SAB Biotherapeutics (NasdaqCM:SABS) FY Conference February 25, 2026 08:40 AM ET Company ParticipantsSam J. Reich - CEOConference Call ParticipantsLeland Gershell - Biotechnology AnalystLeland GershellGreat. Thank you, and welcome everyone to our next presenting company here at Oppenheimer's 36th Annual Healthcare Life Sciences Conference. I'm Leland Gershell, one of the Biotech Analysts with the firm. We are gratified and delighted to have with us SAB Biotherapeutics. The ticker is SABS, which we cover with ...

Summary of SAB Biotherapeutics FY Conference Call Company Overview - **Company**: SAB Biotherapeutics (NasdaqCM:SABS) - **Industry**: Biotechnology, specifically focused on treatments for Type 1 Diabetes - **Product**: SAB-142, a human anti-thymocyte immunoglobulin in late-stage clinical development for Type 1 Diabetes [2][3] Core Points and Arguments - **Mission**: To redefine Type 1 diabetes treatment by developing therapies that change the disease's course rather than just managing symptoms [2] - **Market Opportunity**: Type 1 diabetes represents a multi-billion-dollar market with significant unmet medical needs, affecting nearly 10 million people in the U.S. and resulting in 64,000 new diagnoses annually [6][7] - **Clinical Development**: SAB-142 is in a pivotal Phase 2b trial called SAFE-GUARD, aiming to complete enrollment by the end of 2026, with data expected by the end of 2027 [4][17] - **Technology Platform**: The company utilizes a unique technology involving transchromosomic cows to produce fully human immunoglobulin drugs, providing multi-level intellectual property protection [3][4] Clinical Insights - **Mechanism of Action**: SAB-142 engages T cells to create tolerance to the pancreas, preserving beta cell function and insulin production, which is critical for Type 1 diabetes patients [7][8] - **Comparison with Competitors**: - Tzield (a monoclonal antibody) has shown efficacy but does not improve glycemic control, while Thymoglobulin has proven both C-peptide preservation and HbA1c reduction [13][29] - SAB-142 is expected to have a superior safety profile, allowing for reliable redosing, unlike its competitors [15][29] - **Endpoints**: The primary endpoint for the SAFE-GUARD study is stimulated C-peptide at one year, with HbA1c as a significant secondary endpoint [17][23] Regulatory and Market Strategy - **FDA Interaction**: The FDA has agreed that the SAFE-GUARD study can be a pivotal study, indicating regulatory support for the drug's development [26] - **Market Penetration**: The company anticipates significant market penetration among Stage 3 patients, with plans to explore Stage 2 patients in the future [27][28] - **Long-term Vision**: SAB-142 is not diabetes-specific and aims to create self-tolerance without immunosuppression, suggesting potential applications in other autoimmune diseases [18] Financial Position - **Funding**: The company is fully funded through the SAFE-GUARD trial and has a cash runway extending into 2028, allowing for continued development and potential market entry [17][30] Additional Insights - **Management Team**: The company is led by a team with extensive experience in biotech, enhancing confidence in execution and success [3][19] - **Patient Impact**: The urgency and desperation in the Type 1 diabetes patient population highlight the significant unmet medical need that SAB-142 aims to address [28] Conclusion - SAB Biotherapeutics is positioned to make a significant impact in the Type 1 diabetes market with its innovative product SAB-142, backed by a strong management team and a clear clinical development strategy aimed at addressing a major unmet medical need [19]

Summary of SAB Biotherapeutics Conference Call Company Overview - **Company**: SAB Biotherapeutics (NasdaqCM:SABS) - **Focus**: Development of SAB-142, a drug for type 1 diabetes aimed at preserving beta cells using a trans-chromosomic bovine platform that produces human IgG [4][5] Core Points and Arguments - **Drug Development**: SAB-142 is designed to replicate the efficacy of Thymoglobulin, a drug by Sanofi, which has shown effectiveness in preserving beta cells but has a poor safety profile due to its rabbit origin [4][5] - **Clinical Trials**: SAB-142 is entering a pivotal phase 2b trial called the Safeguard trial, targeting newly diagnosed type 1 diabetes patients [5][46] - **Market Position**: SAB Biotherapeutics aims to compete with Sanofi's TZIELD, which is approved for stage 2 type 1 diabetes, while SAB-142 targets stage 3, the more prevalent form of the disease [6][9] - **Efficacy Expectations**: The company expects SAB-142 to demonstrate similar efficacy to Thymoglobulin, with a target of 40% preservation of C-peptide compared to placebo at one year [43][44] - **Safety Profile**: Phase 1 results indicate that SAB-142 does not cause serum sickness or immunogenic responses, allowing for redosing [5][10][12] Important Data and Metrics - **C-Peptide Preservation**: The primary endpoint of the Safeguard trial is the preservation of C-peptide, a marker for beta cell function, with a goal of 40% preservation compared to placebo [43][44] - **Trial Timeline**: The trial is currently underway, with data expected in the second half of 2027 [46] - **Financial Position**: As of August 31, the company has $164 million in cash, sufficient to fund the phase 2b study and operations through 2028 [104][105] Competitive Landscape - **TZIELD Comparison**: TZIELD is priced at $200,000, which serves as a benchmark for SAB-142's pricing strategy [80][82] - **Other Treatments**: The company acknowledges competition from cell therapy programs and GLP-1 drugs but emphasizes that their focus on immunomodulation is crucial for preserving beta cells [113][115] Regulatory Path and Future Opportunities - **Regulatory Agreement**: The FDA has agreed that the Safeguard trial qualifies as a registrational study, which could expedite the approval process [48][53] - **Expansion Potential**: SAB-142 may have applications in other T-cell-mediated autoimmune diseases, indicating potential for a franchise-like product [87][89] - **Global Market**: The company is opening trial sites in the U.S., Europe, U.K., Australia, and New Zealand, indicating a broad market opportunity [95][97] Additional Insights - **Market Awareness**: The success of TZIELD has increased focus on the unmet medical needs in type 1 diabetes, benefiting SAB Biotherapeutics by raising awareness [116][119] - **Investor Interest**: There is significant interest from potential partners, including Sanofi, which could lead to strategic collaborations [102][100] This summary encapsulates the key points discussed during the conference call, highlighting the strategic direction, clinical development, and market positioning of SAB Biotherapeutics.