Prospectus Supplement No. 13

Filed Pursuant to Rule 424(b)(3)

Registration Statement No. 333-201841

Prospectus Supplement No. 13

to Prospectus dated February 26, 2015

 

LOGO

2,500,000 Shares

Common Stock

 

 

This Prospectus Supplement No. 13 supplements and amends our prospectus dated February 26, 2015 (the “Prospectus”), relating to the sale, from time to time, of up to 2,500,000 shares of our common stock by Aspire Capital Fund, LLC.

This prospectus supplement is being filed to include the information set forth in our Current Report on Form 8-K filed with the Securities and Exchange Commission on July 24, 2015. This prospectus supplement should be read in conjunction with the Prospectus and any amendments or supplements thereto, which are to be delivered with this prospectus supplement, and is qualified by reference to the Prospectus, except to the extent that the information in this prospectus supplement updates or supersedes the information contained in the Prospectus, including any amendments or supplements thereto.

Our common stock trades on the NASDAQ Capital Market under the ticker symbol “REPH.” On July 23, 2015, the last reported sale price per share of our common stock was $15.24 per share.

 

 

Investing in our common stock involves risk. Please read carefully the section entitled “Risk Factors” beginning on page 8 of the Prospectus.

Neither the Securities and Exchange Commission nor any state securities commission has approved or disapproved these securities or determined if the Prospectus or this prospectus supplement is truthful or complete. Any representation to the contrary is a criminal offense.

 

 

The date of this Prospectus Supplement No. 13 is July 24, 2015.


 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 8–K

 

 

CURRENT REPORT

Pursuant to Section 13 OR 15 (d)

of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): July 24, 2015

 

 

Recro Pharma, Inc.

(Exact name of registrant as specified in its charter)

 

 

 

Pennsylvania   001-36329   26-1523233

(State or other jurisdiction

of incorporation)

 

(Commission

File Number)

 

(I.R.S. Employer

Identification No.)

 

490 Lapp Road,

Malvern, Pennsylvania

  19355
(Address of principal executive offices)   (Zip Code)

Registrant’s telephone number, including area code: (484) 395–2470

Not Applicable

(Former name or former address, if changed since last report.)

 

 

Check the appropriate box below if the Form 8–K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

¨ Soliciting material pursuant to Rule 14a–12 under the Exchange Act (17 CFR 240.14a–12)

 

¨ Pre–commencement communications pursuant to Rule 14d–2(b) under the Exchange Act (17 CFR 240.14d–2(b))

 

¨ Pre–commencement communications pursuant to Rule 13e–4(c) under the Exchange Act (17 CFR 240.13e–4(c))

 

 

 


Item 8.01 Other Events.

On July 24, 2015, Recro Pharma, Inc. (the “Company”) issued a press release announcing additional results for the Company’s Phase II clinical trial of Dex-IN, a proprietary intranasal formulation of dexmedetomidine, for the treatment of acute pain in adult patients undergoing bunionectomy surgery. A copy of the press release is filed as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated herein by reference.

On July 24, 2015, the Company updated information reflected in a slide presentation, which is attached as Exhibit 99.2 to this Current Report on Form 8-K and is incorporated herein by reference. Representatives of the Company will use the updated presentation in various meetings with investors from time to time.

 

Item 9.01 Financial Statements and Exhibits.

(d) Exhibits

 

Exhibit

No.

  

Document

99.1    Press release of Recro Pharma, Inc., dated July 24, 2015.
99.2    Investor presentation of Recro Pharma, Inc., dated July 24, 2015.


SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

Date: July 24, 2015

 

Recro Pharma, Inc.
By:

/s/ Gerri A. Henwood

Name: Gerri A. Henwood
Title: Chief Executive Officer


EXHIBIT INDEX

 

Exhibit

No.

  

Document

99.1    Press release of Recro Pharma, Inc., dated July 24, 2015.
99.2    Investor presentation of Recro Pharma, Inc., dated July 24, 2015.


Exhibit 99.1

Recro Pharma Announces Additional Information for Phase II Clinical Trial of Dex-IN

Additional safety and efficacy information provided

MALVERN, PA, July 24, 2015 – Recro Pharma, Inc. (Nasdaq: REPH), a revenue generating specialty pharmaceutical company developing multiple non-opioid therapeutics for the treatment of acute post operative pain, today announced additional results from the Phase II clinical trial for Dex-IN, a proprietary intranasal formulation of dexmedetomidine, for the treatment of acute pain in adult patients undergoing bunionectomy surgery. As previously released, Dex-IN met the primary endpoint of the clinical trial in demonstrating significant pain relief compared with placebo over 48 hours (p=0.0214). The Company plans to meet with the FDA to discuss the Company’s Phase III plans and determine what, if any, additional information will be required in association with the Phase III clinical program for Dex-IN.

The Phase II trial was a randomized, multicenter, double-blind, placebo-controlled study to evaluate the efficacy and safety of Recro Pharma’s proprietary intranasal formulation of dexmedetomidine, Dex-IN, in adult patients undergoing bunionectomy surgery, initiating dosing of study medication on Post Op Day 1. Patients who met the eligibility criteria were randomized to either a 50µg dose of Dex-IN or a placebo intranasal dose given every 6 hours. Following the beginning of treatment, patients remained under observation for 48 hours at study centers. Patients were followed for 7 days after the initial dose of study medication. There was an oral opioid rescue treatment available to patients in either treatment group, if required, to provide adequate pain relief. A total of 168 patients were randomized and received study medication in the clinical trial, 84 patients in each treatment group. The key subject characteristics are listed in Table 1 below. The one discontinued subject was for a serious adverse event of hypotension.

Table 1: Summary of Key Subject Characteristics REC-14-013

 

     Placebo      DEX-IN 50 µg  

Characteristic

   (N = 84)      (N =84)  

Female, n (%)

     75 (89.3      79 (94.0

Age, Mean

     44         43.9   

(range)

     (46 - 70      (46 - 69

Discontinued Subjects, n (%)

     3 (3.6      4 (4.8

Lack of Efficacy

     3 (3.6      3 (3.6

Adverse Event

     0         1 (1.2

Race, n (%)

     

White

     56 (66.7      59 (70.2

Black/African American

     21 (25.0      20 (23.8

Other

     7 (8.4      5 (6.0

Baseline PI Score, Mean

     6.7         6.4   

(range)

     (4 - 10      (4 - 10

The primary efficacy endpoint of the trial was the summed pain intensity difference over 48 hours, SPID48, utilizing the last observation carry forward analysis method. Additional efficacy endpoints included use of opioid rescue medication, SPIDs over various time intervals, as well as other standard efficacy analyses. An adverse event of bradycardia was reported in 3 subjects in the Dex-IN treatment group. No patients with blood pressure decrease, hypotension nor with bradycardia required medication to treat these events. The most frequently reported adverse events reported in the Dex-IN group from the REC-14-013 trial are summarized in Table 2 below.


Table 2: Summary of Key Safety Data of Interest REC-14-013

 

     n (%) of Subjects  
     Placebo      DEX-IN 50 µg  

Adverse Event

   (N = 84)      (N =84)  

BP Decreased

     3 (3.6      22 (26.2

Nausea

     14 (16.7      13 (15.5

Nasal Discomfort

     2 (2.4      7 (8.3

Headache

     4 (4.8      6 (7.1

Vomiting

     6 (7.1      4 (4.8

Nasal Dryness

     3 (3.6      4 (4.8

Nasal Congestion

     1 (1.2      4 (4.8

Nasal Obstruction

     2 (2.4      3 (3.6

Bradycardia

     0         3 (3.6

Dizziness

     1 (1.2      3 (3.6

Hypotension

     0         3 (3.6

All nasal related adverse events were rated as mild, except one case of nasal congestion rated as moderate.

Bunionectomy surgery generally involves an incision in the top or side of the big toe joint and the removal or realignment of soft tissue and bone. This is done to relieve pain and restore normal alignment to the joint. Bunionectomy surgery typically results in intense post operative pain. In the past, drugs that have demonstrated analgesic effectiveness following bunionectomy surgery have frequently translated that analgesic success into other post operative procedures that result in moderate to severe, acute pain.

About Recro Pharma, Inc.

Recro Pharma is a revenue generating specialty pharmaceutical company developing multiple non-opioid therapeutics for the treatment of acute post operative pain. Recro Pharma is currently developing IV/IM meloxicam, a proprietary, Phase III-ready, long-acting preferential COX-2 inhibitor, and Dex-IN, a proprietary intranasal formulation of dexmedetomidine that has completed Phase II clinical trials, for the treatment of acute post operative pain. As Recro Pharma’s product candidates are not in the opioid class of drugs, the Company believes its candidates would avoid many of the side effects associated with commonly prescribed opioid therapeutics, such as addiction, constipation and respiratory distress, while maintaining analgesic effect.

Recro Pharma also owns and operates an 87,000 square foot, DEA-licensed facility that manufactures five commercial products and receives royalties associated with the sales of these products.

Cautionary Statement Regarding Forward Looking Statements

This press release contains forward-looking statements that involve risks and uncertainties. Such forward-looking statements reflect Recro Pharma’s expectations about its future performance and opportunities that involve substantial risks and uncertainties. When used herein, the words “anticipate,” “believe,” “estimate,” “upcoming,” “plan,” “target”, “intend” and “expect” and similar expressions, as they relate to Recro Pharma or its management, are intended to identify such forward-looking statements. These forward-looking statements are based on information available to Recro Pharma as of the date of this press release and are subject to a number of risks, uncertainties, and other factors that could cause


Recro Pharma’s performance to differ materially from those expressed in, or implied by, these forward-looking statements. Recro Pharma assumes no obligation to update any such forward-looking statements. Factors that could cause Recro Pharma’s actual performance to materially differ from those expressed in the forward-looking statements set forth in this press release include, without limitation: results and timing of the clinical trials of IV/IM meloxicam and Dex-IN; the ability to obtain and maintain regulatory approval of IV/IM meloxicam and Dex-IN, and the labeling under any such approval; regulatory developments in the United States and foreign countries; the Company’s ability to raise future financing for continued development; the performance of third-party suppliers and manufacturers; the Company’s ability to obtain, maintain and successfully enforce adequate patent and other intellectual property protection; the successful commercialization of IV/IM meloxicam and Dex-IN; In addition, the forward-looking statements in this press release should be considered together with the risks and uncertainties that may affect Recro Pharma’s business and future results included in Recro Pharma’s filings with the Securities and Exchange Commission at www.sec.gov. Recro Pharma assumes no obligation to update any such forward looking statements.

CONTACT:

Recro Pharma, Inc.

Charles T. Garner

Chief Financial Officer

(484) 395-2425

Media and Investors:

Argot Partners

Susan Kim

(212) 600-1902

susan@argotpartners.com


Relieving pain…….Improving lives
Exhibit 99.2


Special Note Regarding Forward-Looking
Statements
This presentation includes forward-looking statements within the meaning of Section
27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of
1934.  These statements, among other things, relate to our business strategy, goals
and expectations concerning our product candidates, future operations, prospects,
plans and objectives of management.  The words "anticipate", "believe", "could",
"estimate", "expect", "intend", "may", "plan", "predict", "project", "will" and similar terms
and phrases are used to identify forward-looking statements in this presentation.  Our
operations involve risks and uncertainties, including the integration of our recently
acquired assets, many of which are outside our control, and any one of which, or a
combination of which, could materially affect our results of operations and whether the
forward-looking statements ultimately prove to be correct. These forward-looking
statements should be considered together with the risks and uncertainties that may
affect our business and future results included in our filings with the Securities and
Exchange Commission at www.sec.gov.  These forward-looking statements are based
on information currently available to us, and we assume no obligation to update any
forward-looking statements except as required by applicable law.
2


Company Highlights
Multiple non-opioid therapeutics in advanced clinical
development for acute post operative pain
IV/IM
meloxicam
Phase
III
ready –
long
acting,
demonstrated efficacy in successful Ph II trials
Dex-IN –
proprietary,
intranasal
therapeutic
with
recently announced positive Ph II results
Revenue and cashflow
positive manufacturing &
royalty business
Experienced management team with significant
development, regulatory and commercial experience
3


Experienced Management and Board
Gerri
Henwood
President
and
CEO
Founded Auxilium
Pharmaceuticals (AUXL,
NASDAQ) and IBAH (former NASDAQ Co.
acquired 1998); GSK
Chuck
Garner
CFO,
CBO
and
Treasurer
Over 14 years of life sciences investment
banking experience –
Deutsche Bank, Burrill
& Co., Inverness Advisors; PwC
Randy
Mack
SVP,
Development
Over 20 years of clinical development
experience
Adolor,
Auxilium,
Abbott
Labs
and Harris Labs
Board of Directors
Wayne
B.
Weisman 
Chairman
SCP VitaLife
Partners
Winston J. Churchill
SCP VitaLife
Partners
Gerri
Henwood
CEO
William L. Ashton
Harrison Consulting Group; frmly
Amgen
Abraham Ludomirski, M.D.
SCP VitaLife
Partners
Alfred Altomari
CEO, Agile Therapeutics
Michael Berelowitz, M.D.
Former SVP, Specialty Care Business
Unit, Pfizer
4


Recent Transformative Transaction
Acquired IV/IM meloxicam and manufacturing & royalty
business from Alkermes
$50M up-front cash payment; meloxicam milestones and royalties
Warrants
issued
to
Alkermes
and
OrbiMed
Non-dilutive up-front financed by loan from OrbiMed
IV/IM
meloxicam
long
acting
preferential
COX-2
inhibitor
for
moderate
to
severe
acute
pain
ready
for
Ph
III
Widely prescribed, approved oral chronic pain therapeutic
Multiple Phase II studies successfully completed in acute pain
models
Dosing advantages over existing acute pain therapeutics, including
long action
Manufacturing, royalty and formulation business
87,000 sq. ft. facility (DEA licensed) manufactures 5 commercial
products marketed by partners
$75M in revenues and cashflow
positive (2014)
5


Positive Dex-IN Ph II Results
(REC-14-013
Post
Op
Day
1
Dosing)
Randomized, placebo
controlled
Phase
II
bunionectomy
study
(168 patients)
Randomized, placebo controlled study
50 mcg of Dex-IN or placebo every 6 hours
Primary
endpoint
SPID48
(p=0.0214)
Oral opioid rescue therapy allowed
6 patients discontinued for lack of efficacy (3 in each treatment
group) and 1 patient due to serious adverse event of hypotension
Most common adverse events observed in the study were:
blood pressure decrease / hypotension
nausea (similar incidences to placebo)
nasal discomfort and headache
Adverse event of bradycardia was reported in 3 subjects in the
Dex-IN treatment group
6


Clinical Stage Pipeline
Product
PC
I
II
III
Rights
Meloxicam
WW
IV formulation
Acute post operative pain
Phase III ready
IM formulation
Acute pain
Dexmedetomidine
(Dex)
WW, exc. Europe, Turkey, CIS
Dex-IN (intranasal)
Acute post operative pain
Cancer breakthrough pain
Dex-SL (sublingual)
Fadolmidine
(Fado)
WW, exc. Europe, Turkey, CIS
Intrathecal
Topical
7


Post Op Pain Market Underserved
$5.9 billion market
(1)
Predominantly opioid
use
Significant side
effects / issues
associated with
opioids
Dearth of non-opioid
drugs in development
Inpatient procedures
Total procedures (2009)
47.9M
Addressable
>25M
Ambulatory procedures
Total procedures (2006)
53.3M
Addressable
>25M
Note: Addressable includes procedures expected to
utilize pain medication.
Source: National Center for Health Statistics and
management estimates.
(1) GBI Research, 2010 sales.
8


Limited Pain Relief Options for Patients
Pain
Severity
Class
Compounds
Advantages
Disadvantages
Mild
Acetaminophen
Antipyretic properties;
Oral; no opioid AEs
Only effective for mild pain; short
acting
NSAIDs
Ketorolac,
ibuprofen, aspirin
Mild to moderate
analgesia; oral; no
opioid AEs
Bleeding risk; GI and renal
complications; short acting
Moderate
Sodium channel
blockers
Bupivacaine,
lidocaine
Use directly at pain
site; mostly peri-
operative
Limited duration of action; some are
concerned  about local tissue impact
Moderate to
Severe
Long-acting
preferential COX-2
IV/IM meloxicam
(Recro Pharma)
Long acting; fast onset,
high pain relief, and
less constipation
Bleeding risk; GI and renal
complications
Alpha 2 agonists
Dexmedetomidine
(Recro Pharma)
Good pain relief;
anxiolytic properties;
no respiratory
depression, impaired GI
or addictive properties
In development –
potential for first in
class to be approved for post-
operative pain
Opioids
Morphine,
hydrocodone,
oxycodone, fentanyl
Good pain relief
Respiratory depression, impaired GI
motility after even one dose;
frequent nausea and vomiting;
abuse/addiction potential
Note: Pain severity based upon market research / physician feedback
9


IV/IM Meloxicam


IV/IM Meloxicam Overview
FDA approved, oral preferential COX-2 inhibitor
used in a wide variety of indications
Proprietary long acting injectable form for moderate
to severe acute pain
Incorporates Alkermes’ NanoCrystal™ technology
Phase
III
ready
multiple
Phase
II
studies
completed on IV and a Phase I on IM
Positive Ph
II hysterectomy and dental pain studies with
demonstrated efficacy
IP issued through 2022 and additional IP could
extend protection through 2030
NanoCrystal
®
is
a
registered
trademark
of
Alkermes
plc.
11


Favorable Dosing Profile
Attribute
Meloxicam
Ketorolac
Caldolor
(ibuprofen)
Ofirmev
(APAP)
Route
IV/IM
IV/IM
IV
IV
Onset of pain
relief
< 10 min
30 min
N/A
N/A
Time to peak
analgesic effect
40 min
1-2 hrs
N/A
N/A
Duration of
pain relief
18-24
hrs
4-6 hrs
4-6 hrs
4-6 hrs
Admin.
IV bolus / pre-
filled syringe
(later)
Ready to use IV
bolus (15 sec)
Dilution required,
30 min infusion
Ready to use,
15
min infusion
12


IV/IM Meloxicam Clinical Overview
Elan/ALKS conducted 5 IV and 1 IM clinical trials
Two Phase 1 IV PK & Safety trials
One Phase 1 IM PK & Safety trial
Three Phase 2 IV efficacy trials in various acute pain
models
Good safety & tolerability across large dose range
IV/IM
Demonstrated efficacy using various measures in
multiple pain models
13


Multiple Successful IV Phase 2 Trials
Elan/ALKS have conducted 5 IV and 1 IM clinical trials
Trial
Design
Outcome
Phase II Study
N1539-02
Acute pain following dental
surgery (N = 230)
Statistically significant differences for all
doses compared to placebo were seen in
SPID24, pain relief and onset of pain relief
Phase II Study
N1539-04
Acute pain following open
abdominal hysterectomy
surgery (N = 486)
Statistically significant differences for all
doses compared to placebo were seen in
multiple efficacy analyses, including SPID24. 
meloxicam 30 mg and 60 mg produced the
greatest response with no difference
between doses
Phase II Study
N1539-05
Acute pain following
laparoscopic abdominal
surgery (N =50)
Study stopped early (planned N = 250) for
business reasons.  However, statistically
significant differences in SPID48 observed for
30mg QD dose despite small sample size
14


Phase II Abdominal Hysterectomy Study
Multicenter, single-dose, randomized, double-blind,
placebo-
& active-controlled study in Eastern Europe
In double-blind period, single doses of:
Placebo
IV Morphine (10-15 mg)
Meloxicam 5 mg, 7.5 mg, 15 mg, 30 mg, 60 mg
After 24 hours, open-label Meloxicam was available
Standard analgesia study design
Pain Intensity assessments (SPID24 = Primary Endpoint)
Pain Relief
Rescue mediation
Time to onset
15


Robust Efficacy
(Abdominal
Hysterectomy
Trial
IV
Meloxicam)
*** p < 0.001 vs. Placebo
***
***
***
***
***
***
16
(10,000)
-
10,000
20,000
30,000
40,000
50,000
60,000
Placebo
n=64
Morphine
n=62
5 mg
n=60
7.5 mg
n=91
15 mg
n=60
30 mg
n=60
60 mg
n=89


Confirmed Efficacy in Multiple Studies
Summary of Pain Intensity Differences (SPID)
*** p < 0.001 vs. Placebo
Dental Pain Study
p = 0.0682
p = 0.0392
Abdominal Laparoscopic Pain Study
17
0
20000
40000
60000
80000
100000
120000
140000
160000
180000
200000
-
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
***
***
***
***


Single 30 mg Dose Performance over 24 hrs
(Abdominal Hysterectomy
Trial
IV
Meloxicam)
Baseline Pain Level
60
18
-10
0
10
20
30
40
50
60
0
4
8
12
16
20
24
Time (Hours)
Placebo n=64
Morphine n=62
15 mg n=60
30 mg n=60
60 mg n=89


Well Tolerated
(Abdominal
Hysterectomy
Trial
IV
Meloxicam)
**Reported in 
3% of Subjects in any group and greater than Placebo
Meloxicam
Placebo
n=64
Morphine
n=62
5 mg
n=60
7.5 mg
n=91
15 mg
n=60
30 mg
n=60
60 mg
n=89
Anemia
3.1
4.8
3.3
13.2
3.3
1.7
10.1
Anemia Postoperative
-
1.6
-
-
-
3.3
-
Constipation
-
4.8
5.0
1.1
1.7
-
-
Flatulence
-
4.8
1.7
1.1
3.3
-
-
Hypokalaemia
-
3.2
1.7
1.1
-
1.7
-
Insomnia
4.7
8.1
10.0
4.4
5.0
5.0
4.5
Ketonuria
7.8
9.7
6.7
9.9
15
10
10.1
Leukocytosis
-
-
1.7
-
-
3.3
-
Pyrexia
1.6
3.2
3.3
2.2
-
-
-
Sinus Tachycardia
-
-
3.3
-
-
-
1.1
Percent of Subjects Reporting an Adverse Event **
19


Next Steps for IV Meloxicam
Production of a clinical supply batch
Conduct Phase III Pivotal Study in hard and soft
tissue models
Verify need for additional safety studies to meet
adequate exposures / special populations
20


Dexmedetomidine
(Dex)


Dex
Has Demonstrated Analgesia & Safety
Alpha 2 agonist (non-opioid)
Injectable
form
(Precedex)
marketed
by
Hospira
in
US
as
sedative
Multiple studies demonstrating analgesia of alpha 2 agonists
Intranasal formulation in clinical development for acute
pain
In-licensed non-IV rights from Orion
Worldwide
rights
except
Europe,
Turkey,
and
CIS
Multiple
studies
demonstrate
Dex
pain
relief
and
safe
profile
Including our completed placebo controlled trials
Expect strong IP position
Pending IP coverage could run through 2030
Expect to file 505(b)(2) NDA after completion of Ph
III
22


Dex
Efficacy and Safety in Multiple Studies
Beneficial effects
Source
Approved sedative and safe profile
NDA filing / pivotal trials -
Abbott/Hospira, Orion
Morphine sparing
NDA studies plus Literature
Analgesia by IV route
Chan, 2010; Grosu, 2010; Lin, 2009, Arain,
2010
Demonstration of pain relief (VAS)
Placebo controlled trials; L. Webster, MD
(Utah) CLBP study (Recro sponsored)
Positive PK/PD plasma levels
demonstrating analgesic potential
Clinical trials run by Recro
Relieves morphine Max
(hyperalgesia)
University of Minnesota; M. Belgrade, MD
23


Significant Advantages Over Opioids
Dex
Fast-acting Opioids
Non-opioid (Not controlled substance)
Opioid -
DEA scheduled product
No habituation effects
Addictive
Does not cause respiratory depression
Respiratory depression
Not associated with constipation,
nausea, or vomiting
Unwanted side-effects of constipation,
nausea and vomiting
Enhances morphine effectiveness
without morphine dose increase
Additive effect requires higher dose
More cognitively intact
Frequently Foggy/ may be confused
Anxiolytic
properties
Not anxiolytic
Effective Analgesic
Effective Analgesic
24


Dex
Has Been Well Studied by Recro
Evaluated proprietary formulations of Dex
in 10 trials
Trial
Form
Design
Outcome
REC-14-013
Dex-IN
Acute pain following
bunionectomy
surgery
(n=168)
Statistically significant difference of
SPID48 between 50 mcg of Dex-IN vs.
placebo (p=0.0214)
REC-13-012
Dex-IN
Acute pain following
bunionectomy
surgery
(n=85 evaluable)
Within subset of patients (n=42), with
baseline pain intensity of 6 or below,
there was a trend towards analgesia in 50
mcg and reduced opioid use vs placebo
REC-11-010
Dex-IN
Chronic lower back pain
POC study (n=24)
Statistically significant pain relief within
30 minutes demonstrated in placebo
controlled
trial
single
use
device
REC-09-003
Dex-SL
Chronic lower back pain
POC study (n=21)
Statistically significant reduction in pain
intensity demonstrated in placebo
controlled trial
25


Dex-IN Study REC-14-013
(US placebo controlled trial)
Phase II bunionectomy
study
Randomized, placebo controlled study
Primary
endpoint
SPID48
Oral opioid rescue therapy allowed
Post Op Day 1 dosing
50 mcg of Dex-IN or placebo every 6 hours
84 patients in each treatment group (168 in total)
Additional secondary endpoints included:
Use of opioid rescue medication
SPIDs over various time intervals
Other standard efficacy analyses
Patients followed for 7 days after initial dosing
26


Study REC-14-013
(SPID48
Primary
Endpoint)
27
Note: Last Observation Carried Forward Analysis Method
p = 0.0214
0
500
1000
2000
2500
3000
Placebo N = 84
DEX-IN 50 µg N = 84
1500


Study REC-14-013
(Subject Characteristics)
Placebo
(N=84)
DEX-IN 50 µg
(N=84)
Female, n (%)
75 (89.3)
79 (94.0)
Age, Mean
44
43.9
(range)
(46 -
70)
(46 -
69)
Discontinued Subjects, n (%)
3 (3.6)
4 (4.8)
Lack of Efficacy
3 (3.6)
3 (3.6)
Adverse Event
0
1 (1.2)**
Race, n (%)
White
56 (66.7)
59 (70.2)
Black/African American
21 (25.0)
20 (23.8)
Other
7 (8.4)
5 (6.0)
Baseline PI Score, Mean
6.7
6.4
(range)
(4 -
10)
(4 -
10)
28
**Serious Adverse Event of Hypotension


Study REC-14-013
(Adverse Events –
3 in Dex-IN Group)
29
If IV fluid given and no symptoms present, “BP Decrease”
recorded as AE
No medication given to any patient with BP or HR change
All nasal related AEs were rated as mild, except one case of nasal
congestion rated as moderate
Adverse Event
Placebo
(N=84)
DEX-IN 50 µg
(N=84)
BP Decreased
3 (3.6%)
22 (26.2%)
Nausea
14 (16.7%)
13 (15.5%)
Nasal Discomfort
2 (2.4%)
7 (8.3%)
Headache
4 (4.8%)
6 (7.1%)
Vomiting
6 (7.1%)
4 (4.8%)
Nasal Dryness
3 (3.6%)
4 (4.8%)
Nasal Congestion
1 (1.2%)
4 (4.8%)
Nasal Obstruction
2 (2.4%)
3 (3.6%)
Bradycardia
0
3 (3.6%)
Dizziness
1 (1.2%)
3 (3.6%)
Hypotension
0
3 (3.6%)


Clinical Pipeline Intellectual Property
IV/IM meloxicam
formulation
IP
through
2022
Additional IP filed could run to 2030
Dex applications for methods for treating/preventing pain
through intranasal
and
sublingual
formulations
without
significant sedation
Fado
IP in-licensed from Orion
Composition of matter
Method of administration for analgesia
Treatment and prevention of hypotension and shock
Pro-Drug
Regulatory exclusivity
505(b)(2)
3
years
(Meloxicam,
Dex-IN,
Dex-SL)
505(b)(1)
NCE,
5
years
(Fado)
30


Fadolmidine
(Fado)


Fado
Effective in Phase II for Pain Relief
Alpha 2 agonist
more potent at the alpha 2c receptor than Dex
>20 fold less potent at the alpha 1b receptor than clonidine
Fado
has demonstrated analgesia in multiple animal models
Positive
Phase
II
analgesia
study
in
bunionectomy
patients
Intrathecal route of administration
Formulation work underway for topical prototype
Potential in regional neuropathies
WW rights to all human uses except Europe, Turkey and CIS
NCE
patent
w/
expected
extension
to
2021
/
pursuing
add’l
IP
32


Corporate Overview


US Based Manufacturing Facility
34


Manufacturing & Royalty Overview
Manufacturing
facility
87,000 sq. ft. solid oral dosage manufacturing cGMP
DEA licensed
~165 employees
Service capabilities
Formulation,
process
development
and
optimization
Process scale-up
Clinical supply and validation
Commercial supply
Ritalin LA
Once
daily ADHD treatment
marketed by Novartis
Focalin
XR
ADHD treatment marketed by Novartis
Verelan
/ verapamil
CV/High blood pressure treatment
marketed by Actavis
and UCB
Zohydro
ER
Extended release hydrocodone marketed by Pernix
Launched
in 2014
Abuse deterrent form launched
35


Strong Historical Manufacturing Performance
Carve-out financials
Zohydro
ER –
abuse deterrent form launched
Additional capacity for new product opportunities
Positive cashflow
expected to cover all debt service
obligations and excess cashflows
to repay loan
principal
36
*EBITDA is a non-GAAP financial metric.  Please see slide 38 for additional information including a
reconciliation of Net Income to EBITDA.
(in millions)
12 months ended
Dec.
31, 2014
(audited)
3 months ended
March 31, 2015
3 months ended
March 31, 2014
Revenues
$75.2
$19.4
$16.6
EBITDA*
$29.2
$5.2
$6.8


Company Highlights
Multiple non-opioid therapeutics in mid to late stage
clinical development for acute post operative pain
IV/IM
meloxicam
Phase
III
ready
long
acting,
demonstrated efficacy in successful Ph II trials
Dex-IN
proprietary,
intranasal
therapeutic
with
recently announced positive Ph II results
Revenue and cashflow
positive manufacturing &
royalty business
Experienced management team with significant
development, regulatory and commercial experience
37


Supplemental Financial Information
Non-GAAP Reconciliation
(in millions)
12 months
ended
Dec.
31, 2014
(audited)
3 months
ended
March 31,
2015
3 months
ended
March 31,
2014
Net income
$14.3
$1.8
$3.5
Income
tax expense
$3.3
$0.6
$0.8
Impairment of long-lived assets
$1.4
$0.0
$0.0
Depreciation and amortization
$10.3
$2.9
$2.5
EBITDA
$29.2
$5.2
$6.8
38
The Company defines EBITDA as earnings before interest, taxes, depreciation and amortization. The
Company also presents EBITDA because it believes it is frequently used by securities analysts,
investors and other interested parties as a measure of financial performance. EBITDA has limitations as
an analytical tool, and when assessing the Company's operating performance, investors should not
consider EBITDA in isolation, or as a substitute for net income (loss) or other consolidated income
statement data prepared in accordance with U.S. GAAP.