Summary of Amicus Therapeutics Conference Call Company Overview - **Company**: Amicus Therapeutics (NasdaqGM:FOLD) - **Focus**: Rare disease therapeutics with a unique position in the biotech sector, targeting first or best-in-class medicines [3][4] Key Products and Financials - **Galafold**: - Approved for Fabry disease since 2016 - Expected growth of 10%-15% in 2025, with over $500 million in sales [3][4] - Currently holds a 65% market share among treated amenable patients, with potential to increase to 85%-90% in established markets [5][6] - **Pombiliti (Opfolda)**: - Launched in 2023, showing 50%-65% growth, projected to exceed $100 million in sales [4][5] - Strong patient demand in the U.S. and expansion into new countries [8][9] - **DMX-200**: - Targeting Focal Segmental Glomerulosclerosis (FSGS), a rare kidney disease with no approved treatments [4][29] - Positioned as a potential blockbuster with a unique mechanism of action [29] - **Financial Position**: - Projected revenue of over $600 million in 2025, aiming for $1 billion by 2028 [4][5] - Currently holds over $260 million in cash, with positive cash generation of over $30 million in Q3 [4][5] Market Dynamics and Growth Drivers - **Galafold**: - Growth driven by increased patient diagnoses and treatment initiation [5][6] - Newborn screening initiatives and family cascade testing are significant tailwinds [6][12] - The total diagnosed Fabry patient population has grown from 10,000 to nearly 20,000, with potential for over 100,000 undiagnosed patients [14] - **Pombiliti**: - Strong momentum in new patient additions, particularly from patients previously on Nexviazyme [8][11] - Geographic expansion with eight new countries added this year, aiming for ten total [9][18] Competitive Landscape and Pricing Strategy - **Pricing Strategy**: - Amicus maintains a pricing philosophy focused on access, pricing below competitors and committing to not raise prices above the Consumer Price Index (CPI) [19][20] - No significant pricing erosion observed in the U.S. or ex-U.S. markets [19][20] - **Market Share**: - Achieved over 40% market share in the U.K. for Pombiliti, with expectations for similar performance in other markets [19] Regulatory and Development Updates - **Intellectual Property (IP)**: - Galafold has patent protection extending into the 2040s, with ongoing litigation against generic filers [23][24] - Anticipated resolution of IP trials in the second half of next year [24] - **DMX-200 Development**: - Enrollment for the Action 3 study is over 90% complete, with top-line data expected in two years [37][38] - Potential for accelerated approval discussions based on one-year data [39] Upcoming Catalysts - Continued patient addition and revenue growth for Galafold and Pombiliti [40] - Updates on Galafold IP resolution and Pombiliti's pediatric label expansion expected in mid-2026 [41] - Completion of DMX-200 enrollment and potential updates on FDA discussions in the first half of next year [41]