Summary of Sanofi's Year-End Late-Stage Pipeline Review Company Overview - **Company**: Sanofi - **Focus**: Clinical and regulatory aspects of mid and late-stage pipeline in immunology, rare diseases, hemato-oncology, neurology, and vaccines Key Points and Arguments Pipeline Developments - **2025 Expectations**: Anticipated news flow for 2025 is lower due to previous deflated expectations [2] - **R&D Leadership**: New appointments in R&D, including heads of development and regulatory affairs, aimed at enhancing innovation [4] - **Performance Indicators**: Sanofi is tracking scientific publications and patent filings as key performance indicators, with a record high in 2024 [5] Product Approvals and Innovations - **Fitusiran**: First RNA interference medicine approved for hemophilia A and B in the U.S. and China [6] - **Rilzabrutinib**: Approved as the first BTK inhibitor for ITP in the U.S., with ongoing reviews in Japan and China [6] - **Nuvaxovid**: Achieved full approval as the first recombinant COVID-19 vaccine in the U.S. and EU [6] Clinical Trial Outcomes - **Amlitelimab**: Met primary and secondary endpoints in phase three for atopic dermatitis, showing potential for quarterly dosing [7] - **Itepekimab**: Significant reduction in COPD exacerbations in one study, but mixed results overall [7][13] - **Tolebrutinib**: Did not meet primary endpoint in primary progressive multiple sclerosis but remains under review for secondary progressive disease [8][21] Vaccine Developments - **Beyfortus**: Protected over 10 million infants against RSV, demonstrating an 80% reduction in hospitalization [25][26] - **Combination Vaccines**: Positive phase one/two results for influenza plus COVID-19 vaccines, supporting future phase three studies [28] Future Pipeline and Strategy - **Regulatory Decisions**: Expected across various regions for Dupixent and Sarclisa in the first half of next year [38] - **New Technologies**: Sanofi is investing in digital R&D to reduce development cycle times by over 40% [34][35] - **Acquisitions**: Recent acquisitions, including Blueprint and ViceBio, are aimed at enhancing pipeline capabilities [33] Challenges and Learnings - **Mixed Results**: Acknowledgment of both successes and setbacks in the pipeline, with a focus on learning from failures [3][44] - **Regulatory Discussions**: Ongoing conversations with regulatory bodies to ensure patient safety and optimal risk-benefit profiles [46] Additional Important Content - **Immunology Focus**: Sanofi is expanding its presence in dermatology and respiratory diseases, with multiple ongoing studies [10][12] - **Rare Diseases**: Rilzabrutinib shows promise in multiple rare autoimmune conditions beyond its initial indication [17] - **Oncology**: Sarclisa's subcutaneous formulation offers a more convenient treatment option for multiple myeloma patients [19][20] This summary encapsulates the key developments, challenges, and strategic directions for Sanofi as discussed in the year-end pipeline review.

Summary of Royalty Pharma FY Conference Call (December 03, 2025) Company Overview - **Company**: Royalty Pharma (NasdaqGS:RPRX) - **Key Speakers**: Terrance Coyne (CFO), Marshall Urist (EVP of Investments) - **Year**: 2025 described as a transformational year for the company with significant strategic transactions and financial performance improvements [2][37] Core Industry Insights - **Strategic Transactions**: Internalization of external management to consolidate operations, enhancing strategic and financial positioning [2][37] - **Financial Performance**: Record capital returned to shareholders and strong financial results, indicating positive momentum and a robust pipeline [2][37] Financial Metrics - **Leverage**: Total debt to EBITDA ratio is around 3 times, indicating a conservative financial strategy. The company has the flexibility to increase leverage to 4 times if necessary [4][40] - **Portfolio Growth**: Projected portfolio receipts growth to exceed $4.7 billion by 2030, reflecting a 9% annual CAGR, with $2 billion to $2.5 billion in annual capital deployment [7][43] Growth Drivers - **Existing Portfolio**: Approximately 50% of growth expected from existing products, with key contributors including Voranigo, Tremfya, Trelegy, Cobenfy, Trodelvy, and Imdelltra [10][47] - **New Investments**: The remaining growth will come from new investments, with a conservative approach to capital deployment [8][44] Key Products and Pipeline - **Frexalimab**: A Sanofi product for multiple sclerosis with a peak sales potential of over $5 billion and a double-digit royalty [12][49] - **LP(a) Products**: Two royalties from Novartis (Pelacarsen) and Amgen (Olpasiran), with the latter expected to have significant market impact by 2027 [16][54] - **RevMed**: Focus on pancreatic cancer treatments with a unique deal structure that may set a precedent for future partnerships [27][63] Market Dynamics - **China Market**: Royalty Pharma is exploring opportunities in China, recognizing the potential for royalty monetization and the need for local operations [32][69] - **Synthetic Royalties**: The company is innovating in synthetic royalty funding, which could provide a viable alternative to traditional pharma partnerships [28][65] Upcoming Milestones - **Vertex Resolution**: Expected by the end of 2026 [34][70] - **RevMed Phase 3 Data**: Anticipated in 2026 [35][71] - **LP Little A Data**: Expected in 2026 [35][71] Conclusion Royalty Pharma is positioned for continued growth through strategic internalization, a strong existing portfolio, and innovative deal structures. The company is actively exploring new markets, particularly in China, and is focused on maintaining financial flexibility to capitalize on future opportunities.

Financial Data and Key Metrics Changes - The company internalized its external manager and announced a $3 billion share repurchase authorization, buying back approximately $1 billion of stock in the first half of the year [4][5] - Return on invested capital has been consistently in the mid-teens, while return on equity has been in the low 20% range over the last five years, with confidence in maintaining these levels without taking on additional risk [12][13] Business Line Data and Key Metrics Changes - The company has focused on capitalizing on unique opportunities, with significant transactions like Revolution Medicines and Imdeltra contributing to deal flow momentum [5][6] - The company is open to increasing capital deployment beyond the baseline of $2 billion-$2.5 billion, driven by ongoing momentum in the market [24][25] Market Data and Key Metrics Changes - The demand for customized deal structures has increased, reflecting a broader range of companies seeking partnerships [9] - The company sees a growing appetite for capital in the biopharma industry, indicating a robust market for royalty opportunities [22][36] Company Strategy and Development Direction - The company aims to maintain a balanced approach in investments, focusing on both approved products with growth potential and those in development [12][13] - The company is optimistic about the future of R&D partnerships, expecting more momentum in this area as pharma companies face pipeline pressures [30][32] Management's Comments on Operating Environment and Future Outlook - Management believes that the current political environment has not dramatically changed seller expectations, with confidence in continued investment opportunities [22] - The company is prepared for future growth, emphasizing the efficiency of its passive investment model and the ability to process multiple deals simultaneously [75][76] Other Important Information - The company has been proactive in building relationships with earlier-stage companies to stay informed about innovations and developments in the industry [68] - The use of AI in the investment process is being explored, but it is not expected to significantly lower barriers to entry in the royalty market [39][41] Q&A Session Summary Question: How does the company view the future of capital deployment? - The company anticipates a baseline capital deployment of $2 billion-$2.5 billion but is open to exceeding this based on market momentum and opportunities [24][25] Question: What is the company's stance on the evolving R&D partnership landscape? - The company believes that R&D partnerships will continue to evolve and sees significant opportunities in this area, especially as pharma companies face pipeline pressures [30][32] Question: How does the company approach seller expectations in transactions? - The company aims to pay fair and reasonable prices for assets, ensuring that both parties feel satisfied with the deal, which helps to expand the market over time [64][66]