Fresenius Biopharma Conference Call Summary Company Overview - **Company**: Fresenius (OTCPK:FSNU.F) - **Industry**: Biopharma - **Date of Call**: December 15, 2025 Key Points Industry Dynamics - The global healthcare sector is experiencing significant growth and transformation due to technological advancements, demographic shifts, and evolving patient needs [3][4] - U.S. healthcare spending is projected to exceed $5 trillion by 2024, with an expected growth rate of over 8% [4] - Generic and biosimilar prescriptions account for 90% of prescriptions but only 17.5% of spending, indicating a market dominated by costly brand-name products [4] Company Strategy and Positioning - Fresenius aims to capitalize on the growing biopharma market, focusing on four core businesses: IV generics, fluids, biopharma, nutrition, and medtech [5] - The company has initiated a "Rejuvenate" phase to upgrade its core operations and scale platforms for better performance [6][7] - Fresenius is committed to expanding its biosimilars business, which is expected to generate annual savings of EUR 100 billion by 2030 in the EU and U.S. [8] Financial Performance - In the first three quarters of 2025, the biopharma business contributed over EUR 600 million in sales, with a growth rate exceeding 30% [9] - The EBIT margin for the biopharma segment improved from 8.5% in 2022 to over 15% in the first nine months of 2025 [16] - Fresenius aims to double its revenue and achieve a net margin of around 20% by 2030 [20] Pipeline and Product Development - Fresenius has a robust pipeline with 15 potential new medicines and aims to launch new products through in-licensing and internal R&D [17][22] - The company has 11 marketed products across nine molecules, with a focus on immunology, oncology, and endocrinology [26] - The biosimilar market is expected to grow sixfold by 2035, driven by loss of exclusivity for numerous molecules [34] Competitive Advantages - Fresenius operates a fully integrated biosimilars model, managing R&D, manufacturing, and commercialization across more than 35 countries [25] - The company has achieved significant cost reductions through vertical integration and insourcing of manufacturing processes [45][51] - Fresenius has established a strong commercial presence in Europe, LATAM, and the U.S., with a focus on direct sales to enhance margins [52][54] Market Trends and Future Outlook - The U.S. biosimilars market is expected to grow significantly due to an increase in molecules losing exclusivity and favorable policy changes [59] - Fresenius is positioned to benefit from the ongoing shift towards biosimilars, with a strong focus on regulatory compliance and market access strategies [30][43] - The company plans to invest over EUR 300 million by 2030 to expand manufacturing capacity and drive long-term growth [46] Conclusion - Fresenius is well-positioned to leverage its strengths in the biopharma market, focusing on innovation, cost leadership, and commercial excellence to drive sustainable growth and shareholder value [11][31]

Financial Data and Key Metrics Changes - The company reported total revenues of approximately $598 million for Q3 2025, which included Cabozantinib franchise net product revenues of approximately $543 million, reflecting a year-over-year growth of about 14% from $478 million in Q3 2024 [7][13] - Non-GAAP net income for Q3 2025 was approximately $217.9 million, or $0.81 per share basic, compared to $193.6 million GAAP net income, or $0.72 per share basic [14][15] - Cash and marketable securities at the end of Q3 2025 were approximately $1.6 billion, with share repurchases totaling approximately $99 million during the quarter [15][16] Business Line Data and Key Metrics Changes - The Cabozantinib business maintained its leadership position as the top TKI for RCC, with net product revenues growing to approximately $543 million in Q3 2025 [7][28] - Demand in neuroendocrine tumors grew about 50% quarter-over-quarter, contributing approximately 6% of total demand for Cabozantinib in Q3 2025 [8][31] - The company expects to exceed $100 million in revenue for the neuroendocrine tumor indication in 2025 [8][32] Market Data and Key Metrics Changes - The Cabozantinib franchise net product revenues generated globally were approximately $739 million in Q3 2025, compared to $653 million in Q3 2024 [7] - Cabometyx's TRX volume grew 21% in Q3 2025 relative to Q3 2024, outpacing the market basket growth rate of 13% [29] - Cabometyx achieved a new patient market share of over 40% in the second-line plus neuroendocrine tumors segment [31] Company Strategy and Development Direction - The company aims to build a best-in-class, multi-franchise oncology business, focusing on improving the standard of care for cancer patients [6] - Zanzalintinib is positioned as the next oncology franchise opportunity, with seven ongoing and soon-to-start pivotal trials [9][12] - The company plans to expedite the build-out of its GI sales team to support the growth of the Cabozantinib neuroendocrine tumor indication and prepare for Zanzalintinib's launch [8][35] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the strong performance of the Cabozantinib business and the potential of Zanzalintinib to eclipse it [6][9] - The company is optimistic about the regulatory approval process for Zanzalintinib, especially following positive results from the Stellar-303 trial [10][20] - Management highlighted the importance of capital allocation and plans to repurchase shares when undervalued, with an additional $750 million share repurchase program authorized [12][15] Other Important Information - Susan Hubbard, EVP of Public Affairs and Investor Relations, announced her retirement after more than 35 years in the biopharma industry [38] - Andrew Peters will take over investor relations responsibilities, reflecting a strategic move within the company [39] Q&A Session Summary Question: Can you summarize the post-ESMO feedback on Zanzalintinib results? - Management noted positive feedback from physicians regarding the overall survival benefit and the introduction of an immune checkpoint inhibitor in a significant tumor type [41][43] Question: Why is Sunitinib the right control for the Stellar-304 study? - Management explained that Sunitinib is a standard of care in the setting and has a relevant target profile, making it a suitable comparator [47][49] Question: How does the Stellar-303 initial data set expectations for the NLM cut? - Management indicated that the study's design allowed for a broader analysis, and they expect results for the non-liver metastases subgroup to mature around mid-year 2026 [51][54] Question: What is the clinical trial contribution for Cabozantinib in Q3? - There were no clinical trial sales reported in the quarter [58] Question: Is there a risk to the Stellar-303 trial approval? - Management refrained from commenting on external opinions regarding Cabozantinib's usefulness [62] Question: How is the NET launch performing relative to Lutathera? - Management expressed confidence in the strong performance of Cabozantinib in the NET market, indicating a favorable position compared to Lutathera [85]

Summary of I-Mab Biopharma FY Conference Call Company Overview - **Company**: I-Mab Biopharma (NasdaqGM:IMAB) - **Industry**: Clinical-stage biotechnology focused on precision immuno-oncology therapies - **Key Assets**: Jeva Stomach, Raja Stomach, Uli Ledla Mab - **Financial Position**: $227 million in cash, providing runway through Q4 2028 [3] Core Points and Arguments - **Strategic Focus**: I-Mab has divested its China operations to concentrate solely on the U.S. market [2] - **Lead Asset - Jeva Stomach**: - Positioned as a best-in-class Claudin 18.2 therapeutic for front-line metastatic gastric cancer [4] - Ongoing phase one study combining Jeva with standard care (I/O plus chemotherapy) [5] - Plans to initiate a randomized phase two study in Q1 2026 [2][5] - **Market Opportunity**: Gastric cancer represents a $12 billion market opportunity, with high unmet medical need due to low five-year survival rates [9] - **Clinical Data**: - Objective Response Rate (ORR) of 18% in monotherapy with no dose-limiting toxicity [9] - Recruitment for gastric cancer trials is significantly higher than historical norms, indicating strong investigator interest [21] - ORR of 71% across the cohort in the phase one study, exceeding benchmarks from other treatments [22] - **Comparison with Competitors**: - Jeva Stomach has a lower eligibility threshold for Claudin 18.2 expression (1%) compared to Zolbetuximab (75%), potentially doubling the patient pool [11] - Jeva shows a better safety profile with lower rates of nausea and vomiting compared to Zolbetuximab [19][25] - **Future Development**: - Expansion into other tumor types such as biliary tract cancer and pancreatic cancer, with market opportunities of $6 billion and $3 billion respectively [26] - Plans for a large randomized phase two study with 180 patients [26] Important but Overlooked Content - **Toxicity Profile**: Jeva Stomach has a favorable toxicity profile compared to competitors, with only 33% of patients experiencing grade three or above treatment-related adverse events [19] - **Durability of Response**: Responses to Jeva Stomach are rapid, deepen over time, and show durability, with some patients remaining progression-free beyond a year [23] - **Intellectual Property**: Strong intellectual property protection is in place for Jeva Stomach, enhancing its competitive position [27] - **Competitive Landscape**: The competitive landscape includes several Claudin 18.2 assets, with Zolbetuximab being the leading competitor, but I-Mab's unique positioning may provide an advantage in front-line settings [30]