Bob Apple
Analyst · Jefferies
Thanks Jim. Let’s turn to Slide 7 and discuss OTREXUP. Revenues for the quarter grew 10% over the first quarter of 2015. Sequentially, the quarterly revenues for OTREXUP are flat with Q4 2015. We are committed to growing OTREXUP prescriptions and revenues this year. Therefore, we have recently made some significant changes to the leadership and the sales and marketing organizations and modified some of our payer tactics. We have launched the three additional dosage strengths approved by the FDA, which will complement the five currently marketed strengths and should allow physicians to titrate patients more effectively for better disease control. We believe that implementing these changes should result in higher prescriptions and revenues for OTREXUP during the balance of 2016. Turning now to Slide #8, this past December, we have received approval from the FDA of our ANDA for 4 milligram and 6 milligram Sumatriptan injection for the acute treatment of migraine and cluster headaches in adults. This product is therapeutically equivalent and therefore substitutable at the pharmacy to the referenced listed drug Imitrex Statdose. On Slide #9, the data from 2015 indicated that the retail value of the Sumatriptan auto injector market in the U.S., which is solely the Imitrex Statdose market is approximately $200 million. Sandoz and Teva will be the only companies applying both the 4 milligram and 6 milligram dosage forms as a generic. We believe that having both dosage forms combined with Teva’s distribution expertise, puts the product in a position to gain meaningful market share and profits for us into the future. We are on track to begin delivering package products to Teva in the second quarter and expect them to launch into the market midyear. Unlike our other alliance products, we will sell Teva the final finished product at our cost and we will receive 50% of the profits on the product. Please turn to Slide #10. We believe that the QuickShot Testosterone development program is a very attractive and underappreciated value driver for Antares. Our goal is to file the NDA for QST by the end of 2016 or early 2017, assuming a 10-month review, this could provide us with a PDUFA date and possible launch in late 2017 or early 2018. We released the results of the 52-week safety data and the final 12-week PK data in March and we expect the last patient to complete dosing in the 26 weeks supplemental safety study QST-005 shortly. The data generated from these studies will form the basis for our NDA filing and if approved, we believe we will have best-in-class products. As a reminder, that graphs on Slide 11 tell an interesting story about why are so excited to bring QST to the market. The market for testosterone replacement therapy is very large and has appeared to stabilize in 2015. The biggest change we see is a switch from topical treatments to injectables. And we believe this bodes well for our approach to treat hypogonadism. Our novel subcutaneous auto injector of testosterone should effectively address both segments of the testosterone market. Turning to Slide 12, the Makena project with AMAG is the most recent collaboration that come from our alliance business. And we couldn’t be happier with the progress we have made to-date with our partner. We are developing our subcutaneous auto injector for the weekly administration of Makena, which AMAG believes could be a real advancement for pregnant women and their caregivers by combining a new, potentially less painful subcutaneous route of administration, with a pre-filled easy to use auto injector. We believe the QuickShot device is a perfect fit for Makena. While we have recognized some level of development revenues from this project in the first quarter, there will be significantly more development revenues earned in the last three quarters of the year as we finalize the development work in advance of AMAG’s sNDA filing, which they anticipate will happen in Q2 2017. As announced by AMAG last week, Makena revenues for Q1 2016 were $65 million and AMAG reiterated that 2016 revenues for the product should be in the range of $310 million to $340 million. We stepped to earn development revenue until the filing of the sNDA. And if successful, we would be responsible for supplying the devices and packaging the final product for a specified margin. Also, we will receive a high single-digit to low double-digit royalties on the end market sales of the product and certain sales base milestone payments. Another one of our near-term opportunities for significant value is our Epi project with Teva, which we will discuss on Slide 13. We have had significant dialogue with Teva on this project and our teams are working together very well. Getting the final responses to the CRL is a high priority for both companies. We believe we can adequately address all of the voice related question contained in the CRL and that the product can be approved with an AB rating to Mylan’s Epipen. Now let’s turn to Slide #14 to discuss the generic Forteo project. We are very excited about the FDA’s acceptance of Teva’s ANDA for a generic form of Forteo, which we believe is a very positive event for Antares and our shareholders. We believe Teva has first to file status and if approved, could be in total of six months of generic exclusivity. This marks the fourth ANDA accepted by the FDA through our relationship with Teva and importantly, marks the third ANDA with first to file status. The acceptance and potential first to file status of the Forteo filing, not only increases the potential size of the opportunity for Teva and Antares, it should also result in increased development revenues later this year as we expedite the work we acquired to be prepared for a launch. The scope is collaboration fees worldwide. Our agreement with Teva for generic Forteo allows us to receive a reasonable margin on our supplier devices and single-digit to mid-teen royalties on overall product sales. On Slide 15, I will discuss our Exenatide project. Teva’s ANDA for Exenatide, which is marketed by AstraZeneca under the trade name Byetta, was accepted by the FDA in October 2014. Patent litigation was initiated by AstraZeneca in the fourth quarter of 2014 and the 30-month stay expires in April 2017. We believe that Teva has first to file status and could also be entitled to six months of generic exclusivity for this product. If approved by the FDA, this product will be substitutable for Byetta to pharmacy. Symphony Health Solutions estimates the retail value of the U.S. Byetta market was $300 million in 2015. AstraZeneca is currently in the process of switching patients from Byetta, which is dosed twice a day to Bydureon, which is dosed once a week. Importantly, the active pharmaceutical agreement for both products is exenatide. While Teva’s generic exenatide would not be substitutable at the pharmacy to Bydureon, we believe that managed care companies may require patients to step through a generic Byetta before moving to Bydureon. Symphony Health Solutions estimate the retail value of the U.S. Bydureon market was $1 billion in 2015. Our agreement with Teva for this product provides for a margin on our supply devices and a high single-digit to mid-teen royalty on overall product sales. We expect exenatide development revenues to increase in the balance of 2016. Let’s wrap up my prepared remarks on Slide 16 by reviewing our five priorities for the balance of 2016. One, successfully launched Sumatriptan with delivery of pre-launch product to Teva beginning in Q2 in advance of a midyear launch by Teva. Two, file the NDA for QST in late 2016 or early 2017. Three, assist Teva in a timely response to the FD complete response letter device questions. Four, grow development revenues from successful projects around Makena, teriparatide and exenatide; and five, continue to grow OTREXUP prescription and revenues. We know that we must stay focused and execute against this plan in order to achieve our objectives and make meaningful progress on what we believe are the drivers of value. I am confident that 2016 will be a very successful year. Thank you very much for taking the time to be with us this morning. Operator, we have finished our prepared remarks for today. Could you now open the lines for questions and answer session?