OPKO Announces First Quarter Operating Results

OPKO Health (Ireland) · Montevideo, Uruguay

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May 09, 2014 9:02am EDT

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4Kscore™ Test successfully completed clinical validation study and

launched on March 31, 2014

All RAYALDEE™ Phase 3 clinical trials have completed enrollment on

schedule – top line data expected for release mid-2014

Cash and cash equivalents totaled $156.4 million providing

sufficient liquidity to fund development programs

MIAMI--(BUSINESS WIRE)--

OPKO Health, Inc. (NYSE:OPK), a multi-national biopharmaceutical and

diagnostics company, today reported operating and financial results for

its first quarter ended March 31, 2014.

Business Highlights

4KscoreTest Launch: During the first quarter 2014, OPKO

successfully completed the 4Kscore Test clinical trial in the U.S. and

on March 31, 2014, launched the 4Kscore Test in the U.S. through its

CLIA-accredited OPKO Lab in Nashville, TN. OPKO expects to begin

offering the 4Kscore Test through its Spanish subsidiary in late 2014

and through its other subsidiaries shortly thereafter. The

laboratory-developed test is designed to enhance the prostate biopsy

decision making process that, in the U.S., leads to approximately 1

million biopsies being performed annually, with 80% of the results

indicating no cancer or a low-grade cancer. The 4Kscore Test will help

to reduce unnecessary prostate biopsies by providing information on

the risk (probability) of having high-grade prostate cancer.

4Kscore Data Presentations: OPKO will present data from its

recently completed U.S. clinical validation study at two upcoming

conferences: the American Urological Association (AUA) in Orlando,

which selected “The 4Kscore Test as a Predictor of High-Grade Prostate

Cancer on Biopsy” as a Late-Breaking Abstract for presentation in

Plenary I on Sunday, May 18, 2014; and, the 83 rd Annual

Meeting of the New England Section of the AUA in October 2014 in

Newport.

Completed Patient Enrollment in the Third Phase 3 Trial of RAYALDEE :

This trial is a 6-month open-label extension of two ongoing

identical randomized, double-blind, placebo-controlled, multi-site

pivotal phase 3 studies for RAYALDEE intended to support

marketing approval in the U.S. This third study is designed to

evaluate the product’s long-term safety and efficacy in treating

secondary hyperparathyroidism (SHPT) in subjects with stage 3 or 4

chronic kidney disease (CKD) and vitamin D insufficiency. OPKO is on

schedule for releasing top-line pivotal data in the third quarter of

2014 and filing a New Drug Application (NDA) with the FDA in

the first quarter of 2015.

Inspiro Acquisition: In April, OPKO entered into a definitive

agreement to acquire Inspiro Medical Ltd., an Israeli medical device

company with a new platform to deliver small molecule drugs such as

corticosteroids and beta agonists, as well as its own new drug working

with a novel mechanism of action, to treat respiratory diseases.

Inspiro's Inspiromatic™ is a "smart" easy-to-use dry powder inhaler

with several advantages over existing devices.

Rolapitant Continues on Schedule For a Mid-Year NDA Filing: OPKO’s

partner, TESARO announced it is on track for its NDA filing for

rolapitant mid-2014 and anticipates completing a dose study for the

intravenous (IV) formulation during the second quarter of 2014. The IV

formulation is expected to be launched approximately one year after

the oral product becomes available.

Key Management Positions Added: OPKO made a number of important

additions to its management team: Greg Stanley joined OPKO as Vice

President of Sales and Marketing for the Global Diagnostics Business

Unit, and Scott Toner joined OPKO as Vice President, U.S. Marketing

and Sales for the Renal Division.

Establishment of a Global Supply Chain Infrastructure and Holding

Company Based in Dublin, Ireland: OPKO is expanding its presence

by establishing a global supply chain operation and holding company in

Ireland. OPKO is recruiting employees to support the ongoing launch of

the 4Kscore diagnostic test and in anticipation of the commercial

launch of RAYALDEE . The Irish operation is also expected to

manage the global supply of other products over the next several years

and to serve as a holding company for many of OPKO's non-U.S.

subsidiaries.

In January, OPKO completed the acquisition of Laboratorio Arama

de Uruguay Limitada (“Arama Uruguay”), a privately-owned company

located in Montevideo, Uruguay. Arama Uruguay will expand OPKO’s

presence in Latin America and complement the business activities of

its operations in Chile and Mexico, as well as permit

commercialization of OPKO’s products currently commercialized and

those in development.

“We made significant progress during the first quarter of 2014,” stated

Dr. Phillip Frost, Chairman and CEO. “The completion of our validation

study for the 4Kscore and subsequent launch were significant milestones

which we expect will provide substantial benefits to both patients and

healthcare professionals by informing them of the risk of a patient

having high-grade prostate cancer and helping clarify the decision

process surrounding prostate biopsy. Our RAYALDEE phase 3

clinical trials continue on track for release of top line data later

this summer and our hGH-CTP clinical trials continue on schedule. In

addition to these important project developments, we expanded the global

footprint of our commercial platform with the entry into the Uruguayan

market. With our planned acquisition of Inspiro, we will also add an

innovative next generation platform drug delivery system.”

Financial Highlights

At March 31, 2014, OPKO had cash and cash equivalents of $156.4 million

providing OPKO with strong liquidity and the ability to continue the

development of its product candidates. During the three months ended

March 31, 2014, OPKO continued to invest in its research and development

programs and as a result, utilized cash in operations of $29.0 million

for the three months ended March 31, 2014. Cash used in operations

include the final deferred acquisition payments for OPKO Spain and

FineTech totaling $7.9 million. The remaining cash used in operations

reflects OPKO’s continued investment in research and development

activities including its ongoing phase 3 clinical trials for RAYALDEE

and hGH-CTP and the clinical validation study for 4Kscore Test which was

completed in March 2014.

Product revenue for the quarter increased approximately 28% to $19.8

million compared to $15.5 million for the 2013 period. The increase in

product revenue was principally the result of increased revenue from

OPKO Spain and FineTech. Total revenue for the three months ended March

31, 2014 was $22.3 million compared to $31.3 million for the 2013

period. Total revenue for the three months ended March 31, 2013 included

non-cash, non recurring revenue of $12.5 million related to OPKO’s

transaction with RXi, which was partially offset by increased product

revenue.

Net loss attributable to common shareholders increased to $45.1 million

for the three months ended March 31, 2014 compared to $34.6 million in

the comparable period of 2013 partially as a result of the 2013 period

including $12.5 million of non-cash income related to the RXi

transaction. In addition, OPKO continued to increase its investment in

research and development activities related to its ongoing phase 3

programs for RAYALDEE and hGH-CTP as well as costs associated

with the clinical validation study for the 4Kscore. As a result, OPKO’s

spending on research and development increased $11.0 million to $21.0

million for the three months ended March 31, 2014 from $9.9 million for

the three months ended March 31, 2013. Net loss for the three months

ended March 31, 2014 included $10.5 million of non-cash expense related

to the mark to market of certain derivative instruments related to our

convertible debt instruments compared to $23.5 million for the three

months ended March 31, 2013.

About OPKO Health, Inc.

We are a multi-national biopharmaceutical and diagnostics company that

seeks to establish industry-leading positions in large and rapidly

growing medical markets by leveraging our discovery, development and

commercialization expertise and our novel and proprietary technologies.

This press release contains "forward-looking statements," as that

term is defined under the Private Securities Litigation Reform Act of

1995 (PSLRA), which statements may be identified by words such as

"expects," "plans," "projects," "will," "may," "anticipates,"

"believes," "should," "intends," "estimates," and other words of similar

meaning, including statements regarding expected financial performance,

continued revenue growth and our ability to build a profitable business,

whether we have sufficient liquidity to fund our research and

development and operations, our product development effort and the

expected benefits of our products, including whether the phase 3

clinical trials for RAYALDEE, hGH-CTP, and rolapitant will be completed

on a timely basis or at all and whether the data will support approval,

validation and/or reimbursement for our products, the expected timing

for launch of our products in development, including RAYALDEE and

hGH-CTP, the expected timing of our clinical trials, enrollment in

clinical trials, and disclosure of results for the trials, our ability

to market and sell any of our products in development, including

RAYALDEE, the 4Kscore, and hGH-CTP, our ability to launch sales of the

4Kscore Test in Spain and through our other subsidiaries, the timing for

submission of an NDA by us for RAYALDEE and by TESARO for rolapitant,

whether TESARO will complete a dose study for its IV formulation and the

timing thereof, whether the 4Kscore will provide substantial benefits to

patients and doctors by informing them of the risk of a patient having a

high-grade cancer and clarify the decision making process, whether the

4Kscore will reduce unnecessary biopsies, whether the Irish operation

will manage, oversee and contribute to the manufacturing and sale of the

4Kscore, RAYALDEE, and other products in development, as well as other

non-historical statements about our expectations, beliefs or intentions

regarding our business, technologies and products, financial condition,

strategies or prospects. Many factors could cause our actual activities

or results to differ materially from the activities and results

anticipated in forward-looking statements. These factors include those

described in our Annual Reports on Form 10-K filed and to be filed with

the Securities and Exchange Commission and in our other filings with the

Securities and Exchange Commission, as well as the risks inherent in

funding, developing and obtaining regulatory approvals of new,

commercially-viable and competitive products and treatments, that

earlier clinical results of effectiveness and safety may not be

reproducible or indicative of future results, that the 4Kscore,

RAYALDEE, rolapitant, hGH-CTP, and/or any of our compounds or diagnostic

products under development may fail, may not achieve the expected

results or effectiveness and may not generate data that would support

the approval or marketing of products for the indications being studied

or for other indications, that currently available over-the-counter and

prescription products, as well as products under development by others,

may prove to be as or more effective than our products for the

indications being studied. In addition, forward-looking statements may

also be adversely affected by general market factors, competitive

product development, product availability, federal and state regulations

and legislation, the regulatory process for new products and

indications, manufacturing issues that may arise, patent positions and

litigation, among other factors. The forward-looking statements

contained in this press release speak only as of the date the statements

were made, and we do not undertake any obligation to update

forward-looking statements. We intend that all forward-looking

statements be subject to the safe-harbor provisions of the PSLRA.

OPKO Health, Inc. and Subsidiaries

Condensed Consolidated Balance Sheets

(in millions)

As of

March 31,

December 31,

Assets

Cash and cash equivalents

$

156.4

$

185.8

Other current assets

48.8

56.9

205.2

242.7

In-process Research and Development and Goodwill

1,091.3

1,019.7

Other assets

59.1

129.1

Total Assets

$

1,355.6

$

1,391.5

Liabilities, Series D Preferred Stock and Equity

Current liabilities

$

84.5

$

91.8

2033 Senior Notes, net

224.8

211.9

Other long-term liabilities

215.1

214.8

Total Liabilities

524.4

518.5

Series D Preferred Stock and Equity

831.2

873.0

Total Liabilities, Series D Preferred Stock and Equity

Condensed Consolidated Statements of Operations

(in millions, except per share data)

For the three months ended March 31,

Revenues

$

22.3

$

31.3

Costs and expenses

52.6

38.1

Operating loss

(30.3

)

(6.8

)

Other income and (expense), net

(12.1

)

(24.1

)

Loss before income taxes and investment losses

(42.4

)

(30.8

)

Benefit from (provision for) income taxes

(0.6

)

(0.1

)

Loss before investment losses

(43.0

)

(30.9

)

Loss from investments in investees

(2.1

)

(3.9

)

Net loss

(45.1

)

(34.8

)

Less: Net loss attributable to non-controlling interests

(0.5

Preferred stock dividend

-

(0.4

)

Net loss attributable to common shareholders

$

(44.6

(34.6

)

Basic and diluted loss per share

$

(0.11

OPKO Health, Inc.

Steven D. Rubin or Adam Logal, 305-575-4100

Source: OPKO Health, Inc.

Released May 9, 2014

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