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Amicus Therapeutics (NasdaqGM:FOLD) FY Conference Transcript

Summary of Amicus Therapeutics FY Conference Call (September 09, 2025) Company Overview - Amicus Therapeutics is a biotech company with significant growth potential and profitability, recently reporting over $150 million in sales for the first time in Q2 2025 [3][4]. Key Products and Growth Projections Galafold (Fabry Disease) - Galafold therapy for Fabry disease is experiencing strong traction, with sales in the Fabry market reaching $2.1 billion last year [6][4]. - The company expects 10% to 15% growth for Galafold in 2025, driven by the identification of new patients and a growing number of women being treated [4][7]. - The number of diagnosed Fabry patients has increased from an estimated 10,000 to 18,000, with 6,000 still untreated [8]. - Galafold is the only oral therapy for a subset of Fabry patients with amenable mutations, contributing to its unique market position [8]. Pombility and Upholda (Pompe Disease) - Pombility and Upholda combination therapy for Pompe disease is projected to grow by 50% to 65% in 2025, with 2024 sales estimated at $1.5 billion [4][11]. - The company is expanding its market presence, having launched in six new countries and planning to launch in additional markets by the end of 2025 [12][20]. - A significant switch from competing products in the U.S. is anticipated, particularly as patients on NexaZyme show signs of decline after two years of treatment [17][18]. Market Dynamics and Competitive Landscape - The company is focused on educating physicians and patients about the benefits of switching to Pombility, aiming to shift the perception that stability is sufficient [22][23]. - Real-world evidence is being collected to support the differentiated profile of Pombility compared to NexaZyme [27][28]. - The company is also exploring opportunities for expanding the label of Pombility to include treatment-naive patients in the U.S. [30][32]. Regulatory and Legal Considerations - Amicus has settled with Teva regarding Galafold, providing patent protection until January 2037, while other generics are still in litigation [42][44]. - The company is actively engaging with the FDA regarding ongoing pediatric studies and potential label expansions for its products [33]. Future Business Development - Amicus is looking for late-stage assets in rare renal and neuromuscular diseases, focusing on products that can be accretive to both top and bottom lines [66][67]. - The recent licensing deal for DMX 200, targeting focal segmental glomerulosclerosis (FSGS), is a key focus, with a phase three study expected to enroll 286 patients [49][52]. Financial Outlook - The company anticipates reaching GAAP profitability for the first time in 2025, with significant growth in operating income margins expected over the next five years [5][66]. - The UK reimbursement dynamic is expected to remain stable, with a current rebate rate of 22.9% [62][64]. Conclusion - Amicus Therapeutics is positioned for growth with its unique product offerings in the rare disease market, ongoing expansion efforts, and a focus on regulatory engagement and business development opportunities. The company is optimistic about its future profitability and market share growth in both Fabry and Pompe diseases.