OPKO Announces Third Quarter Operating and Financial Results

OPKO Health (Ireland)

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November 07, 2014 8:28am EST

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Rayaldee™ Meets Primary Endpoints in Both Pivotal Phase 3 Trials;

NDA Submission Planned for Q4 2014

Rayaldee Results to be Presented at American Society of

Nephrologists Meeting

Clinical Trial Start for Rayaldee as Adjunctive Cancer Therapy to

Begin in Q4 2014

European Marketing Commenced for 4Kscore™ Blood Test to Identify

Risk of Aggressive Prostate Cancer; Latin America Rollout Planned for

Fourth Quarter 2014

Rolapitant™ NDA Submitted by OPKO Licensee Tesaro and Accepted for

Review by FDA

Cash and Cash Equivalents of $118.3 Million Providing Adequate

Liquidity To Fund Development Programs

hGH-CTP Development Program Continues to Progress Rapidly

Long Acting Factor VII for Hemophilia and Long Acting Oxyntomodulin

for Obesity and Diabetes Clinical Trials 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 third quarter ended September 30, 2014.

Business Highlights

NDA Submission planned for Q4 2014: 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 New Drug Application (NDA) with the United States (U.S.) Food and

Drug Administration (FDA) in the fourth quarter of 2014.

Rayaldee Results to be Presented at Upcoming American Society of

Nephrologists Meeting: Rayaldee Phase 3 trial data will be

unveiled 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 Start for Rayaldee as Adjunctive Cancer Therapy

Anticipated For Q4 2014: OPKO intends to initiate 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.

hGH-CTP Development Program Continues to Progress Rapidly: OPKO’s

hGH-CTP development programs for long acting growth hormone continue

to make significant progress during the first nine months of 2014.

Enrollment of our ongoing Phase 3 clinical trial in adults continues

to advance and interim data for our pediatric Phase 2 clinical trials

were presented at the European Society of Pediatric Endocrinology

Conference in September.

for Obesity and Diabetes Clinical Trials to Begin During 2015: OPKO’s

development programs for long acting Factor VII and long acting

oxyntomodulin continue to progress toward entering clinical trials

during 2015.

European Launch for the 4Kscore Test Commenced; Adoption of 4Kscore

Test Continues to Grow: During September, OPKO launched the

4Kscore Test in Europe through its wholly owned subsidiary, OPKO

Health Spain. Earlier this year, OPKO completed a validation study and

launched the 4Kscore Test in the U.S. through its CLIA accredited OPKO

Lab. OPKO also expects to launch the 4Kscore Test in Latin America

through its Chilean and Mexican subsidiaries in late 2014 and

elsewhere shortly thereafter. 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. The

presentation, “The 4Kscore Test as a Predictor of High-Grade Prostate

Cancer on Biopsy,” was presented at meetings of the New England

Section and Western Section of the American Urological Association in

October 2014.

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 which triggered a milestone payment to OPKO

under its license agreement with TESARO.

“We made significant progress during the third quarter, successfully

completing our two Phase 3 trials for Rayaldee with positive efficacy

and safety results, and successfully launching our 4Kscore Test in

Europe,” said Phillip Frost, M.D., Chairman and CEO. “We continue to see

the 4Kscore Test being increasingly adopted by Urologists in the U.S.

and abroad and expect to launch it in Mexico and Chile in the coming

months,” Dr. Frost continued. “We also aggressively pursued our Factor

VII product for hemophilia and oxyntomodulin for overweight and obesity

and hope to begin clinical trials in mid-2015.”

Financial Highlights

At September 30, 2014, OPKO had cash and cash equivalents of $118.3

million providing OPKO with adequate liquidity to continue the

development of its product candidates. During the nine months ended

September 30, 2014, OPKO continued to increase its investment in

research and development programs, utilizing $65.6 million of cash from

operations. The principal use of cash from operations include

investments in clinical trials for Rayaldee and hGH-CTP, a clinical

validation study for the 4Kscore Test which was completed in March 2014,

and the continued development of OPKO’s Claros 1™ Analyzer point of care

platform system, as well as OPKO’s earlier stage development programs.

Pharmaceutical product revenue for the three months ended September 30,

2014 increased to $17.3 million compared to $16.6 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 September 30, 2014 was $19.8 million

compared to $20.6 million for the 2013 period. The decrease in total

revenue was the result of the 2013 period including non-recurring

revenue of $1.3 million related to OPKO’s transaction with Pharmsynthez,

partially offset by increased pharmaceutical product revenue.

Net loss for the three months ended September 30, 2014 was $48.7

million, compared to $60.0 million in the comparable period of 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 three months ended September 30, 2014

resulting in $17.7 million of increased contingent consideration

expense. Further, OPKO continued to increase its investment in research

and development activities during the three months ended September 30,

2014 related to its ongoing Phase 3 programs for Rayaldee and hGH-CTP.

As a result, OPKO’s spending on research and development increased $9.4

million to $20.5 million for the three months ended September 30, 2014

from $11.1 million for the three months ended September 30, 2013. These

increases were partially offset during the three months ended September

30, 2014 by a decrease in non-cash expense of $40.8 million from the

change in fair value of our derivative instruments, principally related

to our Senior 2033 Notes.

For the nine months ended September 30, 2014, pharmaceutical product

revenue increased approximately 15% to $58.5 million compared to $50.7

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 nine months

ended September 30, 2014 was $65.6 million compared to $75.8 million for

the 2013 period. Total revenue for the nine months ended September 30,

2013 included non-cash, non-recurring revenue of $12.5 million and $3.2

million of non-recurring revenue related to OPKO’s transactions with RXi

and Pharmsynthez, respectively, which was partially offset by increased

product revenue.

Net loss for the nine months ended September 30, 2014 was $118.7 million

compared to $98.0 million for the first nine months of 2013. OPKO

continued to increase its investment in research and development

activities 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 $27.2 million to $57.7 million for

the nine months ended September 30, 2014 from $30.6 million for the nine

months ended September 30, 2013. In addition, net loss for the nine

months ended September 30, 2014 included a non-recurring in-process

research and development expense of $10.1 million due to a write-off of

in-process research and development expense in connection with the

acquisition of Inspiro. Further, as a result of the successful

achievement of the primary efficacy and safety endpoints for Rayaldee,

the valuation of the contingent consideration payable to the sellers of

Cytochroma increased significantly during the period resulting in $19.0

million of increased contingent consideration expense. The nine month

period ended September 30, 2013 included $12.5 million of non-cash

income related to the RXi transaction and a $10.8 million gain realized

from the successful exit of a strategic investment. These reductions

were partially offset during the nine months ended September 30, 2014 by

a decrease in non-cash expense of $52.1 million from the change in fair

value of our derivative instruments, principally related to our Senior

2033 Notes of which we retired $70 million during June 2014.

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 a 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

September 30,

December 31,

Assets

Cash and cash equivalents

$

118.3

$

185.8

Other current assets

44.8

56.9

Total Current Assets

163.1

242.7

In-process Research and Development and Goodwill

1,018.0

1,019.7

Other assets

114.1

129.1

Total Assets

$

1,295.2

$

1,391.5

Liabilities and Equity

Current liabilities

$

76.8

$

91.8

2033 Senior Notes, net

114.9

211.9

Other long-term liabilities

216.2

214.8

Total Liabilities

407.9

518.5

Equity

887.3

873.0

Total Liabilities and Equity

Condensed Consolidated Statements of Operations

(unaudited)

(in millions, except per share data)

For the three months ended

September 30,

Revenues

$

19.8

$

20.6

Costs and expenses

68.0

39.7

Operating loss

(48.2

)

(19.0

)

Other income and (expense), net

(1.5

)

(38.9

)

Loss before income taxes and investment losses

(49.7

)

(57.9

)

Benefit from (provision for) income taxes

(0.3

)

(1.3

)

Loss before investment losses

(50.0

)

(59.2

)

Loss from investments in investees

(0.0

)

(1.6

)

Net loss

(60.8

)

Less: Net loss attributable to non-controlling interests

(0.8

)

Preferred stock dividend

Net loss attributable to common shareholders

$

(48.7

(60.0

)

Basic and diluted loss per share

$

(0.11

(0.17

)

For the nine months ended

September 30,

65.6

$

75.8

Costs and expenses

179.0

119.6

Operating loss

(113.4

)

(43.8

(4.3

)

(46.0

(117.7

)

(89.8

(1.0

)

(2.3

(118.7

)

(92.1

(2.5

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