Vanda Pharmaceuticals Q1 2024 Earnings Call Transcript

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Provided by Quartr
May 8, 2024

There are 4 speakers on the call.

Operator

Thank you for standing by. My name is Hermione, and I will be your conference operator today. At this time, I would like to welcome everyone to Q1 2024 Avanda Pharmaceuticals Incorporated Earnings Conference Call. All lines have been placed on mute to prevent any background noise. After the speakers' remarks, there will be a question and answer session.

Operator

I would now like to turn the call over to Brandeis' Chief Financial Officer, Kevin Moran. Please go ahead.

Speaker 1

Thank you, Hermione. Good afternoon and thank you for joining us to discuss Vanda Pharmaceuticals' Q1 2024 performance. Our Q1 2024 results were released this afternoon and are available on the SEC's EDGAR system and on our website, www.vandapharma.com. In addition, we are providing live and archived versions of this conference call on our website. Joining me on today's call is Doctor.

Speaker 1

Mihael Palomiropoulos, our President, Chief Executive Officer and Chairman of the Board and Tim Williams, our General Counsel. Following my introductory remarks, Mihael will update you on our ongoing activities. I will then comment on our financial results before we open the lines for your questions. Before we proceed, I would like to remind everyone that various statements that we make on this call will be forward looking statements within the meaning of federal securities laws. Our forward looking statements are based upon current expectations and assumptions that involve risks, changes in circumstances and uncertainties.

Speaker 1

These risks are described in the cautionary note regarding forward looking statements, risk factors and management's discussion and analysis of financial condition and results of operations sections of our most recent annual report on Form 10 ks as updated by our subsequent quarterly reports on Form 10 Q, current reports on Form 8 ks and other filings with the SEC, which are available on the SEC's EDGAR system and on our website. We encourage all investors to read these reports and our other filings. The information we provide on this call is provided only as of today, and we undertake no obligation to update or revise publicly any forward looking statements we may make on this call on account of new information, future events or otherwise, except as required by law. With that said, I would now like to turn the call over to our CEO, Doctor. Mihael Palaiimopoulos.

Speaker 2

Thank you very much, Kevin, and good afternoon, everyone. Thank you all for joining us to discuss Vanda's Q1 2024 results. Let me start by providing details on the progress for our psychiatry portfolio of compounds. Fanapt was approved on April 2 as a first line therapy for the acute treatment of manic or mixed episodes associated with bipolar 1 disorder in adults, which for this discussion I will refer to as bipolar 1 disorder. The results of the study supporting this approval were published in the Journal of Clinical Psychiatry earlier this year.

Speaker 2

This approval for bipolar disorder significantly expands the addressable patient population for Fanapt where patent exclusivity is expected to last at least through late 2027. For milsaparitan, the active metabolite of Fanapt, a new drug application NDA is expected to be submitted to the Food and Drug Administration in early 2025. If approved for marketing for schizophrenia and bipolar disorder, there are patent applications that if issued could extend exclusivity into the 2040s. We're currently planning clinical programs to test the efficacy of Fanapt and milsaparidone in the treatment of depressive symptoms, which if successful would significantly further expand the addressable patient population. In addition, we're planning to initiate a registration study of the Fanapt long acting injectable or Fanapt LAI formulation by the end of 2024.

Speaker 2

Fanapt LAI in earlier studies has demonstrated a profile compatible with a once a month administration offering a significant tool to address compliance issues in this disease population. Fanaptil AI could reach the U. S. Market after 2026 and their pending patent applications that we've issued could extend exclusivity into the 2040s. This is a key differentiation from some currently marketed branded antipsychotics for which physical chemical properties or dosing requirements prevent the development of long acting injectables.

Speaker 2

Fanapt LAI could potentially address a large patient population with chronic psychiatric conditions where compliance is a significant treatment challenge. We're also evaluating the use of Fadalupe AI in the treatment of major depression for which there is currently no approved long acting injectable treatment. In addition to Fanapt, milsaperidone has further differentiated physical chemical properties that beyond the oral formulation could permit the additional development of long acting injectables with variable duration that could extend up to several months. It is worth underscoring that most currently approved drugs in this atypical and psychotic class have not been formulated as long acting injectables making Fanapt and milisapyridone differentiated in this greater than $1,000,000,000 estimated commercial opportunity. It is our vision to develop a multiproduct psychiatry portfolio that will address multiple psychiatric indications and will expand the estimated addressable patient population to over 20,000,000 people across these indications.

Speaker 2

Turning now to HETLIOZ. HETLIOZ, our circadian rhythm regulator approved in 2014 for non-twenty four hour sleepwake disorder is the first and only treatment approved for this disorder that disproportionately affects totally blind people. HETLIOZ with its unique mechanism of action has revolutionized treatment for this disorder and has significantly impacted patients' lives. HETLIOZ LQ was approved in 2020 for the treatment of nighttime sleep disturbances in Smith Magenius syndrome, again offering the first ever approved treatment for symptoms of this rare orphan disorder. The FDA application for HETLIOZ in insomnia received a complete response letter from the FDA in March 2024 and the final agency action of our application for the treatment of jet lag disorder is being challenged in the U.

Speaker 2

S. Court of Appeals for the DC Circuit. A study of HETLIOZ in delayed sleep phase disorder, an indication with no approved treatments is ongoing in the U. S. And Germany.

Speaker 2

We're currently evaluating the initiation of the clinical program with HETLIOZ LQ in pediatric insomnia for children with or without neurodevelopmental comorbidities. HETLIOZ LQ is not subject to a generic challenge at this time. Although exact estimates of prevalence of insomnia in children are difficult to quantify, it is estimated that 20% to 40% of children experience significant sleep problems. There are currently no approved treatments for pediatric insomnia. If ultimately approved for marketing, the addressable patient population for HETLIOZ LQ will be significantly expanded and market exclusivity will be expected to last in the 2040s.

Speaker 2

The HEPLIS capsule formulation commercial opportunity is subject to the launch of the 3 generic formulations. Vanda is currently challenging all three products on the grounds of unlawful FDA approval, patent infringement and other statutory violations in U. S. Federal courts. We believe that the exceptional mechanism of action of HETLIOZ can be leveraged to address the needs of millions of people that suffer with disorders where the circadian rhythm circuitry is perturbed.

Speaker 2

Turning now to PONVOY. With the December 2023 acquisition of PONVOY, this makes the 3rd commercial stage product for Vanda. Currently approved as a once a day oral treatment for people with multiple sclerosis. PONAVORI has a differentiated profile from other drugs in the class with high specificity and rapid reversibility, making for a versatile use to address the needs for people with multiple sclerosis. The transition from Janssen, the Johnson and Johnson company is progressing well with the completion expected in the coming months.

Speaker 2

In preparation for the U. S. Commercial launch, Vanda is planning a host of commercial activities, including the creation of a specialty sales force, a prescriber awareness program and a comprehensive marketing program. In addition, Vanda is evaluating PONFORI in additional autoimmune disorders including psoriasis and ulcerative colitis. Prior to our acquisition, Vonvolio was tested in patients with psoriasis and demonstrated significant effects in both induction and maintenance of response.

Speaker 2

If approved in this indication, GURVORI will be the 1st oral single gene 1 phosphate analog in treating psoriasis and would significantly expand the addressable patient population of gonvody with over 8,000,000 people diagnosed with psoriasis in the U. S. Alone. Additionally, this class of drugs has proven to be effective in treating ulcerative colitis where PONVORI with its differentiated profile could have a competitive advantage and significantly expand the addressable patient population with an estimated prevalence in the U. S.

Speaker 2

Of approximately 2,000,000 individuals with ulcerative colitis. Our vision is to increase awareness for PONVORE as an option for patients with multiple sclerosis in need of a specific and versatile agent. In addition, we intend to exploit the application of PONVOIRI in a host of autoimmune disorders in which its mechanism of action could be therapeutically desirable. Finally, an update on Tradipitant. Tradipitant, our neurokinin-one receptor antagonist is currently being developed for the treatment of gastroparesis with a new drug application under review by the FDA and an expected target action date in September of 2024.

Speaker 2

Gastroparesis prevalence is estimated to be over 6,000,000 individuals in the U. S. And there has been no approved treatment in over 40 years. In addition to the FDA review, a clinical study is ongoing with over 600 patients to examine the safety and the exposure response relationship of Tradipitant in patients with gastroparesis. Close to 40 people have also been approved for treatment in the expanded access program with some of them having now been treated for a duration in excess of 2 years.

Speaker 2

Approval in this indication gastroparesis if received, will address a serious unmet medical need and bring a new therapeutic option to these patients for the first time in over 40 years. Tradipitant is also now completing the clinical program studying its effects in motion sickness with an NDA filing expected by year end. Results from the 2nd and final Phase 3 clinical study are expected in the coming months. The efficacy of Tradipitant in motion sickness has previously been demonstrated in 2 clinical studies where Tradipitant was effective in preventing vomiting associated with motion in traveling in the coastal waters of the United States. And eventual approval for this indication we received will significantly expand the addressable patient population with approximately 30% of the U.

Speaker 2

S. Population reported to suffer promotion sickness under ordinary travel conditions that include sea, air and land. Our vision is to evaluate and commercialize Tradipitant for a host of indications including gastroparesis, motion sickness and other disorders where this mechanism of action is desirable. Vanda also has earlier clinical programs, which seek to address unmet medical needs for common and rare disorders ranging from dry eye, performance anxiety and onychomycosis to polycythemia vera and sarcomaery tooth disease. We have been able to accomplish all this with a small but efficient organization that is enthusiastic to continue developing and commercializing treatments for people who need them.

Speaker 2

We expect several significant milestones in the coming months, including the launch of Fanapt in bipolar disorder, the launch of PONCORE in multiple sclerosis, the potential approval of Tradipitant in gastroparesis, the Phase III results of Tradipitant in motion sickness, the upcoming NDA filings of Milsaperidone in psychiatric disorders and of Tradipitant emotion sickness and the initiation of clinical programs in depression, psoriasis, ulcerative colitis and pediatric insomnia. We're confident that our robust revenue, strong cash position and efficient operations position us well for significant growth and value creation in the years to come. Before turning to Kevin to walk you through our business and financial performance for the quarter, I want to take a minute to cover some other recent developments at Vanda. Yesterday, we issued a press release announcing that we are in receipt of a revised unsolicited takeover proposal. The Board and management team are dedicated to act in the best interest of our shareholders and we would consider any ideas that would drive long term shareholder value.

Speaker 2

To that end, our Board of Directors alongside our independent financial and legal advisors is in the process of reviewing and evaluating this revised unsolicited proposal. We will not comment further on this unsolicited takeover proposal before the board has completed its review. With that, I'll turn now to Kevin to discuss our financial results. Kevin?

Speaker 1

Thank you, quarter 2024 financial results. Total revenues for the Q1 of 2024 were $47,500,000 a 24% decrease compared to 62,500,000 dollars for the Q1 of 2023. This decrease was primarily due to the launch of generic versions of HETLIOZ, which we've discussed in detail. Notably, total revenues for the Q1 of 2024 increased by 5% as compared to $45,300,000 in the Q4 of 2023. HETLIOZ net product sales were $20,100,000 for the Q1 of 2024, a 49% decrease compared to $39,600,000 in the Q1 of 2023.

Speaker 1

HETLIOZ net product sales in the Q1 decreased by 5% as compared to $21,100,000 in the Q4 of 2023. The decrease to net product sales relative to the Q1 of 2023 was attributable to a decrease in volume, partially offset by an increase in price net of deductions. Our HETLIOZ net product sales as reported for the Q1 of 20242023 included transactions that resulted in higher unit sales as compared to recent prior periods. The higher unit sales during the Q1 of 20242023 resulted in significant increase of inventory stocking at certain specialty pharmacy customers. HETLIOZ net product sales during the Q1 of 2024 reflect lower unit sales compared to the Q1 of 2023, which was partially attributable to lower demand and the continued reduction of the elevated inventory levels at certain of our specialty pharmacy customers during the Q1 of 2024.

Speaker 1

Turning to Fanapt. Fanapt net product sales were $20,600,000 for the Q1 of 2020 a 10% decrease compared to $22,900,000 in the Q1 of 2023. Fanapt net product sales in the Q1 of 2024 decreased by 9% as compared to $22,600,000 in the Q4 of 2023. This decrease was partially attributable to inventory destocking at wholesalers in the Q1 of 2024 relative to elevated inventory stocking levels at the end of 2023. Fanapt prescriptions in the Q1 of 2024 as reported by Aquivia Exponent decreased by approximately 4% compared to the Q4 of 2023.

Speaker 1

PONVORI net product sales were $6,800,000 for the Q1 of 2024. As a reminder, we purchased the right to market and sell PONVORI in the U. S. And Canadian markets in December of 2023. As such, this represents the 1st full quarter of PONVORI revenue recognition at Vanda and a positive step in diversifying our product mix with innovative and value generating products.

Speaker 1

For the Q1 of 2024, Vanda recorded net loss of $4,100,000 compared to net income of $3,300,000 for the Q1 of 2023 and a net loss of $2,400,000 in the Q4 of 2023. The net loss for the Q1 of 2024 included an income tax benefit of $500,000 as compared to an income tax provision of 2,300,000 for the same period in 2023 and an income tax provision of $700,000 in the Q4 of 2023. Operating expenses in the Q1 of 2024 were $56,700,000 compared to $60,500,000 in the Q1 of 2023. The $3,800,000 decrease was primarily driven by lower SG and A expenses related to spending on sales activities for our commercial products and other corporate activities, partially offset by an increase in R and D expenses related to spending on our CFTR development program. Operating expenses in the Q1 of 2024 increased by 4.3 as compared to $52,400,000 in the Q4 of 2023.

Speaker 1

This increase was primarily driven by additional spend on legal and other corporate activities, a portion of which are not expected to continue in future periods, partially offset by a decrease in R and D spend due to onetime activities in the Q4 of 2023, including $2,400,000 of expense recorded for the Tradipitant NDA filing fee, dollars 2,000,000 for the associated NDA milestone payment to Eli Lilly and $3,000,000 of milsoperidone manufacturing costs. SG and A expenses may increase in future periods as a result of the upcoming commercial launches of finapten bipolar 1 disorder and ponborium multiple sclerosis. Vanda's cash, cash equivalents and marketable securities referred to as cash as of March 31, 2024, was $394,100,000 representing an increase of $5,900,000 to cash compared to December 31, 2020 1, 2023, and a decrease of $107,400,000 compared to March 31, 2023. The change in cash during the Q1 of 2024 benefited from the timing of cash in from customers for revenue and related payments of rebates to payers as compared to recent prior periods. The change in cash as compared to the Q1 of 2023 is driven by the acquisition of PONVORI from Janssen for $100,000,000 upfront payment.

Speaker 1

Given uncertainty surrounding the U. S. Market for HETLIOZ for the treatment of non-twenty four as a result of the continued generic competition in the U. S. And the upcoming commercial launches of fanaptin bipolar I disorder and pemporium multiple sclerosis, Vanda is unable to provide 2024 financial at this time.

Speaker 1

Vanda will continue to evaluate its ability to provide financial guidance in future periods. HETLIOZ net product sales will likely decline in future periods potentially significantly related to the launch of generic versions of HETLIOZ in the U. S. Additionally, the company constrained HETLIOZ net product sales for the full year 2023 Q1 of 2024 to an amount not probable of significant revenue reversal. As a result, HETLIOZ net product sales could experience variability in future periods as the remaining uncertainties associated with variable consideration are resolved and depending on inventory levels at specialty pharmacy customers.

Speaker 1

We are highly focused on sustainable long term value creation. In regards to the upcoming Q3 launches of finaptenbipolar 1 disorder and ponvory in multiple sclerosis, we have initiated a host of commercial activities on both products, including an expansion of our neuroscience sales force detailing Fanapt to psychiatrists, PCPs and other prescribers the creation of a targeted specialty sales force PONVORI to neurologists as well as prescriber awareness programs and comprehensive marketing programs for both products. We believe these commercial investments in Fana for bipolar 1 disorder and Pembori for multiple sclerosis will result in near term revenue growth. Our goal is efficient revenue generation, ultimately resulting in profitability and cash flow generation. Vanda has a proven and long track record of fiscal responsibility and successfully commercializing products in an efficient manner, leading to 7 consecutive years of positive cash flow, removing for the impact of capital offerings and acquisitions, which results in our current strong cash position.

Speaker 1

With that, I'll now turn the call back to Mihael.

Speaker 2

Thank you very much, Kevin. At this point, we'll be happy to answer any questions you may have.

Operator

Thank you. We will now begin the question and answer session. And your first question comes from the line of Andrew Tissai with Jefferies. Please go ahead.

Speaker 3

Hey, Tim. This is A. J. For Andrew. First of all, congrats on all the progress, especially Fanapt's approval in bipolar.

Speaker 3

And thanks for taking our questions. So I guess firstly for Fanapt, what kind of expenses will you need to launch this effectively? And how are you thinking about the peak sales potential ahead of IP expiry? [SPEAKER MIHAEL

Speaker 2

POLYMEROPOULOS:] I will let Kevin address some of the parts of this question. But what we do know about this class of drugs is that bipolar 1 disorder represents a significantly larger opportunity than the one in schizophrenia for which Panopt was approved up to now. We also know that despite the availability of a number of atypical antipsychotics, there remains a significant unmet medical need where patients are cycling very frequently from one drug to another seeking control of their symptoms. And in terms of the marketing, we know that this class of drugs is significantly sensitive to promotion and increase awareness among prescribers. So it is very important to make significant but efficient investments before you drive growth.

Speaker 2

Kevin?

Speaker 1

Yes. And A. J, thanks for the question. Obviously, we haven't provided guidance at this time, so but I'll give you some kind of general direction on where we see things going. So as a reminder, Fanapt already was approved and in the market for schizophrenia for quite some time.

Speaker 1

So we had established commercial infrastructure and personnel. But that being said, we are in the process of expanding our sales force to meet the opportunity that this bipolar I disorder indication presents as well as support it with the appropriate marketing and awareness programs. Some of those activities and increased spend is reflected in the second or the Q1 financial results, and some of it will be expected to be seen progressing throughout this year beginning with the second quarter.

Speaker 3

Got it. Okay. So maybe shifting gears a little bit. So for PONVORI, how have sales trended to your expectations and where could they go in 2024?

Speaker 2

[SPEAKER MIHAEL POLYMEROPOULOS:] Yes. So just to set it up and Kevin can give you more detail. This is the Q1 that we are booking sales without, of course, having any marketing activity. There was no marketing activity from J and J or Vanda because we're in the midst of this transition. But Kevin, go ahead.

Speaker 1

Yes. And E. J, on that side, as a bit of a reminder on background here, J and J had kind of decreased their commercial activities towards the end of 2022, beginning of 2023 around PIM VARI such that there was limited commercial support for the product during 2023. And so in the audited financial statements for PONVORI that we filed subsequent to the acquisition, the annualized run rate of PONVORI was in the neighborhood of $30,000,000 a year, which is in line also with the portion of revenue that we recognized in the Q4. And so the approximately $7,000,000 of revenue that was recognized in the Q1 as we're transitioning the product in house and as Mahajal mentioned, towards the Q3 beginning our commercial activities in full force is essentially flat with what we saw kind of the trajectory being last year with J and J not providing any support.

Speaker 1

So it's essentially maintaining at where it was. And we'll look to, as we initiate activities, resume patients being added and revenue growth in future periods.

Speaker 3

Okay, got it. So is it fair to, I guess, expect potentially a sales inflection in Q3 or when will those marketing activities really start?

Speaker 1

Yes. So those activities, Ajay, will start some of them have already commenced, some of the commercial support activities and some of them will commence in full effect in the beginning of Q3, such that I would expect to see sales inflection in the back half of the year, but it may take a quarter or so to see the results of the activities in the Q3.

Speaker 3

Okay, understood. And then maybe on tradipitant for gastroparesis. Can you speak to how your FDA discussions have been going? Or what's your level of confidence here in an approval? And how would you expect label to look?

Speaker 3

[SPEAKER MIHAEL POLYMEROPOULOS:]

Speaker 2

Yes. I would say the FDA is very good not to give you a signal on this or any other product. However, I would admit that the interactions are continuous and very significant with a very large number of requests for additional information that we're responding to. So I would characterize it that the review team is very engaged.

Speaker 3

Okay. That's very helpful. And then last question here, I just I have to ask. So on the shareholder activism front, are you able to summarize your communications to date? And how do you think you can unlock more value as a standalone company?

Speaker 3

[SPEAKER

Speaker 2

MIHAEL POLYMEROPOULOS:] Yes. The back end of your question, I think what we discussed today presents a good summary of the value proposition. A company with 3 commercial assets, a significant revenue stream, financially very prudent of how we make investments and a very deep pipeline with very late stage assets, some of them that can address very quickly multibillion market opportunities. And in terms of the unsolicited offer, as we've expressed already, the Vanda Board of Directors considers any and all offers with our independent finance and legal advisors. And in this case, as we said earlier, we had concluded that the offer presented was not in the best interest of the company and its shareholders as it significantly undervalued the company.

Speaker 2

And as you know, there was a second or an additional revised offer publicly communicated yesterday. And as I expressed a minute ago, this is again an offer that the Board will carefully evaluate with our financial and legal advisors and that is all we can say for now.

Speaker 3

Understood. Thanks so much and congrats again on all the good work.

Speaker 2

Thank you very much, Jose.

Operator

That concludes our Q and A session. I will now turn the conference back over to Vynas management for closing remarks.

Speaker 2

[SPEAKER MIHAEL POLYMEROPOULOS:] Thank you much, everyone for joining us on this Q1 call. And we look forward talking to you in future periods.

Operator

Ladies and gentlemen, that concludes today's call. Thank you all for joining. You may now disconnect.

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Key Takeaways

  • Fanapt (iloperidone) was approved on April 2, 2024 as a first-line therapy for acute manic or mixed episodes in bipolar I disorder, expanding its addressable market with patent protection through at least late 2027; an NDA for milsaparidone is planned for early 2025 with potential exclusivity into the 2040s, and a once-monthly long-acting injectable formulation is slated to enter registration studies by year-end 2024.
  • HETLIOZ (tasimelteon), approved for non-24-hour sleep-wake disorder and Smith-Magenis syndrome, saw a 49% year-over-year sales decline in Q1 2024 due to generic competition and received a complete response letter for insomnia in March 2024; trials in delayed sleep phase disorder and pediatric insomnia are ongoing, with HETLIOZ LQ exclusivity expected into the 2040s.
  • With the December 2023 acquisition of PONVORY (ponesimod), Vanda reported Q1 net sales of $6.8 million in its first quarter of recognition and is building a specialty sales force for multiple sclerosis while evaluating psoriasis (~8 million US patients) and ulcerative colitis (~2 million US patients) indications.
  • Tradipitant’s NDA for gastroparesis is under FDA review with a September 2024 target action date—potentially the first approved treatment in over 40 years for ~6 million US patients—while a Phase 3 motion sickness trial’s results are due soon and an NDA filing is expected by year-end for an indication affecting ~30% of the US population.
  • Q1 2024 revenues were $47.5 million (–24% YoY) largely due to HETLIOZ generic competition, net loss was $4.1 million, cash and marketable securities stood at $394.1 million, and the Board is evaluating a revised unsolicited takeover proposal to enhance long-term shareholder value.
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Earnings Conference Call
Vanda Pharmaceuticals Q1 2024
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