metrics Changes - Revenue for Q3 2025 reached $60.1 million, reflecting a 23.5% increase compared to Q3 2024 and a 6% sequential increase from Q2 2025 [7][19] - Gross profit for the quarter was $46 million, up from $36.4 million in Q3 2024, resulting in a gross margin of 76.6%, an increase from 74.9% year-over-year [21][22] - Net income for the quarter was $0.7 million or $0.01 per share, compared to a net loss of $1.9 million or $0.04 per share in Q3 2024 [23] - Adjusted net income was $6.1 million or $0.12 per share, compared to $3.1 million or $0.07 per share in the same period last year [24] Business Line Data and Key Metrics Changes - Strong revenue growth was driven by the Avance Nerve Graft and the adoption of the nerve repair algorithm across target markets, with double-digit growth in extremities, oromaxillofacial, and breast markets [7][8] - Active breast ReSensation programs increased by 7% from Q3 2024, with 281 surgeons performing procedures in Q3 2025, representing a 20% increase [13] - The company trained 97 surgeons in extremities year-to-date, exceeding training targets in oromaxillofacial and head and neck markets [12][13] Market Data and Key Metrics Changes - Coverage among commercial payers increased to over 64%, with an estimated 18.1 million additional lives covered for nerve repair using synthetic conduits or allografts [16] - The company is actively engaging with national payers to transition from investigational to standard coverage, reflecting ongoing efforts to expand access [42] Company Strategy and Development Direction - The company aims to generate at least 66% of total revenue growth from high-potential accounts, with a focus on expanding presence and improving salesforce productivity [9] - Innovation remains critical to long-term growth, with ongoing clinical research and development initiatives to support nerve care [14] - The company plans to continue incremental hiring across target markets to enhance coverage and develop nerve care usage [82] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the strategic plan and the ability to deliver growth consistent with guidance, despite slight underperformance in high-potential accounts due to the transition from case stock sales [7][10] - The FDA has extended the PDUFA goal date for the Biologics License Application for Avance Nerve Graft to December 5, 2025, which is expected to secure market exclusivity [18] Other Important Information - The company raised its revenue growth guidance for 2025 to at least 19%, expecting revenue of at least $222.8 million [25] - Operating expenses increased to $44.1 million, but as a percentage of revenue, they decreased, indicating improved operating leverage [22] Q&A Session Summary Question: Insights on Q4 revenue expectations and case stock sales program impact - Management indicated that the $1.6 million revenue increase in Q3 was related to the transition from case stock sales and advised excluding this from Q4 models [30] Question: Comments on BLA and labeling expectations - Management confirmed that the FDA is expected to discuss labeling in November, with the final BLA decision still targeted for December 5 [91] Question: Coverage expansion and its impact post-BLA approval - Management noted that BLA approval would support market development efforts but cautioned against expecting immediate widespread adoption [94]

Financial Data and Key Metrics Changes - The company ended Q3 2025 with a cash position of approximately $238.56 million [38] - Total GAAP operating expenses for Q3 2025 were $234.2 million, a decrease from $568.4 million in Q2 2025, primarily due to a higher stock-based compensation expense recorded in the previous quarter [39] - Non-GAAP operating expenses for Q3 2025 were $103.4 million, an increase from $89.6 million in the previous quarter, mainly due to increased R&D expenses related to ongoing trials [39] Business Line Data and Key Metrics Changes - The HARMONi-3 study is enrolling ahead of goals, with over 80% of the planned 600 squamous patients cohort already enrolled, expected to complete enrollment in Q1 2026 [37] - The non-squamous cohort in HARMONi-3 is also enrolling ahead of plan, with an expected completion for 1,000 patients in the second half of 2026 [37] Market Data and Key Metrics Changes - The company announced the expansion of its clinical development program with the addition of the global phase III HARMONi-GI3 trial, evaluating ivonescimab as first-line therapy in unresectable metastatic colorectal cancer [24] - The HARMONi-6 study demonstrated a significant progression-free survival benefit for ivonescimab in advanced squamous non-small cell lung cancer, with a hazard ratio of 0.60 [18] Company Strategy and Development Direction - The company aims to establish ivonescimab as a new standard of care for advanced squamous non-small cell lung cancer, with ongoing studies to support this goal [20] - The strategic focus includes expanding ivonescimab's application beyond lung cancer to other solid tumors, with a total of 14 planned or ongoing phase III clinical trials [24] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism regarding the results of the HARMONi-6 study and its implications for future studies, highlighting the potential for ivonescimab to address unmet needs in oncology [23] - The company is preparing to submit a Biologics License Application (BLA) for ivonescimab based on the HARMONi study results, with expectations for FDA approval [27][28] Other Important Information - The company has had continuous interactions with the FDA regarding the BLA submission and is confident in the safety and efficacy data generated from the HARMONi studies [54] - The HARMONi-3 study has undergone protocol amendments to separate statistical analyses by histology, which is expected to reduce regulatory risks [74] Q&A Session Summary Question: When could we expect to see the first OS cut from HARMONi-6? - Management indicated that specific timelines are difficult to disclose, but a review in 2026 is a fair estimate [44] Question: What options are being evaluated to extend the runway for funding? - The company has an ATM with approximately $350 million and has received inbound interest for additional capital [48] Question: Can you provide any color on the BLA submission and interactions with the FDA? - Continuous interactions with the FDA have been positive, and the company is moving forward with the BLA submission based on the data from HARMONi [54] Question: What prompted the protocol amendments to HARMONi-3? - The amendments were made to accelerate the front-line lung cancer opportunity and reduce regulatory risks by separating analyses by histology [74]

Financial Data and Key Metrics Changes - Full year 2024 revenue was $187.3 million, a 17.8% increase compared to 2023 [10] - Fourth quarter revenue increased to $49.4 million, up 15.1% compared to the prior year [11] - Gross profit for the fourth quarter was $37.6 million, representing a gross margin of 76.1%, up from 74.6% in the same period last year [30] - Net income for the fourth quarter was $0.4 million or $0.01 per share, compared to a net loss of $3.9 million or $0.09 per share in the fourth quarter of 2023 [32] - Adjusted EBITDA for the fourth quarter was $6.7 million compared to $0.6 million in the prior year [32] Business Line Data and Key Metrics Changes - The extremities business, which includes traumatic and chronic nerve injuries, represents more than half of the company's business [18] - The breast neurotization market, driven by the Resensation technique, is the fastest-growing business for the company [21] - The oral, maxillofacial, and head and neck business represents a large market opportunity with high procedural concentration in about 900 hospitals [23] Market Data and Key Metrics Changes - The total addressable market (TAM) for peripheral nerve repair is estimated at $5 billion, which is significantly higher than previous estimates [16] - The company aims for a compound annual growth rate (CAGR) of 15% to 20% over the planning period [17] Company Strategy and Development Direction - The company has established three near-term priorities: complete the submission of the BLA application, meet revenue guidance, and develop a new strategic plan [6][7] - The strategic plan focuses on expanding into markets with elective procedures, advancing the Axogen algorithm towards standard of care, and increasing investments in breast commercial infrastructure [18][21] - The company plans to drive operational efficiencies in manufacturing to optimize gross margin [26] Management's Comments on Operating Environment and Future Outlook - Management expressed increased confidence entering 2025 due to successful completion of key commitments and strategic planning [5][8] - The company expects to maintain positive cash flows and self-fund its growth initiatives [34] - Management is optimistic about the BLA approval process and does not foresee delays [72] Other Important Information - The company anticipates full year 2025 revenue growth in the range of 15% to 17% compared to the prior year [33] - The anticipated BLA approval is expected in September 2025, which will provide market exclusivity for Avance Nerve Graft [14] Q&A Session Summary Question: What is the difference in the $5 billion U.S. TAM estimate? - Management evaluated various factors and is comfortable with the new TAM estimate, which includes new opportunities like prostatectomy [40][42] Question: Can the company balance top-line growth with margin expansion? - Management believes it can balance both top-line growth and margin expansion through practical and executable plans [45][47] Question: What are the key assumptions for the 15% to 17% sales guidance? - The guidance is based on existing momentum and investments that will take time to bear fruit [59] Question: What is the comfort level with existing data for the breast reconstruction business? - Management is confident in the benefit-risk proposition of the Resensation technique but acknowledges the need for more data to support adoption [106][108] Question: How will the sales and marketing strategy change this year? - The company plans to double its sales force in the breast segment and expand market development staff [76][78] Question: What is the company's capacity to meet future demands? - Management is comfortable with current capacity and does not foresee constraints during the planning period [112]