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.