Summary of Vera Therapeutics FY Conference Call Company Overview - **Company**: Vera Therapeutics (NasdaqGM:VERA) - **Founded**: 2016 in San Francisco - **Lead Product**: Atacicept, a first-in-class dual BAFF/APRIL inhibitor - **Financial Position**: Pro forma cash of $779 million with 71.3 million shares outstanding [4][5] Industry Context - **Primary Indication**: IgA nephropathy (IgAN), the most common primary glomerular disease worldwide, with an incidence of 2.5 per 100,000 people [6] - **Market Size**: Estimated 160,000 diagnosed IgAN patients in the U.S., with half in the highest-risk category [14] - **Competitive Landscape**: Five new drugs approved for IgAN in the past five years, indicating a growing market with premium pricing [16] Key Product Insights - **Atacicept Mechanism**: Targets BAFF and APRIL to modulate B-cell function, potentially avoiding immune suppression challenges [3][5] - **Clinical Trials**: - Phase III trial met primary endpoint with a 42% placebo-adjusted reduction in proteinuria at 36 weeks [11] - Secondary endpoints showed consistent results with phase II data [11] - Ongoing trials include PIONEER, studying Atacicept in moderate and low-risk patients [15] Regulatory and Commercialization Plans - **BLA Submission**: Submitted to the U.S. FDA with priority review status; PDUFA date set for July 7, 2026 [3][18] - **Commercial Launch**: Expected in July 2026, with a focus on educating nephrologists about Atacicept [13][21] - **Sales Force**: Hiring 82 sales representatives to target over half of the 11,000 nephrologists in the U.S. [23] Clinical Efficacy and Safety - **Efficacy Measures**: Aims to stabilize eGFR, reduce proteinuria, and resolve kidney inflammation [9][12] - **Safety Profile**: Atacicept showed a low rate of serious adverse events (0.5%) and was well tolerated [12] Future Opportunities - **Expansion Potential**: Atacicept has therapeutic potential in other autoimmune diseases, with an estimated addressable market of 1.2 million patients in the U.S. [17][18] - **Pipeline Development**: Ongoing studies for additional indications and formulations, including a monthly dosing option [29][31] Conclusion - **Transformative Year Ahead**: Vera Therapeutics is positioned for significant growth in 2026 with the anticipated launch of Atacicept and ongoing clinical trials [18][34]

Summary of Vera Therapeutics Investor Call - November 06, 2025 Company Overview - **Company**: Vera Therapeutics (NasdaqGM:VERA) - **Focus**: Development of atacicept, a dual-BAFF APRIL inhibitor for autoimmune diseases, particularly IgA nephropathy Key Industry Insights - **IgA Nephropathy**: Most common primary glomerular disease globally, with an estimated incidence of 2.5 cases per 100,000 individuals [9] - **Patient Demographics**: Average age of patients with IgA nephropathy is around 35 years, with a significant risk of rapid kidney function decline leading to end-stage kidney disease (ESKD) before age 50 [6][7] - **Mortality Rate**: Mortality over five years from ESKD is comparable to cancer [8] Core Findings from ORIGIN Phase III Trial - **Atacicept Efficacy**: - Achieved a 46% reduction in proteinuria at 36 weeks compared to a 7% reduction in placebo [17] - 68% reduction in galactose-deficient IgA1 levels [18] - 80% resolution of hematuria in patients with blood in urine at baseline [18] - **Safety Profile**: Adverse events were balanced between atacicept and placebo groups, with no significant hypogammaglobulinemia reported [19][47] Financial Position - **Cash Position**: Pro forma cash of $497 million with access to an additional $425 million in non-dilutive capital [5] - **Share Count**: 63.9 million shares outstanding [5] Market Opportunity - **Patient Population**: Approximately 160,000 patients in the U.S. with 90,000 addressable in the phase III population [23] - **Commercial Strategy**: Sales leadership team in place, with plans to build out the sales force ahead of anticipated approval [22] Pipeline and Future Directions - **Expansion Plans**: Ongoing trials (EXTEND and PIONEER) to explore additional indications in autoimmune kidney diseases [5][27] - **Long-term Vision**: Potential to impact other autoimmune diseases beyond kidney medicine [29] Competitive Landscape - **Market Positioning**: Atacicept is viewed favorably among nephrologists, with strong preference indicated in market research [24] - **Pricing Strategy**: Anticipated premium pricing due to innovative profile and strong clinical data [25] Additional Insights - **Combination Therapy**: Discussion on the potential for atacicept to be used in combination with existing therapies like ACE inhibitors and SGLT2 inhibitors [34][36] - **Quality of Life**: Importance of stabilizing kidney function to improve patient mental health and quality of life [46] Conclusion - Vera Therapeutics is positioned for a significant impact in the treatment of IgA nephropathy with atacicept, supported by strong clinical data and a robust financial position, while also exploring broader applications in autoimmune diseases. The company is gearing up for a potential commercial launch in mid-2026, with a focus on capturing a meaningful share of the market.