0001012477 false 0001012477 2023-08-09 2023-08-09 iso4217:USD xbrli:shares iso4217:USD xbrli:shares






Washington, D.C. 20549







Pursuant to Section 13 or Section 15(d)

of the Securities Exchange Act of 1934


Date of Report (Date of earliest event reported): August 9, 2023




(Exact name of registrant as specified in its charter)



Ireland 001-37977 98-1341933
(State or other jurisdiction (Commission (IRS Employer
of incorporation) File Number) Identification No.)


10 Earlsfort Terrace

Dublin 2, Ireland, D02 T380


Not Applicable

(Address of principal executive offices) (Zip Code)


Registrant’s telephone number, including area code: +353 1 901-5201


Not applicable

(Former name or former address, if changed since last report)



Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:


¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
¨ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
¨ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
¨ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))


Securities registered pursuant to Section 12(b) of the Act:



Title of each class Trading Symbol(s) Name of each exchange on which

American Depositary Shares*

Ordinary Shares, nominal value $0.01 per share**



The Nasdaq Global Market


*American Depositary Shares may be evidenced by American Depositary Receipts. Each American Depositary Share represents one (1) Ordinary Share. 


** Not for trading, but only in connection with the listing of American Depositary Shares on The Nasdaq Global Market.


Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).


Emerging growth company ¨


If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨






Item 2.02 Results of Operations and Financial Condition


On August 9, 2023, Avadel Pharmaceuticals plc announced its financial results for the quarter ended June 30, 2023. A copy of the press release is being furnished as Exhibit 99.1 to this Current Report on Form 8-K.


The information in this Current Report on Form 8-K and Exhibit 99.1 attached hereto is intended to be furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”) or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such filing.


Item 9.01. Exhibits


(d) Exhibits


99.1 Press release issued by Avadel Pharmaceuticals plc on August 9, 2023, furnished herewith.
104 Cover Page Interactive Data File (embedded with the Inline XBRL document).







Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has caused this report to be signed on its behalf by the undersigned hereunto duly authorized.


  By: /s/ Jerad G. Seurer
Date: August 9, 2023   Name: Jerad G. Seurer
    Title: General Counsel & Corporate Secretary





Exhibit 99.1


Avadel Pharmaceuticals Provides Corporate Update and Reports Second Quarter 2023 Financial Results


-- Successfully commenced U.S. commercial launch of LUMRYZTM--


-- Received final FDA approval for LUMRYZ with orphan drug exclusivity granted through May 1, 2030 --


-- Significant early progress on payor coverage, prescriber certifications and patient enrollments --


-- Management to host a conference call today at 8:30 a.m. ET --


DUBLIN, Ireland, August 9, 2023 - Avadel Pharmaceuticals plc (Nasdaq: AVDL), a biopharmaceutical company focused on transforming medicines to transform lives, today provided a corporate update and announced its financial results for the second quarter ended June 30, 2023.


“This past quarter has been transformative for our organization, underscored by U.S. FDA approval of LUMRYZ, the first and only once-at-bedtime oxybate therapy for the treatment of cataplexy or EDS in adults with narcolepsy, and subsequent U.S. commercial launch. We are pleased to have completed our first patient enrollments and commercial sales of LUMRYZ within weeks of receiving FDA approval,” said Greg Divis, Chief Executive Officer of Avadel Pharmaceuticals. “We are also encouraged with the high level of interest from sleep specialists and the initial demand observed across all patient segments. We believe the promising initial launch results we are seeing, combined with our strong commercial capabilities and robust market research, positions us to command a meaningful share of the estimated greater than fifty thousand patients who are eligible for LUMRYZ. In addition to continuing our commercialization efforts, we are focused on expanding the potential of LUMRYZ, with a supplemental NDA filing planned in the second half of 2023 for LUMRYZ in the pediatric narcolepsy population. The fundamentals of our business are strong, and we are poised for long-term growth and value creation, with potential expansion opportunities and a robust cash position to support our mission.”


Second Quarter and Recent Company Highlights


LUMRYZ Commercial Updates:


·During the first two months of the U.S. commercial launch of LUMRYZ:
oInitiated sales of LUMRYZ to the specialty pharmacies in the Company’s distribution network.
oGreater than 1,000 health care providers have completed the LUMRYZ REMS certification process, which enables them to prescribe LUMRYZ to patients.
oGreater than 400 patients have enrolled in Avadel’s RYZUP™ patient support services to begin the process of getting LUMRYZ prescriptions fulfilled and shipped.
·Secured Express Scripts (ESI) coverage on the National Preferred Formulary, effective July 1.


Clinical Updates:


·With final approval on May 1, the FDA also found LUMRYZ to be clinically superior to currently marketed twice-nightly oxybate products and granted LUMRYZ seven years of Orphan Drug Exclusivity.
oIn particular, FDA found that LUMRYZ makes a major contribution to patient care over currently available, twice-nightly oxybate products by providing a once-nightly dosing regimen that does not disrupt or fragment sleep, whereas twice-nightly oxybates necessitate a nocturnal awakening to take a second dose, which disrupts sleep architecture in patients with known sleep disorders. The seven-year market exclusivity for LUMRYZ began on the date of FDA approval, May 1, 2023.





·In June, announced publication of data describing clinician preferences among oxybate treatments for patients with narcolepsy.
oThe discrete choice experiment indicated that among sleep clinicians, the frequency of oxybate treatment dosing was the most important driver for overall product choice, improved patient quality of life, and reduced patient anxiety and stress.
oOnce-nightly dosing was preferred over twice-nightly dosing, and these data underscore the unmet need for an oxybate treatment that does not require middle-of-the-night dosing.
·In May, announced new data supporting the clinical profile for LUMRYZ at SLEEP 2023, the 37th annual joint meeting of the American Academy of Sleep Medicine and the Sleep Research Society.
oWith 12 posters presented, including 6 oral presentations, the Company highlighted its leadership in the narcolepsy space, and the data adds to the growing body of evidence demonstrating positive clinical benefit and patient preference of once-at-bedtime LUMRYZ.
oIn June, for the third year in a row, Avadel was the lead sponsor of the Academy of Sleep Medicine Foundation’s 2023 Young Investigators Research Forum.
·In May, post-hoc analysis of Phase 3 REST-ON Trial of LUMRYZ (sodium oxybate) published in SLEEP. The paper, titled “Efficacy of Once-Nightly Sodium Oxybate (FT218) in Narcolepsy Type 1 and Type 2: Post Hoc Analysis From the Phase 3 REST-ON Trial,” can be accessed here. By stratifying NT1 and NT2 at baseline in the study design, the REST-ON data provides insight that LUMRYZ improves excessive daytime sleepiness and disrupted nighttime sleep in either narcolepsy type.


Upcoming Milestones:


·On track to submit sNDA for LUMRYZ in pediatric narcolepsy population for treatment of cataplexy or excessive daytime sleepiness (EDS) in the second half of 2023.


Overview of Second Quarter Results


Recognized $1.5 million in net product revenues for the second quarter 2023. Net product revenue consists of LUMRYZ product sales, which was launched in the U.S. on June 5, 2023.


R&D expenses were $4.2 million in the quarter ended June 30, 2023, compared to $4.5 million for the same period in 2022. R&D expense in the current period includes $1.5 million of commercial inventory that was purchased prior to FDA approval of LUMRYZ. Commercial inventory purchased subsequent to FDA approval will be capitalized and expensed through cost of product sales as LUMRYZ is sold.


SG&A expenses were $46.8 million in the quarter ended June 30, 2023, compared to $21.8 million for the same period in 2022. This increase was driven by higher costs for legal fees of $6.9 million, marketing and market research activities of $5.5 million, commercial launch activities of $2.6 million and compensation costs of $3.0 million. Selling, general, and administrative expense in the quarter ended June 30, 2023, also includes a $7.8 million cumulative adjustment for certain compensation awards tied to the achievement of performance conditions.


Net loss for the quarter ended June 30, 2023, was $64.4 million, or ($0.83) per diluted share, compared to net loss of $63.4 million, or ($1.07) per diluted share, for the same period in 2022.





Cash, cash equivalents and marketable securities were $160.5 million as of June 30, 2023. In May 2023, the Company exercised its option to exchange $106.3 million in senior convertible notes due 2027 for approximately 12.3 million American Depositary Shares and cash payment of $1.5 million for accrued interest. The Company has $21.2 million of convertible notes remaining, which will mature in October 2023.


About LUMRYZ(sodium oxybate) for extended-release oral suspension 


LUMRYZ, is an extended-release sodium oxybate medication approved by the FDA on May 1, 2023, as the first and only once-at-bedtime treatment for cataplexy or excessive daytime sleepiness (EDS) in adults with narcolepsy.  

The FDA approval of LUMRYZ was supported by results from REST-ON, a randomized, double-blind, placebo-controlled, pivotal Phase 3 trial in adults with narcolepsy. LUMRYZ demonstrated statistically significant and clinically meaningful improvements in the three co-primary endpoints: EDS, clinicians’ overall assessment of patients’ functioning (CGI-I) and cataplexy attacks, for all three evaluated doses when compared to placebo.  

With its approval, the FDA also granted seven years of Orphan Drug Exclusivity to LUMRYZ for the treatment of cataplexy or EDS in adults with narcolepsy due to a finding of clinical superiority of LUMRYZ relative to currently available oxybate treatments. In particular, the FDA found that LUMRYZ makes a major contribution to patient care over currently available, twice-nightly oxybate products by providing a once-nightly dosing regimen that avoids nocturnal arousal to take a second dose.


About Avadel Pharmaceuticals plc 


Avadel Pharmaceuticals plc (Nasdaq: AVDL) is a biopharmaceutical company focused on transforming medicines to transform lives. Our approach includes applying innovative solutions to the development of medications that address the challenges patients face with current treatment options. Avadel’s commercial product, LUMRYZ, was approved by the U.S. Food & Drug Administration (FDA) as the first and only once-at-bedtime oxybate for the treatment of cataplexy or excessive daytime sleepiness (EDS) in adults with narcolepsy. For more information, please visit www.avadel.com




WARNING: Taking LUMRYZ™ (sodium oxybate) with other central nervous system (CNS) depressants, such as medicines used to make you fall asleep, including opioid analgesics, benzodiazepines, sedating antidepressants, antipsychotics, sedating anti-epileptic medicines, general anesthetics, muscle relaxants, alcohol or street drugs, may cause serious medical problems, including trouble breathing (respiratory depression), low blood pressure (hypotension), changes in alertness (drowsiness), fainting (syncope) and death.


The active ingredient of LUMRYZ (sodium oxybate) is a form of gamma hydroxybutyrate (GHB), a controlled substance. Abuse or misuse of illegal GHB alone or with other CNS depressants (drugs that cause changes in alertness or consciousness) have caused serious side effects. These effects include seizures, trouble breathing (respiratory depression), changes in alertness (drowsiness), coma and death. Call your doctor right away if you have any of these serious side effects.


Because of these risks, LUMRYZ is available only by prescription and filled through certified pharmacies in the LUMRYZ REMS. You must be enrolled in the LUMRYZ REMS to receive LUMRYZ. Further information is available at www.LUMRYZREMS.com or by calling 1-877-453-1029.







LUMRYZ (sodium oxybate) for extended-release oral suspension is a prescription medicine used to treat the following symptoms in adults with narcolepsy:


·sudden onset of weak or paralyzed muscles (cataplexy)
·excessive daytime sleepiness (EDS)


It is not known if LUMRYZ is safe and effective in people less than 18 years of age.


Do not take LUMRYZ if you take other sleep medicines or sedatives (medicines that cause sleepiness), drink alcohol or have a rare problem called succinic semialdehyde dehydrogenase deficiency.


Keep LUMRYZ in a safe place to prevent abuse and misuse. Selling or giving away LUMRYZ may harm others and is against the law. Tell your doctor if you have ever abused or been dependent on alcohol, prescription medicines or street drugs.


Anyone who takes LUMRYZ should not do anything that requires them to be fully awake or is dangerous, including driving a car, using heavy machinery or flying an airplane, for at least six (6) hours after taking LUMRYZ. Those activities should not be done until you know how LUMRYZ affects you.


Falling asleep quickly, including while standing or while getting up from the bed, has led to falls with injuries that have required some people to be hospitalized.


LUMRYZ can cause serious side effects, including the following:


·Breathing problems, including slower breathing, trouble breathing and/or short periods of not breathing while sleeping (e.g., sleep apnea). People who already have breathing or lung problems have a higher chance of having breathing problems when they take LUMRYZ.
·Mental health problems, including confusion, seeing or hearing things that are not real (hallucinations), unusual or disturbing thoughts (abnormal thinking), feeling anxious or upset, depression, thoughts of killing yourself or trying to kill yourself, increased tiredness, feelings of guilt or worthlessness and difficulty concentrating. Tell your doctor if you have or had depression or have tried to harm yourself. Call your doctor right away if you have symptoms of mental health problems or a change in weight or appetite.
·Sleepwalking. Sleepwalking can cause injuries. Call your doctor if you start sleepwalking.


Tell your doctor if you are on a salt-restricted diet or if you have high blood pressure, heart failure or kidney problems. LUMRYZ contains a lot of sodium (salt) and may not be right for you.


The most common side effects of LUMRYZ in adults include nausea, dizziness, bedwetting, headache and vomiting. Your side effects may increase when you take higher doses of LUMRYZ. LUMRYZ can cause physical dependence and craving for the medicine when it is not taken as directed. These are not all the possible side effects of LUMRYZ.


For more information, ask your doctor or pharmacist. Call your doctor for medical advice about side effects.


You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.





Please see full Prescribing Information, including BOXED Warning.


Cautionary Disclosure Regarding Forward-Looking Statements


This press release includes “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. These forward-looking statements relate to our future expectations, beliefs, plans, strategies, objectives, results, conditions, financial performance, prospects or other events. Such forward-looking statements include, but are not limited to, expectations regarding the potential therapeutic benefit of LUMRYZ; the Orphan Drug Exclusivity for LUMRYZ and potential benefits resulting from such designation; the success of the commercialization for LUMRYZ; expectations regarding the potential market impact of LUMRYZ; the anticipated market availability and sales opportunity of LUMRYZ; the potential expansion of LUMRYZ into the pediatric narcolepsy population and expected timing thereof; the Company’s anticipated financial condition, expenses, uses of capital and other future financial results. In some cases, forward-looking statements can be identified by the use of words such as “will,” “may,” “could,” “believe,” “expect,” “look forward,” “on track,” “guidance,” “anticipate,” “estimate,” “project,” “next steps” and similar expressions and the negatives thereof (if applicable).


The Company’s forward-looking statements are based on estimates and assumptions that are made within the bounds of our knowledge of our business and operations and that we consider reasonable. However, the Company’s business and operations are subject to significant risks, and, as a result, there can be no assurance that actual results and the results of the company’s business and operations will not differ materially from the results contemplated in such forward-looking statements. Factors that could cause actual results to differ from expectations in the Company’s forward-looking statements include the risks and uncertainties described in the “Risk Factors” section of Part I, Item 1A of the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, which was filed with the Securities and Exchange Commission (SEC) on March 29, 2023, and subsequent SEC filings.


Forward-looking statements speak only as of the date they are made and are not guarantees of future performance. Accordingly, you should not place undue reliance on forward-looking statements. The Company does not undertake any obligation to publicly update or revise our forward-looking statements, except as required by law.


Investor Contact:

Courtney Turiano

Stern Investor Relations, Inc.


(212) 698-8687


Media Contact:

Lesley Stanley

Real Chemistry


(609) 273-3162







(In thousands, except per share data)



   Three Months Ended June 30,   Six Months Ended June 30, 
   2023   2022   2023   2022 
Net product revenue  $1,496   $   $1,496   $ 
Cost of products sold   36        36     
Gross profit   1,460        1,460     
Operating expenses:                    
Research and development expenses   4,223    4,541    8,053    11,532 
Selling, general and administrative expenses   46,778    21,804    71,246    43,439 
Restructuring expense       3,592        3,592 
Total operating expense   51,001    29,937    79,299    58,563 
Operating loss   (49,541)   (29,937)   (77,839)   (58,563)
Investment and other income, net   623    192    816    88 
Interest expense   (2,295)   (3,506)   (5,554)   (5,523)
Loss on extinguishment of debt   (13,129)       (13,129)    
Loss before income taxes   (64,342)   (33,251)   (95,706)   (63,998)
Income tax provision (benefit)   90    30,193    (490)   25,870 
Net loss  $(64,432)  $(63,444)  $(95,216)  $(89,868)
Net loss per share – basic  $(0.83)  $(1.07)  $(1.35)  $(1.52)
Net loss per share – diluted   (0.83)   (1.07)   (1.35)   (1.52)
Weighted average number of shares outstanding - basic   77,246    59,037    70,603    58,931 
Weighted average number of shares outstanding - diluted   77,246    59,037    70,603    58,931 









(In thousands, except per share data)


   June 30, 2023   December 31, 2022 
Current assets:          
Cash and cash equivalents  $49,985   $73,981 
Marketable securities   110,525    22,518 
Accounts receivable, net   1,775     
Inventories   1,439     
Research and development tax credit receivable   974    2,248 
Prepaid expenses and other current assets   6,532    2,096 
Total current assets   171,230    100,843 
Property and equipment, net   715    839 
Operating lease right-of-use assets   1,235    1,713 
Goodwill   16,836    16,836 
Research and development tax credit receivable   420    1,232 
Other non-current assets   10,540    11,322 
Total assets  $200,976   $132,785 
Current liabilities:          
Current portion of long-term debt  $20,851   $37,668 
Current portion of operating lease liability   783    960 
Accounts payable   11,786    7,890 
Accrued expenses   17,582    7,334 
Other current liabilities   500    1,941 
Total current liabilities   51,502    55,793 
Long-term debt       91,614 
Long-term operating lease liability   490    780 
Other non-current liabilities   5,792    5,743 
Total liabilities   57,784    153,930 
Shareholders’ equity (deficit):          
Preferred shares, nominal value of $0.01 per share; 50,000 shares authorized; 5,194 issued and outstanding at June 30, 2023 and 488 issued and outstanding at December 31, 2022   52    5 
Ordinary shares, nominal value of $0.01 per share; 500,000 shares authorized; 89,321 issued and outstanding at June 30, 2023 and 62,878 issued and outstanding at December 31, 2022   893    628 
Additional paid-in capital   848,626    589,783 
Accumulated deficit   (680,436)   (585,220)
Accumulated other comprehensive loss   (25,943)   (26,341)
Total shareholders’ equity (deficit)   143,192    (21,145)
Total liabilities and shareholders’ equity (deficit)  $200,976   $132,785 









(In thousands)



   Six Months Ended June 30, 
   2023   2022 
Cash flows from operating activities:          
Net loss  $(95,216)  $(89,868)
Adjustments to reconcile net loss to net cash used in operating activities:          
Depreciation and amortization   1,189    506 
Amortization of debt discount and debt issuance costs   2,460    2,229 
Changes in deferred taxes       25,870 
Share-based compensation expense   9,166    3,163 
Loss on extinguishment of debt   13,129     
Other adjustments   42    1,206 
Net changes in assets and liabilities          
Accounts receivable   (1,775)    
Inventories   (1,439)    
Prepaid expenses and other current assets   (4,400)   13,305 
Research and development tax credit receivable   2,127    30 
Accounts payable & other current liabilities   2,470    (4,457)
Accrued expenses   10,246    2,559 
Other assets and liabilities   (255)   (2,678)
Net cash used in operating activities   (62,256)   (48,135)
Cash flows from investing activities:          
Proceeds from sales of marketable securities   25,618    56,501 
Purchases of marketable securities   (113,460)   (2,202)
Net cash (used in) provided by investing activities   (87,842)   54,299 
Cash flows from financing activities:          
Proceeds from April 2023 public offering, net of issuance costs   134,151     
Payments for February 2023 Notes   (17,500)    
Payments for debt issuance costs   (4,357)   (4,803)
Proceeds from issuance of shares off the at-the-market offering program   11,913     
Proceeds from stock option exercises and employee share purchase plan   1,779    2,009 
Net cash provided by (used in) financing activities   125,986    (2,794)
Effect of foreign currency exchange rate changes on cash and cash equivalents   116    50 
Net change in cash and cash equivalents   (23,996)   3,420 
Cash and cash equivalents at January 1,   73,981    50,708 
Cash and cash equivalents at June 30,  $49,985   $54,128 




Aug. 09, 2023
Cover [Abstract]  
Document Type 8-K
Amendment Flag false
Document Period End Date Aug. 09, 2023
Entity File Number 001-37977
Entity Central Index Key 0001012477
Entity Tax Identification Number 98-1341933
Entity Incorporation, State or Country Code L2
Entity Address, Address Line One 10 Earlsfort Terrace
Entity Address, City or Town Dublin 2
Entity Address, Country IE
Entity Address, Postal Zip Code D02 T380
City Area Code 353
Local Phone Number 1 901-5201
Written Communications false
Soliciting Material false
Pre-commencement Tender Offer false
Pre-commencement Issuer Tender Offer false
Title of 12(b) Security American Depositary Shares*
Trading Symbol AVDL
Security Exchange Name NASDAQ
Entity Emerging Growth Company false

Avadel Pharmaceuticals (NASDAQ:AVDL)
Historical Stock Chart
From Mar 2024 to Apr 2024 Click Here for more Avadel Pharmaceuticals Charts.
Avadel Pharmaceuticals (NASDAQ:AVDL)
Historical Stock Chart
From Apr 2023 to Apr 2024 Click Here for more Avadel Pharmaceuticals Charts.