G1 Therapeutics Provides First Quarter 2024 Financial Results and Operational Highlights

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G1 Therapeutics reported $14.1 million in net revenue from sales of COSELA for Q1 2024, reaffirming $60-$70 million guidance for 2024. They announced updated efficacy results and final analysis from key trials. Cash runway extends to Q3 2025.

The financial results for Q1 2024 showed total revenue of $14.5 million, including $14.1 million from COSELA sales. Operating expenses decreased compared to Q1 2023. G1 reaffirmed its 2024 financial guidance of $60-$70 million in COSELA net revenue.

Positive

• Achieved $14.1 million in net COSELA revenue for Q1 2024, with vial volume growing by four percent over the prior quarter.

• Extended cash runway into Q3 2025 with $65.2 million in cash, cash equivalents, and marketable securities as of March 31, 2024.

• Updated efficacy results from Phase 2 trial of Trilaciclib in combination with an ADC accepted for poster presentation at 2024 ASCO Annual Meeting, showing promising clinical improvements in overall survival.

Negative

• The net loss for Q1 2024 was $10.2 million, with a basic and diluted net loss per share of $(0.20).

• Operating expenses for Q1 2024 were $23.5 million, compared to $38.7 million for Q1 2023, indicating a decrease but still significant costs to manage.

Financial Analyst

G1 Therapeutics' recent announcement indicates a notable year-on-year increase in net revenue from COSELA sales, up to $14.1 million in Q1 2024 from the previous year's figure. This revenue growth aligns with the company's reaffirmed guidance of $60 to $70 million for the full year, suggesting a solid commercial trajectory for COSELA. The financials also reveal a substantial decrease in operating expenses, primarily within R&D and SG&A sectors, which can be attributed to cost optimization strategies. This is highlighted by a nearly 50% reduction in net loss year-over-year. For investors, these figures are a positive signal, reflecting both increased revenue and controlled expenses. However, it's important for investors to monitor the company's next moves, especially concerning the anticipated clinical readouts and potential sNDA submission, which could significantly influence the stock's performance.

Pharmaceutical Market Analyst

The clinical progress announced by G1 Therapeutics, particularly the upcoming presentation of updated efficacy results from the Phase 2 trial of Trilaciclib in combination with a TROP2 ADC at the esteemed ASCO meeting and the pending final analysis of the Phase 3 PRESERVE 2 trial in 1L mTNBC, hold promise for the company's portfolio expansion. Positive outcomes from these trials could not only strengthen the value proposition for Trilaciclib but also expand its market potential in oncology therapeutics. Investors should keep an eye on these developments, as they can be inflection points for the company's growth and could attract institutional interest. From a market expansion perspective, the license agreement with Pepper Bio potentially diversifies G1's revenue streams and may offset R&D costs with upfront payments and royalties. The long-term financial health of the company seems to be strategically addressed with the cash runway extending into Q3 2025, providing G1 with a buffer to execute on its clinical and commercial plans without immediate pressure for additional capital.

- Achieved $14.1 Million in Net Revenue from Sales of COSELA® (trilaciclib) for First Quarter 2024 -

- Reaffirmed 2024 Net COSELA Revenue Guidance of $60 to $70 Million -

- Announced That Updated Efficacy Results from Phase 2 Trial of Trilaciclib in Combination with a TROP2 Antibody-Drug Conjugate (ADC) Will Be Presented at the 2024 American Society of Clinical Oncology (ASCO) Annual Meeting -

- Announced That Final Analysis of Phase 3 PRESERVE 2 Trial Evaluating Overall Survival in 1L Metastatic Triple Negative Breast Cancer (mTNBC) Is Expected to Occur in Late Second Quarter of 2024 -

- Cash Runway Expected to Extend into the Third Quarter of 2025 -

- Management to Host Webcast and Conference Call today at 8:30 AM ET -

RESEARCH TRIANGLE PARK, N.C., May 01, 2024 (GLOBE NEWSWIRE) -- G1 Therapeutics, Inc. (Nasdaq: GTHX), a commercial-stage oncology company, today provided a corporate and financial update for the first quarter ended March 31, 2024.

“Our focus for 2024 is on developing trilaciclib toward potential category leadership in triple negative breast cancer and maximizing the uptake of COSELA in its first indication in extensive stage small cell lung cancer; we've made progress on both in the first four months of the year,” said Jack Bailey, Chief Executive Officer of G1 Therapeutics. “Regarding our clinical progress, we have two important readouts later this year, the first of which is an ASCO poster presentation in early June on the mature results from our Phase 2 trial of trilaciclib in combination with a TROP2 ADC. This will be followed by the readout of our Phase 3 PRESERVE 2 1L mTNBC trial late in the second quarter of this year. Regarding COSELA for extensive stage small cell lung cancer, we remain confident in our annual net sales guidance of $60 to $70 million."

First Quarter 2024 and Recent Highlights

Financial

• Recognized $14.1 Million in Net COSELA Revenue: Vial volume grew four percent in the first quarter of 2024 over the prior quarter.
  
  
• Cash Runway Extends into the Third Quarter of 2025: G1 ended the first quarter of 2024 with cash, cash equivalents, and marketable securities of $65.2 million.
  

Clinical

• Updated Efficacy Results from Phase 2 Trial of Trilaciclib in Combination with an ADC Accepted for Poster Presentation at the 2024 ASCO Annual Meeting: In January 2024, the Company provided preliminary data from this Phase 2 trial in combination with the TROP2 ADC sacituzumab govitecan (SG) in patients with mTNBC suggesting clinically meaningful improvements in overall survival among patients receiving trilaciclib with SG compared to SG alone using historical data from the ASCENT study. Updated efficacy results will be presented in a poster at the 2024 ASCO Meeting, which is being held from May 31 to June 4, 2024.
  
  
• Final Analysis of the Phase 3 PRESERVE 2 Trial in 1L mTNBC is Estimated to Occur in Late Second Quarter 2024: The final analysis will be conducted on the intent-to-treat (ITT) population, which includes the survival events from patients enrolled in the Ukraine. Based on recent interactions with the U.S. Food and Drug Administration regarding the inclusion of these events, the final analysis is now expected late in the second quarter of 2024. If the pivotal results are positive, the Company will engage the U.S. Food and Drug Administration ahead of a supplemental New Drug Application (sNDA) filing for this indication.
  

Corporate

• Announced License Agreement for Lerociclib with Pepper Bio, Inc. (“Pepper Bio”): Pepper Bio will gain exclusive rights to develop, manufacture, and commercialize lerociclib for all indications except for certain radioprotectant uses in the US, Europe, Japan, and all other global markets, excluding the Asia-Pacific region. Under the terms of the agreement, G1 is expected to receive upfront payments totaling mid-single digit millions within 12 months and is eligible to receive a maximum of $135M upon achievement of development and commercial milestones in up to three indications. In addition, Pepper Bio will pay G1 a double-digit royalty on aggregate annual net sales of lerociclib. (See May 1, 2024 press release here)
  

First Quarter 2024 Financial Results

As of March 31, 2024, cash, cash equivalents and marketable securities totaled $65.2 million, compared to $82.2 million as of December 31, 2023. The Company believes that its current cash runway is sufficient to fund its operations into the third quarter of 2025.

Total revenues for the first quarter of 2024 were $14.5 million, including $14.1 million in net product sales of COSELA and license revenue of $0.4 million, related to patent and clinical trial costs reimbursed by EQRx, Simcere, and Genor, compared to $12.9 million in total revenues in the first quarter of 2023.

Operating expenses for the first quarter of 2024 were $23.5 million, compared to $38.7 million for the first quarter of 2023. GAAP operating expenses include stock-based compensation expense of $2.5 million for the first quarter of 2024, compared to $3.8 million for the first quarter of 2023.

Cost of goods sold expense for the first quarter of 2024 was $1.1 million, compared to $1.5 million for the first quarter of 2023, the decrease was primarily due to a cancellation fee recognized during the quarter ended March 31, 2023.

Research and development (R&D) expenses for the first quarter of 2024 were $7.3 million, compared to $15.5 million for the first quarter of 2023. The decrease in R&D expenses was primarily due to a decrease in the Company's clinical program costs.

Selling, general, and administrative (SG&A) expenses for the first quarter of 2024 were $15.1 million, compared to $21.8 million for the first quarter of 2023. The decrease in SG&A expenses was primarily due to decreases in personnel costs, commercialization activities, and medical affairs.

The net loss for the first quarter of 2024 was $10.2 million, compared to $27.6 million for the first quarter of 2023. The basic and diluted net loss per share for the first quarter of 2024 was $(0.20), compared to $(0.53) for the first quarter of 2023.

2024 Financial Guidance

G1 today reaffirmed its full year 2024 financial guidance. The Company expects to generate between $60 million and $70 million in COSELA net revenue in 2024. G1's product revenue guidance is based on expectations for continued acceleration of sales performance of COSELA in the U.S. Additionally, the Company believes that its current cash runway is sufficient to fund its operations into the third quarter of 2025.

Webcast and Conference Call

G1 will host a webcast and conference call at 8:30 a.m. ET today to provide a corporate and financial update for the first quarter ended March 31, 2024.

Please note the following process to access the call via telephone: To register and receive a dial in number and unique PIN to access the live conference call, please follow this link to register online. While not required, it is recommended to join 10 minutes prior to the start of the event. A live and archived webcast will be available on the Events & Presentations page of the Company’s website: www.g1therapeutics.com. The webcast will be archived on the same page for 90 days following the event.

About COSELA^® (trilaciclib) for Injection  

COSELA (trilaciclib) was approved by the U.S. Food and Drug Administration on February 12, 2021.  

Indication

COSELA^® (trilaciclib) is indicated to decrease the incidence of chemotherapy-induced myelosuppression in adult patients when administered prior to a platinum/etoposide-containing regimen or topotecan-containing regimen for extensive-stage small cell lung cancer.

Important Safety Information

COSELA is contraindicated in patients with a history of serious hypersensitivity reactions to trilaciclib.

Warnings and precautions include injection-site reactions (including phlebitis and thrombophlebitis), acute drug hypersensitivity reactions, interstitial lung disease (pneumonitis), and embryo-fetal toxicity.

The most common adverse reactions (>10%) were fatigue, hypocalcemia, hypokalemia, hypophosphatemia, aspartate aminotransferase increased, headache, and pneumonia.

This information is not comprehensive. Please click here for full Prescribing Information. https://www.g1therapeutics.com/cosela/pi/    

To report suspected adverse reactions, contact G1 Therapeutics at 1-800-790-G1TX or call FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.

About G1 Therapeutics

G1 Therapeutics, Inc. is a commercial-stage oncology biopharmaceutical company whose mission is to develop and deliver next-generation therapies that improve the lives of those affected by cancer, including the Company’s first commercial product, COSELA® (trilaciclib). The Company is also evaluating therapies in combination with cytotoxic therapies and/or immunotherapy in areas of high unmet need including triple-negative breast cancer and extensive stage small cell lung cancer. G1’s goal is to provide innovative therapeutic advances for people living with cancer. For additional information, please visit www.g1therapeutics.com and follow us on X (formerly known as Twitter) @G1Therapeutics and LinkedIn.

G1 Therapeutics^® and the G1 Therapeutics logo and COSELA^® and the COSELA logo are trademarks of G1 Therapeutics, Inc.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Words such as "may," "will," "expect," "plan," "anticipate," “could”, “believe,” “goal”, “projections,” "estimate," "intend," “indicate,” “potential,” “opportunity,” “suggest,” and similar expressions (as well as other words or expressions referencing future events, conditions or circumstances) are intended to identify forward-looking statements. Forward-looking statements in this press release include, but are not limited to, those related to the timing of results from G1’s ongoing clinical trials and developing trilaciclib toward potential category leadership in triple negative breast cancer and maximizing the uptake of COSELA in its first indication in extensive stage small cell lung cancer, are based on the company’s expectations and assumptions as of the date of this press release. Each of these forward-looking statements involves risks and uncertainties. Factors that may cause the company’s actual results to differ from those expressed or implied in the forward-looking statements in this press release are discussed in the company’s filings with the U.S. Securities and Exchange Commission, including the "Risk Factors" sections contained therein and include, but are not limited to, the Company’s dependence on the commercial success of COSELA (trilaciclib); the development and commercialization of new drug products is highly competitive; the Company’s ability to complete clinical trials for, obtain approvals for and commercialize any of its product candidates; the Company’s initial success in ongoing clinical trials may not be indicative of results obtained when these trials are completed or in later stage trials; the inherent uncertainties associated with developing new products or technologies and operating as a commercial-stage company; chemotherapy shortages and market conditions. Our business is subject to substantial risks and uncertainties, including those referenced above. Investors, potential investors, and others should give careful consideration to these risks and uncertainties. Except as required by law, the company assumes no obligation to update any forward-looking statements contained herein to reflect any change in expectations, even as new information becomes available.

G1 Therapeutics Contacts:

John W. Umstead V
Chief Financial Officer
919-747-8419
jumstead@g1therapeutics.com

Will Roberts
Communications Officer
Vice President, Investor Relations & Corporate Communications
919-907-1944
wroberts@g1therapeutics.com

G1 Therapeutics, Inc.
Balance Sheet Data
(in thousands)

	March 31, 2024				December 31, 2023
Cash and cash equivalents and Marketable securities	$	65,186			$	82,156
Working Capital	$	63,236			$	85,232
Total Assets	$	102,026			$	121,540
Accumulated deficit	$	(790,204	)		$	(779,985	)
Total stockholders' equity	$	27,739			$	35,386

G1 Therapeutics, Inc.
Condensed Statements of Operations
(in thousands, except share and per share amounts)

	Three Months Ended March 31,
		2024				2023
Revenues	(unaudited)
Product sales, net	$	14,079			$	10,492
License revenue		397				2,454
Total revenues		14,476				12,946
Operating expenses
Cost of goods sold		1,079				1,459
Research and development		7,318				15,480
Selling, general and administrative		15,127				21,753
Total operating expenses		23,524				38,692
Loss from operations		(9,048	)			(25,746	)
Other income (expense)
Interest income		281				716
Interest expense		(1,978	)			(3,089	)
Other income (expense)		526				524
Total other income (expense), net		(1,171	)			(1,849	)
Loss before income taxes		(10,219	)			(27,595	)
Income tax expense		—				—
Net loss	$	(10,219	)		$	(27,595	)
Net loss per share, basic and diluted	$	(0.20	)		$	(0.53	)
Weighted average common shares outstanding, basic and diluted		52,171,684				51,647,934

FAQ

What was G1 Therapeutics' net revenue from sales of COSELA in Q1 2024?

G1 Therapeutics reported $14.1 million in net revenue from sales of COSELA for the first quarter of 2024.

What is G1 Therapeutics' reaffirmed 2024 net COSELA revenue guidance?

G1 Therapeutics reaffirmed their 2024 net COSELA revenue guidance of $60 to $70 million.

When is the final analysis of the Phase 3 PRESERVE 2 trial in 1L metastatic triple negative breast cancer expected?

The final analysis of the Phase 3 PRESERVE 2 trial evaluating overall survival in 1L mTNBC is expected to occur in late second quarter of 2024.

What cash runway does G1 Therapeutics expect to extend into?

G1 Therapeutics expects their cash runway to extend into the third quarter of 2025.

What key agreement did G1 Therapeutics announce with Pepper Bio, Inc.?

G1 Therapeutics announced a License Agreement for Lerociclib with Pepper Bio, Inc., granting exclusive rights to develop, manufacture, and commercialize lerociclib for specific indications.