Summary of NewAmsterdam Pharma Company Conference Call Company Overview - **Company**: NewAmsterdam Pharma Company (NasdaqGM:NAMS) - **Event**: 2025 Conference on November 12, 2025 - **Key Speakers**: CEO Michael Davidson, CFO Ian Somaiya Industry Insights - **Industry**: Lipid management and cardiovascular health - **Recent Event**: Discussion of the Freselius trial presented at the American Heart Association (AHA) conference, highlighting significant advancements in lipid treatment guidelines Core Points and Arguments 1. **Freselius Trial Results**: - Reported a 25% reduction in three-point MACE and a mortality benefit, which is a significant improvement over the previous FOURIER trial that showed only a 15% relative risk reduction without mortality benefit [2][3] - The trial's findings are expected to broaden the population guidelines for LDL cholesterol management, suggesting targets below 55 mg/dL, potentially even 40 mg/dL [3][4] 2. **PREVAIL Trial Design**: - The PREVAIL trial is designed to run longer (4.6 years) to capture adequate event data, similar to the successful approach of the Freselius trial [4][5] - The trial aims to validate the LDL-lowering benefits and their correlation with reduced myocardial infarction rates [5] 3. **Market Expansion**: - The new guidelines will effectively double the market for LDL-lowering treatments, as they will include patients with atherosclerotic disease regardless of prior heart attacks or strokes [9] 4. **Oral PCSK9 Developments**: - Merck's oral PCSK9 treatment shows promise but has limitations similar to Rybelsus, which may affect patient adherence [11][12] - NewAmsterdam believes its fixed-dose combination (FDC) will achieve better LDL lowering with easier administration [12] 5. **BROADWAY Trial Outcomes**: - NewAmsterdam's BROADWAY trial demonstrated a 21% MACE benefit, suggesting that their drug offers additional benefits beyond LDL lowering [14][24] - The company is optimistic about matching or exceeding this benefit in the PREVAIL trial [24] 6. **Regulatory Strategy**: - NewAmsterdam plans to engage with the FDA regarding the timing of filing for PREVAIL outcomes data, which could be included in the product label [19] - The European filing by partner Menarini has been accepted, with expected approval in the second half of next year [19] 7. **LPL-A and Alzheimer's Research**: - The company is exploring the potential of obicetrapib in treating Alzheimer's, particularly in high-risk populations [47][48] - There is significant interest from the Alzheimer's community regarding the drug's potential benefits [48] 8. **Market Opportunity**: - The lipid market is substantial, with 30 million individuals in the U.S. diagnosed with hypercholesterolemia, many not at treatment goals [42] - NewAmsterdam estimates an $8 billion market opportunity for its drug, supported by the ability to treat a wide range of patients with elevated LDL and LPL-A [42][43] 9. **Competitive Landscape**: - The company acknowledges the presence of other PCSK9 therapies but believes its product offers superior benefits and ease of use [16][45] - The evolving landscape of lipid treatments, including oral options, is expected to expand the overall market rather than cannibalize existing products [45] Additional Important Insights - **Patient Compliance**: NewAmsterdam is actively monitoring trial execution metrics and ensuring high patient compliance through site visits and support [37][39] - **Future Directions**: The company is committed to launching obicetrapib independently to maximize value and is optimistic about its strategic position in the lipid space [51]

Summary of NewAmsterdam Pharma Company (NAMS) 2025 Update Company Overview - **Company**: NewAmsterdam Pharma Company (NAMS) - **Event**: R&D Day held on June 11, 2025 - **Focus**: Updates on Alzheimer's research and drug development, particularly obacetropib Key Points Discussed 1. Corporate and Clinical Updates - 2024 was a successful year with the completion of three Phase III trials: Brooklyn, Tandem, and Broadway [5] - The company has expanded its commercial team to nearly 100 people across the U.S. and Amsterdam [5] - New Composition of Matter IP secured exclusivity until February 1943 [6] - Data from Broadway and Tandem trials published in reputable journals, enhancing credibility [6] 2. Alzheimer's Disease Research - The company is focusing on HDL raising as a potential treatment pathway for Alzheimer's disease [9] - Obacetropib is being studied for its LDL lowering effects, which may also benefit Alzheimer's patients [10] - The brain's cholesterol metabolism is distinct, with HDL being crucial for brain health [11][12] - The company is exploring the relationship between HDL levels and amyloid beta plaque formation, which is linked to Alzheimer's [13][14] 3. APOE4 Gene and Alzheimer's Risk - APOE4 carriers have a significantly increased risk of cardiovascular disease and Alzheimer's [15] - The company aims to determine if obacetropib can effectively prevent Alzheimer's in APOE4 patients [16] - The urgency for treatment is heightened in APOE4 patients due to their family history of Alzheimer's [28] 4. Clinical Trial Insights - The Broadway trial included 3,000 patients and showed promising results in reducing Alzheimer's biomarkers [22] - The pTal217 biomarker is highlighted as a significant predictor for Alzheimer's progression [20] - The company plans to present further data at the AIC conference on July 30 [7] 5. Drug Mechanism and Benefits - Obacetropib targets the CETP protein, inhibiting its activity by 97%, which may influence both heart and brain health [44] - The drug has shown a reduction in small LDL particles, which are more harmful to arterial health [73] - The reduction in small particles is believed to contribute to the observed MACE (major adverse cardiovascular events) reduction in trials [78] 6. Future Directions - The PREVAIL study is ongoing, designed to evaluate the long-term benefits of obacetropib [35] - The company is considering expanding the MACE endpoint to include ischemic stroke and other cardiovascular events [43] - There is a focus on the potential of obacetropib to replace existing therapies like PCSK9 inhibitors due to its broader benefits [31] 7. Market Positioning - Obacetropib is positioned as a complementary therapy to statins, addressing limitations such as increased Lp(a) levels and diabetes risk associated with statins [29][30] - The company is optimistic about the drug's market potential, especially among high-risk populations [32] Additional Important Insights - The company has received positive feedback from the medical community regarding the efficacy and safety profile of obacetropib [30] - The integration of new biomarkers into patient care is expected to enhance diagnosis and treatment monitoring for Alzheimer's [21] - The company emphasizes the importance of understanding lipid metabolism in developing effective therapies for both cardiovascular and neurodegenerative diseases [63][64] This summary encapsulates the critical updates and insights shared during the NewAmsterdam Pharma Company R&D Day, highlighting the company's strategic focus on Alzheimer's research and the development of obacetropib as a potential therapeutic option.