Summary of Savara (NasdaqGS:SVRA) FY Conference Call - December 02, 2025 Company Overview - **Company**: Savara - **Product**: Molgramostim (MOLBREEVI) - **Market**: Autoimmune Pulmonary Alveolar Proteinosis (APAP) Key Points BLA Resubmission and Regulatory Timeline - The BLA resubmission for Molgramostim is on track for December 2025, with a 60-day review anticipated, leading to a PDUFA date around August 2026 [4][5] - Submissions for MAAs in Europe and the U.K. are expected by the end of Q1 2026 [4][32] Market Opportunity and Patient Population - Approximately 5,500 diagnosed APAP patients identified in the U.S. through claims database analysis [8][9] - The company has confirmed 1,000 patients that are actively managed and have "line of sight" for the U.S. launch [8][9] - Patient concentration is noted in major centers of excellence and large group practices, facilitating a robust launch trajectory [10] Commercial Strategy and Team Preparation - A commercial team of about 30 customer-facing individuals is being established, with hiring planned to be completed post-approval [14][16] - The team is focused on building relationships with healthcare professionals and preparing for patient education and prescription processes upon approval [11][12] Distribution and Payer Mix - A single exclusive specialty pharmacy will manage claims adjudication and patient services, providing a "white glove" service model [17] - Anticipated payer mix includes approximately 60% commercial payers, one-third Medicare, and the remainder Medicaid [18] Pricing and Market Access - Pricing for Molgramostim is expected to be between $400,000 and $500,000 per patient per year, with payers showing understanding of the product's value [19][20] - Prior authorization will likely require proof of diagnosis, with no significant concerns from payers regarding budget impact due to the small patient population [19][23] Diagnostic Testing and Patient Identification - Implementation of a no-cost dry blood spot test for diagnosing autoimmune PAP is ongoing, with high sensitivity and specificity [28][29] - The test aims to identify undiagnosed patients, particularly in ILD clinics, enhancing the understanding of the patient population [30] European Market Strategy - The company plans to independently launch in Europe and the U.K., with a patient population size similar to that in the U.S. [33][34] - The recent financing positions the company well for both U.S. and European launches, with over $260 million in cash and additional royalty financing [35] Advocacy and Awareness - Support groups such as the PAP Foundation and PAP Alliance are active in raising awareness for autoimmune PAP, contributing to patient advocacy efforts [31] Additional Insights - The company emphasizes the importance of hiring experienced personnel for the commercialization of rare disease drugs, particularly in navigating the complexities of the orphan drug market [16] - The long-term strategy includes continuous education for payers and healthcare professionals about the disease burden and the clinical benefits of Molgramostim [19][20]