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cept Therapeutics rporated(CORT) - 2024 Q1 - Earnings Call Transcript

Financial Data and Key Metrics Changes - The company's revenue for Q1 2024 was $146.8 million, representing a 39% increase compared to the same quarter of the previous year [60] - Net income for the first quarter was $27.8 million, up from $15.9 million in the prior year [60] - Cash and investments as of March 31 were $451 million [60] - The revenue guidance for 2024 has been increased to a range of $620 million to $650 million [60] Business Line Data and Key Metrics Changes - The Korlym business continues to thrive, with a record number of new prescribers and patients [62] - The GRACE study showed that 63% of patients with hypertension met the study's response criteria, with significant improvements in blood pressure [68] - In the GRACE study, patients exhibited improvements in mean systolic and diastolic blood pressure of 12.6 and 8.3 mmHg from baseline, respectively [68] Market Data and Key Metrics Changes - The CATALYST study revealed that 25% of patients with difficult-to-control Type 2 diabetes were found to have hypercortisolism, indicating a higher prevalence than previously assumed [9] - The company is seeing increased awareness and diagnosis of Cushing's syndrome, which is expected to drive market growth [101] Company Strategy and Development Direction - The company is focused on advancing its proprietary selective cortisol modulator, relacorilant, which has shown promise in treating Cushing's syndrome and various cancers [63][70] - There is a strategic emphasis on enhancing disease awareness and screening for hypercortisolism, which is expected to expand the market for Korlym and relacorilant [25][89] - The company plans to explore broader applications of relacorilant in oncology, particularly in combination with chemotherapy agents [33] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the growth of the Cushing's syndrome franchise due to the positive results from the GRACE study and increased disease awareness [15][25] - The company anticipates that the full impact of the CATALYST study will be felt in 2025 and beyond, as data generation takes time to translate into clinical practice [101] - Management is optimistic about the potential for relacorilant to improve patient outcomes in various conditions, including cancer [70] Other Important Information - The company is currently involved in ongoing litigation with Teva Pharmaceuticals regarding patent infringement related to Korlym, with a decision expected in early 2025 [61][67] - The GRACE study is a pivotal trial for relacorilant, with data expected to support the submission of a new drug application [63][68] Q&A Session Summary Question: What drove the revenue growth in Q1? - Management noted an increase in first-time prescribers, prescriptions, and patients on Korlym, driven by improved field execution [81][82] Question: How is the company addressing potential generic competition? - Management stated that they are prepared for generic competition and have a plan in place to defend market share while continuing to grow the business [41][95] Question: What is the expected impact of the CATALYST study? - Management believes that the CATALYST results will increase screening for hypercortisolism, but the full impact will take time to materialize [101] Question: What is the confidence level regarding the randomized withdrawal phase of the GRACE study? - Management expressed strong belief that 12 weeks is sufficient to observe a statistically significant difference in patient outcomes [103] Question: How will the company approach commercialization if relacorilant is approved? - Management indicated plans to switch patients from Korlym to relacorilant while leveraging the existing market for both products [105]