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KalVista Pharmaceuticals Reports Third Fiscal Quarter Results and Provides Operational Update

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KalVista Pharmaceuticals, Inc. (NASDAQ: KALV) announces positive results from the Phase 3 KONFIDENT clinical trial for sebetralstat, a potential first oral on-demand therapy for hereditary angioedema. The trial met all endpoints, demonstrating a favorable safety profile. The company closed a successful underwritten offering, appointing Benjamin L. Palleiko as the new CEO. Financially, the company reported no revenue for the quarter, with increased R&D and G&A expenses leading to a net loss of $29.0 million. Cash position decreased to $75.6 million as of January 31, 2024.
Positive
  • None.
Negative
  • No revenue was recognized for the quarter, indicating a lack of income generation.
  • Increased R&D and G&A expenses led to a net loss of $29.0 million, reflecting higher operating costs.
  • Cash position decreased to $75.6 million, signaling potential financial challenges.

The recent announcement by KalVista Pharmaceuticals regarding the successful Phase 3 KONFIDENT trial for sebetralstat marks a significant milestone for the company and its stakeholders. The positive clinical trial outcomes, demonstrating efficacy and a safety profile comparable to placebo, are pivotal for the drug's commercial potential. The trial's success has prompted the company to prepare for a New Drug Application (NDA) submission to the FDA, which, if approved, could lead to sebetralstat becoming the first oral, on-demand therapy for hereditary angioedema (HAE). This positions KalVista to capture a share of the HAE treatment market, which was valued at approximately $2.1 billion in 2021 and is expected to grow with the introduction of innovative treatments like sebetralstat.

The financial implications of this development are underscored by the company's recent capital raise of approximately $150.1 million, extending its funding runway into 2026. This capital infusion is crucial as it supports the company's transition into a commercial entity, a phase that typically entails significant investment in marketing, sales infrastructure and manufacturing readiness. Investors should note the increased R&D and G&A expenses, reflective of the company's investment in the KONFIDENT trial and commercial planning. While the net loss has widened compared to the previous fiscal year, this is not uncommon for clinical-stage biopharmaceutical companies ahead of potential product launches. The cash position, while decreased from the previous year, appears sufficient to support the company's near-term activities, which is a critical factor in evaluating the company's financial health.

The clinical significance of KalVista's sebetralstat cannot be overstated. HAE is a rare genetic condition characterized by recurrent episodes of severe swelling and the current standard of care often requires intravenous or subcutaneous injections. An oral, on-demand treatment option represents a paradigm shift in patient convenience and quality of life. The KONFIDENT trial's design, which included a broad patient population across various attack severities and locations, signals robustness in the data and suggests a wide applicability of the treatment. The 'Innovation Passport' awarded by the UK MHRA for sebetralstat further signifies recognition of its potential as a significant advancement in HAE therapy.

The therapeutic landscape for HAE is competitive, with several treatments already available and others in development. The success of sebetralstat will hinge not only on its clinical efficacy but also on its ability to differentiate itself in the market. Factors such as ease of use, cost, insurance coverage and patient support programs will be critical in determining its adoption. Long-term safety and efficacy data will also be instrumental in maintaining its market position against potential future competitors.

From a market perspective, the successful Phase 3 results for sebetralstat and the subsequent steps towards commercialization are likely to have a favorable impact on KalVista's market valuation. The company's strategic focus on oral protease inhibitors for HAE taps into a niche yet growing segment of the pharmaceutical market. The recent capital raise suggests strong investor confidence in the company's prospects and provides financial stability during the critical phase of regulatory review and potential market entry.

Market dynamics for HAE treatments are influenced by factors such as unmet medical needs, patient advocacy and the orphan drug status that often accompanies rare disease treatments, potentially offering benefits like market exclusivity and tax credits. KalVista's publication in 'Frontiers in Pharmacology' underscores its commitment to scientific innovation, which can further solidify its reputation in the biopharmaceutical community and potentially attract partnerships or acquisition interest.

Investors and stakeholders should monitor the company's progress in securing regulatory approvals, the execution of its commercial strategy and how it navigates market access challenges. The ability to successfully launch sebetralstat and gain market share will be critical in determining the long-term success of KalVista's investment in this program.

- Sebetralstat Phase 3 KONFIDENT clinical trial met all endpoints and demonstrated a favorable safety profile as first oral on-demand therapy for hereditary angioedema -

- CEO transition supports ongoing evolution into commercial company -

CAMBRIDGE, Mass. & SALISBURY, England--(BUSINESS WIRE)-- KalVista Pharmaceuticals, Inc. (NASDAQ: KALV), a clinical stage pharmaceutical company focused on the discovery, development, and commercialization of oral, small molecule protease inhibitors, today provided an operational update and released financial results for the third fiscal quarter ended January 31, 2024.

“This has been an exciting and busy period for KalVista, as we achieved key milestones with the release of our phase 3 KONFIDENT data and the completion of a substantial financing,” said Ben Palleiko, Chief Executive Officer of KalVista. “We remain on track to file the NDA with the U.S. Food and Drug Administration in the first half of this year, and we look forward to presenting further phase 3 data for sebetralstat at upcoming patient and medical meetings. We also continue to grow the commercial organization to enable us to deliver on the promise of providing the first oral, on-demand treatment option to the HAE community.”

Third Fiscal Quarter and Recent Business Highlights:

  • In February, the Company announced positive topline data from the Phase 3 KONFIDENT clinical trial evaluating the safety and efficacy of sebetralstat as the potential first oral, on-demand therapy for hereditary angioedema (HAE). KONFIDENT was the largest and most representative trial ever conducted in HAE, enrolling a total of 136 patients from 66 clinical sites across 20 countries. Eligible participants included adolescents, patients using long-term prophylaxis, and the trial evaluated all attack severities and locations. The clinical trial met all primary and key secondary endpoints across both the 300 and 600 mg doses and demonstrated a safety profile similar to placebo.
  • Also in February, KalVista closed an underwritten offering to sell an aggregate of 7,016,312 shares of common stock at price of $15.25 per share and pre-funded warrants to purchase up to 3,483,688 shares of common stock at a price of $15.249 per pre-funded warrant. The net proceeds from the offering were approximately $150.1 million and are expected to provide funding into 2026.
  • The Company announced that Benjamin L. Palleiko, the Company’s prior President, CBO and CFO, was appointed as Chief Executive Officer and a director of the Company. This appointment is the result of a planned transition as KalVista prepares to become a commercial entity following the success of the KONFIDENT Phase 3 trial for its program sebetralstat.
  • The UK Medicines and Healthcare products Regulatory Agency (MHRA) awarded the Innovation Passport for sebetralstat, providing entry to the UK Innovative Licensing and Access Pathway (ILAP), which aims to accelerate time to market and facilitate patient access to innovative medicines.
  • Presented additional Phase 3 KONFIDENT data as well as data on unmet need in HAE from a patient perspective at the 2024 American Academy of Allergy Asthma & Immunology Annual Meeting (AAAAI) in Washington, D.C.
  • Announced publication of the first report of a potent and specific Factor XIIa inhibitor with high oral availability in a peer-reviewed journal. The Frontiers in Pharmacology article describes the pharmacology of a representative compound from KalVista’s portfolio of structurally diverse, oral Factor XII inhibitors.

Third Fiscal Quarter Financial Results:

Revenue: No revenue was recognized for the three months ended January 31, 2024, or January 31, 2023.

R&D Expenses: Research and development expenses were $22.5 million for the three months ended January 31, 2024, compared to $20.1 million for the same period in the prior fiscal year. The increase in R&D expenses during the quarter primarily reflects the ongoing Phase 3 KONFIDENT and KONFIDENT-S trials.

G&A Expenses: General and administrative expenses were $10.6 million for the three months ended January 31, 2024, compared to $6.9 million for the same period in the prior fiscal year. The increase in G&A expenses was primarily due to increases in employee-related expenses and commercial planning expenses.

Net Loss: Net loss was $29.0 million, or $(0.84) per weighted average basic and diluted share, for the three months ended January 31, 2024, compared to net loss of $21.3 million, or $(0.75) per weighted average basic and diluted share for the same period in the prior fiscal year. The increase in net loss primarily resulted from the increase in operating expenses, primarily research and development.

Cash Position: Cash, cash equivalents and marketable securities were $75.6 million as of January 31, 2024, compared to $149.4 million as of April 30, 2023. The decrease in the net cash and marketable securities position was due to cash consumption from operating expenses.

About KalVista Pharmaceuticals, Inc.

KalVista Pharmaceuticals, Inc. is a pharmaceutical company focused on the discovery, development, and commercialization of oral, small molecule protease inhibitors for diseases with significant unmet need. KalVista disclosed positive phase 3 data for the KONFIDENT trial for its oral, on-demand therapy sebetralstat in February 2024. The Company anticipates submitting a new drug application to the U.S. Food and Drug Administration (FDA) for sebetralstat in the first half of 2024 and expects to file for approval in Europe and Japan later in 2024. In addition, KalVista’s oral Factor XIIa inhibitor program represents a new generation of therapies that may further improve the treatment for people living with HAE and other diseases.

For more information about KalVista, please visit www.kalvista.com.

Forward-Looking Statements

This press release contains "forward-looking" statements within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements can be identified by words such as: "anticipate," "intend," "plan," "goal," "seek," "believe," "project," "estimate," "expect," "strategy," "future," "likely," "may," "should," "will" and similar references to future periods. These statements are subject to numerous risks and uncertainties that could cause actual results to differ materially from what we expect. Examples of forward-looking statements include, among others, timing or outcomes of communications with the FDA, our expectations about safety and efficacy of our product candidates, our ability to obtain regulatory approvals for sebetralstat and other candidates in development, the success of any efforts to commercialize sebetralstat, the ability of sebetralstat and other candidates in development to treat HAE or other diseases, and the future progress and potential success of our oral Factor XIIa program. Further information on potential risk factors that could affect our business and financial results are detailed in our filings with the Securities and Exchange Commission, including in our annual report on Form 10-K for the year ended April 30, 2023, our quarterly reports on Form 10-Q, and our other reports that we may make from time to time with the Securities and Exchange Commission. We undertake no obligation to publicly update any forward-looking statement, whether written or oral, that may be made from time to time, whether as a result of new information, future developments or otherwise.

KalVista Pharmaceuticals Inc.
Condensed Consolidated Balance Sheets
(in thousands, except share and per share amounts)
(Unaudited)
 

January 31,

 

April 30,

 

2024

 

 

 

2023

 

Assets
Current assets:
Cash and cash equivalents

$

23,056

 

$

56,238

 

Marketable securities

 

52,530

 

 

93,137

 

Research and development tax credit receivable

 

23,011

 

 

16,568

 

Prepaid expenses and other current assets

 

5,506

 

 

6,383

 

Total current assets

 

104,103

 

 

172,326

 

Property and equipment, net

 

2,423

 

 

2,948

 

Right of use assets

 

7,045

 

 

7,822

 

Other assets

 

397

 

 

106

 

Total assets

$

113,968

 

$

183,202

 

Liabilities and stockholders' equity
Current liabilities:
Accounts payable

$

3,101

 

$

4,817

 

Accrued expenses

 

14,840

 

 

9,128

 

Lease liability - current portion

 

1,187

 

 

1,087

 

Total current liabilities

 

19,128

 

 

15,032

 

Long-term liabilities:
Lease liability - net of current portion

 

6,257

 

 

7,145

 

Total long-term liabilities

 

6,257

 

 

7,145

 

Stockholders’ equity:
Common stock, $0.001 par value

 

34

 

 

34

 

Additional paid-in capital

 

516,920

 

 

507,133

 

Accumulated deficit

 

(425,077

)

 

(343,082

)

Accumulated other comprehensive loss

 

(3,294

)

 

(3,060

)

Total stockholders’ equity

 

88,583

 

 

161,025

 

Total liabilities and stockholders' equity

$

113,968

 

$

183,202

 

KalVista Pharmaceuticals Inc.
Condensed Consolidated Statement of Operations
(in thousands, except share and per share amounts)
(Unaudited)
 
 

Three Months Ended

 

Nine Months Ended

January 31,

 

January 31,

 

2024

 

 

 

2023

 

 

 

2024

 

 

 

2023

 

 
Revenue

$

 

$

 

$

 

$

 

Operating expenses:
Research and development

 

22,523

 

 

20,063

 

 

60,919

 

 

56,325

 

General and administrative

 

10,628

 

 

6,882

 

 

31,071

 

 

22,818

 

Total operating expenses

 

33,151

 

 

26,945

 

 

91,990

 

 

79,143

 

Operating loss

 

(33,151

)

 

(26,945

)

 

(91,990

)

 

(79,143

)

 
Other income:
Interest income

 

684

 

 

732

 

 

2,383

 

 

1,424

 

Foreign currency exchange rate gain (loss)

 

1,120

 

 

597

 

 

277

 

 

(237

)

Other income

 

2,319

 

 

4,313

 

 

7,335

 

 

11,354

 

Total other income

 

4,123

 

 

5,642

 

 

9,995

 

 

12,541

 

Net loss

$

(29,028

)

$

(21,303

)

$

(81,995

)

$

(66,602

)

 
Net loss per share, basic and diluted

$

(0.84

)

$

(0.75

)

$

(2.37

)

$

(2.58

)

 
Weighted average common shares outstanding, basic and diluted

 

34,723,379

 

 

28,278,453

 

 

34,567,853

 

 

25,810,369

 

 
KalVista Pharmaceuticals Inc.
Condensed Consolidated Statements of Cash Flows
(in thousands, unaudited)
 

Nine Months Ended

January 31,

 

2024

 

 

 

2023

 

 
Cash flows from operating activities
Net loss

$

(81,995

)

$

(66,602

)

Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization

 

597

 

 

530

 

Stock-based compensation expense

 

9,172

 

 

7,481

 

Realized (gain) loss from sale of marketable securities

 

(1,130

)

 

84

 

Non-cash operating lease expense

 

(11

)

 

52

 

Amortization of premium on marketable securities

 

88

 

 

890

 

Foreign currency exchange loss (gain)

 

596

 

 

(1,339

)

Changes in operating assets and liabilities:
Research and development tax credit receivable

 

(6,215

)

 

2,049

 

Prepaid expenses and other current assets

 

906

 

 

4,440

 

Accounts payable

 

(1,778

)

 

(1,911

)

Accrued expenses

 

5,644

 

 

1,701

 

Net cash used in operating activities

 

(74,126

)

 

(52,625

)

 
Cash flows from investing activities
Purchases of marketable securities

 

(47,687

)

 

(63,757

)

Sales and maturities of marketable securities

 

89,475

 

 

112,509

 

Acquisition of property and equipment

 

(27

)

 

(1,127

)

Website development costs

 

(294

)

 

 

Net cash provided by investing activities

 

41,467

 

 

47,625

 

 
Cash flows from financing activities
Issuance of common stock from equity incentive plans

 

616

 

 

482

 

Issuance of common stock, net of offering expenses of $0.3 million

 

 

 

56,582

 

Issuance of pre-funded warrants, net of offering expenses

 

 

 

1,085

 

Net cash provided by financing activities

 

616

 

 

58,149

 

Effect of exchange rate changes on cash and cash equivalents

 

(1,139

)

 

1,168

 

Net (decrease) increase in cash and cash equivalents

 

(33,182

)

 

54,317

 

Cash and cash equivalents at beginning of period

 

56,238

 

 

30,732

 

Cash and cash equivalents at end of period

$

23,056

 

$

85,049

 

 

 

KalVista Pharmaceuticals, Inc.

Jarrod Aldom

Vice President, Corporate Communications

(201) 705-0254

jarrod.aldom@kalvista.com

Ryan Baker

Head, Investor Relations

(617) 771-5001

ryan.baker@kalvista.com

Source: KalVista Pharmaceuticals, Inc.

The trial met all endpoints, demonstrating a favorable safety profile as a potential first oral on-demand therapy for hereditary angioedema.

Benjamin L. Palleiko was appointed as the new CEO of KalVista Pharmaceuticals.

KalVista Pharmaceuticals reported a net loss of $29.0 million for the three months ended January 31, 2024.

KalVista Pharmaceuticals had a cash, cash equivalents, and marketable securities position of $75.6 million as of January 31, 2024.
KalVista Pharmaceuticals Inc

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About KALV

kalvista is a clinical stage pharmaceuticals company focused on the discovery, development, and commercialization of small molecule protease inhibitors.