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BioXcel Therapeutics Reports Third Quarter 2024 Financial Results

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BioXcel Therapeutics (BTAI) reported Q3 2024 financial results, highlighting progress in two pivotal Phase 3 trials of BXCL501. Net revenue from IGALMI was $214,000 in Q3 2024, down from $341,000 in Q3 2023, though nine-month revenue increased 89% to $1.9 million. The company reported a net loss of $13.7 million, improved from $50.5 million in Q3 2023. R&D expenses decreased to $5.1 million from $19.6 million, while SG&A expenses reduced to $7.7 million from $24.3 million. Cash position stood at $40.4 million as of September 30, 2024.

BioXcel Therapeutics (BTAI) ha riportato i risultati finanziari del terzo trimestre del 2024, evidenziando i progressi in due prove fondamentali di Fase 3 per BXCL501. Il fatturato netto da IGALMI è stato di 214.000 dollari nel terzo trimestre del 2024, in calo rispetto ai 341.000 dollari del terzo trimestre del 2023, sebbene il fatturato nei nove mesi sia aumentato dell'89% a 1,9 milioni di dollari. L'azienda ha registrato una perdita netta di 13,7 milioni di dollari, in miglioramento rispetto ai 50,5 milioni di dollari del terzo trimestre del 2023. Le spese per ricerca e sviluppo sono diminuite a 5,1 milioni di dollari dai 19,6 milioni di dollari, mentre le spese generali e amministrative sono scese a 7,7 milioni di dollari dai 24,3 milioni di dollari. La posizione di cassa ammontava a 40,4 milioni di dollari al 30 settembre 2024.

BioXcel Therapeutics (BTAI) informó sobre los resultados financieros del tercer trimestre de 2024, destacando los avances en dos ensayos clave de Fase 3 de BXCL501. Los ingresos netos de IGALMI fueron de 214,000 dólares en el tercer trimestre de 2024, una disminución respecto a los 341,000 dólares del tercer trimestre de 2023, aunque los ingresos de nueve meses aumentaron un 89% a 1.9 millones de dólares. La compañía reportó una pérdida neta de 13.7 millones de dólares, mejorando desde los 50.5 millones de dólares en el tercer trimestre de 2023. Los gastos de I+D disminuyeron a 5.1 millones de dólares desde 19.6 millones de dólares, mientras que los gastos generales y de administración se redujeron a 7.7 millones de dólares desde 24.3 millones de dólares. La posición de caja fue de 40.4 millones de dólares al 30 de septiembre de 2024.

BioXcel Therapeutics (BTAI)는 2024년 3분기 재무 결과를 발표하며 BXCL501의 두 가지 중요한 3상 시험에서의 진전을 강조했습니다. IGALMI로 인한 순수익은 2024년 3분기 214,000달러로, 2023년 3분기의 341,000달러에서 감소했지만, 9개월 간의 수익은 89% 증가하여 190만 달러에 도달했습니다. 회사는 1,370만 달러의 순손실을 기록했으며, 이는 2023년 3분기의 5,050만 달러에 비해 개선된 수치입니다. 연구 개발비는 1,360만 달러에서 510만 달러로 감소했으며, 총관리비는 2,430만 달러에서 770만 달러로 줄어들었습니다. 2024년 9월 30일 기준 현금 잔고는 4,040만 달러입니다.

BioXcel Therapeutics (BTAI) a annoncé ses résultats financiers pour le troisième trimestre de 2024, mettant en avant des progrès dans deux essais de phase 3 clés de BXCL501. Le chiffre d'affaires net d'IGALMI s'élevait à 214 000 dollars au troisième trimestre 2024, en baisse par rapport à 341 000 dollars au troisième trimestre 2023, bien que les revenus sur neuf mois aient augmenté de 89 % pour atteindre 1,9 million de dollars. L'entreprise a signalé une perte nette de 13,7 millions de dollars, en amélioration par rapport à 50,5 millions de dollars au troisième trimestre 2023. Les dépenses de R&D ont diminué à 5,1 millions de dollars contre 19,6 millions de dollars, tandis que les dépenses SG&A ont été réduites à 7,7 millions de dollars contre 24,3 millions de dollars. La position de trésorerie était de 40,4 millions de dollars au 30 septembre 2024.

BioXcel Therapeutics (BTAI) hat die finanziellen Ergebnisse für das dritte Quartal 2024 veröffentlicht und Fortschritte in zwei entscheidenden Phase-3-Studien zu BXCL501 hervorgehoben. Der Nettoumsatz von IGALMI betrug im dritten Quartal 2024 214.000 US-Dollar, rückläufig von 341.000 US-Dollar im dritten Quartal 2023, während der Umsatz über neun Monate um 89 % auf 1,9 Millionen US-Dollar gestiegen ist. Das Unternehmen meldete einen Nettoverlust von 13,7 Millionen US-Dollar, verbessert gegenüber 50,5 Millionen US-Dollar im dritten Quartal 2023. Die F&E-Ausgaben sanken auf 5,1 Millionen US-Dollar von 19,6 Millionen US-Dollar, während die Verwaltungs- und Vertriebskosten auf 7,7 Millionen US-Dollar von 24,3 Millionen US-Dollar reduziert wurden. Die Liquiditätsposition betrug zum 30. September 2024 40,4 Millionen US-Dollar.

Positive
  • Net loss improved significantly from $50.5M to $13.7M year-over-year
  • Nine-month revenue increased 89% to $1.9M
  • R&D expenses reduced by 74% to $5.1M
  • SG&A expenses decreased by 68% to $7.7M
  • Patent portfolio strengthened with new patent extending to 2043
Negative
  • Q3 IGALMI revenue declined 37% year-over-year to $214K
  • Cost of goods sold increased to $1.2M from $512K
  • Higher charges for excess inventory reserves at $1.2M
  • Operating cash burn of $16.3M in Q3

Insights

The Q3 2024 results reveal concerning trends for BioXcel Therapeutics. $214,000 in IGALMI revenue represents a 37% decline from Q3 2023's $341,000. While 9-month revenue showed growth at $1.9M, the quarterly decline and high inventory reserves of $1.2M signal commercialization challenges.

The company's cost reduction initiatives through workforce reductions have significantly lowered operating expenses, with R&D dropping 74% to $5.1M and SG&A declining 68% to $7.7M. With $40.4M cash on hand and $16.3M quarterly cash burn, runway extends roughly 2-3 quarters without additional financing.

The advancement of two pivotal Phase 3 trials for BXCL501 represents critical development milestones. The SERENITY At-Home trial for bipolar/schizophrenia agitation and TRANQUILITY In-Care trial for Alzheimer's agitation target substantial market opportunities. The recent Department of Defense grant for acute stress disorder expands potential applications.

The company's intellectual property position appears strong with 12 Orange Book-listed patents for IGALMI extending to 2043. However, the slow commercial uptake suggests challenges in market penetration despite the unmet medical need in acute agitation treatment.

Advancing two pivotal Phase 3 trials of BXCL501 for acute treatment of agitation associated with bipolar disorders, schizophrenia, and Alzheimer’s dementia

Conference call set for 8:00 a.m. ET today

NEW HAVEN, Conn., Nov. 14, 2024 (GLOBE NEWSWIRE) -- BioXcel Therapeutics, Inc. (Nasdaq: BTAI), a biopharmaceutical company utilizing artificial intelligence to develop transformative medicines in neuroscience, today announced its financial results for the third quarter of 2024.

“Our focus continues to be the clinical development of BXCL501,” said Vimal Mehta, Ph.D., CEO of BioXcel Therapeutics. “We are advancing our SERENITY At-Home trial to pursue the near-term growth opportunity for treating acute agitation associated with bipolar disorders or schizophrenia in the outpatient setting. At the same time, we are progressing with our TRANQUILITY In-Care trial planning for Alzheimer’s-associated agitation. We are driven by the needs of patients, caregivers, and healthcare providers, as well as the market-expansion potential of our lead neuroscience asset.”

BXCL501 Pivotal Phase 3 Trials

  • First patient randomized in SERENITY At-Home trial of BXCL501 for acute treatment of agitation associated with bipolar disorders or schizophrenia
    • The Company announced trial initiation on September 5, 2024, with an expected trial duration of 9 to 12 months.
  • Received FDA feedback on protocol for TRANQUILITY In-Care trial of BXCL501 for agitation associated with Alzheimer’s dementia
    • The Company submitted its protocol to the FDA on September 5, 2024.

BXCL501 Investigator-Sponsored Trials

  • Announced U.S. Department of Defense grant to University of North Carolina at Chapel Hill to fund Phase 2a efficacy and safety trial of BXCL501 for treatment of acute stress disorder
    • Enrollment expected to commence in H1 2025
    • Marks second externally funded stress-related trial

Patent Portfolio
The Company continues to strengthen its intellectual property portfolio for IGALMI™ (dexmedetomidine) sublingual film.

  • The Company currently has 12 listed patents for IGALMI in the FDA’s Approved Drug Products with Therapeutic Equivalence Evaluations (Orange Book) with expiration dates between 2037 and 2043.
  • Recently received an issued patent (U.S. Patent No. 12,138,247) for IGALMI from U.S. Patent and Trademark Office. The patent has an expiration date of January 12, 2043, and is expected to be eligible for listing in the Orange Book.

Third Quarter 2024 Financial Results

Net Revenue: Net revenue from IGALMI was $214 thousand for the third quarter of 2024, compared to $341 thousand for the same period in 2023. The decrease in sales was primarily due to the timing of re-orders from existing customers. Net revenue of $1.9 million for the nine months ended September 30, 2024 increased 89% compared to $1.0 million for same period in 2023. The increase in new customer acquisitions and increased sales activity reflects rising utilization.

Cost of Goods Sold: Cost of goods sold for the three months ended September 30, 2024 and 2023, were $1.2 million and $512 thousand, respectively. Cost of goods sold is related to the costs to produce, package, and deliver IGALMI™ to customers, as well as costs related to excess or obsolete inventory. The increase in Cost of goods sold for the three months ended September 30, 2024 is the result of higher charges for reserves for excess or obsolete inventory compared to the same period in 2023. Charges for reserves for excess or obsolete inventory were $1.2 million and $495 thousand in the three months ended September 30, 2024 and 2023, respectively.

Research and Development (R&D) Expenses: R&D expenses were $5.1 million for the third quarter of 2024, compared to $19.6 million for the same period in 2023. The decreased expenses were primarily due to decreased clinical trial expenses, professional fees, as well as personnel and related costs resulting from the Company’s reprioritization in August 2023 and reduction in force in May 2024.

Selling, General and Administrative (SG&A) Expenses: SG&A expenses were $7.7 million for the third quarter of 2024, compared to $24.3 million for the same period in 2023. The decreased expenses were primarily due to decreased personnel and related costs resulting from the Company’s reprioritization in August 2023 and reduction in force in May 2024, as well as decreased professional fees and commercial expenses.

Net Loss: BioXcel Therapeutics had a net loss of $13.7 million for the third quarter of 2024, compared to a net loss of $50.5 million for the same period in 2023. The Company used $16.3 million in operating cash during the third quarter of 2024.

Cash and cash equivalents totaled $40.4 million as of September 30, 2024. 

Conference Call and Webcast
BioXcel Therapeutics will host a conference call and webcast today, November 14, 2024, at 8:00 a.m. ET to discuss its third quarter 2024 financial results. To access the call, please dial 877-407-5795 or 201-689-8722. A live webcast will be available on the Investors section of the corporate website, bioxceltherapeutics.com and a replay will be available for 90 days.

BioXcel Therapeutics may use its website as a distribution channel of material information about the Company. Financial and other important information regarding the Company is routinely posted on and accessible through the Investors sections of its website at bioxceltherapeutics.com. In addition, you may sign up to automatically receive email alerts and other information about the Company by visiting the “Email Alerts” option under the News/Events section of the Investors & Media website section and submitting your email address.

About IGALMI™ (dexmedetomidine) sublingual film

INDICATION 

IGALMI™ (dexmedetomidine) sublingual film is a prescription medicine, administered under the supervision of a health care provider, that is placed under the tongue or behind the lower lip and is used for the acute treatment of agitation associated with schizophrenia and bipolar disorder I or II in adults. The safety and effectiveness of IGALMI has not been studied beyond 24 hours from the first dose. It is not known if IGALMI is safe and effective in children. 

IMPORTANT SAFETY INFORMATION 

IGALMI can cause serious side effects, including: 

  • Decreased blood pressure, low blood pressure upon standing, and slower than normal heart rate, which may be more likely in patients with low blood volume, diabetes, chronic high blood pressure, and older patients. IGALMI is taken under the supervision of a healthcare provider who will monitor vital signs (like blood pressure and heart rate) and alertness after IGALMI is administered to help prevent falling or fainting. Patients should be adequately hydrated and sit or lie down after taking IGALMI and instructed to tell their healthcare provider if they feel dizzy, lightheaded, or faint. 
  • Heart rhythm changes (QT interval prolongation). IGALMI should not be given to patients with an abnormal heart rhythm, a history of an irregular heartbeat, slow heart rate, low potassium, low magnesium, or taking other drugs that could affect heart rhythm. Taking IGALMI with a history of abnormal heart rhythm can increase the risk of torsades de pointes and sudden death. Patients should be instructed to tell their healthcare provider immediately if they feel faint or have heart palpitations. 
  • Sleepiness/drowsiness. Patients should not perform activities requiring mental alertness, such as driving or operating hazardous machinery, for at least 8 hours after taking IGALMI. 
  • Withdrawal reactions, tolerance, and decreased response/efficacy. IGALMI was not studied for longer than 24 hours after the first dose. Physical dependence, withdrawal symptoms (e.g., nausea, vomiting, agitation), and decreased response to IGALMI may occur if IGALMI is used longer than 24 hours. 

The most common side effects of IGALMI in clinical studies were sleepiness or drowsiness, a prickling or tingling sensation or numbness of the mouth, dizziness, dry mouth, low blood pressure, and low blood pressure upon standing. 

These are not all the possible side effects of IGALMI. Patients should speak with their healthcare provider for medical advice about side effects. 

Patients should tell their healthcare provider about their medical history, including if they suffer from any known heart problems, low potassium, low magnesium, low blood pressure, low heart rate, diabetes, high blood pressure, history of fainting, or liver impairment. They should also tell their healthcare provider if they are pregnant or breastfeeding or take any medicines, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Patients should especially tell their healthcare provider if they take any drugs that lower blood pressure, change heart rate, or take anesthetics, sedatives, hypnotics, and opioids. 

Everyone is encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. You can also contact BioXcel Therapeutics, Inc. at 1-833-201- 1088 or medinfo@bioxceltherapeutics.com

Please see full Prescribing Information

About BXCL501
Outside of its approved indication by the U.S. Food and Drug Administration as IGALMI™ (dexmedetomidine) sublingual film, BXCL501 is an investigational proprietary, orally dissolving film formulation of dexmedetomidine, a selective alpha-2 adrenergic receptor agonist. BXCL501 is under investigation by BioXcel Therapeutics for the acute treatment of agitation associated with Alzheimer’s dementia and for the acute treatment of agitation associated with bipolar I or II disorder or schizophrenia in the at-home setting. The safety and efficacy of BXCL501 for these investigational uses have not been established. BXCL501 has been granted Breakthrough Therapy designation by the FDA for the acute treatment of agitation associated with dementia and Fast Track designation for the acute treatment of agitation associated with schizophrenia, bipolar disorders, and dementia.

About BioXcel Therapeutics, Inc.
BioXcel Therapeutics, Inc. (Nasdaq: BTAI) is a biopharmaceutical company utilizing artificial intelligence to develop transformative medicines in neuroscience. Its wholly owned subsidiary, OnkosXcel Therapeutics, is focused on the development of medicines in immuno-oncology. The Company’s drug re-innovation approach leverages existing approved drugs and/or clinically validated product candidates together with big data and proprietary machine learning algorithms to identify new therapeutic indications. For more information, please visit bioxceltherapeutics.com.

Forward-Looking Statements
This press release includes “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. We intend such forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in Section 27A of the Securities Act of 1933, as amended and Section 21E of the Securities Exchange Act of 1934, as amended. All statements contained in this press release other than statements of historical fact should be considered forward-looking statements, including, without limitation, statements related to: the Company’s planned advancement of its TRANQUILITY and SERENITY trials and the trial designs thereof; potential market opportunity for BXCL501; the potential for the results from the Company’s completed, ongoing and proposed clinical trials to support regulatory approvals for its product candidates; the Company’s current patent applications and potential Orange Book listings. When used herein, words including “anticipate,” “believe,” “can,” “continue,” “could,” “designed,” “estimate,” “expect,” “forecast,” “goal,” “intend,” “may,” “might,” “plan,” “possible,” “potential,” “predict,” “project,” “should,” “target,” “will,” “would” and similar expressions are intended to identify forward-looking statements, though not all forward-looking statements use these words or expressions. In addition, any statements or information that refer to expectations, beliefs, plans, projections, objectives, performance or other characterizations of future events or circumstances, including any underlying assumptions, are forward-looking. All forward-looking statements are based upon the Company’s current expectations and various assumptions. The Company believes there is a reasonable basis for its expectations and beliefs, but they are inherently uncertain. The Company may not realize its expectations, and its beliefs may not prove correct. Actual results could differ materially from those described or implied by such forward-looking statements as a result of various important factors, including, without limitation: its limited operating history; its incurrence of significant losses; its need for substantial additional funding and ability to raise capital when needed; the impact of the reprioritization; its significant indebtedness, ability to comply with covenant obligations and potential payment obligations related to such indebtedness and other contractual obligations; the Company has identified conditions and events that raise substantial doubt about its ability to continue as a going concern; its limited experience in drug discovery and drug development; risks related to the TRANQUILITY program; its dependence on the success and commercialization of IGALMI™, BXCL501, BXCL502, BXCL701 and BXCL702 and other product candidates; the number of episodes of agitation and the size of the Company’s total addressable market may be overestimated, and approval that the Company may obtain may be based on a narrower definition of the patient population; its lack of experience in marketing and selling drug products; the risk that IGALMI or the Company’s product candidates may not be accepted by physicians or the medical community in general; the Company still faces extensive and ongoing regulatory requirements and obligations for IGALMI; the failure of preliminary data from its clinical studies to predict final study results; failure of its early clinical studies or preclinical studies to predict future clinical studies; its ability to receive regulatory approval for its product candidates; its ability to enroll patients in its clinical trials; undesirable side effects caused by the Company’s product candidates; its novel approach to the discovery and development of product candidates based on EvolverAI; the significant influence of and dependence on BioXcel LLC; its exposure to patent infringement lawsuits; its reliance on third parties; its ability to comply with the extensive regulations applicable to it; impacts from data breaches or cyber-attacks, if any; risks associated with the increased scrutiny relating to environmental, social and governance (ESG) matters; risks associated with federal, state or foreign health care “fraud and abuse” laws; and its ability to commercialize its product candidates, as well as the important factors discussed under the caption “Risk Factors” in its Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2024, as such factors may be updated from time to time in its other filings with the SEC, which are accessible on the SEC’s website at www.sec.gov and the Investors section of the Company’s website at www.bioxceltherapeutics.com. These and other important factors could cause actual results to differ materially from those indicated by the forward-looking statements made in this press release. Any such forward-looking statements represent management’s estimates as of the date of this press release. While the Company may elect to update such forward-looking statements at some point in the future, except as required by law, it disclaims any obligation to do so, even if subsequent events cause our views to change. These forward-looking statements should not be relied upon as representing the Company’s views as of any date subsequent to the date of this press release.

Contact Information

Corporate/Investors
BioXcel Therapeutics
Erik Kopp
1.203.494.7062

Media
Russo Partners
David Schull
1.858.717.2310

Source: BioXcel Therapeutics, Inc.

IGALMI™ is a trademark of BioXcel Therapeutics, Inc.

          
BioXcel Therapeutics, Inc.         
          
Statements of Operations         
(Unaudited, in thousands, except per share amounts)         
  Three months ended September 30,  Nine months ended September 30,
   2024   2023    2024   2023 
          
Revenues         
Product revenues $214  $341   $1,900  $1,004 
          
Operating expenses         
Cost of goods sold  1,170   512    1,311   546 
Research and development  5,101   19,619    24,534   74,392 
Selling, general and administrative  7,683   24,344    30,398   73,810 
Restructuring costs  1,553   4,163    2,409   4,163 
Total operating expenses  15,507   48,638    58,652   152,911 
Loss from operations  (15,293)  (48,297)   (56,752)  (151,907)
Other (income) expense         
Interest expense, net  3,790   3,252    11,097   9,879 
Interest income  (616)  (1,068)   (2,234)  (4,703)
Other (income) expense, net  (4,817)  5    (16,875)  (286)
Net loss and comprehensive loss $(13,650) $(50,486)  $(48,740) $(156,797)
          
Net loss per share - basic and diluted $(0.32) $(1.72)  $(1.29) $(5.40)
Weighted average shares outstanding - basic and diluted 42,390   29,268    37,853   29,026 
          
          
Condensed Balance Sheets         
(Unaudited, in thousands)         
          
  September 30, December 31,     
   2024   2023      
          
Cash and cash equivalents $40,387  $65,221      
Total assets $48,892  $73,702      
Total liabilities $134,525  $130,210      
Total stockholders' equity (deficit) $(85,633) $(56,508)     
          

FAQ

What was BioXcel Therapeutics (BTAI) revenue in Q3 2024?

BioXcel Therapeutics reported net revenue of $214,000 from IGALMI in Q3 2024.

How much cash does BTAI have as of September 30, 2024?

BioXcel Therapeutics had cash and cash equivalents of $40.4 million as of September 30, 2024.

What was BTAI's net loss in Q3 2024?

BioXcel Therapeutics reported a net loss of $13.7 million for Q3 2024.

What are the main clinical trials BTAI is currently advancing?

BTAI is advancing two pivotal Phase 3 trials: SERENITY At-Home for bipolar disorders/schizophrenia agitation and TRANQUILITY In-Care for Alzheimer's-associated agitation.

BioXcel Therapeutics, Inc.

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Biotechnology
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