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Autoimmune pulmonary alveolar proteinosis (aPAP)
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Savara(SVRA) - 2025 FY - Earnings Call Transcript
2025-09-03 21:30
Financial Data and Key Metrics Changes - The company reported a cash runway into 2027 with approximately $146 million in cash as of the end of the second quarter [24] - The total addressable market in the U.S. is estimated at approximately 5,500 patients, with a pricing corridor of $400,000 to $500,000 per patient per year [25][26] Business Line Data and Key Metrics Changes - The company is focused on a single asset, Molbrivi (molgamostem inhalation solution), which is a novel inhaled biologic targeting autoimmune pulmonary alveolar proteinosis (aPAP) [3][8] - The Phase 3 study IMPALA 2 met its primary endpoint and showed durability of effect, with a safety profile indicating only about 3% of patients discontinued due to adverse events [10][11] Market Data and Key Metrics Changes - The recent claims database analysis identified over 5,500 patients in the U.S. with aPAP, a 50% increase from previous estimates [20][29] - In Europe, a similar number of diagnosed patients is projected, around 5,200, indicating a well-structured market for aPAP [23] Company Strategy and Development Direction - The company is preparing for the resubmission of the Biologics License Application (BLA) in December, anticipating a potential launch in the U.S. in the third quarter of next year [12][13] - The company has been actively raising disease state awareness among physicians and patients, which has positively impacted the identification of aPAP patients [15][29] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the increase of diagnosed patients due to investments in disease awareness and successful trial results [29] - The company believes that many physicians are now willing to offer Molbrivi to all confirmed diagnosed aPAP patients, regardless of disease severity [31] Other Important Information - The company has various regulatory designations for Molbrivi, including breakthrough therapy and orphan drug designations, which could provide significant market advantages [13] - The partnership with PARI for the eFlow nebulizer system is crucial for the delivery of Molbrivi, enhancing its market potential [8][14] Q&A Session Summary Question: Can you talk about the new health claims data that found over a 50% increase in the estimated number of aPAP patients? - Management attributed the increase to investments in disease awareness, trial enrollment, and positive results published in reputable journals [29] Question: What has physician feedback been like regarding disease awareness? - Feedback has evolved, with many physicians now considering offering Molbrivi to all diagnosed aPAP patients, not just those with severe symptoms [30][31] Question: How does the company plan to contact the 1,100 centers and gain visibility into actual aPAP patients? - The company has been generally well-received by pulmonologists, who are interested in discussing the disease and treatment options [35] Question: What is the visibility into undiagnosed patients and the antibody testing process? - The company is still assessing the market opportunity for undiagnosed patients, with ongoing efforts to validate claims data [36] Question: Are there any comparable orphan rare disease launches in terms of uptake curve? - Management indicated that each orphan rare disease launch is unique, making it difficult to find direct analogs [37] Question: What are the expectations for the label construction of Molbrivi? - Management refrained from speculating on label specifics, indicating that discussions will occur once the product is closer to approval [39] Question: Is the testing process with Fujifilm mostly complete for the BLA resubmission? - Management confirmed that the transition to Fujifilm addresses previous issues and positions the company well for the resubmission [40]