Summary of Sagimet Biosciences FY Conference Call Company Overview - **Company**: Sagimet Biosciences (NasdaqGM:SGMT) - **Focus**: Development of novel therapeutics targeting fatty acid synthesis for diseases such as MASH (Metabolic Dysfunction-Associated Steatotic Liver Disease) and acne [1][2] Key Points on MASH Program - **Lead Molecule**: Denifenstat, a potent FASN (fatty acid synthase) inhibitor, is being developed for MASH and acne [2][3] - **Mechanism of Action**: Denifenstat targets fat, inflammation, and fibrosis, differentiating it from other treatments that primarily focus on fat oxidation or mobilization [3][10] - **Clinical Data**: - Phase IIB study showed a 30% placebo-adjusted improvement in fibrosis [10] - In F4 patients, 11 out of 13 showed a one or two-stage improvement in fibrosis [6][4] - **Combination Therapy**: A combination program with resmetirom is underway, showing enhanced effects on inflammation and fibrosis [6][18] - **Funding Needs**: Approximately $400 million is required to complete the Phase III study for the F2 and F3 populations, with current cash reserves at $125 million [16][30] Key Points on Acne Program - **Partnership**: Collaboration with Ascletis in China for acne studies, showing 20% placebo-adjusted improvements in lesion reduction [8][23] - **Regulatory Pathway**: Plans to seek FDA guidance in early 2026 regarding the use of Ascletis' Phase III data for U.S. regulatory approval [24][25] - **Next-Gen Molecule**: Development of TVB-3567, a more potent follow-on oral FASN product, is in Phase I [25][26] - **Market Potential**: The acne market is significant, with an estimated 50 million Americans affected, and the introduction of effective treatments is expected to increase patient demand [23][24] Financial Considerations - **Royalty Stream**: Expected inflow of approximately $120 million from milestones and royalties related to the acne program in China [29] - **Capitalization Requirements**: The company acknowledges the need for substantial funding to support ongoing and future clinical programs [30] Additional Insights - **Unique Positioning**: Denifenstat is the only FASN inhibitor in development, which is a significant differentiator in the market [11][12] - **Long-Term Strategy**: The company recognizes the necessity for combination therapies in treating patients effectively, indicating a strategic approach to drug development [20][21] - **Intellectual Property**: New IP filed for the combination therapy is expected to provide protection until 2044 [22] This summary encapsulates the critical insights from the Sagimet Biosciences FY conference call, highlighting the company's strategic direction, clinical advancements, and financial outlook.

Summary of Sagimet Biosciences Post EASL Key Opinion Leader Call Company Overview - **Company**: Sagimet Biosciences - **Lead Asset**: Denifenstat, a once-daily oral small molecule targeting fatty acid synthase (FASN) inhibition, primarily focused on treating non-alcoholic steatohepatitis (NASH) and other conditions like acne and certain solid tumors [7][11] Industry Context - **NASH Market**: The NASH market is projected to double in size over the next two decades, with an expected prevalence of at least 3.5 million patients in the U.S. alone [11] - **Combination Therapy**: The company is exploring a combination therapy of Denifenstat and Resmidoram, which is anticipated to improve outcomes for severe NASH patients [8][11] Key Clinical Data - **Phase 2b FASTINate-two Trial**: - Focused on severe NASH patients, showing significant improvements in liver histology and fibrosis. - Primary endpoint: 38% response rate in the Denifenstat group versus 16% in placebo for a two-point improvement in NAFLD activity score without worsening fibrosis [24] - Secondary endpoint: 41% one-stage improvement in fibrosis without worsening NASH in the Denifenstat group versus 18% in placebo [26] - Adverse events were generally well tolerated, with no significant liver injury signals [22] Development Plans - **Future Studies**: - A Phase 1 pharmacokinetic (PK) study of the Denifenstat and Resmidoram combination is planned for the second half of 2025, with top-line data expected in early 2026 [8][46] - A Phase 2 trial targeting F4 NASH patients is anticipated to follow, focusing on liver biopsy as a primary endpoint [47] Mechanism of Action - **Denifenstat**: Inhibits de novo lipogenesis, reducing hepatic steatosis and inflammation, and potentially lowering the risk of hepatocellular carcinoma [15][41] - **Combination Rationale**: The combination of Denifenstat and Resmidoram is hypothesized to have a synergistic effect, enhancing both DNL inhibition and mitochondrial beta-oxidation [40][42] Regulatory Considerations - **Combination Approval Pathway**: The regulatory pathway for the fixed-dose combination is independent of the monotherapy approval, allowing for simultaneous development [88] Market Potential - **Patient Population**: The focus is on advanced NASH patients, particularly those with stage 3 and 4 fibrosis, who are currently underserved by existing treatments [11][41] - **Patent Strategy**: A patent application for the Denifenstat and Resmidoram combination has been filed, potentially extending market exclusivity until 2048 [50] Additional Insights - **Adverse Events**: Hair thinning was noted as a treatment-related adverse event, with a 7% discontinuation rate due to this issue [22] - **Biomarker Development**: Non-invasive biomarkers such as MRI PDFF and ALT/AST slopes will be utilized to assess treatment response in future trials [59] Conclusion Sagimet Biosciences is positioned to make significant advancements in the treatment of NASH through its innovative Denifenstat and Resmidoram combination therapy, with promising clinical data and a clear regulatory strategy. The company aims to address a large and growing patient population with unmet medical needs in the NASH market.