
Puma Biotechnology FY Conference Summary Company Overview - Company: Puma Biotechnology (NasdaqGS: PBYI) - Key Products: NERLYNX (neratinib), alisertib - Focus: Treatment of HER2-positive breast cancer and small cell lung cancer Key Points Product Pipeline - NERLYNX is FDA-approved for extended adjuvant treatment of HER2-positive breast cancer and metastatic HER2-positive breast cancer [1][25] - Alisertib is in phase 2 testing for hormone receptor-positive, HER2-negative metastatic breast cancer and small cell lung cancer [1] Commercial Capabilities - NERLYNX is sold in the U.S. through specialty pharmacy and specialty distribution channels [1][2] - Q2 2025 net revenue for NERLYNX was $49.2 million, up from $44.4 million in Q2 2024 and $43.1 million in Q1 2025 [2] Sales Performance - 2,608 bottles of NERLYNX were sold in Q2 2025, an increase from 2,515 in Q2 2024 and 2,338 in Q1 2025 [2][3] - 71% of patients started treatment at a reduced dose to improve tolerability, addressing GI toxicity [3][4] Market Potential - In the U.S., there are approximately 28,300 patients with early-stage HER2-positive breast cancer, with 6,000 patients recommended for NERLYNX [5] - In the EU, there are 37,000 patients with early-stage HER2-positive breast cancer, with 65% to 70% being HR-positive [5] Financial Guidance - Q3 2025 guidance for NERLYNX revenues is $46 million to $48 million, with full-year expectations of $192 million to $198 million [6] - Expected net income for the full year is $23 million to $28 million [6] Alisertib Development - Alisertib shows activity in various solid tumors and hematological malignancies [8] - A phase 2 trial for alisertib in breast cancer is ongoing, with interim data expected in Q4 2025 or Q1 2026 [14] Clinical Trials and Efficacy - Alisertib monotherapy showed a 23% objective response rate in hormone receptor-positive, HER2-negative breast cancer [10] - In combination with fulvestrant, alisertib showed a 20% response rate [11] - In small cell lung cancer, alisertib monotherapy had a 21% response rate [15] Intellectual Property - Strong IP for NERLYNX with patents extending to 2031 for specific uses [20][21] - Alisertib's composition of matter patent expires in 2029, with additional patents for various uses extending to 2034 [21] Financial Position - As of the last quarter, Puma had $96 million in cash and marketable securities, with a net income of $5.9 million [24] Company Highlights - NERLYNX is the first HER2-positive drug approved for extended adjuvant treatment in early-stage breast cancer [25] - Alisertib presents a novel biomarker-directed development opportunity [25] Management and Governance - Key management includes CEO and President, Maximo F. Nougues (CFO), and Doug Hunt (Chief Scientific Officer) [24] Additional Notes - The company has not raised public funds since 2016, with two private placements in 2022 [24] - A jury trial awarded Puma $107.5 million in damages against AstraZeneca for patent infringement, but the patents were later ruled invalid [22][23]