Epinephrine Bitartrate

A survey by the American Society of Hospital Pharmacists (ASHP) has revealed that 57% of hospital pharmacists in the US have reported "critical shortages" of chemotherapy drugs, which is affecting the care of cancer patients. Conducted between 23 June and 14 July, the survey discovered that 99% of 1,123 hospital and health system pharmacists in the US reported that they were experiencing issues getting hold of some medicines. Around 63% reported that the shortages were “moderately impactful”, allowing them to navigate around the problem, but still affecting patient care. ASHP's chief executive, Paul Abramowitz said that pharmacists are “working diligently with other clinicians to provide safe and effective care, despite ongoing drug shortages”. Despite this, he added: "There are no alternatives to the affected drugs, which puts patients at risk.” After chemotherapy, the drug categories most affected were corticosteroid and hormonal drugs (28%), oral liquids, antibiotic amoxicillin and anaesthetic lidocaine (22%), and ‘crash cart’ drugs like epinephrine or atropine (18%). By the end of the second quarter of 2023, over 309 active, ongoing drug shortages had occurred – the highest number reported in nearly a decade, close to the record high of 320, according to ASHP. The association also found that costs are increasing for health systems, with a third of pharmacists estimating a 6% to 10% increase in medicines and labour budgets. Abramowitz said that the extremity of the situation is "unsustainable for hospitals and patients". He added: "This issue requires quick action from Congress to address the underlying causes of shortages and ensure patients have the medications they need." After the survey, Pfizer’s facility in Colorado was damaged by a tornado, which further contributed to shortages as 8% of the US demand for sterile injections was affected. The impact of the event is still being evaluated. Earlier this year, a US Senate-commissioned report found that new drug shortages increased by almost 30% between 2021 and 2022, which led to recommendations that domestic US production of generics be stepped up.

ARS continues engagement with U.S. FDA on final labeling and post-marketing commitments for the neffy® new drug application; PDUFA target action date set for September 19, 2023 Ended second quarter with $252.2 million in cash, cash equivalents and short-term investments; well-capitalized to support anticipated launch of neffyin the U.S.and an expected operating runway of at least three years SAN DIEGO, Aug. 10, 2023 (GLOBE NEWSWIRE) -- ARS Pharmaceuticals, Inc. (Nasdaq: SPRY), a biopharmaceutical company dedicated to empowering at-risk patients and caregivers to better protect themselves from severe allergic reactions that could lead to anaphylaxis, today reported business updates and financial results for the second quarter of 2023. “Our primary focus is on making neffy, an investigational new drug, available to people as quickly as possible and we believe that our interactions with FDA are nearly complete,” said Richard Lowenthal, president and chief executive officer of ARS. “With a PDUFA date next month, we continue to advance our preparations to ensure we are well-positioned for a successful launch of neffy in the U.S., if approved. We are in the final stages of labeling and post-marketing commitment discussions with FDA and are putting the right structures in place to enable patient access to neffy quickly, within about eight weeks from the final label. We are excited to not only transition the company to a commercial organization, but to potentially bring to the allergy community the first medical treatment advancement in more than 35 years: an easy-to-carry, simple-to-administer, needle-free nasal spray to address the anxiety and hesitation associated with today’s injectable devices.” Preparing for U.S. launch of neffy® In May, the U.S. Food and Drug Administration (FDA) convened an Advisory Committee meeting, which concluded a favorable benefit-risk pro neffy, with a 16:6 vote in favor for adults and 17:5 vote in favor for children (≥30 kg) for the treatment of patients with allergic reactions (Type 1), including anaphylaxis. The Advisory Committee vote, while not binding, will be considered by FDA when making its decision regarding the potential approval of neffy. In June, FDA extended the Prescription Drug User Fee Act (PDUFA) target action date to September 19, 2023, for the New Drug Application (NDA) for neffy (Intranasal (IN) Epinephrine) for the treatment of allergic reactions (Type 1), including anaphylaxis, for adults and children ≥30 kg. If approved, neffy would be the first needle-free, non-injectable epinephrine treatment available. ARS’s U.S. commercial preparedness activities are well underway, and its commercial leadership team and area sales managers are in place. The recruitment process for the expected 115 field-based representatives is progressing on track, pending FDA approval. The company is currently implementing marketing and market access strategies to increase awareness and readiness for the potential launch of neffy. Additional Business Updates and Anticipated Milestones ARS further broadened the scope of its intellectual property position for neffy with a recently issued U.S. patent on August 8, 2023, and an allowed second patent application by the U.S. Patent and Trademark Office. The issued patent and the allowed patent application are directed to the use of intranasal epinephrine formulations, including the use of bile acid absorption enhancers, for the treatment of allergic diseases, such as urticaria. Topline data from the company’s ongoing Phase 2 randomized, placebo-controlled study of neffy in urticaria patients are expected by the fourth quarter of 2023. Marketing authorization application (MAA) for neffy is under review by the European Medicines Agency with a decision expected by year end 2023. Second Quarter 2023 Financial Results Cash Position: Cash, cash equivalents and short-term investments were $252.2 million as of June 30, 2023, which ARS believes are sufficient to fund its current operating plan for at least three years. R&D Expenses: Research and development (R&D) expenses were $7.3 million for the quarter ended June 30, 2023. G&A Expenses: General and administrative (G&A) expenses were $13.3 million for the quarter ended June 30, 2023. Net Loss: Net loss was $17.4 million for the quarter ended June 30, 2023. About Type I Allergic Reactions including Anaphylaxis Type I severe allergic reactions are serious and potentially life-threatening events that can occur within minutes of exposure to an allergen and require immediate treatment with epinephrine, the only FDA-approved medication for these reactions. While epinephrine autoinjectors have been shown to be highly effective, there are well published limitations that result in many patients and caregivers delaying or not administering treatment in an emergency situation. These limitations include fear of the needle, lack of portability, needle-related safety concerns, lack of reliability, and complexity of the devices. There are approximately 25 to 40 million people in the United States who experience Type I severe allergic reactions. Of those, only 3.3 million currently have an active epinephrine autoinjector prescription, and of those, only half consistently carry their prescribed autoinjector. Even if patients or caregivers carry an autoinjector, more than half either delay or do not administer the device when needed in an emergency. About ARS Pharmaceuticals, Inc. ARS is a biopharmaceutical company dedicated to empowering at-risk patients and caregivers to better protect themselves from severe allergic reactions that could lead to anaphylaxis. The Company is developing neffy® (also referred to as ARS-1), an intranasal epinephrine product in clinical development for patients and their caregivers with Type I allergic reactions including food, medications and insect bites that could lead to life-threatening anaphylaxis. For more information, visit . Forward-Looking Statements Statements in this press release that are not purely historical in nature are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. These statements include, but are not limited to, ARS’s projected cash runway; the anticipated timing for regulatory review decisions on neffy and the potential approval of neffy; ARS’s belief that its interactions with FDA are nearly complete; the anticipated successful US launch of neffy, if approved, and the timing thereof; ARS’s expectation that it will be able to enable patient access to neffy within about eight weeks after approval; the expected number of field-based representatives and the expectation that ARS will complete its hiring goal upon approval of neffy; the expected reporting of topline data from ARS’s Phase 2 study of neffy in urticaria patients and the timing thereof; the estimated addressable patient population for neffy; and other statements that are not historical fact. Because such statements are subject to risks and uncertainties, actual results may differ materially from those expressed or implied by such forward-looking statements. Words such as “anticipate,” “plans,” “expects,” “on track to,” “will,” “potential” and similar expressions are intended to identify forward-looking statements. These forward-looking statements are based upon ARS’s current expectations and involve assumptions that may never materialize or may prove to be incorrect. Actual results and the timing of events could differ materially from those anticipated in such forward-looking statements as a result of various risks and uncertainties, which include, without limitation, the ability to obtain and maintain regulatory approval for neffy; the Advisory Committee decision should not be relied on as an indication that neffy will ultimately be approved; the FDA is not bound by the Advisory Committee decision or any of its recommendations and there are a number of instances where the FDA has voted against the recommendations of advisory committees; the PDUFA target action date may be further delayed due to various factors outside ARS’s control; even though ARS believes its interactions with the FDA are nearly complete, there is no guarantee that new issues will not be identified which could delay or prevent the approval of neffy, and ARS’s belief that its interactions with the FDA are nearly complete should not be relied on as an indication that the FDA will ultimately approve neffy; results from clinical trials may not be indicative of results that may be observed in the future; potential safety and other complications from neffy; the labelling for neffy, if approved; the scope, progress and expansion of developing and commercializing neffy; the size and growth of the market therefor and the rate and degree of market acceptance thereof vis-à-vis intramuscular injectable products; ARS’s ability to protect its intellectual property position; and the impact of government laws and regulations. Additional risks and uncertainties that could cause actual outcomes and results to differ materially from those contemplated by the forward-looking statements are included under the caption “Risk Factors” in ARS’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2023, filed with the Securities and Exchange Commission (“SEC”) on May 15, 2023, and in ARS’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2023, being filed with the SEC today. This document can also be accessed on ARS’s web page at ir.ars-pharma.com by clicking on the link “Financials & Filings.” The forward-looking statements included in this press release are made only as of the date hereof. ARS assumes no obligation and does not intend to update these forward-looking statements, except as required by law. ARS Investor Contacts: Justin Chakma ARS Pharmaceuticals justinc@ars-pharma.com Monique Allaire THRUST Strategic Communications monique@thrustsc.com ARS Media Contact: Laura O'Neill FINN Partners laura.oneill@finnpartners.com ARS Pharmaceuticals, Inc. Condensed Consolidated Balance Sheets (in thousands, except share and par value data) June 30, 2023 December 31, 2022 (unaudited) Assets Current assets: Cash and cash equivalents $ 119,017 $ 210,518 Short-term investments 133,191 63,863 Prepaid expenses and other current assets 2,826 3,319 Total current assets 255,034 277,700 Right-of-use asset 349 445 Fixed assets, net 594 329 Other assets 2,775 2,961 Total assets $ 258,752 $ 281,435 Liabilities, convertible preferred stock and stockholders’ equity Current liabilities: Accounts payable and accrued liabilities (including related party amounts of $170 and $16, respectively) $ 9,821 $ 4,931 Lease liability, current 233 230 Contract liability, current — 283 Total current liabilities 10,054 5,444 Lease liability, net of current portion 146 251 Contract liability, net of current portion — 2,854 Total liabilities 10,200 8,549 Commitments and contingencies Stockholders’ equity Preferred stock, $0.0001 par value per share; 10,000,000 shares authorized at June 30, 2023 and December 31, 2022; no shares issued and outstanding at June 30, 2023 and December 31, 2022 — — Common stock, $0.0001 par value per share; 200,000,000 shares authorized at June 30, 2023 and December 31, 2022; 95,322,953 and 93,943,316 shares issued and outstanding at June 30, 2023 and December 31, 2022, respectively 9 9 Additional paid-in capital 357,992 349,408 Accumulated other comprehensive (loss) gain, net (180 ) 407 Accumulated deficit (109,269 ) (76,938 ) Total stockholders’ equity 248,552 272,886 Total liabilities, convertible preferred stock and stockholders’ equity $ 258,752 $ 281,435 ARS Pharmaceuticals, Inc. Condensed Consolidated Statements of Operations and Comprehensive Loss (in thousands, except share and per share data) (unaudited) Three Months Ended June 30, Six Months Ended June 30, 2023 2022 2023 2022 Revenue under collaboration agreements $ 10 $ 464 $ 30 $ 1,127 Operating expenses: Research and development (including related party amounts of $484, $572, $1,075 and $1,112, respectively) 7,308 4,350 13,860 9,773 General and administrative (including related party amounts of $181, $106, $518 and $271, respectively) 13,305 2,458 25,486 4,797 Total operating expenses 20,613 6,808 39,346 14,570 Loss from operations (20,603 ) (6,344 ) (39,316 ) (13,443 ) Other income (expense), net 3,233 (76 ) 6,985 (227 ) Net loss $ (17,370 ) $ (6,420 ) $ (32,331 ) $ (13,670 ) Change in unrealized gains and losses on available-for-sale securities (248 ) — (587 ) — Comprehensive loss $ (17,618 ) $ (6,420 ) $ (32,918 ) $ (13,670 ) Net loss per share, basic and diluted $ (0.18 ) $ (0.21 ) $ (0.34 ) $ (0.45 ) Weighted-average shares outstanding used in computing net loss per share, basic and diluted 94,911,268 30,606,773 94,571,180 30,488,749