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Belite Bio's Q4 2024 Earnings Call: Discrepancies in Regulatory Strategies, Discontinuation Rates, and Trial Design

Earnings DecryptMonday, Mar 17, 2025 6:44 pm ET
4min read
These are the key contradictions discussed in Belite Bio's latest 2024Q4 earnings call, specifically including: DSMB recommendations and regulatory strategies, discontinuation rates in clinical trials, study population and trial design, and regulatory strategy:

total revenue (fy) increase(6514)
net income (fy)(6514)
diluted eps (fy)(6514)
p/e (ttm)(6514)
price to book ratio(5528)
p/s(6514)
Total Revenue (FY) QoQ growth value2024.12.31
Net Income (FY)(USD)2024.12.31
Diluted EPS (FY)(USD)2024.12.31
P/E(TTM)2025.03.14
Price to Book Ratio2025.03.17
P/S2025.03.14
63.17B 59.25B 5.5335.41 7.253.29
49.20B 3.78B12.1224.70 2.09--
42.62B 100.12B 8.0420.41 6.255.84
42.62B 100.12B 8.0420.15 6.165.76
39.03B260.80M 7.9612.85 2.040.03
36.84B 16.27B 1.9135.20 7.701.01
33.95B 29.76B 1.1940.73 36.7722.75
33.21B 88.14B11.8031.14 9.5510.68
31.79B 1.52B 7.5335.84223.340.15
29.60B 62.36B23.8624.69 8.399.36
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Phase 3 Trials Progress:
- Belite Bio has made significant progress in its Phase 3 trials for Tinlarebant, with the DRAGON trial completing an interim analysis and the DSMB recommending no sample size increase.
- The progress is attributed to the strong trial design and promising interim results, which indicate potential efficacy.

Interim Analysis and Regulatory Review:
- The Data Safety Monitoring Board (DSMB) recommended submission of interim data for further regulatory review and drug approval for Tinlarebant in Stargardt disease.
- This positive outcome is a result of the DSMB's confidence in the interim analysis and possible efficacy signals.

Sample Size Increase in GA Trial:
- Belite Bio plans to increase the sample size in the Phase 3 PHOENIX trial for Geographic Atrophy from approximately 450 to 500 subjects.
- This decision is to further boost the chances of success, leveraging the smooth enrollment rate, and maintaining feasibility within the expected timeline.

Adolescent Stargardt Disease Population:
- The current trial population for Stargardt disease consists of adolescents, which represents a significant portion of the real-world diagnosed population.
- The decision to focus on this age group is based on the typical onset of the disease and the potential to approve the drug for a broader patient population with similar disease progression.

Ask Aime: What factors led to the DSMB's recommendation and regulatory strategies in Belite Bio's Phase 3 trials for Tinlarebant?

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