Phathom Pharmaceuticals(PHAT) - 2025 Q2 - Earnings Call Transcript

Financial Data and Key Metrics Changes - The company reported net revenues of $39.5 million for Q2 2025, representing a 39% increase compared to Q1 2025, driven by increased adoption of Vopresna [24][17] - Non-GAAP operating expenses for Q2 2025 were $86.1 million, a decrease of $12 million from Q1 2025, reflecting early cost-saving initiatives [25][26] - The company ended the quarter with approximately $150 million in cash, which is expected to support operations until profitability in 2026 [29][18] Business Line Data and Key Metrics Changes - Over 580,000 Vopresna prescriptions have been filled since launch, with a 49% growth in the last fourteen weeks [6] - In Q2, approximately 173,000 prescriptions were filled, reflecting a 36% growth over Q1 [7] - 68% of Q2 Vopresna prescriptions were filled through the retail channel, with a slight decrease due to the rollout of a cash pay option for Medicare patients [7][8] Market Data and Key Metrics Changes - Commercial access remains above 80% of lives covered, with more than half requiring only a single step edit or less [7] - The company has seen a 24% increase in unique healthcare providers (HCPs) writing Vopresna prescriptions compared to Q1 [8] Company Strategy and Development Direction - The company is focusing on gastroenterologists as the primary target for sales efforts, believing this will lead to accelerated revenue growth [11][12] - A phase two trial in eosinophilic esophagitis (EOE) is set to begin in Q4 2025, which may provide a path to extend exclusivity [16][17] - The company anticipates revenue guidance of $165 to $175 million for the full year 2025, above current analyst estimates [18][24] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving profitability by 2026, emphasizing the importance of Vopresna as a treatment option for GERD patients who do not respond to PPIs [21][30] - The company is committed to financial discipline while continuing to invest in key areas driving revenue growth [30][31] Other Important Information - The FDA has updated the orange book to reflect exclusivity for Vopresna through May 2032, enhancing the net present value (NPV) of the product [15] - The company has implemented cost-saving initiatives that have already shown a $12 million reduction in non-GAAP operating expenses compared to Q1 2025 [25][26] Q&A Session Summary Question: How will the sales force drive more depth and frequency of writing prescriptions? - The sales force has realigned territories to focus on gastroenterologists, dropping over 20,000 primary care physicians who had not converted [34][35] - Increased call frequency with gastroenterologists is expected to lead to higher prescription writing [36][38] Question: Is the anticipated revenue acceleration already included in the current guidance? - Management believes long-term acceleration is a driver to the upside, but it may take one to three quarters for the new targeting strategy to show consistent growth [41][42] Question: What is the tipping point for transitioning from gastroenterologists to primary care physicians? - Management indicated that significant revenue potential exists within the GI market alone, and primary care is viewed as an additive opportunity [50][51] Question: How are cost cuts being implemented and their impact on growth? - Major cost savings are coming from eliminating direct-to-consumer promotional programs and adjusting third-party vendor contracts [59][62] Question: What is the current average cash pay amount through BlinkRx? - The standard cash pay amount through BlinkRx is $50, with a $25 copay for insured patients [93][95]