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Orexo

Quarterly Report Nov 3, 2021

3093_10-q_2021-11-03_b420f427-3dc6-476f-803c-ab6ac4dc038b.pdf

Quarterly Report

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Q3 2021 Interim Report

Steady progression on our journey to build a broader and stronger Orexo

Q3 2021 highlights

Total net revenues of SEK 145.9 m (150.3)
--- ------------------------------------------- --

› Net earnings of -52.0 SEK m (-84.9)

› EBITDA of SEK -47.4 m (-20.9)

› US Pharma segment (ZUBSOLV® US) net revenues of SEK 136.4 m (143.8), in local currency USD 15.8 m (16.2), US Pharma EBIT of SEK 78.5 m (72.4)

› Cash flow from operating activities of SEK -79.7 m (-12.9), cash balance of SEK 588.1 m (593.3)

  • › Earnings per share before dilution amounted to -1.51 (-2.45)
  • › Commercial partnership agreement signed with Sober Grid, the largest global social media network for people in addiction recovery, giving a large group of users access to VORVIDA® and DEPREXIS®
  • › Lead pharmaceutical pipeline asset, OX124 a rescue medication for overdoses, entered pivotal trial
  • › Commercial agreement for VORVIDA® and DEPREXIS® signed with Benefis Health System, a leading regional health network

Important events after the period

  • › MODIA™ paper published in the Journal of Medical Internet Research Mental Health
  • › Updated financial outlook, FY 2021

SEK 78 m US Pharma EBIT

58% US Pharma EBIT margin SEK 588 m Cash and cash equivalents

SEK m, unless otherwise stated 2021
Jul-Sep
2020
Jul-Sep
2021
Jan-Sep
2020
Jan-Sep
2020
Jan-Dec
Net revenues 145.9 150.3 421.0 504.4 663.6
Cost of goods sold -21.3 -14.5 -58.6 -54.3 -65.6
Operating expenses -183.7 -165.4 -512.4 -459.0 -617.9
EBIT -59.0 -29.6 -150.0 -8.9 -19.9
EBIT margin, % -40.5 -19.7 -35.6 -1.8 -3.0
EBITDA -47.4 -20.9 -112.6 17.9 19.0
Earnings per share, before dilution, SEK -1.51 -2.45 -4.59 -1.00 -2.45
Earnings per share, after dilution, SEK -1.51 -2.45 -4.59 -1.00 -2.45
Cash flow from operating activities -79.7 -12.9 -148.4 28.0 16.8
Cash and cash equivalents 588.1 593.3 588.1 593.3 505.3

Unless otherwise stated in this report, all data refers to the Group, and numbers relate to the current quarter while numbers in parentheses relate to the corresponding period in 2020.

Content

CEO comments 3
Business update 5
Financial overview 8
Other information, incl. financial outlook 10
Financial reports, notes and key figures 11

About Orexo

Orexo develops improved pharmaceuticals and digital therapies addressing unmet needs within the growing space of substance use disorders and mental health. The products are commercialized by Orexo in the US or via partners worldwide. The main market today is the American market for buprenorphine/naloxone products, where Orexo commercializes its lead product ZUBSOLV® for treatment of opioid use disorder. Total net sales for 2020 amounted to SEK 664 million and the number of employees was 138. Orexo is listed on the Nasdaq Stockholm Mid Cap (ORX) and is available as ADRs on OTCQX (ORXOY) in the US. The company is headquartered in Uppsala, Sweden, where research and development activities are performed.

For further information, please contact

Nikolaj Sørensen, President and CEO, Joseph DeFeo, EVP and CFO, or Lena Wange, IR & Communications Director Tel: +46 18 780 88 00, +1 855 982 7658, E-mail: [email protected]

Presentation

At 1.00 pm CET, the same day as the announcement of the report, Orexo invites analysts, investors and media to attend a presentation where Nikolaj Sørensen, CEO, Dennis Urbaniak, EVP Digital Therapeutics and Joseph DeFeo, CFO, will present the report and host a Q&A.

Questions can also be sent in advance to [email protected], no later than 11.00 am CET.

Please view the instructions below on how to participate.

Internet: https://tv.streamfabriken.com/orexo-q3-2021

Telephone: SE +46 8 50 55 83 56 UK +44 33 33 00 92 70 US +1 64 67 22 49 56

The presentation material will be available on Orexo´s website prior to the audiocast, view Investors/Reports, presentations and audicasts

Financial calendar

Interim Report Q4 2021 - January 27, 2022 at 8.00 am CET Annual General Meeting 2021, April 21, 2022 at 4 pm CET Interim Report Q1 2022 - April 28, 2022 at 8.00 am CET

For more information about Orexo

Please visit, www.orexo.com. You can also follow Orexo on Twitter, @orexoabpubl, LinkedIn and YouTube.

Good third quarter for ZUBSOLV®

I am pleased to report that the third quarter showed continued stabilization and for the first time since 2019, ZUBSOLV® grew both revenues and profit from the previous quarter. The development of ZUBSOLV® is important to enable the continued investments in establishing our digital therapeutics (DTx) business and advancing our pharma pipeline. Mental health issues have grown significantly during Covid-19, which will inevitably lead to a significant increase in patients needing treatment. However, while demand has sharply increased, healthcare providers have been severely impacted by Covid-19 during 2021, resulting in patients suffering from reduced access to treatment, and healthcare providers' ability to assess and implement new innovative treatment methods like DTx has been limited. Fortunately, as the impact from Covid-19 diminishes, the priority and attention to address the significant rise in mental illnesses is increasing. This has led to improvements in our progress with new healthcare providers to test and implement our digital therapies, such as a new agreement with a leading regional health network, Benefis Health System.

ZUBSOLV® - Rebound to revenue and profit growth from previous quarter

While ZUBSOLV´s revenue as expected declined from 2020, I am pleased to see that ZUBSOLV's revenues after two years of decline had a positive growth from previous quarter. Revenues were supported by additional selling days, diminishing negative impact from the previous exclusive contracts with Humana and United Health Group and growth in other accounts such as Kentucky Medicaid. In addition, the EBIT margin improved this quarter to 58 percent, resulting in an increase in EBIT from Q3 2020 (50 percent). With the launch of MODIA™ I expect significant commercial and cost synergies which will contribute to the continued profit contribution from US Pharma.

"With the launch of MODIA™ I expect significant commercial and cost synergies with our DTx business which will contribute to the continued profit contribution from US Pharma.

While the issues with opioid use disorder continue to escalate in the wake of Covid-19, the overall market growth for buprenorphine/naloxone treatments has slowed down. The main driver is likely to be a combination of reduced access to treatment and fewer patients seeking treatment during the lockdown. With

multiple federal and state initiatives to mitigate the escalating increase in opioid use disorder, I am convinced the overall market is destined to increase when the effects of Covid-19 vanish. As ZUBSOLV's market share is stable, our market access position continues to strengthen and with the launch of MODIA™ resulting in a new and broader value proposition for our customers, there are good opportunities for ZUBSOLV® to grow.

Digital Therapeutics – New partners being onboarded and increased focus on B2B

I am pleased to see our efforts to expand partnerships with healthcare providers and health networks are making good progress.

"I am pleased to see our efforts to expand partnerships with healthcare providers and health networks are making good progress.

Similar to the agreement with Trinity Health, Benefis Health System has made VORVIDA® and DEPREXIS® available for their staff and in parallel started to prepare implementation of the DTx in their treatment programs for alcohol misuse and depression. We have also signed an agreement with a healthcare provider in Chicago,

Justmiine, who is building a telemedicine and virtual care model for mental health where our DTx will be important elements.

In addition to the traditional healthcare providers and health networks, digital therapies enable new innovative partnerships with non traditional partners, such as Sober Grid. The partnership is off to an excellent start and the combination of their more traditional offering with "peer coaches" for alcohol misuse and our novel digital therapies has turned out to be attractive to new groups of customers. Led by Sober Grid we are in advanced discussions with new partners and only two months into the parthership we have made good progress in broadening the distribution of the combined products to new channels.

Our expectations of the commercialization of DTx since the launch have been that the main revenue potential for our DTx will come from healthcare providers integrating our DTx in their treatment programs. This will offer patients a mix of digital intervention and care as usual from established healthcare providers, removing some of the natural hesitance to test novel treatment tools. During Covid-19 access to healthcare providers has been severely limited and I am pleased to see how it's improving as the extreme burden caused by Covid-19 declines. The agreements with Trinity Health and Benefis Health Systems are very important references and provide Orexo with credibility which is already opening access to new healthcare providers and health networks. In addition they provide important insights into the reimbursement and administrative hurdles we need to address when implementing digital therapies, which will shorten the time it takes to establish new partnerships and reduce customer's burden. With improving access to healthcare providers and networks, and the significant potential with this customer group, we will prioritize these customers and limit the direct to consumer activities.

R&D – Expanding the platform

In the quarter we initiated the pivotal trial for OX124, which is designed to reverse overdoses caused by the most powerful synthetic opioids, such as fentanyl. According to new data from the Center of Disease Control, fatal opioid overdoses continue to reach recordhigh levels and 84 percent of these can be referred to misuse of synthetic alternatives. The results from the pivotal trial for OX124 are expected in Q4 and if approved by the FDA the plan is to initiate US launch in 2023.

"The results from the pivotal trial for OX124 are expected in Q4 and if approved by the FDA the plan is to initiate US launch in 2023.

We are continuing the development of our novel technology with some promising new product candidates and expect to announce the next development program later in Q4. OX124 is a combination product with a nasal device and a patented formulation. We have invested significant resources and learned a lot from this development program which will be valuable in future projects. These learnings are likely to shorten the development timeline, lower project risks and the overall costs.

Summary and outlook

The development and profitability of ZUBSOLV® is the cornerstone for Orexo and our ability to continue to invest in new growth opportunities, like DTx and our pharmaceutical pipeline. The growth in both revenues and profit over the last quarter was important evidence that ZUBSOLV® is competitive and has the ability to grow with favourable market conditions.

With the launch of MODIA™ and later OX124, Orexo will be the company offering the the most comprehensive range of treatment options for patients suffering from opioid addiction in the US.

Our commitment is to fiercely continue addressing the hurdles limiting patients' access to products and services that have the potential to improve their treatment outcome. Our DTx position Orexo as a frontrunner in creating a paradigm shift in the treatment of mental illness, but like all disruptive technologies we need to establish a functioning distribution and payment model to flourish. We are making good progress, but we are still in the early days of a long exciting journey.

"Our DTx position Orexo as a frontrunner in creating a paradigm shift in the treatment of mental illness, but like all disruptive technologies we need to establish a functioning distribution and payment model to flourish. We are making good progress, but we are still in the early days of a long exciting journey.

Uppsala, Sweden, November 3, 2021

Nikolaj Sørensen President and CEO

Business update

US Pharma

Sublingual tablet for treatment of opioid use disorder

The ZUBSOLV® business is divided into three distinct segments with partly opposing drivers. ZUBSOLV´s sales development is most reliant on the open segment1, where ZUBSOLV® demand comparing to the previous period has been stable for the last two quarters, while the non-reimbursed segment and the previous exclusive contracts with Humana and United Health Group showed mild declines.

The overall market grew 2 percent over Q2 2021. The year over year growth amounted to 6 percent. This slowdown from previous double digit growth can be attributed to limited access to treatment during the Covid-19 pandemic caused by three main factors. Firstly, fewer patients were actively seeking treatment during the lockdown, secondly, some physicians were prioritising acute care and thirdly some physicians limited acceptance of new patients. The opioid epidemic has accelerated during Covid-19 and market growth is predicted to be positively impacted by multiple initiatives underway to improve access to medication assisted treatment (MAT) in the wake of Covid-19. At the federal level multiple bills have been introduced and are progressing, with a focus to reduce overdose deaths and expand MAT on a nationwide basis. On a state level, many states are reviewing the opioid use disorder (OUD) treatment landscape as opioid settlement funds become available. One example is Kentucky, which passed legislation earlier this year to improve access to all opioid dependence treatment medications, including ZUBSOLV®, effective July 1, 2021. As Kentucky is the fourth largest volume Medicaid state in this treatment area this is an important growth opportunity. To capitalize the growth opportunities in Kentucky, starting at the beginning of the quarter, the sales activities have been scaled up. In Q3 we saw the first positive effects through a volume increase of 85 percent from previous quarter. More state and local level OUD treatment delivery activities, along with national level legislation are expected to be initiated in the near future, which can benefit all treatment options including the MAT market.

ZUBSOLV's Q3 2021 overall prescription volume is down 2 percent versus Q2 2021. Our core segment, the open segment, is stable with no change versus Q2 2021, making it the second consecutive quarter with stable open volume. Within the open segment, Commercial has declined slightly by 1 percent, and Medicaid and Medicare D grew slightly by 1 percent. The demand in former exclusive plans, Humana and United Health

Group, showed mild decline from previous quarter which also refers to the non-reimbursed segment.

On a year over year basis, Q3 2021 compared to Q3 2020 ZUBSOLV® demand declined 11 percent. This is mainly due to the continued impact from changed formulary status at Humana and United Health Group.

ZUBSOLV® overall sales force activities continue to be negatively impacted by the Covid-19 pandemic versus pre-pandemic activity. The number of calls per day and the amount of direct time the sales representatives have in front of the physician and healthcare providers are shorter than pre-Covid times. While individual state mandates continue to fluctuate, we are gradually seeing an overall improvement in access to the prescribers during Q3. However, we are continuously reviewing the effectiveness of the sales force and have consolidated some sales districts reflecting the reduced access to healthcare providers.

The work to outline the commercial strategy for ZUBSOLV® used along with the digital therapy MODIA™, for opioid use disorder, was finalized and is expected to give Orexo's MAT portfolio access to new market segments.

With the legislative changes in Kentucky, market access in the public payer segment increased as of July 1, from 34 to 42 percent. ZUBSOLV's market access in the Commercial payer segment declined from 99 to 98 percent as BCBS Massachusetts moved ZUBSOLV® to not covered. The impact was minimal as this payer made up only 0.3 percent of ZUBSOLV's volume in it's final quarter of access.

Digital Therapeutics

VORVIDA® - for heavy alcohol misuse DEPREXIS® - for managing symptoms of depression MODIA- for opioid use disorder

In April 2020 the FDA declared Covid-19 a national health emergency and as a response to the expected surge in mental health issues they created an accelerated regulatory pathway via an emergency use authorization (EAU) for digital health solutions used in certain psychiatric conditions. Orexo responded to this urgency by making VORVIDA® available on-line during the summer of 2020 and DEPREXIS® on-line during the late fall of 2020. While working to develop broader reimbursement pathways, our initial focus was direct to consumer promotion of VORVIDA® in September 2020 followed by DEPREXIS® in April 2021. As executed our direct to

consumer efforts, we have applied a "test & learn" approach, to pilot and measure the impact of smaller targeted initiatives.

The initial direct to consumer strategy was to commercialize through a combination of targeted programmatic digital advertising along with social media paid and organic posts on Facebook and Instagram. We started to see positive signs of traction in April 2021 focusing on people with increased potential for harmful or problematic drinking. However, in the summer of 2021, updated policies at Facebook constrained our ability to execute and measure targeted promotion due to sensitivity of the disease. Following this change, we have made the decision to stop direct media promotion to consumers via these channels, since the return of investment of untargeted campaigns is negative in the current format. The effect of these changes will be visible in Q4 where marketing expenses will be reduced.

The main customer targets for DTx are health networks and insurance companies. The health networks have more than any been impacted by the waves of Covid-19 and rise in patients needing intensive care. While we have seen great interest from several of the leading players, new waves of Covid-19 have impacted their ability to make progress in the assessment, negotiation and implementation of new innovative solutions like our DTx. During Q2 the access to health networks improved considerably, but in late July and August the resurgence of Covid-19 temporarily slowed down progression in Q3, but we have regained momentum in these discussions late Q3 and Q4 as impact from Covid-19 diminishes.

Apart from some smaller independent healthcare providers, Trinity Health North Dakota is the first larger health network to integrate our DTx in their treatment programs. Trinity Health has worked intensively to establish the internal processes to enable the DTx to be integrated and covered under existing reimbursed treatment programs. The implementation is still ongoing and we expect the first patients to be enrolled shortly. With the reference from Trinity Health, and their openness to share learnings from integrating the

DTx into existing treatment programs, we have reached agreement with Benefis Health System, a Montana based health network of similar size as Trinity Health and yet another is about to test our DTx with their staff. Benefis Health System will start making our DTx available for their employees, while we finalize the commercial agreement and implementation plan.

The partnership with Sober Grid has made good progress and we have seen the first patient referrals from their peer coaches. Even more importantly, Sober Grid and Orexo have through a combined offering, made good progress with selected employers and are collaborating to expand the distribution to new channels. Sober Grid's online community and availability of peer coaches, combined with Orexo's novel and scientifically proven digital therapies is clearly more attractive for some customers than each organizations products individually.

Due to limited access to healthcare providers during Covid-19, we decided to delay our launch of MODIA™ with the ZUBSOLV® field force to November. MODIA™ will initially be launched under FDAs Public Health Emergency Policy and when the ongoing clinical trial with MODIA™ is complete late 2022 we will apply for a 510K registration with FDA. This will broaden the medical claims we can make for the product and enhance the ability to gain reimbursement. The ambition for the initial launch is focused on OUD clinics to gain experience of using MODIA™, and as we establish valid reimbursement pathways we will move into more commercial relationships.

HQ & Pipeline

Most advanced fully-owned pipeline asset

OX124 - opioid overdose rescue medication containing naloxone

With the pharmaceutical project OX124 Orexo aims to develop a rescue medication designed to reverse opioid overdoses, including those from highly potent synthetic opioids. Results from Orexo's first PK study showed a significantly better PK profile compared to the market-

leading product, demonstrating OX124's potential to improve the ability to reverse the effect of the most powerful synthetic opioids, such as fentanyl.

In the 12 months leading up to March 2021, the number of drug-related overdose deaths has surpassed 96,000 for the first time in history, an increase of 30 percent versus the previous year.1 75 percent of these deaths were caused by opioids and within the opioid-related deaths synthetic opioids accounted for the vast majority (84 percent),2 underlining the need for more powerful and faster-acting rescue medications.

Orexo is targeting a market today amounting to approximately USD 300-500 million. The market is expected to continue growing, not only as an effect of the record-high level of fatal overdoses, but also as multiple federal initiatives are ongoing to expand access to life-saving naloxone medications. Examples include mandatory co-prescription legislation when patients are being treated for pain, and standing orders at the pharmacy. According to Orexo´s estimates, market size could reach a level of USD 1.5 – 2 billion if this mandatory co-prescription legislation is implemented nationwide and potential product net sales on the US market are estimated to be in the range of USD 70-110 million.

To meet the target profile for more potent rescue medications, Orexo has developed a novel and unique intranasal formulation technology that allows for rapid and efficient delivery of active ingredients through the intranasal route. Nasal administration is a viable route for many different active pharmaceutical ingredients offering significant advantages compared with other administration routes, even parenteral injections. For example, delivering drugs through the intranasal route avoids first pass metabolism of the active ingredient allowing for rapid and potentially extensive exposure of the drug. This novel proprietary drug delivery technology, which is the foundation for OX124, has patent protection until 2039.

Status:

In Q3 the pivotal clinical trial, OX124-002, was initiated. The study is a 4-period cross-over, comparative bioavailability study in healthy volunteers, comparing two dose regimens of OX124 to two dose regimens of an injection reference product. Study results are expected in Q4 2021 and are intended to be the primary support for the new drug application that is expected to be filed with the FDA in H2 2022. Additionally, the work continued to ensure the manufacturing and supply chain can provide the capacity and redundancy as needed for the commercial supply of the final OX124 product.

Other pipeline assets

OX125 - opioid overdose rescue medication containing nalmefene

With OX125 Orexo is developing an overdose rescue medication for circumstances where very long-lasting effects of rescue medications are needed, such as in remote areas. Its performance has been proven in an exploratory PK study in healthy volunteers which showed extensive and rapid absorption of nalmefene across all formulations included in the trial. This novel, proprietary intranasal delivery technology has patent protection until 2039 and potential net sales are estimated to be in the range of USD 40-60 million in the US market.

OX338 - acute moderate to moderately severe pain OX338 is based on Orexo's novel oral formulation technology to develop an opioid-level pain relief treatment for short-term pain (up to 5 days) without the risk of addiction. Results from the exploratory PK study showed a significantly better PK profile with faster uptake and higher peak when compared to available nasal sprays on the market. Net sales are estimated to be more than USD 100 million in the US market.

OX-MPI – microvascular diseases

Several severe microvascular complications face few or no approved pharmacological treatment options. Orexo´s partner Gesynta Pharma, which owns all the rights to OX-MPI (GS248), aims to develop a treatment that is more effective and/or safer than currently approved treatments for microvascular diseases in chronic inflammatory conditions. A clinical Phase 2 study in patients suffering from systemic sclerosis is underway and study results are expected in H1 2022.

ZUBSOLV® for treatment of opioid use disorder in geographies outside the US

In Q3 the Romanian packaging plant was granted the updated GMP licence, but due to delays in delivery of equipment and material, foremost as an effect of Covid-19, the launch is postponed until H1 2022. The commercialization of ZUBSOLV® in 29 European countries will be managed by Accord Healthcare which has inlicensed the rights from Orexo. Orexo are responsible for product supply and will receive double digit royalty on future net sales.

There are estimated to be 1.3 million high-risk opioid users in Europe,3 yet treatment rates are low. Approximately 50 percent of people with opioid dependence are receiving some form of substitution treatment across Europe, although this varies greatly between countries.4

1 Center of Disease Control

2 Center of Disease Control

3 European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) 2019

4 EMCDDA – Tackling Opioid Dependence 2019

Financial overview

Revenues

Total revenues amounted to SEK 145.9 m (150.3) for the quarter and to SEK 421.0 m (504.4) for the first nine months.

Revenues by segment

US Pharma revenues amounted to SEK 136.4 m (143.8) for the quarter. The decrease in US Pharma revenues is mainly driven by lower ZUBSOLV® demand due to competition in previously exclusive plans and a weaker overall market growth pace due to Covid-19. Also a weaker USD exchange rate impacted negatively while increased prices and a favorable product mix had a positive impact.

ZUBSOLV® US NET REVENUE DEVELOPMENT

In local currency US Pharma net revenues for the quarter amounted to USD 15.8 m (16.2) while vs Q2 2021 US Pharma net revenues increased by USD 0.8 m as the drop in demand continued to stabilize and wholesaler inventory levels increased. The positive revenue impact can mainly be referred to extra shipping days. US Pharma revenues amounted to SEK 389.2 m (480.2) for the first nine months.

DTx recognized net revenues for the quarter amounted to SEK 0.4 m (-) and deferred revenues to SEK -0.1 m (-) as sales efforts during the quarter have focused on piloting different reimbursement pathways and commercial concepts. DTx recognized net revenue amounted to SEK 0.8 m (-) and deferred revenues to

SEK 0.5 m (-) for the first nine months.

HQ and Pipeline partner product related revenues for the quarter amounted to SEK 9.2 m (6.5) and to SEK 31.0 m (24.2) for the first nine months.

Costs of goods sold

Cost of goods sold (COGS) amounted to SEK 21.3 m (14.5) for the quarter. US Pharma amounted to SEK 18.3 m (12.6) due to lower production of ZUBSOLV® tablets in the quarter and unfavorable production variances. Technical infrastructure costs amounted to SEK 2.9 m (1.8) explained by adding MODIA™ to the DTx product portfolio. Cost of goods sold (COGS) for the first nine months amounted to SEK 58.6 m (54.3).

Operating expenses

Selling expenses amounted to SEK 79.0 m (83.3) for the quarter. The decrease over the same period last year is mainly explained by lower selling expenses in US Pharma costs. This was partially offset by increased costs related to launch preparations for MODIA™. Selling expenses for the first nine months amounted to SEK 209.5 m (207.7).

Administrative expenses amounted to SEK 42.4 m (26.4) for the quarter and to SEK 112.4 m (83.0) for the first nine months. The increase is mainly explained by higher legal expenses for IP litigation and subpoena partly offset by lower costs for the long-term incentive programs.

Research and development costs amounted to SEK 63.5 m (50.3) for the quarter. The increase is mainly explained by costs related to MODIA™ study. Research and development costs for the first nine months amounted to SEK 192.4 m (165.9).

Other operating income and expenses amounted to SEK 1.3 m (-5.4) for the quarter, mainly explained by exchange-rate gains derived from revaluations of parent company balance sheet items in foreign currency, predominantly in USD. Other operating income and expenses for the first nine months amounted to SEK 1.9 m (-2.5).

NET REVENUES AND OPERATING EARNINGS PER SEGMENT

SEK m Net Revenues
EBIT
2021
Jul-Sep
2020
Jul-Sep
2021
Jan-Sep
2020
Jan-Sep
2020
Jan-Dec
2021
Jul-Sep
2020
Jul-Sep
2021
Jan-Sep
2020
Jan-Sep
2020
Jan-Dec
ZUBSOLV® US product sales 136.4 143.8 389.2 480.2 623.3 - - - - -
US Pharma – total 136.4 143.8 389.2 480.2 623.3 78.5 72.4 206.1 237.2 331.2
Digital Therapeutics (DTx) product sales 0.4 - 0.8 - 0.0 - - - - -
Digital Therapeutics (DTx) – total 0.4 - 0.8 - 0.0 -76.4 -62.5 -186.7 -110.1 -175.4
Abstral® royalty 6.8 2.5 23.8 14.6 29.7 - - - - -
Edluar® royalty 2.4 4.0 7.2 9.5 10.4 - - - - -
ZUBSOLV® - ex US - - - 0.1 0.1 - - - - -
HQ & Pipeline segment – total 9.2 6.5 31.0 24.2 40.2 -61.2 -39.5 -169.3 -136.0 -175.8
Total 145.9 150.3 421.0 504.4 663.6 -59.1 -29.6 -150.0 -8.9 -19.9

Operating profit

Orexo's profitability reflects costs in DTx and in pipeline and EBITDA amounted to SEK -47.4 m (-20.9) for the quarter and to SEK -112.5 m (17.9) for the first nine months.

The EBIT contribution from US Pharma amounted to SEK 78.5 m (72.4) for the quarter, equal to an EBIT margin of 57.6 percent (50.3). The EBIT contribution from US Pharma amounted to SEK 206.1 m (237.2) for the first nine months, equal to an EBIT margin of 52.9 percent (49.4). The increase is explained by lower operating costs partly offset by lower sales and gross profit.

GROUP EBITDA, SEK m

US PHARMA EBIT MARGIN (LTM1, SEK m) AND EBIT (LTM1, SEK m)

Net financial items and tax

Net financial items for the quarter amounted to SEK -0.1 m (-10.8), mainly explained by positive unrealized exchange rate impact of SEK 13.5 m derived from the parent company's foreign currency bank accounts mainly in USD, partly offset by higher costs for corporate bonds of SEK 2.8 m. Net financial items amounted to SEK -6.3 m (10.9) for the first nine months.

Total tax expenses amounted to SEK 7.1 m (-44.4) for the quarter, impacted by positive adjustment to deferred tax assets related to temporary differences of SEK 8.5 m (0.6) while decreased parent company tax asset of SEK 43.5 m impacted negatively versus Q3 2020. Total tax expenses amounted to SEK -1.3 m (-36.8) for the first nine months.

Orexo performs regular assessments of its deferred tax asset and makes adjustments according to the recognition requirements of IAS 12.

Net earnings

Net earnings amounted to SEK -52.0 m (-84.9) for the quarter, SEK -157.6 m (-34.8) for the first nine months. As of September 30, 2021, cash and cash equivalents amounted to SEK 588.1 m (593.3) and interest-bearing liabilities to SEK 491.7 m (224.1), i.e. a positive net cash position of SEK 96.4 m (369.1).

The cash position enables Orexo to pursue its strategy to launch the digital therapies in the US, to progress the development pipeline and to launch OX124.

Cash flow from operating activities amounted to SEK -79.7 m (-12.9) for the quarter. The decrease is mainly expained by higher negative operating earnings and by lower positive changes in working capital. Cash flow from operating activities amounted to SEK -148.4 m (28.0) for the first nine months.

CASH FLOW FROM OPERATING ACTIVITIES, SEK m

Investments

Gross investments in tangible and intangible fixed assets amounted to SEK 20.7 m (50.2) and to SEK 50.0 m (160.7) for the first nine months. Lower investment is mainly explained by a payment of nonrefundable milestone for DEPREXIS® in Q2 2020.

Equity

Shareholders' equity at September 30, 2021, was SEK 411.7 m (619.4). The equity/asset ratio was 31.4 percent (46.6).

Parent company

Net revenues for the quarter amounted to SEK 139.4 m (97.4) of which SEK 130.3 m (91.0) was related to sales to Group companies. Net revenues amounted to SEK 274.4 m (366.4) for the first nine months of which SEK 243.4 m (342.1) was related to sales to Group companies.

Earnings before tax were SEK -22.6 m (-43.9) for the quarter and to SEK -153.2 m (43.8) for the first nine months mainly explained by investment in DTx and development projects. Investments for the quarter amounted to SEK 15.1 m (50.2) and to SEK 28.9 m (160.7) for the first nine months. Lower investment is mainly explained by a payment of non-refundable milestone for DEPREXIS® in Q2 2020.

As of September 30, 2021, cash and cash equivalents in the parent company amounted to SEK 462.0 m (439.0).

Other information

Financial outlook 2021

• With the Covid-19 pandemic continuing, the financial outlook is associated with increased uncertainties

• Due to Covid-19 the buprenorphine/naloxone market will temporarily show a lower annual growth pace and reach a level of 5-8 percent

• ZUBSOLV® US net sales in Q4 is expected to be in line with Q3, and net sales for 2021 will decline compared to 2020

• OPEX for Q4 will be in line with Q3

• US Pharma EBIT will exceed 50 percent

• The financial outlook is based on exchange rates in September 2021

Forward looking statements

This report includes forward-looking statements. Actual results may differ from those stated. Internal and external factors may affect Orexo's results.

Risks and uncertainty factors

Significant risks and uncertainties are presented in the Annual Report for 2020 and in the Interim Report Note 4, litigations. The continued commercialization of ZUBSOLV® entails risk exposure of an operational nature and Orexo is continuously exposed to risks in relation to development projects and the intellectual property rights. The Covid-19 pandemic has increased the uncertainty about the market and sales development.

Glossary

View https://orexo.com/glossary-defintions/

Uppsala, Sweden, November 3, 2021

Nikolaj Sørensen President and CEO

Review report

Orexo AB, corporate identity number 556500-0600.

Introduction

We have reviewed the condensed interim report for Orexo AB as at September 30, 2021 and for the nine months period then ended. The Board of Directors and the Managing Director are responsible for the preparation and presentation of this interim report in accordance with IAS 34 and the Swedish Annual Accounts Act. Our responsibility is to express a conclusion on this interim report based on our review.

Scope of review

We conducted our review in accordance with the International Standard on Review Engagements, ISRE 2410 Review of Interim Financial Statements Performed by the Independent Auditor of the Entity. A review consists of making inquiries, primarily of persons responsible for financial and accounting matters, and applying analytical and other review procedures. A review is substantially less in scope than an audit conducted in accordance with International Standards on Auditing and other generally accepted auditing standards in Sweden. The procedures performed in a review do not enable us to obtain assurance that we would become aware of all significant matters that might be identified in an audit. Accordingly, we do not express an audit opinion.

Conclusion

Based on our review, nothing has come to our attention that causes us to believe that the interim report is not prepared, in all material respects, in accordance with IAS 34 and the Swedish Annual Accounts Act regarding the Group, and in accordance with the Swedish Annual Accounts Act regarding the Parent Company.

Stockholm, Sweden, November 3, 2021

Ernst & Young AB Anna Svanberg Authorized Public Accountant

Financial reports, notes and key figures

CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS

SEK m Notes 2021
Jul-Sep
2020
Jul-Sep
2021
Jan-Sep
2020
Jan-Sep
2020
Jan-Dec
Net revenues 9 145.9 150.3 421.0 504.4 663.6
Cost of goods sold -21.3 -14.5 -58.6 -54.3 -65.6
Gross profit 124.7 135.8 362.4 450.1 598.0
Selling expenses -79.0 -83.3 -209.5 -207.7 -286.6
Administrative expenses -42.4 -26.4 -112.4 -83.0 -102.8
Research and development expenses -63.5 -50.3 -192.4 -165.9 -224.9
Other operating income and expenses 1.3 -5.4 1.9 -2.5 -3.6
Operating earnings (EBIT) -59.0 -29.6 -150.0 -8.9 -19.9
Net financial items -0.1 -10.8 -6.3 10.9 -18.4
Earnings before tax -59.1 -40.5 -156.3 2.0 -38.3
Tax 5 7.1 -44.4 -1.3 -36.8 -46.1
Net earnings for the period1 -52.0 -84.9 -157.6 -34.8 -84.4
Earnings per share, before dilution, SEK -1.51 -2.45 -4.59 -1.00 -2.45
Earnings per share, after dilution, SEK -1.51 -2.45 -4.59 -1.00 -2.45

CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME

SEK m 2021
Jul-Sep
2020
Jul-Sep
2021
Jan-Sep
2020
Jan-Sep
2020
Jan-Dec
Earnings for the period -52.0 -84.9 -157.6 -34.8 -84.4
Other comprehensive income
Items that may subsequently be reversed to
the statement of operations:
Exchange-rate differences 4.4 -4.8 9.1 -4.9 -16.5
Other comprehensive earnings for the period,
net after tax
4.4 -4.8 9.1 -4.9 -16.5
Total comprehensive earnings for the period 1 -47.6 -89.7 -148.5 -39.7 -100.9

1 All equity and earnings for the respective period are attributable to the Parent Company's shareholders

CONDENSED CONSOLIDATED BALANCE SHEET

SEK m
Notes
2021
Sep 30
2020
Sep 30
2020
Dec 31
ASSETS
Fixed assets
Tangible fixed assets 61.4 41.5 47.3
Intangible fixed assets 260.6 239.6 252.8
Right-of-use assets 62.2 64.7 67.8
Deferred tax assets
5
34.2 54.4 32.7
Other financial assets 0.8 0.8 0.7
Total fixed assets 419.2 401.0 401.3
Current assets
Inventories 93.4 120.7 108.4
Accounts receivable and other receivables 211.5 213.2 217.9
Cash and cash equivalents 588.1 593.3 505.3
Total current assets 892.9 927.2 831.6
Total assets 1,312.1 1,328.2 1,232.9
SHAREHOLDERS' EQUITY AND LIABILITIES
Total shareholders' equity 411.7 619.4 558.5
Long-term liabilities
Provisions 10.8 33.6 25.7
Long-term liabilities, interest bearing 491.7 224.1
Lease liabilities, long-term 41.3 44.1 47.4
Total long-term liabilities 543.8 301.9 73.1
Current liabilities and provisions
Provisions 144.3 200.9 197.3
Current liabilities, interest bearing 224.5
Current liabilities, non-interest bearing 192.4 186.9 160.4
Lease liabilities, current 19.8 19.2 19.1
Total current liabilities and provisions 356.6 407.0 601.3
Total liabilities 900.4 708.9 674.4
Total shareholders' equity and liabilities 1,312.1 1,328.2 1,232.9

CONSOLIDATED CHANGES IN SHAREHOLDERS' EQUITY

2020 2020
SEK m Sep 30 Sep 30 Dec 31
Opening balance, shareholders' equity 558.5 706.4 706.4
Total comprehensive earnings for the period -148.5 -39.7 -100.9
Share-based payments 1.5 -20.0 -19.7
Buy back of shares -27.3 -27.3
New share issue
Closing balance, shareholders' equity 411.7 619.4 558.5

CONDENSED CONSOLIDATED CASH FLOW STATEMENTS

SEK m Notes 2021
Jul-Sep
2020
Jul-Sep
2021
Jan-Sep
2020
Jan-Sep
2020
Jan-Dec
Operating earnings (EBIT) -59.0 -29.6 -150.0 -8.9 -19.9
Interest received 0.8 4.6 3.0
Interest paid -5.2 -3.4 -18.1 -10.7 -11.8
Income taxes paid -1.0 -0.2 0.0 -1.0 0.6
Adjustment for non-cash items 3 -24.1 -9.1 -43.1 -30.3 -7.1
Cash flow from operating activities before changes
in working capital
-89.4 -41.5 -211.1 -46.3 -35.1
Changes in working capital 9.8 -28.6 62.7 74.3 51.9
Cash flow from operating activities -79.7 -12.9 -148.4 28.0 16.8
Acquisition of tangible and intangible fixed assets -20.7 -50.2 -50.0 -160.7 -189.8
Disposal of financial assets 0.0 0.6 0.6
Cash flow from investing activities -20.7 -50.2 -50.0 -160.1 -189.2
Buy back shares -27.3 -27.3
New loan 490.1
Repayment of loans -2.0 -4.2 -234.0 -79.7 -84.0
Cash from financing activities -2.0 -4.2 256.1 -106.9 -111.3
Cash flow for the period -102.4 -67.4 57.7 -239.1 -283.7
Cash and cash equivalents at the beginning
of the period
679.7 677.2 505.3 816.8 816.8
Exchange-rate differences in cash and cash 10.7 -16.5 25.1 15.6 -27.8
equivalents
Changes in cash and cash equivalents
-91.6 -83.9 82.8 -223.5 -311.5
Cash and cash equivalents at the end of the period 588.1 593.3 588.1 593.3 505.3

Key Figures1

Orexo makes use of the key figures below and believe they are useful for readers of the financial reports as a complement to other performance measures when assessing implementation of strategic investments and the Group's ability to meet financial objectives and commitments.

2021 2020 2021 2020 2020
Jul-Sep Jul-Sep Jan-Sep Jan-Sep Jan-Dec
EBIT margin, % -40.5 -19.7 -35.6 -1.8 -3.0
Return on shareholder equity, % -11.9 -12.5 -32.5 -5.2 -13.3
Net debt, SEK m -96.3 -369.1 -96.3 -369.1 -280.8
Debt/equity ratio, % 119.4 36.2 119.4 36.2 40.2
Equity/assets ratio, % 31.4 46.6 31.4 46.6 45.3
Number of shares, before dilution 34,327,907 34,710,639 34,311,390 34,710,639 34,398,815
Number of shares, after dilution 34,327,907 34,710,639 34,311,390 34,710,639 34,398,815
Earnings per share, before dilution, SEK -1.51 -2.45 -4.59 -1.00 -2.45
Earnings per share, after dilution, SEK -1.51 -2.45 -4.59 -1.00 -2.45
Number of employees at the end of the period 128 136 128 136 138
Shareholders' equity, SEK m 411.7 619.4 411.7 619.4 558.5
Capital employed, SEK m 903.4 843.5 903.4 843.5 783.0
Working capital, SEK m -51.8 -73.0 -51.8 -73.0 -50.5

1 Definitions and reconciliations of key figures are presented on page 20 of this report

CONDENSED PARENT COMPANY STATEMENT OF OPERATIONS

SEK m Notes 2021
Jul-Sep
2020
Jul-Sep
2021
Jan-Sep
2020
Jan-Sep
2020
Jan-Dec
Net revenues 139.4 97.4 274.4 366.4 446.4
Cost of goods sold -26.5 -21.0 -55.9 -66.6 -79.7
Gross profit 113.0 76.4 218.5 299.8 366.7
Selling expenses -70.1 -67.4 -169.7 -129.9 -190.7
Administrative expenses -27.9 -7.8 -68.1 -42.5 -53.1
Research and development costs -51.8 -36.5 -158.0 -128.8 -180.1
Other operating income and expenses 13.6 1.5 28.3 32.9 50.0
Operating earnings (EBIT) -23.2 -33.8 -149.1 31.6 -7.2
Interest income and expenses -5.2 -2.6 -13.2 -8.3 -10.9
Other financial income and expenses 5.8 -7.5 9.1 20.6 -5.4
Net financial items 0.6 -10.1 -4.1 12.2 -16.3
Earnings before tax -22.6 -43.9 -153.2 43.8 -23.4
Tax 5 -43.5 -43.5 -49.0
Earnings for the period -22.6 -87.4 -153.2 0.3 -72.5

PARENT COMPANY STATEMENT OF COMPREHENSIVE INCOME

SEK m 2021
Jul-Sep
2020
Jul-Sep
2021
Jan-Sep
2020
Jan-Sep
2020
Jan-Dec
Earnings for the period -22.6 -87.4 -153.2 0.3 -72.5
Other comprehensive income
Total comprehensive earnings for the period -22.6 -87.4 -153.2 0.3 -72.5

CONDENSED PARENT COMPANY BALANCE SHEET

SEK m 2021
Sep 30
2020
Sep 30
2020
Dec 31
ASSETS
Fixed assets
Intangible fixed assets 221.8 230.4 234.4
Tangible fixed assets 61.4 41.5 47.2
Deferred tax assets 5.5
Shares in subsidiaries 161.1 163.0 160.4
Total fixed assets 444.2 440.5 442.0
Current assets
Inventories 68.3 94.4 90.9
Accounts receivable and other receivables 160.5 136.3 111.3
Cash and bank balances 462.0 439.0 361.3
Total current assets 690.8 669.7 563.5
Total assets 1,135.0 1,110.2 1,005.5
SHAREHOLDERS' EQUITY, PROVISIONS AND LIABILITIES
Total shareholders' equity 372.6 597.0 524.2
Long-term liabilities
Provisions 10.3 31.9 24.5
Bond loan 491.7 224.1
Total long-term liabilities 502.0 256.1 24.5
Current liabilities
Accounts payable 21.6 16.7 17.3
Bond loan 224.5
Other liabilities 6.9 10.5 6.3
Liabilities to Group companies 208.2 210.1 187.3
Accrued expenses and deferred income 23.7 19.8 21.5
Total current liabilities 260.4 257.2 456.8
Total liabilities 762.4 513.3 481.3
Total shareholders' equity and liabilities 1,135.0 1,110.2 1,005.5

Notes

1. Accounting policies

This report was prepared pursuant to IAS 34. Orexo applies IFRS as approved by the EU.

The accounting policies stated below are in line with those applied in the preparation of the 2020 Annual Report.

The Parent Company's financial statements were prepared in accordance with RFR 2 (Swedish Financial Reporting Board's recommendation) and Chapter 9 of the Swedish Annual Accounts Act.

2. Segment Reporting

Operations are monitored and presented in the segments US Pharma, Digital Therapeutics and HQ & Pipeline. US Pharma segment comprises the distribution and sale of ZUBSOLV® for treatment of opioid use disorder in the US.

Digital Therapeutics segment comprises the distribution and sale of digital therapies which complement existing treatments and provide patients with access to highly sophisticated and individualized support when they need it most in the US.

HQ & Pipeline consists of the Group head quarter functions, R&D, Business Development, Global Regulatory and Supply Chain. Net revenues comprises all partner revenues for ZUBSOLV® – ex US, Abstral® and Edluar®.

No operating segments have been aggregated to form the above reportable operating segments. The President and CEO is the chief operating decision maker and monitors the operating results of the group's segments separately for the purpose of making decisions about resource allocation and performance assessment. Segment performance is evaluated based on EBIT and is measured consistently with EBIT in the consolidated financial statements.

DISTRIBUTION OF REVENUE AND EBIT PER SEGMENT

SEK m 2021
Jul-Sep
2020
Jul-Sep
2021
Jan-Sep
2020
Jan-Sep
2020
Jan-Dec
US Pharma
Net revenues 136.4 143.8 389.2 480.2 623.3
Operating earnings (EBIT) 78.5 72.4 206.1 237.2 331.2
Depreciation and amortization -3.8 -3.8 -11.5 -11.5 -15.4
Digital Therapeutics
Net revenues 0.4 0.8 0.0
Operating earnings (EBIT) -76.4 -62.5 -186.7 -110.1 -175.4
Depreciation and amortization -4.6 -13.5 -3.2
HQ & Pipeline
Net revenues 9.2 6.5 31.0 24.2 40.2
Operating earnings (EBIT) -61.2 -39.5 -169.3 -136.0 -175.8
Depreciation and amortization -3.2 -4.8 -12.4 -15.3 -20.3
Group
Net revenues 145.9 150.3 421.0 504.4 663.6
Operating earnings (EBIT) -59.0 -29.6 -150.0 -8.9 -19.9
Depreciation and amortization -11.6 -8.7 -37.4 -26.8 -38.9
Net financial items -0.1 -10.8 -6.3 10.9 -18.4
Earnings before tax -59.1 -40.5 -156.3 2.0 -38.3

3. Cash flow

ADJUSTMENT FOR NON-CASH ITEMS

SEK m 2021
Jul-Sep
2020
Jul-Sep
2021
Jan-Sep
2020
Jan-Sep
2020
Jan-Dec
Depreciation/amortization and impairment 11.6 8.7 37.4 26.8 38.9
Change in provisions -34.4 3.6 -80.2 -38.2 -28.5
Share based payments -0.1 -26.4 1.5 -20.0 -19.7
Exchange rate income and expenses -1.3 5.0 -1.9 1.1 2.4
Total -24.1 -9.1 -43.1 -30.3 -7.1

4. Litigations

Subpoena related to sales and marketing of ZUBSOLV® On July 14, 2020, Orexo's US subsidiary received subpoenas for the purpose of enabling US authorities to obtain certain information in relation to sales and marketing of ZUBSOLV® and other buprenorphine products. All information requested by the authorities have been delivered. Orexo has no knowledge of the background to the requests and will continue to collaborate with the US authorities to ensure they receive the necessary information and to understand the scope of the investigations.

Paragraph IV litigations against Sun Pharmaceutical Industries Ltd

On August 10, 2020, the company announced it has received a "paragraph IV" patent certification notice from Sun Pharmaceutical Industries Limited ("Sun"). The Notice Letter advises Orexo of Sun's filing of an Abbreviated New Drug Application ("ANDA") with the US Food and Drug Administration (FDA) seeking approval of generic versions of ZUBSOLV® before the expiration of Orexo's patents listed in the Orange Book.

As a response to above notice Orexo on September 13, 2020, filed a patent infringement action in the US District Court for the District of New Jersey, against Sun. The filing statutorily precludes FDA from approving Sun's ANDA for 30 months, or until a district court decision finds the patents to be invalid or not infringed, whichever occurs first.

Orexo currently has nine patents listed in the Orange Book (US Patent Nos. 8,470,361; 8,658,198; 8,940,330; 9,259,421; 9,439,900; 10,874,661;10,946,010; 11,020,387 and 11,020,388) with expiration dates ranging from December 2027 to September 2032.

On August 18, Sun sent Orexo a "Paragraph IV" patent certification notice letter regarding US patents no 11,020,387 and 11,020,388, which were issued in June 2021. After the end of the period, Orexo filed an additional patent infringement action against Sun in the US District Court for the District of New Jersey, relating to these two new patents.

5. Deferred tax

The current Swedish corporate tax rates have been announced with 21.4 percent from January 1, 2019, and 20.6 percent from January 1, 2021. In line with IFRS which on this area is based on a principle that changes in tax rates should be incorporated into the accounting for the relevant tax positions immediately upon enactment, the company has performed a tax analysis. The tax-loss carry-forward in the Group amounts to SEK 1,188 m as of December 31 2020 and refers to the Swedish companies. No deferred tax assets for tax-loss carry-forwards have been capitalized as per December 31, 2020, for the part of these taxloss carry-forwards which the company has assessed as fulfilling the recognition requirements of IAS 12. There is no time limit for when the remaining loss carryforwards can be utilized. The rest of the tax effect of the Group's temporary differences are related to non-deductible current provisions for sales rebates, sales allowances, distribution, sales returns and other relevant deductions in the company's US operations.

6. Financial instruments

The Group's financial instruments consists of current receivables, non-current receivables, cash and cash equivalents, current non-interest bearing liabilities, current interest-bearing liabilities and long-term interestbearing liabilities. The financial instruments held by the group are recognized at amortized cost using the effective interest method. The group does not hold any financial instruments which are reported at fair value. The fair value of financial instruments held at the balance sheet date is significantly the same as the book value.

7. Related parties

There were no significant related parties transactions during the period.

8. Important events after the period

  • › MODIA™ paper published in the Journal of Medical Internet Research Mental Health
  • › Updated financial outlook, FY 2021

9. Revenue from contracts with customers

SEK m 2021 Jul-Sep
Segment ZUBSOLV® Abstral® Edluar® VORVIDA® DEPREXIS® Total
US Pharma 136.4 136.4
Digital Therapeutics 0.3 0.0 0.4
HQ & Pipeline 6.8 2.4 9.2
Total revenue from contracts with customers 136.4 6.8 2.4 0.3 0.0 145.9
Geographical markets ZUBSOLV® Abstral® Edluar® VORVIDA® DEPREXIS® Total
US 136.4 0.8 0.3 0.0 137.5
EU & UK 6.5 0.9 7.4
Rest of the world 0.3 0.7 1.0
Total revenue from contracts with customers 136.4 6.8 2.4 0.3 0.0 145.9
SEK m 2020 Jul-Sep
Segment ZUBSOLV® Abstral® Edluar® VORVIDA® DEPREXIS® Total
US Pharma 143.8 143.8
Digital Therapeutics 0.0
HQ & Pipeline 2.5 4.0 6.5
Total revenue from contracts with customers 143.8 2.5 4.0 0.0 0.0 150.3
Geographical markets ZUBSOLV® Abstral® Edluar® VORVIDA® DEPREXIS® Total
US 143.8 1.6 145.4
EU 2.2 0.4 2.7
Rest of the world 0.2 2.0 2.2
Total revenue from contracts with customers 143.8 2.5 4.0 0.0 0.0 150.3
SEK m 2021 Jan-Sep
Segment ZUBSOLV® Abstral® Edluar® VORVIDA® DEPREXIS® Total
US Pharma 389.2 389.2
Digital Therapeutics 0.7 0.1 0.8
HQ & Pipeline 23.8 7.2 31.0
Total revenue from contracts with customers 389.2 23.8 7.2 0.7 0.1 421.0
Geographical markets ZUBSOLV® Abstral® Edluar® VORVIDA® DEPREXIS® Total
US 389.2 2.3 0.7 0.1 392.2
EU & UK 22.9 2.2 25.2
Rest of the world 0.9 2.7 3.6
Total revenue from contracts with customers 389.2 23.8 7.2 0.7 0.1 421.0

9. Revenue from contracts with customers

SEK m 2020 Jan-Sep
Segment ZUBSOLV® Abstral® Edluar® VORVIDA® DEPREXIS® Total
US Pharma 480.2 480.2
Digital Therapeutics 0.0
HQ & Pipeline 0.1 14.6 9.5 24.2
Total revenue from contracts with customers 480.3 14.6 9.5 0.0 0.0 504.4
Geographical markets ZUBSOLV® Abstral® Edluar® VORVIDA® DEPREXIS® Total
US 480.2 3.0 483.2
EU & UK 0.1 14.1 2.1 16.3
Rest of the world 0.6 4.4 5.0
Total revenue from contracts with customers 480.3 14.7 9.5 0.0 0.0 504.4
SEK m 2020 Jan-Dec
Segment ZUBSOLV® Abstral® Edluar® VORVIDA® DEPREXIS® Total
US Pharma 623.3 623.3
Digital Therapeutics 0.0 0.0 0.0
HQ & Pipeline 0.1 29.7 10.4 40.2
Total revenue from contracts with customers 623.4 29.7 10.4 0.0 0.0 663.6
Geographical markets ZUBSOLV® Abstral® Edluar® VORVIDA® DEPREXIS® Total
US 623.3 3.1 0.0 0.0 626.4
EU & UK 28.9 2.7 31.7
Rest of the world 0.1 0.8 4.7 5.5
Total revenue from contracts with customers 623.4 29.7 10.4 0.0 0.0 663.6

Geographical distribution of royalties and milestones is based on the counterparts registered office.

Definitions and reconciliations of key figures

KEY FIGURES AND CERTAIN OTHER OPERATING INFORMATION PER SHARE ARE DEFINED AS FOLLOWS

Margins Definition/calculation Purpose
Gross margin Gross profit divided by net revenues Gross Margin is used to measure the relative direct profitability
from sold products
Operating margin
(EBIT margin)
Operating earnings as a percentage of net
revenues
Operating profit margin is used for measuring the operational
profitability
Return Definition/calculation Purpose
Return on equity Net earnings for the period as a percentage
of average shareholders' equity
Return on equity is used to measure profit generation, given the
resources attributable to the owners of the Parent Company
Capital structure Definition/calculation Purpose
Net Debt Current and long-term interest-bearing
liabilities including pension liabilities, less
cash and cash equivalents
The net debt is used as an indication of the ability to pay off
all debts if these became due simultaneously on the day of
calculation, using only available cash and cash equivalents
Debt/equity ratio Interest bearing liabilities divided by
shareholders' equity
The debt/equity ratio measures how much debt a company
is using to finance its assets relative to the amount of value
represented in shareholder's equity.
Equity/assets ratio Shareholders' equity as a percentage of
total assets
This ratio is an indicator of the company's leverage used to
finance the firm
Working capital Current assets excluding cash and cash
equivalents less current liabilities excluding
interest bearing liabilities
Working capital is used to measure the company's ability, besides
cash and cash equivalents and interest bearing liabilities, to meet
current operational obligations
Capital employed Interest-bearing liabilities and
shareholders' equity
Capital employed measures the amount of capital used and
serves as input for the return on capital employed
Gross investments Value of investment before amortization Gross investments is a measure of the company's investments in
tangible and intangible fixed assets
Data per share Definition/calculation Purpose
Number of shares
after dilution
Shares at the end of the period adjusted
for the dilutive effect of potential shares
Is used to calculate earnings per share after dilution
Earnings per share,
before dilution
Net earnings for the period after tax
divided by the average number of shares
outstanding before dilution during the
period
The earnings per share before dilution measures the amount of
net profit that is available for payment to its shareholders per
share before dilution
Earnings per share,
after dilution
Net earnings for the period after tax
divided by the average number of shares
outstanding after dilution during the
period
The earnings per share after dilution measures the amount of net
profit that is available for payment to its shareholders per share
after dilution
Other definitions Definition/calculation Purpose
Gross Revenues Grand total of all invoiced sales
transactions reported in a period,
without any deductions
Reflects the company's invoiced revenues without any
deductions
Net Revenues Gross Revenues less deductions for sales
rebates, sales allowances, distribution, sales
returns and other relevant deductions
Reflects the company's invoiced revenues after deductions
Gross to net ratio Net Revenues divided by Gross Revenues Reflects a relative portion of net revenue as percentage of gross
revenue
Operating expenses An expense incurred in daily operating
activities. Expense related to financing is not
considered part of daily operating activities.
Operating expenses reflect costs for selling, administration,
research and development, depreciation and other operating
income and operating expenses
EBIT Earnings before net financial items and
tax, the same as Operating earnings
This measure enables the profitability to be compared across
locations where corporate taxes differ and irrespective the
financing structure of the company
EBITDA Earnings before interest, taxes,
depreciation and amortization. EBIT plus
depreciation
Profit measure which is more closely correlated with cash flow as
non-cash items like Depreciation and Amortization are excluded
Earnings after
financial items
Operating earnings (EBIT) plus financial
income less financial expense
Earnings after financial items reflects earnings after, any results
from participations in Group and associated companies, results
from securities and receivables that fall within the type of fixed
assets as well as interest expenses and interest income

KEY FIGURES AND CERTAIN OTHER OPERATING INFORMATION ARE RECONCILED AS FOLLOWS

EBITDA SEK m 2021
Jul-Sep
2020
Jul-Sep
2021
Jan-Sep
2020
Jan-Sep
2020
Jan-Dec
EBIT -59.0 -29.6 -150.0 -8.9 -19.9
Depreciation and amortization 11.6 8.7 37.4 26.8 38.9
EBITDA -47.4 -20.9 -112.6 17.9 19.0
DTx costs 76.4 62.5 186.7 110.1 175.4
EBITDA excluding DTx costs 29.0 41.6 74.1 128.0 194.4
RETURN ON SHAREHOLDERS' EQUITY 2021
Jul-Sep
2020
Jul-Sep
2021
Jan-Sep
2020
Jan-Sep
2020
Jan-Dec
Shareholders' equity beginning balance 459.4 735.5 558.5 706.4 706.4
Shareholders' equity ending balance 411.7 619.4 411.7 619.4 558.5
Average shareholders' equity 435.6 677.4 485.1 662.9 632.5
Net earnings -52.0 -84.9 -157.6 -34.8 -84.4
Return on shareholders' equity % -11.9 -12.5 -32.5 -5.2 -13.3
OPERATING EXPENSES SEK m 2021
Jul-Sep
2020
Jul-Sep
2021
Jan-Sep
2020
Jan-Sep
2020
Jan-Dec
Selling expenses -79.0 -83.3 -209.5 -207.7 -286.6
Administrative expenses -42.4 -26.4 -112.4 -83.0 -102.8
Research and development costs -63.5 -50.3 -192.4 -165.9 -224.9
Other operating income and expenses 1.3 -5.4 1.9 -2.5 -3.6
Operating expenses -183.7 -165.4 -512.4 -459.0 -617.9
GROSS INVESTMENTS SEK m 2021
Jul-Sep
2020
Jul-Sep
2021
Jan-Sep
2020
Jan-Sep
2020
Jan-Dec
Investments in tangible fixed assets 3.3 19.7 18.6 22.4 29.4
Investments in intangible fixed assets 17.4 30.5 31.4 138.3 160.3
Gross investments 20.7 50.2 50.0 160.7 189.8

This information is information that Orexo AB (publ.) is obliged to make public pursuant to the EU Market Abuse Regulation. The information was submitted for publication, through the agency of the contact persons set out above, at 8.00 am CET on November 3, 2021.

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