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    Marc Frahm's questions to Revolution Medicines Inc (RVMD) leadership

    Marc Frahm's questions to Revolution Medicines Inc (RVMD) leadership • Q2 2025

    Question

    Marc Frahm from TD Cowen asked for characterization of the chemotherapy regimens being considered for the first-line pancreatic cancer trial, specifically how much they might be dose-adjusted from standard of care. He also sought clarification on whether the guided 2026 data readout for the second-line trial refers to the final analysis or includes interim analyses.

    Answer

    CEO Mark Goldsmith stated that the chemotherapy dosing being studied is well within standard practice and that the 2026 data readout refers to the first analysis, which could be either an interim or final analysis as it is event-driven. He noted that the first analysis cannot be skipped and the company is optimistic about delivering a report in 2026 based on robust enrollment.

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    Marc Frahm's questions to Revolution Medicines Inc (RVMD) leadership • Q1 2025

    Question

    Marc Frahm of TD Cowen asked about the average follow-up in the combination cohorts to gauge durability and questioned what specific data (e.g., safety, robust PFS) is needed before the company formally declares Phase III intent for these combinations.

    Answer

    Dr. Mark Goldsmith, CEO, directed the question on follow-up to previously released December data. Dr. Stephen Kelsey, President of R&D, explained that the non-G12C program is operationally ready, while the G12C program is gated by dose optimization of the RAS(ON) doublet for the first-line setting. Both executives clarified that achieving mature PFS data is not a gating factor, as the high response rates observed in lung cancer are considered a reasonable correlate for PFS.

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    Marc Frahm's questions to Revolution Medicines Inc (RVMD) leadership • Q4 2024

    Question

    Marc Frahm of TD Cowen questioned the design of the adjuvant PDAC trial regarding patient inclusion criteria and the use of hierarchical analysis for RAS mutations. He also asked about the strategic balance between moving quickly versus ensuring optimal trial design for long-term success.

    Answer

    Chief Medical Officer Dr. Wei Lin indicated the goal is to include the broadest possible patient population in the adjuvant trial, potentially an 'all-comer' approach for RAS-mutant PDAC. CEO Dr. Mark Goldsmith addressed the strategic question by emphasizing the urgency to serve patients and the competitive need to 'create the bar' rather than chase others. He described the situation as an 'embarrassment of riches' that necessitates swift, real-time decision-making.

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    Marc Frahm's questions to Revolution Medicines Inc (RVMD) leadership • Q3 2024

    Question

    Marc Frahm questioned why the timelines for the pancreatic and lung cancer Phase III trials have diverged since the parallel decision to pursue them a year ago. He also asked about the company's broader strategy for novel-novel combinations.

    Answer

    Dr. Mark Goldsmith, Chairman and CEO, responded that while the steps to start trials are similar, practical realities like enrollment can cause timelines to diverge and are difficult to predict a year in advance. Regarding combinations, he stated the Tango collaboration is not a one-off and they expect more, but internal priorities remain combinations of RMC-6236 with other RAS(ON) inhibitors, pembrolizumab, and chemotherapy.

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    Marc Frahm's questions to Scholar Rock Holding Corp (SRRK) leadership

    Marc Frahm's questions to Scholar Rock Holding Corp (SRRK) leadership • Q2 2025

    Question

    Marc Frahm of TD Cowen asked for more detail on payer discussions regarding the budget impact of two concurrent SMA drugs and whether the planned new indication is a single pilot or the start of a broader pipeline expansion.

    Answer

    COO Keith Woods noted that payers already cover two concurrent SMA therapies for some patients, setting a precedent. President of R&D Akshay Vaishnaw confirmed the new indication is the first of many, stating the company sees "enormous opportunity" for its myostatin platform and will add more indications "in quick succession."

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    Marc Frahm's questions to Scholar Rock Holding Corp (SRRK) leadership • Q1 2025

    Question

    Marc Frahm asked for perspective on the apitegromab launch trajectory, comparing it to prior SMA launches by weighing tailwinds like established screening and treatment centers against headwinds like a less acute initial unmet need.

    Answer

    CEO David Hallal focused on the persistent unmet need, noting that even treated patients can experience motor function loss. COO Keith Woods added that while patient identification is an advantage, the launch dynamic will differ from prior SMA launches because patients are already on therapy and have less frequent physician visits, suggesting a steady, consistent launch.

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    Marc Frahm's questions to Scholar Rock Holding Corp (SRRK) leadership • Q4 2024

    Question

    An analyst on behalf of Marc Frahm asked about the potential implications of the FDA's recent draft guidance on obesity clinical trials for the SRK-439 program, noting the agency's continued focus on BMI and overall weight loss rather than body composition.

    Answer

    Executive Jay Backstrom responded that they were not surprised by the FDA's approach but noted the guidance now asks sponsors to assess lean mass loss, reinforcing the importance of their strategy. He highlighted that the FDA guidance invites discussion on body composition, which he sees as 'foreshadowing.' He reiterated that a clear path for approval would be to show additional benefit on endpoints like HbA1c or functional measures.

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    Marc Frahm's questions to Agios Pharmaceuticals Inc (AGIO) leadership

    Marc Frahm's questions to Agios Pharmaceuticals Inc (AGIO) leadership • Q2 2025

    Question

    Marc Frahm from TD Cowen asked about the status of the thalassemia regulatory review, including whether labeling discussions have begun and what to expect for the safety information. He also questioned if the current SG&A spending level represents a run-rate or if further increases are expected for the launch.

    Answer

    CMO Dr. Sarah Gheuens noted the review is ongoing and the final label will be known at the PDUFA date, but at a minimum, the label will be updated for the thalassemia indication and dose. CFO Cecilia Jones stated that some additional growth in SG&A is expected for launch-related expenses post-approval.

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    Marc Frahm's questions to Incyte Corp (INCY) leadership

    Marc Frahm's questions to Incyte Corp (INCY) leadership • Q2 2025

    Question

    Marc Frahm of Cowen sought clarification on whether the mutant CALR program requires convincing monotherapy activity in MF to advance and if the G12D program needs to be best-in-class to justify further investment.

    Answer

    President and Head of R&D Pablo Cagnoni confirmed they 'absolutely have to have single agent activity in MF' for the CALR program. Regarding G12D, CEO Bill Meury stated the hurdle is high and the position must be defensible. Pablo Cagnoni added that their G12D inhibitor's potential for better combinability could be a key differentiator, particularly in pancreatic cancer.

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    Marc Frahm's questions to Incyte Corp (INCY) leadership • Q1 2025

    Question

    Marc Frahm asked if Incyte would discuss the pivotal path for Klar upon its data release and questioned if the povorcitinib HS data could help prospectively identify patients who would respond better to a JAK inhibitor versus an IL-17.

    Answer

    Executive Pablo Cagnoni confirmed that next steps for Klar will be discussed with the data release. Regarding povorcitinib in HS, he explained that it is difficult to prospectively identify patient responders but noted that the company has a clear view of where the drug will fit into the treatment paradigm initially.

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    Marc Frahm's questions to Incyte Corp (INCY) leadership • Q4 2024

    Question

    Marc Frahm from TD Cowen asked for clarification on the povorcitinib HS trial protocol regarding antibiotic use and how it compares between Phase II and Phase III. He also requested a breakdown of the U.S. versus ex-U.S. growth assumptions within the 2025 Opzelura guidance.

    Answer

    Pablo Cagnoni, President, Head of R&D, confirmed that antibiotic use is treated identically in Phase III as it was in Phase II, where starting systemic antibiotics for a flare is considered a non-response. Christiana Stamoulis, CFO, stated that while the global Opzelura guidance includes increased contribution from Europe (Germany, France, Italy, Spain), the company will not be providing a regional breakdown.

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    Marc Frahm's questions to Incyte Corp (INCY) leadership • Q3 2024

    Question

    Marc Frahm of TD Cowen questioned the rationale for adding a 25 mg dose to the INCB00262 trial and asked what minimum efficacy bar would be needed to justify its use after antihistamines in chronic spontaneous urticaria (CSU).

    Answer

    An unnamed executive reiterated that the 25 mg cohort was a separate study initiated early to be ready for Phase III as soon as possible. Regarding the efficacy bar, he stated that since all trial patients are refractory to antihistamines, demonstrating efficacy over placebo combined with an expected excellent safety profile would be sufficient for INCB00262 to become a first option after antihistamines for some patients.

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    Marc Frahm's questions to Kymera Therapeutics Inc (KYMR) leadership

    Marc Frahm's questions to Kymera Therapeutics Inc (KYMR) leadership • Q4 2024

    Question

    Marc Frahm from TD Cowen asked about Phase Ib enrollment criteria regarding prior therapies, whether the Phase IIb trials would be sufficient to inform dosing for all indications, and the acceptable efficacy bar for success relative to DUPIXENT.

    Answer

    CMO Jared Gollob confirmed prior-treated patients could enroll if they had responded previously. CEO Nello Mainolfi expressed high confidence the two Phase IIb studies would be sufficient for broader Phase III dose selection. He stated Kymera's internal bar is to be 'dupi-like' and they do not expect a lesser effect.

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    Marc Frahm's questions to Kymera Therapeutics Inc (KYMR) leadership • Q3 2024

    Question

    Marc Frahm of TD Cowen asked about the reliability of Th2 biomarker changes in healthy volunteers for KT-621 compared to historical dupilumab data, and whether cost savings from deprioritizing oncology would be reinvested into the immunology pipeline.

    Answer

    CEO Nello Mainolfi explained that the primary endpoint is STAT6 protein degradation, the most direct biomarker, noting that downstream markers like IgE and TARC are variable in healthy volunteers but should be in line with precedents. CFO Bruce Jacobs confirmed that savings from the oncology shift will be meaningfully reinvested into the immunology pipeline, maintaining the company's cash runway guidance into mid-2027.

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    Marc Frahm's questions to Kymera Therapeutics Inc (KYMR) leadership • Q1 2024

    Question

    Marc Frahm asked about the newly disclosed IRF5 program, questioning the minimum target degradation level required for efficacy and the importance of demonstrating superior efficacy in diseases like lupus, where there is significant room for improvement, versus simply matching existing therapies with oral convenience.

    Answer

    President and CEO Nello Mainolfi, CMO Jared Gollob, and Senior Director of Immunology Veronica Campbell all contributed. Nello Mainolfi stated that preclinically, over 80% degradation provides a best-in-class profile and that superiority is a key goal in lupus due to high unmet need. Jared Gollob added that over 90% knockdown is achievable and safe in NHP models. Veronica Campbell emphasized that they expect superior efficacy by targeting multiple disease biologies simultaneously.

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