UroGen Pharma Ltd. Ordinary SharesURGN
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UroGen Pharma Ltd. Ordinary Shares Wells Fargo 21st Annual Healthcare Conference

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Yanan ZhuEquity Analyst

Great. Thanks, everyone, for being here. My name is Yanan Zhu. I'm one of the biotech analysts here at Wells Fargo. It is my great pleasure to be joined by the management team of UroGen. With me here are Liz Barrett, CEO, and Chris Degnan, CFO. Liz and Chris, thank you so much for being here.

Liz BarrettPresident and CEO

Thank you. Thank you for having us.

Yanan ZhuEquity Analyst

Great to be here. Wonderful.

Yanan ZhuEquity Analyst

I wonder if you could kick us off with an introduction of the company's initiatives and perhaps touch on, after recent development, how would you describe the company today, and which has been the most important development that shaped the company so far?

Liz BarrettPresident and CEO

Oh, that's a lot of questions into one. I'm going to just take a step back. Most people, I think, know about UroGen and how UroGen came to be, but for those that don't, our company was founded on the basis of a proprietary technology called RTGel. The reason that it was discovered was because there were a group of urologists who identified a high unmet need in the area of urothelial cancers, and the inability of medicines to dwell in the cavity long enough to have an effect. The current standard of care across urothelial cancers is surgery. You can imagine, because these aren't cures, they continue to have surgery time and time again. Non-muscle invasive bladder cancer is a large tumor with lots of patients that live with non-muscle invasive bladder cancer.

Liz BarrettPresident and CEO

The good news is a large portion of them are considered low grade, so they're not really concerned about mortality, but it's more a matter of recurrence. What the technology allows to do is for medicine to dwell long enough to actually kill the cancer that's in there. One of the things that we've been able to demonstrate over the years is the durability of that response. Because one of the biggest challenges for these patients is they recur. A physician, a surgeon can only cut out the tumor that they can see, and unfortunately, there's usually a tumor in the lining, and so therefore that's why a drug such as ours has been successful, and the efficacy has been great. I've been with the company now 7.5 years, so it's been a long journey.

Liz BarrettPresident and CEO

Although Mark, our Chief Medical Officer, has been around 13 years. We were really committed to seeing this come to fruition. What we've really learned over the years is that these drugs work. I think it's very encouraging to see these patients that are average age of 74 when they're diagnosed, but then they've had to live with years of these multiple surgeries, actually having a therapy that will allow them to get into a complete response and stay in a complete response because that's really important. It's hard to say what's the most critical thing that has happened to the company, but what has shifted the company and has changed our company is the approval of ZUSDURI in bladder cancer. When our original, our first product was for upper tract urothelial cancer, but it's a small patient population.

Liz BarrettPresident and CEO

The idea for the company was always to move into non-muscle invasive bladder cancer. Because of the FDA requirements, that took several years, as it typically does, but we were successful. The data has been unprecedented, frankly, in this space, and we were able to get an approval and then launch about a year ago. So, exciting time for our company. We're pleased to be here and think about today. Now what we think about is what's next? Where are we? You talked about who are we as a company. We are clearly leaders in urothelial cancers, but we also want to build a long-term sustainable growth company and see ourselves continuing to advance treatment in urothelial cancers, but also to diversify outside and into other specialty cancers.

Yanan ZhuEquity Analyst

Right. Yeah. Hopefully, we can touch on Oh, sure.

Yanan ZhuEquity Analyst

also on the expansion aspect. Could you give a sense of the size of the low-grade upper tract, and also low-grade, the ZUSDURI indication, low-grade intermediate in NMIBC?

Liz BarrettPresident and CEO

Yeah. Do you want to talk about the market and the size of the market?

Chris DegnanCFO

Sure. For low-grade upper tract, where JELMYTO is indicated is roughly 6,000 to 7,000 patients a year in the U.S. As Liz mentioned, ZUSDURI's a much larger market opportunity, so the low-grade intermediate risk, non-muscle invasive market, the recurrent population, which is where ZUSDURI is indicated, is roughly 60,000 patients, about 10 times the size.

Yanan ZhuEquity Analyst

Got it. That's super helpful. Maybe we can talk about the ZUSDURI launch. It has accelerated very notably in the quarterly numbers. I was wondering which commercial indicator gives you the greatest confidence in the trajectory, and what has been the most effective in generating demand in terms of what you think.

Liz BarrettPresident and CEO

Sure. Chris, why don't you comment, and then I'll add.

Chris DegnanCFO

Sure. Importantly, we got the permanent J-code for ZUSDURI effective January 1. Yanan, as you said, we definitely saw an inflection from the J-code, and we're really pleased with the trajectory, in terms of where revenues are trending. But it's still early. In terms of what indicators we're really focused on, I think first and foremost is just prescriber base. As you think about just taking a step back, our target universe, the broad universe, is about 8,000 physicians, of which our core targets are around 6,500. In terms of number of prescribers through Q2, we have 450. There's a long way for us to go to continue to drive breadth of utilization in terms of going from 450 and penetrating that core target universe. The other piece is driving depth of utilization.

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