ProQR Therapeutics Conference Call Summary Company Overview - ProQR Therapeutics is a biopharmaceutical company based in the Netherlands, focused on developing RNA editing medicines to treat genetic and common diseases by modifying human messenger RNA [1][2]. Core Technology and Partnerships - The company has developed a proprietary RNA editing technology over the past 10 years and controls all foundational intellectual property [2]. - In 2021, ProQR entered a $4 billion collaboration with Eli Lilly, receiving $125 million upfront and the potential for $250 million in milestone payments for each of the 15 targets [2]. Pipeline and Clinical Programs - ProQR is pursuing a wholly owned pipeline focusing on liver and CNS indications, with the lead program AX-0810 targeting cholestatic diseases [3]. - The company has initiated a clinical study for AX-0810, expecting first human clinical data in the first half of next year [3][11]. Trial Design and Expectations - The AX-0810 trial will enroll 33 healthy volunteers across three cohorts, with a randomized, placebo-controlled, and double-blinded design [10]. - Initial safety and pharmacokinetic data are expected by the end of this year, while pharmacodynamic data will be available in the first half of next year [11]. Unmet Medical Needs - The target diseases, Primary Sclerosing Cholangitis (PSC) and Biliary Atresia (BA), have no approved therapies and represent a significant unmet medical need [7][14]. - The company aims to develop a medicine that addresses this need while generating a robust dataset to validate its technology [8]. Safety and Efficacy Considerations - ProQR believes that pruritus (itching) associated with high bile acid levels is driven by inflammation rather than bile acids themselves, supported by data from healthy individuals with high bile acid levels who do not experience pruritus [17][22]. - The company aims for a twofold increase in bile acid levels in serum to halt disease progression, with a linear correlation between editing percentage and bile acid concentration [23][25]. Future Development Plans - Following the healthy volunteer study, ProQR plans to conduct a Phase 1B study in PSC patients, with results expected before the end of next year [13]. - The company is exploring accelerated development plans for potential approval based on efficacy data [31]. Rett Syndrome Program - ProQR is also developing a program for Rett syndrome, a neurodevelopmental disease caused by the absence of the MECP2 protein, with the potential to restore normal function through RNA editing [34]. - The program is co-financed by the Rett Syndrome Research Trust, and a clinical candidate is expected to be selected soon [35]. Differentiation from Gene Therapy - The RNA editing approach allows for precise restoration of the MECP2 protein without the risk of overexpression, which is a concern in gene therapy [37]. - ProQR plans to target specific mutations, particularly stop codon mutations, which affect approximately 5,000 patients each [38]. Conclusion - ProQR Therapeutics is positioned to address significant unmet medical needs in liver diseases and Rett syndrome through innovative RNA editing technologies, with ongoing clinical trials and strategic partnerships enhancing its development pipeline [1][2][34].

Summary of Wave Life Sciences Conference Call Company Overview - **Company**: Wave Life Sciences (WVE) - **Event**: 2025 Jefferies Global Healthcare Conference - **Date**: June 04, 2025 Key Points Industry and Pipeline - Wave Life Sciences is focused on RNA editing, aiming to establish a new category of medicine with its unique chemistry [5][6] - The company has multiple pipeline programs, with a lead program targeting alpha-one antitrypsin deficiency (ATD) [3][4] Alpha-One Antitrypsin Program - Upcoming data sets include a 200 mg cohort in Q2 and a 400 mg cohort later in the year [4][8] - Initial data showed therapeutic levels of alpha-one antitrypsin protein, with 11 micromolar total protein and 7 micromolar of the edited M protein [5][6] - The program aims to demonstrate the potential for monthly dosing based on the observed protein production [6][8] - The collaboration with GSK includes over $520 million in milestones and $2.3 billion in total milestones related to the RNA editing pipeline [18][19] Obesity Program - The obesity program (HIBE) is in Phase 1, with data expected later this year [21][22] - The study includes subtherapeutic and therapeutic cohorts, with a focus on weight loss mechanisms and safety [22][26] - Inhibin E is highlighted for its potential to drive fat loss without muscle loss, showing a favorable metabolic profile in heterozygous patients [25][26][28] DMD and Huntington's Disease Programs - For Duchenne Muscular Dystrophy (DMD), discussions with the FDA are ongoing regarding accelerated approval based on dystrophin expression and muscle health data [39][40] - The company is also preparing for a pivotal trial for Huntington's disease, utilizing natural history data to measure patient progression [42][43] Regulatory Environment - The regulatory landscape for Huntington's disease is evolving, with potential changes in endpoints that could benefit Wave Life Sciences [43][44] - The company is positioned to adapt to changes in regulatory expectations, particularly regarding mutant huntingtin as a clinical surrogate endpoint [44] Additional Insights - The focus on RNA editing and the unique delivery mechanisms may differentiate Wave Life Sciences from other companies in the siRNA space [31][32] - The potential for once or twice a year dosing in obesity treatment could significantly expand market opportunities [36][37] - The emphasis on safety, tolerability, and target engagement in clinical trials is critical for advancing the pipeline [28][30]