Ultragenyx Pharmaceutical(RARE) - 2025 FY - Earnings Call Transcript

Financial Data and Key Metrics Changes - The company is focused on the upcoming data readout for setrusumab, which is expected by the end of the year or early January, marking a significant near-term value driver [2][34] - The company has achieved a 67% reduction in fracture rates from baseline in the phase 1/2 study with 24 patients, indicating strong efficacy [8][15] Business Line Data and Key Metrics Changes - The company is advancing its program for Osteogenesis Imperfecta (OI), which is seen as a major opportunity, with an estimated 60,000 patients in the covered geographies [3][4] - The ORBIT trial has enrolled an additional 159 patients, maintaining a two-to-one randomization of setrusumab to placebo, with a focus on patients aged 5 to 26 [10][12] Market Data and Key Metrics Changes - The company is preparing to launch setrusumab, which aims to outperform bisphosphonates, currently the only available treatment for OI, which has a treatment effect estimated around 20% [15][16] - The company is also working on gene therapies for Sanfilippo and GSD1A, with expected PDUFA dates comfortably within the PRV window [38][39] Company Strategy and Development Direction - The company aims to leverage lessons learned from the successful launch of Crysvita to enhance the launch of setrusumab [4] - The strategy includes not compromising data quality to meet regulatory deadlines, emphasizing the importance of robust data packages for OI [30][33] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the upcoming data readouts and the potential for successful product launches, highlighting the importance of OI and gene therapy programs [2][38] - The company is optimistic about achieving profitability within the timeframe of its monetization deal for Crysvita, which allows for revenue generation without immediate payment obligations [91][92] Other Important Information - The company is exploring the use of AI to analyze data sets and streamline documentation processes for regulatory submissions [32] - The company has received a complete response letter for Sanfilippo but is confident in addressing the FDA's requirements for re-filing [38][39] Q&A Session Summary Question: What is the expectation for the benefit of bisphosphonates compared to setrusumab? - Management estimates the benefit of bisphosphonates to be around 20%, while setrusumab has shown a 67% reduction in fracture rates in early studies [15][16] Question: Do both ORBIT and COSMIC studies need to be successful for regulatory approval? - Management indicated that while both studies are important, a positive outcome from either could still support a successful product launch, although statistical significance in COSMIC would be crucial for claiming superiority [12][13] Question: What is the timeline for filing the BLA for Sanfilippo and GSD1A? - The company plans to refile for Sanfilippo at the beginning of next year and expects to complete the rolling BLA for GSD1A this month, both aiming for PDUFA dates within the PRV window [38][39]