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Achieve Life Sciences (NasdaqCM:ACHV) FY Conference Transcript

Achieve Life Sciences Conference Call Summary Company Overview - Achieve Life Sciences is focused on the development and commercialization of cytisinicline, a treatment for nicotine dependence, marking the first innovation in this space in nearly 20 years [2][3] Key Points Industry Context - There are approximately 29 million smokers and 17 million vapers in the U.S., indicating a significant public health issue related to nicotine dependence [2] - The company aims to change the narrative around nicotine dependence, positioning it as a medical condition rather than a lifestyle choice [3] Product Development and Approval - The FDA accepted the New Drug Application (NDA) for cytisinicline, with a PDUFA date anticipated in June 2026 [2][4] - The company is preparing for a gated launch, ensuring all manufacturing and supply chain processes are in place three months prior to the launch [4] Clinical Trials and Efficacy - The ORCA clinical trials demonstrated robust efficacy and safety for cytisinicline, which is expected to be a key focus during the FDA review [5][7] - The company has a strong supply chain with FDA-inspected manufacturers, mitigating typical regulatory risks [6][7] Commercial Strategy - Achieve Life Sciences targets high prescribers among the 46,000 primary care physicians in the U.S., focusing on early adopters who actively discuss smoking cessation with patients [9] - The company has identified two distinct patient demographics, one less digitally oriented and the other more digitally engaged, both concerned about health issues related to smoking [9][10] Market Opportunity - Approximately 600,000 prescriptions for nicotine dependence products are written monthly, with a significant market opportunity for cytisinicline [14] - The peak revenue for Chantix was $880 million in the U.S. with only 4% market penetration, indicating substantial room for growth [14][15] Insurance and Payer Engagement - Under the Affordable Care Act, there are two free treatments available for smoking cessation, and Achieve is working to ensure cytisinicline is accessible to patients [16] - Initial payer engagement will take six to nine months post-launch, but the company is implementing processes to expedite drug availability [17] Strategic Partnerships - Achieve Life Sciences is partnering with Omnicom to leverage their integrated marketing resources, optimizing targeting for both patients and physicians [18] - The collaboration aims to enhance awareness and prescription rates through rapid messaging adjustments based on feedback [11][12] Long-term Growth Strategy - The company is focused on building its infrastructure and exploring global opportunities, with a billion smokers worldwide, while initially concentrating on the U.S. market [22][23] - Discussions with potential partners for future commercialization strategies are ongoing, particularly as the market size dictates the need for additional support [22] Vaping Cessation Program - A phase 3 trial for vaping cessation is planned, mirroring the smoking cessation trial but with a shorter treatment period due to higher nicotine dependence among vapers [24] - The company recognizes the health risks associated with vaping and aims to target motivated individuals seeking to quit [27] Financial Position - Achieve Life Sciences raised $49 million, providing a financial platform to support the NDA approval and the launch of cytisinicline [28] - The company prefers debt and royalty financing for future funding needs, avoiding additional equity raises [28] Additional Insights - The company is aware of the challenges posed by changing prescribing habits and is actively working to build awareness among physicians and patients [8][12] - The integration of marketing resources from Omnicom is seen as a unique advantage that could enhance the company's market entry strategy [18]