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Royalty Pharma plc (RPRX)

Q3 2022 Earnings Call· Tue, Nov 8, 2022

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Transcript

Operator

Operator

Ladies and gentlemen, thank you for standing by. Welcome to the Royalty Pharma Third Quarter Earnings Conference Call. I would now like to turn the call over to George Grofik, SVP, Head of Investor Relations and Communications. Please go ahead, sir.

George Grofik

Management

Good morning and good afternoon to everyone on the call. Thank you for joining us to review Royalty Pharma's third quarter 2022 results. You can find the press release with our earnings results and slides for this call on the Investors page of our website at royaltypharma.com. Moving to slide 3. I would like to remind you that information presented in this call contains forward-looking statements that involve known and unknown risks, uncertainties and other factors that may cause actual results to differ materially from these statements. I refer you to our 10-K on file with the SEC for a description of these risks. All forward-looking statements are based on information currently available to Royalty Pharma, and we assume no obligation to update any such forward-looking statements. Non-GAAP financial measures will be used to help you understand our financial performance. The GAAP to non-GAAP reconciliations are provided in the earnings press release available on our website. And with that, please advance to slide 4. Our speakers on the call today are Pablo Legorreta, Founder and Chief Executive Officer; Marshall Urist, EVP, Head of Research & Investments; and Terry Coyne, EVP, Chief Financial Officer. Pablo will discuss the key highlights after which Marshall will provide a portfolio update and Terry will review the financials. Following concluding remarks from Pablo, we will hold a Q&A session. Chris Hite, our Vice Chairman, will also join the Q&A session. And with that, I'd like to turn the call over to Pablo.

Pablo Legorreta

Management

Thank you, George. And welcome to everyone on the call. I am delighted to report another quarter of strong execution on our strategy as a leading funder of innovation in life sciences. Slide 6 summarizes our financial and portfolio achievements in the third quarter, which again underscore our strong momentum and the power of our business model. First, we delivered solid financial performance despite significant headwinds from foreign exchange and a one-time benefit from a Soliqua milestone in the third quarter of last year. Adjusted cash received, our top line, grew by 2%; adjusted EBITDA by 3%; and adjusted cash flow, our bottom line, by 26%. Second, we have announced transactions of $3 billion year-to-date, including our innovative R&D funding collaboration with Merck. This is an exciting model for future potential partnerships with large biopharma and Marshall will expand on this later. More broadly, our overall rate of capital deployment reflects the strong demand for innovative royalty-based funding solutions. Third, we saw positive progress across our portfolio. Pfizer closed its acquisition of Biohaven, which has resulted in accelerated value creation to Royalty Pharma. We have a deep development stage portfolio with certain new molecular entities and approximately 40 projects in late stage development – impressive figures, which rival many large biotech companies. Lastly, we're raising our full-year guidance for adjusted cash receipts. Terry will take you through the details later, but we now expect growth of 29% to 32% compared with 7% to 10% at the time of our Q2 results. This increase largely reflects the acceleration of our commercial launch capital payments, resulting from Pfizer's acquisition of Biohaven, which has been one of our most successful partnerships since our IPO. In addition, our overall portfolio of royalties continued to perform exceptionally well. I would also remind you that our…

Marshall Urist

Management

Thanks, Pablo. Let's move to slide 11. We're delighted to announce our recent R&D funding collaboration with Merck. Revitalizing R&D funding partnerships has been an important initiative at Royalty Pharma, and we think this collaboration structure will serve as a model for future transactions between Royalty Pharma and large biopharma companies. We see plenty of opportunity here. The projected scale of large biopharma R&D spend, $1 trillion cumulatively over the next five years, should create opportunities for Royalty Pharma to fund exciting late stage programs across the industry. The advantages we can offer to large biopharma are clear. We're a true partner for biopharma, able to participate in clinical development, as well as the full trajectory of commercialization around the world. In addition to risk sharing, we can provide capital at scale, allowing the partner to optimize their R&D spend across the broadest opportunity set. In addition, our rigorous diligence process provides independent validation of the opportunity. And as we have consistently demonstrated, we can be flexible and creative in our structure. Lastly, we're long term partners and have built enduring relationships that reflect our unique role in the life sciences funding ecosystem. Slide 12 provides the details of our collaboration with Merck. In summary, Royalty Pharma has agreed to provide up to $425 million to co-fund the clinical development of MK-8189, an oral PDE10A inhibitor in Phase 2b development for schizophrenia. Our excitement about this pipeline therapy comes from our view that MK-8189 has the potential to demonstrate efficacy similar to the standard of care with a differentiated safety profile. The structure of this deal highlights our uniquely flexible approach to alignment with our partners. Our investment can be scaled following program de-risking and Royalty Pharma will make an independent decision to co-fund the Phase 3 program. We agreed…

Terry Coyne

Management

Thanks, Marshall. Let's move to slide 16. Total royalty receipts were broadly stable in the third quarter versus the year-ago period. Growth drivers in the quarter included the cystic fibrosis franchise, Xtandi, Tremfya, and the Trelegy royalty which we acquired in July. We also saw growth contributions from Cabometyx, Promacta, our Biohaven partnership, and though not shown on this slide, from Evrysdi, Trodelvy and Orladeyo. These positive factors were partially offset by the end of the royalty term for the DPP-IV inhibitors, the Soliqua milestone receipt in the prior period, Imbruvica weakness and the unfavorable FX impact. Slide 17 shows how our efficient business model generates substantial cash flow to be redeployed. As you're aware, adjusted cash receipts is a key non-GAAP metric for us which we arrived at after deducting distributions to non-controlling interest. This amounted to $597 million in the quarter, growth of 2%, compared with last year's third quarter. Without the impact of the Soliqua milestone payment, growth would have been 9%, while growth would have been low-double digits if we adjust for the estimated foreign exchange impact. As we moved down the column, operating professional costs were approximately 8% of adjusted cash receipts. On a year-over-year basis, operating professional costs declined by 9%. As a consequence, we reported 3% growth in adjusted EBITDA in the quarter, consistent with the growth in our top line. As Pablo noted, adjusted EBITDA is an important non-GAAP financial measure for us and one of the three key non-GAAP metrics by which we measure our business performance. When we think of the cash generated by the business to then be redeployed into new value enhancing royalties, we look to adjusted EBITDA less net interest paid. Net interest paid in the quarter of $75 million reflected the semi-annual timing of the payments…

Pablo Legorreta

Management

Thanks, Terry. So another strong quarter of strong business momentum, and we're on track to deliver excellent results in 2022. My final slide shows that we're executing well against the updated capital deployment plan we set out in May. So far this year, we have brought many important new medicines into our portfolio, ranging from development stage therapies to unapproved category leading blockbuster with significant remaining growth potential and including some of the highest caliber marketers in the industry. The $3 billion announced value of these transactions puts us well on track to achieving our five-year capital deployment target of $10 billion to $12 billion, and to deliver the attractive compounding growth profile that we described in detail at our Investor Day. Lastly, while our development stage pipeline has grown very nicely over the past couple of years, around two-thirds of the capital we deployed this year has been for approved therapies, given the size of the Trelegy deal. With that, we'll be happy to take your questions.

George Grofik

Management

We'll now open up the call to your questions. Operator, please take the first question.

Operator

Operator

[Operator Instructions]. Our first question comes from Geoff Meacham with Bank of America.

Geoff Meacham

Analyst

Just had a couple of quick ones. On gantenerumab, I know it's not in your guidance, but if successful, the royalties, it could be pretty impactful over time. So how do you think about this from a cash or a planning context? The second question is, from a policy perspective, how does the IRA inform if at all how Royalty is investing when you look at small molecule and biologics? And same question for longer term, the potential risk of heavy discounting.

Pablo Legorreta

Management

Terry's going to answer the first question and then Marshall will answer the question on the IRA.

Terry Coyne

Management

We're all very eager to see the gantenerumab data later this month. But as you know, we've taken a pretty conservative approach. We did not include gantenerumab in any of our long term guidance figures, recognizing that it is higher risk. But if it were to work, I think there's a lot of reasons to be pretty optimistic that it could be a pretty nice selling drug. And so, I think at that point, we would we would look to – obviously, we want to see the data. But I think if it looks like it could be a big selling drugs, then I think that that's something that we would look to incorporate into our guidance over time.

Marshall Urist

Management

For your question on the IRA, so three points I'd make there on how we're thinking about it. The first is, as we've highlighted previously, that I think that our ability to respond to this immediately and begin to pivot and think about IRA and our new investments immediately kind of highlights the flexible nature of our business model. So, we feel really good about our ability to continue to execute even in the era of the IRA. Second is that there's probably still chapters to be told in terms of exactly how this law will evolve, how it will exactly be implemented. So we're watching and learning with our consultants and alongside everyone else too as that plays out. And then finally, all that being said, we certainly have already started to implement IRA scenario planning in our new investments and thinking through the implications as you said for things that are small molecules versus large molecules and how that impacts our thesis and looking at different scenarios. That being said, I think our focus on really wanting to add high quality innovation to our portfolio remains the driver of our strategy.

Operator

Operator

Our next question comes from Chris Shibutani with Goldman Sachs.

Chris Shibutani

Analyst · Goldman Sachs.

I'm interested to get your thoughts on the Merck partnership in particular. Are there certain therapeutic categories that you sense that the large cap pharmas might be more willing to engage, noting that this one is in the CNS space? And then secondly, it does seem as if that it is a little bit earlier in terms of stage of development, Phase 2b, that this partnership has its initial point of intersection? Can you comment about that?

Pablo Legorreta

Management

Marshall and Chris will actually answer your question.

Marshall Urist

Management

I'll answer the second part of your question and then maybe Chris can comment on your first about therapeutic areas and/or not that people are interested in. I think in terms of the fact that MK-8189 is a little earlier in development, I think is a good question. And I think highlights one of the great things about the structure, which is that it is early on in development, but the way that we have structured this is that we have made a small contribution to the Phase 2b development. And then once we see the data, completely understand the product profile, its efficacy, its safety, and the development landscape at the time, we can then make an investment at that point, which would be at a stage where we typically made the development stage investments in the past. So we think that they're really interesting and novel part of the structure and is really kind of matching to the program and trying to solve problems with our partners. But I'll pass it to Chris for your first question.

Christopher Hite

Analyst · Goldman Sachs.

Chris, on the therapeutic area question, and I reference back to Marshall's slide in the prepared remarks, we've invested across a number of different therapeutic areas. And so, we are agnostic to therapeutic areas. As it relates to the pharmaceutical companies, what I would say is, what we're really striving for when we partner with them is we want to partner with them on what they perceive to be and what we perceive to be their most important therapeutic programs. And I think in that regard, that's what we've done here with Merck. And the way we've structured the deal, as Marshall just went through, they actually need to decide whether to advance it or not in Phase 3 and only then we get to decide whether to opt in to contribute to that funding in Phase 3, which we think aligns our interests quite well.

Operator

Operator

Our next question comes from Chris Schott with J.P. Morgan.

Hardik Parikh

Analyst · J.P. Morgan.

This is Hardik Parikh dialing in for Chris Schott. The first is a follow on to just IRA questions. So, while the industry is still looking for clarity on IRA, how do you think that kind of impacts your focus on oncology versus other therapeutic areas?

Pablo Legorreta

Management

Marshall, why don't you take that question?

Marshall Urist

Management

I would say, at a high level, nothing about our approach or our focus on various therapeutic areas has really changed in this early period since the IRA. I think we are certainly, as I mentioned in earlier questions, thinking through the implications for various programs, and I think we have to be comfortable with the IRA scenarios that we work through, but I think we're still, as I said before, really focused on trying to identify exciting innovation and products that we really want to add to the portfolio, and that will remain our focus.

Hardik Parikh

Analyst · J.P. Morgan.

The second question is, in the higher interest rate environment, how have deal terms kind of changed to reflect the higher cost of capital?

Pablo Legorreta

Management

Terry?

Terry Coyne

Management

It's dynamic. But certainly, I think there's a couple of ways to answer that question. First is the opportunity set. I think that we feel like we're seeing a lot of different things that we're able to look at. And as you know, we're super selective when we actually do decide to invest. But I think you know the top of the funnel certainly is seeing the benefits of the broader macroenvironment. In terms of the terms, certainly, there is some upward sort of pressure driven by higher rates, that's sort of natural in a higher rate environment that we would expect that our returns would tick up a little bit as well.

Operator

Operator

Our next question comes from Steven Scala with Cowen.

Steven Scala

Analyst · Cowen.

Congratulations on the good quarter. I have two questions. Regarding the collaboration with Merck for MK-8189 in Phase 2 for schizophrenia, this product was in Phase 2 at Merck in 2017. And perhaps earlier. So, at least five years. Why has the product been in development so long? And what is its remaining patent life? It would seem that Merck has really nothing more than modest interest in this product. Secondly, the gantenerumab GRADUATE trials are large and complex, and will be presented in 22 days. Between now and then, the two studies need to be analyzed, data pooled, presentation prepared. Are you surprised that the data has not been press released yet? And has the data been shared with RPRX? All things considered, one might conclude that the data is not leading to a definitive result. And honestly, the fact that you gave it only passing mention in the prepared remarks doesn't build confidence.

Pablo Legorreta

Management

Marshall, why don't you take both questions?

Marshall Urist

Management

On 8189, during our diligence process and working with Merck, we spent a lot of time understanding how they think about this product, what the strategy is, what the questions are being asked about the product in this next Phase 2b program and got comfortable that we were aligned on what the product profile needed to look like as we head into the next stage. And that would constitute an interesting – provide potentially an interesting product for both of us. And I think that was the basis of our of our agreement and why we structured this the way that we did, like I mentioned with a relatively small upfront, and then something much larger when we can both really understand this product's ultimate commercial potential. You asked about patent life. As you might imagine, IP diligence is really core to Royalty Pharma and important part of what we do. So you can assume that we were comfortable that there is sufficient runway in terms of patent life for this to be a successful product commercially and to Merck to continue to invest in it, post approval

Pablo Legorreta

Management

Before you go to gantenerumab, maybe just a very top level comment to make here is that, as you know, drug development is sort of not a straight line exercise. Things change over time. And obviously, the history, the past matters. But what is really important is what's going to happen in the future. And that's what we pay most attention to. We obviously look at what's happened historically, the data and all of that. But, anyway, I just wanted to interject that, but go ahead, Marshall, with the other…

Marshall Urist

Management

And the second part of your question on gantenerumab. So, first, to be clear, we haven't seen anything more than you all have. So we are eagerly awaiting the data as well. I don't think we'd interpret the fact pattern necessarily the way you describe it. We trust in Roche to put the data together, process the data and do it in the right way and put it out there and the data is going to be what it's going to be and we're excited to see it. I think the way we've talked about it in terms of the fact that there is risk there, the way Terry has talked about it in the context of our long term projections has been, I think, very consistent. So I think no change on our call here that we're excited. We're excited about this product. It would be a really nice addition to our portfolio. But even without it, we are really excited about our business and our prospects for growth.

Operator

Operator

Our next question comes from Terence Flynn with Morgan Stanley.

Justin Phillips

Analyst · Morgan Stanley.

This is Justin Phillips on for Terence. Congrats on the quarter. So, just one for me, the FDA is hosting an ad com for AstraZeneca's PT027 today. Any perspective you can share on your view of the likely outcome and remind us of the commercial opportunity?

Pablo Legorreta

Management

Marshall, another question for you.

Marshall Urist

Management

Thanks for asking about PT027. So, with the ad com this morning, I think we feel really good about the data and the prospects for approval on that one. As a reminder for everyone, this is a first-in-class novel combination of a steroid and a short acting beta agonist. So using a steroid in the on-demand setting or when asthma patients feel shortness of breath is a really interesting idea and one that we're excited about. The commercial opportunity is really exciting. I think when you put together the size of the asthma market, which we all know is one of the largest commercial markets out there, AstraZeneca's long and enduring infrastructure in this setting and the fact that consensus for PT027 is nearly $1 billion by 2030 is that we are really excited about the commercial opportunity. So, the ad com today, we've all seen the Phase 3 data. The trial showed a very convincing benefit on asthma exacerbation, so we feel really good about the efficacy and safety profile there and we're excited to see PT027 play out.

Operator

Operator

Our next question comes from Andrew Baum with Citi.

Andrew Baum

Analyst · Citi.

First one in relation to the Merck deal. I think this is the first synthetic royalty deal you've done with a large pharma since the PALLAS IBRANCE deal, which obviously didn't have the outcome that arguably you would have wanted. I guess the concern is that a large, well-capitalized pharma company just doesn't have the same capital constraints as mid cap and, therefore, the assets they're willing to offer up are going to be the worst ones and inherently believe in less. I know your structure in terms of the Phase 2 addresses that, derisks it, but you're still going to be investing up to 300-odd-million for the Phase 3. So, just when you think about the equivalent opportunities, does that figure in your thinking at all? Or you believe there are other motivations such as assets in non-core areas which could make fertile returns for Royalty? That's the first question. And the second question is, again, for the Merck asset, in terms of allocating that 300-odd-million, do you have a say in exactly where and which indications you opt into? And do you have any input to the design of the trials given you're going to be investing potentially a substantial part of the Phase 3 costs?

Pablo Legorreta

Management

A few comments and then I'll pass it on to Chris. But I think we tend to be passive in these kinds of collaborations. And we often do share our views with the companies and then it's sort of up to them to see whether they want to take our comments or not. It has happened in the past that they have actually taken our comments and our views, perspectives, and use that in their own clinical development, how they think about clinical development. The other comment, the way you started the comment was by making reference to the IBRANCE transaction we did, which was quite some time ago. And I think, just from a very big picture perspective, these kind of financings are quite novel. We're being very creative here. So one thing to say is that it takes time for us to actually change the mentality among these big companies and how they behave. And it's obviously an effort that we're very excited about because we see huge potential in collaborating with Big Pharma. But it takes time. We have to go in, we have to talk to senior management and try to explain the benefits of a transaction like the one we did with Merck. And you mentioned that they were cash rich or something to that extent that they had a lot of cash, which is totally true. A lot of these companies have a lot of cash on their balance sheet. So it's not the decision to actually collaborate with us. It's not driven by their lack of cash or excess of cash. It's actually driven by several other things that are quite important. One is risk mitigation. In that deal, for example, if you look at the amount of capital that's required to bring…

Christopher Hite

Analyst · Citi.

Just to add on to what Pablo said, Andrew, just on the question of allocation, do we have a say, which was I think your second question, we're obviously going to see the Phase 2b data and have access to their plans around Phase 3 and their decision to proceed with Phase 3 before we have to opt in. And I think that gives us a lot of comfort in understanding what their program is. But once we opt in, we don't have a final say on how they're going to allocate the dollars for schizophrenia or other potential indications. So that's your answer to your second question. Just to add on the first part of your question that you asked, as we talked about it our Analyst Day, profitable pharma is going to spend over $1.6 trillion in R&D over the next 10 years. And as you've seen, there's a lot of large pharma that partner to launch drugs. And so, they want to risk share. And we are happy to risk share on their most important programs. And we can do it in a way that we think is very competitive risk sharing with other large pharmas. We have a lower cost of capital than most global pharmaceutical companies out there. We're also passive importantly. So, we're not going to demand 50/50 commercialization rights in the United States or seats on their JDC, as I explained in the second part of your question. So, we think there's a lot of advantages to large pharma thinking about us as a potential partner to the most important programs rather than partnering up with another pharma, where they have to sit on JDC committees or JSE committees and share commercialization rights in the most important markets in the world.

Operator

Operator

Next question comes from Umer Raffat with Evercore ISI.

Michael DiFiore

Analyst · Evercore ISI.

This is Mike DiFiore in for Umer. Congrats on the quarter. Two for me. One, again, it's a question on the Merck deal. Understand that, again, Royalty Pharma's upfront financing gives them an option to provide bigger financing later for a product that's well aligned with its interest. But again, the fact that Merck is asking $50 million for this early stage funding, it doesn't suggest, at least now, a high confidence in this product, especially since it's been in Phase 2 limbo for some time now. Any color to be added here on their confidence in the product? And aside from better safety, how competitive could this unique MoA be in terms of efficacy? So that's my first question. Second question is that just, given the nearly $3 billion of capital deployed year-to-date and the fact that you forecast $1 trillion in cumulative industry spending through 2027, any thoughts as to when the long-term average annual capital deployment goals of $4 billion to $5 billion that were previewed at your Investor Day may kick in? Is it more of a near-term thing that we should expect this level of spending? Or more towards latter end of the decade?

Pablo Legorreta

Management

I think the sort of the smaller size of the investment initially for us is more a reflection of the fact that the cost of the first trial is not as big as the later stage trials, right? So, it's commensurate with the overall cost of the initial trial, the Phase 2b. And Marshall can add more things to that. But then regarding the question about capital deployment and the fact that the industry requires huge amounts of capital, whether you look at biotech or Big Pharma, and if you look at 5 or 10 years, but it's in the many several trillions of dollars. As I've explained in the past, we see our business with a more predictable, more stable capital deployment that comes from a lot of the deals that we're doing with biotechs – hybrid and synthetic royalties. And we feel confident that those deals, on a yearly basis, will probably allow us to deploy close to $2 billion, somewhere between $1.5 billion and $2 billion. And then, if you add to that one-off transactions that are larger, and you saw this year, one that's quite large with Trelegy or you saw last year another one that was quite large with MorphoSys, $2 billion, those one-offs will increase the overall capital deployment meaningfully. And so, getting from the #2 billion to $2.5 billion that we have guided for sort of $4 billion to $5 billion should happen over time and will also be a function of us having those larger one-off transactions included over the next three to five years, and I think it's likely that we will have those larger transactions. I don't know if every year, but, certainly, over a three to five year period, there will be several of those. But, Marshall, maybe if you want to add anything on the Merck transaction, Merck collaboration, question. And, Chris, if you want to add anything on the capital deployment, please go ahead.

Marshall Urist

Management

I think in terms of the structure and the amounts involved, it's important to remind everyone, this is a very novel deal structure. This has never been done before in this way. So I think we landed in a really great place in terms of the upfront and then the scale of our commitment to co-fund shoulder to shoulder with Merck, the Phase 3 program. So, I don't know that I would read a lot into relative confidence about the product in terms of the structure. It's more once this product goes to Phase 3, what's the right deal structure and the right way to fund this program and to co-fund this program together. Second, I would also mention, in terms of this program, the trial is in a very large – the MK-8189, excuse me, is in a very large Phase 2b program. So that is going to give us some really interesting and clear data. And we're really going to know, I think, what this product is at that point. Finally, you asked about how differentiated can it be. I think in schizophrenia alone, we all know that there is still unmet need even with the number of drugs out there, patients cycle on and off therapy over time. And so, there is certainly need for options. But I wouldn't lose sight of the fact that there obviously is a very broad potential development program beyond that, that could go much further. And that was certainly on our mind as we're thinking about the potential profile of 8189. I don't know, Chris, what would you add?

Christopher Hite

Analyst · Evercore ISI.

I guess the only thing I'd add on capital deployment is I think we feel really good about how we're deploying capital. At the IPO, we said greater than $7 billion over 5 years. We upped that to $10 billion to $12 billion at the Analyst Day, and we've deployed around $8 billion since 2020. So we feel like we're tracking really well and our opportunity set is only expanding. So we're super excited about the opportunity to deploy capital.

Operator

Operator

Our next question comes from Greg Fraser with Truist.

Gregory Fraser

Analyst · Truist.

Curious if you're seeing any changes in the competitive landscape for royalty transactions at the higher end of the spectrum in terms of deal size? And then, to the extent that you have to access to debt markets to help fund future deals, how should we think about the potential cost of debt?

Pablo Legorreta

Management

Chris, you want to take the question on competition? And then maybe, Terry, the second question?

Christopher Hite

Analyst · Truist.

No, we haven't really seen a whole big change in the competitive landscape. I think we are the largest player in the space. We are an investment grade rated company. We have tremendous access to capital in the capital markets and our own balance sheet and our free cash flow we generate. So, we're quite comfortable in the environment of competing for the largest deals. And as I think we mentioned before, we welcome actually competition coming into the field in the sense of continuing to raise the awareness of synthetic royalties and R&D funding and just a different sort of way that biopharma can access capital, rather than just the equity or convertible bond market. So we're really happy where we stand within the competitive landscape.

Pablo Legorreta

Management

I think I'll add also, Chris, when we decided to take Royalty Pharma public in 2020, it was sort of an unknown thing for us. We were very excited about doing it. It was going to provide us with a lot of benefits going from 24 years of operating as a private company. And we did it in 2020. We have been operating now as a public company for a little bit more than two years. And I think, at least from my perspective, I see Royalty Pharma as a much, much stronger business today than we were maybe three or five years ago. In many, many ways, our cost of capital has declined significantly. Just on the debt side, I think it's probably gone down by 50% or so. And now we have access to the deepest capital market in the world. And scale, as Chris mentioned, is obviously a really, really important strategic advantage we have. And being public has given us a greater scale. And also, now, as a public company, I think many companies' management teams can see who we are and it's made us more visible, a player in the market, and one in which – like, there's many more companies today that want to do business with us because they can see who we are and how we behave and how we can be really good partners to them. So I think the business is in a really strong position today vis-à-vis competition. And the team also, the teams that we have been able to assemble since we went public, which has grown, is really, really strong. And all of those things, I think, bodes really well for a very strong performance over the next several years. But maybe, Terry, the other…

Terry Coyne

Management

On the cost of debt, certainly, we continue to view debt as an important tool that we will use to fund our business over time. We're in a fortunate position that 60% of our debt matures in 2030 and beyond. And we're borrowing at very low costs. But over time, we would continue to look to the debt markets as a tool to fund acquisitions and to grow the business. I think the great thing is that we have a lot of financial flexibility. The business generates a lot of cash. We finished FDA ad and the Biohaven payment. We had around $1.6 billion of cash at the end of the quarter. So, that gives us a lot of firepower. But we do continue to have nice leverage capacity where we can access the debt markets, and we have a revolver, which is prepayable, and it's a $1.5 billion revolver. So, we have a lot of flexibility. But we do very much value the access to the investment grade bond market and we would expect that, over time, we will continue to be in that market. But it's all kind of deal dependent. And when we're looking at acquisitions, we're also looking at it in the context of the cost of capital for the business at that moment.

Operator

Operator

Our last question comes from Ash Verma with UBS.

Ashwani Verma

Analyst

On omecamtiv mecarbil where we are headed into an ad com next month, what is your view on what kind of label this drug could get from a safety and efficacy standpoint? Appears to be a wide range of outcome on the efficacy side, whether it gets like a heart failure with the ejection fraction of less than 30, or if it includes additional qualifiers, like refractory population or recently hospitalized. And what are you assuming whether it will require a PK guided dosing? And does all that change your view on the potential commercial opportunity for the drug?

Marshall Urist

Management

A lot of those questions on the ad com and the label and where it might go are probably great questions for Cytokinetics. We've had a really great partnership with Cytokinetics over the years in terms of our initial deal on omecamtiv and then our synthetic royalty transaction on aficamten earlier this year. So, we really believe in the Cytokinetics team, they've been executing really well. We'll look out for what happens at the ad com and then ultimately next year on the PDUFA date. But I think big picture, we think this product does have the potential to help patients who have severe heart failure and look forward to watching what happens in the months to come.

Operator

Operator

There are no further questions. I'd like to turn the call over to Pablo Legorreta for closing remarks.

Pablo Legorreta

Management

Thank you, operator. And thank you to everyone on the call for your continuing interest in Royalty Pharma. If you have any follow-up questions, please feel free to reach out to George Grofik and his team.

Operator

Operator

This concludes the program. You may now disconnect. Everyone, have a great day.