Core Viewpoint - The company announced that the regulator has accepted a priority review to potentially expand the age range for its Tzield type-1 diabetes drug to include children as young as one year old [1] Group 1 - The priority review indicates a significant step towards making the Tzield drug available for younger patients [1]

Core Insights - The National Medical Products Administration (NMPA) in China has approved Sanofi's two medicines for rare hematologic diseases: Qfitlia for hemophilia and Cablivi for acquired thrombotic thrombocytopenic purpura [1][2] - These approvals mark Sanofi's fourth and fifth in China this year, expanding its rare hematology portfolio [2][5] Group 1: Qfitlia - Qfitlia is indicated for routine prophylaxis to prevent or reduce bleeding episodes in pediatric patients aged 12 and older, and adults with severe hemophilia A [2][3] - The approval is based on ATLAS phase 3 studies showing significant bleed protection, with a 71% reduction in annualized bleeding rates (ABR) for patients without inhibitors and a 73% reduction for patients with inhibitors [3][7] - Nearly half of the patients in the open-label extension study experienced one or fewer bleeds, with 94% achieving target AT levels with minimal dose adjustments [7] Group 2: Cablivi - Cablivi is the first Nanobody targeted therapy for treating acquired thrombotic thrombocytopenic purpura in adults and adolescents aged 12 or older [4][5] - It targets von Willebrand factor (vWF) to inhibit the interaction between vWF and platelets, helping to prevent organ damage during the disease [5] - Approximately 2,700 patients are diagnosed with this condition annually in China [4]

Summary of SAB Biotherapeutics FY Conference Call Company Overview - **Company**: SAB Biotherapeutics (NasdaqCM:SABS) - **Industry**: Clinical-stage biotechnology - **Lead Asset**: Human anti-thymocyte immunoglobulin for treating newly diagnosed type 1 diabetes patients - **Current Phase**: Entering phase 2b clinical trial, considered pivotal with expectations of being a best-in-class product [2][4][12] Core Product Insights - **Comparison with Rabbit ATG**: - Rabbit anti-thymocyte globulin (ATG) is the global standard for organ transplant but has safety issues (serum sickness) and cannot be redosed due to immunogenicity [4][10] - SAB's product aims to preserve C-peptide and reduce HbA1c without the adverse effects associated with rabbit ATG [4][10] - **MELD Study Findings**: - Conducted in Europe, showed that a lower dose (0.5 mg/kg) of rabbit ATG was effective without lymphodepletion, decoupling efficacy from lymphodepletion [9][10] - Confirms that the mechanism of action for both rabbit ATG and SAB's product leads to C-peptide preservation and HbA1c reduction [10][11] Regulatory Landscape - **FDA Insights**: - The FDA is increasingly open to approving drugs based on C-peptide preservation alone, as demonstrated by the trajectory of Tzield, which was acquired by Sanofi [13][15] - The approval of Tzield indicates a clearer path for SAB's product, as it suggests that C-peptide is a sufficient endpoint for approval [15][16] Clinical Trial Design - **SAFEGUARD Study**: - The study will be stratified by age groups (adults, adolescents, children) to ensure a balanced representation [17][18] - C-peptide levels will be a primary endpoint, with a baseline requirement of 200 picomole per liter [32][34] - The study aims for an 80% power to show a difference in HbA1c [35] - **Future Trials**: - Plans for a confirmatory trial in Stage 2 patients, focusing on early intervention to preserve insulin production [36][39] Market Opportunity - **Unmet Medical Need**: - There is a significant demand for therapies in type 1 diabetes, with 65,000 new patients diagnosed annually and no approved drug currently available [43][44] - The ability to preserve beta cell mass could drastically improve patient outcomes and quality of life, addressing a major burden of disease management [42][44] - **Commercial Potential**: - The product is expected to fill a critical gap in treatment options for type 1 diabetes, which is currently managed through insulin and glucose monitoring without altering long-term outcomes [42][44] Additional Considerations - **Patient Impact**: - The emotional and social burden of managing type 1 diabetes is significant, and the introduction of a drug that preserves insulin production could alleviate some of these challenges [42][44] - **Community Engagement**: - Emphasis on understanding patient experiences and needs through direct engagement with the diabetes community [44]

Core Insights - The company reported a Q3 sales growth of 7.0% at constant exchange rates (CER) and a business earnings per share (EPS) of €2.91, reflecting a strong performance despite a high base of comparison from the previous year [1][4][5] Sales Performance - Newly launched medicines and vaccines contributed significantly, with a growth of 40.8% [4] - Dupixent sales increased by 26.2%, surpassing €4 billion in quarterly global sales for the first time, and €3 billion in the US [4][5] - Overall, IFRS net sales reported for Q3 2025 were €12,434 million, a 2.3% increase, while year-to-date (YTD) sales reached €32,323 million, up 5.9% [8] Financial Metrics - Business EPS rose by 13.2% at CER and 7.0% at actual exchange rates, reaching €2.91 [5][6] - Business operating income for Q3 was €4,445 million, up 2.7%, with a YTD increase of 5.9% [8] - Free cash flow for Q3 was reported at €2,994 million, a decrease of 6.1%, while YTD free cash flow was €5,452 million, an increase of 50.8% [8] Research and Development - The company achieved two regulatory approvals: Wayrilz in the US for immune thrombocytopenia and Tzield in China for delaying the onset of stage 3 type 1 diabetes [7] - Positive phase 3 readouts were reported for amlitelimab in atopic dermatitis and Fluzone HD for influenza in patients aged 50 and above [7] - The company initiated three new phase 3 studies and received three new regulatory designations [7] Strategic Initiatives - The acquisition of Vigil Neuroscience was completed, enhancing the early-stage pipeline [8] - The company committed an additional $625 million to Sanofi Ventures, focusing on innovative biotech and digital health investments [5] - A €5 billion share buyback program is set to be completed by the end of 2025, with 86.1% executed to date [5][8] Guidance and Outlook - The company anticipates high single-digit sales growth at CER for 2025 and a strong business EPS rebound with low double-digit growth at CER before share buyback [4][6]

Group 1 - Sanofi has signed an agreement to acquire Dren Bio's investigational bispecific antibody DR-0201, which targets CD20 and is designed for deep B-cell depletion [1][2] - The acquisition includes an upfront payment of $600 million and potential milestone payments of up to $1.3 billion, with the deal expected to close in Q2 2025 [2] - Dren Bio has previously secured multi-billion dollar partnerships with Novartis and Pfizer for its bispecific antibody technology [3] Group 2 - Sanofi aims to enhance its immunology pipeline and position itself as a leading immunology company, with 12 potential blockbuster assets in phase III development [6] - The success of these candidates will reduce reliance on Dupixent, which generated over €13 billion in sales in 2024, accounting for about one-third of Sanofi's total revenues [7] - Sanofi is also focusing on new product launches, expecting three new products launched in 2023 to collectively achieve at least €5 billion in peak sales [8] Group 3 - Year-to-date, Sanofi's stock has increased nearly 22%, outperforming the industry growth of 7% [4]