Neurocrine Biosciences Reports First Quarter 2024 Financial Results

INGREZZA(®) (valbenazine) First Quarter Net Product Sales of $506 Million Representing 23% Year-Over-Year Growth

INGREZZA(®) SPRINKLE (valbenazine) Capsules Approved by the U.S. FDA

Crinecerfont New Drug Applications for the Treatment of Congenital Adrenal Hyperplasia Submitted to the U.S. FDA

Positive Phase 2 Top-Line Data for NBI-1065845, a Potential First-In-Class AMPA Positive Allosteric Modulator, in Adults with Major Depressive Disorder

SAN DIEGO, May 1, 2024 /PRNewswire/ -- Neurocrine Biosciences, Inc. (Nasdaq: NBIX) today announced its financial results for the first quarter ended March 31, 2024 and provided an update on its 2024 financial guidance.

"Significant unmet need still exists for the many patients living with tardive dyskinesia as exemplified with INGREZZA's first quarter year-over-year growth of 23%," said Kevin Gorman, Ph.D., Chief Executive Officer of Neurocrine Biosciences. "With the recent New Drug Application submissions for crinecerfont, positive Phase 2 results for a potential first-in-class medication in NBI-'845 for major depressive disorder, and the deepest pipeline in our company's history, Neurocrine Biosciences is well positioned to become a leader in neuroscience."

Financial Highlights


                                                                                        Three Months Ended

                                                                                            March 31,



     
              
                (unaudited, in millions, except per share data)      2024                             2023



     Revenues:



     Net Product Sales                                                          $509.0                           $415.3



     Collaboration Revenue                                                         6.3                              5.1



     Total Revenues                                                             $515.3                           $420.4





     GAAP Research and Development (R&D)                                        $159.4                           $139.5



     Non-GAAP R&D                                                               $142.4                           $125.7





     GAAP Selling, General and Administrative (SG&A)                            $243.1                           $242.7



     Non-GAAP SG&A                                                              $215.6                           $216.6





     GAAP Net Income (Loss)                                                      $43.4                          $(76.6)



     GAAP Earnings (Loss) Per Share - Diluted                                    $0.42                          $(0.79)





     Non-GAAP Net Income (Loss)                                                 $124.8                          $(49.5)



     Non-GAAP Earnings (Loss) Per Share - Diluted                                $1.20                          $(0.51)





     
              
                (unaudited, in millions)                        March 31,                    December 31,

                                                                                   2024                             2023



     Total Cash, Cash Equivalents and Marketable Securities                   $1,911.0                         $1,719.1

INGREZZA Net Product Sales Highlights

    --  INGREZZA first quarter 2024 net product sales were $506 million and grew
        23% compared to the first quarter 2023
    --  Year-over-year growth driven by strong underlying patient demand and
        improvement in gross-to-net dynamics

Other Key Financial Highlights

    --  Differences in first quarter 2024 GAAP and non-GAAP operating expenses
        compared with first quarter 2023 were driven by:
        --  Increased R&D expense in support of an expanded and advancing
            clinical portfolio including preclinical investments in muscarinic
            compounds, gene therapy programs and second generation VMAT2
            inhibitors
        --  Flat SG&A expense includes continued investment in INGREZZA and
            incremental investment in crinecerfont-related headcount and
            pre-launch activities
    --  First quarter 2024 GAAP net income and earnings per share were $43
        million and $0.42, respectively, compared with GAAP net loss and loss
        per share of $77 million and $0.79, respectively, for first quarter 2023
    --  First quarter 2024 non-GAAP net income and earnings per share were $125
        million and $1.20, respectively, compared with non-GAAP net loss and
        loss per share of $50 million and $0.51, respectively, for first quarter
        2023
    --  Differences in first quarter 2024 GAAP and non-GAAP net income compared
        with first quarter 2023 driven by:
        --  Higher INGREZZA net sales and improved operating margin
        --  First quarter 2024 includes $89 million charge associated with
            convertible senior notes election to settle outstanding principal
            and conversion premium in cash (non-GAAP adjustment)
        --  First quarter 2023 includes Acquired In-Process R&D (IPR&D) expense
            of $144 million associated with expansion of strategic partnership
            with Voyager Therapeutics, Inc. (Voyager)
    --  At March 31, 2024, the Company had cash, cash equivalents and marketable
        securities totaling approximately $1.9 billion

A reconciliation of GAAP to non-GAAP financial results can be found in Table 3 and Table 4 at the end of this news release.

Recent Developments

    --  In January, the Company elected to settle the convertible senior notes
        due May 2024 in cash.
    --  In April, the Company reported positive Phase 2 data for its completed
        Phase 2 study of NBI-1065845 in adult subjects with major depressive
        disorder. The study met its primary and key secondary endpoints,
        demonstrating that once-daily, oral administration of NBI-1065845
        produced a statistically significant change from baseline in Montgomery
        Asberg Depression Rating Scale (MADRS) total score at both Day 28
        (primary endpoint) and Day 56 (key secondary endpoint).
    --  In April, the Company submitted two New Drug Applications to the FDA for
        crinecerfont as a treatment for adult and pediatric patients with
        classic congenital adrenal hyperplasia.
    --  In April, the Company received approval from the U.S. Food and Drug
        Administration for INGREZZA SPRINKLE (valbenazine) capsules, a new oral
        granules formulation of INGREZZA (valbenazine) capsules.

Reaffirmed 2024 Net Sales Guidance and Updated Expense Guidance


                                                       Range



     
                
                  (in millions)    Low        High



     INGREZZA Net Product Sales (1)            $2,100       $2,200





     GAAP R&D Expense (2)                        $665         $695



     Non-GAAP R&D Expense (3)                    $600         $630





     GAAP and Non-GAAP IPR&D 4                     $6           $6





     GAAP SG&A Expense 5                         $920         $940



     Non-GAAP SG&A Expense 3, 5                  $810         $830




     1. INGREZZA sales guidance reflects expected net product sales of INGREZZA in tardive dyskinesia and chorea
          associated with Huntington's disease.



     2. GAAP R&D guidance includes approximately $34 million expense for development milestones in connection
          with our collaborations (Nxera, Voyager and Takeda) achieved in first quarter 2024 or achievement is
          deemed probable in second quarter 2024. These milestone expenses are associated with our advancing pre-
          clinical and clinical pipeline.



     3. Non-GAAP guidance adjusted primarily to exclude estimated non-cash stock-based compensation expense
          of $65 million in R&D and $110 million in SG&A.



     4. Acquired in-process R&D (IPR&D) is included in guidance once significant collaboration and licensing
          arrangements have been completed.



     5. SG&A guidance range reflects expense for ongoing commercial initiatives supporting INGREZZA growth
          including the expanded indication to treat chorea associated with Huntington's disease and pre-launch
          commercial activities for crinecerfont.



       
                --   2024 Expected Pipeline Milestones and Key Activities

    ---




       
                Program                                                  
              
                Indication                             Expected Milestones /Key
                                                                                                                                              Activities



       INGREZZA*                                                                        Sprinkle Formulation for Tardive       Approved by FDA on April 30,
                                                                                          Dyskinesia                             2024
                                                                              / Chorea in Huntington's Disease

       (Selective VMAT2 Inhibitor)



       Crinecerfont                                                                     Congenital Adrenal Hyperplasia         Submitted New Drug Applications
                                                                                                                                 to the FDA


       (
              CRF1 Receptor Antagonist
              )                      
              (Pediatric and Adult)



       NBI-1065845**                                                                    Inadequate Response in Major           Reported Positive Top-Line
                                                                                          Depressive Disorder                    Phase 2 Data;


       (AMPA Potentiator)                                                                                                    Engaging with FDA on Path
                                                                                                                                 Forward



       Efmody                                                                
              Adrenal Insufficiency                  Reported Positive Top-Line
                                                                                                                                 Phase 2 Data


       (Hydrocortisone Modified Release Hard Capsules)



       Efmody                                                                           Congenital Adrenal Hyperplasia         Reported Positive Top-Line
                                                                                                                                 Phase 2 Data


       (Hydrocortisone Modified Release Hard Capsules)



       NBI-1117568**                                                          
              Schizophrenia                          Top-Line Phase 2 Data in Q3'24


       (M4 Agonist)



       Luvadaxistat**                                                                   Cognitive Impairment Associated with
                                                                                          Schizophrenia                         Top-Line Phase 2 Data in Q3'24


       (DAAO Inhibitor)



       NBI-1070770**                                                         
              Major Depressive Disorder              Initiated Phase 2 Study


       (NMDA NR2B NAM)



       NBI-1065890                                                           
              CNS Indications                        Initiated Phase 1 Study


       (Selective VMAT2 Inhibitor)



       NBI-1117569**                                                          
              CNS Indications                        Initiated Phase 1 Study


       (M4-Prefering Agonist)



       NBI-1117570**                                                          
              CNS Indications                        Initiated Phase 1 Study


       (M1/M4 Dual Agonist)



       NBI-1117567**                                                          
              CNS Indications                        Initiating Phase 1 Study


       (M1 Agonist)



       NBI-1076986                                                           
              Movement Disorders                     Initiating Phase 1 Study


       (M4 Antagonist)



     Key: VMAT2 = Vesicular Monoamine Transporter 2; CFR1 = Corticotropin-Releasing Factor Type 1; AMPA = alpha-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid; M4 = M4 Muscarinic Receptor; DAAO = d-amino acid oxidase; NMDA NR2B NAM = n-methyl-
      d-aspartate Receptor Subtype 2B Negative Allosteric Modulator; M1 = M1 Muscarinic Receptor




     Neurocrine Biosciences Partners: * Mitsubishi Tanabe Pharma Corporation has commercialization rights in East Asia; ** Partnered with Takeda Pharmaceutical Company Limited; ** In-Licensed from Nxera Pharma UK Limited (formerly Sosei Heptares)

Conference Call and Webcast Today at 8:00 AM Eastern Time
Neurocrine Biosciences will hold a live conference call and webcast today at 8:00 a.m. Eastern Time (5:00 a.m. Pacific Time). Participants can access the live conference call by dialing 800-343-4136 (US) or 203-518-9814 (International) using the conference ID: NBIX. The webcast and accompanying slides can also be accessed at approximately 8:00 a.m. Eastern Time on Neurocrine Biosciences' website under Investors at www.neurocrine.com. A replay of the webcast will be available on the website approximately one hour after the conclusion of the event and will be archived for approximately one month.

About Neurocrine Biosciences
Neurocrine Biosciences is a neuroscience-focused, biopharmaceutical company with a simple purpose: to relieve suffering for people with great needs, but few options. We are dedicated to discovering and developing life-changing treatments for patients with under-addressed neurological, neuroendocrine, and neuropsychiatric disorders. The company's diverse portfolio includes FDA-approved treatments for tardive dyskinesia, chorea associated with Huntington's disease, endometriosis* and uterine fibroids*, as well as a robust pipeline including multiple compounds in mid- to late-phase clinical development across our core therapeutic areas. For three decades, we have applied our unique insight into neuroscience and the interconnections between brain and body systems to treat complex conditions. We relentlessly pursue medicines to ease the burden of debilitating diseases and disorders, because you deserve brave science. For more information, visit neurocrine.com, and follow the company on LinkedIn, X (Formerly Twitter) and Facebook. (*in collaboration with AbbVie)

NEUROCRINE BIOSCIENCES, NEUROCRINE and YOU DESERVE BRAVE SCIENCE are registered trademarks of Neurocrine Biosciences, Inc. The Neurocrine logo is a trademark of Neurocrine Biosciences, Inc.

Non-GAAP Financial Measures
In addition to the financial results and financial guidance that are provided in accordance with accounting principles generally accepted in the United States (GAAP), this press release also contains the following non-GAAP financial measures: non-GAAP R&D expense, non-GAAP SG&A expense, and non-GAAP net income and net income per share. When preparing the non-GAAP financial results and guidance, the Company excludes certain GAAP items that management does not consider to be normal, including recurring cash operating expenses that might not meet the definition of unusual or non-recurring items. In particular, these non-GAAP financial measures exclude: non-cash stock-based compensation expense, loss on extinguishment of convertible senior notes, charges associated with convertible senior notes, non-cash interest expense related to convertible debt, non-cash amortization expense related to acquired intangible assets, acquisition and integration costs, changes in fair value of equity security investments, changes in foreign currency exchange rates and certain adjustments to income tax expense. These non-GAAP financial measures are provided as a complement to results provided in accordance with GAAP as management believes these non-GAAP financial measures help indicate underlying trends in the Company's business, are important in comparing current results with prior period results and provide additional information regarding the Company's financial position. Management also uses these non-GAAP financial measures to establish budgets and operational goals that are communicated internally and externally and to manage the Company's business and evaluate its performance. The Company provides guidance regarding combined R&D and SG&A expenses on both a GAAP and a non-GAAP basis. A reconciliation of these GAAP financial results to non-GAAP financial results is included in the attached financial information.

Forward-Looking Statements
In addition to historical facts, this press release contains forward-looking statements that involve a number of risks and uncertainties. These statements include, but are not limited to, statements related to: the benefits to be derived from our products and product candidates; the value our products and/or our product candidates may bring to patients; the continued success of INGREZZA; our financial and operating performance, including our future revenues, expenses, or profits; our collaborative partnerships; expected future clinical and regulatory milestones; and the timing of the initiation and/or completion of our clinical, regulatory, and other development activities and those of our collaboration partners. Among the factors that could cause actual results to differ materially from those indicated in the forward-looking statements are: our future financial and operating performance; risks and uncertainties associated with the commercialization of INGREZZA; risks related to the development of our product candidates; risks associated with our dependence on third parties for development, manufacturing, and commercialization activities for our products and product candidates, and our ability to manage these third parties; risks that the FDA or other regulatory authorities may make adverse decisions regarding our products or product candidates; risks that clinical development activities may not be initiated or completed on time or at all, or may be delayed for regulatory, manufacturing, or other reasons, may not be successful or replicate previous clinical trial results, may fail to demonstrate that our product candidates are safe and effective, or may not be predictive of real-world results or of results in subsequent clinical trials; risks that the potential benefits of the agreements with our collaboration partners may never be realized; risks that our products, and/or our product candidates may be precluded from commercialization by the proprietary or regulatory rights of third parties, or have unintended side effects, adverse reactions or incidents of misuse; risks associated with government and third-party regulatory and/or policy efforts which may, among other things, impose sales and pharmaceutical pricing controls on our products or limit coverage and/or reimbursement for our products; risks associated with competition from other therapies or products, including potential generic entrants for our products; and other risks described in our periodic reports filed with the SEC, including our Quarterly Report on Form 10-Q for the quarter ended March 31, 2024. Neurocrine Biosciences disclaims any obligation to update the statements contained in this press release after the date hereof other than as required by law.


                                            
              
                TABLE 1




                                  
              
                NEUROCRINE BIOSCIENCES, INC.

                        
              
                CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

                                          
              
                (unaudited)




                                                                                                                   Three Months Ended
                                                                                                
            March 31,



     
                
                  (in millions, except per share data)                              2024             2023



     Revenues:



     Net product sales                                                                           $509.0           $415.3



     Collaboration revenue                                                                          6.3              5.1



     Total revenues                                                                               515.3            420.4



     Operating expenses:



     Cost of revenues                                                                               7.5              8.5



     Research and development                                                                     159.4            139.5



     Acquired in-process research and development                                                   6.0            143.9



     Selling, general and administrative                                                          243.1            242.7



     Total operating expenses                                                                     416.0            534.6



     Operating income (loss)                                                                       99.3          (114.2)



     Other (expense) income:



     Interest expense                                                                             (1.1)           (1.1)



     Unrealized gain on equity security investments                                                 1.6              2.2



     Charges associated with convertible senior notes                                            (88.7)



     Investment income and other, net                                                              23.4              9.8



     Total other (expense) income, net                                                           (64.8)            10.9



     Income (loss) before benefit from income taxes                                                34.5          (103.3)



     Benefit from income taxes                                                                    (8.9)          (26.7)



     Net income (loss)                                                                            $43.4          $(76.6)





     Earnings (loss) per share, basic                                                             $0.43          $(0.79)



     Earnings (loss) per share, diluted                                                           $0.42          $(0.79)





     Weighted average common shares outstanding, basic                                             99.8             97.1



     Weighted average common shares outstanding, diluted                                          103.6             97.1


                                                                   
              
                TABLE 2




                                                        
              
                NEUROCRINE BIOSCIENCES, INC.

                                                    
              
                CONDENSED CONSOLIDATED BALANCE SHEETS

                                                                 
              
                (unaudited)





     
                
                  (in millions)                                                                   March 31, December 31,

                                                                                                                       2024          2023



     Cash, cash equivalents and marketable securities                                                             $1,210.6      $1,031.6



     Other current assets                                                                                            588.4         575.4



     Total current assets                                                                                          1,799.0       1,607.0



     Deferred tax assets                                                                                             378.2         362.6



     Debt securities available-for-sale                                                                              700.4         687.5



     Right-of-use assets                                                                                             270.8         276.5



     Equity security investments                                                                                     163.5         161.9



     Property and equipment, net                                                                                      75.3          70.8



     Intangible assets, net                                                                                           34.3          35.5



     Other assets                                                                                                     50.9          49.6



     Total assets                                                                                                 $3,472.4      $3,251.4





     Convertible senior notes, at carrying value ($170.4 million face value)                                        $122.8        $170.1



     Convertible senior notes embedded derivative liability                                                          136.2



     Other current liabilities                                                                                       453.9         484.7



     Total current liabilities                                                                                       712.9         654.8



     Operating lease liabilities                                                                                     252.9         258.3



     Other long-term liabilities                                                                                     120.5         106.3



     Stockholders' equity                                                                                          2,386.1       2,232.0



     Total liabilities and stockholders' equity                                                                   $3,472.4      $3,251.4


                                                 
              
                TABLE 3




                                      
              
                NEUROCRINE BIOSCIENCES, INC.

                          
              
                RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL RESULTS

                                               
              
                (unaudited)




                                                                                                                        Three Months Ended
                                                                                                       
            March 31,



     
                
                  (in millions, except per share data)                                     2024             2023



     GAAP net income (loss)                                                                              $43.4          $(76.6)



     Adjustments:



     Stock-based compensation expense - R&D                                                               17.0             13.8



     Stock-based compensation expense - SG&A                                                              27.5             26.1



     Charges associated with convertible senior notes (1)                                                 88.7



     Non-cash interest related to convertible senior notes                                                 0.2              0.2



     Non-cash amortization related to acquired intangible assets                                           0.9              0.9



     Changes in fair value of equity security investments (2)                                            (1.6)           (2.2)



     Income tax effect related to reconciling items (3)                                                 (51.3)          (11.7)



     Non-GAAP net income                                                                                $124.8          $(49.5)





     Diluted earnings per share:



     GAAP                                                                                                $0.42          $(0.79)



     Non-GAAP                                                                                            $1.20          $(0.51)




     1. Reflects charges associated with election to cash settle principal and conversion premium of convertible
          senior notes and the requirement to bifurcate the embedded conversion option and accrete to other
          expense.



     2. Reflects periodic fluctuations in the fair values of the Company's equity security investments.



     3. Estimated income tax effect of non-GAAP reconciling items are calculated using applicable statutory tax
          rates, taking into consideration any valuation allowance and adjustments to exclude tax benefits or
          expenses associated with charges associated with convertible senior notes and  non-cash stock-based
          compensation.


                                                 
              
                TABLE 4




                                       
              
                NEUROCRINE BIOSCIENCES, INC.

                               
              
                RECONCILIATION OF GAAP TO NON-GAAP EXPENSES

                                               
              
                (unaudited)




                                                                                                                    Three Months Ended
                                                                                                   
             March 31,



     
                
                  (in millions)                                                         2024              2023



     GAAP cost of revenues                                                                             $7.5              $8.5



     Adjustments:



     Non-cash amortization related to acquired intangible assets                                        0.9               0.9



     Non-GAAP cost of revenues                                                                         $6.6              $7.6




                                                                                                                    Three Months Ended
                                                                                                   
             March 31,



     
                
                  (in millions)                                                         2024              2023



     GAAP R&D                                                                                        $159.4            $139.5



     Adjustments:



     Stock-based compensation expense                                                                  17.0              13.8



     Non-GAAP R&D                                                                                    $142.4            $125.7




                                                                                                                    Three Months Ended
                                                                                                   
             March 31,



     
                
                  (in millions)                                                         2024              2023



     GAAP SG&A                                                                                       $243.1            $242.7



     Adjustments:



     Stock-based compensation expense                                                                  27.5              26.1



     Non-GAAP SG&A                                                                                   $215.6            $216.6




                                                                                                                    Three Months Ended
                                                                                                   
             March 31,



     
                
                  (in millions)                                                         2024              2023



     GAAP other (expense) income, net                                                               $(64.8)            $10.9



     Adjustments:



     Charges associated with convertible senior notes                                                  88.7



     Non-cash interest related to convertible senior notes                                              0.2               0.2



     Changes in fair value of equity security investments                                             (1.6)            (2.2)



     Non-GAAP other income, net                                                                       $22.5              $8.9

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SOURCE Neurocrine Biosciences, Inc.