CORT Corcept Therapeutics Inc

Corcept Therapeutics Incorporated (NASDAQ: CORT), a commercial-stage company engaged in the discovery and development of medications to treat severe endocrinologic, oncologic, metabolic and neurologic disorders by modulating the effects of the hormone cortisol, today reported its results for the quarter and year ended December 31, 2023.

Financial Results

• Fourth quarter revenue of $135.4 million, a 31 percent increase over the same period in 2022
• Full year 2023 revenue of $482.4 million, a 20 percent increase over 2022
• Reiterated 2024 revenue guidance of $600 – $630 million
• Fourth quarter net income of $31.4 million, compared to $16.6 million in fourth quarter 2022
• 2023 net income of $106.1 million, compared to $101.4 million in 2022
• Cash and investments of $425.4 million as of December 31, 2023

“The medical field is increasingly recognizing that Cushing’s syndrome is much more prevalent than was previously assumed. Our strong 2023 commercial results reflect that physicians are more regularly screening for hypercortisolism. The results demonstrate our ability to support these physicians as they manage this complex disease. We are confident these trends will continue and are reiterating our 2024 revenue guidance of $600 – $630 million,” said Joseph K. Belanoff, MD, Corcept’s Chief Executive Officer.

Corcept’s fourth quarter 2023 revenue was $135.4 million, compared to $103.1 million in the fourth quarter of 2022. Revenue for the full year was $482.4 million, compared to $401.9 million in 2022.

Diluted net income per common share was $0.28 in the fourth quarter of 2023, compared to $0.14 in the fourth quarter of 2022. For the full year, it was $0.94 compared to $0.87 in 2022.

Cash and investments were $425.4 million at December 31, 2023 compared to $436.6 million at December 31, 2022. In 2023, Corcept paid $154.5 million to purchase its common stock in connection with the April 2023 tender offer, the exercise of employee stock options and vesting of restricted stock grants.

Clinical Development

“Our clinical development programs are advancing rapidly and will reach important milestones this year. We are on-track to submit our NDA for relacorilant in Cushing’s syndrome and will report data from our trials in Cushing’s syndrome (GRACE, GRADIENT and CATALYST), ovarian cancer (ROSELLA) and ALS (DAZALS),” added Dr. Belanoff.

Cushing’s Syndrome

• GRACE – Phase 3 trial of relacorilant in patients with all etiologies of Cushing’s syndrome – results from open label and randomized withdrawal phases expected in the second quarter
• Relacorilant New Drug Application (NDA) – NDA submission for Cushing’s syndrome expected in the second quarter
• GRADIENT – Phase 3 trial of relacorilant in patients with Cushing’s syndrome caused by adrenal adenomas – enrollment continues; results expected in the second half of this year
• CATALYST – Phase 4 trial examining the prevalence of hypercortisolism in patients with difficult-to-control type 2 diabetes; patients with hypercortisolism may enter a randomized, double-blind, placebo-controlled study of Korlym – enrollment continues; preliminary prevalence phase results: 24% prevalence rate in the first 700 patients enrolled; final results from prevalence and treatment phases expected by year-end

“We are on-track to submit our relacorilant NDA in the second quarter. Relacorilant has demonstrated tremendous promise as a treatment for patients with Cushing’s syndrome and we are eager to make it more broadly available,” said Bill Guyer, PharmD, Corcept’s Chief Development Officer.

“Our CATALYST trial is the largest study ever conducted to establish the prevalence of hypercortisolism in patients with difficult-to-control diabetes. We expect CATALYST’s findings to greatly stimulate physicians’ efforts to screen for hypercortisolism in patients with difficult-to-control diabetes and to treat them when hypercortisolism is found. Almost all of these patients currently go undiagnosed. We believe that CATALYST will be a landmark study and look forward to presenting the final results from the prevalence phase at the American Diabetes Association’s 84th Scientific Sessions in June,” added Dr. Guyer.

Oncology

• ROSELLA – Pivotal Phase 3 trial of relacorilant plus nab-paclitaxel in patients with platinum-resistant ovarian cancer – enrollment continues; results expected by year-end
• Open-label, Phase 1b trial of relacorilant plus pembrolizumab in patients with adrenal cancer with cortisol excess – enrollment completed; results expected by mid-year
• Randomized, placebo-controlled, Phase 2 trial of relacorilant plus enzalutamide in patients with prostate cancer in collaboration with the University of Chicago – enrollment continues

“If our ROSELLA trial replicates the results of our Phase 2 trial in patients with platinum-resistant ovarian cancer (results published in The Journal of Clinical Oncology, June 2023), it will constitute a major medical advance and could establish the combination of relacorilant and nab-paclitaxel as a new standard of care for women with this devastating disease. We expect data from ROSELLA by the end of this year,” said Dr. Guyer.

Amyotrophic Lateral Sclerosis (ALS)

• DAZALS – Randomized, double-blind, placebo-controlled, Phase 2 trial of dazucorilant in patients with ALS – enrollment continues; results expected by year-end

“ALS is a lethal illness with an urgent need for better treatment.  Dazucorilant showed great promise in animal models of ALS – improving motor performance and reducing neuroinflammation and muscular atrophy. Our DAZALS study is investigating dazucorilant’s potential to significantly improve the lives of patients with ALS. We expect data by the end of this year,” said Dr. Guyer.

Non-alcoholic Steatohepatitis (NASH)

• MONARCH – Randomized, double-blind, placebo-controlled, Phase 2b trial of miricorilant in patients with biopsy-confirmed NASH – enrollment continues

“Miricorilant has the potential to greatly benefit the millions of patients with NASH. Our Phase 1b study demonstrated that miricorilant effectively reduces liver fat, improves liver health and key metabolic and lipid measures and is well-tolerated. We look forward to building on these promising results in our MONARCH study,” said Dr. Guyer.

Conference Call

We will hold a conference call on February 15, 2024, at 5:00 p.m. Eastern Time (2:00 p.m. Pacific Time). Participants must register in advance of the conference call by clicking here. Upon registering, each participant will receive a dial-in number and a unique access PIN. Each access PIN will accommodate one caller. Additionally, a listen-only webcast will be available by clicking here. A replay of the call will be available on the Investors / Events tab of www.corcept.com.

About Corcept Therapeutics

For over 25 years, Corcept’s focus on cortisol modulation and its potential to treat patients across a wide variety of serious disorders has led to the discovery of more than 1,000 proprietary selective cortisol modulators. Corcept’s advanced clinical trials are being conducted in patients with hypercortisolism, solid tumors, ALS and NASH. In February 2012, the company introduced Korlym®, the first medication approved by the U.S. Food and Drug Administration for the treatment of patients with Cushing’s syndrome. Corcept is headquartered in Menlo Park, California. For more information, visit www.corcept.com.

Forward-Looking Statements

Statements in this press release, other than statements of historical fact, are forward-looking statements based on our current plans and expectations that are subject to risks and uncertainties that might cause our actual results to differ materially from those such statements express or imply. These risks and uncertainties include, but are not limited to, our ability to operate our business; generate sufficient revenue to fund our activities; the availability of competing treatments for hypercortisolism, including generic versions of Korlym; our ability to obtain acceptable prices and adequate insurance coverage and reimbursement for Korlym; risks related to the development of relacorilant, dazucorilant, miricorilant and our other product candidates, including their clinical attributes, regulatory approvals, mandates, oversight and other requirements; the timing, cost and outcome of legal disputes and investigations; and the scope and protective power of our intellectual property. These and other risks are set forth in our SEC filings, which are available at our website and the SEC’s website.

In this press release, forward-looking statements include: our continued revenue growth and 2024 revenue guidance; the rates of screening and treatment of hypercortisolism; cortisol modulation’s potential to treat many serious diseases; development of relacorilant as a treatment for Cushing’s syndrome and ovarian, adrenal and prostate cancer; the design, timing and expectations regarding our GRACE trial; the timing and outcome of relacorilant’s NDA in Cushing’s syndrome; the design, timing and expectations regarding our GRADIENT trial; the design, timing and expectations regarding our CATALYST trial; the timing and expectations of our ROSELLA trial and the potential for relacorilant plus nab-paclitaxel to become a standard of care; the timing and expectations of our DAZALS trial of dazucorilant in patients with ALS; the timing and substance of our MONARCH trial in patients with NASH, and the pace of enrollment, study design and timelines, and the accrual and attributes of clinical data, as well as the timing of regulatory submissions with respect to all of our development activities. We disclaim any intention or duty to update forward-looking statements made in this press release.

CORCEPT THERAPEUTICS INCORPORATEDCONDENSED CONSOLIDATED BALANCE SHEETS(In thousands)
	December 31, 2023			December 31, 2022(1)
	(Unaudited)
Assets
Cash and investments	$	425,397		$	436,619
Trade receivables, net of allowances		41,123			31,057
Insurance recovery receivable related to Melucci litigation		14,000			14,000
Inventory		15,974			17,031
Operating lease right-of-use asset		120			1,143
Deferred tax assets, net		90,605			61,465
Other assets		34,298			22,115
Total assets	$	621,517		$	583,430
Liabilities and Stockholders’ Equity
Accounts payable	$	17,396		$	11,976
Accrued settlement related to Melucci litigation		14,000			14,000
Operating lease liabilities		151			1,143
Other liabilities		83,265			54,469
Stockholders’ equity		506,705			501,842
Total liabilities and stockholders’ equity	$	621,517		$	583,430
(1) Derived from audited financial statements at that date

CORCEPT THERAPEUTICS INCORPORATEDCONDENSED CONSOLIDATED STATEMENTS OF INCOME(In thousands, except per share data)
	Three Months Ended								Year Ended
	December 31,								December 31,
		2023				2022				2023				2022
Revenues
Product revenue, net	$	135,405			$	103,056			$	482,375			$	401,858
Operating expenses
Cost of sales		1,876				1,480				6,481				5,385
Research and development		54,707				36,754				184,353				130,991
Selling, general and administrative		47,152				42,323				184,259				152,848
Settlement expense related to Melucci litigation		—				14,000				—				14,000
Insurance recovery related to Melucci litigation		—				(14,000	)			—				(14,000	)
Total operating expenses		103,735				80,557				375,093				289,224
Income from operations		31,670				22,499				107,282				112,634
Interest and other income		5,139				1,777				17,275				3,557
Income before income taxes		36,809				24,276				124,557				116,191
Income tax expense		(5,454	)			(7,675	)			(18,417	)			(14,773	)
Net income	$	31,355			$	16,601			$	106,140			$	101,418
Net income attributable to common stockholders	$	31,138			$	16,553			$	105,496			$	101,288
Basic net income per common share	$	0.30			$	0.15			$	1.02			$	0.95
Diluted net income per common share	$	0.28			$	0.14			$	0.94			$	0.87
Weighted-average shares outstanding used in computing net income per common share
Basic		102,455				107,700				103,560				106,787
Diluted		110,886				116,328				111,742				115,966

CONTACT: Investor inquiries: ir@corcept.com Media inquiries: Communications@corcept.com www.corcept.com