Viatris (NasdaqGS:VTRS) Q4 2025 Earnings call February 26, 2026 08:30 AM ET Speaker10Good morning, and welcome to the Viatris Q4 2025 earnings call. Today, all participants are in a listen-only mode. Should you need assistance during today's call, please signal for a conference specialist by pressing the star key, followed by 0. After today's presentation, there will be an opportunity to ask questions. To ask a question, you may press star, then 1 on your touchtone phone. To withdraw your question, please p ...

Lexicon Pharmaceuticals FY Conference Summary Company Overview - **Company**: Lexicon Pharmaceuticals (NasdaqGS:LXRX) - **Event**: 44th Annual JPMorgan Healthcare Conference - **Date**: January 15, 2026 Key Points Industry and Company Background - Lexicon Pharmaceuticals was founded 30 years ago with a focus on gene research, creating knockout mouse lines for 5,000 genes, identifying 200 genes of interest [2][3] - The company has conducted over 80 clinical trials, resulting in the approval of two medicines in the U.S., including INPEFA for heart failure and a novel approach for neuropathic pain [3][4] Product Pipeline and Therapeutic Areas - **Cardiometabolic Disease**: - INPEFA has been commercialized in the U.S. and is in phase three trials for hypertrophic cardiomyopathy (HCM) [5][9] - Zynquista is under regulatory discussions for type 1 diabetes [5][9] - LX9851 is a first-in-class non-incretin mechanism for obesity, currently licensed to Novo Nordisk [5][19] - **Pain Management**: - Pivapladin is a first-in-class AAK1 inhibitor for neuropathic pain, entering phase three trials in 2026 [6][18] - There is a significant unmet need in neuropathic pain, with approximately 9 million patients in the U.S. suffering from diabetic peripheral neuropathic pain (DPNP) [16][31] Clinical Trials and Regulatory Pathways - The SONATA trial for HCM is progressing well, with enrollment expected to conclude in the first half of 2026 [10][20] - The FDA has agreed on the parameters for resubmission of Zynquista, focusing on prospective data to assess the risk of diabetic ketoacidosis [27][28] - Pivapladin has shown significant placebo-adjusted improvements in pain scores, supporting its advancement into phase three trials [18][32] Market Opportunities - The cardiometabolic market is of high interest, particularly for HCM, which affects about 1 million people in the U.S. [11][25] - The DPNP market is characterized by a lack of effective treatments, creating a strong demand for new non-opioid options like Pivapladin [16][32] - The obesity treatment market is shifting towards oral medications, with a focus on improving tolerability and long-term adherence [33] Financial Position and Future Goals - Lexicon ended the previous year with approximately $125 million in cash, supporting operations into 2027 [20] - Goals for 2026 include advancing the late-stage pipeline, supporting partnerships with Novo Nordisk and Viatris, and maintaining financial discipline [20][36] Additional Insights - The company is focused on operational excellence and has implemented a virtual sales force for INPEFA to ensure continuous availability [8] - Legislative support for non-opioid pain treatments is growing, which may facilitate market access for Pivapladin [17][32] Conclusion Lexicon Pharmaceuticals is strategically positioned in the cardiometabolic and pain management sectors, with a robust pipeline and significant market opportunities. The company is focused on advancing its clinical trials and regulatory submissions while maintaining a strong financial position to support long-term growth.

Sotagliflozin Program - Lexicon is on track for a 2026 resubmission of the New Drug Application (NDA) for Zynquista (sotagliflozin) for type 1 diabetes (T1D) based on STENO1 study data[12] - The SONATA-HCM Phase 3 study, evaluating approximately 500 patients with both obstructive and non-obstructive HCM, is accelerating towards 2026 enrollment completion, with topline results anticipated in Q1 2027[13] - Approximately 11 million people in the U S have either obstructive or non-obstructive HCM, but only ~1% CMI total market penetration[14, 15] Pilavapadin Program - Phase 3 development of Pilavapadin for Diabetic Peripheral Neuropathic Pain (DPNP) is planned, with potential for additional indications in Phase 2[6] - Approximately 9 million U S patients have progressive DPNP, and 60% of patients have tried multiple treatments[23] - Phase 2 studies in DPNP showed clinically meaningful efficacy of the 10mg dose, with a 2-point average daily pain score (ADPS) reduction from baseline at 12 weeks[28] LX9851 Program - IND-enabling studies for LX9851 in obesity/weight management are completed, with clinical development preparations underway[6, 38] - Lexicon achieved an initial $10 million milestone from Novo Nordisk, with the potential to achieve an additional $20 million in milestone payments in 2026, and up to $950 million in remaining potential milestones plus tiered royalties on net sales[38, 39] Financial Status - Lexicon ended 2025 with $1252 million in cash, investments, and restricted cash, sufficient to support planned operations into 2027[39]

Core Insights - Lexicon Pharmaceuticals is advancing its pipeline with multiple potential catalysts expected in 2026, including the completion of the SONATA-HCM study and the resubmission of the NDA for Zynquista [2][3][4] Business and Pipeline Highlights - The SONATA-HCM pivotal Phase 3 study for sotagliflozin is on track, targeting enrollment of 500 patients, with completion expected in mid-2026 and topline results anticipated in Q1 2027 [3] - Zynquista (sotagliflozin) for Type 1 Diabetes is set for NDA resubmission in 2026, contingent on FDA feedback and additional clinical data from the STENO1 study [4][5] - Lexicon is pursuing international expansion for sotagliflozin, with regulatory approval already received in the UAE and applications submitted in other markets including Canada and Australia [4][6] Financial Updates - A $10 million milestone payment was triggered from a licensing agreement with Novo Nordisk for LX9851, with potential for an additional $20 million in milestone payments in 2026 [11] - Lexicon ended 2025 with cash, investments, and restricted cash totaling $125.2 million, which is sufficient to support operations into 2027 [11]

Group 1 - Viatris has signed definitive agreements to sell its equity stake in Biocon Biologics for $815 million, which includes $415 million in newly issued Biocon equity shares and $400 million in cash [1] - The newly issued shares will be listed on the National Stock Exchange of India and will have a six-month lock-up period [1] - The overall transaction value will be adjusted for applicable taxes [1] Group 2 - The agreements allow for an earlier end to the biosimilars non-compete restrictions, concluding at closing for markets outside the US, while remaining in effect in the US until November 2026 [2] - The deal is expected to be finalized in the first quarter of 2026, pending the fulfillment of all closing conditions [2] Group 3 - Viatris has appointed Citi as its financial advisor, with legal counsel from Cravath, Swaine & Moore and Khaitan & Co [3] - Viatris CEO Scott Smith emphasized the importance of monetizing the equity stake and regaining access to the global biosimilars market for future growth [3] - Viatris operates globally with headquarters in Pittsburgh, US, and additional centers in Hyderabad, India, and Shanghai, China [3] Group 4 - Viatris supplies medicines to a billion patients worldwide each year, offering a broad portfolio of generics and branded therapies [4] - The company supports healthcare needs through its global supply chain and scientific expertise [4] - In October 2024, Lexicon Pharmaceuticals entered into a licensing agreement with Viatris for exclusive rights to commercialize sotagliflozin outside the US and Europe [4]

Core Insights - Lexicon Pharmaceuticals, Inc. announced the presentation of clinical data on adipose tissue distribution in non-diabetic patients treated with sotagliflozin at the 22nd Global Cardio Vascular Clinical Trialists Forum (CVCT 2025) [1] - The data comes from the SOTA-P-CARDIA trial, which focused on patients with heart failure with preserved ejection fraction (HFpEF) [2] - Craig Granowitz, M.D., Ph.D., highlighted that the new data supports sotagliflozin's differentiated benefits compared to SGLT2 inhibitors [3] Sotagliflozin Overview - Sotagliflozin is an oral inhibitor of SGLT2 and SGLT1, which are involved in glucose regulation [4] - The drug has been studied in various patient populations, including approximately 20,000 patients across heart failure, diabetes, and chronic kidney disease [4] - Sotagliflozin is also under investigation for hypertrophic cardiomyopathy (HCM) [4] Company Background - Lexicon Pharmaceuticals aims to pioneer medicines that transform patients' lives through its Genome5000™ program, which has identified over 100 protein targets with therapeutic potential [5] - The company has a pipeline of drug candidates in various stages of development, focusing on neuropathic pain, HCM, metabolism, and other indications [5]

Lexicon Pharmaceuticals FY Conference Summary Company Overview - **Company**: Lexicon Pharmaceuticals (NasdaqGS:LXRX) - **Conference Date**: December 04, 2025 - **Key Speakers**: Scott Coiante (SVP and CFO), Craig Granowitz (SVP and Chief Medical Officer) Key Areas of Focus 1. **Zynquista for Type 1 Diabetes** - Received feedback from the FDA indicating a path for resubmission with new safety data from ongoing trials [2][5] - Acknowledged the urgency for additional glycemic control options beyond insulin, as only 20% of patients achieve their time-in-range goals [5][17] - FDA accepted the drug's efficacy in lowering A1C and reducing severe hypo events but requested fresh data on diabetic ketoacidosis (DKA) rates [6][12] 2. **Sonata Trial for Hypertrophic Cardiomyopathy (HCM)** - The Sonata trial is progressing well with projected enrollment completion in the first half of next year [2] - The primary endpoint is the Kansas City Cardiomyopathy Questionnaire (KCCQ), aiming for a clinically meaningful effect size of 4-5 points on a placebo-adjusted basis [13][16] 3. **Licensing and Partnerships** - Licensed LX9851 (obesity asset) to Novo Nordisk for over $1 billion, with ongoing IND submission preparations [3] - Partnered Impefa (heart failure drug) with Viatris, which has received approval in the UAE and filed in five additional jurisdictions [3] 4. **Pilavapadin for Diabetic Peripheral Neuropathic Pain (DPNP)** - The largest phase 2 program for DPNP with nearly 700 patients treated, showing significant efficacy [25] - Plans to anchor the phase 3 program with FDA on the selected 10 mg dose and conduct two positive parallel trials for approval [28][30] Regulatory and Market Insights - **Zynquista**: The FDA is open to non-traditional data routes to address DKA concerns, leveraging data from a large Danish trial [6][12] - **HCM**: Combination therapy is emphasized as essential for effective treatment, with sotagliflozin positioned uniquely to address both cardiac work and myocardial energetics [14][23] - **Pilavapadin**: The development model aims for a large partner to assist in market development during phase 3, given the global market opportunity [25] Additional Considerations - **Sotagliflozin's Role**: Seen as a potential first agent approved for type 1 diabetes alongside insulin, addressing a significant unmet need in the market [17][19] - **Placebo Mitigation Strategies**: Emphasis on minimizing placebo effects in trials by limiting the number of arms and reinforcing patient education [31][32] - **Novo Nordisk's Interest**: Novo is enthusiastic about LX9851 due to its oral administration and unique mechanism targeting satiety rather than appetite [34] Conclusion Lexicon Pharmaceuticals is actively advancing multiple programs with significant potential in diabetes and cardiovascular diseases, focusing on regulatory engagement and strategic partnerships to enhance their market position and address critical patient needs.

Lexicon Pharmaceuticals FY Conference Summary Company Overview - **Company**: Lexicon Pharmaceuticals (NasdaqGS:LXRX) - **Event**: FY Conference held on December 03, 2025 Key Points Zynquista and FDA Interaction - The FDA has confirmed that the ongoing investigator-initiated study, Steno-1, has sufficient design and data collection methods to collect DKA rates with Zynquista, indicating a potential approval in 2026 [2][3] - The company expects to submit an NDA based on the ongoing data collection, with a potential approval timeline in 2026 if data aligns with expectations [4][16] - There is significant market potential for Zynquista, targeting 1.7 million Americans with type 1 diabetes, a market that has been underserved for over 120 years [6][7] Commercialization Strategy - Lexicon is considering various commercialization strategies for Zynquista, including a small field force and collaboration with patient associations, leveraging existing awareness among prescribers [6][7] - The differentiation of the SGLT1 mechanism is emphasized, as it addresses issues of glycemic control in type 1 diabetes, which is critical for patient management [9][10] Heart Failure and HCM Studies - The company is focused on the SONATA-HCM study, which is enrolling and expected to finish in 2026, with data anticipated by the first quarter of 2027 [26] - Preclinical data presented at AHA indicates that sotagliflozin may slow progression and even reverse HCM, with a focus on mitochondrial energetics [18] - A significant HFpEF study showed improvements in cardiac structure and functionality, suggesting potential benefits for non-obstructive HCM patients [19][21] Mechanistic Insights - Sotagliflozin is positioned as a novel class of agent, distinct from traditional SGLT2 inhibitors, with unique effects on the myocardium and potential long-term benefits in reducing stroke and MI [23][21] - The company is conducting a placebo-controlled crossover trial (SOTA-CROSS-HCM) to further investigate the effects of sotagliflozin in symptomatic non-obstructive patients [47][51] Financial Outlook - Lexicon is focused on maintaining a cash runway into 2026 and is exploring non-dilutive capital options, particularly related to LX9211 [60] Additional Considerations - The FDA's collaborative approach in recognizing the unmet need and willingness to work with Lexicon on nontraditional trial data is noted as a significant development [13][16] - The operational learnings from previous trials, particularly regarding patient enrollment and criteria, are being applied to current studies to enhance efficiency [32][33] This summary encapsulates the critical insights and developments discussed during the conference, highlighting Lexicon Pharmaceuticals' strategic direction and market opportunities.

Core Insights - Lexicon Pharmaceuticals (NASDAQ:LXRX) is recognized as a rapidly growing penny stock, with significant advancements in its product pipeline highlighted at the Jefferies London Healthcare Conference 2025 [1][2]. Pipeline Development - The company is preparing for an end-of-phase two meeting with the US FDA regarding pilavapadin, a drug aimed at treating neuropathic pain [2]. - Lexicon is accelerating patient enrollment in the SONATA trial, which focuses on hypertrophic cardiomyopathy (HCM) [2]. - The company plans to resubmit Zynquista for type 1 diabetes to the FDA in early 2026 [2]. Clinical Results - At the American Heart Association Annual Scientific Sessions 2025, Lexicon presented topline results for sotagliflozin, indicating significant improvements in heart failure patients with preserved ejection fraction [3]. - The study on sotagliflozin is noted as the first to demonstrate clinical benefits for heart failure patients without diabetes [4]. Company Overview - Lexicon Pharmaceuticals is a biopharmaceutical firm that specializes in discovering, developing, and commercializing treatments for serious and chronic diseases, focusing on cardiometabolic and neuroscience conditions [5].

Lexicon Pharmaceuticals Conference Call Summary Company Overview - **Company**: Lexicon Pharmaceuticals (NasdaqGS:LXRX) - **Focus**: Development of novel therapeutics in the areas of neuropathic pain, cardiometabolic diseases, and obesity Key Developments Pipeline Progress - **Pilavapadin**: A novel AAK1 inhibitor for neuropathic pain - Phase 2b trial (PROGRESS) results analyzed, end-of-phase 2 meeting request submitted to the FDA [4][5] - Anticipation of advancing to pivotal trials in 2026 [5] - **Sotagliflozin**: - Accelerating enrollment in the SONATA trial for hypertrophic cardiomyopathy (HCM) [5] - Expecting to close enrollment by Q1 2026 [5] - Potential to be the first medicine with positive data in non-obstructive HCM by end of 2026 [6] - Re-engaged with the FDA regarding type 1 diabetes, with a third-party investigator-initiated study submitted [6][7] - **LX9851**: - Exclusive license agreement with Novo Nordisk for a novel obesity agent [7] - Completion of IND enabling studies, awaiting IND submission from Novo Nordisk [8] Market Opportunities - **Type 1 Diabetes**: - 1.7 million type 1 diabetics in the U.S., with only 20% achieving glycemic control [16] - Significant commercial opportunity as the first non-insulin therapy for this indication [16][17] - **HCM**: - High unmet need in both obstructive and non-obstructive HCM [30] - Anticipated data from SONATA trial in Q1 2027 [28][30] Regulatory Engagement - **FDA Collaboration**: - Positive engagement with the FDA regarding the approval process for sotagliflozin [13][14] - Open to using non-traditional trial designs to meet regulatory requirements [14] - **Upcoming Meetings**: - Expecting clarity from the FDA by the end of 2025 or early 2026 regarding the resubmission for sotagliflozin [22] Competitive Landscape - **Pricing Strategy**: - Potential for different pricing strategies compared to Inpefa, based on market dynamics and competitive positioning [24][43] Clinical Trials and Data Expectations - **SONATA Trial**: - Primary endpoint based on KCCQ symptom score, with a benchmark of a placebo-adjusted improvement of 4-5 points [31] - Data expected in Q1 2027 [28] - **SodaCross Trial**: - NIH-sponsored trial providing complementary data to SONATA, expected to report in mid-2026 [38] Legislative and Policy Environment - **Chronic Pain Legislation**: - Favorable policy developments for chronic pain treatments, including potential Medicare coverage expansions [47][48] Conclusion - Lexicon Pharmaceuticals is positioned for significant advancements in its pipeline with multiple catalysts across various therapeutic areas, particularly in type 1 diabetes and HCM. The company is actively engaging with regulatory bodies and exploring strategic partnerships to enhance its market presence and capitalize on unmet medical needs.