Good afternoon and welcome to the MannKind Corporation First Quarter 2022 Earnings Call. As a reminder, this call is being recorded on May 5, 2022, and will be available for playback on the MannKind Corporation's website shortly after the conclusion of this call until May 19, 2022. This call will contain forward-looking statements. Such forward-looking statements are subject to risks and uncertainties, which could cause actual results to differ materially from the stated expectations. For further information on the company's risk factors, please see their 10-K report filed with the Securities and Exchange Commission this afternoon, the earnings release, and the slides prepared for this presentation. Joining us today from MannKind are Chief Executive Officer, Michael Castagna; and Chief Financial Officer, Steven Binder. I would now like to turn the conference over to Mr. Castagna. Please go ahead sir.

Thank you. And thank you all for dialing into our earnings call today. We're in unprecedented times, as we look at the volatility in the stock market, as well as our biotech sector having lots of unfortunately mishaps these days in terms of companies employing on a daily basis, which from a MannKind perspective, we're expanding and hiring. So we're able to find great talent. But from an industry perspective, we see lots of change ahead. When I think about Q1, we had some great opportunities to continue to advance our transformation in Afrezza, which I'll talk about today, as well as advance our pipeline progress with clofazimine and we'll give an update we know today on Tyvaso. So those will be the three focuses of our conversation. I personally just got back from our ATTD Diabetes Conference in Europe, and I was able to meet about 10, 15 of the top regional thought leaders in those countries that are represented in the European Union to really talk about Afrezza, the potential of Afrezza, as well as the pediatric trial and the studies that we're doing. And I walked back, invigorated on opportunities on how we can continue to advance the science within diabetes. We've also had several FDA interactions on Afrezza in the pipeline, trying to think about the label change, as well as preparing to go to advance clofazimine into Phase 2. And we also had Advisory Board with roughly 10 of the top thought leaders in nontuberculous mycobacteria, for the first time where we could really assess how we think about NTM, how we're positioning clofazimine, and to confirm our strategic direction relative to where we're going in our clinical trial, before we go to the FDA. So within the UT collaboration here on the slide, our…

Thanks Mike, and good afternoon. Please to review select first quarter financial results. Please supplement this call by reading the condensed consolidated financial statements and MDNA contains our 10-Q which is being filed with the SEC this afternoon. Let's start by looking at revenues for first quarter of 2022. Afrezza net revenue was $9.8 million versus $8.1 million in 2021, a growth rate of 21%. The increase was driven by wholesaler inventory ordering patterns during the first quarter of 2021, which were adversely impacted as wholesalers decreased inventory levels, plus price including a more favorable growth to net deduction of 38.7% and underlying TRx growth. Moving to collaboration services, revenue for the first quarter was $2.2 million versus $9.3 million for 2021. The revenue in the first quarter was mainly associated with United Therapeutics specifically the next gen R&A efforts, clinical supplies for patients in the brief study extension and some pass through expenses. We did not have and did not expect to have revenue from our commercial supply agreement with United Therapeutics in the first quarter. We expect to start recognizing revenue associated with the UT commercial supply agreement in the second quarter. Revenue associated with the manufacturing activity in the first quarter of 2022 was deferred on the balance sheet in the amount of $7.4 million, which I will discuss in greater detail in a few minute. From a cash standpoint we were able to invoice and collect from United Therapeutics for these manufacturing activities. The graph on our next slide shows the quarterly of Afrezza gross margin trend from the first quarter of 2021 through the first quarter of 2022. Our gross margin for the first quarter of 2022 was a record 77%, which in fact increasing Afrezza net revenue and lower cost of goods, mainly related…

You're saying the money making brand was a great comment, Steve.

All right.

Thank you everyone. So talking about the pipeline here; so we remain very excited about the pipeline. We talked about Afrezza and Tyvaso DPI and clofazimine. The next couple things we'll start to hear about over the coming quarters will imatinib going forward and the outcome of bleomycin model as well as DNA alpha and Thirona. These programs take a little more time in the beginning, and then once we get them through and get the CMC part working, these programs progress quite rapidly in the coming years. Additionally, on the cannabinoid side, Receptor Life Sciences received FD – and IND for the FDA to progress their development. And we continue to keep in touch with Fosun around their small molecule inhibitor and how that's progressing in development. We'll continue to look for more collaborations on our technology platform as we continue move forward post the next FDA action date with Tyvaso. When we look at our milestones for 2022, we clearly lay out every year and you can see so far we're on track to meet and most of these milestones exceed them, we obviously did not hit the first one, which we think was very important on the Tyvaso DPI PDUFA date, that's been extended to May and we remain optimistic about that date and our ability to hopefully get Tyvaso to patients here in Q2. So, one, I think important thing when we come to you on our next earning call will be two additional sources of revenue as related to out back in Q4 earning's call on Tyvaso manufacturing and Tyvaso royalties. The bars of revenue growth for MannKind continue to grow and we look very look – look out very forward about the exciting opportunities we have to exponential grow revenue over the coming years between Afrezza, collaboration services, business development as well as manufacturing and royalties. We're going to stop there and open it up for questions.

Thank you. [Operator Instructions] Your first question comes from the line of Brandon Folkes from Cantor Fitzgerald. Your line is open.

Hi, thanks for taking my questions and congratulations on another good quarter. [Indiscernible] Brandon Folkes obviously "confident" on the Tyvaso DPI approval. But how should we think about optic spending just in the case where Tyvaso DPI does not get approved this month, perhaps pushed off a little bit, just any color in of how we should think about maybe some levers in your current OpEx spend that may come down? And then secondly, maybe just on Afrezza, can you just elaborate and apologize if I missed this, but where was wholesaler inventory at the end of this quarter? Thank you.

Okay. I think the first one I would say, and Steve, correct me. Afrezza and Tyvaso even there was a delay that's mostly picked – this is all picked up by UT and that's why I see some of the deferred revenue on our P&L, so that doesn't impact our particular cash burn or anything around MannKind. And also inventory, Steve.

Yes. Inventory remained constant between December of 2021 and March of 2022, so it wasn't much of a wholesaler inventory channel change.

Great, thanks. And one more if I may obviously just with that very strong cash balance you have, how do you think about maybe bringing in licensing a few more pipeline products? Obviously you pull through pretty robust pipeline, but I guess do you have the capacity maybe asked in different way to bring in additional products just given valuations for in-licensing maybe coming down? Thank you.

Yes. Brandon, I think M&A is going to be something we continue to evaluate as a company. We've had a lot of inbound interest on looking at different opportunities so far in 2022. Obviously a lot of companies, I think there is about 170 companies trading for less than cash value. So there's opportunities in that space. There's also opportunities for companies continuing to streamline their – the products that they're going to focus on. And then there's plenty of pipeline opportunities to go, but I think on the pipeline we feel pretty good about the shots on goal that we have in progressing those. On the ability to find additional cash generating assets, I think is where our focus is because we think we can continue to harmonize the G&A expense and the P&L that we have as well as the infrastructure we've built up. So I think we'll continue to watch out for those as valuations have become more normal, in the last couple of years things were just ridiculous. But I do think things are finally coming in a good range that we're sitting in a good spot as a company to continue to look at these things.

Thanks. That's very helpful. I appreciate it. Congrats again.

Thank you.

Your next question comes from the line of Gregory Renza from RBC Capital Markets. Your line is open.

Hey, good afternoon, Michael and Steve. Congratulations on the progress and thanks for taking my question. Maybe just building on the previous question, with respect to Tyvaso DPI decision coming up and maybe just around scenario planning. I think you answered the question just around OpEx, I'm just curious how various scenarios playing out, whether of course it's approval, but as mentioned delay or otherwise. How you think about the potential permutations of your strategy that you earlier mentioned of business development. Are there accelerants that we would see or other things to contemplate with respect to that that decision coming with Tyvaso coming up? Thank you.

Hey Greg, I don't want to comment too much. I think we're literally within weeks of the FDA decision. I think we just got to wait for that to come through and I think that'll bring a lot of clarity around the anxiety I hear from our shareholders. What does this mean from indication? What does this mean from the platform? What does this mean from MannKind? And like I said, I think our focus is making sure we have product supply available upon launch and approval. And I think that's what we want to make sure we're ready for UT, but I want to really defer a lot of Tyvaso related questions. For us we have enough cash. We show out the balance sheet last year. Even if there was another delay, it doesn't fundamentally change how MannKind's operating. We look at this as all upside to the current operating plan that we have, and that's some of the decisions we made last year around the sale lease back and the convertible debt was so that we can fund our pipeline and fund our growth and not be fully dependent on the unit, the decisions and the FDA, some of the interactions there, but obviously want this. We think it's important to get the patients. We're excited to partner with UT they've been an incredible partner and we want to get this to patients as soon as possible. We want to make sure we can supply and be there. And so hopefully that gives you some clarity, but I think if things are delayed, it doesn't shift anything we do that much. We still want to go up. Inventory we still want to be ready day one of launch and we're focused on our pipeline and our platform equally as much right now.

Great. That's really helpful. Appreciate all the color and looking forward to the update.

Your next question comes from the line of Thomas Smith from SVB Securities. Your line is open.

Hey guys. Good afternoon. Thanks for taking the questions and congrats on the progress. Just on Tyvaso DPI, I understand UT is handling all the FDA communications directly, but I was wondering if you could comment on whether there's been any other requests where you've had to provide data to the agency since the last submission. I think it was back in February that led to the major amendments?

I would, Thomas, I don't want to speak on behalf of UT they're the ones having face-to-face request, I – from my knowledge and perspective I don't think there's been anything major that's come in since the initial request, but I'd have to refer to UT to answer that properly.

Okay. Okay.

Coming out [ph] prior to MannKind, I can tell you that.

Okay. That's helpful. And then just on the Tyvaso DPI commercial manufacturing preparations, could you just give us an update on where you are in terms of scale up activities? Has there been any changes to your plans or your forecast on manufacturing here over the last couple of months as we get closer to the anticipated launch later this year?

No. I think the only thing we continue to try to do is we re-purposed a lot of equipment over the years that we had and we want to make sure that equipment's operating optimally? How we increase yield? How do we increase product loss in the process? So I think we're just trying to continue to improve everything that this team has set out to do. And honestly, a lot of it's been operator training and so they are more proficient, they make a lot of clinical batches, they made some practice runs, they obviously go through validation. So I think that's helping all the new employees gain a lot of experience with our process and our equipment. And that's probably the biggest thing we can be doing is just continue to build proficiency, because the operation is going to be running 24x7 for the foreseeable future. So, I think that's number one is making sure we're keeping our talent, we’re training our talent and we're getting them proficient in how to operate. It's a very multiple step process with different teams involved. So I think just getting each of those teams on a 24x7 basis operating, running equipment properly is really important.

Okay. Got it. And then just one last one, maybe on the Afrezza pediatric study. Can you just remind us how many sites you're ultimately targeting? And then as you think about expanding your sites here into Europe, how are you thinking about the balance, the regional enrollment between the U.S. versus ex-U.S. sites?

Yes. I think on the sites we've gone back and forth, but somewhere between 25 and 40 is – I think 40 is probably the max you would go to. We’ve got a couple investigators who have seven patients, eight patients and growing. So I think it's just a matter if we had 25 sites each getting 10 patients we will be done in the next nine months. Excuse me, in terms of enrollment. So I just think it's, how are we enrolling? How are we tracking? And it takes time to get a lot of these academic centers up and running from a contractual basis. So several great sites like [indiscernible] in Boston, Stanford, these guys are just coming on board right now. So, we haven't even really started a lot of the academic centers. So I think let’s see how they're progressing. I think in Europe we don't have a target number. I think it was more nice to hear some thought leaders that are really podium type presenters want to be involved in the trial. And so we're looking to see, we weren't trying to go to Europe but it doesn't hurt us to have a few sites in Europe, collect some patients there. And I think in that market Medtronic, 7AG was all the hype at ATTD. And thinking about an alternative opportunity to those patients who aren't on pumps is a real market opportunity in New York that we got to look at. And I think some of these countries have decent reimbursement and many of them don't have decent reimbursement. So I think it's just trying to understand what is the value proposition of Afrezza. For example, can you justify the cost of insulin pump or avoidance of a pump and that cost is equal to Afrezza versus MDI injection. So I think really understanding our pump-switch trial that we're doing, how that's going to show outcomes and efficacy, as well as the efficacy we get in PEDs, will start to drive some of the, the strategy for ex-U.S. But ultimately just getting PEDs done and getting good results will be important. And but we think probably 25 to 35 sites is going to get us there.

Got it. That makes sense. All right, guys, thanks for taking the questions. Appreciate it.

Thank you.

Your next question comes from the line of Bert Hazlett from BTIG. Your line is open.

Yes, thanks. Congrats on all the progress. And my apologies if some of this has been touched upon, but I came on late. But just with regard to Afrezza and the focus on the ultra-acting share, nice to hear, everybody has been able to get back together with salesforce meetings. Is there any contemplation of potential salesforce expansion, should this gain traction down the road or is that something that maybe really not under contemplation, you're really trying to find out more about what strategies are working or what could work at this point?

I think Bert like we will always – if we see ways to grow the company faster, we now have the capital to deploy. So, if Alejandro, and Ben and our team leading efforts over there, we can start to show, some consistent, week-over-week and month-over-month growth trends and marketing programs are starting to work. I think we have a good plan for ADA and AACE. So we have some good conferences this year, some good podium presentations. So again, if the noise is positive, we're seeing the momentum, we're happy to fuel that fire to make it grow faster. We're not looking to spend more than we are in a meaningful way until we start to see some additional progress. But we are willing to in the event, we do see that continue.

Okay, great. And then just with regard to Tyvaso DPI maybe you touched on it. But apologies if you have. Have you talked about expectations for the label of this? And then could you just comment on potential competitive landscape as you think about DPI rolling out? Again, obviously you are with a great partner, but love to hear your thoughts on competitive positioning of the molecule or the program. Thanks.

Yes. I think Bert, I'm not going to comment on the label. I think UT had their earnings call yesterday. They were pretty silent about that. So I'm going to defer to them on any comments on that question. And I think on the competitive landscape again, I know there's some patent wars between UT and Liquidia. I'm going to defer ultimately to the experts over there on those questions. So I don't want to – too much comment only because we're so close to the PDUFA date. Let's get that date across the finish line and then happy to talk further around those things.

Okay. Head to try though. Thank you.

If you did, it will be Bert. So thank you. Thank you Bert.

Your next question comes from the line of Steven Lichtman from Oppenheimer. Your line is open.

Hey, this is David on for Steve. Thanks for taking the questions. Just one for me regarding what's your latest outlook on sort of the macro landscape? Are you seeing any supply disruptions or inflationary pressures? And if so, how does that impact your gross margin outlook for the rest of the year? Thank you.

Yes, I think overall the company, we had to give slightly higher raises than historical. We know some of our suppliers are going up a little bit, but I'll let Steve comment. But obviously inflation is impacting everybody. But fortunately a lot of our operations are fixed costs and a little bit of variable. But Steve?

Yes. And a lot of our large supply agreements, we had locked in for a period of time, some of them will expire during the year and we'll have to renegotiate them. So I don't expect right now a huge increase, but there is definitely a slight increase over the previous year, but we're pretty well locked in for period of time.

And if you think about, on the flip side, the Euro and the dollar has gone in our favor and we have this large insulin supply commitment. So that's actually coming down from a cost perspective nicely. So, fortunately it probably balances each other out, but we're not seeing any major supply disruptions. We've bought lot of safety stock where we can see risk and there's things here that pop up, but we want to make sure a $2 pump or hose doesn't cause us to have a delay. So, the biggest impact honestly has been our BluHale device that we've been working on, the chips are going out of stock and there's free manufacturing. We got to redo the mother board other boards. That's been probably the biggest headache, but again, that's not impacting Afrezza or Tyvaso these are launch opportunities enhancements to accelerate growth, but they're not on the critical timeline yet, but those are probably little things that annoy us.

Okay, great. Appreciate the color guys.

Okay. Thank you, Dave.

Thank you, Steve.

And there are no other question at this time. Let me turn the call back to Mr. Michael Castagna, CEO for closing remarks.

I just want to say thank you to everyone for listening today. I know it's a turbulent time and we're on a tremendous amount of stress to continue to perform. And fortunately we're coming out of COVID, but we're entering into an inflationary period with a volatile stock market. MannKind is in a really good position to whether the storm we weathered worse over the last five years, and we feel very optimistic about the position we're in, as well as the opportunity to continue to grow the company on behalf of shareholders and help patients. So I just want to say thank you to everyone for all the work. And really looking forward to executing the rest of this year and hopefully having a great 2022. Thanks again. And we'll look forward to – I think, we have a couple of investor conferences coming up in the month of May. So you'll be hearing about those very shortly.

This concludes today’s conference call. Thank you all for participating. You may now disconnect.