{ "docId": "019dd923-622c-750b-8b9a-3bcd52c6e583", "docSlug": "f06b0b5d2079", "documentTitle": "Soleno Therapeutics (SLNO)", "authorId": "58_Scorpion_Capital", "authorName": "Scorpion Capital", "documentKindSlug": "activist-deck", "documentKindLabel": "Activist deck", "sourceTypeSlug": "short_seller", "sourceTypeLabel": "Short seller", "presentationDate": "2025-08-15 00:00:00", "orientation": "landscape", "aspectRatio": 1.3333334, "pageNumber": 356, "pageCount": 415, "prevPage": 355, "nextPage": 357, "slideType": "testimonial", "function": "expose_contradiction", "density": "overcrowded", "nDataPoints": 3, "notes": "The slide uses a Q&A transcript format to highlight low adoption rates and physician skepticism.", "elementsJson": [ "paragraph", "quote_block", "footnote" ], "metadataConfidence": 1, "imagePath": null, "slideHref": "/slides/019dd923-622c-750b-8b9a-3bcd52c6e583/356", "deckHref": "/decks/019dd923-622c-750b-8b9a-3bcd52c6e583", "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-3bcd52c6e583.json", "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-3bcd52c6e583#slide-356", "components": [ { "bbox": null, "kind": "callout", "text": "The endocrinologist indicated extreme skepticism of Vykat, stating that all 8 colleagues met with the Soleno rep a few weeks ago, with only one start form submitted between them across 50 patients, which hasn't gotten insurance approval.", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd953-64ce-7561-b2b4-d009a18841e2", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.03, "w": 0.86, "x": 0.07, "y": 0.65 }, "kind": "paragraph", "text": "Only one patient start form submitted out of 50 PWS patients; skeptical about whether initial interest will last", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "6fb7ce27-e44a-47f0-8ca6-884d352a3be8", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.03, "w": 0.86, "x": 0.07, "y": 0.44 }, "kind": "paragraph", "text": "Academic center in Delaware serving NJ, PA, MD; 8 endocrinologists with ~50 PWS patients", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "bca07040-9b60-4d6d-be69-b31faced3336", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.25, "w": 0.86, "x": 0.07, "y": 0.68 }, "kind": "quote", "text": "A: “Yes. It wasn’t me; it was one of my colleagues. I think she was waiting to hear back on what happened. A couple of my patients are young, and they don’t have hyperphagia. I’ve been following them since they were two months old for growth hormone. Whereas her patients are a little bit older...she just spoke up and shared because we know how this goes, sometimes, when newer things come out, everybody’s excited about it. But then if there’s a lot of hurdles for insurance and things like that, then people become less enthusiastic.” – Pediatric endocrinologist at a Delaware academic center with eight endocrinologists and ~50 PWS patients", "attrs": null, "subkind": "testimonial", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "a1894cc0-e630-4c29-be93-878935b319d1", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.15, "w": 0.86, "x": 0.07, "y": 0.47 }, "kind": "quote", "text": "A: “No, we’re an academic center. We have a pretty robust residency program...a lot of us who trained, there’s four of us that trained at CHOP and diazoxide.” – Pediatric endocrinologist at a Delaware academic center with eight endocrinologists and ~50 PWS patients", "attrs": null, "subkind": "testimonial", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "c694b666-be78-4ffa-83f0-40c75932d2ca", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "quote", "text": "“four of us that trained at CHOP and diazoxide.” — Pediatric endocrinologist at a Delaware academic center with eight endocrinologists and ~50 PWS patients; “It wasn't me; it was one of my colleagues. I think she was waiting to hear back on what happened. A couple of my patients are young, and they don't have hyperphagia. I've been following them since they were two months old for growth hormone. Whereas her patients are a little bit older...she just spoke up and shared because we know how this goes, sometimes, when newer things come out, everybody's excited about it. But then if there's a lot of hurdles for insurance and things like that, then people become less enthusiastic.” — Pediatric endocrinologist at a Delaware academic center with eight endocrinologists and ~50 PWS patients", "attrs": null, "subkind": null, "toolName": "Authority citation", "toolSlug": "authority-citation", "confidence": null, "componentId": "019dd953-64ce-7561-b2b4-d52ee64e8f63", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.02, "w": 0.25, "x": 0.07, "y": 0.95 }, "kind": "source-note", "text": "Source: Scorpion Capital consultation calls with experts", "attrs": null, "subkind": null, "toolName": null, "toolSlug": null, "confidence": null, "componentId": "e5ceb1f8-2d62-4d93-86ee-549dcf4d8395", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.35, "w": 0.86, "x": 0.07, "y": 0.07 }, "kind": "title", "text": "PWS endocrinologist #4: At an academic center with 8 endocrinologists who manage ~50 PWS patients; personally manages 5 patients, and indicated a significant number of his colleagues trained at CHOP and are thus highly experienced with diazoxide, as CHOP is the leading user for hyperinsulinism – “four of us that trained at CHOP and diazoxide.” The endocrinologist indicated extreme skepticism of Vykat, stating that all 8 colleagues met with the Soleno rep a few weeks ago, with only one start form submitted between them across 50 patients, which hasn’t gotten insurance approval: “It wasn’t me; it was one of my colleagues....we know how this goes...when newer things come out...then if there’s a lot of hurdles for insurance and things like that, then people become less enthusiastic.”", "attrs": null, "subkind": "headline", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "54f73a1c-e359-4a9e-b10d-e450867d5473", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [], "frameworks": [], "arcBeats": [], "loops": [], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }