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Iterum Therapeutics(ITRM) - 2025 Q1 - Earnings Call Transcript

Financial Data and Key Metrics Changes - Total operating expenses decreased to $3.7 million in Q1 2025 from $6.2 million in Q1 2024 [16] - Research and development (R&D) costs significantly dropped to approximately $600,000 in Q1 2025 from $4 million in the same period in 2024, primarily due to reduced costs associated with the ReAssure trial [17] - General and administrative (G&A) expenses increased to $2.8 million in Q1 2025 from $2.2 million in Q1 2024, driven by pre-commercialization activities [18] - Net loss on a U.S. GAAP basis was $4.9 million in Q1 2025 compared to a net loss of $7.1 million in Q1 2024 [18] - Non-GAAP net loss improved to $3.3 million in Q1 2025 from $5.8 million in Q1 2024, reflecting lower R&D expenses [19] Business Line Data and Key Metrics Changes - The company is preparing for the potential commercialization of Orlynda, targeting the U.S. market for uncomplicated urinary tract infections [6][10] - The addressable market for Orlynda is estimated at 26 million prescriptions annually for at-risk patients, with a potential net sales of over $250 million if a 1% market share is captured [10] Market Data and Key Metrics Changes - The U.S. market for uncomplicated urinary tract infections generates approximately 40 million prescriptions annually, with a significant portion written for at-risk patients [9] - New competition is emerging, with a product approved in April 2024 and another from GlaxoSmithKline expected to launch in the second half of 2025, increasing urgency for Orlynda's market entry [10] Company Strategy and Development Direction - The company aims to launch Orlynda by Q4 2025, emphasizing the urgency due to the lack of innovation in the therapy area over the past 25 years [6][8] - A phased launch strategy is planned, focusing on territories with high antibiotic resistance and a significant number of prescribing physicians [12] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the commercialization timeline, stating no significant hurdles are anticipated before the launch of Orlynda [27] - The company has extended its cash runway into 2026, which includes the potential launch of Orlynda [14] Other Important Information - The company repaid outstanding principal and interest on exchangeable notes in January 2025, reducing its debt burden [13] - As of March 2025, the company had cash and cash equivalents of $12.7 million, which, along with recent fundraising, is expected to fund operations into 2026 [19] Q&A Session Summary Question: Can you elaborate on the maturity of conversations with potential commercial partners? - Management indicated ongoing discussions but noted that many potential partners may not see the timing as right for a partnership [25] Question: Are there any outstanding rate-limiting steps ahead of Orlynda's launch later this year? - Management stated there are no significant hurdles remaining and confirmed that product manufacturing is already in place [27]