BridgeBio(BBIO) - 2025 Q3 - Earnings Call Transcript

Financial Data and Key Metrics Changes - Total revenues for Q3 2025 were $120.7 million, consisting of $108.1 million from Attruby net product revenue, $4.3 million in royalty revenue, and $8.3 million in license and services revenue, compared to $2.7 million in the same period last year, indicating a significant increase in total revenues driven primarily by Attruby sales [25][26][27] - Operating expenses for Q3 2025 were $259.3 million, up from $193.9 million in the same period last year, with a notable increase in SG&A expenses [26][27] Business Line Data and Key Metrics Changes - Attruby generated $108.1 million in net product sales in Q3 2025, with 5,259 unique patient prescriptions delivered to 1,355 unique healthcare providers, reflecting strong commercial execution [11][25] - The company aims for a market share of 30-35% by volume in the ATTR-CM market, with continued momentum in both scientific and commercial aspects of the Attruby franchise [6][11] Market Data and Key Metrics Changes - The ATTR-CM market continues to expand, with growth coming from all segments, and an increase in prescribing from both returning and new physicians [18][20] - The company has seen a steady rise in first-time prescribers adopting Attruby, indicating growing prescriber confidence and sustained demand [20][21] Company Strategy and Development Direction - The company is focused on launching new products from its late-stage pipeline, including Encalirate and BBP-418, which have shown promising phase III results [4][22] - The strategy includes leveraging the experience gained from the Attruby launch to inform future product launches and expanding disease state education initiatives [22][23] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving a market share of over 30% for Attruby, supported by strong clinical data and ongoing market expansion [6][11] - The company anticipates continued growth in diagnosis rates for ATTR-CM, with expectations to reach approximately 250,000 diagnosed patients in the U.S. [39] Other Important Information - The company ended Q3 2025 with a strong cash position of $645.9 million, providing significant cash runway for future investments [27] - The company is actively building infrastructure for global commercialization to ensure access to its therapies worldwide [24] Q&A Session Summary Question: What is the percentage of new patient share for Attruby? - Management estimates that the naive share is well in the 20s, with double-digit growth in overall prescriptions quarter-on-quarter [30][31] Question: Can you elaborate on ATTR-CM diagnosis rates? - There has been robust growth in diagnosis rates, with ongoing excitement and education in the field, leading to increased identification of new patients [39] Question: Thoughts on Pfizer's 28-day free trial program? - Management views it positively as it encourages competition and emphasizes the importance of access programs [44][46] Question: How does the ex-US opportunity compare to the US? - The ex-US opportunity is promising, with Bayer successfully commercializing in Europe, although pricing dynamics differ [50][52] Question: Discussions with payers regarding formulary positioning of Attruby? - Management has not had discussions about formulary positioning with payers but remains focused on ensuring Attruby's availability [54][56] Question: What is driving the growth in unique prescribers and prescriptions per prescriber? - Growth is driven by both increased penetration within existing accounts and expansion into new centers, with a focus on educating physicians [58][60] Question: What are the differentiating elements for Infigratinib in achondroplasia? - Infigratinib is expected to be more efficacious, safer, and more convenient due to its oral route of administration [84][86]