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BELIEVERS IN THE EXTRAORDINARY Karyopharm Reports Third Quarter 2024 Financial Results and Highlights Recent Company Progress Achieves Third Quarter 2024 Total Revenue of $38.8 Million and U.S. XPOVIO (selinexor) Net Pro

Key Takeaway: Karyopharm Therapeutics Inc. reported its Q3 2024 financial results, announcing a total revenue of $38.8 million, reflecting growth over the same quarter in 2023. The company highlighted positive developments in its clinical pipeline, notably a change in the Phase 3 SENTRY trial endpoints that a key regulatory body has approved. Despite the revenue growth, Karyopharm faced a net loss of $32.1 million and an increase in interest expenses. The firm continues to navigate a competitive landscape while seeking to expand its product indications.

Market Sentiment Analysis

POSITIVE FACTORS

  • Achieved total revenue growth of $38.8 million in Q3 2024.
  • Change in trial endpoints enhances confidence in Phase 3 SENTRY trial outcomes.
  • Reported a third consecutive quarter of revenue growth for U.S. XPOVIO.

CONCERNS & RISKS

  • Karyopharm experienced a net loss of $32.1 million in Q3 2024.
  • Interest expenses increased to $11.4 million compared to $6.1 million in the previous year.
  • Cash reserves declined to $133.9 million, down from $192.4 million at the end of 2023.

Full Press Release Details

Karyopharm Reports Third Quarter 2024 Financial Results and Highlights Recent Company Progress
Achieves Third Quarter 2024 Total Revenue of $38.8 Million and U.S. XPOVIO
(selinexor) Net Product Revenue of $29.5 Million; Continued Regulatory and Reimbursement Approvals Globally
FDA Alignment, Absolute Change in Total Symptom Score (Abs-TSS) Will Replace TSS50 as a Co-Primary Endpoint in Phase 3 SENTRY Trial in JAKi Na ve Myelofibrosis
(MF); Expected Top-line Data Read-out Remains on Track for 2H 2025
Narrows Full-Year 2024 Total Revenue Guidance Range to $145.0 Million to $155.0 Million; U.S. XPOVIO Net Product Revenue Guidance
Range to $110.0 Million to $115.0 Million; R&D and SG&A Expense Guidance Range to $255.0 Million to $265.0 Million
Mass. November 5, 2024 Karyopharm Therapeutics Inc. (Nasdaq: KPTI), a commercial-stage pharmaceutical company pioneering novel cancer therapies, today reported financial results for the quarter ended September 30, 2024,
and highlighted select corporate milestones and progress on its key clinical development programs.
This quarter, we delivered our third consecutive
quarter of U.S. XPOVIO net product revenue growth in the highly competitive multiple myeloma marketplace. On our clinical pipeline, we are very excited with the change to our Phase 3 SENTRY myelofibrosis trial endpoints following engagement with the
FDA, strengthening our confidence for a successful outcome for this trial. We continue to drive disciplined expense management and trial execution as we look forward to our next phase of growth with potential new indications in myelofibrosis and
endometrial cancer, said Richard Paulson, President and Chief Executive Officer of Karyopharm.
A significant unmet need in myelofibrosis
remains, as less than half of patients achieve SVR35 with each of the approved JAKi inhibitors. I am encouraged by the Phase 1 trial which evaluated the combination of selinexor and ruxolitinib, as it shows an approximate doubling of SVR35 to 80%
compared to historical JAKi monotherapy and a meaningful 18.5 point improvement in Abs-TSS at week 24 compared to baseline, said Dr. John Mascarenhas, Principal Investigator of the Phase 3 SENTRY
trial, Professor of Medicine at the Icahn School of Medicine at Mount Sinai and Director of the Center of Excellence for Blood Cancers and Myeloid Disorders. The change to Abs-TSS as a co-primary endpoint signifies a new era in the evaluation of combination therapy and reflects a growing willingness by the FDA to incorporate more sensitive methods of evaluating symptoms in trials with active
Third Quarter 2024 and Recent Highlights
XPOVIO Commercial Performance
Research and Development
2024 Financial Outlook
Based on its current operating plans, Karyopharm has further narrowed its guidance for full year 2024 as follows:
Third Quarter 2024 Financial Results
revenue: Total revenue for the third quarter of 2024 was $38.8 million, compared to $36.0 million for the third quarter of 2023.
product revenue: Net product revenue for the third quarter of 2024 was $29.5 million, compared to $30.2 million for the third quarter of 2023.
License and other revenue: License and other revenue for the third quarter of 2024 was $9.3 million, compared to $5.8 million for the third
quarter of 2023. The increase was primarily due to $6.0 million of milestone-related revenue recognized from Menarini, which was related to reimbursement approvals for NEXPOVIO in the third quarter of 2024, partially offset by a
$3.3 million decrease in revenue related to the reimbursement of development-related expenses from Menarini due to timing of reimbursement.
Cost of sales: Cost of sales for the third quarter of 2024 was $1.3 million, compared to
$0.9 million for the third quarter of 2023. Cost of sales reflects the costs of XPOVIO units sold and the costs of products sold to our partners.
R&D expenses: R&D expenses for the third quarter of 2024 were $36.1 million, compared to $35.6 million for the third quarter of 2023.
The increase was primarily due to an increase in clinical trial and related costs, mainly driven by increased activity in the ongoing Phase 3 SENTRY trial in myelofibrosis.
SG&A expenses: SG&A expenses for the third quarter of 2024 were $27.6 million, compared to $30.8 million for the third quarter of
2023. The decrease was primarily due to our ongoing cost reduction initiatives and lower headcount.
Interest income: Interest income for the third
quarter of 2024 was $1.8 million, compared to $2.8 million for the third quarter of 2023 due to a lower cash and investments balance quarter-over-quarter.
Interest expense: Interest expense for the third quarter of 2024 was $11.4 million, compared to $6.1 million for the third quarter of 2023.
The increase in interest expense was due to the Company s new term loan and new secured convertible senior notes.
Other income: Other income
for the third quarter of 2024 was $3.8 million due to a non-cash gain recognized in connection with the remeasurement of embedded derivatives and liability classified common stock warrants. The Company
had immaterial other income in the third quarter of 2023.
Net loss: Karyopharm reported a net loss of $32.1 million, or $0.26 loss per basic
and diluted share, for the third quarter of 2024, compared to a net loss of $34.5 million, or $0.30 loss per basic and diluted share, for the third quarter of 2023.
Cash position: Cash, cash equivalents, restricted cash and investments as of September 30, 2024 totaled $133.9 million, compared to
$192.4 million as of December 31, 2023.
Conference Call Information
Karyopharm will host a conference call today, November 5, 2024, at 8:00 a.m. Eastern Time, to discuss the third quarter 2024 financial results and provide
business highlights. To access the conference call, please dial (800) 836-8184 (local) or (646) 357-8785 (international) at least 10 minutes prior to the start time and
ask to be joined into the Karyopharm Therapeutics call. A live audio webcast of the call, along with accompanying slides, will be available under Events & Presentations in the Investor section of the Company s website. An
archived webcast will be available on the Company s website approximately two hours after the event.
About XPOVIO (selinexor)
first-in-class, oral exportin 1 (XPO1) inhibitor and the first of Karyopharm s Selective Inhibitor of Nuclear Export (SINE) compounds for the treatment of cancer.
XPOVIO functions by selectively binding to and inhibiting the nuclear export protein XPO1. XPOVIO is approved in the U.S. and marketed by Karyopharm in multiple oncology indications, including: (i) in combination with VELCADE (bortezomib) and dexamethasone (XVd) in patients with multiple myeloma after at least one prior therapy; (ii) in combination with dexamethasone in patients with heavily pre-treated multiple myeloma; and (iii) under accelerated approval in patients with diffuse large B-cell lymphoma (DLBCL), including DLBCL arising from follicular
lymphoma, after at least two lines of
systemic therapy. XPOVIO (also known as NEXPOVIO in certain countries) has received regulatory approvals in a growing number of ex-U.S. territories and countries, including Europe, the United Kingdom, China, South Korea and Israel, and is marketed in those areas by Karyopharm s global partners. Selinexor is also being investigated in
several other mid- and late-stage clinical trials across multiple high unmet need cancer indications, including in endometrial cancer and myelofibrosis.
For more information about Karyopharm s products or clinical trials, please contact the Medical Information department at: Tel: +1 (888) 209-9326; Email: medicalinformation@karyopharm.com
XPOVIO (selinexor) is a prescription medicine approved:
SELECT IMPORTANT SAFETY INFORMATION
Use In Specific Populations
Lactation: Advise not to
For additional product information, including full prescribing information, please visit www.XPOVIO.com.
To report SUSPECTED ADVERSE REACTIONS, contact Karyopharm Therapeutics Inc. at 1-888-209-9326 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
About Karyopharm Therapeutics
Karyopharm Therapeutics
Inc. (Nasdaq: KPTI) is a commercial-stage pharmaceutical company whose dedication to pioneering novel cancer therapies is fueled by a belief in the extraordinary strength and courage of patients with cancer. Since its founding, Karyopharm has been
an industry leader in oral compounds that address nuclear export dysregulation, a fundamental mechanism of oncogenesis. Karyopharm s lead compound and
first-in-class, oral exportin 1 (XPO1) inhibitor, XPOVIO (selinexor), is approved in the U.S. and marketed by
the Company in three oncology indications. It has also received regulatory approvals in various indications in a growing number of ex-U.S. territories and countries, including Europe and the United Kingdom (as
NEXPOVIO ) and China. Karyopharm has a focused pipeline targeting indications in multiple high unmet need cancers, including in multiple myeloma, endometrial cancer, myelofibrosis, and diffuse
Forward-Looking Statements
This press release contains forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995. Such forward-looking
statements include those regarding Karyopharm s guidance on its 2024 total revenue, 2024 U.S. net product revenue and 2024 R&D and SG&A expenses; Karyopharm s expected cash runway; expectations with respect to commercialization
efforts; the ability of selinexor to treat patients with multiple myeloma, endometrial cancer, myelofibrosis, diffuse large B-cell lymphoma, and other diseases; and expectations with respect to the clinical
development plans and potential regulatory submissions of selinexor. Such statements are subject to numerous important factors, risks and uncertainties, many of which are beyond Karyopharm s control, that may cause actual events or results to
differ materially from Karyopharm s current expectations. For example, there can be no guarantee that Karyopharm will successfully commercialize XPOVIO or that any of Karyopharm s drug candidates, including selinexor, will successfully
complete necessary clinical development phases or that development of any of Karyopharm s drug candidates will continue. Further, there can be no guarantee that any positive developments in the development or commercialization of
Karyopharm s drug candidate portfolio will result in stock price appreciation. Management s expectations and, therefore, any forward-looking statements in this press release could also be affected by risks and uncertainties relating to a
number of other factors, including the following: the adoption of XPOVIO in the commercial marketplace, the timing and costs involved in commercializing XPOVIO or any of Karyopharm s drug candidates that receive regulatory approval; the ability
to obtain and retain regulatory approval of XPOVIO or any of Karyopharm s drug candidates that receive regulatory approval; Karyopharm s results of clinical trials and preclinical trials, including subsequent analysis of existing data and
new data received from ongoing and future trials; the content and timing of decisions made by the U.S. Food and Drug Administration and other regulatory authorities, investigational review boards at clinical trial sites and publication review
bodies, including with respect to the need for additional clinical trials; the ability of Karyopharm or its third party collaborators or successors in interest to fully perform their respective obligations under the applicable agreement and the
potential future financial implications of such agreement; Karyopharm s ability to enroll patients in its clinical trials; unplanned cash requirements and expenditures; substantial doubt exists regarding Karyopharm s ability to continue as
a going concern; development or regulatory approval of drug candidates by Karyopharm s competitors for products or product candidates in which Karyopharm is currently commercializing or developing; the direct or indirect impact of the COVID-19 pandemic or any future pandemic on Karyopharm s business, results of operations and financial condition; and Karyopharm s ability to obtain, maintain and enforce patent and other intellectual
property protection for any of its products or product candidates. These and other risks are described under the caption Risk Factors in Karyopharm s Quarterly Report on Form 10-Q for the
quarter ended June 30, 2024, which was filed with the Securities and Exchange Commission (SEC) on August 6, 2024, and in other filings that Karyopharm may make with the SEC in the future. Any forward-looking statements contained in this
press release speak only as of the date hereof, and, except as required by law, Karyopharm expressly disclaims any obligation to update any forward-looking statements, whether as a result of new information, future events or otherwise.
XPOVIO and NEXPOVIO are registered
trademarks of Karyopharm Therapeutics Inc. Any other trademarks referred to in this release are the property of their respective owners.
Senior Vice President, Investor Relations
KARYOPHARM THERAPEUTICS INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(unaudited); (in thousands, except per share amounts)
Three Months Ended September 30, Nine Months Ended September 30,
2024 2023 2024 2023
Revenues:
Product revenue, net $ 29,516 $ 30,207 $ 83,554 $ 86,955
License and other revenue 9,267 5,802 31,141 25,331
Total revenue 38,783 36,009 114,695 112,286
Operating expenses:
Cost of sales 1,300 911 4,676 3,456
Research and development 36,134 35,553 109,930 99,369
Selling, general and administrative 27,632 30,805 88,251 101,193
Total operating expenses 65,066 67,269 202,857 204,018
Loss from operations (26,283 ) (31,260 ) (88,162 ) (91,732 )
Other income (expense):
Interest income 1,832 2,750 5,918 8,423
Interest expense (11,385 ) (6,073 ) (26,218 ) (17,615 )
Gain on extinguishment of debt 44,702
Other income (expense), net 3,792 89 18,284 (145 )
Total other income (expense), net (5,761 ) (3,234 ) 42,686 (9,337 )
Loss before income taxes (32,044 ) (34,494 ) (45,476 ) (101,069 )
Income tax provision (28 ) (12 ) (166 ) (193 )
Net loss $ (32,072 ) $ (34,506 ) $ (45,642 ) $ (101,262 )
Basic net loss per share $ (0.26 ) $ (0.30 ) $ (0.38 ) $ (0.89 )
Diluted net loss per share $ (0.26 ) $ (0.30 ) $ (0.69 ) $ (0.89 )
Weighted-average number of common shares outstanding used to compute basic net loss per share 125,010 114,401 120,513 114,033
Weighted-average number of common shares outstanding used to compute diluted net loss per share 125,010 114,401 126,606 114,033
KARYOPHARM THERAPEUTICS INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(unaudited); (in thousands)
September 30, 2024 December 31, 2023
Assets
Cash, cash equivalents and investments $ 133,526 $ 191,443
Restricted cash 339 961
Accounts receivable 31,778 26,962
Other assets 23,833 21,072
Total assets $ 189,476 $ 240,438
Liabilities and stockholders deficit
Convertible senior notes due 2025 $ 24,392 $ 170,919
Convertible senior notes due 2029 72,091
Senior secured term loan 94,109
Deferred royalty obligation 73,499 132,479
Other liabilities 85,032 73,246
Total liabilities 349,123 376,644
Total stockholders deficit (159,647 ) (136,206 )
Total liabilities and stockholders deficit; 125,303 and 114,915 shares issued and outstanding at September 30, 2024 and December 31, 2023, respectively $ 189,476 $ 240,438

Frequently Asked Questions

What was Karyopharm's revenue for Q3 2024?

Karyopharm reported total revenue of $38.8 million for Q3 2024.

What is the co-primary endpoint in the SENTRY trial?

The Abs-TSS will replace TSS50 as a co-primary endpoint in the SENTRY trial.

What is the 2024 revenue guidance for XPOVIO?

The U.S. XPOVIO net product revenue guidance is $110 to $115 million.

How much did Karyopharm's R&D expenses increase in Q3 2024?

R&D expenses rose to $36.1 million, from $35.6 million the previous year.

What is XPOVIO used to treat?

XPOVIO is used to treat multiple myeloma and diffuse large B-cell lymphoma.

Last updated: Nov 5, 2024