TIDMACPH 
 
 
 
 
   This announcement contains inside information for the purposes of 
Article 7 of the Market Abuse Regulation (EU) No 596/2014. 
 
   Acacia Pharma Group plc 
 
   Results for the year ended 31 December 2020 
 
   Cambridge, UK and Indianapolis, US -- 29 March 2021, 07:00 CEST: Acacia 
Pharma Group plc ("Acacia Pharma", the "Group" or the "Company") 
(EURONEXT: ACPH), a hospital pharmaceutical company focused on the 
development and commercialization of new products aimed at improving the 
care of patients undergoing significant treatments such as surgery, 
other invasive procedures or cancer chemotherapy, announces its results 
for the year ended 31 December 2020 and provides an update on progress 
with the commercialization of BARHEMSYS(R) and BYFAVO(TM) in the United 
States. 
 
   A presentation by Acacia Pharma's senior management team will be webcast 
live today at 14.30 CEST (08.30 EST) and participants can register by 
clicking here 
https://www.globenewswire.com/Tracker?data=RfqhkFZTQVdPiSmQRfc9WbeCfSrh5Q7n4FeWv77uhSyMK-sgMRvk-8co1pi30aFZ8546FBdL4U1t6HimhYXvXjuIjoYetev3cQ89zdOKbM7bsj5VsERex11PPoo865MLKpq9y2FMIuPXm87ROgh8-g== 
or from www.acaciapharma.com. A replay will be available after the event 
at the same link. 
 
   International conference call dial-in details are noted below. 
 
   The results report and presentation will be available at 
www.acaciapharma.com in the Investors section from 07.00 CEST today. 
 
   The full Annual Report and Financial Statements will be available on the 
Group's website by 31 March. 
 
   Commenting on the results, Mike Bolinder, Chief Executive Officer, said: 
"Our vision to become a leading US hospital pharmaceutical company is on 
the road to being realized. The US approval and launch in the last year 
of two major new products in BARHEMSYS and BYFAVO is a tremendous 
achievement, practically unprecedented for a company of our size. 
 
   "Our early progress on formulary adoption for BARHEMSYS reflects the 
unmet need that exists in PONV and strong underlying demand for our 
product, our outstanding and extremely experienced commercial team and 
salesforce, as well as our well-constructed, well-executed launch plans. 
During 2021, we aim to continue gaining formulary access in our initial 
targeted accounts, as this will lay the strong foundation for 
significant revenue pull-through from 2022 onwards. 
 
   "Acacia Pharma is now at an exciting stage in its path to long-term 
commercial success, and we intend to continue to resolutely execute our 
plans as we bring these important new treatments to patients and at the 
same time build further significant value for our shareholders. I am 
once again truly grateful to our employees for their dedication and 
remarkable efforts during this year of outstanding progress against the 
challenging backdrop of the COVID-19 pandemic, and to our shareholders 
for their continued support." 
 
   Operating Highlights for 2020 and Significant Post-period Updates 
 
 
   -- US commercial infrastructure successfully built and fully operational 
 
          -- Highly experienced sales, marketing, medical affairs, commercial 
             operations teams in place 
 
          -- Nationwide salesforce deployed against 900 initial targeted 
             hospital accounts since mid-October 2020 
 
   -- Two high-potential products approved by the US Food and Drug 
      Administration (FDA) in 2020 
 
          -- BARHEMSYS (amisulpride injection) 
 
                 -- Approved February 2020 in the US with a broad label for the 
                    treatment and prevention of postoperative nausea & vomiting 
                    (PONV) 
 
                 -- First and only antiemetic approved for the rescue treatment 
                    of PONV in patients who have failed prior prophylaxis 
 
                 -- Approximately 16m surgical patients each year in the US 
                    suffer from PONV despite receiving prophylaxis1 
 
                 -- Estimated $2.7 billion annual total addressable market2 
 
          -- BYFAVO (remimazolam injection) 
 
                 -- US commercial rights in-licensed from Cosmo Pharmaceuticals 
                    NV ("Cosmo") in January 2020 
 
                 -- Approved July 2020 for the induction and maintenance of 
                    procedural sedation in adults undergoing procedures lasting 
                    30 minutes or less 
 
                 -- Key target: 40m procedures a year in US, including 25m 
                    gastro-intestinal procedures3 
 
                 -- Estimated >$1.5 billion annual total addressable market4 
 
   -- Commercialization off to excellent start, with strong early formulary 
      uptake 
 
          -- After deploying our sales team in mid-October, to date BARHEMSYS 
             has been added to formulary at 120 institutions -- Pharmacy & 
             Therapeutics (P&T) Committee review success > 85% 
 
          -- Strong appreciation of clinical and health economic benefits of 
             BARHEMSYS 
 
          -- BYFAVO launched at end of January 2021 and in eight weeks of 
             launch is already approved on formulary in seven accounts 
 
          -- High level of enthusiasm from healthcare professionals for first 
             major sedative launch in two decades 
 
   -- Management and Board Changes 
 
          -- Gary Gemignani appointed new CFO following planned succession 
             succeeding Christine Soden who retired as CFO and from the Board 
             in February 2020 
 
          -- Patrick Vink (Chairman), Pieter van der Meer and Johan Kördel 
             stepped down from the Board of Directors at the 2020 AGM 
 
          -- Scott Byrd, a non-executive director of Acacia Pharma, was elected 
             as Chairman at the AGM and Alessandro Della Chá, CEO of Cosmo 
             Pharmaceuticals N.V. was appointed as a non-executive director 
 
   -- Named BEL Small Cap Company of the Year for the second consecutive year 
 
 
   Financial Highlights 
 
   Results are presented in US$, reflecting the currency of the majority of 
expected costs and revenues 
 
 
   -- Loss after tax for the year ended 31 December 2020 of $33.5m (2019: 
      $22.8m): 
 
          -- The operating loss increased by $8.5m to $30.9m (2019: $22.4m), 
             reflecting the investment in our US commercial infrastructure and 
             product launch preparations 
 
          -- R&D expenses $0.1m (2019: $3.9m) with the reduction reflecting 
             lower R&D activities on completion of BARHEMSYS clinical program, 
             together with a $1.4m credit on reversing certain inventory 
             provisions on the approval of BARHEMSYS 
 
          -- Sales and marketing expenses $19.4m (2019: $14.0m) reflecting 
             increased activities leading up to the planned launch of BARHEMSYS 
             and BYFAVO 
 
          -- General and administrative expenses $11.6m (2019: $4.4m) with 2020 
             costs higher as a result of fundraising activities, staff costs 
             and amortisation of intangibles 
 
   -- Cash and cash equivalents as at 31 December 2020 of $46.7m (2019: 
      $17.0m) 
 
   -- Balance sheet strengthened through EUR20m equity investment from Cosmo, 
      EUR25m loan from Cosmo, together with EUR25m equity financing in August 
      2020 
 
          -- Additional equity financing undertaken in February 2021 with gross 
             proceeds of EUR27m 
 
 
   Summary and Outlook for 2021 
 
   The Directors of Acacia Pharma are pleased with the excellent progress 
made since the beginning of 2020 in bringing two products forward to 
approval and now launch in the important US market. BARHEMSYS and BYFAVO 
are highly complementary products that together can efficiently utilize 
the commercial infrastructure that the Company has now built in the US. 
 
   The addition of the rights to BYFAVO along with the accompanying equity 
investment and debt facility from Cosmo as well as the recent equity 
raises have enhanced the Group's ability to facilitate a successful 
launch and roll out of these products. 
 
   The early success with hospital formulary access for BARHEMSYS has 
confirmed the Directors' belief in the strong product profile and 
compelling health economic arguments in favour of its adoption and use. 
This is an important first step to building a solid and growing sales 
platform for the product. 
 
   While it remains early days in the launch of BYFAVO, the Directors 
believe that it too offers significant medical and commercial value that 
will be viewed favorably by formulary committees and payors, as well as 
doctors and patients. 
 
   Conference call dial-in details 
 
   To join the conference call by telephone, please dial-in 5-10 minutes 
prior to the start using the password Acacia Pharma and any of the phone 
numbers provided below. 
 
   UK/Standard International dial-in: +44 (0) 33 0551 0200 
 
   UK Toll Free: 0808 109 0700 
 
   Belgium Toll Free: 0800 746 68 
 
   Netherlands Toll Free: 0800 022 9132 
 
   US New York: +1 212 999 6659 
 
   USA Toll Free: +1 866 966 5335 
 
   References 
 
   1. Calculations based on available procedural data, applied Compound 
Annual Growth Rate and quantitative market research responses as 
follows: National Hospital Discharge Survey, 2006; National Survey of 
Ambulatory Surgery, 2006 (as revised in 2009); Source Healthcare; NCHS 
2005; Life Science Strategy Group, LLC  Market Research; Apfel et 
al.,2004. 
 
   2. Based on the calculations in (1) multiplied by the number of doses 
per patient at a WAC price of $85 per 10mg dose. 
 
   3. iData Research, US Market Report Procedure Numbers for 
Gastrointestinal Endoscopic Devices February 2019; American Society of 
Anesthesiologists, Practice Guidelines for Moderate Procedural Sedation 
and Analgesia 2018; and Quantitative Market Research prepared by The 
Link Group for Cosmo Technologies (March 2019). 
 
   4. Based on the calculation in (4) multiplied by the number of doses per 
patient at a WAC price of $39 per dose. 
 
   Contacts 
 
 
 
 
Acacia Pharma Group plc             International Media 
 Mike Bolinder, CEO                  Mark Swallow, Frazer Hall, David 
 Gary Gemignani, CFO                 Dible 
 +44 1223 919760 / +1 317 505 1280   Citigate Dewe Rogerson 
 IR@acaciapharma.com                 +44 20 7638 9571 
                                     acaciapharma@citigatedewerogerson.com 
US Investors                        Media in Belgium and the Netherlands 
 LifeSci Advisors                    Chris Van Raemdonck 
 Irina Koffler                       +32 499 58 55 31 
 +1 917-734-7387                     chrisvanraemdonck@telenet.be 
 ikoffler@lifesciadvisors.com 
 
 
   About Acacia Pharma 
 
   Acacia Pharma is a hospital pharmaceutical company focused on the 
development and commercialization of new products aimed at improving the 
care of patients undergoing significant treatments such as surgery, 
other invasive procedures, or cancer chemotherapy. The Company has 
identified important and commercially attractive unmet needs in these 
areas that its product portfolio aims to address. 
 
   Acacia Pharma's first product, BARHEMSYS(R) (amisulpride injection) is 
available in the US for the management of postoperative nausea & 
vomiting (PONV). 
 
   BYFAVO(TM) (remimazolam) for injection, a very rapid onset/offset IV 
benzodiazepine sedative is approved and launched in the US for use 
during invasive medical procedures in adults lasting 30 minutes or less, 
such as colonoscopy and bronchoscopy. BYFAVO is in-licensed from Paion 
UK Limited for the US market. 
 
   APD403 (intravenous and oral amisulpride), a selective dopamine 
antagonist for chemotherapy induced nausea & vomiting (CINV) has 
successfully completed one proof-of-concept and one Phase 2 dose-ranging 
study in patients receiving highly emetogenic chemotherapy. 
 
   Acacia Pharma has its US headquarters in Indianapolis, IN and its R&D 
operations are centred in Cambridge, UK. The Company is listed on the 
Euronext Brussels exchange under the ISIN code GB00BYWF9Y76 and ticker 
symbol ACPH. 
 
   www.acaciapharma.com 
 
   Forward looking statements 
 
   This announcement includes forward-looking statements, which are based 
on current expectations and projections about future events. These 
statements may include, without limitation, any statements preceded by, 
followed by or including words such as "believe", "expect", "intend", 
"may", "plan", "will", "should", "could" and other words and terms of 
similar meaning or the negative thereof. Forward-looking statements may 
and often do differ materially from actual results. These 
forward-looking statements are subject to risks, uncertainties and 
assumptions about the Company and its subsidiaries and investments, 
including, among other things, the development of its business, trends 
in its operating industry, and future capital expenditures and 
acquisitions. By their nature, forward-looking statements involve risk 
and uncertainty because they relate to future events and circumstances. 
Any forward-looking statements reflect the Company's current view with 
respect to future events and are subject to risks relating to future 
events and other risks, uncertainties and assumptions relating to the 
Group's business, results of operations, financial position, prospects, 
growth or strategies and the industry in which it operates. Save as 
required by law or applicable regulation, the Company and its affiliates 
expressly disclaim any obligation or undertaking to update, review or 
revise any forward-looking statement contained in this announcement 
whether as a result of new information, future developments or 
otherwise. Forward-looking statements speak only as of the date they are 
made. 
 
 
 
   Attachment 
 
 
   -- Acacia Pharma Group plc Preliminary Results for the year ended 31 
      December 2020 
      https://ml-eu.globenewswire.com/Resource/Download/4f8bf820-e12e-4921-bb56-386345a2aa44 
 
 
 
 
 
 
 

(END) Dow Jones Newswires

March 29, 2021 01:00 ET (05:00 GMT)

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