Press Release: Centessa Pharmaceuticals Reports Business Highlights and Financial Results for the Fourth Quarter and Full-Year 2024

Dow Jones
24 Mar

Centessa Pharmaceuticals Reports Business Highlights and Financial Results for the Fourth Quarter and Full-Year 2024

   -- Advancing a broad, potential best-in-class orexin receptor 2 (OX2R) 
      agonist franchise with key data readouts expected in 2025 
 
          -- ORX750 Phase 2a CRYSTAL-1 study for the treatment of narcolepsy 
             type 1 (NT1), narcolepsy type 2 (NT2) and idiopathic hypersomnia 
             $(IH)$ well underway and on track with data expected across all 
             three indications in 2025 with first-in-class potential in NT2 and 
             IH 
 
          -- ORX142 in IND-enabling studies for the treatment of neurological 
             and neurodegenerative disorders; Clinical data in acutely 
             sleep-deprived healthy volunteers planned for 2025 
 
          -- ORX489 in IND-enabling studies for the treatment of 
             neuropsychiatric disorders 

BOSTON and LONDON, March 24, 2025 (GLOBE NEWSWIRE) -- Centessa Pharmaceuticals plc (Nasdaq: CNTA), a clinical-stage pharmaceutical company, today reported recent business highlights and financial results for the fourth quarter and full-year ended December 31, 2024.

"Centessa is proud to be at the forefront of developing OX2R agonists, a groundbreaking new drug class with the potential to transform the standard of care for patients across multiple therapeutic areas," said Saurabh Saha MD PhD, Chief Executive Officer of Centessa. "Our team's drug optimization techniques have enabled a growing pipeline of novel, potential best-in-class OX2R agonists aimed at restoring normative wakefulness for individuals living with excessive daytime sleepiness (EDS) in neurological, neurodegenerative and neuropsychiatric disorders, and potentially addressing other key symptoms such as impaired attention, cognitive deficits and fatigue."

Dr. Saha continued, "Our most advanced OX2R agonist, ORX750, is progressing in the Phase 2a CRYSTAL-1 study for the treatment of NT1, NT2 and IH, and is on track with data expected across all three indications this year. Data from the Phase 1 study of ORX750 showed compelling activity in acutely sleep-deprived healthy volunteers at low doses with a favorable initial safety and tolerability profile. Based on the strength of these data, we believe ORX750 has the potential to be best-in-class and to enable the full range of doses required to meet the needs of patients living with NT1, NT2 and IH. We look forward to sharing data this year and expect the Phase 2a study to enable dose selection for future registrational studies of ORX750."

Dr. Saha concluded, "In addition to the transformational potential of ORX750 for individuals living with sleep-wake disorders, we see tremendous opportunity with our follow-up OX2R agonists that are being advanced for the treatment of EDS, impaired attention, cognitive deficits and fatigue in neurological, neurodegenerative and neuropsychiatric disorders. ORX142 is progressing in IND-enabling studies, and subject to IND clearance, we expect to initiate clinical development and share clinical data in acutely sleep-deprived healthy volunteers this year. We are also pleased to have ORX489, our most potent OX2R agonist to date based on preclinical data, advancing in IND-enabling studies. With this ongoing momentum across our pipeline, we expect 2025 to be an exciting, data-rich year for Centessa."

Recent Highlights

   -- In January 2025, the Company shared positive data from the Phase 1 
      clinical study of ORX750, a highly potent and selective OX2R agonist, in 
      healthy volunteers as of December 5, 2024, the most recent data cutoff 
      date. These data showed ORX750 significantly increased wakefulness in 
      acutely sleep-deprived healthy volunteers compared to placebo at all 
      doses tested, with a clear dose response. More specifically, in the 2.5 
      mg (n=8), 3.5 mg (n=10) and 5.0 mg (n=8) dose cohorts, ORX750 was shown 
      to restore normative wakefulness with mean sleep latencies $(MSL)$ >30 
      minutes (out of a score of 40 minutes) as measured by the Maintenance of 
      Wakefulness Test (MWT); the 5.0 mg dose cohort achieved an MSL of 38 
      minutes, compared to 15 minutes for placebo. A favorable safety and 
      tolerability profile was observed with all treatment-emergent adverse 
      events (AEs) being transient with none leading to treatment 
      discontinuation. There were no cases of hepatotoxicity or visual 
      disturbances observed. Additionally, there were no clinically significant 
      treatment-emergent changes in hepatic and renal parameters, vital signs 
      or ECG parameters. These data also showed linear pharmacokinetics $(PK)$ 
      with a profile that supports the use of ORX750 as a once-daily oral 
      dosing regimen with rapid absorption. The Company believes these data 
      continue to support ORX750's profile as a potential best-in-class OX2R 
      agonist for the treatment of NT1, NT2 and IH, with first-in-class 
      potential in NT2 and IH. Data from the Phase 1 study of ORX750 will be 
      presented in a poster session at the American Academy of Neurology $(AAN)$ 
      Annual Meeting on April 5, 2025. 
 
   -- In November 2024, the Company announced the initiation of the Phase 2a 
      CRYSTAL-1 study of ORX750 in participants with NT1, NT2 and IH. 

Pipeline and Anticipated Upcoming Milestones

   -- ORX750: Phase 2a CRYSTAL-1 study ongoing in participants with NT1, NT2 
      and IH. The Company expects to share Phase 2a data across all three 
      indications in 2025. In addition, data from the Phase 1 study will be 
      presented in a poster session at the AAN Annual Meeting on April 5, 2025. 
 
   -- ORX142: Advancing through IND-enabling studies. The Company is focused on 
      obtaining IND clearance and initiating clinical development with the goal 
      of sharing clinical data in acutely sleep-deprived healthy volunteers in 
      2025. 
 
   -- ORX489: Advancing in IND-enabling studies. 

Fourth Quarter and Full-Year 2024 Financial Results

   -- Cash, Cash Equivalents and Short-term Investments: Cash, cash equivalents 
      and short-term investments totaled $482.2 million as of December 31, 
      2024. The Company expects its cash, cash equivalents and short-term 
      investments as of December 31, 2024 will fund operations into mid-2027. 
 
   -- Research & Development (R&D) Expenses: R&D expenses were $60.9 million 
      for the fourth quarter ended December 31, 2024, compared to $29.7 million 
      for the fourth quarter ended December 31, 2023, and $150.2 million for 
      the full-year 2024 compared to $124.4 million for the full-year 2023. R&D 
      expenses for the quarter and full-year 2024 included a one-time charge of 
      $31.5 million related to the discontinuation of the global clinical 
      development program for SerpinPC that was being progressed for the 
      treatment of hemophilia B. 
 
   -- General & Administrative Expenses: General and administrative expenses 
      were $13.7 million for the fourth quarter ended December 31, 2024, 
      compared to $12.3 million the fourth quarter ended December 31, 2023, and 
      $50.8 million for the full-year 2024 compared to $53.7 million for the 
      full-year 2023. 
 
   -- Net Loss Attributable to Ordinary Shareholders (Net loss): Net loss was 
      $111.3 million for the fourth quarter ended December 31, 2024, compared 
      to $36.8 million for the fourth quarter ended December 31, 2023, and 
      $235.8 million for the full-year 2024 compared to $151.1 million for the 
      full-year 2023. Net loss for the quarter and full-year 2024 reflects 
      non-recurring items including a $34.1 million loss on debt extinguishment 
      and a charge of $31.5 million related to the discontinuation of the 
      global clinical development program for SerpinPC which was included in 
      R&D expenses. In addition, net loss for full-year 2023 included a 
      non-recurring non-cash tax benefit of $24.2 million. 

About the Phase 2a CRYSTAL-1 Clinical Study of ORX750

The Phase 2a CRYSTAL-1 study is a randomized, double-blind, placebo-controlled, cross-over basket study to evaluate the safety, tolerability, and PK of ORX750 in participants with NT1, NT2 and IH. There are separate cohorts for each indication. Initial dosing is 1.0 mg for NT1 and 2.0 mg for NT2 and IH with sequential dose escalation/de-escalation between cohorts. Each dosing cohort consists of a 6-week treatment duration with crossover study design. During the 6 weeks of treatment, each participant will be randomized to one of two blinded treatment sequences and receive a total of 4 weeks of treatment with ORX750 and 2 weeks of treatment with placebo. Efficacy assessments will evaluate the effect of ORX750 on excessive daytime sleepiness (using the MWT and Epworth Sleepiness Scale $(ESS)$), cataplexy (NT1 only) and overall symptom improvement (measured by Narcolepsy Severity Scale $(NSS)$ and Idiopathic Hypersomnia Severity Scale (IHSS)). Other exploratory assessments include measures of sleep, cognition, attention, memory and general health.

About Centessa Pharmaceuticals

Centessa Pharmaceuticals, plc is a clinical-stage pharmaceutical company with a mission to discover, develop and ultimately deliver medicines that are transformational for patients. We are pioneering a new class of potential therapies within our orexin receptor 2 (OX2R) agonist program for the treatment of excessive daytime sleepiness (EDS), impaired attention, cognitive deficits and fatigue across neurological, neurodegenerative and neuropsychiatric disorders. We also have an early-stage immuno-oncology program focused on our novel LockBody$(R)$ technology platform. For more information, visit www.centessa.com, which does not form part of this release.

Forward Looking Statements

This press release contains forward-looking statements. These statements may be identified by words such as "may," "might," "will," "could," "would," "should," "expect," "intend," "plan," "objective," "anticipate, " "believe," "estimate," "predict," "potential," "continue," "ongoing," "aim," "seek," and variations of these words or similar expressions that are intended to identify forward-looking statements. Any such statements in this press release that are not statements of historical fact may be deemed to be forward-looking statements, including statements related to the Company's ability to discover and develop transformational medicines for patients; its expectations for executing on the Company's pipeline; its expectations on its anticipated cash runway; the timing of commencement of new studies or clinical trials or clinical and preclinical data related to ORX750, ORX142, ORX489 and other OX2R agonist molecules, and the LockBody technology platform; its ability to identify, screen, recruit and maintain a sufficient number of or any subjects in its existing and anticipated studies or clinical trials of ORX750, ORX142, ORX489 and other OX2R agonist molecules, and any LockBody candidates; its expectations on executing its research and clinical development plans and the timing thereof; its expectations as to the potential results and impact of each of its clinical programs and trials; the Company's ability to differentiate ORX750, ORX142, ORX489 and other OX2R agonist molecules, any LockBody candidates from other treatment options; the development, design and therapeutic potential of ORX750, ORX142, ORX489 and other OX2R agonist molecules, and the LockBody technology platform; the anticipated net savings associated with the discontinuation of the SerpinPC program; and regulatory matters, including the timing and likelihood of success of obtaining regulatory clearance, obtaining authorizations to initiate or continue clinical trials. Any forward-looking statements in this press release are based on our current expectations, estimates, assumptions and projections only as of the date of this release 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. These risks and uncertainties include, but are not limited to, risks related to the safety and tolerability profile of our product candidates; our ability to identify, screen and recruit a sufficient number of or any subjects in our existing and anticipated new studies or clinical trials of ORX750, ORX142, ORX489 or within anticipated timelines; our expectations relating to the clinical trials of ORX750, including the predicted timing of enrollment, the predicted efficacious doses of ORX750 and our ability to successfully conduct our clinical development of ORX750, our ability to protect and maintain our intellectual property position; business (including commercial viability), regulatory, economic and competitive risks, uncertainties, contingencies and assumptions about the Company; risks inherent in developing product candidates and technologies; future results from our ongoing and planned clinical trials; our ability to obtain adequate financing, including through our financing facility with Oxford Finance, to fund our planned clinical trials and other expenses; trends in the industry; the legal and regulatory framework for the industry, including the receipt and maintenance of clearances to conduct or continue clinical testing; our operating costs and use of cash, including cash runway, cost of development activities and conducting clinical trials, future expenditures risks; the risk that any one or more of our product candidates will not be successfully developed and/or commercialized; the risk that the historical results of preclinical studies or clinical studies will not be predictive of future results in ongoing or future studies; economic risks to the United States and United Kingdom banking systems; and geo-political risks such as the Russia-Ukraine war or the Middle East conflicts. These and other risks concerning our programs and operations are described in additional detail in our Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, and our other reports, which are on file with the U.S. Securities and Exchange Commission $(SEC.UK)$. We explicitly disclaim any obligation to update any forward-looking statements except to the extent required by law.

Contact:

Kristen K. Sheppard, Esq.

SVP of Investor Relations

investors@centessa.com

 
                          Centessa Pharmaceuticals plc 
            Consolidated Statements of Operations and Comprehensive 
                                      Loss 
                                  (unaudited) 
             (amounts in thousands except share and per share data) 
 
                                       Quarter 
                      Quarter Ended     Ended       Year Ended      Year Ended 
                      December 31,   December 31,  December 31,    December 31, 
                          2024           2023          2024            2023 
                      -------------  ------------  -------------  -------------- 
License and other 
 revenue              $         --   $     6,853   $         --   $     6,853 
Operating expenses: 
    Research and 
     development            60,874        29,716        150,244       124,405 
    General and 
     administrative         13,706        12,315         50,811        53,731 
                       -----------    ----------    -----------    ---------- 
Loss from operations       (74,580)      (35,178)      (201,055)     (171,283) 
    Interest income          4,845         2,933         14,016        10,476 
    Interest expense        (2,479)       (2,570)       (10,090)       (9,906) 
    Loss on 
     extinguishment 
     of debt               (34,097)           --        (34,097)           -- 
    Other 
     non-operating 
     expenses, net          (3,968)         (878)        (1,687)       (5,428) 
                       -----------    ----------    -----------    ---------- 
Loss before income 
 taxes                    (110,279)      (35,693)      (232,913)     (176,141) 
    Income tax 
     expense 
     (benefit)               1,050         1,144          2,844       (25,056) 
                       -----------    ----------    -----------    ---------- 
Net loss                  (111,329)      (36,837)      (235,757)     (151,085) 
                       -----------    ----------    -----------    ---------- 
 
Other comprehensive 
income: 
      Foreign 
       currency 
       translation 
       adjustment            1,721           459          1,223         1,700 
      Unrealized 
       gain on 
       available for 
       sale 
       securities, 
       net of tax              397           255          1,497         1,290 
                       -----------    ----------    -----------    ---------- 
Other comprehensive 
 income                      2,118           714          2,720         2,990 
                       -----------    ----------    -----------    ---------- 
 
Total comprehensive 
 loss                 $   (109,211)  $   (36,123)  $   (233,037)  $  (148,095) 
                       ===========    ==========    ===========    ========== 
 
   Net loss per 
    ordinary share - 
    basic and 
    diluted           $      (0.84)  $     (0.38)  $      (2.06)  $     (1.57) 
                       ===========    ==========    ===========    ========== 
   Weighted average 
    ordinary shares 
    outstanding - 
    basic and 
    diluted            132,050,271    97,923,585    114,473,449    96,177,578 
 
 
 
                        Centessa Pharmaceuticals plc 
                   Condensed Consolidated Balance Sheets 
                                (unaudited) 
                           (amounts in thousands) 
 
                                     December 31, 2024    December 31, 2023 
                                    -------------------  ------------------- 
Total assets: 
    Cash and cash equivalents         $         383,221    $         128,030 
    Short-term investments                       98,956              128,519 
    Other assets                                 94,621              103,697 
                                    ---  --------------  ---  -------------- 
      Total assets                    $         576,798    $         360,246 
                                    ===  ==============  ===  ============== 
 
Total liabilities 
    Other liabilities                 $          66,313    $          48,302 
    Long term debt                              108,940               75,700 
                                    ---  --------------  ---  -------------- 
      Total liabilities                         175,253              124,002 
                                    ---  --------------  ---  -------------- 
 
    Total shareholders' equity                  401,545              236,244 
                                    ---  --------------  ---  -------------- 
    Total liabilities and 
     shareholders' equity             $         576,798    $         360,246 
                                    ===  ==============  ===  ============== 
 

(END) Dow Jones Newswires

March 24, 2025 07:00 ET (11:00 GMT)

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