everyone Appreciate Alan. fourth I for earnings appreciate And joining our it. Thanks quarter call.
The helping and just making forward-looking support review, into reminder Before breast battling team I cancer. will more about that passionate commercial be a I statements. focused move commercial remains on patients to the
become primary patients see metastatic. helping breast their more on of HERX-positive stage never to risk Our in love emphasis patients cancer. is would reduce early recurrence We
two, three around focused through the finally risk remains increasing HCPs. around our Number communicating and evolving areas. of for the strategy force Our data positive patients NERLYNX. three, the impact Number benefit of share reoccurrence, risk well in of engaging educating clinical non-personal NERLYNX execution promotion. profile as and voice field to one, And as
our Specifically year-over-year we regarding regards of QX calls metrics, looking an starts enrollments, pleased QX increase as voice, patient also In I'm new at QX comparing on XXXX. and year-over-year that total well versus saw of demand. share including saw key as to QX, in QX very we growth
our of an versus were calls which reported the is total XXXX. live from XX% In about of virtual, QX we in QX XX% increase
increased very but made, know goal we being our teams remain more and the field of effective. their with opportunities being engagement organizations and remained with advocacy our I and that expenses and overall efficient about regional still progress addition, more diligent have us. thoughtful the In of am significant local front with pleased in
update, the call results. level let I slides. Maximo, transition high for to that of detailed U.S. a over With financial review Once turn the more some have of I commercial our will me finished, to
model changed. distribution Our not has
to continues channel specialty channel, our channel. these or We refer see approximately business the no provide as channel. to of channel. business with remaining through of Most In have throughout NERLYNX channels this two QX, XX% flows specialty of pharmacy and our through the We our patients. dispensing fluctuations in-office the distributor occurred our to We of the the significant some specialty specialty business year. distributor but pharmacy quarterly this mix, channel that XX% changes do through went flowing
U.S. sales FDA since Slide net approval. X quarterly shows NERLYNX of
over million XXXX. increase Alan This quarter $XXX,XXX As a of of net a XXXX fourth $X.X decrease is noted, our XXXX. over million QX $XX.X product were in sales of the and QX
Now inventory an numbers. on these have impact changes obviously
quarter of we the inventory estimate that fourth by $X.X increased In approximately QX, million in XXXX.
by approximately $X estimated in As of that a we increased million comparison, XXXX. inventory QX
XXXX. not Slide X. since the sales shows slide specialty NERLYNX so X bottles QX user quarter bottles represents specialty pharmacy launch. and than it demand. the bottles in Slide of in channel of and is of and sold, reported shows by remember about Turning we Please QX our ex-factory we to this reported bottles of that X% which XXXX higher sold distributor end of QX into lower bottles than in We NERLYNX XXXX, about sold X,XXX X% the
XXXX. that provide around fourth more the bottles about Let by inventory a in me inventory We quarter increased of estimate again little changes. XXX insights
QX As estimated increased by in that a about we inventory XXX of bottles XXXX. comparison,
year-over-year The with the growth commercial on of team quarter-over-quarter is both and growth. driving goal focused execution
and year-over-year performance not these we quarter-over-quarter growth patient however previously across growth for our including see saw We our key metrics. did As metrics new same enrollments, mentioned, QX starts demand.
As potential typically of new order after choose we starts month their the a softened holidays therapy the occur to patient their in reminder, which fourth physicians first and the and/or NERLYNX, seen initiate or patients so. avoid enrollments have historically effects side in to the quarter as in
pattern that QX followed decline. quarter-over-quarter of XXXX of traditional
in QX, saw comparing enrollments provide X% The but of me performance. some additional this are that specifics we quarter-over-quarter patterns. growth quoting QX of Let QX year-over-year, rates declined XXXX to around In I'm XXXX. previous XX% line with grow year-over-year
the patient new patient Commercial saw quarter-over-quarter. an refills declined for new which on starts patient leading XX% grow X% starts quarters. NRx. turning us subsequent starts Moving patient to indicator We influenced commercial or as year-over-year new are starts but new important
Total quarter-over-quarter. more prescriptions In trend positive similar than remained total we being year-over-year somewhat RX quarter-over-quarter. QX, year-over-year growth followed X% with flat a saw and
to and the we first these For grow XXXX, enrollments trends. time patient positive new XXXX have the commercial starts This saw approximately we comparing yearly is X% grow full launch X%. seen since year
X. Slide to Turning
continued education slight to a focus escalation. lower reported of we of QX, commercial on patients NERLYNX In approximately in QX. have is the a who the started We daily on XX% approximately adoption decrease and from drug XX% dose received This dose.
of discontinuation of a Dose the escalation truly the the adoption role amount benefit median dose the plays believe X profile days overall and reshaping We patients reducing very X in by clearly diarrhea risk-benefit Grade important diarrhea, of significantly escalation can of the NERLYNX. Grade rate.
previously for reported, both as of to late the as was NERLYNX June As the well adjuvant in XXXX the indication. indication extended escalation label dose metastatic added
pleased recently escalation NCCN say early-stage practice dose updated include NCCN breast to escalation to cancer. their cancer XXXX updated and addition, option am breast I in as included metastatic in well. setting their dose as metastatic an XXXX that the In clinical guidelines guidelines
across collaborations strategic formed the globe. the highlights X Slide Now have we
launched of South with are In partners Also approval both to the We QX and the are Mexico extended being our in Morocco regulatory the NERLYNX made. QX announce we XXXX, that adjuvant setting. in officially global Africa. adjuvant was extended in progress and in XXXX, NERLYNX happy received in of pleased setting
focused and adoption future increased progress to partners driving look I moving continued on for are launches. forward. forward highlighting global their Our preparing
future that as organization. Puma journey. NERLYNX I passionate of commercial and support opportunities along thank want The In hard and cross-functional in for a do XXXX, I foundation that change work their my pleased and to to for build colleagues to we committed entire finding about is team more historical growth. cancer the and the solid team progress trends some the made with summary, XXXX am year worked was was an important the the patients to
I will now Maximo of turn results. our the call for a review to over financial