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Acorda Therapeutics(ACOR) - 2023 Q4 - Annual Report

Financial Performance - U.S. net revenue for Inbrija was 33.6millionfortheyearendedDecember31,2023[27].NetrevenuesforexU.S.Inbrijasaleswere33.6 million for the year ended December 31, 2023[27]. - Net revenues for ex-U.S. Inbrija sales were 4.8 million for the year ended December 31, 2023[28]. - U.S. net revenue for Ampyra was 63.9millionfortheyearendedDecember31,2023[30].Thecompanyreportedanetlossof63.9 million for the year ended December 31, 2023[30]. - The company reported a net loss of 252.9 million for the year[200]. - The company had 30.6millionincashandcashequivalentsasofDecember31,2023,andincurrednetcashflowsusedinoperatingactivitiesof30.6 million in cash and cash equivalents as of December 31, 2023, and incurred net cash flows used in operating activities of 14.0 million during 2023[202]. Business Strategy and Operations - The company plans to commence voluntary Chapter 11 proceedings to maximize value for stakeholders[21]. - The company has a DIP Credit Agreement for a maximum aggregate amount of $60.0 million to fund operations during Chapter 11 proceedings[26]. - The company plans to regain global commercialization rights to Fampyra effective January 1, 2025, after Biogen terminated the collaboration agreement[32]. - The company plans to assume commercialization responsibilities for Fampyra during 2024 and expects to enter into additional collaborations and distribution arrangements[74]. - The company is in discussions for potential collaborations to utilize its ARCUS platform for inhaled therapeutics[29]. Market and Competition - Approximately 40% of people with Parkinson's in the U.S. experience OFF periods, indicating a significant market for Inbrija[27]. - The company has experienced a significant decline in Ampyra sales due to competition from generic versions[30]. - Inbrija faces competition from therapies like Apokyn and new formulations of carbidopa/levodopa, which may limit OFF periods in Parkinson's disease treatment[100]. - Several companies are developing products that may compete with Ampyra, including novel immune system approaches and cell therapy for MS[104]. - The company is aware of competitors developing intranasally delivered levodopa therapies that may compete with Inbrija[101]. Regulatory and Compliance - The FDA may impose significant restrictions on distribution and use of a marketed product under a Risk Evaluation and Mitigation Strategy (REMS)[120]. - The company is subject to inspections by the FDA and other regulatory authorities, which may result in corrective actions if deficiencies are identified[123]. - The company is subject to various federal and state regulations in the U.S., including compliance with the anti-kickback and fraud provisions of the Social Security Act[159]. - Non-compliance with federal and state medical device regulations could lead to severe penalties, including product recalls and fines[139]. - The marketing authorization for Inbrija is valid for five years and can be renewed, with a renewal application submitted in December 2023[145]. Research and Development - The company has deferred internal investment in ARCUS research programs but is exploring collaborations for pulmonary delivery using ARCUS[43]. - The company does not currently have any active development programs for new potential drug products but is open to future collaborations[105]. - The approval process for drug candidates requires substantial time, effort, and financial resources, with no guarantee of timely approval[108]. - The company has no active drug development programs and has suspended work on all research and development programs due to limited financial resources[200]. Financial Risks and Challenges - The company faces significant risks related to its Intended Chapter 11 Proceedings, including the ability to negotiate a sale of assets and maintain relationships with suppliers and customers[179]. - The company is substantially dependent on increasing sales of Inbrija in the U.S. and commercializing it in other countries, facing competition from other marketed products[180]. - The company may experience employee attrition due to the uncertainties surrounding the Intended Chapter 11 Proceedings, which could adversely affect its business[199]. - Future performance is subject to economic, financial, competitive, and other factors beyond the company's control, impacting its ability to service debt[204]. - The company may not generate sufficient cash flow from operations in the future to support operations and service debt[204].