33 unchanged sentences
August 2021 U.S.
+Added: Treatment of cataplexy in patients with narcolepsy.
+Added: May 2023 Canada
Xyrem® (sodium oxybate) Treatment of cataplexy or EDS in patients seven years of age and older with narcolepsy.
6 unchanged sentences
June 2018 U.S.
−Removed: Epidyolex® (cannabidiol) For adjunctive therapy of seizures associated with LGS or DS, in conjunction with clobazam, for patients 2 years of age and older.* September 2019 EU, Great Britain, Israel, Switzerland, Australia and New Zealand
+Added: Epidyolex® (cannabidiol) For adjunctive therapy of seizures associated with LGS or DS, in conjunction with clobazam, for patients 2 years of age and older.* September 2019 EU, Great Britain, EEA**, Israel, Switzerland, Australia and New Zealand
For adjunctive therapy of seizures associated with TSC for patients 2 years of age and older.
14 unchanged sentences
Defitelio® (defibrotide) Treatment of severe hepatic veno-occlusive disease, or VOD, also known as sinusoidal obstruction syndrome, or SOS, following hematopoietic stem cell transplantation, or HSCT, therapy.
−Removed: October 2013 EU, Great Britain, Switzerland, Israel, Australia, South Korea, Saudi Arabia
+Added: October 2013 EU, Great Britain, EEA**, Switzerland, Israel, Australia, South Korea, Saudi Arabia
Defitelio® (defibrotide sodium) Treatment of adult and pediatric patients with hepatic VOD, also known as SOS, with renal or pulmonary dysfunction following HSCT.
−Removed: March 2016 U.S., Brazil
+Added: March 2016 U.S.
Defitelio® (defibrotide sodium) Treatment of severe hepatic VOD, also known as SOS, following HSCT therapy.
−Removed: July 2017 Canada
+Added: July 2017 Canada, Brazil
Defitelio® (defibrotide) Treatment of haptic sinusoidal obstruction syndrome (hepatic VOD).
June 2019 Japan
−Removed: Vyxeos® (daunorubicin and cytarabine) liposome for injection Treatment of newly-diagnosed therapy-related acute myeloid leukemia, or t-AML or AML-MRC in adults and pediatric patients one year and older.
+Added: Vyxeos® (daunorubicin and cytarabine) liposome for injection Treatment of newly-diagnosed therapy-related acute myeloid leukemia, or t-AML, or AML with myelodysplasia-related changes, or AML-MRC, in adults and pediatric patients one year and older.
August 2017 U.S.
5 unchanged sentences
*The clobazam restriction limited to EU and Great Britain
+Added: **European Economic Area
***Accelerated approval received from U.S.
10 unchanged sentences
We view the adoption of Xywav in narcolepsy as a positive indication that physicians and patients appreciate the benefits of a low-sodium oxybate option.
−Removed: We continue to see Xywav adoption among existing Xyrem patients, as well as the majority of new-to-oxybate narcolepsy patients.
In June 2021, FDA recognized seven years of Orphan Drug Exclusivity, or ODE, for Xywav in narcolepsy, which extends through July 2027.
−Removed: Lumryz, a fixed-dose, high-sodium oxybate, was approved by FDA on May 1, 2023, for treatment of cataplexy or EDS in adults with narcolepsy.
+Added: Lumryz, a fixed-dose, high-sodium oxybate, was approved by FDA on May 1, 2023 for the treatment of cataplexy or EDS in adults with narcolepsy.
FDA continues to recognize seven years of ODE for Xywav in narcolepsy.
13 unchanged sentences
We have seen strong adoption of Xywav in narcolepsy since its launch in November 2020, and increasing adoption in IH since its launch in November 2021.
−Removed: Exiting the first quarter of 2023, there were approximately 11,050 patients taking Xywav, including approximately 9,050 patients with narcolepsy and approximately 2,000 patients with IH.
−Removed: With respect to Xywav and Xyrem in the aggregate, the average number of active Jazz oxybate patients on therapy was approximately 17,400 in the first quarter of 2023.
+Added: Exiting the second quarter of 2023, there were approximately 11,500 patients taking Xywav, including approximately 9,300 patients with narcolepsy and approximately 2,200 patients with IH.
+Added: With respect to Xywav and Xyrem in the aggregate, the average number of active Jazz oxybate patients on therapy was approximately 16,200 in the second quarter of 2023, reflecting the expected decline of Xyrem due to strong adoption of Xywav and availability of high-sodium oxybate authorized generics.
We acquired Epidiolex (Epidyolex outside the U.S.) in May 2021 as part of the acquisition of GW Pharmaceuticals plc, or GW, which we refer to as the GW Acquisition, which expanded our growing neuroscience business with a global, high-growth childhood-onset epilepsy franchise.
12 unchanged sentences
coli -derived asparaginase.
−Removed: Rylaze is the only recombinant erwinia asparaginase manufactured product that maintains a clinically meaningful level of asparaginase activity throughout the entire duration of treatment.
+Added: Rylaze is the only recombinant erwinia asparaginase manufactured product that maintains a clinically meaningful level of
+Added: asparaginase activity throughout the entire duration of treatment.
We developed Rylaze to address the needs of patients and health care providers for an innovative, high-quality erwinia asparaginase with reliable supply.
4 unchanged sentences
There is no impact on the approved product labeling for Rylaze IM administration.
−Removed: We also completed a Marketing Authorization Application, or MAA, submission to the European Medicines Agency, or EMA, in May 2022 for M/W/F and
−Removed: every 48-hour dosing schedules and IV and IM administration, with potential for approval in 2023.
−Removed: We are also continuing to evaluate patient need in other geographies.
+Added: In July 2023, we announced the Committee for Medicinal Products for Human Use, or CHMP, of the European Medicines Agency, or EMA, granted a positive opinion for JZP458 (marketed as Rylaze in the U.S.) recommending the marketing authorization to the European Commission, or EC.
+Added: We anticipate EC approval this year.
We acquired U.S.
1 unchanged sentence
Our education and promotional efforts are focused on SCLC-treating physicians.
−Removed: We are continuing to raise awareness of Zepzelca across academic and community cancer centers, and see continued opportunities for growth in second-line share and overall demand, reflecting the significant unmet need and favorable Zepzelca product profile.
+Added: We are continuing to raise awareness of Zepzelca across academic and community cancer centers.
In collaboration with F.
−Removed: Hoffmann-La Roche Ltd (Roche), we have an ongoing Phase 3 pivotal clinical trial in first-line extensive stage SCLC of Zepzelca in combination with Tecentriq ® (atezolizumab).
+Added: Hoffmann-La Roche Ltd., or Roche, we have an ongoing Phase 3 pivotal clinical trial in first-line extensive stage SCLC of Zepzelca in combination with Tecentriq® (atezolizumab).
We are also developing Zepzelca in additional indications.
−Removed: Defitelio is the first and only approved treatment for patients with VOD following HSCT.
+Added: Defitelio is the first and only approved treatment for patients with severe VOD, or sVOD, following HSCT.
There was a significant decline in the number of patients receiving HSCT due to the effects of the COVID-19 pandemic.
−Removed: Moving forward, we expect changes in chemotherapy regimens and the increasing use of cell therapies to potentially lower the incidence of VOD;
+Added: Moving forward, while HSCT procedures are gradually returning to pre-pandemic numbers, we expect changes in chemotherapy regimens and the increasing use of cell therapies to potentially lower the incidence of sVOD;
additionally, there has been a reduction of prophylactic use of Defitelio in Europe.
2 unchanged sentences
We have a number of ongoing development activities and continue to expand into new markets internationally.
−Removed: Despite an ongoing trend in the U.S.
−Removed: towards lower-intensity treatments and away from Vyxeos that accelerated due to the COVID-19 pandemic, we continue to see recovery in demand for Vyxeos and expect future demand for appropriate secondary AML patients to remain steady.
+Added: With ongoing trends in the U.S.
+Added: towards lower-intensity treatments and away from intensive chemotherapy regimens for AML, we note increasing competition from other therapeutic options as we continue to educate providers on the clinical benefits of Vyxeos in appropriate patients.
Research and Development Progress
13 unchanged sentences
We are also pursuing early-stage activities related to the development of JZP324, an extended-release low sodium, oxybate formulation that we believe could provide a clinically meaningful option for narcolepsy patients.
−Removed: In May 2022, we announced that we had entered into a licensing agreement with Sumitomo Pharma Co., Ltd, or Sumitomo, to acquire exclusive development and commercialization rights in the United States, Europe and other territories for JZP441, also known as DSP-0187, a potent, highly selective oral orexin-2 receptor agonist with potential application for the treatment of narcolepsy, IH and other sleep disorders.
+Added: In May 2022, we announced that we had entered into a licensing agreement with Sumitomo Pharma Co., Ltd, or Sumitomo, to acquire exclusive development and commercialization rights in the United States, Europe and other territories for
+Added: JZP441, also known as DSP-0187, a potent, highly selective oral orexin-2 receptor agonist with potential application for the treatment of narcolepsy, IH and other sleep disorders.
In November 2022, the first participant was enrolled in a Phase 1 development program to assess the safety, tolerability, pharmacokinetics and pharmacodynamics of JZP441 in sleep-deprived healthy volunteers.
5 unchanged sentences
There is no impact on the approved product labeling for Rylaze IM administration.
−Removed: We completed a MAA submission to the EMA in May 2022 for M / W / F and every 48-hour dosing schedules and IV and IM administration.
+Added: In July 2023, we announced the CHMP of the EMA granted a positive opinion for JZP458 (marketed as Rylaze in the U.S.) recommending the marketing authorization to the EC.
+Added: We anticipate EC approval this year.
We are executing a robust development plan for Zepzelca.
3 unchanged sentences
Data from either the first-line trial of Zepzelca in combination with Tecentriq or the PharmaMar trial could serve to confirm clinical benefit of Zepzelca and secure full approval in the U.S.
−Removed: In 2022, we initiated a Phase 2 basket trial to explore Zepzelca monotherapy in patients with select advanced or metastatic solid tumors.
−Removed: Cohorts include advanced urothelial cancer, poorly differentiated neuroendocrine carcinomas, or PD-NECs, and homologous recombination deficient, or HRD, cancers.
−Removed: In addition, we have initiated a Phase 4 observational study to collect real world safety and outcome data in adult Zepzelca monotherapy patients with SCLC who progress on or after prior platinum-containing chemotherapy.
+Added: We have elected to close the Phase 2 basket trial evaluating Zepzelca as monotherapy in select relapsed/refractory solid tumors based on limited response in three solid tumor cohorts.
+Added: We are analyzing findings from the basket trial and continuing to explore additional tumor types that may benefit from treatment with Zepzelca.
+Added: In addition, we have an ongoing Phase 4 observational study to collect real world safety and outcome data in adult Zepzelca monotherapy patients with SCLC who progress on or after prior platinum-containing chemotherapy.
In October 2022, we announced an exclusive licensing and collaboration agreement with Zymeworks Inc., or Zymeworks, providing us the right to acquire development and commercialization rights to Zymeworks' zanidatamab across all indications in the United States, Europe, Japan and all other territories except for those Asia/Pacific territories previously licensed by Zymeworks.
12 unchanged sentences
This transaction underscores our commitment to enhancing our pipeline to deliver novel oncology therapies to patients, and also provides us with an opportunity to expand into immuno-oncology.
+Added: We have received clearance from FDA on the Investigational New Drug application for JZP898 and expect to initiate a Phase 1 clinical trial in 2023.
Below is a summary of our key ongoing and planned development projects related to our products and pipeline and their corresponding current stages of development:
7 unchanged sentences
PTSD (ongoing trial)
−Removed: JZP541 Irritability associated with autism spectrum disorder, or ASD (planned trial)
−Removed: Product Candidates Description
+Added: JZP541 Irritability associated with autism spectrum disorder, or ASD (ongoing trial)
Additional cannabinoids ASD (ongoing trial)
16 unchanged sentences
Zanidatamab Previously treated, advanced HER2-expressing biliary tract cancer, or BTC (ongoing trial) (pivotal trial)
−Removed: Zepzelca Basket trial including urothelial cancer, PD-NECs, and HRD cancers (ongoing trial)
Vyxeos High-risk MDS (European Myelodysplastic Syndromes) (cooperative group study) (ongoing trial)
3 unchanged sentences
Zanidatamab Previously treated HER2+HR+ breast cancer in combination with palbociclib
+Added: Product Candidates Description
Zanidatamab First-line breast cancer and GEA (BeiGene trial) (ongoing trial)
Zanidatamab HER2-expressing breast cancer in combination with ALX148 (ongoing trial)
−Removed: Vyxeos + other approved therapies First-line, fit AML (ongoing trial)
−Removed: Low intensity therapy for first-line, unfit AML (ongoing trial)
Vyxeos Low intensity dosing for higher risk MDS (MD Anderson collaboration study) (ongoing trial)
1 unchanged sentence
JZP815 Raf and Ras mutant tumors (acquired from Redx Pharma plc, or Redx) (ongoing trial)
−Removed: Product Candidates Description
Zanidatamab In previously treated metastatic HER2-expressing cancers in combination with select antineoplastic therapies (ongoing trial)
13 unchanged sentences
These initiatives mark a significant operational evolution that is directly linked to our corporate strategy and are designed to better enable our teams to work collaboratively on an aligned and shared agenda through both virtual and in-person interactions.
−Removed: In most geographies, our teams are increasing the frequency of in-person interactions as medical congresses and healthcare practices begin to resume in-person activities, taking into account applicable public health authority and local government guidelines which are designed to ensure community and employee safety.
+Added: In most geographies, our teams have increased the frequency of in-person interactions as medical congresses and healthcare practices have resumed in-person activities.
Other Challenges, Risks and Trends Related to Our Business
Historically, our business has been substantially dependent on Xyrem, and our financial results have been significantly influenced by sales of Xyrem .
−Removed: Our operating plan assumes that Xywav, with 92% lower sodium compared to Xyrem, depending on the dose, absence of a sodium warning and dosing titration option, will remain the treatment of choice for patients who can benefit from oxybate treatment.
+Added: Our operating plan assumes that Xywav, with 92% lower sodium compared to high-sodium oxybates, depending on the dose, absence of a sodium warning and dosing titration option, will remain the treatment of choice for patients who can benefit from oxybate treatment.
In June 2021, FDA recognized seven years of ODE for Xywav in narcolepsy through July 21, 2027 stating that Xywav is clinically superior to Xyrem by means of greater safety due to reduced chronic sodium burden.
−Removed: While we expect that our business will continue to be substantially dependent on oxybate product sales, there is no guarantee that we can maintain oxybate sales at or near historical levels, or that oxybate sales will continue to grow.
+Added: While we expect that our business will continue to meaningfully depend on oxybate revenues, there is no guarantee that we can maintain oxybate revenues at or near historical levels, or that oxybate revenues will grow.
Our ability to successfully commercialize Xywav will depend on, among other things, our ability to maintain adequate payor coverage and reimbursement for Xywav and acceptance of Xywav by physicians and patients, including of Xywav for the treatment of IH in adults.
In an effort to support strong adoption of Xywav, we are focused on providing robust patient copay and savings programs and facilitating payor coverage for Xywav.
−Removed: Xywav and Xyrem also face increased competition from new branded products for treatment of cataplexy and/or EDS in narcolepsy, such as Avadel’s recently approved Lumryz, in the U.S.
−Removed: In addition, in January 2023 our oxybate products began to face competition from an authorized generic, or AG, version of high-sodium oxybate pursuant to a settlement agreement we entered into with an abbreviated new drug application, or ANDA, filer, and, in the future, we expect our oxybate products to face competition from additional AG versions of high-sodium oxybate and from generic versions of high-sodium oxybate pursuant to settlement agreements we entered into with multiple ANDA filers.
−Removed: Generic competition can decrease the prices at which Xywav and Xyrem are sold and the number of prescriptions written for Xywav and Xyrem.
−Removed: Moreover, we have increasingly experienced pressure from third party payors to agree to discounts, rebates or restrictive pricing terms, and we cannot guarantee we will be able to agree to commercially reasonable terms with PBMs, or similar organizations and other third party payors, or that we will be able to ensure patient access and acceptance on institutional formularies.
+Added: Xywav and Xyrem also face increased competition from branded products for treatment of cataplexy and/or EDS in narcolepsy, such as Avadel’s recently approved Lumryz, in the U.S.
+Added: In addition, in January 2023 our oxybate products began to face competition from an authorized generic, or AG, version of high-sodium oxybate pursuant to a settlement agreement we entered into with an abbreviated new drug application, or
+Added: ANDA, filer, and in July 2023, an additional AG version of high-sodium oxybate entered the market, which has negatively impacted the number of prescriptions written for Xyrem and could impact Xywav prescriptions.
+Added: In the future, we expect our oxybate products to face competition from generic versions of high-sodium oxybate pursuant to settlement agreements we entered into with multiple ANDA filers.
+Added: Generic competition can decrease the prices at which Xywav and Xyrem are sold.
+Added: In addition, we have increasingly experienced pressure from third party payors to agree to discounts, rebates or restrictive pricing terms, and we cannot guarantee we will be able to agree to commercially reasonable terms with PBMs, or similar organizations and other third party payors, or that we will be able to ensure patient access and acceptance on formularies.
Entering into agreements with PBMs or similar organizations and payors to ensure patient access has and will likely continue to result in higher gross to net deductions.
+Added: Moreover, generic or AG high-sodium oxybate products or branded high-sodium oxybate entrants in narcolepsy, such as Avadel’s recently approved Lumryz, have had and may continue to have the effect of changing payor or formulary coverage of Xywav or Xyrem in favor of other products, and indirectly adversely affect sales of Xywav and Xyrem.
Our financial condition, results of operations and growth prospects are also dependent on our ability to maintain or increase sales of Epidiolex/Epidyolex in the U.S.
−Removed: and Europe, which is subject to many risks and there is no guarantee that we
−Removed: will be able to continue to successfully commercialize Epidiolex/Epidyolex for its approved indications.
+Added: and Europe, which is subject to many risks and there is no guarantee that we will be able to continue to successfully commercialize Epidiolex/Epidyolex for its approved indications.
The commercial success of Epidiolex/Epidyolex depends on the extent to which patients and physicians accept and adopt Epidiolex/Epidyolex as a treatment for seizures associated with LGS, DS and TSC, and we do not know whether our or others’ estimates in this regard will be accurate.
11 unchanged sentences
Failure to identify and acquire, in-license or develop additional products or product candidates, successfully manage the risks associated with integrating any products or product candidates into our portfolio or the risks arising from anticipated and unanticipated problems in connection with an acquisition or in-licensing, such as the GW Acquisition, could have a material adverse effect on our business, results of operations and financial condition.
−Removed: The success of the GW Acquisition will depend, in part, on our ability to realize the anticipated benefits from our and GW’s historical businesses.
+Added: The success of the GW Acquisition will depend, in part, on our ability to realize the anticipated benefits from the combination of our and GW’s historical businesses.
Nonetheless, Epidiolex and the other products and technologies acquired may not be successful or continue to grow at the same rate as if our companies operated independently or they may require significantly greater resources and investments than originally anticipated.
5 unchanged sentences
For example, on August 16, 2022, President Biden signed the Inflation Reduction Act of 2022 into law, which, among other things, requires the U.S.
−Removed: Department of Health and Human Services Secretary to negotiate, with respect to Medicare units and subject to a specified cap, the price of a set number of certain high Medicare spend drugs and biologicals per year starting in 2026, penalizes manufacturers of certain Medicare Parts B and D drugs for price increases above inflation, and makes several changes to the Medicare Part D benefit, including a limit on annual out-of-pocket costs, and a change in manufacturer liability under the program, that could negatively affect our business and financial condition.
+Added: Department of Health and Human
+Added: Services Secretary to negotiate, with respect to Medicare units and subject to a specified cap, the price of a set number of certain high Medicare spend drugs and biologicals per year starting in 2026, penalizes manufacturers of certain Medicare Parts B and D drugs for price increases above inflation, and makes several changes to the Medicare Part D benefit, including a limit on annual out-of-pocket costs, and a change in manufacturer liability under the program, that could negatively affect our business and financial condition.
In addition, under the Medicaid Drug Rebate Program, rebates owed by manufacturers are currently capped at 100 percent of average manufacturer price, but, effective January 1, 2024, this cap will be lifted, which could adversely affect our rebate liability.
5 unchanged sentences
If any of our product candidates receive FDA approval, the Department of Health and Human Services and the U.S.
−Removed: Drug Enforcement
−Removed: Administration will make a scheduling determination.
+Added: Drug Enforcement Administration will make a scheduling determination.
or foreign regulatory agencies may request additional information regarding the abuse potential of our products which may require us to generate more clinical or other data than we currently anticipate to establish whether or to what extent the substance has an abuse potential, which could increase the cost, delay the approval and/or delay the launch of that product.
9 unchanged sentences
In addition, from June 2020 to May 2022, a number of lawsuits were filed on behalf of purported direct and indirect Xyrem purchasers, alleging that the patent litigation settlement agreements we entered with certain generic companies violate state and federal antitrust and consumer protection laws.
−Removed: For additional information on these lawsuits and other legal matters, see Note 9, Commitments and Contingencies-Legal Proceedings of the Notes to Condensed Consolidated Financial Statements, included in Part I of this Quarterly Report on Form 10‑Q.
+Added: For additional information on these lawsuits and other legal matters, see Note 9, Commitments and Contingencies-Legal Proceedings of the Notes to Condensed Consolidated Financial Statements, included in Part I, Item 1 of this Quarterly Report on Form 10‑Q.
It is possible that additional lawsuits will be filed against us making similar or related allegations.
3 unchanged sentences
Any of the foregoing risks and uncertainties could have a material adverse effect on our business, financial condition, results of operations and growth prospects.
−Removed: All of these risks and uncertainties are discussed in greater detail, along with other risks and uncertainties, in “Risk Factors” in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2022, as supplemented by the risks and uncertainties described in "Risk Factors" Item 1A.
−Removed: Risk Factors in Part II of this Quarterly Report on Form 10-Q.
+Added: These risks and uncertainties are discussed in greater detail, along with other risks and uncertainties, in “Risk Factors” in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2022, as supplemented by the risks and uncertainties described in "Risk Factors" in Part II, Item 1A of this Quarterly Report on Form 10-Q.
Results of Operations
1 unchanged sentence
Three Months Ended
−Removed: March 31, Increase/
−Removed: 2023 2022 (Decrease)
+Added: June 30, Increase/ Six Months Ended
+Added: June 30, Increase/
+Added: 2023 2022 (Decrease) 2023 2022 (Decrease)
Product sales, net $ 946,987 $ 928,300 2 % $ 1,831,206 $ 1,738,137 5 %
4 unchanged sentences
Intangible asset amortization 152,062 148,456 2 % 301,848 320,550 (6) %
−Removed: Acquired in-process research and development 1,000 — N/A(1)
+Added: Acquired in-process research and development — 69,148 N/A(1) 1,000 69,148 N/A(1)
Interest expense, net 73,470 63,189 16 % 147,617 133,873 10 %
−Removed: Foreign exchange loss (gain) (3,193) 10,540 N/A(1)
−Removed: Income tax expense (benefit) (15,324) 536 N/A(1)
+Added: Foreign exchange loss (gain) 2,382 1,343 N/A(1) (811) 11,883 N/A(1)
+Added: Income tax benefit (24,323) (16,112) N/A(1) (39,647) (15,576) N/A(1)
Equity in loss of investees 1,669 2,461 (32) % 2,674 6,603 (60) %
3 unchanged sentences
Three Months Ended
−Removed: March 31, Increase/
−Removed: 2023 2022 (Decrease)
+Added: June 30, Increase/ Six Months Ended
+Added: June 30, Increase/
+Added: 2023 2022 (Decrease) 2023 2022 (Decrease)
Xywav $ 326,564 $ 235,025 39 % $ 604,325 $ 421,105 44 %
3 unchanged sentences
Sativex 2,806 4,142 (32) % 9,904 8,884 11 %
−Removed: Sunosi — 15,878 N/A(1)
+Added: Sunosi — 12,966 N/A(1) — 28,844 N/A(1)
Total Neuroscience 691,365 696,843 (1) % 1,343,263 1,308,933 3 %
6 unchanged sentences
Product sales, net 946,987 928,300 2 % 1,831,206 1,738,137 5 %
−Removed: High-sodium oxybate AG royalty revenue 2,096 — N/A(2)
+Added: High-sodium oxybate AG royalty revenue 5,514 — N/A(2) 7,610 — N/A(2)
Other royalty and contract revenues 4,816 4,578 5 % 11,313 8,462 34 %
5 unchanged sentences
Product Sales, Net
−Removed: Total oxybate product sales increased by $22.3 million in the three months ended March 31, 2023, compared to the same period in 2022.
−Removed: Average active oxybate patients on therapy were approximately 17,400 in the first quarter of 2023, an increase of approxima tely 5% compared to the same period in 2022.
−Removed: Xywav product sales increased in the three months ended March 31, 2023 compared to the same period in 2022, primarily due to a 43% increase in sales volumes.
−Removed: We continue to see Xywav adoption among existing Xyrem patients, as well as the majority of new-to-oxybate narcolepsy patients, driven by educational initiatives around the benefit of lowering sodium intake.
+Added: Xywav product sales increased in the three and six months ended June 30, 2023 compared to the same periods in 2022, primarily due to increased sales volumes of 34% and 39% in the respective periods.
+Added: We continue to see strong Xywav adoption
+Added: driven by educational initiatives around the benefit of lowering sodium intake.
In addition, Xywav product sales were positively impacted by Xywav for IH as we see continued growth of new prescribers.
−Removed: Xyrem product sales decreased in the three months ended March 31, 2023 compared to the same period in 2022, primarily due to a decrease in sales volume of 31%, reflecting the continued adoption of Xywav by existing Xyrem patients and the launch of a high-sodium oxybate AG in January 2023, partially offset by a higher average selling price.
+Added: Xyrem product sales decreased in the three and six months ended June 30, 2023 compared to the same periods in 2022, primarily due to decreases in sales volumes of 48% and 40% in the respective periods, reflecting the continued adoption of Xywav by existing Xyrem patients and the launch of a high-sodium oxybate AG in January 2023, partially offset by a higher average selling price.
Price increases were instituted in January 2022 and January 2023.
−Removed: Epidiolex/Epidyolex product sales increased by $31.0 million in the three months ended March 31, 2023 compared to the same period in 2022, primarily due to an increase in commercial sales volumes of 24%.
−Removed: Rylaze product sales in the three months ended March 31, 2023 increased compared to the same period in 2022, primarily due to higher sales volumes reflecting the significant unmet patient need for a high-quality, reliable supply of Erwinia asparaginase for patients with ALL.
−Removed: Zepzelca product sales in the three months ended March 31, 2023 increased compared to the same period in 2022, primarily due to higher sales volumes and a higher average selling price, partially offset by higher gross to net deductions.
+Added: Total oxybate product sales decreased by $18.1 million and increased by $4.2 million in the three and six months ended June 30, 2023, respectively, compared to the same periods in 2022.
+Added: Average active oxybate patients on therapy were approximately 16,200 in the second quarter of 2023, a decrease of approxima tely 5% compared to the same period in 2022.
+Added: Epidiolex/Epidyolex product sales increased by $26.9 million and $58.0 million in the three and six months ended June 30, 2023 compared to the same periods in 2022, respectively, primarily due to increased sales volumes of 13% and 18% in the respective periods.
+Added: Rylaze product sales increased in the three and six months ended June 30, 2023 compared to the same periods in 2022, primarily due to higher sales volumes and, to a lesser extent, a higher average selling price.
+Added: Price increases were instituted in July 2022 and January 2023.
+Added: The increased volumes reflect the significant unmet patient need for a high-quality, reliable supply of Erwinia asparaginase for patients with ALL.
+Added: Zepzelca product sales increased in the three months ended June 30, 2023 compared to the same period in 2022, due to a higher average selling price, partially offset by lower sales volumes and higher gross to net deductions.
+Added: Zepzelca product sales in creased in the six months ended June 30, 2023 compared to the same period in 2022, due to a higher average selling price and increased sales volumes, partially offset by higher gross to net deductions.
P rice increases were instituted in January 2022, July 2022 and January 2023.
−Removed: Defitelio/defibrotide product sales in the three months ended March 31, 2023 decreased compared to the same period in 2022, primarily due to a decrease in sales volumes, partially offset by a higher average selling price.
+Added: Defitelio/defibrotide product sales decreased in the three months ended June 30, 2023 compared to the same period in 2022, primarily due to a decrease in sales volumes.
+Added: Defitelio/defibrotide product sales decreased in the six months ended June 30, 2023 compared to the same period in 2022, primarily due to a decrease in sales volumes, partially offset by a higher average selling price.
Price increases were instituted in January 2022, July 2022 and January 2023.
−Removed: Vyxeos product sales in the three months ended March 31, 2023 increased compared to the same period in 2022, primarily due to higher sales volumes and a higher average selling price, partially offset by higher gross to net deductions.
+Added: Vyxeos product sales increased in the three months ended June 30, 2023 compared to the same period in 2022, primarily due a higher average selling price and higher sales volumes, partially offset by higher gross to net deductions.
+Added: Vyxeos product sales increased in the six months ended June 30, 2023 compared to the same period in 2022, primarily due to higher sales volumes and a higher average selling price, partially offset by higher gross to net deductions.
P rice increases were instituted in January 2022, July 2022 and January 2023.
−Removed: We expect total product sales will increase in 2023 over 2022, primarily due to an increase in product sales of Xywav due to continuing growth in IH and as patients continue to transition to Xywav from Xyrem, expected growth in Epidiolex and our
−Removed: oncology products, primarily Rylaze and Zepzelca, offset by the continued decline in Xyrem due to strong Xywav adoption and availability of high-sodium oxybate AG and branded fixed-dose, high-sodium oxybate.
+Added: We expect total product sales will increase in 2023 over 2022, primarily due to an increase in product sales of Xywav due to continuing growth in IH and as patients continue to transition to Xywav from Xyrem, expected growth in Epidiolex and our oncology products, primarily Rylaze, Vyxeos and Zepzelca, offset by the continued decline in Xyrem due to strong Xywav adoption and availability of high-sodium oxybate AGs and branded fixed-dose, high-sodium oxybate.
Royalties and Contract Revenues
−Removed: Royalties and contract revenues increased in the three months ended March 31, 2023 compared to the same period in 2022 primarily due to royalty revenue received from Hikm a Pharmaceuticals plc on net sales of their high-sodium oxybate AG and higher contract revenues resulting from the achievement of a sales-based milestone.
−Removed: We expect royalties and contract revenues to increase in 2023 compared to 2022 primarily due to increased royalty revenues arising from the launch of a high-sodium oxybate AG.
+Added: Royalties and contract revenues increased in the three and six months ended June 30, 2023 compared to the same periods in 2022, primarily due to royalty revenue received from Hikm a Pharmaceuticals plc on net sales of their high-sodium oxybate AG.
+Added: We expect royalties and contract revenues to increase in 2023 compared to 2022, primarily due to increased royalty revenues arising from the launch of a high-sodium oxybate AGs.
Cost of Product Sales
−Removed: Cost of product sales increased in the three months ended March 31, 2023 compared to the same period in 2022 primarily due to changes in product mix.
−Removed: Gross margin as a percentage of net product sales of 85.5% was in line with the same period in 2022.
−Removed: We expect our cost of product sales to decrease in 2023 compared to 2022 primarily driven by a reduction in the acquisition accounting inventory fair value step-up expense.
+Added: Cost of product sales decreased in the three and six months ended June 30, 2023 compared to the same periods in 2022, primarily due to a reduction in the acquisition accounting inventory fair value step-up expense, or fair value step-up expense, offset by changes in product mix.
+Added: Gross margin as a percentage of net product sales was 89.7% and 87.6% for the three and six months ended June 30, 2023 compared to 86.6% and 86.2% for the same periods in 2022.
+Added: We expect our cost of product sales to decrease in 2023 compared to 2022 primarily driven by a reduction in the fair value step-up expense.
Selling, General and Administrative Expenses
−Removed: Selling, general and administrative expenses decreased in the three months ended March 31, 2023 compared to the same period in 2022, primarily due to transaction and integration expenses related to the acquisition of GW of $9.6 million and Sunosi related spend incurred in the three months ended March 31, 2022, partially offset by increased investment in our priority programs.
+Added: Selling, general and administrative expenses decreased in the three and six months ended June 30, 2023 compared to the same periods in 2022, primarily due to Sunosi related spend of $42.2 million and $50.2 million incurred in the three and six months ended June 30, 2022, respectively, transaction and integration expenses related to the acquisition of GW of $6.3 million and $15.9 million incurred in the three and six months ended June 30, 2022, respectively, and a decrease in compensation related expenses primarily driven by lower headcount, partially offset by costs related to program terminations of $23.5 million, higher litigation related expenses and increased investment in our priority programs.
We expect selling, general and administrative expenses in 2023 to decrease compared to 2022, primarily due to the removal of costs relating to the Sunosi business following its disposal, together with synergies realized following the GW Acquisition, continued disciplined approach in our capital allocation and our focus on operational efficiencies.
Research and Development Expenses
−Removed: Research and development expenses consist primarily of costs related to clinical studies and outside services, personnel expenses, and other research and development costs.
+Added: Research and development expenses consist primarily of costs related to clinical studies and outside services, personnel expenses, milestone expenses and other research and development costs.
Clinical study and outside services costs relate primarily to services performed by clinical research organizations, materials and supplies, and other third party fees.
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Three Months Ended
+Added: June 30, Six Months Ended
+Added: 2023 2022 2023 2022
Clinical studies and outside services $ 120,278 $ 57,150 $ 226,623 $ 113,579
Personnel expenses 66,099 56,304 126,490 111,605
+Added: Milestone expense 500 5,500 500 5,500
Other 22,361 20,093 45,035 38,344
Total $ 209,238 $ 139,047 $ 398,648 $ 269,028
−Removed: Research and development expenses increased by $59.4 million in the three months ended March 31, 2023, compared to the same period in 2022.
−Removed: Clinical studies and outside services costs increased in the three months ended March 31, 2023, compared to the same period in 2022, primarily due to the inclusion of costs related to zanidatamab, as well as, JZP815, JZP898 and JZP441, offset by a decrease in costs related to JZP458.
−Removed: For 2023, we expect that our research and development expenses will continue to increase from previous levels as we prepare for anticipated data read-outs from clinical trials, initiate and undertake additional clinical trials and related development work primarily relating to zanidatamab and JZP441 and additional spend on new product candidates acquired.
+Added: Research and development expenses increased by $70.2 million and $129.6 million, respectively, in the three and six months ended June 30, 2023, compared to the same periods in 2022.
+Added: Clinical studies and outside services costs increased in the three and six months ended June 30, 2023, compared to the same periods in 2022, primarily due to the inclusion of costs related to zanidatamab, as well as JZP385, JZP898, JZP441 and JZP150 partially offset by a decrease in costs related to JZP458.
+Added: Personnel expenses increased in the three and six months ended June 30, 2023, compared to the same periods in 2022, primarily due to increased headcount in support of our development programs.
+Added: For 2023, we expect that our research and development expenses will continue to increase from previous levels as we prepare for anticipated data read-outs from clinical trials, initiate and undertake additional clinical trials and related development work primarily relating to zanidatamab, JZP385 and JZP441 and additional spend on new product candidates acquired.
Intangible Asset Amortization
−Removed: Intangible asset amortization decreased by $22.3 million in the three months ended March 31, 2023, compared to the same period in 2022, primarily due to the inclusion of amortization relating to the Sunosi intangible asset in the three months ended March 31, 2022 and the positive movements in foreign exchange rates.
+Added: Intangible asset amortization in the three months ended June 30, 2023 was in line with the same period in 2022.
+Added: Intangible asset amortization decreased by $18.7 million in the six months ended June 30, 2023, compared to the same period in 2022, primarily due to the inclusion of amortization relating to the Sunosi intangible asset in the six months ended June 30, 2022 prior to its disposal.
Intangible asset amortization for 2023 is expected to be in line with 2022.
Interest Expense, Net
−Removed: Interest expense, net in the three months ended March 31, 2023 increased by $3.5 million, compared to the same period in 2022, primarily driven by higher interest rates on our outstanding term loan borrowings, partially offset by the inclusion of interest expense on the now repaid seven-year €625.0 million term loan B facility, or the Euro Term Loan, in the three months ended March 31, 2022 and higher interest income on investments in the three months ended March 31, 2023.
+Added: Interest expense, net increased by $10.3 million and $13.7 million, in the three and six months ended June 30, 2023 compared to the same periods in 2022, primarily driven by higher interest rates on our outstanding term loan borrowings, partially offset by higher interest income on investments and the inclusion of interest expense on the now repaid seven-year €625.0 million term loan B facility, or the Euro Term Loan, in the six months ended June 30, 2022.
We expect interest expense, net for 2023 to increase compared to 2022 primarily due to higher interest rates on our term loan borrowings.
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dollar functional currency and related foreign exchange forward contracts not designated as hedging instruments.
−Removed: Income Tax Expense (Benefit)
−Removed: Our income tax benefit was $15.3 million for the three months ended March 31, 2023, compared to an income tax expense of $0.5 million for the same period in 2022, relating to tax arising on income or losses in Ireland, the U.K., the U.S.
−Removed: and certain other foreign jurisdictions, offset by deductions on subsidiary equity, Foreign Derived Intangible Income, or FDII, and patent box benefits.
−Removed: The increase in the income tax benefit resulted primarily from the mix of pre-tax income and losses incurred across tax jurisdictions and increases in our FDII and patent box benefits.
+Added: Income Tax Benefit
+Added: Our income tax benefit was $24.3 million and $39.6 million for the three and six months ended June 30, 2023, compared to an income tax benefit of $16.1 million and $15.6 million for the same periods in 2022, relating to tax arising on income or losses in Ireland, the U.K., the U.S.
+Added: and certain other foreign jurisdictions, offset by deductions on subsidiary equity, Foreign Derived Intangible Income and patent box benefits.
+Added: Our effective tax rate was (29.7)% and (29.0)% for the three and six months ended June 30, 2023 compared to effective tax rates of (76.7)% and (57.0)% for the same periods of 2022.
+Added: The increases in the effective tax rates resulted primarily from the impact of disposal of Sunosi in 2022.
We do not provide for Irish income taxes on undistributed earnings of our foreign operations that are intended to be indefinitely reinvested in our foreign subsidiaries.
Liquidity and Capital Resources
−Removed: As of March 31, 2023, we had cash and cash equivalents of $1,167.9 million, borrowing availability under our revolving credit facility of $500.0 million and long-term debt principal balance of $5.8 billion.
−Removed: Our long-term debt included $2.8 billion aggregate principal amount of the seven-year $3.1 billion in aggregate term loan B facility, or the Dollar Term Loan, $1.5 billion in aggregate principal amount of 4.375% senior secured notes, due 2029, or the Secured Notes, $1.0 billion principal amount on our 2.00% exchangeable senior notes due 2026 and $575.0 million principal amount on our 1.50% exchangeable senior notes due 2024.
−Removed: We generated cash flows from operations of $320.7 million during the three months ended March 31, 2023, and we expect to continue to generate positive cash flows from operations which will enable us to operate our business and de-lever our balance sheet over time.
+Added: As of June 30, 2023, we had cash, cash equivalents and investments of $1.4 billion, borrowing availability under our revolving credit facility of $500.0 million and long-term debt principal balance of $5.8 billion.
+Added: Our long-term debt included $2.7 billion aggregate principal amount of the seven-year $3.1 billion in aggregate term loan B facility, or the Dollar Term Loan, $1.5 billion in aggregate principal amount of 4.375% senior secured notes, due 2029, or the Secured Notes, $1.0 billion principal amount on our 2.00% exchangeable senior notes due 2026 and $575.0 million principal amount on our 1.50% exchangeable senior notes due 2024, or 2024 Notes.
+Added: We generated cash flows from operations of $617.5 million during the six months ended June 30, 2023, and we expect to continue to generate positive cash flows from operations which will enable us to operate our business and de-lever our balance sheet over time.
Since the closing of the acquisition of GW in May 2021, we have made voluntary repayments of €625.0 million, or $753.0 million, relating to the Euro Term Loan and voluntary and mandatory repayments of $300.0 million and $62.0 million, respectively, relating to the Dollar Term Loan.
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This substantial level of debt could have important consequences to our business, including, but not limited to the factors set forth in “Risk Factors” of our Annual Report on Form 10-K for the year ended December 31, 2022 under the heading “We have incurred substantial debt, which could impair our flexibility and access to capital and adversely affect our financial position, and our business would be adversely affected if we are unable to service our debt obligations.”
−Removed: We believe that our existing cash and cash equivalents balance, cash we expect to generate from operations and funds available under our Revolving Credit Facility will be sufficient to fund our operations and to meet our existing obligations for the foreseeable future.
−Removed: The adequacy of our cash resources depends on many assumptions, including primarily our assumptions with respect to product sales and expenses, as well as the other factors set forth in “Risk Factors" under the heading "Risks
−Removed: Related to our Lead Products and Product Candidates” in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2022, as supplemented by the risks described in “Risk Factors" under the heading "The introduction of new products in the U.S.
−Removed: market that compete with, or otherwise disrupt the market for, our oxybate products and product candidates would adversely affect sales of our oxybate products and product candidates” in Part II, Item 1A of this Quarterly Report on Form 10-Q, as well as those factors set forth in “Risk Factors" under the heading "To continue to grow our business, we will need to commit substantial resources, which could result in future losses or otherwise limit our opportunities or affect our ability to operate and grow our business” in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2022.
+Added: We believe that our existing cash, cash equivalents and investments balances, cash we expect to generate from operations and funds available under our Revolving Credit Facility will be sufficient to fund our operations and to meet our existing obligations for the foreseeable future.
+Added: The adequacy of our cash resources depends on many assumptions, including primarily our assumptions with respect to product sales and expenses, as well as the other factors set forth in "Risk Factors" under the heading "Risks Related to our Lead Products and Product Candidates” in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2022, as supplemented by the risks described in “Risk Factors" under the heading "The introduction of new products in the U.S.
+Added: market that compete with, or otherwise disrupt the market for, our oxybate products and product candidates has adversely affected and may continue to adversely affect sales of our oxybate products and product candidates” in Part II, Item 1A of this Quarterly Report on Form 10-Q, as well as those factors set forth in “Risk Factors" under the heading "To continue to grow our business, we will need to commit substantial resources, which could result in future losses or otherwise limit our opportunities or affect our ability to operate and grow our business” in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2022.
Our assumptions may prove to be wrong or other factors may adversely affect our business, and as a result we could exhaust or significantly decrease our available cash resources, and we may not be able to generate sufficient cash to service our debt obligations which could, among other things, force us to raise additional funds and/or force us to reduce our expenses, either of which could have a material adverse effect on our business.
5 unchanged sentences
Accordingly, we expect to continue to opportunistically seek access to additional capital to license or acquire additional products, product candidates or companies to expand our operations or for general corporate purposes.
−Removed: Raising additional capital could be accomplished through one or more public or private debt or equity financings, collaborations or partnering arrangements.
+Added: Raising additional capital could be accomplished through one or more public or private debt
+Added: or equity financings, collaborations or partnering arrangements.
However, our ability to raise additional capital may be adversely impacted by worsening global economic conditions, with disruptions to, and volatility in, the credit and financial markets in the U.S.
−Removed: and worldwide resulting from the effects of inflationary pressures, the COVID-19 pandemic and otherwise.
+Added: and worldwide resulting from the effects of inflationary pressures, recent and potential future bank failures and otherwise.
If these conditions persist and deepen, we could experience an inability to access additional capital or our liquidity could otherwise be impacted, which could in the future negatively affect our capacity for certain corporate development transactions or our ability to make other important, opportunistic investments.
1 unchanged sentence
Moreover, as a matter of Irish law, when an Irish public limited company issues ordinary shares to new shareholders for cash, the company must first offer those shares on the same or more favorable terms to existing shareholders on a pro-rata basis, unless this statutory pre-emption obligation is dis-applied, or opted-out of, by approval of its shareholders.
−Removed: At our annual general meeting of shareholders in July 2022, our shareholders voted to approve our proposal to dis-apply the statutory pre-emption obligation on terms that are substantially more limited than our general pre-emption opt-out authority that had been in effect prior to August 4, 2021.
−Removed: This current pre-emption opt-out authority is due to expire in January 2024.
+Added: At our annual general meeting of shareholders in August 2023, our shareholders voted to approve our proposal to dis-apply the statutory pre-emption obligation on terms that are substantially more limited than our general pre-emption opt-out authority that had been in effect prior to August 4, 2021.
+Added: This current pre-emption opt-out authority is due to expire in February 2025.
If we are unable to obtain further pre-emption authorities from our shareholders in the future, or otherwise continue to be limited by the terms of new pre-emption authorities approved by our shareholders in the future, our ability to use our unissued share capital to fund in-licensing, acquisition or other business opportunities, or to otherwise raise capital, could be adversely affected.
1 unchanged sentence
In addition, if we use a substantial amount of our funds to acquire or in-license products or product candidates, we may not have sufficient additional funds to conduct all of our operations in the manner we would otherwise choose.
−Removed: Furthermore, any equity financing would be dilutive to our shareholders, and could require the consent of the lenders under the Credit Agreement and the indenture for the Secured Notes for certain financings.
+Added: Furthermore, any equity financing would be dilutive to our shareholders, and could require the consent of the lenders under our credit agreement, or the Credit Agreement, that provides for (i) the Dollar Term Loan, (ii) the Euro Term Loan and, together with the Dollar Term Loan, collectively known as the Term Loan and (iii) a five-year $500.0 million revolving credit facility, or the Revolving Credit Facility, and the indenture for the Secured Notes for certain financings.
+Added: In November 2016, our board of directors authorized a share repurchase program and as of June 30, 2023 had authorized the repurchase of ordinary shares having an aggregate purchase price of up to $1.5 billion, exclusive of any brokerage commissions.
+Added: Under this program, which has no expiration date, we may repurchase ordinary shares from time to time on the open market.
+Added: The timing and amount of repurchases will depend on a variety of factors, including the price of our ordinary shares, alternative investment opportunities, restrictions under the Credit Agreement, corporate and regulatory requirements and market conditions.
+Added: The share repurchase program may be modified, suspended or discontinued at any time without prior notice.
+Added: During the three and six months ended June 30, 2023, we spent a total of $95.6 million to purchase 0.8 million of our ordinary shares under the share repurchase program at an average total purchase price, including commissions, of $126.37 per share.
+Added: All ordinary shares repurchased were canceled.
+Added: As of June 30, 2023, the remaining amount authorized under the share repurchase program was $335.6 million.
The following table presents a summary of our cash flows for the periods indicated (in thousands):
−Removed: Three Months Ended
+Added: Six Months Ended
Net cash provided by operating activities $ 617,473 $ 512,015
2 unchanged sentences
Effect of exchange rates on cash and cash equivalents 365 (5,710)
−Removed: Net increase (decrease) in cash and cash equivalents $ 286,429 $ (100,613)
+Added: Net increase in cash and cash equivalents $ 400,822 $ 119,817
Operating activities
−Removed: Net cash provided by operating activities increased by $111.7 million in the three months ended March 31, 2023 compared to the same period in 2022, primarily due to an increase in net cash inflow related to changes in operating assets and liabilities.
+Added: Net cash provided by operating activities increased by $105.5 million in the six months ended June 30, 2023 compared to the same period in 2022, primarily due to an increase in net cash inflow related to changes in operating assets and liabilities including the impact of the timing of receipts from customers.
Investing activities
−Removed: Net cash used in investing activities decreased by $32.5 million in the three months ended March 31, 2023 compared to the same period in 2022, primarily due to a $25.0 million milestone payment to PharmaMar in relation to our first sales-based milestone for Zepzelca in the three months ended March 31, 2022.
+Added: Net cash used in investing activities decreased by $35.9 million in the six months ended June 30, 2023 compared to the same period in 2022, primarily due to the following:
+Added: • $69.1 million in upfront payments for acquired in-process research and development primarily driven by the $50.0 million and $15.0 million payments to Sumitomo and Werewolf, respectively, in connection with our licensing agreements in the six months ended June 30, 2022;
+Added: • $25.0 million milestone payment to PharmaMar in relation to our first sales-based milestone for Zepzelca in the six months ended June 30, 2022;
+Added: • $53.0 million upfront payment from Axsome relating to the Sunosi U.S.
+Added: disposition in the six months ended June 30, 2022.
Financing activities
−Removed: Net cash used in financing activities decreased by $241.0 million in the three months ended March 31, 2023 compared to the same period in 2022, primarily due to repayments of long-term debt of $7.8 million in the three months ended March 31, 2023, compared to $258.8 million in the three months ended March 31, 2022.
+Added: Net cash used in financing activities decreased by $133.6 million in the six months ended June 30, 2023 compared to the same period in 2022, primarily due to:
+Added: • Repayments of long-term debt of $15.5 million in the six months ended June 30, 2023, compared to $266.5 million in the six months ended June 30, 2022;
+Added: • Share repurchases of $95.6 million in the six months ended June 30, 2023.
+Added: In August 2023, we made an irrevocable election to fix the settlement method for exchanges of the 2024 Notes to a combination of cash and ordinary shares of the Company with a specified cash amount per $1,000 principal amount of the 2024 Notes of $1,000.
+Added: As a result, for the 2024 Notes exchanged subsequent to such notice, an exchanging noteholder will receive (i) up to $1,000 in cash per $1,000 principal amount of the 2024 Notes and (ii) ordinary shares of the Company, together with cash in lieu of any fractional shares, for any exchange consideration in excess of $1,000 per $1,000 principal amount of the 2024 Notes .
The summary of our outstanding indebtedness and scheduled maturities with respect to our long-term debt principal balances is included in Note 8, Debt, of the Notes to Condensed Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.
−Removed: During the three months ended March 31, 2023, there were no changes to the credit agreement and our other financing arrangements, as set forth in Note 12, Debt, of the Notes to Consolidated Financial Statements included in our Annual Report on Form 10-K for the year ended December 31, 2022.
+Added: During the six months ended June 30, 2023, there were no changes to the Credit Agreement and our other financing arrangements, as set forth in Note 12, Debt, of the Notes to Consolidated Financial Statements included in our Annual Report on Form 10-K for the year ended December 31, 2022.
Contractual Obligations
−Removed: During the three months ended March 31, 2023, there were no material changes to our contractual obligations as set forth in Part II, Item 7 “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report on Form 10-K for the year ended December 31, 2022.
+Added: During the six months ended June 30, 2023, there were no material changes to our contractual obligations as set forth in Part II, Item 7 “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report on Form 10-K for the year ended December 31, 2022.
Critical Accounting Estimates
9 unchanged sentences
Cautionary Note Regarding Forward-Looking Statements
−Removed: This Quarterly Report on Form 10‑Q contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, which are subject to the “safe harbor” created by those sections.
+Added: This Quarterly Report on Form 10‑Q contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, which are subject to
+Added: the “safe harbor” created by those sections.
Forward-looking statements are based on our management’s current plans, objectives, estimates, expectations and intentions and on information currently available to our management.
4 unchanged sentences
• The introduction of new products in the U.S.
−Removed: market that compete with, or otherwise disrupt the market for, our oxybate products and product candidates would adversely affect sales of our oxybate products and product candidates.
+Added: market that compete with, or otherwise disrupt the market for, our oxybate products and product candidates has adversely affected and may continue to adversely affect sales of our oxybate products and product candidates.
• The distribution and sale of our oxybate products are subject to significant regulatory restrictions, including the requirements of a risk evaluation and mitigation strategy, or REMS, and safety reporting requirements, and these regulatory and safety requirements subject us to risks and uncertainties, any of which could negatively impact sales of Xywav and Xyrem.
21 unchanged sentences
Also, these forward-looking statements represent our plans, objectives, estimates, expectations and intentions only as of the date of this filing.
−Removed: You should read this Quarterly Report on Form 10‑Q completely and with the understanding that
−Removed: our actual future results and the timing of events may be materially different from what we expect.
+Added: You should read this Quarterly Report on Form 10‑Q completely and with the understanding that our actual future results and the timing of events may be materially different from what we expect.
We hereby qualify our forward-looking statements by our cautionary statements.
1 unchanged sentence
Quantitative and Qualitative Disclosures About Market Risk
−Removed: During the three months ended March 31, 2023, there were no material changes to our market risk disclosures as set forth in Part II, Item 7A“Quantitative and Qualitative Disclosures About Market Risk” in our Annual Report on Form 10-K for the year ended December 31, 2022.
+Added: During the six months ended June 30, 2023, there were no material changes to our market risk disclosures as set forth in Part II, Item 7A“Quantitative and Qualitative Disclosures About Market Risk” in our Annual Report on Form 10-K for the year ended December 31, 2022.
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.