Core Viewpoint - Gyre Therapeutics reported a net income of $3.7 million for Q1 2025 and reaffirmed its full-year revenue guidance of $118 to $128 million, indicating a strategic focus on expanding its market presence and product portfolio in the organ fibrosis treatment space [1][12]. Financial Performance - Revenues for Q1 2025 were $22.1 million, down from $27.2 million in Q1 2024, primarily due to a $5.2 million decline in ETUARY sales, which was anticipated following a one-time marketing campaign in early 2024 [12][18]. - The company reported a decrease in income from operations to $2.3 million from $8.1 million year-over-year, attributed to lower revenues [18]. - Non-GAAP adjusted net income for Q1 2025 was $2.9 million, down from $8.2 million in the same period last year, reflecting the decline in revenue and a slight increase in operating expenses [18][28]. Business Highlights - The launch of avatrombopag in March 2025 is expected to enhance Gyre's presence in hepatology and hematology, targeting thrombocytopenia in adults with chronic liver disease [5][6]. - ETUARY (pirfenidone) generated $21.7 million in sales during Q1 2025, maintaining its position as the market leader for idiopathic pulmonary fibrosis (IPF) in China, despite a year-over-year sales decline [3][12]. - Nintedanib is on track for commercial launch in May 2025, aimed at treating multiple forms of fibrosing interstitial lung disease, which is anticipated to support revenue growth in the second half of 2025 [4][12]. Pipeline Development - Gyre received NMPA approval to initiate a clinical trial of pirfenidone for radiation-induced lung injury (RILI), marking its entry into oncology supportive care, with plans for an adaptive Phase 2/3 trial in the second half of 2025 [6][7]. - The company is also advancing F573, a caspase inhibitor for acute liver failure, with a Phase 2 clinical trial completion expected by the end of 2026 [8][12]. - F230, a selective endothelin receptor agonist for pulmonary arterial hypertension, is set to begin a Phase 1 trial in Q2 2025 [9]. Corporate Updates - In March 2025, Gyre appointed Ping Zhang as Executive Chairman of the Board of Directors, indicating a strategic leadership change [11]. Cash Position - As of March 31, 2025, Gyre held $51.3 million in cash, cash equivalents, and deposits, which the company believes will be sufficient to fund its operating and capital requirements for the next 12 months [12][18].

Financial Data and Key Metrics Changes - Fourth quarter revenues were $77 million, a 31% increase over the previous year's fourth quarter [35] - Full year revenues reached $286 million, a 43% increase compared to the prior year [35] - Net income for 2024 was $28 million, or $0.10 per share, compared to a net loss of $12 million, or $0.04 per share for 2023 [41] - The year-end cash position was $203 million, with a debt reduction of $236 million in 2024 [42] Business Line Data and Key Metrics Changes - The endocrine business unit achieved record revenues of $23 million in Q4 and $82 million for the full year [6] - Afrezza net revenue for Q4 was $18 million, an 18% increase, and $64 million for the full year, a 17% increase [37] - V-Go net revenue was approximately $5 million for Q4, a 1% increase, but full year revenues decreased by 4% to $18 million [38] Market Data and Key Metrics Changes - Tyvaso DPI royalties contributed $27 million in Q4, a 28% increase, and $102 million for the year, a 42% increase [36] - DPI-related revenues exceeded $200 million for the year, marking a significant milestone for the Technosphere platform [18] Company Strategy and Development Direction - The company focuses on five key pillars, including two FDA-approved products and funding for pipeline opportunities [5] - The strategy includes expanding the pediatric market for Afrezza and exploring gestational diabetes [11][14] - The company aims to leverage its strong balance sheet to support growth and pipeline development [42] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the future, highlighting the potential for significant growth in the pediatric market for Afrezza [15] - The company is preparing for upcoming FDA meetings and expects to advance its pipeline projects [33][45] - Management emphasized the importance of effective reimbursement and education strategies for successful product launches [72][75] Other Important Information - The company successfully reduced its debt and improved its cash position, providing a strong foundation for future growth [42] - The collaboration with Amphastar is expected to enhance the pediatric footprint and expedite the filing for pediatric indications [7] Q&A Session Summary Question: Can you talk about margins over the next few quarters? - Management indicated that margins are expected to stabilize as manufacturing utilization increases with Tyvaso DPI and Afrezza [52] Question: Can you provide more details on gross to net discounting and rebates? - Management noted that the current discounting trends are expected to continue throughout the year [54] Question: How do you balance operational profitability with investment in Afrezza? - Management stated that capital deployment will focus on driving the best returns for shareholders while preparing for the pediatric launch [60] Question: What are the critical success factors for Afrezza in pediatrics? - Management identified reimbursement processes, institutional selling capabilities, and education as key factors for success [71][75] Question: What are the expectations for the agreement with CIPLA in India? - Management anticipates that the agreement could lead to significant volume implications and improve overall efficiency [78] Question: What are the safety and efficacy endpoints for the upcoming FDA meeting? - Management plans to discuss various endpoints and trial designs with the FDA, aiming for a solid foundation for future milestones [86][88]