AcelRx Pharmaceuticals, Inc. (NASDAQ:ACRX)

CAPS Rating: 4 out of 5

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Member Avatar JimmyLocos (52.89) Submitted: 5/20/2015 1:22:48 PM : Outperform Start Price: $3.29 ACRX Score: +34.13

Government contract for research into pain management. New advancements in controlling pain management and preventing abuse. Couple things up for Phase 3 and FDA Filing

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Member Avatar joienpaix (60.08) Submitted: 3/18/2015 4:04:11 PM : Outperform Start Price: $4.26 ACRX Score: +2.79

TP 8

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Member Avatar zzlangerhans (99.83) Submitted: 3/10/2015 3:27:40 PM : Outperform Start Price: $5.07 ACRX Score: -15.14

It looks like my reservations about AcelRx when the share price was 7 a few weeks ago were right, although the stock went on to a new six-month high over 9 just before the Sword of Damocles dropped. People or institutions who were buying AcelRx in the 7's and 8's on faith that the company would resubmit their NDA in the first quarter as promised, even as the remaining days ticked away, have a totally different perception of the risk/reward equation than I do. Of course, the dark side to all that rosy optimism is the bitterness and hopelessness that is forcing the share price down double digit percentages for the second day in a row. I don't have a hopelessness barometer to tell we how far the stock will continue to fall without any new fundamental negative information, but I think the share price will turn back once the company clarifies how they will respond to the FDA's requirement for a new trial. I also wouldn't put it past the FDA to reverse themselves on this requirement, although I'm lousy at predicting FDA moves. We purchased 2000 shares at 4.94 for the #zzporte portfolio today.

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Member Avatar KodiakSJ (< 20) Submitted: 3/6/2015 2:53:12 PM : Outperform Start Price: $8.71 ACRX Score: -50.33

Post operative pain treatment is nearing $7B market. P3 trials showed Zalviso was preferred and better tolerated by both patients (better pain management over time) and by nurses (who tend to mis-program IV pumps) over morphine. 10% market in 5 years is $700M and probably market cap of $3.5B-$5B which is 10-15x bagger. This does not include their 3 other versions of pain drugs in the pipeline.

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Member Avatar oscillation (< 20) Submitted: 7/28/2014 10:55:58 PM : Outperform Start Price: $6.22 ACRX Score: -35.12


AcelRx stock plunges after FDA rejects pain drug device
Reuters
13 hours ago

July 28 (Reuters) - Shares of AcelRx Pharmaceuticals Inc plunged nearly 28 percent in premarket trading, after the U.S. Food and Drug Administration rejected its pain drug device, Zalviso, late on Friday.

Analysts said they expected the product to eventually receive approval as the issues cited in Zalviso's "rather mild" complete response letter were requests for additional information largely around the device.

AcelRx said it would resubmit its marketing application for Zalviso by the end of the year, pending further discussions with the FDA.

The needle-free, handheld, patient-controlled system is designed for the management of moderate-to-severe pain in adult patients in a hospital setting.

Zalviso, consists of sufentanil, an opioid, and is delivered using AcelRx's flagship NanoTab technology which enables rapid absorption when placed under the tongue.

In its complete response letter to the company, the agency did not ask for any additional efficacy trials but requested additional information to ensure proper use of the device.

Canaccord Genuity analyst John Newman cut his rating on the stock to "hold" from "buy" and halved his price target to $8 based on "on the unexpected magnitude of delay for Zalviso and concerns over stability/shelf life" of the product.

Roth Capital Partners, Mizuho and JMP Securities analysts said the rejection would likely result in a one-year delay to approval as the FDA's requests were readily addressable.

The FDA sought changes to the instructions for use for the device and additional data to support its shelf life.

"ACRX was surprised to receive a CRL for issues it believes could have been resolved with a routine (review) PDUFA delay; almost exclusively straightforward device/instruction issues rather than drug concerns," JMP analyst Oren Livnat said.

"This increases our overall confidence in approvability, albeit after an unfortunate delay," Livnat said, maintaining his "market outperform" rating on the stock.

The delay bodes well for the The Medicines Company whose rival experimental pain product Ionsys will now likely gain a timing advantage. The company submitted an application to market the treatment in late June.

"Thus, assuming a first-pass approval, Ionsys now appears to have at least a 2-month head start on Zalviso," Roth Capital Partners analyst Ed Arce said, cutting his price target on the stock to $16 from $22.

RBC Capital Markets analysts reduced their 2021 U.S. sales forecast for Zalviso by $50 million to $350 million.

An application to market Zalviso in Europe was submitted by the company's German partner Grunenthal Group earlier in July.

The product is also undergoing development for use in breakthrough pain in cancer patients, pain relief for patients undergoing procedures in a physician's office and acute pain.

Four brokerages - Roth Capital Partners, JMP Securities, Mizuho and RBC Capital - kept their positive ratings on the stock.

The Redwood City, California-based specialty pharmaceutical company's stock was trading at $7.77 premarket on Monday after closing at $10.83 on the Nasdaq on Friday.

(Reporting by Natalie Grover in Bangalore; Editing by Saumyadeb Chakrabarty)

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Member Avatar Investinguppy (< 20) Submitted: 6/17/2014 11:01:54 PM : Outperform Start Price: $10.70 ACRX Score: -66.06

Trading opportunity leading up to PDUFA

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Member Avatar TerryFool (84.35) Submitted: 3/3/2014 11:54:36 AM : Outperform Start Price: $9.77 ACRX Score: -69.51

ACRX BP 10 TP 15 1YR REV 100%

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Member Avatar cavemantrader (94.99) Submitted: 12/16/2013 1:21:07 PM : Outperform Start Price: $9.86 ACRX Score: -71.91

Added to the NASDAQ Biotechnology Index, ACRX and Grunenthal GmbH announced they have entered into a commercial collaboration for ARX-01 in the EU. Undervalued, revenues picking up, and a state of art product with the potential of blockbuster revenue. Strong buy here, on a risk/reward basis.

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Member Avatar TerryHoodSr (78.74) Submitted: 8/25/2013 2:11:51 PM : Outperform Start Price: $6.97 ACRX Score: -55.26

spec TP $14

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Member Avatar tregister6 (< 20) Submitted: 6/18/2013 8:44:13 PM : Outperform Start Price: $9.65 ACRX Score: -80.46

their pipeline has huge potential with a replacement for PCAs that doesn't require an IV. Also their product that is earliest in development is backed by the US Army that is intended to be used in the field.

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Member Avatar SUPERSTOCKS007 (< 20) Submitted: 5/27/2013 1:47:10 PM : Outperform Start Price: $8.10 ACRX Score: -70.79

corrects inferior product in use

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