Press Release: Bicara Therapeutics Reports Fourth Quarter and Full Year 2024 Financial Results and Provides Business Update

Dow Jones
27 Mar

Bicara Therapeutics Reports Fourth Quarter and Full Year 2024 Financial Results and Provides Business Update

Dosing commenced in FORTIFI-HN01, a pivotal Phase 2/3 trial of ficerafusp alfa in 1L R/M HNSCC

Updated data from ongoing Phase 1/1b trial in 1L R/M HNSCC to be presented at 2025 ASCO Annual Meeting

Strong financial position with approximately $490 million in cash and cash equivalents expected to fund operations into the first half of 2029

BOSTON, March 27, 2025 (GLOBE NEWSWIRE) -- Bicara Therapeutics Inc. (Nasdaq: BCAX), a clinical-stage biopharmaceutical company committed to bringing transformative bifunctional therapies to patients with solid tumors, today announced financial results for the fourth quarter and full year ended December 31, 2024 and provided a business update.

"2024 was a remarkable year for Bicara, marked by our successful transition to a public company, the advancement of our lead asset, ficerafusp alfa, and the addition of key leaders to our executive team and Board of Directors. We continue to make strong progress in 2025, with patient dosing actively underway in FORTIFI-HN01, the pivotal Phase 2/3 trial of ficerafusp alfa in recurrent/metastatic head and neck squamous cell carcinoma," said Claire Mazumdar, PhD, MBA, Chief Executive Officer of Bicara Therapeutics. "As FORTIFI-HN01 progresses, we look forward to presenting updated data from our ongoing Phase 1/1b study of ficerafusp alfa in 1L R/M HNSCC at the 2025 ASCO Annual Meeting. We also continue to evaluate the potential broad utility of ficerafusp alfa across other areas of head and neck cancer, as well as other solid tumor types."

Pipeline Highlights

Bicara is developing ficerafusp alfa, a first-in-class, dual-action bifunctional epidermal growth factor receptor (EGFR)/transforming growth factor beta (TGF-<BETA>) antibody for multiple different solid tumor cancer types.

Pivotal Phase 2/3 Clinical Trial in 1L R/M HNSCC

   -- In February 2025, Bicara dosed the first patients in FORTIFI-HN01, a 
      global, randomized, double-blind, placebo-controlled, pivotal Phase 2/3 
      trial of ficerafusp alfa in combination with pembrolizumab in 1L (first 
      line) recurrent/metastatic (R/M) head and neck squamous cell carcinoma 
      (HNSCC), excluding patients with oropharyngeal squamous cell carcinoma 
      associated with human papillomavirus infection (HPV-positive). 

Ongoing Phase 1/1b Clinical Trial in 1L R/M HNSCC

   -- Updated data from an ongoing Phase 1/1b trial will be presented at the 
      2025 American Society of Clinical Oncology (ASCO) Annual Meeting, which 
      will be held from May 30-June 3, 2025 in Chicago, IL. 

Ongoing Phase 1/1b Expansion Cohorts and Development of Ficerafusp Alfa Across Other HNSCC Populations and Solid Tumor Types

   -- In January 2025, Bicara presented data from the Phase 1/1b dose expansion 
      cohort of ficerafusp alfa in combination with pembrolizumab in patients 
      with second line (2L) or later squamous cancer of the anal canal (SCAC) 
      at the 2025 ASCO Gastrointestinal Cancers Symposium, providing additional 
      support for the complementary mechanisms of ficerafusp alfa and 
      pembrolizumab. 
 
   -- Updated data from a Phase 1b expansion cohort evaluating ficerafusp alfa 
      monotherapy in patients with 2L or later cutaneous squamous cell 
      carcinoma (cSCC) will be presented at the American Association for Cancer 
      Research (AACR) Annual Meeting 2025, which will be held from April 25-30, 
      2025 in Chicago, IL. 
 
   -- A Phase 1b expansion cohort evaluating ficerafusp alfa both as 
      monotherapy and in combination with pembrolizumab in patients with 3L+ 
      metastatic colorectal cancer (RAS / BRAF wild type) is expected to 
      initiate in 2025. 
 
   -- A Phase 1b expansion cohort evaluating ficerafusp alfa in combination 
      with pembrolizumab in HPV-positive patients with a history of heavy 
      smoking is expected to initiate in the first half of 2025. 

Upcoming Events and Presentations

   -- Three abstracts related to ficerafusp alfa will be presented at the 
      upcoming AACR Annual Meeting 2025, which will be held from April 25-30, 
      2025 in Chicago, IL: 
 
          -- Dose expansion results of single agent ficerafusp alfa (BCA101), a 
             bifunctional EGFR/TGF-<BETA> inhibitor in patients with metastatic 
             or advanced cutaneous squamous cell carcinoma (cSCC) (Abstract #: 
             CT034). 
 
                 -- This presentation will highlight data from a Phase 1/1b 
                    dose expansion cohort of ficerafusp alfa monotherapy in 
                    second line or later cSCC patients. 
 
          -- Dual blockade of EGFR and TGF-<BETA> with ficerafusp alfa has the 
             potential to overcome resistance mechanisms in 1L R/M HNSCC in 
             combination with Pembrolizumab (Abstract #: 3284). 
 
                 -- This presentation will highlight a translational medicine 
                    biomarker dataset that provides insights into the effects 
                    of targeted inhibition of TGF-<BETA> with ficerafusp alfa. 
 
          -- Ficerafusp alfa reverses acquired resistance to the KRAS-G12C 
             inhibitor sotorasib in KRAS-G12C-mutated lung tumors (Abstract #: 
             4434). 
 
                 -- This presentation will highlight a preclinical dataset that 
                    provides insights into the role of inhibiting TGF-<BETA> in 
                    overcoming acquired KRAS-G12C-inhibitor drug-resistant 
                    KRAS-G12C-mutated lung cancer. 
 
   -- Members of the Bicara management team will participate in the Stifel 2025 
      Virtual Targeted Oncology Forum on Tuesday, April 8, 2025 at 2:00 p.m. 
      ET. A live webcast of the presentation will be available on the Events 
      and Presentations section of Bicara's website. A replay of the webcast 
      will be archived and available following the event. 

Fourth Quarter and Full Year 2024 Financial Results

   -- Cash Position: As of December 31, 2024, Bicara had cash and cash 
      equivalents of $489.7 million, compared to $230.4 million as of December 
      31, 2023. Based on its current operating and development plans, the 
      Company expects that its existing cash and cash equivalents will fund 
      operations into the first half of 2029. 
 
   -- Research and Development Expenses: Research and development expenses were 
      $19.9 million and $63.6 million for the fourth quarter and full year 
      ended December 31, 2024, respectively, as compared to $10.6 million and 
      $30.6 million for the same periods in 2023. The increase was primarily 
      due to additional costs associated with the initiation of the 
      FORTIFI-HN01 Phase 2/3 clinical trial, as well as the Company's ongoing 
      Phase 1/1b clinical trial to advance ficerafusp alfa. 
 
   -- General and Administrative Expenses: General and administrative expenses 
      were $6.8 million and $18.8 million for the fourth quarter and full year 
      ended December 31, 2024, respectively, as compared to $3.1 million and 
      $9.3 million for the same periods in 2023. The increase was primarily due 
      to additional personnel costs and professional fees to prepare Bicara to 
      operate as a public company. 
 
   -- Net Loss: Net loss totaled $21.0 million and $68.0 million for the fourth 
      quarter and full year ended December 31, 2024, respectively, as compared 
      to $12.4 million and $52.0 million for the same periods in 2023. Net loss 
      for the year ended December 31, 2023 included a $13.4 million non-cash 
      expense that represents the change in fair value of Bicara's Series B 
      preferred stock tranche rights liability. 

About Bicara Therapeutics

Bicara Therapeutics is a clinical-stage biopharmaceutical company committed to bringing transformative bifunctional therapies to patients with solid tumors. Bicara's lead program, ficerafusp alfa, is a bifunctional antibody that combines two clinically validated targets, an epidermal growth factor receptor (EGFR) directed monoclonal antibody with a domain that binds to human transforming growth factor beta (TGF-<BETA>). Through this dual-targeting mechanism, ficerafusp alfa has the potential to exert potent anti-tumor activity by simultaneously blocking both cancer cell-intrinsic EGFR survival and proliferation, as well as the immunosuppressive TGF-<BETA> signaling within the tumor microenvironment. Ficerafusp alfa is being developed in head and neck squamous cell carcinoma, where there remains a significant unmet need, as well as other solid tumor types. For more information, please visit www.bicara.com or follow us on LinkedIn or X.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended. These statements may be identified by words such as "may," "might," "will," "could," "would," "should," "plan," "anticipate," "intend," "believe," "expect," "estimate," "seek," "predict," "future," "project," "potential," "continue," "target" and similar words or expressions, or the negative thereof, are intended to identify forward-looking statements, although not all contain identifying words. Any statements in this press release that are not statements of historical fact may be deemed to be forward-looking statements. These forward-looking statements include, without limitation, Bicara's strategy, business plans and focus; express or implied statements regarding the clinical development of ficerafusp alfa, including the initiation, timing, progress and results of ongoing and planned clinical trials; the expected therapeutic potential and clinical benefits of ficerafusp alfa, including potential efficacy and tolerability; Bicara's expected operating expenses and capital expenditure requirements, including its cash runway through the first half of 2029; and participation at upcoming conferences and

the timing of data readouts. Any forward-looking statements in this press release are based on management's current expectations and beliefs and are subject to a number of risks and uncertainties that are difficult to predict. Factors that could cause actual results to differ include, but are not limited to, risks and uncertainties related to uncertainties inherent in the development of product candidates, including the conduct of research activities and the conduct of clinical trials; uncertainties as to the availability and timing of results and data from clinical trials; whether results from prior preclinical studies and clinical trials will be predictive of the results of subsequent preclinical studies and clinical trials; regulatory developments in the United States and foreign countries; whether Bicara's cash resources will be sufficient to fund its foreseeable and unforeseeable operating expenses and capital expenditure requirements; as well as the risks and uncertainties identified in Bicara's filings with the Securities and Exchange Commission $(SEC.UK)$, including Bicara's upcoming Annual Report on Form 10-K for the year ended December 31, 2024 and any subsequent filings Bicara makes with the SEC. In addition, any forward-looking statements represent Bicara's views only as of today and should not be relied upon as representing its views as of any subsequent date. Bicara explicitly disclaims any obligation to update any forward-looking statements. No representations or warranties (expressed or implied) are made about the accuracy of any such forward-looking statements.

Bicara intends to use its Investor Relations website as a means of disclosing material nonpublic information and for complying with its disclosure obligations under Regulation FD. Accordingly, investors should monitor the Company's Investor Relations website, in addition to following the Company's press releases, SEC filings, public conference calls, presentations, and webcasts.

 
                       BICARA THERAPEUTICS INC. 
                 CONSOLIDATED STATEMENTS OF OPERATIONS 
            (in thousands except shares and per share data) 
 
                       Three Months Ended            Year Ended 
                           December 31,              December 31, 
                     -----------------------  ------------------------- 
                         2024        2023         2024        2023 
                                    -------                  ------- 
Operating expenses 
   Research and 
    development - 
    related party    $       816   $  2,733   $     8,216   $  9,244 
   Research and 
    development           19,067      7,829        55,403     21,373 
   General and 
    administrative         6,754      3,125        18,770      9,272 
                      ----------    -------    ----------    ------- 
      Total 
       operating 
       expenses(1)        26,637     13,687        82,389     39,889 
                      ----------    -------    ----------    ------- 
Loss from 
 operations              (26,637)   (13,687)      (82,389)   (39,889) 
 
Other (expenses) 
income 
   Interest income         5,866      1,301        14,581      1,314 
   Change in fair 
    value of Series 
    B preferred 
    stock tranche 
    rights 
    liability                 --        (49)           --    (13,405) 
                      ----------    -------    ----------    ------- 
      Total other 
       income 
       (expense)           5,866      1,252        14,581    (12,091) 
                      ----------    -------    ----------    ------- 
Net loss before 
 income taxes            (20,771)   (12,435)      (67,808)   (51,980) 
   Income tax 
    expense                 (186)        (5)         (187)        (5) 
                      ----------    -------    ----------    ------- 
Net loss             $   (20,957)  $(12,440)  $   (67,995)  $(51,985) 
                      ==========    =======    ==========    ======= 
 
Net Loss per share, 
 basic and diluted   $     (0.39)  $ (19.71)  $     (4.05)  $ (89.61) 
                      ==========    =======    ==========    ======= 
 
Weighted-average 
 number common 
 shares 
 outstanding, basic 
 and diluted          54,424,607    631,286    16,805,524    580,109 
                      ==========    =======    ==========    ======= 
 
 
(1) Expenses 
include the 
following non-cash 
stock-based 
compensation 
expense 
    Research & 
     Development     $     1,040   $    171   $     2,084   $    381 
    General and 
     administrative        2,141        594         5,313      1,518 
                      ----------    -------    ----------    ------- 
     Total 
      stock-based 
      compensation 
      expense        $     3,181   $    765   $     7,397   $  1,899 
                      ==========    =======    ==========    ======= 
 
 
                          BICARA THERAPEUTICS INC. 
                         CONSOLIDATED BALANCE SHEETS 
                               (in thousands) 
 
                                             December 31,     December 31, 
                                                 2024             2023 
                                            --------------  ---------------- 
Assets 
    Current assets: 
      Cash and cash equivalents              $     489,711   $    230,440 
      Prepaid expenses and other assets             12,822            633 
                                                ----------      --------- 
       Total current assets                        502,533        231,073 
 
    Property and equipment, net                        155            202 
    Right of use asset -- operating lease              690            613 
    Other assets                                     6,618          2,094 
                                                ----------      --------- 
       Total assets                          $     509,996   $    233,982 
                                                ==========      ========= 
 
Liabilities, redeemable convertible 
preferred stock, and stockholders' equity 
(deficit) 
    Current liabilities: 
      Accounts payable                       $       3,893   $      2,142 
      Accounts payable -- related party                615          1,044 
      Accrued expenses and other current 
       liabilities                                  12,875          8,053 
      Accrued expenses and other current 
       liabilities -- related party                     --          3,561 
      Operating lease liability -- current 
       portion                                         607            285 
                                                ----------      --------- 
       Total current liabilities                    17,990         15,085 
 
    Operating lease liability -- net of 
     current portion                                   131            372 
    Other liabilities                                   --             17 
                                                ----------      --------- 
       Total liabilities                            18,121         15,474 
       Total redeemable convertible 
        preferred stock                                 --        367,277 
       Total stockholders' equity 
        (deficit)                                  491,875       (148,769) 
                                                ----------      --------- 
       Total liabilities, redeemable 
        convertible preferred stock, and 
        stockholders' equity (deficit)       $     509,996   $    233,982 
                                                ==========      ========= 
 

Contacts

Investors

Rachel Frank

IR@bicara.com

Media

Dan Budwick

1AB

dan@1abmedia.com

(END) Dow Jones Newswires

March 27, 2025 07:30 ET (11:30 GMT)

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