Vonaprument (ANX007) in Geographic Atrophy (GA) - Vonaprument is the only GA program to demonstrate significant vision preservation, representing a potential blockbuster market opportunity[9, 15] - Phase 2 trial (ARCHER) showed significant time and dose-dependent vision preservation in GA patients, with a 73% risk reduction in BCVA ≥15-letter loss at two consecutive visits in the monthly (EM) dosing group (p = 0.0207) compared to sham[29] - In the ARCHER trial, 21.3% of patients in the sham group experienced persistent BCVA ≥15-letter loss through month 12+, compared to 5.6% in the Vonaprument EM group and 9.8% in the Vonaprument EOM group[25] - Photoreceptor protection was numerically greater in the central macula with Vonaprument, showing a 59% decrease in total Ellipsoid Zone (EZ) loss in the central 1.5 mm area compared to sham[34] - ARCHER II Phase 3 program is now fully enrolled with approximately 630 patients randomized in a 2:1 ratio (Vonaprument to Sham), with topline data expected in 2H'26[39] Safety and Clinical Development - ARCHER trial safety data showed Choroidal Neovascularization events in 3.4% of the sham group, 4.5% of the Vonaprument EM group, and 4.3% of the Vonaprument EOM group[36] - Global registration path established supporting potential first approval in both EU and US for dry AMD with GA; PRIME designation in EU[17] Pipeline and Platform - Annexon has a clinically validated scientific platform with broad potential across multiple therapeutic areas[9] - The company is pioneering a scientific approach to stop complement-driven neuroinflammation by blocking C1q[11, 12] - Annexon has a diverse late-stage clinical platform for classical complement-mediated neuroinflammatory diseases of the body, brain, and eye[14]

Financial Data and Key Metrics Changes - Total revenue for Q2 2025 was $178 million, with Cyfovri net product revenue of $151 million, reflecting a 6% quarter-over-quarter growth in total injections [10][11] - Operating expenses decreased to $212 million from $229 million in Q2 2024, with expectations for 2025 operating expenses to align with 2024 levels [14] - The company ended the quarter with $370 million in cash and cash equivalents, which, along with a $275 million cash payment from a royalty purchase agreement, is expected to fund the business to sustainable profitability [14][12] Business Line Data and Key Metrics Changes - Cyfovri revenues were $151 million, with a 6% growth in total injections, maintaining a 55% share of new patient starts and over 60% total market share in geographic atrophy (GA) [7][10] - Empavli revenue was $21 million, up 5% quarter-over-quarter, with patient compliance rates at 97% [11] - The company anticipates meaningful revenue generation from C3 glomerulopathy (C3G) and primary immune complex membranoproliferative glomerulonephritis (ICMPGN) opportunities in 2025 [11] Market Data and Key Metrics Changes - The market opportunity in GA is significant, with Cyfovri's leadership and strong patent life indicating low likelihood of new entrants in the next few years [7] - The company estimates approximately 5,000 C3G and primary ICMPGN patients in the U.S., with expectations for Empavli to become the preferred treatment option [20] Company Strategy and Development Direction - The company is focused on expanding into rare nephrology with the launch of Empavli for C3G and ICMPGN, and plans to develop Empavli for delayed graft function (DGF) and focal segmental glomerulosclerosis (FSGS) [15][16] - The strategy includes raising awareness of Empavli as a disease-modifying therapy and establishing it as the treatment of choice among nephrologists [21][22] - The company aims to leverage its strong clinical data to support the approval and adoption of Empavli [21] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the long-term potential of Cyfovri, citing its market leadership and the significant unmet needs in the GA market [7][8] - The company is optimistic about the growth trajectory of Empavli, especially following its recent FDA approval for C3G and ICMPGN [20] - Management acknowledged the challenges posed by high levels of free goods usage due to funding shortages but remains focused on transitioning patients to commercial products [10][14] Other Important Information - The company announced key leadership appointments, including Dr. Leslie Meltzer as Chief Research and Development Officer and Kelly Boucher as Chief People Officer [28][29] - A capped royalty purchase agreement with Sobe was established, providing a $275 million upfront cash payment and potential future milestones [12][13] Q&A Session Summary Question: Concerns about GA market growth compared to competitors - Management highlighted their clear leadership in metrics such as revenue and market share, emphasizing the quality of their data and the larger database used for competitive analysis [34][35] Question: Inquiry about sampling trends - Management noted that growth in injections is expected to continue, with a slight bump in samples due to ongoing demand [39][42] Question: FSGS Phase III plans and endpoints - Management confirmed plans to enroll in pivotal trials for FSGS by the end of the year, aligning with recent work on endpoints [44][45] Question: Impact of funding dynamics on patient treatment - Management acknowledged that some patients are unable to start treatment due to funding gaps, but emphasized ongoing efforts to assist patients through various programs [103][104] Question: Expectations for future injection growth - Management indicated that they expect stable, steady, gradual growth in injections, with a long way to go in terms of market penetration [51][67] Question: Clarification on patient start forms and REMS enrollments - Management confirmed that initial reporting will be on total start forms, with more detailed breakdowns to follow as data becomes available [116][120]