[Business Highlights and Program Updates](index=1&type=section&id=Business%20Highlights%20and%20Program%20Updates) Denali Therapeutics achieved significant regulatory milestones for its Transport Vehicle (TV) platform, advancing multiple clinical and preclinical programs [Overview](index=1&type=section&id=Overview) Denali Therapeutics made significant regulatory progress for its Transport Vehicle (TV) platform, including FDA priority review for tividenofusp alfa and an accelerated approval pathway for DNL126 - The CEO highlighted the potential of the company's **Transport Vehicle (TV) platform** to create a new class of therapeutics that can cross the blood-brain barrier, positioning Denali to deliver treatments for lysosomal, neurodegenerative, and other serious diseases[3](index=3&type=chunk) - The FDA accepted the Biologics License Application (BLA) for tividenofusp alfa for Hunter syndrome for **priority review**, with a PDUFA target action date of **January 5, 2026**[4](index=4&type=chunk)[6](index=6&type=chunk) - An **accelerated approval pathway** for DNL126 for Sanfilippo syndrome Type A was aligned with the FDA[5](index=5&type=chunk)[6](index=6&type=chunk) - The company is on track to submit regulatory applications in 2025 to begin clinical testing for **one to two additional TV-enabled programs**[6](index=6&type=chunk) - Preclinical research on the **ATV:Abeta program** for Alzheimer's disease was published in the journal ***Science***, demonstrating potential advantages in crossing the blood-brain barrier and reducing ARIA risk[6](index=6&type=chunk)[10](index=10&type=chunk) [Clinical Programs](index=1&type=section&id=Clinical%20Programs) Denali's clinical pipeline advanced significantly with tividenofusp alfa under FDA priority review and DNL126 on an accelerated approval pathway [Tividenofusp alfa (DNL310) for Hunter syndrome (MPS II)](index=1&type=section&id=Tividenofusp%20alfa%20(DNL310)%20for%20Hunter%20syndrome%20(MPS%20II)) The FDA accepted the Biologics License Application (BLA) for tividenofusp alfa for priority review, setting a PDUFA target action date of January 5, 2026 - The FDA accepted the BLA for tividenofusp alfa for **priority review** and assigned a PDUFA target action date of **January 5, 2026**[4](index=4&type=chunk) - The BLA seeks **accelerated approval** based on data from the Phase 1/2 study[4](index=4&type=chunk) - The company is preparing for **commercial launch** and conducting the **Phase 2/3 COMPASS study** to support global regulatory submissions[4](index=4&type=chunk) [DNL126 (ETV:SGSH) for Sanfilippo syndrome type A (MPS IIIA)](index=1&type=section&id=DNL126%20(ETV%3ASGSH)%20for%20Sanfilippo%20syndrome%20type%20A%20(MPS%20IIIA)) Denali has aligned with the FDA that cerebrospinal fluid heparan sulfate (CSF HS) can be used as a surrogate endpoint to support an accelerated approval for DNL126 - Reached alignment with the FDA that **CSF heparan sulfate (CSF HS)** may be used as a surrogate endpoint to support **accelerated approval**[5](index=5&type=chunk) - Ongoing open-label Phase 1/2 study data demonstrated a **significant reduction in CSF HS** from baseline, supporting continued development[5](index=5&type=chunk) - Enrollment in the Phase 1/2 study is **nearly complete**, and planning for a confirmatory **global Phase 3 study** is underway[5](index=5&type=chunk) [TAK-594/DNL593 (PTV:PGRN) for GRN-related frontotemporal dementia](index=2&type=section&id=TAK-594%2FDNL593%20(PTV%3APGRN)%20for%20GRN-related%20frontotemporal%20dementia) The collaboration with Takeda to develop DNL593, a therapeutic designed to cross the blood-brain barrier for the treatment of FTD-GRN, is progressing with a Phase 1/2 study currently ongoing - Denali and Takeda are collaborating on the development of **DNL593** for FTD-GRN, with a **Phase 1/2 study** currently ongoing[7](index=7&type=chunk) [BIIB122/DNL151 (small molecule LRRK2 inhibitor) for Parkinson's disease (PD)](index=2&type=section&id=BIIB122%2FDNL151%20(small%20molecule%20LRRK2%20inhibitor)%20for%20Parkinson's%20disease%20(PD)) In partnership with Biogen, the Phase 2b LUMA study of LRRK2 inhibitor BIIB122 has completed enrollment, with results expected in 2026 - The **Phase 2b LUMA study** of BIIB122, co-developed with Biogen, has completed enrollment with a readout expected in **2026**[8](index=8&type=chunk) - Denali is also conducting the **Phase 2a BEACON study**, which focuses on LRRK2-associated Parkinson's disease[8](index=8&type=chunk) [IND-Enabling Stage Programs](index=2&type=section&id=IND-Enabling%20Stage%20Programs) Denali plans to advance one to two new TV-enabled programs into clinical testing annually, with preclinical data for ATV:Abeta showing improved brain distribution and reduced ARIA risk - The company expects to submit regulatory applications to begin clinical testing of **one to two TV-enabled programs each year** for the next three years[9](index=9&type=chunk) - Advanced preclinical programs include candidates for **Pompe disease (DNL952)**, **Parkinson's/Gaucher disease (DNL111)**, **MPS I (DNL622)**, and **Alzheimer's disease (DNL921, DNL628)**[9](index=9&type=chunk) - Preclinical data published in ***Science*** for the **ATV:Abeta program** demonstrated **improved brain distribution** and **reduced ARIA risk** in a mouse model compared to conventional antibody treatment[10](index=10&type=chunk) [Second Quarter 2025 Financial Results](index=3&type=section&id=Second%20Quarter%202025%20Financial%20Results) Denali reported an increased net loss in Q2 2025 due to higher R&D and G&A expenses, while maintaining a strong cash position [Financial Performance Summary](index=3&type=section&id=Financial%20Performance%20Summary) For the second quarter of 2025, Denali reported a net loss of $124.1 million, an increase from $99.0 million in the same period of 2024 | Financial Metric | Q2 2025 | Q2 2024 | | :--- | :--- | :--- | | Net Loss | $124.1 million | $99.0 million | | Research & Development Expenses | $102.7 million | $91.4 million | | General & Administrative Expenses | $32.3 million | $25.2 million | | Cash, Cash Equivalents, & Marketable Securities | $977.4 million | N/A | - The **$11.3 million increase in R&D expenses** was primarily driven by increased spending on preclinical TV programs and costs associated with the commencement of operations at the Salt Lake City manufacturing facility[13](index=13&type=chunk) - The **$7.1 million increase in G&A expenses** was mainly due to activities related to preparations for a potential commercial launch of tividenofusp alfa[14](index=14&type=chunk) [Condensed Consolidated Statements of Operations](index=5&type=section&id=Condensed%20Consolidated%20Statements%20of%20Operations) The statement of operations shows a net loss of $124.1 million for Q2 2025, compared to a net loss of $99.0 million for the same period in 2024 | (In thousands, except per share amounts) | Three Months Ended June 30, 2025 | Three Months Ended June 30, 2024 | | :--- | :--- | :--- | | Research and development | $102,696 | $91,399 | | General and administrative | $32,267 | $25,194 | | **Total operating expenses** | **$134,963** | **$116,593** | | Loss from operations | ($134,963) | ($116,593) | | Interest and other income, net | $10,844 | $17,567 | | **Net loss** | **($124,119)** | **($99,026)** | | Net loss per share, basic and diluted | ($0.72) | ($0.59) | [Condensed Consolidated Balance Sheets](index=6&type=section&id=Condensed%20Consolidated%20Balance%20Sheets) As of June 30, 2025, Denali had total assets of $1.17 billion, compared to $1.37 billion at the end of 2024 | (In thousands) | June 30, 2025 | December 31, 2024 | | :--- | :--- | :--- | | **Assets** | | | | Cash, cash equivalents, and marketable securities | $977,415 | $1,191,704 | | Total current assets | $934,706 | $864,436 | | **Total assets** | **$1,166,241** | **$1,374,180** | | **Liabilities and Stockholders' Equity** | | | | Total current liabilities | $91,057 | $102,208 | | **Total liabilities** | **$139,188** | **$144,496** | | **Total stockholders' equity** | **$1,027,053** | **$1,229,684** | [Corporate Information](index=2&type=section&id=Corporate%20Information) Denali Therapeutics will participate in upcoming investor conferences and continues its focus on developing therapies to cross the blood-brain barrier [Upcoming Investor Conferences](index=2&type=section&id=Upcoming%20Investor%20Conferences) Denali is scheduled to participate in seven investor conferences between September and November 2025, including events hosted by Cantor, Morgan Stanley, Baird, H.C. Wainwright, Deutsche Bank, Stifel, and Jefferies - The company will participate in **seven investor conferences** in the fall of 2025, providing opportunities to engage with the investment community[11](index=11&type=chunk) [About Denali Therapeutics](index=3&type=section&id=About%20Denali%20Therapeutics) Denali Therapeutics is a biopharmaceutical company based in South San Francisco, focused on developing a broad portfolio of product candidates engineered to cross the blood-brain barrier (BBB) for the treatment of neurodegenerative diseases and lysosomal storage diseases - Denali's core strategy involves developing therapies engineered to cross the **blood-brain barrier (BBB)** to treat neurodegenerative and lysosomal storage diseases[16](index=16&type=chunk) - The company's approach includes assessing genetically validated targets and using biomarkers to guide development[16](index=16&type=chunk)

Core Insights - Denali Therapeutics reported financial results for Q2 2025, highlighting significant advancements in its clinical programs and financial performance [1][12]. Clinical Programs - The FDA accepted Denali's Biologics License Application (BLA) for tividenofusp alfa for Hunter syndrome, with a PDUFA target action date of January 5, 2026, indicating a potential accelerated approval path [3][8]. - DNL126 for Sanfilippo syndrome type A has reached alignment with the FDA on using cerebrospinal fluid heparan sulfate as a surrogate endpoint for accelerated approval, with ongoing Phase 1/2 study data showing significant reductions in CSF HS [4][8]. - Denali is collaborating with Takeda on DNL593 for frontotemporal dementia, with a Phase 1/2 study currently in progress [5]. - The company is co-developing BIIB122 with Biogen for Parkinson's disease, with the Phase 2b LUMA study completed enrollment and results expected in 2026 [6]. Financial Performance - Denali reported a net loss of $124.1 million for Q2 2025, compared to a net loss of $99.0 million in Q2 2024 [12][19]. - Research and development expenses increased to $102.7 million in Q2 2025 from $91.4 million in Q2 2024, driven by external R&D expenses and personnel-related costs [13][19]. - General and administrative expenses rose to $32.3 million in Q2 2025 from $25.2 million in Q2 2024, primarily due to preparations for the potential commercial launch of tividenofusp alfa [14][19]. - As of June 30, 2025, Denali had approximately $977.4 million in cash, cash equivalents, and marketable securities [14]. Research and Development Pipeline - Denali plans to submit regulatory applications for one to two additional TV-enabled programs each year over the next three years, with advanced programs including DNL952 for Pompe disease and DNL111 for Parkinson's/Gaucher disease [9]. - Preclinical research on the ATV:Abeta program for Alzheimer's disease was published, demonstrating improved brain distribution and reduced ARIA risk compared to conventional treatments [10].

Core Viewpoint - Alzheimer's disease (AD) is a severe neurodegenerative disorder with significant impacts on individuals and society, yet drug development has faced numerous failures despite substantial investments from major pharmaceutical companies [2][3]. Drug Development and FDA Approvals - In June 2021, the FDA accelerated the approval of Aducanumab, developed by Eisai and Biogen, marking the first new drug for Alzheimer's since 2003, although its approval was controversial due to associated risks like ARIA (Amyloid-related Imaging Abnormalities) [3][6]. - Following Aducanumab, the FDA approved two additional antibody drugs targeting Aβ: Donanemab by Eli Lilly and Lecanemab by Eisai and Biogen, both of which also present ARIA-related side effects [3][6]. Denali Therapeutics' Research - Denali Therapeutics published a study in August 2025 on a new antibody transport carrier, ATV cisLALA, which utilizes transferrin receptor (TfR) to enhance brain delivery of anti-Aβ antibodies while mitigating ARIA risks [4][9]. - The ATV cisLALA carrier shows improved distribution in brain tissue compared to traditional Aβ antibodies, which tend to accumulate around blood vessels, potentially triggering inflammatory responses and ARIA [9][11]. Mechanism of Action - Traditional Aβ antibodies enter the brain through cerebrospinal fluid and perivascular spaces, where amyloid deposits are located, leading to inflammation and ARIA. In contrast, the ATV carrier enhances delivery through capillaries, reducing ARIA side effects [11][12]. - Denali's TfR-based approach is not limited to Aβ; the company is also developing therapies targeting tau protein using the same delivery mechanism, aiming to address two key toxic proteins in Alzheimer's simultaneously [11].

Core Insights - Denali Therapeutics, Inc. (DNLI) has received FDA acceptance for its biologics license application (BLA) for tividenofusp alfa, aimed at treating Hunter syndrome, with a target action date set for January 5, 2026 [1][7] - The acceptance of the BLA marks a significant step for DNLI towards becoming a commercial-stage biotech company, especially as its shares have declined by 30.1% year to date [2] Drug Development and Clinical Trials - Tividenofusp alfa has received Breakthrough Therapy Designation from the FDA for Hunter syndrome, a rare genetic disorder caused by a deficiency in the iduronate 2-sulfatase (IDS) enzyme [3] - The drug is designed to cross the blood-brain barrier, addressing both cognitive and physical symptoms of MPS II, unlike traditional enzyme replacement therapies [4] - The BLA submission is supported by data from a phase I/II study involving 47 participants, and an ongoing phase II/III COMPASS study is expected to provide pivotal data for global regulatory filings [5] Pipeline and Collaborations - Denali is also evaluating DNL126 for Sanfilippo syndrome type A and has engaged in discussions with the FDA for an accelerated development path [9] - Another candidate, DNL593, is being co-developed with Takeda for frontotemporal dementia, with an ongoing phase I/II study [10] - Denali and Biogen are jointly developing a LRRK2 inhibitor for Parkinson's disease, with a global phase IIb study fully enrolled and results expected in 2026 [11] - Denali is also conducting a phase IIa study for LRRK2-associated Parkinson's disease and evaluating DNL343 for amyotrophic lateral sclerosis (ALS), although a primary endpoint was not met in a recent trial [12] - The company has multiple early-stage clinical and preclinical programs and maintains a sound cash position to fund ongoing initiatives [13]

Core Insights - Denali Therapeutics Inc. announced that the FDA has accepted the Biologics License Application (BLA) for tividenofusp alfa, seeking accelerated approval for the treatment of Hunter syndrome, with a target action date of January 5, 2026 [1][7]. Company Overview - Denali Therapeutics is a biotechnology company focused on developing therapies that can cross the blood-brain barrier (BBB) for neurodegenerative and lysosomal storage diseases [9]. - The company utilizes a proprietary TransportVehicle™ platform designed to deliver large therapeutic molecules across the BBB, enhancing drug efficacy [8]. Product Details - Tividenofusp alfa is an investigational enzyme replacement therapy designed to address both neurological and physical symptoms of Hunter syndrome by delivering the iduronate 2-sulfatase (IDS) enzyme into the brain and body [2][4]. - The therapy has received Fast Track and Breakthrough Therapy designations from the FDA, as well as Priority Medicines designation from the European Medicines Agency [4]. Clinical Studies - The BLA submission is supported by data from a Phase 1/2 study involving 47 participants with Hunter syndrome [3]. - Denali is conducting an ongoing Phase 2/3 COMPASS study to support global regulatory approvals, with participants randomized to receive either tividenofusp alfa or idursulfase [5]. Disease Context - Hunter syndrome (MPS II) is a rare genetic disorder caused by a deficiency in the IDS enzyme, leading to the accumulation of glycosaminoglycans and resulting in cognitive decline, behavioral issues, and physical complications [6]. - Current therapies do not effectively address neurological symptoms due to their inability to cross the BBB, highlighting the unmet need for new treatments [6].

Company Strategy & Priorities - Denali is preparing for the potential launch of tividenofusp alfa for MPS II (Hunter syndrome), aiming for a late 2025 or early 2026 U S launch [13, 32, 68] - The company is focused on expanding its Enzyme TransportVehicle (ETV) franchise to realize the platform's potential for lysosomal storage diseases [13] - Denali is advancing its TransportVehicle (TV) portfolio programs for neurodegeneration and other indications [13] Technology & Pipeline - Denali's TransportVehicle (TV) platform is designed to optimize brain delivery, with over 350 patents and applications, and more than 10 programs [16, 18] - The company's OTV:MAPT program demonstrates sustained brain tau knockdown for over 15 weeks following four IV doses [96] - Denali expects to file 1-2 INDs (Investigational New Drug applications) per year over the next 3 years across its TV franchises [90] Clinical Data & Market Opportunity - Tividenofusp alfa Phase 1/2 data in MPS II shows robust reduction in CSF HS and serum NfL, with the majority of participants reaching the normal range by Week 104 [44] - The company estimates a total addressable market of approximately 2,000 patients worldwide for MPS II [72] - Denali is developing a broad ETV franchise targeting lysosomal storage diseases, with approximately 30,000 people affected worldwide, two-thirds of whom have CNS manifestations [38, 76]

Summary of Denali Therapeutics Conference Call Company Overview - **Company**: Denali Therapeutics - **Industry**: Biotechnology - **Focus**: Development of therapies targeting the blood-brain barrier (BBB) for rare diseases, particularly enzyme replacement therapies (ERTs) for conditions like Hunter syndrome and Sanfilippo syndrome Key Points and Arguments Pipeline Progress and Upcoming Milestones - Denali is in the process of filing a Biologics License Application (BLA) for its lead program targeting Hunter syndrome, with a PDUFA date pending [4][18] - The company has developed a novel blood-brain barrier technology, which has garnered significant interest in the industry [5][4] - Denali has three transport vehicle molecules currently in clinical testing and plans to introduce at least three more within the next year [7][8] Commercial Strategy - The company is preparing for the launch of its lead product, DNL310, which is positioned as a next-generation ERT [21][22] - Denali is building a commercial team to ensure a successful launch and has engaged with all prescribers of existing treatments in the U.S. [22][23] - Education for healthcare providers and patients is a core focus, emphasizing the advantages of their therapy over standard care [25][23] Regulatory Engagement - Denali has had consistent and productive dialogue with the FDA regarding its BLA submission and the accelerated approval pathway for its programs [17][19] - The company is also engaging with European regulators to align on the approval process for its therapies [26][28] Manufacturing Capabilities - Denali is utilizing Lonza for the manufacturing of its lead product, with plans to transition to a U.S. facility for larger volumes [31][32] - The company has established its own manufacturing capabilities to enhance efficiency and reduce costs [8][31] Competitive Landscape - Denali is aware of the competitive dynamics with gene therapies and other ERTs in the market, particularly for Hunter and Sanfilippo syndromes [39][37] - The company believes that its therapies may complement existing gene therapies rather than compete directly [40][39] Strategic Prioritization - Denali is focusing on high-probability success programs within its enzyme replacement therapy portfolio, which has a multibillion-dollar market opportunity [45][46] - The company aims to balance its resources between smaller indications and larger opportunities, ensuring efficient capital allocation [42][44] Future Directions - Denali is exploring additional therapeutic areas beyond the brain, including potential applications in tumors and muscle diseases [59][58] - The company is committed to maintaining a strong business development strategy to partner its assets effectively while managing capital efficiency [60][61] Additional Important Insights - Denali's approach to the blood-brain barrier delivery is seen as a significant advancement in the field, with a growing number of companies now pursuing similar technologies [58][59] - The company is focused on reducing the cost of bringing programs from idea to clinical proof of concept, which is crucial given the high cost of capital in the biotech industry [59][58]

Core Viewpoint - Denali Therapeutics Inc. has seen a slight increase in share price of about 0.7% over the past month, underperforming the S&P 500, raising questions about the sustainability of this trend leading up to the next earnings release [1] Group 1: Earnings and Estimates - Estimates for Denali Therapeutics have trended upward over the past month, indicating positive revisions [2] - The stock has a Zacks Rank of 3 (Hold), suggesting an expectation of in-line returns in the coming months [4] Group 2: VGM Scores - Denali Therapeutics has a poor Growth Score of F, a Momentum Score of C, and a Value Score of F, resulting in an overall aggregate VGM Score of F, placing it in the lowest quintile for investment strategies [3] Group 3: Industry Comparison - Denali Therapeutics operates within the Zacks Medical - Biomedical and Genetics industry, where Moderna has experienced a gain of 13.3% over the past month [5] - Moderna reported revenues of $108 million for the last quarter, reflecting a year-over-year decline of 35.3%, with an EPS of -$2.52 compared to -$3.07 a year ago [5] - Moderna is projected to post a loss of $2.97 per share for the current quarter, with a year-over-year change of +10.8% and a Zacks Rank of 3 (Hold) [6]

Summary of Denali Therapeutics Conference Call Company Overview - **Company**: Denali Therapeutics - **Industry**: Biotechnology, specifically focusing on rare diseases and blood-brain barrier technology Key Points and Arguments 1. **FDA Approval Process**: Denali is currently on file with the FDA for a potential first approval, indicating a significant milestone for the company and its transition to a commercial entity [1][2] 2. **Transport Vehicle Technology**: The company has developed a novel technology to facilitate the crossing of large molecules through the blood-brain barrier, which has shown promise in treating diseases like Hunter syndrome [4][5] 3. **Clinical Trials**: Denali completed a Phase 1/2 study with 47 patients, all of whom reached at least six months of treatment. The data from this study has matured and is being presented to the FDA [6][7] 4. **Regulatory Engagement**: The company has had consistent and timely interactions with the FDA, even during periods of uncertainty within the agency, which has been beneficial for their accelerated approval path [7][9] 5. **Competing Therapies**: There is increasing competition in the field, particularly with other companies developing transferrin receptor-enabled therapies for similar conditions [5][20] 6. **Gene Therapy Considerations**: Denali is aware of competing gene therapy products targeting Hunter syndrome, which are under different FDA divisions. The company believes its data package is robust and differentiates its product from competitors [20][29] 7. **Accelerated Approval Path**: Denali expects to receive accelerated approval based on its data package, with a confirmatory study (COMPASS) planned for the future [37][41] 8. **Sanfilippo Program**: The company is also advancing a program for Sanfilippo syndrome, with plans to utilize natural history data for regulatory approval due to the lack of standard care options [50][52] 9. **Future Pipeline**: Denali is preparing to enter multiple new programs targeting Alzheimer's disease, with a focus on leveraging its blood-brain barrier technology for broader applications beyond rare diseases [74][86] 10. **Market Potential**: The company sees significant potential in the Alzheimer's market, especially with the development of therapies that can reduce safety concerns associated with existing treatments [86][90] Additional Important Content - **Breakthrough Therapy Designation**: Denali's product for Hunter syndrome has received breakthrough therapy designation, which may facilitate a faster review process [40][41] - **Patient Access**: The company is expanding its studies to allow more patients access to the drug while under accelerated approval [37][49] - **Data Strategy**: Denali is cautious about releasing data too early and is focused on ensuring a robust data package before making announcements [56][57] - **Investment in Technology**: The company has heavily invested in proving its transport vehicle technology, which is expected to benefit future programs across various diseases [61][63] This summary encapsulates the key discussions and insights from the conference call, highlighting Denali Therapeutics' strategic direction, regulatory interactions, and competitive landscape in the biotechnology sector.

Denali Therapeutics Conference Call Summary Company Overview - **Company**: Denali Therapeutics (DNLI) - **Event**: Bank of America Healthcare Conference - **Date**: May 13, 2025 Key Industry Insights - **FDA Interactions**: Denali has had numerous interactions with the FDA, particularly regarding their Biologics License Application (BLA) filing for TIVI, which received breakthrough therapy designation. This designation is significant as it is the first for a blood-brain barrier-enabled technology in the context of MPS (Mucopolysaccharidoses) [4][5][6] - **Enzyme Replacement Therapy**: The probability of success for enzyme replacement therapies reaching the market is between 85% and 90%, which is notably high compared to other drug development areas. Denali's TIVI aims to address neurological symptoms in lysosomal storage disease patients, a significant unmet need [7][8] Product Development - **TIVI Overview**: TIVI (tividendifusp alfa) is engineered to cross the blood-brain barrier and aims to normalize substrate levels in the brain, showing downstream biomarker benefits such as NfL (neurofilament light chain) [8][9] - **Target Population**: Approximately 500 patients in the U.S. and 2,000 patients worldwide are affected by Hunter syndrome, the primary indication for TIVI [10] - **Commercial Readiness**: Denali has been building a commercial foundation for TIVI over the past three years, focusing on medical education and awareness among healthcare providers [11][12] Market Dynamics - **Switching from Standard of Care**: Most patients currently on Allopraze (the standard of care) are expected to switch to TIVI, with a strong clinical data package supporting this transition [13][16] - **Physician Education**: The company emphasizes the importance of educating physicians about the benefits of TIVI, particularly in achieving normalization of substrate levels [14][15] Future Indications and Expansion - **Next Steps**: Denali plans to expand into other indications such as Sanfilippo syndrome, Pompe disease, and Gaucher disease, leveraging the same biomarkers used for TIVI [32][34] - **Alzheimer's and Parkinson's**: Denali is also developing programs targeting Alzheimer's and Parkinson's diseases, focusing on amyloid beta and tau pathologies. They have two IND-enabling programs in this area [48][49] Financial Outlook - **Cash Position**: Denali reported $1.05 billion in cash, guiding towards cash sustainability into 2028. The company plans to increase spending by 10% to 15% this year to support portfolio expansion [60][61] Strategic Partnerships - **Business Development**: Denali has entered over 40 partnerships to share risk and enhance its portfolio. The company is open to strategic partnerships that can accelerate its development efforts, particularly in blood-brain barrier technologies [63][64] Conclusion Denali Therapeutics is positioned to make significant strides in the treatment of rare neurological diseases through its innovative transport vehicle technology. The company is focused on building a strong commercial foundation while exploring new therapeutic areas, backed by a robust financial position and strategic partnerships.