Summary of BioMarin Pharmaceutical Conference Call Company Overview - **Company**: BioMarin Pharmaceutical (NasdaqGS: BMRN) - **Event**: 2025 Conference on November 18, 2025 Key Points Company Strategy and Financials - BioMarin's CEO highlighted a two-year milestone, reflecting on significant changes and a focus on execution [2] - The company has reorganized its strategy around three pillars: growth from the existing portfolio, innovation through its pipeline, and value commitment to enhance profitability and cash flow [2] - A cost transformation initiative has identified $500 million in potential savings, which has been directed towards improving cash flow and strengthening the balance sheet [3][4] Pipeline Developments - Upcoming pipeline readouts include: - **BMN 351** for Duchenne muscular dystrophy, with top-line results expected by the end of 2025 [3] - **Voxogo** for hypochondroplasia, with Phase 3 data readout anticipated early next year [3] - **Palynziq** for adolescents, with an FDA action date set for February 28, 2026, and current growth exceeding 20% [4] Business Development (BD) Environment - The company has a robust BD function aimed at supplementing internal innovation, focusing on genetically defined conditions with relatively low competitive pressure [6][9] - BioMarin is strategically positioned to leverage its geographic footprint, with 68% of patients for achondroplasia located outside the U.S. and Europe [10] Market Dynamics and Competition - The company believes that Voxogo will continue to grow, with significant opportunities in both achondroplasia and hypochondroplasia markets [19] - Concerns about competition are acknowledged, but the company maintains confidence in Voxogo's market position and patient retention due to established safety and efficacy [26][28] Regulatory and Approval Considerations - Discussions around the potential for full approval of Voxogo are ongoing, with emphasis on presenting comprehensive data to regulators [34] - The company is also engaged in litigation regarding intellectual property, which may impact market competition [38] Hypochondroplasia Insights - The addressable market for hypochondroplasia is estimated at 14,000 patients, with a focus on creating awareness and understanding of the disease [41] - The study for hypochondroplasia is powered to look for an average growth height velocity of 1.5 cm per year, with expectations based on previous data showing higher growth rates [44] Conclusion - BioMarin is positioned for growth through strategic investments, a strong pipeline, and a focus on genetically defined conditions, while navigating competitive and regulatory landscapes [2][4][19][34]

Financial Data and Key Metrics Changes - The company has undergone an organizational transformation focusing on operating margins and prioritizing high-impact programs for genetically defined conditions [3][12] - The company has cash and free cash flow, indicating a good position to pursue additional innovations [7] Business Line Data and Key Metrics Changes - The company is advancing several key programs, including BMN333 for long-acting CNP, with pivotal studies expected to begin in the late second half of next year [5][22] - The Voxogo program for achondroplasia is being developed with a focus on health and wellness factors beyond just growth velocity [15][27] Market Data and Key Metrics Changes - The company is actively engaging in business development to assess external science alongside internal innovations, indicating a strategic approach to market opportunities [6][12] - The hypochondroplasia study has recruited faster than anticipated, reflecting strong unmet needs in the market [76] Company Strategy and Development Direction - The company is committed to developing therapies for genetically defined conditions and shaping the way these diseases are defined and treated [12][13] - The strategy includes a combination of internal and external innovations, with a focus on business development to enhance the pipeline [6][7] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the regulatory landscape, noting that the FDA appears to be more flexible regarding trial endpoints [47] - The company aims to have a registration package ready for approval by 2030, with efforts to expedite the process [46] Other Important Information - The company is preparing for a pivotal study for BMN351, targeting Duchenne muscular dystrophy, with data expected by the end of the year [51][58] - The integration of the Enzyme program (BMN401) is progressing well, with expectations for significant patient benefits [84] Q&A Session Summary Question: Can you discuss the significance of the recent data generated for Voxogo? - Voxogo is seen as a safe and effective therapy for achondroplasia, with ongoing efforts to communicate its value to patients beyond just growth metrics [14][15] Question: How does the company prioritize assets in R&D? - The company applies rigorous scientific standards and market research to prioritize programs, ensuring they align with patient needs [10][11] Question: What are the expectations for the upcoming BMN333 trial? - The trial is designed without a placebo arm to facilitate enrollment, with a focus on comparative effectiveness against Voxogo [44][46] Question: What is the anticipated timeline for the BMN351 data release? - Data for BMN351 is expected by the end of the year, with a focus on achieving significant dystrophin levels in patients [56][59] Question: How does the company view the potential for combination therapies? - Management believes that rational combinations of therapies will be essential for future treatments, although growth hormone may not play a major role [36][37]

Financial Data and Key Metrics Changes - BioMarin reported a revenue growth of 15% in Q1 2025, totaling $745 million compared to the same period last year [12] - Non-GAAP earnings per share reached $1.13, representing a 59% year-over-year increase, indicating significant profitability expansion [5][19] - Non-GAAP operating margin expanded to 35.7%, an increase of 11.9 percentage points year-over-year [15] Business Line Data and Key Metrics Changes - Voxzogo's global revenue reached $214 million, a 40% increase year-over-year, continuing its strong growth trajectory since approval [13] - Revenue from the Enzyme Therapies business unit grew 8% year-over-year to $484 million, with Palynziq contributing a 22% increase compared to Q1 2024 [13][22] - Full-year revenue expectations for Voxzogo are between $900 million and $950 million, representing a 26% growth at the midpoint [14] Market Data and Key Metrics Changes - Approximately two-thirds of BioMarin's total revenues originate from outside the United States, providing insulation from U.S. macroeconomic conditions [7][9] - The company is analyzing potential exposure to pharmaceutical tariffs and believes its global revenue base offers protection against such impacts [8][9] Company Strategy and Development Direction - BioMarin is focused on implementing changes to its strategy and operating model announced in September 2024, aiming for record full-year performance in 2025 [6][11] - The company is advancing its innovation strategy, with pivotal studies for Voxzogo and plans for new product applications in the second half of 2025 [10][24] - BioMarin aims to leverage its established global capabilities to support growth and innovation, particularly in rare disease treatments [11] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in BioMarin's ability to navigate market uncertainties due to its focus on rare conditions and strong cash generation [6][7] - The company anticipates continued strong performance and innovation in the coming quarters, supported by its strategic transformation [11][19] Other Important Information - Non-GAAP R&D expenses were $147 million, lower than the same quarter in 2024, reflecting a reprioritization of R&D efforts [14] - Non-GAAP SG&A expenses decreased to $183 million due to cost transformation initiatives [15] Q&A Session Summary Question: Will Q2 revenue for Voxzogo decline? - Management indicated that while Q1 showed growth, Q2 revenue may appear flat due to global order dynamics, with expectations for stronger growth in the second half of the year [35][36] Question: How could potential U.S. tariffs impact financials? - Management stated that current guidance includes modest impacts from existing tariffs, but they are modeling various scenarios for potential future tariffs [36][37] Question: What strategies are being implemented to drive further adoption of Voxzogo? - The company is focusing on increasing awareness and expanding the prescriber base, particularly among pediatric endocrinologists, to drive adoption across all age groups [55][56] Question: What is the timeline for BMN 333 and its potential indications? - BMN 333 is in a Phase I study, with plans for pivotal studies in 2027, and the company is evaluating its future role in additional indications [84] Question: How have U.S. versus ex-U.S. sales evolved for Voxzogo? - Approximately 75% of Voxzogo revenues come from outside the U.S., and this split is expected to fluctuate as the brand matures [88]

Financial Data and Key Metrics Changes - BioMarin reported a revenue growth of 15% in Q1 2025, totaling $745 million compared to the same period last year [14] - Non-GAAP earnings per share reached $1.13, representing a 59% year-over-year increase, indicating significant profitability expansion [6][20] - Non-GAAP operating margin expanded to 35.7%, an increase of 11.9 percentage points year over year, driven by strong revenue performance and a reset in spending [18][20] - Positive operating cash flow was $174 million, a 271% increase over Q1 2024, supporting future growth investments [22] Business Line Data and Key Metrics Changes - VOXZOGO's global revenue reached $214 million, a 40% increase year over year, continuing its strong growth trajectory since approval [15] - Revenue from the Enzyme Therapies business unit grew 8% year over year to $484 million, with Palynziq contributing a 22% increase compared to Q1 2024 [15][27] - The company expects VOXZOGO full-year revenues to be between $900 million and $950 million, representing a 26% growth at the midpoint [16] Market Data and Key Metrics Changes - Approximately two-thirds of BioMarin's total revenues originate from outside the United States, providing insulation from U.S. macroeconomic conditions [9][10] - The company is focused on expanding access to VOXZOGO in more than 60 countries by 2027, with current access in 49 countries [24][26] Company Strategy and Development Direction - BioMarin is implementing a strategic transformation aimed at enhancing growth and profitability, with a focus on innovation and expansion [8][13] - The company is making progress on its innovation strategy, including pivotal studies for new products like Voxogo and Palynziq [12][28] - BioMarin is exploring business development opportunities aligned with its strengths in genetically defined conditions and clinical stage assets [45] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in navigating uncertainties in the pharmaceutical sector, citing the company's strong fundamentals and global revenue base [9][10] - The company anticipates continued strong performance and cash generation, supporting its growth agenda for 2025 and beyond [22][13] Other Important Information - BioMarin's R&D expenses were $147 million in Q1 2025, lower than the same quarter in 2024, reflecting a reprioritization strategy [17] - SG&A expenses decreased to $183 million year over year, attributed to cost transformation initiatives [18] Q&A Session Summary Question: Will Q2 revenue for VOXZOGO decline? - Management indicated that while revenue growth is expected to be stronger in the second half of the year, Q2 may show a slight decline due to global order dynamics [36][37] Question: How could U.S. tariffs impact financials? - Management stated that current guidance includes modest impacts from existing tariffs, but they are evaluating potential future scenarios and mitigation strategies [39][40] Question: What strategies are being implemented to drive further adoption of VOXZOGO? - The company is focusing on increasing awareness and expanding the prescriber base, particularly among pediatric endocrinologists, to drive adoption across all age groups [55][56] Question: What is the timeline for BMN 333 and its potential indications? - Management anticipates data from ongoing studies in 2027, with plans for pivotal studies based on the outcomes of BMN 333 [84] Question: How does the U.S. versus ex-U.S. sales for VOXZOGO compare? - Approximately 75% of VOXZOGO revenues come from outside the U.S., with expectations for this split to fluctuate as the brand matures [88]