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BridgeBio Pharma, Inc. (BBIO)·Q2 2024 Earnings Summary

Executive Summary

  • Q2 2024 revenue was $2.17M and GAAP EPS was -$0.39; EPS beat consensus (-$1.00) while revenue missed ($3.96M), driven by the timing of license/service recognition versus Q1’s upfronts from Bayer/Kyowa Kirin .
  • Cash, cash equivalents, marketable securities, and short-term restricted cash ended at $587.2M, supporting commercialization readiness for acoramidis ahead of the November 29, 2024 PDUFA date .
  • Clinical execution was strong: acoramidis ATTRibute-CM analyses showed significant reductions in composite ACM/CVH and quality-of-life benefits; PROPEL 2 Cohort 5 in achondroplasia showed sustained AHV improvements and body proportionality; FORTIFY surpassed interim enrollment .
  • No quantitative financial guidance was issued; near-term stock catalysts remain regulatory milestones (acoramidis PDUFA), Phase 3 enrollment completion targets (2024) and anticipated readouts in 2025 .

What Went Well and What Went Wrong

What Went Well

  • “We are well positioned to launch acoramidis and achieve three readouts in 2025,” reflecting confidence in commercialization and pipeline momentum .
  • ATTRibute-CM: acoramidis demonstrated a 42% reduction in composite ACM/CVH events by Month 30, with benefits evident by Month 3; analyses also showed statistically significant reductions in ACM in the ITT population (p=0.04) and improvements in EQ-5D-5L and KCCQ .
  • Achondroplasia program PROPEL 2: +2.50 cm/yr AHV at Month 18 and statistically significant body proportionality improvement (upper:lower segment ratio from 2.02→1.88) with encouraging tolerability; investigator commentary highlights potential functional benefits .

What Went Wrong

  • Revenue missed consensus ($2.17M vs $3.96M) as Q2 lacked the sizable upfront license recognition seen in Q1; license/service revenue timing remains a volatility driver pre-product launch .
  • Operating costs rose YoY (+$30.0M), led by SG&A for commercialization readiness and increased R&D; restructuring/impairment charges persisted though lower YoY .
  • The business remains loss-making (net loss attributable to common stockholders: -$73.5M), despite a one-time $126.3M gain on deconsolidation recorded in other income; investors may focus on underlying burn absent product revenue in Q2 .

Financial Results

MetricQ4 2023Q1 2024Q2 2024
Revenue ($USD Millions)$1.745 $211.120 $2.168
Net Loss per Share (GAAP EPS) ($USD)$(0.96) $(0.20) $(0.39)
Operating Costs and Expenses ($USD Millions)$179.161 $210.777 $177.707
Income (Loss) from Operations ($USD Millions)$(177.416) $0.343 $(175.539)
Total Other Income (Expense), net ($USD Millions)$7.088 $(36.503) $99.995
Net Loss Attributable to Common Stockholders ($USD Millions)$(168.148) $(35.216) $(73.456)
Cash, Cash Equivalents, Marketable Securities & Short-term Restricted Cash ($USD Millions)$392.6 $519.8 $587.2

Revenue vs Estimates (Q2 2024):

MetricPrior Year Q2 2023Consensus (Q2 2024)Actual (Q2 2024)Surprise
EPS ($USD)$(0.98) $(1.00) $(0.39) +$0.61 (beat)
Revenue ($USD Millions)$1.641 $3.96 $2.168 -$1.79 (miss)

Operating expense detail:

MetricQ1 2024Q2 2024
R&D ($USD Millions)$141.570 $115.293
SG&A ($USD Millions)$65.807 $59.523
Restructuring, impairment and related charges ($USD Millions)$3.400 $2.891
Gain on deconsolidation of a subsidiary ($USD Millions)$126.294
Loss on extinguishment of debt ($USD Millions)$26.590

Notes:

  • Revenue composition: Q2 revenue primarily reflects services under Bayer and Kyowa Kirin license/collaboration agreements; no product revenue recognized in Q2. Q1 revenue included non-refundable upfront payments under those agreements .

Guidance Changes

MetricPeriodPrevious GuidanceCurrent GuidanceChange
Acoramidis NDA (ATTR-CM)U.S.PDUFA date Nov 29, 2024 PDUFA date Nov 29, 2024 Maintained
Acoramidis MAA (EMA)EUMAA accepted; expected approval in 2025 No change reiterated in Q2 materials context Maintained
ACT-EARLY prevention trial (acoramidis)2024Not specifiedInitiation expected later in 2024 New in Q2
PROPEL 3 (infigratinib, achondroplasia)EnrollmentEnrollment completion in 2024 Enrollment completion in 2024; study completion anticipated 2025 Maintained
FORTIFY (BBP-418, LGMD2I/R9)Interim enrollmentFull enrollment of interim analysis pop. expected 2024 Interim enrollment target surpassed; topline interim in 2025 Progressed
CALIBRATE (encaleret, ADH1)ToplineTopline in 2025 Topline in 2025 Maintained

Earnings Call Themes & Trends

TopicPrevious Mentions (Q4 2023 & Q1 2024)Current Period (Q2 2024)Trend
Regulatory/legal (acoramidis)NDA accepted (U.S. PDUFA 11/29/24); MAA accepted at EMA PDUFA date reiterated; new prevention trial ACT-EARLY planned Stable timelines; expanding program
Product performance (ATTRibute-CM)Rapid time-to-event benefit from Month 3; survival/CVH rates comparable to broader populations Significant ACM/CVH reduction; QoL improvements (EQ-5D-5L, KCCQ); ACM reduction in ITT (p=0.04) Strengthening dataset
R&D executionPROPEL 3, FORTIFY, CALIBRATE ongoing; 2024 enrollment targets FORTIFY interim enrollment target surpassed; PROPEL 2 Cohort 5 Month 18 data; CALIBRATE ongoing Execution progressing
Financing/capitalBlue Owl/CPP royalty & credit facilities; balance sheet strengthening Cash at $587.2M supports launch readiness Solid liquidity

Management Commentary

  • “We are well positioned to launch acoramidis and achieve three readouts in 2025. Our differentiated capability to develop multiple candidates for genetic-based diseases provides a unique opportunity to create significant value for patients and shareholders.” — Neil Kumar, CEO .
  • “With our recent equity financing activities, our licensing deal with Bayer for European commercial rights to acoramidis, our royalty funding agreement for $500 million upon FDA approval of acoramidis, and now the private financing of BBOT… we are in a strong financial position to launch acoramidis in the US at the end of this year and deliver three Phase 3 readouts in 2025.” — Brian Stephenson, CFO (Q1) .
  • “These data indicate that treatment with infigratinib is continuing to show increased growth velocity and improvements in body proportionality in children with achondroplasia… build toward providing a safe and effective oral therapy.” — Dr. Ravi Savarirayan, PROPEL 2 global lead investigator .

Q&A Highlights

  • The Q2 2024 earnings call transcript was not available in our document catalog or via standard sources; Q&A highlights are therefore unavailable based on accessible primary documents. We searched for “earnings-call-transcript” and “other-transcript” for BBIO between July–August 2024 and found none [functions.ListDocuments results showing 0].

Estimates Context

  • Q2 2024 EPS beat consensus (-$0.39 vs -$1.00), while revenue missed ($2.17M vs $3.96M) .
  • S&P Global (Capital IQ) consensus requests were attempted but unavailable due to request-limit errors; therefore, MarketBeat was used for consensus reference, and S&P Global data could not be retrieved for inclusion in tables at this time [GetEstimates error].

Key Takeaways for Investors

  • Near-term catalyst: acoramidis PDUFA on November 29, 2024; management emphasizing launch readiness and supportive ATTRibute-CM analyses enhances launch thesis .
  • Pipeline execution is on track and de-risking: FORTIFY achieved interim enrollment target (interim topline in 2025), PROPEL 2 Cohort 5 Month 18 data remain strong, and CALIBRATE topline expected in 2025 .
  • Q2’s revenue miss versus consensus reflects licensing timing versus Q1’s upfronts; pre-launch quarters will likely remain volatile in revenue with EPS benefiting from one-time items (deconsolidation gain) — focus on cash runway and catalyst schedule .
  • Operating expense intensity (SG&A/R&D) aligns with commercialization and Phase 3 execution; monitor expense trajectory into launch and 2025 readouts .
  • Cash of $587.2M provides flexibility through key milestones; financing actions in H1 fortified the balance sheet ahead of launch .
  • Clinical differentiation narrative continues to build for acoramidis (earlier event separation, mortality/CVH reductions, QoL gains); supports competitive positioning in ATTR-CM .
  • Trading implication: regulatory outcome and early launch signals for acoramidis will likely be the primary stock drivers near term; pipeline interim/topline readouts in 2025 add medium-term optionality .