Summary of Contineum Therapeutics FY Conference Call Company Overview - **Company**: Contineum Therapeutics (NasdaqGS:CTNM) - **Focus**: Clinical studies and drug development, particularly in the areas of idiopathic pulmonary fibrosis (IPF), chronic pain, and multiple sclerosis (MS) Key Accomplishments - **First Full Year as a Public Company**: Successfully executed four clinical studies in 2025 [2][3] - **PIPE-791**: Completed a phase 1b PET receptor occupancy study, validating dose selections for a phase 2 study in IPF [3][4] - **Phase 1b Exploratory Study**: Fully enrolled in chronic pain, results expected in the first half of the upcoming year [3][4] - **PIPE-307**: Reported VISTA data, although the primary endpoint was missed, the study was well-controlled [4] Clinical Studies and Drug Development - **PIPE-791**: Targeting LPA1 receptor antagonism for IPF and chronic pain, with a phase 2 study set to begin [4][5] - **Mechanism of Action**: LPA1 receptor activation leads to fibroblast recruitment and collagen secretion, contributing to fibrosis and chronic lung disease [5][6] - **Chronic Pain Program**: Focus on LPA1's role in pain pathways, with plans for studies in osteoarthritis and chronic lower back pain [20][21] Market Landscape and Competitive Positioning - **Current IPF Treatments**: Three approved drugs (pirfenidone, nintedanib) have significant tolerability issues, leading to high patient dropout rates [9][10] - **Market Opportunity**: Approximately 130,000 patients with IPF in the U.S. present an untapped market, with existing drugs generating over $4 billion in sales despite their drawbacks [17] - **Differentiation from Competitors**: Contineum's LPA1 antagonist is expected to have a once-daily dosing regimen, higher receptor occupancy, and potentially better safety and tolerability compared to Bristol's LPA1 antagonist [11][12] Regulatory Pathway - **Phase 2 Study Design**: 26-week study with primary endpoint focused on change in forced vital capacity [13] - **Future Studies**: Anticipation of two phase 3 studies for regulatory approval in IPF and PPF [15] Challenges and Considerations - **Recruitment Difficulties**: IPF studies are challenging due to patient frailty and logistical issues [19] - **Exploratory Nature of Pain Studies**: The chronic pain study is small and not powered, with a focus on identifying trends rather than definitive outcomes [21] Future Catalysts - **Upcoming Data Releases**: Top-line data from the chronic pain study expected in the first half of the year, and BMS's phase 3 data anticipated in the fourth quarter [24] Additional Insights - **Research Findings**: Data from human fibroblasts and donor slices indicate increased LPA1 expression in IPF tissue, supporting the rationale for targeting this receptor [16] - **Safety and Tolerability**: Consistent safety profile observed in previous studies, with no significant hypotension signals noted [12][22] This summary encapsulates the key points discussed during the conference call, highlighting the company's strategic direction, clinical focus, and market positioning.

Summary of Continuum Therapeutics (CTNM) 2025 Conference Call Company Overview - Continuum Therapeutics is a San Diego-based biotech company focused on neuroscience, inflammation, and immunology [3][4] - The company has two clinical-stage assets and is pursuing multiple therapeutic areas with important clinical proof of concept readouts expected [4] Key Programs PIPE-791 - PIPE-791 is a first-in-class selective inhibitor of the LPA1 receptor, currently in development for idiopathic pulmonary fibrosis (IPF) [5][16] - The unmet need in IPF is significant, with approximately 130,000 patients in the US and 3 million worldwide, and existing treatments are considered suboptimal [7][8] - Current treatments, such as Nintendonib and Prophenidone, have tolerability issues leading to high dropout rates [15] - The LPA1 receptor is linked to fibrosis and inflammation, making it a critical target for IPF treatment [16][17] - Continuum believes that PIPE-791 has a unique pharmacokinetic (PK) profile that allows for high target coverage and improved tolerability compared to existing therapies [21][25] PIPE-307 - PIPE-307 is a muscarinic receptor antagonist being evaluated in relapse and remitting multiple sclerosis (MS) [49] - The program is based on prior studies that demonstrated the potential for muscarinic receptor antagonism to improve remyelination [51] - The Phase II study is designed to measure low contrast letter acuity and other functional biomarkers [57] Clinical Development and Strategy - Continuum plans to initiate a global Phase II proof of concept study for PIPE-791 in the fourth quarter, with a focus on safety, tolerability, and efficacy [30][31] - The company is also conducting a PET receptor occupancy study to validate dosing for PIPE-791 [34][36] - The chronic pain program is exploratory, focusing on osteoarthritis and chronic lower back pain, with a small Phase Ib study planned [39][45] Market Landscape - The IPF treatment market is viewed as an untapped opportunity, with existing therapies generating significant sales despite their limitations [29] - Continuum anticipates that a safer and more effective drug could carve out a significant space in the IPF treatment landscape, which is currently lacking in effective options [27][28] Upcoming Catalysts - Key upcoming catalysts include the pain study readout in the first half of next year and the initiation of the IPF study [47] - The company is also monitoring BMS' top-line data, expected in the second half of next year, as a benchmark for its own programs [48] Conclusion - Continuum Therapeutics is positioned to address significant unmet needs in IPF and MS with its innovative drug candidates, backed by a robust clinical development strategy and a focus on improving patient outcomes through enhanced tolerability and efficacy [64]