Ultragenyx Pharmaceutical(RARE) - 2025 Q1 - Earnings Call Transcript

Financial Data and Key Metrics Changes - In Q1 2025, Ultragenyx reported revenue of $139 million, representing a 28% increase compared to Q1 2024 [18] - The net loss for the quarter was $151 million, or $1.57 per share, with total operating expenses of $282 million [20] - Cash, cash equivalents, and marketable securities stood at $563 million as of March 31, 2025 [20] Business Line Data and Key Metrics Changes - Crysvita generated $103 million in revenue, with contributions of $41 million from North America, $55 million from Latin America and Turkey, and $7 million from Europe, marking a 25% growth over 2024 [18] - DeJolvi contributed $17 million, consistent with its expected growth trajectory, while EVKYSA generated $11 million as demand builds [19] - Mepsevii contributed $8 million as the company continues to treat patients in this ultra-rare indication [19] Market Data and Key Metrics Changes - In Latin America and Turkey, Crysvita revenue grew by 52% over 2024, driven by successful reimbursement negotiations [18] - The U.S. market for Crysvita is expected to continue growing as the company identifies new pediatric and adult patients [11] - The EMEA region saw over 260 patients treated with DERJOVY under named patient sales, with strong demand noted particularly in France [13] Company Strategy and Development Direction - The company is focused on expanding its commercial operations globally while preparing for new product launches in the U.S. and worldwide [5] - Ultragenyx is advancing multiple late-stage programs, including UX143 for osteogenesis imperfecta and GTX-102 for Angelman syndrome, with data expected in 2026 [7][26] - The company is on track to submit two Biologics License Applications (BLAs) in 2025, with one currently under review and another expected mid-year [8][9] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence that 2025 will be a transformational year, with expectations of significant revenue growth and multiple clinical data readouts [32] - The company is optimistic about the demand for its products, particularly in Latin America and the pediatric and adult XLH markets in the U.S. [21] - Management acknowledged the evolving tariff landscape but does not expect material exposure for any products, including Crysvita [23] Other Important Information - The company is actively monitoring regulatory interactions and has scheduled inspections of manufacturing facilities and clinical sites [9] - The company expects net cash used in operations to decrease in the remaining quarters of 2025, aiming for full-year GAAP profitability by 2027 [21] Q&A Session Summary Question: Insights on setrusumab and the second interim analysis - Management discussed the variability in fracture rates among patients and the statistical methods used to analyze data, emphasizing confidence in achieving significant results [35][39] Question: Likelihood of success if the study moves to a third interim read - Management expressed confidence in hitting the p-value threshold based on observed data trends and the size of the study [46][49] Question: Impact of recent CBER nomination on the rare disease space - Management noted concerns about the nomination but emphasized the importance of maintaining accelerated approval pathways for rare diseases [51][54] Question: Enrollment status for the Angelman program - Management confirmed that all global sites for the Angelman program are active and screening patients [66][68] Question: Clarification on the timing of interim data release - Management indicated that data cleaning and analysis for the interim results would take approximately eight weeks, with a commitment to timely communication of results [90][92]