Celgene Reports Third Quarter 2017 Operating and Financial Results

On October 26, 2017 Celgene Corporation (NASDAQ:CELG) reported net product sales of $3,283 million for the third quarter of 2017, an 11 percent increase from the same period in 2016 (Press release, Celgene, OCT 26, 2017, View Source [SID1234521196]). Celgene reported third quarter of 2017 total revenue of $3,287 million, a 10 percent increase compared to $2,983 million in the third quarter of 2016.

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Based on U.S. GAAP (Generally Accepted Accounting Principles), Celgene reported net income of $988 million and diluted earnings per share (EPS) of $1.21 for the third quarter of 2017. For the third quarter of 2016, GAAP net income was $171 million and diluted EPS was $0.21.

Adjusted net income for the third quarter of 2017 increased 23 percent to $1,555 million compared to $1,264 million in the third quarter of 2016. For the same period, adjusted diluted EPS increased 21 percent to $1.91 from $1.58.

"In consideration of certain market dynamics and recent pipeline events, we are updating our 2020 outlook, and remain confident in our ability to deliver industry leading growth," said Mark J. Alles, Chief Executive Officer of Celgene Corporation. "Over the coming months, we look forward to sharing data supporting our innovative, next generation pipeline products and significant growth drivers."

Third Quarter 2017 Financial Highlights

Unless otherwise stated, all comparisons are for the third quarter of 2017 compared to the third quarter of 2016. The adjusted operating expense categories presented below exclude share-based employee compensation expense, research and development asset acquisition expense, collaboration-related upfront expense and litigation-related loss contingency accrual expense. Please see the attached Use of Non-GAAP Financial Measures and Reconciliation of GAAP to Adjusted Net Income for further information relevant to the interpretation of adjusted financial measures and reconciliations of these adjusted financial measures to the most comparable GAAP measures, respectively.

Net Product Sales Performance

REVLIMID sales for the third quarter increased 10 percent to $2,081 million. Sales growth was driven primarily by increased volume, as a result of increases in duration and market share. U.S. sales of $1,361 million and international sales of $720 million increased 18 percent and decreased 2 percent year-over-year, respectively.
POMALYST/IMNOVID sales for the third quarter were $417 million, an increase of 22 percent year-over-year. U.S. sales were $268 million and international sales were $149 million, an increase of 32 percent and 8 percent year-over-year, respectively. POMALYST/IMNOVID sales growth was driven primarily by increased volume as a result of increases in market share and duration.
OTEZLA sales for the third quarter were $308 million, a 12 percent increase year-over-year. Third quarter U.S. sales of $250 million and international sales of $58 million increased 2 percent and 87 percent, respectively. OTEZLA sales in the U.S. were impacted by an increase in gross-to-net adjustments from contracts implemented in January and a slowing in overall category growth due to a more challenging market access environment.
ABRAXANE sales for the third quarter were $251 million, an 8 percent increase year-over-year. U.S. sales were $149 million and international sales were $102 million, an increase of 3 percent and 15 percent, respectively. ABRAXANE market shares in the U.S. for pancreatic cancer, first-line advanced non-squamous lung cancer and metastatic breast cancer remain stable. Growth in Europe was driven by market share gains for ABRAXANE in pancreatic cancer.
In the third quarter, all other product sales, which include IDHIFA, THALOMID, ISTODAX, VIDAZA and an authorized generic version of VIDAZA drug product primarily sold in the U.S., were $226 million compared to $228 million in the third quarter of 2016.
Total net product sales for the third quarter of 2017 increased 11 percent year-over-year, driven by operational growth. Net product sales growth also includes a 1.0 percent negative impact from currency exchange effects.
Research and Development (R&D)

On a GAAP basis, R&D expenses were $1,347 million for the third quarter of 2017 versus $1,653 million for the same period in 2016. The third quarter decrease was due to a reduction in research and development asset acquisition expenses partially offset by an increase in collaboration-related upfront expense.

Adjusted R&D expenses were $698 million for the third quarter of 2017 compared to $643 million for the third quarter of 2016. The third quarter increase was due to increased spending related to drug discovery and clinical trial activity.

Selling, General, and Administrative (SG&A)

On a GAAP basis, SG&A expenses were $608 million for the third quarter of 2017 compared to $698 million for the same period in 2016.

Adjusted SG&A expenses were $521 million for the third quarter of 2017 compared to $591 million for the third quarter of 2016.

Cash, Cash Equivalents, and Marketable Securities

Operating cash flow was $1.1 billion in the third quarter of 2017, compared to $770 million for the third quarter of 2016. In the third quarter, Celgene purchased approximately 0.9 million of its shares at a total cost of approximately $114 million. As of September 30, 2017, the Company had approximately $3.8 billion remaining under its stock repurchase program. Celgene ended the quarter with approximately $11.8 billion in cash, cash equivalents and marketable securities.

2017 Guidance Updated

Previous 2017 Guidance Updated 2017 Guidance
Net Product Sales

REVLIMID()
$8.0B to $8.3B
Unchanged
POMALYST()/IMNOVID()
Approximately $1.6B
Unchanged
OTEZLA( )
$1.5B to $1.7B
Approximately $1.25B
ABRAXANE()
Approximately $1.0B
Unchanged
Total Revenue
$13.0B to $13.4B
Approximately $13.0B
GAAP operating margin
GAAP diluted EPS
Approximately 41.5%
$5.36 to $5.62
Approximately 37.5%
$4.78 to $5.19
Adjusted operating margin
Adjusted diluted EPS
Approximately 57.5%
$7.25 to $7.35
Approximately 58.5%
$7.30 to $7.35
Weighted average diluted shares Approximately 815M Unchanged

2020 Long-Term Financial Targets Updated


Original 2020 Targets
(Issued 1/12/15)*

Updated 2020
Targets (Low-end)

Updated 2020
Targets (High-end)
Hematology
Existing products/Indications $13.0B $14.7B $14.7B
New products/ Indications
$1.8B
$0.7B
$1.4B
Total Hematology > $14.8B $15.4B $16.1B
Total Oncology > $2.2B $1.0B $1.1B
Total I&I
> $4.0B
$2.6B
$2.8B
Total Net Product Sales > $21.0B $19.0B $20.0B
Adjusted Diluted EPS > $13.00 ˃ $12.50
*Updated upon acquisition of Receptos in July 2015

Product and Pipeline Updates

Hematology & Oncology

In August, the U.S. Food and Drug Administration (FDA) approved the use of IDHIFA (enasidenib) for the treatment of adult patients with relapsed or refractory acute myeloid leukemia (AML) with an isocitrate dehydrogenase-2 (IDH2) mutation as detected by an FDA approved test.
In September, Celgene submitted an Investigational New Drug (IND) application to the FDA for CC-92480, a next-generation CELMoD compound in patients with multiple myeloma.
In September, Celgene and partner AstraZeneca announced that the FDA placed a partial clinical hold on five trials and a full clinical hold on one trial in the FUSION clinical program evaluating IMFINZI (durvalumab) in combination with immunomodulatory and chemotherapy agents in hematological malignancies. The decision by the FDA was based on risks identified in other trials evaluating pembrolizumab in combination with immunomodulatory agents in patients with multiple myeloma. The two trials evaluating IMFINZI in patients with myelodysplastic syndromes (MDS) and AML are continuing as planned.
Celgene is advancing a robust campaign targeting B-cell maturation antigen (BCMA) across several modalities in patients with multiple myeloma. In collaboration with partner bluebird bio, the lead program evaluating bb2121, an anti-BCMA chimeric antigen receptor (CAR)-T cell therapy in relapsed and/or refractory multiple myeloma (RRMM) is advancing and a pivotal trial is expected to begin by year-end. In September, Celgene and bluebird bio announced the initiation of a phase I trial evaluating bb21217, a second anti- BCMA CAR-T program in patients with RRMM.
Celgene and collaboration partner Juno Therapeutics initiated the TRANSCEND pivotal program in the U.S. evaluating investigational anti-CD19 CAR-T cell product candidate JCAR017 in patients with diffuse large B-cell lymphoma (DLBCL).
At the 2017 American Society of Hematology (ASH) (Free ASH Whitepaper) annual meeting in December, data presentations expected include:

Data from studies evaluating the gene expression signature of CELMoD compound CC-122 in patients with DLBCL.
Updated data from the phase Ib trial evaluating CC-122 in combination with obinutuzumab in patients with DLBCL, follicular lymphoma (FL) or marginal zone lymphoma (MZL).
Updated data from the phase I trial evaluating CC-486 in combination with rituximab plus chemotherapy (R-CHOP) in patients with DLBCL, FL or transformed lymphoma.
Celgene and Agios Pharmaceuticals are expected to present data from the phase I trial evaluating ivosidenib or IDHIFA combined with standard induction chemotherapy (7+3 regimen) in patients with newly diagnosed AML with an isocitrate dehydrogenase-1 (IDH1) or IDH2 mutation.
Celgene and bluebird bio are expected to present updated data from the phase I trial evaluating bb2121 in patients with RRMM.
Celgene’s collaboration partner Juno Therapeutics is expected to present updated data from the phase I TRANSCEND trial evaluating JCAR017 in patients with relapsed or refractory non-Hodgkin lymphoma (NHL).
Inflammation & Immunology

The phase III RELIEF (n= 207) trial evaluating OTEZLA in patients with active Behçet’s disease achieved the primary endpoint of Area Under the Curve (AUC) for the number of oral ulcers from baseline through week 12. The safety profile for OTEZLA in the RELIEF trial is generally consistent with the overall safety profile of OTEZLA. The full data-set will be presented at a future medical meeting. These data form the basis of global regulatory applications that are planned beginning in 2018.
The phase IIb trial evaluating CELMoD compound CC-220 in patients with systemic lupus erythematosus (SLE) initiated in the third quarter.
Data at inflammation and immunology medical congresses presented in the third quarter and expected in the fourth quarter include:

Data from the phase III SUNBEAM and RADIANCE trials evaluating ozanimod in patients with relapsing multiple sclerosis (RMS) will be presented at the MSParis2017-7th Joint European Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS)-American Committee for Treatment and Research in Multiple Sclerosis (ACTRIMS) Meeting in October. Celgene plans to submit a New Drug Application (NDA) to the FDA for ozanimod in RMS by year-end.
In October, data from the phase II STEPSTONE trial evaluating ozanimod in patients with moderately to severely active Crohn’s disease were presented at the World Congress of Gastroenterology (WCOG) at ACG2017 meeting. In the STEPSTONE trial, ozanimod demonstrated meaningful clinical and endoscopic improvements in patients with moderately to severely active Crohn’s disease at week 12. In addition, data from the phase II STEPSTONE trial will be presented at the United European Gastroenterology Week (UEGW) in October. Based on these data, Celgene plans to initiate a phase III pivotal trial with ozanimod in Crohn’s disease in the next few months.
Data from the phase Ib trial evaluating CC-90001, a second-generation Jun N-Terminal Kinase (JNK) inhibitor, in patients with idiopathic pulmonary fibrosis (IPF) were presented at the 2017 European Respiratory Society (ERS) annual congress in September. The phase IIa trial evaluating CC-90001 in IPF initiated in the third quarter.
In October, Celgene announced the discontinuation of the phase III REVOLVE trial (CD-002) and the long-term extension trial (SUSTAIN, CD-004) evaluating GED-0301 in Crohn’s disease, based on the recommendation of the Data Monitoring Committee (DMC) which assessed overall benefit/risk during a recent interim futility analysis. There were no meaningful safety imbalances identified in the analysis. In addition, the phase III DEFINE trial with GED-0301 in CD will not be initiated and Celgene is waiting to review the full dataset from the phase II trial with GED-0301 in ulcerative colitis (UC) to determine next steps.
The phase III TRUE NORTH trial evaluating ozanimod in ulcerative colitis is ongoing and expected to complete enrollment in the second half of 2018.
Third Quarter 2017 Conference Call and Webcast Information

Celgene will host a conference call to discuss the third quarter of 2017 operational and financial performance on Thursday, October 26, 2017, at 9 a.m. ET. The conference call will be available by webcast at www.celgene.com. An audio replay of the call will be available from noon October 26, 2017, until midnight ET November 2, 2017. To access the replay in the U.S., dial (855) 859-2056; outside the U.S. dial (404) 537-3406. The participant passcode is 93165037.

About Celgene

Celgene Corporation, headquartered in Summit, New Jersey, is an integrated global biopharmaceutical company engaged primarily in the discovery, development and commercialization of innovative therapies for the treatment of cancer and inflammatory diseases through next-generation solutions in protein homeostasis, immuno-oncology, epigenetics, immunology and neuro-inflammation. For more information, please visit www.celgene.com. Follow Celgene on Social Media: @Celgene, Pinterest, LinkedIn, Facebook and YouTube.

About REVLIMID

In the U.S., REVLIMID (lenalidomide) in combination with dexamethasone is indicated for the treatment of patients with multiple myeloma. REVLIMID as a single agent is also indicated as a maintenance therapy in patients with multiple myeloma following autologous hematopoietic stem cell transplant. REVLIMID is indicated for patients with transfusion-dependent anemia due to low- or intermediate-1-risk myelodysplastic syndromes (MDS) associated with a deletion 5q cytogenetic abnormality with or without additional cytogenetic abnormalities. REVLIMID is approved in the U.S. for the treatment of patients with mantle cell lymphoma (MCL) whose disease has relapsed or progressed after two prior therapies, one of which included bortezomib. Limitations of Use: REVLIMID is not indicated and is not recommended for the treatment of chronic lymphocytic leukemia (CLL) outside of controlled clinical trials.

About ABRAXANE

In the U.S., ABRAXANE for Injectable Suspension (paclitaxel protein-bound particles for injectable suspension) (albumin-bound) is indicated for the treatment of metastatic breast cancer after failure of combination chemotherapy for metastatic disease or relapse within six months of adjuvant chemotherapy. Prior therapy should have included an anthracycline unless clinically contraindicated. ABRAXANE is indicated for the first-line treatment of locally advanced or metastatic non-small cell lung cancer, in combination with carboplatin, in patients who are not candidates for curative surgery or radiation therapy. ABRAXANE is also indicated for the first-line treatment of metastatic adenocarcinoma of the pancreas in combination with gemcitabine.

About POMALYST

In the U.S., POMALYST (pomalidomide) is indicated for patients with multiple myeloma who have received at least two prior therapies including lenalidomide and a proteasome inhibitor and have demonstrated disease progression on or within 60 days of completion of the last therapy.

About OTEZLA

In the U.S., OTEZLA (apremilast) is indicated for the treatment of adult patients with active psoriatic arthritis. OTEZLA is indicated in the U.S. for the treatment of patients with moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy.

Forward-Looking Statement

This press release contains forward-looking statements, which are generally statements that are not historical facts. Forward-looking statements can be identified by the words "expects," "anticipates," "believes," "intends," "estimates," "plans," "will," "outlook" and similar expressions. Forward-looking statements are based on management’s current plans, estimates, assumptions and projections, and speak only as of the date they are made. We undertake no obligation to update any forward-looking statement in light of new information or future events, except as otherwise required by law. Forward-looking statements involve inherent risks and uncertainties, most of which are difficult to predict and are generally beyond our control. Actual results or outcomes may differ materially from those implied by the forward-looking statements as a result of the impact of a number of factors, many of which are discussed in more detail in our Annual Report on Form 10-K and our other reports filed with the Securities and Exchange Commission.

Hyperlinks are provided as a convenience and for informational purposes only. Celgene bears no responsibility for the security or content of external websites.

Use of Non-GAAP Financial Measures

In addition to financial information prepared in accordance with U.S. GAAP, this document also contains certain non-GAAP financial measures based on management’s view of performance including:

Adjusted research and development expense
Adjusted selling, general and administrative expense
Adjusted operating margin
Adjusted net income
Adjusted earnings per share
Management uses such measures internally for planning and forecasting purposes and to measure the performance of the Company. We believe these adjusted financial measures provide useful and meaningful information to us and investors because they enhance investors’ understanding of the continuing operating performance of our business and facilitate the comparison of performance between past and future periods. These adjusted financial measures are non-GAAP measures and should be considered in addition to, but not as a substitute for, the information prepared in accordance with U.S. GAAP. When preparing these supplemental non-GAAP financial measures we typically exclude certain GAAP items that management does not consider to be normal, recurring, cash operating expenses but that may not meet the definition of unusual or non-recurring items. Other companies may define these measures in different ways. The following categories of items are excluded from adjusted financial results:

Acquisition and Divestiture-Related Costs: We exclude the impact of certain amounts recorded in connection with business combinations and divestitures from our adjusted financial results that are either non-cash or not normal, recurring operating expenses due to their nature, variability of amounts, and lack of predictability as to occurrence and/or timing. These amounts may include non-cash items such as the amortization of acquired intangible assets, amortization of purchase accounting adjustments to inventories, intangible asset impairment charges and expense or income related to changes in the estimated fair value measurement of contingent consideration. We also exclude transaction and certain other cash costs associated with business acquisitions and divestitures that are not normal recurring operating expenses, including severance costs which are not part of a formal restructuring program.

Share-based Compensation Expense: We exclude share-based compensation from our adjusted financial results because share-based compensation expense, which is non-cash, fluctuates from period to period based on factors that are not within our control, such as our stock price on the dates share-based grants are issued.

Collaboration-related Upfront Expenses: We exclude collaboration-related upfront expenses from our adjusted financial results because we do not consider them to be normal, recurring operating expenses due to their nature, variability of amounts, and lack of predictability as to occurrence and/or timing. Upfront payments to collaboration partners are made at the commencement of a relationship anticipated to continue for a multi-year period and provide us with intellectual property rights, option rights and other rights with respect to particular programs. The variability of amounts and lack of predictability of collaboration-related upfront expenses makes the identification of trends in our ongoing research and development activities more difficult. We believe the presentation of adjusted research and development, which does not include collaboration-related upfront expenses, provides useful and meaningful information about our ongoing research and development activities by enhancing investors’ understanding of our normal, recurring operating research and development expenses and facilitates comparisons between periods and with respect to projected performance. All expenses incurred subsequent to the initiation of the collaboration arrangement, such as research and development cost-sharing expenses/reimbursements and milestone payments up to the point of regulatory approval are considered to be normal, recurring operating expenses and are included in our adjusted financial results.

Research and Development Asset Acquisition Expense: We exclude costs associated with acquiring rights to pre-commercial compounds because we do not consider such costs to be normal, recurring operating expenses due to their nature, variability of amounts, and lack of predictability as to occurrence and/or timing. Research and development asset acquisition expenses includes expenses to acquire rights to pre-commercial compounds from a collaboration partner when there will be no further participation from the collaboration partner or other parties. The variability of amounts and lack of predictability of research and development asset acquisition expenses makes the identification of trends in our ongoing research and development activities more difficult. We believe the presentation of adjusted research and development, which does not include research and development asset acquisition expenses, provides useful and meaningful information about our ongoing research and development activities by enhancing investors’ understanding of our normal, recurring operating research and development expenses and facilitates comparisons between periods and with respect to projected performance.

Restructuring Costs: We exclude costs associated with restructuring initiatives from our adjusted financial results. These costs include amounts associated with facilities to be closed, employee separation costs and costs to move operations from one location to another. We do not frequently undertake restructuring initiatives and therefore do not consider such costs to be normal, recurring operating expenses.

Certain Other Items: We exclude certain other significant items that may occur occasionally and are not normal, recurring, cash operating expenses from our adjusted financial results. Such items are evaluated on an individual basis based on both the quantitative and the qualitative aspect of their nature and generally represent items that, either as a result of their nature or magnitude, we would not anticipate occurring as part of our normal business on a regular basis. While not all-inclusive, examples of certain other significant items excluded from adjusted financial results would be: expenses for significant fair value adjustments to equity investments, significant litigation-related loss contingency accruals and expenses to settle other disputed matters.

Estimated Tax Impact From Above Adjustments: We exclude the net income tax impact of the non-tax adjustments described above from our adjusted financial results. The net income tax impact of the non-tax adjustments includes the impact on both current and deferred income taxes and is based on the taxability of the adjustment under local tax law and the statutory tax rate in the tax jurisdiction where the adjustment was incurred.

Non-Operating Tax Adjustments: We exclude the net income tax impact of certain other significant income tax items, which are not associated with our normal, recurring operations ("Non-Operating Tax Items"), from our adjusted financial results. Non-Operating Tax Items include items which may occur occasionally and are not normal, recurring operating expenses (or benefits), including adjustments related to acquisitions, divestitures, collaborations, certain adjustments to the amount of unrecognized tax benefits related to prior year tax positions, and other similar items. We also exclude excess tax benefits and tax deficiencies that arise upon vesting or exercise of share-based payments recognized as income tax benefits or expenses due to their nature, variability of amounts, and lack of predictability as to occurrence and/or timing.

Long-Term Targets

A reconciliation of long-term adjusted financial targets to the most comparable GAAP measures cannot be provided because we are unable to forecast with reasonable certainty many of the items necessary to calculate such comparable GAAP measures, including share-based compensation expense, collaboration-related upfront expense, research and development asset acquisition expense, acquisition-related expenses, fair value adjustments to contingent consideration, the ultimate outcome of legal proceedings and unusual gains and losses, as well as unforeseen events, risks and developments. These items are uncertain, depend on various factors, and could be material to our results computed in accordance with GAAP. We believe the inherent uncertainties in reconciling our long-term non-GAAP measures to the most comparable GAAP measures would make the forecasted comparable GAAP measures nearly impossible to predict with reasonable certainty and therefore inherently unreliable.

See the attached Reconciliations of GAAP to Adjusted Net Income for explanations of the amounts excluded and included to arrive at the adjusted measures for the three- and nine-month periods ended September 30, 2017 and 2016, and for the projected amounts for the twelve-month period ending December 31, 2017.

Celgene Corporation and Subsidiaries
Condensed Consolidated Statements of Income
(Unaudited)
(In millions, except per share data)

Three-Month Periods Ended Nine-Month Periods Ended
September 30, September 30,
2017 2016 2017* 2016

Net product sales $ 3,283 $ 2,969 $ 9,494 $ 8,208
Other revenue 4 14 26 41
Total revenue 3,287 2,983 9,520 8,249

Cost of goods sold (excluding amortization of acquired intangible assets) 118 108 342 325
Research and development 1,347 1,653 3,177 3,335
Selling, general and administrative 608 698 2,167 1,973
Amortization of acquired intangible assets 80 87 250 354
Acquisition related charges and restructuring, net 49 25 75 25
Total costs and expenses 2,202 2,571 6,011 6,012

Operating income 1,085 412 3,509 2,237

Interest and investment income, net 33 7 72 21
Interest (expense) (127 ) (128 ) (380 ) (373 )
Other (expense), net - (35 ) (18 ) (12 )

Income before income taxes 991 256 3,183 1,873

Income tax provision 3 85 162 303

Net income $ 988 $ 171 $ 3,021 $ 1,570

Net income per common share:
Basic $ 1.26 $ 0.22 $ 3.87 $ 2.02
Diluted $ 1.21 $ 0.21 $ 3.72 $ 1.95

Weighted average shares:
Basic 784.1 775.8 781.2 777.3
Diluted 815.2 801.5 812.6 803.7
* During the third quarter of 2017, we adopted ASU 2017-12 with an initial application date of January 1, 2017. Prior to the adoption of ASU 2017-12, we recognized all changes in the fair value of the excluded component of a hedge in Other (expense), net in the Consolidated Statements of Income under a mark-to-market approach. Pursuant to the provisions of ASU 2017-12, we no longer recognize the adjustments to the fair value of the excluded component in Other (expense), net but we instead recognize the initial value of the excluded component using an amortization approach over the life of the hedging instrument. When we report our results for the quarterly periods ended March 31, 2018 and June 30, 2018, we intend to recast the financial statements for the quarterly periods ended March 31, 2017 and June 30, 2017, respectively, to reflect the adoption of ASU 2017-12. The nine-month period ended September 30, 2017 includes the following immaterial revisions to previously issued financial results:


Three-Month Period Ended Three-Month Period Ended Six-Month Period Ended
March 31, 2017 June 30, 2017 June 30, 2017
As Reported As Revised As Reported As Revised As Reported As Revised
Net product sales $ 2,950 $ 2,952 $ 3,256 $ 3,259 $ 6,206 $ 6,211
Other (expense) income, net 26 13 (76 ) (31 ) (50 ) (18 )
Income tax provision 84 82 69 77 153 159
Net income 941 932 1,061 1,101 2,002 2,033
Diluted net income per common share $ 1.16 $ 1.15 $ 1.31 $ 1.36 $ 2.47 $ 2.51

September 30, December 31,
2017 2016
Balance sheet items:
Cash, cash equivalents & marketable securities $ 11,759 $ 7,970
Total assets 31,736 28,086
Long-term debt, including current portion 14,274 14,290
Total stockholders’ equity 9,850 6,600

Celgene Corporation and Subsidiaries
Reconciliation of GAAP to Adjusted Net Income
(In millions, except per share data)

Three-Month Periods Ended Nine-Month Periods Ended
September 30, September 30,
2017 2016 2017* 2016

Net income – GAAP $ 988 $ 171 $ 3,021 $ 1,570

Before tax adjustments:
Cost of goods sold (excluding amortization of acquired intangible assets):
Share-based compensation expense (1 ) 7 8 22 25

Research and development:
Share-based compensation expense (1 ) 65 63 200 189
Collaboration-related upfront expense (2 ) 584 324 669 688
Research and development asset acquisition expense (3 ) - 623 325 623

Selling, general and administrative:
Share-based compensation expense (1 ) 87 77 260 238
Litigation-related loss contingency accrual expense (4 ) - 30 315 130

Amortization of acquired intangible assets (5 ) 80 87 250 354

Acquisition related (income) charges and restructuring, net:
Change in fair value of contingent consideration (6 ) 49 23 75 12
Restructuring charges (7 ) - 2 - 13

Income tax provision:
Estimated tax impact from above adjustments (8 ) (149 ) (151 ) (387 ) (357 )
Non-operating tax adjustments (9 ) (156 ) 7 (326 ) (5 )
Net income – Adjusted $ 1,555 $ 1,264 $ 4,424 $ 3,480

Net income per common share – Adjusted
Basic $ 1.98 $ 1.63 $ 5.66 $ 4.48
Diluted $ 1.91 $ 1.58 $ 5.44 $ 4.33
Explanation of adjustments:
(1) Exclude share-based compensation expense totaling $159 for the three-month period ended September 30, 2017 and $148 for the three-month period ended September 30, 2016.
Exclude share-based compensation expense totaling $482 for the nine-month period ended September 30, 2017 and $452 for the nine-month period ended September 30, 2016.
(2) Exclude upfront payment expense for research and development collaboration arrangements.
(3) Exclude research and development asset acquisition expenses.
(4) Exclude loss contingency accrual expenses related to a civil litigation matter in 2017 and a contractual dispute in 2016.
(5) Exclude amortization of intangible assets acquired in the acquisitions of Pharmion Corp., Gloucester Pharmaceuticals, Inc. (Gloucester), Abraxis BioScience, Inc. (Abraxis), Celgene
Avilomics Research, Inc. (Avila), and Quanticel Pharmaceuticals, Inc. (Quanticel).
(6) Exclude changes in the fair value of contingent consideration related to the acquisitions of Gloucester, Abraxis, Avila, Nogra Pharma Limited and Quanticel.
(7) Exclude restructuring charges related to our relocation of certain operations into our two Summit, NJ locations as well as costs associated with certain headcount reductions.
(8) Exclude the estimated tax impact of the above adjustments.
(9) Exclude other non-operating tax expense items. The adjustments for the three-month period ended September 30, 2017 are to exclude the excess tax benefits related to the adoption of
ASU 2016-09 (Compensation-Stock Compensation) of $103, prior year tax benefits arising from a U.S. research and development and orphan drug tax credits study of $55 and to
exclude other adjustments totaling tax expense of $2. The adjustments for the nine-month period ended September 30, 2017 are to exclude the excess tax benefits related to the
adoption of ASU 2016-09 (Compensation-Stock Compensation) of $273, prior year tax benefits arising from a U.S. research and development and orphan drug tax credits study
of $55 and to exclude other adjustments totaling tax expense of $2. The adjustment for the three-month period ended September 30, 2016 is to include net tax benefits of $7. The
adjustments for the nine-month period ended September 30, 2016 are to exclude the tax benefit on the settlement of a state tax examination of $2 and to include other adjustments
totaling tax expense of $3.

* During the third quarter of 2017, we adopted ASU 2017-12 with an initial application date of January 1, 2017. Prior to the adoption of ASU 2017-12, we recognized all changes in the fair value of the excluded component of a hedge in Other (expense), net in the Consolidated Statements of Income under a mark-to-market approach. Pursuant to the provisions of ASU 2017-12, we no longer recognize the adjustments to the fair value of the excluded component in Other (expense), net but we instead recognize the initial value of the excluded component using an amortization approach over the life of the hedging instrument. When we report our results for the quarterly periods ended March 31, 2018 and June 30, 2018, we intend to recast the financial statements for the quarterly periods ended March 31, 2017 and June 30, 2017, respectively, to reflect the adoption of ASU 2017-12. The nine-month period ended September 30, 2017 includes the following immaterial revisions to previously issued financial results:


Three-Month Period Ended Three-Month Period Ended Six-Month Period Ended
March 31, 2017 June 30, 2017 June 30, 2017
As Reported As Revised As Reported As Revised As Reported As Revised
Net income – GAAP $ 941 $ 932 $ 1,061 $ 1,101 $ 2,002 $ 2,033
Net income – Adjusted 1,364 1,355 1,474 1,514 2,838 2,869
Diluted net income per common share – Adjusted $ 1.68 $ 1.67 $ 1.82 $ 1.87 $ 3.50 $ 3.54

Celgene Corporation and Subsidiaries
Reconciliation of Full-Year 2017 Projected GAAP to Adjusted Net Income
(In millions, except per share data)

Range
Low High

Projected net income – GAAP (1) $ 3,894 $ 4,233

Before tax adjustments:
Cost of goods sold (excluding amortization of acquired intangible assets):
Share-based compensation expense 31 29

Research and development:
Share-based compensation expense 276 260
Collaboration-related upfront expense 674 674
Research and development asset acquisition expense 325 325

Selling, general and administrative:
Share-based compensation expense 355 334
Litigation-related loss contingency accrual expense 315 315

GED-0301 charge, net 500 300

Amortization of acquired intangible assets 333 326

Acquisition related (income) charges and restructuring, net:
Change in fair value of contingent consideration 80 65

Income tax provision:
Estimated tax impact from above adjustments (507) (545)
Non-operating tax adjustments (326) (326)

Projected net income – Adjusted $ 5,950 $ 5,990

Projected net income per diluted common share – GAAP $ 4.78 $ 5.19

Projected net income per diluted common share – Adjusted $ 7.30 $ 7.35

Projected weighted average diluted shares 815.0 815.0
(1) Our projected 2017 earnings do not include the effect of any business combinations, collaboration agreements, asset acquisitions, asset impairments, litigation-related loss contingency accruals, changes in the fair value of our CVRs issued as part of the acquisition of Abraxis or non-operating tax adjustments that may occur after the day prior to the date of this press release.

Celgene Corporation and Subsidiaries
Net Product Sales
(In millions)

Three-Month Periods
Ended September 30, % Change
2017 2016 Reported Operational(1) Currency(2)

REVLIMID
U.S. $ 1,361 $ 1,154 17.9 % 17.9 % 0.0 %
International 720 738 (2.4 )% (0.5 )% (1.9 )%
Worldwide 2,081 1,892 10.0 % 10.7 % (0.7 )%

POMALYST/IMNOVID
U.S. 268 203 32.0 % 32.0 % 0.0 %
International 149 138 8.0 % 12.1 % (4.1 )%
Worldwide 417 341 22.3 % 23.9 % (1.6 )%

OTEZLA
U.S. 250 244 2.5 % 2.5 % 0.0 %
International 58 31 87.1 % 90.2 % (3.1 )%
Worldwide 308 275 12.0 % 12.3 % (0.3 )%

ABRAXANE
U.S. 149 144 3.5 % 3.5 % 0.0 %
International 102 89 14.6 % 18.6 % (4.0 )%
Worldwide 251 233 7.7 % 9.2 % (1.5 )%

IDHIFA (3)
U.S. 7 - N/A N/A N/A
International - - N/A N/A N/A
Worldwide 7 - N/A N/A N/A

VIDAZA
U.S. 1 3 (66.7 )% (66.7 )% 0.0 %
International 150 151 (0.7 )% 2.4 % (3.1 )%
Worldwide 151 154 (1.9 )% 1.1 % (3.0 )%

azacitidine for injection
U.S. 13 16 (18.8 )% (18.8 )% 0.0 %
International 1 - N/A N/A N/A
Worldwide 14 16 (12.5 )% (12.5 )% 0.0 %

THALOMID
U.S. 21 24 (12.5 )% (12.5 )% 0.0 %
International 13 14 (7.1 )% (4.4 )% (2.7 )%
Worldwide 34 38 (10.5 )% (9.5 )% (1.0 )%

ISTODAX
U.S. 17 18 (5.6 )% (5.6 )% 0.0 %
International 2 2 0.0 % (1.1 )% 1.1 %
Worldwide 19 20 (5.0 )% (5.1 )% 0.1 %

All Other
U.S. 1 - N/A N/A N/A
International - - N/A N/A N/A
Worldwide 1 - N/A N/A N/A

Total Net Product Sales
U.S. 2,088 1,806 15.6 % 15.6 % 0.0 %
International 1,195 1,163 2.8 % 5.3 % (2.5 )%
Worldwide $ 3,283 $ 2,969 10.6 % 11.6 % (1.0 )%
(1) Operational includes impact from both volume and price
(2) Currency includes the impact from both foreign exchange rates and hedging activities
(3) IDHIFA was approved in August 2017 in the U.S. for the treatment of adult patients with R/R AML with an isocitrate
dehydrogenase-2 mutuation as detected by an FDA approved test.

Celgene Corporation and Subsidiaries
Net Product Sales
(In millions)

Nine-Month Periods
Ended September 30, % Change
2017 2016 Reported Operational(1) Currency(2)

REVLIMID
U.S. $ 3,953 $ 3,230 22.4 % 22.4 % 0.0 %
International 2,046 1,936 5.7 % 7.5 % (1.8 )%
Worldwide 5,999 5,166 16.1 % 16.8 % (0.7 )%

POMALYST/IMNOVID
U.S. 725 559 29.7 % 29.7 % 0.0 %
International 447 374 19.5 % 22.5 % (3.0 )%
Worldwide 1,172 933 25.6 % 26.8 % (1.2 )%

OTEZLA
U.S. 755 636 18.7 % 18.7 % 0.0 %
International 153 76 101.3 % 98.5 % 2.8 %
Worldwide 908 712 27.5 % 27.2 % 0.3 %

ABRAXANE
U.S. 452 462 (2.2 )% (2.2 )% 0.0 %
International 289 245 18.0 % 21.4 % (3.4 )%
Worldwide 741 707 4.8 % 6.0 % (1.2 )%

IDHIFA (3)
U.S. 7 - N/A N/A N/A
International - - N/A N/A N/A
Worldwide 7 - N/A N/A N/A

VIDAZA
U.S. 5 10 (50.0 )% (50.0 )% 0.0 %
International 460 445 3.4 % 5.5 % (2.1 )%
Worldwide 465 455 2.2 % 4.2 % (2.0 )%

azacitidine for injection
U.S. 31 56 (44.6 )% (44.6 )% 0.0 %
International 1 - N/A N/A N/A
Worldwide 32 56 (42.9 )% (42.9 )% 0.0 %

THALOMID
U.S. 64 75 (14.7 )% (14.7 )% 0.0 %
International 40 42 (4.8 )% (2.2 )% (2.6 )%
Worldwide 104 117 (11.1 )% (10.2 )% (0.9 )%

ISTODAX
U.S. 51 53 (3.8 )% (3.8 )% 0.0 %
International 7 6 16.7 % 14.4 % 2.3 %
Worldwide 58 59 (1.7 )% (1.9 )% 0.2 %

All Other
U.S. 1 1 N/A N/A N/A
International 7 2 N/A N/A N/A
Worldwide 8 3 N/A N/A N/A

Total Net Product Sales
U.S. 6,044 5,082 18.9 % 18.9 % 0.0 %
International 3,450 3,126 10.4 % 12.2 % (1.8 )%
Worldwide $ 9,494 $ 8,208 15.7 % 16.4 % (0.7 )%
(1) Operational includes impact from both volume and price
(2) Currency includes the impact from both foreign exchange rates and hedging activities
(3) IDHIFA was approved in August 2017 in the U.S. for the treatment of adult patients with R/R AML with an isocitrate
dehydrogenase-2 mutuation as detected by an FDA approved test.

Syros’ Drug Discovery Research in Immuno-Oncology Highlighted in Oral Presentation at American College of Surgeons Clinical Congress

On October 26, 2017 Syros Pharmaceuticals (NASDAQ: SYRS), a biopharmaceutical company pioneering the development of medicines to control the expression of disease-driving genes, reported that it has identified alterations in regulatory regions of the genome in immune, tumor and stromal cells isolated from pancreatic cancer patient tumors, leading to the identification of new drug targets (Press release, Syros Pharmaceuticals, OCT 26, 2017, View Source [SID1234521261]). These findings, which were made as part of a research collaboration with the Lowy laboratory at the University of California San Diego (UCSD) Moores Cancer Center, were highlighted in an oral presentation at the American College of Surgeons (ACS) 2017 Clinical Congress.

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“One of the biggest challenges in treating cancer is its ability to manipulate and evade the body’s immune response to fuel its growth,” said Andrew Lowy, M.D., Professor of Surgery and Chief of the Division of Surgical Oncology at the Moores Cancer Center. “Syros’ gene control platform provides a unique lens for understanding the regulatory mechanisms cancers use to govern cells within the tumor microenvironment. Through investigation of immune, tumor and stromal cells from patient tumors, our hope is to develop medicines that can unleash the body’s natural defenses to fight cancer.”

Together with the Lowy laboratory, Syros used its proprietary gene control platform to analyze and compare highly specialized regulatory regions of the genome, known as super-enhancers, in cells from pancreatic cancer patient tumors to those in cells from normal pancreatic tissues. Because super-enhancers control the expression of genes that determine cell function, their analysis can point to disease-driving changes in the expression of genes most critical to a given cell, as well as potential drug targets. The data presented at ACS showed that:

Leukemia inhibitory factor (LIF) gene demonstrated one of the most significant changes in enhancer size from pancreatic tumors in comparison to normal pancreatic tissue. In preclinical mouse models, LIF enhanced the anti-tumor activity of chemotherapy and produced a survival benefit when inhibited using a monoclonal antibody.
Many of the super-enhancers associated with cells in pancreatic tumor tissue are associated with genes involved in immune signaling pathways, including antigen presentation, IL10 signaling and macrophage activation, suggesting the importance of the immune system in the development and growth of pancreatic cancer and the identification of potential therapeutic targets.
Immunosuppressive tumor-associated macrophages had a distinct super-enhancer profile, pointing to genes critical for driving the immunosuppressive state and potential drug targets to reactivate immune cells. Tumor-associated macrophages are of significant interest in immuno-oncology because they play a key role in the immune response to cancer, with M1 macrophages promoting immune-mediated tumor regression and M2 macrophages promoting tumor immune evasion.
“These findings underscore the promise of Syros’ gene control platform to glean important biological insights that can lead to the identification of new drug targets and pave the way for medicines to increase killing of tumor cells by the immune system,” said Eric Olson, Ph.D., Chief Scientific Officer of Syros. “We believe our focus on analyzing the regulatory genomes of immune, tumor and stromal cells isolated from patients’ tumors represents a distinct approach to immuno-oncology with the potential to lead to novel therapies that provide a profound and durable benefit for subsets of cancer patients.”

Syros has a broader immuno-oncology drug discovery effort outside of the Lowy collaboration, which is focused on identifying and drugging novel targets to control the function of immune cells within the tumor microenvironment. Syros has identified a drug target that, when inhibited, may reduce the immunosuppressive capacity of tumor-associated macrophages and has a program based on this discovery in preclinical development. Syros’ immuno-oncology research is focused on cancers in which the tumor microenvironment is known to play a key role in disease progression, including glioblastoma and pancreatic, triple negative breast and ovarian cancers. By analyzing immune and tumor cells directly in patient tumors, Syros aims to better understand the heterogeneity of immune responses among patients and identify subsets of patients most likely to respond to specific immunotherapy strategies.

GeneCentric Therapeutics to Present Data on Potential of its Cancer Subtyping Platform to Identify Responders to PARP Inhibitors for Treating Lung Cancer

On October 26, 2017 GeneCentric Therapeutics reported that it will present data on the potential of non-small cell lung cancer (NSCLC) biologic subtypes based on its Cancer Subtyping Platform (CSP) to provide novel biomarkers for response to PARP inhibitors (Press release, GeneCentric Therapeutics, OCT 26, 2017, View Source [SID1234521242]). The data will be presented at a poster session during the 2017 American Association for Cancer Research (AACR) (Free AACR Whitepaper) – National Cancer Institute – European Organization for Research and Treatment of Cancer (AACR-NCI-EORTC) (Free AACR-NCI-EORTC Whitepaper) International Conference on Molecular Targets and Therapeutics being held October 27-30, 2017 at the Philadelphia Convention Center, Philadelphia, PA.

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GeneCentric’s core CSP technology is based on generating high resolution, genomic-defined cancer subtypes that characterize disease-related molecular pathways and immune cell expression, and employing the subtypes as biomarkers for response to specific drugs. To date the company has generated subtype-based profilers for NSCLC, head and neck, and bladder cancers.

In the research to be presented at the AACR (Free AACR Whitepaper)-NCI-EORTC meeting company scientists evaluated the potential susceptibility of GeneCentric lung adenocarcinoma and lung squamous cell carcinoma gene expression subtypes to PARP inhibitors. By examining differential expression of homologous recombination genes and several previously published BRCAness signatures, the study identifies subtype-associated differences that might inform likely response to PARP inhibitors, an emerging class of drugs targeting DNA damage response. The researchers show that variable expression of DNA damage response genes in lung squamous cell carcinoma is maintained following adjustment for proliferation and BRCAness signatures, suggesting underlying biologic differences in lung squamous cell carcinoma subtype susceptibility to DNA damage response inhibitors. Confirmation of these findings via prospective cohorts could substantiate their utility as novel biomarkers for PARP inhibitor response.

Details of the presentation are as follows:

Title: “Differences in BRCAness/PARP inhibitor response signatures and homologous recombination
gene expression across lung adenocarcinoma and squamous cell carcinoma gene expression subtypes.”
Poster Number: 37
Abstract Number: A037
Date: Saturday, October 28, 2017
Time: 12:30 PM – 4:00 PM ET
Location: Hall E, Pennsylvania Convention Center
Presenter: Hawazin Faruki, DrPH, Chief Scientific Officer, GeneCentric

To read the abstract, please visit: View Source!/4557/presentation/144

Apollo Endosurgery, Inc. Reports Third Quarter 2017 Results

On October 26, 2017 Apollo Endosurgery, Inc. (“Apollo”) (NASDAQ: APEN), a leader in less invasive medical devices for bariatric and gastrointestinal procedures, reported financial results for the third quarter ended September 30, 2017 (Press release, , OCT 26, 2017, View Source [SID1234521228]).

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Third Quarter 2017 Highlights

Total revenues increased 4.8% compared to the third quarter 2016
Total Endo-bariatric product sales increased 20.6% compared to the third quarter 2016 and were 56.3% of total revenues
Raised $33.6 million in a public equity offering
Todd Newton, CEO of Apollo Endosurgery, said, “The third quarter was a great quarter of accomplishment and performance for our business as we completed an equity offering, received CE Mark approval for Orbera365, and worked through a challenging disruptive event to the U.S. market for intragastric balloons due to an FDA communication in early August. Total revenue in the third quarter increased by 4.8% as worldwide Endo-bariatric product sales increased 20.6% to $9.3 million, representing 56.3% of total revenues on excellent OverStitch demand both in the U.S. and in our direct markets internationally. While Surgical product sales continued to decline, the rate of decline continued to show improvement this quarter.”

Third Quarter 2017 Financial Results

Total sales for the three months ended September 30, 2017 were $16.5 million compared to $15.8 million for the three months ended September 30, 2016 representing growth of 4.8%.

In the U.S., Endo-bariatric product sales, excluding U.S. Orbera starter kit sales were $3.2 million for the three months ended September 30, 2017 versus $2.8 million for the three months ended September 30, 2016, an increase of 14.0%, and $10.1 million for the nine months ended September 30, 2017 versus $8.1 million for the nine months ended September 30, 2016, an increase of 25.1%. As previously announced by the Company in August 2017, the FDA issued a letter to Health Care Professionals relating to potential risks with liquid-filled intragastric balloons. U.S. Endo-bariatric product sales increased at a slower rate in the third quarter compared to the first half of 2017, due to lower demand for Orbera in the aftermath of the FDA’s letter. Overstitch sales growth remained consistent with its year to date trend.

In markets outside the United States (OUS), Endo-bariatric product sales were $6.0 million for the three months ended September 30, 2017 versus $4.5 million for the three months ended September 30, 2016, an increase of 35.3%, and $15.3 million for the nine months ended September 30, 2017 versus $12.5 million for the nine months ended September 30, 2016, an increase of 21.9% primarily due to higher OverStitch sales in our direct markets. Direct market sales were 72.9% and 70.4% of total OUS sales for the three and nine months ended September 30, 2017, respectively, compared to 53.2% and 66.9%, for the same periods in 2016, respectively.

Surgical product sales decreased $0.9 million, or 11.6%, and $3.2 million, or 12.9%, for the three and nine months ended September 30, 2017, respectively, when compared to the same periods in 2016. In the U.S., Surgical product sales decreased $0.9 million, or 16.5%, and $3.0 million or 18.3%, for the three and nine months ended September 30, 2017, respectively, when compared to the same periods in 2016 due to reductions in gastric banding procedures being performed in the U.S. In OUS markets, Surgical product sales decreased by $0.1 million, or 1.9%, and $0.2 million, or 2.5%, for the three and nine months ended September 30, 2017 when compared to the same periods in 2016, respectively.

Gross margin as a percentage of revenues was 63.7% and 63.2% for the three and nine months ended September 30, 2017, respectively, compared to 66.7% and 60.8% for the same periods in 2016, respectively. Gross margin was impacted by the change in inventory reserve which decreased 0.3% and 6.3% as a percentage of total revenue for the three and nine months ended September 30, 2017, respectively, compared to the same periods in 2016. In June 2016, we recorded an inventory impairment charge related to expiring finished good inventory and excess raw materials transferred from Allergen that we were required to purchase in accordance with the transition services agreement. The remaining change in gross margin is due to the ongoing shift in our product sales mix from higher gross margin Surgical products to Endo-bariatric products that realize lower relative gross margins.

Total operating expenses were $14.8 million and $47.0 million for the three and nine months ended September 30, 2017, respectively, compared to $14.3 million and $43.0 million for the same periods in 2016. For the three months ended September 30, 2017, sales and marketing expenses increased due to higher incentive compensation, Orbera consumer marketing campaign costs and OverStitch physician training program costs. This increase was partially offset by lower general and administration expenses due to transaction costs incurred during the third quarter of 2016 associated with the Lpath merger. The increase for the nine months ended September 30, 2017 was due to higher sales and marketing expenses for the same reasons referenced above and higher general and administrative expenses due to costs incurred to meet our public company filing and corporate governance obligations. Research and development expenses also increased primarily due to costs associated with new product development efforts.

Interest expense decreased $0.5 million and $0.9 million during the three and nine months ended September 30, 2017 when compared to the same periods in 2016 primarily due to reduced cash interest on our senior secured credit facility after principal reductions. The additional decrease for the nine months ended September 30, 2017 was due to the elimination of non-cash interest primarily associated with the convertible notes that converted to equity in December 2016.

Net loss for the three and nine months ended September 30, 2017 was $4.9 million and $20.0 million, respectively, compared to $5.9 million and $21.5 million for the same periods in 2016.

Cash, cash equivalents and restricted cash were $35.5 million as of September 30, 2017.

Capitalization Update

On July 25, 2017, the Company completed a public offering selling 6,542,453 shares at a price of $5.50 per share, including 853,363 shares sold to the underwriters upon exercise of the option to purchase additional shares. The public offering generated net proceeds of approximately $33.6 million, after deducting the underwriting discount and related offering expenses.

Conference Call

Apollo will host a conference call on Thursday, October 26, 2017 at 4:00 p.m. Central Time / 5:00 p.m. Eastern Time to discuss the Company’s operating results for the third quarter ended September 30, 2017.

To participate in the conference call dial (888) 576-4387 for domestic callers and (719) 457-6931 for international callers. The conference ID number is 3769341. A live webcast of the conference call will be made available on the “Events and Presentations” section of our Investor Relations website: ir.apolloendo.com.

A replay of the webcast will remain available on Apollo’s website, apolloendo.com, until Apollo releases its fourth quarter 2017 financial results. In addition, a telephonic replay of the call will be available until November 2, 2017. The replay dial-in numbers are (844) 512-2921 for domestic callers and (412) 317-6671 for international callers. The replay conference ID number is 3769341. A transcript of the earnings call will be made available on the “Events and Presentations” section of our Investor Relations website: ir.apolloendo.com.

Non-GAAP Financial Measures

To supplement our financial results presented on a GAAP basis, we provide certain non-GAAP financial measures including adjusted total revenues, excluding U.S. Orbera starter kit sales. Adjusted total revenues, excluding U.S. Orbera starter kit sales is defined as GAAP total revenues excluding one-time U.S. Orbera starter kit sales. Adjusted total revenues, excluding U.S. Orbera starter kit sales is a supplemental measure of our performance that is not required by, and is not determined in accordance with, GAAP.

Non-GAAP financial information is not a substitute for any financial measure determined in accordance with GAAP and should be read only in conjunction with Apollo’s condensed consolidated financial statements prepared in accordance with GAAP. Apollo’s management uses certain supplemental non-GAAP financial measures internally to understand, manage and evaluate Apollo’s business, and make operating decisions. Reconciliations for each non-GAAP financial measure to its most directly comparable GAAP financial measure is provided in the tables below. Management believes that making non-GAAP financial information available to investors, in addition to GAAP financial information, may facilitate more consistent comparisons between the company’s performance over time with the performance of other companies in the medical device industry, which may use similar financial measures to supplement their GAAP financial information.

OPKO Health Licensee TESARO Announces FDA Approval of VARUBI® IV for Delayed Nausea and Vomiting Associated with Chemotherapy

On October 26, 2017 OPKO Health, Inc. (NASDAQ:OPK) reported that its licensee, TESARO, Inc. (Nasdaq:TSRO), received U.S. Food and Drug Administration (FDA) approval for VARUBI (rolapitant) IV in combination with other antiemetic agents in adults for the prevention of delayed nausea and vomiting associated with initial and repeat courses of emetogenic cancer chemotherapy, including, but not limited to, highly emetogenic chemotherapy (Press release, Opko Health, OCT 26, 2017, View Source [SID1234521224]). Delayed nausea and vomiting can occur anytime between 25 and 120 hours following chemotherapy, and is often extremely debilitating.

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TESARO licensed exclusive rights for the development, manufacture, commercialization, and distribution of VARUBI (rolapitant) from OPKO Health in December 2010. TESARO previously launched an oral version of VARUBI in November 2015. OPKO Health will receive tiered double-digit royalties on sales of VARUBI IV. In addition, OPKO Health is eligible to receive additional commercial milestone payments of up to $85 million upon achievement of certain sales thresholds. TESARO is expected to launch VARUBI IV in November 2017.

“We are especially pleased that our partner, TESARO, has received FDA approval for VARUBI IV. This is particularly important as IV treatments for chemotherapy induced nausea and vomiting account for 90% of the market. We look forward to TESARO’s continued success in commercializing the VARUBI product line,” said Philip Frost, M.D., Chairman and Chief Executive Officer of OPKO Health.

About VARUBI

VARUBI is a highly selective and competitive antagonist of human substance P/neurokinin 1 (NK-1) receptors, which play an important role in the delayed phase of chemotherapy induced nausea and vomiting (CINV). With a long plasma half-life of approximately seven days, a single dose of VARUBI, as part of an antiemetic regimen, significantly improved complete response (CR) rates in the delayed phase of CINV. Results from three Phase 3 trials of VARUBI oral tablets demonstrated a significant reduction in episodes of vomiting or use of rescue medication during the 25- to 120-hour period following administration of highly emetogenic and moderately emetogenic chemotherapy regimens. In addition, patients who received VARUBI reported experiencing less nausea that interfered with normal daily life and fewer episodes of vomiting or retching over multiple cycles of chemotherapy. Results from a bioequivalence trial demonstrated comparability of the IV and oral formulations of VARUBI.

VARUBI is available by prescription only. Please see full prescribing information, including additional important safety information, available at www.varubirx.com.