On May 7, 2021 Radius Health, Inc. ("Radius" or the "Company") (Nasdaq: RDUS), reported its financial results for the first quarter ended March 31, 2021 (Press release, Radius, MAY 7, 2021, View Source [SID1234579464]).
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The following are key components of Q1, 2021 performance:
Q1, 2021 FINANCIAL HIGHLIGHTS:
Total net revenue improved by 17% year-over-year: $56 million in 2021 vs. $48 million in 2020
TYMLOS U.S. product net revenue down 6% year-over-year: $45 million in 2021 vs. $48 million in 2020
Reduced unit volumes from inventory channel destocking plus volatility in patient activity as a result of Covid-19 during 2020; there was a partial offset from an increase in net price
TYMLOS U.S. new patient adds grew by 14% in Q1, 2021 vs. Q4, 2020
Strong cash balance: $115 million of cash, cash equivalents and marketable securities as of 3/31/2021
Strategic and proactive management of capital structure:
Completed $175 million financing transaction in March, 2021
Redeemed ~37% of aggregate principal amount of the existing 3.00% convertible notes
Eliminated potential future dilution by ~2 million shares (~4.9% of outstanding shares)
Improved financial flexibility with a more balanced mix of secured and unsecured tranches
Added cash to the balance sheet to enhance liquidity
BUSINESS HIGHLIGHTS:
Abaloparatide:
On May 1, 2021, Humana added TYMLOS to the formularies of its Medicare Advantage Plans
Impact #1: adds ~5 million beneficiaries, which moves Medicare Part D coverage from 83% to 91%
Impact #2: increases coverage for first line PMO patients with history of fracture from 77% to 78%
Q1 TYMLOS new patient prescribers: 42 of top 50 HCP’s are now orthopedic or specialist bone practices
New patient growth for this group (the 42) was 26% vs. 14% for total Q1 TYMLOS prescriber activity
Re-submission of abaloparatide to the EMA targeted to occur in Q4, 2021
TYMLOS Black Box Warning: FDA process ongoing with clarity expected in Q4, 2021
Submitted data from the histomorphometry study for inclusion in the abaloparatide label
Elacestrant:
EMERALD phase 3 trial with our partner, Menarini Group, remains on track for 2H, 2021 topline readout
RAD011:
Type C meeting with the FDA in June, 2021 for PWS phase 3 protocol review
RAD011 previous data to be presented at the PWSA/USA conference June 23-25, 2021
Additional orphan indications being assessed with 2H, 2021 timetable to finalize plan(s)
Hired Head of Science and Technology for CBD, cannabinoid derivatives, formulations and delivery
First Quarter 2021 Financial Results
Three Months Ended March 31, 2021
Net Loss
For the three months ended March 31, 2021, Radius reported a net loss of $15.7 million, or $0.34 per share, compared to a net loss of $37.7 million, or $0.81 per share, for the three months ended March 31, 2020.
For the three months ended March 31, 2021, non-GAAP adjusted net loss, was $8.6 million, or $0.18 per share, compared to non-GAAP adjusted net loss of $27.4 million, or $0.59 per share, for the three months ended March 31, 2020.
Revenue
For the three months ended March 31, 2021, TYMLOS net product revenues were $45.3 million compared to approximately $47.9 million for the three months ended March 31, 2020.
For the three months ended March 31, 2021, license revenue was $11.0 million. No license revenue was recognized for the three months ended March 31, 2020.
Costs and Expenses
For the three months ended March 31, 2021, research and development expense was $31.4 million compared to $39.0 million for the three months ended March 31, 2020, a decrease of $7.6 million, or 19%. This decrease was primarily driven by a decrease of $3.3 million in abaloparatide-TD program cost, a $4.8 million decrease in compensation expense, which is comprised of a $1.1 million decrease in compensation expense and $3.7 million of billed reimbursable expenses, and a $7.7 million decrease in elacestrant program costs, which is comprised of a $2.9 million increase in gross program expenses offset by $10.6 million of billed reimbursable expenses. These decreases were partially offset by a $5.3 million increase in abaloparatide-SC program costs and a $2.9 million increase in professional fees and other expenses.
For the three months ended March 31, 2021, selling, general and administrative expenses were $34.1 million compared to $36.4 million for the three months ended March 31, 2020, a decrease of $2.3 million, or 6%. This decrease was primarily the result of a $0.4 million decrease in travel and entertainment expenses, a $3.6 million decrease in compensation cost, and a $0.4 million decrease in other operating costs. These decreases were partially offset by a $1.9 million increase in professional support costs, and a $0.2 million increase in occupancy and depreciation costs