Intercept Youth Services, Inc.

Ocaliva® net sales of $68.0 million, representing 15% growth over the prior year quarter Gastrointestinal Drugs Advisory Committee (GIDAC) Meeting set for May 19, 2023, to review obeticholic acid (OCA) as a treatment for pre-cirrhotic fibrosis due to NASH; PDUFA Target Action Date set for June 22, 2023 Company updates progress of OCA-bezafibrate fixed-dose combination development program in PBC, including acceptance of new Phase 2 data at EASL Congress 2023 Company to host conference call today from 8:00 a.m. – 9:30 a.m. ET; call to include information about commercial launch strategy for OCA in NASH MORRISTOWN, N.J., April 27, 2023 (GLOBE NEWSWIRE) -- Intercept Pharmaceuticals, Inc. (Nasdaq: ICPT), a biopharmaceutical company focused on the development and commercialization of novel therapeutics to treat progressive non-viral liver diseases, today announced its financial results for the quarter ended on March 31, 2023. “We are confident in the strength of Ocaliva’s market position and the long-term opportunity with our foundational PBC business, as evidenced by double-digit sales growth for the third consecutive quarter and clinical development progress for the OCA-bezafibrate fixed-dose combination,” said Jerry Durso, President and Chief Executive Officer of Intercept. “In NASH, we are very focused on the upcoming Advisory Committee Meeting to review our new drug application in pre-cirrhotic fibrosis due to NASH. We look forward to this important step to discuss the strong and confirmed antifibrotic effect of OCA, as well as its monitorable and manageable safety profile. In parallel, we continue to make significant progress as we prepare to successfully launch a potential first-to-market therapy for NASH.” “Our strong financial position gives us the optionality to execute on upcoming milestones, drive long-term growth and develop innovative new medicines such as the OCA-bezafibrate combination, which we believe has the potential to establish new best-in-class clinical benefits for patients living with PBC,” Durso continued. Company Highlights Nonalcoholic Steatohepatitis (NASH) In March 2023, Intercept announced that the Gastrointestinal Drugs Advisory Committee of the U.S. Food and Drug Administration (FDA) will review Intercept’s new drug application (NDA) for OCA as a treatment for pre-cirrhotic fibrosis due to NASH on May 19, 2023. FDA has assigned a Prescription Drug User Fee Act (PDUFA) Target Action Date of June 22, 2023, for the application. The timeline for review of the NDA by FDA remains subject to change.The Company is actively progressing its launch readiness activities for OCA for the treatment of patients with pre-cirrhotic fibrosis due to NASH. Further information on the Company’s commercial launch strategy for NASH will be shared during a conference call and webcast presentation 8:00 a.m. to 9:30 a.m. ET. Registration for the event can be found on the investor page of our website at http://ir.interceptpharma.com. Primary Biliary Cholangitis (PBC) Intercept’s fixed-dose combination development program for OCA and bezafibrate, a peroxisome proliferator-activated receptor agonist (PPAR), is progressing. Intercept has completed a Phase 1 clinical study in healthy adult subjects that assessed multiple dose combinations of OCA and bezafibrate. The company has two ongoing Phase 2 studies (747-213 / NCT04594694, 747-214 / NCT05239468) that are exploring a range of therapeutic doses for the combination of OCA and bezafibrate. Intercept expects to complete planned interim analyses from both ongoing Phase 2 studies this year, with the first data being presented at the 2023 European Association for the Study of the Liver (EASL) Congress. The planned interim analyses from these Phase 2 studies, in addition to Phase 1 and preclinical data, will serve as the basis for an end-of-phase 2 meeting with FDA.Seven abstracts in PBC and NASH have been accepted for presentation at the 2023 EASL Congress. The congress will be held from June 21-24, 2023, in Vienna, Austria. Among the accepted abstracts is a podium presentation of new data from a planned interim analysis of an ongoing Phase 2 study evaluating the effects of the investigational combination of OCA and bezafibrate on serum biomarkers in PBC.Intercept remains on track for a regulatory submission to FDA this year in support of fulfilling post-marketing requirements for Ocaliva® in PBC. This submission will include data from our post-marketing study, COBALT, and supplementary real-world evidence from large datasets in the U.S. and Europe. Pipeline Intercept has completed the Phase 1 program for INT-787, a next-generation farnesoid X receptor (FXR) agonist. The company continues to progress its FRESH (FXR Effect on Severe Alcohol-Associated Hepatitis) study, a Phase 2a trial evaluating the safety, tolerability, efficacy and pharmacokinetics of INT-787 in patients with severe alcohol-associated hepatitis (sAH). Selected First Quarter 2023 Financial Results Revenue Intercept recognized $68.0 million in net sales in the first quarter 2023 compared to $59.2 million in net sales in the prior year quarter. Operating Expenses In the quarter ended March 31, 2023, Intercept recorded $99.6 million in total operating expenses and $93.6 million in non-GAAP adjusted operating expenses, which excludes non-cash stock-based compensation expense of $5.9 million and depreciation expense of $0.1 million. This compares to the quarter ended on March 31, 2022, where Intercept recorded $85.6 million in total operating expenses and $79.9 million in non-GAAP adjusted operating expenses, which excluded non-cash stock-based compensation expense of $5.4 million and depreciation expense of $0.3 million.Selling, general and administrative expenses increased to $57.7 million in the first quarter of 2023, from $37.8 million in the prior year quarter. The increase was primarily driven by investment in NASH launch preparation and costs related to our ANDA litigation which was settled prior to trial. Research and development expenses decreased to $41.7 million in the first quarter of 2023, from $47.6 million in the prior year quarter. The decrease was primarily driven by the wind down of the REVERSE program and R&D cost-sharing reimbursements.References in this press release to “non-GAAP adjusted operating expenses” mean our total operating expenses, as calculated and presented in accordance with U.S. Generally Accepted Accounting Principles (“GAAP”), adjusted for the effects of two non-cash items: stock-based compensation and depreciation. See “Non-GAAP Financial Measures” below. A reconciliation of non-GAAP adjusted operating expenses to total operating expenses for all historical periods presented is included below under the heading “Reconciliation of Non-GAAP Adjusted Operating Expenses to Total Operating Expenses.” Interest Expense Interest expense in the quarters ended March 31, 2023, and 2022 was $2.8 million and $6.7 million, respectively. For the quarters ended March 31, 2023 and 2022, interest expense was related to our Convertible Notes. Net Loss In the first quarter 2023, Intercept reported a net loss from continuing operations of $31.9 million, a decrease compared to a net loss from continuing operations of $33.4 million in the first quarter 2022. Cash Position As of March 31, 2023, Intercept had cash, cash equivalents, restricted cash, and investment debt securities available for sale of $435.2 million. As of December 31, 2022, Intercept had cash, cash equivalents, restricted cash, and investment debt securities available for sale of approximately $490.9 million. As anticipated, the company experienced revenue seasonality and higher cash utilization in the first quarter of 2023 relative to what is seen in other quarters. Conference Call on April 27, 2023, at 8:00 a.m. ETThe conference call and webcast discussing the Company’s first quarter 2023 financial results and commercial launch strategy for NASH will take place on April 27, 2023, at 8:00 a.m. ET. The conference call will be available via a listen-only webcast on the investor page of our website at http://ir.interceptpharma.com. Participants who wish to ask a question may register here to receive dial-in numbers and a unique pin to join the call. A replay of the call will be available on our website shortly following the completion of the call and will be available for one year. About InterceptIntercept is a biopharmaceutical company focused on the development and commercialization of novel therapeutics to treat progressive non-viral liver diseases, including primary biliary cholangitis (PBC), nonalcoholic steatohepatitis (NASH) and severe alcohol-associated hepatitis (sAH). For more information, please visit www.interceptpharma.com or connect with the Company on Twitter and LinkedIn. Non-GAAP Financial MeasuresThis press release presents non-GAAP adjusted operating expenses on a historical and projected basis. For the periods presented, non-GAAP adjusted operating expenses exclude from total operating expenses, as calculated and presented in accordance with GAAP, the effects of two non-cash items: stock-based compensation and depreciation. Non-GAAP adjusted operating expenses is a financial measure that has not been prepared in accordance with GAAP. Accordingly, investors should consider non-GAAP adjusted operating expenses in addition to, but not as a substitute for, total operating expenses that we calculate and present in accordance with GAAP. Among other things, our management uses non-GAAP adjusted operating expenses to establish budgets and operational goals and to manage our business. Other companies may define or use this measure in different ways. We believe that the presentation of non-GAAP adjusted operating expenses provides investors and management with helpful supplemental information relating to operating performance and trends. A table reconciling non-GAAP adjusted operating expenses to total operating expenses for all historical periods presented is included below under the heading “Reconciliation of Non-GAAP Adjusted Operating Expenses to Total Operating Expenses”. A quantitative reconciliation of projected non-GAAP adjusted operating expenses to total operating expenses is not available without unreasonable effort primarily due to our inability to predict with reasonable certainty the amount of future stock-based compensation expense. About the Investigational OCA-Bezafibrate Fixed-Dose Combination Intercept is investigating a fixed-dose combination of OCA and bezafibrate for the potential treatment of individuals with PBC. OCA, a farnesoid X receptor (FXR) agonist, is marketed by Intercept as Ocaliva in the United States for the treatment of PBC (see below for full indication and Important Safety Information). Bezafibrate, a pan-peroxisome proliferator-activated receptor (pan-PPAR) agonist, is not approved in the United States for any indication. FXR and PPAR are distinct pathways that each play a role in PBC. Simultaneously targeting both pathways may offer the greatest potential to impact bile acid synthesis, metabolism, and clearance that underly cholestatic liver diseases. Published studies establish a clinical proof-of-concept that suggests that the combination of OCA and bezafibrate may provide additive clinical efficacy and tolerability benefits in the treatment of PBC. OCA-bezafibrate combination therapy is investigational; safety and efficacy have not been established. About Liver Fibrosis due to NASHNonalcoholic steatohepatitis (NASH) is a serious progressive liver disease caused by excessive fat accumulation in the liver that induces chronic inflammation, resulting in progressive fibrosis (scarring) that can lead to cirrhosis, eventual liver failure, cancer and death. Advanced fibrosis is associated with a substantially higher risk of liver-related morbidity and mortality in patients with NASH. There are currently no medications approved for the treatment of NASH. About Primary Biliary CholangitisPrimary biliary cholangitis (PBC) is a rare, progressive and chronic autoimmune disease that affects the bile ducts in the liver and is most prevalent (approximately 1 in 10,000) in women over the age of 40. PBC causes bile acid to build up in the liver, resulting in inflammation and scarring (fibrosis), which, if left untreated, can lead to cirrhosis, a liver transplant, or death. About Ocaliva® (obeticholic acid)OCALIVA, a farnesoid X receptor (FXR) agonist, is indicated for the treatment of adult patients with primary biliary cholangitis (PBC) without cirrhosis orwith compensated cirrhosis who do not have evidence of portal hypertension, either in combination with ursodeoxycholic acid (UDCA) with an inadequate response to UDCA or as monotherapy in patients unable to tolerate UDCA. This indication is approved under accelerated approval based on a reduction in alkaline phosphatase (ALP). An improvement in survival or disease-related symptoms has not been established. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials. IMPORTANT SAFETY INFORMATION WARNING: HEPATIC DECOMPENSATION AND FAILURE IN PRIMARY BILIARY CHOLANGITIS PATIENTS WITH CIRRHOSIS Hepatic decompensation and failure, sometimes fatal or resulting in liver transplant, have been reported with OCALIVA treatment in primary biliary cholangitis (PBC) patients with either compensated or decompensated cirrhosis.OCALIVA is contraindicated in PBC patients with decompensated cirrhosis, a prior decompensation event, or with compensated cirrhosis who have evidence of portal hypertension.Permanently discontinue OCALIVA in patients who develop laboratory or clinical evidence of hepatic decompensation; have compensated cirrhosis and develop evidence of portal hypertension, or experience clinically significant hepatic adverse reactions while on treatment. Contraindications OCALIVA is contraindicated in patients with: decompensated cirrhosis (e.g., Child-Pugh Class B or C) or a prior decompensation eventcompensated cirrhosis who have evidence of portal hypertension (e.g., ascites, gastroesophageal varices, persistent thrombocytopenia)complete biliary obstruction Warnings and Precautions Hepatic Decompensation and Failure in PBC Patients with CirrhosisHepatic decompensation and failure, sometimes fatal or resulting in liver transplant, have been reported with OCALIVA treatment in PBC patients with cirrhosis, either compensated or decompensated. Among post-marketing cases reporting it, median time to hepatic decompensation (e.g., new onset ascites) was 4 months for patients with compensated cirrhosis; median time to a new decompensation event (e.g., hepatic encephalopathy) was 2.5 months for patients with decompensated cirrhosis. Some of these cases occurred in patients with decompensated cirrhosis when they were treated with higher than the recommended dosage for that patient population; however, cases of hepatic decompensation and failure have continued to be reported in patients with decompensated cirrhosis even when they received the recommended dosage. Hepatotoxicity was observed in the OCALIVA clinical trials. A dose-response relationship was observed for the occurrence of hepatic adverse reactions including jaundice, worsening ascites, and primary biliary cholangitis flare with dosages of OCALIVA of 10 mg once daily to 50 mg once daily (up to 5-times the highest recommended dosage), as early as one month after starting treatment with OCALIVA in two 3-month, placebo-controlled clinical trials in patients with primarily early stage PBC. Routinely monitor patients for progression of PBC, including hepatic adverse reactions, with laboratory and clinical assessments to determine whether drug discontinuation is needed. Closely monitor patients with compensated cirrhosis, concomitant hepatic disease (e.g., autoimmune hepatitis, alcoholic liver disease), and/or with severe intercurrent illness for new evidence of portal hypertension (e.g., ascites, gastroesophageal varices, persistent thrombocytopenia), or increases above the upper limit of normal in total bilirubin, direct bilirubin, or prothrombin time to determine whether drug discontinuation is needed. Permanently discontinue OCALIVA in patients who develop laboratory or clinical evidence of hepatic decompensation (e.g., ascites, jaundice, variceal bleeding, hepatic encephalopathy), have compensated cirrhosis and develop evidence of portal hypertension (e.g., ascites, gastroesophageal varices, persistent thrombocytopenia), experience clinically significant hepatic adverse reactions, or develop complete biliary obstruction. If severe intercurrent illness occurs, interrupt treatment with OCALIVA and monitor the patient’s liver function. After resolution of the intercurrent illness, consider the potential risks and benefits of restarting OCALIVA treatment. Severe PruritusSevere pruritus was reported in 23% of patients in the OCALIVA 10 mg arm, 19% of patients in the OCALIVA titration arm, and 7% of patients in the placebo arm in a 12-month double-blind randomized controlled clinical trial of 216 patients. Severe pruritus was defined as intense or widespread itching, interfering with activities of daily living, or causing severe sleep disturbance, or intolerable discomfort, and typically requiring medical interventions. Consider clinical evaluation of patients with new onset or worsening severe pruritus. Management strategies include the addition of bile acid binding resins or antihistamines, OCALIVA dosage reduction, and/or temporary interruption of OCALIVA dosing. Reduction in HDL-CPatients with PBC generally exhibit hyperlipidemia characterized by a significant elevation in total cholesterol primarily due to increased levels of high-density lipoprotein-cholesterol (HDL-C). Dose-dependent reductions from baseline in mean HDL-C levels were observed at 2 weeks in OCALIVA-treated patients, 20% and 9% in the 10 mg and titration arms, respectively, compared to 2% in the placebo arm. Monitor patients for changes in serum lipid levels during treatment. For patients who do not respond to OCALIVA after 1 year at the highest recommended dosage that can be tolerated (maximum of 10 mg once daily), and who experience a reduction in HDL-C, weigh the potential risks against the benefits of continuing treatment. Adverse ReactionsThe most common adverse reactions (≥5%) are: pruritus, fatigue, abdominal pain and discomfort, rash, oropharyngeal pain, dizziness, constipation, arthralgia, thyroid function abnormality, and eczema. Drug Interactions Bile Acid Binding ResinsBile acid binding resins such as cholestyramine, colestipol, or colesevelam adsorb and reduce bile acid absorption and may reduce the absorption, systemic exposure, and efficacy of OCALIVA. If taking a bile acid binding resin, take OCALIVA at least 4 hours before or 4 hours after taking the bile acid binding resin, or at as great an interval as possible.WarfarinThe International Normalized Ratio (INR) decreased following coadministration of warfarin and OCALIVA. Monitor INR and adjust the dose of warfarin, as needed, to maintain the target INR range when co-administering OCALIVA and warfarin.CYP1A2 Substrates with Narrow Therapeutic IndexObeticholic acid may increase the exposure to concomitant drugs that are CYP1A2 substrates. Therapeutic monitoring of CYP1A2 substrates with a narrow therapeutic index (e.g., theophylline and tizanidine) is recommended when co-administered with OCALIVA.Inhibitors of Bile Salt Efflux PumpAvoid concomitant use of inhibitors of the bile salt efflux pump (BSEP) such as cyclosporine. Concomitant medications that inhibit canalicular membrane bile acid transporters such as the BSEP may exacerbate accumulation of conjugated bile salts including taurine conjugate of obeticholic acid in the liver and result in clinical symptoms. If concomitant use is deemed necessary, monitor serum transaminases and bilirubin. Please click here for Full Prescribing Information, including Boxed WARNING.To report SUSPECTED ADVERSE REACTIONS, contact Intercept Pharmaceuticals, Inc. at 1-844-782-ICPT or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. Cautionary Note Regarding Forward-Looking StatementsThis press release contains forward-looking statements, including, but not limited to, statements regarding: the progress, timing and results of our clinical trials, including our clinical trials for the treatment of nonalcoholic steatohepatitis (“NASH”),the safety and efficacy of our approved product, Ocaliva (obeticholic acid or “OCA”) for primary biliary cholangitis (“PBC”), and our product candidates, including OCA for liver fibrosis due to NASH,the timing and acceptance of our regulatory filings and the potential approval of OCA for liver fibrosis due to NASH,the review of our New Drug Application (“NDA”) for OCA for the treatment of liver fibrosis due to NASH by the U.S. Food and Drug Administration (the “FDA”),our intent to work with the FDA to address the issues raised in a complete response letter (“CRL”),the potential commercial success of OCA, andour strategy, future operations, future financial position, future revenue, projected costs, financial guidance, prospects, plans and objectives. These statements constitute 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. The words “anticipate,” “believe,” “estimate,” “expect,” “intend,” “may,” “plan,” “predict,” “project,” “target,” “potential,” “will,” “would,” “could,” “should,” “possible,” “continue” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of their dates, and we undertake no obligation to update any forward-looking statement except as required by law. These forward-looking statements are based on estimates and assumptions by our management that, although believed to be reasonable, are inherently uncertain and subject to a number of risks. The following represent some, but not necessarily all, of the factors that could cause actual results to differ materially from historical results or those anticipated or predicted by our forward-looking statements: the success of our existing business and operations, including Ocaliva for PBC;our ability to successfully commercialize Ocaliva for PBC and, if approved, OCA for NASH;our ability to maintain our regulatory approval of Ocaliva for PBC;our ability to timely and cost-effectively file for and obtain regulatory approval of our product candidates on an accelerated basis or at all, including OCA for liver fibrosis due to NASH;our ability to address the issues raised in the complete response letter (“CRL”) received in June 2020 with respect to OCA for NASH;any advisory committee recommendation or dispute resolution determination that our product candidates, including OCA for liver fibrosis due to NASH, should not be approved or approved only under certain conditions;any future determination that the regulatory applications and subsequent information we submit for our product candidates, including OCA for liver fibrosis due to NASH, do not contain adequate clinical or other data or meet applicable regulatory requirements for approval;the progress, timing, and results of our REGENERATE clinical trial, including the safety and efficacy of OCA for liver fibrosis due to NASH, and the use of a consensus panel approach to histology reads;our pre-submission meeting with the FDA in July 2022 in which we reviewed with the FDA the planned content and the timing of the submission of our NDA for OCA for liver fibrosis due to NASH;our resubmission of an NDA to the FDA for OCA for liver fibrosis due to NASH, and the potential timing, review, acceptance, and approval of the NDA;conditions that may be imposed by regulatory authorities on our marketing approvals for our products and product candidates, including OCA for liver fibrosis due to NASH, such as the need for clinical outcomes data (and not just results based on achievement of a surrogate endpoint), any risk mitigation programs such as a Risk Evaluation and Mitigation Strategies (“REMS”) program, and any related restrictions, limitations and/or warnings contained in the label of any of our products or product candidates;any potential side effects associated with Ocaliva for PBC, OCA for liver fibrosis due to NASH or our other product candidates that could delay or prevent approval, require that an approved product be taken off the market, require the inclusion of safety warnings or precautions, or otherwise limit the sale of such product or product candidate, including in connection with our update to the Ocaliva prescribing information in May 2021 contraindicating Ocaliva for patients with PBC and decompensated cirrhosis, a prior decompensation event, or compensated cirrhosis with evidence of portal hypertension;the initiation, timing, cost, conduct, progress and results of our research and development activities, preclinical studies and clinical trials, including any issues, delays or failures in identifying patients, enrolling patients, treating patients, retaining patients, meeting specific endpoints, or completing and timely reporting the results of our NASH or PBC clinical trials;the outcomes of interactions with regulators including the FDA regarding our clinical trials;our ability to establish and maintain relationships with, and the performance of, third-party manufacturers, contract research organizations and other vendors upon whom we are substantially dependent for, among other things, the manufacture and supply of our products, including Ocaliva for PBC and, if approved, OCA for liver fibrosis due to NASH, and our clinical trial activities;our ability to identify, develop and successfully commercialize our products and product candidates, including our ability to successfully launch OCA for liver fibrosis due to NASH, if approved;our ability to obtain and maintain intellectual property protection for our products and product candidates, including our ability to cost-effectively file, prosecute, defend and enforce any patent claims or other intellectual property rights;the size and growth of the markets for our products and product candidates and our ability to serve those markets;the degree of market acceptance of Ocaliva for PBC and, if approved, OCA for liver fibrosis due to NASH or our other product candidates among physicians, patients and healthcare payors;the availability of adequate coverage and reimbursement from governmental and private healthcare payors for our products, including Ocaliva for PBC and, if approved, OCA for liver fibrosis due to NASH, and our ability to obtain adequate pricing for such products;our ability to establish and maintain effective sales, marketing and distribution capabilities, either directly or through collaborations with third parties;competition from existing drugs or new drugs that become available;our ability to attract and retain key personnel to manage our business effectively;our ability to prevent or defend against system failures or security or data breaches due to cyber-attacks, or cyber intrusions, including ransomware, phishing attacks and other malicious intrusions;our ability to comply with data protection laws;costs and outcomes relating to any disputes, governmental inquiries or investigations, regulatory proceedings, legal proceedings or litigation, including any securities, intellectual property, employment, product liability or other litigation;our collaborators’ election to pursue research, development and commercialization activities;our ability to establish and maintain relationships with collaborators with development, regulatory and commercialization expertise;our need for and ability to generate or obtain additional financing;our estimates regarding future expenses, revenues and capital requirements and the accuracy thereof;our use of cash, cash equivalents and short-term investments;our ability to acquire, license and invest in businesses, technologies, product candidates and products;our ability to manage the growth of our operations, infrastructure, personnel, systems and controls;our ability to obtain and maintain adequate insurance coverage;continuing threats from COVID-19, including additional waves of infections, and their impacts including quarantines and other government actions; delays relating to our regulatory applications; disruptions relating to our ongoing clinical trials or involving our contract research organizations, study sites or other clinical partners; disruptions relating to our supply chain or involving our third-party manufacturers, distributors or other distribution partners; and facility closures or other restrictions; and the impact of the foregoing on our results of operations and financial position;the impact of general economic, industry, market, regulatory or political conditions;how we use the funds received from the sale of our ex-U.S. business to Advanz Pharma;disagreements or legal, operational, or other business problems arising from our ongoing relationship with Advanz Pharma, including the licensing of the ex-U.S. rights to Ocaliva for PBC and, if approved, OCA for NASH, our operational separation from our former ex-U.S. commercial operations, and our agreement to supply Advanz Pharma with OCA;unexpected tax, regulatory, litigation, or other liabilities;whether we receive any future earn-outs or royalties under the Advanz Pharma transaction documents; andthe other risks and uncertainties identified in our periodic filings filed with the U.S. Securities and Exchange Commission (the “SEC”), including our latest Annual Report on Form 10-K and/or Quarterly Report on Form 10-Q. Contact For more information about Intercept, please contact: For investors:Nareg Sagherian, Executive Director, Global Investor Relationsinvestors@interceptpharma.com For media:Karen Preble, Executive Director, Global Corporate Communicationsmedia@interceptpharma.com Intercept Pharmaceuticals, Inc. Condensed Consolidated Statements of Operations (Unaudited) (In thousands, except per share data) Three Months Ended March 31, 2023 2022 Revenue: Product revenue, net$67,958 $59,146 Total revenue 67,958 59,146 Operating expenses: Cost of sales 222 223 Selling, general and administrative 57,657 37,768 Research and development 41,711 47,583 Total operating expenses 99,590 85,574 Operating loss (31,632) (26,428) Other income (expense): Interest expense (2,809) (6,673)Other income (expense), net 2,560 (334)Loss from continuing operations$(31,881) $(33,435)(Loss) Income from discontinued operations$(254) $16,151 Net loss$(32,135) $(17,284) Net income/(loss) per common and potential common share: Net loss from continuing operations$(0.77) $(1.13)Net income from discontinued operations$( 0.01) $0.54 Net loss$(0.77) $(0.58) Weighted average common and potential common shares outstanding: Basic and diluted 41,670 29,696 Condensed Consolidated Balance Sheet Information (Unaudited)(In thousands) March 31, 2023 December 31,2022 (1)Cash, cash equivalents, restricted cash and investment debt securities, available for sale$ 435,215 $ 490,909Total assets$504,085 $553,711Total liabilities (2)$436,900 $ 460,634Stockholders’ equity$ 67,185 $ 93,077 (1) Derived from the financial statements included in Intercept's Annual Report on Form 10-K for the period ended December 31, 2022. (2) Includes $333.0 million and $332.7 million related to the 2023 Convertible Notes, 2026 Convertible Notes and the 2026 Secured Convertible Notes (together, the “Convertible Notes”) as of March 31, 2023 and December 31, 2022, respectively. The aggregate outstanding principal amount of the Convertible Notes was $336.3 million as of March 31, 2023 and December 31, 2022, respectively. Reconciliation of Non-GAAP Adjusted Operating Expenses to Total Operating Expenses (Unaudited) (In thousands) Three Months Ended March 31, 2023 2022 Total operating expenses $99,590 $85,574 Adjustments: Stock-based compensation 5,86489 5,381341 Depreciation Non-GAAP adjusted operating expenses $93,637 $79,852

Seven abstracts in primary biliary cholangitis (PBC) and nonalcoholic steatohepatitis (NASH) accepted at EASL 2023 Accepted abstracts include podium presentation of new data from the planned interim analysis of a Phase 2 study of investigational combination of obeticholic acid (OCA) and bezafibrate in PBC Company expects to complete planned interim analyses from two ongoing Phase 2 studies of OCA-bezafibrate in 2023 in preparation for end-of-phase 2 meeting with the U.S. Food and Drug Administration (FDA) MORRISTOWN, N.J., April 27, 2023 (GLOBE NEWSWIRE) -- Intercept Pharmaceuticals, Inc. (Nasdaq: ICPT), a biopharmaceutical company focused on the development and commercialization of novel therapeutics to treat progressive non-viral liver diseases, today announced that seven abstracts in PBC and NASH have been accepted for presentation at EASL 2023. The congress will be held from June 21-24, 2023, in Vienna, Austria. One of the accepted abstracts includes new data from a planned interim analysis of an ongoing Phase 2 study evaluating the effects of the investigational combination of the FXR agonist OCA and bezafibrate, a peroxisome proliferator-activated receptor (PPAR) agonist, on serum biomarkers in PBC that have been shown to predict clinical outcomes. “We look forward to the opportunity to share new data in PBC and NASH at EASL 2023, including a podium presentation of new Phase 2 interim data from our clinical development program investigating the combination of obeticholic acid and bezafibrate,” said M. Michelle Berrey, MD, MPH, President of Research & Development and Chief Medical Officer of Intercept. “We believe that a fixed-dose combination of OCA and bezafibrate presents an opportunity to optimize the doses of each medicine and further improve the treatment of PBC, with the potential to establish best-in-class clinical benefits. This next-generation investigational therapy is an important component of our long-term strategy and ongoing commitment to people living with PBC.” Intercept has completed a Phase 1 clinical study in healthy adult subjects that assessed multiple dose combinations of OCA and bezafibrate. The company also has two ongoing Phase 2 studies (747-213 / NCT04594694, 747-214 / NCT05239468) that are exploring a range of therapeutic doses for the combination of OCA and bezafibrate. Intercept expects to complete planned interim analyses from both ongoing Phase 2 studies this year, with the first data being presented at EASL 2023. The planned interim analyses from these Phase 2 studies, in addition to Phase 1 and preclinical data, will serve as the basis of an end-of-phase 2 meeting with the FDA. Available information about the Intercept abstracts accepted for presentation at EASL 2023 is listed below. More information about these abstracts will be made available after the respective embargoes, as set by the EASL organizers, are lifted for each presentation. A full list of sessions at EASL 2023 is available at www.easlcongress.eu. PBC Podium Presentation“Results from a Planned Interim Analysis of a Randomized, Double-Blind, Active-Controlled Trial Evaluating the Effects of Obeticholic Acid and Bezafibrate on Serum Biomarkers in Primary Biliary Cholangitis” Abstract #2495Friday June 23, 8:30 – 9:45 CESTVaclav Hejda, Alexandre Louvet, Antonio Civitarese, Lynda Szczech, Heng Zou and Frederik Nevens PBC Posters“Modulation of Alkaline Phosphatase Levels by Obeticholic Acid in Clinical Trials and Cultured Human Hepatocytes” Abstract #1505Wednesday June 21, 9:00 – 18:00 CESTAlan Bonder, Nicholas Procaccini, Mary Erickson, Erik Ness, Antonio Civitarese and Kris V. Kowdley “Risk Of Death, Liver Transplant, or Hepatic Decompensation in Primary Biliary Cholangitis Increases with Increased Duration and Degree Beyond Established Clinical Thresholds for Hepatic Biomarkers and Fibrosis Scores” Abstract #1522Wednesday June 21, 9:00 – 18:00 CESTKris V. Kowdley, Tracy Mayne, Erik Ness, Darren Wheeler, Radhika Nair, Nicholas Procaccini, Leona Bessonova, Joanna P. MacEwan, Alina Levine and Gideon Hirschfield “Fibrosis-4 Score Less Than 2.67 and Normal Gamma-Glutamyl Transferase Levels are Associated with High Negative Predictive Value for High-Risk of Liver Stiffness in Patients with Primary Biliary Cholangitis” Abstract #1518Friday June 23, 9:00 – 18:00 CESTAlan Bonder, Vilas R. Patwardhan, Joanna P. MacEwan, Anran Shao, Leona Bessonova, Erik Ness, Tracy Mayne, Darren Wheeler, Radhika Nair, Jing Li and Shari Orbach NASH Posters“Incidence and Median Times to Onset and Resolution of Pruritus Adverse Events in a Phase 3 Study of Obeticholic Acid in Patients with Nonalcoholic Steatohepatitis” Abstract #2349Friday June 23, 9:00 – 18:00 CESTZobair M. Younossi, Lee Feinman, Amarita S. Randhawa, Rina Leyva, Maria Stepanova and Sangeeta Sawhney “Incidence and Risk of Dyslipidemia and Hyperglycemia in a Phase 3 Study of Obeticholic Acid for the Treatment of Nonalcoholic Steatohepatitis” Abstract #2321Friday June 23, 9:00 – 18:00 CESTManal F. Abdelmalek, Thomas Capozza, Pamela J. Davis, Amarita S. Randhawa and Sangeeta Sawhney “Significant Dose-Dependent Reduction in Liver Stiffness Using Transient Elastography in a Phase 3 Randomized Placebo-Controlled Trial of Obeticholic Acid Over 48 Months in Patients with Pre-Cirrhotic Fibrosis due to Nonalcoholic Steatohepatitis” Abstract #2443Saturday June 24, 9:00 – 18:00 CESTRohit Loomba, Quentin M. Anstee, Stephen A. Harrison, Naim Alkhouri, Mary E. Rinella, Thomas Capozza, Chris Gasink and Amarita S. Randhawa The use of OCA for fibrosis due to NASH is investigational and has not been approved by FDA or any other health authority. About the Investigational OCA-Bezafibrate Fixed-Dose CombinationIntercept is investigating a fixed-dose combination of OCA and bezafibrate for the potential treatment of individuals with PBC. OCA, a farnesoid X receptor (FXR) agonist, is marketed by Intercept as Ocaliva in the United States for the treatment of PBC (see below for full indication and Important Safety Information). Bezafibrate, a pan-peroxisome proliferator-activated receptor (pan-PPAR) agonist, is not approved in the United States for any indication. FXR and PPAR are distinct pathways that each play a role in PBC. Simultaneously targeting both pathways may offer the greatest potential to impact bile acid synthesis, metabolism, and clearance that underly cholestatic liver diseases. Published studies establish a clinical proof-of-concept that suggests that the combination of OCA and bezafibrate may provide additive clinical efficacy and tolerability benefits in the treatment of PBC. OCA-bezafibrate combination therapy is investigational; safety and efficacy have not been established. About Primary Biliary CholangitisPrimary biliary cholangitis (PBC) is a rare, progressive, and chronic autoimmune disease that affects the bile ducts in the liver and is most prevalent (approximately 1 in 10,000) in women over the age of 40. PBC causes bile acid to build up in the liver, resulting in inflammation and scarring (fibrosis), which, if left untreated, can lead to cirrhosis, a liver transplant, or death. About Liver Fibrosis due to NASHNonalcoholic steatohepatitis (NASH) is a serious progressive liver disease caused by excessive fat accumulation in the liver that induces chronic inflammation, resulting in progressive fibrosis (scarring) that can lead to cirrhosis, eventual liver failure, cancer and death. As patients progress, their risk of serious liver-related consequences increases, and those with advanced fibrosis are at a substantially higher risk of liver-related morbidity and mortality. There are currently no medications approved for the treatment of NASH. About InterceptIntercept is a biopharmaceutical company focused on the development and commercialization of novel therapeutics to treat progressive non-viral liver diseases, including primary biliary cholangitis (PBC), nonalcoholic steatohepatitis (NASH) and severe alcohol-associated hepatitis (sAH). For more information, please visit www.interceptpharma.com or connect with the Company on Twitter and LinkedIn. About Ocaliva® (obeticholic acid)OCALIVA, a farnesoid X receptor (FXR) agonist, is indicated for the treatment of adult patients with primary biliary cholangitis (PBC) without cirrhosis orwith compensated cirrhosis who do not have evidence of portal hypertension, either in combination with ursodeoxycholic acid (UDCA) with an inadequate response to UDCA or as monotherapy in patients unable to tolerate UDCA. This indication is approved under accelerated approval based on a reduction in alkaline phosphatase (ALP). An improvement in survival or disease-related symptoms has not been established. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials. IMPORTANT SAFETY INFORMATION WARNING: HEPATIC DECOMPENSATION AND FAILURE IN PRIMARY BILIARY CHOLANGITIS PATIENTS WITH CIRRHOSIS Hepatic decompensation and failure, sometimes fatal or resulting in liver transplant, have been reported with OCALIVA treatment in primary biliary cholangitis (PBC) patients with either compensated or decompensated cirrhosis.OCALIVA is contraindicated in PBC patients with decompensated cirrhosis, a prior decompensation event, or with compensated cirrhosis who have evidence of portal hypertension.Permanently discontinue OCALIVA in patients who develop laboratory or clinical evidence of hepatic decompensation; have compensated cirrhosis and develop evidence of portal hypertension, or experience clinically significant hepatic adverse reactions while on treatment. Contraindications OCALIVA is contraindicated in patients with: decompensated cirrhosis (e.g., Child-Pugh Class B or C) or a prior decompensation eventcompensated cirrhosis who have evidence of portal hypertension (e.g., ascites, gastroesophageal varices, persistent thrombocytopenia)complete biliary obstruction Warnings and Precautions Hepatic Decompensation and Failure in PBC Patients with CirrhosisHepatic decompensation and failure, sometimes fatal or resulting in liver transplant, have been reported with OCALIVA treatment in PBC patients with cirrhosis, either compensated or decompensated. Among post-marketing cases reporting it, median time to hepatic decompensation (e.g., new onset ascites) was 4 months for patients with compensated cirrhosis; median time to a new decompensation event (e.g., hepatic encephalopathy) was 2.5 months for patients with decompensated cirrhosis. Some of these cases occurred in patients with decompensated cirrhosis when they were treated with higher than the recommended dosage for that patient population; however, cases of hepatic decompensation and failure have continued to be reported in patients with decompensated cirrhosis even when they received the recommended dosage. Hepatotoxicity was observed in the OCALIVA clinical trials. A dose-response relationship was observed for the occurrence of hepatic adverse reactions including jaundice, worsening ascites, and primary biliary cholangitis flare with dosages of OCALIVA of 10 mg once daily to 50 mg once daily (up to 5-times the highest recommended dosage), as early as one month after starting treatment with OCALIVA in two 3-month, placebo-controlled clinical trials in patients with primarily early stage PBC. Routinely monitor patients for progression of PBC, including hepatic adverse reactions, with laboratory and clinical assessments to determine whether drug discontinuation is needed. Closely monitor patients with compensated cirrhosis, concomitant hepatic disease (e.g., autoimmune hepatitis, alcoholic liver disease), and/or with severe intercurrent illness for new evidence of portal hypertension (e.g., ascites, gastroesophageal varices, persistent thrombocytopenia), or increases above the upper limit of normal in total bilirubin, direct bilirubin, or prothrombin time to determine whether drug discontinuation is needed. Permanently discontinue OCALIVA in patients who develop laboratory or clinical evidence of hepatic decompensation (e.g., ascites, jaundice, variceal bleeding, hepatic encephalopathy), have compensated cirrhosis and develop evidence of portal hypertension (e.g., ascites, gastroesophageal varices, persistent thrombocytopenia), experience clinically significant hepatic adverse reactions, or develop complete biliary obstruction. If severe intercurrent illness occurs, interrupt treatment with OCALIVA and monitor the patient’s liver function. After resolution of the intercurrent illness, consider the potential risks and benefits of restarting OCALIVA treatment. Severe PruritusSevere pruritus was reported in 23% of patients in the OCALIVA 10 mg arm, 19% of patients in the OCALIVA titration arm, and 7% of patients in the placebo arm in a 12-month double-blind randomized controlled clinical trial of 216 patients. Severe pruritus was defined as intense or widespread itching, interfering with activities of daily living, or causing severe sleep disturbance, or intolerable discomfort, and typically requiring medical interventions. Consider clinical evaluation of patients with new onset or worsening severe pruritus. Management strategies include the addition of bile acid binding resins or antihistamines, OCALIVA dosage reduction, and/or temporary interruption of OCALIVA dosing. Reduction in HDL-CPatients with PBC generally exhibit hyperlipidemia characterized by a significant elevation in total cholesterol primarily due to increased levels of high-density lipoprotein-cholesterol (HDL-C). Dose-dependent reductions from baseline in mean HDL-C levels were observed at 2 weeks in OCALIVA-treated patients, 20% and 9% in the 10 mg and titration arms, respectively, compared to 2% in the placebo arm. Monitor patients for changes in serum lipid levels during treatment. For patients who do not respond to OCALIVA after 1 year at the highest recommended dosage that can be tolerated (maximum of 10 mg once daily), and who experience a reduction in HDL-C, weigh the potential risks against the benefits of continuing treatment. Adverse ReactionsThe most common adverse reactions (≥5%) are: pruritus, fatigue, abdominal pain and discomfort, rash, oropharyngeal pain, dizziness, constipation, arthralgia, thyroid function abnormality, and eczema. Drug Interactions Bile Acid Binding ResinsBile acid binding resins such as cholestyramine, colestipol, or colesevelam adsorb and reduce bile acid absorption and may reduce the absorption, systemic exposure, and efficacy of OCALIVA. If taking a bile acid binding resin, take OCALIVA at least 4 hours before or 4 hours after taking the bile acid binding resin, or at as great an interval as possible.WarfarinThe International Normalized Ratio (INR) decreased following coadministration of warfarin and OCALIVA. Monitor INR and adjust the dose of warfarin, as needed, to maintain the target INR range when co-administering OCALIVA and warfarin.CYP1A2 Substrates with Narrow Therapeutic IndexObeticholic acid may increase the exposure to concomitant drugs that are CYP1A2 substrates. Therapeutic monitoring of CYP1A2 substrates with a narrow therapeutic index (e.g., theophylline and tizanidine) is recommended when co-administered with OCALIVA.Inhibitors of Bile Salt Efflux PumpAvoid concomitant use of inhibitors of the bile salt efflux pump (BSEP) such as cyclosporine. Concomitant medications that inhibit canalicular membrane bile acid transporters such as the BSEP may exacerbate accumulation of conjugated bile salts including taurine conjugate of obeticholic acid in the liver and result in clinical symptoms. If concomitant use is deemed necessary, monitor serum transaminases and bilirubin. Please click here for Full Prescribing Information, including Boxed WARNING.To report SUSPECTED ADVERSE REACTIONS, contact Intercept Pharmaceuticals, Inc. at 1-844-782-ICPT or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. Forward Looking StatementsThis press release contains forward-looking statements (“FLS”), including regarding: the progress, timing and results of our clinical trials;the safety and efficacy of our approved product, Ocaliva (obeticholic acid or “OCA”) for primary biliary cholangitis (“PBC”), and our product candidates, including OCA for liver fibrosis due to NASH, and the OCA-bezafibrate FDC for PBC; andthe timing and acceptance of our regulatory filings. Important factors could cause actual results to differ materially from the FLS. For example: any future determination that the regulatory applications and subsequent information we submit for our product candidates, including OCA for liver fibrosis due to NASH and the OCA-bezafibrate FDC for PBC, do not contain adequate clinical or other data or meet applicable regulatory requirements for approval;any potential side effects associated with Ocaliva for PBC, OCA for liver fibrosis due to NASH or our other product candidates that could delay or prevent approval, require that an approved product be taken off the market, require the inclusion of safety warnings or precautions, or otherwise limit the sale of such product or product candidate;the initiation, timing, cost, conduct, progress and results of our research and development activities, preclinical studies and clinical trials, including any issues, delays or failures in identifying patients, enrolling patients, treating patients, retaining patients, meeting specific endpoints, or completing and timely reporting the results of our NASH or PBC clinical trials;the outcomes of interactions with regulators including the FDA regarding our clinical trials;our ability to identify, develop and successfully commercialize our products and product candidates; andour ability to obtain and maintain intellectual property protection for our products and product candidates, including our ability to cost-effectively file, prosecute, defend and enforce any patent claims or other intellectual property rights. ContactFor more information about Intercept, please contact: For investors:Nareg Sagherian, Executive Director, Global Investor Relationsinvestors@interceptpharma.com For media:Karen Preble, Executive Director, Global Corporate Communicationsmedia@interceptpharma.com

Image Credit: Shutterstock / BlurryMe Madrigal Pharmaceuticals’ resmetirom for nonalcoholic steatohepatitis (NASH) could be fairly priced at a higher range than Intercept Pharmaceuticals’ obeticholic acid, based on a revised evidence report published by the Institute for Clinical and Economic Review (ICER). According to ICER’s Health Benefit Price Benchmark (HBPB), resmetirom would be fairly priced between $39,600 and $50,100, while obeticholic acid would be fairly priced between $32,800 and $40,700. ICER defines the HBPB as a top price range where a health system can reward innovation without doing more harm than good. Although the organisation previously shared a draft version of the report in February, the revised document features new details on the drugs’ potential fair pricing. NASH is a form of nonalcoholic fatty liver disease (NAFLD), where patients develop excess fat in their liver. Alongside increased liver fat, NASH patients suffer from liver inflammation and damage that can eventually lead to fibrosis. Liver fibrosis, also known as scarring, can lead to cirrhosis, and patients with cirrhosis can develop liver cancer. Obeticholic acid will be in the spotlight when an approval package for its use in NASH will be discussed at a Gastrointestinal Drugs Advisory Committee meeting on May 19. Obeticholic acid is a bile acid analog that is marketed under the name Ocaliva for the treatment of primary biliary cholangitis (PBC) in combination with ursodeoxycholic acid in adult patients. Intercept’s New Drug Application (NDA) for obeticholic acid for use in patients with pre-cirrhotic liver fibrosis due to NASH has a PDUFA date of June 22, 2023. The American agency previously rejected the company’s NDA for obeticholic acid in June 2020. On the other hand, resmetirom is an oral thyroid hormone receptor β-selective agonist. Madrigal expects to file an NDA for the drug in H1 2023, based on a February 2023 company update. Evidence leans in favour of resmetirom As the race for the first approval heats up , ICER’s report, released on April 13, leans in favour of Madrigal’s resmetirom. According to the updated report, “there is moderate certainty of comparable to substantial net health benefits with high certainty of at least comparable benefits compared with standard of care” in case of resmetirom. This verdict applies to NASH patients with liver fibrosis of any stage. In contrast, the report states that the evidence for obeticholic acid’s use in NASH patients with stage 2 fibrosis is insufficient. The evidence for the treatment’s use in patients with stage 3 fibrosis remains promising but inconclusive. Caveats surrounding side effects for obeticholic acid remain. Still, the cost-effectiveness of both drugs depends on their eventual price. Specifically, if the cost of obeticholic acid is not “substantially reduced from the price of the approved (lower) doses used for PBC, it will not meet typical cost-effectiveness thresholds”. In the report, ICER used a placeholder price of $317,000 for obeticholic acid, based on available prices in the Redbook. In contrast, resmetirom remained cost effective at ICER’s placeholder price of $76,000, per the report. However, the report states that it remains unclear if the changes in the primary outcomes will result in reductions in cirrhosis and decompensated liver failure alongside quality-of-life improvements for both drugs. Overall, there are uncertainties surrounding the long-term benefits of the treatments.