In Move That Spells Relief, Zogenix Sells Painkiller to Pernix

Zohydro was supposed to be a new kind of painkiller, but it gave Zogenix CEO Roger Hawley a headache that lasted more than a year. Now perhaps he can rest a little easier.

After introducing Zohydro in the United States almost exactly a year ago, San Diego-based Zogenix (NASDAQ: [[ticker:ZGNX]]) said today it has agreed to sell the opioid painkiller to Morristown, NJ-based Pernix Therapeutics for $100 million, with additional payments of as much as $283.5 million in regulatory and sales milestones.

“It was a year I’ll never forget,” Hawley declared at the outset of a conference call with analysts after the two companies announced the transaction, which is expected to close next month.

Proceeds from the sale, along with the elimination of employees and operating expenses related to the Zohydro business, will enable Zogenix to advance two drugs in its pipeline without needing to raise additional capital, Hawley said. Nearly 100 Zogenix sales representatives will move to Pernix as part of the deal, and Zogenix is expected to reduce its total workforce from “just under” 200 to about 50 or 60 employees, Hawley said.

Zogenix began developing Zohydro as a pure hydrocodone pain reliever, at least partly in response to reports of liver damage caused by acetaminophen in existing narcotics like Percocet, Vicodin, and Tylenol with codeine, which are all opioid drugs with acetaminophen.

The FDA approved Zohydro in late 2013, against the recommendation of its own medical advisory committee, and set off a firestorm among anti-addiction activists who warned that Zohydro would supplant OxyContin as the narcotic of choice for habitual drug abusers. Public health authorities denounced Zohydro, and 28 state attorneys general signed a letter asking the FDA to rescind its approval, or require Zogenix to reformulate the drug to make it harder to crush the capsules and use the powdered drug to get high.

FDA Commissioner Margaret Hamburg defended the agency’s decision, arguing that patients suffering from long-term chronic pain needed Zohydro.

Nevertheless, the controversy intensified after Zogenix introduced the painkiller last March. Public pressure led Zogenix to develop a new formulation of its extended release painkiller with abuse-deterrent properties. When the FDA approved the new formulation in January, Hawley said it created an opportunity for Zogenix to seek a wider variety of strategic options—and that eventually led to the Pernix deal.

“One of the key reasons we made this difficult choice on Zohydro was to put ourselves in a position of controlling our own destiny, and to put our shareholders in a position where they could follow the advances in our pipeline,” Hawley said during the conference call.

As Hawley put it, the real challenge was that Zohydro was the company’s only product.

“It was tough to make it, particularly given the publicity around the launch, which is now abating, and we think the future of the brand Zohydro is much brighter now,” Hawley said. Pernix gets the benefit of adding Zohydro to its own commercial lineup, along with a sales force that can pitch Pernix products along with Zohydro on their sales calls.

Once the deal closes, Pernix agreed to pay Zogenix $30 million in cash upfront, along with $20 million in common stock, and to provide a $50 million short-term promissory note. Zogenix said it agreed to support certain activities related to the further development of Zohydro after the deal closed.

Zogenix said it also is eligible to receive $12.5 million from Pernix upon approval of ZX007, a new tablet formulation of the extended-release hydrocodone with abuse-deterrent properties that is currently under development. Zogenix also is eligible to get as much as $271 million in cash as Pernix reaches certain product sales milestones for Zohydro ER and ZX007.

The transaction enables Zogenix to deftly shift its strategic focus to two promising (and less controversial) drug candidates. The company is preparing for Phase 3 clinical studies later this year for ZX008, which has orphan drug designation in the U.S. and Europe for the treatment of Dravet syndrome, a severe and catastrophic form of epilepsy that begins in infancy. Zogenix said it also has begun to enroll patients in a mid-stage clinical trial of a subcutaneous formulation of risperidone (Relday) for treating schizophrenia. Zogenix says top line data expected by the end of September will enable the company to move to an “end-of-phase-2 meeting” with the FDA.

Author: Bruce V. Bigelow

In Memoriam: Our dear friend Bruce V. Bigelow passed away on June 29, 2018. He was the editor of Xconomy San Diego from 2008 to 2018. Read more about his life and work here. Bruce Bigelow joined Xconomy from the business desk of the San Diego Union-Tribune. He was a member of the team of reporters who were awarded the 2006 Pulitzer Prize in National Reporting for uncovering bribes paid to San Diego Republican Rep. Randy “Duke” Cunningham in exchange for special legislation earmarks. He also shared a 2006 award for enterprise reporting from the Society of Business Editors and Writers for “In Harm’s Way,” an article about the extraordinary casualty rate among employees working in Iraq for San Diego’s Titan Corp. He has written extensively about the 2002 corporate accounting scandal at software goliath Peregrine Systems. He also was a Gerald Loeb Award finalist and National Headline Award winner for “The Toymaker,” a 14-part chronicle of a San Diego start-up company. He takes special satisfaction, though, that the series was included in the library for nonfiction narrative journalism at the Nieman Foundation for Journalism at Harvard University. Bigelow graduated from U.C. Berkeley in 1977 with a degree in English Literature and from the Columbia University Graduate School of Journalism in 1979. Before joining the Union-Tribune in 1990, he worked for the Associated Press in Los Angeles and The Kansas City Times.