Hello, everyone, and welcome to today's Xeris Biopharma Second Quarter 2024 Financial Results Call. My name is Drew, and I'll be your operator today. During today's call there will be a Q&A session. [Operator Instructions]. I will now turn the call over to Allison Wey, Senior Vice President of Investor Relations and Corporate Communication to begin. Please go ahead.

Thank you, Drew. Good morning and welcome to Xeris Biopharma's second quarter and first half 2024 financial results conference call and webcast. This morning, we issued our press release which can be found on our website. We're joined this morning by John Shannon, our new CEO; and Steve Pieper, our CFO. After our prepared remarks, we will open the lines for questions. Before we begin, I would like to remind you that this call will contain forward-looking statements concerning the company's future expectations, plans, prospects and financial performance. Forward-looking statements are subject to risks and uncertainties that could cause actual results to differ materially from those forward-looking statements. For more information on such risks, please refer to our earnings release and risk factors included in our SEC filings. Any forward-looking statements in this call represent our views only as of the date of this call and subject to applicable law, we disclaim any obligations to update such statements. I will now turn the call over to John Shannon.

Thank you, Allison, and good morning, everyone. I'm honored to speak with you for the first time as the CEO of Xeris. It's an exciting time for our company as we start this new era and I'm thrilled to serve in this role. As you all saw from this morning's earnings release, we had an outstanding second quarter. But before we get into the results, I want to take a moment to outline my near-term priorities as the new CEO. I'm focused on three key priorities to guide our strategic initiatives and decision-making processes in the near term. These represent important opportunities for creating value for our stakeholders. The first priority is maintaining rapid commercial growth and expanding the reach of our treatments to the patient communities they serve. We have three great commercial products making meaningful impact on patients' lives. We aim to pursue growth strategies that are both ambitious and sustainable. We're confident that our existing products can continue to deliver meaningful growth in the near and long term and we intend to consistently optimize how we deploy the resources necessary to drive them. The second priority is a renewed commitment to financial discipline, ensuring investments are made wisely and remain focused on value accretion. We've built a diverse and resilient business model that can weather market fluctuations and deliver consistent performance. We can achieve our business objectives by employing prudent financial planning, appropriate risk management and by maintaining a strong cash reserve. We ended the second quarter with a very healthy 77 million in cash and investments and we intend to deploy those financial resources judiciously as business needs or opportunity warrants. Given our strong cash position and rapid growth of our business, I do not plan to raise any cash by adding any incremental debt or…

Thanks, John. Good morning, everyone. We ended the quarter with net product revenue of 46.5 million and total revenue of 48.1 million both increasing by approximately 26% compared to prior year. Year-to-date net product revenue was 86.8 million and total revenue was 88.7 million, both increasing by approximately 25% compared to prior year. This growth in revenue was driven by strong performance from both Recorlev and Gvoke. Recorlev net revenue was 13.3 million for the quarter increasing 86% compared to prior year. On a sequential basis Recorlev net revenue increased by an impressive 2.7 million representing growth of 26%. These increases were driven by the average number of patients on Recorlev increasing 124% from last year and 25% compared to Q1. We expect this rapid growth to continue based on our robust pipeline of referrals growing 31% compared to Q1 our ability to convert these referrals into patients on Recorlev as well as our field expansion which we completed in early July. Gvoke net revenue was 20 million for the quarter, representing a 28% increase compared to the same period last year. This growth was driven by a 27% increase in Gvoke prescriptions. As we mentioned during our prior quarter remarks, the change healthcare cybersecurity breach temporarily impacted Gvoke net revenue in the first quarter. Although we do not believe we recovered the loss revenue from the first quarter growth in patient demand which consistently exceeded 5,000 weekly prescriptions since May as well as increased orders from our wholesalers have signaled to us the impact has been resolved. Keveyis net revenue for the quarter and year-to-date was 13.1 million and 26.2 million. Despite generic competition, revenue only decreased slightly by 2% on a year-to-date basis. As we have repeatedly stated, Keveyis is resilient and we will continue to invest and…

Thank you. We will now start today's Q&A session. [Operator Instructions]. Our first question today comes from Roanna Ruiz from Leerink Partners. Your line is now open. Please go ahead.

Great. Good morning, everyone. So I have a question for Recorlev first. It seems like the new patient starts are growing well in the quarter. How do you think that will trend into the second half this year? I'm also curious with the newly expanded field force, could that continue to be a tailwind later this year and possibly into 2025?

Hi, Roanna. It's John. Yes. I mean, as I said, it's accelerating. We're growing the new starts and new referrals. We see that continuing to accelerate in Q3 and we see that through the end of the year and we just put the new sales force out in the additional sales reps out into the field in the last couple of weeks and they'll start contributing later this year and early next year.

Got it. Helpful. And for Gvoke, I also was curious, would you consider focusing the field force a bit more on driving back to school, prescribing for Gvoke to sort of maximize that going into later this year? And can you just remind us, what are the Gvoke reps doing today in terms of tackling some of these prescribers versus other prescribers for adults, et cetera?

Yes. So, as you pointed out, the third quarter back to school starts kicking in like this week and next week. And as always, we will focus in that area for that time period, which is primarily pediatric endo. And as we've shown and you guys understand, is Baqsimi has a pretty strong hold on that space, only because they launched right into it several years ago. So from our perspective, we hold on and continue to grow during this timeframe. It's our biggest growth quarter every year. And it'll be that way this year. But we also then focus on how do we bring every day, how do we bring more of the 14 million people that are not protected today on Gvoke?

Got it. Thanks.

Our next question comes from David Amsellem from Piper Sandler. Your line is now open. Please go ahead.

Hi. Thank you. This is Skylar [ph] on for David. First on Recorlev, can you talk about your long-term expectations in the context of the recent catalyst data from Corecept, which showed that 24% of patients with difficult-to-treat type 2 diabetes in the study actually had Cushing syndrome, which might indicate that the true prevalence is higher than previously understood. And then separately, how are you thinking about Gvoke growth over the remainder of the second half of the year? And touching on the last question, just the degree of seasonality we should expect with the back-to-school season, just so we can better think about the phasing of revenue.

Thank you. Okay. Let me start with Recorlev. And I think you're pointing out part of what I had in my prepared remarks is that more and more patients are being tested and screened for high cortisol levels, which is ideal for the marketplace and ideal for our product because Recorlev normalizes cortisol. So it fits right in for why we're seeing some of the acceleration in our growth and how our product fits into what's going on in that space. For Gvoke, we expect to continue to grow and drive kind of more and more people who aren't protected to prescribe and or get Gvoke just in case. Okay? That will continue strongly through the third quarter, which is always our strongest quarter, and then into the fourth quarter as well. So we look to see this steady, continuous growth that we've been pounding out the last several quarters to continue on Gvoke.

Yeah. Maybe just to -- this is Steve, Skylar. Just to get a little more specific on Gvoke, I think historically we've seen in the back half of the year, 20% growth. And we've enjoyed that through the first half of the year. So I would expect that trend to continue with probably a little bit more dramatic growth in the third quarter. But I think that's kind of where I would peg things for the second half of the year.

Wonderful. Thank you, guys.

Our next question comes from Chase Knickerbocker from Craig-Hallum. Your line is now open. Please go ahead.

Good morning. Thanks for taking the questions. And first of all, John, congrats on the new role. Looking forward to watching you execute here. First, just on housekeeping on Gvoke, revenue, net sales grew a little bit more than prescriptions in the year, year-over-year. Is that some stocking dynamics or is there a little bit of pricing benefit year over year? Just click there.

Yeah. Chase, this is Steve. I would say it's probably just a little bit of stocking, maybe a little bit of price, but nothing material.

Got it. Thanks. And maybe so far through the first half of the year, at least in our data, we've seen some pretty nice share gains relative to competitors. Can you just speak to kind of what you've seen in your data kind of in the first half of the year on new RX trends here with your ready-to-use competitors at Gvoke?

Yeah. I think we see the same thing you do is, yes, we're gaining share, but we're gaining that share primarily by market growth and capturing an inordinate amount of the market growth directly to Gvoke. So we're not out there directly getting it from existing Baqsimi patients. We're getting it from the market growth that's out there and the market growth that we're driving. And we think that trend will continue.

Yes. So kind of thinking about that through the remainder of the year and into next with kind of you guys taking a majority of new patient starts from here maybe that is a little bit different in Q3 but you would expect that to kind of remain the case outside of maybe that back-to-school seasonality?

Yes. If you went back and just mapped this out over the last couple of years, you see that we have share gains pretty consistent every quarter and then we get to the third quarter and it kind of flattens out in terms of increases and then it picks up again in Q4. That trend will probably continue this quarter.

Got it. And then just on record, I mean, just kind of taking a step back and looking at the market as a whole, can you help me kind of parse through what is maybe just some increased diagnosis cushions here versus you guys making competitive gains from some that have failed other therapies maybe just doing better there? And then I might have missed this, sorry, I'm jumping around but just speak to the pipeline as far as kind of sequential growth there and how that kind of informs your guys' confidence in the back half of the year. Thanks.

Let me try to answer your question because there's a couple dynamics there. There's more and more people being tested and more and more people being diagnosed with elevated cortisol. And again, we normalize cortisol. There's also a level of complexity in terms of treating this and there's no perfect product for anybody. So there's some bouncing around between therapies and we benefit from that. So we're picking up patients from new starts to people that have switched to people that have tried other things and now are moving over. So people are coming from all places in terms of new starts. And I don't know that I understood your last question about the pipeline. Are you referring to the --

Just on the pipeline of patients for Recorlev? Yes, the Recorlev pipeline.

Yes, it's stronger than ever and it continues to build for us. And like I said, it's coming from all places.

And then just lastly on Keveyis, would you expect kind of a consistent kind of treatment from pairs kind of through the remainder of the year? And that kind of informs some of the confidence here. And then when was, we typically think kind of Q1 for potential pair changes. That would kind of be the next time where there would be something that we should think about from an investor perspective.

Yes, I would think about Q1. As you pointed out that's when there's all kinds of resets going on there. What we saw in Q2 and what we're seeing in Q3 is we're adding new patients at a very, very strong pace. And as I said in my prepared remarks, we were basically even Q2 to Q1 in terms of patients. And we see that trend continuing for the rest of the year.

Thanks for the questions, guys. Congrats on a really nice quarter.

Thanks, Chase.

We will now take our final question from Rohan Mathur from Oppenheimer. Your line is now open. Please go ahead.

Hi. This is Rohan on for Leland Gershell. Congratulations on another strong quarter. Just a couple for me. On the core lift, can you give some detail on how the pair reception and coverage has been in the last quarter and how it's changed over time? And this is on Keveyis. Any granularity you could provide on the sturdiness of the business and how you think about how resilient the franchise might be in the coming years? Thank you.

Okay. So let me talk about payer coverage with Recorlev. And it's really not changed. What happens is you get to spend more and more time in these spaces with these rare brands as you get better and better at moving patients from a referral through the payer process. And you do it faster and you do it more efficiently. And I think that's what's also leading to when you have a really strong referral pipeline that you can turn that into new starts. And we saw both of those accelerate in the second quarter and continue to see that going into the third quarter. And for Keveyis, we've said I think we've done an amazing job of managing this space for the benefit of the patients with PPP. And we see that in the resilience that patients and physicians are willing to fight for brand. So, we see that continuing. Now, maybe another player coming in or something would maybe potentially disrupt that. But until that happens, we're really confident that it's going to hold its resiliency.

Great. Thank you.

We have no further questions in the queue at this time. So, I'll hand back over to the team for closing remarks.

Well, thank you, everyone, for listening today. As you've just heard, Xeris is stronger than ever. I'm confident that by executing on the three priorities I talked about earlier, we will deliver a robust business result that will ultimately translate into meaningful shareholder value. Thank you again for your time this morning.

That concludes today's call. Thank you for joining. You may now disconnect your line.