Heron Therapeutics Announces Financial Results for the Three and Twelve Months Ended December 31, 2019 and Highlights Recent Corporate Updates

SAN DIEGO, March 2, 2020 /PRNewswire/ -- Heron Therapeutics, Inc. (Nasdaq: HRTX), a commercial-stage biotechnology company focused on improving the lives of patients by developing best-in-class treatments to address some of the most important unmet patient needs, today announced financial results for the three and twelve months ended December 31, 2019 and highlighted recent corporate updates.

Recent Corporate Updates

Pain Management Franchise

    --  New Drug Application for HTX-011: In September 2019, Heron resubmitted a
        New Drug Application (NDA) to the U.S. Food and Drug Administration
        (FDA) for HTX-011, an investigational agent for the management of
        postoperative pain. In February 2020, Heron announced that the FDA has
        extended the review period for the NDA for HTX-011 by up to three
        months. The new Prescription Drug User Fee Act (PDUFA) goal date is June
        26, 2020.
    --  Contract Manufacturing Site for HTX-011: In February 2020, Heron
        announced that the contract manufacturing site used to manufacture
        HTX-011 has been reinspected by the FDA with no Form 483 observations
        issued and with a recommendation by the FDA inspector for approval of
        the site. Heron has not been informed of any other manufacturing
        concerns.
    --  Marketing Authorisation Application for HTX-011 in the European Union:
        In March 2019, Heron's Marketing Authorisation Application (MAA) for
        HTX-011 for the management of postoperative pain was validated by the
        European Medicines Agency (EMA) for review under the Centralised
        Procedure. An opinion from the EMA's Committee for Medicinal Products
        for Human Use (CHMP) is anticipated in the second quarter of 2020.
    --  New Drug Submission for HTX-011 in Canada: In December 2019, Heron's New
        Drug Submission (NDS) for HTX-011 for the management of postoperative
        pain was granted Priority Review status and accepted by Health Canada.
        Health Canada's Priority Review status provides an accelerated 6-month
        review target for the NDS. A decision by Health Canada is anticipated in
        the third quarter of 2020.

CINV Franchise

    --  CINV 2019 Net Product Sales: For the three months ended December 31,
        2019, chemotherapy-induced nausea and vomiting (CINV) franchise net
        product sales were $35.1 million, up 22% from the same period in 2018.
        For the twelve months ended December 31, 2019, CINV franchise net
        product sales were $146.0 million, up 88% from the same period in 2018.
        --  CINVANTI(®) Net Product Sales: Net product sales of CINVANTI
            (aprepitant) injectable emulsion for the three and twelve months
            ended December 31, 2019 were $34.6 million and $132.2 million,
            respectively, compared to $23.4 million and $56.2 million,
            respectively, for the same periods in 2018.
        --  SUSTOL(®) Net Product Sales: Net product sales of SUSTOL
            (granisetron) extended-release injection for the three and twelve
            months ended December 31, 2019 were $0.5 million and $13.8 million,
            respectively, compared to $5.4 million and $21.3 million for the
            same periods in 2018. On October 1, 2019, the Company made a
            business decision to discontinue all discounting of SUSTOL, which
            resulted in significantly lower SUSTOL net product sales.
    --  2020 Net Product Sales Guidance: Heron expects 2020 net product sales
        for the CINV franchise of $70 million to $80 million and the CINV
        franchise to return to growth in 2021 and beyond.

"We have made important advances in 2019 in both our pain management and CINV franchises, highlighted by the advancement of HTX-011 toward marketing approvals and strong sales for our CINV franchise," said Barry Quart, Pharm.D., President and Chief Executive Officer of Heron Therapeutics. "We look forward to launching HTX-011 for postoperative pain management in the second half of 2020, pending FDA approval."

Financial Results

Net product sales for the three and twelve months ended December 31, 2019 were $35.1 million and $146.0 million, respectively, compared to $28.8 million and $77.5 million, respectively, for the same periods in 2018.

Heron's net loss for the three and twelve months ended December 31, 2019 was $57.9 million and $204.7 million, or $0.65 per share and $2.50 per share, respectively, compared to $49.6 million and $178.8 million, or $0.63 per share and $2.44 per share, respectively, for the same periods in 2018. Net loss for the three and twelve months ended December 31, 2019 included non-cash, stock-based compensation expense of $11.1 million and $51.4 million, respectively, compared to $9.8 million and $33.4 million, respectively, for the same periods in 2018.

As of December 31, 2019, Heron had cash, cash equivalents and short-term investments of $391.0 million compared to $332.4 million as of December 31, 2018. Net cash used for operating activities for the twelve months ended December 31, 2019 was $124.6 million, compared to $191.8 million for the same period in 2018. Heron expects that its current cash, cash equivalents and short-term investments will be sufficient to fund its operations into 2022.

About HTX-011 for Postoperative Pain

HTX-011, an investigational agent, is a dual-acting, fixed-dose combination of the local anesthetic bupivacaine with a low dose of the nonsteroidal anti-inflammatory drug meloxicam. It is the first and only extended-release local anesthetic to demonstrate in Phase 3 studies significantly reduced pain and opioid use through 72 hours compared to bupivacaine solution, the current standard-of-care local anesthetic for postoperative pain control. HTX-011 was granted Fast Track designation from the U.S. Food and Drug Administration (FDA) in the fourth quarter of 2017 and Breakthrough Therapy designation in the second quarter of 2018. Heron submitted a New Drug Application (NDA) to the FDA for HTX-011 in October of 2018 and received Priority Review designation in December of 2018. A Complete Response Letter (CRL) was received from the FDA regarding the NDA for HTX-011 on April 30, 2019 relating to chemistry, manufacturing and controls and non-clinical information. No issues related to clinical efficacy or safety were noted. Heron resubmitted an NDA to the FDA for HTX-011 in September 2019. The Prescription Drug User Fee Act (PDUFA) goal date is June 26, 2020. A Marketing Authorisation Application (MMA) for HTX-011 was validated by the European Medicines Agency (EMA) in March 2019 for review under the Centralised Procedure. Heron's New Drug Submission (NDS) for HTX-011 for the management of postoperative pain was granted Priority Review status by Health Canada in October 2019 and accepted by Health Canada in November 2019.

About CINVANTI (Aprepitant) Injectable Emulsion

CINVANTI, in combination with other antiemetic agents, is indicated in adults for the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of highly emetogenic cancer chemotherapy (HEC) including high-dose cisplatin as a single-dose regimen, delayed nausea and vomiting associated with initial and repeat courses of moderately emetogenic cancer chemotherapy (MEC) as a single-dose regimen, and nausea and vomiting associated with initial and repeat courses of MEC as a 3-day regimen. CINVANTI is an IV formulation of aprepitant, a substance P/neurokinin-1 (NK(1)) receptor antagonist (RA). CINVANTI is the first IV formulation to directly deliver aprepitant, the active ingredient in EMEND(®) capsules. Aprepitant (including its prodrug, fosaprepitant) is the only single-agent NK(1) RA to significantly reduce nausea and vomiting in both the acute phase (0-24 hours after chemotherapy) and the delayed phase (24-120 hours after chemotherapy). The FDA-approved dosing administration included in the United States prescribing information for CINVANTI is a 30-minute IV infusion or a 2-minute IV injection.

Please see full prescribing information at www.CINVANTI.com.

About SUSTOL (Granisetron) Extended-Release Injection

SUSTOL is indicated in combination with other antiemetics in adults for the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of moderately emetogenic chemotherapy (MEC) or anthracycline and cyclophosphamide (AC) combination chemotherapy regimens. SUSTOL is an extended-release, injectable 5-HT(3) receptor antagonist that utilizes Heron's Biochronomer(®) drug delivery technology to maintain therapeutic levels of granisetron for >=5 days. The SUSTOL global Phase 3 development program was comprised of two, large, guideline-based clinical studies that evaluated SUSTOL's efficacy and safety in more than 2,000 patients with cancer. SUSTOL's efficacy in preventing nausea and vomiting was evaluated in both the acute phase (0-24 hours after chemotherapy) and delayed phase (24-120 hours after chemotherapy).

Please see full prescribing information at www.SUSTOL.com.

About Heron Therapeutics, Inc.

Heron Therapeutics, Inc. is a commercial-stage biotechnology company focused on improving the lives of patients by developing best-in-class treatments to address some of the most important unmet patient needs. Heron is developing novel, patient-focused solutions that apply its innovative science and technologies to already-approved pharmacological agents for patients suffering from pain or cancer.

For more information, visit www.herontx.com.

Forward-looking Statements

This news release contains "forward-looking statements" as defined by the Private Securities Litigation Reform Act of 1995. Heron cautions readers that forward-looking statements are based on management's expectations and assumptions as of the date of this news release and are subject to certain risks and uncertainties that could cause actual results to differ materially, including, but not limited to, those associated with: whether the U.S. Food and Drug Administration (FDA) approves the New Drug Application (NDA) for HTX-011; the timing of the commercial launch of HTX-011; the timing of the European Medicines Agency's (EMA) Committee for Medicinal Products for Human Use (CHMP) review process for HTX-011; whether the European Commission (EC) authorizes the Marketing Authorisation Application (MAA) for HTX-011; the timing of Health Canada's New Drug Submission (NDS) review process for HTX-011; whether Health Canada issues a Notice of Compliance for the NDS for HTX-011; the expected future balances of Heron's cash, cash equivalents and short-term investments; the expected duration over which Heron's cash, cash equivalents and short-term investments balances will fund its operations; and other risks and uncertainties identified in the Company's filings with the U.S. Securities and Exchange Commission. Forward-looking statements reflect our analysis only on their stated date, and Heron takes no obligation to update or revise these statements except as may be required by law.


                                                           
            
              HERON THERAPEUTICS, INC.


                                                               
            Consolidated Balance Sheets


                                                        
            (In thousands, except par value amounts)




                                                      December 31,                                        December 31,

                                                              2019                                                 2018






     
              ASSETS



     Current assets:



     Cash and cash equivalents                                                    $
            71,898                      $
         31,836



     Short-term investments                                                                319,074                            300,535



     Accounts receivable, net                                                               39,879                             64,652



     Inventory                                                                              24,968                             39,032


      Prepaid expenses and other current assets                                              23,245                             11,193




     Total current assets                                                                  479,064                            447,248



     Property and equipment, net                                                            19,618                             14,677



     Right-of-use lease assets                                                              13,754



     Other assets                                                                              346                                254




     Total assets                                                                $
            512,782                     $
         462,179



                 LIABILITIES AND STOCKHOLDERS' EQUITY



     Current liabilities:



     Accounts payable                                                              $
            2,758                      $
         16,863


      Accrued clinical and manufacturing
       liabilities                                                                           34,614                             24,470


      Accrued payroll and employee liabilities                                               15,248                             13,397



     Other accrued liabilities                                                              36,535                             32,715



     Current lease liabilities                                                               1,926


      Convertible notes payable to related
       parties, net of discount                                                               5,624                              4,574




     Total current liabilities                                                              96,705                             92,019



     Non-current lease liabilities                                                          12,242




     Total liabilities                                                                     108,947                             92,019




     Commitments and contingencies



     Stockholders' equity:


      Preferred stock, $0.01 par value: 2,500
       shares authorized; no shares issued or
       outstanding at December 31, 2019 and
       2018


      Common stock, $0.01 par value: 150,000
       shares authorized; 90,304 and 78,174
       shares issued and outstanding at
       December 31, 2019 and 2018, respectively                                                 903                                782



     Additional paid-in capital                                                          1,568,317                          1,330,186


      Accumulated other comprehensive income
       (loss)                                                                                    85                               (87)



     Accumulated deficit                                                               (1,165,470)                         (960,721)




     Total stockholders' equity                                                            403,835                            370,160



      Total liabilities and stockholders'
       equity                                                                     $
            512,782                     $
         462,179


                              
              
                HERON THERAPEUTICS, INC.


                         
              Condensed Consolidated Statements of Operations


                            
              (In thousands, except per share amounts)




                                                                  Three Months Ended                                    Twelve Months Ended

                                                                  December 31,                             December 31,

                                                                                                       ---

                                                            2019                       2018         2019                                    2018

                                                                                                                                          ---

                                          
              (unaudited)



     
                Revenues:


          Net product sales                              $35,083                    $28,844     $145,968                                 $77,474



     
                Operating expenses:


          Cost of product
           sales                                          15,874                     11,572       61,619                                  27,512


          Research and
           development                                    48,277                     39,891      167,382                                 140,032


          General and
           administrative                                  9,874                      8,738       37,897                                  29,263


          Sales and marketing                             20,420                     19,957       89,764                                  64,604

                                                                                                                                          ---

                Total operating
                 expenses                                 94,445                     80,158      356,662                                 261,411

                                                                                                                                          ---



      Loss from
       operations                                       (59,362)                  (51,314)   (210,694)                              (183,937)




      Other income, net                                    1,442                      1,755        5,945                                   5,097

                                                                                                                                          ---




     Net loss                                         $(57,920)                 $(49,559)  $(204,749)                             $(178,840)





      Basic and diluted
       net loss per share                                $(0.65)                   $(0.63)     $(2.50)                                $(2.44)





      Shares used in
       computing basic
       and diluted net
       loss per share                                     89,112                     78,086       81,779                                  73,193

                                                                                                                                          ===


                                                                         
              
                HERON THERAPEUTICS, INC.


                                                                         
              Consolidated Statements of Cash Flows


                                                                                    
              (In thousands)




                                                          
          
            Years Ended December 31,



                                                            2019                                         2018                              2017





                   Operating activities:



     Net loss                                                     $
            (204,749)                                    $
        (178,840)           $
         (197,484)


      Adjustments to reconcile net loss to net
       cash used for operating
       activities:



     Stock-based compensation expense                                          51,411                                              33,367                      30,538



     Depreciation and amortization                                              2,044                                               1,513                       1,531



     Amortization of debt discount                                              1,050                                                 890                         773


      Accretion of discount on short-term
           investments                                                         (3,730)                                            (3,412)                      (278)


      Realized gain on available-for-sale
       investments                                                                 (8)


      Impairment of property and equipment                                         107                                                  72


      Loss on disposal of property and equipment                                    62                                                  29                          39


      Change in operating assets and liabilities:



     Accounts receivable                                                       24,773                                            (22,778)                   (39,914)


      Prepaid expenses and other assets                                       (12,052)                                            (7,482)                          3



     Inventory                                                                 14,064                                            (29,122)                    (4,768)



     Accounts payable                                                        (14,105)                                            (1,906)                     11,955


      Accrued clinical and manufacturing
       liabilities                                                              10,144                                             (3,614)                     13,713


      Accrued payroll and employee liabilities                                   1,851                                               4,537                         446



     Deferred revenue                                                                                                                                         1,664



     Other accrued liabilities                                                  4,558                                              14,941                      11,482



      Net cash used for operating activities                                 (124,580)                                          (191,805)                  (170,300)


                   Investing activities:


      Purchases of short-term investments                                    (477,035)                                          (497,104)                  (121,570)


      Maturities and sales of short-term
       investments                                                             462,406                                             227,700                     131,783


      Purchases of property and equipment                                      (7,154)                                            (9,171)                    (2,553)


      Proceeds from the sale of property and
       equipment                                                                                                                       25                          78



      Net cash (used for) provided by investing
       activities                                                             (21,783)                                          (278,550)                      7,738


                   Financing activities:


      Net proceeds from sale of common stock and/
       or pre-funded 
              warrants                                       162,151                                             363,128                     306,279


      Proceeds from purchases under the Employee
       Stock Purchase Plan                                                       2,109                                               1,179                         989


      Proceeds from stock option exercises                                      22,164                                              18,301                      11,463



     Proceeds from warrant exercises                                                1


      Repayment of promissory note payable to
       related party                                                                                                             (25,000)                   (25,000)



      Net cash provided by financing activities                                186,425                                             357,608                     293,731



      Net increase (decrease) in cash and cash
       equivalents                                                              40,062                                           (112,747)                    131,169


      Cash and cash equivalents at beginning of
       year                                                                     31,836                                             144,583                      13,414



      Cash and cash equivalents at end of year                        $
            71,898                                       $
         31,836             $
          144,583



                   Supplemental disclosure of cash flow
                    information:



     Interest paid                                     
          $                                                             $
         1,183               $
          2,789



      Cumulative effect of adoption of new
       accounting standard                              
          $                                                             $
         1,574       
     $

Investor Relations and Media Contact:
David Szekeres
Chief Legal, Business and Administrative Officer
Heron Therapeutics, Inc.
dszekeres@herontx.com
858-251-4447

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