Heron Therapeutics Announces Financial Results for the Three and Nine Months Ended September 30, 2020 and Highlights Recent Corporate Updates

SAN DIEGO, Nov. 5, 2020 /PRNewswire/ -- Heron Therapeutics, Inc. (Nasdaq: HRTX), a commercial-stage biotechnology company focused on improving the lives of patients by developing best-in-class treatments to address some of the most important unmet patient needs, today announced financial results for the three and nine months ended September 30, 2020 and highlighted recent corporate updates.

Recent Corporate Updates

Pain Management Franchise

    --  European Commission Authorization for ZYNRELEF(TM) for the Treatment of
        Postoperative Pain: In September 2020, the European Commission (EC)
        granted a marketing authorization for ZYNRELEF (formerly known as
        HTX-011) for the treatment of somatic postoperative pain from small- to
        medium-sized surgical wounds in adults. The marketing authorization
        follows the European Medicines Agency's positive opinion from the
        Committee for Medicinal Products for Human Use in July 2020. The EC's
        centralized marketing authorization is valid for the 27 countries that
        are members of the European Union (EU), and the other countries in the
        European Economic Area (EEA). We are currently assessing the evolving
        global environment for pharmaceuticals and developing a coordinated
        global marketing strategy, and at this time we anticipate making
        ZYNRELEF available to patients in Europe during the second half of 2021.
    --  Successful Outcome of FDA Type A Meeting to Discuss HTX-011 for the
        Management of Postoperative Pain: In September 2020, we announced a
        successful Type A meeting with the U.S. Food and Drug Administration
        (FDA) in which alignment was reached on the plans for Heron to resubmit
        the New Drug Application (NDA) for HTX-011 for the management of
        postoperative pain in the fourth quarter of 2020.

CINV Franchise

    --  CINV Net Product Sales: For the three and nine months ended September
        30, 2020, chemotherapy-induced nausea and vomiting (CINV) franchise net
        product sales were $20.0 million and $68.0 million, respectively,
        compared to $42.6 million and $110.9 million, respectively, for the same
        periods in 2019.


        --  CINVANTI(®) Net Product Sales: Net product sales of CINVANTI
            (aprepitant) injectable emulsion for the three and nine months ended
            September 30, 2020 were $19.8 million and $67.6 million,
            respectively, compared to $36.4 million and $97.6 million,
            respectively, for the same periods in 2019. Heron expects the impact
            of the generic arbitrage to be resolved in 2020, with a return to
            growth in 2021 and beyond.


        --  SUSTOL(®) Net Product Sales: Net product sales of SUSTOL
            (granisetron) extended-release injection for the three and nine
            months ended September 30, 2020 were $0.2 million and $0.4 million,
            respectively, compared to $6.2 million and $13.3 million,
            respectively, for the same periods in 2019. On October 1, 2019, the
            Company discontinued all discounting of SUSTOL, which resulted in
            significantly lower SUSTOL net product sales. Heron expects SUSTOL
            to return to growth in 2021 and beyond.
    --  2020 Net Product Sales Guidance: Although Heron anticipates a decrease
        in new diagnoses and chemotherapy patient starts because of the ongoing
        COVID-19 pandemic (COVID-19), the Company has increased its 2020
        guidance for net product sales for the CINV franchise from a range of
        $70 million to $80 million to net product sales of $85 million.

"The third quarter was highlighted by the authorization of ZYNRELEF in the EU and we remain focused on resubmitting the New Drug Application for HTX-011 in the U.S. as quickly as possible in order to bring this innovative non-opioid medicine to patients suffering from postoperative pain," said Barry Quart, Pharm.D., Chairman and Chief Executive Officer of Heron. "In addition, our CINV franchise is advancing well, with continued strong performance of CINVANTI against a backdrop of arbitrage and the ongoing global pandemic. Based on the strong commercial execution, we are very pleased to increase our guidance for 2020 to $85 million in net product sales."

Financial Results

Net product sales for the three and nine months ended September 30, 2020 were $20.0 million and $68.0 million, respectively, compared to $42.6 million and $110.9 million, respectively, for the same periods in 2019.

Heron's net loss for the three and nine months ended September 30, 2020 was $58.2 million and $165.0 million, or $0.64 per share and $1.82 per share, respectively, compared to $33.6 million and $146.8 million, or $0.42 per share and $1.85 per share, respectively, for the same periods in 2019. Net loss for the three and nine months ended September 30, 2020 included non-cash, stock-based compensation expense of $11.1 million and $34.2 million, respectively, compared to $9.7 million and $40.3 million, respectively, for the same periods in 2019.

As of September 30, 2020, Heron had cash, cash equivalents and short-term investments of $258.1 million, compared to $391.0 million as of December 31, 2019. Net cash used for operating activities for the nine months ended September 30, 2020 was $132.3 million, compared to $97.6 million for the same period in 2019. Heron expects that its current cash, cash equivalents and short-term investments will be sufficient to fund its operations into 2022.

About HTX-011 for Postoperative Pain (ZYNRELEF in the EU and EEA)

HTX-011, an investigational non-opioid analgesic, is a dual-acting, fixed-dose combination of the local anesthetic bupivacaine with a low dose of the nonsteroidal anti-inflammatory drug meloxicam. It is the first and only extended-release local anesthetic to demonstrate in Phase 3 studies significantly reduced pain and opioid use through 72 hours compared to bupivacaine solution, the current standard-of-care local anesthetic for postoperative pain control. The FDA granted Breakthrough Therapy designation to HTX-011 and the NDA received Priority Review designation. A complete response letter (CRL) was received from the FDA regarding the NDA for HTX-011 in June 2020 relating to non clinical information. No clinical safety or efficacy issues and no chemistry, manufacturing and controls issues were identified. Heron's New Drug Submission (NDS) for HTX-011 for the management of postoperative pain was accepted by Health Canada. Heron is working to respond to a list of questions received from Health Canada in July 2020. In September 2020, the EC granted a marketing authorization for ZYNRELEF (also known as HTX-011) for the treatment of somatic postoperative pain from small- to medium-sized surgical wounds in adults. The EC's centralized marketing authorization is valid for the 27 countries that are members of the EU, and the other countries in the EEA.

About CINVANTI (Aprepitant) Injectable Emulsion

CINVANTI, in combination with other antiemetic agents, is indicated in adults for the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of highly emetogenic cancer chemotherapy (HEC) including high-dose cisplatin as a single-dose regimen, delayed nausea and vomiting associated with initial and repeat courses of moderately emetogenic cancer chemotherapy (MEC) as a single-dose regimen, and nausea and vomiting associated with initial and repeat courses of MEC as a 3-day regimen. CINVANTI is an IV formulation of aprepitant, a substance P/neurokinin-1 (NK(1)) receptor antagonist (RA). CINVANTI is the first IV formulation to directly deliver aprepitant, the active ingredient in EMEND(®) capsules. Aprepitant (including its prodrug, fosaprepitant) is the only single-agent NK(1) RA to significantly reduce nausea and vomiting in both the acute phase (0-24 hours after chemotherapy) and the delayed phase (24-120 hours after chemotherapy). The FDA-approved dosing administration included in the United States prescribing information for CINVANTI is a 30-minute IV infusion or a 2-minute IV injection.

CINVANTI is under investigation for the treatment of COVID-19 as a daily 2-minute IV injection when added to the current standard of care.

Please see full prescribing information at www.CINVANTI.com.

About SUSTOL (Granisetron) Extended-Release Injection

SUSTOL is indicated in combination with other antiemetics in adults for the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of moderately emetogenic chemotherapy (MEC) or anthracycline and cyclophosphamide (AC) combination chemotherapy regimens. SUSTOL is an extended-release, injectable 5-HT(3) receptor antagonist that utilizes Heron's Biochronomer(®) drug delivery technology to maintain therapeutic levels of granisetron for >=5 days. The SUSTOL global Phase 3 development program was comprised of two, large, guideline-based clinical studies that evaluated SUSTOL's efficacy and safety in more than 2,000 patients with cancer. SUSTOL's efficacy in preventing nausea and vomiting was evaluated in both the acute phase (0-24 hours after chemotherapy) and delayed phase (24-120 hours after chemotherapy).

Please see full prescribing information at www.SUSTOL.com.

About Heron Therapeutics, Inc.

Heron Therapeutics, Inc. is a commercial-stage biotechnology company focused on improving the lives of patients by developing best-in-class treatments to address some of the most important unmet patient needs. Heron is developing novel, patient-focused solutions that apply its innovative science and technologies to already-approved pharmacological agents for patients suffering from pain or cancer. For more information, visit www.herontx.com.

Forward-looking Statements

This news release contains "forward-looking statements" as defined by the Private Securities Litigation Reform Act of 1995. Heron cautions readers that forward-looking statements are based on management's expectations and assumptions as of the date of this news release and are subject to certain risks and uncertainties that could cause actual results to differ materially, including, but not limited to, those associated with: the timing of the NDA resubmission to the FDA; whether the FDA approves the NDA for HTX-011; the timing of the commercial launch of HTX-011 in the U.S.; the timing of the commercial launch of ZYNRELEF in Europe; the timing of Health Canada's NDS review process for HTX-011; whether Health Canada issues a Notice of Compliance for the NDS for HTX-011; the full-year 2020 net product sales guidance for the CINV franchise; the expected future balances of Heron's cash, cash equivalents and short-term investments; the expected duration over which Heron's cash, cash equivalents and short-term investments balances will fund its operations; the extent of the impact of the ongoing COVID-19 pandemic on our business and other risks and uncertainties identified in the Company's filings with the U.S. Securities and Exchange Commission. Forward-looking statements reflect our analysis only on their stated date, and Heron takes no obligation to update or revise these statements except as may be required by law.


                                                                                   
      
              HERON THERAPEUTICS, INC.


                                                                                  
      Condensed Consolidated Balance Sheets


                                                                                       
            (In thousands)




                                                                                                            September 30,                  December 31,

                                                                                                                     2020                           2019



                                                                                                             (Unaudited)


                                        
            
              ASSETS



     Current assets:



     Cash and cash equivalents                                                                                             $
          95,141                $
            71,898



     Short-term investments                                                                                                       163,005                         319,074



     Accounts receivable, net                                                                                                      33,654                          39,879



     Inventory                                                                                                                     42,749                          24,968



     Prepaid expenses and other current assets                                                                                     16,446                          23,245




     Total current assets                                                                                                         350,995                         479,064



     Property and equipment, net                                                                                                   21,741                          19,618



     Right-of-use lease assets                                                                                                     16,941                          13,754



     Other assets                                                                                                                     346                             346




     Total assets                                                                                                         $
          390,023               $
            512,782



                         
            
              LIABILITIES AND STOCKHOLDERS' EQUITY



     Current liabilities:



     Accounts payable                                                                                                      $
          12,067                 $
            2,758



     Accrued clinical and manufacturing liabilities                                                                                40,718                          34,614



     Accrued payroll and employee liabilities                                                                                      13,235                          15,248



     Other accrued liabilities                                                                                                     22,009                          36,535



     Current lease liabilities                                                                                                      2,912                           1,926



     Convertible notes payable to related parties, net of discount                                                                  6,637                           5,624




     Total current liabilities                                                                                                     97,578                          96,705



     Non-current lease liabilities                                                                                                 15,298                          12,242




     Total liabilities                                                                                                            112,876                         108,947




     Stockholders' equity:



     Common stock                                                                                                                     909                             903



     Additional paid-in capital                                                                                                 1,606,165                       1,568,317



     Accumulated other comprehensive income                                                                                           540                              85



     Accumulated deficit                                                                                                      (1,330,467)                    (1,165,470)




     Total stockholders' equity                                                                                                   277,147                         403,835




     Total liabilities and stockholders' equity                                                                           $
          390,023               $
            512,782


                                                                                     
              
                HERON THERAPEUTICS, INC.


                                                                                
              Condensed Consolidated Statements of Operations


                                                                                    
              (In thousands, except per share amounts)




                                                             Three Months Ended                                     Nine Months Ended
                                               September 30,                                      September 30,



                                           2020                                 2019                                                             2020 2019



                                                               
              
              (unaudited)



     Revenues:



     Net product sales                                $
              19,965                                                               $
        42,624            $
          68,033      $
          110,885



     Operating expenses:



     Cost of product sales                                         7,170                                                                     17,195                    26,797               45,745



     Research and development                                     49,182                                                                     34,708                   130,080              119,105


      General and administrative                                    9,482                                                                      8,597                    29,723               28,023



     Sales and marketing                                          12,515                                                                     16,977                    48,300               69,344




     Total operating expenses                                     78,349                                                                     77,477                   234,900              262,217




     Loss from operations                                       (58,384)                                                                  (34,853)                (166,867)           (151,332)



     Other income, net                                               156                                                                      1,258                     1,870                4,503




     Net loss                                       $
              (58,228)                                                            $
        (33,595)        $
          (164,997)   $
          (146,829)





      Basic and diluted net loss per share             $
              (0.64)                                                              $
        (0.42)           $
          (1.82)      $
          (1.85)





      Shares used in computing basic and
       diluted net loss per share                                  90,849                                                                     79,940                    90,671               79,308


                                                      
          
                HERON THERAPEUTICS, INC.


                                                    
       Condensed Consolidated Statements of Cash Flows


                                                             
              (In thousands)




                                                                         Nine Months Ended

                                                                           September 30,



                                                                                      2020                        2019



                                                                            (unaudited)



     
                Operating activities:



     Net loss                                                                                    $
        (164,997)      $
        (146,829)


      Adjustments to reconcile net loss to net cash
       used for operating activities:



     Stock-based compensation expense                                                                     34,183                40,312



     Depreciation and amortization                                                                         2,135                 1,480



     Amortization of debt discount                                                                         1,013                   780


      Realized gain on available-for-sale
       securities                                                                                                                  (8)


      Amortization of premium (accretion of
       discount) on short-term investments                                                                     39               (3,264)


      Impairment of property and equipment                                                                     61                    80


      Loss on disposal of property and equipment                                                                                    53


      Change in operating assets and liabilities:



     Accounts receivable                                                                                   6,225               (2,303)



     Inventory                                                                                          (17,781)               14,860



     Prepaid expenses and other assets                                                                     6,799               (5,549)



     Accounts payable                                                                                      9,309              (15,236)


      Accrued clinical and manufacturing
       liabilities                                                                                          6,104                 1,603


      Accrued payroll and employee liabilities                                                            (2,013)              (3,263)



     Other accrued liabilities                                                                          (13,343)               19,681



      Net cash used for operating activities                                                            (132,266)             (97,603)



     
                Investing activities:


      Purchases of short-term investments                                                                (92,040)            (287,579)


      Maturities and sales of short-term
       investments                                                                                        248,525               395,406


      Purchases of property and equipment                                                                 (4,319)              (3,251)



      Net cash provided by investing activities                                                           152,166               104,576



     
                Financing activities:


      Net proceeds from sale of common stock                                                                                     (110)


      Proceeds from stock option exercises                                                                  1,833                20,239


      Proceeds from purchases under the Employee
       Stock Purchase Plan                                                                                  1,507                 1,170



     Proceeds from warrant exercises                                                                           3



      Net cash provided by financing activities                                                             3,343                21,299



      Net increase in cash and cash equivalents                                                            23,243                28,272


      Cash and cash equivalents at beginning of
       year                                                                                                71,898                31,836



      Cash and cash equivalents at end of period                                                     $
        95,141         $
         60,108

Investor Relations and Media Contact:
David Szekeres
EVP, Chief Operating Officer
Heron Therapeutics, Inc.
dszekeres@herontx.com
858-251-4447

View original content:http://www.prnewswire.com/news-releases/heron-therapeutics-announces-financial-results-for-the-three-and-nine-months-ended--september-30-2020-and-highlights-recent-corporate-updates-301166525.html

SOURCE Heron Therapeutics, Inc.