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Journey Medical (DERM) - 2022 Q4 - Annual Report

Product Portfolio and Market Opportunities - The company has a portfolio of eight branded and three authorized generic prescription drugs for dermatological conditions marketed in the U.S.[28] - The U.S. market size for acne treatment is estimated at approximately $3 billion annually[46] - The oral isotretinoin market had over 2 million prescriptions in 2022, indicating strong demand for Accutane®[48] - The oral doxycycline market had more than 25 million prescriptions in 2022, highlighting the popularity of Targadox®[50] - The topical acne market had almost 20 million prescriptions in 2022, showcasing significant unmet needs that Amzeeq® aims to address[53] - The oral minocycline market had just under 3 million prescriptions in 2022, reflecting the demand for Ximino®[55] - The topical antifungal market had more than 11 million prescriptions in 2022, indicating a robust market for Exelderm®[59] - The rosacea market had 3.6 million prescriptions in 2022, demonstrating a substantial opportunity for Zilxi® and DFD-29[64] Financial Information and Capital Management - As of December 31, 2022, the company has $150.0 million available under its shelf registration statement for the offering of common stock, preferred stock, debt securities, and warrants[29] - The company has a revolving line of credit of $10.0 million, with $2.9 million outstanding as of December 31, 2022[36] - The company received a net milestone payment of $2.5 million from Maruho for the approval of Rapifort® Wipes 2.5% in Japan, reflecting a total year-to-date royalty of $0.2 million[31] - An upfront payment of $20 million was made for the acquisition of VYNE's Molecule Stabilizing Technology™ franchise, with additional contingent payments based on sales milestones totaling up to $450 million[83] - The DFD-29 Agreement includes an upfront payment of $10 million and potential milestone payments totaling up to $158 million, with royalties ranging from 10% to 20% on net sales[85] - The Qbrexza APA involved an upfront payment of $12.5 million, with potential milestone payments of up to $144 million and royalties on sales ranging from mid-thirty to mid-twenty percent[87] - The Accutane Agreement includes an upfront payment of $1 million and additional milestone payments totaling $17 million, with royalties in the low-double digits based on net sales[93] - The Anti-itch APA has a total consideration of $4 million, with an upfront payment of $2 million, and the product is expected to launch in the second half of 2023[95] Clinical Trials and Product Development - The Phase 3 clinical trial for DFD-29 (Minocycline Modified Release Capsules 40 mg) for Rosacea treatment achieved 100% enrollment in January 2023, with top-line data expected in Q2 2023[30] - DFD-29 demonstrated a 66.04% IGA treatment success rate compared to 33.33% for Oraycea, and a reduction of 19.2 inflammatory lesions compared to 10.5 for Oraycea[30] - The company obtained global rights for DFD-29 on June 29, 2021, and plans to submit the NDA in the second half of 2023, with FDA approval anticipated in the second half of 2024[102][103] - In Phase 2 trials, DFD-29 demonstrated a 66.04% IGA treatment success rate compared to 33.33% for Oraycea, and a reduction of 19.2 inflammatory lesions compared to 10.5 for Oraycea[103][104] Regulatory and Compliance Challenges - The FDA imposes substantial regulations on clinical development and marketing, requiring rigorous pre-clinical testing and clinical trials[128] - The regulatory approval process is lengthy and expensive, potentially taking many years and requiring significant resources[129] - The company is subject to various federal, state, and local laws, including the Anti-Kickback Statute, which could lead to significant penalties for non-compliance[151] - The Drug Quality and Security Act (DQSA) requires compliance with regulations aimed at enhancing drug supply chain security, with full traceability requirements effective by November 27, 2023[157] - The marketing approval process for new products is lengthy and costly, with potential delays impacting commercialization[173] - The company relies on third parties for regulatory approval processes, which may pose risks if not managed effectively[171] - The establishment and maintenance of a field sales force are critical for commercial success, with disruptions potentially leading to adverse revenue impacts[168] - Regulatory authorities have substantial discretion in the approval process, which may lead to delays or rejection of applications, impacting future commercial prospects and revenue generation[174] Competitive Landscape - The dermatology competitive landscape is highly fragmented, with numerous midsize and smaller companies competing in both the prescription and OTC sectors[120] - Major competitors include Galderma Laboratories, Almirall, and Verrica Pharmaceuticals, among others, varying by therapeutic and product category[122] - Increased competition from generic pharmaceutical manufacturers is anticipated, particularly as patents expire or are challenged[123] - The majority of sales derive from products without patent protection, exposing the company to generic competition and potential revenue declines[164] - Four marketed products currently have patent protection, while three do not, increasing vulnerability to generic competition[166] Operational and Supply Chain Risks - The company relies on multiple contract manufacturers for production, with no internal manufacturing capabilities, which poses risks related to compliance and supply[125] - The company is heavily dependent on third-party suppliers for raw materials, manufacturing, and services, which poses risks to its business and financial condition[218] - Any interruption from third-party manufacturers could lead to increased costs and delays in product development and commercialization[219] - Compliance with FDA regulations is critical, and any failure by contract manufacturers could result in significant penalties and impact product availability[220] - The company lacks control over the acquisition of raw materials by third-party manufacturers, which could delay clinical trials and regulatory approvals[221] Strategic Initiatives and Future Outlook - The company plans to launch its Anti-itch Product in the second half of 2023, expanding its product portfolio[63] - The company is in various stages of discussion for new business development opportunities, which could drive additional growth[69] - The company aims to enhance its product line through strategic alliances and collaborations, sharing risks associated with research and development expenses[73] - The company is focused on cost management and efficient capital allocation, leveraging expertise from over 30 Fortress employees in various fields[75] - Future revenue from dermatology products is expected to be the primary source of operating income, with potential setbacks from supply chain, demand, and regulatory issues[163]