Akero Therapeutics Reports Fourth Quarter and Full Year 2023 Financial Results and Provides Business Update
Akero Therapeutics, Inc. reported Q4 and full year financial results for 2023, with significant updates on their Phase 3 SYNCHRONY program and Phase 2b SYMMETRY study. They initiated two Phase 3 studies and reported promising results in the Phase 2b study. Financially, Akero's cash reserves are strong, supporting operations until 2026.
Positive
Akero dosed the first patients in their Phase 3 SYNCHRONY studies for pre-cirrhotic MASH.
The SYNCHRONY program includes three clinical trials evaluating EFX in patients with MASH.
Results from the Phase 2b SYMMETRY study showed positive trends in liver fibrosis improvement and MASH resolution.
Patients will self-administer EFX using an optimized formulation in Phase 3 studies.
Akero's cash reserves of $569.3 million are expected to fund operations until 2026.
Negative
The Phase 2b SYMMETRY study did not show statistically significant results for the primary endpoint.
Operating expenses for research and development and general administration have significantly increased compared to the previous year.
The financial results reported by Akero Therapeutics, Inc. indicate a substantial increase in research and development expenses, which have grown from $85.3 million in the previous year to $141.8 million in the current year. This uptick reflects the company's aggressive investment in its clinical programs, particularly the Phase 2b HARMONY and SYMMETRY studies, as well as the initiation of the Phase 3 SYNCHRONY studies. The financial commitment to these programs is a strategic move aimed at advancing the company's pipeline and potentially securing a competitive position in the metabolic disease treatment market.
From an investor's perspective, the company's cash reserves of $569.3 million, deemed sufficient to fund operations into 2026, provide a cushion against immediate dilution risk. However, the increased burn rate, as evidenced by the spike in operating expenses, may raise concerns about future capital raises, especially if the clinical trials do not yield the expected results or face regulatory hurdles. The market's response to these financials will likely hinge on the progress and outcomes of the ongoing clinical studies, which are crucial for the company's growth trajectory and future revenue streams.
The Phase 3 SYNCHRONY studies and the Phase 2b SYMMETRY study by Akero Therapeutics focus on efruxifermin (EFX) for the treatment of pre-cirrhotic and cirrhotic MASH, a subset of nonalcoholic steatohepatitis (NASH) with high unmet medical need. The primary endpoints of these studies, including fibrosis improvement and MASH resolution, are critical for obtaining accelerated and full marketing approvals. The reported trend in improvement of liver fibrosis and significant rates of MASH resolution, though not universally statistically significant, suggest a potential therapeutic benefit of EFX.
For stakeholders, the promising results in non-invasive markers and the tolerability profile of EFX could signify a breakthrough in a disease area that currently lacks FDA-approved treatments. However, the long-term efficacy and safety, as well as the market acceptance of the LyoJect 3S syringe, remain to be seen. The anticipation of topline results in 2025 will be a significant milestone, potentially impacting the company's valuation and strategic partnerships.
The metabolic disease therapeutic area, particularly NASH, represents a market with a significant growth opportunity due to the rising prevalence of obesity and diabetes. Akero's focus on both pre-cirrhotic and cirrhotic MASH positions the company to address a broad spectrum of this disease. The use of the LyoJect 3S syringe for self-administration could be a differentiator in the market, offering convenience to patients and potentially improving compliance with treatment regimens.
However, the competitive landscape includes several other companies also developing NASH treatments, which could affect Akero's market share and pricing power upon successful commercialization. The investment community will closely watch the progression of Akero's clinical trials and the company's ability to navigate the regulatory environment, as these factors will significantly influence Akero's market potential and investor sentiment.
02/29/2024 - 07:00 AM
SOUTH SAN FRANCISCO, Calif., Feb. 29, 2024 (GLOBE NEWSWIRE) -- Akero Therapeutics, Inc. (Nasdaq: AKRO), a clinical-stage company developing transformational treatments for patients with serious metabolic diseases marked by high unmet medical need, today reported fourth quarter and full year financial results for the period ending December 31, 2023.
“We concluded 2023 by dosing the first patients in our two Phase 3 SYNCHRONY studies evaluating EFX in the treatment of patients with pre-cirrhotic MASH,” said Andrew Cheng, M.D., Ph.D., president and chief executive officer of Akero. “In the first half of 2024, we look forward to reporting results from the second on-treatment biopsy in our 96-week Phase 2b HARMONY study in patients with pre-cirrhotic MASH and initiating our third Phase 3 SYNCHRONY study in patients with cirrhosis due to MASH.”
Phase 3 SYNCHRONY Program Update
In December 2023 the first patients were enrolled in two of three planned clinical trials comprising the Phase 3 SYNCHRONY program. SYNCHRONY Histology is evaluating the safety and efficacy of 28 and 50mg doses of efruxifermin (EFX) in patients with biopsy confirmed pre-cirrhotic MASH (F2-F3). The primary endpoint, ≥1-stage fibrosis improvement and resolution of MASH after 52 weeks, is designed to support an application for accelerated approval for pre-cirrhotic MASH. Additional patients will be enrolled and followed for long-term clinical outcomes to support an application for full marketing approval. SYNCHRONY Real-World is assessing the safety and tolerability of EFX in patients with non-invasively diagnosed MASH or metabolic dysfunction-associated steatotic liver disease (MASLD). Results will support evaluation of safety for inclusion in an application for accelerated approval. SYNCHRONY Outcomes , which is expected to be initiated in the first half of 2024, will evaluate the safety and efficacy of EFX in patients with compensated cirrhosis (F4) due to MASH. Consistent with feedback from the FDA in a recent Type B meeting, the trial is likely to include two primary endpoints: (1) evaluation of histology from a cohort of patients who will be biopsied after 96 weeks of treatment to assess the extent of regression of hepatic fibrosis and (2) assessment of clinical outcomes to support an application for full marketing approval. In all EFX Phase 3 studies, patients will self-administer EFX using the LyoJect 3S dual chamber syringe, a pre-filled device intended for commercial use in the event EFX is approved for marketing. This optimized formulation delivers blood levels of EFX comparable to those of the liquid formulation used in prior clinical studies. Phase 2b SYMMETRY Week 36 Results and Study Update
In the fourth quarter of 2023, Akero reported results for the week 36 analysis of the Phase 2b SYMMETRY study in patients with cirrhosis due to MASH. A trend, which was not statistically significant, was observed for the primary endpoint, with 22% and 24% of the 28mg and 50mg EFX-treated groups, respectively, experiencing at least a one-stage improvement in liver fibrosis and no worsening of MASH, compared with 14% for placebo. Statistically significant rates of MASH resolution in 67% and 60% of patients at week 36 were observed for the 28mg and 50mg EFX-treated groups, respectively, compared with 26% for placebo. Statistically significant improvements were also observed for both EFX groups in non-invasive markers of liver injury and fibrosis, insulin sensitization and lipoproteins. EFX was reported to be generally well-tolerated. Overall, the most frequent adverse events were transient, gastrointestinal grade 1 or 2 events. Preliminary, topline results for histopathology and noninvasive measurements after 96 weeks of treatment in the SYMMETRY study are expected to be reported in the first quarter of 2025. Full Year and Fourth Quarter 2023 Financial Results
Akero's cash, cash equivalents, short-term and long-term marketable securities for the year ended December 31, 2023 were $569.3 million . Akero believes that its cash, cash equivalents, short-term and long-term marketable securities will be sufficient to fund its current operating plan into 2026. Research and development expenses for the three-month and twelve-month periods ended December 31, 2023 were $53.4 million and $141.8 million , respectively, compared to $18.3 million and $85.3 million for the comparable periods in 2022. These increases are attributable to higher expenses associated with the ongoing Phase 2b HARMONY and SYMMETRY studies, initiation of the Phase 3 SYNCHRONY Histology and SYNCHRONY Real-World studies, manufacturing required to support Phase 3 and potential marketing applications, as well as higher expenses for personnel. General and administrative expenses for the three-month and twelve-month periods ended December 31, 2023 were $8.5 million and $31.1 million , respectively, compared to $7.1 million and $29.9 million for the comparable periods in 2022. These increases are attributable to higher expenses for personnel, and professional services and other costs associated with operating as a public company. Total operating expenses were $61.9 million and $172.9 million for the three-month and twelve-month periods ended December 31, 2023, respectively, compared to $25.4 million and $115.2 million for the comparable periods in 2022. About Efruxifermin
About MASH 20% of patients with MASH will progress to cirrhosis, which has a higher risk of mortality. There are no approved treatments for the condition and MASH is the fastest growing cause of liver transplants and liver cancer in the US and Europe.
About Akero Therapeutics Histology study in patients with pre-cirrhotic MASH (F2-F3 fibrosis) and the SYNCHRONY Real-World study in patients with MASH or MASLD. A third clinical trial, the SYNCHRONY Outcomes study in patients with cirrhosis due to MASH, is expected to be initiated in the first half of 2024. The Phase 3 SYNCHRONY program builds on the results of two Phase 2b clinical trials, the HARMONY study in patients with pre-cirrhotic MASH and the SYMMETRY study in patients with cirrhosis due to MASH. Akero is headquartered in South San Francisco. Visit us at akerotx.com and follow us on LinkedIn and Twitter for more information.
Forward Looking Statements Histology, SYNCHRONY Real-World, and SYNCHRONY Outcomes studies; and plans related to use of a new formulation designed for self-administration in Phase 3 clinical trials. Any forward-looking statements in this press release are based on management's current expectations of future events and are subject to a number of risks and uncertainties that could cause actual results to differ materially and adversely from those set forth in or implied by such forward-looking statements. Risks that contribute to the uncertain nature of the forward-looking statements include: the success, cost, and timing of Akero’s product candidate development activities and planned clinical trials; Akero’s ability to execute on its strategy; positive results from any of its clinical studies may not necessarily be predictive of the results of future or ongoing clinical studies; regulatory developments in the United States and foreign countries; Akero’s ability to fund operations; Akero’s ability to fully enroll patients in its SYNCHRONY Phase 3 studies including the SYNCHRONY Histology , SYNCHRONY Real-World , and SYNCHRONY Outcomes studies; as well as those risks and uncertainties set forth more fully under the caption "Risk Factors'' in Akero’s most recent Annual Report on Form 10-K and Quarterly Report on Form 10-Q, as filed with the Securities and Exchange Commission (SEC) as well as discussions of potential risks, uncertainties and other important factors in Akero’s other filings and reports with the SEC. All forward-looking statements contained in this press release speak only as of the date on which they were made. Akero undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date on which they were made.
Investor Contact: IR@akerotx.com
Media Contact: sarah.oconnell@vergescientific.com
Akero Therapeutics, Inc. Condensed Consolidated Balance Sheets (Unaudited) (In thousands) December 31, 2023 December 31, 2022 Assets Cash, cash equivalents and short-term marketable securities $ 550,010 $ 351,449 Other current assets 9,952 3,724 Non-current assets 20,309 1,397 Total assets $ 580,271 $ 356,570 Liabilities and Stockholders’ Equity Current liabilities $ 19,128 $ 19,083 Non-current liabilities 25,837 10,925 Stockholders’ equity 535,306 326,562 Total liabilities and stockholders’ equity $ 580,271 $ 356,570 Akero Therapeutics, Inc. Condensed Consolidated Statements of Operations and Comprehensive Loss (Unaudited) (In thousands, except share and per share amounts) Three Months Ended December 31, Year Ended December 31, 2023 2022 2023 2022 Operating expenses: Research and development $ 53,392 $ 18,320 $ 141,798 $ 85,284 General and administrative 8,481 7,100 31,072 29,872 Total operating expenses 61,873 25,420 172,870 115,156 Loss from operations (61,873 ) (25,420 ) (172,870 ) (115,156 ) Interest expense (897 ) (362 ) (3,099 ) (739 ) Other income, net 7,584 2,723 24,210 3,862 Net loss $ (55,186 ) $ (23,059 ) $ (151,759 ) $ (112,033 ) Comprehensive loss $ (54,410 ) $ (23,022 ) $ (151,526 ) $ (111,969 ) Net loss per common share, basic and diluted $ (0.99 ) $ (0.49 ) $ (2.89 ) $ (2.87 ) Weighted-average number of shares used in computing net loss per common share, basic and diluted 55,717,726 46,760,783 52,568,159 38,984,772
What updates did Akero provide for their Phase 3 SYNCHRONY program?
Akero initiated two Phase 3 SYNCHRONY studies for pre-cirrhotic MASH.
What were the results of the Phase 2b SYMMETRY study for patients with cirrhosis due to MASH?
Positive trends were observed in liver fibrosis improvement and MASH resolution in the Phase 2b SYMMETRY study.
How will patients administer EFX in Phase 3 studies?
Patients will self-administer EFX using an optimized formulation in Phase 3 studies.
What are Akero's cash reserves for the year ended December 31, 2023?
Akero's cash reserves were $569.3 million, expected to fund operations until 2026.
What were the operating expenses for research and development in the fourth quarter of 2023?
Research and development expenses were $53.4 million for the three-month period ended December 31, 2023.
Why did general and administrative expenses increase in 2023 compared to 2022?
General and administrative expenses increased due to higher personnel costs and professional services associated with operating as a public company.
