Full Press Release Details
Innovative Leader in Non-Opioid Pain
Therapeutics (June 2023) Confidential Exhibit 99.1
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Executive Summary Company Background
Scilex Holding Company ("Scilex") is an innovative revenue-generating pharmaceutical firm focused on developing and commercializing non-opioid acute and chronic pain management products Scilex targets indications with unmet needs and
large market opportunities in acute and chronic pain, including shingles, migraine, gout, sciatica and fibromyalgia Lead commercial product, ZTlido 1.8%, is a prescription lidocaine topical product for the relief of neuropathic pain associated with
postherpetic neuralgia PHN (shingles pain). FDA-approved product Elyxyb (acute migraine) launched in April 2023 Additional planned 2023 launch for FDA-approved product Gloperba (gout) Scilex has multiple products in its pipeline, including a Phase 3
candidate, a Phase 2 candidate and a Phase 1 candidate that is expected to enter Phase 2 in 2023: SP-102 (SEMDEXA ) - a Phase 3, novel, viscous gel formulation of a widely used corticosteroid for epidural injections to treat sciatica
SP-103 (5.4%) - a Phase 2, next-generation triple strength formulation of ZTlido for the treatment of low back pain SP-104 - a novel low-dose delayed-release naltrexone hydrochloride being developed for the treatment of fibromyalgia Feb.
2018: Scilex receives final FDA approval for ZTlido (for the treatment of postherpetic neuralgia) Mar. 2019: Scilex Holding Company formed with the acquisition of Semnur Pharmaceuticals Oct. 2018: Scilex launches ZTlido commercially in
the U.S. Nov. 2022: Scilex goes public via merger with Vickers Vantage Corp. I with post-money equity value of ~$1.64B Dec. 2022: Sorrento declares stock distribution of ~76mm shares; eligible Sorrento stockholders to receive pro-rate share of
Scilex stock distributed in Jan 2023 Feb. 2023: Acquires and announces commercial launch of Elyxyb in United States (launched in April 2023) Mar. 2023: Announces FY2022 earnings, including revenues of $38mm (21% y-o-y growth) Company Overview
Corporate Timeline Jun. 2022: Acquires Gloperba in United States (expected to launch in 2023)
Investment Highlights Executive
Summary Established Reimbursement Access Strong Proprietary Platform with High Barriers to Entry Worldwide Commercial Rights to Most Product Candidates 3 FDA-approved Non-Opioid Acute and Chronic Pain Management Products 2 3 4 1 Blockbuster Pipeline
With Limited Capital Required for Commercialization 5
Platform Program IND Phase 1
ZTlido 1.8% (Postherpetic Neuralgia-PHN) GLOPERBA (colchicine USP) oral solution (Treatment of Gout) SP-102 (SEMDEXA) (Lumbar Radicular / Sciatica Pain) SP-103 Lidocaine Topical System 5.4% (3X) (Acute Back Pain) SP-104, Delayed Burst
Low Dose Naltrexone (Fibromyalgia) Phase 2 Phase 3 Pivotal NDA Approved Upcoming Milestones Fast Track and Pre NDA Innovative Non-Opioid Pain Therapeutics Executive Summary KEY PROGRAMS PRECLINICAL PHASE 1 PHASE 2 PHASE 3 / PIVOTAL APPROVED IP
MILESTONES / KEY COMMENTARY ZTlido (1.8% lidocaine topical system equivalent to 5% lidocaine) 2031 Launched in the U.S. in October 2018 GLOPERBA (colchicine USP) oral solution (For the prevention of painful gout flares in adults) 2036 2H
2022: In-licensed U.S. rights Q4-2023: U.S. launch ELYXYB (celecoxib) oral solution (Acute Treatment of Migraine) 2036 1Q 2023: In-licensed U.S. / Canadian rights 2Q 2023: U.S. launch SP-102 (SEMDEXA ) (Lumbar Radicular / Sciatica Pain)
2036 1H 2022: Phase III achieved endpoints 1H 2023: FDA discussion on Pre-NDA SP-103 Lidocaine Topical System 5.4% (3X) (Acute Back Pain) 2031 2Q 2022: Initiated Phase II trial SP-104, Delayed Burst Low Dose Naltrexone (Fibromyalgia) 2041 1H 2022:
Completed Phase I trial(s) 2023: Initiate Phase II trials Approved for the treatment of Postherpetic Neuralgia-PHN related pain Fast Track / Pre-NDA Fast Track Approved for acute treatment of migraine Approved for the prevention of painful gout
flares in adults Prepare Phase II Trial
ZTlido (1.8% lidocaine topical system
equivalent to 5% lidocaine for the treatment of Postherpetic Neuralgia-PHN related pain)
ZTlido Sales Performance 2022 - YTD
2023 YTD May 2023 Gross sales were in the range of $49.2 million to $54.3 million, compared to $32.0 million for year-to-date May 2022, representing growth in the range of 54% to 70% Net sales were in the range of $16.0 million to $19.0 million,
compared to $11.4 million for year-to-date May 2022, representing growth in the range of 40% to 67%. Q1-2023 Gross sales for the first quarter of 2023 were $27.5 million, compared to $18.4 million in the first quarter of 2022, representing growth of
49%. Net sales for the first quarter of 2023 were $10.6 million, compared to net sales of $6.8 million in the first quarter of 2022, representing growth of 56%. Historically, sales for ZTlido are low during the first quarter of the year due to
deductibles with managed healthcare plans. Full Year 2022 Net sales for full year 2022 were $38.0 million, compared to net sales of $31.3 million in 2021, representing a growth of 21%.
ZTlido Commercialization
ZTlido 1.8% (FDA approved for
relief of PHN pain) Only ZTlido delivers a 12-hour adhesion in a non-opioid therapy Superior adhesion versus other lidocaine patches in various head-to-head studies Only lidocaine patch proven in moderate exercise Savings & support system makes
it easy to receive inexpensive monthly prescription Lidocaine Patch Market Overview +4.6mm prescriptions in 2022 +169mm prescription lidocaine patches sold in the U.S. in 20221 Benefits versus Other Lidocaine Patches Superior adhesion compared to
other lidocaine patches head-to-head studies Only lidocaine patch proven in moderate exercise How does it compare to Lidoderm (5%) (1) Symphony Healthcare Properties ZTlido (1.8%) Lidoderm (5%) Bioavailability ~45% ~3 2% Weight 2 grams 14
grams Thickness 0.8 millimeters 1.6 millimeters Lidocaine Content 36 milligrams 700 milligrams Adhesion Non-aqueous Water-based 1 2 3
ZTlido Market Access Update ZTlido
Covered Lives Overview 62 Key Players - Preference State of California (MediCal) Lidocaine Preferred ZTlido Preferred ZTlido Preferred ZTlido Preferred
The ZTlido Solution to the Unmet
Need with Gabapentinoids
The ZTlido New Campaign as the
ideal add-on to Gabapentinoids Confidential, not for distribution Designed to allow the brand to achieve its true potential by repositioning from Adhesion to Efficacy) ZTlido is uniquely capable of optimizing gabapentinoids - doubling efficacy
without the baggage/side effects of other analgesic options (opioids, TCAs, SNRIs, NSAIDs, Acetaminophen). This combination efficacy data is "new' as HCPs are unaware of it - we can own the data as we believe we are the only
lidocaine patch being actively promoted. Aligns with managed care thinking (step edit ZTlido through gabapentinoids) Takes us into a 10X bigger market (gabapentinoids) than the lidocaine patch market
Enhanced Patient Quality of Life
Enhanced Patient Quality of Life:
Elyxyb (celecoxib) oral solution
(Acute Treatment of Migraine)
Elyxyb Launched in USA April
Approximately 39M People with
Migraine in the US Some patients may receive both acute as well as preventive treatment Source: Prevalence by Migraine Research Foundation, 2021; Epidemiology data by DRG
ELYXYB has an opportunity to
address unmet need for fast-acting acute migraine therapies as patients cycle through standard therapies Sources: 1. Migraine Research Foundation, 2021; 2. Evaluate Pharma data February 16, 2023 ; 3. Lipton RB et al. Headache. 2017; 4. IQVIA NPA
Monthly YTD 2022; 5. Symphony Health Patient Claims; 6. Parduzt, NSAIDs in the Acute Treatment of Migraine: A review of Clinical Experiment and Data, 2010; Market Overview and Value Proposition Large and Growing U.S. Market High Unmet Need in Acute
Setting First and Only COX-2 Inhibitor of Its Kind 39 million people suffer from migraines in the US, of which 9 million (23%) are on acute Rx therapies1 US oral migraine market is expected to be $1.8B in 20222 >70% of patients report inadequate
treatment response with acute migraine3 (primarily Triptans and NSAIDs) OTC NSAIDs used first-line in acute settings but often associated with GI adverse events and/or slower onset of action Acute migraine market dominated by Triptans (>70% of
prescriptions)4 CGRPs showing discontinuation at a high rate (~50% therapy abandonment 90-day post start)5 First and only COX-2 inhibitor formulated as a fast-onset oral solution for the acute treatment of migraine Specifically developed to work
fast for migraine: Unique delivery system improves bioavailability / absorption Fast onset of action: Median TMax of 1 hour Efficacious: Proven in 2 large Phase 3 studies of 815 patients Safety: No serious adverse events, no drowsiness and favorable
GI side effect profile vs traditional NSAIDs Convenience: Ready-to-use oral solution - no prep, no steps, just open and drink
The US Migraine Market Is Projected
To Grow By 195% Between 2021 to 2026 Source: Evaluate; Above data includes both acute and preventative therapies; Data refreshed in January 2022
Gloperba (colchicine USP) oral
solution (For the prevention of painful gout flares in adults)
Gloperba Launch in USA Planned in
Gout Market Size Overview 5.0 9.0
1.6 2.4 Sources: Chen-Xu M, et al. Arthritis Rheum. 2019;72(6):991-999; Symphony Healthcare Confidential, not for distribution
Gout Unmet Needs Gloperba HCP
Market Research Source: Rheumatologists and PCPs interviewed by Percipient, November - February 2023 n=39 "A drug that doesn't have any GI adverse events would be good. It should have no side effects. It can't cause toxicity
either, considering [tablet] colchicine is already effective." - Rheumatologist Physicians are generally satisfied with the currently available prophylactic gout treatments, particularly colchicine. However, physicians acknowledged that
colchicine's ability to cause adverse GI events along with the caution that must be taken when prescribing it to patients with comorbidities warrant new drugs with significantly improved safety profiles. "Patients don't always
adhere to colchicine. We need drugs that patients will take without the GI side effects. Otherwise, it's a very effective drug." - Rheumatologist "There is an unmet need for drugs that can be used in patients who can't
tolerate the GI side effects." - PCP Confidential, not for distribution
SP-102 (SEMDEXA) Treatment of
Chronic Low Back Pain/ Sciatica
CURRENT PROBLEM Prescription opioid
abuse is at epidemic proportions in the U.S1 Additionally, the CDC states that opioids do not provide clinically meaningful pain relief in patients with low back and chronic pain2 MULTI-MODAL PAIN MANAGEMENT Multiple medical organizations recommend
multi-modal analgesia for chronic pain management, including the American Society of Anesthesiologists (ASA), American Society of Regional Anesthesia (ASRA) & the American Academy of Orthopedic Surgeons. POTENTIAL FOR SP-102 SEMDEXA (SP-102)
clinical program is intended to demonstrate its utility as a key adjunct treatment for low back pain/lumbar radiculopathy and potential as a new pain management standard Center for Disease Control and Prevention. Increases in Drug and Opioid
Overdose Deaths 2000-20014. MMWR 2015; 64; 1-5. Efficacy, Tolerability and Dose Effects of Opioid Analgesics for Low Back Pain. JAMA Internal Medicine. 2016 Jul 1; 176 Practice Guidelines for Chronic Pain Management. Anesthesiology. 2010; 112: No 4