Structure Therapeutics Inc. American Depositary SharesGPCR
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Structure Therapeutics Inc. American Depositary Shares 12th Annual Cantor Fitzgerald Global Healthcare Conference

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Transcript

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Prakhar AgrawalAnalyst

All right. Good day, everyone. Welcome to day 2 of Cantor's Global Healthcare Conference. For the next session, we are very excited to host the team of Structure Therapeutics. From Structure, we have Raymond Stevens, CEO, and Jun Yoon, CFO. Gentlemen, thank you for joining us today.

Raymond StevensCEO

Thank you, Prakhar, for having us.

Prakhar AgrawalAnalyst

You had some very exciting updates earlier in this week, so we will definitely touch on that as well. Maybe to level set expectations, Ray, just provide a brief overview of the company and some of the key priorities for the company over the next 1-2 years.

Raymond StevensCEO

Yeah. What we have, we are really laser-focused right now on clinical execution. We have started our Phase III ACCOMPLISH-1 and ACCOMPLISH-2 studies. That is a global study. That is now initiated, and we are focused on recruit to retain, make sure the quality of that Phase III study is as good as possible. Dr. Blai Coll, our Chief Medical Officer, he is leading that. That is our oral GLP-1 small molecule. That is right now looking at potentially best-in-class profile. Quite excited about that. The other program that we have now entered Phase 2a is our amylin. That is ACCG-2671. That has now started a Phase 2a 12-week study and multiple ascending dose. We have that. We have a couple of data readouts coming up. We just had a data readout on Tuesday of this week. That was both on our amylin program and on our aleniglipron GLP-1 program.

Raymond StevensCEO

We have additional data coming out in Q4. That is our body composition, our type 2 diabetes, and our switch study from injectable. We will also enter the clinic with our second amylin molecule by the end of this year, our combination GLP-1/GIP. Then in the first half of next year, we will read out our 12-week MAD study on our amylin ACCG-2671. So a lot of activity in the next 12 months in addition to the Phase III that will read out at the end of 2028.

Prakhar AgrawalAnalyst

Okay. That is a great overview. Maybe, before we dig into the pipeline, I wanted to get your thoughts on the landscape, especially for oral drugs and obesity. This year we have seen the uptake of two oral drugs, oral Wegovy and Foundayo. Both drugs have launched pretty well, especially oral Wegovy. So I guess, how has that played out versus what you were expecting?

Raymond StevensCEO

Yeah. First of all, what I think is great, I was telling somebody earlier, it was a year ago that we were here at the Cantor conference.

Raymond StevensCEO

Yeah. I was talking with you, and the debate was, is there really room for an oral GLP-1?

Raymond StevensCEO

The injectables are just fine, is what many people are saying. Now, first of the year, we had the oral Wegovy launch, and then in April, we had the Foundayo launch. Those two medicines have already taken up 17% of the market. They have already sort of taken in the GLP-1 space. 80% are new entrants, are the naive patients, so they are expanding the market. So what we are seeing is, from the market, there is a huge demand. It is expected oral GLP-1s will take up 50% of the market by 2030. So a lot has changed just in the past year. The oral GLP-1 market has really grown and expanded, and I do not see it slowing down anytime soon.

Prakhar AgrawalAnalyst

Yeah. We have not even seen the uptake in the ex-U.S., which is a big market as well for these drugs. Maybe on the small molecule versus peptide, because there are a lot of companies that are developing oral drugs using peptides. Your entire focus is on small molecules. What are the pros and cons?

Raymond StevensCEO

Yeah. The reason why we started Structure Therapeutics is around accessibility. I am going to look at there is only roughly 10 million people, or 11 million to 13 million, I think is the latest number, of people that are getting access to this class of medicines today. That is a small percentage. Only 1% of the market is currently being penetrated. There is such a demand and there is a lack of access to this class of medicines. Part of this is when I think about accessibility, it is affordability, cost of goods, it is cold chain requirement, the shipping and everything. There is a lot of different features to it. It is oral. Think about global. Not everybody wants a needle. Patients want options. What was fascinating at JP Morgan, one of the things that just resonated with me so much was so many people were telling me, "Oh, my father can finally get on a GLP-1," because he did not want a needle.

Raymond StevensCEO

He was waiting for the pill. I am seeing somebody nodding their head yes. Exactly the sort of the case. I think that with small molecules, those are all the advantages, cost of goods, manufacturing, scalability, no cold chain requirements. There are so many advantages to small molecules. Small molecules will eventually dominate this space.

Prakhar AgrawalAnalyst

Okay. You had some important updates this week for both of your assets. Maybe for you, what were some of the key highlights?

Raymond StevensCEO

I am going to start with our amylin. A lot of excitement around that program. This is the first human clinical data for an oral amylin small molecule. First of all, one of the highlights, 6-day half-life. This gives us opportunity both for daily dosing as well as potential for weekly dosing in a more long-term maintenance study. The safety profile, very clean safety profile. Really pleased with that. Then we had three different levels of target engagement. First, at our 1 and 2 milligram dose, no AEs. Really clean. Is the drug working? At our 5 and 10 milligram dose, we saw a target engagement. The second level was weight loss. Again, this wasn't done as a weight loss study, so this was purely exploratory. When they come back in for final check, we weigh them.

Raymond StevensCEO

We saw 3.3% weight loss at the 10 milligram dose. Then third, something that we are quite interested in is since this is a DACRA, a dual amylin and calcitonin receptor agonist, bone health. Bone health is important, so we measured CTX-I, which is a peptide, as well as we looked at bone alkaline phosphatase. What we saw was they both moved in the direction of we are seeing improvements in bone health. Those three levels of target engagement from those biomarkers really gives us even further conviction the drug is working, it is active, and we are very excited to move into the 12-week, multiple ascending dose study.

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