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Ironwood Pharmaceuticals Provides Fourth Quarter and Full Year 2015 Investor Update

February 18, 2016 4:05 PM

– Key advancements within three blockbuster opportunities: IBS-C/CIC, vascular/fibrotic diseases and refractory GERD –

– LINZESS® (linaclotide) U.S. net sales increased ~53% to $455 million in 2015; on track to exceed $1 billion in net sales by 2020 –

– Ironwood revenue increased >95% to $150 million in 2015, primarily driven by continued growth in LINZESS net sales and expansion in commercial margin to ~46% –

– Delivered on 2015 financial guidance with strong business execution –

CAMBRIDGE, Mass.--(BUSINESS WIRE)-- Ironwood Pharmaceuticals, Inc. (NASDAQ: IRWD), a commercial biotechnology company, today provided an update on its fourth quarter and full year 2015 results and recent business activities.

“Ironwood delivered strong performance in 2015, leveraging a platform of great scientific innovation to advance multiple blockbuster opportunities in areas such as IBS-C/CIC, vascular and fibrotic diseases and refractory GERD,” said Peter Hecht, chief executive officer of Ironwood. “We are very proud that more than one million patients have now been treated with our first product, LINZESS, an accomplishment that few biotech companies ever achieve. Continued LINZESS growth, excellent development execution and our strong financial profile positions us well in 2016 to continue building a top-performing commercial biotechnology company with rapid, sustainable, high-margin growth.”

Fourth Quarter 2015 and Recent Highlights

Gastrointestinal (GI) Platform

Ironwood is leveraging its GI expertise to advance multiple product candidates in areas with high unmet need in which patients are motivated to seek relief. The development and commercialization of linaclotide products in the U.S. is jointly funded by Ironwood and Allergan plc, with both companies sharing equally in any profits or losses. All other GI development programs are wholly-owned by Ironwood. Highlights during the fourth quarter and recent period include:

Irritable Bowel Syndrome with Constipation (IBS-C) / Chronic Idiopathic Constipation (CIC)

Ironwood estimates its IBS-C/CIC franchise, including LINZESS and linaclotide colonic release (if approved), may represent a peak U.S. sales opportunity exceeding $2 billion, with additional global potential.

Refractory GERD

Diabetic Gastroparesis

Vascular and Fibrotic Platform

Ironwood is leveraging its pharmacologic expertise in guanylate cyclases to advance soluble guanylate cyclase (sGC) stimulators for the potential treatment of vascular and fibrotic diseases. Ironwood believes this platform has the potential to deliver multiple products, a number of which could generate peak sales exceeding $1 billion if approved. All vascular and fibrotic development programs are wholly-owned by Ironwood. Highlights during the fourth quarter and recent period include:

Global Collaborations and Partnerships

Ironwood’s strong U.S. commercial organization successfully introduced LINZESS to the market with its partner Allergan and expects to commercialize multiple important products in the U.S. over time. Ironwood expects to out-license ex-U.S. commercialization rights to its pipeline product candidates. Highlights during the fourth quarter and recent period include:

Corporate and Financials

Conference Call Information

Ironwood will host a conference call and webcast at 4:30 p.m. Eastern Time, on Thursday, February 18, to discuss its fourth quarter and full year 2015 results and recent business activities. Individuals interested in participating in the call should dial (877) 643-7155 (U.S. and Canada) or (914) 495-8552 (international) using conference ID number 35561077. To access the webcast, please visit the Investors section of Ironwood’s website at www.ironwoodpharma.com at least 15 minutes prior to the start of the call to ensure adequate time for any software downloads that may be required. The call will be available for replay via telephone starting at approximately 7:30 p.m. Eastern Time, on February 18, running through 11:59 p.m. Eastern Time on February 25, 2016. To listen to the replay, dial (855) 859-2056 (U.S. and Canada) or (404) 537-3406 (international) using conference ID number 35561077. The archived webcast will be available on Ironwood’s website for 14 days beginning approximately one hour after the call has completed.

About LINZESS (linaclotide)

LINZESS® is the first and only guanylate cyclase-C (GC-C) agonist approved by the FDA and is indicated for the treatment of both irritable bowel syndrome with constipation (IBS-C) and chronic idiopathic constipation (CIC) in adults. LINZESS is a once-daily capsule that helps relieve the abdominal pain and constipation associated with IBS-C, as well as the constipation, infrequent stools, hard stools and incomplete evacuation associated with CIC. The recommended dose is 290 mcg for IBS-C patients and 145 mcg for CIC patients. LINZESS should be taken at least 30 minutes before the first meal of the day.

LINZESS is thought to work in two ways based on nonclinical studies. LINZESS binds to the GC-C receptor locally, within the intestinal epithelium. Activation of GC-C results in increased intestinal fluid secretion and accelerated transit and a decrease in the activity of pain-sensing nerves in the intestine. The clinical relevance of the effect on pain fibers, which is based on nonclinical studies, has not been established.

In placebo-controlled Phase III clinical trials of more than 2,800 adults, LINZESS was shown to reduce abdominal pain in IBS-C patients and increase bowel movement frequency in both IBS-C patients and CIC patients. Improvement in abdominal pain and constipation occurred in the first week of treatment and was maintained throughout the 12-week treatment period. Maximum effect on abdominal pain was seen at weeks 6-9 and maximum effect on constipation occurred during the first week. When a subset of LINZESS-treated patients in the trials were switched to placebo, they reported their symptoms returned toward pretreatment levels within one week, while placebo-treated patients switched to LINZESS reported symptom improvements. LINZESS is contraindicated in pediatric patients under 6 years of age. The use of LINZESS in pediatric patients 6 through 17 years of age should be avoided. In nonclinical studies, administration of a single, clinically relevant adult oral dose of linaclotide caused deaths due to dehydration in young juvenile mice. The safety and efficacy of LINZESS in pediatric patients under 18 years of age have not been established. In adults with IBS-C or CIC treated with LINZESS, the most commonly reported adverse event was diarrhea.

Ironwood and Allergan plc are co-promoting LINZESS in the United States. Linaclotide is marketed by Allergan for the treatment of adults with moderate to severe IBS-C in Europe under the brand name CONSTELLA®. Ironwood also has partnered with Astellas Pharma Inc. for development and commercialization of linaclotide in Japan and with AstraZeneca AB for development and commercialization in China.

About CONSTELLA (linaclotide)

Linaclotide is a guanylate cyclase-C receptor agonist (GCCA) with visceral analgesic and secretory activities. Linaclotide is a 14-amino acid synthetic peptide structurally related to the endogenous guanylin peptide family. Both linaclotide and its active metabolite bind to the guanylate cyclase-C receptor, on the luminal surface of the intestinal epithelium. Through its action at GC-C, linaclotide has been shown to reduce visceral pain and increase GI transit in animal models and increase colonic transit in humans. Activation of GC-C results in an increase in concentrations of cyclic guanosine monophosphate (cGMP), both extracellularly and intracellularly. Extracellular cGMP decreases pain-fiber activity, resulting in reduced visceral pain in animal models. Intracellular cGMP causes secretion of chloride and bicarbonate into the intestinal lumen, through activation of the cystic fibrosis transmembrane conductance regulator (CFTR), which results in increased intestinal fluid and accelerated transit.

Linaclotide was discovered by scientists at Ironwood and is marketed by Allergan plc for the treatment of adults with moderate to severe IBS-C in Europe under the brand name CONSTELLA.

About Ironwood Pharmaceuticals

Ironwood Pharmaceuticals (NASDAQ: IRWD) is a commercial biotechnology company focused on creating medicines that make a difference for patients, building value for our fellow shareholders, and empowering our passionate team. We are advancing an innovative pipeline of medicines in multiple areas of significant unmet need, including irritable bowel syndrome with constipation (IBS-C)/chronic idiopathic constipation (CIC), vascular and fibrotic diseases, and refractory gastroesophageal reflux disease, among others. We discovered, developed and are commercializing linaclotide, the U.S. branded prescription market leader in the IBS-C/CIC category, and we are applying our proven R&D and commercial capabilities to advance multiple internally-developed and externally-accessed product opportunities. Ironwood was founded in 1998 and is headquartered in Cambridge, Mass. For more information, please visit ironwoodpharma.com or follow @ironwoodpharma on Twitter; information that may be important to investors will be routinely posted in both these locations.

LINZESS® and CONSTELLA® are trademarks owned by Ironwood Pharmaceuticals, Inc. Any other trademarks referred to in this press release are the property of their respective owners. All rights reserved.

LINZESS Important Safety Information

WARNING: PEDIATRIC RISK

LINZESS is contraindicated in pediatric patients under 6 years of age. In nonclinical studies, administration of a single, clinically relevant adult oral dose of linaclotide caused deaths due to dehydration in young juvenile mice. Use of LINZESS should be avoided in pediatric patients 6 through 17 years of age. The safety and efficacy of LINZESS has not been established in pediatric patients under 18 years of age.

Contraindications

Warnings and Precautions

Pediatric Risk

Diarrhea

Adverse Reactions

Please see full Prescribing Information including Boxed Warning: http://www.frx.com/pi/linzess_pi.pdf

VIBERZI Important Safety Information

Contraindications

Warnings and Precautions

Sphincter of Oddi Spasm:

Pancreatitis:

Adverse Reactions

Please see full Prescribing Information for VIBERZI.

This press release contains forward-looking statements. Investors are cautioned not to place undue reliance on these forward-looking statements, including statements about the development, launch and commercial potential of linaclotide, our product candidates and the other products that we promote and the drivers, timing, impact and results thereof; our corporate goals; market size, growth and opportunity, including peak sales and the potential demand for linaclotide and our product candidates, as well as their potential impact on applicable markets; the potential indications for, and benefits of, linaclotide and our product candidates; the anticipated timing of preclinical, clinical and regulatory developments and the design, timing and results of clinical and preclinical studies; the potential for, and timing of, regulatory submissions and approvals for linaclotide and our product candidates; expected periods of patent exclusivity; the strength of the intellectual property protection for our product and product candidates; potential business development activity and the timing and impact thereof; our potential for rapid, sustainable, high-margin growth; and 2016 financial performance and results, and guidance and expectations related thereto, including expectations regarding the need for future financings, cash flows (including cash use for operations), LINZESS profitability, operating expenses, revenue growth, operating leverage, commercial margin and LINZESS net sales and marketing and sales expense. Each forward-looking statement is subject to risks and uncertainties that could cause actual results to differ materially from those expressed or implied in such statement. Applicable risks and uncertainties include those related to the effectiveness of commercialization efforts by us and our partners; preclinical and clinical development, manufacturing and formulation development; the risk that findings from our completed nonclinical and clinical studies may not be replicated in later studies; efficacy, safety and tolerability of linaclotide and our product candidates; decisions by regulatory authorities; the risk that we may never get sufficient patent protection for linaclotide and our product candidates; developments in the intellectual property landscape; challenges from and rights of competitors or potential competitors; the risk that our planned investments do not have the anticipated effect on our company revenues, linaclotide or our product candidates; the risk that we are unable to manage our operating expenses or cash use for operations, or are unable to commercialize LINZESS, within the guided ranges; and the risks listed under the heading "Risk Factors" and elsewhere in Ironwood's Quarterly Report on Form 10-Q for the quarter ended September 30, 2015, and in our subsequent SEC filings. These forward-looking statements (except as otherwise noted) speak only as of the date of this press release, and Ironwood undertakes no obligation to update these forward-looking statements. Further, Ironwood considers the net profit for the U.S. LINZESS brand collaboration with Allergan in assessing the product’s performance and calculates it based on inputs from both Ironwood and Allergan. This figure should not be considered a substitute for Ironwood’s GAAP financial results. An explanation of our calculation of this figure is provided in the U.S. LINZESS Brand Collaboration table and related footnotes accompanying this press release.

Condensed Consolidated Balance Sheets

(In thousands)

(unaudited)

December 31,2015

December 31,2014

Assets
Cash, cash equivalents and available-for-sale securities $ 439,394 $ 248,334
Accounts receivable, net 54,518 25,839
Inventory - 4,954
Prepaid expenses and other current assets 6,293 9,180
Total current assets 500,205 288,307
Property and equipment, net 21,075 29,826
Convertible note hedges 86,466 -
Other assets 11,375 11,189
Total assets $ 619,121 $ 329,322
Liabilities and Stockholders’ Equity
Accounts payable, accrued expenses and other current liabilities $ 36,135 $ 35,948
Current portion of capital lease obligations 2,631 1,152
Current portion of deferred rent 5,544 4,992
Current portion of deferred revenue 7,191 7,191
Current portion of long-term debt 24,964 11,258
Total current liabilities 76,465 60,541
Capital lease obligations 306 2,571
Deferred rent 6,395 10,522
Deferred revenue 1,798 8,989
Other liabilities 10,120 -
Note hedge warrants 75,328 -
Convertible notes 220,620 -
Long-term debt 132,964 158,147
Total stockholders’ equity 95,125 88,552
Total liabilities and stockholders’ equity $ 619,121 $ 329,322

Condensed Consolidated Statements of Operations

(In thousands, except per share amounts)

(unaudited)

Three Months EndedDecember 31,

Twelve Months EndedDecember 31,

2015 2014 2015 2014
Collaborative arrangements revenue $ 53,307 $ 38,073 $ 149,555 $ 76,436
Cost and expenses:
Cost of revenue 1,743 12 5,291

Write-down of inventory to net realizable value and loss on non-cancellable purchase commitments

11,398 17,638 20,292
Research and development 27,627 27,482 108,746 101,890
Selling, general and administrative 31,507 30,575 125,247 118,333
Total cost and expenses 59,134 71,198 251,643 245,806
Loss from operations (5,827 ) (33,125 ) (102,088 ) (169,370 )
Other (expense) income:
Interest expense, net (9,830 ) (5,183 ) (30,653 ) (20,909 )
Gain (Loss) on derivatives 1,620 (9,928 )
Other income 661 661
Other expense, net (8,210 ) (4,522 ) (40,581 ) (20,248 )
GAAP net loss $ (14,037 ) $ (37,647 ) $ (142,669 ) $ (189,618 )
GAAP net loss per share—basic and diluted $ (0.09 ) $ (0.27 ) $ (1.00 ) $ (1.39 )

Three Months EndedDecember 31,

Twelve Months EndedDecember 31,

2015 2014 2015 2014
Non-GAAP net loss $ (15,657 ) $ (37,647 ) $ (132,741 ) $ (189,618 )
Non-GAAP net loss per share (basic and diluted) $ (0.10 ) $ (0.27 ) $ (0.93 ) $ (1.39 )
Weighted average number of common shares used in net loss per share —basic and diluted 142,751 139,815 142,155 136,811

Reconciliation of GAAP Results to Non-GAAP Financial Measures

(In thousands, except per share amounts)

(unaudited)

A reconciliation between net loss on a GAAP basis and on a non-GAAP basis is as follows:

Three Months EndedDecember 31,

Twelve Months EndedDecember 31,

2015 2014 2015 2014
GAAP net loss $ (14,037 ) $ (37,647 ) $ (142,669 ) $ (189,618 )
Adjustments:

Mark-to-market adjustments on the derivatives related to convertible notes, net

(1,620 ) 9,928
Non-GAAP net loss $ (15,657 ) $ (37,647 ) $ (132,741 ) $ (189,618 )

A reconciliation between diluted net loss per share on a GAAP basis and on a non-GAAP basis is as follows:

Three Months EndedDecember 31,

Twelve Months EndedDecember 31,

2015 2014 2015 2014
GAAP net loss per share – Basic and Diluted $ (0.09 ) $ (0.27 ) $ (1.00 ) $ (1.39 )
Adjustments to GAAP net loss per share (as detailed above) (0.01 ) 0.07
Non-GAAP net loss per share – basic and diluted $ (0.10 ) $ (0.27 ) $ (0.93 ) $ (1.39 )

U.S. LINZESS Brand Collaboration1

Revenue/Expense Calculation

(In thousands)

(unaudited)

Three Months EndedDecember 31,

Twelve Months EndedDecember 31,

2015 2014 2015 2014
LINZESS U.S. net sales $ 129,726 $ 93,752 $ 454,769 $ 296,980

Commercial costs and expenses2

45,963 60,050 247,236 268,414
Net profit on sales of LINZESS $ 83,763 $ 33,702 $ 207,533 $ 28,566

Commercial Margin3

65 % 36 % 46 % 10 %
Ironwood’s share of net profit $ 41,882 $ 16,851 $ 103,767 $ 14,283

Ironwood’s selling, general and administrative expenses4

7,381 7,654 32,028 31,646
Profit share adjustment5 (622 ) (2,370 ) 1,689
Ironwood’s collaborative arrangement revenue $ 49,263 $ 23,883 $ 133,425 $ 47,618

1 Ironwood collaborates with Allergan on the development and commercialization of linaclotide in North America. Under the terms of the collaboration agreement, Ironwood receives 50% of the net profits and bears 50% of the net losses from the commercial sale of LINZESS in the U.S. The purpose of this table is to present calculations of Ironwood’s share of net profit (loss) generated from the sales of LINZESS in the U.S. and Ironwood’s collaboration revenue/expense; however, the table does not present the research and development expenses related to LINZESS in the U.S. that are shared equally between the parties under the collaboration agreement. For the three months ended December 31, 2015, net profit for the U.S. LINZESS brand collaboration with Allergan was $66.8 million, calculated by subtracting $46.0 million in commercial costs and expenses and $16.9 million in research and development expenses, from LINZESS U.S. net sales of $129.7 million. For the full year 2015, net profit for the U.S. LINZESS brand collaboration with Allergan was $132.8 million, calculated by subtracting $247.2 million in commercial costs and expenses and $74.8 million in research and development expenses, from LINZESS U.S. net sales of $454.8 million.

2 Includes cost of goods sold incurred by Allergan as well as selling, general and administrative expenses incurred by Allergan and Ironwood that are attributable to the cost-sharing arrangement between the parties.

3 Commercial margin is defined as net profit on sales of LINZESS as a percent of total LINZESS U.S. net sales.

4 Includes Ironwood’s selling, general and administrative expenses attributable to the cost-sharing arrangement with Allergan.

5 Ironwood or Allergan may incur additional expenses related to certain contractual obligations, resulting in an adjustment to the company’s share of the net profits as stipulated by the collaboration agreement.

Ironwood Pharmaceuticals, Inc.

Media Relations

Trista Morrison, 617-374-5095

Director, Corporate Communications

[email protected]

or

Investor Relations

Meredith Kaya, 617-374-5082

Director, Investor Relations

[email protected]

Source: Ironwood Pharmaceuticals, Inc.

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