Question · Q4 2025
John, on behalf of Serge Bélanger, asked about the key levers BioCryst will focus on in 2026 for ORLADEYO, beyond the recent 9% price increase, specifically regarding new patient adds and improvements in paid prescription rates. He also inquired about the pacing of patient identification and conversion for the pediatric pellet formulation and its material contribution to 2026 guidance.
Answer
President and CEO Charlie Gayer stated that net patient growth (150 patients per year) is the most important KPI for ORLADEYO to reach $1 billion by 2029, alongside incremental improvements in paid rates. For pediatric pellets, he highlighted the market growth opportunity due to underdiagnosis and low prophy usage in kids, noting that the launch is included in 2026 guidance but conservatively estimated for this year.
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