Day One Biopharmaceuticals - Earnings Call - Q2 2025

Transcript

Speaker 6

Welcome to the Day One Biopharmaceuticals Q2 2025 earnings conference call. At this time, all participants are in listen-only mode. A question and answer session will follow the formal presentation. If anyone should require operator assistance during the conference, please press star then zero on your telephone keypad. As a reminder, this conference is being recorded. I would now like to turn the conference over to your host, Joey Perrone, Senior Vice President of Finance and Investor Relations. Please go ahead, sir.

Speaker 0

Thank you. Hello everyone and good afternoon. Welcome to Day One Biopharmaceuticals' second quarter financial and operating results conference call. Earlier today, we issued a press release which outlines the topics we plan to discuss today. You can access the press release and the slides to accompany this conference call on the Investors and Media section of our website at www.dayonebio.com. An audio webcast with the corresponding slides is also available on the website. Before we get started, I'd like to remind everyone that some of the statements that we make on this call and information presented in the slide deck include forward-looking statements as outlined on slide two. Actual events and results could differ materially from those expressed or implied by any forward-looking statements.

We encourage you to review the various risks, uncertainties, and other factors included in our most recent filings with the SEC and any other future filings that we may make with the SEC. These forward-looking statements are based on our current estimates and various assumptions and reflect management's intentions, beliefs, and expectations about future events, strategies, competition, products, and product candidates, operating plans, and performance. You are cautioned not to place any undue reliance on these forward-looking statements and except as required by law. Day One Biopharmaceuticals disclaims any obligation to update such statements. Today, I am joined by Dr. Jeremy Bender, Chief Executive Officer; Lauren Merendino, Chief Commercial Officer; Charles York, Chief Operating and Financial Officer; and Michael Vasconcelles, Head of Research and Development. I will now turn the call over to Jeremy.

Speaker 7

Thank you, Joey. Good afternoon and thank you all for joining us. This quarter marks a pivotal moment. One full year since the approval of OJEMDA. In just 12 months, OJEMDA has not only met expectations, it has exceeded them. With $113.1 million in cumulative net revenue for the most recent 12 months, we've demonstrated clear commercial momentum, strong physician adoption, and sustained patient demand. With OJEMDA's approval, we've transformed Day One Biopharmaceuticals into a commercial organization and laid the groundwork for long-term value creation. We've built a high-performing, focused company with demonstrated execution, a solid financial position, and a portfolio that will deliver durable growth. For the second quarter, we again delivered double-digit top-line revenue growth, generating $33.6 million in net product revenue, up 10% over our first quarter. Our total volume in Q2 exceeded 1,000 scripts for the first time, underscoring OJEMDA's continued adoption in the market.

Our continued growth and performance highlight the importance of this medicine to the physicians, patients, and caregivers in the pediatric low-grade glioma (PLGG) community. Today, we're also issuing net product revenue guidance for the first time. We project total net revenues of between $140 million and $150 million for full year 2025. This guidance is grounded in strong and persistent demand, deepening prescriber adoption, and consistent payer coverage. Looking forward, we remain sharply focused on OJEMDA commercialization and expansion. We have a clear opportunity to establish OJEMDA as a standard of care in second-line-plus PLGG. We also have opportunities in the near term for significant potential indication expansion for OJEMDA in front-line PLGG here in the U.S. through our FIREFLY-2 trial and in second-line-plus PLGG in Europe through our partner Ipsen's filing of an MAA.

Our global FIREFLY-2 confirmatory first-line trial remains on track for completion of enrollment in the first half of 2026. Our partner Ipsen announced EMA acceptance of the OJEMDA filing in Q1 and potential EMA approval mid-2026. We share Ipsen's commitment to patients and will continue to support their filings to help more patients and physicians gain access to OJEMDA. In Q2, we also welcomed Mike Vasconcelles to the company as Head of Research and Development. Mike brings decades of experience and success in oncology development and will play a pivotal role in driving the next phase of Day One Biopharmaceuticals' growth. We are also prosecuting our broader portfolio beyond OJEMDA. We recently discontinued our investment in the VRK1 program we had in-licensed from Sprint Biosciences.

Importantly, we are advancing our PTK7-targeted ADC, DAY301, through the dose escalation portion of our Phase 1A trial, and we continue to actively evaluate new opportunities for portfolio expansion. Our strong financial position remains a strategic advantage. We closed Q2 with a strong balance sheet and growing product revenue, giving us the flexibility to execute our plans without reliance on the capital markets. We are focused, well-capitalized, and committed to delivering meaningful value for patients and shareholders through our strategy to develop and commercialize new medicines. I'll now turn the call over to Lauren to discuss our commercial progress in greater detail.

Speaker 2

Thanks, Jeremy. OJEMDA continued to demonstrate strong commercial performance in the second quarter, delivering $33.6 million in net product revenue. This reflects double-digit growth over the prior quarter and marks the first time that we've surpassed 1,000 total prescriptions in a quarter. The 15% quarter-over-quarter growth in prescriptions was driven by steady expansion across both the number of prescribing accounts, or breadth, and the number of patients per account, or depth. More details on this in a moment. On a trailing 12-month basis, OJEMDA has now generated over $113 million in net revenue, well beyond initial expectations of where this brand would be at this point in our launch. In addition to strong demand, a high rate of payer coverage continues to be a key contributor to our strong financial performance. Over 95% of patients on OJEMDA are paid patients, with less than 5% receiving free drug.

Additionally, about 90% of patients receive approval upon initial submission, helping to reduce the administrative burden on HCPs and leading to faster time to treatment for patients. Looking at revenue over the past 12 months, we've seen significant and consistent growth, with a compound quarterly growth rate of 22%. Even with this growth, considerable opportunity remains. Many eligible patients have yet to receive OJEMDA, and we are just beginning to realize the potential of this brand. In order to fully deliver on OJEMDA's potential and establish a new standard of care in second-line PLGG, we must continue to build the clinical evidence and, at the same time, encourage physicians to gain further experience with the brand. Our medical team continues to publish updated data and additional analyses, building a more robust case for OJEMDA and creating opportunity for the commercial team to keep providing valuable information to our customers.

We recently introduced two-year follow-up data from FIREFLY-1 patients, and at ASCO in June, we published additional data characterizing growth velocity recovery and effective rash management. These data provide important long-term insights that reinforce the robust efficacy we reported previously, as well as offering new evidence of catch-up growth in patients after therapy is completed. Physicians have consistently told us that these longer-term data strengthen their confidence in OJEMDA and further validate its broad use in appropriate relapse refractory patients in the real world. Prescription growth has remained strong, with total prescriptions increasing by 15% quarter over quarter. This growth continues to be driven by a steady flow of new patient starts and strong persistence among patients already on therapy. We're also seeing an evolution in prescribing patterns. With increased familiarity and confidence, physicians are initiating OJEMDA earlier in the treatment journey.

Based on recent market research conducted in June, second-line OJEMDA share has grown significantly in both BRAF fusion and mutation patient populations. Our field team has been instrumental in driving this momentum, consistently emphasizing OJEMDA's differentiated efficacy, safety, and dosing profile, and why we believe it should become the new standard of care in relapse refractory BRAF-altered PLGG. The two-year FIREFLY-1 data have further strengthened this positioning by speaking to both the durability of response and addressing the growth velocity questions. Following the release of these data, we saw a meaningful ramp-up in new patient scripts in the latter half of Q2, and that trend has continued into July. These data have also helped us to continue to expand breadth and depth of prescribing. Let's take a closer look. This graph shows updated breadth and depth metrics for OJEMDA prescribing.

The top line reflects the total number of unique accounts that have initiated new patients, while the layered segments illustrate the number of new patient starts per account. These data reflect commercial patients only and exclude any patients treated through our early access program. We're pleased to report that over 60% of prescribing accounts have now started multiple patients on OJEMDA, with nearly 20% of accounts initiating treatment in five or more patients. We believe this strong depth of prescribing is a positive indicator of growing physician confidence and satisfaction with this product. As we look to the second half of the year, our commercial priorities remain clear: drive continued growth through increased breadth and depth of prescribing, expand second-line use, and optimize treatment duration. While these focus areas remain consistent, our approach continues to evolve.

We are leveraging the latest prescriber insights, exploring alternate data sources, and leveraging innovative approaches such as AI to strategically target our resources and identify emerging opportunities. At the same time, our clinical and med affairs teams are generating additional data and publications that enhance the OJEMDA value proposition. We're looking forward to the three-year follow-up data for FIREFLY-1, including additional efficacy and safety analyses that we expect to release in the fourth quarter of this year. As the body of evidence grows, we see increasing opportunities to solidify OJEMDA as the new standard of care in relapsed refractory pediatric low-grade glioma. With that, I'll turn it over to Charles, who will walk through the financials in more detail.

Speaker 7

Good afternoon, everyone. Earlier today, we reported detailed second quarter 2025 financial results in our earnings release. For today's call, I'll highlight a few key points. As we pass the one-year point since launch, we see OJEMDA revenue continue its steady upward growth trajectory. In the second quarter, U.S. OJEMDA net product revenue was $33.6 million, which grew 10% compared to the first quarter. Our Q2 results bring our year-to-date net product revenue to $64.1 million and our trailing 12-month revenue to $113.1 million, a fantastic start to our launch. As Jeremy highlighted earlier, we are providing full-year 2025 OJEMDA net product revenue guidance of $140 to $150 million. The midpoint of the guidance range implies approximately 150% year-over-year growth, which builds on the strong launch results delivered to date.

It also reflects continued momentum in our launch trajectory and in achieving our goal of establishing OJEMDA as a standard of care in the relapsed refractory setting. Where we land in this range will be determined by two critical variables. First, persistence on therapy for patients continuing on OJEMDA, and second, the pace of new patient starts. For the second quarter, total costs and operating expenses were $68.9 million, which includes $10.9 million in non-cash stock-based compensation. This represents approximately a 5% decrease quarter over quarter. Additionally, net cash used in operating activities decreased significantly quarter over quarter, approximately 50%, reflecting our continued focus on disciplined execution while advancing our investment opportunities. Given today's challenging markets, we see prioritizing a balanced approach to delivering top-line expansion paired with thoughtful cost control as a responsible capital allocation strategy.

Finally, we remain in a strong financial position, ending the quarter with $453 million in cash and no debt. Looking forward, our robust balance sheet positions us to advance our priorities and capitalize on the opportunities ahead, including completion of the front-line FIREFLY-2 trial for OJEMDA and advancing DAY301. I'll now hand back to Jeremy for his final thoughts.

Speaker 0

Thank you, Charles. To close, I'd like to share a story that captures the essence of what motivates all of us at Day One. The story is of a four-year-old living with PLGG. Late last year, this child was experiencing vision loss due to his BRAF-altered optic pathway glioma. He was nearly colorblind and was also struggling with walking due to his vision loss. This past January, his care team decided to treat his tumor with OJEMDA. His vision, including color clarity, improved after only a month on therapy. It's now seven months later, and this brave young four-year-old remains on therapy. His family reports that their son is now having a more typical childhood. He's coloring, playing with friends, and walking without assistance. All of us at Day One, myself included, are here because we are inspired by stories like this young boy's.

We're committed not only to enabling as much patient impact as we can with OJEMDA, but also to developing new medicines that bring hope to more children and adults living with cancer. I'll now turn the call over to the operator for Q&A.

Speaker 6

Thank you, sir. Ladies and gentlemen, we will now begin the question and answer session. If you would like to ask a question, please press star and then one. A confirmation tone will indicate your line is in the question queue. You may press star and then two if you would like to remove your question from the queue. Again, if you would like to ask a question, please press star and then one now. First question that we have comes from Anupam Rama of JP Morgan. Please go ahead.

Hi guys, this is Priyanka and Pranapam. Congrats on the quarter. Just a quick question from us. Looking at the newly provided 2025 guidance, seems second half is estimated to be around $76 million to $86 million. First half, of course, was $64 million. What couple of levers in particular will you focus on to increase the growth rate? Thanks.

Speaker 3

Hi Priyanka, this is Jeremy. Thanks so much for joining and for the question. There are really two key variables that are critical to defining the range that we've provided for guidance for revenue for fiscal year 2025, and they're really continued adoption in the form of new patient starts and persistence on therapy. We've reached a point in the launch at this stage where we feel that those two variables are more predictable than they had been, given that we're about a year away from launch and the trends we're seeing have led to that range.

Thanks so much.

Thank you.

Speaker 6

Next question we have comes from Tara Bancroft of TD Cowen. Please go ahead.

Hi, good afternoon guys. You know, seeing a thousand plus scripts in Q2, it's really great to see. I'm wondering if you could maybe tell us what proportion of those are new versus continuing patients. Mostly I'm asking because you mentioned the increase in new patient scripts in the latter part of Q2. I'm wondering to what extent maybe the ASCO data might have contributed, the rash management and reversibility of the growth impacts. Thanks, that's it.

Speaker 3

Thanks for the question, Tara. We were excited to hit a milestone, of course, but I think more importantly, as you note, really focused on the trajectory of what we're seeing in terms of growth that was impacted by the two-year data that you referenced. Why don't I ask Lauren to comment on what she and her team are seeing in the field to give you a sense of that, at least qualitatively.

Speaker 2

Thank you for the question. The two-year data has been received very positively by our customers, as I mentioned, and they're both confirming the efficacy and building confidence in our efficacy with additional follow-up. Also, as you mentioned, the growth velocity data is reassuring to have additional volume of patients where we have evidence of catch-up growth after stopping treatment. Those two things have been compelling for physicians, and we have seen, as I mentioned, an uptick in starting new patients, and we're eager to continue that with continued promotion of these data.

Great, thanks so much.

Speaker 3

Thank you.

Thank you.

Speaker 6

Ladies and gentlemen, just a reminder, if you would like to ask a question, please press star and then one now. The next question we have comes from Andrea Newkirk of Goldman Sachs. Please go ahead.

Hey guys, good afternoon. Thanks for taking the question. Jeremy, or maybe Lauren, I was just wondering if you might be willing to speak to what you're seeing with respect to durability or persistence now that you are one year into launch and have greater clarity there. What are you hearing from physicians regarding their intentions for how long they'd like to keep their patient on drug, and to what extent do you think the three-year follow-up will meaningfully change their view versus the two-year data that they've seen already? Thanks so much.

Speaker 3

Thanks, Andrea, for the question. Let me start, and I'll ask Lauren to comment on those last elements. What we're seeing in terms of persistence is very consistent with what you've heard me describe previously, and that is for on-label patients, what we're seeing for, you know, persistence or the flip side of that, potential for median duration of treatment is consistent with what we expected based on the FIREFLY-1 trial. We have not provided any estimate of what that median duration of treatment will be or what specific persistence values are, but what I can tell you is we still have not yet reached a median duration of treatment for patients since we've launched and been approved. We're really, you know, confident that we're seeing, you know, fairly lengthy durations.

Let me ask Lauren to now comment on both the two-year data as it relates to persistence and intent and the three-year data.

Speaker 2

You mentioned you asked about intent. As we've discussed previously, many physicians, their intent is to keep a patient on treatment for two years, if possible, as long as that patient does not progress. We continue to hear that from physicians. Many of them are still anchored to this two-year concept. As we think about the two-year data versus the three-year data, the three-year data will have more evidence of what happens after patients either stop therapy or if they continue on therapy beyond those two years. I think that will be very informative and additive to the data that we have now.

Thank you.

Speaker 6

The next question we have comes from Alec Stranahan of Bank of America. Please go ahead.

Hey guys, this is Matthew on for Alec. Appreciate you taking our questions. Maybe just double-clicking on a previous point. Is the distribution of total scripts attributed to repeat versus new prescriptions holding relatively constant between Q1 and Q2? Second question, curious how dropouts have been trending and whether ASCO updates on skin AEs are helping design your strategy moving forward. Thanks.

Speaker 0

Lauren, do you want to take those?

Speaker 2

Sure. As far as distribution of TRX and NRX, I actually haven't calculated the ratio and looked at them comparatively quarter over quarter, so I can't be too specific there. What I can tell you is that we continue to focus on driving new patient starts and NRX, and the two-year data does seem to be very compelling to our customers. We'll continue to share that data as we move forward. From a drop-off perspective, it's been fairly consistent with what we've seen previously. I'm trying to remember if there was more.

Speaker 3

Yeah, I think, let me, I'll just.

Speaker 2

Sorry.

Speaker 3

Matthew, good question. The ASCO data that came out with respect to rash management, I do think is important as far as helping us to manage, especially those physicians who don't have prior experience with OJEMDA, to prevent any dropouts that might be premature and not give the patient sufficient time to achieve a really good efficacy result. That is, we think, valuable. I wouldn't say it's showing up dramatically in the data yet, given just how recently ASCO occurred. That being said, as we track the sort of overall persistence curves over time, we are seeing positive trends as physicians get more experience with OJEMDA, and as all of the tools that we've had available and have made available throughout the launch become better known and understood by treating physicians, by office staff, and by caregivers. They're pretty significant investments that we've made in those areas really since launch.

Speaker 2

Yeah, just to add to that, rash tends to be one of the first AEs that is seen early on in treatment. It is important that physicians not only manage it, but take proactive steps before the child has a rash in order to lead to the best outcomes. I think, you know, since launch, we have increased the messaging around that to make sure that physicians are prepared to manage that AE proactively for the best success of their patients.

Thank you.

Speaker 6

Ladies and gentlemen, just a reminder, if you would like to ask a question, please press star and then one now. Next question we have comes from Amy Fadia of Needham & Co. Please go ahead.

Hi, this is Poona on for Amy. Thank you for taking our question. I guess continuing on from previous questions, could you provide additional color on what you're modeling in your guidance in terms of new additions versus discontinuations? I'm just curious, how is the growth to net for this quarter? Separately, for the ADC DAY301, I just wanted to get some understanding on how the development is progressing, what phase it is in in terms of dose escalation, and what's the benchmark that you're looking at? Thank you.

Speaker 3

Certainly. I'm going to ask Charles to comment on your guidance topic, and then Mike to comment on DAY301.

Speaker 7

Thanks, Jeremy. For the guidance range itself, very similar assumptions to how we've discussed this launch previously and what Jeremy and Lauren had highlighted earlier. In general, in order to meet that, we believe we're going to have to have continued persistence, continued duration for patients, and this steady increase in new patient starts that we've continued to see. Other important factors in there, though, are minimizing the fluctuations on a couple of other items that we have that we've talked about previously. First being channel stock, and in order to meet that range, we'll need to keep the previously guided two to four weeks of channel stock on hand still in place. We expect that gross net range to still remain at that 12% to 15% that we've talked about previously. Those are the main assumptions associated with this addition to the work to the growth scripts.

Speaker 3

Thanks, Charles. Mike, can you comment on 301?

Speaker 0

Sure. Thanks, Jeremy. Thanks for the question, Poona. We're really doing quite nicely through Phase 1A dose escalation. We have a really engaged group of investigators, and things are progressing about as we would expect or anticipate for a molecule of this class and target. With respect to the benchmark, I think we'll have to keep an eye on that. We certainly know of some early phase programs against the target. It's been a target of interest for some time, but it's really a target that, at least historically, has been a little bit of a challenge, at least with one prior molecule. We think we've got a very innovative molecule against PTK7, and we'll keep an eye on how others progress. There's a broad opportunity in terms of expression patterns.

As we move through Phase 1A and then define our expansion cohorts, we'll look forward to sharing those details with you.

Thank you so much.

Speaker 3

Thank you.

Speaker 6

Thank you. Ladies and gentlemen, we have reached the end of our question and answer session. Thank you for joining us today. Thank you for joining today's conference. You made it. Disconnect your lines. Thank you for your participation.