Summary of KalVista Pharmaceuticals Conference Call Company Overview - **Company**: KalVista Pharmaceuticals (NasdaqGM: KALV) - **Industry**: Pharmaceuticals, specifically focusing on treatments for Hereditary Angioedema (HAE) - **Product**: EKTERLY, the first and only oral therapy for HAE attacks, launched on July 7, 2025 after receiving approval on July 3, 2025 [2][3] Key Points Launch and Market Uptake - EKTERLY has achieved a conversion rate of approximately 10%-12% of patients within the first four months of launch, indicating strong market uptake [3] - Revenues exceeded expectations for the initial commercial quarter, reflecting high patient demand [3][4] Revenue Insights - The revenue reported includes a stocking element typical for high-priced therapies, but a large portion is attributed to actual patient sales [4] - The company is still assessing the breakdown between new starts and refills due to limited experience [4][5] Payer Coverage and Market Dynamics - Payer coverage is progressing as anticipated, with smaller formularies approving policies faster than larger ones [6][7] - Most prescriptions in the initial quarter were medical exceptions due to the lack of established policies [7] - Prior authorization is required for prescriptions, with some policies necessitating a trial of generic Icatibant before EKTERLY [8] Patient Demographics - A significant portion of early adopters are patients with high attack rates (two or more attacks per month), validating the company's hypothesis about this patient population [10][11] - These high-attack patients are expected to have higher refill rates due to their increased need for on-demand therapy [11][12] Future Growth and Market Potential - The market for EKTERLY is estimated to be around 8,000 to 9,000 patients, with a potential shift towards oral therapies over time [17][18] - The company anticipates that the majority of patients will eventually switch to oral therapies, which could lead to sustained growth [18][19] Competitive Landscape - The company is aware of potential competition from other oral therapies but believes EKTERLY's strong launch and patient satisfaction will position it well in the market [21][22] - The company expects to maintain a competitive edge due to its extensive data set and high patient satisfaction [22] International Expansion - KalVista has launched EKTERLY in Germany and plans to expand into the UK and other European markets, with a focus on maintaining a cost-effective operational model [29][30] - Pricing power in Europe is limited, with prices expected to be around 20%-25% of US prices [31] Long-term Strategy - The company aims to grow into a leading rare disease commercial entity, considering additional high-quality assets for future development [28] - KalVista has established a strong commercial and regulatory framework, with five global regulatory approvals as of the conference date [26][27] Clinical Development - The company has conducted the largest clinical trial program in HAE, with plans to file an NDA for a pediatric indication in Q3 of the following year [35] Additional Insights - The company emphasizes the importance of maintaining operational efficiency and managing administrative challenges related to prior authorizations [20] - The focus remains on building a robust company rather than seeking acquisition opportunities [28]

KalVista Pharmaceuticals (NasdaqGM:KALV) Q3 2025 Earnings Call November 11, 2025 08:30 AM ET Company ParticipantsBen Palleiko - CEONicole Sweeny - Chief Commercial OfficerBrian Piekos - CFOPaul Audia - CMORyan Baker - Head of Investor RelationsConference Call ParticipantsNone - AnalystNone - AnalystJoe Schwartz - AnalystStacy Ku - AnalystDebanjana Chatterjee - AnalystMaury Raycroft - AnalystNone - AnalystOperatorThank you for standing by. Welcome to KalVista Pharmaceuticals' 2025 third-quarter financial upd ...

KalVista Pharmaceuticals (NasdaqGM:KALV) Q3 2025 Earnings Call November 11, 2025 08:30 AM ET Company ParticipantsBen Palleiko - CEONicole Sweeny - Chief Commercial OfficerBrian Piekos - CFOPaul Audia - CMORyan Baker - Head of Investor RelationsConference Call ParticipantsNone - AnalystNone - AnalystJoe Schwartz - AnalystStacy Ku - AnalystDebanjana Chatterjee - AnalystMaury Raycroft - AnalystNone - AnalystOperatorThank you for standing by. Welcome to KalVista Pharmaceuticals' 2025 third-quarter financial upd ...

KalVista Pharmaceuticals (NasdaqGM:KALV) Q3 2025 Earnings Call November 11, 2025 08:30 AM ET Speaker0Thank you for standing by. Welcome to KalVista Pharmaceuticals' 2025 third-quarter financial update and operating results conference call. At this time, all participants are on a listen-only mode. After the speaker's presentation, there will be a question-and-answer session. To ask a question during this session, you will need to press star 11 on your telephone. You will then hear an automated message advisi ...

Core Insights - KalVista Pharmaceuticals has received FDA approval for EKTERLY, the first oral on-demand treatment for hereditary angioedema (HAE), which is expected to drive significant growth for the company [1] Financial Performance - For the quarter ending September 11, 2025, KalVista reported an earnings per share (EPS) of -$1.12, missing the estimated EPS of -$0.91, resulting in a negative surprise of 23.08% [2] - The company's revenue for the quarter was approximately $1.43 million, falling short of the expected $2.09 million, indicating a shortfall of 20.91% [2] - KalVista has exceeded consensus EPS estimates only once in the past four quarters, highlighting ongoing financial challenges [2] Financial Metrics - The company has a negative price-to-earnings (P/E) ratio of approximately -3.73 and an enterprise value to operating cash flow ratio of about -3.89, indicating difficulties in achieving profitability and generating positive cash flow [3] - The earnings yield is negative at approximately -26.83%, further emphasizing the company's financial struggles [3] Debt and Stability - KalVista's debt-to-equity ratio of 0.07 suggests a relatively low level of debt compared to its equity, indicating financial stability [4] - The recent FDA approval of EKTERLY positions the company for potential future growth, although the immediate impact on stock price and future earnings expectations remains uncertain [4]

Financial Data and Key Metrics Changes - The company reported $1.4 million in net revenue for EKTERLY during the launch period, primarily from stocking orders by specialty pharmacies [13] - Total operating expenses for the period were $60.4 million, with approximately $15 million in R&D expenses and $45 million in SG&A expenses, driven by external spending related to the EKTERLY launch [13] - The company had approximately $191 million in cash and investments as of July 31, 2025, expected to fund operations into 2027 [14] Business Line Data and Key Metrics Changes - EKTERLY is positioned as the first and only oral on-demand therapy for acute HAE attacks, with initial launch metrics showing that nearly 5% of the U.S. HAE population has submitted a prescription [4][7] - The company has activated 253 unique prescribers, with 38% starting multiple patients on EKTERLY [11] - Early demand has come from patients previously on other therapies, with strong interest from a broad base of providers [11][12] Market Data and Key Metrics Changes - In Europe, sebetralstat received a positive CHMP opinion for the treatment of acute HAE attacks, with a final decision expected in October [7] - The UK MHRA granted marketing authorization for EKTERLY, with a commercial launch anticipated in the first half of 2026 [8] - The company is progressing towards anticipated approval in Japan by the end of the year [8] Company Strategy and Development Direction - The company aims to transform the treatment paradigm for HAE with EKTERLY, focusing on global expansion and establishing it as the foundational therapy for HAE [4][15] - The management emphasizes the importance of executing a disciplined commercial strategy and driving meaningful long-term value creation for shareholders [8][15] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the strong early response to EKTERLY, highlighting the unmet need in HAE and the transformational potential of the therapy [15] - The company anticipates that operating expenses will remain consistent as they continue to invest in the EKTERLY launch [13] Other Important Information - The company is changing its fiscal year end to December 31, starting with the quarter ending September 30, 2025 [14] - The quick start program provides immediate access to EKTERLY at no charge while working with physician offices to gain paid access [19][29] Q&A Session Summary Question: Can you further speak to the quick start program and expectations for timing to paid drug? - The quick start program provides immediate access to EKTERLY at no charge, with efforts to gain paid access through medical exceptions [19][20] Question: How many of the 4,000 patients in the database are individual patients or caregivers? - The majority of patients in the database are individual patients, with efforts to engage them through local education programs [23] Question: What are your expectations for launch metrics moving forward? - The company plans to share more KPIs as the launch progresses, including repeat prescribers and utilization rates [28] Question: Can you provide a breakdown of the 460 start forms? - All 460 start forms received quick start access, with some paid shipments already going out [34] Question: What feedback have you received regarding side effects observed so far? - Adverse events reported have been minimal, with no significant GI-related issues noted during the launch [37][38]

Company Overview - KalVista Pharmaceuticals is a newly commercial stage pharmaceuticals company [2] - The company has launched its drug EKTERLY for the treatment of acute attacks of hereditary angioedema, which was approved by the FDA in early July [2] Product Launch and Approvals - EKTERLY was launched immediately after FDA approval and the company closed its first fiscal quarter as a commercial entity on July 31 [2] - The drug has also received approval from the U.K. MHRA and is set to launch in the U.K. next year [3] - The CHMP in the EU recommended approval for EKTERLY at the end of July, with formal approval expected in October [3] - KalVista is pursuing approvals in four additional countries, indicating a strategy for global expansion [3]