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| ☒ |
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
|
| ☐ |
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
|
|
Delaware
|
30 Technology Drive, Warren, NJ 07059
|
82-3827296
|
|
(State or other jurisdiction of Incorporation or organization)
|
(908) 941-1900
|
(I.R.S. Employer Identification Number)
|
|
Title of each class
|
Trading Symbol(s)
|
Name of each exchange on which registered
|
|
Common Stock, par value $0.001 per share
|
AQST
|
NASDAQ Global Market
|
|
Large accelerated filer ☐
|
Accelerated filer ☐
|
|
Non-accelerated filer ☒
|
Smaller reporting company ☒
|
|
Emerging growth company ☒
|
|
Page No.
|
||
|
PART I – FINANCIAL INFORMATION
|
||
|
Item 1.
|
||
|
3
|
||
| 4 | ||
| 5 | ||
| 6 | ||
| 7 | ||
|
Item 2.
|
26 | |
|
Item 3.
|
39 | |
|
Item 4.
|
39 | |
|
PART II – OTHER INFORMATION
|
||
|
Item 1.
|
40 | |
|
Item 1A.
|
40
|
|
|
Item 2.
|
40 | |
|
Item 3.
|
40 | |
|
Item 4.
|
40 | |
|
Item 5.
|
40 | |
|
Item 6.
|
41 | |
| 42 | ||
| Item 1. |
FINANCIAL STATEMENTS
(Unaudited)
|
|
March 31,
2021
|
December 31,
2020
|
|||||||
|
Assets
|
||||||||
|
Current assets:
|
||||||||
|
Cash and cash equivalents
|
$
|
27,498
|
$
|
31,807
|
||||
|
Trade and other receivables, net
|
10,209
|
6,955
|
||||||
|
Inventories, net
|
2,799
|
2,461
|
||||||
|
Prepaid expenses and other current assets
|
3,937
|
3,402
|
||||||
|
Total current assets
|
44,443
|
44,625
|
||||||
|
Property and equipment, net
|
6,279
|
6,873
|
||||||
|
Right-of-use assets, net
|
3,277
|
3,448
|
||||||
|
Intangible assets, net
|
89
|
102
|
||||||
|
Other non-current assets
|
7,835
|
7,836
|
||||||
|
Total assets
|
$
|
61,923
|
$
|
62,884
|
||||
|
Liabilities and stockholders’ deficit
|
||||||||
|
Current liabilities:
|
||||||||
|
Accounts payable
|
$
|
6,687
|
$
|
7,089
|
||||
|
Accrued expenses
|
6,371
|
8,569
|
||||||
|
Lease liabilities, current
|
787
|
728
|
||||||
|
Deferred revenue, current
|
437
|
693
|
||||||
|
Liability related to the sale of future revenue, current
|
1,905
|
1,450
|
||||||
|
Loans payable, current
|
3,863
|
2,575
|
||||||
|
Total current liabilities
|
20,050
|
21,104
|
||||||
|
Loans payable, net
|
34,193
|
34,329
|
||||||
|
Liability related to the sale of future revenue, net
|
50,383
|
47,524
|
||||||
|
Lease liabilities
|
2,635
|
2,846
|
||||||
|
Deferred revenue
|
4,699
|
3,633
|
||||||
|
Other non-current liabilities
|
1,761
|
1,945
|
||||||
|
Total liabilities
|
113,721
|
111,381
|
||||||
|
Contingencies (note 19)
|
||||||||
|
Stockholders’ deficit:
|
||||||||
|
Common stock, $.001 par value. Authorized 250,000,000 shares; 36,241,358 and 34,569,254 shares issued and outstanding at March 31, 2021 and December 31, 2020, respectively
|
36
|
35
|
||||||
|
Additional paid-in capital
|
149,095
|
137,725
|
||||||
|
Accumulated deficit
|
(200,929
|
)
|
(186,257
|
)
|
||||
|
Total stockholders’ deficit
|
(51,798
|
)
|
(48,497
|
)
|
||||
|
Total liabilities and stockholders’ deficit
|
$
|
61,923
|
$
|
62,884
|
||||
|
Three Months Ended
March 31,
|
||||||||
|
2021
|
2020
|
|||||||
|
Revenues
|
$
|
11,122
|
$
|
8,765
|
||||
|
Costs and expenses:
|
||||||||
|
Manufacture and supply
|
2,757
|
3,659
|
||||||
|
Research and development
|
3,659
|
4,354
|
||||||
|
Selling, general and administrative
|
13,231
|
14,613
|
||||||
|
Total costs and expenses
|
19,647
|
22,626
|
||||||
|
Loss from operations
|
(8,525
|
)
|
(13,861
|
)
|
||||
|
Other income/(expenses):
|
||||||||
|
Interest expense
|
(2,761
|
)
|
(2,771
|
)
|
||||
|
Interest expense related to the sale of future revenue, net
|
(3,334
|
)
|
—
|
|||||
|
Interest income and other income (expense), net
|
(52
|
)
|
102
|
|||||
|
Net loss before income taxes
|
(14,672
|
)
|
(16,530
|
)
|
||||
|
Income taxes
|
—
|
—
|
||||||
|
Net loss
|
$
|
(14,672
|
)
|
$
|
(16,530
|
)
|
||
|
Comprehensive loss
|
$
|
(14,672
|
)
|
$
|
(16,530
|
)
|
||
|
Net loss per share - basic and diluted
|
$
|
(0.41
|
)
|
$
|
(0.49
|
)
|
||
|
Weighted-average number of common shares outstanding - basic and diluted
|
35,563,275
|
33,569,694
|
||||||
|
|
Common Stock
|
Additional
Paid-in
Capital
|
Accumulated
Deficit
|
Total
Stockholders’
Equity/Deficit
|
||||||||||||||||
|
Shares
|
Amount
|
|||||||||||||||||||
|
For the period ended March 31, 2021:
|
||||||||||||||||||||
|
Balance at December 31, 2020
|
34,569,254
|
$
|
35
|
$
|
137,725
|
$
|
(186,257
|
)
|
$
|
(48,497
|
)
|
|||||||||
|
Common stock issued under public equity offering
|
1,672,104
|
1
|
10,196
|
—
|
10,197
|
|||||||||||||||
|
Costs of common stock issued under public equity offering
|
—
|
—
|
(306
|
)
|
—
|
(306
|
)
|
|||||||||||||
|
Share-based compensation expense
|
—
|
—
|
1,507
|
—
|
1,507
|
|||||||||||||||
|
Other
|
—
|
—
|
(27
|
)
|
—
|
(27
|
)
|
|||||||||||||
|
Net loss
|
—
|
—
|
—
|
(14,672
|
)
|
(14,672
|
)
|
|||||||||||||
|
Balance at March 31, 2021
|
36,241,358
|
$
|
36
|
$
|
149,095
|
$
|
(200,929
|
)
|
$
|
(51,798
|
)
|
|||||||||
|
For the period ended March 31, 2020:
|
||||||||||||||||||||
|
Balance at December 31, 2019
|
33,562,885
|
$
|
34
|
$
|
124,318
|
$
|
(130,474
|
)
|
$
|
(6,122
|
)
|
|||||||||
|
Share-based compensation expense
|
—
|
—
|
1,860
|
—
|
1,860
|
|||||||||||||||
|
Vested restricted stock units
|
19,811
|
—
|
(37
|
)
|
—
|
(37
|
)
|
|||||||||||||
|
Net loss
|
—
|
—
|
—
|
(16,530
|
)
|
(16,530
|
)
|
|||||||||||||
|
Balance at March 31, 2020
|
33,582,696
|
$
|
34
|
$
|
126,141
|
$
|
(147,004
|
)
|
$
|
(20,829
|
)
|
|||||||||
|
Three Months Ended
March 31,
|
||||||||
|
2021
|
2020
|
|||||||
|
Cash flows used for operating activities:
|
||||||||
|
Net loss
|
$
|
(14,672
|
)
|
$
|
(16,530
|
)
|
||
|
Adjustments to reconcile net loss to net cash used for operating activities:
|
||||||||
|
Depreciation, amortization, and impairment
|
755
|
887
|
||||||
|
Share-based compensation
|
1,507
|
1,860
|
||||||
|
Amortization of debt issuance costs and discounts
|
1,184
|
584
|
||||||
|
Interest expense related to the sale of future revenue
|
3,302
|
—
|
||||||
|
Other, net
|
167
|
(144
|
)
|
|||||
|
Changes in operating assets and liabilities:
|
||||||||
|
Trade and other receivables, net
|
(3,374
|
)
|
3,738
|
|||||
|
Inventories, net
|
(338
|
)
|
(228
|
)
|
||||
|
Prepaid expenses and other assets
|
(535
|
)
|
53
|
|||||
|
Accounts payable
|
(402
|
)
|
(1,908
|
)
|
||||
|
Accrued expenses and other liabilities
|
(2,501
|
)
|
(1,667
|
)
|
||||
|
Deferred revenue
|
810
|
(282
|
)
|
|||||
|
Net cash used for operating activities
|
(14,097
|
)
|
(13,637
|
)
|
||||
|
Cash flows used for investing activities:
|
||||||||
|
Capital expenditures
|
(103
|
)
|
(131
|
)
|
||||
|
Net cash used for investing activities
|
(103
|
)
|
(131
|
)
|
||||
|
Cash flows used for financing activities:
|
||||||||
|
Proceeds from issuance of common stock, net
|
9,891
|
—
|
||||||
|
Payments for taxes on share-based compensation
|
—
|
(37
|
)
|
|||||
|
Net cash provided by/(used for) financing activities
|
9,891
|
(37
|
)
|
|||||
|
Net decrease in cash and cash equivalents
|
(4,309
|
)
|
(13,805
|
)
|
||||
|
Cash and cash equivalents:
|
||||||||
|
Beginning of period
|
31,807
|
49,326
|
||||||
|
End of period
|
$
|
27,498
|
$
|
35,521
|
||||
|
Supplemental disclosures of cash flow information:
|
||||||||
|
Cash payments for interest
|
$
|
1,610
|
$
|
2,188
|
||||
|
Net decrease in capital expenditures included in accounts payable and accrued expenses
|
(71
|
)
|
(84
|
)
|
||||
| Note 1. |
Corporate Organization and Company Overview
|
|
Note 2.
|
Basis of Presentation
|
|
Note 3.
|
Summary of Significant Accounting Policies
|
|
Note 4.
|
Risks and Uncertainties
|
| Note 5. |
Revenues and Trade Receivables, Net
|
|
Three Months Ended
March 31,
|
||||||||
|
2021
|
2020
|
|||||||
|
Manufacture and supply revenue
|
$
|
6,511
|
$
|
6,916
|
||||
|
License and royalty revenue
|
2,361
|
426
|
||||||
|
Co-development and research fees
|
438
|
263
|
||||||
|
Proprietary product sales, net
|
1,812
|
1,160
|
||||||
|
Total revenues
|
$
|
11,122
|
$
|
8,765
|
||||
|
Three Months Ended
March 31,
|
||||||||
|
2021
|
2020
|
|||||||
|
United States
|
$
|
9,850
|
$
|
7,506
|
||||
|
Ex-United States
|
1,272
|
1,259
|
||||||
|
Total revenues
|
$
|
11,122
|
$
|
8,765
|
||||
|
March 31,
2021
|
December 31,
2020
|
|||||||
|
Trade receivables
|
$
|
8,128
|
$
|
4,330
|
||||
|
Contract and other receivables
|
2,657
|
3,081
|
||||||
|
Less: allowance for doubtful accounts
|
(40
|
)
|
(40
|
)
|
||||
|
Less: sales-related allowances
|
(536
|
)
|
(416
|
)
|
||||
|
Trade and other receivables, net
|
$
|
10,209
|
$
|
6,955
|
||||
|
March 31,
2021
|
December 31,
2020
|
|||||||
|
Allowance for doubtful accounts at beginning of the period
|
$
|
40
|
$
|
124
|
||||
|
Additions charged to expense
|
—
|
198
|
||||||
|
Write-downs charged against the allowance
|
—
|
(282
|
)
|
|||||
|
Allowance for doubtful accounts at end of the period
|
$
|
40
|
$
|
40
|
||||
|
Total Sales Related
Allowances
|
||||
|
Balance at December 31, 2020
|
$
|
2,138
|
||
|
Provision
|
2,164
|
|||
|
Payments / credits
|
(1,959
|
)
|
||
|
Balance at March 31, 2021
|
$
|
2,343
|
||
| Note 6. |
Material Agreements
|
| Note 7. |
Financial Instruments – Fair Value Measurements
|
|
|
• |
Level 1 — Observable quoted prices in active markets for identical assets or liabilities.
|
|
|
• |
Level 2 — Observable prices that are based on inputs not quoted on active markets but corroborated by market data.
|
|
|
• |
Level 3 — Unobservable inputs that are supported by little or no market activity, such as pricing models, discounted cash flow methodologies and similar techniques.
|
| Note 8. |
Inventories, Net
|
|
March 31,
2021
|
December 31,
2020
|
|||||||
|
Raw material
|
$
|
833
|
$
|
789
|
||||
|
Packaging material
|
965
|
1,128
|
||||||
|
Finished goods
|
1,001
|
544
|
||||||
|
Total inventory, net
|
$
|
2,799
|
$
|
2,461
|
||||
| Note 9. |
Property and Equipment, Net
|
|
|
Useful
Lives
|
March 31,
2021
|
December 31,
2020
|
|||||||
|
Machinery
|
3-15 yrs
|
$
|
18,719
|
$
|
21,333
|
|||||
|
Furniture and fixtures
|
3-15 yrs
|
769
|
1,209
|
|||||||
|
Leasehold improvements
|
(a)
|
21,265
|
21,333
|
|||||||
|
Computer, network equipment and software
|
3-7 yrs
|
2,388
|
2,999
|
|||||||
|
Construction in progress
|
970
|
877
|
||||||||
|
44,111
|
47,751
|
|||||||||
|
Less: accumulated depreciation and amortization
|
(37,832
|
)
|
(40,878
|
)
|
||||||
|
Total property and equipment, net
|
$
|
6,279
|
$
|
6,873
|
||||||
|
|
(a) |
Leasehold improvements are amortized over the shorter of the lease term or their estimated useful lives.
|
| Note 10. |
Right-of-Use Assets and Lease Obligations
|
|
Remainder of 2021
|
$
|
967
|
||
|
2022
|
1,295
|
|||
|
2023
|
944
|
|||
|
2024
|
565
|
|||
|
2025
|
565
|
|||
|
2026
|
424
|
|||
|
Total lease payments
|
4,760
|
|||
|
Less: imputed interest
|
(1,338
|
)
|
||
|
Total operating lease liabilities
|
$
|
3,422
|
| Note 11. |
Intangible Assets, Net and Other non-current Assets
|
|
March 31,
2021
|
December 31,
2020
|
|||||||
|
Purchased technology-based intangible
|
$
|
2,358
|
$
|
2,358
|
||||
|
Purchased patent
|
509
|
509
|
||||||
|
2,867
|
2,867
|
|||||||
|
Less: accumulated amortization
|
(2,778
|
)
|
(2,765
|
)
|
||||
|
Intangible assets, net
|
89
|
102
|
||||||
|
Royalty receivable
|
7,000
|
7,000
|
||||||
|
Other
|
835
|
836
|
||||||
|
Total other non-current assets
|
$
|
7,835
|
$
|
7,836
|
||||
| Note 12. |
Accrued Expenses
|
|
March 31,
2021
|
December 31,
2020
|
|||||||
|
Accrued compensation
|
$
|
3,659
|
$
|
6,330
|
||||
|
Accrued distribution expenses
|
1,807
|
1,722
|
||||||
|
Other
|
905
|
517
|
||||||
|
Total accrued expenses
|
$
|
6,371
|
$
|
8,569
|
||||
| Note 13. |
12.5 % Senior Secured Notes and Loans Payable
|
|
Remainder of 2021
|
$
|
2,575
|
||
|
2022
|
7,725
|
|||
|
2023
|
12,875
|
|||
|
2024
|
18,025
|
|||
|
2025
|
10,300
|
|||
|
Total
|
$
|
51,500
|
| Note 14. |
Warrant
s
|
| Note 15. |
Sale of Future Revenue
|
|
Liability related to the sale of future revenue, net at December 31, 2020
|
$
|
48,974
|
||
|
Royalties related to the sale of future revenue
|
(20
|
)
|
||
|
Amortization of issuance costs
|
32
|
|||
|
Interest expense related to the sale of future revenue
|
3,302
|
|||
|
Liability related to the sale of future revenue, net (includes current portion of $1,905)
|
$
|
52,288
|
||
| Note 16. |
Net Loss Per Share
|
|
Three Months Ended
March 31,
|
||||||||
|
2021
|
2020
|
|||||||
|
Numerator:
|
||||||||
|
Net loss
|
$
|
(14,672
|
)
|
$
|
(16,530
|
)
|
||
|
Denominator:
|
||||||||
|
Weighted-average number of common shares – basic
|
35,563,275
|
33,569,694
|
||||||
|
Loss per common share – basic and diluted
|
$
|
(0.41
|
)
|
$
|
(0.49
|
)
|
||
| Note 17. |
Share-Based Compensation
|
|
Three Months Ended
March 31,
|
||||||||
|
2021
|
2020
|
|||||||
|
Manufacture and supply
|
$
|
82
|
$
|
63
|
||||
|
Research and development
|
232
|
182
|
||||||
|
Selling, general and administrative
|
1,193
|
1,615
|
||||||
|
Total share-based compensation expenses
|
$
|
1,507
|
$
|
1,860
|
||||
|
Share-based compensation from:
|
||||||||
|
Restricted stock units
|
$
|
38
|
$
|
464
|
||||
|
Stock options
|
1,469
|
1,396
|
||||||
|
Total share-based compensation expenses
|
$
|
1,507
|
$
|
1,860
|
||||
|
Restricted Stock Unit Awards (RSUs):
|
Number of
Units
|
Weighted
Average
Grant Date Fair
Value
|
||||||
|
(in thousands)
|
||||||||
|
Unvested as of December 31, 2020
|
14
|
$
|
11.38
|
|||||
|
Granted
|
—
|
—
|
||||||
|
Vested
|
—
|
—
|
||||||
|
Forfeited
|
—
|
—
|
||||||
|
Unvested as of March 31, 2021
|
14
|
$
|
11.38
|
|||||
|
Grant date fair value of shares vested during the period
|
$
|
—
|
||||||
|
Unrecognized compensation costs as of March 31, 2021
|
$
|
67
|
||||||
|
Stock Option Awards:
|
Number of
Options
|
Weighted Average
Exercise Price
|
||||||
|
(in thousands)
|
||||||||
|
Outstanding as of December 31, 2020
|
3,259
|
$
|
8.14
|
|||||
|
Granted
|
656
|
5.30
|
||||||
|
Exercised, Forfeited, Expired
|
(10
|
)
|
(3.55
|
)
|
||||
|
Outstanding as of March 31, 2021
|
3,905
|
$
|
7.67
|
|||||
|
Vested and expected to vest as of March 31, 2021
|
3,742
|
$
|
7.78
|
|||||
|
Exercisable as of March 31, 2021
|
1,592
|
$
|
10.22
|
|||||
|
Expected dividend yield
|
0
|
%
|
||
|
Expected volatility
|
100
|
%
|
||
|
Expected term (years)
|
6.1
|
|||
|
Risk-free interest rate
|
1.0
|
| Note 18. |
Income Taxes
|
| Note 19. |
Contingencies
|
| Note 20. |
Subsequent Events
|
| Item 2. |
Management’s Discussion and Analysis of Financial Condition and Results of Operations
|
|
|
• |
Sympazan
®
– an oral soluble film formulation of clobazam used for the treatment of seizures associated with a rare, intractable form of epilepsy known as
Lennox-Gastaut syndrome, or LGS, was approved by the FDA on November 1, 2018. We commercially launched Sympazan in December 2018. Sympazan was launched as a precursor and complement to our product candidate Libervant
TM
and
continues to progress on key performance metrics including prescriber growth, repeat prescribers, quarterly growth in retail shipments and covered lives.
|
|
|
• |
Libervant™
– a buccally, or inside of the cheek, administered soluble film formulation of diazepam is our most advanced proprietary investigational product candidate, which we intend to
self-commercialize, subject to FDA approval for U.S. market access. Aquestive is developing Libervant as an alternative to device-dependent rescue therapies currently available to patients with refractory epilepsy, which are a rectal gel and
nasal sprays. In late September 2020, we received a complete response letter (“CRL”) from the FDA focusing on dosing issues in certain weight groups. At a Type A meeting with the FDA in November, the FDA confirmed that these issues may be
addressed by utilizing modeling and simulations for an updated dosing regimen. The Company resubmitted a revised weight-based dosing regimen with modeling and simulations in December 2020. As recently announced, the FDA provided feedback on
the December submission which provided clarity regarding the information that the Agency expected to see in the Company’s population pharmacokinetic model and safety data as it relates specifically to the patient population included in the
studies. The Company will be working on the NDA to provide a resubmission in a form that the Company believes will be acceptable to the FDA. Based upon the FDA’s feedback at the Type A meeting as well as further guidance from the Agency, the
Company continues to believe that no further clinical studies are necessary. The Company expects to resubmit its NDA at the end of the second quarter of 2021. Once the NDA is resubmitted, the Company anticipates a six-month review process.
We are seeking to demonstrate that Libervant will, if approved by the FDA, represent a “major contribution to patient care” within the meaning of FDA regulations and guidance, as compared to available treatment options, as the first,
non-device delivered, oral diazepam-based product available to manage seizure clusters in epilepsy patients. However, overcoming the orphan drug marketing exclusivity is difficult to establish, with limited precedent, and there can be no
assurance that the FDA will agree with our position seeking to overcome such marketing exclusivity and approve Libervant for U.S. market access. Further, there can be no assurance that a competitor will not obtain other FDA marketing
exclusivity that blocks U.S. market access for Libervant. Any failure to obtain FDA approval of and to demonstrate clinical superiority for Libervant would have a material adverse effect on our business, financial condition and results of
operations in 2021 and later. More details on this product approval are described in the “Competition” section of Item I. Business of the Company’s 2020 Annual Report on Form 10-K.
|
|
|
• |
AQST-108-Sublingual Film (or SF)
– is a “first of its kind” oral sublingual film formulation delivering systemic epinephrine that is in development for the treatment of anaphylaxis. AQST-108-SF is
composed of the prodrug dipivefrin, which is contained within a unique polymeric matrix of Aquestive’s Pharmfilm
®
technology. Dipivefrin is currently approved by the FDA for ophthalmic indications. Dipivefrin is enzymatically
cleaved systemically into epinephrine after administration. The Company submitted an IND for AQST-108-SF to the FDA on June 23, 2020. The FDA confirmed that the drug candidate will be reviewed under the 505(b)(2) regulatory approval pathway.
We expect that this pathway will provide the means to more expedient and less costly development and filing. We recently completed a second pharmacokinetic (PK) trial for AQST-108-SF. The Phase 1 study featured a 4-treatment crossover design
that compared the pharmacokinetics, safety and pharmacodynamics of epinephrine administered in a sublingual film to that of epinephrine administered via both subcutaneous and intramuscular injections in 28 healthy adult subjects. Based on
top-line results, AQST-108-SF was generally well-tolerated, with adverse events observed that are consistent with the known adverse events profile for epinephrine. AQST-108-SF also achieved a similar time to maximal concentrations, or Tmax,
when compared to both the subcutaneous and intramuscular injections of epinephrine. The first PK trial for AQST-108-SF was a single ascending dose study that compared pharmacokinetics, safety and pharmacodynamics of epinephrine administered
in a sublingual film at ascending dose levels in 6-12 healthy adult subjects per dose level. In this study AQST-108-SF was generally well tolerated, with adverse events observed that are consistent with the known adverse events profile for
epinephrine. The data from both this Phase 1 PK trial and the previous trials collectively demonstrate that AQST-108-SF can consistently deliver epinephrine. sublingually and, after receiving AQST-108-SF, all subjects had measurable plasma
concentrations of epinephrine. In March 2021 Health Canada approved our dossier for a third Phase 1 PK trial. We plan on meeting with the FDA in the second half of 2021 to review these results and discuss next steps in the development of
AQST-108-SF. Epinephrine is the standard of care in the treatment of anaphylaxis and is currently administered via subcutaneous or intramuscular injection. The current market leader is a single-dose, pre-filled automatic injection device. As
a result of administration via subcutaneous or intramuscular injection, many patients and their caregivers are reluctant to use currently available products, resulting in increased hospital visits and overall cost of care to treat
anaphylactic events. The data from the Company’s previously completed Phase 1 dose escalation study demonstrated that AQST-108-SF achieved similar ranges of mean values of maximum concentration (Cmax) and time to reach maximum concentration
(Tmax) to that reported for injectables provided a greater total exposure (AUC0-t; area under the curve) than that reported for the injectables and had less interpatient variability when compared to the degree of variation (CV%) data reported
for injectables, and was well tolerated, with no study participants discontinuing participation due to an adverse event. We believe that, as a result of its sublingual administration, AQST-108-SF will improve patient adherence and lower the
total cost of care.
|
|
|
• |
A
QST-109-SF – AQST-109-SF
– is a next generation prodrug sublingual film formulation of epinephrine that Aquestive intends to develop for treatment of allergic
reactions including anaphylaxis. In vitro tests and preclinical studies indicate that AQST-109-SF has the potential to absorb more extensively, convert more rapidly to systemic epinephrine, utilize less drug and provide a unique profile when
compared to AQST-108-SF. Aquestive anticipates conducting and completing a single ascending dose PK study in the second half of 2021. Based upon receiving favorable topline results from the study, Aquestive intends to request a pre-IND
meeting with the FDA.
|
|
|
• |
AQST-305-SF
– is a sublingual film formulation of octreotide, a small peptide that has a similar pharmacological profile to natural somatostatin, for the treatment of acromegaly, as well as severe
diarrhea and flushing associated with carcinoid syndrome. Acromegaly is a hormone disorder that results in the overproduction of growth hormone in middle-aged adults. Octreotide is the standard of care for the treatment of acromegaly. The
current market leader, Sandostatin
®
, is administered via deep subcutaneous or intramuscular injections once a month. This monthly treatment regimen can result in loss of efficacy toward the end of the monthly treatment cycle. We
are developing AQST-305-SF as a non-invasive, pain-free alternative to Sandostatin to reduce treatment burden, healthcare costs and the potential loss of efficacy in the treatment cycle. AQST-305-SF has shown promising preclinical and human
proof of concept results. While we focus our efforts on Libervant and AQST-108-SF in the short-term, we have taken the necessary steps to prepare AQST-305-SF for additional research trials.
|
|
|
• |
Suboxone
®
– a sublingual film formulation of buprenorphine and naloxone, respectively an opioid agonist and antagonist, that is marketed in the United States and internationally for the
treatment of opioid dependence. Suboxone Sublingual Film was launched by our licensee, Indivior Inc., or Indivior, in 2010. Suboxone Sublingual Film is the most prescribed branded product in its category and was the first sublingual film
product for the treatment of opioid dependence. We are the sole and exclusive supplier and manufacturer of Suboxone Sublingual Film and have produced over 2.2 billion doses of Suboxone since its launch in 2010. As of January 31, 2021,
Suboxone branded products retain approximately 40% film market share as generic film-based products have penetrated this market. We have filed patent infringement lawsuits against certain companies relating to generic film-based products for
buprenorphine-naloxone. More details regarding these lawsuits are described in the unaudited financial statements, Note 19. Contingencies, contained herein.
|
|
|
• |
Exservan
TM
(riluzole) – has been developed, utilizing our proprietary PharmFilm technology, for the treatment of amyotrophic lateral sclerosis (ALS). We believe
that Exservan, via our orally administered dosage form, can bring meaningful assistance to patients who are diagnosed with ALS and face difficulties swallowing traditional forms of medication. Exservan was approved by the FDA on November 22,
2019. During the fourth quarter of 2019, we announced the grant of a license to Zambon S.p.A. for the development and commercialization of Exservan Oral Film in the European Union (EU) for the treatment of ALS. Zambon is a multinational
pharmaceutical company with a focus on the CNS therapeutic area. Under the terms of the license agreement, an upfront payment was paid to Aquestive for the development and commercialization rights of Exservan in the EU, and Aquestive will be
paid development and sales milestone payments and low double-digit royalties on net sales of the product in the EU. Zambon is responsible for the regulatory approval and marketing of Exservan in the countries where Zambon seeks to market the
product, and Aquestive will be responsible for the development and manufacture of the product.
|
|
|
• |
KYNMOBI
®
– a sublingual film formulation of apomorphine, which is a dopamine agonist developed to treat episodic off-periods in Parkinson’s disease.
We
licensed our intellectual property to Cynapsus Therapeutics, Inc., a company that was acquired by Sunovion Pharmaceuticals Inc., or Sunovion, for the commercialization of KYNMOBI under an Agreement dated April 1, 2016, as amended (the
“Sunovion License Agreement”). KYNMOBI was approved by the FDA on May 21, 2020 and commercially launched by Sunovion in September 2020. On November 3, 2020, we entered into a Purchase and Sale Agreement (the “Monetization Agreement”) with
MAM Pangolin Royalty, LLC, an affiliate of Marathon Asset Management (“Marathon”). Under the terms of the Monetization Agreement, we sold all of our contractual rights to receive royalties and milestone payments due under the Sunovion
License Agreement related to Sunovion’s apomorphine product, KYNMOBI
®
. Through December 31, 2020, the Company received $50.0 million in gross proceeds pursuant to the Monetization Agreement, inclusive of an upfront payment of $40.0
million and the achievement of the first milestone payment of $10.0 million. Under the Monetization Agreement, additional aggregate contingent payments of up to $75.0 million may be due the Company upon the achievement of worldwide royalty
and other commercial targets within a specified timeframe, which could result in total potential gross proceeds under the Monetization Agreement of $125.0 million.
|
|
|
• |
Zuplenz
– an oral soluble film formulation of ondansetron, a 5-HT antagonist approved for the treatment of nausea and vomiting associated with chemotherapy and post-operative recovery. Ondansetron is
available as branded and generic products as intravenous injections, intramuscular injections, orally dissolving tablets, oral solution tablets, and film. We licensed commercial rights for Zuplenz to Fortovia Therapeutics (previously Midatech
Pharma PLC) in the United States, Canada, and China. Fortovia launched Zuplenz in the United States in 2015. We had been the sole and exclusive manufacturer of Zuplenz for Fortovia. On August 31, 2020 Fortovia filed a Chapter 11 bankruptcy
proceeding in the Bankruptcy Court for the Eastern District of North Carolina. On January 29, 2021, the Bankruptcy Court approved an agreement pursuant to which the license and supply agreement between Aquestive and Fortovia was terminated,
and all rights to commercialize Zuplenz returned to us, effective January 30, 2021. While not expected to be a material product for the Company, we are seeking a new partner to commercialize Zuplenz in the United States.
|
|
|
• |
employee-related expenses, including compensation, benefits, share-based compensation and travel expense;
|
|
|
• |
external research and development expenses incurred under arrangements with third parties, such as contract research organizations, investigational sites and consultants;
|
|
|
• |
the cost of acquiring, developing and manufacturing clinical study materials; and
|
|
|
• |
costs associated with preclinical and clinical activities and regulatory operations.
|
|
|
• |
Seeking to obtain the approval and subsequent launch of Libervant, subject to approval by the FDA for U.S. market access, which cannot be assured;
|
|
|
• |
Continuing the development of AQST-108-SF and AQST-109-SF along the 505(b)(2) pathway; and
|
|
|
• |
Growing the revenue contribution from Sympazan as a first step to position Aquestive in the epilepsy community.
|
|
Three Months Ended
March 31,
|
Change
|
|||||||||||||||
|
(In thousands, except %)
|
2021
|
2020
|
$ |
|
%
|
|||||||||||
|
Manufacture and supply revenue
|
$
|
6,511
|
$
|
6,916
|
$
|
(405
|
)
|
(6
|
)%
|
|||||||
|
License and royalty revenue
|
2,361
|
426
|
1,935
|
454
|
%
|
|||||||||||
|
Co-development and research fees
|
438
|
263
|
175
|
67
|
%
|
|||||||||||
|
Proprietary product sales, net
|
1,812
|
1,160
|
652
|
56
|
%
|
|||||||||||
|
Total revenues
|
$
|
11,122
|
$
|
8,765
|
$
|
2,357
|
27
|
%
|
||||||||
|
Three Months Ended
March 31,
|
Change
|
|||||||||||||||
|
(In thousands, except %)
|
2021
|
2020
|
$ |
|
%
|
|||||||||||
|
Manufacture and supply
|
$
|
2,757
|
$
|
3,659
|
$
|
(902
|
)
|
(25
|
)%
|
|||||||
|
Research and development
|
3,659
|
4,354
|
(695
|
)
|
(16
|
)%
|
||||||||||
|
Selling, general and administrative
|
13,231
|
14,613
|
(1,382
|
)
|
(9
|
)%
|
||||||||||
|
Interest expense
|
2,761
|
2,771
|
(10
|
)
|
—
|
%
|
||||||||||
|
Interest expense related to the sale of future revenue
|
3,334
|
—
|
3,334
|
100
|
%
|
|||||||||||
|
Interest (income) and other (income) expense, net
|
52
|
(102
|
)
|
154
|
(151
|
)%
|
||||||||||
|
(in thousands)
|
2021
|
2020
|
||||||
|
Net cash (used for) operating activities
|
$
|
(14,097
|
)
|
$
|
(13,637
|
)
|
||
|
Net cash (used for) investing activities
|
(103
|
)
|
(131
|
)
|
||||
|
Net cash (used for)/provided by financing activities
|
9,891
|
(37
|
)
|
|||||
|
Net decrease in cash and cash equivalents
|
$
|
(4,309
|
)
|
$
|
(13,805
|
)
|
||
|
|
• |
the effects of the COVID-19 pandemic on our operations, operations of our key suppliers and third-party clinical and other service providers, our colleagues and contractors and debt equity and other capital markets;
|
|
|
• |
continued ability of our customers to pay, in a timely manner, for presently contracted and future anticipated orders for our manufactured goods, Suboxone and Sympazan, including effects of generics and other competitive pressures as
currently envisioned;
|
|
|
• |
continued ability of our customers to pay, in a timely manner, for presently contracted and future anticipated orders for provided co-development and feasibility services, as well as regulatory support services for recently licensed
products, such as Exservan;
|
|
|
• |
access to debt or equity markets if, and at the time, needed for any necessary future funding;
|
|
|
• |
FDA approval of our key new drug candidate, Libervant, for U.S. market access;
|
|
|
• |
our ability to issue up to $30,000 in additional 12.5% Notes, which is contingent upon FDA product approval and U.S. market access for Libervant;
|
|
|
• |
continuing review and appropriate adjustment of our cost structure consistent with our anticipated revenues and funding;
|
|
|
• |
continued growth and market penetration of Sympazan within expected commercialization cost levels for this product, including anticipated patient and physician acceptance and our ability to obtain adequate price and payment support from
government agencies and other private medical insurers;
|
|
|
• |
effective commercialization of within anticipated cost levels and expected ramp-up timeframes of our product candidate Libervant, if approved for U.S. market access by the FDA;
|
|
|
• |
infrastructure and administrative costs at expected levels to support operations as an FDA and highly regulated public company;
|
|
|
• |
a manageable level of costs for ongoing efforts to protect our intellectual property rights, including litigation costs in connection with seeking to enforce our rights concerning third parties’ “at-risk” launch of generic products;
|
|
|
• |
continued compliance with all covenants under our 12.5% Notes; and
|
|
|
• |
absence of significant unforeseen cash requirements.
|
| Item 1. |
Legal Proceedings
|
| Item 1A. |
Risk Factors
|
| Item 2. |
| Item 3. |
| Item 4. |
| Item 5. |
Other Information
|
| Item 6. |
Exhibits
|
|
Number
|
Description
|
|
|
Certification of Principal Executive Officer Pursuant to Rules 13a-14(a) and 15d-14(a), as amended, under the Securities Exchange Act of 1934, as Adopted Pursuant to Section 302 of the
Sarbanes-Oxley Act of 2002 (filed herewith).
|
||
|
Certification of Principal Financial Officer Pursuant to Rules 13a-14(a) and 15d-14(a), as amended, under the Securities Exchange Act of 1934, as Adopted Pursuant to Section 302 of the
Sarbanes-Oxley Act of 2002 (filed herewith).
|
||
|
Certification of Principal Executive Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (furnished herewith).
|
||
|
Certification of Principal Financial Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (furnished herewith).
|
||
|
101.INS
|
XBRL Instance Document
|
|
|
101.SCH
|
XBRL Taxonomy Extension Schema Document
|
|
|
101.CAL
|
XBRL Taxonomy Extension Calculation Linkbase Document
|
|
|
101.DEF
|
XBRL Taxonomy Extension Definition Linkbase Document
|
|
|
101.LAB
|
XBRL Taxonomy Extension Label Linkbase Document
|
|
|
101.PRE
|
XBRL Taxonomy Extension Presentation Linkbase Document
|
|
Aquestive Therapeutics, Inc.
(REGISTRANT)
|
||
|
Date:
|
May 4, 2021
|
/s/ Keith J. Kendall
|
|
Keith J. Kendall
|
||
|
President and Chief Executive Officer
|
||
|
(Principal Executive Officer)
|
||
|
Date:
|
May 4, 2021
|
/s/ A. Ernest Toth, Jr.
|
|
A. Ernest Toth, Jr.
|
||
|
Interim Chief Financial Officer
|
||
|
(Principal Financial Officer)
|
||
No information found
* THE VALUE IS THE MARKET VALUE AS OF THE LAST DAY OF THE QUARTER FOR WHICH THE 13F WAS FILED.
| FUND | NUMBER OF SHARES | VALUE ($) | PUT OR CALL |
|---|
| DIRECTORS | AGE | BIO | OTHER DIRECTOR MEMBERSHIPS |
|---|
No information found
No Customers Found
No Suppliers Found
Price
Yield
| Owner | Position | Direct Shares | Indirect Shares |
|---|