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再鼎医药 (ZLAB.US/09688.HK) 2025年第三季度业绩电话会
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会议摘要
The dialogue highlights xLab's third quarter 2025 financial results, showcasing 14% year-over-year revenue growth to $116.1 million, driven by Vivagard. The company's pipeline includes SoC 1310 in pivotal trials, ADCs for various cancers, and immunocytokine therapies. Commercial growth in China is emphasized, with updates on Vivagard's treatment cycles and strategic decisions on the Bima project. The CFO anticipates profitability post Q4 2025, with a robust financial position and $817 million in cash reserves, aiming for at least $460 million in four-year total revenue.
会议速览
Xlab's Vision for Global Innovation and China's Commercial Growth
The call highlights Xlab's progress in global drug development, aiming for a 2027-2028 global approval, while navigating China's complex commercial landscape with a focus on profitability and innovation. The company emphasizes its global pipeline advancements, regulatory improvements, and strong commercial team, expressing confidence in long-term potential.
L 1009: Promising Phase 1 Data and Advancing Phase 3 Trials in Small Cell Lung Cancer
L 1009 shows strong efficacy with an overall response rate of 68% and disease control rate of 94% in heavily pretreated extensive-stage small cell lung cancer patients. A best-in-class safety profile supports its potential for first-line combination therapy. Enrollment in a phase 3 trial for accelerated approval is underway, alongside plans for novel mechanism combinations and studies in neuroendocrine carcinomas.
Innovative Biopharmaceuticals: Advancements in Phase 1 Clinical Trials for Inflammatory Diseases and Cancer
Internally developed compounds targeting inflammatory diseases and cancer are progressing through phase 1 trials. Cl 1 oh 3, with dual H and inflam targeting, shows promise for less frequent dosing and is being developed as a subcutaneous formulation. Cl 6201, an lrrc 15 targeted antibody, is on track for U.S. IND submission and global phase 1 initiation. TL 1 222, a next-gen PD-1/IL-12 immunocytochem, aims to deliver cytokine signaling directly to the tumor microenvironment, preserving Pg 1 checkpoint blockade. Preclinical results support broader applications, with human data anticipated by 2026.
Global Expansion of Immunology and Neuroscience Programs with Key Milestones and Breakthroughs
The dialogue highlights significant advancements in late-stage regional programs focusing on immunology and neuroscience, including positive outcomes in autoimmune indications, phase 3 trials, and breakthrough therapy designations. It outlines upcoming milestones for the next 12 months, such as initiating registration studies for lung cancer and neuroendocrine carcinomas, advancing novel mechanisms into phase 1 development, and progressing anti-TG1/IL-12 agonist therapies. The summary reflects a comprehensive update on the company's robust pipeline and strategic focus on clinical differentiation and efficiency.
New Chief Business Officer Joins, Driving Portfolio Expansion and Commercial Growth
A new Chief Business Officer, with scientific and investment expertise, is welcomed to lead portfolio expansion and value unlocking. The company reports $116 million in total revenues, a 14% increase year-over-year, with strong Viv Gard and Viv Gard Hytrust sales, despite a price adjustment for alignment with national guidelines.
Viv Gard's Steady Growth in China's Immunology Market and Future Prospects
The dialogue highlights Viv Gard's success as a leading immunology drug in China, emphasizing patient demand and treatment duration as key growth drivers. It discusses the shift from episodic to maintenance use, expanding access in Cidp, and the promising future with new indications and Car Xt's potential in schizophrenia treatment. The speaker underscores the importance of physician education and strategic investments for sustainable growth.
Strong Q3 Revenue Growth Amid Strategic Cost Management and Path to Profitability
Third quarter revenue increased 14% year-over-year to $116.1 million, driven by Nusra sales and market penetration. Despite challenges in certain segments, the company forecasts at least $460 million in total revenue for the year. Focused on financial discipline, R&D and SGA expenses as a percentage of revenue declined, contributing to a 28% improvement in operating loss. With a solid cash position and strategic investments, the company is on track for profitability, aiming to update 2026 guidance post-annual earnings.
Revenue Growth Drivers, Profitability Path, and ZL1503 Data Readout Expectations
Discussed key revenue growth drivers including Vivgurt, Vidula, and portfolio momentum, with expectations for continued growth and profitability through top-line expansion. Addressed ZL1503's anticipated 2026 data readout and opportunities in atopic dermatitis, highlighting strategic focus areas for future development.
Shift in Resource Allocation: Emphasizing Internal Pipeline Development Over External BD
The dialogue highlights a strategic pivot towards prioritizing internal development programs, evidenced by the initiation of a multi-country study for a novel dual IO 1331 inhibitor molecule. This shift from external business development to nurturing the internal pipeline is underscored by the molecule's potential in treating common diseases and expanding to other Th2 conditions, promising substantial opportunities. Progress in global development programs is being emphasized, with expectations of presenting data mid-next year, reflecting a confident outlook on the molecule's efficacy and market potential.
Prioritizing Pipeline Development and Commercial Growth in China for Enhanced Global Opportunities
The discussion highlights the company's focus on advancing its global pipeline, particularly with the 1310 program, which shows promising activity and safety profiles, including efficacy in brain metastases. The strategy includes expanding into first-line and neuroendocrine tumor treatments, leveraging a strong balance sheet for targeted external opportunities, and sustaining RD investment while maintaining budgetary control. The commercial business in China is emphasized for its profitability and growth potential.
Innovative Approaches in Oncology: Targeting Tumor Microenvironment and Engineering IL-12 for Enhanced Cancer Therapy
Discusses advancements in oncology, focusing on targeting tumor microenvironments with LRC 15, engineering a less toxic IL-12 variant to restore PD-1 resistant tumors, and the rapid development of investigational new drug applications for cancer therapies.
Strategies for Car Xt Launch and Insights into China's Schizophrenia Market
The dialogue discusses preparations for Car Xt's launch, emphasizing its potential in China's schizophrenia market. With no new mechanisms approved in over 70 years, Car Xt aims to address E on positives, negatives, and Co. A targeted sales force and education program are planned, focusing on larger institutions where patients are concentrated. The approval is anticipated for 2026, with NRD listing aimed for 2027, highlighting the significant opportunity for treating schizophrenia patients.
Update on 2028 Revenue Goal and Pathway for Endocrine Tumor Approval
A company reassures about its $2 billion 2028 revenue target, citing new growth from outside China, particularly with potential U.S. approvals. They discuss progress on xith and vigar, adding pove and bell to future launches. Regarding endocrine tumors, they outline a plan for single-arm trials targeting high-proliferation tumors, aiming for a 30%-40% response rate, considering accelerated approval due to the lack of existing therapies.
Analysis of Guidance Challenges and RD Pipeline Growth for a Global Company
The dialogue explores the company's encountered challenges in China impacting Viv car and Jula la i.n., reassessing fourth quarter cash breakeven targets, and discusses the evolution of xlab towards a global RD company, focusing on early stage pipeline development.
Strategic Portfolio Management and Market Opportunities in Oncology ADCs
The dialogue discusses the strategic approach to managing a portfolio of oncology ADCs, highlighting the challenges and opportunities in market penetration and profitability. Key points include the slower-than-expected ramp-up of Viv Gard in the market, the anticipated share gain for Zejula as Lymphar goes generic, and the supply constraints affecting Zack Doro. The conversation underscores the importance of long-term strategies, including promotional and educational efforts, and anticipates continued growth and improved profitability in the coming years.
Expanding Drug Portfolio with Focus on Oncology and Immunology
The dialogue highlights the company's strategy to grow its drug portfolio by blending internal and external opportunities, with a strong emphasis on oncology through antibody drug conjugates and immunotherapies. It also touches on the focus on autoimmune and anti-inflammatory diseases for global development, underscoring the commitment to innovative treatments and novel mechanisms of action.
Insights on Viv Guard's Patient Cycle Progress and Future Sales Outlook
Discussion focused on Viv Guard's patient cycle advancements, projecting continued growth towards an average of three cycles per year, supported by national guidelines and physician education efforts. Also touched on potential pathways for China-based trials following Amgen's announcement, hinting at ongoing possibilities despite challenges.
Discussion on Bima Data Analysis and Pipeline Deployment Strategy
The dialogue covers the ongoing analysis of Bima data, challenges in obtaining approval in China, and the decision to focus resources on the current pipeline. The team will collaborate with Amgen on translational markers and subgroups, aiming to optimize the pipeline and leverage available resources effectively. The conversation concludes with gratitude to participants and an invitation for future updates.
要点回答
Q:What are the updates on the clinical trials for the new drug candidates?
A:The new drug candidate, SOC 1310, has entered the pivotal stage less than two years from its phase 1 trial, indicating an extraordinary pace in the industry. The company is on the path for its first global approval by early 2027. Another program, L 30 or 31, is in development as a best-in-class topical therapy. Furthermore, the company has built a global organization that is rapidly expanding its portfolio with highly differentiated programs and is expected to initiate a phase II study next year following ongoing combination studies.
Q:What is the status of the commercial business in China?
A:The commercial business in China is currently profitable and on a steady, profitable growth path. However, the pace has been slower than expected. Despite a complex and dynamic environment, there are encouraging signs of progress, such as faster regulatory reviews and more transparent R&D negotiations. The company has one of the strongest commercial teams and a portfolio of differentiated high-potential assets, which contributes to their confidence in the long-term potential of the business.
Q:What are the results of the phase 1 trial for the heavily pretreated patient population with extensive stage small cell lung cancer?
A:In the phase 1 study for previously treated extensive stage small cell lung cancer, at the 1.6 mg per kilogram dose, an overall response rate of 68% and a disease control rate of 94% were observed. Notably, there were strong efficacy signals in patients with brain metastases, with an overall response rate of 44% in brain metastases lesions. The median duration of response was 6.1 months and the median progression-free survival was 5.4 months. The safety profile at the 1.6 mg per kilogram dose was favorable, with only 13% of patients experiencing grade 3 or higher treatment-related adverse events.
Q:What are the plans for the registration phase 3 trial and the first line strategy for the new drug candidate?
A:The company has initiated enrollment in a registration phase 3 trial for extensive stage small cell lung cancer with the potential for an accelerated approval submission. They are also advancing the first line strategy with plans to start a phase II study next year following results from ongoing combination studies evaluating the new drug candidate with PDL-1, with and without chemotherapy. Furthermore, the new drug candidate is being evaluated in neuroendocrine carcinomas, which have a poor prognosis and no targeted therapies, with plans to present results in the first half of the following year and move into a registrational study thereafter.
Q:What are the details on the internally discovered assets and their progression?
A:The internally discovered asset Cl 1 oh 3 is in phase 1 for atopic dermatitis and has a dual mechanism targeting both T and B cell inflammation with an extended half-life for less frequent dosing. A subcutaneous formulation is being developed, and preclinical results suggest its potential for use in other inflammatory diseases with human data expected in 2026. Another internally discovered asset, Cl 6201, is an lrrc 15 targeted antibody that remains on track for a U.S. IND submission by year-end and a global phase 1 study initiation early next year. Additionally, TL 1 222, another internally discovered asset, is in development as a next-generation PD-1 IL-12 immunocytokine designed to deliver cytokine signaling directly into the tumor microenvironment.
Q:What are the updates on the late-stage regional programs in immunology and neuroscience?
A:The updates include a contingent map expansion across multiple autoimmune indications, a positive global phase C study in seronegative TNG, and the initiation of phase 3 studies for ocular Ng myositis and thyroid IDC in China. A global pivotal phase 2/3 CD in primary membranous nephropathy was also initiated in October with plans to enroll patients in China this quarter. These achievements reflect the pipeline's depth and quality.
Q:What significant achievements and upcoming developments are mentioned for the China business?
A:The China business has experienced significant developments such as the addition of phase 3 studies for seronegative GMG, and the potential inclusion of China in the interim analysis plan for the global Rainier phase, which could support an accelerated approval submission next year. The business is focused on reshaping the management of chronic diseases through new treatments like Viv Gard, which is commercially profitable, and the introduction of new indications and formulations such as Sero-negative GMG and Car Xt.
Q:What are the upcoming milestones for Zhi in the immunology space?
A:Zhi is expecting a 'catalyst-rich year' with updates on premium data for first-line small cell lung cancer, results from the incarcerated study, and data from registration studies in first-line lung cancer and neuroendocrine carcinomas. New trials with novel combinations across spinal therapy are also planned, alongside the initiation of global phase 1 development for Zl 1103 or Il 1005, and advancing L 6201 or LRC 15 into global phase 1 development.
Q:What updates were provided regarding the company's financial performance and guidance?
A:Total revenue grew 14% year over year to $116.1 million, driven by higher sales of Nusra and increasing market coverage. For the coming year, the company has updated its four-year total revenue guidance to at least $460 million. The cost structure showed significant improvements with RD expenses decreasing 27% and HNA expenses increasing only 4%. Loss from operations improved 28%, and adjusted loss from operations excluding certain non-hatch items was $28 million, a 42% improvement. Despite expecting a meaningful quarter-over-quarter improvement in adjusted operating loss, profitability is now expected to shift beyond the fourth quarter due to a lower revenue base this year. The company remains financially strong, with a China business that is commercially profitable and growing, and maintains a solid financial foundation with $817 million in cash.
Q:What is the status of the regulatory review for Car Xt and its potential impact?
A:Car Xt is currently under regulatory review and has the potential to redefine schizophrenia treatment in China by introducing the first new mechanism of action in over 70 years. It has been included in the China Schizophrenia Prevention and Treatment Guidelines, underscoring its strong differentiation and anticipated clinical impact. A successful review would significantly bolster the company's growth prospects.
Q:What are the key drivers for growth and path to profitability?
A:The key drivers for growth include V Gar T, new patient additions, and continued growth in durability of treatment. As for profitability, it will be driven by the growth of the business in China, which is currently profitable and can cover RD and corporate costs.
Q:What is the expected timeline for initial data readout on Zl 15 oh 3?
A:The initial data readout for Zl 15 oh 3 is expected in 2026. The molecule is anticipated to have a fast and sustained effect due to its dual IO and TROP-2 inhibition, and it is in a phase of initiating trials with multiple countries involved.
Q:What is the potential opportunity with Zl 15 oh 3 in terms of targeting and disease expansion?
A:Zl 15 oh 3 has the potential to address a large market as it is a common disease, and even a small percentage of capture in AD could represent a substantial opportunity. Additionally, it has the possibility of expanding to other Th2 diseases, which makes it a very promising product.
Q:What is the near-term focus for 1310 and how does it expand into new markets?
A:The near-term focus for 1310 is to get the registration trial up and running and to expand into first-line therapy and neuroendocrine tumors. This reflects a strategy to advance the pipeline and continue to build on the company's profitable commercial business in China.
Q:What are the upcoming clinical trials involving the company's therapies?
A:The company has two INDs (Investigational New Drugs) in the process, one of which will start enrolling this year, and another set to start in January. PD 1-IL 12 is a candidate that may have an IND next year, with the possibility of enrolling the first patient in the second half.
Q:How does the company plan to launch Car T-cell therapies in China and what market opportunity does it present?
A:The company plans to launch Car T-cell therapies in China with a targeted sales force, taking advantage of the concentrated patient approach in larger institutions. The opportunity is significant with millions of patients suffering from schizophrenia, and the company looks forward to getting approval and launching in 2026, moving toward a New Drug Registration listing in 2027.
Q:What updates can be provided on the $2 billion revenue target by 2028 and the expansion to new endocrine tumors?
A:While a detailed update on the $2 billion target by 2028 was not provided, the company feels good about its current portfolio and anticipates significant sales from the US in small cell lung cancers as early as late 2027. The expansion to new endocrine tumors next year will be discussed in terms of the pathway to approval and the bar to clear for such expansion.
Q:What is the potential of the new therapy for patients with certain types of cancer and what is the proposed study design?
A:The potential of the new therapy for patients with highly proliferative tumors with a poor prognosis, such as G3 adenocarcinoma (GPS) and other types, is significant. The proposed study design involves a single arm trial to characterize the response rate, with discussions planned with regulatory authorities for potential accelerated approval based on preliminary results.
Q:How does the company's guidance compare to previous expectations and what is the status of the fourth quarter cash breakeven target?
A:The company's guidance has diverged from previous expectations, particularly in China. Regarding the fourth quarter cash breakeven target, it was mentioned that the target remains intact.
Q:What is the company's strategy and focus regarding its portfolio and early-stage pipeline build-up?
A:The company's strategy and focus regarding its portfolio and early-stage pipeline build-up involve expanding into oncologyADCs (Antibody-Drug Conjugates) and continuing the development of therapies in immunology, including PD 1-IL 12. The company aims to provide more color on the decision-making process for selecting which therapies to pursue and which to leave out.
Q:What are the current challenges and focus areas related to Viv Gard's performance?
A:Viv Gard's performance is currently slower than initial expectations, with a focus on getting patients to at least three cycles of treatment. Despite this, there is underlying growth due to good response to national guidelines and promotional efforts. The market opportunity is seen as a long-term build.
Q:What is the expected timeline for Viv Gard to gain market share from Lepor as it goes generic?
A:Viv Gard is expected to gain share as Lepor goes generic. The market opportunity is related to gaining share from Lepor as it becomes generic, which is anticipated to start kicking in from the fourth quarter onwards and set the stage for further gains in the following year.
Q:What is the current status of supply constraints for Zack Doro and how is the company addressing them?
A:Zack Doro has faced supply constraints that were not anticipated at the beginning of the year. The company is working through these constraints, and it is hoped that by 2026, supply issues will be resolved to fully meet market demand.
Q:How is the company's profitability trajectory expected to continue?
A:Profitability is expected to continue on a positive path, with continued good progress in cash earnings. Top-line growth is anticipated to drive this profitability, and while the company might not reach certain targets in the fourth quarter, there will still be significant improvement, setting the stage for 2026.
Q:What is the company's strategy regarding its portfolio and future opportunities?
A:The company's portfolio is expected to grow through a blend of internal and external opportunities. Many products in development come from their protein science laboratories. The company will continue to focus on antibody drug conjugates, innovating with other antibodies, and exploring immunocytes and T cell engagers outside of oncology.
Q:What focus areas are being prioritized in the company's global pipeline?
A:The company's global pipeline is focusing on oncology and autoimmune and anti-inflammatory diseases, both for internal global development and for regional opportunities.
Q:What visibility does the company have on sales and patient cycle numbers for Viv Gard in Q4 and 2026?
A:The company is seeing good underlying growth with Viv Gard in terms of the number of cycles patients receive. The average patient cycle duration is expected to continue to rise towards the goal of three cycles per year, supported by national guidelines and promotional efforts. For Q4 and 2026, it is expected that the sequential quarterly growth in the number of vials sold will continue in the low teens.
Q:What are the challenges faced by Bima and the company's next steps?
A:Bima is experiencing an attenuated treatment effect according to the EMA data analysis. The company is working with Amgen to review translational markers and subgroups. It is considered challenging to get approval in China with the current data set, so the company is looking at redeploying resources to advance their existing pipeline.
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