Upstream Bio (NasdaqGS:UPB) FY Conference Transcript

Summary of Upstream Bio's Presentation at Morgan Healthcare Conference Company Overview - Company: Upstream Bio - Focus: Clinical stage company specializing in immunology, particularly severe respiratory diseases - Key Product: Virecetug, a fully human IgG1 targeting the TSLP receptor Core Points and Arguments - Unique Approach: Upstream Bio is developing Virecetug by targeting the TSLP receptor, differentiating it from other drugs like Amgen's Tezspire, which targets TSLP itself [2][3] - Clinical Development: Virecetug has shown significant pharmacological effects, including: - 100% receptor occupancy for up to 24 weeks post-dose - Significant suppression of disease-related biomarkers such as exhaled nitric oxide (FeNO) and blood eosinophils [6][15] - Dosing Regimen: Virecetug can be administered as infrequently as every 12 to 24 weeks, which is a competitive advantage in the market [3][16] - Market Opportunity: - The market for chronic rhinosinusitis (CRS) with nasal polyps (NP) is projected to exceed $1 billion in annual biologic sales in the US, with significant growth potential [9] - Despite seven approved biologics for severe asthma, there remains a substantial unmet clinical need, with only 20%-25% of eligible patients currently treated [51] - Clinical Trials: - The phase 2 trial for CRS with NP showed a significant reduction in the endoscopic nasal polyp score by 1.8 points and a 76% reduction in the need for surgery or steroids [24] - Upcoming phase 2 trial for severe asthma (Valiant study) aims to assess the efficacy of Virecetug in reducing asthma exacerbations [30][31] Additional Important Content - Safety Profile: Virecetug has demonstrated a clean safety profile, consistent with other biologics targeting TSLP [12][25] - Comparative Efficacy: Early data suggests Virecetug may have a greater efficacy compared to Tezepelumab, with a predicted maximal effect on exhaled nitric oxide that is 1.5 times greater [18] - Regulatory Strategy: Upstream Bio plans to progress to phase 3 trials for both CRS with NP and severe asthma simultaneously, leveraging data from ongoing studies [54] - Long-term Vision: The company aims to expand the use of Virecetug across various respiratory diseases, similar to the successful strategy employed by Dupixent [34][35] This summary encapsulates the key points from Upstream Bio's presentation, highlighting the company's innovative approach, clinical advancements, and market potential in the field of respiratory diseases.