Summary of Harmony Biosciences Conference Call Company Overview - **Company**: Harmony Biosciences - **Founded**: October 2017 - **Key Executives**: Jeffrey Dayno (President and CEO), Sandip Kapadia (CFO) [4][5] Industry and Market Context - **Industry**: Biopharmaceuticals focusing on neurological disorders - **Market Size**: Approximately 80,000 patients diagnosed with narcolepsy [9] - **Pipeline**: Robust late-stage pipeline with eight assets across 13 development programs, including six in phase 3 by the end of the year [13] Core Products and Pipeline - **Wakix (Pitolisant)**: - Commercial product for narcolepsy, tracking towards $1 billion in revenue with a 16% sales growth in Q2 [41][43] - Pediatric exclusivity expected to extend market protection until Q3 2030 [42] - Current sales guidance for the year is $820 to $860 million [43] - **ZYN002**: - Targeting Fragile X syndrome, pivotal phase 3 program with top-line data readout expected soon [14][52] - Unique delivery method (transdermal) and synthetic formulation without THC, differentiating it from competitors [17] - Potential market opportunity with 80,000 patients in the U.S., with 60-70% fully methylated [38] - **EPX-100**: - In phase 3 trials for Dravet syndrome and Lennox-Gastaut syndrome [13] - **Erexin Program**: - First-in-human studies expected later this year [57] Key Points on ZYN002 - **Mechanism**: Targets endocannabinoid system disruption in Fragile X syndrome [15][16] - **Clinical Trials**: Phase 2 showed significant outcomes in patients with complete methylation of the FMR1 gene [18][23] - **Regulatory Engagement**: Positive interactions with FDA regarding trial design and endpoints [26][40] Growth Strategies - **Lifecycle Management**: - Introduction of gastro-resistant (GR) and high-dose (HD) formulations of Pitolisant to extend market presence [45][46] - Focus on differentiating new formulations to mitigate loss of exclusivity risks [51] - **Commercial Strategy**: - Strong payer access and broad prescriber universe to drive continued growth [44][50] Future Outlook - **Key Value Drivers**: - Anticipated positive data from ZYN002 and advancement of Pitolisant HD programs [52] - Potential for business development opportunities to expand the pipeline [54] - **Market Position**: - Harmony Biosciences is well-positioned with a strong balance sheet and active in business development [52][54] Additional Insights - **Regulatory Environment**: Consistent communication with FDA despite administrative changes [40] - **Patient-Centric Approach**: Emphasis on the need for approved therapies for conditions like Fragile X syndrome [24] This summary encapsulates the key points discussed during the Harmony Biosciences conference call, highlighting the company's strategic direction, product pipeline, and market opportunities.

Financial Data and Key Metrics Changes - The company reported net revenue of $200.5 million for Q2 2025, representing a 16% increase year over year from $172.8 million in the prior year quarter [6][28]. - Non-GAAP adjusted net income for Q2 2025 was $53.8 million, or $0.92 per diluted share, compared to $24.5 million, or $0.43 per diluted share in the prior year quarter [29]. Business Line Data and Key Metrics Changes - The core product, Wakix, achieved net sales of $200.5 million in Q2 2025, with an average of 7,600 patients, reflecting an increase of approximately 400 average patients for the quarter [14][28]. - The company is advancing multiple late-stage development programs across three core areas: sleep-wake, neurobehavioral, and rare epilepsies, with peak sales potential of $1 billion to $2 billion across multiple indications [7][12]. Market Data and Key Metrics Changes - The U.S. market for Fragile X syndrome is estimated to have around 80,000 patients, similar in size to the diagnosed narcolepsy market, but currently lacks FDA-approved treatments [9][21]. - The company anticipates significant growth in the narcolepsy market, projecting Wakix to achieve blockbuster status with over $1 billion in annual revenue [6][17]. Company Strategy and Development Direction - Harmony Biosciences aims to build a robust pipeline with eight innovative assets across 13 development programs, including up to six Phase III trials by the end of the year [12][34]. - The company is focused on expanding its commercial infrastructure and leveraging its unique position as the only non-scheduled treatment option for narcolepsy to drive growth [15][17]. Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the continued growth of Wakix and reaffirmed full-year revenue guidance of $820 million to $860 million, with expectations of achieving over $1 billion in annual revenue from narcolepsy alone [17][31]. - The upcoming top-line data readout for ZYN-two in Fragile X syndrome is viewed as a potential transformational moment for both the company and the patient community [34]. Other Important Information - The company has over $670 million in cash and cash equivalents, providing financial flexibility for strategic expansion and investments in its pipeline [13][30]. - A research collaboration with SERC Biosciences aims to develop novel regenerative cellular therapies for advanced neurological disorders, aligning with the company's commitment to patients with serious conditions [11][61]. Q&A Session Summary Question: Timing and expectations for the ReConnect top-line data readout - Management confirmed that the top-line data for the ReConnect study is on track for Q3 and emphasized the high level of confidence in achieving statistically significant outcomes [36][39]. Question: Data disclosure for the Fragile X top-line readout - The top-line data will include demographic data, safety, tolerability, and efficacy on primary and key secondary endpoints, with plans for a pre-NDA meeting if results are positive [44][45]. Question: Impact of Takeda's Orexin on the market - Management remains confident in Wakix's differentiation and its ability to continue growing despite new entrants, citing strong physician familiarity and broad clinical utility [78][79]. Question: Factors affecting revenue guidance - The company noted that trade inventory drawdown and underlying demand are key factors influencing revenue, with expectations for strong growth in the upcoming quarters [81][83].

Financial Data and Key Metrics Changes - The company reported full-year guidance of $820 million to $860 million, with Q1 sales of approximately $185 million, reflecting a 20% growth [5][6] - The company expects to approach 8,000 patients on therapy by the end of the year, indicating strong patient growth momentum [6][9] Business Line Data and Key Metrics Changes - The core commercial franchise in Wakix for narcolepsy continues to grow, with consistent quarter-over-quarter growth over the past five years [6][11] - The pipeline includes three orphan rare CNS franchises with eight assets across 13 development programs, four of which are in Phase III, with potential for up to two new product launches each year over the next three to four years [3][4] Market Data and Key Metrics Changes - The company sees a significant market opportunity with approximately 80,000 diagnosed patients for narcolepsy, with only about 7,300 currently on therapy [8][11] - The company is targeting a patient population of around 9,000 to achieve over $1 billion in sales for narcolepsy [8][9] Company Strategy and Development Direction - The company is focused on expanding its commercial execution and tapping into the sizable market opportunity for narcolepsy treatments [11] - The introduction of next-generation formulations, such as the gastro-resistant and high-dose formulations, is part of the strategy to enhance the Wakix franchise [16][19] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the continued strong commercial execution and the potential for significant growth in the narcolepsy market [11][12] - The company is optimistic about its late-stage pipeline and the potential for new product launches, which could drive future revenue growth [3][4] Other Important Information - The company recently settled patent suits with generic filers, with an entry date for generics set for January 2030, and is on track to gain pediatric exclusivity [31][32] - The company acquired Zynerva for $60 million, which includes a promising asset for treating Fragile X syndrome, with Phase III results expected in the third quarter [35][36] Q&A Session Summary Question: What is the patient growth trajectory for the full year? - The company expects continued strong patient growth, aiming for about 8,000 patients by year-end, with a consistent growth pattern observed over the last five years [6][9] Question: What are the expectations for the new Chief Commercial Officer? - The new Chief Commercial Officer brings 25 years of experience and is expected to validate and enhance the current successful commercial strategy without major changes [12][15] Question: What is the timeline for the new formulations in the pipeline? - The gastro-resistant formulation is on track for a pivotal bioequivalence study readout in Q3, with a target PDUFA date in 2026 [18][19] Question: How does the company plan to differentiate its new products in the market? - The company aims to demonstrate meaningful clinical improvements in symptoms such as excessive daytime sleepiness and fatigue, which are prevalent in narcolepsy patients [22][29] Question: What is the status of the patent suits and expected entry of generics? - The company has settled with several generic filers, with the first entry date for generics set for January 2030, and is working on settling with remaining parties [31][32] Question: What are the next steps following positive Phase III data for Fragile X syndrome? - If positive data is achieved, the company plans to engage with the FDA for NDA submission and explore additional indications such as 22q deletion syndrome [48][49]

Financial Data and Key Metrics Changes - Harmony Biosciences reported net product revenue of $184.7 million for Q1 2025, representing a 20% increase year-over-year from $154.6 million in Q1 2024 [35][36] - Non-GAAP adjusted net income for Q1 2025 was $60.4 million, or $1.03 per diluted share, compared to $50.7 million, or $0.88 per diluted share in the prior year quarter, reflecting a growth of 19% [36][34] - The company ended Q1 2025 with over $600 million in cash and cash equivalents, positioning it well for future growth and pipeline development [34][36] Business Line Data and Key Metrics Changes - The core commercial business, particularly Wakix for narcolepsy, continues to show strong growth, achieving a 20% year-over-year increase in net revenue [20][21] - The company is on track to reach over $1 billion in revenue from narcolepsy alone, with a confirmed net revenue guidance for 2025 in the range of $820 million to $860 million [22][36] - The pipeline includes eight assets across 13 development programs, with plans to have up to six programs in Phase III trials by the end of 2025 [10][24] Market Data and Key Metrics Changes - Harmony's market penetration for Wakix has reached over 50% among approximately 5,000 healthcare providers, with continued growth in prescribers beyond those enrolled in the oxybate REMS program [21][22] - The company is actively monitoring the competitive landscape, particularly with the introduction of generic alternatives to oxybate, but has not seen significant changes in payer coverage for Wakix [56][57] Company Strategy and Development Direction - Harmony aims to leverage its strong balance sheet to expand its late-stage pipeline, focusing on rare neurological diseases with high unmet medical needs [12][13] - The company is preparing for significant clinical milestones, including the Phase III trial of ZYN-two for Fragile X syndrome, with top-line data expected in Q3 2025 [8][30] - Harmony's operational foundation is U.S.-based, which provides a unique advantage in navigating potential geopolitical risks and supply chain challenges [15][13] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's ability to deliver continued growth, driven by a robust pipeline and strong commercial performance [16][38] - The company is optimistic about the potential for new product launches and indications over the next several years, with peak sales potential exceeding $3 billion [16][38] - Management highlighted the importance of patient-centric drug development and the ongoing commitment to addressing unmet medical needs in neurology [23][24] Other Important Information - The company has made significant progress in its clinical development programs, with a focus on addressing symptoms such as fatigue in narcolepsy, which currently lacks approved treatments [25][68] - Harmony's unique commercial model and differentiated product profile for Wakix continue to drive its success in the narcolepsy market [10][21] Q&A Session Summary Question: What are the powering assumptions for the ZYN-two study and risk mitigation strategies? - The ZYN-two study is powered more than 90% for the primary endpoint, with rigorous criteria for patient selection and extensive training for caregivers to ensure accurate assessments [40][42] Question: What changes or tweaks might be implemented in the commercial strategies for Wakix? - The new Chief Commercial Officer expressed excitement about the existing strategies and emphasized a focus on maintaining strong performance while preparing for future opportunities [41][48] Question: How does Harmony view the competitive landscape for orexin receptor agonists? - Harmony sees the market as still emerging, with a belief that narcolepsy will remain a polypharmacy market, necessitating multiple treatment options for patients [50][68] Question: What are the drivers of revenue guidance for 2025? - The primary driver of growth is the continued sequential addition of patients on therapy, with a strong and stable progression of average patients on Wakix [73][75] Question: How quickly could Harmony file an NDA for ZYN-two if data is positive? - If the results are positive, Harmony aims to file the NDA as soon as possible, anticipating a priority review due to the significant unmet need in the Fragile X patient population [86][90]

Financial Data and Key Metrics Changes - The company reported net revenues of $184.7 million for Q1 2025, representing a 20% increase year-over-year from $154.6 million in Q1 2024 [35][36] - Non-GAAP adjusted net income for Q1 2025 was $60.4 million, or $1.03 per diluted share, compared to $50.7 million, or $0.88 per diluted share in the prior year quarter, reflecting a growth of 19% [37][38] - The company ended Q1 2025 with over $610 million in cash, cash equivalents, and investments on the balance sheet [39] Business Line Data and Key Metrics Changes - Net product revenue for Wakix in Q1 2025 was $184.7 million, a 20% increase year-over-year, indicating strong demand in the narcolepsy market [7][19] - The company is confident in reaching over $1 billion in revenue from narcolepsy alone, with guidance for total net revenue in 2025 set between $820 million and $860 million [21][39] Market Data and Key Metrics Changes - The company has achieved over 50% penetration within approximately 5,000 healthcare providers (HCPs) as of the end of Q1 2025, with continued growth in prescribers beyond those enrolled in the oxybate REMS program [20][21] - The narcolepsy market is estimated to have around 80,000 diagnosed patients, with the company tapping into this potential through its differentiated product profile [21][80] Company Strategy and Development Direction - The company aims to leverage its strong balance sheet to build a robust late-stage pipeline, with plans to have up to six programs in Phase III trials by the end of 2025 [9][12] - The focus is on developing next-generation formulations of pitolisant, targeting unmet patient needs and extending the growth of the pitolisant franchise into the mid-2040s [21][22] - The company is also exploring opportunities in adjacent rare CNS assets to further strengthen its pipeline [12] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's ability to navigate the shifting geopolitical landscape and potential impacts from new tariffs, emphasizing operational independence [12][14] - The company is optimistic about its late-stage pipeline, with expectations of delivering one or more new product or indication launches each year over the next several years, with peak sales potential exceeding $3 billion [15][40] Other Important Information - The company has a unique operational foundation in the U.S., with exclusive licensing rights and intellectual property associated with its products domiciled in the U.S. [14] - The company is actively working on a secondary manufacturing site for Wakix in the U.S. to enhance supply chain resilience [12] Q&A Session Summary Question: What are the powering assumptions for the ZYN-two study and risk mitigation strategies? - The study is powered more than 90% for the primary endpoint, with rigorous criteria and checks in place to ensure the right patients are included [42][45][46] Question: What are the initial impressions of the commercial team and strategies supporting Wakix? - The new Chief Commercial Officer expressed excitement about the team's focus on patient needs and the strong performance of Wakix, with plans to evaluate and implement potential improvements [43][49][51] Question: How does the company view the competitive landscape for orexin receptor agonists? - The company sees the market as still emerging, with a focus on the high potency of its BP1.5205 compound and the potential for polypharmacy in treating narcolepsy [53][57][70] Question: What are the drivers of revenue guidance for 2025? - Continued sequential additions of patients on therapy and strong underlying business fundamentals are expected to drive revenue growth [75][78] Question: What is the timeline for filing the NDA for ZYN-two if positive data is obtained? - The company aims to file the NDA as soon as possible following positive data, with expectations for priority review due to the significant unmet need [87][91]

Core Viewpoint - Jazz Pharmaceuticals and Harmony Biosciences are significant players in the neuroscience sector, particularly in sleep disorders, with Jazz having a more diversified portfolio and stronger financial performance compared to Harmony [1][2][22]. Group 1: Company Overview - Jazz Pharmaceuticals markets several neuroscience drugs, including the oral sleep disorder drug Xywav and the CBD drug Epidiolex, while Harmony Biosciences has one marketed drug, Wakix, for narcolepsy [1][10]. - Jazz derives over two-thirds of its total revenues from its neuroscience franchise, while Harmony generates all its revenue from Wakix sales [3][11]. Group 2: Financial Performance - Jazz's total revenues for 2024 rose 6% year over year to $4.1 billion, with $2.9 billion from neuroscience and $1.1 billion from oncology drugs [9]. - Harmony's 2024 sales increased 23% year over year to $715 million, with expectations for 2025 sales between $820 million and $860 million, indicating an 18% year-over-year growth [11]. Group 3: Product Pipeline and Development - Jazz's Xywav sales rose 16% year over year to $1.5 billion in 2024, and Epidiolex sales increased 15% year over year to $972 million [4][5]. - Harmony is developing next-generation formulations of Wakix and has acquired Zynerba Pharmaceuticals to explore the cannabis space [12][13]. Group 4: Market Position and Valuation - Jazz has a diversified product lineup, including five oncology drugs, which accounted for 29% of its 2024 product revenues [6]. - Harmony's shares trade at a higher price/earnings (P/E) ratio of 8.63 compared to Jazz's 5.07, indicating that Harmony is more expensive [19]. Group 5: Investment Outlook - Jazz is viewed as a better investment option due to its diversified portfolio, rising EPS estimates, and robust cash reserves, while Harmony's reliance on a single product presents a concentration risk [22][23]. - Jazz holds a Zacks Rank 2 (Buy), while Harmony has a Zacks Rank 3 (Hold), reinforcing Jazz's favorable investment standing [24].