"COMPASS Pathways" Q2 2026 Earnings Call - Phase III Success Clears Regulatory Path for Q4 NDA and H1 2027 Launch
Summary
COMPASS Pathways has crossed the most dangerous stretch of the psychedelic drug development pipeline. Positive Phase III primary endpoints and 26-week durability data have effectively de-risked the clinical profile of COMP360 for treatment-resistant depression. The company is now racing to finish a rolling FDA submission by the fourth quarter, banking on an accelerated approval pathway and a National Priority Review Voucher. Cash reserves of $433 million provide a comfortable runway through launch and into 2028, but the real test lies in execution. Management is building a seasoned commercial team and leaning on an established network of over 8,000 interventional psychiatry sites. Payer engagement is reportedly strong, driven by the high economic burden of TRD, though DEA rescheduling and state-level approvals will dictate the actual commercial go-live date, now projected for the first half of 2027.
The market reaction will hinge on whether COMP360 can translate a 90 percent pre-launch prescriber interest rate into actual volume. Management is doubling down on training, REMS compliance, and field reimbursement support to navigate the multi-hour monitoring requirement. With a PTSD trial already underway and investigator-initiated studies restarting for OCD and AUD, the company is positioning itself as a platform rather than a single-asset play. The clinical data is robust. The regulatory and commercial machinery is now the variable.
Key Takeaways
- Phase III trials for COMP360 met primary endpoints with high statistical significance, confirming rapid antidepressant effects.
- 26-week durability data demonstrates clinically meaningful symptom reduction sustained for at least six months.
- Rolling FDA submission is underway, with management targeting a complete NDA filing in the fourth quarter of 2026.
- Cash reserves stand at $433 million as of June 30, 2026, funding operations through launch and into 2028.
- Commercial readiness is advancing with a leadership team drawn from J&J, Gilead, Otsuka, and Axsome, alongside eight strategic collaborations.
- Management plans to leverage an existing network of over 8,000 interventional psychiatry treatment centers already equipped for multi-hour monitoring.
- Payer engagement is yielding positive early feedback, driven by the high economic burden of treatment-resistant depression and planned field reimbursement support.
- DEA rescheduling timelines remain fluid but are expected within 90 days, potentially accelerated by an April executive order, pushing commercial launch to H1 2027.
- Pre-launch market research indicates 90 percent of interventional psychiatrists intend to prescribe COMP360 within the first year of availability.
- The PTSD trial is active with 300 patients across three arms, while investigator-initiated studies are restarting for OCD, AUD, and other psychiatric indications.
Full Transcript
Operator: Good day, ladies and gentlemen, and welcome to the COMPASS Pathways second quarter 2026 conference call. At this time, all participants are in listen-only mode. As a reminder, this call is being recorded. I would now like to introduce your host for today’s call, Stephen Schultz. You may begin.
Stephen Schultz, Senior Vice President of Investor Relations, COMPASS Pathways: Thank you, operator. Welcome all of you, and thank you for joining us today for this conference call. Again, my name’s Steve Schultz, Senior Vice President of Investor Relations at COMPASS Pathways. Today I’m joined by Kabir Nath, our Chief Executive Officer, and Lori Englebert, our Chief Commercial Officer. Teri Loxam, our Chief Financial Officer, will also be available for the Q&A. The call is being recorded and will be available on the COMPASS Pathways investor relations website shortly after the conclusion of the call and will be available for a period of 30 days. Before we begin, let me remind everyone that during the call today, we will be making statements about our future plans and prospects that constitute forward-looking statements.
Each forward-looking statement is subject to risks and uncertainties that could cause actual results and events to differ materially from those projected in that statement, including those risks and uncertainties described under the heading Risk Factors in our most recent filings with the U.S. Securities and Exchange Commission. These forward-looking statements represent our views only as of today, and we specifically disclaim any obligation to update or revise any forward-looking statements, even if our estimates or assumptions change. I’ll now hand the call to Kabir Nath.
Kabir Nath, Chief Executive Officer, COMPASS Pathways: Thank you, Steve, and thank you all for joining us today. The first half of this year has been an exciting time for COMPASS. Now that we have highly statistically significant positive phase III primary endpoint readouts, as well as demonstrated durability through 6 months from both our trials, we believe we have largely de-risked the clinical and regulatory profile of COMP360. In addition to confirming its rapid onset and durability, the totality of data from the program so far shows it has a generally well-tolerated and safe profile. Taken together, these data reinforce our belief that COMP360 has the potential to fundamentally change how mental health is managed. With these data sets in hand, we continue to make significant progress towards our NDA filing for the treatment of TRD.
Our rolling submission and review process allows us to submit data in waves to the FDA, and they have started to review some modules that we’ve already submitted. We continue to expect to complete the NDA filing in the fourth quarter. With the potential for an accelerated approval following our final submission, we are advancing our commercial readiness. We’ve built a fantastic commercial team with incredible experience, and we’re executing on all fronts to be prepared to get COMP360 to the millions of patients living with TRD who urgently need new treatment options. We’re also well positioned with our strong balance sheet, with $433 million of cash on hand as of June the 30th, which carries us well through launch and into 2028. Let me now hand the call to Lori to talk through in more detail how we’re preparing to transform treatment options for these patients.
Lori Englebert, Chief Commercial Officer, COMPASS Pathways: Thanks, Kabir. Hi, everyone. Thank you for joining. As Kabir outlined, we have achieved significant milestones in the first half of the year. Notably, advanced important commercial readiness initiatives across organizational capabilities, strategic collaboration, policy and payer engagement, and distribution. All significant steps towards being launch ready. Earlier this year, we rounded out hiring of the commercial leadership team, attracting highly experienced, energized leaders who immediately started to build out their functions. My direct reports come from companies like J&J, Gilead, Otsuka, and Axsome, and between them have led over 70 product launches. The prospect of launching the first psychedelic in history with a medicine that has the potential to fundamentally change the way mental health is treated is a very powerful attractor of talent, and we are bringing in outstanding professionals from across the pharma industry. I am incredibly proud of the team we are building at Compass.
In the first half of this year, we also announced additional strategic collaborations with Radial and Osmind, taking the total to eight, each with their own distinct capabilities. These collaborations played a critical role in helping to inform our priority focus at launch of ensuring optimal site and patient experience. With the final submission of our NDA expected in the fourth quarter, our focus in the second half of this year is on operationalizing launch plans and ensuring launch readiness. This includes advancing everything from training, education, access and reimbursement, and patient support mechanisms. Importantly, we have also already initiated recruiting for the sales force. Our timelines for launch remain fluid, given the National Priority Review Voucher and executive order in April, and the need for federal DEA and state rescheduling. We remain focused on being ready to launch, which we anticipate being in the first half of 2027.
At launch, we will leverage the well-established existing interventional psychiatry treatment center infrastructure. These treatment sites are specifically designed to support in-office treatment for products that require multi-hour monitoring, such as SPRAVATO, TMS, and ECT. The established infrastructure has existing capacity, and importantly, is already equipped with the staff and operational know-how needed to support additional multi-hour treatments like COMP360. Seven years ago, when SPRAVATO launched, this infrastructure did not exist. Today, there are more than 8,000 established sites across the U.S., and this continues to grow rapidly. COMP360 is poised to lead a profound shift in mental health care, moving beyond daily or frequent dosing toward an option potentially involving just a few treatments a year, which could be life-changing for patients.
Across two highly statistically significant and positive Phase III trials, COMP360 demonstrated extremely rapid onset of action with deep and clinically meaningful reduction in depressive symptoms as quickly as one day, unprecedented durability sustained through at least six months, and notably, reproducibility of effect in a chronic treatment-resistant patient population, one of the most difficult psychiatric conditions in which to demonstrate efficacy. The data are strong, and both patients and prescribers are excited about the potential for a new treatment option. In recent prescriber-focused market research, approximately 90% of interventional psychiatrists stated that they would prescribe COMP360 within the first year of being available. In my experience, this is the highest willingness to prescribe percentage I have ever seen in pre-launch market research.
With the COMP360 emerging profile and continued interest and excitement around the class, we are eager to bring a new treatment option to the 4 million patients living with TRD today who have limited treatment options. We are confident in the blockbuster opportunity. COMP360 has the potential to fundamentally change the way that patients living with depression are cared for. COMPASS is committed to helping as many patients as possible. We are making significant progress towards being launch-ready. I look forward to discussing more with you throughout the rest of this very exciting year. Thank you. Let me hand the call back to Kabir.
Kabir Nath, Chief Executive Officer, COMPASS Pathways: Thank you, Lori. Our progress in the first half of the year has meaningfully de-risked the path towards potential approval and launch and reinforces our confidence in the strength, consistency, and robustness of the COMP360 data package that we are submitting to the FDA. With the regulatory process underway, our focus is on disciplined execution, completing our filing activities and preparing for a first-pass approval and ensuring we are poised to deliver COMP360 to patients with TRD as quickly as possible following approval. As you just heard from Lori, we will be ready. With that, let me pass the call to the operator for Q&A. Thank you.
Operator: We will now begin the question and answer session. Please limit yourself to one question. If you would like to ask a question, please press star one to raise your hand. To withdraw your question, press star one again. We ask that you pick up your handset when asking a question to allow for optimum sound quality. If you are muted locally, please remember to unmute your device. Please stand by while we compile the Q&A roster. Your first question is from the line of Paul Matteis with Stifel. Your line is open. Please go ahead.
Paul Matteis, Analyst, Stifel: Hey. Good morning. Thanks so much for taking my question. Specifically, I was wondering if the team could offer some perspective on the recently issued FDA guidelines around psychedelics, and more specifically, how did you interpret the discussion of those guidelines as it relates to 12-month blinded durability? What do you think that really means or what the FDA is asking for, and how do we think about that in the context of the COMP360 program? Thanks so much.
Kabir Nath, Chief Executive Officer, COMPASS Pathways: Thanks, Paul. Just checking you can hear me clearly, yeah?
Paul Matteis, Analyst, Stifel: Yes. Thank you.
Kabir Nath, Chief Executive Officer, COMPASS Pathways: All right. Thanks. Yeah. Look, I think as you’re aware, this is a finalization of a set of draft guidelines. The original draft, in fact, came out even after we had fully designed our Phase III, aligned with the agency on that and so on. Our perspective is we have had very robust continuing dialogue with the agency throughout this program. While the guidance is certainly interesting and we do have thoughts on the 12 months blinded and that would seem like a pretty tall order for any psychiatry drug, we actually don’t think it’s going to impact the process of our regulatory approval at this stage. I think the other parts of that that I draw your attention to is the design of Phase III studies in a complementary pair continues to be effectively exactly in line with the design of our studies.
While I think the guidance is interesting and obviously in terms of future endeavors, we will be carefully looking at that, we honestly do not think that these guidelines are going to impact the regulatory process that’s already underway for us.
Paul Matteis, Analyst, Stifel: Great. Thanks so much.
Operator: Your next question is from the line of Francois Brisebois with LifeSci Capital. Your line is open. Please go ahead.
Francois Brisebois, Analyst, LifeSci Capital: Hi, thanks for the question here. I was just wondering, in terms of launch, can you help us understand, this always happens, but especially in your situation, just the reimbursement challenges. What are we going to have to go through just to get a better feel for the cadence here with the launch expected next year?
Lori Englebert, Chief Commercial Officer, COMPASS Pathways: Hey, Frank. Thanks for the question. As you mentioned, launches are traditionally hard coming out of the gate with reimbursement just because you need time. What we are doing now is our market access team is already engaging with payers, and they have been now for some time. We are getting very positive feedback from the payers, especially in this TRD patient population, where proving efficacy is almost been impossible to do in the past. It is playing very well with a key stakeholder who really, truly understands the economic burden that patients with TRD can have on a payer system.
At launch, what we expect is we are intending to have a field reimbursement team fully deployed at the time of launch who will be out helping these sites ensure that they can code and get the reimbursement that they need to code for and making sure that they are well-educated in the process. In terms of the drug reimbursement and the conversations we are having with payers right now, we are working through that. We are still ingesting the data that we just got and released a couple weeks ago into the value proposition that COMP360 can bring. We will make decisions as we get closer to launch on what that might look like in terms of rebating and payer negotiations for formulary access.
Operator: Your next question is from the line of Gavin Clark-Gartner with Evercore. Your line is now open. Please go ahead.
Gavin Clark-Gartner, Analyst, Evercore: Hey, guys. Congrats on the progress. Thanks for taking the question. Maybe you could just characterize how any ongoing regulatory discussions are progressing? Separately, what are your expectations for DEA scheduling timelines at this point? Thank you.
Kabir Nath, Chief Executive Officer, COMPASS Pathways: Thanks, Gavin. On the first part, I would just say they’re going well. The rolling submission is well underway. As I noted in the remarks, some of what has been sent is under review. We’re getting questions on it. Given the acceleration, given the NPRV, the onus is also on us to respond very quickly, and we’re doing that. The team is doing an amazing job of being responsive to that. Nothing out of the ordinary that I would say. We remain on track, and as you know, it’s only in the later stages that things like label and REMS really come into play. Those are typically negotiated fairly late in the day. Really nothing untoward to report, except we’re very happy with progress. On rescheduling, I’ll hand to Lori.
Lori Englebert, Chief Commercial Officer, COMPASS Pathways: Yeah. Hi, Gavin. We are accelerating our eight-factor analysis, getting that to the CSS, FDA’s Division of Controlled Substance, as quickly as possible, and in hopes of that enabling a faster FDA and DEA coordination along the way. We are also heavily engaging with the DEA or attempting to engage with the DEA to help see if we can get any further clarity on what that looks like. As I’ve mentioned in the past, the DEA is pretty consistent in hitting their 90 days. We feel very confident that they will reschedule within the 90 days, but it’s still a little bit fluid in terms of when that actually will happen. Given the executive order in April, we are confident in the ability to potentially pull that forward.
Operator: Your next question is from the line of Ritu Baral with TD Cowen. Your line is now open. Please go ahead.
Ritu Baral, Analyst, TD Cowen: Good morning, guys. Thanks for taking the question. Another question for you, Lori, specifically around the term training that you used in the prepared remarks. It sounds like in response to some of the prior questions, some of that training for the interventional psychiatry sites will revolve around coding. I wanted to ask, what other aspects of training does the team plan on offering interventional psychiatry sites, especially given that you have a very solid precedent, REMS, to sort of train against and anticipate? How do you anticipate offering sort of readiness services to those sites, and how does that impact, I think, how all of us may model 2027 rollout? Here at TD Cowen, we’ve had experience with sponsors really wanting to manage the early experience with a drug at sites and with clinicians on early rollout.
Anything you can tell us about sort of the general shape of 2027 as you see it now with the training offered? Thanks.
Lori Englebert, Chief Commercial Officer, COMPASS Pathways: Yeah. Hey, Ritu. Thanks for the question. I’m going to try and collect it all into one cohesive thought. The way I think about training.
Ritu Baral, Analyst, TD Cowen: It’s like one question.
Lori Englebert, Chief Commercial Officer, COMPASS Pathways: You’re brilliant at this, you know? We think about training in two parts. There’s going to be training, and there’s going to be education. I will address both. In terms of training and specifically training. We announced a little while ago that we are participating in grants for third-party companies to help with the training of the site, both on psychedelics and as soon as COMP360 gets a final label on anything that’s required for the monitoring time that the patient will be in the room. We want to make sure that patient experience is a very good one. We’re still doing that. The sites will need to be trained because in the rooms they will need to attest to being trained. Part of that will be based on the training that these third-party providers are enabling.
Already, there are well over 1,000 people who are already trained on the psychedelic portion of that training. There’s a broad group of people already ready to go with that training. The other training, again, the COMP360 piece of that particular training on how to best support a patient and help enable a very good patient experience, that will come after we see the final label, and we get that finalized. We also will need to do training on REMS to make sure that they are compliant with REMS certification and all the things that they need to do with REMS. In terms of rollout, in some cases, the fact that there will likely be a little bit of time between when we get approval and when the DEA will reschedule and then the states will reschedule. Obviously, we’re trying to do this as fast as possible.
We are going to leverage that time to the best of our ability. We will have teams out immediately upon approval, helping these sites make sure that they know the requirements that will be under the REMS. As we learn a little bit more and get closer, we’ll be able to start communicating what we expect in terms of site readiness. This will be obviously a key KPI that we will want to communicate on. Obviously, when it comes time to prescribing. As we are thinking through this, obviously, and you mentioned it before, which means you’ve listened to me in the past, the importance of making sure that the sites and the patients have a very good experience. We are very acutely aware that we are leading the way here, and it is important for us to maintain that leadership.
The other piece that I do want to just quickly touch on is there will also be patients. This is our field force educating the prescribers, the referring physicians. This is our medical science liaisons who have been out in the field for two and a half years now, continuing to educate there. We’re going to continue to do additional support things like peer-to-peer education, and enabling that in an outsized way, just to make sure that we are covering all the bases and everyone is very much aware of the potential of COMP360.
Operator: Your next question is from the line of Andrew Tsai with Jefferies. Your line is now open. Please go ahead.
Andrew Tsai, Analyst, Jefferies: Hey, good morning. Thanks for the updates. Appreciate you taking the question. I think you guys are in a very unique position to be the leader in the psychedelic space. To maintain that leadership over the next year, what is your appetite like to do even more studies with COMP360 outside of PTSD and so forth? Are any new indications or other new psychedelics we can hear about, or is the expectation for us to be focused on the launch itself? Thank you.
Kabir Nath, Chief Executive Officer, COMPASS Pathways: Thank you for the question, Andrew. Yes, the expectation should be to be focused on the launch, at least for now. Clearly, as a new company with our first asset, we have a team that’s working incredibly hard on the submission, but more than that, as I said in the prepared remarks, on a first-pass approval. Submitting is something, but this needs to be a really robust dossier. We are the leaders, you can imagine, from a quality perspective, from inspections and so on. All of this is brand new to the agency. We really are very, very focused on not only a really robust submission, but also doing our best to get that first-pass approval. You’ve heard a lot from Lori, and we’ll continue to hear a lot more about the preparations and so on that side. The PTSD study is now underway.
I think the way we think about this is as we move through what we hope is an expected approval and launch, absolutely, we will continue to look at other opportunities for COMP360. There are clearly some very interesting areas. There is a lot of interest, obviously, in substance use disorder with AUD in particular, at the forefront of that, given the size of that as a public health issue. Potentially more broadly, what other assets there may be out there as well. In the short term, you should expect us to be very, very focused on this submission, approval, and launch process for TRD.
Lori Englebert, Chief Commercial Officer, COMPASS Pathways: Andrew, if you don’t mind-
Andrew Tsai, Analyst, Jefferies: Thank you
Lori Englebert, Chief Commercial Officer, COMPASS Pathways: I’ll just add a couple things there to help add a little more color. Consistent with what Kabir mentioned, we have supplied study drugs to an enormous amount of IIS studies. We will be looking through those to understand where the potentials may lie if that becomes an option for us with COMP360. At the same time, we’re also going to be collecting a lot of real-world evidence to really understand more about patient populations that may be responding well to COMP360. We will be attacking this on all fronts in terms of understanding what would be the next viable indication.
Kabir Nath, Chief Executive Officer, COMPASS Pathways: Actually, yeah, just, sorry, I should have said that, Lori, to build on that. We had taken a pause for a couple of years on our IIS. As we’ve said, we have supplied a lot of drug for a number of indications. We are now ramping that up. We actually have a number of IIS starting in areas such as OCD, which I think is potentially a very interesting area. That now, as we’re getting closer to the regulatory finish line for TRD, we’re actually restarting our IIS program.
Andrew Tsai, Analyst, Jefferies: Great. Thank you.
Operator: Your next question is from the line of Madison El-Saadi with B. Riley Financial. Your line is now open. Please go ahead.
Madison El-Saadi, Analyst, B. Riley Financial: Hi, everyone. Thanks for taking our question. Maybe I’ll ask on REMS certification. If you could just help us understand that process, if this is something that’s molecule specific. Can sites proactively progress that process before DEA rescheduling takes place, or is that something that happens sequentially? Secondly, if I may, are you continuing to collect safety data or safety follow-up data, or has the full safety data package been submitted? Thanks.
Kabir Nath, Chief Executive Officer, COMPASS Pathways: I’ll take the second part first and hand back to Lori. Both studies run to 52 weeks, so we will ultimately be providing the full 52-week safety data to the agency. Right now, obviously, with the 26-week data from COMP006 in hand, our core focus now in terms of preparing for submission is really integrating the safety from the 26 weeks blinded of both studies into an integrated summary, and that’s clearly a key area of focus for us. Ultimately, the agency in the process of review will see the 52 weeks of data as well.
Lori Englebert, Chief Commercial Officer, COMPASS Pathways: Yeah. Hi, Madison. I’ll take your first question around REMS. As you know, the REMS will not be finalized until we receive approval. Because of that, we will only be able to go out and start ensuring that sites are aware of any REMS requirements, and going through the process for certification once we receive the approval. As I mentioned earlier, as it stands now, we’re going to do everything we possibly can in between the time of approval and DEA rescheduling to make sure that these sites are well prepared to administer the product when it becomes available.
Madison El-Saadi, Analyst, B. Riley Financial: Understood. Thanks for taking our question.
Operator: Your next question is from the line of Judah Frommer with MS. Your line is now open. Please go ahead.
Judah Frommer, Analyst, MS: Yeah. Hi, guys. Thanks for taking the question. Just wanted to ask on the post-hoc analysis you mentioned in the release on the 80% of administration sessions for the phase IIb and PTSD being in silence. Any thoughts on how that could impact monitoring, whether it’s for TRD or PTSD, and potentially staffing requirements going forward? Thanks.
Kabir Nath, Chief Executive Officer, COMPASS Pathways: Yeah, let me start and then Lori will build on that. Yes, I think to us, it’s very interesting data and really very much validates the point we’ve been making for a fair amount of time now that a psilocybin experience specifically truly is an inner-directed one where the patient is largely leading the experience. The role of anyone who is sitting with a patient is just for monitoring and for safety in case of need. We see that very clearly revealed, as we said, with 80% of that being silent. Yes, your point back clearly to our mind does introduce a broader range of possibilities for who could sit in the room. If indeed, ultimately you need somebody in the room at all.
Lori Englebert, Chief Commercial Officer, COMPASS Pathways: Hi, Judah. The only thing I’ll add there is in the near term, in terms of when we receive the REMS, there will be a requirement for a minimum of six hours. That is consistent with our clinical trial. The label or the REMS requirement for who sits in the room will and should be, or we expect to be fairly broad in terms of a healthcare provider. That is consistent with what SPRAVATO is now. As you probably already know, SPRAVATO has found ways to become very efficient with their rooms and how they monitor. Of course, our most important requirement is going to be safety for the patient during this experience. We will not lose sight of that. Sites, after getting clinical experience, will learn how and who to put into the room to help these patients.
Operator: Your next question is from the line of Patrick Trucchio with H.C. Wainwright. Your line is now open. Please go ahead.
Arabella, Analyst, H.C. Wainwright: Hi, it’s Arabella in for Patrick. Thank you so much for taking the question. I guess for the PTSD trial, do you have any updates on site activation, enrollment cadence, target size, expected readout timing, or VA involvement that you can share?
Kabir Nath, Chief Executive Officer, COMPASS Pathways: Other than the site is underway, nothing in terms of enrollment and so on. The trial is 300 patients in total across three arms. There are going to be a number of VA sites enrolled in that. I can’t give the specifics on that. What we are doing, though, is in line with the overall percentage of PTSD patients within the population where, shall we say VA or military related are not more than 15%. We’re capping patient numbers again of that out of the 300. Yes, it is underway and yes, it’s a 300-patient trial.
Operator: Your next question is from the line of Leonid Timashev with RBCCM. Your line is open. Please go ahead.
Josh Schimmer, Analyst, RBCCM: Hi, guys. Josh Schimmer here. Thanks for taking my question. With the physician discretion coming after the one to two recommended doses for COMP360, given that you’ve been doing these surveys of psychiatrists, what kind of feedback might you have been hearing from docs on expected dosing schedules, and how widely might that feedback have varied? Thanks.
Lori Englebert, Chief Commercial Officer, COMPASS Pathways: Yeah. Hi, Josh. Thanks for the question. The surveys that we’re doing are based on a product profile of COMP360 and what we’ve seen through our phase III clinical trials. Then, as I mentioned in my remarks, what we’re seeing is an overwhelming response to willingness to prescribe. Not only am I seeing numbers I’ve never seen before in my career, but even the facilitators of the market research are saying the exact same thing. They’ve never seen numbers this high in terms of willingness to prescribe. The reason that this is so exciting for physicians right now is truly because of the TRD patient population. TRD patient population, again, has one product or one drug product available to patients right now. That drug product, although it does work for some patients, can be highly burdensome for patients.
The dosing frequency becomes a real driver for these physicians and why they’re so excited about it. We have not heard any hesitancy around that, and to be honest with you, it’s going to be incumbent upon the sales team and our field teams to really help educate based on all the additional data that we will have available on what that frequency of dosing may look like.
Operator: Your next question is from the line of Sumant Kulkarni with Canaccord Genuity. Your line is open. Please go ahead.
Sumant Kulkarni, Analyst, Canaccord Genuity: Good morning, thanks for taking our question. It’s a two-parter. From a value proposition perspective, what’s the best way one could place COMP360’s time in clinic in context versus products that might promise a two-hour or less duration in the clinic? From a competitive perspective, what are your assumptions on whether there might be another FDA-approved psilocybin molecule within the first year of approval of COMP360?
Kabir Nath, Chief Executive Officer, COMPASS Pathways: Thanks for the question, Sonat. I think as we have often said, duration in clinic is only one element of a product profile. Yes. I think from the perspective of the patient and the provider experience, it’s not necessarily going to be the primary driver. Clearly, there’s an efficacy and safety bar that’s got to be cleared for any asset. We actually do believe that the nature of the psilocybin experience is something that is inherently attractive to patients and providers. Also, as we’ve discussed in the past, even on an economic basis, as long as there remains capacity in the system, there is actually not a good economic argument for why shorter is better in terms of the ability to generate revenue per room, so and such.
Operator: Your next question is from the line of Rudy Li with Wolfe Research. Your line is now open. Please go ahead.
Rudy Li, Analyst, Wolfe Research: Hey, thanks for taking my question. Just a quick follow-up to the market dynamic. Apparently there are a lot of discussion on short duration versus long duration psychedelics following the Lilly deal. Maybe in 5 years we have a couple options, different compounds, different duration, maybe different indications. Very exciting time, but maybe talk about your understanding of the market dynamic with multiple psychedelic options and the positioning of COMP360 in the broader psychiatry space, depression, anxiety. Thanks.
Lori Englebert, Chief Commercial Officer, COMPASS Pathways: Yeah. Hi, Rudy. The good news is that psychedelics continue to produce very robust, very exciting data. Part of the reason why you are seeing these clinics, these SPRAVATO certified clinics, who are enabled to support these multi-hour treatments, is because this is a very exciting time for the field of mental health. They are growing very fast, and they’re growing in anticipation of additional options being available. These products don’t work for everyone. There are at least 4 million patients who are underserved today, and not being treated with an interventional treatment like a SPRAVATO or an ECT or a TMS that is indicated and has shown and proven efficacy in this patient population.
These centers, regardless of duration, and because we have repeatedly talked about the economics not being a driver, it is really going to come down to patient preference in terms of what a patient starts, provider experience in terms of what that patient has to go through or what that site has to deal with when a patient is having their experience. Let’s not forget that we’re going to potentially be on market first, and so we will have continued time to establish the leadership position that we are in, and we’ll get some proven clinical efficacy While we’re out there. In terms of economics for the sites, I’ll just double down on what Kabir said earlier.
With our strategic collaboration partners, as well as outside of that through our medical science liaisons, we are not finding anyone bringing up the fact that this is a longer treatment than the shorter acting as being a prohibiting factor to prescribing.
Rudy Li, Analyst, Wolfe Research: Thanks. Connor?
Kabir Nath, Chief Executive Officer, COMPASS Pathways: For those of you wondering, we have allowed him to go on vacation.
Lori Englebert, Chief Commercial Officer, COMPASS Pathways: Steve is on vacation. Missed very much.
Operator: Your next question is from the line of Jay Olson with Oppenheimer. Your line is now open. Please go ahead.
Jay Olson, Analyst, Oppenheimer: Oh, hey. Congrats on all the progress. Thanks for taking our question. Maybe a big picture question, recognizing that the company is acutely focused in the near term on the approval and successful launch of COMP360. Looking ahead to after you’ve accomplished that objective in the next year or two, what will become the next major strategic priority for the company? Thank you.
Kabir Nath, Chief Executive Officer, COMPASS Pathways: Thank you. PTSD clearly is a strategic priority for us. That study’s underway. We see that as a very important second indication. As we mentioned to earlier answers, we clearly have very interesting signals in a wide range of psychiatric conditions. We will prioritize some of those to move forward. We will at some point, we have always been clear, from an ex-U.S. perspective, we will probably likely need to partner. That’s something that we will address once we have U.S. approval in mind. I think more broadly, this is a space where you continue to see a lot of innovation now with psychedelic assets and so on. We would see ourselves as a leader with hopefully a successful launch under our belt, potentially being in a position to play a role in that and seeing what other assets may be available.
Jay Olson, Analyst, Oppenheimer: Thank you.
Operator: Your next question is from the line of Ben Burnett with Wells Fargo. Your line is now open. Please go ahead.
Ben Burnett, Analyst, Wells Fargo: Hi. Thank you. I also want to ask about your efforts just to prepare and to train sites ahead of commercial adoption. Specifically, can you talk about what are your target sites? It’s our understanding that the interventional psychiatry footprint offerings for SPRAVATO today is pretty expansive with some sites associated with university hospitals, others may be more suburban. I guess, can you just talk to your strategy here and which centers do you plan to target initially and to offer training to initially? Thank you.
Lori Englebert, Chief Commercial Officer, COMPASS Pathways: Hi, Ben, thanks for that question. As I mentioned in the remarks, as is pretty widely known, there are about 8,000 sites right now. This number has grown dramatically quarter-over-quarter, where it looks about adding about 500 per quarter at least. Again, that goes to just the excitement of potential additional options coming to market. The easiest way to answer you is we are going to have a field team that is out calling on all of these sites. They will be making sure that they cover all 8,000 sites to make sure that these sites, if they have a willingness to prescribe COMP360, that they are well educated and well trained, and prepared to prescribe this product.
We are also going to call on physicians that may be in the system with a high number of TRD patients who are serving as referrers to these sites that can administer these products as well. Our target list will be quite extensive at launch, and comprehensive. The other thing I think we’re finding as we do some of our work, is that the dosing profile of COMP360 and the potential dosing profile of COMP360 lends itself to a wider radius. To your point earlier, if some of these are quite suburban, coming in for a once a week or every other week treatment, like those that are currently available, becomes quite difficult for someone within a certain radius of a treatment center.
Even though these centers are growing very rapidly, there are still some patients who need to drive quite a way to access one of these treatment centers. With an infrequent dosing like COMP360 proposes, this does open up that ability quite a bit.
Operator: We have reached the end of the Q&A session. I will now turn the call back to management for closing remarks. Please go ahead.
Kabir Nath, Chief Executive Officer, COMPASS Pathways: Thank you very much all for attending. As you’ve heard, the first six months, or I guess the first six months and one week of this year, have been a very exciting and very productive time for COMPASS. With the phase III data now, both the primary endpoints, very statistically significant positive primary endpoints from both studies, and now the 26-week data from both studies confirming the profile of COMP360 as a compelling, differentiated profile that truly can serve to meet huge unmet needs in treatment-resistant depression. We’re focused on execution. We’re very happy with the process of the rolling review. As I said, we’re preparing not just to finalize that, to fulfill that with that expected to complete in the fourth quarter, but really ensuring it’s a really high-quality dossier so we get a first-pass approval.
As you’ve heard from Lori, there’s activity across an extraordinary range of fronts on the commercial side to be ready for launch. We look forward to keeping you updated on our progress on both of these major work streams through the end of this year. Thank you again. It is a very exciting time for patients with TRD. Thank you.
Operator: This concludes today’s call. Thank you for attending. You may now disconnect