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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 8-K
Current Report Pursuant
to Section 13 or 15(d) of the
Securities Exchange Act of 1934
Date of Report (Date of earliest event Reported):
November 7, 2023
THERAVANCE BIOPHARMA, INC.
(Exact Name of Registrant as Specified in
its Charter)
Cayman Islands |
|
001-36033 |
|
98-1226628 |
(State or Other Jurisdiction of |
|
(Commission File Number) |
|
(I.R.S.
Employer Identification |
Incorporation) |
|
|
|
Number) |
PO Box 309
Ugland House, South Church Street
George Town, Grand Cayman, Cayman Islands KY1-1104
(650) 808-6000
(Addresses, including zip code, and telephone
numbers, including area code, of principal executive offices)
Check the appropriate box below if the Form 8-K filing
is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):
¨ Written
communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
¨ Soliciting
material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
¨ Pre-commencement
communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
¨ Pre-commencement
communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each class |
|
Trading
Symbol(s) |
|
Name of each exchange
on which registered |
Ordinary Share $0.00001 Par Value |
|
TBPH |
|
NASDAQ Global
Market |
Indicate by check mark whether the registrant is an emerging
growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2
of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).
Emerging
growth company ¨
If an emerging
growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with
any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨
Item 2.02. Results of Operations and Financial
Condition.
On November 7, 2023, Theravance Biopharma, Inc. (the “Company”)
issued a press release and is holding a conference call regarding its financial results for the quarter ended September 30, 2023 and a
business update. A copy of the press release is furnished as Exhibit 99.1 to this Current Report and a copy of materials that will accompany
the call is furnished as Exhibit 99.2 to this Current Report.
The information in Item 2.02 and in Item 9.01 of this Current Report
on Form 8-K, including Exhibits 99.1 and 99.2, is being furnished and shall not be deemed “filed” for the purposes of Section
18 of the Securities Exchange Act of 1934, as amended (the “Securities Exchange Act of 1934”), or otherwise subject to the
liabilities of that Section, nor shall it be incorporated by reference in any filing under the Securities Act of 1933, as amended, or
the Securities Exchange Act of 1934, except as expressly set forth by specific reference in such a filing.
Item 5.02. Departure of Directors or Certain Officers; Election
of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.
In connection with internal changes at Theravance Biopharma, Inc.,
Richard Graham, Ph.D., Senior Vice President, Research & Development will be leaving the Company on or around February 29, 2024. Beginning
January 1, 2024, Dr. Graham will serve in a part time role until his departure. Dr. Graham will continue to serve in an strategic leadership
role until his departure to focus on a number of initiatives, including read out and communication of the PIFR-2 study results and transition
of the ongoing ampreloxetine program and Phase 3 trial. The Company intends to enter into a separation and release of claims agreement
with Dr. Graham, on terms to be determined.
Item 9.01. Financial Statements and Exhibits.
(d) Exhibits.
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf
by the undersigned hereunto duly authorized.
|
THERAVANCE BIOPHARMA, INC. |
|
|
|
Date: November 7, 2023 |
By: |
/s/ Aziz Sawaf
|
|
|
Aziz Sawaf |
|
|
Senior Vice President and Chief Financial Officer |
Exhibit 99.1
Theravance Biopharma, Inc. Reports Third Quarter
2023 Financial Results and Provides Business Update
| · | Q3 2023 YUPELRI® (revefenacin) net sales, recognized by
Viatris, increased 9% from Q3 2022, reaching an all-time high of $58.3 million1 |
| · | Progress made towards the achievement of non-GAAP profitability, with
Q3 2023 GAAP Net Loss of $9.0 million and Non-GAAP Loss of $0.7 million2 |
| · | Company expects to complete $325 million capital return program by year-end, having returned $30.8
million via share repurchases during Q3 2023 and $294.6 million since inception through quarter end |
| · | Áine Miller, Ph.D. promoted to SVP of Development; Richard A. Graham, Ph.D. to remain through
February 2024 |
DUBLIN,
IRELAND – NOV 7, 2023 – Theravance Biopharma, Inc. (“Theravance
Biopharma” or the “Company”) (NASDAQ: TBPH) today announced financial and operational results for the third quarter
of 2023.
“We are pleased with the company’s bottom line performance
in the third quarter, driven by a combination of continued YUPELRI growth and expense management, which positioned us to report a non-GAAP
loss of less than $1 million,” said Rick E Winningham, Chief Executive Officer. “In addition, as we work with the MSA
community to activate sites globally and enroll our Phase 3 CYPRESS study, our conviction in ampreloxetine’s potential to address
unmet needs of MSA patients and caregivers burdened by symptomatic nOH remains strong.”
“With her extensive contributions at Theravance and prior
strategic development and regulatory leadership experience at Alkermes, Elan, and Allergan, Aine is well positioned to lead the Development
organization through completion of the CYPRESS study, NDA submission and beyond,” said Rick E Winningham. “I am pleased
that Rick will stay through February to ensure we meet our PIFR-2 commitments and maintain our momentum in CYPRESS but will miss his steadfast
leadership and camaraderie – he has been an important partner in Theravance’s success.”
Third Quarter Highlights
YUPELRI® (revefenacin) inhalation solution, the
first and only once-daily, nebulized LAMA (long- acting muscarinic agent) bronchodilator approved in the US for the maintenance
treatment of patients with chronic obstructive pulmonary disease (COPD):
1 In the US, Viatris is leading the commercialization
of YUPELRI, and the Company co-promotes the product under a profit and loss sharing arrangement (65% to Viatris; 35% to the Company).
2 Non-GAAP profit (loss) consists of
GAAP net income (loss) before taxes less share-based compensation expense and non-cash interest expense. See the section titled "Non-GAAP
Financial Measures" for more information.
· | Achieved total net sales of $58.3 million for the quarter, increasing 9%
year-over-year (Q3 2023 vs Q3 2022) and 6% quarter-over-quarter (Q3 2023 vs Q2 2023).1 Sales growth was driven by increasing
customer demand, up 14% year-over-year.3 |
| · | Grew Retail TRx by 30% (Q3 2023 vs Q3 2022)4 and doses sold
into the hospital channel by 41% year-over-year (Q3 2023 vs Q3 2022). |
| · | Increased share within the long-acting nebulized segment of the COPD market.
During the quarter, share within the community and hospital settings increased to 30.2% and 16.1%, respectively, from 26.4% and 13.3%
in Q3 2022.5 |
| · | Completed enrollment in the PIFR-2 study, with top line data disclosure anticipated
for January 2024. PIFR-2 study evaluates revefenacin delivered via jet nebulizer compared to tiotropium delivered via dry powder inhaler
in severe to very severe COPD patients with low peak inspiratory flow rate (PIFR). |
Ampreloxetine, an investigational, once-daily norepinephrine
reuptake inhibitor in development for the treatment of symptomatic neurogenic orthostatic hypotension (nOH) in patients with multiple
system atrophy (MSA):
| · | Presented new data at the International Congress of Parkinson’s Disease
and Movement Disorders Congress (MDS) in Copenhagen, Denmark in August. Presentations highlighted ampreloxetine’s consistent effects
on nOH symptoms across a range of MSA subjects, in addition to a highly differentiated efficacy and safety profile. |
| · | Data to be presented at the 34th International Symposium on the
Autonomic Nervous System on November 16th. |
| · | Continued to open sites globally for the CYPRESS study, with the expectation
of enrolling the last patient into the open-label period of the study in the second half of 2024. |
Financials:
| · | Q3 2023 GAAP Net Loss of $9.0 million and Non-GAAP Loss of $0.7 million compared
with net losses of $15.6 million and $7.4 million, respectively, in Q2 2023. Sequential improvement in Net Loss was driven primarily by
increased Viatris Collaboration Revenue and a reduction in expenses across R&D and SG&A. Within SG&A, the largest driver of
the decrease was due to expense management initiatives taken within the G&A organization. |
| · | Completed $30.8 million of share buybacks in Q3 2023 and $294.6 million from
program inception through September 30, 2023. As of September 30, 2023, the Company had $30.4 million remaining in the program, which
is expected to be completed by the end of 2023. |
3 Viatris reported customer demand Q3'23: inclusive of
direct customer shipments to various channels, including DMEs, retail pharmacies and hospitals.
4 Symphony Health METYS Prescription Dashboard. Retail
data serves as a proxy for the total community (Retail + DME).
5 Hospital LA-NEB Market Share - IQVIA DDD through 9/30/2023.
Community LA-NEB Market Share includes Retail + DME / Med B FFS through July ’23.
TRELEGY ELLIPTA, the first once-daily single inhaler triple
therapy for COPD and asthma:
| · | GSK posted third quarter 2023 global net sales of $675 million (up 22% from
$552 million reported in the third quarter of 2022).6 Year to date, through the third quarter, GSK has posted TRELEGY global
net sales of $2.0 billion. Theravance Biopharma is entitled to a milestone payment from Royalty Pharma of $50 million if TRELEGY global
net sales are equal to or exceed $2.9 billion7 in 2023, the first of $250 million of potential milestones that can be achieved
between 2023 and 2026. |
Third Quarter Financial Results
| · | Revenue: Total revenue for the third quarter of 2023 was $15.7 million,
consisting almost entirely of Viatris collaboration revenue. Viatris collaboration revenue increased by $3.2 million, or 26%, in the third
quarter compared to the same period in 2022 due primarily to higher net sales and lower costs incurred by Viatris. The Viatris collaboration
revenue represents amounts receivable from Viatris and comprises the Company’s 35% share of net sales of YUPELRI, as well as its
proportionate amount of the total shared costs incurred by the two companies. The non-shared YUPELRI costs incurred by Theravance Biopharma
are recorded within operating expenses. While Viatris records the total net sales of YUPELRI within its financial statements, Theravance
Biopharma’s implied 35% share of net sales of YUPELRI for the third quarter of 2023 was $20.4 million which represents a 9% increase
compared to the same period in 2022. |
| · | Research and Development (R&D) Expenses: R&D expenses for the third quarter of 2023 were $8.3 million, compared to
$9.9 million in the same period in 2022. Third quarter R&D expenses included total non-cash share-based compensation of $2.0 million. |
| · | Selling, General and Administrative (SG&A) Expenses: SG&A
expenses for the third quarter of 2023 were $16.1 million, compared to $16.3 million in the same period in 2022. Third quarter SG&A
expenses included total non-cash share-based compensation of $4.3 million. |
| · | Stock Based Compensation: Share-based compensation expenses for the
third quarter of 2023 were $6.3 million, compared to $8.5 million in the same period in 2022. Share-based compensation expenses consisted
of $2.0 million for R&D and $4.3 million for SG&A in the third quarter of 2023, compared to $2.6 million and $5.2 million, respectively,
in the same period in 2022. In the third quarter of 2022, there was also $0.7 million in restructuring-related share-based compensation
expense. The $2.3 million reduction in total share-based compensation expenses was primarily related to our 2021 restructuring and our
2023 strategic actions. |
| · | Net Income from Discontinued Operations: Net Income from discontinued
operations from the prior year period of $932.7 million was primarily related to the $1,141.1 million gain from the sale of our equity
interests in TRC, LLC and was partially offset by the tax liability arising from the gain and a $24.0 million loss on the extinguishment
of our non-recourse 2035 notes. |
6 Source: GSK-reported
Net Sales in USD.
7 The first milestone
payment of $50.0 million will be triggered if Royalty Pharma receives $240.0 million or more in royalty payments from GSK with respect
to 2023 TRELEGY global net sales, which we would expect to occur in the event TRELEGY global net sales reach approximately $2.863 billion.
Royalties payable from GSK to Royalty Pharma are upward tiering from 6.5% to 10%.
| · | Net Loss from Operations and Non-GAAP Net Loss (from continuing operations)2:
Net loss from continuing operations was $9.0 million in the third quarter of 2023 compared to $16.0 million in the same period in 2022,
and non-GAAP net loss from continuing operations was $0.7 million in the third quarter of 2023 compared to $7.1 million in the same period
in 2022. Non-GAAP net loss from continuing operations consists of GAAP net income (loss) from operations, excluding share-based compensation
expense, non-cash interest expense, and income tax expense (benefit). See the section titled "Non-GAAP Financial Measures" for
more information. |
| · | Cash Position: Cash, cash equivalents and marketable securities totaled
$134.0 million as of September 30, 2023. |
2023 Financial Guidance
| · | Operating Expenses (excluding
share-based compensation and one-time restructuring costs): The Company continues
to expect full year 2023 R&D expense of $35 million to $45 million and SG&A expense of $45 million to $55 million. |
| · | Non-GAAP Profitability: The Company reaffirms its expectation that
it will generate non-GAAP profit in 2H 2023, subject to YUPELRI’s increased net sales growth.2 |
R&D Leadership
Effective November 7, 2023, Áine Miller, Ph.D., will assume
the role of SVP, Development at Theravance Biopharma, replacing Richard A Graham, Ph.D. Dr. Miller has been with the company for nearly
four years in increasing positions of leadership and currently serves as the company’s Vice President, Regulatory, Quality and Clinical
Safety & Pharmacovigilance. Dr. Miller led Theravance’s Type C meeting with the FDA, reaching alignment on the design of the
ampreloxetine Cypress study, our single Phase 3 study to support US approval. Rick Graham, Ph.D., will be leaving the company after eight
years of significant contributions towards establishing and optimizing Theravance Biopharma’s development capabilities. Rick will
continue in a strategic advisor role through the read out and communication of the PIFR-2 study results and will work towards a seamless
transition through the end of February 2024.
2024 Annual General Meeting of Shareholders; Board of Directors
The Company will hold its 2024 Annual General Meeting of
Shareholders on May 8, 2024, in Dublin, Ireland (2024 AGSM). Dr. Burton Malkiel has informed the Company that he does not intend to
stand for re-election at the 2024 AGSM. Reflecting better alignment with the smaller size and focus of the Company, the Board has
approved reducing the size of the Board from 9 persons to 8 persons effective automatically upon the completion of Dr.
Malkiel’s term at the 2024 AGSM.
Settlement Agreement
On October 27, 2023, certain subsidiaries of Theravance Biopharma and
Mylan Ireland Limited and Mylan Specialty L.P. (together, “Viatris”) entered into a Settlement Agreement with Teva Pharmaceuticals,
Inc. and Teva Pharmaceuticals USA, Inc. (together, “Teva”), relating to Theravance and Viatris’s YUPELRI®
(revefenacin) inhalation solution. The Settlement Agreement resolves ongoing patent litigation brought by Theravance and Viatris against
Teva pursuant to the Hatch-Waxman Act based on Teva’s filing of an abbreviated new drug application seeking approval to market a
generic version of YUPELRI® (revefenacin) inhalation solution prior to expiration of the Orange Book Listed Patents.
Under the Settlement Agreement, Theravance and Viatris granted Teva
a royalty-free, non-exclusive, non-sublicensable, non-transferable license to manufacture and market Teva’s generic version of YUPELRI®
(revefenacin) inhalation solution in the United States on or after the licensed launch date of April 23, 2039, subject to certain exceptions
as is customary in these types of agreements. As required by law, the settlement is subject to review by the U.S. Department of Justice
and the Federal Trade Commission. The patent litigation previously disclosed by the Company against the other six ANDA filers, along with
certain affiliates, remains pending.
Conference Call and Live Webcast Today at 5:00 pm ET
Theravance
Biopharma will hold a conference call and live webcast accompanied by slides today at 5:00 pm ET / 2:00 pm PT / 10:00 pm GMT.
To participate in the live call by telephone, please register here. Those interested in listening to the conference call live
via the internet may do so by visiting Theravance Biopharma’s website at www.theravance.com, under the Investors section,
Presentations and Events.
A replay of the webcast will be available on Theravance
Biopharma’s website for 30 days through December 7, 2023.
About the PIFR-2 Study
This study is a randomized, double-blind,
parallel-group study, comparing improvements in lung function in adults with severe to very severe COPD and low peak inspiratory
flow rate following once-daily treatment over 12 weeks with either YUPELRI (revefenacin) inhalation solution delivered via standard
jet nebulizer or SPIRIVA® (tiotropium) delivered via a dry powder inhaler (Spiriva® HandiHaler®).
About Ampreloxetine
Ampreloxetine, an investigational, once-daily
norepinephrine reuptake inhibitor in development for the treatment of symptomatic neurogenic orthostatic hypotension (nOH) in patients
with multiple system atrophy (MSA). The unique benefits of ampreloxetine treatment reported in MSA patients from Study 0170 included an
increase in norepinephrine levels, a favorable impact on blood pressure, clinically meaningful and durable symptom improvement, and no
signal for supine hypertension. The company has been granted an orphan drug designation in the US and, if results support it, plans to
file an NDA for full approval based on the Phase 3 CYPRESS study.
About CYPRESS (Study 0197), a Phase 3 Study
Study 0197 (NCT05696717) is currently enrolling.
This is a registrational Phase 3, multi-center, randomized withdrawal study to evaluate the efficacy and durability of ampreloxetine in
participants with MSA and symptomatic nOH after 20 weeks of treatment; the primary endpoint of the study is change in the Orthostatic
Hypotension Symptom Assessment (OHSA) composite score. The Study includes four periods: screening, open label (12-week period, participants
will receive a single daily 10 mg dose of ampreloxetine), randomized withdrawal (eight-week period, double-blind, placebo-controlled,
participants will receive a single daily 10 mg dose of placebo or ampreloxetine), and a long-term treatment extension. Secondary outcome
measures include change from baseline in Orthostatic Hypotension Daily Activity Scale (OHDAS) item 1 (activities that require standing
for a short time) and item 3 (activities that require walking for a short time).
About Multiple System Atrophy (MSA) and Symptomatic
Neurogenic Orthostatic Hypotension (nOH)
MSA is a progressive brain disorder that
affects movement and balance and disrupts the function of the autonomic nervous system. The autonomic nervous system controls body
functions that are mostly involuntary. One of the most frequent autonomic symptoms associated with MSA is a sudden drop in blood
pressure upon standing (nOH).8 There are approximately 50,000 MSA patients in the US9 and 70-90% of MSA
patients experience nOH symptoms.10 Despite available therapies, many MSA patients remain symptomatic with nOH.
Neurogenic orthostatic hypotension (nOH) is a
rare disorder defined as a fall in systolic blood pressure of ³20 mm Hg or diastolic blood pressure of ³10 mm
Hg, within 3 minutes of standing. Severely affected patients are unable to stand for more than a few seconds because of their decrease
in blood pressure, leading to cerebral hypoperfusion and syncope. A debilitating condition, nOH results in a range of symptoms including
dizziness, lightheadedness, fainting, fatigue, blurry vision, weakness, trouble concentrating, and head and neck pain.
About Theravance Biopharma
Theravance Biopharma, Inc.’s focus
is to deliver Medicines that Make a Difference® in people's lives. In pursuit of its purpose, Theravance
Biopharma leverages decades of expertise, which has led to the development of FDA-approved YUPELRI® (revefenacin)
inhalation solution indicated for the maintenance treatment of patients with chronic obstructive pulmonary disease (COPD). Ampreloxetine,
its late-stage investigational norepinephrine reuptake inhibitor in development for symptomatic neurogenic orthostatic hypotension, has
the potential to be a first in class therapy effective in treating a constellation of cardinal symptoms in multiple system atrophy patients.
The Company is committed to creating/driving shareholder value.
For more information, please visit www.theravance.com.
THERAVANCE BIOPHARMA®, THERAVANCE®,
and the Cross/Star logo are registered trademarks of the Theravance Biopharma group of companies (in the U.S. and
certain other countries).
YUPELRI® is a registered trademark
of Mylan Specialty L.P., a Viatris company. Trademarks, trade names or service marks of other companies appearing on this press
release are the property of their respective owners.
8 https://medlineplus.gov/genetics/condition/multiple-system-atrophy/
9 UCSD Neurological Institute (25K-75K,
with ~10K new cases per year); NIH National Institute of Neurological Disorders and Stroke (15K-50K).
10 Delveinsight MSA Market Forecast
(2023); Symptoms associated with orthostatic hypotension in pure autonomic failure and multiple systems atrophy, CJ Mathias (1999).
Forward-Looking Statements
This press release and the conference call will
contain certain "forward-looking" statements as that term is defined in the Private Securities Litigation Reform Act of 1995
regarding, among other things, statements relating to goals, plans, objectives, expectations and future events. Theravance Biopharma intends
such forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in Section 21E of
the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995. Examples of such statements
include statements relating to: the Company’s repurchase of its ordinary shares by way of an open market share repurchase program,
the impact of recent headcount reductions in connection with focusing investments in research, the Company’s governance policies
and plans, the Company’s expectations regarding its allocation of resources and maintenance of expenditures, the Company’s
goals, designs, strategies, plans and objectives, future YUPELRI sales, the ability to provide value to shareholders, the Company’s
regulatory strategies and timing of clinical studies, possible safety, efficacy or differentiation of our investigational therapy, and
contingent payments due to the Company from the sale of the Company’s TRELEGY ELLIPTA royalty interests to Royalty Pharma. These
statements are based on the current estimates and assumptions of the management of Theravance Biopharma as of the date of this press release
and the conference call and are subject to risks, uncertainties, changes in circumstances, assumptions and other factors that may cause
the actual results of Theravance Biopharma to be materially different from those reflected in the forward-looking statements. Important
factors that could cause actual results to differ materially from those indicated by such forward-looking statements include, among others,
risks related to: whether the milestone thresholds can be achieved, delays or difficulties in commencing, enrolling or completing clinical
studies, the potential that results from clinical or non-clinical studies indicate the Company’s product candidates or product are
unsafe, ineffective or not differentiated, risks of decisions from regulatory authorities that are unfavorable to the Company, dependence
on third parties to conduct clinical studies, delays or failure to achieve and maintain regulatory approvals for product candidates, risks
of collaborating with or relying on third parties to discover, develop, manufacture and commercialize products, and risks associated with
establishing and maintaining sales, marketing and distribution capabilities with appropriate technical expertise and supporting infrastructure,
ability to retain key personnel, the impact of the Company’s recent restructuring actions on its employees, partners and others,
the ability of the Company to protect and to enforce its intellectual property rights, volatility and fluctuations in the trading price
and volume of the Company’s shares, and general economic and market conditions. Other risks affecting Theravance Biopharma are in
the Company's Form 10-Q filed with the SEC on August 9, 2023, and other periodic reports filed with the SEC. In addition to the risks
described above and in Theravance Biopharma’s filings with the SEC, other unknown or unpredictable factors also could affect Theravance
Biopharma’s results. No forward-looking statements can be guaranteed, and actual results may differ materially from such statements.
Given these uncertainties, you should not place undue reliance on these forward-looking statements. Theravance Biopharma assumes no obligation
to update its forward-looking statements on account of new information, future events or otherwise, except as required by law.
Non-GAAP Financial Measures
Theravance Biopharma provides a non-GAAP profitability target and a
non-GAAP metric in this press release. Theravance Biopharma believes that the non-GAAP profitability target and non-GAAP net loss from
operations provide meaningful information to assist investors in assessing prospects for future performance and actual performance as
they provide better metrics for analyzing the performance of its business by excluding items that may not be indicative of core operating
results and the Company's cash position. Because non-GAAP financial targets and metrics, such as non-GAAP profitability and non-GAAP net
loss from operations, are not standardized, it may not be possible to compare these measures with other companies' non-GAAP targets or
measures having the same or a similar name. Thus, Theravance Biopharma's non-GAAP measures should be considered in addition to, not as
a substitute for, or in isolation from, the Company's actual GAAP results and other targets.
Contact:
investor.relations@theravance.com
650-808-4045
THERAVANCE BIOPHARMA, INC. |
CONDENSED CONSOLIDATED BALANCE SHEETS |
(In thousands) |
| |
| | |
| |
| |
| September 30, | | |
| December 31, | |
| |
| 2023 | | |
| 2022 | |
| |
| (Unaudited) | | |
| (1) | |
Assets | |
| | | |
| | |
Current assets: | |
| | | |
| | |
Cash and cash equivalents and short-term marketable securities | |
$ | 134,003 | | |
$ | 327,484 | |
Receivables from collaborative arrangements | |
| 17,057 | | |
| 16,785 | |
Prepaid clinical and development services | |
| 1,634 | | |
| 1,513 | |
Other prepaid and current assets | |
| 8,996 | | |
| 7,682 | |
Total current assets | |
| 161,690 | | |
| 353,464 | |
Property and equipment, net | |
| 9,288 | | |
| 11,875 | |
Operating lease assets | |
| 37,576 | | |
| 40,126 | |
Future contingent milestone and royalty assets | |
| 194,200 | | |
| 194,200 | |
Restricted cash | |
| 836 | | |
| 836 | |
Other assets | |
| 10,000 | | |
| 6,899 | |
Total assets | |
$ | 413,590 | | |
$ | 607,400 | |
| |
| | | |
| | |
Liabilities and Shareholders' Equity | |
| | | |
| | |
Current liabilities | |
$ | 25,368 | | |
$ | 28,715 | |
Long-term operating lease liabilities | |
| 41,118 | | |
| 45,407 | |
Future royalty payment contingency | |
| 27,165 | | |
| 25,438 | |
Unrecognized tax benefits | |
| 65,955 | | |
| 64,191 | |
Other long-term liabilities | |
| 7,854 | | |
| 1,849 | |
Shareholders' equity | |
| 246,130 | | |
| 441,800 | |
Total liabilities and shareholders’ equity | |
$ | 413,590 | | |
$ | 607,400 | |
(1) |
The condensed consolidated balance sheet as of December 31,
2022 has been derived from the audited consolidated financial statements included in the Company's Annual Report on Form 10-K for the
year ended December 31, 2022. |
THERAVANCE BIOPHARMA, INC. |
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS |
(In thousands, except per share data) |
|
| |
Three Months Ended September 30, | | |
Nine Months Ended September 30, | |
| |
2023 | | |
2022 | | |
2023 | | |
2022 | |
| |
| | |
| | |
| | |
| |
| |
(Unaudited) | | |
(Unaudited) | |
Revenue: | |
| | |
| | |
| | |
| |
Viatris collaboration agreement (1) | |
$ | 15,687 | | |
$ | 12,445 | | |
$ | 39,841 | | |
$ | 34,010 | |
Collaboration revenue | |
| 6 | | |
| 6 | | |
| 18 | | |
| 187 | |
Licensing revenue | |
| - | | |
| - | | |
| - | | |
| 2,500 | |
Total revenue | |
| 15,693 | | |
| 12,451 | | |
| 39,859 | | |
| 36,697 | |
| |
| | | |
| | | |
| | | |
| | |
Costs and expenses: | |
| | | |
| | | |
| | | |
| | |
Research and development (2) | |
| 8,311 | | |
| 9,867 | | |
| 32,308 | | |
| 48,044 | |
Selling, general and administrative (2) | |
| 16,142 | | |
| 16,277 | | |
| 54,603 | | |
| 50,341 | |
Restructuring and related expenses (2) | |
| - | | |
| 509 | | |
| 2,743 | | |
| 12,838 | |
Total costs and expenses | |
| 24,453 | | |
| 26,653 | | |
| 89,654 | | |
| 111,223 | |
Loss from operations | |
| (8,760 | ) | |
| (14,202 | ) | |
| (49,795 | ) | |
| (74,526 | ) |
Interest expense | |
| (609 | ) | |
| (1,545 | ) | |
| (1,727 | ) | |
| (5,819 | ) |
Loss on extinguishment of debt | |
| - | | |
| (3,034 | ) | |
| - | | |
| (3,034 | ) |
Interest income and other income (expense), net | |
| 1,786 | | |
| 2,758 | | |
| 7,269 | | |
| 4,823 | |
Loss from continuing operations before income taxes | |
| (7,583 | ) | |
| (16,023 | ) | |
| (44,253 | ) | |
| (78,556 | ) |
Provision for income tax (expense) benefit | |
| (1,367 | ) | |
| - | | |
| (2,430 | ) | |
| (12 | ) |
Net loss from continuing operations | |
| (8,950 | ) | |
| (16,023 | ) | |
| (46,683 | ) | |
| (78,568 | ) |
| |
| | | |
| | | |
| | | |
| | |
Income from discontinued operations before income taxes | |
| - | | |
| 1,115,016 | | |
| - | | |
| 1,143,930 | |
Provision for income tax expense | |
| - | | |
| (182,362 | ) | |
| - | | |
| (182,868 | ) |
Net income from discontinued operations | |
| - | | |
| 932,654 | | |
| - | | |
| 961,062 | |
| |
| | | |
| | | |
| | | |
| | |
Net income (loss) | |
$ | (8,950 | ) | |
$ | 916,631 | | |
$ | (46,683 | ) | |
$ | 882,494 | |
| |
| | | |
| | | |
| | | |
| | |
Net income (loss) per share: | |
| | | |
| | | |
| | | |
| | |
Continuing operations - basic and diluted | |
$ | (0.17 | ) | |
$ | (0.21 | ) | |
$ | (0.81 | ) | |
$ | (1.04 | ) |
Discontinued operations - basic and diluted | |
$ | - | | |
$ | 12.35 | | |
$ | - | | |
$ | 12.70 | |
Net income (loss) - basic and diluted | |
$ | (0.17 | ) | |
$ | 12.14 | | |
$ | (0.81 | ) | |
$ | 11.66 | |
| |
| | | |
| | | |
| | | |
| | |
Shares used to compute per share calculations - basic and diluted | |
| 52,361 | | |
| 75,515 | | |
| 57,287 | | |
| 75,678 | |
| |
| | | |
| | | |
| | | |
| | |
Non-GAAP net loss from continuing operations | |
$ | (712 | ) | |
$ | (7,069 | ) | |
$ | (22,979 | ) | |
$ | (45,348 | ) |
(1) | While Viatris, Inc. records the
total YUPELRI net sales, the Company is entitled to a 35% share of the net profit (loss) pursuant to a co-promotion agreement with Viatris
as presented below: |
| |
Three Months Ended September 30, | | |
Nine Months Ended September 30, | |
(In thousands) | |
2023 | | |
2022 | | |
2023 | | |
2022 | |
YUPELRI net sales (100% recorded by Viatris) | |
$ | 58,325 | | |
$ | 53,423 | | |
$ | 160,318 | | |
$ | 146,166 | |
YUPELRI net sales (Theravance Biopharma implied 35%) | |
| 20,414 | | |
| 18,698 | | |
| 56,111 | | |
| 51,158 | |
(2) Amounts include share-based compensation expense as follows: |
| |
Three Months Ended September 30, | | |
Nine Months Ended September 30, | |
(In thousands) | |
2023 | | |
2022 | | |
2023 | | |
2022 | |
Research and development | |
$ | 2,004 | | |
$ | 2,623 | | |
$ | 6,301 | | |
$ | 10,062 | |
Selling, general and administrative | |
| 4,258 | | |
| 5,196 | | |
| 12,890 | | |
| 15,724 | |
Restructuring and related expenses | |
| - | | |
| 711 | | |
| 356 | | |
| 6,998 | |
Total share-based compensation expense | |
$ | 6,262 | | |
$ | 8,530 | | |
$ | 19,547 | | |
$ | 32,784 | |
THERAVANCE BIOPHARMA, INC. |
Reconciliation of GAAP to Non-GAAP Net Loss from Continuing Operations |
(In thousands) |
| |
Three Months Ended September 30, | | |
Nine Months Ended September 30, | |
| |
2023 | | |
2022 | | |
2023 | | |
2022 | |
| |
| | |
| | |
| | |
| |
| |
(Unaudited) | | |
(Unaudited) | |
GAAP net loss from continuing operations | |
$ | (8,950 | ) | |
$ | (16,023 | ) | |
$ | (46,683 | ) | |
$ | (78,568 | ) |
Adjustments: | |
| | | |
| | | |
| | | |
| | |
Share-based compensation expense | |
| 6,262 | | |
| 8,530 | | |
| 19,547 | | |
| 32,784 | |
Non-cash interest expense | |
| 609 | | |
| 424 | | |
| 1,727 | | |
| 424 | |
Income tax expense (benefit) | |
| 1,367 | | |
| - | | |
| 2,430 | | |
| 12 | |
Non-GAAP net loss from continuing operations | |
$ | (712 | ) | |
$ | (7,069 | ) | |
$ | (22,979 | ) | |
$ | (45,348 | ) |
Exhibit 99.2
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img001.jpg)
THERAVANCE BIOPHARMA ® , THERAVANCE ® , the Cross/Star logo and MEDICINES THAT MAKE A DIFFERENCE ® are registered trademarks of the Theravance Biopharma group of companies (in the U.S. and certain other countries). All third party trademarks used herein are the property of their respective owners. Third Quarter 2023 Financial Results and Business Update November 7 , 2023 © 2023 Theravance Biopharma. All rights reserved.
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img002.jpg)
Forward - Looking Statements This presentation contains certain "forward - looking" statements as that term is defined in the Private Securities Litigation Ref orm Act of 1995 regarding, among other things, statements relating to goals, plans, objectives, expectations and future events. Theravance Biopharma, Inc. (the “Company”) intends such fo rward - looking statements to be covered by the safe harbor provisions for forward - looking statements contained in Section 21E of the Securities Exchange Act of 1934, as amended, an d the Private Securities Litigation Reform Act of 1995. Examples of such statements include statements relating to: the Company’s repurchase of its ordinary shares by way of an open ma rket share repurchase program, the impact of recent headcount reductions in connection with focusing investments in research, the Company’s governance policies and plans, the Co mpa ny’s expectations regarding its allocation of resources and maintenance of expenditures, the Company’s goals, designs, strategies, plans and objectives, future YUPELRI sal es, the ability to provide value to shareholders, the Company’s regulatory strategies and timing of clinical studies, possible safety, efficacy or differentiation of our investiga tio nal therapy, and contingent payments due to the Company from the sale of the Company’s TRELEGY ELLIPTA royalty interests to Royalty Pharma. These statements are based on the current es timates and assumptions of the management of the Company as of the date of this presentation and are subject to risks, uncertainties, changes in circumstances, assumptions an d o ther factors that may cause the actual results of the Company to be materially different from those reflected in the forward - looking statements. Important factors that could cause ac tual results to differ materially from those indicated by such forward - looking statements include, among others, risks related to: whether the milestone thresholds can be achieved, delay s or difficulties in commencing, enrolling or completing clinical studies, the potential that results from clinical or non - clinical studies indicate the Company’s product candidates or product are unsafe, ineffective or not differentiated, risks of decisions from regulatory authorities that are unfavorable to the Company, dependence on third parties to conduct clinical st udi es, delays or failure to achieve and maintain regulatory approvals for product candidates, risks of collaborating with or relying on third parties to discover, develop, manufacture a nd commercialize products, and risks associated with establishing and maintaining sales, marketing and distribution capabilities with appropriate technical expertise and supporti ng infrastructure, ability to retain key personnel, the impact of the Company’s recent restructuring actions on its employees, partners and others, the ability of the Company to protect and t o e nforce its intellectual property rights, volatility and fluctuations in the trading price and volume of the Company’s shares, and general economic and market conditions. Other risks affecting the Company are in the Company’s Form 10 - Q filed with the SEC on August 9, 2023, and other periodic report s filed with the SEC. In addition to the risks described above and in Theravance Biopharma's filings with the SEC, other unknown or unpredictable factors also could affect Theravance Bi opharma’s results. No forward - looking statements can be guaranteed, and actual results may differ materially from such statements. Given these uncertainties, you should not place un due reliance on these forward - looking statements. Theravance Biopharma assumes no obligation to update its forward - looking statements on account of new information, future events or otherwise, except as required by law. Non - GAAP Financial Measures Theravance Biopharma provides a non - GAAP profitability target and a non - GAAP metric in this presentation. Theravance Biopharma b elieves that the non - GAAP profitability target and non - GAAP net loss from operations provide meaningful information to assist investors in assessing prospects for future performan ce and actual performance as they provide better metrics for analyzing the performance of its business by excluding items that may not be indicative of core operating results an d the Company's cash position. Because non - GAAP financial targets and metrics, such as non - GAAP profitability and non - GAAP net loss from operations, are not standardized, it ma y not be possible to compare these measures with other companies' non - GAAP targets or measures having the same or a similar name. Thus, Theravance Biopharma’s non - GAAP measures should be considered in addition to, not as a substitute for, or in isolation from, the company's actual GAAP results and other targets. 2
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Introduction Rick E Winningham Chief Executive Officer Ampreloxetine Overview Rick E Winningham Chief Executive Officer Richard A. Graham Senior Vice President, Research and Development YUPELRI ® Update Rhonda F. Farnum Senior Vice President, Chief Business Officer Financial Update Aziz Sawaf Senior Vice President, Chief Financial Officer Closing Remarks Rick E Winningham Chief Executive Officer Agenda 3
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img004.jpg)
Strategic Objectives: Q3 and YTD Progress 4 1. In the US, Viatris is leading the commercialization of YUPELRI, and Theravance Biopharma co - promotes the product under a prof it and loss sharing arrangement (65% to Viatris; 35% to Theravance Biopharma). 2 . Non - GAAP profit is expected to consist of GAAP income before taxes less share - based compensation expense and non - cash interest expense. See the section titled "Non - GAAP Financial Measures" on Slide 2 for more information. 3. The first milestone payment, of $50.0 million, will be triggered if Royalty Pharma receives $240.0 million or more in roya lty payments from GSK with respect to 2023 TRELEGY global net sales, which we would expect to occur in the event TRELEGY global net sales reach approximately $2.863 billion. AAS, International Symposium on The Autonomic Nervous System; MDS, International Congress on Parkinson’s Disease and Movement Di sorders; PIFR, peak inspiratory flow rate. Financial ‣ Q3 GAAP Net Loss of ($9.0M), Non - GAAP 2 Loss of ($0.7M) vs. ($7.4M) in Q2’23; improvement driven by expense initiatives and increased YUPELRI Net Sales ‣ $325M Capital Return Program on track for 2023 completion; $31M completed Q3 and $30M remaining ‣ TRELEGY: $675M Net Sales in Q3’23 (+22% Y/Y); $2.0B YTD 3 ‣ Continuing Phase 3 CYPRESS trial enrollment and adding sites globally ‣ New data presented at MDS in August; additional data to be presented in November at AAS Ampreloxetine ‣ Total Q3 YUPELRI reported net sales reached $58.3M up 9% Y/Y 1 ‣ Continued retail script growth and market share gains ‣ PIFR - 2 enrollment completed; disclosure anticipated in Jan ‘24 ‣ Positive China study results with filing anticipated mid - 2024
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img005.jpg)
51. In the US,Viatris is leading the commercialization of YUPELRI, and Theravance Biopharma co promotes the product under a profit and loss sharing arrangement (65% to Viatris ; 35% to Theravance Biopharma). 2. NonGAAP net loss from continuing operations consists of GAAP net loss before taxes excluding share based compensation expense and n on cash interest expense; see reconciliation on Slide 20 and the section titled "NonGAAP Financial Measures" on Slide 2 for more information. 3 . As of September 30, 2023, the Company is eligible to receive from Viatris potential global development, regulatory and sales milestone payments (excludingChina and adjacent territories) totaling up to $205.0 million in the aggregate; refer to our SEC filings for further informat ion . 4 . As of September 30, 2023; Theravance Biopharma eligible to receive potential development andsales milestones totaling $52.5 million related to Viatris ' development and commercialization of nebulized revefenacin in China and adjacent territories, with $45.0 million associated with YUPELRI monotherapy and $7.5million associated with future potential combination products; refer to our SEC filings for further information. 5. Refer to our SEC filings for further information. ODD, Orphan Drug Designation; PIFR, peak inspiratory flow rate.Theravance Today: Focused on Value CreationoU.S. YUPELRI CoPromote 1 : Last Twelve Months' sales of $216M as of 9/30/23oProfitable, with expanding profit margins; PIFR2 data in Jan 2024oAmpreloxetine: wholly owned Phase 3 rare neuro asset with ODD; top line data expected 2025o$134M cash and no debt; Q3 2023 NonGAAP Loss of $0.7M 2oPotential milestones and royalties:oTRELEGY: Up to $250M in sales milestones through 2026; royalties returning in 2029oYUPELRI:oUS Monotherapy: Up to $150M in sales milestones3oChina Monotherapy: Up to $45M in development and sales milestones, low doubledigit tiered royalties 4oOUS (exChina): Low double digit to mid teens royalties 5Growing YUPELRI , Maximizing Ampreloxetine, Maintaining Financial Strength1234
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img006.jpg)
Ampreloxetine Value Proposition 6 1. UCSD Neurological Institute (25K - 75K, with ~10K new cases per year); NIH National Institute of Neurological Disorders and Str oke (15K - 50K). 2. Delveinsight MSA Market Forecast (2023); Symptoms associated with orthostatic hypotension in pure autonomic failure and mu lti ple systems atrophy, CJ Mathias (1999). 3. Source: Thelansis nOH Market Report 2023; TBPH Internal Analysis . MSA, multiple system atrophy; nOH, neurogenic orthostatic hypotension. • Significant Commercial Potential: • 35K - 45K MSA Patients with Symptomatic nOH in the US 1,2 • ~ 5x the Addressable Population with the inclusion of Europe, Japan and China 3
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img007.jpg)
7 Source: Thelansis nOH Market Report 2023; TBPH Internal Analysis 1 China & Japan United States Europe Ampreloxetine Worldwide Opportunity: Multiple System Atrophy (MSA) Patients with Symptomatic nOH MSA patients: ~50K Total Addressable Pop. w/ nOH: ~35 - 45K MSA patients: ~65K Total Addressable Pop. w/ nOH: ~45 - 60K MSA patients: ~150K Total Addressable Pop. w/ nOH: ~90 - 105K 1 2 3 1 2 3
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img008.jpg)
Ampreloxetine Value Proposition81. UCSD Neurological Institute (25K-75K, with ~10K new cases per year); NIH National Institute of Neurological Disorders and Stroke (15K-50K).2. Delveinsight MSA Market Forecast (2023); Symptoms associated with orthostatic hypotension in pure autonomic failure and multiple systems atrophy, CJ Mathias (1999).3. Source: Thelansis nOH Market Report 2023; TBPH Internal Analysis.4. Reflects Theravance Biopharma's expectations for ampreloxetine based on clinical trial data to date. Ampreloxetine is in development and not approved for any indication. Data on file.MSA, multiple system atrophy; nOH, neurogenic orthostatic hypotension.o Significant Commercial Potential:o 35K-45K MSA Patients with Symptomatic nOH in the US1,2o ~ 5x the Addressable Population with the inclusion of Europe, Japan and China3o Wholly-Owned by Theravance with Potential to Partner OUSo Granted IP protection to 2037 in the USo Orphan Drug Designation Receivedo Highly Differentiated Efficacy and Safety, Addressing Key Unmet Needs4o High Probability of Success
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img009.jpg)
Differentiated Profile in Symptomatic nOH in MSA: High Unmet Need, Significant Potential Impact 1. Merola A, et al., Mov Disord 2018 . 2. Claassen DO, et al., BMC Neurol 2018. 3. NORTHERA ® (droxidopa) [package insert]. Deerfield, IL: Lundbeck. 2014. 4 . ProAmatine® (midodrine hydrochloride) [Warning Ref 4052798]. Lexington, MA: Shire. 2017. 5. Reflects Theravance Biopharma's expectations for ampreloxetine based on clinical trial data to date. Ampreloxetine is in development and not approved for any indication. Data on file. MSA, multiple system atrophy; nOH, neurogenic orthostatic hypotension. 9 High Unmet Need Ampreloxetine’s Differentiated Effects 5 1 2 1 2 Symptomatic nOH is characterized by unremitting symptoms requiring patients to avoid sitting or standing Evidence points to a substantial negative impact of nOH symptoms: Data support a clinically - important, durable effect, with no signal for supine hypertension observed 3 Well tolerated, once - daily therapy may lead to greater patient adherence Improvements demonstrated across six cardinal symptoms experienced by MSA patients with nOH 3 Current therapies have not demonstrated a durable effect on nOH symptoms and carry a Black Box warning for supine hypertension 3,4 • 87% of patients report a reduced ability to perform daily activities and 59% report a negative impact on their quality of life 1,2 • 42% claim it has robbed them of their independence 1,2
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img010.jpg)
Ampreloxetine: High Probability of Success 10 ‣ Technical: Strong mechanistic rationale supported by late - stage clinical data • Intact peripheral nerves in MSA patients • NE increase prevents decrease in blood pressure which leads to improvement in debilitating symptoms • Clinically meaningful (1.6 - point) benefit on OHSA composite score relative to placebo in a 22 - week study • Overall PTS on the higher end of benchmarks for rare diseases and neurology programs 1 ‣ Regulatory: FDA alignment on CYPRESS, supportive work complete • Interpretation of the Ph3 study 0170, design of CYPRESS, and OHSA composite as primary endpoint • Successful CYPRESS study fulfills requirement for a full approval • CMC, non - clinical pharmacology/toxicology, and clinical pharmacology programs 1. Source: Clinical Development Success Rates and Contributing Factors 2011 – 2020, BIO, Informa and QLS, 2021 ; TBPH Internal Analysis CMC, chemistry, manufacturing and controls; MSA, multiple system atrophy; NE, norepinephrine; OHSA, Orthostatic Hypotension S ymp tom Assessment; PTS, probability of technical success.
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img011.jpg)
FDA - approved for maintenance treatment of COPD First and only once - daily, LAMA (long - acting muscarinic agent) nebulized maintenance medicine for COPD Co - promotion agreement with VIATRIS TM (35% / 65% Profit Share)
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img012.jpg)
YUPELRI Value Proposition121. In the US, Viatris is leading the commercialization of YUPELRI, and Theravance Biopharma co-promotes the product under a profit and loss sharing arrangement (65% to Viatris; 35% to Theravance Biopharma). 2. As ofSeptember 30, 2023, the Company is eligible to receive from Viatris potential global development, regulatory and sales milestone payments (excluding China and adjacent territories) totaling up to $205.0 million in theaggregate; refer to our SEC filings for further information. 3. As of September 30, 2023; Theravance Biopharma eligible to receive potential development and sales milestones totaling $52.5 million related to Viatris'development and commercialization of nebulized revefenacin in China and adjacent territories, with $45.0 million associated with YUPELRI monotherapy and $7.5 million associated with future potential combinationproducts; refer to our SEC filings for further information. 4. Refer to our SEC filings for further information. COPD, chronic obstructive pulmonary disease; LAMA, long-acting muscarinic agent; PIFR, peak inspiratory flow rate.o Only Once-Daily Nebulized LAMA COPD Maintenance Medicineo Significant Commercial Opportunity Going Forward:o U.S. YUPELRI Co-Promote1: Last Twelve Months' sales of $216M as of 9/30/23o Profitable, with expanding profit marginso PIFR-2 data in Jan'24o Significant potential milestones and royalties:o US Monotherapy: Up to $150M in sales milestones2o China Monotherapy: Up to $45M in development and sales milestones, low double-digittiered royalties3o OUS (ex-China): Low double-digit to mid-teens royalties4o IP protection granted to 2039 in the US
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img013.jpg)
YUPELRI ® Continued Net Sales Growth 13 In the US, Viatris is leading the commercialization of YUPELRI, and Theravance Biopharma co - promotes the product under a profit and loss sharing arrangement (65% to Viatris; 35% to Theravance Biopharma). $9.1 $16.5 $29.6 $36.8 $30.3 $37.0 $38.7 $36.9 $41.8 $39.4 $43.8 $43.7 $49.1 $53.4 $55.7 $47.0 $55.0 $58.3 0 10 20 30 40 50 60 70 Q2'19 Q3'19 Q4'19 Q1'20 Q2'20 Q3'20 Q4'20 Q1'21 Q2'21 Q3'21 Q4'21 Q1'22 Q2'22 Q3'22 Q4'22 Q1'23 Q2'23 Q3'23 Total YUPELRI Net Sales ($M) Net sales increased 9% Q3’23 vs. Q3’22
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img014.jpg)
Theravance Hospital Execution Drives Value 14 1. Source: IQVIA DDD, HDS, VA and Non - Reporting Hospital through 9/30/2023. Preliminary data subject to revision upon receipt of final data. 10K 19K 30K 54K 34K 47K 54K 56K 70K 78K 93K 98K 108K 113K 138K 160K 157K 160K 0K 20K 40K 60K 80K 100K 120K 140K 160K 180K Q2'19 Q3'19 Q4'19 Q1'20 Q2'20 Q3'20 Q4'20 Q1'21 Q2'21 Q3'21 Q4'21 Q1'22 Q2'22 Q3'22 Q4'22 Q1'23 Q2'23 Q3'23 YUPELRI Hospital Doses Hospital sales (doses) increased 41% Q3’23 vs. Q3’22 1
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img015.jpg)
YUPELRI ® Market Share Gains Continue 15 1. Joint VTRS/TBPH Market Research (Aug’23). * Hospital LA - NEB Market Share - IQVIA DDD through 9/30/2023. †Community LA - NEB Market Share includes Retail + DME / Med B FFS through July’23. 7.6% 7.6% 8.6% 9.5% 10.7% 11.3% 11.6% 13.3% 12.5% 14.9% 15.2% 16.1% 0% 5% 10% 15% 20% 25% 30% 35% Q4'20 Q1'21 Q2'21 Q3'21 Q4'21 Q1'22 Q2'22 Q3'22 Q4'22 Q1'23 Q2'23 Q3'23 Hospital LA - NEB Market Share* YUPELRI Hospital LA-NEB Market Share Patients continue treatment in the community setting which is inclusive of both the retail and DME channels 18.7% 19.7% 21.4% 22.5% 23.2% 24.1% 25.3% 26.4% 27.1% 28.0% 29.0% 30.2% 0% 5% 10% 15% 20% 25% 30% 35% Q4'20 Q1'21 Q2'21 Q3'21 Q4'21 Q1'22 Q2'22 Q3'22 Q4'22 Q1'23 Q2'23 Q3'23 Community LA - NEB Market Share † YUPELRI Community LA-NEB Market Share Most patients who receive YUPELRI in the hospital are discharged with an Rx 1 LA - NEB Market: YUPELRI, BROVANA, LONHALA, PERFOROMIST, arformoterol, formoterol Hospital LA - NEB Market Share Community LA - NEB Market Share
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img016.jpg)
16 Source: Symphony Health METYS Prescription Dashboard through 9/30/2023. 10% 7% - 2% 10% 5% 4% 7% 8% 9% K 5 K 10 K 15 K 20 K 25 K 30 K Q3'21 Q4'21 Q1'22 Q2'22 Q3'22 Q4'22 Q1'23 Q2'23 Q3'23 YUPELRI Retail TRx YUPELRI Retail TRx YUPELRI Retail TRx YUPELRI ® Retail Trends Retail TRx Continue to Reach New Quarterly Highs Q /Q Growth - 6% 9% 0% 11% 5% 12% 23% 6% - 4% K 1 K 2 K 3 K 4 K 5 K Q3'21 Q4'21 Q1'22 Q2'22 Q3'22 Q4'22 Q1'23 Q2'23 Q3'23 YUPELRI Retail New to Product Rx YUPELRI Retail New to Product Rx YUPELRI Retail New to Product Rx
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img017.jpg)
Financial Update
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img018.jpg)
18 1 . 2023 projected expenses based on the mid - point of stated guidance. Progress Against Financial Targets Reduction in expense base combined with YUPELRI ® Net Sales growth, and no debt $0 $50 $100 $150 $200 $250 $300 $350 $400 2020A 2021A 2022A 2023E R&D SG&A Share-Based Comp Significant Expense Reductions 1 $ millions $ millions $0 $50 $100 $150 $200 $250 2020A 2021A 2022A 35% Share Total YUPELRI Net Sales Increased Net Sales $0 $100 $200 $300 $400 $500 $600 $700 2020A 2023E Total Debt $ millions Debt Free
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img019.jpg)
Third Quarter 2023 Financials 19 1. Amounts include share - based compensation. 2. Non - GAAP net loss from continuing operations consists of GAAP net loss before taxes excluding share - based compensation expens e and non - cash interest expense; see reconciliation on Slide 20 and the section titled "Non - GAAP Financial Measures“ on Slide 2 for more information. ($, in thousands) Revenue: Viatris collaboration agreement $ 15,687 $ 12,445 $ 39,841 $ 34,010 Collaboration revenue 6 6 18 187 Licensing revenue - - - 2,500 Total revenue 15,693 12,451 39,859 36,697 Costs and expenses: Research and development (1) 8,311 9,867 32,308 48,044 Selling, general and administrative (1) 16,142 16,277 54,603 50,341 Restructuring and related expenses (1) - 509 2,743 12,838 Total costs and expenses 24,453 26,653 89,654 111,223 Loss from continuing operations (before tax and other income & expense) $ (8,760) $ (14,202) $ (49,795) $ (74,526) Income from discontinued operations (before tax) - 1,115,016 - 1,143,930 Share-based compensation expense: Research and development 2,004 2,623 6,301 10,062 Selling, general and administrative 4,258 5,196 12,890 15,724 Restructuring and related expenses - 711 356 6,998 Total share-based compensation expense 6,262 8,530 19,547 32,784 Operating expense excl. share-based compensation and one-time expenses: R&D operating expense (excl. share-based comp and restructuring exp.) 6,307 7,244 26,007 37,982 SG&A operating expense (excl. share-based comp and restructuring exp.) 11,884 11,081 41,713 34,617 Total operating expenses excl. share-based compensation and one-time expenses$ 18,191 $ 18,325 $ 67,720 $ 72,599 Non-GAAP net loss from continuing operations (2) $ (712) $ (7,069) $ (22,979) $ (45,348) Three Months Ended September 30, 2023 2022 (Unaudited) Nine Months Ended September 30, 2023 2022 (Unaudited)
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img020.jpg)
Third Quarter 2023 Financials (Cont’d) 20 See the section titled "Non - GAAP Financial Measures" on Slide 2 for more information. GAAP Net Loss from Continuing Operations $ (8,950) $ (16,023) $ (46,683) $ (78,568) Adjustments: Share-based compensation expense 6,262 8,530 19,547 32,784 Non-cash interest expense 609 424 1,727 424 Income tax expense (benefit) 1,367 - 2,430 12 Non-GAAP Net Loss from Continuing Operations $ (712) $ (7,069) $ (22,979) $ (45,348) Non-GAAP Net Loss per Share from Continuing Operations Net loss - basic and diluted $ (0.01) $ (0.09) $ (0.40) $ (0.60) Shares used to compute per share calculations - basic and diluted 52,361 75,515 57,287 75,678 (Unaudited) Reconciliation of GAAP to Non-GAAP Net Loss from Continuing Operations (In thousands, except per share data) Three Months Ended September 30, Nine Months Ended September 30, 2023 2022 2023 2022 (Unaudited)
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img021.jpg)
Q3 2023 Financial Highlights Significant Capital Returns from a Position of Strength 21 1. Non - GAAP loss from continuing operations consists of GAAP loss before taxes excluding share - based compensation expense and no n - cash interest expense; see reconciliation on Slide 20 and the section titled "Non - GAAP Financial Measures“ on Slide 2 for more information. 2. Cash, cash equivalents and marketable securities. SBC, Share - Based Compensation. Metric Q3 ‘23 (M) Q3 ‘22 (M) Note VIATRIS Collaboration Revenue $15.7 $12.4 SG&A and R&D Expense, ex - SBC $18.2 $18.3 Share - Based Compensation $6.3 $7.8 GAAP Loss from Continuing Operations ($9.0) ($16.0) Non - GAAP Loss from Continuing Operations 1 ($0.7) ($7.1) Cash and Cash Equivalents 2 (as of quarter - end) $134.0 $486.8 • $30.8M of share buybacks in Q3’23 Debt (as of quarter - end) $0.0 $0.0 • All long - term debt retired in Q3’22 Shares Outstanding (as of quarter - end) 50.8 67.4 • ~3.2M shares repurchased in Q3’23
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img022.jpg)
2023 Financial Guidance Expected to Generate Non - GAAP 1 Profit in 2H 2023 22 1. Non - GAAP profit is expected to consist of GAAP income before taxes less share - based compensation expense and non - cash interes t expense; see the section titled "Non - GAAP Financial Measures" on Slide 2 for more information. 2. No further severance and termination costs expected. • 2023 OPEX Guidance Range: • R&D: $35M - $45M • SG&A: $45M - $55M • Guidance Excludes: • Non - cash share - based compensation • Non - recurring costs 2 : • $1.6M in Q1’23 associated with headcount reduction • $1.2M in Q2’23 associated with lab equipment sale • Share - Based Compensation: • Q3’23 down 25% Y/Y, excluding restructuring costs, and 36%, including restructuring costs
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img023.jpg)
Q3’23 Net Sales of $ 675M | YTD Net Sales of $2.0B 4 Outer - Year Royalties 3 return in 2029: TRELEGY ELLIPTA Milestones and Royalties GSK’s TRELEGY ELLIPTA (FF/UMEC/VI): First and only once - daily single inhaler triple therapy 23 1. If both milestones are achieved in a given year, Theravance Biopharma will only earn the higher milestone. 2. Based on 10 0% of TRELEGY ELLIPTA royalties. 3. 85 % of TRELEGY ELLIPTA royalties return to Theravance Biopharma beginning July 1, ್ 2029 ್ for sales ex - U.S., and January 1, ್ 2031 ್ for sales within the U.S.; U.S. royalties expected to end late 2032; ex - U.S. royalties expected to end mid - 2030s and are country specific. 4. Source: GSK - reported Net Sales in USD. FF, Fluticasone Furoate; UMEC, Umeclidinium; VI, Vilanterol. Mid - Term Value Long - Term Value • Ex - US royalties return Jul. 1, ௗ 2029 • US royalties return after Jan. 1, ௗ 2031 • Paid directly from Roy alty Pharma Up to $250M of Sales - based milestones 1,2 between 2023 – 2026: GSK remains exclusively responsible for commercialization of TRELEGY ELLIPTA
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img024.jpg)
24Theravance'sFuture: Focused on Value CreationoGrow YUPELRIoSuccessfully develop and commercializeampreloxetine worldwide:oRetain US rightsoPartner exUSoAchieve Up to $250M in TRELEGY sales milestones, with royalties returning in 2029oAchieve Potential YUPELRI milestones and royaltiesoMaintain financial strength and efficiently deploy available capitalGrowYUPELRI , Maximize Ampreloxetine , Optimize Financial Returns12345
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img025.jpg)
Rick E Winningham Chairman and Chief Executive Officer Aziz Sawaf, CFA Senior Vice President, Chief Financial Officer Rhonda F. Farnum Senior Vice President, Chief Business Officer Richard A. Graham Senior Vice President, Research and Development Q&A Session
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img026.jpg)
YUPELRI ® (revefenacin) inhalation solution YUPELRI ® inhalation solution is indicated for the maintenance treatment of patients with chronic obstructive pulmonary disease (COPD) . Important Safety Information (US) YUPELRI is contraindicated in patients with hypersensitivity to revefenacin or any component of this product . YUPELRI should not be initiated in patients during acutely deteriorating or potentially life - threatening episodes of COPD, or for the relief of acute symptoms, i . e . , as rescue therapy for the treatment of acute episodes of bronchospasm . Acute symptoms should be treated with an inhaled short - acting beta 2 - agonist . As with other inhaled medicines, YUPELRI can produce paradoxical bronchospasm that may be life - threatening . If paradoxical bronchospasm occurs following dosing with YUPELRI, it should be treated immediately with an inhaled, short - acting bronchodilator . YUPELRI should be discontinued immediately and alternative therapy should be instituted . YUPELRI should be used with caution in patients with narrow - angle glaucoma . Patients should be instructed to immediately consult their healthcare provider if they develop any signs and symptoms of acute narrow - angle glaucoma, including eye pain or discomfort, blurred vision, visual halos or colored images in association with red eyes from conjunctival congestion and corneal edema . Worsening of urinary retention may occur . Use with caution in patients with prostatic hyperplasia or bladder - neck obstruction and instruct patients to contact a healthcare provider immediately if symptoms occur . Immediate hypersensitivity reactions may occur after administration of YUPELRI . If a reaction occurs, YUPELRI should be stopped at once and alternative treatments considered . The most common adverse reactions occurring in clinical trials at an incidence greater than or equal to 2 % in the YUPELRI group, and higher than placebo, included cough, nasopharyngitis, upper respiratory infection, headache and back pain . Coadministration of anticholinergic medicines or OATP 1 B 1 and OATP 1 B 3 inhibitors with YUPELRI is not recommended . YUPELRI is not recommended in patients with any degree of hepatic impairment . 26 OATP, organic anion transporting polypeptide.
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img027.jpg)
About YUPELRI ® (revefenacin) Inhalation Solution YUPELRI ® (revefenacin) inhalation solution is a once - daily nebulized LAMA approved for the maintenance treatment of COPD in the US . Market research by Theravance Biopharma indicates approximately 9 % of the treated COPD patients in the US use nebulizers for ongoing maintenance therapy . 1 LAMAs are a cornerstone of maintenance therapy for COPD and YUPELRI ® is positioned as the first once - daily single - agent bronchodilator product for COPD patients who require, or prefer, nebulized therapy . YUPELRI ® ’s stability in both metered dose inhaler and dry powder device formulations suggest that this LAMA could also serve as a foundation for novel handheld combination products . 27 1. TBPH market research (N=160 physicians); refers to US COPD patients. COPD, chronic obstructive pulmonary disease; LAMA, long - acting muscarinic antagonist.
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img028.jpg)
Appendix
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img029.jpg)
29 1. 2023 projected expenses based on the mid - point of stated guidance. From ‘20 - ’23, OpEx Reduced from $370M to $115M 1 Strategic Restructurings Received $1.1B Upfront + Future Milestones and Royalties TRELEGY Royalty Interest Monetization Mitigated Risk in Rising Interest Rate Environment Debt Elimination $325M Program Initiated with 91% Complete via Share Buybacks Capital Return Program Track Record of Decisive Action
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img030.jpg)
x ~$95M: Purchased GSK's equity stake in Theravance (Sep’22) and completed Dutch auction tender offer (Nov’22) x >$31M completed in Q3 2023 $325 Million Capital Return Program On Track to Complete Program by Year - End 30 Complete ($95M) Open Market Share Buybacks Complete ($200M) At 9/30/23: ~$295M completed overall, ~$30M remaining in capital return program
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img031.jpg)
YUPELRI ® PIFR - 2: Phase 4 Randomized, Double - Blind, Parallel - Group Study: Anticipated top - line disclosures 31 Phase 4, Randomized, Double - Blind, Parallel˗Group Study in Adults With Severe - to - Very - Severe COPD and Suboptimal Inspiratory Flo w Rate. *Dry powder inhaler (Spiriva ® HandiHaler ® ). AE, adverse event; COPD, chronic obstructive pulmonary disease; FEV 1 , forced expiratory volume in 1 second; PIFR, peak inspiratory flow rate; SAE, serious adverse event. 1. Description of patient population and study conduct (e.g., demographic and baseline characteristics and patient disposition) 2. Summary of efficacy of revefenacin in comparison to tiotropium , including: • Primary Efficacy Endpoint • Day 85 trough FEV 1 change from baseline (CFB) • Key Secondary Efficacy Endpoints • Average trough FEV 1 CFB across Days 30, 60, and 85 • Other associated spirometry endpoints 3. Description of the safety profile of revefenacin in comparison to tiotropium , with analyses on treatment - emergent AEs and SAEs. Data Disclosures Expected Jan ‘24 Randomization 1:1 Results YUPELRI ® SPIRIVA ® via HH* 1x/ day treatment: 12 weeks Run - in Sample size ‣ N = Up to 488 GOLD 3 and 4 patients
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img032.jpg)
32 Substantial Opportunity for Further YUPELRI ® Growth Long - Acting Nebulized Maintenance Patients Patients Using Short - Acting Nebulized Therapy ~200K Current Long - Acting Neb Patients ~200K Patients Inappropriately Using Short - Acting Nebulized Treatments for Maintenance Therapy Current COPD Patients on Nebulized Therapy COPD Patients Who Could Benefit from Nebulized Therapy 1. Addressable patient population quantifies the number of patients within the intended target profile. Sources: Citeline Pharma Custom Intelligence Primary Research April 2023, Symphony Health METYS Prescription Dashboard, Solut ion sRx Med B FFS. COPD, chronic obstructive pulmonary disease; PIFR, peak inspiratory flow rate. ~1.5M Patients on Handheld - Only Maintenance Regimens who Remain Symptomatic ~2M Patients for Whom YUPELRI May Be Appropriate ~60K patients estimated to be on YUPELRI currently Addressable Patient Population (U.S.) 1 Suboptimal PIFR Cognitive Impairment Dexterity Challenges
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img033.jpg)
Granted Patent Protection Into Late 2030s 33 COPD, Chronic obstructive pulmonary disease ; nOH, neurogenic orthostatic hypotension; PTE, patent term extensions. Compound Invention Estimated Patent Expiry YUPELRI ® / revefenacin Composition of Matter 2028 (once PTE awarded) Polymorph 2030 - 2031 Method for the maintenance treatment of COPD patients 2039 Ampreloxetine Composition of Matter 2030 (plus PTE of up to 5 years) Method of Treating nOH 2037
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img034.jpg)
34 Viatris Collaboration Agreement Revenue Theravance Entitled to Share of US profits (65% to Viatris; 35% to Theravance) 1. Any reimbursement from Viatris attributed to the 65% cost - sharing of our R&D expenses is characterized as a reduction of R&D expense. 2. Amount included as a receivable on the balance sheet as “Receivables from collaborative arrangements.” Viatris Collaboration Agreement Revenue Cash amount receivable from Viatris 1,2 Payment of shared Viatris expenses (35%) Reimbursement of shared Theravance expenses (65%) 35% of YUPELRI ® Net Sales Collaboration Revenue, in any given period can fluctuate by the absolute and relative expenses incurred by Viatris and Theravance, in addition to the Net Sales generated in the period
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img035.jpg)
TRELEGY ELLIPTA Theravance Biopharma and Royalty Pharma Deal Summary • Upfront: $1.1B (Received) • Milestones: Up to $250M 35 1. If both milestones are achieved in a given year, Theravance Biopharma will only earn the higher milestone. 2. Based on 100% of TRELEGY ELLIPTA royalties. 3. U.S. royalties expected to end late 2032; ex - U.S. royalties expected to end mid - 2030s and are country specific. Ampreloxetine (Unsecured Royalty) • Outer Year Royalty (“OYR”): 85% of royalties for TRELEGY ELLIPTA return to Theravance Biopharma: – On and after January 1, ௗ 2031 ௗ for U.S. sales 3 – On and after July 1, ௗ 2029 ௗ for ex - U.S. sales 3 • Upfront payment: $25M (Received) • 1st Regulatory approval milestone: $15M – Approval by either FDA or first of the EMA or all four Germany, France, Italy and Spain • Future royalties paid to Royalty Pharma: – 2.5% on annual global net sales up to $500M – 4.5% on annual global net sales > $500M
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img036.jpg)
High Unmet Need Supports Significant Commercial Potential 36 Reflects Theravance Biopharma's expectations for ampreloxetine based on clinical trial data to date. Ampreloxetine is in deve lop ment and not approved for any indication. Data on file. 1. UCSD Neurological Institute (25K - 75K, with ~10K new cases per year); NIH National Institute of Neurological Disorders and Stroke (15K - 50K). 2. Delveinsight MSA M arket Forecast (2023); Symptoms associated with orthostatic hypotension in pure autonomic failure and multiple systems atrophy, CJ Mathias (1999). 3. NORTHERA ® (droxidopa) [package insert]. Deerfield, IL: Lundbeck. 2014. 4. ProAmatine® (midodrine hydrochloride) [Warning Ref 4052798]. Lexington, MA: Shire. 2017. 5. Low, AJMC, 2015. 6. 2022 MAT Rapid Payer Response KOL and High - Volume Prescriber Research. 7. Ky mes, Autonomic Neuroscience: Basic and Clinical, 2020. MSA, multiple system atrophy; nOH, neurogenic orthostatic hypotension . 35K – 45K MSA patients with nOH symptoms 1, 2 Addressable US Patient Population Droxidopa 3 Midodrine 4 Efficacy / Durability Dizziness/lightheadedness only; efficacy not proven beyond 2 weeks Surrogate: systolic blood pressure increase 1 min after standing Dosing 3x daily, titrated 3x daily Safety Black box warning for supine hypertension Current Treatment Landscape • No approved therapy has demonstrated a durable effect on nOH symptoms 3,4 • In about half of patients with nOH, supine hypertension complicates management 5 • Many MSA patients remain inadequately managed for nOH symptoms, despite available therapies 6 • Long - term adherence remains low, despite genericization of approved treatments 6,7 Ampreloxetine’s Potential Ampreloxetine Broad, durable symptom improvements demonstrated out to 6 weeks, relative to placebo 1x 10mg pill daily No signal for supine hypertension
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img037.jpg)
37 BL, baseline; CI, confidence interval; MSA, multiple system atrophy; OHSA, orthostatic hypotension symptom assessment; RWD, r and omized withdrawal. Demonstrated Durable, Clinically - significant Symptom Improvements in MSA Patients 33 34 31 32 64 42 20 20 18 20 0 0 4 0 4 8 12 16 18 20 22 2 4 6 8 0169 4 - week double - blind 0170 6 - week RWD period 0170 16 - week open label period Placebo, n= Ampreloxetine, n= Week OHSA Composite Score Mean (95% CI) BL BL BL Ampreloxetine Placebo
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img038.jpg)
Increased Norepinephrine, Prevented Blood Pressure Drop and Symptoms Worsening in MSA Patients 1, 2 38 1. Data from MSA patients. Error bars represent SE. * p < 0.05 comparison to baseline reported after 4 weeks of ampreloxetine ad ministration in study 0169. 2. Data from MSA patients at week 6 of the randomized withdrawal period of study 0170. BP, blood pressure; DHPG, dyhydroxyphenylglycol; LS, least - squares; MSA, multiple system atrophy; OHSA, orthostatic hypotension symptom assessment; SE, standard error; SEM, standard error of mean. Placebo Ampreloxetine 0.0 0.5 1.0 1.5 2.0 G e o m e t r i c M e a n R a t i o C h a n g e f r o m B a s e l i n e Mechanism of Action 1 3 min Standing BP Response 2 * * +57% - 0.03 p=0.0056 LS Mean Change in OHSA Composite (SEM) Worsening +1.54 Symptoms OHSA Composite 2 0.0 - 0.5 0.5 1.0 1.5 2.0 2.5 - 40 - 20 0 20 40 60 Worsening - 12.4 +6.1 Mean Change, mmHg (SE) Placebo Ampreloxetine Norepinephrine DHPG
![](https://www.sec.gov/Archives/edgar/data/1583107/000110465923115296/tm2330011d1_ex99-2img039.jpg)
Data from MSA patients at week 6 of the randomized withdrawal period of study 0170. Standing SBP measured at 3 min and supine SB P measured at 10 min. Line represents the mean +/ - standard deviation. MSA, multiple system atrophy; SBP, systolic blood pressure; SD, standard deviation. Prevented Worsening of Standing SBP in MSA Patients with No Impact on Supine SBP Placebo Ampreloxetine -40 -20 0 20 40 60 M e a n C h a n g e , m m H g ( S D ) Supine SBP No Difference + 1.6 + 0.5 • Standing blood pressure improvement of 18.5 mmHg compared to placebo during randomized withdrawal phase • No difference in supine blood pressure relative to placebo -40 -20 0 20 40 60 M e a n C h a n g e , m m H g ( S D ) - 12.4 + 6.1 Standing SBP Worsening No Signal for Supine Hypertension Observed in Safety Database of Over 800 Patients and Healthy Subjects 39
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