Phathom Pharmaceuticals(PHAT) - 2025 FY - Earnings Call Transcript

Financial Data and Key Metrics Changes - The company is in a pivotal phase two/three for ischemic stroke and is simultaneously conducting a phase two study for preeclampsia, with key data expected in the next sixty days [3][34] - The market opportunity for early onset preeclampsia is estimated at about 30,000 patients in the U.S., with a focus on severe cases that require hospitalization [13][14] Business Line Data and Key Metrics Changes - DM199 is a recombinant human tissue kallikrein-1 (KLK1) serine protease enzyme, which has shown potential in increasing perfusion and lowering blood pressure in preeclampsia patients [7][15] - The current treatment options for preeclampsia are described as antiquated and ineffective, highlighting the need for a new therapy like DM199 [14][19] Market Data and Key Metrics Changes - In the U.S., early onset preeclampsia occurs in up to 1% of pregnancies, translating to approximately 40,000 live births annually, indicating a significant market potential for DM199 [13][14] - The company anticipates a high penetration rate for DM199 in the market due to the lack of effective current treatments [13][15] Company Strategy and Development Direction - The company aims to address the unmet need in preeclampsia treatment by providing a therapy that does not cross the placental barrier, thus reducing risks to the fetus [15][19] - The strategy includes leveraging clinical data from existing studies in China to inform the development of DM199 for ischemic stroke and preeclampsia [35][39] Management's Comments on Operating Environment and Future Outlook - Management emphasizes the critical need for effective treatments in preeclampsia, as current medications often fail to manage the disease effectively [19][54] - The company is optimistic about the upcoming data readouts and believes that successful results could validate the efficacy of DM199 in both preeclampsia and ischemic stroke [34][50] Other Important Information - The company is conducting a KOL event on May 28 to discuss the unmet needs in preeclampsia and the design of their clinical trials [58][60] - The pivotal REMEDY two trial for DM199 in acute ischemic stroke is targeting patients who are not eligible for existing treatments, representing a large market opportunity [43][44] Q&A Session Summary Question: Can you discuss the clinical development of DM199 for preeclampsia? - The company is in a pivotal phase two/three for ischemic stroke and simultaneously conducting a phase two study for preeclampsia, with data expected soon [3][34] Question: What is the market opportunity for DM199 in preeclampsia? - The market opportunity is estimated at about 30,000 patients in the U.S., focusing on severe cases that require hospitalization [13][14] Question: Why was South Africa chosen for the preeclampsia trial? - South Africa was selected due to high rates of preeclampsia and the expertise of local investigators in conducting rigorous clinical trials [21][23] Question: What are the key endpoints for the preeclampsia study? - Key endpoints include assessing whether DM199 crosses the placental barrier and its efficacy in lowering blood pressure [30][31] Question: How does DM199 compare to existing treatments for stroke? - DM199 has a 24-hour treatment window, which is significantly longer than existing treatments, potentially allowing more patients to receive effective care [47][49]