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Mereo BioPharma Reports First Quarter 2025 Financial Results and Provides Corporate Highlights

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Mereo BioPharma (NASDAQ: MREO) reported Q1 2025 financial results and corporate updates. The company's Phase 3 Orbit study of setrusumab for osteogenesis imperfecta is progressing towards a second interim analysis in mid-2025 or final analysis in Q4 2025. The company reported cash position of $62.5 million as of March 31, 2025, expected to fund operations into 2027. Q1 2025 financial highlights include R&D expenses of $3.9 million (down from $4.0 million in Q1 2024) and increased G&A expenses of $7.3 million (up from $5.9 million). The company posted a net loss of $12.9 million compared to $9.0 million in Q1 2024. Mereo continues advancing alvelestat, which received European Commission Orphan Designation for AATD-LD treatment, and is now Phase 3 ready.
Mereo BioPharma (NASDAQ: MREO) ha comunicato i risultati finanziari del primo trimestre 2025 e aggiornamenti aziendali. Lo studio di Fase 3 Orbit su setrusumab per l'osteogenesi imperfetta procede verso una seconda analisi intermedia a metà 2025 o l'analisi finale nel quarto trimestre 2025. Al 31 marzo 2025, la società ha riportato una posizione di cassa di 62,5 milioni di dollari, sufficiente a finanziare le operazioni fino al 2027. I principali dati finanziari del primo trimestre 2025 includono spese in R&S di 3,9 milioni di dollari (in calo rispetto ai 4,0 milioni del primo trimestre 2024) e un aumento delle spese generali e amministrative a 7,3 milioni di dollari (da 5,9 milioni). La società ha registrato una perdita netta di 12,9 milioni di dollari, rispetto ai 9,0 milioni del primo trimestre 2024. Mereo continua a sviluppare alvelestat, che ha ottenuto la Designazione Orfana dalla Commissione Europea per il trattamento della AATD-LD ed è ora pronto per la Fase 3.
Mereo BioPharma (NASDAQ: MREO) informó los resultados financieros del primer trimestre de 2025 y actualizaciones corporativas. El estudio de Fase 3 Orbit de setrusumab para la osteogénesis imperfecta avanza hacia un segundo análisis intermedio a mediados de 2025 o un análisis final en el cuarto trimestre de 2025. La compañía reportó una posición de efectivo de 62,5 millones de dólares al 31 de marzo de 2025, que se espera financie las operaciones hasta 2027. Los aspectos financieros destacados del primer trimestre de 2025 incluyen gastos en I+D de 3,9 millones de dólares (menos que los 4,0 millones del primer trimestre de 2024) y un aumento en gastos generales y administrativos a 7,3 millones (desde 5,9 millones). La compañía registró una pérdida neta de 12,9 millones de dólares en comparación con 9,0 millones en el primer trimestre de 2024. Mereo continúa avanzando con alvelestat, que recibió la Designación Huérfana de la Comisión Europea para el tratamiento de AATD-LD y ahora está listo para la Fase 3.
Mereo BioPharma(NASDAQ: MREO)는 2025년 1분기 재무 실적 및 기업 업데이트를 발표했습니다. 골형성부전증 치료제인 세트루수맙의 3상 Orbit 연구는 2025년 중반 두 번째 중간 분석 또는 2025년 4분기 최종 분석을 목표로 진행 중입니다. 2025년 3월 31일 기준 회사의 현금 보유액은 6,250만 달러로, 2027년까지 운영 자금을 지원할 것으로 예상됩니다. 2025년 1분기 재무 하이라이트에는 연구개발비 390만 달러(2024년 1분기 400만 달러에서 감소)와 증가한 일반관리비 730만 달러(590만 달러에서 증가)가 포함됩니다. 회사는 2024년 1분기 900만 달러에 비해 1,290만 달러의 순손실을 기록했습니다. Mereo는 AATD-LD 치료를 위한 유럽연합 집행위원회의 희귀의약품 지정(Orphan Designation)을 받은 알벨레스타트 개발을 계속 진행 중이며, 현재 3상 준비 단계에 있습니다.
Mereo BioPharma (NASDAQ : MREO) a publié ses résultats financiers du premier trimestre 2025 ainsi que des mises à jour d'entreprise. L'étude de phase 3 Orbit sur le setrusumab pour l'ostéogenèse imparfaite progresse vers une seconde analyse intermédiaire à la mi-2025 ou une analyse finale au quatrième trimestre 2025. Au 31 mars 2025, la société a déclaré une trésorerie de 62,5 millions de dollars, suffisante pour financer ses opérations jusqu'en 2027. Les points financiers clés du premier trimestre 2025 incluent des dépenses en R&D de 3,9 millions de dollars (en baisse par rapport à 4,0 millions au T1 2024) et une augmentation des frais généraux et administratifs à 7,3 millions (contre 5,9 millions). La société a enregistré une perte nette de 12,9 millions de dollars contre 9,0 millions au T1 2024. Mereo poursuit le développement d'alvelestat, qui a reçu la désignation médicament orphelin de la Commission européenne pour le traitement de l'AATD-LD et est désormais prêt pour la phase 3.
Mereo BioPharma (NASDAQ: MREO) meldete die Finanzergebnisse und Unternehmensupdates für das erste Quartal 2025. Die Phase-3-Orbit-Studie zu Setrusumab bei Osteogenesis imperfecta schreitet auf eine zweite Zwischenanalyse Mitte 2025 oder eine Abschlussanalyse im vierten Quartal 2025 zu. Das Unternehmen berichtete zum 31. März 2025 über eine Barmittelposition von 62,5 Millionen US-Dollar, die voraussichtlich den Betrieb bis 2027 finanzieren wird. Zu den finanziellen Highlights des ersten Quartals 2025 gehören F&E-Ausgaben von 3,9 Millionen US-Dollar (gegenüber 4,0 Millionen im ersten Quartal 2024) sowie gestiegene Verwaltungs- und Gemeinkosten von 7,3 Millionen US-Dollar (vorher 5,9 Millionen). Das Unternehmen verzeichnete einen Nettoverlust von 12,9 Millionen US-Dollar im Vergleich zu 9,0 Millionen im ersten Quartal 2024. Mereo treibt weiterhin die Entwicklung von Alvelestat voran, das von der Europäischen Kommission die Orphan-Drug-Designation für die Behandlung von AATD-LD erhalten hat und nun startklar für Phase 3 ist.
Positive
  • Strong cash position of $62.5 million expected to fund operations into 2027
  • European Commission granted Orphan Designation to alvelestat for AATD-LD treatment
  • Phase 3 Orbit study progressing well with all patients on therapy for at least 12 months
  • Slight decrease in R&D expenses from $4.0M to $3.9M year-over-year
Negative
  • Net loss increased to $12.9M from $9.0M year-over-year
  • G&A expenses increased by $1.4M to $7.3M compared to Q1 2024
  • Cash position decreased from $69.8M to $62.5M since December 2024

Insights

Mereo reports stable Q1 with sufficient cash runway while progressing two Phase 3 trials with potential catalysts in mid-to-late 2025.

Mereo BioPharma's Q1 2025 financial results indicate a stable cash position of $62.5 million, representing a 10.5% decrease from $69.8 million at year-end 2024. This current runway is projected to fund operations into 2027, providing approximately two years of operational stability without additional financing needs.

The company's lead asset setrusumab (UX143) for osteogenesis imperfecta (OI) - a rare genetic bone disorder - continues advancing in two global Phase 3 studies. The Orbit study in patients aged 5-25 years is approaching critical inflection points with a second interim analysis expected mid-2025 or final analysis in Q4 2025. All patients have now completed at least 12 months of therapy, with safety profiles consistent with Phase 2 observations - a positive sign for the drug's tolerability.

Meanwhile, the Cosmic study in younger patients (ages 2-<7) is progressing alongside Orbit, with timing aligned to maintain statistical integrity. Mereo is prudently investing in European pre-commercial activities for setrusumab, suggesting confidence in eventual regulatory approval.

For alvelestat, Mereo's second clinical asset for alpha-1 antitrypsin deficiency-associated lung disease (AATD-LD), the company secured European Commission Orphan Designation in Q1, complementing existing FDA Orphan Drug and Fast Track designations. These designations provide regulatory benefits that could accelerate approval pathways. Importantly, ongoing partnership discussions for alvelestat could potentially bring non-dilutive capital not factored into the current cash runway projections.

R&D expenses remained essentially flat at $3.9 million (vs. $4.0 million in Q1 2024), reflecting disciplined spending despite advancing two late-stage programs. The $1.3 million increase in setrusumab R&D expenses was offset by reduced spending on other programs, demonstrating strategic resource allocation. G&A expenses increased to $7.3 million from $5.9 million, though this was primarily due to a one-time $1.7 million reduction recognized in Q1 2024 rather than operational expansion.

The net loss widened to $12.9 million from $9.0 million year-over-year, primarily reflecting operational expenses and currency translation losses rather than accelerating cash burn. With multiple clinical milestones anticipated in 2025 and a partnership process underway for alvelestat, Mereo is positioning for potential value-creation events while maintaining financial discipline.

Progress continues in Phase 3 Orbit study of setrusumab in osteogenesis imperfecta (OI)

Cash of $62.5 million as of March 31, 2025, expected to fund operations into 2027

LONDON, May 13, 2025 (GLOBE NEWSWIRE) -- Mereo BioPharma Group plc (NASDAQ: MREO) (“Mereo” or the “Company”), a clinical-stage biopharmaceutical company focused on rare diseases, today announced its financial results for the first quarter ended March 31, 2025, and provided recent corporate highlights.

“As we close out the first quarter of 2025, we continue to anticipate that this will be an important, milestone-rich year for Mereo. The Phase 3 Orbit study of setrusumab in osteogenesis imperfecta remains on track to read-out either at the second interim analysis in mid-2025 or at the final analysis in the fourth quarter. We are continuing to invest in the pre-commercial activities for setrusumab to enable a successful launch in our European territory, following potential regulatory approvals,” said Dr. Denise Scots-Knight, Chief Executive Officer of Mereo. "Further, alvelestat is now Phase 3 ready and we are finalizing the trial start-up activities to support our ongoing partnering process. Along with our late-stage pipeline, we believe that continued close management of our cash balance will enable us to support our operations into 2027.”

First Quarter 2025 Highlights, Recent Developments, and Anticipated Milestones

Setrusumab (UX143)

  • Continued progress in the two global Phase 3 studies led by our partner Ultragenyx:
    • The randomized, placebo-controlled Phase 3 portion of the Orbit study (in patients aged 5 to 25 years) is progressing toward the second interim analysis (IA2) in mid-2025 or a final analysis in the fourth quarter of 2025. All patients have now been on therapy for at least 12 months, conduct of the study is going well and patient safety in the Phase 3 portion of the study is consistent with safety observed in the Phase 2.
    • Patients in the Cosmic study (aged 2 to <7 years) are being treated with either setrusumab or intravenous bisphosphonates (IV-BP) therapy and will be evaluated in parallel with the Orbit interim analysis. If Orbit progresses to full study completion in the fourth quarter of 2025, Cosmic will also continue to a data readout, to align with the Orbit readout without spending alpha at the mid-year interim assessment.
  • Continued pre-commercial activities in Europe to support potential launch, including engagement with regulatory/HTA bodies and real-world data collection efforts through the SATURN program.

Alvelestat (MPH-966)

  • In the first quarter of 2025, the European Commission granted Orphan Designation to alvelestat for the treatment of alpha-1 antitrypsin deficiency-associated lung disease (AATD-LD). This adds to existing US FDA Orphan Drug and Fast Track designations.
  • The start-up activities for the planned single, global Phase 3 pivotal study are ongoing.
  • The Company remains in discussion with multiple potential development and commercialization partners.

First Quarter 2025 Financial Results

Total research and development (“R&D”) expenses decreased by $0.1 million from $4.0 million in the first quarter of 2024 to $3.9 million in the first quarter of 2025. The decrease was primarily due to decreases of $1.2 million and $0.1 million in R&D expenses for alvelestat and etigilimab, offset by an increase of $1.3 million in R&D expenses for setrusumab. The decrease in program expenses for alvelestat was primarily due to undertaking reduced drug formulation and manufacturing activities in preparation for the Phase 3 study in the first quarter of 2025, compared to the first quarter of 2024. The increase in program expenses for setrusumab was primarily driven by amounts due under the manufacturing and supply agreement with our partner, Ultragenyx, ongoing activities related to real-world evidence programs and medical affairs activities in Europe and input into development, regulatory and manufacturing plans with Ultragenyx, who fund the global development of the program pursuant to our license and collaboration agreement.

General and administrative expenses increased by $1.4 million from $5.9 million in the first quarter of 2024 to $7.3 million in the first quarter of 2025. The increase was primarily due to the recognition of a $1.7 million reduction in expenses in the first quarter of 2024 for amounts received from our depository to reimburse certain expenses incurred by us in respect of our ADR program, partially offset by a net decrease in employee-related expenses and professional fees. A reimbursement in respect of our ADR program is anticipated in 2025.

Net loss for the first quarter of 2025 was $12.9 million, compared to $9.0 million during the first quarter of 2024, primarily reflecting an operating loss of $11.2 million and foreign currency translation loss.

As of March 31, 2025, the Company had cash and cash equivalents of $62.5 million, compared to $69.8 million as of December 31, 2024. The Company’s guidance remains unchanged, and it continues to expect, based on current operational plans, that its existing cash and cash equivalents balance will enable it to fund its currently committed clinical trials, operating expenses, and capital expenditure requirements into 2027. This guidance does not include any potential upfront payments associated with a partnership for alvelestat or business development activity around any of the Company’s non-core programs.

Total ordinary shares issued as of March 31, 2025 were 795,001,444. Total ADS equivalents as of March 31, 2025 were 159,000,288, with each ADS representing five ordinary shares of the Company.

About Mereo BioPharma
Mereo BioPharma is a biopharmaceutical company focused on the development of innovative therapeutics for rare diseases. The Company has two rare disease product candidates: setrusumab for the treatment of osteogenesis imperfecta (OI); and alvelestat for the treatment of severe alpha-1 antitrypsin deficiency-associated lung disease (AATD-LD). The Company’s partner, Ultragenyx Pharmaceutical, Inc., has completed enrollment in the Phase 3 portion of a pivotal Phase 2/3 study in pediatrics and young adults (5 to 25 years old) for setrusumab in OI and in the Phase 3 study in pediatric patients (2 to <7 years old). The partnership with Ultragenyx includes potential additional milestone payments of up to $245 million and royalties to Mereo on commercial sales in Ultragenyx territories. Mereo has retained EU and UK commercial rights and will pay Ultragenyx royalties on commercial sales in those territories. Setrusumab has received orphan designation for osteogenesis imperfecta from the European Commission (“EC”) and the FDA, PRIME designation from the EMA, and has Breakthrough Therapy designation and rare pediatric disease designation from the FDA. Alvelestat has received Orphan Designation for AATD from the EC and the FDA, and Fast Track designation from the FDA for AATD-LD. Following results from ASTRAEUS and ATALANTa in AATD-lung disease, the Company has aligned with the FDA and the EMA on the primary endpoints for a Phase 3 pivotal study which, if successful, could enable full approval in both the U.S. and Europe. In addition to the rare disease programs, Mereo has two oncology product candidates, etigilimab, an anti-TIGIT; and navicixizumab for the potential treatment of late-line ovarian cancer. Navicixizumab has been partnered with Feng Biosciences, Inc. in a global licensing agreement that includes milestone payments and royalties. Mereo has also entered into an exclusive global license agreement with ReproNovo SA, a reproductive medicine company, for the development and commercialization of leflutrozole, a non-steroidal aromatase inhibitor.  

Forward-Looking Statements
This press release contains “forward-looking statements” that involve substantial risks and uncertainties. All statements other than statements of historical fact contained herein are forward-looking statements within the meaning of Section 27A of the United States Securities Act of 1933, as amended, and Section 21E of the United States Securities Exchange Act of 1934, as amended. Forward-looking statements usually relate to future events and anticipated revenues, earnings, cash flows or other aspects of our operations or operating results. Forward-looking statements are often identified by the words “believe,” “expect,” “anticipate,” “plan,” “intend,” “foresee,” “should,” “would,” “could,” “may,” “estimate,” “outlook” and similar expressions, including the negative thereof. The absence of these words, however, does not mean that the statements are not forward-looking. These forward-looking statements are based on the Company’s current expectations, beliefs and assumptions concerning future developments and business conditions and their potential effect on the Company. While management believes that these forward-looking statements are reasonable as and when made, there can be no assurance that future developments affecting the Company will be those that it anticipates.

All of the Company’s forward-looking statements involve known and unknown risks and uncertainties some of which are significant or beyond its control and assumptions that could cause actual results to differ materially from the Company’s historical experience and its present expectations or projections. Such risks and uncertainties include, among others, the uncertainties inherent in the clinical development process; the Company’s reliance on third parties to conduct and provide funding for its clinical trials; the Company’s dependence on enrollment of patients in its clinical trials; and the Company’s dependence on its key executives. You should carefully consider the foregoing factors and the other risks and uncertainties that affect the Company’s business, including those described in the “Risk Factors” section of its Annual Report on Form 10-K, as well as discussions of potential risks, uncertainties, and other important factors in the Company’s subsequent filings with the Securities and Exchange Commission. The Company wishes to caution you not to place undue reliance on any forward-looking statements, which speak only as of the date hereof. The Company undertakes no obligation to publicly update or revise any of our forward-looking statements after the date they are made, whether as a result of new information, future events or otherwise, except to the extent required by law.

Mereo BioPharma Contacts:

Mereo   +44 (0)333 023 7300
Denise Scots-Knight, Chief Executive Officer  
Christine Fox, Chief Financial Officer  
   
Burns McClellan (Investor Relations Adviser to Mereo) +01 646 930 4406
Lee Roth  
Investors  investors@mereobiopharma.com  


MEREO BIOPHARMA GROUP PLC
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, except per share amounts)
(Unaudited)
 
  March 31,  December 31, 
  2025  2024 
Assets      
Current assets:      
Cash and cash equivalents $62,483  $69,802 
Prepaid expenses and other current assets  2,519   2,175 
Research and development incentives receivables  1,897   2,786 
Total current assets  66,899   74,763 
Property and equipment, net  247   257 
Operating lease right-of-use assets, net  622   727 
Intangible assets, net  554   643 
Total assets $68,322  $76,390 
       
Liabilities      
Current liabilities:      
Accounts payable $2,924  $2,440 
Accrued expenses  2,932   4,071 
Convertible loan notes – current     5,535 
Operating lease liabilities – current  747   707 
Other current liabilities  894   1,095 
Total current liabilities  7,497   13,848 
Warrant liabilities – non-current  419   821 
Operating lease liabilities – non-current     187 
Other non-current liabilities  325   565 
Total liabilities $8,241  $15,421 
       
       
Shareholders’ Equity      
Ordinary shares, par value £0.003 per share; 795,001,444 shares issued at March 31, 2025 (December 31, 2024: 775,728,034). $3,132  $3,059 
Additional paid-in capital  544,266   539,642 
Accumulated deficit  (472,027)  (462,883)
Accumulated other comprehensive loss  (15,290)  (18,849)
Total shareholders’ equity  60,081   60,969 
Total liabilities and shareholders’ equity $68,322  $76,390 


MEREO BIOPHARMA GROUP PLC
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
(In thousands, except per share amounts)
(Unaudited)
 
  Three Months Ended March 31, 
  2025  2024 
Operating expenses:      
Research and development $(3,930) $(3,994)
General and administrative  (7,272)  (5,906)
Loss from operations  (11,202)  (9,900)
Other income/(expenses)      
Interest income  659   617 
Interest expense  (180)  (310)
Changes in the fair value of warrants  416   (448)
Foreign currency transaction (loss)/gain, net  (2,765)  613 
Benefit from research and development tax credit  185   477 
Net loss before income tax  (12,887)  (8,951)
Income tax benefit      
Net loss $(12,887) $(8,951)
       
Loss per share – basic and diluted $(0.02) $(0.01)
Weighted average shares outstanding – basic and diluted  784,279,387   700,263,490 
       
Net loss $(12,887) $(8,951)
Other comprehensive income/(loss) – Foreign currency translation adjustments, net of tax  3,559   (798)
Total comprehensive loss $(9,328) $(9,749)

FAQ

What were Mereo BioPharma's (MREO) key financial results for Q1 2025?

In Q1 2025, Mereo reported a net loss of $12.9M, R&D expenses of $3.9M, G&A expenses of $7.3M, and had $62.5M in cash and cash equivalents as of March 31, 2025.

What is the status of MREO's Phase 3 Orbit study for setrusumab?

The Phase 3 Orbit study is progressing toward second interim analysis in mid-2025 or final analysis in Q4 2025, with all patients having completed at least 12 months of therapy.

How long will Mereo BioPharma's current cash position last?

Mereo's cash position of $62.5M is expected to fund operations into 2027, based on current operational plans.

What regulatory designation did MREO's alvelestat receive in Q1 2025?

Alvelestat received Orphan Designation from the European Commission for the treatment of alpha-1 antitrypsin deficiency-associated lung disease (AATD-LD).

How many shares does Mereo BioPharma (MREO) have outstanding as of Q1 2025?

As of March 31, 2025, Mereo had 795,001,444 total ordinary shares and 159,000,288 ADS equivalents outstanding.
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