Boston Scientific (NYSE:BSX) 2025 Conference Transcript

Summary of Boston Scientific Conference Call Company Overview - Company: Boston Scientific - Key Executives Present: Dr. Ken Stein (Chief Medical Officer), Lauren Tengler (Head of Investor Relations) Key Industry Insights 1. Growth Drivers - Focus on key growth drivers including the Watchman device and the ablation portfolio [2][10] - Anticipated sustained double-digit growth for Watchman despite recent trial results [8][11] 2. Recent Trial Results - The closure trial for left atrial appendage closure (LAAC) was negative, failing to meet non-inferiority to best medical therapy [2][4] - High procedural-related complications and early bleeding were significant issues in the trial [4][5] - Only half of the devices used in the trial were Watchman devices, with many being older generation devices known for higher risks [3][4] 3. Positive Outcomes from Trials - Despite the negative closure trial, there was an equivalent rate of ischemic stroke in high-risk populations compared to best medical therapy [4][5] - The PROG-17 trial showed more favorable outcomes for LAAC, indicating potential operator experience differences [5][6] 4. Market Dynamics - The company sees no impact on Watchman growth from recent trials, as they provide patients with more reasons to seek AF ablation [10][11] - The proportion of Watchman implants that are concomitant procedures is expected to reach 25% by the end of 2025 [20][21] 5. Future Trials and Expectations - The Champion trial is expected to present results in the first half of 2026, which could reinforce confidence in current indications and expand market growth [12][15] - A positive outcome from Champion could lead to changes in reimbursement and guidelines, enhancing market penetration [16][17] Product Insights 1. Watchman Device - Watchman is accelerating in the U.S. market, particularly due to the OPTION trial and improved CMS coverage [19][20] - The device is being increasingly offered to high-risk stroke patients undergoing ablation procedures [20][21] 2. FARAPulse Technology - FARAPulse is gaining traction in both de novo paroxysmal and persistent AF ablation procedures [29][30] - The company is seeing a shift towards lower redo rates in ablation procedures, with single-digit redo rates reported [30][31] 3. Competitive Landscape - Boston Scientific's Opal mapping system is positioned to compete effectively against incumbents, offering unique advantages for PFA procedures [32][33] - The company anticipates that the AF ablation market will continue to grow, driven by underpenetration and the increasing use of new technologies [34] 4. Other Growth Areas - The company is optimistic about its renal denervation technology and the potential for ultrasound-based devices to improve safety and efficacy [36][37] - Other promising areas include drug-coated balloons and interventional oncology, particularly with Y90 beads for treating solid tumors [39][40] Conclusion - Boston Scientific is positioned for continued growth in the healthcare sector, particularly in electrophysiology and ablation technologies, despite recent challenges in clinical trials. The company is focused on leveraging positive trial outcomes and expanding its product offerings to capture a larger market share.