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Aprea Therapeutics Reports Third Quarter 2024 Financial Results and Provides Business Update

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Aprea Therapeutics (NASDAQ: APRE) reported Q3 2024 financial results and provided updates on its clinical pipeline. The company reported preliminary results from Phase 1 ACESOT-1051 trial of WEE1 inhibitor APR-1051, showing good tolerability. Cash position stands at $26.2 million as of September 30, 2024, providing runway for at least 12 months. Q3 operating loss was $4.1 million with net loss of $3.8 million ($0.64 per share). Active enrollment continues in both ACESOT-1051 and ABOYA-119 trials, with preliminary efficacy data from ACESOT-1051 expected in H1 2025.

Aprea Therapeutics (NASDAQ: APRE) ha riportato i risultati finanziari del terzo trimestre 2024 e fornito aggiornamenti sulla sua pipeline clinica. L'azienda ha comunicato i risultati preliminari del trial di Fase 1 ACESOT-1051 dell'inibitore WEE1 APR-1051, mostrando una buona tollerabilità. La posizione di liquidità è di 26,2 milioni di dollari al 30 settembre 2024, garantendo un margine operativo di almeno 12 mesi. La perdita operativa del terzo trimestre è stata di 4,1 milioni di dollari, con una perdita netta di 3,8 milioni di dollari (0,64 dollari per azione). L'arruolamento attivo continua sia negli studi ACESOT-1051 che ABOYA-119, con i dati preliminari di efficacia di ACESOT-1051 attesi per il primo semestre del 2025.

Aprea Therapeutics (NASDAQ: APRE) reportó los resultados financieros del tercer trimestre de 2024 y proporcionó actualizaciones sobre su pipeline clínico. La compañía informó resultados preliminares del ensayo de Fase 1 ACESOT-1051 del inhibidor WEE1 APR-1051, mostrando buena tolerabilidad. La posición de efectivo se sitúa en 26,2 millones de dólares al 30 de septiembre de 2024, lo que proporciona un margen operativo de al menos 12 meses. La pérdida operativa del tercer trimestre fue de 4,1 millones de dólares, con una pérdida neta de 3,8 millones de dólares (0,64 dólares por acción). La inscripción activa continúa en los ensayos ACESOT-1051 y ABOYA-119, con datos preliminares de eficacia de ACESOT-1051 esperados para el primer semestre de 2025.

Aprea Therapeutics (NASDAQ: APRE)는 2024년 3분기 재무 결과를 발표하고 임상 파이프라인에 대한 업데이트를 제공했습니다. 이 회사는 WEE1 억제제 APR-1051의 1상 ACESOT-1051 시험에서 좋은 내약성을 보여주는 초기 결과를 보고했습니다. 2024년 9월 30일 기준 현금 잔고는 2620만 달러로, 최소 12개월 이상의 운영 자금을 제공합니다. 3분기 운영 손실은 410만 달러였으며, 순손실은 380만 달러 (주당 0.64 달러)였습니다. ACESOT-1051 및 ABOYA-119 시험 모두에서 활발한 등록이 계속되고 있으며, ACESOT-1051의 초기 효능 데이터는 2025년 상반기에 예상됩니다.

Aprea Therapeutics (NASDAQ: APRE) a annoncé les résultats financiers du troisième trimestre 2024 et a fourni des mises à jour sur son pipeline clinique. La société a rapporté des résultats préliminaires de l'essai de Phase 1 ACESOT-1051 de l'inhibiteur WEE1 APR-1051, montrant une bonne tolérance. La position de liquidités s'élève à 26,2 millions de dollars au 30 septembre 2024, offrant une marge de manœuvre d'au moins 12 mois. La perte d'exploitation au troisième trimestre était de 4,1 millions de dollars, avec une perte nette de 3,8 millions de dollars (0,64 dollar par action). L'inscription active se poursuit dans les essais ACESOT-1051 et ABOYA-119, avec des données préliminaires d'efficacité d'ACESOT-1051 attendues au premier semestre 2025.

Aprea Therapeutics (NASDAQ: APRE) hat die finanziellen Ergebnisse für das dritte Quartal 2024 veröffentlicht und Aktualisierungen zu seiner klinischen Pipeline bereitgestellt. Das Unternehmen berichtete über vorläufige Ergebnisse aus der Phase-1-Studie ACESOT-1051 des WEE1-Inhibitors APR-1051, die eine gute Verträglichkeit zeigen. Der Bargeldbestand beträgt zum 30. September 2024 26,2 Millionen US-Dollar, was eine finanzielle Sicherheit für mindestens 12 Monate bietet. Der operative Verlust im dritten Quartal betrug 4,1 Millionen US-Dollar, mit einem Nettoverlust von 3,8 Millionen US-Dollar (0,64 US-Dollar pro Aktie). Die aktive Einschreibung läuft weiterhin in den Studien ACESOT-1051 und ABOYA-119, wobei die ersten Wirksamkeitsdaten von ACESOT-1051 für das erste Halbjahr 2025 erwartet werden.

Positive
  • Cash position increased to $26.2 million from $21.6 million at end of 2023
  • Preliminary results show APR-1051 well-tolerated with no unexpected toxicities
  • ACESOT-1051 trial ahead of schedule with Cohort 3 cleared
Negative
  • Operating loss increased to $4.1 million from $3.5 million in Q3 2023
  • R&D expenses increased to $2.8 million from $2.1 million YoY
  • Net loss increased to $3.8 million from $3.2 million YoY

Insights

The Q3 results reveal a mixed financial picture. While cash position strengthened to $26.2 million from $21.6 million at year-end 2023, operating losses widened to $4.1 million from $3.5 million year-over-year. The increased R&D spend of $2.8 million reflects investment in clinical trials, particularly the ABOYA-119 study. The $0.4 million NIH grant revenue provides modest offset to expenses. The cash runway extending 12+ months provides operational stability, though the 25.7% wider net loss of $3.8 million warrants monitoring. The diluted share count increase to 5.9 million from 3.7 million indicates significant equity issuance.

The preliminary clinical data shows encouraging safety signals for both pipeline assets. APR-1051's WEE1 inhibitor demonstrated clean tolerability through three dose cohorts (10-30mg), enabling acceleration to 50mg dosing. The ATRN-119 ATR inhibitor similarly shows a favorable safety profile through 800mg daily dosing with no DLTs, leading to protocol expansion for higher once-daily (1500mg) and split twice-daily dosing. While efficacy signals are - only 2 patients showing benefit in ATRN-119 trial - this is expected at subtherapeutic doses. The biomarker-driven approach targeting Cyclin E overexpression and DDR mutations provides scientific rationale for potential therapeutic benefit.

Preliminary results from Phase 1 ACESOT-1051 trial of WEE1 inhibitor, APR-1051, demonstrate the product to be well-tolerated with no unexpected toxicities

Philippe Pultar, MD engaged as senior medical advisor to support the development and advancement of APR-1051

$26.2 million in cash and cash equivalents as of September 30, 2024 with cash runway for at least twelve months

DOYLESTOWN, Pa., Nov. 07, 2024 (GLOBE NEWSWIRE) -- Aprea Therapeutics, Inc. (Nasdaq: APRE) (“Aprea”, or the “Company”), a clinical-stage biopharmaceutical company focused on precision oncology through synthetic lethality, today reported financial results for the third quarter ended September 30, 2024, and provided a business update.

“We continue to make meaningful progress advancing our pipeline of two clinical stage therapeutic candidates as well as strengthening our clinical team,” said Oren Gilad, Ph.D., President and Chief Executive Officer of Aprea. “We are ahead of schedule with the enrollment of the Phase 1 ACESOT-1051 trial evaluating our next generation WEE1 inhibitor, APR-1051. Preliminary results at subtherapeutic doses demonstrate the product to be well-tolerated with no unexpected toxicities. APR-1051 has been designed to limit off target toxicity and, based on its unique characteristics, we believe it will be best-in-class. Active enrollment is also ongoing in the Phase 1/2a ABOYA-119 study evaluating ATRN-119, our first-in-class macrocyclic ATR inhibitor. To optimize dosing and scheduling we added a twice-daily dosing regimen.”

Key Business Updates and Potential Upcoming Key Milestones

ACESOT-1051: A Biomarkers Focused, Phase 1 Trial of Oral WEE1 inhibitor, APR-1051

  • APR-1051 is a potent and selective small molecule that has been designed to potentially solve tolerability challenges of the class and may achieve greater clinical activity than other WEE1 programs currently in development. Aprea is advancing APR-1051 as monotherapy in cancers with Cyclin E over-expression, as well as other biomarkers that may predict sensitivity to WEE1 inhibition. Cancers over-expressing Cyclin E represent a high unmet medical need. Patients with Cyclin E over-expression have poor prognosis and, currently, have no effective therapies available.
  • Enrollment is ongoing in the ACESOT-1051 (A Multi-Center Evaluation of WEE1 Inhibitor in Patients with Advanced Solid Tumors, APR-1051) Phase 1 clinical trial evaluating single-agent APR-1051 in advanced solid tumors harboring cancer-associated gene alterations. The primary objectives of the Phase 1 study are to measure safety, dose-limiting toxicities (DLTs), maximum tolerated dose or maximum administered dose (MTD/MAD), and recommended Phase 2 dose (RP2D); secondary objectives are to evaluate pharmacokinetics, preliminary efficacy according to RECIST or PCWG3 criteria; pharmacodynamic parameters are exploratory objectives.
  • In October 2024, preliminary findings from the ACESOT-1051 trial were reported in a poster at the EORTC-NCI-AACR Symposium on Molecular Targets and Cancer Therapeutics, in Barcelona, Spain. As of October 7, 2024, three patients were enrolled (sub-therapeutic doses of 10 mg, 20 mg and 30 mg) in the first three Cohorts with data available on two of these patients. Preliminary results to date have demonstrated that APR-1051 is well-tolerated with no unexpected toxicities. The poster can be viewed on Aprea’s corporate website here.
  • Cohort 3 has been cleared ahead of schedule, with no safety concerns noted. Accelerated titration is complete and, in November 2024, the trial begun enrolling at Cohort 4 (50 mg) within the BOIN (Bayesian Optimal Interval) design.
  • Preliminary efficacy data from ACESOT-1051 are expected in the first half of 2025. For more information, refer to ClinicalTrials.gov NCT06260514.

ABOYA-119: Ongoing Clinical Trial Evaluating ATR inhibitor, ATRN-119

  • ATRN-119 is a potent and highly selective first-in-class macrocyclic ATR inhibitor, designed to be used in patients with mutations in DDR-related genes. Cancers with mutations in DDR-related genes represent a high unmet medical need. Patients with DDR-related gene mutations have a poor prognosis and, currently, there are no effective therapies available for them.
  • ATRN-119 is currently being evaluated in the open-label Phase 1/2a clinical trial of ABOYA-119 as monotherapy in patients with advanced solid tumors having at least one mutation in a defined panel of DDR-related genes. The primary endpoint of this Phase 1 trial is the tolerability and pharmacokinetics of ATRN-119 when administered orally on a continuous schedule.
  • An update from ABOYA-119 was provided in a poster at the EORTC-NCI-AACR Symposium on Molecular Targets and Cancer Therapeutics on October 25, 2024. Patients are currently being enrolled at dose level 6 (800mg once daily) in the dose escalation part of the trial. As of October 2, 2024, 14 of 20 patients experienced adverse events (AEs) considered to be possibly/probably related to ATRN-119. No related SAE or grade 4-5 AEs have been observed. No signs of hematological toxicity have been registered and no DLTs have been observed to date. Preliminary signs of clinical benefit were observed in two patients treated at the 50 mg and 200 mg dose level. A copy of the poster can be viewed here.
  • In order to optimize dosing and scheduling early in the development process, a protocol amendment has been submitted to add dose level 9 (1500 mg once daily) and twice-daily (400mg to 750mg) dosing. The addition of twice-daily dosing is supported by the pharmacodynamic properties of the drug and the favorite safety profile observed to date. The dose escalation for the once-daily and the twice-daily schedules will be studied independently. Under the current updated protocol, the Company anticipates the ABOYA-119 Phase 1 readout to be available in the second half of 2025.
  • For more information, please refer to clinicaltrials.gov NCT04905914

Corporate

  • In October 2024, the Company engaged Philippe Pultar, MD as senior medical advisor to support the development and advancement of APR-1051. Dr. Pultar is a seasoned pharmaceutical executive with extensive experience in oncology. He was most recently employed at Zentalis Pharmaceuticals where he played a key role in the strategy and execution of the global clinical development of azenosertib, a WEE1 inhibitor.

Select Financial Results for the third quarter ended September 30, 2024

  • As of September 30, 2024, the Company reported cash and cash equivalents of $26.2 million, compared to $21.6 million at December 31, 2023. The Company believes its cash and cash equivalents as of September 30, 2024, will be sufficient to fund the Company’s operating expenses and capital expenditure requirements through at least twelve months from the date of issuance of the condensed consolidated financial statements on Form 10-Q for the quarter ended September 30, 2024.
  • For the quarter ended September 30, 2024, the Company reported an operating loss of $4.1 million, compared to an operating loss of $3.5 million in the comparable period in 2023.
  • Grant revenue primarily from the National Cancer Institute of the National Institutes of Health (“NIH”) for the three months ended September 30, 2024 and 2023 was approximately $0.4 million and $0.3 million, respectively.
  • Research and development expenses for the three months ended September 30, 2024 were approximately $2.8 million, compared to approximately $2.1 million for the three months ended September 30, 2023. The overall increase was primarily due to an increase in costs related to the ABOYA-119 clinical trial to evaluate ATRN-119 and personnel costs. These were offset in part by a decrease in costs related to IND enabling studies for ATRN-1051.
  • General and administrative expenses for the three months ended September 30, 2024 were approximately $1.6 million, compared to approximately $1.7 million for the three months ended September 30, 2023. The decrease was primarily related to a decrease in insurance costs.
  • The Company reported a net loss of $3.8 million ($0.64 per basic share) on approximately 5.9 million weighted-average common shares outstanding for the quarter ended September 30, 2024, compared to a net loss of $3.2 million ($0.86 per basic share) on approximately 3.7 million weighted average common shares outstanding for the comparable period in 2023.

About Aprea

Aprea Therapeutics, Inc. is a clinical-stage biopharmaceutical company headquartered in Doylestown, Pennsylvania, focused on precision oncology through synthetic lethality. The Company’s lead program is ATRN-119, a clinical-stage small molecule ATR inhibitor in development for solid tumor indications. APR-1051, an oral, small-molecule WEE1 inhibitor, is our second clinical program. For more information, please visit the company website at www.aprea.com.

The Company may use, and intends to use, its investor relations website at https://ir.aprea.com/ as a means of disclosing material nonpublic information and for complying with its disclosure obligations under Regulation FD.

Forward-Looking Statement
Certain information contained in this press release includes “forward-looking statements”, within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended related to our study analyses, clinical trials, regulatory submissions, and projected cash position. We may, in some cases use terms such as “future,” “predicts,” “believes,” “potential,” “continue,” “anticipates,” “estimates,” “expects,” “plans,” “intends,” “targeting,” “confidence,” “may,” “could,” “might,” “likely,” “will,” “should” or other words that convey uncertainty of the future events or outcomes to identify these forward-looking statements. Our forward-looking statements are based on current beliefs and expectations of our management team and on information currently available to management that involve risks, potential changes in circumstances, assumptions, and uncertainties. All statements contained in this press release other than statements of historical fact are forward-looking statements, including statements regarding our ability to develop, commercialize, and achieve market acceptance of our current and planned products and services, our research and development efforts, including timing considerations and other matters regarding our business strategies, use of capital, results of operations and financial position, and plans and objectives for future operations. Any or all of the forward-looking statements may turn out to be wrong or be affected by inaccurate assumptions we might make or by known or unknown risks and uncertainties. These forward-looking statements are subject to risks and uncertainties including, without limitation, risks related to the success, timing, and cost of our ongoing clinical trials and anticipated clinical trials for our current product candidates, including statements regarding the timing of initiation, pace of enrollment and completion of the trials (including our ability to fully fund our disclosed clinical trials, which assumes no material changes to our currently projected expenses), futility analyses, presentations at conferences and data reported in an abstract, and receipt of interim or preliminary results (including, without limitation, any preclinical results or data), which are not necessarily indicative of the final results of our ongoing clinical trials, our understanding of product candidates mechanisms of action and interpretation of preclinical and early clinical results from its clinical development programs, and the other risks, uncertainties, and other factors described under “Risk Factors,” “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and elsewhere in the documents we file with the U.S. Securities and Exchange Commission. For all these reasons, actual results and developments could be materially different from those expressed in or implied by our forward-looking statements. You are cautioned not to place undue reliance on these forward-looking statements, which are made only as of the date of this press release. We undertake no obligation to update such forward-looking statements for any reason, except as required by law.

Investor Contact:

Mike Moyer
LifeSci Advisors
mmoyer@lifesciadvisors.com

Media Contact:

Ignacio Guerrero-Ros, Ph.D., or David Schull
Russo Partners, LLC
Ignacio.guerrero-ros@russopartnersllc.com
David.schull@russopartnersllc.com
(858) 717-2310

 
Aprea Therapeutics, Inc.
Consolidated Balance Sheets
 
       
  September 30, December 31,
  2024  2023 
Assets      
Current assets:      
Cash and cash equivalents $26,249,625  $21,606,820 
Prepaid expenses and other current assets  234,195   914,275 
Total current assets  26,483,820   22,521,095 
Property and equipment, net  86,950   88,362 
Restricted cash  41,537   40,717 
Other noncurrent assets  281,662    
Total assets $26,893,969  $22,650,174 
Liabilities and Stockholders’ Equity      
Current liabilities:      
Accounts payable $1,153,880  $1,670,369 
Accrued expenses  2,482,008   2,186,262 
Deferred revenue     528,974 
Total current liabilities  3,635,888   4,385,605 
Total liabilities  3,635,888   4,385,605 
Commitments and contingencies      
Series A convertible preferred stock, $0.001 par value, 40,000,000 shares authorized; 56,227 shares issued and outstanding at September 30, 2024 and December 31, 2023, respectively.  1,311,063   1,311,063 
Stockholders’ equity:      
Common stock, $0.001 par value, 400,000,000 shares authorized, 5,434,903 and 3,736,673 shares issued and outstanding at September 30, 2024 and December 31, 2023, respectively.  5,435   3,736 
Additional paid-in capital  350,693,403   335,644,204 
Accumulated other comprehensive loss  (10,604,747)  (10,611,273)
Accumulated deficit  (318,147,073)  (308,083,161)
Total stockholders’ equity  21,947,018   16,953,506 
Total liabilities and stockholders' equity $26,893,969  $22,650,174 


Aprea Therapeutics, Inc.
Consolidated Statements of Operations and Comprehensive Loss
 
             
  Three Months Ended September 30, Nine Months Ended September 30,
  2024  2023  2024  2023 
  (Unaudited)
Grant revenue $354,621  $319,468  $1,296,764  $569,156 
Operating expenses:            
Research and development  2,846,399   2,122,603   7,004,451   5,581,802 
General and administrative  1,605,238   1,719,715   5,385,923   6,784,388 
Total operating expenses  4,451,637   3,842,318   12,390,374   12,366,190 
Loss from operations  (4,097,016)  (3,522,850)  (11,093,610)  (11,797,034)
Other income (expense):            
Interest income, net  348,741   321,215   1,014,518   913,846 
Foreign currency (loss) gain  (35,494)  (2,880)  15,180   39,686 
Total other income  313,247   318,335   1,029,698   953,532 
Net loss $(3,783,769) $(3,204,515) $(10,063,912) $(10,843,502)
Other comprehensive loss:            
Foreign currency translation  23,557   (1,002)  6,526   (12,466)
Total comprehensive loss  (3,760,212)  (3,205,517)  (10,057,386)  (10,855,968)
Net loss per share attributable to common stockholders, basic and diluted $(0.64) $(0.86) $(1.88) $(3.03)
Weighted-average common shares outstanding, basic and diluted  5,939,755   3,735,176   5,360,579   3,577,482 

FAQ

What were Aprea Therapeutics (APRE) Q3 2024 financial results?

Aprea reported a Q3 2024 operating loss of $4.1 million and net loss of $3.8 million ($0.64 per share), with $26.2 million in cash and cash equivalents as of September 30, 2024.

When will APRE release preliminary efficacy data for the ACESOT-1051 trial?

Aprea expects to release preliminary efficacy data from the ACESOT-1051 trial in the first half of 2025.

What are the initial results of APRE's Phase 1 ACESOT-1051 trial?

Preliminary results from the Phase 1 ACESOT-1051 trial showed APR-1051 to be well-tolerated with no unexpected toxicities, with Cohort 3 cleared ahead of schedule.

Aprea Therapeutics, Inc.

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