Zealand Pharma Presents Financial Results for the First Nine Months of 2021; Provides Updates on Commercial Launch and Timing for Congenital Hyperinsulinism and Short Bowel Syndrome Phase Three Clinical Studies

Zealand Pharma Presents Financial Results for the First Nine Months of 2021; Provides Updates on Commercial Launch and Timing for Congenital Hyperinsulinism and Short Bowel Syndrome Phase Three Clinical Studies

GlobeNewswire

Published

**C**ompany **a**nnouncement – No. 67**/ 202**1**

*Interim report for **9M** 2021*

Zealand Pharma Presents Financial Results for the First Nine Months of 2021; Provides Updates on Commercial Launch and Timing for Congenital Hyperinsulinism and Short Bowel Syndrome Phase Three Clinical Studies

Copenhagen, DK and Boston, MA, U.S. November 11, 2021 – Zealand Pharma A/S (Nasdaq: ZEAL) (CVR-no. 20045078) a biotechnology company focused on the discovery, development, and commercialization of innovative peptide-based medicines, today announced financial results for the first nine months of 2021.

*Financial results for the first nine months of 2021*

· *Revenue: **DKK **238.6* *million / USD **37.1** million* (DKK 290.0 million / USD 45.6 million in the first nine months of 2020).

· *Net operating **expenses: DKK -**906.2** million **/ USD -**141.1** million* (DKK -714.5 million / USD -112.3 million in the first nine months of 2020).

· *Net operating **result: DKK -**7**62.6** million **/ USD -**11**8.8** million* (DKK -449.1 million / USD -70.6 million in the first nine months of 2020).

· *Cash, cash equivalents, and marketable **securities: DKK 1,**04**9**.0** mill**ion / USD **163.3** million* as of September 30, 2021 (September 30, 2020: DKK 1,528.6 million / USD 240.4 million).

*Business highlights for the first nine months of 2021*

· *Announced collaboration agreement with **DEKA Research & Development Corp. to advance development of infusion pump to be used with dasiglucagon for** the potential** treatment of congenital hyperinsulinism (CHI).*Zealand Pharma A/S entered into a definitive collaboration agreement with DEKA Research & Development Corp., to develop a continuous infusion pump to be used in combination with dasiglucagon, an investigational agent currently in phase 3 trials in patients with congenital hyperinsulinism. The agreement covers the technical development of the pump system as well as associated commercialization activities.

· *Announced presentation of preclinical data on Amylin Analogue ZP8396 and clinical data on GLP1-Glucagon Dual-Agonist BI 456906 at The Obesity Society Annual Meeting. *Key findings from the preclinical study of amylin analogue ZP8396 were: monotherapy showed comparable weight loss potential, with the combination therapy being superior for the treatment of obesity and obesity related comorbidities; and administration of amylin analogue ZP8396 in combination with semaglutide, a GLP-1 analogue, resulted in increased food intake inhibition and body weight loss (~20% vs initial body weight) as compared to single treatment alone in the diet induced obese (DIO) in vivo models.
· Key findings of the Phase 1 trial with BI 456906, a subcutaneous dual GLP-1R/GCGR agonist were in the Phase I dose escalation study; BI 456906 was generally well tolerated   and resulted in clinically relevant bodyweight  reductions of up to 6.6% after 6 weeks and 13.7% after 16 weeks.

· *Announced first patient dosed in EASE-SBS 4 phase 3b trial assessing Glepaglutide in patients with Short Bowel Syndrome. *The EASE-SBS 4 Phase 3b trial is part of Zealand’s EASE-SBS Phase 3 program for glepaglutide. (ClinicalTrials.gov identifier (NCT number): NCT04991311) and will evaluate long-term effects on intestinal absorption of fluids and energy of once weekly glepaglutide injections. EASE-SBS 4 is an open-label single-center Phase 3b trial investigating the long-term effect on intestinal absorption, nutritional status and long-term safety of administration of glepaglutide in patients with short bowel syndrome (SBS). Ten patients will receive once weekly 10 mg subcutaneous injections of glepaglutide over 26 weeks. The EASE-SBS 1 pivotal Phase 3 trial remains on track for trial results to be obtained in 2022.

*Emmanuel Dulac, President and Chief Executive Officer at Zealand Pharma, comments:*

“Zealand Pharma has continued to undergo a transformational first nine months in 2021 and developed into an integrated biopharmaceutical company by leveraging our innovative peptide platform to address unmet needs in type 1 diabetes management and rare diseases. We are progressing with the early stages of our commercial launch of ZEGALOGUE^® (dasiglugacon) injection with Zegalogue currently available to 65% of all commercial lives. As our commercial team ramps up the ZEGALOGUE commercial launch, we also look forward to building upon the momentum to advance our other pipeline programs. Recently, we have been encouraged by preclinical data from ZP8396, our Amylin Analogue, and clinical data from GLP-1, our Glucagon Dual-Agonist BI 456906, both sets presented at the recent The Obesity Society Annual Meeting. Additionally, we entered into a collaboration agreement with DEKA Research & Development Corp. and are working to advance the development of their infusion pump to be used with dasiglucagon as a potential treatment option of CHI. Finally, while the Zegalogue net revenue projections have not materialized as we had hoped and we have lowered our revenue guidance as a result, we remain confident in the work that we have done to set the stage for Zegalogue to have commercial success in 2022 and beyond.”

*Financial guidance for 2021*

Net product revenue from the sales of commercial products is expected to be DKK 190 million +/- 10%. This is a decrease of DKK 30 million from the guidance issued on March 11, 2021. The reduction in net revenue from the previous guidance is driven by lower-than-expected sales of Zegalogue for 2021.

In 2021, Zealand Pharma expects revenue from existing license agreements. However, since such revenue is uncertain in terms of size and timing, Zealand Pharma does not intend to provide guidance on such revenue.

Net operating expenses in 2021 are expected to be DKK 1,250 million +/-10% and remains unchanged from the financial guidance issued on March 11, 2021.

*Update regarding COVID-19*

Zealand Pharma continues to monitor the COVID-19 pandemic and take precautions to keep our employees, patients, business and clinical partners safe. This is an ongoing exercise in monitoring the effects of the pandemic on all of our key stakeholders and responding appropriately. We maintain compliance with guidance from applicable government and health authorities as appropriate. We have adapted the way we work to support our community’s efforts to reduce the transmission of COVID-19 and protect our employees, while continuing to provide patient care and maintain business continuity.

Zealand Pharma has taken measures to secure its discovery activities, which remain ongoing, while work in laboratories and offices has been organized to reduce the risk of COVID-19 transmission. The impact of COVID-19 on our research activities has thus far been minimal. Employees who can work from home have been doing so, while those needing to work in laboratory facilities are divided into shifts to reduce the number of people gathered at one time. Business travel has been minimized and online and video conference technology is used to meet virtually rather than in person. We have continued our clinical trials while working with authorities, investigators, trial sites and contract research organizations to minimize site visits and ensure optimal trial follow-up. In late April, Zealand Pharma in Denmark commenced a gradual return to office program, which currently allows up to 60% occupancy, consistent with local health authority guidelines and practice including frequent testing, sanitizing, and other protective measures.

COVID-19 restrictions have not affected our phase 3-program for dasiglucagon in congenital hyperinsulinism (CHI) and we expect topline data from the second Phase 3 trial in 2021. The pandemic impacted the speed of patient recruitment for our Phase 3 trial with glepaglutide for the treatment of short bowel syndrome, and results are expected in 2022. We currently do not anticipate changes to the timelines for the bi-hormonal artificial pancreas pump Phase 3 program.

Our research and in particular our development programs may be impacted if the pandemic continues to put increased pressure on hospital systems, slow recruitment of patients into the trials or cause lockdowns that affect our clinical trial sites if key external medical resources are diverted elsewhere.

Direct engagement with health care providers and patients has been reduced and transformed by leveraging virtual meetings, training, and support. Our commercial team is focused on supporting the businesses for the V-Go^® wearable insulin delivery device and Zegalogue while ensuring a continued high level of service and support for existing patients.

*Commercial Update*

*Zegalogue*^*®** (dasiglucagon) injection *

Zegalogue (dasiglucagon) injection was approved by the U.S. FDA on March 22, 2021 for the treatment of severe hypoglycemia in people with diabetes aged 6 and over. Zegalogue is available in both an auto injector and a prefilled syringe. The approval was based on efficacy results from three pivotal trials in adults and children with type 1 diabetes, whereby the primary endpoint of time to plasma glucose recovery, was successfully achieved with a median time to blood glucose recovery of 10 minutes following Zegalogue administration. In these Phase 3 studies, the most common adverse events reported (≥2%) were nausea, vomiting, headache, diarrhea, and injection site pain in adults; and nausea, vomiting, headache and injection site pain in pediatric patients.

Zegalogue launched in the U.S. in late June 2021. The Company’s primary goal during launch is to ensure all eligible patients have access to Zegalogue and feel supported in their treatment plan. Since approval, Zealand Pharma has made substantial progress working with Pharmacy Benefit Managers (PBMs), Managed Care Organizations, and state Medicaid agencies to add Zegalogue to their respective formularies. As a result of this work, Zegalogue now has unrestricted coverage in approximately 65% of commercial lives which accounts for more than 120 million lives and approximately 55% of Medicaid lives, which accounts for 40 million Medicaid lives. Beginning in 2022, we expect Zegalogue will have unrestricted coverage in approximately 70% of commercial and Medicaid lives, setting the stage for a sustained acceleration of growth.

Zegalogue net revenue for the period of July 1 – September 30, 2021 was DKK 3.1 million / USD $0.5 million. Year-to-Date net revenue is DKK 4.3 million / USD $0.7 million.   

For the year, net product revenue of Zegalogue is anticipated to be below our initial revenue targets.  The reduction in revenue is a result of lower-than-expected uptake of prescriptions due to the increase in timelines for approved drug coverage agreements with payers to translate into approved prescriptions in pharmacies.

*V-Go*^*®** wearable insulin delivery device*

The V-Go series of Wearable Insulin Delivery Devices are indicated for continuous subcutaneous infusion of either 20 Units of insulin (0.83 U/hr), 30 Units of insulin (1.25 U/hr) or 40 Units of insulin (1.67 U/hr) in one 24-hour time period and on-demand bolus dosing in 2-Unit increments (up to 36 Units per one 24-hour time period) in adults requiring insulin.

V-Go net revenue for the period of July 1 – September 30, 2021 was DKK 49.1 million / USD $7.8 million. Year-to-Date net revenue is DKK 139.0 million / USD $22.4 million.

*Pipeline Update*

Type 1 Diabetes Management

*Dasiglucagon for **b**i**h**ormonal **Artificial Pancreas systems**  *

Zealand Pharma is developing a pre-filled dasiglucagon cartridge intended for use in Bihormonal Artificial Pancreas systems, which holds potential to improve the management of type 1 diabetes (T1D). 

Zealand is collaborating with Beta Bionics, developer of the bihormonal iLet^® bionic pancreas system, a pocket-sized, dual-chamber (insulin and glucagon), autonomous, glycemic control system. The iLet^® bionic pancreas is an investigational device, limited by federal (or United States) law to investigational use only. The iLet^® bionic pancreas intends to mimic a biological pancreas by calculating and dosing insulin and/or glucagon (dasiglucagon) as needed, based on input data from a continuous glucose monitor (CGM) worn by a person with diabetes. Top-line results from a Phase 2, pre-pivotal trial in people with type 1 diabetes showed that the bihormonal iLet® bionic pancreas using insulin and dasiglucagon provided improved glycemic control relative to the iLet^® bionic pancreas delivering insulin alone. During the bihormonal and insulin-only periods, 90% (9 of 10) and 50% (5 of 10) of participants, respectively, had a mean CGM glucose level of < 154 mg/dL.^1^,^2 Importantly these glucose levels were achieved while the median time with CGM glucose levels < 54 mg/dL was only 0.2% during the bihormonal period and 0.6% during the insulin-only period.

Zealand’s partner, Beta Bionics, and the study sponsor, the Jaeb Center for Health Research, are on track to begin screening in the fourth quarter 2021 into the Phase 3, Bihormonal iLet® Bionic Pancreas Pivotal Program, utilizing insulin and dasiglucagon. The program includes three sub-trials, which are anticipated to provide the clinical data necessary to support the market application for the bihormonal iLet® bionic pancreas and the new-drug application (NDA) for the use of dasiglucagon in bihormonal Artificial Pancreas systems. The first of these three sub-trials will be a three-month single-arm, bihormonal-only safety and test-run trial that will enroll two participants at each of the approximately 30 clinical sites. After 20 pediatric participants and 20 adult participants have been successfully treated for a minimum of 3 weeks in this trial, the two randomized controlled trials (RCTs) will begin – one enrolling ~ 350 pediatric participants (6–17 years of age) and the other enrolling 350 adult participants (≥ 18 years of age) with T1D. The primary outcome measure in the RCTs is superiority in HbA1c of the bihormonal iLet® bionic pancreas using dasiglucagon relative to the insulin-only iLet® system after 26 weeks of therapy on the two interventions. The bihomonal iLet® bionic pancreas performance will also be compared to intensified usual care using CGM therapy in a third arm in both the pediatric and adult RCTs.

*Dasiglucagon mini-dose pen*

Zealand is developing a dasiglucagon mini-dose pen for potential treatment of exercise-induced hypoglycemia in people living with type 1 Diabetes and for people who suffer from meal-induced hypoglycemia following gastric bypass surgery.

Clinical studies conducted in hospital settings have shown the potential for using low doses of dasiglucagon to correct moderate hypoglycemia. Top-line results from a Phase 2a dose-finding trial in people with type 1 diabetes were presented at the American Diabetes Association congress in June 2021, and top-line results of a post bariatric hypoglycemia Phase 2a trial were reported in 2020.

Out-patient Phase 2 trials in exercise-induced hypoglycemia in people living with type 1 diabetes and for people that suffer from meal-induced hypoglycemia following gastric bypass surgery were initiated in the second quarter this year (ClinicalTrials.gov Identifier: NCT04764968 and NCT04836273). The Phase 2 trial in people with T1D specifically evaluates the effectiveness of pen-administered low-dose dasiglucagon for prevention and treatment of hypoglycemia in people with type 1 diabetes.

Rare Diseases*Dasiglucagon for congenital hyperinsulinism (CHI)*

The potential for chronic dasiglucagon infusion delivered via a pump to prevent hypoglycemia in children with CHI is being evaluated in a Phase 3 program. The aim is to reduce or eliminate the need for intensive hospital treatment, reduce the frequency of dangerous low blood glucose and need for constant feeding, and to potentially delay or eliminate the need for pancreatectomy. The FDA and the European Commission both granted orphan drug designation to dasiglucagon for the treatment of CHI.

We announced data from the first Phase 3 trial in the program, trial 17109, in December 2020. This trial evaluated children aged 3 months to 12 years old with more than three hypoglycemic events per week despite previous near-total pancreatectomy and/or maximum medical therapy. Dasiglucagon on top of standard of care (SOC) did not significantly reduce the rate of hypoglycemia compared to SOC alone when assessed by the primary endpoint, intermittent self-measured plasma glucose. However, hypoglycemia was reduced by 40–50% with dasiglucagon as compared to SOC alone when assessed by blinded continuous glucose monitoring. Dasiglucagon treatment was assessed to be well tolerated in the study and 31 out of 32 patients continued into the long-term extension study.

We are conducting additional analyses and engaging with regulatory authorities to discuss the results of 17109 while awaiting the outcome of a second Phase 3 trial, 17103, in neonates up to 12 months old with CHI. We expect to complete enrolment into the 17103 trial by the end of 2021 and have results in the first half of 2022.

*Glepaglutide for short bowel syn**drome (S**BS)*

Glepaglutide is a long-acting GLP-2 analog, being developed in an auto-injector with potential for convenient weekly administration for reducing or eliminating the need for parenteral support in people living with SBS. EASE-SBS 1 is the pivotal Phase 3 trial with enrolment of up to 129 patients with SBS that seeks to establish the efficacy and safety of once- and twice-weekly administration of glepaglutide. Patients will be treated for six months in EASE-SBS 1, whereafter they are offered four years continuous treatment with glepaglutide in the extension trials, EASE-SBS 2 and 3. A Phase 3b trial, EASE-SBS 4, was initiated in Q3 2021 and will assess long-term effects of glepaglutide on intestinal fluid and energy uptake.

The primary endpoint in EASE-SBS 1 is the absolute reduction in parenteral support achieved by the end of the trial. Based on a dialogue with FDA and EMA we have decided to introduce an interim analysis that could allow for an early stopping of the study for efficacy or futility before the full 129 patients have been enrolled. If the interim readout meets the criteria for early stopping, we plan to pursue an NDA submission as a next development step based on these clinical data.   We expect to have all subjects needed for the interim analysis enrolled by the end of 2021 with results of the interim analysis being available in Q3 2022. The U.S. FDA granted orphan drug designation to glepaglutide for the treatment of SBS.

*Dapiglutide*

Dapiglutide (pINN) is a long-acting GLP-1R/GLP-2R dual agonist.

The Phase 1a single-ascending dose, safety and tolerability trial investigating dapaglutide in healthy volunteers was completed in Q3 2020 and dapiglutide was found to have an acceptable safety and tolerability profile. Results showed a plasma half-life allowing for once weekly dosing.

Based on the results of the Phase 1a trial, Zealand initiated a Phase 1b (multiple ascending dose) safety and tolerability trial and all subjects have received the last dapiglutide dose for the safety and tolerability trial with key results expected in the fourth quarter of 2021 (ClinicalTrials.gov Identifier: NCT04612517).

Obesity

*Amylin*

ZP8396 is a potent long-acting amylin analogue designed to improve solubility and allow for co-formulation with other peptides, including GLP1 analogues. Amylin analogues hold potential as both mono and combination therapies for obesity.   We have initiated a Phase 1 clinical trial with ZP8396 for potential treatment of obesity. The Phase 1, First-in-Human, randomized, single ascending dose trial will assess the safety, tolerability, pharmacokinetics, and pharmacodynamics of ZP8396 administered to healthy subjects. Preclinical data on ZP8396 was presented at The Obesity Society Annual Meeting, which showed anti-obesity effects of ZP8396 in in vivo models, with up to 20% weight loss when combined with GLP1 analogue semaglutide. ZP8396 is also being developed as a potential treatment for type 2 diabetes.

*BI 456906: Long-acting GLP-1/GLU dual agonist for obesity and/or diabetes (with **Boehringer Ingelheim**) *

The GLP-1/glucagon dual agonist activates two key gut hormone receptors simultaneously and may offer better blood sugar and weight-loss control than current single-hormone receptor agonist treatments. The lead molecule BI 456906 is targeting treatment of obesity, diabetes, and non-alcoholic steatohepatitis (NASH). At Obesity Week in November this year Boehringer Ingelheim presented data from the Phase 1b trial, demonstrating up to 13.7% weight loss and no unexpected safety findings following 16 weeks of dosing.

Three parallel Phase 2 trials are ongoing. All subjects have been randomized in the first phase 2 trial which evaluates the dose-relationship of BI 456906 on HbA1c from baseline to 16 weeks relative to placebo in 410 people with diabetes (ClinicalTrials.gov Identifier: NCT04153929). Secondary objectives are to assess the effect on change in body weight and an open-label comparator (semaglutide) will allow for comparison of the effects against a pure GLP-1R agonist. The second Phase 2 randomized double-blind placebo-controlled dose-finding trial will evaluate BI 456906 in people with obesity or who are overweight with a BMI 27 kg/m^2 or higher without diabetes (ClinicalTrials.gov Identifier: NCT04667377). Participants will receive a subcutaneous injection of either BI 456906 or placebo once a week for the duration of the trial. The primary endpoint of this trial is the percentage change in body weight at week 46 compared to placebo. The third Phase 2 randomized double-blind placebo-controlled dose-finding trial will evaluate BI 456906 in people with NASH and liver fibrosis (F2/F3) with and without diabetes (ClinicalTrials.gov Identifier: NCT04771273). The primary endpoint of this trial is the histological improvement of steatohepatitis without worsening of fibrosis after 48 weeks of treatment. Participants will receive a weekly subcutaneous injection of either different doses of BI 456906 or placebo for the duration of the trial. The program has received Fast Track designation from the U.S. FDA.

Boehringer Ingelheim is funding all research, development and commercialization activities related to the treatment. Zealand Pharma is eligible to receive up to EUR 345 million in outstanding milestone payments, and high-single to low-double digit royalties on global sales.

Inflammation

Zealand Pharma is pursuing multiple pre-clinical programs in inflammatory diseases which will be detailed more as they progress through development.

*Complement inhibitors (with **Alexion, **AstraZeneca** Rare Disease**)*

Zealand Pharma and Alexion Pharmaceuticals announced in March 2019 that they will collaborate on the discovery and development of novel peptide therapies for complement-mediated diseases. Under the terms of the agreement, Alexion and Zealand Pharma entered into an exclusive collaboration for the discovery and development of subcutaneously delivered peptide therapies directed to up to four complement pathway targets. The lead program is a long-acting inhibitor of Complement C3 which has the potential to treat a broad range of complement mediated diseases. Zealand Pharma will lead the joint discovery and research efforts through the preclinical stage, and Alexion will lead development efforts beginning with IND filing and Phase 1 trials. We are looking to initiate a Phase 1 trial of the C3 inhibitor in 2022.

For the lead target, Zealand Pharma is eligible to receive up to USD 610 million in development and sales milestone payments, plus royalties on global sales in the high single to low double digits. In addition, Alexion has the option to select up to three additional targets with Zealand Pharma eligible for USD 15 million upfront per target plus development/regulatory milestones for each target selected similar to the lead target with slightly reduced commercial milestones and royalties.

*Additional Updates*

On December 18, 2020 Amyndas Pharmaceuticals S.A. and Amyndas Pharmaceuticals LLC filed a complaint in the U.S. District Court for the District of Massachusetts, which named Alexion Pharmaceuticals, Inc., Zealand Pharma A/S and Zealand Pharma U.S., Inc. as defendants.  The complaint alleges claims against Zealand Pharma A/S (and its U.S. subsidiary) and its collaboration partner Alexion Pharmaceuticals, Inc. (“Alexion”) related to Zealand Pharma A/S’s collaboration with Alexion on C3 peptide-based assets. The complaint alleges federal and state law claims, including claims for breach of confidentiality agreements, trade secret misappropriation and unfair competition.  The complaint seeks an unspecified quantum of damages plus interest and injunctive relief. On June 8, 2021 the District Court dismissed the proceedings against Zealand Pharma U.S., Inc. for failure to state a claim, and dismissed the claims against Zealand Pharma A/S on the ground that the matter should be heard in the courts of Denmark.  On July 6, 2021 Amyndas moved the District Court to reconsider its dismissal of the claims against Zealand Pharma A/S (and its U.S. subsidiary) and this was also dismissed. On 27 September 2021 Amyndas filed an appeal of this decision to the First Circuit Court of Appeals. It is also seeking an order from the District Court pursuant to Rule 54(b) to render the district court decision as final.  

*Conference call today at 4 pm CEST / 10 am EDT*

Zealand Pharma’s management will host a conference call today at 4 pm CEST to present results through the first nine months of 2021. Participating in the call will be Chief Executive Officer Emmanuel Dulac, Chief Financial Officer Matt Dallas, and Chief Medical and Development Officer Adam Steensberg. The presentation will be followed by a Q&A session with the presenters as well as the President of Zealand Pharma U.S., Frank Sanders.

The conference call will be conducted in English, and the dial-in numbers are:

Denmark                             +45 32 720 417
United Kingdom                 +44 (0) 844 481 9752
United States                      +1 646 741 3167
France                                 +33 (0) 170700781
Netherlands                        +31 (0) 207956614  
Passcode  9606399

A live audio webcast of the call, including an accompanying slide presentation, will be accessible from the Investor section of Zealand Pharma’s website. Participants are advised to register for the webcast approximately 10 minutes before the start. A recording of the event will be available on the Investor section of Zealand Pharma’s website following the call.

*Upcoming events*

Zealand Pharma plans to publish results for the fourth quarter of 2021 on March 10, 2022.

*Total number of shares and voting rights in Zealand Pharma as of September 30, 2021*

Number of shares (nominal value of DKK 1 each): 43,581,697 which is an increase of 39,859 from 43,428,192 as of June 30, 2021.

Therefore, the current Share capital is (nominal value in DKK): 43,581,697.

Number of voting rights: 43,581,697

*About Zealand Pharma A/S *

Zealand Pharma A/S (Nasdaq: ZEAL) ("Zealand") is a biotechnology company focused on the discovery, development, and commercialization of peptide-based medicines. More than 10 drug candidates invented by Zealand have advanced into clinical development, of which two have reached the market. In addition, license collaborations with Boehringer Ingelheim and AstraZeneca create opportunity for more patients to potentially benefit from Zealand-invented peptide investigational agents currently in development.

Zealand was founded in 1998 in Copenhagen, Denmark, and has presence throughout the U.S. that includes key locations in Boston, and Marlborough (MA). For more information about Zealand’s business and activities, please visit http://www.zealandpharma.com.

Zegalogue^*®* and V-Go^*®* are registered trademarks of Zealand Pharma A/S.

*Safe Harbor / Forward-Looking Statements*

This press release contains “forward-looking statements”, as that term is defined in the Private Securities Litigation Reform Act of 1995, as amended, that provide Zealand Pharma’s expectations or forecasts of future events regarding the research, development and commercialization of pharmaceutical products and the company’s Financial Guidance for 2021.  These forward-looking statements may be identified by words such as “aim,” “anticipate,” “believe,” “could,” “estimate,” “expect,” “forecast,” “goal,” “intend,” “may,” “plan,” “possible,” “potential,” “will,” “would” and other words and terms of similar meaning. You should not place undue reliance on these statements, or the scientific data presented. The reader is cautioned not to rely on these forward-looking statements.  Such forward-looking statements are subject to risks, uncertainties and inaccurate assumptions, which may cause actual results to differ materially from expectations set forth herein and may cause any or all of such forward-looking statements to be incorrect, and which include, but are not limited to, unexpected costs or delays in clinical trials and other development activities due to adverse safety events or otherwise; unexpected concerns that may arise from additional data, analysis or results obtained during clinical trials; our ability to successfully market both new and existing products; changes in reimbursement rules and governmental laws and related interpretation thereof; government-mandated or market-driven price decreases for our products; introduction of competing products; production problems; unexpected growth in costs and expenses; our ability to integrate operate businesses in varying geographies; failure to protect and enforce our data, intellectual property and other proprietary rights and uncertainties relating to intellectual property claims and challenges; regulatory authorities may require additional information or further studies, or may reject, fail to approve or may delay approval of our drug candidates or expansion of product labeling; failure to obtain regulatory approvals in other jurisdictions; exposure to product liability and other claims; interest rate and currency exchange rate fluctuations; unexpected contract breaches or terminations; and the direct and indirect impacts of the ongoing COVID-19 pandemic on our business, results of operations and financial condition. If any or all of such forward-looking statements prove to be incorrect, our actual results could differ materially and adversely from those anticipated or implied by such statements. The foregoing sets forth many, but not all, of the factors that could cause actual results to differ from our expectations in any forward-looking statement.  All such forward-looking statements speak only as of the date of this press release and are based on information available to Zealand Pharma as of the date of this release. We do not undertake to update any of these forward-looking statements to reflect events or circumstances that occur after the date hereof.  Information concerning pharmaceuticals (including compounds under development) contained within this material is not intended as advertising or medical advice.

NOTE: DKK/USD Exchange rates used: September 30, 2021 = 6.422 and September 30, 2020 = 6.3598

*For further information, please contact: *

Maeve Conneighton 
Argot Partners
Email: investors@zealandpharma.com 

*For U.S. Media*

David Rosen 
Argot Partners
Email: media@zealandpharma.com 

*Key figures **

DKK thousand
  *Reviewed* *Audited*  
*INCOME STATEMENT AND COMPREHENSIVE INCOME* *Note * *Q**3** 2021 * *Q**3** 2020 * *Q1-Q3** 2021 * *Q1-Q3** 2020 * *FY 2020 *  
Revenue   106,407 56,526 238,552 289,958 353,314  
*Gross margin*   *77,**734* *22,255* *143,577* *227,661* *262,749*  
Research and development expenses   -141,298 -139,332 -426,265 -430,991 -604,081  
Sales and Marketing expenses   -78,824 -97,429 -281,687 -172,282 -285,256  
Administrative expenses   -69,488 -40,567 -198,256 -111,232 -202,770  
*Net operating expenses*   *-**289,610* *-277,328* *-**906,208* *-714,505* *-1,092,10**7*  
Other operating income   73 36,866 8 37,724 36,997  
*Operating result*   *-**211,803* *-218,207* *-**762,623* *-449,120* *-792,361*  
Net financial items   16,071 -9,746 21,520 -18,749 -47,292  
*Result before tax*   *-**195,**732* *-227,953* *-**741,103* *-467,869* *-839,653*  
Income tax (1) -3,155 -621 3,216 1,686 -7,076  
*Net result for the period*   *-**19**8,887* *-228,574* *-**73**7,887* *-466,183* *-846,729*  
*Comprehensive result for the period*   *-**1**96,897* *-225,841* *-**73**4,093* *-463,777* *-837,752*  
Earnings/loss per share – basic/diluted (DKK) -4.61 -5.76 -17.26 -12.39 -22.07  
*STATEMENT OF FINANCIAL POSITION* * *     *September 30, 2021* *September 30, 2020* *December 31, 2020*  
Cash and cash equivalents       753,599 1,231,685 960,221  
Marketable securities       295,379 296,909 297,345  
*Cash, cash equivalents and Marketable securities*     *1,**048,978* *1,528,594* *1,257,566*  
Other assets       611,721 530,549 504,383  
*Total assets*       *1,6**60,699* *2,059,143* *1,761,949*  
Share capital ('000 shares)       43,582 39,779 39,800  
Equity       1,185,746 1,590,003 1,229,311  
Total liabilities       474,953 469,140 532,638  
Equity ratio (2)     0.71 0.77 0.70  
*CASH FLOW* * *     *Q1-Q3 2021 * *Q1-Q3 2020 * *FY 2020*  
Cash (used in)/provided by operating activities     *-**923,731* *-411,628* *-688,716*  
Cash (used in)/provided by investing activities     *-**6,255* *-200,799* *-196,807*  
Cash (used in)/provided by financing activities     *705,914* *780,826* *760,941*  
Purchase of property, plant and equipment     *-**5,854* *-29,491* *-25,044*                
Free cash flow (3)     *-**9**29,585* *-441,119* *-713,760*  
*OTHER* * *     *September 30, 2021* *September 30, 2020* *December 31, 2020*  
Share price (DKK)       *185.*** *2**41**.**6*** *220.60*  
Market capitalization (MDKK) (4)     *7,**9**11* *9**,**588* *8,464*  
Equity per share (DKK) (5)     *27.**73* *40.06* *32.04*  
Average number of employees       *34**5* *322* *297*  
Number of full-time employees at the end of the period   *3**46* *329* *329*  

Notes:

* The acquisition of the business from Valeritas is only reflected in key figures covering the period since April 2, 2020 being the acquisition date.
(1) Zealand expects to be eligible to receive up to DKK 5.5 million in Danish corporate tax benefit related to R&D expenses incurred for 2021, of which DKK 4.1 million has been recognized for the period ended September 30, 2021, which is setoff against expected tax expense in the US.
(2) Equity ratio is calculated as equity at the balance sheet date divided by total assets at the balance sheet date.

(3) Free cash flow is calculated as the sum of cash flows from operating activities and purchase of property, plant and equipment.
(4) Market capitalization is calculated as weighted outstanding shares at the balance sheet date times the share price at the balance sheet date.
(5) Equity per share is calculated as shareholders' equity divided by weighted total number of ordinary shares less weighted treasury shares.*Financial review*

The condensed interim financial statements are prepared in accordance with IAS 34 Interim Financial Reporting, as issued by the International Accounting Standards Board (IASB) and as adopted by the EU, and additional requirements of the Danish Financial Statements Act. The interim condensed consolidated financial statements are presented in DKK, which is also the functional currency of Zealand Pharma A/S (“the Company” or “the Group”).

Comparative figures for the corresponding period in 2020 are shown in brackets except for the financial position, which expresses the comparative figures as of December 31, 2020.

Financial results

Revenue

*DKK thousand* *Q1-Q3 2021 * *Q1-Q3 2020 * *∆* *∆** in percent*
Sale of goods 143,348 103,968 39,380 38%
License and milestone revenue 95,204 185,990 -90,786 -49%
*Total revenue* *238,552* *289,958* *-**51,406* *-**18**%*

Increase in revenue from the sale of goods is primarily attributable to the sales of V-Go and Zegalogue in 2021. Zegalogue became commercially available in June of 2021 and did not have any product revenue prior to that date. The product revenue from sale of goods of DKK 104.0 million in the table above is driven by activity for the six-month period April 2,2020 to September 30, 2020, following the Valeritas acquisition on April 2, 2020.

The decrease in license and milestone revenue is mainly due to a milestone payment of DKK 149.1 million triggered and recognized as revenue in June 2020 from our partnership agreement with Boehringer Ingelheim.

For further please see note 1.

Gross margin

*DKK thousand* *Q1-Q3 2021 * *Q1-Q3 2020 * *∆* *∆ **in percent*
*Gross margin* *14**3,577* *227,661* *-**84,084* *-**3**7**%*

The decrease in gross margin is primarily due to the milestone payment of DKK 149.1 million triggered and recognized as revenue in June 2020 from our partnership agreement with Boehringer Ingelheim. This is partially offset by the increase in product revenue in the first nine months of 2021 related to the sales of Zegalogue and V-Go.

Research and development expenses*DKK thousand* *Q1-Q3 2021 * *Q1-Q3 2020 * *∆* *∆ **in percent*
*Research and development expenses* *42**6,265* *430,991* *-**4,726* *-1**%*

Research and development expenses are primarily related to activities with our late-stage clinical programs for dasiglucagon and glepaglutide. Expenses are relatively flat between the periods.

Sales and marketing expenses*DKK thousand* *Q1-Q3 2021 * *Q1-Q3 2020 * *∆* *∆ **in percent*
*Sales and marketing expenses* *281,687* *172,282* *109,405* *64**%*

The increase in sales and marketing expenses is related to efforts for the Zegalogue launch as well as continued commercial support for the V-Go wearable insulin delivery device. The sales and marketing expenses of DKK 172.3 million in the table above are driven by activity for the six-month period April 2, 2020 to September 30, 2020, following the Valeritas acquisition on April 2, 2020.

Administrative expenses*DKK thousand* *Q1-Q3 2021 * *Q1-Q3 2020 * *∆* *∆** in percent*
*Administrative expenses* *1**98,256* *111,232* *8**7,024* *7**8**%*

The increase in administrative expenses is costs related to the buildup and operations of the US subsidiary, which supports the commercial infrastructure as well as general and administrative purposes. Substantial US operations were acquired in April 2020 following the close of the Valeritas asset purchase agreement.

Operating result*DKK thousand* *Q1-Q3 2021 * *Q1-Q3 2020 * *∆* *∆** in percent*
*Operating result* *-7**62,623* *-449,120* *-**3**13,503* *-**70**%*

The operating result reflects gross margin, research and development expenses, sales and marketing and administrative expenses, as discussed above.

Net financial items*DKK thousand* *Q1-Q3 2021 * *Q1-Q3 2020 * *∆* *∆** in percent*
*Net financial items* *21,520* *-18,74**9* *40,269* *215**%*

Financial income and financial expenses, which we refer to collectively as net financial items, consist of interest income and expense, fair market value adjustments, banking fees and impact from adjustments related to foreign exchange rates.

The positive development from 2020 to 2021 is mainly related to the development in the DKK/USD exchange rate.

Result before tax*DKK thousand* *Q1-Q3 2021 * *Q1-Q3 2020 * *∆* *∆** in percent*
*Result before tax* *-**741,103* *-467,869* *-**273,234* *-**58**%*

Result before tax reflects the operating result and net financial items, as discussed above.

Income tax*DKK thousand* *Q1-Q3 2021 * *Q1-Q3 2020 * *∆* *∆** in percent*
*Income tax* *3,216* *1,686* *1,530* *91**%*

The net income tax (income) is mainly impacted by the tax deduction in Denmark, a prior period correction offset by tax expenses in US.

No deferred tax asset regarding the Danish parent company has been recognized in the statement of financial position due to uncertainty as to whether tax losses carried forward can be utilized within the near term.

Net result*DKK thousand* *Q1-Q3 2021 * *Q1-Q3 2020 * *∆* *∆** in percent*
*Net result* *-**73**7**,**887* *-466,183* *-2**71,704* *-**5**8**%*

The decrease in the net result is primarily a result of increased sales and marketing and administrative expenses. The expense increase is due to the first nine months of 2020 only having commercial infrastructure effective April 2020 following the Valeritas asset purchase agreement and the company’s commercially launch of Zegalogue in June of 2021. In addition, there was a one-time milestone of DKK 149.1 million triggered in June 2020 from our partnership agreement with Boehringer Ingelheim.

*
*

*Liquidity and capital resources*

Equity

*DKK thousand* *September 30,*
*2021* *December 31, *
*2020* *∆* *∆ **in*
* percent*
*Equity* *1,**18**5,746* *1,**229**,**311* *-**43,565* *-**4**%*
*Equity ratio* *7**1**%* *7****%* *N/A* *N/A*

Equity ratio is calculated as equity at the balance sheet date divided by total assets at the balance sheet date. The increase in equity was mainly driven by a capital increase in January 2021 amounting to DKK 748.9 million offset by the loss for the period.

Cash, cash equivalents and Marketable securities

*DKK thousand* *September 30,*
*2021* *December 31, *
*2020* *∆* *∆** in*
* percent*
*Cash, cash equivalents and*
*Marketable securities* *1,**048,978* *1,257,566* *-**208,588* *-17**%*

The increase was mainly driven by the capital increase in January 2021 amounting to DKK 748.9 million offset by cash spent in the period.

Cash flow

*DKK thousand* *Q1-Q3 **2021* *Q1-Q3 **2020* *∆* *∆** in*
* percent*
Cash used in operating activities *-**923,731* *-411,628* *-**512,103* *-12**4**%*
Cash used in investing activities *-**6,255* *-200,799* *194,544* *9**7**%*
Cash from financing activities *705,914* *780,826* *-**74,912* *-**1****%*
Net cash flow *-**929,585* *-441,119* *-**4**88,466* *-1**11**%*

The increase in cash used in operating activities from the same period in 2020 is mainly related to our sales and marketing and administrative expenses increasing as a result of the commercial activities and support for Zegalogue and the V-Go wearable insulin delivery device. In the first nine months of 2020 Zealand only had the sales and marketing expense and infrastructure effective April 2020 following the Valeritas asset purchase agreement.

Cash used in investing activities in the first nine months of 2021 related mainly to acquisition of tangible assets. The investing activities in the first nine months of 2020 are mainly related to the acquisition of Valeritas.

Cash from financing activities increased primarily because of the January 2021 financing with an aggregate gross amount of DKK 748.9 million. Cash from financing activities for the nine months ended September 30, 2020 was mainly related to June financing of gross DKK 657.7 million but also a private placement of gross DKK 137.2 million.

This interim report contains forward-looking statements, including forecasts of future expenses as well as expected business-related events. Such statements are subject to risks and uncertainties as various factors, some of which are beyond the control of Zealand, may cause actual results and performance to differ materially from the forecasts made in this interim report. Without being exhaustive, such factors include e.g. the impact of the global COVID-19 pandemic, interest rate and currency exchange rate fluctuations, delay or failure of clinical trials and other development activities, production problems, unexpected contract breaches or terminations, government-mandated or market-driven price decreases for Zealand's products, introduction of competing products, Zealand's ability to successfully market both new and existing products, exposure to product liability and other lawsuits, changes in reimbursement rules and governmental laws and related interpretation thereof, unexpected growth in costs and expenses, and Zealand’s ability to integrate businesses in varying geographies with different commercial and operating characteristics. In particular, the global COVID-19 pandemic could potentially materially adversely impact our business and financial performance, including the timing of our clinical trials, projected regulatory approval timelines, our supply chain and sales of our approved products, as well as our Financial Guidance for 2021 in this interim report, particularly because the COVID-19 pandemic continues to evolve, and its breadth and significance on our business and financial performance is uncertain. A more extensive description of risk factors can be found in the 2020 Annual Report under the section Risk management and internal control.

*Management’s statement on the interim report*

The Board of Directors and the Management have considered and adopted the interim report of Zealand Pharma A/S for the three- and nine-month periods ended September 30, 2021.

The condensed consolidated interim financial statements are prepared in accordance with IAS 34 Interim Financial Reporting, as issued by the International Accounting Standards Board (IASB) and as adopted by the EU, and additional requirements of the Danish Financial Statements Act. In our opinion, the interim report gives a true and fair view of the Group’s assets, equity and liabilities and financial position as of September 30, 2021 as well as of the results of the Group’s operations and cash flow for the period January 1 – September 30, 2021.

Moreover, in our opinion, the Management’s Review gives a true and fair view of the development in the Company’s operations and financial conditions, of the net result for the periods and the financial position while also describing the most significant risks and uncertainty factors that may affect the Group.

Copenhagen, November 11, 2021

*Management*

Emmanuel Dulac
President and
Chief Executive Officer Matthew Dallas
Senior Vice President and
Chief Financial Officer Adam Sinding Steensberg
Executive Vice President and
Chief Medical Officer

*Board of Directors*

Alf Gunnar Martin Nicklasson
Chairman Kirsten Aarup Drejer
Vice Chairman Jeffrey Berkowitz
Board member    
Bernadette Mary Connaughton
Board member Leonard Kruimer
Board member Alain Munoz
Board member    
Michael John Owen
Board member Anneline Nansen
Board member
Employee elected Iben Louise Gjelstrup
Board member
Employee elected    
Jens Peter Stenvang
Board member
Employee elected Nikolaj Frederik Beck
Board member
Employee elected  

*
*

*Independent **auditor’s** report*

*To the shareholders of **Zealand Pharma A/S*

We have reviewed the interim condensed consolidated financial statements of Zealand Pharma A/S for the three- and nine-month periods ended September 30, 2021, which comprise a condensed consolidated income statement and statement of comprehensive income for the three and nine-month periods ended September 30, 2021, statement of financial position at September 30, 2021, and statement of changes in equity and statement of cash flow, for the nine-month period ended September 30, 2021, and notes. The interim condensed consolidated financial statements are prepared in accordance with IAS 34 Interim Financial Reporting, as issued by the International Accounting Standards Board (IASB) and as adopted by the EU, and additional requirements of the Danish Financial Statements Act.

*Management's responsibilities for the interim **condensed **consolidated** financial statements*
Management is responsible for the preparation of interim condensed consolidated financial statements in accordance with IAS 34 Interim Financial Reporting, as issued by the International Accounting Standards Board (IASB) and as adopted by the EU, and additional requirements of the Danish Financial Statements Act and for such internal control as Management determines is necessary to enable the preparation of interim condensed consolidated financial statements that are free from material misstatement, whether due to fraud or error.

*Auditor's responsibilities*
Our responsibility is to express a conclusion on the interim condensed consolidated financial statements. We conducted our review in accordance with the International Standard on Review of Interim Financial Information Performed by the Independent Auditor of the Entity and additional requirements applicable in Denmark.

This requires us to conclude whether anything has come to our attention that causes us to believe that the interim condensed consolidated financial statements, taken as a whole, are not prepared, in all material respects, in accordance with IAS 34 Interim Financial Reporting, as issued by the International Accounting Standards Board (IASB) and as adopted by the EU, and additional requirements of the Danish Financial Statements Act. This standard also requires us to comply with ethical requirements.

A review of the interim condensed consolidated financial statements in accordance with the International Standard on Review of Interim Financial Information Performed by the Independent Auditor of the Entity is a limited assurance engagement. The auditor performs procedures primarily consisting of making enquiries of Management and others within the company, as appropriate, applying analytical procedures and evaluate the evidence obtained.

The procedures performed in a review are substantially less that those performed in an audit conducted in accordance with the International Standards on Auditing. Accordingly, we do not express an audit opinion on the interim condensed consolidated financial statements.

*Conclusion*

Based on our review, nothing has come to our attention that causes us to believe that these interim condensed consolidated financial statements are not prepared, in all material respects, in accordance with IAS 34 Interim Financial Reporting, as issued by the International Accounting Standards Board (IASB) and as adopted by the EU, and additional requirements of the Danish Financial Statements Act.

Copenhagen, November 11, 2021

*EY *
Godkendt Revisionspartnerselskab
CVR no. 30 70 02 28

Christian Schwenn Johansen
State Authorized Public Accountant
mne33234 Rasmus Bloch Jespersen
State Authorized Public Accountant
mne35503

*Interim condensed consolidated financial statements*

Interim condensed consolidated income statement for the three- and nine-month periods ended September 30, 2021 and 2020.
  *Reviewed*
*DKK thousand* *Note* *Q**3** 2021* *Q**3** 2020* *YTD** 2021* *YTD** 2020*          
Revenue 2 106,407 56,526 238,552 289,958
Cost of goods sold   -28,743 -34,271 -84,005 -62,297
Royalty expenses 3 70 -10,970
*Gross margin*   *77,734* *22,255* *14**3,577* *227,661*          
Research and development expenses 4 -141,298 -139,332 -426,265 -430,991
Sales and marketing expenses 4 -78,824 -97,429 -281,687 -172,282
Administrative expenses 4 -69,488 -40,567 -198,256 -111,232
*Total Operating expenses*   *-**289,610* *-277**,**328* *-**906,208* *-714,505*          
Other operating income 5 73 36,866 8 37,724
*Operating result*   *-**211,803* *-**2**18**,**207* *-**7**62,623* *-449,120*          
Financial income 6 18,548 3,799 29,456 900
Financial expenses 7 -2,477 -13,545 -7,936 -19,649
*Result before tax*   *-**195,732* *-227,953* *-**741,103* *-467,869*          
Income tax 8 -3,155 -621 3,216 1,686
*Net result for the period*   *-**19**8,887* *-228,574* *-**73**7,887* *-466,183*          
Earnings/loss per share – basic/diluted (DKK)

9 -4.61 -5.76 -17.26 -12.39

Interim condensed consolidated statement of comprehensive income (loss) for the three- and nine-month periods ended September 30, 2021 and 2020.
  *Reviewed*
*DKK thousand* *Note* *Q3 2021* *Q3 2020* *YTD 2021* *YTD 2020*          
*Net result for the period*   -198,887 -228,574 -737,887 -466,183
Adjustment of foreign currency fluctuations on subsidiaries   1,990 2,733 3,794 2,405
*Comprehensive result for the period*   *-**19**6,897* *-225,841* *-**73**4,093* *-463,777*

Interim condensed consolidated statements of cash flow for the nine month periods ended September 30, 2021 and 2020 and for the twelve month period ended December 31, 2020
  *Reviewed* *Audited*
*DKK thousand* *Note* *YTD 2021* *YTD 2020* *FY 2020*   * *    
Net result for the period   -737,887 -466,183 -846,729
Bargain purchase   -36,692 -36,395
Adjustments for other non-cash items   -20,463 87,607 143,138
Change in working capital   -96,219 43,133 97,818
Interest received   901 895
Interest paid   -5,347 -5,862 -4,562
Deferred revenue 2 -16,844 -34,532 -42,881
Income tax paid/received 8 -46,971
*Cash **used in** operating activities *   *-**9**23,731* *-411,628* *-688,716*        
Acquisition of Valeritas business, net of cash acquired   -167,725 -167,791
Change in deposits   -401 -3,583 -3,972
Purchase of property, plant and equipment 11 -5,854 -29,491 -25,044
*Cash **used in** investing activities*   *-**6,255* *-200,799* *-196,807*        
Proceeds from issuance of shares related to exercise of share-based compensation 19 21,149 38,832 41,363
Proceeds from issuance of shares 19 748,975 794,929 791,503
Costs related to issuance of shares   -46,894 -42,689 -42,706
Purchase of treasury shares   -28,595
Leasing liabilities 12 11,279 -10,246 -29,219
*Cash from financing activities*   *705,914* *780,826* *760,941*        
*Decrease/increase in cash and cash equivalents*   *-224,07**2* *168,399* *-124,582*
Cash and cash equivalents at beginning of period   960,221 1,081,060 1,081,060
Exchange rate adjustments   17,450 -17,775 3,743
*Cash and cash equivalents **at** end of period*   *753,599* *1,231,685* *960,221*

Interim condensed consolidated statements of financial position as of September 30, 2021 and December 31, 2020
  *Reviewed* *Audited*
*DKK thousand* *Note* *September** 30, 2021* *December 31, 2020*
*ASSETS*   * *  
*Non-current assets*   * *  
Intangible assets 10 54,710 57,485
Property, plant and equipment 11 83,308 85,040
Right-of-use assets 12 136,964 127,998
Deposits   17,051 16,650
Corporate tax receivable   1,268 1,268
Prepaid expenses   10,491 13,117
Deferred tax assets   8,344 8,370
Other investments 13 34,682 32,333
*Total non-current assets*   *34**6,818* *342,261*      
*Current assets*      
Inventories 14 116,359 65,040
Trade receivables 15 80,489 46,484
Prepaid expenses 16 30,469 35,156
Corporate tax receivable 8 25,442 5,500
Other receivables 17 12,144 9,942
Marketable securities 13 295,379 297,345
Cash and cash equivalents 18 753,599 960,221
*Total current assets*   *1,**3**13,881* *1,419,688*      
*Total assets*   *1,**6**60,699* *1,761,949 *      
*EQUITY AND LIABILITIES*      
Share capital 19 43,582 39,800
Share premium 20 4,157,533 3,470,787
Translation reserve   12,771 8,977
Accumulated loss   -3,028,140 -2,290,253
*Equity*   *1,**185,746* *1,229,311*      
Deferred revenue   19,525         44,587
Other liabilities   18,227 16,744
Lease liabilities 12 126,505 116,047
*Non-current liabilities*   *1**64,257* *177,378*      
Trade payables 21 54,908 70,384
Corporate tax payables   30,394
Lease liabilities 12 15,527 14,072
Deferred revenue   61,401 53,182
Discount and rebate liabilities   27,310 36,673
Other liabilities 22 151,550 150,555
*Current liabilities*   *310,69**6* *355,260*      
*Total liabilities* * * *474,95**3* *532,638 *
*Total equity and liabilities* * * *1,**66**0,699* *1,761,949*

Interim condensed consolidated statements of changes in equity for the nine-month period ended September 30, 2021 and 2020
  *Reviewed*
*DKK thousand* *Share* *Share* *Translation* *Retained*  
* * *capital* *premium* *reserve* *loss* *Total*
*Equity at January 1, 2020* *36,055* *2,650,142* ** *-1,443,524* *1,242,673*
Other comprehensive income for the period 2,405 2,405
Net loss for the period -466,183 -466,183
Share-based compensation 20,037 20,037
Capital increase, see note 19 3,724 830,037 833,761
Costs related to capital increases -42,689 -42,689
*Equity at September 30, 2020* *39,779* *3,457,526* *2,405* *-1,909,707* *1,590,003*
* * * * * *   * * * *
*Equity at January 1, 2021* *39,800* *3,470,787* *8,977* *-2,290,253* *1,229,311*
Other comprehensive income for the period 3,794 3,794
Net loss for the period -737,887 -737,887
Share-based compensation 37,492 37,492
Treasury shares, see note 20 -70,195 -70,195
Capital increase, see note 19 3,782 766,342 770,124
Costs related to capital increases -46,893 -46,893
*Equity at **September** 30, 2021* *43,582* *4,**157,53**3* *12,**771* *-3,02**8,140* *1,18**5,746*

*Note 1 - Basis of preparation and changes to the Group’s accounting policies*

Basis of preparation

The interim condensed consolidated financial statements of Zealand Pharma A/S have been prepared in accordance with IAS 34, Interim Financial Reporting, as issued by the International Accounting Standards Board (IASB) and as adopted by EU and additional requirements of the Danish Financial Statements Act. The interim condensed consolidated financial statements are presented in Danish kroner (DKK) which is also the functional currency of the parent company.

The accounting policies used in the interim condensed consolidated financial statements are consistent with those used in the Company’s annual financial statement for the year ended December 31, 2020.

New standards, interpretations and amendments adopted by the Group

A few amendments apply for the first time in 2021, but do not have an impact on the interim condensed consolidated financial statements of the Group.

Significant judgements and estimates

In the preparation of the interim condensed consolidated financial statements, the Company’s management (“Management”) makes several accounting estimates that form the basis for the presentation, recognition and measurement of the Company’s assets and liabilities.

In the application of the Company’s accounting policies, Management is required to make judgments, estimates and assumptions about the carrying amounts of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates. The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognized in the period in which the estimate is revised if the revision affects only that period, or in the period of the revision and future periods if the revision affects both current and future periods. The estimates used are based on assumptions assessed as reasonable by Management; however, estimates are inherently uncertain and unpredictable. The assumptions can be incomplete or inaccurate, and unexpected events or circumstances might occur. Furthermore, the Company is subject to risks and uncertainties that might result in deviations in actual results compared with estimates.

For further information regarding significant accounting estimates and judgments see note 1 in the Annual Report for 2020.

Information on COVID-19

Our business, operations and clinical studies were, of course, impacted by the effects of COVID-19. Although our clinical studies continued without interruption during 2021 and 2020, there were delays and increased total costs arising from the implications of COVID-19.

However, we have not recognized any write-offs, impairments of assets, or losses to onerous contracts due to COVID-19.

The COVID-19 pandemic is also having an effect on other aspects of our business, including: our third-party manufacturers, and other third parties; albeit with no material effect or impact. The COVID-19 pandemic may, in the long-term, affect the productivity of our staff; our ability to attract, integrate, manage and retain qualified personnel or key employees; our global supply chains and relationships with vendors and other parties; significant disruption of global financial markets; and reduced ability to secure additional funding. We continuously monitor the COVID-19 pandemic and its potential impact on our business and financials.

*Note 2 - Revenue*

Revenue can be specified as follows:

*DKK thousand* *Q**3** 2021* *Q**3** 2020* *Q1-Q3** 2021* *Q1-Q3 2020*        
Alexion Pharmaceuticals Inc. 6,497 10,645 16,844 36,870
Sanofi-Aventis Deutschland GmbH 30,669
Boehringer Ingelheim International GmbH 22,311 22,311 149,120
Protagonist Therapeutics Inc. 25,380 25,380
*Total license and milestone revenue* *54,188* *10,645* *95,204* *185,990*        
Total sale of goods revenue net 52,219 45,881 143,348 103,968
*Total revenue* *106,407* *56,526* *238,552* *289,958*        
Total revenue recognized over time 6,497 10,645 16,844 36,870
Total revenue recognized at a point in time 99,910 45,881 221,708 253,088

License revenue for the first nine months of 2021 of DKK 16.8 million is related to the research and development agreement with Alexion Pharmaceuticals entered into in March 2019. Under the agreement DKK 80.9 million is accounted for as deferred revenue as of September 30, 2021.License and milestone revenue for the first nine months of 2021 is DKK 95.2 million of which DKK 30.7 million is related to the Sanofi agreement. Zealand is still eligible for a payment from Sanofi of up to USD $10.0 million which is expected in 2022.

On August 4, 2021 Zealand Pharma and Protagonist Therapeutics Inc reached a mutually acceptable settlement of the proceedings and the agreement will continue between the parties on agreed terms. Protagonist paid the sum of USD 2.5 million as the first payment under the settlement agreement and will pay an additional payment of USD 1.5 million in 2022. The complete settlement of USD 4.0 million has been recognized as revenue in Q3 2021.

Sale of goods revenue for the first nine months of 2021 of DKK 138.9 million related to V-Go and DKK 4.4 million related to Zegalogue. The net sales comprise of gross sales of DKK 270.3 million and disco

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