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X4 Pharmaceuticals (XFOR) investor relations material

X4 Pharmaceuticals Guggenheim Securities 2nd Annual Healthcare Innovation Conference summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Guggenheim Securities 2nd Annual Healthcare Innovation Conference summary10 Nov, 2025

Management and strategic direction

  • New management team joined three months ago, raising nearly $240 million to fund operations through phase III and potential launch.

  • Company restructured, C-suite removed, and focus shifted from WHIM commercialization to execution of the 4WARD phase III trial.

  • Emphasis on US trial site expansion and patient recruitment through advocacy groups and databases.

  • Sole focus is now on successful completion and execution of the 4WARD trial.

Lead program and market opportunity

  • Lead compound mavorixafor targets CXCR4, enabling release of neutrophils from bone marrow, and is administered orally.

  • Approved for WHIM syndrome, but main commercial focus is chronic neutropenia, a broader indication with an estimated 15,000 US patients.

  • Chronic neutropenia currently managed with G-CSF (40-45% of patients) or infection management; oral mavorixafor offers a competitive advantage.

  • WHIM data informs trial design and powering assumptions for chronic neutropenia studies.

Clinical development and trial design

  • Phase II data showed mavorixafor increases ANC as monotherapy and allows G-CSF dose reduction while maintaining ANC.

  • Main toxicity is mild to moderate GI symptoms, typically resolving within weeks.

  • 4WARD phase III trial is double-blind, placebo-controlled, enrolling 176 patients, with two primary endpoints: ANC increase and reduction in Annualized Infection Rate.

  • Study includes independent adjudication of infection events and targets a one-third reduction in infection rate over one year.

  • Enrollment expected to complete by end of Q3 2026, with top-line data in H2 2027 and potential launch in 2028.

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Frequently asked questions

X4 Pharmaceuticals Inc. is a biopharmaceutical company focused on developing therapies for rare diseases, particularly those involving immune system dysfunctions. The company leverages its expertise in small-molecule therapeutics to address conditions associated with abnormal white blood cell activity. The company is headquartered in Boston, Massachusetts, and its shares are listed on the NASDAQ.

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