Scholar Rock (NasdaqGS:SRRK) FY Conference Summary Company Overview - **Company**: Scholar Rock - **Event**: 44th Annual J.P. Morgan Healthcare Conference - **Date**: January 12, 2026 - **Key Speaker**: David Hallal, Chairman and CEO Core Industry and Company Insights - Scholar Rock is positioned as a leader in myostatin biology, focusing on treatments for rare neuromuscular disorders, particularly Spinal Muscular Atrophy (SMA) [2][3] - The company has developed Apitegromab, the first myostatin inhibitor to successfully complete a pivotal phase III study, demonstrating clinically meaningful benefits for SMA patients [3][10] - Apitegromab is expected to receive U.S. and European approvals in 2026, with Germany being the initial launch country in Europe [3][5] Key Developments and Milestones - Scholar Rock plans to initiate dosing for a new indication of Apitegromab for Facioscapulohumeral Muscular Dystrophy (FSHD) later in 2026 [4][19] - The company has a strong cash position of approximately $365 million, providing a runway into 2027 to support commercial and R&D initiatives [25] - The phase III trial data showed that about one-third of patients receiving Apitegromab alongside SMN-targeted therapies had significant improvements in motor function, compared to only 12.5% in the placebo group [12] Market Opportunity - The global market for SMN-targeted therapies is projected to reach $5 billion in 2025, with Apitegromab representing a $2 billion-plus opportunity specifically for SMA [18][27] - The company aims to build a 50-country operating platform to serve SMA patients globally, with a focus on the U.S., Europe, and significant markets in Asia-Pacific and Latin America [6][7] Regulatory and Commercial Strategy - Scholar Rock is preparing for a BLA resubmission and U.S. launch following a complete response letter from the FDA, which was related to site inspection issues rather than clinical efficacy [13][15] - The company is actively engaging with national and regional payers to educate them on the unmet needs in SMA and the potential benefits of Apitegromab [16][17] - The U.S. commercial team is focused on disease education and building relationships with the SMA community to ensure successful market entry [16] Future Directions - Scholar Rock is committed to expanding the reach of Apitegromab to ensure no SMA patient is left behind, including those under two years of age [19][26] - The company is also exploring additional neuromuscular diseases for which Apitegromab may provide therapeutic benefits [22][23] - Ongoing development of SRK-439, a more potent myostatin inhibitor, is also a priority, with plans to share data from healthy volunteer studies in late 2026 [24] Financial Outlook - The company has maintained financial discipline while investing in high-value programs, with a focus on preparing for the commercial launch of Apitegromab [25][41] - There is an expectation of strong demand for Apitegromab upon approval, with plans for non-dilutive financing options to support operational needs [41] Conclusion - Scholar Rock is poised for a transformative year in 2026, with significant advancements in the treatment of SMA and a robust pipeline aimed at addressing various neuromuscular disorders [26]

Core Viewpoint - The article emphasizes a focus on non-consensus long-short investment ideas within the biotechnology sector, particularly targeting small to mid-cap companies in the US and EU markets, with an interest in clinical catalysts and new drug launches [1]. Group 1: Investment Focus - The investment strategy centers on small to mid-cap biotechnology companies that are publicly traded [1]. - The analysis aims to identify clinical catalysts that could influence stock performance and earnings related to new drug launches [1]. Group 2: Analyst's Position - The analyst holds a beneficial long position in the shares of SRRK, indicating a personal investment interest in this specific stock [2]. - The article is authored by the analyst without external compensation, reflecting personal opinions rather than institutional views [2]. Group 3: Content Disclaimer - The content is intended for informational and educational purposes only, and should not be interpreted as financial or investment advice [3]. - The article acknowledges the possibility of errors or inaccuracies in the information provided, emphasizing the need for readers to conduct their own due diligence [3].

Core Insights - Commodore Capital has fully exited its position in Scholar Rock Holding Corporation, selling approximately 1.5 million shares in Q3, which represented a net position change of about $51 million [1][2][10] Company Overview - Scholar Rock Holding Corporation is a biotechnology company focused on developing therapeutics for serious diseases driven by protein growth factor signaling, with a pipeline that includes neuromuscular, oncology, and fibrotic indications [5][8] - As of the latest data, Scholar Rock's share price is $41.08, with a market capitalization of $4.2 billion and a net income of -$353.4 million over the trailing twelve months [4][8] Financial Performance - The company reported a significant increase in Q3 operating expenses, rising to $103.6 million from $64.8 million the previous year, leading to a quarterly net loss of $102.2 million [11] - Scholar Rock has $369.6 million in cash, providing a runway into 2027 to support its programs through key catalysts expected in 2026 [11] Regulatory and Market Position - Scholar Rock is preparing to resubmit its apitegromab biologics license application following a constructive FDA meeting on November 12, which indicated progress in remediation efforts [10] - The company is entering a critical phase with potential regulatory milestones that could significantly impact its market position and investor sentiment [9][12]

Core Viewpoint - Scholar Rock's stock price surged by 6% following a bullish initiation of coverage by Bank of America Securities, despite a slight decline in the S&P 500 index [1][2]. Group 1: Analyst Coverage - Tazeen Ahmad of Bank of America Securities initiated coverage on Scholar Rock, setting a buy rating with a price target of $53 per share, which is nearly 30% higher than the company's recent closing price [2]. - The positive market reaction was attributed to the analyst's favorable outlook on the company's potential [2]. Group 2: Pipeline Drug - Scholar Rock's investigational drug apitegromab, aimed at treating spinal muscular atrophy (SMA), is highlighted as significantly more effective than existing treatments [3]. - The company focuses on developing therapies for rare diseases that currently lack effective treatments [4]. - Apitegromab is the most advanced drug in Scholar Rock's pipeline and has been submitted for FDA approval under a biologics license application (BLA) [5]. - The FDA issued a complete response letter (CRL) last month, indicating that the application is not approved in its current form, and Scholar Rock is addressing the issues raised [5].

Group 1 - The article discusses Scholar Rock Holding Corporation (NASDAQ: SRRK) and its potential beyond its current focus on Spinal Muscular Atrophy (SMA) treatments, particularly highlighting upcoming data related to obesity treatment expected in Q2 2025 [2] - The author operates the Biotech Analysis Central service, which provides in-depth analysis of various pharmaceutical companies and includes a model portfolio of small and mid-cap stocks [2] - The service offers a subscription model with a promotional two-week free trial and a discounted annual plan [1] Group 2 - The article does not provide specific financial data or performance metrics related to Scholar Rock or the broader biotech industry [4]

Group 1 - The article discusses Scholar Rock Holding Corporation (NASDAQ: SRRK) and its potential beyond its current focus on Spinal Muscular Atrophy (SMA) treatments, particularly highlighting upcoming data related to obesity treatment expected in Q2 2025 [2] - The author operates the Biotech Analysis Central service, which provides in-depth analysis of various pharmaceutical companies and includes a model portfolio of small and mid-cap stocks [2] - The service offers a subscription model with a promotional two-week free trial and a discounted annual plan [1] Group 2 - The article does not provide specific financial data or performance metrics related to Scholar Rock or the broader biotech industry [3][4]

Apitegromab in SMA - Positive Phase 3 trial data showed a 18 point improvement versus placebo in Hammersmith Functional Motor Scale-Expanded (HFMSE) in SMA patients[23] - 30% of apitegromab patients achieved ≥3-point improvement in HFMSE compared to 125% of placebo patients[23] - FDA accepted BLA under Priority Review with a target action date of September 22, 2025[25] - MAA Validated with anticipated EU approval in 2026[14] - The company is initiating Phase 2 OPAL Trial in Q3 to study apitegromab in patients under 2 years old[14, 27] Pipeline Expansion - EMBRAZE trial achieved primary endpoint with positive Phase 2 proof-of-concept in obesity[14] - Apitegromab combined with tirzepatide resulted in a 549% reduction in lean mass loss versus tirzepatide alone[36] - The company is on track to file IND for SRK-439 in 2H 2025[14, 39, 43] Financial Status - The company had $295 million cash as of June 30, 2025[14]

Business Overview - Scholar Rock's strategy focuses on selectivity in targeting latent growth factors to develop therapeutics across multiple disease areas[12, 15, 17, 19] - The company is advancing a pipeline of product candidates in neuromuscular disorders, cardiometabolic disorders, immuno-oncology, fibrosis, and anemia[20, 23] - Scholar Rock anticipates transformative execution in the next 12-24 months, driven by upcoming milestones and commercialization efforts[12] Apitegromab (Spinal Muscular Atrophy) - Topline readout from the Phase 3 SAPPHIRE trial in SMA is expected in Q4 2024, with a potential SMA launch in Q4 2025 if successful and approved[30] - 48-month data from the TOPAZ clinical trial showed substantial and sustained improvements in motor function outcomes in pooled nonambulatory SMA patients[39, 46, 52] - In the TOPAZ trial, pooled nonambulatory patients showed mean change from baseline in HFMSE of 2.8 at 6 months, 3.6 at 12 months, 4.2 at 24 months, 4.0 at 36 months, and 5.3 at 48 months[40] - In the TOPAZ trial, pooled nonambulatory patients showed mean change from baseline in RULM of 0.6 at 6 months, 1.3 at 12 months, 2.3 at 24 months, 2.4 at 36 months, and 3.6 at 48 months[47] Apitegromab (Obesity) & SRK-439 - A Phase 2 proof-of-concept EMBRAZE study of apitegromab in obesity is enrolling, with topline data expected in Q2 2025[23, 30, 60, 63] - SRK-439, a novel anti-myostatin antibody, is being advanced to IND submission, with preclinical data showing potential for healthier weight loss in combination with GLP-1 receptor agonists[23, 30, 75] - Preclinical data showed that SRK-439 increased lean mass and attenuated regain of fat mass after GLP-1 RA withdrawal in an obesity mouse model[78] - In preclinical studies, SRK-439 demonstrated greater potency than an anti-ActRII antibody at maintaining lean mass during GLP-1 RA-induced weight loss[77, 88]

Investment Rating - The industry investment rating is "Positive" (maintained) [1] Core Insights - The report highlights recent positive developments in the high-quality weight loss sector, particularly focusing on myostatin pathway clinical trial results from Regeneron and Scholar Rock, which demonstrate significant reductions in lean body mass loss when combined with GLP-1 medications [4][12] - The pharmaceutical and biotechnology sector experienced a decline of 4.35% in the third week of June 2025, underperforming the CSI 300 index by 3.9 percentage points, ranking 29th among 31 sub-industries [5][16] - The report emphasizes the potential of Activin receptor drugs, such as Eli Lilly's Bimagrumab and Lai Kai's LAE-102, to retain lean body mass and even promote muscle gain, with promising safety and pharmacokinetic data [4][12] Summary by Sections 1. Recent Developments in Weight Loss Sector - Regeneron's myostatin antibody Trevogrumab combined with semaglutide showed a 50.8% reduction in lean body mass loss over 24 weeks, compared to a 7.9 lbs loss with semaglutide alone [4][12] - Scholar Rock's myostatin antibody Apitegromab combined with Tirzepatide demonstrated a 54.9% reduction in lean body mass loss [4][12] 2. Market Performance - The pharmaceutical and biotechnology sector's decline of 4.35% in June's third week was the largest among all sectors, with the vaccine sector experiencing the smallest drop of 0.4% [5][21] - Other sub-sectors, such as blood products and medical consumables, also faced declines, with the largest drop seen in other biological products at 6.7% [5][21] 3. Recommended Stocks - Recommended stocks include major pharmaceutical and biotechnology companies such as Heng Rui Medicine, East China Medicine, and Innovent Biologics, among others [6]

Core Insights - Scholar Rock's Phase 2 EMBRAZE trial results indicate that apitegromab combined with tirzepatide can significantly preserve lean mass during weight loss, with a notable reduction in lean mass loss compared to tirzepatide alone [1][2][3] Group 1: Trial Results - The trial showed that 30% of the weight loss from tirzepatide was attributed to lean mass loss, while the addition of apitegromab reduced this to 14.6% [3][4] - Patients receiving the apitegromab-tirzepatide combination lost 12.3% of their body weight, compared to 13.4% for those on tirzepatide with placebo [4] - The combination therapy resulted in a higher quality of weight loss, with patients losing 85% fat and 15% lean mass, compared to 70% fat and 30% lean mass in the placebo group [4] Group 2: Market Reaction - Following the positive trial results, Scholar Rock's stock price increased by 18%, reaching $36.77 [6]