Form 8-K Recro Pharma, Inc. For: May 12

May 12, 2015 5:27 PM EDT

 

 

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): May 12, 2015

 

 

Recro Pharma, Inc.

(Exact name of registrant as specified in its charter)

 

 

 

Pennsylvania   001-36329   26-1523233

(State or other jurisdiction

of incorporation or organization)

 

(Commission

File Number)

 

(I.R.S. Employer

Identification No.)

 

490 Lapp Road, Malvern, Pennsylvania   19355
(Address of principal executive offices)   (Zip Code)

Registrant’s telephone number, including area code: (484) 395-2470

Not Applicable

(Former name or former address, if changed since last report)

 

 

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))

 

 

 


Item 2.02 Results of Operations and Financial Condition.

On May 12, 2015, Recro Pharma, Inc. (the “Company”) issued a press release announcing its financial results for the first quarter ended March 31, 2015. A copy of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K.

The information furnished pursuant to this Item 2.02, including Exhibit 99.1, 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, and shall not be deemed to be 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 filing.

Item 8.01 Other Events.

On May 12, 2015, the Company updated information reflected in a slide presentation, which is attached as Exhibit 99.2 to this Current Report on Form 8-K. Representatives of the Company will use the updated presentation in various meetings with investors from time to time.

Item 9.01 Financial Statements and Exhibits.

 

(d) Exhibits

The following exhibits are filed herewith:

 

99.1 Press release, dated May 12, 2015
99.2 Presentation Slides


SIGNATURES

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, thereunto duly authorized.

 

Recro Pharma, Inc.
By:

/s/ Gerri A. Henwood

Name: Gerri A. Henwood
Title:   Chief Executive Officer

Date: May 12, 2015


EXHIBIT INDEX

 

Exhibit No.

  

Document

99.1    Press release, dated May 12, 2015
99.2    Presentation Slides

Exhibit 99.1

Recro Pharma Reports First Quarter 2015 Financial Results

– Strengthened Company with Acquisition of Phase III-Ready IV/IM Meloxicam, Cash Flow Positive Manufacturing/Formulation Business from Alkermes –

– Encouraging Dex-IN Interim Analysis Results Support Continuation and Completion of On-Going Phase II Trial –

MALVERN, PA, May 12, 2015 – Recro Pharma, Inc. (Nasdaq: REPH), a specialty pharmaceutical company developing multiple non-opioid therapeutics for the treatment of acute post operative pain, today reported financial results for the first quarter ended March 31, 2015.

“With the acquisition of key assets from Alkermes, including the Phase III-ready IV/IM meloxicam, encouraging interim results from the on-going Dex-IN Phase II clinical trial and execution of an unused $10.0 million stock purchase agreement with Aspire Capital, we’ve had a very strong start to 2015 and are well-positioned for further growth and success,” said Gerri Henwood, Recro Pharma’s President and Chief Executive Officer. “The on-going Phase II Dex-IN trial is progressing well and we are on track to report top-line results mid-year 2015. Depending on the clinical success of Dex-IN, we look forward to the potential of moving two complementary acute pain products into Phase III by year end.”

First Quarter 2015 and Recent Highlights

 

    Acquired assets from Alkermes: In April 2015, Recro Pharma completed its previously announced acquisition of assets from Alkermes and its affiliates including worldwide rights to IV/IM meloxicam, a proprietary, Phase III-ready, long-acting preferential COX-2 inhibitor for moderate to severe acute pain, along with a cash flow positive contract manufacturing facility, royalty and formulation business. IV/IM meloxicam has demonstrated robust efficacy and good tolerability in multiple Phase II trials. The transaction was funded via a $50.0 million five-year senior secured term loan with an affiliate of OrbiMed. We believe this transformative acquisition diversifies Recro Pharma’s risk by adding a second, complementary acute pain product to the Company’s product pipeline as well as a revenue generating manufacturing business. We anticipate the facility adding scale and capability and may provide cash flow to fund development of the Company’s pipeline over time.

 

    Announced Encouraging Results Supporting Continuation of the On-Going Phase II Dex-IN Clinical Trial: In April 2015, Recro Pharma announced that it had completed the prespecified interim analysis conducted on the Company’s Phase II, double-blind REC-14-013 trial of Dex-IN in patients following bunionectomy surgery. As a result of the interim analysis, the total enrollment for the trial was adjusted to approximately 170 patients, a decrease from the initial target enrollment of 200-250 patients. Recro Pharma believes the trial continues to be on track to report top-line data by mid-year 2015.

 

    Executed Stock Purchase Agreement with Aspire Capital: In February 2015, Recro Pharma entered into a common stock purchase agreement with Aspire Capital Fund, LLC (“Aspire Capital”). Under the agreement, Recro Pharma has the right to sell up to $10.0 million in shares of common stock to Aspire Capital, subject to certain terms and conditions over a two-year period. The agreement represents an additional method to provide the Company with increased capital and flexibility. This equity facility has not yet been utilized.

First Quarter 2015 Financial Results

For the first quarter of 2015, Recro Pharma reported a net loss applicable to common shareholders of $4.1 million, or $0.53 per share, compared to a net loss applicable to common shareholders of $6.4 million, or $3.67 per share, for the comparable period in 2014. The first quarter of 2014 includes accretion of the Company’s Series A redeemable convertible preferred stock and a deemed dividend on preferred stock and beneficial conversion expense for the conversion of the Company’s 8% convertible promissory notes upon the closing of the Company’s initial public offering in March 2014.


Research and development expenses for the first quarter of 2015 were $1.8 million, compared to $0.2 million for the same period in 2014. The increase was primarily due to our on-going Dex-IN Phase II clinical trial and management’s salaries and benefits which commenced with being a public company.

General and administrative expenses for the first quarter of 2015 were $2.4 million, compared to $0.6 million for the same period in 2014. This increase of $1.7 million was due to costs of $894,000 associated with the acquisition of assets from Alkermes, management’s salaries, benefits and stock-based compensation and increased consulting and legal fees associated with being a public company.

Other income and expense for the first quarter of 2014 includes a non-cash interest charge of approximately $4.1 million related to the Company’s 8% convertible promissory notes that were converted to common stock upon the closing of the initial public offering. The Company recorded this non-cash interest charge as a result of the note holders electing to convert the 8% convertible promissory notes at 75% of the initial offering price per share of the initial public offering.

Cash and cash equivalents were $16.6 million as of March 31, 2015.

About Recro Pharma, Inc.

As a result of the acquisition of certain assets from Alkermes plc in April 2015, Recro Pharma is a revenue generating specialty pharmaceutical company developing multiple non-opioid therapeutics for the treatment of acute post operative pain. Recro Pharma is currently developing IV/IM meloxicam, a proprietary, Phase III-ready, long-acting preferential COX-2 inhibitor, and Dex-IN, a proprietary intranasal formulation of dexmedetomidine currently being tested in Phase II, for the treatment of acute post operative pain. As Recro Pharma’s product candidates are not in the opioid class of drugs, the Company believes its candidates would avoid many of the side effects associated with commonly prescribed opioid therapeutics, such as addiction, constipation and respiratory distress, while maintaining analgesic effect.

As a result of the asset acquisitions from Alkermes, Recro Pharma also owns and operates an 87,000 square foot, DEA-licensed facility that manufactures five commercial products and receives royalties associated with the sales of these products.

Cautionary Statement Regarding Forward Looking Statements

This press release contains forward-looking statements that involve risks and uncertainties. Such forward-looking statements reflect Recro Pharma’s expectations about its future operating results, performance and opportunities that involve substantial risks and uncertainties. When used herein, the words “anticipate,” “believe,” “estimate,” “upcoming,” “plan,” “target”, “intend” and “expect” and similar expressions, as they relate to Recro Pharma or its management, are intended to identify such forward-looking statements. These forward-looking statements are based on information available to Recro Pharma as of the date of this press release and are subject to a number of risks, uncertainties, and other factors that could cause Recro Pharma’s actual results, performance, prospects, and opportunities to differ materially from those expressed in, or implied by, these forward-looking statements. Recro Pharma assumes no obligation to update any such forward-looking statements. Factors that could cause Recro Pharma’s actual results to materially differ from those expressed in the forward-looking statements set forth in this press release include, without limitation: the results and timing of the clinical trials of IV/IM meloxicam and Dex-IN and any future clinical and preclinical studies; the ability to obtain and maintain regulatory approval of product candidates, and the labeling under any such approval; regulatory developments in the United States and foreign countries; the Company’s ability to raise future financing for continued development; the performance of third-party suppliers and manufacturers; the Company’s ability to obtain, maintain and successfully enforce adequate patent and other intellectual property protection; the successful commercialization of the Company’s product candidates; the successful implementation of the Company’s strategy; the Company’s ability to integrate the recent acquisition of


assets from Alkermes; and the Company’s ability to meet required debt payments and operate under increased leverage and associated lending covenants in connection with the recent acquisition. In addition, the forward-looking statements in this press release should be considered together with the risks and uncertainties that may affect Recro Pharma’s business and future results included in Recro Pharma’s filings with the Securities and Exchange Commission at www.sec.gov. Recro Pharma assumes no obligation to update any such forward looking statements.


RECRO PHARMA, INC.

Balance Sheets

(unaudited)

 

     March 31, 2015     December 31, 2014  
Assets     

Current assets:

    

Cash and cash equivalents

   $ 16,590,437      $ 19,682,430   

Other recievables

     80,227        89,604   

Prepaid expenses

     82,369        601,586   

Deferred equity costs

     513,978     
  

 

 

   

 

 

 

Total current assets

$ 17,267,011    $ 20,373,620   
  

 

 

   

 

 

 

Other assets:

Deferred financing costs

  624,924      —     
  

 

 

   

 

 

 

Total assets

$ 17,891,935    $ 20,373,620   
  

 

 

   

 

 

 
Liabilities and Shareholders’ Equity

Current liabilities:

Accounts payable

  552,698      869,919   

Accrued expenses

  2,029,385      575,112   
  

 

 

   

 

 

 

Total current liabilities

  2,582,083      1,445,031   
  

 

 

   

 

 

 

Total liabilities

  2,582,083      1,445,031   
  

 

 

   

 

 

 

Shareholders’ equity:

Preferred stock, $0.01 par value. Authorized, 10,000,000 shares; none issued and outstanding

  —        —     

Common stock, $0.01 par value. Authorized, 50,000,000 shares, issued and outstanding, 7,804,063 shares at March 31, 2015 and 7,707,600 shares at December 31, 2014

  78,041      77,076   

Additional paid-in-capital

  53,463,644      52,947,126   

Accumulated deficit

  (38,231,833   (34,095,613
  

 

 

   

 

 

 

Total shareholders’ equity

  15,309,852      18,928,589   
  

 

 

   

 

 

 

Total liabilities and shareholders’ equity

$ 17,891,935    $ 20,373,620   
  

 

 

   

 

 

 


RECRO PHARMA, INC.

Statements of Operations

(unaudited)

 

     Three Months Ended  
     March 31,  
     2015     2014  

Operating expenses:

    

Research and development

   $ 1,754,284      $ 226,997   

General and administrative

     2,385,647        646,628   
  

 

 

   

 

 

 

Total operating expenses

  4,139,931      873,625   
  

 

 

   

 

 

 

Other income (expense):

Interest income

  3,711      215   

Interest expense

  —        (4,272,919
  

 

 

   

 

 

 
  3,711      (4,272,704
  

 

 

   

 

 

 

Net loss

$ (4,136,220 $ (5,146,329

Accretion of redeemable convertible preferred stock

  —        (1,270,057
  

 

 

   

 

 

 

Net loss applicable to common shareholders

$ (4,136,220 $ (6,416,386
  

 

 

   

 

 

 

Basic and diluted net loss per common share

$ (0.53 $ (3.67
  

 

 

   

 

 

 

Weighted average basic and diluted common shares outstanding.

  7,768,693      1,749,911   
  

 

 

   

 

 

 


CONTACT: Recro Pharma, Inc.
Charles T. Garner
Chief Financial Officer
(484) 395-2425
Media and Investors:
Argot Partners
Susan Kim
(212) 600-1902
[email protected]
Relieving pain…….Improving lives
Exhibit 99.2


Special Note Regarding Forward-Looking
Statements
This presentation includes forward-looking statements within the meaning of Section
27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of
1934.  These statements, among other things, relate to our business strategy, goals
and expectations concerning our product candidates, future operations, prospects,
plans and objectives of management.  The words "anticipate", "believe", "could",
"estimate", "expect", "intend", "may", "plan", "predict", "project", "will" and similar terms
and phrases are used to identify forward-looking statements in this presentation.  Our
operations involve risks and uncertainties, including the integration of our recently
acquired assets, many of which are outside our control, and any one of which, or a
combination of which, could materially affect our results of operations and whether the
forward-looking statements ultimately prove to be correct. These forward-looking
statements should be considered together with the risks and uncertainties that may
affect our business and future results included in our filings with the Securities and
Exchange Commission at www.sec.gov.  These forward-looking statements are based
on
information
currently
available
to
us,
and
we
assume
no
obligation
to
update
any
forward-looking statements except as required by applicable law.
2


Company Highlights
Multiple non-opioid therapeutics in advanced clinical
development for acute post operative pain
IV/IM
meloxicam
Phase
III
ready
long
acting,
demonstrated efficacy in successful Ph II trials
Dex-IN
proprietary,
intranasal
therapeutic
in
Ph
II
post interim analysis; top line expected mid-year ‘15
Revenue and cashflow positive manufacturing &
royalty business
Experienced management team with significant
development, regulatory and commercial experience
3


Experienced Management and Board
Gerri
Henwood
President
and
CEO
Founded Auxilium Pharmaceuticals (AUXL,
NASDAQ) and IBAH (former NASDAQ Co.
acquired 1998); GSK
Chuck
Garner
CFO,
CBO
and
Treasurer
Over 14 years of life sciences investment
banking experience –
Deutsche Bank, Burrill
& Co., Inverness Advisors; PwC
Randy
Mack
SVP,
Development
Over 20 years of clinical development
experience –
Adolor, Auxilium, Abbott
Labs and Harris Labs
Board of Directors
Wayne
B.
Weisman
Chairman
SCP VitaLife Partners
Winston J. Churchill
SCP VitaLife Partners
Gerri
Henwood
CEO
William L. Ashton
Harrison Consulting Group; frmly Amgen
Abraham Ludomirski, M.D.
SCP VitaLife Partners
Alfred Altomari
CEO, Agile Therapeutics
Michael Berelowitz, M.D.
Former SVP, Specialty Care Business
Unit, Pfizer
4


Recent Transformative Transaction
Acquired IV/IM meloxicam and manufacturing & royalty
business from Alkermes
$50M up-front cash payment; meloxicam milestones and royalties
Warrants issued to Alkermes and OrbiMed
Non-dilutive up-front financed by loan from OrbiMed
IV/IM meloxicam –
long acting preferential COX-2 inhibitor for
moderate to severe acute pain ready for Ph III
Widely prescribed, approved oral chronic pain therapeutic
Multiple Phase II studies successfully completed in acute pain
models
Dosing advantages over existing acute pain txs, including long
action
Manufacturing, royalty and formulation business
87,000 sq. ft. facility (DEA licensed) manufactures 5 commercial
products marketed by partners
$70M+ in revenues and cashflow positive (in 2014, unaudited)
5


Continuation of Ph II after Interim Analysis
(REC-14-013 –
Post Op Day 1 Dosing)
On-going Ph II bunionectomy study
Randomized, placebo controlled study
Primary endpoint –
SPID48
Rescue therapy allowed
Interim analysis for sample size adjustment
approximately half of the evaluable patients enrolled
Total enrollment reduced to approximately 170pts
Initially planned for 200 –
250pts
Top line results expected mid 2015
6


Clinical Stage Pipeline
Product
PC
I
II
III
Rights
Meloxicam
WW
IV formulation
Acute post operative pain
Phase III ready
IM formulation
Acute pain
Dexmedetomidine (“Dex”)
WW, exc. Europe, Turkey, CIS
Dex-IN (intranasal)
Acute post operative pain
Ph II data expected mid-year ‘15
Cancer breakthrough pain
Dex-SL (sublingual)
Fadolmidine (“Fado”)
WW, exc. Europe, Turkey, CIS
Intrathecal
Topical
7


Post Op Pain Market Underserved
$5.9 billion market
(1)
Predominantly opioid
use
Significant side
effects / issues
associated with
opioids
Dearth of non-opioid
drugs in development
Inpatient procedures
Total procedures (2009)
47.9M
Addressable
>25M
Ambulatory procedures
Total procedures (2006)
53.3M
Addressable
>25M
Note: Addressable includes procedures expected to
utilize pain medication.
Source: National Center for Health Statistics and
management estimates.
(1) GBI Research, 2010 sales.
8


Limited Pain Relief Options for Patients
Note: Pain severity based upon market research / physician feedback
9
Acetaminophen
Antipyretic properties;
Oral; no opioid AEs
Only effective for mild pain; short
acting
NSAIDs
Ketorolac,
ibuprofen, aspirin
Mild to moderate
analgesia; oral; no
opioid AEs
Bleeding risk; GI and renal
complications; short acting
Sodium channel
blockers
Bupivacaine,
lidocaine
Use directly at pain
site; mostly peri-
operative
Limited duration of action; some are
concerned  about local tissue impact
Opioids
Morphine,
hydrocodone,
oxycodone, fentanyl
Good pain relief
Respiratory depression, impaired GI
motility after even one dose;
frequent nausea and vomiting;
abuse/addiction potential
Mild
Moderate
Moderate to
Severe
Pain
Severity
Class
Compounds
Advantages
Disadvantages
Alpha 2 agonists
Dexmedetomidine
(Recro Pharma)
Good pain relief;
anxiolytic properties;
no respiratory
depression, impaired GI
or addictive properties
In development –
potential for first in
class to be approved for post-
operative pain
Long-acting
preferential COX-2
IV/IM meloxicam
(Recro Pharma)
Long acting; fast onset,
high pain relief, and
less constipation
Bleeding risk; GI and
renal complications


IV/IM Meloxicam


IV/IM Meloxicam Overview
FDA approved, oral preferential COX-2 inhibitor
used in a wide variety of indications
Proprietary long acting injectable form for moderate
to severe acute pain
Incorporates
Alkermes’
NanoCrystal
TM
technology
Phase III ready –
multiple Phase II studies
completed on IV and a Phase I on IM
Positive Ph II hysterectomy and dental pain studies with
demonstrated efficacy
IP issued through 2022 and additional IP could
extend protection through 2030
NanoCrystal
®
is a registered trademark of Alkermes plc.
11


Favorable Dosing Profile
Attribute
Meloxicam
Ketorolac
Caldolor
(ibuprofen)
Ofirmev
(APAP)
Route
IV/IM
IV/IM
IV
IV
Onset of pain
relief
< 10 min
30 min
N/A
N/A
Time to peak
analgesic
effect
40 min
1-2 hrs
N/A
N/A
Duration of
pain relief
18-24 hrs
4-6 hrs
4-6 hrs
4-6 hrs
Admin.
IV bolus / pre-
filled syringe
(later)
Ready to use IV
bolus (15 sec)
Dilution
required, 30
min infusion
Ready to use,
15 min infusion
12


IV/IM Meloxicam Clinical Overview
Elan/ALKS conducted 5 IV and 1 IM clinical trials
Two Phase 1 IV PK & Safety trials
One Phase 1 IM PK & Safety trial
Three Phase 2 IV efficacy trials in various acute pain
models
Good safety & tolerability across large dose range
IV/IM
Demonstrated efficacy using various measures in
multiple pain models
13


Multiple Successful IV Phase 2 Trials
Elan/ALKS have conducted 5 IV and 1 IM clinical trials
Trial
Design
Outcome
Phase II Study
N1539-02
Acute pain following dental
surgery (N = 230)
Statistically significant differences for all
doses compared to placebo were seen in
SPID24, pain relief and onset of pain relief
Phase II Study
N1539-04
Acute pain following open
abdominal hysterectomy
surgery (N = 486)
Statistically significant differences for all
doses compared to placebo were seen in
multiple efficacy analyses, including SPID24. 
meloxicam 30 mg and 60 mg produced the
greatest response with no difference
between doses
Phase II Study
N1539-05
Acute pain following
laparoscopic abdominal
surgery (N =50)
Study stopped early (planned N = 250) for
business reasons.  However, statistically
significant differences in SPID48 observed for
30mg QD dose despite small sample size
14


Phase II Abdominal Hysterectomy Study
Multicenter, single-dose, randomized, double-blind,
placebo-
& active-controlled study in Eastern Europe
In double-blind period, single doses of:
Placebo
IV Morphine (10-15 mg)
Meloxicam 5 mg, 7.5 mg, 15 mg, 30 mg, 60 mg
After 24 hours, open-label Meloxicam was available
Standard analgesia study design
Pain Intensity assessments (SPID24 = Primary Endpoint)
Pain Relief
Rescue mediation
Time to onset
15


Robust Efficacy
(Abdominal Hysterectomy Trial –
IV Meloxicam)
*** p < 0.001 vs. Placebo
***
***
***
***
***
***
16
(10,000)
-
10,000
20,000
30,000
40,000
50,000
60,000
Placebo
n=64
Morphine
n=62
5 mg
n=60
7.5 mg
n=91
15 mg
n=60
30 mg
n=60
60 mg
n=89


Confirmed Efficacy in Multiple Studies
Summary of Pain Intensity Differences (SPID)
*** p < 0.001 vs. Placebo
Dental Pain Study
p = 0.0682
p = 0.0392
Abdominal Laparoscopic Pain Study
17
-
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
***
***
***
0
200
400
600
800
1000
1200
1400
***


Single 30 mg Dose Performance over 24 hrs
(Abdominal Hysterectomy Trial –
IV Meloxicam)
Baseline Pain Level ˜
60
18
-10
0
10
20
30
40
50
60
0
4
16
20
24
Time (Hours)
Placebo n=64
Morphine n=62
15 mg n=60
30 mg n=60
60 mg n=89
8
12


Well Tolerated
(Abdominal Hysterectomy Trial –
IV Meloxicam)
**Reported in     3% of Subjects in any group and greater than Placebo
Meloxicam
Placebo
n=64
Morphine
n=62
5 mg
n=60
7.5 mg
n=91
15 mg
n=60
30 mg
n=60
60 mg
n=89
Anemia
3.1
4.8
3.3
13.2
3.3
1.7
10.1
Anemia Postoperative
-
1.6
-
-
-
3.3
-
Constipation
-
4.8
5.0
1.1
1.7
-
-
Flatulence
-
4.8
1.7
1.1
3.3
-
-
Hypokalaemia
-
3.2
1.7
1.1
-
1.7
-
Insomnia
4.7
8.1
10.0
4.4
5.0
5.0
4.5
Ketonuria
7.8
9.7
6.7
9.9
15
10
10.1
Leukocytosis
-
-
1.7
-
-
3.3
-
Pyrexia
1.6
3.2
3.3
2.2
-
-
-
Sinus Tachycardia
-
-
3.3
-
-
-
1.1
Percent of Subjects Reporting an Adverse Event **
19


Next Steps for IV Meloxicam
Production of a clinical supply batch
Conduct Phase III Pivotal Study in hard and soft
tissue models
Verify need for additional safety studies to meet
adequate exposures / special populations
20


Dexmedetomidine (“Dex”)


Dex Has Demonstrated Analgesia & Safety
Alpha 2 agonist (non-opioid)
Injectable form (Precedex) marketed by Hospira in US as sedative
Multiple studies demonstrating analgesia of alpha 2 agonists
Intranasal formulation in clinical development for acute
pain
In-licensed non-IV rights from Orion
Worldwide rights except Europe, Turkey, and CIS
Multiple studies demonstrate Dex pain relief and safe
profile
Including our completed placebo controlled trials
Expect strong IP position
Pending IP coverage could run through 2030
Expect to file 505(b)(2) NDA after completion of Ph III
22


Dex Efficacy and Safety in Multiple Studies
Beneficial effects
Source
Approved sedative and safe profile
NDA filing / pivotal trials -
Abbott/Hospira, Orion
Morphine sparing
NDA studies plus Literature
Analgesia by IV route
Chan, 2010; Grosu, 2010; Lin, 2009, Arain,
2010
Demonstration of pain relief (VAS)
Placebo controlled trials; L. Webster, MD
(Utah) CLBP study (Recro sponsored)
Positive PK/PD plasma levels
demonstrating analgesic potential
Clinical trials run by Recro
Relieves morphine “Max”
(‘hyperalgesia’)
University of Minnesota; M. Belgrade, MD
23


Significant Advantages Over Opioids
Dex
Fast-acting Opioids
Non-opioid (Not controlled substance)
Opioid -
DEA scheduled product
No habituation effects
Addictive
Does not cause respiratory depression
Respiratory depression
Not associated with constipation,
nausea, or vomiting
Unwanted side-effects of constipation,
nausea and vomiting
Enhances morphine effectiveness
without morphine dose increase
Additive effect requires higher dose
More cognitively intact
Frequently “Foggy”/ may be confused
Anxiolytic properties
Not anxiolytic
Effective Analgesic
Effective Analgesic
24


Dex Has Been Well Studied by Recro
Evaluated proprietary formulations of Dex in 9 trials
Trial
Form
Design
Outcome
REC-14-013
(On-going)
Dex-IN
Acute pain following
bunionectomy surgery
(estimated 170 pts)
Recent interim analysis for sample size
adjustment adjusted total trial enrollment
for 170 patients (initially planned for 200-
250)
REC-13-012
Dex-IN
Acute pain following
bunionectomy surgery
(n=85 evaluable)
Within subset of patients (n=42), with
baseline pain intensity of 6 or below,
there was a trend towards analgesia in 50
mcg and reduced opioid use vs placebo
REC-11-010
Dex-IN
Chronic lower back
pain POC study (n=24)
Statistically significant pain relief within
30 minutes demonstrated in placebo
controlled trial –
single use device
REC-09-003
Dex-SL
Chronic lower back
pain POC study (n=21)
Statistically
significant reduction in pain
intensity demonstrated in placebo
controlled trial
25


Dex-IN Study REC-14-013
(US placebo controlled trial)
Phase
II
bunionectomy
study
on-going
Randomized, placebo controlled study
Primary endpoint –
SPID48
Rescue therapy allowed
Post Op Day 1 dosing
Pain trajectory stable / declining
Interim analysis for sample size adjustment
Total enrollment reduced to approximately 170pts (initially
planned for 200 –
250pts)
Top line results expected mid-year 2015
26


Clinical Pipeline Intellectual Property
IV/IM meloxicam –
formulation IP through 2022
Additional IP filed could run to 2030
Dex applications for methods for treating/preventing pain
through intranasal and sublingual
formulations without
significant sedation
Fado IP in-licensed from Orion
Composition of matter
Method of administration for analgesia
Treatment and prevention of hypotension and shock
Pro-Drug
Regulatory exclusivity
505(b)(2) –
3 years (Meloxicam, Dex-IN, Dex-SL)
505(b)(1) –
NCE, 5 years (Fado)
27


Fadolmidine (“Fado”)


Fado Effective in Phase II for Pain Relief
Alpha 2 agonist
more potent at the alpha 2c receptor than Dex
>20 fold less potent at the alpha 1b receptor than clonidine
Fado has demonstrated analgesia in multiple animal models
Positive Phase II analgesia study in bunionectomy patients
Intrathecal route of administration
Formulation work underway for topical prototype
Potential in regional neuropathies
WW rights to all human uses except Europe, Turkey and CIS
NCE patent  w/ expected extension to 2021 / pursuing add’l IP
29


Corporate Overview


US Based Manufacturing Facility
31


Manufacturing & Royalty Overview
Manufacturing facility
87,000 sq. ft. solid oral dosage manufacturing cGMP
DEA licensed
~165 employees
Service capabilities
Formulation, process development and optimization
Process scale-up
Clinical supply and validation
Commercial supply
Ritalin LA
Once daily ADHD treatment marketed by Novartis
Focalin XR
ADHD treatment marketed by Novartis
Verelan / verapamil
CV/High blood pressure treatment marketed by Actavis
and UCB
Zohydro ER
Extended release hydrocodone marketed by Pernix
Launched in 2014
Abuse deterrent form expected to be launched near term
32


Strong Historical Manufacturing Performance
Unaudited,
carve-out
financials
12
mos
ended
12/31/14
Revenues -
$73.6 million*
EBITDA -
$26.5 million*
Zohydro ER –
abuse deterrent form expected to be
launched in the near term
Additional capacity for new product opportunities
Positive cashflow expected to cover all debt service
obligations and excess cashflows to repay loan
principal
33
* Preliminary unaudited financial information.  EBITDA is a non-GAAP financial metric.  Please see
slide 35 for additional information including a reconciliation of Net Income to EBITDA.


Company Highlights
Multiple non-opioid therapeutics in mid to late stage
clinical development for acute post operative pain
IV/IM
meloxicam
Phase
III
ready
long
acting,
demonstrated efficacy in successful Ph II trials
Dex-IN –
proprietary, intranasal therapeutic in Ph II
post interim analysis; top line expected mid-year ‘15
Revenue and cashflow positive manufacturing &
royalty business
Experienced management team with significant
development, regulatory and commercial experience
34


Supplemental Financial Information
Non-GAAP Reconciliation
(in millions, unaudited, carve-out)
12 months ended
Dec. 31, 2014
Net income
$13.9
Income tax expense
-
Interest expense
$1.5
Depreciation and amortization
$11.0
EBITDA
$26.5
35
The Company defines EBITDA as earnings before interest, taxes, depreciation and amortization. The
Company also presents EBITDA because it believes it is frequently used by securities analysts,
investors
and
other
interested
parties
as
a
measure
of
financial
performance.
EBITDA
has
limitations
as
an analytical tool, and when assessing the Company's operating performance, investors should not
consider EBITDA in isolation, or as a substitute for net income (loss) or other consolidated income
statement data prepared in accordance with U.S. GAAP.
The revenue and EBITDA data for the business acquired from Alkermes plc, are preliminary estimates
based solely upon information available to us as of the date hereof, and is not a comprehensive
statement of financial results or operating metrics for the acquired business for the year ended
December 31, 2014. The results for the acquired business for 2014 may differ materially from these
preliminary estimates. Accordingly, you should not place undue reliance upon these estimates.


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