Core Insights - Denali Therapeutics, Inc. (DNLI) has received FDA acceptance for its biologics license application (BLA) for tividenofusp alfa, aimed at treating Hunter syndrome, with a target action date set for January 5, 2026 [1][7] - The acceptance of the BLA marks a significant step for DNLI towards becoming a commercial-stage biotech company, especially as its shares have declined by 30.1% year to date [2] Drug Development and Clinical Trials - Tividenofusp alfa has received Breakthrough Therapy Designation from the FDA for Hunter syndrome, a rare genetic disorder caused by a deficiency in the iduronate 2-sulfatase (IDS) enzyme [3] - The drug is designed to cross the blood-brain barrier, addressing both cognitive and physical symptoms of MPS II, unlike traditional enzyme replacement therapies [4] - The BLA submission is supported by data from a phase I/II study involving 47 participants, and an ongoing phase II/III COMPASS study is expected to provide pivotal data for global regulatory filings [5] Pipeline and Collaborations - Denali is also evaluating DNL126 for Sanfilippo syndrome type A and has engaged in discussions with the FDA for an accelerated development path [9] - Another candidate, DNL593, is being co-developed with Takeda for frontotemporal dementia, with an ongoing phase I/II study [10] - Denali and Biogen are jointly developing a LRRK2 inhibitor for Parkinson's disease, with a global phase IIb study fully enrolled and results expected in 2026 [11] - Denali is also conducting a phase IIa study for LRRK2-associated Parkinson's disease and evaluating DNL343 for amyotrophic lateral sclerosis (ALS), although a primary endpoint was not met in a recent trial [12] - The company has multiple early-stage clinical and preclinical programs and maintains a sound cash position to fund ongoing initiatives [13]

CROSSING BARRIERS AND DEFEATING DEGENERATION MAY 2025 ©2025 Denali Therapeutics Inc. DISCLAIMERS Forward-Looking Statements. This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements do not relate strictly to historical or current facts and they may be accompanied by such words as "anticipate," "believe," "could," "estimate," "expected," "forecast," "intend," "may," "plan," "potential," "possible," "futu ...

Core Viewpoint - Denali Therapeutics reported a wider-than-expected loss in Q1 2025, primarily due to increased operating expenses, and did not generate collaboration revenues during the quarter [1][2]. Financial Performance - The company reported a loss of 78 cents per share, compared to the Zacks Consensus Estimate of a loss of 71 cents and a loss of 68 cents in the same quarter last year [1]. - Research and development expenses rose by 8.6% to $116.3 million, driven by increased spending on clinical and preclinical programs [5]. - General and administrative expenses increased by 16.4% to $29.4 million, attributed to activities related to the submission of a biologics license application for tividenofusp alfa [6]. - As of May 31, 2025, the company had approximately $1.05 billion in cash, cash equivalents, and marketable securities [6]. Pipeline Developments - Denali completed the submission of a biologics license application for tividenofusp alfa under the FDA's accelerated approval pathway, based on phase I/II study data for Hunter syndrome [7]. - The FDA granted Breakthrough Therapy Designation for tividenofusp alfa in January 2025 [8]. - Denali is conducting a global phase II/III COMPASS study to support regulatory approvals for tividenofusp alfa [8]. - The company is evaluating DNL126 for Sanfilippo syndrome type A and has had productive discussions with the FDA regarding its accelerated development [9]. - Denali is collaborating with Takeda on DNL593 for frontotemporal dementia and is conducting a phase I/II study [10]. - Denali and Biogen are jointly evaluating BIIB122/DNL151 for Parkinson's disease, with the LUMA study fully enrolled [11]. - The company is also conducting the phase IIa BEACON study for LRRK2-associated Parkinson's disease and evaluating DNL343 in a phase II/III study for ALS [12]. - Denali's partner Sanofi discontinued the development of SAR443820/DNL788 for ALS due to unmet primary endpoints in the phase II study [14]. Market Performance - Shares of Denali Therapeutics have declined by 31.4% year-to-date, while the industry has seen a smaller decline of 2.2% [4]. Overall Assessment - The progress in Denali's pipeline is viewed as encouraging, with potential approval of tividenofusp alfa expected to significantly benefit the company [15].

Core Insights - Denali Therapeutics has completed the Biologics License Application (BLA) submission for tividenofusp alfa, marking a significant milestone in its development as a late-stage commercial organization focused on treating Hunter syndrome [2][3] - The company is preparing for the commercial launch of tividenofusp alfa, expected in late 2025 or early 2026, which would be the first FDA-approved enzyme replacement therapy designed to cross the blood-brain barrier [2][3] - Denali's clinical pipeline includes ongoing programs for Sanfilippo syndrome Type A and frontotemporal dementia, with collaborations with the FDA and Takeda, respectively [4][5] Financial Performance - For Q1 2025, Denali reported a net loss of $133.0 million, an increase from a net loss of $101.8 million in Q1 2024 [10] - Research and development expenses rose to $116.2 million in Q1 2025 from $107.0 million in Q1 2024, primarily due to increased spending on clinical and preclinical programs [11] - General and administrative expenses increased to $29.4 million in Q1 2025 from $25.2 million in Q1 2024, driven by activities related to the BLA submission for tividenofusp alfa [14] Clinical Program Updates - The BLA submission for tividenofusp alfa is based on data from a Phase 1/2 study involving 47 participants, with the FDA's review process now initiated [3] - Denali is conducting a global Phase 2/3 COMPASS study to support regulatory approvals for tividenofusp alfa [3] - The company is also advancing DNL126 for Sanfilippo syndrome Type A, with ongoing discussions with the FDA for an accelerated development path [4] Corporate Developments - Denali has launched a clinical biomanufacturing facility in Salt Lake City, enhancing its manufacturing capabilities and supply chain control [9] - The company is actively participating in several upcoming investor conferences to engage with stakeholders and present its developments [13]