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Phathom Pharmaceuticals Reports Third Quarter 2024 Financial Results and Provides Business Updates

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Phathom Pharmaceuticals reported strong Q3 2024 results with net revenues of $16.4 million, showing over 120% sequential quarterly increase from Q7.3 million in Q2. The company's VOQUEZNA® products reached over 143,000 prescriptions filled to date, a 138% increase since last quarter. Commercial coverage expanded to over 80% of U.S. commercial lives, covering approximately 120 million people. The prescriber base grew to more than 13,600, up 65% from previous quarter. However, net loss increased to $85.6 million compared to $43.2 million in Q3 2023, with SG&A expenses rising significantly to $76.1 million due to commercial infrastructure buildout.

Phathom Pharmaceuticals ha riportato risultati solidi nel terzo trimestre del 2024 con ricavi netti di 16,4 milioni di dollari, mostrando un aumento sequenziale superiore al 120% rispetto ai 7,3 milioni di dollari del secondo trimestre. I prodotti VOQUEZNA® della compagnia hanno raggiunto oltre 143.000 prescrizioni riempite fino ad oggi, un aumento del 138% rispetto al trimestre precedente. La copertura commerciale è aumentata a oltre l'80% delle vite commerciali statunitensi, coprendo circa 120 milioni di persone. La base di prescrittori è cresciuta a più di 13.600, con un incremento del 65% rispetto al trimestre precedente. Tuttavia, la perdita netta è aumentata a 85,6 milioni di dollari, rispetto ai 43,2 milioni di dollari del terzo trimestre del 2023, con le spese SG&A che sono aumentate significativamente a 76,1 milioni di dollari a causa della costruzione dell'infrastruttura commerciale.

Phathom Pharmaceuticals informó resultados sólidos en el tercer trimestre de 2024 con ingresos netos de 16,4 millones de dólares, mostrando un aumento secuencial de más del 120% desde los 7,3 millones de dólares en el segundo trimestre. Los productos VOQUEZNA® de la compañía alcanzaron más de 143,000 prescripciones llenadas hasta la fecha, un aumento del 138% desde el trimestre anterior. La cobertura comercial se amplió a más del 80% de la población comercial de EE. UU., cubriendo aproximadamente a 120 millones de personas. La base de prescriptores creció a más de 13,600, un aumento del 65% en comparación con el trimestre anterior. Sin embargo, la pérdida neta aumentó a 85,6 millones de dólares en comparación con 43,2 millones de dólares en el tercer trimestre de 2023, y los gastos SG&A aumentaron significativamente a 76,1 millones de dólares debido a la construcción de la infraestructura comercial.

Phathom Pharmaceuticals는 2024년 3분기 강력한 실적을 보고하며 순수익 1,640만 달러를 기록하여 2분기 730만 달러에서 분기 기준 120% 이상의 증가를 보였습니다. 회사의 VOQUEZNA® 제품은 현재까지 143,000건 이상의 처방전이 발행되어 있으며, 이는 이전 분기 대비 138% 증가한 수치입니다. 상업적 범위는 미국 상업 인구의 80% 이상으로 확대되어 약 1억 2천만 명을 커버하고 있습니다. 처방자 수는 13,600명 이상으로 증가하여 이전 분기 대비 65%의 증가세를 보였습니다. 그러나 순손실은 2023년 3분기 4320만 달러에 비해 8560만 달러로 증가했으며, SG&A 비용은 상업적 인프라 구축으로 인해 7610만 달러로 크게 증가했습니다.

Phathom Pharmaceuticals a annoncé de bons résultats pour le troisième trimestre 2024 avec un chiffre d'affaires net de 16,4 millions de dollars, soit une hausse séquentielle de plus de 120 % par rapport à 7,3 millions de dollars au deuxième trimestre. Les produits VOQUEZNA® de l'entreprise ont atteint plus de 143 000 prescriptions remplies à ce jour, ce qui représente une augmentation de 138 % par rapport au trimestre précédent. La couverture commerciale s'est étendue à plus de 80 % des assurés commerciaux aux États-Unis, soit environ 120 millions de personnes. La base de prescripteurs a augmenté à plus de 13 600, soit une hausse de 65 % par rapport au trimestre précédent. Cependant, la perte nette a augmenté à 85,6 millions de dollars contre 43,2 millions de dollars au 3e trimestre 2023, les dépenses SG&A ayant considérablement augmenté à 76,1 millions de dollars en raison de l'expansion de l'infrastructure commerciale.

Phathom Pharmaceuticals berichtete über starke Ergebnisse im dritten Quartal 2024 mit Nettoumsätzen von 16,4 Millionen Dollar, was einen sequenziellen Anstieg von über 120 % im Vergleich zu 7,3 Millionen Dollar im zweiten Quartal zeigt. Die VOQUEZNA®-Produkte des Unternehmens erreichten bis heute über 143.000 verschriebene Rezepte, was einem Anstieg von 138 % seit dem letzten Quartal entspricht. Die kommerzielle Abdeckung erweiterte sich auf über 80 % der US-amerikanischen kommerziellen Leben und deckt etwa 120 Millionen Menschen ab. Die Anzahl der Verschreiber wuchs auf mehr als 13.600, ein Anstieg von 65 % im Vergleich zum vorherigen Quartal. Die Nettoprodukte hingegen stiegen auf 85,6 Millionen Dollar im Vergleich zu 43,2 Millionen Dollar im dritten Quartal 2023, wobei die SG&A-Ausgaben erheblich auf 76,1 Millionen Dollar anstiegen, bedingt durch den Ausbau der kommerziellen Infrastruktur.

Positive
  • Net revenues grew 120% quarter-over-quarter to $16.4 million
  • Prescription fills increased 138% to 143,000
  • Commercial coverage expanded to over 80% of U.S. commercial lives
  • Prescriber base grew 65% to 13,600
  • Strong cash position of $334.7 million with additional $125 million available
Negative
  • Net loss widened to $85.6 million from $43.2 million year-over-year
  • SG&A expenses increased significantly to $76.1 million from $23.4 million year-over-year

Insights

The Q3 2024 results show significant commercial momentum for Phathom Pharmaceuticals. $16.4M in net revenues represents a 120% sequential increase from Q2, driven by strong VOQUEZNA prescription growth. The company has achieved important commercial milestones with over 143,000 prescriptions filled and expanded insurance coverage to 80% of U.S. commercial lives.

However, operating expenses remain substantial with SG&A costs increasing to $76.1M, leading to a net loss of $85.6M. The cash position of $334.7M, combined with available credit facility of $125M, provides runway to potential cash flow positivity. The high burn rate reflects aggressive commercial investment, though prescription growth trajectory suggests improving unit economics.

The rapid market penetration of VOQUEZNA demonstrates strong product-market fit in the GERD treatment space. The 138% increase in prescriptions and expansion to 13,600+ prescribers indicates successful physician adoption and patient acceptance. The July 2024 label expansion to Non-Erosive GERD significantly enlarges the addressable market.

The positive clinical data presented at ACG 2024, particularly regarding As Needed dosing and nocturnal symptom relief, strengthens VOQUEZNA's competitive positioning against standard PPIs. The combination of broad insurance coverage, growing prescriber base and favorable clinical evidence supports the company's blockbuster market opportunity claims.

  • Net revenues of $16.4 million reported for the third quarter 2024 compared to $7.3 million in the second quarter 2024, over 120% sequential quarterly increase
  • Over 143,000 prescriptions filled for VOQUEZNA® (vonoprazan) products, launch to date, a 138% increase since last quarterly report
  • Commercial access for VOQUEZNA tablets expanded, now covering over 80% of U.S. commercial lives
  • Management to host conference call today, November 7, 2024, at 8:30 am ET

FLORHAM PARK, N.J., Nov. 07, 2024 (GLOBE NEWSWIRE) -- Phathom Pharmaceuticals, Inc. (Nasdaq: PHAT), a biopharmaceutical company focused on developing and commercializing novel treatments for gastrointestinal (GI) diseases, today reported financial results for the third quarter of 2024, and provided recent business updates.

“We are thrilled with Phathom’s progress over the past quarter, particularly the strong and continued momentum of the commercial launch for our first-in-class gastroesophageal reflux disease (GERD) treatment, VOQUEZNA,” said Terrie Curran, President and CEO of Phathom. “Demand from physicians and patients has been robust, and favorable payer coverage continues to expand, now reaching over an estimated 120 million U.S. commercially covered lives. These positive trends in prescription data, market sentiment, and patient access validate our launch strategies and reinforce our confidence in the potential of VOQUEZNA to displace standard of care proton pump inhibitors (PPIs). The recent approval for Non-Erosive GERD has greatly expanded our market opportunity, and the strong demand highlights the high unmet need in GERD treatment. Additionally, our successful $130 million equity raise further strengthens our ability to invest in the growth of the brand and we believe we remain well-positioned to deliver on VOQUEZNA’s blockbuster opportunity.”

Recent Business Highlights and Third Quarter 2024 Results:

VOQUEZNA Launch Progress:

  • VOQUEZNA's commercial momentum continues to accelerate, bolstered by the July 2024 label expansion to include Non-Erosive GERD. Total filled prescriptions grew steadily throughout the third quarter, underscoring strong market adoption and positive feedback from both healthcare providers and patients. Launch to date through October 25, 2024, over 143,000 prescriptions for VOQUEZNA tablets, VOQUEZNA TRIPLE PAK®, and VOQUEZNA DUAL PAK® have been filled through both retail pharmacies and patient support at BlinkRx, an increase of 138% compared to 60,000 filled prescriptions as of the company’s last quarterly report. The sequential growth of prescriptions filled in the third quarter 2024 nearly doubled with over 69,000 prescriptions for VOQUEZNA products filled, compared to approximately 35,000 filled prescriptions in the second quarter 2024.
  • As the launch progresses, VOQUEZNA’s prescriber base continues to expand with the number of VOQUEZNA prescribers growing to more than 13,600 cumulative prescribers as of October 18, 2024, up from 8,200 writers since the company’s last quarterly report, an increase of over 65%.
  • Phathom has secured broad and favorable commercial coverage for VOQUEZNA, with access now expanded to over an estimated 120 million covered lives, representing over 80% of U.S. commercial lives.

Recent Business and Regulatory Highlights:

  • New data from multiple studies for first-in-class treatment VOQUEZNA were presented at the American College of Gastroenterology (ACG) 2024 Annual Meeting, held October 25-30 in Philadelphia, PA:
    • A new analysis of data from the Phase 2 PHALCON-NERD-201 trial assessing additional clinical outcomes related to the efficacy of investigational As Needed (On-Demand) VOQUEZNA dosing compared to placebo for relieving episodic heartburn in Non-Erosive GERD patients following a 4-week daily VOQUEZNA run-in period was presented by Ronnie Fass, M.D. This research was recognized with the ACG Outstanding Research Award and highlighted the potential for transitioning from daily VOQUEZNA treatment to As Needed dosing of VOQUEZNA, showing symptom improvement within one hour of VOQUEZNA administration and sustained low heartburn burden in patients who switched to As Needed treatment after achieving control with daily use.
    • In a poster presentation recognized with ACG’s prestigious Presidential Poster Award, an exploratory analysis from Phathom's Phase 3 Non-Erosive GERD study assessed the common yet infrequently evaluated nocturnal symptoms among Non-Erosive GERD patients. Patients with nighttime GERD prior to VOQUEZNA treatment reported significant and meaningful relief with VOQUEZNA daily dosing, further underscoring VOQUEZNA’s potent and long-lasting acid suppression and potential in addressing both daytime and nighttime heartburn.
  • Phathom’s recent launch of VOQUEZNA for Non-Erosive GERD has begun to generate real-world data which is being reviewed to understand consumer usage patterns and prescribing habits of healthcare providers. These insights will help assess the value and potential timing for advancing a separate Phase 3 program to validate the As Needed dosing of VOQUEZNA for active heartburn episodes, building on the positive results from the company's prior Phase 2 study.
  • Phathom is in the final stages of obtaining FDA feedback on the Phase 2 study and program investigating VOQUEZNA as a potential treatment for Eosinophilic Esophagitis (EoE) in adults and adolescents, with plans to now initiate the program in the first half of 2025.

Third Quarter 2024 Financial Results:

  • Revenue: Net revenues for the third quarter 2024 were $16.4 million related to sales of VOQUEZNA, VOQUEZNA TRIPLE PAK, and VOQUEZNA DUAL PAK. There were no revenues for the third quarter 2023 due to the launch of VOQUEZNA taking place in the fourth quarter 2023.
  • Research and development (R&D) expenses: R&D expenses for the third quarter 2024 were $8.7 million, a decrease of $3.6 million compared to $12.3 million for the third quarter 2023. The decrease was a result of lower clinical trial expenses due to the wrap-up of activities related to the PHALCON-NERD-301 daily dosing study.
  • Selling, general and administrative (SG&A) expenses: SG&A expenses for the third quarter 2024 were $76.1 million, an increase of $52.7 million compared to $23.4 million for the third quarter 2023. The increase was a result of higher personnel costs and increased activity related to the ongoing buildout of commercial infrastructure and marketing activity in support of the launch of VOQUEZNA products.
  • Net loss: Net loss for the third quarter 2024 was $85.6 million, compared to $43.2 million for the third quarter 2023. Third quarter 2024 net loss included a non-cash charge related to stock-based compensation of $5.6 million compared to $6.1 million for the third quarter 2023. Non-GAAP adjusted net loss for the third quarter 2024 was $67.9 million compared to $30.8 million for the same period in 2023. These non-GAAP adjusted net losses, more fully described below under "Non-GAAP Financial Measures," exclude non-cash stock-based compensation charges, non-cash interest expense related to the accounting for our revenue interest financing liability, which are in excess of the actual interest owed, and interest expense related to the amortization of debt discount on our term loan. A reconciliation of the GAAP financial results to non-GAAP financial results is included in the tables below.
  • Cash and cash equivalents: As of September 30, 2024, cash and cash equivalents were $334.7 million. Up to an additional $125 million is also available under the Company’s term loan with Hercules.
  • Cash runway: Based on its current cash resources, operating plan, estimated product revenues, and potential funds available under its existing term loan, the company believes these resources will be sufficient to fund operations and enable Phathom to achieve cash flow positivity.

Conference Call and Webcast
Phathom will host a conference call and webcast to discuss its third quarter financial results and business highlights today, November 7, 2024, at 8:30 am ET. A live webcast will be available on the investors page of Phathom’s website under Events & Presentations. A replay of the webcast will be available following the completion of the event and will be archived for up to 90 days.

Non-GAAP Financial Measures
This press release includes financial results prepared in accordance with accounting principles generally accepted in the United States (GAAP), and also certain non-GAAP financial measures. In particular, Phathom has provided non-GAAP adjusted net loss and adjusted net loss per share, adjusted to exclude the items below. Non-GAAP financial measures are not an alternative for financial measures prepared in accordance with GAAP. However, Phathom believes the presentation of non-GAAP adjusted net loss and adjusted net loss per share, when viewed in conjunction with GAAP results, provides investors with a more meaningful understanding of ongoing operating performance. These measures exclude (i) non-cash stock-based compensation, which is substantially dependent on changes in the market price of common shares, (ii) interest expense related to the accounting for our revenue interest financing liability, which are in excess of the actual interest owed, and (iii) interest expense related to the amortization of debt discount on our term loan.

Phathom believes the presentation of these non-GAAP financial measures provides useful information to management and investors regarding Phathom's results of operations. When GAAP financial measures are viewed in conjunction with these non-GAAP financial measures, investors are provided with a more meaningful understanding of Phathom's ongoing operating performance and are better able to compare Phathom's performance between periods. In addition, these non-GAAP financial measures are among those indicators Phathom uses as a basis for evaluating performance, and planning and forecasting future periods. These non-GAAP financial measures are not intended to be considered in isolation or as a substitute for GAAP financial measures. A reconciliation between these non-GAAP measures and the most directly comparable GAAP measures is provided later in this press release.

About Phathom Pharmaceuticals, Inc.
Phathom Pharmaceuticals is a biopharmaceutical company focused on the development and commercialization of novel treatments for gastrointestinal diseases. Phathom has in-licensed the exclusive rights to vonoprazan, a first-in-class potassium-competitive acid blocker (PCAB) that is currently marketed in the United States as VOQUEZNA® (vonoprazan) tablets for the treatment of heartburn associated with Non-Erosive GERD in adults, the healing and maintenance of healing of Erosive GERD in adults and relief of associated heartburn, in addition to VOQUEZNA® TRIPLE PAK® (vonoprazan tablets, amoxicillin capsules, clarithromycin tablets) and VOQUEZNA® DUAL PAK® (vonoprazan tablets, amoxicillin capsules) for the treatment of H. pylori infection in adults. For more information about Phathom, visit the company’s website at www.phathompharma.com and follow on LinkedIn and X.

Forward-Looking Statements
This press release contains forward-looking statements. Investors are cautioned not to place undue reliance on these forward-looking statements, including statements about the timing of commencement of the Phase 2 EoE study, our plans with respect to the value and potential timing for a separate Phase 3 program to validate As Needed dosing of VOQUEZNA for active heartburn episodes, the potential that VOQUEZNA can displace standard of care PPIs, and address unmet needs in GERD treatment, the availability of additional funds under our term loan agreement, future growth in demand and our ability to secure additional commercial coverage for our products, and our ability to achieve cash flow positivity. The inclusion of forward-looking statements should not be regarded as a representation by Phathom that any of its plans will be achieved. Actual results may differ from those set forth in this press release due to the risks and uncertainties inherent in Phathom’s business, including, without limitation: we may not be able to successfully commercialize VOQUEZNA, VOQUEZNA TRIPLE PAK and VOQUEZNA DUAL PAK, which will depend on a number of factors including coverage and reimbursement levels from governmental authorities and health insurers as well as market acceptance by healthcare providers; we may use our capital resources sooner than expected, or our operating plan may overestimate our expected product revenues, which could require us to reduce expenses or raise additional capital sooner than expected; the inherent risks of clinical development of vonoprazan; Phathom’s dependence on third parties in connection with product manufacturing, research and preclinical and clinical testing; regulatory developments in the United States and foreign countries; unexpected adverse side effects or inadequate efficacy of vonoprazan that may limit its development, regulatory approval and/or commercialization, or may result in recalls or product liability claims; Phathom’s ability to obtain and maintain intellectual property protection and non-patent regulatory exclusivity for vonoprazan; Phathom’s estimates regarding patient population and commercial coverage could prove to be inaccurate; and other risks described in the Company’s prior press releases and the Company’s filings with the Securities and Exchange Commission (SEC), including under the heading “Risk Factors” in the Company’s most recent Annual Report on Form 10-K and any subsequent filings with the SEC. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof, and Phathom undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date hereof. All forward-looking statements are qualified in their entirety by this cautionary statement, which is made under the safe harbor provisions of the Private Securities Litigation Reform Act of 1995.

MEDIA CONTACT
Nick Benedetto
1-877-742-8466
media@phathompharma.com

INVESTOR CONTACT
Eric Sciorilli
1-877-742-8466
ir@phathompharma.com

© 2024 Phathom Pharmaceuticals. All rights reserved.
VOQUEZNA, VOQUEZNA DUAL PAK, VOQUEZNA TRIPLE PAK, Phathom Pharmaceuticals, and their respective logos are registered trademarks of Phathom Pharmaceuticals, Inc.

Selected Condensed Balance Sheets
(in thousands)
(unaudited)

  September 30,
2024
 December 31,
2023
Assets    
Cash and cash equivalents $334,678  $381,393 
Total assets $387,044  $413,842 
Total liabilities $574,156  $486,601 
Total stockholders’ deficit $(187,112) $(72,759)


Statements of Operations and Comprehensive Loss
(in thousands, except share and per share amounts)
(unaudited)

  Three Months Ended
September 30,
 Nine Months Ended
September 30,
  2024   2023  2024   2023 
Product revenue, net $16,352   $-  $25,588   $- 
Cost of revenue  2,356    -   4,158    - 
Gross profit  13,996    -   21,430    - 
Operating expenses:          
Research and development  8,693    12,263   25,499    36,505 
Selling, general and administrative  76,099    23,396   213,981    60,932 
Total operating expenses  84,792    35,659   239,480    97,437 
Loss from operations  (70,796)   (35,659)  (218,050)   (97,437)
Other income (expense):          
Interest income  3,711    2,720   11,648    4,528 
Interest expense  (18,484)   (10,107)  (53,416)   (28,939)
Other expense, net  (8)   (197)  (57)   (174)
Total other expense  (14,781)   (7,584)  (41,825)   (24,585)
Net loss and comprehensive loss $(85,577)  $(43,243) $(259,875)  $(122,022)
Net loss per share, basic and diluted $(1.32)  $(0.76) $(4.29)  $(2.48)


Reconciliation of GAAP to Non-GAAP Financial Measures
(in thousands, except share and per share amounts)
(unaudited)

 
 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 
  2024   2023   2024   2023  
Reconciliation of GAAP to Non-GAAP adjusted net loss:        
GAAP net loss($85,577) ($43,243) ($259,875) ($122,022) 
Stock-based compensation expense (A) 5,635   6,140   17,360   20,441  
Non-cash interest on revenue interest financing liability 11,503   5,715   35,012   16,265  
Interest expense related to amortization of debt discount 589   542   1,563   1,311  
Non-GAAP adjusted net loss($67,850) ($30,846) ($205,940) ($84,005) 
         
Reconciliation of GAAP to Non-GAAP adjusted net loss per share — basic and diluted:        
GAAP net loss per share — basic and diluted($1.32) ($0.76) ($4.29) ($2.48) 
Stock-based compensation expense (A) 0.08   0.11   0.28   0.41  
Non-cash interest on revenue interest financing liability 0.18   0.10   0.58   0.33  
Interest expense related to amortization of debt discount 0.01   0.01   0.03   0.03  
Non-GAAP net loss per share — basic and diluted($1.05) ($0.54) ($3.40) ($1.71) 
Weighted-average shares of common stock outstanding, basic and diluted 64,627,847   56,782,379   60,543,545   49,265,321  


(A) Stock-based compensation consists of the following:   
 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 2024 2023 2024 2023
Research and development1,296 1,397 3,876 4,977
Selling, general and administrative4,339 4,743 13,484 15,464

FAQ

What was Phathom Pharmaceuticals (PHAT) revenue in Q3 2024?

Phathom Pharmaceuticals reported net revenues of $16.4 million in Q3 2024, representing a 120% increase from $7.3 million in Q2 2024.

How many VOQUEZNA prescriptions were filled for Phathom (PHAT) as of October 2024?

Over 143,000 prescriptions for VOQUEZNA products were filled through October 25, 2024, showing a 138% increase from the previous quarter's report of 60,000 prescriptions.

What was Phathom's (PHAT) net loss in Q3 2024?

Phathom reported a net loss of $85.6 million in Q3 2024, compared to $43.2 million in Q3 2023.

What is the current commercial coverage for VOQUEZNA in Q3 2024?

VOQUEZNA has expanded commercial coverage to over 80% of U.S. commercial lives, reaching approximately 120 million covered lives.

Phathom Pharmaceuticals, Inc.

NASDAQ:PHAT

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