Summary of Neurocrine Biosciences Conference Call Company Overview - **Company**: Neurocrine Biosciences (NasdaqGS:NBIX) - **Date of Conference**: March 17, 2026 - **Key Speakers**: Kyle Gano (CEO), Todd Tushla (Head of IR) Key Points 1. Financial Performance - **2025 Revenue**: Approximately $2.8 billion, representing a **22% year-over-year growth** [4] - **Ingrezza Revenue**: $2.51 billion in 2025, with a **9% year-over-year growth** and double-digit volume growth [5] - **2026 Revenue Guidance**: Expected to be between **$2.7 billion and $2.8 billion** [11] - **Price Trends**: Anticipated **4%-5% price decline** year-over-year for Ingrezza due to expanded access [12] 2. Product Performance - **Ingrezza**: - Eighth year of commercialization with strong sales performance. - Focus on expanding prescriber base, targeting **30% new prescribers** [6] - Anticipated strong year with **double-digit volume growth** [31] - **CRENESSITY**: - First year of commercial sales generated **$300 million** in revenue, capturing **10% of the CH market** [7] - High reimbursement rates with **80% of dispensed scripts reimbursed** [7] - Focus on educational support for physicians and patients to change the standard of care [8] 3. Pipeline and Future Developments - **Phase 3 Trials**: - Osavampator and direclidine expected to deliver data in **2027** [8] - NBI-570 (M1M4 dual agonist) in schizophrenia and NBI-890 (next-generation VMAT2 inhibitor) in phase 2 trials [9][10] - **Next-Generation VMAT2 Program**: - Focus on long-acting injectable formulations to improve patient compliance [72] - **CRF1 Antagonist (NBIP-1435)**: - In phase 1, moving to phase 2/3 later this year, offering a long-acting injectable option [80] 4. Market Dynamics and Competitive Landscape - **Market Access**: - 70% of TD and HD patients under existing contracts, providing a strong market position [36] - **Competitor Analysis**: - Teva's MFP implementation in 2027 and 2028 may impact pricing strategies [36] - **Regulatory Environment**: - Ongoing negotiations with Medicare plans for 2027, with expectations for adjacent MFP products [37] 5. Strategic Focus - **Execution and Data Delivery**: - Emphasis on executing current strategies and delivering data across phase 2 and phase 3 programs in 2027 [10] - **Sustainable Innovation**: - Commitment to a diversified pipeline and innovation engine to support long-term growth [86] 6. Additional Insights - **Patient Compliance**: - Importance of addressing patient reauthorization processes and maintaining access to prescriptions [44] - **Market Sensitivity**: - Anticipation of emotional responses to new patient start forms, with a focus on consistent growth trends [42] Conclusion Neurocrine Biosciences is positioned for continued growth with a strong financial profile, a diversified product portfolio, and a robust pipeline of upcoming clinical data. The company is focused on execution and market access strategies to navigate competitive pressures and regulatory challenges while aiming to enhance patient care through innovative therapies.

Core Insights - Neurocrine Biosciences has initiated a Phase 2 clinical study for NBI-1065890, a selective VMAT2 inhibitor aimed at treating tardive dyskinesia (TD) [1][2] - The study will involve approximately 100 adult subjects and will evaluate the efficacy, safety, and tolerability of NBI-1065890 compared to a placebo, with the primary endpoint being the change in AIMS dyskinesia total score at Week 8 [2] Company Overview - Neurocrine Biosciences is a biopharmaceutical company focused on developing treatments for neurological, psychiatric, endocrine, and immunological disorders, with a history of successful drug development including valbenazine for TD [3][6] - The company has a robust pipeline with multiple compounds in mid- to late-phase clinical development, reflecting its commitment to addressing under-treated conditions [6] Tardive Dyskinesia (TD) Context - TD is a movement disorder characterized by uncontrolled and repetitive movements, often resulting from the use of certain antipsychotic medications, affecting an estimated 800,000 adults in the U.S. [4][5] - The condition can lead to significant disruption in patients' lives, highlighting the need for effective treatment options [4]

Neurocrine Biosciences Conference Call Summary Company Overview - **Company**: Neurocrine Biosciences (NasdaqGS:NBIX) - **Key Products**: - Ingrezza: Approved for tardive dyskinesia (TD) in 2017 and for chorea associated with Huntington's disease - Crinecerfont: Recently approved for congenital adrenal hyperplasia (CAH) in December 2024 - **R&D Pipeline**: Focus on developing a deep and sustainable research and development pipeline Core Points and Arguments Financial Performance - **Q3 Revenue**: $790 million, representing nearly 30% year-over-year growth and double-digit quarter-to-quarter growth [4][5] - **Ingrezza Revenue**: $687 million in Q3, with 12% year-over-year growth and 10% quarter-to-quarter growth [5][6] - **Full Year Guidance**: Reaffirmed guidance of $2.5-$2.55 billion for the year [5][6] Ingrezza Insights - **Market Potential**: 800,000 patients in the U.S. with 90% not on a VMAT2 inhibitor, indicating significant growth potential [6][20] - **Efficacy**: Ingrezza has best-in-class efficacy and a novel formulation for patients with dysphagia, with intellectual property protection until 2038 [6][7] - **Sales Strategy**: Expansion of the sales force and improved market access have driven new patient starts and market share gains [16][20] Crinecerfont Launch - **Initial Performance**: Exceeded expectations with $98 million in revenue and 540 enrollment forms in Q3 [7][33] - **Patient Adoption**: 1,600 new patient starts in the first year, aiming for 2,000 by year-end, representing 10% of the prevalent population [9][34] - **Reimbursement Success**: High reimbursement rate of 80% for dispensed scripts [7][33] R&D Pipeline and Future Growth - **R&D Goals**: Aim to offer one new medicine every other year by the end of the decade, with a focus on validated targets and expanding capabilities into peptides and biologics [10][11] - **Upcoming Programs**: Multiple phase one and phase two starts planned, with a focus on neuroscience and psychiatry [12][43] Market Dynamics and Competitive Landscape - **Pricing Strategy**: Anticipated price decline of 5-7% for Ingrezza due to market access gains and competitive dynamics [18][27] - **Market Growth**: TD market is growing faster than the general population due to increased use of antipsychotics [25][26] - **Competitor Analysis**: Ingrezza is priced significantly lower than competitors like Austedo, which may impact market share dynamics [30][29] Regulatory and Strategic Considerations - **IRA Impact**: Anticipation of the Inflation Reduction Act (IRA) influencing pricing and access strategies [21][24] - **Formulary Coverage**: Increased Medicare formulary coverage from under 50% to over 70% [20][19] Pipeline Developments - **NBI-770**: Did not meet primary endpoint but showed safety and efficacy signals; next steps are under consideration [42][43] - **Ozevampitor**: Phase three program for major depressive disorder (MDD) showing promising results with a significant effect size [44][45] Additional Important Insights - **Sales Force Expansion**: Investment in expanding the sales team for both Ingrezza and Crinecerfont to drive patient adoption [40][41] - **Data-Driven Approach**: Utilizing machine learning and data analytics to identify potential patients for Crinecerfont [40][41] This summary encapsulates the key points discussed during the Neurocrine Biosciences conference call, highlighting the company's financial performance, product insights, market dynamics, and future growth strategies.