On November 1, 2018 Exelixis, Inc. (Nasdaq: EXEL) reported financial results for the third quarter of 2018 and provided an update on progress toward fulfilling its key corporate objectives, as well as commercial and clinical development milestones (Press release, Exelixis, NOV 1, 2018, View Source;p=RssLanding&cat=news&id=2374950 [SID1234530511]).
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"In the third quarter of 2018, we continued to grow our commercial business and make significant clinical development and regulatory progress for our pipeline," said Michael M. Morrissey, Ph.D., President and Chief Executive Officer of Exelixis. "Cabozantinib franchise net product revenues during the quarter were $162.9 million, which represents a 12 percent increase compared to the second quarter of 2018. We also initiated the next wave of cabozantinib pivotal trials with the announcement of the COSMIC-311 study in differentiated thyroid cancer and expect additional pivotal trials launching later this year and into 2019. This will include studies evaluating cabozantinib in combination with leading immunotherapies, an approach supported by encouraging clinical data, including phase 1b dose escalation results of cabozantinib plus atezolizumab in advanced renal cell carcinoma presented at the 2018 European Society for Medical Oncology Congress last month."
Dr. Morrissey continued: "Our team’s hard work provides strong momentum as we close out the year and move into 2019. In particular, we look forward to the U.S. Food and Drug Administration’s upcoming decision on our supplemental New Drug Application for CABOMETYX in previously-treated advanced hepatocellular carcinoma, which has a January 14, 2019 action date, and for which we are fully launch ready. We are also pleased with Ipsen’s regulatory progress, including gaining a positive opinion in the European Union for previously-treated hepatocellular carcinoma, and Canadian regulatory approval for advanced renal cell carcinoma. Each of these milestones has the potential to support broadened access to CABOMETYX in key regions, and underscores our commitment to making Exelixis-discovered medicines globally available to cancer patients in need."
Third Quarter 2018 Financial Results
Total revenues for the quarter ended September 30, 2018 were $225.4 million, compared to $152.5 million for the comparable period in 2017.
Total revenues include net product revenues of $162.9 million for the quarter ended September 30, 2018, compared to $96.4 million for the comparable period in 2017, representing a 69 percent increase year-over-year. The increase in net product revenues reflects the continued growth of CABOMETYX in the U.S. for the treatment of advanced renal cell carcinoma (RCC).
Total revenues also include collaboration revenues of $62.5 million for the quarter ended September 30, 2018 compared to $56.1 million for the comparable period in 2017. Collaboration revenues for the quarter ended September 30, 2018 included the recognition of milestone revenue of $36.9 million and $5.0 million from our collaboration with Ipsen Pharma SAS (Ipsen) for the anticipated approval of CABOMETYX for previously-treated hepatocellular carcinoma (HCC) in the European Union and the approval by Health Canada of CABOMETYX for previously-treated RCC, respectively. Collaboration revenues also included $11.7 million in royalties earned from Ipsen and Genentech and $6.9 million in development cost reimbursements under our collaboration agreements with Ipsen and Takeda Pharmaceutical Company Ltd. Collaboration revenues for the quarter ended September 30, 2017 included two milestones totaling $45.0 million from our collaboration with Ipsen.
Research and development expenses for the quarter ended September 30, 2018 were $44.7 million, compared to $28.5 million for the comparable period in 2017. The increase in research and development expenses was primarily related to increases in clinical trial costs and personnel expenses. The increase in clinical trial costs was primarily due to increased costs associated with: CheckMate 9ER, a phase 3 pivotal trial of cabozantinib plus immunotherapy in patients with previously-untreated RCC that is being conducted with Bristol-Myers Squibb Company; COSMIC-311, a phase 3 pivotal trial of cabozantinib in patients with radioiodine-refractory differentiated thyroid cancer (DTC) who have progressed after prior VEGFR-targeted therapy; and the preparation for further pivotal phase 3 trials that are expected to be initiated in the coming months. The increase in personnel expenses was primarily due to increases in headcount to support our expanded development and discovery efforts.
Selling, general and administrative expenses for the quarter ended September 30, 2018 were $48.1 million, compared to $38.1 million for the comparable period in 2017. The increase in selling, general and administrative expenses was primarily related to increases in personnel expenses and stock-based compensation. The increase in personnel expenses was primarily due to increases in general and administrative headcount to support the company’s commercial and research and development organizations. The increase in stock-based compensation was primarily due to the increase in headcount.
Net income for the quarter ended September 30, 2018 was $126.6 million, or $0.42 per share, basic and $0.41 per share, diluted, compared to $81.4 million, or $0.28 per share, basic and $0.26 per share, diluted, for the comparable period in 2017. The increase in net income was primarily the result of increases in net product revenues and collaboration revenues, which was partially offset by the increases in research and development and selling, general and administrative expenses.
Cash and cash equivalents, short- and long-term investments and short- and long-term restricted cash and investments totaled $750.3 million at September 30, 2018, as compared to $457.2 million at December 31, 2017.
2018 Financial Guidance
The company is updating its guidance that total costs and operating expenses for the full year will be between $410 million and $420 million. This guidance includes approximately $50 million of non-cash costs and expenses related primarily to stock-based compensation expense.
Cabozantinib Highlights
Strong Growth in Cabozantinib Franchise Net Revenues. Net product revenues generated by the cabozantinib franchise were $162.9 million during the third quarter of 2018, an increase of 69 percent year-over-year. During the third quarter of 2018, CABOMETYX generated $158.3 million in net product revenues and COMETRIQ (cabozantinib) capsules for the treatment of patients with progressive, metastatic medullary thyroid cancer generated an additional $4.7 million in net product revenues.
CELESTIAL Phase 3 Pivotal Trial Results Published in The New England Journal of Medicine (NEJM). In July, Exelixis announced that NEJM published positive results from the CELESTIAL phase 3 pivotal trial of cabozantinib in patients with previously-treated advanced HCC. As previously announced and presented, the data demonstrate that cabozantinib provided a statistically significant and clinically meaningful improvement in overall survival versus placebo.
National Comprehensive Cancer Network (NCCN) Updates Clinical Practice Guidelines with New Recommendations for CABOMETYX. In September, the NCCN updated its Clinical Practice Guidelines to recommend CABOMETYX for the treatment of advanced RCC regardless of patient risk status (favorable-, intermediate-, and poor-risk). With the updates, CABOMETYX is the only tyrosine kinase inhibitor (TKI) indicated for the treatment of advanced RCC with NCCN-preferred status for intermediate- and poor-risk groups in the first-line setting, and the only TKI with preferred status for patients who have progressed on prior therapy.
In a separate update to the Clinical Practice Guidelines for Hepatobiliary Cancers, the NCCN also added cabozantinib as a Category 1 option for the treatment of patients with HCC (Child-Pugh Class A only) who have been previously treated with sorafenib. CABOMETYX is not a U.S. Food and Drug Administration (FDA) approved therapy for previously-treated advanced HCC. In May 2018, the FDA accepted Exelixis’ supplemental New Drug Application (sNDA) for CABOMETYX in this disease setting, assigning a Prescription Drug User Fee Act date of January 14, 2019.
Health Canada Approves CABOMETYX for Previously-treated Advanced RCC. In September, Ipsen announced approval by Health Canada of CABOMETYX for the treatment of adults with advanced RCC who have received prior vascular endothelial growth factor-targeted therapy. Health Canada had granted CABOMETYX priority review status, which provided an accelerated review of Ipsen’s new drug submission. Under the collaboration agreement with Ipsen, Exelixis is eligible to receive a $5.0 million milestone for the Health Canada approval, which was recognized as revenue in the third quarter of 2018.
Positive Committee for Medicinal Products for Human Use (CHMP) Opinion for CABOMETYX for Previously-treated HCC. In September, Ipsen announced that it received a positive opinion from the CHMP, the scientific committee of the European Medicines Agency, for CABOMETYX as a monotherapy for the treatment of HCC in adults who have been previously treated with sorafenib. The positive CHMP opinion will now be reviewed by the European Commission (EC), which has the authority to approve medicines for the European Union. The CHMP opinion was based on results from the CELESTIAL phase 3 pivotal trial. Under the collaboration agreement with Ipsen, Exelixis is eligible to receive a milestone payment of $40.0 million for the approval of CABOMETYX for previously-treated HCC, of which $36.9 million was recognized as revenue in the third quarter of 2018. Payment of the full $40.0 million is expected to be received within 70 days of an approval decision by the EC.
Initiation of COSMIC-311, Phase 3 Pivotal Trial of Cabozantinib in Patients with Radioiodine-refractory DTC Who Have Progressed After Prior VEGFR-Targeted Therapy. After the quarter ended, in October, Exelixis announced the initiation of COSMIC-311, a multicenter, randomized, double-blind, placebo-controlled phase 3 pivotal trial that aims to enroll approximately 300 patients at approximately 150 sites globally. The co-primary endpoints of the trial are progression-free survival and objective response rate. The American Cancer Society estimates that approximately 54,000 new cases of thyroid cancer will be diagnosed in the United States in 2018.1 DTC accounts for approximately 90 percent of all thyroid cancers.2
Cabozantinib Data at the 2018 European Society for Medical Oncology (ESMO) (Free ESMO Whitepaper) Congress. After the quarter ended, in October, data from clinical trials of cabozantinib were featured in 13 presentations at the 2018 ESMO (Free ESMO Whitepaper) Congress in Munich, Germany. Notable results included further analyses from the CELESTIAL phase 3 pivotal trial, as well as single-agent and combination data for cabozantinib in a variety of tumor types and disease settings. One poster presentation highlighted results from the dose escalation stage of the phase 1b COSMIC-021 study of cabozantinib in combination with atezolizumab in previously-untreated advanced RCC, demonstrating that this therapy combination was well tolerated and showed encouraging anti-tumor activity in advanced RCC. A second poster presentation, reviewed during a discussion session, evaluated the effect of PD-L1 status on clinical outcomes with cabozantinib in advanced RCC in the CABOSUN and METEOR trials, and showed improved outcomes regardless of PD-L1 expression relative to sunitinib or everolimus, the respective comparator arms for each trial. Another poster presentation evaluated the activity of cabozantinib in patients with advanced RCC who had progressed on immune checkpoint inhibitor (ICI) therapy, finding that cabozantinib was active in patients previously-treated with ICIs, either alone or in combination with anti-VEGF or other therapies.
CABOMETYX as a Treatment for Advanced RCC Approved in Brazil and Taiwan. After the quarter ended, in October, Ipsen received approvals from both the Agência Nacional de Vigilância Sanitária in Brazil for CABOMETYX as a treatment for both previously-treated and previously-untreated advanced RCC and from the Taiwan Food and Drug Administration for CABOMETYX as a treatment for patients with advanced RCC who have received prior anti-angiogenic therapy.
Corporate Highlights
Inclusion on Standard & Poor’s (S&P) MidCap 400 Index. On July 2, Exelixis began trading as a member of the S&P MidCap 400 classified under S&P’s Global Industry Classification Standard Biotechnology Sub-Industry index. The index, which is distinct from the large-cap S&P 500, measures the performance of profitable mid-sized companies, reflecting the distinctive risk and return characteristics of this market segment.
Basis of Presentation
Exelixis has adopted a 52- or 53-week fiscal year that generally ends on the Friday closest to December 31st. For convenience, references in this press release as of and for the fiscal periods ended September 28, 2018, December 29, 2017 and September 29, 2017 are indicated as being as of and for the periods ended September 30, 2018, December 31, 2017 and September 30, 2017, respectively.
Conference Call and Webcast
Exelixis management will discuss the company’s financial results for the third quarter of 2018 and provide a general business update during a conference call beginning at 5:00 p.m. EDT / 2:00 p.m. PDT today, Thursday, November 1, 2018.
To access the webcast link, log onto www.exelixis.com and proceed to the News & Events / Event Calendar page under the Investors & Media heading. Please connect to the company’s website at least 15 minutes prior to the conference call to ensure adequate time for any software download that may be required to listen to the webcast. Alternatively, please call 855-793-2457 (domestic) or 631-485-4921 (international) and provide the conference call passcode 1043999 to join by phone.
A telephone replay will be available until 8:00 p.m. EDT / 5:00 p.m. PDT on November 3, 2018. Access numbers for the telephone replay are: 855-859-2056 (domestic) and 404-537-3406 (international); the passcode is 1043999. A webcast replay will also be archived on www.exelixis.com for one year.