Core Insights - Neurocrine Biosciences is advancing a diversified pipeline of first- and best-in-class medicines across therapeutic modalities, including two Phase 3 programs targeting major depressive disorder and schizophrenia, with expectations to deliver an approved medicine every two years by the end of the decade [2][4] R&D Strategy - The company has unveiled a transformed R&D engine aimed at delivering at least four new Phase 1 and two Phase 2 programs annually, focusing on genetically or clinically validated mechanisms of action [4] - The R&D strategy is designed to create long-term value and accelerate the delivery of new medicines for patients [3][4] Pipeline Highlights - Osavampator is a potential first-in-class AMPA positive allosteric modulator for major depressive disorder, with topline data from three ongoing Phase 3 studies expected in 2027 [5] - Direclidine is an M4 muscarinic agonist for psychiatric disorders, with topline data from ongoing studies expected in 2027 and 2028 [5] - The pipeline includes next-generation VMAT2 inhibitors and a suite of differentiated assets for better quality weight loss, including a CRF2 agonist expected to enter Phase 1 development in the first half of 2026 [5] Leadership and Vision - The CEO emphasized the company's commitment to developing novel therapies across metabolic diseases, starting with obesity, aiming for superior weight loss while preserving muscle mass [3] - The company has a proven track record in drug development and commercialization, positioning it uniquely to advance its pipeline and create sustained value for stakeholders [3]

Neurocrine Biosciences 2025 R&D Day Summary Company Overview - **Company**: Neurocrine Biosciences (NasdaqGS:NBIX) - **Event**: 2025 R&D Day held on December 16, 2025 - **Key Speakers**: - Kyle Gano, Chief Executive Officer - Sanjay Keswani, Chief Medical Officer - Jude Onyia, Chief Scientific Officer - Dr. John Krystal, expert in neurology and psychiatry Core Industry Insights - **Transition**: Neurocrine is evolving from a single-product biotech to a multi-product diversified biopharmaceutical company with scale [11] - **Employee Base**: The company has grown to 2,000 employees, consolidating all departments under one roof for enhanced collaboration [11][6] - **R&D Focus**: Emphasis on innovative science and pipeline development, particularly in neuropsychiatry [8] Key Products and Pipeline - **Current Products**: - Ingrezza (for tardive dyskinesia) - Krenesti (for CAH) - **Future Products**: - Osirvampetor (for major depressive disorder) - Direclidine (for schizophrenia) - **Pipeline Strategy**: Focus on delivering multiple best-in-class medicines by 2030, leveraging a transformed R&D engine [12][16] R&D Transformation - **R&D Engine**: Fully operational and over-delivering on innovative science, with a focus on high-quality programs across various modalities [12][13] - **CRF Biology**: Leveraging 30 years of expertise in corticotropin-releasing factor (CRF) biology to expand into metabolic disorders, including obesity [14] - **Clinical Trials**: Anticipated phase three trials for Osirvampetor and Direclidine to start reading out in 2027 [16] Market Opportunity - **Mental Health Crisis**: Over one-third of individuals with depression do not respond to current treatments, highlighting a significant unmet need [45] - **Safety and Tolerability**: Osirvampetor aims to provide ketamine-like efficacy without the associated safety issues, such as psychotomimetic effects [40][46] Competitive Advantages - **Institutional Knowledge**: Deep expertise in neurology, psychiatry, endocrinology, and immunology, providing a competitive edge in drug development [19][20] - **Business Development**: Active role in partnerships to enhance R&D capabilities and fill pipeline gaps [31] Future Outlook - **Investment in R&D**: Strong financial profile allows for continued investment in R&D across therapeutic areas [26] - **Execution and Innovation**: Commitment to execution and repeatable innovation as key drivers for future success [36][37] Conclusion Neurocrine Biosciences is positioned for significant growth and innovation in the biopharmaceutical space, particularly in neuropsychiatry, with a robust pipeline and a commitment to addressing unmet medical needs in mental health. The company's strategic focus on leveraging its institutional knowledge and transforming its R&D capabilities is expected to yield multiple new therapies by the end of the decade [11][12][16].

Company Strategy & R&D Transformation - Neurocrine Biosciences is positioned as a diversified neuroscience and endocrinology leader aiming for sustainable growth and value creation[12] - The company aims to deliver a new medicine every two years, driven by a redesigned R&D organization[30, 31, 132] - R&D transformation includes a goal to advance 20 development candidates in 5 years, focusing on clinically or genetically validated targets[94, 99, 101] - The company is diversifying its therapeutic areas beyond neurology and psychiatry to include endocrinology and immunology[23, 94, 100] - New modalities, including peptides, antibodies, and gene therapy, now represent approximately 60% of the portfolio across therapeutic areas[105] Neuropsychiatry Pipeline - The neuropsychiatry pipeline is positioned to deliver multiple first- and best-in-class medicines this decade[12] - Osavampator, an AMPA PAM, is in Phase 3 development for Major Depressive Disorder (MDD), with data expected in 2027[23, 59] - Phase 2 SAVITRI study results showed statistically significant improvements in depression severity with osavampator, with an effect size of 0.53 at day 28 and 0.73 at day 56 for the 1mg dose[52, 55] - Direclidine, an M4 agonist, is in Phase 3 development for schizophrenia, with initial topline data expected in 2027[23, 77] - Phase 2 data for direclidine showed a PANSS total score change from baseline of -18.2 at week 6, with a change vs placebo of -7.5 (p=0.011) and an effect size of 0.61[73] Endocrinology Pipeline - The company is leveraging its Corticotropin Releasing Factor (CRF) biology expertise to expand in endocrinology and metabolic disease[12, 137] - NBIP-'2118, a CRF2 agonist, is being developed for obesity, with a Phase 1 study planned for the first half of 2026[159]

Core Viewpoint - Nxera Pharma is undergoing a focused restructuring to concentrate investments on high-value programs and reduce operating expenses, aiming for net sales of ≥JPY50 billion and an operating profit margin of ≥30% by 2030 [1][5] Restructuring Objectives - The restructuring aims to prioritize high-probability, high-return programs and streamline operations to enhance efficiency and accelerate program progression [5][6] - A portfolio review has identified non-priority programs for potential partnership or termination, focusing on next-generation therapies for obesity and metabolic disorders [6][12] Financial Strategy - Nxera plans to reduce cash R&D expenditure by approximately JPY3.5 billion in FY2026 and expects a minimum of JPY1.0 billion in year-on-year savings [6][11] - The company maintains a strong cash position with current cash and liquid investments of JPY30.9 billion, allowing flexibility in executing its strategy [6][11] Leadership Changes - Dr. Patrick Foerch has been appointed as Chief Scientific Officer and President of Nxera Pharma UK, bringing significant experience to enhance R&D focus [5][9] - The executive team will be reduced from ten to seven members by March 2026, and a workforce reduction of approximately 15% will occur across Japan and UK operations [6][11] R&D Focus - Nxera will leverage its NxWave™ platform, utilizing AI technology to enhance drug discovery and development, particularly in GPCR-targeted programs [6][12] - The company has an extensive pipeline of over 30 active programs, with several partnered programs progressing through clinical development [12]