Harmony Biosciences(HRMY) - 2025 Q4 - Annual Report

Financial Performance - WAKIX (pitolisant) generated net product revenue of $868.5 million for the year ended December 31, 2025, with an average of approximately 8,500 patients on the treatment in Q4 2025[25]. - Three customers accounted for 100% of gross product revenue for the year ended December 31, 2025, with Caremark LLC at 38%, Accredo Health Group, Inc. at 36%, and PANTHERx Specialty Pharmacy LLC at 26%[54]. - The company is substantially dependent on the commercial success of its only approved product, WAKIX, which was approved for treating excessive daytime sleepiness (EDS) in adult patients with narcolepsy in August 2019 and for cataplexy in October 2020[145]. - The company's revenue from WAKIX is influenced by market size, competition, pricing acceptance, and reimbursement capabilities[147]. - The company expects WAKIX sales to generate substantially all revenue for the foreseeable future, making its market acceptance critical for profitability[151]. - The potential market opportunity for WAKIX may be smaller than estimated, with assumptions based on current market data that could prove incorrect[153]. Product Development and Pipeline - The company has exclusive rights to develop and commercialize next-generation pitolisant products, including pitolisant Gastro-Resistant and pitolisant High-Dose, currently in clinical development[18]. - The FDA granted Orphan Drug designation to pitolisant for the treatment of Prader-Willi Syndrome (PWS) in February 2024, with a Phase 3 TEMPO study initiated in Q1 2024[33]. - The company expanded its portfolio by acquiring Epygenix Therapeutics, adding global rights to develop EPX-100 and EPX-200 for rare epilepsy, with EPX-100 in Phase 3 trials[19]. - A Phase 2 proof-of-concept trial for pitolisant in Myotonic Dystrophy Type 1 (DM1) showed clinically meaningful improvements in excessive daytime sleepiness and fatigue, with topline data released in December 2023[35]. - The company is pursuing label expansion for WAKIX in idiopathic hypersomnia, with a focus on a new formulation, pitolisant High-Dose, after receiving a refusal-to-file letter in February 2025[30]. - The company is exploring a new formulation of pitolisant for fatigue in multiple sclerosis as the lead indication, with plans for a Phase 1 PK study[38]. - Pitolisant GR and Pitolisant HD formulations entered clinical studies in Q4 2023, with a pivotal bioequivalence study for Pitolisant GR expected to submit a New Drug Application in early 2026 and a target PDUFA date in Q1 2027[37]. - The pivotal bioequivalence study confirmed that 17.8mg of Pitolisant GR is bioequivalent to existing 17.8mg WAKIX tablets, with area under the curve and Cmax ratios of 108.46% and 99.65% respectively[37]. - The total addressable market for EPX-100 among patients with Dravet Syndrome (DS) is approximately 5,000 people, and for Lennox-Gastaut Syndrome (LGS) is approximately 35,000 people[41]. - EPX-100 has been granted orphan drug designation and rare pediatric disease designation by the FDA for treatment of both DS and LGS, currently in two Phase 3 registrational clinical trials[41]. Regulatory Environment - The FDA imposes substantial regulatory requirements on the company, affecting the drug development and approval process, which requires significant time and financial resources[75]. - The FDA requires the completion of preclinical studies, including laboratory tests and animal studies, before an IND can be submitted[76]. - An IND must become effective within 30 days of submission unless the FDA raises concerns, which can delay clinical trials[76]. - Clinical trials must adhere to Good Clinical Practice (GCP) regulations, and progress reports must be submitted annually to the FDA[78]. - The FDA aims to review standard NDAs within ten months from the filing date, with a preliminary review occurring within the first 60 days[83]. - The FDA may require a Risk Evaluation and Mitigation Strategy (REMS) to ensure that the benefits of a drug outweigh its risks[84]. - The FDA inspects manufacturing facilities and clinical trial sites to ensure compliance with current Good Manufacturing Practices (cGMP) before approving an NDA[86]. - Post-approval, drugs are subject to ongoing FDA regulation, including requirements for recordkeeping and reporting adverse experiences[95]. - The FDA may withdraw approval if compliance with regulatory requirements is not maintained or if new safety issues arise post-marketing[98]. - Orphan Drug Designation allows for a seven-year marketing exclusivity period for drugs treating rare diseases affecting fewer than 200,000 individuals in the U.S.[106]. Intellectual Property and Licensing - The company relies on license agreements with Bioprojet for core intellectual property related to pitolisant, and any loss of these rights would adversely affect its business[154]. - The company has exclusive rights to develop, manufacture, and commercialize BP1.15205 in the U.S. and Latin America, with positive pre-clinical data announced in June 2025[39]. - The company has exclusive rights to develop and commercialize BP1.15205 for narcolepsy, with an upfront license fee of $25.5 million and potential milestone payments totaling up to $363.2 million[62]. - The WAKIX patent portfolio includes four U.S. patents, with expiration dates ranging from March 2030 to March 2044, ensuring protection for the product[64]. - Utility patents have been filed for Pitolisant GR and Pitolisant HD, with potential patent protection extending to the mid-2040s[37]. - The 2017 License Agreement (LCA) includes tiered royalty rates of 13% to 24% on net sales of WAKIX, with additional royalties of 3% for trademark licensing[58]. - In July 2022, the company entered into a new License Agreement (2022 LCA) with Bioprojet, paying an initial fee of $30.0 million and potential additional payments of up to $155.0 million based on milestones[60]. Market and Competitive Landscape - The U.S. narcolepsy market had an approximate net sales value of $3.1 billion in 2025, expected to grow due to new therapies and increased diagnosis rates[24]. - The company faces significant competition in securing suitable collaborators due to recent business combinations among large pharmaceutical companies, which has reduced the number of potential partners[163]. - The company competes with larger biotechnology and pharmaceutical companies that have greater resources, making it challenging to capture market share[177]. - Generic competition may lead to price decreases for branded products, impacting the commercial potential of current and future products[178]. - Negative publicity regarding pharmaceutical pricing could impact the company's reputation and market acceptance of its products, potentially affecting revenue and profitability[159]. Operational Risks - The company relies heavily on third-party collaborations for product development and commercialization, which poses risks such as limited control over resources and potential abandonment of projects by collaborators[161]. - If third-party agreements are terminated, the company may not receive expected funding, delaying the development of pitolisant and future product candidates[162]. - The company has limited manufacturing capabilities and relies on third-party manufacturers for the supply of WAKIX and product candidates, which could impact commercialization if relationships fail[172]. - The company maintains a 12-month supply of finished goods inventory to ensure product availability, but any interruption in supply could adversely affect its business[174]. - Regulatory compliance is critical, and failure by third-party manufacturers to adhere to cGMP requirements could delay the commercialization of products[176]. - Public health pandemics, such as COVID-19, have disrupted operations, affecting patient access and prescription writing[189]. - Supply chain disruptions could impact the manufacturing and shipment of WAKIX, potentially delaying clinical trials and meeting demand[189]. Human Resources and Corporate Responsibility - The company had 293 full-time employees as of December 31, 2025, with 135 in commercial functions and 103 in research and development[138]. - The company is committed to corporate social responsibility, focusing on safe working conditions and community support through monetary donations and resources[141]. - Recruiting and retaining qualified personnel in operations, finance, and clinical roles is critical, with competition from other pharmaceutical companies[185]. - The company is highly dependent on key executives and scientific teams, with potential risks if these individuals leave[183]. - Future financial performance will depend on effective management of growth activities and associated costs in hiring and training personnel[180]. Legal and Compliance Risks - Violations of healthcare laws can result in significant penalties, including fines, imprisonment, and exclusion from government healthcare programs[120]. - HIPAA imposes strict privacy and security obligations on covered entities regarding health information, with significant penalties for non-compliance[121]. - The federal Anti-Kickback Statute prohibits remuneration to induce purchases of items reimbursable under federal healthcare programs[113]. - The federal Physician Payments Sunshine Act requires manufacturers to report payments or transfers of value to physicians and teaching hospitals annually[118]. - The Prescription Drug Marketing Act regulates the distribution of prescription drugs and drug samples, ensuring accountability in distribution[100]. Data Privacy and Cybersecurity - The company faces cybersecurity risks due to increased reliance on information technology systems and remote work[194]. - The rapid evolution of artificial intelligence presents risks related to data privacy, cybersecurity, and regulatory compliance[197]. - The U.S. regulatory environment for artificial intelligence is complex, with state and federal laws creating a challenging landscape[200]. - The integration of AI systems may increase cybersecurity risks and create new vulnerabilities for the company and its vendors[201]. Financial Obligations and Credit Risks - The company faces significant payment obligations under licensing agreements, which could impact its ability to develop and market products if not met[209][210]. - The TLA Credit Agreement contains restrictive covenants that may limit the company's operational flexibility and ability to engage in certain transactions[211]. - Failure to comply with the TLA Credit Agreement could result in default, leading to accelerated repayment obligations that may adversely affect financial condition[212][213]. - The company's obligations under the TLA Credit Agreement are secured by all assets, which could impact the distribution of assets in a liquidation scenario[214]. - The company has never paid dividends on common stock and does not intend to do so in the foreseeable future, relying on stock price appreciation for investor returns[215].