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Rezolute Reports Fourth Quarter and Full Year Fiscal 2024 Financial Results and Provides Business Update

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Rezolute, Inc. (Nasdaq: RZLT) reported its Q4 and full fiscal year 2024 financial results and provided a business update. Key highlights include:

1. FDA lifted partial clinical holds on ersodetug for congenital HI treatment; Phase 3 sunRIZE study to proceed in the U.S.

2. Phase 3 study for ersodetug in tumor HI expected to start in H1 2025.

3. Positive topline results from Phase 2 proof-of-concept study of RZ402 in DME patients.

4. Cash, cash equivalents, and investments were $127.1 million as of June 30, 2024.

5. Full fiscal year 2024 R&D expenses increased to $55.7 million from $43.8 million in 2023.

6. Full fiscal year 2024 net loss was $68.5 million compared to $51.8 million in 2023.

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Positive

  • FDA lifted partial clinical holds on ersodetug for congenital HI treatment
  • Phase 3 sunRIZE study to proceed in the U.S.
  • FDA cleared IND application for Phase 3 study of ersodetug in tumor HI
  • Positive topline results from Phase 2 study of RZ402 in DME patients
  • Cash position increased to $127.1 million from $118.4 million year-over-year

Negative

  • Full fiscal year 2024 net loss increased to $68.5 million from $51.8 million in 2023
  • R&D expenses rose to $55.7 million in fiscal 2024 from $43.8 million in 2023
  • G&A expenses increased to $14.7 million in fiscal 2024 from $12.2 million in 2023

Insights

Rezolute's financial position remains robust with $127.1 million in cash and equivalents, up from $118.4 million last year. However, the company's net loss widened to $68.5 million for FY2024, compared to $51.8 million in FY2023. This increased loss is primarily due to higher R&D expenses, which rose to $55.7 million from $43.8 million, reflecting intensified clinical activities and manufacturing costs for ersodetug. G&A expenses also increased to $14.7 million from $12.2 million. While the growing expenses indicate aggressive investment in pipeline development, investors should monitor the burn rate closely. The company's cash position should support operations for the near term, but future capital needs may arise as clinical trials progress.

The FDA's removal of partial clinical holds on ersodetug for congenital HI is a significant milestone. This clears the path for U.S. inclusion in the Phase 3 sunRIZE study, potentially accelerating patient recruitment and data collection. The anticipated start of U.S. enrollment in early 2025 and expected topline results in H2 2025 provide clear timelines for investors. Additionally, the planned Phase 3 study for tumor HI, set to begin in H1 2025, demonstrates pipeline expansion. The positive Phase 2 results for RZ402 in DME, showing up to 50% improvement in central subfield thickness, is encouraging. However, the company's strategy to seek partnerships for RZ402's further development suggests a focus on core rare disease programs. This dual-pronged approach in HI (congenital and tumor-induced) positions Rezolute as a potential leader in this rare disease space.

Rezolute's focus on rare diseases with unmet needs positions it in a niche market with potentially less competition and higher pricing power. The progress in both congenital and tumor HI programs could lead to significant market opportunities if successful. The company's strategy of advancing multiple indications for ersodetug demonstrates efficient use of resources and risk mitigation. The positive Phase 2 results for RZ402 in DME add value to the pipeline, but the decision to seek partnerships suggests a pragmatic approach to resource allocation. Investors should note that while rare disease treatments can be lucrative, they often face challenges in patient identification and market penetration. The company's ability to navigate these challenges will be important for long-term success. The increased R&D spending indicates commitment to pipeline advancement, which could translate to long-term value creation if clinical trials yield positive results.

FDA lifts partial clinical holds on ersodetug for the treatment of congenital HI; Phase 3 sunRIZE study to proceed in the U.S.

Phase 3 study for ersodetug for the treatment of tumor HI expected to commence in the first half of 2025

REDWOOD CITY, Calif., Sept. 19, 2024 (GLOBE NEWSWIRE) -- Rezolute, Inc. (Nasdaq: RZLT) (“Rezolute” or the “Company”), a late-stage biopharmaceutical company dedicated to developing transformative therapies for rare diseases with serious unmet needs, today reported financial results and provided a business update for the fourth quarter and full fiscal year ended June 30, 2024.

“We are thrilled to close out the year with FDA alignment to advance ersodetug in two Phase 3 rare disease programs for the treatment of hypoglycemia resulting from congenital and acquired forms of hyperinsulinism,” said Nevan Elam, Chief Executive Officer and Founder of Rezolute. “The Phase 3 sunRIZE study remains on track for ex-U.S. participant enrollment and we expect U.S. enrollment to begin in the first part of 2025. We look forward to progressing both Phase 3 studies and remain excited at the prospect of ersodetug as a best-in-class treatment for hyperinsulinism based on the success we’ve seen to date.”

Recent Pipeline Progress and Anticipated Milestones

Congenital HI

  • U.S. Food and Drug Administration (FDA) removal of partial clinical holds on ersodetug, a potential treatment for hypoglycemia caused by congenital HI, and authorization of U.S. inclusion in the ongoing Phase 3 sunRIZE study.
    • Commencing study start-up activities in the U.S. with the goal of including U.S. participants in early 2025.
    • Ex-U.S. patient enrollment in sunRIZE is on track.
  • Topline results from sunRIZE expected in the second half of 2025.

Tumor HI

  • FDA clearance of Investigational New Drug (IND) application for Phase 3 registrational study for ersodetug for the treatment of hypoglycemia caused by tumor HI.
    • Start-up activities are ongoing for the study, which will be primarily conducted in the U.S., with patient enrollment anticipated to begin in the first half of 2025.
    • Topline results expected in the second half of 2026.
  • Several insulinoma patients have been treated with ersodetug in the Expanded Access Program (EAP).

Diabetic Macular Edema (DME)

  • Announced positive topline results in May of 2024 from the Phase 2 proof-of-concept study of RZ402 in patients with DME.
    • The study met primary endpoints, demonstrating good safety and tolerability, and a significant reduction in central subfield thickness (CST) in the Study Eye at all RZ402 dose levels compared to placebo (up to approximately 50 micron improvement).
    • We are actively engaged in conversations with potential partners to take RZ402 into further development.

Fourth Quarter and Full Year Fiscal 2024 Financial Results

Cash, cash equivalents and investments in marketable securities were $127.1 million as of June 30, 2024, compared with $118.4 million as of June 30, 2023.

Research and development (R&D) expenses were $19.1 million for the fourth quarter of fiscal 2024, compared with $10.9 million for the same period a year ago. Full fiscal year 2024 R&D expenses were $55.7 million, compared to $43.8 million in fiscal year 2023. The increase from fiscal year 2023 to fiscal year 2024 was primarily due to (i) increased expenditures in clinical trial activities, (ii) manufacturing costs for ersodetug, (iii) milestone payments due to license agreement partners, and (iv) higher employee-related expenses, which included employee compensation and stock-based compensation.

General and administrative (G&A) expenses were $4.0 million for the fourth quarter of fiscal 2024, compared with $3.3 million for the same period a year ago. Full fiscal year 2023 G&A expenses were $14.7 million, compared to $12.2 million in fiscal year 2023. The increase was primarily attributable to employee-related expenses due to increased headcount and professional fees.

Net loss was $23.0 million for the fourth quarter of fiscal 2024 compared with a net loss of $12.7 million for the same period a year ago. Full year fiscal 2024 net loss was $68.5 million compared to net loss of $51.8 million for the fiscal year 2023.

About Ersodetug

Ersodetug is a fully human monoclonal antibody that binds to a unique allosteric site on insulin receptors to counteract the effects of insulin receptor over-activation by insulin and related substances (such as IGF-2), thereby improving hypoglycemia in the setting of hyperinsulinism (HI). Because ersodetug acts downstream from the pancreas, it has the potential to be universally effective at treating hypoglycemia due to any form of HI.

About sunRIZE

The Phase 3 sunRIZE study is a multi-center, randomized, double-blind, placebo-controlled, parallel arm study designed to evaluate the efficacy and safety of ersodetug in patients with congenital HI who are experiencing poorly controlled hypoglycemia. Participants between the ages of 3 months to 45 years old are eligible to participate. The study is enrolling up to 56 participants in more than a dozen countries around the world.

About Rezolute, Inc.

Rezolute is a late-stage rare disease company focused on significantly improving outcomes for individuals with hypoglycemia caused by hyperinsulinism (HI). The Company’s antibody therapy, ersodetug, is designed to treat all forms of HI and has shown substantial benefit in clinical trials and real-world use for the treatment of congenital HI and tumor HI. For more information, visit www.rezolutebio.com.

Forward-Looking Statements

This release, like many written and oral communications presented by Rezolute and our authorized officers, may contain certain forward-looking statements regarding our prospective performance and strategies within the meaning of Section 27A of the Securities Act and Section 21E of the Securities Exchange Act of 1934, as amended. We intend such forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995 and are including this statement for purposes of said safe harbor provisions. Forward-looking statements, which are based on certain assumptions and describe future plans, strategies, and expectations of Rezolute, are generally identified by use of words such as "anticipate," "believe," "estimate," "expect," "intend," "plan," "project," "seek," "strive," "try," or future or conditional verbs such as "could," "may," "should," "will," "would," or similar expressions. These forward-looking statements include, but are not limited to statements regarding the fourth quarter and fiscal year financial results of Rezolute, the full year financial results of Rezolute, the ersodetug Expanded Access Program, ersodetug as a sunRIZE Phase 3 study, the ability of ersodetug to become an effective treatment for congenital hyperinsulinism, the effectiveness or future effectiveness of ersodetug for the treatment of congenital hyperinsulinism, statements regarding clinical trial timelines for ersodetug, the RZ402 study, the ability of RZ402 to become an effective treatment for diabetic macular edema, the effectiveness or future effectiveness of RZ402 to become an effective treatment for diabetic macular edema, and statements regarding clinical trial timelines for RZ402. Our ability to predict results or the actual effects of our plans or strategies is inherently uncertain. Accordingly, actual results may differ materially from anticipated results. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this release. Except as required by applicable law or regulation, Rezolute undertakes no obligation to update these forward-looking statements to reflect events or circumstances that occur after the date on which such statements were made. Important factors that may cause such a difference include any other factors discussed in our filings with the SEC, including the Risk Factors contained in the Rezolute’s Annual Report on Form 10-K and Quarterly Reports on Form 10-Q, which are available at the SEC’s website at www.sec.gov. You are urged to consider these factors carefully in evaluating the forward-looking statements in this release and are cautioned not to place undue reliance on such forward-looking statements, which are qualified in their entirety by this cautionary statement.

Contacts:

Rezolute, Inc.
Christen Baglaneas
cbaglaneas@rezolutebio.com
508-272-6717

LHA Investor Relations
Tirth T. Patel
tpatel@lhai.com
212-201-6614


Rezolute, Inc.       
Condensed Consolidated Financial Statements Data       
(in thousands, except per share data)       
        
 Three Months Ended Year Ended
 June 30, June 30,
  2024   2023   2024   2023 
Condensed Consolidated Statements of Operations Data:       
        
Operating expenses:       
Research and development$19,089  $10,933  $55,743  $43,813 
General and administrative 4,013   3,305   14,680   12,177 
Total operating expenses 23,102   14,238   70,423   55,990 
Loss from operations (23,102)  (14,238)  (70,423)  (55,990)
Non-operating (expenses) income, net 126   1,510   1,964   4,203 
Net loss$(22,976) $(12,728) $(68,459) $(51,787)
        
        
Basic and diluted net loss per common share$(0.44) $(0.25) $(1.33) $(1.01)
        
Shares used to compute basic and diluted net loss per common share 52,235   51,410   51,465   51,188 
        
 June 30, June 30,    
  2024   2023     
        
Condensed Consolidated Balance Sheets Data:       
Cash and cash equivalents$70,396  $16,036     
Investments in marketable debt securities 56,741   102,330     
Working capital 119,047   99,710     
Total assets 132,737   123,721     
Accumulated deficit (329,444)  (260,985)    
Total stockholders’ equity 121,003   116,172     
        

FAQ

What are the key developments for Rezolute's ersodetug in Q4 2024?

FDA lifted partial clinical holds on ersodetug for congenital HI treatment, allowing the Phase 3 sunRIZE study to proceed in the U.S. Additionally, FDA cleared the IND application for a Phase 3 study of ersodetug in tumor HI, expected to start in H1 2025.

How did Rezolute's (RZLT) financial results change in fiscal year 2024?

Rezolute's cash position improved to $127.1 million as of June 30, 2024, up from $118.4 million the previous year. However, the company's net loss increased to $68.5 million in fiscal 2024 from $51.8 million in fiscal 2023, with higher R&D and G&A expenses.

What were the results of Rezolute's Phase 2 study for RZ402 in DME patients?

Rezolute reported positive topline results from the Phase 2 proof-of-concept study of RZ402 in DME patients. The study met primary endpoints, demonstrating good safety and tolerability, and a significant reduction in central subfield thickness at all RZ402 dose levels compared to placebo.

When does Rezolute (RZLT) expect topline results from the Phase 3 sunRIZE study?

Rezolute expects topline results from the Phase 3 sunRIZE study for ersodetug in congenital HI in the second half of 2025.
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