Belite Bio(US:BLTE)2025-03-18 02:58Financial Data and Key Metrics Changes - In 2024, R&D expenses were $29.9 million, up from $28.8 million in 2023, primarily due to increased royalty payments and share-based compensation [33] - G&A expenses rose to $10.1 million in 2024 from $6.8 million in 2023, driven by share-based compensation [34] - The net loss for 2024 was $36.1 million, compared to $31.6 million in 2023 [34] - Cash and investments at the end of 2024 totaled $145.2 million, up from $88.2 million at the end of 2023 [34] Business Line Data and Key Metrics Changes - The company is advancing Tinlarebant in Phase 3 trials for Stargardt disease and geographic atrophy, with significant progress reported in both trials [5][9] - The Phase 3 DRAGON trial for Stargardt disease has maintained a sample size of 104 subjects after an interim analysis recommended no modifications [9][21] - The PHOENIX trial for geographic atrophy has enrolled over 400 subjects, with plans to increase enrollment to 500 [11][31] Market Data and Key Metrics Changes - Tinlarebant has received multiple designations, including Rare Pediatric Disease and Fast Track in the U.S., and Pioneer Drug designation in Japan, indicating a significant unmet need in the market [7] - The company is uniquely positioned with ongoing global Phase 3 trials, which may lead to the first oral treatment for degenerative retinal diseases [12] Company Strategy and Development Direction - The company aims to position Tinlarebant as a first-in-class oral therapy for Stargardt disease and geographic atrophy, focusing on early intervention [5][6] - The strategy includes expanding the sample size in the PHOENIX trial to enhance the chances of success [41] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism regarding regulatory reviews following the DSMB's recommendations, anticipating alignment with regulatory agencies [39] - The company remains focused on completing trials and maintaining a full-year cash runway, with expectations for continued progress in clinical studies [35] Other Important Information - The withdrawal rate in the DRAGON trial was 9.6%, with ocular adverse events accounting for 3.8% of withdrawals [20] - The company raised $15 million in gross proceeds in February 2025, enhancing its financial position [35] Q&A Session Summary Question: Potential outcomes from regulatory interactions regarding Stargardt - Management believes the regulatory agencies will likely align with the DSMB's positive recommendation for drug approval [39] Question: Reason for increasing sample size in GA trial - The decision was made to boost chances of success based on smooth enrollment progress [41] Question: Current discontinuation rates in the GA trial - The dropout rate for the PHOENIX trial is approximately 20%, which is common for elderly populations [53] Question: Approval potential for broader patient populations - Management indicated that efficacy in adolescents could facilitate approval for adults as well [57] Question: Difference in lesion growth between placebo and treatment in DRAGON study - The study is powered for a 40% treatment effect with 80% power to detect that effect at the second year [84]