2021.03.11
source:Neurelis, Inc.SAN
 DIEGO, CA – March 10, 2021 – Neurelis, Inc., announced today that it has closed a $114 million round of Series D 
preferred stock financing to support the commercialization of the 
company’s lead orphan drug product, VALTOCO® (diazepam nasal spray), and
 to continue the development and expansion of the company’s neuroscience
 pipeline.
 
“We are excited about the immediate and long-term future at 
Neurelis,” said Craig C. Chambliss, President and Chief Executive 
Officer of Neurelis. “We have been able to assemble an impressive 
leadership team with extensive experience in neurology that has enabled 
VALTOCO’s clinical development, regulatory success, and commercial 
launch in 2020. VALTOCO has become a trusted brand to people with 
epilepsy. This new financing helps us build on a successful foundation 
as we advance Neurelis as a best-in-class neuroscience company focused 
on epilepsy. We are grateful to our exceptional investors and look 
forward to bringing more innovative, life-changing products to the 
patients who need them.”
 
Chambliss noted that the planned financing was oversubscribed and 
that Neurelis is fortunate to see the major additions of Cormorant Asset
 Management and Decheng Capital join existing investors LYZZ Capital and
 HBM Healthcare Investments. Other investors were organized by Philos 
& Partners SA, a Swiss-based asset manager.
 
In conjunction with this financing, Chambliss announced that 
Alexander Kwit has been appointed to the company’s Board of Directors. 
Kwit is a private investor who previously held the position of Executive
 Vice President of Royalty Pharma, a publicly traded company that buys 
royalty interests in biopharmaceutical products. Kwit was the Executive 
Vice President and a Partner from August 2001 to January 2015 and a 
Senior Advisor from January 2015 to his retirement in January 2016. He 
was involved in negotiating the fund’s royalty transactions, structuring
 Royalty Pharma’s novel financing programs, and leading its equity 
offerings.
 
“We are very pleased to have someone with Alex’s background and 
experience join the Neurelis Board of Directors,” Chambliss said. “His 
involvement will be extremely valuable as we navigate our path forward 
and build on our success to date.”
 
About VALTOCO
VALTOCO is a proprietary formulation of diazepam incorporating the science of Intravail®.
 Intravail transmucosal absorption enhancement technology enables the 
noninvasive delivery of a broad range of protein, peptide, and 
small-molecule drugs. In its approval of VALTOCO, the U.S. Food and Drug
 Administration also granted Neurelis Orphan Drug Exclusivity and 
recognized VALTOCO’s intranasal route of administration as a clinically 
superior contribution to patient care over the previously approved 
standard-of-care treatment (a rectal gel formulation of diazepam). In a 
long-term, open-label, repeat-dose clinical trial, the safety of VALTOCO
 was evaluated and more than 4,000 seizures were treated. The clinical 
trial included adult and pediatric patients aged 6 and older. VALTOCO 
was generally safe and well tolerated during clinical studies. The most 
common adverse reactions for diazepam (at least 4%) were somnolence, 
headache, and nasal discomfort. For more information on VALTOCO, please 
visit www.valtoco.com.
 
About Neurelis
 
Neurelis,
 Inc., is an innovation-driven neuroscience company providing a highly 
differentiated approach to 
target unmet medical needs. Neurelis is focused on the development and 
commercialization of product candidates for epilepsy and the broader 
central nervous system (CNS) market. On January 10, 2020, the FDA 
approved Neurelis’ VALTOCO® (diazepam nasal spray) as an 
acute treatment of intermittent, stereotypic episodes of frequent 
seizure activity (ie, seizure clusters, acute repetitive seizures) that 
are distinct from an individual's usual seizure pattern in adult and 
pediatric patients 6 years of age and older. In addition to VALTOCO, the
 company is developing NRL-2 for intermittent use to control acute panic
 attacks, NRL-3 as a noninvasive acute therapy to stop seizures that 
have progressed to status epilepticus, and NRL-4 as a noninvasive rescue
 therapy to address the escalation of acute 
agitation symptoms associated with schizophrenia and bipolar 1 mania in 
adults. The Neurelis technology platform includes Intravail®, ProTek® 
and Hydrogel™, three proprietary, noninvasive drug-delivery and 
stabilization technologies applicable to a wide range of molecules, 
including therapeutic proteins, peptides, non-peptide macromolecules, 
and small molecules. For more information on Neurelis, please visit www.neurelis.com.
Important Safety Information about VALTOCO:
 
Indication
VALTOCO® (diazepam nasal spray) is indicated for the acute
 treatment of intermittent, stereotypic episodes of frequent seizure 
activity (ie, seizure clusters, acute repetitive seizures) that are 
distinct from a patient’s usual seizure pattern in patients with 
epilepsy 6 years of age and older.
 
IMPORTANT SAFETY INFORMATION
WARNING: RISKS FROM CONCOMITANT USE WITH OPIOIDS; ABUSE, MISUSE, AND ADDICTION; and DEPENDENCE AND WITHDRAWAL REACTIONS
● Concomitant use of benzodiazepines and opioids may result in profound sedation, respiratory depression, coma, and death. Reserve concomitant prescribing of these drugs for patients for whom alternative treatment options are inadequate. Limit dosages and durations to the minimum required. Follow patients for signs and symptoms of respiratory depression and sedation.
● The use of benzodiazepines, including VALTOCO, exposes users to risks of abuse, misuse, and addiction, which can lead to overdose or death. Abuse and misuse of benzodiazepines commonly involve concomitant use of other medications, alcohol, and/or illicit substances, which is associated with an increased frequency of serious adverse outcomes. Before prescribing VALTOCO and throughout treatment, assess each patient’s risk for abuse, misuse, and addiction.
● The continued use of benzodiazepines may lead to clinically significant physical dependence. The risks of dependence and withdrawal increase with longer treatment duration and higher daily dose. Although VALTOCO is indicated only for intermittent use, if used more frequently than recommended, abrupt discontinuation or rapid dosage reduction of VALTOCO may precipitate acute withdrawal reactions, which can be life-threatening. For patients using VALTOCO more frequently than recommended, to reduce the risk of withdrawal reactions, use a gradual taper to discontinue VALTOCO.
Contraindications: VALTOCO is contraindicated in patients with:
● Hypersensitivity to diazepam
● Acute narrow-angle glaucoma
Central Nervous System (CNS) Depression
Benzodiazepines, including VALTOCO, may produce CNS depression. Caution patients against engaging in hazardous activities requiring mental alertness, such as operating machinery, driving a motor vehicle, or riding a bicycle, until the effects of the drug, such as drowsiness, have subsided, and as their medical condition permits.
 
The potential for a synergistic CNS-depressant effect when VALTOCO is
 used with alcohol or other CNS depressants must be considered, and 
appropriate recommendations made to the patient and/or care partner.
 
Suicidal Behavior and Ideation
Antiepileptic drugs (AEDs), including VALTOCO, increase the risk of 
suicidal ideation and behavior. Patients treated with any AED for any 
indication should be monitored for the emergence or worsening of 
depression, suicidal thoughts or behavior, and/or unusual changes in 
mood or behavior.
 
Glaucoma
Benzodiazepines, including VALTOCO, can increase intraocular pressure
 in patients with glaucoma. VALTOCO may only be used in patients with 
open-angle glaucoma only if they are receiving appropriate therapy. 
VALTOCO is contraindicated in patients with narrow-angle glaucoma.
 
Risk of Serious Adverse Reactions in Infants due to Benzyl Alcohol Preservative
VALTOCO is not approved for use in neonates or infants. Serious and 
fatal adverse reactions, including “gasping syndrome”, can occur in 
neonates and low-birth-weight infants treated with benzyl 
alcohol-preserved drugs, including VALTOCO. The “gasping syndrome” is 
characterized by central nervous system depression, metabolic acidosis, 
and gasping respirations. The minimum amount of benzyl alcohol at which 
serious adverse reactions may occur is not known.
 
Adverse Reactions
The most common adverse reactions (at least 4%) were somnolence, headache, and nasal discomfort.
Diazepam, the active ingredient in VALTOCO, is a Schedule IV controlled substance.