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Fennec Pharmaceuticals Reports Full Year and Fourth Quarter 2023 Financial Results and Provides Business Update

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Fennec Pharmaceuticals Inc. reported robust PEDMARK® sales in 2023, achieving $21.3 million in net product sales, with a significant licensing agreement for PEDMARQSI™ in Europe, Australia, and New Zealand. The company's pro forma cash balance exceeded $55 million, showcasing financial strength. Despite positive revenue growth, the company faced challenges with increased operating expenses and a net loss for the year.
Positive
  • Strong PEDMARK® sales of $21.3 million in 2023.
  • Exclusive licensing agreement for PEDMARQSI™ in Europe, Australia, and New Zealand.
  • Pro forma cash balance surpassing $55 million.
  • Net product revenue increase compared to the previous year.
  • Reduction in research and development expenses.
  • Significant increase in selling and marketing expenses.
  • Net loss of $16.0 million for the year.
  • Cash and cash equivalents decreased by $10.5 million from the previous year.
Negative
  • Increased selling and marketing expenses impacting profitability.
  • Net loss of $2.7 million for the fourth quarter.
  • Cash outflows for operating expenses affecting cash position.
  • Significant increase in general and administrative expenses.
  • Long-term liabilities increasing to $30,933 million.
  • Challenges in maintaining profitability despite revenue growth.

Insights

The financial results of Fennec Pharmaceuticals Inc. reflect a substantial increase in net product sales, growing from $1.5 million in 2022 to $21.3 million in 2023. This growth is primarily attributed to the successful commercialization of PEDMARK® in the United States. The company's strategic execution appears to be effective, with a gross profit of $20.0 million indicating a high margin on sales. It's essential to acknowledge the significant licensing agreement with Norgine, which not only provides an immediate cash infusion of approximately $43 million but also opens avenues for further revenue through milestones and royalties.

Investors should consider the substantial decrease in cash and cash equivalents from $23.8 million to $13.2 million, largely due to operating expenses. However, the pro forma cash balance suggests a stronger liquidity position than the end-of-year figures imply. The reported sufficient funds to cover the next twelve months of operations could reassure investors of the company's short-term financial stability. Nonetheless, the net loss figures, although improved from the previous year, indicate that the company is still in a phase of investment and growth, which is typical for pharmaceutical companies at this stage of commercial expansion.

The licensing agreement to commercialize PEDMARQSI™ in Europe, Australia and New Zealand is a pivotal development for Fennec Pharmaceuticals, potentially expanding the company's market reach and future revenue streams. The European Commission and UK approvals serve as a testament to the product's viability in international markets. The anticipated increase in utilization of PEDMARK® following the endorsement from the NCCN for the adolescent and young adult population could drive further adoption and sales growth.

From a market perspective, the reduction in R&D expenses by $3.5 million indicates a transition from development to commercialization, which is a positive shift towards revenue generation. The increase in selling and marketing expenses reflects the company's investment in commercial activities, which is important for the uptake of PEDMARK® and PEDMARQSI™. Stakeholders should monitor how these investments translate into market penetration and sales performance in the coming quarters.

Within the pharmaceutical industry, the transition from R&D to commercialization is a critical phase. Fennec's successful FDA approval of PEDMARK® and subsequent commercial launch demonstrate the company's ability to navigate this transition. The licensing deal with Norgine not only bolsters Fennec's balance sheet but also leverages Norgine's established presence in Europe to facilitate market entry for PEDMARQSI™. This strategic move could mitigate the risks associated with direct market entry and accelerate the time to market.

It's important to note the FDA's public reminder regarding the non-substitutability of PEDMARK® with other sodium thiosulfate products, which could strengthen the product's market positioning and potentially reduce competitive pressures. The company's financial results, including a reduced net loss and a solid gross profit margin, suggest an improving operational efficiency. The long-term potential of Fennec's product portfolio, coupled with strategic partnerships, could position the company favorably within the oncology supportive care market.

~ Achieved PEDMARK® Full-Year 2023 Net Product Sales of $21.3 Million, Including $9.7 Million in Net Product Sales in the Fourth Quarter of 2023 ~

~ Entered Into Exclusive Licensing Agreement to Commercialize PEDMARQSI™ in Europe, Australia and New Zealand for Approximately $43 Million Upfront and Up to Approximately $230 Million in Additional Commercial and Regulatory Milestones, and Tiered Royalties Up to the Mid-Twenties ~

~ Pro forma fourth quarter cash in excess of $55 million ~

~ Management to Host Conference Call Today at 8:30 a.m. ET ~

RESEARCH TRIANGLE PARK, N.C., March 21, 2024 (GLOBE NEWSWIRE) -- Fennec Pharmaceuticals Inc. (NASDAQ:FENC; TSX: FRX), a specialty pharmaceutical company, today reported its financial results for the fiscal year ended December 31, 2023 and provided a business update.

“It was an exciting year for Fennec given the strong performance with PEDMARK® in the first full fiscal year following its U.S. commercial launch. We are pleased with our execution against strategic plans and our momentum in 2023, which sets the stage for further success in 2024 and beyond. We also received European Commission and U.K. approvals of PEDMARQSI™, which led to the recent announcement of an exclusive licensing agreement with Norgine for Europe, Australia and New Zealand,” said Rosty Raykov, Chief Executive Officer of Fennec Pharmaceuticals. “We have significantly strengthened our balance sheet through the agreement with Norgine, and we remain dedicated to further growing our revenues as we expand the availability of PEDMARK® to patients and providers globally.”

Recent Developments and Highlights:

  • Entered into exclusive licensing agreement to commercialize PEDMARQSI™ in Europe, Australia and New Zealand. Fennec received approximately $43 million upfront and has the potential to receive up to approximately $230 million in additional commercial and regulatory milestones, and double-digit tiered royalties up to the mid-twenties. PEDMARQSI was granted EU marketing authorization by the European Commission in June 2023, and received UK approval from the MHRA in October 2023. 
  • Achieved PEDMARK net product revenue of approximately $9 million and $21 million for the fourth quarter and full year 2023, respectively. Additionally, anticipate continued increasing utilization of the earlier endorsement from the NCCN for PEDMARK® in the adolescent and young adult (AYA) population.
  • In January 2024, the FDA issued a public reminder to healthcare providers that PEDMARK (sodium thiosulfate injection) is not substitutable with other sodium thiosulfate products as explicitly directed in its prescribing label.

Financial Results for the Fourth Quarter and Fiscal Year Ended December 31, 2023

  • Net Sales – Net product sales of $21.3 million in fiscal 2023 compared to $1.5 million in 2022. The Company had gross profit of $20.0 million for fiscal year ended 2023. The increase in sales reflects strong growth in new patient starts and accounts. 
  • Cash Position – Cash and cash equivalents were $13.2 million as of December 31, 2023. There was a $10.5 million decrease in cash and cash equivalents between December 31, 2023 and December 31, 2022 as a result of cash outlays for operating expenses related to the promotion and marketing of PEDMARK®, general and administrative expenses and the preparation for the commercial launch of PEDMARQSI in Europe. These cash outflows were offset by cash inflows primarily from product sales. In addition, as announced this week, we received approximately $43 million from the licensing of Europe, Australia and New Zealand to Norgine. Inclusive of these events, the pro forma December 31, 2023 cash balance is in excess of $55 million. We anticipate that our cash, cash equivalents and investment securities as of December 31, 2023, when coupled with PEDMARK revenue assumptions and the recently announced license agreement for Europe, will be sufficient to fund our planned operations for at least the next twelve months.
  • Research and Development Expenses (R&D) Expenses – R&D expenses decreased by $3.5 million in fiscal 2023 as compared to fiscal 2022. The Company reduced research and development costs when it received FDA approval of PEDMARK® in September 2022. The majority of traditional research and development expenses associated with PEDMARK® are now recorded as general and administrative expenses or capitalized into inventory and eventually recorded to costs of product sales. 
  • Selling and Marketing Expenses – Selling and marketing expenses include remuneration of our sales and marketing employees, dollars spent on marketing campaigns (sponsorships, trade shows, presentations, etc.), and any activities to support marketing and sales activities. The Company recorded $12.1 million in selling and marketing expenses in fiscal 2023, compared to $2.8 million in fiscal year 2022.
  • General and Administrative (G&A) Expenses – For fiscal 2023, G&A expenses increased by $2.3 million compared to fiscal 2022. Non-cash expenses associated with equity remuneration increased by $1.4 million in fiscal year 2023 over 2022. Payroll and benefits related expenses rose by $1.1 million in fiscal 2023 compared to fiscal 2022. There was an increase in consulting and professional costs of $0.8 million in fiscal 2023 over fiscal 2022.
  • Net Loss – Net losses for the fourth quarter and year ended December 31, 2023, of $2.7 million ($0.10 per share) and $16.0 million ($0.60 per share), respectively, compared to $6.9 million ($0.26 per share) and $23.7 million ($0.90 per share), respectively, for the same periods in 2022.

Financial Update

The selected financial data presented below is derived from our unaudited, condensed consolidated financial statements, which were prepared in accordance with U.S. generally accepted accounting principles. The complete audited, condensed consolidated financial statements for the period ended December 31, 2023, and management's discussion and analysis of financial condition and results of operations, will be available via www.sec.gov and www.sedar.com. All values are presented in thousands unless otherwise noted.

 
Unaudited Consolidated
Statements of Operations:
(U.S. Dollars in thousands except per share amounts)
             
 Three Months Ended  Twelve Months Ended
 December 31,  December 31,   December 31,  December 31, 
 2023
    2022
  2023    2022
             
Revenue            
PEDMARK product sales, net$9,735  $1,535   $21,252  $1,535 
Cost of products sold (685)  (86)   (1,259)  (86)
Gross profit 9,050   1,449    19,993   1,449 
             
Operating expenses:                
Research and development 32   117    56   3,531 
Selling and marketing 3,868   2,785    12,123   2,785 
General and administrative 6,968   4,682    20,585   17,722 
                 
Total operating expenses 10,868   7,584    32,764   24,038 
Loss from operations (1,818)  (6,135)   (12,771)  (22,589)
                 
Other (expense)/income                
Unrealized foreign exchange gain (loss) 2   (58)   5   (9)
Amortization expense (70)  (70)   (287)  (149)
Unrealized gain (loss) on securities 4   (3)   (39)  (184)
Interest income 115   153    441   195 
Interest expense (915)  (744)   (3,394)  (978)
Total other (expense)/income (864)  (722)   (3,274)  (1,125)
                 
Net loss$(2,682) $(6,857)  $(16,045) $(23,714)
             
Basic net loss per common share$(0.10) $(0.26)  $(0.60) $(0.90)
Diluted net loss per common share$(0.10) $(0.26)  $(0.60) $(0.90)
Weighted-average number of common shares outstanding, basic  26,833   26,275    26,574   26,275 
Weighted-average number of common shares outstanding, diluted  26,833   26,275    26,574   26,275 


Unaudited Consolidated Balance Sheets:
(U.S. Dollars in thousands)
       
  December 31,  December 31, 
  2023    2022
       
Assets        
         
Current assets        
Cash and cash equivalents $13,269  $23,774 
Accounts receivable, net  8,814   1,545 
Prepaid expenses  583   770 
Inventory  2,156   576 
Other current assets  21   63 
Total current assets  24,843   26,728 
       
Non-current assets      
Deferred issuance cost, net amortization  2,021   211 
Total non-current assets  2,021   211 
Total assets $26,864  $26,939 
         
Liabilities and shareholders’ (deficit) equity        
         
Current liabilities:        
Accounts payable $3,799  $2,390 
Accrued liabilities  3,754   2,219 
Total current liabilities  7,553   4,609 
       
Long term liabilities      
Term loan  30,000   25,000 
PIK interest  1,219   260 
Debt discount  (286)  (361)
Total long term liabilities  30,933   24,899 
Total liabilities  38,486   29,508 
         
Commitments and Contingencies        
         
Shareholders’(deficit) equity:        
Common stock, no par value; unlimited shares authorized; 26,361 shares issued and outstanding (2022 ‑26,014)  144,307   142,591 
Additional paid-in capital  60,073   56,797 
Accumulated deficit  (219,245)  (203,200)
Accumulated other comprehensive income  1,243   1,243 
Total shareholders’ (deficit) equity  (11,622)  (2,569)
Total liabilities and shareholders’ (deficit) equity $26,864  $26,939 


       
Working capital  Fiscal Year Ended
Selected Asset and Liability Data:     December 31, 2023
     December 31, 2022
(U.S. Dollars in thousands)      
Cash and equivalents $13,269  $23,774 
Other current assets  11,574   2,954 
Current liabilities  (7,553)  (4,608)
Working capital $17,290  $22,120 
       
       
Selected Equity:      
Common stock and additional paid in capital  206,380   199,388 
Accumulated deficit  (219,245)  (203,200)
Shareholders’ equity  (11,622)  (2,569)
         

About Cisplatin-Induced Ototoxicity
Cisplatin and other platinum compounds are essential chemotherapeutic agents for the treatment of many pediatric malignancies. Unfortunately, platinum-based therapies can cause ototoxicity, or hearing loss, which is permanent, irreversible, and particularly harmful to the survivors of pediatric cancer.i

The incidence of ototoxicity depends upon the dose and duration of chemotherapy, and many of these children require lifelong hearing aids oricochlear implants, which can be helpful for some, but do not reverse the hearing loss and can be costly over time.ii Infants and young children that are affected by ototoxicity at critical stages of development lack speech and language development and literacy, and older children and adolescents often lack social-emotional development and educational achievement.iii

PEDMARK® (sodium thiosulfate injection)
PEDMARK® is the first and only U.S. Food and Drug Administration (FDA) approved therapy indicated to reduce the risk of ototoxicity associated with cisplatin treatment in pediatric patients with localized, non-metastatic, solid tumors. It is a unique formulation of sodium thiosulfate in single-dose, ready-to-use vials for intravenous use in pediatric patients. PEDMARK is also the only therapeutic agent with proven efficacy and safety data with an established dosing paradigm, across two open-label, randomized Phase 3 clinical studies, the Clinical Oncology Group (COG) Protocol ACCL0431 and SIOPEL 6.

In the U.S. and Europe, it is estimated that, annually, more than 10,000 children may receive platinum-based chemotherapy. The incidence of ototoxicity depends upon the dose and duration of chemotherapy, and many of these children require lifelong hearing aids. There is currently no established preventive agent for this hearing loss and only expensive, technically difficult, and sub-optimal cochlear (inner ear) implants have been shown to provide some benefit. Infants and young children that suffer ototoxicity at critical stages of development lack speech language development and literacy, and older children and adolescents lack social-emotional development and educational achievement.

PEDMARK has been studied by co-operative groups in two Phase 3 clinical studies of survival and reduction of ototoxicity, COG ACCL0431 and SIOPEL 6. Both studies have been completed. The COG ACCL0431 protocol enrolled childhood cancers typically treated with intensive cisplatin therapy for localized and disseminated disease, including newly diagnosed hepatoblastoma, germ cell tumor, osteosarcoma, neuroblastoma, medulloblastoma, and other solid tumors. SIOPEL 6 enrolled only hepatoblastoma patients with localized tumors.

Indications and Usage
PEDMARK® (sodium thiosulfate injection) is indicated to reduce the risk of ototoxicity associated with cisplatin in pediatric patients 1 month of age and older with localized, non-metastatic solid tumors.

Limitations of Use
The safety and efficacy of PEDMARK have not been established when administered following cisplatin infusions longer than 6 hours. PEDMARK may not reduce the risk of ototoxicity when administered following longer cisplatin infusions, because irreversible ototoxicity may have already occurred.

Important Safety Information
PEDMARK is contraindicated in patients with history of a severe hypersensitivity to sodium thiosulfate or any of its components.

Hypersensitivity reactions occurred in 8% to 13% of patients in clinical trials. Monitor patients for hypersensitivity reactions. Immediately discontinue PEDMARK and institute appropriate care if a hypersensitivity reaction occurs. Administer antihistamines or glucocorticoids (if appropriate) before each subsequent administration of PEDMARK. PEDMARK may contain sodium sulfite; patients with sulfite sensitivity may have hypersensitivity reactions, including anaphylactic symptoms and life-threatening or severe asthma episodes. Sulfite sensitivity is seen more frequently in people with asthma.

PEDMARK is not indicated for use in pediatric patients less than 1 month of age due to the increased risk of hypernatremia or in pediatric patients with metastatic cancers.

Hypernatremia occurred in 12% to 26% of patients in clinical trials, including a single Grade 3 case. Hypokalemia occurred in 15% to 27% of patients in clinical trials, with Grade 3 or 4 occurring in 9% to 27% of patients. Monitor serum sodium and potassium levels at baseline and as clinically indicated. Withhold PEDMARK in patients with baseline serum sodium greater than 145 mmol/L.

Monitor for signs and symptoms of hypernatremia and hypokalemia more closely if the glomerular filtration rate (GFR) falls below 60 mL/min/1.73m2.

Administer antiemetics prior to each PEDMARK administration. Provide additional antiemetics and supportive care as appropriate.

The most common adverse reactions (≥25% with difference between arms of >5% compared to cisplatin alone) in SIOPEL 6 were vomiting, nausea, decreased hemoglobin, and hypernatremia. The most common adverse reaction (≥25% with difference between arms of >5% compared to cisplatin alone) in COG ACCL0431 was hypokalemia.

Please see full Prescribing Information for PEDMARK® at: www.PEDMARK.com.

About Fennec Pharmaceuticals
Fennec Pharmaceuticals Inc. is a specialty pharmaceutical company focused on the development and commercialization of PEDMARK® to reduce the risk of platinum-induced ototoxicity in pediatric patients. Further, PEDMARK received FDA approval in September 2022 and European Commission approval in June 2023 and U.K. approval in October 2023. PEDMARK has received Orphan Drug Exclusivity in the U.S. For more information, please visit www.fennecpharma.com.

Forward Looking Statements
Except for historical information described in this press release, all other statements are forward-looking. Words such as “believe,” “anticipate,” “plan,” “expect,” “estimate,” “intend,” “may,” “will,” or the negative of those terms, and similar expressions, are intended to identify forward-looking statements. These forward-looking statements include statements about our business strategy, timeline and other goals, plans and prospects, including our commercialization plans respecting PEDMARK®, the market opportunity for and market impact of PEDMARK®, its potential impact on patients and anticipated benefits associated with its use, and potential access to further funding after the date of this release. Forward-looking statements are subject to certain risks and uncertainties inherent in the Company’s business that could cause actual results to vary, including the risks and uncertainties that regulatory and guideline developments may change, scientific data and/or manufacturing capabilities may not be sufficient to meet regulatory standards or receipt of required regulatory clearances or approvals, clinical results may not be replicated in actual patient settings, unforeseen global instability, including political instability, or instability from an outbreak of pandemic or contagious disease, such as the novel coronavirus (COVID-19), or surrounding the duration and severity of an outbreak, protection offered by the Company’s patents and patent applications may be challenged, invalidated or circumvented by its competitors, the available market for the Company’s products will not be as large as expected, the Company’s products will not be able to penetrate one or more targeted markets, revenues will not be sufficient to fund further development and clinical studies, our ability to obtain necessary capital when needed on acceptable terms or at all, the Company may not meet its future capital requirements in different countries and municipalities, and other risks detailed from time to time in the Company’s filings with the Securities and Exchange Commission including its Annual Report on Form 10-K for the year ended December 31, 2023. Fennec disclaims any obligation to update these forward-looking statements except as required by law.

For a more detailed discussion of related risk factors, please refer to our public filings available at www.sec.gov and www.sedar.com.

PEDMARK® and Fennec® are registered trademarks of Fennec Pharmaceuticals Inc.

©2024 Fennec Pharmaceuticals Inc. All rights reserved.

For further information, please contact:

Investors:
Robert Andrade
Chief Financial Officer
Fennec Pharmaceuticals Inc.
+1 919-246-5299

Corporate and Media:
Lindsay Rocco
Elixir Health Public Relations
+1 862-596-1304
lrocco@elixirhealthpr.com


i Rybak L. Mechanisms of Cisplatin Ototoxicity and Progress in Otoprotection. Current Opinion in Otolaryngology & Head and Neck Surgery. 2007, Vol. 15: 364-369.

ii Landier W. Ototoxicity and Cancer Therapy. Cancer. June 2016 Vol. 122, No.11: 1647-1658.

iii Bass JK, Knight KR, Yock TI, et al. Evaluation and Management of Hearing Loss in Survivors of Childhood and Adolescent Cancers: A Report from the Children's Oncology Group. Pediatric Blood & Cancer. 2016 Jul;63(7):1152-1162.

 


FAQ

What were Fennec Pharmaceuticals Inc.'s net product sales for the full year 2023?

Fennec Pharmaceuticals Inc. achieved net product sales of $21.3 million for the full year 2023.

What is the significance of the exclusive licensing agreement mentioned in the press release?

The exclusive licensing agreement allows Fennec Pharmaceuticals Inc. to commercialize PEDMARQSI™ in Europe, Australia, and New Zealand, with upfront payment of approximately $43 million and potential additional milestones of up to $230 million.

What was the pro forma cash balance for Fennec Pharmaceuticals Inc. at the end of December 31, 2023?

Fennec Pharmaceuticals Inc. had a pro forma cash balance exceeding $55 million as of December 31, 2023.

How did Fennec Pharmaceuticals Inc.'s net sales in fiscal 2023 compare to the previous year?

Fennec Pharmaceuticals Inc. reported net product sales of $21.3 million in fiscal 2023, a significant increase from $1.5 million in 2022.

What was the net loss for Fennec Pharmaceuticals Inc. for the year ended December 31, 2023?

Fennec Pharmaceuticals Inc. recorded a net loss of $16.0 million ($0.60 per share) for the year ended December 31, 2023.

How did Fennec Pharmaceuticals Inc.'s cash and cash equivalents change from December 31, 2022, to December 31, 2023?

Fennec Pharmaceuticals Inc.'s cash and cash equivalents decreased by $10.5 million from December 31, 2022, to December 31, 2023.

What was the increase in selling and marketing expenses for Fennec Pharmaceuticals Inc. in fiscal 2023?

Fennec Pharmaceuticals Inc. recorded $12.1 million in selling and marketing expenses in fiscal 2023, compared to $2.8 million in fiscal year 2022.

How did Fennec Pharmaceuticals Inc.'s research and development expenses change in fiscal 2023?

Fennec Pharmaceuticals Inc.'s research and development expenses decreased by $3.5 million in fiscal 2023 compared to fiscal 2022.

What was the gross profit for Fennec Pharmaceuticals Inc. for the fiscal year ended 2023?

Fennec Pharmaceuticals Inc. had a gross profit of $20.0 million for the fiscal year ended 2023.

What were the total operating expenses for Fennec Pharmaceuticals Inc. for the year ended December 31, 2023?

Fennec Pharmaceuticals Inc. incurred total operating expenses of $32.8 million for the year ended December 31, 2023.

Fennec Pharmaceuticals Inc.

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Biotechnology
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