Annexon (NasdaqGS:ANNX) FY Conference January 14, 2026 02:15 PM ET Company ParticipantsPriyanka Grover - Political Affairs and Public Diplomacy OfficerDouglas Love - CEOJoyce Zhou - Private Equity AssociateConference Call ParticipantsAnupam Rama - Senior Biotech AnalystAnupam RamaAll right, welcome everyone to the 44th Annual J.P.Morgan Healthcare Conference. My name is Anupam Rama. I am one of the Senior Biotech Analysts here at J.P.Morgan. I'm joined by my squad: Joyce Zhou, Priyanka Grover, and Ratih Pin ...

Tanruprubart MAA Filed with Potential to Be the First Targeted Fast-Acting Therapy for Guillain-Barré Syndrome (GBS); BLA Submission with U.S./European Data Planned in 2026 Vonaprument Pivotal Phase 3 Topline Data for Dry AMD with Geographic Atrophy (GA) on Track for Second Half of 2026 Evaluating Unprecedented Effect on Vision Protection Proof-of-Concept Data for ANX1502, the First Oral C1 Inhibitor for Autoimmune Disease, Expected in 2026 Strong Financial Position Funds Operations into Late 2027 Well Past ...

Core Insights - Annexon Inc. (NASDAQ:ANNX) is highlighted as a promising multibagger penny stock, with Clear Street initiating coverage with a Buy rating and a price target of $17, driven by advancements in complement inhibitors for inflammation-related diseases [1][2]. Group 1: Pipeline Development - The lead asset vonaprument for geographic atrophy (GA) has shown positive results in Phase 2 trials, with pivotal data expected in the second half of next year, which could enhance clinical confidence and market access [2]. - Another key product, Tanruprubart, targeting Guillain-Barré syndrome (GBS), has also yielded positive data in pivotal studies, with a European regulatory submission planned for early next year [2]. - The oral complement inhibitor ANX1502 is in early clinical development and is anticipated to be a significant treatment option in a category currently dominated by injected or infused therapies [3]. Group 2: Analyst Ratings and Price Targets - Wells Fargo has reiterated an overweight rating on Annexon, raising the price target from $14 to $27, reflecting confidence in the positive outcomes of Vonaprument's Phase 3 GA trial expected in the second half of 2026 [4]. Group 3: Company Overview - Annexon, Inc. is a clinical-stage biopharmaceutical company focused on developing next-generation medicines targeting the classical complement pathway (C1q) to treat severe autoimmune, neurodegenerative, and ophthalmic diseases, including GBS and GA [5].

Core Insights - Annexon, Inc. is advancing its late-stage neuroinflammation platform with significant milestones expected in 2026, including the potential approval of targeted therapies for Guillain-Barré Syndrome (GBS) and Geographic Atrophy (GA) [1][2][3] GBS Program - The company is on track to submit a Marketing Authorisation Application (MAA) for Tanruprubart in GBS by January 2026, aiming to be the first approved targeted therapy for this condition, which affects approximately 150,000 people annually worldwide [2][3] - Ongoing discussions with the FDA are focused on the generalizability package to support the Biologics License Application (BLA) submission [2][3] GA Program - The Phase 3 trial for Vonaprument in GA is expected to deliver topline data in the second half of 2026, with the potential to be the first approved vision-sparing therapy for the eight million patients affected by GA globally [1][2][4] - The ARCHER II trial has completed enrollment with 659 GA patients, exceeding targets, and is designed to evaluate visual function as the primary endpoint [7] ANX1502 Program - ANX1502 is an oral C1s inhibitor currently in a proof-of-concept study for Cold Agglutinin Disease (CAD), with completion expected in 2026 [1][5][7] - The program aims to provide a convenient oral treatment option for multiple neuroinflammatory autoimmune diseases [5] Financial Position - As of September 30, 2025, the company reported cash and cash equivalents of $188.7 million, extending its operational runway into late Q1 2027 [7][8] - Research and development expenses increased to $49.7 million for Q3 2025, primarily due to advancements in the Phase 3 ARCHER II trial and global filings for Tanruprubart [8][13]

Core Insights - Annexon, Inc. is advancing its late-stage clinical platform for novel therapies targeting complement-mediated neuroinflammatory diseases, with significant progress in its product pipeline and regulatory interactions [1][2][8] Product Development Updates - **Tanruprubart (ANX005)**: Aimed at treating Guillain-Barré Syndrome (GBS), with approximately 90% of treated patients showing improvement by week 1 and more than double achieving normal health by week 26 compared to placebo. The company plans to submit a Marketing Authorization Application (MAA) to the European Medicines Agency (EMA) in Q1 2026 and is in discussions with the FDA regarding a Biologics License Application (BLA) [2][3][6] - **Vonaprument (ANX007)**: Targeting dry age-related macular degeneration (AMD) with geographic atrophy (GA), with accelerated enrollment in the Phase 3 ARCHER II trial. Topline data is expected in the second half of 2026, and the product has been selected for the EMA's PRIME program to facilitate regulatory interactions [1][4][6] - **ANX1502**: A first-in-kind oral C1s inhibitor showing promising exposure levels in fasted patients. Ongoing evaluations are expected to provide updates by the end of 2025 [1][5][6] Financial Overview - As of June 30, 2025, the company reported cash and cash equivalents of $227 million, sufficient to support operations through Q4 2026 [10] - Research and development expenses for Q2 2025 were $44.2 million, up from $25 million in Q2 2024, reflecting the advancement of key programs [10][14] - The net loss for Q2 2025 was $49.2 million, or $0.34 per share, compared to a net loss of $29.6 million, or $0.23 per share, in Q2 2024 [10][14] Strategic Initiatives - The company is actively engaging in global regulatory discussions to facilitate the commercialization of tanruprubart for GBS and is exploring collaborations with pharmaceutical companies for its commercialization [3][6] - The appointment of Lloyd Clark, M.D., as senior vice president for ophthalmology strategy and innovation aims to enhance the company's expertise in bringing novel therapies to market [6] Market Context - The company targets a significant unmet need in treating complement-mediated diseases, with a focus on neuroinflammatory conditions affecting millions globally [8] - The potential approval of vonaprument could position it as the first treatment for GA in both Europe and the U.S., addressing a critical gap in the market [4][6]

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]

Core Insights - Annexon, Inc. is advancing a late-stage clinical platform of novel therapies targeting classical complement-mediated neuroinflammatory diseases, with significant progress in its portfolio and financial results for Q1 2025 [1][2][9] Group 1: Clinical Development Updates - The FDA meeting for Tanruprubart (formerly ANX005), a potential treatment for Guillain-Barré Syndrome (GBS), is scheduled for Q2 2025 ahead of a planned Biologics License Application (BLA) submission [1][2] - The open-label Tanruprubart FORWARD study is set to initiate in Q2 2025, aimed at broadening patient and healthcare community experience in North America and Europe [1][8] - The Phase 3 ARCHER II trial for ANX007, targeting dry age-related macular degeneration (AMD) with geographic atrophy (GA), is on track for completion in Q3 2025, with pivotal topline data expected in the second half of 2026 [1][2][8] - Completion of the proof-of-concept trial for ANX1502, an oral C1s inhibitor for cold agglutinin disease, is anticipated by mid-2025 [1][2][8] Group 2: Financial Performance - As of March 31, 2025, the company reported $263.7 million in cash, cash equivalents, and short-term investments, providing a runway into the second half of 2026 [1][7] - Research and development expenses for Q1 2025 were $48.2 million, significantly higher than $21.0 million in Q1 2024, reflecting the advancement of priority programs [7][13] - General and administrative expenses increased to $9.2 million in Q1 2025 from $7.6 million in Q1 2024 [7][13] - The net loss for Q1 2025 was $54.4 million, or $0.37 per share, compared to a net loss of $25.2 million, or $0.21 per share, in Q1 2024 [7][13] Group 3: Market Potential and Strategic Positioning - Tanruprubart is positioned as the first potential therapy for GBS, addressing a significant unmet need with no FDA-approved treatments currently available [2][3] - ANX007 aims to be the first vision-preserving treatment for dry AMD with GA, potentially benefiting over eight million patients globally [2][5] - The company's innovative C1 platform is designed to halt harmful neuroinflammation, with a focus on addressing the unmet needs of nearly 10 million people worldwide [2][9]

Core Insights - Annexon, Inc. is advancing a late-stage clinical platform of novel therapies targeting classical complement-mediated neuroinflammatory diseases, with significant progress in its flagship programs [1][2][9] Group 1: Clinical Programs - ANX005 is positioned as a potential first targeted therapy for Guillain-Barré Syndrome (GBS), demonstrating early and durable functional improvements with a differentiated safety profile [2][3] - ANX007 aims to be the first vision-preserving treatment for dry age-related macular degeneration (AMD) with geographic atrophy (GA), with a groundbreaking global registration path established for approval in Europe and the U.S. [1][8] - ANX1502 is an oral small molecule currently in a proof-of-concept trial for cold agglutinin disease (CAD), with data from up to seven patients expected by mid-2025 [1][5][8] Group 2: Financial Performance - As of December 31, 2024, the company reported cash, cash equivalents, and short-term investments totaling approximately $312 million, providing a financial runway into the second half of 2026 [1][7] - Research and development (R&D) expenses for Q4 2024 were $43.4 million, up from $23.3 million in Q4 2023, reflecting the advancement of priority programs [11] - The net loss for the year ended December 31, 2024, was $138.2 million, compared to $134.2 million for the previous year, indicating ongoing investment in clinical development [11][13] Group 3: Regulatory and Market Context - GBS affects at least 150,000 people worldwide annually, with no FDA-approved therapies currently available, highlighting a significant unmet medical need [8] - The Phase 3 ARCHER II trial for ANX007 is expected to complete enrollment in the second half of 2025, with data anticipated in the second half of 2026 [8] - ANX007 is the only investigational therapy to have shown significant vision preservation in both normal and low light conditions, as demonstrated in the Phase 2 ARCHER trial [8]