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RNS Number : 3928V
Futura Medical PLC
05 April 2023
5 April 2023
Futura Medical plc
("Futura" or the "Company")
Full Year Results for the year ended 31 December 2022
Futura Medical plc (AIM: FUM), a pharmaceutical company
developing a portfolio of innovative products based on its
proprietary, transdermal DermaSys(R) drug delivery technology and
currently focused on sexual health and pain, is pleased to announce
its audited results for the year ended 31 December 2022.
Operational Highlights
MED3000 - Regulatory
-- Europe: MED3000, brand name Eroxon(R) is the first
pan-European topical treatment for erectile dysfunction ("ED")
available without the need of a doctor's prescription and available
over the counter ("OTC").
Ø In April 2022, Futura received approval for a UKCA mark for
Eroxon(R), supplementing the CE Mark approval received in April
2021.
-- USA: In August 2022, Futura received highly positive results
from the confirmatory Phase 3 clinical study, ("FM71") for MED3000
for the treatment of ED meeting all primary and secondary
endpoints.
Ø Results demonstrated that MED3000 presents an effective
clinically proven treatment for ED with a rapid speed of onset and
a favourable benefit versus risk profile ideally suited for OTC
classification.
Ø In October 2022, Futura filed a regulatory dossier with the US
Food and Drug Administration ("FDA"), for marketing authorisation
for MED3000 as De Novo Medical Device - with the potential to be
the first major ED treatment available OTC in the USA.
-- Middle East : In December 2022, Futura announced that MED3000
had received marketing authorisation in three Middle Eastern
countries including the United Arab Emirates ("UAE").
MED3000 - Commercialisation and Manufacturing
-- Futura signed multiple commercial agreements across key markets.
Ø In March 2022, Futura entered into a licensing agreement with
Menarini Korea, a wholly owned subsidiary of Menarini Group, for
the exclusive rights to commercialise MED3000 in South Korea.
Ø In May 2022, Futura entered into an exclusive licensing
agreement with Cooper Consumer Health ("Cooper") for the rights to
commercialise Eroxon(R) throughout the European Economic Area, the
United Kingdom and Switzerland.
Ø In December 2022 Futura formally commenced the search for a US
partner ahead of planned FDA approval and continues to be engaged
in several ongoing discussions.
Ø Futura's contract manufacturing supply chain is now ready for
commercial production, with capacity for initial launch supplies of
Eroxon(R) and beyond.
Ø In September 2022, the first production order of Eroxon(R) was
received to fulfil initial launches through Futura's European and
UK distribution partner.
Ø First production orders for initial launches of Eroxon(R) in
the Middle East, which are planned for 2023, were also received
from its Middle Eastern distribution partner .
-- In Q2 2022, as part of its overall IP protection strategy,
Futura filed national patent applications considered necessary to
protect the commercial interests of MED3000 in line with normal PCT
filing procedures in all key ED markets. If successful, this will
provide patent protection until 2040.
MED3000 - Environmental awareness and education
-- In October 2022, Futura attended the joint meeting of the
Sexual Medicine Society of North America and the International
Society of Sexual Medicine in Miami.
Ø An Advisory Panel meeting comprised of eight world renowned
experts discussed MED3000's clinical data, its unique mode of
action and how it could be used as a treatment alternative for ED.
This panel acknowledged MED3000 as a potential, safe, fast-acting
and effective treatment for addressing the medical unmet need of
many men with ED without the requirement for a doctor's
prescription.
Post period Highlights
-- Formal production batches of Eroxon(R) successfully completed
and initial retail and online launches of Eroxon(R) in Europe have
now commenced with further manufacturing orders received.
-- MED3000 has been granted initial marketing authorisation in
the Middle East, which now covers four Middle Eastern countries
including the UAE. Further approvals are expected in 2023 alongside
initial launches, where regulatory approval has been received,
under the Eroxon(R) brand.
-- In February 2023, Futura presented MED3000 data in a Poster
presentation at the European Society for Sexual Medicine Congress
in Rotterdam.
Ø The Poster presented the positive FM71 Phase 3 study results,
announced in August 2022.
Ø There was an Eroxon(R) stand at the congress where good
interest was received from congress attendees who welcomed the new
innovation in ED.
-- In March 2023, Futura announced that MED3000 was under active
review with the FDA, including a recent meeting, regarding US
marketing authorisation. As a regular part of its review process,
the FDA asked some additional questions and requested some
non-clinical confirmatory data, to which the Company has provided a
full response and the requested confirmatory data to enable the FDA
to complete its review. Based on the FDA's published target review
period guidelines to include time to review the newly provided
information, grant of the De Novo request is now expected to be
achieved in Q2 2023.
Financial Highlights
-- Net loss of GBP5.85 million in period of which GBP4.13
million was related to R&D (2021: Net loss GBP4.96 million)
-- Cash resources of GBP4.03 million including
-- GBP1.02 million tax credit refund due mid 2023
-- Current cash runway extends beyond initial Eroxon(R) launches
expected over the next year and expected US regulatory approval in
2023.
James Barder, Chief Executive Officer, Futura Medical said :
"2022 has been a year of significant progress as we have moved
steadily towards the initial launch of Eroxon(R) which I am now
delighted to say commenced in March 2023. This is a milestone
achievement for the Company and a testimony to the dedication,
tenacity and hard work of a small, loyal and highly professional
team at Futura. We are proud and excited for Eroxon(R) to have now
commenced launch for what we believe will become the world's first
fast-acting clinically proven topical gel treatment for ED
available without the need of a doctor's prescription.
We continue to focus on achieving US regulatory approval in the
near term and progressing commercial discussions. We look forward
to updating shareholders during 2023 as well as reporting first
meaningful revenues at our interims in September 2023."
Webcast
The Executive Team will host a webcast of the presentation which
will be available within the Investor Centre section of the Futura
company website at www.futuramedical.com from 10.00am BST on 5
April 2023.
For further information please contact:
Futura Medical plc
James Barder, Chief Executive Officer
Angela Hildreth, Finance Director and COO
Email: investor.relations@futuramedical.com
Tel: +44 (0) 1483 685 670
www.futuramedical.com
Nominated Adviser and Sole Broker:
Liberum
Phil Walker/ Richard Lindley/ Ben Cryer
Tel: +44 (0) 20 3100 2000
For media enquiries please contact:
Optimum Strategic Communications
Mary Clark/ Hollie Vile/ Jonathan Edwards/ Zoe Bolt
Email: futuramedical@optimumcomms.com
Tel: +44 (0) 203 882 9621
About Futura Medical plc
Futura Medical plc (AIM: FUM), is a pharmaceutical company
developing a portfolio of innovative products based on its
proprietary, transdermal DermaSys(R) technology. Each DermaSys(R)
formulation is separately patented and specifically tailored for
the selected indication and application, as well as being optimised
for clinical efficacy, safety, administration and patient
convenience. The products are developed for the prescription and
consumer healthcare markets as appropriate. Current therapeutic
areas are sexual health, including erectile dysfunction, and pain
relief. Development and commercialisation strategies are designed
to maximise product differentiation and value creation whilst
minimising risk.
MED3000 is Futura's topical gel formulation that is a novel
treatment for erectile dysfunction ("ED") through a unique
evaporative mode of action. Futura has previously conducted an
initial Phase 3 study using MED3000 in ED, referred to as "FM57"
which enabled Futura to be granted a CE Mark in 2021. A second
confirmatory Phase 3 clinical study, "FM71" was also conducted to
support Futura's regulatory submission to the FDA with 96 ED
patients and endpoints at 24 weeks, demonstrating that MED3000
presents an effective clinically proven treatment for ED with a
rapid speed of onset and a favourable benefit versus risk profile
ideally suited for OTC classification.
Eroxon(R) is CE marked in Europe and UKCA marked in the UK as a
clinically proven topical treatment for adult men with erectile
dysfunction under the brand Eroxon(R) with a key claim of "Helps
you get an erection within 10 minutes". Eroxon(R) is the agreed
brand name in certain regions such as the EU whereas MED3000
continues to be the internal code name used by the Company and also
in reference to countries where regulatory
approval or commercial distribution agreements have not yet been achieved. www.eroxon.com
Futura is based in Guildford, Surrey, and its shares trade on
the AIM market of the London Stock Exchange.
www.futuramedical.com
Chairman's Statement
With initial commercialisation now underway, our focus remains
on execution in an exciting market segment.
Futura continues to transform into a potentially high growth
Company now in commercialisation phase and poised for first
reported revenues in 2023.
In 2021 we expanded the Board's international commercial
consumer expertise with the appointment of Jeff Needham and Andrew
Unitt as Board Directors. They have, in conjunction with the entire
Futura team, brought their considerable OTC market expertise and
exceptional skills in strategic development and business management
to bear in a multitude of ways. This covers the full breadth of
activities that go hand in hand with the launch of an exciting and
innovative product such as: working with and supporting partners'
marketing, patient and physician awareness and education efforts,
ensuring seamless manufacturing and supply with an eye on future
demand for Eroxon(R)/MED3000 and a focus on commercial partnering,
particularly in terms of first gaining FDA approval and then
leveraging this de-risking event to optimise a US partnering
deal.
The USA is the biggest potential OTC market for ED treatments,
and we are committed to achieving success there, particularly with
an innovative product that has demonstrated the ideal
characteristics for an OTC treatment and a rapid speed of onset
which could vastly improve access to treatment for the 22 million
men suffering from ED(1) , particularly with mild to moderate ED.
Whilst some hurdles still exist with regards to the US FDA granting
marketing authorisation and Eroxon(R) launching commercially in the
US, we are confident that we will be able to successfully execute
on the strategic objectives and make Eroxon(R) available to
consumers.
2022 was a busy year for execution. I would like to thank
Futura's shareholders for their continued support and Futura's
employees for their unstinting efforts in driving forward the
progress of the Company .
John Clarke
Non-executive Chairman
Chief Executive Officer's Review
A year of regulatory progress and commercial activities for
MED3000, as we prepared for initial launches of Eroxon(R) which
commenced in March 2023.
2022 has been another strong year, building on the
transformational progress and momentum achieved during 2021. The
two major highlights were our partnering deal for the
commercialisation of Eroxon(R) in the EEA, the UK and Switzerland
with Cooper Consumer Health, ("Cooper"), a leading European
independent self-care organisation, and delivering highly positive
data from the confirmatory "FM71" Phase 3 study of MED3000 in
ED.
In May 2022 we were excited to announce the exclusive licensing
agreement with Cooper, for the rights to commercialise Eroxon(R)
throughout the European Economic Area ("EEA"), the United Kingdom
("UK") and Switzerland. As part of our close strategic partnership
and in line with our expectations we are pleased to confirm that
from 1 April 2023 Eroxon(R) became available in our first market in
"bricks and mortar" stores and retail pharmacies, supported by
marketing and advertising with a second launch to follow shortly.
Eroxon(R) is also available online throughout Europe.
As the retail roll-out around Europe continues and gains
momentum, we will provide high level updates but would like to
remind our shareholders that for commercial reasons our
distribution partners may ask us not to disclose launch timings and
some learnings from individual markets. However, we look forward to
reporting revenues for the first time with our interim results in
September 2023.
Futura now has a strong and expanding distribution platform in
place for regions outside the key US market. Having signed two
commercial agreements in 2022, adding to those from 2021, Futura
now has licensing agreements in place in key markets throughout the
EEA, the UK, Switzerland, the Gulf Co-operation Council (GCC)
region, Latin America and South Korea.
As announced in September 2022, Co-High Investment Management
Limited, has been unable to deliver on the key development and
regulatory milestones previously set out in the agreement which
both companies entered into in March 2021 and matters have not
progressed. As the awareness of MED3000 spreads within the
pharmaceutical industry we continue to receive growing interest
from a number of other potential parties for the commercialisation
of MED3000 in South East Asia, including China as well as other
countries where MED3000 is not yet out-licensed. Our priority
remains the US OTC market, as the biggest potential OTC ED market
in the world, nevertheless discussions are also ongoing elsewhere
and we look forward to providing shareholders with updates in due
course.
Marketing authorisation has now been received in four Middle
Eastern countries and initial launches are now planned in the
Middle East in the second half of 2023. Our partners are taking a
measured and controlled approach, which we fully endorse, in
launching this new product, and there will undoubtedly be some
learnings given the sensitivities around the need for, and
purchasing of, an ED treatment. We must be mindful of these to
ensure we position Eroxon(R) in the most appropriate way in
different countries and diverse cultures, as this will enable us to
maximise the success of future launches of such a truly innovative
and accessible product.
With regards to manufacturing, the first production runs of
Eroxon(R) have been completed and have been successfully delivered,
enabling initial launches as planned. In addition, a number of
other orders are in the process of being manufactured. It is
essential that Futura has a robust supply chain, and we are
currently evaluating additional manufacturers in both Europe and
the USA to provide greater supply certainty and inter-manufacturer
competition, as well as additional capacity based on both Futura
and commercial partners' sales projections moving forwards.
As the initial launches and strategic scale-up of
commercialisation of Eroxon(R) continue in 2023, we hope to be able
to transform the lives of ED sufferers around the world with our
novel fast-acting OTC treatment.
Results from the "FM71" study were in line with data generated
in the previous 1,000 patient, "FM57" Phase 3 clinical study and
broadly comparable with data from a "real world" home use study
conducted by one of Futura's distribution partners. Safety and
tolerability data were highly positive, with no serious adverse
events recorded in any subjects on MED3000 and overall, a highly
favourable side effects profile. All primary and secondary
endpoints were achieved at 24 weeks, notably showing a clinically
important improvement in erectile function across mild, moderate
and severe ED sufferers, as well as statistically significant
improvement in erectile function compared to baseline. Furthermore,
a secondary endpoint showing a 10-minute onset of action was met,
demonstrably faster than the well-known US prescription oral
medication used in a comparator treatment arm of the study.
Accumulated MED3000 clinical data demonstrates that the product
presents an effective treatment option with a rapid onset of action
and a favourable risk versus benefit profile ideally suited to men
with mild to moderate ED. MED3000 is expected to provide an
alternative to existing ED treatments, that require a doctor's
prescription, for those men seeking fewer systemic side-effects,
and a spontaneous intercourse experience.
Data from this confirmatory clinical study, FM71, alongside
additional data from FM57, supports the US regulatory submission
for MED3000 as a medical device for ED treatment. In March 2023,
Futura announced that MED3000 was under active review with the FDA,
including a recent meeting, regarding US marketing authorisation.
As a regular part of its review process, the FDA asked some
additional questions and requested some non-clinical confirmatory
data to which the Company has provided a full response and the
requested confirmatory data to enable the FDA to complete its
review. Based on the FDA's published target review period
guidelines to include time to review the newly provided
information, grant of the De Novo request is now expected to be
achieved in Q2 2023.
Achieving FDA approval remains a critical focus as it will
significantly de-risk MED3000 and optimise the negotiating position
as discussions regarding US commercialisation rights progress.
In early 2023, Futura personnel, alongside representatives from
our commercial partners, attended the European Society for Sexual
Medicine Congress in Rotterdam where we presented clinical data on
MED3000. We co-hosted an Eroxon(R) stand and were pleased with the
positive interest from congress attendees who welcomed the new
innovation in ED . It is an exciting prospect that we are bringing
a truly unique and differentiated treatment option to the
market.
The Company is currently fully focused on achieving MED3000 FDA
approval and US launch, however post approval, our attention will
move towards the next stage of innovation as we look to extend the
Eroxon(R) pipeline and grow the business further.
2023 is going to be an exciting and pivotal year for the
Company, with several further significant milestones expected,
including first reported revenues and we look forward to providing
further updates to shareholders as Eroxon(R) is launched in a
growing number of countries and we continue to sign further
commercial agreements and expand our business globally.
James Barder
Chief Executive Officer
On behalf of the Board
Operational Review
DermaSys(R) - Futura Medical's innovative, proprietary patented
transdermal technology platform
Futura's unique patented technology DermaSys(R) is designed to
deliver clinically proven effective medical treatments via the
skin.
DermaSys(R) is a versatile and bespoke technology. Each product
is uniquely formulated using the DermaSys(R) platform with volatile
solvent component formulations tailored for each product to suit
the specific therapeutic indication and desired speed of onset and
duration of action. Such targeted delivery offers an optimised
profile in terms of dose, onset time and duration of effect, as
well as an improved safety profile reducing the risk of side
effects. Each product is formulated to maximise its benefits for
patients and consumers. Each new unique formulation offers the
opportunity for additional patent applications and potential patent
protection.
MED3000 - Futura's novel, fast acting topical gel formulation
for the treatment of Erectile Dysfunction ("ED")
MED3000 is CE marked in Europe and UKCA marked in the UK, as a
clinically proven topical treatment for adult men with ED that
helps men get an erection within 10 minutes. Studies have shown
MED3000 to be an effective treatment for ED with an excellent
safety profile. MED3000 has a unique physical evaporative mode of
action which the Company believes stimulates nerve endings in the
glans penis to cause an erection.
Faster than on-demand oral tablet phosphodiesterase-5 inhibitors
("PDE5i's" - oral treatments for the treatment of ED such as
Viagra(R), Levitra (R) and Cialis (R) and their generic
equivalents), MED3000 has significant benefits allowing spontaneous
rather than pre-planned sexual intercourse.
The prevalence of ED disrupts the lives of at least 1 in 5 men
globally(2) with around 22 million men suffering ED in the US and
20 million men in the UK, France, Italy, Spain and Germany(1) .
There has been little innovation in ED treatments for nearly two
decades and many patients continue to suffer dissatisfaction with
existing treatments. The US market, in particular, continues to
evolve following the expiry of the PDE5i's patent protection and
the advent of subscription services such as For Hims and Go Roman
which offer a branded concierge service for ED prescription
medicines online. This increased affordability of generic PDE5i's
is driving volumes, especially in the USA which has increased by
85% between 2018 and 2020(3) .
US market research conducted in 2022 by IPSOS and commissioned
by Futura has confirmed that even with increasing volumes, the
requirement of a doctor's prescription remains both an economic and
emotional barrier to use: US patients spend between US$600 and
US$3,500 per annum on ED treatments, when taking into account both
prescription costs and doctors' visits not covered by insurance(4)
. This reconfirms the significant opportunity that MED3000
represents with OTC availability.
Futura's objective of OTC status as a clinically proven
treatment for ED for MED3000, particularly in the USA, continues to
be a top priority given the limited availability of OTC PDE5i's
around the world.
In January 2022 BfArM's (the Federal Institute for Drugs and
Medical Devices in Germany) Expert Committee for Prescription
rejected the prescription to OTC reclassification of sildenafil
(50mg) for oral use to treat ED. Sildenafil currently has OTC
status only in Ireland, New Zealand, Norway, Poland, and the
UK.
In March 2022, the Office for Registration of Medicinal
Products, Medical Devices and Biocidal Products approved the
prescription to OTC reclassification of Adamed Pharma's Tadalafil
Maxon (10 mg) in Poland. Similarly, a proposal for OTC availability
of Tadalafil 10 mg is believed to be under consideration by the
Medicines and Healthcare products Regulatory Agency ("MHRA"), in
the UK.
Continuing regulatory and commercial progress for MED3000
CE marked as Class 2 medical device from the EU Notified Body
and UKCA marked (following Brexit), Futura's novel, fast-acting
topical gel formulation MED3000, is the first clinically proven
topical treatment for adult men with ED available without a
doctor's prescription that helps men get an erection within 10
minutes.
The CE mark approval of MED3000 from the EU Notified Body paves
the way for approval in many countries around the world, including
in Latin America, the Middle East, Africa and the Far East regions,
with many countries considering "fast-track" review based on
recognition of the EU CE mark.
USA - the largest potential OTC ED market globally
In October 2022, Futura filed an application for Marketing
Authorization as a De Novo Medical Device, presenting the case that
MED3000 is an effective clinically proven treatment for ED with a
10-minute onset of action and a favourable benefit versus risk
profile ideally suited for OTC classification. This followed
positive results achieved in the FDA required, confirmatory, Phase
3 clinical trial, FM71, designed to provide supplementary efficacy
data to the previously reported Phase 3 clinical study FM57.
The submission of the marketing application has opened the
pathway for commercialisation of MED3000 in the USA, the biggest
potential OTC ED market worldwide, with our key differentiator of a
clinically proven treatment for ED with a rapid speed of onset.
FM71 - Highly positive results with all primary and secondary
endpoints achieved
In August 2022, Futura announced positive results from FM71, in
line with data generated in FM57 and broadly comparable with a
recent "real world", home use study conducted by one of Futura's
distribution partners.
FM71 was a multi-centre, randomised, open-label, home use,
parallel group, clinical investigation of MED3000 compared to a
well-known US prescription oral medication. The trial design and
clinical endpoints were agreed with the FDA and the trial used gold
standard, internationally accepted clinical trial endpoints in
ED.
FM71 investigated the efficacy and safety of MED3000 in 96 male
subjects clinically diagnosed with a mix of mild, moderate and
severe ED against baseline (pre-treatment).
FM71 results demonstrated that MED3000 presents an effective
clinically proven treatment for ED with a 10-minute onset of action
and a favourable benefit versus risk profile ideally suited for OTC
classification.
MED3000 has the opportunity to provide an alternative option to
existing ED treatments, that require a doctor's prescription, for
those patients seeking fewer systemic side-effects, and a
spontaneous intercourse experience. It also provides an important
treatment option for those patients who are currently precluded
from using current prescription treatments such as those men taking
nitrate medication.
FM71 also included pre-agreed FDA criteria for proving a rapid
onset of action. Data demonstrated a highly statistically
significant improvement, P<0.001, at 10 minutes where subjects
noticed an erection. The comparator product, a well-known US
prescription oral medication, did not meet the criteria at the same
time point. Oral "on demand" tablets typically take 30-60 minutes
to work and therefore a claim regarding MED3000's rapid onset of
action represents a significant advancement in therapy over
existing oral on demand treatments.
USA Regulatory status
Following the successful FM71 study results, Futura filed an
application for Marketing Authorization of MED3000 as a De Novo
Medical Device, presenting the case that MED3000 is an effective
clinically proven treatment for ED with a rapid onset of action and
a favourable benefit versus risk profile ideally suited for OTC
classification, without the need for a doctor's prescription.
The FDA has now confirmed that the dossier is under formal
review having passed the initial technical screen, and the
application is now undergoing further review. In March 2023, Futura
announced that MED3000 was under active review with the FDA,
including a recent meeting, regarding US marketing authorisation.
As a regular part of its review process, the FDA asked some
additional questions and requested some non-clinical confirmatory
data to which the Company has provided a full response and the
requested confirmatory data to enable the FDA to complete their
review. Based on the FDA's published target review period
guidelines to include time to review the newly provided
information, grant of the De Novo request is now expected to be
achieved in Q2 2023.
In anticipation of FDA approval, Futura is actively seeking a US
commercial partner and is engaged in several ongoing active
discussions. Further updates will be provided in due course.
MED3000 - Commercialisation and launch plans
M ultiple commercial agreements in key markets
Futura is establishing a network of licensing and distribution
partners with strength in brand building, pharmaceutical
credibility, regional infrastructure and marketing expertise for
long-term distribution of MED3000 across the globe.
With multiple commercial agreements in key markets, Futura is
continuing to expand its strong network of licensing and
distribution partners and initial launches have commenced under the
brand name Eroxon(R) in March 2023 with further launches planned
through the remainder of 2023 and beyond.
European Economic Area, United Kingdom and Switzerland - Cooper
Consumer Health ("Cooper")
In May 2022, Futura announced an exclusive licensing agreement
with Cooper, a leading European independent self-care organisation,
for the rights to commercialise MED3000 throughout the EEA, the UK
and Switzerland. Under the terms of the agreement, Futura received
an initial upfront payment, and will receive undisclosed cumulative
sales milestone payments. The agreement is for an initial term of
five years complying with EU competition law.
Futura will remain legal manufacturer and will be responsible
for the supply of MED3000, through its third-party contract
manufacturers.
South Korea - Menarini Korea Limited ("Menarini Korea")
In March 2022, Futura announced that it had entered into a
licensing agreement with Menarini Korea, a wholly owned subsidiary
of Menarini Group, for the exclusive rights to commercialise
MED3000 in South Korea. Under the terms of the agreement, Menarini
will be responsible for all costs related to the regulatory
approval and marketing of the product in the region, including a
clinical bridging study if necessary. Futura will provide
reasonable technical support for product development and
commercialisation and received an upfront payment and will supply
MED3000 from Futura's third party contract manufacturers. Menarini
is now in discussions with the Korean regulator relating to the
marketing authorisation of Eroxon(R).
Gulf Co-operation Council ("GCC") region and Middle East -
Labatec Pharma ("Labatec")
Swiss-based specialty pharma company Labatec has the rights to
exclusively commercialise MED3000 in the GCC region as well as
Jordan, Lebanon and Iraq. The initial licence agreement term is for
eight years with the ability to extend for successive two-year
terms by mutual consent.
Brazil and Mexico - m8 Pharmaceuticals Inc ("m8")
Specialty biopharmaceutical company m8 has the rights to
exclusively develop and commercialise MED3000, in Brazil and
Mexico, the two biggest countries and healthcare markets in Latin
America. The agreement is for an initial term of 15 years. m8 will
be responsible for all costs related to the regulatory approval and
marketing of the product. Futura will provide reasonable ongoing
technical support for OTC product development and
commercialisation.
China and South East Asia
As previously referenced, our prospective Chinese commercial
partner, Co-high is unable to deliver on key development and
regulatory milestones previously set out in the agreement which was
announced in March 2021. Futura is continuing to explore
alternative options and has received interest from several
potential parties for the commercialisation of MED3000 in South
East Asia including China. South East Asia and China remain a
significant commercial opportunity, although further clinical
trials will be required, as previously disclosed.
USA commercialisation strategy
In line with the Board's US commercialisation strategy,
following the successful completion of FM71 and the FDA dossier
submission completed in October 2022, Futura commenced the search
for a US commercial partner through its specialist corporate
advisors. Futura has also received a number of enquiries regarding
commercialisation opportunities for MED3000 for the key US market,
and the Board, along with its advisors, is focused on securing the
best options in order to maximise long-term value and sustainable
revenues, whilst minimising risk for Futura's shareholders.
Manufacturing
Manufacturing scale up was completed in H2 2022 with sufficient
production capacity on-stream to meet projected initial demand and
beyond. First commercial manufacturing orders have been received.
Options for additional manufacturing sites to increase supply chain
robustness continue to progress. MED3000 supply is ISO 13485
accredited with a competitive cost of goods and has an approved
42-month shelf-life in Europe, giving significant distribution
flexibility, mindful of transport times between the country of
manufacture and final country of sale.
Intellectual Property: Patents, Trademarks and exclusively
supplied, Critical Ingredients
Futura's corporate strategy is to develop layers of protection
around its products, in particular MED3000. The Company continues
to work with specialist patent and trademark advisors to further
refine and optimise this strategy. In line with normal PCT filing
procedures, MED3000 patents are now filed in all major ED markets
considered necessary to protect the commercial interests of
MED3000. A request to the European Patent Office was made in August
2021 for examination of the MED3000 patent application and in Q2
2022 it confirmed the novel and inventive nature of the
application, which is required before a patent can be granted,
although further review continues.
Education and outreach on erectile dysfunction and MED3000
In October 2022, Futura held an Advisory Panel meeting at the
Sexual Medicine Society of North America ("SMSNA") in Miami, USA.
The Panel was comprised of eight world renowned experts in Sexual
Medicine from the USA, Europe, UK and Brazil who convened to
discuss MED3000's clinical data, its unique mode of action and how
it could be used as a treatment alternative for ED. MED3000 was
acknowledged by the Advisory Panel as a potentially safe,
fast-acting and effective treatment for addressing the unmet
medical need of ED via OTC. Two members of the Panel, Professor
Hellstrom and Dr Glina recorded their specific thoughts on how
MED3000 might be of benefit to patients. The video can be accessed
via the Futura Medical website www.futuramedical.com .
In February 2023, Futura presented clinical data on MED3000 as
part of a Poster presentation at the European Society for Sexual
Medicine ("ESSM") Congress in Rotterdam, highlighting the recent,
confirmatory FM71 Phase 3 study results. The Company co-hosted an
Eroxon(R) booth with its distribution partners and received strong
interest from a number of congress attendees who welcomed the new
innovation in the ED sector.
Futura is delighted with the feedback from attendees, which very
much echoed the sentiment seen at the 2022 advisory meeting.
Research and Development
Futura is committed to delivering long-term and sustainable
value to the Company allowing a long-lasting growth franchise to be
built around MED3000 and DermaSys(R) formulated products.
Whereas Futura's priority remains the approval and subsequent
successful launch of MED3000 in major markets throughout the world,
Futura aims to build a significant MED3000 franchise across sexual
health by leveraging and expanding its unique knowledge and
expertise in underserved and new categories in sexual health,
building upon market research already undertaken to identify
product extensions and potentially new market segments for OTC
products.
Outlook
Futura is pleased and excited by the progress made in
accomplishing its strategic objective of creating a global network
of distribution partners with strength in brand building,
pharmaceutical credibility, infrastructure and marketing expertise,
for long-term profitable distribution of MED3000 across the
world.
We are delighted that the initial launch of MED3000 under the
brand name Eroxon(R) has recently commenced and look forward to
further launches through our distribution partners as soon as
practicable after regulatory approval allows.
We are also firmly focused on gaining marketing authorisation in
the key market of the USA in the near term to enable the marketing
of MED3000 as a clinically proven topical treatment for ED with a
rapid speed of onset and without the need for a doctor's
prescription.
Thank you for your continued support of Futura Medical.
1. 2021 JSB Partners estimate based on US Census International
Programs Population by age groups and "Prevalence of erectile
dysfunction: Massachusetts Male Aging Study", 1987 +/- 1989; source
Kleinman et al. J Clin Epidemiol 2000 .
2. EMA, Withdrawal assessment report for Viagra, 2008
3. Manufacturers' Selling Prices, IQVIA 2020 market data
4. Ipsos research commissioned by Futura, 2022
Financial Review
As outlined in the Chairman's Statement and Chief Executive's
Review, Futura continued to focus its financial resources on
MED3000, its fast-acting gel treatment for erectile dysfunction
("ED") concentrating on the US path to regulatory submission, and
enabling commercialisation through securing licensing and
distribution deals with commercial partners to build and grow a
worldwide distribution and marketing network.
In 2022, the Company entered into licensing agreements with
Menarini Korea for exclusive rights to commercialise MED3000 in
South Korea and with Cooper Consumer Health for rights throughout
the European Economic Area, the United Kingdom and Switzerland.
First orders were received from Cooper Consumer Health to fulfil
initial launches.
Following highly positive results from the FM71 Phase 3 clinical
study, the Company filed a regulatory dossier with the US FDA in
October 2022 and also formally commenced the search for a US
partner ahead of the planned approval in 2023.
Revenue
Initial orders for Eroxon(R) were received during the year with
delivery anticipated early 2023. No revenue was recognised in the
period (please see Note 2.4 for more information).
Research and Development costs
Research and Development (R&D) costs for the period ended 31
December 2022 were GBP4.13 million, compared to GBP3.77 million for
the period ended 31 December 2021. The increase of GBP0.36 million
reflects the completion of the FM71 study and continuing
manufacturing scale-up activities ahead of anticipated Eroxon(R)
launches.
There was no capitalisation of R&D costs in 2022. (2021:
nil)
Administrative costs
Administrative costs were GBP2.74 million for the period ended
31 December 2022 compared to GBP2.09 million for the period ended
31 December 2021. This is an increase on the prior year and partly
driven by higher costs associated with supporting commercial
partners and supply chain activities in readiness for launching
Eroxon(R) over the next year. In addition, there were some one-off
costs incurred relating to fees associated with negotiating and
concluding commercial arrangements for MED3000.
Tax
It is expected that an R&D tax credit of GBP1.02 million
will be claimed in respect of 2022 and the cash refund is expected
to be received mid-2023 from HMRC.
Loss per share
The basic loss per share for 2022 was 2.03p (2021: 1.83p).
Details of the loss per share calculations are provided in Note 10
to the Preliminary Results.
Cash balance
The cash balance at the end of 2022 was GBP4.03 million (2021:
GBP10.37 million). Cash burn during the year was GBP6.34 million
(2021: GBP4.39 million) primarily in relation to the completion of
the FM71 clinical study, manufacturing capital equipment and
scale-up activities associated with MED3000. Other one-off costs
associated with the conclusion of commercial agreements with
MED3000 licensing and distribution partners were also incurred.
Current cash runway extends beyond initial Eroxon(R) launches
expected over the next year and expected US regulatory approval in
2023, assuming conservative revenues are received from existing
launches.
Going Concern
The Board has considered the applicability of the going concern
basis in the preparation of the financial statements.
Notwithstanding a loss for the year ended 31 December 2022 of
GBP5,846,495, the Board considers that, based on the reasons set
out in Note 2.2 of the Preliminary Results, the preparation of the
financial statements on a going concern basis remains appropriate.
However, it also acknowledges that a material uncertainty exists
that may cast significant doubt on the Group's ability to generate
sufficient net revenues and raise sufficient finance to meet its
expected costs and to continue as a going concern and to realise
its assets and discharge its liabilities in the normal course of
business.
The auditor's report includes reference to the material
uncertainty relating to going concern. Further information in
relation to going concern can be found in Note 2.2 of the
Preliminary Results.
Angela Hildreth
Finance Director and Chief Operating Officer
Preliminary Results -
http://www.rns-pdf.londonstockexchange.com/rns/3928V_1-2023-4-4.pdf
to view Futura Medical's Preliminary Results
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