Summary of Supernus Pharmaceuticals Conference Call Company Overview - **Company**: Supernus Pharmaceuticals (NasdaqGM:SUPN) - **Industry**: Pharmaceuticals, specifically focusing on Central Nervous System (CNS) disorders - **CEO**: Jack Khattar, who founded the company in 2005 as a spin-out from Shire, achieving an enterprise value of up to $3 billion [2][3] Key Points Discussed Acquisition and Integration of Sage - **Acquisition Details**: Supernus completed the acquisition of Sage, aiming for $200 million in annualized synergies [3][5] - **Synergy Realization**: Integration is progressing well, with SG&A costs related to Sage reduced to approximately $14-$15 million per month, down from previous independent operations [4][5] - **R&D Evaluation**: The company is assessing Sage's R&D programs to determine which to continue or eliminate, with significant progress reported [5][6] Product Performance and Market Dynamics - **Lead Asset - Zurzuvae**: - Demand-driven growth observed, with a sequential growth rate of 19%-20% over the last four quarters [9] - Approximately 500,000 women experience postpartum depression (PPD) symptoms annually, with only 45%-50% diagnosed and 60%-70% treated, indicating significant market potential [10][17] - Education efforts are crucial for increasing diagnosis and treatment rates among both patients and physicians [15][16] - **Sales Force Expansion**: - The sales force primarily targets OB-GYNs, with about 80% of Zurzuvae prescriptions coming from this specialty [12][13] - The company adopts a stepwise approach to sales force expansion, focusing on measuring returns before further investment [12] Qelbree Performance - **Revenue Growth**: - Qelbree has shown robust growth, with a 19% increase in pediatric prescriptions and a 32% increase in adult prescriptions [19][20] - The market for ADHD treatments continues to grow, with Qelbree capturing a stable mix of treatment-naïve patients (30%-35%) and switch patients [25] - **Market Dynamics**: - The adult segment is increasingly recognized, with societal shifts leading to more discussions about mental health and ADHD [21][22] - The company is benefiting from the genericization of Vyvanse, although stimulant shortages have not significantly impacted Qelbree's market share [23][24] Supply Chain and Product Availability - **Apokyn Supply Issues**: - Current supply challenges due to reliance on a third-party manufacturer, with efforts to explore alternative suppliers to ensure patient access [33][34] - The company is working with the FDA to expedite the approval process for new manufacturing facilities [39][41] - **Gocovri Performance**: - Gocovri continues to grow, driven by its unique indication for dyskinesia and off-episodes, with increasing physician adoption [54][55] - Medicare redesign has improved patient affordability, contributing to retention rates [56][57] Pipeline Developments - **SPN-820**: - Mixed results in treatment-resistant depression (TRD) but confidence in a new dosing regimen for major depressive disorder (MDD) [58][60] - **SPN-817**: - Expected cholinergic side effects managed through mandatory antiemetic use in ongoing studies, with a focus on improving patient retention during the titration phase [63][64] Additional Insights - **Market Education**: There is a significant need for education regarding postpartum depression and ADHD, which presents an opportunity for Supernus to increase market penetration [15][16][17] - **Patient-Centric Approach**: The company emphasizes transparency and patient care, particularly during supply challenges, to maintain physician and patient trust [45][46] This summary encapsulates the key discussions and insights from the Supernus Pharmaceuticals conference call, highlighting the company's strategic initiatives, product performance, and market opportunities.

Summary of Supernus Pharmaceuticals FY Conference Call Company Overview - **Company**: Supernus Pharmaceuticals (NasdaqGM:SUPN) - **Event**: 37th Annual Piper Sandler Healthcare Conference - **Date**: December 02, 2025 Key Points Industry and Product Focus - **Product in Focus**: APO-go, a treatment for movement disorders, particularly for patients with advanced Parkinson's disease [1][2] - **Market Demand**: There is significant demand for APO-go, with physicians expressing strong support for the product despite current supply constraints [3][4] Supply Chain Challenges - **Current Situation**: The existing manufacturer is facing capacity issues, unable to meet the overwhelming demand for APO-go [5][6] - **Resolution Efforts**: Supernus is exploring multiple avenues to resolve supply constraints, including discussions with the FDA and potential partnerships with alternative suppliers [2][3][10] - **Timeline for Solutions**: Onboarding a new manufacturer could take several months to a year, depending on regulatory approvals and readiness [7][8][9] Patient Demand and Enrollment - **Patient Enrollment Forms (PEFs)**: Despite supply issues, physicians continue to submit PEFs, indicating ongoing interest in APO-go [14][15] - **Patient Demographics**: Initial demand is primarily from patients with advanced Parkinson's disease who have limited treatment options [19][20] Financial Projections - **Sales Estimates**: Initial peak sales estimates for APO-go are projected between $200 million and $300 million, which may need to be revisited once supply issues are resolved [20][21] - **Long-term Outlook**: The long-term potential for APO-go remains strong, as it offers a unique treatment option not available in the current market [21][22] Competitive Landscape - **Market Competition**: APO-go faces competition from other products like Vyalev and Apokyn, but it serves a different purpose as a rescue medication [25][26] - **Product Differentiation**: APO-go is positioned as a unique treatment option, distinct from traditional therapies like Levodopa [21][22] New Product Developments - **Zurzuvae**: Another product in the portfolio targeting postpartum depression, with significant market potential as it addresses a large unmet need [32][33] - **Sales Strategy**: The sales force is primarily targeting OB-GYNs, with potential for expansion based on market response [34][36] M&A and Future Strategy - **M&A Focus**: Supernus is prioritizing commercial-stage assets and is open to acquiring later-stage development programs [47][48] - **Partnership with Biogen**: There is potential for discussions regarding the buyout of Biogen's 50% stake in Zurzuvae, although both companies are currently committed to the brand [46] Financial Synergies - **Cost Synergies**: Supernus anticipates realizing up to $200 million in annualized synergies from the acquisition of Sage Therapeutics [42] Research and Development - **Early-stage Assets**: Supernus is evaluating early-stage assets from Sage and its own pipeline to determine which programs to advance [43][44] Conclusion Supernus Pharmaceuticals is navigating significant supply chain challenges with its APO-go product while maintaining strong demand and interest from healthcare providers. The company is also expanding its product portfolio with Zurzuvae and exploring strategic M&A opportunities to enhance its market position.