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Centessa Pharmaceuticals (CNTA) investor relations material

Centessa Pharmaceuticals Evercore ISI 8th Annual HealthCONx Conference summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Evercore ISI 8th Annual HealthCONx Conference summary3 Dec, 2025

Strategic focus and pipeline development

  • Doubling down on orexin biology and agonism, a validated target in neurosciences.

  • ORX750 Phase II study shows robust efficacy in Narcolepsy type 1, type 2, and idiopathic hypersomnia (IH).

  • ORX142 and ORX489, both potent and selective for orexin 2, are entering Phase I with patient studies planned for Q1 2026.

  • Multiple assets in the orexin agonist franchise target broader neurodegenerative and psychiatric disorders.

  • No key liabilities identified among the three main assets, each positioned for different markets and indications.

Clinical trial updates and data insights

  • Phase II study expanded to 96 patients, with ongoing dose optimization to determine the optimal dose for registrational studies.

  • Minimum cohort sizes: 10 NT1, 12 NT2, 12 IH per fixed dose, but actual enrollment can exceed these numbers.

  • As of September 23, 17 IH patients enrolled at 2 mg dose; 50 new patients are currently being dosed at higher levels.

  • Efficacy data: NT1 showed >20 min MWT improvement, half above 30 min; NT2 showed >10 min change from baseline, placebo-adjusted.

  • Safety data across 55 patients revealed only three mild, transient visual disturbances, with no dose response observed.

Market and competitive landscape

  • Orexin agonists are seen as a major category, with strong physician and PI enthusiasm, especially after recent NT2 data.

  • Differentiation among orexin agonists is emerging as more data becomes available.

  • Mechanism of action extends beyond narcolepsy, with potential in cognition, executive function, mood, fatigue, and other neuropsychiatric symptoms.

  • Orexin agonists could impact conditions like ADHD, major depressive disorder, and Parkinson's, leveraging a broad neurotransmitter cascade.

  • No current plans to disclose specific indications for new assets due to competitive considerations.

What specific data from higher ORX750 doses will further differentiate its profile?
How will Centessa select ORX142/489 indications?
How does ORX750's visual AE profile impact its therapeutic index?
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Frequently asked questions

Centessa Pharmaceuticals plc is a clinical-stage pharmaceutical company dedicated to discovering, developing, and delivering transformative medicines. Established in 2020, the company focuses on developing a wide range of innovative treatments across various therapeutic areas, including rare diseases and immuno-oncology. Centessa Pharmaceuticals is headquartered in Altrincham, United Kingdom, and its shares are listed on the NASDAQ.

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