CorMedix (CRMD) 2025 Conference Transcript

Summary of CorMedix Conference Call Company Overview - CorMedix is a publicly traded, small-cap biotech company focused on commercializing its lead product, DefenCath, which is an FDA-approved, first-in-class, non-antibiotic antimicrobial catheter lock solution aimed at reducing catheter-related bloodstream infections (CRBSIs) in adult hemodialysis patients [2][3] Product Launch and Financial Guidance - DefenCath was soft-launched in April 2024 and is set for a full-scale launch in July 2024 [3] - The company has provided first-half revenue guidance of approximately $70 million from existing purchasing customers [3][21] - The total addressable market for DefenCath is estimated at around 40 million vials [14] Market Opportunity - The primary market for DefenCath includes outpatient hemodialysis, where the top five customers account for nearly 90% of the market [5][13] - Currently, DefenCath is being utilized in over 4,000 patients, with expectations for increased use in inpatient settings due to a dedicated field team [6][15] - The company is also exploring expanded indications for DefenCath, including total parenteral nutrition (TPN) and pediatric hemodialysis [17][19] Clinical Need and Impact of CRBSIs - Approximately 800,000 patients receive hemodialysis annually, with 25-33% experiencing CRBSIs, leading to increased hospitalizations and costs [7][9][10] - The healthcare system incurs costs exceeding $3.5 billion annually due to CRBSIs, with each hospitalization costing upwards of $60,000 [11][10] Clinical Efficacy - The largest study for a catheter lock solution demonstrated a 71% reduction in CRBSI risk with DefenCath, showing no significant difference in adverse events compared to standard care [12][13] Financial Metrics - As of the last quarter, CorMedix reported over $77 million in cash and achieved cash flow positivity in Q4 2024, with Q1 2025 net revenue of $39 million and adjusted EBITDA of over $23 million [21][20] - Full-year operating expense guidance is set between $72 million and $78 million [21] Future Outlook - The peak annual sales potential for DefenCath in the TPN market is estimated between $150 million and $200 million [20] - The company is also initiating an expanded access program to collect data on high-risk populations [18] Conclusion - CorMedix is positioned to address a significant unmet medical need in the dialysis community with its innovative product, DefenCath, while also demonstrating strong financial performance and growth potential in various therapeutic areas [2][21]