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Aquestive Therapeutics, Inc. (AQST)

Q2 2023 Earnings Call· Tue, Aug 8, 2023

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Transcript

Operator

Operator

Good morning and welcome to the Aquestive Therapeutics Second Quarter 2023 Conference Call. At this time, all participants are in a listen-only mode. After the speakers' presentation, there will be a question-and-answer session. [Operator Instructions] As a reminder, this call will be recorded. I would now like to introduce your host for today's conference call, Bennett Watson of ICR Westwicke, Investor Relations. You may begin.

Bennett Watson

Analyst

Thank you, operator. Good morning and welcome to today's call. On today's call, I am joined by Dan Barber, Chief Executive Officer and Ernie Toth, Chief Financial Officer, who are going to provide an overview of recent business developments and performance for the second quarter 2023, followed by a Q&A session. During the Q&A session, the team will be joined by Dr. Steve Wargacki, Senior Vice President of R&D; Dr. Carl Kraus, Chief Medical Officer; and Ken Marshall, Chief Commercial Officer. As a reminder, the company's remarks today correspond with the earnings release that was issued after market close yesterday. In addition, a recording of today's call will be made available on Aquestive's website within the Investors section shortly following the conclusion of this call. To remind you, the Aquestive team will be discussing some non-GAAP financial measures this morning as part of its review of second quarter 2023 results. A description of these measures, along with a reconciliation to GAAP, can be found in the earnings release issued yesterday, which is posted on the Investors section of Aquestive's website. During the call, the company will be making forward-looking statements. We remind you of the company's Safe Harbor language as outlined in yesterday's earnings release, as well as the risks and uncertainties affecting the company as described in the Risk Factors section and in other sections included in our annual report on Form 10-K filed with the Securities and Exchange Commission on March 31st, 2023 and in our quarterly reports on Form 10-Q and current reports on Form 8-K filed with the SEC. As with any pharmaceutical company, with product candidates under development and products being commercialized, there are significant risks and uncertainties with respect to the company's business and the development, regulatory approval and commercialization of its products and other matters related to operations. Given these uncertainties you should not place undue reliance on these forward-looking statements which speak only as of the date made. Actual results may differ materially from these statements. All forward-looking statements attributable to Aquestive or any person acting on its behalf are expressly qualified in their entirety by this cautionary statement and the cautionary statements contained in the earnings release issued yesterday. The company assumes no obligation to update its forward-looking statements after the date of this conference call, whether as a result of new information, future events or otherwise, except as required under applicable law. With that, I will now turn the line over to Dan.

Dan Barber

Analyst

Thank you, Bennett and good morning everyone. With each quarter that goes by, my excitement grows for the possibilities that lay ahead for Aquestive. In the second quarter we continued to progress the company on multiple fronts and this momentum has carried through into the current quarter. But before I review the specifics of the past few months, let me remind you of where we are going. We have a base business that generates revenue, is profitable and growing. We have two pipeline assets, Anaphylm epinephrine Sublingual Film and Libervant, diazepam Buccal Film that have the potential to come to market in the next two to four years and be transformational for patients as the first and only oral rescue medications within their respective indications. And finally, we have an epinephrine prodrug platform with a growing intellectual property portfolio that has potential application across multiple therapeutic areas beyond anaphylaxis. As the leader of this company, I feel truly fortunate to have not only a great team, but also multiple and distinct pillars of value, all of which have the potential to propel Aquestive forward. I'm pleased to say that we continue to make progress on the financial front as well. Since this time last year, we have reduced our debt by almost 25%. Now that we are in the second half of the year and as our debt continues to decline, we will actively look to refinance the remaining balance over a longer period of time should market conditions permit. Our ending cash balance remained above $20 million for the third consecutive quarter and we successfully converted our entire $0.96 warrant overhang while minimizing dilution to our shareholders. These actions continued to allow us to clean up the financial story of the company status post that we can unlock the…

Ernie Toth

Analyst

Thank you, Dan, and good morning, everyone. By now, you will have seen our financial results in our earnings release that was issued last evening. As we typically do, we will address most of the discussion related to the second quarter 2023 results in the Q&A. During the second quarter, we continued to execute on our strategy to strengthen our financial position. By reducing our debt and managing expenses to extend our cash runway to support the continued development of our lead product Anaphylm, the first and only non-device based orally delivered epinephrine product. As Dan mentioned, we reduced our outstanding debt by approximately 25% from $51.5 million on December 31, 2022 to approximately $39 million on June 30, 2023 through a combination of principal prepayments of $5.6 million and scheduled principal amortization of $6.9 million. We continue to manage expenses prudently with savings in research and development costs and expenses related to the out-licensing of Sympazan and the elimination of our commercial infrastructure. Excluding the impact of prior year proprietary sales of Sympazan, total revenues increased from $10.7 million in the second quarter of 2022 to $13.2 million in the second quarter of 2023. This 24% increase in revenue was primarily driven by higher revenue from our five out-licensed products. Total reported revenues were $13.2 million in the second quarter of 2023 compared to $13.3 million in the second quarter 2022. For the second quarter 2023 compared to the prior year period, we saw an 168% increase in license and royalty revenue and 18% increase in manufacture and supply revenue, offset by 49% decrease in Co-development and research fees and the absence of proprietary product sales of Sympazan. Total year-over-year revenues increased 17% after excluding the impact of prior year proprietary sales of Sympazan from $20.7 million for the…

Operator

Operator

[Operator Instructions] And your first question comes from the line of Jason Butler at JMP. Your line is now open.

Jason Butler

Analyst

Hi, thanks for taking the questions and congrats on the progress. Just in terms of the protocols submitted for Anaphylm to FDA, can you just confirm for us what the, the key elements of the trial design are? Are you still using the use instructions that were used in the last pilot PK study? Also, for example, are you still proposing to use both EpiPen and Auvi-Q as well as manual intermuscular injection as the comparatives for the bracketing analysis? And then just, I guess extending from that, based on your prior interactions with FDA, are there specific parts of the protocol that you're looking to gain alignment or feedback on from FDA before starting the study? Thank you.

Dan Barber

Analyst

Thanks Jason and good morning. So I'm going to, I'm very excited to actually hand over the answer to your questions to Carl Kraus, our new Chief Medical officer in a second. I just want to reiterate, how we're looking at the next few months when it comes to Anaphylm. We think we have some very important moments coming up between our competitors, the PDUFA date in September, which we think will be very informative, as well as the feedback from the FDA and then getting into our pivotal study. But as you point out one of the key steps in that is making sure the FDA is comfortable with our protocol. So, to answer your specific questions, I will hand the line over to Carl.

Carl Kraus

Analyst

Thanks Dan and Jason, thank you for the question. The first part of your question was really around the use instructions from the prior experience and what's being included in the current protocol. The current protocol would not include any of the prior concerns regarding swallow hold time, which is a huge win and they're certainly simple and easy to follow consistent with other sublingual therapeutics. The other part of your question was around comparators. Yes, we are planning on including two of the parenterals that you had mentioned is as controls for the pharmacokinetic and pharmacodynamic outcomes. And regarding our elements that we're waiting for alignment with the FDA much of that will depend on the PDUFA date for ARS, which will help us gain greater clarity regarding what the FDA's thinking is rounding the bracketing targets, as well as getting feedback from them on the protocol submitted which we would expect no later than early October.

Dan Barber

Analyst

Great. Let me just add one point, what I really like about the way Carl and the team have developed this protocol is if you think back to how we've talked about the marketplace, there's EpiPen, there's Auvi-Q, there's some use of manual injection in the clinical setting. We'll have in our pivotal study compared to all three of those. So I think that's going to be really helpful when we're actually on the other side of the FDA review process.

Jason Butler

Analyst

Great, thank you. And then just one on AQST-108, you said you'd consider applying some allocating some resource here. Would you go as far say that you would initiate, a first clinical study or proof of concept study and the indication that you decide to move forward in?

Dan Barber

Analyst

Yes, so the way I would position it, I would love to, as we as a team here would love to get into the clinic as rapidly as possible on 108. What we need to balance is our excitement versus the standard work you need to do with a pipeline asset, right? So we need to make sure we've gone through the process of scoping out the market need, the patient need, how we would be positioned. That's the work we're doing right now. And assuming all of that continues to show a compelling opportunity, yes, we would rapidly get into the clinic and Steve Wargacki, our Head of R&D who's sitting here with me, has done a great job of already preparing the formulation process so we have work that is already ongoing.

Jason Butler

Analyst

Okay. Thanks again for taking the questions.

Dan Barber

Analyst

Thanks, Jason.

Operator

Operator

[Operator Instructions] And the next question comes from the line of François Brisebois at Oppenheimer. Your line is now open. François Brisebois: Hi, thanks for taking the questions. Just so in terms of the protocol submission, congrats on that. And I was just wondering in terms of next steps, so you hear back, obviously the PDUFA is important that's coming up on the competitive side, but can you just help us understand how quickly you can go from starting this trial to getting top line results?

Dan Barber

Analyst

Yes, so let me just point out a couple of things Frank and good morning. The review by the FDA, while they have given us some comfort on timing, which I think is pretty standard. I just want to point out, that's obviously not in our control, right? How long they take to get back to us. So that will be again an event that we will have to wait for. But once we have their comments under hand, I'll turn it over to Carl, who can walk you through how he sees the progression from there.

Carl Kraus

Analyst

Yes. So Frank, good to meet you and thank you for the question. The target population are healthy volunteers. These are not patients. So one would expect recruitment to be rather expeditious once the green light is aligned with the FDA's comments. And regarding the complexity of the trial, it's relatively straightforward, which would include all expected pharmacokinetic endpoints and pharmacodynamic endpoints. I would not expect this to be a lengthy trial, and I think would be a rather expeditious, as it will likely be a single center healthy volunteer trial. François Brisebois: Okay. Understood. And then Dan, can you maybe just talk a little bit more about the Rx that, that you, you mentioned increased in the space this year, you talked about an expansion of market. Do you have any quantitative kind of just more color on the expansion of the market here in terms of scripts?

Dan Barber

Analyst

Yes. Well our quantitative piece would be driven by similar to you and many other people in our industry, just the standard industry providers of information around prescriptions. So we do have a platform we access, and what we see is and I will turn it over to Ken Marshall in a second here to expound upon it. But what we see is, I think about 20% or greater year-over-year growth which is pretty remarkable. And Ken, if you could give some thoughts on why you think that's happening, that would be helpful.

Ken Marshall

Analyst

Yes, absolutely, Dan. Good morning, Frank. Yes, it's been very impressive to watch the growth in the market. We would've expected this growth with the entry of better delivery systems, but prior to that entry, it's a bit surprising. It tells you how hungry the market is for a better solution. The market has hovered a few years back, hovered around three million prescriptions for three, four, five years after [indiscernible] exited the space. And last two years, they jumped up to about four million prescriptions, and this year appear to be trending towards 5 million prescriptions. It's attributed to the noise in the community. If you look at the four large advocacy groups, they're all talking a lot about novel delivery, the importance of epinephrine as a medicine, the importance of having it with you, all the right messages that set up our entry. There's a lot of noise, there's no better solution. You still get an epine, you still get an EpiPen script, but a lot of interest in the market right now. François Brisebois: Great. Thank you very much.

Operator

Operator

[Operator Instructions] And the next question comes from the line of Thomas Flaten at Lake Street. Your line is now open.

Thomas Flaten

Analyst

Thanks. Good morning, guys. I appreciate you taking the questions. Dan, any insight into what we might expect from news flow from your ex-U.S. partnerships may particularly on Libervant in the EU?

Dan Barber

Analyst

Sure, yes. What in, on that particular business development activity? So the licensing of Anaphylm in Europe, I'm really happy with the work that the team here has done. We have multiple firms that are what I believe high quality firms with good capabilities who are conducting diligence on the potential to license the product in Europe. So I think you'll see us as we usually say be disciplined here. When you have multiple parties the way we do, you really want to make sure that you not only maximize value, of course, which is our part of our job, but also that you choose the right partner who is, who fits within the way we do work and the way their culture is. So we're working through that right now. I do think that you will hear us say more as, as time goes on in that front. And I actually do want to Thomas, if it's okay and talk a little bit about the levers we have as a company because I know over the last few quarters we have had some activities where it may seem like we have out licensed a lot of the things that we have available to us. And I just want to point out that that's actually not the case. We have several levers that remain in front of us, not just with Epinephrine Europe, but also epinephrine China, Libervant China, the U.S. with Libervant and with the work the team is doing, we're expanding those levers as we go. So we're, we continue to build our opportunities rather than wind them down.

Thomas Flaten

Analyst

Great. Much appreciated. Just switching over to the two to five year old FDA [ph] that you submitted in June, can you remind us what the orphan drug restrictions are around age grouping, even though the indications might be similar?

Dan Barber

Analyst

Sure. Yes, no, and I appreciate the question Thomas. So the guidelines that are in the FDA language, if I'm saying it correctly would suggest that the orphan drug exclusivity is specific to indication in age group. And the FDA has indicated publicly that that's the way they view the marketplace or the access I should say. I do have to at least remind everyone that there is a court case, the catalyst court case that did show a decision that was different than that. So I think for us as a company who are looking to make sure patients have the benefit of our product, have access to our product all we can do is continue to develop the opportunities for the FDA to provide access to patients for our product, and we'll see how it plays out as it goes through all of the motions within the FDA and beyond.

Thomas Flaten

Analyst

Great. And then one quick one for Ernie. Could you help us, Ernie, a little bit on gross margins? They've been bouncing around fourth quarter last year, first quarter this year, now down again second quarter. How should we think about that for the second half of the year?

Ernie Toth

Analyst

Hi, Thomas. I'm good to speak to you. So [indiscernible] really you need to think about our margins that it is a function of, there are some higher costs, but also related to mix as we progress with our license products that some of them, whereas we you know, the API is supplied to us. Then there's other cases where we actually have to procure the API. So as we continue, to manufacture these products going forward you may see the margins get, they may be based on production move around a little bit, but it's sort of the reason why you've seen the decline in margins this quarter.

Thomas Flaten

Analyst

Got it. Thanks so much.

Operator

Operator

[Operator Instructions] And your next question comes from the line of Raghuram Selvaraju with H.C. Wainwright. Your line is now open.

Dan Barber

Analyst · H.C. Wainwright. Your line is now open.

Ram, you might be on mute. Bella, why don't we move on to the next person, if Ram is having technical difficulties?

Operator

Operator

All right. [Operator Instructions] Okay and Raghuram Selvaraju, your line is open. All right, I guess we don't have any other questions at this time. I will now turn the call back over to Dan Barber.

Dan Barber

Analyst

Thanks, Bella. Thank you all for joining us this morning. We appreciate your time as always. We believe we have shown a Q2 that is in line with our continued view on growing this business. And we look forward to interacting with you again in the future. Have a great day.

Operator

Operator

This concludes today's conference call. Thank you for your participation. You may now disconnect.