Axsome Therapeutics, Inc. · NASDAQ:AXSM

Axsome Therapeutics — Q1 2025 Earnings Presentation

26 slides from Axsome Therapeutics's earnings presentation, May 6, 2025

  1. Slide 1: 2025 First Quarter Financial Results

    May 6, 2025 2025 First Quarter Financial Results Innovating to Transform the Lives of Patients and Their Families Markella EPIDIOLEX® patient diagnosed with Dravet syndrome May 6, 2025

  2. Slide 2: Caution Concerning Forward-Looking Statements

    Transforming Lives. Redefining Possibilities. Caution Concerning Forward-Looking Statements This presentation contains forward-looking statements and financial targets, including, but not limited to, statements related to: the Company’s growth prospects and future financial and operating results, in

  3. Slide 3: Non-GAAP Financial Measures

    Transforming Lives. Redefining Possibilities. Non-GAAP Financial Measures To supplement Jazz Pharmaceuticals’ financial results and guidance presented in accordance with U.S. GAAP the Company uses certain non-GAAP (also referred to as adjusted or non-GAAP adjusted) financial measures in this present

  4. Slide 4: Introduction and Overview

    Introduction and Overview Bruce Cozadd Chairman and Chief Executive Officer 4 May 6, 2025

  5. Slide 5: Strong 2025 Execution and Continued Focus on Growth

    Strong 2025 Execution and Continued Focus on Growth COMMERCIAL PIPELINE FINANCIAL Growing and diversified revenues generate Zanidatamab and dordaviprone are Disciplined capital allocation enables significant cash flows near-term opportunities investment in growth Sleep1: Zanidatamab: Affirming 2025

  6. Slide 6: Commercial Performance

    Commercial Performance Renée Galá President and Chief Operating Officer 6 May 6, 2025

  7. Slide 7: Xywav: Differentiated by Low Sodium; IH Provides Growth Opportunity

    Xywav: Differentiated by Low Sodium; IH Provides Growth Opportunity Sleep2 therapeutic area: • Total sleep2 revenue of $431 million in 1Q25 IH Narcolepsy 14,600 14,150 13,225 13,625 4,225 12,950 3,550 3,900 3,050 3,300 Xywav remains the only low-sodium oxybate therapy • Increase of ~450 net patients

  8. Slide 8: Epidiolex: Durable Growth; High Unmet Need in Pediatric Onset Epilepsy

    Epidiolex: Durable Growth; High Unmet Need in Pediatric Onset Epilepsy Revenue: +10% YoY Epidiolex is the #1 branded epilepsy treatment1 • Poised to reach blockbuster status in 2025 $218 Growth opportunities: $199 • Continued education on synergies from treatment in combination Net product sales ($

  9. Slide 9: Rely on Rylaze: Critical Component of U.S. ALL/LBL Treatment Protocols

    Rely on Rylaze: Critical Component of U.S. ALL/LBL Treatment Protocols Revenue: -8% YoY Sustained asparaginase activity over the course of therapy essential to treatment success of ALL/LBL patients1 • Only therapy available to patients in the U.S. who have a hypersensitivity $103 reaction to E. coli

  10. Slide 10: Zepzelca: Opportunity to Redefine 1L SCLC Treatment Paradigm

    PIPELINE Zepzelca: Opportunity to Redefine 1L SCLC Treatment Paradigm Revenue: -16% YoY Leading treatment in 2L SCLC1 • 1Q25 revenues impacted by 2L competition and treatment protocols delaying progression in 1L LS-SCLC patients to 2L setting $75 Submitted sNDA for use as maintenance therapy in 1L E

  11. Slide 11: Ziihera: BTC Launch Driven by Proven Jazz Oncology Team and Infrastructure

    Ziihera: BTC Launch Driven by Proven Jazz Oncology Team and Infrastructure • Proven team with deep oncology experience, including extensive expertise in the HER2 therapy Right Team, Right Capabilities space, helps drive additional adoption and uptake • Infrastructure in place for a successful Ziiher

  12. Slide 12: Research & Development

    Research & Development Robert Iannone, M.D., M.S.C.E. Executive Vice President, Global Head of Research & Development, Chief Medical Officer 12 May 6, 2025

  13. Slide 13: Key Pipeline Programs

    Key Pipeline Programs Key Clinical Programs PHASE 1 PHASE 2 PHASE 3 PHASE 4 / REGULATORY Recent / Upcoming Milestones 2L BTC (pivotal) Positive CHMP decision in 2L BTC Phase 3 1L GEA (pivotal) Phase 3 top-line PFS readout expected 2H25 Phase 3 1L BTC Phase 3 confirmatory trial in 1L BTC ongoing Zani

  14. Slide 14: Zanidatamab: De-Risked Near-Term Opportunity with $2B+ Peak Potential

    Zanidatamab: De-Risked Near-Term Opportunity with $2B+ Peak Potential Continued progress: • Completed recruitment of HERIZON-GEA-01 trial Other HER2-Expressing • Received CHMP positive opinion for the treatment Cancers of advanced HER2-positive BTC Breast Cancer Broad potential beyond BTC, GEA, and

  15. Slide 15: Dordaviprone: Continued Diversification and Near-Term Commercial Opportunity

    Dordaviprone: Continued Diversification and Near-Term Commercial Opportunity H3-K27M Mutant Positivity Rate H3-K27M Mutant Glioma by Tumor Location1 • Estimated U.S. incidence of more than 2,000 patients2 • No currently approved systemic therapies for H3 K27M-mutant glioma • Median OS ~1 year3 from

  16. Slide 16: Financial Performance

    Financial Performance Phil Johnson Executive Vice President, Chief Financial Officer 16 May 6, 2025

  17. Slide 17: Focus on 2025 Commercial Execution

    Focus on 2025 Commercial Execution 1Q25 Total Revenues 1Q25 Non-GAAP ANI2 and EPS2,3 Continue to grow and diversify commercial portfolio: In-line ANI -41% EPS3 -36% • Xywav revenues of $345M in 1Q25, 9% growth YoY • Epidiolex revenues of $218M in 1Q25, $902M $898M $178M 10% growth YoY $2.63 • Oncolo

  18. Slide 18: 2025 Revenue Guidance

    2025 Revenue Guidance TOTAL REVENUE Top-line growth driven by diversified portfolio +5%3 $4,150M- $4,400M Leading treatment in Standard of care in $4,069M Potential to be the 2L SCLC1; pediatric ALL/LBL patients therapy of choice in expansion opportunity in with asparaginase multiple HER2+ tumors 1L

  19. Slide 19: 2025 Non-GAAP Adjusted Guidance; Investing to Drive Growth

    2025 Non-GAAP Adjusted Guidance ; Investing to Drive Growth 1 SG&A2 R&D2 ANI2,3 Non-GAAP Adjusted: 2025 Guidance1 +22%4 -3%4 -78%4 Effective tax rate2 35% - 45% • Includes: $172M related to certain • Includes: R&D costs associated with • Includes: impacts to SG&A2, R&D2 and Xyrem antitrust litigatio

  20. Slide 20: Closing

    Closing Bruce Cozadd Chairman and Chief Executive Officer 20 May 6, 2025

  21. Slide 21: Well-Positioned to Deliver Meaningful Shareholder Value

    Well-Positioned to Deliver Meaningful Shareholder Value COMMERCIAL EXECUTION PIPELINE CATALYSTS Executing launch in 2L BTC Zanidatamab Phase 3 1L GEA top-line data expected 2H25 Poised to reach blockbuster status Operational Positive CHMP decision in 2L BTC excellence and a disciplined, strategic Ph

  22. Slide 22: Appendix

    Appendix 0 Jazz Pharmaceuticals.

  23. Slide 23: Glossary

    Glossary Acronym Definition Acronym Definition 1L First-line HSR Hypersensitivity reaction 2024 Notes Our 1.50% exchangeable senior notes due 2024 IH Idiopathic hypersomnia 2026 Notes Our 2.000% exchangeable senior notes due 2026 IHC Immunohistochemistry 2L Second-line IPR&D In-process research and

  24. Slide 24: Reconciliation of GAAP Reported to Non-GAAP Adjusted Information

    Reconciliation of GAAP Reported to Non-GAAP Adjusted Information1 Three Months Ended March 31, 2025 Three Months Ended March 31, 2024 In thousands, except per share amounts (unaudited) Net Income (Loss) Diluted EPS/(LPS)2 Net Income (Loss) Diluted EPS/(LPS)2 GAAP reported $(92,541) $(1.52) $(14,618)

  25. Slide 25: Reconciliation of GAAP to Non-GAAP Adjusted 2025 Guidance

    Reconciliation of GAAP to Non-GAAP Adjusted 2025 Guidance1 2025 Guidance1 2025 Guidance1 Net Income / Diluted EPS / In millions, except per share amounts (unaudited) (Loss) (LPS) In millions (unaudited) SG&A R&D 5 6 GAAP2 $(615) - $(450) 3 $(10.00) - $(7.50) GAAP expenses $1,640 - $1,723 $835 - $895

  26. Slide 26: Reconciliation of GAAP Reported to Non-GAAP Adjusted Information

    Reconciliation of GAAP Reported to Non-GAAP Adjusted Information1 Year ended December 31, 2024 In thousands, except per share amounts (unaudited) Net Income Diluted EPS2 GAAP reported $560,120 $8.65 Intangible asset amortization 627,313 9.50 Share-based compensation expense 248,045 3.76 Acquisition

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