Ardelyx(ARDX) - 2024 Q1 - Quarterly Report

Product Launch and Approval - Tenapanor, branded as IBSRELA, was first sold in the U.S. in March 2022, and XPHOZAH was first sold in November 2023[123][129]. - XPHOZAH received FDA approval on October 17, 2023, to reduce serum phosphorus in adults with chronic kidney disease (CKD) on dialysis[128]. - In November 2023, XPHOZAH was granted orphan drug designation by the U.S. FDA for the treatment of pediatric hyperphosphatemia[131]. Market Strategy - IBSRELA's market strategy targets approximately 9,000 high-writing healthcare providers who account for about 50% of IBS-C prescriptions[126]. - XPHOZAH's market strategy focuses on approximately 8,000 nephrology healthcare providers who write about 80% of phosphate-lowering therapy prescriptions[129]. - The company has established commercial agreements with Kyowa Kirin in Japan, Fosun Pharma in China, and Knight in Canada for tenapanor[134][132]. Financial Performance - Total revenue for the three months ended March 31, 2024, was $46.0 million, a 305% increase from $11.4 million in the same period in 2023[156]. - Net product sales for IBSRELA reached $28.4 million in Q1 2024, up from $11.4 million in Q1 2023, while XPHOZAH contributed $15.2 million in its first sales[158]. - Cost of goods sold for the three months ended March 31, 2024, was $7.1 million, a 364% increase from $1.5 million in Q1 2023[162]. Expenses and Losses - Research and development expenses for Q1 2024 were $10.6 million, a 16% increase from $9.1 million in Q1 2023[165]. - Selling, general and administrative expenses surged to $53.0 million in Q1 2024, a 98% increase from $26.8 million in Q1 2023[165]. - The company expects to continue incurring operating losses as it invests in the commercialization of IBSRELA and XPHOZAH[124]. Cash Flow and Liquidity - Cash and cash equivalents increased by 68% to $36,147 thousand as of March 31, 2024, from $21,470 thousand at the end of 2023[175]. - Total liquid funds reached approximately $202.6 million, reflecting a 10% increase from $184,299 thousand at the end of 2023[175]. - Net cash used in operating activities decreased by 20% to $(35,722) thousand for the three months ended March 31, 2024, compared to $(44,795) thousand in 2023[187]. Debt and Interest - Interest expense surged by 129% to $(2,356) thousand, compared to $(1,028) thousand in 2023, primarily due to a higher variable interest rate and an increased loan balance[170]. - Borrowings under the 2022 Loan Agreement bear a floating interest rate of 7.95% plus a variable component, with a potential increase in interest expense of approximately $0.2 million for a hypothetical 100 basis points rise in the one-month CME Term SOFR[194]. Risk Factors - The company is subject to foreign currency risk, primarily from transactions in Swiss francs and euros, but does not use derivatives for speculative trading purposes[195]. - As of March 31, 2024, there were no open forward foreign currency exchange contracts[196]. Internal Controls and Legal Proceedings - The company has evaluated the effectiveness of its disclosure controls and procedures, concluding they were effective as of March 31, 2024[197]. - There were no changes in internal control over financial reporting that materially affected the company during the three months ended March 31, 2024[198]. - As of March 31, 2024, there were no pending legal proceedings expected to materially affect the company's financial condition[202].