• Received 417 new patient start forms for FILSPARI™(sparsentan) in the second quarter 2023, reflecting continued strong demand from nephrologists and patients with IgA nephropathy (IgAN)
• Net product sales of FILSPARI totaled
• Company reported positive topline results from Cohort 6 in the Phase 1/2 COMPOSE Study of pegtibatinase in classical homocystinuria (HCU); Phase 3 study expected to initiate by year-end
• Recently announced agreement to sell bile acid product portfolio for up to
• Total revenue for the second quarter of 2023 was
• Cash, cash equivalents, and marketable securities, as of
"We are very pleased with the initial months of the FILSPARI launch in IgAN and are encouraged by the positive feedback we are receiving from both patients and prescribers," said
Financial Results for the Quarter Ended
Net product sales for the second quarter of 2023 were
Research and development (R&D) expenses for the second quarter of 2023 were
Selling, general, and administrative (SG&A) expenses for the second quarter of 2023 were
Total other income, net, for the second quarter of 2023 was
Net loss for the second quarter of 2023 was
As of
Program Updates
FILSPARI™ (sparsentan) – IgAN
- On
February 17, 2023 , theU.S. Food and Drug Administration (FDA) granted accelerated approval to FILSPARI to reduce proteinuria in adults with primary IgAN at risk of rapid disease progression, generally a urine protein-to-creatinine ratio (UPCR) ≥1.5 g/g. FILSPARI became commercially available the week ofFebruary 27, 2023 . Commercial progress in the ongoing launch has resulted in:
- 417 new patient start forms (PSFs) received in the second quarter; a total of 563 PSFs have been received in the first four and a half months since the accelerated approval of FILSPARI.
- Net product sales of
$3.5 million during the second quarter, totaling$6.5 million in net product sales since the beginning of the launch.
- At the 60th
ERA Congress , the Company presented nine abstracts including the interim analysis from the ongoing Phase 3 PROTECT Study evaluating FILSPARI versus an active comparator in IgAN, as well as a new analysis of theUK RaDaR Registry estimating the delay in time to kidney failure or death based on proteinuria reduction in IgAN, which was designated among the 10 best-ranked abstracts of 2023 ERA. - The Company, together with its collaborator CSL Vifor, anticipates a review opinion by the Committee for Medicinal Products for Human Use (CHMP) on the potential approval of the Conditional Marketing Authorization (CMA) application for sparsentan for the treatment of IgAN in
Europe around year-end. If approved, sparsentan would receive CMA in all member states of theEuropean Union , as well as inIceland ,Liechtenstein , andNorway . - In late third quarter or early fourth quarter of 2023, the Company expects to report topline results from the two-year confirmatory endpoints in the ongoing Phase 3 PROTECT Study, which are designed to support traditional approval of sparsentan in IgAN.
Sparsentan - FSGS
- The Company remains on-track to engage with regulators to explore a potential path forward for a supplemental New Drug Application (sNDA) for sparsentan for the treatment of focal segmental glomerulosclerosis (FSGS) in the
U.S. Together with its collaborator CSL Vifor, the Company also plans to engage with the EMA to determine the potential for a subsequent variation to the CMA of sparsentan for the treatment of FSGS, subject to a review decision on the pending application for CMA of sparsentan in IgA nephropathy.
Pegtibatinase (TVT-058) – HCU
- In
May 2023 , the Company reported positive topline results from cohort 6 of the Phase 1/2 COMPOSE Study, showing that treatment with 2.5mg/kg of pegtibatinase resulted in rapid and sustained reductions in total homocysteine (tHcy), with a 67.1% mean relative reduction in tHcy from baseline. All patients achieved a mean tHcy below the clinically meaningful threshold of 100uM, as well as maintenance of mean tHcy below the threshold of 100 μM, over weeks 6 to 12. Some patients achieved tHcy below 50 μM, including one patient with a lower tHcy level at baseline achieving normalization of tHcy. Additional detailed study results from COMPOSE will be presented at the Society for the Study of Inborn Errors of Metabolism Annual Symposium (SSIEM),Jerusalem, Israel ,August 29-September 1 . - Following the positive results from cohort 6, the Company is engaging with regulators on the design of a potential pivotal Phase 3 clinical trial. The pivotal study, which is anticipated to utilize tHcy reduction as the primary endpoint to support registration, is expected to initiate by the end of 2023.
Bile Acid Product Portfolio – Cholbam® and Chenodal®
- In
July 2023 , the Company announced that it has entered into a definitive agreement with Mirum Pharmaceuticals for the sale of its bile acid product portfolio that includes Cholbam (cholic acid) and Chenodal (chenodiol), two medications addressing rare diseases in high-need settings. - Under the terms of the definitive agreement, Mirum will purchase Travere’s bile acid product portfolio for up to
$445 million , consisting of$210 million upfront and up to$235 million in potential sales-based milestone payments. The transaction is expected to close in the third quarter of 2023, subject to regulatory clearance and customary closing conditions.
Conference Call Information
Use of Non-GAAP Financial Measures
To supplement Travere’s financial results and guidance presented in accordance with
Investors should note that these non-GAAP financial measures are not prepared under any comprehensive set of accounting rules or principles and do not reflect all of the amounts associated with the Company’s results of operations as determined in accordance with GAAP. Investors should also note that these non-GAAP financial measures have no standardized meaning prescribed by GAAP and, therefore, have limits in their usefulness to investors. In addition, from time to time in the future the Company may exclude other items, or cease to exclude items that it has historically excluded, for purposes of its non-GAAP financial measures; because of the non-standardized definitions, the non-GAAP financial measures as used by the Company in this press release and the accompanying tables may be calculated differently from, and therefore may not be directly comparable to, similarly titled measures used by the Company’s competitors and other companies.
As used in this press release, (i) the historical non-GAAP net loss measures exclude from GAAP net loss, as applicable, stock-based compensation expense, amortization and depreciation expense, revaluation of business combination related contingent consideration and income tax; (ii) the historical non-GAAP SG&A expense measures exclude from GAAP SG&A expenses, as applicable, stock-based compensation expense, and amortization and depreciation expense; (iii) the historical non-GAAP R&D expense measures exclude from GAAP R&D expenses, as applicable, stock-based compensation expense, and amortization and depreciation expense.
About
At
About FILSPARI (sparsentan)
FILSPARI (sparsentan) is a once-daily, oral medication designed to selectively target two critical pathways in the disease progression of IgAN (endothelin-1 and angiotensin II) and is the first and only non-immunosuppressive therapy approved for the treatment of this condition. FILSPARI is a prescription medicine indicated to reduce proteinuria in adults with primary IgAN at risk of rapid disease progression, generally a UPCR ≥1.5 g/g.
FILSPARI (sparsentan)
FILSPARI is an endothelin and angiotensin II receptor antagonist indicated to reduce proteinuria in adults with primary immunoglobulin A nephropathy (IgAN) at risk of rapid disease progression, generally a UPCR ≥1.5 g/g.
This indication is granted under accelerated approval based on reduction in proteinuria. It has not been established whether FILSPARI slows kidney function decline in patients with IgAN. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory clinical trial.
FILSPARI (sparsentan) Important Safety Information
BOXED WARNING: HEPATOTOXICITY AND EMBRYO-FETAL TOXICITY
Because of the risks of hepatotoxicity and birth defects, FILSPARI is available only through a restricted program called the FILSPARI REMS. Under the FILSPARI REMS, prescribers, patients and pharmacies must enroll in the program.
Hepatotoxicity
Some Endothelin Receptor Antagonists (ERAs) have caused elevations of aminotransferases, hepatotoxicity, and liver failure. In clinical studies, elevations in aminotransferases (ALT or AST) of at least 3-times the Upper Limit of Normal (ULN) have been observed in up to 2.5% of FILSPARI-treated patients, including cases confirmed with rechallenge.
Measure transaminases and bilirubin before initiating treatment and monthly for the first 12 months, and then every 3 months during treatment. Interrupt treatment and closely monitor patients who develop aminotransferase elevations more than 3x Upper Limit of Normal (ULN).
FILSPARI should generally be avoided in patients with elevated aminotransferases (>3x ULN) at baseline because monitoring for hepatotoxicity may be more difficult and these patients may be at increased risk for serious hepatotoxicity.
Embryo-Fetal Toxicity
FILSPARI can cause major birth defects if used by pregnant patients based on animal data. Therefore, pregnancy testing is required before the initiation of treatment, during treatment and one month after discontinuation of treatment with FILSPARI. Patients who can become pregnant must use effective contraception before the initiation of treatment, during treatment, and for one month after discontinuation of treatment with FILSPARI.
Contraindications: FILSPARI is contraindicated in patients who are pregnant. Do not coadminister FILSPARI with angiotensin receptor blockers (ARBs), endothelin receptor antagonists (ERAs), or aliskiren.
Warnings and Precautions
- Hepatotoxicity:
Hepatotoxicity: Elevations in ALT or AST of at least 3-fold ULN have been observed. To reduce the risk of potential serious hepatotoxicity, measure serum aminotransferase levels and total bilirubin prior to initiation of treatment, monthly for the first 12 months, then every 3 months during treatment.
Advise patients with symptoms suggesting hepatotoxicity (nausea, vomiting, right upper quadrant pain, fatigue, anorexia, jaundice, dark urine, fever, or itching) to immediately stop treatment with FILSPARI and seek medical attention. If aminotransferase levels are abnormal at any time during treatment, interrupt FILSPARI and monitor as recommended.
Consider re-initiation of FILSPARI only when hepatic enzyme levels and bilirubin return to pretreatment values and only in patients who have not experienced clinical symptoms of hepatotoxicity.
Avoid initiation of FILSPARI in patients with elevated aminotransferases (>3x ULN) prior to drug initiation.
- Embryo-Fetal Toxicity: FILSPARI can cause fetal harm. Advise patients who can become pregnant of the potential risk to a fetus. Obtain a pregnancy test and advise patients who can become pregnant to use effective contraception prior to, during, and one month after discontinuation of FILSPARI treatment.
- FILSPARI REMS: FILSPARI is available only through a restricted program under a REMS called the FILSPARI REMS.
Important requirements include:- Prescribers must be certified with the FILSPARI REMS by enrolling and completing training.
- All patients must enroll in the FILSPARI REMS prior to initiating treatment and comply with monitoring requirements.
- Pharmacies that dispense FILSPARI must be certified with the FILSPARI REMS and must dispense only to patients who are authorized to receive FILSPARI.
Further information is available at www.filsparirems.com or 1-833-513-1325.
Please see Full Prescribing Information for FILSPARI here
Forward-Looking Statements
This press release contains "forward-looking statements" as that term is defined in the Private Securities Litigation Reform Act of 1995. Without limiting the foregoing, these statements are often identified by the words “on-track”, “positioned”, “look forward to”, “will,” “would,” "may", "might", "believes", "anticipates", "plans", "expects", "intends," “potential” or similar expressions. In addition, expressions of our strategies, intentions or plans are also forward-looking statements. Such forward-looking statements include, but are not limited to, references to: continued progress with the FILSPARI launch; the potential for FILSPARI to ultimately become the future foundational treatment for patients with IgAN; the timing and achievement of additional development and regulatory milestones; the advancement of the Company’s pipeline throughout the year; expectations regarding the future conduct of the ongoing PROTECT Study and timing for the topline eGFR endpoint analyses; references to the efficacy, safety and tolerability profile of sparsentan based on the preliminary data from the PROTECT Study interim analysis; the Company’s plan and timing for engaging with regulators to explore a potential path for a regulatory submission of sparsentan for FSGS; the Company’s potential initiation of a pivotal Phase 3 trial of pegtibatinase in patients with HCU by year-end 2023; and the Company’s ability to successfully close the sale of its bile acid product portfolio on the anticipated timeline or at all, to successfully transition the business to the acquiror, and to receive the potential sales-based milestone payments from the sale. Such forward-looking statements are based on current expectations and involve inherent risks and uncertainties, including factors that could delay, divert or change any of them, and could cause actual outcomes and results to differ materially from current expectations. No forward-looking statement can be guaranteed. Among the factors that could cause actual results to differ materially from those indicated in the forward-looking statements are risks and uncertainties associated with the regulatory review and approval process, including the traditional and Subpart H accelerated approval pathways in
.
CONSOLIDATED BALANCE SHEETS | |||||||
(in thousands, except share amounts) | |||||||
Assets | (unaudited) | ||||||
Current assets: | |||||||
Cash and cash equivalents | $ | 70,874 | $ | 61,688 | |||
Marketable debt securities, at fair value | 420,463 | 388,557 | |||||
Accounts receivable, net | 20,397 | 16,646 | |||||
Inventory, net | 18,765 | 6,922 | |||||
Prepaid expenses and other current assets | 11,556 | 12,624 | |||||
Total current assets | 542,055 | 486,437 | |||||
Property and equipment, net | 8,570 | 9,049 | |||||
Operating lease right of use assets | 19,559 | 21,000 | |||||
Intangible assets, net | 154,456 | 145,038 | |||||
Other assets | 11,789 | 11,061 | |||||
Total assets | $ | 736,429 | $ | 672,585 | |||
Liabilities and Stockholders' Equity | |||||||
Current liabilities: | |||||||
Accounts payable | $ | 19,915 | $ | 17,290 | |||
Accrued expenses | 88,749 | 95,742 | |||||
Deferred revenue, current portion | 10,244 | 11,976 | |||||
Business combination-related contingent consideration, current portion | 6,900 | 7,000 | |||||
Operating lease liabilities, current portion | 4,663 | 4,433 | |||||
Other current liabilities | 5,240 | 5,722 | |||||
Total current liabilities | 135,711 | 142,163 | |||||
Convertible debt | 376,403 | 375,545 | |||||
Deferred revenue, less current portion | 6,788 | 10,931 | |||||
Business combination-related contingent consideration, less current portion | 67,200 | 64,200 | |||||
Operating lease liabilities, less current portion | 25,106 | 27,510 | |||||
Other non-current liabilities | 8,736 | 9,385 | |||||
Total liabilities | 619,944 | 629,734 | |||||
Stockholders' Equity: | |||||||
Preferred stock |
— | — | |||||
Common stock |
7 | 6 | |||||
Additional paid-in capital | 1,306,517 | 1,059,975 | |||||
Accumulated deficit | (1,186,184 | ) | (1,014,223 | ) | |||
Accumulated other comprehensive loss | (3,855 | ) | (2,907 | ) | |||
Total stockholders' equity | 116,485 | 42,851 | |||||
Total liabilities and stockholders' equity | $ | 736,429 | $ | 672,585 | |||
Note: Certain adjustments / reclassifications have been made to prior periods to conform to current year presentation.
CONSOLIDATED STATEMENTS OF OPERATIONS | |||||||||||||||
(in thousands, except share and per share data) | |||||||||||||||
(unaudited) | |||||||||||||||
Three Months Ended |
Six Months Ended |
||||||||||||||
2023 | 2022 | 2023 | 2022 | ||||||||||||
(unaudited) | |||||||||||||||
Net product sales: | |||||||||||||||
Bile acid products | $ | 27,501 | $ | 25,534 | $ | 53,606 | $ | 50,609 | |||||||
Tiopronin products | 26,050 | 25,416 | 47,224 | 46,784 | |||||||||||
FILSPARI | 3,461 | — | 6,465 | — | |||||||||||
Total net product sales | 57,012 | 50,950 | 107,295 | 97,393 | |||||||||||
License and collaboration revenue | 2,685 | 3,217 | 9,395 | 5,261 | |||||||||||
Total revenue | 59,697 | 54,167 | 116,690 | 102,654 | |||||||||||
Operating expenses: | |||||||||||||||
Cost of goods sold | 1,990 | 2,051 | 7,115 | 4,189 | |||||||||||
Research and development | 69,411 | 59,681 | 129,324 | 116,292 | |||||||||||
Selling, general and administrative | 74,037 | 52,979 | 146,282 | 99,767 | |||||||||||
Change in fair value of contingent consideration | 1,840 | 4,907 | 8,596 | 13,987 | |||||||||||
Total operating expenses | 147,278 | 119,618 | 291,317 | 234,235 | |||||||||||
Operating loss | (87,581 | ) | (65,451 | ) | (174,627 | ) | (131,581 | ) | |||||||
Other income (expenses), net: | |||||||||||||||
Interest income | 5,128 | 782 | 8,774 | 1,060 | |||||||||||
Interest expense | (2,911 | ) | (2,972 | ) | (5,851 | ) | (5,487 | ) | |||||||
Other (expense) income, net | (201 | ) | 662 | (114 | ) | 688 | |||||||||
Loss on extinguishment of debt | — | — | — | (7,578 | ) | ||||||||||
Total other income (expense), net | 2,016 | (1,528 | ) | 2,809 | (11,317 | ) | |||||||||
Loss before income tax provision | (85,565 | ) | (66,979 | ) | (171,818 | ) | (142,898 | ) | |||||||
Income tax provision | (65 | ) | (53 | ) | (143 | ) | (105 | ) | |||||||
Net loss | $ | (85,630 | ) | $ | (67,032 | ) | $ | (171,961 | ) | $ | (143,003 | ) | |||
Per share data: | |||||||||||||||
Basic and diluted net loss per common share | $ | (1.13 | ) | $ | (1.05 | ) | $ | (2.38 | ) | $ | (2.26 | ) | |||
Basic and diluted weighted average common shares outstanding | 76,001,801 | 63,638,385 | 72,109,573 | 63,387,009 |
Note: Certain adjustments / reclassifications have been made to prior periods to conform to current year presentation.
RECONCILIATION OF GAAP REPORTED TO NON-GAAP ADJUSTED INFORMATION | |||||||||||||||
(in thousands, except share and per share data) | |||||||||||||||
(unaudited) | |||||||||||||||
Three Months Ended |
Six Months Ended |
||||||||||||||
2023 | 2022 | 2023 | 2022 | ||||||||||||
GAAP operating loss | $ | (87,581 | ) | $ | (65,451 | ) | $ | (174,627 | ) | $ | (131,581 | ) | |||
R&D operating expense | (69,411 | ) | (59,681 | ) | (129,324 | ) | (116,292 | ) | |||||||
Stock compensation | 4,616 | 3,684 | 9,097 | 6,852 | |||||||||||
Amortization & depreciation | 2,420 | 1,625 | 4,814 | 1,911 | |||||||||||
Subtotal non-GAAP items | 7,036 | 5,309 | 13,911 | 8,763 | |||||||||||
Non-GAAP R&D expense | (62,375 | ) | (54,372 | ) | (115,413 | ) | (107,529 | ) | |||||||
SG&A operating expense | (74,037 | ) | (52,979 | ) | (146,282 | ) | (99,767 | ) | |||||||
Stock compensation | 6,988 | 8,953 | 16,271 | 13,971 | |||||||||||
Amortization & depreciation | 11,482 | 6,483 | 18,634 | 13,289 | |||||||||||
Subtotal non-GAAP items | 18,470 | 15,436 | 34,905 | 27,260 | |||||||||||
Non-GAAP SG&A expense | (55,567 | ) | (37,543 | ) | (111,377 | ) | (72,507 | ) | |||||||
Change in fair value of contingent consideration | 1,840 | 4,907 | 8,596 | 13,987 | |||||||||||
Subtotal non-GAAP items | 27,346 | 25,652 | 57,412 | 50,010 | |||||||||||
Non-GAAP operating loss | $ | (60,235 | ) | $ | (39,799 | ) | $ | (117,215 | ) | $ | (81,571 | ) | |||
GAAP net loss | $ | (85,630 | ) | $ | (67,032 | ) | $ | (171,961 | ) | $ | (143,003 | ) | |||
Non-GAAP operating loss adjustments | 27,346 | 25,652 | 57,412 | 50,010 | |||||||||||
Income tax provision | 65 | 53 | 143 | 105 | |||||||||||
Non-GAAP net loss | $ | (58,219 | ) | $ | (41,327 | ) | $ | (114,406 | ) | $ | (92,888 | ) | |||
Per share data: | |||||||||||||||
Basic and diluted net loss per common share | $ | (0.77 | ) | $ | (0.65 | ) | $ | (1.59 | ) | $ | (1.47 | ) | |||
Basic and diluted weighted average common shares outstanding | 76,001,801 | 63,638,385 | 72,109,573 | 63,387,009 | |||||||||||
Note: Certain adjustments / reclassifications have been made to prior periods to conform to current year presentation.
Contact:
Investors: Vice President, Investor Relations 888-969-7879 ir@travere.com |
Media: Vice President, Corporate Communications 888-969-7879 mediarelations@travere.com |
Source: Travere Therapeutics, Inc.