Summary of Vera Therapeutics Conference Call Company Overview - **Company**: Vera Therapeutics (NasdaqGM:VERA) - **Event**: Conference Call at TD Cowen I&I Summit on November 13, 2025 Key Industry Insights - **Focus**: IgA nephropathy treatment and clinical trial results - **Recent Achievements**: Presentation at ASN and publication in the New England Journal of Medicine [1][2] Core Findings from Clinical Trials - **Phase 2b Results**: - Two-thirds reduction in autoantigen over two years [3] - 75% of patients showed resolution of hematuria [3] - Over 50% reduction in proteinuria, a key FDA measure for accelerated approval [4] - Annual rate of loss of GFR was -0.6 mL/min, comparable to healthy population [4] - **Phase 3 Results**: - 46% reduction in proteinuria for atacicept-treated patients vs. 7% for placebo [4] - Placebo-adjusted reduction in proteinuria was 42%, exceeding the FDA's 30% threshold [5] - Consistent efficacy across various patient subgroups, including age, sex, and race [5][12] - **Safety Profile**: - Favorable safety data comparable to placebo, with no evidence of opportunistic infections [9][30] - Mild injection site reactions were self-limited [10] Regulatory and Market Position - **BLA Submission**: Submitted to FDA, with anticipation of bringing the new medicine to market next year [2][12] - **Market Strategy**: Confidence in leading position due to comprehensive data set and positive patient experience [14][21] Competitive Landscape - **Comparison with Competitors**: - Discussion on differential efficacy between atacicept and competitor Sibeprenlimab, particularly regarding proteinuria reduction [11][20] - Emphasis on the strength of atacicept's data set in the context of other B-cell modulating drugs [23] Future Directions - **Pioneer Basket Study**: Phase 2 program focusing on IgA nephropathy and other autoimmune kidney diseases, with data expected in 2026 [31][32] - **Long-term Goals**: Aim to stabilize GFR and reduce the need for dialysis or transplant in patients [19][26] Additional Considerations - **Hematuria as a Marker**: Early reduction in hematuria indicates anti-inflammatory benefits and potential long-term kidney function preservation [18][19] - **Hypogammaglobulinemia Concerns**: No significant findings in atacicept program, contrasting with other drugs in the class [28][30] This summary encapsulates the critical insights and data shared during the conference call, highlighting Vera Therapeutics' advancements in treating IgA nephropathy and its strategic positioning in the market.

Summary of Vera Therapeutics Investor Call - November 06, 2025 Company Overview - **Company**: Vera Therapeutics (NasdaqGM:VERA) - **Focus**: Development of atacicept, a dual-BAFF APRIL inhibitor for autoimmune diseases, particularly IgA nephropathy Key Industry Insights - **IgA Nephropathy**: Most common primary glomerular disease globally, with an estimated incidence of 2.5 cases per 100,000 individuals [9] - **Patient Demographics**: Average age of patients with IgA nephropathy is around 35 years, with a significant risk of rapid kidney function decline leading to end-stage kidney disease (ESKD) before age 50 [6][7] - **Mortality Rate**: Mortality over five years from ESKD is comparable to cancer [8] Core Findings from ORIGIN Phase III Trial - **Atacicept Efficacy**: - Achieved a 46% reduction in proteinuria at 36 weeks compared to a 7% reduction in placebo [17] - 68% reduction in galactose-deficient IgA1 levels [18] - 80% resolution of hematuria in patients with blood in urine at baseline [18] - **Safety Profile**: Adverse events were balanced between atacicept and placebo groups, with no significant hypogammaglobulinemia reported [19][47] Financial Position - **Cash Position**: Pro forma cash of $497 million with access to an additional $425 million in non-dilutive capital [5] - **Share Count**: 63.9 million shares outstanding [5] Market Opportunity - **Patient Population**: Approximately 160,000 patients in the U.S. with 90,000 addressable in the phase III population [23] - **Commercial Strategy**: Sales leadership team in place, with plans to build out the sales force ahead of anticipated approval [22] Pipeline and Future Directions - **Expansion Plans**: Ongoing trials (EXTEND and PIONEER) to explore additional indications in autoimmune kidney diseases [5][27] - **Long-term Vision**: Potential to impact other autoimmune diseases beyond kidney medicine [29] Competitive Landscape - **Market Positioning**: Atacicept is viewed favorably among nephrologists, with strong preference indicated in market research [24] - **Pricing Strategy**: Anticipated premium pricing due to innovative profile and strong clinical data [25] Additional Insights - **Combination Therapy**: Discussion on the potential for atacicept to be used in combination with existing therapies like ACE inhibitors and SGLT2 inhibitors [34][36] - **Quality of Life**: Importance of stabilizing kidney function to improve patient mental health and quality of life [46] Conclusion - Vera Therapeutics is positioned for a significant impact in the treatment of IgA nephropathy with atacicept, supported by strong clinical data and a robust financial position, while also exploring broader applications in autoimmune diseases. The company is gearing up for a potential commercial launch in mid-2026, with a focus on capturing a meaningful share of the market.