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Scilex Holding Company Announces that According to Prescription Data from Symphony Health, ZTlido is the Most Prescribed Non-Opioid Branded Pain Treatment By Pain Specialists

Key Takeaway: Scilex Holding Company announced that their product, ZTlido, has become the most prescribed non-opioid branded pain treatment as of October 2023, according to Symphony Health's prescription data. The market share for ZTlido has risen to 14.2%, up from 11.8% a year ago. Additionally, the company reported significant growth in gross sales, ranging from $125 million to $135 million year-to-date through November 2023, representing a substantial increase compared to $84.6 million during the same period in 2022. Full-year estimates for 2023 suggest potential gross sales could reach between $140 million to $150 million, showing a year-over-year growth rate of approximately 46% to 56%.
Price reaction · baseline $49 (2023-12-19 close) · hit after-hours · 1 other SCLX headline(s) in the window, move may be shared
day 0 close
-7.1%
day 1
-5%
day 3 · peak
+15.7%

Market Sentiment Analysis

POSITIVE FACTORS

  • ZTlido is the most prescribed non-opioid branded pain treatment.
  • Market share for ZTlido increased significantly from 11.8% to 14.2%.
  • Gross sales through November 2023 show a notable increase of approximately 48% to 60% compared to the previous year.
  • Projected full year gross sales for 2023 are estimated to grow 46% to 56% compared to 2022.

BiopharmaWatch Analysis

From our catalyst data and publicly available data · not financial advice
Best trade, last catalyst
+652%
120-day peak, hindsight
Typical move
6.8%
average across 4 past catalysts
Cash runway
~2 mo
High dilution risk
Lead asset
SP-103
Phase 2 · Moderate to Severe Acute Lower Back Pain

Full Press Release Details

ZTlido® is the most prescribed non-opioid, branded pain treatment prescribed by pain specialists.1
Total ZTlido® NRx (New Drug Prescription) market share for the non-opioid branded pain treatment market grew to 14.2% in October 2023, compared to 11.8% in October 2022 according to prescription data from Symphony Health.1
As previously reported certain preliminary unaudited financial results for gross sales for year-to-date through November 30, 2023. ZTlido® year-to-date gross sales through November 2023 were in the range of $125.0 million to $135.0 million, compared to $84.6 million for year-to-date through November 2022, representing growth in the range of approximately 48% to 60%.
Projected full year gross sales for ZTlido® in 2023 are estimated to be in the range of $140.0 million to $150.0 million, compared to $96.0 million in 2022, representing estimated growth in the range of approximately 46% to 56%.
PALO ALTO, Calif., Dec. 20, 2023 (GLOBE NEWSWIRE) -- Scilex Holding Company (Nasdaq: SCLX, “Scilex” or “Company”), an innovative revenue-generating company focused on acquiring, developing and commercializing non-opioid pain management products for the treatment of acute and chronic pain, today announced that according to prescription data from Symphony Health, ZTlido® is the most prescribed non-opioid, branded pain treatment prescribed by pain specialists. Total ZTlido® NRx (New Drug Prescription) market share grew to 14.2% in October 2023, compared to 11.8% in October 2022 according to prescription data from Symphony Health.
For more information on ZTlido® including Full Prescribing Information, refer to www.ztlido.com.
About Scilex Holding Company
Scilex Holding Company is an innovative revenue-generating company focused on acquiring, developing and commercializing non-opioid pain management products for the treatment of acute and chronic pain. Scilex is uncompromising in its focus to become the global pain management leader committed to social, environmental, economic, and ethical principles to responsibly develop pharmaceutical products to maximize quality of life. Results from the Phase III Pivotal Trial C.L.E.A.R. Program for SEMDEXA™, its novel, non-opioid product for the treatment of lumbosacral radicular pain (sciatica), were announced in March 2022. Scilex participated in the type C meeting for purposes of pre-NDA discussion with the FDA and reached agreement on a path forward to file an NDA for SP-102 (SEMDEXA™) in Lumbosacral Radicular Pain (Sciatica) with the FDA. Scilex targets indications with high unmet needs and large market opportunities with non-opioid therapies for the treatment of patients with moderate to severe pain. Scilex launched its first commercial product ZTlido® in October 2018, in-licensed a commercial product Gloperba® in June 2022, and launched its third FDA-approved product Elyxyb® in April 2023. It is also developing its late-stage pipeline, which includes a pivotal Phase 3 candidate, and one Phase 2 and one Phase 1 candidate. Its commercial product, ZTlido® (lidocaine topical system) 1.8%, or ZTlido®, is a prescription lidocaine topical product approved by the U.S. Food and Drug Administration for the relief of pain associated with post-herpetic neuralgia, which is a form of post-shingles nerve pain. Scilex in-licensed the exclusive right to commercialize Gloperba® (colchicine USP) oral solution, an FDA-approved prophylactic treatment for painful gout flares in adults, in the U.S. Scilex in-licensed the exclusive rights to commercialize Elyxyb® (celecoxib oral solution) in the U.S. and Canada, the only FDA-approved ready-to-use oral solution for the acute treatment of migraine, with or without aura, in adults. Scilex launched Elyxyb® in April 2023, and is planning to commercialize Gloperba® by 2024, and is well-positioned to market and distribute those products. Scilex’s three product candidates are SP-102 (injectable dexamethasone sodium phosphate viscous gel product containing 10 mg dexamethasone), or SEMDEXA™, a Phase 3, novel, viscous gel formulation of a widely used corticosteroid for epidural injections to treat lumbosacral radicular pain, or sciatica, with FDA Fast Track status; SP-103 (lidocaine topical system) 5.4%, a Phase 2 study, triple-strength formulation of ZTlido®, for the treatment of chronic neck pain, with FDA Fast Track status. We received our SP-103 Phase 2 top-line results in August 2023 and the trial achieved its objectives characterizing safety, tolerability and preliminary efficacy of SP-103 in acute low back pain associated with muscle spasms. SP-103 was safe and well-tolerated. Increase of lidocaine load in topical system by three times, compared with approved ZTlido, 5.4% vs. 1.8%, did not result in signs of systemic toxicity or increased application site reactions with daily applications over one month treatment. We will continue to analyze the SP-103 Phase 2 trial data along with a recently completed investigator study of ZTlido in patients with chronic neck pain which also has showed promising top-line efficacy and safety results. Scilex is planning to initiate Phase 2/3 trial in chronic neck pain in 2024; and SP-104, 4.5 mg Delayed Burst Release Low Dose Naltrexone Hydrochloride (DBR-LDN) Capsule, for the treatment of chronic pain, fibromyalgia that has completed multiple Phase 1 trial programs and is expected to initiate Phase 2 trials in 2024.
Scilex Holding Company is headquartered in Palo Alto, California.
Forward-Looking Statements
This press release and any statements made for and during any presentation or meeting concerning the matters discussed in this press release contain forward-looking statements related to Scilex and its subsidiaries under the safe harbor provisions of Section 21E of the Private Securities Litigation Reform Act of 1995 and are subject to risks and uncertainties that could cause actual results to differ materially from those projected. Forward-looking statements include statements regarding the estimated prescription data regarding non-opioid branded pain treatment, the estimates for ZTlido’s market share data, Scilex’s preliminary unaudited financial results for the one month ended November 30, 2023 and year-to-date through November 30, 2023, Scilex’s plans to initiate a Phase 2/3 trial in chronic neck pain in 2024 and plans to initiate Phase 2 trials in 2024 for SP-104, Scilex’s belief that it is well positioned to continue its growth over the next several years, Scilex’s long-term objectives and commercialization plans, Scilex’s potential to attract new capital, future opportunities for Scilex, Scilex’s future business strategies, the expected cash resources of Scilex and the expected uses thereof; Scilex’s current and prospective product candidates, planned clinical trials and preclinical activities and potential product approvals, as well as the potential for market acceptance of any approved products and the related market opportunity; statements regarding ZTlido®, Gloperba®, ELYXYB®, SP-102 (SEMDEXA™), SP-103 or SP-104, if approved by the FDA; Scilex’s development and commercialization plans; and Scilex’s products, technologies and prospects.
Risks and uncertainties that could cause Scilex’s actual results to differ materially and adversely from those expressed in our forward-looking statements, include, but are not limited to: risks associated with the unpredictability of trading markets and whether a market will be established for Scilex’s common stock; general economic, political and business conditions; risks related to COVID-19 (and other similar disruptions); the risk that the potential product candidates that Scilex develops may not progress through clinical development or receive required regulatory approvals within expected timelines or at all; risks relating to uncertainty regarding the regulatory pathway for Scilex’s product candidates; the risk that Scilex will be unable to successfully market or gain market acceptance of its product candidates; the risk that Scilex’s product candidates may not be beneficial to patients or successfully commercialized; the risk that Scilex has overestimated the size of the target patient population, their willingness to try new therapies and the willingness of physicians to prescribe these therapies; risks that the outcome of the trials for SP-102, SP-103 or SP-104 may not be successful; risks that the prior results of the clinical trials of SP-102 (SEMDEXA™), SP-103 or SP-104 may not be replicated; regulatory and intellectual property risks; and other risks and uncertainties indicated from time to time and other risks set forth in Scilex’s filings with the Securities and Exchange Commission. Investors are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this release, and Scilex undertakes no obligation to update any forward-looking statement in this press release except as may be required by law.
Scilex Holding Company
960 San Antonio Road
Office: (650) 516-4310
1)   Data from Symphony Health YTD November prescription data
SEMDEXA™ (SP-102) is a trademark owned by Semnur Pharmaceuticals, Inc., a wholly-owned subsidiary of Scilex Holding Company. A proprietary name review by the FDA is planned.
ZTlido® is a registered trademark owned by Scilex Pharmaceuticals Inc., a wholly-owned subsidiary of Scilex Holding Company.
Gloperba® is the subject of an exclusive, transferable license to use the registered trademark by Scilex Holding Company.
ELYXYB® is the subject of an exclusive, transferable license to use the registered trademark by Scilex Holding Company.
All other trademarks are the property of their respective owners.

Frequently Asked Questions

What is ZTlido® used for?

ZTlido® is a prescription lidocaine topical product for treating post-herpetic neuralgia.

What is Scilex Holding Company focused on?

Scilex specializes in developing non-opioid pain management products for acute and chronic pain.

What were ZTlido®'s gross sales in 2023?

ZTlido® gross sales for 2023 are projected between $140.0 million and $150.0 million.

How much did ZTlido®'s market share increase?

ZTlido®'s market share rose from 11.8% to 14.2% from October 2022 to October 2023.

What clinical trials is Scilex planning for 2024?

Scilex plans to initiate Phase 2/3 trials for chronic neck pain and Phase 2 trials for SP-104.

Last updated: Dec 20, 2023