Financial Data and Key Metrics Changes - UroGen Pharma reported net product revenues of $24.2 million for the second quarter of 2025, an 11% increase compared to $21.8 million in the same period in 2024, driven by underlying demand growth of 7% and price favorability [9][30] - The net loss for the second quarter of 2025 was $49.9 million, or $1.5 per basic and diluted share, compared to a net loss of $33.4 million, or $0.82 per basic and diluted share in the same period in 2024 [32][33] - Cash, cash equivalents, and marketable securities totaled $161.6 million as of June 30, 2025, providing sufficient capital for the launch of Zysturi and support for the pipeline [12][33] Business Line Data and Key Metrics Changes - Jelmyto continues to show strong growth with net product revenues of $24.2 million, reflecting continued adoption and usage among urologists [9][30] - Zysturi, the newly approved product, is expected to penetrate a total available market exceeding $5 billion annually, with an expanded sales team of 82 territories as of August 1, up from 50 previously [7][8] Market Data and Key Metrics Changes - The total available market for Zysturi is estimated to exceed $5 billion annually, indicating a significant opportunity for UroGen Pharma as it transitions from a rare disease-focused company to a multi-product organization [7][8] - Approximately 59,000 annual patients in the US face recurrence of low-grade, intermediate-risk, non-muscle invasive bladder cancer, highlighting the unmet medical need that Zysturi addresses [6] Company Strategy and Development Direction - UroGen Pharma aims to develop and commercialize a differentiated portfolio of treatments addressing unmet needs across urothelial and specialty cancers, with Zysturi being a primary growth driver [4][10] - The company is focused on a disciplined strategic launch of Zysturi, leveraging learnings from the launch of Jelmyto to ensure a successful market entry [8][9] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the launch of Zysturi, noting strong interest from healthcare providers and the potential for significant patient uptake once a permanent J code is assigned [41][42] - The company anticipates broader reimbursement and market access in 2026, which is expected to significantly enhance adoption rates [28][34] Other Important Information - The phase three Utopia trial for UGN-103 is fully enrolled, with initial complete response data expected by the end of 2025, which will be shared with the FDA to inform the regulatory path forward [11][21] - UroGen's long-term goal includes expanding its product portfolio while driving commercial success and profitability [12][33] Q&A Session Summary Question: Metrics for July regarding Zysturi launch - Management indicated that it is still early to provide specific metrics but noted positive receptivity from healthcare providers and a strong interest in the new treatment option [36][39] Question: Reimbursement process for Zysturi - The reimbursement process is currently manual due to the miscellaneous J code, and while it is too early to report paid claims, practices are being educated on the claims process [49][54] Question: Comparison of Zysturi launch to Jelmyto - Management noted that while there are similarities in the launch process, the demographic for Zysturi is much larger, allowing for potentially quicker adoption compared to Jelmyto [57][58] Question: Utopia trial and FDA discussions - Management has not yet interacted with the FDA regarding the Utopia trial but expects to do so once sufficient data is available [60][62] Question: Expansion of prescribers post-J code assignment - Management indicated that they will expand outreach beyond the initial 2,000 identified prescribers once the permanent J code is assigned, targeting a broader segment of the urology market [74][78] Question: Impact of Zysturi on Jelmyto sales - It is too early to determine if Zysturi's launch will have a positive impact on Jelmyto sales, but management believes that increased market presence will support steady growth for Jelmyto [78][79]

UroGen Pharma (URGN) Update Summary Company Overview - **Company**: UroGen Pharma - **Product**: Zostura (UGN-102) - **Event**: FDA approval announcement and investor call Key Points Industry and Product Approval - UroGen Pharma announced the FDA approval of Zostura, a treatment for non-muscle invasive bladder cancer, which is considered a significant milestone for both the company and patients in need of pharmacotherapy options [1][2][3][4][5][6][7][8][9][10] Core Insights and Arguments - **Market Launch**: The company plans to launch Zostura on July 1, 2025, with product availability expected shortly after the call [10][11] - **Pricing Strategy**: The list price per vial is set at $21,500, reflecting the unmet need and the strong clinical data supporting the therapy [11][12] - **Sales Force Expansion**: UroGen is expanding its sales force by over 30 representatives to enhance market penetration and support the launch [10][12][49] - **Market Demographics**: Approximately 65-70% of the target patient population is expected to be Medicare beneficiaries, aligning with the demographic profile of patients with non-muscle invasive bladder cancer [27][28] - **Patient Population**: The addressable market consists of about 59,000 recurring patients annually in the U.S., with initial efforts focusing on identifying early and frequent recurrences [28][30] Financial Considerations - **Cash Position**: As of March 31, the company reported $200 million in cash, which is deemed sufficient to support the commercial launch and provide a runway to profitability [13] - **Royalty Structure**: A tiered royalty rate for Zostura is established, starting at 2.5% for annual sales up to $200 million, decreasing to 1% for sales between $200 million and $300 million, and 0.5% for sales exceeding $300 million [64] Clinical and Regulatory Insights - **Clinical Data**: The company emphasized the strong clinical data from the phase three trial, which demonstrated a high complete response rate and durability of treatment [54][56][70] - **Regulatory Interactions**: Discussions with the FDA post-ODAC highlighted the importance of clinical data and the challenges of randomized control trials, which were not deemed feasible for this product [72][74][75] Launch Strategy and Market Penetration - **Initial Focus**: The launch strategy will prioritize urologists who are early adopters of new therapies, particularly those already familiar with UroGen's previous product, Jelmyto [20][62] - **Long-term Growth**: UroGen is committed to sustainable long-term growth and will continue to evaluate opportunities for expansion and capital needs [13][14] Additional Considerations - **Durability of Treatment**: The company plans to provide ongoing updates on treatment durability, which is crucial for physician confidence and payer acceptance [87] - **Market Education**: UroGen aims to educate prescribers on the benefits of Zostura, particularly in avoiding unnecessary TURBT procedures, which are common in the treatment of bladder cancer [53][56] Conclusion UroGen Pharma's recent FDA approval of Zostura marks a pivotal moment for the company and the treatment landscape for non-muscle invasive bladder cancer. The strategic focus on market launch, pricing, and sales force expansion, combined with a robust clinical data foundation, positions UroGen for potential success in addressing a significant unmet medical need.

Financial Data and Key Metrics Changes - UroGen reported net product revenues of $20.3 million for Q1 2025, an 8% year-over-year increase from $18.8 million in Q1 2024, driven by a 12% underlying demand growth [30][32] - The net loss for Q1 2025 was $43.8 million, or $0.92 per share, compared to a net loss of $32.3 million, or $0.87 per share, in the same period in 2024 [32] - Cash, cash equivalents, and marketable securities totaled $200.4 million as of March 31, 2025 [13][32] Business Line Data and Key Metrics Changes - Jelmyto sales for Q1 2025 were $20.3 million, reflecting an 8% year-over-year growth, with underlying demand growth of 12% [12][30] - UGN-102 is expected to target an addressable population of approximately 60,000 patients annually, translating to a market opportunity of over $5 billion, significantly larger than the Jelmyto market [11][12] Market Data and Key Metrics Changes - The company anticipates that the Medicare population will comprise about 70% of the business for UGN-102, consistent with the overall patient demographic in low-grade intermediate risk NMIBC [35] - The market for UGN-102 is expected to be more accessible, with a significant portion of patients managed by community urologists [11][12] Company Strategy and Development Direction - UroGen aims to transition from a rare disease-focused company to a multi-product team, with plans to expand the sales force from approximately 50 to over 80 representatives at the launch of UGN-102 [10][12] - The company is preparing for the potential launch of UGN-102, targeting commercial readiness by June 2025, with product availability expected in July [10][11] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the upcoming ODAC meeting and the PDUFA target date, highlighting the strength of clinical data supporting UGN-102 [16][55] - The management team emphasized the importance of addressing the unmet medical need in the recurrent low-grade intermediate risk NMIBC patient population [46][55] Other Important Information - UroGen has a strong balance sheet with over $200 million in cash and equivalents, allowing for continued investment in innovation [13][32] - The company is actively engaged in prelaunch activities for UGN-102, including educational efforts with urologists and payer engagement strategies [24][26] Q&A Session Summary Question: Breakdown of Medicare and Medicaid exposure for UGN-102 and Jelmyto - Management anticipates that the Medicare population will comprise about 70% of the business for UGN-102, with a focus on driving reimbursement confidence with providers [35] Question: Preparation for the ODAC meeting and expected pushback - Management has conducted mock ODAC panels and feels confident about presenting the clinical data, particularly addressing the single-arm study design of ENVISION [41][46] Question: Current status of the UGN-103 clinical development program - Enrollment for the UGN-103 trial is progressing ahead of plan, with top-line data anticipated in 2026 [21][71] Question: Expectations regarding the gross-to-net for Jelmyto and UGN-102 - The gross-to-net profile for Jelmyto is in the mid-70s percent, with expectations for UGN-102 to be more favorable due to a higher proportion of community-based business [101]

Financial Data and Key Metrics Changes - UroGen reported net product revenues of $20.3 million for Q1 2025, an 8% year-over-year increase from $18.8 million in Q1 2024, driven by a 12% underlying demand growth [28][30] - The net loss for Q1 2025 was $43.8 million, or $0.92 per share, compared to a net loss of $32.3 million, or $0.87 per share, in the same period in 2024 [30] - Cash, cash equivalents, and marketable securities totaled $200.4 million as of March 31, 2025 [12][30] Business Line Data and Key Metrics Changes - Jelmyto sales for Q1 2025 were $20.3 million, reflecting an 8% year-over-year growth, supported by a 12% increase in underlying demand [11][28] - UGN-102 is expected to target an addressable population of approximately 60,000 patients annually, translating to a market opportunity exceeding $5 billion, significantly larger than the Jelmyto market [10][11] Market Data and Key Metrics Changes - The company anticipates that approximately 70% of UGN-102's business will come from the Medicare population, consistent with the demographics of low-grade intermediate-risk NMIBC patients [34] - The market for UGN-102 is expected to be more accessible than the fragmented UTUC setting, as NMIBC patients are primarily managed by community urologists [10][11] Company Strategy and Development Direction - UroGen aims to transition from a rare disease-focused company to a multi-product organization, with UGN-102 as a primary growth driver alongside Jelmyto [5][9] - The company is expanding its sales force from approximately 50 to over 80 representatives in preparation for the potential launch of UGN-102 [9][24] - UroGen is committed to advancing its pipeline, including next-generation programs and immuno-oncology initiatives, while maintaining a strong balance sheet [12][29] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the upcoming ODAC meeting and the PDUFA target date, highlighting the strength of clinical data supporting UGN-102 [6][14] - The company is focused on ensuring timely access for patients and driving reimbursement confidence among providers [22][24] - Management emphasized the importance of UGN-102 as a transformative therapy for patients with recurrent low-grade intermediate-risk NMIBC [22][24] Other Important Information - The FDA has scheduled an ODAC meeting for UGN-102 on May 21, 2025, which is seen as a critical opportunity to present clinical data [6][10] - UroGen has engaged in extensive market research with physicians, indicating strong interest and demand for UGN-102 [55] Q&A Session Summary Question: Breakdown of Medicare and Medicaid exposure for UGN-102 and Jelmyto - Management anticipates that the Medicare population will comprise about 70% of UGN-102's business, aligning with the patient demographic for NMIBC [34] Question: Preparation for the ODAC meeting and expected pushback - Management has conducted mock ODAC panels and feels confident about presenting the clinical data, particularly addressing the single-arm study design of ENVISION [38][40] Question: Current status of the UGN-103 clinical development program - Enrollment for the UGN-103 trial is ongoing, with completion expected by mid-2025 and top-line data anticipated in 2026 [20][69] Question: Expectations regarding the gross-to-net for UGN-102 - Management expects the gross-to-net profile for UGN-102 to be more favorable than Jelmyto, primarily due to a higher proportion of community-based business [100]