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Post by matt on Dec 29, 2020 8:48:28 GMT -5
Not sure, these aren't sold by the FDA but rather, UTHR bought a PRV from another bio who likely needed the cash. I was always under the impression that the FDA awarded these after meeting certain criteria and that they were transferable to anyone who ponied up the $$. Seeking clarification?? You are correct; FDA has the discretion to award priority review status to developers of drugs that meet certain criteria as an incentive to accelerate development of certain types of drugs, especially those with a market so small that the drug is not otherwise economically feasible. However, once issued, the voucher can be bartered or sold to a third-party and that is what has happened here. The math on this is pretty simple; somebody at UTHR believes that getting a new drug into the market four months earlier will generate a combination of additional sales revenue and a head start on any competitors that come along later. MNKD has found out how difficult it is to get endos to convert patients from one form of insulin to Afrezza, but don't think that pulmonologists behave any different than endocrinologists. If a physician has a number of patients on a particular drug, and dosing and side effect issues have already been addressed, they are extremely reluctant to switch the patients to something different. To answer the other question posed above, the normal cost for an FDA review is $250K if the drug is reviewed by the CDER (the traditional drug part of FDA) and $750K if the drug is reviewed by CBER (the biologic drug part of FDA). In the grand scheme of things, FDA user fees are not significant to the industry. The fact that UTHR is paying nine figures to short-cut the process by 120 days gives a strong hint about how much they think they can charge for the drug. This indication is not going to be cheap.
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Post by matt on Dec 19, 2020 11:18:59 GMT -5
The company is required to report geographic segment sales in the 10K so yes, you will see the full year sales to Biomm if you read the footnote disclosures. Most companies do not report international sales separately on a quarterly basis unless the number is a material part of the overall company results as there is no requirement to report geographic segments in quarterly reports (i.e. quarterly reporting is optional, annual reporting is required).
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Post by matt on Dec 18, 2020 9:29:11 GMT -5
AMRX cannot have agreed to too high of a commission if the deal was for levothyroxine. This is a very old drug that has been around since at least the 1960's, was off patent by some time in the 1970's, and forty-years later there is plenty of generic competition. All of that translates to thin margins (like on most generics) so there is not a lot of extra profit to share with a commissioned sales partner.
That aside, if MNKD wants to drive sales of Afrezza then they need to get "face time" with endocrinologists. Even if MNKD never makes a penny in commission, so long as AMRX is subsidizing the cost of the sales force then it is a positive because it results in MNKD being able to afford more office visits which translates into more NRx. The other upside is that getting face time in any clinical environment has gotten very difficult and salespersons with more than one drug in their bag are generally more successful in getting that valuable face time.
As for why their market cap is what it is, consider the segment they are in. Generic drug companies have very limited ability to increase prices and the infrastructure costs are considerable. Until and unless some of their branded drugs take off, they are going to get generic drug company valuations. They also have a huge debt load, even for a generics company, which weighs down the equity value.
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Post by matt on Dec 16, 2020 8:52:49 GMT -5
Mike, you are a CEO so you should know better. You never blame the quarterback!
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Post by matt on Dec 12, 2020 13:56:13 GMT -5
When we know the start date of Phase 3 we’ll have a timeline for approval. Per Mike it will take 2 years from the start of the trial. Mike has also said it they are looking for a partner to help fund it and eventually market to kids and the Type 2 Market. Mike said they want to design the trial cover all shortfalls of the previous trials. I believe the new partner will have serious input in the design and rollout. Hoping for a 1Q21 start. Two years after start of trial is a minimum depending on what FDA asks for. There is that pesky trial that the company agreed to run on lung function that has never been completed, and while many think this is something MNKD will never have to address, FDA may think differently (they have a long memory). If FDA does give a pass on this requirement, and doesn't think of any new requirements, then two years is entirely plausible. I do not think it is feasible to find a partner that will market the drug to the pediatric and Type II segment unless than partner also has the Type I segment. There are several examples of companies that tried to co-market the exact same drug using two different marketing channels for different indications and all of these arrangements wound up a mess. Suffice it to say that keeping track of which dose goes to a Type I patient versus a dose to Type II is nearly impossible, and if the co-promoters do not coordinate pricing very carefully pharmacists and the payors rapidly figure out which channel is the cheapest and they buy all their product from the low cost option. That makes one partner very happy and one partner very unhappy which is why these deals tend to fall apart quickly. No partner is going to help pay for a trial unless they have significant say over the trial design and label claims. That is pretty normal in the industry. The difficulty will be finding a partner willing to take on Afrezza given the history with Sanofi. Lilly and Novo are not going to be volunteering to cannibalize their injectables market, and finding a third party that wants to jump into the pricing scrum around insulin products is going to be a real challenge. I don't think a 1Q21 start date is realistic given that the partner has yet to sign up. Once a partner is announced, it will be 3-6 months before the first patient is trialed because the trial has to be designed, submitted to FDA, investigators have to be recruited, the plan has to be submitted to the institutional review boards, and so on. None of that happens overnight, even with the most capable partner.
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Post by matt on Dec 7, 2020 15:08:49 GMT -5
Revenue may be $3m, but how negative is their net income (profit) I wonder. We don't need any more drags on our bottom line. When a start-up has $3 million in revenue then you can be pretty sure that it is all grant funding, and will be more than offset by a larger investment in R&D. As to how much the cash burn is, that really depends on what is involved in researching these particular drugs. A net operating loss of $5-8 million would not be shocking for a company with 18 employees, and perhaps considerably more. Honestly, if the cash burn is much less than that then it means that there is still a lot of validation work yet to be done on these drugs and this pipeline will take a lot of time to mature.
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Post by matt on Dec 7, 2020 10:26:24 GMT -5
I have said for a long time that MNKD needs to have its own drugs in the pipeline so this is a very positive step. TS delivery is an interesting technology but the economic benefits of any new drug accrue mainly to the holder of the patent on the drug, not the delivery system. There have been many companies founded to commercialize drug delivery technologies that never made it because despite all the research the spoils went to the owner of the molecule, not the delivery system. That is why TS delivery for generic drugs is never going to be a big profit driver and why all those compound remain unpartnered.
There are more companies out there with novel drugs that have potential for treating respiratory diseases, and most of the past market leaders in this segment (notably Pfizer) have abandoned respiratory drugs altogether. This may be the change of focus that this company has needed for a long time.
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Post by matt on Dec 1, 2020 12:55:44 GMT -5
It appears this should end speculation that a December dilution might occur. Not saying it won't just that the odds have now moved it off the radar. Disagreements with an explanation are certainly welcome. I think some additional dilution is inevitable, but I agree that this happening in December is not so likely. There is still a huge disconnect between what a prudent company would hold in balance sheet cash and what MNKD has available so tapping the financial markets for additional equity while the stock price is a high is not a bad idea. However, with the recent developments the timing for the next raise has become a lot more flexible.
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Post by matt on Dec 1, 2020 9:02:15 GMT -5
Anyone know what the 'modifications' may be? Lowered minimum? "...... (iii) modifications to the financial covenant relating to trailing twelve month minimum Afrezza Net Revenue requirements ......" Yes, the minimums have been lowered significantly and future growth has been reduced as well. The details can be found in the 8K filed on EDGAR. The previous minimums looked unachievable from the start, requiring hockey stick growth intervals, while the new minimums look reasonably achievable. There has been a lot of water under the bridge since the original credit facility was set up, including a certain virus we all know about, and these changes simply reflect the reality of the situation. Lenders never want to put a company in default if they can avoid it because it is usually not in their best interest.
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Post by matt on Nov 28, 2020 15:07:06 GMT -5
What really happened with Dr. Kendall? Did he ever buy shares? You can find out what anybody has bought or sold by looking at the DEF14A and any subsequent Form 4s. Form 4 has to be filed by all insiders within two business days following the date of the transaction so they are very timely. The only exception is when an executive leaves the company, they cease to be an insider for SEC reporting purposes after 60 days while most option plans allow vested options to be exercised for a longer period after leaving the company (usually 90 or 180 days), so cashing in a bunch of options on day 61 is never reported.
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Post by matt on Nov 22, 2020 11:44:23 GMT -5
Matt - I am not sure how long you have been following MNKD but back in the day the approval process for afrezza was rigged and BP and the FDA were throwing everything at MNKD so it would not be approved. The QA team told me many years ago they had the data to show no refrigeration was needed for at least 3 months but they thought they could show much longer. I did not exam the data myself but I have no reason to think they didn't. Stability testing is standardized for a reason, and all regulatory agencies follow similar procedures. If the company had data that Afrezza was stable without refrigeration for three months, then they could have gotten that on the label BUT if they could only show three months then they would also have gotten a three month expiration date. Three month expiration is not as bad as, say radiopharmaceuticals, but in the real world that is a very short shelf life; many customers will not accept product without at least six months remaining before expiration barring exceptional circumstances. When a company submits the CTD to the agency either the data supports room temperature storage or it does not. The tests are extremely simple to do; the drug and packaging are placed inside a test facility with specific temperatures, lighting, humidity, etc. and samples are drawn out at set intervals and the product is tested to see if the molecule or protein has changed. If there is no change then the drug is considered stable under the specified conditions (there are companies that do nothing but stability testing for the industry). Approval of the label copy is not a matter of what BP wants, what competitors want, or what the company itself wants. If the required data from properly administered tests exists then that is what goes on the label. It is not a political decision, it is a chemistry test.
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Post by matt on Nov 21, 2020 8:41:13 GMT -5
That being said, when is MNKD going to take refrigeration off the label? EVERY drug produced has storage specifications (temperature, humidity, etc.) and an expiration date. FDA has very specific tests that have to be performed to establish the storage and expiration portion of the drug label. If MNKD had stability data showing that Afrezza could pass the tests without refrigeration FDA would allow a label change, but without that evidence the specifications will remain as they are. You say that Afrezza does not need refrigeration based on your personal experience, but your personal experience does not replicate the range of conditions experienced in the real world while the mandated stability tests attempt to do so. I am sure MKND performed all the required testing during the development phase and the fact that the label requires refrigeration suggests that at least some samples did not meet the standards for room temperature storage. Absent a change in product chemistry, a retest is unlikely to give different results.
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Post by matt on Nov 20, 2020 8:56:14 GMT -5
This looks like a typical directed development project. When you see a company getting a series of grants, especially if previous grants have come from DARPA or the DoD, then somebody has built a very effective political presence in Washington. Congress has the ability to create new grant programs and, simultaneously, direct the agency that is managing the grant program to award a large chunk to a particular company. You don't get $590 million in federal money to build out production of an unapproved product unless there is a friendly senator or representative working behind the scenes. The fact that the jobs are going to NC, which is rapidly becoming a battleground state, doesn't hurt either.
Mike needs more than a phone number; he needs an effective government affairs executive that knows how things really get done.
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Post by matt on Nov 18, 2020 11:34:03 GMT -5
They're only just now getting a schedule 1 research license? Isn't that them basically admitting that they haven't yet even started doing any cannabis research? Certainly you need an exemption from Schedule 1 to grow, possess, or do research on a drug under federal law. You can obtain cannabis in some states, the conditions for which vary by jurisdiction, so RLS could have been doing a limited amount of research with materials produced under state law, but only because the federal agencies decided to let them (whether the state allows it or not, cannabis is per se illegal under federal law). So no, this is not an admission that they have done nothing but it is an admission that RLS was not in a position to do any serious research going forward. To do any serious research requires the cooperation of various federal agencies, including FDA, and none of that will be forthcoming without first having a DEA license. In particular, no drug is going to be approved for animal or human use without undergoing multisite clinical trials, and those are extremely difficult to do without shipping experimental product across state lines. FDA always jumps in to regulate any activity involving the mere hint of interstate commerce as they have no ability to regulate certain activities that do not involve interstate commerce (like compounding pharmacies licensed by a state). A company can play games with the federal alphabet agencies and hope they continue to get away with it, or the company can step up and follow the rules thereby establishing themselves as a legitimate player doing serious work. It is never easy to become FDA's friend, but it is very easy to become their enemy. Getting a DEA license was the responsible thing to do, a license avoids regulatory "surprises" down the road, and overall this license must be considered a positive step forward.
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Post by matt on Nov 17, 2020 16:36:35 GMT -5
Wonder why the 12 unit cartridge is not listed? Titration packs? It might have something to do with expected turnover. If the 4 and 8 unit boxes move the fastest, and this can be readily determined from the detailed IMS data, then Amazon may be limiting the products available at first to avoid holding slow-moving inventory. Amazon, unlike some of its affiliates, prefers to deal only in fast moving items that are in high demand and gladly leaves the slow moving items to others. While Amazon affiliates usually make slower moving items available through their shared order gateway that approach is not practical when pharmacy licenses are involved. Rest assured that if Amazon sees an opportunity to move enough of the 12 unit boxes and titration packs to make a profit, they will not let the opportunity pass.
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