Core Viewpoint - Arrowhead Pharmaceuticals reported significant misses in both GAAP revenue and earnings for Q3 FY2025, highlighting ongoing financial volatility despite progress in its clinical pipeline [1][5][6] Financial Performance - Q3 FY2025 GAAP revenue was $27.8 million, missing analyst estimates of $46.8 million by nearly 41% [5] - GAAP earnings per share for Q3 FY2025 were $(1.26), falling short of the $(0.95) forecast by $0.31 [1][5] - Operating loss for Q3 FY2025 was $(165.6 million), an improvement of 6% compared to $(176.1 million) in Q3 FY2024 [2][6] - Research and development expenses increased by 6.6% year-over-year to $162.4 million [2][6] - Total cash resources rose to $900.4 million, a 32.1% increase from $681.0 million in Q3 FY2024 [2][7] Company Overview and Strategy - Arrowhead Pharmaceuticals focuses on RNA interference (RNAi) therapeutics, targeting diseases with significant unmet needs using its TRiMTM platform [3][4] - The company is advancing its drug pipeline with an emphasis on late-stage development and regulatory approvals, while building strategic partnerships with larger pharmaceutical companies [4] Product Pipeline Progress - Plozasiran, Arrowhead's leading RNAi candidate, received NDA acceptance from the FDA for familial chylomicronemia syndrome, with a PDUFA target date of November 18, 2025 [8][11] - Phase 3 studies for severe hypertriglyceridemia are ongoing, with data expected in mid-2026 [8][11] - Zodasiran, targeting rare cholesterol disorders, has commenced its Phase 3 trial [12] - The obesity portfolio includes ARO-INHBE and ARO-ALK7, which are in Phase 1/2 studies [13] Strategic Partnerships and Milestones - Visirna, a subsidiary, entered a deal with Sanofi for rights to four cardiometabolic programs, resulting in immediate payments of $130 million and potential milestones of up to $265 million [9] - The company anticipates additional milestone payments from Sarepta Therapeutics, totaling up to $200 million by the end of 2025 [9] Commercial Readiness - Arrowhead is preparing for the potential launch of plozasiran by expanding its U.S. sales force and engaging with payers [10] - The company is focused on rare disease awareness and patient identification, crucial for the target population of plozasiran [10] Outlook and Guidance - Management indicated that Arrowhead is funded through 2028, focusing on regulatory approval for plozasiran and commercialization efforts [15] - Key near-term catalysts include pivotal SHTG data readout in mid-2026 and potential partnership milestones within the next twelve months [15]

Summary of Arrowhead Pharmaceuticals (ARWR) Conference Call Company Overview - **Company**: Arrowhead Pharmaceuticals (ARWR) - **Event**: BofA Annual Healthcare Conference - **Date**: May 14, 2025 Key Points Strategic Developments - The recent deal with Sarepta has significantly changed Arrowhead's strategic outlook, allowing the company to focus on core assets and reducing dependence on capital markets for a period of time [2][4][5] - The core assets from the Sarepta deal include two muscle assets, ARO DM1 and ARO DUX4, which Arrowhead is excited about due to Sarepta's expertise in drug approval [3][4] Pipeline and Research Focus - Arrowhead has a strong presence in cardiometabolic diseases, with ongoing projects targeting APOC3 and obesity [6][7] - The company is expanding its capabilities to address various tissue types, including adipocytes, and plans to introduce new metabolic targets in the clinic next year [8][9][10] FCS and SHTG Opportunities - The company views the FCS (Familial Chylomicronemia Syndrome) market as a gateway to the larger SHTG (Severe Hypertriglyceridemia) opportunity, with an estimated 3-4 million patients in the U.S. having triglyceride levels above 500 [12][14] - Arrowhead's Phase 3 data showed an 80% reduction in triglycerides from baseline, which is significantly higher than competitors [13][19] Competitive Landscape - Arrowhead believes it has a competitive edge over Ionis in the FCS market due to its superior triglyceride reduction capabilities and less frequent dosing [20][19] - The company is preparing for potential payer restrictions based on patient profiles but expects to address a broad patient population [23][24] Clinical Trials and Timelines - Arrowhead is currently enrolling patients for multiple Phase 3 studies, with expectations to launch in the SHTG market by 2027 [33][35] - The company has sufficient cash to sustain operations until 2028, allowing for multiple product launches around that time [35] Obesity Research - Arrowhead is exploring the ALK7 and Inhibin E pathways for obesity treatment, with promising animal data indicating high-quality weight loss without caloric restriction [42][43] - The company is considering combination therapies with existing GLP-1 drugs to enhance weight loss outcomes [51][52] Neuromuscular Programs - Arrowhead is advancing its neuromuscular programs, particularly ARO DM1 and ARO DUX4, with data disclosures expected this year [59][61] - The company anticipates triggering $300 million in milestone payments based on dosing in the DM1 study [62] Safety and Efficacy Considerations - Arrowhead emphasizes the importance of safety in drug development, aiming to use lower doses compared to competitors while maintaining efficacy [63][64] - The potential for subcutaneous administration of their drugs could be a significant advancement in the field [65][66] Additional Insights - Arrowhead is optimistic about the educational aspect of the market, believing that both it and Ionis can benefit from increased awareness of triglyceride management [18] - The company is open to exploring various avenues for funding future trials, including business development and partnerships [38] This summary encapsulates the key discussions and insights from the Arrowhead Pharmaceuticals conference call, highlighting the company's strategic direction, pipeline developments, and competitive positioning in the biotech landscape.

Financial Data and Key Metrics Changes - The net income for the quarter ended March 31, 2025, was $370.4 million or $2.75 per share, compared to a net loss of $125.3 million or $1.02 per share for the same quarter in 2024 [48] - Revenue for the quarter was $542.7 million, with no revenue recorded in the same quarter of the previous year, primarily due to the license and collaboration agreement with Sarepta [48][49] - Total operating expenses increased to $161.5 million from $126.2 million in the prior year, driven by increased costs associated with the clinical pipeline [51] Business Line Data and Key Metrics Changes - The company is preparing to launch Flodasiran, targeting severe hypertriglyceridemia (SHTG) with a PDUFA date set for November 18, 2025 [10][28] - Phase three studies for Flodasiran showed triglyceride reductions of about 80% from baseline in genetically defined patients, with significant results in reducing triglyceride levels below critical thresholds [11][41] - The company is also advancing obesity candidates ARO INHBE and ARO ALK7, with initial data expected by the end of 2025 [15][44] Market Data and Key Metrics Changes - The company has engaged with payers representing a significant number of US covered lives, delivering content on the clinical value of Flodasiran [39] - Market research indicates strong interest in Flodasiran's ability to reduce triglycerides and the risk of acute pancreatitis, with 75% of patients achieving triglyceride levels below 880 mg/dL [41] Company Strategy and Development Direction - Arrowhead Pharmaceuticals is transitioning from a development stage to a commercial stage, with plans for multiple product launches over the next few years [7][8] - The company aims to leverage its RNAi technology platform to address various diseases, including CNS disorders and obesity, while maintaining a strong pipeline of clinical assets [18][21] - The recent collaboration with Sarepta Therapeutics significantly strengthened the company's balance sheet, providing $500 million upfront and additional milestone payments [22][23] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's financial strength and the potential for significant value creation despite current market challenges in the biotech sector [9][24] - The company anticipates that the upcoming launches and ongoing clinical trials will drive substantial value for shareholders [53] Other Important Information - The company has a strong cash position of $1.1 billion as of March 31, 2025, providing funding through 2028 [52] - Arrowhead is actively pursuing regulatory approvals in multiple jurisdictions, including the US, Europe, Canada, and Japan [28] Q&A Session Summary Question: What are the expectations for initial monotherapy and potential combo data for ARO INHBE and ARO ALK7? - The company is not providing specific guidance on expectations but is optimistic based on compelling animal data showing weight loss and retention of lean muscle mass [56][57] Question: How robust is the pancreatitis data for Flodasiran? - Management indicated that they have not had labeling negotiations with the FDA yet, and the focus remains on how low triglycerides can be reduced in patients [64][66] Question: What are the expectations for acute pancreatitis rates in the SHTG population? - The baseline for acute pancreatitis is expected to be around 2000 mg/dL, similar to the FCS population [72][74]

Financial Data and Key Metrics Changes - The net loss for Q1 2025 was $173.1 million, or $1.39 per share, compared to a net loss of $132.9 million, or $1.24 per share, in Q1 2024 [45] - Revenue for Q1 2025 was $2.5 million, down from $3.6 million in Q1 2024, primarily due to changes in collaboration agreements [46] - Total operating expenses increased to $163.9 million in Q1 2025 from $140.1 million in Q1 2024, driven by higher candidate costs and salaries [46][47] - Cash and investments totaled $552.9 million at the end of Q1 2025, with a pro forma cash balance of $1.4 billion including upcoming payments from Sarepta [47][48] Business Line Data and Key Metrics Changes - The company closed a significant collaboration agreement with Sarepta Therapeutics, expecting a total of $1.375 billion in cash payments, including an upfront payment of $500 million [5][7] - The first commercial launch of Plazasiran is anticipated to drive substantial growth, with potential annual sales of $2 billion to $3 billion in the severe hypertriglyceridemia market [10][21] - The obesity pipeline includes two early-stage programs, ARO INHBE and ARO ALK7, which are expected to provide clarity on their roles in obesity treatment [11][12] Market Data and Key Metrics Changes - The FDA accepted the NDA for Plazasiran for the treatment of familial chylomicronemia syndrome (FCS), with a PDUFA action date set for November 18, 2025 [21][26] - The company is actively working on global regulatory submissions for Plazasiran and anticipates launching in the U.S. and potentially the EU [49][80] Company Strategy and Development Direction - The company aims to build a growing cardiometabolic pipeline, focusing on obesity and CNS programs, while also exploring non-core assets for potential partnerships [15][17] - The collaboration with Sarepta is seen as a critical step to balance the business model and reduce R&D expenses as Sarepta assumes clinical development responsibilities [8][9] - The company plans to expand its cardiometabolic presence with new candidates targeting APOC3 and PCSK9 [18][19] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the growth potential driven by internal development activities, particularly in Plazasiran, obesity treatments, and CNS pipeline [8][14] - The company is well-funded into 2028, allowing for multiple commercial launches and continued development of its pipeline [48] - Management highlighted the importance of educating physicians and patients about new treatment options in previously untreatable diseases [88] Other Important Information - The company is on track to complete enrollment for several Phase III studies by the end of 2025, which would enable study completion in 2026 [29][49] - The company anticipates initial data readouts from various programs, including obesity and CNS candidates, later in 2025 [49] Q&A Session Summary Question: Can you discuss the obesity programs ARO INHBE and ARO ALK7? - Management indicated that both programs are being studied as monotherapy and in combination with existing therapies, with no specific bogey set for data [54][55] Question: What is the competitive positioning of Plazasiran relative to other treatments? - Management highlighted Plazasiran's significant triglyceride reduction and its potential to achieve guideline-directed risk thresholds for patients with FCS as key differentiators [84][86] Question: What are the plans for commercialization in Europe? - The company is planning for commercialization in European markets alongside a commercial partner, with more details to be provided in the future [78]