UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
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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):
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Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
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Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
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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).
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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 Conditions.
On January 13, 2025, Alkermes plc (the “Company”) made available a copy of the corporate presentation to be displayed during its presentation at the J.P. Morgan Healthcare Conference on January 15, 2025, which includes the Company’s current expectation of cash and investments for the year ended December 31, 2024. A copy of the presentation is furnished herewith as Exhibit 99.1.
Item 7.01 Regulation FD Disclosure.
The information in Item 2.02 above and in Exhibit 99.1 furnished herewith are incorporated in this Item 7.01 by reference.
The information contained in this Form 8-K, including in Items 2.02 and 7.01 above, and in Exhibit 99.1 furnished herewith, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such a filing.
Item 9.01 Financial Statements and Exhibits.
(d) Exhibits
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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.
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ALKERMES PLC |
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Date: January 13, 2025 |
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/s/ David J. Gaffin |
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David J. Gaffin |
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Secretary |
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Alkermes 2025 Richard Pops Chief Executive Officer 43rd Annual J.P. Morgan Healthcare Conference January 2025 Exhibit 99.1
Forward-Looking Statements Certain statements set forth in this presentation constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, including, but not limited to, statements concerning: the company’s expectations with respect to its current and future financial and operating performance, business plans or prospects, including its expected revenue and profitability and opportunities for value creation; the potential therapeutic and commercial value of the company’s marketed products and development candidates and the potential applicability of orexin biology to a broad range of indications; the company’s plans and expectations regarding clinical development activities and strategy, including expansion and advancement of its pipeline, and study timelines and design for ALKS 2680 and the company’s other orexin agonist development candidates. The company cautions that forward-looking statements are inherently uncertain. Actual performance and results may differ materially from those expressed or implied in the forward-looking statements due to various risks, assumptions and uncertainties. These risks, assumptions and uncertainties include, among others: whether the company is able to achieve its anticipated financial and operating performance and profitability; the company’s commercial activities may not result in the benefits that the company anticipates; clinical development activities may not be completed on time or at all; the results of the company’s development activities, including those related to ALKS 2680 or its other orexin agonists, may not be positive, or predictive of final results from such activities, results of future development activities or real-world results; potential changes in the cost, scope, design or duration of the company’s development programs for ALKS 2680 or its other orexin agonists; whether the company’s preclinical development strategy for its orexin agonist program will prove effective or yield the anticipated results; the U.S. Food and Drug Administration (“FDA”) or other regulatory authorities may not agree with the company’s regulatory approval strategies and may make adverse decisions regarding the company’s product candidates; the company and its licensees may not be able to continue to successfully commercialize their products or support growth of such products; and those risks, assumptions and uncertainties described under the heading “Risk Factors” in the company’s Annual Report on Form 10-K for the year ended Dec. 31, 2023 and in subsequent filings made by the company with the U.S. Securities and Exchange Commission (“SEC”), which are available on the SEC’s website at www.sec.gov, and on the company’s website at www.alkermes.com in the ‘Investors – SEC filings’ section. Existing and prospective investors are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. Except as required by law, the company disclaims any intention or responsibility for updating or revising any forward-looking statements contained in this presentation. Note Regarding Trademarks: The company and its affiliates are the owners of various U.S. federal trademark registrations (®) and other trademarks (TM), including ARISTADA®, ARISTADA INITIO®, LYBALVI® and VIVITROL®. VUMERITY® is a registered trademark of Biogen MA Inc., used by Alkermes under license. Any other trademarks referred to in this presentation are the property of their respective owners. Appearances of such other trademarks herein should not be construed as any indicator that their respective owners will not assert their rights thereto.
Alkermes Value Proposition: Opportunity for Significant Value Creation in 2025 Profitable business driven by proprietary commercial products Leader in one of the most exciting development spaces within neuroscience Established scientific expertise and clinical development experience 1 2 3 ALKS 2680 phase 2 data expected in 2025: Randomized, placebo-controlled, multi-week studies in patients with narcolepsy type 1 and type 2
Highly Profitable, Self-Funding Business With Strong Balance Sheet EBITDA represents earnings before interest, tax, depreciation and amortization; earnings include share-based compensation expense. *The company is not providing reconciliation of, or comparable measures prepared in accordance with generally accepted accounting principles in the U.S. (“GAAP”) for this forward-looking non-GAAP measure because such measure is not determinable without unreasonable efforts due to the inherent difficulty in forecasting and quantifying certain future financial amounts necessary for such reconciliation, which amounts could have a significant impact on the comparable GAAP financial measure ** Retired ~$290M of long-term debt and repurchased $200M of the company’s shares in 2024 >$1B of proprietary product net sales expected in 2025 Non-dilutive funding for development pipeline >$200M of EBITDA* expected in 2025 Ongoing commitment to efficiency ~$825M in cash and investments at 12/31/24 Strong financial position and clean balance sheet**
Extensive Experience Developing Small Molecule CNS Medicines CNS: Central nervous System *Inclusive of ARISTADA INITIO® **Licensed product (royalty & manufacturing revenue) Experience and established capabilities Dosage form design Clinical development Regulatory strategy Commercial positioning ** *
Advancing Neuroscience Pipeline in Hypersomnolence Disorders and Beyond
Central Disorders of Hypersomnolence: Narcolepsy and Idiopathic Hypersomnia Distinguishing Clinical Features of Hypersomnolence Disorders Narcolepsy type 1 (NT1) Excessive daytime sleepiness with cataplexy, a sudden muscle weakness triggered by strong emotions Narcolepsy type 2 (NT2) Excessive daytime sleepiness, but no cataplexy Idiopathic hypersomnia (IH) Excessive daytime sleepiness, long sleep and sleep inertia (difficulty waking with repeated returns to sleep) For illustrative purposes. Source: https://www.falling-asleep.com/advocacy-tools/ Distribution of Sleep Stages Over a 24-Hour Period: Healthy Sleepers Narcoleptic Sleepers REM sleep Non-REM sleep Wakefulness
High Unmet Need: Narcolepsy and Idiopathic Hypersomnia in the U.S. Narcolepsy Idiopathic Hypersomnia aNarcolepsy Network Fast Facts bCohen et al., Sleep Med 43:14 (2018) and Longstreth et al., Sleep Med 10:422 (2009) prevalence rates applied to U.S. population cAcquavella et al., J Clin Sleep Med 16:1255 (2020) NT1: ~30% NT2: ~70% A recent survey was conducted in the United States with the aim of sharing patients’ perspectives on the treatment of narcolepsy…95% of responders reported having been prescribed at least one of the FDA-approved medications. Nonetheless, 74% complained of daily narcolepsy symptoms. Eighty-four percent described impaired work or school performance and judged their condition as moderate or severe. 200,000 prevalencea 100,000 diagnosedb 40,000 diagnosedc
Orexin System is the Master Regulator of Wakefulness Orexin (hypocretin), a neuropeptide produced in the hypothalamus, is the master regulator of wakefulness* Decreased orexin signaling leads to excessive daytime sleepiness associated with narcolepsy Narcolepsy type 1 is characterized by the loss/absence of orexin-producing neurons This result identifies hypocretins as major sleep-modulating neurotransmitters and opens novel potential therapeutic approaches for narcoleptic patients. *Buysse, D. Diagnosis and assessment of sleep and circadian rhythm disorders. Journal of Psychiatric Practice. 2005; 11(2):102-115
Orexin 2 Receptor Agonists: Transformative Potential in Hypersomnolence Disorders Multi-billion dollar market opportunity Orphan indications: ~140,000 diagnosed* narcolepsy & IH patients in the U.S. Potential to evolve standard of care by targeting key regulator of wakefulness Concentrated prescriber universe: ~7,500 board-certified specialists in the U.S. Limited number of competitive candidates in development *Cohen et al., Sleep Med 43:14 (2018); Longstreth et al., Sleep Med 10:422 (2009) prevalence rates applied to U.S. population; Acquavella et al., J Clin Sleep Med 16:1255 (2020)
ALKS 2680: Differentiated Orexin 2 Receptor Agonist Advancing With Robust Phase 2 Dataset Expected in 2025 Foundational for expansion Potential applicability of orexin biology in other disease categories Additional Alkermes orexin 2 receptor agonist molecules expected to enter clinic in 2025 Designed to have a strong competitive profile Simple, once-daily dosing in NT1, NT2 and IH Range of doses to accommodate patient and disease variability in narcolepsy and IH Currently most advanced in development and potentially first-to-market in NT2 and IH Data in patients across NT1, NT2 and IH Phase 1b demonstrated normalization* of wakefulness with once-daily dosing FDA Fast Track designation for narcolepsy Phase 2 narcolepsy data expected in H2 2025 Vibrance-1 (NT1) and Vibrance-2 (NT2) phase 2 studies ongoing Initiation of phase 2 study in idiopathic hypersomnia expected in H1 2025 *Mean sleep latencies for healthy individuals (30.4 ± 11.2 minutes); Krahn LE, et al. J Clin Sleep Med. 2021;17(12):2489-2498
Chemical design Clinical proof-of-concept data in patients Confirmatory clinical development studies (multi-week, phase 2/3 ) ALKS 2680 Development Strategy Designed to Support Regulatory Approval and Competitive Positioning Pharmacokinetic profile Potency Selectivity Oral bioavailability Blood brain penetration 1x daily dosing Proof-of-concept endpoints: Maintenance of Wakefulness Test (MWT), Karolinska Sleepiness Scale Initial safety and tolerability Dose proportionality Long-term safety Regulatory endpoints: MWT, Epworth Sleepiness Scale, cataplexy events, Idiopathic Hypersomnia Severity Scale Patient-reported outcomes Safety and tolerability
ALKS 2680 Phase 1b: Wide Therapeutic Index With Generally Well-Tolerated Profile at All Doses Tested in NT1, NT2 and IH Most TEAEs were mild in severity and transient No serious or severe TEAEs, or TEAEs leading to discontinuation Treatment-related TEAEs* reported in >1 subject in each population listed below: NT1: insomnia, pollakiuria, salivary hypersecretion, decreased appetite, dizziness, and nausea NT2: pollakiuria, insomnia, and dizziness IH: pollakiuria, insomnia, and dizziness No clinically meaningful changes in laboratory parameters No cardiovascular safety signals in vital signs or ECGs *Relationship per investigator determination. Insomnia includes TEAE terms of insomnia, middle insomnia, and initial insomnia. Dizziness includes TEAE terms of dizziness and dizziness postural. NT1: Narcolepsy type 1; NT2: Narcolepsy type 2; IH: Idiopathic hypersomnia; TEAE: Treatment-Emergent Adverse Event; ECG: Electrocardiogram
Absolute Mean Sleep Latency on Maintenance of Wakefulness Test (MWT) - Mean SE ALKS 2680 Phase 1b: Demonstrated Meaningful, Consistent and Dose-Dependent Effect on Wakefulness in NT1, NT2 & IH Patients Minutes Narcolepsy Type 1 (n = 10) 40 Narcolepsy Type 2 (n = 9) Idiopathic Hypersomnia (n = 8) LS mean (95% CI) difference vs placebo1 p-value 18.38 (10.95, 28.80) 0.0002 22.57 (15.56,29.58) 0.0001 33.97 (26.72,41.21) <0.0001 11.60 (2.22, 20.98) 0.0178 18.55 (9.17, 27.93) 0.0005 20.96 (11.58, 30.34) 0.0001 8.07 (0.06, 16.07) 0.0484 11.05 (3.04, 19.05) 0.0096 17.67 (9.67, 25.68) 0.0002 1: Primary analysis based on a mixed effect model of repeated measurement with the dose level and the period as fixed factors, and the average sleep latency on Day -1 is included as the baseline covariate SE: standard error; LS: least squares Primary Analysis
ALKS 2680 Phase 2 Clinical Program Evaluating Once-Daily Administration in Narcolepsy Type 1 and Type 2 Safety follow-up Washout Randomization Double-blind treatment (6-week or 8-week) Open-label extension With dose adjustment option ALKS 2680 dose 1 (n=20) ALKS 2680 dose 2 (n=20) ALKS 2680 dose 3 (n=20) Placebo (n=20) ALKS 2680 phase 2 doses 4 mg 6 mg 8 mg 10 mg 14 mg 18 mg Narcolepsy Type 1 Narcolepsy Type 2
Key phase 2 program features: Robust Phase 2 Design Incorporates Elements to Support Phase 3, Registration, Commercial Positioning Preparing for rapid initiation of phase 3 studies. Key workstreams: Sample size and duration. Robust dataset to capture patient variability, durability of effect and multi-week safety Incorporates regulatory feedback. Placebo-controlled, double-blind, multi-dose, parallel study design Gold-standard clinical endpoints. Consistent with planned phase 3 endpoints Patient-reported outcome measures. Characterize outcomes important to patients Long-term, open-label extension. Capture patient dose preference, long-term safety and tolerability data Manufacturing. Production of clinical supply and registration stability batches Phase 3 strategy and protocol design. Leverage common features of Vibrance studies Preparing for interactions with key regulatory authorities. U.S. FDA and ex-U.S. regulators Engaging with critical partners. Clinicians, medical societies and patient advocacy organizations
Orexin System Modulates Diverse Neuronal Functions Beyond Wakefulness Prefrontal Cortex DR SN/VTA Hippocampus Hypothalamus Orexin pathway Originates in hypothalamus and engages distributed neuronal circuitry Promotes adaptive behavioral responses TH NAc AM TMN BF AM: amygdala; BF: basal forebrain; DR: dorsal raphe; NAc: nucleus accumbens; SN: substantia nigra; TH: thalamus; TMN: tuberomammillary nucleus; VTA: ventral tegmental area Marcus, et al. J. Comp. Neurology 2001. Sakurai, Nature Rev Neurosci 2007. Alexandre, et al. Curr. Op. Neurobiology 2013. Sarter, et al. Brain Res. Rev. 2006. Katzman & Katzman, Brain Sci. 2022.
Orexin System Modulates Diverse Neuronal Functions Beyond Wakefulness TH DR SN/VTA NAc Prefrontal Cortex TMN Hypothalamus BF Hippocampus Orexin pathway Originates in hypothalamus and engages distributed neuronal circuitry Promotes adaptive behavioral responses Attention Pathway Cortical, sensory, and basal ganglia circuitry receives orexin neuron projections and expresses orexin 2 receptors Important for vigilance, signal processing and goal-directed behavior AM AM: amygdala; BF: basal forebrain; DR: dorsal raphe; NAc: nucleus accumbens; SN: substantia nigra; TH: thalamus; TMN: tuberomammillary nucleus; VTA: ventral tegmental area Marcus, et al. J. Comp. Neurology 2001. Sakurai, Nature Rev Neurosci 2007. Alexandre, et al. Curr. Op. Neurobiology 2013. Sarter, et al. Brain Res. Rev. 2006. Katzman & Katzman, Brain Sci. 2022.
Orexin System Modulates Diverse Neuronal Functions Beyond Wakefulness Prefrontal Cortex DR SN/VTA Hippocampus Hypothalamus AM: amygdala; BF: basal forebrain; DR: dorsal raphe; NAc: nucleus accumbens; SN: substantia nigra; TH: thalamus; TMN: tuberomammillary nucleus; VTA: ventral tegmental area Orexin pathway Originates in hypothalamus and engages distributed neuronal circuitry Promotes adaptive behavioral responses TH NAc AM TMN Marcus, et al. J. Comp. Neurology 2001. Sakurai, Nature Rev Neurosci 2007. Alexandre, et al. Curr. Op. Neurobiology 2013. Sarter, et al. Brain Res. Rev. 2006. Katzman & Katzman, Brain Sci. 2022. BF
Orexin System Modulates Diverse Neuronal Functions Beyond Wakefulness DR Hippocampus SN/VTA AM Prefrontal Cortex Mood Pathway Cortical and limbic circuitry receives orexin neuron projections and expresses orexin 2 receptors Regulates emotion, motivation and executive function Hypothalamus Orexin pathway Originates in hypothalamus and engages distributed neuronal circuitry Promotes adaptive behavioral responses BF NAc TMN TH AM: amygdala; BF: basal forebrain; DR: dorsal raphe; NAc: nucleus accumbens; SN: substantia nigra; TH: thalamus; TMN: tuberomammillary nucleus; VTA: ventral tegmental area Marcus, et al. J. Comp. Neurology 2001. Sakurai, Nature Rev Neurosci 2007. Alexandre, et al. Curr. Op. Neurobiology 2013. Sarter, et al. Brain Res. Rev. 2006. Katzman & Katzman, Brain Sci. 2022.
Preclinical Data Support Expanding Orexin 2 Receptor Agonist Program: New Molecules in Additional Disease States Validated preclinical models provide translational value and enable data-driven decision making Orexin 2 receptor agonism demonstrated significant effects across prefrontal cortical neurotransmission, cortical arousal, and symptom-relevant behavioral preclinical assays* ALKS 4510 and ALKS 7290 orexin 2 receptor agonist candidates expected to enter the clinic in 2025 Single- and multiple-ascending dose studies in healthy volunteers to be followed by disease-relevant translational studies in patients *Alkermes data on file qEEG: quantitative electroencephalography
Orexin 2 Receptor Agonists May Have Potential Applicability in Broad Range of CNS Diseases Beyond Sleep Disorders: Disease states with key clinical aspects that may be modulated by the orexin pathway Ultra Orphan Diseases Orphan Diseases High Prevalence Diseases # of Potential Indications of Interest # of Potential Addressable U.S. Patients 3 12 7 <5,000 patients >200,000 patients 5,000 - 200,000 patients <2,300 42 million 220,000
Advancing Multiple Orexin Development Candidates for Treatment of CNS Disorders Discovery Preclinical Phase 1 Phase 2 Phase 3 Next Expected Milestone ALKS 2680 Narcolepsy Type 1 Phase 2 data H2 2025 Phase 2 Data Narcolepsy Type 2 Phase 2 data H2 2025 Idiopathic Hypersomnia Phase 2 initiation H1 2025 Project Saturn: Additional orexin 2 receptor agonist molecules expected to enter the clinic in 2025 Phase 1 initiation Mid-2025 Phase 1 initiation H2 2025 ALKS 4510 ALKS 7290
Profitable business driven by proprietary commercial products Leader in one of the most exciting development spaces within neuroscience Established scientific expertise and clinical development experience Alkermes Value Proposition: Opportunity for Significant Value Creation in 2025 1 2 3 ALKS 2680 phase 2 data expected in 2025: Randomized, placebo-controlled, multi-week studies in patients with narcolepsy type 1 and type 2
www.alkermes.com