TD Cowen 46th Annual Health Care Conference
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XOMA Corporation (XOMA) TD Cowen 46th Annual Health Care Conference summary

Event summary combining transcript, slides, and related documents.

Logotype for XOMA Corporation

TD Cowen 46th Annual Health Care Conference summary

2 Mar, 2026

Company overview and strategy

  • Holds an enterprise value of ~$550M, market cap ~$450M, and $80M in cash, with a large portfolio of over 120 assets, including 15 in phase III development.

  • Focuses on building a diversified royalty portfolio across all drug development stages, taking on more risk than competitors who focus on late-stage or commercial assets.

  • Uses a barbell approach to balance early and late-stage assets, seeking mispriced opportunities and special situations to add value.

  • Wind-down transactions generated ~$12M in net capital and $500M in tax deductions, shielding profits from federal taxes for several years.

  • Strategic asset swaps, such as with Takeda, have expanded the portfolio and diversified risk.

Portfolio milestones and catalysts

  • 15 phase III programs are expected to read out over the next 24–30 months, providing significant news flow.

  • Recent phase III readouts for Rezolute (congenital hyperinsulinism) and Gossamer were negative, but upcoming data for tumor hyperinsulinism and Velixabat in PSC are anticipated.

  • Regulatory decisions for MIPLYFFA and OJEMDA outside the U.S. are expected, with ONIVYDE receiving a positive CHMP opinion in Europe.

  • Royalties from commercial products are covering operating expenses, with milestones and tax advantages expected to drive profitability from 2026 onward.

  • Share buybacks have reduced outstanding shares by 5% since 2023, while asset count has grown.

Product and market insights

  • Tumor hyperinsulinism market is believed to be larger than congenital hyperinsulinism, with potential for a drug exceeding $500M in sales if pricing and regulatory paths align.

  • MIPLYFFA launch in Niemann-Pick has exceeded expectations, aided by weight-based dosing and identification of adult patients.

  • Ovaprene, a non-hormonal contraceptive, is expected to benefit from market trends favoring non-hormonal options, with phase III data expected next year.

  • OJEMDA and MIPLYFFA royalties alone are projected to make the company profitable by 2027, with VABYSMO also contributing.

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