ExelixisEXEL
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Exelixis Stifel 2026 Healthcare Conference

Review the key takeaways and the transcript of this earnings call.

Period 2026Duration31 minParticipants2

Transcript

Preview the first fifteen paragraphs, organized by speaker.

Operator

Glad to have with us to kick off the afternoon sessions, we have Andrew Peters from Exelixis. Andrew, thanks for joining us.

Andrew PetersChief Strategy Officer

Hey, Steve. Thanks for having us.

Operator

Any opening statements you want to make before we jump into Q&A?

Andrew PetersChief Strategy Officer

Thanks for the invite. Great meetings today. Been really fun engaging with investors. As always, going to be making some forward-looking statements today, so please see relevant disclosures around risks in our business in SEC filings. Right now is a really exciting time for Exelixis. We're at that transition point as our next franchise, our second franchise, zanzalintinib, we have a PDUFA date in March of next year, early March of next year. We're seeing that transition from single-product company with Cabo to multi-franchise company with Cabo and Zanza, and then off to the races from there. Just really excited, full speed ahead on just the commercial execution, clinical execution, and then everything we're doing from both an early pipeline perspective.

Andrew PetersChief Strategy Officer

Really the last thing I would say that is surprising to some is this dynamic or through line that always is at Exelixis is we run the company like a business and not a biotech. It is about execution, it is about discipline, it is about prioritization. All of that just is really good time at Exelixis right now.

Operator

Okay, perfect. Let us jump into Zanza. I will probably spend most of my time on this. You just extended the top-line disclosure for STELLAR-304. This is the phase III study in non-clear cell renal cancer. That is now expected to happen first quarter of next year. Can you just talk about how you are thinking about this delayed event accrual, and what investors should expect to see in a press release when you guys communicate this top-line data?

Andrew PetersChief Strategy Officer

Yeah. Simply put, we are tracking events as they come in real time, and as we see the accumulation of events moving towards certain number of events, provide clinical cutoff, clean the data, top line. When we saw a clinical cutoff based on the event rates going to happen closer to year end, that is why we guided to Okay first quarter.

Andrew PetersChief Strategy Officer

Simple as event rates coming in a little slower as we triangulated what that was expecting, that is what drove the timing. In terms of the press release, what is not going to be in there, honestly, I do not know. I have not written the press release yet. In the past, we have included a lot of data. In the past, we have included just some top line. There is a lot of sausage-making, as you can appreciate, in terms of what gets shared and how around medical conferences and all of that. But our goal, our hope is to generate as robust of a dataset as we can, get that filed, and get into patients as soon as we can.

Operator

Okay. I know we saw updated phase II Nivo Cabo data in non-clear cell at ASCO this past year, or this year actually. I think frontline response rate somewhere in the mid-40% range. PFS was 11 months. Maybe that trends a bit higher when you exclude some of the second-line patients. How do you think about those as relevant efficacy benchmarks that you need to clear in order to commercially differentiate Zanza from Cabo in this setting specifically?

Andrew PetersChief Strategy Officer

Yeah. That's the eternal debate, isn't it, in biotech, is how do you compare apples and oranges, single arm, single center phase II to large global randomized phase IIIs? That's really the challenge and is really actually the reason why we started 304 in the first place, is for variety of reasons, all drugs with labels in RCC have those inclusive or exclusive of non-clear cells, so clear cell and non-clear cell. There's actually never been a large global randomized study in this space. We thought what we had a chance to do with 304 is really plant a flag in the ground and define with level 1 evidence a standard of care.

Andrew PetersChief Strategy Officer

What that does is, right now patients are treated really in a hodgepodge of different therapies, and so use is somewhat driven by guidelines, which again, are driven by single arm unrandomized data, which are complicated in the single center or the sort of patients that are enrolled. There's just a lot of dynamics that go into it. What we have a chance to do is establish with level 1 evidence, with large randomized phase III data, to go in and define the standard of care. I think it's probably less useful to look at small-end datasets or datasets where perhaps a skew of patients, favorable, intermediate, all of those sorts of dynamics. It's just hard to compare smaller studies to large global randomized studies.

Operator

Okay. You just pointed out the lack of specificity that exists between non-clear cell and clear cell with regards to frontline labeling today. Would you think that there's the potential for a similar phenomenon to play out here from a labeling perspective for Nivo Zanza?

Andrew PetersChief Strategy Officer

Yeah. Honestly, it is probably too early to speculate on something like that. We will have to see the data first and really let the data kind of show us what we are looking at.

Operator

Okay. Just maybe sticking with RCC, we saw the LITESPARK-011 and 012 data at the ESMO meeting a couple weeks ago. Would be curious if there was anything incremental in those presentations that you found to be of interest, specifically as it pertains to how you are thinking about Cabo sustainability in the second-line setting and how you are now trying to position Zanza via the LITESPARK studies 03 and 034.

Andrew PetersChief Strategy Officer

Yeah. Certainly, I think the LITESPARK 12 data showed us that the door in kind of the de novo metastatic frontline space is wide open. We have talked about this. We are anticipating kind of a second wave of Zanza trials to start shortly, and one of those will almost certainly be in kind of that frontline metastatic space. LITESPARK 12, we think there is a real opportunity there. We are going to take those learnings, take the learnings from our own experience, say, with COSMIC-313, and then try and understand and let the biology drive what are the appropriate combinations, orthogonal mechanisms, et cetera, to kind of drive that confidence in a successful frontline study. As it relates to LITESPARK 11, did not really hear a whole lot new at ESMO.

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