Summary of Alumis Inc. Conference Call Company Overview - **Company**: Alumis Inc. (Ticker: ALMS) - **Industry**: Precision Immunology - **Key Products**: Focus on TIK2 inhibitors for autoimmune diseases, specifically psoriasis and lupus Core Points and Arguments 1. **Clinical Assets**: Alumis has three clinical assets, with a strong research organization. Currently in Phase 3 for psoriasis and Phase 2b for lupus, with read-outs expected in early Q1 and Q3 of next year respectively [2][3] 2. **TIK2 Target**: TIK2 was selected as a target due to its significant role in autoimmune diseases, with 5% of the population having mutations that provide protection against such diseases [4][5] 3. **Efficacy of Envu**: The company's TIK2 inhibitor, now called Envutucitinib (Envu), has shown a clean safety profile and high efficacy, with PASI-75 scores being the highest seen with an oral drug [8][10] 4. **Market Positioning**: The company believes that the oral drug market is underutilized, with less than 10% of diagnosed psoriasis patients on biologics. There is a strong preference for oral treatments among patients [18][19] 5. **Phase 3 Data Benchmarking**: The company is focused on long-term efficacy data (24-week and 52-week) rather than short-term results, which are more relevant for dermatologists [10][11] 6. **Lupus Opportunity**: The Phase 2b trial for lupus is pivotal, with the potential for only one Phase 3 trial if successful. The genetic evidence supports TIK2's role in lupus treatment [30][32] 7. **Trial Design**: The lupus trial includes 408 patients with strict entry criteria to minimize placebo effects, focusing on active SLE patients [35][36] 8. **Market Expansion**: There is potential to expand the systemic treatment market with better-tolerated oral drugs, targeting patients who may currently be on topical therapies [21][22] 9. **Launch Strategy**: Alumis plans to learn from competitors' launches, focusing on drug positioning, pricing, and effective communication of benefits [22][23] 10. **Cash Position**: As of the end of Q2, Alumis had $486 million in cash, expected to last into 2027, with anticipated spikes in R&D spending due to Phase 3 trial enrollment [46] Additional Important Content - **BMI Considerations**: The company acknowledges that BMI can influence drug efficacy and is a factor in cross-trial comparisons [15][16] - **Formulation Development**: Multiple formulations of Envu are being developed, with plans for a once-daily dosing regimen [28] - **Collaboration Potential**: Alumis is unlikely to launch Envu globally on its own and is considering partnerships for market entry [26][27] - **Future Indications**: The company is exploring the potential of TIK2 inhibitors in other diseases driven by interferon pathways, such as Sjogren's syndrome [33] This summary encapsulates the key points discussed during the conference call, highlighting Alumis Inc.'s strategic focus, clinical developments, and market opportunities in the precision immunology sector.