Regeneron Pharmaceuticals (REGN) FY 2025 Annual General Meeting June 13, 2025 10:30 AM ET Speaker0 Good morning, and welcome to the twenty twenty five Annual Shareholder Meeting of Regeneron Pharmaceuticals. The meeting will begin after the following message. Speaker1 At Regeneron, we've always pursued bold science to drive our purpose, transforming lives through groundbreaking innovation. That principle is just as strong today as it was when the company was founded. Speaker2 We committed to not just treati ...

Core Viewpoint - Regeneron Pharmaceuticals' stock has experienced a significant decline due to the failure of its COPD treatment, itepekimab, in a late-stage clinical trial, which was expected to be a blockbuster drug with peak sales projections between $2 billion and $6 billion [1][14]. Stock Performance - Regeneron shares fell 19% on May 30, trading at $490, which is a 60% decrease from its 52-week peak of approximately $1,200 [2]. - The stock has seen a notable drop of 25.8% from a peak of $738.84 on April 8, 2022, to $548.35 on June 14, 2022, compared to a 25.4% decline for the S&P 500 [13]. Financial Metrics - Regeneron has a price-to-sales (P/S) ratio of 4.6, a price-to-free cash flow (P/FCF) ratio of 16.4, and a price-to-earnings (P/E) ratio of 14.4, compared to 3.0, 20.5, and 26.4 for the S&P 500, respectively [8]. - The company's revenues have grown 7.5% from $13 billion to $14 billion in the past 12 months, while the S&P 500 saw a 5.5% growth [8]. - Regeneron's operating income over the last four quarters was $3.8 billion, with an operating margin of 27.2%, significantly higher than the S&P 500's 13.2% [12]. Profitability and Stability - Regeneron has demonstrated very strong profitability, with a net income margin of 31.9% compared to 11.6% for the S&P 500 [12]. - The company's balance sheet is robust, with a debt total of $2.7 billion and a market capitalization of $52 billion, resulting in a low debt-to-equity ratio of 4.2% [12]. Future Growth Potential - Despite the setback with itepekimab, Regeneron is expected to benefit from the strong growth of Dupixent, which saw sales rise 19% to $3.7 billion last quarter, with potential peak annual sales exceeding $20 billion [14]. - The company has a promising pipeline with over a dozen programs in late-stage trials, indicating future growth opportunities [14].

Company Overview - Regeneron Pharmaceuticals, Inc. is participating in the BofA Securities 2025 Healthcare Conference, with key speakers including Marion McCourt, Executive Vice President of Commercial, and Ryan Crowe, Senior Vice President of Investor Relations and Strategic Analysis [1][2]. Financial Performance - The company reported challenges in the retina space but showed strength across its overall commercial portfolio in the first quarter results released two weeks prior to the conference [4]. Product Insights - EYLEA and EYLEA HD are experiencing typical seasonality headwinds associated with the first quarter, along with significant impacts from inventory for EYLEA two milligram [5].

Summary of Regeneron Conference Call Company Overview - **Company**: Regeneron Pharmaceuticals - **Key Speakers**: - Marianne McCourt, Executive Vice President of Commercial - Ryan Crow, Senior Vice President, Investor Relations and Strategic Analysis Industry Context - **Industry**: Biopharmaceuticals - **Key Products**: EYLEA, DUPIXENT, Libtayo Core Points and Arguments Financial Performance - **EYLEA**: Experienced challenges in the retina space, with Q1 sales impacted by seasonality and inventory issues. Sales dropped from $6 billion last year to an expected $4 billion this year due to biosimilar competition [3][29]. - **DUPIXENT**: Grew 19% globally, leading in prescription share across approved indications, except for Chronic Spontaneous Urticaria (CSU) which was recently approved [3][50]. - **Libtayo**: Grew 21% in the US, now second in new to brand share in advanced lung cancer [4]. Pipeline Developments - Upcoming pivotal readouts include: - Itapakimab for COPD in former smokers [4]. - Combination of LAG-three antibody fianlimab with Libtayo for advanced melanoma [5]. - Pivotal readout for semdisiran in generalized myasthenia gravis [5]. - PDUFA dates for limboceltimab and rotranextamab in July [5]. Capital Allocation - Regeneron is investing approximately $7 billion in R&D and manufacturing capabilities in the US. A dividend program was initiated to return capital to shareholders alongside a buyback program [6]. Regulatory Environment - The company is assessing the impact of the Most Favored Nation (MFN) executive order and potential tariffs on its operations. Regeneron aims to engage with the administration to navigate these changes [8][9]. - The company emphasizes the importance of innovation and patient access to medicines amidst regulatory changes [13][14]. Mergers and Acquisitions (M&A) - Regeneron does not plan to change its conservative approach to M&A, focusing on organic growth and partnerships rather than transformative acquisitions [11][12]. EYLEA Challenges - EYLEA faces competition from biosimilars and affordability issues, leading to increased prescribing of Avastin. Despite a disappointing Q1, EYLEA HD showed a 5% increase in demand [31][32]. - The upcoming approval of a prefilled syringe and new indications are expected to enhance EYLEA's market position [33]. DUPIXENT Launch and Market Dynamics - DUPIXENT is performing well with strong uptake in COPD, achieving 85-90% payer access. The product is expected to reach $20 billion in sales by 2030 [50][52]. - The company is optimistic about the upcoming itapacumab product, which targets a different COPD patient population [53][55]. Competitive Landscape - Regeneron acknowledges competition in the atopic dermatitis market, particularly from Lilly's new product, but maintains confidence in DUPIXENT's established position [61][62]. Additional Important Insights - The company is adapting its copay assistance strategy, moving towards a matching donation model to support patient access [45][46]. - Regeneron is focused on maintaining its commitment to innovation while navigating the complexities of the US healthcare system [14][22]. This summary encapsulates the key points discussed during the Regeneron conference call, highlighting the company's current performance, pipeline developments, regulatory challenges, and strategic direction.

Financial Data and Key Metrics Changes - Regeneron's Q1 2025 total revenues were $3 billion, driven by higher collaboration revenue from Sanofi and increased U.S. net sales of EYLEA HD compared to the prior year [41] - The diluted net income per share for Q1 2025 was $8.22, with net income of $928 million [42] - Gross margin on net product sales was 85%, reflecting a decrease due to higher inventory write-offs and a change in product mix [45] - Free cash flow generated in Q1 2025 was $816 million, with cash and marketable securities totaling $17.6 billion and debt of approximately $2.7 billion [46] Business Line Data and Key Metrics Changes - EYLEA U.S. net sales were $736 million, down 39% year-over-year and down 38% sequentially, primarily due to lower physician demand and increased competition [7][29] - EYLEA HD U.S. sales were $307 million, up 54% year-over-year and flat sequentially, with physician unit demand growing by 5% [8][30] - DUPIXENT achieved global net sales of $3.7 billion, representing a 20% year-over-year increase on a constant currency basis, with U.S. net sales growing 19% to $2.6 billion [32][33] - Libtayo's global net sales grew 8% year-over-year to $285 million, with U.S. net sales reaching $193 million, up 21% [38] Market Data and Key Metrics Changes - The branded anti-VEGF category contracted due to increased usage of low-cost off-label repackaged Avastin, which gained approximately 6 percentage points in market share to 32% [28] - EYLEA and EYLEA HD captured 41% of the anti-VEGF category, maintaining market leadership despite competitive pressures [28] Company Strategy and Development Direction - Regeneron aims to capitalize on multiple near-term opportunities across its portfolio, including product enhancements and launches of new medicines and indications [27] - The company is focused on promoting the ongoing adoption of EYLEA HD, which has the potential to become the new standard of care [29] - Significant investments in R&D are planned, with approximately 45 product candidates in clinical development and expectations for multiple regulatory approvals in 2025 [12][41] Management's Comments on Operating Environment and Future Outlook - Management acknowledged a mixed performance in Q1 2025, with challenges in the retinal franchise but positive developments in other commercial areas and pipeline advancements [6] - The company remains committed to investing heavily in R&D and delivering scientific breakthroughs while maximizing growth opportunities from in-line brands [13] - Management expressed confidence in the potential for EYLEA HD and DUPIXENT to continue delivering significant growth [12][34] Other Important Information - Regeneron plans to return capital to shareholders through share repurchases and dividends, having repurchased approximately $1.1 billion worth of shares in Q1 2025 [48] - The company has updated its 2025 gross margin guidance to be in the range of 86% to 87% due to higher than expected inventory write-offs [49] Q&A Session Summary Question: Can you elaborate on the EYLEA HD CRL for the prefilled syringe? - Management explained that the FDA's questions pertained to a third-party component supplier, and they believe the key issue is being addressed. They expect a resolution could be quick but acknowledged uncertainty [52][56] Question: How does the company prioritize indications for Factor XI antibodies? - Management indicated that they are focusing on indications that demonstrate both anticoagulation benefits and lower bleeding risks, with plans to enroll patients in pivotal studies this year [61][63] Question: What are the updated thoughts on foundation funding for EYLEA? - Management discussed the complexities of patient assistance funding and the potential for a matching program to stimulate contributions from others, emphasizing the need for broader support [66][71] Question: Can you confirm if the component in the prefilled syringe is used in other approved products? - Management confirmed that the component is the same as that used in the prefilled syringe approved in Europe, which provides confidence in resolving the FDA's concerns [75][77] Question: What steps are being taken to improve regulatory performance? - Management acknowledged the challenges faced with CRLs and attributed them to increased scrutiny by the FDA on contract manufacturers, while expressing confidence in their regulatory team's capabilities [88][90]

First quarter 2025 revenues of $3.0 billion; GAAP diluted EPS of $7.27 and non-GAAP diluted EPS(a) of $8.22First quarter 2025 Dupixent® global net sales (recorded by Sanofi) increased 19% to $3.67 billion versus first quarter 2024First quarter 2025 EYLEA HD® U.S. net sales increased 54% to $307 million versus first quarter 2024; total EYLEA HD and EYLEA® U.S. net sales decreased 26% to $1.04 billion Dupixent approved for chronic spontaneous urticaria (CSU) in U.S.; approved for chronic obstructive pulmonary ...

Industry Overview - The first-quarter earnings season for the drug and biotech sector is underway, with major companies like Pfizer, Eli Lilly, Amgen, Biogen, and Regeneron set to announce results [1] - Johnson & Johnson and Merck have reported results, both exceeding first-quarter estimates for earnings and sales, while Sanofi had mixed results, beating earnings estimates but missing sales [1] Earnings Trends - As of April 23, 15% of companies in the Medical sector, representing 33.8% of the sector's market capitalization, reported quarterly earnings, with 77.8% surpassing estimates for both earnings and revenues [3] - Year-over-year earnings increased by 4.7%, and revenues rose by 9.4% [3] - Overall, first-quarter earnings for the Medical sector are expected to increase by 35%, while sales are projected to rise by 7.8% compared to the previous year [3] Company Performance Pfizer (PFE) - Pfizer has consistently exceeded earnings expectations in the last four quarters, with an average earnings surprise of 44.16% [5] - The Zacks Consensus Estimate for first-quarter sales and earnings is $13.88 billion and 64 cents per share, respectively [6] - Non-COVID operational revenues are driving growth, supported by products like Vyndaqel, Padcev, and Eliquis, despite a decline in sales of COVID products [7] Eli Lilly (LLY) - Eli Lilly has had mixed performance, exceeding earnings expectations in three of the last four quarters, with an average earnings surprise of 8.47% [8] - The Zacks Consensus Estimate for sales and earnings is $12.62 billion and $3.52 per share, respectively [8] - Growth is expected to be driven by demand for FDA-approved tirzepatide medicines, although sales of Mounjaro and Zepbound were below expectations [9][10] Amgen (AMGN) - Amgen has shown strong performance, beating earnings estimates in each of the last four quarters, with an average earnings surprise of 5.23% [11] - The Zacks Consensus Estimate for first-quarter sales and earnings is $7.96 billion and $4.15 per share, respectively [11] - Product sales are expected to be driven by strong volume growth, although prices may decline due to higher rebates [12] Biogen (BIIB) - Biogen has consistently beaten earnings estimates in the last four quarters, with an average earnings surprise of 11.80% [13] - The Zacks Consensus Estimate for sales and earnings is $2.23 billion and $3.52 per share, respectively [13] - Lower sales of multiple sclerosis drugs are likely to be offset by revenues from new drugs [14] Regeneron (REGN) - Regeneron has had mixed results, surpassing earnings expectations in three of the last four quarters, with an average earnings surprise of 3.23% [16] - The Zacks Consensus Estimate for first-quarter sales and earnings is $3.28 billion and $8.43 per share, respectively [17] - Sales of Eylea are expected to have declined due to competition, but sales of Eylea HD and Dupixent are likely to have surged [18][19]

Core Insights - Regeneron Pharmaceuticals is set to present 27 abstracts, including eight oral presentations on EYLEA HD, at the ARVO 2025 Annual Meeting, showcasing its effectiveness in treating wet age-related macular degeneration (wAMD), diabetic macular edema (DME), and diabetic retinopathy (DR) [1][2][5] Group 1: EYLEA HD Efficacy and Real-World Data - Initial real-world data from nearly 40,000 patients treated with EYLEA HD indicate positive impacts on vision and longer dosing intervals in everyday clinical practice [2][6] - New analyses will compare EYLEA HD and faricimab regarding efficacy, dosing frequency, and potential economic benefits for patients with wAMD and DME [1][6] Group 2: Presentations at ARVO - Key presentations will include analyses of real-world experiences with EYLEA HD among treatment-naive patients and those switching from other anti-VEGF therapies [6][8] - A network meta-analysis will indirectly compare the efficacy and number of injections for EYLEA HD and faricimab based on Phase 3 clinical trial data [6][8] Group 3: Safety and Adverse Reactions - The most common adverse reactions (≥3%) reported in patients treated with EYLEA HD include cataract, conjunctival hemorrhage, and increased intraocular pressure [3][29] Group 4: Economic Impact and Modeling - A modeling analysis will assess the potential economic benefits of EYLEA HD compared to faricimab for treating patients with wAMD or DME in the U.S. over three years [6][8] Group 5: Background on EYLEA HD - EYLEA HD is developed to provide comparable efficacy and safety to EYLEA but with fewer injections, and it is currently approved in the U.S. for treating wAMD, DME, and DR [19][20] - The drug is part of a broader research and development program at Regeneron aimed at addressing serious eye diseases [21]