OPKO Health Conference Call Summary Company Overview - **Company**: OPKO Health - **Key Participants**: - Elias Zerhouni - President - Adam Logal - CFO - **Industry**: Biotechnology and Clinical Diagnostics Core Business Components - OPKO Health operates a diverse range of businesses, including: - Clinical diagnostics through BioReference Health - Biotech operations via ModeX Therapeutics, focusing on therapeutics and divesting from clinical diagnostics to improve profitability [6][15] Financial Performance and Strategy - OPKO has divested approximately 40% of its clinical diagnostic business to enhance profitability, focusing on operations in New York and New Jersey [6][15] - The company is nearing break-even and profitability with its remaining clinical diagnostic business, particularly with the 4Kscore cancer diagnostic test, which has shown over 15% growth in testing [7][17] - Guidance for 2026 indicates a projected revenue growth of 3%-5% from a base of approximately $300 million, with a focus on operating efficiency rather than deep investment in commercial operations [18] Key Products and Developments - **4Kscore Test**: - Aids in identifying patients at high risk for aggressive prostate cancer, with a market potential of $25-$30 million [20][21] - Recently received FDA clearance to remove the requirement for a digital rectal exam, potentially increasing adoption [21] - **ModeX Therapeutics**: - Licensed an Epstein-Barr Virus (EBV) vaccine to Merck for $50 million upfront and potential milestones of $870 million [9][10] - The vaccine is in phase one trials, with significant potential for treating cancer and multiple sclerosis [10][25] - **Pipeline Products**: - MDX-2001: A cancer solid tumor product nearing phase 1B trials, targeting multiple cancer types [11][32] - MDX-2004: A trispecific antibody aimed at rejuvenating the immune system, currently in clinical trials [12][42] - Collaboration with Regeneron to develop multiple programs in obesity, metabolism, and cancer [13][52] Milestones and Future Outlook - The company anticipates significant milestones tied to the progression of its vaccine and therapeutic candidates, with potential financial milestones upon entering phase two trials [27][31] - The partnership with Regeneron is expected to yield candidates by the end of the year or early next year, with a focus on combination therapies [53][54] Risk Management and Clinical Trials - OPKO is managing risks associated with clinical trials, particularly concerning cytokine release syndrome (CRS) through established protocols and dose management strategies [36][39] - The company is focused on ensuring safety and efficacy in its trials, with ongoing assessments to determine the most responsive cancer types for its therapies [32][35] Conclusion - OPKO Health is strategically repositioning itself towards a more therapeutics-focused model while maintaining a profitable clinical diagnostics segment. The company is poised for growth with a rich pipeline of products and strategic partnerships that could lead to significant advancements in the biotech space over the next few years [15][30]

Financial Data and Key Metrics Changes - The company ended March 31 with approximately $450 million in cash and cash equivalents, expecting to use about $100 million for operations and another $100 million for capital and convertible note repurchases this year [40][41] - The pharmaceutical products business experienced a slight decline, attributed to timing issues with government tenders in Latin America, but growth is expected to resume throughout the year [9][12] Business Line Data and Key Metrics Changes - BioReference Laboratories underwent two transactions with LabCorp, aimed at reducing operational footprint and focusing on high-value businesses like oncology, which is performing well [3][5] - The oncology diagnostic business is expected to continue growing, with the company emphasizing the importance of scale in operations [4][6] Market Data and Key Metrics Changes - The company anticipates a growth rate of about 8% for its Latin American business and low single-digit growth for the remaining business piece after divestitures [12][13] - The gross profit share from Pfizer has shown some softness, but the company remains optimistic about future growth due to ongoing product launches and label expansions [11][12] Company Strategy and Development Direction - The company is focusing on driving growth and profitability in BioReference, with a strategic shift towards oncology and other high-value segments [6][12] - There is an emphasis on developing differentiated technologies in immuno-oncology, including a tetra antibody that targets multiple markers on cancer cells [14][18] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the growth potential of the pharmaceutical products and the oncology business, despite recent declines [8][9] - The company is actively managing its cash position to support ongoing operations and R&D, with plans to continue stock repurchases [40][41] Other Important Information - The company is collaborating with Merck on an Epstein Barr virus vaccine, currently in Phase 1 trials, with promising initial results [34][35] - A new GLP-1 glucagon dual agonist is in development, with a focus on addressing obesity and weight management, leveraging innovative delivery methods [23][24] Q&A Session Summary Question: What is the rationale behind the transactions with LabCorp? - The transactions aim to reduce operational footprint and focus on high-value businesses like oncology, which is performing well [3][5] Question: Do you expect sales of pharmaceutical products to resume growth? - Yes, growth is expected for the full year despite a slight decline in the first quarter due to timing issues and market dynamics [8][9] Question: What are the main drivers for top-line revenue growth in the next 12 to 18 months? - Growth is anticipated from the Latin American business and the remaining operations of BioReference, with an overall guidance of about 8% growth [12][13] Question: What is the current status of the tetra antibody in immuno-oncology? - The tetra antibody is in clinical trials, with expectations to demonstrate efficacy by the end of the year [18][21] Question: How is the company positioned financially to support its programs? - The company has a strong cash position and plans to utilize funds for operations, R&D, and stock repurchases [40][41]

Financial Data and Key Metrics Changes - The company reported a net loss of $67.6 million or $0.10 per share for Q1 2025, compared to a net loss of $81.8 million or $0.12 per share for the same period in 2024 [24] - Total revenue for Q1 2025 was $149.9 million, a decrease from $173.7 million in Q1 2024, primarily due to the sale of assets to LabCorp [18][20] - Operating loss for Q1 2025 was $58.7 million, compared to an operating loss of $62.1 million in Q1 2024 [24] Business Line Data and Key Metrics Changes - Diagnostics segment revenue was $102.8 million for Q1 2025, down from $126.9 million in Q1 2024, largely due to the LabCorp transaction [18][20] - The Pharmaceutical segment revenue increased slightly to $47.1 million in Q1 2025 from $46.8 million in Q1 2024, with product revenue including international sales at $34.8 million [20] - The 4Kscore test in the Diagnostics segment reported a 14.5% year-over-year growth [10] Market Data and Key Metrics Changes - The company anticipates total revenues for 2025 to be between $675 million and $685 million, with service revenue projected between $400 million and $425 million [29] - Revenue from products is expected to be between $165 million and $175 million, while other revenue, including Pfizer gross profit share, is estimated between $30 million and $40 million [29] Company Strategy and Development Direction - The company is focused on advancing its strategic initiatives, including the sale of BioReference's oncology business to LabCorp, which is expected to enhance profitability [5][9] - A $100 million increase in the common stock repurchase program was approved, bringing the total to $200 million, indicating confidence in the company's undervalued shares [7] - The company aims to reach profitability within the year and is executing a multi-year program to improve operational efficiencies in the Diagnostics segment [12][28] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the ability to drive value for shareholders despite challenges in the commercial environment affecting product sales [5][20] - The company expects to incur additional non-recurring costs of $5 million in Q2 2025, primarily related to severance [28] - Management remains optimistic about the progress of its pharmaceutical programs and the potential for profitability in the Diagnostics segment post-LabCorp transaction [18][28] Other Important Information - The company ended Q1 2025 with approximately $450 million in cash and equivalents, having exited its position in GNDX, adding $51 million to its cash balance [25] - The company completed a convertible debt exchange, eliminating $159.2 million of outstanding convertible notes [25] Q&A Session Summary Question: What are some possible explanations for the negative dynamics for ENGENLA? - Management indicated that the growth rates for prescriptions continue, suggesting the issue is likely related to the commercial environment rather than competition [33] Question: Could you comment on why Pfizer withdrew their EU application for the adult setting? - Management noted that Pfizer is focusing on pediatric indications due to the larger market size, which influenced their decision [34] Question: Could you provide a rough timeline about the development program of the GLP-oneglucagon tablet candidate? - The IND is expected to be filed by the end of this year or early next year, with Phase one trial results anticipated by the end of 2026 [37][38] Question: Can you give us a sense of the Diagnostic business and BioReference? - Management confirmed that the remaining business is expected to generate between $310 million and $320 million on an annualized basis [45] Question: What are the next steps for the subcutaneous obesity program and NASH program? - Both programs are in the pre-IND phase, with plans to enter Phase I trials soon, focusing on safety and pharmacological behavior [56][57]