Fennec Pharmaceuticals Reports Full Year and Fourth Quarter 2022 Financial Results
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“It was an outstanding year for Fennec as we achieved FDA approval of PEDMARK® in the fourth quarter and evolved into a commercial-stage pharmaceutical company. For 2023, we are focused on building upon our early commercial launch momentum by continuing to execute on our strategic plans, expand our prescriber base, and increase the utilization of PEDMARK®,” said
Recent Developments and Highlights:
Received U.S. Food and Drug Administration(FDA) approval of the PEDMARK® New Drug Application (NDA) on September 20, 2022. PEDMARK® is the first and only FDA-approved therapy indicated to reduce the risk of ototoxicity associated with cisplatin in pediatric patients one month of age and older with localized, non-metastatic solid tumors.
U.S.commercial launch of PEDMARK® on October 17, 2022. The Fennec HEARS™ program offers comprehensive patient services, including access to care coordinators, financial and prescription drug support.
- The National Comprehensive Cancer Network® (NCCN) updated its clinical practice guidelines for Adolescent and Young Adult (AYA) Oncology to include PEDMARK® (sodium thiosulfate injection) in
- The FDA granted Orphan Drug Exclusivity to PEDMARK® (sodium thiosulfate injection) in
January 2023. The FDA’s Orphan Drug Designation program is designed to advance the development of drugs that treat a condition affecting 200,000 or fewer U.S. patients annually. The seven-year market exclusivity for PEDMARK® began on September 20, 2022, the date of its FDA approval, and continues until September 20, 2029. Additionally, in the approved prescribing label, the FDA has explicitly directed that PEDMARK® is not substitutable with other sodium thiosulfate products.
Financial Results for the Fourth Quarter and Fiscal Year Ended
- Cash Position – There was a
$2.7 millionincrease in cash and cash equivalents between December 31, 2022and December 31, 2021. The net increase was the result of cash operating expenses, offset by the net $20.0 millionreceived from the Petrichornote and $0.9 millionreceived from the exercise of 273,000 options. During the period ended December 31, 2022, cash for operations was used mainly on the pre-commercialization activities of PEDMARK® prior to FDA approval and then commercialization activities post NDA approval.
- Commercial launch of PEDMARK® commenced in
October 2022. The company recorded net product sales of $1.54 millionin fiscal 2022. The Company recorded discounts and allowances against sales in the amount of $0.2 millionand cost of products sold of $0.1 million. The Company had gross profit of $1.4 millionfor fiscal year ended 2022. In fiscal 2021, the Company had no revenues.
- Research and Development (R&D) Expenses – R&D expense decreased by
$1.5 millionin fiscal 2022 as compared to fiscal 2021. The Company reduced research and development costs when it received FDA approval of PEDMARK®. The majority of traditional research and development expenses associated with PEDMARK® are now recorded as general and administrative expenses or capitalized into inventory and eventually recorded to costs of product sales.
- Selling and Marketing (S&M) Expenses – The Company began recording selling and marketing expenses when it expanded its payroll to include an internal salesforce. Selling and marketing expenses include distribution costs, logistics, shipping and insurance, advertising, wages commissions and out-of-pocket expenses. The Company recorded
$2.8 millionin selling and marketing expenses in fiscal 2022.
- General and Administrative (G&A) Expenses – There was a
$5.5 millionincrease of general and administrative expenses in fiscal 2022 compared to fiscal 2021. Payroll and benefits related expenses rose by $4.0 millionin fiscal 2022 compared to fiscal 2021 as our headcount increased from 10 to 36 over the course of fiscal 2022. There was an increase in legal costs of $1.4 millionin fiscal 2022 over fiscal 2021. This net increase is comprised of an increase in $0.2 millionin class action suit defense, a decrease in general legal expense of $0.2 millionand an increase of $1.4 millionin intellectual property litigation. Pre-commercialization activities rose by $0.2 millionin fiscal 2022 over fiscal 2021. Non-cash expenses associated with equity remuneration increased by $0.2 million.
- Net Loss – Net losses for the fourth quarter and year ended
December 31, 2022of $6.9 million( $0.26per share) and $23.7 million( $0.90per share), respectively, compared to $4.4 million( $0.18per share) and $17.3 million( $0.67per share), respectively, for the same periods in 2021.
- Financial Guidance – The Company believes its cash and cash equivalents on hand as of
December 31, 2022will be sufficient to fund the Company's planned commercial activities for 2023.
The selected financial data presented below is derived from our audited, condensed consolidated financial statements, which were prepared in accordance with
|Audited Condensed Consolidated|
|Statement of Operations:|
|Three Months Ended||Twelve months Ended|
|PEDMARK product sales, net||$||1,535||$||—||$||1,535||$||—|
|Cost of products sold||(86||)||—||(86||)||—|
|Research and development||117||523||3,531||4,981|
|Selling and marketing||2,785||—||2,785||—|
|General and administrative||4,682||3,703||17,722||12,242|
|Total operating expenses||7,584||4,226||24,038||17,223|
|Loss from operations||(6,135||)||(4,226||)||(22,589||)||(17,223||)|
|Unrealized foreign exchange loss||(58||)||(162||)||(9||)||(10||)|
|Unrealized (loss)/gain on securities||(3||)||(1||)||(184||)||(25||)|
|Total other (expense)/income||(722||)||(220||)||(1,125||)||(123||)|
|Basic net loss per common share||$||(0.26||)||$||(0.17||)||$||(0.90||)||$||(0.67||)|
|Diluted net loss per common share||$||(0.26||)||$||(0.17||)||$||(0.90||)||$||(0.67||)|
|Weighted-average number of common shares outstanding basic||26,275||26,006||26,275||26,006|
|Weighted-average number of common shares outstanding diluted||26,275||26,006||26,275||26,006|
|Audited Condensed Consolidated Balance Sheets|
|Cash and cash equivalents||$||23,774||$||21,100|
|Accounts receivable, net||1,545||—|
|Other current assets||63||253|
|Total current assets||26,728||22,387|
|Deferred issuance cost, net amortization||211||27|
|Total non-current assets||211||27|
|Liabilities and shareholders’ deficit|
|Total current liabilities||4,609||1,654|
|Long term liabilities|
|Total long term liabilities||24,899||4,988|
|Commitments and Contingencies (Note 7)|
|Common stock, no par value; unlimited shares authorized; 26,361 shares issued and outstanding (2021 ‑26,014)||142,591||140,801|
|Additional paid-in capital||56,797||53,214|
|Accumulated other comprehensive income||1,243||1,243|
|Total shareholders’ deficit||(2,569||)||15,772|
|Total liabilities and shareholders’ deficit||$||26,939||$||22,414|
|Working capital||Fiscal Year Ended|
|Selected Asset and Liability Data:|
|Cash and equivalents||$||23,774||$||21,100|
|Other current assets||2,954||1,287|
|Current liabilities excluding derivative liability||(4,608||)||(1,654||)|
|Common stock and additional paid in capital||199,388||194,015|
About Cisplatin-Induced Ototoxicity
Cisplatin and other platinum compounds are essential chemotherapeutic agents for the treatment of many pediatric malignancies. Unfortunately, platinum-based therapies can cause ototoxicity, or hearing loss, which is permanent, irreversible, and particularly harmful to the survivors of pediatric cancer.i
The incidence of ototoxicity depends upon the dose and duration of chemotherapy, and many of these children require lifelong hearing aids or cochlear implants, which can be helpful for some, but do not reverse the hearing loss and can be costly over time.ii Infants and young children that are affected by ototoxicity at critical stages of development lack speech and language development and literacy, and older children and adolescents often lack social-emotional development and educational achievement.iii
PEDMARK® (sodium thiosulfate injection)
PEDMARK® is the first and only
PEDMARK has been studied by co-operative groups in two Phase 3 clinical studies of survival and reduction of ototoxicity, COG ACCL0431 and SIOPEL 6. Both studies have been completed. The COG ACCL0431 protocol enrolled childhood cancers typically treated with intensive cisplatin therapy for localized and disseminated disease, including newly diagnosed hepatoblastoma, germ cell tumor, osteosarcoma, neuroblastoma, medulloblastoma, and other solid tumors. SIOPEL 6 enrolled only hepatoblastoma patients with localized tumors.
Indications and Usage
PEDMARK® (sodium thiosulfate injection) is indicated to reduce the risk of ototoxicity associated with cisplatin in pediatric patients 1 month of age and older with localized, non-metastatic solid tumors.
Limitations of Use
The safety and efficacy of PEDMARK have not been established when administered following cisplatin infusions longer than 6 hours. PEDMARK may not reduce the risk of ototoxicity when administered following longer cisplatin infusions, because irreversible ototoxicity may have already occurred.
Important Safety Information
PEDMARK is contraindicated in patients with history of a severe hypersensitivity to sodium thiosulfate or any of its components.
Hypersensitivity reactions occurred in 8% to 13% of patients in clinical trials. Monitor patients for hypersensitivity reactions. Immediately discontinue PEDMARK and institute appropriate care if a hypersensitivity reaction occurs. Administer antihistamines or glucocorticoids (if appropriate) before each subsequent administration of PEDMARK. PEDMARK may contain sodium sulfite; patients with sulfite sensitivity may have hypersensitivity reactions, including anaphylactic symptoms and life-threatening or severe asthma episodes. Sulfite sensitivity is seen more frequently in people with asthma.
PEDMARK is not indicated for use in pediatric patients less than 1 month of age due to the increased risk of hypernatremia or in pediatric patients with metastatic cancers.
Hypernatremia occurred in 12% to 26% of patients in clinical trials, including a single Grade 3 case. Hypokalemia occurred in 15% to 27% of patients in clinical trials, with Grade 3 or 4 occurring in 9% to 27% of patients. Monitor serum sodium and potassium levels at baseline and as clinically indicated. Withhold PEDMARK in patients with baseline serum sodium greater than 145 mmol/L.
Monitor for signs and symptoms of hypernatremia and hypokalemia more closely if the glomerular filtration rate (GFR) falls below 60 mL/min/1.73m2.
Administer antiemetics prior to each PEDMARK administration. Provide additional antiemetics and supportive care as appropriate.
The most common adverse reactions (≥25% with difference between arms of >5% compared to cisplatin alone) in SIOPEL 6 were vomiting, nausea, decreased hemoglobin, and hypernatremia. The most common adverse reaction (≥25% with difference between arms of >5% compared to cisplatin alone) in COG ACCL0431 was hypokalemia.
Please see full Prescribing Information for PEDMARK® at: www.PEDMARK.com.
About Fennec Pharmaceuticals
Forward Looking Statements
Except for historical information described in this press release, all other statements are forward-looking. Words such as “believe,” “anticipate,” “plan,” “expect,” “estimate,” “intend,” “may,” “will,” or the negative of those terms, and similar expressions, are intended to identify forward-looking statements. These forward-looking statements include statements about our business strategy, timeline and other goals, plans and prospects, including our commercialization plans respecting PEDMARK®, the market opportunity for and market impact of PEDMARK®, its potential impact on patients and anticipated benefits associated with its use, and potential access to further funding after the date of this release. Forward-looking statements are subject to certain risks and uncertainties inherent in the Company’s business that could cause actual results to vary, including the risks and uncertainties that regulatory and guideline developments may change, scientific data and/or manufacturing capabilities may not be sufficient to meet regulatory standards or receipt of required regulatory clearances or approvals, clinical results may not be replicated in actual patient settings, unforeseen global instability, including political instability, or instability from an outbreak of pandemic or contagious disease, such as the novel coronavirus (COVID-19), or surrounding the duration and severity of an outbreak, protection offered by the Company’s patents and patent applications may be challenged, invalidated or circumvented by its competitors, the available market for the Company’s products will not be as large as expected, the Company’s products will not be able to penetrate one or more targeted markets, revenues will not be sufficient to fund further development and clinical studies, our ability to obtain necessary capital when needed on acceptable terms or at all, the Company may not meet its future capital requirements in different countries and municipalities, and other risks detailed from time to time in the Company’s filings with the
For a more detailed discussion of related risk factors, please refer to our public filings available at www.sec.gov and www.sedar.com.
PEDMARK® and Fennec® are registered trademarks of
For further information, please contact:
Chief Financial Officer
Corporate and Media:
Elixir Health Public Relations
i Rybak L. Mechanisms of Cisplatin Ototoxicity and Progress in Otoprotection. Current Opinion in Otolaryngology & Head and Neck Surgery. 2007, Vol. 15: 364-369.
ii Landier W. Ototoxicity and Cancer Therapy. Cancer.
iii Bass JK, Knight KR, Yock TI, et al. Evaluation and Management of Hearing Loss in
Source: Fennec Pharmaceuticals Inc.