Document


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 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): November 12, 2019
__________________________________________________________________________________________

https://cdn.kscope.io/efec9b470e5a03252c483559f8bd18bb-optinoselogorgba38.jpg
OPTINOSE, INC.
(Exact Name of Registrant as Specified in its Charter)
____________________________________________________________________________________________
DELAWARE
001-38241
42-1771610

(State or Other Jurisdiction of Incorporation or Organization)
(Commission File No.)
(I.R.S. Employer Identification No.)

1020 Stony Hill Road, Suite 300
Yardley, Pennsylvania 19067
(Address of principal executive offices and zip code)

(267) 364-3500
(Registrant’s telephone number, including area code)
(Former name or former address, if changed from 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):
 
 
q
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
 
 
q
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
 
 
q
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
 
 
q
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-14(c))

Securities registered pursuant to Section 12(b) of the Act:
Title of each class
 
Trading symbol(s)
 
Name of each exchange on which registered
Common stock, par value $0.001 per share
 
OPTN
 
Nasdaq Global Select Market
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).
 
 
 
 
 
Emerging growth company
ý
 
 
 
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. ý






Item 2.02 Results of Operations and Financial Condition.
On November 12, 2019, OptiNose, Inc. (the “Company”) issued a press release announcing its financial results for the quarter ended September 30, 2019. A copy of the press release is attached as Exhibit 99.1 to this report and is incorporated herein by reference.
*    *    *
The information included in Item 2.02 (including Exhibit 99.1) of this Form 8-K, shall not be deemed to be “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 shall it be deemed to be incorporated by reference in any Company filing under the Securities Act or the Exchange Act, except as expressly set forth by specific reference in such a filing. 
Item 8.01 Other Events.
On November 12, 2019, the Company presented an updated Corporate Presentation during its financial results and corporate update call. A copy of the presentation is attached as Exhibit 99.2 to this report and is incorporated herein by reference.









Item 9.01 Financial Statements and Exhibits.

(d)    Exhibits
 
 
 
 
Exhibit No.
 
Description
99.1
 
99.2
 





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, hereunto duly authorized.
 
 
 
 
 
 
 
 
 
 
OptiNose, Inc.
 
 
By: /s/ Keith A. Goldan
 
 
Keith A. Goldan
 
 
Chief Financial Officer
Date: November 12, 2019



Exhibit
Exhibit 99.1

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Optinose Reports Third Quarter 2019 Financial Results
and Recent Operational Highlights

XHANCE net revenue grew 30% to $8.7 million from second to third quarter 2019

XHANCE prescriptions increased 27% from second to third quarter 2019

Company expects XHANCE net revenues for 2019 to be in the range of $30 - $33 million

Conference call and webcast to be held today at 4:30 p.m. Eastern Time

YARDLEY, Pa., November 12, 2019 Optinose (NASDAQ:OPTN), a pharmaceutical company focused on patients treated by ear, nose and throat (ENT) and allergy specialists, today reported financial results for the quarter ended September 30, 2019, and provided recent operational highlights.

“XHANCE continues to grow as the result of our successful commercial strategy and we believe there is a significant growth opportunity ahead," stated CEO Peter Miller. "We delivered strong growth for XHANCE in both the number of prescriptions and net revenue. Importantly, XHANCE average revenue per prescription increased to $202 in the third quarter of 2019, which supports our objective to grow the business in way that can support future profitability." Mr. Miller also noted, "Overall, I am encouraged by the progress we are making with the XHANCE launch and towards other important corporate objectives including: activating sites and recruiting for the chronic sinusitis trials, conducting a DTC pilot in three U.S. cities, and completing a debt financing with Pharmakon that will enable us to focus on executing our plans to grow our business and create value for our investors."
  
Third Quarter 2019 and Recent Highlights

XHANCE Prescription Growth Rates
The number of XHANCE® (fluticasone propionate) prescriptions increased by 27% from second quarter to third quarter 2019 and by 18% from September to October 2019.

$150 Million Debt Financing
In September, the Company entered into a note purchase agreement for up to $150 million of senior secured notes with funds managed by Pharmakon Advisors, LP (Pharmakon), the investment manager of the BioPharma Credit funds.

Concurrent with entering into the agreement, Optinose issued $80 million of senior secured notes, these initial proceeds were used to repay and retire the Company's previous indebtedness under its note purchase agreement with Athyrium Opportunities III Acquisition LP. An additional $30 million of notes will be issued by Optinose by February 15, 2020 subject to the achievement of minimum XHANCE revenues and certain other conditions. Two additional tranches of notes of $20 million each will be available to Optinose, at its option, in 2020 and 2021 subject to the achievement of minimum XHANCE revenues and certain other conditions. The notes will mature in September 2024.

Currax License Agreement
In September, the Company signed an agreement between its Norway-based subsidiary OptiNose AS and Currax Pharmaceuticals LLC (Currax) which grants Currax the exclusive rights to certain Optinose intellectual property for the purpose of marketing ONZETRA® XSAIL® (sumatriptan nasal powder) in the United States, Canada, and Mexico.

The Company received an $4.48 million upfront payment, of which $750,000 is being held in escrow for a limited period to cover indemnification obligations. Additionally, the Company is eligible to receive a one-time 10% royalty on ONZETRA net sales in excess of $3 million solely for calendar year 2020, and an additional $1 million milestone payment subject to the achievement of a specified regulatory milestone. 





Third Quarter 2019 Financial Results

Revenue
The Company generated $8.7 million and $19.3 million of XHANCE net revenue during the three-month and nine-month periods ended September 30, 2019. In addition, the Company generated $3.7 million and $4.2 million of licensing revenue during the three-month and nine-month periods ended September 30, 2019. Total revenues for the three-month and nine-month periods ended September 30, 2019 were $12.4 million and $23.5 million.

Expenses and net loss
For the three-month and nine-month periods ended September 30, 2019, research and development expenses were $5.5 million and $15.4 million. Selling, general and administrative expenses were $25.3 million and $77.6 million during the three-month and nine-month periods ended September 30, 2019. The net loss for the three-month period ended September 30, 2019 was $(28.8) million, or $(0.69) per share (basic and diluted). The net loss for the nine-month period ended September 30, 2019 was $(85.1) million, or $(2.06) per share (basic and diluted).

Cash
The Company had cash and cash equivalents of $125.5 million as of September 30, 2019.

Corporate Guidance

XHANCE Net Revenue
The Company expects XHANCE net revenue for 2019 to be in the range of $30.0 - $33.0 million. Previously
the Company expected XHANCE net revenue for 2019 to be in the range of $29.0 - $34.0 million.

XHANCE Average Net Revenue per Prescription
The Company expects XHANCE average net revenue per prescription for 2019, which is calculated by dividing XHANCE net revenue for 2019 by the estimated number of XHANCE prescriptions dispensed during 2019, to be in the range of $195 - $205. Previously the Company expected XHANCE average net revenue per prescription for 2019 to be in the range of $185 - $205.

Operating Expenses
The Company expects total GAAP operating expenses (selling, general & administrative expenses and research & development expenses) for 2019 to be in the range of $126 - $129 million, of which the Company expects stock-based compensation to be approximately $10 million. Previously the Company expected total GAAP operating expenses for 2019 to be in the range of $128 - $133 million of which stock-based compensation was expected to be in the range of $10 - $11 million.

Chronic Sinusitis Clinical Trials
The Company expects top line results from the first of its two clinical trials evaluating XHANCE as a potential treatment for Chronic Sinusitis in the second half of 2021.

Company to Host Conference Call

Members of the Company’s leadership team will host a conference call and presentation to discuss financial results and corporate updates beginning at 4:30 p.m. Eastern Time today.

To participate on the conference call, please dial (866) 916-4761 from the U.S. or +1 (409) 216-6496 from outside the U.S. In addition, following the completion of the call, a telephone replay will be accessible until November 19, 2019 by dialing (855) 859-2056 from the U.S. or +1 (404) 537-3406 from outside the U.S. and entering conference ID: 6277826. A simultaneous webcast of the call and presentation can be accessed by visiting the Investors section of Optinose’s website at www.optinose.com. In addition, a replay of the webcast will be available on the Company website for 60 days following the event.





OptiNose, Inc.
Condensed Consolidated Statement of Operations
(in thousands, except share and per share data)
(Unaudited)
 
 
 
 
 
 
 
 
 
Nine Months Ended
 
Three Months Ended
 
September 30,
 
September 30,
 
2019
 
2018
 
2019
 
2018
Revenues:
 
 
 
 
 
 
 
Net product revenues
$
19,320

 
$
4,042

 
$
8,667

 
$
1,902

Licensing revenues
4,230

 

 
3,730

 

   Total revenues
23,550

 
4,042

 
12,397

 
1,902

Costs and expenses:
 
 
 
 
 
 
 
  Cost of product sales
3,216

 
870

 
1,389

 
319

  Research and development
15,404

 
6,736

 
5,547

 
2,989

  Selling, general and administrative
77,610

 
71,957

 
25,270

 
22,086

     Total costs and expenses
96,230

 
79,563

 
32,206

 
25,394

        Loss from operations
(72,680
)
 
(75,521
)
 
(19,809
)
 
(23,492
)
Other expense
12,378

 
4,755

 
8,999

 
1,631

Net loss
$
(85,058
)
 
$
(80,276
)
 
$
(28,808
)
 
$
(25,123
)
Net loss per share of common stock, basic and diluted
$
(2.06
)
 
$
(2.04
)
 
$
(0.69
)
 
$
(0.61
)
Weighted average common shares outstanding, basic and diluted
41,341,570

 
39,260,903

 
41,454,181

 
41,207,167


OptiNose, Inc.
Condensed Consolidated Balance Sheet Data
(in thousands)
 
 
 
 
 
 
 
September 30,
 
December 31,
 
 
2019
 
2018
 
 
(unaudited)
 
 
Cash and cash equivalents
 
$
125,490

 
$
200,990

Other assets
 
23,887

 
15,999

Total assets
 
$
149,377

 
$
216,989

 
 
 
 
 
Total current liabilities
 
$
29,962

 
$
25,697

Long-term debt, net
 
74,266

 
72,500

Other liabilities
 
631

 
181

Total stockholders' equity
 
44,518

 
118,611

Total liabilities and stockholders' equity
 
$
149,377

 
$
216,989



About Optinose
Optinose is a specialty pharmaceutical company focused on serving the needs of patients cared for by ear, nose and throat (ENT) and allergy specialists. Optinose has offices in the U.S., the U.K. and Norway. To learn more, please visit www.optinose.com or follow us on Twitter and LinkedIn.






Cautionary Note on Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. All statements that are not historical facts are hereby identified as forward-looking statements for this purpose and include, among others, statements relating to the potential for continued XHANCE growth, potential growth drivers and market opportunity; the Company's ability to grow the business to support future profitability; the Company's plans to seek approval for a follow-on indication for XHANCE for the treatment of chronic sinusitis and the expectation of top line results from the first of two chronic sinusitis trials in second half 2021; projected XHANCE net revenues for 2019; projected average net revenue per prescription for 2019; projected Company GAAP operating expenses and stock-based compensation for 2019; and other statements regarding the Company's future operations, financial performance, financial position, prospects, objectives and other future events. Forward-looking statements are based upon management’s current expectations and assumptions and are subject to a number of risks, uncertainties and other factors that could cause actual results and events to differ materially and adversely from those indicated by such forward-looking statements including, among others: physician and patient acceptance of XHANCE; the Company’s ability to maintain adequate third-party reimbursement for XHANCE (market access); market opportunities for XHANCE may be smaller than expected; the Company’s ability to grow XHANCE prescriptions and net revenues; uncertainties and delays relating to the enrollment, completion, and results of clinical trials; unanticipated costs and expenses; our ability to comply with the covenants and other terms of the note purchase agreement entered into with funds managed by Pharmakon Advisors, LP; risks and uncertainties relating to intellectual property; and the risks, uncertainties and other factors discussed under the caption "Item 1A. Risk Factors" and elsewhere in the Company’s most recent Form 10-K and Form 10-Q filings with the Securities and Exchange Commission - which are available at www.sec.gov. As a result, you are cautioned not to place undue reliance on any forward-looking statements. Any forward-looking statements made in this press release speak only as of the date of this press release, and the Company undertakes no obligation to update such forward-looking statements, whether as a result of new information, future developments or otherwise.

Optinose Investor Contact
Jonathan Neely
jonathan.neely@optinose.com
267.521.0531

###

a20191112q3earningsprese
Exhibit 99.2 Building a Leading ENT / Allergy Specialty Company Corporate Presentation November 12, 2019


 
Forward-Looking Statements This presentation and our accompanying remarks contain “forward-looking statements” within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. All statements that are not historical facts are hereby identified as forward-looking statements for this purpose and include, among others, statements relating to: potential for continued XHANCE growth, potential growth drivers and market opportunity; potential effects of INS market seasonality on XHANCE prescriptions; the Company’s expectation that it will satisfy the conditions to issue an additional $30 million of notes under the Pharmakon note purchase agreement and that the agreement will extend its cash runway; projected XHANCE net revenues for 2019; projected average net revenue per prescription for 2019; projected Company GAAP operating expenses and stock-based compensation for 2019; the Company's plans to seek approval for a follow-on indication for XHANCE for the treatment of chronic sinusitis and the potential benefits of such indication; the expectation of top line results from the first of two chronic sinusitis trials in second half 2021; and other statements regarding the Company’s future operations, financial performance, prospects, intentions, objectives and other future events. Forward-looking statements are based upon management’s current expectations and assumptions and are subject to a number of risks, uncertainties and other factors that could cause actual results and events to differ materially and adversely from those indicated by such forward-looking statements including, among others: physician and patient acceptance of XHANCE; the Company’s ability to maintain adequate third party reimbursement for XHANCE (market access); the Company’s ability to grow XHANCE prescriptions and net revenues; market opportunities for XHANCE may be smaller than expected; uncertainties and delays relating to the initiation, enrollment, completion and results of clinical trials; unexpected costs and expenses; the Company’s ability to satisfy the conditions for additional draws under the Pharmakon note purchase agreement and its ability to comply with the covenants and other terms of the agreement; risks and uncertainties relating to intellectual property; and the risks, uncertainties and other factors discussed in the “Risk Factors” section and elsewhere in our most recent Form 10-K and Form 10-Q filings with the Securities and Exchange Commission – which are available at http://www.sec.gov. As a result, you are cautioned not to place undue reliance on any forward-looking statements. Any forward-looking statements made in this presentation speak only as of the date of this presentation, and we undertake no obligation to update such forward-looking statements, whether as a result of new information, future developments or otherwise. 2


 
Q3 2019 Key Highlights XHANCE Q3 2019 TRx Growth of 27% compared to Q2 2019, and 18% growth in October 2019 compared to September 2019 • TRx growth supported by increases in both NRx and refill rate in Q3 2019 XHANCE Average Net Revenue per Prescription • $202 in Q3 2019 and $194 for September YTD 2019 Q3 2019 XHANCE Net Revenue of $8.7 million • 30% growth compared to Q2 2019 • YTD 2019 XHANCE net revenue of $19.3 million • Tightening FY 2019 XHANCE net revenue guidance $125M of Cash and Equivalents as of September 30, 2019 $ • Pharmakon financing expected to extend cash runway and provides optionality to potentially extend even further Completed License Agreement for ONZETRA® XSAIL® • Received ~$4 million upfront cash payment 3


 
XHANCE Launch Update


 
XHANCE Prescription Volume Grew 27% in Q3 versus Q2 2019 and 18% in October versus September 2019 Strong growth in both new prescriptions and refills drove XHANCE quarterly prescription growth of 27% in Q3 2019 XHANCE TRx (in thousands) XHANCE TRx (in thousands) +27% 50 25 +51% +18% vs 45 43.0 Sept 2019 +59% 40 20 33.9 17.6 35 +50% 30 15 25 22.5 20 10 14.1 15 9.4 10 5 5 0 0 Q3 '18 Q4 '18 Q1 '19 Q2 '19 Q3 '19 Oct 2019 TRx for Intranasal Steroids Market increased 11% from Q3 to Q4 2018, increased 3% from Q4 2018 to Q1 2019, increased 1% from Q1 to Q2 2019, decreased 11% from Q2 to Q3 2019 and increased 10% from September to October 2019 5 Estimated based on monthly prescription data from public source (IQVIA) and XHANCE preferred pharmacy network.


 
XHANCE Share of INS Prescriptions Within the Target Physician Audience is Growing and the Remaining Opportunity is Large Market share within the XHANCE target physician audience has increased consistently in 2019 and that trend continues in early Q4 2019 XHANCE Share of INS TRx Within Target Physician Audience 4.0% 4.0% 3.4% 3.5% 3.5% 3.0% 3.0% 3.0% 2.5% 2.2% 2.5% 2.0% 2.0% 1.5% 1.5% 1.5% 0.9% 1.0% 1.0% 0.5% 0.5% 0.0% 0.0% Q4 ‘18 Q1 ‘19 Q2 ‘19 Q3 ‘19 Oct 2019 The Market on this slide is defined as the sum of all intranasal steroid prescriptions written by physicians in the XHANCE target physician audience. Estimated based on monthly prescription data from public source (IQVIA) and XHANCE preferred pharmacy network. * October market share estimated as of October 25, 2019 6


 
Additional Commercial Updates DTC Test Market Pilot nearing completion ▪ Full analysis at the end of the pilot is expected to drive decisions regarding a potential DTC program in 2020 XHANCE Target Physician Perception Survey ▪ We are encouraged by the continued progress we see in our market research ▪ “Good results seen in their patients” has become one of the leading reasons given by surveyed physicians for prescribing XHANCE, along with “it is different and provides better medication deposition” 7


 
Q3 2019 Financial Update


 
Pharmakon Debt Financing Expected to Extend Cash Runway $125 million of cash on the balance sheet as of 9/30/2019 Financing is expected to provide incremental cash of up to $70 million total through 2021† $30 million expected to be drawn in early 2020 based $ on anticipated FY 2019 XHANCE Net Revenues† Optinose has optionality with respect to whether to draw the final $40 million† Extension of cash runway enables focus on continued execution of our successful commercial strategy † Availability is subject to the achievement of XHANCE net revenue thresholds and certain other conditions 9


 
Financial Review – Third Quarter 2019 Q3 2019 XHANCE Net Revenue Increased 30% to $8.7 Million ($M ) XHANCE Net Revenue Average Net Revenue per TRx $19.3M $8.7 ▪ Average XHANCE net YTD 2019 revenue of $202 per TRx in $6.7 Q3 2019 – Increased from $197 in Q2 $4.0 2019 $3.0 ▪ $1.9 Average XHANCE net revenue of $194 per TRx YTD September 2019 Q3 2018 Q4 2018 Q1 2019 Q2 2019 Q3 2019 10


 
Updated 2019 Financial Guidance ▪ 2019 XHANCE Net Revenue expected to be $30 - $33 million ▪ Prior guidance range was $29 - $34 million ▪ 2019 XHANCE Average Net Revenue per Prescription expected to be $195 - $205 ▪ Prior guidance range was $185 to $205 ▪ 2019 Operating Expenses (GAAP) expected to be $126 – $129 million; Approximately $10 million of which represents stock- based compensation ▪ Prior guidance range of $128 - $133 million; $10 - $11 million of which was stock based compensation 11


 
Pipeline Update


 
XHANCE Chronic Sinusitis Indication (sNDA) The Chronic Sinusitis development program includes two Phase 3b clinical trials that are 24-week randomized, double-blind, placebo-controlled, parallel-group, multicenter studies • Top line results expected in second half 2021 Study 3205 • Estimated enrollment: 378 patients • ClinicalTrials.gov Identifier: NCT03781804 • First patient enrolled in Q2 2019 Study 3206 • Estimated enrollment: 399 patients • ClinicalTrials.gov Identifier: NCT03960580 Co-primary endpoints for each trial include an objective measure of inflammation and a subjective measure of symptom relief 13


 
Closing Remarks


 
Key Takeaways Commercial Strategy Driving Strong XHANCE Growth Substantial Growth Opportunity Remains for XHANCE Maintaining/Improving on all Financial Guidance Measures Strong Balance Sheet - Pharmakon Provides Access to Additional Cash Successfully completing other important corporate objectives +30% $202 Up to +27% XHANCE Net XHANCE Net XHANCE TRx Revenue Revenue per TRx Growth Q3/Q2 Growth Q3/Q2 $125M in Q3 2019 $70M Cash and equivalents Incremental cash as of September 30, available from recent 2019 financing 15


 
Investor Relations – NASDAQ: OPTN 1 At 30 September 2019: Analyst Coverage – $125 million in cash – Long-term debt: $80 million BMO: Gary Nachman – 41.5 million common shares o/s – 10.4 million options & warrants o/s Jefferies: David Steinberg Cantor Fitzgerald: Brandon Folkes Optinose Investor Contact Jonathan Neely, VP, Investor Relations and Business Operations Piper Jaffray: David Amsellem 267-521-0531 RBC: Randall Stanicky investors@optinose.com www.optinose.com @optinose 1 - Optinose is followed by the analysts listed above. Please note that any opinions, estimates or forecasts regarding the Company’s performance made by these analysts are theirs alone and do not represent opinions, forecasts or predictions of Optinose or its management. Optinose does not by its reference above or distribution imply its endorsement of or concurrence with such information, conclusions or recommendations. 16


 
Building a Leading ENT / Allergy Specialty Company Corporate Presentation November 12, 2019