Radius Health, Inc. Fourth Quarter & Full Year 2021 Results
- Q4 2021 TYMLOS® net revenue of
$65 million vs.$60 million in Q4 2020, up 9% - This is a record quarter – over 18 quarters – since the launch in
May 2017 - FY 2021 TYMLOS Net Revenue of
$219 vs.$208 million in FY 2020, up 5% - Net Loss reduced by ~36%:
($70) million FY 2021 vs($109) million FY 2020 - Adjusted EBITDA (Non-GAAP) loss reduced by ~56%:
($24) million FY 2021 vs.($54) million FY 2020 - FY 2022 financial objectives:
$232 million TYMLOS Net Revenue- Incorporate seasonality of Net Revenue: ~42% in 1H and ~58% in 2H 2022
- (
$5 ) to$5 million Net Loss $35 to$45 million Company Adjusted EBITDA (Non-GAAP)
- FY 2022 asset objectives:
- File abaloparatide male sNDA in Q1 2022 and elacestrant monotherapy NDA in Q2 2022
- ‘Gated’ RAD011 pivotal trial initiations: Prader-Willi syndrome, Angelman syndrome, and Infantile Spasms
CEO
Martin added further, “Key elements to the pivot year of 2022 and beyond, including business philosophy and approach, are: (1) return of capital: 100% of all elacestrant proceeds, including net royalties and milestones will go directly to creditors and shareholders through debt paydown, share buy backs and/or dividends, (2) attain and maintain earnings – Cash EPS – on a full year basis, (3) crystalize the value of the previously generated
Martin concluded by highlighting, “The recent market dislocation for biotechnology and biopharmaceutical company values has been significant. Our view is that capital markets will remain uncertain – for this sector and in terms of values and funding – for the foreseeable future. Within this challenging environment Radius has the opportunity to differentiate itself. Three distinct and valuable assets, $100+ million in cash and a manageable balance sheet, improving margins as well as the prospects of generating cash flow all comprise a strong foundation to create value for shareholders and other stakeholders.”
Q4 2021 FINANCIAL HIGHLIGHTS:
- TYMLOS Net Revenue:
$65 million vs.$60 million in Q4 2020, up 9% - Total Net Revenue:
$65 million vs.$63 million in Q4 2020, up 4%
FY 2021 FINANCIAL HIGHLIGHTS:
- TYMLOS Net Revenue:
$219 million vs.$208 million in FY 2020, up 5% - Total Net Revenue:
$230 million vs.$239 million in FY 2020, down 4% due to Menarini payment in 2020 - Net Loss of
($70) million in FY 2021 vs($109) million in FY 2020, improvement of$39 million - Adjusted EBITDA (Non-GAAP) of
($24) million in FY 2021 vs.($54) million in FY 2020, improvement of$30 million 1 - Diluted EPS (GAAP): (
$1.49 ) in FY 2021 vs. ($2.35 ) in FY 2020 - TYMLOS Net Revenue per Commercial employee:
$1.6 million vs.$1.1 million in FY 2020, up 47% $112 million of cash, cash equivalents and marketable securities as ofDecember 31, 2021
2022 FINANCIAL OBJECTIVES:
$232 million TYMLOS Net Revenue; ~42% in 1H and ~58% in 2H 2022- (
$5 ) to$5 million Net Loss $35 to$45 million Company Adjusted EBITDA (Non-GAAP)2
ASSETS Update:
Abaloparatide
- TYMLOS
U.S. Commercial- Net revenue per commercial employee up 47%:
$1.6m in FY 2021 vs.$1.1m in FY 2020 - Four patents listed in the Orange Book: last patent to expire on
April 30, 2038 - Eligible to receive Paragraph IV challenge as of
April 28, 2021 ; no challenges received to date
- Net revenue per commercial employee up 47%:
- TYMLOS Label
- Effective 9/20/21: MOA section updated based on evidence TYMLOS helps build new bone
- Effective 12/22/21:
Food and Drug Administration (FDA) removal of boxed warning with an update to the Warnings and Precautions of the potential risk of osteosarcoma
- ATOM study – males with osteoporosis
- As previously announced on 10/18/21, the Phase 3 ATOM study met its primary endpoint of change in lumbar spine bone mineral density in males with osteoporosis
- Supplemental New Drug Application (sNDA) on track for submission to the FDA in Q1 2022 with a 10-month review
- wearABLe study – abaloparatide transdermal system (abalo-TDS)
- As previously announced on 12/8/21, abalo-TDS did not demonstrate non-inferiority to TYMLOS in the Phase 3 wearABLe study
- Spine BMD vs. baseline: abalo-TDS: +7.1% vs. TYMLOS +10.9%, both considered clinically meaningful
- Based on the detailed data analysis, we have requested a follow up meeting with the FDA
- International
- Resubmitted dossier to the
European Medicines Agency (EMA) onNovember 4, 2021 - Partner
Teijin Pharma received approval for abaloparatide acetate inMarch 2021 - Partner
Paladin Labs Inc. submitted abaloparatide-SC toHealth Canada inDecember 2021 - Finalizing additional regions
- Resubmitted dossier to the
Elacestrant
- As previously announced on
October 20, 2021 EMERALD, a pivotal study evaluating elacestrant in breast cancer, was positive as a monotherapy vs. the standard of care for patients with ER+/HER2- advanced or metastatic breast cancer (mBC), including those with the Estrogen Receptor Mutation (ESR1) - The study met both primary endpoints for the overall population as well as the ESR1 mutation subgroup
- Monotherapy NDA to be submitted to the FDA in Q2 2022
- Our partner,
Menarini Group , plans to test elacestrant in the adjuvant setting, combinations, and metastatic breast cancer that has metastasized to the brain
Neuroscience: RAD011
The work of our neuroscience team is centered around the clinical development of our investigational synthetic cannabidiol oral solution (RAD011), which has potential utilization in multiple orphan neurological disease areas.
We plan to initiate, on a gated basis, three pivotal clinical trials in Prader Willi syndrome (PWS), with the goal of reducing hyperphagia, Angelman syndrome (AS), with the goal of reducing seizures, and Infantile Spasms (IS), with the goal of spasm resolution. RAD011 has been granted Orphan Drug Designation by the FDA for the treatment of PWS, AS, and
We plan to host an R&D day focused on RAD011 in Q2 this year.
Financial Results
Three Months Ended
Net Loss
For the three months ended
For the three months ended
Revenue
For the three months ended
For the three months ended
Costs and Expenses
For the three months ended
For the three months ended
Twelve Months Ended
Net Loss
For the year ended
For the year ended
Revenue
For the year ended
For the year ended
Costs and Expenses
For the year ended
For the year ended
Consolidated Balance Sheets
(Amounts in thousands, except share and per share amounts)
2021 | 2020 | |||||||
ASSETS | ||||||||
Current assets: | ||||||||
Cash and cash equivalents | $ | 111,533 | $ | 91,436 | ||||
Restricted cash | 567 | 567 | ||||||
Marketable securities | - | 23,280 | ||||||
Accounts receivable, net | 23,355 | 20,310 | ||||||
Inventory | 11,373 | 9,174 | ||||||
Prepaid expenses | 10,050 | 13,279 | ||||||
Other current assets | 16,201 | 22,502 | ||||||
Total current assets | 173,079 | 180,548 | ||||||
Property and equipment, net | 647 | 796 | ||||||
Intangible assets | 4,986 | 5,785 | ||||||
Right of use assets - operating leases | 835 | 3,933 | ||||||
Other assets | 1,995 | 520 | ||||||
Total assets | $ | 181,542 | $ | 191,582 | ||||
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT) | ||||||||
Current liabilities: | ||||||||
Accounts payable | $ | 17,625 | $ | 9,925 | ||||
Accrued expenses and other current liabilities | 76,549 | 59,758 | ||||||
Deferred revenue | - | 1,000 | ||||||
Operating lease liability, current | 613 | 2,490 | ||||||
Total current liabilities | 94,787 | 73,173 | ||||||
Convertible notes payable | 190,479 | 213,645 | ||||||
Term loan | 148,265 | 24,905 | ||||||
Operating lease liability, long term | 315 | 3,518 | ||||||
Total liabilities | 433,846 | 315,241 | ||||||
Stockholders’ equity (deficit): | ||||||||
Common stock, shares and 46,779,479 shares issued and outstanding at 2020, respectively |
5 | 5 | ||||||
Additional paid-in-capital | 1,115,672 | 1,222,137 | ||||||
Accumulated other comprehensive income | - | 21 | ||||||
Accumulated deficit | (1,367,981 | ) | (1,345,822 | ) | ||||
Total stockholders’ equity (deficit) | (252,304 | ) | (123,659 | ) | ||||
Total liabilities and stockholders’ equity (deficit) | $ | 181,542 | $ | 191,582 |
Consolidated Statement of Operations and Comprehensive Loss
(Amounts in thousands, except share and per share amounts)
Three Months Ended | Twelve Months Ended | |||||||||||||||
2021 | 2020 | 2021 | 2020 | |||||||||||||
REVENUES: | ||||||||||||||||
Product revenue, net | $ | 65,105 | $ | 59,947 | $ | 218,973 | $ | 208,395 | ||||||||
License Revenue | - | 2,836 | 11,000 | 30,250 | ||||||||||||
Total revenue | 65,105 | 62,783 | 229,973 | 238,645 | ||||||||||||
OPERATING EXPENSES: | ||||||||||||||||
Cost of sales - product | 5,160 | 4,633 | 18,352 | 16,403 | ||||||||||||
Cost of sales - intangible amortization | 198 | 198 | 798 | 798 | ||||||||||||
Research and development, net of amounts reimbursable (a) | 41,498 | 36,372 | 134,626 | 159,712 | ||||||||||||
Selling, general, and administrative | 30,018 | 35,798 | 130,514 | 144,154 | ||||||||||||
Loss from operations | (11,769 | ) | (14,218 | ) | (54,317 | ) | (82,422 | ) | ||||||||
OTHER INCOME (EXPENSE): | ||||||||||||||||
Other income (expense) | 351 | (68 | ) | 361 | (212 | ) | ||||||||||
Interest expense | (4,171 | ) | (7,230 | ) | (18,255 | ) | (27,977 | ) | ||||||||
Interest income | 5 | 131 | 75 | 1,403 | ||||||||||||
Gain on extinguishment of debt | - | - | 1,960 | - | ||||||||||||
NET LOSS | $ | (15,584 | ) | $ | (21,385 | ) | $ | (70,176 | ) | $ | (109,208 | ) | ||||
OTHER COMPREHENSIVE LOSS: | ||||||||||||||||
Unrealized gain (loss) from available-for-sale debt securities | - | (61 | ) | (21 | ) | 18 | ||||||||||
COMPREHENSIVE LOSS | $ | (15,584 | ) | $ | (21,446 | ) | $ | (70,197 | ) | $ | (109,190 | ) | ||||
LOSS ATTRIBUTABLE TO COMMON STOCKHOLDERS - BASIC AND DILUTED: | $ | (15,584 | ) | $ | (21,385 | ) | $ | (70,176 | ) | $ | (109,208 | ) | ||||
LOSS PER SHARE: | ||||||||||||||||
Basic and diluted | $ | (0.33 | ) | $ | (0.46 | ) | $ | (1.49 | ) | $ | (2.35 | ) | ||||
WEIGHTED AVERAGE SHARES: | ||||||||||||||||
Basic and diluted | 47,330,933 | 46,650,694 | 47,216,754 | 46,459,366 | ||||||||||||
(a) Amounts reimbursable for the three and twelve months ended |
Reconciliation of GAAP to Non-GAAP Financial Information
(Unaudited amounts in thousands, except share and per share amounts)
Three Months Ended | Twelve Months Ended | |||||||||||||||
2021 | 2020 | 2021 | 2020 | |||||||||||||
Net loss reconciliation: | ||||||||||||||||
GAAP net loss | $ | (15,584 | ) | $ | (21,385 | ) | $ | (70,176 | ) | $ | (109,208 | ) | ||||
Intangible amortization | 198 | 198 | 798 | 798 | ||||||||||||
Stock-based compensation expense | 5,588 | 4,879 | 22,785 | 24,698 | ||||||||||||
Restructuring charges | 3,553 | - | 3,553 | - | ||||||||||||
Depreciation | 40 | (126 | ) | 177 | 895 | |||||||||||
Interest expense, net | 4,166 | 7,099 | 18,180 | 26,574 | ||||||||||||
Gain on extinguishment of debt | - | - | (1,960 | ) | - | |||||||||||
Debt refinancing charge | - | - | 3,143 | - | ||||||||||||
Operating Lease Impairment | - | 900 | - | 2,410 | ||||||||||||
Other | (351 | ) | 68 | (361 | ) | 212 | ||||||||||
Adjusted EBITDA | $ | (2,390 | ) | $ | (8,367 | ) | $ | (23,861 | ) | $ | (53,621 | ) | ||||
Reconciliation of diluted loss per share: | ||||||||||||||||
GAAP loss per share | $ | (0.33 | ) | $ | (0.46 | ) | $ | (1.49 | ) | $ | (2.35 | ) | ||||
Intangible amortization | 0.01 | 0.01 | 0.02 | 0.02 | ||||||||||||
Stock-based compensation expense | 0.12 | 0.10 | 0.48 | 0.53 | ||||||||||||
Restructuring charges | 0.08 | - | 0.08 | - | ||||||||||||
Depreciation | - | (0.00 | ) | - | 0.02 | |||||||||||
Non-cash interest | 0.09 | 0.15 | 0.39 | 0.57 | ||||||||||||
Gain on extinguishment of debt | - | - | (0.04 | ) | - | |||||||||||
Debt refinancing charge | - | - | 0.07 | - | ||||||||||||
Operating Lease Impairment | - | 0.02 | - | 0.05 | ||||||||||||
Other | (0.01 | ) | 0.00 | (0.01 | ) | 0.00 | ||||||||||
Adjusted EBITDA per share | $ | (0.05 | ) | $ | (0.18 | ) | $ | (0.51 | ) | $ | (1.15 | ) | ||||
Reconciliation of shares used in loss per share calculation: | ||||||||||||||||
GAAP shares used in loss per share | 47,330,933 | 46,650,694 | 47,216,754 | 46,459,366 | ||||||||||||
Non-GAAP dilutive share adjustments | - | - | - | - | ||||||||||||
Non-GAAP shares used in earnings (loss) per share | 47,330,933 | 46,650,694 | 47,216,754 | 46,459,366 |
Webcast and Conference Call
In connection with today’s reporting of Fourth Quarter and Full Year 2021 Financial Results, Radius will host a conference call and live audio webcast at
Conference Call Information:
Date:
Time:
Domestic Dial-In Number: 1 (866) 323-7965
International Dial-In Number: 1 (346) 406-0961
Conference ID: 7696052
Webcast Link: https://edge.media-server.com/mmc/p/syvxxq83
A live audio webcast of the call can be accessed from the Investors section of the Company’s website, www.radiuspharm.com. The full text of the announcement and financial results will also be available on the Company’s website.
A replay of the conference call will be available on
Use of Non-GAAP Financial Measures
To supplement our condensed consolidated financial statements, which are prepared and presented in accordance with generally accepted accounting principles in
This release includes forward-looking guidance for adjusted EBITDA. The Company is not able to provide, without unreasonable effort, a reconciliation of the guidance for adjusted EBITDA to the most directly comparable GAAP measure because the Company does not currently have sufficient data to accurately estimate the variables and individual adjustments included in the most directly comparable GAAP measure that would be necessary for such reconciliations, including (a) one-time items or other expenses that we do not believe are indicative of our ongoing operations. These adjustments are inherently variable and uncertain and depend on various factors that are beyond our control and as a result we are also unable to predict their probable significance. Therefore, because management cannot estimate on a forward-looking basis without unreasonable effort the impact these variables and individual adjustments will have on its reported results in accordance with GAAP, it is unable to provide a reconciliation of the non-GAAP measures included in its 2022 guidance.
About Radius
Radius is a global biopharmaceutical company focused on addressing unmet medical needs in the areas of bone health, orphan diseases, and oncology. Radius’ lead product, TYMLOS® (abaloparatide) injection, was approved by the
About TYMLOS (abaloparatide) injection
TYMLOS (abaloparatide) injection was approved by the
About ATOM Phase 3 Study
The ATOM Phase 3 study is a randomized, double-blind, placebo-controlled study to assess efficacy and safety of abaloparatide injection in 228 men with osteoporosis. The primary endpoint is change in lumbar spine BMD at 12 months compared with placebo, and it is expected to form the basis of a supplemental NDA seeking to expand the use of TYMLOS to treat men with osteoporosis at high risk for fracture.
About the Abaloparatide Transdermal System and wearABLe Phase 3 Study
The abaloparatide transdermal system was developed in a collaboration between Radius and
About Elacestrant (RAD1901) and EMERALD Phase 3 Study
Elacestrant is a selective estrogen receptor degrader (SERD), out-licensed to
About RAD011
Investigational drug RAD011 is a pharmaceutical-grade synthetic cannabidiol oral solution, manufactured utilizing traditional pharmaceutical manufacturing processes. The product has purity specifications that meet standardized regulatory and quality control requirements and, compared to the process of developing a plant-derived product, the synthetic manufacturing process usually enables increased consistency and greater precision in the product supply. RAD011 has been assessed in over 125 patients across multiple indications and has potential utilization in multiple endocrine, neurological, and metabolic orphan diseases. Radius anticipates initiating a seamless pivotal Phase 2/3 study for patients with Prader-Willi syndrome in the first quarter of 2022 as well as pivotal studies for patients with Angelman syndrome and Infantile Spasms.
Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements contained in this press release that do not relate to matters of historical fact should be considered forward-looking statements, including without limitation statements regarding our expectations with respect to the continued commercialization of TYMLOS in the
These forward-looking statements are based on management's current expectations. These statements are neither promises nor guarantees, but involve known and unknown risks, uncertainties and other important factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements, including, but not limited to, the following: the adverse impact the ongoing COVID-19 pandemic is having and is expected to continue to have on our business, financial condition and results of operations, including our commercial operations and sales, clinical trials, preclinical studies, and employees; quarterly fluctuation in our financial results; our dependence on the success of TYMLOS, and our inability to ensure that TYMLOS will obtain regulatory approval outside the
Investor & Media Relations Contact:
Email: investor-relations@radiuspharm.com
Phone: (617) 583-2017
_______________________________________________________________________________________
1 Adjusted EBITDA is not calculated or presented in accordance with generally accepted accounting principles in
2 Please see "Use of Non-GAAP Financial Measures" and the reconciliation tables that accompany this release.

Source: Radius Health Inc.