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Ascendis Pharma(ASND) - 2022 Q4 - Earnings Call Transcript

Financial Data and Key Metrics Changes - For the full year 2022, total revenue was €51.2 million, including SKYTROFA revenue of €35.7 million, with an operating loss of €147.4 million for Q4 2022, up from €144.5 million in Q3 2022 [17][18] - SKYTROFA US revenue for Q4 2022 grew to €17.1 million, exceeding previous projections of €16 million [16][17] - The company ended 2022 with cash, cash equivalents, and marketable securities totaling €743 million [17] Business Line Data and Key Metrics Changes - SKYTROFA experienced commercial success with revenue growth, providing a strong foundation for growth in 2023 [10][17] - TransCon PTH is expected to launch in the US by the end of Q2 2023, with a PDUFA date of April 30, 2023 [7][18] - TransCon CNP is on track for potential approval by 2025, with ongoing clinical trials [8][12] Market Data and Key Metrics Changes - The company is preparing for the launch of SKYTROFA in Germany and expects to expand into additional European markets [8][18] - The consolidation of the daily growth hormone market is noted, with several manufacturers exiting, which is expected to benefit SKYTROFA [10][48] Company Strategy and Development Direction - The company aims to fulfill its Vision 3x3 goal of building a sustainable, profitable biopharma company with new product approvals every one to two years [7][16] - The focus is on developing best-in-class products that address significant unmet medical needs, with a robust pipeline across multiple therapeutic areas [7][13] - The company is leveraging its existing commercial infrastructure for the launch of TransCon PTH, similar to SKYTROFA [39] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in exceeding consensus estimates for SKYTROFA revenue in 2023, driven by increasing awareness and physician knowledge of the product [23][24] - The company anticipates a strong launch for TransCon PTH, with a focus on addressing the unmet medical needs of patients with hypoparathyroidism [11][37] - Management highlighted the importance of continuous monitoring and understanding of patient needs in the development of their products [53][55] Other Important Information - The company is actively engaging with regulatory agencies to ensure a broad treatment labeling for TransCon CNP [12] - Management emphasized the unique product profile of TransCon PTH, differentiating it from existing treatments like NATPARA [34][58] Q&A Session Summary Question: Can you comment on your comfort level with consensus estimates for TransCon PTH this year? - Management indicated they have not collected consensus numbers for PTH and could not address that directly [21] Question: How many cumulative new patient prescriptions were there for SKYTROFA as of your end? - Management noted an increase in new reimbursed patients and strong retention rates for SKYTROFA, expecting to exceed previous revenue estimates [23][24] Question: Can you give us an update on how many patients you've enrolled in the Early Access Program for PTH? - Management expressed satisfaction with the program's progress but did not provide specific enrollment numbers [29] Question: Could you give us any insight into what the label might ultimately look like for PTH? - Management does not expect any black box warning for TransCon PTH, emphasizing its stable physiological profile [34] Question: What feedback has your sales team received from payors and physicians regarding PTH? - Management noted increasing awareness of hypoparathyroidism and the benefits of TransCon PTH among physicians and payors [37] Question: Are you seeing higher switch rates from daily growth hormone? - Management confirmed higher switch rates from daily growth hormone and an increase in new patients [62]