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Day One Biopharmaceuticals, Inc. (DAWN)·Q3 2024 Earnings Summary
Executive Summary
- OJEMDA net product revenue reached $20.1M, up 145% quarter over quarter, with total Q3 revenue of $93.8M driven by a one-time $73.7M ex‑U.S. license revenue from the Ipsen partnership .
- Quarterly prescriptions (TRx) surged to 619 (+159% q/q), and payer approval rates remained ~80%, underpinning strong commercial traction in the first full quarter post launch .
- Net income was $37.0M ($0.38 diluted EPS) versus a net loss of $(46.2)M a year ago; the positive swing reflects the Ipsen license revenue and investment income; cost of sales expected to rise to 9%–12% of net product revenue in early 2025 as post‑approval inventory begins to be expensed .
- Management highlighted updated FIREFLY‑1 efficacy durability (Arm 1 median duration of response 18 months) and reiterated catalysts: FIREFLY‑2 (frontline pLGG) enrollment and DAY301 first‑patient dosing targeted for Q4 2024/Q1 2025 .
- Stock reaction catalysts: strong sequential demand, durable efficacy update, clarity on cost of sales trajectory, and near‑term DAY301 clinical start; however, absence of Street comparisons limits beat/miss assessment this quarter (S&P Global consensus unavailable).
What Went Well and What Went Wrong
What Went Well
- Strong commercial adoption: “Our OJEMDA net product revenue for Q3 was $20.1 million, more than double what we reported last quarter” and momentum from new prescribers and high continuation rates .
- Durable efficacy narrative: FIREFLY‑1 Arm 1 median duration of response updated to 18 months, reinforcing treatment durability in real‑world usage per management .
- Balance sheet strength and external validation: $558.4M cash, cash equivalents and short‑term investments post Ipsen licensing and equity financing, supporting pipeline and launch investments .
What Went Wrong
- Reported revenue composition is non‑recurring heavy: Total revenue of $93.8M includes $73.7M license revenue, which is not reflective of ongoing product sales run‑rate—investors should focus on the $20.1M product revenue trend .
- OpEx intensity remains elevated with SG&A at $29.0M (launch spending) and R&D at $33.6M (clinical activity), compressing operating leverage absent license contributions .
- Coverage data inconsistencies: management cites commercial published coverage at 62% and Medicaid at 67% (majority covered), while the slide deck references slightly different coverage snapshots (~64% commercial, ~64% Medicaid); reconciliation reflects evolving payer policy publication timing .
Financial Results
Summary Financials (USD)
Margins (Derived)
Revenue Composition
KPIs
Guidance Changes
Earnings Call Themes & Trends
Management Commentary
- CEO: “Day One had a remarkable third quarter... Our OJEMDA net product revenue for Q3 was $20.1 million, more than double what we reported last quarter... the median duration of response... has now extended from 13.8 months to 18 months” .
- CCO: “Volume in Q3 grew by almost 160%, reaching over 600 total prescriptions... high percentage of patients continuing on therapy each month... high payer approval rates” .
- CFO: “We recorded $73.7 million of license revenue in the third quarter... we expect cost of sales to increase to 9% to 12% of net product revenue early next year... cash position of $558.4 million” .
- Head of R&D: “Pediatric neuro‑oncologists treat patients. They don’t treat scans... the responses that we’re seeing are really remarkably durable” .
Q&A Highlights
- Inventory/channel stock: Company targets ~2–4 weeks of channel stock; not contributing materially to revenue; specific inventory numbers will no longer be disclosed, only guidance if off band .
- Patient adds cadence: Adds were consistent and linear with no significant seasonality; continuation rates strong with low single‑digit discontinuations five months into launch .
- TRx definition: TRx roughly equals a 28‑day supply; quick‑start second shipments (2 weeks) count as a TRx but usage is minimal due to high payer approvals .
- Coverage breadth: Uptake across academic and community settings; majority of prescribers had no prior OJEMDA experience pre‑launch; coverage growth reduces appeals burden .
- Pipeline clarifications: DAY301 first dosing Q4/Q1; no guidance yet on 2025 data timing; Ipsen ex‑U.S. launch approach coordinated, distinct type II RAF mechanism vs adult type I precedents .
Estimates Context
- S&P Global consensus EPS and revenue estimates for Q3 2024 were unavailable at time of analysis; therefore, a beat/miss assessment versus Street cannot be provided this quarter (S&P Global data not retrievable within current access limits).
- Given the one‑time $73.7M license revenue, headline total revenue is not a clean proxy for ongoing commercial performance; investors should focus on the $20.1M product revenue trend and TRx growth to gauge run‑rate .
Key Takeaways for Investors
- OJEMDA demand inflected: +145% q/q net product revenue and +159% TRx growth signal early adoption breadth and depth; continuation dynamics suggest durable treatment persistence .
- Revenue quality: The quarter’s profitability was driven by Ipsen license revenue and investment income; watch the underlying OJEMDA trajectory for sustainable growth normalization .
- Payer momentum: Majority published coverage (62% commercial, 67% Medicaid) and ~80% approval rates reduce friction; expect further gains to compress time‑to‑therapy and support paid drug mix .
- Cost structure evolution: Cost of sales stepping up to 9%–12% of net product revenue in early 2025 will trim gross margin; model mix shift as post‑approval inventory begins to flow .
- Clinical durability supports uptake: FIREFLY‑1 Arm 1 median DOR now 18 months; prescriber confidence and earlier‑line movement (second/third line) emerging in the field .
- Liquidity and catalysts: $558.4M cash enables continued launch investment and pipeline expansion; near‑term catalysts include DAY301 first‑patient dosing and ongoing FIREFLY‑2 enrollment .
- Trading setup: Near‑term sentiment supported by sequential commercial momentum and durability update; lack of Street comparison limits “beat” narrative, but coverage progress and catalysts could sustain interest into Q4/Q1.