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MBX Biosciences (MBX) 2025 Conference Transcript

Summary of MBX Biosciences Conference Call Company Overview - Company: MBX Biosciences - Industry: Clinical stage biopharmaceuticals focusing on peptide technology - Key Technology: Precision Endocrine Peptide (PEP) technology platform aimed at optimizing peptide therapies for endocrine diseases [3][4] Core Points and Arguments - Financial Position: MBX has 2.24billioninfundingasofthelastquarter,expectedtosupportoperationsuntilmid2027[4][5]LeadIndication:Focusonchronichypoparathyroidism(HP),affectingover250,000peopleintheUSandEU[7]CurrentTreatmentLandscape:StandardcareinvolveshighdosesofvitaminDandcalciumsupplements,whichdonotaddresstheunderlyingPTHdeficiency[8][9]NewTherapy:Camboparatide(CANVU)isaonceweeklyPTHreplacementtherapydesignedtoimprovepatientconvenienceandoutcomescomparedtoexistingtreatments[10][21]PhaseOneData:Positiveresultsshowingdosedependentincreasesinserumcalciumandalonghalflifeof89days,supportingonceweeklydosing[14][16]PhaseTwoTrialDesign:A12weektrialwithafixeddoseperiodfollowedbydoseadjustments,aimingforastatisticallysignificanttreatmentresponserateofatleast552.24 billion in funding as of the last quarter, expected to support operations until mid-2027 [4][5] - **Lead Indication**: Focus on chronic hypoparathyroidism (HP), affecting over 250,000 people in the US and EU [7] - **Current Treatment Landscape**: Standard care involves high doses of vitamin D and calcium supplements, which do not address the underlying PTH deficiency [8][9] - **New Therapy**: Camboparatide (CANVU) is a once-weekly PTH replacement therapy designed to improve patient convenience and outcomes compared to existing treatments [10][21] - **Phase One Data**: Positive results showing dose-dependent increases in serum calcium and a long half-life of 8-9 days, supporting once-weekly dosing [14][16] - **Phase Two Trial Design**: A 12-week trial with a fixed dose period followed by dose adjustments, aiming for a statistically significant treatment response rate of at least 55% [19][21] Competitive Landscape - **Market Entry**: The launch of Yorvy Path, a once-daily PTH replacement therapy, is seen as a positive development, with initial sales of approximately 50 million [26] - Patient Demand: There is significant demand for PTH replacement therapy among HP patients, who often feel inadequately managed on current supplements [27][28] Other Pipeline Programs - Post-Bariatric Hypoglycemia (PBH): MBX is developing a long-acting GLP-1 antagonist for PBH, a condition with no approved pharmacotherapy, targeting a market comparable in size to HP [30][31] - Obesity Program: A new obesity treatment (4291) is in development, aiming for once-monthly dosing and improved tolerability compared to existing therapies like tirzepatide [38][40] Additional Insights - Patient-Centric Approach: The company emphasizes patient needs and aims to provide more effective treatment options [26][27] - Regulatory Progress: Plans to file an IND for the obesity program within the current quarter [43] - Future Milestones: The upcoming phase two results for CANVU are viewed as a transformative milestone for both the company and the field of HP treatment [24][44]