OPNT Opiant Pharmaceuticals Inc

Opiant Pharmaceuticals, Inc. (“Opiant”) (NASDAQ: OPNT), a specialty pharmaceutical company developing medicines to treat addictions and drug overdose, today reported financial results for the three months ended March 31, 2022, and provided a corporate update. Recent highlights include:

Finance Update

• Q1 revenues of $4.5 million; $2.2 million of revenue was attributable to the license agreement with Emergent BioSolutions, Inc. (“EBS”) for the sale of NARCAN® Nasal Spray
  • The royalty rate reduced in Q1 due to EBS applying the “Generic Reduction Clause” contained in the License Agreement
• Well capitalized, with approximately $50.8 million in cash, cash equivalents and marketable securities, as of March 31, 2022

Pipeline Update

• OPNT003, nasal nalmefene, for opioid overdose:
  • Reported positive topline results from a pharmacodynamic (“PD”) study for OPNT003, nasal nalmefene
    • OPNT003 met the primary endpoint of non-inferiority, which was designed to assess whether nasal nalmefene performed at least as well as nasal naloxone
    • OPNT003 produced, at the primary end point of five minutes, a greater reversal in remifentanil-induced respiratory depression that was nearly twice that produced by nasal naloxone
    • Additional analyses of select secondary endpoints show that at 5 minutes after administration, nasal nalmefene achieved a reversal of remifentanil-induced respiratory depression to values that were within the 95% confidence interval (“CI”) of the minute ventilation observed just prior to remifentanil infusion. This reversal was maintained through 20 minutes. Nasal naloxone achieved a similar reversal  of minute ventilation only at 20 minutes 
    • Completion of the PD study concludes the planned clinical development program for OPNT003
  • On track to complete New Drug Application (“NDA”) for OPNT003 in H2 2022, following completion of recent pre-NDA meeting
  • Commercial preparations continue to advance for a potential commercial launch in 2023; Centers for Disease Control and Prevention (“CDC”) provisional data confirms more than 80,000 people died of opioid overdose in 2021, a 16% increase over 2020
• OPNT002, nasal naltrexone, for Alcohol Use Disorder (“AUD”):
  • Continued patient enrollment and dosing in Phase 2 study; data expected in H1 2023

Commenting, Roger Crystal, M.D., President and Chief Executive Officer of Opiant, said:

“The latest CDC data have put a spotlight on the continued worsening of the opioid crisis. The need for new safe and effective opioid overdose reversal treatments is greater than ever, and at Opiant we’ve made strong progress advancing the OPNT003, nasal nalmefene, development program. The compelling results of the recently completed PD study versus nasal naloxone add to the significant body of clinical and non-clinical evidence demonstrating the potential of our late-stage product candidate to offer an important treatment option for opioid overdose. With the planned clinical development program for OPNT003 now concluded, we have met with the FDA, and feel we are well-positioned to submit our NDA for OPNT003, which we anticipate occurring in the second half of this year. On the commercial front, preparations continue at pace. Beyond OPNT003, our robust pipeline also continues to progress, as patient enrollment and dosing ramp up in our ongoing Phase 2 study of OPNT002, nasal naltrexone, for alcohol use disorder.”

David O’Toole, Chief Financial Officer of Opiant, said:

“From a capital resource perspective, we ended the first quarter with approximately $51 million of cash and continue to prudently manage our expenses, enabling us to execute on our key commercial and R&D initiatives. We look forward to multiple potentially value enhancing regulatory, commercial and clinical catalysts in the quarters ahead.”

Financial Results for the First Quarter Ended March 31, 2022For the three months ended March 31, 2022, Opiant recorded approximately $4.5 million in revenue, compared to approximately $6.4 million during the corresponding period of 2021. $2.2 million of revenue was attributable to the license agreement with Emergent BioSolutions, Inc., (“EBS”) for the sale of NARCAN® Nasal Spray, compared to approximately $4.3 million in the same period of 2021. Approximately $2.3 million came from grant and contract revenue, compared to approximately $2.1 million in the same period in 2021. First quarter 2022 sales of NARCAN® Nasal Spray were approximately $93.1 million, as reported by EBS.

The decrease in royalty rate was due to EBS applying the “Generic Reduction Clause,” which is provided for in the License Agreement between Opiant and Adapt Pharma. Since the generic entry of nasal naloxone into the U.S. marketplace in December of 2021, to the extent the clause is rightfully triggered, EBS can reduce royalties payable to Opiant to 2% for the quarter in the event U.S. net sales decrease by greater than 30% during the quarter when compared to the net NARCAN® sales in the quarter before the launch of the generic. The clause states that this calculation is completed separately each quarter, which means that the application of the Generic Reduction Clause this quarter has no bearing on whether it is triggered in the remaining quarters of 2022.

For the three months ended March 31, 2022, general and administrative (“G&A”) expenses were approximately $4.4 million, as compared to approximately $2.6 million in the comparable period in 2021. The $1.9 million increase was due to a $1.2 million increase in employee costs, including stock-based compensation and a $0.7 million increase in legal fees.

Research and development (“R&D”) expenses for the three months ended March 31, 2022, were approximately $8.8 million, as compared to approximately $4.1 million in the comparable period in 2021. The $4.7 million increase was primarily due to expenses associated with the completion of the clinical work for OPNT003. Approximately $2.2 million of the increase was offset by reimbursement by the contract with Biomedical Advanced Research and Development Authority (“BARDA”).

Sales and marketing (“S&M”) expenses for the three months ended March 31, 2022, were approximately $2.7 million for pre-commercialization efforts related to OPNT003.

Royalty expense for the three months ended March 31, 2022, was approximately $0.4 million and $1.0 million for the comparable period of 2021. The $0.6 million decrease was due to decreased royalty revenue from net sales of NARCAN® Nasal Spray.

Net loss for the three months ended March 31, 2022, was approximately $12.2 million, or a loss of $2.43 per basic and diluted share, compared to a net loss of approximately $2.8 million, or loss of $0.66 per basic and diluted share, for the comparable period of 2021.

As of March 31, 2022, Opiant had approximately $50.8 million in cash, cash equivalents, and marketable securities.

The OPNT003 development program has been funded in part with Federal funds from the Department of Health and Human Services; Office of the Assistant Secretary for Preparedness and Response; Biomedical Advanced Research and Development Authority, under Contract No. HHSO100201800029C.

Conference Call Details:Tuesday, May 10th at 4:30 p.m. Eastern Time/1:30 p.m. Pacific Time

Toll Free:	1-877-407-0792
International:	1-201-689-8263
Conference ID:	13728852
Webcast:	http://ir.opiant.com/

About Opiant Pharmaceuticals, Inc.Opiant Pharmaceuticals, Inc., the company that developed NARCAN® Nasal Spray, is building a leading franchise of new medicines to combat addictions and drug overdose. For more information visit: www.opiant.com.

Forward-Looking StatementsThis press release contains forward-looking statements. These statements relate to future events or our future financial performance and involve known and unknown risks, uncertainties and other factors that may cause our actual results, levels of activity, performance or achievements to be materially different from any future results, levels of activity, performance or achievements expressed, implied or inferred by these forward-looking statements, and among other things, submit a New Drug Application in the second half of 2022. In some cases, you can identify forward-looking statements by terminology such as "may," "will," "should," "could," "would," "expects," "plans," "intends," "anticipates," "believes," "estimates," "predicts," "projects," "potential," or "continue" or the negative of such terms and other comparable terminology. These statements are only predictions based on our current expectations and projections about future events. You should not place undue reliance on these statements. Actual events or results may differ materially. In evaluating these statements, you should specifically consider various factors. Additional factors that could materially affect actual results can be found in our Form 10-K for the year ended December 31, 2021, filed with the Securities and Exchange Commission on March 4, 2022, including under the caption titled "Risk Factors."  These and other factors may cause our actual results to differ materially from any forward-looking statement. We undertake no obligation to update any of the forward-looking statements after the date of this press release to conform those statements to reflect the occurrence of unanticipated events, except as required by applicable law.Investor Relations Contacts:

Ben AtkinsVP of Corporate Communications and Investor RelationsBatkins@opiant.com(310) 598-5410

Opiant Pharmaceuticals Inc.
Condensed Consolidated Statements of Operations
(in thousands, except shares and per share amounts)
(unaudited)
				Three months ended
				March 31,
					2022				2021
Revenues
	Royalty revenue			$	2,193			$	4,334
	Grant and contract revenue				2,277				2,053
		Total revenue			4,470				6,387
Operating expenses
	General and administrative				4,332				2,646
	Research and development				8,823				4,088
	Sales and marketing				2,677				998
	Royalty expense				426				979
		Total operating expenses			16,258				8,711
Loss from operations					(11,788	)			(2,324	)
Other income (expense)
	Interest income				5				3
	Interest expense				(421	)			(537	)
	Gain on foreign exchange				16				14
		Total other income (expense)			(400	)			(520	)
Loss before income taxes					(12,188	)			(2,844	)
Income tax expense					-				-
Net loss				$	(12,188	)		$	(2,844	)
Other comprehensive loss
	Foreign currency translation adjustment				(27	)			13
Total other comprehensive loss				$	(12,215	)		$	(2,831	)
Net loss per common share
	Basic and Diluted			$	(2.43	)		$	(0.66	)
Weighted-average common shares outstanding:
	Basic and Diluted				5,015,262				4,282,923

Opiant Pharmaceuticals, Inc.
Condensed Consolidated Balance Sheets
(in thousands, except shares and per share amounts)
					As of March 31				As of December 31,
						2022				2021
Assets					(unaudited)
	Current Assets
		Cash & cash equivalents			$	48,325			$	37,854
		Marketable securities				2,500			$	15,015
		Accounts receivable				4,454				13,327
		Prepaid and other current assets				3,881				2,963
		Total Current Assets				59,160				69,159
	Other Assets
		Property and equipment, net				71				78
		Right of use assets - operating leases				875				1,000
		Patents and patent applications, net				11				12
		Other non-current assets				202				179
		Total Assets			$	60,319			$	70,428
Liabilities and stockholders' equity
	Current Liabilities
		Accounts payable and accrued expenses			$	5,319			$	3,370
		Accrued salaries & wages				760				202
		Royalty payable				426				2,920
		Deferred revenue				-				17
		Operating leases				283				338
		Total Current Liabilities				6,788				6,847
	Long-Term Liabilities
		Operating leases - long term				608				673
		Convertible debt - net of unamortized discount				13,660				16,069
		Total Long-Term Liabilities				14,268				16,742
		Total Liabilities				21,056				23,589
	Stockholders' equity
	Common stock, $0.001 par value, 200,000,000 shares
		authorized, 5,079,605 and 4,909,846 shares
		issued and outstanding at March 31, 2022 and
		December 31, 2021, respectively				5				4
	Additional paid-in-capital					113,208				108,570
	Accumulated other comprehensive loss					(82	)			(55	)
	Accumulated deficit					(73,868	)			(61,680	)
		Total stockholders' equity				39,263				46,839
		Total liabilities and stockholders' equity			$	60,319			$	70,428