OPKO Announces Fourth Quarter Operating and Financial Results

OPKO Health (Ireland)

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February 27, 2015 5:32pm EST

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Pfizer Collaboration Agreement for Long Acting Human Growth Hormone

Closed in January 2015; OPKO Received $295 Million of $570 Million

Total Potential Up Front and Milestone Payments

Rayaldee TM New Drug Application (NDA)

Submission Planned for Q1 2015

Positive Rayaldee Phase 3 Clinical Trial Results Presented at

American Society of Nephrologists Meeting

Clinical Trial for Rayaldee as Adjunctive Cancer Therapy Began in

Q4 2014

Marketing for 4Kscore® Blood Test to Identify Risk of Aggressive

Prostate Cancer in the US and Europe Began During 2014 and in Mexico

in January 2015

Two Papers Supporting 4Kscore Blood Test in European Urology

Published

Rolapitant™ NDA Submitted by OPKO Licensee, TESARO; Accepted for

Review by FDA with a PDUFA date of September 5, 2015; OPKO Received $5

Million of $121 Million Total Potential Up Front and Milestone Payments

Investigational New Drug (IND) Application for Long Acting Factor

VIIa-CTP for Hemophilia Filed and Accepted in Q1 2015

Clinical Studies for Long Acting Oxyntomodulin for Obesity and

Diabetes Expected to Begin During 2015

MIAMI--(BUSINESS WIRE)--

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

and diagnostics company, today reported operating and financial results

for its fourth quarter ended December 31, 2014.

Business Highlights

Closed in January 2015; OPKO Received Up-Front Payments totaling $295

million for global commercialization rights to hGH-CTP: In

connection with the collaboration, OPKO received upfront payments of

$295 million and will receive an additional $275 million upon

achievement of development related milestones. In addition, OPKO will

receive initial royalty payments upon the commercialization of hGH-CTP

for Adult growth hormone deficiency (GHD). Upon the launch of hGH-CTP

for Pediatric GHD, the royalties will transition to gross profit

sharing among all indications for both hGH-CTP and Pfizer's

Genotropin®. OPKO will lead clinical development and will be

responsible for funding the development programs for Adult and

Pediatric GHD and growth failure in children born small for

gestational age (SGA). Pfizer will be responsible for all development

costs for additional indications as well as all post-marketing

studies. In addition, Pfizer will fund the commercialization

activities for all indications and lead the manufacturing activities

covered by the global development plan.

End of Phase 2 Meeting for hGH-CTP for Pediatric GHD Scheduled for

Q1 2015; Adult Phase 3 Clinical Trial Continues to Advance: OPKO

will present twelve month data from its ongoing Phase 2 clinical trial

for pediatric GHD at the 97th Annual Meeting of the Endocrine Society

(ENDO) on March 5th, 2015 in San Diego, California.

Rayaldee Met Primary Endpoints in Both Pivotal Phase 3 Trials; NDA

Submission planned for Q1 2015: OPKO announced successful top-line

results from both of its pivotal Phase 3 trials with Rayaldee. These

trials were identical randomized, double-blind, placebo-controlled,

multi-site studies intended to establish the safety and efficacy

of Rayaldee as a new treatment for secondary hyperparathyroidism

(SHPT) in patients with stage 3 or 4 chronic kidney disease (CKD) and

vitamin D insufficiency. OPKO plans to submit a NDA in the first

quarter of 2015.

Rayaldee Results Presented at American Society of Nephrologists

Meeting: Rayaldee Phase 3 trial data was presented in a

late-breaking clinical presentation entitled "Safety and Efficacy of

Modified-release Calcifediol for Secondary Hyperparathyroidism in

Patients with Stage 3 or 4 CKD and Vitamin D Insufficiency" on

November 15, 2014 during the American Society of Nephrology meeting in

Philadelphia, PA.

Clinical Trial for Rayaldee as Adjunctive Cancer Therapy Initiated

in Q4 2014: OPKO initiated a clinical trial to evaluate Rayaldee

as an adjunctive therapy for the prevention of skeletal-related events

(SREs) in breast and prostate cancer patients with bone metastases

undergoing anti-resorptive therapy during the fourth quarter of 2014.

IND for Long Acting Factor VIIa-CTP for Hemophilia Filed and

Accepted: In January 2015, OPKO submitted an IND to Initiate a

Phase 2a Trial for its Long-Acting Coagulation Factor VIIa-CTP to

Treat Hemophilia. Clinical trials are expected to commence shortly.

Diabetes Expected to Begin During 2015 : OPKO expects to commence

studies for its long acting Oxyntomodulin for diabetes and obesity in

the second half of 2015.

Launched 4Kscore Test in US, Europe and Mexico; Adoption of 4Kscore

Test Continues to Grow: OPKO launched the 4Kscore Test in the US

and Europe in 2014, and in Mexico in January 2015. OPKO also expects

to launch the 4Kscore Test in additional Latin America markets through

its subsidiaries during 2015. OPKO is working to obtain reimbursement

for the 4Kscore Test by payers in the U.S. and abroad and expects

adoption to rapidly increase once reimbursement is received.

Announced Publication of 20 Year Outcome Study for Lethal Prostate

Cancer Using Kallikrein Biomarkers in 4Kscore Test: A team of

researchers from Memorial Sloan Kettering Cancer Center and several

leading European institutions published results in the journal European

Urology concluding that the four kallikrein panel of biomarkers

utilized in the OPKO 4Kscore Test (Total PSA, Free PSA, Intact PSA and

hK2) accurately identify men more likely to develop distant prostate

cancer metastases, and men with a low 4Kscore were shown to have a

very low risk of developing metastatic prostate cancer in the 5-10

year timeframe a <2% risk in a 20-year follow up period.

Rolapitant NDA Filing Submitted in September and Accepted for

Review by FDA in November: OPKO’s partner, TESARO, submitted a NDA

to the FDA for approval of oral rolapitant, an investigational

neurokinin-1 (NK-1) receptor antagonist in development for the

prevention of chemotherapy-induced nausea and vomiting (CINV). The NDA

is supported by data from four controlled studies covering a spectrum

of patients receiving chemotherapy that commonly causes nausea and

vomiting. The top-line results of three of the Phase 3 studies were

previously announced by TESARO and were presented in detail at the

American Society for Clinical Oncology (ASCO) annual meeting in June

2014. On November 5, 2014, TESARO announced the FDA accepted its NDA

filing for rolapitant, with a PDUFA date of September 5, 2015, which

triggered a milestone payment of $5 million to OPKO under its license

agreement with TESARO.

“We accomplished a number of important objectives during 2014,” said

Phillip Frost, M.D., Chairman and CEO. “The completion of the Pfizer

transaction rounded out a watershed year for OPKO that saw us report two

successful Phase 3 clinical trials for Rayaldee, successful validation

of the 4Kscore Test and subsequent launch of the 4Kscore Test in the US

and Europe. In addition, we progressed many of our earlier stage

programs, particularly our long acting Factor VII and Oxyntomodulin,

that have the potential to make significant contributions to the

healthcare system and the quality of life of patients,” Dr. Frost

continued.

Financial Highlights

We believe that OPKO’s cash and cash equivalents of $96.9 million at

December 31, 2014, together with the $295.0 million in upfront payments

from Pfizer received in 2015, provide OPKO with adequate liquidity to

continue development of its product candidates.

Pharmaceutical product revenue for the three months ended December 31,

2014 increased to $18.5 million compared to $17.5 million for the 2013

period. This increase was principally the result of increased revenue

from OPKO’s active pharmaceutical ingredient business at FineTech. Total

revenue for the three months ended December 31, 2014 was $25.5 million

compared to $20.7 million for the 2013 period. The increase in total

revenue was the result of the 2014 period including a $5.0 million

payment from TESARO for the acceptance of the NDA for rolapitant.

Net loss for the three months ended December 31, 2014 was $53.0 million,

compared to $16.8 million in the comparable period of 2013. During the

three months ended December 31, 2014, OPKO recorded increased expense

associated with its derivative instruments of $14.4 million, principally

related to the derivative liability associated with the increased value

of its Senior 2033 Notes. Further, the three months ended December 31,

2013 benefited from the exit from a strategic investment, resulting in

an $18.9 million gain in that period. OPKO continued to increase its

investment in research and development activities during the three

months ended December 31, 2014 related to its ongoing Phase 3 programs

for Rayaldee and hGH-CTP. As a result, OPKO’s spending on research and

development increased $2.4 million to $25.8 million for the three months

ended December 31, 2014 from $23.4 million for the three months ended

December 31, 2013.

For the year ended December 31, 2014, pharmaceutical product revenue

increased approximately 13% to $77.0 million compared to $68.2 million

for the 2013 period. The increase in pharmaceutical product revenue was

principally the result of increased revenue from FineTech, OPKO Health

Europe and OPKO Mexico. Total revenue for the year ended December 31,

2014 was $91.1 million compared to $96.5 million for the 2013 period.

Total revenue for the year ended December 31, 2013 included non-cash,

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

with RXi Pharmaceuticals partially offset by increased pharmaceutical

product revenue and the milestone payment from TESARO.

Net loss for the year ended December 31, 2014 was $171.7 million

compared to $114.8 million for 2013. OPKO’s increased investment in

research and development activities principally related to its Phase 3

programs for Rayaldee and hGH-CTP, as well as incurred costs associated

with the clinical validation study for the 4Kscore, the Claros 1

Analyzer point of care diagnostic platform and earlier stage development

programs. As a result, OPKO’s investment in research and development

increased $29.7 million to $83.6 million for the year ended December 31,

2014 from $53.9 million for the year ended December 31, 2013. As a

result of the successful achievement of the primary efficacy and safety

endpoints for the Rayaldee Phase 3 clinical trials, the valuation for

contingent consideration payable to the sellers of Cytochroma increased

significantly during the year ended December 31, 2014 resulting in $17.5

million of increased contingent consideration expense. In addition, net

loss for the year ended December 31, 2014 included a non-recurring

in-process research and development expense of $12.1 million due to a

write-off of in-process research and development expense in connection

with the acquisition of Inspiro and a payment to Merck in connection

with the NDA filing by TESARO for rolapitant. The year ended December

31, 2013 included $12.5 million of non-cash income related to the RXi

transaction and a $29.9 million gain realized from the successful exit

of a strategic investment.

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 development of our product

candidates and operations, our product development effort and the

expected benefits of our products, including whether our ongoing and

future Phase 3 clinical trials will be completed on a timely basis or at

all and whether the data from any of our trials 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 Latin America and through our other subsidiaries,

increased adoption rates for the 4Kscore by Urologists in the U.S. and

abroad, the timing for submission of an NDA by us for Rayaldee, 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, 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

(unaudited)

(in millions)

As of

December 31,

December 31,

Assets

Cash and cash equivalents

$

96.9

$

185.8

Other current assets

46.0

56.9

Total Current Assets

142.9

242.7

In-process Research and Development and Goodwill

1,017.4

1,019.7

Other assets

107.4

129.1

Total Assets

$

1,267.7

$

1,391.5

Liabilities and Equity

Current liabilities

$

83.1

$

91.8

2033 Senior Notes, net

131.5

211.9

Other long-term liabilities

217.3

214.8

Total Liabilities

431.9

518.5

Equity

835.8

873.0

Total Liabilities and Equity

Condensed Consolidated Statements of Operations

(unaudited)

(in millions, except per share data)

For the three months ended

December 31,

Revenues

$

25.5

$

20.7

Costs and expenses

58.0

56.6

Operating loss

(32.5

)

(35.9

)

Other income and (expense), net

(20.9

)

21.5

Loss before income taxes and investment losses

(53.4

)

(14.4

)

Benefit from (provision for) income taxes

1.0

0.6

Loss before investment losses

(52.4

)

(13.8

)

Loss from investments in investees

(1.1

)

(3.6

)

Net loss

(53.5

)

(17.4

)

Less: Net loss attributable to non-controlling interests

(0.5

Preferred stock dividend

Net loss attributable to common shareholders

$

(53.0

(16.8

)

Basic and diluted loss per share

$

(0.12

(0.04

)

For the year ended

December 31,

91.1

$

96.5

Costs and expenses

236.9

176.1

Operating loss

(145.8

)

(79.6

(25.2

)

(24.6

(171.0

)

(104.2

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