80% of PKU centers of excellence in the U.S. had written prescriptions for one or more patientsSephience contributed $92 million of revenue in the fourth quarter and $111 million worldwide since launch in 2025. Pauwels said fourth-quarter Sephience revenue was approximately $92 million, including $81 million in the U.S. and $11 million ex-U.S.For the fourth quarter, PTC reported total net product and royalty revenue of $263 million . Full-year 2025 total net product and royalty revenue was $831 million , wh ...

PTC Therapeutics (NasdaqGS:PTCT) Q4 2025 Earnings call February 19, 2026 04:30 PM ET Company ParticipantsEllen Cavaleri - Head of Investor RelationsEric Pauwels - Chief Business OfficerJarwei Fang - VP of Large-Cap Biotechnology and Pharma Equity ResearchJoe Heidt - Equity Research AssociateMatthew Klein - CEOPierre Gravier - CFOTazeen Ahmad - Managing DirectorConference Call ParticipantsBen Burnett - Executive Director and Senior Equity AnalystBrian Cheng - Executive Director and Senior Biotech AnalystElli ...

Financial Data and Key Metrics Changes - The company reported a strong start for Sephience, its oral therapy for PKU, with continued momentum into the fourth quarter, indicating a path to cash flow break-even and beyond [3][6][48] - The average time from patient support form (PSF) to getting on the drug is currently two to four weeks, reflecting efficient execution in the launch process [7][8] Business Line Data and Key Metrics Changes - Sephience has seen early success with 341 patients on therapy, indicating a significant opportunity in the PKU market, which has about 17,000 patients in the U.S. [4][5] - The company has experienced uptake across all patient segments, including switches from existing therapies and therapy-naive patients, demonstrating broad market penetration potential [14][15][16] Market Data and Key Metrics Changes - The company is preparing for global launches in Europe, Japan, and Brazil, with infrastructure and teams ready to navigate local regulatory environments [21][22][25] - In Europe, the company is leveraging its experience with Translarna to maintain a significant market presence despite the lack of formal approval for Sephience [65][66] Company Strategy and Development Direction - The primary focus remains on the successful launch of Sephience, while also advancing a robust R&D pipeline, including small molecule splicing programs [42][45] - The company is exploring strategic partnerships to leverage its RNA platform for future therapies, particularly in oncology and neurodegenerative diseases [45][46] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the strong demand for Sephience, supported by compelling patient stories and positive feedback from the prescriber community [6][20] - The company is committed to managing expenses and achieving cash flow break-even, with plans to reduce operating expenses in 2026 relative to 2025 [48] Other Important Information - The company is actively engaging with regulatory bodies regarding the potential for accelerated approval pathways for its Huntington's disease program, Votoplam, highlighting its differentiated approach compared to gene therapies [54][56] - The company is also addressing the implications of the Most Favored Nation (MFN) rule and its impact on pricing strategies [51] Q&A Session Summary Question: What are the adoption patterns for Sephience across different patient segments? - The company is seeing uptake across all segments, including switches from Kuvan and therapy-naive patients, indicating a broad market opportunity [14][15] Question: How is the company preparing for global launches? - The company has infrastructure and teams ready for launches in Europe, Japan, and Brazil, with careful planning around pricing and reimbursement negotiations [21][22][25] Question: What is the company's strategy for managing expenses? - The company is focused on achieving cash flow break-even and plans to reduce operating expenses in 2026, while balancing internal development and partnerships [48]

Company Overview - PTC Therapeutics is a global biopharmaceutical company focused on rare diseases, with a portfolio that includes six self-marketed products worldwide [4] - The company has a robust R&D pipeline, highlighted by its small molecule splicing platform, which has produced Evrysdi for spinal muscular atrophy (SMA) and Votoplam for Huntington's disease [4] Financial Performance - For the third quarter, PTC Therapeutics reported strong performance with revenues of $211 million, which included contributions from Sephience, their phenylketonuria (PKU) drug [5] - The company maintains a strong financial position with approximately $1.7 billion on its balance sheet [5] Product Launch - The launch of Sephience is a significant event for the company, providing a foundation for future growth [5]

Financial Performance and Goals - PTC aims for a \$2 billion topline revenue through commercial launches and innovative R&D platforms[9],[48] - The company is focused on reaching cash flow breakeven without additional capital[11],[48] Sephience (Sepiapterin) for PKU - Sephience global launch has generated \$19.6 million in revenue, including \$14.4 million in the US and \$5.2 million ex-US[16] - 341 patients are on commercial Sephience therapy worldwide[16] - Sephience treatment resulted in a 63% mean blood Phe reduction in the overall primary analysis population compared to a 1% reduction with placebo (p<0.0001)[18] - In classical PKU patients, Sephience treatment resulted in a 69% mean blood Phe reduction compared to a 3% reduction with placebo (p<0.001)[18] - Sephience showed a 70.3% greater reduction in blood Phe concentration compared to sapropterin (BH4) (p < 0.0001)[24] Votoplam for Huntington's Disease - Novartis will provide a \$1 billion upfront payment for the votoplam collaboration[35] - PTC could receive up to \$1.9 billion in development, regulatory, and sales milestones from Novartis[35] - PTC will receive a 40% U S profit share and double-digit tiered royalties on ex-U S sales from Novartis[35] Vatiquinone for Friedreich's Ataxia - Vatiquinone demonstrated a 42% slowing (p=0.021) of disease progression in the Upright Stability score over 72 weeks compared to placebo[39] - Long-term extension studies showed a 50% slowing (p<0.0001) of disease progression over 3 years[40] - A 4.8-point benefit (p<0.0001) on mFARS over 2 years in ambulatory and non-ambulatory adults was observed[40]