Biohaven Reports Fourth Quarter and Full Year 2023 Financial Results and Recent Business Developments
- Driving clinical, regulatory, and operational excellence across five innovative platforms focused on immunology, neuroscience, and oncology:
- Portfolio targeting large indications including obesity, epilepsy, bipolar disorder, depression, obsessive-compulsive disorder (OCD), migraine, pain, Alzheimer's disease, Parkinson's disease, multiple sclerosis, rheumatoid arthritis, and cancer. Also advancing potential novel treatments for rare autoimmune and inflammatory diseases, including myasthenia gravis, cardiomyopathy, spinal muscular atrophy (SMA) and IgA nephropathy.
- Pivotal clinical data milestones expected across three distinct programs:
- First-in-human Phase 1 study with BHV-1300 initiated in 1Q 2024. Preliminary immunoglobulin G (IgG) lowering data from the single ascending dose (SAD) portion of the study expected in late 1Q 2024/early 2Q 2024. The MAD portion of the study is being planned in a relevant patient population with the possibility of benefit from BHV-1300.
- Phase 3 database lock for interim efficacy analysis with troriluzole in OCD remains on schedule for 1Q 2024, with results expected in 2Q 2024.
- Phase 3 topline data in ongoing fully enrolled SMA study with taldefgrobep expected 2H 2024.
- Multiple trial initiations and Investigational New Drug (IND) filings projected over next three years present potential for continued growth and value creation.
Today we are focused on delivering outcomes across five platforms spanning inflammation and immunology, ion channel modulation, myostatin inhibition, glutamate modulation, and oncology. In the year ahead, we expect to deliver potentially groundbreaking data across three distinct programs. In the near-term, we expect to report first-in-human Phase 1 IgG lowering data with our pan-IgG degrader, BHV-1300, with broad potential application. Given the profoundly deep and rapid reduction in IgG levels observed in non-human primate studies, unique ability to co-administer with Fc-containing biologics, ease of self-administration, and favorable toxicology profile observed to date, we are eagerly awaiting the proof-of-concept human data. We also plan to report OCD Phase 3 topline data in the second quarter of 2024 from an interim analysis with our glutamate modulating agent, troriluzole. There has been little to no innovation in advancing treatments for this disorder in decades and a win in this Phase 3 trial would be a substantial clinical success for the three million patients across the OCD community, many of whom are plagued by debilitating intrusive thoughts and compulsions. And finally, we're expecting Phase 3 topline data in the second half of the year with our anti-myostatin compound, taldefgrobep alfa, for patients with SMA.
Full Year and Recent Business Highlights
Ion Channel Platform - Milestones and Next Steps:
Kv7 Ion Channel Activation: Epilepsy & Neuropsychiatric Indications
BHV-7000, the lead asset from the Kv7 platform, is a selective activator of Kv7.2/Kv7.3, a key ion channel involved in regulation of neuronal signaling and hyperexcitability.
- Reported BHV-7000 Phase 1 study results: In
December 2023 , the Company reported full results from the BHV-7000 Phase 1 SAD and multiple ascending dose (MAD) studies examining doses up to 120mg daily, demonstrating BHV-7000 was well-tolerated at all doses studied without the typical central nervous system (CNS) adverse effects associated with other anti-seizure medications (ASMs), such as somnolence and cognitive/mood disturbances. Results were consistent with previously reported preclinical data demonstrating BHV-7000's lack of GABAA receptor activation and lack of adverse impacts on neurobehavior in preclinical testing. - Demonstrated CNS target engagement: In
December 2023 , the Company reported additional data from a Phase 1 electroencephalogram (EEG) biomarker study, where BHV-7000 demonstrated dose-dependent target engagement in the brain as shown by dose-dependent effects on EEG spectral power across all frequency bands. While changes in spectral power were observed across all frequency bands with BHV-7000, the minimal impact on slower frequencies (i.e., delta) is consistent with the low incidence of CNS adverse events observed in the BHV-7000 Phase 1 SAD/MAD studies. EEG delta activity is associated with somnolence, an undesirable CNS adverse event commonly reported with other ASMs. - Developed once-daily formulation: In
September 2023 , the Company announced it had formulated an extended release, once-a-day tablet designed to achieve target therapeutic concentrations (25mg, 50mg and 75mg). This dosing approach with a Kv7 activator will allow for assessment of distinct target concentrations over a wide range, above and below projected efficacious EC50 drug concentrations, not previously feasible with drugs in this class. - Sites operationalized: In
January 2024 , the Company completed its End-of-Phase 2 meeting with FDA to advance to Phase 3 trials and announced that more than 110 global clinical sites have been selected in the ongoing focal epilepsy trial, with enrollment planned for 1Q 2024. - Upcoming trial initiations: The Company expects to initiate Phase 2/3 programs in focal epilepsy in 1Q 2024 and in generalized epilepsy in 2Q 2024; the Company also expects to initiate a Phase 2 study in major depressive disorder and a Phase 2/3 study in bipolar disorder in 1H 2024.
TRPM3 Ion Channel Antagonism: Migraine & Neuropathic Pain
BHV-2100 is an oral, selective TRPM3 antagonist offering a novel, non-addictive treatment for migraine and neuropathic pain.
- Phase 1 study data supports evaluation in acute migraine: In
January 2024 , the Company detailed preliminary pharmacokinetic (PK) and safety data from an ongoing Phase 1 study; in the study, BHV-2100 was rapidly absorbed, achieved 90% inhibitory concentrations within one hour, and was well tolerated at projected therapeutic concentrations - Upcoming trial initiations: The Company expects to initiate a BHV-2100 Phase 2 study in acute migraine in 2H 2024 and conduct a POC study for neuropathic pain in 2H 2024.
Inflammation and Immunology Platform - Milestones and Next Steps:
Targeted Extracellular Protein Degradation:
Molecular Degraders of Extracellular Proteins (MoDEs™) uniquely harness the hepatic ASGPR receptor for efficient and safe removal of circulating pathogenic targets; BHV-1300, is an IgG degrader.
- Reported on progress with BHV-1300: The Company has demonstrated the effect of a single dose of BHV-1300 in lowering IgG in nonhuman primates (NHPs), previously reporting over 75-80% reduction of IgG levels from baseline in three days. These data compare favorably to other IgG targeting agents, such as the FcRn inhibitor efgartigimod, where reduction of IgG levels, following a single dose, was shown to be approximately 50% in 5-7 days. In
September 2023 , the Company announced positive multiple dose, pharmacodynamic (PD) data from a NHP study with BHV-1300 demonstrating dose-dependent reductions of over 90% in IgG levels from baseline, suggesting the potential for achieving greater efficacy with finely calibrated, deeper IgG reductions as compared with existing standard of care FcRn targeting treatments. - Demonstrated potential for same-day, co-administration with Fc-containing biologics: In
January 2024 , the Company presented new NHP data demonstrating thatBiohaven's IgG degrader technology allows for co-administration with Fc-containing biologics; PK of Humira® was unaltered after being dosed 12 hours after BHV-1300 administration. - Reported preclinical pharmacodynamic data with single dose of BHV-1310: In
January 2024 , the Company showed that a next generation and optimized IgG degrader, BHV-1310, allowed for much deeper 90% reductions in IgG after a single dose. Given the deep and rapid reductions observed, the Company believes BHV-1310 may have potential application in acute settings. - Unveiled plans for BHV-1600: next-generation, selective degrader targeting β1-AR autoantibodies: In
January 2024 , the Company reported preclinical data demonstrating degradation of anti-β-1AR antibody in mice. The Company expects to file an IND application and initiate a first-in-human Phase 1 study in 2H 2024. BHV-1600 will initially be evaluated in patients with dilated cardiomyopathy. - Near-term data expected: The Phase 1 SAD study examining BHV-1300 in healthy subjects was initiated in 1Q 2024 and the Company expects preliminary results in late 1Q 2024/early 2Q 2024. The FDA indicated that the MAD assessment of BHV-1300 should be performed in a relevant patient population. Upon completion of the SAD study,
Biohaven is planning the MAD portion of the study in a relevant patient population with the possibility of benefit from BHV-1300. - Upcoming trial initiations: A total of 4 INDs are expected for the degrader program in 2024.
TYK2/JAK1 Inhibition:
BHV-8000 is an oral, brain-penetrant, selective TYK2/JAK1 inhibitor with broad potential for neuroinflammatory and neurodegenerative disorders.
- Successfully completed single ascending dose cohorts; advanced multiple ascending dose cohorts in ongoing Phase 1 study of TYK2/JAK1 inhibitor, BHV-8000: In
January 2024 , the Company provided a program update for the ongoing Phase 1 study designed to evaluate the safety, tolerability, PK and PD of single and multiple ascending doses of BHV-8000 in healthy volunteers. The SAD cohorts have now completed dosing (10, 20 and 30 mg); in the MAD cohorts, the Company completed up to the 20 mg dose. Based on the preliminary data available, projected therapeutic concentrations of BHV-8000 were achieved and BHV-8000 was well tolerated with only mild adverse events reported. - Upcoming trial initiations: The Company expects to initiate a Phase 2 study in multiple sclerosis in 2H 2024, a Phase 2a study in prevention of amyloid therapy induced ARIA in 2H 2024, and Phase 2/3 studies in early Parkinson's disease and early Alzheimer's disease in 2H 2024.
Myostatin Platform - Milestones and Next Steps:
Taldefgrobep alfa is a novel myostatin inhibitor optimized to target myostatin and associated signaling pathways of muscle growth. Taldefgrobep alpha also has promise as a potential treatment for obesity and, in preclinical models as well as preliminary healthy human studies, has demonstrated meaningful reductions in fat mass, the primary pathogenic tissue in obesity, while increasing lean mass.
- Preclinical data demonstrated taldefgrobep alfa reduces fat and improves lean mass: In
October 2023 , the Company presented preclinical data demonstrating the ability of taldefgrobep alfa to significantly reduce fat mass while increasing lean mass in an obese mouse model atThe Obesity Society's annual ObesityWeek conference. - Completed enrollment in pivotal Phase 3 study in SMA: In
September 2023 , the Company announced that it had completed enrollment in RESILIENT, a pivotal Phase 3 study designed to evaluate the efficacy and safety of taldefgrobep as adjunctive therapy to enhance muscle mass and function in SMA patients treated with standard-of-care treatments. InJuly 2023 , the Company announced that taldefgrobep received orphan drug designation (ODD) from theEuropean Commission for the treatment of SMA. Taldefgrobep previously received Fast-Track and ODD from the FDA. - Topline data expected: The Company expects to announce Phase 3 topline data from the ongoing SMA study in 2H 2024.
- Upcoming trial initiation: The Company expects to initiate a Phase 2 study in patients with obesity in 2Q 2024.
Glutamate Modulation Platform - Milestones and Next Steps:
Troriluzole is a novel glutamate modulator currently being evaluated in Phase 3 trials for obsessive-compulsive disorder as an adjunctive therapy in patients with an inadequate response to existing standard-of-care treatment.
- Topline data from interim analysis in OCD expected in 2Q 2024: In
January 2024 , the Company shared an update on the ongoing Phase 3 trial in OCD. The Company remains on schedule for a database lock in 1Q 2024, with an interim efficacy analysis expected in 2Q 2024. Biohaven has also continued to have constructive dialogue with the FDA regarding its SCA development program and potential future data analyses to address regulatory concerns in the previously issued refuse-to-file decision on its NDA application for SCA3.Biohaven will provide further updates on the SCA development program as warranted by any continued positive progress from the outcome of future regulatory interactions on this topic.
Next-Generation ADC Platform - Milestones and Next Steps:
- Upcoming trial initiations: The Company completed its regulatory interactions to begin first-in-human studies with BHV-1510 (TROP2 directed ADC) and expects to initiate a Phase 1 trial in 2Q 2024. The company also expects to submit an IND for BHV-1500 (next-generation brentuximab ADC) in 2H 2024.
Corporate Updates:
- Public offering: On
October 5, 2023 , the Company closed its previously announced underwritten public offering of 11,761,363 of its common shares, which included the full exercise of the underwriters' option to purchase 1,534,090 additional shares, at the public offering price of$22.00 per share. The net proceeds raised in the offering, after deducting underwriting discounts and estimated expenses of the offering payable by the Company, were approximately$242.4 million . As ofFebruary 26, 2024 , we had 81,579,914 common shares outstanding.
Expected Upcoming Milestones:
We believe
Selective Kv7 Activator:
- Initiate BHV-7000 Phase 2/3 program in focal epilepsy in 1Q 2024
- Initiate BHV-7000 Phase 2/3 study in generalized epilepsy in 2Q 2024
- Initiate BHV-7000 Phase 2/3 study in bipolar disorder in 1H 2024
- Initiate BHV-7000 Phase 2 study in major depressive disorder in 1H 2024
Troriluzole:
- Database lock in 1Q 2024 and report troriluzole Phase 3 interim efficacy analysis topline results in OCD in 2Q 2024
Taldefgrobep alfa:
- Initiate taldefgrobep Phase 2 study in obesity in 2Q 2024
- Report taldefgrobep Phase 3 topline results in SMA in 2H 2024
First-in-class TRPM3 Antagonist:
- Initiate BHV-2100 Phase 2 study in acute migraine in 2H 2024
- Conduct BHV-2100 POC study for neuropathic pain in 2H 2024
TYK2/JAK1 Inhibitor:
- Initiate BHV-8000 Phase 2 study in Multiple Sclerosis in 2H 2024
- Initiate BHV-8000 Phase 2a study in prevention of amyloid therapy induced ARIA in 2H 2024
- Initiate BHV-8000 Phase 2/3 study in early Parkinson's disease in 2H 2024
- Initiate BHV-8000 Phase 2/3 study in early Alzheimer's disease in 2H 2024
Extracellular protein degradation platform
- BHV-1300 first-in-human clinical data demonstrating IgG lowering expected late 1Q 2024/early 2Q 2024
- A total of 4 INDs are expected for the degrader program in 2024
Next Generation ADC Platform:
- Initiate Phase 1 trial of BHV-1510 (TROP2 directed ADC) in 2Q 2024
- File IND for BHV-1500 (next generation brentuximab ADC) in 2H 2024
Capital Position:
Cash, cash equivalents and marketable securities as of
Fourth Quarter 2023 Financial Highlights:
Research and Development (R&D) Expenses: R&D expenses, including non-cash share-based compensation costs, were
General and Administrative (G&A) Expenses: General and administrative expenses were
Other Income (Expense), Net: Other income (expense), net was a net income of
Net Loss: Biohaven reported a net loss for the three months ended
Full Year 2023 Financial Highlights
Note: As described in our Annual Report on Form 10-K, full year results for the year ended
R&D Expenses: R&D expenses, including non-cash share-based compensation, were
G&A Expenses: G&A expenses, including non-cash share-based compensation costs, were
Other Income (Expense), Net: Other income (expense), net was a net income of
Net Loss: The Company reported a net loss attributable to common shareholders for the year ended
Non-GAAP Financial Measures
This press release includes financial results prepared in accordance with accounting principles generally accepted in
In addition, these non-GAAP financial measures are among those indicators
About Biohaven
Forward-looking Statements
This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. The use of certain words, including "continue", "plan", "will", "believe", "may", "expect", "anticipate" and similar expressions, is intended to identify forward-looking statements. Investors are cautioned that any forward-looking statements, including statements regarding the future development, timing and potential marketing approval and commercialization of development candidates, are not guarantees of future performance or results and involve substantial risks and uncertainties. Actual results, developments and events may differ materially from those in the forward-looking statements as a result of various factors including: the expected timing, commencement and outcomes of
CONSOLIDATED STATEMENTS OF OPERATIONS (Amounts in thousands, except share and per share amounts) (Unaudited) |
||||||||
Three Months Ended December 31, |
Twelve Months Ended |
|||||||
2023 |
2022 |
2023 |
2022 |
|||||
Operating expenses: |
||||||||
Research and development |
$ 134,813 |
$ 137,044 |
$ 373,281 |
$ 437,072 |
||||
General and administrative |
18,898 |
76,368 |
62,770 |
130,860 |
||||
Total operating expenses |
153,711 |
213,412 |
436,051 |
567,932 |
||||
Loss from operations |
(153,711) |
(213,412) |
(436,051) |
(567,932) |
||||
Other income (expense), net |
7,743 |
(1,838) |
26,500 |
(1,909) |
||||
Loss before (benefit) provision for income taxes |
(145,968) |
(215,250) |
(409,551) |
(569,841) |
||||
(Benefit) provision for income taxes |
(1,212) |
(14,143) |
(1,383) |
438 |
||||
Net loss |
$ (144,756) |
$ (201,107) |
$ (408,168) |
$ (570,279) |
||||
Net loss per share — basic and diluted |
$ (1.81) |
$ (3.32) |
$ (5.73) |
$ (12.75) |
||||
Weighted average common shares outstanding— basic and diluted |
79,929,910 |
60,661,359 |
71,200,527 |
44,741,316 |
CONSOLIDATED BALANCE SHEETS (Amounts in thousands, except share amounts) |
||||
|
|
|||
(Unaudited) |
||||
Assets |
||||
Current assets: |
||||
Cash and cash equivalents |
$ 248,402 |
$ 204,877 |
||
Marketable securities |
133,417 |
260,464 |
||
Prepaid expenses |
35,242 |
20,945 |
||
Income tax receivable |
13,252 |
46,139 |
||
Restricted cash held on behalf of Former Parent |
— |
35,212 |
||
Other current assets |
12,133 |
19,331 |
||
Total current assets |
442,446 |
586,968 |
||
Property and equipment, net |
17,191 |
17,512 |
||
Intangible assets |
18,400 |
18,400 |
||
|
1,390 |
1,390 |
||
Other non-current assets |
33,785 |
37,513 |
||
Total assets |
$ 513,212 |
$ 661,783 |
||
Liabilities and Shareholders' Equity |
||||
Current liabilities: |
||||
Accounts payable |
$ 15,577 |
$ 10,703 |
||
Due to Former Parent |
— |
35,212 |
||
Accrued expenses and other current liabilities |
39,846 |
44,106 |
||
Total current liabilities |
55,423 |
90,021 |
||
Long-term operating lease liability |
27,569 |
30,581 |
||
Other non-current liabilities |
2,245 |
2,410 |
||
Total liabilities |
85,237 |
123,012 |
||
Shareholders' Equity: |
||||
Preferred shares, no par value; 10,000,000 shares authorized, no shares issued and outstanding as of |
— |
— |
||
Common shares, no par value; 200,000,000 shares authorized as of December 31, 2023 and 2022; 81,115,723 and 68,190,479 shares issued and outstanding as of |
887,528 |
615,742 |
||
Additional paid-in capital |
39,804 |
13,869 |
||
Accumulated deficit |
(499,292) |
(91,124) |
||
Accumulated other comprehensive (loss) income |
(65) |
284 |
||
Total shareholders' equity |
427,975 |
538,771 |
||
Total liabilities and shareholders' equity |
$ 513,212 |
$ 661,783 |
RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES (Amounts in thousands, except share and per share amounts) (Unaudited) |
||||||||
Three Months Ended December 31, |
Year Ended |
|||||||
2023 |
2022 |
2023 |
2022 |
|||||
Reconciliation of GAAP to Non-GAAP adjusted net loss: |
||||||||
GAAP net loss |
$ (144,756) |
$ (201,107) |
$ (408,168) |
$ (570,279) |
||||
Add: non-cash share-based compensation expense |
15,871 |
115,629 |
28,787 |
193,556 |
||||
Add: Transaction-related costs |
— |
8,188 |
— |
14,051 |
||||
Non-GAAP adjusted net loss |
$ (128,885) |
$ (77,290) |
$ (379,381) |
$ (362,672) |
||||
Reconciliation of GAAP to Non-GAAP adjusted net loss per share — basic and diluted: |
||||||||
GAAP net loss per share — basic and diluted |
$ (1.81) |
$ (3.32) |
$ (5.73) |
$ (12.75) |
||||
Add: non-cash share-based compensation expense |
0.20 |
1.91 |
0.40 |
4.33 |
||||
Add: Transaction-related costs |
— |
0.14 |
— |
0.31 |
||||
Non-GAAP adjusted net loss per share — basic and diluted |
$ (1.61) |
$ (1.27) |
$ (5.33) |
$ (8.11) |
MoDEs is a trademark of
Investor Contact:
Vice President, Investor Relations
jennifer.porcelli@biohavenpharma.com
+1 (201) 248-0741
Media Contact:
mikebeyer@sambrown.com
+1 (312) 961-2502
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SOURCE
BIOHAVEN (BHVN)
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52 Week High | ||
52 Week Low |
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