Avadel Pharmaceuticals Provides Corporate Update and Reports Third Quarter 2021 Financial Results

  • FDA review of NDA for FT218 ongoing; commercial and launch preparations progressing
  • Presentation of new data from pivotal REST-ON clinical trial at CHEST 2021 demonstrating that treatment with FT218 causes meaningful improvement in cataplexy attacks and measurements of EDS with a dosing regimen preferred by patients
  • Management to host a conference call today at 8:30 a.m. ET

DUBLIN, Ireland, Nov. 08, 2021 (GLOBE NEWSWIRE) — Avadel Pharmaceuticals plc (Nasdaq: AVDL), a company focused on transforming medicines to transform lives, today provided a corporate update and announced its financial results for the third quarter ended September 30, 2021.

“The need for patients living with the chronic, debilitating condition of narcolepsy to have a single bedtime dose of sodium oxybate is clear. We are confident in the strength of our data and our regulatory filing strategy for FT218, as the FDA continues their review of our NDA. Importantly, there are no outstanding requests from the FDA at this time, and questions previously received have been addressed. We remain committed to patients and sleep specialists, demonstrated by the significant advances we made during 2021 to support a successful launch of FT218, if approved,” said Greg Divis, Chief Executive Officer of Avadel. “This quarter, we published the primary REST-ON results in the SLEEP journal and continued to externalize the robust dataset supporting the potential of FT218 in various scientific congresses. Additionally, payor discussions continue to advance, and we are growing our commercial team, all with the vision of disrupting the narcolepsy market and fulfilling our promise to the narcolepsy community by bring FT218 to patients.”

Third Quarter and Recent Company Highlights

  • In October 2021, the U.S. Food and Drug Administration (FDA) informed the company that the review of its New Drug Application (NDA) for FT218 was ongoing beyond its previously assigned target action date.
  • Continued preparations and launch readiness activities for the potential commercialization of FT218 as the first and only once-at-bedtime option for managing excessive daytime sleepiness (EDS) and cataplexy in narcolepsy
  • Multiple presentations and publications in peer-reviewed forums of data from the pivotal Phase 3 REST-ON study of FT218 throughout the quarter, including:
    • Published the previously announced primary results in SLEEP, the journal of the Sleep Research Society
    • Presented new data at the American College of Chest Physicians (CHEST) annual meeting supporting the clinical benefit of once-at-bedtime FT218 and patient preference for once-nightly dosing:
      • New post-hoc responder analyses demonstrated FT218 treatment was associated with statistically significant improvements compared to placebo on the number of weekly cataplexy episodes and statistically significant improvements compared to placebo on mean sleep latency
      • Discrete choice experiment demonstrated that the strongest driver of patient preference for sodium oxybate was dosing frequency with once-nightly dosing preferred
    • Presented encore posters featuring post hoc analyses from the REST-ON study at the meeting of the American Neurological Association
  • Progressed the RESTORE open-label extension/switch study of FT218 designed to generate long-term safety, tolerability, and efficacy data, as well as data on switching from twice-nightly oxybates and patient preference
    • Avadel plans to present data from RESTORE study on patient preference to once-nightly or twice-nightly dosing regimens, as well as nocturnal experiences when using twice-nightly sodium, at future medical congresses

Overview of Third Quarter Results

R&D expenses were $4.4 million in the quarter ended September 30, 2021, compared to $5.6 million for the same period in 2020. The decrease on a period-over-period basis was primarily attributed to lower clinical studies expenses and purchases of active pharmaceutical ingredients used in the research and development of FT218 during the current period.

SG&A expenses were $21.3 million in the quarter ended September 30, 2021, compared to $8.4 million for the same period in 2020. The period-over-period increase is the result of a number of factors including commercial launch planning costs related to FT218, higher legal and professional fees, and higher compensation costs associated with higher headcount, primarily in the areas of commercial and medical affairs.

Income tax benefit was $5.1 million in the quarter ended September 30, 2021, compared to income tax benefit of $5.0 million for the same period in 2020.

Net loss for the quarter ended September 30, 2021 was $22.0 million, or ($0.38) per diluted share, compared to net loss of $11.7 million, or ($0.20) per diluted share, for the same period in 2020.

Cash, cash equivalents and marketable securities were $181.1 million as September 30, 2021. The Company has convertible debt of $143.8 million due in February 2023.

Conference Call

To access the conference call, investors are invited to dial (844) 388-0559 (U.S. and Canada) or (216) 562-0393 (International). The conference ID number is 6187211. A live audio webcast can be accessed by visiting the investor relations section of the Company’s website, www.avadel.com. A replay of the webcast will be archived on Avadel’s website for 90 days following the event.

About FT218

FT218 is an investigational formulation of sodium oxybate leveraging our proprietary drug delivery technology and designed to be taken once at bedtime for the treatment of excessive daytime sleepiness (EDS) or cataplexy in adults with narcolepsy.

In March 2020, Avadel completed the REST-ON study, a randomized, double-blind, placebo-controlled, pivotal Phase 3 trial, to assess the efficacy and safety of FT218 in patients with narcolepsy. Among the three co-primary endpoints, FT218 demonstrated statistically significant and clinically meaningful results in EDS, the clinician’s overall assessment of the patient’s functioning, and reduction in cataplexy attacks, for all three evaluated does when compared to placebo.

In January 2018, the U.S. Food and Drug Administration (FDA) granted FT218 Orphan Drug Designation for the treatment of narcolepsy based on the plausible hypothesis that FT218 may be safer than the twice-nightly formulation of sodium oxybate already approved by the FDA due to the ramifications associated with dosing regimen of that product. FT218 is currently under review by the FDA.

About Avadel Pharmaceuticals plc

Avadel Pharmaceuticals plc (Nasdaq: AVDL) is a biopharmaceutical company focused on transforming medicines to transform lives. Our approach includes applying innovative solutions to the development of medications that address the challenges patients face with current treatment options. Our current lead drug candidate, FT218, is an investigational formulation of sodium oxybate leveraging our proprietary drug delivery technology and designed to be taken once at bedtime for the treatment of excessive daytime sleepiness or cataplexy in adults with narcolepsy. For more information, please visit www.avadel.com.

Cautionary Disclosure Regarding Forward-Looking Statements

This press release includes “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. These forward-looking statements relate to our future expectations, beliefs, plans, strategies, objectives, results, conditions, financial performance, prospects, or other events. Such forward-looking statements include, but are not limited to, expectations regarding the FDA’s review of the NDA for FT218, the sufficiency of data supporting the NDA for FT218, the commercial launch of FT218 (if approved), the market acceptance of FT218 (if approved), and the advancement and expected timing of the RESTORE study to generate long-term safety, tolerability, and efficacy data for FT218, and the publication of data from the RESTORE study. In some cases, forward-looking statements can be identified by the use of words such as “will,” “may,” “could,” “believe,” “expect,” “look forward,” “on track,” “guidance,” “anticipate,” “estimate,” “project,” “next steps” and similar expressions, and the negatives thereof (if applicable).

The Company’s forward-looking statements are based on estimates and assumptions that are made within the bounds of our knowledge of our business and operations and that we consider reasonable. However, the Company’s business and operations are subject to significant risks, and, as a result, there can be no assurance that actual results and the results of the company’s business and operations will not differ materially from the results contemplated in such forward-looking statements. Factors that could cause actual results to differ from expectations in the Company’s forward-looking statements include the risks and uncertainties described in the “Risk Factors” section of Part I, Item 1A of the Company’s Annual Report on Form 10-K for the year ended December 31, 2020, which was filed with the Securities and Exchange Commission (SEC) on March 9, 2021 and subsequent SEC filings.

Forward-looking statements speak only as of the date they are made and are not guarantees of future performance. Accordingly, you should not place undue reliance on forward-looking statements. The Company does not undertake any obligation to publicly update or revise our forward-looking statements, except as required by law.

Investor Contact:
Courtney Turiano
Stern Investor Relations, Inc.
Courtney.Turiano@sternir.com
(212) 698-8687

Media Contact:
Nicole Raisch Goelz
Real Chemistry
ngoelz@realchemistry.com
(408) 568-4292

AVADEL PHARMACEUTICALS PLC
CONDENSED CONSOLIDATED STATEMENTS OF (LOSS) INCOME
(In thousands, except per share data)
(Unaudited)

    Three Months Ended September 30,   Nine Months Ended September 30,
    2021   2020   2021   2020
                 
Product sales   $       $       $       $ 22,334    
Operating expenses:                
Cost of products                     5,742    
Research and development expenses   4,380       5,569       14,994       15,156    
Selling, general and administrative expenses   21,283       8,423       47,469       23,431    
Intangible asset amortization                     406    
Changes in fair value of contingent consideration         (69 )           3,327    
Gain on sale of Hospital Products                     (45,760 )  
Restructuring income         (226 )     (53 )     (43 )  
Total operating expense   25,663       13,697       62,410       2,259    
Operating (loss) income   (25,663 )     (13,697 )     (62,410 )     20,075    
Investment and other income (expense), net   489       213       1,531       (906 )  
Interest expense   (1,929 )     (3,259 )     (5,788 )     (9,686 )  
Gain from release of certain liabilities               166          
Other expense – changes in fair value of contingent consideration payable                     (435 )  
(Loss) income before income taxes   (27,103 )     (16,743 )     (66,501 )     9,048    
Income tax benefit   (5,101 )     (5,040 )     (11,473 )     (9,258 )  
Net (loss) income   $ (22,002 )     $ (11,703 )     $ (55,028 )     $ 18,306    
                 
Net (loss) income per share – basic   $ (0.38 )     $ (0.20 )     $ (0.94 )     $ 0.36    
Net (loss) income per share – diluted   (0.38 )     (0.20 )     (0.94 )     0.35    
                 
Weighted average number of shares outstanding – basic   58,585       58,213       58,506       51,206    
Weighted average number of shares outstanding – diluted   58,585       58,213       58,506       52,849    

AVADEL PHARMACEUTICALS PLC
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, except per share data)

    September 30, 2021   December 31, 2020
    (unaudited)    
ASSETS        
Current assets:        
Cash and cash equivalents   $ 58,169       $ 71,722    
Marketable securities   122,924       149,680    
Research and development tax credit receivable   2,493       3,326    
Prepaid expenses and other current assets   22,234       38,726    
Total current assets   205,820       263,454    
Property and equipment, net   304       359    
Operating lease right-of-use assets   2,070       2,604    
Goodwill   16,836       16,836    
Research and development tax credit receivable   961       3,445    
Other non-current assets   38,098       24,939    
Total assets   $ 264,089       $ 311,637    
         
LIABILITIES AND SHAREHOLDERS’ EQUITY        
Current liabilities:        
Current portion of operating lease liability   $ 504       $ 474    
Accounts payable   6,874       2,934    
Accrued expenses   8,738       6,501    
Other current liabilities   1,471       5,200    
Total current liabilities   17,587       15,109    
Long-term debt   142,086       128,210    
Long-term operating lease liability   1,460       1,840    
Other non-current liabilities   3,999       4,212    
Total liabilities   165,132       149,371    
         
Shareholders’ equity:        
Preferred shares, nominal value of $0.01 per share; 50,000 shares authorized; 488 issued and outstanding at September 30, 2021 and 488 issued and outstanding at December 31, 2020, respectively   5       5    
Ordinary shares, nominal value of $0.01 per share; 500,000 shares authorized; 58,616 issued and outstanding at September 30, 2021 and 58,396 issued and outstanding at December 31, 2020   586       583    
Additional paid-in capital   546,565       566,916    
Accumulated deficit   (425,455 )     (384,187 )  
Accumulated other comprehensive loss   (22,744 )     (21,051 )  
Total shareholders’ equity   98,957       162,266    
Total liabilities and shareholders’ equity   $ 264,089       $ 311,637    
         

AVADEL PHARMACEUTICALS PLC
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)

    Nine Months Ended September 30,
    2021   2020
         
Cash flows from operating activities:        
Net (loss) income   $ (55,028 )     $ 18,306    
Adjustments to reconcile net (loss) income to net cash used in operating activities:        
Depreciation and amortization   614       1,297    
Remeasurement of acquisition-related contingent consideration         3,327    
Remeasurement of financing-related contingent consideration         435    
Amortization of debt discount and debt issuance costs   937       4,835    
Change in deferred taxes   (11,322 )     (4,582 )  
Stock-based compensation expense   6,088       1,705    
Gain on the disposition of the hospital products         (45,760 )  
Gain from the release of certain liabilities   (166 )        
Other adjustments   1,056       306    
Net changes in assets and liabilities        
Accounts receivable         8,281    
Inventories         (1,352 )  
Prepaid expenses and other current assets   (54 )     1,759    
Research and development tax credit receivable   3,079       2,036    
Accounts payable & other current liabilities   (201 )     (4,051 )  
Accrued expenses   2,421       (6,625 )  
Earn-out payments for contingent consideration in excess of acquisition-date fair value         (5,323 )  
Royalty payments for contingent consideration payable in excess of original fair value         (866 )  
Other assets and liabilities   (2,228 )     (3,337 )  
Net cash used in operating activities   (54,804 )     (29,609 )  
         
Cash flows from investing activities:        
Purchases of property and equipment   (26 )     (33 )  
Proceeds from the disposition of the hospital products   16,500       17,250    
Proceeds from sales of marketable securities   83,726       30,075    
Purchases of marketable securities   (58,591 )     (124,254 )  
Net cash provided by (used in) investing activities   41,609       (76,962 )  
         
Cash flows from financing activities:        
Proceeds from the February 2020 private placement         60,570    
Proceeds from the May 2020 public offering         116,924    
Proceeds from stock option exercises and employee stock purchase plan   263       2,006    
Net cash provided by financing activities   263       179,500    
         
Effect of foreign currency exchange rate changes on cash and cash equivalents   (621 )     406    
         
Net change in cash and cash equivalents   (13,553 )     73,335    
Cash and cash equivalents at January 1,   71,722       9,774    
Cash and cash equivalents at September 30,   $ 58,169       $ 83,109