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TESARO Announces Third-Quarter 2018 Operating Results

  • ZEJULA® Q3 net sales totaled $63 million compared to $39 million for Q3 2017
  • Top-line results for PRIMA trial of ZEJULA monotherapy for first-line ovarian cancer patients regardless of BRCA mutation status anticipated in late 2019
  • Data presented at ESMO for TSR-042 indicate robust activity in patients with MSI-high endometrial cancer; TSR-042 BLA submission planned for 2H 2019

WALTHAM, Mass., Nov. 01, 2018 (GLOBE NEWSWIRE) -- TESARO, Inc. (NASDAQ:TSRO), an oncology-focused biopharmaceutical company, today reported operating results for third-quarter 2018 and provided an update on the Company's commercial products and development programs.

“In the third quarter, we launched several initiatives to grow the use of ZEJULA for recurrent ovarian cancer and we continued to execute on our development strategies focused on gynecologic and lung cancers as we approach a period of significant data readouts,” said Lonnie Moulder, CEO of TESARO. “Following results of the Phase 3 PRIMA trial next year, we intend for ZEJULA to benefit patients throughout all stages of their ovarian cancer journey, including first-line, recurrent, and late-line treatment settings. Our immuno-oncology pipeline continues to advance, led by our anti-PD-1 antibody, TSR-042, for which we are on track to submit a BLA next year. We look forward to initial data from the Phase 1 AMBER trial of our anti-TIM-3 antibody, TSR-022, in combination with TSR-042, which will be presented at the Society for Immunotherapy of Cancer (SITC) Annual Meeting next week.”

Recent Business Highlights

  • ZEJULA net revenue increased 61% year-over-year to $63.2 million for the third quarter of 2018. In the U.S. and Europe, approximately 10,000 patients have been treated with ZEJULA since its launch in April 2017. ZEJULA is now approved in 33 countries and is reimbursed and launched in Germany, the U.K., Italy and several other European countries.
  • Safety data were presented from the Phase 3 PRIMA trial of ZEJULA monotherapy in first-line ovarian cancer during the European Society for Medical Oncology (ESMO) Annual Congress in October. Data demonstrated a favorable tolerability profile for niraparib when dosed according to a patient’s weight and platelet count compared to a fixed starting dose. The PRIMA Phase 3 trial is fully enrolled and top-line results are expected in late 2019.
  • Based upon the responses observed in the first stage of the study, the second stage of the Phase 2 JASPER study was initiated, which evaluates ZEJULA in combination with TSR-042 as a first-line treatment for patients with non-small cell lung cancer and high levels of PD-L1 expression.
  • Data were presented from the GARNET trial of TSR-042 monotherapy at ESMO and demonstrated TSR-042 is well tolerated and has robust clinical activity in patients with MSI-H endometrial cancer.  
  • Zai Lab Limited announced ZEJULA approval in Hong Kong on October 22, 2018. ZEJULA is the first and only PARP inhibitor approved in Hong Kong for the maintenance treatment of platinum-sensitive relapsed ovarian cancer regardless of BRCA mutation status.
  • In October, TESARO and actress Cobie Smulders launched Not on My Watch, a national movement to empower the ovarian cancer community, especially women with recurrent ovarian cancer, to take informed and proactive steps against the threat of disease recurrence.
  • Development milestones were achieved in October related to Janssen’s ongoing GALAHAD trial of niraparib monotherapy for the treatment of men with metastatic castration-resistant prostate cancer (mCRPC) and DNA-repair anomalies. The achievement of these milestones triggered an $18 million payment from Janssen to TESARO.

Third Quarter 2018 Financial Results

TESARO reported net product revenue of $63.6 million for the third quarter of 2018, compared to a total of $41.8 million for the third quarter of 2017. ZEJULA net revenue increased 61% to $63.2 million for the third quarter of 2018, compared to $39.4 million for the third quarter of 2017. Cost of goods sold increased to $14.2 million for the third quarter of 2018, compared to $6.2 million for the same period in 2017, primarily related to increased volume and new supplier set-up expenses.

Research and development expenses increased to $94.2 million for the third quarter of 2018, compared to $73.4 million for the third quarter of 2017, driven primarily by higher manufacturing and clinical development costs associated with TSR-042, TSR-022, and ZEJULA, and research collaborations.

Selling, general and administrative expenses increased to $93.5 million for the third quarter of 2018, compared to $84.0 million for the third quarter of 2017, primarily due to increased headcount and activities in support of the launches of ZEJULA in the U.S. and Europe.

Operating expenses as described above include total non-cash, stock-based compensation expense of $24.8 million for the third quarter of 2018, compared to $25.0 million for the third quarter of 2017.

Net loss totaled $137.1 million, or ($2.49) per share, for the third quarter of 2018, compared to a net loss of $25.3 million, or ($0.47) per share, for the third quarter of 2017. The increase in net loss was primarily due to the $100.0 million up-front payment received and recorded as revenue in the third quarter of 2017 as part of the license agreement with Takeda, partially offset by a $17.6 million gain in the third quarter of 2018 associated with the divestiture of VARUBI in the U.S., for which TESARO received an up-front payment of $35 million.

(in thousands, except per share amounts)Three Months Ended
September 30,
Product revenue, net  
ZEJULA® $63,226 $39,375 
VARUBI®/VARUBY®$386 $2,380 
Total product revenue, net$63,612 $41,755 
License, collaboration, and other revenue$787 $101,011 
Total revenues$64,399 $142,766 
Net loss$(137,088)$(25,277)
Net loss per share, basic and diluted$(2.49)$(0.47)

(in thousands)Three Months Ended
September 30,
  2018 2017
Cost of sales - product$   14,225 $  6,216 
Cost of sales - intangible asset amortization$   728 $   1,254 
Research and development (R&D)$  94,188 $  73,388 
Selling, general and administrative (SG&A)$  93,497 $  83,998 
Acquired in-process R&D$   - $   - 

Cash and Cash Equivalents

As of September 30, 2018, TESARO had approximately $476.8 million in cash and cash equivalents and approximately 55.0 million outstanding shares of common stock.

2018 Financial Guidance

TESARO is updating its 2018 financial guidance for ZEJULA:

Total Revenue, net, worldwide (FY)$258 to $265 million
(previously $250 to $265 million)
ZEJULA (FY)$233 to $238 million
(previously $225 to $235 million)
ZEJULA (Q4)$67 to $72 million
Other revenue, including licensing and
VARUBY oral (FY)
$25 to $27 million
(previously $25 to $30 million)
Interest expense (FY)Approximately $60 million,
including non-cash interest expense of $14 million

In the third quarter, TESARO’s cash and cash equivalents balance declined by approximately $98 million. TESARO anticipates year-end 2018 cash and cash equivalents to be approximately $400 million.

Key Development Milestones

Gynecologic Cancers:

  • Submit QUADRA sNDA for treatment of late-line ovarian cancer beyond BRCAmut near year-end
  • Results of the AVANOVA Phase 2 study of ZEJULA in combination with bevacizumab for treatment of recurrent ovarian cancer to be submitted for presentation at a medical meeting in 1H 2019
  • Report Phase 2 OVARIO results of ZEJULA in combination with bevacizumab in first-line ovarian cancer maintenance in late 2019
  • Report Phase 3 PRIMA results of ZEJULA in first-line ovarian cancer maintenance in late 2019

Lung Cancer:

  • Report initial data for the AMBER trial of TSR-022 in combination with TSR-042 at the Society for Immunotherapy of Cancer’s (SITC) Annual Meeting on November 9
  • Report additional data from the NSCLC cohort of the GARNET trial of TSR-042 at SITC
  • Initiate Phase 2 registration enabling trial of TSR-042 versus standard of care in first-line NSCLC in early 2019
  • Report additional data from the Phase 2 JASPER study of ZEJULA in combination with anti-PD-1 at a medical meeting in 1H 2019

Breast Cancer:

  • Submit BRAVO data for ZEJULA in germline BRCAmut breast cancer patients for publication in Q4 2018
  • Complete protocol development for registration study of ZEJULA in combination with TSR-042 and other agents in breast cancer

Prostate Cancer:

  • Janssen to advance GALAHAD trial of ZEJULA in mCRPC and DNA-repair anomalies to support global regulatory filings in 2019
  • Planning underway by Janssen for a future Phase 3 trial that will assess the clinical benefit of niraparib in combination with abiraterone acetate + prednisone in mCRPC patients

Immuno-oncology Pipeline:

  • Continue dose-escalation in the CITRINO trial (combination of TSR-033 plus TSR-042) and report Phase 1 monotherapy dose-escalation data for TSR-033 at SITC
  • Advance IND-enabling studies of PD-1/LAG-3 bi-specific antibody (TSR-075)

Today's Conference Call and Webcast

TESARO will host a conference call to discuss the Company's third quarter operating results and provide an update on the Company's commercial products and development programs today at 4:15 P.M. Eastern time. The accompanying slide presentation and live webcast of the conference call can be accessed by visiting the TESARO website at The call can be accessed by dialing (877) 853-5334 (U.S. and Canada) or (970) 315-0307 (international). A replay of the webcast will be archived on the Company's website for 30 days following the call.

About ZEJULA (niraparib)

ZEJULA (niraparib) is a poly (ADP-ribose) polymerase (PARP) inhibitor indicated for the maintenance treatment of adult patients with recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who are in a complete or partial response to platinum-based chemotherapy.  In preclinical studies, ZEJULA concentrates in the tumor relative to plasma, delivering greater than 90% durable inhibition of PARP 1/2 and a persistent antitumor effect. Myelodysplastic Syndrome/Acute Myeloid Leukemia (MDS/AML), including some fatal cases, was reported in patients treated with ZEJULA. Discontinue ZEJULA if MDS/AML is confirmed.  Hematologic adverse reactions (thrombocytopenia, anemia and neutropenia), as well as cardiovascular effects (hypertension and hypertensive crisis) have been reported in patients treated with ZEJULA. Monitor complete blood counts to detect hematologic adverse reactions, as well as to detect cardiovascular disorders, during treatment.  ZEJULA can cause fetal harm and females of reproductive potential should use effective contraception. Please see full prescribing information, including additional important safety information, available at


TESARO is an oncology-focused biopharmaceutical company devoted to providing transformative therapies to people bravely facing cancer. For more information, visit, and follow us on Twitter and LinkedIn.

Investor/Media Contact:
Kate Rausch
Director, Investor Relations

Forward Looking Statements

To the extent that statements contained in this press release are not descriptions of historical facts regarding TESARO, they are forward-looking statements reflecting the current beliefs and expectations of management made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Words such as "may," "will," "expect," "anticipate," "estimate," "intend," and similar expressions (as well as other words or expressions referencing future events, conditions, or circumstances) are intended to identify forward-looking statements. Examples of forward-looking statements contained in this press release include, among others, statements regarding: our 2018 revenue, interest expense, and cash balance guidance; the design and expected timing of initiation, enrollment, and data readouts and publications from our various ongoing and planned ZEJULA, TSR-042, TSR-033, TSR-022, combination, and other clinical trials; the expected timing of our various BLA, sNDA and other regulatory filings; and our expectation to achieve our various development milestones. Forward-looking statements in this release involve substantial risks and uncertainties that could cause our research and development programs, future financial and other results, performance, or achievements to differ significantly from those expressed or implied by the forward-looking statements. Such risks and uncertainties include, among others, risks related to the acceptance of our products in the marketplace, competition, the uncertainties inherent in the execution and completion of clinical trials, uncertainties surrounding the timing of availability of data from clinical trials, uncertainties surrounding potential actions by regulatory authorities, uncertainties regarding the expected timing and magnitude of certain expenditures, risks related to manufacturing and supply, risks related to intellectual property, the terms of our term loan facility, other matters that could affect our financial results, the results of our ongoing and planned development programs, and/or the availability or commercial potential of our products and drug candidates. TESARO undertakes no obligation to update or revise any forward-looking statements. For a further description of the risks and uncertainties that could cause actual results to differ from those expressed in these forward-looking statements, as well as risks relating to the business of the Company in general, see TESARO's Annual Report on Form 10-K for the year ended December 31, 2017 and Quarterly Report on Form 10-Q for the quarter ended June 30, 2018.

Unaudited Condensed Consolidated Statements of Operations
(in thousands, except per share amounts)
    Three Months Ended
September 30,
 Nine Months Ended
September 30,
     2018   2017   2018   2017  
 Product revenue, net:         
  ZEJULA®  $63,226  $39,375  $165,989  $65,321  
  VARUBI®/VARUBY®  386   2,380   4,323   7,402  
 Total product revenue, net  63,612   41,755   170,312   72,723  
 License, collaboration and other revenues  787   101,011   1,037   102,580  
Total revenues  64,399   142,766   171,349   175,303  
 Cost of sales - product  14,225   6,216   37,735   10,280  
 Cost of sales - intangible asset amortization  728   1,254   3,663   4,723  
 Research and development (1)  94,188   73,388   288,551   210,910  
 Selling, general and administrative (1)  93,497   83,998   287,137   246,239  
 Acquired in-process research and development  -   -   -   7,000  
Total expenses  202,638   164,856   617,086   479,152  
Loss from operations  (138,239)  (22,090)  (445,737)  (303,849) 
Gain on sale of business  17,627   -   17,627   -  
Interest and other income (expense), net  (16,154)  (3,048)  (37,715)  (9,941) 
Loss before income taxes  (136,766)  (25,138)  (465,825)  (313,790) 
Provision for income taxes  322   139   730   271  
Net loss $(137,088) $(25,277) $(466,555) $(314,061) 
Net loss per share applicable to         
 common stockholders - basic and diluted $(2.49) $(0.47) $(8.51) $(5.82) 
Weighted-average number of common         
 shares used in net loss per share applicable
to common stockholders - basic and diluted
  54,957   54,241   54,807   53,971  
(1) Expenses include the following amounts of non-cash stock-based compensation expense:     
 Research and development $7,128  $8,545  $23,137  $23,532  
 Selling, general and administrative  17,630   16,471   56,158   43,393  


Unaudited Condensed Consolidated Balance Sheets
(in thousands)
   September 30, December 31,
Current assets:    
 Cash and cash equivalents $476,812  $643,095
 Accounts receivable  31,362   53,416
 Inventories  108,822   57,939
 Other current assets  31,382   33,511
Total current assets  648,378   787,961
Intangible assets, net  35,897   56,384
Property and equipment, net  9,923   9,652
Restricted cash  8,610   2,552
Other assets  8,032   5,636
 Total assets $710,840  $862,185
Liabilities and stockholders' equity (deficit)    
Current liabilities:    
 Accounts payable $28,160  $4,172
 Accrued expenses  150,933   154,808
 Deferred revenue, current  530   324
 Other current liabilities  10,819   6,902
Total current liabilities  190,442   166,206
Convertible notes, net  153,057   143,446
Long-term debt, net  490,525   293,659
Deferred revenue, non-current  141   211
Other non-current liabilities  7,467   9,577
 Total liabilities  841,632   613,099
Total stockholders' equity (deficit)  (130,792)  249,086
 Total liabilities and stockholders' equity (deficit) $710,840  $862,185

Thursday, November 1, 2018 - 16:05