Financial Data and Key Metrics Changes - Total revenue for Q4 2023 was $69.6 million, with total revenue for the year ending December 31, 2023, at $186.4 million, compared to $27.9 million and $77.1 million for Q4 and the full year 2022 respectively, indicating significant growth [60] - Net product sales for the year were $178.9 million, reflecting a year-over-year growth of 142% [45][60] - The net loss for the year was $160.9 million or $3.94 per share, which included non-cash stock-based compensation of $35 million and intangible amortization of $10.4 million [61] Business Line Data and Key Metrics Changes - LIVMARLI's total global net product sales grew to $41.4 million in Q4, with U.S. sales at $31.4 million and $111 million for the year, representing approximately 63% year-over-year growth [54][60] - CHENODAL and CHOLBAM generated net product sales of $28.1 million in Q4, marking the highest quarter-to-date for bile acid products [70] Market Data and Key Metrics Changes - The company expects net product sales to reach $310 million to $320 million in 2024, representing over 70% growth from 2023 [55][60] - The international market for LIVMARLI is showing strong uptake, although variability in quarterly revenue is anticipated [54] Company Strategy and Development Direction - The company aims to leverage its expertise in cholestasis and expand its commercial portfolio, focusing on upcoming label expansion opportunities and pipeline growth [46][50] - The strategy includes preparing for multiple regulatory and clinical catalysts, with a PDUFA date for LIVMARLI and PFIC set for March 13, 2024 [48][57] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the growth trajectory of LIVMARLI and the overall business, highlighting the strong demand and progress in international markets [19][54] - The company is well-funded with cash and investments totaling $286.3 million as of December 31, 2023, indicating a strong financial position to support future growth [62] Other Important Information - The company welcomed Dr. Joanne Quan as the new Chief Medical Officer, emphasizing her leadership and expertise in driving future value creation [51] - The company is focused on addressing unmet medical needs in rare diseases, particularly through the development of therapies for conditions like PSC and PBC [59][117] Q&A Session Summary Question: Can you discuss the 2024 net product sales guidance and contributions from LIVMARLI versus CHENODAL and CHOLBAM? - Management refrained from providing specific product-level guidance but noted strong dynamics across products, with expectations of mid-single-digit growth for bile acid products and continued strong growth for LIVMARLI [66] Question: What are the expectations for the VANTAGE study and its impact on outcomes? - Management indicated that significant impact on pruritus would be clinically meaningful and that the study is designed to address an important unmet medical need [88][90] Question: Can you provide details on the sales numbers for LIVMARLI and bile acid products for Q4? - LIVMARLI totaled $41.4 million worldwide, with $31.4 million from the U.S. and $10 million internationally, while bile acid products generated $28.1 million for Q4 [105]
Mirum(MIRM) - 2023 Q4 - Earnings Call Transcript