Report
Jacob Mekhael

Zealand Pharma FDA issues rejection letter for glepaglutide in SBS

Zealand announced that the FDA has issued a complete response letter (CRL) for the company's NDA for glepaglutide (long acting GLP-2 analog) in SBS, and recommended an additional confirmatory phase 3 trial. We are keen to learn more about what the additional study will look like, which should become clearer following the company's type A meeting with the FDA expected in 1Q25. We expect some pressure on the shares today, though note that glepaglutide represents just ~4% in our SOTP, with the majority of value coming from the company's obesity programs. We adjust our model shifting glepaglutide's US market entry and potential out-licencing deal to 2027 (from 2025), which brings us to a new TP of DKK 970 (from DKK 980). With multiple differentiated assets in the obesity space we reiterate our BUY rating for Zealand.
Underlying
Zealand Pharma A/S

Zealand Pharma is a biotechnology company. Co. is engaged in the discovery development and commercialization of peptide-based medicines. Co.'s pipeline comprises two implementation areas: Cardio-metabolic diseases and Other indications. The Cardio-metabolic diseases area includes medicines for diabetes and obesity treatment, such as Lyxumia (Lixisenatide), Lyxumia/Lantus, ZP2929 and Danegaptide. The Other indications area are ZP1848, Elsiglutide and ZP1480 (ABT-719) drugs for inflammatory bowel disease, chemotherapy-induced diarrhea and acute kidney injury treatment.

Provider
KBC Securities
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Analysts
Jacob Mekhael

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