OPKO Announces Third Quarter 2013 Financial and Operating Highlights

OPKO Health (Ireland)

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November 11, 2013 12:37pm EST

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Revenue Nearly Doubled to $20.6 million for the Third Quarter 2013;

Increased More Than Twofold to $75.8 million for the First Nine Months

of 2013

Initiation of Pivotal Clinical Validation Study for 4Kscore ™

Enrollment in Our Pivotal Rayaldy ™ Clinical Trials Surpassed

75% Completion; Top-Line Data Expected in Mid-2014

Continuing Progress Toward Completion by TESARO of Rolapitant Phase

3 Clinical Trials; Two of TESARO’s Phase 3 trials of Rolapitant Are

Now Fully Enrolled, Top-line Data Expected at Year End. TESARO Also

Initiated an Open-Label, Dose-Finding and Escalation Study to Evaluate

Intravenous (IV) Formulation of Rolapitant

Final Marketing Authorization for Citicoline Products in Spain

Completed Acquisition of PROLOR Biotech

Strategic Investment in Biotechnology Company Engaged in the

Development of a New Generation of Antibodies

Strategic Investment in Clinical Stage Biopharmaceutical Company

Focused in the Development of Oncology Therapeutics

New Listing on Tel Aviv Stock Exchange

Neovasc, an OPKO Investment Portfolio Company, Reported That the Neovasc

Reducer ™ Achieved Primary Endpoint in COSIRA Trial, Significantly

Improving Function in Patients with Refractory Angina

Cash and Marketable Securities at $180.8 million as of September

30, 2013

MIAMI--(BUSINESS WIRE)--

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

diagnostics company, today reported operating and financial highlights

for the third quarter of 2013.

Third Quarter 2013 Financial Highlights

Cash, cash equivalents and marketable securities were $180.8 million

as of September 30, 2013.

Consolidated revenues nearly doubled to $20.6 million during the three

months ended September 30, 2013 from $11.8 million in the prior year

period. Consolidated revenue more than doubled to $75.8 million during

the nine months ended September 30, 2013 from $30.8 million in the

prior year period. Revenue for the nine months ended September 30,

2013 included $12.5 million of revenue resulting from a strategic

partnership in the field of RNA interference with RXi Pharmaceuticals

Corporation.

Net loss for the three months ended September 30, 2013 was $60.0

million, compared to a net loss of $10.2 million for the 2012 period.

The increase in net loss for the three months ended September 30, 2013

was primarily related to increased operating and clinical trial

activities, and non-cash charges, such as

$27.8 million in non-cash charges related to the change in value

of embedded derivatives which are part of our January 2013

convertible senior notes due in 2033 (the “2033 Senior Notes”).

This non-cash charge is principally a result of the increased

market price of our common stock since the previous quarter end;

and

$8.7 million in non-cash charges related to early conversion of

2033 Senior Notes.

Net loss for the nine months ended September 30, 2013 was $98.0

million, compared to a net loss of $30.2 million for the 2012 period.

The increase in net loss for the nine months ended September 30, 2013,

was primarily related to increased operating and clinical trial costs,

and non-cash charges, such as

$38.7 million in non-cash charges principally related to the

change in value of embedded derivatives which are part of our 2033

Senior Notes, principally as a result of the increase in the

market price of our common stock since issuance of such notes; and

Net loss for the nine months ended September 30, 2013 also includes

$11.0 million of other income from the sale of securities, partially

offset by $10.1 million of interest expense principally related to our

2033 Senior Notes.

Business Highlights

On November 4, 2013, we announced the initiation of a multi-center

study expected to generate data to support the launch of the 4Kscore ™

test as a laboratory developed test through our Clinical Laboratory

Improvement Amendments of 1988 (CLIA)-certified laboratory in

Nashville, TN. We are enrolling men at the first of 19 sites across

the United States (U.S.) and are planning to enroll more than 1,200

men referred for a prostate biopsy over the next few months. This

clinical study is expected to be the last step before our planned

commercial launch of the 4Kscore ™ in the first quarter of 2014.

The data we generate in this clinical study will not only be used for

the required CLIA validation, but will also be used to secure 4Kscore ™

test reimbursement.

Our two ongoing Phase 3 trials for Rayaldy ™, our vitamin D

prohormone to treat patients with secondary hyperparathyroidism

(SHPT), stage 3 or 4 chronic kidney disease (CKD) and vitamin D

insufficiency, continues to progress well with aggregate enrollment

surpassing 75%. We anticipate top-line data from this pivotal program

in mid-2014.

Each of three Phase 3 trials of rolapitant being conducted by our

licensee, TESARO, Inc., for the prevention of chemotherapy-induced

nausea and vomiting, continues to progress well towards completion.

Two of TESARO’s phase 3 trials of oral rolapitant are fully enrolled,

with results from the third study becoming available in early 2014.

TESARO anticipates announcing top-line data from the two fully

enrolled studies at year end. Following completion of Phase 3 trials,

TESARO plans to submit a New Drug Application to the U.S. Food and

Drug Administration for oral rolapitant in mid-2014. Earlier this

year, TESARO also presented results from a pharmacokinetic study of

rolapitant at the Multinational Association of Supportive Care in

Cancer/International Society of Oral Oncology (MASCC/ISOO)

International Symposium in Berlin. These data support concomitant

administration of rolapitant with other pharmaceutical products that

are metabolized by the liver microsomal enzyme CYP3A4, without a

requirement for dose adjustment of the co-administered product.

Recently, TESARO also announced the initiation of an open-label,

dose-finding and escalation study to evaluate the pharmacokinetics,

safety and tolerability of an IV formulation of rolapitant in healthy

volunteers. The clinical trial of intravenous (IV) rolapitant is well

underway, and TESARO anticipates identifying a dose of IV rolapitant

that provides blood levels similar to those of the oral formulation by

year end.

Our Spanish subsidiary, Pharmadiet, S.L.U., received final marketing

authorization for commercialization of its oral and injectable

formulations of citicoline which are indicated for the treatment of

memory disorders and behavior related to stroke, head injury, chronic

disease, as well as degenerative brain disorders. We expect to begin

commercialization in Spain of these products, which can be significant

contributors to Pharmadiet's sales and earnings, beginning with the

first quarter of 2014.

We completed the acquisition of PROLOR Biotech, Inc., a

biopharmaceutical company focused on developing proprietary

long-acting forms of presently marketed therapeutic proteins and

peptides. In June 2013, PROLOR initiated a pivotal Phase 3 clinical

trial in adults of its proprietary long-acting version of human growth

hormone, hGH-CTP. The initiation of this Phase 3 clinical trial

followed a series of successful Phase 2 trials showing that hGH-CTP

can safely reduce the dosing frequency of human growth hormone from

the current standard of one injection per day to just one per week. A

Phase 2 trial in children with growth hormone deficiency (GHD) is

currently ongoing. hGH-CTP has been awarded orphan drug designation in

the U.S. and Europe for both adults and children with GHD. PROLOR

scientists presented new data at the 95 th Annual Meeting of

the Endocrine Society in June 2013 regarding MOD-630, our long-acting

oxyntomodulin (GLP-1 and Glucagon dual agonist) with potential for

treating obese and overweight individuals as well as type 2 diabetes.

This pre-clinical study concluded that MOD-630 induced marked weight

loss while improving glycemic control and lipid profile in mice with

diet-induced obesity after once-weekly administration. PROLOR

scientists also presented new data at the XXIV Congress of the

International Society of Hemostasis and Thrombosis from preclinical

studies of its long-acting clotting factor VIIa (Factor VIIa-CTP), a

next generation treatment for hemophilia. These data provided further

evidence that Factor VIIa-CTP can be administered by subcutaneous or

IV injection, which will facilitate regular prophylactic use.

Currently available commercial factor VIIa, which must be administered

through IV infusions, limits its prophylactic treatment and can

require frequent administrations if patients are treated only “on

demand” when a bleed occurs.

In October 2013, we made a strategic investment in Zebra Biologics,

Inc. ("Zebra"), a privately held biotechnology company focused on the

discovery and development of biosuperior antibody therapeutics and

complex drug targets. Zebra's patented platform is an advanced version

of a core technology developed by Richard Lerner, M.D. (also an OPKO

director) at The Scripps Research Institute, underlying the commercial

success of AbbVie Inc.'s Humira ™. This new technology allows

for the selection of antibodies for function rather than simple

binding affinity. Zebra has already developed an early pre-clinical

pipeline of candidate antibodies with significant commercial potential

in regulating diabetes and obesity, cancer and treatment of

neurological disease.

In October 2013, we made a strategic investment in Arno Therapeutics,

Inc, (OTCBQ: ARNI) (“Arno”), a clinical stage biopharmaceutical

company focused on the development of oncology drugs. We were

attracted to Arno based on the potential of its lead product and

cancer therapeutic, onapristone, in addressing the need for new and

effective treatment for breast and prostate cancer. In connection with

this investment, we were granted exclusive first rights to negotiate

with Arno regarding any potential strategic transactions that Arno

elects to pursue.

OPKO’s common stock began trading on the Tel Aviv Stock Exchange

("TASE") in August and is included in the following major TASE

indices: Tel Aviv 25, Tel Aviv 100, Tel Aviv Composite, Tel Aviv

Biomed, and Tel Aviv BlueTech-50.

Recently, Neovasc Inc. (NVC.V) (“Neovasc”), a specialty medical device

company in which we have a strategic ownership interest and that

develops, manufactures and markets products for the rapidly growing

global cardiovascular marketplace, reported topline results for its

COSIRA trial assessing the efficacy and safety of the Neovasc Reducer ™,

a novel stent delivered percutaneously to the cardiac sinus for the

treatment of refractory angina. The data show that the Neovasc Reducer ™

achieved its primary endpoint, significantly improving the symptoms

and functioning of patients disabled by previously untreatable

refractory angina. The COSIRA trial also confirmed that the Neovasc

Reducer ™ is safe and well-tolerated, with no reports of

device-related serious adverse events.

“We again made great progress during the past quarter across many

important business fronts,” said Phillip Frost, M.D., OPKO’s Chairman

and Chief Executive Officer. “Our 4Kscore ™ has the potential to

become a transformational medical tool in the diagnosis and treatment of

prostate cancer. We initiated an important pivotal clinical trial to

support our planned commercial 4Kscore ™ launch during the first

quarter of 2014. Progress in our two Rayaldy ™ clinical trials,

now more than 75% enrolled, coupled with the continued development of

the clinical-stage products from PROLOR and our recent strategic

investments in Zebra and Arno, continue to solidify our broad

development pipeline across a growing operating platform,” continued Dr.

Frost. “Our strategy to make small investments in other health care

companies is bearing fruit. We have monetized one of the investments at

a significant profit and the value of the remaining portfolio is far in

excess of our investment. These results, bolstered by broader

shareholder exposure attained through our recent TASE listing, fortify

the foundation for an important health care company.”

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,

our product development efforts, including whether the Phase 3 clinical

trials for Rayaldy™, hGH-CTP, rolapitant, and our clinical validation

study for the 4Kscore™ will be completed on a timely basis or at all and

whether the data will support approval, validation and/or reimbursement

for our products, our ability to enroll in our 4Kscore™ study

more than 1,200 patients referred for a prostate biopsy over the course

of the next few months, the expected timing for launch of our products

in development, including the 4Kscore™, Rayaldy™, hGH-CTP, and

citicoline, 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

Rayaldy™, the 4Kscore™, hGH-CTP, and citicoline, whether the citicoline

products will be significant contributors to Pharmadiet's sales and

earnings, the timing for submission of a NDA by TESARO for rolapitant

and whether TESARO will identify a dose of IV rolapitant that provides

comparable exposure to the oral formulation by year end, whether the

4Kscore™ will become a transformational medical tool in the diagnosis

and treatment of prostate cancer, expectations regarding the performance

of companies in which we have a strategic investment and whether we will

monetize and realize a profit from our strategic investments, and

whether we will continue to solidify our broad development pipeline

across a growing operating platform, 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

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 Rayaldy™, rolapitant,

hGH-CTP, and/or any of our compounds or diagnostic products under

development, including our 4Kscore™ test, 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.

Steven D. Rubin or Juan F. Rodriguez, 305-575-4100

Source: OPKO Health, Inc.

Released November 11, 2013

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