It may just require an extra step. My understanding of TOTP is that it's the key data (typically a string represented by a QR code) and a time offset that is used to generate the OTP. If the only thing stored on disk is the code encrypted by the secure enclave's key, and the only way the decrypted code is in memory at runtime is if it's decrypted by the secure enclave's key, then that still offers protection against some attack vectors.

You (as an attacker) could then recover the key if you had full control of the OS and could trick the user into authenticating so the secure enclave decrypts the key, but would presumably have more trouble if you (as as attacker) simply stole the device.