Ultragenyx Pharmaceutical (NasdaqGS:RARE) FY 2025 Conference December 02, 2025 03:15 PM ET Company ParticipantsEric Crombez - Chief Medical OfficerConference Call ParticipantsYigal Nochomovitz - Biotech AnalystYigal NochomovitzWe can get started. Welcome, everyone. I'm Yigal Nochomovitz, one of the biotech analysts at Citi, and welcome to our Global Healthcare Conference in Miami. So our next session is with Ultragenyx. We have the Chief Medical Officer, Eric Crombez. Eric, welcome. Thank you for making the ...

Financial Data and Key Metrics Changes - The company is focused on the upcoming data readout for setrusumab, which is expected by the end of December or January, marking a significant near-term value driver [2][34] - The company has achieved a 67% reduction in fracture rates from baseline in the phase 1/2 study, indicating strong efficacy [7][15] Business Line Data and Key Metrics Changes - The company is advancing its Osteogenesis Imperfecta (OI) program, which targets a patient population of at least 60,000 in the covered geographies, aiming to replicate the success of Crysvita [3][4] - The ORBIT trial has enrolled an additional 159 patients, maintaining a two-to-one randomization of setrusumab to placebo, with a focus on patients aged 5 to 26 [10][12] Market Data and Key Metrics Changes - The company is preparing for a market launch of setrusumab, which is positioned as a superior treatment compared to bisphosphonates, currently the only available treatment for OI [2][11] - The potential market for Sanfilippo is estimated at 3,000 to 5,000 patients, while GSD1A is slightly larger at 6,000 patients, indicating a strategic focus on rare disease markets [42] Company Strategy and Development Direction - The company is committed to not compromising the quality of data for the OI filing, despite the ambitious timeline for approval by the end of September [30][32] - The strategy includes leveraging AI for data analysis and document preparation to enhance efficiency in the filing process [32] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the probability of success for the final data readout, maintaining that the interim analyses have not negatively impacted their outlook [20][28] - The company is optimistic about achieving profitability within the timeframe of their recent monetization deal, which allows for revenue generation without immediate repayment obligations [93] Other Important Information - The company is actively working on gene therapy programs, with a focus on Sanfilippo and GSD1A, both of which are expected to have PDUFA dates within the PRV window [38][39] - The company has learned from previous regulatory feedback, applying those lessons to improve the quality of their gene therapy programs [40][42] Q&A Session Summary Question: What is the timeline for the data readout for setrusumab? - The company has defined the end of year as December or January for the data readout [34] Question: How does the company view the efficacy of bisphosphonates compared to setrusumab? - Management estimates the treatment effect of bisphosphonates to be around 20%, while setrusumab has shown a 67% reduction in fracture rates [14][15] Question: What is the company's approach to the upcoming regulatory filings? - The company plans to ensure high-quality data packages for regulatory submissions, emphasizing that they will not rush the process [30][32] Question: How does the company plan to address the market for Sanfilippo and GSD1A? - The company is confident in the clinical data for both programs and is preparing for timely submissions to the FDA [38][39]