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Press release content from Globe Newswire. The AP news staff was not involved in its creation.

Akcea Reports Financial Results and Highlights for Third Quarter 2019

November 5, 2019 GMT

Reported Third Quarter 2019 Global Net Product Revenues of $12 Million

WAYLIVRA® (volanesorsen) launched in the E.U.

Entered into a worldwide licensing agreement with Pfizer, Inc. for AKCEA-ANGPTL3-LRx

Conference Call Webcast Tuesday, November 5, 4:30 p.m. ET at www.akceatx.com

BOSTON, Nov. 05, 2019 (GLOBE NEWSWIRE) -- Akcea Therapeutics, Inc. (NASDAQ: AKCA), a majority-owned affiliate of Ionis Pharmaceuticals, Inc., focused on developing and commercializing drugs to treat patients with serious and rare diseases, today reported financial results for the third quarter ended September 30, 2019. The company reported a net loss for the three and nine months ended September 30, 2019 on a GAAP basis of $31 million and $42 million, respectively. On a non-GAAP basis, the company reported a net loss of $35 million and $12 million, respectively, for the three months and nine months ended September 30, 2019. Akcea had $253 million of cash, cash equivalents and short-term investments as of September 30, 2019.

“With the launch of WAYLIVRA in the E.U., steady progress on the launch of TEGSEDI, data coming from our innovative pipeline and the imminent initiation of multiple Phase 3 programs, we have a solid foundation in place for clinical and commercial success. Furthermore, we are building on that success by potentially expanding our pipeline through the acquisition of new assets from Ionis as well as evaluating medicines to license from third parties,” said Damien McDevitt, interim chief executive officer of Akcea. “Through our collaborations with Pfizer, Novartis and PTC Therapeutics and our own commercial and development efforts, we remain focused on bringing life-changing therapies to patients with serious and rare diseases globally. I am proud to be leading this experienced and passionate team as we build for the future.”

“We generated $12 million in product sales from TEGSEDI and WAYLIVRA in the third quarter as we continue to expand the number of countries where our products are commercially available,” said Mike MacLean, chief financial officer of Akcea. “With the launch of WAYLIVRA in Germany and the ongoing launch of TEGSEDI, we are now a multi-product commercial company. We are excited to continue these commercial and development efforts and to explore bringing further economic opportunities to the company. We ended the quarter with $253 million in cash and short-term investments. Upon closing of the Pfizer license agreement in Q4, we anticipate that we will have significant funds available to support our strategic initiatives.”

Upcoming Events

-- Launch of TEGSEDI in additional E.U. countries and PTC Therapeutics launching in Latin America -- Launch of WAYLIVRA in additional E.U. countries -- Initiate AKCEA-TTR-LRx Phase 3 program in 4Q 2019 -- Novartis to treat first patients in Phase 3 trial for AKCEA-APO(a)-LRx -- Report top line results from Phase 2 studies of AKCEA-ANGPTL3-LRxand AKCEA-APOCIII-LRx in early 2020

Business Updates

-- Appointed Damien McDevitt, Ph.D. as interim CEO -- Promoted Kyle Jenne to Chief Commercial Officer -- Appointed Michael Yang and Joseph “Skip” Klein, III to the board of directors -- Licensed worldwide rights to Pfizer, Inc. for AKCEA-ANGPTL3-LRx

Commercial Achievements

-- Treated first commercial patients with TEGSEDI in the United Kingdom following acceptance by both the National Institute for Health and Care Excellence, or NICE, and the Scottish Medicines Consortium, or SMC -- Successfully completed initial free pricing period and finalized pricing negotiations in Germany and Austria -- Successfully completed pricing negotiations with the New Therapies Council in Sweden and launching there imminently -- PTC Therapeutics announced approval of TEGSEDI in Brazil in October 2019; With this achievement, Akcea earned a $4 million milestone payment which will be split 60% to Ionis and 40% to Akcea per the TEGSEDI profit share -- Launched WAYLIVRA in Germany to treat patients with genetically confirmed Familial Chylomicronemia Syndrome, or FCS, who have a history of pancreatitis; also launched an ATU, or a reimbursed early access program, in France

Pipeline Achievements

-- Reported positive top line results from the Phase 1/2 study of AKCEA-TTR-LRx -- New England Journal of Medicine published results from the Phase 3 APPROACH study of WAYLIVRA in patients with FCS -- Reported top line results from the BROADEN study of WAYLIVRA in familial partial lipodystrophy, or FPL, which met the primary endpoint and a key secondary endpoint

Financial ResultsAll non-GAAP amounts referred to in this press release exclude non-cash compensation expense related to equity awards. Please refer to the reconciliation of non-GAAP and GAAP measures, which is provided later in this release.

Revenue

Akcea’s total revenue for the three and nine months ended September 30, 2019 was $21 million and $211 million, respectively, which was comprised of product revenue, licensing revenue, and research and development revenue. Revenue from sales of TEGSEDI and WAYLIVRA in the three and nine months ended September 30, 2019 was $12 million and $29 million, respectively. Licensing revenue for the nine months ended September 30, 2019 was $6 million. Licensing revenue was recognized upon regulatory approval for WAYLIVRA from the European Commission pursuant to our license agreement with PTC Therapeutics. Akcea’s research and development and license revenue for the three and nine months ended September 30, 2019 was $9 million and $176 million, respectively. Research and development and license revenue was primarily related to the $150 million license fee the company earned as a result of Novartis’ exercise of its option to license AKCEA-APO(a)-LRx. Additionally, Akcea recognized research and development revenue related to the amortization of the upfront payment the company received upon the initiation of the collaboration agreement.

Expenses

Akcea’s operating expenses, inclusive of the reimbursement due from Ionis through the companies’ profit/loss share arrangement, for the three and nine months ended September 30, 2019 on a GAAP basis were $53 million and $256 million, respectively, and on a non-GAAP basis were $57 million and $227 million, respectively. These amounts compare to GAAP operating expenses of $84 million and $213 million and non-GAAP operating expenses of $72 million and $182 million for the same periods in 2018. The decrease in operating expenses for the three months ended September 30, 2019 compared to the same period in 2018 was primarily due a decrease in development activities related to TEGSEDI and WAYLIVRA. The increase in operating expenses for the nine months ended September 30, 2019 compared to the same period in the prior year is primarily due to the one-time $75 million sublicense fee paid to Ionis as a result of Novartis’ exercising its option to license AKCEA-APO(a)-LRx and increased operating expenses related to commercialization costs for TEGSEDI and WAYLIVRA.

Net Loss

Akcea reported net loss of $31 million and $42 million on a GAAP basis for the three and nine months ended September 30, 2019, compared to a net loss of $64 million and $155 million for the same periods in 2018. Akcea reported non-GAAP net loss of $35 million for the three months ended September 30, 2019, compared to a non-GAAP net loss of $51 million for the same period in 2018. Akcea reported non-GAAP net loss of $12 million for the nine months ended September 30, 2019, compared to a non-GAAP net loss of $124 million for the same period in 2018. This decrease in non-GAAP net loss was primarily due to the $150 million license fee the company earned as a result of Novartis’ exercise of its option to license AKCEA-APO(a)-LRx and commercial product revenue which was partially offset by the sublicense fee to Ionis of $75 million and increased operating expenses related to commercialization costs for TEGSEDI and WAYLIVRA.

For the three and nine months ended September 30, 2019, basic and diluted net loss per share of common stock owned by Ionis was $0.34 and $0.40, respectively. For the three and nine months ended September 30, 2019, basic and diluted net loss per share of common stock owned by others was $0.34 and $0.60, respectively. For the three and nine months ended September 30, 2018, basic and diluted net loss per share of common stock owned by Ionis was $0.73 and $1.93, respectively. For the three and nine months ended September 30, 2018, basic and diluted net loss per share of common stock owned by others was $0.73 and $2.07, respectively.

Balance Sheet

As of September 30, 2019, Akcea had cash, cash equivalents and short-term investments of $253 million compared to $253 million at December 31, 2018. With this substantial liquidity, the Company believes it is well positioned to continue to execute on its strategy and broaden its pipeline.

Conference Call

At 4:30 p.m. Eastern Time today, November 5, 2019, Akcea will conduct a live webcast conference call to discuss this earnings release and related activities. Interested parties may listen to the call by dialing (855) 237-2439, passcode 9046648 or access the webcast at www.akceatx.com. A webcast replay will be available for a limited time at the same address.

ABOUT AKCEA THERAPEUTICSAkcea Therapeutics, Inc., a majority-owned affiliate of Ionis Pharmaceuticals, Inc. (NASDAQ: IONS), is a biopharmaceutical company focused on developing and commercializing drugs to treat patients with serious and rare diseases. Akcea is commercializing TEGSEDI® (inotersen) and WAYLIVRA® (volanesorsen), as well as advancing a mature pipeline of novel drugs, including AKCEA-APO(a)-LRx, AKCEA-ANGPTL3-LRx, AKCEA-APOCIII-LRx, and AKCEA-TTR-LRx, with the potential to treat multiple diseases. All six drugs were discovered by Ionis, a leader in antisense therapeutics, and are based on Ionis’ proprietary antisense technology. TEGSEDI is approved in the U.S., E.U. and Canada. WAYLIVRA is approved in the E.U. and is currently in Phase 3 clinical development for the treatment of people with familial partial lipodystrophy, or FPL. Akcea is building the infrastructure to commercialize its drugs globally. Akcea is a global company headquartered in Boston, Massachusetts. Additional information about Akcea is available at  www.akceatx.com and you can follow us on twitter at @akceatx.

FORWARD-LOOKING STATEMENTThis press release includes forward-looking statements regarding the business of Akcea Therapeutics, Inc. and the therapeutic and commercial potential of TEGSEDI® (inotersen), WAYLIVRA® (volanesorsen) and other products in development. Any statement describing Akcea’s goals, expectations, financial or other projections, intentions or beliefs is a forward-looking statement and should be considered an at-risk statement. Such statements are subject to certain risks and uncertainties, particularly those inherent in the process of discovering, developing and commercializing drugs that are safe and effective for use as human therapeutics, and in the endeavor of building a business around such drugs. Akcea’s forward-looking statements also involve assumptions that, if they never materialize or prove correct, could cause its results to differ materially from those expressed or implied by such forward-looking statements. Although Akcea’s forward-looking statements reflect the good faith judgment of its management, these statements are based only on facts and factors currently known by Akcea. As a result, you are cautioned not to rely on these forward-looking statements. These and other risks concerning Akcea’s programs are described in additional detail in Akcea’s annual report on Form 10-K, and its most recent quarterly report on Form 10-Q, which are on file with the SEC. Copies of these and other documents are available from the Company.

In this press release, unless the context requires otherwise, “Ionis”, “Akcea,” “Company,” “Companies,” “we,” “our,” and “us” refers to Ionis Pharmaceuticals and/or Akcea Therapeutics.

Ionis Pharmaceuticals™ is a trademark of Ionis Pharmaceuticals, Inc. Akcea Therapeutic® TEGSEDI® and WAYLIVRA® are trademarks of Akcea Therapeutics, Inc.

AKCEA THERAPEUTICS INC.SELECTED FINANCIAL INFORMATIONCondensed Consolidated Statements of Operations(In Thousands, Except Share and Per Share Data)

Three Months Ended Nine Months Ended September30, September30, 2019 2018 2019 2018 ------------ ------------ ------------ ------------ (unaudited) (unaudited) Revenue: Product revenue, net $ 11,944 $ - $ 28,563 $ - Licensing revenue 136 12,000 6,172 12,000 - ---------- - ---------- - ---------- - ---------- Total commercial revenue 12,080 12,000 34,735 12,000 R&D and license revenue 8,544 7,241 176,329 42,670 - ---------- - ---------- - ---------- - ---------- Total revenue 20,624 19,241 211,064 54,670 Expenses: Cost of sales and license 2,401 8,944 10,629 8,944 Research and development 24,797 29,381 144,687 96,808 Selling, general and administrative 34,905 45,924 130,247 107,676 Net loss share from commercial activities under arrangement (8,889 ) - (29,410 ) - with Ionis Pharmaceuticals, Inc. - ---------- - ---------- - ---------- - ---------- Total expenses 53,214 84,249 256,153 213,428 - ---------- - ---------- - ---------- - ---------- Loss from operations (32,590 ) (65,008 ) (45,089 ) (158,758 ) Other income (expense): Investment income 1,487 1,675 4,282 4,089 Other expense (136 ) (25 ) (276 ) (148 ) - ---------- - ---------- - ---------- - ---------- Loss before income tax expense (31,239 ) (63,358 ) (41,083 ) (154,817 ) Income tax expense (259 ) (233 ) (551 ) (447 ) - ---------- - ---------- - ---------- - ---------- Net loss $ (31,498 ) $ (63,591 ) $ (41,634 ) $ (155,264 ) - ---------- - ---------- - ---------- - ---------- Net loss per share of common stock owned by Ionis, basic and $ (0.34 ) $ (0.73 ) $ (0.40 ) $ (1.93 ) diluted - ---------- - ---------- - ---------- - ---------- Weighted-average shares of common stock outstanding owned by 70,221,338 65,538,467 69,680,886 57,346,539 Ionis, basic and diluted - ---------- - ---------- - ---------- - ---------- Net loss per share of common stock owned by others, basic and $ (0.34 ) $ (0.73 ) $ (0.60 ) $ (2.07 ) diluted - ---------- - ---------- - ---------- - ---------- Weighted-average shares of common stock outstanding owned by 22,821,555 21,671,415 22,509,819 21,446,813 others, basic and diluted - ---------- - ---------- - ---------- - ----------

AKCEA THERAPEUTICS INC.Reconciliation of GAAP to Non-GAAP Basis:Condensed Consolidated Operating Expenses, Loss from Operations, and Net Loss(In Thousands)

Three Months Ended Nine Months Ended September30, September30, 2019 2018 2019 2018 --------- --------- --------- ---------- (unaudited) (unaudited) As reported operating expenses according to GAAP $ 53,214 $ 84,249 $ 256,153 $ 213,428 Excluding compensation expense related to equity awards (3,464 ) 12,730 29,459 31,239 - ------- - ------- - ------- - -------- Non-GAAP operating expenses $ 56,678 $ 71,519 $ 226,694 $ 182,189 - ------- - ------- - ------- - -------- As reported loss from operations according to GAAP $ (32,590 ) $ (65,008 ) $ (45,089 ) $ (158,758 ) Excluding compensation expense related to equity awards (3,464 ) 12,730 29,459 31,239 - ------- - ------- - ------- - -------- Non-GAAP income (loss) from operations $ (36,054 ) $ (52,278 ) $ (15,630 ) $ (127,519 ) - ------- - ------- - ------- - -------- As reported net loss according to GAAP $ (31,498 ) $ (63,591 ) $ (41,634 ) $ (155,264 ) Excluding compensation expense related to equity awards (3,464 ) 12,730 29,459 31,239 - ------- - ------- - ------- - -------- Non-GAAP net income (loss) $ (34,962 ) $ (50,861 ) $ (12,175 ) $ (124,025 ) - ------- - ------- - ------- - --------

Reconciliation of GAAP to non-GAAP Basis

As illustrated in the Selected Financial Information in this press release, non-GAAP operating expenses, non-GAAP income (loss) from operations, and non-GAAP net income (loss) were adjusted from GAAP to exclude compensation expense related to equity awards, which are non-cash expenses. Akcea has regularly reported non-GAAP measures for operating results as non-GAAP results. These measures are provided as supplementary information and are not a substitute for financial measures calculated in accordance with GAAP. Akcea reports these non-GAAP results to better enable financial statement users to assess and compare its historical performance and project its future operating results and cash flows. Further, the presentation of Akcea’s non-GAAP results is consistent with how Akcea’s management internally evaluates the performance of its operations.

AKCEA THERAPEUTICS INC.Condensed Consolidated Balance Sheets(In Thousands)

September3 December31 0, , 2019 2018 --------- --------- (unaudited) Assets: Cash and cash equivalents $ 129,329 $ 86,454 Short-term investments 123,362 166,155 Accounts receivable 10,653 4,597 Receivable from Ionis Pharmaceuticals, Inc. 647 - Inventory 8,641 85 Other current assets 5,809 9,944 Property, plant and equipment, net 5,277 5,696 Operating lease right-of-use assets 11,300 - Intangible assets, net 84,529 88,914 Deposits and other assets 3,620 3,416 - ------- - ------- Total assets $ 383,167 $ 365,261 - ------- - ------- Liabilities and stockholders’ equity: Accounts payable $ 5,711 $ 12,068 Payable to Ionis Pharmaceuticals, Inc. - 18,901 Accrued compensation 9,382 8,583 Accrued liabilities 15,211 14,787 Current portion of deferred revenue 10,840 25,354 Other current liabilities 1,977 968 Long-term portion of lease liabilities 14,558 4,442 Long-term portion of deferred revenue - 3,434 Stockholders’ equity 325,488 276,724 - ------- - ------- Total liabilities and stockholders’ equity $ 383,167 $ 365,261 - ------- - -------

Media and Investor Contact:Kathleen GallagherVice President of Corporate Communications and Investor Relations617.207.8509 kgallagher@akceatx.com