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EX-99.1 - EX-99.1 - Alkermes plc.alks-20180726ex991023092.htm
8-K - 8-K - Alkermes plc.alks-20180726x8k.htm

Exhibit 99.2

 

 

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Alkermes Patient inspired

 

Second Quarter 2018

Financial Results & Update

 

July 26, 2018

 

2018 Alkermes. All rights reserved

 

 


 

 

 

 

 

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Forward-Looking Statements and Non-GAAP Financial Information

 

Certain statements set forth in this presentation constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, including, but not limited to, statements concerning: the future financial and operating performance, business plans or prospects of the company; the continued growth of the long-acting injectable antipsychotic market and revenue from the company’s commercial products, including VIVITROL®, ARISTADA®  and ARISTADA INITIO; improvements to and modernization of the treatment ecosystem for opioid dependence; the timing, funding, results and feasibility of clinical development activities, including the timing of the phase 3 data readout for ALKS 3831, the timing of the initial phase 1 data readout, the expansion of the phase 1 study and other development activities for ALKS 4230, and the timing of completion of the registration packages and submission of the new drug applications (“NDAs”) for each of BIIB098 and ALKS 3831; whether the studies conducted for ALKS 5461, ALKS 3831 and BIIB098 will meet the U.S. Food and Drug Administration’s (“FDA”) requirements for approval; the company’s expectations and timelines for regulatory interactions with the FDA, and actions by the FDA, relating to its review of the NDA submission for ALKS 5461; expectations concerning the timing and results and nature of commercial activities, including preparations for the anticipated launch of ALKS 5461; the potential financial benefits that may be achieved under the license and collaboration agreement between the company and Biogen for BIIB098; the therapeutic value and commercial potential of the company’s commercial products and development candidates; and funding for, and patient access to, the company’s commercial products and development candidates and other related services.  Although the company believes that such forward-looking statements are based on reasonable assumptions within the bounds of its knowledge of its business and operations, the forward-looking statements are neither promises nor guarantees and they are necessarily subject to a high degree of uncertainty and risk. Actual performance and results may differ materially from those expressed or implied in the forward-looking statements due to various risks, assumptions and uncertainties. These risks, assumptions and uncertainties include, among others: the unfavorable outcome of litigation, including so-called “Paragraph IV” litigation and other patent litigation, related to any of our products or partnered products, which may lead to competition from generic drug manufacturers; data from clinical trials may be interpreted by the FDA in different ways than we interpret it; the FDA may not agree with our regulatory approval strategies or components of our filings for our products, including our clinical trial designs, conduct and methodologies and, for ALKS 5461, evidence of efficacy and adequacy of bridging to buprenorphine; clinical development activities may not be completed on time or at all; the results of our clinical development activities may not be positive, or predictive of real-world results or of results in subsequent clinical trials; regulatory submissions may not occur or be submitted in a timely manner; the company and its licensees may not be able to continue to successfully commercialize their products; there may be a reduction in payment rate or reimbursement for the company’s products or an increase in the company’s financial obligations to governmental payers; the FDA or regulatory authorities outside the U.S. may make adverse decisions regarding the company’s products; the company’s products may prove difficult to manufacture, be precluded from commercialization by the proprietary rights of third parties, or have unintended side effects, adverse reactions or incidents of misuse; and those risks, assumptions and uncertainties described under the heading “Risk Factors” in the company’s most recent Annual Report on Form 10-K and in subsequent filings made by the company with the U.S. Securities and Exchange Commission (“SEC”), which are available on the SEC’s website at www.sec.gov and on the company’s website at www.alkermes.com in the “Investors—SEC filings” section. Existing and prospective investors are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. Except as required by law, the company disclaims any intention or responsibility for updating or revising any forward-looking statements contained in this presentation.

Non-GAAP Financial Measures: This presentation includes information about certain financial measures that are not prepared in accordance with generally accepted accounting principles in the U.S. (GAAP), including non-GAAP net income/(loss) and non-GAAP earnings/(loss) per share. These non-GAAP measures are not based on any standardized methodology prescribed by GAAP and are not necessarily comparable to similar measures presented by other companies. Reconciliations of these non-GAAP financial measures to the most directly comparable GAAP financial measures can be found in the Alkermes plc Current Report on Form 8-K filed with the SEC on July 26, 2018.

Note Regarding Trademarks: The company is the owner of various U.S. federal trademark registrations (®) and other trademarks (TM), including ARISTADA®, VIVITROL® and ARISTADA INITIO. Any other trademarks referred to in this presentation are the property of their respective owners. Appearances of such other trademarks herein should not be construed as any indicator that their respective owners will not assert their rights thereto.

 

Alkermes

2018 Alkermes. All rights reserved.


 

 

 

 

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Q2 Earnings Call Agenda

 

Q2 Financial Results   Jim Frates

Chief Financial Officer

 

Commercial update  Jim Robinson

President & Chief Operating Officer

 

R&D Update  Richard Pops

Chief Executive Officer

 

Alkermes

2018 Alkermes. All rights reserved.


 

 

 

 

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Second Quarter Summary and Recent Events

 

Financial Results

Q2 2018 total revenues increased 39% year-over-year to $304.6M

VIVITROL® net sales increased 15% year-over-year to $76.2M

ARISTADA® net sales increased 48% year-over-year to $33.6M

Recognized license revenue from Biogen collaboration for BIIB098 (formerly ALKS 8700) of $48.3M

GAAP net loss of $32.6M, compared to a GAAP net loss of $43.0M for Q2 2017

Non-GAAP net income of $45.6M, compared to a non-GAAP net income of $1.2M for Q2 2017

 

Clinical / Regulatory

 

ARISTADA INITIO™: Approved by FDA June 29; ARISTADA INITIO regimen* for initiation of ARISTADA® makes ARISTADA the first and only long-acting injectable that can be fully dosed
on day one

ALKS 5461: Long-term efficacy and clinical safety data presented at spring medical meetings (APA, SOBP, ASCP)**

ALKS 3831: Presented data from preclinical program and phase 1 translational metabolic study; Completed enrollment of ENLIGHTEN-2 six-month weight study

BIIB098: Received $50M payment from Biogen following its review of preliminary gastrointestinal tolerability data from ongoing clinical development program

 

*ARISTADA INITIO + single 30 mg oral dose of aripiprazole replaces need for concomitant three weeks of oral aripiprazole for initiation of ARISTADA, with relevant levels of aripiprazole concentration reached within four days

**American Psychiatric Association, Society of Biological Psychiatry, American Society of Clinical Psychopharmacology

 

Alkermes

 

2018 Alkermes. All rights reserved.

 


 

 

 

 

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Q2 2018 Revenue Summary

 

Total Revenues ($M)

 

$218.8 Q22017

 

$304.6 Q22018

 

In millions, except %  Q2’18  Q2’17  ∆ Q2’18 VS. Q2’17

 

VIVITROL® $76.2  $66.1  15%

 

ARISTADA®  $33.6  $22.7  48%

 

Manufacturing & Royalty Revenues  $128.2  $129.3  -1%

 

License & R&D Revenues $66.6  $0.8 

 

Total Revenues $304.6  $218.8  39%

 

Alkermes

 

2018 Alkermes. All rights reserved.  


 

 

 

 

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Revenues From Proprietary Commercial Medicines

 

Proprietary Commercial Product Revenues ($M)

 

$120

$100

$80

$60

$40

$20

$0

 

Q1’16

Q2’16

Q3’16

Q4’16

Q1’17

Q2’17

Q3’17

Q4’17

Q1’18

Q2’18

 

ARISTADA aripiprazole lauroxil extended-release injectable suspension

441mg 662 mg 882 mg 1064 mg

 

VIVITROL

(naltrexone for extended-release injectable suspension)

 

Alkermes

 

2018 Alkermes. All rights reserved.


 

 

 

 

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VIVITROL

®Performance

 

VIVITROL Quarterly Net Sales ($M)

 

$80

$70

$60

$50

$40

$30

$20

$10

$0

 

Q1’16

Q2’16

Q3’16

Q4’16

Q1’17

Q2’17

Q3’17

Q4’17

Q1’18

Q2’18

Q2 year-over-year net sales
growth of 15%, driven by
unit growth

Q2’18 results reflect estimated
49% Medicaid units and 51% non-Medicaid units

Net sales increased 22% sequentially, with underlying
unit growth of 19%

Gross-to-net deductions of 49% in Q2’18 were consistent with Q2’17

2018 net sales expectations of
$300M - $330M

 

Alkermes

 

2018 Alkermes. All rights reserved.


 

 

 

 

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ARISTADA® Performance

 

ARISTADA Quarterly Net Sales ($M)

 

$35

$30

$25

$20

$15

$10

$5

$0

 

Q1’16

Q2’16

Q3’16

Q4’16

Q1’17

Q2’17

Q3’17

Q4’17

Q1’18

Q2’18

 

Q2 year-over-year net sales
growth of 48%

Sequential growth of 15% compared to Q1’18

Approximately 43% gross-to-net deductions

2018 net sales expectations of $140M - $160M


 

 

 

 

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Alkermes: 2018 Financial Expectations †

 

(in millions, except per share amounts)  Financial Expectations for Year Ending Dec. 31, 2018

 

Revenues  $975 – 1,025

 

COGS  $180-180

 

R&D Expense $415 – 445

 

SG&A Expense $515 – 545

 

Amortization of Intangible Assets  ~$65

 

Net Interest Expense ~$10

 

Income Tax Expense $0 -–10

 

GAAP Net Loss ($(210) – (240)

 

Non-GAAP Net (Loss) Income  ‡    $(10) – 20

 

GAAP Net Loss Per Share $(1.35) – (1.55)

 

Non-GAAP Net (Loss) Earnings Per Share $(0.06) – 0.12

 

Revenues:

VIVITROL® net sales of $300M - $330M

ARISTADA® net sales of $140M - $160M

AMPYRA®/FAMPYRA® manufacturing & royalty revenue of $40M - $50M; Generic competition for AMPYRA expected in
July 2018

Operating Expenses:

Investment in ARISTADA INITIO™ launch in 2018 and preparations for potential launch of ALKS 5461 in 2019

 

†  This financial guidance was initially provided by Alkermes plc (the “Company”) in its Current Report on Form 8-K filed with the SEC on April 26, 2018.  This financial guidance was reiterated by the Company  in its Current Report on Form 8-K filed with the SEC on July 26, 2018 and is effective only as of such date. The company expressly disclaims any obligation to update or reaffirm this guidance. The company only provides guidance in a Regulation FD compliant manner.

‡  Non-GAAP net (loss) income adjusts for one-time and non-cash charges by excluding from GAAP results: share-based compensation expense; amortization; depreciation; non-cash net interest expense; certain other one-time or non-cash items; and the income tax effect of these reconciling items. Reconciliation of this non-GAAP financial measure to the most directly comparable GAAP financial measure can be found in the Alkermes plc Current Report on Form 8-K filed with the SEC on April 26, 2018.

 

Alkermes

 

2018 Alkermes. All rights reserved.


 

 

 

 

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VIVITROL®: Opportunities to Increase Utilization and Drive Growth

 

State and federal dollars are being allocated; Funding slowly flowing into fragmented treatment system

~$1B of funding provided by 21st Century Cures Act has been distributed to states via block grants

Small percentage has flowed from the states into changing the treatment system

Federal budget included $6B over the next two years to address the opioid epidemic and mental health programs

$1B for new State Opioid Response Grant program

Working with state authorities to encourage timely distribution of funds to local treatment systems

Improvements in accessibility of VIVITROL and implementation of public policy initiatives driving strong growth in certain states

California, Florida, Pennsylvania, Kentucky

State programs expanded to ~690 at the end of Q2’18, primarily driven by criminal justice re-entry and drug court programs

 

Alkermes

 

2018 Alkermes.

All rights reserved


 

 

 

 

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ARISTADA®: Focused on Patient-Centered Treatment Options

 

ARISTADA INITIO™ approved by FDA on June 29

ARISTADA INITIO regimen* provides an opportunity to initiate patients onto any dose of ARISTADA on day 1; Replaces need for concomitant 21 days of oral aripiprazole

ARISTADA is now the first and only long-acting atypical antipsychotic that can be fully dosed on day 1, allowing patients to walk out the door with up to two months of medication coverage*

ARISTADA market share increased to 26% among new aripiprazole long-acting atypical prescriptions (months of therapy) in Q2 20181

Two-month ARISTADA dose is gaining traction and represented 13% of total ARISTADA prescriptions in Q2 2018

 

*ARISTADA INITIO regimen consists of ARISTADA INITIO + single 30 mg dose of oral aripiprazole. ARISTADA INITIO regimen plus ARISTADA on day 1 of treatment yields relevant levels of aripiprazole concentration in the body within four days.

 

1. IMS NPA

 

Alkermes

 

2018 Alkermes. All rights reserved.


 

 

 

 

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ALKS 5461

 

Program

Investigational product for adjunctive treatment of major depressive disorder  (MDD) in patients with inadequate response to standard antidepressant therapy

Opioid system modulator represents a new mechanism of action for the treatment of MDD

 

Status

 

Regulatory review underway, PDUFA target action date Jan. 31, 2019

Long-term efficacy and clinical safety data presented at APA, SOBP, ASCP

Continued scientific exchange with medical community on opioid system dysregulation; New manuscript published in Molecular Psychiatry

 

Priorities

 

FDA Advisory Committee meeting tentatively scheduled for Nov. 1

Preparations for anticipated launch

Investment in manufacturing, senior leadership and necessary commercial infrastructure

 

Alkermes

 

2018 Alkermes. All rights reserved.


 

 

 

 

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ALKS 3831

 

Program 

Investigational, novel, once-daily, oral atypical antipsychotic drug candidate for the treatment of schizophrenia

Designed to provide antipsychotic efficacy of olanzapine and a differentiated safety profile with favorable weight and metabolic properties

 

Status

 

Positive results from ENLIGHTEN-1 pivotal antipsychotic efficacy study
announced June 2017

Presented data from phase 1 translational medicine study evaluating metabolic profile of ALKS 3831 compared to olanzapine in May 2018

 

Priorities

 

Complete ENLIGHTEN-2, a six-month phase 3 study assessing weight gain with olanzapine compared to ALKS 3831; Topline data expected Q4 2018

Enrollment of ENLIGHTEN-2 completed April 2018

 

Alkermes

 

2018 Alkermes.

All rights reserved.

 


 

 

 

 

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BIIB098 (Formerly ALKS 8700)

 

Program

 

Investigational product for the treatment of relapsing forms of multiple sclerosis (MS)

License and collaboration agreement with
Biogen announced in Q4 2017

 

Status

 

Long-term safety study ongoing

Pharmacokinetic bridging studies and clinical
requirements for registration complete

Received $50M payment from Biogen following
its preliminary review of GI tolerability data from
ongoing clinical program

 

Priorities

 

Complete remaining clin/pharm studies for registration package

Planned NDA submission in Q4 2018

 

Biogen License and Collaboration Agreement

 

Granted Biogen exclusive, worldwide license to commercialize BIIB098

Mid-teens percentage royalty to Alkermes on worldwide net sales

$150M milestone upon regulatory approval by FDA
by 12/31/21

Biogen responsible for development and commercial expenses (as of 1/1/18)

 

Alkermes

 

2018 Alkermes. All rights reserved.

 


 

 

 

 

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ALKS 4230

 

Program

 

Novel immuno-oncology candidate

Designed to selectively activate intermediate-affinity IL-2 receptors to enhance tumor-killing immune cells

 

Status

 

Monotherapy dose-escalation stage of phase 1 study ongoing

Plans to initiate evaluation of safety and anti-tumor activity of ALKS 4230 in combination with pembrolizumab in Q3 2018

 

Priorities

 

Complete dose-escalation stage; Present initial data from ongoing phase 1 study
at 2018 medical meeting

Optimize dosing: Planning subcutaneous dosing phase 1 study and evaluation
of less frequent IV dosing regimen

 

Alkermes

 

2018 Alkermes.

All rights reserved.

 


 

 

 

 

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ALKS 4230 Phase 1 Study Design

 

Monotherapy Dose Escalation

 

Determine maximum tolerated dose and recommend phase 2 dose

 

Monotherapy Dose Expansion

 

Renal Cell Carcinoma Cohort

Melanoma Cohort

 

Combination Therapy: ALKS 4230 + Pembrolizumab 

 

PD-1 Approved Tumor Types

Treatment Naïve Patients

PD-1 Approved Tumor Types

Refractory Patients

PD-1 Unapproved Tumor Types*

Monotherapy Rollover

 

Alkermes

 

*Includes colorectal, triple-negative breast, ovarian carcinoma, soft tissue sarcomas, and subjects with metastatic non-small cell lung cancer whose tumors express low or undetectable PD-L1.

 

2018 Alkermes. All rights reserved.

   


 

 

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Significant News Flow Expected in 2018

 

ARISTADA®: New initiation product approved

ARISTADA INITIO™ approved June 29

ALKS 5461: Regulatory review underway

NDA accepted for filing

Advisory Committee meeting tentatively scheduled for Nov. 1

ALKS 3831: Data from second pivotal study

ENLIGHTEN-2 weight study enrollment completion

Metabolic study data presentation

ENLIGHTEN-2 topline results (Q4)

BIIB098 (formerly ALKS 8700): NDA submission

Receipt of $50M payment following preliminary review of GI tolerability data from
ongoing clinical program

Planned NDA submission for treatment of MS (Q4)

ALKS 4230: Clinical proof-of-concept

Present initial dose-escalation data at medical meeting (H2)

Initiate evaluation in combination with pembrolizumab (Q3)

 

Alkermes

 

2018 Alkermes.

All rights reserved

 


 

 

 

 

 

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www.alkermes.com

 

2018 Alkermes. All rights reserved.