Stemline Therapeutics Reports Fourth Quarter 2019 Financial Results

March 13, 2020 at 4:45 PM EDT
  • Net revenue for ELZONRIS® was $11.8 million for the fourth quarter
  • Conference call and live webcast scheduled for Monday, March 16th, at 8:00 AM ET

NEW YORK, March 13, 2020 (GLOBE NEWSWIRE) -- Stemline Therapeutics, Inc. (Nasdaq: STML), a commercial-stage biopharmaceutical company focused on the development and commercialization of novel oncology therapeutics, today reported financial results and business highlights for the fourth quarter ended December 31, 2019.

Robert Francomano, Chief Commercial Officer of Stemline, stated, “Overall, we are very pleased with the solid demand we generated for ELZONRIS in the first year of launch and look to expand our reach in the market as we continue to build a strong commercial foundation. Importantly, new medical claims data align with our independent analyses which support our market size estimates of the BPDCN U.S. patient population. We believe there is significant growth potential ahead and are poised to capture greater market penetration. Based on market assessments, we have already started to implement a new host of tactics to better situate ELZONRIS in this dynamic and emerging market – all of which should benefit growth later this year.”

Ivan Bergstein, CEO of Stemline, commented, “Our first year of launch has created a strong foundation for the future growth of the company. We are investing in multiple label expansion opportunities for ELZONRIS in such indications as CMML, MF, and AML, as well as advancing our other pipeline products including felezonexor, our XPO1 inhibitor and SL-1001, our RET kinase inhibitor, toward key inflection points over the coming year and beyond.”

Fourth Quarter 2019 Financial Results Review

Net product revenue for ELZONRIS was $11.8 million for the quarter ended December 31, 2019. Stemline began commercial sales of ELZONRIS within the United States in January 2019.

Stemline ended the fourth quarter with $164.4 million in cash, cash equivalents and short-term investments. For the fourth quarter, Stemline reported a net loss of $17.7 million, with net cash expenditures of $10.1 million.

Research and development expenses were $10.5 million for the fourth quarter of 2019, which reflects decrease of $1.6 million compared with $12.1 million for the fourth quarter of 2018. The lower expenses are primarily attributable to higher costs incurred during 4Q18 related to the ELZONRIS BLA filing and manufacturing of ELZONRIS prior to FDA approval.

Selling, general and administrative expenses were $16.5 million for the fourth quarter of 2019, which reflects an increase of $1.6 million compared with $14.9 million for the fourth quarter of 2018. The increase in costs were primarily attributable to ongoing U.S. launch expenses for ELZONRIS and pre-launch ELZONRIS-related costs in support of a potential regulatory approval and launch in the EU.

Corporate Highlights and Key Commercial and Clinical Milestones


  • $43.2 million in net revenues for ELZONRIS in 2019
  • IQVIA medical claims data identified approximately 534 unique patients in the U.S. in 2018 with at least one claim of Blastic NK-Cell Lymphoma, a former name of BPDCN
  • Marketing Authorization Application (MAA) under review by European Medicines Agency (EMA) for potential approval in the EU
  • Phase 1/2 trial of ELZONRIS in patients with BPDCN in the maintenance setting, post-stem cell transplant (SCT), open for enrollment

Chronic Myelomonocytic Leukemia (CMML)

  • The CMML expansion cohort, Stage 3a, is open for enrollment of two patient populations: relapsed/refractory patients, and first-line, poor prognosis patients not expected to benefit from first line cytoreductive treatment
  • Results from Stage 3a are expected to inform the design of the subsequent Stage 3b confirmatory cohort for potential registration
  • We expect to provide updates from this trial in ~4Q20/1Q21

Myelofibrosis (MF)

  • At ASH 2019, ELZONRIS data in patients with relapsed/refractory MF was the subject of an oral presentation
  • In the MF clinical trial, ELZONRIS demonstrated efficacy (spleen size reductions and total symptom score [TSS] reductions) with a predictable and manageable safety profile, including in patients with poor prognostic factors, such as thrombocytopenia, CMML-type features/monocytosis, and clonal evolution
  • The MF cohort of the ongoing trial has been expanded to include 20-25 additional patients
  • We are evaluating relapsed/refractory patients and specific subsets of patients, including patients with monocytosis, thrombocytopenia, and CD123 positivity
  • We expect to provide updates from this trial in ~4Q20/1Q21

Acute Myeloid Leukemia (AML)

  • A Phase 1/2 trial of ELZONRIS in combination with other agents in patients with relapsed/refractory AML, treatment-naive AML unfit for chemotherapy, and high-risk myelodysplastic syndrome (MDS) is currently enrolling patients. CD123 expression levels are also being evaluated. We expect to provide updates later this year

Conference Call Information

The company will host a conference call and webcast on Monday, March 16, 2020 at 8:00 a.m. ET. The conference call can be accessed by dialing 1-800-367-2403 (domestic) or 1-334-777-6978 (international) and referring to conference ID 7728185.

The webcast can be accessed via the company’s website (, at the bottom of the “Investors & Media” section in the “News & Events” page, and will be available live and for replay shortly after the event.


ELZONRIS® (tagraxofusp), a targeted therapy directed to CD123, is approved by the U.S. Food and Drug Administration (FDA) and commercially available in the U.S. for the treatment of adult and pediatric patients, two years or older, with blastic plasmacytoid dendritic cell neoplasm (BPDCN). For full prescribing information in the U.S., visit In Europe, a marketing authorization application (MAA) is under review by the European Medicines Agency (EMA).

ELZONRIS is also being evaluated in additional clinical trials in other CD123+ indications, including chronic myelomonocytic leukemia (CMML), myelofibrosis (MF), acute myeloid leukemia (AML), and others are planned, including a CD123+ all-comers trial.


BPDCN, formerly blastic NK-cell lymphoma, is an aggressive hematologic malignancy, often with cutaneous manifestations, with historically poor outcomes. BPDCN typically presents in the bone marrow and/or skin and may also involve lymph nodes and viscera. The BPDCN cell of origin is the plasmacytoid dendritic cell (pDC) precursor. The diagnosis of BPDCN is based on the immunophenotypic diagnostic triad of CD123, CD4, and CD56, as well as other markers. The World Health Organization (WHO) termed this disease “BPDCN” in 2008; previous names included blastic NK cell lymphoma and agranular CD4+/CD56+ hematodermic neoplasm. For more information, please visit the BPDCN disease awareness website at

About CD123

CD123 is a cell surface target expressed on a wide range of malignancies including blastic plasmacytoid dendritic cell neoplasm (BPDCN), certain myeloproliferative neoplasms (MPNs) including chronic myelomonocytic leukemia (CMML) and myelofibrosis (MF), acute myeloid leukemia (AML) (and potentially enriched in certain AML subsets), myelodysplastic syndrome (MDS), and chronic myeloid leukemia (CML). CD123 has also been reported on multiple myeloma (MM), acute lymphoid leukemia (ALL), hairy cell leukemia (HCL), Hodgkin’s lymphoma (HL), and certain Non-Hodgkin’s lymphomas (NHL). In addition, CD123+ cells have been detected in the tumor microenvironment of several solid tumors as well as in certain autoimmune disorders including cutaneous lupus and scleroderma.

About Stemline Therapeutics

Stemline Therapeutics, Inc. is a commercial-stage biopharmaceutical company focused on the development and commercialization of novel oncology therapeutics. ELZONRIS® (tagraxofusp), a targeted therapy directed to CD123, is FDA-approved and commercially available in the U.S. for the treatment of adult and pediatric patients, two years and older, with blastic plasmacytoid dendritic cell neoplasm (BPDCN). In Europe, a marketing authorization application (MAA) is under review by the European Medicines Agency (EMA). ELZONRIS is also being evaluated in clinical trials in additional indications including chronic myelomonocytic leukemia (CMML), myelofibrosis (MF) acute myeloid leukemia (AML), and additional trials and indications are planned. Additional pipeline candidates include: felezonexor (SL-801) (XPO1 inhibitor; Phase 1 in advanced solid tumor patients ongoing) and SL-1001 (RET kinase inhibitor, IND-enabling studies ongoing). For more information, please visit the company’s website at

Forward-Looking Statements

Some of the statements included in this press release may be forward-looking statements that involve a number of risks and uncertainties. For those statements, we claim the protection of the safe harbor for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995. The factors that could cause our actual results to differ materially include: the success of our U.S. launch and commercialization; the success of our MAA submission to the EMA and potential launch in Europe; the success and timing of our clinical trials and preclinical studies for our product and product candidates, including ELZONRIS in additional indications and our other pipeline candidates, including site initiation, institutional review board approval, scientific review committee approval, patient accrual, safety, tolerability and efficacy data observed, and input from regulatory authorities including the risk that the FDA, EMA, or other ex-U.S. national drug authority ultimately does not agree with our data, find our data supportive of approval, or approve any of our product candidates; the possibility that results of clinical trials are not predictive of safety and efficacy results of our product candidates in broader patient populations or of our products if approved; our plans to develop and commercialize our product candidates, including, but not limited to delays in arranging satisfactory manufacturing capabilities and establishing commercial infrastructure for ELZONRIS; product efficacy or safety concerns resulting in product recalls or regulatory action; the risk that estimates regarding the number of patients with the diseases that our product and product candidates may treat are inaccurate; inadequate market penetration of our products; our products not gaining acceptance among patients (and providers or third party payors) for certain indications (due to cost or otherwise); the risk that third party payors (including governmental agencies) will not reimburse for the use of ELZONRIS at acceptable rates or at all; the company’s ability to produce, maintain or increase sales of ELZONRIS; the company’s ability to develop and/or commercialize ELZONRIS; the adequacy of our pharmacovigilance and drug safety reporting processes; our available cash and investments; our ability to obtain and maintain intellectual property protection for our product and product candidates; delays, interruptions, or failures in the manufacture and supply of our product and product candidates; the performance of third-party businesses, including, but not limited to, manufacturers, clinical research organizations, clinical trial sponsors and clinical trial investigators; and other risk factors identified from time to time in our reports filed with the SEC. Any forward-looking statements set forth in this press release speak only as of the date of this press release. We do not intend to update any of these forward-looking statements to reflect events or circumstances that occur after the date hereof.

Investor Relations
Stemline Therapeutics, Inc.
750 Lexington Avenue
Eleventh Floor
New York, NY 10022
Tel: 646-502-2307

Table 1. Stemline Therapeutics, Inc. - Balance Sheets

    December 31, 2019   December 31, 2018  
Current assets:          
Cash and cash equivalents   $ 13,561,712   $ 9,443,667  
Short-term investments     150,869,056     50,662,189  
Accounts receivable, net     15,120,229      
Inventories, net   1,151,373    
Prepaid expenses and other current assets   4,459,127   2,952,996  
Total current assets   185,161,497   63,058,852  
Property and equipment, net   191,158   222,413  
Operating lease right-of-use assets   1,317,598    
Other assets   308,751   212,305  
Total assets   $ 186,979,004   $ 63,493,570  
Liabilities and stockholders’ equity          
Current liabilities:          
Accounts payable and accrued expenses   $ 21,952,048   $ 21,153,062  
Operating lease liabilities – current portion     1,169,764      
Other current liabilities     10,125     65,862  
Total current liabilities   23,131,937   21,218,924  
Operating lease liabilities   226,306    
Other liabilities   4,370   72,591  
Total liabilities   23,362,613   21,291,515  
Commitments and contingencies          
Stockholders’ equity:          
Preferred stock $0.0001 par value, 5,000,000 shares authorized, none issued and outstanding at December 31, 2019 and December 31, 2018      
Common stock $0.0001 par value, 83,750,000 shares authorized at December 31, 2019 and 53,750,000 shares authorized at December 31, 2018. 50,349,150 shares issued and outstanding at December 31, 2019 and 31,943,186 shares issued and outstanding at December 31, 2018   5,035   3,194  
Additional paid-in capital   529,488,474   331,343,484  
Accumulated other comprehensive income (loss)   28,171   (56,559 )
Accumulated deficit   (365,905,289 ) (289,088,064 )
Total stockholders’ equity   163,616,391   42,202,055  
Total liabilities and stockholders’ equity   $ 186,979,004   $ 63,493,570  

Table 2. Stemline Therapeutics, Inc. - Statements of Operations

  Three Months Ended December 31,   Twelve Months Ended December 31,  
Product revenue, net $ 11,828,984   $   $ 43,216,862   $  
Grant income               500,000  
Operating expenses:                
Cost of goods sold   3,152,779         4,893,339      
Research and development   10,546,987     12,074,872     50,724,411     47,725,019  
Selling, general and administrative   16,476,470     14,853,116     66,846,633     39,061,667  
Total operating expenses   30,176,236     26,927,988     122,464,383     86,786,686  
Loss from operations   (18,347,252 )   (26,927,988 )   (79,247,521 )   (86,286,686 )
Other expense, net   (44,087 )   (3,608 )   (47,697 )   (7,505 )
Interest expense   (33,920 )   (321 )   (34,706 6 )   (794 )
Interest income   784,255     297,003     2,538,273     1,270,620  
Net loss before income taxes $ (17,641,004 ) $ (26,634,914 ) $ (76,791,651 ) $ (85,024,365 )
Income tax expense   (39,021 )       (25,574 )    
Net loss $ (17,680,025 ) $ (26,634,914 ) $ (76,817,225 ) $ (85,024,365 )
Net loss per common share:                        
Basic and Diluted $ (0.38 ) $ (0.92 ) $ (1.83 ) $ (2.99 )
Weighted-average shares outstanding:                        
Basic and Diluted   46,851,498     29,085,767     42,091,027     28,388,901  

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Source: Stemline Therapeutics, Inc.